ORLEANS COMMUNITY HEALTH: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- ORLEANS COMMUNITY HEALTH (EIN 16-0755799)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-12-14
- IRS object ID
- 201533489349300318
- Schema version
- 2014v5.0
- 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 H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-12-14T10:09:45-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1551 N WATERFRONT PKWY STE 300 | AddressLine1Txt |
| City | WICHITA | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 672066601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 160755799 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ORLEANS COMMUNITY HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % LORI CONDO | InCareOfNm |
| Business Name Control | ORLE | BusinessNameControlTxt |
| Phone | 5857988423 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 OHIO STREET | AddressLine1Txt |
| City | MEDINA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14103 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WENDY JACOBSON | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 5857988102 | PhoneNum |
| Signature | 2015-11-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ELIZABETH S HOGAN | PreparerPersonNm |
| PTIN | P00273248 | PTIN |
| Phone | 3162652811 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDINA MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | WENDY JACOBSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 OHIO STREET | AddressLine1Txt |
| City | MEDINA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $34,991,384 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MEDINAMEMORIAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1908 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | ORLEANS COMMUNITY HEALTH EXISTS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE BY PROVIDING EQUAL ACCESS TO QUALITY HEALTH CARE SERVICES (SEE SCHEDULE O) | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 575 | TotalEmployeeCnt |
| Total Volunteers | 48 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $596,830 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,511,039 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $30,775,809 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $31,714,937 | CYProgramServiceRevenueAmt |
| PY Investment Income | $240,126 | PYInvestmentIncomeAmt |
| CY Investment Income | $349,900 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,735,627 | PYOtherRevenueAmt |
| CY Other Revenue | $260,814 | CYOtherRevenueAmt |
| PY Total Revenue | $33,348,392 | PYTotalRevenueAmt |
| CY Total Revenue | $33,836,690 | 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 | $20,582,552 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $18,126,758 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $14,348,611 | PYOtherExpensesAmt |
| CY Other Expenses | $16,308,356 | CYOtherExpensesAmt |
| PY Total Expenses | $34,931,163 | PYTotalExpensesAmt |
| CY Total Expenses | $34,435,114 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,582,771 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$598,424 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $18,508,834 | TotalAssetsBOYAmt |
| Total Assets EOY | $17,366,986 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,674,187 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,130,763 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,834,647 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $9,236,223 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ORLEANS COMMUNITY HEALTH EXISTS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE BY PROVIDING EQUAL ACCESS TO QUALITY HEALTH CARE SERVICES PROVIDED AT THE RIGHT TIME, IN THE RIGHT PLACE, WITH THE MOST EFFICIENT USE OF RESOURCES. (SEE SCHEDULE O) | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $27,169,002 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $31,714,937 | RevenueAmt |
| Desc | PATIENT SERVICES - THE HOSPITAL PROVIDES ACUTE INPATIENT, LONG-TERM SKILLED NURSING FACILITY AND OUTPATIENT CARE TO PATIENTS WHO RESIDE PRIMARILY IN THE LOCAL GEOGRAPHIC REGION. THE HOSPITAL ACCEPTS ALL PATIENTS, REGARDLESS OF ABILITY TO PAY. THE POLICY ESTABLISHED BY THE HOSPITAL DFINES CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS ANTICIPATED. | Desc |
| Total Program Service Expenses | $27,169,002 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 65 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 575 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LORI CONDO | PersonNm |
| Phone | 5857988422 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 OHIO STREET | AddressLine1Txt |
