2015-08-06T14:47:24-07:00 2013-12-31 990 2013-01-01 160743905 ARNOT OGDEN MEDICAL CENTER ARNO 6077374235 600 ROE AVENUE ELMIRA NY 14905 Robert Lambert President & CEO 6077374235 2014-10-30 2013 2016-02-25 16:41:14Z X Arnot Ogden Medical Center 600 Roe Avenue Elmira NY 14905 278864882 0 X www.aomc.org X 1889 NY Arnot Ogden Medical Center is a community based hospital with an open emergency room and selected highly specialized services that are part of a high quality health care delivery system that serves Chemung County, NY and the Twin Tier Regions of New York and Pennslyvania. 18 17 2747 531 -322746 -322746 3498007 1542728 256345564 260826432 3041400 4296057 4828667 4480470 267713638 271145687 0 0 0 0 171187900 185779463 0 0 0 91369565 92588890 262557465 278368353 5156173 -7222666 261001988 283599860 115377683 95490586 145624305 188109274 X 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. 0 0 224660659 0 268754647 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. 998022 0 483944 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. 0 0 0 225658681 1 1 1 1 0 1 0 0 1 1 1 0 0 1 1 0 1 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 546 0 1 2747 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 18 17 1 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 NY X X Ronald J Kintz 6077374235 Accounting Department 600 Roe Avenue Elmira NY 14905 Michael Hosey Chairman of the Board 1.8 X 0 0 0 Joseph P Manning Vice Chairman 1.5 X 0 0 0 John R Alexander JD Secretary 1 X 0 0 0 Daniel J Burke Board Member 1 X 0 0 0 Francisco Corbalan MD Board Member 1 X 0 0 0 David Dalrymple Board Member 1 X 0 0 0 Christine M Deschamps Board Member 1 X 0 0 0 S Jan Eberhard MD Board Member 5 X 0 0 0 John T Gough Board Member 1 X 0 0 0 Mark J Hagan Board Member 2 X 0 0 0 Roy A Kyles Board Member 0.7 X 0 0 0 Ben E Lynch Board Member 5.7 X 0 0 0 Robert McNamara Board Member 1 X 0 0 0 Mary Louise Mitchell SR Board Member 3 X 0 0 0 John F O'Mara JD Board Member 1 X 0 0 0 Donald Quick CPA Board Member 1 X 0 0 0 Patrick J Rogers Board Member 2 X 0 0 0 Melinda Sartori Board Member 1 X 0 0 0 Roger Schenone DO Board Member 1 X 347995 0 12500 Gregory Schultz MD Board Member/President Medical Staff 1 X 172802 0 38284 Margaret B Streeter Board Member 1 X 0 0 0 Robert Lambert MD President Arnot Health 53 X 469681 0 41456 Ronald J Kintz DHA Senior VP/CFO 54 X 365381 0 46533 H Fred Farley PhD President COO 56 X 388474 0 47635 William Huffner MD SVP Chief Medical Officer 45 X 389966 0 15186 Wesley Blauvelt SVP Planning 45 X 233571 0 38885 Brian Forrest VP Human Resources 45 X 149393 0 31774 Debra Martin VP Operations 45 X X 173939 0 24535 Gregg Martin Chief Information Officer 46 X 165231 0 36667 Kathy Hale VP Quality Mgmt CQO 45 X 119491 0 21261 Richard Hoffman VP Operations 45 X 119383 0 33960 Marc Rustici VP Finance 45 X 163046 0 35207 Joseph Braunschiedel VP Operations 45 X 173457 0 29249 Mark Dworsky VP Process Enhancement 45 X 156384 0 28485 Mary Vosburgh Chief Nursing Officer 50 X 165016 0 26769 Kimberly Panosian AMS Medical Director 40 X 224346 0 28717 James Watson Chief Operating Officer IDMH 45 X 221061 0 10227 Vidyasagar Mokureddy Pain Mgmt Physician 45 X 1280447 0 30137 William DeLuccia Cardiologist 45 X 