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CLIFTON SPRINGS HOSPITAL & CLINIC FOUNDATION INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
CLIFTON SPRINGS HOSPITAL & CLINIC FOUNDATION INC (EIN 16-1560033)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-14
IRS object ID
202423199349303722
Schema version
2023v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-14T09:17:05-06:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161131146PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BONADIO & CO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1171 SULLYS TRAILAddressLine1Txt
CityPITTSFORDCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14534ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN161560033EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTON SPRINGS HOSPITAL & CLINICBusinessNameLine1Txt
Business Name Line2FOUNDATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCLIFBusinessNameControlTxt
Phone5859221595PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12 COULTER ROADAddressLine1Txt
CityCLIFTON SPRINGSCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14432ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS R CRILLYPersonNm
Person TitleCFOPersonTitleTxt
Phone5859221032PhoneNum
Signature2024-11-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHELSEY WYANTPreparerPersonNm
PTINP01336644PTIN
Phone5853811000PhoneNum
Preparation2024-11-09PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDR RICHARD DAVISPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 KINGS HIGHWAY SAddressLine1Txt
CityROCHESTERCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14617ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,422,704GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ROCHESTERREGIONAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionCLIFTON SPRINGS HOSPITAL & CLINIC FOUNDATION, INC. WAS FORMED TO SOLICIT, RECEIVE, MAINTAIN AND DISTRIBUTE FUNDS AND PROPERTY IN CONNECTION WITH AND FOR THE BENEFIT OF THE CHARITABLE PURPOSES OF CLIFTON SPRINGS SANITARIUM CO. D/B/A CLIFTON SPRINGS HOSPITAL AND CLINIC AND OTHER ORGANIZATIONS WITH SIMILAR PURPOSES.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers8TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$308,056PYContributionsGrantsAmt
CY Contributions Grants$787,463CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$221,724PYInvestmentIncomeAmt
CY Investment Income$361,829CYInvestmentIncomeAmt
PY Other Revenue$78,806PYOtherRevenueAmt
CY Other Revenue$95,342CYOtherRevenueAmt
PY Total Revenue$608,586PYTotalRevenueAmt
CY Total Revenue$1,244,634CYTotalRevenueAmt
PY Grants And Similar Paid$2,339,153PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$884,042CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$196,788PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$324,875CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$264,758CYTotalFundraisingExpenseAmt
PY Other Expenses$149,762PYOtherExpensesAmt
CY Other Expenses$135,367CYOtherExpensesAmt
PY Total Expenses$2,685,703PYTotalExpensesAmt
CY Total Expenses$1,344,284CYTotalExpensesAmt
PY Revenues Less Expenses-$2,077,117PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$99,650CYRevenuesLessExpensesAmt
Total Assets BOY$11,209,677TotalAssetsBOYAmt
Total Assets EOY$10,485,827TotalAssetsEOYAmt
Total Liabilities BOY$1,190,632TotalLiabilitiesBOYAmt
Total Liabilities EOY$65,212TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,019,045NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,420,615NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCLIFTON SPRINGS HOSPITAL & CLINIC FOUNDATION, INC. WAS FORMED TO SOLICIT, RECEIVE, MAINTAIN AND DISTRIBUTE FUNDS AND PROPERTY IN CONNECTION WITH AND FOR THE BENEFIT OF THE CHARITABLE PURPOSES OF CLIFTON SPRINGS SANITARIUM CO. D/B/A CLIFTON SPRINGS HOSPITAL AND CLINIC AND OTHER ORGANIZATIONS WITH SIMILAR PURPOSES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$886,553ExpenseAmt
Grant$884,042GrantAmt
DescCLIFTON SPRINGS HOSPITAL & CLINIC FOUNDATION, INC. WAS FORMED TO SOLICIT, RECEIVE, MAINTAIN AND DISTRIBUTE FUNDS AND PROPERTY IN CONNECTION WITH AND FOR THE BENEFIT OF THE CHARITABLE PURPOSES OF CLIFTON SPRINGS SANITARIUM CO. D/B/A CLIFTON SPRINGS HOSPITAL AND CLINIC AND OTHER ORGANIZATIONS WITH SIMILAR PURPOSES.Desc
Total Program Service Expenses$886,553TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOWARD GLASTONBURYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5859221595PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 KINGS HIGHWAY SOUTHAddressLine1Txt
CityROCHESTERCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14617ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeInd
ROBERT WOODHOUSE
CHAIR OF THE BOARD1.000.00Yes (X)Yes (X)$0$0$0
LEWIS ZULICK MD
TREASURER1.0040.00Yes (X)Yes (X)$0$158,361$30,029
RICHARD DAVIS PHD
CEO0.0055.00Yes (X)Yes (X)$0$3,082,209$54,881
AZFAR AHMED MD
DIRECTOR1.0040.00Yes (X)$0$722,603$9,304
KEVIN CHRISTIANO
VICE CHAIR1.000.00Yes (X)Yes (X)$0$0$0
SLAVE JANKULOSKI
DIRECTOR1.000.00Yes (X)$0$0$0
MARY LUE MUELLER
DIRECTOR1.000.00Yes (X)$0$0$0
DOUG TRIPLETT
DIRECTOR1.000.00Yes (X)$0$0$0
BILL YOUNG
DIRECTOR1.000.00Yes (X)$0$0$0
HOLLY ADAMS
DIRECTOR1.000.00Yes (X)$0$0$0
SHELBY VANDERBROOK
DIRECTOR1.000.00Yes (X)$0$0$0
THOMAS CRILLY
CFO0.0055.00Yes (X)$0$1,424,419$154,601
HUGH THOMAS
CAO0.0055.00Yes (X)$0$1,730,390$9,101
JENNIFER ESLINGER
COO0.0055.00Yes (X)$0$1,294,014$11,368
DUSTIN RICCIO
PRESIDENT, EASTERN REGION0.0055.00$0$483,715$44,902Yes (X)
KELLY MCCORMICK-SULLIVAN
PRESIDENT, FOUNDATIONS0.0055.00$0$314,344$11,176Yes (X)
KELLY GAGAN
PRESIDENT, FOUNDATIONS0.0055.00$0$229,849$51Yes (X)
DANIEL IRELAND
PRESIDENT, FINGER LAKES RURAL HOSPTIALS0.0055.00$0$440,870$4,241Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$9,880,774TotReportableCompRltdOrgAmt
Total Other Compensation$329,654TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$787,463AllOtherContributionsAmt
Total Contributions$787,463TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$147,143TotalRevenueColumnAmt
Exclusion$147,143ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$90,000RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$90,000RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$90,000TotalRevenueColumnAmt
Exclusion$90,000ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,392,536SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,177,850SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$214,686SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$214,686TotalRevenueColumnAmt
Exclusion$214,686ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$5,562FundraisingGrossIncomeAmt
Fundraising Direct Expenses$220FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,342TotalRevenueColumnAmt
Exclusion$5,342ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,244,634TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$457,171ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$884,042TotalAmt
Program Services$884,042ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$311,591TotalAmt
Management And General$160,153ManagementAndGeneralAmt
Fundraising$151,438FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,038TotalAmt
Management And General$2,589ManagementAndGeneralAmt
Fundraising$2,449FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,350TotalAmt
Management And General$3,778ManagementAndGeneralAmt
Fundraising$3,572FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$896TotalAmt
Management And General$461ManagementAndGeneralAmt
Fundraising$435FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$19,011TotalAmt
Management And General$19,011ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$789TotalAmt
Fundraising$789FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$809TotalAmt
Management And General$809ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,898TotalAmt
Management And General$2,898ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,274TotalAmt
Management And General$3,274ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmt
DONOR CULTIVATION$16,101$26$16,075
UNCOLLECTIBLE PLEDGES$2,485$2,485

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$90,000TotalAmt
Fundraising$90,000FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,344,284TotalAmt
Program Services$886,553ProgramServicesAmt
Management And General$192,973ManagementAndGeneralAmt
Fundraising$264,758FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$350,726EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,790,515BOYAmt
EOY$1,533,725EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$6,833EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$6,959,162BOYAmt
EOY$966,603EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$5,031,823EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,460,000BOYAmt
EOY$2,596,117EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,209,677BOYAmt
EOY$10,485,827EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$63,345EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,190,632BOYAmt
EOY$1,867EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,190,632BOYAmt
EOY$65,212EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,261,192BOYAmt
EOY$3,421,832EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,757,853BOYAmt
EOY$6,998,783EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,019,045BOYAmt
