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      <ActivityOrMissionDesc>Arnot Ogden Medical Center is a community based hospital with an open emergency room and selected highly specialized services that are part of a high quality health care delivery system that serves Chemung County, NY and the Twin Tier Regions of New York and Pennsylvania.</ActivityOrMissionDesc>
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      <Desc>The Arnot Ogden Medical Center continues to provide health care related services since it opened in 1889, serving Chemung County and the Twin Tier Regions of New York and Pennsylvania. The Medical Center specialized in the fields of Cardiology, Oncology, Renal, Neonatology, Bariatric and Emergency Care. Other sub specialized services include, but are not limited to, Anesthesiology, Surgery, Laboratory, Imaging, Physical Therapy, Obstetrics, and Gynecology. In 2024, the Medical Center's 2,492 Full-time equivalent of employees cared for 40,341 inpatient admissions in its 191 staffed beds. The Medical Center provided Outpatient Services to approximately 433,858 Outpatient Visits in its subspecialty services. The approximately 187 Full-time equivalents of providers provided for 263,466 office visits in the areas of primary care and specialty services.</Desc>
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        <Desc>Arnot Ogden Medical Center participates in the federal 340B Pharmacy program. This program requires pharmaceutical manufacturers participating in Medicaid to sell outpatient drugs at discounted prices to health care organizations that care for many uninsured and low-income patients. Arnot Ogden Medical Center also has a Specialty Pharmacy on our St. Joseph's campus.</Desc>
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        <PersonNm>John MacMahon</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Andrea Miles Ogunwumi</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Krista Niles-Updyke</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Donald Quick CPA</PersonNm>
        <TitleTxt>Ex-Officio*</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Richard Simons</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jeffrey Streeter</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Richard Terry DO</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Thomas Wirth</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jan van den Blink</PersonNm>
        <TitleTxt>Chair of the Board</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Kanwar Iqbal Singh Gill MD</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>Commack</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Dr Ahmad Morshed</PersonNm>
        </ContractorName>
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          <USAddress>
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            <CityNm>Brooklyn</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Contracted Medical Staff</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Dheerah Khurana MD</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6 Roads End</AddressLine1Txt>
            <CityNm>Brookville</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Contracted Medical Staff</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>The Mallia Group LLC</BusinessNameLine1Txt>
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          <USAddress>
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          </USAddress>
        </ContractorAddress>
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      <TotalContributionsAmt>64799667</TotalContributionsAmt>
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        <ExclusionAmt>0</ExclusionAmt>
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      <ProgramServiceRevenueGrp>
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        <ExclusionAmt>0</ExclusionAmt>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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        <ExclusionAmt>0</ExclusionAmt>
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        <BusinessCd>900099</BusinessCd>
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        <ProgramServicesAmt>2085349</ProgramServicesAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>362033</ProgramServicesAmt>
        <ManagementAndGeneralAmt>75818</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>264740</ProgramServicesAmt>
        <ManagementAndGeneralAmt>43166</ManagementAndGeneralAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>887982</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <PaymentsToAffiliatesGrp>
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        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </PaymentsToAffiliatesGrp>
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        <TotalCommunityBenefitExpnsAmt>0</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
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      <TotalFinancialAssistanceTyp>
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        <PersonsServedCnt>86745</PersonsServedCnt>
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        <TotalExpensePct>0.114</TotalExpensePct>
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      <CommunityHealthServicesGrp>
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        <NetCommunityBenefitExpnsAmt>-8777000</NetCommunityBenefitExpnsAmt>
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        <PersonsServedCnt>0</PersonsServedCnt>
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        <PersonsServedCnt>0</PersonsServedCnt>
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        <DirectOffsettingRevenueAmt>9350</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>-6028</NetCommunityBenefitExpnsAmt>
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      </ResearchGrp>
      <CashAndInKindContributionsGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>82667</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>82667</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0002</TotalExpensePct>
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      <TotalOtherBenefitsGrp>
        <ActivitiesOrProgramsCnt>1963</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>3095</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>112258065</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>118036814</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>-5778750</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0078</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <ActivitiesOrProgramsCnt>1963</ActivitiesOrProgramsCnt>
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        <NetCommunityBenefitExpnsAmt>37985955</NetCommunityBenefitExpnsAmt>
