2012-11-15T16:11:02-06:00 2011-12-31 ERNST & YOUNG US LLP 75 BEATTIE PLACE SUITE 800 GREENVILLE SC 29601 990 2011-01-01 160743134 THE ROCHESTER GENERAL HOSPITAL % RITA SZMIGEL ROCH 5859224000 1425 PORTLAND AVENUE ROCHESTER NY 14621 PAULA M TINCH 2012-11-14 8642425740 2011 2016-02-24 21:20:13Z MARK CLEMENT 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 727061737 false X www.rochestergeneral.org X 1847 NY TO OPERATE A GENERAL HOSPITAL IN THE COUNTY OF MONROE, NY FOR MEDICAL AND SURGICAL AID, CARE AND TREATMENT OF PERSONS IN NEED. 10 8 6875 617 29024706 0 6870738 7523962 654868519 701564374 6981950 10624016 6004849 7315130 674726056 727027482 37700 82900 0 0 371912205 397061503 0 0 0 278332524 291205646 650282429 688350049 24443627 38677433 539083630 674600243 260868465 371640427 278215165 302959816 X TO ESTABLISH, ERECT AND MAINTAIN A GENERAL HOSPITAL AND DISPENSARY IN THE COUNTY OF MONROE, NY FOR MEDICAL AND SURGICAL AID, CARE AND TREATMENT OF PERSONS IN NEED THEREOF; TO CARRY ON AND CONDUCT A TRAINING SCHOOL FOR NURSES; TO PROMOTE AND CARRY ON SCIENTIFIC RESEARCH RELATED TO THE CARE OF THE SICK AND INJURED; TO PARTICIPATE IN ANY ACTIVITIES DESIGNED AND CARRIED ON TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY; AND TO ACQUIRE BY PURCHASE, LEASE OR GIFT, OR IN ANY OTHER FASHION, ANY AND ALL REAL AND PERSONAL PROPERTY NECESSARY OR ADVISABLE FOR CARRYING OUT ANY OF THE FOREGOING PURPOSES AND POWERS. false false 571322500 82900 705152560 Rochester General Health System (RGHS) comprises several affiliated organizations that have been providing a continuum of high quality health care services to residents of greater Rochester and surrounding regions. RGHS serves as the parent of the system. The health care affiliates of RGHS include: 1) Rochester General Hospital (RGH) - the filing organization and flagship of RGHS and includes Rochester General Medical Group, a network of 41 primary care and specialized physician practices located throughout Monroe and Wayne counties. 2) Newark Wayne Community Hospital (including DeMay Living Center) 3) Rochester Mental Health Center - a network of mental health and substance abuse programs 4) Rochester General Long Term Care - dba Hill Haven a skilled nursing home 5) Independent Living for Seniors (ILS) RGH is a 528 bed tertiary care facility serving the UNY Community for more than 150 years with nationally recognized programs in cardiac, cancer, orthopedic, vascular, surgical and diabetes care. RGH is home to the Rochester Heart Institute (RHI independently recognized eight times as one of the nation's top 100 cardiac centers). RHI also is affliated with the Cleveland Clinic, widely recognized as the top Cardiac hospital in the United States, and has access to leading edge training, technology and research. The system recently entered into a strategic alliance with Rochester Institute of Technology, allowing for meaningful and productive collaboration on biomedical research education. The commitment of the RGHS's physicians and staff is to deliver unmatched, fully integrated care and service to our patients and their families. RGH treats emergency room patients and provides other outpatient care in the form of ambulatory services and outpatient clinic visits. RGH provides charity and indigent care to the Rochester area community. See Schedule H for additional information with respect to the number of patients treated, charity care provided and community