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NEWARK WAYNE COMMUNITY HOSPITAL: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
NEWARK WAYNE COMMUNITY HOSPITAL (EIN 15-0584188)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-11
IRS object ID
201403159349302215
Schema version
2013v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2014-11-11T13:39:02-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161226221PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FUST CHARLES CHAMBERS LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15784 WIDEWATERS PARKWAYAddressLine1
CitySYRACUSECity
StateNYState
ZIP Code13214ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN150584188EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NEWARK-WAYNE COMMUNITY HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlNEWABusinessNameControlTxt
Phone3153322456PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 DRIVING PARK AVENUEAddressLine1
CityNEWARKCity
StateNYState
ZIP Code14513ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAULA TINCHPersonNm
Person TitleSVP FINANCE & CFOPersonTitleTxt
Phone3153322456PhoneNum
Signature2014-11-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANGELA M FRANCOPreparerPersonNm
PTINP00589741PTIN
Phone3154463600PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerHUGH THOMASPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 KINGS HIGHWAY SOUTHAddressLine1
CityROCHESTERCity
StateNYState
ZIP Code14617ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$102,956,044GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ROCHESTERGENERAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1952FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO OPERATE AN INPATIENT AND OUTPATIENT HOSPITAL, CLINICS AND TREATMENT CENTERS FOR THE DELIVERY OF ACUTE MEDICAL, SURGICAL AND PREVENTATIVE HEALTH CARE SERVICES.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee1146TotalEmployeeCnt
Total Volunteers221TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,045,342PYContributionsGrantsAmt
CY Contributions Grants$653,468CYContributionsGrantsAmt
PY Program Service Revenue$83,065,440PYProgramServiceRevenueAmt
CY Program Service Revenue$95,710,287CYProgramServiceRevenueAmt
PY Investment Income$197,860PYInvestmentIncomeAmt
CY Investment Income$3,289,727CYInvestmentIncomeAmt
PY Other Revenue$675,312PYOtherRevenueAmt
CY Other Revenue$2,760,556CYOtherRevenueAmt
PY Total Revenue$85,983,954PYTotalRevenueAmt
CY Total Revenue$102,414,038CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$47,381,552PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$51,181,557CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$34,733,332PYOtherExpensesAmt
CY Other Expenses$41,929,278CYOtherExpensesAmt
PY Total Expenses$82,114,884PYTotalExpensesAmt
CY Total Expenses$93,110,835CYTotalExpensesAmt
PY Revenues Less Expenses$3,869,070PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$9,303,203CYRevenuesLessExpensesAmt
Total Assets BOY$95,691,623TotalAssetsBOYAmt
Total Assets EOY$102,850,647TotalAssetsEOYAmt
Total Liabilities BOY$61,923,372TotalLiabilitiesBOYAmt
Total Liabilities EOY$60,197,230TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$33,768,251NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$42,653,417NetAssetsOrFundBalancesEOYAmt
MissionSEE SCHEDULE OMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$75,530,686ExpenseAmt
Revenue$98,231,162RevenueAmt
DescTHE ORGANIZATION HAS 2 COMPONENTS; 1) A TAX EXEMPT HOSPITAL THAT PROVIDES INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO ROCHESTER AND THE SURROUNDING COMMUNITY AND 2) THE DEMAY NURSING HOME WHICH IS A 180 SKILLED NURSING FACILITY OFFERING 24 HOUR NURSING CARE, VENTILATOR DEPENDENT CARE AND SPECIALIZED CARE FOR INDIVIDUALS IN THE EARLY AND MID STAGES OF ALZHEIMER'S AND OTHER COGNITIVE DISORDERS OF AGING. SEE SCHEDULE H FOR CHARITY CARE DETAIL.DURING 2013, THE HOSPITAL PROVIDED 579,896 OUTPATIENT VISITS, 20,497 INPATIENT DAYS AND HAD 665 BIRTHS. THE DEMAY NURSING HOME PROVIDED 10,309 ADULT DAY CARE DAYS AND 62,926 PATIENT DAYS.Desc
Total Program Service Expenses$75,530,686TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document71IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1146EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HUGH CHISHOLMBusinessNameLine1
FieldValueIRS element (for citing)
Phone5859221221PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 KINGS HIGHWAY SOUTHAddressLine1
CityROCHESTERCity
StateNYState
ZIP Code14617ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ROBERT F HAVRILLA
CHAIR1.00Yes (X)$0$0$0
NORM BRUST
DIRECTOR1.00Yes (X)$0$0$0
GAIL F BEDELL
TREASURER1.00Yes (X)$0$0$0
MARY SUE NAPOLEON MD
SECRETARY1.00Yes (X)$0$0$0
MARK CLEMENT
PRESIDENT & CEO5.00Yes (X)$145,998$1,409,801$643,16950.00Yes (X)
JOSEPH A DESANTO
DIRECTOR1.00Yes (X)$0$0$0
HARVEY E FOWLER
DIRECTOR1.00Yes (X)$0$0$0
SCOTT HEALY
VICE CHAIR1.00Yes (X)$0$0$0
JAMES HOFFMAN
DIRECTOR1.00Yes (X)$0$0$0
ROBERT W HUTTEMAN
DIRECTOR1.00Yes (X)$0$0$0
MICHAEL P JANKOWSKI
DIRECTOR1.00Yes (X)$0$0$0
PAUL E JOHNSON
DIRECTOR1.00Yes (X)$0$0$0
DANIEL M MEYERS
DIRECTOR1.00Yes (X)$0$0$0
JOHN F MURPHY
DIRECTOR1.00Yes (X)$0$0$0
MARGARET CHURCHILL
DIRECTOR1.00Yes (X)$0$0$0
JAMES E PRAINO DDS
DIRECTOR1.00Yes (X)$0$0$0
STEVE TAYLOR
DIRECTOR1.00Yes (X)$0$0$0
PAULA TINCH
SVP FINANCE & CFO5.00$36,955$356,850$117,63150.00Yes (X)
MARK KLYCZEK
PRESIDENT - NWH55.00$276,566$0$14,592Yes (X)
ROBERT MAYO
CMO5.00$43,060$395,938$130,84250.00Yes (X)
HUGH THOMAS
SVP & CORPORATE COUNSEL5.00$60,907$588,135$173,84350.00Yes (X)
JAMES SYRETT
PHYSICIAN40.00$345,818$0$3,152Yes (X)
EVE WILLIAMS
PHYSICIAN40.00$341,089$0$27,456Yes (X)
MICHAEL CUNNINGHAM
PHYSICIAN40.00$341,637$0$16,847Yes (X)
PETER FENTON
PHYSICIAN40.00$371,664$0$16,547Yes (X)
BRAIN LAUX
PHYSICIAN40.00$288,994$0$20,228Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,252,688TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,750,724TotReportableCompRltdOrgAmt
Total Other Compensation$1,164,307TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K7IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
ALLIANCE HEALTHCARE SERVICES
PO BOX 6600NEWPORT BEACHCA92658HEALTHCARE SERVICES$1,039,393
MEDICAL STAFFING NETWORK
PO BOX 203000DALLASTX75320AGENCY SERVICES$469,901
FINGER LAKES BONE AND JOINT
875 PRE-EMPTION ROADGENEVANY14456HEALTHCARE SERVICES$420,036
GUARDSMARK LLC
PO BOX 11407BIRMINGHAMAL35246AGENCY SERVICES$267,953
SCRIBEAMERICA LLC
PO BOX 417756BOSTONMA22417AGENCY SERVICES$160,002
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Related Organizations$224,837RelatedOrganizationsAmt
Government Grants$428,631GovernmentGrantsAmt
Total Contributions$653,468TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT REVENUEDesc
Business621110BusinessCd
Total Revenue Column$95,710,287TotalRevenueColumnAmt
Related Or Exempt Func Income$95,710,287RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$95,710,287TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$513,278TotalRevenueColumnAmt
Exclusion$513,278ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$151,862RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$151,862RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$151,862TotalRevenueColumnAmt
Exclusion$151,862ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,171,455SecuritiesAmt
Other$2,147,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$512,006SecuritiesAmt
Other$30,000OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$659,449SecuritiesAmt
Other$2,117,000OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,776,449TotalRevenueColumnAmt
Exclusion$2,776,449ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
MEANINGFUL USE FUNDS900099$2,092,723$2,092,723
ALL OTHER REVENUE900099$428,152$428,152
CAFETERIA SALES722310$87,819$87,819
FieldValueIRS element (for citing)
Other Revenue Total$2,608,694OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$102,414,038TotalRevenueColumnAmt
Related Or Exempt Func Income$98,231,162RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,529,408ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$678,620TotalAmt
Program Services$579,805ProgramServicesAmt
Management And General$98,815ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$40,766,173TotalAmt
Program Services$31,949,455ProgramServicesAmt
Management And General$8,816,718ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,807,435TotalAmt
Program Services$1,418,836ProgramServicesAmt
Management And General$388,599ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,254,674TotalAmt
Program Services$4,124,919ProgramServicesAmt
Management And General$1,129,755ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,674,655TotalAmt
Program Services$2,099,604ProgramServicesAmt
Management And General$575,051ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$160,968TotalAmt
Management And General$160,968ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$17,310TotalAmt
Management And General$17,310ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$12,455TotalAmt
Management And General$12,455ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,239,742TotalAmt
Program Services$8,038,146ProgramServicesAmt
Management And General$2,201,596ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$39,994TotalAmt
Program Services$31,395ProgramServicesAmt
Management And General$8,599ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,440,237TotalAmt
Program Services$5,055,586ProgramServicesAmt
Management And General$1,384,651ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$163,697TotalAmt
Program Services$128,502ProgramServicesAmt
Management And General$35,195ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,276,955TotalAmt
Program Services$1,002,410ProgramServicesAmt
