SCHUYLER HOSPITAL INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: SCHUYLER HOSPITAL INC (EIN 15-0533564)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-11
IRS object ID: 201943179349301374
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 C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R
Reasonable Cause Explanation

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-11T09:04:45-07:00	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	150533564	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SCHUYLER HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SCHU	BusinessNameControlTxt
Phone	6075357121	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	220 Steuben Street	AddressLine1Txt
City	Montour Falls	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14865	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Rebecca Gould	PersonNm
Person Title	CFO / Director of Finance	PersonTitleTxt
Phone	6075358639	PhoneNum
Signature	2019-11-11	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	64.196.182.162	IPv4AddressTxt

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-01-14 16:20:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	James Watson President	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	220 Steuben Street	AddressLine1Txt
City	Montour Falls	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14865	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$38,473,270	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	http://www.schuylerhospital.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1929	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	Schuyler Hospital is a 25 bed acute care facility with critical access hospital status and 24 hour emergency services. It provides a full complement of healthcare services to the public in support of the community need for healthcare close to home, which includes the residents of Schuyler County and its surrounding communities. Medical services in 2018 included 3,609 inpatient days, 40,507 Long Term Care days, 176,267 outpatient procedures and 28,661 physician visits. In 2018 Schuyler Hospital provided $148k in free and reduced cost care through its charity care policy and incurred over $548k in bad debt due to the remaining uninsured and increasing under-insured population in the community.	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	536	TotalEmployeeCnt
Total Volunteers	245	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$471,117	PYContributionsGrantsAmt
CY Contributions Grants	$360,008	CYContributionsGrantsAmt
PY Program Service Revenue	$33,478,167	PYProgramServiceRevenueAmt
CY Program Service Revenue	$36,037,315	CYProgramServiceRevenueAmt
PY Investment Income	$87,440	PYInvestmentIncomeAmt
CY Investment Income	$1,259,472	CYInvestmentIncomeAmt
PY Other Revenue	$987,875	PYOtherRevenueAmt
CY Other Revenue	$816,475	CYOtherRevenueAmt
PY Total Revenue	$35,024,599	PYTotalRevenueAmt
CY Total Revenue	$38,473,270	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	$22,089,227	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$23,156,304	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$147,420	CYTotalFundraisingExpenseAmt
PY Other Expenses	$10,934,986	PYOtherExpensesAmt
CY Other Expenses	$11,765,870	CYOtherExpensesAmt
PY Total Expenses	$33,024,213	PYTotalExpensesAmt
CY Total Expenses	$34,922,174	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,000,386	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$3,551,096	CYRevenuesLessExpensesAmt
Total Assets BOY	$29,161,949	TotalAssetsBOYAmt
Total Assets EOY	$32,698,825	TotalAssetsEOYAmt
Total Liabilities BOY	$11,674,906	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$11,816,286	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$17,487,043	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$20,882,539	NetAssetsOrFundBalancesEOYAmt
Mission	Schuyler Hospital is a network of providers, programs and services that meets the healthcare needs of a population of over 32,000 residents, through a wide range of medical services, highly skilled medical staff, and our devotion to customer service. Our Mission: To optimize the health and healing experience of all people we service in a safe, compassionate, and respectful environment. Our Vision: As a community led organization, we will be the healthcare provider of choice, delivering excellent, innovative services to meet the needs of the communities we serve. Our Values Include: Integrity and Honesty - We keep our word and treat everyone with mutual trust; Quality and Accountability - We accept responsibility for the trust placed in us; Dignity and Respect - We treat everyone with honor and compassion; Teamwork - We align our energies and enhance patient/resident care by working together; and Continuous Learning - We encourage and foster individual growth and learning.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$30,098,348	ExpenseAmt
Revenue	$36,717,174	RevenueAmt
Desc	Schuyler Hospital is a 25 bed acute care facility with critical access hospital status and 24 hour emergency services. It provides a full complement of healthcare services to the public in support of the community need for healthcare close to home, which includes the residents of Schuyler County and its surrounding communities. Medical services in 2018 included 3,609 inpatient days, 40,507 Long Term Care days, 176,267 outpatient procedures and 28,661 physician visits. In 2018 Schuyler Hospital provided $148k in free and reduced cost care through its charity care policy and incurred over $548k in bad debt due to the remaining uninsured and increasing under-insured population in the community.	Desc
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	$30,098,348	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	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	Yes (1)	CreditCounselingInd
Temp Or Permanent Endowments	0	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	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	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	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	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	134	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	536	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
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	19	GoverningBodyVotingMembersCnt
Independent Voting Member	16	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Rebecca Gould CFO	PersonNm
Phone	6075353801	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	220 Steuben Street	AddressLine1Txt
City	Montour Falls	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14865	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Larry Baum
Board Chair	1	0	Yes (X)	Yes (X)	$0	$0	$0
Kyle Tuttle
Vice-Chair	2	0	Yes (X)	Yes (X)	$0	$0	$0
Greg Hartz
Treasurer	2	1	Yes (X)	Yes (X)	$0	$0	$0
Thomas LiVigne
Secretary	1	0	Yes (X)	Yes (X)	$0	$0	$0
Richard Weakland
Board Member	1	0	Yes (X)		$0	$0	$0
Benjamin Saks
Board Member and Physician	40	0	Yes (X)		$290,582	$0	$51,515
Fred Wickham
Board Member	1	0	Yes (X)		$0	$0	$0
Joel Malina
Board Member	1	0	Yes (X)		$0	$0	$0
Eunice Nayo
Board Member and Physician	40	0	Yes (X)		$12,300	$0	$0
Rev Dr Kenneth Clarke
Board Member	1	0	Yes (X)		$0	$0	$0
Gary Ferguson
Board Member	1	0	Yes (X)		$0	$0	$0
Paula Younger
Board Member	1	0	Yes (X)		$0	$0	$0
Carl Sgrecci
Board Member	1	0	Yes (X)		$0	$0	$0
James Brown
Board Member	1	0	Yes (X)		$0	$0	$0
Jerry Mickelson
Board Member	1	0	Yes (X)		$0	$0	$0
Dr John Lambert
Board Member	1	0	Yes (X)		$0	$0	$0
Suzanne Blowers
Board Member	1	0	Yes (X)		$0	$0	$0
Ashraf Sabahat
President Med Staff Ex-Officio	40	0	Yes (X)		$392,698	$0	$55,598
Kitty Shallenberger
Auxiliary President and Ex-Officio Board Member	2	0	Yes (X)		$0	$0	$0
James Watson
President	38.00	2		Yes (X)	$323,282	$0	$25,959
John Collett
System CFO	2	40		Yes (X)	$0	$0	$0
Rebecca Gould
CFO starting 7/30/2018	40	2		Yes (X)	$133,827	$0	$17,619
Jagmohan Singh
Physician	40	0			$311,549	$0	$51,985	Yes (X)
Kristina Cummings
Physician	40	0			$190,345	$0	$47,269	Yes (X)
Stephen Spaulding
Family Medicine Physician	36	0			$183,597	$0	$41,763	Yes (X)
Matthew Rouff
Provider Administrator	40	0			$155,112	$0	$34,685	Yes (X)
Mary Ann Mahajan
Pharmacy Director	40	0			$153,783	$0	$36,359	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,147,075	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$362,752	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	22	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	Address Line2ContractorAddress/USAddress/AddressLine2Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Holt Architects PC
619 West State Street	Suite A	Ithaca	NY	14850	Architectural design services	$551,140
Medical Solutions LLC
1010 N 102 2nd St Suite 300		Omaha	NE	68114	Contract Registered Nurses	$462,643
Ames Linen Service
67 Huntington Street		Cortland	NY	13045	Laundry services	$244,633
Sunbelt Staffing
Dept Ch 14430		Palatine	IL	600554430	Contract Registered Nurses	$216,416
Kings Medical Company
1920 Georgetown Rd		Hudson	OH	44236	MRI	$216,000

