ARNOT OGDEN MEDICAL CENTER: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: ARNOT OGDEN MEDICAL CENTER (EIN 16-0743905)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-08
IRS object ID: 201903179349304825
Schema version: 2018v3.0
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R
Reasonable Cause Explanation

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-08T08:39:49-07:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	160743905	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ARNOT OGDEN MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ARNO	BusinessNameControlTxt
Phone	6077374235	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	600 ROE AVENUE	AddressLine1Txt
City	ELMIRA	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14905	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Jonathan Lawrence	PersonNm
Person Title	President & CEO	PersonTitleTxt
Phone	6077374235	PhoneNum
Signature	2019-08-31	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	162.223.206.130	IPv4AddressTxt

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Rondald J Kintz	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	600 Roe Avenue	AddressLine1Txt
City	Elmira	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14905	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$313,556,901	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.arnothealth.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1889	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	Arnot Ogden Medical Center is a community based hospital with an open emergency room and selected highly specialized services that are part of a high quality health care delivery system that serves Chemung County, NY and the Twin Tier Regions of New York and Pennslyvania.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	2965	TotalEmployeeCnt
Total Volunteers	349	TotalVolunteersCnt
Total Gross UBI	-$84,388	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,605,064	PYContributionsGrantsAmt
CY Contributions Grants	$1,621,427	CYContributionsGrantsAmt
PY Program Service Revenue	$282,708,099	PYProgramServiceRevenueAmt
CY Program Service Revenue	$293,061,082	CYProgramServiceRevenueAmt
PY Investment Income	$4,476,300	PYInvestmentIncomeAmt
CY Investment Income	$6,513,230	CYInvestmentIncomeAmt
PY Other Revenue	$1,898,342	PYOtherRevenueAmt
CY Other Revenue	$2,349,804	CYOtherRevenueAmt
PY Total Revenue	$293,687,805	PYTotalRevenueAmt
CY Total Revenue	$303,545,543	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	$207,937,169	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$214,312,410	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$87,447,421	PYOtherExpensesAmt
CY Other Expenses	$99,129,571	CYOtherExpensesAmt
PY Total Expenses	$295,384,590	PYTotalExpensesAmt
CY Total Expenses	$313,441,981	CYTotalExpensesAmt
PY Revenues Less Expenses	-$1,696,785	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$9,896,438	CYRevenuesLessExpensesAmt
Total Assets BOY	$259,823,619	TotalAssetsBOYAmt
Total Assets EOY	$245,287,150	TotalAssetsEOYAmt
Total Liabilities BOY	$99,109,146	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$106,721,435	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$160,714,473	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$138,565,715	NetAssetsOrFundBalancesEOYAmt
Mission	Arnot Ogden Medical Center is an independent, not-for-profit, 225-bed tertiary medical facility with more than 115 physicians from over 50 specialties. Arnot Ogden Medical Center offers specialty services at the Wilmot Cancer Center, Heart and Vascular Institute, Stroke Care, Maternity, Surgery.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$249,548,761	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$29,548,650	RevenueAmt
Desc	The Arnot Ogden Medical Center continues to provide of health care related services since it opened in 1889, serving Chemung County and the Twin Tier Regions of New York and Pennsylvania. The Medical Center specialized in the fields of Cardiology, Oncology, Renal, Neonatology, Bariatric and Emergency Care. Other sub specialized services include, but are not limited to, Anesthesiology, Surgery, Laboratory, Imaging, Physical Therapy, Obstetrics, and Gynecology. In 2018, the Medical Center's 2,172 Full-time equivalent of employees cared for 10,921 inpatient admissions in its 225 staffed beds. The Medical Center provided Outpatient Services to approximately 321,215 Outpatient Visits in its subspecialty services. The approximately 114 Full-time equivalents of physicians provided for 315,921 office visits in the areas of primary care and specialty services.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$1,094,977	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$497,537	RevenueAmt
Desc	The Arnot Ogden Medical Center School of Nursing began in 1889 and continues to offer a three year diploma program accredited by the National League for Nursing with approximately 53 students enrolled in 2018. The Arnot Ogden School of Radiologic Sciences began in 1953 continues to offer a two-year certificate program, which is accredited by the Joint Review Commission on Education in Radiologic Technology with approximately 13 students enrolled in 2018. Upon completion of their program of study, students are eligible to take the NYS licensing examinations for Registered Nurse or Radiologic Technologist.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$0	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$250,643,738	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	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
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
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	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	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	Yes (1)	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	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
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	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
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	194	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2965	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
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	15	GoverningBodyVotingMembersCnt
Independent Voting Member	13	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	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
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	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
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

Field	Value	IRS element (for citing)
Person	Ronald J Kintz	PersonNm
Phone	6077374235	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	600 ROE AVENUE	AddressLine1Txt
City	ELMIRA	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14905	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Donald Quick CPA
Board member / Chairman	2	0	Yes (X)	$0	$0	$0
Mark J Hagen
Board member / Vice Chairman	2	0	Yes (X)	$0	$0	$0
John R Alexander Esq
Secretary	1	0	Yes (X)	$0	$0	$0
Louis DiFabio
Board Member	1	0	Yes (X)	$0	$0	$0
Dr Jeffrey W Evenson PhD
Board Member	1	0	Yes (X)	$0	$0	$0
Michael Hosey
Board Member	1	0	Yes (X)	$0	$0	$0
John MacMahon
Board Member	1	0	Yes (X)	$0	$0	$0
Robert McNamara
