2024-10-30T21:05:56-07:00 2023-12-31 990 2023-01-01 160835446 IRA DAVENPORT MEMORIAL HOSPITAL INC IRAD 6077768500 7571 State Route 54 Bath NY 14810 Jonathan Lawrence President & CEO 6077374440 2024-10-15 1 2023 2024-10-15 13:58:12Z Jonathan Lawrence 600 Roe Ave Elmira NY 14905 22714037 0 X www.arnothealth.org X 1910 NY IRA DAVENPORT MEMORIAL HOSPITAL IS DEDICATED TO ENHANCING THE QUALITY OF LIFE WITHIN THEIR RURAL COMMUNITY. 10 8 294 8 0 0 3925148 753443 19439720 21764807 1541 648 219887 -161375 23586296 22357523 0 0 0 0 13373290 15482901 0 0 0 17228705 14993049 30601995 30475950 -7015699 -8118427 17380790 15779394 13078108 19249644 4302682 -3470250 IRA DAVENPORT MEMORIAL HOSPITAL IS DEDICATED TO ENHANCING THE QUALITY OF LIFE WITHIN THEIR RURAL COMMUNITY BY PROVIDING LOCAL HIGH QUALITY PRIMARY, ACUTE, RESTORATIVE AND RESIDENTIAL HEALTH SERVICES. 0 0 22099457 21603432 IRA DAVENPORT PROVIDED BOTH ACUTE CARE AND LONG-TERM CARE SERVICES TO PATIENTS DURING 2023. THE HOSPITAL BASED SKILLED NURSING FACILITY IS A 120 BED LONG-TERM CARE FACILITY. THE HEALTH CENTER PROVIDES A COMMUNITY FOR PEOPLE WHO REQUIRE ASSISTANCE WITH DAILY LIVING OR AROUND-THE-CLOCK NURSING SERVICES. THE HEALTH CARE CENTER ALSO PROVIDES DAY CARE SERVICES AND REHABILITATION SERVICES. 0 0 0 22099457 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 0 0 0 0 0 0 1 0 0 0 1 0 0 1 294 1 0 0 0 0 0 0 0 0 X 10 8 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X VP OF FINANCE 6077374507 600 Roe Ave Elmira NY 14905 Jonathan I Lawrence President & CEO 10 52 X X 0 964293 36941 Elizabeth J Weir Site Administrator/VP of Nursing IDMH 45 10 X 0 177435 35669 April Beasley Licensed Practical Nurse 45 0 X 144874 0 0 Amy Blum Supervising Pharmacist/Site Manager 50 0 X 142192 0 0 Bianca Daudelin Med Surg Unit Dir. 45 X 137936 0 0 Blythe DeClerck Emergency Room RN 45 X 124628 0 0 Connie Smith-Kearns Licensed Practical Nurse 45 X 122956 0 0 Werner Brammer MD Chair 1 X 0 0 0 Joseph Meade III Treasurer 1 X 0 0 0 John Mallia Interim CFO 10 40 X 0 0 0 Jo Miller Board Member 1 X 0 0 0 Kathryn Muller Board Member 1 X 0 0 0 Jeffrey Streeter Board Member 1 X 0 0 0 Belinda Hoad Vice Chair 1 X 0 0 0 Jack Wheeler Board Member 1 X 0 0 0 Bernard Burns Secretary 1 X 0 0 0 672586 1141728 72610 7 0 1 0 0 0 0 0 0 674303 79140 0 753443 Net Patient Service Rev Hosp 621110 21764807 21764807 0 0 0 0 0 0 21764807 648 0 0 648 0 0 0 0 0 0 0 0 0 0 0 0 0 91650 356514 -264864 -264864 0 0 Rehab/Respiratory Therapy 621340 650 650 0 0 102839 102839 0 0 103489 22357523 21603432 0 648 X 11599215 10114490 1484725 59271 59271 2945728 490 2945238 878687 754357 124330 257422 168496 88926 2298 2298 5000 5000 698 698 139098 130053 9045 4112313 3798072 314241 8915 4174 4741 672222 484118 188104 267123 139907 127216 468098 9242 458856 4104 4104 32906 29450 3456 1128650 1128650 494262 494262 Medical/Surgical/Pharmaceutical Supplies 2073433 2061442 11991 Maintenance Contracts/ Purchased Services 4487106 1253777 3233329 Leases 97995 33061 64934 Benefit Allocation 0 2625752 -2625752 741406 488472 252934 30475950 22099457 8376493 0 71558 122094 588369 831136 0 0 3455044 2722491 0 0 0 0 398018 267618 319208 338134 435844 341792 35777011 27775097 8248946 8001914 850000 0 0 0 0 0 0 0 3013803 3154215 17380790 15779394 2853644 2222238 0 0 0 0 0 0 0 10224464 17027406 13078108 19249644 X 1495913 -6599380 2806769 3129130 4302682 -3470250 17380790 15779394 X -8118427 0 0 0 0 345495 X 1 X 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 698 698 0 Schedule C, Part II-B, Line 1 Ira Davenport Memorial Hospital pays annual dues to Healthcare Association of New York State, of which a percentage is for lobbying fees. 25612 0 0 0 0 0 25612 25612 0 0 0 0 0 25612 25612 0 0 0 0 0 25612 25612 0 0 0 0 0 25612 25612 0 0 0 0 0 25612 0 1 0 0 1 1 0 52925 52925 0 18465993 12668641 5797352 0 0 0 0 0 17258093 15106456 2151637 0 0 0 0 8001914 Interest in Net Assets of Charitable Remainder Trusts 2179847 Interest in Net Assets of Foundation 831598 Current Portion of Assets Limited as to Use 84592 Other Noncurrent Assets 58178 3154215 0 Current portion of third-party