STRATEGY STUDIO / PUBLIC DATA EXPLORER

THE FREDERICK FERRIS THOMPSON HOSPI TAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
THE FREDERICK FERRIS THOMPSON HOSPI TAL (EIN 16-0743024)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-10
IRS object ID
201143149349303029
Schema version
2010v3.4
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)
Timestamp2011-11-10T11:39:56-07:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN160743024EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FREDERICK FERRIS THOMPSON HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFREDNameControl
Phone5853966124Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 Parrish StreetAddressLine1
CityCanandaiguaCity
StateNYState
ZIP Code14424ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMark PrunoskeName
TitleSr VP Finance/CFOTitle
Phone5853966490Phone
Date Signed2011-11-10DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLinda FarchioneNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1350 Parrish StreetAddressLine1
CityCanandaiguaCity
StateNYState
ZIP Code14424ZIPCode
FieldValueIRS element (for citing)
Gross Receipts90706065GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.thompsonhealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1904YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionFF Thompson Hospital Inc. is a community hospital which exists to serve the healthcare needs of the people in partnership with regional healthcare providers. FF Thompson Hospital serves as the center of a healthcare network to provide a full range of health care services and to improve community health.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees1633TotalNbrEmployees
Total Nbr Volunteers275TotalNbrVolunteers
Total Gross UBI270837TotalGrossUBI
Net Unrelated Business Txbl Income-78509NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year495114ContributionsGrantsPriorYear
Contributions Grants Current Year2397558ContributionsGrantsCurrentYear
Program Service Revenue Prior Year84311266ProgramServiceRevenuePriorYear
Program Service Revenue CY84131783ProgramServiceRevenueCY
Investment Income Prior Year19374InvestmentIncomePriorYear
Investment Income Current Year-126813InvestmentIncomeCurrentYear
Other Revenue Prior Year1251718OtherRevenuePriorYear
Other Revenue Current Year1092661OtherRevenueCurrentYear
Total Revenue Prior Year86077472TotalRevenuePriorYear
Total Revenue Current Year87495189TotalRevenueCurrentYear
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 Year44994870SalariesEtcPriorYear
Salaries Etc Current Year47125197SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year352507TotalFundrsngExpCurrentYear
Other Expense Prior Year38709438OtherExpensePriorYear
Other Expenses Current Year38693224OtherExpensesCurrentYear
Total Expenses Prior Year83704308TotalExpensesPriorYear
Total Expenses Current Year85818421TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2373164RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1676768RevenuesLessExpensesCY
Total Assets BOY74360488TotalAssetsBOY
Total Assets EOY82680732TotalAssetsEOY
Total Liabilities BOY40625053TotalLiabilitiesBOY
Total Liabilities EOY49093828TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY33735435NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY33586904NetAssetsOrFundBalancesEOY
Mission DescriptionFF Thompson Hospital Inc. is a community hospital which exists to serve the healthcare needs of the people in partnership with regional healthcare providers. FF Thompson Hospital serves as the center of a healthcare network to provide a full range of healthcare services and to improve community health.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense71922437Expense
Grants0Grants
Revenue84131783Revenue
DescriptionInpatient Care: 5,087 Inpatient discharges, 19,875 Inpatient days. Outpatient: 880,252 Lab visits/tests, 25,667 ED visits, 64,607 Diagnostic Imaging, 11,518 Urgent Care, 15,114 Rehabilitation Services, and 5,507 Surgical Services. Charity Care was provided in the amount of $1,091,359 (at cost), Community Benefit was $2,406,132. Uncompensated care was $2,467,747 (at cost)Description
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense71922437TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096179NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1633NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1FF Thompson HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5853966124TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1350 Parrish StreetAddressLine1
CityCanandaiguaCity
StateNYState
ZIP Code14424ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Linda M Farchione
President/CEO32.75XX0405737153891
Ellie Fralick
Board Member1X000
Dr Ronald Hainen MD
Board Member1X000
Richard Cutri
Board Member1X000
William R Kenyon
Board Chair1XX000
George W Hamlin IV
Board Chair Emeritus1XX000
R Douglas Alling MD
Board Member President of Medical Staff2XX1280000
Robert Sands
Board Treasurer1XX000
Ronald Knight
Board Vice Chair1XX000
Reverend Thomas Mull
Board Member1X000
James H Barr CPA
Board Member1X000
Paul Hudson
Board Member1X000
Richard Bottorf
Board Member1X000
Brian Meath
Board Secretary1XX000
Richard H Hawks Jr
Board Member1X000
Thomas Kubiak
Board Member1X000
Dr Carl Sahler MD
Board Member1X000
Deborah Price
Board Member1X000
Dianne Cooney Miner PhD
Board Member1X000
Deborah K Weymouth
Executive VP & COO32.75X2480923625590016
Carlos Ortiz MD
SVP Medical Services35X026015475770
Christopher B Mahan
SVP Development and Support Services12X4122911466657382
Jennifer DeVault
VP Associate Services and Wellness40X114484039262
Mark Prunoske
Senior VP & CFO29.75X560028568136958
Hazel Robertshaw
VP Patient Care Services/CNO40X110275019206
