TY 2010 Form 990

- TIN:

Form990

Department of the Treasury
Internal Revenue Service

Return of Organization Exempt From Income Tax

Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

The organization may have to use a copy of this return to satisfy state reporting requirements.

OMB No. 1545-0047

2010

Open to Public Inspection

A For the calendar year, or tax year beginning 01-01-2010 and ending 12-31-2010

BCheck if applicable: Address change Name change Initial return Terminated Amended return Application pending

CName of organization
ARNOT OGDEN MEDICAL CENTER

Doing Business As

Number and street (or P.O. box if mail is not delivered to street address)
600 ROE AVENUE

Room/suite

City or town, state or country, and ZIP + 4
ELMIRA, NY149051676

D Employer identification number

16-0743905

E Telephone number

G Gross receipts $ 279,163,322

F Name and address of principal officer:
RONALD J KINTZ CFO
600 ROE AVENUE
ELMIRA,NY149051676

Tax-exempt status: 501(c)(3) 501(c) ( ) LeftBullet

(insert no.) 4947(a)(1) or 527

Website:

WWW.AOMC.ORG

H(a)

Is this a group return for
affiliates? Yes No

H(b)

Are all affiliates included?

Yes No

If "No," attach a list. (see instructions)

H(c)

Group exemption number MediumBullet

K Form of organization: Corporation Trust Association Other MediumBullet

L Year of formation: 1889

M State of legal domicile: NY

Part I

Summary

1	Briefly describe the organization’s mission or most significant activities: COMMUNITY HOSPITAL WITH HIGH QUALITY HEALTH CARE DELIVERY SYSTEM IN CHEMUNG COUNTY, NEW YORK
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	17
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	15
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	2,565
6	Total number of volunteers (estimate if necessary) ....	6	618
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	178,258
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	-91,277

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,825,204	4,791,116
9	Program service revenue (Part VIII, line 2g) .........	230,756,704	247,194,768
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	861,659	2,067,402
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,257,096	3,487,719
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	236,700,663	257,541,005
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4) ....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	139,576,357	157,332,459
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	87,288,181	93,751,657
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	226,864,538	251,084,116
19	Revenue less expenses. Subtract line 18 from line 12......	9,836,125	6,456,889
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	231,470,295	239,983,947
21	Total liabilities (Part X, line 26)............	92,930,862	88,286,519
22	Net assets or fund balances. Subtract line 21 from line 20 .....	138,539,433	151,697,428

Part II

Signature Block

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.

May the IRS discuss this return with the preparer shown above? (see instructions) ......... Yes No

For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.

Cat. No. 11282Y

Form 990 (2010)

Page 2

Part III

Statement of Program Service Accomplishments

Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .

Briefly describe the organization’s mission: HOSPITAL WITH OPEN EMERGENCY ROOM - PROVISION OF QUALITY MEDICAL CARE. ARNOT OGDEN MEDICAL CENTER, A COMMUNITY HOSPITAL WITH SELECTED, HIGHLY SPECIALIZED SERVICES, OPERATES AS PART OF A HIGH-QUALITY HEALTH CARE DELIVERY SYSTEM THAT SERVES CHEMUNG COUNTY, NEW YORK AND THE TWIN TIERS REGION OF NEW YORK.

Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .................... Yes No

If “Yes,” describe these new services on Schedule O.

Did the organization cease conducting, or make significant changes in how it conducts, any program services? .......................... Yes No

If “Yes,” describe these changes on Schedule O.

Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.


4a	(Code: ) (Expenses $ 198,238,642 including grants of $ ) (Revenue $ 245,892,028 )
	THE ARNOT OGDEN MEDICAL CENTER CONTINUES TO PROVIDE A VARIETY OF HEALTH CARE RELATED SERVICES SINCE IT OPENED IN 1889, SERVING THE CHEMUNG AND TWIN TIER REGIONS OF NEW YORK AND PENNSYLVANIA. THE MEDICAL CENTER SPECIALIZES IN THE FIELDS OF CARDIOLOGY, ONCOLOGY, RENAL, NEONATOLOGY, BARIATRICS, AND EMERGENCY CARE. OTHER SUB SPECIALIZED SERVICES INCLUDE, BUT ARE NOT LIMITED TO ANESTHESIOLOGY, SURGERY, LABORATORY, IMAGING, PHYSICAL THERAPY, OBSTETRICS AND GYNECOLOGY. IN 2010, THE MEDICAL CENTER'S 1,931 EMPLOYEES CARED FOR 12,142 INPATIENTS IN ITS 276 CERTIFIED BEDS. THE MEDICAL CENTER PROVIDED OUTPATIENT SERVICES APPROXIMATELY 328,966 PATIENT VISITS IN ITS SUBSPECIALTY SERVICES. THE APPROXIMATELY 120 PHYSICIANS PROVIDED FOR 358,717 OFFICE VISITS IN THE AREAS OF PRIMARY CARE AND SPECIALTY SERVICES.

4b	(Code: ) (Expenses $ 819,969 including grants of $ ) (Revenue $ 415,681 )
	THE ARNOT OGDEN SCHOOL OF NURSING BEGAN IN 1889 AND CONTINUES TO OFFER A THREE YEAR DIPLOMA PROGRAM ACCREDITED BY THE NATIONAL LEAGUE FOR NURSING WITH APPROXIMATELY 50 STUDENTS ENROLLED. THE ARNOT OGDEN SCHOOL OF RADIOLOGIC TECHNOLOGY BEGAN IN 1953 AND CONTINUES TO OFFER A TWO YEAR CERTIFICATE PROGRAM WHICH IS ACCREDITED BY THE JOINT REVIEW COMMISSION ON EDUCATION IN RADIOLOGIC TECHNOLOGY WITH APPROXIMATELY 14 STUDENTS. UPON COMPLETION OF THEIR PROGRAM OF STUDY, STUDENTS ARE ELIGIBLE TO TAKE THE NYS LICENSING EXAMINATIONS FOR REGISTERED NURSES OR RADIOLOGIC TECHNOLOGIST.

