2025-11-14T14:55:50-06:00 2024-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 990 2024-01-01 160743032 GENEVA GENERAL HOSPITAL GENE 3157874030 196 NORTH STREET GENEVA NY 14456 TRISHA KOCZENT CFO 3157874030 2025-11-17 1 1 AIMEE J JOZIC P01329472 5853811000 2025-11-12 2024 2025-03-06 01:10:19Z JOSE ACEVEDO MD MBA 196 NORTH STREET GENEVA NY 14456 135257908 0 X WWW.FLHEALTH.ORG X 1898 NY GENEVA GENERAL HOSPITAL IS A COMMUNITY BASED, NOT-FOR-PROFIT HOSPITAL DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH OF ALL PEOPLE IN THE CENTRAL FINGER LAKES REGION. WE ARE COMMITTED TO SAFE, HIGH QUALITY, COMPASSIONATE SERVICES THAT ARE CONVENIENT, ACCESSIBLE AND AT REASONABLE COST, THROUGH THE EFFORTS OF OUR EMPLOYEES, MEDICAL STAFF AND VOLUNTEERS. WE ARE A CENTER FOR HEALTH EDUCATION THAT LIVES ITS LEADERSHIP COMMITMENTS THROUGH PARTICIPATION IN AND SPONSORSHIP OF PROFESSIONAL, ALLIED HEALTH AND COMMUNITY HEALTH EDUCATION PROGRAMS. 21 14 919 13 785512 0 3296450 1900457 85481738 100436961 9537358 18953175 10224301 13985065 108539847 135275658 0 0 0 0 63117360 68752079 0 0 0 58563753 56217054 121681113 124969133 -13141266 10306525 208853705 206105540 46381899 44828539 162471806 161277001 X COMPASSIONATE SERVICES THAT ARE CONVENIENT, ACCESSIBLE AND AT REASONABLE COST, THROUGH THE EFFORTS OF OUR EMPLOYEES, MEDICAL STAFF AND VOLUNTEERS. WE ARE A CENTER FOR HEALTH EDUCATION THAT LIVES ITS LEADERSHIP COMMITMENTS THROUGH PARTICIPATION IN AND SPONSORSHIP OF PROFESSIONAL, ALLIED HEALTH AND COMMUNITY HEALTH EDUCATION PROGRAMS. 0 0 42995215 33695996 PATIENT SERVICE PROGRAM: INPATIENTGENEVA GENERAL HOSPITAL IS A 117-BED ACUTE CARE HOSPITAL PROVIDING BOTH PRIMARY CARE AND A FULL RANGE OF SECONDARY LEVEL SERVICES, INCLUDING A 14-BED INTENSIVE CARE UNIT. 55790706 64677530 PATIENT SERVICE PROGRAM: OUTPATIENTA FULL RANGE OF DIAGNOSTIC AND TREATMENT SERVICES ARE AVAILABLE AT GENEVA GENERAL HOSPITAL. WE ARE DEDICATED TO PROVIDING A COMPREHENSIVE ARRAY OF HEALTHCARE SERVICES TO PEOPLE IN THE FINGER LAKES REGION. 1504004 976185 EDUCATION PROGRAM:EDUCATION PLAYS AN IMPORTANT ROLE AT GENEVA GENERAL HOSPITAL. OUR EDUCATION DEPARTMENT, WHICH INCLUDES HIGHER EDUCATION PROGRAMS FOR LICENSED PRACTICAL NURSES (LPN) AND REGISTERED NURSES (RN), IS A DIVERSIFIED TEAM OF PROFESSIONALS WHO PROVIDE LEARNING OPPORTUNITIES TO THE MEMBERS OF OUR ORGANIZATION AND RESIDENTS OF SURROUNDINGCOMMUNITIES. 1072545 1072545 101362470 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 458 0 1 919 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 21 14 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 NY X TRISHA KOCZENT 3157874000 196 NORTH STREET GENEVA NY 14456 RYAN HALLINGS CHAIR 1.00 4.00 X X 0 0 0 JOSE A ACEVEDO MD PRESIDENT & CEO 6.00 34.00 X X 867783 0 120242 TRISHA KOCZENT TREASURER AND CFO 6.00 34.00 X X 394334 0 34717 JAMES NARDOZZI SECRETARY 1.00 4.00 X X 0 0 0 JAMES ADAMS VICE CHAIR 1.00 4.00 X X 0 0 0 KYLENE ABRAHAM DNP TRUSTEE 1.00 4.00 X 0 0 0 TOM BURRALL TRUSTEE 1.00 4.00 X 0 0 0 PHIL BECKLEY TRUSTEE 2.00 8.00 X 0 0 0 JAMES CHENEY TRUSTEE 1.00 4.00 X 0 0 0 CHEVANNE DEVANEY TRUSTEE 1.00 4.00 X 0 0 0 ANN