ARNOT OGDEN MEDICAL CENTER: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: ARNOT OGDEN MEDICAL CENTER (EIN 16-0743905)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2015-08-06
IRS object ID: 201522199349301462
Schema version: 2013v4.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R
Reasonable Cause Explanation

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-08-06T14:47:24-07:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	160743905	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ARNOT OGDEN MEDICAL CENTER	BusinessNameLine1

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	600 ROE AVENUE	AddressLine1
City	ELMIRA	City
State	NY	State
ZIP Code	14905	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Robert Lambert	PersonNm
Person Title	President & CEO	PersonTitleTxt
Phone	6077374235	PhoneNum
Signature	2014-10-30	SignatureDt

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Amended Return	Yes (X)	AmendedReturnInd

Principal Ofcr Business Address PrincipalOfcrBusinessAddress

Field	Value	IRS element (for citing)
Business Name Line1	Arnot Ogden Medical Center	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	600 Roe Avenue	AddressLine1
City	Elmira	City
State	NY	State
ZIP Code	14905	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$278,864,882	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.aomc.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1889	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	Arnot Ogden Medical Center is a community based hospital with an open emergency room and selected highly specialized services that are part of a high quality health care delivery system that serves Chemung County, NY and the Twin Tier Regions of New York and Pennslyvania.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	17	VotingMembersIndependentCnt
Total Employee	2747	TotalEmployeeCnt
Total Volunteers	531	TotalVolunteersCnt
Total Gross UBI	-$322,746	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$322,746	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,498,007	PYContributionsGrantsAmt
CY Contributions Grants	$1,542,728	CYContributionsGrantsAmt
PY Program Service Revenue	$256,345,564	PYProgramServiceRevenueAmt
CY Program Service Revenue	$260,826,432	CYProgramServiceRevenueAmt
PY Investment Income	$3,041,400	PYInvestmentIncomeAmt
CY Investment Income	$4,296,057	CYInvestmentIncomeAmt
PY Other Revenue	$4,828,667	PYOtherRevenueAmt
CY Other Revenue	$4,480,470	CYOtherRevenueAmt
PY Total Revenue	$267,713,638	PYTotalRevenueAmt
CY Total Revenue	$271,145,687	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	$171,187,900	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$185,779,463	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$91,369,565	PYOtherExpensesAmt
CY Other Expenses	$92,588,890	CYOtherExpensesAmt
PY Total Expenses	$262,557,465	PYTotalExpensesAmt
CY Total Expenses	$278,368,353	CYTotalExpensesAmt
PY Revenues Less Expenses	$5,156,173	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$7,222,666	CYRevenuesLessExpensesAmt
Total Assets BOY	$261,001,988	TotalAssetsBOYAmt
Total Assets EOY	$283,599,860	TotalAssetsEOYAmt
Total Liabilities BOY	$115,377,683	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$95,490,586	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$145,624,305	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$188,109,274	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Arnot Ogden Medical Center is an independent, not-for-profit, 256-bed tertiary medical facility with more than 300 physicians from over 50 specialties. Arnot Ogden Medical Center offers specialty services at the Falck Cancer Center, Heart and Vascular Institute, Stroke Care, Maternity, Surgery.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$224,660,659	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$268,754,647	RevenueAmt
Desc	The Arnot Ogden Medical Center continues to provide of health care related services since it opened in 1889, serving Chemung County and the Twin Tier Regions of New York and Pennsylvania. The Medical Center specialzied in the fields of Cardiology, Oncology, Renal, Neonatology, Bariatrics and Emergency Care. Other sub specialized services include but are not limited to Anesthesiology, Surgery, Laboratory, Imaging, Physical Therapy, Obstetrics, and Gynecology. In 2012 the Medical Center's 2,079 Full-time Equivalent of employees cared for 12,582 inpatient admissions in its 254 staffed beds. The Medical Center provided Outpatient Services to approximately 370,847 Outpatient Visits in its subspecialty services. The approximately xxx physicans provided for 150,752 office visits in the areas of primary care and specialty services.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$998,022	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$483,944	RevenueAmt
Desc	The Arnot Ogden Medical Center School of Nursing began in 1889 and continues to offer a three year diploma program accredited by the National League for Nursing with approximately xx students enrolled. The Arnot Ogden School of Radiologic Sciences began in 1953 continues to offer a two year certificate program which is accredited by the Joint Review Commission on Education in Radiologic Technology with approximatedly xx students enrolled. Upon completion of their program of study, students are eligible to take the NYS licensing examinations for Registered Nurse or Radiologic Technologist.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$0	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$225,658,681	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	Yes (1)	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	Yes (1)	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	Yes (1)	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	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	546	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2747	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	0	Form8899Filedind
Form1098 C Filed	0	Form1098CFiledInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	17	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	Accounting Department	AddressLine1
Address Line2	600 Roe Avenue	AddressLine2
City	Elmira	City
State	NY	State
ZIP Code	14905	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (43 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
Michael Hosey
Chairman of the Board	1.8	Yes (X)	$0	$0	$0
Joseph P Manning
Vice Chairman	1.5	Yes (X)	$0	$0	$0
John R Alexander JD
Secretary	1	Yes (X)	$0	$0	$0
Daniel J Burke
Board Member	1	Yes (X)	$0	$0	$0
Francisco Corbalan MD
Board Member	1	Yes (X)	$0	$0	$0
David Dalrymple
Board Member	1	Yes (X)	$0	$0	$0
Christine M Deschamps
Board Member	1	Yes (X)	$0	$0	$0
S Jan Eberhard MD
Board Member	5	Yes (X)	$0	$0	$0
John T Gough
Board Member	1	Yes (X)	$0	$0	$0
Mark J Hagan
Board Member	2	Yes (X)	$0	$0	$0
Roy A Kyles
Board Member	0.7	Yes (X)	$0	$0	$0
Ben E Lynch
Board Member	5.7	Yes (X)	$0	$0	$0
Robert McNamara
Board Member	1	Yes (X)	$0	$0	$0
Mary Louise Mitchell SR
Board Member	3	Yes (X)	$0	$0	$0
John F O'Mara JD
Board Member	1	Yes (X)	$0	$0	$0
Donald Quick CPA
Board Member	1	Yes (X)	$0	$0	$0
Patrick J Rogers
Board Member	2	Yes (X)	$0	$0	$0
Melinda Sartori
Board Member	1	Yes (X)	$0	$0	$0
Roger Schenone DO
Board Member	1	Yes (X)	$347,995	$0	$12,500
Gregory Schultz MD
Board Member/President Medical Staff	1	Yes (X)	$172,802	$0	$38,284
Margaret B Streeter
Board Member	1	Yes (X)	$0	$0	$0
Robert Lambert MD
President Arnot Health	53		$469,681	$0	$41,456	Yes (X)
Ronald J Kintz DHA
Senior VP/CFO	54		$365,381	$0	$46,533	Yes (X)
H Fred Farley PhD
President COO	56		$388,474	$0	$47,635	Yes (X)
William Huffner MD
SVP Chief Medical Officer	45		$389,966	$0	$15,186	Yes (X)
Wesley Blauvelt
SVP Planning	45		$233,571	$0	$38,885		Yes (X)
Brian Forrest
VP Human Resources	45		$149,393	$0	$31,774		Yes (X)
Debra Martin
VP Operations	45		$173,939	$0	$24,535		Yes (X)	Yes (X)
Gregg Martin
Chief Information Officer	46		$165,231	$0	$36,667		Yes (X)
Kathy Hale
VP Quality Mgmt CQO	45		$119,491	$0	$21,261		Yes (X)
Richard Hoffman
VP Operations	45		$119,383	$0	$33,960		Yes (X)
Marc Rustici
VP Finance	45		$163,046	$0	$35,207		Yes (X)
Joseph Braunschiedel
VP Operations	45		$173,457	$0	$29,249		Yes (X)
Mark Dworsky
VP Process Enhancement	45		$156,384	$0	$28,485		Yes (X)
Mary Vosburgh
Chief Nursing Officer	50		$165,016	$0	$26,769		Yes (X)
Kimberly Panosian
AMS Medical Director	40		$224,346	$0	$28,717		Yes (X)
James Watson
Chief Operating Officer IDMH	45		$221,061	$0	$10,227		Yes (X)
Vidyasagar Mokureddy
Pain Mgmt Physician	45		$1,280,447	$0	$30,137				Yes (X)
William DeLuccia
Cardiologist	45		$731,879	$0	$33,617				Yes (X)
Paul Tinsley
ENT Physician	50		$968,584	$0	$31,436				Yes (X)	0
Timothy Minton
ENT Physician	50		$760,745	$0	$31,436				Yes (X)	0
Matthew Brand
Orthopedic Surgeon	50		$731,879	$0	$34,574				Yes (X)	0
Anthony Cooper
System President/CEO	45		$635,293	$0	$46,400			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,307,444	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$754,930	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	192	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Business Name Line2ContractorName/BusinessName/BusinessNameLine2	Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
Associated Anesthesiologists
of the Finger Lakes	PO Box 1253	Elmira	NY	14902	Anesthesiology Services	$1,940,157
ABM Healthcare Support Services
	PO Box 935695	Atlanta	GA	31193	Management Services	$1,044,325
Premier Healthcare Solutions
	5882 COLLECTIONS CENTER DRIVE	Chicago	IL	60693	Healthcare Consulting	$1,025,156
Mayo Medical Laboratories
	PO BOX 4100	Rochester	MN	55903	Laboratory Testing Reviews	$939,575
Weatherby Locums Inc
	P O Box 972633	Dallas	TX	75397	Emergency Room Physician Services	$892,528

