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THE FREDERICK FERRIS THOMPSON HOSPI TAL: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
THE FREDERICK FERRIS THOMPSON HOSPI TAL (EIN 16-0743024)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-11
IRS object ID
201543179349303399
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

FieldValueIRS element (for citing)
Return2015-11-11T15:29:45-07:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN160743024EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FREDERICK FERRIS THOMPSON HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFREDBusinessNameControlTxt
Phone5853966124PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 Parrish StreetAddressLine1Txt
CityCanandaiguaCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14424ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMark PrunoskePersonNm
Person TitleSr VP Finance/CFOPersonTitleTxt
Phone5853966280PhoneNum
Signature2015-11-12SignatureDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMichael F Stapleton JrPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 Parrish StreetAddressLine1Txt
CityCanandaiguaCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14424ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$115,794,527GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.thompsonhealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1904FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionFF Thompson Hospital is a community hospital which exists to serve the healthcare needs of the people in partnership with regional healthcare providers. FF Thompson Hospital serves as the center of a healthcare network to provide a full range of healthcare services and to improve community health.ActivityOrMissionDesc
Voting Members Governing Body24VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee1295TotalEmployeeCnt
Total Volunteers221TotalVolunteersCnt
Total Gross UBI$647,667TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,504,029PYContributionsGrantsAmt
CY Contributions Grants$1,408,255CYContributionsGrantsAmt
PY Program Service Revenue$100,334,288PYProgramServiceRevenueAmt
CY Program Service Revenue$109,633,847CYProgramServiceRevenueAmt
PY Investment Income$2,045,108PYInvestmentIncomeAmt
CY Investment Income$118,379CYInvestmentIncomeAmt
PY Other Revenue$3,317,885PYOtherRevenueAmt
CY Other Revenue$2,905,173CYOtherRevenueAmt
PY Total Revenue$107,201,310PYTotalRevenueAmt
CY Total Revenue$114,065,654CYTotalRevenueAmt
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$55,692,125PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$62,580,422CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$184,471CYTotalFundraisingExpenseAmt
PY Other Expenses$45,723,277PYOtherExpensesAmt
CY Other Expenses$47,697,518CYOtherExpensesAmt
PY Total Expenses$101,415,402PYTotalExpensesAmt
CY Total Expenses$110,277,940CYTotalExpensesAmt
PY Revenues Less Expenses$5,785,908PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,787,714CYRevenuesLessExpensesAmt
Total Assets BOY$112,458,502TotalAssetsBOYAmt
Total Assets EOY$117,309,695TotalAssetsEOYAmt
Total Liabilities BOY$67,243,444TotalLiabilitiesBOYAmt
Total Liabilities EOY$74,706,547TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$45,215,058NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$42,603,148NetAssetsOrFundBalancesEOYAmt
MissionFF Thompson Hospital is a community hospital which exists to serve the health care needs of the people in partnership with regional health care providers. FF Thompson Hospital serves as the center of a health care network to provide a full range of health care services and to improve community health.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$85,770,709ExpenseAmt
Grant$0GrantAmt
Revenue$111,361,896RevenueAmt
DescInpatient care: 5,596 Inpatient discharges, 21,783 Inpatient Days. Outpatient: 1,229,873 Lab visits/tests, 25,524 ED visits, 61,082 Diagnostic Imaging, 17,343 Urgent Care, 29,479 Rehabilitation Services, and 5,749 Surgical Services. Charity Care was provided in the amount of $231,297 (at cost). Community Benefit was $2,368,307. Uncompensated Care was $3,908,896.Desc
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$85,770,709TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
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 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
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
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document186IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1295EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
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 Members24GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
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 Line1FF Thompson HospitalBusinessNameLine1Txt
Business Name Line2Roberta SpezzanoBusinessNameLine2Txt
FieldValueIRS element (for citing)
Phone5853966124PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 Parrish StreetAddressLine1Txt
CityCanandaiguaCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14424ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
James H Barr CPA
Board Member0.50.5Yes (X)$0$0$0
Bradford Berk MD
Board Member0.565Yes (X)$0$931,915$451,486
Richard Cutri
Board Member0.50.5Yes (X)$0$0$0
Randall Farnsworth
Board Member0.50.5Yes (X)$0$0$0
Ellie Fralick
Board Member at Large0.50.5Yes (X)$0$0$0
Roger Friedlander
Board Member0.50.5Yes (X)$0$0$0
Daniel Fuller
Board Member0.50.5Yes (X)$0$0$0
Steven Goldstein
Board Member0.571Yes (X)$0$942,378$280,988
Frank Hamlin ESQ
Board Member0.50.5Yes (X)$0$0$0
Richard H Hawks Jr
Board Chair11Yes (X)$0$0$0Yes (X)
Paul Hudson
Board Vice Chair11Yes (X)$0$0$0Yes (X)
William R Kenyon ESQ
Board Member0.50.5Yes (X)$0$0$0
Ronald Knight
Board Member0.50.5Yes (X)$0$0$0
Thomas Kubiak
Board Member0.50.5Yes (X)$0$0$0
Robert N Latella Esq
Board Member11Yes (X)$0$0$0
Raymond Mayewski MD
Board Member0.560Yes (X)$0$604,132$117,066
John McGuire MD
Board Member President of the Medical Staff420Yes (X)$228,417$0$58,529Yes (X)
Brian Meath
Board Secretary11Yes (X)$0$0$0
Reverend Thomas Mull
Board Member0.50.5Yes (X)$0$0$0
Deborah Price
Board Member0.50.5Yes (X)$0$0$0
Carl Sahler MD
Board Member0.50.5Yes (X)$0$0$0
Robert Sands
Board Treasurer11Yes (X)$0$0$0Yes (X)
Michael F Stapleton JR
President/CEO319Yes (X)$0$403,698$88,072Yes (X)
Cynthia Teerlinck MD
Board Member0.50.5Yes (X)$0$0$0
Lori Van Dusen
Board Member0.50.5Yes (X)$0$0$0
David Baum MD
SVP Medical Affairs & Emergency Physician382$274,538$83,646$88,613Yes (X)
Jennifer DeVault
VP Associate Services and Wellness400$131,365$0$40,965Yes (X)
Kurt Koczent
EVP/COO382$183,673$45,918$58,440Yes (X)
Carlos R Ortiz MD
SVP Medical Services355$0$305,086$55,461Yes (X)
Mark Prunoske
Senior VP & CFO2713$0$264,092$77,742Yes (X)
Hazel Robertshaw
VP Patient Care Services/CNO400$143,053$0$21,684Yes (X)
Elizabeth Talia
VP Legal & Regulatory Affairs and General Counsel25.514.5$0$158,256$19,913Yes (X)
Vijay Bansal MD
Physician420$390,484$0$38,593Yes (X)
Timothy Pitler MD
Physician460$342,266$0$138,773Yes (X)
Jason McClung MD
Physician430$324,748$0$37,779Yes (X)
Matthew Osborne MD
Physician440$308,370$0$43,161Yes (X)
Kirk Heriot MD
Physician420$296,619$0$118,742Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,623,533TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,739,121TotReportableCompRltdOrgAmt
Total Other Compensation$1,736,007TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K59IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
Mckesson Technologies Inc
PO Box 98347ChicagoIL606938347Support and fees$899,436
Weatherby Locums Inc
P O Box 972633DallasTX753972633Medical Staffing$776,311
Honor Medical Staffing
21415 Civic Center DrSouthfieldMI48076Medical Staffing$644,050Number 211
Philips Healthcare
PO Box 100355AtlantaGA303840355Service Agreement$604,308
Canandaigua Medical Group
335 Parrish StreetCanandaiguaNY14424On Call Services$504,358
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K28CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$950,054RelatedOrganizationsAmt
Government Grants$443,201GovernmentGrantsAmt
All Other Contributions$15,000AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$1,408,255TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Community Health Service622000$93,188,770$92,541,103$647,667$0
Medicare/Medicaid Payments622000$16,445,077$16,445,077$0$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$109,633,847TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$110,196TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$110,196ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$821,689SecuritiesAmt
