2023-11-15T10:10:39-06:00 2022-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 990 2022-01-01 160743032 GENEVA GENERAL HOSPITAL GENE 3157874030 196 NORTH STREET GENEVA NY 14456 TRISHA KOCZENT TREASURER AND CHIEF FINANCIAL 3157874030 2023-11-14 1 TRISHA KOCZENT 999009999 0 AIMEE J JOZIC P01329472 5853811000 2023-11-14 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JOSE ACEVEDO MD MBA 196 NORTH STREET GENEVA NY 14456 109515492 0 X WWW.FLHEALTH.ORG X 1898 NY GENEVA GENERAL HOSPITAL IS A COMMUNITY BASED, NOT-FOR-PROFIT HOSPITAL DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH OF ALL PEOPLE IN THE CENTRAL FINGER LAKES REGION. WE ARE COMMITTED TO SAFE, HIGH QUALITY, COMPASSIONATE SERVICES THAT ARE CONVENIENT, ACCESSIBLE AND AT REASONABLE COST, THROUGH THE EFFORTS OF OUR EMPLOYEES, MEDICAL STAFF AND VOLUNTEERS. WE ARE A CENTER FOR HEALTH EDUCATION THAT LIVES ITS LEADERSHIP COMMITMENTS THROUGH PARTICIPATION IN AND SPONSORSHIP OF PROFESSIONAL, ALLIED HEALTH AND COMMUNITY HEALTH EDUCATION PROGRAMS. 18 15 903 16 625723 0 5848184 4653646 91114305 85784461 1985319 9749632 9321286 9327753 108269094 109515492 0 0 0 0 63801083 59348904 0 0 0 51111265 57624003 114912348 116972907 -6643254 -7457415 241263281 220563277 45406695 49479555 195856586 171083722 X COMPASSIONATE SERVICES THAT ARE CONVENIENT, ACCESSIBLE AND AT REASONABLE COST, THROUGH THE EFFORTS OF OUR EMPLOYEES, MEDICAL STAFF AND VOLUNTEERS. WE ARE A CENTER FOR HEALTH EDUCATION THAT LIVES ITS LEADERSHIP COMMITMENTS THROUGH PARTICIPATION IN AND SPONSORSHIP OF PROFESSIONAL, ALLIED HEALTH AND COMMUNITY HEALTH EDUCATION PROGRAMS. 0 0 26773764 23972009 PATIENT SERVICE PROGRAM: INPATIENTGENEVA GENERAL HOSPITAL IS A 117-BED ACUTE CARE HOSPITAL PROVIDING BOTH PRIMARY CARE AND A FULL RANGE OF SECONDARY LEVEL SERVICES, INCLUDING A 14-BED INTENSIVE CARE UNIT. 66442981 59490020 PATIENT SERVICE PROGRAM: OUTPATIENTA FULL RANGE OF DIAGNOSTIC AND TREATMENT SERVICES ARE AVAILABLE AT GENEVA GENERAL HOSPITAL. WE ARE DEDICATED TO PROVIDING A COMPREHENSIVE ARRAY OF HEALTHCARE SERVICES TO PEOPLE IN THE FINGER LAKES REGION. 1895014 1696709 EDUCATION PROGRAM:EDUCATION PLAYS AN IMPORTANT ROLE AT GENEVA GENERAL HOSPITAL. OUR EDUCATION DEPARTMENT, WHICH INCLUDES HIGHER EDUCATION PROGRAMS FOR LICENSED PRACTICAL NURSES (LPN) AND REGISTERED NURSES (RN), IS A DIVERSIFIED TEAM OF PROFESSIONALS WHO PROVIDE LEARNING OPPORTUNITIES TO THE MEMBERS OF OUR ORGANIZATION AND RESIDENTS OF SURROUNDINGCOMMUNITIES. 