ARNOT OGDEN MEDICAL CENTER: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- ARNOT OGDEN MEDICAL CENTER (EIN 16-0743905)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-15
- IRS object ID
- 201123199349306652
- Schema version
- 2010v3.4
- 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 D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-15T13:48:43-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BONADIO & CO LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 171 SULLYS TRAIL SUITE 201 | AddressLine1 |
| City | PITTSFORD | City |
| State | NY | State |
| ZIP Code | 14534 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 160743905 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARNOT OGDEN MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ARNO | NameControl |
| Phone | 6077374235 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 ROE AVENUE | AddressLine1 |
| City | ELMIRA | City |
| State | NY | State |
| ZIP Code | 149051676 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RONALD J KINTZ | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 6077374235 | Phone |
| Date Signed | 2011-11-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JONATHAN MILLER | Name |
| Phone | 5853811000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | 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 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 | 149051676 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 279163322 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.AOMC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1889 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | COMMUNITY HOSPITAL WITH HIGH QUALITY HEALTH CARE DELIVERY SYSTEM IN CHEMUNG COUNTY, NEW YORK | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2565 | TotalNbrEmployees |
| Total Nbr Volunteers | 618 | TotalNbrVolunteers |
| Total Gross UBI | 178258 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -91277 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1825204 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 4791116 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 230756704 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 247194768 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 861659 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2067402 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3257096 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3487719 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 236700663 | TotalRevenuePriorYear |
| Total Revenue Current Year | 257541005 | 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 | 139576357 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 157332459 | 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 | 87288181 | OtherExpensePriorYear |
| Other Expenses Current Year | 93751657 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 226864538 | TotalExpensesPriorYear |
| Total Expenses Current Year | 251084116 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 9836125 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 6456889 | RevenuesLessExpensesCY |
| Total Assets BOY | 231470295 | TotalAssetsBOY |
| Total Assets EOY | 239983947 | TotalAssetsEOY |
| Total Liabilities BOY | 92930862 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 88286519 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 138539433 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 151697428 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | HOSPITAL WITH OPEN EMERGENCY ROOM - PROVISION OF QUALITY MEDICAL CARE. ARNOT OGDEN MEDICAL CENTER, A COMMUNITY HOSPITAL WITH SELECTED, HIGHLY SPECIALIZED SERVICES, OPERATES AS PART OF A HIGH-QUALITY HEALTH CARE DELIVERY SYSTEM THAT SERVES CHEMUNG COUNTY, NEW YORK AND THE TWIN TIERS REGION OF NEW YORK. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 198238642 | Expense |
| Revenue | 245892028 | Revenue |
| Description | THE ARNOT OGDEN MEDICAL CENTER CONTINUES TO PROVIDE A VARIETY OF HEALTH CARE RELATED SERVICES SINCE IT OPENED IN 1889, SERVING THE CHEMUNG AND TWIN TIER REGIONS OF NEW YORK AND PENNSYLVANIA. THE MEDICAL CENTER SPECIALIZES IN THE FIELDS OF CARDIOLOGY, ONCOLOGY, RENAL, NEONATOLOGY, BARIATRICS, AND EMERGENCY CARE. OTHER SUB SPECIALIZED SERVICES INCLUDE, BUT ARE NOT LIMITED TO ANESTHESIOLOGY, SURGERY, LABORATORY, IMAGING, PHYSICAL THERAPY, OBSTETRICS AND GYNECOLOGY. IN 2010, THE MEDICAL CENTER'S 1,931 EMPLOYEES CARED FOR 12,142 INPATIENTS IN ITS 276 CERTIFIED BEDS. THE MEDICAL CENTER PROVIDED OUTPATIENT SERVICES APPROXIMATELY 328,966 PATIENT VISITS IN ITS SUBSPECIALTY SERVICES. THE APPROXIMATELY 120 PHYSICIANS PROVIDED FOR 358,717 OFFICE VISITS IN THE AREAS OF PRIMARY CARE AND SPECIALTY SERVICES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 819969 | Expense |
| Revenue | 415681 | Revenue |
| Description | THE ARNOT OGDEN SCHOOL OF NURSING BEGAN IN 1889 AND CONTINUES TO OFFER A THREE YEAR DIPLOMA PROGRAM ACCREDITED BY THE NATIONAL LEAGUE FOR NURSING WITH APPROXIMATELY 50 STUDENTS ENROLLED. THE ARNOT OGDEN SCHOOL OF RADIOLOGIC TECHNOLOGY BEGAN IN 1953 AND CONTINUES TO OFFER A TWO YEAR CERTIFICATE PROGRAM WHICH IS ACCREDITED BY THE JOINT REVIEW COMMISSION ON EDUCATION IN RADIOLOGIC TECHNOLOGY WITH APPROXIMATELY 14 STUDENTS. UPON COMPLETION OF THEIR PROGRAM OF STUDY, STUDENTS ARE ELIGIBLE TO TAKE THE NYS LICENSING EXAMINATIONS FOR REGISTERED NURSES OR RADIOLOGIC TECHNOLOGIST. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1659138 | Expense |
| Revenue | 887059 | Revenue |