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	53	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$380,410	RelatedOrganizationsAmt
Government Grants	$1,162,318	GovernmentGrantsAmt
All Other Contributions	$0	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$1,542,728	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Net Patient Service Revenue	622110	$209,533,165	$209,533,165	$0	$0
Net Physician Service Revenue	621110	$50,809,323	$50,809,323	$0	$0
School of Nursing	611310	$404,053	$404,053	$0	$0
School of Radiologic Technology	611310	$79,891	$79,891	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

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

Field	Value	IRS element (for citing)
Total Program Service Revenue	$260,826,432	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,429,440	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,429,440	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	$546,271	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$932,911	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$386,640	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$386,640	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$386,640	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$7,978,906	SecuritiesAmt
Other	$15,990	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$5,128,279	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,850,627	SecuritiesAmt
Other	$15,990	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,866,617	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,866,617	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$149,632	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$0	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$37,652	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$111,980	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$111,980	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$674,752	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$1,620,353	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$945,601	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$945,601	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Housekeeping Services	561720	$43,503	$0	$43,503	$0
Maintenance Services	561790	$17,066	$0	$17,066	$0
Educational Seminars/Workshops	611699	$91,295	$0	$0	$91,295

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,548,867	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,545,542	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,325	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,700,731	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$271,145,687	TotalRevenueColumnAmt
Related Or Exempt Func Income	$269,238,591	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$322,746	UnrelatedBusinessRevenueAmt
Exclusion	$687,114	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,677,526	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$4,677,526	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	$132,492,310	TotalAmt
Program Services	$118,802,792	ProgramServicesAmt
Management And General	$13,689,518	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$7,956,602	TotalAmt
Program Services	$2,995	ProgramServicesAmt
Management And General	$7,953,607	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$31,892,899	TotalAmt
Program Services	$20,740	ProgramServicesAmt
Management And General	$31,872,159	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,760,126	TotalAmt
Program Services	$7,107,974	ProgramServicesAmt
Management And General	$1,652,152	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,684,229	TotalAmt
Program Services	$1,218,459	ProgramServicesAmt
Management And General	$1,465,770	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$507,923	TotalAmt
Program Services	$39,478	ProgramServicesAmt
Management And General	$468,445	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$214,673	TotalAmt
Program Services	$3,240	ProgramServicesAmt
Management And General	$211,433	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$33,994	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$33,994	ManagementAndGeneralAmt

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	$507,910	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$507,910	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$5,483,916	TotalAmt
Program Services	$4,902,011	ProgramServicesAmt
Management And General	$581,905	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,004,333	TotalAmt
Program Services	$124,824	ProgramServicesAmt
Management And General	$879,509	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$43,047,165	TotalAmt
Program Services	$42,402,135	ProgramServicesAmt
Management And General	$645,030	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,340,784	TotalAmt
Program Services	$3,641,250	ProgramServicesAmt
Management And General	$699,534	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,317,777	TotalAmt
Program Services	$609,592	ProgramServicesAmt
Management And General	$2,708,185	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$422,942	TotalAmt
Program Services	$323,258	ProgramServicesAmt
Management And General	$99,684	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$208,590	TotalAmt
Program Services	$163,791	ProgramServicesAmt
Management And General	$44,799	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,694,937	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,694,937	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	$11,301,832	TotalAmt
Program Services	$20,000	ProgramServicesAmt
Management And General	$11,281,832	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,695,733	TotalAmt
Program Services	$1,704,036	ProgramServicesAmt
Management And General	$2,991,697	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Purchased Services	$3,644,669	$2,021,781	$1,622,888	$0
Maintenance Contracts	$3,049,339	$2,378,246	$671,093	$0
Leases	$2,632,554	$2,233,417	$399,137	$0
Benefit Allocation	$0	$34,490,761	-$34,490,761	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,795,590	TotalAmt
Program Services	$3,447,901	ProgramServicesAmt
Management And General	$347,689	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$278,368,353	TotalAmt
Program Services	$225,658,681	ProgramServicesAmt
Management And General	$52,709,672	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$8,742	BOYAmt
EOY	$14,323	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$14,515,647	BOYAmt
EOY	$7,023,831	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$107,936	BOYAmt
EOY	$64,804	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$34,228,063	BOYAmt
EOY	$40,683,845	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$14,941,225	BOYAmt
EOY	$18,367,318	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,150,273	BOYAmt
EOY	$1,186,774	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,047,415	BOYAmt
EOY	$2,107,972	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$246,366,306	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$159,692,166	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$87,402,040	BOYAmt
EOY	$86,674,140	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$53,345,353	BOYAmt
EOY	$64,952,684	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$807,361	BOYAmt
EOY	$768,677	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$52,447,933	BOYAmt
EOY	$61,755,492	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$261,001,988	BOYAmt
EOY	$283,599,860	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$22,569,992	BOYAmt
EOY	$23,530,265	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	$127,509	BOYAmt
EOY	$17,943	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$27,646,178	BOYAmt
EOY	$26,582,855	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$7,745,933	BOYAmt
EOY	$9,987,521	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$7,905,047	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$49,383,024	BOYAmt
EOY	$35,372,002	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$115,377,683	BOYAmt
EOY	$95,490,586	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$136,458,200	BOYAmt
EOY	$177,222,846	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,227,351	BOYAmt
EOY	$7,938,674	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,938,754	BOYAmt
EOY	$2,947,754	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$145,624,305	BOYAmt
EOY	$188,109,274	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$261,001,988	BOYAmt
EOY	$283,599,860	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$7,222,666	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$13,679,727	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$36,027,908	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	Yes (1)	AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

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

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Political Expenditures	$0	PoliticalExpendituresAmt
Volunteer Hours	0	VolunteerHoursCnt
Section4955 Organization Tax	$0	Section4955OrganizationTaxAmt
Section4955 Managers Tax	$0	Section4955ManagersTaxAmt
Form4720 Filed Section4955 Tax	0	Form4720FiledSection4955TaxInd
Correction Made	0	CorrectionMadeInd
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$33,994	OtherActivitiesAmt
Total Lobbying Expenditures	$33,994	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule C, Part I-A, Line 1	Arnot Ogden Medical Center pays annual dues to the American Hospital Association, AHA and the Hospital Association of New York State, HANYS, of which a percentage is for lobbying fees. The total lobbying fees paid to both in 2013 was $33,994.
Schedule C, Part II-B, Line 1	Arnot Ogden Medical Center pays annual dues to the American Hospital Association, AHA and the Hospital Association of New York State, HANYS of which a percentage is for lobbying fees. The total lobbying fees paid to both in 2013 is $33,994.

