2025-10-15T10:03:21-04:00 2024-12-31 160760591 SAYLES & EVANS 1 W CHURCH ST ELMIRA NY 14901 990 2024-01-01 453800308 ARNOT MEDICAL SERVICES PLLC ARNO 102 IVY STREET ELMIRA NY 14901 ALEKSANDER RUPIK MD SOLE MEMBER 2025-10-14 false JOHN R ALEXANDER P00541907 6077342271 2025-10-15 2024 2025-03-06 01:10:19Z ALEKSANDER RUPIK MD 27269856 false X X 2012 NY AMS WAS FORMED TO SUPPORT THE CHARITABLE PURPOSES OF ARNOT MEDICAL CENTER WHICH INCLUDE PROVIDING PHYSICIAN SERVICES DESIGNED TO IMPROVE THE QUALITY OF HEALTH CARE AVAILABLE TO THE RESIDENTS OF CHEMUNG COUNTY, NEW YORK AND OTHER AREAS SERVED BY THE HOSPITAL. FURTHERMORE, AMSS PURPOSE IS TO PARTICIPATE IN ACTIVITIES TO PROMOTE AND IMPROVE THE OVERALL HEALTH OF, AND TO OTHERWISE MEET THE MEDICAL CARE NEEDS OF, THE COMMUNITY AND TO ADVANCE, PROMOTE, FOSTER AND SUPPORT CLINICAL RESEARCH. THE FORMATION OF AMS WAS LARGELY MOTIVATED BY THE GOAL OF AN INTEGRATED MEDICAL SERVICE SYSTEM; NAMELY TO ENCOURAGE THE HOSPITAL AND PHYSICIANS TO WORK IN CONJUNCTION WITH EACH OTHER TO IMPROVE ACCESS TO, AND TO PROVIDE BETTER CARE FOR PATIENTS IN THE COMMUNITY. AMS PROVIDES NONDISCRIMINATORY SERVICES TO MEDICARE AND MEDICAID RECIPIENTS AND PROVIDES FINANCIAL ASSISTANCE ON A CASE-BY-CASE BASIS FOR PATIENTS WHO EARN 300% OR LESS OF THE FEDERAL POVERTY GUIDELINES FOR THE APPLICABLE FAMILY SIZE. 0 0 0 0 0 23017232 27269856 0 0 23017232 27269856 0 0 0 0 0 39320958 42022380 39320958 42022380 -16303726 -14752524 2590071 2422621 0 2590071 2422621 X AMS WAS FORMED TO SUPPORT THE CHARITABLE PURPOSES OF ARNOT MEDICAL CENTER WHICH INCLUDE PROVIDING PHYSICIAN SERVICES DESIGNED TO IMPROVE THE QUALITY OF HEALTH CARE AVAILABLE TO THE RESIDENTS OF CHEMUNG COUNTY, NEW YORK AND OTHER AREAS SERVED BY THE HOSPITAL. FURTHERMORE, AMSS PURPOSE IS TO PARTICIPATE IN ACTIVITIES TO PROMOTE AND IMPROVE THE OVERALL HEALTH OF, AND TO OTHERWISE MEET THE MEDICAL CARE NEEDS OF, THE COMMUNITY AND TO ADVANCE, PROMOTE, FOSTER AND SUPPORT CLINICAL RESEARCH. THE FORMATION OF AMS WAS LARGELY MOTIVATED BY THE GOAL OF AN INTEGRATED MEDICAL SERVICE SYSTEM; NAMELY TO ENCOURAGE THE HOSPITAL AND PHYSICIANS TO WORK IN CONJUNCTION WITH EACH OTHER TO IMPROVE ACCESS TO, AND TO PROVIDE BETTER CARE FOR PATIENTS IN THE COMMUNITY. AMS PROVIDES NONDISCRIMINATORY SERVICES TO MEDICARE AND MEDICAID RECIPIENTS AND PROVIDES FINANCIAL ASSISTANCE ON A CASE-BY-CASE BASIS FOR PATIENTS WHO EARN 300% OR LESS OF THE FEDERAL POVERTY GUIDELINES FOR THE APPLICABLE FAMILY SIZE. false false 41123703 27269856 PROVIDED OUTPATIENT CARE AND TREATMENT IN MANY AREAS OF MEDICAL PRACTICE INCLUDING, BUT NOT LIMITED TO INTERNAL MEDICINE, GASTROENTEROLOGY, ORTHOPEDICS, CARDIOLOGY, FAMILY MEDICINE, AND NEUROLOGY. 898677 PROVIDED OUTPATIENT CARE AND TREATMENT IN MANY AREAS OF MEDICAL PRACTICE. 