STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

THE FREDERICK FERRIS THOMPSON HOSPI TAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
THE FREDERICK FERRIS THOMPSON HOSPI TAL (EIN 16-0743024)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-13
IRS object ID
201213189349303846
Schema version
2011v1.2
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)
Timestamp2012-11-13T13:36:10-07:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN160743024EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FREDERICK FERRIS THOMPSON HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFREDNameControl
Phone5853966124Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 Parrish StreetAddressLine1
CityCanandaiguaCity
StateNYState
ZIP Code14424ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMark PrunoskeName
TitleSr VP Finance/CFOTitle
Phone5853966490Phone
Date Signed2012-11-13DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLinda FarchioneNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1350 Parrish StreetAddressLine1
CityCanandaiguaCity
StateNYState
ZIP Code14424ZIPCode
FieldValueIRS element (for citing)
Gross Receipts103989199GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.thompsonhealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1904YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionFF Thompson Hospital Inc. is a community hospital which exists to serve the health care needs of the people in partnership with regional health care providers. FF Thompson Hospital serves as the center of a health care network to provide a full range of health care services and to improve community health.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees1643TotalNbrEmployees
Total Nbr Volunteers250TotalNbrVolunteers
Total Gross UBI331092TotalGrossUBI
Net Unrelated Business Txbl Income-44017NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2397558ContributionsGrantsPriorYear
Contributions Grants Current Year8689165ContributionsGrantsCurrentYear
Program Service Revenue Prior Year84131783ProgramServiceRevenuePriorYear
Program Service Revenue CY91020033ProgramServiceRevenueCY
Investment Income Prior Year-126813InvestmentIncomePriorYear
Investment Income Current Year401087InvestmentIncomeCurrentYear
Other Revenue Prior Year1092661OtherRevenuePriorYear
Other Revenue Current Year1143873OtherRevenueCurrentYear
Total Revenue Prior Year87495189TotalRevenuePriorYear
Total Revenue Current Year101254158TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year47125197SalariesEtcPriorYear
Salaries Etc Current Year49761743SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year185000TotalFundrsngExpCurrentYear
Other Expense Prior Year38693224OtherExpensePriorYear
Other Expenses Current Year39464646OtherExpensesCurrentYear
Total Expenses Prior Year85818421TotalExpensesPriorYear
Total Expenses Current Year89226389TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1676768RevenuesLessExpensesPriorYear
Revenues Less Expenses CY12027769RevenuesLessExpensesCY
Total Assets BOY82680732TotalAssetsBOY
Total Assets EOY96052782TotalAssetsEOY
Total Liabilities BOY49093828TotalLiabilitiesBOY
Total Liabilities EOY62399983TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY33586904NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY33652799NetAssetsOrFundBalancesEOY
Mission DescriptionFF Thompson Hospital Inc. is a community hospital which exists to serve the health care needs of the people in partnership with regional health care providers. FF Thompson Hospital serves as the center of a health care network to provide a full range of health care services and to improve community health.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense73769732Expense
Grants0Grants
Revenue87952553Revenue
DescriptionInpatient Care: 5,111 Inpatient discharges, 19,779 Inpatient days. Outpatient: 919,059 Lab visits/tests, 26,026 ED visits, 66,926 Diagnostic Imaging, 13,708 Urgent care, 16,257 Rehabilitation Services, and 5,387 Surgical Services. Charity Care was provided in the amount of $1,277,011(at cost), Community Benefit was $2,266,785. Uncompensated Care was $2,833,429 (at cost).Description
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense73769732TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096199NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1643NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1FF Thompson HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5853966124TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1350 Parrish StreetAddressLine1
CityCanandaiguaCity
StateNYState
ZIP Code14424ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Linda M Farchione
President/CEO33XX0909689150352
Ellie Fralick
Board Member at large1X000
Dr Ronald Hainen MD
Board Member1X000
Richard Cutri
Board Member1X000
William R Kenyon
Board Chair1XX000
George W Hamlin IV
Board Chair Emeritus1XX000
David Baum MD
Board Member President of Medical Staff43XX297907090271X
Robert Sands
Board Treasurer1XX000
Ronald Knight
Board Vice Chair1XX000
Reverend Thomas Mull
Board Member1X000
James H Barr CPA
Board Member1X000
Paul Hudson
Board Member1X000
Randall Farnsworth
Board Member1X000
Brian Meath
Board Secretary1XX000
Richard H Hawks Jr
Board Member1X000
Thomas Kubiak
Board Member1X000
Dr Carl Sahler MD
Board Member1X000
Deborah Price
Board Member1X000
Dianne Cooney Miner PhD
Board Member1X000
Carlos Ortiz MD
SVP Medical Services35X026944574294
Christopher B Mahan
SVP Development and Support Services14X5392711382062131
Jennifer DeVault
VP Associate Services and Wellness40X111994042862
Mark Prunoske
Senior VP & CFO28X016952871484
Hazel Robertshaw
VP Patient Care Services/CNO40X108302019608
Dr Anthony Geraci MD
VP Emergency & Outpatient Practices40X279300087900
Michael Stapleton RN
Executive VP & COO33X1292023230028612