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	13	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$117,478	RelatedOrganizationsAmt
Government Grants	$231,744	GovernmentGrantsAmt
All Other Contributions	$10,786	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$360,008	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	Net Patient Service Revenues	Desc
Business	622000	BusinessCd
Total Revenue Column	$33,951,745	TotalRevenueColumnAmt
Related Or Exempt Func Income	$33,951,745	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,085,570	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,085,570	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$36,037,315	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$69,617	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$69,617	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	$0	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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 Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$1,189,855	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$1,189,855	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,189,855	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,189,855	ExclusionAmt

Field	Value	IRS element (for citing)
Contri Rpt Fundraising Event	$0	ContriRptFundraisingEventAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	Café Sales, Vending, Rebates & Other Misc Revenues	Desc
Business	622000	BusinessCd
Total Revenue Column	$816,475	TotalRevenueColumnAmt
Related Or Exempt Func Income	$679,859	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$136,616	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

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)
Other Revenue Total	$816,475	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$38,473,270	TotalRevenueColumnAmt
Related Or Exempt Func Income	$36,717,174	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,396,088	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

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	$1,303,381	TotalAmt
Program Services	$802,694	ProgramServicesAmt
Management And General	$500,687	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	$17,245,267	TotalAmt
Program Services	$15,411,245	ProgramServicesAmt
Management And General	$1,796,282	ManagementAndGeneralAmt
Fundraising	$37,740	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$337,910	TotalAmt
Program Services	$297,674	ProgramServicesAmt
Management And General	$39,601	ManagementAndGeneralAmt
Fundraising	$635	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,982,780	TotalAmt
Program Services	$2,596,831	ProgramServicesAmt
Management And General	$380,455	ManagementAndGeneralAmt
Fundraising	$5,494	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,286,966	TotalAmt
Program Services	$1,133,722	ProgramServicesAmt
Management And General	$150,826	ManagementAndGeneralAmt
Fundraising	$2,418	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$68,309	TotalAmt
Management And General	$68,309	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$84,164	TotalAmt
Program Services	$11,320	ProgramServicesAmt
Management And General	$65,375	ManagementAndGeneralAmt
Fundraising	$7,469	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$27,782	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$27,782	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$294,585	TotalAmt
Management And General	$259,304	ManagementAndGeneralAmt
Fundraising	$35,281	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,089,592	TotalAmt
Program Services	$2,831,486	ProgramServicesAmt
Management And General	$223,565	ManagementAndGeneralAmt
Fundraising	$34,541	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	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	$604,762	TotalAmt
Program Services	$488,045	ProgramServicesAmt
Management And General	$115,226	ManagementAndGeneralAmt
Fundraising	$1,491	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$9,933	TotalAmt
Program Services	$9,830	ProgramServicesAmt
Management And General	$94	ManagementAndGeneralAmt
Fundraising	$9	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	$87,745	TotalAmt
Program Services	$51,652	ProgramServicesAmt
Management And General	$36,085	ManagementAndGeneralAmt
Fundraising	$8	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$71,215	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$71,215	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	$1,321,031	TotalAmt
Program Services	$1,088,343	ProgramServicesAmt
Management And General	$232,688	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$245,441	TotalAmt
Program Services	$197,607	ProgramServicesAmt
Management And General	$47,834	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Purchased Services	$4,066,430	$3,761,523	$297,357	$7,550
Provision for Bad Debt	$547,595	$547,595	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,247,286	TotalAmt
Program Services	$868,781	ProgramServicesAmt
Management And General	$363,721	ManagementAndGeneralAmt
Fundraising	$14,784	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$34,922,174	TotalAmt
Program Services	$30,098,348	ProgramServicesAmt
Management And General	$4,676,406	ManagementAndGeneralAmt
Fundraising	$147,420	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$556,103	BOYAmt
EOY	$443,071	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$6,854,556	BOYAmt
EOY	$10,597,756	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$862,828	BOYAmt
EOY	$452,525	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,996,940	BOYAmt
EOY	$4,189,578	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$612,307	BOYAmt
EOY	$682,342	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$253,497	BOYAmt
EOY	$250,062	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$31,356,757	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$19,174,022	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$11,813,786	BOYAmt
EOY	$12,182,735	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$258,031	BOYAmt
EOY	$221,168	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$3,953,901	BOYAmt
EOY	$3,679,588	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$29,161,949	BOYAmt
EOY	$32,698,825	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$9,833,272	BOYAmt
EOY	$10,208,579	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	$258,031	BOYAmt
EOY	$221,168	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$46,986	BOYAmt
EOY	$44,812	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	$1,536,617	BOYAmt
EOY	$1,341,727	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	$0	BOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$11,674,906	BOYAmt
EOY	$11,816,286	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$13,579,247	BOYAmt
