TY 2018 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) KYLENE ABRAHAM MD...................................................................... SECRETARY	1.00 ................. 4.00	X	X	0	0	0
(2) JOSE ACEVEDO MD MBA...................................................................... PRESIDENT & CEO	15.00 ................. 25.00	X	X	746,372	0	75,448
(3) REV JAMES ADAMS...................................................................... DIRECTOR	1.00 ................. 4.00	X		0	0	0
(4) ROBERT ANDERSON MD...................................................................... DIRECTOR	1.00 ................. 39.00	X		0	227,995	7,443
(5) PHIL BECKLEY...................................................................... DIRECTOR	1.00 ................. 4.00	X		0	0	0
(6) DAVID BUNNELL...................................................................... DIRECTOR	1.00 ................. 4.00	X		0	0	0
(7) TOM BURRALL...................................................................... DIRECTOR	1.00 ................. 4.00	X		0	0	0
(8) JAMES CHENEY...................................................................... DIRECTOR	1.00 ................. 4.00	X		0	0	0
(9) CHEVANNE DEVANEY...................................................................... DIRECTOR	1.00 ................. 4.00	X		0	0	0
(10) DONALD GENTILCORE JR...................................................................... DIRECTOR	1.00 ................. 4.00	X		0	0	0
(11) AMY HOFFMAN...................................................................... DIRECTOR	1.00 ................. 4.00	X		0	0	0
(12) JAMES LONG...................................................................... DIRECTOR	1.00 ................. 4.00	X		0	0	0
(13) BILL KING...................................................................... INTERIM TREASURER	18.00 ................. 22.00	X	X	117,795	0	12,431
(14) ANN MCMULLEN...................................................................... DIRECTOR	1.00 ................. 4.00	X		0	0	0
(15) RODOLFO QUEIROZ MD...................................................................... DIRECTOR	1.00 ................. 4.00	X		0	0	0
(16) JOHN SHEPPARD...................................................................... DIRECTOR	1.00 ................. 4.00	X		0	0	0
(17) TOM THOMPSON MD...................................................................... DIRECTOR	1.00 ................. 4.00	X		0	0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) LANCE WARD........................................................................ DIRECTOR	1.00 .......................4.00	X				0	0
(19) CRAIG DENSMORE........................................................................ DIRECTOR	1.00 .......................4.00	X				0	0
(20) FRED VITELLO........................................................................ TREASURER & CFO, UNTIL OCTOBER 18	18.00 .......................22.00		X			331,610	8,871
(21) JASON FEINBERG........................................................................ CHIEF MEDICAL OFFICER	33.40 .......................6.70			X		434,587	28,938
(22) FRANK KORICH........................................................................ SR VP OPERATIONS	40.00 .......................0.00			X		276,418	24,418
(23) EILEEN GAGE........................................................................ VP NURSING, THROUGH JULY 19	31.60 .......................8.40			X		220,426	14,544
(24) PATRICK BOYLE........................................................................ VP HUMAN RESOURCES	40.00 .......................0.00			X		240,115	30,324
(25) WENDY DISBROW........................................................................ VP PHYS NETWORK	40.00 .......................			X		212,861	7,055
(26) CRAIG COLLINS MD........................................................................ PHYSICIAN PROF SURGERY	40.00 .......................				X	587,693	20,492
(27) JOSEPH GOMEZ........................................................................ PHYSICIAN PROF CARDIOLOGY	40.00 .......................				X	522,299	0
(28) MATTHEW TALBOTT........................................................................ DIRECTOR EMERGENCY MEDICINE	40.00 .......................				X	470,169	20,492
(29) EMILY LAMBERT........................................................................ PHYSICIAN - DERMATOLOGY	40.00 .......................				X	976,504	0
(30) CT HARRISON........................................................................ ANESTHESIOLOGIST	40.00 .......................				X	420,124	10,475

(A) Name and business address	(B) Description of services	(C) Compensation
BUFFALO HOSPITAL SUPPLY 4039 GENESEE STREET SUITE 100 BUFFALO,NY14225	MEDICAL SUPPLY	1,734,645
CLARUS LINEN SYSTEMS 60 GRINDER STREET BUFFALO,NY14215	LINEN SUPPLIER	430,000
WILLIAM DEAN PATHOLOGY 252 BILLSBORO ROAD GENEVA,NY14456	PATHOLOGY	398,000
MEDICAL MANAGEMENT RESOURCES 5000 BRITTONFIELD PARKWAY SUITE 50 EAST SYRACUSE,NY13057	CONSULTING AND OUTSIDE SERVICES	311,672
JOHNSTON PAPER 2 EAGLE DRIVE AUBURN,NY13021	FOOD SERVICE AND CLEANING SUPPLIES	300,050
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 5

- 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.
right arrow

Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

GENEVA GENERAL HOSPITAL

Employer identification number

16-0743032

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 12, check only one box.)

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

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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. See section 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 in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

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

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. 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—2017. If the organization did not check a 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—2018. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. 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 VI 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) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

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

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. 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—2017. 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) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2018 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2018

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

GENEVA GENERAL HOSPITAL

Employer identification number

16-0743032

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, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't 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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization GENEVA GENERAL HOSPITAL

Part I	Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization GENEVA GENERAL HOSPITAL		Employer identification number 16-0743032

Part II	Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization GENEVA GENERAL HOSPITAL			Employer identification number 16-0743032
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ Use duplicate copies of Part III if additional space is needed.

(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) (2018)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

GENEVA GENERAL HOSPITAL

Employer identification number

16-0743032

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2018

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...............................
c	Total lobbying expenditures (add lines 1a and 1b) ...................................................................
d	Other exempt purpose expenditures ........................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2018

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

17,630

Total. Add lines 1c through 1i ....................................................................................................

17,630

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	PORTION OF ASSOCIATION DUES ATTRIBUTED TO LOBBYING EXPENSES.

Schedule C (Form 990 or 990EZ) 2018

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," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

GENEVA GENERAL HOSPITAL

Employer identification number

16-0743032

Part I

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

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of 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 can 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" on 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 education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 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 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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 section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, 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" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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)

Revenue included on 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 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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

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

Cat. No. 52283D

Schedule D (Form 990) 2018

Page 2

Part III

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

Using the organization’s acquisition, 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 XIII.

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
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, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

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

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	26,561,000	22,555,000	20,655,000	20,728,000	19,128,000
b	Contributions ...
c	Net investment earnings, gains, and losses	-2,162,000	4,006,000	1,900,000	-73,000	1,600,000
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	24,399,000	26,561,000	22,555,000	20,655,000	20,728,000

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

25.000 %

Temporarily restricted endowment SchDMd Bullet

75.000 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

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)

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

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

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	740,369		740,369
b	Buildings ....	130,960,064	68,264,105	62,695,959
c	Leasehold improvements
d	Equipment ....	83,271,756	70,358,721	12,913,035
e	Other .....	4,277,167	3,205,881	1,071,286
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				77,420,649

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. 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........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) DUE FROM AND INVESTMENTS IN AFFILIATES				24,891,634
(2) DEFERRED COMPENSATION ASSET				4,628,935
(3) LIMITED USE ASSETS				1,014,807
(4) PENSION ASSET, NET				336,137
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				30,871,513

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
DEFERRED COMPENSATION LIABILITY	4,628,935
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	4,628,935
2. Liability for uncertain tax positions. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
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
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
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 XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
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
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART V, LINE 4

THE ENDOWMENT FUNDS CONSIST OF DONOR-RESTRICTED FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES AND ARE INCLUDED IN THE BALANCE SHEET IN ASSETS THAT ARE LIMITED AS TO USE. NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. AMOUNTS INCLUDED IN SCHEDULE D, PART V INCLUDE GENEVA GENERAL HOSPITAL AND FINGER LAKES HEALTH FOUNDATION (EIN 15-0549310) ENDOWMENTS ROUNDED TO THE NEAREST THOUSAND.

