2024-08-23T14:02:03-07:00 2023-12-31 990 2023-01-01 161109472 ARNOT HEALTH FOUNDATION INC ARNO 6077958167 571 ST JOSEPHS BLVD ELMIRA NY 14901 Warren Roman Chair 6077379567 2024-08-23 1 2023 2024-08-08 14:25:15Z WARREN ROMAN 571 ST JOSEPHS BLVD ELMIRA NY 14901 15633632 0 X X 1978 NY PROVIDE FINANCIAL SUPPORT TO ARNOT OGDEN MEDICAL CENTER, ST JOSEPHS HOSPITAL AND THE PHYSICIAN OFFICES. 14 12 0 0 2612706 0 3343710 1513968 0 0 5067647 2493727 235531 221645 8646888 4229340 14714190 6846259 0 0 0 0 0 0 0 241764 241087 14955954 7087346 -6309066 -2858006 16500232 14136503 98363 127717 16401869 14008786 PROVIDE FUNDRAISING SUPPORT FOR ARNOT OGDEN MEDICAL CENTER, ST JOSEPHS HOSPITAL AND THE AFFILIATED PHYSICIAN OFFICES. 0 0 6846259 6670985 0 GRANTS AND ASSISTANCE TO OTHER ORGANIZATIONS. PRIMARILY DONATIONS MADE FOR A SPECIFIC PURPOSE BY THE DONOR THAT ARE SUBSEQUENTLY RELEASED FROM RESTRICTION WHEN GIVEN TO THE ARNOT OGDEN MEDICAL CENTER OR ST. JOSEPH'S HOSPITAL FOR THE INTENDED DONORS REQUEST. 0 0 0 6846259 1 1 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 12 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 0 0 1 1 0 NY X THE ORGANIZATION 6077958167 571 ST JOSEPHS BLVD ELMIRA NY 14901 DR ALEKSANDER RUPIK BOARD MEMBER 1 50.00 X 0 469828 0 LISA VENTURA SENIOR DIRECTOR OF DEVELOPMENT 40.00 10 X 0 115443 0 DR KIM PANOSIAN BOARD MEMBER 1 40 X 0 103049 0 WARREN ROMAN CHAIR 1 0 X X 0 0 0 PETER C WALLIN VICE CHAIR 1 0 X X 0 0 0 JOHN STEMPIN TREASURER 1 0 X X 0 0 0 JULIE DELGROSSO BOARD MEMBER 1 0 X 0 0 0 MARYBETH CONWELL BOARD MEMBER 1 0 X 0 0 0 KELSEY KNOWLES BOARD MEMBER 1 0 X 0 0 0 ERNEST HARTMAN BOARD MEMBER 1 0 X 0 0 0 AAMIR SHAIKH BOARD MEMBER 1 0 X 0 0 0 BEVERLY HUSLANDER BOARD MEMBER 1 0 X 0 0 0 SYDNEY STRINGHAM BOARD MEMBER 1 0 X 0 0 0 DR RICHARD TERRY BOARD MEMBER 1 0 X 0 0 0 PETER JOHNSON BOARD MEMBER 1 0 X 0 0 0 0 688320 0 3 0 1 1 0 0 0 0 0 0 1513968 0 1513968 0 0 0 0 0 102666 0 0 102666 0 0 0 0 0 0 0 0 221645 0 0 0 221645 0 221645 0 221645 0 13795353 0 11404292 0 2391061 0 2391061 0 2391061 0 0 0 4229340 0 2612706 102666 6670985 6670985 175274 175274 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2180 0 2180 0 0 0 0 0 0 0 0 0 0 0 0 0 46609 0 46609 0 0 0 0 0 10054 0 10054 0 698 0 698 0 0 0 0 0 2661 0 2661 0 0 0 0 0 73020 0 73020 0 69928 0 69928 0 0 0 0 0 Gala Expense 31014 0 31014 0 Dues & Subscriptions 3976 0 3976 0 947 0 947 0 7087346 6846259 241087 0 377230 2311889 0 0 111417 81417 2101 2101 0 0 0 0 0 0 0 0 18023 11356 2021619 1112712 978834 908907 12333349 8132688 0 0 0 0 0 0 2679278 2688145 16500232 14136503 98363 127717 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 98363 127717 X 11151562 7119445 5250307 6889341 16401869 14008786 16500232 14136503 X -2858006 -1056761 0 0 0 1521684 X 1 X 1 X 1 1 1 X X X 1 ARNOT OGDEN MEDICAL CENTER 160743905 3 1 6670985 0 1 6670985 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Schedule A, Part IV, Section C, Line 1 The organization's primary mission is to provide fundraising support to the needs of the supported organizations. While there is separate board membership, there is an active communication channel between the Foundation and Arnot Health, Inc. management. Through this communication, the future plans and financial needs are communicated. The board reviews the needs of the supported organization, and the appropriate distribution of funds is monitored and approved for release of funds by the Foundation Director in accordance with donor written directives to provide the greater benefit to the supported organization. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5250307 1964656 480020 0 805643 0 6889340 7742418 839042 -253926 0 3077227 0 5250307 6775348 428706 691563 0 153199 0 7742418 6966357 303974 98225 0 593208 0 6775348 6625465 238651 249284 0 147043 0 6966357 0 0.12 0.88 0 1 1 122586 0 122586 765167 0 444712 320455 1123004 0 660333 462671 10862 0 7667 3195 0 0 0 0 908907 INTEREST IN CHARITABLE TRUST 346857 OTHER ASSETS 7000 DUE FROM RELATED PARTIES 2334288 2688145 Schedule D, Part V, Line 4 Endowments are intended to be used for the future benefit of the supported organization. i.e. scholarships, project funds. Permanent endowment funds are established by the donor with the corpus permanently restricted as to use. Earnings are available for use as directed by the donor endowment establishment documentation. Temporarily restricted funds are established by the donor for purposes ranging from scholarships, equipment, departmental operations, education, etc. Appropriate distribution of those funds is monitored by the Foundation Director in accordance with the donor written directives. 1 Arnot Ogden Medical Center 600 Roe Ave Elmira NY 14905 160743905 501(C)(3) 6670985 0 Equipment Purchases and grant funding for operational needs. 1 0 Scholarships, Education Assistance, and Other Assistance 90 64205 0 Patient Care Assistance 168 104283 0 Schedule I, Part I, Line 2 Each fund has criteria that needs to be met for the individual to qualify for assistance. Once the information has been reviewed and verified, the eligibility is determined and approved/denied. Payments are sent directly to the vendor or individual with the appropriate documentation. 0 0 0 0 0 0 0 0 0 DR ALEKSANDER RUPIK BOARD MEMBER 0 480152 0 0 0 0 0 40324 0 56645 0 577121 0 0 DR KIM PANOSIAN BOARD MEMBER 0 111955 0 0 0 0 0 13073 0 32134 0 157162 0 0 LISA VENTURA SENIOR DIRECTOR OF DEVELOPMENT 0 118657 0 0 0 0 0 11014 0 17807 0 147478 0 0 Form 990, Part VI, Section A, Line 9 Ernie Hartman & Warren Roman- International Brotherhood of Electrical Workers, NO. 139, 415 W 2nd Street, Elmira, NY 14901; Peter Wallin- Wallin Insurance Agency Inc., 1364 College Ave., Elmira, NY 14901; Julie DeGrasso- PO Box 548, Elmira, NY 14902; Bev Huslander- 543 Huslander Rd, Troy, PA 16947; Sydney Stringham- Elmira College, One Park Place, Elmira, NY 14901; Mary Beth Conwell- Ray Jewelers, 1100 Clemens Center Pkwy Suite 7, Elmira, NY 14901; Joh n Stempin- Chemung Canal Trust Company, One Chemung Canal Plaza, Elmira, NY 14901 Form 990, Part VI, Section B, Line 11b Form 990 is prepared by the Finance Team of the supported organization. The Foundation Director and Executive Foundation Board reviews and approves the 990 before filing. The 990 is made available for all board members review and discussed at the following board meeting. Form 990, Part VI, Section B, Line 15 Although the Foundation itself does not have employees, the Foundation Director's salary is determined by the hospital's human resources department with executive support. Form 990, Part VI, Section C, Line 19 All documents are available for viewing at the Foundation office or the Finance Department upon request. Form 990, Part XI, Line 9 Temporarily restricted donations not released from restriction by end of year. GAAP requires only funds released from restriction to be included in revenue. ARNOT OGDEN MEDICAL CENTER 600 ROE AVENUE ELMIRA NY 14905 160743905 HOSPITAL NY 501(C)(3) LINE 3 N/A 0 ARNOT OGDEN MEDICAL CENTER AUXILIARY ROE AVENUE AND GROVE STREET ELMIRA NY 14905 510192902 FUNDRAISING NY 501(C)(3) LINE 11A, I N/A 0 IRA DAVENPORT MEMORIAL HOSPITAL 7571 STATE ROUTE 54 BATH NY 14810 160835446 HOSPITAL NY 501(C)(3) LINE 3 N/A 0 KEUKA HEALTH CARE FOUNDATION INC 7571 STATE ROUTE 54 BATH NY 14810 161461215 FOUNDATION NY 501(C)(3) LINE 11A, I N/A 0 ARNOT HEALTH INC 600 ROE AVENUE ELMIRA NY 14905 453049405 PROVIDE DIRECTION AND GUIDANCE NY 501(C)(3) LINE 11A, I N/A 0 IVY STREET DEVELOPEMENT CORPORATION 600 IVY STREET ELMIRA NY 14905 161009245 COLLECTION AGENCY & REAL ESTATE NY ARNOT OGDEN MEDICAL CENTER C 0 0 1 1 1 0 0 0 0 0 0 0 1 0 1 1 1 1 0 0