ST JAMES HOSPITAL: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- ST JAMES HOSPITAL (EIN 16-0743310)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-02-26
- IRS object ID
- 202510579349300241
- Schema version
- 2023v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-02-26T12:40:07-06:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161131146 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BONADIO & CO LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 171 SULLYS TRAIL | AddressLine1Txt |
| City | PITTSFORD | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14534 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 160743310 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JAMES HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STJA | BusinessNameControlTxt |
| Phone | 6073248110 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7329 SENECA ROAD NORTH | AddressLine1Txt |
| City | HORNELL | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14843 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRISTOPHER GRAHAM | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 6073248110 | PhoneNum |
| Signature | 2025-02-25 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AIMEE JOZIC | PreparerPersonNm |
| PTIN | P01329472 | PTIN |
| Phone | 5853811000 | PhoneNum |
| Preparation | 2025-02-25 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | WENDY DISBROW | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7329 SENECA ROAD NORTH | AddressLine1Txt |
| City | HORNELL | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14843 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $62,149,825 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTPS://WWW.URMC.ROCHESTER.EDU/ST-JAMES | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1921 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | ST. JAMES HOSPITAL IS COMMITTED TO THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE BY PROVIDING THE HIGHEST QUALITY OF CARE IN A COMPASSIONATE AND TRUSTED ENVIRONMENT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 462 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,715,595 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,137,823 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $46,250,137 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $57,651,630 | CYProgramServiceRevenueAmt |
| PY Investment Income | $119,234 | PYInvestmentIncomeAmt |
| CY Investment Income | $32,019 | CYInvestmentIncomeAmt |
| PY Other Revenue | $770,724 | PYOtherRevenueAmt |
| CY Other Revenue | $1,170,714 | CYOtherRevenueAmt |
| PY Total Revenue | $51,855,690 | PYTotalRevenueAmt |
| CY Total Revenue | $61,992,186 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $23,386,364 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $25,336,660 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $35,550,131 | PYOtherExpensesAmt |
| CY Other Expenses | $34,708,356 | CYOtherExpensesAmt |
| PY Total Expenses | $58,936,495 | PYTotalExpensesAmt |
| CY Total Expenses | $60,045,016 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$7,080,805 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,947,170 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $91,621,468 | TotalAssetsBOYAmt |
| Total Assets EOY | $94,899,002 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $31,286,451 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $32,891,247 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $60,335,017 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $62,007,755 | NetAssetsOrFundBalancesEOYAmt |
| Mission | ST. JAMES HOSPITAL IS COMMITTED TO THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE BY PROVIDING THE HIGHEST QUALITY OF CARE IN A COMPASSIONATE AND TRUSTED ENVIRONMENT. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $47,670,228 | ExpenseAmt |
| Revenue | $58,822,344 | RevenueAmt |
| Desc | ST. JAMES HOSPITAL IS AN ACUTE HEALTHCARE FACILITY PROVIDING ROUTINE, AMBULATORY AND ANCILLARY SERVICES. MAJOR SERVICES INCLUDE MEDICAL, SURGICAL, RADIOLOGY AND LABORATORY. TOTAL ACUTE DISCHARGES FOR THE HOSPITAL WERE 937. OUPATIENT REGISTRATIONS FOR THE HOSPITAL WERE 307,369. ST. JAMES HOSPITAL OPERATES SEVERAL PHYSICIAN PRACTICES. TOTAL OFFICE VISITS WERE 70,186 INCLUDING URGENT CARE. | Desc |
| Total Program Service Expenses | $47,670,228 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 38 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 462 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRISTOPHER GRAHAM | PersonNm |
| Phone | 6072472200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7329 SENECA ROAD NORTH | AddressLine1Txt |
| City | HORNELL | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14843 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| SHAWN HOGAN | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PETER WALL | |||||||||
| BOARD CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| JOHN WEYAND | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| GREG SAMMONS | |||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| SPENCER ANNABEL MD | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| STEVEN GOLDSTEIN | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $1,633,548 | $214,557 | 71.00 | |||
| MICHAEL KAMALI MD | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $734,199 | $80,127 | 55.00 | |||
| NICK KELLEY | |||||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| ISMAIL MEHR MD | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BILAL AHMED | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $769,782 | $33,229 | 55.00 | |||
| CARRIE COKELY | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JENNIFER DONLON | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JEREMY PALOTTI | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MELISSA PONTICELLO | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARK WHITMAN | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| WENDY DISBROW | |||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | $245,100 | $0 | $8,280 | Yes (X) | 1.00 | |||