Schedule D (Form 990) 2018

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" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

GENEVA GENERAL HOSPITAL

Employer identification number

16-0743032

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

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

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

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

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

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

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did 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.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	1,394,229	751,180	643,049	0.660 %
b	Medicaid (from Worksheet 3, column a) . . . . .	13,365,501	4,239,322	9,126,179	9.420 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	14,759,730	4,990,502	9,769,228	10.080 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	218,545	0	218,545	0.230 %
f	Health professions education (from Worksheet 5) . . .
g	Subsidized health services (from Worksheet 6) . . . .	2,357,373	2,184,944	172,429	0.180 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .	2,575,918	2,184,944	390,974	0.410 %
k	Total. Add lines 7d and 7j .	17,335,648	7,175,446	10,160,202	10.490 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	6,222	6,222	0.010 %
3	Community support	10,534	10,534	0.010 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	40,212	40,212	0.040 %
7	Community health improvement advocacy	45,047	45,047	0.050 %
8	Workforce development	584,066	584,066	0.600 %
9	Other
10	Total	686,081	686,081	0.710 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did 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. Explain in Part VI the methodology used by the organization to estimate this amount. ......

2,924,903

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

1,597,000

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

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

21,149,082

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

22,599,776

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

-1,450,694

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

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(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 %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2018

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	GENEVA GENERAL HOSPITAL 196 NORTH STREET GENEVA,NY14456	X	X	X

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	GENEVA GENERAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.FLHEALTH.ORG

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.FLHEALTH.ORG

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	GENEVA GENERAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 100.000000000000% and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.FLHEALTH.ORG

The FAP application form was widely available on a website (list url):

WWW.FLHEALTH.ORG

A plain language summary of the FAP was widely available on a website (list url):
WWW.FLHEALTH.ORG

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	GENEVA GENERAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	GENEVA GENERAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual 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? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
PART V, SECTION A:	GENEVA GENERAL HOSPITAL:PART V SECTION B LINE 5: THE ONTARIO, SENECA, AND YATES COUNT PUBLIC HEALTH DEPARTMENTS, IN COLLABORATION WITH FINGER LAKES HEALTH, OTHER HOSPITALS, THE S2AY RURAL HEALTH NETWORK, AND THE COMMUNITY BASED AGENCIES CONDUCTED SURVEYS OF RESIDENTS IN THE THREE COUNTIES THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. SURVEYS WERE DISSEMINATED THROUGH MANY DIFFERENT METHODS INCLUDING E-MAIL, WEB PAGES MAILING OF PAPER COPIES, DISSEMINATION OF PAPER COPIES IN LOCAL STORES HEALTH CARE FACILITIES, PUBLIC HEALTH AND COMMUNITY FACILITIES AND DIRECT ASSISTANCE WITHIN COUNTY BUILDINGS/AGENCIES. FINGER LAKES HEALTH INVITED PUBLIC PARTICIPATION IN THE NEEDS ASSESSMENT THROUGH THE SPRING 2018 EDITION OF THRIVE OUR COMMUNITY HEALTH MAGAZINE. THRIVE IS MAILED TO MORE THAN 90,000 HOUSEHOLDS IN THE HEALTH SYSTEM'S SERVICE AREA. READERS WERE INVITED TO LOG-IN TO THE ONLINE SURVEY OR TO CONTACT FINGER LAKES HEALTH FOR A PAPER VERSION OF THE SURVEY. FURTHER INPUT FROM THE PUBLIC WAS COLLECTED THROUGH A NUMBER OF FOCUS GROUP SESSIONS THAT WERE HELD THROUGHOUT THE COUNTIES.GENEVA GENERAL HOSPITAL: PART V SECTION B LINE 6B: FINGER LAKES HEALTH COLLABORATES WITH PUBLIC HEALTH DEPARTMENTS IN OUR SERVICE AREA AS WELL AS OTHER HUMAN SERVICES PROVIDERS, TO USE THE FRAMEWORK OF THE NYS HEALTH COMMISSIONER'S "PREVENTION AGENDA" AS A BASIS FOR OUR COMMUNITY HEALTH PLANNING. WE WORKED TOGETHER TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2016 AND ESTABLISH HEALTH PRIORITIES FOR 2017-2020. BY DRAWING UP ON THE STATE'S PREVENTION AGENDA, STUDYING DATA COLLECTED THROUGH PRIMARY AND SECONDARY RESEARCH AND PARTNERING WITH LOCAL HEALTH DEPARTMENTS IN ONTARIO, SENECA, AND YATES COUNTIES WE IDENTIFIED HEALTH PRIORITIES AND SUBSEQUENT COMMUNITY OUTREACH INITIATIVES TO ALIGN WITH THOSE PRIORITIES.GENEVA GENERAL HOSPITAL:PART V SECTION B LINE 23: AMOUNTS GENERALLY BILLED: THE AMOUNTS GENERALLY BILLED ARE BASED UPON THE NEGOTIATED COMMERCIAL INSURANCE RATES FOR THE CARRIER WITH THE GREATEST VOLUME.