95111759 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 240 0 1 903 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 18 15 1 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 NY X TRISHA KOCZENT 3157874000 196 NORTH STREET GENEVA NY 14456 KYLENE ABRAHAM DNP TRUSTEE 1.00 4.00 X 0 0 0 MENZO CASE CHAIR 2.00 8.00 X X 0 0 0 TOM BURRALL TRUSTEE 1.00 4.00 X 0 0 0 PHIL BECKLEY TRUSTEE 2.00 8.00 X 0 0 0 JAMES CHENEY TRUSTEE 1.00 4.00 X 0 0 0 CHEVANNE DEVANEY TRUSTEE 1.00 4.00 X 0 0 0 RYAN HALLINGS VICE CHAIR 1.00 4.00 X X 0 0 0 ANN MCMULLEN TRUSTEE 1.00 4.00 X 0 0 0 RODOLFO QUEIROZ MD TRUSTEE 1.00 4.00 X 0 0 0 LANCE WARD TRUSTEE 1.00 4.00 X 0 0 0 CRAIG DENSMORE TRUSTEE 1.00 4.00 X 0 0 0 SUSAN STORK TRUSTEE 1.00 4.00 X 0 0 0 JOSE A ACEVEDO MD PRESIDENT & CEO 6.00 34.00 X X 1548830 0 167758 ROBERT ANDERSON MD TRUSTEE 1.00 39.00 X 0 251522 6703 TRISHA KOCZENT TREASURER AND CFO 6.00 34.00 X X 315868 0 8700 SCOTT MOONEY MD TRUSTEE 1.00 4.00 X 0 0 0 JAMES NARDOZZI TRUSTEE 1.00 4.00 X 0 0 0 JAMES ADAMS SECRETARY 1.00 4.00 X X 0 0 0 FRANK M KORICH CHIEF OPERATING OFFICER 5.00 35.00 X 386866 0 59822 JASON FEINBERG MD CHIEF MEDICAL OFFICER 16.00 24.00 X 461655 0 26891 ARDELLE BIGOS CHIEF NURSING OFFICER 24.00 16.00 X 321986 0 0 WENDY DISBROW VP PHYS NETWORK 16.00 24.00 X 215080 0 0 KIMBERLY COFFEY ASST. CORP AFF & CCO 5.00 35.00 X 153613 0 17611 ANDRE FORCIER AVP PHYS NETWORK 4.00 36.00 X 156780 0 20722 CRAIG COLLINS MD PHYSICIAN PROF SURGERY 40.00 X 599100 0 0 AMANDA B CARPENTER PHYSICIAN - DERMATOLOGY 40.00 X 608382 0 0 JONATHAN RODRIGUEZ PHYSICIAN PROF CARDIOLOGY 40.00 X 570740 0 18315 MATTHEW C TALBOTT DIR EMERGENCY MEDICINE 40.00 X 513239 0 45816 EMILY M LAMBERT PHYSICIAN - DERMATOLOGY 40.00 X 939366 0 22000 6791505 251522 394338 131 0 1 0 TRUSTED NURSE STAFFING LLC 500 SENECA ST 501 BUFFALO NY 14204 HEALTHCARE STAFFING 5340081 CARDINAL HEALTH 6012 E MOLLOY RD SYRACUSE NY 13211 MEDICAL SUPPLIES 4642235 AVANT HEALTHCARE PROFESSIO 1211 SEMORAN BLVD CASSELBERRY FL 32707 HEALTHCARE SERVICES 4090953 WHITE GLOVE PLACEMENT INC 89 BARTLETT ST BROOKLYN NY 11206 HEALTHCARE STAFFING 2071956 AYA HEALTHCARE 5930 CORNERSTONE COURT WEST SUITE 3 SAN DIEGO CA 92121 HEALTHCARE SERVICES 2028830 138 602952 137858 3912836 4653646 PATIENT SERVICE REVENUE 621990 83462029 83462029 TUITION AND RELATED FEES 611600 1696709 1696709 CHILD DAY CARE 624410 625723 625723 85784461 1114563 1114563 8297334 337735 0 0 8297334 337735 8635069 8635069 SHARED SERVICE REVENUE 900099 5297858 5297858 OTHER OPERATING REVENUE 900099 3368552 3368552 OTHER REVENUE 900099 661343 661343 9327753 109515492 85158738 625723 19077385 4393959 4393959 48657436 42611769 6045667 553689 444742 108947 2448069 1966374 481695 3295751 2647262 648489 2595597 803623 1791974 276570 18442 258128 115658 115658 1245484 1245484 193275 32325 160950 904450 435138 469312 269145 146774 122371 3252637 2936094 316543 55140 44612 10528 308461 308461 15933358 15791989 141369 6087972 5783573 304399 1437010 375570 1061440 SUPPLIES 11047543 11007686 39857 PURCHASED SERVICES 10412865 6564305 3848560 OTHER 3226910 1994069 1232841 NYS ASSESSMENT TAX 261928 261928 116972907 95111759 21861148 0 635300 407595 