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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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-15T13:19:24-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN160743163EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST JOSEPHS HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTJONameControl
Phone6077336541Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1555 ST JOSEPHS BLVDAddressLine1
CityELMIRACity
StateNYState
ZIP Code14901ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRONALD KINTZName
TitleVP/CHIEF FINANCIAL OFFICERTitle
Phone6077374100Phone
Date Signed2013-08-15DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRONALD J KINTZ SENIOR VP CFONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1600 ROE AVENUEAddressLine1
CityELMIRACity
StateNYState
ZIP Code14905ZIPCode
FieldValueIRS element (for citing)
Gross Receipts64536622GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.stjosephs.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1908YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionMINISTERS TO INPATIENTS AND OUTPATIENTS, SERVING AS A PRIMARY CARE AND SPECIALTY REFERRAL CENTERActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees841TotalNbrEmployees
Total Nbr Volunteers195TotalNbrVolunteers
Total Gross UBI133490TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year15682196ContributionsGrantsPriorYear
Contributions Grants Current Year2517990ContributionsGrantsCurrentYear
Program Service Revenue Prior Year62218399ProgramServiceRevenuePriorYear
Program Service Revenue CY59780826ProgramServiceRevenueCY
Investment Income Prior Year9416InvestmentIncomePriorYear
Investment Income Current Year1200InvestmentIncomeCurrentYear
Other Revenue Prior Year943181OtherRevenuePriorYear
Other Revenue Current Year1949974OtherRevenueCurrentYear
Total Revenue Prior Year78853192TotalRevenuePriorYear
Total Revenue Current Year64249990TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year37622814SalariesEtcPriorYear
Salaries Etc Current Year37685535SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year29257647OtherExpensePriorYear
Other Expenses Current Year24274750OtherExpensesCurrentYear
Total Expenses Prior Year66880461TotalExpensesPriorYear
Total Expenses Current Year61960285TotalExpensesCurrentYear
Revenues Less Expenses Prior Year11972731RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2289705RevenuesLessExpensesCY
Total Assets BOY32764477TotalAssetsBOY
Total Assets EOY53522993TotalAssetsEOY
Total Liabilities BOY24222851TotalLiabilitiesBOY
Total Liabilities EOY38026362TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8541626NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY15496631NetAssetsOrFundBalancesEOY
Mission DescriptionMINISTERS 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 PENNSYLVANIAMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense19834879Expense
Revenue19259318Revenue
DescriptionST 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 STAYDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense7348661Expense
Revenue5606625Revenue
DescriptionOUR 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 WELLNESSDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense3495512Expense
Revenue4437506Revenue
DescriptionREHABILITATION 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

