ST JOSEPHS HOSPITAL: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ST JOSEPHS HOSPITAL (EIN 16-0743163)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-08-15
- IRS object ID
- 201312279349302636
- Schema version
- 2012v2.0
- 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
- Reasonable Cause Explanation
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-15T13:19:24-07:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 160743163 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOSEPHS HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STJO | NameControl |
| Phone | 6077336541 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 ST JOSEPHS BLVD | AddressLine1 |
| City | ELMIRA | City |
| State | NY | State |
| ZIP Code | 14901 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RONALD KINTZ | Name |
| Title | VP/CHIEF FINANCIAL OFFICER | Title |
| Phone | 6077374100 | Phone |
| Date Signed | 2013-08-15 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RONALD J KINTZ SENIOR VP CFO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 ROE AVENUE | AddressLine1 |
| City | ELMIRA | City |
| State | NY | State |
| ZIP Code | 14905 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 64536622 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.stjosephs.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1908 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | MINISTERS TO INPATIENTS AND OUTPATIENTS, SERVING AS A PRIMARY CARE AND SPECIALTY REFERRAL CENTER | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 20 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 17 | NbrIndependentVotingMembers |
| Total Nbr Employees | 841 | TotalNbrEmployees |
| Total Nbr Volunteers | 195 | TotalNbrVolunteers |
| Total Gross UBI | 133490 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 15682196 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2517990 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 62218399 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 59780826 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 9416 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1200 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 943181 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1949974 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 78853192 | TotalRevenuePriorYear |
| Total Revenue Current Year | 64249990 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 37622814 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 37685535 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 29257647 | OtherExpensePriorYear |
| Other Expenses Current Year | 24274750 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 66880461 | TotalExpensesPriorYear |
| Total Expenses Current Year | 61960285 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 11972731 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2289705 | RevenuesLessExpensesCY |
| Total Assets BOY | 32764477 | TotalAssetsBOY |
| Total Assets EOY | 53522993 | TotalAssetsEOY |
| Total Liabilities BOY | 24222851 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 38026362 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 8541626 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 15496631 | NetAssetsOrFundBalancesEOY |
| Mission Description | MINISTERS TO INPATIENTS AND OUTPATIENTS, SERVING A PRIMARY CARE AND SPECIALTY REFERRAL CENTER FOR PEOPLE FROM ALL FAITHS LIVING IN CHEMUNG COUNTY AND THE SURROUNDING COUNTIES OF NEW YORK AND PENNSYLVANIA | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 19834879 | Expense |
| Revenue | 19259318 | Revenue |
| Description | ST JOSEPHS ACUTE CARE UNITS COMBINE ADVANCED TECHNOLOGY WITH HIGHLY TRAINED STAFF TO MEET THE MEDICAL AND SURGICAL NEEDS OF OUR INPATIENTS. OUR STAFF IS DEDICATED TO PROVIDING PHYSICAL, EMOTIONAL AND SPIRITUAL CARE TO ALL PATIENTS BOTH DURING AND AFTER THEIR HOSPITAL STAY | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 7348661 | Expense |
| Revenue | 5606625 | Revenue |
| Description | OUR 71 BED SKILLED NURSING FACILITY IS RESPONSIBLE FOR DELIVERING NURSING CARE TO SHORT TERM PATIENTS AND LONG TERM RESIDENTS BY PROVIDING PREVENTATIVE, THERAPEUTIC, AND REHABILITATION SERVICES. OUR NURSING STAFF ASSISTS RESIDENTS IN MAINTAINING AND OR REGAINING THE HIGHEST POSSIBLE LEVEL OF WELLNESS | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3495512 | Expense |
| Revenue | 4437506 | Revenue |
| Description | REHABILITATION IS THE FIRST STEP TOWARDS RECOVERY FOR ST JOSPHS INPATIENTS. OUR REHABILITATION TEAM OF MEDICAL PROFESSIONALS, SERVING A 7 COOUNTY AREA, IS DEDICATED TO RESTORING THE INDEPENDENCE OF EACH PATIENT, THROUGH RETRAINING PROGRAMS AND ACTIVE PARTICIPATION. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 15720907 | Expense |
| Revenue | 30477377 | Revenue |
| Description | MISCELLANEOUS OTHER PROGRAM SERVICES INCLUDING, BUT NOT LIMITED TO, EMERGENCY SERVICES, INTENSIVE CARE UNIT, SURGICAL SERVICES, MEDICAL IMAGINING AND RADIOLOGY, ADDICTION REHABILITATION UNIT, LABORATORY SERVICES, ENDOSCOPY, PRIMARY CARE OFFICES, BEHAVIORAL SCIENCE UNIT, PHARMACY, RESPIRATORY THERAPY. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 15720907 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 0 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 30477377 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 46399959 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 851 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 841 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 20 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 17 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 1 | LocalChapters |
| Policies Reference Chapters | 1 | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | RONALD KINTZ | NamePerson |
| Telephone Number | 6077374100 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 ST JOSEPHS BLVD | AddressLine1 |
| City | ELMIRA | City |
| State | NY | State |
| ZIP Code | 14901 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (51 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| Ronald J Kintz | |||||||||