Dr Anthony Geraci MD
VP Emergency & Outpatient Practices40X283752087549
Dr Vijay Bansal MD
Physician40.50266653029362X
Dr David Baum MD
Physician42.12285005083943X
Dr Timothy Pitler MD
Physician43.912990540126271X
Dr Sunil Bansal MD
Physician43.03287646052596X
Dr Tamara Prull MD
Physician40.71277592034568X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2059301TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1102493TotalReportableCompFrmRltdOrgs
Total Other Compensation886774TotalOtherCompensation
Number Individuals GT100 K33NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensationBusiness Name Line2NameOfContractor/NameBusiness/BusinessNameLine2
LeChase Construction
300 Trolley BlvdRochesterNY14606Construction1407130
Francis Cauffman
2120 Arch StreetPhiladelphiaPA19103Construction1004443Hoffman Architects LTD
Laboratory Corporation of America Holdings
P O Box 12140BurlingtonNC272162140Reference Lab Services800810
Canandaigua Medical Group PC
335 Parrish StreetCanandaiguaNY14424On Call Services319796
Canandaigua Orthopaedic Associate PC
514 S Main StreetCanandaiguaNY14424On Call Services300000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K16NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations2252814RelatedOrganizations
Government Grants144744GovernmentGrants
All Other Contributions0AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions2397558TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Community Health Service6220006624694065976103270837$0
Medicare/Medicaid Payments62200017884843178848430$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue84131783TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column89683TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$89,683ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities690438Securities
Other2303942Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities659508Securities
Other2551368Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities30930Securities
Other-247426Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-216496TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$216,496ExclusionAmount
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events0CntrbtnsRprtdFundraisingEvents

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionAssociate/Patient SupportDescription
Business Code622000BusinessCode
Total Revenue Column1092661TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,092,661ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1092661TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column87495189TotalRevenueColumn
Related Or Exempt Function Income83860946RelatedOrExemptFunctionIncome
Unrelated Business Revenue270837UnrelatedBusinessRevenue
Exclusion$965,848ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total630551Total
Program Services0ProgramServices
Management And General630551ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total37513842Total
Program Services33021142ProgramServices
Management And General4492700ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1526737Total
Program Services1328261ProgramServices
Management And General198476ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4670018Total
Program Services4062916ProgramServices
Management And General607102ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2784049Total
Program Services2422123ProgramServices
Management And General361926ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1517543Total
Program Services1339185ProgramServices
Management And General178358ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total327917Total
Program Services0ProgramServices
Management And General327917ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total78473Total
Program Services0ProgramServices
Management And General78473ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4530364Total
Program Services3421806ProgramServices
Management And General1108558ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total51755Total
Program Services0ProgramServices
Management And General51755ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total13904645Total
Program Services13539628ProgramServices
Management And General365017ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1904486Total
Program Services1221399ProgramServices
Management And General683087ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2030860Total
Program Services1917156ProgramServices
Management And General113704ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total145228Total
Program Services78414ProgramServices
Management And General66814ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total243451Total
Program Services200132ProgramServices
Management And General43319ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total660687Total
Program Services0ProgramServices
Management And General660687ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total352507Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising352507Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5709982Total
Program Services4967684ProgramServices
Management And General742298ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total890425Total
Program Services59757ProgramServices
Management And General830668ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Provision for Uncollectable Accounts2553254255325400
New York State Cash Assessment29094602909460
Health System Member Assessment3105060149042916146310
Equipment & Maintenance234709223916107930
Dues & Subscriptions16093275235856970

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total85818421Total
Program Services71922437ProgramServices
Management And General13543477ManagementAndGeneral
Fundraising352507Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2985BOY
