2012-11-15T14:43:34-06:00 2011-12-31 ERNST & YOUNG US LLP 75 BEATTIE PLACE SUITE 800 GREENVILLE SC 29601 990 2011-01-01 223210351 Rochester General Hudson Housing Inc % MATT MINISCE ROCH 5852662500 2066 Hudson Avenue Rochester NY 14617 PAULA M TINCH 2012-11-14 8642425740 2011 2016-02-24 21:20:13Z Mark Clement 100 Kings Highway South Rochester NY 14617 308400 false X www.rochestergeneral.org X 1995 NY To develop a housing project and provide necessary services for low income, elderly and handicapped persons. 10 8 2 6 0 0 0 0 299935 296221 200 230 10881 11949 311016 308400 0 0 0 0 107857 132591 0 0 0 282403 255197 390260 387788 -79244 -79388 2035517 1959280 3448519 3451670 -1413002 -1492390 X TO DEVELOP AND PROVIDE A HOUSING PROJECT TO BE LOCATED AT 2018 - 2094 HUDSON AVENUE IN THE CITY OF ROCHESTER, COUNTY OF MONROE AND THE STATE OF NEW YORK, INCLUDING NECESSARY SERVICES IN CONNECTION THEREWITH FOR ELDERLY AND/OR HANDICAPPED PERSONS AND TO ENGAGE IN THE CREATION, CONSTRUCTION, REHABILITATION AND/OR IMPROVEMENT OF HOUSING FOR PERSONS OF LOW INCOME OR DEVELOPMENTALLY AND/OR PHYSICALLY DISABLED PERSONS AND ACT TO ADDRESS THE SHORTAGE OF DECENT AFFORDABLE HOUSING FOR PERSONS OF LOW INCOME OR DEVELOPMENTALLY AND/OR PHYSICALLY DISABLED PERSONS. false false 256952 0 296221 THE ORGANIZATION OPERATES A 55 UNIT LOW INCOME, SENIOR CITIZEN APARTMENT COMPLEX IN ACCORDANCE WITH SECTION 202 OF THE HOUSING ACT OF 1959. 256952 true false false false false false false false false false true false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false false true 3 0 true 2 true false false false false false false false false false false X 10 8 false false false false true true true true true false false true true true true true true false false false NY X MATT MINISCE 5859221032 2066 HUDSON AVENUE ROCHESTER NY 14617 X DANIEL MEYERS 1.0 X 0 0 0 JOHN L GENIER MD 1.0 X 0 17751 0 JUAN F VILLANUEVA 1.0 X 0 0 0 JEANNE GROVE 1.0 X X 0 0 0 ELAINE SPAULL 1.0 X 0 0 0 GARY WAHL MD 1.0 X 0 303725 70941 Mark Clement 1.0 X X 0 1331486 789546 LINDA BECKER 1.0 X X 0 0 0 Thomas Penn MD 1.0 X 0 0 0 Robert Dobies 1.0 X 0 0 0 Margaret Sanchez 1.0 X 0 0 0 Robert S Sands 1.0 X 0 0 0 Robert Mayo MD 1.0 X 0 353579 59979 John Riedman 1.0 X 0 0 0 Robert Nesselbush 1.0 X 0 646375 255571 0 2652916 1176037 0 false true false NONE 0 0 RENTAL INCOME 532000 292268 292268 OTHER FEES 900099 3953 3953 296221 230 230 0 0 0 0 0 0 LAUNDRY INCOME 812300 11949 11949 11949 308400 296221 12179 0 0 0 0 0 0 107025 80269 26756 5639 4229 1410 12544 9408 3136 7383 5537 1846 38685 38685 0 6500 6500 0 0 0 40789 30592 10197 443 332 111 6316 4737 1579 1483 1112 371 0 38073 28555 9518 55 41 14 0 0 0 0 105115 78836 26279 9408 7056 2352 PROPERTY TAXES 5195 3896 1299 DUES & SUBSCRIPTIONS 767 575 192 MISCELLANEOUS 2368 1777 591 387788 256952 130836 0 31874 35766 205286 220413 0 0 0 0 0 0 0 0 0 0 0 0 425 98 3427529 1724526 1797932 1703003 0 0 0 0 0 0 0 0 0 0 2035517 1959280 61376 64011 0 0 0 0 0 0 0 0 0 0 3358000 3358000 0 0 29143 29659 3448519 3451670 X -1413002 -1492390 0 0 0 0 -1413002 -1492390 2035517 1959280 -79388 X false true true X true true X 272154 272798 291625 299935 296221 1432733 272154 272798 291625 299935 296221 1432733 0 0 0 0 0 0 0 0 0 1432733 6602 3773 248 200 230 11053 6602 3773 248 200 230 11053 10012 10476 11270 10881 11949 54588 288768 287047 303143 311016 308400 1498374 0.95619 0.96206 0.00738 0.00888 X 278483 278483 2155173 1180247 974926 89932 49250 40682 903941 495029 408912 1703003 0 DUE TO AFFLIATES 29659 29659 false true false false false false false GARY WAHL MD 0 173599 0 116584 0 13542 0 62273 0 8668 0 374666 0 