EOY$10,420,615EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,209,677BOYAmt
EOY$10,485,827EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$99,650ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$501,220NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CLIFTON SPRINGS SANITARIUM COBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN160743966EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$884,042SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$884,042SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported OrgYes (1)MajorityDirTrstSupportedOrgInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,757,853BeginningYearBalanceAmt
Investment Earnings Or Losses$240,930InvestmentEarningsOrLossesAmt
End Year Balance$6,998,783EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,318,578BeginningYearBalanceAmt
Investment Earnings Or Losses-$5,560,725InvestmentEarningsOrLossesAmt
End Year Balance$6,757,853EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,790,898BeginningYearBalanceAmt
Investment Earnings Or Losses$527,680InvestmentEarningsOrLossesAmt
End Year Balance$12,318,578EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,246,514BeginningYearBalanceAmt
Investment Earnings Or Losses$2,544,384InvestmentEarningsOrLossesAmt
End Year Balance$11,790,898EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,800,764BeginningYearBalanceAmt
Investment Earnings Or Losses$3,445,750InvestmentEarningsOrLossesAmt
End Year Balance$9,246,514EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.31610PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.68390TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
LIMITED PARTNERSHIP HEDGE FUND$4,491,414F
COMMON COLLECTIVE TRUSTS$540,409F
FieldValueIRS element (for citing)
Total Book Value Securities$5,031,823TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
LAND HELD FOR INVESTMENT$2,370,000
DUE FROM AFFILIATES$226,117
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,596,117TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescOTHER LIABILITYDesc
Amt$1,867Amt
FieldValueIRS element (for citing)
Total Liability$1,867TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationCLIFTON SPRINGS HOSPITAL & CLINIC FOUNDATION HAS A POLICY THAT ALLOWS IT TO SPEND THE CURRENT YIELD (INTEREST AND DIVIDENDS) OF PERMANENTLY RESTRICTED ENDOWMENTS TO PURCHASE CAPITAL ASSETS OR TO SUPPORT HEALTH CARE SERVICES BASED ON THE DONOR'S REQUEST.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTON SPRINGS SANITARIUM COBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12 COULTER RDAddressLine1Txt
CityCLIFTON SPRINGSCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14432ZIPCd
FieldValueIRS element (for citing)
Recipient EIN160743966RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$884,042CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantADMINISTRATIVE, CAPITAL, AND NON-CAPITAL PURCHASESPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION MAKES GRANTS TO CLIFTON SPRINGS SANITARIUM CO. IN ACCORDANCE WITH ITS MISSION STATEMENT.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RICHARD DAVIS PHD
CEO$0$1,672,483$0$1,409,726$0$0$0$46,168$0$8,713$0$3,137,090$0$0
HUGH THOMAS
CAO$0$467,323$0$474,557$0$788,510$0$0$0$9,101$0$1,739,491$0$0
THOMAS CRILLY
CFO$0$696,555$0$726,450$0$1,414$0$145,610$0$8,991$0$1,579,020$0$0
JENNIFER ESLINGER
COO$0$748,219$0$545,795$0$0$0$0$0$11,368$0$1,305,382$0$0
AZFAR AHMED MD
DIRECTOR$0$381,824$0$340,779$0$0$0$0$0$9,304$0$731,907$0$0
DUSTIN RICCIO
PRESIDENT, EASTERN REGION$0$358,521$0$125,194$0$0$0$35,246$0$9,656$0$528,617$0$0
DANIEL IRELAND
PRESIDENT, FINGER LAKES RURAL HOSPTI$0$346,161$0$94,709$0$0$0$0$0$4,241$0$445,111$0$0
KELLY MCCORMICK-SULLIVAN
PRESIDENT, FOUNDATIONS$0$106,627$0$70,616$0$137,101$0$0$0$11,176$0$325,520$0$0
KELLY GAGAN
PRESIDENT, FOUNDATIONS$0$229,849$0$0$0$0$0$0$0$51$0$229,900$0$0
LEWIS ZULICK MD
TREASURER$0$138,185$0$20,176$0$0$0$20,501$0$9,528$0$188,390$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS IS ESTABLISHED USING THE FOLLOWING: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACTS - COMPENSATION SURVEYS AND STUDIES - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE ON AN ANNUAL BASIS, THE ORGANIZATION USES AN INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE SALARIES FOR ALL EXECUTIVES TO ENSURE SUCH SALARIES ARE CONSISTENT WITH MARKET SALARIES PAID TO SIMILARLY SITUATED EXECUTIVES. IN ADDITION, A COMPENSATION COMMITTEE REVIEWS THIS INFORMATION ANNUALLY AND IT IS THEN APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. FINALLY, EXECUTIVES RECEIVE A WRITTEN LETTER OUTLINING THE SPECIFICS OF THE COMPENSATION AGREEMENT AND THEIR EXPECTED PERFORMANCE.
