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ROCHESTER MENTAL HEALTH CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ROCHESTER MENTAL HEALTH CENTER (EIN 16-6069131)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201223209349306217
Schema version
2011v1.3
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-15T14:15:23-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line175 BEATTIE PLACE SUITE 800AddressLine1
CityGREENVILLECity
StateSCState
ZIP Code29601ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN166069131EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Behavioral Health Network IncBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% TAMMY CLAFLINInCareOfName
Name ControlBEHANameControl
Phone5859222500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1490 East Ridge RoadAddressLine1
CityRochesterCity
StateNYState
ZIP Code14621ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePAULA M TINCHName
TitleVP FINANCE & INTERIM CFOTitle
Date Signed2012-11-14DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone8642425740Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1Rochester Mental Health CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer Personmark clementNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1100 KINGS HIGHWAY SOUTHAddressLine1
CityrochesterCity
StateNYState
ZIP Code14617ZIPCode
FieldValueIRS element (for citing)
Gross Receipts6904023GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.rochestergeneral.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTo maintain a center for the outpatient treatment of persons with mental health & behavior problems including operating substance abuse programs and to conduct studies of mental health & behavior problems.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees135TotalNbrEmployees
Total Nbr Volunteers8TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1295832ContributionsGrantsPriorYear
Contributions Grants Current Year1358078ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6589523ProgramServiceRevenuePriorYear
Program Service Revenue CY5513385ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year500InvestmentIncomeCurrentYear
Other Revenue Prior Year220980OtherRevenuePriorYear
Other Revenue Current Year25827OtherRevenueCurrentYear
Total Revenue Prior Year8106335TotalRevenuePriorYear
Total Revenue Current Year6897790TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5662386SalariesEtcPriorYear
Salaries Etc Current Year6009747SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2621678OtherExpensePriorYear
Other Expenses Current Year2959336OtherExpensesCurrentYear
Total Expenses Prior Year8284064TotalExpensesPriorYear
Total Expenses Current Year8969083TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-177729RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2071293RevenuesLessExpensesCY
Total Assets BOY6382057TotalAssetsBOY
Total Assets EOY3771958TotalAssetsEOY
Total Liabilities BOY6432614TotalLiabilitiesBOY
Total Liabilities EOY5893808TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-50557NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-2121850NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO MAINTAIN A CENTER FOR THE OUTPATIENT TREATMENT OF PERSONS WITH MENTAL HEALTH AND BEHAVIOR PROBLEMS AND TO ESTABLISH AND CONDUCT IN THE CENTER AN OUTPATIENT CHILD GUIDANCE CLINIC INCLUDING DAY TREATMENT PROGRAMS AND SERVICES FOR THE STUDY AND TREATMENT OF CHILDREN AND YOUTHS IN ORDER TO ASSIST SUCH PERSONS TO MAKE A MORE SATISFACTORY ADJUSTMENT TO LIFE; AN OUTPATIENT CLINIC FOR THE EXAMINATION AND TREATMENT OF ALCOHOLICS AND THEREIN TO CONDUCT RESEARCH AND INVESTIGATION INTO THE CAUSES AND TREATMENT OF ALCOHOLICS; AN OUTPATIENT PSYCHIATRIC CLINIC FOR THE STUDY AND TREATMENT OF ADULTS SUFFERING FROM MENTAL ILLNESS, MENTAL DEFECTS, OR EMOTIONAL DISORDERS; - TO CONDUCT STUDIES AND RESEARCH OF MENTAL HEALTH AND BEHAVIOR PROBLEMS AND EMOTIONAL DISTURBANCES; - TO PROVIDE CONSULTATIVE SERVICES AND ADVICE TO OTHER SOCIAL AGENCIES AND THEIR WORKERS, AND FAMILY MEMBERS AND FRIENDS OF PERSONS NEEDING CARE AND TREATMENT FOR MENTAL HEALTH PROBLEMS; - TO CONDUCT PSYCHOLOGICAL TESTING OF CHILDREN AMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense7981716Expense
Grants0Grants
Revenue5539212Revenue
Descriptionthe organization PROVIDES A VARIETY OF MENTAL HEALTH SERVICEs to the monroe county area INCLUDING AN ADULT CLINIc, EMERGENCY HEALTH EVALUATIONS and TREATMENT FOR CHILDREN WITH SIGNIFICAnt EMOTIONAL PROBLEMS AND THEIR FAMILIES as well as CRISIS INTERVENTION AND REFERRALS. The filing organization has nine locations across the community, including two of the area's best mental health centers, Genesee Mental Health Center and Rochester Mental Health Center, and over 40 years of experience and tradition. RMHC has comprehensive services and dedicated mental health and substance abuse professionals working to help patients achieve their full potential to live and work as productive members of the community. The organization offers: 1) A comprehensive system of clinical mental health services; 2) Readily-accessible, culturally-sensitive services uniquely matched to the individual needs of each patient and their family; 3) Convenient access to mental health outpatient services with locations throughout the greater Rochester area; and 4) An unwavering commitment to serve those in the community who have emotional needs.Description
Total Program Service Expense7981716TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
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Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109635NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees135NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTAMMY CLAFLINNamePerson
Telephone Number5859221745TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 KINGS HIGHWAY SOUTHAddressLine1
CityRochesterCity
StateNYState
ZIP Code14617ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
LINDA BECKER
CHAIR1.0XX000
MARK CLEMENT
Director/Pres & CEO1.0XX133151318171789546
JOHN L GENIER
DIRECTOR (until June 2011)1.0X0177510
JEANNE GROVE
SECRETARY/TREASURER1.0XX000
DANIEL M MeYERS
DIRECTOR1.0X000
ELAINE SPAULL
DIRECTOR (until June 2011)1.0X000
JUAN VILLAnueva
DIRECTOR (until June 2011)1.0X000
GARY WAHL MD
DIRECTOR (until June 2011)1.0X030372570941
Thomas Penn MD
Director1.0X000
Margaret Sanchez
Director1.0X000
Robert Mayo MD
Director1.0X035357959979
Robert S Sands
Director1.0X000
John Riedman
Director1.0X000
Robert Dobies
Director1.0X000
ROBERT NESSELBUSH
SVP & CFO1.0X6465639910255571
William Brien
Dir. Non Clinical Operations40.0X118842017602
HUGH THOMAS
SVP & CORP COUNSEL1.05320526706207940X
JAMES MEAD
PHYSICIAN40.0255871062721X
VISHNU CHALLAPALLI
PHYSICIAN40.0199167086345X
ROOPA CHALLAPALLI
PROGRAM MEDICAL DIRECTOR40.0172905052695X
KASHINATH PATIL
PHYSICIAN40.01610050136139X
MARY MARROCCO
PHYSICIAN40.0171522039136X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1104412TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3159842TotalReportableCompFrmRltdOrgs
Total Other Compensation1778615TotalOtherCompensation
Number Individuals GT100 K8NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions1358078AllOtherContributions
Total Contributions1358078TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT SERVICE REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column5513385TotalRevenueColumn
Related Or Exempt Function Income5513385RelatedOrExemptFunctionIncome
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Total Program Service Revenue5513385TotalProgramServiceRevenue