| Description | THE MEDICAL CENTER HAS BEEN AWARDED SEVERAL GRANTS TO SUPPORT ITS WORK IN A NUMBER OF AREAS INCLUDING BIOTERRORISM PREPAREDNESS, OCCUPATIONAL MEDICINE, AND HIV, THAT SUPPORT OUT COMMUNITY HEALTH EFFORTS IN THESE AREAS. THE MEDICAL CENTERS COMMUNITY OUTREACH HAS BEEN SUPPORTED WITH GRANTS FOR TOBACCO CESSATION AND EDUCATION FOR ADULTS AND AT RISK YOUTH. THE MEDICAL CENTER PROVIDES NUMEROUS EDUCATIONAL, WELLNESS PROMOTION, AND HEALTH SCREENING PROGRAMS TO THE COMMUNITY. IN COLLABORATION WITH SCHUYLER COUNTY WELLNESS FOCUS GROUP, STEUBEN COUNTY WELLNESS COLLABORATION AND THE CHEMUNG VALLEY HEALTH NETWORK THE MEDICAL CENTER HAS WORKED TO ASSESS THE HEALTH CONCERNS AND NEEDS OF THE COMMUNITIES IT SERVES. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 200717749 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | 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 | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | 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 | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| 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 | 0 | 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 | 781 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2565 | 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 |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Taxable Distributions | 0 | TaxableDistributions |
| Distribution To Donor | 0 | DistributionToDonor |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | 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 | 0 | LocalChapters |
| 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 |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RONALD J KINTZ CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6077374235 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 ROE AVENUE | AddressLine1 |
| City | ELMIRA | City |
| State | NY | State |
| ZIP Code | 149051676 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| DR S JAN EBERHARD | |||||||
| CHAIRMAN OF THE BOARD | 3.00 | X | 0 | 0 | 0 | ||
| MR DAVID DALRYMPLE | |||||||
| VICE CHAIRMAN OF THE BOARD | 2.00 | X | 0 | 0 | 0 | ||
| MR DOUGLAS TIFFT | |||||||
| BOARD MANAGER | 2.00 | X | 0 | 0 | 0 | ||
| MR RICHARD AMIR | |||||||
| BOARD MANAGER | 2.00 | X | 0 | 0 | 0 | ||
| MR DANIEL BURKE | |||||||
| BOARD MANAGER | 2.00 | X | 0 | 0 | 0 | ||
| MS CHRISTINE DECHAMPS | |||||||
| BOARD MANAGER | 2.00 | X | 0 | 0 | 0 | ||
| MR MARK HAGEN | |||||||
| BOARD MANAGER | 2.00 | X | 0 | 0 | 0 | ||
| MR MICHAEL HOSEY | |||||||
| VICE CHAIRMAN OF THE BOARD | 2.00 | X | 0 | 0 | 0 | ||
| MR ROY KYLES | |||||||
| BOARD MANAGER | 2.00 | X | 0 | 0 | 0 | ||
| MR BEN LYNCH | |||||||
| BOARD MANAGER | 2.00 | X | 0 | 0 | 0 | ||
| MR JOHN MEIER | |||||||
| BOARD MANAGER | 2.00 | X | 0 | 0 | 0 | ||
| MS MARGARET STREETER | |||||||
| BOARD MANAGER | 2.00 | X | 0 | 0 | 0 | ||
| MR RANDY LEHMAN | |||||||
| BOARD MANAGER | 2.00 | X | 0 | 0 | 0 | ||
| MR PATRICK ROGERS | |||||||
| BOARD MANAGER | 2.00 | X | 0 | 0 | 0 | ||
| MR JOHN ALEXANDER | |||||||
| ESQUIRE/SECRETARY | 2.00 | X | 0 | 0 | 0 | ||
| MR WESLEY BLAUVELT | |||||||
| OFFICER/VP MARKETING & PLANNING | 40.00 | 177694 | 0 | 35640 | X | ||
| MR ANTHONY COOPER | |||||||
| OFFICER - PRESIDENT | 55.00 | 535831 | 0 | 43913 | X | ||
| DR FRED FARLEY | |||||||
| OFFICER/COO | 55.00 | 361754 | 0 | 43913 | X | ||
| DR WILLIAM HUFFNER | |||||||
| OFFICER/VP MEDICAL SALES | 55.00 | 323697 | 0 | 25535 | X | ||
| DR RONALD KINTZ | |||||||
| OFFICER/TREASURER, CFO | 55.00 | 354051 | 0 | 43409 | X | ||
| DR ROBERT LAMBERT | |||||||
| PHYSICIAN | 72.00 | 404535 | 0 | 36613 | X | ||
| DR VIDYASAGAR MOKUREDDY | |||||||
| PHYSICIAN | 60.00 | 934927 | 0 | 11948 | X | ||
| DR WILLIAM DELUCCIA | |||||||
| PHYSICIAN | 60.00 | 745963 | 0 | 27319 | X | ||
| DR PAUL HICKS | |||||||
| PHYSICIAN | 60.00 | 747579 | 0 | 22485 | X | ||
| DR NISHITH AMIN | |||||||
| PHYSICIAN | 60.00 | 742745 | 0 | 26465 | X | ||
| DR MATTHEW BRAND | |||||||
| PHYSICIAN | 60.00 | 715461 | 0 | 26465 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 6044237 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 343705 | TotalOtherCompensation |
| Number Individuals GT100 K | 151 | 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 |
|---|---|---|---|---|---|
| AAFL | |||||
| PO BOX 1253 | ELMIRA | NY | 149021253 | HEALTHCARE STAFFING | 2250169 |
| ALLIANCE HEALTHCARE SERVICE | |||||
| PO BOX 96485 | CHICAGO | IL | 606936485 | DIAGNOSTIC SERVICES | 767550 |
| HHA SERVICES INC | |||||
| 22622 HARPER ST | CLAIR SHORES | MI | 48080 | MANAGEMENT SERVICES | 750815 |
| QUEST DIAGNOSTICS | |||||
| 27027 TOURNEY ROAD | VALENCIA | CA | 91355 | DIAGNOSTIC SERVICES | 748030 |
| INSIGHT HEALTH CORP | |||||
| PO BOX 847689 | DALLAS | TX | 752847689 | DIAGNOSTIC SERVICES | 503554 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 27 | NumberOfContractorsGT100K |
| Fundraising Events | 48087 | FundraisingEvents |
| Government Grants | 4027517 | GovernmentGrants |
| All Other Contributions | 715512 | AllOtherContributions |
| Total Contributions | 4791116 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE RE | 900099 | 205292348 | 205292348 |
| NET PATIENT SERVICE RE | 621110 | 41496475 | 41496475 |
| NURSING SCHOOL REVENUE | 611600 | 342004 | 342004 |
| RADIOLOGY SCHOOL REVEN | 611600 | 63941 | 63941 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 247194768 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1642435 | TotalRevenueColumn |
| Exclusion | $1,642,435 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 510 | TotalRevenueColumn |