Board Member	1	0	Yes (X)	$0	$0	$0
Richard Simons
Board Member	1	0	Yes (X)	$0	$0	$0
Scott Sprague
Board Member	1	0	Yes (X)	$0	$0	$0
Jeffrey Streeter
Board Member	1	0	Yes (X)	$0	$0	$0
Anders Tomson
Board Member	1	0	Yes (X)	$0	$0	$0
Jan van den Blink
Board member	2	0	Yes (X)	$0	$0	$0
Alan Angell MD
Board Member/Physician	61	0	Yes (X)	$468,841	$0	$33,026
Kevin DeLuca MD
Board Member	1	0	Yes (X)	$0	$0	$0
Jonathan Lawrence
Chief Operating Officer	59	16		$437,377	$0	$18,380	Yes (X)
Robert Lambert MD
Chief Operating Officer	0	0		$589,930	$0	$33,627	Yes (X)	Yes (X)
Ronald J Kintz DHA
Senior VP/CFO	46	6		$338,794	$0	$39,888	Yes (X)
Sandra McCarthy PhD
Chief Nursing Officer	32	8		$259,181	$0	$30,683			Yes (X)
Kenneth HerzlBetz MD
Senior VP/Medical Affairs	48	3		$307,910	$0	$31,068			Yes (X)
Roberto deBara MD
President AMS	0	0		$337,500	$0	$21,635		Yes (X)	Yes (X)
Richard Cleland
Site Administrator IDMH	0	40		$59,260	$0	$1,734		Yes (X)	Yes (X)
Stanley Wojciechowski
System Dir. Of RHCF SNF Admin	40	0		$78,857	$0	$8,113			Yes (X)
Vidyasagar Mokureddy MD
Pain Mgmt Physician	45	0		$947,143	$0	$39,888				Yes (X)
Bruno Mazza MD
Gastoentrologist	40	0		$879,003	$0	$21,137				Yes (X)
Matthew Brand MD
Orthopediac Surgeon	65	0		$720,971	$0	$37,343				Yes (X)
Thomas Boman MD
Orthopediac Surgeon	60	0		$705,270	$0	$37,343				Yes (X)
Ravi Akula MD
Pediatrics	40	0		$706,973	$0	$35,571				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,837,010	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$389,436	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	271	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	Address Line2ContractorAddress/USAddress/AddressLine2Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Strong Memorial Hospital
601 Elmwood Avenue	Box 608	Rochester	NY	14642	Physician & Staffing Cancer Center Services	$4,027,001
ABM Healthcare Support Services
PO Box 935695		Atlanta	GA	311935695	Equipment Maintenance Service Contracts	$3,215,959
Weatherby Locums Inc
PO Box 972633		Dallas	TX	753972633	Phsician	$2,107,022
Associated Anesthesiologists of Finger Lakes
P O Box 1253		Elmira	NY	149021253	Anesthesiology Physician Services	$1,957,830
CURA Hospitality LLC
4135 South Stream BLVD	Suite 250	Charlotte	NC	28217	Food Service provider	$1,715,351

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	157	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$0	RelatedOrganizationsAmt
Government Grants	$847,998	GovernmentGrantsAmt
All Other Contributions	$773,429	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$1,621,427	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICE REV HOSP	622110	$235,503,996	$235,503,996	$0	$0
NET PATIENT SERVICE REV PHYS	621110	$57,061,843	$57,061,843	$0	$0
SCHOOL OF NURSING	611600	$400,860	$400,860	$0	$0
SCHOOL OF RADIOLOGY	611600	$94,383	$94,383	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$293,061,082	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,980,289	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,980,289	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$437,308	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$238,793	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$198,515	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$198,515	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$84,388	UnrelatedBusinessRevenueAmt
Exclusion	$282,903	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$12,649,945	SecuritiesAmt
Other	$11,508	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$8,128,512	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$4,521,433	SecuritiesAmt
Other	$11,508	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,532,941	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$4,532,941	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$125,050	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$0	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$23,900	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$101,150	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$101,150	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$747,335	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$1,620,153	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$872,818	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$872,818	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
EDUCATION	611600	$160,524	$160,524	$0	$0
REBATES/DISCOUNTS	900099	$615,646	$615,646	$0	$0
DELIVERY SYSTEM REFORM INCENTIVE	921190	$1,394,678	$1,394,678	$0	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$752,109	TotalRevenueColumnAmt
Related Or Exempt Func Income	$752,109	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,922,957	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$303,545,543	TotalRevenueColumnAmt
Related Or Exempt Func Income	$295,984,039	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$84,388	UnrelatedBusinessRevenueAmt
Exclusion	$6,024,465	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,095,804	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$3,095,804	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$160,057,587	TotalAmt
Program Services	$133,496,854	ProgramServicesAmt
Management And General	$26,560,733	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,739,655	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$2,739,655	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$38,272,538	TotalAmt
Program Services	$437	ProgramServicesAmt
Management And General	$38,272,101	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,146,826	TotalAmt
Program Services	$8,173,239	ProgramServicesAmt
Management And General	$1,973,587	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,178,645	TotalAmt
Program Services	$632,907	ProgramServicesAmt
Management And General	$1,545,738	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$342,120	TotalAmt
Program Services	$5,504	ProgramServicesAmt
Management And General	$336,616	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$202,816	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$202,816	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$27,506	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$27,506	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$181,736	TotalAmt
Program Services	-$30	ProgramServicesAmt
Management And General	$181,766	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$18,112,479	TotalAmt
Program Services	$16,789,510	ProgramServicesAmt
Management And General	$1,322,969	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$538,933	TotalAmt
Program Services	$7,042	ProgramServicesAmt
Management And General	$531,891	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,076,260	TotalAmt
Program Services	$2,378,777	ProgramServicesAmt
Management And General	$1,697,483	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$7,344,758	TotalAmt
Program Services	$3,305,358	ProgramServicesAmt
Management And General	$4,039,400	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,075,008	TotalAmt
Program Services	$639,391	ProgramServicesAmt
Management And General	$2,435,617	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$711,476	TotalAmt
Program Services	$623,924	ProgramServicesAmt
Management And General	$87,552	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$339,904	TotalAmt
Program Services	$308,213	ProgramServicesAmt