Investment Income InvestmentIncome

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Total Revenue Column0TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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Royalties Revenue RoyaltiesRevenue

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Gross Amount Sales Assets GrossAmountSalesAssets

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Other6733Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

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Other6233Other

Gain Or Loss GainOrLoss

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Net Gain Or Loss Investments NetGainOrLossInvestments

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Total Revenue Column500TotalRevenueColumn
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Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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Net Income From Gaming NetIncomeFromGaming

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Net Income Or Loss NetIncomeOrLoss

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Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

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DescriptionMISCELLANEOUS OPERATING REVENUEDescription
Business Code900099BusinessCode
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Related Or Exempt Function Income25827RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue25827TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6897790TotalRevenueColumn
Related Or Exempt Function Income5539212RelatedOrExemptFunctionIncome
Exclusion$500ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

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Total0Total

Foreign Grants ForeignGrants

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Total0Total

Benefits To Members BenefitsToMembers

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Comp Current Officers Directors CompCurrentOfficersDirectors

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Total174074Total
Program Services152132ProgramServices
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Comp Disqual Persons CompDisqualPersons

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Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
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Program Services4041323ProgramServices
Management And General502639ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

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Other Employee Benefits OtherEmployeeBenefits

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Program Services429630ProgramServices
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Payroll Taxes PayrollTaxes

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Fees For Services Management FeesForServicesManagement