| Senior VP/CFO | 20 | 35 | X | 0 | 360608 | 0 | |||
| Anthony Cooper | |||||||||
| System CEO | 20 | 35 | X | 0 | 667160 | 0 | |||
| Roger Schenone | |||||||||
| Board Member | 40 | 2 | X | 0 | 315037 | 0 | |||
| Wesley Blauvelt | |||||||||
| SVP Planning | 16 | 32 | X | 0 | 221752 | 0 | |||
| Brian Forrest | |||||||||
| VP Human Resources | 16 | 34 | X | 0 | 144197 | 0 | X | ||
| H Fred Farley | |||||||||
| President COO | 20 | 35 | X | 0 | 390276 | 0 | |||
| William Huffner | |||||||||
| SVP Chief Medical Officer | 20 | 35 | X | 0 | 348104 | 0 | |||
| Debra Martin | |||||||||
| VP Operations | 20 | 35 | X | 0 | 158053 | 0 | |||
| Gregg Martin | |||||||||
| Chief Information Officer | 20 | 35 | X | 0 | 162110 | 0 | |||
| Kathy Hale | |||||||||
| VP Quality Mgmt CQO | 20 | 20 | X | 0 | 114357 | 0 | |||
| Richard Hoffman | |||||||||
| VP Operations | 10 | 30 | X | 0 | 162412 | 0 | |||
| Marc Rustici | |||||||||
| VP Finance | 20 | 35 | X | 0 | 160304 | 0 | |||
| Joseph Braunschiedel | |||||||||
| VP Operations | 20 | 20 | X | 0 | 165142 | 0 | |||
| Mark Dworsky | |||||||||
| VP Process Enhancement | 20 | 20 | X | 0 | 136483 | 0 | |||
| Mary Vosburgh | |||||||||
| Chief Nursing Officer | 20 | 20 | X | 0 | 159006 | 0 | |||
| James Watson | |||||||||
| Chief Operating Officer IDMH | 2 | 48 | X | 0 | 219720 | 0 | |||
| Kimberly Panosian | |||||||||
| AMS Medical Director | 40 | 10 | X | 0 | 198195 | 0 | |||
| Vidyasagar Mokureddy | |||||||||
| Pain Mgmt Physician | 1 | 40 | X | 0 | 1143010 | 0 | |||
| William DeLuccia | |||||||||
| Cardiologist | 1 | 40 | X | 0 | 745326 | 0 | |||
| Ravi Akula | |||||||||
| Cardiologist | 1 | 40 | X | 0 | 685680 | 0 | |||
| S Jan Eberhard | |||||||||
| Chairman of the Board | 2 | 6 | X | 0 | 0 | 0 | |||
| Joseph P Manning | |||||||||
| Vice Chairman | 1 | 1 | X | 0 | 0 | 0 | |||
| John R Alexander | |||||||||
| Secretary | 1 | 1 | X | 0 | 0 | 0 | |||
| Daniel J Burke | |||||||||
| Board Member | 1 | 1 | X | 0 | 0 | 0 | |||
| Francisco Corbalan | |||||||||
| Board Member | 20 | 5 | X | 0 | 0 | 0 | |||
| David Dalrymple | |||||||||
| Board Member | 1 | 1 | X | 0 | 0 | 0 | |||
| Christine M Deschamps | |||||||||
| Board Member | 1 | 1 | X | 0 | 0 | 0 | |||
| John T Gough | |||||||||
| Board Member | 1 | 1 | X | 0 | 0 | 0 | |||
| Mark J Hagan | |||||||||
| Board Member | 1 | 1 | X | 0 | 0 | 0 | |||
| Michael Hosey | |||||||||
| Board Member | 1 | 1 | X | 0 | 0 | 0 | |||
| Roy A Kyles | |||||||||
| Board Member | 1 | 1 | X | 0 | 0 | 0 | |||
| Randy S Lehman | |||||||||
| Board Member | 1 | 1 | X | 0 | 0 | 0 | |||
| Ben E Lynch | |||||||||
| Board Member | 3 | 4 | X | 0 | 0 | 0 | |||
| Robert McNamara | |||||||||
| Board Member | 1 | 1 | X | 0 | 0 | 0 | |||
| Mary Louise Mitchell | |||||||||
| Board Member | 1 | 3 | X | 0 | 0 | 0 | |||
| John F O'Mara | |||||||||
| Board Member | 1 | 1 | X | 0 | 0 | 0 | |||
| Donald Quick | |||||||||
| Board Member | 1 | 1 | X | 0 | 0 | 0 | |||
| Patrick J Rogers | |||||||||
| Board Member | 1 | 1 | X | 0 | 0 | 0 | |||
| Melinda Sartori | |||||||||
| Board Member | 1 | 1 | X | 0 | 0 | 0 | |||
| Roger Schenone | |||||||||
| Board Member | 45 | 2 | X | 0 | 0 | 0 | |||
| Gregory Schultz | |||||||||
| Board Member | 45 | 2 | X | 0 | 0 | 0 | |||
| Margaret B Streeter | |||||||||
| Board Member | 1 | 1 | X | 0 | 0 | 0 | |||
| Gregory Schultz | |||||||||
| Board Member | 40 | 2 | 0 | 185269 | 0 | X | |||
| Robert Lambert | |||||||||
| Medical Group President | 20 | 30 | 0 | 467257 | 0 | X | |||
| Paul Hicks | |||||||||
| Cardiologist | 3 | 40 | 0 | 747430 | 0 | X | |||
| Nishith Amin | |||||||||
| Cardiologist | 3 | 40 | 0 | 744135 | 0 | X | |||
| Michael Keller | |||||||||
| Physician | 40 | 0 | 199553 | 0 | 0 | X | |||
| Mary Ann Mahajan | |||||||||
| Physician | 40 | 0 | 137675 | 0 | 0 | X | |||
| Behrooz Ebrahimi Fard | |||||||||
| Physician | 40 | 0 | 305803 | 0 | 0 | X | |||
| Oliver McKeithan | |||||||||
| Pharmacist | 40 | 0 | 115136 | 0 | 0 | X | |||
| Lynda Overstrom | |||||||||
| Pharmacist | 40 | 0 | 116868 | 0 | 0 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 875035 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 8801023 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 6 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation | Address Line2AddressOfContractor/AddressUS/AddressLine2 |
|---|---|---|---|---|---|---|
| Welliver-McGuire Inc | ||||||
| 250 North Genesee Street | Montour Falls | NY | 14865 | Construction Services | 2279031 | |
| Delphi Hospitalist Services | ||||||
| 1880 East Ridge Road | Rochester | NY | 14622 | Emergency Physicians | 1224162 | Suite 6 Upper Level |
| Alliance Healthcare Services | ||||||
| PO Box 96485 | Chicago | IL | 60693 | Medical Services | 885739 | |
| Team Health East | ||||||
| PO Box 634850 | Cincinnati | OH | 45263 | Medical Services | 832579 | |
| NY Acute Care Specialists | ||||||
| PO Box 634850 | Cincinnati | OH | 45263 | Medical Services | 467160 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 18 | NumberOfContractorsGT100K |
| Federated Campaigns | 0 | FederatedCampaigns |
| Membership Dues | 0 | MembershipDues |
| Fundraising Events | 0 | FundraisingEvents |
| Related Organizations | 0 | RelatedOrganizations |
| Government Grants | 2447490 | GovernmentGrants |
| All Other Contributions | 70500 | AllOtherContributions |
| Noncash Contributions | 0 | NoncashContributions |
| Total Contributions | 2517990 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE REVENUE HOSPITAL | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 59780826 | TotalRevenueColumn |
| Related Or Exempt Function Income | 59780826 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 59780826 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 175800 | Real |
| Personal | 0 | Personal |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 42310 | Real |