Management And General	$31,691	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,182,495	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,182,495	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$12,295,076	TotalAmt
Program Services	$5,698,429	ProgramServicesAmt
Management And General	$6,596,647	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,878,750	TotalAmt
Program Services	$1,842,815	ProgramServicesAmt
Management And General	$2,035,935	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical/Surgiacal/Pharmaceutical Supplies	$46,624,621	$46,583,315	$41,306	$0
Maintenance Contracts/Purshcased Services	$13,351,572	$8,866,863	$4,484,709	$0
Benefit Allocation	$0	$33,556,934	-$33,556,934	$0
Allocation of Expense to Affiliates	-$18,961,276	-$13,578,508	-$5,382,768	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,626,692	TotalAmt
Program Services	$1,312,764	ProgramServicesAmt
Management And General	$2,313,928	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$313,441,981	TotalAmt
Program Services	$250,643,738	ProgramServicesAmt
Management And General	$62,798,243	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$12,682	BOYAmt
EOY	$12,843	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$8,027,196	BOYAmt
EOY	$5,361,892	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$56,474	BOYAmt
EOY	$45,232	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$27,961,777	BOYAmt
EOY	$26,704,663	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$741,598	BOYAmt
EOY	$632,105	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,600,137	BOYAmt
EOY	$1,910,577	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,426,927	BOYAmt
EOY	$1,676,456	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$283,564,768	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$181,858,118	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$102,942,062	BOYAmt
EOY	$101,706,650	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$72,087,919	BOYAmt
EOY	$61,557,017	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$44,966,847	BOYAmt
EOY	$45,679,715	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$259,823,619	BOYAmt
EOY	$245,287,150	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$20,419,869	BOYAmt
EOY	$27,079,080	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$247,251	BOYAmt
EOY	$124,212	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$26,645,544	BOYAmt
EOY	$25,469,144	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$5,337,236	BOYAmt
EOY	$6,302,043	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$46,459,246	BOYAmt
EOY	$47,746,956	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$99,109,146	BOYAmt
EOY	$106,721,435	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$149,779,462	BOYAmt
EOY	$127,916,783	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,954,021	BOYAmt
EOY	$7,664,442	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,980,990	BOYAmt
EOY	$2,984,490	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$160,714,473	BOYAmt
EOY	$138,565,715	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$259,823,619	BOYAmt
EOY	$245,287,150	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$9,896,438	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$8,754,850	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$181,736	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$3,679,206	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	Yes (1)	AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$27,506	OtherActivitiesAmt
Total Lobbying Expenditures	$27,506	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1	FormAndLineReferenceDesc
Explanation	Arnot Ogden Medical Center pays annual dues to the Hospital Association of New York State- HANYS, and Rochester Regional Healthcare Association- RRHA, of which a percentage is for Lobbying fees. The total lobbying fees paid to all in 2018 was $27,506	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,980,990	BeginningYearBalanceAmt
Contributions	$3,500	ContributionsAmt
Investment Earnings Or Losses	$0	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$2,984,490	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,976,955	BeginningYearBalanceAmt
Contributions	$4,035	ContributionsAmt
Investment Earnings Or Losses	$0	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$2,980,990	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,969,755	BeginningYearBalanceAmt
Contributions	$7,200	ContributionsAmt
Investment Earnings Or Losses	$0	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$2,976,955	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,093,934	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$0	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$124,179	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$2,969,755	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,947,754	BeginningYearBalanceAmt
Contributions	$3,326	ContributionsAmt
Investment Earnings Or Losses	$142,854	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$3,093,934	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$6,617,841	OtherCostOrOtherBasisAmt
Book Value	$6,617,841	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$1,642,759	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$122,455,982	OtherCostOrOtherBasisAmt
Depreciation	$68,347,140	DepreciationAmt
Book Value	$55,751,601	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$985,396	OtherCostOrOtherBasisAmt
Depreciation	$912,750	DepreciationAmt
Book Value	$72,646	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$148,127,244	OtherCostOrOtherBasisAmt
Depreciation	$109,708,772	DepreciationAmt
Book Value	$38,418,472	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$3,735,546	OtherCostOrOtherBasisAmt
Depreciation	$2,889,456	DepreciationAmt
Book Value	$846,090	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$101,706,650	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
Workers Comp Short Term Investment	$1,118,118
457 Plan Investment Funds	$6,747,701
A/R Workers Comp Excess Insurance	$247,262
Bond Payment Fund	$1,802,316
Subsidiary Investment	$4,616,049
Due from Affiliated Companies	$7,979,925
Interest-Net Assets of Foundation	$23,168,344

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$45,679,715	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (15 entries)

DescDesc	AmtAmt
Minimum Pension Liability	$11,621,914
Note Payable-AOMC Foundation Investment	$16,790,861
457 Plan Long Term Liability	$6,747,699
Workers Compensation Reserve Long Term	$2,602,756
Malpractice Liability Reserve	$4,479,713
Pools & Surcharges Payable NYS	$232,919
Note Payable Fosterhouse Practice Purchase	$840,751
3rd Party Liabilities	$3,587,580
NYS Abandoned Property	$13,330
Covenant to Compete Davita Dialysis Sale	$219,375
Note Payable-AHMS Pension Liability	$39,181
Note Payable Auxiliary Investment	$153,443
Note Payable SJH Education Funds Investment	$276,419
Federal Student Financial Aid Fund Balance	$11,419
Due to-Due From Subsidiary Companies	$129,596

Field	Value	IRS element (for citing)
Total Liability	$47,746,956	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$304,654,960	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$0	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants	$0	RecoveriesPriorYearGrantsAmt
