STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

UNITY AGING SERVICES INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
UNITY AGING SERVICES INC (EIN 84-1684195)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-14
IRS object ID
201703189349308050
Schema version
2016v3.0
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)
Return2017-11-14T14:57:08-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

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 Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN841684195EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNITY AGING SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlUNITBusinessNameControlTxt
Phone5859221032PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11555 LONG POND ROADAddressLine1Txt
CityROCHESTERCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14626ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS R CRILLYPersonNm
Person TitleCFOPersonTitleTxt
Phone5859221032PhoneNum
Signature2017-11-13SignatureDt
Discuss With Paid Preparer0DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANGELA M FRANCOPreparerPersonNm
PTINP00589741PTIN
Phone3154463600PhoneNum
Preparation2017-11-13PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address24.39.85.114IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-13IPDt
IP Tm19:17:55IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id517AEBE328CBAAA90E396C2FD1060AA56161F780AtSubmissionCreationDeviceId
At Submission Filing Device Id517AEBE328CBAAA90E396C2FD1060AA56161F780AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerERIC BIEBER MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11555 LONG POND ROADAddressLine1Txt
CityROCHESTERCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14626ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$288,114GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ROCHESTERREGIONAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO MANAGE AND DEVELOP HOUSING FOR THE ELDERLY AND FRAIL ELDERLY OF ROCHESTER, NEW YORK AND THE SURROUNDING COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$162,614PYProgramServiceRevenueAmt
CY Program Service Revenue$284,170CYProgramServiceRevenueAmt
PY Investment Income$4,294PYInvestmentIncomeAmt
CY Investment Income$3,944CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$166,908PYTotalRevenueAmt
CY Total Revenue$288,114CYTotalRevenueAmt
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$69,414PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$235,546CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$97,523PYOtherExpensesAmt
CY Other Expenses$54,590CYOtherExpensesAmt
PY Total Expenses$166,937PYTotalExpensesAmt
CY Total Expenses$290,136CYTotalExpensesAmt
PY Revenues Less Expenses-$29PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,022CYRevenuesLessExpensesAmt
Total Assets BOY$5,554TotalAssetsBOYAmt
Total Assets EOY$148,400TotalAssetsEOYAmt
Total Liabilities BOY$2,065TotalLiabilitiesBOYAmt
Total Liabilities EOY$146,933TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,489NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,467NetAssetsOrFundBalancesEOYAmt
MissionTO MANAGE AND DEVELOP HOUSING FOR THE ELDERLY AND FRAIL ELDERLY OF ROCHESTER, NEW YORK AND THE SURROUNDING COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$290,136ExpenseAmt
Revenue$284,170RevenueAmt
DescTHE PURPOSE OF UNITY AGING SERVICES, INC. IS TO MANAGE AND DEVELOP HOUSING FOR THE ELDERLY AND FRAIL ELDERLY OF ROCHESTER, NEW YORK AND THE SURROUNDING COMMUNITY. IN 2016, UNITY AGING SERVICES, INC. MANAGED EIGHT APARTMENT COMPLEXES.Desc
Total Program Service Expenses$290,136TotalProgramServiceExpensesAmt
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 Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
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 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 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 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
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

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHRIS PETERSONBusinessNameLine1Txt
FieldValueIRS element (for citing)
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 DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
FREDERICK J HOLBROOK
DIRECTOR1.001.00Yes (X)$0$0$0
ERIC BIEBER MD
CEO1.0054.00Yes (X)$0$3,516,820$1,064,908Yes (X)
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
TERRI ROBACH
DIRECTOR1.001.00Yes (X)$0$0$0
RALPH DESTEPHANO
CHAIR PERSON1.001.00Yes (X)$0$0$0
ROBERT NESSELBUSH
COO0.0055.00$0$1,608,627$676,261Yes (X)
DONALD FELTER
PRESIDENT0.0055.00$0$237,049$113,954Yes (X)
THOMAS CRILLY
CFO0.0055.00$0$1,012,616$427,250Yes (X)
HUGH THOMAS
CAO0.0055.00$0$1,230,940$512,645Yes (X)
MARK CLEMENT
FORMER CEO0.00$0$1,373,284$30,715Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,979,336TotReportableCompRltdOrgAmt
Total Other Compensation$2,825,733TotalOtherCompensationAmt
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)
DescMANAGEMENT FEESDesc
Business999999BusinessCd
Total Revenue Column$284,170TotalRevenueColumnAmt
Related Or Exempt Func Income$284,170RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$284,170TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,944TotalRevenueColumnAmt
Exclusion$3,944ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$288,114TotalRevenueColumnAmt
Related Or Exempt Func Income$284,170RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,944ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$228,003TotalAmt
Program Services$228,003ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,108TotalAmt
Program Services$2,108ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,523TotalAmt
Program Services$3,523ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,912TotalAmt
Program Services$1,912ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$9,002TotalAmt
Program Services$9,002ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,281TotalAmt
Program Services$2,281ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$14,474TotalAmt
Program Services$14,474ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,434TotalAmt
Program Services$1,434ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,788TotalAmt
Program Services$2,788ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MISCELLANEOUS$21,975$21,975
DUES & SUBSCRIPTIONS$2,533$2,533
MEDICAL SUPPLIES$103$103

