2011-11-14T13:18:13-06:00 2010-12-31 ERNST & YOUNG US LLP 75 BEATTIE PLACE SUITE 800 GREENVILLE SC 29601 990 2010-01-01 160743134 THE ROCHESTER GENERAL HOSPITAL ROCH 5859224000 1425 PORTLAND AVENUE ROCHESTER NY 14621 ROBERT J NESSELBUSH 2011-11-14 8642425740 2010 2016-03-07 17:11:31Z Mark Clement 1425 Portland Ave Rochester NY 14621 674726056 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. 12 8 6630 523 26066695 0 6044505 6870738 610302876 654868519 7130905 6981950 13957796 6004849 637436082 674726056 1150634 37700 0 0 354269769 371912205 0 0 0 248100559 278332524 603520962 650282429 33915120 24443627 492006353 539083630 245006632 260868465 246999721 278215165 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 539738486 37700 657053582 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. 539738486 true true false true false false false false true true true false true true false true true false false false false false false false false true false 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 318 0 true 6630 true true true false false false false false false false false false X 12 8 false false false false true true true true true false false true true true true true false 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 CLEMENT 40.0 X X 828791 181929 253017 JOHN L GENIER MD 36.0 X 49723 0 0 JEANNE GROVE DO 1.0 X X 0 0 0 ROBERT MAYO MD 36.0 X 300384 0 51536 THOMAS PENN MD 1.0 X 0 0 0 JOHN RIEDMAN 1.0 X 0 0 0 MARGARET SANCHEZ 1.0 X 0 0 0 ROBERT S SANDS 1.0 X 0 0 0 ELAINE SPAULL PHD 1.0 X 0 0 0 JUAN VILLANUEVA 1.0 X 0 0 0 GARY WAHL MD 35.0 X 250618 0 59520 DON TWIETMEYER 1.0 X 0 0 0 DANIEL MEYERS 1.0 X 0 0 0 RALPH PENNINO MD 35.0 X 93829 0 30784 RICHARD CONSTANTINO MD 35.0 X 138367 0 45543 DIANNE SALESIN 1.0 X 0 0 0 ROBERT NESSELBUSH 40.0 X 380073 83431 155183 BRIAN JEPSON 40.0 X 221712 0 7702 HUGH THOMAS 44.0 X 320401 70332 129893 Richard Gangemi 49.0 X 408320 66470 132761 RALPH J DOERR 40.0 X 1525425 0 68081 VINCENT D CHANG 40.0 X 1249252 0 96040 MICHAEL E PICHICHERO 40.0 X 1147248 0 39243 RALPH MADEB 40.0 X 855755 0 18269 JEFFREY RHODES 40.0 X 564252 0 30882 8334150 402162 1118454 445 false true false DGA-MSH LLC 333 WEST COMMERCIAL STREET EAST ROCHESTER NY 14445 CONSTRUCTION 6307251 UNIVERSITY OF ROCHESTER PO BOX 6772 ROCHESTER NY 10249 PHYSICIAN SERVICES 5407060 DGA BUILDERS INC 333 WEST COMMERCIAL STREET EAST ROCHESTER NY 14445 CONSTRUCTION 3293358 HARRIS BEACH PLLC 99 GARNSEY ROAD PITTSFORD NY 14534 LEGAL 1284278 CLARK PATTERSON ASSOCIATES 205 ST PAUL STREET SUITE 500 ROCHESTER NY 14604 ARCHITECT 1153952 34 3239998 909067 2721673 6870738 NET PATIENT SERVICE REVENUE 621110 646423112 620398369 26024743 PSYCH PROGRAM 621400 1921935 1921935 SCHOOL OF NURSING 611600 648316 648316 RESEARCH 541700 2311578 2311578 RENTAL REVENUE FROM RELATED PARTIES 531120 189400 189400 3374178 3374178 654868519 2751983 2751983 0 0 4229967 4229967 4229967 4229967 0 0 0 CAFETERIA/CAFE & CATERING 722210 1853533 1853533 PARKING 812930 1157238 1157238 GIFT SHOP 453220 767063 767063 2227015 2185063 41952 6004849 674726056 631028839 26066695 10759784 37700 37700 0 0 0 2722410 2294730 427680 0 299345829 247992167 51353662 23027790 19077802 3949988 21374332 17708525 3665807 25441844 21078568 4363276 0 2899112 2899112 947858 947858 27695 27695 0 203888 168921 34967 40312332 33401345 6910987 334929 277489 57440 152602071 126430816 26171255 1804395 1494941 309454 0 15826288 13112080 2714208 999595 828164 171431 0 0 3048701 3048701 0 25469344 21272852 4196492 8133949 6738977 1394972 BAD DEBT 21069799 21069799 DUES & SUBSCRIPTIONS 3784565 3130762 653803 OTHER 868003 546452 321551 650282429 539738486 110543943 0 20641542 17378831 32370434 29882283 58289198 