EOY	$17,550,640	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,717,337	BOYAmt
EOY	$2,224,509	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,190,459	BOYAmt
EOY	$1,107,390	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$17,487,043	BOYAmt
EOY	$20,882,539	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$29,161,949	BOYAmt
EOY	$32,698,825	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$3,551,096	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$0	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$155,600	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$26,717	FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$26,717	FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$34,895,457	FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$34,922,174	FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$0	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$3,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$4,500,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$0	CurrentYearMinus3Amt
Current Year Minus2	$22,487	CurrentYearMinus2Amt
Current Year Minus1	$35,580	CurrentYearMinus1Amt
Current Year	$26,717	CurrentYearAmt
Total	$84,784	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$0	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$750,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,125,000	GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$0	CurrentYearMinus3Amt
Current Year Minus2	$0	CurrentYearMinus2Amt
Current Year Minus1	$0	CurrentYearMinus1Amt
Current Year	$0	CurrentYearAmt
Total	$0	TotalAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (1)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$131,599	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Book Value	$131,599	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$20,500,514	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$10,891,723	DepreciationAmt
Book Value	$9,608,791	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$20,143	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$20,143	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$10,704,501	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$8,262,156	DepreciationAmt
Book Value	$2,442,345	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$0	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$12,182,735	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
Beneficial Interest in Schuyler Health Foundation	$2,056,729
Due from Affiliate	$8,184
Assets whose use is limited - Trust	$1,107,389
Pension - Pre-Funded Status	$462,474
Other Assets	$44,812

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$3,679,588	TotalBookValueOtherAssetsAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part IV, Line 2b	FormAndLineReferenceDesc
Explanation	Schuyler Hospital serves as a custodian for residents in our Skilled Nursing Facility. Residents have access to their funds 24 hours a day, 7 days a week.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	1000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
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)
Total Community Benefit Expns	$1,149,283	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$82,462	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,066,821	NetCommunityBenefitExpnsAmt
Total Expense	0.031	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,906,339	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,728,055	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,178,284	NetCommunityBenefitExpnsAmt
Total Expense	0.1216	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$13,055,622	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,810,517	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,245,105	NetCommunityBenefitExpnsAmt
Total Expense	0.1526	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,099	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,044	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,055	NetCommunityBenefitExpnsAmt
Total Expense	0.0008	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$223,171	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$223,171	NetCommunityBenefitExpnsAmt
Total Expense	0.0065	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,818,782	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,477,277	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,341,505	NetCommunityBenefitExpnsAmt
Total Expense	0.039	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
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)
Total Community Benefit Expns	$35,616	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,616	NetCommunityBenefitExpnsAmt
Total Expense	0.001	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$5,106,668	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,478,321	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,628,347	NetCommunityBenefitExpnsAmt
Total Expense	0.0473	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$18,162,290	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,288,838	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,873,452	NetCommunityBenefitExpnsAmt
Total Expense	0.1999	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
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)
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)
Total Community Benefit Expns	$1,041	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,541	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$500	NetCommunityBenefitExpnsAmt
Total Expense	0.00	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
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)
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)
Total Community Benefit Expns	$3,356	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,356	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,892	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,045	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,847	NetCommunityBenefitExpnsAmt
Total Expense	0.00043	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00006	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$23,289	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,586	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,703	NetCommunityBenefitExpnsAmt
Total Expense	0.00059	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$547,595	BadDebtExpenseAmt
Bad Debt Expense Attributable	$164,279	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$11,873,534	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$11,872,307	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$1,227	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	0	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	220 Steuben Street	AddressLine1Txt
City	Montour Falls	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14865	ZIPCd