4c	(Code: ) (Expenses $ 1,659,138 including grants of $ ) (Revenue $ 887,059 )
	THE MEDICAL CENTER HAS BEEN AWARDED SEVERAL GRANTS TO SUPPORT ITS WORK IN A NUMBER OF AREAS INCLUDING BIOTERRORISM PREPAREDNESS, OCCUPATIONAL MEDICINE, AND HIV, THAT SUPPORT OUT COMMUNITY HEALTH EFFORTS IN THESE AREAS. THE MEDICAL CENTERS COMMUNITY OUTREACH HAS BEEN SUPPORTED WITH GRANTS FOR TOBACCO CESSATION AND EDUCATION FOR ADULTS AND AT RISK YOUTH. THE MEDICAL CENTER PROVIDES NUMEROUS EDUCATIONAL, WELLNESS PROMOTION, AND HEALTH SCREENING PROGRAMS TO THE COMMUNITY. IN COLLABORATION WITH SCHUYLER COUNTY WELLNESS FOCUS GROUP, STEUBEN COUNTY WELLNESS COLLABORATION AND THE CHEMUNG VALLEY HEALTH NETWORK THE MEDICAL CENTER HAS WORKED TO ASSESS THE HEALTH CONCERNS AND NEEDS OF THE COMMUNITIES IT SERVES.

4d	Other program services. (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 200,717,749

Form 990 (2010)

Page 3

Part IV

Checklist of Required Schedules

Yes

Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule A Click to see attachment

.....................

Yes

Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment

........

Yes

Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I..........

Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II.........................

Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................

Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part I Click to see attachment

.......................

Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part II Click to see attachment

...

Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment

....................

Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IV Click to see attachment

...................

Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part V Click to see attachment

Yes

If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:

Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI. Click to see attachment

11a

Yes

Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII. Click to see attachment

11b

Yes

Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII. Click to see attachment

11c

Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX. Click to see attachment

11d

Yes

Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X. Click to see attachment

11e

Yes

Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X. Click to see attachment

11f

Yes

12a

Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment

12a

Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment

12b

Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E

14a

Did the organization maintain an office, employees, or agents outside of the United States?....

14a

Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........

14b

Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..

Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..

Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I

Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........

Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................

Form 990 (2010)

Page 4

Part IV

Checklist of Required Schedules (continued)

20a

Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment

20a

Yes

Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. ..... Click to see attachment

20b

Yes

Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II..

Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III.....

Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment

Yes

24a

Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment

24a

Yes

Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...

24b

Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................

24c

Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...

24d

25a

Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I......

25a

Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................

25b

Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II...........................

Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III...............

Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):

A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .........................

28a

A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV...................

28b

An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV..

28c

Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M

Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............

Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................

Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................

Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment

Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment

Yes

Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....

Yes

Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment

YesNo

Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment

Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VI Click to see attachment

Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............

Yes

Form 990 (2010)

Page 5

Part V

Statements Regarding Other IRS Filings and Tax Compliance

Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .

Yes

Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......

781

Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.

Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................

Yes

Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................

2,565

If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)

Yes

Did the organization have unrelated business gross income of $1,000 or more during the year?.............................

Yes

If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....

Yes

At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................

If "Yes," enter the name of the foreign country: MediumBullet

See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.

Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..

Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?

If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........

Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........

If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................

Organizations that may receive deductible contributions under section 170(c).

Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................

If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....

Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................

If “Yes,” indicate the number of Forms 8282 filed during the year ....

Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................

Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..

If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................

If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............

Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................

Sponsoring organizations maintaining donor advised funds.

Did the organization make any taxable distributions under section 4966?.........

Did the organization make a distribution to a donor, donor advisor, or related person?......

Section 501(c)(7) organizations. Enter:

Initiation fees and capital contributions included on Part VIII, line 12 ...

10a

Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities

10b

Section 501(c)(12) organizations. Enter:

Gross income from members or shareholders .........

11a

Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........

11b

12a

Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?

12a

If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.

12b

Section 501(c)(29) qualified nonprofit health insurance issuers.

Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.

13a

Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.

13b

Enter the aggregate amount of reserves on hand.

13c

14a

Did the organization receive any payments for indoor tanning services during the tax year?.....

14a

If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..

14b

Form 990 (2010)

Page 6

Part VI

Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.

Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .

Section A. Governing Body and Management

Yes

Enter the number of voting members of the governing body at the end of the tax year ..............

Enter the number of voting members included in line 1a, above, who are independent .................

Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................

Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..

Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?

Did the organization become aware during the year of a significant diversion of the organization’s assets? .

Does the organization have members or stockholders? ................

Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................

Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..

Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:

The governing body? .........................

Yes

Each committee with authority to act on behalf of the governing body? ............

Yes

Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....

Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)

Yes

10a

Does the organization have local chapters, branches, or affiliates? ............

10a

If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....

10b

11a

Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?

11a

Yes

Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....

12a

Does the organization have a written conflict of interest policy? If “No,” go to line 13.......

12a

Yes

Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................

12b

Yes

Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................

12c

Yes

Does the organization have a written whistleblower policy? ...............

Yes

Does the organization have a written document retention and destruction policy? .........

Yes

Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?

The organization’s CEO, Executive Director, or top management official ...........

15a

Yes

Other officers or key employees of the organization ................

15b

Yes

If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)

16a

Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................

16a

If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............

16b

Section C. Disclosure

List the States with which a copy of this Form 990 is required to be filed MediumBullet

Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.

Own website Another's website Upon request

Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.

State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet

RONALD J KINTZ CFO
600 ROE AVENUE
ELMIRA,NY149051676
(607) 737-4235

Form 990 (2010)

Page 7

Part VII

Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors

Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees

1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet

List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

List all of the organization’s current key employees, if any. See instructions for definition of "key employee."

List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.

Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)		(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(1) DR S JAN EBERHARD CHAIRMAN OF THE BOARD	3.00	X		0	0	0
(2) MR DAVID DALRYMPLE VICE CHAIRMAN OF THE BOARD	2.00	X		0	0	0
(3) MR DOUGLAS TIFFT BOARD MANAGER	2.00	X		0	0	0
(4) MR RICHARD AMIR BOARD MANAGER	2.00	X		0	0	0
(5) MR DANIEL BURKE BOARD MANAGER	2.00	X		0	0	0
(6) MS CHRISTINE DECHAMPS BOARD MANAGER	2.00	X		0	0	0
(7) MR MARK HAGEN BOARD MANAGER	2.00	X		0	0	0
(8) MR MICHAEL HOSEY VICE CHAIRMAN OF THE BOARD	2.00	X		0	0	0
(9) MR ROY KYLES BOARD MANAGER	2.00	X		0	0	0
(10) MR BEN LYNCH BOARD MANAGER	2.00	X		0	0	0
(11) MR JOHN MEIER BOARD MANAGER	2.00	X		0	0	0
(12) MS MARGARET STREETER BOARD MANAGER	2.00	X		0	0	0
(13) MR RANDY LEHMAN BOARD MANAGER	2.00	X		0	0	0
(14) MR PATRICK ROGERS BOARD MANAGER	2.00	X		0	0	0
(15) MR JOHN ALEXANDER ESQUIRE/SECRETARY	2.00	X		0	0	0
(16) MR WESLEY BLAUVELT OFFICER/VP MARKETING & PLANNING	40.00		X	177,694	0	35,640
(17) MR ANTHONY COOPER OFFICER - PRESIDENT	55.00		X	535,831	0	43,913

