2023-10-19T06:48:10-07:00 2022-12-31 990 2022-01-01 161109472 ARNOT HEALTH FOUNDATION INC ARNO 6077958167 571 ST JOSEPHS BLVD ELMIRA NY 14901 Warren Roman Vice Chair 6077379567 2023-10-20 1 1 11 1 AAL2 X 2022 2023-04-26 12:10:37Z X Mike Lares 571 ST JOSEPHS BLVD ELMIRA NY 14901 36024883 0 X X 1978 NY PROVIDE FINANCIAL SUPPORT TO ARNOT OGDEN MEDICAL CENTER, ST JOSEPHS HOSPITAL AND THE PHYSICIAN OFFICES. 11 10 0 0 5076867 0 371975 3343710 0 0 1122723 5067647 243156 235531 1737854 8646888 174938 14714190 0 0 0 0 0 0 0 209199 241764 384137 14955954 1353717 -6309066 33528865 16500232 431478 98363 33097387 16401869 PROVIDE FUNDRAISING SUPPORT FOR ARNOT OGDEN MEDICAL CENTER, ST JOSEPHS HOSPITAL AND THE AFFILIATED PHYSICIAN OFFICES. 0 0 14714190 14584398 0 GRANTS AND ASSISTANCE TO OTHER ORGANIZATIONS. PRIMARILY DONATIONS MADE FOR A SPECIFIC PURPOSE BY THE DONOR THAT ARE SUBSEQUENTLY RELEASED FROM RESTRICTION WHEN GIVEN TO THE ARNOT OGDEN MEDICAL CENTER OR ST. JOSEPH'S HOSPITAL FOR THE INTENDED DONORS REQUEST. 0 0 0 14714190 1 1 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 0 0 0 1 1 1 0 1 1 1 0 0 0 1 1 0 NY X THE ORGANIZATION 6077958167 571 ST JOSEPHS BLVD ELMIRA NY 14901 KIM PANOSIAN SECRETARY 1 40.00 X X X 0 99829 37893 LISA VENTURA SENIOR DIRECTOR OF DEVELOPMENT 40 0 X 0 112768 21040 MIKE LARES CHAIR 1 0 X X 0 0 0 WARREN ROMAN JR VICE CHAIR 1 0 X 0 0 0 ERNEST HARTMAN BOARD MEMBER-ADVISOR 1 0 X 0 0 0 JUAN JONES BOARD MEMBER 1 0 X 0 0 0 JOHN STEMPIN TREASURER 1 0 X X 0 0 0 BEVERLY HUSLANDER BOARD MEMBER 1 0 X 0 0 0 KELSEY KNOWLES BOARD MEMBER 1 0 X 0 0 0 SYDNEY STRINGHAM BOARD MEMBER 1 0 X 0 0 0 PETER C WALLIN BOARD MEMBER-ADVISOR 1 0 X 0 0 0 DR RICHARD TERRY BOARD MEMBER 1 0 X 0 0 0 JULIE DELGROSSO BOARD MEMBER 1 0 X X 0 0 0 MARYBETH CONWELL BOARD MEMBER 1 0 X 0 0 0 HELEN TENNY SJH AUXILIARY PRESIDENT 1 0 X 0 0 0 0 212597 58933 0 0 0 1 0 0 0 0 0 0 3343710 0 3343710 0 226050 0 0 226050 0 0 0 0 0 0 0 0 235270 0 0 0 235270 0 235270 0 235270 0 32219592 0 27377995 0 4841597 0 4841597 0 4841597 0 0 261 261 0 0 261 8646888 261 5076867 226050 14584398 14584398 129792 129792 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3660 0 3660 0 3836 0 3836 0 0 0 0 0 41 0 41 0 29867 0 29867 0 0 0 0 0 9963 0 9963 0 540 0 540 0 0 0 0 0 0 0 0 0 0 0 0 0 87360 0 87360 0 69863 0 69863 0 0 0 0 0 Gala Expense 29060 0 29060 0 Dues & Subscriptions 4052 0 4052 0 Miscellaneous 3522 0 3522 0 0 0 0 0 14955954 14714190 241764 0 3335826 377230 0 0 268917 111417 2101 2101 0 0 0 0 0 0 0 0 10126 18023 2021619 1042785 1044785 978834 28053332 12333349 0 0 0 0 0 0 813778 2679278 33528865 16500232 56227 98363 0 0 0 0 0 0 0 0 0 0 0 0 0 0 375251 431478 98363 X 25354969 11151562 7742418 5250307 33097387 16401869 33528865 16500232 X -6309066 -8358702 0 0 0 -2027750 X 1 X 1 X 1 1 1 X X X 1 ARNOT OGDEN MEDICAL CENTER 160743905 3 1 14714191 0 1 14714191 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Schedule A, Part IV, Section C, Line 1 The organization's primary mission is to provide fundraising support to the needs of the supported organizations. While there is separate board membership, there is an active communication channel between the foundation and Arnot Health, Inc. management. Through this communication, the future plans and financial needs are communicated. The board reviews the needs of the supported organization and the appropriate distribution of funds is monitored and approved for release of funds by the Foundation director in accordance with donor written directives to provide the greater benefit to the supported organization. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7742418 839042 -253926 0 3077227 0 5250307 6775348 428706 691563 0 153199 0 7742418 6966357 303974 98225 0 593208 0 6775348 6625465 238651 249284 0 147043 0 6966357 6567934 204615 107882 0 254966 0 6625465 0 0.14 0.86 0 1 1 122586 0 122586 765167 0 425093 340074 1123004 0 610416 512588 10862 0 7276 3586 0 0 0 0 978834 Interest in Cahritable Remainder Trust 346857 Other Assets 7000 Due from Related Parties 2325421 2679278 8646888 0 0 0 0 0 8646888 0 0 0 8646888 14955954 0 0 0 0 0 14955954 0 0 0 14955954 Schedule D, Part V, Line 4 Endowments are intended to be used for the future benefit of the supported organization. i.e. scholarships, capital project funds. Permanent endowment funds are established by the donor with the corpus permanently restricted as to use. Earnings are available for use as directed by the donor endowment establishment documentation. Temporarily restricted funds are established by the donor for purposes ranging from scholarships, equipment, departmental operations, education, etc. Appropriate distribution of those funds is monitored by the Foundation Director in accordance with the donor written directives. 1 Arnot Ogden Medical Center 600 Roe Ave Elmira NY 14905 160743905 501(C)(3) 14584398 0 Equipment purchases and grant funding for operational needs. 1 0 SCHOLARSHIPS, EDUCATION ASSISTANCE, AND OTHER ASSISTANCE 52 57841 0 PATIENT CARE ASSISTANCE 156 71951 0 Schedule I, Part I, Line 2 Each fund has a criteria that needs to be met for the individual to qualify for assistance. Once the information has been reviewed and verified, the eligibility is determined and approved/denied. Payments are sent directly to the vendor or individual with the appropriate documentation. 0 0 0 0 0 0 0 0 0 KIM PANOSIAN SECRETARY 0 108258 0 0 0 0 0 5413 0 32480 0 146151 0 0 LISA VENTURA SENIOR DIRECTOR OF DEVELOPMENT 0 116503 0 0 0 0 0 3996 0 16809 0 137308 0 0 Form 990, Part VI, Section A, Line 9 ERNIE HARTMAN & WARREN ROMAN- INTERNATIONAL BROTHERHOOD OF ELECTRICAL WORKERS, NO. 139, 415 W 2ND ST, ELMIRA, NY 14901; PETER C WALLIN-WALLIN INSURANCE AGENCY, INC., 1364 COLLEGE AVE, ELMIRA, NY 14901; JULIE DEGRASSO- PO BOX 548, ELMIRA, NY 14902; JUAN JONES-CORNING COMMUNITY COLLEGE, 1 ACADEMIC DRIVE, CORNING, NY 14830; BEV HUSLANDER- 543 HUSLANDER ROAD, TROY, PA 16947; SYDNEY STRINGHAM- ELMIRA COLLEGE, ONE PARK PLACE, ELMIRA, NY 14901; MARY BETH CONWELL- RAY JEWELERS 1100 CLEMENS CENTER PKWAY SUITE 7, ELMIRA, NY 14901 Form 990, Part VI, Section B, Line 11b FORM 990 IS PREPARED BY THE ACCOUNTING DEPARTMENT OF THE SUPPORTED ORGANIZATION. THE FOUNDATION DIRECTOR AND EXECUTIVE FOUNDATION BOARD REVIEWS AND APPROVES THE 990 BEFORE FILING. THE 990 IS MADE AVAILABLE FOR ALL BOARD MEMBERS REVIEW AND DISCUSSED AT THE FOLLOWING BOARD MEETING. Form 990, Part VI, Section B, Line 15 Although the Foundation itself does not have employees, the executive foundation director's salary is determined by the hospital's human resources department with executive approval. Form 990, Part VI, Section C, Line 19 All documents are available for viewing at the foundation office or the accounting department upon request. Form 990, Part XI, Line 9 Temporarily restricted donations not released from restrcition by end of year. GAAP requires only funds released from restriction to be included in revenue. ARNOT OGDEN MEDICAL CENTER 600 ROE AVENUE ELMIRA NY 14905 160743905 HOSPITAL NY 501(C)(3) LINE 3 N/A 0 ARNOT OGDEN MEDICAL CENTER AUXILIARY ROE AVENUE AND GROVE STREET ELMIRA NY 14905 510192902 FUNDRAISING NY 501(C)(3) LINE 11A, I N/A 0 IRA DAVENPORT MEMORIAL HOSPITAL 7571 STATE ROUTE 54 BATH NY 14810 160835446 HOSPITAL NY 501(C)(3) LINE 3 N/A 0 KEUKA HEALTH CARE FOUNDATION INC 7571 STATE ROUTE 54 BATH NY 14810 161461215 FOUNDATION NY 501(C)(3) LINE 11A, I N/A 0 ARNOT HEALTH INC 600 ROE AVENUE ELMIRA NY 14905 453049405 PROVIDE DIRECTION AND GUIDANCE NY 501(C)(3) LINE 11A, I N/A 0 IVY STREET DEVELOPEMENT CORPORATION 600 IVY STREET ELMIRA NY 14905 161009245 COLLECTION AGENCY & REAL ESTATE NY ARNOT OGDEN MEDICAL CENTER C 0 0 1 1 1 0 0 0 0 0 0 0 1 0 1 1 1 1 0 0