Civic Intelligence

Orleans Community Health

EIN 16-0755799 • 501(c)3 • Medina, NY

Profile

See schedule o.orleans community health exists to improve the health of the communities we serve by providing equal access to quality health care services provided at the right time, in the right place, with the most efficient use of resources. This will be accomplished through a collaborative effort with physician partners, hospital associates, volunteers and the twig association, using a philosophy of continuous quality improvement.

200 Ohio StMedina, NY 14103

www.medinamemorial.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

78th percentile

0.89x

Higher debt load relative to assets than 78% of similar nonprofits.

NTEE E • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

47th percentile

0.33x

Higher debt load relative to revenue than 47% of similar nonprofits.

NTEE E • $25M-$50M nonprofits • Source year 2024

Net Margin

31st percentile

-4.0%

Higher net margin than 31% of similar nonprofits.

NTEE E • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

50th percentile

$527,156

Higher top officer pay than 50% of similar nonprofits.

Top officer pay equals 1.6% of source-year revenue.

NTEE E • $25M-$50M nonprofits • Source year 2024

Asset Growth

48th percentile

3.0%

Faster asset growth than 48% of similar nonprofits.

NTEE E • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

51st percentile

7.7%

Faster revenue growth than 51% of similar nonprofits.

NTEE E • $25M-$50M nonprofits • Annualized from 2023 to 2024

Assets

Up

$11,834,943

Up $349,662 (+3.0%) from 2023

Liabilities

Up

$10,514,333

Up $1,211,730 (+13%) from 2023

Net Assets

Down

$1,320,610

Down $862,068 (-39%) from 2023

Revenue

Up

$32,275,107

Up $2,298,993 (+7.7%) from 2023

Expenses

Down

$33,557,780

Down $584,268 (-1.7%) from 2023

Net Income

Up

-$1,282,673

Up $2,883,261 (+69%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$20M$15M$10M$5.0M$0Assets 2010: $14,122,539Liabilities 2010: $8,456,038Net Assets 2010: $5,666,5012010Assets 2011: $14,714,461Liabilities 2011: $7,539,930Net Assets 2011: $7,174,5312011Assets 2012: $18,922,372Liabilities 2012: $8,371,419Net Assets 2012: $10,550,9532012Assets 2013: $18,508,834Liabilities 2013: $8,674,187Net Assets 2013: $9,834,6472013Assets 2014: $17,366,986Liabilities 2014: $8,130,763Net Assets 2014: $9,236,2232014Assets 2015: $14,408,310Liabilities 2015: $9,850,554Net Assets 2015: $4,557,7562015Assets 2016: $12,681,582Liabilities 2016: $11,794,296Net Assets 2016: $887,2862016Assets 2017: $11,007,377Liabilities 2017: $9,666,555Net Assets 2017: $1,340,8222017Assets 2018: $11,280,051Liabilities 2018: $8,197,146Net Assets 2018: $3,082,9052018Assets 2019: $12,438,514Liabilities 2019: $7,333,579Net Assets 2019: $5,104,9352019Assets 2020: $18,646,768Liabilities 2020: $14,002,856Net Assets 2020: $4,643,9122020Assets 2021: $19,258,581Liabilities 2021: $12,357,315Net Assets 2021: $6,901,2662021Assets 2022: $15,496,883Liabilities 2022: $9,148,271Net Assets 2022: $6,348,6122022Assets 2023: $11,485,281Liabilities 2023: $9,302,603Net Assets 2023: $2,182,6782023Assets 2024: $11,834,943Liabilities 2024: $10,514,333Net Assets 2024: $1,320,6102024

Highlighted filing

2024

Assets$11,834,943
Liabilities$10,514,333
Net Assets$1,320,610

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$40M$30M$20M$10M$0-$10MExpenses 2010: $32,559,7252010Revenue 2011: $34,758,484Expenses 2011: $33,326,571Net Income 2011: $1,431,9132011Expenses 2012: $32,231,3682012Revenue 2013: $33,348,392Expenses 2013: $34,931,163Net Income 2013: -$1,582,7712013Revenue 2014: $33,836,690Expenses 2014: $34,435,114Net Income 2014: -$598,4242014Revenue 2015: $29,544,175Expenses 2015: $34,013,228Net Income 2015: -$4,469,0532015Revenue 2016: $27,196,539Expenses 2016: $30,614,309Net Income 2016: -$3,417,7702016Revenue 2017: $26,824,261Expenses 2017: $26,238,904Net Income 2017: $585,3572017Revenue 2018: $27,399,792Expenses 2018: $25,437,144Net Income 2018: $1,962,6482018Revenue 2019: $27,179,495Expenses 2019: $25,018,102Net Income 2019: $2,161,3932019Revenue 2020: $24,198,860Expenses 2020: $24,640,143Net Income 2020: -$441,2832020Revenue 2021: $29,502,924Expenses 2021: $27,245,570Net Income 2021: $2,257,3542021Revenue 2022: $30,079,653Expenses 2022: $30,632,307Net Income 2022: -$552,6542022Revenue 2023: $29,976,114Expenses 2023: $34,142,048Net Income 2023: -$4,165,9342023Revenue 2024: $32,275,107Expenses 2024: $33,557,780Net Income 2024: -$1,282,6732024