| DEBRA MICHALEK | |||||||||
| INTERIM CFO UNTIL 8/31/23 | 20.00 | $0 | $0 | $0 | Yes (X) | 1.00 | |||
| CHRISTOPHER GRAHAM | |||||||||
| CFO EFFECTIVE 10/02/23 | 40.00 | $32,507 | $0 | $1,775 | Yes (X) | 1.00 | |||
| DENISE BECHER | |||||||||
| EXECUTIVE VICE PRESIDENT | 40.00 | $152,642 | $0 | $13,983 | Yes (X) | ||||
| SACHIN MANTHURUTHIL | |||||||||
| PHYSICIAN | 40.00 | $270,039 | $0 | $3,012 | Yes (X) | ||||
| HEATHER COX | |||||||||
| ADVANCED PRACTICE PROVIDER | 40.00 | $268,344 | $0 | $22,337 | Yes (X) | ||||
| CHRISTOPHER JOHN | |||||||||
| ADVANCED PRACTICE PROVIDER | 40.00 | $216,153 | $0 | $175 | Yes (X) | ||||
| MATTHEW WALTON | |||||||||
| ADVANCED PRACTICE PROVIDER | 40.00 | $192,180 | $0 | $20,744 | Yes (X) | ||||
| MARIAH RITTWAGE | |||||||||
| ADVANCED PRACTICE PROVIDER | 40.00 | $172,070 | $0 | $34,122 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,549,035 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,137,529 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $432,341 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 38 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ABADAN MEDICAL PLLC | |||||
| 325 CLEVELAND AVENUE | HORNELL | NY | 14843 | ANESTHESIOLOGY | $591,017 |
| MEDICAL SOLUTIONS LLC | |||||
| PO BOX 850737 | MINNEAPOLIS | MN | 55485 | NURSE STAFFING | $263,420 |
| MS HALL AND ASSOCIATES | |||||
| PO BOX 564 | SYRACUSE | NY | 13205 | FINANCIAL CONSULTING | $128,423 |
| SCI ANESTHESIA PLLC | |||||
| 1240 JEFFERSON RD STE C | ROCHESTER | NY | 14623 | MEDICAL CLINIC | $119,598 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $179,910 | RelatedOrganizationsAmt |
| Government Grants | $2,944,886 | GovernmentGrantsAmt |
| All Other Contributions | $13,027 | AllOtherContributionsAmt |
| Total Contributions | $3,137,823 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT REVENUE | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $57,651,630 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $57,651,630 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $57,651,630 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $81,416 | TotalRevenueColumnAmt |
| Exclusion | $81,416 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $108,242 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $157,639 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$49,397 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$49,397 | TotalRevenueColumnAmt |
| Exclusion | -$49,397 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,170,714 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,170,714 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,170,714 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $61,992,186 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $58,822,344 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $32,019 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $344,251 | TotalAmt |
| Program Services | $86,063 | ProgramServicesAmt |
| Management And General | $258,188 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,594,661 | TotalAmt |
| Program Services | $16,495,297 | ProgramServicesAmt |
| Management And General | $4,099,364 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $489,305 | TotalAmt |
| Program Services | $396,451 | ProgramServicesAmt |
| Management And General | $92,854 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,240,566 | TotalAmt |
| Program Services | $1,774,195 | ProgramServicesAmt |
| Management And General | $466,371 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,667,877 | TotalAmt |
| Program Services | $1,321,213 | ProgramServicesAmt |
| Management And General | $346,664 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,526 | TotalAmt |
| Program Services | $5,526 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $249,021 | TotalAmt |
| Management And General | $249,021 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,548 | TotalAmt |
| Program Services | $2,309 | ProgramServicesAmt |
| Management And General | $25,239 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $173,179 | TotalAmt |
| Management And General | $173,179 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $155,288 | TotalAmt |
| Program Services | $54,110 | ProgramServicesAmt |
| Management And General | $101,178 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,376 | TotalAmt |
| Program Services | $3,870 | ProgramServicesAmt |
| Management And General | $29,506 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,013,773 | TotalAmt |
| Program Services | $1,647,913 | ProgramServicesAmt |
| Management And General | $365,860 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,887 | TotalAmt |
| Program Services | $31,696 | ProgramServicesAmt |
| Management And General | $10,191 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,632 | TotalAmt |
| Program Services | $8,879 | ProgramServicesAmt |
| Management And General | $7,753 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $295,401 | TotalAmt |
| Program Services | $131,786 | ProgramServicesAmt |
| Management And General | $163,615 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,854,613 | TotalAmt |
| Program Services | $3,813,574 | ProgramServicesAmt |
| Management And General | $2,041,039 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $309,019 | TotalAmt |
| Program Services | $137,861 | ProgramServicesAmt |
| Management And General | $171,158 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHYSICIAN FEES | $11,128,480 | $11,128,480 | |
| PURCHASED SERVICES | $6,810,510 | $3,646,254 | $3,164,256 |
| MEDICAL SUPPLIES | $3,616,712 | $3,644,537 | -$27,825 |
| DRUGS | $2,407,644 | $2,401,738 | $5,906 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,569,747 | TotalAmt |
| Program Services | $938,476 | ProgramServicesAmt |