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Donor Advised Funds Held	0	DonorAdvisedFundsHeldCnt
Funds And Other Accounts Held	0	FundsAndOtherAccountsHeldCnt
Donor Advised Funds Contri	$0	DonorAdvisedFundsContriAmt
Funds And Other Accounts Contri	$0	FundsAndOtherAccountsContriAmt
Donor Advised Funds Grants	$0	DonorAdvisedFundsGrantsAmt
Funds And Other Accounts Grants	$0	FundsAndOtherAccountsGrantsAmt
Donor Advised Funds Vl EOY	$0	DonorAdvisedFundsVlEOYAmt
Funds And Other Accounts Vl EOY	$0	FundsAndOtherAccountsVlEOYAmt
Disclosed Org Leg Ctrl	0	DisclosedOrgLegCtrlInd
Disclosed For Charitable Prps	0	DisclosedForCharitablePrpsInd
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	0	InclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,827,204	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$120,550	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$2,947,754	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,827,204	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$0	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$2,827,204	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,431,346	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$395,858	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$2,827,204	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,430,246	BeginningYearBalanceAmt
Contributions	$1,100	ContributionsAmt
Investment Earnings Or Losses	$0	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$2,431,346	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,429,726	BeginningYearBalanceAmt
Contributions	$520	ContributionsAmt
Investment Earnings Or Losses	$0	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$2,430,246	EndYearBalanceAmt

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

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$4,505,586	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Book Value	$4,505,586	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$102,994,653	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$54,038,646	DepreciationAmt
Book Value	$48,956,007	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$1,338,592	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$964,082	DepreciationAmt
Book Value	$374,510	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$137,527,475	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$104,689,438	DepreciationAmt
Book Value	$32,838,037	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	$86,674,140	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
Interest in Net Assets of Foundation	$13,244,337
Investment in Subsidiary	$4,217,874
Prepaid Pension	$3,354,970
AWUL Self Insurance Depreciation Funds	$33,383,545
457 Plan Investments	$4,062,060
Bond Payment Fund Debt Service Reserve	$3,492,706

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$61,755,492	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
Self Insurance Reserve	$14,541,353
Third Party Reserves	$4,615,382
Note Payable AOMC Foundation Investment	$10,698,905
457 Plan Liability	$4,062,057
N/P Physician Investment/Related Parties	$1,058,975
Minimum Pension Liability	$395,330

Field	Value	IRS element (for citing)
Total Liability	$35,372,002	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$272,799,856	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$0	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants	$0	RecoveriesPriorYearGrantsAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$272,799,856	RevenueSubtotalAmt
Investment Expenses Not Incld	$406,705	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	-$2,060,874	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$1,654,169	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$271,145,687	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$280,514,912	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$0	DonatedServicesUseFcltsAmt
Prior Year Adjustments	$0	PriorYearAdjustmentsAmt
Losses Reported	$0	LossesReportedAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$280,514,912	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$406,705	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	-$2,553,264	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	-$2,146,559	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$278,368,353	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part V, Line 4	Schedule D Part V Line 4 - The organization has interpreted the NYS Prudent Management of Institutional Funds Act Law, NYPMIFA as requiring the preservation of the historical dollar value of the corpus of the permanent restricted endowment funds absent of donor stipulations to the contrary. The net appreciation of the permanent restricted endowment funds absent of the donor stipulations to the contrary. The net appreciation of the permanently restricted net assets is considered temporarily restricted net assets until those amounts are appropriated for expenditure by the Organization in a manner consistent with the standard of prudence prescribed by NYPMIFA. If the fair value of the investments assets falls below the level of the donor, NYSMIFA requires the Center to retain the fund in perpetual duration. There were no such deficiencies as of December 31, 2013. To ensure the preservation of the corpus of the permanently restricted endowment funds, the total fair value of all commingled investment assets are classified first to the level of the permanently restricted endowment funds corpus, an endowment fund deficiency receivable from the unrestricted net assets would be recognized until the deficiency is recovered.
Schedule D, Part XI, Line 2d	Childrens Miracle Network Net Assets Released from Restrictions to purchase equipment of $380,410. CMN Fundraising Revenue and Expenses from Fund Balance resulting in net Fundraising income of $111,980.
Schedule D, Part XI, Line 4b	Cost of Goods Sold to offset Nutritional Services Revenue of $(1,620,353) and Rental Expenses to offset Rental Income of $(932,911).
Schedule D, Part XII, Line 4b	Cost of Goods Sold to offset Nutritional Services Revenue of (1,620,353) and Rental Expenses to offset Rental Income of (932,911).

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Name Of Event1	Childrens Miracle Network Golf Tournament	NameOfEvent1Amt
Gross Receipts Event1	$50,023	GrossReceiptsEvent1Amt
Charitable Contri Event1	$0	CharitableContriEvent1Amt
Gross Revenue Event1	$50,023	GrossRevenueEvent1Amt
Cash Prizes Event1	$1,784	CashPrizesEvent1Amt
Non Cash Prizes Event1	$0	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$6,222	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$3,215	FoodAndBeverageEvent1Amt
Entertainment Event1	$0	EntertainmentEvent1Amt
Other Direct Expenses Event1	$3,304	OtherDirectExpensesEvent1Amt
Name Of Event2	Childrens Miracle Network Moonlight & Miracles	NameOfEvent2Amt
Gross Receipts Event2	$67,685	GrossReceiptsEvent2Amt
Charitable Contri Event2	$0	CharitableContriEvent2Amt
Gross Revenue Event2	$67,685	GrossRevenueEvent2Amt
Cash Prizes Event2	$0	CashPrizesEvent2Amt
Non Cash Prizes Event2	$0	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$0	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$9,924	FoodAndBeverageEvent2Amt
Entertainment Event2	$4,100	EntertainmentEvent2Amt
Other Direct Expenses Event2	$9,103	OtherDirectExpensesEvent2Amt
Other Events Total	1	OtherEventsTotalCnt
Gross Receipts Other Events	$31,930	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$0	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$31,930	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$0	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$0	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$0	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$0	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$0	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$0	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$149,638	GrossReceiptsTotalAmt
Charitable Contributions Tot	$0	CharitableContributionsTotAmt
Gross Revenue Total Events	$149,638	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$1,784	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$0	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$6,222	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$13,139	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$4,100	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$12,407	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$37,652	DirectExpenseSummaryEventsAmt
Net Income Summary	$111,986	NetIncomeSummaryAmt

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
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
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)
Persons Served	687	PersonsServedCnt
Total Community Benefit Expns	$1,473,155	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$32,619	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,505,773	NetCommunityBenefitExpnsAmt
Total Expense	0.0054	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	42717	PersonsServedCnt
Total Community Benefit Expns	$43,760,112	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$39,946,401	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,813,711	NetCommunityBenefitExpnsAmt
Total Expense	0.0137	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	43404	PersonsServedCnt
Total Community Benefit Expns	$45,233,267	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$39,979,020	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,319,484	NetCommunityBenefitExpnsAmt
Total Expense	0.0191	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	15	ActivitiesOrProgramsCnt
Persons Served	23443	PersonsServedCnt
Total Community Benefit Expns	$1,009,265	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$299,681	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$709,584	NetCommunityBenefitExpnsAmt
Total Expense	0.0025	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	146	PersonsServedCnt
Total Community Benefit Expns	$34,353	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,525	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,828	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Persons Served	281898	PersonsServedCnt
Total Community Benefit Expns	$45,368,765	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$45,263,292	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$105,473	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	5026	PersonsServedCnt
Total Community Benefit Expns	$35,213	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$100	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,113	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	30	ActivitiesOrProgramsCnt
Persons Served	310513	PersonsServedCnt
Total Community Benefit Expns	$46,447,596	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$45,566,598	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$880,998	NetCommunityBenefitExpnsAmt
Total Expense	0.0031	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	30	ActivitiesOrProgramsCnt
Persons Served	353917	PersonsServedCnt
Total Community Benefit Expns	$91,680,863	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$85,545,618	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,200,482	NetCommunityBenefitExpnsAmt
Total Expense	0.0222	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$213,695	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$162,721	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$50,974	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$156,113	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$120,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,113	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$9,312	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,312	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$291,460	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$271,460	NetCommunityBenefitExpnsAmt
Total Expense	0.001	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	1560	PersonsServedCnt
Total Community Benefit Expns	$105,805	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$105,805	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	1560	PersonsServedCnt
Total Community Benefit Expns	$776,385	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$302,721	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$473,664	NetCommunityBenefitExpnsAmt
Total Expense	0.0017	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$19,945,948	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$51,513,310	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$70,089,011	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$18,575,701	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	Ivy Street Development Corp	BusinessNameLine1

Field	Value	IRS element (for citing)
Primary Activities	Collection of Services & Rentals	PrimaryActivitiesTxt
Org Profit Or Ownership	1	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0	PhysiciansProfitOrOwnershipPct