Field	Value	IRS element (for citing)
Website Address	http://www.schuylerhospital.org	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	Surgical Services,Lab,Imaging,Respiratory,Rehab,Skilled Nursing Facility,Employed Physicians	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	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.schuylerhospital.org	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
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	https://schuylerhospital.org/about-us/annual-community-report/	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	100	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	1000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
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
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://schuylerhospital.org/visiting-us/paying-for-your-care/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://schuylerhospital.org/visiting-us/paying-for-your-care/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://schuylerhospital.org/visiting-us/paying-for-your-care/	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
Other Publicity	Yes (X)	OtherPublicityInd
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
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5-Schuyler Hospital	Schuyler Hospital - Schuyler County Public Health Department participated in the development of the 2016-2018 Community Health Assessment.
Schedule H, Part V, Section B, Line 6b-Schuyler Hospital	The hospital facility took into account input from persons who represent the community. The primary partners in the assessment process include Schuyler County Public Health, Schuyler Hospital, S2AY and the FLHSA, however, there are a wide variety of other community partners that serve on the Schuyler County Public Health Professional Advisory Committee (PAC) and other community based organization non for profits that participated at some point along this process and priority setting meetings.
Schedule H, Part V, Section B, Line 7d-Schuyler Hospital	Schuyler Hospital - Schuyler also filed Community Health Needs Assessment with NYS DOH, as the Annual Required Community Service Plan.
Schedule H, Part V, Section B, Line 11-Schuyler Hospital	Schuyler Hospital is working with Public Health and other County agencies to improve overall community Health. The CHNA is divided into three goals. Goal 1: Prevent Chronic Diseases; Goal 2: Promote Healthy Women, Infants and Children; Goal 3: Promote Mental Health and Prevent Substance Abuse. Priority Area 1: Prevent Chronic Diseases (Reduce Obesity in Children and Adults & Increase Access to High Quality Chronic Disease Preventive Care and Management in Both Clinical and Community Settings. The first Schuyler County priority has not changed (Prevent Chronic Diseases - focusing on obesity and hypertension) from the 2013 Community Health Assessment (CHA) and Community Health Improvement Plan (CHIP), although the strategies to be used to address these priorities have evolved as seen in CHIP. Obesity: 61.1% of adults in Schuyler County are classified as either overweight or obese on an age adjusted rate. Proportionally 35.7% of Schuyler County children are considered overweight or obese (85th percentile or higher (2012-2014) DOH health ranking data), this puts Schuyler County children in the 2nd quartile for county ranking when compared to the State average. 5.4% of adults have a diagnosis of pre-diabetes, 8% diabetes and 27.6% hypertension obesity. Obesity is important due to the many related health conditions linked to obesity, including heart disease, hypertension, diabetes, lower back pain, arthritis, high cholesterol and several types of cancer. Therefore by addressing obesity, several other health-related problems may be prevented. Obesity related data and other statistics cited below can be reviewed in the Schuyler County EBFRSS at: https://www.health.ny.gov/statistics/brfss/expanded/2013/county/docs/schuyler.pdf Hypertension: According to the CDC, approximately 30% of adults are diagnosed with hypertension in the United States. Schuyler County is in line with those numbers with approximately 27.6% of the adult population residing in the county having been diagnosed with hypertension by a physician. Schuyler County has an above average control rate in the region for hypertension with approximately 72% of the population registering as in-control. (FLHSA/RBA High Blood Pressure Registry, June 2015). Priority Area 2: Child Health Dental health: Unfortunately the most up to date Schuyler County dental health data is from 2011 and indicates that there are 14.3% of 3rd grade children having untreated dental cavities placing it in the 1st quartile in NY State. While these percentages indicate child dental health is not a significant issue in Schuyler County, Public Health, and Schuyler Hospital in partnership with local physicians and dentists are continually monitoring dental health data and working to address issues. It remains a community priority due to the lack of dental services willing to accept Medicaid patients. Presently, no dentist within the county accepts Medicaid patients, requiring people to travel out of county for their dental care. Only 62.4% of adults have visited a dentist within the past year. Good oral health is essential to the general health of the community. Tooth decay is preventable, but continues to affect all ages. It is a greater problem for those who have limited access to prevention and treatment services. According to the NYSDOH untreated decay among children has been associated with difficulty in eating, sleeping, learning, and proper nutrition. An estimated 51 million school hours are lost due to cavities. Almost one fifth of all health care expenditures in children are related to dental care. Early Childhood: The health and well-being of families is fundamental to overall population health. The priority of the Schuyler County Community is to provide support to all families and nurture their abilities to develop their children's physical, cognitive and social emotional health. On average 40% of our children entering Kindergarten (School Kindergarten Screenings for years 2014 and 2015) have some kind of a delay in a developmental domain. 23.9% of Schuyler County children live in poverty and 26.6% of our children live in single parent households. 85.3% of our children aged 3-6 years on government sponsored insurance have received the recommended number of well child visits. Children need a healthy start in life and the opportunity for optimal growth and development throughout their lifespan. By approaching health as a continuum consideration is given to impact of social, economic, environmental, biological, behavioral and psychological factors on individuals and families throughout their lives. Supporting young families has proven to strengthen families with young children directly providing or connecting them with health, psychological, parenting and other services, depending on each family's unique needs. Priority Area 3: Prevent Substance Abuse and Other Mental Emotional Behavioral Disorders. Substance Abuse: (mental health and substance abuse) with data showing sharp increases in ED visits for substance abuse, heroin overdose, and mental health diagnoses, as well as admissions for heroin overdose. Discussions of the analysis related to the opioid epidemic included mortality rates, premature loss of life, criminal behaviors related to substance abuse and the fact that substance abuse disorders affect entire families, often including the children of the person with the disorder. The opioid epidemic sweeping across the Nation is a significant health improvement priority and was analyzed at the national, state and local levels during the assessment.
Schedule H, Part V, Section B, Line 13b-Schuyler Hospital	Explanation is described in Schedule H, Part I, Line 3c
Schedule H, Part V, Section B, Line 16j-Schuyler Hospital	Schuyler Hospital includes on every patient statement reference to the Financial Assistance Policy as well as the hospital's internet address where the policy can be found.
Schedule H, Part V, Section B, Line 20d-Schuyler Hospital	n/a - did not authorize/perform