FieldValueIRS element (for citing)
Expense15720907Expense
Revenue30477377Revenue
DescriptionMISCELLANEOUS 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
FieldValueIRS element (for citing)
Total Of Other Program Service Exp15720907TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev30477377TotalOfOtherProgramServiceRev
Total Program Service Expense46399959TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096851NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees841NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonRONALD KINTZNamePerson
Telephone Number6077374100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1555 ST JOSEPHS BLVDAddressLine1
CityELMIRACity
StateNYState
ZIP Code14901ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (51 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Ronald J Kintz
Senior VP/CFO2035X03606080
Anthony Cooper
System CEO2035X06671600
Roger Schenone
Board Member402X03150370
Wesley Blauvelt
SVP Planning1632X02217520
Brian Forrest
VP Human Resources1634X01441970X
H Fred Farley
President COO2035X03902760
William Huffner
SVP Chief Medical Officer2035X03481040
Debra Martin
VP Operations2035X01580530
Gregg Martin
Chief Information Officer2035X01621100
Kathy Hale
VP Quality Mgmt CQO2020X01143570
Richard Hoffman
VP Operations1030X01624120
Marc Rustici
VP Finance2035X01603040
Joseph Braunschiedel
VP Operations2020X01651420
Mark Dworsky
VP Process Enhancement2020X01364830
Mary Vosburgh
Chief Nursing Officer2020X01590060
James Watson
Chief Operating Officer IDMH248X02197200
Kimberly Panosian
AMS Medical Director4010X01981950
Vidyasagar Mokureddy
Pain Mgmt Physician140X011430100
William DeLuccia
Cardiologist140X07453260
Ravi Akula
Cardiologist140X06856800
S Jan Eberhard
Chairman of the Board26X000
Joseph P Manning
Vice Chairman11X000
John R Alexander
Secretary11X000
Daniel J Burke
Board Member11X000
Francisco Corbalan
Board Member205X000
David Dalrymple
Board Member11X000
Christine M Deschamps
Board Member11X000
John T Gough
Board Member11X000
Mark J Hagan
Board Member11X000
Michael Hosey
Board Member11X000
Roy A Kyles
Board Member11X000
Randy S Lehman
Board Member11X000
Ben E Lynch
Board Member34X000
Robert McNamara
Board Member11X000
Mary Louise Mitchell
Board Member13X000
John F O'Mara
Board Member11X000
Donald Quick
Board Member11X000
Patrick J Rogers
Board Member11X000
Melinda Sartori
Board Member11X000
Roger Schenone
Board Member452X000
Gregory Schultz
Board Member452X000
Margaret B Streeter
Board Member11X000
Gregory Schultz
Board Member40201852690X
Robert Lambert
Medical Group President203004672570X
Paul Hicks
Cardiologist34007474300X
Nishith Amin
Cardiologist34007441350X
Michael Keller
Physician40019955300X
Mary Ann Mahajan
Physician40013767500X
Behrooz Ebrahimi Fard
Physician40030580300X
Oliver McKeithan
Pharmacist40011513600X
Lynda Overstrom
Pharmacist40011686800X
FieldValueIRS element (for citing)
Total Reportable Comp From Org875035TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs8801023TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensationAddress Line2AddressOfContractor/AddressUS/AddressLine2
Welliver-McGuire Inc
250 North Genesee StreetMontour FallsNY14865Construction Services2279031
Delphi Hospitalist Services
1880 East Ridge RoadRochesterNY14622Emergency Physicians1224162Suite 6 Upper Level
Alliance Healthcare Services
PO Box 96485ChicagoIL60693Medical Services885739
Team Health East
PO Box 634850CincinnatiOH45263Medical Services832579
NY Acute Care Specialists
PO Box 634850CincinnatiOH45263Medical Services467160
FieldValueIRS element (for citing)
Number Of Contractors GT100 K18NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants2447490GovernmentGrants
All Other Contributions70500AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions2517990TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REVENUE HOSPITALDescription
Business Code900099BusinessCode
Total Revenue Column59780826TotalRevenueColumn
Related Or Exempt Function Income59780826RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue59780826TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real175800Real
Personal0Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real42310Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real133490Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column133490TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue133490UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities0Securities
Other1200Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other1200Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1200TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,200ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events0GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events0CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses0FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming0GrossIncomeGaming
Gaming Direct Expenses0GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory301666GrossSalesOfInventory
Cost Of Goods Sold244322CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column57344TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$57,344ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1759140TotalRevenueColumn
Related Or Exempt Function Income757308RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,001,832ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1759140TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column64249990TotalRevenueColumn
Related Or Exempt Function Income60538134RelatedOrExemptFunctionIncome
Unrelated Business Revenue133490UnrelatedBusinessRevenue
Exclusion$1,060,376ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total29391818Total
Program Services23493552ProgramServices
Management And General5898266ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1784171Total
Program Services330ProgramServices
Management And General1783841ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4646174Total
Program Services0ProgramServices
Management And General4646174ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1863372Total
Program Services1540403ProgramServices
Management And General322969ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total709562Total
Program Services283058ProgramServices
Management And General426504ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total61236Total
Program Services2519ProgramServices
Management And General58717ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total15000Total
Program Services0ProgramServices
Management And General15000ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total5262Total
Program Services0ProgramServices
Management And General5262ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3059249Total
Program Services2729768ProgramServices
Management And General329481ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total973Total
Program Services0ProgramServices
Management And General973ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total7880738Total
Program Services7433083ProgramServices
Management And General447655ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total270491Total
Program Services18888ProgramServices
Management And General251603ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1125044Total
Program Services57981ProgramServices
Management And General1067063ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total32042Total
Program Services28960ProgramServices
Management And General3082ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total12424Total
Program Services6163ProgramServices
Management And General6261ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total41056Total
Program Services0ProgramServices
Management And General41056ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2348644Total
Program Services0ProgramServices
Management And General2348644ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total880057Total
Program Services13019ProgramServices
Management And General867038ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
License Fees3084723079705020
Maintenance Contracts4934832314662620170
Lease183413212079616261710
Benefit Allocation05110116-51101160