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      <BadDebtExpenseReportedInd>1</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>8987960</BadDebtExpenseAmt>
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        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
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      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>Ivy Street Development Corp</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>Third-Party Collections Service</PrimaryActivitiesTxt>
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          <AddressLine1Txt>600 Roe Avenue</AddressLine1Txt>
          <CityNm>Elmira</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14905</ZIPCd>
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        <WebsiteAddressTxt>www.arnothealth.org</WebsiteAddressTxt>
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        <OtherDesc>Hospital with Open Emergency Room.</OtherDesc>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
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      <HospitalFacilitiesGrp>
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        <BusinessName>
          <BusinessNameLine1Txt>St Josephs Hospital</BusinessNameLine1Txt>
        </BusinessName>
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          <AddressLine1Txt>555 St Josephs Blvd</AddressLine1Txt>
          <CityNm>Elmira</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14901</ZIPCd>
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        <WebsiteAddressTxt>www.arnothealth.org</WebsiteAddressTxt>
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        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <OtherDesc>Hospital with orthopedic care, physical rehabilitation, geriatric medicine, behavioral science</OtherDesc>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
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      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>A</BusinessNameLine1Txt>
        </HospitalFacilityName>
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        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
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        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
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        <CHNAConductedYr>22</CHNAConductedYr>
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        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>www.arnothealth.org/community-outreach</OwnWebsiteURLTxt>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>www.arnothealth.org/community-outreach</StrategyWebsiteURLTxt>
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        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
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        <FPGFamilyIncmLmtDscntCarePct>400</FPGFamilyIncmLmtDscntCarePct>
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        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
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        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>https://www.arnothealth.org/financial-assistance</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>https://www.arnothealth.org/financial-assistance</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>https://www.arnothealth.org/financial-assistance</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
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        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
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        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5-Group A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a-Group A</FormAndLineReferenceDesc>
        <ExplanationTxt>Arnot Health conducts the CHA and is comprised of Arnot Ogden Medical Center, St. Joseph's Hospital, both in Elmira, NY and for Ira Davenport Memorial Hospital in Bath, NY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b-Group A</FormAndLineReferenceDesc>
        <ExplanationTxt>Chemung County Health Department, Common Ground Health, Chemung County Youth Bureau, Economic Opportunity Program, Elmira City School District, Lake Erie College of Osteopathic Medicine (LECOM), Steuben Rural Health Network, Pivital Public Health Partnership, Cornell Cooperative Extension, Chemung County Department of Aging and Long Term Care, Chemung County Department of Human Services</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11-Group A</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>2</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Arnot Ogden Medical Center</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>Health Center for Women</BusinessNameLine2Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>600 Fitch Street</AddressLine1Txt>
            <CityNm>Elmira</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14905</ZIPCd>
          </USAddress>
          <FacilityTxt>Hospital Extension Clinic- Diagnostic, Radiology, Obstetrics</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Arnot Ogden Medical Center</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>Horseheads Medical Office Building</BusinessNameLine2Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>100 John Roemmelt Drive</AddressLine1Txt>
            <CityNm>Horseheads</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14845</ZIPCd>
          </USAddress>
          <FacilityTxt>Clinical Laboratory Service &amp; Radiology Diagnostic Outpatient.</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Arnot Ogden Medical Center 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Section A, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>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 &amp; 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Section B, Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>Arnot Ogden Medical Center 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Section C, Line 9b</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>In 2022, Arnot Ogden Medical Center, with Arnot Health, participated in a comprehensive assessment of community needs in collaboration with Chemung County Health Department 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 healthcare agencies in Chemung County including Pivital Public Health (formerly known as S2AY Rural Health Network), Chemung County Department of Aging and Long-Term Care, and Chemung County Department of Human Services, 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 from the New York State Prevention Agenda Dashboard. Primary and secondary data were collected from a variety of sources including, but not limited to, the American Community Survey, the enhanced Behavioral Risk Factor Surveillance System, Vital Statistics, communicable disease and dental reports, Pivital Public Health Partnership (formerly S2AY Rural Health Network), Common Ground Health's My Health Story survey, and 211 Helpline. My Health Story 2018 was a regional survey completed on behalf of nine counties in the Finger Lakes Region. Its primary purpose was to gather qualitative and quantitative data from Finger Lakes Region residents on health issues in each county. Health departments, hospitals and other local partners were instrumental in distributing the survey to community members including disparate populations. 