Orleans Community Health
Nonprofit profile at a glance
- EIN
- 160755799
- IRS 990 coverage
- 2010–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024
- Location
- Medina, NY, US
- Phone
- (585) 798-8426
- Rating
- 71
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Hospital, General
Reported finances
- Revenue
- $32,275,107
- Expenses
- $33,557,780
- Assets
- $11,834,943
- Liabilities
- $10,514,333
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
17 people listed
Executive titles in this filing
- MARC SHURTZ (CHIEF EXECUTIVE OFFICER)
- THOMAS BLOOMER (VICE PRESIDENT OF HUMAN RE)
Highest reported compensation
- DALE SPONAUGLE MD (DIRECTOR): $527,156 total reported compensation
- MARC SHURTZ (CHIEF EXECUTIVE OFFICER): $260,284 total reported compensation
- MACKENZIE SULLIVAN (RN SUPERVISOR LEAD): $187,061 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
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.
What it reported doing in 2024
Patient services - the hospital provides inpatient, outpatient, emergency care services and long-term care for residents of the local geographic region. The hospital accepts all patients, regardless of ability to pay. The policy established by the hospital defines charity services as those services for which no payment is anticipated.
Operating model
- Revenue model
- Earned-program. 96% 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. Program spending has declined or grown slowly and revenue has declined or grown slowly.
Rating breakdown
- Financial Efficiency: 68
- Transparency & Controls: 79
- Accountability: 94
- Sustainability: 19
- Growth: 0
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 78.3%; rating input score 78
- Program expense ratio: 75.3%; rating input score 75
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
- Pay-setting controls: 3 of 6 controls in place; rating input score 50
- Compensation committee: Pass
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Pass
- Compensation survey or study: Missing
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Limited
Accountability
- Independent voting board: 90%; rating input score 90; 22nd percentile among comparable filings
- Governance controls: 8 of 8 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: NotApplicable
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: -4%; rating input score 19; 19th percentile among comparable filings
- Total-asset coverage ratio: 0.35; rating input score 10; 10th percentile among comparable filings
- Liabilities to assets ratio: 0.89; rating input score 10; 10th percentile among comparable filings
- Officer compensation ratio: 5.3%; rating input score 48; 48th percentile among comparable filings
Growth
- Program expense growth: -0.4% per year; rating input score 0; 9th percentile among comparable filings
- Revenue growth: -1.2% per year; rating input score 0; 5th percentile among comparable filings
- Asset growth: -1.8% per year; rating input score 0; 6th percentile among comparable filings
Details
- What they do: 4 programs and campaigns described on the official site · 1 operating location identified
- Where the money goes: 78.3% of revenue deployed · 75.3% of spending went to programs
- Governance: 9 of 10 board members independent · 8 of 8 filing controls reported
- Programs: 1 filed program accomplishment · $25.3M in reported program spending
- Leadership: top reported pay $527K · 17 people listed · 3 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $2.2M reported
- Consistency: 28 of 28 current checks pass
- Schedules: 7 filed schedules · includes major donors and executive pay
- Filing history: 14 filing years from 2010 to 2024
- Contacts: How to reach this organization
- Money network: 8 filed money-flow records
- Related organizations: 1 filed related-organization link
- 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.
- High — Growth: Program expense growth scored 0/100.
- High — Growth: Revenue growth scored 0/100.
- High — Sustainability: Operating margin scored 19/100.
- High — Sustainability: Total-asset coverage ratio scored 10/100.
- High — Growth: Asset growth scored 0/100.
- High — Sustainability: Liabilities to assets ratio scored 10/100.
- Moderate — Sustainability: Officer compensation ratio scored 48/100.