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Seneca View Long Term Skilled Nursing Facility	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	220 Steuben Street	AddressLine1Txt
City	Montour Falls	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14865	ZIPCd

Field	Value	IRS element (for citing)
Facility	120 Bed Skilled Nursing Facility, attached to and operated under Schuyler Hospital (provider based).	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c	The organization uses a sliding fee scale for persons over 100% of the poverty guideline. There is no family income limit (though had to put a % in box on line 3 of 1000%) sliding fee scale is based on number of persons in household, % above FPG and then % of gross charges is determined by % over FPG as follows: 90% of 101-125% FPG, 80% of 126-150% FPG, 70% of 151-175% FPG, 60% of 176-200% FPG, 50% of 201-250% and 40% of 251 -300% above FPG.
Schedule H, Part I, Line 6a	The organization's community benefit report is contained in a report prepared by a related organization - Cayuga Health System.
Schedule H, Part I, Line 7	Used ratio of cost to charge calculation for lines 7a, 7b and 7g and used actual costs on lines 7e, 7f and 7i.
Schedule H, Part I, Line 7, Column f	$ 547,595 is the amount of bad debt expense that was included in Form 990, Part IX, line 25, Column (A), but removed for this figure for purposes of calculating the percentage in Schedule H, Part I, Line 7, column (f).
Schedule H, Part I, Line 7g	No physician amounts were included.
Schedule H, Part II	Schuyler Hospital, the county's largest employer of over 400 people, supports and promotes the community it operates in. The Hospital extends use of its facilities for health care related meetings of any type, along with other community meetings and events. It hosts blood draws each year, annually sends employees to Leadership Schuyler, provides a local credit union with space within the facility for minimal rent to provide its employees easier access to banking due to its rural location, and is a disaster preparedness hub for the county. Its employees volunteered over 1,050 hours to support community events this year. Schuyler actively works with the County Depart of Health and the Schuyler Health Foundation, Inc. to enrich the healthcare of the population it serves.
Schedule H, Part III, Section A, Line 4	The hospital estimates the amount to be recognized in the consolidated financial statements for doubtful accounts by analyzing patient and resident accounts for collectability, considering prevailing economic conditions, and applying historically established percentages for self-pay and various third-party payors to the aging categories in the accounts receivable aging and reviewing specific outstanding balances. Accounts for which no payments have been received for significant amount of time are considered delinquent and the accounts are written-off when customary collection efforts are exhausted. The Hospital's accounting policy with respect to the consolidated financial statements is to report the consolidated bad debt expenses as a deduction from patient revenue. See page 8 of the AFS.
Schedule H, Part III, Section B, Line 8	There was a surplus, not a shortfall in 2018.
Schedule H, Part III, Section C, Line 9b	The policy does not specifically contain a provision on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance, however the hospital's financial counselors do not send an account to collection if they are aware that the patient qualifies for charity care or financial assistance, as they are also the persons responsible for the charity care or financial assistance processes.
Schedule H, Part VI, Line 2	In all S2AY Network Counties, the process began with a data update for the eight county region conducted by the Finger Lakes Health Systems Agency (FLHSA) at the request of S2AY. This data collection and analysis effort focused on data related to the main priorities in the 2013 CHA for the region as well as some emerging issues that the hospitals and Public Health agreed should be analyzed based both on their knowledge of what they were seeing in their communities and what was revealed in the for Delivery System Reform Incentive Payment Program (DSRIP) needs assessment, which was also completed by the FLHSA. 2013 Regional Priority Areas included: Obesity, Hypertension, Diabetes, Heart Disease, Tobacco Use, falls, slips and trips in the 65& population. Emerging issues included: Behavioral Health and Low back pain. The collaborative Mobilizing for Action Planning and Partnership (MAPP) was again used for this assessment. The data was presented to the Public Health Directors and the hospital representatives in a region meeting held on March 4, 2016. The data collected and analyzed came from the following sources: Expanded Behavioral Risk Factor Surveillance Survey (EBRFSS), Census Bureau, Statewide Planning and Research Cooperative System (SPARCS) data, NY State Prevention Agenda data set, Aggregated Claims Data, NY State Vital Statistics, and the Regional High Blood Pressure Registry. Once this data had been reviewed, the S2AY reviewed other data to develop a summary Power Point presentation of the highest need areas for each county. This additional review of data included, among other things: County Prevention Agenda Dashboard, EBRFSS; Community Health Indicator Reports, Sub-County Data Reports, Leading Causes of Death Indicators and County Health Rankings. The primary data reviewed originated from the Regional Hypertension Registry, the 2013 and 2015 "Communities That Care" Grades 7-12 Student Survey results, as well as the five community focus groups input.
Schedule H, Part VI, Line 3	Schuyler Hospital recognizes the needs in our community to provide financial counseling and assistance to those patients with limited income, no insurance, or high deductible insurance plans, who find it difficult to meet the expenses incurred in receiving health care services. The hospital has successfully been administering its financial aid policies and procedures for reducing charges otherwise applicable to low-income individuals without health insurance, or who have exhausted their health insurance benefits, and who can demonstrate an inability to pay full charges. Our Financial Assistance and Charity Program Policy defines the Financial Assistance Program and establishes the necessary criteria, guidelines and approval process for the provision of financial assistance and Sliding Fee Scale to eligible individuals to help ease the burden of the costs of health care services provided. Therefore, Schuyler Hospital updated its financial assistance program in 2007, 2010, 2014 and then again in 2016. In 2010 we established a self-pay task force to review our policies and follow up on any issues that arose from such financial aid policies and procedures. Currently, the monthly Revenue Cycle meetings handle any issues that may arise. We have a prompt pay discount for any payments from an individual, which is good for all balances except co-pays. Also, Schuyler Hospital has been able to discount co-pays and deductible payments from those individuals who can demonstrate an inability to pay such amounts. All patients who are self-pay or have large self-pay balances are proactively given Information regarding our charity care program and our sliding scale program, which is administered using the federal poverty guidelines. The hospital employs two full time financial counselors, who are located by the Admissions Department in the Emergency Room of the Hospital from 7:30am to 4:30pm Monday through Friday, who make it their mission to reach out to those in need and help find a way to fund their health service's needs. Schuyler Hospital has also worked to provide monthly on-site facilitated enrollment for Medicaid and Child Health Plus and Family Health Plus programs. A