| Exclusion | $510 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 364227 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 678720 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -314493 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -314493 | TotalRevenueColumn |
| Exclusion | -$314,493 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 20053656 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 19610229 | Securities |
| Other | 18970 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 443427 | Securities |
| Other | -18970 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 424457 | TotalRevenueColumn |
| Exclusion | $424,457 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 29619 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 48087 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 29619 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 566030 | GrossSalesOfInventory |
| Cost Of Goods Sold | 1284779 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -718749 | TotalRevenueColumn |
| Exclusion | -$718,749 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|
| LAUNDRY | 812300 | 112114 | 112114 |
| MEDICAL WASTE AND HOUS | 562000 | 63724 | 63724 |
| ANSWERING SERVICES | 541900 | 2420 | 2420 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4342703 | TotalRevenueColumn |
| Exclusion | $4,342,703 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4520961 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 257541005 | TotalRevenueColumn |
| Related Or Exempt Function Income | 247194768 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 178258 | UnrelatedBusinessRevenue |
| Exclusion | $5,376,863 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3440029 | Total |
| Program Services | 979186 | ProgramServices |
| Management And General | 2460843 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 118119364 | Total |
| Program Services | 101850521 | ProgramServices |
| Management And General | 16268843 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4438484 | Total |
| Management And General | 4438484 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23901705 | Total |
| Management And General | 23901705 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7432877 | Total |
| Program Services | 6253276 | ProgramServices |
| Management And General | 1179601 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3781824 | Total |
| Program Services | 1964209 | ProgramServices |
| Management And General | 1817615 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 252278 | Total |
| Program Services | 3529 | ProgramServices |
| Management And General | 248749 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 91953 | Total |
| Program Services | 5275 | ProgramServices |
| Management And General | 86678 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 412816 | Total |
| Management And General | 412816 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5920519 | Total |
| Program Services | 5257021 | ProgramServices |
| Management And General | 663498 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 769648 | Total |
| Program Services | 109440 | ProgramServices |
| Management And General | 660208 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45950388 | Total |
| Program Services | 45176293 | ProgramServices |
| Management And General | 774095 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1929242 | Total |
| Program Services | 1929242 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3205670 | Total |
| Program Services | 430224 | ProgramServices |
| Management And General | 2775446 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 661780 | Total |
| Program Services | 535595 | ProgramServices |
| Management And General | 126185 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 210734 | Total |
| Program Services | 165878 | ProgramServices |
| Management And General | 44856 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1639747 | Total |
| Management And General | 1639747 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11319069 | Total |
| Program Services | 50000 | ProgramServices |
| Management And General | 11269069 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4012022 | Total |
| Program Services | 1695264 | ProgramServices |
| Management And General | 2316758 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| OTHER | 11171085 | 8067141 | 3103944 |
| MAINTENANCE CONTRACTS | 2422882 | 1808823 | 614059 |
| BENEFIT ALLOCATION | 0 | 24436832 | -24436832 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 251084116 | Total |
| Program Services | 200717749 | ProgramServices |
| Management And General | 50366367 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6787 | BOY |
| EOY | 7187 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11364683 | BOY |
| EOY | 6074755 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1750205 | BOY |
| EOY | 3063900 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32033869 | BOY |
| EOY | 33592888 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5748474 | BOY |
| EOY | 3844620 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1754905 | BOY |
| EOY | 2507678 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2339615 | BOY |
| EOY | 2038287 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 216639727 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 124541159 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87398573 | BOY |
| EOY | 92098568 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45640900 | BOY |