| Management And General | $631,271 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,045,016 | TotalAmt |
| Program Services | $47,670,228 | ProgramServicesAmt |
| Management And General | $12,374,788 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,127,793 | BOYAmt |
| EOY | $14,628,786 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,326 | BOYAmt |
| EOY | $17,405 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,662 | BOYAmt |
| EOY | $65,191 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,028,860 | BOYAmt |
| EOY | $7,001,256 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,441,600 | BOYAmt |
| EOY | $5,441,600 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,114,751 | BOYAmt |
| EOY | $1,054,762 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $243,121 | BOYAmt |
| EOY | $157,463 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $75,517,309 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $23,155,697 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,050,366 | BOYAmt |
| EOY | $52,361,612 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,549,989 | BOYAmt |
| EOY | $14,170,927 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,621,468 | BOYAmt |
| EOY | $94,899,002 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,403,027 | BOYAmt |
| EOY | $9,176,579 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,171,531 | BOYAmt |
| EOY | $8,373,935 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,711,893 | BOYAmt |
| EOY | $15,340,733 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,286,451 | BOYAmt |
| EOY | $32,891,247 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,553,105 | BOYAmt |
| EOY | $61,263,135 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $781,912 | BOYAmt |
| EOY | $744,620 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,335,017 | BOYAmt |
| EOY | $62,007,755 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,621,468 | BOYAmt |
| EOY | $94,899,002 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,947,170 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$274,432 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | Yes (1) | RalliesDemonstrationsInd |
| Rallies Demonstrations | $945 | RalliesDemonstrationsAmt |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $945 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1, LOBBYING ACTIVITIES | FormAndLineReferenceDesc |
| Explanation | AS A MEMBER OF HEALTHCARE ASSOCIATION OF NEW YORK STATE, INC., A PORTION OF MEMBERSHIP DUES REPRESENTS AMOUNTS DESIGNATED FOR LOBBYING ACTIVITIES. THIS ASSOCIATION ORGANIZATION, OF WHICH THE HOSPITAL IS A MEMBER, PERFORMS DIRECT LOBBYING AND ADVOCACY ACTIVITIES ON BEHALF OF ITS MEMBERS. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $26,366 | BeginningYearBalanceAmt |
| End Year Balance | $26,366 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $26,366 | BeginningYearBalanceAmt |
| End Year Balance | $26,366 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $26,366 | BeginningYearBalanceAmt |
| End Year Balance | $26,366 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $26,366 | BeginningYearBalanceAmt |
| End Year Balance | $26,366 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $26,366 | BeginningYearBalanceAmt |
| End Year Balance | $26,366 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $935,597 | OtherCostOrOtherBasisAmt |
| Book Value | $935,597 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $54,421,248 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,938,216 | DepreciationAmt |
| Book Value | $44,483,032 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,057,129 | OtherCostOrOtherBasisAmt |
| Depreciation | $183,342 | DepreciationAmt |
| Book Value | $873,787 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,028,006 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,034,139 | DepreciationAmt |
| Book Value | $5,993,867 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $75,329 | OtherCostOrOtherBasisAmt |
| Book Value | $75,329 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $52,361,612 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER RECEIVABLES - CURRENT | $3,454,460 |
| OTHER RECEIVABLES - NONCURRENT | $2,349,241 |
| RIGHT OF USE ASSET | $7,313,063 |
| OTHER INVESTMENTS | $710,077 |
| ASSETS LIMITED AS TO USE - CURRENT | -$769,965 |
| THIRD-PARTY PAYOR RECEIVABLES | $1,114,051 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $14,170,927 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| OTHER LIABILITIES - CURRENT | $117,075 |
| OTHER LIABILITIES - NONCURRENT | $416,491 |
| THIRD PARTY PAYOR LIABILITIES | $3,614,790 |
| RIGHT TO USE LIABILITY | $8,908,594 |
| DUE TO AFFILIATES | $2,283,783 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $15,340,733 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | THE FOUNDATION HOLDS DONOR RESTRICTED NET ASSETS ON BEHALF OF THE HOSPITAL. WITH THE HELP OF COMMUNITY MEMBERS, BUSINESS PARTNERS, EMPLOYEES, PROVIDERS, FRIENDS, AND DONORS, ST. JAMES HOSPITAL FOUNDATION RAISES CHARITABLE GIFTS TO MAKE POSSIBLE A RANGE OF FACILITIES IMPROVEMENTS, CAPITAL EQUIPMENT AND PROGRAM INITIATIVES. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,200,826 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $690,425 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $510,401 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00850 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,171,154 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,190,656 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,980,498 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03300 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,371,980 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,881,081 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,490,899 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04150 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $377,965 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $251,151 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $126,814 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00250 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,166 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $21,166 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $399,131 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $251,151 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $147,980 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,771,111 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,132,232 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,638,879 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04440 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,661,560 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $4,642 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $8,404,748 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $8,938,414 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$533,666 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JAMES HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 411 CANISTEO STREET | AddressLine1Txt |
| City | HORNELL | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14843 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.URMC.ROCHESTER.EDU/ST-JAMES | WebsiteAddressTxt |
| State License | 5002001H | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JAMES HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE SUPPLEMENTAL INFORMATION | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE SUPPLEMENTAL INFORMATION | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE SUPPLEMENTAL INFORMATION | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE SUPPLEMENTAL INFORMATION | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE SUPPLEMENTAL INFORMATION | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ST. JAMES HOSPITAL | PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN 2022 IN COLLABORATION WITH STEUBEN COUNTY PUBLIC HEALTH. THIS INCLUDED THE THREE HOSPITALS LOCATED WITHIN THE COUNTY. A VARIETY OF PARTNERS WERE ENGAGED THROUGHOUT THE PROCESS INCLUDING REPRESENTATIVES FROM ACADEMIA, NOT-FOR-PROFIT ORGANIZATIONS, BUSINESSES, THE GENERAL PUBLIC AND LOCAL GOVERNMENT. THE PARTNERS WERE ENGAGED THROUGHOUT THE ASSESSMENT PERIOD VIA AN ONLINE SURVEY AND FOCUS GROUPS. A FULL LIST OF PARTICIPANTS CAN BE FOUND IN THE STEUBEN COUNTY CHNA LOCATED ON THE ST. JAMES HOSPITAL (SJH) WEBSITE. |
| ST. JAMES HOSPITAL | PART V, SECTION B, LINE 6A: ARNOT HEALTH - IRA DAVENPORT MEMORIAL HOSPITAL, GUTHRIE CORNING HOSPITAL, ST. JAMES HOSPITAL |
| ST. JAMES HOSPITAL | PART V, SECTION B, LINE 6B: STEUBEN COUNTY PUBLIC HEALTH, COMMUNITY HEALTH, OAK ORCHARD HEALTH, PIVITAL PUBLIC HEALTH PARTNERSHIP, PREGNANCY RESOURCE CENTER OF THE VALLEYS, GUTHRIE CLINIC, STEUBEN PREVENTION COALITION, COMMON GROUND HEALTH, VA MEDICAL CENTER, SOUTHERN TIER LIBRARY SYSTEM, PROACTION, FINGER LAKES COMMUNITY HEALTH, HORNELL YMCA, STEUBEN RURAL HEALTH NETWORK AT THE INSTITUTE FOR HUMAN SERVICES INC, SOUTHERN TIER TOBACCO AWARENESS COALITION, WEGMANS, COUNTY LEGISLATURE, CATHOLIC CHARITIES/STEUBEN COUNCIL ON ADDICTIONS, COMMUNITY SERVICES/SUICIDE PREVENTION, CORNING COMMUNITY COLLEGE, UR PRIMARY CARE. |
| ST. JAMES HOSPITAL | PART V, SECTION B, LINE 11: PREVENT CHRONIC DISEASE/INCREASE SKILLS AND KNOWLEDGE TO SUPPORT HEALTH FOOD AND BEVERAGE CHOICES: SJH WILL WORK WITH HORNELL SCHOOL DISTRICT, HORNELL AREA YMCA AND CONCERN FOR YOUTH TO IDENTIFY WAYS TO DECREASE COSTS FOR ACTIVITIES AND INCREASE EDUCATION ABOUT HEALTHY FOOD CHOICES FOR KIDS. SJH WILL DISCUSS WITH HORNELL SCHOOL DISTRICT THE ITEMS OFFERED IN VENDING MACHINES AND AT MEAL TIMES. SJH WILL WORK WITH THOSE PARTNERS TO IDENTIFY CURRICULUMS TO USE IN SCHOOL DISTRICTS TO EDUCATE STUDENTS ON HEALTHY EATING. THE PARTNERS WILL WORK TO INCREASE THE NUMBER OF FREE OR LOW/COST SPORT/ACTIVITY PROGRAMS FOR CHILDREN IN THE HORNELL AREA.PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS/SUBSTANCE ABUSE DISORDERS SJH WILL REGISTER AS A NYS OPIOID OVERDOSE PREVENTION PROGRAM TO DISTRIBUTE NALOXONE FROM THE EMERGENCY DEPARTMENT TO PATIENTS AT RISK OF OVERDOSE. SJH WILL INCREASE THE NUMBER OF HOSPITAL STAFF TRAINED TO PROVIDE NARCAN TO MEMBERS OF THE COMMUNITY AND INCREASE THE NUMBER OF PROVERS WITH X-WAIVERS. |
| SCHEDULE H, PART V, SECTION B, LINE 7A | HTTPS://WWW.URMC.ROCHESTER.EDU/ST-JAMES/PATIENTS-VISITORS |
| SCHEDULE H, PART V, SECTION B, LINE 10A | HTTPS://WWW.URMC.ROCHESTER.EDU/ST-JAMES/PATIENTS-VISITORS |
| SCHEDULE H, PART V, SECTION B, LINE 16A | HTTPS://WWW.URMC.ROCHESTER.EDU/PAY-A-BILL/FINANCIAL-ASSISTANCE/ST-JAMES-HOSPITAL-FINANCIAL-ASSISTANCE |
| SCHEDULE H, PART V, SECTION B, LINE 16B | HTTPS://WWW.URMC.ROCHESTER.EDU/PAY-A-BILL/FINANCIAL-ASSISTANCE/ST-JAMES-HOSPITAL-FINANCIAL-ASSISTANCE |
| SCHEDULE H, PART V, SECTION B, LINE 16C | HTTPS://WWW.URMC.ROCHESTER.EDU/PAY-A-BILL/FINANCIAL-ASSISTANCE/ST-JAMES-HOSPITAL-FINANCIAL-ASSISTANCE |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III, LINE 4: | IMPLICIT PRICE CONCESSIONS FURTHER REDUCE CUSTOMER ACCOUNTS TO THEIR NET REALIZABLE VALUE AT THE TIME THEY ARE RECORDED AND REPRESENT ESTIMATED UNCOLLECTIBLE BALANCES OF SELF-PAY, DEDUCTIBLES AND CO-PAYMENTS EXTENDED PRIMARILY TO UNINSURED OR UNDER-INSURED CUSTOMERS. ESTIMATES OF IMPLICIT PRICE CONCESSIONS ARE DETERMINED BASED ON HISTORICAL COLLECTION EXPERIENCE WITH THESE CLASSES OF CUSTOMERS USING A PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT TO ACCOUNT FOR CUSTOMER CONTRACTS AS COLLECTIVE GROUPS RATHER THAN AS INDIVIDUAL CONTRACTS. THE FINANCIAL STATEMENT EFFECTS OF USING THE PRACTICAL EXPEDIENT ARE NOT MATERIALLY DIFFERENT FROM AN INDIVIDUAL CONTRACT APPROACH. |
| SCHEDULE H, PART I, LINE 7 | THE COST-TO-CHARGE RATIO IS USED TO FIND 7A AND 7B, COMPUTED BY TAKING TOTAL EXPENSES DIVIDED BY TOTAL GROSS PATIENT REVENUE. |