EOY3035EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY14252379BOY
EOY15197985EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5416301BOY
EOY4998183EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1453558BOY
EOY1353903EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1022737BOY
EOY1149549EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis92873895LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec54051907LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY38463619BOY
EOY38821988EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY627289BOY
EOY683632EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY13121620BOY
EOY20472457EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY74360488BOY
EOY82680732EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY9814559BOY
EOY11772293EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY12800000BOY
EOY11700000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4197472BOY
EOY7429744EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY13813022BOY
EOY18191791EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY40625053BOY
EOY49093828EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY25816718BOY
EOY22786988EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY7918717BOY
EOY10799916EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY33735435BOY
EOY33586904EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY74360488BOY
EOY82680732EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1676768ReconcilationRevenueExpenses
Reconcilation Other Changes-1825299ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance5619137BeginningOfYearBalance
Contributions72378Contributions
Investment Earnings Or Losses814801InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures266626OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance6239690EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance4831696BeginningOfYearBalance
Contributions57312Contributions
Investment Earnings Or Losses976186InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures246057OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance5619137EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance7159761BeginningOfYearBalance
Contributions267354Contributions
Investment Earnings Or Losses-2251021InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures344398OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance4831696EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.91BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.09PermanentEndowmentEOYBalance
Term Endowment EOY Balance0TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis58076OtherCostOrOtherBasis
Book Value58076BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis45645901OtherCostOrOtherBasis
Depreciation23634285Depreciation
Book Value22011616BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis360818OtherCostOrOtherBasis
Depreciation156673Depreciation
Book Value204145BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis40245991OtherCostOrOtherBasis
Depreciation28873257Depreciation
Book Value11372734BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis6563109OtherCostOrOtherBasis
Depreciation1387692Depreciation
Book Value5175417BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings38821988TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
Other Assets80938
Due from Affiliates2111937
Assets Limited as to Use5504097
Beneficial Interest in Charitable Remainder Trust337426
Deferred Financing Costs, net1975569
Beneficial Interest in net assets of FFTH Foundation10462490
FieldValueIRS element (for citing)
Total Book Value Other Assets20472457TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
Conditional Asset Retirement Obligation$1,429,676
Accrued Pension Liability$8,672,210
Charitable Gift Annuity Payment Liability$174,298
Interest Rate Swap Liability$620,765
Third Party Payor Accrual$7,294,842
FieldValueIRS element (for citing)
Total Of Amounts18191791TotalOfAmounts
Total Revenue87495189TotalRevenue
Total Expenses85818421TotalExpenses
Excess Or Deficit For Year1676768ExcessOrDeficitForYear
Net Unrealized GL On Investments156650NetUnrealizedGLOnInvestments
Donated Services And Facilities0DonatedServicesAndFacilities
Investment Expenses0InvestmentExpenses
Prior Period Adjustments0PriorPeriodAdjustments
Other-$1,981,949OtherAmount
Total Adjustments-1825299TotalAdjustments
Excess Or Deficit Per FS-148531ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt85448732TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues0OtherRevenues
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal85448732RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included2046457OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt2046457RevenueNotRptdOnFinStmt
Total Revenue Per Form99087495189TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt85465915TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal85465915ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included352506OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt352506ExpensesNotRptdOnFinStmt
Total Expenses Per Form99085818421TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchD_P05_S00_L04Schedule D, Part V, Line 4The funds are for the benefit of FF Thompson Health System, Hospital, Senior Communities, and Continuing Care Center. The Foundation continuously evaluates the needs of these organizations and attempts to meet those needs.
SchD_P10_S00_L02Schedule D, Part X, Line 2The Hospital adopted the provisions of ASC Section 740 on January 1, 2009, and there was no impact on the Hospital's financial statements. As of December 31, 2010 the Hospital does not have a liability for unrecognized tax benefits.