Form 990 (2010)

Page 8

Part VII

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)			(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) DR FRED FARLEY OFFICER/COO	55.00	X		361,754	0	43,913
(19) DR WILLIAM HUFFNER OFFICER/VP MEDICAL SALES	55.00	X		323,697	0	25,535
(20) DR RONALD KINTZ OFFICER/TREASURER, CFO	55.00	X		354,051	0	43,409
(21) DR ROBERT LAMBERT PHYSICIAN	72.00	X		404,535	0	36,613
(22) DR VIDYASAGAR MOKUREDDY PHYSICIAN	60.00		X	934,927	0	11,948
(23) DR WILLIAM DELUCCIA PHYSICIAN	60.00		X	745,963	0	27,319
(24) DR PAUL HICKS PHYSICIAN	60.00		X	747,579	0	22,485
(25) DR NISHITH AMIN PHYSICIAN	60.00		X	742,745	0	26,465
(26) DR MATTHEW BRAND PHYSICIAN	60.00		X	715,461	0	26,465

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	6,044,237	0	343,705

Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organization MediumBullet

151

Yes

Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............

For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................

Yes

Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....

Section B. Independent Contractors

Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.

(A) Name and business address	(B) Description of services	(C) Compensation
AAFL PO BOX 1253 ELMIRA,NY149021253	HEALTHCARE STAFFING	2,250,169
ALLIANCE HEALTHCARE SERVICE PO BOX 96485 CHICAGO,IL606936485	DIAGNOSTIC SERVICES	767,550
HHA SERVICES INC 22622 HARPER ST CLAIR SHORES,MI48080	MANAGEMENT SERVICES	750,815
QUEST DIAGNOSTICS 27027 TOURNEY ROAD VALENCIA,CA91355	DIAGNOSTIC SERVICES	748,030
INSIGHT HEALTH CORP PO BOX 847689 DALLAS,TX752847689	DIAGNOSTIC SERVICES	503,554
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 27

Form 990 (2010)

Page 9

Part VIII

Statement of Revenue

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c		48,087
d	Related organizations...1d
e	Government grants (contributions)1e		4,027,517

f	All other contributions, gifts, grants, and similar amounts not included above1f		715,512
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			4,791,116
			Business Code
2a	NET PATIENT SERVICE RE		900,099	205,292,348	205,292,348
b	NET PATIENT SERVICE RE		621,110	41,496,475	41,496,475
c	NURSING SCHOOL REVENUE		611,600	342,004	342,004
d	RADIOLOGY SCHOOL REVEN		611,600	63,941	63,941
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			247,194,768
3	Investment income (including dividends, interest
	and other similar amounts).....			1,642,435			1,642,435
4	Income from investment of tax-exempt bond proceeds..			510			510
5	Royalties............
		(i) Real	(ii) Personal
6a	Gross Rents	364,227
b	Less: rental expenses	678,720
c	Rental income or (loss)	-314,493
d	Net rental income or (loss).......			-314,493			-314,493
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	20,053,656
b	Less: cost or other basis and sales expenses	19,610,229	18,970
c	Gain or (loss)	443,427	-18,970
d	Net gain or (loss)..........			424,457			424,457
8a	Gross income from fundraising events (not including $ 48,087 of contributions reported on line 1c). See Part IV, line 18 ...
	a		29,619
b	Less: direct expenses ...b		29,619
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a		566,030
b	Less: cost of goods sold ..b		1,284,779
c	Net income or (loss) from sales of inventory..			-718,749			-718,749
Miscellaneous Revenue			Business Code
11a	LAUNDRY		812,300	112,114		112,114
b	MEDICAL WASTE AND HOUS		562,000	63,724		63,724
c	ANSWERING SERVICES		541,900	2,420		2,420
d	All other revenue ....			4,342,703			4,342,703
e	Total. Add lines 11a–11d ......			4,520,961
12	Total revenue. See Instructions....			257,541,005	247,194,768	178,258	5,376,863

Form 990 (2010)

Page 10

Part IX

Statement of Functional Expenses

Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.		(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	3,440,029	979,186	2,460,843
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	118,119,364	101,850,521	16,268,843
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	4,438,484		4,438,484
9	Other employee benefits .......	23,901,705		23,901,705
10	Payroll taxes ...........	7,432,877	6,253,276	1,179,601
11	Fees for services (non-employees):
a	Management ......	3,781,824	1,964,209	1,817,615
b	Legal .........	252,278	3,529	248,749
c	Accounting ...........	91,953	5,275	86,678
d	Lobbying ...........
e	Professional fundraising. See Part IV, line 17..
f	Investment management fees ......	412,816		412,816
g	Other ..........	5,920,519	5,257,021	663,498
12	Advertising and promotion ....	769,648	109,440	660,208
13	Office expenses .......	45,950,388	45,176,293	774,095
14	Information technology ......	1,929,242	1,929,242
15	Royalties ..
16	Occupancy ...........	3,205,670	430,224	2,775,446
17	Travel ............	661,780	535,595	126,185
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	210,734	165,878	44,856
20	Interest ...........	1,639,747		1,639,747
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	11,319,069	50,000	11,269,069
23	Insurance ..............	4,012,022	1,695,264	2,316,758
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	OTHER	11,171,085	8,067,141	3,103,944
b	MAINTENANCE CONTRACTS	2,422,882	1,808,823	614,059
c	BENEFIT ALLOCATION	0	24,436,832	-24,436,832
d
e
f	All other expenses
25	Total functional expenses. Add lines 1 through 24f	251,084,116	200,717,749	50,366,367	0
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Form 990 (2010)