| EOY | 49066064 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 849354 | BOY |
| EOY | 813614 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42582930 | BOY |
| EOY | 46876386 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 231470295 | BOY |
| EOY | 239983947 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16086274 | BOY |
| EOY | 18687404 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8862 | BOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 131430 | BOY |
| EOY | 118362 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31026149 | BOY |
| EOY | 29637825 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7972282 | BOY |
| EOY | 7103855 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7486867 | BOY |
| EOY | 8127457 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30218998 | BOY |
| EOY | 24611616 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 92930862 | BOY |
| EOY | 88286519 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 132323381 | BOY |
| EOY | 145082916 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3785806 | BOY |
| EOY | 4183166 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2430246 | BOY |
| EOY | 2431346 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 138539433 | BOY |
| EOY | 151697428 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 231470295 | BOY |
| EOY | 239983947 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 6456889 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 6701106 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| 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 D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2430246 | BeginningOfYearBalance |
| Contributions | 1100 | Contributions |
| End Of Year Balance | 2431346 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2429726 | BeginningOfYearBalance |
| Contributions | 520 | Contributions |
| End Of Year Balance | 2430246 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2429026 | BeginningOfYearBalance |
| Contributions | 700 | Contributions |
| End Of Year Balance | 2429726 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4144862 | OtherCostOrOtherBasis |
| Book Value | 4144862 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1736189 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 88735356 | OtherCostOrOtherBasis |
| Depreciation | 41853168 | Depreciation |
| Book Value | 48618377 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1352303 | OtherCostOrOtherBasis |
| Depreciation | 852736 | Depreciation |
| Book Value | 499567 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 116935471 | OtherCostOrOtherBasis |
| Depreciation | 81080397 | Depreciation |
| Book Value | 35855074 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3735546 | OtherCostOrOtherBasis |
| Depreciation | 754858 | Depreciation |
| Book Value | 2980688 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 92098568 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (6 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| INVESTMENTS HELD FOR 457 PLANS AND PHYSICIAN PRACTICE PURCHASES | 2331038 |
| INTEREST IN NET ASSETS OF FOUNDATIONS | 8684138 |
| INVESTMENTS IN SUBSIDIARIES | 4129818 |
| ASSETS WHOSE USE IS LIMITED - DEPRECIATION FUND | 10251754 |
| ASSETS WHOSE USE IS LIMITED - SELF INSURANCE FUND | 17982200 |
| ASSETS WHOSE USE IS LIMITED - DEBT SERVICE RESERVE & BOND PAYMENT FUND | 3497438 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 46876386 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED ESTIMATED REIMBURSEMENT PAYABLE | $4,675,145 |
| SELF INSURANCE WC/MALPRACTICE RESERVE | $8,665,811 |
| ACCRUED PENSION COST | $9,443,284 |
| 457 PLAN LONG TERM LIABILITY | $1,781,159 |
| FEDERAL STUDENT LOAN FUND LIABILITY | $46,217 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 24611616 | TotalOfAmounts |
| Total Revenue | 257541005 | TotalRevenue |
| Total Expenses | 251084116 | TotalExpenses |
| Excess Or Deficit For Year | 6456889 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 7482269 | NetUnrealizedGLOnInvestments |
| Other | -$781,163 | OtherAmount |
| Total Adjustments | 6701106 | TotalAdjustments |
| Excess Or Deficit Per FS | 13157995 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 272108827 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 14915854 | OtherRevenues |
| Revenue Not Rptd F990 | 14915854 | RevenueNotRptdF990 |
| Revenue Subtotal | 257192973 | RevenueSubtotal |
| Investment Expenses Not Included | 353257 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | -5225 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 348032 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 257541005 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 265847887 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 15117007 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 15117007 | ExpensesNotRptdF990 |
| Expenses Subtotal | 250730880 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 353236 | InvestmentExpensesNotIncluded2 |