Deborah K Weymouth
EVP & COO33X124041492541434
Dr Vijay Bansal MD
Physician42288400033400X
Dr Timothy Pitler MD
Physician453137970123780X
Dr Matthew Osborne MD
Physician42280082046372X
Dr William Livingston MD
Physician41282085038785X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2157400TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1509707TotalReportableCompFrmRltdOrgs
Total Other Compensation911285TotalOtherCompensation
Number Individuals GT100 K40NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensationBusiness Name Line2NameOfContractor/NameBusiness/BusinessNameLine2
LeChase Construction
300 Trolley BlvdRochesterNY14606Construction13996010
Francis Cauffman
2120 Arch StreetPhiladelphiaPA19103Construction422919Hoffman Architects LTD
Laboratory Corporation of America Holdings
P O Box 12140BurlingtonNC272162140Reference Lab Services828572
Canandaigua Medical Group PC
335 Parrish StreetCanandaiguaNY14424On Call Services394345
HMP of Ontario County PLLC
PO Box 645037CincinnatiOH452645037Hospitalists management group817750
FieldValueIRS element (for citing)
Number Of Contractors GT100 K21NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations8642495RelatedOrganizations
Government Grants34458GovernmentGrants
All Other Contributions12212AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions8689165TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Community Health Service6220007773433277403240331092$0
Medicare/Medicaid Payments62200013285701132857010$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue91020033TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column128555TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$128,555ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2887745Securities
Other119828Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2613131Securities
Other121910Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities274614Securities
Other-2082Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column272532TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$272,532ExclusionAmount
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events0CntrbtnsRprtdFundraisingEvents

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionAssociate/Patient SupportDescription
Business Code622000BusinessCode
Total Revenue Column1143873TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,143,873ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1143873TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column101254158TotalRevenueColumn
Related Or Exempt Function Income90688941RelatedOrExemptFunctionIncome
Unrelated Business Revenue331092UnrelatedBusinessRevenue
Exclusion$1,544,960ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total695128Total
Program Services0ProgramServices
Management And General695128ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total38602727Total
Program Services33532766ProgramServices
Management And General5069961ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1674222Total
Program Services1423089ProgramServices
Management And General251133ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5545861Total
Program Services4713982ProgramServices
Management And General831879ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3243805Total
Program Services2757234ProgramServices
Management And General486571ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1189750Total
Program Services996310ProgramServices
Management And General193440ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total158419Total
Program Services0ProgramServices
Management And General158419ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total71547Total
Program Services0ProgramServices
Management And General71547ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5489261Total
Program Services4017349ProgramServices
Management And General1471912ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total43294Total
Program Services0ProgramServices
Management And General43294ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total14006540Total
Program Services13537372ProgramServices
Management And General469168ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2460941Total
Program Services1288331ProgramServices
Management And General1172610ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2052019Total
Program Services1854711ProgramServices
Management And General197308ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total182950Total
Program Services64048ProgramServices
Management And General118902ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total192586Total
Program Services173618ProgramServices
Management And General18968ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total451462Total
Program Services0ProgramServices
Management And General451462ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total185000Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising185000Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5067027Total
Program Services4306973ProgramServices
Management And General760054ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total805558Total
Program Services62004ProgramServices
Management And General743554ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Health System Member Assessment3251878159342016584580
Provision for Uncollectable Accounts3067480306748000
New York State Cash Assessment35442003544200
Equipment & Maintenance32291130084422067

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total111603Total
Program Services80201ProgramServices
Management And General31402ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total89226389Total
Program Services73769732ProgramServices
Management And General15271657ManagementAndGeneral
Fundraising185000Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3035BOY