MCMULLEN TRUSTEE 1.00 4.00 X 0 0 0 RODOLFO QUEIROZ MD TRUSTEE 1.00 4.00 X 0 0 0 LANCE WARD TRUSTEE 1.00 4.00 X 0 0 0 CRAIG DENSMORE TRUSTEE 1.00 4.00 X 0 0 0 SUSAN STORK TRUSTEE 1.00 4.00 X 0 0 0 ROBERT ANDERSON MD TRUSTEE 1.00 39.00 X 0 338138 7145 STEVE GOLDSTEIN TRUSTEE 1.00 39.00 X 0 1408233 183208 MICHAEL ROTONDO TRUSTEE 1.00 39.00 X 0 1325055 111563 MARK TAUBMAN TRUSTEE 1.00 39.00 X 0 742745 44194 STEPHEN GRIFFIN TRUSTEE 1.00 4.00 X 0 0 0 CRAIG COLLINS MD PHYSICIAN PROF SURGERY 40.00 X 584891 0 77194 MATTHEW C TALBOTT DIR EMERGENCY MEDICINE 40.00 X 598851 0 52180 LARA TURBIDE CHIEF OPERATING OFFICER EFF. JULY 2024 40.00 X 254296 0 76095 FRANK M KORICH SR VP OPERATIONS UNTIL JULY 2024 5.00 35.00 X 361818 0 19677 KIMBERLY COFFEY ASST. CORP AFF & CCO 5.00 35.00 X 163034 0 31262 GREG HOFFMAN-FRAGALE CHIEF NURSING OFFICER 24.00 16.00 X 241107 0 11646 CHAD HOFFMAN-FRAGLE VP HUMAN RESOURCES 1.00 X 300512 0 12232 AMANDA B CARPENTER PHYSICIAN - DERMATOLOGY 40.00 X 616610 0 46872 JONATHAN RODRIGUEZ PHYSICIAN PROF CARDIOLOGY 40.00 X 690200 0 40065 EMILY M LAMBERT PHYSICIAN - DERMATOLOGY 40.00 X 991860 0 0 DIANA M STEPHENS PHYSICIAN HOSPITALIST GGH 40.00 X 584195 0 47245 MATTHEW FIRMAN PHYSICIAN 40.00 X 475706 0 3324 7125197 3814171 918861 123 0 1 0 ADAPTIVE WORKFORCE SOLUTION 111 E RIVULON BLVD SUITE 107 GILBERT AZ 85297 CONTRACT STAFFING 22487454 CARDINAL HEALTH 6012 E MOLLOY RD SYRACUSE NY 13211 MEDICAL SUPPLIES 4785193 MEDLINE INDUSTRIES INC THREE LAKES DRIVE NORTHFIELD IL 60093 MEDICAL SUPPLIES 2268985 US FOODSERVICE INC 9399 WEST HIGGINS ROAD SUITE 100 ROSEMONT IL 60018 FOOD SERVICES 1952585 THE HAYNER HOYT CORP 400 S SALINA ST SUITE 301 SYRACUSE NY 13202 CONSTRUCTION MANAGEMENT 1592242 136 1565854 77825 256778 1900457 PATIENT SERVICE REVENUE 621990 98373526 98373526 CHILD DAY CARE 624410 1087250 785512 301738 TUITION AND RELATED FEES 611600 976185 976185 100436961 1547825 1547825 17387600 0 -17750 17387600 17750 17405350 17405350 SHARED SERVICE REVENUE 900099 6426576 6426576 OTHER OPERATING REVENUE 900099 4113867 4113867 COVID OTHER REVENUE 900099 2779088 2779088 665534 665534 13985065 135275658 99349711 785512 33239978 3535926 3535926 52592880 44477767 8115113 2441100 2165466 275634 6648228 5365827 1282401 3533945 2834941 699004 1212720 470487 742233 342711 59625 283086 330779 330779 1570862 1473943 96919 342593 51085 291508 1092827 704338 388489 337914 165411 172503 3381212 3091461 289751 44180 15120 29060 727974 727974 5849720 5557234 292486 1612105 366061 1246044 CONTRACT LABOR 13448169 13403790 44379 SUPPLIES 11732580 11670766 61814 PURCHASED SERVICES 11407820 7126890 4280930 OTHER 2421038 2000408 420630 361850 361850 124969133 101362470 23606663 0 671983 460065 4887037 4594217 14207876 12895196 2623061 2337999 1205898 1208152 242235849 179230191 61708516 63005658 64491090 56514678 120000 120000 58938244 64969575 208853705 206105540 18758767 16640644 16554438 15705851 818814 679859 10249880 11802185 46381899 44828539 X 143462682 140283008 19009124 20993993 162471806 161277001 208853705 206105540 10306525 -11512326 10996 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3301 3301 0 PART II-B, LINE 1: PORTION OF ASSOCIATION DUES ATTRIBUTED TO LOBBYING EXPENSES. 