Management And General$274,545ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$126,987TotalAmt
Program Services$99,685ProgramServicesAmt
Management And General$27,302ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$549,574TotalAmt
Program Services$431,416ProgramServicesAmt
Management And General$118,158ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$1,232,557TotalAmt
Management And General$1,232,557ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,631,873TotalAmt
Program Services$2,851,020ProgramServicesAmt
Management And General$780,853ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$287,090TotalAmt
Management And General$287,090ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$11,603,824$11,603,824
BAD DEBT EXPENSE$4,847,316$4,847,316
LICENSES AND TAXES$1,268,767$1,268,767
DUES AND SUBSCRIPTIONS$29,932$29,932

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$93,110,835TotalAmt
Program Services$75,530,686ProgramServicesAmt
Management And General$17,580,149ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$21,011,940BOYAmt
EOY$23,360,601EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$7,815,082BOYAmt
EOY$4,592,312EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,876,262BOYAmt
EOY$9,193,842EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,271,656BOYAmt
EOY$1,401,283EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,528,237BOYAmt
EOY$1,356,436EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$90,043,029LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$58,739,687LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$29,113,738BOYAmt
EOY$31,303,342EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$477,519BOYAmt
EOY$10,658,956EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$24,597,189BOYAmt
EOY$20,983,875EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$95,691,623BOYAmt
EOY$102,850,647EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,998,449BOYAmt
EOY$6,617,994EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,310,000BOYAmt
EOY$16,790,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$36,614,923BOYAmt
EOY$36,789,236EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$61,923,372BOYAmt
EOY$60,197,230EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$31,341,859BOYAmt
EOY$39,406,866EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,024,393BOYAmt
EOY$2,844,236EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$401,999BOYAmt
EOY$402,315EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$33,768,251BOYAmt
EOY$42,653,417EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$95,691,623BOYAmt
EOY$102,850,647EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$9,303,203ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$639NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$418,676OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersYes (1)VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$12,455GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$12,455TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE AMOUNT REFLECTED ON PART II-B, LINE 1F REPRESENTS THE PORTION OF DUES PAID TO HEALTH CARE ASSOCIATION OF NYS AND THE AMERICAN HOSPITAL ASSOCIATION THAT ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$401,999BeginningYearBalanceAmt
Investment Earnings Or Losses$316InvestmentEarningsOrLossesAmt
End Year Balance$402,315EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$401,999BeginningYearBalanceAmt
End Year Balance$401,999EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$401,999BeginningYearBalanceAmt
End Year Balance$401,999EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$400,249BeginningYearBalanceAmt
Investment Earnings Or Losses$1,750InvestmentEarningsOrLossesAmt
End Year Balance$401,999EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$400,249BeginningYearBalanceAmt
End Year Balance$400,249EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,026,907OtherCostOrOtherBasisAmt
Book Value$1,026,907BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$56,332,259OtherCostOrOtherBasisAmt
Depreciation$42,462,594DepreciationAmt
Book Value$13,869,665BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$31,473,415OtherCostOrOtherBasisAmt
Depreciation$16,277,093DepreciationAmt
Book Value$15,196,322BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,210,448OtherCostOrOtherBasisAmt
Book Value$1,210,448BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$31,303,342TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
CUSTODIAL ACCOUNT$62,970
ESTIMATED 3RD PARTY RECEIVABLE$2,883,377
INTEREST IN ASSETS OF FOUNDATIONS$7,735,289
OTHER INVESTMENTS$810,176
INSURANCE RECOVERIES RECEIV.$8,762,270
UNAMORTIZED MORTGAGE COSTS$729,793
FieldValueIRS element (for citing)
Total Book Value Other Assets$20,983,875TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
CUSTODIAL ACCOUNTS$62,970
ESTIMATED 3RD PARTY PAYABLES$16,026,372
DUE TO AFFILIATES$6,869,848
ACCRUED SELF-INSURED LIABILITIES$13,830,046
FieldValueIRS element (for citing)
Total Liability$36,789,236TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$102,414,038TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$102,414,038RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$102,414,038TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$93,110,835TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$93,110,835ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$93,110,835TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationINTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS INCLUDE: 1) CAPITAL EXPANSION 2) THE ADVANCEMENT OF MEDICAL EDUCATION AND RESEARCH AND HEALTH CARE SERVICESExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,684,776TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,269,207DirectOffsettingRevenueAmt
Net Community Benefit Expns$415,569NetCommunityBenefitExpnsAmt
Total Expense0.00470TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,931,300TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,977,086DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,954,214NetCommunityBenefitExpnsAmt
Total Expense0.03350TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,181,836TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,515,926DirectOffsettingRevenueAmt
Net Community Benefit Expns$665,910NetCommunityBenefitExpnsAmt
Total Expense0.00750TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,797,912TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,762,219DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,035,693NetCommunityBenefitExpnsAmt
Total Expense0.04570TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,067,433TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,297,647DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,769,786NetCommunityBenefitExpnsAmt
Total Expense0.05400TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,067,433TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,297,647DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,769,786NetCommunityBenefitExpnsAmt
Total Expense0.05400TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$44,865,345TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$36,059,866DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,805,479NetCommunityBenefitExpnsAmt
Total Expense0.09970TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$4,847,316BadDebtExpenseAmt
Bad Debt Expense Attributable$2,122,022BadDebtExpenseAttributableAmt
Reimbursed By Medicare$14,987,689ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$14,605,035CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$382,654MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 NW ASSOCIATES LPBusinessNameLine1
FieldValueIRS element (for citing)
Primary ActivitiesLEASINGPrimaryActivitiesTxt
Org Profit Or Ownership0.52570OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.07430OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.40000PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NEWARK-WAYNE COMMUNITY HOSPITALBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 DRIVING PARK AVENUEAddressLine1
CityNEWARKCity
StateNYState
ZIP Code14513ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NEWARK-WAYNE COMMUNITY HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.NEWARKWAYNEHOSPITAL.ORGOwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs Addressed0AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (1)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (1)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Provided On AdmissionYes (X)ProvidedOnAdmissionInd
Available On RequestYes (X)AvailableOnRequestInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
NEWARK-WAYNE COMMUNITY HOSPITALPART V, SECTION B, LINE 3: IDENTIFIED WITHIN REPORT
NEWARK-WAYNE COMMUNITY HOSPITALPART V, SECTION B, LINE 7: THERE WERE NEEDS IDENTIFIED IN THE CHNA THAT WERE NOT ADDRESSED DUE TO RESOURCE CONSTRAINTS.
NEWARK-WAYNE COMMUNITY HOSPITALPART V, SECTION B, LINE 14G: ALSO LOCATED IN OUTPATIENT SETTINGS AND LAB DEPOTS.
NEWARK-WAYNE COMMUNITY HOSPITALPART V, SECTION B, LINE 20D: WE BILL ACTUAL CHARGES, LESS 30% DISCOUNT, PLUS 9.63% NYS SURCHARGE
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
DEMAY LIVING CENTER
100 SUNSET DRIVENEWARKNY14513SKILLED NURSING FACILITY
MYERS LAB
6692 MIDDLE ROAD SUITE 1100SODUSNY14551LABORATORY
NEWARK HOSPITAL LAB
1200 DRIVING PARK AVENUENEWARKNY14513LABORATORY
WILLIAMSON LAB
4425 OLD RIDGE ROADWILLIAMSONNY14589LABORATORY

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:THE COSTING METHODOLOGY USED WAS FROM THE HOSPITAL'S ICR UTILIZING BOTH EXHIBIT 46 AND THE COST TO CHARGE RATIO ON EXHIBIT 49. THE HOSPITALS MEDICARE COST REPORT WAS USED FOR LINE 7F, WHICH UTILIZES WORKSHEET B, PART I.
PART I, LINE 7G:N/A - NO PHYSICIAN CLINIC COSTS WERE INCLUDED IN LINE 7G AMOUNTS.