8226223 1643833 15808618 20301026 2628523 3166006 921340 1222423 230332033 167125353 68217202 63206680 97598187 79479240 120000 120000 47107888 51016474 241263281 220563277 19654741 21143791 15421321 18395385 1077433 951091 9253200 8989288 45406695 49479555 X 160489341 140260768 35367245 30822954 195856586 171083722 241263281 220563277 -7457415 -17315449 0 X X 0 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 19374 19374 0 PART II-B, LINE 1: PORTION OF ASSOCIATION DUES ATTRIBUTED TO LOBBYING EXPENSES. 38353000 -5777000 32576000 33737000 4616000 38353000 29789000 3948000 33737000 24399000 5390000 29789000 26561000 -2162000 24399000 0.00000 0.13212 0.86788 0 1 1 740369 740369 130686276 81203278 49482998 94815016 82446429 12368587 4090372 3475646 614726 63206680 DUE FROM AND INVESTMENTS IN AFFILIATES 41003677 DEFERRED COMPENSATION ASSET 6980293 LIMITED USE ASSETS 1014799 OPERATING LEASES 1966389 FINANCE LEASES 51316 51016474 DEFERRED COMPENSATION LIABILITY 6980293 OPERATING LEASE LIABILITY 1960523 FINANCE LEASE LIABILITY 48472 8989288 PART V, LINE 4 THE ENDOWMENT FUNDS CONSIST OF DONOR-RESTRICTED FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES AND ARE INCLUDED IN THE BALANCE SHEET IN ASSETS THAT ARE LIMITED AS TO USE. NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. AMOUNTS INCLUDED IN SCHEDULE D, PART V INCLUDE GENEVA GENERAL HOSPITAL AND FINGER LAKES HEALTH FOUNDATION (EIN 15-0549310) ENDOWMENTS ROUNDED TO THE NEAREST THOUSAND. 1 1 X 1 X 1 X 1 1 0 1 1 1773418 1163670 609748 0.00520 19071269 13516974 5554295 0.04750 20844687 14680644 6164043 0.05270 72955 72955 0.00060 5509886 2007239 3502647 0.02990 5582841 2007239 3575602 0.03050 26427528 16687883 9739645 0.08320 375062 375062 0.00320 375062 375062 0.00320 1 813217 433064 16517870 22323735 -5805865 X 1 1 1 1 GENEVA GENERAL HOSPITAL 196 NORTH STREET GENEVA NY 14456 3402000H X X X GENEVA GENERAL HOSPITAL 1 0 0 1 X X X X X X X X X 19 1 1 1 1 X WWW.FLHEALTH.ORG X 1 19 1 WWW.FLHEALTH.ORG 0 1 X 100.000000000000 200.000000000000 X X X X X 1 1 X X X X 1 X WWW.FLHEALTH.ORG X WWW.FLHEALTH.ORG X WWW.FLHEALTH.ORG X X X X X X 1 X 0 X X X 1 X 0 0 PART V, SECTION A: GENEVA GENERAL HOSPITAL:PART V, SECTION B, LINE 5: THE ONTARIO, SENECA AND YATES COUNTY PUBLIC HEALTH DEPARTMENTS, IN COLLABORATION WITH FINGER LAKES HEALTH, OTHER HOSPITALS, THE S2AY RURAL HEALTH NETWORK (NOW PIVITAL HEALTH), COMMON GROUND HEALTH AND THE COMMUNITY BASED AGENCIES CONDUCTED SURVEYS OF RESIDENTS IN ONTARIO, YATES AND SENECA COUNTIES THROUGH THE COMMUNITY HEALTH NEEDED ASSESSMENT PROCESS. SURVEYS WERE DISSEMINATED THROUGH MANY DIFFERENT METHODS INCLUDING E-MAIL, WEB PAGES, MAILING OF PAPER COPIES, DISSEMINATION OF PAPER COPIES IN LOCAL STORES, HEALTH CARE FACILITIES, PUBLIC HEALTH AND COMMUNITY FACILITIES, AND DIRECT ASSISTANCE WITHIN COUNTY