PART I, LINES 4A-BSUPPLEMENTAL EXECUTIVE RETIREMENT PLANS PROVIDE BENEFITS TO CERTAIN KEY EXECUTIVE EMPLOYEES OF ROCHESTER REGIONAL HEALTH. THE ORGANIZATION MAINTAINS A SECTION 457(F) PLAN WHICH WOULD BE CONSIDERED A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THERE WERE NO DISTRIBUTIONS FROM THE PLAN IN 2023.
PART II, COLUMN C:RETIREMENT AND OTHER DEFERRED COMPENSATION - THIS COLUMN IS REFLECTIVE OF THE ACTUARIAL CHANGE IN DEFINED BENEFIT PENSION PLAN AND POST-RETIREMENT BENEFITS FOR THE TAX YEAR.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1AEACH BOARD HAS AN EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE BOARD PLUS THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION AND SUCH OTHER DIRECTORS AS THE CHAIR MAY NOMINATE FROM TIME TO TIME FOR APPOINTMENT BY A MAJORITY VOTE OF THE ENTIRE BOARD. BETWEEN MEETINGS OF THE BOARD, AND TO THE EXTENT PERMITTED BY LAW, THE EXECUTIVE COMMITTEE SHALL POSSESS THE POWERS OF THE BOARD WITH RESPECT TO MANAGING AND CONDUCTING THE AFFAIRS OF THE CORPORATION, EXCEPT AS OTHERWISE PROVIDED BY LAW OR WITHIN CERTAIN BY-LAWS.
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION IS A MEMBERSHIP (NOT A STOCK) CORPORATION UNDER NEW YORK STATE LAW. THE ORGANIZATION'S SOLE CORPORATE MEMBER IS ROCHESTER REGIONAL HEALTH, A RELATED NOT-FOR-PROFIT ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7BROCHESTER REGIONAL HEALTH, AS THE SOLE CORPORATE MEMBER, ALSO HAS THE RIGHT TO APPROVE OR RATIFY SIGNIFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY, INCLUDING AMENDMENT OF BYLAWS AND CHARTERS, REMOVAL OF MEMBERS OF THE GOVERNING BODY, AND THE DECISION TO DISSOLVE THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11BPRIOR TO FILING, A COPY OF THE FORM 990 IS PROVIDED TO, AND REVIEWED WITH, ALL MEMBERS OF THE AUDIT AND COMPLIANCE COMMITTEE. THIS REVIEW IS PERFORMED IN CONSULTATION WITH THE ORGANIZATION'S TAX ADVISORS, AND IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS AND OTHER RELEVANT INFORMATION FOR THE APPROPRIATE TIME PERIOD.LEVANT INFORMATION FOR THE APPROPRIATE TIME PERIOD.