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Total0Total

Fees For Services Legal FeesForServicesLegal

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Total7700Total
Management And General7700ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

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Total32174Total
Management And General32174ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

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Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

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Fees For Services Other FeesForServicesOther

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Program Services1247019ProgramServices
Management And General123408ManagementAndGeneral

Advertising Advertising

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Total17546Total
Program Services15600ProgramServices
Management And General1946ManagementAndGeneral

Office Expenses OfficeExpenses

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Program Services54490ProgramServices
Management And General6798ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total32147Total
Program Services28581ProgramServices
Management And General3566ManagementAndGeneral

Royalties Royalties

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Total0Total

Occupancy Occupancy

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Total561080Total
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Management And General62237ManagementAndGeneral

Travel Travel

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Total109340Total
Program Services97212ProgramServices
Management And General12128ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

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Total0Total

Conferences Meetings ConferencesMeetings

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Total0Total

Interest Interest

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Total0Total

Payments To Affiliates PaymentsToAffiliates

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Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total207232Total
Program Services184245ProgramServices
Management And General22987ManagementAndGeneral

Insurance Insurance

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Total163661Total
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Management And General18154ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

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BAD DEBT129493129493
MISCELLANEOUS EXPENSES26724823760229646

Total Functional Expenses TotalFunctionalExpenses

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Total8969083Total
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Management And General987367ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

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EOY1333230EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

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EOY0EOY

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Accounts Receivable AccountsReceivable

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EOY618371EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

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EOY0EOY

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EOY0EOY

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EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

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BOY3582BOY
EOY3245EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

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BOY82869BOY
EOY88252EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3483161LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2531281LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY955162BOY
EOY951880EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

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EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

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EOY0EOY

Investments Program Related InvestmentsProgramRelated

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BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

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BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY677200BOY
EOY776980EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6382057BOY
EOY3771958EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

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BOY1228221BOY
EOY1360413EOY

Grants Payable GrantsPayable

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EOY0EOY

Deferred Revenue DeferredRevenue

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EOY757006EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

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EOY0EOY

Escrow Account Liability EscrowAccountLiability

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BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

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EOY0EOY

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EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

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BOY4438982BOY
EOY3776389EOY

Total Liabilities TotalLiabilities

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BOY6432614BOY
EOY5893808EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

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BOY-50557BOY
EOY-2121850EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

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BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

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BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-50557BOY
EOY-2121850EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

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BOY6382057BOY
EOY3771958EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-2071293ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1573748CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1536401CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1595569CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1295832CurrentTaxYearMinus1Year
Current Tax Year1358078CurrentTaxYear
Total7359628Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7217228CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7005591CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6956830CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6589523CurrentTaxYearMinus1Year
Current Tax Year5513385CurrentTaxYear
Total33282557Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8790976CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8541992CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8552399CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7885355CurrentTaxYearMinus1Year
Current Tax Year6871463CurrentTaxYear
Total40642185Total
FieldValueIRS element (for citing)
Public Support Total50940642185PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years88856CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years54360CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3227CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total146443Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years88856CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years54360CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3227CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total146443Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years499014CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years585145CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years771153CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year220980CurrentTaxYearMinus1Year
Current Tax Year25827CurrentTaxYear
Total2102119Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9378846CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9181497CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9326779CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8106335CurrentTaxYearMinus1Year
Current Tax Year6897290CurrentTaxYear
Total42890747Total
FieldValueIRS element (for citing)
Public Support Percentage5090.94757PublicSupportPercentage509
Prior Year Support Percentage0.93992PriorYearSupportPercentage
Investment Income Percentage0.00341InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00360PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1356585OtherCostOrOtherBasis
Depreciation806548Depreciation
Book Value550037BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1806215OtherCostOrOtherBasis
Depreciation1452367Depreciation
Book Value353848BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis320361OtherCostOrOtherBasis
Depreciation272366Depreciation
Book Value47995BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings951880TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES308065
OTHER ASSETS468915
FieldValueIRS element (for citing)
Total Book Value Other Assets776980TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$566,385
DUE-NYS OFFICE MENTAL HEALTH$166,000
EST. THIRD-PARTY PAYABLES$3,044,004
FieldValueIRS element (for citing)
Total Of Amounts3776389TotalOfAmounts