56478719 2087114 1670433 10793975 15448775 491512209 305367407 156026633 186144802 77945988 86126932 46661785 53794714 87189684 92158141 492006353 539083630 73675165 74329593 60710000 58422499 905028 1700064 1674913 8183035 108041526 118233274 245006632 260868465 X 216186771 243882720 22852334 26288582 7960616 8043863 246999721 278215165 492006353 539083630 X 24443627 6771817 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true false false false false true 27695 false false false 27695 false GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING SCHEDULE C, PART II-B, LINE 1F THE AMOUNT REFLECTED ON PART II-B, LINE 1F REPRESENTS THE PORTION OF DUES PAID TO HEALTH CARE ASSOCIATION OF NYS ATTRIBUTABLE TO LOBBYING ACTIVITIES. 7960615 83247 8043862 7955419 5196 7960615 7924901 30518 7955419 1.00000 false false 3772705 3772705 216572772 108091872 108480900 256829357 197275535 59553822 14337375 0 14337375 186144802 COMMON COLLECTIVE TRUSTS 15181512 F HEDGE FUNDS 38613202 F 53794714 DUE FROM AFFILIATES 32930285 BENEFICIAL INT IN RGHF ASSETS 37472262 OTHER ASSETS 15155533 ESTIMATED THIRD PARTY REC 6600061 92158141 0 DEFERRED COMPENSATION 1577353 DUE TO AFFILIATE 6941935 ACCRUED SELF INSURANCE 30629819 ESTIMATED 3RD PARTY PAYABLE 77024870 UNAMORTIZED PREMIUM 2059297 118233274 674726056 650282429 24443627 4933944 1837873 6771817 31215444 679114286 4933944 4933944 674180342 545714 545714 674726056 649736715 649736715 545714 545714 650282429 OTHER CHANGES IN NET ASSETS SCHEDULE D, PART XI, LINE 8 CAPITAL CONTRIBUTION TO ROCHESTER GEN LONG TERM CARE $(2,597,786) CHANGE IN BENEFICIAL INTEREST IN RGH FOUNDATION 4,435,659 --------- TOTAL $ 1,837,873 RECONCILIATION OF REVENUE PER AFS TO RETURN SCHEDULE D, PART XII, LINE 4B EXPENSES NETTED AGAINST INCOME ON AUDITED FIN STMTS $545,714 RECONCILIATION OF EXPENSES PER AFS TO RETURN SCHEDULE D, PART XIII, LINE 4B EXPENSES NETTED AGAINST INCOME ON AUDITED FINANCIAL STMTS $545,714 INTENDED USES OF ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4 THE INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS INCLUDE: 1) CAPITAL EXPANSION AND IMPROVEMENT AND 2) ADVANCEMENT OF MEDICAL EDUCATION AND RESEARCH AND HEALTH CARE SERVICES true true X true X true X true true true false true true 9608826 8364814 1244012 0.00200 87861731 80788341 7073390 0.01120 3377344 3392703 -15359 0.00000 100847901 92545858 8302043 0.01320 21530651 10031677 11498974 0.01830 21862065 16790153 5071912 0.00810 5 822308 785099 37209 0.00010 41 42821 0 42821 0.00010 46 44257845 27606929 16650916 0.02660 46 145105746 120152787 24952959 0.03980 true 8349961 0 93118518 86367474 6751044 X true true 1 1 ROCHESTER GENERAL HOSPITAL

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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 $650,282,429. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $21,069,799. AFTER BAD DEBT WAS DEDUCTED FROM TOTAL EXPENSES, THE AMOUNT OF TOTAL EXPENSES USED TO CALCULATE THE PERCENT IN LINE 7, COLUMN (F) WAS $629,212,630. COMMUNITY HEALTH IMPROVEMENT SERVICES & COMMUNITY BENEFIT OPERATIONS PART I, LINE 7E DURING 2010 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 HEALTHFARE (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. 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, TREND IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF 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 APPRPOPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. 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." IN 2010, 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 2010 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 2010, 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 2010 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 2010 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. 