BUILDINGS/AGENCIES. FINGER LAKES HEALTH INVITED PUBLIC PARTICIPATION IN THE NEEDED ASSESSMENT THROUGH THRIVE, OUR COMMUNITY HEALTH MAGAZINE. THRIVE IS MAILED TO MORE THAN 90,000 HOUSEHOLDS IN THE HEALTH SYSTEM'S SERVICE AREA. FURTHER INPUT FROM THE PUBLIC WAS COLLECTED THROUGH A NUMBER OF FOCUS GROUP SESSIONS THAT WERE HELD THROUGHOUT THE COUNTIES. THE MAAP PROCESS WAS USED TO DISTILL AND PRIORITIZE COMMUNITY HEALTH NEEDS. GENEVA GENERAL HOSPITAL: PART V SECTION B LINE 6B: FINGER LAKES HEALTH COLLABORATES WITH PUBLIC HEALTH DEPARTMENTS IN OUR SERVICE AREA AS WELL AS OTHER HUMAN SERVICES PROVIDERS, TO USE THE FRAMEWORK OF THE NYS HEALTH COMMISSIONER'S "PREVENTION AGENDA" AS A BASIS FOR OUR COMMUNITY HEALTH PLANNING. WE WORKED TOGETHER TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2022-2023 AND ESTABLISH HEALTH PRIORITIES FOR 2022-2024. BY DRAWING UP ON THE STATE'S PREVENTION AGENDA, STUDYING DATA COLLECTED THROUGH PRIMARY AND SECONDARY RESEARCH AND PARTNERING WITH LOCAL HEALTH DEPARTMENTS IN ONTARIO, SENECA, AND YATES COUNTIES WE IDENTIFIED HEALTH PRIORITIES AND SUBSEQUENT COMMUNITY OUTREACH INITIATIVES TO ALIGN WITH THOSE PRIORITIES.GENEVA GENERAL HOSPITAL: PART V SECTION B LINE 11: ACTIONS TAKEN BY GGH TO ADDRESS THE SIGNIFICANT NEEDS ADDRESSED IN THE MOST RECENT CHNA: ONTARIO COUNTY AS A RESULT, THE FOLLOWING AREAS WERE SELECTED FOR THE 2022-2024 COMMUNITY HEALTH IMPROVEMENT PLAN: PRIORITY AREA: PREVENT CHRONIC DISEASES FOCUS AREA 1: HEALTHY EATING AND FOOD SECURITY PRIORITY AREA 2: PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS FOCUS AREA: MENTAL HEALTH & SUBSTANCE USE DISORDERS PREVENTION DISPARITY: LOW INCOME/SES PRIORITY AREAS & DISPARITY PREVENT CHRONIC DISEASE OVERARCHING GOALREDUCE OBESITY AND THE RISK OF CHRONIC DISEASE FOCUS AREA 1HEALTHY EATING AND FOOD SECURITY OBJECTIVE 1.2DECREASE THE PERCENTAGE OF CHILDREN WITH OBESITY DISPARITYLOW SOCIOECONOMIC POPULATION PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS FOCUS AREA 2PREVENT MENTAL AND SUBSTANCE USE DISORDERS GOAL 2.4REDUCE THE PREVALENCE OF MAJOR DEPRESSIVE DISORDERS OBJECTIVE 2.42REDUCE THE PAST-YEAR PREVALENCE OF MAJOR DEPRESSIVE EPISODES AMONG ADOLESCENTS AGED 12-17 YEARS. DISPARITYLOW SOCIOECONOMIC POPULATIONSENECA COUNTY THROUGH THE USE OF RESULTS-BASED ACCOUNTABILITY, SENECA COUNTY IN PARTNERSHIP WITH GENEVA GENERAL HOSPITAL AND SOLDIERS AND SAILORS MEMORIAL HOSPITAL (FINGER LAKES HEALTH) AND HAS CHOSEN TO FOCUS THEIR 2022-2024 COMMUNITY HEALTH ASSESSMENT (CHA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) ON THE FOLLOWING PRIORITY AREAS, WITH ZIP CODE AS THEIR IDENTIFIED DISPARITY TO ADDRESS. PRIORITY AREAS & DISPARITY PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS FOCUS AREAPREVENT MENTAL AND SUBSTANCE USE DISORDERS DISPARITYZIP CODE PREVENT CHRONIC DISEASES FOCUS AREAHEALTHY