EOY3035EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY15197985BOY
EOY17192913EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4998183BOY
EOY6530760EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1353903BOY
EOY1461006EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1149549BOY
EOY1565291EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis117056406LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec58916309LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY38821988BOY
EOY58140097EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY683632BOY
EOY707662EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY20472457BOY
EOY10452018EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY82680732BOY
EOY96052782EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY11772293BOY
EOY14969807EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY11700000BOY
EOY11130000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY7429744BOY
EOY10459184EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY18191791BOY
EOY25840992EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY49093828BOY
EOY62399983EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY22786988BOY
EOY29808998EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY10799916BOY
EOY3843801EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY33586904BOY
EOY33652799EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY82680732BOY
EOY96052782EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses12027769ReconcilationRevenueExpenses
Reconcilation Other Changes-11961874ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance6239690BeginningOfYearBalance
Contributions863280Contributions
Investment Earnings Or Losses44331InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures213171OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance6934130EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance5619137BeginningOfYearBalance
Contributions72378Contributions
Investment Earnings Or Losses814801InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures266626OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance6239690EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance4831696BeginningOfYearBalance
Contributions57312Contributions
Investment Earnings Or Losses976186InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures246057OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance5619137EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance7159761BeginningOfYearBalance
Contributions267354Contributions
Investment Earnings Or Losses-2251021InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures344398OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance4831696EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.92BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.08PermanentEndowmentEOYBalance
Term Endowment EOY Balance0TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis58076OtherCostOrOtherBasis
Book Value58076BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis52266537OtherCostOrOtherBasis
Depreciation25356360Depreciation
Book Value26910177BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis379026OtherCostOrOtherBasis
Depreciation186039Depreciation
Book Value192987BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis42375046OtherCostOrOtherBasis
Depreciation31884618Depreciation
Book Value10490428BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis21977721OtherCostOrOtherBasis
Depreciation1489292Depreciation
Book Value20488429BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings58140097TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
Other Assets912624
Due from Affiliates1341534
Assets LImited as to Use2477390
Beneficial Interest in Charitable Remainder Trust319156
Deferred Financing Costs, net1876669
Beneficial Interest in net assets of FFTH Foundation3524645
FieldValueIRS element (for citing)
Total Book Value Other Assets10452018TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
Conditional Asset Retirement Obligation$1,251,582
Accrued Pension Liability$13,660,363
Charitable Gift Annuity Payment Liability$160,411
Interest Rate Swap Liability$914,023
Third Party Payor Accrual$8,651,076
Other Non-Current Liabilites ACC Ins reserve$1,203,537
FieldValueIRS element (for citing)
Total Of Amounts25840992TotalOfAmounts
Total Revenue101254158TotalRevenue
Total Expenses89226389TotalExpenses
Excess Or Deficit For Year12027769ExcessOrDeficitForYear
Net Unrealized GL On Investments-272209NetUnrealizedGLOnInvestments
Donated Services And Facilities0DonatedServicesAndFacilities
Investment Expenses0InvestmentExpenses
Prior Period Adjustments0PriorPeriodAdjustments
Other-$11,689,665OtherAmount
Total Adjustments-11961874TotalAdjustments
Excess Or Deficit Per FS65895ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt92328356TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues0OtherRevenues
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal92328356RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included8925802OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt8925802RevenueNotRptdOnFinStmt
Total Revenue Per Form990101254158TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt85973909TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal85973909ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included3252480OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt3252480ExpensesNotRptdOnFinStmt
Total Expenses Per Form99089226389TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchD_P05_S00_L04Schedule D, Part V, Line 4The funds are for the benefit of FF Thompson Health System, Hospital, Senior Communities, and Continuing Care Center. The Foundation continuously evaluates the needs of these organizations and attempts to meet those needs.
SchD_P10_S00_L02Schedule D, Part X, Line 2The Hospital adopted the provisions of ASC Section 740 on January 1, 2009, and there was no impact on the Hospital's financial statements. As of December 31, 2011 the Hospital does not have a liability for unrecognized tax benefits.
SchD_P11_S00_L08Schedule D, Part XI, Line 8Change in value of interest rate swap -$293,258, Change in value of charitable gift annuities -$17,570, Change in funded status of pension plan -$4,422,722, Change in beneficial interest in charitable remainder trust -$18,270, Change in beneficial interest in the net assets of the FF Thompson Foundation Inc. -$6,937,845
SchD_P12_S00_L04bSchedule D, Part XII, Line 4bNet Assets released from restrictions used for operations -$129,992, Investment Income $403,169, Loss on disposal of equipment - $2,082, Contributions from the FF Thompson Foundation $67,987, Contributions $12,212, Contributions from the FF Thompson Foundation Inc $8,574,508
SchD_P13_S00_L04bSchedule D, Part XIII, Line 4bContribution to the FF Thompson Foundation Inc $185,000. Provision for bad debts $3,067,480.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1542868TotalCommunityBenefitExpense
Direct Offsetting Revenue265857DirectOffsettingRevenue
Net Community Benefit Expense1277011NetCommunityBenefitExpense
Percent Of Total Expense0.0149PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense8168846TotalCommunityBenefitExpense
Direct Offsetting Revenue8120809DirectOffsettingRevenue
Net Community Benefit Expense48037NetCommunityBenefitExpense
Percent Of Total Expense0.0006PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense9711714TotalCommunityBenefitExpense
Direct Offsetting Revenue8386666DirectOffsettingRevenue
Net Community Benefit Expense1325048NetCommunityBenefitExpense
Percent Of Total Expense0.0155PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense738993TotalCommunityBenefitExpense
Direct Offsetting Revenue86112DirectOffsettingRevenue
Net Community Benefit Expense652881NetCommunityBenefitExpense
Percent Of Total Expense0.0076PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense3684116TotalCommunityBenefitExpense
Direct Offsetting Revenue3263370DirectOffsettingRevenue
Net Community Benefit Expense420746NetCommunityBenefitExpense
Percent Of Total Expense0.0049PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense101633TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense101633NetCommunityBenefitExpense
Percent Of Total Expense0.0012PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense4524742TotalCommunityBenefitExpense
Direct Offsetting Revenue3349482DirectOffsettingRevenue
Net Community Benefit Expense1175260NetCommunityBenefitExpense
Percent Of Total Expense0.0137PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense14236456TotalCommunityBenefitExpense
Direct Offsetting Revenue11736148DirectOffsettingRevenue
Net Community Benefit Expense2500308NetCommunityBenefitExpense
Percent Of Total Expense0.0292PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense248946TotalCommunityBuildingExpense
Direct Offsetting Revenue2100DirectOffsettingRevenue
Net Community Building Expense246846NetCommunityBuildingExpense
Percent Of Total Expense0.0029PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense114578TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense114578NetCommunityBuildingExpense
Percent Of Total Expense0.0013PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense86939TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense86939NetCommunityBuildingExpense
Percent Of Total Expense0.001PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense643161TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense643161NetCommunityBuildingExpense
Percent Of Total Expense0.0075PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense1093624TotalCommunityBuildingExpense
Direct Offsetting Revenue2100DirectOffsettingRevenue
Net Community Building Expense1091524NetCommunityBuildingExpense
Percent Of Total Expense0.0127PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$2,833,429BadDebtExpenseAmount
Amount Attributable To66689AmountAttributableTo
Amount Reimbursed By Medicare12744807AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare13120232CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-375425MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1The Fredrick Ferris Thompson HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1350 Parrish StreetAddressLine1
CityCanandaiguaCity
StateNYState
ZIP Code14424ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1The Fredrick Ferris Thompson HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent100FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent300FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Attached To InvoicesXAttachedToInvoices
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Medicare RateXMedicareRate
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchH_P01_S00_L07Schedule H, Part I, Line 7Patient Cost to Charge system from the worksheets
SchH_P01_S00_L072fSchedule H, Part I, Line 7, Column fBad debt expense is removed for the purposes of calcualting the percentage on Schedule H, Part I, Line 7, column A
SchH_P01_S00_L07gSchedule H, Part I, Line 7gThere are no physician clinic costs included in these services
SchH_P02_S00_L00Schedule H, Part IIThompson Health maintains many links and affiliations with community and health organizations to enhance its ability to develop and deliver community programs. Through these partnerships Thompson Health has established a diverse array of community health programs to meet the communities specific needs. Some of our partnerships include work with the county, school districts, colleges and industry as well as other non-profit community organizations.
SchH_P03_S0A_L04Schedule H, Part III, Section A, Line 4As stated in the footnotes to Financial Statements, "An allowance for doubtful accounts receivable is estimated by management based on periodic reviews of collectibility of accounts receivable considering historical experience and prevailing economic conditions." Bad Debt expense is not included in the community benefit number or treated as community benefit. Bad debt expenses are calculated by converting the net expense per the audited financials back to gross charges. Gross charges are then reduced to cost using the cost to charge ratio calculated on Worksheet A of the 2011 990 form.
SchH_P03_S0B_L08Schedule H, Part III, Section B, Line 8Medicare payments are converted to Medicare gross charges. The cost to charge ratio computed on Worksheet 2, line 11 is then applied. Medicare shortfalls are not included in or considered community benefit.
SchH_P03_S0C_L09bSchedule H, Part III, Section C, Line 9bPatient balance-due accounts that are not Medicare primary, which include patients that qualify for charity care or financial assistance that are not paid in full or are not subject of an agreed-upon payment arrangement or in the process of review for financial aid or pending Medicaid are eligible to be referred to a collection agency when they reach a delinquency status of 90 days old from date of first self-pay bill. Self-pay bills which are a result of medicare coinsurance and/or deductible are eligibile to be referred to a collection agency when they reach a delinquency status of 120 days old from date of first self pay bill.
SchH_P06_S00_L02Schedule H, Part VI, Line 2Based on its commitment to the community, FF Thompson hospital completed a community health assessment to better understand the needs of the community members. The following identifies the participants in the process of conducting the community health assessments. Participants: The hospital worked with a broad-base of area community agencies known as "The Ontario County Partners for Community Solutions" to continue actions and implement the community health assessment. The participants in this committee included FF Thompson health, the Ontario County Department of Public Health, the Ontario County Office of Aging, the Ontario County Youth Bureau, the United Way, and the Canandaigua Churches in Action (a local church consortium.) Together this group developed and implemented a community health assessment to determine the ongoing needs of the county and to continue laying the groundwork for a county plan to address these needs.
SchH_P06_S00_L03Schedule H, Part VI, Line 3The Thompson Health Community Care Program is communicated in appropriate detail in several mediums. All efforts to provide information at a variety of locations using a variety of media and techniques is attempted. Thompson Health makes its best effort to make the program information available to patients prior to them receiving services, however; it is recognized that in many cases patients will investigate the Financial Aid/Community Care program after services are rendered. Thompson Health makes its best efforts to verbally communicate the program through its associates recognizing that there are levels of associate involvement. Patient registration staff verbally inform all self pay patients of this available benefit. There are pamphlets and informational sheets available for all patients in the registration area. Thmpson Health associates are given information sheets to assist them with the ability to communicate this program to patients. Translation services are available as needed for any population that reaches 5% of total population visits per year. A variety of written communications are also used such as: Information sheets - located in the same areas as the signs will be information sheets regarding the availability of a financial aid/community care program identifying key contacts for further information. Application and directions - these documents provide the patient with the program application and directions as to how to complete the application and the additional information required for a complete application. These applications are handed out in the Emergency Department to self-pay patients. Patient Bills and Collection Correspondence - patient billing statements include a statement regarding the existence of the program and who to contact. Simliar information is included in the "collection" letters. Electronic Media: Intranet - Thompson Health's intranet includes this policy and directions in the Policy & Procedure Manual on the intranet making the policy and program available to all associates. Internet Web Site - Thompson Health incorporates general information about the policy, sliding fee application and directions on its web site. Non-Patient Communication - Financial counselors communicate the program with community health & human service agencies and social service organizations and agencies. (i.e. Office of the Aging, etc.) as well as companies it utilizies in its collection efforts (i.e. collection agencies.)
SchH_P06_S00_L04Schedule H, Part VI, Line 4The method by which FF Thompson hospital defines its service area includes an analysis of its primary and secondary service area as well as the area demographics. The following defines the service areas and provides a demographic summary of the region. Definition of primary and secondary service areas: Thompson health provides services to persons in Ontario County and parts of Wayne, Monroe, Livingston, Yates, and Seneca counties. Thompson health defines its primary service area as including those zip codes that cumulatively add up to 70% of its inpatient admissions and where we receive greater than 50% of the market share. At the 70th percentile the remaining zip codes (up to the 90th percentile) comprise the secondary service area. Distribution by age group for the community is as follows: 29% 35 - 54, 18% 0 - 14, 13% 55 - 64, 12% 25 - 34, 10% 18 - 24, 8% 15 - 17. The current household incomes fall into the following groups: 27% $25-50k, 22% $50k - 75k, 19% Over $100k, 14% $75k - 100k, 18% under $25k. Population distribution by race/ethnicity is 94% White, Non-Hispanic, 3% Hispanic, 2% Black, 1% All others.
SchH_P06_S00_L05Schedule H, Part VI, Line 5A majority of Thompson Health's governing body is comprised of persons who reside in our primary service area and are neither employees, contractors, or family members therof. Our organization extends priviledges to all qualified physicians in our community for all departments. All surplus funds are rolled into a fund balalnce for future year capital growth purposes which ensures improvement of our patient care areas. Thompson Hospital is committed to staying connected to our community members. Each of our executives and many of our directors serve on at least one or two boards of directors for the businesses in our community. Also in response to a national shortage of physicians, Thompson continutes to recruite new physicians specializing in several arenas as well as additional family practitioners ensuring physician coverage for our community members. Thompson Hospital is a New York State Department of Health designated Stroke Center. We strive to use our resources effectively and efficiently to promote health and to reduce the overall cost of health care, address a multitude of issues and populations, address the health needs of the individual that go beyond medical and physical issues, and to ensure services are locally based.
SchH_P06_S00_L06Schedule H, Part VI, Line 6Thompson Health is comprised of the following corporations: FF Thompson Hospital, a 113-bed acute care facility, MM Ewing Continuing Care Care Center, a 188-bed long term care facility, the FF Thompson Foundation, FFTH properties and services, and FFTH Senior Communities, which owns and operates a senior living community featuring independent and enriched living residences. Those within these corporations of Thompson Health promote its vision, which is "Bringing Confidence and Compassion to Every Healthcare Experience. With this vision as our foundation, Thompson Health's Board of Directors, medical staff, volunteers, and associates are committed to being directly involved in the health and well-being of our community by keeping the community healthy by providing excellence in our primary and secondary care services, wellness information, and community education.
