ORLEANS COMMUNITY HEALTH: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- ORLEANS COMMUNITY HEALTH (EIN 16-0755799)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-13
- IRS object ID
- 202043189349301819
- Schema version
- 2019v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-13T08:02:16-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 160765486 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LUMSDEN & MCCORMICK LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 369 FRANKLIN STREET | AddressLine1Txt |
| City | BUFFALO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 160755799 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ORLEANS COMMUNITY HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ORLE | BusinessNameControlTxt |
| Phone | 5857988102 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 OHIO ST | AddressLine1Txt |
| City | MEDINA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14103 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARC SHURTZ | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 5857988102 | PhoneNum |
| Signature | 2020-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JILL M JOHNSON CPA | PreparerPersonNm |
| PTIN | P01701478 | PTIN |
| Phone | 7168563300 | PhoneNum |
| Preparation | 2020-11-11 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 152.179.95.242 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-11-11 | IPDt |
| IP Tm | 15:16:44 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 7264A2AEBD890767F19FC7DCBE8FA37D64519F7A | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARC SHURTZ | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 OHIO ST | AddressLine1Txt |
| City | MEDINA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $27,179,495 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ORLEANSCOMMUNITYHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1908 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O.ORLEANS COMMUNITY HEALTH EXISTS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE BY PROVIDING EQUAL ACCESS TO QUALITY HEALTH CARE SERVICES PROVIDED AT THE RIGHT TIME, IN THE RIGHT PLACE, WITH THE MOST EFFICIENT USE OF RESOURCES. THIS WILL BE ACCOMPLISHED THROUGH A COLLABORATIVE EFFORT WITH PHYSICIAN PARTNERS, HOSPITAL ASSOCIATES, VOLUNTEERS AND THE TWIG ASSOCIATION, USING A PHILOSOPHY OF CONTINUOUS QUALITY IMPROVEMENT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 356 | TotalEmployeeCnt |
| Total Volunteers | 40 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,341,629 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,452,006 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $19,857,455 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $20,230,002 | CYProgramServiceRevenueAmt |
| PY Investment Income | $853 | PYInvestmentIncomeAmt |
| CY Investment Income | $294 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,199,855 | PYOtherRevenueAmt |
| CY Other Revenue | $4,497,193 | CYOtherRevenueAmt |
| PY Total Revenue | $27,399,792 | PYTotalRevenueAmt |
| CY Total Revenue | $27,179,495 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $15,017,786 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $14,301,025 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $10,419,358 | PYOtherExpensesAmt |
| CY Other Expenses | $10,717,077 | CYOtherExpensesAmt |
| PY Total Expenses | $25,437,144 | PYTotalExpensesAmt |
| CY Total Expenses | $25,018,102 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,962,648 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,161,393 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $11,280,051 | TotalAssetsBOYAmt |
| Total Assets EOY | $12,438,514 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,197,146 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,333,579 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,082,905 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,104,935 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O.ORLEANS COMMUNITY HEALTH EXISTS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE BY PROVIDING EQUAL ACCESS TO QUALITY HEALTH CARE SERVICES PROVIDED AT THE RIGHT TIME, IN THE RIGHT PLACE, WITH THE MOST EFFICIENT USE OF RESOURCES. THIS WILL BE ACCOMPLISHED THROUGH A COLLABORATIVE EFFORT WITH PHYSICIAN PARTNERS, HOSPITAL ASSOCIATES, VOLUNTEERS AND THE TWIG ASSOCIATION, USING A PHILOSOPHY OF CONTINUOUS QUALITY IMPROVEMENT. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $18,501,499 | ExpenseAmt |
| Revenue | $20,230,002 | RevenueAmt |
| Desc | PATIENT SERVICES - THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, EMERGENCY CARE SERVICES AND LONG-TERM CARE FOR RESIDENTS OF THE LOCAL GEOGRAPHIC REGION. THE HOSPITAL ACCEPTS ALL PATIENTS, REGARDLESS OF ABILITY TO PAY. THE POLICY ESTABLISHED BY THE HOSPITAL DEFINES CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS ANTICIPATED. | Desc |