Page 11


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			6,787	1	7,187
2	Savings and temporary cash investments .......			11,364,683	2	6,074,755
3	Pledges and grants receivable, net .........			1,750,205	3	3,063,900
4	Accounts receivable, net .........			32,033,869	4	33,592,888
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............			5,748,474	7	3,844,620
8	Inventories for sale or use ..............			1,754,905	8	2,507,678
9	Prepaid expenses and deferred charges ............			2,339,615	9	2,038,287
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	216,639,727
b	Less: accumulated depreciation. .....	10b	124,541,159	87,398,573	10c	92,098,568
11	Investments—publicly traded securities ..........			45,640,900	11	49,066,064
12	Investments—other securities. See Part IV, line 11 ......				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets .........			849,354	14	813,614
15	Other assets. See Part IV, line 11 ...........			42,582,930	15	46,876,386
16	Total assets. Add lines 1 through 15 (must equal line 34)...			231,470,295	16	239,983,947
17	Accounts payable and accrued expenses .			16,086,274	17	18,687,404
18	Grants payable ..........			8,862	18
19	Deferred revenue ..........			131,430	19	118,362
20	Tax-exempt bond liabilities ..........			31,026,149	20	29,637,825
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..			7,972,282	23	7,103,855
24	Unsecured notes and loans payable to unrelated third parties ....			7,486,867	24	8,127,457
25	Other liabilities. Complete Part X of Schedule D.....			30,218,998	25	24,611,616
26	Total liabilities. Add lines 17 through 25.....			92,930,862	26	88,286,519
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			132,323,381	27	145,082,916
28	Temporarily restricted net assets .....			3,785,806	28	4,183,166
29	Permanently restricted net assets .....			2,430,246	29	2,431,346
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			138,539,433	33	151,697,428
34	Total liabilities and net assets/fund balances .....			231,470,295	34	239,983,947

Form 990 (2010)

Page 12

Part XI

Reconcilliation of Net Assets

Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .

Total revenue (must equal Part VIII, column (A), line 12) . . .

257,541,005

Total expenses (must equal Part IX, column (A), line 25) . . . . .

251,084,116

Revenue less expenses. Subtract line 2 from line 1 . . . .

6,456,889

Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .

138,539,433

Other changes in net assets or fund balances (explain in Schedule O) . . . .

6,701,106

Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .

151,697,428

Part XII

Financial Statements and Reporting

Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .

Yes

Accounting method used to prepare the Form 990: Cash Accrual Other
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.

Were the organization’s financial statements compiled or reviewed by an independent accountant?..

Were the organization’s financial statements audited by an independent accountant?........

Yes

If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................

Yes

If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separated basis

As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................

Yes

If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..

Yes

Form 990 (2010)

Additional Data

Software ID:
Software Version:

Form 990, Special Condition Description:

Special Condition Description

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

ARNOT OGDEN MEDICAL CENTER

Employer identification number

16-0743905

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2010

Name of organization

ARNOT OGDEN MEDICAL CENTER

Employer identification number

16-0743905

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization ARNOT OGDEN MEDICAL CENTER
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization ARNOT OGDEN MEDICAL CENTER
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
ARNOT OGDEN MEDICAL CENTER

Employer identification number

16-0743905

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

ARNOT OGDEN MEDICAL CENTER

Employer identification number

16-0743905

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back
1a	Beginning of year balance ....	2,430,246	2,429,726	2,429,026
b	Contributions ........	1,100	520	700
c	Investment earnings or losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......	2,431,346	2,430,246	2,429,726

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

Permanent endowment: SchDMd Bullet

100.000 %

Term endowment: SchDMd Bullet

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

Yes

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................		4,144,862		4,144,862
b	Buildings ................	1,736,189	88,735,356	41,853,168	48,618,377
c	Leasehold improvements ............		1,352,303	852,736	499,567
d	Equipment ................		116,935,471	81,080,397	35,855,074
e	Other .................		3,735,546	754,858	2,980,688
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........					92,098,568

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) INVESTMENTS HELD FOR 457 PLANS AND PHYSICIAN PRACTICE PURCHASES				2,331,038
(2) INTEREST IN NET ASSETS OF FOUNDATIONS				8,684,138
(3) INVESTMENTS IN SUBSIDIARIES				4,129,818
(4) ASSETS WHOSE USE IS LIMITED - DEPRECIATION FUND				10,251,754
(5) ASSETS WHOSE USE IS LIMITED - SELF INSURANCE FUND				17,982,200
(6) ASSETS WHOSE USE IS LIMITED - DEBT SERVICE RESERVE & BOND PAYMENT FUND				3,497,438



Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........				46,876,386

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes
ACCRUED ESTIMATED REIMBURSEMENT PAYABLE		4,675,145
SELF INSURANCE WC/MALPRACTICE RESERVE		8,665,811
ACCRUED PENSION COST		9,443,284
457 PLAN LONG TERM LIABILITY		1,781,159
FEDERAL STUDENT LOAN FUND LIABILITY		46,217




Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		24,611,616
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1	257,541,005
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2	251,084,116
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3	6,456,889
4	Net unrealized gains (losses) on investments ..........................	4	7,482,269
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8	-781,163
9	Total adjustments (net). Add lines 4 - 8 .............................	9	6,701,106
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10	13,157,995

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......			1	272,108,827
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d	14,915,854
e	Add lines 2a through 2d .....................			2e	14,915,854
3	Subtract line 2e from line 1.....................			3	257,192,973
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a	353,257
b	Other (Describe in Part XIV): ...........	4b	-5,225
c	Add lines 4a and 4b.......................			4c	348,032
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......			5	257,541,005

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............			1	265,847,887
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d	15,117,007
e	Add lines 2a through 2d......................			2e	15,117,007
3	Subtract line 2e from line 1.....................			3	250,730,880
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a	353,236
b	Other (Describe in Part XIV): ............	4b
c	Add lines 4a and 4b.......................			4c	353,236
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......			5	251,084,116