SchH_P06_S00_L07Schedule H, Part VI, Line 7New York

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs1CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Linda M Farchione
0314996010443404902590140175010177010600410466469
Carlos Ortiz MD
0230241015560023644055551018743034373900
Mark Prunoske
015201901751000053448018036024101300
Michael Stapleton RN
129082322700012030135003375939023471520923802200
Christopher B Mahan
489279086501367149999284207203880690716997555315432508603
Jennifer DeVault
1047600696802660218130210490154856000
Dr Anthony Geraci MD
2540750149250103000648930230060367199000
Dr Timothy Pitler MD
307464053250100801037910199900437578000
David Baum MD
29129000066160662810239900388177000
Dr Vijay Bansal MD
285726021680506024618087820321800000
Dr Matthew Osborne MD
2797030003790228730235000326455000
Dr William Livingston MD
2815380005470187460200390320870000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchJ_P01_S00_L04Schedule J, Part I, Line 4The President/CEO and SR VP's participate in a 457 (f) plan. Contributions to the plan for 2011 were $95,388 (Linda Farchione - 20,946, Carlos Ortiz - 23,001, Mark Prunoske - 24,067, Chris Mahan - 10,499, and Mike Stapleton - 16,875)
SchJ_P01_S00_L06Schedule J, Part I, Line 6The President/CEO and SR executives are eligible for a variable % YE incentive based on predetermined goals. The goals are operational, financial and managerial in nature. The financial goal is tied in part to the net earnings of the organization and its affiliates.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Ontario County Industrial Development Agency
521326077683058AA92003-07-012000000Retire outstanding debt of the hospital000
Ontario County Industrial Development Agency
521326077683058AB72003-07-0112800000To construct an addition to and renovate portions of the hospital000
Ontario County Local Development Corporation
2724354892010-08-1029700000To construct an addition to and renovate portions of the hospital000

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
00200000000000000020041011
001280000000000000020040011
00541036505253109520000044058340020120001

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsTotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
000001
000001
000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
Keybank
0111000000
Keybank
01110.0000000
(no name)
000000

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSchK_P02_S00_L03Identifier
Return ReferenceSchedule K, Part II, Line 3ReturnReference
ExplanationFor the bonds issued in 2010 proceeds are being drawn as construction progresses. Estimated completion in 2013.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bThe Director of Finance reviewed the return and consulted with the independent auditors on any areas of question. The return was presented at a Board meeting prior to filing, with an overview of the changes from the prior year. The return was made available to the Board members via a shared intranet web-site. Questions were entertained by management prior to filing.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cThe conflict of interest disclosure statements for the Board members are submitted annually to the Chair of the nominating committee and they are responsible for monitoring compliance and follow-up with any potential conflicts. For the Officers the statements are submitted annually to the CEO who is responsible for monitoring compliance and follow-up with any potential conflicts.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15Executive compensation at Thompson is established by the compensation committee of the Board of Directors. The committee uses an Independent Company to gather comparable data in determining compensation levels for the President/CEO and Senior level executives. The full Board of Directors is surveyed by the compensation committee on executive performance; this is considered in determining compensation levels. The compensation committee is also involved in goal setting for the executive team, which ties back to their performance reviews and compensation rates.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19These documents are available upon request by contacting the Administration Office.
F990_P07_S0A_L01aForm 990, Part VII, Section A, Line 1aThe following hours are spent on related organizations: Linda M Farchione, President/CEO - 7 average hours per week, Carlos Ortiz, SVP Medical Services - 5 average hours per week, Christopher B Mahan, SVP Development & Support Services - 26 average hours per week, Mark F Prunoske, SVP Finance/CFO - 12 average hours per week, Micheal F Stapleton, EVP/COO - 7 average hours per week, Deborah K Weymouth, EVP/COO - 7 average hours per week
F990_P11_S00_L05Form 990, Part XI, Line 5Change in net unrealized gains and losses on investments -$272,209, Change in value of interest rate swap -$293,258, Change in value of charitable gift annuities -$17,570, Change in funded status of pension plan -$4,422,722, Change in beneficial interest in charitable remainder trust -$18,270, Change in beneficial interest in the net assets of the FF Thompson Foundation -$6,937,845.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
FF Thompson Foundation Inc
350 Parrish StreetCanandaiguaNY14424222959984Philanthropic support for the services and priority needs of the systemNY501(c)(3)7N/A
FF Thompson Health System Inc
350 Parrish StreetCanandaiguaNY14424222959987Parent to 6 separate organizations to support the health and well being of the communityNY501(c)(3)11aN/A
M M Ewing Continuing Care Center
350 Parrish StreetCanandaiguaNY14424237046583Long-term, rehabilitative and related services to the communityNY501(c)(3)3N/A
FF Thompson Senior Communities Inc
One Ferris HillsCanandaiguaNY14424161557494Senior living environment providing independent and enriched apts and servicesNY501(c)(3)9N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
Finger Lakes Community Care Network
350 Parrish StreetCanandaiguaNY14424161423442Currently inactiveNYN/AC
FF Thompson Properties and Services Inc
350 Parrish StreetCanandaiguaNY14424161286518Plans, develops, implements, owns and manages health related venturesNYN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationAdditional time was necessary for the Board to review the 990.Explanation