PART I, LN 7 COL(F):TOTAL EXPENSE ON FORM 990, PART IX, LINE 25, COLUMN (A) IS $93,110,835.THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $4,847,316. AFTER BAD DEBT WAS DEDUCTED FROM TOTAL EXPENSES THE AMOUNT OF TOTAL EXPENSES USED TO CALCULATE THE PERCENT IN LINE 7, COLUMN (F) WAS $88,263,519.
PART I, LINE 7E:COMMUNITY BENEFIT ACTVITIES:NEWARK WAYNE COMMUNITY HOSPITAL SPRING FESTSPRING FEST OFFERED COMMUNITY MEMBERS MANY HEALTH AND SAFETY RELATED SERVICES INCLUDING: FREE FITTING OF BIKE HELMETS TO OVER 400 CHILDREN; CHILDREN'S CAR SEAT SAFETY CHECKS; A BIKE RODEO TO TEACH CHILDREN ABOUT BIKE SAFETY; BLOOD PRESSURE AND GLUCOSE SCREENS; AND INFORMATION ON MANY HEALTH-RELATED TOPICS FROM NWCH AND PARTNER HEALTH AGENCIES FROM AROUND WAYNE COUNTY.DIABETES HEALTH FAIRDIABETES IS A MAJOR HEALTH PROBLEM FOR WAYNE COUNTY RESIDENTS, WITH OVER 7,000 DIAGNOSED DIABETICS OUT OF A POPULATION OF 93,436 (8.6%). FOR THIS REASON, NEWARK-WAYNE PARTICIPATES IN THE WAYNE COUNTY RURAL HEALTH NETWORK'S (WCRHN) DIABETES HEALTH FAIR ANNUALLY. THIS INITIATIVE IS SPONSORED BY WAYNE COUNTY PUBLIC HEALTH, NEWARK-WAYNE COMMUNITY HOSPITAL AND OTHER COMMUNITY PARTNERS. IN 2013, THE DIABETES HEALTH FAIR ATTRACTED AROUND 150 RESIDENTS AND FOCUSED ON LIFESTYLE CHANGES THAT CAN POSITIVELY HAVE IMPACT ON DIABETICS/PRE-DIABETICS INCLUDING EXERCISE, NUTRITIONAL COUNSELING, THE PROPER USE OF MEDICATIONS, AND MORE.ADDITIONAL WAYNE COUNTY COMMUNITY EVENTS:ST. MICHAEL'S/LYONS CENTRAL SCHOOL HEALTH FAIRNEWARK SCHOOL CAREER DAYSWCRHN HOLIDAY HEALTH FAIRHEALTH FAIR - CHILDREN'S AT CLYDE, MARION, AND HOLIDAY HEALTH FAIRHEALTH FAIR - DIABETES/CHRONIC DISEASESUBSIDIZED DENTAL SERVICES AT FINGER LAKES COMMUNITY HEALTHSUBSIDIZED DENTAL SERVICES AT FAMILY COUNSELING SERVICES OF THE FINGER LAKESFLCC SCHOLARSHIP SUPPORT FOR RN PROGRAMADS FOR FACILITATED ENROLLMENT - HEALTH CARE ACCESSMARION KID'S FAIRSPRING FEST HEALTH FAIRCOPD EDUCATIONDIABETES HEALTH FAIRWAYNE COUNTY FAIR HEALTH BOOTHUROLOGY SEMINAR IN CANANDAIGUACOLON RECTAL EDUCATION EVENTCARDIAC REHAB EDUCATIONSENIOR HEALTH AND WELLNESS EXPO
PART III, LINE 4:IN 2013, THE ORGANIZATION CONTINUED ITS ENHANCED PROCESS FOR OBTAINING ADDITIONAL FINANCIAL INFORMATION FOR UNINSURED AND UNDER-INSURED PATIENTS WHO HAVE NOT SUPPLIED THE REQUISITE INFORMATION TO DETERMINE IF THEY QUALIFY FOR CHARITY CARE. THE ADDITIONAL INFORMATION OBTAINED WAS USED BY THE ORGANIZATION TO DETERMINE WHETHER TO QUALIFY PATIENTS FOR CHARITY CARE IN ACCORDANCE WITH THE ORGANIZATION'S POLICY. THE APPLICATION OF THIS ADDITIONAL INFORMATION IN 2013 RESULTED IN ADDITIONAL PATIENTS QUALIFYING FOR CHARITY CARE AND THUS RE-CLASSIFYING THIS AMOUNT FROM BAD DEBT EXPENSE. BAD DEBT EXPENSE ON PART III, LINE 2 REPRESENTS ESTIMATED UNCOLLECTIBLE CHARGES FOR THOSE PATIENTS UNWILLING, NOT UNABLE, TO PAY.BAD DEBT COSTING METHODOLOGY:BAD DEBT EXPENSE IS RECORDED USING THE VALUATION METHOD AS OUTLINED IN HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT 15, WHICH REQUIRES BAD DEBT EXPENSE TO BE RECORDED AT THE AMOUNT THAT THE PAYER IS EXPECTED TO PAY. THE PROVISION FOR BAD DEBTS REPRESENTS ESTIMATED UNCOLLECTIBLE CHARGES OF PATIENTS UNWILLING TO PAY. IN 2013, THE ORGANIZATION CONTINUED ITS ENHANCED PROCESS FOR OBTAINING ADDITIONAL FINANCIAL INFORMATION FOR UNINSURED AND UNDERINSURED PATIENTS WHO HAVE NOT SUPPLIED THE REQUISITE INFORMATION TO DETERMINE IF THEY QUALIFY FOR CHARITY CARE. THE APPLICATION OF THIS ADDITIONAL INFORMATION IN 2013 RESULTED IN ADDITIONAL PATIENTS QUALIFYING FOR CHARITY CARE AND A REDUCTION TO BAD DEBT EXPENSE.TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE:THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HOSPITAL FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE HOSPITAL. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE HOSPITAL'S POLICIES.
PART III, LINE 8:THE ORGANIZATION USED THE FILED 2013 CMS COST REPORT TO DETERMINE THE MEDICARE ALLOWABLE COSTS OF CARE RELATING TO PAYMENTS RECEIVED FROM MEDICARE. MEDICARE SHORTFALLS, WHICH ARE COSTS INCURRED BY THE HOSPITAL TO PROVIDE QUALITY CARE AND TREATMENT TO ITS PATIENTS, SHOULD BE TREATED AS A COMMUNITY BENEFIT. TO NOT INCUR THESE COSTS WOULD POTENTIALLY LIMIT OR EVEN COMPROMISE THE QUALITY OF SERVICE PROVIDED.
PART III, LINE 9B:AT SUCH TIME THAT A PATIENT EXPRESSES A FINANCIAL CONCERN, THE PATIENT WILL BE OFFERED THE OPPORTUNITY TO APPLY FOR CHARITY CARE. ONCE THE PATIENT SUBMITS THE COMPLETED CHARITY CARE APPLICATION, THE ACCOUNT IS PLACED ON HOLD AND ALL COLLECTION ACTIVITIES ARE SUSPENDED UNTIL AN ELIGIBILITY DETERMINATION IS MADE. IF THE PATIENT IS ELIGIBLE FOR CHARITY CARE, THEN THE PATIENT IS NOTIFIED OF THE LEVEL OF CHARITY CARE AWARDED. IF 100% CHARITY CARE IS AWARDED, THAN NO BILL IS SENT TO THE PATIENT. IF LESS THAN 100% CHARITY CARE IS AWARDED, THAN THE PATIENT WILL RECEIVE A BILL PURSUANT TO THE PRIVATE PAY COLLECTION POLICY. ONLY AFTER PATIENT'S LIABILITY HAS BEEN DETERMINED FOLLOWING PROCESSING OF APPLICATIONS FOR GOVERNMENT ASSISTANCE, CHARITY CARE, AND/OR INSURANCE CARRIER REMITTANCE WILL THE PATIENT STATEMENT BE MAILED FOR PAYMENT RECOVERY. THE HOSPITAL'S COLLECTION PRACTICES SET FORTH IN ITS WRITTEN DEBT COLLECTION POLICY APPLY TO ALL PATIENT TYPES OF THE HOSPITAL.