| Personal | 0 | Personal |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 133490 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 133490 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 133490 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 1200 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 1200 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1200 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,200 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 0 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 0 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 0 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 0 | GrossIncomeGaming |
| Gaming Direct Expenses | 0 | GamingDirectExpenses |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 301666 | GrossSalesOfInventory |
| Cost Of Goods Sold | 244322 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 57344 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $57,344 | ExclusionAmount |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1759140 | TotalRevenueColumn |
| Related Or Exempt Function Income | 757308 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,001,832 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1759140 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 64249990 | TotalRevenueColumn |
| Related Or Exempt Function Income | 60538134 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 133490 | UnrelatedBusinessRevenue |
| Exclusion | $1,060,376 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29391818 | Total |
| Program Services | 23493552 | ProgramServices |
| Management And General | 5898266 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1784171 | Total |
| Program Services | 330 | ProgramServices |
| Management And General | 1783841 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4646174 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 4646174 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1863372 | Total |
| Program Services | 1540403 | ProgramServices |
| Management And General | 322969 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 709562 | Total |
| Program Services | 283058 | ProgramServices |
| Management And General | 426504 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61236 | Total |
| Program Services | 2519 | ProgramServices |
| Management And General | 58717 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15000 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 15000 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Fundraising | 0 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5262 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 5262 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3059249 | Total |
| Program Services | 2729768 | ProgramServices |
| Management And General | 329481 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 973 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 973 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7880738 | Total |
| Program Services | 7433083 | ProgramServices |
| Management And General | 447655 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 270491 | Total |
| Program Services | 18888 | ProgramServices |
| Management And General | 251603 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1125044 | Total |
| Program Services | 57981 | ProgramServices |
| Management And General | 1067063 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32042 | Total |
| Program Services | 28960 | ProgramServices |
| Management And General | 3082 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12424 | Total |
| Program Services | 6163 | ProgramServices |
| Management And General | 6261 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41056 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 41056 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2348644 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 2348644 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 880057 | Total |
| Program Services | 13019 | ProgramServices |
| Management And General | 867038 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| License Fees | 308472 | 307970 | 502 | 0 |
| Maintenance Contracts | 493483 | 231466 | 262017 | 0 |
| Lease | 1834132 | 1207961 | 626171 | 0 |
| Benefit Allocation | 0 | 5110116 | -5110116 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5196885 | Total |
| Program Services | 3934722 | ProgramServices |
| Management And General | 1262163 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61960285 | Total |
| Program Services | 46399959 | ProgramServices |
| Management And General | 15560326 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1150 | BOY |
| EOY | 31652 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 536540 | BOY |
| EOY | 2214380 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 97707 | BOY |
| EOY | 1647536 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8008439 | BOY |
| EOY | 10670956 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3130191 | BOY |
| EOY | 8763634 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 597362 | BOY |
| EOY | 850076 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 141368 | BOY |
| EOY | 313344 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 109197664 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 84612626 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16705624 | BOY |
| EOY | 24585038 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1263216 | BOY |
| EOY | 1883092 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2282880 | BOY |
| EOY | 2563285 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32764477 | BOY |
| EOY | 53522993 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7310110 | BOY |
| EOY | 4740285 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 643559 | BOY |
| EOY | 4668825 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 300000 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15969182 | BOY |
| EOY | 28617252 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24222851 | BOY |
| EOY | 38026362 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7209309 | BOY |
| EOY | 14157666 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1166532 | BOY |
| EOY | 1173180 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 165785 | BOY |
| EOY | 165785 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8541626 | BOY |
