Arnot Medical Services Pllc

Nonprofit profile at a glance

EIN
453800308
IRS 990 coverage
2014–2024
Forms available
Form 990 2024
Location
Elmira, NY, USA
Rating
62
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Health Treatment Facilities, Primarily Outpatient

Reported finances

Revenue
$27,269,856
Expenses
$42,022,380
Assets
$2,422,621
Liabilities
$0

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

6 people listed

Highest reported compensation

  • GARY VALVANO MD (PHYSICIAN): $1,036,977 total reported compensation
  • BRYAN JARVIS MD (PHYSICIAN): $971,754 total reported compensation
  • VIDYASAGAR MOKUREDDY MD (PHYSICIAN): $970,330 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Ams was formed to support the charitable purposes of arnot medical center which include providing physician services designed to improve the quality of health care available to the residents of chemung county, New York and other areas served by the hospital. Furthermore, amss purpose is to participate in activities to promote and improve the overall health of, and to otherwise meet the medical care needs of, the community and to advance, promote, foster and support clinical research. The formation of ams was largely motivated by the goal of an integrated medical service system; namely to encourage the hospital and physicians to work in conjunction with each other to improve access to, and to provide better care for patients in the community. Ams provides nondiscriminatory services to medicare and medicaid recipients and provides financial assistance on a case-by-case basis for patients who earn 300% or less of the federal poverty guidelines for the applicable family size.

What it reported doing in 2024

Provided outpatient care and treatment in many areas of medical practice including, but not limited to internal medicine, gastroenterology, orthopedics, cardiology, family medicine, and neurology.

Operating model

Revenue model
Earned-program. 100% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Some filing-based governance responses are negative or unanswered and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 89
  • Transparency & Controls: 66
  • Accountability: 28
  • Sustainability: 23
  • Growth: 0

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 100%; rating input score 100
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 1 of 6 controls in place; rating input score 17
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Limited
  • Related-party transparency: Limited

Accountability

  • Independent voting board: Limited
  • Governance controls: 6 of 9 controls in place; rating input score 67
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Missing
    • Independent financial-statement audit: Fail

Sustainability

  • Operating margin: -54.1%; rating input score 1; 1st percentile among comparable filings
  • Total-asset coverage ratio: 0.06; rating input score 2; 2nd percentile among comparable filings
  • Liabilities to assets ratio: 0; rating input score 99; 99th percentile among comparable filings
  • Officer compensation ratio: 0.5%; rating input score 89; 89th percentile among comparable filings

Growth

  • Program expense growth: -11.4% per year; rating input score 0; 2nd percentile among comparable filings
  • Revenue growth: -10.3% per year; rating input score 0; 1st percentile among comparable filings
  • Asset growth: -18.6% per year; rating input score 0; 0th percentile among comparable filings

Details

  • Where the money goes: 100% of revenue deployed · 100% of spending went to programs
  • Governance: 6 of 9 filing controls reported
  • Programs: 2 filed program accomplishments · $42M in reported program spending
  • Leadership: top reported pay $1M · 6 people listed · 1 of 6 pay-setting controls reported
  • Consistency: 14 of 14 current checks pass
  • Schedules: 3 filed schedules · includes executive pay
  • Filing history: 11 filing years from 2014 to 2024
  • Contacts: How to reach this organization
  • Money network: Resolved incoming and outgoing counterparties from filed money flows.
  • Related organizations: Filed and resolved organization relationships.
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Review — Accountability: Governance controls: 2 of 8 not reported.
  • High — Sustainability: Operating margin scored 1/100.
  • High — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • High — Sustainability: Total-asset coverage ratio scored 2/100.
  • High — Growth: Asset growth scored 0/100.