0 Mark Clement 0 679982 0 599404 0 52100 0 784797 0 4749 0 2121032 0 278104 Robert Mayo MD 0 295141 0 42000 0 16438 0 55244 0 4735 0 413558 0 0 Robert Nesselbush 0 358758 0 248255 0 39362 0 248120 0 7451 0 901946 0 74255 SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B RGHS MAINTAINS A SECTION 457(F) PLAN WHICH WOULD BE CONSIDERED A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. DURING 2011, NO DISTRIBUTIONS WERE PAID OUT. HOWEVER, THE FOLLOWING OFFICERS AND DIRECTORS LISTED ON FORM 990, PART VII, SECTION A WOULD BE ELIGIBLE PARTICIPANTS IN THE PLAN SINCE THEY WOULD BE ENTITLED TO A DISTRIBUTION UPON SEPARATION FROM SERVICE: Robert Nesselbush PROCESSES USED TO ESTABLISH THE COMPENSATION OF THE CEO SCHEDULE J, PART I, LINE 3 THE FILING ORGANIZATION'S RELATED NON-PROFIT ORGANIZATION, ROCHESTER GENERAL HOSPITAL, UTILIZED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE CEO: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. Organization's Members Form 990, Part VI, Line 6 The Organization is a membership (NOT a stock) corporation under New York State law. The Organization's sole corporate member is Rochester General Health System (RGHS), a related not-for-profit organization. Members who may elect Members of the Governing Body Form 990, Part VI, Line 7a In accordance with the terms and requirements of its governing documents (i.e. bylaws), the organization's Directors are divided into three classes, and the classes serve for staggered three-year terms. At each annual meeting, Directors in a class are elected by a majority vote of the Directors then in office. Directors are elected from among nominees chosen by the Governance and Nominating Committee of the filing organization's sole corporate member, Rochester General Health System. Decisions by Governing Body Subject to Approval Form 990, Part VI, Line 7b RGHS, as the sole corporate member, also has the right to approve or ratify significant decisions of the Organization's governing body including the amendment of bylaws and charters, removal of members of the governing body, and the decision to dissolve the organization. REVIEW PROCESS FOR THE FORM 990 Form 990, Part VI, line 11b Prior to filing, a copy of THE FORM 990 IS provided to all board members of the organization for their review. In addition, prior to filing, THE FORM 990 IS REVIEWED BY THE following members of the governing body of ROCHESTER GENERAL HEALTH SYSTEMS, A RELATED NOT FOR PROFIT ORGANIZATION AND THE sole corporate member OF THE FILING ORGANIZATION: 1) the CHAIRMAN OF THE BOARD OF DIRECTORS and 2) the governance and nominating committee This review is performed IN CONSULTATION WITH THE ORGANIZATION'S TAX ADVISORS, ERNST & YOUNG, LLP, and iS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS AND OTHER RELEVANT INFORMATION FOR THE APPROPRIATE TIME PERIOD. CONFLICT OF INTEREST POLICY Form 990, Part VI, Line 12c Upon employment, all employees receive the Ethical Standard of Conduct booklet for which they sign a receipt of acknowledgement. Conflict of Interest is defined, as is management of a Conflict of Interest. Employees are required to disclose and seek resolution to any actual or potential conflict of interest before taking a potentially improper action and thereafter, annually, each key employee and officer of the organization is required to complete a conflict of interest and disclosure form, providing management with sufficient information about his/her personal interests and relationships so that management can (1) determine whether any actual or perceived conflict of interest exists, and (2) monitor work assignments to