FORM 990, PART VI, SECTION B, LINE 12CUPON EMPLOYMENT, ALL EMPLOYEES RECEIVE THE ETHICAL STANDARD OF CONDUCT BOOKLET FOR WHICH THEY SIGN A RECEIPT OF ACKNOWLEDGEMENT. CONFLICT OF INTEREST EDUCATION IS CONDUCTED ANNUALLY FOR ALL EMPLOYEES. CONFLICT OF INTEREST IS DEFINED, AS IS MANAGEMENT OF A CONFLICT OF INTEREST. EMPLOYEES ARE REQUIRED TO DISCLOSE AND SEEK RESOLUTION TO ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST BEFORE TAKING A POTENTIALLY IMPROPER ACTION. ANNUALLY, EACH KEY EMPLOYEE, DIRECTOR AND OFFICER OF THE ORGANIZATION IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE FORM, PROVIDING MANAGEMENT WITH SUFFICIENT INFORMATION ABOUT HIS/HER PERSONAL INTERESTS AND RELATIONSHIPS SO THAT MANAGEMENT CAN: (1) DETERMINE WHETHER ANY ACTUAL OR PERCEIVED CONFLICT OF INTEREST EXISTS, AND (2) MONITOR WORK ASSIGNMENTS TO AVOID PLACING THE KEY EMPLOYEE OR OFFICER IN A POSITION WHERE THERE MAY BE A QUESTION AS TO HIS/HER OBJECTIVITY AS WELL AS TO AVOID ANY APPEARANCE OF IMPROPRIETY. THROUGHOUT THE YEAR, KEY EMPLOYEES, OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE ALSO REQUIRED TO NOTIFY MANAGEMENT PROMPTLY IF ANY CHANGE TO THEIR DISCLOSURES OCCURS. IN ADDITION, EACH MEMBER OF THE BOARD OF DIRECTORS MUST ALSO COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE FORM, WHICH MUST BE SUBMITTED TO THE GENERAL COUNSEL. BOARD MEMBERS LEAVE THE ROOM DURING DISCUSSIONS AND ABSTAIN FROM VOTING WHEN THEY HAVE A CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION'S OFFICER AND KEY EMPLOYEE COMPENSATION ARRANGEMENTS ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE. INFORMATION REVIEWED FOR THE OFFICER/KEY EMPLOYEE INCLUDES COMPARABLE DATA FROM SIMILAR SIZE TAX-EXEMPT ORGANIZATIONS IN THE WESTERN/CENTRAL NY COMMUNITY AS WELL AS COMPENSATION FOR THESE POSITIONS (AS DISCLOSED ON FORM 990) WITH OTHER ORGANIZATIONS IN THE HEALTHCARE INDUSTRY THAT ARE OF SIMILAR SIZE, DEMOGRAPHICS AND GEOGRAPHY. REVIEW AND APPROVAL OF THE COMPENSATION ARRANGEMENT BY THE COMPENSATION COMMITTEE IS DOCUMENTED.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ADMINISTRATIVE OFFICES OF THE AFFILIATED HEALTH SYSTEM AT 100 KINGS HIGHWAY SOUTH, ROCHESTER, NY 14617. A NOMINAL FEE IS CHARGED IF COPIES ARE REQUESTED.
FORM 990, PART VII, SECTION A, COLUMN (F):ESTIMATED AMOUNT OF OTHER COMPENSATION FROM THE ORGANIZATION AND RELATED ORGANIZATIONS - THIS COLUMN IS REFLECTIVE OF (1) THE ACTUARIAL CHANGE IN DEFINED BENEFIT PENSION PLAN AND POST-RETIREMENT BENEFITS FOR THE TAX YEAR AND (2) NON-TAXABLE BENEFITS.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (39 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