EATING AND FOOD SECURITYYATES COUNTY THROUGH THE USE OF RESULTS-BASED ACCOUNTABILITY, YATES COUNTY IN PARTNERSHIP WITH FINGER LAKES HEALTH HAS CHOSEN TO FOCUS THEIR 2022-2024 COMMUNITY HEALTH ASSESSMENT (CHA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) ON THE FOLLOWING PRIORITY AREAS, WITH THE POPULATION WHOSE HOUSEHOLD INCOME IS LESS THAN $25,000 AS THEIR IDENTIFIED DISPARITY TO ADDRESS. PRIORITY AREAS & DISPARITY PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS FOCUS AREAPREVENT MENTAL AND SUBSTANCE USE DISORDERS PREVENT CHRONIC DISEASES FOCUS AREAHEALTHY EATING AND FOOD SECURITY DISPARITYPOPULATION WITH HOUSEHOLD INCOME OF LESS THAN $25,000GENEVA GENERAL HOSPITAL:PART V SECTION B LINE 23: AMOUNTS GENERALLY BILLED: THE AMOUNTS GENERALLY BILLED ARE BASED UPON THE NEGOTIATED COMMERCIAL INSURANCE RATES FOR THE CARRIER WITH THE GREATEST VOLUME.PART V SECTION B LINE 6B: SENECA, ONTARIO AND YATES COUNTY DEPARTMENT OF PUBLIC HEALTH, COMMON GROUND HEALTH, SAY2 RURAL HEALTH (NOW PIVITAL HEALTH) GENEVA GENERAL HOSPITAL PART V, SECTION B, LINE 5: PART V, SECTION B, LINE 5: THE ONTARIO, SENECA AND YATES COUNTY PUBLIC HEALTH DEPARTMENTS, IN COLLABORATION WITH FINGER LAKES HEALTH, OTHER HOSPITALS, THE S2AY RURAL HEALTH NETWORK (NOW PIVITAL HEALTH), COMMON GROUND HEALTH AND THE COMMUNITY BASED AGENCIES CONDUCTED SURVEYS OF RESIDENTS IN ONTARIO, YATES AND SENECA COUNTIES THROUGH THE COMMUNITY HEALTH NEEDED ASSESSMENT PROCESS. SURVEYS WERE DISSEMINATED THROUGH MANY DIFFERENT METHODS INCLUDING E-MAIL, WEB PAGES, MAILING OF PAPER COPIES, DISSEMINATION OF PAPER COPIES IN LOCAL STORES, HEALTH CARE FACILITIES, PUBLIC HEALTH AND COMMUNITY FACILITIES, AND DIRECT ASSISTANCE WITHIN COUNTY BUILDINGS/AGENCIES. WE HAVE DEVELOPED A RESOURCE DIRECTORY ON OUR WEBSITE BY COUNTY. WE HAVE COORDINATED WITH OUR PRIMARY CARE PRACTICES SO THEY KNOW WE ARE GOING TO IMPLEMENT A QUESTION IN MEDENT, OUR ELECTRONIC MEDICAL RECORD FOR ANNUAL PATIENT PHYSICALS AND NEW PATIENT VISITS. WE HAVE ALLOCATED SPACE IN OUR FALL THRIVE MAGAZINE (WHICH WILL BE MAILED TO APPROX 100,000 HOMES IN OCTOBER) TO SHARE THE LINK AND EDUCATIONAL INFORMATION ABOUT THE PRIORITY OF FOOD INSECURITY. FURTHER INPUT FROM THE PUBLIC WAS COLLECTED THROUGH A NUMBER OF FOCUS GROUP SESSIONS THAT WERE HELD THROUGHOUT THE COUNTIES. GENEVA GENERAL HOSPITAL PART V, SECTION B, LINE 6A: SOLDIERS AND SAILORS MEMORIAL HOSPITAL GENEVA GENERAL HOSPITAL PART V, SECTION B, LINE 6B: SENECA COUNTY DEPARTMENT OF PUBLIC HEALTHCOMMON GROUND HEALTHS2AY RURAL HEALTH (NOW PIVITAL HEALTH) ONTARIO COUNTY HEALTH DEPARTMENTYATES COUNTY PUBLIC HEALTH PART III, LINE 2: COSTING METHODOLOGY:HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION P&P BOARD STATEMENT 15, IX. VALUATION AND DISCLOSURE OF BAD DEBTS, 9.1 HAS BEEN APPLIED TO THE AMOUNT REPORTED ON LINE 