PART VI, LINE 2:IN 2013, WAYNE COUNTY PUBLIC HEALTH (WCPH) CARRIED OUT A COMPREHENSIVE COMMUNITY HEALTH ASSESSMENT OF SERVICES, PERCEPTIONS, AND HEALTH CARE NEEDS IN WAYNE COUNTY. THE WAYNE COUNTY RURAL HEALTH NETWORK (WCRHN) PARTNERED WITH THE WCPH TO DISSEMINATE THE SURVEY AND TO ENCOURAGE PARTICIPATION. IN 2013, NEWARK-WAYNE COMMUNITY HOSPITAL (NWCH), WCRHN, AND WCPH MET IN THREE SEPARATE MEETINGS WITH COMMUNITY AND COUNTY LEADERS, INCLUDING NOT-FOR-PROFIT SERVICE AGENCIES, TO REVIEW THE PRIORITIES IDENTIFIED IN THE NEEDS ASSESSMENT AND TO DISCUSS WCPH'S PRIORITIES FOR ITS PLANS TO ADDRESS COUNTY-WIDE NEEDS. THE MEETINGS WERE ALSO OPPORTUNITIES FOR NWCH, WCRHN, WCPH AND PROVIDERS AND HEALTH AND HUMAN SERVICE AGENCIES TO DISCUSS HOW TO LEVERAGE AVAILABLE FUNDS TO EXTEND AND COMPLEMENT THE WORK AND PROGRAMS THAT ARE ON-GOING, AND, TO AGREE ON FUTURE PROGRAM DEVELOPMENT OPPORTUNITIES. THE WCRHN BOARD MEETS BI-MONTHLY TO DISCUSS ACTION PLAN ITEMS AND TO PROVIDE INPUT AND SUGGESTIONS FOR CHANGES AND/OR ADDITIONS. AS A RESULT OF THOSE MEETINGS, NWCH, IN CONCERT WITH WCRHN AND KEY MEDICAL AND HOSPITAL STAFF, THEN IDENTIFIED TWO PRIORITY AREAS FOR ITS COMMUNITY SERVICE ACTIVITIES AND FUTURE PROGRAM DEVELOPMENT OPPORTUNITIES. THOSE PRIORITY AREAS ARE:1.) REDUCE OBESITY IN CHILDREN AND ADULTS2.) REDUCE HEART DISEASE AND HYPERTENSIONNEXT STEPS WILL CENTER ON ACCOMPLISHING THE ACTIVITIES OUTLINED IN THE COMMUNITY HEALTH IMPROVEMENT WORK PLAN TO ACHIEVE THE OBJECTIVES RELATED TO IDENTIFIED PRIORITIES. THE GROUP HAS ALREADY BEGUN DEVELOPING A MORE DETAILED WORKPLAN FOR EACH ACTIVITY IN THE CHIP CHART IN THE COMMUNITY HEALTH IMPROVEMENT PLAN. NEWARK-WAYNE COMMUNITY HOSPITAL WILL CONTINUE TO MEET AND WORK WITH WAYNE COUNTY PUBLIC HEALTH AND OTHER PARTNERS ON A REGULAR BASIS TO BEGIN TO MAKE PROGRESS IN ADDRESSING THE IDENTIFIED PRIORITIES TO REDUCE OBESITY, HEART DISEASE AND HYPERTENSION IN OUR COMMUNITY.
PART VI, LINE 3:ROCHESTER GENERAL HEALTH SYSTEM (RGHS) INFORMS INDIVIDUALS OF AVAILABLE FREE OR REDUCED PRICE SERVICES AT THE TIME OF REGISTRATION INTO THE INPATIENT, OUTPATIENT, EMERGENCY DEPARTMENT, AND LONG-TERM CARE FACILITY. POSTERS INFORMING THE PATIENT/FAMILY OF ASSISTANCE ARE AVAILABLE THROUGHOUT THE RGHS LOCATIONS. BROCHURES AND PAMPHLETS INFORMING THE COMMUNITY ARE WIDELY DISTRIBUTED IN THE COMMUNITY AT HEALTH FAIRS, CHURCHES, SCHOOLS AND OTHER PUBLIC LOCATIONS. INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE IS ALSO AVAILABLE THROUGH RGHS'S WEBSITE AND PATIENTS WITH A SELF-PAY BALANCE ARE NOTIFIED OF OUR FINANCIAL ASSISTANCE PROGRAM VIA THE PATIENT'S STATEMENT. RGHS OFFERS SEVERAL INITIATIVES TO HELP INDIVIDUALS IN OUR COMMUNITY ACCESS AFFORDABLE HEALTH CARE, INCLUDING:FACILITATED ENROLLMENT: TO ASSIST ELIGIBLE INDIVIDUALS WITH HEALTH INSURANCE ENROLLMENT BY OFFERING EDUCATION AND APPLICATION ASSISTANCE FOR MEDICAID, CHILD HEALTH PLUS, FAMILY HEALTH PLUS, PRENATAL CARE ASSISTANCE PROGRAM, AND STATE AID FOR CHILDREN WITH SPECIAL NEEDS. A DEDICATED TELEPHONE NUMBER IS AVAILABLE AND INFORMATION IS PUBLISHED IN PAMPHLETS AT RGHS SITES AND AT VARIOUS LOCATIONS THROUGHOUT THE COMMUNITY. FINANCIAL ASSISTANCE PROGRAM: THE RGHS FINANCIAL ASSISTANCE PROGRAM OFFERS FREE OR REDUCED-PRICES FOR PATIENTS TREATED AT RGHS HOSPITALS, OUTPATIENT, EMERGENCY ROOM, OR LONG-TERM CARE FACILITIES. DISCOUNTS ARE AWARDED BASED UPON INCOME AND ASSET VERIFICATION. INDIVIDUALS WHO DO NOT QUALIFY FOR MEDICAID, CHILD HEALTH PLUS, FAMILY HEALTH PLUS, PRENATAL CARE ASSISTANCE PROGRAM, AND/OR STATE AID FOR CHILDREN WITH SPECIAL NEEDS ARE CONSIDERED FOR FINANCIAL ASSISTANCE (CHARITY CARE).
PART VI, LINE 4:THE ORGANIZATION IS THE ONLY HOSPITAL IN WAYNE COUNTY. THE NEAREST MAJOR CITY TO NEWARK IS ROCHESTER (WHICH IS 45 MINUTES AWAY IN MONROE COUNTY). THE PRIMARY AREA SERVED BY THE ORGANIZATION INCLUDES VILLAGES AND TOWNS WITHIN WAYNE COUNTY INCLUDING: THE TOWNS OF ARCADIA, ONTARIO, WALWORTH, MACEDON, WILLIAMSON, MARION, PALMYRA, SODUS, SODUS POINT, LYONS, HURON, ROSE, GALEN, SAVANNAH, BUTLER, AND WOLCOTT IN WAYNE COUNTY, AND AREAS OF ONTARIO COUNTY INCLUDING MANCHESTER AND PHELPS. THE MAJORITY OF WAYNE COUNTY IS A SUBSTANTIALLY RURAL LANDSCAPE WITH A LARGE AGRICULTURAL PRESENCE. MANY OF THE ZIP CODES (14589, 14551, 14413, 14433, 14449, 14489, 14516, 14542, 13143, 13146, 13154, AND 14590) IN WAYNE COUNTY ARE DESIGNATED RURAL BY FEDERAL GUIDELINES. ACCORDING TO THE US CENSUS BUREAU, WAYNE COUNTY, WHERE NEWARK-WAYNE IS LOCATED, IS HOME TO OVER 93,000 RESIDENTS, 11.1% OF WHO LIVE BELOW THE POVERTY LINE, AND 13.3% OF WHO HAVE LESS THAN A HIGH SCHOOL DIPLOMA. THE REGION IS ALSO HOME TO THE LARGEST SEASONAL POPULATION OF MIGRANT AND SEASONAL FARM WORKERS IN NEW YORK STATE, DUE TO THE FACT THAT WAYNE COUNTY IS THE SECOND LARGEST APPLE-PRODUCING COUNTY IN THE NATION. DURING THE MIGRANT FARM SEASON THE POPULATION OF MIGRANT FARM WORKERS PRIMARILY LATINO AND HAITIAN - SWELLS BY MORE THAN 7,000 ADDITIONAL RESIDENTS. THE WAYNE COUNTY PUBLIC HEALTH DEPARTMENT ESTIMATES THAT APPROXIMATELY 10% OF THE COUNTY'S ENTIRE POPULATION IS UNINSURED. MANY OF THESE MIGRANT FARM WORKERS (93% OF WHOM ARE UNINSURED), ARE INDIVIDUALS IN TRANSITION FROM WELFARE TO WORK, THOSE EMPLOYED PART-TIME IN FOOD PROCESSING PLANTS, AND THOSE TRANSITIONING FROM JAIL TO THE COMMUNITY. HEALTHCARE DELIVERY IN THE COMMUNITY IS ALSO COMPLICATED BY TRANSPORTATION ISSUES, AN AGING POPULATION BASE, AND RURAL ECONOMIC DECLINE.