service activities conducted by RGH. 571322500 true true false true false false false false false true true true false true true false true true false false false false false false false false true true true false true true false false false false false false false false false false false false false false true true true true false false true 388 0 true 6875 true true true 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 true true true false NY X RITA SZMIGEL 5859221737 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 X LINDA BECKER 1.0 X X 0 0 0 MARK C CLEMENT 40.0 X X 1091818 239668 789545 ROBERT DOBIES as of 0611 1.0 X 0 0 0 JEANNE GROVE DO 1.0 X X 0 0 0 ROBERT MAYO MD 36.0 X 353579 0 59979 DANIEL MEYERS as of 0611 1.0 X 0 0 0 THOMAS PENN MD 1.0 X 0 0 0 JOHN 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1F REPRESENTS THE PORTION OF DUES PAID TO HEALTH CARE ASSOCIATION OF NYS ATTRIBUTABLE TO LOBBYING ACTIVITIES. 8043862 62282 8106144 7960615 83247 8043862 7955419 5196 7960615 7924901 30518 7955419 0.00000 1.00000 0.00000 false false 4374796 4374963 231282475 115671941 115610534 316287285 216128178 100159107 10233120 10233120 230377724 COMMON COLLECTIVE TRUSTS 9499685 F HEDGE FUNDS 43308079 F 52807764 DUE FROM AFFILIATES 43512660 BENEFICIAL INT IN RGHF ASSETS 32942031 INSURANCE RECOVERIES REC 41702111 OTHER ASSETS 17980279 ESTIMATED THIRD PARTY REC 4348446 140485527 0 DEFERRED COMPENSATION 1518651 DUE TO AFFILIATE 3351189 ACCRUED SELF INSURANCE 74473709 ESTIMATED 3RD PARTY PAYABLE 83892334 UNAMORTIZED PREMIUM 1675933 164911816 727027482 688350049 38677433 -9402551 -4530231 -13932782 24744651 722276575 722276575 262757 4488150 4750907 727027482 687800451 687800451 262757 286841 549598 688350049 OTHER CHANGES IN NET ASSETS SCHEDULE D, PART XI, LINE 8 CHANGE IN BENEFICIAL INTEREST IN RGH 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FAMILY MED PRACTICE COMMUNITY BENEFIT REPORT INCLUDED IN RELATED ORGANIZATION'S REPORT PART I, LINE 6A ROCHESTER GENERAL HOSPITAL'S COMMUNITY BENEFIT REPORT IS INCLUDED IN THE COMMUNITY BENEFIT REPORT FOR ROCHESTER GENERAL HEALTH SYSTEMS, A RELATED NOT-FOR-PROFIT ORGANIZATION, AS PART OF THE JOINT COMMUNITY BENEFIT REPORT DISTRIBUTED BY MONROE COUNTY, NY. COSTING METHODOLOGY FOR CHARITY CARE AND OTHER COMMUNITY BENEFITS PART I, LINE 7 The costing methodology used was from the hospital's cost accounting system, which addresses all patient segments. The hospital's cost accounting system properly aligns revenue (charges) and expenses thru reclasses and adjustments to department level expenses, and develops detailed department level Ratios of Cost-to-Charges. This methodology was used on all lines except line 7f, which uses the hospitals ICR, worksheet B, part I. PHYSICIAN CLINIC COSTS INCLUDED AS SUBSIDIZED HEALTH SERVICES PART I, LINE 7G N/A - NO PHYSICIAN CLINIC COSTS WERE INCLUDED ON LINE 7G. BAD DEBT EXPENSE EXCLUDED PART I, LINE 7, COLUMN (F) TOTAL EXPENSES ON FORM 990, PART IX, LINE 25, COLUMN (A) ARE $688,350,049. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $14,866,191. AFTER BAD DEBT WAS DEDUCTED FROM TOTAL EXPENSES, THE AMOUNT OF TOTAL EXPENSES USED TO CALCULATE THE PERCENT IN LINE 7, COLUMN (F) WAS $673,483,858. COMMUNITY HEALTH IMPROVEMENT SERVICES & COMMUNITY BENEFIT OPERATIONS PART I, LINE 7E DURING 2011 THE FILING ORGANIZATION (RGH) SPONSORED THE FOLLOWING EVENTS AND ACTIVITIES TO PROMOTE COMMUNITY HEALTH IMPROVEMENT THAT MEET THE DEFINITION FOR DISCLOSURE ON SCHEDULE H, PART I, LINE 7E (COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS). HOWEVER, COMMUNITY BENEFIT EXPENSE AND DIRECT OFFSETTING REVENUE WERE NOT SEPARATELY TRACKED IN THE ORGANIZATION'S ACCOUNTING RECORDS. AS A RESULT, NO AMOUNTS HAVE BEEN INCLUDED ON SCHEDULE H, PART I, LINE 7E. ANNUAL HEALTHY HEART FAIR RGH SPONSORED A "HEALTHY HEART FAIR" IN THE HOSPITAL ATRIUM. THIS HEALTH FAIR BROUGHT TOGETHER MORE THAN 20 SERVICE AGENCIES AND VENDORS TO PROVIDE HEALTH SCREENINGS, FREE FOOD SAMPLES OF HEART HEALTHY RECIPES AND AWARENESS OPPORTUNITIES TO THE RESIDENTS OF THE AREA. THE EVENT FEATURES EDUCATIONAL PROGRAMS AND DEMONSTRATIONS BY VARIOUS PHYSICIANS AND NUTRITIONISTS AND ALLOWS THE COMMUNITY ACCESS TO THE HOSPITAL CARDIOLOGISTS FOR SPECIFIC QUESTIONS OR CONCERNS. OVER THE PAST SEVERAL YEARS, MORE THAN 1,000 PEOPLE BENEFITED FROM THE INFORMATION MADE AVAILABLE AND THE CONNECTIONS MADE POSSIBLE BY THESE EVENTS. SPRING INTO SAFETY THIS EVENT PROVIDES SAFETY EDUCATION INFORMATION TO THE RESIDENTS OF ROCHESTER WITH DISTRIBUTION OF 1,200 BICYCLE HELMETS TO CHILDREN AGE 3-12 (EACH HELMET IS FITTED DIRECTLY TO THE CHILD). THE EVENT ALSO FEATURES A BIKE SAFETY RODEO; CHILD PASSENGER RESTRAINT SEAT INSPECTION (AND REPLACEMENT AS NEEDED); CHILD FINGERPRINTING ID AND OTHER SAFETY INFORMATION FROM LOCAL COMMUNITY AGENCIES. MORE THAN 1,000 PEOPLE BENEFITED FROM THE SERVICES OFFERED AT THIS EVENT. CAMP BRONCHO POWER THIS EVENT PROVIDES OVER 60 CHILDREN WITH MODERATE TO SEVERE ASTHMA THE OPPORTUNITY TO PARTICIPATE IN A THREE DAY, TWO NIGHT OVERNIGHT CAMP EXPERIENCE. THE PARTICIPANTS RECEIVE EDUCATION WITH RESPECT TO MANAGING THE SYMPTOMS OF THEIR DISEASE ALONG WITH TRADITIONAL CAMP ACTIVITIES. THIS EVENT GIVES MEDICAL STAFF AN OPPORTUNITY TO SEE THEIR PATIENT IN ANOTHER SETTING WHILE WORKING TOWARD SELF-MANAGEMENT. CHILDREN'S COMMUNITY HEALTH FAIR THIS EVENT IS HELD WITH A LOCAL SCHOOL AND PARTNERS WITH LOCAL AGENCIES TO PROVIDE CHILDREN WITH EDUCATIONAL SAFETY MATERIAL. MORE THAN 300 CHILDREN BENEFITED FROM THE INFORMATION DISTRIBUTED AT THIS EVENT. REGIONAL HEALTH FAIR PARTICIPATION ASSEMBLYMAN MORELLI HEALTHFAIR (AUGUST) PROVIDED CHOLESTERAL TESTING AND WOMEN'S HEALTH INFORMATION SENATOR JIM ALESI HEALTHFAIR (OCTOBER) CONDUCTED CHOLESTERAL TESTING AND BLOOD PRESSURE SCREENS TWO PRESENTATIONS OPEN TO HEALTH FAIR ATTENDEES: 1. HEART HEALTH AND THE IMPACT OF A HEALTHY DIET AND EXERCISE ON RISK OF HEART DISEASE 2. BREAST CANCER SCREENING EDUCATION ST. ANN'S HEALTHFAIR (SEPTEMBER) PROVIDED CHOLESTERAL AND GLUCOSE TESTING RGH HOSTED HALLOWEEN AND CHRISTMAS PARTIES FOR UNDERSERVED CHILDREN AT RGH IN PUBLIC ATRIUM. RGH HELD A HOLIDAY TOY DRIVE IN PARTNERSHIP WITH VISION AUTOMOTIVE, COLLECTING HUNDREDS OF TOYS FOR THE UNDERSERVED PEDIATRIC POPULATION. RGHS / LIPSON CANCER CENTER WAS A MAJOR SPONSOR AND PARTNER OF GILDA'S CLUB AND THE AMERICAN CANCER SOCIETY, TO PROVIDE SUPPORT TO CANCER PATIENTS AND THEIR FAMILIIES LOCALLY AS WELL AS SUPPORT CANCER RESEARCH. RGHS SPONSORS AND SUPPORTS THE AMERICAN DIABETES ASSOCIATION, INCLUDING THE TOUR DE CURE EVENT. RGHS WORKS WITH THE ADA AS WELL AS THE BROADER HEALTHCARE COMMUNITY COLLABORATIVE TO PROVIDE EDUCATION AND SUPPORT FOR PREVENTION AND MANAGEMENT OF CHRONIC DISEASE AND IN PARTICULAR DIABETES, IN THE COMMUNITY. PART III, LINE 4: TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE: "THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HOSPITAL FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE HOSPITAL. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE HOSPITAL'S POLICIES." IN 2011, THE ORGANIZATION CONTINUED ITS ENHANCED PROCESS FOR OBTAINING ADDITIONAL FINANCIAL INFORMATION FOR UNINSURED AND UNDER-INSURED PATIENTS WHO HAVE NOT SUPPLIED THE REQUISITE INFORMATION TO DETERMINE IF THEY QUALIFY FOR CHARITY CARE. THE ADDITIONAL INFORMATION OBTAINED WAS USED BY THE ORGANIZATION TO DETERMINE WHETHER TO QUALIFY PATIENTS FOR CHARITY CARE IN ACCORDANCE WITH THE ORGANIZATION'S POLICY. THE APPLICATION OF THIS ADDITIONAL INFORMATION IN 2011 RESULTED IN ADDITIONAL PATIENTS QUALIFYING FOR CHARITY CARE AND THUS RE-CLASSIFYING THIS AMOUNT FROM BAD DEBT EXPENSE. BAD DEBT EXPENSE ON PART III, LINE 2 REPRESENTS ESTIMATED UNCOLLECTIBLE CHARGES FOR THOSE PATIENTS UNWILLING NOT UNABLE TO PAY. Bad Debt Costing Methodology: Bad Debt Expense is recorded using the valuation method as outlined in Healthcare Financial Management Association Statement 15, which requires bad debt expense to be recorded at the amount that the payer is expected to pay. The provision for bad debts represents estimated uncollectible charges of patients unwilling to pay. In 2011, the organization continued its enhanced process for obtaining additional financial information for uninsured and underinsured patients who have not supplied the requisite information to determine if they qualify for charity care. The application of this additional information in 2011 resulted in additional patients qualifying for charity care and a reduction to bad debt expense. Part III, Line 8: Medicare Costing Methodology used to determine amount reported on line 6: The organization used the filed 2011 CMS Cost Report to determine the Medicare allowable costs of care relating to payments received from Medicare. Part III, Line 9b: At such time that a patient expresses a financial concern, the patient will be offered the opportunity to apply for charity care. Once the patient submits the completed charity care application, the account is placed on hold and all collection activities are suspended until an eligibility determination is made. If the patient is eligible for charity care, then the patient is notified of the level of charity care awarded. If 100% charity care awarded, then no bill is sent to the patient. If less than 100% charity care is awarded, than the patient will receive a bill pursuant to the private pay collection policy. Only after patient's liability has been determined following processing of applications for government assistance, charity care, and/or insurance carrier remittance will the patient statement be mailed for payment recovery. The hospital's collection policies apply to all patient types of the hospital. MEASURES TO PUBLICIZE FINANCIAL ASSISTANCE POLICY PART V, SEC. B, LINE 13G ALSO LOCATED IN OUTPATIENT SETTINGS AND LAB DEPOTS. MAXIMUM CHARGES UNDER FINANCIAL ASSISTANCE POLICY PART V, SEC. B, LINE 19D Actual charges are billed, less 30% discount, plus 9.63% NYS Surcharge. NEEDS ASSESSMENT PART VI, LINE 2 Through a twelve year collaborative effort with Monroe County Department of Public Health, Rochester General Health System (the parent of Rochester General Hospital (R true AMERICAN CANCER SOCIETY 1120 GOODMAN STREET ROCHESTER NY 14620 160743902 501(c)(3) 14000 SPONSORSHIP AMERICAN DIABETES ASSOCIATION 260 ALLENS CREEK ROCHESTER NY 14618 131623888 