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WOODLAND VILLAGE INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
WOODLAND VILLAGE INC (EIN 16-1588242)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-14
IRS object ID
201823189349306012
Schema version
2017v2.3
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)
Return2018-11-14T12:53:54-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161226221PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FUST CHARLES CHAMBERS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15784 WIDEWATERS PARKWAYAddressLine1Txt
CitySYRACUSECityNm
State AbbreviationNYStateAbbreviationCd
ZIP13214ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN161588242EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WOODLAND VILLAGE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWOODBusinessNameControlTxt
Phone5859221032PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11555 LONG POND RDAddressLine1Txt
CityROCHESTERCityNm
State AbbreviationNYStateAbbreviationCd
ZIP146264122ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS R CRILLYPersonNm
Person TitleCFOPersonTitleTxt
Phone5859221032PhoneNum
Signature2018-11-12SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANGELA M FRANCOPreparerPersonNm
PTINP00589741PTIN
Phone3154463600PhoneNum
Preparation2018-11-09PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address24.39.85.114IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-12IPDt
IP Tm13:38:38IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdF22D4B67A70963205C2AE5A0B485B1B5710C8E9AAtSubmissionCreationDeviceId
At Submission Filing Device Id7165BC8F883BFC7282D8DA0A25427F7F001F9809AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerERIC BIEBER MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 KINGS HIGHWAY SAddressLine1Txt
CityROCHESTERCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14617ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,418,438GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ROCHESTERREGIONAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionWOODLAND VILLAGE, INC. IS AN AFFILIATE OF ROCHESTER REGIONAL HEALTH. THE MISSION OF WOODLAND VILLAGE, INC. IS TO PROVIDE INDEPENDENT LIVING FACILITIES TO MEET THE SPECIAL HOUSING NEEDS OF THE SENIOR POPULATION IN MONROE COUNTY AND SURROUNDING AREA AND TO PROMOTE THEIR GENERAL WELFARE.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee68TotalEmployeeCnt
Total Volunteers3TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$4,573,843PYProgramServiceRevenueAmt
CY Program Service Revenue$4,403,285CYProgramServiceRevenueAmt
PY Investment Income$75,411PYInvestmentIncomeAmt
CY Investment Income$15,153CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$4,649,254PYTotalRevenueAmt
CY Total Revenue$4,418,438CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,511,553PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,504,886CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,861,056PYOtherExpensesAmt
CY Other Expenses$2,579,799CYOtherExpensesAmt
PY Total Expenses$4,372,609PYTotalExpensesAmt
CY Total Expenses$4,084,685CYTotalExpensesAmt
PY Revenues Less Expenses$276,645PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$333,753CYRevenuesLessExpensesAmt
Total Assets BOY$18,761,022TotalAssetsBOYAmt
Total Assets EOY$18,719,473TotalAssetsEOYAmt
Total Liabilities BOY$18,711,236TotalLiabilitiesBOYAmt
Total Liabilities EOY$17,936,712TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$49,786NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$782,761NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWOODLAND VILLAGE, INC. IS AN AFFILIATE OF ROCHESTER REGIONAL HEALTH. THE MISSION OF WOODLAND VILLAGE, INC. IS TO PROVIDE INDEPENDENT LIVING FACILITIES TO MEET THE SPECIAL HOUSING NEEDS OF THE SENIOR POPULATION IN MONROE COUNTY AND SURROUNDING AREA AND TO PROMOTE THEIR GENERAL WELFARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$3,390,864ExpenseAmt
Revenue$4,403,285RevenueAmt