Other Revenue	$1,882,846	OtherRevenueAmt
Revenue Not Reported	$1,882,846	RevenueNotReportedAmt
Revenue Subtotal	$302,772,114	RevenueSubtotalAmt
Investment Expenses Not Incld	$0	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$773,429	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$773,429	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$303,545,543	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$315,143,091	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$0	DonatedServicesUseFcltsAmt
Prior Year Adjustments	$0	PriorYearAdjustmentsAmt
Losses Reported	$0	LossesReportedAmt
Other Expenses Included	$1,882,846	OtherExpensesIncludedAmt
Expenses Not Reported	$1,882,846	ExpensesNotReportedAmt
Expenses Subtotal	$313,260,245	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$181,736	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$181,736	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$313,441,981	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part V, Line 4	The organization has interpreted the NYS Prudent Management of Institutional Funds Act Law, NYPMIFA as requiring the preservation of the historical dollar value of the corpus of the permanent restricted endowment funds absent of donor stipulations to the contrary. The net appreciation of the permanent restricted endowment funds absent of the donor stipulations to the contrary. The net appreciation of the permanently restricted net assets is considered temporarily restricted net assets until those amounts are appropriated for expenditure by the Organization in a manner consistent with the standard of prudence prescribed by NYPMIFA. If the fair value of the investments assets falls below the level of the donor, NYSMIFA requires the Center to retain the fund in perpetual duration. There were no such deficiencies as of December 31, 2018. To ensure the preservation of the corpus of the permanently restricted endowment funds, the total fair value of all commingled investment assets are classified first to the level of the permanently restricted endowment funds corpus, an endowment fund deficiency receivable from the unrestricted net assets would be recognized until the deficiency is recovered.
Schedule D, Part X, Line 2	Arnot Ogden Medical Center is organized as not-for-profit corporations as described in Section 50(c)(3) of the Internal Revenue Code and accordingly, are exempt from Federal Income taxes on related income pursuant to Section 501(a) of the Code. The organization accounts for uncertain tax positions in accordance with U.S. GAAP, which requires the recognition and measurement of uncertain tax positions that the Organization has taken or expects to take in the Organization's tax returns. Management believes there are no significant uncertain tax positions not reflected in the accompanying consolidated financial statements as of December 31, 2018 and 2017.
Schedule D, Part XI, Line 2d	Expenses deducted from revenue: Children's Miracle Network Fundraising $23,900, Rental Expenses $238,793, and Nutritional Services Expenses $1,620,153.
Schedule D, Part XI, Line 4b	Arnot Ogden Medical Center and Arnot Ogden Children's Miracle Network donations to purchase capital equipment in the amount of $773,429 has been re-classed from Net Assets for 990 reporting.
Schedule D, Part XII, Line 2d	Expenses moved to offset Revenue: Rental Expenses $238,793, Nutritional Services Expenses $1,620,153 and Children's Miracle Network fundraising expenses $23,900

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Golf Tournament	Event1Nm
Gross Receipts Event1	$59,505	GrossReceiptsEvent1Amt
Charitable Contri Event1	$0	CharitableContriEvent1Amt
Gross Revenue Event1	$59,505	GrossRevenueEvent1Amt
Cash Prizes Event1	$0	CashPrizesEvent1Amt
Non Cash Prizes Event1	$465	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$6,170	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$4,296	FoodAndBeverageEvent1Amt
Entertainment Event1	$0	EntertainmentEvent1Amt
Other Direct Expenses Event1	$4,585	OtherDirectExpensesEvent1Amt
Event2	Moonlights & Miracles	Event2Nm
Gross Receipts Event2	$25,525	GrossReceiptsEvent2Amt
Charitable Contri Event2	$0	CharitableContriEvent2Amt
Gross Revenue Event2	$25,525	GrossRevenueEvent2Amt
Cash Prizes Event2	$0	CashPrizesEvent2Amt
Non Cash Prizes Event2	$0	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$0	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$3,984	FoodAndBeverageEvent2Amt
Entertainment Event2	$2,000	EntertainmentEvent2Amt
Other Direct Expenses Event2	$1,545	OtherDirectExpensesEvent2Amt
Other Events Total	1	OtherEventsTotalCnt
Gross Receipts Other Events	$40,020	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$0	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$40,020	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$0	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$0	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$0	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$378	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$275	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$202	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$125,050	GrossReceiptsTotalAmt
Charitable Contributions Tot	$0	CharitableContributionsTotAmt
Gross Revenue Total Events	$125,050	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$0	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$465	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$6,170	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$8,658	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$2,275	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$6,332	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$23,900	DirectExpenseSummaryEventsAmt
Net Income Summary	$101,150	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	1293	PersonsServedCnt
Total Community Benefit Expns	$403,361	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,156	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$392,205	NetCommunityBenefitExpnsAmt
Total Expense	0.0013	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	5955	PersonsServedCnt
Total Community Benefit Expns	$5,590,116	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	-$1,694,592	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,284,708	NetCommunityBenefitExpnsAmt
Total Expense	0.0232	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	59806	PersonsServedCnt
Total Community Benefit Expns	$54,019,462	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,190,232	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,829,230	NetCommunityBenefitExpnsAmt
Total Expense	0.0856	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	67054	PersonsServedCnt
Total Community Benefit Expns	$60,012,939	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,506,796	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,506,143	NetCommunityBenefitExpnsAmt
Total Expense	0.1101	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	27	ActivitiesOrProgramsCnt
Persons Served	4062	PersonsServedCnt
Total Community Benefit Expns	$519,333	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,234	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$510,099	NetCommunityBenefitExpnsAmt
Total Expense	0.0016	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	640	PersonsServedCnt