| Expenses Not Rptd On Fin Stmt | 353236 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 251084116 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | IN JUNE 2006, THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ISSUED INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES - AN INTERPRETATION OF FASB NO. 109, ACCOUNTING FOR INCOME TAXES (FIN 48). (FIN 48 IS NOW KNOWN AS ACCOUNTING STANDARDS CODIFICATION (ASC) SECTION 740). THIS INTERPRTATION ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. FOR TAX-EXEMPT ENTITIES, TAX-EXEMPT STATUS ITSELF IS DEEMED TO BE AN UNCERTAINTY, SINCE EVENTS COULD POTENTIALLY OCCUR TO JEOPARDIZE THEIR TAX-EXEMPT STATUS. ASC SECTION 740 PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURES, AND TRANSITION. THE ORGANIZATION ADOPTED THE PROVISIONS OF ASC SECTION 740 ON JANUARY 1, 2008, AND THERE WAS NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. AS OF THE DATE OF ADOPTION AND AS OF DECEMBER 31, 2009, THE ORGANIZATION DOES NOT HAVE A LIABILITY FOR UNRECOGNIZED TAX BENEFITS. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | PENSION CHARGE TO EQUITY 556,769. TRANSFER OF HEAL GRANTS TO IRA DAVENPORT MEMORIAL HOSPITAL -2,618,911. SPECIFIC PURPOSE GAIN/LOSS TO FUND BALANCE -186,522. CHANGE IN FUND BALANCE OF FOUNDATIONS 902,892. DONATIONS FOR CAPITAL FUNDING 412,323. PERMANENT IMPAIRMENT RECOVERY FROM PRIOR YEAR 147,061. LIFE TO DATE K-1 ADDED TO NET ASSETS 5,225. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | DONATIONS OF EQUIPMENT -348,214. RENTAL EXPENSES MOVED TO OFFSET RENTAL INCOME 678,720. CAFETERIA EXPENSES MOVED TO OFFSET CAFETERIA SALES 1,284,779. BAD DEBT EXPENSE MOVED TO OFFSET PATIENT REVENUE 13,153,508. PERMANENT IMPAIRMENT RECOVERY FROM PRIOR YEAR 147,061. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | INVESTMENT LOSS -5,225. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE MOVED TO OFFSET PATIENT REVENUE 13,153,508. RENT EXPENSE 678,720. CAFETERIA EXPENSES MOVED TO OFFSET CAFETERIA SALES 1,284,779. | |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | EXPENSE RELATED TO SALE OF INVENTORY | |
| OTHER REVENUE - 1. DONATIONS FROM FUND BALANCE, $1,069,408 2. RENTAL EXPENSES, $(698,703), 3. COST OF GOODS SOLD, $(1,304,342), 4. BAD DEBTS, $(13,855,724), 5. RECOGNITION OF LOSS, $(225,685) OTHER EXPENSES - 1. BAD DEBTS, $(13,855,724) 2. EXPENSES RELATED TO RENTALS, $(698,703) 3. EXPENSES RELATED TO SALE OF INVENTORY, $(1,304,342) CHANGE IN NET ASSETS - 1. PENSION CHARGE TO EQUITY, $9,320,971 2. SPECIFIC PURPOSE GAIN/LOSS TO FUND BALANCE, $(230,359) 3. RECOVERY OF PERMANENT IMPAIRMENT, $225,685 4. CHANGE IN NET ASSETS OF FOUNDATIONS, $1,330,944 5. LIFE TO DATE K-1 ADDED TO NET ASSETS, $2,310,266 |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF TOURNAMENT | NameOfEvent1 |
| Gross Receipts Event1 | 46963 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 48087 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | -1124 | GrossRevenueEvent1 |
| Cash Prizes Event1 | 700 | CashPrizesEvent1 |
| Non Cash Prizes Event1 | 700 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 5560 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 3479 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 6364 | OtherDirectExpensesEvent1 |
| Name Of Event2 | MIRACLE FEST | NameOfEvent2 |
| Gross Receipts Event2 | 12590 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 12590 | GrossRevenueEvent2 |
| Non Cash Prizes Event2 | 600 | NonCashPrizesEvent2 |
| Rent Facility Costs Event2 | 6370 | RentFacilityCostsEvent2 |
| Food And Beverage Event2 | 4491 | FoodAndBeverageEvent2 |
| Entertainment Event2 | 500 | EntertainmentEvent2 |
| Other Direct Expenses Event2 | 375 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 27 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 18153 | GrossReceiptsOtherEvents |
| Gross Revenue Other Events | 18153 | GrossRevenueOtherEvents |
| Other Direct Expenses Other Events | 480 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 77706 | GrossReceiptsTotal |
| Charitable Contributions Total | 48087 | CharitableContributionsTotal |
| Gross Revenue Total Events | 29619 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 700 | CashPrizesTotalEvents |
| Non Cash Prizes Total Events | 1300 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 11930 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 7970 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 500 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 7219 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 29619 | DirectExpenseSummaryEvents |
| Net Income Summary | 0 | NetIncomeSummary |
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 |
| Pcent100 | X | Pcent100 |
| 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) |
|---|---|---|
| Persons Served | 725 | PersonsServed |
| Total Community Benefit Expense | 2672563 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 399859 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2272704 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00910 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 35667 | PersonsServed |
| Total Community Benefit Expense | 26442145 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 18634320 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7807825 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03110 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2726 | PersonsServed |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 39118 | PersonsServed |
| Total Community Benefit Expense | 29114708 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 19034179 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10080529 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04020 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 193 | NumberOfActivitiesOrPrograms |
| Persons Served | 15743 | PersonsServed |
| Total Community Benefit Expense | 1303931 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 726722 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 577209 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00230 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 97 | NumberOfActivitiesOrPrograms |