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

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Business Name Line2BusinessName/BusinessNameLine2	Website AddressWebsiteAddressTxt	Emergency Room OtherEmergencyRoomOtherInd	OtherOtherDesc
Arnot Ogden Medical Center
1	600 Roe Avenue	Elmira	NY	14905	Yes (X)	Yes (X)	Yes (X)
Arnot Ogden Medical Center
2	600 Fitch Street	Elmira	NY	14905				Health Center for Women	www.aomc.org	Yes (X)	Hospital Extension Clinic - Diagnostic Radiology
Arnot Ogden Medical Center
3	100 John Rommelt Drive	Horseheads	NY	14845				Horseheads Campus		Yes (X)	Clinical Laboratory Service & Radiology Diagnostic Outpatient.
Arnot Ogden Medical Center
4	8 West Pultney Street	Corning	NY	14830				Dialysis Center		Yes (X)	Hospital Extension Clinic providing Outpatient Hemodialysis services

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (4 entries)

FacilityFacilityNum	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Information GapsInformationGapsInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Rpt Available Upon RequestRptAvailableUponRequestInd	Adopt Implementation StrategyAdoptImplementationStrategyInd	Exec Implementation StrategyExecImplementationStrategyInd	Develop Community Wide PlanDevelopCommunityWidePlanInd	Exec Community Wide PlanExecCommunityWidePlanInd	Include Operational PlanIncludeOperationalPlanInd	Adopt BudgetAdoptBudgetInd	Prioritize Health NeedsPrioritizeHealthNeedsInd	Prioritize ServicesPrioritizeServicesInd	All Needs AddressedAllNeedsAddressedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareInd	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Explained BasisExplainedBasisInd	Income LevelIncomeLevelInd	Uninsured DiscountUninsuredDiscountInd	State RegulationStateRegulationInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	Posted On WebsitePostedOnWebsiteInd	Posted In Admission OfficePostedInAdmissionOfficeInd	Available On RequestAvailableOnRequestInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit Report To Credit AgencyPermitReportToCreditAgencyInd	Permit LawsuitPermitLawsuitInd	Permit Lien On ResidencePermitLienOnResidenceInd	Collection ActivitiesCollectionActivitiesInd	Reporting To Credit AgencyReportingToCreditAgencyInd	LawsuitLawsuitInd	Liens On ResidencesLiensOnResidencesInd	FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd	FAP Notified All PatientsFAPNotifiedAllPatientsInd	Documented Elig DeterminationDocumentedEligDeterminationInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Medicare RatesMedicareRatesInd	Other Method UsedOtherMethodUsedInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Business Name Line2HospitalFacilityName/BusinessNameLine2	Attached To InvoiceAttachedToInvoiceInd	Provided On AdmissionProvidedOnAdmissionInd	Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd	Other Needs AddressedOtherNeedsAddressedInd
Arnot Ogden Medical Center
1	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	12	Yes (1)	0	Yes (1)	Yes (X)	www.aomc.org	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	0	Yes (1)	Yes (1)	100	Yes (1)	400	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	0	Yes (1)
Arnot Ogden Medical Center
2	0																											Yes (1)	Yes (1)	400	Yes (1)		Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	0	Yes (1)	Health Center for Women	Yes (X)	Yes (X)
Arnot Ogden Medical Center
3	0																											Yes (1)	Yes (1)		Yes (1)	400	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)		Yes (X)	0	Yes (1)	Horseheads Campus	Yes (X)	Yes (X)
Arnot Ogden Medical Center
4	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (X)		09	Yes (1)	Yes (1)	Yes (1)	Yes (X)	www.aomc.org	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	0	Yes (1)	Yes (1)		Yes (1)	400	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)		Yes (X)	0	Yes (1)	Dialysis Center	Yes (X)	Yes (X)	Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3-Arnot Ogden Medical Center	Arnot Health works collaboratively with the Chemung County Health Department, Chemung Valley Rural Health Network, Cornell Cooperative Extension, other area hospitals, faith based organization, and community partners to assess public health needs within the community. Programs to prevent obesity and diabetes, such as a free 6 week community walking program called Step It Up, are planned, implemented and evaluated in partnership. Pre and post program health screening data is shared between agencies and outreach efforts are coordinated to maximize reach and community health impact. Example 2 Arnot Health has a leadership role in the NYSDOH grant-funded Creating Healthy Places to Live, Work and Play partnership. This diverse collaborative of over 30 community partners across public, private and non profit sectors is working together to plan, implement and evaluate environmental, policy and systems changes to promote physical activity and nutrition. The Creating Healthy Places partnerships goal is to prevent obesity and diabetes through rehabilitating Elmira parks and playgrounds, increasing safe access to open public places for physical activity, building community gardens to increase access to fresh fruits and vegetables and working with local restaurants to offer healthier options on their menus.
Schedule H, Part V, Section B, Line 3-Arnot Ogden Medical Center	Arnot Health participated in and completed a comprehensive year long Community Health Needs Assessment, CHNA in Chemung and Steuben Counties with partners such as, The Chemung County Health Department, Steuben County Public Health, other hospitals and healthcare agencies in Chemung, Steuben, and Schuyler Counties, a diverse collaborative of community partners and community residents. The year long process of Assessing Community Health Needs was facilitated by a consultant contracted by Chemung County Health Department and technical assistance from the S2AY Rural Health Network in Steuben County. Arnot Health, in partnership with the dual county collaborative network, used the MAPP process Mobilizing for Action through Planning and Partnership, to collect and analyze data from a variety of sources. Valuable input was gained from community focus groups and surveying Chemung and Steuben County residents about their current health, and opinions on county wide health challenges. Areas of disparity were also assessed within each county. Details of the CHNA process, needs identification and priorities selection can be found on pages 16 to 43 in Arnot Healths Community Service Plan at, www.arnothealth.org.
Schedule H, Part V, Section B, Line 4-Arnot Ogden Medical Center	The community Service Plan explains in detail the involvement of member of the community in determining and identifying community needs. St. Josephs Hospital in Elmira, NY and Ira Davenport Memorial Hospital in Bath, NY were included in the Community Service Plan is available on our website, www.aomc.org.
Schedule H, Part V, Section B, Line 5-Arnot Ogden Medical Center	In addition to Arnot Healths website, the healthcare system uses a variety of methods to disseminate the Community Service Plan, information about community health programs and the availability of financial assistance to the public. Some of these methods include, presentations at Arnot Healths Community Health Department provides education about the healthcare systems Community Service Plan and community outreach strategies to address public health priorities through presentations at community events, regional and state conferences, to Arnot Healths department managers and the healthcare systems joint Board of Directors. Local Media Outlets Arnot Health works with a variety of local media outlets to disseminate information about community outreach programs and services, and disseminate information about community outreach and services, and continually assess the effectiveness of each of those outlets. Historically, regional newspapers have proven an effective way to provide timely information to the public, based on consumer feedback at programs and events. Other methods include television, radio, phone banking, direct mail and other community publications. Health on Demand Call Center: The public may call the Health on Demand Call Center to receive a copy of the Community Service Reports and all updates Insight Newsletter: Information about accessing Arnot Healths Community Service Plan and request for community input will be published annually in Insight, a monthly publication for employees, retirees and volunteers of the Arnot Health System. Recent Insight Newsletters featured articles that illustrate the healthcare systems mission to provide quality preventative healthcare through community outreach and ongoing assessment of public health needs. Targeted Mailings Arnot Ogden Medical Center used targeted mailing to disseminate the Community Service Plan in past years. Moving forward, Arnot Health will identity ways to effectively communicate with residents in the service area to solicit input and provide an update to the plan of action.
Schedule H, Part V, Section B, Line 6-Arnot Ogden Medical Center	Arnot Ogden Medical Centers Physical activity and nutrition as it related to disease prevention Tobacco use as it related to chronic disease, Access to quality healthcare, Chronic disease, Tobacco use. Goals and measures are Arnot Ogden Medical Center Priority, Physical Activity and Nutrition as it relates to disease prevention Objectives. Raise awareness of the importance of physical activity and nutrition in regard to disease prevention, and increase awareness of opportunities for physical activity. Promote healthy food choices. Facilitate weight loss. Reduce incidence of chronic disease. Reduce the risk of complications from preexisting health conditions. Goals, By the year 2013, reduce the percentage of overweight and obese adults over age 18 to no more than 15 percent. Increase the number of Chemung County residents who are physically active by offering interactive programs and educational events that focus on disease prevention through exercise and healthy good choices. Continue to collaborate with Chemung County Health Department, hospitals, other healthcare agencies and community partners to create environmental policy and systems changes to promote physical activity and the consumption of fresh fruits and vegetables. Priority, Tobacco Cessation as it relates to chronic disease Objectives, Discourage tobacco use. Raise awareness of tobacco cessation resources. Promote understanding of how tobacco relates to chronic disease. Goals are to Maintain collaborations with Arnot Ogden Medical Center Tobacco Cessation Center and Southern Tier Tobacco Awareness Community Partnership to promote healthy behaviors and discourage tobacco use. By the year 2013, reduce the prevalence of smoothing in adults to no more than 12 percent. Priority access to quality Healthcare Objectives are Increase access to care for medically underserved populations. Improve continuity of care across the care continuum. Goals are increase access to preventative health programs to decrease incidence of chronic disease. Provide disease management tools to promote management of chronic disease and reduce risk of complications from chronic disease. Reduce emergency room utilization through intensive case management based on the Medical Home Model to increase services, reduce cost and make connections to other community services based on individual need. Arnot Ogden Medical Center, St. Josephs Hospital, and Ira Davenport Memorial Hospital uses several strategies to track and measure progress in Arnot Healths selected priority areas. Measures of effectiveness include State and County indicators for Tracking Public Health Priority Areas. New York State Prevention Quality Indicators, PQI, New York State Department of Healths Prevention Agenda for Healthiest State. Healthy People 2020 Chemung, Steuben and Schuyler County Health Assessments, Chemung County Community Health Assessment Report Card 2010 to 2013, Data form Health on Demand Regional Call Center, Number of community outreach events and preventative health screenings, Number of participants in programs that promote physical activity and nutrition, number of participants with improved health outcomes such as blood glucose, blood pressure, BMI, body fat and diabetes risk indicators as a result of programs that promote physical activity and nutrition, Program analysis and evaluation materials, Chemung Countys Suicide Mortality Rate, Chemung County Crisis Service Hotline Telephone Calls, Number of individuals who have receive Suicide Prevention Training Programs.
Schedule H, Part V, Section B, Line 20-Arnot Ogden Medical Center	Participants in the Medicare System are required to charge all patients the same amount for services regardless of insurance per the Medicare Participation Guidelines.
Schedule H, Part V, Section B, Line 20-Arnot Ogden Medical Center	Participants in the Medicare System are required to charge all patients the same amount for services regardless of insurance per the Medicare Participation Guidelines.
Schedule H, Part V, Section B, Line 20-Arnot Ogden Medical Center	Participants in the Medicare System are required to charge all patients the same amount for services regardless of insurance per the Medicare Participation Guidelines.
Schedule H, Part V, Section B, Line 20-Arnot Ogden Medical Center	Participants in the Medicare System are required to charge all patients the same amount for services regardless of insurance per the Medicare Participation Guidelines.
Schedule H, Part V, Section B, Line 22-Arnot Ogden Medical Center	Participants in the Medicare System are required to charge all patients the same amount for services regardless of insurance per the Medicare Participation Guidelines.
Schedule H, Part V, Section B, Line 22-Arnot Ogden Medical Center	Participants in the Medicare System are required to charge all patients the same amount for services regardless of insurance per the Medicare Participation Guidelines.
Schedule H, Part V, Section B, Line 22-Arnot Ogden Medical Center	Participants in the Medicare System are required to charge all patients the same amount for services regardless of insurance per the Medicare Participation Guidelines.
Schedule H, Part V, Section B, Line 22-Arnot Ogden Medical Center	Participants in the Medicare System are required to charge all patients the same amount for services regardless of insurance per the Medicare Participation Guidelines.