2. THE BAD DEBT AMOUNT IS RECORDED AT THE AMOUNT THAT THE PAYER IS EXPECTED TO PAY. THE AMOUNT REPORTED ON LINE 3 IS VALUED AT PATIENT CARE COST, I.E. THE EXPECTED PAYMENT AMOUNT INCLUDED IN LINE 2 HAS BEEN MULTIPLIED BY THE RATIO OF PATIENT CARE COST TO CHARGES (46%). BASED UPON AN ANALYSIS OF INCOME LEVELS FOR ACCOUNTS INCLUDED IN BAD DEBTS WE ESTIMATED THAT 53.85% WERE ELIGIBLE UNDER FAP. PART III, LINE 3: RATIONALE FOR INCLUDING A PORTION OF BAD DEBT AMOUNT AS COMMUNITY BENEFIT: IT IS NOT ALWAYS POSSIBLE TO OBTAIN SUFFICIENT INFORMATION TO MAKE A DETERMINATION OF ELIGIBILITY FOR FINANCIAL ASSISTANCE OR RECLASSIFY BAD DEBTS AS CHARITY CARE. WHEN INCOME LEVELS ARE LEARNED WE IDENTIFY INDIVIDUALS UNABLE TO PAY FOR SERVICES. HAVING PROVIDED SERVICES TO THOSE INDIVIDUALS WE BELIEVE REPRESENTS A COMMUNITY BENEFIT. PART III, LINE 4: BASED ON ITS HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF GGH'S UNINSURED PATIENTS WILL LIKELY BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, GGH RECORDS AN IMPLICIT PRICE CONCESSION TO REDUCE ACCOUNTS TO THEIR NET REALIZABLE VALUE. THERE ARE VARIOUS FACTORS THAT CAN IMPACT COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, UNEMPLOYMENT RATES, THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE VOLUME OF PATIENTS THROUGH THE EMERGENCY DEPARTMENT, THE INCREASED BURDEN OF CO-PAYS, CO-INSURANCE AMOUNTS AND DEDUCTIBLES TO BE MADE BY PATIENTS WITH INSURANCE, AND BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. PART III, LINE 8: RATIONALE FOR INCLUDING SHORTFALL AS COMMUNITY BENEFIT:MEDICARE PAYMENT RATES REFLECT CONSTRAINTS ON FEDERAL GOVERNMENT EXPENDITURES. IN SPITE OF THE SIGNIFICANT LOSSES CAUSED BY THESE LOW RATES WE PROVIDE ACCESS TO HEALTH SERVICES FOR A LARGE SEGMENT OF OUR COMMUNITY. WE BELIEVE THIS ENHANCEMENT OF POPULATION HEALTH REPRESENTS A COMMUNITY BENEFIT.SOURCE OF MEDICARE ALLOWABLE COSTS:COST INFORMATION IS TAKEN FROM THE MEDICARE COST REPORT. PART III, LINE 9B: AFTER THE CUSTOMER SERVICE REPRESENTATIVE'S INITIAL DETERMINATION OR THE DETERMINATION RENDERED AFTER AN APPEAL REVIEW, THE PATIENT'S HOSPITAL ACCOUNT IS ADJUSTED TO REFLECT THE AMOUNT OF ANY FINANCIAL ASSISTANCE DEDUCTION TO BE APPLIED TO IT. THE PATIENT IS BILLED FOR ANY REMAINING AMOUNT DUE, AND IS OFFERED THE TELEPHONE NUMBER OF AN INDIVIDUAL WITHIN PATIENT ACCOUNTS WHO IS AVAILABLE TO ASSIST THE PERSON IN CREATING A SELF- PAYMENT PLAN THAT OUTLINES PATIENT RE-PAYMENT STEPS OVER A SPECIFIED PERIOD OF TIME SHOULD THE PATIENT REQUIRE SUCH ASSISTANCE. INDIVIDUALS WITH VALID REQUESTS FOR FINANCIAL ASSISTANCE ARE EXEMPT FROM REFERRALS TO A COLLECTION AGENCY. PART VI, LINE 4: THE HOSPITAL PROVIDES A FULL RANGE OF ACUTE CARE SERVICES TO RESIDENTS OF THE FINGER LAKES REGION IN UPSTATE NEW YORK. THE HOSPITAL REVIEWS DEMOGRAPHIC DATA FROM SOURCES SUCH AS THE US CENSUS TO IDENTIFY TRENDS. THE HOSPITAL USES HEALTH INDICATORS AND UTILIZATION DATA FROM NUMEROUS SOURCES AND RECEIVES COMMUNITY INPUT FROM PUBLIC SURVEYS. WE HAVE A COMMUNITY ADVISORY COMMITTEE WHICH SERVES AS A REGULAR FORUM FOR COMMUNITY INPUT AND FOSTERING COLLABORATION. WE GATHER OPINION RELATED DATA FROM FOCUS GROUPS, SATISFACTION SURVEYS, AND EMPLOYEE OPINION SURVEYS. WE PARTICIPATE IN A NEEDS ASSESSMENT PROCESS AND PARTICIPATE AS AN ACTIVE MEMBER OF THE COMMUNITY THROUGH BOARD PARTICIPATION ON NUMEROUS LOCAL AND STATE-WIDE HEALTH RELATED ORGANIZATIONS. PART VI, LINE 7, REPORTS FILED WITH STATES NY X X X X X 0 1 0 0 0 0 0 0 0 JOSE A ACEVEDO MD PRESIDENT & CEO 1280023 0 264163 0 4644 0 167758 0 0 0 1716588 0 0 0 EMILY M LAMBERT PHYSICIAN - DERMATOLOGY 615359 0 305520 0 18487 0 0 0 22000 0 961366 0 0 0 AMANDA B CARPENTER PHYSICIAN - DERMATOLOGY 450001 0 128737 0 29644 0 0 0 0 0 608382 0 0 0 CRAIG COLLINS MD PHYSICIAN PROF SURGERY 575000 0 0 0 24100 0 0 0 0 0 599100 0 0 0 JONATHAN RODRIGUEZ PHYSICIAN PROF CARDIOLOGY 484999 0 55741 0 30000 0 0 0 18315 0 589055 0 0 0 MATTHEW C TALBOTT DIR EMERGENCY MEDICINE 450000 0 21720 0 41519 0 18316 0 27500 0 559055 0 0 0 JASON FEINBERG MD CHIEF MEDICAL OFFICER 370828 0 58038 0 32789 0 26891 0 0 0 488546 0 0 0 FRANK M KORICH CHIEF OPERATING OFFICER 300492 0 82596 0 3778 0 47855 0 11967 0 446688 0 0 0 TRISHA KOCZENT TREASURER AND CFO 300001 0 14625 0 1242 0 8700 0 0 0 324568 0 0 0 ARDELLE BIGOS CHIEF NURSING OFFICER 268864 0 49803 0 3319 0 0 0 0 0 321986 0 0 0 ROBERT ANDERSON MD TRUSTEE 0 219376 0 27460 0 4686 0 0 0 6703 0 258225 0 6904 WENDY DISBROW VP PHYS NETWORK 138173 0 1771 0 75136 0 0 0 0 0 215080 0 0 0 ANDRE FORCIER AVP PHYS NETWORK 152797 0 3431 0 552 0 20722 0 0 0 177502 0 0 0 KIMBERLY COFFEY ASST. CORP AFF & CCO 133519 0 17305 0 2789 0 17611 0 0 0 171224 0 0 0 PART I, LINE 4B CERTAIN OFFICERS AND DIRECTORS OF GENEVA GENERAL HOSPITAL ("GGH") PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. GGH DEPOSITED $114,689 INTO A 457(F) PLAN IN 2022 FOR JOSE ACEVEDO, MD, MBA, PRESIDENT & CEO. JAMES NARDOZZI TRUSTEE 259255 GROUNDS MAINTENANCE SERVICES 0 FORM 990, PART VI, SECTION A, LINE 2 PHIL BECKLEY HAS A BUSINESS RELATIONSHIP WITH JAMES CHENEY. FORM 990, PART VI, SECTION A, LINE 7A FINGER LAKES REGIONAL HEALTH SYSTEM, INC. IS THE 'GENERAL MEMBER' OF GENEVA GENERAL HOSPITAL. IN THAT ROLE, ELECTION OF TRUSTEES IS RESERVED TO THE GENERAL MEMBER. FORM 990, PART VI, SECTION A, LINE 7B ELECTION AND REMOVAL OF TRUSTEES, AMENDMENT OF BYLAWS, CERTIFICATE OF INCORPORATION AMENDMENTS, ARE RESERVED TO THE GENERAL MEMBER (FLRHS) PER BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE ADMINISTRATIVE COMMITTEE OF THE BOARD PRIOR TO BEING FILED. ANY COMMITTEE FINDINGS ARE REVIEWED AND IMPLEMENTED AS APPROPRIATE BY MANAGEMENT. CHANGES IN