DescTHE PURPOSE OF WOODLAND VILLAGE, INC. IS TO PROVIDE HOUSING AND SUPPORT SERVICES TO THE SENIOR POPULATION OF MONROE COUNTY AND SURROUNDING COMMUNITY. WOODLAND VILLAGE, INC. HAS 122 INDEPENDENT LIVING APARTMENTS. THE SUPPORT SERVICES PROVIDED INCLUDE MEALS, TRANSPORTATION, EMERGENCY RESPONSE SYSTEM, ACTIVITIES, MAINTENANCE AND PERSONAL CARE. THE SUPPORT SERVICES ARE OFFERED TO THE RESIDENTS AND SENIORS THROUGHOUT THE SURROUNDING COMMUNITY.Desc
Total Program Service Expenses$3,390,864TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
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 Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document16IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee68EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
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

FieldValueIRS element (for citing)
PersonCHRIS PETERSONPersonNm
Phone5859220089PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 KINGS HIGHWAY SOUTHAddressLine1Txt
CityROCHESTERCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14617ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ERIC BIEBER MD
CEO0.0055.00Yes (X)Yes (X)$0$1,954,670$1,067,605
MICHAEL MAIER
DIRECTOR1.001.00Yes (X)$0$0$0
DAVID GAUDINO
DIRECTOR1.001.00Yes (X)$0$0$0
RICHARD MACHEMER PHD
DIRECTOR1.001.00Yes (X)$0$0$0
PATRICIA H WEHLE
DIRECTOR1.001.00Yes (X)$0$0$0
FREDERICK HOLBROOK
DIRECTOR1.001.00Yes (X)$0$0$0
RALPH DESTEPHANO
CHAIR1.001.00Yes (X)$0$0$0
TERRI ROBACH
DIRECTOR1.001.00Yes (X)$0$0$0
ROBERT NESSELBUSH
COO0.0055.00Yes (X)$0$1,276,254$756,638
DONALD FELTER
PRESIDENT0.0055.00Yes (X)$0$204,886$99,902
THOMAS CRILLY
CFO0.0055.00Yes (X)$0$742,563$466,273
HUGH THOMAS
CAO0.0055.00Yes (X)$0$904,253$544,328
WARREN HERN
FORMER CEO0.000.00$0$250,000$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,332,626TotReportableCompRltdOrgAmt
Total Other Compensation$2,934,746TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescTENANT REVENUEDesc
Business721000BusinessCd
Total Revenue Column$4,403,285TotalRevenueColumnAmt
Related Or Exempt Func Income$4,403,285RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$4,403,285TotalProgramServiceRevenueAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,153TotalRevenueColumnAmt
Exclusion$15,153ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,418,438TotalRevenueColumnAmt
Related Or Exempt Func Income$4,403,285RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$15,153ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,218,340TotalAmt
Program Services$901,572ProgramServicesAmt
Management And General$316,768ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$80,067TotalAmt
Program Services$59,250ProgramServicesAmt
Management And General$20,817ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$133,830TotalAmt
Program Services$99,034ProgramServicesAmt
Management And General$34,796ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$72,649TotalAmt
Program Services$53,760ProgramServicesAmt
Management And General$18,889ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$282,208TotalAmt
Program Services$208,834ProgramServicesAmt
Management And General$73,374ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$57,452TotalAmt
Management And General$57,452ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$30,065TotalAmt
Program Services$22,248ProgramServicesAmt
Management And General$7,817ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$440,165TotalAmt
Program Services$325,722ProgramServicesAmt
Management And General$114,443ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$6,667TotalAmt
Program Services$4,934ProgramServicesAmt
Management And General$1,733ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$982,187TotalAmt
Program Services$982,187ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$592,071TotalAmt
Program Services$592,071ProgramServicesAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE$5,400$5,400
DUES AND SUBSCRIPTIONS$4,539$3,359$1,180

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$179,045TotalAmt
Program Services$132,493ProgramServicesAmt
Management And General$46,552ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,084,685TotalAmt
Program Services$3,390,864ProgramServicesAmt
Management And General$693,821ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$601,470BOYAmt
EOY$1,384,354EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$262,904BOYAmt