21760000 2325000 0 24085000 32576000 4290000 15106000 21760000 38353000 -5777000 32576000 33737000 4616000 38353000 29789000 3948000 33737000 0 1 1 740369 740369 132948947 87514170 45434777 101781460 88127354 13654106 6765073 3588667 3176406 63005658 DUE FROM AND INVESTMENTS IN AFFILIATES 50995986 DEFERRED COMPENSATION ASSET 10800802 LIMITED USE ASSETS 1014799 OPERATING LEASES 1008091 FINANCE LEASES 28021 CONTRACT ASSETS 1121876 64969575 DEFERRED COMPENSATION LIABILITY 10800802 OPERATING LEASE LIABILITY 978516 FINANCE LEASE LIABILITY 22867 11802185 PART V, LINE 4 THE ENDOWMENT FUNDS CONSIST OF DONOR-RESTRICTED FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES AND ARE INCLUDED IN THE BALANCE SHEET IN ASSETS THAT ARE LIMITED AS TO USE. NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. AMOUNTS INCLUDED IN SCHEDULE D, PART V INCLUDE GENEVA GENERAL HOSPITAL AND FINGER LAKES HEALTH FOUNDATION (EIN 15-0549310) ENDOWMENTS ROUNDED TO THE NEAREST THOUSAND. 1 1 X 1 X 1 X 1 1 0 1 1 2175267 706012 1469255 0.01180 31021338 24787205 6234133 0.04990 33196605 25493217 7703388 0.06170 103073176 98969106 4104070 0.03280 103073176 98969106 4104070 0.03280 136269781 124462323 11807458 0.09450 1 7586615 3168249 18945620 21337454 -2391834 X 1 1 1 1 GENEVA GENERAL HOSPITAL 196 NORTH STREET GENEVA NY 14456 3402000H X X X GENEVA GENERAL HOSPITAL 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X WWW.FLHEALTH.ORG X 1 22 1 WWW.FLHEALTH.ORG 0 1 X 100.000000000000 200.000000000000 X X X X X 1 1 X X X X 1 X WWW.FLHEALTH.ORG X WWW.FLHEALTH.ORG X WWW.FLHEALTH.ORG X X X X X X 1 X 0 X X X 1 X 0 0 PART V, SECTION A: GENEVA GENERAL HOSPITAL:PART V, SECTION B, LINE 5: THE ONTARIO, SENECA AND YATES COUNTY PUBLIC HEALTH DEPARTMENTS, IN COLLABORATION WITH FINGER LAKES HEALTH, OTHER HOSPITALS, THE S2AY RURAL HEALTH NETWORK (NOW PIVITAL HEALTH), COMMON GROUND HEALTH AND THE COMMUNITY BASED AGENCIES CONDUCTED SURVEYS OF RESIDENTS IN ONTARIO, YATES AND SENECA COUNTIES THROUGH THE COMMUNITY HEALTH NEEDED ASSESSMENT PROCESS. SURVEYS WERE DISSEMINATED THROUGH MANY DIFFERENT METHODS INCLUDING E-MAIL, WEB PAGES, MAILING OF PAPER COPIES, DISSEMINATION OF PAPER COPIES IN LOCAL STORES, HEALTH CARE FACILITIES, PUBLIC HEALTH AND COMMUNITY FACILITIES, AND DIRECT ASSISTANCE WITHIN COUNTY BUILDINGS/AGENCIES. FINGER LAKES HEALTH INVITED PUBLIC PARTICIPATION IN THE NEEDED ASSESSMENT THROUGH THRIVE, OUR COMMUNITY HEALTH MAGAZINE. THRIVE WAS MAILED TO MORE THAN 75,000 HOUSEHOLDS IN THE HEALTH SYSTEM'S SERVICE AREA. FURTHER INPUT FROM THE PUBLIC WAS COLLECTED THROUGH A NUMBER OF FOCUS GROUP SESSIONS THAT WERE HELD THROUGHOUT THE COUNTIES. THE MAAP PROCESS WAS USED TO DISTILL AND PRIORITIZE COMMUNITY HEALTH NEEDS. GENEVA GENERAL HOSPITAL: PART V SECTION B LINE 6B: FINGER LAKES HEALTH COLLABORATES WITH PUBLIC HEALTH DEPARTMENTS IN OUR SERVICE AREA AS WELL AS OTHER HUMAN SERVICES PROVIDERS, TO USE THE FRAMEWORK OF THE NYS HEALTH COMMISSIONER'S "PREVENTION AGENDA" AS A BASIS FOR OUR COMMUNITY HEALTH PLANNING. WE WORKED TOGETHER TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2022-2023 AND ESTABLISH HEALTH PRIORITIES FOR 2022-2024. BY DRAWING UP ON THE STATE'S PREVENTION AGENDA, STUDYING DATA COLLECTED THROUGH PRIMARY AND SECONDARY RESEARCH AND PARTNERING WITH LOCAL HEALTH DEPARTMENTS IN ONTARIO, SENECA, AND YATES COUNTIES WE IDENTIFIED HEALTH PRIORITIES AND SUBSEQUENT COMMUNITY OUTREACH INITIATIVES TO ALIGN WITH THOSE PRIORITIES.GENEVA GENERAL HOSPITAL: PART V SECTION B LINE 11: ACTIONS TAKEN BY GGH TO ADDRESS THE SIGNIFICANT NEEDS ADDRESSED IN THE MOST RECENT CHNA: ONTARIO COUNTY AS A RESULT, THE FOLLOWING AREAS WERE SELECTED FOR THE 2022-2024 COMMUNITY HEALTH IMPROVEMENT PLAN: PRIORITY AREA: PREVENT CHRONIC DISEASES FOCUS AREA 1: HEALTHY EATING AND FOOD SECURITY PRIORITY AREA 2: PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS FOCUS AREA: MENTAL HEALTH & SUBSTANCE USE DISORDERS PREVENTION DISPARITY: LOW INCOME/SES PRIORITY AREAS & DISPARITY PREVENT CHRONIC DISEASE OVERARCHING GOALREDUCE OBESITY AND THE RISK OF CHRONIC DISEASE FOCUS AREA 1HEALTHY EATING AND FOOD SECURITY OBJECTIVE 1.2DECREASE THE PERCENTAGE OF CHILDREN WITH OBESITY DISPARITYLOW SOCIOECONOMIC POPULATION PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS FOCUS AREA 2PREVENT MENTAL AND SUBSTANCE USE DISORDERS GOAL 2.4REDUCE THE PREVALENCE OF MAJOR DEPRESSIVE DISORDERS OBJECTIVE 2.42REDUCE THE PAST-YEAR PREVALENCE OF MAJOR DEPRESSIVE EPISODES AMONG ADOLESCENTS AGED 12-17 YEARS. SENECA COUNTY THROUGH THE USE OF RESULTS-BASED ACCOUNTABILITY, SENECA COUNTY IN PARTNERSHIP WITH GENEVA GENERAL HOSPITAL AND SOLDIERS AND SAILORS MEMORIAL HOSPITAL (FINGER LAKES HEALTH) AND HAS CHOSEN TO FOCUS THEIR 2022-2024 COMMUNITY HEALTH ASSESSMENT (CHA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) ON THE FOLLOWING PRIORITY AREAS, WITH ZIP CODE AS THEIR IDENTIFIED DISPARITY TO ADDRESS. PRIORITY AREAS & DISPARITY PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS FOCUS AREAPREVENT MENTAL AND SUBSTANCE USE DISORDERS DISPARITYZIP CODE PREVENT CHRONIC DISEASES FOCUS AREAHEALTHY EATING AND FOOD SECURITYYATES COUNTY THROUGH THE USE OF RESULTS-BASED ACCOUNTABILITY, YATES COUNTY IN PARTNERSHIP WITH FINGER LAKES HEALTH HAS CHOSEN TO FOCUS THEIR 2022-2024 COMMUNITY HEALTH ASSESSMENT (CHA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) ON THE FOLLOWING PRIORITY AREAS, WITH THE POPULATION WHOSE HOUSEHOLD INCOME IS LESS THAN $25,000 AS THEIR IDENTIFIED DISPARITY TO ADDRESS. PRIORITY AREAS & DISPARITY PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS FOCUS AREAPREVENT MENTAL AND SUBSTANCE USE DISORDERS PREVENT CHRONIC DISEASES FOCUS AREAHEALTHY EATING AND FOOD SECURITY DISPARITYPOPULATION WITH HOUSEHOLD INCOME OF LESS THAN $25,000GENEVA GENERAL HOSPITAL:PART V SECTION B LINE 23: AMOUNTS GENERALLY BILLED: THE AMOUNTS GENERALLY BILLED ARE BASED UPON THE NEGOTIATED COMMERCIAL INSURANCE RATES FOR THE CARRIER WITH THE GREATEST VOLUME.PART V SECTION B LINE 6B: SENECA, ONTARIO AND YATES COUNTY DEPARTMENT OF PUBLIC HEALTH, COMMON GROUND HEALTH, SAY2 RURAL HEALTH (NOW PIVITAL HEALTH), COMMON GROUND HEALTH AND THE COMMUNITY BASED AGENCIES CONDUCTED SURVEYS OF RESIDENTS