Total Community Benefit Expns	$1,815,924	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$498,297	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,317,627	NetCommunityBenefitExpnsAmt
Total Expense	0.0042	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	33	ActivitiesOrProgramsCnt
Persons Served	4702	PersonsServedCnt
Total Community Benefit Expns	$2,335,257	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$507,531	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,827,726	NetCommunityBenefitExpnsAmt
Total Expense	0.0058	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	33	ActivitiesOrProgramsCnt
Persons Served	71756	PersonsServedCnt
Total Community Benefit Expns	$62,348,196	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,014,327	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,333,869	NetCommunityBenefitExpnsAmt
Total Expense	0.1159	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	1442	PersonsServedCnt
Total Community Benefit Expns	$225,253	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$225,253	NetCommunityBenefitExpnsAmt
Total Expense	0.0009	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$162,629	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$350	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$162,279	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	1442	PersonsServedCnt
Total Community Benefit Expns	$387,882	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$350	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$387,532	NetCommunityBenefitExpnsAmt
Total Expense	0.0015	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$11,416,857	BadDebtExpenseAmt
Bad Debt Expense Attributable	$386,753	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$62,938,768	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$81,183,665	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$18,244,897	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	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	Ivy Street Development Corp	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	Third-Party Collections Service	PrimaryActivitiesTxt
Org Profit Or Ownership	1	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc	Facility Reporting GroupFacilityReportingGroupCd	Business Name Line2BusinessName/BusinessNameLine2Txt	Emergency Room OtherEmergencyRoomOtherInd
Arnot Ogden Medical Center
1	600 Roe Avenue	Elmira	NY	14905	www.arnothealth.org	0701000H	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Hospital with Open Emergency Room.	A
Arnot Ogden Medical Center
2	600 Fitch Street	Elmira	NY	14905	www.arnothealth.org						Hospital Extension Clinic - Diagnostic Radiology	A	Health Center for Women	Yes (X)
Arnot Ogden Medical Center
3	100 John Rommelt Drive	Horseheads	NY	14845	www.arnothealth.org						Clinical Laboratory Service & Radiology Diagnostic Outpatient.	A	Horseheads Campus	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
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	16	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.arnothealth.org	OwnWebsiteURLTxt
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	www.arnothealth.org	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
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	150	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400	FPGFamilyIncmLmtDscntCarePct
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.arnothealth.org	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.arnothealth.org	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.arnothealth.org	FAPSummaryOnWebsiteURLTxt
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
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
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
Schedule H, Part V, Section B, Line 5-Group A	Arnot Health participated in a comprehensive assessment of community needs across county lines with partners such as the Chemung County Health Department, Steuben County Public Health, other hospitals and healthcare agencies in Chemung, Steuben and Schuyler Counties, along with a diverse, collaborative community of partners and residents.
Schedule H, Part V, Section B, Line 6a-Group A	Arnot Ogden Medical Center prepares the Community Benefit Report for three hospitals- Arnot Ogden Medical Center, St. Joseph's Hospital, both in Elmira, NY and also for Ira Davenport Memorial Hospital in Bath, NY.
Schedule H, Part V, Section B, Line 6b-Group A	Arnot Health participated in a comprehensive assessment of community needs across county lines with partners such as the Chemung County Health Department, Steuben County Public Health, other hospitals and healthcare agencies in Chemung, Steuben and Schuyler Counties, along with a diverse, collaborative community of partners and residents.
Schedule H, Part V, Section B, Line 7d-Group A	Arnot Ogden Medical Center will use a variety of methods to disseminate the Community Service Plan for Arnot Ogden Medical Center, St. Joseph's Hospital and Ira Davenport Memorial Hospital, and the CHIPS for Chemung and Steuben Counties: Website documents will be posted on the healthcare system's website at the following URL: http://www.arnothealth.org/aboutus. Arnot Health developed a section of the system's website dedicated to community outreach to bring community service work to a more prominent place within the website. This can be assessed at: https://www.arnothealth.org/community-service-plans. Partner websites of Chemung and Steuben counties will post links to their CHA and CHIP on their websites. Presentations at Arnot Health's Community Health Department provide education about the healthcare system and community outreach strategies.
Schedule H, Part V, Section B, Line 11-Group A	Arnot Health works diligently to partner with the organizations throughout the service area in an effort to enhance healthcare services for the most vulnerable residents. Due to the rural nature of Chemung and Steuben Counties, the high percentage of low-income residents and the limited resources available in the community, Arnot Health understands the need to create meaningful partnerships to best serve the community at large. Arnot Health has formed collaborative relationships with organizations throughout Chemung and Steuben Counties to address health concerns across the continuum. Chemung and Steuben Counties maintain coalitions to collaboratively meet the healthcare needs of the community. The Chemung County Health Priority Partnership (HP2) has expanded to include insurance navigators. The Steuben County Health Priority Team (SHPT) worked to brand their coalition and has the new name, Smart Steuben. Both coalitions include organizations that are committed to improving the health of Chemung and Steuben County residents. The groups have met on a bi-monthly basis in Chemung County and monthly basis in Steuben County since Fall of 2015 to conduct a Community Health Needs Assessment (CHNA) and develop a Community Health Improvement Plan (CHIP)/Community Service Plan (CSP). The members of HP2 and Smart Steuben have agreed to continue expanding their partnerships, and meet on a regular basis to ensure that the initiatives outlined in the Community Health Improvement and Community Service Plans are implemented, monitored, and evaluated.