large challenge Schuyler Hospital faces is actually getting people to apply for the program. It is a challenge to get the paperwork filled out and have patients who may be eligible under our financial aid policies and procedures to complete the application requirements and necessary documentation. The application process has been simplified in an attempt to make it easier for those in need to get the assistance they so desperately need. However, it continues to be a barrier to the success of the program. Also, it has been challenging ensuring that we have disseminated the information about the many policies we have that can be taken advantage of by patients. But the largest challenge has been the financial burden of such programs; reduced reimbursement for quality services provided additional overhead costs and additional time/resources. Schuyler Hospital provides emergency care and medically necessary Essential Health Services without regard to a patient's source of payment. In 2014, we created conspicuous signs that reside near every registration area indicating our FAP, and where it can be found. We also added the application to the Schuyler Hospital website for easy reference.
Schedule H, Part VI, Line 4	Schuyler Hospital, Inc, located in Montour Falls, Schuyler County, is situated in rural upstate New York in the heart of the Finger Lakes, and is the only hospital in Schuyler County, a Federally Designated Medically Underserved Population and a Health Professional Shortage Area. Schuyler Hospital, established in 1920, is a 25-bed Critical Access Hospital that provides acute, ambulatory and long-term care services in Primary and Secondary Service areas with a population of 32,000. This rural population includes Schuyler County residents and the rural residents of adjoining Chemung, Steuben, Tompkins, Seneca and Yates counties. Additionally, Schuyler Hospital is the resource for medical services to over 2 million tourists who visit Schuyler County and the surrounding area each year. Schuyler County itself is the second smallest county in NYS and a rural county with a declining population. The 2017 census revealed a population with a minimal decline of more than 1% (-1.9%), to a total of 18,000 residents. Schuyler County is largely a "bedroom" community, with residents traveling a mean average of 25.6 minutes to/from their workplace. With that said, due to the county's rural nature, transportation to and from remote areas of the county is a challenge. In 2010, the county began operating its first public transit system, which reaches into the more populated villages of the county. Our service area also encompasses a large Amish and Mennonite population. Median household income is $47,810 (under the NYS median income of $64,894) and 15.1% of the county's population lives below the poverty level. The county's current rate of unemployment as of June 2018 is 4.0%. 36% of Schuyler Hospital patients are on Medicaid and another 17% are under-insured (Source page 9 of the AFS.). While Schuyler Hospital's main campus is located in Montour Falls, Schuyler has evolved over the years into a network of providers, programs, and services that reaches throughout Schuyler County and into southern Yates and Seneca Counties. For the purpose of the Community Service Plan, Schuyler Hospital and Schuyler County Public Health consider Schuyler County to be the Primary Service Area - encompassing the towns of Montour, Reading, Dix, Orange, Hector, Cayuta, Catherine and Tyrone; as well as the villages of Montour Falls, Burdett, Odessa and Watkins Glen. Schuyler County has a population of 17,912 within 328 square miles. This underserved rural population experiences significant social, economic and health issues. For nearly 100 years, Schuyler Hospital has provided basic and emergency care to the people of this community. As the county's largest employer, it is a large economic generator - over $56 million last year - due to jobs, purchasing, and taxes. Schuyler Hospital is accredited by The Joint Commission (formerly JCAHO). The medical staff includes physicians, specializing in internal medicine, family practice, surgery, orthopedics and sports medicine, pathology, critical care, pain management, sleep disorders, colon-rectal and anesthesiology. The hospital offers a wide array of services - including 24 hour ER, ICU, and Imaging department (MRI, CT, Ultrasound, X-ray, Mammo, bone density testing). Extensive physical, occupational, respiratory and speech therapy programs, as well as pulmonary testing are offered. The primary care and family health centers in Montour Falls, Dundee, and Ovid provide pediatric, adolescent, and adult health and wellness care. Seneca View, our 120 bed skilled nursing facility, located in the hospital offering inpatient services that include physical, speech and occupational rehabilitation.
Schedule H, Part VI, Line 5	Schuyler Hospital, Inc. is proud to provide care to our community. Our doors are open 24 hours a day, seven days a week, 365 days a year. Every year, we serve thousands of individuals and keep our community healthy, strong, and vibrant. This record of service is, and always will be, our most valuable contribution to the community. Additionally, Schuyler Hospital, being the largest employer in the county, is seeking to have a positive impact in the region, promote area development and hopefully also advance economic development, for which there is a documented need. The people of Appalachia must have adequate healthcare to promote socially and economically competitive communities, and Schuyler Hospital helps fulfill this need. It has been especially difficult to deliver services to remote rural regions due to the closing of independent community hospitals and/or some of the services they provide. Schuyler Hospital does not plan on being one of them and has continued to morph its vision and strategic plan to survive and continue to move forward, especially during difficult financial and economic times, to remain a pillar of strength in the community. In general, health-care and the delivery of medical services to patients, as well as the underlying operations to support patient services, have become increasingly dependent upon technology - especially communications and information technology.
Schedule H, Part VI, Line 6	On September 29, 2014 Schuyler Hospital became a part of the Cayuga Health System. The mission of Cayuga Health System is to further the ability of its member healthcare organizations to honor their community based missions of providing the highest quality, patient centered care in a safe, compassionate and sustainable manner. The Vision of CHS is to "Further the ability for both organizations to meet their missions and realize their visions to improve the overall health care of our communities and generating loyalty and pride in the health care of our communities." Cayuga Health System will be recognized as an innovative, integrated regional health care leader committed to the health of our communities through the collaborative efforts of all members characterized by: * An ever improving quality of care provided within a culture of safety across the entire health system. * An unwavering focus on the health of the population served in our communities while empowering members of our communities to make healthy choices. * A steadfast drive to exceed the expectations of those we serve. * A sustainable business model with rigorous attention on achieving system efficiencies, regional growth, and sharing of expertise within an ever changing healthcare environment. * Local access to appropriate community based healthcare services enhanced by collaborations with regionally and nationally recognized healthcare resources. * An inclusive system that generates loyalty and pride from all of the communities we serve.
Schedule H, Part VI, Line 7	New York