PART VI, LINE 5:MEDICAL STAFFTHE NEWARK-WAYNE COMMUNITY HOSPITAL MEDICAL STAFF HAS 444 STAFF MEMBERS WITH 66 CURRENTLY ON ACTIVE STAFF. THESE PHYSICIANS REPRESENT A BROAD SPECTRUM OF PRIMARY CARE AND SPECIALTY SERVICES. AS AN AFFILIATE OF ROCHESTER GENERAL HEALTH SYSTEM, OUR PATIENTS HAVE SEAMLESS ACCESS TO ADDITIONAL SPECIALISTS INCLUDING THE WORLD-CLASS PROVIDERS AT THE ROCHESTER HEART INSTITUTE AND THE LIPSON CANCER CENTER BOTH IN PENFIELD AND ROCHESTER.VOLUNTEERS/AUXILIANSMEMBERS OF COMMUNITIES FROM ACROSS WAYNE AND SURROUNDING COUNTIES HAVE ALWAYS PLAYED AN IMPORTANT ROLE IN ADVOCATING FOR, AND OFFERING ASSISTANCE AT NEWARK-WAYNE COMMUNITY HOSPITAL AND DEMAY LIVING CENTER. IN 2013, 221 VOLUNTEERS PROVIDED MORE THAN 30,146 HOURS OF SERVICE AT NEWARK-WAYNE COMMUNITY HOSPITAL/DEMAY LIVING CENTER. ADDITIONALLY, A FACILITIES ADVISORY COUNCIL AND A COMMUNITY ADVISORY COUNCIL WERE FORMED TO GARNER COMMUNITY FEEDBACK ON SIGNIFICANT CAMPUS CHANGES AND PROGRAMS BEING OFFERED IN THE COMMUNITY.BOARD OF DIRECTORS AND COMMUNITY GUIDANCENEWARK WAYNE COMMUNITY HOSPITAL MAINTAINS COMMUNITY CONTROL OVER THE CORPORATION THROUGH ITS BOARD OF DIRECTORS, COMPRISED OF COMMUNITY AND FAITH LEADERS, AND LEADERS IN BUSINESS AND INDUSTRY, HEALTHCARE, AND PHYSICIANS REPRESENTING THE MEDICAL STAFF OF THE ORGANIZATION. THE MAJORITY OF THE DIRECTORS RESIDE IN THE WAYNE COUNTY AREA AND EACH DIRECTOR SERVES A THREE-YEAR TERM.USE OF SURPLUS FUNDSSURPLUS FUNDS ARE USED TO FURTHER THE MISSION AND OPERATIONS OF THE ORGANIZATION, SUCH AS REINVESTING IN COMMUNITY BENEFIT PROGRAMS, AND MAKING IMPROVEMENTS IN FACILITIES, PATIENT CARE, MEDICAL, NURSING AND ALLIED HEALTH TRAINING, EDUCATION AND RESEARCH IN SUPPORT OF THE HEALTH NEEDS OF THE COMMUNITY.
PART VI, LINE 6:ROCHESTER GENERAL HEALTH SYSTEMS (RGHS) (I.E. THE PARENT ORGANIZATION AND ITS RELATED AFFILIATES) HAS PROVIDED HIGH QUALITY HEALTHCARE SERVICES TO THE GREATER ROCHESTER NY AREA AND SURROUNDING REGIONS FOR MORE THAN 150 YEARS. RGHS OFFER PATIENTS MANY OF THE SAME LEADING EDGE TREATMENT OPTIONS FOUND AT THE COUNTRY'S FINEST MEDICAL CENTERS. FROM SURGERY TO ORTHOPEDICS, WOMEN'S HEALTH TO EMERGENCY CARE, PEOPLE ALL ACROSS WESTERN NY TURN TO RGHS FOR THEIR EXPERIENCE, COMPASSION AND EXPERTISE IN HELPING THEM GET BACK TO LIVING THEIR LIVES. POVERTY TRENDS, COMMUNITY HEALTH RESEARCH AND NEEDS ASSESSMENTS ARE REVIEWED ON A REGULAR BASIS WHILE PLANNING COMMUNITY HEALTH PROGRAMS. RGHS REPRESENTATIVES ARE ACTIVELY ENGAGED IN VARIOUS COMMUNITY HEALTH COLLABORATIVES WITH THE LOCAL HEALTH DEPARTMENTS, STATE HEALTH DEPARTMENT, AND LOCAL NOT-FOR-PROFIT HEALTH AND HUMAN SERVICE AGENCIES. RGHS IS RESPONSIVE TO COMMUNITY PRIORITIES AND DEVELOP PROGRAMS AND SERVICES THAT FILL A GAP OR SUPPLEMENT AN EXISTING PROGRAM. MOST RGHS COMMUNITY HEALTH OUTREACH PROGRAMS ARE OFFERED IN PARTNERSHIP WITH OTHER COMMUNITY ORGANIZATIONS OR GOVERNMENTAL AGENCIES, IN ORDER TO LEVERAGE RESOURCES TO MEET COMMUNITY NEEDS. INFORMATION REGARDING THE AVAILABILITY OF COMMUNITY HEALTH PROGRAMS, ASSISTANCE WITH HEALTH INSURANCE ENROLLMENT AND FINANCIAL ASSISTANCE FOR MEDICAL CARE RECEIVED AT RGHS HOSPITALS, EMERGENCY DEPARTMENTS, OUTPATIENT DEPARTMENTS OR LONG-TERM CARE FACILITIES ARE DISSEMINATED TO THE PUBLIC IN ELECTRONIC (WEBSITE) FORM.ROCHESTER GENERAL HOSPITAL, THE FLAGSHIP OF THE ROCHESTER GENERAL HEALTH SYSTEM, IS A REGIONAL LEADER IN HEALTH CARE. THIS 528-BED ACUTE CARE, TEACHING HOSPITAL SERVES THE GREATER ROCHESTER, NY REGION AND BEYOND. ROCHESTER GENERAL HOSPITAL IS THE FOURTH LARGEST EMPLOYER IN ROCHESTER AND AN INTEGRAL PART OF THE COMMUNITY. ROCHESTER GENERAL HOSPITAL'S NATIONALLY RECOGNIZED PROGRAMS HAVE CONSISTENTLY DEMONSTRATED QUALITY OUTCOMES THAT POSITIVELY IMPACT PATIENTS, THEIR FAMILIES AND THE ENTIRE COMMUNITY. ROCHESTER GENERAL PROVIDES CARE TO MORE MONROE COUNTY RESIDENTS THAN ANY OTHER HOSPITAL IN THE REGION AND, AS A TERTIARY CARE FACILITY, HAS STRONG REFERRAL RELATIONSHIPS WITH SEVERAL REGIONAL HOSPITALS. IN 2013, RGH CARED FOR MORE THAN 88,000 PATIENTS IN THE EMERGENCY DEPARTMENT, DISCHARGED OVER 42,800 INPATIENTS, AND PERFORMED MORE THAN 26,700 SURGICAL PROCEDURES AND OVER 1,198,500 OUTPATIENT ENCOUNTERS. ROCHESTER GENERAL OFFERS A FULL ARRAY OF SERVICES TO MEET THE MEDICAL NEEDS OF UPSTATE NEW YORK, INCLUDING NATIONALLY RECOGNIZED PROGRAMS IN CARDIAC, CANCER, ORTHOPEDIC, VASCULAR, SURGICAL AND DIABETES CARE. DISTINCTIONS FOR QUALITY INCLUDE DESIGNATION AS A SOLUCIENT/THOMPSON TOP 100 CARDIAC HOSPITAL EIGHT TIMES AND DESIGNATION BY NEW YORK STATE AND THE JCAHO AS AN ACCREDITED STROKE CENTER. HIGH QUALITY CLINICAL CARE PROVIDED AT ROCHESTER GENERAL IS AMPLIFIED BY RELATIONSHIPS AND AFFILIATIONS WITH NATIONALLY RENOWNED INSTITUTIONS SUCH AS THE CLEVELAND CLINIC (FOR CARDIAC CARE) AND ROSWELL PARK CANCER INSTITUTE.NEWARK-WAYNE COMMUNITY HOSPITAL (NWCH) HAS SERVED GENERATIONS OF WAYNE COUNTY