THE ROCHESTER GENERAL HOSPITAL
1425 PORTLAND AVENUEROCHESTERNY14621160743134HOSPITALNY501(C)(3)LINE 3ROCHESTER REGIONAL HEALTHYes (1)
GRHS FOUNDATION
100 KINGS HIGHWAY SOUTHROCHESTERNY14617223378111R/E INV MGMTNY501(C)(3)LINE 12B, IIROCHESTER REGIONAL HEALTHYes (1)
ROCHESTER REGIONAL HEALTH FOUNDATION
100 KINGS HIGHWAY SOUTHROCHESTERNY14617222229425FUNDRAISINGNY501(C)(3)LINE 12B, IIROCHESTER REGIONAL HEALTHYes (1)
NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATION
DRIVING PARK AVENUENEWARKNY14513222963015FUNDRAISINGNY501(C)(3)LINE 12B, IIROCHESTER REGIONAL HEALTHYes (1)
NEWARK WAYNE COMMUNITY HOSPITAL
DRIVING PARK AVENUENEWARKNY14513150584188HOSPITALNY501(C)(3)LINE 3ROCHESTER REGIONAL HEALTHYes (1)
RGHS WORKERS' COMPENSATION TRUST
1425 PORTLAND AVENUEROCHESTERNY14621166429300SEE PART VIINY501(C)(3)LINE 12B, IIROCHESTER REGIONAL HEALTHYes (1)
CONTINUING CARE NETWORK INC (CCN)
100 KINGS HIGHWAY SOUTHROCHESTERNY14617222963016SUPPORT RGHNY501(C)(3)LINE 12B, IIROCHESTER REGIONAL HEALTHYes (1)
ROCHESTER GENERAL HUDSON HOUSING
2066 HUDSON AVENUEROCHESTERNY14621223210351LOW INC HOUSINGNY501(C)(3)LINE 10ROCHESTER REGIONAL HEALTHYes (1)
VIA HEALTH HOME CARE I
100 KINGS HIGHWAY SOUTHROCHESTERNY14617161504370HOME HEALTHNY501(C)(3)LINE 10CCNYes (1)
VIA HEALTH HOMECARE II
100 KINGS HIGHWAY SOUTHROCHESTERNY14617161538727HOME HEALTHNY501(C)(3)LINE 10CCNYes (1)
INDEPENDENT LIVING FOR SENIORS
2066 HUDSON AVENUEROCHESTERNY14617161491059ADULT DAY HCNY501(C)(3)LINE 10ROCHESTER REGIONAL HEALTHYes (1)
ROCHESTER GENERAL LONG TERM CARE
1550 EMPIRE BLVDWEBSTERNY14580223187140NH & REHABNY501(C)(3)LINE 10ROCHESTER REGIONAL HEALTHYes (1)
WESTERN NEW YORK MEDICAL PRACTICE PC
1425 PORTLAND AVENUEROCHESTERNY14621611654232PHYS PRACNY501(C)(3)LINE 10ROCHESTER REGIONAL HEALTHYes (1)
THE UNITY HOSPITAL OF ROCHESTER
1555 LONG POND RDROCHESTERNY14626237221763HOSPITALNY501(C)(3)LINE 3ROCHESTER REGIONAL HEALTHYes (1)
NORTH PARK NURSING HOME INC
1555 LONG POND RDROCHESTERNY14626223159644LONG TERM CARE FACILITYNY501(C)(3)LINE 10ROCHESTER REGIONAL HEALTHYes (1)
PARK RIDGE NURSING HOME INC
1555 LONG POND RDROCHESTERNY14626160978184LONG TERM CARE FACILITYNY501(C)(3)LINE 10ROCHESTER REGIONAL HEALTHYes (1)
PARK RIDGE CHILD CARE CENTER INC
1555 LONG POND RDROCHESTERNY14626222918126CHILD DAY CARE SERVICESNY501(C)(3)LINE 10ROCHESTER REGIONAL HEALTHYes (1)
PARK RIDGE HOUSING DEVELOPMENT FUND
1555 LONG POND RDROCHESTERNY14626222608311LOW INCOME HOUSING PROJECT FOR ELDERLYNY501(C)(3)LINE 10ROCHESTER REGIONAL HEALTHYes (1)
PARKWAY COMMONS HOUSING DEVELOPMENT
1555 LONG POND RDROCHESTERNY14626223130818LOW INCOME HOUSING FOR ELDERLY/HANDICAPPEDNY501(C)(3)LINE 10ROCHESTER REGIONAL HEALTHYes (1)