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 (RGH)) and the following other hospitals of Monroe County are partners in helping to identify unmet and emerging health care needs in the Monroe County community: 1) Lakeside Health System 2) Unity Health System 3) Strong Memorial Hospital 4) Highland Hospital Public participation and assessment of public health priorities and needs of Monroe County are accomplished using a process known as HEALTH ACTION. HEALTH ACTION is a community-wide health improvement initiative coordinated by the Monroe County Department of Public Health. The vision for HEALTH ACTION is continuous, measurable improvement in health status in Monroe County. This is implemented by selecting priorities for action from heal true AMERICAN DIABETES ASSOCIATION 160 ALLENS CREEK ROAD ROCHESTER NY 14618 131623888 501(c)(3) 7500 sponsorship AMERICAN HEART ASSOCIATION 125 EAST BETHPAGE RD STE 1 ROCHESTER NY 14564 135613797 501(c)(3) 25200 sponsorship 2 Description of Procedures for Monitoring the Use of Grant Funds 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 CLEMENT 558988 122704 259131 56882 10672 2343 203768 44730 3706 813 1036265 227472 0 0 ROBERT MAYO MD 256063 0 28821 0 15500 0 43105 0 8431 0 351920 0 0 0 GARY WAHL MD 169499 0 67577 0 13542 0 52552 0 6968 0 310138 0 0 0 RALPH J DOERR 1488925 0 20000 0 16500 0 66000 0 2081 0 1593506 0 0 0 VINCENT D CHANG 1232752 0 0 0 16500 0 88510 0 7530 0 1345292 0 0 0 MICHAEL E PICHICHERO 1141940 0 0 0 5308 0 34303 0 4940 0 1186491 0 0 0 RALPH MADEB 339230 0 516525 0 0 0 15434 0 2835 0 874024 0 0 0 JEFFREY RHODES 547768 0 0 0 16484 0 21187 0 9695 0 595134 0 0 0 RICHARD CONSTANTINO MD 116367 0 22000 0 0 0 37865 0 7678 0 183910 0 0 0 ROBERT NESSELBUSH 275081 60384 86458 18979 18534 4068 121349 26637 5902 1295 507324 111363 0 0 HUGH THOMAS 226081 49628 75773 16633 18547 4071 95427 20947 11086 2433 426914 93712 0 0 Richard Gangemi 293753 47820 92875 15119 21692 3531 110781 18034 3394 552 522495 85056 0 0 BRIAN JEPSON 96584 0 51511 0 73617 0 6188 0 1514 0 229414 0 0 0 Charter Travel Schedule J, Part I, Line 1 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 2010, 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 RALPH PENNINO, MD THE INCREASE IN THE VALUE OF POSTRETIREMENT BENEFITS DURING 2010 ARE AS FOLLOWS: ROBERT MAYO: $ 941 RALPH PENNINO: $1,764 ROBERT NESSELBUSH $ 927 HUGH THOMAS $1,002 VINCENT CHANG $1,518 RALPH MADEB $ 307 JEFFREY RHODES $ 455 DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64983QGM5 2005-06-09 75349964 SEE PART V false false false DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 000000000 2004-08-26 9935713 CAPITAL EQUIPMENT false false false 20051527 75369516 5217710 4852607 20051527 1506999 2162729 41577942 2009 true false true true 0 0 9935713 0 0 0 50713 0 0 9885000 0 0 2004 false false true true false false false false true 0.00004 0.00000 0.00004 true false false false false true 0.00000 0.00000 0.00000 true false false false false false false false false false false false false PURPOSE OF BOND ISSUE PART I, COLUMN (F) THE PURPOSE OF THE ISSUE WAS TO DEFEASE THE OUTSTANDING 1993 BONDS AND FINANCE CERTAIN HOSPITAL RENOVATIONS AND EXPANSION. TOTAL PROCEEDS OF ISSUE PART II, LINE 3 THE TOTAL PROCEEDS OF ISSUE ON PART II, LINE 3 DIFFERS FROM THE ISSUE PRICE ON PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS OF $19,552. Classes of Members and Membership rights Form 990, Part VI, QUESTIONS 6, 7a and 7b Part VI, Question 6: The Rochester General Hospital (RGH) 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. 