WESTERN NEW YORK MEDICAL PRACTICE PC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- WESTERN NEW YORK MEDICAL PRACTICE PC (EIN 61-1654232)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-13
- IRS object ID
- 201513179349303491
- Schema version
- 2014v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-13T15:38:43-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161226221 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FUST CHARLES CHAMBERS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5784 WIDEWATERS PARKWAY | AddressLine1Txt |
| City | SYRACUSE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13214 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 611654232 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WESTERN NEW YORK MEDICAL PRACTICE PC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WEST | BusinessNameControlTxt |
| Phone | 5859224806 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1425 PORTLAND AVENUE | AddressLine1Txt |
| City | ROCHESTER | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14621 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | HUGH THOMAS | PersonNm |
| Person Title | CAO | PersonTitleTxt |
| Phone | 5859224806 | PhoneNum |
| Signature | 2015-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANGELA M FRANCO | PreparerPersonNm |
| PTIN | P00589741 | PTIN |
| Phone | 3154463600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ROBERT MAYO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 KINGS HIGHWAY SOUTH | AddressLine1Txt |
| City | ROCHESTER | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14617 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $11,237,980 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ROCHESTERREGIONAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2011 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | THE ORGANIZATION WAS FORMED EXCLUSIVELY FOR THE CHARITABLE PURPOSE OF SERVING THE HEALTH CARE NEEDS OF THE RESIDENTS OF MONROE COUNTY AND SURROUNDING AREAS, AND EXISTS TO FURTHER THE CHARITABLE MISSION OF ROCHESTER GENERAL HOSPITAL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 1 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,170,769 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $11,237,980 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $8,170,769 | PYTotalRevenueAmt |
| CY Total Revenue | $11,237,980 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,505,399 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,814,604 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,213,631 | PYOtherExpensesAmt |
| CY Other Expenses | $7,410,486 | CYOtherExpensesAmt |
| PY Total Expenses | $9,719,030 | PYTotalExpensesAmt |
| CY Total Expenses | $14,225,090 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,548,261 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,987,110 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,152,067 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,107,595 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $11,595,317 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $11,537,955 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$2,443,250 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$5,430,360 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE ORGANIZATION WAS FORMED EXCLUSIVELY FOR THE CHARITABLE PURPOSE OF SERVING THE HEALTH CARE NEEDS OF THE RESIDENTS OF MONROE COUNTY AND SURROUNDING AREAS, AND EXISTS TO FURTHER THE CHARITABLE MISSION OF ROCHESTER GENERAL HOSPITAL. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $14,188,115 | ExpenseAmt |