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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
Benjamin Saks
Board Member and Physician	$249,582	$0	$41,000	$0	$0	$0	$0	$0	$51,515	$0	$342,097	$0	$0	$0
Ashraf Sabahat
President Med Staff Ex-Officio	$392,698	$0	$0	$0	$0	$0	$0	$0	$55,598	$0	$448,296	$0	$0	$0
James Watson
President	$277,140	$0	$46,142	$0	$0	$0	$0	$0	$25,959	$0	$349,241	$0	$0	$0
Rebecca Gould
CFO starting 7/30/2018	$133,827	$0	$0	$0	$0	$0	$0	$0	$17,619	$0	$151,446	$0	$0	$0
Jagmohan Singh
Physician	$275,049	$0	$36,500	$0	$0	$0	$0	$0	$51,985	$0	$363,534	$0	$0	$0
Kristina Cummings
Physician	$158,345	$0	$32,000	$0	$0	$0	$0	$0	$47,269	$0	$237,614	$0	$0	$0
Stephen Spaulding
Family Medicine Physician	$183,597	$0	$0	$0	$0	$0	$0	$0	$41,763	$0	$225,360	$0	$0	$0
Matthew Rouff
Provider Administrator	$155,112	$0	$0	$0	$0	$0	$0	$0	$34,685	$0	$189,797	$0	$0	$0
Mary Ann Mahajan
Pharmacy Director	$153,783	$0	$0	$0	$0	$0	$0	$0	$36,359	$0	$190,142	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule J, Part I, Line 3	FormAndLineReferenceDesc
Explanation	The executive compensation policy involves an annual survey of wages for the CEO and CFO, compared to the market using the regional and national Healthcare Wage Surveys. Due to constraints of the economy, these positions' compensation may not be adjusted annually. Any changes in CEO compensation is approved by the Executive Committee.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section B, Line 11b	The hospital Cost Accountant and Financial Analyst prepare the annual form 990 (with oversight and review from CFO) and CFO distributes to the Board of Directors and members of the Hospital Executive Team for review, comment, and questions prior to filing with IRS.
Form 990, Part VI, Section B, Line 12c	The hospital has a written conflict of interest policy. Each board member reviews annually and signs the corresponding conflict of interest statement. In addition, as new members are inducted, they read the policy and sign the conflict of interest statement.
Form 990, Part VI, Section B, Line 15	The executive compensation policy involves an annual survey of wages for the CEO and CFO, compared to the market using the regional and national Healthcare Wage Surveys. Due to constraints of the economy, these positions' compensation may not be adjusted annually. Any changes in CEO compensation is approved by the Executive Committee. In addition, the Medical Director's salary is compared to MGMA data at the contract renewal date.
Form 990, Part VI, Section C, Line 19	Upon request, appropriate schedules of the annual financial statements, IRS Form 990 and conflict of interest forms can be released to the public. The forms are housed in the executive office of the CEO and are available at a minimum copying fee.
Form 990, Part IX, Line 24e	Other expenses are comprised of: Repairs and Maintenance ($213,619), Collection services ($130,911), Contracted Services ($668,422), Recruitment Expense ($104,254), Event expense ($900), Dues and subscriptions ($46,892), Printing ($671), other direct expense ($69,100), Advocacy ($11,992), and Late fees ($525).
Form 990, Part XI, Line 9	($155,600) consists of the following: ($9,939) Change in Pension Obligation; $430,237 in Net Assets released from restriction and used for the purchase of property and equipment; ($282,975) change in beneficial interest in Schuyler Health Foundation; $987,110 Contributions and Grants Net; ($1,196,964) in Other Net Assets released from restriction; ($83,069) change in permanently restricted Net Assets due to the market. Plus 1 for rounding. (See page 27 of Audited Financial Statements).