SchD_P11_S00_L08Schedule D, Part XI, Line 8Change in value of interest rate swap -$230,314, Change in value of charitable gift annuities -$31,169, Change in funded status of pension plan -$4,601,665, Change in beneficial interest in charitable remainder trust -$37,769, Change in beneficial interest in the net assets of the FF Thompson Foundation Inc. $2,918,968
SchD_P12_S00_L04bSchedule D, Part XII, Line 4bFFTH Foundation and other income $2,252,814, Net Assets released from restrictions used for operations -$79,544, Investment Income $120,613, Loss on disposal of equipment -$247,426
SchD_P13_S00_L04bSchedule D, Part XIII, Line 4bContribution to The FF Thompson Foundation Inc $352,506

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1383481TotalCommunityBenefitExpense
Direct Offsetting Revenue292122DirectOffsettingRevenue
Net Community Benefit Expense1091359NetCommunityBenefitExpense
Percent Of Total Expense0.0132PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense7891516TotalCommunityBenefitExpense
Direct Offsetting Revenue6121034DirectOffsettingRevenue
Net Community Benefit Expense1770482NetCommunityBenefitExpense
Percent Of Total Expense0.0214PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense9274997TotalCommunityBenefitExpense
Direct Offsetting Revenue6413156DirectOffsettingRevenue
Net Community Benefit Expense2861841NetCommunityBenefitExpense
Percent Of Total Expense0.0346PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense773067TotalCommunityBenefitExpense
Direct Offsetting Revenue89627DirectOffsettingRevenue
Net Community Benefit Expense683441NetCommunityBenefitExpense
Percent Of Total Expense0.0082PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2652327TotalCommunityBenefitExpense
Direct Offsetting Revenue3195891DirectOffsettingRevenue
Net Community Benefit Expense543564NetCommunityBenefitExpense
Percent Of Total Expense0.0066PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense114322TotalCommunityBenefitExpense
Direct Offsetting Revenue853DirectOffsettingRevenue
Net Community Benefit Expense113469NetCommunityBenefitExpense
Percent Of Total Expense0.0014PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense3539716TotalCommunityBenefitExpense
Direct Offsetting Revenue3286371DirectOffsettingRevenue
Net Community Benefit Expense1340474NetCommunityBenefitExpense
Percent Of Total Expense0.0162PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense12814713TotalCommunityBenefitExpense
Direct Offsetting Revenue9699527DirectOffsettingRevenue
Net Community Benefit Expense4202315NetCommunityBenefitExpense
Percent Of Total Expense0.0508PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense271687TotalCommunityBuildingExpense
Direct Offsetting Revenue3620DirectOffsettingRevenue
Net Community Building Expense268067NetCommunityBuildingExpense
Percent Of Total Expense0.0032PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense106205TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense106205NetCommunityBuildingExpense
Percent Of Total Expense0.0013PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense125949TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense125949NetCommunityBuildingExpense
Percent Of Total Expense0.0015PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense565437TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense565437NetCommunityBuildingExpense
Percent Of Total Expense0.0068PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense1069278TotalCommunityBuildingExpense
Direct Offsetting Revenue3620DirectOffsettingRevenue
Net Community Building Expense1065658NetCommunityBuildingExpense
Percent Of Total Expense0.0128PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$2,467,747BadDebtExpenseAmount
Amount Attributable To42452AmountAttributableTo
Amount Reimbursed By Medicare15217101AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare16185819CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-968718MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1The Fredrick Ferris Thompson HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1350 Parrish StreetAddressLine1
CityCanandaiguaCity
StateNYState
ZIP Code14424ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1The Fredrick Ferris Thompson HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchH_P01_S00_L03cSchedule H, Part I, Line 3cN/A
SchH_P01_S00_L07Schedule H, Part I, Line 7Patient Cost to Charge system from the worksheets.
SchH_P01_S00_L072fSchedule H, Part I, Line 7, Column fThe amount of bad debt expense included in Form 990, Part IX, line 25, column (A) is $2,553,254 and is removed for the purposes of calculating the percentage on Schedule H, Part I, Line 7, column (f).
SchH_P01_S00_L07gSchedule H, Part I, Line 7gThere are no physician clinic costs included in these services.
SchH_P02_S00_L00Schedule H, Part IIThompson health maintains many links and affiliations with community and health organizations to enhance its ability to develop and deliver community programs. Through our provider network and existing partnerships in the community, Thompson Health has established a diverse array of community health programs to meet the community's specific needs. Some of our affiliations include work with the county, schools, and colleges, industry, chambers of commerce and related service groups, as well as other non-profit community organizations.
SchH_P03_S0A_L04Schedule H, Part III, Section A, Line 4As noted in the financial statement's footnote, "An allowance for doubtful accounts receivable is estimated by management based on periodic reviews of the collectability of accounts receivable considering historical experience and prevailing economic conditions." Bad Debt expense is not included in the Community Benefit number or treated as community benefit. Bad debt expenses are calculated by converting the net expense per the audited financials back to gross charges. Gross charges are then reduced to cost using the cost to charge ratio calculated on Worksheet A of the 2010 schedule H 990 form.
SchH_P03_S0B_L08Schedule H, Part III, Section B, Line 8Medicare payments are converted to Medicare gross charges. The cost to charge ratio computed on worksheet 2, line 11 is then applied. Medicare shortfalls are not included in or considered community benefit.
SchH_P03_S0C_L09bSchedule H, Part III, Section C, Line 9bPatient balance-due accounts that are not Medicare primary, which include patients that qualify for charity care or financial assistance that are not paid in full or are not subject of an agreed-upon payment arrangement or in the process of review for financial aid or pending Medicaid are eligible to be referred to a collection agency when they reach a delinquency status of 90 days old from date of first self-pay bill. Self-pay bills which are a result of medicare coinsurance and/or deductible are eligibile to be referred to a collection agency when they reach a delinquency status of 120 days old from date of first self pay bill.
SchH_P06_S00_L02Schedule H, Part VI, Line 2Based on its commitment to the community, FF Thompson hospital completed a community health assessment to better understand the needs of the community members. The following identifies the participants in the process of conducting the community health assessments. Participants: The hospital worked with a broad-base of area community agencies known as "The Ontario County Partners for Community Solutions" to continue actions and implement the community health assessment. The participants in this committee included FF Thompson health, the Ontario County Department of Public Health, the Ontario County Office of Aging, the Ontario County Youth Bureau, the United Way, and the Canandaigua Churches in Action (a local church consortium.) Together this group developed and implemented a community health assessment to determine the ongoing needs of the county and to continue laying the groundwork for a county plan to address these needs.
SchH_P06_S00_L03Schedule H, Part VI, Line 3The Thompson Health Community Care Program is communicated in appropriate detail in several mediums. All efforts to provide information at a variety of locations using a variety of media and techniques is attempted. Thompson Health makes its best effort to make the program information available to patients prior to them receiving services, however; it is recognized that in many cases patients will investigate the Financial Aid/Community Care program after services are rendered. Thompson Health makes its best efforts to verbally communicate the program through its associates recognizing that there are levels of associate involvement. Patient registration staff verbally inform all self pay patients of this available benefit. There are pamphlets and informational sheets available for all patients in the registration area. Thmpson Health associates are given information sheets to assist them with the ability to communicate this program to patients. Translation services are available as needed for any population that reaches 5% of total population visits per year. A variety of written communications are also used such as: Information sheets - located in the same areas as the signs will be information sheets regarding the availability of a financial aid/community care program identifying key contacts for further information. Application & Directions - these documents provide the patient with the program application and directions as to how to complete the application and the additional information required for a complete application. These applications are handed out in the Emergency Department to self-pay patients. Patient Bills & Collection Correspondence - patient billing statements include a statement regarding the existence of the program and who to contact. Simliar information is included in the "collection" letters. Electronic Media: Intranet - Thompson Health's intranet includes this policy and directions in the Policy & Procedure Manual on the intranet making the policy and program available to all associates. Internet Web Site - Thompson Health incorporates general information about the policy, sliding fee application and directions on its web site. Non-Patient Communication - Financial counselors communicate the program with community health & human service agencies and social service organizations and agencies. (i.e. Office of the Aging, etc.) as well as companies it utilizies in its collection efforts (i.e. collection agencies.)
SchH_P06_S00_L04Schedule H, Part VI, Line 4The method by which FF Thompson hospital defines its service area includes an analysis of its primary and secondary service area as well as the area demographics. The following defines the service areas and provides a demographic summary of the region. Definition of primary and secondary service areas: Thompson health provides services to persons in Ontario County and parts of Wayne, Monroe, Livingston, Yates, and Seneca counties. Thompson health defines its primary service area as including those zip codes that cumulatively add up to 70% of its inpatient admissions and where we receive greater than 50% of the market share. At the 70th percentile the remaining zip codes (up to the 90th percentile) comprise the secondary service area. Distribution by age group for the community is as follows: 29% 35 - 54, 18% 0 - 14, 13% 55 - 64, 12% 25 - 34, 10% 18 - 24, 8% 15 - 17. The current household incomes fall into the following groups: 27% $25-50k, 22% $50k - 75k, 19% Over $100k, 14% $75k - 100k, 18% under $25k. Population distribution by race/ethnicity is 94% White, Non-Hispanic, 3% Hispanic, 2% Black, 1% All others.