payors 281601 Due to third-party payors, net 151947 Self Insurance Reserves 738889 Due to related parties 15796794 Other long-term liabilities 58175 17027406 Schedule D, Part V, Line 4 The intended uses of the endowment funds are based upon the designations from the organization's documents, which include staff educations, community educations, and charity care. The board endowment fund is a board designated fund for use in the highest area of need. 1 1 X 1 X 1 X 1 1 1 1 1 1 135 116162 -631 116793 0.0038 597 5023592 3367704 1655888 0.0537 9408 5628058 1427466 4200592 0.1363 0 10140 10767812 4794539 5973273 0.1938 2 31286 20996724 14576105 6420619 0.2083 2 31286 20996724 14576105 6420619 0.2083 2 41426 31764536 19370644 12393892 0.4021 1 582927 236088 702635 787857 -85222 X 1 1 1 1 IRA DAVENPORT MEMORIAL HOSPITAL 7571 ROUTE 54 BATH NY 14810 www.arnothealth.org X X X IRA DAVENPORT MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X 22 1 1 1 1 X https://www.arnothealth.org/community-outreach X https://www.steubencountyny.gov/281/Community-Health 1 22 1 https://www.arnothealth.org/community-outreach 0 0 1 X 200 400 X X X 1 1 X X X 1 X www.arnothealth.org X www.arnothealth.org X www.arnothealth.org X X X X X X 1 X 0 X X X X 1 X 0 0 Schedule H, Part V, Section B, Line 5-IRA DAVENPORT MEMORIAL HOSPITAL In 2022, Arnot Health participated in a comprehensive assessment of community needs across county lines with partners such as the Chemung County Health Department, Steuben County Public Health, other hospitals and healthcare agencies in Chemung, Steuben and Schuyler Counties, along with a diverse, collaborative community of partners and residents. Schedule H, Part V, Section B, Line 6a-IRA DAVENPORT MEMORIAL HOSPITAL The CHA is conducted with Arnot Health, Ira Davenport Memorial Hospital, Guthrie Corning Hospital, and St. James Hospital Schedule H, Part V, Section B, Line 6b-IRA DAVENPORT MEMORIAL HOSPITAL Steuben County Public Health, Common Ground Health, Smart Steuben, Steuben Rural Health Network, Finger Lakes Community Health, Pro Action of Steuben & Yates, Inc., Pivital Public Health Partnership Schedule H, Part V, Section B, Line 11-IRA DAVENPORT MEMORIAL HOSPITAL Arnot Health works diligently to partner with the organizations throughout the service area in an effort to enhance healthcare services for the most vulnerable residents. Due to the rural nature of Chemung and Steuben Counties, the high percentage of low-income residents and the limited resources available in the community, Arnot Health understands the need to create meaningful partnerships to best serve the community at large. Arnot Health has formed collaborative relationships with organizations throughout Chemung and Steuben Counties to address health concerns across the continuum. Chemung and Steuben Counties maintain coalitions to collaboratively meet the healthcare needs of the community. The Chemung County Health Priority Partnership (HP2) has expanded to include insurance navigators. The Steuben County Health Priority Team (SHPT) worked to brand their coalition and has the new name, Smart Steuben. Both coalitions include organizations that are committed to improving the health of Chemung and Steuben County residents. The groups have conducted a Community Health Needs Assessment (CHNA) and developed a Community Health Improvement Plan (CHIP). The members of HP2 and Smart Steuben have agreed to continue expanding their partnerships and meet on a regular basis to ensure that the initiatives outlined in the Community Health Improvement and Community Service Plans are implemented, monitored, and evaluated. The CHIP can be found on our website www.arnothealth.org Schedule H, Part I, Line 7 Ira Davenport Memorial Hospital uses a Cost to Charges ratio to calculate the Financial Assistance and Community Benefit Section. The Medical Center offers a variety of services to the community it serves as part of an integrated delivery system. It is necessary to financially subsidize some of these services as the revenue generated does not cover the cost of providing the services. Schedule H, Part