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 6a	The Community Service Plan explains in detail the involvement of members of the community in determining & identifying community needs. Arnot Ogden Medical Center prepares the Community Benefit Report for three hospitals- Arnot Ogden Medical Center, St. Joseph's Hospital, both in Elmira, NY and also for Ira Davenport Memorial Hospital in Bath, NY. It is available on our website, www.arnothealth.org.
Schedule H, Part I, Line 7	Arnot Ogden Medical Center uses a Cost to Charges ratio to calculate the Financial Assistance and Community Benefit Section. The Medical Center offers a variety of services to the community it serves as part of an integrated delivery system. It is necessary to financially subsidize some of these services as the revenue generated does not cover the cost of providing the services.
Schedule H, Part II	During the 2018 calendar year, Arnot Ogden Medical Center conducted the following programs that had community benefit and created the expenses associated with our filing: Telehealth, Childbirth and Breastfeeding classes and education, Healthy Kitchens classes in the community, HIV and PREP Community Partners Meetings, HIV Testing Day Event, MASH Camp for High School Students seeking education in the healthcare fields, Blood Pressure and Diabetes Screenings, Breast Cancer and Skin Cancer Screenings for Underinsured and Uninsured, Cardiovascular Screenings through the Dare to Care Program, Home Visits, Flu Shot Clinics, Cancer Treatment Transportation Services, Creating Healthy Schools and Communities.
Schedule H, Part III, Section A, Line 4	The Organization carries its patient and resident accounts receivable at anticipated amounts due from private pay patients and third-party payors. Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Organization analyzes their pasty history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Organization analyzes contractually due amounts and provides an allowance for doubtful accounts, if necessary, for receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and co-payment balances due for which third-party coverage exists for part of the bill). The Organization records a provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or discounted rates, if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. The Organization's allowance for doubtful accounts decreased from 10.1 percent of gross accounts receivable at December 31, 2017 to 9.7 percent of gross accounts receivable at December 31, 2018. In addition, the Organizations bad debt write-offs decreased approximately 3,080,000 from approximately 19,050,000 for fiscal year ended 2017 to approximately 15,970,000 for fiscal year end 2018. The Organization has not changed its charity care or uninsured discount policies during the fiscal year 2018 and 2017. The Organization does not maintain a material allowance for doubtful accounts from third party payors, nor did it have significant write-offs from third-party payors.
Schedule H, Part III, Section B, Line 8	Arnot Ogden Medical Center uses a Cost to Charges ratio to calculate the Financial Assistance and Community Benefit Section. The Medical Center offers a variety of services to the community it serves as part of an integrated delivery system. It is necessary to financially subsidize some of these services as the revenue generated does not cover the cost of providing the services.
Schedule H, Part III, Section C, Line 9b	Self-pay collection staff reviews any prior accounts to check for commercial insurance or Medicaid that may need to be applied to current self-pay accounts. These accounts are reviewed using the self-pay work list. If insurance is located, self-pay collectors must verify eligibility for the date of service. The self-pay staff will change the health plan to the correct one for all covered dates of service and ARNOT Billing will submit claim or claims. If no insurance is located, it is confirmed if a patient may have qualified for Medicaid. If Medicaid coverage is approved, self-pay staff will change the health plan to Medicaid for all covered dates of service and follow the correct billing process. Self-Pay Collections Staff attempts to collect full balance due by check or credit card. If they are unable to make the full payment, Self-pay staff will attempt to make payment arrangements and notify patients about the Arnot Ogden Medical Center Community Care Program. If the patient wants to apply for the community care program, the patient will be sent an application for the community care program and will be informed of documentation they will need to submit with the application. Self-pay collectors document all activity in Soarian, and enter any necessary hold to support resolution. Self-pay collections staff enters the payment plan and documents comments in Soarian. A payment plan statement is demanded and sent to the patient. If patient does not enter into a payment plan agreement, or fails to pay as agreed, account will go through the standard dunning and collection agency activity. See Guarantor Billing and Collections.
Schedule H, Part VI, Line 2	Arnot Health participated in a comprehensive assessment of community needs across county lines with partners such as the Chemung County Health Department, Steuben County Public Health, other hospitals and healthcare agencies in Chemung, Steuben and Schuyler Counties, along with a diverse, collaborative community of partners and residents. The year-long process of assessing community health needs was facilitated by consultants contracted by the Chemung County Health Department from the S2AY Rural Health Network. Arnot Health, in partnership with this dual-county collaborative network, used the MAPP process (Mobilizing for Action through Planning and Partnership) to collect and analyze data from a variety of sources. Valuable input was gained from data retrieved and analyzed by the Finger Lakes Health System Agency from the New York State Prevention Agenda Dashboard, multi-payer claims data, EBRFSS, SPARCS and additional sources. Also, input was gained from diverse community focus groups made of both Chemung and Steuben County residents. The focus group meetings were facilitated by S2AY, Chemung and Steuben County Health Departments, Arnot Health and other partnership members. The residents were engaged in discussions concerning their current health status and opinions on specific county-wide health challenges. Areas of disparity were assessed within each county. Findings from the Community Health Assessment (CHA) data and community focus groups identified some overlapping areas of public health concerns and disparities in Chemung and Steuben Counties.