| Revenue | $11,237,980 | RevenueAmt |
| Desc | TO PROVIDE ACCESS TO PRIMARY CARE AND MEDICAL SPECIALTIES TO THE RESIDENTS OF MONROE AND SURROUNDING COUNTIES. | Desc |
| Total Program Service Expenses | $14,188,115 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 1 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HUGH CHISHOLM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5859221221 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 KINGS HIGHWAY SOUTH | AddressLine1Txt |
| City | ROCHESTER | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14617 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| RICHARD GANGEMI | |||||||
| PRESIDENT | 1.00 | 1.00 | Yes (X) | $0 | $231,411 | $7,309 | |
| HUGH THOMAS | |||||||
| CAO | 3.00 | 52.00 | $0 | $1,268,000 | $70,527 | Yes (X) | |
| ERIC BIEBER MD | |||||||
| CEO | 1.00 | 54.00 | $0 | $101,380 | $189,013 | Yes (X) | |
| MARK CLEMENT | |||||||
| CEO (UNTIL 11/30/14) | 0.00 | 55.00 | $0 | $3,233,272 | $2,090,584 | Yes (X) | |
| THOMAS CRILLY | |||||||
| CFO | 1.00 | 54.00 | $0 | $642,585 | $60,281 | Yes (X) | |
| WARREN HERN | |||||||
| CEO (UNTIL 11/30/14) | 0.00 | 55.00 | $0 | $1,069,997 | $6,420,216 | Yes (X) | |
| ROBERT NESSELBUSH | |||||||
| COO | 1.00 | 54.00 | $0 | $1,511,074 | $86,315 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $8,057,719 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $8,924,245 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $11,237,980 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,237,980 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $11,237,980 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,237,980 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,237,980 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,988,642 | TotalAmt |
| Program Services | $5,988,642 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $825,962 | TotalAmt |
| Program Services | $825,962 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,300 | TotalAmt |
| Program Services | $4,300 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,539,602 | TotalAmt |
| Program Services | $4,502,627 | ProgramServicesAmt |
| Management And General | $36,975 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,608 | TotalAmt |
| Program Services | $10,608 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $497,926 | TotalAmt |
| Program Services | $497,926 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $190,366 | TotalAmt |
| Program Services | $190,366 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,170,836 | TotalAmt |
| Program Services | $1,170,836 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,307 | TotalAmt |
| Program Services | $21,307 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,764 | TotalAmt |
| Program Services | $1,764 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $207,652 | TotalAmt |