| EOY | 15496631 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32764477 | BOY |
| EOY | 53522993 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 2289705 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 0 | ReconciliationUnrealizedInvest |
| Reconcilation Donated Services | 0 | ReconcilationDonatedServices |
| Reconcilation Invest Expenses | 0 | ReconcilationInvestExpenses |
| Reconcilation Prior Adjustment | 329547 | ReconcilationPriorAdjustment |
| Reconcilation Other Changes | 4335753 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 1 | AccountantCompileOrReview |
Accountant Compile Or Review Basis AccountantCompileOrReviewBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Both | X | FinancialStatementBoth |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Both | X | FinancialStatementBoth |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $9,609 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 9609 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SchC_P2B_S00_L01 | Identifier |
| Return Reference | Schedule C, Part II-B, Line 1 | ReturnReference |
| Explanation | ST JOSEPHS PAYS ANNUAL DUES TO HEALTH ASSOCIATION OF NEW YORK PART FO THE DUES ARE USED FOR LOBBYING EXPENSES | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 48141 | BeginningOfYearBalance |
| Contributions | 0 | Contributions |
| Investment Earnings Or Losses | 0 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 1299 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 46842 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 48141 | BeginningOfYearBalance |
| Contributions | 0 | Contributions |
| Investment Earnings Or Losses | 0 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 0 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 48141 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 43141 | BeginningOfYearBalance |
| Contributions | 6000 | Contributions |
| Investment Earnings Or Losses | 0 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 1000 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 48141 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 44141 | BeginningOfYearBalance |
| Contributions | 41000 | Contributions |
| Investment Earnings Or Losses | 0 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 42000 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 43141 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 40713 | BeginningOfYearBalance |
| Contributions | 6777 | Contributions |
| Investment Earnings Or Losses | 0 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 3349 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 44141 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.3 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.7 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 1287657 | OtherCostOrOtherBasis |
| Book Value | 1287657 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 29106093 | OtherCostOrOtherBasis |
| Depreciation | 19977145 | Depreciation |
| Book Value | 9128948 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 72611721 | OtherCostOrOtherBasis |
| Depreciation | 63121007 | Depreciation |
| Book Value | 9490714 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 6192193 | OtherCostOrOtherBasis |
| Depreciation | 1514474 | Depreciation |
| Book Value | 4677719 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 24585038 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO AOMC | $13,394,030 |
| MINIMUM PENSION LIABILITY | $10,168,103 |
| WORKERS COMPENSATION RESERVE | $3,795,242 |
| THIRD PARTY REIMBURSEMENT PAYABLES | $1,259,877 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 28617252 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 64536622 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 0 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 0 | DonatedSrvcAndUseOfFacilities |
| Recoveries Of Prior Year Grants | 0 | RecoveriesOfPriorYearGrants |
| Other Revenues | 0 | OtherRevenues |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 64536622 | RevenueSubtotal |
| Investment Expenses Not Included | 0 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | -286632 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -286632 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 64249990 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 62246883 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 0 | DonatedServicesUseOfFacilities |
| Prior Year Adjustments | 0 | PriorYearAdjustments |
| Losses Reported | 0 | LossesReported |
| Other Expenses Included | 286598 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 286598 | ExpensesNotRptdF990 |
| Expenses Subtotal | 61960285 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 0 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 0 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 61960285 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchD_P05_S00_L04 | Schedule D, Part V, Line 4 | Permanently Restricted Endowment Fund |
| SchD_P10_S00_L02 | Schedule D, Part X, Line 2 | There are no notes in the audited financial statements for this line. |
| SchD_P11_S00_L04b | Schedule D, Part XI, Line 4b | Nutritional Services expenses were moved to off set the cost of goods sold in the cafeteria in the amount of $244,325. Rental expenses of $42,307 were moved to offset the rental income. |
| SchD_P12_S00_L02d | Schedule D, Part XII, Line 2d | COST OF GOODS SOLD NUTRITIONAL SERVICES 244,322 AND RENTAL EXPENSE 42,276 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 226 | PersonsServed |
| Total Community Benefit Expense | 1009139 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | -16221 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1025360 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0165 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 18224 | PersonsServed |