Schedule H (Form 990) 2018

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2018

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	Explanation
PART III, LINE 2:	COSTING METHODOLOGY:HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION P&P BOARD STATEMENT 15, IX. VALUATION AND DISCLOSURE OF BAD DEBTS, 9.1 HAS BEEN APPLIED TO THE AMOUNT REPORTED ON LINE 2. THE BAD DEBT AMOUNT IS RECORDED AT THE AMOUNT THAT THE PAYER IS EXPECTED TO PAY. THE AMOUNT REPORTED ON LINE 3 IS VALUED AT PATIENT CARE COST, I.E. THE EXPECTED PAYMENT AMOUNT INCLUDED IN LINE 2 HAS BEEN MULTIPLIED BY THE RATIO OF PATIENT CARE COST TO CHARGES (35.4%). BASED UPON AN ANALYSIS OF INCOME LEVELS FOR ACCOUNTS INCLUDED IN BAD DEBTS WE ESTIMATED THAT 27% WERE ELIGIBLE UNDER FAP.
PART III, LINE 3:	RATIONALE FOR INCLUDING A PORTION OF BAD DEBT AMOUNT AS COMMUNITY BENEFIT: IT IS NOT ALWAYS POSSIBLE TO OBTAIN SUFFICIENT INFORMATION TO MAKE A DETERMINATION OF ELIGIBILITY FOR FINANCIAL ASSISTANCE OR RECLASSIFY BAD DEBTS AS CHARITY CARE. WHEN INCOME LEVELS ARE LEARNED WE IDENTIFY INDIVIDUALS UNABLE TO PAY FOR SERVICES. HAVING PROVIDED SERVICES TO THOSE INDIVIDUALS WE BELIEVE REPRESENTS A COMMUNITY BENEFIT.
PART III, LINE 4:	THE HOSPITALS, THE P. C., LIVING CENTERS AND THE HOMESTEAD ESTIMATE THE AMOUNT TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR DOUBTFUL ACCOUNTS BY ANALYZING SPECIFIC PATIENT AND RESIDENT ACCOUNTS FOR COLLECTABILITY AND ALSO BY APPLYING HISTORICALLY ESTABLISHED PERCENTAGES FOR SELF-PAY AND VARIOUS THIRD-PARTY PAYERS TO THE AGING CATEGORIES IN THE ACCOUNTS RECEIVABLE AGING FOR EACH OPERATION. ACCOUNTS FOR WHICH NO PAYMENTS HAVE BEEN RECEIVED FOR A SIGNIFICANT AMOUNT OF TIME ARE CONSIDERED DELINQUENT AND THE ACCOUNTS ARE WRITTEN-OFF WHEN CUSTOMARY COLLECTION EFFORTS ARE EXHAUSTED. THERE WERE NO SIGNIFICANT CHANGES IN THE CALCULATION OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN 2018.
PART III, LINE 8:	RATIONALE FOR INCLUDING SHORTFALL AS COMMUNITY BENEFIT:MEDICARE PAYMENT RATES REFLECT CONSTRAINTS ON FEDERAL GOVERNMENT EXPENDITURES. IN SPITE OF THE SIGNIFICANT LOSSES CAUSED BY THESE LOW RATES WE PROVIDE ACCESS TO HEALTH SERVICES FOR A LARGE SEGMENT OF OUR COMMUNITY. WE BELIEVE THIS ENHANCEMENT OF POPULATION HEALTH REPRESENTS A COMMUNITY BENEFIT.SOURCE OF MEDICARE ALLOWABLE COSTS:COST INFORMATION IS TAKEN FROM THE MEDICARE COST REPORT.
PART III, LINE 9B:	AFTER THE CUSTOMER SERVICE REPRESENTATIVE'S INITIAL DETERMINATION OR THE DETERMINATION RENDERED AFTER AN APPEAL REVIEW, THE PATIENT'S HOSPITAL ACCOUNT IS ADJUSTED TO REFLECT THE AMOUNT OF ANY FINANCIAL ASSISTANCE DEDUCTION TO BE APPLIED TO IT. THE PATIENT IS BILLED FOR AN REMAINING AMOUNT DUE, AND IS OFFERED THE TELEPHONE NUMBER OF AN INDIVIDUAL WITHIN PATIENT ACCOUNTS WHO IS AVAILABLE TO ASSIST THE PERSON IN CREATING A SELF- PAYMENT PLAN THAT OUTLINES PATIENT RE-PAYMENT STEPS OVER A SPECIFIED PERIOD OF TIME SHOULD THE PATIENT REQUIRE SUCH ASSISTANCE. INDIVIDUALS WITH VALID REQUESTS FOR FINANCIAL ASSISTANCE ARE EXEMPT FROM REFERRALS TO A COLLECTION AGENCY.
PART VI, LINE 7, REPORTS FILED WITH STATES	NY
PART VI LN 2	FINGER LAKES HEALTH BELIEVES THAT HEALTHCARE CONSUMERS TAKING ACTIVE RESPONSIBILITY FOR THEIR OWN HEALTH IS THE SINGLE MOST VITAL ASPECT TO IMPROVING THE QUALITY OF HEALTHCARE AND TO HAVING HEALTHIER INDIVIDUALS AND HEALTHIER COMMUNITIES. FINGER LAKES HEALTH'S GOAL, AS A HEALTHCARE PROVIDER, IS TO BE A VITAL PARTNER WITH HEALTHCARE CONSUMERS (OUR PATIENTS) TO ENCOURAGE AWARENESS AND DIALOGUE ABOUT MODIFIABLE RISK FACTORS, OUTLINE THE PATH AND PROVIDE NECESSARY SUPPORT TO ACHIEVE GOOD HEALTH OUTCOMES, AND POSITIVELY IMPACT THE HEALTH OF THE COMMUNITIES WE SERVE.WE ARE DEVELOPING INITIATIVES AND DESIGNING OUR FACILITIES WITH PATIENT-CENTERED, EVIDENCE-BASED, OUTCOME DRIVEN GOALS IN MIND. OUR TEAM HAS BEEN WORKING TO ACHIEVE THE BEST QUALITY CARE OUTCOMES TO KEEP PATIENTS HEALTHY AND TO DEVELOP PREVENTION-ORIENTED PROGRAMS AIMED AT CREATING AND SUSTAINING HEALTHY COMMUNITIES. WE BASE PROGRAMMING ON AREAS OF HEALTH AND WELLNESS THAT MATTER MOST IN OUR COMMUNITIES. THAT IS DETERMINED BY CONDUCTING HEALTH NEEDS ASSESSMENTS IN OUR COMMUNITIES. FINGER LAKES HEALTH COLLABORATES WITH PUBLIC HEALTH DEPARTMENTS IN OUR SERVICE AREA AS WELL AS THE S2AY RURAL HEALTH NETWORK FINGER LAKES HEALTH SYSTEMS AGENCY (NOW COMMON GROUND HEALTH), AND OTHER HUMAN SERVICES PROVIDERS IN OUR SERVICE AREA TO USE THE FRAMEWORK OF THE NYS HEALTH COMMISSIONER'S "PREVENTION AGENDA" AS A BASIS FOR OUR COMMUNITY HEALTH PLANNING. WE WORKED TOGETHER TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2016 AND ESTABLISH HEALTH PRIORITIES FOR 2016-2018. BY DRAWING UPON THE STATE'S PREVENTION AGENDA, STUDYING DATA COLLECTED THROUGH PRIMARY AND SECONDARY RESEARCH AND PARTNERING WITH LOCAL HEALTH DEPARTMENTS IN ONTARIO, SENECA AND YATES COUNTIES, WE IDENTIFIED HEALTH PRIORITIES AND SUBSEQUENT COMMUNITY OUTREACH INITIATIVES TO ALIGN WITH THOSE PRIORITIES.TOOLS USED TO CONDUCT THE CHNA, INCLUDED: - DISEASE PREVALENCE DATA - SOCIO-ECONOMIC FACTORS IN THE REGION - A SURVEY IN OUR THRIVE COMMUNITY HEALTH MAGAZINE CIRCULATED TO 90,000 HOUSEHOLDS IN OUR SERVICE AREA SEEKING COMMENTS ON THE MOST CRITICAL HEALTH CARE NEEDS IN THE COMMUNITY - FOCUS GROUPS DONE IN COOPERATION WITH OUR COUNTY PARTNERS TARGETING SPECIFIC POPULATIONS INCLUDED: IN ONTARIO COUNTY- FIRST RESPONDERS, TOOLS FOR SOCIAL CHANGE COMMUNITY COALITION, SENIOR CITIZEN GROUP, CANANDAIGUA ROTARY CLUB, SENIOR MEAL SITE, COUNTY LEADERS, AND A PROBATION GROUP.IN SENECA COUNTY - SENECA TOWNS ENGAGING PEOPLE FOR SOLUTIONS, SENIOR CITIZEN VOLUNTEER GROUP, CRIMINAL JUSTICE ADVISORY BOARD, OFFICE FOR THE AGING NUTRITION SITE, SENECA HEALTH SOLUTIONS, SENECA HEALTH ADVISORY COMMITTEE, AND OVID ROTARY CLUB IN YATES COUNTY - YATES CHAMBER OF COMMERCE LONG RANGE PLANNING COMMITTEE, WORKFORCE