III, Section A, Line 4 The Organization determines the transaction price based on standard charges for services provided, reduced by contractual adjustments provided to third-party payors, discounts provided to uninsured patients in accordance with its financial aid policies, and implicit price concessions. Estimates of contractual adjustments and discounts are determined based on contractual agreements, discount policies, and historical experience. For uninsured patients that do not qualify for charity care, the Organization recognizes revenue on the basis of its standard rates for services provided. Based on historical experience, a significant portion of the Organization's uninsured patients will likely be unable or unwilling to pay for services provided. Thus, the Organization records an implicit price concession to reduce accounts to their net realizable value at the time management believes it is probable a receivable will not be recovered. 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 patient 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 collections 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. Estimates of implicit price concessions are determined based on historical collection experience with these classes of patients using a portfolio approach as a practical expedient to account for patient contact as collective groups rather than as individual contracts. The financial statement effect of using this practical expedient is not materially different form an individual contract approach. In Line 2 & 3, the Organization's methodology to estimate bad debt expense is based on historical data of bad debt write-offs by Primary Financial Class. A percent of AR is calculated, and that percent is applied to Open Accounts Receivable and posted against the AR on the balance sheet. Schedule H, Part III, Section B, Line 8 Ira Davenport Memorial Hospital uses a Cost to Charges ratio to calculate the Financial Assistance and Community Benefit Section. The Medical Center offers a variety of services to the community it serves as part of an integrated delivery system. It is necessary to financially subsidize some of these services as the revenue generated does not cover the cost of providing the services. Schedule H, Part III, Section C, Line 9b Self-pay collection staff reviews any prior accounts to check for commercial insurance or Medicaid that may need to be applied to current self-pay accounts. These accounts are reviewed using the self-pay work list. If insurance is located, self-pay collectors must verify eligibility for the date of service. The self-pay staff will change the health plan to the correct one for all covered dates of service and Arnot Health Billing will submit claim or claims. If no insurance is located, it is confirmed if a patient may have qualified for Medicaid. If Medicaid coverage is approved, self-pay staff will change the health plan to Medicaid for all covered dates of service and follow the correct billing process. Self-Pay Collections Staff attempts to collect full balance due by check or credit card. If they are unable to make the full payment, Self-pay staff will attempt to make payment arrangements and notify patients about the Arnot Health Community Care Program. If the patient wants to apply for the community care program, the patient will be sent an application for the community care program and will be informed of documentation they will need to submit with the application. Self-pay collectors document all activity in Soarian and enter any necessary hold to support resolution. Self-pay collections staff enters the payment plan and documents comments in Soarian. A payment plan statement is demanded and sent to the patient. If patient does not enter into a payment plan agreement, or fails to pay as agreed, account will go through the standard dunning and collection agency activity. See Guarantor Billing and Collections. Schedule H, Part VI, Line 2 In 2022, Ira Davenport Memorial Hospital, with Arnot Health, participated in a comprehensive assessment of community needs in collaboration with