| Persons Served | 1406 | PersonsServed |
| Total Community Benefit Expense | 1726951 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 442856 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1284095 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00510 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 10 | NumberOfActivitiesOrPrograms |
| Persons Served | 79676 | PersonsServed |
| Total Community Benefit Expense | 75713592 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 47162320 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 28551272 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.11370 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 28 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 40509 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 40509 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 328 | NumberOfActivitiesOrPrograms |
| Persons Served | 96825 | PersonsServed |
| Total Community Benefit Expense | 78784983 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 48331898 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 30453085 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.12130 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 328 | NumberOfActivitiesOrPrograms |
| Persons Served | 135943 | PersonsServed |
| Total Community Benefit Expense | 107899691 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 67366077 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 40533614 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.16150 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 11 | NumberOfActivitiesOrPrograms |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 15 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 139652 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 139652 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 49458 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 49458 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 17 | NumberOfActivitiesOrPrograms |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 44 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 189110 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 189110 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $6,059,645 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 60498809 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 65772868 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -5274059 | 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 | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 IVY STREET DEVELOPMENT CORP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | COLLECTION SERVICES & OFFICE RENTALS | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 1.00000 | OrganizationProfitOrOwnership |
| Officers Etc Profit Or Ownership | 0.00000 | OfficersEtcProfitOrOwnership |
| Physicans Profit Or Ownership | 0.00000 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 4 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (4 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | OtherOther |
|---|---|---|---|---|---|---|
| ARNOT OGDEN MEDICAL CENTER | ||||||
| 1 | 600 ROE AVENUE | ELMIRA | NY | 14905 | X | |
| AOMC - RADIOLOGY DIAGNOSTIC | ||||||
| 2 | 600 FITCH STREET | ELMIRA | NY | 14905 | RAIOLOGY DIAGNOSTIC/OUTPATIENT CLINIC | |
| AOMC - CLINICAL LABRADIOLOGY | ||||||
| 3 | 100 JOHN ROMMELT DRIVE | HORSEHEADS | NY | 14845 | CLINICAL LAB/SERVICE OUTPATIENT/RADIOLOGY DIAGNOSTIC | |
| AOMC - RENTAL DIALYSIS CHRONIC OP | ||||||
| 4 | 8 WEST PULTNEY STREET | CORNING | NY | 14830 | RENTAL DIALYSIS/TREATMENT FACILITY | |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARNOT OGDEN MEDICAL CENTER | 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 |
| Identifying Process | X | IdentifyingProcess |
| 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 |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 100.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Uninsured Discount | X | UninsuredDiscount |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| 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 |
| Lien On Residence | X | LienOnResidence |
| Notify Upon Admission | X | NotifyUponAdmission |
| 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 | 1 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 1 | NumberOfOtherFacilities |
Other Facilities OtherFacilities
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AOMC - RENTAL DIALYSIS CHRONIC OP | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1879 DAVIS STREET | AddressLine1 |
| City | ELMIRA | City |
| State | NY | State |
| ZIP Code | 14901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Type | RENTAL DIALYSIS TREATMENT FACILITY | FacilityType |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| PART I, LINE 3C: THE MEDICAL CENTER USES THE FEDERAL POVERTY GUIDELINES IN ESTABLISHING CRITERIA FOR FREE AND DISCOUNTED HEALTH SERVICES. | |
| PART I, LINE 6A: THE MEDICAL CENTER PREPARES AN ANNUAL WRITTEN REPORT THAT DESCRIBES THE ORGANIZATIONS PROGRAMS AND SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITY OR COMMUNITIES SERVED BY THE ORGANIZATION. AN ABBREVIATED VERSION OF THE REPORT IS AVAILABLE ON THE WEB. | |
| PART I, LINE 7: ALLOCATIONS OF EXPENSES OVER GROSS CHARGES. | |
| PART I, LINE 7G: THE MEDICAL CENTER OFFERS A VARIETY OF SERVICES TO THE COMMUNITIES IT SERVES AS PART OF AN INTEGRATED DELIVERY SYSTEM. IT IS NECESSARY TO FINANCIALLY "SUBSIDIZE" SOME OF THESE SERVICES AS THE REVENUE THEY GENERATE DOES NOT COVER THE COST OF PROVIDING THE SERVICES. | |