avoid placing the key employee or officer in a position where there may be a question as to his/her objectivity as well as to avoid any appearance of impropriety. Throughout the year, key employees and officers of the organization are also required to notify management promptly if any change to their disclosures occurs. In addition, each member of the Board of Directors must also complete a conflict of interest and disclosure form, which must be submitted to the General Counsel. Board members leave the room during discussions and abstain from voting when they have a conflict of interest. In addition to the Board of Directors, the organization's managers and directors who oversee its operations complete a conflict of interest form annually as well. ACCESS TO ORGANIZATIONAL DOCUMENTS Form 990, Part VI, line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UNPON REQUEST AT THE ADMINISTRATIVE OFFICES OF THE AFFILIATED HEALTH SYSTEM AT 100 KINGS HIGHWAY SOUTH, ROCHESTER, NY 14617 AND ADMINISTRATIVE OFFICES OF THE FILING ORGANIZATION. A NOMINAL FEE IS CHARGED IF COPIES ARE REQUESTED. AVERAGE HOURS DEVOTED TO RELATED ORGANIZATIONS Form 990, Part VII, Section A, Column B LINDA BECKER: 1 hr/wk Rochester General Hospital 1 hr/wk Rochester Mental Health Center 1 hr/wk Rochester General Long Term Care 1 hr/wk Rochester General Health System 1 hr/wk Independent Living for Seniors MARK CLEMENT: 40 hrs/wk Rochester General Hospital 5 hrs/wk Newark-Wayne Community Hospital 2 hrs/wk Rochester General Long Term Care 1 hr/wk Rochester Mental Health Center 2 hrs/wk Independent Living for Seniors 1 hr/wk GRHS Foundation 1 hr/wk Rochester General Health System 1 hr/wk Rochester General Hospital Foundation 1 hr/wk Newark-Wayne Community Hospital Foundation JOHN GENIER: 1.25 hrs/wk Rochester General Hospital 1 hr/wk Rochester Mental Health Center 1 hr/wk Rochester General Long Term Care 1 hr/wk Independent Living for Seniors JEANNE GROVE: 1 hr/wk Rochester General Hospital 1 hr/wk Rochester Mental Health Center 1 hr/wk Rochester General Long Term Care 1 hr/wk Independent Living for Seniors 1 HR/WK Rochester General Hospital Foundation DANIEL MEYERS: 1 hr/wk Rochester General Hospital 1 hr/wk Rochester Mental Health Center 1 hr/wk Rochester General Long Term Care 1 hr/wk Independent Living for Seniors 1 hr/wk Newark Wayne Community Hospital 1 hr/wk Rochester General Health System ROBERT DOBIES: 1 hr/wk Rochester General Hospital 1 hr/wk Rochester Mental Health Center 1 hr/wk Rochester General Long Term Care 1 hr/wk Rochester General Health System 1 hr/wk Independent Living for Seniors ELAINE SPAULL: 1 hr/wk Rochester General Hospital 1 hr/wk Rochester Mental Health Center 1 hr/wk Rochester General Long Term Care 1 hr/wk Independent Living for Seniors JUAN VILLANUEVA: 1 hr/wk Rochester General Hospital 1 hr/wk Rochester Mental Health Center 1 hr/wk Rochester General Long Term Care 1 hr/wk Independent Living for Seniors GARY WAHL: 35 hrs/wk Rochester General Hospital 1 hr/wk Rochester Mental Health Center 1 hr/wk Rochester General Long Term Care 1 hr/wk Rochester General Health System 1 hr/wk Independent Living for Seniors ROBERT NESSELBUSH: 39 hrs/wk Rochester General Hospital 5 hrs/wk Newark-Wayne Community Hospital 1 hr/wk Rochester Mental Health Center 1 hr/wk GRHS Foundation 1 hr/wk Workers' Comp Trust 2 HRS/WK Independent Living for Seniors 2 hrs/wk Rochester General Long Term Care 1 hr/wk Newark-Wayne Community Hospital Foundation 1 hr/wk Rochester General Health System 1 hr/wk Rochester General Hospital Foundation MARGARET SANCHEZ: 1 hr/wk Rochester General Hospital 1 hr/wk Rochester Mental