2019-11-08T08:39:49-07:00 2018-12-31 990 2018-01-01 160743905 ARNOT OGDEN MEDICAL CENTER ARNO 6077374235 600 ROE AVENUE ELMIRA NY 14905 Jonathan Lawrence President & CEO 6077374235 2019-08-31 162.223.206.130 2018 2020-03-31 21:24:44Z Rondald J Kintz 600 Roe Avenue Elmira NY 14905 313556901 0 X www.arnothealth.org X 1889 NY 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. 15 13 2965 349 -84388 0 4605064 1621427 282708099 293061082 4476300 6513230 1898342 2349804 293687805 303545543 0 0 0 0 207937169 214312410 0 0 0 87447421 99129571 295384590 313441981 -1696785 -9896438 259823619 245287150 99109146 106721435 160714473 138565715 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. 0 0 249548761 0 29548650 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. 1094977 0 497537 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. 0 0 0 250643738 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 1 194 0 1 2965 1 1 1 0 0 0 0 0 0 0 X 15 13 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 NY X X Ronald J Kintz 6077374235 600 ROE AVENUE ELMIRA NY 14905 Donald Quick CPA Board member / Chairman 2 0 X 0 0 0 Mark J Hagen Board member / Vice Chairman 2 0 X 0 0 0 John R Alexander Esq Secretary 1 0 X 0 0 0 Louis DiFabio Board Member 1 0 X 0 0 0 Dr Jeffrey W Evenson PhD Board Member 1 0 X 0 0 0 Michael Hosey Board Member 1 0 X 0 0 0 John MacMahon Board Member 1 0 X 0 0 0 Robert McNamara Board Member 1 0 X 0 0 0 Richard Simons Board Member 1 0 X 0 0 0 Scott Sprague Board Member 1 0 X 0 0 0 Jeffrey Streeter Board Member 1 0 X 0 0 0 Anders Tomson Board Member 1 0 X 0 0 0 Jan van den Blink Board member 2 0 X 0 0 0 Alan Angell MD Board Member/Physician 61 0 X 468841 0 33026 Kevin DeLuca MD Board Member 1 0 X 0 0 0 Jonathan Lawrence Chief Operating Officer 59 16 X 437377 0 18380 Robert Lambert MD Chief Operating Officer 0 0 X X 589930 0 33627 Ronald J Kintz DHA Senior VP/CFO 46 6 X 338794 0 39888 Sandra McCarthy PhD Chief Nursing Officer 32 8 X 259181 0 30683 Kenneth HerzlBetz MD Senior VP/Medical Affairs 48 3 X 307910 0 31068 Roberto deBara MD President AMS 0 0 X X 337500 0 21635 Richard Cleland Site Administrator IDMH 0 40 X X 59260 0 1734 Stanley Wojciechowski System Dir. Of RHCF SNF Admin 40 0 X 78857 0 8113 Vidyasagar Mokureddy MD Pain Mgmt Physician 45 0 X 947143 0 39888 Bruno Mazza MD Gastoentrologist 40 0 X 879003 0 21137 Matthew Brand MD Orthopediac Surgeon 65 0 X 720971 0 37343 Thomas Boman MD Orthopediac Surgeon 60 0 X 705270 0 37343 Ravi Akula MD Pediatrics 40 0 X 706973 0 35571 6837010 0 389436 271 1 1 0 Strong Memorial Hospital 601 Elmwood Avenue Box 608 Rochester NY 14642 Physician & Staffing Cancer Center Services 4027001 ABM Healthcare Support Services PO Box 935695 Atlanta GA 311935695 Equipment Maintenance Service Contracts 3215959 Weatherby Locums Inc PO Box 972633 Dallas TX 753972633 Phsician 2107022 Associated Anesthesiologists of Finger Lakes P O Box 1253 Elmira NY 149021253 Anesthesiology Physician Services 1957830 CURA Hospitality LLC 4135 South Stream BLVD Suite 250 Charlotte NC 28217 Food Service provider 1715351 157 0 0 0 0 847998 773429 0 1621427 NET PATIENT SERVICE REV HOSP 622110 235503996 235503996 0 0 NET PATIENT SERVICE REV PHYS 621110 57061843 57061843 0 0 SCHOOL OF NURSING 611600 400860 400860 0 0 SCHOOL OF RADIOLOGY 611600 94383 94383 0 0 0 0 0 0 293061082 1980289 0 0 1980289 0 0 0 0 0 0 0 0 437308 0 238793 0 198515 0 198515 0 -84388 282903 12649945 11508 8128512 0 4521433 11508 4532941 0 0 4532941 125050 0 23900 101150 0 101150 0 0 0 0 0 0 747335 1620153 -872818 0 0 -872818 EDUCATION 611600 160524 160524 0 0 REBATES/DISCOUNTS 