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	IN JUNE 2006, THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ISSUED INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES - AN INTERPRETATION OF FASB NO. 109, ACCOUNTING FOR INCOME TAXES (FIN 48). (FIN 48 IS NOW KNOWN AS ACCOUNTING STANDARDS CODIFICATION (ASC) SECTION 740). THIS INTERPRTATION ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. FOR TAX-EXEMPT ENTITIES, TAX-EXEMPT STATUS ITSELF IS DEEMED TO BE AN UNCERTAINTY, SINCE EVENTS COULD POTENTIALLY OCCUR TO JEOPARDIZE THEIR TAX-EXEMPT STATUS. ASC SECTION 740 PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURES, AND TRANSITION. THE ORGANIZATION ADOPTED THE PROVISIONS OF ASC SECTION 740 ON JANUARY 1, 2008, AND THERE WAS NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. AS OF THE DATE OF ADOPTION AND AS OF DECEMBER 31, 2009, THE ORGANIZATION DOES NOT HAVE A LIABILITY FOR UNRECOGNIZED TAX BENEFITS.
PART XI, LINE 8 - OTHER ADJUSTMENTS:		PENSION CHARGE TO EQUITY 556,769. TRANSFER OF HEAL GRANTS TO IRA DAVENPORT MEMORIAL HOSPITAL -2,618,911. SPECIFIC PURPOSE GAIN/LOSS TO FUND BALANCE -186,522. CHANGE IN FUND BALANCE OF FOUNDATIONS 902,892. DONATIONS FOR CAPITAL FUNDING 412,323. PERMANENT IMPAIRMENT RECOVERY FROM PRIOR YEAR 147,061. LIFE TO DATE K-1 ADDED TO NET ASSETS 5,225.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		DONATIONS OF EQUIPMENT -348,214. RENTAL EXPENSES MOVED TO OFFSET RENTAL INCOME 678,720. CAFETERIA EXPENSES MOVED TO OFFSET CAFETERIA SALES 1,284,779. BAD DEBT EXPENSE MOVED TO OFFSET PATIENT REVENUE 13,153,508. PERMANENT IMPAIRMENT RECOVERY FROM PRIOR YEAR 147,061.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		INVESTMENT LOSS -5,225.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:		BAD DEBT EXPENSE MOVED TO OFFSET PATIENT REVENUE 13,153,508. RENT EXPENSE 678,720. CAFETERIA EXPENSES MOVED TO OFFSET CAFETERIA SALES 1,284,779.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:		EXPENSE RELATED TO SALE OF INVENTORY
		OTHER REVENUE - 1. DONATIONS FROM FUND BALANCE, $1,069,408 2. RENTAL EXPENSES, $(698,703), 3. COST OF GOODS SOLD, $(1,304,342), 4. BAD DEBTS, $(13,855,724), 5. RECOGNITION OF LOSS, $(225,685) OTHER EXPENSES - 1. BAD DEBTS, $(13,855,724) 2. EXPENSES RELATED TO RENTALS, $(698,703) 3. EXPENSES RELATED TO SALE OF INVENTORY, $(1,304,342) CHANGE IN NET ASSETS - 1. PENSION CHARGE TO EQUITY, $9,320,971 2. SPECIFIC PURPOSE GAIN/LOSS TO FUND BALANCE, $(230,359) 3. RECOVERY OF PERMANENT IMPAIRMENT, $225,685 4. CHANGE IN NET ASSETS OF FOUNDATIONS, $1,330,944 5. LIFE TO DATE K-1 ADDED TO NET ASSETS, $2,310,266

Schedule D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization
ARNOT OGDEN MEDICAL CENTER

Employer identification number

16-0743905

Part I

Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and e-mail solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

Yes

If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.

(i) Name and address of individual or entity (fundraiser)	(ii) Activity	(iii) Did fundraiser have custody or control of contributions?		(iv) Gross receipts from activity	(v) Amount paid to (or retained by) fundraiser listed in col. (i)	(vi) Amount paid to (or retained by) organization
	(ii) Activity	Yes	No	(iv) Gross receipts from activity		(vi) Amount paid to (or retained by) organization
Total .................

List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2010

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.

		(a) Event #1 GOLF TOURNAMENT (event type)	(b) Event #2 MIRACLE FEST (event type)	(c) Other Events 27 (total number)	(d) Total Events (Add col. (a) through col. (c))
1	Gross receipts . . .	46,963	12,590	18,153	77,706
2	Less: Charitable contributions . . .	48,087			48,087
3	Gross income (line 1 minus line 2) . . .	-1,124	12,590	18,153	29,619
4	Cash prizes . . .	700			700
5	Non-cash prizes . .	700	600		1,300
6	Rent/facility costs . .	5,560	6,370		11,930
7	Food and beverages . .	3,479	4,491		7,970
8	Entertainment . . .		500		500
9	Other direct expenses .	6,364	375	480	7,219
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........				29,619
11	Net income summary. Combine lines 3 and 10 in column (d)............				0

Part III

Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (Add col. (a) through col. (c))

Gross revenue . . . .

Cash prizes . . . .

Non-cash prizes . . .

Rent/facility costs . . .

Other direct expenses . .

Volunteer labor . . .

	Yes
	No

	Yes
	No

	Yes
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow

Enter the state(s) in which the organization operates gaming activities:

Is the organization licensed to operate gaming activities in each of these states? ............

YesNo

If "No," Explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," Explain:

Does the organization operate gaming activities with nonmembers? .................

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? ...........................

YesNo

Schedule G (Form 990 or 990-EZ) 2010

Page 3

Indicate the percentage of gaming activity operated in:

The organization's facility ......................

13a

An outside facility ........................

13b

Provide the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)

Identifier	ReturnReference	Explanation

Schedule G (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

ARNOT OGDEN MEDICAL CENTER

Employer identification number

16-0743905

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Does the organization have a charity care policy? If "No," skip to question 6a...........

Yes

If "Yes," is it a written policy? .......................

Yes

If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.

Applied uniformly to all hospitals Applied uniformly to most hospitals Generally tailored to individual hospitals

Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.

Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low

income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If

"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....

Yes

200% 250% 300% 350% 400% Other

If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Does the organization's policy provide free or discounted care to the "medically indigent"? ......

Yes

Does the organization budget amounts for free or discounted care provided under its charity care policy? ...

Yes

If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............

Does the organization prepare an annual community benefit report?.............

Yes

If "Yes," does the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Charity Care and Certain Other Community Benefits at Cost

	(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Charity care at cost (from Worksheets 1 and 2) ..		725	2,672,563	399,859	2,272,704	0.910 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .		35,667	26,442,145	18,634,320	7,807,825	3.110 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....		2,726
dTotal Charity Care and Means-Tested Government Programs .....		39,118	29,114,708	19,034,179	10,080,529	4.020 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	193	15,743	1,303,931	726,722	577,209	0.230 %
f Health professions education (from Worksheet 5) ..	97	1,406	1,726,951	442,856	1,284,095	0.510 %
g Subsidized health services (from Worksheet 6) ..	10	79,676	75,713,592	47,162,320	28,551,272	11.370 %
h Research (from Worksheet 7)
i Cash and in-kind contributions to community groups (from Worksheet 8) ..	28		40,509		40,509	0.020 %
jTotal Other Benefits ...	328	96,825	78,784,983	48,331,898	30,453,085	12.130 %
kTotal. Add lines 7d and 7j. ..	328	135,943	107,899,691	67,366,077	40,533,614	16.150 %

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010

Schedule H (Form 990) 2010

Page 2

Part II

Community Building Activities Complete this table if the organization conducted any community building activities.

		(a) Number of activities or programs (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	11
7	Community health improvement advocacy	15	139,652	139,652	0.060 %
8	Workforce development	1	49,458	49,458	0.020 %
9	Other	17
10	Total	44	189,110	189,110	0.080 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense (at cost).....

6,059,645

Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

60,498,809

Enter Medicare allowable costs of care relating to payments on line 5.....