| Program Services | $207,652 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| BAD DEBTS | $502,916 | $502,916 |
| MISCELLANEOUS | $225,388 | $225,388 |
| DUES AND SUBSCRIPTIONS | $37,821 | $37,821 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,225,090 | TotalAmt |
| Program Services | $14,188,115 | ProgramServicesAmt |
| Management And General | $36,975 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,033,036 | BOYAmt |
| EOY | $2,097,697 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $784,572 | BOYAmt |
| EOY | $587,317 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,302,414 | BOYAmt |
| EOY | $2,448,366 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,027,038 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $52,823 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,045 | BOYAmt |
| EOY | $974,215 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,152,067 | BOYAmt |
| EOY | $6,107,595 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $237,815 | BOYAmt |
| EOY | $1,585,777 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,357,502 | BOYAmt |
| EOY | $9,952,178 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,595,317 | BOYAmt |
| EOY | $11,537,955 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,443,250 | BOYAmt |
| EOY | -$5,430,360 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,443,250 | BOYAmt |
| EOY | -$5,430,360 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,152,067 | BOYAmt |
| EOY | $6,107,595 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$2,987,110 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,000,000 | OtherCostOrOtherBasisAmt |
| Depreciation | $45,455 | DepreciationAmt |
| Book Value | $954,545 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $27,038 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,368 | DepreciationAmt |
| Book Value | $19,670 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $974,215 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO AFFILIATES | Desc |
| Amt | $9,952,178 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $9,952,178 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $11,237,980 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $11,237,980 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $11,237,980 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $14,225,090 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $14,225,090 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $14,225,090 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICHARD GANGEMI | ||||||||||||||
| PRESIDENT | $0 | $167,691 | $0 | $63,720 | $0 | $0 | $0 | $0 | $0 | $7,309 | $0 | $238,720 | $0 | $0 |
| HUGH THOMAS | ||||||||||||||
| CAO | $0 | $470,402 | $0 | $292,008 | $0 | $505,590 | $0 | $62,875 | $0 | $7,652 | $0 | $1,338,527 | $0 | $288,110 |
| ERIC BIEBER MD | ||||||||||||||
| CEO | $0 | $101,380 | $0 | $0 | $0 | $0 | $0 | $188,563 | $0 | $450 | $0 | $290,393 | $0 | $0 |
| MARK CLEMENT | ||||||||||||||
| CEO (UNTIL 11/30/14) | $0 | $750,257 | $0 | $714,173 | $0 | $1,768,842 | $0 | $2,086,033 | $0 | $4,551 | $0 | $5,323,856 | $0 | $882,997 |
| THOMAS CRILLY | ||||||||||||||
| CFO | $0 | $395,919 | $0 | $91,839 | $0 | $154,827 | $0 | $53,000 | $0 | $7,281 | $0 | $702,866 | $0 | $0 |
| WARREN HERN | ||||||||||||||