| City | MEDINA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14103 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| BRUCE KRENNING | ||||||||
| DIRECTOR/CHAIRMAN | 2.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DAWN MELAND | ||||||||
| DIRECTOR/VICE CHAIRMAN | 2.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| PATRICIA FOX | ||||||||
| DIRECTOR/SECRETARY | 2.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DAVID G MONTI DVM | ||||||||
| DIRECTOR/TREASURER | 2.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RON FELSTEAD | ||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| PATRICIA HERMANN | ||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| CINDY HEWITT | ||||||||
| DIRECTOR | 2.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| APRIL MCGAFFICK | ||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| LANCE MARK | ||||||||
| DIRECTOR | 2.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| JOSEPH MISTI MD | ||||||||
| DIRECTOR | 2.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| LESLIE R MORSE | ||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| ADAM M TABELSKI | ||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| SHARON ZACHER | ||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| DALE SPONAUGLE MD | ||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| WENDY JACOBSON | ||||||||
| CNO/COO | 40.0 | 0.0 | Yes (X) | $131,860 | $0 | $7,470 | ||
| DEBRA MICHALEK | ||||||||
| CFO | 40.0 | 0.0 | Yes (X) | $103,226 | $0 | $12,159 | ||
| JAMES SINNER | ||||||||
| CEO | 40.0 | 1.0 | Yes (X) | $188,365 | $0 | $0 | ||
| DOLORES HORVATH | ||||||||
| CEO | 40.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| THOMAS GUZZINO | ||||||||
| PHARMACIST | 37.5 | 0.0 | $105,014 | $0 | $21,159 | Yes (X) | ||
| KATHLEEN BRAUEN | ||||||||
| PHARMACIST | 37.5 | 0.0 | $104,268 | $0 | $36,791 | Yes (X) | ||
| JAMAL JANANIA | ||||||||
| DOCTOR | 40.0 | 0.0 | $138,014 | $0 | $19,236 | Yes (X) | ||
| NAGUI ADEEB | ||||||||
| DOCTOR | 40.0 | 0.0 | $201,937 | $0 | $38,810 | Yes (X) | ||
| MARY WILLIAMS | ||||||||
| HR DIRECTOR | 40.0 | 0.0 | $102,692 | $0 | $21,095 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,075,376 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $156,720 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| ServicesServicesDesc | CompensationCompensationAmt |
|---|---|
| QUEST DIAGNOSTICS | |
| LAB SERVICES | $1,316,109 |
| NEW YORK PHYSICIAN SERVICES | |
| ER DOCTOR COVERAGE | $796,839 |
| HEALTH TECH MANAGEMENT | |
| MANAGEMENT | $770,532 |
| GAFFEY HEALTHCARE | |
| BILLING SERVICES | $459,880 |
| LIPPES MATHIAS WEXLER FRIEDMAN | |
| ATTORNEY FEES | $411,637 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 14 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $422,586 | RelatedOrganizationsAmt |
| Government Grants | $1,040,820 | GovernmentGrantsAmt |
| All Other Contributions | $47,633 | AllOtherContributionsAmt |
| Total Contributions | $1,511,039 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $31,714,937 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $31,714,937 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $31,714,937 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,309 | TotalRevenueColumnAmt |
| Exclusion | $1,309 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $23,598 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $23,598 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,598 | TotalRevenueColumnAmt |
| Exclusion | $23,598 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,404,702 | SecuritiesAmt |
| Other | $98,583 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,050,126 | SecuritiesAmt |
| Other | $104,568 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $354,576 | SecuritiesAmt |
| Other | -$5,985 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $348,591 | TotalRevenueColumnAmt |
| Exclusion | $348,591 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| EMPLOYEE/GUEST MEALS | 722513 | $72,961 | $72,961 |
| VENDOR REBATES | 900099 | $10,971 | $10,971 |
| RECRUITMENT FEES | 900099 | $9,050 | $9,050 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $144,234 | TotalRevenueColumnAmt |
| Exclusion | $144,234 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $237,216 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $33,836,690 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $31,714,937 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $610,714 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $433,298 | TotalAmt |
| Management And General | $433,298 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,428,227 | TotalAmt |
| Program Services | $11,434,952 | ProgramServicesAmt |