RESIDENTS SINCE 1957, AND MANY HAVE BECOME MEMBERS OF OUR GROWING HEALTHCARE FAMILY. WITH NEW, LEADING-EDGE MEDICAL TECHNOLOGY, A DIRECT PARTNERSHIP WITH ROCHESTER GENERAL HOSPITAL, AND HIGHLY TRAINED STAFF DRIVEN BY OUR EXCELLENCE EVERY DAY PROGRAM, NWCH CONTINUES TO GROW IN EVERY ASPECT OF ITS HEALTHCARE DELIVERY. THE HOSPITAL IS LICENSED TO OPERATE 120 ACUTE CARE BEDS, WHICH INCLUDES: 82 MEDICAL/SURGICAL BEDS, 16 ADULT MENTAL HEALTH BEDS, 8 ICU BEDS AND 14 OBSTETRICAL BEDS. NWCH ALSO OFFERS A FULL ARRAY OF OUTPATIENT SERVICES INCLUDING AN EMERGENCY DEPARTMENT, CARDIAC REHABILITATION, LAB SERVICES, DIAGNOSTIC IMAGING, REHABILITATION SERVICES, AS WELL AS LAB DRAW STATIONS AND PATIENT IMAGING UNITS IN OTHER PARTS OF WAYNE COUNTY. IN RESPONSE TO COMMUNITY NEED, NWCH OPENED THE DEMAY LIVING CENTER IN 1994, A 180-BED SKILLED NURSING FACILITY. DEMAY LIVING CENTER OFFERS SKILLED NURSING CARE, A DEMENTIA UNIT, A NEUROBEHAVIORAL UNIT, A REHABILITATION DEPARTMENT AND ADULT DAY CARE. IN 1997, NWCH ESTABLISHED THE WAYNE COUNTY RURAL HEALTH NETWORK (WCRHN) TO ENCOURAGE GREATER COLLABORATION AMONG HEALTH AND SOCIAL SERVICE AGENCIES WITHIN WAYNE COUNTY IN ORDER TO PROVIDE GREATER ACCESS TO NEEDED SERVICES AND TO DEVELOP INNOVATIVE PROGRAMS TO BETTER MEET IDENTIFIED NEEDS. WCRHN IS ONE OF 35 SUCH NETWORKS IN NYS.ROCHESTER MENTAL HEALTH CENTER (RMHC) HAS NINE LOCATIONS ACROSS THE COMMUNITY, INCLUDING TWO OF THE AREA'S BEST MENTAL HEALTH CENTERS, GENESEE MENTAL HEALTH CENTER AND ROCHESTER MENTAL HEALTH CENTER, AND OVER 40 YEARS OF EXPERIENCE AND TRADITION. RMHC HAS COMPREHENSIVE SERVICES AND DEDICATED MENTAL HEALTH AND SUBSTANCE ABUSE PROFESSIONALS, WORKING TO HELP PATIENTS ACHIEVE THEIR FULL POTENTIAL TO LIVE AND WORK AS PRODUCTIVE MEMBERS OF THE COMMUNITY. THEY OFFER:-A COMPREHENSIVE SYSTEM OF CLINICAL MENTAL HEALTH SERVICES-READILY-ACCESSIBLE, CULTURALLY-SENSITIVE SERVICES UNIQUELY MATCHED TO THE INDIVIDUAL NEEDS OF EACH PATIENT AND THEIR FAMILY-CONVENIENT ACCESS TO MENTAL HEALTH OUTPATIENT SERVICES WITH LOCATIONS THROUGHOUT THE GREATER ROCHESTER AREA-AN UNWAVERING COMMITMENT TO SERVE THOSE IN THE COMMUNITY WHO HAVE EMOTIONAL NEEDS.INDEPENDENT LIVING FOR SENIORS (ILS) OFFERS A PROGRAM THAT GIVES THE FRAIL ELDERLY AN ALTERNATIVE TO NURSING HOME PLACEMENT. IT IS DESIGNED TO ENABLE SENIORS TO LIVE IN THEIR OWN HOME SERVED BY A NETWORK OF SUPPORTIVE SERVICES. THE ILS PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE), HAS PROVEN THAT INTEGRATING HEALTH CARE SERVICES CAN HAVE A POWERFUL AND BENEFICIAL IMPACT ON INDIVIDUAL HEALTH AND WELL-BEING. SENIORS NOW HAVE A CHOICE TO LIVE OUT THEIR LIVES IN THEIR COMMUNITY - ENJOYING FAMILY, MANAGING THEIR HEALTH, MAKING NEW FRIENDS SIMPLIFYING HOW THEY CHOOSE AND PAY FOR NEEDED LONG-TERM CARE. ILS OFFERS ALL OF THE HEALTH, MEDICAL AND SOCIAL SERVICES NEEDED TO HELP AN AGING LOVED ONE MAINTAIN THEIR INDEPENDENCE, DIGNITY AND QUALITY OF LIFE. A RANGE OF SERVICES ARE AVAILABLE TO AN ILS PARTICIPANT, INCLUDING: ADULT DAY CARE; PRIMARY CARE; LABORATORY; X-RAY AND AMBULANCE SERVICES; REHABILITATIVE AND SUPPORT SERVICES; MEDICAL SPECIALTY SERVICES; SKILLED NURSING CARE; ACUTE HOSPITAL CARE; IN-HOME SERVICES; INTERDISCIPLINARY CONSULTATION; AND NURSING HOME CARE SHOULD THE NEED ARISE.ROCHESTER GENERAL LONG TERM CARE (HILL HAVEN) PROVIDES 24-HOUR SKILLED NURSING CARE TO THOSE IN NEED OF:-REHABILITATION-LONG-TERM CARE-TRANSITIONAL CARE-HOSPICE CARE-CARE FOR ALZHEIMER'S-TYPE DEMENTIATHE GOAL IS TO HELP RESIDENTS REACH THEIR GREATEST LEVEL OF PHYSICAL FUNCTIONING AND EMOTIONAL WELL-BEING. THE FACILITY IS A PARK-LIKE SETTING IN WEBSTER, NEW YORK WITH 355 BEDS, DEDICATED ROOMS FOR MINGLING AND RECREATION, AND BEAUTIFULLY LANDSCAPED GROUNDS. RESIDENTS HAVE ACCESS TO IN-HOUSE MEDICAL CARE PROVIDED BY PHYSICIANS, NURSE PRACTITIONERS AND A RANGE OF MEDICAL AND REHABILITATION SPECIALISTS. HILL HAVEN IS COMMITTED TO HELPING SENIORS STAY AS CONNECTED TO THE COMMUNITY AS POSSIBLE WITH SPECIAL PROGRAMS AND AN OPEN DOOR FOR FAMILY AND FRIENDS. ROCHESTER GENERAL HOSPITAL FOUNDATION AND NEWARK WAYNE COMMUNITY HOSPITALFOUNDATION: THE VITAL SERVICES THAT RGHS PROVIDES TO THE COMMUNITY WOULD NOT BE POSSIBLE WITHOUT THE FOUNDATION SUPPORT. IN THE NONPROFIT ORGANIZATIONAL STRUCTURE THE FOUNDATIONS ARE CRITICAL TO THE ABILITY TO MAKE ONGOING INVESTMENTS IN STATE-OF-THE-ART MEDICAL TECHNOLOGY, CLINICAL PROGRAMS, FACILITIES, RESEARCH AND EDUCATION THAT BENEFIT THE COMMUNITY AS A WHOLE. THE IMPACTS OF THE FOUNDATIONS' EFFORTS ARE VISIBLE THROUGHOUT THE HOSPITAL, AND IN THEIR DISTINGUISHED CENTERS OF EXCELLENCE. THE FOUNDATIONS' FUNDRAISING PROGRAMS DIRECTLY BENEFIT THE ONGOING NEEDS OF THE COMMUNITY THROUGH IMPROVED AND EXPANDED PATIENT CARE PROGRAMS, SERVICES, AND FACILITIES AND HELP PURCHASE EQUIPMENT. THIS ENHANCES THE HIGH-TOUCH AND COMPASSIONATE CARE AVAILABLE TO ALL WHO ARE SERVED IN THE COMMUNITY.