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7	Arnot Ogden Medical Center uses a Cost to Charges ratio to calculate the Financial Assistance and Community Benefit Section. The medical Center offers a variety of services to the community it serves as part of an integrated delivery system. It is necessary to financially subsidize some of these services as the revenue generated does not cover the cost of providing the services.
Schedule H, Part II	Arnot Health, in collaboration with partners from HP2and SHPT, developed broad based plans to address chronic disease as a public health priority, focusing on reducing obesity and tobacco use. Community Health Improvement Plans CHIP from both counties place emphasis on three key areas 1 health promotion activities to encourage healthy living and limit the onset of chronic diseases 2 early detection opportunities that include screening populations at risk and 3 successful management strategies for existing diseases and related complications. These strategies, recommended by the Health Impact Pyramid, are based on the interventions evidenced base potential to address health inequities, the ability to measure success and potential reach, potential for broad partner support and collaboration, and political feasibility. This method is based on findings from such organizations as the Institute of Medicine of the National Academies and their report, Accelerating Progress in Obesity Prevention, Solving the Weight of the Nation or the CDCs, Recommended Community Strategies and Measurements to Prevent Obesity in the United States. For each focus area under the selected Prevention Agenda, Prevent Chronic Disease priority, Chemung and Steuben County Partnerships identified objectives and goals that include improvement strategies and performance measures with measurable and time framed targets over the next five years. The proposed chronic disease prevention strategies are evidence based or promising practices. They include activities currently underway by partners and new strategies to be implemented. All proposed strategies in Chemung and Steuben Counties are supported by the HP2 and SHPT partnerships. Chronic disease prevention strategies will be implemented in multiple sectors, including at local schools, worksites, businesses, community organizations, and with providers, to make it easier for residents to make healthy choices. By planning and implementing strategies from many levels of the Health Impact Pyramid, and through our network of diverse partnerships, we can create an environment that is conducive to physical activity, good nutrition and tobacco cessation. The Chemung and Steuben County partnerships have included many suggested activities from the States Prevent Chronic Disease Plan that will encourage increased physical activity, better nutrition and tobacco cessation strategies that aim toward reducing and preventing the incidence of chronic disease in Chemung and Steuben Counties. Some of these interventions include environmental, policy and systems changes to create communities that support physical activity, improved nutrition and breastfeeding, and tobacco cessation. Chemung County will continue its work through the Creating Healthy Places to Live, Work and Play grant and improve parks and playgrounds, establish community gardens to improve access to fresh fruits and vegetables, and work with local restaurant partners to make eating out healthier. Steuben County will continue to work with the cross county Southern Tier Tobacco Awareness Community Partnership, STTAC to establish tobacco free policies and urge members of the Regional Economic Development Council to consider health in their projects. Both counties plan to pursue joint use agreements with local school districts. Promote breast feeding policies at worksites, and create resource guides that promote the counties many opportunities for physical activity and healthy foods, including local farmers markets, parks and hiking trails. Other strategies include the clinical and community solutions such as provider 51 referrals to Diabetes Prevention Programs, Chronic Disease Self Management Programs and Tobacco Cessation Education. One exciting aspect of the CHIP is the unlimited possibilities offered by technological advances. Arnot Health and other local providers are beginning to implement Electronic Health Records, EHR. When fully functional, the benefits of EHRs will include improved quality and convenience of patient care, accuracy of diagnoses, enhanced care coordination, increased patient participation in their care, improved health outcomes and increased practice efficiencies and cost savings. EHRs will give providers decision support tools and available resources to better prevent and manage chronic disease. Arnot Health is currently working towards consolidating existing technologies within the healthcare system, with the objective of getting everyone on the same system organization wide. Consolidating technology within the healthcare system will improve communication among care providers, and between patients with their providers, enhance patient care coordination, improve chronic disease management and health outcomes. Arnot Health is increasing its focus on population health management and working towards increasing the systems abilities and competencies related to population health management. Areas of focus include realigning our health care delivery system to be more patient and ambulatory centric; increasing patient engagement with primary care providers using PCMH as a model; improving care coordination; and improving the management of chronic disease. Successful consolidation of IT systems will, contribute towards the integration and interoperability of data, and data exchange among care providers. Create robust and functional analytics which can identify higher risk patients to better manage chronic disease and improve health outcomes. Equip providers with the competencies needed to manage health care in a more predictive and less reactive way. Reduce preventable utilization of higher cost health care services such as emergency room or inpatient settings. Chemung and Steuben Counties Community Health Improvement Plans propose training primary care providers to talk to their patients about their weight, physical activity, diet and tobacco use and offering professional training opportunities which include programs on prevention, screening, diagnosis and treatment of overweight, obesity and diabetes. Residents and medical students will benefit from this training through the healthcare systems graduate medical education program. Arnot Healths graduate medical education program is offered in partnership with Lake Erie College of Osteopathic Medicine, LECOM. Another CHIP strategy is to investigate the possibility of incorporating referrals to community resources to prevent or manage chronic disease through a link in EHR. Through the use of new technology, follow up calls can be made to check on patient compliance, and provide the opportunity to document and measure the effectiveness of healthcare interventions. 52 Arnot Healths service area includes two Medically Underserved Areas, MUA. Elmiras Census Tract 0007.00 in Chemung County and Troupsburg and Tuscarora Town Service Area in Steuben County. Poor access to care is associated with a higher incidence of chronic disease, poorly managed chronic disease and an increased incidence of preventable hospitalizations. In both counties, the ratio of residents to primary care providers exceeds the NYS average. Arnot Health, through its Arnot Medical Services provider practice group, continues to aggressively recruit providers for the counties most underserved areas, and expand its graduate medical program to help meet identified needs within the MUAs. As Arnot Health works in partnership with Chemung Countys HP2 and Steuben Counties SHPT to implement the CHIPs, we will continue to identify emerging best practices to reduce obesity and tobacco use. Data measures will be developed to assess the effectiveness of our plans in impacting the communitys health, and set mid-course corrections where needed. Promising cases for return on investment will be shared with policymakers. The specifics of Chemung and Steuben Counties Community Health Improvement Plans are outlined in the following CHIP charts. Strategies, goals, objectives, improvement strategies, performance measures with measurable time-framed targets over a three year period are included in the CHIP charts.
Schedule H, Part III, Section A, Line 4	The Organizations allowance for doubtful accounts increase from 11.1 percent of gross accounts receivable at December 31, 2012 to 11.4 percent of gross accounts receivable at December 31, 2013. In addition, the Organizations bad debt write offs increased approximately 1,600,000 from approximately 25,300,000 for fiscal year ended 2012 to approximately 26,900,000 for fiscal year end 2013. The increase in write offs was to account for negative trends experienced in the collection of amount from self pay patients in fiscal year 2013. The Organization has not changed its charity care or uninsured discount policies during fiscal year 2013. The Organization does not maintain a material allowance for doubtful accounts form third party payers, now did it have significant write offs from third part payers.