731879 0 33617 Paul Tinsley ENT Physician 50 0 X 968584 0 31436 Timothy Minton ENT Physician 50 0 X 760745 0 31436 Matthew Brand Orthopedic Surgeon 50 0 X 731879 0 34574 Anthony Cooper System President/CEO 45 X 635293 0 46400 9307444 0 754930 192 1 1 0 Associated Anesthesiologists of the Finger Lakes PO Box 1253 Elmira NY 14902 Anesthesiology Services 1940157 ABM Healthcare Support Services PO Box 935695 Atlanta GA 31193 Management Services 1044325 Premier Healthcare Solutions 5882 COLLECTIONS CENTER DRIVE Chicago IL 60693 Healthcare Consulting 1025156 Mayo Medical Laboratories PO BOX 4100 Rochester MN 55903 Laboratory Testing Reviews 939575 Weatherby Locums Inc P O Box 972633 Dallas TX 75397 Emergency Room Physician Services 892528 53 0 0 0 380410 1162318 0 0 1542728 Net Patient Service Revenue 622110 209533165 209533165 0 0 Net Physician Service Revenue 621110 50809323 50809323 0 0 School of Nursing 611310 404053 404053 0 0 School of Radiologic Technology 611310 79891 79891 0 0 0 0 0 0 260826432 1429440 0 0 1429440 0 0 0 0 0 0 0 0 546271 0 932911 0 -386640 0 -386640 0 -386640 0 7978906 15990 5128279 0 2850627 15990 2866617 2866617 0 0 149632 0 37652 111980 0 111980 674752 1620353 -945601 0 0 -945601 Housekeeping Services 561720 43503 0 43503 0 Maintenance Services 561790 17066 0 17066 0 Educational Seminars/Workshops 611699 91295 0 0 91295 5548867 5545542 3325 0 5700731 271145687 269238591 -322746 687114 0 0 0 0 0 0 0 0 4677526 0 4677526 0 0 0 0 0 132492310 118802792 13689518 0 7956602 2995 7953607 0 31892899 20740 31872159 0 8760126 7107974 1652152 0 2684229 1218459 1465770 0 507923 39478 468445 0 214673 3240 211433 0 33994 0 33994 0 0 507910 0 507910 0 5483916 4902011 581905 0 1004333 124824 879509 0 43047165 42402135 645030 0 4340784 3641250 699534 0 0 0 0 0 3317777 609592 2708185 0 422942 323258 99684 0 0 0 0 0 208590 163791 44799 0 1694937 0 1694937 0 0 0 0 0 11301832 20000 11281832 0 4695733 1704036 2991697 0 Purchased Services 3644669 2021781 1622888 0 Maintenance Contracts 3049339 2378246 671093 0 Leases 2632554 2233417 399137 0 Benefit Allocation 0 34490761 -34490761 0 3795590 3447901 347689 0 278368353 225658681 52709672 0 8742 14323 14515647 7023831 107936 64804 34228063 40683845 0 0 0 0 14941225 18367318 1150273 1186774 2047415 2107972 246366306 159692166 87402040 86674140 53345353 64952684 0 0 0 0 807361 768677 52447933 61755492 261001988 283599860 22569992 23530265 0 0 127509 17943 27646178 26582855 0 0 0 0 7745933 9987521 7905047 0 49383024 35372002 115377683 95490586 X 136458200 177222846 6227351 7938674 2938754 2947754 145624305 188109274 261001988 283599860 X -7222666 13679727 0 0 0 36027908 X 1 X 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 33994 33994 0 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. 