PART VI, LINE 7, REPORTS FILED WITH STATESNY

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARK CLEMENT
PRESIDENT & CEO$69,489$671,007$71,446$689,902$5,063$48,892$59,869$578,112$487$4,701$206,354$1,992,614$37,302$360,198
PAULA TINCH
SVP FINANCE & CFO$24,596$237,507$10,700$103,324$1,659$16,019$10,612$102,476$426$4,117$47,993$463,443$0$0
MARK KLYCZEK
PRESIDENT - NWH$167,581$0$79,260$0$29,725$0$8,625$0$5,967$0$291,158$0$0$0
ROBERT MAYO
CMO$31,611$290,664$7,420$68,224$4,029$37,050$12,094$111,203$740$6,805$55,894$513,946$0$0
HUGH THOMAS
SVP & CORPORATE COUNSEL$34,479$332,940$22,010$212,533$4,418$42,662$15,513$149,801$800$7,729$77,220$745,665$9,443$91,184
JAMES SYRETT
PHYSICIAN$281,802$0$46,516$0$17,500$0$1,412$0$1,740$0$348,970$0$0$0
EVE WILLIAMS
PHYSICIAN$294,303$0$34,666$0$12,120$0$22,632$0$4,824$0$368,545$0$0$0
MICHAEL CUNNINGHAM
PHYSICIAN$321,167$0$20,470$0$0$0$11,437$0$5,410$0$358,484$0$0$0
PETER FENTON
PHYSICIAN$154,239$0$199,925$0$17,500$0$9,761$0$6,786$0$388,211$0$0$0
BRAIN LAUX
PHYSICIAN$250,748$0$15,246$0$23,000$0$12,959$0$7,269$0$309,222$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE FILING ORGANIZATION'S RELATED NON-PROFIT ORGANIZATION, ROCHESTER GENERAL HEALTH SYSTEM, UTILIZES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE CEO: A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 4BRGHS MAINTAINS A SECTION 457(F) PLAN WHICH WOULD BE CONSIDERED A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. DURING 2012, NO DISTRIBUTIONS WERE PAID OUT. THE FOLLOWING OFFICERS AND KEY EMPLOYEES LISTED ON FORM 990, PART VII, SECTION A WOULD BE ELIGIBLE PARTICIPANTS IN THE PLAN SINCE THEY WOULD BE ENTITLED TO A DISTRIBUTION UPON SEPARATION FROM SERVICE: HUGH THOMAS MARK CLEMENT

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1WAYNE COUNTY CIVIC FACILITY DEVELOPMENT CORPBusinessNameLine1
FieldValueIRS element (for citing)
Bond Issuer EIN320345910BondIssuerEIN
Bond Issued2011-11-17BondIssuedDt
Issue Price$19,775,000IssuePriceAmt
PurposeTO DEFEASE OUTSTANDING 1993 BONDS & FINANCE HOSPITAL RENOVATIONS/EXPANSIONPurposeDesc
DefeasedYes (1)DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Bond Defeased$8,564,845BondDefeasedAmt
Total Proceeds$19,775,000TotalProceedsAmt
Refunding Escrow$6,164,943RefundingEscrowAmt
Issuance Costs From Proceeds$395,500IssuanceCostsFromProceedsAmt
Capital Expenditures$13,214,557CapitalExpendituresAmt
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation Made0FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, PART VFormAndLineReferenceDesc
ExplanationWRITTEN PROCEDURES ARE IN THE PROCESS OF BEING WRITTENExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1:ORGANIZATION'S MISSION THE PURPOSES FOR WHICH THE CORPORATION IS FORMED ARE: (A) TO PLAN, DEVELOP, ESTABLISH, ORGANIZE, CONSTRUCT, ERECT, BUILD, ACQUIRE, ALTER, RECONSTRUCT, REHABILITATE, OWN, OPERATE, MAINTAIN, AND MANAGE ALL TYPES OF INPATIENT AND OUTPATIENT HOSPITALS, HOSPITAL FACILITIES, CLINICS, TREATMENT CENTERS, SERVICES, AND PROGRAMS FOR THE DELIVERY OF ACUTE MEDICAL, SURGICAL AND PREVENTIVE HEALTH CARE SERVICES, IN ACCORDANCE WITH THE PUBLIC HEALTH LAW OF THE STATE OF NEW YORK; (B) TO PLAN, DEVELOP, ESTABLISH, ORGANIZE, CONSTRUCT, ERECT, BUILD, ACQUIRE, ALTER, RECONSTRUCT, REHABILITATE, OWN, OPERATE, MAINTAIN AND MANAGE NURSING HOMES AND ALL TYPES OF LONG TERM INPATIENT, OUTPATIENT AND RESIDENTIAL HEALTH CARE FACILITIES, SERVICES, AND PROGRAMS FOR ELDERLY, SICK, INVALID, INFIRM, DISABLED AND CONVALESCENT PERSONS, IN ACCORDANCE WITH THE PUBLIC HEALTH LAW OF THE STATE OF NEW YORK; (C) TO PLAN, DEVELOP, ESTABLISH, ORGANIZE, CONSTRUCT, ERECT, BUILD, ACQUIRE, ALTER, RECONSTRUCT, REHABILITATE, OWN OPERATE MAINTAIN, AND MANAGE ALL TYPES OF FAMILY PLANNING FACILITIES, CLINICS, TREATMENT CENTER SERVICES, AND PROGRAMS FOR THE DELIVERY OF ACUTE MEDICAL, SURGICAL AND PREVENTIVE HEALTH CARE SERVICES FOR INDIVIDUALS AND FAMILIES, IN ACCORDANCE WITH THE PUBLIC HEALTH LAW OF THE STATE OF NEW YORK; (D) TO PARTICIPATE IN ANY ACTIVITY DESIGNED AND CARRIED ON TO PROMOTE THE GENERAL HEALTH AND WELFARE OF THE COMMUNITY IN WHICH THE CORPORATION IS LOCATED; (E) TO SOLICIT, ACCEPT, HOLD, INVEST, REINVEST AND ADMINISTER GIFTS, GRANTS, BEQUESTS, CONTRIBUTIONS, DEVISES, BENEFITS OF TRUSTS, ENDOWMENTS AND PROPERTY OF ANY KIND, WITHOUT LIMITATION AS TO AMOUNT OR VALUE, FROM PRIVATE TO PUBLIC SOURCES, IN FURTHERANCE OF ITS CORPORATE PURPOSES; AND (F) TO DO ANY ACT OR THING INCIDENTAL TO OR CONNECT WITH THE FOREGOING PURPOSES OR IN ADVANCEMENT THEREOF, BUT NOT FOR THE PECUNIARY PROFIT OR FINANCIAL GAIN OF ITS MEMBERS, DIRECTORS, OFFICERS OR ANY PRIVATE PERSON.
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION IS A MEMBERSHIP (NOT A STOCK) CORPORATION UNDER THE NEW YORK STATE LAW. THE ORGANIZATION'S SOLE CORPORATE MEMBER IS ROCHESTER GENERAL HEALTH SYSTEM (RGHS), A RELATED NOT-FOR-PROFIT ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7AIN ACCORDANCE WITH THE TERMS AND REQUIREMENTS OF ITS GOVERNING DOCUMENTS (I.E. BYLAWS), THE ORGANIZATION'S DIRECTORS ARE DIVIDED INTO THREE CLASSES, AND THE CLASSES SERVE FOR STAGGERED THREE-YEAR TERMS. AT EACH ANNUAL MEETING, DIRECTORS IN A CLASS ARE ELECTED BY A MAJORITY VOTE OF THE DIRECTORS THEN IN OFFICE. DIRECTORS ARE ELECTED FROM AMONG NOMINEES CHOSEN BY THE GOVERNANCE AND NOMINATING COMMITTEE OF THE FILING ORGANIZATION'S SOLE CORPORATE MEMBER, ROCHESTER GENERAL HEALTH SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7BROCHESTER GENERAL HEALTH SYSTEM, AS THE SOLE CORPORATE MEMBER, ALSO HAS THE RIGHT TO APPROVE OR RATIFY SIGNFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY INCLUDING THE AMENDMENT OF BYLAWS AND CHARTERS, REMOVAL OF MEMBERS OF THE GOVERNING BODY, AND THE DECISION TO DISSOLVE THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11PRIOR TO FILING, A COPY OF THE FORM 990 IS PROVIDED TO, AND REVIEWED WITH, ALL MEMBERS OF THE AUDIT AND COMPLIANCE COMMITTEE. THIS REVIEW IS PERFORMED IN CONSULTATION WITH THE ORGANIZATION'S TAX ADVISORS, AND IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS AND OTHER RELEVANT INFORMATION FOR THE APPROPRIATE TIME PERIOD.
FORM 990, PART VI, SECTION B, LINE 12CUPON EMPLOYMENT, ALL EMPLOYEES RECEIVE THE ETHICAL STANDARD OF CONDUCT BOOKLET FOR WHICH THEY SIGN A RECEIPT OF ACKNOWLEDGEMENT. CONFLICT OF INTEREST IS DEFINED, AS IS MANAGEMENT OF A CONFLICT OF INTEREST. EMPLOYEES ARE REQUIRED TO DISCLOSE AND SEEK RESOLUTION TO ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST BEFORE TAKING A POTENTIALLY IMPROPER ACTION AND THEREAFTER, ANNUALLY, EACH KEY EMPLOYEE AND OFFICER OF THE ORGANIZATION IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE FORM, PROVIDING MANAGEMENT WITH SUFFICIENT INFORMATION ABOUT HIS/HER PERSONAL INTERESTS AND RELATIONSHIPS SO THAT MANAGEMENT CAN (1) DETERMINE WHETHER ANY ACTUAL OR PERCEIVED CONFLICT OF INTEREST EXISTS, AND (2) MONITOR WORK ASSIGNMENTS TO AVOID PLACING THE KEY EMPLOYEE OR OFFICER IN A POSITION WHERE THERE MAY BE A QUESTION AS TO HIS/HER OBJECTIVITY AS WELL AS TO AVOID ANY APPEARANCE OF IMPROPRIETY. THROUGHOUT THE YEAR, KEY EMPLOYEES AND OFFICERS OF THE ORGANIZATION ARE ALSO REQUIRED TO NOTIFY MANAGEMENT PROMPTLY IF ANY CHANGE TO THEIR DISCLOSURES OCCURS. IN ADDITION, EACH MEMBER OF THE BOARD OF DIRECTORS MUST ALSO COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE FORM, WHICH MUST BE SUBMITTED TO THE GENERAL COUNSEL. BOARD MEMBERS LEAVE THE ROOM DURING DISCUSSIONS AND ABSTAIN FROM VOTING WHEN THEY HAVE A CONFLICT OF INTEREST. IN ADDITION TO THE BOARD OF DIRECTORS, THE ORGANIZATION'S MANAGERS AND DIRECTORS WHO OVERSEE ITS OPERATIONS COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY AS WELL.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION'S OFFICER AND KEY EMPLOYEE COMPENSATION ARRANGEMENTS ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF ROCHESTER GENERAL HEALTH SYSTEM, A RELATED NOT-FOR-PROFIT ORGANIZATION. INFORMATION REVIEWED FOR THE OFFICER/KEY EMPLOYEE INCLUDES COMPARABLE DATA FROM SIMILAR SIZE TAX EXEMPT ORGANIZATIONS IN THE WESTERN / CENTRAL NY COMMUNITY AS WELL AS COMPENSATION FOR THESE POSITIONS (AS DISCLOSED ON FORM 990) WITH OTHER ORGANIZATIONS IN THE HEALTH CARE INDUSTRY THAT ARE OF SIMILAR SIZE, DEMOGRAPHICS AND GEOGRAPHY. REVIEW AND APPROVAL OF THE COMPENSATION ARRANGEMENT BY THE COMPENSATION COMMITTEE IS DOCUMENTED.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ADMINISTRATIVE OFFICES OF THE AFFILIATED HEALTH SYSTEM LOCATED AT 100 KINGS HIGHWAY SOUTH, ROCHESTER, NY 14617. A NOMINAL FEE IS CHARGED IF COPIES ARE REQUESTED.
FORM 990, PART IX, LINE 11GPHYSICIAN FEES: PROGRAM SERVICE EXPENSES 8,038,146. MANAGEMENT AND GENERAL EXPENSES 2,201,596. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,239,742.
FORM 990, PART XI, LINE 9:CHANGE IN INTEREST IN NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATION 956,458. CHANGE IN INTEREST IN FINGER LAKES VISITING NURSE SERVICE -1,375,134.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 5471 FILED ON BEHALF STATEMENTSTATEMENT PURSUANT TO TREAS. REG. SEC. 1.6038-2(J)(3): THE FOLLOWING INFORMATION IS SUBMITTED WITH RESPECT TO NEWARK-WAYNE COMMUNITY HOSPITAL'S FORM 5471 (INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS) FILING REQUIREMENT FOR THE ENTITY BELOW: NAME OF FOREIGN CORPORATION: GREATER ROCHESTER ASSURANCE COMPANY, LTD. BEGINNING TAX YEAR OF FOREIGN CORPORATION: JANUARY 1, 2013 ENDING TAX YEAR OF FOREIGN CORPORATION: DECEMBER 31, 2013 THE FORM 5471 FILING REQUIREMENT FOR THIS FOREIGN CORPORATION FOR CATEGORIES 4 AND 5 HAVE BEEN SATISFIED BY INCLUSION IN THE FOLLOWING U.S. FILER'S TAX RETURN: NAME OF U.S. FILER: ROCHESTER GENERAL HEALTH SYSTEM ADDRESS OF U.S. FILER: 100 KINGS HIGHWAY SOUTH, ROCHESTER, NY 14617 EIN: 22-2551509 ENDING TAX YEAR OF U.S. FILER: DECEMBER 31, 2013 TYPE OF RETURN FILED: 990-T IRS SERVICE CENTER WHERE RETURN FILED: OGDEN, UTAH 84201-0027

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
THE ROCHESTER GENERAL HOSPITAL
1425 PORTLAND AVENUEROCHESTERNY14621160743134HOSPITALNY501(C)(3)LINE 3RGHS0
ROCHESTER MENTAL HEALTH CENTER
490 EAST RIDGE ROADROCHESTERNY14621166069131MENTAL HEALTHNY501(C)(3)LINE 9RGHS0
GRHS FOUNDATION
100 KINGS HIGHWAY SOUTHROCHESTERNY14617222963015R/E INV MGMTNY501(C)(3)LINE 11B, IIRGHS0
THE ROCHESTER GENERAL HOSPITAL FOUNDATION
100 KINGS HIGHWAY SOUTHROCHESTERNY14617222229425FUNDRAISINGNY501(C)(3)LINE 11B, IIRGHS0
NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATION
DRIVING PARK AVENUENEWARKNY14513222963344FUNDRAISINGNY501(C)(3)LINE 11B, IINWCHYes (1)
RGHS WORKERS' COMPENSATION TRUST
1425 PORTLAND AVENUEROCHESTERNY14621169429300SEE PART VIINY501(C)(3)LINE 11B, IIRGHS0
CONTINUING CARE NETWORK INC (CCN)
100 KINGS HIGHWAY SOUTHROCHESTERNY14617222963016SUPPORT RGHNY501(C)(3)LINE 11B, IIRGHS0
ROCHESTER GENERAL HUDSON HOUSING
2066 HUDSON AVENUEROCHESTERNY14617223210351LOW INC HOUSINGNY501(C)(3)LINE 9RGHS0
INDEPENDENT LIVING FOR SENIORS
2066 HUDSON AVENUEROCHESTERNY14617161491059ADULT DAY HCNY501(C)(3)LINE 9RGHS0
ROCHESTER GENERAL LONG TERM CARE
1550 EMPIRE BLVDWEBSTERNY14580223187140NH & REHABNY501(C)(3)LINE 9RGHS0
WESTERN NEW YORK MEDICAL PRACTICE PC
1425 PORTLAND AVENUEROCHESTERNY14621611654232PHYS PRACNY501(C)(3)LINE 9RGHS0
ROCHESTER GENERAL HEALTH SYSTEM
100 KINGS HIGHWAY SOUTHROCHESTERNY14617222551509SYSTEM PARENTNY501(C)(3)LINE 11B, II0N/A
VIA HEALTH HOME CARE I
100 KINGS HIGHWAY SOUTHROCHESTERNY14617161504370HOME HEALTHNY501(C)(3)LINE 9CCN0
VIA HEALTH HOMECARE II
100 KINGS HIGHWAY SOUTHROCHESTERNY14617161538727HOME HEALTHNY501(C)(3)LINE 9CCN0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1NW ASSOCIATESBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 111AddressLine1
CityNEWARKCity
StateNYState
ZIP Code14513ZIPCode
FieldValueIRS element (for citing)
EIN141674119EIN
Primary ActivitiesLEASINGPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NEWARK WAYNE COMMUNITY HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeEXCLUDEDPredominantIncomeTypeTxt
Share Of Total Income$126,186ShareOfTotalIncomeAmt
Share Of EOY Assets$717,224ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.52570OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1ForeignAddress/AddressLine1CityForeignAddress/CityCountryForeignAddress/CountryPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
GREATER ROCHESTER ASSURANCE COMPANY LTD
GEORGE TOWNGRAND CAYMANCJINSURANCECJN/AC1.000000
NWA INC
REAL EST LEASC1.000000DRIVING PARK AVENUENEWARKNY14513141667339NYNWCH
ROCHESTER GENERAL HEALTH SYSTEM DIALYSIS INC
DIALYSISC01425 PORTLAND AVEROCHESTERNY14621383912199NYRGHS
GREATER ROCHESTER INDEPENDENT PRACTICE ASSOCIATION INC
INDEPENDENT PRACTICE ASSOCIATIONN/AC0100 KINGS HIGHWAY SOUTH STE 2500ROCHESTERNY14617161507171NY
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ROCHESTER GENERAL HOSPITAL
O$4,661,199FMV
GREATER ROCHESTER ASSUANCE COMPANY LTD
O$195,898FMV
WORKERS COMPENSATION TRUST
O$1,286,289FMV
ROCHESTER GENERAL HEALTH SYSTEM (CORPORATE)
O$1,232,557FMV

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART II, COLUMN B:FormAndLineReferenceDesc
ExplanationRELATED TAX-EXEMPT ORGANIZATION - PRIMARY ACTIVITY: RGHS WORKERS' COMPENSATION TRUST SUPPORTS THE GENESEE HOSPITAL, ROCHESTER GENERAL HOSPITAL, ROCHESTER GENERAL HOSPITAL FOUNDATION, NEWARK WAYNE COMMUNITY HOSPITAL, NEWARK COMMUNITY HOSPITAL FOUNDATION, INDEPENDENT LIVING FOR SENIORS, ROCHESTER GENERAL LONG TERM CARE, ROCHESTER GENERAL HUDSON HOUSING, GRHS FOUNDATION, BEHAVIORAL HEALTH NETWORK, AND ROCHESTER GENERAL HEALTH SYSTEM.ExplanationTxt