Schedule H, Part VI, Line 3	The Arnot Health communicates our Community Care Program in the following ways: Signage in waiting rooms, brochures in waiting rooms and Admission Packets, notations on billing notices, staff education so they can share availability of program and contact information with patients. Communication and education of our Certified Application Counselor for patient insurance enrollment are done so they are informed of the program details and contact information. Communication is also done with collection agencies and collection attorneys so they can also share the availability of the program and contact information with prospective enrollees. The information is also posted on our website at: www.arnothealth.org.
Schedule H, Part VI, Line 4	Arnot Health's three hospitals are located in two counties. Arnot Ogden Medical Center and St. Joseph's Hospitals are located in Chemung County; Ira Davenport Memorial Hospital is situated in Steuben County. Together, Chemung and Steuben Counties make up approximately 1,801 square miles of geographical area in the Southern Tier of New York. The City of Elmira serves as Chemung County's seat and the primary metropolitan area. The county is characterized as 76 percent urban and 24 percent rural. Steuben County is a rural county, and with a land area of 1,393 miles, it is the seventh largest county in NYS. (http://www.city-data.com/county/Chemung _County-NY.html)
Schedule H, Part VI, Line 6	Arnot Health is comprised of three hospitals: Arnot Ogden Medical Center and St. Joseph's Hospital in Elmira; and Ira Davenport Memorial Hospital in Bath, New York. Arnot Health provides diagnostic, ambulatory, secondary and tertiary acute care, as well as substance abuse, psychiatric, rehabilitative, and wellness services to meet the needs of residents in Chemung, Steuben, and Schuyler Counties in the Southern Tier of New York, and Bradford and Tioga Counties in the Northern Tier of Pennsylvania. Arnot Health System has more than 300 physicians from over 50 specialties. The independent, not-for-profit regional healthcare system currently has a total of 709 beds; 478 acute care beds and 231 skilled nursing/long-term beds.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	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 (14 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
Alan Angell MD
Board Member/Physician	$458,500	$0	$10,341	$0	$0	$0	$0	$0	$33,026	$0	$501,867	$0	$0	$0
Jonathan Lawrence
Chief Operating Officer	$437,377	$0	$0	$0	$0	$0	$0	$0	$18,380	$0	$455,757	$0	$0	$0
Robert Lambert MD
Chief Operating Officer	$589,930	$0	$0	$0	$0	$0	$0	$0	$33,627	$0	$623,557	$0	$0	$0
Ronald J Kintz DHA
Senior VP/CFO	$338,794	$0	$0	$0	$0	$0	$0	$0	$39,888	$0	$378,682	$0	$0	$0
Sandra McCarthy PhD
Chief Nursing Officer	$249,181	$0	$10,000	$0	$0	$0	$0	$0	$30,683	$0	$289,864	$0	$0	$0
Kenneth HerzlBetz MD
Senior VP/Medical Affairs	$307,910	$0	$0	$0	$0	$0	$0	$0	$31,068	$0	$338,978	$0	$0	$0
Roberto deBara MD
President AMS	$337,500	$0	$0	$0	$0	$0	$0	$0	$21,635	$0	$359,135	$0	$0	$0
Richard Cleland
Site Administrator IDMH	$59,260	$0	$0	$0	$0	$0	$0	$0	$1,734	$0	$60,994	$0	$0	$0
Stanley Wojciechowski
System Dir. Of RHCF SNF Admin	$58,857	$0	$20,000	$0	$0	$0	$0	$0	$8,113	$0	$86,970	$0	$0	$0
Vidyasagar Mokureddy MD
Pain Mgmt Physician	$947,143	$0	$0	$0	$0	$0	$0	$0	$39,888	$0	$987,031	$0	$0	$0
Bruno Mazza MD
Gastoentrologist	$761,928	$0	$117,075	$0	$0	$0	$0	$0	$21,137	$0	$900,140	$0	$0	$0
Matthew Brand MD
Orthopediac Surgeon	$689,963	$0	$31,008	$0	$0	$0	$0	$0	$37,343	$0	$758,314	$0	$0	$0
Thomas Boman MD
Orthopediac Surgeon	$702,770	$0	$2,500	$0	$0	$0	$0	$0	$37,343	$0	$742,613	$0	$0	$0
Ravi Akula MD
Pediatrics	$706,973	$0	$0	$0	$0	$0	$0	$0	$35,571	$0	$742,544	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a	The CEO has his dues paid at the Elmira City Club. The personal use portions is reported under Taxable Income
Schedule J, Part I, Line 3	Compensation for the president and vice president is set pursuant to a policy and compensation philosophy adopted by the boards. The AOMC Board has a compensation committee consisting of outside directors (AOMC board members are referred to as managers). The Compensation committee uses a consultant to advise it on compensation for the officers. The consultant collects and reports data on compensations for similar positions in similar nonprofit hospitals from upstate New York and western Pennsylvania. The compensation committee recommends any adjustments to the executive committee of the board which reviews the recommendations and approves them without employees in the room. This action is then reviewed with the entire board also in executive session.
Schedule J, Part I, Line 4	Roberto deBara, MD President of Arnot Medical Services, received severance pay in 2018 in the amount of $1

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	Chemung County Capital Resource Corp	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	611684035	BondIssuerEIN
CUSIP	000000000	CUSIPNum
Bond Issued	2015-06-25	BondIssuedDt
Issue Price	$29,410,000	IssuePriceAmt
Purpose	Payoff Series A & B Bonds/Energy Infrastructure Upgrade	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$4,648,800	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$29,410,000	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$847,745	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$8,066,714	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2015	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0	PrivateBusConcerningUBIPct
Total Private Business Use	0	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	Yes (1)	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	Yes (1)	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Kevin Deluca
Physician with Associated Anesthesiologists of the Finger Lakes	$1,957,830	To provide anesthesia services to the patients	0
Jeffrey Streeter
Owner of Streeter Associates	$522,470	Streeter Associates performed several smaller projects for Arnot Ogden Medical Center	0
Louis DeFabio
Executive Officer of Chemung Canal Trust Company	$236,401	Competitively Bids Loans	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section B, Line 11b	Upon completion of the Form 990 it is reviewed by the Medical Center's Senior Vice President of Finance and then made available to the Audit and Finance Committees of the Board of Managers. The return is made available to all Board Members for review and questions.