| CEO (UNTIL 11/30/14) | $0 | $765,994 | $0 | $240,478 | $0 | $63,525 | $0 | $6,414,200 | $0 | $6,016 | $0 | $7,490,213 | $0 | $122,673 |
| ROBERT NESSELBUSH | ||||||||||||||
| COO | $0 | $594,356 | $0 | $355,638 | $0 | $561,080 | $0 | $79,125 | $0 | $7,190 | $0 | $1,597,389 | $0 | $340,750 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS INCLUDING: -ERIC BIEBER, M.D. (PRESIDENT & CEO) -THOMAS CRILLY (CFO) -MARK CLEMENT (CEO UNTIL 11/30/14) -WARREN HERN (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. IN 2014, DUE TO UNIQUE CIRCUMSTANCES RESULTING FROM THE COMBINATION OF RGHS & UHS TO FORM RU SYSTEM INC., D/B/A ROCHESTER REGIONAL HEALTH, AND ON BASIS OF INPUT FROM AN INDEPENDENT COMPENSATION CONSULTANT, THE LEGACY EXECUTIVE COMPENSATION COMMITTEES DETERMINED IT WAS PRUDENT TO TERMINATE, AND PAY OUT, A VARIETY OF ANNUAL AND MULTI-YEAR INCENTIVE PLANS OPERATED UNDER THE LEGACY ENTITIES. THE EXTERNAL COMPENSATION CONSULTANTS CONCLUDED THAT SUCH PAYMENTS, UNDER THE CIRCUMSTANCES, WERE REASONABLE AND CONSISTENT WITH MARKET, AND THE EARLY TERMINATION AND PAYOUT OF SUCH PLANS IN SIMILAR SITUATIONS WAS STANDARD PRACTICE. |
| PART I, LINES 4A-B | SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS PROVIDE BENEFITS TO CERTAIN KEY EXECUTIVE EMPLOYEES OF WESTERN NEW YORK MEDICAL PRACTICE PC. THE ORGANIZATION MAINTAINS A SECTION 457(F) PLAN WHICH WOULD BE CONSIDERED A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. DURING 2014, NO DISTRIBUTIONS WERE PAID OUT. THE FOLLOWING OFFICERS AND KEY EMPLOYEES LISTED IN FORM 9990, PART VII, SECTION A WOULD BE ELIGIBLE PARTICIPANTS IN THE PLAN SINCE THEY WOULD BE ENTITLED TO A DISTRIBUTION UPON SEPARATION FROM SERVICE: - HUGH THOMAS - ROBERT NESSELBUSH - MARK CLEMENT |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 3 | ROCHESTER REGIONAL HEALTH WAS FORMED THROUGH A CORPORATE RESTRUCTURING, WHICH BROUGHT TOGETHER ROCHESTER GENERAL HEALTH SYSTEM AND ITS AFFILIATES AND UNITY HEALTH SYSTEM AND ITS AFFILIATES, ON JULY 1, 2014. ROCHESTER REGIONAL HEALTH SEEKS TO BE THE PROVIDER OF CHOICE, WHILE ADRESSING BOTH THE AFFORDABILITY AND QUALITY OF HEALTHCARE SERVICES THAT IT PROVIDES IN UPSTATE/WESTERN NEW YORK. |
| FORM 990, PART VI, SECTION A, LINE 1 | EACH 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 4 | RU SYSTEM, INC. D/B/A ROCHESTER REGIONAL HEALTH, IS A NEW YORK NOT-FOR-PROFIT CORPORATION THAT COORDINATES AND MANAGES THE DELIVERY OF HOUSING AND HEALTH CARE-RELATED SERVICES AND EDUCATION BY ITS AFFILIATES (AFFILIATES). ROCHESTER REGIONAL HEALTH WAS FORMED THROUGH A CORPORATE RESTRUCTURING, EFFECTIVE AS OF JULY 1, 2014, WHICH BROUGHT TOGETHER ROCHESTER GENERAL HEALTH SYSTEM AND ITS AFFILIATES AND UNITY HEALTH SYSTEM AND ITS AFFILIATES. AS A RESULT OF THIS CORPORATE REORGANIZATION, ROCHESTER REGIONAL HEALTH SERVES AS THE SOLE CORPORATE MEMBER OF THE ENTITIES LISTED BELOW (THE "EXEMPT AFFILIATES"). IRS FORM 1023 (APPLICATION FOR TAX-EXEMPT STATUS) HAS BEEN FILED FOR ROCHESTER REGIONAL HEALTH, SEEKING EXEMPT STATUS UNDER SECTION 501(C) OF THE INTERNAL REVENUE CODE. THE CORPORATE RESTRUCTURING WHICH CREATED ROCHESTER REGIONAL HEALTH WAS ACCOMPLISHED VIA CHANGES TO THE GOVERNING DOCUMENTS OF THE EXEMPT AFFILIATES, AS FOLLOWS: (A)ROCHESTER REGIONAL HEALTH WAS NAMED AS THE EXEMPT