65,772,868

Subtract line 6 from line 5. This is the surplus or (shortfall)........

-5,274,059

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Does the organization have a written debt collection policy? ...............

Yes

If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......

Yes

Part IV

Management Companies and Joint Ventures

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership%	(e) Physicians' profit % or stock ownership %
11 IVY STREET DEVELOPMENT CORP	COLLECTION SERVICES & OFFICE RENTALS	100.000 %	0 %	0 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2010

Page 3

Part VFacility Information

Section A. Hospital Facilities (list in order of size, measured by total revenue per facility, from largest to smallest) How many hospital facilities did the organization operate during the tax year?4 Name and address		Other (Describe)
1	ARNOT OGDEN MEDICAL CENTER 600 ROE AVENUE ELMIRA,NY14905	X
2	AOMC - RADIOLOGY DIAGNOSTIC 600 FITCH STREET ELMIRA,NY14905		RAIOLOGY DIAGNOSTIC/OUTPATIENT CLINIC
3	AOMC - CLINICAL LABRADIOLOGY 100 JOHN ROMMELT DRIVE HORSEHEADS,NY14845		CLINICAL LAB/SERVICE OUTPATIENT/RADIOLOGY DIAGNOSTIC
4	AOMC - RENTAL DIALYSIS CHRONIC OP 8 WEST PULTNEY STREET CORNING,NY14830		RENTAL DIALYSIS/TREATMENT FACILITY

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:ARNOT OGDEN MEDICAL CENTER

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1	Yes
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20 09
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3	Yes
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4	Yes
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5	Yes
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7	Yes
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for free care: 100.000000000000%

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.000000000000%
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14	Yes
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16	Yes
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18	Yes
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21	Yes
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 7

Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, measured by total revenue per facility, from largest to smallest) How many non-hospital facilities did the organization operate during the tax year?1
Name and address		Type of Facility (Describe)
1	AOMC - RENTAL DIALYSIS CHRONIC OP 1879 DAVIS STREET ELMIRA,NY14901	RENTAL DIALYSIS TREATMENT FACILITY
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2010

Page 8

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2	Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
		PART I, LINE 3C: THE MEDICAL CENTER USES THE FEDERAL POVERTY GUIDELINES IN ESTABLISHING CRITERIA FOR FREE AND DISCOUNTED HEALTH SERVICES.
		PART I, LINE 6A: THE MEDICAL CENTER PREPARES AN ANNUAL WRITTEN REPORT THAT DESCRIBES THE ORGANIZATIONS PROGRAMS AND SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITY OR COMMUNITIES SERVED BY THE ORGANIZATION. AN ABBREVIATED VERSION OF THE REPORT IS AVAILABLE ON THE WEB.
		PART I, LINE 7: ALLOCATIONS OF EXPENSES OVER GROSS CHARGES.
		PART I, LINE 7G: THE MEDICAL CENTER OFFERS A VARIETY OF SERVICES TO THE COMMUNITIES IT SERVES AS PART OF AN INTEGRATED DELIVERY SYSTEM. IT IS NECESSARY TO FINANCIALLY "SUBSIDIZE" SOME OF THESE SERVICES AS THE REVENUE THEY GENERATE DOES NOT COVER THE COST OF PROVIDING THE SERVICES.
		PART III, LINE 4: THE ORGANIZATION RECORDS AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IN ANTICIPATION OF FUTURE WRITE-OFFS. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED ON PAST COLLECTION EXPERIENCE AS WELL AS ANALYSIS OF RECEIVABLE AGING AND TYPE. THE MEDICAL CENTER AND IRA DAVENPORT FOLLOW ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE MEDICAL CENTER AND IRA DAVENPORT. THE RATIO OF COST TO CHARGES METHODOLOGY WAS USED TO DETERMINE THE "COST" OF THE BAD DEBTS. BAD DEBTS SHOULD BE CONSIDERED AS COMMUNITY BENEFIT BECAUSE THE MEDICAL CENTER DOES NOT TURN AWAY ANY PATIENTS NEEDING EMERGENCY OR NON-ELECTIVE MEDICAL CARE BASED ON THEIR ABILITY TO PAY.
		PART III, LINE 8: THE MEDICAL CENTER OFFERS A VARIETY OF SERVICES TO THE COMMUNITIES IT SERVES AS PART OF AN INTEGRATED DELIVERY SYSTEM. IT IS NECESSARY TO FINANCIALLY "SUBSIDIZE" SOME OF THESE SERVICES (SEE PART I, LINE 7G) AS THE REVENUE THEY GENERATE DOES NOT COVER THE COST OF PROVIDING THE SERVICES. THESE SERVICES INCLUDE; MEDICAL & SURGICAL, MATERNITY, NURSERY, NEONATAL INTENSIVE CARE AND SKILLED NURSING INPATIENTS. THE SUBSIDIZED OUTPATIENT SERVICES INCLUDE; WOUND & HYPERBARIC THERAPY, RENAL DIALYSIS, AND THE HIV CLINIC. THE MEDICAL CENTER HAS INCLUDED THE MEDICARE PORTION OF SUCH SERVICES IN THIS AREA AS THE SERVICES ARE BELIEVED TO BE IMPORTANT TO THE COMMUNITIES SERVED.
		PART III, LINE 9B: PATIENTS QUALIFYING FOR FREE CARE UNDER THE CHARITY CARE PROGRAM ARE NOT PURSUED FOR PAYMENT FOR THE SERVICES COVERED BY THE PROGRAM. PATIENTS QUALIFYING FOR DISCOUNTED SERVICES ARE EXPECTED TO PAY THE DISCOUNTED FEES.
ARNOT OGDEN MEDICAL CENTER		PART V, SECTION B, LINE 3: THE COMMUNITY SERVICE PLAN EXPLAINS IN DETAIL THE INVOLVEMENT OF MEMBERS OF THE COMMUNITY IN DETERMINING & IDENTIFYING COMMUNITY NEEDS.
ARNOT OGDEN MEDICAL CENTER		PART V, SECTION B, LINE 4: SAINT JOSEPH'S HOSPITAL, ELMIRA, NY AND IRA DAVENPORT MEMORIAL HOSPITAL, BATH, NEW YORK
ARNOT OGDEN MEDICAL CENTER		PART V, SECTION B, LINE 5C: COMMUNITY SERVICE PLAN AND NEWSLETTERS
ARNOT OGDEN MEDICAL CENTER		PART V, SECTION B, LINE 6I: COMMUNITY SERVICE PLAN
ARNOT OGDEN MEDICAL CENTER		PART V, SECTION B, LINE 19D: PARTICIPANTS IN THE MEDICARE SYSTEM ARE REQUIRED TO CHARGE ALL PATIENTS THE SAME AMOUNT FOR SERVICES REGARDLESS OF INSURANCE PER THE MEDICARE PARTICIPATION GUIDELINES.
ARNOT OGDEN MEDICAL CENTER		PART V, SECTION B, LINE 21: PARTICIPANTS IN THE MEDICARE SYSTEM ARE REQUIRED TO CHARGE ALL PATIENTS THE SAME AMOUNT FOR SERVICES REGARDLESS OF INSURANCE PER THE MEDICARE PARTICIPATION GUIDELINES.