| Management And General | $2,993,275 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $346,167 | TotalAmt |
| Program Services | $274,351 | ProgramServicesAmt |
| Management And General | $71,816 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,814,277 | TotalAmt |
| Program Services | $1,081,287 | ProgramServicesAmt |
| Management And General | $732,990 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,104,789 | TotalAmt |
| Program Services | $875,590 | ProgramServicesAmt |
| Management And General | $229,199 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $885,945 | TotalAmt |
| Management And General | $885,945 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $417,342 | TotalAmt |
| Management And General | $417,342 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $485,745 | TotalAmt |
| Program Services | $384,053 | ProgramServicesAmt |
| Management And General | $101,692 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,232,081 | TotalAmt |
| Program Services | $3,967,440 | ProgramServicesAmt |
| Management And General | $264,641 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,831 | TotalAmt |
| Program Services | $1,359 | ProgramServicesAmt |
| Management And General | $11,472 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,135 | TotalAmt |
| Program Services | $158,197 | ProgramServicesAmt |
| Management And General | $53,938 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $604,040 | TotalAmt |
| Program Services | $439,560 | ProgramServicesAmt |
| Management And General | $164,480 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $653,528 | TotalAmt |
| Program Services | $475,572 | ProgramServicesAmt |
| Management And General | $177,956 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,349 | TotalAmt |
| Program Services | $121,997 | ProgramServicesAmt |
| Management And General | $40,352 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,643 | TotalAmt |
| Program Services | $48,302 | ProgramServicesAmt |
| Management And General | $66,341 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,876 | TotalAmt |
| Management And General | $95,876 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,198,466 | TotalAmt |
| Program Services | $872,124 | ProgramServicesAmt |
| Management And General | $326,342 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $372,023 | TotalAmt |
| Program Services | $279,926 | ProgramServicesAmt |
| Management And General | $92,097 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $2,955,204 | $2,955,204 | |
| BAD DEBT | $2,797,918 | $2,797,918 | |
| REPAIRS & MAINTENANCE | $439,164 | $332,104 | $107,060 |
| FOOD | $279,787 | $279,787 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $389,279 | TotalAmt |
| Program Services | $389,279 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,435,114 | TotalAmt |
| Program Services | $27,169,002 | ProgramServicesAmt |
| Management And General | $7,266,112 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,556,396 | BOYAmt |
| EOY | $4,464 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $289,375 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $678,798 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,731,950 | BOYAmt |
| EOY | $6,523,680 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $405,460 | BOYAmt |
| EOY | $396,465 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $191,263 | BOYAmt |
| EOY | $192,912 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $34,651,632 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $28,100,124 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,848,523 | BOYAmt |
| EOY | $6,551,508 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,437,146 | BOYAmt |
| EOY | $0 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,338,096 | BOYAmt |
| EOY | $2,729,784 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,508,834 | BOYAmt |
| EOY | $17,366,986 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,081,248 | BOYAmt |
| EOY | $5,372,824 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $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 | $1,465,262 | BOYAmt |
| EOY | $2,594,683 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,127,677 | BOYAmt |
| EOY | $163,256 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,674,187 | BOYAmt |
| EOY | $8,130,763 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,803,106 | BOYAmt |
| EOY | $7,259,130 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,031,541 | BOYAmt |
| EOY | $1,977,093 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,834,647 | BOYAmt |
| EOY | $9,236,223 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,508,834 | BOYAmt |