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd
Schuyler Health Foundation
220 Steuben Street	Montour Falls	NY	14965	222890619	To raise funds to support the mission of Schuyler Hospital and healthcare in Schuyler County.	NY	501(c)(3)	7	N/A	0
Cayuga Medical Center
101 Dates Drive	Ithaca	NY	14850	222325405	Hospital	NY	501(c)(3)	3-Hospital	N/A	0
Cayuga Health System
101 Dates Drive	Ithaca	NY	14850	471899601	To bring together organizations to serve community healthcare needs.	NY	501(c)3	12	N/A

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	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	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Schuyler Health Foundation
c	$257,230	Schuyler Health Foundation holds an annual capital fund raising campaign to benefit Schuyler Hospital. Each year those funds are released to Schuyler Hospital as the purpose of the funds is met. In 2018 Schuyler Health Foundation transferred $257,230 for purchase of equipment, SNF Wardrobe updates, and supplies for ADL (Activities of Daily Living) training.
Schuyler Health Foundation
e	$1,000,000	Schuyler Hospital has a line of credit with Chemung Canal Trust Company which is secured by investments owned by Schuyler Health Foundation.
Schuyler Health Foundation
q	$77,779	Schuyler Health Foundation reimburses Schuyler Hospital for expenses paid on their behalf. These expenses include the associated costs of office space and a copier/scanner/fax. Expenses are reconciled and reimbursed on a monthly basis. For 2018 total reimbursements to Schuyler Hospital amounted to $77,779.
Schuyler Health Foundation
o	$30,335	Schuyler Hospital reports wages and remits taxes for the two employees who carry out the Foundation responsibilities. Total 2018 wages for the Schuyler Health Foundation Executive Director and for the Foundation Assistant Totaled $30,335.
Cayuga Medical Center
p	$914,337	Schuyler Hospital reimburses Cayuga Medical Center for the following services: Anesthesia, Lab testing, Insights, KRONOS and Relay Health Software costs, AP mailings, Split Advertising, supplies as well as shared insurance and legal fees.
Cayuga Medical Center
m	$603,637	Schuyler Hospital utilizes Cayuga Medical Center to perform the following services: Sleep, EKG Staff, Payroll, AP, Wound Clinic Staff, Remote Pharmacy, Radiology Techs, Case Management, Bio-Engineering, and Athletic Trainer Coverage.
Cayuga Medical Center
l	$79,459	Schuyler Hospital provides staffing for nursing, pharmacy, lab, and nurse aid training positions as needed to CMC. In 2018, total services amounted to $79,459

Reasonable Cause Explanation ReasonableCauseExplanation

Field	Value	IRS element (for citing)
Explanation	We submitted an extension to ensure that information submitted was complete and accurate and to ensure Board of Directors have time to review. Extensions were filed timely and were granted by the IRS to extend filing date to November 15, 2019.	ExplanationTxt