IN ONTARIO, YATES AND SENECA COUNTIES THROUGH THE COMMUNITY HEALTH NEEDED ASSESSMENT PROCESS. SURVEYS WERE DISSEMINATED THROUGH MANY DIFFERENT METHODS INCLUDING E-MAIL, WEB PAGES, MAILING OF PAPER COPIES, DISSEMINATION OF PAPER COPIES IN LOCAL STORES,HEALTH CARE FACILITIES, PUBLIC HEALTH AND COMMUNITY FACILITIES, AND DIRECT ASSISTANCE WITHIN COUNTY BUILDINGS/AGENCIES. WE DEVELOPED A FOOD SECURITY RESOURCE DIRECTORY ON OUR WEBSITE BY COUNTY. OUR PRIMARY CARE PRACTICES IMPLEMENTED TWO QUESTIONS IN MEDENT, OUR ELECTRONIC MEDICAL RECORD FOR ANNUAL PATIENT PHYSICIALS AND NEW PATIENT VISITS WE SHARED THE LINK AND EDUCATIONAL INFORMATION ABOUT THE PRIORITY OF FOOD INSECURITY THROUGH OUR SOCIAL MEDIA CHANNELS. WE SHARED A FOOD SECURITY SURVEY FROM PIVITAL HEALTH PARTNERSHIP THROUGH SOCIAL MEDIA. GENEVA GENERAL HOSPITAL PART V, SECTION B, LINE 5: PART V, SECTION B, LINE 5: THE ONTARIO, SENECA AND YATES COUNTY PUBLIC HEALTH DEPARTMENTS, IN COLLABORATION WITH FINGER LAKES HEALTH, OTHER HOSPITALS, THE S2AY RURAL HEALTH NETWORK (NOW PIVITAL HEALTH), COMMON GROUND HEALTH AND THE COMMUNITY BASED AGENCIES CONDUCTED SURVEYS OF RESIDENTS IN ONTARIO, YATES AND SENECA COUNTIES THROUGH THE COMMUNITY HEALTH NEEDED ASSESSMENT PROCESS. SURVEYS WERE DISSEMINATED THROUGH MANY DIFFERENT METHODS INCLUDING E-MAIL, WEB PAGES, MAILING OF PAPER COPIES, DISSEMINATION OF PAPER COPIES IN LOCAL STORES, HEALTH CARE FACILITIES, PUBLIC HEALTH AND COMMUNITY FACILITIES, AND DIRECT ASSISTANCE WITHIN COUNTY BUILDINGS/AGENCIES. WE DEVELOPED A RESOURCE DIRECTORY ON OUR WEBSITE BY COUNTY DEDICATED TO FOOD SECURITY RESOURCES. OUR PRIMARY CARE PRACTICES HAVE IMPLEMENTED A QUESTIONS IN MEDENT, OUR ELECTRONIC MEDICAL RECORD FOR ANNUAL PATIENT PHYSICALS AND NEW PATIENT VISITS. WE SHARED THE LINK AND EDUCATIONAL INFORMATION ABOUT THE PRIORITY OF FOOD INSECURITY THROUGH OUR SOCIAL MEDIA CHANNELS IN ADDITION, WE SHARED A FOOD SECURITY SURVEY FROM PIVITAL HEALTH PARTNERSHIP THROUGH SOCIAL MEDIA.FURTHER INPUT FROM THE PUBLIC WAS COLLECTED THROUGH A NUMBER OF FOCUS GROUP SESSIONS THAT WERE HELD THROUGHOUT THE COUNTIES. GENEVA GENERAL HOSPITAL PART V, SECTION B, LINE 6A: SOLDIERS AND SAILORS MEMORIAL HOSPITAL, UR MEDICINE THOMPSON HEALTH, ROCHESTER REGIONAL HEALTH CLIFTON SPRINGS COMMUNITY HOSPITAL GENEVA GENERAL HOSPITAL PART V, SECTION B, LINE 6B: COMMON GROUND HEALTHS2AY RURAL HEALTH (NOW PIVITAL HEALTH)ONTARIO COUNTY HEALTH DEPARTMENTYATES COUNTY DEPARTMENT OF PUBLIC HEALTHSENECA COUNTY DEPARTMENT OF PUBLIC HEALTH PART III, LINE 2: COSTING METHODOLOGY:HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION P&P BOARD STATEMENT 15, IX. VALUATION AND DISCLOSURE OF BAD DEBTS, 9.1 HAS BEEN APPLIED TO THE AMOUNT REPORTED ON LINE 2. THE BAD DEBT AMOUNT IS RECORDED AT THE AMOUNT THAT THE PAYER IS EXPECTED TO PAY. THE AMOUNT REPORTED ON LINE 3 IS VALUED AT PATIENT CARE COST, I.E. THE EXPECTED PAYMENT AMOUNT INCLUDED IN LINE 2 HAS BEEN MULTIPLIED BY THE RATIO OF PATIENT CARE COST TO CHARGES (43%). BASED UPON AN ANALYSIS OF INCOME LEVELS FOR ACCOUNTS INCLUDED IN BAD DEBTS WE ESTIMATED THAT 43%RE ELIGIBLE UNDER FAP. PART III, LINE 3: RATIONALE