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$290,136TotalAmt
Program Services$290,136ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$148,400EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,554BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,554BOYAmt
EOY$148,400EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,585BOYAmt
EOY$38,745EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$480BOYAmt
EOY$108,188EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,065BOYAmt
EOY$146,933EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,489BOYAmt
EOY$1,467EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,489BOYAmt
EOY$1,467EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,554BOYAmt
EOY$148,400EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$2,022ReconcilationRevenueExpnssAmt
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)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$171,948CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$154,222CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$202,445CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$162,614CurrentTaxYearMinus1YearAmt
Current Tax Year$284,170CurrentTaxYearAmt
Total$975,399TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$171,948CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$154,222CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$202,445CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$162,614CurrentTaxYearMinus1YearAmt
Current Tax Year$284,170CurrentTaxYearAmt
Total$975,399TotalAmt

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$975,399PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,182CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,605CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,615CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,294CurrentTaxYearMinus1YearAmt
Current Tax Year$3,944CurrentTaxYearAmt
Total$19,640TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,182CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,605CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,615CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,294CurrentTaxYearMinus1YearAmt
Current Tax Year$3,944CurrentTaxYearAmt
Total$19,640TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$177,130CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$155,827CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$207,060CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$166,908CurrentTaxYearMinus1YearAmt
Current Tax Year$288,114CurrentTaxYearAmt
Total$995,039TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98030PublicSupportCY509Pct
Public Support PY5090.97590PublicSupportPY509Pct
Investment Income CY0.01970InvestmentIncomeCYPct
Investment Income PY0.02410InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO AFFILIATES$102,588
SECURITY DEPOSITS$5,600
FieldValueIRS element (for citing)
Total Liability$108,188TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$288,114TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$288,114RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$288,114TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$290,136TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$290,136ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$290,136TotalExpensesPerForm990Amt

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 (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$1,116,015$0$2,400,805$0$0$0$1,011,846$0$53,062$0$4,581,728$0$1,070,317
ROBERT NESSELBUSH
COO$0$747,958$0$860,669$0$0$0$624,284$0$51,977$0$2,284,888$0$556,513
DONALD FELTER
PRESIDENT$0$142,399$0$94,650$0$0$0$109,996$0$3,958$0$351,003$0$62,475
THOMAS CRILLY
CFO$0$435,307$0$577,309$0$0$0$375,536$0$51,714$0$1,439,866$0$372,767
HUGH THOMAS
CAO$0$547,274$0$683,666$0$0$0$466,348$0$46,297$0$1,743,585$0$442,221
MARK CLEMENT
FORMER CEO$0$0$0$0$0$1,373,284$0$26,618$0$4,097$0$1,403,999$0$1,373,284