UNITY AGING SERVICES INC
1555 LONG POND RDROCHESTERNY14626841684195MANAGEMENT AND DEVELOPMENT CONY501(C)(3)LINE 10ROCHESTER REGIONAL HEALTHYes (1)
UNITY HOUSING DEVELOPMENT FUND CORP
1555 LONG POND RDROCHESTERNY14626300068596RECEIPT AND DISBURSEMENTS OF SUBSIDIESNY501(C)(3)LINE 10ROCHESTER REGIONAL HEALTHYes (1)
UNITY AMBULATORY SURGERY CENTER INC
1555 LONG POND RDROCHESTERNY14626383871383OUTPATIENT SURGERYNY501(C)(3)LINE 10ROCHESTER REGIONAL HEALTHYes (1)
UNITY HEALTH SYSTEM INC
1555 LONG POND ROADROCHESTERNY14626222572873SYSTEM SUPPORTNY501(C)(3)LINE 12B, IIROCHESTER REGIONAL HEALTHYes (1)
ROCHESTER REGIONAL HEALTH
100 KINGS HIGHWAY SOUTHROCHESTERNY14617471234999SYSTEM PARENTNY501(C)(3)LINE 12B, IIYes (1)N/A
UNITED MEMORIAL MEDICAL CENTER
127 NORTH STREETBATAVIANY14020160743029HOSPITALNY501(C)(3)LINE 3ROCHESTER REGIONAL HEALTHYes (1)
CLIFTON SPRINGS HOSPITAL AND CLINIC
2 COULTER ROADCLIFTON SPRINGSNY14432160743966HOSPITALNY501(C)(3)LINE 3ROCHESTER REGIONAL HEALTHYes (1)
BEHAVIORAL HEALTH NETWORK INC
490 EAST RIDGE ROADROCHESTERNY14621166069131MENTAL HEALTHNY501(C)(3)LINE 10ROCHESTER REGIONAL HEALTHYes (1)
PRCD INC
1555 LONG POND RDROCHESTERNY14626161311581SUBSTANCE ABUSE TREATMENT & REHAB.NY501(C)(3)LINE 7ROCHESTER REGIONAL HEALTHYes (1)
ROCHESTER GENERAL HEALTH SYSTEM
100 KINGS HIGHWAY SOUTHROCHESTERNY14617222551509SYSTEM SUPPORTNY501(C)(3)LINE 12B, IIROCHESTER REGIONAL HEALTHYes (1)
UNITED MEMORIAL MEDICAL CENTER FOUNDATION
127 NORTH STREETBATAVIANY14020222611543FUNDRAISINGNY501(C)(3)LINE 12B, IIUNITED MEMORIAL MEDICAL CENTERYes (1)
GENESEE REGION HOME CARE ASSOCIATION INC
100 KINGS HIGHWAYROCHESTERNY14617160844109HOME HEALTHNY501(C)(3)LINE 10ROCHESTER REGIONAL HEALTHYes (1)
GENESEE REGION HOME CARE ASSOCIATION OF ONTARIO COUNTY INC
100 KINGS HIGHWAYROCHESTERNY14617223257719HOME HEALTHNY501(C)(3)LINE 10ROCHESTER REGIONAL HEALTHYes (1)
CANTON-POTSDAM HOSPITAL
50 LEROY STREETPOTSDAMNY13676161012691HOSPITALNY501(C)(3)LINE 3ST LAWRENCE HEALTH SYSTEM INCYes (1)
CANTON-POTSDAM MEDICAL PRACTICE PLLC
50 LEROY STREETPOTSDAMNY13676460714367OUT PATIENT CLINICNY501(C)(3)LINE 10ST LAWRENCE HEALTH SYSTEM INCYes (1)
GOVEURNEUR HOSPITAL
77 WEST BARNEY STREETGOUVERNEURNY13642464249555HOSPITALNY501(C)(3)LINE 3ST LAWRENCE HEALTH SYSTEM INCYes (1)
MASSENA HOSPITAL INC
1 HOSPITAL DRIVEMASSENANY13662843134268HOSPITALNY501(C)(3)LINE 3ST LAWRENCE HEALTH SYSTEM INCYes (1)
ST LAWRENCE HEALTH SYSTEM INC
50 LEROY STREETPOTSDAMNY13676464259168SYSTEM SUPPORTNY501(C)(3)LINE 12A, IROCHESTER REGIONAL HEALTHYes (1)
PARMA HOUSING DEVELOPMENT FUND CORP