DEVELOPMENT JOB CLUB, FLPSS FINGER LAKES NOCN, TIER II, PENN YAN BABY CAFE, BONE BUILDERS CLASS, PENN YAN LIONS CLUB. AS A RESULT OF THIS DATA AND COMMENT ANALYSIS THE MOST HIGHLY RANKED HEALTH PRIORITIES WERE IDENTIFIED FOR EACH COUNTY, AS NOTED BELOW:FOR ONTARIO COUNTY: - HYPERTENSION - SUBSTANCE ABUSE - OBESITYFOR SENECA COUNTY: - HYPERTENSION - OBESITY - SUBSTANCE ABUSEFOR YATES COUNTY: - CEREBROVASCULAR DISEASE (HYPERTENSION) - BEHAVIORAL HEALTH (SUBSTANCE ABUSE AND MENTAL HEALTH) - OBESITYWE THEN DEVELOPED COMMUNITY SERVICE PLANS (CSP) /COMMUNITY HEALTH IMPROVEMENT PLANS (CHIPS) FOR EACH COUNTY OUTLINING ACTION STEPS TO ADDRESS AND TARGET THE PRIORITIES. AS PART OF OUR COMMUNITY SERVICE PLAN TO TARGET THE PRIORITIES, FINGER LAKES HEALTH: HAS ALL OF ITS PRIMARY CARE PHYSICIAN PRACTICES PARTICIPATING IN THE REGIONAL BLOOD PRESSURE REGISTRY BEING OVERSEEN BY COMMON GROUND HEALTH IN AN EFFORT TO INCREASE THE PERCENTAGE OF PATIENTS WITH HYPERTENSION WHO HAVE CONTROLLED THEIR BLOOD PRESSURE. OFFERS A DIABETES PREVENTION PROGRAM THROUGH ITS DIABETES CARE CENTER THAT FOCUSES ON WEIGHT LOSS TO HELP PRE-DIABETES AND COMMUNITY MEMBERS CONCERNED ABOUT DIABETES AS WELL AS DIABETICS COMBAT THE RISK FACTORS FOR THE DISEASE. THE DIABETES CARE CENTER HAS DEDICATED CERTIFIED DIABETES EDUCATORS WHO DO ONE-ON-ONE COUNSELING WITH DIABETICS CONDUCT EDUCATIONAL CLASSES FOR DIABETICS AND THEIR SUPPORT PERSON AND PROVIDE CONTINUOUS GLUCOSE MONITORING SERVICES FOR DIABETICS AS WELL AS THE PREVENTION PROGRAM. PROVIDES THE "FOOD FUN AND FITNESS" PROGRAM WITH TEENAGE MENTORS FROM LOCAL HIGH SCHOOLS AND COLLEGES TRAINED TO RESENT THE SIX-PART CURRICULUM THAT EMPHASIZES THE IMPORTANCE OF HEALTHY EATING AND EXERCISE TO ELEMENTARY AGE STUDENTS AT LOCAL SCHOOLS AND OTHER VENUES. OFFERS ADDICTIONS COUNSELING ITS EMPLOYEES AND THEIR FAMILY MEMBERS AS WELL AS STUDENTS WHO ARE ON OUR CAMP USES THROUGH VARIOUS EDUCATIONAL PARTNERSHIPS THAT INCLUDES TRAINING ON THE USE OF NARCAN. STAFF MEMBERS AND FAMILIES WHO HAVE AT RISK FAMILY MEMBERS ALSO HAVE BEEN GIVEN FREE NARCAN KITS. CONDUCTS A CARDIAC PRE-HAB PROGRAM DESIGNED SIMILARLY TO CARDIAC REHABILITATION PROGRAMS TO EDUCATE COMMUNITY MEMBERS ON THE RISKS OF CARDIAC DISEASE INCLUDING HYPERTENSION AND OBESITY IN AN EFFORT TO PREVENT CARDIAC DISEASE IN THE COMMUNITY. PROVIDES EDUCATIONAL HEALTH INFORMATION ON TOPICS SUCH AS STROKE SYMPTOMS, DIABETES PREVENTION, HYPERTENSION, AND OTHERS, IN ITS COMMUNITY HEALTH MAGAZINE THRIVE WHICH IS MAILED TO MORE THAN 90,000 HOMES IN OUR SERVICE AREA TWICE EACH YEAR. OFFERS "FINGER LAKES HEALTH MATTERS" AN EDUCATIONAL RADIO SHOW THAT AIRS 26 TIMES EACH YEAR ON THE REGIONAL FINGER LAKES RADIO NETWORK FEATURING FINGER LAKES HEALTH PROFESSIONALS SPEAKING TO A WIDE RANGE OF HEALTH TOPICS INCLUDING STROKE, DIABETES, WEIGHT LOSS, AND OTHERS. SPONSORS THE DINE & DISCUSS LECTURE SERIES FEATURING EDUCATIONAL LECTURES PRESENTED BY HEALTH SYSTEM PHYSICIANS AND OTHER HEALTHCARE PROFESSIONALS ON VARIED TOPICS, INCLUDING STROKE, HYPERTENSION AND DIABETES.CONDUCTS FREE SUPPORT GROUPS TO HELP INDIVIDUALS AND THEIR FAMILIES/CARE GIVERS COPE WITH CHRONIC DISEASES - INCLUDING DIABETES & STROKE. GENEVA GENERAL HOSPITAL IS A JOINT COMMISSION ACCREDITED AND NEW YORKSTATE-DESIGNATED STROKE CENTER. PROVIDERS CONDUCT STROKE EDUCATION IN ADDITION TO THE SUPPORT GROUP ON A REGULAR SCHEDULE FOR EMERGENCY MEDICAL SERVICES PROVIDERS IN OUR SERVICE AREA AS WELL AS FOR GENERAL COMMUNITY MEMBERS. THE EDUCATION COVERS SIGNS AND SYMPTOMS, AS WELL AS RISK FACTORS AND PREVENTION INFORMATION. BLOOD PRESSURE SCREENINGS ARE OFFERED BY THE ACUTE REHAB UNIT AT GENEVA GENERAL, AND BY HEALTH SYSTEM STAFF AT THE COMMUNITY LUNCH PROGRAM IN GENEVA, AS WELL AS AT WORK PLACES OR SPECIAL EVENTS AS REQUESTED BY COMMUNITY ORGANIZATIONS.
PART VI LN 4	A1- COMMUNITY HEALTH EDUCATION1. THRIVE COMMUNITY HEALTH MAGAZINE, DISTRIBUTED TO MORE THAN 90,000 HOUSEHOLDS IN OUR SERVICE AREA - HEALTH ADVICE INCLUDING BUT NOT LIMITED TO:A. PARTNERS IN PREVENTIONB. PREVENTION SCREENINGSC. COMMUNITY HEALTH NEEDS ASSESSMENT & PRIORITY SETTING - COMMUNITY SERVICE PLAN COMMITMENTSD. CHAT & SNACK - EDUCATIONAL PROGRAMS AT THE GENEVA YMCAE. DINE & DISCUSS - EDUCATIONAL PROGRAMS ON VARIED TOPICS OFFERED TO THE COMMUNITYF. REHAB FOR OLDER COMMUNITY DWELLING ADULTSG. CARDIAC HEALTH - PREVENTION IS THE BEST MEDICINEH. PHYSICIAN REFERRAL DIRECTOR OF PRIMARY CARE & SPECIALTY PHYSICIANS2. REPORT TO THE COMMUNITY - CARING FOR YOU EVERY SEASON OF OUR LIFE - OFFERS ANNUAL REPORT DISTRIBUTED TO BUSINESSES COMMUNITY ORGANIZATIONS HUMAN SERVICE PROVIDERS, ETC. IN THE COMMUNITY. REPORTS ON COMMUNITY OUTREACH AND PROGRAMMING TO THE COMMUNITY INCLUDING:A. FINANCIAL AID PROGRAMB. NEW YORK STATE DOH PREVENTION AGENDA COMMITMENTSC. COMMUNITY OUTREACH ACTIVITIES AND PROGRAMS3. CONSTANT CONTACT NEWSLETTER DISTRIBUTED QUARTERLY TO OUR BUSINESS/FRATERNAL/CHARITABLE PARTNERS IN THE COMMUNITY. NEWSLETTER INCLUDES HEALTH EDUCATION ARTICLES/FEATURES/TIPS:A. FREE SCREENING FOR CHILDRENB. VEIN SCREENING FOR ADULTSC. DIABETES PREVENTION PROGRAMD. CARDIAC PRE-HAB PROGRAME. HEALTH PROGRAMS AFIB, GI CANCERS, AND DERMATOLOGY CONCERNS4. CHAT CHOOSE HEALTH ACTION TEEN PROGRAM TRAINED GENEVA HIGH SCHOOL STUDENTS THROUGH THE CORNELL COOPERATIVE EXTENSION CHILDHOOD OBESITY PROGRAM CURRICULUM (PAID FOR BY FINGER LAKES HEALTH) TO BECOME MENTORS TO YOUNGER STUDENTS AND TEACH THEM HOW TO CHOOSE HEALTHY FOODS AND STAY ACTIVE. FLH STAFF THEN SCHEDULE THE MENTORS AT VARIOUS COMMUNITY PROGRAMS (AFTER-SCHOOL, SATURDAY MORNINGS, DAY CARES, ETC.) TO REPRESENT THE PROGRAM.5. DIABETES PREVENTION PROGRAM-OFFER FREE EDUCATIONAL SESSIONS TO COMMUNITY MEMBERS WITH RISK FACTORS FOR DIABETES AND THOSE WHO ARE PRE-DIABETIC. INCLUDES NUTRITION, EXERCISE AND OTHER TIPS TO PREVENT DIABETES AND LOSE WEIGHT.6. FINGER LAKES HEALTH MATTERS- AN EDUCATIONAL RADIO SHOW AIRED 22-TIMES DURING THE YEAR ON THE REGIONAL FINGER LAKES RADIO NETWORK FEATURING HEALTH SYSTEM PROFESSIONALS SPEAKING TO A WIDE RANGE OF HEALTH TOPICS INCLUDING HEART HEALTH/HEART DISEASE PREVENTION, STROKE PREVENTION, ANNUAL HEALTH SCREENINGS, IMMUNIZATIONS & MORE.7. DINE & DISCUSS LECTURE SERIES - EDUCATIONAL LECTURES PRESENTED BY HEALTH SYSTEM PHYSICIANS AND OTHER HEALTHCARE PROFESSIONALS ON VARIED HEALTH TOPICS INCLUDING: GI CANCERS, WHAT'S ON MY SKIN - DERMATOLOGY DISCUSSION, ROLE OF PT IN WOMEN'S PELVIC HEALTH, HIP & KNEE REPLACEMENT, AFIB - NEW APPROACHES TO STROKE PREVENTION, AND OTHERS.8. CHAT & SNACK AT THE Y - FLH PROFESSIONALS PRESENT HEALTH AND WELLNESS TALKS AT THE YMCA FOR MEMBERS AND NON-MEMBERS. TOPICS INCLUDED: VEIN INSUFFICIENCY & TREATMENTS, FALL PREVENTION, STROKE SYMPTOMS & PREVENTION, ANDOSTEOPOROSIS RISK FACTORS & PREVENTION. 