Schedule H, Part III, Section B, Line 8	The Medical Center provides Emergency, Stroke, Cardiac, Dialysis, Wound Care, Hyperbaric and other services that help prevent loss of life and extensive severity due to prompt treatment which benefits the community.
Schedule H, Part III, Section C, Line 9b	Self pay collection staff reviews any prior accounts to check for commercial insurance or Medicaid that may need to be applied to current self pay accounts. These accounts are reviewed using the self pay worklist. If insurance is located, self pay collector must verify eligibility for the date of service. The Self pay staff will change the health plan to the correct one for all covered dates of service and ARNOT Billing will submit claim or claims. If no insurance is located, confirm if a patient may have qualified for Medicaid. If Medicaid coverage is approved self pay staff will change the health plan to Medicaid for all covered dates of service and follow correct billing process. Self Pay Collections Staff attempts to collect full balance due by check or credit card. If they are unable to make the full payment, Self pay staff will attempt to make payment arrangements and to notify patient about the Arnot Ogden Medical Center Community Care Program. If the patient wants to apply for the community care program, the patient will be sent an application for the community care program and will be informed of documentation they will need to submit with the application. The Self Pay Collectors documents all activity in Soarian, and enters any necessary hold to support resolution. Self pay collections staff enters the payment plan and documents comments in Soarian. Payment plan statement is demanded and sent to the patient. If patient does not enter into a payment plan agreement, or fails to pay as agreed, account will go through the standard dunning and collection agency activity. See Guarantor Billing and Collections.
Schedule H, Part VI, Line 2	Arnot Health, in collaboration with partners from HP2and SHPT, developed broad based plans to address chronic disease as a public health priority, focusing on reducing obesity and tobacco use. Community Health Improvement Plans CHIP from both counties place emphasis on three key areas 1 health promotion activities to encourage healthy living and limit the onset of chronic diseases 2 early detection opportunities that include screening populations at risk and 3 successful management strategies for existing diseases and related complications. These strategies, recommended by the Health Impact Pyramid, are based on the interventions evidenced base potential to address health inequities, the ability to measure success and potential reach, potential for broad partner support and collaboration, and political feasibility. This method is based on findings from such organizations as the Institute of Medicine of the National Academies and their report, Accelerating Progress in Obesity Prevention, Solving the Weight of the Nation or the CDCs, Recommended Community Strategies and Measurements to Prevent Obesity in the United States. For each focus area under the selected Prevention Agenda, Prevent Chronic Disease priority, Chemung and Steuben County Partnerships identified objectives and goals that include improvement strategies and performance measures with measurable and time framed targets over the next five years. The proposed chronic disease prevention strategies are evidence based or promising practices. They include activities currently underway by partners and new strategies to be implemented. All proposed strategies in Chemung and Steuben Counties are supported by the HP2 and SHPT partnerships. Chronic disease prevention strategies will be implemented in multiple sectors, including at local schools, worksites, businesses, community organizations, and with providers, to make it easier for residents to make healthy choices. By planning and implementing strategies from many levels of the Health Impact Pyramid, and through our network of diverse partnerships, we can create an environment that is conducive to physical activity, good nutrition and tobacco cessation. The Chemung and Steuben County partnerships have included many suggested activities from the States Prevent Chronic Disease Plan that will encourage increased physical activity, better nutrition and tobacco cessation strategies that aim toward reducing and preventing the incidence of chronic disease in Chemung and Steuben Counties. Some of these interventions include environmental, policy and systems changes to create communities that support physical activity, improved nutrition and breastfeeding, and tobacco cessation. Chemung County will continue its work through the Creating Healthy Places to Live, Work and Play grant and improve parks and playgrounds, establish community gardens to improve access to fresh fruits and vegetables, and work with local restaurant partners to make eating out healthier. Steuben County will continue to work with the cross county Southern Tier Tobacco Awareness Community Partnership, STTAC to establish tobacco free policies and urge members of the Regional Economic Development Council to consider health in their projects. Both counties plan to pursue joint use agreements with local school districts. Promote breast feeding policies at worksites, and create resource guides that promote the counties many opportunities for physical activity and healthy foods, including local farmers markets, parks and hiking trails. Other strategies include the clinical and community solutions such as provider 51 referrals to Diabetes Prevention Programs, Chronic Disease Self Management Programs and Tobacco Cessation Education. One exciting aspect of the CHIP is the unlimited possibilities offered by technological advances. Arnot Health and other local providers are beginning to implement Electronic Health Records, EHR. When fully functional, the benefits of EHRs will include improved quality and convenience of patient care, accuracy of diagnoses, enhanced care coordination, increased patient participation in their care, improved health outcomes and increased practice efficiencies and cost savings. EHRs will give providers decision support tools and available resources to better prevent and manage chronic disease. Arnot Health is currently working towards consolidating existing technologies within the healthcare system, with the objective of getting everyone on the same system organization wide. Consolidating technology within the healthcare system will improve communication among care providers, and between patients with their providers, enhance patient care coordination, improve chronic disease management and health outcomes. Arnot Health is increasing its focus on population health management and working towards increasing the systems abilities and competencies related to population health management. Areas of focus include realigning our health care delivery system to be more patient and ambulatory centric; increasing patient engagement with primary care providers using PCMH as a model; improving care coordination; and improving the management of chronic disease. Successful consolidation of IT systems will, contribute towards the integration and interoperability of data, and data exchange among care providers. Create robust and functional analytics which can identify higher risk patients to better manage chronic disease and improve health outcomes. Equip providers with the competencies needed to manage health care in a more predictive and less reactive way. Reduce preventable utilization of higher cost health care services such as emergency room or inpatient settings. Chemung and Steuben Counties Community Health Improvement Plans propose training primary care providers to talk to their patients about their weight, physical activity, diet and tobacco use and offering professional training opportunities which include programs on prevention, screening, diagnosis and treatment of overweight, obesity and diabetes. Residents and medical students will benefit from this training through the healthcare systems graduate medical education program. Arnot Healths graduate medical education program is offered in partnership with Lake Erie College of Osteopathic Medicine, LECOM. Another CHIP strategy is to investigate the possibility of incorporating referrals to community resources to prevent or manage chronic disease through a link in EHR. Through the use of new technology, follow up calls can be made to check on patient compliance, and provide the opportunity to document and measure the effectiveness of healthcare interventions. 52 Arnot Healths service area includes two Medically Underserved Areas, MUA. Elmiras Census Tract 0007.00 in Chemung County and Troupsburg and Tuscarora Town Service Area in Steuben County. Poor access to care is associated with a higher incidence of chronic disease, poorly managed chronic disease and an increased incidence of preventable hospitalizations. In both counties, the ratio of residents to primary care providers exceeds the NYS average. Arnot Health, through its Arnot Medical Services provider practice group, continues to aggressively recruit providers for the counties most underserved areas, and expand its graduate medical program to help meet identified needs within the MUAs. As Arnot Health works in partnership with Chemung Countys HP2 and Steuben Counties SHPT to implement the CHIPs, we will continue to identify emerging best practices to reduce obesity and tobacco use. Data measures will be developed to assess the effectiveness of our plans in impacting the communitys health, and set mid-course corrections where needed. Promising cases for return on investment will be shared with policymakers. The specifics of Chemung and Steuben Counties Community Health Improvement Plans are outlined in the following CHIP charts. Strategies, goals, objectives, improvement strategies, performance measures with measurable time-framed targets over a three year period are included in the CHIP charts.