| PART III, LINE 4: THE ORGANIZATION RECORDS AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IN ANTICIPATION OF FUTURE WRITE-OFFS. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED ON PAST COLLECTION EXPERIENCE AS WELL AS ANALYSIS OF RECEIVABLE AGING AND TYPE. THE MEDICAL CENTER AND IRA DAVENPORT FOLLOW ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE MEDICAL CENTER AND IRA DAVENPORT. THE RATIO OF COST TO CHARGES METHODOLOGY WAS USED TO DETERMINE THE "COST" OF THE BAD DEBTS. BAD DEBTS SHOULD BE CONSIDERED AS COMMUNITY BENEFIT BECAUSE THE MEDICAL CENTER DOES NOT TURN AWAY ANY PATIENTS NEEDING EMERGENCY OR NON-ELECTIVE MEDICAL CARE BASED ON THEIR ABILITY TO PAY. | |
| PART III, LINE 8: THE MEDICAL CENTER OFFERS A VARIETY OF SERVICES TO THE COMMUNITIES IT SERVES AS PART OF AN INTEGRATED DELIVERY SYSTEM. IT IS NECESSARY TO FINANCIALLY "SUBSIDIZE" SOME OF THESE SERVICES (SEE PART I, LINE 7G) AS THE REVENUE THEY GENERATE DOES NOT COVER THE COST OF PROVIDING THE SERVICES. THESE SERVICES INCLUDE; MEDICAL & SURGICAL, MATERNITY, NURSERY, NEONATAL INTENSIVE CARE AND SKILLED NURSING INPATIENTS. THE SUBSIDIZED OUTPATIENT SERVICES INCLUDE; WOUND & HYPERBARIC THERAPY, RENAL DIALYSIS, AND THE HIV CLINIC. THE MEDICAL CENTER HAS INCLUDED THE MEDICARE PORTION OF SUCH SERVICES IN THIS AREA AS THE SERVICES ARE BELIEVED TO BE IMPORTANT TO THE COMMUNITIES SERVED. | |
| PART III, LINE 9B: PATIENTS QUALIFYING FOR FREE CARE UNDER THE CHARITY CARE PROGRAM ARE NOT PURSUED FOR PAYMENT FOR THE SERVICES COVERED BY THE PROGRAM. PATIENTS QUALIFYING FOR DISCOUNTED SERVICES ARE EXPECTED TO PAY THE DISCOUNTED FEES. | |
| PART V, SECTION B, LINE 3: THE COMMUNITY SERVICE PLAN EXPLAINS IN DETAIL THE INVOLVEMENT OF MEMBERS OF THE COMMUNITY IN DETERMINING & IDENTIFYING COMMUNITY NEEDS. | ARNOT OGDEN MEDICAL CENTER |
| PART V, SECTION B, LINE 4: SAINT JOSEPH'S HOSPITAL, ELMIRA, NY AND IRA DAVENPORT MEMORIAL HOSPITAL, BATH, NEW YORK | ARNOT OGDEN MEDICAL CENTER |
| PART V, SECTION B, LINE 5C: COMMUNITY SERVICE PLAN AND NEWSLETTERS | ARNOT OGDEN MEDICAL CENTER |
| PART V, SECTION B, LINE 6I: COMMUNITY SERVICE PLAN | ARNOT OGDEN MEDICAL CENTER |
| PART V, SECTION B, LINE 19D: PARTICIPANTS IN THE MEDICARE SYSTEM ARE REQUIRED TO CHARGE ALL PATIENTS THE SAME AMOUNT FOR SERVICES REGARDLESS OF INSURANCE PER THE MEDICARE PARTICIPATION GUIDELINES. | ARNOT OGDEN MEDICAL CENTER |
| PART V, SECTION B, LINE 21: PARTICIPANTS IN THE MEDICARE SYSTEM ARE REQUIRED TO CHARGE ALL PATIENTS THE SAME AMOUNT FOR SERVICES REGARDLESS OF INSURANCE PER THE MEDICARE PARTICIPATION GUIDELINES. | ARNOT OGDEN MEDICAL CENTER |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | X | FirstClassOrCharterTravel |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| 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 | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MR WESLEY BLAUVELT | |||||||||||||
| 160000 | 0 | 17694 | 0 | 0 | 0 | 17692 | 0 | 17948 | 0 | 213334 | 0 | 0 | 0 |
| MR ANTHONY COOPER | |||||||||||||
| 430500 | 0 | 105331 | 0 | 0 | 0 | 25050 | 0 | 18863 | 0 | 579744 | 0 | 0 | 0 |
| DR FRED FARLEY | |||||||||||||
| 263000 | 0 | 98754 | 0 | 0 | 0 | 25050 | 0 | 18863 | 0 | 405667 | 0 | 0 | 0 |
| DR WILLIAM HUFFNER | |||||||||||||
| 304113 | 0 | 19584 | 0 | 0 | 0 | 9310 | 0 | 16225 | 0 | 349232 | 0 | 0 | 0 |
| DR RONALD KINTZ | |||||||||||||
| 262714 | 0 | 91337 | 0 | 0 | 0 | 23750 | 0 | 19659 | 0 | 397460 | 0 | 0 | 0 |
| DR ROBERT LAMBERT | |||||||||||||
| 340000 | 0 | 64535 | 0 | 0 | 0 | 17750 | 0 | 18863 | 0 | 441148 | 0 | 0 | 0 |
| DR VIDYASAGAR MOKUREDDY | |||||||||||||
| 934927 | 0 | 0 | 0 | 0 | 0 | 9310 | 0 | 2638 | 0 | 946875 | 0 | 0 | 0 |
| DR WILLIAM DELUCCIA | |||||||||||||
| 745963 | 0 | 0 | 0 | 0 | 0 | 9310 | 0 | 18009 | 0 | 773282 | 0 | 0 | 0 |
| DR PAUL HICKS | |||||||||||||
| 747579 | 0 | 0 | 0 | 0 | 0 | 13750 | 0 | 8735 | 0 | 770064 | 0 | 0 | 0 |
| DR NISHITH AMIN | |||||||||||||
| 742745 | 0 | 0 | 0 | 0 | 0 | 9310 | 0 | 17155 | 0 | 769210 | 0 | 0 | 0 |
| DR MATTHEW BRAND | |||||||||||||
| 705816 | 0 | 9645 | 0 | 0 | 0 | 9310 | 0 | 17155 | 0 | 741926 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SUPPLEMENTAL INFORMATION | PART III | 1A. DR. HUFFNER IS ALLOWED TO TRAVEL FIRST CLASS TO ACCOMODATE HIS DISABILITY UNDER REASONABLE ACCOMODATIONS. THE CEO, COO, & CFO HAVE THEIR DUES PAID AT THE ELMIRA COUNTRY CLUB. THE PERSONAL USE PORTION IS REQUIRED UNDER TAXABLE INCOME. |
| SUPPLEMENTAL INFORMATION | PART III | 4B. THE MEDICAL CENTER DOES NOT MAKE ANY ADDITIONAL PAYMENTS INTO A NON QUALIFIED PLAN, BUT THE EMPLOYEES ARE ABLE TO ELECT TO DEFER SOME OF THEIR SALARY IN A 457 PLAN AND 403B PLAN. |
| SUPPLEMENTAL INFORMATION | PART III | 6A. THE MEDICAL CENTER HAS A GOOD ACHIEVEMENT (INCENTIVE COMPENSATION) PROGRAM FOR MEETING THE ORGANIZATION'S BOARD ASSIGNED GOALS. PART OF THE MEASURE FOR FINANCIAL VIABILITY IS AVOIDING DEFICITS AS MEASURED BY MARGINS. A SMALL PART OF COMPENSATION IS BASED UPON AVOIDING OPERATING LOSSES AND FINANCIAL VIABILITY AND NOT ON THE SIZE OR MAGNITUDE OF ANY NET EARNINGS. |
| SUPPLEMENTAL INFORMATION | PART III | 7. INCLUDED IN PART II IS GOAL ACHIEVEMENT PROGRAM PAYMENTS FOR HITTING BOARD APPROVED GOALS. THESE GOALS ARE SET AND APPROVED BY THE BOARD, AND REVIEWED BY THE COMPENSATION COMMITTEE, BASED UPON THE STRATEGIC NEEDS OF THE ORGANIZATION. THE GOALS COVER THE AREAS OF QUALITY IMPROVEMENT, ACCESS (PHYSICIAN RECRUITMENT), FACILITIES, PATIENT SATISFACTION, FINANCIAL VIABILITY AND THE JOINT COMMISSION PERFORMANCE. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| CHEMUNG COUNTY INDUSTRIAL DEVELOPMENTAL AGENCY | |||||||