AFFILIATES' SOLE CORPORATE MEMBER; (B)ROCHESTER REGIONAL HEALTH WAS GRANTED THE AUTHORITY TO APPOINT AND REMOVE THE GOVERNING BOARD OF THE EXEMPT AFFILIATES; AND (C)CERTAIN ACTIONS OF THE EXEMPT AFFILIATE AND/OR ITS GOVERNING BOARD WERE MADE SUBJECT TO THE APPROVAL OF THE GOVERNING BOARD OF ROCHESTER REGIONAL HEALTH. IN ADDITION, THE GOVERNING DOCUMENTS OF SOME (BUT NOT ALL) OF THE EXEMPT AFFILIATES WERE CHANGED AS FOLLOWS: (A)THE INDIVIDUALS SERVING ON THE GOVERNING BOARD OF CERTAIN EXEMPT AFFILIATES INCLUDE, IN WHOLE OR IN PART, THE INDIVIDUALS WHO SERVE ON THE GOVERNING BOARD OF ROCHESTER REGIONAL HEALTH; AND (B)THE CHIEF EXECUTIVE OFFICER OF ROCHESTER REGIONAL HEALTH SERVES AS THE CHIEF EXECUTIVE OFFICER OF CERTAIN EXEMPT AFFILIATES. FINALLY, THE GOVERNING DOCUMENTS, SPECIFICALLY THE BYLAWS, OF THE EXEMPT AFFILIATES, WHICH ARE EACH NOT-FOR-PROFIT COMPANIES PURSUANT TO NEW YORK LAW, WERE REVISED TO IMPLEMENT THE REQUIREMENTS OF THE NON-PROFIT REVITALIZATION ACT ("NPRA"); A NEW YORK LAW WHICH WENT INTO EFFECT ON JULY 1. 2015. THE NPRA REQUIRED ALL NEW YORK NOT-FOR-PROFIT CHARITABLE ENTITIES TO ADDRESS CERTAIN ISSUES IN THEIR GOVERNING DOCUMENTS, INCLUDING (BUT NOT LIMITED TO) CONFLICTS OF INTEREST, INDEPENDENT DIRECTORS, FINANCIAL AUDITS AND WHISTLEBLOWER PROTECTIONS. THE EXEMPT AFFILIATES OF ROCHESTER REGIONAL HEALTH (FOR WHICH ROCHESTER REGIONAL HEALTH SERVES AS THE SOLE CORPORATE MEMBER) BEHAVIORAL HEALTH NETWORK, INC. GRHS FOUNDATION, INC. NEWARK-WAYNE COMMUNITY HOSPITAL NORTH PARK NURSING HOME, INC. PARK RIDGE CHILD CARE CENTER, INC. PARK RIDGE HOUSING DEVELOPMENT FUND COMPANY, INC. PARK RIDGE HOUSING, INC. PARK RIDGE NURSING HOME, INC. PARK WAY COMMONS HOUSING DEVELOPMENT FUND COMPANY, INC. PARMA HOUSING DEVELOPMENT FUND CORP. PRCD, INC. ROCHESTER GENERAL HEALTH SYSTEM DIALYSIS, INC. ROCHESTER GENERAL HEALTH SYSTEM ROCHESTER GENERAL HOSPITAL FOUNDATION, INC. ROCHESTER GENERAL HUDSON HOUSING, INC. ROCHESTER GENERAL LONG TERM CARE, INC. ST. BERNARD'S HOUSING DEVELOPMENT FUND COMPANY, INC. ST. BERNARD'S II, INC. THE CLIFTON SPRINGS SANITARIUM COMPANY D/B/A CLIFTON SPRINGS HOSPITAL & CLINIC THE ROCHESTER GENERAL HOSPITAL THE UNITY HOSPITAL OF ROCHESTER UNITED MEMORIAL MEDICAL CENTER UNITY AGING SERVICES, INC. UNITY AMBULATORY SURGERY CENTER, INC. UNITY HEALTH SYSTEM UNITY HEALTH SYSTEM FOUNDATION UNITY HOUSING DEVELOPMENT FUND CORPORATION WOODLAND VILLAGE, INC. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION IS A MEMBERSHIP (NOT A STOCK) CORPORATION UNDER NEW YORK STATE LAW. THE ORGANIZATION'S SOLE CORPORATE MEMBER IS RU SYSTEM, INC. D/B/A ROCHESTER REGIONAL HEALTH, A RELATED NOT-FOR-PROFIT ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | RU SYSTEM, INC. D/B/A ROCHESTER 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 11 | PRIOR 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 12C | UPON 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. 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. IN ADDITION TO THE BOARD OF DIRECTORS, THE ORGANIZATION'S MANAGERS AND DIRECTORS WHO OVERSEE ITS OPERATIONS COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY AS WELL. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE 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 INSURANCE 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 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ADMINISTRATIVE OFFICES OF THE AFFILIATED HEALTH SYSTEM, LOCATED AT 100 KINGS HIGHWAY SOUTH, ROCHESTER, NY 14617 AND THE ADMINISTRATIVE OFFICES OF THE FILING ORGANIZATION. A NOMINAL FEE IS CHARGED IF COPIES ARE REQUESTED. |