900099 615646 615646 0 0 DELIVERY SYSTEM REFORM INCENTIVE 921190 1394678 1394678 0 0 752109 752109 0 0 2922957 303545543 295984039 -84388 6024465 0 0 0 0 0 0 0 0 3095804 0 3095804 0 0 0 0 0 160057587 133496854 26560733 0 2739655 0 2739655 0 38272538 437 38272101 0 10146826 8173239 1973587 0 2178645 632907 1545738 0 342120 5504 336616 0 202816 0 202816 0 27506 0 27506 0 0 0 181736 -30 181766 0 18112479 16789510 1322969 0 538933 7042 531891 0 4076260 2378777 1697483 0 7344758 3305358 4039400 0 0 0 0 0 3075008 639391 2435617 0 711476 623924 87552 0 0 0 0 0 339904 308213 31691 0 1182495 0 1182495 0 0 0 0 0 12295076 5698429 6596647 0 3878750 1842815 2035935 0 Medical/Surgiacal/Pharmaceutical Supplies 46624621 46583315 41306 0 Maintenance Contracts/Purshcased Services 13351572 8866863 4484709 0 Benefit Allocation 0 33556934 -33556934 0 Allocation of Expense to Affiliates -18961276 -13578508 -5382768 0 3626692 1312764 2313928 0 313441981 250643738 62798243 0 12682 12843 8027196 5361892 56474 45232 27961777 26704663 0 0 0 0 741598 632105 1600137 1910577 1426927 1676456 283564768 181858118 102942062 101706650 72087919 61557017 0 0 0 0 0 0 44966847 45679715 259823619 245287150 20419869 27079080 0 0 247251 124212 26645544 25469144 0 0 0 0 5337236 6302043 0 0 46459246 47746956 99109146 106721435 X 149779462 127916783 7954021 7664442 2980990 2984490 160714473 138565715 259823619 245287150 X -9896438 -8754850 0 181736 0 -3679206 X 1 X 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 27506 27506 0 Schedule C, Part II-B, Line 1 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 2980990 3500 0 0 0 0 2984490 2976955 4035 0 0 0 0 2980990 2969755 7200 0 0 0 0 2976955 3093934 0 0 0 124179 0 2969755 2947754 3326 142854 0 0 0 3093934 0 1 0 0 1 1 0 6617841 6617841 1642759 122455982 68347140 55751601 0 985396 912750 72646 0 148127244 109708772 38418472 0 3735546 2889456 846090 101706650 Workers Comp Short Term Investment 1118118 457 Plan Investment Funds 6747701 A/R Workers Comp Excess Insurance 247262 Bond Payment Fund 1802316 Subsidiary Investment 4616049 Due from Affiliated Companies 7979925 Interest-Net Assets of Foundation 23168344 45679715 0 Minimum Pension Liability 11621914 Note Payable-AOMC Foundation Investment 16790861 457 Plan Long Term Liability 6747699 Workers Compensation Reserve Long Term 2602756 Malpractice Liability Reserve 4479713 Pools & Surcharges Payable NYS 232919 Note Payable Fosterhouse Practice Purchase 840751 3rd Party Liabilities 3587580 NYS Abandoned Property 13330 Covenant to Compete Davita Dialysis Sale 219375 Note Payable-AHMS Pension Liability 39181 Note Payable Auxiliary Investment 153443 Note Payable SJH Education Funds Investment 276419 Federal Student Financial Aid Fund Balance 11419 Due to-Due From Subsidiary Companies 129596 47746956 X 304654960 0 0 0 1882846 1882846 302772114 0 773429 773429 303545543 315143091 0 0 0 1882846 1882846 313260245 181736 0 181736 313441981 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 Golf Tournament 59505 0 59505 0 465 6170 4296 0 4585 Moonlights & Miracles 25525 0 25525 0 0 0 3984 2000 1545 1 40020 0 40020 0 0 0 378 275 202 125050 0 125050 0 465 6170 8658 2275 6332 23900 101150 1 1 X 1 X 1 X 1 1 0 1 1 0 1293 403361 11156 392205 0.0013 0 5955 5590116 -1694592 7284708 0.0232 0 59806 54019462 27190232 26829230 0.0856 0 67054 60012939 25506796 34506143 0.1101 27 4062 519333 9234 510099 0.0016 6 640 1815924 498297 1317627 0.0042 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 4702 2335257 507531 1827726 0.0058 33 71756 62348196 26014327 36333869 0.1159 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1442 