| 166209017 | 000164019 | 2004-03-10 | 19912203 | SERIES A - CONSTRUCTION | 0 | 0 | 0 |
| CHEMUNG COUNTY INDUSTRIAL DEVELOPMENTAL AGENCY | |||||||
| 166209017 | 000164019 | 2004-03-10 | 16959701 | SERIES B - FACILITY RENOVATION | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|
| 19912203 | 1318000 | 419500 | 1802477 | 16377225 | 2006 | 0 | 0 | 1 | 1 |
| 328213 | 10287552 | 2005 | 0 | 1 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| 1 | 0 | 0 | 0 | 0 | 0 |
| 0 | 0 | 0 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | ONCE THE 990 IS IN FINAL FORM IT IS PRESENTED BY THE MEDICAL CENTER'S VICE PRESIDENT OF FINANCE TO THE AUDIT AND FINANCE COMMITTEES OF THE BOARD OF MANAGERS. THE RETURN IS MADE AVAILABLE TO ALL BOARD MEMBERS FOR REVIEW AND QUESTIONS. | |
| ALL MEMBERS OF THE BOARD OF MANAGERS, OFFICERS, AND MANAGEMENT EMPLOYEES SHALL BE REQUIRED ANNUALLY TO FILE A DISCLOSURE STATEMENT SETTING FORTH ANY RESPECT IN WHICH SUCH PERSON, OR ANY PERSON ASSOCIATED WITH SUCH PERSON, HAS OR MAY HAVE ANY INTEREST IN ANY TRANSACTION IN WHICH THERE MAY BE, OR APPEAR TO BE, A CONFLICT BETWEEN THE INTERESTS OF SUCH PERSON AND THE ARNOT OGDEN MEDICAL CENTER. AN ASSOCIATE INCLUDED (1) A SPOUSE, A DESCENDANT OR AN ANCESTOR, OR A SPOUSE OF A DESCENDANT OR ANCESTOR; (2) AN ORGANIZATION IN WHICH THE PERSON OR AN ASSOCIATE IS A PARTNER OR EMPLOYEE, OR SUCH PERSON OR AN ASSOCIATE OWNS A MORE THAN 10% BENEFICIAL INTEREST; (3) A TRUST IN WHICH SUCH PERSON IS A TRUSTEE, OR SUCH PERSON OR AN ASSOCIATE HOLDS A MORE THAN 10% BENEFICIAL INTEREST; AND (4) A CORPORATION IN WHICH SUCH PERSON OR AN ASSOCIATE IS AN OFFICER OR DIRECTOR OR EMPLOYEE, OR SUCH PERSON OR AN ASSOCIATE IS AN OWNER OF MORE THAN 10% OF ANY CLASS OF SECURITIES. | FORM 990, PART VI, SECTION B, LINE 12C | |
| COMPENSATION FOR THE PRESIDENT AND VICE PRESIDENT IS SET PURSUANT TO A POLICY AND COMPENSATION PHILOSOPHY ADOPTED BY THE BOARD. THE BOARD HAS A COMPENSATION COMMITTEE CONSISTING OF OUTSIDE DIRECTORS (AOMC BOARD MEMBERS ARE REFERRED TO AS "MANAGERS"). THE COMPENSATION COMMITTEE USES A CONSULTANT TO ADVISE IT ON COMPENSATION FOR THE OFFICERS. THE CONSULTANT COLLECTS AND REPORTS COMPENSATION ON SIMILAR POSITIONS IN SIMILAR NONPROFIT HOSPITALS FROM UPSTATE NY AND WESTERN PA. THE COMPENSATION COMMITTEE RECOMMENDS ADJUSTMENTS TO THE EXECUTIVE COMMITTEE OF THE BOARD WHICH REVIEWS THE RECOMMENDATIONS AND APPROVES OR DISAPPROVES WITHOUT EMPLOYEES IN THE ROOM. THIS ACTION THEN IS REVIEWED WITH THE ENTIRE BOARD ALSO IN EXECUTIVE SESSION. | FORM 990, PART VI, SECTION B, LINE 15 | |
| ITEMS REQUIRED FOR PUBLIC DISCLOSURE ARE MADE AVAILABLE FOR THOSE WHO REQUEST THE INFORMATION. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 7,482,269. PENSION CHARGE TO EQUITY 556,769. TRANSFER OF HEAL GRANTS TO IRA DAVENPORT MEMORIAL HOSPITAL -2,618,911. SPECIFIC PURPOSE GAIN/LOSS TO FUND BALANCE -186,522. CHANGE IN FUND BALANCE OF FOUNDATIONS 902,892. DONATIONS FOR CAPITAL FUNDING 412,323. PERMANENT IMPAIRMENT RECOVERY FROM PRIOR YEAR 147,061. LIFE TO DATE K-1 ADDED TO NET ASSETS 5,225. TOTAL TO FORM 990, PART XI, LINE 5: 6,701,106. | FORM 990, PART XI, LINE 5: |
| THE ORGANIZATION HAS NOT CHANGED ITS POLICY TO HAVE A COMMITTEE RESPONSIBLE FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT AUDITOR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| ARNOT OGDEN MEDICAL CENTER FOUNDATION | ||||||||||
| 600 ROE AVENUE | ELMIRA | NY | 14905 | 161109472 | CONTRIBUTION MANAGEMENT | NY | 501(C)(3) | 11E | N/A | 0 |
| ARNOT OGDEN MEDICAL CENTER AUXILIARY | ||||||||||
| 600 ROE AVENUE | ELMIRA | NY | 14905 | 510192902 | FUND RAISING EVENTS | NY | 501(C)(3) | 11 | N/A | 0 |
| THE FALCK FOUNDATION INC | ||||||||||
| 600 ROE AVENUE | ELMIRA | NY | 14905 | 223055110 | INVESTMENTS | NY | 501(C)(3) | 11E | N/A | 0 |
| IRA DAVENPORT MEMORIAL HOSPITAL | ||||||||||
| 7571 STATE ROUTE 54 | BATH | NY | 14810 | 160835446 | HOSPITAL | NY | 501(C)(3) | 3 | 0 | |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FITCH STREET ASSOICATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 IVY STREET | AddressLine1 |
| City | ELMIRA | City |
| State | NY | State |
| ZIP Code | 14905 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161397356 | EIN |
| Primary Activity | REAL ESTATE RENTAL | PrimaryActivity |
| Legal Domicile State | NY | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IVY STREET DEVELOPMENT CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| IVY STREET DEVELOPMENT CORPORATION | |||||||||||
| 600 IVY STREET | ELMIRA | NY | 14905 | 161009245 | REAL ESTATE RENTAL | NY | N/A | C | -64081 | 3231310 | 1.00000 |
| 722 WEST WATER STREET CORP | |||||||||||
| 600 ROE AVENUE | ELMIRA | NY | 14905 | 160866677 | REAL ESTATE RENTAL | NY | N/A | C | -45261 | 462494 | 1.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 1 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | 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 (7 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| 722 WEST WATER STREET CORPORATION | ||
| A | 7060 | CONTRACTS |
| IVY STREET DEVELOPMENT CORPORATION | ||
| A | 535660 | SQUARE FOOTAGE % |
| IVY STREET DEVELOPMENT CORPORATION | ||
| I | 523741 | CONTRACT % |
| IVY STREET DEVELOPMENT CORPORATION | ||
| O | 204351 | SQUARE FOOTAGE % |
| IVY STREET DEVELOPMENT CORPORATION | ||
| P | 58884 | BANK % |
| 722 WEST WATER STREET CORPORATION | ||
| I | 60535 | SQUARE FOOTAGE % |
| IRA DAVENPORT MEMORIAL HOSPITAL | ||
| H | 2618911 | FMV OF ASSETS |