Schedule H, Part VI, Line 3	The Arnot Ogden Medical Center communicates our Community Care Program in the following ways: Signage in waiting rooms, Brochures in waiting rooms and Admission packages, Notations on billing notices, Staff education so they can share availability of program and contact information with patients. Communication and education of shared County Dept of Social Services staff so they are informed of the program details and contact information. Communication of programs with Collection Agencies and collection attorneys so they can share the availability of the program and contact information with prospective enrollees. The information is also posted on our website, www.aomc.org.
Schedule H, Part VI, Line 4	Arnot Health participated in a comprehensive year-long process to assess community needs across county lines with partners such as: The Chemung County Health Department; Steuben County Public Health; other hospitals and healthcare agencies in Chemung, Steuben, and Schuyler Counties; a diverse collaborative of community partners and community residents. The year-long process of Assessing Community Health Needs was facilitated by a consultant contracted by Chemung County Health Department and technical assistance from the S2AY Rural Health Network in Steuben County. Arnot Health, in partnership with the dual-county collaborative network, used the MAPP process (Mobilizing for Action through Planning and Partnership), to collect and analyze data from a variety of sources. Valuable input was gained from surveying Chemung and Steuben County residents about their current health, and opinions on county-wide health challenges. Areas of disparity were also assessed within each county. Findings from the Community Health Assessment (CHA) identified some overlapping areas of public health concerns and disparities in Chemung and Steuben Counties: Chemung County Priority: Prevent Chronic Disease. 1. Focus area-Reduce obesity in children and adults. 2. Focus area-Reduce illness, disability, and death related to tobacco use and secondhand smoke exposure. Disparity-Reduce percentage of lower income individuals who smoke, including those with mental health and substance abuse issues. Steuben County Priority: Prevent Chronic Disease. 1. Focus area-Reduce obesity in children and adults. 2. Focus area-Reduce illness, disability, and death related to heart disease and hypertension. Disparity-Promote tobacco cessation, especially among low socioeconomic populations and those with mental health illness.
Schedule H, Part VI, Line 5	Arnot Health works collaboratively with the Chemung County Health Department, Chemung Valley Rural Health Network, Cornell Cooperative Extension, other area hospitals, faith based organizations, and community partners to assess public health needs within the community. Programs to prevent obesity and diabetes, such as a free 6 week community walking program called Step It Up, are planned, implemented and evaluated in partnership. Pre and post program health screening data is shared between agencies, and outreach efforts are coordinated to maximize reach and community health impact. Arnot Health has a leadership role in the NYSDOH grant funded Creating Healthy Places to Live, Work, and Play partnership. This diverse collaborative of over 30 community partners across public, private, and non profit sectors is working together to plan, implement and evaluate environmental, policy and systems changes to promote physical activity and nutrition. The Creating Healthy Places partnerships goal is to prevent obesity and diabetes through rehabilitating Elmira parks and playgrounds, increasing safe access to open public places for physical activity, building community gardens to increase access to fresh fruits and vegetables and working with local restaurants to offer healthier options on their menus.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
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 (43 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
Michael Hosey
Chairman of the Board	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Joseph P Manning
Vice Chairman	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
John R Alexander JD
Secretary	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Daniel J Burke
Board Member	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Francisco Corbalan MD
Board Member	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
David Dalrymple
Board Member	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Christine M Deschamps
Board Member	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
S Jan Eberhard MD
Board Member	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
John T Gough
Board Member	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Mark J Hagan
Board Member	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Roy A Kyles
Board Member	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Ben E Lynch
Board Member	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Robert McNamara
Board Member	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Mary Louise Mitchell SR
Board Member	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
John F O'Mara JD
Board Member	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Donald Quick CPA
Board Member	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Patrick J Rogers
Board Member	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Melinda Sartori
Board Member	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Roger Schenone DO
Board Member	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Gregory Schultz MD
Board Member/President Medical Staff	$323,077	$0	$24,918	$0	$0	$0	$9,861	$0	$2,638	$0	$360,494	$0	$0	$0
Margaret B Streeter
Board Member	$162,889	$0	$9,913	$0	$0	$0	$15,540	$0	$22,744	$0	$211,086	$0	$0	$0
Robert Lambert MD
President Arnot Health	$425,000	$0	$44,681	$0	$0	$0	$17,654	$0	$23,802	$0	$511,137	$0	$0	$0
Ronald J Kintz DHA
Senior VP/CFO	$314,321	$0	$51,060	$0	$0	$0	$22,731	$0	$23,802	$0	$411,914	$0	$0	$0
Anthony Cooper
System President/CEO	$456,932	$0	$178,361	$0	$0	$0	$23,581	$0	$22,819	$0	$681,693	$0	$0	$0
H Fred Farley PhD
President COO	$334,900	$0	$53,574	$0	$0	$0	$23,831	$0	$23,804	$0	$436,109	$0	$0	$0
William Huffner MD
SVP Chief Medical Officer	$364,893	$0	$25,073	$0	$0	$0	$12,750	$0	$2,436	$0	$405,152	$0	$0	$0
Wesley Blauvelt
SVP Planning	$211,894	$0	$21,677	$0	$0	$0	$19,169	$0	$19,717	$0	$272,457	$0	$0	$0
Brian Forrest
VP Human Resources	$145,893	$0	$3,500	$0	$0	$0	$10,103	$0	$21,670	$0	$181,166	$0	$0	$0
Debra Martin
VP Operations	$160,618	$0	$13,321	$0	$0	$0	$14,608	$0	$9,927	$0	$198,474	$0	$0	$0
Gregg Martin
Chief Information Officer	$149,762	$0	$15,469	$0	$0	$0	$14,064	$0	$22,604	$0	$201,899	$0	$0	$0
Kathy Hale
VP Quality Mgmt CQO	$111,593	$0	$7,889	$0	$0	$0	$4,432	$0	$16,829	$0	$140,743	$0	$0	$0
Richard Hoffman
VP Operations	$114,750	$0	$4,633	$0	$0	$0	$11,245	$0	$22,715	$0	$153,343	$0	$0	$0
Marc Rustici
VP Finance	$147,620	$0	$15,426	$0	$0	$0	$12,624	$0	$22,583	$0	$198,253	$0	$0	$0
Joseph Braunschiedel
VP Operations	$160,638	$0	$12,819	$0	$0	$0	$6,831	$0	$22,719	$0	$203,007	$0	$0	$0
Mark Dworsky
VP Process Enhancement	$150,822	$0	$5,562	$0	$0	$0	$5,953	$0	$22,532	$0	$184,869	$0	$0	$0
Mary Vosburgh
Chief Nursing Officer	$157,872	$0	$7,144	$0	$0	$0	$6,305	$0	$20,464	$0	$191,785	$0	$0	$0
Kimberly Panosian
AMS Medical Director	$201,573	$0	$22,773	$0	$0	$0	$7,825	$0	$20,891	$0	$253,062	$0	$0	$0
James Watson
Chief Operating Officer IDMH	$202,823	$0	$18,238	$0	$0	$0	$8,261	$0	$1,966	$0	$231,288	$0	$0	$0
Vidyasagar Mokureddy
Pain Mgmt Physician	$900,627	$0	$379,820	$0	$0	$0	$9,862	$0	$20,275	$0	$1,310,584	$0	$0	$0
William DeLuccia
Cardiologist	$731,879	$0	$0	$0	$0	$0	$9,861	$0	$23,756	$0	$765,496	$0	$0	$0
Paul Tinsley
ENT Physician	$624,267	$0	$344,317	$0	$0	$0	$0	$0	$31,436	$0	$1,000,020	$0	$0	$0
Timothy Minton
ENT Physician	$516,364	$0	$244,381	$0	$0	$0	$0	$0	$31,436	$0	$792,181	$0	$0	$0
Matthew Brand
Orthopedic Surgeon	$751,698	$0	$2,500	$0	$0	$0	$0	$0	$34,574	$0	$788,772	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule J, Part I, Line 1a