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 healthy women, infants, and children with the focus area being perinatal and infant health for low-income populations within the community and preventing chronic diseases with the focus areas being related to tobacco prevention and healthy eating. From there, a Community Health Improvement Plan (CHIP) is developed based on those priority health care needs.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Arnot Ogden Medical Center, located in Elmira, NY of Chemung County, is a not-for-profit, 256-bed tertiary care hospital serving its community since 1888. St. Joseph's Hospital, also located in Elmira, NY of Chemung County, is a not-for-profit hospital with a Behavioral Science Unit, Acute Rehabilitation Unit, and an 85-bed Skilled Nursing Facility serving the community since 1908. Chemung County is located in the southernmost portion of the Finger Lakes Region, situated along the New York and Pennsylvania borders. There are 93,584 total residents spread throughout the county the Village of Horseheads and the City of Elmira being the densest populated areas. The Chemung County population is primarily white non-Hispanic (87%), with Black non-Hispanic (7%), Hispanic (4%) and other individuals (2%) making up the remainder of the population. Approximately 22% of Chemung County's population are women of childbearing age comprise and approximately 15% of the population are living with some form of disability. The majority of those living with a disability in Chemung County are 65 years of age or older (about 73%). The three types of disabilities most prevalent to this age group are independent living difficulty (about 14%), hearing difficulty (about 15%), and ambulatory difficulty (about 22%). Additionally, about 31% of the population aged 65 years or older are living alone. 14% of the population in Chemung County are living in poverty.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>Arnot Ogden Medical Center with St. Joseph's Hospital has approximately 2,400 active employees. The Board of Directors is comprised of community leaders in the business and healthcare industries within the Chemung County area. Many leaders and employees of Arnot Health are members of community and healthcare industry boards including, but not limited to, Healthcare Association of Western and Central New York (HAWCNY), Excellus Southern Tier Regional Advisory Board, Chemung County Chamber of Commerce, Chemung County Rotary Clubs, Fund for Women, and Kiwanis. Arnot Health supports and hosts the Project Search Students Program. The BOCES program offers a unique school-to-work program for high school seniors with disabilities to learn basic entry level job skills. The students work with our dietary, environmental services, and medical records departments. Arnot Ogden Medical Center's Labor and Delivery Unit was honored by Healthgrades for having outstanding outcomes in both vaginal and C-section births. This marks multiple consecutive years the department has been highlighted for their quality care. Arnot Health is a sponsor for New York State Emergency Medical Services training at EMSTAR. Emergency Medical Services Training, Administration and Resources (EMSTAR) is a not-for-profit corporation dedicated to optimizing the quality of pre-hospital care. On average 15 graduate from this program every year and have an average 91.5% placement rate. Arnot Ogden Medical Center offers a range of residency training as well as fellowship opportunities and the program has only grown since the building of the new Lake Erie College of Osteopathic Medicine (LECOM) campus right in Elmira, NY. During the 2024 calendar year, Arnot Ogden Medical Center conducted the following programs that had community benefit and created the expenses associated with our filing: Telehealth, Childbirth and Breastfeeding classes and education, Healthy Kitchens classes in the community, HIV and PREP Community Partners Meetings, HIV Testing Day Event, Blood Pressure and Diabetes Screenings, Breast Cancer and Skin Cancer Screenings for Underinsured and Uninsured, Home Visits, Flu and Covid Vaccine Clinics, Cancer Treatment Transportation Services, Creating Healthy Schools and Communities and Emergency Preparedness Exercises. Along with childbirth and breastfeeding education, Arnot Health opened a Milk Depot at Arnot Ogden Medical Center for mothers to donate unneeded breast milk in 2021. The milk is used to support premature babies and those who need supplemental funding. Prior to Arnot's milk depot, the closest donation locations were in Binghamton or Ithaca.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>When hiring and promotion decisions are being considered, the COI (conflict of interest) policy is always consulted. The COI policy is monitored by the system's compliance team as well as reviewed yearly by the compliance committee. The compliance committee meets quarterly to ensure any issues or conflicts are addressed.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>Compensation for the President and Vice President are set pursuant to a policy and compensation philosophy adopted by the Board of Managers. The Board has a Compensation Committee consisting of outside directors. The Compensation Committee uses a consultant to advise on compensation for the officers. The consultant collects and reports compensation on similar positions in similar nonprofit hospitals from upstate New York and Western Pennsylvania. The Compensation Committee recommends adjustments to the Executive Committee of the Board which reviews the recommendation and approves or disapproves with employees in the room. This action is then reviewed with the entire Board also in executive session.</ExplanationTxt>
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        <ExplanationTxt>Items required for public disclosure are made available for those who request the information.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Donations for Capital Funding $578,624; Net Assets Released from Restriction $373,810; Net Realized Gain on Temporarily Restricted Investments $105,709; AMS Net Assets $2,422,621 reported on separate 990 (EIN 45-3800308).</ExplanationTxt>
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