| Total Program Service Expenses | $18,501,499 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 45 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 356 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LORI CONDO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5857988422 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 OHIO STREET | AddressLine1Txt |
| City | MEDINA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14103 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DAWN MELAND | ||||||||
| CHAIRMAN | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SHANNON BLOUNT | ||||||||
| VICE CHAIRMAN | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CINDY HEWITT | ||||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DAVID G MONTI DVM | ||||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| KEVIN FOLEY | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| LYNNE JOHNSON | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JEFF KLOTZBACH | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| LANCE MARK | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| APRIL MCGAFFICK | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JOSEPH MISITI MD | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| DALE SPONAUGLE MD | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MARK CYE | ||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | $246,699 | $0 | $7,805 | 1.00 | ||
| VINCENT LEE | ||||||||
| PHYSICIAN | 40.00 | $249,732 | $0 | $98 | Yes (X) | |||
| MARY RYKERT-WOLF | ||||||||
| PHYSICIAN | 40.00 | $200,176 | $0 | $6,189 | Yes (X) | |||
| KATHLEEN BRAUEN | ||||||||
| DIRECTOR OF PHARMACY | 40.00 | $126,182 | $0 | $16,948 | Yes (X) | |||
| THOMAS GUZZINO | ||||||||
| PHYSICIAN | 40.00 | $118,275 | $0 | $15,406 | Yes (X) | |||
| PAULA DRESSER | ||||||||
| DIRECTOR OF SURGICAL SERVICES | 40.00 | $120,380 | $0 | $3,988 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,061,444 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $50,434 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 13 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MEDICAL SOLUTIONS LLC | |||||
| PO BOX 310737 | DES MOINES | IA | 50331 | NURSING SERVICES | $271,992 |
| ELJON ENTERPRISES LLC | |||||
| 400 WEST AVE GATE H | ROCHESTER | NY | 14611 | CONSTRUCTION | $152,643 |
| LIPPES MATHIAS WEXLER FRIEDMAN | |||||
| 50 FOUNTAIN PLAZA SUITE 1700 | BUFFALO | NY | 14202 | LEGAL SERVICES | $148,267 |
| SHARED IMAGING LLC | |||||
| LOCK BOX 88544 | MILWAUKEE | WI | 53288 | MRI SERVICES | $139,068 |
| ANTHONY T DIBENEDETTO | |||||
| 1101 TELEPHONE ROAD | RUSH | NY | 14543 | SURGICAL SERVICES | $133,333 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $237,801 | RelatedOrganizationsAmt |
| Government Grants | $2,180,190 | GovernmentGrantsAmt |
| All Other Contributions | $34,015 | AllOtherContributionsAmt |
| Total Contributions | $2,452,006 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $20,230,002 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,230,002 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $20,230,002 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $294 | TotalRevenueColumnAmt |
| Exclusion | $294 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $32,861 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $32,861 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $32,861 | TotalRevenueColumnAmt |
| Exclusion | $32,861 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| NEW YORK STATE DOH OPERATING ASSI | 900099 | $3,930,003 | $3,930,003 |
| UNIVERSAL SETTLEMENT | 900099 | $272,995 | $272,995 |
| MISCELLANEOUS | 900099 | $202,411 | $202,411 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $58,923 | TotalRevenueColumnAmt |
| Exclusion | $58,923 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,464,332 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,179,495 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,230,002 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,497,487 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $254,504 | TotalAmt |
| Management And General | $254,504 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,607,984 | TotalAmt |
| Program Services | $8,245,124 | ProgramServicesAmt |
| Management And General | $3,362,860 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $242,599 | TotalAmt |
| Program Services | $187,500 | ProgramServicesAmt |
| Management And General | $55,099 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,334,488 | TotalAmt |