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total5196885Total
Program Services3934722ProgramServices
Management And General1262163ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total61960285Total
Program Services46399959ProgramServices
Management And General15560326ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1150BOY
EOY31652EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY536540BOY
EOY2214380EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY97707BOY
EOY1647536EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8008439BOY
EOY10670956EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY3130191BOY
EOY8763634EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY597362BOY
EOY850076EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY141368BOY
EOY313344EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis109197664LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec84612626LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY16705624BOY
EOY24585038EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1263216BOY
EOY1883092EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2282880BOY
EOY2563285EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY32764477BOY
EOY53522993EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY7310110BOY
EOY4740285EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY643559BOY
EOY4668825EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY300000BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY15969182BOY
EOY28617252EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY24222851BOY
EOY38026362EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7209309BOY
EOY14157666EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1166532BOY
EOY1173180EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY165785BOY
EOY165785EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8541626BOY
EOY15496631EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY32764477BOY
EOY53522993EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2289705ReconcilationRevenueExpenses
Reconciliation Unrealized Invest0ReconciliationUnrealizedInvest
Reconcilation Donated Services0ReconcilationDonatedServices
Reconcilation Invest Expenses0ReconcilationInvestExpenses
Reconcilation Prior Adjustment329547ReconcilationPriorAdjustment
Reconcilation Other Changes4335753ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review1AccountantCompileOrReview

Accountant Compile Or Review Basis AccountantCompileOrReviewBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$9,609OtherActivitiesAmount
Total Lobbying Expenditures IIB9609TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSchC_P2B_S00_L01Identifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationST JOSEPHS PAYS ANNUAL DUES TO HEALTH ASSOCIATION OF NEW YORK PART FO THE DUES ARE USED FOR LOBBYING EXPENSESExplanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance48141BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses0InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures1299OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance46842EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance48141BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses0InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance48141EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance43141BeginningOfYearBalance
Contributions6000Contributions
Investment Earnings Or Losses0InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures1000OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance48141EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance44141BeginningOfYearBalance
Contributions41000Contributions
Investment Earnings Or Losses0InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures42000OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance43141EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance40713BeginningOfYearBalance
Contributions6777Contributions
Investment Earnings Or Losses0InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures3349OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance44141EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.3BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.7PermanentEndowmentEOYBalance
Term Endowment EOY Balance0TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1287657OtherCostOrOtherBasis
Book Value1287657BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis29106093OtherCostOrOtherBasis
Depreciation19977145Depreciation
Book Value9128948BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis72611721OtherCostOrOtherBasis
Depreciation63121007Depreciation
Book Value9490714BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis6192193OtherCostOrOtherBasis
Depreciation1514474Depreciation
Book Value4677719BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings24585038TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
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
FieldValueIRS element (for citing)
Total Of Amounts28617252TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt64536622TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues0OtherRevenues
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal64536622RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included-286632OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-286632RevenueNotRptdOnFinStmt
Total Revenue Per Form99064249990TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt62246883TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included286598OtherExpensesIncluded
Expenses Not Rptd F990286598ExpensesNotRptdF990
Expenses Subtotal61960285ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99061960285TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchD_P05_S00_L04Schedule D, Part V, Line 4Permanently Restricted Endowment Fund
SchD_P10_S00_L02Schedule D, Part X, Line 2There are no notes in the audited financial statements for this line.
SchD_P11_S00_L04bSchedule D, Part XI, Line 4bNutritional 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_L02dSchedule D, Part XII, Line 2dCOST OF GOODS SOLD NUTRITIONAL SERVICES 244,322 AND RENTAL EXPENSE 42,276