501(c)(3) 7500 sponsorship HILLSIDE CHILDREN'S FOUNDATION PO BOX 23805 ROCHESTER NY 14692 161493404 501(c)(3) 8400 sponsorship GILDA'S CLUB 255 ALEXANDER STREET ROCHESTER NY 14607 160836556 501(c)(3) 25000 SPONSORSHIP AMERICAN HEART ASSOCIATION 1 UNION STREET SUITE 301 ROBBINSVILLE NJ 08691 135613797 501(c)(3) 28000 SPONSORSHIP 5 Description of Organization's Procedures for Monitoring the Use of Grants Schedule I, Part I, Line 2 Check requests and purchase orders are reviewed for appropriate authorization and use of funds prior to issuance of payment. RGH only makes contributions to other 501(c)(3) organizations. X X true true X X X X X false true false false false false false false false MARK C CLEMENT 557585 122397 491511 107893 42722 9378 643533 141263 3894 855 1739245 381786 228045 50059 ROBERT MAYO MD 295141 0 42000 0 16438 0 55244 0 4735 0 413558 0 0 0 GARY WAHL MD until 0611 173599 0 116584 0 13542 0 62273 0 8668 0 374666 0 0 0 VINCENT CHANG 787816 0 460744 0 16500 0 104030 0 7694 0 1376784 0 0 0 MOHAMED SALEH ALSALAHI 568534 0 0 0 0 0 41091 0 6470 0 616095 0 0 0 MICHAEL PICHICHERO 287496 0 542967 0 7374 0 41073 0 5149 0 884059 0 0 0 SYED MUSTAFA 287184 0 219616 0 16500 0 17721 0 4620 0 545641 0 0 0 PATRICK RIGGS 489162 0 0 0 0 0 75841 0 15947 0 580950 0 0 0 ROBERT NESSELBUSH 294181 64576 203569 44686 32277 7085 203459 44662 6110 1341 739596 162350 60889 13366 HUGH THOMAS 255459 56076 143837 31574 36965 8114 164027 36006 6484 1423 606772 133193 55353 12151 RICHARD GANGEMI 285439 46467 169707 27627 39199 6381 162617 26472 3558 579 660520 107526 71983 11718 Brian Jepson 329349 0 87047 0 33000 0 181759 0 6749 0 637904 0 0 0 Supplemental Compensation Information AS PART OF THEIR COMPENSATION PACKAGE, THE OFFICERS AND KEY EMPLOYEES LISTED ON 990, PART VII ARE ELIGIBLE TO UTILIZE SPECIFIC CHARTER TRAVEL ARRANGEMENTS TO CONDUCT BUSINESS OF THE ORGANIZATION. THIS BENEFIT IS UTILIZED TO MAKE THE BEST USE OF THE OFFICER'S TIME WHEN THERE ARE TIME CONSTRAINTS AND/OR LIMITED AVAILABILITY OF NON-STOP FLIGHTS. SOCIAL CLUB DUES SCHEDULE J, PART I, LINE I AS PART OF THEIR COMPENSATION PACKAGE, THE CEO AND OTHER KEY EMPLOYEES, OFFICERS OR TRUSTEES LISTED ON 990, PART VII (WITH APPROVAL OF THE CEO) ARE ELIGIBLE TO RECEIVE REIMBURSEMENT FOR THE INITIATION OR MONTHLY DUES RELATED TO A SPECIFIC SOCIAL OR RECREATIONAL CLUB. THESE BENEFITS HAVE BEEN INCLUDED IN THE EMPLOYEES FORM W-2 AS TAXABLE COMPENSATION AS REQUIRED. SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN Schedule J, Part I, line 4B THE ORGANIZATION MAINTAINS A SECTION 457(F) PLAN WHICH WOULD BE CONSIDERED A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. DURING 2011, NO DISTRIBUTIONS WERE PAID OUT. THE FOLLOWING OFFICERS AND KEY EMPLOYEES LISTED ON FORM 990, PART VII, SECTION A WOULD BE ELIGIBLE PARTICIPANTS IN THE PLAN SINCE THEY WOULD BE ENTITLED TO A DISTRIBUTION UPON SEPARATION FROM SERVICE: HUGH THOMAS ROBERT NESSELBUSH RICHARD GANGEMI, MD ROBERT MAYO DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64983QGM5 2005-06-09 75349964 SEE PART VI false false false DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 000000000 2004-08-26 9935713 CAPITAL EQUIPMENT false false false DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 000000000 2011-08-18 54969282 CAPITAL EQUIPMENT & SOFTWARE false false false 0 20051527 75369516 5217710 4852607 20051527 1506999 2162729 0 41577942 0 0 2009 true false true true 0 0 9935713 0 0 0 50713 0 0 9885000 0 0 2004 false false true true 0 0 54978990 0 0 0 169282 0 0 54809708 0 0 2011 false false true true false false false false 0.00004 0.00000 0.00004 true false false false false 0.00004 0.00000 0.00004 true false false false false 0.00004 0.00000 0.00004 true false false false 0 false 0 false false false false false 0 false 0 false false false false false 0 false 0 false false X PURPOSE OF BOND ISSUE-SCH K, PT I, LN A, COL (F): PURPOSE OF ISSUE WAS TO DEFEASE OUTSTANDING 1993 BONDS & FINANCE HOSPITAL RENOVATIONS/EXPANSION. TOTAL PROCEEDS-PART II, LINE 3: TOTAL PROCEEDS PT II, LINE 3, COL (A) DIFFERS FROM ISSUE PRICE DUE TO INVESTMENT EARNINGS OF $19,552. TOTAL PROCEEDS-PART II, LINE 3: TOTAL PROCEEDS PT II, LINE 3, COL (C) DIFFERS FROM ISSUE PRICE DUE TO INVESTMENT EARNINGS OF $9,708. PART II, LINE 10: CAPITAL EXPENDITURES FROM PROCEEDS $30 MILLION WAS REIMBURSED DURING 2011 CLASSES OF MEMBERS AND MEMBERSHIP RIGHTS FORM 990, PART VI, QUESTIONS 6 THE ORGANIZATION IS A MEMBERSHIP (NOT A STOCK) CORPORATION UNDER THE NEW YORK STATE LAW. THE ORGANIZATION'S SOLE CORPORATE MEMBER IS ROCHESTER GENERAL HEALTH SYSTEM (RGHS), A RELATED NOT-FOR-PROFIT ORGANIZATION. CLASSES OF MEMBERS AND MEMBERSHIP RIGHTS FORM 990, PART VI, QUESTION 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. CLASSES OF MEMBERS AND MEMBERSHIP RIGHTS FORM 990M PART VI, QUESTION 7B ROCHESTER GENERAL HEALTH SYSTEM, AS THE SOLE CORPORATE MEMBER, ALSO HAS THE RIGHT TO APPROVE OR RATIFY SIGNIFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY INCLUDING THE AMENDMENT OF BYLAWS AND CHARTERS, REMOVAL OF MEMBERS OF THE GOVERNING BODY, AND THE DECISION TO DISSOLVE THE ORGANIZATION. REVIEW PROCESS FOR THE FORM 990 FORM 990, PART VI, QUESTION 11B PRIOR TO FILING, 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 POLICY FORM 990, PART VI, QUESTION 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 EMPLOYEE AND OFFICER OF THE ORGANIZATION IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE FORM, PROVIDING MANAGEMENT WITH SUFFICIENT INFORMATION ABOUT HIS/HER PERSONAL INTERESTS AND RELATIONSHIPS SO THAT MANAGEMENT CAN (1) DETERMINE WHETHER ANY ACTUAL OR PERCEIVED CONFLICT OF INTEREST EXISTS, AND (2) MONITOR WORK ASSIGNMENTS TO AVOID PLACING THE KEY EMPLOYEE OR OFFICER IN A POSITION WHERE THERE MAY BE A QUESTION AS TO HIS/HER OBJECTIVITY AS WELL AS TO AVOID ANY APPEARANCE OF IMPROPRIETY. THROUGHOUT THE YEAR, KEY EMPLOYEES AND OFFICERS OF THE ORGANIZATION ARE ALSO REQUIRED TO NOTIFY MANAGEMENT PROMPTLY IF ANY CHANGE TO THEIR DISCLOSURES OCCURS. IN ADDITION, EACH MEMBER OF THE BOARD OF DIRECTORS MUST ALSO COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE FORM, WHICH MUST BE SUBMITTED TO THE GENERAL COUNSEL. BOARD MEMBERS LEAVE THE ROOM DURING DISCUSSIONS AND ABSTAIN FROM VOTING WHEN THEY HAVE A CONFLICT OF INTEREST. IN ADDITION TO THE BOARD OF DIRECTORS, THE ORGANIZATION'S MANAGERS AND DIRECTORS WHO OVERSEE ITS OPERATIONS COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY AS WELL. COMPENSATION APPROVAL PROCESS FORM 990, PART VI, LINE 15A & B THE ORGANIZATION'S OFFICER AND KEY EMPLOYEE COMPENSATION ARRANGEMENTS ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF ROCHESTER GENERAL HOSPITAL. INFORMATION REVIEWED FOR THE OFFICER/KEY EMPLOYEE INCLUDES COMPARABLE DATA FROM SIMILAR SIZE TAX EXEMPT ORGANIZATIONS IN THE WESTERN/CENTRAL NY COMMUNITY AS WELL AS COMPENSATION FOR THESE POSITIONS (AS DISCLOSED ON FORM 990) WITH