| EOY | $17,366,986 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$598,424 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
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) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $5,859 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $5,859 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1F | FormAndLineReferenceDesc |
| Explanation | A PORTION OF THE DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND THE HEALTHCARE ASSOCIATION OF NEW YORK STATE ARE USED FOR LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,000 | OtherCostOrOtherBasisAmt |
| Book Value | $13,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,118,447 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,304,315 | DepreciationAmt |
| Book Value | $5,814,132 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $337,418 | OtherCostOrOtherBasisAmt |
| Depreciation | $47,208 | DepreciationAmt |
| Book Value | $290,210 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,812,885 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,748,601 | DepreciationAmt |
| Book Value | $64,284 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $369,882 | OtherCostOrOtherBasisAmt |
| Book Value | $369,882 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,551,508 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEFERRED COMPENSATION PLAN | $163,256 |
| OTHER RECEIVABLES | $24,461 |
| SEAGATE RECEIVABLE | $398,066 |
| DEFERRED FINANCING COSTS | $34,685 |
| INTEREST IN FOUNDATION | $1,977,093 |
| ESCROW DEPOSITS | $132,223 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,729,784 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED COMPENSATION PLAN | Desc |
| Amt | $163,256 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $163,256 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $31,099,205 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$2,743,470 | OtherRevenueAmt |
| Revenue Not Reported | -$2,743,470 | RevenueNotReportedAmt |
| Revenue Subtotal | $33,842,675 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$5,985 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$5,985 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $33,836,690 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $31,643,181 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $5,985 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $5,985 | ExpensesNotReportedAmt |
| Expenses Subtotal | $31,637,196 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $2,797,918 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,797,918 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $34,435,114 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART X, LINE 2 | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITION UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| SCHEDULE D, PART XI, LINE 2D | PROVISION FOR UNCOLLECTIBLE ACCOUNTS (2,797,918) DECREASE IN TEMP. RESTRICTED NET ASSETS 54,448 |
| SCHEDULE D, PART XI, LINE 4B | LOSS ON SALE OF EQUIPMENT (5,985) |
| SCHEDULE D, PART XII, LINE 2D | LOSS ON SALE OF EQUIPMENT 5,985 |
| SCHEDULE D, PART XII, LINE 4B | PROVISION FOR UNCOLLECTIBLE ACCOUNTS 2,797,918 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | false | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,698 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $23,179 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,773,244 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,586,085 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $187,159 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00590 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,796,942 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,586,085 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $210,338 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00660 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,796,942 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,586,085 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $210,338 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00660 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,585,274 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $8,594,872 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $8,494,657 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $100,215 | 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 (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ORLEANS COMMUNITY HEALTH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 OHIO STREET | AddressLine1Txt |