0 0 0 0 0 0 0 0 0 0 0 0 2827204 0 120550 0 0 0 2947754 2827204 0 0 0 0 0 2827204 2431346 0 395858 0 0 0 2827204 2430246 1100 0 0 0 0 2431346 2429726 520 0 0 0 0 2430246 0 1 0 0 0 4505586 0 4505586 102994653 0 54038646 48956007 1338592 0 964082 374510 137527475 0 104689438 32838037 0 0 0 0 86674140 Interest in Net Assets of Foundation 13244337 Investment in Subsidiary 4217874 Prepaid Pension 3354970 AWUL Self Insurance Depreciation Funds 33383545 457 Plan Investments 4062060 Bond Payment Fund Debt Service Reserve 3492706 61755492 0 Self Insurance Reserve 14541353 Third Party Reserves 4615382 Note Payable AOMC Foundation Investment 10698905 457 Plan Liability 4062057 N/P Physician Investment/Related Parties 1058975 Minimum Pension Liability 395330 35372002 272799856 0 0 0 0 0 272799856 406705 -2060874 -1654169 271145687 280514912 0 0 0 0 0 280514912 406705 -2553264 -2146559 278368353 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). Childrens Miracle Network Golf Tournament 50023 0 50023 1784 0 6222 3215 0 3304 Childrens Miracle Network Moonlight & Miracles 67685 0 67685 0 0 0 9924 4100 9103 1 31930 0 31930 0 0 0 0 0 0 149638 0 149638 1784 0 6222 13139 4100 12407 37652 111986 1 1 1 X 1 X 1 1 0 1 1 687 1473155 32619 1505773 0.0054 42717 43760112 39946401 3813711 0.0137 0 0 0 0 0 0 43404 45233267 39979020 5319484 0.0191 15 23443 1009265 299681 709584 0.0025 1 146 34353 3525 30828 0.0001 10 281898 45368765 45263292 105473 0.0004 0 0 0 0 0 0 4 5026 35213 100 35113 0.0001 30 310513 46447596 45566598 880998 0.0031 30 353917 91680863 85545618 6200482 0.0222 1 0 213695 162721 50974 0.0002 0 0 0 0 0 0 1 0 156113 120000 36113 0.0001 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 9312 0 9312 0.0 1 0 291460 20000 271460 0.001 1 1560 105805 0 105805 0.0004 5 1560 776385 302721 473664 0.0017 0 19945948 0 51513310 70089011 -18575701 X 1 1 Ivy Street Development Corp Collection of Services & Rentals 1 0 0 1 1 Arnot Ogden Medical Center 600 Roe Avenue Elmira NY 14905 X X X 2 Arnot Ogden Medical Center Health Center for Women 600 Fitch Street Elmira NY 14905 www.aomc.org X Hospital Extension Clinic - Diagnostic Radiology 3 Arnot Ogden Medical Center Horseheads Campus 100 John Rommelt Drive Horseheads NY 14845 X Clinical Laboratory Service & Radiology Diagnostic Outpatient. 4 Arnot Ogden Medical Center Dialysis Center 8 West Pultney Street Corning NY 14830 X Hospital Extension Clinic providing Outpatient Hemodialysis services Arnot Ogden Medical Center 1 1 X X X X X X X X X 12 1 0 1 X www.aomc.org X X X X X X X X X 1 0 1 1 100 1 400 1 X X X 1 1 X X X 1 X X X 1 X X X X X X 1 X X 0 1 Arnot Ogden Medical Center Health Center for Women 2 0 1 1 400 1 1 X X X 1 1 X X X X X 1 X X X 1 X X X X X X 1 X X 0 1 Arnot Ogden Medical Center Horseheads Campus 3 0 1 1 1 400 1 X X X 1 1 X X X X X 1 X X X 1 X X X X X X 1 X 0 1 Arnot Ogden Medical Center Dialysis Center 4 1 X X X X X X X 09 1 1 1 X www.aomc.org X X X X X X X X X X X 1 0 1 1 1 400 1 X X X 1 1 X X X X X 1 X X X 1 X X X X X X 1 X 0 1 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. 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. X 1 1 X X X X 0 0 0 0 0 0 0 0 0 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 323077 0 24918 0 0 0 9861 0 2638 0 360494 0 0 0 Margaret B Streeter Board Member 162889 0 9913 0 0 0 15540 0 22744 0 211086 0 0 0 Robert Lambert MD President Arnot Health 425000 0 44681 0 0 0 17654 0 23802 0 511137 0 0 0 Ronald J Kintz DHA Senior VP/CFO 314321 0 51060 0 0 0 22731 0 23802 0 411914 0 0 0 Anthony Cooper System President/CEO 456932 0 178361 0 0 0 23581 0 22819 0 681693 0 0 0 H Fred Farley PhD President COO 334900 0 53574 0 0 0 23831 0 23804 0 436109 0 0 0 William Huffner MD SVP