89 GENESEE STREETROCHESTERNY14611810671685LOW INCOME HOUSING FOR ELDERLY/HANDICAPPEDNY501(C)(3)LINE 10ROCHESTER REGIONAL HEALTHYes (1)
ROCHESTER GENERAL COLLEGE OF HEALTH CAREERS
470 SKYVIEW CENTRE PKWYROCHESTERNY14622862935462EDUCATIONNY501(C)(3)LINE 2THE ROCHESTER GENERAL HOSPITALYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctDirect Controlling NADirectControllingNACd
NW ASSOCIATES LP
PO BOX 111 DRIVING PARK AVENUENEWARKNY14513141674119R/E LEASINGNYNWCHRELATED000.73610
PARMA SENIOR HOUSING
1555 LONG POND RDROCHESTERNY14626432082116HILTON PROJNY00N/A
UNITY SENIOR HOUSING
1555 LONG POND RDROCHESTERNY14626061709927MOORE PKNY00N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
GREATER ROCHESTER ASSURANCE COMPANY LTD
GEORGE TOWNGRAND CAYMANCJINSURANCECJN/AC1.000000
GRACO RISK RETENTION GROUP INC
INSURANCEC1.0000001425 PORTLAND AVENUEROCHESTERNY14621710933967SCRGH
NWA INC
R/E LEASINGC1.000000DRIVING PARK AVENUENEWARKNY14513141667339NYNWCH
GREATER ROCHESTER INDEPENDENT PRACTICE ASSOCIATION INC
INDEPENDENT PRACTICE ASSOCIATIONN/AC0.500000100 KINGS HWY S SUITE 2500ROCHESTERNY14617161507171NY
ROCHESTER GENERAL HEALTH SYSTEM DIALYSIS INC
DIALYSISC1.0000001425 PORTLAND AVENUEROCHESTERNY14621383912199NYRGHS
ACM MEDICAL LABORATORY INC
CLINICAL LABC0160 ELMGROVE PARKROCHESTERNY14624161059691NYPRH INC
PRH INC
MEDICAL LABC01555 LONG POND ROADROCHESTERNY14626161329632NYROCHESTER REGIONAL HEALTH
PARMA SENIOR HOUSING LLC
SENIOR HOUSINGC01555 LONG POND ROADROCHESTERNY14626810671687NYROCHESTER REGIONAL HEALTH
UNITY SENIOR HOUSING CORP
SENIOR HOUSINGC01555 LONG POND ROADROCHESTERNY14626061709925NYROCHESTER REGIONAL HEALTH
UNITY HEALTH SYSTEM PURHCASING GROUP LLC
SENIOR HOUSINGC01555 LONG POND ROADROCHESTERNY14626222572873NYROCHESTER REGIONAL HEALTH
WOODBURY ENTERPRISES INC CO CLIFTON SPRINGS HOSPITAL AND CLINIC
LEASING MEDICAL EQUIPMENTC1.0000002 COULTER ROADCLIFTON SPRINGSNY14432161342461NYCLIFTON SPRINGS HOSPITAL AND CLINIC
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CLIFTON SPRINGS SANITARIUM DBA CLIFTON SPRINGS HOSPITAL & CLINIC
B$884,042FMV
ROCHESTER REGIONAL HEALTH
P$82,308FMV

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART II, COLUMN (B):FormAndLineReferenceDesc
ExplanationRELATED TAX-EXEMPT ORGANIZATION - PRIMARY ACTIVITY: RGHS WORKER'S COMPENSATION TRUST SUPPORTS THE ROCHESTER GENERAL HOSPITAL, NEWARK WAYNE COMMUNITY HOSPITAL, ROCHESTER GENERAL LONG TERM CARE, INDEPENDENT LIVING FOR SENIORS, BEHAVIORAL HEALTH NETWORK, INC., CLIFTON SPRINGS HOSPITAL & CLINIC, UNITED MEMORIAL MEDICAL CENTER, UNITY HOSPITAL OF ROCHESTER, GENESEE REGION HOME CARE ASSOCIATION AND GENESEE REGIONAL HOME CARE OF ONTARIO COUNTY.ExplanationTxt