Schedule H (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

ARNOT OGDEN MEDICAL CENTER

Employer identification number

16-0743905

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Yes

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Yes

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) MR WESLEY BLAUVELT	(i) (ii)	160,000 0	17,694 0	0 0	17,692 0	17,948 0	213,334 0	0 0
(2) MR ANTHONY COOPER	(i) (ii)	430,500 0	105,331 0	0 0	25,050 0	18,863 0	579,744 0	0 0
(3) DR FRED FARLEY	(i) (ii)	263,000 0	98,754 0	0 0	25,050 0	18,863 0	405,667 0	0 0
(4) DR WILLIAM HUFFNER	(i) (ii)	304,113 0	19,584 0	0 0	9,310 0	16,225 0	349,232 0	0 0
(5) DR RONALD KINTZ	(i) (ii)	262,714 0	91,337 0	0 0	23,750 0	19,659 0	397,460 0	0 0
(6) DR ROBERT LAMBERT	(i) (ii)	340,000 0	64,535 0	0 0	17,750 0	18,863 0	441,148 0	0 0
(7) DR VIDYASAGAR MOKUREDDY	(i) (ii)	934,927 0	0 0	0 0	9,310 0	2,638 0	946,875 0	0 0
(8) DR WILLIAM DELUCCIA	(i) (ii)	745,963 0	0 0	0 0	9,310 0	18,009 0	773,282 0	0 0
(9) DR PAUL HICKS	(i) (ii)	747,579 0	0 0	0 0	13,750 0	8,735 0	770,064 0	0 0
(10) DR NISHITH AMIN	(i) (ii)	742,745 0	0 0	0 0	9,310 0	17,155 0	769,210 0	0 0
(11) DR MATTHEW BRAND	(i) (ii)	705,816 0	9,645 0	0 0	9,310 0	17,155 0	741,926 0	0 0

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
SUPPLEMENTAL INFORMATION	PART III	1A. DR. HUFFNER IS ALLOWED TO TRAVEL FIRST CLASS TO ACCOMODATE HIS DISABILITY UNDER REASONABLE ACCOMODATIONS. THE CEO, COO, & CFO HAVE THEIR DUES PAID AT THE ELMIRA COUNTRY CLUB. THE PERSONAL USE PORTION IS REQUIRED UNDER TAXABLE INCOME.
SUPPLEMENTAL INFORMATION	PART III	4B. THE MEDICAL CENTER DOES NOT MAKE ANY ADDITIONAL PAYMENTS INTO A NON QUALIFIED PLAN, BUT THE EMPLOYEES ARE ABLE TO ELECT TO DEFER SOME OF THEIR SALARY IN A 457 PLAN AND 403B PLAN.
SUPPLEMENTAL INFORMATION	PART III	6A. THE MEDICAL CENTER HAS A GOOD ACHIEVEMENT (INCENTIVE COMPENSATION) PROGRAM FOR MEETING THE ORGANIZATION'S BOARD ASSIGNED GOALS. PART OF THE MEASURE FOR FINANCIAL VIABILITY IS AVOIDING DEFICITS AS MEASURED BY MARGINS. A SMALL PART OF COMPENSATION IS BASED UPON AVOIDING OPERATING LOSSES AND FINANCIAL VIABILITY AND NOT ON THE SIZE OR MAGNITUDE OF ANY NET EARNINGS.
SUPPLEMENTAL INFORMATION	PART III	7. INCLUDED IN PART II IS GOAL ACHIEVEMENT PROGRAM PAYMENTS FOR HITTING BOARD APPROVED GOALS. THESE GOALS ARE SET AND APPROVED BY THE BOARD, AND REVIEWED BY THE COMPENSATION COMMITTEE, BASED UPON THE STRATEGIC NEEDS OF THE ORGANIZATION. THE GOALS COVER THE AREAS OF QUALITY IMPROVEMENT, ACCESS (PHYSICIAN RECRUITMENT), FACILITIES, PATIENT SATISFACTION, FINANCIAL VIABILITY AND THE JOINT COMMISSION PERFORMANCE.

Schedule J (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
ARNOT OGDEN MEDICAL CENTER

Employer identification number
16-0743905

Part I

Bond Issues

(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	(g) Defeased		(h) On Behalf of Issuer		(i) Pool financing
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	CHEMUNG COUNTY INDUSTRIAL DEVELOPMENTAL AGENCY	16-6209017	000164019	03-10-2004	19,912,203	SERIES A - CONSTRUCTION		X		X		X
B	CHEMUNG COUNTY INDUSTRIAL DEVELOPMENTAL AGENCY	16-6209017	000164019	03-10-2004	16,959,701	SERIES B - FACILITY RENOVATION		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired. . . . .
2 Amount of bonds defeased . . . .
3 Total proceeds of issue . . . .	19,912,203
4 Gross proceeds in reserve funds . .	1,318,000
5 Capitalized interest from proceeds.
6 Proceeds in refunding escrow. . . . .
7 Issuance costs from proceeds . . .	419,500		328,213
8 Credit enhancement from proceeds.
9 Working capital expenditures from proceeds . .	1,802,477
10 Capital expenditures from proceeds . .	16,377,225		10,287,552
11 Other spent proceeds . .
12 Other unspent proceeds. . .
13 Year of substantial completion . . .	2006		2005
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue?		X		X
15 Were the bonds issued as part of an advance refunding issue?		X	X
16 Has the final allocation of proceeds been made? . .	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .	X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .		X		X

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2010

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use?		X		X
b Are there any research agreements that may result in private business use of bond-financed property? . .		X		X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? .
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . .
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .
6 Total of lines 4 and 5 . . .. . . . . .
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities?	X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .	X			X
2 Is the bond issue a variable rate issue?		X		X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?		X		X
b Name of provider .
c Term of hedge . .
d Was the hedge superintegrated? .
e Was a hedge terminated? .
4a Were gross proceeds invested in a GIC? .		X		X
b Name of provider .
c Term of GIC . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .
5 Were any gross proceeds invested beyond an available temporary period? .		X		X
6 Did the bond issue qualify for an exception to rebate? . . .		X		X