9. SUPPORT GROUPSA. STROKE SUPPORT GROUP FACILITATED MONTHLY BY ACUTE REHAB UNIT STAFFA3- HEALTH CARE SUPPORT SERVICES1. BLOOD PRESSURE SCREENINGS - NURSES PROVIDE FREE BLOOD PRESSURES AT VARIOUS LOCATIONS IN THE COMMUNITY:A. OUR LADY OF PEACE PARISHB. STROKE SUPPORT GROUPC. COMMUNITY LUNCH PROGRAMB2-NURSES/NURSING STUDENTS1. THE CLINICAL EDUCATION AND MENTORING OF NURSING STUDENTS FROM PROGRAMS OF STUDY, INCLUDING THE MARION W. WHELAN SCHOOL OF PRACTICAL NURSING AND THE FINGER LAKES HEALTH COLLEGE OF NURSING & HEALTH SCIENCES.B3-OTHER HEALTH PROFESSIONAL EDUCATION1. CLINICAL EDUCATION PROVIDED TO STUDENTS FROM VARIOUS COLLEGES/PROGRAMS OF STUDY FOR ACADEMIC CREDIT, INCLUDING THE FOLLOWING PROGRAMS OF STUDY:A. NURSE PRACTITIONERB. PHYSICIAN ASSISTANTC. PHARMACYD. OCCUPATIONAL THERAPISTE. PHYSICAL THERAPISTF. LAB2. GGH HOSTED FINGER LAKES REGIONAL EMS PROGRAM STUDENTS FROM FLCC AND MENTORED THEM IN CLINICAL ROTATIONS IN SEVERAL AREAS INCLUDING: ED, OR, RT.C5 - NEGATIVE MARGIN SERVICES1. GENEVA GENERAL CHILD CARE CENTER PROVIDES NEEDED SERVICES TO THE COMMUNITY BUT INCURS A LOSS.C6- SUBSIDIZED HEALTH SERVICES1. GENEVA GENERAL RENAL DIALYSIS SERVICE PROVIDES NEEDED SERVICES IN OUR SERVICE AREA, BUT INCURS A LOSS.E3 - IN-KIND DONATIONS1. GGH EMPLOYEES DONATING TIME TO COMMUNITY AGENCIES ON BEHALF OF GGH AND FINGER LAKES HEALTH - BROKEN OUT BY CLINICAL ACTIVITIES/STAFF AND NON-CLINICAL ACTIVITIES/STAFF INCLUDING, BUT NOT LIMITED TO:NON-CLINICAL:A. UNITED WAYB. CHOOSE HEALTH ONTARIOC. SENECA COUNTY HEALTH ADVISOR COUNCILD. ROTARY CLUBSE. SALVATION ARMYF. HOUSE OF CONCERNG. LOCAL DEVELOPMENT COUNCILH. GENEVA CHAMBER OF COMMERCEI. GENEVA READSJ. GENEVA 20/20 LITERACY COMMITTEECLINICAL:A. ARCS OF ONTARIO, MONROE, SENECAB. CENTRAL/WESTERN NY STROKE COORDINATORSC. NY NURSE EXECUTIVESD. AMERICAN RED CROSS2. NOT-FOR-PROFIT ORGANIZATION EVENT SPONSORSHIPS/SUPPORT FOR COMMUNITY ORGANIZATIONS INCLUDING:A. BOYS & GIRLS CLUBB. GENEVA NAACPC. GENEVA CHAMBER OF COMMERCED. GENEVA ROTARY SERVICE ABOVE SELFE. ARC OF ONTARIO CRUISIN' FOR A CAUSEF. UNITED WAY OF ONTARIO COUNTY DAY OF CARING3. FREE USE OF FACILITY SPACE PROVIDED TO COMMUNITY HEALTH-RELATED ORGANIZATIONS INCLUDING: WEIGHT WATCHERS, STROKE COORDINATORS, RED CROSS, TOPS, FINGER LAKES VISITING NURSE, ARC OF ONTARIO, FL COMMUNITY COLLEGE, AND FOODLINKF2 - ECONOMIC DEVELOPMENT1. DUES PAID TO GENEVA CHAMBER OF COMMERCE TO SUPPORT ECONOMIC DEVELOPMENT INITIATIVESF3 - COMMUNITY SUPPORT1. DISASTER READINESS - DOLLARS SPENT AND SPACE ALLOCATED FOR DISASTER/EMERGENCY PREPAREDNESS ACTIVITIES, STOCKPILING SUPPLIES TO USE FOR THOSE PURPOSESF4 - ENVIRONMENTAL IMPROVEMENTS1. SHARPS DISPOSAL PROGRAM - NEEDLES ARE COLLECTED FROM COMMUNITY MEMBERS WHO PROPERLY SECURE THEM, TO BE DISPOSED OF PROPERLY, FREE OF CHARGE BY THE HOSPITALF6 - COALITION BUILDING1. HEALTH SYSTEM ADMINISTRATIVE TEAM MEMBERS PARTICIPATE ON VARIOUS COMMUNITY AGENCY BOARDS AND BUILD PARTNERSHIPS WITH MANY COMMUNITY ORGANIZATIONS TO IMPROVE THE HEALTH OF OUR COMMUNITIES, INCLUDING BUT NOT LIMITED TO:A. ARC OF ONTARIOB. ROCHESTER REGIONAL HEALTH ASSOCIATIONC. HAPPINESS HOUSED. FINGER LAKES HEALTH SYSTEMS AGENCYE. CITY OF GENEVA DEVELOPMENT COMMITTEEF. ONTARIO COUNTY CHOOSE HEALTH COMMITTEEG. LAKEVIEW MENTAL HEALTHH. GENEVA BOYS & GIRLS CLUBI. GENEVA 2020F7 - COMMUNITY HEALTH IMPROVEMENT ADVOCACY1. CITY OF GENEVA PAYMENT - GENEVA GENERAL HOSPITAL MAKES A DONATION TO THE CITY OF GENEVA FOR CIVIC AND COMMUNITY PURPOSES.F8 - WORKFORCE DEVELOPMENT1. PARTNERSHIPS WITH COLLEGES & UNIVERSITIESA. HOBART-WILLIAM SMITH EDUCATIONAL PARTNERSHIP PROGRAM HOSTS HWS STUDENTS IN A HEALTH SERVICES PROGRAM WHO ARE PLANNING ON POST- GRADUATE EDUCATION IN HEALTH CAREERS TO OBSERVE/INTERN IN AREAS OF INTEREST TO GAIN EXPERIENCE AND PARTICIPATE IN CAREER EXPLORATION BEFORE GRADUATION.B. OBSERVATION/INTERNSHIPS/SHADOWING - STUDENTS FROM COLLEGES AND HIGH SCHOOLS EXPLORE HEALTHCARE CAREERS BY OBSERVING HEALTHCARE PROFESSIONALS AT WORK.C. HOBART-WILLIAM SMITH DEATH & DYING CLASS - LIVING CENTERS AT GENEVA STAFF MENTOR HWS STUDENTS WHILE THE STUDENTS SPEND TIME WITH RESIDENTS LIVING AT THE FACILITIES AS PART OF THE STUDENTS' CLASS RELATED TO GERIATRICS AND DEATH AND DYING TOPICS.2. SCHOOL-BASED PROGRAMS ON HEALTH CAREERSA. EXPLORING CAREERS IN HEALTHCARE-TWO EVENTS FOR MIDDLE SCHOOL AND HIGH SCHOOL STUDENTS TO EXPLORE HEALTHCARE CAREERS. PROFESSIONALS IN MULTIPLE CLINICAL AREAS SPENT TIME WITH STUDENTS OUTLINING CAREERS EDUCATIONAL REQUIREMENTS, ETC. AND OFFERING MANY HANDS-ON ACTIVITIES.B. NEW VISION MEDICAL CAREER PROGRAM - EXTENSIVE, ACADEMIC YEAR-LONG MEDICAL EXPLORATION PROGRAM FOR HIGH SCHOOL SENIORS PLANNING TO PURSUE HEALTHCARE CAREERS. STUDENTS SPENT 150 HOURS EACH ROTATING THROUGH DEPARTMENTS.C. HEALTHCARE ALLIANCE EVENT - SHARED INFORMATION ON OPPORTUNITIES FOR STUDENTS TO LEARN ABOUT HEALTH CAREERS; GAVE SURGICAL SERVICES HANDS ON DEMO TO SHOW STUDENTS A JOB AND LEARN ABOUT POSITIONS AND TRAINING IN THE SURGICAL TECH FIELD.