Other$915,367OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$763,981SecuritiesAmt
Other$964,892OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$57,708SecuritiesAmt
Other-$49,525OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,183TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$8,183ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$0ContriRptFundraisingEventAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Associate/Patient Support622000$1,177,124$0$0$1,177,124
Meaningful Use622000$1,728,049$1,728,049$0$0

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,905,173OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$114,065,654TotalRevenueColumnAmt
Related Or Exempt Func Income$110,714,229RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$647,667UnrelatedBusinessRevenueAmt
Exclusion$1,295,503ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$961,047TotalAmt
Program Services$502,955ProgramServicesAmt
Management And General$458,092ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$49,242,376TotalAmt
Program Services$40,572,772ProgramServicesAmt
Management And General$8,669,604ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,227,860TotalAmt
Program Services$1,826,845ProgramServicesAmt
Management And General$401,015ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,683,579TotalAmt
Program Services$5,480,535ProgramServicesAmt
Management And General$1,203,044ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,465,560TotalAmt
Program Services$2,841,759ProgramServicesAmt
Management And General$623,801ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$577,085TotalAmt
Program Services$10,453ProgramServicesAmt
Management And General$566,632ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$171,588TotalAmt
Program Services$0ProgramServicesAmt
Management And General$171,588ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$95,020TotalAmt
Program Services$0ProgramServicesAmt
Management And General$95,020ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,504,316TotalAmt
Program Services$2,979,763ProgramServicesAmt
Management And General$2,524,553ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$17,663TotalAmt
Program Services$0ProgramServicesAmt
Management And General$17,663ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$17,483,148TotalAmt
Program Services$16,988,320ProgramServicesAmt
Management And General$494,828ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,962,604TotalAmt
Program Services$1,321,770ProgramServicesAmt
Management And General$1,640,834ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,673,323TotalAmt
Program Services$1,545,663ProgramServicesAmt
Management And General$127,660ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$88,129TotalAmt
Program Services$54,101ProgramServicesAmt
Management And General$34,028ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$144,051TotalAmt
Program Services$122,869ProgramServicesAmt
Management And General$21,182ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,797,245TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,797,245ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$184,471TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$184,471FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,116,744TotalAmt
Program Services$5,835,730ProgramServicesAmt
Management And General$1,281,014ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$825,038TotalAmt
Program Services$0ProgramServicesAmt
Management And General$825,038ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Health System member Assessment$3,247,172$1,233,925$2,013,247$0
Provision for Uncollectible Accounts$3,908,896$3,908,896$0$0
New York State Cash Assessment$422,973$0$422,973$0
Facility Services$812,552$0$812,552$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$665,500TotalAmt
Program Services$544,353ProgramServicesAmt
Management And General$121,147ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$110,277,940TotalAmt
Program Services$85,770,709ProgramServicesAmt
Management And General$24,322,760ManagementAndGeneralAmt
Fundraising$184,471FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,383BOYAmt
EOY$3,174EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$24,403,349BOYAmt
EOY$24,246,470EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,798,155BOYAmt
EOY$7,212,684EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,801,438BOYAmt
EOY$1,828,919EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$749,161BOYAmt
EOY$3,089,905EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$135,870,992LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$72,187,328LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$67,620,835BOYAmt
EOY$63,683,664EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$912,034BOYAmt
EOY$970,774EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$11,170,147BOYAmt
EOY$16,274,105EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$112,458,502BOYAmt
EOY$117,309,695EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$13,775,755BOYAmt
EOY$12,702,709EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$39,329,733BOYAmt
EOY$38,249,733EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,190,087BOYAmt
EOY$1,339,262EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,947,869BOYAmt
EOY$22,414,843EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$67,243,444BOYAmt
EOY$74,706,547EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$41,158,199BOYAmt
EOY$38,256,082EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,056,859BOYAmt
EOY$4,347,066EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$45,215,058BOYAmt
EOY$42,603,148EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$112,458,502BOYAmt
EOY$117,309,695EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,787,714ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$164,468NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$6,564,092OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,160,115BeginningYearBalanceAmt
Contributions$60,504ContributionsAmt
Investment Earnings Or Losses$440,305InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$250,777OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$8,410,147EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,571,403BeginningYearBalanceAmt
Contributions$13,176ContributionsAmt
Investment Earnings Or Losses$1,114,484InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$538,948OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$8,160,115EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,934,130BeginningYearBalanceAmt
Contributions$167,545ContributionsAmt
Investment Earnings Or Losses$769,935InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$300,207OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$7,571,403EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,239,690BeginningYearBalanceAmt
Contributions$863,280ContributionsAmt
Investment Earnings Or Losses$44,331InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$213,171OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$6,934,130EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,619,137BeginningYearBalanceAmt
Contributions$72,378ContributionsAmt
Investment Earnings Or Losses$814,801InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$266,626OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$6,239,690EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.93BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.07PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$58,076OtherCostOrOtherBasisAmt
Book Value$58,076BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$76,720,587OtherCostOrOtherBasisAmt
Depreciation$31,441,067DepreciationAmt
Book Value$45,279,520BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$574,594OtherCostOrOtherBasisAmt
Depreciation$271,697DepreciationAmt
Book Value$302,897BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$54,415,416OtherCostOrOtherBasisAmt
Depreciation$38,822,372DepreciationAmt
Book Value$15,593,044BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$4,102,319OtherCostOrOtherBasisAmt
Depreciation$1,652,192DepreciationAmt
Book Value$2,450,127BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$63,683,664TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
Other Assets$4,279,362
Due from Affiliates$629,411
Assets Limited as to Use$5,067,710
Beneficial Interest in Charitable Remainder Trust$378,592
Deferred Financing Costs, net$1,605,462
Beneficial Interest in net assets of FFTH Foundation$4,313,568
FieldValueIRS element (for citing)
Total Book Value Other Assets$16,274,105TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
Accrued Pension Liability$14,406,716
Charitable Gift Annuity Payment Liability$103,238
Interest Rate Swap Liability$507,975
Third Party Payor Accrual$3,060,093
Other Non-Current Liabilities Acc Ins reserve$751,331
Other Non-Current Liabilities MCIC Tail Liability$415,560
Other Non-Current Liabilities L-T Workers Comp Liability$3,169,930
FieldValueIRS element (for citing)
Total Liability$22,414,843TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$113,294,243TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$0NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants$0RecoveriesPriorYearGrantsAmt
Other Revenue$129,140OtherRevenueAmt
Revenue Not Reported$129,140RevenueNotReportedAmt
Revenue Subtotal$113,165,103RevenueSubtotalAmt
Investment Expenses Not Incld$0InvestmentExpensesNotIncldAmt
Other Revenues Not Included$900,551OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$900,551RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$114,065,654TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$106,184,573TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$0DonatedServicesUseFcltsAmt
Prior Year Adjustments$0PriorYearAdjustmentsAmt
Losses Reported$0LossesReportedAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$106,184,573ExpensesSubtotalAmt
Investment Expenses Not Incld2$0InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$4,093,367OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$4,093,367ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$110,277,940TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4The funds are held by the Foundation for the benefit of FF Thompson Health System, Hospital, Senior Communities, and Continuing Care Center. The Foundation continuously evaluates the needs of these organizations and attempts to meet those needs.
Schedule D, Part X, Line 2As of December 31, 2014 and 2013, the Hospital does not have a liability for unrecognized tax positions. The Hospital files informational tax returns in the U.S. federal jurisdiction and New York State. The Hospital is no longer subject to U.S. federal and state informational tax examinations by tax authorities for years through 2010.
Schedule D, Part XI, Line 2dNet Assets released from restrictions used for operations $129,140
Schedule D, Part XI, Line 4bContributions from the FF Thompson Foundation Inc $900,551
Schedule D, Part XII, Line 4bPayment for services from the FF Thompson Foundation Inc $184,471, Provision for bad debts $3,908,896.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$605,273TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$373,976DirectOffsettingRevenueAmt
Net Community Benefit Expns$231,297NetCommunityBenefitExpnsAmt
Total Expense0.0022TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,635,391TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,655,642DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,236,270NetCommunityBenefitExpnsAmt
Total Expense0.0304TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$13,240,664TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,029,618DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,467,567NetCommunityBenefitExpnsAmt
Total Expense0.0326TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$575,262TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$92,657DirectOffsettingRevenueAmt
Net Community Benefit Expns$482,605NetCommunityBenefitExpnsAmt
Total Expense0.0045TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,435,819TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,815,087DirectOffsettingRevenueAmt
Net Community Benefit Expns$620,732NetCommunityBenefitExpnsAmt
Total Expense0.0058TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,835TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$28,835NetCommunityBenefitExpnsAmt
Total Expense0.0003TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$6,039,916TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,907,744DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,132,172NetCommunityBenefitExpnsAmt
Total Expense0.0106TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$19,280,580TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,937,362DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,599,739NetCommunityBenefitExpnsAmt
Total Expense0.0432TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$239,768TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$239,768NetCommunityBenefitExpnsAmt
Total Expense0.0025TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$38,532TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$38,532NetCommunityBenefitExpnsAmt
Total Expense0.0004TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$52,010TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$34DirectOffsettingRevenueAmt
Net Community Benefit Expns$51,976NetCommunityBenefitExpnsAmt
Total Expense0.0005TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$906,189TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$330DirectOffsettingRevenueAmt
Net Community Benefit Expns$905,859NetCommunityBenefitExpnsAmt
Total Expense0.0093TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$1,236,499TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$364DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,236,135NetCommunityBenefitExpnsAmt
Total Expense0.0127TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$3,908,896BadDebtExpenseAmt
Bad Debt Expense Attributable$78,178BadDebtExpenseAttributableAmt
Reimbursed By Medicare$14,633,553ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$16,563,719CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,930,166MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Fredrick Ferris Thompson HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 Parrish StreetAddressLine1Txt
CityCanandaiguaCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14424ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.thompsonhealth.orgWebsiteAddressTxt
State License3429000HStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1The Fredrick Ferris Thompson HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLhttp://www.co.ontario.ny.us/DocumentCenter/View/3186OtherWebsiteURLTxt
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLwww.thompsonhealth.com/AboutThompsonHealth/NewsRoom/PublicationsStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5-The Fredrick Ferris Thompson HospitalOntario County Public Health was charged with working with local hospitals and other key partner agencies to select two key health priorities and one disparity to address in the community. To this end, we partnered with Ontario County Public Health, the S2AY Rural Health Network in a comprehensive process involving other local hospitals, community organizations, and county residents. We launched a 22- month long process to collect data, solicit opinions, facilitate a process and guide a discussion to determine not only what the most pressing problems facing our county are, but also what we can effectively and efficiently address. Led by the S2AY Rural Health Network, Ontario County Public Health Department with local hospitals and community partners utilized the Mobilizing for Action through Planning and Partnership (MAPP) process to determine two priorities and a disparity from the 2013 - 2017 Prevention Agenda. Organizations that participated in the community health assessment process included: Ontario County Public Health Department, Clifton Springs Hospital and Clinic, FF Thompson Hospital, Geneva General Hospital, S2AY Rural Health Network, Geneva Housing Authority, Churches in Action, Ontario County Youth Bureau, Ontario County Office of the Aging, Ontario County DSS, Ontario County Sheriff's Office, Ontario County Mental Health Department, Ontario United Way, Ontario County Workforce Development, Ontario County Correctional Facility, Finger Lakes Visiting Nurse Services, Courts of Ontario County, Canandaigua Red Cross, The Salvation Army Rushville Health Center (RPCN), Geneva Head Start, Canandaigua Veterans Affairs Medical Center, Finger Lakes Cerebral Palsy/Happiness House, NAACP - Geneva Geneva Community Health, Ontario County ARC, Catholic Charities, The Monroe Plan for Medical Care, Lifetime Care, Finger Lakes Addictions Counseling and Referral Agency (FLACRA), Cornell Cooperative Extension, Partnership for Ontario County Council on Alcoholism & Addictions in the Finger Lakes, Council of Churches, Our Lady of Peace Parish, Success for Geneva's Children, Finger Lakes Community College Finger Lakes WIC Program, Town of Hopewell, Tobacco Coalition of the Finger Lakes Youth for Youth, Ontario Finger Lakes BOCES, Hobart William Smith Colleges, Hubbs Health Center, Finger Lakes Health, Child and Family Resources, Inc.
Schedule H, Part V, Section B, Line 6a-The Fredrick Ferris Thompson HospitalGeneva General Hospital (Finger Lakes Health), Clifton Springs Hospital
Schedule H, Part V, Section B, Line 6b-The Fredrick Ferris Thompson Hospitalrefer to explanation Line 5.
Schedule H, Part V, Section B, Line 7d-The Fredrick Ferris Thompson HospitalYearly Community Benefit Report Booklet (mailing)
Schedule H, Part V, Section B, Line 11-The Fredrick Ferris Thompson Hospitalthe Hanlon Method was used to rank the issues. This method of ranking focuses most heavily on how effective any interventions might be. The Hanlon Method utilizes the following formula to rank priorities: (A & 2B) X C where A= the size of the problem, B= the severity of the problem and C=the effectiveness of the solution. The effectiveness of the solution is given a lot more weight than the size or seriousness of the problem, with the hope of making wise use of limited resources by targeting solutions that are known to be effective. Participants also consider the weight of the Propriety, Economic feasibility, Acceptability, Resources and Legality (PEARL) of issues in this ranking system. Numerical values were determined by each participant for size, severity and effectiveness, and then plugged into the formula along with average PEARL scores. It is important to note that while the Hanlon Method offers a numerical and systematic method of ranking public health priorities, it is still a method that is largely subjective, but which represents a quantitative way to rank qualitative and non-comparable quantitative information. Since respondents ranked each component (size, seriousness and effectiveness of the solution) individually using a paper ranking form, the rankings were not heavily influenced by group dynamics. Based upon the ranking through the Hanlon Method, Ontario County's scores on the top health related issues in the county were: Cerebrovascular Disease (stroke, hypertension) Cancer (lung, ovarian, prostate) Poor Nutrition (unhealthy eating) Obesity (including lack of physical activity & fitness) Behavioral Problems in Children Dental Health Depression/Other Mental Illnesses Smoking/Tobacco Use/Secondhand Smoke Access to Specialty Health Care Drug & Alcohol Abuse/Abuse of Prescription Drugs or CLRD (COPD) Unintentional Injuries Community partners discussed all these issues, but concentrated on the top ranked issues. After reviewing, discussing and considering county assessments, data and previous initiatives the group decided to focus on the top two priorities of: 1. Obesity 2. Hypertension And the following disparity: Obesity in the low-income population. Community partners discussed all the identified needs, but concentrated on the top ranked ones. The assemblage acknowledged there were other areas of need that would require attention or in some cases, the need was already being addressed. The group was also mindful of the New York State Prevention Agenda focused areas. After reviewing, discussing and considering county assessments, data, previous initiatives, along with available resources, the group decided to focus on the two areas in which they felt they could have the most impact on as a collaborating body. 1. Obesity 2. Hypertension And the following disparity: Obesity in the low-income population. The group then sat down together and developed their Community Service Plan / Community Health Improvement Plan (CHIP) initiatives. The focused areas listed above have several action items listed out on the Community Service Plan for both areas and cites what specifically is being done to address each area.
Schedule H, Part V, Section B, Line 16a-The Fredrick Ferris Thompson Hospitalhttp://www.thompsonhealth.com/HealthCareServices/PatientsVisitors/FinancialBilling/FinancialAid.aspx
Schedule H, Part V, Section B, Line 16b-The Fredrick Ferris Thompson Hospitalhttp://www.thompsonhealth.com/HealthCareServices/PatientsVisitors/FinancialBilling/FinancialAid.aspx
Schedule H, Part V, Section B, Line 16c-The Fredrick Ferris Thompson Hospitalhttp://www.thompsonhealth.com/HealthCareServices/PatientsVisitors/FinancialBilling/FinancialAid.aspx
Schedule H, Part V, Section B, Line 22d-The Fredrick Ferris Thompson HospitalAll uninsured patients received a discount. Inpatient discount is applied to charges to bring to the Medicare Inpatient DRG reimbursement. A 50% discount to charges is applied for all outpatient services. For all insured patients, balances after insurance were assigned to the visit and patients who already were qualified for financial assistance - appropriate discount on the balance was applied. With current policies and procedures, no patients are billed at 100% of hospital charges.

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 3cAll patients with no insurance receive a discount. Inpatient discount is applied to charges to bring to the Medicare Inpatient DRG reimbursement. A 50% discount to charges is applied for all Outpatient services.
Schedule H, Part I, Line 7Schedule H, Part I, Line 7 - Patient Cost to Charge calculated according to the IRS 990 schedule H worksheet instructions.
Schedule H, Part I, Line 7, Column fBad debt in the amount of $3,908,896 which is included in Part IX is removed for the purposes of calculating the percentage on Schedule H, Part I, Line 7, column f.
Schedule H, Part I, Line 7gThere are no physician clinic costs included in these services.
Schedule H, Part IIThompson Health maintains many links and affiliations with community and health organizations to enhance its ability to develop and deliver community programs. Through these partnerships Thompson Health has established a diverse array of community health programs to meet the communities' specific needs. Some of our partnerships include work with the county, school districts, colleges and industry as well as other non-profit community organizations.
Schedule H, Part III, Section A, Line 4As stated in the footnotes to Financial Statements, "An allowance for doubtful accounts receivable is estimated by management based on periodic reviews of collectability of accounts receivable considering historical experience and prevailing economic conditions." Bad debt expense is not included in the community benefit number or treated as community benefit. Bad debt expenses are reported net of recoveries and per the audited financials.
Schedule H, Part III, Section B, Line 8Medicare payments are converted to Medicare gross charges. The cost to charge ratio computed on Worksheet 2, line 11 is then applied. Medicare shortfalls are not included in or considered community benefit.
Schedule H, Part III, Section C, Line 9bCollection practices are the same for insured and uninsured patients. Patients are billed for any balance due after insurance. Patients who are uninsured are billed at the inpatient and outpatient discounted rates. Patients who are known to qualify for financial assistance are identified on the patient account and any collection activity is sent to the patient only after any financial assistance has been applied to their account. For patients who have applied for additional financial aid, collection on the accounts discontinue until the financial aid application is reviewed and either approved or denied. Patients receiving partial financial aid will continue with the collection process for the balance due after receiving additional financial aid. Patients denied further financial aid will continue with the collection process. All patients receive balance due statements for 120 days in 30 day cycles. Payment arrangements are available to patients. If payment arrangements are made, patients will receive monthly statements with the arranged monthly payment.
Schedule H, Part VI, Line 2Based on its commitment to the community, FF Thompson hospital completed a community health assessment to better understand the needs of the community members. The following identifies the participants in the process of conducting the community health assessments. Participants: The hospital worked with a broad-base of area community agencies known as "The Ontario County Partners for Community Solutions" to continue actions and implement the community health assessment. The participants in this committee included FF Thompson health, the Ontario County Department of Public Health, the Ontario County Office of Aging, the Ontario County Youth Bureau, the United Way, and the Canandaigua Churches in Action (a local church consortium.) Together this group developed and implemented a community health assessment to determine the ongoing needs of the county and to continue laying the groundwork for a county plan to address these needs.
Schedule H, Part VI, Line 3The Thompson Health Community Care Program is communicated in appropriate detail in several mediums. All efforts to provide information at a variety of locations using a variety of media and techniques are attempted. Thompson Health makes its best effort to make the program information available to patients prior to them receiving services, however; it is recognized that in many cases patients will investigate the Financial Aid/Community Care program after services are rendered. Thompson Health makes its best efforts to verbally communicate the program through its associates recognizing that there are levels of associate involvement. Patient registration staffs verbally inform all self-pay patients of this available benefit. There are pamphlets and informational sheets available for all patients in the registration area. Thompson Health associates are given information sheets to assist them with the ability to communicate this program to patients. Translation services are available as needed for any population that reaches 5% of total population visits per year. A variety of written communications are also used such as: Information sheets - located in the same areas as the signs will be information sheets regarding the availability of a financial aid/community care program identifying key contacts for further information. Application and directions - these documents provide the patient with the program application and directions as to how to complete the application and the additional information required for a complete application. These applications are handed out in the Emergency Department to self-pay patients. Patient Bills and Collection Correspondence - patient billing statements include a statement regarding the existence of the program and who to contact. Similar information is included in the "collection" letters. Electronic Media: Intranet - Thompson Health's intranet includes this policy and directions in the Policy & Procedure Manual on the intranet making the policy and program available to all associates. Internet Web Site - Thompson Health incorporates general information about the policy, sliding fee application and directions on its web site. Non-Patient Communication - Financial counselors communicate the program with community health & human service agencies and social service organizations and agencies. (I.e. Office of the Aging, etc.) as well as companies it utilizes in its collection efforts (i.e. collection agencies.)
Schedule H, Part VI, Line 4The method by which FF Thompson hospital defines its service area includes an analysis of its primary and secondary service area as well as the area demographics. The following defines the service areas and provides a demographic summary of the region. Definition of primary and secondary service areas: Thompson health provides services to persons in Ontario County and parts of Wayne, Monroe, Livingston, Yates, and Seneca counties. Thompson health defines its primary service area as including those zip codes that cumulatively add up to 70% of its inpatient admissions and where we receive greater than 50% of the market share. At the 70th percentile the remaining zip codes (up to the 90th percentile) comprise the secondary service area. Distribution by age group for the community is as follows: 29% 35 - 54, 18% 0 - 14, 13% 55 - 64, 12% 25 - 34, 10% 18 - 24, 8% 15 - 17. The current household incomes fall into the following groups: 27% $25-50k, 22% $50k - 75k, 19% Over $100k, 14%.
Schedule H, Part VI, Line 5A majority of Thompson Health's governing body is comprised of persons who reside in our primary service area and are neither employees, contractors, or family members therof. Our organization extends privileges to all qualified physicians in our community for all departments. All surplus funds are rolled into a fund balance for future year capital growth purposes which ensures improvement of our patient care areas. Thompson Hospital is committed to staying connected to our community members. Each of our executives and many of our directors serve on at least one or two boards of directors for the businesses in our community. Also in response to a national shortage of physicians, Thompson continues to recruit new physicians specializing in several arenas as well as additional family practitioners ensuring physician coverage for our community members. Thompson Hospital is a New York State Department of Health designated Stroke Center. We strive to use our resources effectively and efficiently to promote health and to reduce the overall cost of health care, address a multitude of issues and populations, address the health needs of the individual that go beyond medical and physical issues, and to ensure services are locally based.
Schedule H, Part VI, Line 6THE UNIVERSITY OF ROCHESTER MEDICAL CENTER IS AN INTEGRATED ACADEMIC HEALTH CENTER THAT COMPRISES THE SCHOOL OF MEDICINE AND DENTISTRY, INCLUDING ITS FACULTY PRACTICE(UNIVERSITY OF ROCHESTER MEDICAL FACULTY GROUP), STRONG MEMORIAL HOSPITAL, GOLISANO CHILDREN'S HOSPITAL, JAMES P WILMOT CANCER CENTER, SCHOOL OF NURSING, EASTMAN DENTAL CENTER, AND ITS AFFILIATES, HIGHLAND HOSPITAL, VISITING NURSE SERVICE, HIGHLANDS LIVING CENTER, HIGHLAND COMMUNITY DEVELOPMENT CORPORATION (D/B/A THE HIGHLANDS AT PITTSFORD), AND THE MEADOWS AT WESTFALL, INC (D/B/A THE HIGHLANDS AT BRIGHTON) -ONE OF THE NATION'S TOP ACADEMIC MEDICAL CENTERS, THE UNIVERSITY OF ROCHESTER MEDICAL CENTER FORMS THE CENTERPIECE OF THE UNIVERSITY'S HEALTH RESEARCH, TEACHING, PATIENT CARE, AND COMMUNITY OUTREACH MISSIONS WITH MORE THAN $145 MILLION IN FEDERAL RESEARCH FUNDING, UR SCHOOL OF MEDICINE RESEARCH FUNDING RANKS IN THE TOP ONE-QUARTER AMONG OF U S MEDICAL CENTERS WHILE THE SCHOOL OF NURSING RANKS 12TH HIGHEST IN FUNDING THE UNIVERSITY'S HEALTH CARE DELIVERY NETWORK IS ANCHORED BY STRONG MEMORIAL HOSPITAL-A 800-BED UNIVERSITY-OWNED TEACHING HOSPITAL PATIENTS BENEFIT FROM THE MEDICAL CENTER'S ROBUST TEACHING AND BIOMEDICAL RESEARCH PROGRAMS RESEARCH FACULTY HAVE ATTRACTED EXTERNAL FUNDING TOTALING APPROXIMATELY $300 MILLION DURING THE LAST FISCALYEAR THE MEDICAL CENTER HAS ACHIEVED TOP-15 RANKINGS IN NIH FUNDING IN BIOCHEMISTRY, MICROBIOLOGY AND IMMUNOLOGY, NEUROLOGY,OBSTETRICS AND GYNECOLOGY, ORAL BIOLOGY AND MUSCULOSKELETAL RESEARCH STUDENT ROSTERS INCLUDE APPROXIMATELY 400 MEDICAL STUDENTS, 550 GRADUATE STUDENTS, AND 600 RESIDENTS AND FELLOWS - GOLISANO CHILDREN'S HOSPITAL, HOUSED IN STRONG MEMORIAL HOSPITAL, IS A 132-BED CHILDREN'S HOSPITAL THAT SERVES AS THE REFERRAL CENTER FOR UPSTATE NEW YORK, SURROUNDING STATES AND CANADA IT COMBINES AWARD-WINNING RESEARCH, INTERNATIONALLY ACCLAIMED EDUCATION AND COMPASSIONATE CARE TO SERVE CHILDREN ANDFAMILIES PEDIATRIC SPECIALTIES INCLUDEORTHOPEDICS, NEUROLOGY/NEUROSURGERY, CANCERAND NEONATAL CARE - THE JAMES P WILMOT CANCERCENTER IS ORGANIZED AROUND A MULTIDISCIPLINARYCARE MODEL, WHICH LEADING CANCER EXPERTS BELIEVES THE GOLD STANDARD IN CANCER CARE IN THE 21ST CENTURY ITS MODEL UNDERSCORES A COMMITMENT TO PROVIDE PATIENTS IN THE ROCHESTER AREA WITH THEMOST UP-TO-DATE INFORMATION AND AVAILABLETREATMENTS, BASING ITS RECOMMENDATIONS ON THEBEST EVIDENCE IT IS ONE OF THE ONLY CENTERS IN WESTERN NEW YORK OFFERING THIS TEAM APPROACH TO CARE - EASTMAN DENTAL CENTER PROVIDES COMMUNITY DENTAL CARE IN A NUMBER OF CLINICS AS WELL AS CLINICAL EDUCATION TO DENTAL STUDENTS ENROLLED AT THE UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY IT OFFERS GENERAL DENTISTRY, PEDIATRIC AND ORTHODONTIC CLINICS AND HAS RECENTLY ADDED AN URGENT CARE DENTAL CLINIC THAT SEES APPROXIMATELY 50 PATIENTS A DAY - HIGHLAND HOSPITAL IS A FULL-SERVICES COMMUNITY HOSPITAL THAT ALSO OFFERS NUMEROUS SPECIALTY SERVICES THAT DRAW PATIENTS FROM THE REGION AND CANADA BARIATRIC SURGERY, JOINT REPLACEMENT, GERIATRICS, WOMEN'S SERVICES AND MATERNITY HIGHLAND HOSPITAL'S EVOLUTION AS A FULL-SERVICES COMMUNITY HOSPITAL, WITH A FULL COMPLEMENT OF SUBSPECIALTY SERVICES, ENABLES THE HOSPITAL TO ACCEPT PATIENTS FROM STRONG MEMORIAL'S ED AND FLOORS- IMPORTANT TO ASSURING ACCESS OF CARE, SINCE STRONG IS OFTEN AT OR NEAR FULL - VISITING NURSE SERVICE PROVIDES HOME COMMUNITY-BASED CARE TO MORE THAN 14,000 ANNUALLY, INCLUDING NURSING, THERAPY, PERSONAL CARE SUPPORT,AND MEALS ON WHEELS THE AGENCY IS RECOGNIZED FOR ITS SUCCESS IN UNNECESSARY HOSPITALIZATIONS - FF THOMPSON HOSPITAL LOCATED IN CANANDAIGUA, NY IS 113-BED ACUTE CARE COMMUNITY HOSPITAL SERVING ONTARIO COUNTY, NEW YORK, AND A 188-BED SKILLED NURSING FACILITY FF THOMPSON ALSO OPERATES NINE SATELLITE CLINICS PROVIDING URGENT CARE, PRIMARY CARE, RHEUMATOLOGY SERVICES AND TREATMENTOF SLEEP DISORDERS - THE HIGHLANDS AT CAMPUS INCLUDES TWO SEPARATE WITH DIFFERENT ACTIVITIES OFFERING NURSING CARE AS WELL AS ASSISTED AND LIVING FOR SENIORS THE HIGHLANDSCENTER IS A 122-BED SKILLED NURSING FACILITY ALSO OFFERS AN ADULT DAY CARE PROGRAM THE ASSISTED LIVING,171-BED INDEPENDENT AND COMMUNITY EDUCATION ARE PROVIDED BY COMMUNITY DEVELOPMENT CORPORATION THE HIGHLANDS AT PITTSFORD AND LAURELWOOD THE HIGHLANDS THE HIGHLANDS OFFER A SERIES OF COMMUNITY EDUCATION ON CURRENT HEALTH TOPICS, INCLUDING HEALTH, NUTRITION ORAL HEALTH AND PREVENTION, TO NAME A FEW - THE HIGHLANDS AT BRIGHTON IS A 145-BED SKILLED NURSING FACILITY THAT SPECIALIZES IN CARE FOR THE MOST MEDICALLY COMPLEX CASES BOTH NURSING HOMES REFER TO HIGHLAND FOR THE QUALITY AND BREADTH OF ITS GERIATRIC CARE MANY HIGHLAND GERIATRICIANS SERVE A DUAL ROLE WITH THESE AGENCIES PROVIDING SERVICE AS A MEDICAL DIRECTOR AND/OR ATTENDING PHYSICIAN, WHICH STRENGTHENS THE COLLABORATION BETWEEN NURSING HOME, HOME NURSING CARE, PATIENT AND FAMILY THIS LINKAGE STRENGTHENS PRACTIONERS' KNOWLEDGE OF EACH OTHER AND OF COLLABORATION, PRODUCING A HIGH QUALITY CARE AND SMOOTHER TRANSITIONS FOR PATIENTS WHO MAY NEED ANY OR ALL OF THESE SERVICES AS THEY AGE.
Schedule H, Part VI, Line 7New York

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
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 (17 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
Bradford Berk MD
Board Member$0$887,186$0$0$0$44,729$0$439,769$0$11,717$0$1,383,401$0$0
Steven Goldstein
Board Member$0$880,628$0$0$0$61,750$0$277,469$0$3,519$0$1,223,366$0$0
Raymond Mayewski MD
Board Member$0$560,195$0$0$0$43,937$0$100,069$0$16,997$0$721,198$0$0
John McGuire MD
Board Member President of the Medical Staff$183,478$0$44,550$0$389$0$43,453$0$15,076$0$286,946$0$0$0
Michael F Stapleton JR
President/CEO$0$310,663$0$52,500$0$40,535$0$71,388$0$16,684$0$491,770$0$0
David Baum MD
SVP Medical Affairs & Emergency Physician$262,541$79,991$2,299$701$9,698$2,955$64,522$19,658$3,397$1,035$342,457$104,340$0$0
Jennifer DeVault
VP Associate Services and Wellness$121,200$0$9,579$0$586$0$26,449$0$14,516$0$172,330$0$0$0
Kurt Koczent
EVP/COO$153,192$38,298$24,320$6,080$6,161$1,540$33,396$8,386$13,326$3,332$230,395$57,636$0$0
Carlos R Ortiz MD
SVP Medical Services$0$248,830$0$23,220$0$33,035$0$40,730$0$14,730$0$360,545$0$0
Mark Prunoske
Senior VP & CFO$0$193,332$0$26,740$0$44,020$0$61,614$0$16,128$0$341,834$0$0
Hazel Robertshaw
VP Patient Care Services/CNO$135,402$0$6,982$0$669$0$19,747$0$1,936$0$164,736$0$0$0
Elizabeth Talia
VP Legal & Regulatory Affairs and General Counsel$0$146,986$0$10,857$0$413$0$16,107$0$3,807$0$178,170$0$0
Vijay Bansal MD
Physician$353,369$0$23,717$0$13,398$0$30,904$0$7,689$0$429,077$0$0$0
Timothy Pitler MD
Physician$324,960$0$5,530$0$11,776$0$124,000$0$14,773$0$481,039$0$0$0
Jason McClung MD
Physician$324,512$0$0$0$237$0$22,467$0$15,312$0$362,528$0$0$0
Matthew Osborne MD
Physician$308,089$0$0$0$280$0$27,849$0$15,312$0$351,530$0$0$0
Kirk Heriot MD
Physician$260,478$0$25,962$0$10,179$0$107,562$0$11,181$0$415,362$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3The CEO of the FF Thompson Hospital receives compensation from the Hospital through a common paymaster. Because employees are included in the common paymaster, the CEO's salary is allocated to an affiliate. In addition the affiliated entities collectively establish CEO compensation by the manner's described.
Schedule J, Part I, Line 4The following individuals participated in a supplemental nonqualified retirement plan and received employer paid amounts that are included in deferred compensation. 457(f) plan payments were: Michael Stapleton - $45,000, Mark Prunoske - $19,000, Kurt Koczent - $19,000, Bradford Berk - $270,000, and Steven Goldstein - $93,000. SERP plan payments were: Bradford Berk - $144,700, Steven Goldstein - $159,400 and Raymond Mayewski - $75,000. These payments were made by a related organization. In addition, regarding line 4a, a former SVP of Medical Services received 52 weeks salary continuance plus a lump sum payment of $23,000 of severance.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Ontario County Industrial Development Agency
A521326077683058AB72003-07-01$12,800,000To construct an addition to and renovate portions of the hospital000
Ontario County Local Development Corporation
B2724354892010-08-10$29,700,000To construct an addition to and renovate portions of the hospital000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$2,600,000$0$12,800,000$0$0$0$0$0$0$0$0$0200400Yes (1)Yes (1)
B$1,650,267$0$29,700,000$0$652,000$0$952,000$0$0$28,115,000$0$0201300Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000000
B00000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Keybank
A0Yes (1)00Yes (1)Yes (1)10.0000000
(no name)
B0Yes (1)0000000

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part V, Line 2aEmployees and certain officers, directors, and key employees of the Frederick Ferris Thompson Hospital's related organizations receive compensation from the Hospital, through a common paymaster. Because employees are included in the common paymaster, a portion of the salaries of these individuals is allocated to it's affiliates and is included as part of other salary and wages on their statement of functional expenses. None of the board members of the Hospital are compensated for their board services.
Form 990, Part VI, Section A, Line 4There has been no significant changes to the Hospital's governing documents since the last form 990 was filed. However, changes to the bylaws have been drafted as a result of the Revitalization Act of 2013 and will be voted upon for approval by the board in 2015.
Form 990, Part VI, Section A, Line 6The sole member of Frederick Ferris Thompson Hospital is FF Thompson Health System Inc. The Health System, acting through its board of directors, has the authority to elect the governing body of Thompson Hospital and approve certain decisions. Such decisions include appointment of the Hospital President and CEO, amendment of the certificate of incorporations and bylaws, approval of extraordinary corporate actions such as merger or dissolution, approval of capital and operating budgets, strategic plans, and incurrence of certain debt.
Form 990, Part VI, Section A, Line 7aRefer to Schedule O, Membership information, Form 990, Part VI, Section A, Line 6
Form 990, Part VI, Section A, Line 7bRefer to Schedule O, Membership information, Form 990, Part VI, Section A, Line 6
Form 990, Part VI, Section B, Line 11bThe Director of Finance and CFO reviewed the return and then provided it to an independent accounting firm for their review as well. The return was made available to the Board members via a shared intranet website. At the Board meeting preceding the filing date, questions were entertained by management. There are several days after the Board meeting where members can also review the return and ask questions prior to the filing date.
Form 990, Part VI, Section B, Line 12cBoard members complete conflict of interest disclosure statements annually and the statements are reviewed by the Chair of the Nominating Committee and General Counsel. The Committee and General Counsel are responsible for monitoring compliance and follow-up with any potential conflicts, including developing a conflicts of interest management plan that identifies each conflict and potential conflict and how it will be addressed. In addition, each Board member with a conflict or potential conflict receives a letter outlining how the conflict will be addressed.
Form 990, Part VI, Section B, Line 15Executive compensation at Thompson is established by the compensation committee of the Board of Directors. The committee uses an independent company to gather comparable data in determining compensation levels for the President/CEO and Senior level executives. The full Board of Directors is surveyed by the compensation committee on executive performance; this is considered in determining compensation levels. The compensation committee is also involved in goal setting for the executive team, which ties back to their performance reviews and compensation rates. The year in which this process was last undertaken for each person was 2014.
Form 990, Part VI, Section C, Line 19These documents are available upon request by contacting the Administrative Office
Form 990, Part VII, Section A, Line 1aRefer to Schedule O, Employment information, Form 990, Part V, Line 2a
Form 990, Part IX, Line 7Refer to Schedule O, Employment information, Form 990, Part V, Line 2a
Form 990, Part XI, Line 9Change in value of interest rate swap $129,617, Change in value of charitable gift annuities ($13,169), Change in funded status of pension plan ($6,970,747), Change in beneficial interest in charitable remainder trust ($3,087), Change in beneficial interest in net assets of the FF Thompson Foundation $293,294.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (27 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndAddress Line2USAddress/AddressLine2TxtDirect Controlling NADirectControllingNACd
The FF Thompson Foundation Inc
350 Parrish StreetCanandaiguaNY14424222959984FundraisingNY501(c)(3)7FF Thompson Health System0
FF Thompson Health System Inc
350 Parrish StreetCanandaiguaNY14424222959987Support OrgNY501(c)(3)11aUniversity of Rochester Medical Center0
M M Ewing Continuing Care Center
350 Parrish StreetCanandaiguaNY14424237046583HealthcareNY501(c)(3)3FF Thompson Health System0
FF Thompson Senior Communities Inc
1 Ferris HillsCanandaiguaNY14424161557494Elder CareNY501(c)(3)9FF Thompson Health System0
University of Rochester
910 Genesee StreetRochesterNY14611160743209SchoolNY501(c)(3)2University of Rochester0STE 200
Highland Hospital of Rochester
1000 South AvenueRochesterNY14620160743037HospitalNY501(c)(3)3Strong Partners Health System0
The Highland Foundation Inc
1000 South AvenueRochesterNY14620237310662FundraisingNY501(c)(3)11A, 1Highland Hospital0
Highland Facilities Development Corp
1000 South AvenueRochesterNY14620223039077Medical BuildingNY501(c)(3)9Highland Hospital0
Highland Community Development Corp
100 Hahnemann TrailPittsfordNY14534223154715Elder CareNY501(c)(3)9Strong Partners Health System0
The Highlands Living Center Inc
500 Hahnemann TrailPittsfordNY14534223240227HealthcareNY501(c)(3)9Strong Partners Health System0
The Meadows at Westfall Inc
5901 Lac De Ville BlvdRochesterNY14618161502303HealthcareNY501(c)(3)9Strong Partners Health System0
Strong Partners Health System Inc
601 Elmwood AvenueRochesterNY14642161499099Support OrgNY501(c)(3)11A, 1University of Rochester0Box 706
Strong Home Care Group
2180 Empire BoulevardWebsterNY14580222577664FundraisingNY501(c)(3)7University of Rochester0
Visiting Nurse Srvc of Rochester & Monroe
2180 Empire BoulevardWebsterNY14580160743215HealthcareNY501(c)(3)9Strong Home Care Group0
Community Care of Rochester
2180 Empire BoulevardWebsterNY14580161561691HealthcareNY501(c)(3)9Strong Home Care Group0
Excell Partners Inc
160 Linden OaksRochesterNY14625201862628Economic DevNY501(c)(4)N/AUniversity of Rochester0Suite E
Rochester Bioventure Center Inc
601 Elmwood AvenueRochesterNY14642202485999Biotech IncubNY501(c)(3)11A, 1University of Rochester0Box 706
High Tech Rochester Inc
150 Lucius Gordon DriveWest HenriettaNY14586161195028Business IncuNY501(c)(3)7University of Rochester0Suite 100
Crittenden Boulevard Housing Co Inc
249 Norton Village LaneRochesterNY14609237035414Support OrgNY501(c)(3)11B, IIUniversity of Rochester0
University of Rochester Employee Ben Trs
910 Genesee StreetRochesterNY14611161600112Empl Ben TrstNY501(c)(9)N/AUniversity of Rochester0Suite 200
U of R Broadcasting Corporation
201 Wilson CommonsRochesterNY14627160743209Broadcast LicNY501(c)(4)N/AUniversity of Rochester0
UR Real Estate Corporation
263 Wallis HallRochesterNY14627271140014Support OrgNY501(c)(3)11D, III-OTHUniversity of Rochester0
Framemed Foundation Inc
263 Wallis HallRochesterNY14627161490497Support OrgNY501(c)(3)7University of Rochester0
Meliora Real Estate Corporation
263 Wallis HallRochesterNY14627452464788Support OrgNY501(c)(3)11D, III-OTHUniversity of Rochester0
Finger Lakes Home Care Inc
756 Pre-Emption RoadGenevaNY14456161489133HealthcareNY501(c)(3)9Visiting Nurse Srvc of Rochester & Monroe0
Finger Lakes Visiting Nurse Service Inc
756 Pre-Emption RoadGenevaNY14456223067627HealthcareNY501(c)(3)9Visiting Nurse Srvc of Rochester & Monroe0
Frederick Ferris Thompson Hospital Guild
350 Parrish StreetCanandaiguaNY14424166053299Assist & support the FF Thompson Health System and its tax-exempt affiliatesNY501(c)(3)90N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Excell Innovate NY Fund LPBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1222 West Ridge RoadAddressLine1Txt
Address Line2Bldg 28 Suite 156-1AddressLine2Txt
CityRochesterCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14615ZIPCd
FieldValueIRS element (for citing)
EIN462405519EIN
Primary ActivitiesFunding Start UpsPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line2USAddress/AddressLine2Txt
Finger Lakes Community Care Network
350 Parrish StreetCanandaiguaNY14424161423442InactiveNYN/AC0
FF Thompson Properties and Services Inc
350 Parrish StreetCanandaiguaNY14424161286518Holding CoNYN/AC0
Medical Administrative Associates Inc
777 South Clinton AvenueRochesterNY14620161354319Retail PharmacyNYN/AC0
UR Equity Holdings Inc
110 Office Park WayPittsfordNY14534273040889Holding CoNYN/AC0
Excell Technology Ventures Inc
222 West Ridge RoadRochesterNY14615800909149Biotech IncubatorNYN/AC0Ste 156-1
Accountable Health Partners LLC
135 Corporate WoodsRochesterNY14623300787967Acct Care NetworkNYN/AC0Ste 320
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
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 OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule R, Part IIIFormAndLineReferenceDesc
ExplanationLine 1 - columns e, f, g, h, i, j, k are all not applicable.ExplanationTxt