Health Center 1 hr/wk Rochester General Long Term Care 1 hr/wk Independent Living for Seniors THOMAS PENN: 1 hr/wk Rochester General Hospital 1 hr/wk Rochester Mental Health Center 1 hr/wk Rochester General Long Term Care 1 hr/wk Independent Living for Seniors JOHN RIEDMAN: 1 hr/wk Rochester General Hospital 1 hr/wk Rochester Mental Health Center 1 hr/wk Rochester General Long Term Care 1 hr/wk Independent Living for Seniors ROBERT SANDS: 1 hr/wk Rochester General Hospital 1 hr/wk Rochester Mental Health Center 1 hr/wk Rochester General Long Term Care 1 hr/wk Rochester General Health System 1 hr/wk Independent Living for Seniors ROBERT MAYO: 36 hrs/wk Rochester General Hospital 1 hr/wk Rochester Mental Health Center 1 hr/wk Independent Living for Seniors 1 hr/wk Rochester General Long Term Care FORM 5471 FILED ON BEHALF OF STATEMENT STATEMENT PURSUANT TO TREAS. REG. SEC. 1.6038-2(j)(3) The following information is submitted with respect to Rochester General Hudson Housing Inc.'s Form 5471 (Information Return of U.S. Persons With Respect to Certain Foreign Corporations) filing requirement for the entity below: Name of Foreign Corporation: Greater Rochester Assurance Company, Ltd. Beginning Tax Year of Foreign Corporation: January 1, 2011 Ending Tax Year of Foreign Corporation: December 31, 2011 The Form 5471 filing requirement for this foreign corporation for Categories 4 and 5 have been satisfied by inclusion in the following U.S. Filer's tax return: Name of U.S. Filer: Rochester General Health Systems Address of U.S. Filer: 100 Kings Highway South Rochester, NY 14617 EIN or SSN: 22-2551509 Ending Tax Year of U.S. Filer: December 31, 2011 Type of Return Filed: 990-T IRS Service Center Where Return Filed: Ogden, Utah 84201-0027 ROCHESTER GENERAL HEALTH SYSTEM 100 KINGS HIGHWAY SOUTH Rochester NY 14617 222551509 System Parent NY 501(c)(3) 11, Type II NA false THE ROCHESTER GENERAL HOSPITAL 1425 PORTLAND AVENUE ROCHESTER NY 14621 160743134 HOSPITAL NY 501(c)(3) 3 RGHS false Newark-Wayne Community Hospital 1200 DRIVING PARK AVENUE NEWARK NY 14513 150584188 HOSPITAL NY 501(c)(3) 3 RGHS false CONTINUING CARE NETWORK INC (CCN) 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 222963016 Support RGH NY 501(c)(3) 11, Type II RGHS false INDEPENDENT LIVING FOR SENIORS 2066 HUDSON AVENUE ROCHESTER NY 14617 161491059 ADULT Care NY 501(c)(3) 9 RGHS false ROCHESTER GENERAL LONG TERM CARE 1550 EMPIRE BLVD WEBSTER NY 14580 223187140 NH & REHAB NY 501(c)(3) 9 RGHS false ROCHESTER MENTAL HEALTH CENTER 490 EAST RIDGE ROAD ROCHESTER NY 14621 166069131 Mental Health NY 501(c)(3) 9 RGHS false GRHS FOUNDATION 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 223378111 R/E Inv Mgmt NY 501(c)(3) 11, Type II RGHS false RGHS WORKERS' COMPENSATION TRUST 1425 PORTLAND AVENUE ROCHESTER NY 14621 166429300 See Part VII NY 501(c)(3) 11, Type II RGHS false THE ROCHESTER GENERAL HOSPITAL FDN 1445 PORTLAND AVENUE ROCHESTER NY 14621 222229425 Fundraising NY 501(c)(3) 11, Type II RGHS false Western NY Medical Practice PC 1425 Portland Avenue Rochester NY 14621 611654232 Phys Prac NY 501(c)(3) 9 RGHS false Greater Rochester Assurance Company Ltd Georgetown Grand Cayman CJ 000000000 insurance CJ NA C Corp 0 0 0.00000 false false false false true false false false false false false false false false false false false false RELATED TAX EXEMPT ORGANIZATION - PRIMARY ACTIVITY SCHEDULE R, PART II, COLUMN B RGHS Workers' Compensation Trust supports Rochester General Hospital, Newark-Wayne Community Hospital, Independent Living for Seniors, Rochester General Long Term Care, and Rochester General Health Systems.