Schedule H (Form 990) 2018

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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

GENEVA GENERAL HOSPITAL

Employer identification number

16-0743032

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 on 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 or provision of all of the expenses described above? If "No," complete Part III to explain .........

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

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

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 on 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? .........

Yes

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on 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," on line 5a or 5b, describe in Part III.

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

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

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

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

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

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 2018

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(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 in column (B) reported as deferred on prior Form 990
(A) Name and Title		(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)
1JOSE ACEVEDO MD MBA PRESIDENT & CEO	(i) (ii)	496,655 ------------- 0	202,573 ------------- 0	47,144 ------------- 0	50,000 ------------- 0	25,448 ------------- 0	821,820 ------------- 0	0 ------------- 0
2ROBERT ANDERSON MD DIRECTOR	(i) (ii)	0 ------------- 196,259	0 ------------- 12,750	0 ------------- 18,986	0 ------------- 0	0 ------------- 7,443	0 ------------- 235,438	0 ------------- 0
3FRED VITELLO TREASURER & CFO, UNTIL OCTOBER 18	(i) (ii)	296,879 ------------- 0	0 ------------- 0	34,731 ------------- 0	0 ------------- 0	8,871 ------------- 0	340,481 ------------- 0	0 ------------- 0
4JASON FEINBERG CHIEF MEDICAL OFFICER	(i) (ii)	347,336 ------------- 0	43,837 ------------- 0	43,414 ------------- 0	0 ------------- 0	28,938 ------------- 0	463,525 ------------- 0	0 ------------- 0
5FRANK KORICH SR VP OPERATIONS	(i) (ii)	198,626 ------------- 0	33,613 ------------- 0	44,179 ------------- 0	0 ------------- 0	24,418 ------------- 0	300,836 ------------- 0	0 ------------- 0
6EILEEN GAGE VP NURSING, THROUGH JULY 19	(i) (ii)	145,674 ------------- 0	30,434 ------------- 0	44,318 ------------- 0	0 ------------- 0	14,544 ------------- 0	234,970 ------------- 0	0 ------------- 0
7PATRICK BOYLE VP HUMAN RESOURCES	(i) (ii)	195,887 ------------- 0	26,808 ------------- 0	17,420 ------------- 0	0 ------------- 0	30,324 ------------- 0	270,439 ------------- 0	0 ------------- 0
8WENDY DISBROW VP PHYS NETWORK	(i) (ii)	166,043 ------------- 0	16,904 ------------- 0	29,914 ------------- 0	0 ------------- 0	7,055 ------------- 0	219,916 ------------- 0	0 ------------- 0
9CRAIG COLLINS MD PHYSICIAN PROF SURGERY	(i) (ii)	550,693 ------------- 0	0 ------------- 0	37,000 ------------- 0	0 ------------- 0	20,492 ------------- 0	608,185 ------------- 0	0 ------------- 0
10JOSEPH GOMEZ PHYSICIAN PROF CARDIOLOGY	(i) (ii)	500,145 ------------- 0	0 ------------- 0	22,154 ------------- 0	0 ------------- 0	0 ------------- 0	522,299 ------------- 0	0 ------------- 0
11MATTHEW TALBOTT DIRECTOR EMERGENCY MEDICINE	(i) (ii)	436,312 ------------- 0	1,126 ------------- 0	32,731 ------------- 0	0 ------------- 0	20,492 ------------- 0	490,661 ------------- 0	0 ------------- 0
12EMILY LAMBERT PHYSICIAN - DERMATOLOGY	(i) (ii)	414,096 ------------- 0	526,208 ------------- 0	36,200 ------------- 0	0 ------------- 0	0 ------------- 0	976,504 ------------- 0	0 ------------- 0
13CT HARRISON ANESTHESIOLOGIST	(i) (ii)	367,224 ------------- 0	30,950 ------------- 0	21,950 ------------- 0	0 ------------- 0	10,475 ------------- 0	430,599 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2018