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS INCLUDING: - ERIC BIEBER, M.D. (PRESIDENT & CEO) - THOMAS CRILLY (CFO) - MARK CLEMENT (CEO UNTIL 11/30/14) - HUGH THOMAS (CAO) - ROBERT NESSELBUSH (COO) USED THE FOLLOWING TO ESTABLISH THEIR COMPENSATION AND BENEFITS: - 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, LINES 4A-BSUPPLEMENTAL EXECUTIVE RETIREMENT PLANS PROVIDE BENEFITS TO CERTAIN KEY EXECUTIVE EMPLOYEES OF UNITY AGING SERVICES, INC. THE ORGANIZATION MAINTAINS A SECTION 457(F) PLAN WHICH WOULD BE CONSIDERED A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THERE WERE NO DISTRIBUTIONS PAID IN 2016. IN 2014 AND PRIOR YEARS, THE TOTAL COMPENSATION OF THE FORMER CEO'S WAS DISCLOSED AS A COMBINATION OF CASH PAID BY THE ORGANIZATION AND DEFERRED COMPENSATION. THE CASH PAYMENTS TO THE FORMER CEO'S SHOWN ON THE 2016 TAX RETURNS REPRESENTS PAYMENTS OF COMPENSATION WHICH WAS RECOGNIZED IN PREVIOUS TAX RETURNS. THERE WAS NO INCREMENTAL EXPENSE RECOGNIZED BY THE ORGANIZATION IN 2016 FOR PAYMENTS MADE TO THE FORMER CEO'S.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 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 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 AND THEREAFTER, ANNUALLY, EACH KEY EMPLOYEE AND OFFICER OF THE ORGANIZATION IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST 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. BOARD MEMBERS LEAVE THE ROOM DURING DISCUSSIONS AND ABSTAIN FROM VOTING WHEN THEY HAVE A CONFLICT OF INTEREST. 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.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION'S OFFICER AND KEY EMPLOYEE COMPENSATION ARRANGEMENTS ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF ROCHESTER REGIONAL HEALTH, A RELATED NOT-FOR-PROFIT ORGANIZATION. 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 HEALTH CARE 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 AND ADMINISTRATIVE OFFICES OF THE FILING ORGANIZATION. A NOMINAL FEE IS CHARGED IF COPIES ARE REQUESTED.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (34 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 12A, IROCHESTER REGIONAL HEALTHYes (1)
THE ROCHESTER GENERAL HOSPITAL FOUNDATION
100 KINGS HIGHWAY SOUTHROCHESTERNY14617222229425FUNDRAISINGNY501(C)(3)LINE 12A, IROCHESTER REGIONAL HEALTHYes (1)
NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATION
DRIVING PARK AVENUENEWARKNY14513222963015FUNDRAISINGNY501(C)(3)LINE 12A, INWCHYes (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 12A, IROCHESTER REGIONAL HEALTHYes (1)
CONTINUING CARE NETWORK INC (CCN)
100 KINGS HIGHWAY SOUTHROCHESTERNY14617222963016SUPPORT RGHNY501(C)(3)LINE 12A, IROCHESTER 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)
UNITY HEALTH SYSTEM FOUNDATION
1555 LONG POND RDROCHESTERNY14626119627400FOUNDATIONNY501(C)(3)LINE 7ROCHESTER REGIONAL HEALTHYes (1)
ROCHESTER GENERAL HEALTH SYSTEM
100 KINGS HIGHWAY SOUTHROCHESTERNY14617222551509SYSTEM SUPPORTNY501(C)(3)LINE 12A, IROCHESTER 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)
STBERNARD'S HOUSING DEVELOPMENT FU
1555 LONG POND RDROCHESTERNY14626161492955LOW INCOME HOUSING PROJECTNY501(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)
WOODLAND VILLAGE INC
1555 LONG POND RDROCHESTERNY14626161588242SENIOR APARTMENT COMPLEXNY501(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 12A, IROCHESTER REGIONAL HEALTHYes (1)
ROCHESTER REGIONAL HEALTH
100 KINGS HIGHWAY SOUTHROCHESTERNY14617471234999SYSTEM PARENTNY501(C)(3)LINE 12A, IYes (1)N/A
UNITED MEMORIAL MEDICAL CENTER
127 NORTH STREETBOTAVIANY14020160743029HOSPITALNY501(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)
CLIFTON SPRINGS HOSPITAL & CLINIC FOUNDATION
2 COULTER ROADCLIFTON SPRINGSNY14432161560033FUNDRAISINGNY501(C)(3)LINE 11ROCHESTER 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 PartnerGeneralOrManagingPartnerIndDirect Controlling NADirectControllingNACd
NW ASSOCIATES LP
PO BOX 111 DRIVING PARK AVENUENEWARKNY14513141674119R/E LEASINGNYNWCHRELATED00
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 CARE
URGENT CARE CENTERSC1.000000265 BROOKVIEW CENTRE WAY SUITE 400KNOXVILLETN37919271453784TNWESTERN NEW YORK MEDICAL PC
ROCHESTER MEDICINE PLLC
OCCUPATIONAL MEDICINEC1.000000265 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 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

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ROCHESTER REGIONAL HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypePTransactionTypeTxt
Involved$164,548InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt

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