898677 42022380 true false false false false false false false false false false false false false false false false false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false false 0 0 0 false false false false false false false false X 0 0 false false false false true true true true true false false false true true true true true true true false X X ARNOT MEDICAL SERVICES PLLC 6072717272 600 IVY STREET ELMIRA NY 14905 ALEKSANDER RUPIK MD SOLE MEMBER 1.00 X 0 487765 30500 VIDYASAGAR MOKUREDDY MD PHYSICIAN X 0 913330 57000 MATTHEW R BRAND MD PHYSICIAN X 0 875782 53500 BRYAN JARVIS MD PHYSICIAN X 0 948754 23000 JARED SMITH MD PHYSICIAN X 0 768705 42968 GARY VALVANO MD PHYSICIAN X 0 1036977 0 5031313 206968 false true false PATIENT CHARGES 621110 60787563 60787563 OTHER OPERATING INCOME 675202 675202 LESS CHARITY CARE -328357 -328357 LESS NET BAD DEBTS -995419 -995419 LESS ALLOWANCES -32869133 -32869133 27269856 27269856 27269856 X 40678717 40678717 273800 273800 171186 171186 898677 898677 42022380 42022380 0 0 2590071 2422621 2590071 2422621 0 0 X 2590071 2422621 2590071 2422621 2590071 2422621 X -14752524 14585074 X false false X false false false false false false false false false ALEKSANDER RUPIK MD SOLE MEMBER 487765 30500 50524 518265 VIDYASAGAR MOKUREDDY MD PHYSICIAN 913330 57000 36518 970330 MATTHEW R BRAND MD PHYSICIAN 875782 53500 50546 929282 BRYAN JARVIS MD PHYSICIAN 948754 23000 49711 971754 JARED SMITH MD PHYSICIAN 768705 42968 51736 811673 GARY VALVANO MD PHYSICIAN 1036977 53355 1036977 FORM 990 - ORGANIZATION'S MISSION AMS WAS FORMED TO SUPPORT THE CHARITABLE PURPOSES OF ARNOT MEDICAL CENTER WHICH INCLUDE PROVIDING PHYSICIAN SERVICES DESIGNED TO IMPROVE THE QUALITY OF HEALTH CARE AVAILABLE TO THE RESIDENTS OF CHEMUNG COUNTY, NEW YORK AND OTHER AREAS SERVED BY THE HOSPITAL. FURTHERMORE, AMSS PURPOSE IS TO PARTICIPATE IN ACTIVITIES TO PROMOTE AND IMPROVE THE OVERALL HEALTH OF, AND TO OTHERWISE MEET THE MEDICAL CARE NEEDS OF, THE COMMUNITY AND TO ADVANCE, PROMOTE, FOSTER AND SUPPORT CLINICAL RESEARCH. THE FORMATION OF AMS WAS LARGELY MOTIVATED BY THE GOAL OF AN INTEGRATED MEDICAL SERVICE SYSTEM; NAMELY TO ENCOURAGE THE HOSPITAL AND PHYSICIANS TO WORK IN CONJUNCTION WITH EACH OTHER TO IMPROVE ACCESS TO, AND TO PROVIDE BETTER CARE FOR PATIENTS IN THE COMMUNITY. AMS PROVIDES NONDISCRIMINATORY SERVICES TO MEDICARE AND MEDICAID RECIPIENTS AND PROVIDES FINANCIAL ASSISTANCE ON A CASE-BY-CASE BASIS FOR PATIENTS WHO EARN 300% OR LESS OF THE FEDERAL POVERTY GUIDELINES FOR THE APPLICABLE FAMILY SIZE. FORM 990, PAGE 2, PART III, LINE 4D PROVIDED OUTPATIENT CARE AND TREATMENT IN MANY AREAS OF MEDICAL PRACTICE. FORM 990, PAGE 6, PART VI, LINE 6 DR. ALEKSANDER RUPIK, M.D., ARNOT HEALTH, INC., IS THE SOLE MEMBER. FORM 990, PAGE 6, PART VI, LINE 7A THE APPROVAL OF THE HOSPITAL IS REQUIRED TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY. FORM 990, PAGE 6, PART VI, LINE 7B ALL GOVERNANCE DECISIONS ARE SUBJECT TO THE APPROVAL OF THE HOSPITAL. FORM 990, PAGE 6, PART VI, LINE 11B THE 990 