| Total Community Benefit Expense | 12383561 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7576997 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4806564 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0776 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 242 | PersonsServed |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | -3073345 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3073345 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0496 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 18692 | PersonsServed |
| Total Community Benefit Expense | 13392700 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4487431 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8905269 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.1437 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 80 | NumberOfActivitiesOrPrograms |
| Persons Served | 5748 | PersonsServed |
| Total Community Benefit Expense | 100591 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 100591 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0016 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 7 | PersonsServed |
| Total Community Benefit Expense | 11485 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11485 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0002 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 8 | NumberOfActivitiesOrPrograms |
| Persons Served | 70339 | PersonsServed |
| Total Community Benefit Expense | 28905309 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 28704264 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 201045 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0032 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 27695 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 27695 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0004 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 88 | NumberOfActivitiesOrPrograms |
| Persons Served | 76094 | PersonsServed |
| Total Community Benefit Expense | 29045080 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 28704264 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 340816 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0054 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 88 | NumberOfActivitiesOrPrograms |
| Persons Served | 94786 | PersonsServed |
| Total Community Benefit Expense | 42437780 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 33191695 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9246085 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.1491 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 6769 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 6769 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.0001 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 15 | NumberOfActivitiesOrPrograms |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 24 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 6769 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 6769 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.0001 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $5,472,996 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 12744144 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 11920889 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 823255 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 0 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARNOT OGDEN MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | ADMINISTRATION & CONSULTING | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0 | OrganizationProfitOrOwnership |
| Officers Etc Profit Or Ownership | 0 | OfficersEtcProfitOrOwnership |
| Physicans Profit Or Ownership | 0 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOSEPHS HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 ST JOSEPHS BOULEVARD | AddressLine1 |
| City | ELMIRA | City |
| State | NY | State |
| ZIP Code | 14901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
| Other | SKILLED NURSING FACILITY | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOSEPHS HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Consulting Process | X | ConsultingProcess |
| Needs Assessment Conducted | 09 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Other Method | X | OtherMethod |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| Other Needs Addressed | X | OtherNeedsAddressed |
| All Needs Addressed | 1 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 150 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Permit Lien On Residence | X | PermitLienOnResidence |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Lawsuit | X | Lawsuit |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchH_P01_S00_L04 | Schedule H, Part I, Line 4 | ST. JOSEPH'S HOSPITAL SERVES RESIDENTS OF CHEMUNG, STEUBEN AND SCHUYLER COUNTIES IN NEW YORK AND ALSO BRADFORD AND TIOGA COUNTIES IN PENNSYLVANIA. THE COUNTIES ARE CLASSIFIED AS URBAN AND RURAL. ST. JOSEPH'S HOSPITAL IS LOCATED IN CHEMUNG COUNTY, NEW YORK, WHICH HAS A POPULATION OF APPROXIMATELY 88,000, AND 50.4% FEMALE AND 49.6% MALE. THE MEDIAN AGE IS 39.1 YEARS OF AGE, WITH 22% AGE 18 AND UNDER, 63% AGE 19 TO 64, AND 15% OVER THE AGE OF 65. THE AVERAGE HOUSEHOLD INCOME IS $40,000 AND 87% HAVE A HIGH SCHOOL OR GREATER EDUCATION. 16% OF THE POPULATION IS BELOW THE FEDERAL POVERTY GUIDELINES. THE RACE BREAKDOWN IS 81% CAUCASIAN, 12% AFRICAN-AMERICAN, 4% HISPANIC, 1% ASIAN, AND ALL OTHER 2%. |
| SchH_P01_S00_L07 | Schedule H, Part I, Line 7 | THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER IT'S FINANCIAL ASSISTANCE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT SHOWN AS REVENUE. THE HOSPITAL MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHANGES FORGONE FOR SERVICES FURNISHED UNDER ITS FINANCIAL ASSISATANCE PRGRAM. |
| SchH_P02_S00_L00 | Schedule H, Part II | SEVERAL HOSPITAL STAFF MEMBERS TAKE PART IN MANY LOCAL COALITION GROUPS THAT HAVE BEEN ORGANIZED TO ADDRESS THOSE CRITICAL HEALTH CARE ISSUES FACING THE COMMUNITY. THE COALITIONS WHICH INCLUDED COMMUNITY MEMBERS MET ON A REGULAR BASIS TO DISCUSS AND ADDRESS BARRIERS OR GAPS IN SERVICE IN THE COMMUNITY. ST JOSEPHS EMPLOYEE REPRESENTATION WAS PRESENT ON THE FOLLOWING COALITIONS. LINE 6 COALITION BUILDING HEALTH AND PLANNING BOARD/COMMITEE MEMBERSHIP CENTRAL NY AREA HEALTH EDUCATION CTR, ROCHESTER REGIONAL HOSPITAL ASSOC, EMSTAR, CHEMUNG CO MEDICAL SOCIETY, SO TIER REGIONAL EMS LINE 7 COMMUNITY HEALTH IMPROVEMENT ADVOCACY HEALTH AND PLANNING BOARD/COMMUNITY CHEMUNG CO SCHOOL READINESS ADVISORY, IMMUNIZATION COALITION, STRONG KIDS SAFE KIDS, RSVP OF CHEMUNG COUNTY, UNITED WAY OF THE SO TIER, LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, NYS EMERGENCY MEDICAL ADVISORY COMMITTEE |