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served226PersonsServed
Total Community Benefit Expense1009139TotalCommunityBenefitExpense
Direct Offsetting Revenue-16221DirectOffsettingRevenue
Net Community Benefit Expense1025360NetCommunityBenefitExpense
Percent Of Total Expense0.0165PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served18224PersonsServed
Total Community Benefit Expense12383561TotalCommunityBenefitExpense
Direct Offsetting Revenue7576997DirectOffsettingRevenue
Net Community Benefit Expense4806564NetCommunityBenefitExpense
Percent Of Total Expense0.0776PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served242PersonsServed
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue-3073345DirectOffsettingRevenue
Net Community Benefit Expense3073345NetCommunityBenefitExpense
Percent Of Total Expense0.0496PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served18692PersonsServed
Total Community Benefit Expense13392700TotalCommunityBenefitExpense
Direct Offsetting Revenue4487431DirectOffsettingRevenue
Net Community Benefit Expense8905269NetCommunityBenefitExpense
Percent Of Total Expense0.1437PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs80NumberOfActivitiesOrPrograms
Persons Served5748PersonsServed
Total Community Benefit Expense100591TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense100591NetCommunityBenefitExpense
Percent Of Total Expense0.0016PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served7PersonsServed
Total Community Benefit Expense11485TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense11485NetCommunityBenefitExpense
Percent Of Total Expense0.0002PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs8NumberOfActivitiesOrPrograms
Persons Served70339PersonsServed
Total Community Benefit Expense28905309TotalCommunityBenefitExpense
Direct Offsetting Revenue28704264DirectOffsettingRevenue
Net Community Benefit Expense201045NetCommunityBenefitExpense
Percent Of Total Expense0.0032PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense27695TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense27695NetCommunityBenefitExpense
Percent Of Total Expense0.0004PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs88NumberOfActivitiesOrPrograms
Persons Served76094PersonsServed
Total Community Benefit Expense29045080TotalCommunityBenefitExpense
Direct Offsetting Revenue28704264DirectOffsettingRevenue
Net Community Benefit Expense340816NetCommunityBenefitExpense
Percent Of Total Expense0.0054PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs88NumberOfActivitiesOrPrograms
Persons Served94786PersonsServed
Total Community Benefit Expense42437780TotalCommunityBenefitExpense
Direct Offsetting Revenue33191695DirectOffsettingRevenue
Net Community Benefit Expense9246085NetCommunityBenefitExpense
Percent Of Total Expense0.1491PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Total Community Building Expense6769TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense6769NetCommunityBuildingExpense
Percent Of Total Expense0.0001PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms

Other Other

FieldValueIRS element (for citing)
Number Of Activities Or Programs15NumberOfActivitiesOrPrograms