Schedule K (Form 990) 2010

Page 3

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation

Schedule K (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

ARNOT OGDEN MEDICAL CENTER

Employer identification number

16-0743905

Identifier	Return Reference	Explanation
FORM 990, PART VI, SECTION B, LINE 11		ONCE THE 990 IS IN FINAL FORM IT IS PRESENTED BY THE MEDICAL CENTER'S VICE PRESIDENT OF FINANCE TO THE AUDIT AND FINANCE COMMITTEES OF THE BOARD OF MANAGERS. THE RETURN IS MADE AVAILABLE TO ALL BOARD MEMBERS FOR REVIEW AND QUESTIONS.
	FORM 990, PART VI, SECTION B, LINE 12C	ALL MEMBERS OF THE BOARD OF MANAGERS, OFFICERS, AND MANAGEMENT EMPLOYEES SHALL BE REQUIRED ANNUALLY TO FILE A DISCLOSURE STATEMENT SETTING FORTH ANY RESPECT IN WHICH SUCH PERSON, OR ANY PERSON ASSOCIATED WITH SUCH PERSON, HAS OR MAY HAVE ANY INTEREST IN ANY TRANSACTION IN WHICH THERE MAY BE, OR APPEAR TO BE, A CONFLICT BETWEEN THE INTERESTS OF SUCH PERSON AND THE ARNOT OGDEN MEDICAL CENTER. AN ASSOCIATE INCLUDED (1) A SPOUSE, A DESCENDANT OR AN ANCESTOR, OR A SPOUSE OF A DESCENDANT OR ANCESTOR; (2) AN ORGANIZATION IN WHICH THE PERSON OR AN ASSOCIATE IS A PARTNER OR EMPLOYEE, OR SUCH PERSON OR AN ASSOCIATE OWNS A MORE THAN 10% BENEFICIAL INTEREST; (3) A TRUST IN WHICH SUCH PERSON IS A TRUSTEE, OR SUCH PERSON OR AN ASSOCIATE HOLDS A MORE THAN 10% BENEFICIAL INTEREST; AND (4) A CORPORATION IN WHICH SUCH PERSON OR AN ASSOCIATE IS AN OFFICER OR DIRECTOR OR EMPLOYEE, OR SUCH PERSON OR AN ASSOCIATE IS AN OWNER OF MORE THAN 10% OF ANY CLASS OF SECURITIES.
	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 BOARD. THE BOARD HAS A COMPENSATION COMMITTEE CONSISTING OF OUTSIDE DIRECTORS (AOMC BOARD MEMBERS ARE REFERRED TO AS "MANAGERS"). THE COMPENSATION COMMITTEE USES A CONSULTANT TO ADVISE IT ON COMPENSATION FOR THE OFFICERS. THE CONSULTANT COLLECTS AND REPORTS COMPENSATION ON SIMILAR POSITIONS IN SIMILAR NONPROFIT HOSPITALS FROM UPSTATE NY AND WESTERN PA. 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, PART VI, SECTION C, LINE 19	ITEMS REQUIRED FOR PUBLIC DISCLOSURE ARE MADE AVAILABLE FOR THOSE WHO REQUEST THE INFORMATION.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 5:	NET UNREALIZED GAINS ON INVESTMENTS: 7,482,269. PENSION CHARGE TO EQUITY 556,769. TRANSFER OF HEAL GRANTS TO IRA DAVENPORT MEMORIAL HOSPITAL -2,618,911. SPECIFIC PURPOSE GAIN/LOSS TO FUND BALANCE -186,522. CHANGE IN FUND BALANCE OF FOUNDATIONS 902,892. DONATIONS FOR CAPITAL FUNDING 412,323. PERMANENT IMPAIRMENT RECOVERY FROM PRIOR YEAR 147,061. LIFE TO DATE K-1 ADDED TO NET ASSETS 5,225. TOTAL TO FORM 990, PART XI, LINE 5: 6,701,106.
		THE ORGANIZATION HAS NOT CHANGED ITS POLICY TO HAVE A COMMITTEE RESPONSIBLE FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT AUDITOR.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

ARNOT OGDEN MEDICAL CENTER

Employer identification number

16-0743905

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) ARNOT OGDEN MEDICAL CENTER FOUNDATION 600 ROE AVENUE ELMIRA,NY14905 16-1109472	CONTRIBUTION MANAGEMENT	NY	501(C)(3)	11	N/A		No
(2) ARNOT OGDEN MEDICAL CENTER AUXILIARY 600 ROE AVENUE ELMIRA,NY14905 51-0192902	FUND RAISING EVENTS	NY	501(C)(3)	11	N/A		No
(3) THE FALCK FOUNDATION INC 600 ROE AVENUE ELMIRA,NY14905 22-3055110	INVESTMENTS	NY	501(C)(3)	11	N/A		No
(4) IRA DAVENPORT MEMORIAL HOSPITAL 7571 STATE ROUTE 54 BATH,NY14810 16-0835446	HOSPITAL	NY	501(C)(3)	3			No

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) FITCH STREET ASSOICATION 600 IVY STREET ELMIRA,NY14905 16-1397356	REAL ESTATE RENTAL	NY	IVY STREET DEVELOPMENT CORPORATION				No			No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership
(1) IVY STREET DEVELOPMENT CORPORATION 600 IVY STREET ELMIRA,NY14905 16-1009245	REAL ESTATE RENTAL	NY	N/A	C	-64,081	3,231,310	100.000 %
(2) 722 WEST WATER STREET CORP 600 ROE AVENUE ELMIRA,NY14905 16-0866677	REAL ESTATE RENTAL	NY	N/A	C	-45,261	462,494	100.000 %

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

Yes

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1) 722 WEST WATER STREET CORPORATION	A	7,060	CONTRACTS
(2) IVY STREET DEVELOPMENT CORPORATION	A	535,660	SQUARE FOOTAGE %
(3) IVY STREET DEVELOPMENT CORPORATION	I	523,741	CONTRACT %
(4) IVY STREET DEVELOPMENT CORPORATION	O	204,351	SQUARE FOOTAGE %
(5) IVY STREET DEVELOPMENT CORPORATION	P	58,884	BANK %
(6) 722 WEST WATER STREET CORPORATION	I	60,535	SQUARE FOOTAGE %
(7) IRA DAVENPORT MEMORIAL HOSPITAL	H	2,618,911	FMV OF ASSETS

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version: