NEWARK WAYNE COMMUNITY HOSPITAL: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- NEWARK WAYNE COMMUNITY HOSPITAL (EIN 15-0584188)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-15
- IRS object ID
- 201203209349307955
- Schema version
- 2011v1.3
- 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 C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-15T15:34:24-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 75 BEATTIE PLACE SUITE 800 | AddressLine1 |
| City | GREENVILLE | City |
| State | SC | State |
| ZIP Code | 29601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 150584188 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEWARK-WAYNE COMMUNITY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % RITA SZMIGEL | InCareOfName |
| Name Control | NEWA | NameControl |
| Phone | 3153322456 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 Driving Park Avenue | AddressLine1 |
| City | Newark | City |
| State | NY | State |
| ZIP Code | 14513 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PAULA M TINCH | Name |
| Title | VP Finance & Interim CFO | Title |
| Date Signed | 2012-11-14 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8642425740 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | X | AddressChange |
| Name Of Principal Officer Person | Mark Clement | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 KINGS HIGHWAY SOUTH | AddressLine1 |
| City | ROCHESTER | City |
| State | NY | State |
| ZIP Code | 14617 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 82295194 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.rochestergeneral.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1952 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | TO OPERATE AN INPATIENT AND OUTPATIENT HOSPITAL, CLINICS AND TREATMENT CENTERS FOR THE DELIVERY OF ACUTE MEDICAL, SURGICAL AND PREVENTATIVE HEALTH CARE SERVICES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 996 | TotalNbrEmployees |
| Total Nbr Volunteers | 223 | TotalNbrVolunteers |
| Total Gross UBI | 3665449 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 108046 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 561529 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1041133 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 75663909 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 80383790 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 109234 | InvestmentIncomePriorYear |
| Investment Income Current Year | 157178 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 586142 | OtherRevenuePriorYear |
| Other Revenue Current Year | 713093 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 76920814 | TotalRevenuePriorYear |
| Total Revenue Current Year | 82295194 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 42550967 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 45885283 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 29287720 | OtherExpensePriorYear |
| Other Expenses Current Year | 32076092 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 71838687 | TotalExpensesPriorYear |
| Total Expenses Current Year | 77961375 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 5082127 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 4333819 | RevenuesLessExpensesCY |
| Total Assets BOY | 60252893 | TotalAssetsBOY |
| Total Assets EOY | 84218966 | TotalAssetsEOY |
| Total Liabilities BOY | 36715665 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 56140024 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 23537228 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 28078942 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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 CONVALESCANT 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 | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 48706600 | Expense |
| Grants | 0 | Grants |
| Revenue | 58617284 | Revenue |
| Description | THE ORGANIZATION OPERATES A TAX EXEMPT HOSPITAL THAT PROVIDES INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE WAYNE COUNTY, NY AREA. See Schedule H for Charity Care detail. DURING 2011, THE HOSPITAL PROVIDED 572,231 OUTPATIENT VISITS, 20,311 INPATIENT DAYS AND HAD 427 BIRTHS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 12831686 | Expense |
| Grants | 0 | Grants |
| Revenue | 22110318 | Revenue |
| Description | THE ORGANIZATION ALSO OPERATES the Demay Nursing Home, which is a 180 bed skilled nursing facility offering 24 hour nursing care, ventilator dependent care and specialized care for individuals in the early and mid stages of alhzheimer's and other cognitive disorders of aging. DURING 2011, THE DEMAY NURSING HOME PROVIDED 9,336 ADULT DAY CARE DAYS AND 64,318 PATIENT DAYS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 61538286 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 56 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 996 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | RITA SZMIGEL | NamePerson |
| Telephone Number | 5859221737 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 KINGS HIGHWAY SOUTH | AddressLine1 |
| City | ROCHESTER | City |
| State | NY | State |
| ZIP Code | 14617 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Robert F Havrilla | ||||||||
| Chair | 1.0 | X | X | 0 | 0 | 0 | ||
| Norm Brust | ||||||||
| Vice Chair | 1.0 | X | X | 0 | 0 | 0 | ||
| Gail F Bedell | ||||||||
| Treasurer | 1.0 | X | X | 0 | 0 | 0 | ||
| Margaret Churchill | ||||||||
| Secretary (until 8/22/2011) | 1.0 | X | X | 0 | 0 | 0 | ||
| Mark Clement | ||||||||
| Director/Pres & CEO | 5.0 | X | X | 119833 | 1211653 | 789545 | ||
| Joseph A DeSanto | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Harvey E Fowler | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| James Hoffman | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Robert W Hutteman | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Michael P Jankowski | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Paul E Johnson | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Daniel M Meyers | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| John F Murphy | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Mary Sue Napoleon MD | ||||||||
| Secretary (From 8/23/2011) | 1.0 | X | X | 0 | 0 | 0 | ||
| James E Praino DDS | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Scott Healy | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Robert Nesselbush | ||||||||
| SVP & CFO | 5.0 | X | 58174 | 588200 | 255572 | |||
| Mark Klyczek | ||||||||
| NWCH PRES (Effective 9/1/2011) | 55.0 | X | 118409 | 0 | 18770 | |||
| Annette Leahy | ||||||||
| NWCH PRES (termed 12/31/11) | 55.0 | X | 224352 | 0 | 43785 | |||
| Hugh Thomas | ||||||||
| SVP & Corporate Counsel | 5.0 | 47882 | 484143 | 207940 | X | |||
| Richard Gangemi MD | ||||||||
| SVP Academic & Medical Aff | 6.0 | 57482 | 517338 | 193226 | X | |||
| JAMES SYRETT | ||||||||
| PHYSICIAN | 40.0 | 332570 | 0 | 20952 | X | |||
| EVE WILLIAMS | ||||||||
| PHYSICIAN | 40.0 | 317672 | 0 | 45236 | X | |||
| MICHAEL CUNNINGHAM | ||||||||
| PHYSICIAN | 40.0 | 297829 | 0 | 46013 | X | |||
| BRIAN LAUX | ||||||||
| PHYSICIAN | 40.0 | 282923 | 0 | 36316 | X | |||
| CYNTHIA MARTINEZ-CAPOLINO | ||||||||
| PHYSICIAN | 40.0 | 313511 | 0 | 16450 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2170637 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2801334 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1673805 | TotalOtherCompensation |
| Number Individuals GT100 K | 15 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ALLIANCE HEALTHCARE SERVICES | |||||
| PO BOX 6600 | NEWPORT BEACH | CA | 92658 | HEALTHCARE SERVICES | 811835 |
| ANESTHESIA ASSOCIATES OF ROCHESTER | |||||
| 130 ALLENS CREEK RD | ROCHESTER | NY | 14618 | PHYSICIAN SERVICES | 803010 |
| MEDICAL STAFFING NETWORK | |||||
| PO BOX 203000 | DALLAS | TX | 753203000 | Agency Services | 505175 |
| FINGERS LAKES BONE AND JOINT | |||||
| 875 PREEMPTION RD | GENEVA | NY | 14456 | HEALTHCARE SERVICES | 399996 |
| GUARDSMARK LLC | |||||
| PO BOX 11407 | BIRMINGHAM | AL | 352463000 | Security Services | 192321 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 7 | NumberOfContractorsGT100K |
| Related Organizations | 452512 | RelatedOrganizations |
| Government Grants | 517517 | GovernmentGrants |
| All Other Contributions | 71104 | AllOtherContributions |
| Total Contributions | 1041133 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT REVENUE | 621110 | 58273472 | 54613625 | 3659847 |
| DEMAY NET PATIENT REVENUE | 623000 | 22110318 | 22110318 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 80383790 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 157178 | TotalRevenueColumn |
| Exclusion | $157,178 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 188935 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 188935 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 188935 | TotalRevenueColumn |
| Exclusion | $188,935 | ExclusionAmount |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|---|
| CAFETERIA SALES | 722210 | 174744 | $174,744 | ||
| EXTERNAL CLEANING SVC | 812300 | 5602 | 5602 | ||
| ALL OTHER REVENUE | 900099 | 343812 | 343812 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 524158 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 82295194 | TotalRevenueColumn |
| Related Or Exempt Function Income | 77067755 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 3665449 | UnrelatedBusinessRevenue |
| Exclusion | $520,857 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 820785 | Total |
| Program Services | 710073 | ProgramServices |
| Management And General | 110712 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36154686 | Total |
| Program Services | 27609883 | ProgramServices |
| Management And General | 8544803 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1724869 | Total |
| Program Services | 1306740 | ProgramServices |
| Management And General | 418129 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4882755 | Total |
| Program Services | 3735821 | ProgramServices |
| Management And General | 1146934 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2302188 | Total |
| Program Services | 1762307 | ProgramServices |
| Management And General | 539881 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55262 | Total |
| Management And General | 55262 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 84680 | Total |
| Management And General | 84680 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9014 | Total |
| Program Services | 9014 | ProgramServices |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6260743 | Total |
| Program Services | 4792549 | ProgramServices |
| Management And General | 1468194 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4597 | Total |
| Program Services | 3519 | ProgramServices |
| Management And General | 1078 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5465538 | Total |
| Program Services | 4183826 | ProgramServices |
| Management And General | 1281712 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 121750 | Total |
| Program Services | 93199 | ProgramServices |
| Management And General | 28551 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1359762 | Total |
| Program Services | 1040887 | ProgramServices |
| Management And General | 318875 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72081 | Total |
| Program Services | 55177 | ProgramServices |
| Management And General | 16904 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 718208 | Total |
| Program Services | 549783 | ProgramServices |
| Management And General | 168425 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 854307 | Total |
| Management And General | 854307 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2649929 | Total |
| Program Services | 2028500 | ProgramServices |
| Management And General | 621429 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 758563 | Total |
| Management And General | 758563 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 3844460 | 3844460 | |
| LICENSES & TAXES | 1329367 | 1329367 | |
| DUES & SUBSCRIPTIONS | 4650 | 4650 | |
| MEDICAL SUPPLIES | 8483181 | 8483181 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77961375 | Total |
| Program Services | 61538286 | ProgramServices |
| Management And General | 16423089 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11622541 | BOY |
| EOY | 20471627 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7535918 | BOY |
| EOY | 5164039 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8950260 | BOY |
| EOY | 7814511 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 934734 | BOY |
| EOY | 896423 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 945004 | BOY |
| EOY | 1091773 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 75489798 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 53722358 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20795936 | BOY |
| EOY | 21767440 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 759360 | BOY |
| EOY | 9733948 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8709140 | BOY |
| EOY | 17279205 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60252893 | BOY |
| EOY | 84218966 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5806209 | BOY |
| EOY | 6653305 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12687386 | BOY |
| EOY | 19775000 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18222070 | BOY |
| EOY | 29711719 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36715665 | BOY |
| EOY | 56140024 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22104827 | BOY |
| EOY | 26262781 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1030402 | BOY |
| EOY | 1414162 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 401999 | BOY |
| EOY | 401999 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23537228 | BOY |
| EOY | 28078942 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60252893 | BOY |
| EOY | 84218966 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 4333819 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 207895 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Belongs To Affiliated Group | X | OrgBelongsToAffiliatedGroup |
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | true | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | true | GrantsOtherOrganizations |
| Grants Other Organizations | $9,014 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 9014 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | GRANTS TO OTHER ORGANIZATIONS | Identifier |
| Return Reference | SCHEDULE C, PART II-B, LINE 1F | ReturnReference |
| Explanation | THE AMOUNT REFLECTED ON PART II-B, LINE 1F REPRESENTS THE PORTION OF DUES paid to Health Care Association of NYS attributable to lobbying activities. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 401999 | BeginningOfYearBalance |
| End Of Year Balance | 401999 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 400249 | BeginningOfYearBalance |
| Contributions | 1750 | Contributions |
| End Of Year Balance | 401999 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 400249 | BeginningOfYearBalance |
| End Of Year Balance | 400249 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 400249 | BeginningOfYearBalance |
| End Of Year Balance | 400249 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 997157 | OtherCostOrOtherBasis |
| Book Value | 997157 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 44736963 | OtherCostOrOtherBasis |
| Depreciation | 38761759 | Depreciation |
| Book Value | 5975204 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 26560758 | OtherCostOrOtherBasis |
| Depreciation | 14960599 | Depreciation |
| Book Value | 11600159 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3194920 | OtherCostOrOtherBasis |
| Book Value | 3194920 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 21767440 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (7 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| CUSTODIAL ACCOUNT | 89460 |
| ESTIMATED 3RD PARTY RECEIVABLE | 730916 |
| DUE FROM AFFILIATES | 700909 |
| INTEREST IN ASSETS OF FNDS | 5083385 |
| OTHER INVESTMENTS | 1925724 |
| INSURANCE RECOVERIES RECEIV. | 7867401 |
| UNAMORTIZED MORTGAGE COSTS | 881410 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 17279205 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| CUSTODIAL ACCOUNTS | $89,460 |
| ACCRUED INTEREST PAYABLE | $68,157 |
| ESTIMATED 3RD PARTY PAYABLES | $11,332,042 |
| DUE TO AFFILIATES | $6,000,009 |
| ACCRUED SELF-INSURED LIABILITIES | $12,222,051 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 29711719 | TotalOfAmounts |
| Total Revenue | 82295194 | TotalRevenue |
| Total Expenses | 77961375 | TotalExpenses |
| Excess Or Deficit For Year | 4333819 | ExcessOrDeficitForYear |
| Other | $207,895 | OtherAmount |
| Total Adjustments | 207895 | TotalAdjustments |
| Excess Or Deficit Per FS | 4541714 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 81748981 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 81748981 | RevenueSubtotal |
| Other Revenues Not Included | 546213 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 546213 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 82295194 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 77961375 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 77961375 | ExpensesSubtotal |
| Total Expenses Per Form990 | 77961375 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RECONCILIATION OF CHANGE IN NET ASSETS | SCHEDULE D, PART XI, LINE 8 | CHANGE IN INTEREST IN NEWARK WAYNE COMMUNITY HEALTH FND: $257,060 CHANGE IN INTEREST IN FINGER LAKES VISITING NURSE SERVICE: $8,363 CHANGE IN UNREALIZED LOSS ON INVESTMENTS: $(15,937) LOSS ON DEBT EXTINGUISHMENT: $(41,591) TOTAL: $207,895 |
| RECONCILIATION OF REVENUE PER AFS TO RETURN | SCHEDULE D, PART XII, LINE 4B | CONTRIBUTIONS FOR LONG LIVED ASSETS - $52,110 CONTRIBUTIONS FROM NEWARK WAYNE COMMUNITY FOUNDATION - $452,512 LOSS ON DEBT EXTINGUISHMENT - $41,591 TOTAL - $546,213 |
| INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS | SCHEDULE D, PART V, LINE 4 | THE INTENDED USES OF THE ENDOWMENT FUNDS INCLUDE: 1) CAPITAL EXPANSION AND IMPROVEMENT AT THE HOSPITAL AND 2) THE ADVANCEMENT OF MEDICAL EDUCATION AND RESEARCH AND HEALTH CARE SERVICES. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3398124 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1730960 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1667164 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02250 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 25231142 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22039848 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3191294 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04310 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 822072 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1081514 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -259442 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00350 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 29451338 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 24852322 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4599016 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06210 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 76086 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 54616 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 21470 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 15069552 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11926839 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3142713 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04240 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1295 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1295 | NetCommunityBenefitExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 15146933 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11981455 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3165478 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04270 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 44598271 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 36833777 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7764494 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10480 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $3,844,460 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 13738432 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 13514162 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 224270 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Newark-Wayne Community Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 Driving Park Avenue | AddressLine1 |
| City | Newark | City |
| State | NY | State |
| ZIP Code | 14513 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Research Facility | X | ResearchFacility |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Newark-Wayne Community Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 400. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 4 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (4 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| Demay Living Center | ||||
| 100 sunset drive | newark | NY | 14513 | skilled nursing facility |
| Myers Lab | ||||
| 6692 Middle Road Suite 1100 | Sodus | NY | 14551 | Laboratory |
| Newark Hospital LAB | ||||
| 1200 Driving Park Avenue | Newark | NY | 14513 | Laboratory |
| Williamson LAB | ||||
| 4425 Old Ridge Road | Williamson | NY | 14589 | Laboratory |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | COSTING METHODOLOGY FOR CHARITY CARE AND OTHER COMMUNITY BENEFITS | Identifier |
| Return Reference | PART I, LINE 7 | ReturnReference |
| Explanation | The costing methodology used was from the hospital's cost accounting system, which addresses all patient segments. The hospital's cost accounting system properly aligns revenue (charges) and expenses through reclasses and adjustments to department level expenses, and develops detailed department level Ratios of Cost-to-Charges. This methodology was used on all lines except line 7f, which uses the hospitals ICR, worksheet B, part I. COMMUNITY BENEFIT ACTIVITIES PART I, LINE 7E NEWARK WAYNE COMMUNITY HOSPITAL SPRING FEST SPRING 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 FAIR DIABETES 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 DIABETES HEALTH FAIR ANNUALLY. THIS INITIATIVE IS SPONSORED BY WAYNE COUNTY PUBLIC HEALTH, NEWARK-WAYNE COMMUNITY HOSPITAL AND OTHER COMMUNITY PARTNERS. IN 2010, 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 FAIR NEWARK SCHOOL CAREER DAYS ORTHO SEMINAR AT BLUE HERON HILLS GOLF CLUB GREEN ANGELS HEALTH FAIR HEALTH FAIR - CHILDREN'S AT CLYDE, MARION, AND HOLIDAY HEALTH FAIR HEALTH FAIR - DIABETES/CHRONIC DISEASE DENTAL HYGIENE AND EDUCATION FOR SCHOOL CHILDREN SUBSIDIZED DENTAL SERVICES AT WC PUBLIC HEALTH DENTAL CENTER EMS - SUPPORT FOR EMS REFERENCE POCKET GUIDES FLCC SCHOLARSHIP SUPPORT FOR RN PROGRAM ADS FOR FACILITATED ENROLLMENT - HEALTH CARE ACCESS MARION KID'S FAIR SPRING FEST HEALTH FAIR COPD EDUCATION (3 SESSIONS) DIABETES HEALTH FAIR WAYNE COUNTRY FAIR HEALTH BOOTH UROLOGY SEMINAR IN CANANDAIGUA COLON RECTAL EDUCATION EVENT CARDIAC REHAB EDUCATION ST. MICHAELS/LYONS HEALTH FAIR DR. MEDEIROS EVENT PHYSICIAN CLINIC COSTS INCLUDED AS SUBSIDIZED HEALTH SERVICES PART I, LINE 7G N/A - NO PHYSICIAN CLINIC COSTS WERE INCLUDED IN LINE 7G AMOUNTS. BAD DEBT EXPENSE EXCLUDED PART I, LINE 7, COLUMN (F) TOTAL EXPENSE ON FORM 990, PART IX, LINE 25, COLUMN (A) IS $77,961,375. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $3,844,460. AFTER BAD DEBT WAS DEDUCTED FROM TOTAL EXPENSES THE AMOUNT OF TOTAL EXPENSES USED TO CALCULATE THE PERCENT IN LINE 7, COLUMN (F) WAS $74,116,915. PART III, LINE 4: In 2011, 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 2011 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 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 2011, 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 2011 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: Medicare Costing Methodology: The organization used the filed 2011 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 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 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 V, SECTION B, LINE 13G Also located in outpatient settings and lab depots. PART V, SECTION B, LINE 19D We bill actual charges, less 30% discount, plus 9.63% NYS surcharge PART VI, LINE 2 NEEDS ASSESSMENT In the spring of 2009 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 Wayne County Public Health Department (WCPH) to disseminate the survey and to encourage participation. IN JUNE 2009, Newark-Wayne Community Hospital (NWCH), the 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 plan and to discuss programs and 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 three priority areas for its community service activities and future program development opportunities. Those three priority areas are: 1.) Access to Health Care 2.) Chronic Disease 3.) Healthy Mothers/Healthy Babies/Healthy Children To date, the plan has moved ahead and no barriers have been encountered. The activities that remain open are still on track and targeted for completion. One amendment to the original plan for Access to Health Care is the inclusion of the Wayne Rx Discount Card program that WCRHN administers and which gives greater access to needed medications for Wayne County residents. It was an oversight that the discount card program was not included in the original plan, an unfortunate omission for such a high value initiative. A larger joint meeting was held on June | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | X | FirstClassOrCharterTravel |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mark Clement | |||||||||||||
| 61198 | 618784 | 53946 | 545458 | 4689 | 47411 | 70632 | 714165 | 427 | 4321 | 190892 | 1930139 | 25029 | 253075 |
| Robert Nesselbush | |||||||||||||
| 32288 | 326469 | 22343 | 225912 | 3543 | 35819 | 22331 | 225790 | 671 | 6780 | 81176 | 820770 | 6683 | 67572 |
| Hugh Thomas | |||||||||||||
| 28038 | 283497 | 15787 | 159624 | 4057 | 41022 | 18003 | 182030 | 712 | 7195 | 66597 | 673368 | 6075 | 61429 |
| Richard Gangemi MD | |||||||||||||
| 33191 | 298715 | 19733 | 177600 | 4558 | 41023 | 18909 | 170180 | 414 | 3723 | 76805 | 691241 | 8370 | 75331 |
| JAMES SYRETT | |||||||||||||
| 305171 | 0 | 10899 | 0 | 16500 | 0 | 18778 | 0 | 2174 | 0 | 353522 | 0 | 0 | 0 |
| EVE WILLIAMS | |||||||||||||
| 306879 | 0 | 8043 | 0 | 2750 | 0 | 41129 | 0 | 4107 | 0 | 362908 | 0 | 0 | 0 |
| MICHAEL CUNNINGHAM | |||||||||||||
| 285902 | 0 | 11927 | 0 | 0 | 0 | 38388 | 0 | 7625 | 0 | 343842 | 0 | 0 | 0 |
| BRIAN LAUX | |||||||||||||
| 256266 | 0 | 4757 | 0 | 21900 | 0 | 26726 | 0 | 9590 | 0 | 319239 | 0 | 0 | 0 |
| CYNTHIA MARTINEZ-CAPOLINO | |||||||||||||
| 287283 | 0 | 9728 | 0 | 16500 | 0 | 13237 | 0 | 3213 | 0 | 329961 | 0 | 0 | 0 |
| Annette Leahy | |||||||||||||
| 61427 | 0 | 137651 | 0 | 25274 | 0 | 42602 | 0 | 1183 | 0 | 268137 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Supplemental Non-Qualified Retirement Plan | Schedule J, Part I, Line 4b | RGHS MAINTAINS A SECTION 457(F) PLAN WHICH WOULD BE CONSIDERED A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. DURING 2011, NO DISTRIBUTIONS WERE PAID OUT. HOWEVER, 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 ROBERT NESSELBUSH RICHARD GANGEMI, MD |
| Charter travel and Health & Social Club benefits | Schedule J, Part I, line 1 | As part of their compensation package the OFFICERS AND KEY EMPLOYEES listed on FORM 990, Part VII are eligible to utilize specific charter travel arrangements to conduct business of the organization. Due to time constraints and the limited availability of non-stop flights, there are certain circumstances where charter travel is approved to make the best use of the executive's time. As part of their compensation package the CEO and other key employees, officers or trustees listed on 990, Part VII (with the approval of the CEO) are eligible to receive reimbursement for the initiation or monthly dues related to a specific social or recreational club. The dues are only paid for business purposes such as for meeting and luncheons related to fundraising and recruitment and have been included in the employee's Form W-2 as taxable compensation as required. |
| METHODS USED TO ESTABLISH THE COMPENSATION OF THE CEO | SCHEDULE J, PART I, LINE 3 | THE FILING ORGANIZATION'S RELATED NON-PROFIT ORGANIZATION, ROCHESTER GENERAL HOSPITAL, UTILIZED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE CEO: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WAYNE COUNTY CIVIC FACILITY DEVELOPMENT CORP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 320345910 | IssuerEIN |
| CUSIP Number | XXXXXXXXX | CUSIPNumber |
| Date Issued | 2011-11-17 | DateIssued |
| Issue Price | 19775000 | IssuePrice |
| Description Of Purpose | SEE PART IV | DescriptionOfPurpose |
| Defeased | true | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Pool Financing | false | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 0 | AmountRetired |
| Amount Bond Defeased | 8564845 | AmountBondDefeased |
| Total Proceeds | 19775000 | TotalProceeds |
| Amount In Reserve Fund | 0 | AmountInReserveFund |
| Capitalized Interest | 0 | CapitalizedInterest |
| Refunding Escrow | 8564845 | RefundingEscrow |
| Issuance Costs From Proceeds | 395500 | IssuanceCostsFromProceeds |
| Credit Enhancement | 0 | CreditEnhancement |
| Working Capital Expenditures | 0 | WorkingCapitalExpenditures |
| Capital Expenditures | 10814655 | CapitalExpenditures |
| Other Spent Proceeds | 0 | OtherSpentProceeds |
| Amount Unspent | 0 | AmountUnspent |
| Current Refunding | true | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | false | FinalAllocationMade |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | false | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | true | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | false | Form8038TFiled |
| Variable Rate Issue | false | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
Name Of Hedge Provider NameOfHedgeProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
Name Of GIC Provider NameOfGICProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Exception To Rebate | false | ExceptionToRebate |
Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|
| Schedule K, Part I, Column F | TO DEFEASE OUTSTANDING 1993 BONDS & FINANCE HOSPITAL RENOVATIONS/EXPANSION |
| Schedule K, Part V | WRITTEN PROCEDURES ARE IN THE PROCESS OF BEING WRITTEN. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MEMBERS | FORM 990, PART VI, LINE 6 | THE ORGANIZATION IS A MEMBERSHIP (NOT A STOCK) CORPORATION UNDER NEW YORK STATE LAW. THE ORGANIZATION'S SOLE CORPORATE MEMBER IS ROCHESTER GENERAL HEALTH SYSTEM (RGHS), A RELATED NOT-FOR-PROFIT ORGANIZATION. |
| MEMBERS WHO ELECT MEMBERS OF THE GOVERNING BODY | FORM 990, PART VI, LINE 7A | IN 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. |
| DECISIONS BY GOVERNING BODY SUBJECT TO APPROVAL | FORM 990, PART VI, LINE 7B | ROCHESTER GENERAL HEALTH SYSTEM, AS THE SOLE CORPORATE MEMBER, ALSO HAS THE RIGHT TO APPROVE OR RATIFY SIGNIFICANT 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. |
| REVIEW PROCESS OF FORM 990 | FORM 990, PART VI, LINE 11B | PRIOR TO FILING, THE FORM 990 IS REVIEWED BY THE FOLLOWING MEMBERS OF THE GOVERNING BODY OF ROCHESTER GENERAL HEALTH SYSTEMS, A RELATED NOT FOR PROFIT ORGANIZATION AND THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION: 1) THE CHAIRMAN OF THE BOARD OF DIRECTORS AND 2) THE GOVERNANCE AND NOMINATING COMMITTEE. THIS REVIEW IS PERFORMED IN CONSULTATION WITH THE ORGANIZATION'S TAX ADVISORS, ERNST & YOUNG, LLP AND IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS AND OTHER RELEVANT INFORMATION FOR THE APPROPRIATE TIME PERIOD. |
| CONFLICT OF INTEREST POLICY | FORM 990, PART VI, LINE 12C | UPON EMPLOYMENT, ALL EMPLOYEES RECEIVE THE ETHICAL STANDARD OF CONDUCT BOOKLET FOR WHICH THEY SIGN A RECEIPT OF ACKNOWLEDGEMENT. CONFLICT OF INTEREST IS DEFINED, AS IS MANAGEMENT OF A CONFLICT OF INTEREST. EMPLOYEES ARE REQUIRED TO DISCLOSE AND SEEK RESOLUTION TO ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST BEFORE TAKING A POTENTIALLY IMPROPER ACTION AND THEREAFTER, ANNUALLY, EACH KEY EMPLOYEE AND OFFICER OF THE ORGANIZATION IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST 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. |
| COMPENSATION APPROVAL PROCESS | FORM 990, PART VI, LINE 15A & 15B | THE ORGANIZATION'S OFFICER AND KEY EMPLOYEE COMPENSATION ARRANGEMENTS ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF ROCHESTER GENERAL HOSPITAL, 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. |
| ACCESS TO ORGANIZATIONAL DOCUMENTS | FORM 990, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ADMINISTRATIVE OFFICES OF ITS AFFILIATED HEALTH SYSTEM AT 100 KINGS HIGHWAY SOUTH, ROCHESTER, NY 14617 AND AT THE ADMINISTRATIVE OFFICES OF THE FILING ORGANIZATION AT DRIVING PARK AVENUE, NEWARK, NY 14513. A NOMINAL FEE IS CHARGED IF COPIES ARE REQUESTED. |
| AVERAGE HOURS DEVOTED TO RELATED ORGANIZATIONS | FORM 990, PART VII, SECTION A, COLUMN B | ROBERT NESSELBUSH 39 HRS/WK ROCHESTER GENERAL HOSPITAL 1 HR/WK ROCHESTER MENTAL HEALTH CENTER 2 HRS/WK INDEPENDENT LIVING FOR SENIORS, INC. 2 HRS/WK ROCHESTER GENERAL LONG-TERM CARE, INC. 1 HR/WK GRHS FOUNDATION 1 HR/WK ROCHESTER GENERAL HEALTH SYSTEM 1 HR/WK RGHS WORKERS' COMPENSATION TRUST 1 HR/WK ROCHESTER GENERAL HUDSON HOUSING 1 HR/WK ROCHESTER GENERAL HOSPITAL FOUNDATION 1 HR/WK NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATION HUGH THOMAS 41 HRS/WK ROCHESTER GENERAL HOSPITAL 1 HR/WK ROCHESTER MENTAL HEALTH CENTER 2 HRS/WK INDEPENDENT LIVING FOR SENIORS, INC. 2 HRS/WK ROCHESTER GENERAL LONG-TERM CARE, INC. 1 HR/WK GRHS FOUNDATION 1 HR/WK RGHS WORKERS' COMPENSATION TRUST 1 HR/WK ROCHESTER GENERAL HEALTH SYSTEM 1 HR/WK WESTERN NY MEDICAL PRACTICE, P.C. MARK CLEMENT 40 HRS/WK ROCHESTER GENERAL HOSPITAL 1 HR/WK ROCHESTER MENTAL HEALTH CENTER 2 HRS/WK INDEPENDENT LIVING FOR SENIORS, INC. 2 HRS/WK ROCHESTER GENERAL LONG-TERM CARE, INC. 1 HR/WK GRHS FOUNDATION 1 HR/WK ROCHESTER GENERAL HEALTH SYSTEM 1 HR/WK ROCHESTER GENERAL HUDSON HOUSING, INC. 1 HR/WK ROCHESTER GENERAL HOSPITAL FOUNDATION 1 HR/WK NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATION RICHARD GANGEMI 46 HRS/WK ROCHESTER GENERAL HOSPITAL 2 HRS/WK ROCHESTER GENERAL LONG-TERM CARE, INC. 1 HR/WK WESTERN NY MEDICAL PRACTICE, P.C. ROBERT HAVRILLA 1 HR/WK ROCHESTER GENERAL HEALTH SYSTEM MARY SUE NAPOLEON 1 HR/WK ROCHESTER GENERAL HEALTH SYSTEM JAMES PRAINO 1 HR/WK NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATION DANIEL MEYERS 1 HR/WK ROCHESTER GENERAL HOSPITAL 1 HR/WK ROCHESTER MENTAL HEALTH CENTER 1 HR/WK ROCHESTER GENERAL HUDSON HOUSING 1 HR/WK INDEPENDENT LIVING FOR SENIOR 1 HR/WK ROCHESTER GENERAL LONG-TERM CARE 1 HR/WK ROCHESTER GENERAL HEALTH SYSTEM |
| OTHER CHANGES IN NET ASSETS OR FUND BALANCE | FORM 990, PART XI, LINE 5 | CHANGE IN INTEREST IN NEWARK WAYNE COMMUNITY HOSPITAL FDN: $257,060 CHANGE IN INTEREST IN FINGER LAKES VISITING NURSE SERVICE: $ 8,363 CHANGE IN UNREALIZED LOSS ON INVESTMENTS: $(15,937) LOSS ON DEBT EXTINGUISHMENT: $(41,591) ------- TOTAL $207,895 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (12 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| ROCHESTER GENERAL HEALTH SYSTEM | ||||||||||
| 100 KINGS HIGHWAY SOUTH | Rochester | NY | 14617 | 222551509 | SYSTEM PARENT | NY | 501(C)(3) | 11, TYPE II | NA | false |
| ROCHESTER MENTAL HEALTH CENTER | ||||||||||
| 490 East Ridge Road | Rochester | NY | 14621 | 166069131 | MENTAL HEALTH | NY | 501(C)(3) | 9 | RGHS | false |
| ROCHESTER GENERAL HOSPITAL FOUNDATION | ||||||||||
| 1445 Portland Avenue | Rochester | NY | 14621 | 222229425 | FUNDRAISING | NY | 501(C)(3) | 11, TYPE II | RGHS | false |
| Western NY Medical Practice PC | ||||||||||
| 1425 Portland Avenue | Rochester | NY | 14621 | 611654232 | Phys Prac | NY | 501(c)(3) | 3 | RGHS | false |
| INDEPENDENT LIVING FOR SENIORS | ||||||||||
| 2066 Hudson Avenue | Rochester | NY | 14617 | 161491059 | ADULT DAY HC | NY | 501(C)(3) | 9 | RGHS | false |
| Rochester General Long Term Care | ||||||||||
| 1550 Empire Blvd | WEBSTER | NY | 14580 | 223187140 | NH & rehab | NY | 501(C)(3) | 9 | RGHS | false |
| GRHS Foundation | ||||||||||
| 100 KINGS HIGHWAY SOUTH | ROCHESTER | NY | 14617 | 222963015 | R/E INV MGMT | NY | 501(C)(3) | 11, TYPE II | RGHS | false |
| RGHS WORKERS COMPENSATION TRUST | ||||||||||
| 1425 Portland Avenue | Rochester | NY | 14621 | 169429300 | SEE PART VII | NY | 501(C)(3) | 11, TYPE II | RGHS | false |
| THE ROCHESTER GENERAL HOSPITAL | ||||||||||
| 1425 Portland Avenue | Rochester | NY | 14621 | 160743134 | HOSPITAL | NY | 501(C)(3) | 3 | RGHS | false |
| CONTINUING CARE NETWORK INC (CCN) | ||||||||||
| 100 KINGS HIGHWAY SOUTH | Rochester | NY | 14610 | 222963016 | SUPPORT RGH | NY | 501(C)(3) | 11, TYPE II | RGHS | false |
| ROCHESTER GENERAL HUDSON HOUSING | ||||||||||
| 2066 Hudson Avenue | Rochester | NY | 14617 | 223210351 | LOW INC HSING | NY | 501(C)(3) | 9 | RGHS | false |
| NEWARK WAYNE COMMUNITY HOSPITAL FND | ||||||||||
| 1200 DRIVING PARK AVENUE | NEWARK | NY | 14513 | 222963344 | FUNDRAISING | NY | 501(C)(3) | 11, TYPE II | NWCH | true |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressForeign/AddressLine1 | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Legal Domicile StateLegalDomicileState |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Greater Rochester Assurance Company Ltd | |||||||||||||||
| GEORGETOWN | GRAND CAYMAN | CJ | 000000000 | INSURANCE | CJ | na | C CORP | 0 | 0 | 0.00000 | |||||
| NWA INC | |||||||||||||||
| 141667339 | REAL EST LEAS | NWCH | C CORP | 3355 | 33165 | 1.00000 | DRIVING PARK AVENUE | NEWARK | NY | 14513 | NY | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATION | ||
| C | 452512 | FMV |
| NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATION | ||
| D | 648078 | FMV |
| ROCHESTER GENERAL HOSPITAL | ||
| E | 2085896 | FMV |
| WORKERS COMPENSATION TRUST | ||
| E | 607948 | FMV |
| WORKERS COMPENSATION TRUST | ||
| Q | 1207000 | FMV |
| GREATER ROCHESTER ASSURANCE COMPANY LTD | ||
| E | 2021247 | FMV |
| ROCHESTER GENERAL HOSPITAL | ||
| L | 4104000 | FMV |
| BEHAVIORAL HEALTH NETWORK INC | ||
| D | 52831 | FMV |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | TAX EXEMPT RELATED ORGANIZATION - PRIMARY ACTIVITY | Identifier |
| Return Reference | SCHEDULE R, PART II, COLUMN B | ReturnReference |
| Explanation | RGHS WORKERS' COMPENSATION TRUST SUPPORTS ROCHESTER GENERAL HOSPITAL, NEWARK WAYNE COMMUNITY HOSPITAL, INDEPENDENT LIVING FOR SENIORS, ROCHESTER GENERAL LONG TERM CARE, AND ROCHESTER GENERAL HEALTH SYSTEMS. | Explanation |