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. Part VI, question 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, QUESTION 11 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 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 PROCESS FORM 990, PART VI, QUESTION 15A AND B THE ORGANIZATION'S OFFICER AND KEY EMPLOYEE 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/KEY EMPLOYEE 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. 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 ITS ADMINISTRATIVE OFFICES AT 100 KINGS HIGHWAY SOUTH, ROCHESTER, NY 14617. 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 Long Term Care 1 hr/wk Rochester Mental Health Center 1 hr/wk Rochester General Hudson Housing 1 hr/wk Rochester General Health System 1 hr/wk Independent Living for Seniors MARK CLEMENT: 4 hrs/wk Newark-Wayne Community Hospital 1 hr/wk Newark-Wayne Community Hospital Fdn. 1 hr/wk Rochester General Hudson Housing 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 The Genesee Hospital Foundation Inc 1 hr/wk Rochester General Hospital Foundation 2 hrs/wk Rochester General Long Term Care JOHN GENIER: 1 hr/wk Rochester General Long Term Care 1 hr/wk Rochester Mental Health Center 1 hr/wk Rochester General Hudson Housing 1 hr/wk Independent Living for Seniors JEANNE GROVE: 1 hr/wk Rochester General Long Term Care 1 hr/wk Rochester Mental Health Center 1 hr/wk Rochester General Hudson Housing 1 hr/wk Independent Living for Seniors 1 HR/WK Rochester General Hospital Foundation ROBERT MAYO: 1 hr/wk Rochester General Long Term Care 1 hr/wk Rochester Mental Health Center 1 hr/wk Independent Living for Seniors 1 hr/wk Rochester General Hudson Housing THOMAS PENN 1 hr/wk Rochester General Long Term Care 1 hr/wk Rochester Mental Health Center 1 hr/wk Independent Living for Seniors 1 hr/wk Rochester General Hudson Housing JOHN RIEDMAN 1 hr/wk Rochester General Long Term Care 1 hr/wk Rochester Mental Health Center 1 hr/wk Independent Living for Seniors 1 hr/wk Rochester General Hudson Housing MARGARET SANCHEZ 1 hr/wk Rochester General Long Term Care 1 hr/wk Rochester Mental Health Center 1 hr/wk Independent Living for Seniors 1 hr/wk Rochester General Hudson Housing ROBERT SANDS 1 hr/wk Rochester General Long Term Care 1 hr/wk Rochester Mental Health Center 1 hr/wk Independent Living for Seniors 1 hr/wk Rochester General Hudson Housing ELAINE SPAULL 1 hr/wk Rochester General Long Term Care 1 hr/wk Rochester Mental Health Center 1 hr/wk Independent Living for Seniors 1 hr/wk Rochester General Hudson Housing JUAN VILLANUEVA 1 hr/wk Rochester General Long Term Care 1 hr/wk Rochester Mental Health Center 1 hr/wk Independent Living for Seniors 1 hr/wk Rochester General Hudson Housing GARY WAHL 1 hr/wk Rochester General Long Term Care 1 hr/wk Rochester Mental Health Center 1 hr/wk Independent Living for Seniors 1 hr/wk Rochester General Hudson Housing 1 HR/WK Rochester General Health System DON TWEITMEYER 1 hr/wk Rochester General Long Term Care 1 hr/wk Rochester Mental Health Center 1 hr/wk Independent Living for Seniors 1 hr/wk Rochester General Hudson Housing 1 hr/wk Rochester General Hospital Foundation DANIEL MEYERS 1 hr/wk Rochester General Long Term Care 1 hr/wk Rochester Mental Health Center 1 hr/wk Independent Living for Seniors 1 hr/wk Rochester General Hudson Housing 1 hr/wk Newark Wayne Community Hospital RALPH PENNINO 1 hr/wk Rochester General Long Term Care 1 hr/wk Rochester Mental Health Center 1 hr/wk Independent Living for Seniors 1 hr/wk Rochester General Hudson Housing 1 hr/wk Rochester General Hospital Foundation RICHARD CONSTANTINO 1 hr/wk Rochester General Long Term Care 1 hr/wk Rochester Mental Health Center 1 