OTHER ORGANIZATIONS IN THE HEALTH CARE INDUSTRY THAT ARE OF SIMILAR SIZE, DEMOGRAPHICS AND GEOGRAPHY. REVIEW AND APPROVAL OF THE COMPENSATION ARRANGEMENT BY THE COMPENSATION COMMITTEE IS DOCUMENTED. AVAILABILITY OF DOCUMENTS FORM 990, PART VI, QUESTION 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ADMINISTRATIVE OFFICES OF THE AFFILIATED HEALTH SYSTEM AT 100 KINGS HIGHWAY SOUTH, ROCHESTER, NY 14617 AND AT THE 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 Mental Health Center 1 hr/wk Independent Living for Seniors 1 hr/wk Rochester General Long Term Care 1 hr/wk Rochester General Health System 1 hr/wk Rochester General Hudson Housing MARK CLEMENT: 5 hrs/wk Newark-Wayne Community Hospital 1 hr/wk Rochester Mental Health Center 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 Hudson Housing 1 hr/wk Rochester General Hospital Foundation 1 hr/wk Newark-Wayne Community Hospital Foundation ROBERT NESSELBUSH: 5 hrs/wk Newark-Wayne Community Hospital 1 hr/wk Rochester Mental Health Center 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 RGHS Worker's Compensation Trust 1 hr/wk Rochester General Hudson Housing 1 hr/wk Rochester General Hospital Foundation 1 hr/wk Newark-Wayne Community Hospital Foundation HUGH THOMAS: 5 hrs/wk Newark-Wayne Community Hospital 1 hr/wk Rochester Mental Health Center 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 RGHS Worker's Compensation Trust 1 hr/wk Western NY Medical Practice PC RICHARD GANGEMI: 6 hrs/wk Newark-Wayne Community Hospital 2 hrs/wk Rochester General Long Term Care 1 hr/wk Western NY Medical Practice PC ROBERT SANDS: 1 hr/wk Rochester Mental Health Center 1 hr/wk Independent Living for Seniors 1 hr/wk Rochester General Long Term Care 1 hr/wk Rochester General Health System 1 hr/wk Rochester General Hudson Housing ROBERT DOBIES: 1 hr/wk Rochester Mental Health Center 1 hr/wk Independent Living for Seniors 1 hr/wk Rochester General Long Term Care 1 hr/wk Rochester General Health System 1 hr/wk Rochester General Hudson Housing DANIEL MEYERS: 1 hrs/wk Newark-Wayne Community Hospital 1 hr/wk Rochester Mental Health Center 1 hrs/wk Independent Living for Seniors 1 hrs/wk Rochester General Long Term Care 1 hr/wk Rochester General Health System 1 hr/wk Rochester General Hudson Housing JOHN L. GENIER, MD: 1 hr/wk Rochester Mental Health Center 1 hrs/wk Independent Living for Seniors 1 hrs/wk Rochester General Long Term Care 1 hr/wk Rochester General Hudson Housing ROBERT MAYO, MD: 1 hr/wk Rochester Mental Health Center 1 hrs/wk Independent Living for Seniors 1 hrs/wk Rochester General Long Term Care 1 hr/wk Rochester General Hudson Housing GARY WAHL, MD: 1 hr/wk Rochester Mental Health Center 1 hrs/wk Independent Living for Seniors 1 hrs/wk Rochester General Long Term Care 1 hr/wk Rochester General Health System 1 hr/wk Rochester General Hudson Housing JEANNE GROVE, DO: 1 hr/wk Rochester Mental Health Center 1 hrs/wk Independent Living for Seniors 1 hrs/wk Rochester General Long Term Care 1 hr/wk Rochester General Hudson Housing 1 hr/wk Rochester General Hospital Foundation ELAINE SPAULL, PHD: 1 hr/wk Rochester Mental Health Center 1 hrs/wk Independent Living for Seniors 1 hrs/wk Rochester General Long Term Care 1 hr/wk Rochester General Hudson Housing JUAN VILLANUEVA: 1 hr/wk Rochester Mental Health Center 1 hrs/wk Independent Living for Seniors 1 hrs/wk Rochester General Long Term Care 1 hr/wk Rochester General Hudson Housing MARGARET