| SchH_P03_S0A_L04 | Schedule H, Part III, Section A, Line 4 | Based upon the historical experience, a significant portion of the Organization's uninsured patients will be unable or unwilling to pay for the services provided. Thus, the Organization records a significant provision for bad debt related to uninsured patients in the period the services are provided. The bad debt expense is recorded at a Cost to Charges ratio. |
| SchH_P03_S0B_L08 | Schedule H, Part III, Section B, Line 8 | Based upon the historical experience, a significant portion of the Organization's uninsured patients will be unable or unwilling to pay for the services provided. Thus, the Organization records a significant provision for bad debt related to uninsured patients in the period the services are provided. The bad debt expense is recorded at a Cost to Charges ratio. |
| SchH_P03_S0C_L09b | Schedule H, Part III, Section C, Line 9b | PATIENTS ENROLLED IN THE FINANCIAL ASSISTANCE PROGRAM WOULD BE TREATED THE SAME AS ALL PATIENTS HAVING A FINANCIAL RESPONSIBILITY (AFTER FINANCIAL ASSISTANCE DISCOUNTS) AND NOT MAKING ARRANGEMENTS TO SATISFY OBILGATION. |
| SchH_P05_S0B_L03 | Schedule H, Part V, Section B, Line 3 | SJH, AND IDMH, AS PART OF ARNOT HEALTH SYSTEM, PARTICIPATED IN A COMMUNITY HEALTH NEEDS ASSESSMENT IN COLLABORATION WITH PARTNERS SUCH AS THE LOCAL HEALTH DEPARTMENT, OTHER HEALTHCARE AGENCIES, MENTAL HEALTH PROFESSIONALS, SCHOOL DISTRICTS AND COMMUNITY MEMBERS. THE COMMUNITY WAS SURVEYED ABOUT THEIR HEALTH. DATA FROM THESE SURVEYS AND NYSDOH WERE ANALYZED, AND PUBLIC HEALTH PRIORITIES WERE SELECTED THROUGH THE MOBILIZING FOR ACTION THROUGH PARTNERSHIP AND PLANNING (MAPP) PROCESS. |
| SchH_P05_S0B_L04 | Schedule H, Part V, Section B, Line 4 | ST. JOSEPH'S HOSPITAL IS PART OF ARNOT HEALTH, INC., WHICH ALSO HAS THE ARNOT OGDEN MEDICAL CENTER AS AN AFFILIATE. SINCE BOTH FACILITIES ARE IN ELMIRA, NEW YORK, THE POPULATION SERVED AND THE NEEDS OF THAT POPULATION ARE THE SAME. |
| SchH_P05_S0B_L05 | Schedule H, Part V, Section B, Line 5 | IN ADDITION TO 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 THE 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 DEPARTMENT MANAGERS AND THE HEALTHCARE SYSTEM'S JOINT BOARD OF DIRECTORS. LOCAL MEDIA OUTLETS: WORK WITH A VARIETY OF LOCAL MEDIA OUTLETS TO DISSEMINATE INFORMATION ABOUT COMMUNITY OUTREACH PROGRAMS AND SERVICES, 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. RECENT INSIGHT NEWSLETTERS FEATURED ARTICLES THAT ILLUSTRATE THE HEALTHCARE SYSTEM'S MISSION TO PROVIDE QUALITY PREVENTATIVE HEALTHCARE THROUGH COMMUNITY OUTREACH AND ONGOING ASSESSMENT OF PUBLIC HEALTH NEEDS. |
| SchH_P05_S0B_L06 | Schedule H, Part V, Section B, Line 6 | FROM 2009-2011 ST JOSEPH'S AGREED TO FOCUS ON THE FOLLOWING THREE PUBLIC HEALTH PRIORITIES: ACHIEVE THE NEW YORK STATE HEALTH DEPARTMENT'S PREVENTION AGENDA FOR THE HEALTHIEST STATE 2008-2013 PHYSICAL ACTIVITY NUTRITIONAL GOAL RELATED TO OBESITY FOR CHILDREN AND ADULTS. REDUCE TOBACCO USE IN CHEMUNG COUNTY BY ACCOMPLISHING THE NEW YORK STATE HEALTH DEPARTMENT'S PREVENTION AGENDA FOR THE HEALTHIEST STATE 2008-2013 GOAL PERTAINING TO CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) HOSPITALIZATIONS IN CHEMUNG COUNTY AMONG ADULTS 18 YEARS OF AGE AND OLDER. ACCOMPLISH THE NEW YORK STATE HEALTH DEPARTMENT'S PREVENTION AGENDA FOR THE HEALTHIEST STAE 2008-2013 MENTAL HEALTH/SUBSTANCE ABUSE OBJECTIVES RELATED TO CHEMUNG COUNTY'S SUICIDE MORTALITY RATE. |
| SchH_P05_S0B_L20 | Schedule H, Part V, Section B, Line 20 | HIGHEST NON-GOVERNMENT VOLUME PAYOR |
| SchH_P06_S00_L02 | Schedule H, Part VI, Line 2 | IN 2009 ST. JOSEPH'S HOSPITAL SELECTED TWO OF ITS THREE PREVENTION AGENDA PRIORITIES WITH ARNOT OGDEN MEDICAL CENTER AND KEY MEMBERS OF THE HEALTHY LIVING PARTNERSHIP, INCLUDING THE CHEMUNG COUNTY HEALTH DEPARTMENT, CHEMUNG VALLEY RURAL HEALTH NETWORK, CORNELL COOPERATIVE EXTENSION, SOUTHERN TIER TOBACCO AWARENESS COMMUNITY PARTNERSHIP AND EAT WELL PLAY HARD. SINCE 2009, ST. JOSEPH'S HOSPITAL HAS CONTINUED TO COLLABORATE WITH THE CHEMUNG COUNTY HEALTH DEPARTMENT , ARNOT OGDEN MEDICAL CENTER AND OTHER HEALTHCARE AGENCIES TO ASSESS THE COMMUNITY NEEDS, PLAN AND IMPLEMENT EVIDENCE-BASED STRATEGIES TO ADDRESS PUBLIC HEALTH PRIORITIES AND TRACK OUTCOMES TO EVALUATE OUR INTERVENTIONS. |
| SchH_P06_S00_L03 | Schedule H, Part VI, Line 3 | ST. JOSEPH'S HOSPITAL COMMUNICATES ITS 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 TO & EDUCATION OF SHARED COUNTY DEPT. OF SOCIAL SERVICES STAFF SO THEY ARE INFORMED OF THE PROGRAM DETAILS AND CONTACT INFORMATION - COMMUNICATION OF PROGRAM WITH COLLECTION AGENCIES & COLLECTION ATTORNEYS SO THEY CAN SHARE THE AVAILABILITY OF THE PROGRAM AND CONTACT INFORMATION WITH PROSPECTIVE ENROLLEES - INFORMATION ON MEDICAL CENTER'S WEB SITE |
| SchH_P06_S00_L04 | Schedule H, Part VI, Line 4 | A not-for-profit acute care hospital and skilled nurisng facility located in Elmira, New York was founded in 1908 by the Sisters of St. Joseph of Rochester, New York in cooperation with the physicians and citizens of southern New York and northern Pennsylvania to provide medical care for all in need in accordance with the teachings of the Roman Catholic Church. |
| SchH_P06_S00_L05 | Schedule H, Part VI, Line 5 | THE HOSPITAL WORKS WITH VARIOUS OTHER HEALTHCARE AND HEALTH PLANNING ORGANIZATIONS WITHIN ITS SERVICE AREA TO IDENTIFY COMMUNITY NEEDS AND BUILD PROGRAMS TO ADDRESS THESE NEEDS. THIS ANALYSIS IS EXTENSIVE AND IS REPORTED ANNUALLY IN THE "REPORT TO THE COMMUNITY" AND EVERY THREE YEARS IN A 'COMMUNITY NEEDS ASSESSMENT." THE MEDICAL CENTER'S COMMUNITY OUTREACH DEPARTMENT IS DEDICATED TO PROVIDING SCREENINGS, LECTURES, EDUCATIONAL EVENTS, ETC. TO THE COMMUNITY SEPARATELY OR IN CONJUNCTION WITH OTHER COMMUNITY OORGANIZATIONS AND AGENCIES. MANY OF THESE PROGRAMS PROMOTE COMMUNITY HEALTH AND WELLNESS AS WELL AS SUPPORT GROUPS AND PROGRAMS FOR THOSE MANAGING A DISEASE OR CARING FOR SOMEONE WITH A DISEASE. |