FOR INCLUDING A PORTION OF BAD DEBT AMOUNT AS COMMUNITY BENEFIT: IT IS NOT ALWAYS POSSIBLE TO OBTAIN SUFFICIENT INFORMATION TO MAKE A DETERMINATION OF ELIGIBILITY FOR FINANCIAL ASSISTANCE OR RECLASSIFY BAD DEBTS AS CHARITY CARE. WHEN INCOME LEVELS ARE LEARNED WE IDENTIFY INDIVIDUALS UNABLE TO PAY FOR SERVICES. HAVING PROVIDED SERVICES TO THOSE INDIVIDUALS WE BELIEVE REPRESENTS A COMMUNITY BENEFIT. PART III, LINE 4: BASED ON ITS HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF GGH'S UNINSURED PATIENTS WILL LIKELY BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, GGH RECORDS AN IMPLICIT PRICE CONCESSION TO REDUCE ACCOUNTS TO THEIR NET REALIZABLE VALUE. THERE ARE VARIOUS FACTORS THAT CAN IMPACT COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, UNEMPLOYMENT RATES, THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE VOLUME OF PATIENTS THROUGH THE EMERGENCY DEPARTMENT, THE INCREASED BURDEN OF CO-PAYS, CO-INSURANCE AMOUNTS AND DEDUCTIBLES TO BE MADE BY PATIENTS WITH INSURANCE, AND BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. PART III, LINE 8: RATIONALE FOR INCLUDING SHORTFALL AS COMMUNITY BENEFIT:MEDICARE PAYMENT RATES REFLECT CONSTRAINTS ON FEDERAL GOVERNMENT EXPENDITURES. IN SPITE OF THE SIGNIFICANT LOSSES CAUSED BY THESE LOW RATES WE PROVIDE ACCESS TO HEALTH SERVICES FOR A LARGE SEGMENT OF OUR COMMUNITY. WE BELIEVE THIS ENHANCEMENT OF POPULATION HEALTH REPRESENTS A COMMUNITY BENEFIT.SOURCE OF MEDICARE ALLOWABLE COSTS:COST INFORMATION IS TAKEN FROM THE MEDICARE COST REPORT. PART III, LINE 9B: AFTER THE CUSTOMER SERVICE REPRESENTATIVE'S INITIAL DETERMINATION OR THE DETERMINATION RENDERED AFTER AN APPEAL REVIEW, THE PATIENT'S HOSPITAL ACCOUNT IS ADJUSTED TO REFLECT THE AMOUNT OF ANY FINANCIAL ASSISTANCE DEDUCTION TO BE APPLIED TO IT. THE PATIENT IS BILLED FOR ANY REMAINING AMOUNT DUE, AND IS OFFERED THE TELEPHONE NUMBER OF AN INDIVIDUAL WITHIN PATIENT ACCOUNTS WHO IS AVAILABLE TO ASSIST THE PERSON IN CREATING A SELF- PAYMENT PLAN THAT OUTLINES PATIENT RE-PAYMENT STEPS OVER A SPECIFIED PERIOD OF TIME SHOULD THE PATIENT REQUIRE SUCH ASSISTANCE. INDIVIDUALS WITH VALID REQUESTS FOR FINANCIAL ASSISTANCE ARE EXEMPT FROM REFERRALS TO A COLLECTION AGENCY. PART VI, LINE 4: THE HOSPITAL PROVIDES A FULL RANGE OF ACUTE CARE SERVICES TO RESIDENTS OF THE FINGER LAKES REGION IN UPSTATE NEW YORK. THE HOSPITAL REVIEWS DEMOGRAPHIC DATA FROM SOURCES SUCH AS THE US CENSUS TO IDENTIFY TRENDS. THE HOSPITAL USES HEALTH INDICATORS AND UTILIZATION DATA FROM NUMEROUS SOURCES AND RECEIVES COMMUNITY INPUT FROM PUBLIC SURVEYS. WE HAVE A COMMUNITY ADVISORY COMMITTEE WHICH SERVES AS A REGULAR FORUM FOR COMMUNITY INPUT AND FOSTERING COLLABORATION. WE GATHER OPINION RELATED DATA FROM FOCUS GROUPS, SATISFACTION SURVEYS, AND EMPLOYEE OPINION SURVEYS. WE PARTICIPATE IN A NEEDS ASSESSMENT PROCESS AND PARTICIPATE AS AN ACTIVE MEMBER OF THE COMMUNITY THROUGH BOARD PARTICIPATION ON NUMEROUS LOCAL AND STATE-WIDE HEALTH RELATED ORGANIZATIONS. PART VI, LINE 7, REPORTS FILED WITH STATES NY X X X X X 0 1 0 0 0 0 0 0 0 STEVE GOLDSTEIN TRUSTEE 0 1297334 0 0 0 110899 0 158430 0 24778 0 1591441 0 0 MICHAEL