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 4B	CERTAIN OFFICERS AND DIRECTORS OF GENEVA GENERAL HOSPITAL ("GGH") PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. GGH DEPOSITED $50,000 INTO A 457(F) PLAN IN 2018 FOR JOSE ACEVEDO, MD, MBA, PRESIDENT & CEO.

Schedule J (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

GENEVA GENERAL HOSPITAL

Employer identification number

16-0743032

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2018

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) FINGER LAKES RADIOLOGY LLC	CERTAIN BOARD MEMBERS OWN GREATER THAN 35% OF FINGER LAKES RADIOLOGY, LLC	189,553	RENTAL AND MEDICAL RELATED SERVICES		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2018

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

GENEVA GENERAL HOSPITAL

Employer identification number

16-0743032

Return Reference	Explanation
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS REVIEWED BY THE ADMINISTRATIVE COMMITTEE OF THE BOARD PRIOR TO BEING FILED. ANY COMMITTEE FINDINGS ARE REVIEWED AND IMPLEMENTED AS APPROPRIATE BY MANAGEMENT. CHANGES IN IRS REQUIREMENTS AND ORGANIZATION PRACTICES FROM THE PRIOR YEAR ARE HIGHLIGHTED FOR THE COMMITTEE BY MANAGEMENT. THE COMMITTEE REPORTS ON THIS DISCUSSION TO THE FULL BOARD.
FORM 990, PART VI, SECTION B, LINE 12C	GENEVA GENERAL HOSPITAL MAINTAINS A CONFLICT OF INTEREST POLICY WHICH BOARD MEMBERS ARE REQUIRED TO SIGN PRIOR TO TAKING OFFICE. STATEMENTS ARE REVIEWED ANNUALLY BY AN ADMINISTRATIVE COMMITTEE. THE PROCESS FOR HANDLING ANY CONFLICTS OF INTEREST WHICH MAY ARISE ARE DETAILED IN THE CORPORATE BYLAWS.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION IS REVIEWED BY A COMPENSATION COMMITTEE, AND COMPARABILITY DATA IS PART OF THE DECISION.
FORM 990, PART VI, SECTION C, LINE 19	GENEVA GENERAL HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC WHERE REQUIRED BY LAW AND UPON REQUEST. THE ORGANIZATION'S FORM 990 IS PROVIDED TO ANY INDIVIDUAL WHO PROVIDES A REQUEST IN PERSON OR WHO SUBMITS A WRITTEN REQUEST. THERE IS NO CHARGE OTHER THAN A REASONABLE FEE FOR COPYING AND POSTAGE. COPIES ARE AVAILABLE AT THE FINANCE OFFICE. AN ELECTRONIC VERSION MAY BE FOUND AT WWW.GUIDESTAR.ORG.
FORM 990, PART XI, LINE 9:	ADDITIONAL PENSION LIABILITY 4,168,015.
FORM 990, PART XII, LINE 2C:	GGH HAS A BOARD COMMITTEE WHO ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

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" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

GENEVA GENERAL HOSPITAL

Employer identification number

16-0743032

Part I

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

(a) Name, address, and EIN (if applicable) 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 entity?
(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)FINGER LAKES REGIONAL HEALTH SYSTEM INC 196 NORTH STREET GENEVA,NY14456 22-3193606	SOLE MEMBER OF GGH, LCS, HLC, LCN, SSMH, AND FLHF	NY	501(C)(3)	LINE 7			No
(2)LIVING CENTER AT GENEVA SOUTH 196 NORTH STREET GENEVA,NY14456 16-0957268	SKILLED NURSING FACILITY	NY	501(C)(3)	LINE 10	FINGER LAKES HEALTH SYSTEM INC		No
(3)HUNTINGTON LIVING CENTER 269 EAST MAIN STREET WATERLOO,NY13165 51-0169552	SKILLED NURSING FACILITY	NY	501(C)(3)	LINE 10	FINGER LAKES HEALTH SYSTEM INC		No
(4)GENEVA GENERAL HOSPITAL HOUSING DEVELOPMENT CO 260 NORTH STREET GENEVA,NY14456 22-2816883	OPERATE LOW INCOME HOUSING FOR ELDERLY AND HANDICAPPED	NY	501(C)(3)	LINE 10	FINGER LAKES HEALTH SYSTEM INC		No
(5)TAYLOR BROWN MEMORIAL HOSPITAL HOUSING DEVELOPMENT CO 371 EAST MAIN STREET WATERLOO,NY13165 22-2807734	OPERATE LOW INCOME HOUSING FOR ELDERLY AND HANDICAPPED	NY	501(C)(3)	LINE 10	FINGER LAKES HEALTH SYSTEM INC		No
(6)LIVING CENTER AT GENEVA NORTH 196 NORTH STREET GENEVA,NY14456 16-1449543	SKILLED NURSING FACILITY	NY	501(C)(3)	LINE 10	FINGER LAKES HEALTH SYSTEM INC		No
(7)SOLDIERS & SAILORS MEMORIAL HOSPITAL 196 NORTH STREET GENEVA,NY14456 16-1449543	PROVIDER AND HEALTHCARE SERVICES	NY	501(C)(3)	LINE 3	FINGER LAKES HEALTH SYSTEM INC		No
(8)FINGER LAKES HEALTH FOUNDATION 196 NORTH STREET GENEVA,NY14456 15-0549310	COORDINATE FUNDRAISING ACTIVITES	NY	501(C)(3)	LINE 10	FINGER LAKES HEALTH SYSTEM INC		No
(9)FLH MEDICAL PC 196 NORTH STREET GENEVA,NY14456 26-3765332	MEDICAL PRACTICES	NY	501(C)(3)	LINE 10	GENEVA GENERAL HOSPITAL		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2018

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 V-UBI 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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	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	(i) Section 512(b)(13) controlled entity?
(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	Yes	No

Schedule R (Form 990) 2018

Page 3

Part V

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

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

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, or (iv) rent from a controlled entity .....................