| Program Services | $1,001,169 | ProgramServicesAmt |
| Management And General | $333,319 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $861,450 | TotalAmt |
| Program Services | $646,088 | ProgramServicesAmt |
| Management And General | $215,362 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,257 | TotalAmt |
| Management And General | $110,257 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,245,444 | TotalAmt |
| Program Services | $3,614,189 | ProgramServicesAmt |
| Management And General | $631,255 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $550,736 | TotalAmt |
| Program Services | $374,500 | ProgramServicesAmt |
| Management And General | $176,236 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $492,174 | TotalAmt |
| Program Services | $349,444 | ProgramServicesAmt |
| Management And General | $142,730 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,681 | TotalAmt |
| Program Services | $6,497 | ProgramServicesAmt |
| Management And General | $49,184 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,016 | TotalAmt |
| Management And General | $28,016 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,061,632 | TotalAmt |
| Program Services | $753,759 | ProgramServicesAmt |
| Management And General | $307,873 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $277,222 | TotalAmt |
| Program Services | $183,640 | ProgramServicesAmt |
| Management And General | $93,582 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $2,087,949 | $2,087,949 | |
| REPAIRS AND MAINTENANCE | $816,145 | $580,740 | $235,405 |
| NON-MEDICAL SUPPLIES | $390,009 | $390,009 | |
| BUILDING AND EQUIPMENT | $354,304 | $298,676 | $55,628 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $247,508 | TotalAmt |
| Program Services | $172,224 | ProgramServicesAmt |
| Management And General | $75,284 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,018,102 | TotalAmt |
| Program Services | $18,501,499 | ProgramServicesAmt |
| Management And General | $6,516,603 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $678,535 | BOYAmt |
| EOY | $244,522 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $386,579 | BOYAmt |
| EOY | $867,065 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,531,029 | BOYAmt |
| EOY | $2,787,452 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $480,143 | BOYAmt |
| EOY | $413,124 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $194,900 | BOYAmt |
| EOY | $249,850 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $39,800,480 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $32,969,979 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,579,156 | BOYAmt |
| EOY | $6,830,501 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,429,709 | BOYAmt |
| EOY | $1,046,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,280,051 | BOYAmt |
| EOY | $12,438,514 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,839,826 | BOYAmt |
| EOY | $5,435,031 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,662,396 | BOYAmt |
| EOY | $1,260,757 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $694,924 | BOYAmt |
| EOY | $637,791 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,197,146 | BOYAmt |
| EOY | $7,333,579 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,920,312 | BOYAmt |
| EOY | $3,716,979 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,162,593 | BOYAmt |
| EOY | $1,387,956 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,082,905 | BOYAmt |
| EOY | $5,104,935 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,280,051 | BOYAmt |
| EOY | $12,438,514 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,161,393 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$139,363 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $139,409 | OtherCostOrOtherBasisAmt |
| Book Value | $139,409 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,717,620 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,036,559 | DepreciationAmt |
| Book Value | $5,681,061 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $249,224 | OtherCostOrOtherBasisAmt |
| Depreciation | $89,044 | DepreciationAmt |
| Book Value | $160,180 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,315,595 | OtherCostOrOtherBasisAmt |
| Depreciation | $22,844,376 | DepreciationAmt |
| Book Value | $471,219 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $378,632 | OtherCostOrOtherBasisAmt |
| Book Value | $378,632 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,830,501 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| NET ASSETS OF THE FOUNDATION | $1,023,230 |
| OTHER ASSETS | $22,770 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,046,000 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| OTHER LIABILITIES | $22,770 |
| LOAN PAYABLE TO ORLEANS COMMUNITY HEALTH FOUNDATION, INC. | $615,021 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $637,791 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $27,179,495 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $27,179,495 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $27,179,495 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $25,018,102 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $25,018,102 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $25,018,102 | TotalExpensesPerForm990Amt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | 0 | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,053,595 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $186,530 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $867,065 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03470 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,701,377 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,705,963 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $995,414 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03980 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,754,972 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,892,493 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,862,479 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07450 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,754,972 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,892,493 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,862,479 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07450 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $871,917 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $5,092,930 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $8,506,155 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,413,225 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | 0 | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ORLEANS COMMUNITY HEALTH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 OHIO STREET | AddressLine1Txt |
| City | MEDINA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ORLEANS COMMUNITY HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://ORLEANSCOMMUNITYHEALTH.ORG/COMMUNITY-HEALTH-IMPROVEMENT-PLAN/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://ORLEANSCOMMUNITYHEALTH.ORG/FINANCIAL-ASSISTANCE-CHARITY-CARE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V | FAPAppAvailableOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ORLEANS COMMUNITY HEALTH | PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS OBTAINED THROUGH COMMUNITY HEALTH ASSESSMENT SURVEYS. THESE SURVEYS WERE USED TO HELP ASSESS THE COMMUNITY'S PERCEPTION OF HEALTH NEEDS. A SURVEY INSTRUMENT FOR USE IN ORLEANS, GENESEE AND WYOMING COUNTIES WAS DEVELOPED COLLABORATIVELY BY A GROUP OF LOCAL AGENCIES THAT INCLUDED THREE COUNTY HEALTH DEPARTMENTS (ORLEANS, GENESEE, WYOMING), ORLEANS COMMUNITY HEALTH, ROCHESTER REGIONAL HEALTH AT UNITED MEMORIAL MEDICAL CENTER, WYOMING COUNTY COMMUNITY HEALTH SYSTEM, LAKE PLAINS COMMUNITY CARE NETWORK, INDEPENDENT LIVING OF THE GENESEE REGION, POPULATION HEALTH COLLABORATIVE, AND OAK ORCHARD HEALTH. THE GOAL WAS TO DEVELOP ONE INSTRUMENT THAT WOULD BE USED FOR ALL THREE COUNTIES. |
| ORLEANS COMMUNITY HEALTH | PART V, SECTION B, LINE 6A: ROCHESTER REGIONAL HEALTH AT UNITED MEMORIAL MEDICAL CENTER AND WYOMING COUNTY COMMUNITY HEALTH SYSTEM |
| ORLEANS COMMUNITY HEALTH | PART V, SECTION B, LINE 7D: THE SURVEY WAS DISTRIBUTED TO THE COMMUNITY BY INTERNET VIA SURVEY MONKEY TO HUMAN RESOURCE ORGANIZATIONS, FAITH BASED ORGANIZATIONS, LIBRARIES, WORKSITES, AND COMMUNITY OUTREACH, WHO IN TURN DISTRIBUTED TO THEIR LIST SERVES, AND THROUGH PRINTED SURVEYS AT OUTREACH EVENTS (E.G. ROTARY CLUBS, DINERS, HAIR DRESSERS, FARMER'S MARKETS, MEDINA MEMORIAL HOSPITAL, AND HEALTH FAIRS). |
| ORLEANS COMMUNITY HEALTH | PART V, SECTION B, LINE 11: THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED TWO PRIORITY AREAS. THE FIRST PRIORITY BEING PREVENTION OF CHRONIC DISEASES WITH AN OBJECTIVE TO UTILIZE REFER-TO-QUIT AND OPT-TO-QUIT PROGRAMS IN AN AIM TO INCREASE THE PERCENTAGE OF SMOKERS WHO ARE REFERRED TO THE NYS QUITLINE, INCREASING THE PERCENTAGE OF WOMEN, WITH AN ANNUAL HOUSEHOLD INCOME OF LESS THAN $25,000 RECEIVING BREAST CANCER SCREENING BASED ON MOST RECENT GUIDELINES AND INCREASING PARTICIPATION IN STANFORD UNIVERSITY'S DIABETES SELF-MANAGEMENT PROGRAMS (DSMP) AND THE CDC'S DIABETES PREVENTION PROGRAM (DPP). THE SECOND PRIORITY BEING THE PROMOTION OF WELL-BEING TO PREVENT MENTAL AND SUBSTANCE USE DISORDERS WITH A GOAL TO DECREASE THE RATE IN OPIOID OVERDOSE DEATHS. |