hr/wk Independent Living for Seniors 1 hr/wk Rochester General Hudson Housing 1 hr/wk Rochester General Hospital Foundation DIANNE SALESIN 1 hr/wk Rochester General Long Term Care 1 hr/wk Rochester Mental Health Center 1 hr/wk Independent Living for Seniors 1 hr/wk Rochester General Hudson Housing ROBERT NESSELBUSH 2 hrs/wk Rochester General Long Term Care 4 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 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 HUGH THOMAS 2 hrs/wk Rochester General Long Term Care 4 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 RICHARD GANGEMI 2 HRS/wk Rochester General Long Term Care 4 hrs/wk Newark-Wayne Community Hospital OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 5 UNREALIZED GAIN ON INVESTMENTS $ 4,933,944 CHANGE IN INTEREST IN NET ASSETS OF RGH FOUNDATION 4,435,659 FORGIVENESS OF AMT DUE FROM ROCH GEN LONG TERM CARE -2,597,786 ---------- PART XI, LINE 5 AMOUNT $ 6,771,817 WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY FORM 990, PART VI, LINE 14 Since the filing organization's tax year end is December 31, it did not have the opportunity to have its governing board adopt the Document Retention and Destruction Policy by the end of the tax year covered by this return. The Board will formally adopt through documentation of approval of the resolution in its board minutes for 2011. 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 ROCHESTER MENTAL HEALTH CENTER 490 EAST RIDGE ROAD ROCHESTER NY 14621 166069131 MENTAL HEALTH NY 501(C)(3) 9 RGHS GRHS FOUNDATION 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 223378111 R/E INV MGMT NY 501(C)(3) 11-TYPE II RGHS THE ROCHESTER GENERAL HOSPITAL FDN 1445 PORTLAND AVENUE ROCHESTER NY 14621 222229425 FUNDRAISING NY 501(C)(3) 11-TYPE II RGHS THE GENESEE HOSPITAL FOUNDATION 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 222963344 FUNDRAISING NY 501(c)(3) 11-TYPE II RGHS Newark-Wayne Community Hospital driving park avenue newark NY 14513 150584188 hospital NY 501(c)(3) 3 RGHS RGHS WORKERS' COMPENSATION TRUST 1425 PORTLAND AVENUE ROCHESTER NY 14621 166429300 SEE PART VII NY 501(C)(3) 11-TYPE II RGHS CONTINUING CARE NETWORK INC (CCN) 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 222963016 SUPPORT RGH NY 501(C)(3) 11-TYPE II RGHS ROCHESTER GENERAL HUDSON HOUSING 2066 HUDSON AVENUE ROCHESTER NY 14621 223210351 LOW INC HSING NY 501(C)(3) 9 RGHS INDEPENDENT LIVING FOR SENIORS 2066 HUDSON AVENUE ROCHESTER NY 14617 161491059 ADULT DAY HC NY 501(C)(3) 9 RGHS ROCHESTER GENERAL LONG TERM CARE 1550 EMPIRE BLVD WEBSTER NY 14580 223187140 NH & REHAB NY 501(C)(3) 9 RGHS GRACO Risk Retention Group 1425 PORTLAND AVENUE Rochester NY 14621 710933967 Insurance NY RGH C Corp 1542263 7867318 1.00000 Greater Rochester Assurance Company Ltd insurance CJ NA C CORP 0 0 0.00000 false true true true true false false false false true true true false false true true true false ROCHESTER GENERAL HOSPITAL FOUNDATION C 3239998 INDEPENDENT LIVING FOR SENIORS INC D 2246447 INDEPENDENT LIVING FOR SENIORS INC P 92928 INDEPENDENT LIVING FOR SENIORS INC O 57185 NEWARK-WAYNE COMMUNITY HOSPITAL D 1020037 ROCHESTER GENERAL LONG-TERM CARE D 185549 ROCHESTER MENTAL HEALTH CENTER D 1802044 ROCHESTER GENERAL HOSPITAL FOUNDATION D 1907069 RGHS WORKERS' COMPENSATION TRUST D 9088252 GREATER ROCHESTER HEALTH SYSTEM FOUNDATION D 5610626 GREATER ROCHESTER HEALTH SYSTEM FOUNDATION E 5264176 NEWARK-WAYNE COMMUNITY HOSPITAL K 3766545 ROCHESTER GENERAL LONG-TERM CARE B 2597786 GREATER ROCHESTER HEALTH SYSTEM FOUNDATION J 173550 RGHS WORKERS' COMPENSATION TRUST Q 4574000 GREATER ROCHESTER ASSURANCE COMPANY LTD D 10357377 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.