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

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

Yes

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

Yes

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

Yes

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

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

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

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related 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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) FLH MEDICAL PC	D	14,777,636	FMV
(2) FLH MEDICAL PC	P	4,924,115	FMV

Schedule R (Form 990) 2018

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

Schedule R (Form 990) 2018

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: GENEVA GENERAL HOSPITAL IS A COMMUNITY BASED, NOT-FOR-PROFIT HOSPITAL DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH OF ALL PEOPLE IN THE CENTRAL FINGER LAKES REGION. WE ARE COMMITTED TO SAFE, HIGH QUALITY, COMPASSIONATE SERVICES THAT ARE CONVENIENT, ACCESSIBLE AND AT REASONABLE COST, THROUGH THE EFFORTS OF OUR EMPLOYEES, MEDICAL STAFF AND VOLUNTEERS. WE ARE A CENTER FOR HEALTH EDUCATION THAT LIVES ITS LEADERSHIP COMMITMENTS THROUGH PARTICIPATION IN AND SPONSORSHIP OF PROFESSIONAL, ALLIED HEALTH AND COMMUNITY HEALTH EDUCATION PROGRAMS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	18
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	14
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	1,057
6	Total number of volunteers (estimate if necessary) .............	6	40
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	806,755
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-132,297

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	719,810	652,124
9	Program service revenue (Part VIII, line 2g) .........	88,680,865	85,956,048
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	10,237,406	4,086,490
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	720,036	5,638,456
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	100,358,117	96,333,118
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)	59,794,788	58,814,842
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 78,618
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	34,371,668	38,073,955
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	94,166,456	96,888,797
19	Revenue less expenses. Subtract line 18 from line 12.......	6,191,661	-555,679
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	214,325,015	204,828,372
21	Total liabilities (Part X, line 26).............	49,757,798	45,043,956
22	Net assets or fund balances. Subtract line 21 from line 20.....	164,567,217	159,784,416

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 33,181,014 including grants of $ ) (Revenue $ 36,952,688 )
	PATIENT SERVICE PROGRAM: INPATIENTGENEVA GENERAL HOSPITAL IS A 132-BED ACUTE CARE HOSPITAL PROVIDING BOTH PRIMARY CARE AND A FULL RANGE OF SECONDARY LEVEL SERVICES. WE OPERATE A 10-BED INTENSIVE CARE UNIT, AND A 12-BED TELEMETRY UNIT AS WELL AS SIX PEDIATRIC BEDS. THE HOSPITAL ALSO OPERATES A REGIONAL ACUTE PHYSICAL REHABILITATION CENTER, INCLUDING AN IN-PATIENT, 15-BED UNIT.

4b	(Code: ) (Expenses $ 43,738,333 including grants of $ ) (Revenue $ 46,529,239 )
	PATIENT SERVICE PROGRAM: OUTPATIENTA FULL RANGE OF DIAGNOSTIC AND TREATMENT SERVICES ARE AVAILABLE AT GENEVA GENERAL HOSPITAL. WE ARE DEDICATED TO PROVIDING A COMPREHENSIVE ARRAY OF HEALTHCARE SERVICES TO PEOPLE IN THE FINGER LAKES REGION.

4c	(Code: ) (Expenses $ 1,612,959 including grants of $ ) (Revenue $ 1,667,366 )
	EDUCATION PROGRAM:EDUCATION PLAYS AN IMPORTANT ROLE AT GENEVA GENERAL HOSPITAL. OUR EDUCATION DEPARTMENT, WHICH INCLUDES HIGHER EDUCATION PROGRAMS FOR LICENSED PRACTICAL NURSES (LPN) AND REGISTERED NURSES (RN), IS A DIVERSIFIED TEAM OF PROFESSIONALS WHO PROVIDE LEARNING OPPORTUNITIES TO THE MEMBERS OF OUR ORGANIZATION AND RESIDENTS OF SURROUNDINGCOMMUNITIES.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses78,532,306

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	5,556,973	227,995	260,931

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	247,081

f	All other contributions, gifts, grants, and similar amounts not included above		1f	405,043

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		652,124

		Business Code
2a	PATIENT SERVICE REVENUE	621990	83,481,927	83,481,927
b	TUITION AND RELATED FEES	611600	1,667,366	1,667,366
c	CHILD DAY CARE	624410	806,755		806,755
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		85,956,048

3 Investment income (including dividends, interest, and othersimilar amounts) ......			2,524,212			2,524,212
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss)......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	278	1,613,057
b	Less: cost or other basis and sales expenses	51,057	0
c	Gain or (loss)	-50,779	1,613,057
d	Net gain or (loss).....			1,562,278			1,562,278
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
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
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	OTHER OPERATING REVENUE		900099	3,062,697			3,062,697
b	OTHER REVENUE-MLMIC		900099	2,575,759			2,575,759
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			5,638,456
12	Total revenue. See Instructions......			96,333,118	85,149,293	806,755	9,724,946

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21
2	Grants and other assistance to domestic individuals. See Part IV, line 22
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	2,651,986		2,651,986
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	47,395,661	41,779,776	5,580,852	35,033
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	-25,036	-20,900	-4,118	-18
9	Other employee benefits .......	5,702,187	4,760,185	938,010	3,992
10	Payroll taxes ...........	3,090,044	2,579,569	508,312	2,163
11	Fees for services (non-employees):
a	Management ......	414,130		414,130
b	Legal .........	266,874		266,874
c	Accounting ...........	94,000		94,000
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)
12	Advertising and promotion ....	301,419	227,451	73,667	301
13	Office expenses .......	770,335	581,295	188,270	770
14	Information technology ......	1,322,361	997,854	323,185	1,322
15	Royalties ..
16	Occupancy ...........	2,677,500	2,020,441	654,381	2,678
17	Travel ............	27,487	20,742	6,718	27
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	232,848	175,707	56,908	233
20	Interest ...........	276,910		276,910
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	7,286,974	6,921,896	357,062	8,016
23	Insurance ...	899,654	678,879	219,875	900
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	17,299,697	13,054,351	4,228,046	17,300
b	PURCHASED SERVICES	3,604,100	2,719,654	880,842	3,604
c	NYS ASSESSMENT TAX	300,310	300,310
d
e	All other expenses	2,299,356	1,735,096	561,963	2,297
25	Total functional expenses. Add lines 1 through 24e	96,888,797	78,532,306	18,277,873	78,618
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			232,623	1	95,942
2	Savings and temporary cash investments .........			5,710,197	2	7,156,153
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			12,894,984	4	9,781,963
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
				12,857	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
					6
7	Notes and loans receivable, net ....			590,537	7	0
8	Inventories for sale or use ........			1,619,166	8	1,618,042
9	Prepaid expenses and deferred charges ......			1,164,994	9	796,424
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	219,249,356
b	Less: accumulated depreciation	10b	141,828,707	82,146,069	10c	77,420,649
11	Investments—publicly traded securities .			78,403,736	11	76,877,686
12	Investments—other securities. See Part IV, line 11 .....			60,000	12	60,000
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			150,000	14	150,000
15	Other assets. See Part IV, line 11 ...........			31,339,852	15	30,871,513
16	Total assets. Add lines 1 through 15 (must equal line 34)...			214,325,015	16	204,828,372

17	Accounts payable and accrued expenses .....	20,038,589	17	20,921,099
18	Grants payable ...		18
19	Deferred revenue .........	9,430,799	19	9,650,037
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other 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 ..	5,849,411	23	9,843,885
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	14,438,999	25	4,628,935
26	Total liabilities. Add lines 17 through 25..	49,757,798	26	45,043,956

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	137,648,217	27	135,508,124
28	Temporarily restricted net assets ...........	23,671,000	28	21,027,508
29	Permanently restricted net assets	3,248,000	29	3,248,784
	Organizations that do not follow SFAS 117 (ASC 958), 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 ...........	164,567,217	33	159,784,416
34	Total liabilities and net assets/fund balances ........	214,325,015	34	204,828,372