Steuben County Public Health and Common Ground Health, our local planning organization for improving population health across the Finger Lakes region. Also instrumental in the completion of the assessment were other hospitals including St. James Hospital and Guthrie Corning Hospital and healthcare agencies in Steuben County including Smart Steuben, Steuben Rural Health Network, Finger Lakes Community Health, Pro Action of Steuben & Yates, Inc., Oak Orchard Health, Pivital Public Health (formerly known as S2AY Rural Health Network), along with a diverse, collaborative community of partners and community members. Partners' roles in the assessment were to help inform and select the 2022-2024 priority areas by sharing any pertinent data or concerns and actively participating in planning meetings The three county lines of Chemung, Steuben and Schuyler Counties comprise the primary service area. Arnot Health, in partnership with this dual-county collaborative network, collects and analyze data from a variety of secondary sources including, but not limited to, County Health Rankings, New York State Department of Health Vital Statistics, Cornell University Program on Applied Demographics. Valuable input was gained from data retrieved and analyzed by the Finger Lakes Health System Agency from the New York State Prevention Agenda Dashboard, multi-payer claims data, EBRFSS, SPARCS, US Census Bureau American Community Survey, Behavioral Risk Factor Surveillance System, Common Ground Health's My Health Story 2018 survey, and additional sources. Also, input was gained from diverse community focus groups made of both Chemung and Steuben County residents. The residents were engaged in discussions concerning their current health status and opinions on specific county-wide health challenges. Areas of disparity were assessed within each county. Findings from the Community Health Assessment (CHA) data and community focus groups identified some overlapping areas of public health concerns and disparities in Chemung and Steuben Counties. The top priority areas identified are promoting well-being, preventing mental and substance use disorders and preventing chronic diseases. From there, a Community Health Improvement Plan (CHIP) is developed based on those priority health care needs. Schedule H, Part VI, Line 3 The Arnot Health credit services department helps you find programs and apply for them. We want to relieve the burden of unpaid bills on our patients and continue to provide top-quality healthcare to our community. Arnot Health communicates our Community Care Program in the following ways: Signage and brochures in the waiting rooms of inpatient, outpatient, and emergency departments, brochures enclosed in Admission Packets, notations on billing notices, staff education to share availability of program and contact information with patients. Communication and education are provided to the financial assistance team for patient insurance enrollment, so they are informed of the program details and contact information to help further educate our patients. Communication is also done with collection agencies and collection attorneys so they can also share the availability of the program and contact information with prospective enrollees. The information is also posted on our website at https://www.arnothealth.org/financial-assistance. The website provides instructions on how to apply for our assistance program as well as contact information. Aside from our Community Care Program, we also educate patients on other financial assistance programs such as free services provided through Chemung County Health Department, Community Health Advocates, Crime Victims Financial Assistance, and American Cancer Society Financial Assistance. Schedule H, Part VI, Line 4 Ira Davenport Memorial Hospital, located in Bath, NY of Steuben County, is a not-for-profit, 35-bed acute care hospital with an adjoining 120-bed skilled nursing facility serving its community since 1959. Steuben County is located in the southernmost portion of the Finger Lakes Region, situated between Allegany and Chemung Counties and bordering the Pennsylvania state line. With the rural nature of Steuben County, there is a high percentage of low-income residents and an aging population with limited resources available in the community. There are 93,584 total residents spread throughout the county with Bath, NY being one of the densest populated areas. 35% of Steuben County's population is living in a Health Professional Shortage Area, which causes concern for those who lack transportation to access services. When comparing across the Finger Lakes Region, 211 calls within the past year regarding transportation assistance were highest within Steuben County with 947 calls (followed by Monroe County with 741). Approximately 88% of those transportation request calls were for medical transportation, and another 8% were for public transportation. The majority of transportation requests originated from Bath (about 31%). The Steuben County population is primarily white non-Hispanic (94%), with Black non-Hispanic, Hispanic and other individuals each representing 2% of the remainder of the population. Women of childbearing age comprise approximately 21% of the population, about 11% are veterans, and 15% of individuals are living with some form of disability. The majority of those living with a disability in Steuben County are 65 years of age or older (about 68%). The three types of disabilities most prevalent to this age group are independent living difficulty (about 11%), hearing difficulty (about 14%), and ambulatory difficulty (about 20%). Additionally, about 28% of the population aged 65 years or older are living alone. 14% of the population in Steuben County are living in poverty. Schedule H, Part VI, Line 5 Ira Davenport Memorial Hospital (IDMH) has approximately 200 active employees. The hospital has formed great partnerships within the community including local law enforcement, local churches, and Bath's local primary care physicians, who are independent and provides all on-call coverage for IDMH. The IDMH Board of Directors is comprised of community leaders in the business and healthcare industries in the Steuben County area. The chairperson, Dr. Werner Brammer, is also an active member of the Arnot Health Board. IDMH is the brick-and-mortar site for Steuben County Child Advocacy Center, as well as the location for their mobile crisis unit. Behavioral health and substance abuse are serious concerns in this community. An open community forum with 14 different agencies was held in August of 2023. This allowed concerned community members ready access to resources for assistance with these difficult topics. In 2023, the organization continues to work with New York State towards the Rural Emergency Hospital designation, which is designed to maintain access to critical outpatient hospital services in communities that may not be able to support or sustain a small rural hospital. If granted, this designation demonstrates the instrumental role IDMH has in the community it serves and will allow the organization to continue providing high-quality care. Schedule H, Part VI, Line 6 Arnot Health, the parent organization, is comprised of three hospitals: Arnot Ogden Medical Center and St. Joseph's Hospital in Elmira; and Ira Davenport Memorial Hospital in Bath, New York. Arnot Health is one of the largest employers in both Chemung and Steuben County and an integral part of those communities. Arnot Health provides diagnostic, ambulatory, secondary and tertiary acute care, as well as substance abuse, psychiatric, rehabilitative, and wellness services to meet the needs of residents in Chemung, Steuben, and Schuyler Counties in the Southern Tier of New York, and Bradford and Tioga Counties in the Northern Tier of Pennsylvania. Arnot Health System has more than 300 physicians from over 50 specialties. The independent, not-for-profit regional healthcare system currently has a total of 567 beds: 362 acute care beds and 205 skilled nursing/long-term beds. Arnot Ogden Medical Center and St. Joseph's Hospital has a total of 327 acute care beds and 85 skilled nursing/long-term beds. Ira Davenport Memorial Hospital has a total of 35 acute care beds and 120 skilled nursing/long-term beds. Schedule H, Part VI, Line 7 NY 0 0 0 0 0 0 0 0 0 Jonathan I Lawrence President & CEO 0 800001 0 175000 0 0 0 11319 0 24427 0 1010747 0 0 Elizabeth J Weir Site Administrator/VP of Nursing IDMH 0 183706 0 0 0 0 0 6301 0 29368 0 219375 0 0 April Beasley Licensed Practical Nurse 148476 0 0 0 0 0 0 0 27406 0 175882 0 0 0 Amy Blum Supervising Pharmacist/Site Manager 144548 0 0 0 0 0 0 0 15125 0 159673 0 0 0 Bianca Daudelin Med Surg Unit Dir. 123936 0 14000 0 0 0 0 0 0 0 137936 0 0 0 Blythe DeClerck Emergency Room RN 115665 0 14000 0 0 0 0 0 43288 0 172953 0 0 0 Connie Smith-Kearns Licensed Practical Nurse 124049 0 1500 0 0 0 0 0 17373 0 142922 0 0 0 Form 990, Part VI, Section A, Line 3 In October of 2022, Arnot Health contracted with The Mallia Group, in which John Mallia, CPA, became the interim Chief Financial Officer. Form 990, Part VI, Section B, Line 11b The IDMH 990 Form is prepared by members of the Accounting team of Arnot Health. Upon completion of the Form 990, a draft is reviewed by the Medical Center's Senior Vice President of Finance and Chief Financial Officer. After review, the form is submitted online with the President's and Chief Executive Officer's approval. The return is made available to all Board Members for review and questions. Form 990, Part VI, Section B, Line 12c When hiring and promotion decisions are being considered, the COI (conflict of interest) policy is always consulted. Form 990, Part VI, Section B, Line 15 Compensation for the President and Vice President is set pursuant to a policy and compensation philosophy adopted by the boards. The AOMC Board has a compensation committee consisting of outside directors. The Compensation Committee uses a consultant to advise it on compensation for the officers. The consultant collects and reports data on compensation for similar nonprofit hospitals from upstate New York and western Pennsylvania. The compensation committee recommends any adjustments to the executive committee of the board which reviews the recommendations and approves them without the employees in the room. This action is then reviewed with the entire board also in the executive session. Form 990, Part VI, Section C, Line 19 The Governing Documents and Conflict of Interest Policy are available on the Hospital's website "https://www.arnothealth.org/about/corporate-compliance" The Audited Financial Statements are available at the Federal Audit Clearinghouse website: "facweb.census.gov" Form 990, Part IX, Line 11g The $3.8m of other services is primarily made up of $0.9m of Contract Labor from the E.D., $0.9m of Contract Labor from the SNF department and $0.6m from Physicians in the E.D. Form 990, Part XI, Line 9 Change in Charitable Remainder Trusts: $252,000, Donations for Capital Funding $185,199, Donation (temporarily restricted) $72,000, Net Loss from Keuka Foundation ($164,766) and Net Assets Released from Restrictions for PP&E $1,062. KEUKA HEALTH CARE FOUNDATION 7571 STATE ROUTE 54 BATH NY 14810 161461215 FUNDRAISING NY 501(C)(3) 12a N/A 0 ARNOT OGDEN MEDICAL CENTER 600 ROE AVENUE ELMIRA NY 14905 160743905 HOSPITAL NY 501 (C)(3) 3 N/A 0 ARNOT OGDEN MEDICAL CENTER FOUNDATION 600 ROE AVENUE ELMIRA NY 14905 161109472 FUNDRAISING NY 501(C)(3) 12b N/A 0 ARNOT HEALTH INC 600 ROE AVENUE ELMIRA NY 14905 453049405 PARENT ORGANIZATION NY 501 (C)(3) 12b ARNOT HEALTH INC 0 IVY STREET DEVELOPMENT CORP 600 IVY STREET ELMIRA NY 14905 161009245 REAL ESTATE NY N/A C 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 ARNOT OGDEN MEDICAL CENTER o 3483250 Arnot Ogden Medical Center provided employees for medical services, management information systems, and various administration services to Ira Davenport Memorial Hospital. The method of determining the amount was cost. KEUKA HEALTH CARE FOUNDATION c 183559 Donations for equipment to IDMH from Keuka Healthcare Foundation during 2023. Form 8868 Application for Automatic Extension of Time to File was approved on Notice CP211A dated 89/??/24 making our new filing due date 11/15/2024.