| FORM 990, PART IX, LINE 11G | CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,892,313. MANAGEMENT AND GENERAL EXPENSES 36,975. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,929,288. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 2,610,314. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,610,314. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
| FORM 5471 FILED ON BEHALF OF STATEMENT | STATEMENT PURSUANT TO TREAS. REG. SEC. 1.6038-2(J)(3): THE FOLLOWING INFORMATION IS SUBMITTED WITH RESPECT TO WESTERN NEW YORK MEDICAL PRACTICE PC'S FORM 5471 (INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS) FILING REQUIREMENT FOR THE ENTITY BELOW: NAME OF FOREIGN CORPORATION: GREATER ROCHESTER ASSURANCE COMPANY, LTD. BEGINNING TAX YEAR OF FOREIGN CORPORATION: JANUARY 1, 2014 ENDING TAX YEAR OF FOREIGN CORPORATION: DECEMBER 31, 2014 THE FORM 5471 FILING REQUIREMENT FOR THIS FOREIGN CORPORATION FOR CATEGORIES 4 AND 5 HAVE BEEN SATISFIED BY INCLUSION IN THE FOLLOWING U.S. FILER'S TAX RETURN: NAME OF U.S. FILER: ROCHESTER GENERAL HEALTH SYSTEM ADDRESS OF U.S. FILER: 100 KINGS HIGHWAY SOUTH, ROCHESTER, NY 14617 EIN OR SSN: 22-2551509 ENDING TAX YEAR OF U.S. ENTITY: DECEMBER 31, 2014 TYPE OF RETURN FILED: 990-T IRS SERVICE CENTER WHERE RETURN FILED: OGDEN, UTAH 84201-0027 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (30 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| THE ROCHESTER GENERAL HOSPITAL | |||||||||||
| 1425 PORTLAND AVENUE | ROCHESTER | NY | 14621 | 160743134 | HOSPITAL | NY | 501(C)(3) | LINE 3 | N/A | Yes (1) | |
| ROCHESTER MENTAL HEALTH CENTER | |||||||||||
| 490 EAST RIDGE ROAD | ROCHESTER | NY | 14621 | 166069131 | MENTAL HEALTH | NY | 501(C)(3) | LINE 9 | Yes (1) | RU SYSTEM INC | |
| GRHS FOUNDATION | |||||||||||
| 100 KINGS HIGHWAY SOUTH | ROCHESTER | NY | 14617 | 223378111 | R/E INV MGMT | NY | 501(C)(3) | LINE 11B, II | Yes (1) | RU SYSTEM INC | |
| THE ROCHESTER GENERAL HOSPITAL FOUNDATION | |||||||||||
| 100 KINGS HIGHWAY SOUTH | ROCHESTER | NY | 14617 | 222229425 | FUNDRAISING | NY | 501(C)(3) | LINE 11B, II | Yes (1) | RU SYSTEM INC | |
| NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATION | |||||||||||
| DRIVING PARK AVENUE | NEWARK | NY | 14513 | 222963015 | FUNDRAISING | NY | 501(C)(3) | LINE 11B, II | Yes (1) | NWCH | |
| NEWARK WAYNE COMMUNITY HOSPITAL | |||||||||||
| DRIVING PARK AVENUE | NEWARK | NY | 14513 | 150584188 | HOSPITAL | NY | 501(C)(3) | LINE 3 | Yes (1) | RU SYSTEM INC | |
| RGHS WORKERS' COMPENSATION TRUST | |||||||||||
| 1425 PORTLAND AVENUE | ROCHESTER | NY | 14621 | 166429300 | SEE PART VII | NY | 501(C)(3) | LINE 11B, II | Yes (1) | RU SYSTEM INC | |
| CONTINUING CARE NETWORK INC (CCN) | |||||||||||
| 100 KINGS HIGHWAY SOUTH | ROCHESTER | NY | 14617 | 222963016 | SUPPORT RGH | NY | 501(C)(3) | LINE 11B, II | Yes (1) | RU SYSTEM INC | |
| ROCHESTER GENERAL HUDSON HOUSING | |||||||||||
| 2066 HUDSON AVENUE | ROCHESTER | NY | 14621 | 223210351 | LOW INC HOUSING | NY | 501(C)(3) | LINE 9 | Yes (1) | RU SYSTEM INC | |
| VIA HEALTH HOME CARE I | |||||||||||
| 100 KINGS HIGHWAY SOUTH | ROCHESTER | NY | 14617 | 161504370 | HOME HEALTH | NY | 501(C)(3) | LINE 9 | Yes (1) | CCN | |
| VIA HEALTH HOMECARE II | |||||||||||
| 100 KINGS HIGHWAY SOUTH | ROCHESTER | NY | 14617 | 161538727 | HOME HEALTH | NY | 501(C)(3) | LINE 9 | Yes (1) | CCN | |
| INDEPENDENT LIVING FOR SENIORS | |||||||||||
| 2066 HUDSON AVENUE | ROCHESTER | NY | 14617 | 161491059 | ADULT DAY HC | NY | 501(C)(3) | LINE 9 | Yes (1) | RU SYSTEM INC | |
| ROCHESTER GENERAL LONG TERM CARE | |||||||||||
| 1550 EMPIRE BLVD | WEBSTER | NY | 14580 | 223187140 | NH & REHAB | NY | 501(C)(3) | LINE 9 | Yes (1) | RU SYSTEM INC | |
| ROCHESTER GENERAL HEALTH SYSTEM | |||||||||||
| 100 KINGS HIGHWAY SOUTH | ROCHESTER | NY | 14617 | 222551509 | SYSTEM SUPPORT | NY | 501(C)(3) | LINE 11B, II | Yes (1) | RU SYSTEM INC | |
| THE UNITY HOSPITAL OF ROCHESTER | |||||||||||
| 1555 LONG POND RD | ROCHESTER | NY | 14626 | 237221763 | HOSPITAL | NY | 501(C)(3) | LINE 3 | Yes (1) | RU SYSTEM INC | |
| NORTH PARK NURSING HOME INC | |||||||||||
| 1555 LONG POND RD | ROCHESTER | NY | 14626 | 223159644 | LONG TERM CARE FACILITY | NY | 501(C)(3) | LINE 9 | Yes (1) | RU SYSTEM INC | |
| PARK RIDGE NURSING HOME INC | |||||||||||
| 1555 LONG POND RD | ROCHESTER | NY | 14626 | 160978184 | LONG TERM CARE FACILITY | NY | 501(C)(3) | LINE 9 | Yes (1) | RU SYSTEM INC | |
| UNITY HEALTH SYSTEM FOUNDATION | |||||||||||
| 1555 LONG POND RD | ROCHESTER | NY | 14626 | 119627400 | FOUNDATION | NY | 501(C)(3) | LINE 7 | Yes (1) | RU SYSTEM INC | |
| PRCD INC | |||||||||||
| 1555 LONG POND RD | ROCHESTER | NY | 14626 | 161311581 | SUBSTANCE ABUSE TREATMENT & REHAB. | NY | 501(C)(3) | LINE 7 | Yes (1) | RU SYSTEM INC | |
| PARK RIDGE CHILD CARE CENTER INC | |||||||||||
| 1555 LONG POND RD | ROCHESTER | NY | 14626 | 222918126 | CHILD DAY CARE SERVICES | NY | 501(C)(3) | LINE 9 | Yes (1) | RU SYSTEM INC | |
| PARK RIDGE HOUSING DEVELOPMENT FUND | |||||||||||
| 1555 LONG POND RD | ROCHESTER | NY | 14626 | 222608311 | LOW INCOME HOUSING PROJECT FOR ELDERLY | NY | 501(C)(3) | LINE 9 | Yes (1) | RU SYSTEM INC | |
| PARK RIDGE HOUSING INC | |||||||||||
| 1555 LONG POND RD | ROCHESTER | NY | 14626 | 222570457 | SENIOR APARTMENT COMPLEX | NY | 501(C)(3) | LINE 9 | Yes (1) | RU SYSTEM INC | |
| PARKWAY COMMONS HOUSING DEVELOPMENT | |||||||||||
| 1555 LONG POND RD | ROCHESTER | NY | 14626 | 223130818 | LOW INCOME HOUSING FOR ELDERLY/HANDICAPPED | NY | 501(C)(3) | LINE 9 | Yes (1) | RU SYSTEM INC | |
| STBERNARD'S HOUSING DEVELOPMENT FU | |||||||||||
| 1555 LONG POND RD | ROCHESTER | NY | 14626 | 161492955 | LOW INCOME HOUSING PROJECT | NY | 501(C)(3) | LINE 9 | Yes (1) | RU SYSTEM INC | |
| UNITY AGING SERVICES INC | |||||||||||
| 1555 LONG POND RD | ROCHESTER | NY | 14626 | 841684195 | MANAGEMENT AND DEVELOPMENT CO | NY | 501(C)(3) | LINE 9 | Yes (1) | RU SYSTEM INC | |
| UNITY HOUSING DEVELOPMENT FUND CORP | |||||||||||
| 1555 LONG POND RD | ROCHESTER | NY | 14626 | 300068596 | RECEIPT AND DISBURSEMENTS OF SUBSIDIES | NY | 501(C)(3) | LINE 9 | Yes (1) | RU SYSTEM INC | |
| WOODLAND VILLAGE INC | |||||||||||
| 1555 LONG POND RD | ROCHESTER | NY | 14626 | 161588242 | SENIOR APARTMENT COMPLEX | NY | 501(C)(3) | LINE 9 | Yes (1) | RU SYSTEM INC | |
| UNITY ABULATORY SURGERY CENTER INC | |||||||||||
| 1555 LONG POND RD | ROCHESTER | NY | 14626 | 383871383 | OUTPATIENT SURGERY | NY | 501(C)(3) | LINE 9 | Yes (1) | RU SYSTEM INC | |
| UNITY HEALTH SYSTEM INC | |||||||||||
| 1555 LONG POND RD | ROCHESTER | NY | 14626 | 222572873 | SYSTEM SUPPORT | NY | 501(C)(3) | LINE 11B, II | Yes (1) | RU SYSTEM INC | |
| RU SYSTEM INC DBA ROCHESTER REGIONAL HEALTH SYSTEM | |||||||||||
| 100 KINGS HIGHWAY SOUTH | ROCHESTER | NY | 14617 | 471234999 | SYSTEM PARENT | NY | 501(C)(3) | LINE 11B, II | N/A | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NW ASSOCIATES LP | |||||||||||
| PO BOX 111 DRIVING PARK AVENUE | NEWARK | NY | 14513 | 141674119 | R/E LEASING | NY | NWCH | RELATED | 0 | 0 | |
| PARMA SENIOR HOUSING | |||||||||||
| 1555 LONG POND RD | ROCHESTER | NY | 14626 | 432082116 | HILTON PROJ | NY | 0 | 0 | N/A | ||
| UNITY SENIOR HOUSING | |||||||||||
| 1555 LONG POND RD | ROCHESTER | NY | 14626 | 061709927 | MOORE PK | NY | 0 | 0 | N/A | ||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GREATER ROCHESTER ASSURANCE COMPANY LTD | ||||||||||||||
| GEORGE TOWN | GRAND CAYMAN | CJ | INSURANCE | CJ | N/A | C | 0 | |||||||
| GRACO RISK RETENTION GROUP INC | ||||||||||||||
| INSURANCE | C | 0 | 1425 PORTLAND AVENUE | ROCHESTER | NY | 14621 | 710933967 | SC | RGH | |||||
| NWA INC | ||||||||||||||
| R/E LEASING | C | 0 | DRIVING PARK AVENUE | NEWARK | NY | 14513 | 141667339 | NY | NWCH | |||||
| GREATER ROCHESTER INDEPENDENT PRACTICE ASSOCIATION INC | ||||||||||||||
| INDEPENDENT PRACTICE ASSOCIATION | N/A | C | 0 | 100 KINGS HWY S SUITE 2500 | ROCHESTER | NY | 14617 | 161507171 | NY | |||||
| ROCHESTER GENERAL HEALTH SYSTEM DIALYSIS INC | ||||||||||||||
| DIALYSIS | C | 0 | 1425 PORTLAND AVENUE | ROCHESTER | NY | 14621 | 383912199 | NY | RGHS | |||||
| ACM MEDICAL LABORATORY INC | ||||||||||||||
| CLINICAL LAB | C | 0 | 160 ELMGROVE PARK | ROCHESTER | NY | 14624 | 161059691 | NY | PRH INC | |||||
| PRH INC | ||||||||||||||
| MEDICAL LAB | C | 0 | 1555 LONG POND ROAD | ROCHESTER | NY | 14626 | 161329632 | NY | RU SYSTEM INC | |||||
| PARMA SENIOR HOUSING LLC | ||||||||||||||
| SENIOR HOUSING | C | 0 | 1555 LONG POND ROAD | ROCHESTER | NY | 14626 | 810671687 | NY | RU SYSTEM INC | |||||
| UNITY SENIOR HOUSING CORP | ||||||||||||||
| SENIOR HOUSING | C | 0 | 1555 LONG POND ROAD | ROCHESTER | NY | 14624 | 061709925 | NY | RU SYSTEM INC | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ROCHESTER GENERAL HOSPITAL | ||
| P | $3,163,270 | FMV |
| ROCHESTER GENERAL MEDICAL GROUP (HOSPITAL) | ||
| P | $1,271,731 | FMV |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART II, COLUMN B: | FormAndLineReferenceDesc |
| Explanation | RELATED TAX-EXEMPT ORGANIZATION - PRIMARY ACTIVITY: RGHS WORKERS' COMPENSATION TRUST SUPPORTS THE GENESEE HOSPITAL, ROCHESTER GENERAL HOSPITAL, ROCHESTER GENERAL HOSPITAL FOUNDATION, NEWARK WAYNE COMMUNITY HOSPITAL, NEWARK COMMUNITY HOSPITAL FOUNDATION, INDEPENDENT LIVING FOR SENIORS, ROCHESTER GENERAL LONG TERM CARE, ROCHESTER GENERAL HUDSON HOUSING, GRHS FOUNDATION, BEHAVIORAL HEALTH NETWORK, AND ROCHESTER GENERAL HEALTH SYSTEM. | ExplanationTxt |