ROTONDO TRUSTEE 0 1283483 0 0 0 41572 0 108430 0 3133 0 1436618 0 0 EMILY M LAMBERT PHYSICIAN - DERMATOLOGY 688585 0 303175 0 100 0 0 0 0 0 991860 0 0 0 JOSE A ACEVEDO MD PRESIDENT & CEO 643065 0 223530 0 1188 0 107350 0 12892 0 988025 0 0 0 MARK TAUBMAN TRUSTEE 0 697274 0 0 0 45471 0 22719 0 21475 0 786939 0 0 JONATHAN RODRIGUEZ PHYSICIAN PROF CARDIOLOGY 487452 0 182748 0 20000 0 0 0 40065 0 730265 0 0 0 AMANDA B CARPENTER PHYSICIAN - DERMATOLOGY 447696 0 168914 0 0 0 0 0 46872 0 663482 0 0 0 CRAIG COLLINS MD PHYSICIAN PROF SURGERY 574816 0 10000 0 75 0 0 0 77194 0 662085 0 0 0 MATTHEW C TALBOTT DIR EMERGENCY MEDICINE 501803 0 79200 0 17848 0 10350 0 41830 0 651031 0 0 0 DIANA M STEPHENS PHYSICIAN HOSPITALIST GGH 495920 0 88275 0 0 0 0 0 47245 0 631440 0 0 0 MATTHEW FIRMAN PHYSICIAN 405246 0 20460 0 50000 0 0 0 3324 0 479030 0 0 0 TRISHA KOCZENT TREASURER AND CFO 326825 0 67095 0 414 0 33941 0 776 0 429051 0 0 0 FRANK M KORICH SR VP OPERATIONS UNTIL JULY 2024 272766 0 88412 0 640 0 0 0 19677 0 381495 0 0 0 ROBERT ANDERSON MD TRUSTEE 0 262942 0 67166 0 8030 0 7145 0 0 0 345283 0 0 LARA TURBIDE CHIEF OPERATING OFFICER EFF. JULY 20 224595 0 28927 0 774 0 31702 0 44393 0 330391 0 0 0 CHAD HOFFMAN-FRAGLE VP HUMAN RESOURCES 260302 0 39796 0 414 0 7104 0 5128 0 312744 0 0 0 GREG HOFFMAN-FRAGALE CHIEF NURSING OFFICER 234808 0 5885 0 414 0 6780 0 4866 0 252753 0 0 0 KIMBERLY COFFEY ASST. CORP AFF & CCO 141946 0 19900 0 1188 0 28993 0 2269 0 194296 0 0 0 PART I, LINE 4B CERTAIN OFFICERS AND DIRECTORS OF GENEVA GENERAL HOSPITAL ("GGH") PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. GGH DEPOSITED $97,000 INTO A 457(F) PLAN IN 2024 FOR JOSE ACEVEDO, MD, MBA FOR HIS ROLE AS PRESIDENT & CEO OF VARIOUS RELATED ENTITIES. GGH ALSO DEPOSITED $25,000 INTO EACH OF THE 457(F) PLAN IN 2024 FOR KIMBERLY COFFEY, WILLIAM GARRITY, CHAD HOFFMAN, TRISHA KOCZENT AND LARA TURBIDE, AMOUNTING TO $125,000. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED EMPLOYER PAID AMOUNTS THAT ARE INCLUDED IN DEFERRED COMPENSATION: STEVEN GOLDSTEIN SERP PLAN 125,000 MICHAEL ROTONDO, MD SERP PLAN 75,000 JAMES NARDOZZI TRUSTEE 449784 GROUNDS MAINTENANCE SERVICES 0 ROLDOLFO QUEIROZ TRUSTEE 349596 RADIOLOGY 0 FORM 990, PART VI, SECTION A, LINE 6 SOLE MEMBER OF GGH IS FINGER LAKES REGIONAL HEALTH SYSTEM (DBA FINGER LAKES HEALTH). THE SOLE MEMBER OF FINGER LAKES HEALTH IS UNIVERSITY OF ROCHESTER (UR). FINGER LAKES HEALTH AS SOLE MEMBER OF GGH APPOINTS/REMOVES TRUSTEES; APPROVES ANY ASPECT OF STRATEGIC PLAN AND CAPITAL OPERATING/CAPITAL BUDGETS THAT WOULD RESULT IN A CALL UPON UR FINANCIAL RESOURCES NOT DEDICATED FOR SUPPORT OF GGH AND ITS AFFILIATES, OR HAS MAJOR IMPACT ON UR ACADEMIC PROGRAMS, OR CONTRAVENE A BOARD APPROVED POLICY OF UR; APPROVES INCURRENCE OF DEBT PROPOSED BY CORPORATION INCLUDING ISSUANCES OF BONDS THAT WOULD CALL UPON UR FINANCIAL RESOURCES NOT DEDICATED FOR SUPPORT OF GGH AND ITS AFFILIATES, OR HAS MAJOR IMPACT ON UR ACADEMIC PROGRAMS, OR CONTRAVENE A BOARD APPROVED POLICY OF UR, OR ADVERSELY AFFECT UR'S ABILITY TO ISSUE TAX EXEMPT DEBT; APPROVES AMENDMENTS TO CERTIFICATE OF INCORPORATION OR