| SchH_P06_S00_L06 | Schedule H, Part VI, Line 6 | IN 2011 ARNOT HEALTH INC. WAS ESTABLISHED TO SUPPORT THE AFFILIATES WITHIN THE ARNOT HEALTH SYSTEM. THE SYSTEM IS COMPRISED OF ARNOT OGDEN MEDICAL CENTER, ARNOT MEDICAL SERVICES, IRA DAVENPORT MEMORIAL HOSPITAL AND ST. JOSEPH'S HOSPITAL AS WELL AS THE RELATED FOUNDATIONS AND AUXILIARIES ASSOCIATED WITH THESE ORGANIZATIONS. THE SYSTEM IS WORKING TOWARD THE EFFICIENT AND EFFECTIVE DELIVERY OF HEALTHCARE WITHIN THE SERVICE AREA. THE SYSTEM ALSO PARTICIPATES WITH OTHER ORGANIZATIONS AND AGENCIES TO SERVICE THE COMMUNITY. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (24 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Ronald J Kintz | ||||||||||||||
| Senior VP/CFO | 0 | 299353 | 0 | 61255 | 0 | 0 | 0 | 24000 | 0 | 23593 | 0 | 408201 | 0 | 372744 |
| Anthony Cooper | ||||||||||||||
| System CEO | 0 | 503377 | 0 | 163783 | 0 | 0 | 0 | 25300 | 0 | 23593 | 0 | 716053 | 0 | 628001 |
| Roger Schenone | ||||||||||||||
| Board Member | 0 | 278668 | 0 | 36369 | 0 | 0 | 0 | 6984 | 0 | 5277 | 0 | 327298 | 0 | 272823 |
| Gregory Schultz | ||||||||||||||
| Board Member | 0 | 167433 | 0 | 17836 | 0 | 0 | 0 | 17393 | 0 | 22579 | 0 | 225241 | 0 | 195461 |
| Robert Lambert | ||||||||||||||
| Medical Group President | 0 | 377250 | 0 | 90007 | 0 | 0 | 0 | 18000 | 0 | 23593 | 0 | 508850 | 0 | 444988 |
| Wesley Blauvelt | ||||||||||||||
| SVP Planning | 0 | 205722 | 0 | 16030 | 0 | 0 | 0 | 19907 | 0 | 22950 | 0 | 264609 | 0 | 205539 |
| Brian Forrest | ||||||||||||||
| VP Human Resources | 0 | 138197 | 0 | 6000 | 0 | 0 | 0 | 10310 | 0 | 21060 | 0 | 175567 | 0 | 0 |
| H Fred Farley | ||||||||||||||
| President COO | 0 | 324630 | 0 | 65646 | 0 | 0 | 0 | 25300 | 0 | 23593 | 0 | 439169 | 0 | 357995 |
| William Huffner | ||||||||||||||
| SVP Chief Medical Officer | 0 | 311092 | 0 | 37012 | 0 | 0 | 0 | 9500 | 0 | 20955 | 0 | 378559 | 0 | 340036 |
| Debra Martin | ||||||||||||||
| VP Operations | 0 | 145000 | 0 | 13053 | 0 | 0 | 0 | 14859 | 0 | 9281 | 0 | 182193 | 0 | 169300 |
| Gregg Martin | ||||||||||||||
| Chief Information Officer | 0 | 145400 | 0 | 16710 | 0 | 0 | 0 | 15272 | 0 | 22365 | 0 | 199747 | 0 | 175322 |
| Kathy Hale | ||||||||||||||
| VP Quality Mgmt CQO | 0 | 105310 | 0 | 9047 | 0 | 0 | 0 | 4471 | 0 | 19771 | 0 | 138599 | 0 | 0 |
| Richard Hoffman | ||||||||||||||
| VP Operations | 0 | 154440 | 0 | 7972 | 0 | 0 | 0 | 14260 | 0 | 22453 | 0 | 199125 | 0 | 0 |
| Marc Rustici | ||||||||||||||
| VP Finance | 0 | 143320 | 0 | 16984 | 0 | 0 | 0 | 13595 | 0 | 22345 | 0 | 196244 | 0 | 166755 |
| Joseph Braunschiedel | ||||||||||||||
| VP Operations | 0 | 157498 | 0 | 7644 | 0 | 0 | 0 | 6317 | 0 | 22483 | 0 | 193942 | 0 | 155795 |
| Mark Dworsky | ||||||||||||||
| VP Process Enhancement | 0 | 135013 | 0 | 1470 | 0 | 0 | 0 | 5229 | 0 | 22265 | 0 | 163977 | 0 | 0 |
| Mary Vosburgh | ||||||||||||||
| Chief Nursing Officer | 0 | 154772 | 0 | 4234 | 0 | 0 | 0 | 6176 | 0 | 20250 | 0 | 185432 | 0 | 0 |
| James Watson | ||||||||||||||
| Chief Operating Officer IDMH | 0 | 200925 | 0 | 18795 | 0 | 0 | 0 | 8418 | 0 | 1949 | 0 | 230087 | 0 | 0 |
| Kimberly Panosian | ||||||||||||||
| AMS Medical Director | 0 | 198195 | 0 | 0 | 0 | 0 | 0 | 7660 | 0 | 18899 | 0 | 224754 | 0 | 203595 |
| Vidyasagar Mokureddy | ||||||||||||||
| Pain Mgmt Physician | 0 | 676125 | 0 | 466885 | 0 | 0 | 0 | 9500 | 0 | 2638 | 0 | 1155148 | 0 | 1059324 |
| William DeLuccia | ||||||||||||||
| Cardiologist | 0 | 737334 | 0 | 7992 | 0 | 0 | 0 | 9500 | 0 | 22490 | 0 | 777316 | 0 | 754624 |
| Paul Hicks | ||||||||||||||
| Cardiologist | 0 | 737334 | 0 | 10096 | 0 | 0 | 0 | 14000 | 0 | 10512 | 0 | 771942 | 0 | 758344 |
| Nishith Amin | ||||||||||||||
| Cardiologist | 0 | 737334 | 0 | 6801 | 0 | 0 | 0 | 9500 | 0 | 21387 | 0 | 775022 | 0 | 752116 |
| Ravi Akula | ||||||||||||||
| Cardiologist | 0 | 569200 | 0 | 116480 | 0 | 0 | 0 | 9500 | 0 | 21387 | 0 | 716567 | 0 | 696620 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| F990_P06_S0A_L02 | Form 990, Part VI, Section A, Line 2 | KEY EMPLOYEES DEBORAH MARTIN AND GREGG MARTIN ARE BROTHER AND SISTER. |
| F990_P06_S0A_L03 | Form 990, Part VI, Section A, Line 3 | HHA SERVICES INC. PROVIDES MANAGEMENT SERVICES FOR NUTRITIONAL SERVICES, PLANT OPERATIONS SERVICES, AND HOUSEKEEPING SERVICES. |
| F990_P06_S0A_L04 | Form 990, Part VI, Section A, Line 4 | IN 2011 ARNOT OGDEN MEDICAL CENTER ENTERED INTO AN AFFILIATION AGREEMENT WITH ST. JOSEPH'S HOSPITAL IN ELMIRA, NEW YORK, AND FORMED A NEW ORGANIZATION, ARNOT HEALTH, INC., TO GOVERN BOTH ORGANIZATIONS. |
| F990_P06_S0A_L06 | Form 990, Part VI, Section A, Line 6 | ST. JOSEPH'S HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF ST. JOSEPH'S HOSPITAL. |
| F990_P06_S0B_L11b | Form 990, Part VI, Section B, Line 11b | THE 990 WAS REVIEWED BY MANAGEMENT. |
| F990_P06_S0B_L12c | Form 990, Part VI, Section B, Line 12c | EACH MEMBER OF THE BOARD OF DIRECTORS AND OTHER HOSPITAL INSIDERS MUST COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. IN ADDITION, SITUATIONS WHICH CONSTITUTE, COULD CONSTITUTE, OR COULD BE PERCEIVED AS CONSTITUTING A CONFLICT OF INTEREST MUST BE REPORTED IMMEDIATELY TO THE HOSPITAL PRESIDENT. THE HOSPITAL PRESIDENT WILL THEN RELAY THE INFORMATION TO THE BOARD OF DIRECTORS. IF THE BOARD MEMBER OR INSIDER FAILS TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT, THE BOARD OF DIRECTORS MUST INVESTIGATE THE MATTER FULLY AND IF THE BOARD DETERMINES THAT A VIOLATION HAS OCCURRED, THE BOARD IS RESPONSIBLE FOR TAKING APPROPRIATE DISCIPLINARY AND/OR CORRECTIVE ACTION. |
| F990_P06_S0B_L15 | Form 990, Part VI, Section B, Line 15 | THE EXECUTIVE AND FINANCE COMMITTEES OF THE BOARD WILL ESTABLISH THE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER. REPRESENTATIVES OF THESE COMMITTEES MAY CONSULT WITH THE DIRECTOR OF HUMAN RESOURCES REGARDING BENCHMARK SURVEY COMPENSATION DATA IN SETTING COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER. THE COMPENSATION FOR THE CEO IS APPROVED BY THE ENTIRE BOARD OF DIRECTORS. |