| SCHEDULE H, PART III, SECTION A, LINE 2 | THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 ARE BASED ON ACTUAL CHARGES WRITTEN OFF (AMOUNTS THAT ARE DEEMED TO BE UNCOLLECTIBLE AND RECORDED AS IMPLICIT PRICE CONCESSIONS UNDER NEW ACCOUNTING PRONOUNCEMENT ASC606). THE TEST OF THE IMPLICIT PRICE CONCESSIONS (BAD DEBT EXPENSE) FOOTNOTE CAN BE FOUND ON THE ATTACHED AUDITED FINANCIAL STATEMENTS. |
| SCHEDULE H, PART III, SECTION A, LINE 8 | TO DETERMINE MEDICARE ALLOWABLE COSTS REPORTABLE IN THE MEDICARE COST REPORT, THE COST-TO-CHARGE RATIO IS APPLIED TO GROSS PATIENT REVENUE ASSOCIATED WITH SERVICES PERFORMED FOR PATIENTS WHO ARE ELIGIBLE FOR MEDICARE. CONSISTENT WITH THE CHARITABLE HEALTHCARE MISSION OF THE HOSPITAL AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69545, THE HOSPITAL PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE SEEKING MEDICAL CARE. SUCH CARE IS PROVIDED REGARDLESS OF WHETHER THE REIMBURSEMENT PROVIDED FOR SUCH SERVICES MEETS OR EXCEEDS THE COSTS INCURRED BY THE HOSPITAL TO PROVIDE SUCH SERVICES. |
| SCHEDULE H, PART III, SECTION C, LINE 9B | A BAD DEBT RESULTS FROM A PATIENT ACCOUNT BALANCE FROM WHICH PAYMENT WAS ANTICIPATED FROM THE PATIENT, CREDIT EXTENDED AND THEN ACCOUNT LATER DEEMED TO BE UNCOLLECTIBLE. A BAD DEBT DOES NOT MEET THE CRITERIA FOR CHARITY CARE, THAT IS, BAD DEBT PATIENTS ARE CONSIDERED TO HAVE THE FINANCIAL CAPABILITY AND ABILITY TO PAY BUT ARE UNWILLING TO PAY. COLLECTION ACTIVITIES ARE ONLY PURSUED WITH RESPECT TO AMOUNTS THAT PATIENTS ARE ABLE TO PAY AS DETERMINED BY THE HOSPITAL'S CHARITY CARE POLICY. NO COLLECTION ACTIVITIES TAKE PLACE WITH RESPECT TO AMOUNTS THAT PATIENTS ARE NOT EXPECTED TO PAY UNDER THIS POLICY. THE CHARITY CARE POLICY IN PLACE WOULD BE EXHAUSTED BEFORE A PATIENT BALANCE WOULD BE DEEMED SELF-PAY. UNDER THE CHARITY CARE POLICY, CHARITY CARE/FINANCIAL ASSISTANCE IS PROVIDED TO A PATIENT WITH DEMONSTRATED INABILITY TO PAY. A PATIENT IS ELIGIBLE FOR CHARITY CARE/FINANCIAL ASSISTANCE CONSIDERATION BASED UPON MEETING CERTAIN INCOME ELIGIBILITY CRITERIA AS ESTABLISHED BY THE FEDERAL POVERTY GUIDELINE SLIDING SCALE. PER NYS PUBLIC HEALTH LAW 2807-K, THIS CONSIDERS PATIENTS WHOSE HOUSEHOLD INCOME IS UP TO 300% OF THE MOST RECENT FEDERAL POVERTY GUIDELINES. ALL UNINSURED, LOW-INCOME PATIENTS WHO CAN DEMONSTRATE AN INABILITY TO PAY MAY APPLY FOR CHARITY CARE/FINANCIAL ASSISTANCE FOR ADJUSTMENT TO THEIR BALANCES FOR ALL MEDICALLY NECESSARY HEALTHCARE SERVICES PROVIDED THAT A MEMBER IN GOOD STANDING OF THE SJH MEDICAL STAFF DETERMINES THE NEED FOR SUCH MEDICAL CARE. |
| SCHEDULE H, PART VI, LINE 2 | ST. JAMES HOSPITAL (SJH) CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS IN CONJUNCTION WITH STEUBEN COUNTY PUBLIC HEALTH. IN ADDITION TO THAT, SJH USES THE FOLLOWING TO DETERMINE THE HEALTH NEEDS OF THE COMMUNITY: SURVEYING PARTICIPANTS AT PUBLIC HEALTH EDUCATION PROGRAMS, LOCAL CASE MANAGEMENT MEETINGS, AND INFORMATION SHARED AT PHYSICIAN OFFICES. BASED ON THE CHNA AND OTHER INFORMATION GATHERED, THE COUNTY'S HEALTHCARE PRIORITIES, STRATEGIES AND PROGRAMS ARE DETERMINED. SJH CREATES AN ACTION PLAN BASED ON THE CHNA. THE PROGRESS OF THESE INITIATIVES ARE REPORTED ANNUALLY TO THE NYS DEPARTMENT OF HEALTH. |
| SCHEDULE H, PART VI, LINE 3 | FINANCIAL COUNSELING STARTS AT THE POINT OF REGISTRATION. REGISTRARS WILL ASK ALL UNINSURED PATIENTS IF THEY WOULD LIKE TO SPEAK WITH A FINANCIAL COUNSELOR. IF REQUESTED, THE COUNSELOR WILL THEN CONTACT THE PATIENT WITHIN 24 HOURS. THEY ARE ALSO AVAILABLE FOR PATIENTS TO COME ONSITE TO REVIEW THEIR DOCUMENTS AND FINANCIAL SITUATION. FINANCIAL COUNSELING SERVICES INCLUDE: ASSISTANCE WITH NAVIGATION OF NYS OF HEALTH ENROLLERS FOR MEDICAID APPLICATIONS, ASSISTANCE WITH CHARITY CARE APPLICATIONS, ASSISTANCE WITH OTHER DISCOUNT POLICIES FOR INPATIENTS AND HIGH COST SERVICES, FLEXIBLE PAYMENT ARRANGEMENTS AND ANSWERING QUESTIONS REGARDING PATIENT STATEMENTS. |
| SCHEDULE H, PART VI, LINE 4 | THE PRIMARY SERVICE AREA FOR SJH IS THE 15-MILE RADIUS EXTENDING FROM HORNELL, NY IN STEUBEN COUNTY. THE SECONDARY SERVICE AREA IS THE 30-MILE RADIUS EXTENDING FROM HORNELL. PER CENSUS DATA, THE POPULATION IN THE AREA HAS NOT CHANGED SIGNIFICANTLY OVER THE PAST SEVERAL YEARS. THROUGH 2040, THE POPULATION OF STEUBEN COUNTY IS PROJECTED TO DECREASE BETWEEN 6-7%. THE POPULATION OF 65+ RESIDENTS IN THE REGION IS PROJECTED TO GROW BY 11% OVER THE NEXT FIVE YEARS. THE POPULATION IN STEUBEN COUNTY IS ETHNICALLY HOMOGENOUS WITH 94% RESIDENTS BEING WHITE. AN ESTIMATED 14% OF STEUBEN COUNTY RESIDENTS ARE LIVING BELOW THE POVERTY LEVEL. EDUCATIONAL ATTAINMENT OF POST-HIGH SCHOOL EDUCATION HAS INCREASED SLIGHTLY IN RECENT YEARS. |
| SCHEDULE H, PART VI, LINE 5 | SJH IS THE LEAD AGENCY FOR THE CANCER SERVICES PROGRAM (CSP) OF STEUBEN COUNTY. A COMMUNITY-BASED, GRANT-FUNDED PROGRAM OF NEW YORK STATE DEPARTMENT OF HEALTH (NYSDOH), THE CSP SERVES AGE ELIGIBLE, UNINSURED MEN AND WOMEN WITH NO-COST SCREENINGS FOR BREAST, CERVICAL, AND COLORECTAL CANCER. THE ORGANIZATION PARTICIPATES IN LOCAL HEALTH FAIRS AND WORKS WITH LOCAL BUSINESSES TO PROMOTE WORKPLACE WELLNESS. IN ADDITION, SJH OPERATES A CARDIAC REHAB PROGRAM AND COUMADIN CLINIC THAT PROVIDE OUTPATIENT BASED SERVICES TO THE COMMUNITY. SJH STAFF MEMBERS THROUGHOUT THE ORGANIZATION PARTICIPATE IN COMMUNITY INITIATIVES AND HOLD SEATS ON VARIOUS BOARDS OF NON-PROFIT ORGANIZATIONS WHOSE PRIMARY MISSION IS TO ASSESS AND ADDRESS COMMUNITY NEEDS. |
| SCHEDULE H, PART VI, LINE 6 | THE UNIVERSITY OF ROCHESTER MEDICAL CENTER (URMC) IS ONE OF THE NATION'S LEADING ACADEMIC MEDICAL CENTERS. IT FORMS THE CENTERPIECE OF THE UNIVERSITY OF ROCHESTER'S HEALTH RESEARCH, TEACHING AND PATIENT CARE MISSIONS. URMC IS A PRIVATE, COEDUCATIONAL, NONSECTARIAN, AND NONPROFIT UNIVERSITY. URMC CONSISTS OF EIGHT HOSPITALS LOCATED THROUGHOUT THE FINGER LAKES AND SOUTHERN TIER REGIONS: STRONG MEMORIAL, HIGHLAND, FF THOMPSON, NOYES MEMORIAL, GENEVA GENERAL HOSPITAL, SOLIDERS & SAILORS MEMORIAL HOSPITAL, JONES MEMORIAL AND ST. JAMES HOSPITALS AS WELL AS GOLISANO CHILDREN'S HOSPITAL, JAMES P WILMOT CANCER CENTER, EASTMAN INSTITUTE FOR ORAL HEALTH, UR MEDICINE HOME CARE, THE HIGHLANDS AT PITTSFORD AND HIGHLANDS AT BRIGHTON, NINE URGENT CARE CENTERS AND AN EXTENSIVE PRIMARY CARE NETWORK. |