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MARK CLEMENT
680067318259945934105215157978487769494747022121020998222781275323
GARY WAHL MD
0173599011658401354206227308668037466600
ROBERT NESSELBUSH
35883551702483245772394389682481245639757376902189292574373512
HUGH THOMAS
31153084201754173657451446292000198033797828739973256767566829
JAMES MEAD
2558710000060272024490318592000
VISHNU CHALLAPALLI
18409900015068081067052780285512000
ROOPA CHALLAPALLI
15879900014106051150015450225600000
KASHINATH PATIL
16100500000132742033970297144000
MARY MARROCCO
171522000003832208140210658000
Robert Mayo MD
029514104200001643805524404735041355800

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROCESSES USED TO DETERMINE THE COMPENSATION OF THE CEOSchedule J, Part I, line 3THE 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.
SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLANSCHEDULE J, PART I, LINE 4BRGHS MAINTAINS A SECTION 457(F) PLAN WHICH WOULD BE CONSIDERED A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. NO DISTRIBUTIONS WERE PAID OUT DURING 2011. 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: HUGH THOMAS ROBERT NESSELBUSH

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Organization's MembersForm 990, Part VI, Line 6The 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 BodyForm 990, Part VI, Line 7aIn accordance with the terms and requirements of its governing documents (i.e. bylaws), the organization's Directors are divided into three classes, and the classes serve for staggered three-year terms. At each annual meeting, Directors in a class are elected by a majority vote of the Directors then in office. Directors are elected from among nominees chosen by the Governance and Nominating Committee of the filing organization's sole corporate member, Rochester General Health System.
Decisions by Governing Body Subject to ApprovalForm 990, Part VI, Line 7bRGHS, 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 990Form 990, Part VI, line 11bPrior to filing, a copy of THE FORM 990 IS provided to all members of the governing board 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 POLICYForm 990, Part VI, Line 12cUPON EMPLOYMENT, ALL EMPLOYEES RECEIVE THE ETHICAL STANDARD OF CONDUCT BOOKLET FOR WHICH THEY SIGN A RECEIPT OF ACKNOWLEDGEMENT. CONFLICT OF INTEREST IS DEFINED, AS IS MANAGEMENT OF A CONFLICT OF INTEREST. EMPLOYEES ARE REQUIRED TO DISCLOSE AND SEEK RESOLUTION TO ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST BEFORE TAKING A POTENTIALLY IMPROPER ACTION AND THEREAFTER, ANNUALLY, EACH KEY EMPLOYEE AND OFFICER OF THE ORGANIZATION IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE FORM, PROVIDING MANAGEMENT WITH SUFFICIENT INFORMATION ABOUT HIS/HER PERSONAL INTERESTS AND RELATIONSHIPS SO THAT MANAGEMENT CAN (1) DETERMINE WHETHER ANY ACTUAL OR PERCEIVED CONFLICT OF INTEREST EXISTS, AND (2) MONITOR WORK ASSIGNMENTS TO AVOID PLACING THE KEY EMPLOYEE OR OFFICER IN A POSITION WHERE THERE MAY BE A QUESTION AS TO HIS/HER OBJECTIVITY AS WELL AS TO AVOID ANY APPEARANCE OF IMPROPRIETY. THROUGHOUT THE YEAR, KEY EMPLOYEES AND OFFICERS OF THE ORGANIZATION ARE ALSO REQUIRED TO NOTIFY MANAGEMENT PROMPTLY IF ANY CHANGE TO THEIR DISCLOSURES OCCURS. IN ADDITION, EACH MEMBER OF THE BOARD OF DIRECTORS MUST ALSO COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE FORM, WHICH MUST BE SUBMITTED TO THE GENERAL COUNSEL. BOARD MEMBERS LEAVE THE ROOM DURING DISCUSSIONS AND ABSTAIN FROM VOTING WHEN THEY HAVE A CONFLICT OF INTEREST. IN ADDITION TO THE BOARD OF DIRECTORS, THE ORGANIZATION'S MANAGERS AND DIRECTORS WHO OVERSEE ITS OPERATIONS COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY AS WELL.
COMPENSATION APPROVAL PROCESSForm 990, Part VI, Line 15aTHE ORGANIZATION'S OFFICER (DIRECTOR OF NON-CLINICAL OPERATIONS) COMPENSATION ARRANGEMENTS ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF ROCHESTER GENERAL HOSPITAL, A RELATED NOT-FOR-PROFIT ORGANIZATION. INFORMATION REVIEWED FOR THE OFFICER INCLUDES COMPARABLE DATA FROM SIMILAR SIZE TAX EXEMPT ORGANIZATIONS IN THE WESTERN NY COMMUNITY AS WELL AS COMPENSATION FOR THESE POSITIONS (AS DISCLOSED ON FORM 990) WITH OTHER ORGANIZATIONS IN THE HEALTH CARE INDUSTRY THAT ARE OF SIMILAR SIZE, DEMOGRAPHICS AND GEOGRAPHY. REVIEW AND APPROVAL OF THE COMPENSATION ARRANGEMENT BY THE COMPENSATION COMMITTEE IS DOCUMENTED.
ACCESS TO ORGANIZATIONAL DOCUMENTSForm 990, Part VI, line 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ADMINISTRATIVE OFFICES OF THE AFFLILIATED HEALTH SYSTEM AT 100 KINGS HIGHWAY SOUTH, ROCHESTER, NY 14617 AND THE ADMINISTRATIVE OFFICES OF THE FILING ORGANIZATION. A NOMINAL FEE IS CHARGED IF COPIES ARE REQUESTED.
AVERAGE HOURS DEVOTED TO RELATED ORGANIZATIONSForm 990, Part VII, Section A, Column BLINDA BECKER: 1 hr/wk Rochester General Hospital 1 hr/wk Independent Living for Seniors 1 hr/wk Rochester General Hudson Housing 1 hr/wk Rochester General Health System 1 hr/wk Rochester General Long Term Care MARK CLEMENT: 40 hrs/wk Rochester General Hospital 5 hrs/wk Newark-Wayne Community Hospital 1 hr/wk Rochester General Hudson Housing 2 hrs/wk Independent Living for Seniors 2 hrs/wk Rochester General Long Term Care 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 General Long Term Care 1 hr/wk Rochester General Hudson Housing 1 hr/wk Independent Living for Seniors JEANNE GROVE: 1 hr/wk Rochester General Hospital 1 hr/wk Rochester General Long Term Care 1 hr/wk Rochester General Hudson Housing 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 Independent Living for Seniors 1 hr/wk Rochester General Hudson Housing 1 hr/wk Rochester General Long Term Care 1 hr/wk Newark Wayne Community Hospital 1 hr/wk Rochester General Health System ELAINE SPAULL: 1 hr/wk Rochester General Hospital 1 hr/wk Rochester General Long Term Care 1 hr/wk Rochester General Hudson Housing 1 hr/wk Independent Living for Seniors JUAN VILLANUEVA: 1 hr/wk Rochester General Hospital 1 hr/wk Rochester General Long Term Care 1 hr/wk Rochester General Hudson Housing 1 hr/wk Independent Living for Seniors GARY WAHL: 35 hrs/wk Rochester General Hospital 1 hr/wk Rochester General Long Term Care 1 hr/wk Rochester General Hudson Housing 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 2 hrS/wk Independent Living for Seniors 1 hr/wk GRHS Foundation 1 hr/wk Workers' Comp Trust 2 HRS/WK Rochester General Long Term Care 1 hr/wk Rochester General Hudson Housing 1 hr/wk Newark-Wayne Community Hospital Foundation 1 hr/wk Rochester General Health System 1 hr/wk Rochester General Hospital Foundation HUGH THOMAS: 41 hrs/wk Rochester General Hospital 5 hrs/wk Newark-Wayne Community Hospital 2 hrS/wk Independent Living for Seniors 1 hr/wk GRHS Foundation 1 hr/wk Workers' Comp Trust 2 HRS/WK Rochester General Long Term Care 1 hr/wk Rochester General Health System 1 hr/wk Western NY Medical Practice, P.C. THOMAS PENN: 1 hr/wk Rochester General Hospital 1 hr/wk Rochester General Long Term Care 1 hr/wk Rochester General Hudson Housing 1 hr/wk Independent Living for Seniors MARGARET SANCHEZ: 1 hr/wk Rochester General Hospital 1 hr/wk Rochester General Long Term Care 1 hr/wk Rochester General Hudson Housing 1 hr/wk Independent Living for Seniors JOHN RIEDMAN: 1 hr/wk Rochester General Hospital 1 hr/wk Rochester General Long Term Care 1 hr/wk Rochester General Hudson Housing 1 hr/wk Independent Living for Seniors ROBERT SANDS: 1 hr/wk Rochester General Hospital 1 hr/wk Independent Living for Seniors 1 hr/wk Rochester General Hudson Housing 1 hr/wk Rochester General Health System 1 hr/wk Rochester General Long Term Care ROBERT MAYO: 36 hrs/wk Rochester General Hospital 1 hr/wk Rochester General Hudson Housing 1 hr/wk Independent Living for Seniors 1 hr/wk Rochester General Long Term Care ROBERT DOBIES: 1 hr/wk Rochester General Hospital 1 hr/wk Independent Living for Seniors 1 hr/wk Rochester General Hudson Housing 1 hr/wk Rochester General Health System 1 hr/wk Rochester General Long Term Care
FORM 5471 FILED ON BEHALF OF STATEMENTSTATEMENT PURSUANT TO TREAS. REG. SEC. 1.6038-2(j)(3)The following information is submitted with respect to BEHAVIORAL HEALTH NETWORK, 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 Center Where Return Filed: Ogden, Utah 84201-0027