AND ACCOMPANYING SCHEDULES ARE REVIEWED BY THE OFFICERS OF ARNOT MEDICAL SERVICES AND THE EXECUTIVE COMMITTEE OF THE HOSPITALS BOARD PRIOR TO FILING. THE FORM IS PROVIDED TO EACH BOARD MEMBER PRIOR TO FILING. FORM 990, PAGE 6, PART VI, LINE 12C ANNUAL DISCLOSURE STATEMENTS ARE FILED BY ALL INTERESTED PERSONS, WHICH INCLUDES ANY DIRECTOR, OFFICER OR MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS, OR KEY EMPLOYEES. ALL DISCLOSURE STATEMENTS ARE REVIEWED BY THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. INTERESTED PERSONS ARE REQUIRED TO REPORT ANY ADDITIONAL OR NEW POTENTIAL CONFLICTS THROUGHOUT THE YEAR. INTERESTED PERSONS ARE PROHIBITED FROM PARTICIPATION IN VOTING AND DECISION MAKING IN RELATED TRANSACTIONS. FORM 990, PAGE 6, PART VI, LINE 15A COMPENSATION FOR THE PRESIDENT AND VICE-PRESIDENTS OF THE HOSPITAL IS SET PURSUANT TO A POLICY AND COMPENSATION PHILOSOPHY ADOPTED BY THE BOARD. THE BOARD HAS A COMPENSATION COMMITTEE CONSISTING OF OUTSIDE DIRECTORS. THE COMPENSATION COMMITTEE USES A CONSULTANT TO ADVICE ON COMPENSATION FOR THE OFFICERS. THE COMPENSATION CONSULTANT COLLECTS AND REPORTS COMPENSATION ON SIMILAR POSITIONS IN SIMILAR NON-PROFIT HOSPITALS FROM UPSTATE NEW YORK. THE COMPENSATION COMMITTEE RECOMMENDS ADJUSTMENTS TO THE EXECUTIVE COMMITTEE OF THE BOARD WHICH REVIEWS THE RECOMMENDATIONS AND APPROVES OR DISAPPROVES WITHOUT EMPLOYEES IN THE ROOM. THIS ACTION THEN IS REVIEWED WITH THE ENTIRE BOARD ALSO IN EXECUTIVE SESSION. FORM 990, PAGE 6, PART VI, LINE 15B COMPENSATION FOR THE PRESIDENT AND VICE-PRESIDENTS OF THE HOSPITAL IS SET PURSUANT TO A POLICY AND COMPENSATION PHILOSOPHY ADOPTED BY THE BOARD. THE BOARD HAS A COMPENSATION COMMITTEE CONSISTING OF OUTSIDE DIRECTORS. THE COMPENSATION COMMITTEE USES A CONSULTANT TO ADVICE ON COMPENSATION FOR THE OFFICERS. THE COMPENSATION CONSULTANT COLLECTS AND REPORTS COMPENSATION ON SIMILAR POSITIONS IN SIMILAR NON-PROFIT HOSPITALS FROM UPSTATE NEW YORK AND WESTERN PENNSYLVANIA. THE COMPENSATION COMMITTEE RECOMMENDS ADJUSTMENTS TO THE EXECUTIVE COMMITTEE OF THE BOARD WHICH REVIEWS THE RECOMMENDATIONS AND APPROVES OR DISAPPROVES WITHOUT EMPLOYEES IN THE ROOM. THIS ACTION THEN IS REVIEWED WITH THE ENTIRE BOARD ALSO IN EXECUTIVE SESSION. FORM 990, PAGE 6, PART VI, LINE 18 UPON REQUEST THE 990 FORM WILL BE MADE AVAILABLE TO THE PUBLIC AND ALSO VIA GUIDESTAR.COM. FINANCIAL STATEMENTS ARE POSTED TO THE ELECTRONIC MUNICIPAL MARKET ACCESS WEBSITE. FORM 990, PAGE 6, PART VI, LINE 19 NO DOCUMENTS AVAILABLE TO THE PUBLIC FORM 990, PART IX, LINE 11G LEASED EMPLOYEES 29,223,691 0 0 LEASED EMPLOYEES FICA 1,846,199 0 0 PROFESSIONAL FEES 4,768,945 0 0 MEDICAL SUPPLIES 2,053,283 0 0 NON-MEDICAL SUPPLIES 76,514 0 0 PURCHASED SERVICES 2,341,775 0 0 UTILITIES 63,592 0 0 DEPRECIATION 276,105 0 0 BUILDING LEASE 28,613 0 0 TOTAL 40,678,717 0 0 FORM 990, PART XI, LINE 9 ADVANCE FROM ARNOT OGDEN MEDICAL CENTER 14,585,074