BYLAWS; APPROVES ANY MERGER, CONSOLIDATION OR DISSOLUTION OF CORPORATION; APPROVES SALE, LEASE, MORTGAGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF ASSETS OF CORPORATION; APPROVES ACTIONS TAKEN BY GGH AS MEMBER/SHAREHOLDER OF AN AFFILIATE OF GGH; APPROVES MATTERS/ACTIONS RESERVED TO MEMBERS OF NOT-FOR-PROFIT CORPORATIONS UNDER NYS LAW. FORM 990, PART VI, SECTION A, LINE 7A SOLE MEMBER OF GGH IS FINGER LAKES REGIONAL HEALTH SYSTEM (DBA FINGER LAKES HEALTH). THE SOLE MEMBER OF FINGER LAKES HEALTH IS UNIVERSITY OF ROCHESTER (UR). FINGER LAKES HEALTH AS SOLE MEMBER OF GGH APPOINTS/REMOVES TRUSTEES; APPROVES ANY ASPECT OF STRATEGIC PLAN AND CAPITAL OPERATING/CAPITAL BUDGETS THAT WOULD RESULT IN A CALL UPON UR FINANCIAL RESOURCES NOT DEDICATED FOR SUPPORT OF GGH AND ITS AFFILIATES, OR HAS MAJOR IMPACT ON UR ACADEMIC PROGRAMS, OR CONTRAVENE A BOARD APPROVED POLICY OF UR; APPROVES INCURRENCE OF DEBT PROPOSED BY CORPORATION INCLUDING ISSUANCES OF BONDS THAT WOULD CALL UPON UR FINANCIAL RESOURCES NOT DEDICATED FOR SUPPORT OF GGH AND ITS AFFILIATES, OR HAS MAJOR IMPACT ON UR ACADEMIC PROGRAMS, OR CONTRAVENE A BOARD APPROVED POLICY OF UR, OR ADVERSELY AFFECT UR'S ABILITY TO ISSUE TAX EXEMPT DEBT; APPROVES AMENDMENTS TO CERTIFICATE OF INCORPORATION OR BYLAWS; APPROVES ANY MERGER, CONSOLIDATION OR DISSOLUTION OF CORPORATION; APPROVES SALE, LEASE, MORTGAGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF ASSETS OF CORPORATION; APPROVES ACTIONS TAKEN BY GGH AS MEMBER/SHAREHOLDER OF AN AFFILIATE OF GGH; APPROVES MATTERS/ACTIONS RESERVED TO MEMBERS OF NOT-FOR-PROFIT CORPORATIONS UNDER NYS LAW. FORM 990, PART VI, SECTION A, LINE 7B ELECTION AND REMOVAL OF TRUSTEES, AMENDMENT OF BYLAWS, CERTIFICATE OF INCORPORATION AMENDMENTS, ARE RESERVED TO THE GENERAL MEMBER (FLRHS) PER BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE ADMINISTRATIVE COMMITTEE OF THE BOARD PRIOR TO BEING FILED. ANY COMMITTEE FINDINGS ARE REVIEWED AND IMPLEMENTED AS APPROPRIATE BY MANAGEMENT. THE COMMITTEE REPORTS ON THIS DISCUSSION TO THE FULL BOARD. FORM 990, PART VI, SECTION B, LINE 12C GENEVA GENERAL HOSPITAL MAINTAINS A CONFLICT OF INTEREST POLICY WHICH BOARD MEMBERS ARE REQUIRED TO SIGN PRIOR TO TAKING OFFICE. STATEMENTS ARE REVIEWED ANNUALLY BY AN ADMINISTRATIVE COMMITTEE. THE PROCESS FOR HANDLING ANY CONFLICTS OF INTEREST WHICH MAY ARISE ARE DETAILED IN THE CORPORATE BYLAWS AND CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS REVIEWED BY A COMPENSATION COMMITTEE, AND COMPARABILITY DATA IS PART OF THE DECISION. FORM 990, PART VI, SECTION C, LINE 19 GENEVA GENERAL HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC WHERE REQUIRED BY LAW AND UPON REQUEST. THE ORGANIZATION'S FORM 990 IS PROVIDED TO ANY INDIVIDUAL WHO PROVIDES A REQUEST IN PERSON OR WHO SUBMITS A WRITTEN REQUEST. THERE IS NO CHARGE OTHER THAN A REASONABLE FEE FOR COPYING AND POSTAGE. COPIES ARE AVAILABLE AT THE FINANCE OFFICE. AN ELECTRONIC VERSION MAY BE FOUND AT WWW.GUIDESTAR.ORG. PART XII, LINE 2C: GGH HAS A BOARD COMMITTEE WHO ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. 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