| F990_P06_S0C_L19 | Form 990, Part VI, Section C, Line 19 | The governing documents are made available upon written request. |
| F990_P11_S00_L09 | Form 990, Part XI, Line 9 | Closing and transfer in of Net Assets of St. Joseph's Health System, $4,382,446, Pension Charge to Equity, $(220,096), Net Assets Released from Restriction, $(300). Net Assets of Foundation includes a profit of $180,618, and a Net Asset Released from Restriction of $(6,915). |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOSEPH'S HOSPITAL MSO | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 571 ST JOSEPHS BLVD | AddressLine1 |
| City | ELMIRA | City |
| State | NY | State |
| ZIP Code | 14901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 203240569 | EIN |
| Primary Activities | PHYSICIANS | PrimaryActivities |
| Legal Domicile State | NY | LegalDomicileState |
| Total Income | 444973 | TotalIncome |
| EOY Assets | 0 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOSEPHS HEALTH SYSTEM | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)
| Address Line1AddressUS/AddressLine1 | Address Line2AddressUS/AddressLine2 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Arnot Ogden Medical Center Foundation | ||||||||||||
| Accounting Dept | 600 Roe Avenue | Elmira | NY | 14905 | 161109472 | Affiliate | NY | 501(c)(3) | 11E | N/A | 0 | |
| Arnot Ogden Medical Center Auxiliary | ||||||||||||
| 600 Roe Avenue | Elmira | NY | 14905 | 510192902 | Affiliate | NY | 501(c)(3) | 11 | N/A | 0 | ||
| The Falck Foundation | ||||||||||||
| Accounting Dept | 600 Roe Avenue | Elmira | NY | 14905 | 223055110 | Affiliate | NY | 501(c)(3) | 11E | 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 Foundation | ||||||||||||
| Accounting Dept | 571 St Josephs Blvd | Elmira | NY | 14901 | 161265182 | Fundraising | NY | 501 (c) | 7 | 0 | ST JOSEPHS HOSPITAL | |
| St Josephs Health Systems Inc | ||||||||||||
| Accounting Dept | 555 St Josephs Blvd | Elmira | NY | 14901 | 223243418 | Parent | NY | 501 (c) | 11B | N/A | 0 | |
| Arnot Ogden Medical Center | ||||||||||||
| Accounting Dept | 600 Roe Avenue | Elmira | NY | 14905 | 160743905 | Affiliate | NY | 501(c)(3) | 11 | N/A | 0 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Percentage OwnershipPercentageOwnership | Address Line2AddressUS/AddressLine2 |
|---|---|---|---|---|---|---|---|---|---|---|
| ADVANTAGE HEALTH MEDICAL SERVICE PC | ||||||||||
| 517 ST JOSEPHS BLVD | ELMIRA | NY | 14901 | 161455621 | PHYSICIAN | NY | ST JOSEPHS HEALTH SYSTEM | C | 0 | |
| ST JOSEPHS HOUSING DEVELOPMENT FUND | ||||||||||
| 555 ST JOSEPHS BLVD | ELMIRA | NY | 14901 | 203240197 | APARTMENTS | NY | ST JOSEPHS HEALTH SYSTEM | C | ||
| IVY STREET DEVELOPMENT CORPORATION | ||||||||||
| ACCOUNTING DEPARTMENT | ELMIRA | NY | 14905 | 161009245 | REAL ESTATE | NY | C | 0 | 600 IVY STREET | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (14 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| St Josephs Health Systems Inc | ||
| a-i | 94946 | ST. JOSEPH'S HOSPITAL CHARGED INTEREST TO ST. JOSEPH'S HEALTH SYSTEMS INC. THE METHOD OF DETERMINING THE AMOUNT WAS INTEREST COMPOUNDED DAILY ON THE LOAN PRINCIPAL BALANCE. |
| St Josephs Health Systems Inc | ||
| d | 125000 | ADDITIONAL CASH ADVANCED FOR LOAN PRINCIPAL FEBRUARY 2012 |
| St Josephs Health Systems Inc | ||
| k | -281696 | ST. JOSEPH'S HOSPITAL RENTED SPACE IN A MEDICAL OFFICE BUILDING OWNED BY ST. JOSEPH'S HEALTH SYSTEMS INC. THE METHOD OF DETERMINING THE AMOUNT INVOLVED WAS THE FAIR MARKET VALUE OF SQUARE FEET. |
| ADVANTAGE HEALTH MEDICAL SERVICE PC | ||
| o | -40000 | ADVANTAGE HEALTH MEDICAL SERVICE PC PROVIDED EMPLOYEES TO ST. JOSEPH'S HOSPITAL. COST WAS THE METHOD OF DETERMINING THE AMOUNT. |
| St Josephs Hospital Foundation | ||
| k | -37175 | ST. JOSEPH'S HOSPITAL RENTED SPACE IN A BUILDING OWNED BY ST. JOSEPH'S HOSPITAL FOUNDATION. THE METHOD OF DETERMINING THE AMOUNT WAS THE FAIR MARKET VALUE OF THE SQUARE FEET. |
| St Josephs Health Systems Inc | ||
| o | 66214 | ST. JOSEPH'S HOSPITAL PROVIDED EMPLOYEES TO ST. JOSEPH'S HEALTH SYSTEMS INC. COST WAS THE METHOD OF DETERMINING THE AMOUNT. |
| St Josephs Hospital Foundation | ||
| o | 34667 | ST. JOSEPH'S HOSPITAL PROVIDED EMPLOYEES TO ST. JOSEPH'S HOSPITAL FOUNDATION. COST WAS THE METHOD OF DETERMINING THE AMOUNT. |
| St Josephs Hospital Foundation | ||
| l | 26527 | ST. JOSEPH'S HOSPITAL PROVIDED VARIOUS SERVICES TO ST. JOSEPH'S HOSPITAL FOUNDATION. COST WAS THE METHOD OF DETERMINING THE AMOUNT. |
| St Josephs Health Systems Inc | ||
| a-i | -7705 | ST. JOSEPH'S HEALTH SYSTEMS INC. CHARGED INTEREST TO ST. JOSEPH'S HOSPITAL. THE METHOD OF DETERMINING THE AMOUNT WAS INTEREST COMPOUNDED DAILY ON THE LOAN PRINCIPAL BALANCE. |
| St Josephs Hospital Foundation | ||
| a-i | -2965 | ST. JOSEPH'S HOSPITAL FOUNDATION CHARGED INTEREST TO ST. JOSEPH'S HOSPITAL. THE METHOD OF DETERMINING THE AMOUNT WAS INTEREST COMPOUNDED DAILY ON THE LOAN PRINCIPAL BALANCE. |
| Arnot Ogden Medical Center | ||
| o | -3713604 | ARNOT OGDEN MEDICAL CENTER PROVIDED EMPLOYEES TO ST. JOSEPH'S HOSPITAL FOR ADMINISTRATIVE, MEDICAL, MANAGEMENT INFORMATION, ACCOUNTING, AND VARIOUS OTHER SERVICES. THE METHOD OF DETERMINING THE AMOUNT WAS COST. |
| Arnot Ogden Medical Center | ||
| o | 129160 | ST. JOSEPH'S HOSPITAL PROVIDED EMPLOYEES TO ARNOT OGDEN MEDICAL CENTER FOR PASTORAL, THERAPEUTIC, AND RADIOLOGY SERVICES. THE METHOD OF DETERMINING THE AMOUNT WAS COST. |
| Ira Davenport Memorial Hospital Inc | ||
| o | -69040 | IRA DAVENPORT MEMORIAL HOSPITAL INC. PROVIDED ONE EMPLOYEE TO ST. JOSEPH'S HOSPITAL FOR HUMAN RESOURCES SERVICES. THE METHOD OF DETERMINING THE AMOUNT WAS COST. |
| Arnot Ogden Medical Center | ||
| m | -2529502 | ARNOT OGDEN MEDICAL CENTER PROVIDED ENDOSCOPY, ANESTHESIA SUPPORT, LAUNDRY, AND VARIOUS ADMINISTRATIVE SERVICES TO ST. JOSEPH'S HOSPITAL. THE METHOD OF DETERMINING THE AMOUNT WAS COST. |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | ST. JOSEPH'S HOSPITAL FILED AN EXTENSION REQUEST, WHICH WAS GRANTED. | Explanation |