| City | MEDINA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.MEDINAMEMORIAL.ORG | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ORLEANS COMMUNITY HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.MEDINAMEMORIAL.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.MEDINAMEMORIAL.ORG | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300. | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Lowest Negotiated Rates | Yes (X) | LowestNegotiatedRatesInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 | COMMUNITY INPUT WAS OBTAINED THROUGH COMMUNITY HEALTH ASSESSMENT SURVEYS. THESE SURVEYS WERE USED TO HELP ACCESS THE COMMUNITY'S PERCEPTION OF HEALTH NEEDS. A SURVEY INSTRUMENT FOR USE IN ORLEANS, GENESEE AND WYOMING COUNTIES WAS DEVELOPED COLLABORATIVELY BY A GROUP OF LOCAL AGENCIES THAT INCLUDED THREE COUNTY HEALTH DEPARTMENTS (ORLEANS, GENESEE, WYOMING), ORLEANS COUNTY HEALTH, THE HEALTHY ORLEANS NETWORK, ORLEANS COMMUNITY HEALTH - CEO, DIRECTOR OF RESOURCE DEVELOPMENT, DIRECTOR OF HEALTH EDUCATION, WELLNESS AND OUTREACH, ORLEANS COUNTY PUBLIC HEALTH FOR ORLEANS AND GENESEE, DIRECTOR OF COMMUNITY ACTION OF ORLEANS AND GENESEE, DIRECTOR OF THE OFFICE FOR THE AGING, DIRECTOR OF ORLEANS COUNTY MENTAL HEALTH, LOCAL SCHOOL REPRESENTATION, ORLEANS COUNTY LEGISLATURE, YMCA FITNESS COORDINATOR, CEO OF OAK ORCHARD, DIRECTOR OF INDEPENDENT LIVING OF ORLEANS AND GENESEE, UNITED MEMORIAL MEDICAL CENTER, AND WYOMING COUNTY HOSPITAL. THE GOAL WAS TO DEVELOP ONE INSTRUMENT FOR ALL COUNTIES. |
| SCHEDULE H, PART V, SECTION B, LINE 6A | UNITED MEMORIAL MEDICAL CENTER AND WYOMING COUNTY HOSPITAL |
| SCHEDULE H, PART V, SECTION B, LINE 11 | THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED TWO PRIORITY AREAS. THE FIRST PRIORITY OF PREVENTING CHRONIC DISEASE WILL BE ADDRESSED BY INCREASING SCREENING RATES FOR CARDIOVASCULAR DISEASE, DIABETES AND CERTAIN CANCERS, ESPECIALLY AMONG DISPARATE POPULATIONS. ALL CANCER SERVICES CLIENTS WILL BE EVALUATED FOR APPROPRIATE SCREENINGS. GRANT OPPORTUNITIES WILL BE RESEARCHED. AS FUNDING ALLOWS, THE DIABETES PREVENTION PROGRAM, THE CHRONIC DISEASE SELF-MANAGEMENT PROGRAM AND THE GET FIT PROGRAM WILL BE IMPLEMENTED. PROMOTING MENTAL HEALTH AND PREVENTING SUBSTANCE ABUSE WAS THE SECOND PRIORITY IDENTIFIED. THE HOSPITAL WILL INCREASE PUBLIC AWARENESS OF THE MENTAL HEALTH SERVICES AVAILABLE IN THE TRI-COUNTY AREA. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ORLEANS COMMUNITY HEALTH OF ALBION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14789 ROUTE 31 | AddressLine1Txt |
| City | ALBION | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14411 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | FAMILY CLINIC | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 7 | THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS CONTAINED IN THE TABLE OF PART I, LINE 7, OF SCHEDULE H, IS A COST TO CHARGE RATIO CALCULATION IN WORKSHEET 2. SCHEDULE H, PART I, LINE 7, COLUMN F THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $2,585,274. SCHEDULE H, PART III, LINE 2 IT IS AN ACCUMULATION OF 3% OF GROSS CHARGES ESTIMATED AS BAD DEBT, ACTUAL AMOUNTS WRITTEN OFF AS BAD DEBT, BAD DEBT RECOVERIES AND ADJUSTMENTS TO RESERVES. |
| SCHEDULE H, PART III, LINE 4 | THE RECEIVABLES ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF THE PATIENT ACCOUNTS THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF THE MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBT. MANAGEMENT REGULARLY REVIEWS DATA FOR THESE MAJOR PAYERS TO EVALUATE THE SUFFICIENT ALLOWANCES ARE MADE. FOR SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD PARTY COVERAGE THE SYSTEM ANALYZES THE CONTRACTUALS DUE AMOUNTS PROVIDES AND ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBT. THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBT IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE WHICH INDICATES THAT MANY PATIENTS ARE UNABLE AND UNWILLING TO PAY THE PORTION OF THEIR BILL WHICH THEY ARE FINANCIALLY RESPONSIBLE FOR. |
| SCHEDULE H, PART III, LINE 8 | THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COST REPORTED IN THE HOSPITAL'S MEDICARE COST REPORT IS COST TO CHARGE RATIO. |
| SCHEDULE H, PART VI, LINE 2 | THE HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY THROUGH PATIENT SATISFACTION SURVEYS, FOCUS GROUPS OF COMMUNITY MEMBERS, BOARD OF DIRECTORS, AND EMPLOYEES, AND SPECIFIC HEALTH-RELATED PRIORITIES AS THEY ARISE. |
| SCHEDULE H, PART VI, LINE 3 | PATIENTS ARE INFORMED OF THE HOSPITAL'S CHARITY CARE POLICY AND GIVEN THE OPPORTUNITY TO APPLY. ELIGIBILITY REQUIREMENTS FOR MEDICAID AND RELATED GOVERNMENT ASSISTANCE PROGRAMS ARE ALSO SHARED WITH PATIENTS. |