| SCHEDULE H, PART VI, LINE 7 | NEW YORK STATE |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEVEN GOLDSTEIN | ||||||||||||||
| BOARD MEMBER | $0 | $1,528,811 | $0 | $0 | $0 | $104,737 | $0 | $191,337 | $0 | $23,220 | $0 | $1,848,105 | $0 | $0 |
| MICHAEL KAMALI MD | ||||||||||||||
| BOARD MEMBER | $0 | $663,246 | $0 | $66,950 | $0 | $4,003 | $0 | $44,837 | $0 | $35,290 | $0 | $814,326 | $0 | $0 |
| BILAL AHMED | ||||||||||||||
| BOARD MEMBER | $0 | $763,662 | $0 | $0 | $0 | $6,120 | $0 | $31,937 | $0 | $1,292 | $0 | $803,011 | $0 | $0 |
| HEATHER COX | ||||||||||||||
| ADVANCED PRACTICE PROVIDER | $231,584 | $0 | $0 | $0 | $36,760 | $0 | $13,840 | $0 | $8,497 | $0 | $290,681 | $0 | $0 | $0 |
| SACHIN MANTHURUTHIL | ||||||||||||||
| PHYSICIAN | $270,039 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $3,012 | $0 | $273,051 | $0 | $0 | $0 |
| WENDY DISBROW | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $245,100 | $0 | $0 | $0 | $0 | $0 | $7,370 | $0 | $910 | $0 | $253,380 | $0 | $0 | $0 |
| CHRISTOPHER JOHN | ||||||||||||||
| ADVANCED PRACTICE PROVIDER | $216,102 | $0 | $51 | $0 | $0 | $0 | $0 | $0 | $175 | $0 | $216,328 | $0 | $0 | $0 |
| MATTHEW WALTON | ||||||||||||||
| ADVANCED PRACTICE PROVIDER | $192,180 | $0 | $0 | $0 | $0 | $0 | $15,691 | $0 | $5,053 | $0 | $212,924 | $0 | $0 | $0 |
| MARIAH RITTWAGE | ||||||||||||||
| ADVANCED PRACTICE PROVIDER | $158,576 | $0 | $0 | $0 | $13,494 | $0 | $18,741 | $0 | $15,381 | $0 | $206,192 | $0 | $0 | $0 |
| DENISE BECHER | ||||||||||||||
| EXECUTIVE VICE PRESIDENT | $152,172 | $0 | $470 | $0 | $0 | $0 | $10,863 | $0 | $3,120 | $0 | $166,625 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED EMPLOYER PAID AMOUNTS THAT ARE INCLUDED IN DEFERRED COMPENSATION: STEVEN GOLDSTEIN - SERP PLAN - $159,400 MICHAEL KAMALI, MD - SERP PLAN - $12,900 THESE AMOUNTS REPRESENT EMPLOYEE DEFFERALS OF COMPENSATION, PLUS INVESTMENT EARNINGS, OVER SEVERAL YEARS THAT VESTED AND WERE PAID PURSUANT TO THE REQUIREMENTS OF THE PLAN. THE EMPLOYEE DEFERRALS WERE REPORTED AS DEFERRED COMPENSATION IN SCHEDULE J, PART II, COLUMN C IN PRIOR YEARS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | GIVEN THAT MANY OF OUR BOARD MEMBERS INCLUDE PROFESSIONALS IN INDUSTRIES SUCH AS BANKING, LAW, AND FINANCIAL ADVISEMENT, IT IS OUR UNDERSTANDING THAT SOME BOARD MEMBERS ENGAGE WITH EACH OTHER IN PROFESSIONAL BUSINESS ACTIVITIES. GIVEN THE COMPREHENSIVE CONFLICT OF INTEREST FORMS THE BOARD MEMBERS COMPLETE, WE DO NOT BELIEVE ANY SUCH RELATIONSHIP IMPACTS THEIR DECISION MAKING AS TO ST. JAMES ACTIVITIES AND TO THE EXTENT THERE IS A POTENTIAL CONFLICT OF INTEREST IS DISCLOSED BY A BOARD MEMBER, THE BOARD MEMBER IS INSTRUCTED TO FOLLOW OUR CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION A, LINE 3 | A MANAGEMENT COMPANY WAS USED TO CONTRACT THE INTERIM CHIEF FINANCIAL OFFICER POSITION FOR ST. JAMES HOSPITAL AND AFFILIATES. THE AMOUNT THAT ST. JAMES HOSPITAL PAID TO THE MANAGEMENT COMPANY WAS $56,588. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF ST. JAMES HOSPITAL IS THE UNIVERSITY OF ROCHESTER (UR). AS SUCH, UR HAS THE AUTHORITY TO ELECT THE GOVERNING BODY OF ST. JAMES HOSPITAL AND CERTAIN DECISIONS OF ST. JAMES HOSPITAL ARE SUBJECT TO THE APPROVAL OF UR. SUCH DECISIONS INCLUDE AMENDMENT OF THE CERTIFICATE OF INCORPORATION AND BYLAWS AND APPROVAL OF EXTRAORDINARY CORPORATE ACTIONS SUCH AS MERGER OR DISSOLUTION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE MEMBER OF ST. JAMES HOSPITAL IS THE UNIVERSITY OF ROCHESTER (UR). AS SUCH, UR HAS THE AUTHORITY TO ELECT THE GOVERNING BODY OF ST. JAMES HOSPITAL AND CERTAIN DECISIONS OF ST. JAMES HOSPITAL ARE SUBJECT TO THE APPROVAL OF UR. SUCH DECISIONS INCLUDE AMENDMENT OF THE CERTIFICATE OF INCORPORATION AND BYLAWS AND APPROVAL OF EXTRAORDINARY CORPORATE ACTIONS SUCH AS MERGER OR DISSOLUTION. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE SOLE MEMBER OF ST. JAMES HOSPITAL IS THE UNIVERSITY OF ROCHESTER (UR). AS SUCH, UR HAS THE AUTHORITY TO ELECT THE GOVERNING BODY OF ST. JAMES HOSPITAL AND CERTAIN DECISIONS OF ST. JAMES HOSPITAL ARE SUBJECT TO THE APPROVAL OF UR. SUCH DECISIONS INCLUDE AMENDMENT OF THE CERTIFICATE OF INCORPORATION AND BYLAWS AND APPROVAL OF EXTRAORDINARY CORPORATE ACTIONS SUCH AS MERGER OR DISSOLUTION. |
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF THE FORM 990 WAS MADE AVAILABLE TO EACH BOARD MEMBER BEFORE IT WAS FILED. ST. JAMES HOSPITAL HAS DESIGNATED THE STRATEGIC PLANNING & FINANCE/AUDIT COMMITTEE AS THE GROUP TO BE EDUCATED AND TO REVIEW THE RETURN. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES (DETERMINED BY THE PRESIDENT & CEO) COMPLETE CONFLICT OF INTEREST (COI) FORMS ANNUALLY TO IDENTIFY ACTUAL AND POTENTIAL CONFLICTS OF INTEREST THAT MAY EXIST RELATIVE TO THEIR DUTIES WITH THE ORGANIZATION AND THE ORGANIZATION'S COI POLICY. THE CEO SHALL DISCLOSE TO THE BOARD OR APPROPRIATE COMMITTEE THEREOF ANY EMPLOYEE DISCLOSURE MADE RELEVANT TO THE MATTER AND THE EVALUATION THEROF. COPIES ARE PROVIDED TO THE CORPORATE COMPLIANCE OFFICER AND MAINTAINED BY THE EXECUTIVE ASSISTANT TO THE BOARD OF DIRECTORS AND CEO. IF A CONFLICT IS DISCLOSED, THAT PERSON SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A COI IS DISCUSSED AND VOTED UPON. THE CHAIRPERSON OF THE BOARD OR COMMITTEE WILL DETERMINE IF A COI EXISTS. TO HELP ENSURE COMPLIANCE WITH THE COI POLICY, AMONG THE PROVISIONS THE PERSON WITH AN ACTUAL OR POTENTIAL COI WILL NOT BE ALLOWED TO PARTICIPATE IN ANY DISCUSSION OR DECISION ON ANY AREA OF THE CONFLICT IDENTIFIED AND LEAVE THE ROOM DURING DISCUSSION AND VOTE. THE CORPORATE RESPONSIBILITY AND COMPLIANCE COMMITTEE REVIEW THESE PROCEDURES EVERY TWO YEARS TO ASSESS THEIR EFFECTIVENESS AND RECOMMEND (OR MAKE) APPROPRIATE CHANGES AS NEEDED TO ENSURE THE COI POLICY IS CONSISTENLY AND EFFECTIVELY ENFORCED. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD HAS AN INDEPENDENT COMMITTEE REVIEW AND APPROVE ALL ELEMENTS OF REMUNERATION FOR ALL OFFICERS, AS WELL AS OTHER KEY MANAGEMENT. THE BOARD/COMMITTEE HAS AN ESTABLISHED COMPENSATION PHILOSOPHY WHICH DETAILS THE OBJECTIVES OF MARKET POSITIONING AND PAY ELEMENTS. THE COMMITTEE REVIEWS MARKET DATA, COMPARATIVE MARKET COMPENSATION DATA, APPROVES ANY SALARY ADJUSTMENTS FOR THE EXECUTIVE POPULATION, CONSIDERS BOTH REASONABLENESS AND EFFECTIVENESS OF ALL REMUNERATIVE PROGRAMS AND ESTABLISHES THE DETAILED PERFORMANCE EXPECTATIONS. ALL OF THESE DISCUSSIONS AND DECISIONS ARE DOCUMENTED THROUGH THE PROVISION OF MEETING MINUTES. |
| FORM 990, PART VI, SECTION C, LINE 19 | ST. JAMES HOSPITAL'S FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST. ST. JAMES HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE NOT ROUTINELY MADE AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XI, LINE 9: | CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF THE SJH FOUNDATION -274,432. |
| FORM 990, PART XII, LINE 2C | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (42 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| FFT SENIOR COMMUNITIES INC | |||||||||||
| 1 FERRIS HILLS | CANANDAIGUA | NY | 14424 | 161557494 | ELDER CARE | NY | 501(C)(3) | LINE 10 | FF THOMPSON HEALTH SYSTEM INC | 0 | |
| HIGHLAND COMMUNITY DEVELOPMENT CORP - | |||||||||||
| 100 HAHNEMANN TRAIL | PITTSFORD | NY | 14534 | 223154715 | ELDER CARE | NY | 501(C)(3) | LINE 10 | STRONG PARTNERS HEALTH SYSTEM INC | 0 | |
| HIGHLAND HOSPITAL OF ROCHESTER | |||||||||||
| 1000 SOUTH AVENUE | ROCHESTER | NY | 14620 | 160743037 | HOSPITAL | NY | 501(C)(3) | LINE 3 | STRONG PARTNERS HEALTH SYSTEM INC | 0 | |
| THE HIGHLAND FOUNDATION INC | |||||||||||
| 1000 SOUTH AVENUE | ROCHESTER | NY | 14620 | 237310662 | FUNDRAISING | NY | 501(C)(3) | LINE 12A, I | HIGHLAND HOSPITAL OF ROCHESTER | 0 | |
| HIGHLAND FACILITIES DEVELOPMENT CORPORATION | |||||||||||
| 1000 SOUTH AVENUE | ROCHESTER | NY | 14620 | 223039077 | MEDICAL BLDG | NY | 501(C)(3) | LINE 10 | HIGHLAND HOSPITAL OF ROCHESTER | 0 | |
| LIVINGSTON HEALTH CARE SYSTEM INC | |||||||||||
| 111 CLARA BARTON STREET | DANSVILLE | NY | 14427 | 161455240 | SUPPORT ORG | NY | 501(C)(3) | LINE 12A, I | UNIVERSITY OF ROCHESTER | 0 | |
| RED JACKET CENTER INC | |||||||||||
| 111 CLARA BARTON STREET | DANSVILLE | NY | 14427 | 161037658 | MEDICAL BLDG | NY | 501(C)(3) | LINE 12A, I | LIVINGSTON HEALTH CARE SYSTEM INC | 0 | |
| THE FOUNDATION FOR NOYES MEMORIAL HEALTH SYSTEM INC | |||||||||||
| 111 CLARA BARTON STREET | DANSVILLE | NY | 14427 | 161584778 | FUNDRAISING | NY | 501(C)(3) | LINE 7 | LIVINGSTON HEALTH CARE SYSTEM INC | 0 | |
| JONES MEDICAL SERVICES PC | |||||||||||
| 191 NORTH MAIN STREET | WELLSVILLE | NY | 14895 | 465210222 | MEDICAL CLINIC | NY | 501(C)(3) | LINE 3 | THE MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INC | 0 | |
| JONES MEMORIAL HOSPITAL FOUNDATION | |||||||||||
| 191 NORTH MAIN STREET | WELLSVILLE | NY | 14895 | 473763374 | SUPPORT ORG | NY | 501(C)(3) | LINE 7 | THE MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INC | 0 | |
| THE MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INC | |||||||||||
| 191 NORTHMAIN STREET | WELLSVILLE | NY | 14895 | 222807681 | HOSPITAL | NY | 501(C)(3) | LINE 3 | UNIVERSITY OF ROCHESTER | 0 | |
| U OF R BROADCASTING CORPORATION | |||||||||||
| 201 WILSON COMMONS | ROCHESTER | NY | 14627 | 160743209 | BROADCAST LIC | NY | 501(C)(4) | UNIVERSITY OF ROCHESTER | 0 | ||
| UR MEDICINE HOME CARE COMMUNITY SERVICES INC | |||||||||||
| 2180 EMPIRE BOULEVARD | WEBSTER | NY | 14580 | 825091873 | HEALTHCARE | NY | 501(C)(3) | LINE 10 | UR MEDICINE HOME CARE INC | 0 | |
| UR MEDICINE HOME CARE LICENSED SERVICES INC | |||||||||||
| 2180 EMPIRE BOULEVARD | WEBSTER | NY | 14580 | 161561691 | HEALTHCARE | NY | 501(C)(3) | LINE 10 | UR MEDICINE HOME CARE INC | 0 | |
| UR MEDICINE HOME CARE CERTIFIED SERVICES INC | |||||||||||
| 2180 EMPIRE BOULEVARD | WEBSTER | NY | 14580 | 160743215 | HEALTHCARE | NY | 501(C)(3) | LINE 10 | UR MEDICINE HOME CARE INC | 0 | |
| UR MEDICINE HOME CARE INC | |||||||||||
| 2180 EMPIRE BOULEVARD | WEBSTER | NY | 14580 | 222577664 | FUNDRAISING | NY | 501(C)(3) | LINE 7 | UNIVERSITY OF ROCHESTER | 0 | |
| UR MEDICINE HOME CARE FOUNDATION INC | |||||||||||
| 2180 EMPIRE BOULEVARD | WEBSTER | NY | 14580 | 831912967 | SUPPORT ORG | NY | 501(C)(3) | LINE 12A, I | UR MEDICINE HOME CARE INC | 0 | |
| NEXTCORPS INC | |||||||||||
| 260 EAST MAIN STREET SUITE 6000 | ROCHESTER | NY | 14604 | 161195028 | BUSINESS INCUB | NY | 501(C)(3) | LINE 7 | UNIVERSITY OF ROCHESTER | 0 | |
| UR REAL ESTATE CORPORATION | |||||||||||
| 263 WALLIS HALL | ROCHESTER | NY | 14627 | 271140014 | SUPPORT ORG | NY | 501(C)(3) | LINE 12A, I | UNIVERSITY OF ROCHESTER | 0 | |
| MELIORA REAL ESTATE CORPORATION | |||||||||||
| 263 WALLIS HALL | ROCHESTER | NY | 14627 | 452464788 | SUPPORT ORG | NY | 501(C)(3) | LINE 12A, I | UNIVERSITY OF ROCHESTER | 0 | |
| EXCELL PARTNERS INC | |||||||||||
| 343 STATE STREET KODAK TOWER 2ND FL | ROCHESTER | NY | 14650 | 201862628 | ECONOMIC DEV | NY | 501(C)(4) | UNIVERSITY OF ROCHESTER | 0 | ||
| FF THOMPSON HEALTH SYSTEM INC | |||||||||||
| 350 PARRISH STREET | CANANDAIGUA | NY | 14424 | 222959987 | SUPPORT ORG | NY | 501(C)(3) | LINE 12A, I | UNIVERSITY OF ROCHESTER | 0 | |
| MM EWING CONTINUING CARE CENTER | |||||||||||
| 350 PARRISH STREET | CANANDAIGUA | NY | 14424 | 237046583 | HEALTHCARE | NY | 501(C)(3) | LINE 3 | FF THOMPSON HEALTH SYSTEM INC | 0 | |
| THE FREDERICK FERRIS THOMPSON HOSPITAL | |||||||||||