EOY$261,802EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$10,128BOYAmt
EOY$1,102EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$14,221BOYAmt
EOY$15,249EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$74,240BOYAmt
EOY$74,141EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$21,350,551LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,722,425LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$13,136,636BOYAmt
EOY$12,628,126EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,661,423BOYAmt
EOY$4,354,699EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$18,761,022BOYAmt
EOY$18,719,473EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$771,740BOYAmt
EOY$647,505EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,694,604BOYAmt
EOY$17,088,887EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$3,355BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$241,537BOYAmt
EOY$200,320EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,711,236BOYAmt
EOY$17,936,712EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$49,786BOYAmt
EOY$782,761EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$49,786BOYAmt
EOY$782,761EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,761,022BOYAmt
EOY$18,719,473EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$333,753ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$399,222OtherChangesInNetAssetsAmt
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)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,221,808CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,269,213CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,463,494CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,573,843CurrentTaxYearMinus1YearAmt
Current Tax Year$4,403,285CurrentTaxYearAmt
Total$21,931,643TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,221,808CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,269,213CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,463,494CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,573,843CurrentTaxYearMinus1YearAmt
Current Tax Year$4,403,285CurrentTaxYearAmt
Total$21,931,643TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$21,931,643PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$131,526CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$136,303CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$133,187CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$75,411CurrentTaxYearMinus1YearAmt
Current Tax Year$15,153CurrentTaxYearAmt
Total$491,580TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$131,526CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$136,303CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$133,187CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$75,411CurrentTaxYearMinus1YearAmt
Current Tax Year$15,153CurrentTaxYearAmt
Total$491,580TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,353,334CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,405,516CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,596,681CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,649,254CurrentTaxYearMinus1YearAmt
Current Tax Year$4,418,438CurrentTaxYearAmt
Total$22,423,223TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97810PublicSupportCY509Pct
Public Support PY5090.97270PublicSupportPY509Pct
Investment Income CY0.02190InvestmentIncomeCYPct
Investment Income PY0.02730InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcYes (1)AgentTrusteeEtcInd
Beginning Balance$3,130BeginningBalanceAmt
Additions During Year$225AdditionsDuringYearAmt
Distributions During Year$3,355DistributionsDuringYearAmt
Ending Balance$0EndingBalanceAmt
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,320,605OtherCostOrOtherBasisAmt
Book Value$1,320,605BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,694,923OtherCostOrOtherBasisAmt
Depreciation$7,578,103DepreciationAmt
Book Value$11,116,820BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$54,673OtherCostOrOtherBasisAmt
Depreciation$45,199DepreciationAmt
Book Value$9,474BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,217,900OtherCostOrOtherBasisAmt
Depreciation$1,099,123DepreciationAmt
Book Value$118,777BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$62,450OtherCostOrOtherBasisAmt