| FORM 990, SCHEDULE H, PART V, SECTION B, LINE 16B | HTTPS://ORLEANSCOMMUNITYHEALTH.ORG/WP-CONTENT/UPLOADS/2019/12/FINANCIAL-ASSISTANCE-CHARITY-CARE-APPLICATION.PDF |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 - ORLEANS COMMUNITY HEALTH OF ALBION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14789 ROUTE 31 | AddressLine1Txt |
| City | ALBION | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14411 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | FAMILY CLINIC | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS CONTAINED IN THE TABLE OF PART I, LINE 7, OF SCHEDULE H, IS A COST TO CHARGE RATIO CALCULATION IN WORKSHEET 2. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | N/A |
| PART III, LINE 2: | BAD DEBT EXPENSE IS AN ACCUMULATION OF 3% OF GROSS CHARGES ESTIMATED AS BAD DEBT, ACTUAL AMOUNTS WRITTEN OFF AS BAD DEBT, BAD DEBT RECOVERY AND AN ADJUSTMENT TO THE BAD DEBT RESERVES ACCOUNT. |
| PART III, LINE 8: | THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE HOSPITAL'S MEDICARE COST REPORT IS THE COST TO CHARGE RATIO. THE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. |
| PART VI, LINE 2: | THE HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY THROUGH PATIENT SATISFACTION SURVEYS; FOCUS GROUPS OF COMMUNITY MEMBERS, BOARD OF DIRECTORS, AND EMPLOYEES; AND SPECIFIC HEALTH-RELATED PRIORITIES AS THEY ARISE. |
| PART VI, LINE 3: | PATIENTS ARE INFORMED OF THE HOSPITAL'S CHARITY CARE POLICY AND GIVEN THE OPPORTUNITY TO APPLY. ELIGIBILITY REQUIREMENTS FOR MEDICAID AND RELATED GOVERNMENT ASSISTANCE PROGRAMS ARE ALSO SHARED WITH PATIENTS. |
| PART VI, LINE 4: | THE HOSPITAL IS THE ONLY HOSPITAL IN ORLEANS COUNTY AND PROVIDES SERVICES TO THE RURAL COMMUNITIES OF ORLEANS, EASTERN NIAGARA, AND NORTHERN GENESEE COUNTIES. |
| PART VI, LINE 5: | N/A |
| PART VI, LINE 6: | N/A |
| PART VI, LINE 7, REPORTS FILED WITH STATES | NY |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARK CYE | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $246,699 | $0 | $0 | $0 | $0 | $0 | $7,401 | $0 | $404 | $0 | $254,504 | $0 | $0 | $0 |
| VINCENT LEE | ||||||||||||||
| PHYSICIAN | $249,732 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $98 | $0 | $249,830 | $0 | $0 | $0 |
| MARY RYKERT-WOLF | ||||||||||||||
| PHYSICIAN | $200,176 | $0 | $0 | $0 | $0 | $0 | $6,005 | $0 | $184 | $0 | $206,365 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 IS PREPARED AND REVIEWED BY VARIOUS INDIVIDUALS WITHIN MANAGEMENT AND PROVIDED TO THE GOVERNING BODY PRIOR TO ITS FILING AS TIME ALLOWS OR AT ITS NEXT MEETING WHEN TIME DOES NOT PERMIT REVIEW PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD OF DIRECTORS, OFFICERS, AND COMMITTEE MEMBERS ANNUALLY REVIEW AND SIGN THE HOSPITAL'S CONFLICT OF INTEREST POLICY. ACTUAL OR POTENTIAL CONFLICTS OF INTEREST MUST BE DISCLOSED TO THE BOARD. AFTER DISCLOSURE AND DISCUSSION OF THE CONFLICT, THE INTEREST PERSON MUST LEAVE THE MEETING WHILE THE REMAINING BOARD MEMBERS DISCUSS AND VOTE ON WHETHER A CONFLICT EXISTS. IF A CONFLICT DOES NOT EXIST, THE BOARD WILL DETERMINE WHETHER THEY CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF THAT IS NOT REASONABLY POSSIBLE, THE DISINTERESTED MEMBERS WILL VOTE TO DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS FAIR AND REASONABLE, IN THE HOSPITAL'S BEST INTEREST, AND TO THE HOSPITAL'S BENEFIT. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE HUMAN RESOURCES DEPARTMENT PROVIDES DATA FOR OFFICERS AND KEY EMPLOYEES FROM THE WESTERN NEW YORK WAGE SURVEY TO DETERMINE COMPENSATION LEVELS WHICH ARE REVIEWED AND DETERMINED AT THE BOARD LEVEL. MINUTES ARE TAKEN FOR THESE MEETINGS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THESE DOCUMENTS ARE AVAILABLE UPON REQUEST FROM THE CHIEF EXECUTIVE OFFICER. |
| FORM 990, PART IX, LINE 11G | OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,045,407. MANAGEMENT AND GENERAL EXPENSES 631,255. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,676,662. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 1,568,782. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,568,782. |
| FORM 990, PART XI, LINE 9: | CHANGE IN NET ASSETS HELD BY FOUNDATION 98,438. NET ASSETS RELEASED FROM RESTRICTIONS -237,801. |
| FORM 990, PART XII, LINE 2C | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ORLEANS COMMUNITY HEALTH FOUNDATION INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 OHIO STREET | AddressLine1Txt |
| City | MEDINA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161155081 | EIN |
| Primary Activities | TO RAISE AND ORGANIZE FUNDS IN SUPPORT OF ORLEANS COMMUNITY HEALTH | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 11B | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |