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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-11T15:29:45-07:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 160743024 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FREDERICK FERRIS THOMPSON HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FRED | BusinessNameControlTxt |
| Phone | 5853966124 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 Parrish Street | AddressLine1Txt |
| City | Canandaigua | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14424 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Mark Prunoske | PersonNm |
| Person Title | Sr VP Finance/CFO | PersonTitleTxt |
| Phone | 5853966280 | PhoneNum |
| Signature | 2015-11-12 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-04-25 22:37:26Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Michael F Stapleton Jr | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 Parrish Street | AddressLine1Txt |
| City | Canandaigua | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14424 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $115,794,527 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.thompsonhealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1904 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | FF 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 Body | 24 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 1295 | TotalEmployeeCnt |
| Total Volunteers | 221 | TotalVolunteersCnt |
| Total Gross UBI | $647,667 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,504,029 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,408,255 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $100,334,288 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $109,633,847 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,045,108 | PYInvestmentIncomeAmt |
| CY Investment Income | $118,379 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,317,885 | PYOtherRevenueAmt |
| CY Other Revenue | $2,905,173 | CYOtherRevenueAmt |
| PY Total Revenue | $107,201,310 | PYTotalRevenueAmt |
| CY Total Revenue | $114,065,654 | 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 | $55,692,125 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $62,580,422 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $184,471 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $45,723,277 | PYOtherExpensesAmt |
| CY Other Expenses | $47,697,518 | CYOtherExpensesAmt |
| PY Total Expenses | $101,415,402 | PYTotalExpensesAmt |
| CY Total Expenses | $110,277,940 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,785,908 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,787,714 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $112,458,502 | TotalAssetsBOYAmt |
| Total Assets EOY | $117,309,695 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $67,243,444 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $74,706,547 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $45,215,058 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $42,603,148 | NetAssetsOrFundBalancesEOYAmt |
| Mission | FF 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $85,770,709 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $111,361,896 | RevenueAmt |
| Desc | Inpatient 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 | $0 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $0 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $85,770,709 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | 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 | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| 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 |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 186 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1295 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 | 24 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | 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 | FF Thompson Hospital | BusinessNameLine1Txt |
| Business Name Line2 | Roberta Spezzano | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5853966124 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 Parrish Street | AddressLine1Txt |
| City | Canandaigua | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14424 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (37 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| James H Barr CPA | ||||||||
| Board Member | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | ||
| Bradford Berk MD | ||||||||
| Board Member | 0.5 | 65 | Yes (X) | $0 | $931,915 | $451,486 | ||
| Richard Cutri | ||||||||
| Board Member | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | ||
| Randall Farnsworth | ||||||||
| Board Member | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | ||
| Ellie Fralick | ||||||||
| Board Member at Large | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | ||
| Roger Friedlander | ||||||||
| Board Member | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | ||
| Daniel Fuller | ||||||||
| Board Member | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | ||
| Steven Goldstein | ||||||||
| Board Member | 0.5 | 71 | Yes (X) | $0 | $942,378 | $280,988 | ||
| Frank Hamlin ESQ | ||||||||
| Board Member | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | ||
| Richard H Hawks Jr | ||||||||
| Board Chair | 1 | 1 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Paul Hudson | ||||||||
| Board Vice Chair | 1 | 1 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| William R Kenyon ESQ | ||||||||
| Board Member | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | ||
| Ronald Knight | ||||||||
| Board Member | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | ||
| Thomas Kubiak | ||||||||
| Board Member | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | ||
| Robert N Latella Esq | ||||||||
| Board Member | 1 | 1 | Yes (X) | $0 | $0 | $0 | ||
| Raymond Mayewski MD | ||||||||
| Board Member | 0.5 | 60 | Yes (X) | $0 | $604,132 | $117,066 | ||
| John McGuire MD | ||||||||
| Board Member President of the Medical Staff | 42 | 0 | Yes (X) | $228,417 | $0 | $58,529 | Yes (X) | |
| Brian Meath | ||||||||
| Board Secretary | 1 | 1 | Yes (X) | $0 | $0 | $0 | ||
| Reverend Thomas Mull | ||||||||
| Board Member | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | ||
| Deborah Price | ||||||||
| Board Member | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | ||
| Carl Sahler MD | ||||||||
| Board Member | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | ||
| Robert Sands | ||||||||
| Board Treasurer | 1 | 1 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Michael F Stapleton JR | ||||||||
| President/CEO | 31 | 9 | Yes (X) | $0 | $403,698 | $88,072 | Yes (X) | |
| Cynthia Teerlinck MD | ||||||||
| Board Member | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | ||
| Lori Van Dusen | ||||||||
| Board Member | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | ||
| David Baum MD | ||||||||
| SVP Medical Affairs & Emergency Physician | 38 | 2 | $274,538 | $83,646 | $88,613 | Yes (X) | ||
| Jennifer DeVault | ||||||||
| VP Associate Services and Wellness | 40 | 0 | $131,365 | $0 | $40,965 | Yes (X) | ||
| Kurt Koczent | ||||||||
| EVP/COO | 38 | 2 | $183,673 | $45,918 | $58,440 | Yes (X) | ||
| Carlos R Ortiz MD | ||||||||
| SVP Medical Services | 35 | 5 | $0 | $305,086 | $55,461 | Yes (X) | ||
| Mark Prunoske | ||||||||
| Senior VP & CFO | 27 | 13 | $0 | $264,092 | $77,742 | Yes (X) | ||
| Hazel Robertshaw | ||||||||
| VP Patient Care Services/CNO | 40 | 0 | $143,053 | $0 | $21,684 | Yes (X) | ||
| Elizabeth Talia | ||||||||
| VP Legal & Regulatory Affairs and General Counsel | 25.5 | 14.5 | $0 | $158,256 | $19,913 | Yes (X) | ||
| Vijay Bansal MD | ||||||||
| Physician | 42 | 0 | $390,484 | $0 | $38,593 | Yes (X) | ||
| Timothy Pitler MD | ||||||||
| Physician | 46 | 0 | $342,266 | $0 | $138,773 | Yes (X) | ||
| Jason McClung MD | ||||||||
| Physician | 43 | 0 | $324,748 | $0 | $37,779 | Yes (X) | ||
| Matthew Osborne MD | ||||||||
| Physician | 44 | 0 | $308,370 | $0 | $43,161 | Yes (X) | ||
| Kirk Heriot MD | ||||||||
| Physician | 42 | 0 | $296,619 | $0 | $118,742 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,623,533 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,739,121 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,736,007 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 59 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| Mckesson Technologies Inc | ||||||
| PO Box 98347 | Chicago | IL | 606938347 | Support and fees | $899,436 | |
| Weatherby Locums Inc | ||||||
| P O Box 972633 | Dallas | TX | 753972633 | Medical Staffing | $776,311 | |
| Honor Medical Staffing | ||||||
| 21415 Civic Center Dr | Southfield | MI | 48076 | Medical Staffing | $644,050 | Number 211 |
| Philips Healthcare | ||||||
| PO Box 100355 | Atlanta | GA | 303840355 | Service Agreement | $604,308 | |
| Canandaigua Medical Group | ||||||
| 335 Parrish Street | Canandaigua | NY | 14424 | On Call Services | $504,358 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 28 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $950,054 | RelatedOrganizationsAmt |
| Government Grants | $443,201 | GovernmentGrantsAmt |
| All Other Contributions | $15,000 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $1,408,255 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Community Health Service | 622000 | $93,188,770 | $92,541,103 | $647,667 | $0 |
| Medicare/Medicaid Payments | 622000 | $16,445,077 | $16,445,077 | $0 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $109,633,847 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $110,196 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $110,196 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $821,689 | SecuritiesAmt |
| Other | $915,367 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $763,981 | SecuritiesAmt |
| Other | $964,892 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $57,708 | SecuritiesAmt |
| Other | -$49,525 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,183 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,183 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Associate/Patient Support | 622000 | $1,177,124 | $0 | $0 | $1,177,124 |
| Meaningful Use | 622000 | $1,728,049 | $1,728,049 | $0 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,905,173 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $114,065,654 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $110,714,229 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $647,667 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,295,503 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $961,047 | TotalAmt |
| Program Services | $502,955 | ProgramServicesAmt |
| Management And General | $458,092 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,242,376 | TotalAmt |
| Program Services | $40,572,772 | ProgramServicesAmt |
| Management And General | $8,669,604 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,227,860 | TotalAmt |
| Program Services | $1,826,845 | ProgramServicesAmt |
| Management And General | $401,015 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,683,579 | TotalAmt |
| Program Services | $5,480,535 | ProgramServicesAmt |
| Management And General | $1,203,044 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,465,560 | TotalAmt |
| Program Services | $2,841,759 | ProgramServicesAmt |
| Management And General | $623,801 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $577,085 | TotalAmt |
| Program Services | $10,453 | ProgramServicesAmt |
| Management And General | $566,632 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $171,588 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $171,588 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,020 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $95,020 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,504,316 | TotalAmt |
| Program Services | $2,979,763 | ProgramServicesAmt |
| Management And General | $2,524,553 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,663 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $17,663 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,483,148 | TotalAmt |
| Program Services | $16,988,320 | ProgramServicesAmt |
| Management And General | $494,828 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,962,604 | TotalAmt |
| Program Services | $1,321,770 | ProgramServicesAmt |
| Management And General | $1,640,834 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,673,323 | TotalAmt |
| Program Services | $1,545,663 | ProgramServicesAmt |
| Management And General | $127,660 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,129 | TotalAmt |
| Program Services | $54,101 | ProgramServicesAmt |
| Management And General | $34,028 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,051 | TotalAmt |
| Program Services | $122,869 | ProgramServicesAmt |
| Management And General | $21,182 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,797,245 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $1,797,245 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,471 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $184,471 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,116,744 | TotalAmt |
| Program Services | $5,835,730 | ProgramServicesAmt |
| Management And General | $1,281,014 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $825,038 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $825,038 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $665,500 | TotalAmt |
| Program Services | $544,353 | ProgramServicesAmt |
| Management And General | $121,147 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,277,940 | TotalAmt |
| Program Services | $85,770,709 | ProgramServicesAmt |
| Management And General | $24,322,760 | ManagementAndGeneralAmt |
| Fundraising | $184,471 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,383 | BOYAmt |
| EOY | $3,174 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,403,349 | BOYAmt |
| EOY | $24,246,470 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,798,155 | BOYAmt |
| EOY | $7,212,684 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,801,438 | BOYAmt |
| EOY | $1,828,919 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $749,161 | BOYAmt |
| EOY | $3,089,905 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $135,870,992 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $72,187,328 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,620,835 | BOYAmt |
| EOY | $63,683,664 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $912,034 | BOYAmt |
| EOY | $970,774 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,170,147 | BOYAmt |
| EOY | $16,274,105 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $112,458,502 | BOYAmt |
| EOY | $117,309,695 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,775,755 | BOYAmt |
| EOY | $12,702,709 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,329,733 | BOYAmt |
| EOY | $38,249,733 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,190,087 | BOYAmt |
| EOY | $1,339,262 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,947,869 | BOYAmt |
| EOY | $22,414,843 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,243,444 | BOYAmt |
| EOY | $74,706,547 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,158,199 | BOYAmt |
| EOY | $38,256,082 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,056,859 | BOYAmt |
| EOY | $4,347,066 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,215,058 | BOYAmt |
| EOY | $42,603,148 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $112,458,502 | BOYAmt |
| EOY | $117,309,695 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,787,714 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $164,468 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$6,564,092 | OtherChangesInNetAssetsAmt |
| 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| 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 B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,160,115 | BeginningYearBalanceAmt |
| Contributions | $60,504 | ContributionsAmt |
| Investment Earnings Or Losses | $440,305 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $250,777 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $8,410,147 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,571,403 | BeginningYearBalanceAmt |
| Contributions | $13,176 | ContributionsAmt |
| Investment Earnings Or Losses | $1,114,484 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $538,948 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $8,160,115 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,934,130 | BeginningYearBalanceAmt |
| Contributions | $167,545 | ContributionsAmt |
| Investment Earnings Or Losses | $769,935 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $300,207 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $7,571,403 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,239,690 | BeginningYearBalanceAmt |
| Contributions | $863,280 | ContributionsAmt |
| Investment Earnings Or Losses | $44,331 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $213,171 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $6,934,130 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,619,137 | BeginningYearBalanceAmt |
| Contributions | $72,378 | ContributionsAmt |
| Investment Earnings Or Losses | $814,801 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $266,626 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $6,239,690 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.93 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.07 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $58,076 | OtherCostOrOtherBasisAmt |
| Book Value | $58,076 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $76,720,587 | OtherCostOrOtherBasisAmt |
| Depreciation | $31,441,067 | DepreciationAmt |
| Book Value | $45,279,520 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $574,594 | OtherCostOrOtherBasisAmt |
| Depreciation | $271,697 | DepreciationAmt |
| Book Value | $302,897 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $54,415,416 | OtherCostOrOtherBasisAmt |
| Depreciation | $38,822,372 | DepreciationAmt |
| Book Value | $15,593,044 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $4,102,319 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,652,192 | DepreciationAmt |
| Book Value | $2,450,127 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $63,683,664 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $16,274,105 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $22,414,843 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $113,294,243 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $0 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Recoveries Prior Year Grants | $0 | RecoveriesPriorYearGrantsAmt |
| Other Revenue | $129,140 | OtherRevenueAmt |
| Revenue Not Reported | $129,140 | RevenueNotReportedAmt |
| Revenue Subtotal | $113,165,103 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $0 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $900,551 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $900,551 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $114,065,654 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $106,184,573 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $0 | DonatedServicesUseFcltsAmt |
| Prior Year Adjustments | $0 | PriorYearAdjustmentsAmt |
| Losses Reported | $0 | LossesReportedAmt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $106,184,573 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $0 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $4,093,367 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $4,093,367 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $110,277,940 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part V, Line 4 | The 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 2 | As 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 2d | Net Assets released from restrictions used for operations $129,140 |
| Schedule D, Part XI, Line 4b | Contributions from the FF Thompson Foundation Inc $900,551 |
| Schedule D, Part XII, Line 4b | Payment for services from the FF Thompson Foundation Inc $184,471, Provision for bad debts $3,908,896. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $605,273 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $373,976 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $231,297 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0022 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,635,391 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,655,642 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,236,270 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0304 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $13,240,664 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,029,618 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,467,567 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0326 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $575,262 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $92,657 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $482,605 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0045 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,435,819 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,815,087 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $620,732 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0058 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,835 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $28,835 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0003 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $6,039,916 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,907,744 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,132,172 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0106 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $19,280,580 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,937,362 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,599,739 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0432 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $239,768 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $239,768 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0025 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,532 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $38,532 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0004 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $52,010 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $34 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $51,976 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0005 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $906,189 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $330 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $905,859 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0093 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $1,236,499 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $364 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,236,135 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0127 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,908,896 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $78,178 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $14,633,553 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $16,563,719 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,930,166 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Fredrick Ferris Thompson Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 Parrish Street | AddressLine1Txt |
| City | Canandaigua | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14424 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.thompsonhealth.org | WebsiteAddressTxt |
| State License | 3429000H | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Fredrick Ferris Thompson Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | http://www.co.ontario.ny.us/DocumentCenter/View/3186 | OtherWebsiteURLTxt |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.thompsonhealth.com/AboutThompsonHealth/NewsRoom/Publications | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5-The Fredrick Ferris Thompson Hospital | Ontario 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 Hospital | Geneva General Hospital (Finger Lakes Health), Clifton Springs Hospital |
| Schedule H, Part V, Section B, Line 6b-The Fredrick Ferris Thompson Hospital | refer to explanation Line 5. |
| Schedule H, Part V, Section B, Line 7d-The Fredrick Ferris Thompson Hospital | Yearly Community Benefit Report Booklet (mailing) |
| Schedule H, Part V, Section B, Line 11-The Fredrick Ferris Thompson Hospital | the 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 Hospital | http://www.thompsonhealth.com/HealthCareServices/PatientsVisitors/FinancialBilling/FinancialAid.aspx |
| Schedule H, Part V, Section B, Line 16b-The Fredrick Ferris Thompson Hospital | http://www.thompsonhealth.com/HealthCareServices/PatientsVisitors/FinancialBilling/FinancialAid.aspx |
| Schedule H, Part V, Section B, Line 16c-The Fredrick Ferris Thompson Hospital | http://www.thompsonhealth.com/HealthCareServices/PatientsVisitors/FinancialBilling/FinancialAid.aspx |
| Schedule H, Part V, Section B, Line 22d-The Fredrick Ferris Thompson Hospital | All 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 3c | All 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 7 | Schedule 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 f | Bad 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 7g | There are no physician clinic costs included in these services. |
| Schedule H, Part II | Thompson 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 4 | As 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 8 | Medicare 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 9b | Collection 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 2 | Based 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 3 | The 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 4 | The 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 5 | A 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 6 | THE 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 7 | New York |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 (17 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 | The 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 4 | The 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 ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| Ontario County Industrial Development Agency | ||||||||
| A | 521326077 | 683058AB7 | 2003-07-01 | $12,800,000 | To construct an addition to and renovate portions of the hospital | 0 | 0 | 0 |
| Ontario County Local Development Corporation | ||||||||
| B | 272435489 | 2010-08-10 | $29,700,000 | To construct an addition to and renovate portions of the hospital | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $2,600,000 | $0 | $12,800,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2004 | 0 | 0 | Yes (1) | Yes (1) |
| B | $1,650,267 | $0 | $29,700,000 | $0 | $652,000 | $0 | $952,000 | $0 | $0 | $28,115,000 | $0 | $0 | 2013 | 0 | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Keybank | ||||||||||||
| A | 0 | Yes (1) | 0 | 0 | Yes (1) | Yes (1) | 10.00 | 0 | 0 | 0 | 0 | 0 |
| (no name) | ||||||||||||
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part V, Line 2a | Employees 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 4 | There 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 6 | The 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 7a | Refer to Schedule O, Membership information, Form 990, Part VI, Section A, Line 6 |
| Form 990, Part VI, Section A, Line 7b | Refer to Schedule O, Membership information, Form 990, Part VI, Section A, Line 6 |
| Form 990, Part VI, Section B, Line 11b | The 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 12c | Board 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 15 | Executive 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 19 | These documents are available upon request by contacting the Administrative Office |
| Form 990, Part VII, Section A, Line 1a | Refer to Schedule O, Employment information, Form 990, Part V, Line 2a |
| Form 990, Part IX, Line 7 | Refer to Schedule O, Employment information, Form 990, Part V, Line 2a |
| Form 990, Part XI, Line 9 | Change 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/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Address Line2USAddress/AddressLine2Txt | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| The FF Thompson Foundation Inc | ||||||||||||
| 350 Parrish Street | Canandaigua | NY | 14424 | 222959984 | Fundraising | NY | 501(c)(3) | 7 | FF Thompson Health System | 0 | ||
| FF Thompson Health System Inc | ||||||||||||
| 350 Parrish Street | Canandaigua | NY | 14424 | 222959987 | Support Org | NY | 501(c)(3) | 11a | University of Rochester Medical Center | 0 | ||
| M M Ewing Continuing Care Center | ||||||||||||
| 350 Parrish Street | Canandaigua | NY | 14424 | 237046583 | Healthcare | NY | 501(c)(3) | 3 | FF Thompson Health System | 0 | ||
| FF Thompson Senior Communities Inc | ||||||||||||
| 1 Ferris Hills | Canandaigua | NY | 14424 | 161557494 | Elder Care | NY | 501(c)(3) | 9 | FF Thompson Health System | 0 | ||
| University of Rochester | ||||||||||||
| 910 Genesee Street | Rochester | NY | 14611 | 160743209 | School | NY | 501(c)(3) | 2 | University of Rochester | 0 | STE 200 | |
| Highland Hospital of Rochester | ||||||||||||
| 1000 South Avenue | Rochester | NY | 14620 | 160743037 | Hospital | NY | 501(c)(3) | 3 | Strong Partners Health System | 0 | ||
| The Highland Foundation Inc | ||||||||||||
| 1000 South Avenue | Rochester | NY | 14620 | 237310662 | Fundraising | NY | 501(c)(3) | 11A, 1 | Highland Hospital | 0 | ||
| Highland Facilities Development Corp | ||||||||||||
| 1000 South Avenue | Rochester | NY | 14620 | 223039077 | Medical Building | NY | 501(c)(3) | 9 | Highland Hospital | 0 | ||
| Highland Community Development Corp | ||||||||||||
| 100 Hahnemann Trail | Pittsford | NY | 14534 | 223154715 | Elder Care | NY | 501(c)(3) | 9 | Strong Partners Health System | 0 | ||
| The Highlands Living Center Inc | ||||||||||||
| 500 Hahnemann Trail | Pittsford | NY | 14534 | 223240227 | Healthcare | NY | 501(c)(3) | 9 | Strong Partners Health System | 0 | ||
| The Meadows at Westfall Inc | ||||||||||||
| 5901 Lac De Ville Blvd | Rochester | NY | 14618 | 161502303 | Healthcare | NY | 501(c)(3) | 9 | Strong Partners Health System | 0 | ||
| Strong Partners Health System Inc | ||||||||||||
| 601 Elmwood Avenue | Rochester | NY | 14642 | 161499099 | Support Org | NY | 501(c)(3) | 11A, 1 | University of Rochester | 0 | Box 706 | |
| Strong Home Care Group | ||||||||||||
| 2180 Empire Boulevard | Webster | NY | 14580 | 222577664 | Fundraising | NY | 501(c)(3) | 7 | University of Rochester | 0 | ||
| Visiting Nurse Srvc of Rochester & Monroe | ||||||||||||
| 2180 Empire Boulevard | Webster | NY | 14580 | 160743215 | Healthcare | NY | 501(c)(3) | 9 | Strong Home Care Group | 0 | ||
| Community Care of Rochester | ||||||||||||
| 2180 Empire Boulevard | Webster | NY | 14580 | 161561691 | Healthcare | NY | 501(c)(3) | 9 | Strong Home Care Group | 0 | ||
| Excell Partners Inc | ||||||||||||
| 160 Linden Oaks | Rochester | NY | 14625 | 201862628 | Economic Dev | NY | 501(c)(4) | N/A | University of Rochester | 0 | Suite E | |
| Rochester Bioventure Center Inc | ||||||||||||
| 601 Elmwood Avenue | Rochester | NY | 14642 | 202485999 | Biotech Incub | NY | 501(c)(3) | 11A, 1 | University of Rochester | 0 | Box 706 | |
| High Tech Rochester Inc | ||||||||||||
| 150 Lucius Gordon Drive | West Henrietta | NY | 14586 | 161195028 | Business Incu | NY | 501(c)(3) | 7 | University of Rochester | 0 | Suite 100 | |
| Crittenden Boulevard Housing Co Inc | ||||||||||||
| 249 Norton Village Lane | Rochester | NY | 14609 | 237035414 | Support Org | NY | 501(c)(3) | 11B, II | University of Rochester | 0 | ||
| University of Rochester Employee Ben Trs | ||||||||||||
| 910 Genesee Street | Rochester | NY | 14611 | 161600112 | Empl Ben Trst | NY | 501(c)(9) | N/A | University of Rochester | 0 | Suite 200 | |
| U of R Broadcasting Corporation | ||||||||||||
| 201 Wilson Commons | Rochester | NY | 14627 | 160743209 | Broadcast Lic | NY | 501(c)(4) | N/A | University of Rochester | 0 | ||
| UR Real Estate Corporation | ||||||||||||
| 263 Wallis Hall | Rochester | NY | 14627 | 271140014 | Support Org | NY | 501(c)(3) | 11D, III-OTH | University of Rochester | 0 | ||
| Framemed Foundation Inc | ||||||||||||
| 263 Wallis Hall | Rochester | NY | 14627 | 161490497 | Support Org | NY | 501(c)(3) | 7 | University of Rochester | 0 | ||
| Meliora Real Estate Corporation | ||||||||||||
| 263 Wallis Hall | Rochester | NY | 14627 | 452464788 | Support Org | NY | 501(c)(3) | 11D, III-OTH | University of Rochester | 0 | ||
| Finger Lakes Home Care Inc | ||||||||||||
| 756 Pre-Emption Road | Geneva | NY | 14456 | 161489133 | Healthcare | NY | 501(c)(3) | 9 | Visiting Nurse Srvc of Rochester & Monroe | 0 | ||
| Finger Lakes Visiting Nurse Service Inc | ||||||||||||
| 756 Pre-Emption Road | Geneva | NY | 14456 | 223067627 | Healthcare | NY | 501(c)(3) | 9 | Visiting Nurse Srvc of Rochester & Monroe | 0 | ||
| Frederick Ferris Thompson Hospital Guild | ||||||||||||
| 350 Parrish Street | Canandaigua | NY | 14424 | 166053299 | Assist & support the FF Thompson Health System and its tax-exempt affiliates | NY | 501(c)(3) | 9 | 0 | N/A | ||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Excell Innovate NY Fund LP | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 222 West Ridge Road | AddressLine1Txt |
| Address Line2 | Bldg 28 Suite 156-1 | AddressLine2Txt |
| City | Rochester | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14615 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 462405519 | EIN |
| Primary Activities | Funding Start Ups | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|
| Finger Lakes Community Care Network | ||||||||||
| 350 Parrish Street | Canandaigua | NY | 14424 | 161423442 | Inactive | NY | N/A | C | 0 | |
| FF Thompson Properties and Services Inc | ||||||||||
| 350 Parrish Street | Canandaigua | NY | 14424 | 161286518 | Holding Co | NY | N/A | C | 0 | |
| Medical Administrative Associates Inc | ||||||||||
| 777 South Clinton Avenue | Rochester | NY | 14620 | 161354319 | Retail Pharmacy | NY | N/A | C | 0 | |
| UR Equity Holdings Inc | ||||||||||
| 110 Office Park Way | Pittsford | NY | 14534 | 273040889 | Holding Co | NY | N/A | C | 0 | |
| Excell Technology Ventures Inc | ||||||||||
| 222 West Ridge Road | Rochester | NY | 14615 | 800909149 | Biotech Incubator | NY | N/A | C | 0 | Ste 156-1 |
| Accountable Health Partners LLC | ||||||||||
| 135 Corporate Woods | Rochester | NY | 14623 | 300787967 | Acct Care Network | NY | N/A | C | 0 | Ste 320 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | 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 | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule R, Part III | FormAndLineReferenceDesc |
| Explanation | Line 1 - columns e, f, g, h, i, j, k are all not applicable. | ExplanationTxt |