Form 990, Part VI, Section B, Line 12c	All members of the Board of Managers, Officers and Management employees are required annually to file a Disclosure Statement setting forth any respect in which such a person, or any person associated with such person, has or may have any interest in a transaction in which there may be, or appear to be, a conflict between the interests of such person and the Arnot Ogden Medical Center. An Associate included (1) a spouse, a descendant or an ancestor, or a spouse of a descendant or ancestor; (2) an organization in which the person or an associate is a partner or employee, or such person or an associate owns a more that 10% beneficial interest; (3) a trust in which such a person is a trustee, or such person or an associate holds a more than 10% beneficial interest; and (4) a corporation in which such person or an associate is an officer or director or employee, or such person or an associate is an owner of more that 10% of any class of securities.
Form 990, Part VI, Section B, Line 15	Compensation for the President and Vice Presidents are set pursuant to a policy and compensation philosophy adopted by the Board of Managers. The Board has a Compensation Committee consisting of outside directors. The Compensation Committee uses a consultant to advise it on compensation for the officers. The consultant collects and reports compensation on similar positions in similar nonprofit hospitals from upstate New York and Western Pennsylvania. The Compensation Committee recommends adjustments to the Executive Committee of the Board which reviews the recommendations and approves or disapproves without employees in the room. This action then is reviewed with the entire Board also in executive session.
Form 990, Part VI, Section C, Line 19	Form 990, Part VI, Section C, Line 18-Upon request the 990 Form is made available to the public and also via www.guidestar.com. Financial Statements are posted to the Electronic Municipal Market Access website.
Form 990, Part XI, Line 9	Change in Net Assets of Arnot Ogden Foundation $924,221. Pension Charge to Equity ($4,713,934). Net Assets Released From Restriction $386,072. Realized Gain/Loss on Temp Restricted Investments ($275,565)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Business Name Line2DirectControllingEntityName/BusinessNameLine2Txt
Arnot Ogden Medical Center Foundation
Accounting Dept	600 Roe Avenue	Elmira	NY	14905	161109472	Contribution Management	NY	501(c)(3)	11B	N/A	0
Arnot Ogden Medical Center Auxiliary
600 Roe Avenue		Elmira	NY	14905	510192902	Fund Raising	NY	501(c)(3)	11B	N/A	0
Ira Davenport Memorial Hospital Inc
Accounting Dept	7571 State Route 54	Bath	NY	14810	160835446	Affiliate	NY	501(c)(3)	3	N/A	0
Keuka Health Care Foundation
Accounting Dept	7571 State Route 54	Bath	NY	14810	161461215	Affiliate	NY	501(c)(3)	11B	N/A	0
St Josephs Hospital
Accounting Dept	555 St Josephs Blvd	Elmira	NY	14901	160743163	Affiliate	NY	501(c)(3)	3	N/A	0
Arnot Health
600 Roe Avenue		Elmira	NY	14845	453049405	Parent Organization	NY	501(c)(3)	11B		0	Arnot Ogden Medical Center	St Josephs Hospital

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Ivy Street Development Corporation	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	600 Ivy Street	AddressLine1Txt
City	Elmira	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14905	ZIPCd

Field	Value	IRS element (for citing)
EIN	161009245	EIN
Primary Activities	Real Estate	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	C	EntityTypeTxt
Ownership	1	OwnershipPct
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	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	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	Yes (1)	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	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Arnot Ogden Medical Center Foundation
o	$62,052	Arnot Ogden Medical Center Provided Paid Employees to the Arnot Ogden Medical Center Foundation to perform Accounting, Administrative and Materials Management Functions. the Method of Determining the amount involved was cost.
Ivy Street Development Corporation
o	$27,072	Arnot Ogden Medical Center Provided paid employees to Ivy Street Development Corporation to perform Property Management Services. The method of determining the amount involved was cost
Ivy Street Development Corporation
p	$65,148	Arnot Ogden Medical Center was reimbursed by Ivy Street Development Corporation for Maintenance and Insurance Expense. The method of determining the amount involved was cost.
Ivy Street Development Corporation
k	$362,340	Arnot Ogden Medical Center leased facilities from Ivy Street Development Corporation. The method of determining the amount was cost.
Ira Davenport Memorial Hospital Inc
o	$3,334,639	Arnot Ogden Medical Center Provided paid employees to Ira Davenport Memorial Hospital to perform Accounting, Administrative, Management Information Services, and Various Medical Services. The method of determining the amount involved was cost.
St Josephs Hospital
o	$15,467,168	Arnot Ogden Medical Center Provided Paid Employees to St. Joseph's Hospital to preform Accounting, Administrative, Management Information Services, and various Medical Services. The method of determining the amount involved was cost.

Reasonable Cause Explanation ReasonableCauseExplanation

Field	Value	IRS element (for citing)
Explanation	ARNOT OGDEN MEDICAL CENTER FILED FORM 8868 REQUEST FOR EXTENSION OF TIME TO FILE AN EXEMPT ORGANIZATION RETURN AND RECEIVED OUR APPROVAL LETTER DATED 6/18/2019 GRANTING OUR EXTENSION OF TIME TO FILE TO NOVEMBER 15, 2019.	ExplanationTxt