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs24NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense6769TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense6769NetCommunityBuildingExpense
Percent Of Total Expense0.0001PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$5,472,996BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare12744144AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare11920889CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall823255MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care0ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1ARNOT OGDEN MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityADMINISTRATION & CONSULTINGDescriptionEntPrimaryActivity
Organization Profit Or Ownership0OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership0OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership0PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST JOSEPHS HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1555 ST JOSEPHS BOULEVARDAddressLine1
CityELMIRACity
StateNYState
ZIP Code14901ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
OtherSKILLED NURSING FACILITYOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST JOSEPHS HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Consulting ProcessXConsultingProcess
Needs Assessment Conducted09NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities1OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Other MethodXOtherMethod
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
Other Needs AddressedXOtherNeedsAddressed
All Needs Addressed1AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent150FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit LawsuitXPermitLawsuit
Permit Lien On ResidenceXPermitLienOnResidence
Collection Activities1CollectionActivities
Report To Credit AgencyXReportToCreditAgency
LawsuitXLawsuit
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchH_P01_S00_L04Schedule H, Part I, Line 4ST. 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_L07Schedule H, Part I, Line 7THE 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_L00Schedule H, Part IISEVERAL 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_L04Schedule H, Part III, Section A, Line 4Based 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_L08Schedule H, Part III, Section B, Line 8Based 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_L09bSchedule H, Part III, Section C, Line 9bPATIENTS 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_L03Schedule H, Part V, Section B, Line 3SJH, 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_L04Schedule H, Part V, Section B, Line 4ST. 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_L05Schedule H, Part V, Section B, Line 5IN 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_L06Schedule H, Part V, Section B, Line 6FROM 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_L20Schedule H, Part V, Section B, Line 20HIGHEST NON-GOVERNMENT VOLUME PAYOR
SchH_P06_S00_L02Schedule H, Part VI, Line 2IN 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_L03Schedule H, Part VI, Line 3ST. 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_L04Schedule H, Part VI, Line 4A 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_L05Schedule H, Part VI, Line 5THE 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_L06Schedule H, Part VI, Line 6IN 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

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (24 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Ronald J Kintz
Senior VP/CFO02993530612550002400002359304082010372744
Anthony Cooper
System CEO050337701637830002530002359307160530628001
Roger Schenone
Board Member027866803636900069840527703272980272823
Gregory Schultz
Board Member01674330178360001739302257902252410195461
Robert Lambert
Medical Group President03772500900070001800002359305088500444988
Wesley Blauvelt
SVP Planning02057220160300001990702295002646090205539
Brian Forrest
VP Human Resources01381970600000010310021060017556700
H Fred Farley
President COO03246300656460002530002359304391690357995
William Huffner
SVP Chief Medical Officer0311092037012000950002095503785590340036
Debra Martin
VP Operations0145000013053000148590928101821930169300
Gregg Martin
Chief Information Officer01454000167100001527202236501997470175322
Kathy Hale
VP Quality Mgmt CQO0105310090470004471019771013859900
Richard Hoffman
VP Operations01544400797200014260022453019912500
Marc Rustici
VP Finance01433200169840001359502234501962440166755
Joseph Braunschiedel
VP Operations015749807644000631702248301939420155795
Mark Dworsky
VP Process Enhancement0135013014700005229022265016397700
Mary Vosburgh
Chief Nursing Officer0154772042340006176020250018543200
James Watson
Chief Operating Officer IDMH0200925018795000841801949023008700
Kimberly Panosian
AMS Medical Director019819500000766001889902247540203595
Vidyasagar Mokureddy
Pain Mgmt Physician067612504668850009500026380115514801059324
William DeLuccia
Cardiologist073733407992000950002249007773160754624
Paul Hicks
Cardiologist07373340100960001400001051207719420758344
Nishith Amin
Cardiologist073733406801000950002138707750220752116
Ravi Akula
Cardiologist05692000116480000950002138707165670696620

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0A_L02Form 990, Part VI, Section A, Line 2KEY EMPLOYEES DEBORAH MARTIN AND GREGG MARTIN ARE BROTHER AND SISTER.
F990_P06_S0A_L03Form 990, Part VI, Section A, Line 3HHA SERVICES INC. PROVIDES MANAGEMENT SERVICES FOR NUTRITIONAL SERVICES, PLANT OPERATIONS SERVICES, AND HOUSEKEEPING SERVICES.
F990_P06_S0A_L04Form 990, Part VI, Section A, Line 4IN 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_L06Form 990, Part VI, Section A, Line 6ST. JOSEPH'S HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF ST. JOSEPH'S HOSPITAL.
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bTHE 990 WAS REVIEWED BY MANAGEMENT.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cEACH 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_L15Form 990, Part VI, Section B, Line 15THE 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_L19Form 990, Part VI, Section C, Line 19The governing documents are made available upon written request.
F990_P11_S00_L09Form 990, Part XI, Line 9Closing 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