| 350 PARRISH STREET | CANANDAIGUA | NY | 14424 | 160743024 | HOSPITAL | NY | 501(C)(3) | LINE 3 | FF THOMPSON HEALTH SYSTEM INC | 0 | |
| THE FF THOMPSON FOUNDATION INC | |||||||||||
| 350 PARRISH STREET | CANANDAIGUA | NY | 14424 | 222959984 | FUNDRAISING | NY | 501(C)(3) | LINE 7 | FF THOMPSON HEALTH SYSTEM INC | 0 | |
| NICHOLAS H NOYES MEMORIAL HOSPITAL INC | |||||||||||
| 111 CLARA BARTON STREET | DANSVILLE | NY | 14427 | 160743979 | HOSPITAL | NY | 501(C)(3) | LINE 3 | LIVINGSTON HEALTH CARE SYSTEM INC | 0 | |
| ST JAMES HOSPITAL FOUNDATION INC | |||||||||||
| 7329 SENECA ROAD NORTH | HORNELL | NY | 14843 | 161486437 | FUNDRAISING | NY | 501(C)(3) | LINE 7 | ST JAMES HOSPITAL | Yes (1) | |
| THE HIGHLANDS LIVING CENTER INC | |||||||||||
| 500 HAHNEMANN TRAIL | PITTSFORD | NY | 14534 | 223240227 | HEALTHCARE | NY | 501(C)(3) | LINE 10 | STRONG PARTNERS HEALTH SYSTEM INC | 0 | |
| THE MEADOWS AT WESTFALL INC | |||||||||||
| 5901 LAC DE VILLE BLVD | ROCHESTER | NY | 14618 | 161502303 | HEALTHCARE | NY | 501(C)(3) | LINE 10 | STRONG PARTNERS HEALTH SYSTEM INC | 0 | |
| STRONG PARTNERS HEALTH SYSTEM INC | |||||||||||
| 601 ELMWOOD AVENUE BOX 706 | ROCHESTER | NY | 14642 | 161499099 | SUPPORT ORG | NY | 501(C)(3) | LINE 12A, I | UNIVERSITY OF ROCHESTER | 0 | |
| FINGER LAKES HOME CARE INC | |||||||||||
| 756 PRE-EMPTION ROAD | GENEVA | NY | 14456 | 161489133 | HEALTHCARE | NY | 501(C)(3) | LINE 10 | UR MEDICINE HOME CARE CERTIFIED SERVICES INC | 0 | |
| UNIVERSITY OF ROCHESTER | |||||||||||
| 910 GENESEE STREET STE 200 | ROCHESTER | NY | 14611 | 160743209 | SCHOOL | NY | 501(C)(3) | LINE 2 | 0 | N/A | |
| FINGER LAKES REGIONAL HEALTH SYSTEM INC | |||||||||||
| 196 NORTH STREET | GENEVA | NY | 14456 | 223193606 | HEALTHCARE | NY | 501(C)(3) | LINE 7 | UNIVERSITY OF ROCHESTER | 0 | |
| GENEVA GENERAL HOSPITAL | |||||||||||
| 196 NORTH STREET | GENEVA | NY | 14456 | 160743032 | HEALTHCARE | NY | 501(C)(3) | LINE 3 | FLH | 0 | |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES COUNTY | |||||||||||
| 418 N MAIN STREET | PENN YAN | NY | 14527 | 160743192 | HEALTHCARE | NY | 501(C)(3) | LINE 3 | FLH | 0 | |
| GENEVA NURSING HOME INC | |||||||||||
| 45 MASON STREET | GENEVA | NY | 14456 | 160957268 | HEALTHCARE | NY | 501(C)(3) | LINE 10 | FLH | 0 | |
| GENEVA NURSING HOME II INC | |||||||||||
| 75 MASON STREET | GENEVA | NY | 14456 | 161449543 | HEALTHCARE | NY | 501(C)(3) | LINE 10 | FLH | 0 | |
| HUNTINGTON NURSING HOME INC | |||||||||||
| 369 EAST MAIN STREET | WATERLOO | NY | 13165 | 510169552 | HEALTHCARE | NY | 501(C)(3) | LINE 10 | FLH | 0 | |
| FINGER LAKES HEALTH FOUNDATION INC | |||||||||||
| 196 NORTH STREET | GENEVA | NY | 14456 | 150549310 | FUNDRAISING | NY | 501(C)(3) | LINE 12C, III-FI | FLH | 0 | |
| GENEVA GENERAL HOUSING DEVELOPMENT FUND COMPANY INC | |||||||||||
| 260 NORTH STREET | GENEVA | NY | 14456 | 222816883 | HOUSING | NY | 501(C)(3) | LINE 10 | FLH | 0 | |
| TAYLOR BROWN HOUSING DEVELOPMENT FUND COMPANY INC | |||||||||||
| 371 EAST MAIN STREET | WATERLOO | NY | 13165 | 222807734 | HOUSING | NY | 501(C)(3) | LINE 10 | FLH | 0 | |
| FLH MEDICAL PC | |||||||||||
| 200 NORTH STREET SUITE 102 | GENEVA | NY | 14456 | 263765332 | MEDICAL PRACTICE | NY | 501(C)(3) | LINE 10 | FLH | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| EXCELL INNOVATIVE NY FUND LP | |||||||||
| 343 STATE STREET KODAK TOWER 2ND FL | ROCHESTER | NY | 14650 | 462405519 | INVESTMENT FUND | NY | ETV INC | 0 | 0 |
| EXCELL MINORITY AND WOMEN OWNED BUSINESS INVESTMENT FUND LP | |||||||||
| 343 STATE STREET KODAK TOWER 2ND FL | ROCHESTER | NY | 14650 | 810723223 | INVESTMENT FUND | NY | ETV INC | 0 | 0 |
| EXCELL PARTNERS INNOVATE TC FUND LP | |||||||||
| 343 STATE STREET KODAK TOWER 2ND FL | ROCHESTER | NY | 14650 | 810711015 | INVESTMENT FUND | NY | ETV INC | 0 | 0 |
| FINGER LAKES VENTURE FUND LP | |||||||||
| 343 STATE STREET KODAK TOWER 2ND FL | ROCHESTER | NY | 14650 | 833941257 | INVESTMENT FUND | NY | ETV INC | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| MEDICAL ADMINISTRATIVE ASSOCIATES INC | |||||||||
| 777 SOUTH CLINTON AVENUE | ROCHESTER | NY | 14620 | 161354319 | RETAIL PHARMACY | NY | HIGHLD HOSP | C | 0 |
| UR EQUITY HOLDINGS INC | |||||||||
| 110 OFFICE PARK WAY | PITTSFORD | NY | 14534 | 273040889 | HOLDING COMPANY | DE | UNIV OF ROCH | C | 0 |
| FFTH PROPERTIES AND SERVICES INC | |||||||||
| 350 PARRISH STREET | CANANDAIGUA | NY | 14424 | 161286518 | HOLDING COMPANY | NY | THS | C | 0 |
| EXCELL TECHNOLOGY VENTURES INC | |||||||||
| 343 STATE STREET KODAK TOWER 2ND FL | ROCHESTER | NY | 14650 | 800909149 | BIOTECH INCUBATOR | NY | ROCH BIOVENTURE | C | 0 |
| ACCOUNTABLE HEALTH PARTNERS LLC | |||||||||
| 135 CORPORATE WOODS STE 320 | ROCHESTER | NY | 14623 | 300787967 | ACCT CARE NETWORK | NY | UNIV OF ROCH | C | 0 |
| LUMINATE VENTURE CHALLENGE CORP | |||||||||
| 260 EAST MAIN STREET SUITE 6000 | ROCHESTER | NY | 14604 | 823954131 | BUSINESS INCUB | NY | NEXTCORPS INC | C | 0 |
| ACCOUNTABLE HEALTH PARTNERS IPA LLC | |||||||||
| 135 CORPORATE WOODS STE 320 | ROCHESTER | NY | 14623 | 371746016 | INDEP PRACTICE ASSOC | NY | AHP LLC | C | 0 |
| AHP INSURANCE COMPANY | |||||||||
| 76 ST PAUL STREET SUITE 500 | BURLINGTON | VT | 05401 | 814644839 | CAPTIVE INSURANCE COMPANY | VT | AHP LLC | C | 0 |
| HORNELL MEDICAL VILLAGE LLC | |||||||||
| 7100 ROUTE 70A | HORNELL | NY | 14843 | 611886763 | HOLD REAL ESTATE | NY | ST JAMES HOSPITAL | C | Yes (1) |
| ROCHESTER BIOVENTURE CENTER INC | |||||||||
| 601 ELMWOOD AVENUE BOX 706 | ROCHESTER | NY | 14642 | 202485999 | BIOTECH INCUBATOR | NY | UNIV OF ROCH | C | 0 |
| SOLDIER VENTURES INC | |||||||||
| 418 N MAIN STREET | PENN YAN | NY | 14527 | 161556419 | MEDICAL SUPPLY COMPANY | NY | SOLDIERS HOSPITAL | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HORNELL MEDICAL VILLAGE LLC | ||
| K | $678,675 | RENTAL OF BUILDING AND EQUIPMENT |
| ST JAMES HOSPITAL FOUNDATION | ||
| C | $58,629 | FAIR VALUE OF FUNDS GIVEN |