Book Value$62,450BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$12,628,126TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
LIMITED TO USE BOND AND MORTGAGE AGREEME$4,129,316
DUE TO/FROM AFFILIATES$225,383
FieldValueIRS element (for citing)
Total Book Value Other Assets$4,354,699TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
ACCRUED PENSION$182,432
SELF-INSURANCE LIABILITY$9,920
DUE TO AFILIATES$7,968
FieldValueIRS element (for citing)
Total Liability$200,320TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$4,418,438TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$4,418,438RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$4,418,438TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$4,084,685TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$4,084,685ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$4,084,685TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART IV, LINE 2B:FormAndLineReferenceDesc
ExplanationTHE AMOUNT REPRESENTS SECURITY DEPOSITS HELD UNTIL RESIDENT VACATES THE PROPERTY. UPON APPROVAL OF THE CONDITION OF THE APARTMENT, THE SECURITY DEPOSIT IS RETURNED. IF APARTMENT IS NOT IN GOOD CONDITION, THE FUNDS ARE USED TO MAKE NECESSARY REPAIRS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
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 (6 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
ERIC BIEBER MD
CEO$0$1,157,490$0$797,180$0$0$0$1,056,500$0$11,105$0$3,022,275$0$1,011,846
ROBERT NESSELBUSH
COO$0$817,204$0$459,050$0$0$0$746,618$0$10,020$0$2,032,892$0$624,284
DONALD FELTER
PRESIDENT$0$141,411$0$63,475$0$0$0$94,973$0$4,929$0$304,788$0$109,996
THOMAS CRILLY
CFO$0$468,420$0$274,143$0$0$0$456,469$0$9,804$0$1,208,836$0$375,536
HUGH THOMAS
CAO$0$560,768$0$343,485$0$0$0$533,488$0$10,840$0$1,448,581$0$466,348
WARREN HERN
FORMER CEO$0$0$0$0$0$250,000$0$0$0$0$0$250,000$0$250,000

Supplemental Information Detail SupplementalInformationDetail (2 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 - 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, LINE 4BSUPPLEMENTAL 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 PAID FROM THIS PLAN IN 2017. THE TOTAL COMPENSATION PAID TO THE FORMER CEO REPRESENTED A DISTRIBUTION OF DEFERRED COMPENSATION FROM A 457(B) PLAN. THIS DISTRIBUTION TO THE FORMER CEO SHOWN IN THE 2017 TAX RETURN REPRESENTS COMPENSATION WHICH WAS RECOGNIZED IN PREVIOUS TAX YEARS. THERE WAS NO INCREMENTAL EXPENSE RECOGNIZED BY THE ORGANIZATION IN 2017 FOR PAYMENTS MADE TO THE FORMER CEO.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1VILLAGE OF EAST ROCHESTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN161497561BondIssuerEIN
CUSIP274722DH7CUSIPNum
Bond Issued2006-08-24BondIssuedDt
Issue Price$22,470,000IssuePriceAmt
PurposeREFUND PRIOR BOND ISSUEPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$5,095,000RetiredAmt
Total Proceeds$27,123,269TotalProceedsAmt
In Reserve Fund$1,624,125InReserveFundAmt
Issuance Costs From Proceeds$449,400IssuanceCostsFromProceedsAmt
Other Spent Proceeds$25,049,743OtherSpentProceedsAmt
Current Refunding0CurrentRefundingInd
Advance RefundingYes (1)AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICYes (1)GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line1BAYERISCHEBusinessNameLine1Txt
Business Name Line2LANDESBANKBusinessNameLine2Txt
FieldValueIRS element (for citing)
Term Of GIC9.900000000000TermOfGICPct
Regulatory Safe Harbor StsfdYes (1)RegulatorySafeHarborStsfdInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K SUPPLENTAL INFORMATIONFormAndLineReferenceDesc
ExplanationPART I (F): THE BONDS REFUND THE $20,000,000 CIVIC FACILITY REVENUE BONDS (WOODLAND VILLAGE PROJECT). SERIES 2000 ISSUED BY THE COUNTY OF MONROE INDUSTRIAL DEVELOPMENT AGENCY DATED 7/1/00. PART II, LINE 3: THE DIFFERENCE BETWEEN PART I (E.) AND PART III, LINE 3 IS DUE TO THE INTEREST EARNINGS ON INVESTED PROCEEDS. PART II, LINE 13: THE YEAR OF SUBSTANTIAL COMPLETION DOES NOT APPLY BECAUSE THE BONDS REFUNDED THE SERIES 2000 BONDS. PART IV, LINE 2(C.): THE TEN YEAR REBATE REPORT WAS PERFORMED AS OF 8/24/16 BY BLX GROUP, LLC.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1EACH 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.