Schedule J, Part 1, Line 1A The CEO and COO have their dues paid at the Elmira Country Club. The personal use portion is reported under taxable income.

Schedule J, Part I, Line 3

Compensation for the President and Vice Presidents are set pursuant to a policy and compensation philosophy adopted by the Board of Directors. The Board has a Compensation Committee consisting of outside directors. The Compensation Committee uses a consultant to advise it on compensation for the officers. The consultant collects and reports compensation on similar positions in similar nonprofit hospitals from upstate New York and Western Pennsylvania. The Compensation Committee recommends adjustments to the Executive Committee of the Board which reviews the recommendations and approves or disapproves without employees in the room. This action then is reviewed with the entire Board also in executive session.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Chemung County Industrial Developmental Agency
A	166209017	000164019	2004-03-10	$19,912,903	Series A Construction Bond	0	0	0
Chemung County Industrial Developmental Agency
B	166209017	000164019	2004-03-10	$16,959,701	Series B Facility Renovation	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$3,000,000	$0	$19,912,203	$1,317,663	$0	$0	$419,500	$0	$1,802,477	$16,377,225	$0	$0	2006	0	0	Yes (1)	Yes (1)
B	$7,376,846	$0	$16,959,701	$1,042,483	$4,561,742	$0	$328,213	$0	$0	$10,287,552	$0	$0	2005	0	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	Yes (1)	0	Yes (1)
B	0	0	0	0	0	Yes (1)	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd
A	Yes (1)	0	0	0	0	Yes (1)
B	0	0	0	0	0	Yes (1)	0	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Header, Line B	There is an error on the Top Five High Paid for 2013. There are three individuals that will be removed and replaced with the correct three on the 990 and Schedule J.
Form 990, Part III, Line 3	The Skilled Nursing Unit at Arnot Ogden Medical Center was moved to our affiliate organization, St. Joseph's Hospital also in Elmira, NY.
Form 990, Part VI, Section A, Line 2	Form 990, Part VI, Section A, Line 2 - Key employees Deborah Martin and Gregg Martin are brother and sister.
Form 990, Part VI, Section B, Line 11b	Upon completion of the Form 990 it is reviewed by the Medical Center's Senior Vice President of Finance and then made available to the Audit and Finance Committees of the Board of Directors. The return sent to all Board Members for review and questions.
Form 990, Part VI, Section B, Line 12c	All members of the Board of Directors, Officers and Management employees are required annually to file a Disclosure Statement setting forth any respect in which such a person, or any person associated with such person, has or may have any interest in a transaction in which there may be, or appear to be, a conflict between the interests of such person and the Arnot Ogden Medical Center. An Associate included (1) a spouse, a descendant or an ancestor, or a spouse of a descendant or ancestor; (2) an organization in which the person or an associate is a partner or employee, or such person or an associate owns a more that 10% beneficial interest; (3) a trust in which such a person is a trustee, or such person or an associate holds a more than 10% beneficial interest; and (4) a corporation in which such person or an associate is an officer or director or employee, or such person or an associate is an owner of more that 10% of any class of securities.
Form 990, Part VI, Section B, Line 15	Compensation for the President and Vice Presidents are set pursuant to a policy and compensation philosophy adopted by the Board of Directors. The Board has a Compensation Committee consisting of outside directors. The Compensation Committee uses a consultant to advise it on compensation for the officers. The consultant collects and reports compensation on similar positions in similar nonprofit hospitals from upstate New York and Western Pennsylvania. The Compensation Committee recommends adjustments to the Executive Committee of the Board which reviews the recommendations and approves or disapproves without employees in the room. This action then is reviewed with the entire Board also in executive session.
Form 990, Part VI, Section C, Line 19	Upon request the 990 Form is made available to the public and also via www.guidestar.com. Financial Statements are posted to the Electronic Municipal Market Access website.
Form 990, Part XI, Line 9	Donations for Capital Funding $747,467, Pension Charge to Equity, $24,537,585, Transfer of Affiliated Hospital Assets $8,437,987, Net Assets Related from Restriction $(146,880), Net Realized Gains on Temp Restricted Investment Funds $374,528, Donations to Permanently Restricted Endowment Funds $9,000 and repayment of prior year temp restricted scholarship $3,600, Unrestricted Loss of $(7,676,733) and Temp Restricted Loss of $(279,978), totaling $26,006,576 increase in Net Assets.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1	Address Line2USAddress/AddressLine2	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd
Arnot Ogden Medical Center Foundation
Accounting Dept	600 Roe Avenue	Elmira	NY	14905	161109472	Contribution Management	NY	501(c)(3)	11E	N/A	0
Arnot Ogden Medical Center Auxiliary
600 Roe Avenue		Elmira	NY	14905	510192902	Fund Raising	NY	501(c)(3)	11	N/A	0
Ira Davenport Memorial Hospital Inc
Accounting Dept	7571 State Route 54	Bath	NY	14810	160835446	Affiliate	NY	501(c)(3)	11	N/A	0
Keuka Health Care Foundation
Accounting Dept	7571 State Route 54	Bath	NY	14810	161461215	Affiliate	NY	501(c)(3)	11	N/A	0
St Josephs Hospital
Accounting Dept	555 St Josephs Blvd	Elmira	NY	14901	160743163	Affiliate	NY	501(c)(3)	11	N/A	0
St Josephs Hospital Foundation
Accounting Dept	571 St Josephs Blvd	Elmira	NY	14901	161265182	Affiliate	NY	501 (c)	7	N/A	0
Arnot Health
600 Roe Avenue		Elmira	NY	14845	453049405	Guide & Manage Arnot Ogden Medical Center, Ira Davenport Memorial Hospital and St. Joseph's Hosptial	NY	501(c)(3)		N/A	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Fitch Street Associaties	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	600 Ivy Street	AddressLine1
City	Elmira	City
State	NY	State
ZIP Code	14905	ZIPCode

Field	Value	IRS element (for citing)
EIN	161397356	EIN
Primary Activities	Real Estate Rental	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Ivy Street Development Corporation	BusinessNameLine1

Field	Value	IRS element (for citing)
Predominant Income Type	Related	PredominantIncomeTypeTxt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	0	GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Ivy Street Development Corporation	BusinessNameLine1
Business Name Line2	Accounting Department	BusinessNameLine2

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	600 Ivy Street	AddressLine1
City	Elmira	City
State	NY	State
ZIP Code	14905	ZIPCode

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

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	0	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	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt	Business Name Line2OtherOrganizationName/BusinessNameLine2
Arnot Ogden Medical Center Foundation
o	$80,853
Ira Davenport Memorial Hospital Inc
o	$1,989,900	Sharing of AOMC employees with Ira Davenport Memorial Hospital to include Accounting, Patient Registration, Patient Billing, Human Resources, Administration, MIS, Health Information Services, Laundry, Materials Management, Nursing Education, Operating Room, Anesthesiology, Respiratory, Sleep Lab and Lab services.
Keuka Health Care Foundation
o	$80,853	Sharing of AOMC Employees with Keuka Healthcare Foundation to perform Accounting, Administration, and Materials Management services.
St Josephs Hospital
o	$4,148,338	Sharing of AOMC Employees with St. Joseph's Hospital to perform Lab, Cardiovascular, Nuclear Medicine, Radiology, MRI, Respiratory, EEG, Lab, Anesthesiology, GI Lab, Clinical Engineering, Primary Care, Administration, Skilled Nursing Administration, Accounting, Patient Accounting, Credit and Financial Assistance, Purchasing, MIS, Laundry, and Health Information Services.
St Josephs Hospital Foundation
o	$80,853	Sharing of AOMC employees with St. Josephs Foundation to perform Accounting, Administration, and Materials Management.
Ivy Street Development Corporation
k	$655,024	Lease of Building per Agreement.	Accounting Department
St Josephs Hospital
s	$8,437,987	Transfer of Health Services Building to Arnot Ogden Medical Center. This also reduced the Due To/Due From between hospitals.
Arnot Ogden Medical Center Foundation
c	$222,813	Cash Contribution for Capital Equipment Purchase.

Reasonable Cause Explanation ReasonableCauseExplanation

Field	Value	IRS element (for citing)
Explanation	Arnot Ogden Medical Center was requested and was granted a second filing extension to November 15, 2014.	ExplanationTxt