Highlighted filing

2024

Revenue$32,275,107
Expenses$33,557,780
Net Income-$1,282,673

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$11.8$10.5$1.32$32.3$33.6$1.28
2023Summary only. Only limited summary data is available for this year.$11.5$9.30$2.18$30.0$34.1$4.17
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$15.5$9.15$6.35$30.1$30.6$0.55
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$19.3$12.4$6.90$29.5$27.2$2.26
2020Summary only. Only limited summary data is available for this year.$18.6$14.0$4.64$24.2$24.6$0.44
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$12.4$7.33$5.10$27.2$25.0$2.16
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$11.3$8.20$3.08$27.4$25.4$1.96
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$11.0$9.67$1.34$26.8$26.2$0.59
2016Summary only. Only limited summary data is available for this year.$12.7$11.8$0.89$27.2$30.6$3.42
2015Detailed filing. Detailed filing data is available for this year.$14.4$9.85$4.56$29.5$34.0$4.47
2014Summary only. Only limited summary data is available for this year.$17.4$8.13$9.24$33.8$34.4$0.60
2013Detailed filing. Detailed filing data is available for this year.$18.5$8.67$9.83$33.3$34.9$1.58
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$18.9$8.37$10.6$32.2
2011Summary only. Only limited summary data is available for this year.$14.7$7.54$7.17$34.8$33.3$1.43
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$14.1$8.46$5.67$32.6
Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Nov 15, 2023
Return Version
2022v5.0
Gross Receipts
$30,079,653
Mission and Program Overview

Mission

See schedule o.orleans community health exists to improve the health of the communities we serve by providing equal access to quality health care services provided at the right time, in the right place, with the most efficient use of resources. This will be accomplished through a collaborative effort with physician partners, hospital associates, volunteers and the twig association, using a philosophy of continuous quality improvement.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$6,112,595$5,250,488▼ $862,107
Cash and Non-Interest-Bearing Accounts$8,125,007$5,051,269▼ $3,073,738
Accounts Receivable$2,492,761$2,569,537▲ $76,776
Inventories for Sale or Use$534,005$536,043▲ $2,038
Prepaid Expenses and Deferred Charges$157,179$233,615▲ $76,436
Pledges and Grants Receivable$749,391$69,589▼ $679,802
Total Assets$19,258,581$15,496,883▼ $3,761,698
Other Assets Total$1,087,643$1,786,342▲ $698,699
Liabilities
Accounts Payable and Accrued Expenses$8,814,507$5,490,797▼ $3,323,710
Mortgage Notes Payable Secured by Investment Property$1,066,503$2,650,511▲ $1,584,008
Unsecured Notes Loans Payable$2,000,000--
Other Liabilities$324,518$1,006,963▲ $682,445
Deferred Revenue$151,787--
Total Liabilities$12,357,315$9,148,271▼ $3,209,044
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$5,871,790$5,367,010▼ $504,780
Net Assets With Donor Restrictions$1,029,476$981,602▼ $47,874
Total Net Assets Fund Balance$6,901,266$6,348,612▼ $552,654
Total Liabilities and Net Assets / Fund Balance$19,258,581$15,496,883▼ $3,761,698

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$-157,047$25,085,023$24,927,976
Buildings$5,071,437$11,122,900$16,194,337
Leasehold Improvements$173,239$116,935$290,174
Land$146,109-$146,109
Other Land Buildings$16,750-$16,750
Other Assets Org$728,745--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Joseph Misiti MdDirector-$480,205-$480,205
Dale Sponaugle MdDirector-$457,876-$457,876
Marc ShurtzChief Executive OfficerFT$218,078$13,728$231,806
Mackenzie SullivanRn Supervisor LeadFT$181,079$13,623$194,702
Kathleen BrauenDirector of PharmacyFT$136,533$16,394$152,927
Meghan SiddonsDirector of Medical-surgeryFT$148,157$128$148,285
Kimberly GrayInterim CNOFT$129,533$16,368$145,901
Gerald MooreRnFT$134,106$10,225$144,331

Board Members and Trustees

NameTitle
Shannon BlountChairman
Kevin FoleyVice Chairman
Aaron KnightsDirector
Dawn MelandDirector
Hector FuentesDirector
Jenifer MaynardDirector
Lynne JohnsonDirector
Richard Elman MdDirector and Medical Staff
Cindy HewittSecretary
April McgaffickTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Physical & Occupational RehabilitationPt/ot Services7733 FORSYTH BLVD, St Louis, MO 63105$684,222
Trusted Nurse Staffing LLCPhysician Services11874 E SCOTT ROAD, Medina, NY 14103$480,205
Healogics Wound Care & Hyerbaric ServicePhysician Services64 NICOLE COURT, Amherst, NY 14057$457,876
-Nursing ServicesBUFFALO STATION 1200 WILLIAM STREE, Buffalo, NY 14240$358,029
-Wound Care Services28525 NETWORK PLACE, Chicago, IL 60673$226,784
Revenue and Support