FieldValueIRS element (for citing)
Business Name Line1ST JOSEPH'S HOSPITAL MSOBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1571 ST JOSEPHS BLVDAddressLine1
CityELMIRACity
StateNYState
ZIP Code14901ZIPCode
FieldValueIRS element (for citing)
EIN203240569EIN
Primary ActivitiesPHYSICIANSPrimaryActivities
Legal Domicile StateNYLegalDomicileState
Total Income444973TotalIncome
EOY Assets0EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ST JOSEPHS HEALTH SYSTEMBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1Address Line2AddressUS/AddressLine2CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Arnot Ogden Medical Center Foundation
Accounting Dept600 Roe AvenueElmiraNY14905161109472AffiliateNY501(c)(3)11EN/A0
Arnot Ogden Medical Center Auxiliary
600 Roe AvenueElmiraNY14905510192902AffiliateNY501(c)(3)11N/A0
The Falck Foundation
Accounting Dept600 Roe AvenueElmiraNY14905223055110AffiliateNY501(c)(3)11EN/A0
Ira Davenport Memorial Hospital Inc
Accounting Dept7571 State Route 54BathNY14810160835446AffiliateNY501(c)(3)11N/A0
Keuka Health Care Foundation
Accounting Dept7571 State Route 54BathNY14810161461215AffiliateNY501(c)(3)11N/A0
St Josephs Hospital Foundation
Accounting Dept571 St Josephs BlvdElmiraNY14901161265182FundraisingNY501 (c)70ST JOSEPHS HOSPITAL
St Josephs Health Systems Inc
Accounting Dept555 St Josephs BlvdElmiraNY14901223243418ParentNY501 (c)11BN/A0
Arnot Ogden Medical Center
Accounting Dept600 Roe AvenueElmiraNY14905160743905AffiliateNY501(c)(3)11N/A0

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityPercentage OwnershipPercentageOwnershipAddress Line2AddressUS/AddressLine2
ADVANTAGE HEALTH MEDICAL SERVICE PC
517 ST JOSEPHS BLVDELMIRANY14901161455621PHYSICIANNYST JOSEPHS HEALTH SYSTEMC0
ST JOSEPHS HOUSING DEVELOPMENT FUND
555 ST JOSEPHS BLVDELMIRANY14901203240197APARTMENTSNYST JOSEPHS HEALTH SYSTEMC
IVY STREET DEVELOPMENT CORPORATION
ACCOUNTING DEPARTMENTELMIRANY14905161009245REAL ESTATENYC0600 IVY STREET
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (14 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
St Josephs Health Systems Inc
a-i94946ST. 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
d125000ADDITIONAL CASH ADVANCED FOR LOAN PRINCIPAL FEBRUARY 2012
St Josephs Health Systems Inc
k-281696ST. 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-40000ADVANTAGE HEALTH MEDICAL SERVICE PC PROVIDED EMPLOYEES TO ST. JOSEPH'S HOSPITAL. COST WAS THE METHOD OF DETERMINING THE AMOUNT.
St Josephs Hospital Foundation
k-37175ST. 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
o66214ST. JOSEPH'S HOSPITAL PROVIDED EMPLOYEES TO ST. JOSEPH'S HEALTH SYSTEMS INC. COST WAS THE METHOD OF DETERMINING THE AMOUNT.
St Josephs Hospital Foundation
o34667ST. JOSEPH'S HOSPITAL PROVIDED EMPLOYEES TO ST. JOSEPH'S HOSPITAL FOUNDATION. COST WAS THE METHOD OF DETERMINING THE AMOUNT.
St Josephs Hospital Foundation
l26527ST. 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-7705ST. 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-2965ST. 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-3713604ARNOT 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
o129160ST. 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-69040IRA 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-2529502ARNOT 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

FieldValueIRS element (for citing)
ExplanationST. JOSEPH'S HOSPITAL FILED AN EXTENSION REQUEST, WHICH WAS GRANTED.Explanation