Chief Medical Officer 364893 0 25073 0 0 0 12750 0 2436 0 405152 0 0 0 Wesley Blauvelt SVP Planning 211894 0 21677 0 0 0 19169 0 19717 0 272457 0 0 0 Brian Forrest VP Human Resources 145893 0 3500 0 0 0 10103 0 21670 0 181166 0 0 0 Debra Martin VP Operations 160618 0 13321 0 0 0 14608 0 9927 0 198474 0 0 0 Gregg Martin Chief Information Officer 149762 0 15469 0 0 0 14064 0 22604 0 201899 0 0 0 Kathy Hale VP Quality Mgmt CQO 111593 0 7889 0 0 0 4432 0 16829 0 140743 0 0 0 Richard Hoffman VP Operations 114750 0 4633 0 0 0 11245 0 22715 0 153343 0 0 0 Marc Rustici VP Finance 147620 0 15426 0 0 0 12624 0 22583 0 198253 0 0 0 Joseph Braunschiedel VP Operations 160638 0 12819 0 0 0 6831 0 22719 0 203007 0 0 0 Mark Dworsky VP Process Enhancement 150822 0 5562 0 0 0 5953 0 22532 0 184869 0 0 0 Mary Vosburgh Chief Nursing Officer 157872 0 7144 0 0 0 6305 0 20464 0 191785 0 0 0 Kimberly Panosian AMS Medical Director 201573 0 22773 0 0 0 7825 0 20891 0 253062 0 0 0 James Watson Chief Operating Officer IDMH 202823 0 18238 0 0 0 8261 0 1966 0 231288 0 0 0 Vidyasagar Mokureddy Pain Mgmt Physician 900627 0 379820 0 0 0 9862 0 20275 0 1310584 0 0 0 William DeLuccia Cardiologist 731879 0 0 0 0 0 9861 0 23756 0 765496 0 0 0 Paul Tinsley ENT Physician 624267 0 344317 0 0 0 0 0 31436 0 1000020 0 0 0 Timothy Minton ENT Physician 516364 0 244381 0 0 0 0 0 31436 0 792181 0 0 0 Matthew Brand Orthopedic Surgeon 751698 0 2500 0 0 0 0 0 34574 0 788772 0 0 0 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. A Chemung County Industrial Developmental Agency 166209017 000164019 2004-03-10 19912903 Series A Construction Bond 0 0 0 B Chemung County Industrial Developmental Agency 166209017 000164019 2004-03-10 16959701 Series B Facility Renovation 0 0 0 A 3000000 0 19912203 1317663 0 0 419500 0 1802477 16377225 0 0 2006 0 0 1 1 B 7376846 0 16959701 1042483 4561742 0 328213 0 0 10287552 0 0 2005 0 1 1 1 A 0 0 0 0 0 1 0 1 B 0 0 0 0 0 1 0 1 A 1 0 0 0 0 1 B 0 0 0 0 0 0 0 0 1 A 1 B 1 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. 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 Fitch Street Associaties 600 Ivy Street Elmira NY 14905 161397356 Real Estate Rental NY Ivy Street Development Corporation Related 0 0 Ivy Street Development Corporation Accounting Department 600 Ivy Street Elmira NY 14905 161009245 Real Estate NY N/A C 1 0 0 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 1 Arnot Ogden Medical Center Foundation o 80853 Ira Davenport Memorial Hospital Inc o 1989900 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 80853 Sharing of AOMC Employees with Keuka Healthcare Foundation to perform Accounting, Administration, and Materials Management services. St Josephs Hospital o 4148338 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 80853 Sharing of AOMC employees with St. Josephs Foundation to perform Accounting, Administration, and Materials Management. Ivy Street Development Corporation Accounting Department k 655024 Lease of Building per Agreement. St Josephs Hospital s 8437987 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 222813 Cash Contribution for Capital Equipment Purchase. Arnot Ogden Medical Center was requested and was granted a second filing extension to November 15, 2014.