Revenue Composition

Contributions and Grants
$4,354,213
Program Service Revenue
$24,373,492
Investment Income
$8,943
Other Revenue
$1,343,005
All Other Contributions
$193,709
Change in Net Assets
$-552,654
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$15,685,291
Other Expenses$14,947,016
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$9,249,149$3,998,589-$13,247,738
Fees for Services Other$7,001,309$723,285-$7,724,594
Other Employee Benefits$875,536$291,845-$1,167,381
Depreciation Depletion$752,339$307,293-$1,059,632
Payroll Taxes$736,631$245,544-$982,175
Occupancy$523,405$213,785-$737,190
Information Technology$401,218$188,808-$590,026
Office Expenses$265,256$80,521-$345,777
Insurance$181,503$122,088-$303,591
Pension Plan Contributions$215,998$71,999-$287,997
Other Expenses$116,043$45,665-$161,708
Fees for Services Legal-$89,911-$89,911
Travel$17,645$52,599-$70,244
Interest-$55,366-$55,366
All Other Expenses$28,959$14,766-$43,725
Total Functional Expenses$23,288,463$7,343,844$0$30,632,307
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Right of Use Lease Liability$735,238
Loan Payable to Orleans Community Health Foundation, Inc.$195,730
Other Liabilities$75,995
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

The 990 is prepared and reviewed by various individuals within management and provided to the governing body prior to its filing as time allows or at its next meeting when time does not permit review prior to filing.

Form 990, Part VI, Section B, Line 12C

The board of directors, officers, and committee members annually review and sign the hospital's conflict of interest policy. Actual or potential conflicts of interest must be disclosed to the board. After disclosure and discussion of the conflict, the interest person must leave the meeting while the remaining board members discuss and vote on whether a conflict exists. If a conflict does not exist, the board will determine whether they can obtain a more advantageous transaction or arrangement from a person or entity that would not give rise to a conflict of interest. If that is not reasonably possible, the disinterested members will vote to determine whether the transaction or arrangement is fair and reasonable, in the hospital's best interest, and to the hospital's benefit.

Form 990, Part VI, Section B, Line 15

The human resources department provides data for officers and key employees from the western new york wage survey to determine compensation levels which are reviewed and determined at the board level. Minutes are taken for these meetings.

Form 990, Part VI, Section C, Line 19

These documents are available upon request from the chief executive officer.

Filing and Contact Details

Filer

Filer Name
Orleans Community Health
EIN
16-0755799
Phone
5857988102
Address
200 OHIO ST, MEDINA, NY 14103

Signing Officer

Name
Marc Shurtz
Title
CEO
Phone
5857988102
Signed
2023-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Marc Shurtz
Formed
1908
Legal Domicile
Ny
Voting Board Members
12
Independent Board Members
10
Employees
380
Volunteers
40

Preparer

Firm
Lumsden & Mccormick Llp
Address
369 FRANKLIN STREET, BUFFALO, NY 14202
Preparer
Jill M Johnson CPA
Phone
7168563300
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Other purchased services: program service expenses 4,392,407. Management and general expenses 723,285. Fundraising expenses 0. Total expenses 5,115,692. Physician fees: program service expenses 2,608,902. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,608,902.

Form 990, Part XII, Line 2C

The process has not changed from the prior year.

Raw XML AppendixShowing 400 of 802 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990/AccountantCompileOrReviewInd00
IRS990/AccountsPayableAccrExpnssGrp/BOYAmt08814507
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt05490797
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IRS990/AccountsReceivableGrp/EOYAmt02569537
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0SEE SCHEDULE O.ORLEANS COMMUNITY HEALTH EXISTS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE BY PROVIDING EQUAL ACCESS TO QUALITY HEALTH CARE SERVICES PROVIDED AT THE RIGHT TIME, IN THE RIGHT PLACE, WITH THE MOST EFFICIENT USE OF RESOURCES. THIS WILL BE ACCOMPLISHED THROUGH A COLLABORATIVE EFFORT WITH PHYSICIAN PARTNERS, HOSPITAL ASSOCIATES, VOLUNTEERS AND THE TWIG ASSOCIATION, USING A PHILOSOPHY OF CONTINUOUS QUALITY IMPROVEMENT.
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IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0200 OHIO STREET
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IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd460673
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt0PHYSICAL & OCCUPATIONAL REHABILITATION
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt1TRUSTED NURSE STAFFING LLC
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IRS990/Form990PartVIISectionAGrp/PersonNm10JOSEPH MISITI MD
IRS990/Form990PartVIISectionAGrp/PersonNm11DALE SPONAUGLE MD
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IRS990/Form990PartVIISectionAGrp/PersonNm15KATHLEEN BRAUEN
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IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR
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