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 EMPLOYEE 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 AND OFFICERS 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 AS WELL AS COMPENSATION FOR THESE POSITIONS (AS DISCLOSED ON FORM 990) WITH OTHER ORGANIZATIONS IN THE HEALTHCARE INDUSTRY THAT ARE OF SIMILAR SIZE. 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 XI, LINE 9:NET TRANSFER FROM AFFILIATE - PARK RIDGE HOUSING, INC. 420,000. PENSION ADJUSTMENT - UNITY HOSPITAL OF ROCHESTER -20,778.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 5471 FILED ON BEHALF STATEMENTSTATEMENT PURSUANT TO TREAS REG SEC 1 6038-2(J)(3) THE FOLLOWING INFORMATION IS SUBMITTED WITH RESPECT TO WOODLAND VILLAGE, INC. FORM 5471 (INFORMATION RETURN OF U S PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS) FILING REQUIREMENT FOR THE ENTITY BELOW NAME OF FOREIGN CORPORATION HEALTH CARE CASUALTY INSURANCE LIMITED BEGINNING TAX YEAR OF FOREIGN CORPORATION JANUARY 1, 2017 ENDING TAX YEAR OF FOREIGN CORPORATION DECEMBER 31, 2017 THE FORM 5471 FILING REQUIREMENT FOR THIS FOREIGN CORPORATION FOR CATEGORIES 4 AND 5 HAVE BEEN SATISFIED BY INCLUSION IN THE FOLLOWING US FILER'S TAX RETURN NAME OF US FILER UNITY HEALTH SYSTEM, INC. ADDRESS OF US FILER 1555 LONG POND ROAD ROCHESTER, NY 14626 EIN OR SSN 22-2572873 ENDING TAX YEAR OF US FILER DECEMBER 31, 2017 TYPE OF RETURN FILED 990 IRS CENTER WHERE RETURN FILED OGDEN, UTAH 84201-0027.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (33 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)
PARK RIDGE HOUSING INC
1555 LONG POND RDROCHESTERNY14626222570457SENIOR APARTMENT COMPLEXNY501(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)
HENRY FOSTER ASSOCIATES DBA CORPORATE CARE OF FINGER LAKES
4 COULTER ROADCLIFTON SPRINGSNY14432161282294EMPLOYEE ASSISTANCE PROGRAMSNY501(C)(3)LINE 10ROCHESTER 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, IIROCHESTER REGIONAL HEALTHYes (1)
CLIFTON SPRINGS HOSPITAL & CLINIC FOUNDATION
2 COULTER ROADCLIFTON SPRINGSNY14432161560033FUNDRAISINGNY501(C)(3)LINE 12B, IIROCHESTER REGIONAL HEALTHYes (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
GREATER ROCHESTER IMMEDIATE MEDICAL CARE PLLC DBA ROCHESTER IMMEDIATE CAR
URGENT CARE CENTERSC0265 BROOKVIEW CENTRE WAY SUITE 400KNOXVILLETN37919271453784TNWESTERN NEW YORK MEDICAL PC
ROCHESTER MEDICINE PLLC
OCCUPATIONAL MEDICINEC0265 BROOKVIEW CENTRE WAY SUITE 400KNOXVILLETN37919812625325TNWESTERN NEW YORK MEDICAL PC
PARMA SENIOR HOUSING LLC
SENIOR HOUSINGC01555 LONG POND ROADROCHESTERNY14626810671687NYROCHESTER REGIONAL HEALTH
UNITY SENIOR HOUSING CORP
SENIOR HOUSINGC01555 LONG POND ROADROCHESTERNY14624061709925NYROCHESTER REGIONAL HEALTH
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationYes (1)DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
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 (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PARK RIDGE HOUSING INC
F$420,000FMV
THE UNITY HOSPITAL OF ROCHESTER
P$286,546FMV
ROCHESTER GENERAL HOSPITAL
P$227,590FMV
GRHS FOUNDATIONINC
J$441,226

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 WORKERS' COMPENSATION TRUST SUPPORTS THE ROCHESTER GENERAL HOSPITAL, NEWARK WAYNE COMMUNITY HOSPITAL, ROCHESTER GENERAL LONG TERM CARE, INDEPENDENT LIVING FOR SENIORS, VIAHEALTH HOMECARE I, VIAHEALTH HOMECARE II, BEHAVIORAL HEALTH NETWORK, INC, CLIFTON SPRINGS HOSPITAL & CLINIC AND UNITED MEMORIAL MEDICAL CENTER.ExplanationTxt