225253 0 225253 0.0009 0 0 0 0 0 0 0 0 162629 350 162279 0.0006 0 1442 387882 350 387532 0.0015 0 11416857 386753 62938768 81183665 -18244897 X 1 1 Ivy Street Development Corp Third-Party Collections Service 1 0 0 1 1 Arnot Ogden Medical Center 600 Roe Avenue Elmira NY 14905 www.arnothealth.org 0701000H X X X X Hospital with Open Emergency Room. A 2 Arnot Ogden Medical Center Health Center for Women 600 Fitch Street Elmira NY 14905 www.arnothealth.org X Hospital Extension Clinic - Diagnostic Radiology A 3 Arnot Ogden Medical Center Horseheads Campus 100 John Rommelt Drive Horseheads NY 14845 www.arnothealth.org X Clinical Laboratory Service & Radiology Diagnostic Outpatient. A A 0 0 1 X X X X X X X X 16 1 1 1 1 X www.arnothealth.org X 1 16 1 www.arnothealth.org 0 0 1 X 150 400 X X 1 1 X X X 1 X www.arnothealth.org X www.arnothealth.org X www.arnothealth.org X X X X X X 1 X 0 X X X X 1 0 0 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. 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. X 1 1 X X X X X 1 0 0 0 0 0 0 0 0 Alan Angell MD Board Member/Physician 458500 0 10341 0 0 0 0 0 33026 0 501867 0 0 0 Jonathan Lawrence Chief Operating Officer 437377 0 0 0 0 0 0 0 18380 0 455757 0 0 0 Robert Lambert MD Chief Operating Officer 589930 0 0 0 0 0 0 0 33627 0 623557 0 0 0 Ronald J Kintz DHA Senior VP/CFO 338794 0 0 0 0 0 0 0 39888 0 378682 0 0 0 Sandra McCarthy PhD Chief Nursing Officer 249181 0 10000 0 0 0 0 0 30683 0 289864 0 0 0 Kenneth HerzlBetz MD Senior VP/Medical Affairs 307910 0 0 0 0 0 0 0 31068 0 338978 0 0 0 Roberto deBara MD President AMS 337500 0 0 0 0 0 0 0 21635 0 359135 0 0 0 Richard Cleland Site Administrator IDMH 59260 0 0 0 0 0 0 0 1734 0 60994 0 0 0 Stanley Wojciechowski System Dir. Of RHCF SNF Admin 58857 0 20000 0 0 0 0 0 8113 0 86970 0 0 0 Vidyasagar Mokureddy MD Pain Mgmt Physician 947143 0 0 0 0 0 0 0 39888 0 987031 0 0 0 Bruno Mazza MD Gastoentrologist 761928 0 117075 0 0 0 0 0 21137 0 900140 0 0 0 Matthew Brand MD Orthopediac Surgeon 689963 0 31008 0 0 0 0 0 37343 0 758314 0 0 0 Thomas Boman MD Orthopediac Surgeon 702770 0 2500 0 0 0 0 0 37343 0 742613 0 0 0 Ravi Akula MD Pediatrics 706973 0 0 0 0 0 0 0 35571 0 742544 0 0 0 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 A Chemung County Capital Resource Corp 611684035 000000000 2015-06-25 29410000 Payoff Series A & B Bonds/Energy Infrastructure Upgrade 0 0 0 A 4648800 0 29410000 0 0 0 847745 0 0 8066714 0 0 2015 1 0 1 1 A 0 0 0 0 0 0 0 1 0 1 A 0 0 0 0 1 0 0 0 1 Kevin Deluca Physician with Associated Anesthesiologists of the Finger Lakes 1957830 To provide anesthesia services to the patients 0 Jeffrey Streeter Owner of Streeter Associates 522470 Streeter Associates performed several smaller projects for Arnot Ogden Medical Center 0 Louis DeFabio Executive Officer of Chemung Canal Trust Company 236401 Competitively Bids Loans 0 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) 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 Arnot Ogden Medical Center St Josephs Hospital 0 Ivy Street Development Corporation 600 Ivy Street Elmira NY 14905 161009245 Real Estate NY N/A C 1 0 1 0 1 0 0 0 0 0 1 0 0 1 1 1 1 1 1 0 0 Arnot Ogden Medical Center Foundation o 62052 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 27072 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 65148 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 362340 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 3334639 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 15467168 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. 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.