SANCHEZ: 1 hr/wk Rochester Mental Health Center 1 hrs/wk Independent Living for Seniors 1 hrs/wk Rochester General Long Term Care 1 hr/wk Rochester General Hudson Housing THOMAS PENN, MD: 1 hr/wk Rochester Mental Health Center 1 hrs/wk Independent Living for Seniors 1 hrs/wk Rochester General Long Term Care 1 hr/wk Rochester General Hudson Housing JOHN RIEDMAN: 1 hr/wk Rochester Mental Health Center 1 hrs/wk Independent Living for Seniors 1 hrs/wk Rochester General Long Term Care 1 hr/wk Rochester General Hudson Housing OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 5 UNREALIZED LOSS ON INVESTMENTS $ (9,402,551) CHANGE IN INTEREST IN NET ASSETS OF RGH FOUNDATION $ (4,530,231) ------------ TOTAL $(13,932,782) PSYCHIATRIC SERVICES GROUP 1425 Portland Avenue Rochester NY 14621 161464705 Psych Svcs NY 0 0 RGH ROCHESTER GENERAL HEALTH SYSTEMS 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 222551509 SYSTEM PARENT NY 501(C)(3) 11-Type II NA false ROCHESTER GENERAL HUDSON HOUSING 2066 HUDSON AVENUE ROCHESTER NY 14621 223210351 LOW INC HSING 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 THE ROCHESTER GENERAL HOSPITAL FDN 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 222229425 FUNDRAISING NY 501(C)(3) 11-TYPE II RGHS false INDEPENDENT LIVING FOR SENIORS 2066 HUDSON AVENUE ROCHESTER NY 14617 161491059 ADULT DAY HC NY 501(C)(3) 9 RGHS false ROCHESTER GENERAL LONG TERM CARE 1550 EMPIRE BLVD WEBSTER NY 14580 223187140 NH & REHAB NY 501(C)(3) 9 RGHS false ROCHESTER MENTAL HEALTH CENTER 490 EAST RIDGE ROAD ROCHESTER NY 14621 166069131 MENTAL HEALTH NY 501(C)(3) 9 RGHS false Newark-Wayne Community Hospital 1200 driving park avenue newark NY 14513 150584188 hospital NY 501(c)(3) 3 RGHS false RGHS WORKERS' COMPENSATION TRUST 166429300 SEE PART VII NY 501(C)(3) 11-TYPE II RGHS false CONTINUING CARE NETWORK INC (CCN) 222963016 SUPPORT RGH NY 501(C)(3) 11-TYPE II RGHS false WESTERN NEW YORK MEDICAL PRACTICE PC 1425 PORTLAND AVE ROCHESTER NY 14621 611654232 PHYS PRACTICE NY 501(C)(3) 9 RGHS false LATTIMORE SVCS LLC 125 LATTIMORE ROCHESTERNY ROCHESTER NY 14620 161533823 MGMT SVCS NY RGH RELATED 371488 1988864 false 0 true 0.71000 GRACO Risk Retention Group 1425 PORTLAND AVENUE Rochester NY 14621 710933967 Insurance NY RGH C Corp 1514701 9202449 1.00000 Greater Rochester Assurance Company Ltd insurance CJ NA C CORP 0 0 0.00000 LATTIMORE COMMUNITY SURGICENTER 125 LATTIMORE ROCHESTER NY 14620 161384448 AMBUL SURG NY RGH C CORP 4668947 1268639 1.00000 false false true true true false false false false true true true false true true true true false ROCHESTER GENERAL HOSPITAL FOUNDATION C 3842042 FMV INDEPENDENT LIVING FOR SENIORS INC D 2595581 FMV INDEPENDENT LIVING FOR SENIORS INC P 92928 FMV INDEPENDENT LIVING FOR SENIORS INC O 125404 FMV NEWARK WAYNE COMMUNITY HOSPITAL D 2085896 FMV ROCHESTER GENERAL LONG TERM CARE D 2336727 FMV ROCHESTER GENERAL HOSPITAL FOUNDATION D 4433704 FMV RGHS WORKERS' COMPENSATION TRUST D 10803738 FMV GREATER ROCHESTER HEALTH SYSTEM FOUNDATION E 3351189 FMV GREATER ROCHESTER HEALTH SYSTEM FOUNDATION D 4136413 FMV NEWARK WAYNE COMMUNITY HOSPITAL K 4104000 FMV GREATER ROCHESTER HEALTH SYSTEM FOUNDATION J 113489 FMV RGHS WORKERS' COMPENSATION TRUST Q 4046278 FMV GREATER ROCHESTER ASSURANCE COMPANY LTD D 10887435 FMV WESTERN NEW YORK MEDICAL PRACTICE PC D 512606 FMV ROCHESTER GENERAL HOSPITAL FOUNDATION P 1766455 FMV 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.