| SCHEDULE H, PART VI, LINE 4 | ORLEANS COMMUNITY HEALTH IS THE ONLY FULL SERVICE ACUTE CARE SYSTEM IN ORLEANS COUNTY, WITH THE ONLY 24 HOUR A DAY, PHYSICIAN STAFFED EMERGENCY DEPARTMENT, SERVING APPROXIMATELY 43,000 RESIDENTS IN ORLEANS, EASTERN NIAGARA, AND NORTHERN GENESEE COUNTIES. |
| SCHEDULE H, PART VI, LINE 5 | ORLEANS COMMUNITY HEALTH OPERATES A 24 HOUR EMERGENCY ROOM WITH SERVICES ALSO INCLUDING A LICENSED LONG TERM HOME HEALTH CARE AGENCY OPERATING IN ORLEANS AND NIAGARA COUNTIES, TWO OUTPATIENT DIALYSIS CENTERS; ONE LOCATED IN MEDINA, NY, AND THE OTHER IN BATAVIA, NY, NINE CARF (COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES) ACCREDITED ACUTE PHYSICAL REHABILITATION BEDS, THIRTY HOSPITAL BASED SKILLED NURSING HOME BEDS, A NEWLY OPENED PRIMARY CARE CENTER IN ALBION, FOCUSING ON PREVENTIVE CARE FOR THE COMMUNITY, AND OUTPATIENT/AMBULATORY SERVICES IN MEDINA. |
| SCHEDULE H, PART VI, LINE 6 | N/A |
| SCHEDULE H, PART VI, LINE 7 | N/A |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| JAMES SINNER | |||||||||||
| CEO | $83,365 | $0 | $105,000 | $0 | $0 | $0 | $0 | $188,365 | $0 | $0 | $0 |
| JAMAL JANANIA | |||||||||||
| DOCTOR | $137,756 | $0 | $258 | $0 | $0 | $19,236 | $0 | $157,250 | $0 | $0 | $0 |
| NAGUI ADEEB | |||||||||||
| DOCTOR | $201,106 | $0 | $831 | $29,346 | $0 | $9,464 | $0 | $240,747 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 4A | FormAndLineReferenceDesc |
| Explanation | JAMES SINNER RECEIVED A SEVERANCE PAYMENT OF $105,000 WHEN HE STEPPED DOWN FROM THE CEO POSITION DURING 2014. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART 1, LINE 1 | PROVIDED AT THE RIGHT TIME, IN THE RIGHT PLACE, WITH THE MOST EFFICIENT USE OF RESOURCES. THIS WILL BE ACCOMPLISHED THROUGH A COLLABORATIVE EFFORT WITH PHYSICIAN PARTNERS, HOSPITAL ASSOCIATES, VOLUNTEERS AND THE TWIG ASSOCIATION, USING PHILOSOPHY OF CONTINUOUS QUALITY IMPROVEMENT. |
| FORM 990, PART III, LINE 1 | THIS WILL BE ACCOMPLISHED THROUGH A COLLABORATIVE EFFORT WITH PHYSICIAN PARTNERS, HOSPITAL ASSOCIATES, VOLUNTEERS AND THE TWIG ASSOCIATION, USING PHILOSOPHY OF CONTINUOUS QUALITY IMPROVEMENT. |
| FORM 990, PART VI, SECTION A, LINE 3 | ORLEANS COMMUNITY HEALTH CONTRACTED WITH HEALTHTECH MANAGEMENT SERVICES, INC. WHICH PROVIDED AN INTERIM CEO AND MANAGEMENT SUPPORT. |
| FORM 990, PART VI, SECTION B, LINE 11 | AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE FORM 990. THE FORM 990 IS THEN REVIEWED BY VARIOUS INDIVIDUALS WITHIN MANAGEMENT. THE FINAL FORM 990, WITH ALL REQUIRED SCHEDULES, IS PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD OF DIRECTORS, OFFICERS, AND COMMITTEE MEMBERS ANNUALLY REVIEW AND SIGN THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. ACTUAL OR POTENTIAL CONFLICTS OF INTEREST MUST BE DISCLOSED TO THE BOARD. AFTER DISCLOSURE AND DISCUSSION OF THE CONFLICT, THE INTERESTED PERSON MUST LEAVE THE MEETING WHILE THE REMAINING BOARD MEMBERS DISCUSS AND VOTE ON WHETHER A CONFLICT EXISTS. IF A CONFLICT DOES NOT EXIST, THE BOARD WILL DETERMINE WHETHER THEY CAN OBTAIN A MORE ADVANTAGEIOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF THAT IS NOT REASONABLY POSSIBLE, THE DISINTERESTED MEMBERS WILL VOTE TO DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS FAIR AND REASONABLE, IN THE ORGANIZATION'S BEST INTEREST, AND TO THE ORGANIZATION'S BENEFIT. |
| FORM 990, PART VI, SECTION B, LINE 15A & 15B | THE HUMAN RESOURCES DEPARTMENT PROVIDES DATA FOR OFFICERS AND KEY EMPLOYEES FROM THE WESTERN NEW YORK WAGE SURVEY TO DETERMINE COMPENSATION LEVELS WHICH ARE REVIEWED AND DETERMINED AT THE BOARD LEVEL. MINUTES ARE TAKEN FOR THESE MEETINGS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THESE DOCUMENTS ARE AVAILABLE UPON REQUEST FROM THE CHIEF FINANCIAL OFFICER. IN ADDITION, AN ANNUAL MEETING IS HELD, WHICH IS OPEN TO THE PUBLIC, SUMMARIZING MOST RECENT ANNUAL FINANCIAL RESULTS. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:LAB SERVICES TOTAL FEES:1382332 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:1520368 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER CLINICAL SERVICES TOTAL FEES:1039225 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:LAUNDRY & LINEN SERVICES TOTAL FEES:254856 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:IT SERVICES TOTAL FEES:35300 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ORLEANS COMMUNITY HEALTH FOUNDATION INC | ||||||||||
| 200 OHIO STREET | MEDINA | NY | 14103 | 161155081 | SUPPORT | NY | 501(C)(3) | 11B | ORLEANS | Yes (true) |
| ORCHARD MANOR INC | ||||||||||
| 200 OHIO STREET | MEDINA | NY | 14103 | 161329745 | HEALTH CARE | NY | 501(C)(3) | 9 | ORLEANS | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ORLEANS COMMUNITY HEALTH FOUNDATION INC | ||
| S | $61,127 | FMV |
| ORCHARD MANOR INC | ||
| S | $361,459 | FMV |