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ROCHESTER GENERAL HEALTH SYSTEM
100 KINGS HIGHWAY SOUTHROCHESTERNY14617222551509System ParentNY501(c)(3)11, TYPE IINAfalse
THE ROCHESTER GENERAL HOSPITAL
1425 PORTLAND AVENUEROCHESTERNY14621160743134HOSPITALNY501(c)(3)3RGHSfalse
RGHS WORKERS' COMPENSATION TRUST
1425 PORTLAND AVENUEROCHESTERNY14621166429300See Part VIINY501(c)(3)11, Type IIRGHSfalse
CONTINUING CARE NETWORK INC (CCN)
100 KINGS HIGHWAY SOUTHROCHESTERNY14617222963016Support RGHNY501(c)(3)11, Type IIRGHSfalse
ROCHESTER GENERAL HUDSON HOUSING
2066 HUDSON AVENUEROCHESTERNY14617223210351LOW INC HSINGNY501(c)(3)9RGHSfalse
INDEPENDENT LIVING FOR SENIORS
2066 HUDSON AVENUEROCHESTERNY14617161491059ADULT CareNY501(c)(3)9RGHSfalse
ROCHESTER GENERAL LONG TERM CARE
1550 EMPIRE BLVDWEBSTERNY14580223187140NH & REHABNY501(c)(3)9RGHSfalse
GRHS FOUNDATION
100 KINGS HIGHWAY SOUTHROCHESTERNY14617223378111R/E Inv MgmtNY501(c)(3)11, Type IIRGHSfalse
THE ROCHESTER GENERAL HOSPITAL FDN
1445 PORTLANDROCHESTERNY14621222229425FundraisingNY501(c)(3)11, Type IIRGHSfalse
Newark-Wayne Community Hospital
1200 Driving Park AvenueNewarkNY14513150584188hospitalNY501(c)(3)3RGHSfalse
Western NY Medical Practice PC
1425 Portland AvenueRochesterNY14621611654232Phys PracNY501(c)(3)3RGHSfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Greater Rochester Assurance Company LtdBusinessNameLine1

Address Foreign AddressForeign

FieldValueIRS element (for citing)
Address Line1GeorgetownAddressLine1
Province Or StateGrand CaymanProvinceOrState
CountryCJCountry
FieldValueIRS element (for citing)
EIN000000000EIN
Primary ActivityinsurancePrimaryActivity
Legal Domicile Foreign CountryCJLegalDomicileForeignCountry

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CorpTypeOfEntity
Share Of Total Income0ShareOfTotalIncome
Share Of EOY Assets0ShareOfEOYAssets
Percentage Ownership0.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
GREATER ROCHESTER ASSURANCE COMPANY
E470755FMV
NEWARK-WAYNE COMMUNITY HOSPITAL
E52831FMV
ROCHESTER GENERAL LONG TERM CARE
L58395FMV

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierRelated Tax-Exempt Organization - Primary ActivityIdentifier
Return ReferenceSchedule R, Part II, Column BReturnReference
ExplanationRGHS Workers' Compensation Trust supports Rochester General Hospital, Newark Wayne Community Hospital, Independent Living for Seniors, Rochester General Long Term Care, and Rochester General Health Systems.Explanation