IRS REQUIREMENTS AND ORGANIZATION PRACTICES FROM THE PRIOR YEAR ARE HIGHLIGHTED FOR THE COMMITTEE BY MANAGEMENT. THE COMMITTEE REPORTS ON THIS DISCUSSION TO THE FULL BOARD. FORM 990, PART VI, SECTION B, LINE 12C GENEVA GENERAL HOSPITAL MAINTAINS A CONFLICT OF INTEREST POLICY WHICH BOARD MEMBERS ARE REQUIRED TO SIGN PRIOR TO TAKING OFFICE. STATEMENTS ARE REVIEWED ANNUALLY BY AN ADMINISTRATIVE COMMITTEE. THE PROCESS FOR HANDLING ANY CONFLICTS OF INTEREST WHICH MAY ARISE ARE DETAILED IN THE CORPORATE BYLAWS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS REVIEWED BY A COMPENSATION COMMITTEE, AND COMPARABILITY DATA IS PART OF THE DECISION. FORM 990, PART VI, SECTION C, LINE 19 GENEVA GENERAL HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC WHERE REQUIRED BY LAW AND UPON REQUEST. THE ORGANIZATION'S FORM 990 IS PROVIDED TO ANY INDIVIDUAL WHO PROVIDES A REQUEST IN PERSON OR WHO SUBMITS A WRITTEN REQUEST. THERE IS NO CHARGE OTHER THAN A REASONABLE FEE FOR COPYING AND POSTAGE. COPIES ARE AVAILABLE AT THE FINANCE OFFICE. AN ELECTRONIC VERSION MAY BE FOUND AT WWW.GUIDESTAR.ORG. PART XII, LINE 2C: GGH HAS A BOARD COMMITTEE WHO ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. FINGER LAKES REGIONAL HEALTH SYSTEM INC 196 NORTH STREET GENEVA NY 14456 223193606 SOLE MEMBER OF GGH, LCS, HLC, LCN, SSMH, AND FLHF NY 501(C)(3) LINE 7 N/A 0 LIVING CENTER AT GENEVA SOUTH 196 NORTH STREET GENEVA NY 14456 160957268 SKILLED NURSING FACILITY NY 501(C)(3) LINE 10 FINGER LAKES REGIONAL HEALTH SYSTEM INC 0 HUNTINGTON LIVING CENTER 269 EAST MAIN STREET WATERLOO NY 13165 510169552 SKILLED NURSING FACILITY NY 501(C)(3) LINE 10 FINGER LAKES REGIONAL HEALTH SYSTEM INC 0 GENEVA GENERAL HOSPITAL HOUSING DEVELOPMENT CO 260 NORTH STREET GENEVA NY 14456 222816883 OPERATE LOW INCOME HOUSING FOR ELDERLY AND HANDICAPPED NY 501(C)(3) LINE 10 FINGER LAKES REGIONAL HEALTH SYSTEM INC 0 TAYLOR BROWN MEMORIAL HOSPITAL HOUSING DEVELOPMENT CO 371 EAST MAIN STREET WATERLOO NY 13165 222807734 OPERATE LOW INCOME HOUSING FOR ELDERLY AND HANDICAPPED NY 501(C)(3) LINE 10 FINGER LAKES REGIONAL HEALTH SYSTEM INC 0 LIVING CENTER AT GENEVA NORTH 196 NORTH STREET GENEVA NY 14456 161449543 SKILLED NURSING FACILITY NY 501(C)(3) LINE 10 FINGER LAKES REGIONAL HEALTH SYSTEM INC 0 SOLDIERS & SAILORS MEMORIAL HOSPITAL 196 NORTH STREET GENEVA NY 14456 161449543 PROVIDER AND HEALTHCARE SERVICES NY 501(C)(3) LINE 3 FINGER LAKES REGIONAL HEALTH SYSTEM INC 0 FINGER LAKES HEALTH FOUNDATION 196 NORTH STREET GENEVA NY 14456 150549310 COORDINATE FUNDRAISING ACTIVITES NY 501(C)(3) LINE 12C, III-FI FINGER LAKES REGIONAL HEALTH SYSTEM INC 0 FLH MEDICAL PC 196 NORTH STREET GENEVA NY 14456 263765332 MEDICAL PRACTICES NY 501(C)(3) LINE 10 GENEVA GENERAL HOSPITAL 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 FLH MEDICAL PC D 27773437 FMV