SchH_P06_S00_L05Schedule H, Part VI, Line 5A majority of Thompson Health's governing body is comprised of persons who reside in our primary service area and are neither employees, contractors, or family members therof. Our organization extends priviledges to all qualified physicians in our community for all departments. All surplus funds are rolled into a fund balalnce for future year capital growth purposes which ensures improvement of our patient care areas. Thompson Hospital is committed to staying connected to our community members. Each of our executives and many of our directors serve on at least one or two boards of directors for the businesses in our community. Also in response to a national shortage of physicians, Thompson continutes to recruite new physicians specializing in several arenas as well as additional family practitioners ensuring physician coverage for our community members. FF Thompson Hospital was designated a second time in Februrary 2010 as a Magnet facility for the excellence of its nursing services by the American Nurses Credentialing Cetner. Thompson Hospital is a New York State Department of Health designated Stroke Center. We strive to use our resources effectively and efficiently to promote health and to reduce the overall cost of health care, address a multitude of issues and populations, address the health needs of the individual that go beyond medical and physical issues, and to ensure services are locally based. Our community building activities promote health in many ways. With over ten support groups that meet at least monthly, Thompson provides essential education to those experiencing medical, behavioral, and emotional challenges. Also, the groups provide an opportunity for community members to connect with one another and to share valuable insights on how to overcome barriers to living in a state of optimal health and wellness. FF Thompson hospital either creates sponsors or facilitates innumerable health fairs throughout the year joining the community organizations to provide valued information on health and wellness to the community. Major events in 2010 include the community outreach event we was held at a local supermarket to celebrate wellness. The term "one-stop shopping" took on added meaning as Thompson Health partnered with Wegmans, taking its message of being proactive in regard to one's health to the stores in Canandaigua, Pittsford and Perinton. During events held in 2010, well over 100 Wegmans shoppers and employees received cholesterol/glucose testing, blood pressure screenings and consultations with cardiologists, as well as helpful information on stroke, nutrition and diabetes. With almost two-thirds of residents aged 45-64 overweight or obese, Thompson wants the community on track for a healthier future. Joining with Finger Lakes Health, Clifton Springs Hospital & Clinic and Ontario County, we helped develop a work plan to address chronic disease, physical activity/nutrition, and access to care. Through an initiative called Choose Health OntariO (CHOO), this team also shared healthy tips via mailings aimed at improving behaviors and making healthy choices.
SchH_P06_S00_L06Schedule H, Part VI, Line 6Thompson Health is comprised of the following corporations: FF Thompson Hospital, a 113-bed acute care facility, MM Ewing Continuing Care Care Center, a 188-bed long term care facility, the FF Thompson Foundation, FFTH properties and services, and FFTH Senior Communities, which owns and operates a senior living community featuring independent and enriched living residences. Those within these corporations of Thompson Health promote its vision, which is "Bringing Confidence and Compassion to Every Healthcare Experience. With this vision as our foundation, Thompson Health's Board of Directors, medical staff, volunteers, and associates are committed to being directly involved in the health and well-being of our community by keeping the community healthy by providing excellence in our primary and secondary care services, wellness information, and community education.
SchH_P06_S00_L07Schedule H, Part VI, Line 7New York

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs1CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 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
Linda M Farchione
0314004067500024233014461609275055962800
Carlos Ortiz MD
023687002211001174059100016670033592400
Deborah K Weymouth
248091984700373020483101077748827921413519531588400
Mark Prunoske
44926856816481045960876912058679293397156410707800
Christopher B Mahan
41229972760122720511816291384337921867583121549660
Dr Anthony Geraci MD
2554200180290103030645670229820371301000
Dr Timothy Pitler MD
290696053250303401093060169650425326000
Dr Sunil Bansal MD
28123800064080310260215700340242000
Dr David Baum MD
273274000117310662450176980368948000
Dr Tamara Prull MD
26661600010976026768078000312160000
Dr Vijay Bansal MD
2638800002773021562078000296015000
Jennifer DeVault
1049970934501420193830198790153746000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchJ_P01_S00_L04Schedule J, Part I, Line 4The President/CEO and the Senior VP's participate in a 457(f) plan. Contributions to the plan for 2010 were $121,318 ($63,629 for Linda Farchione, $23,001 for Carlos Ortiz, $24,189 for Deborah Weymouth, and $10,499 for Chris Mahan)
SchJ_P01_S00_L06Schedule J, Part I, Line 6President/CEO and Executive VP/COO are eligible for a variable % YE incentive based on predetermined goals. The goals are operational, financial and managerial in nature. The financial goal is tied in part to the net earnings of the organization.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Ontario County Industrial Development Agency
521326077683058AA92003-07-012000000Retire outstanding debt of the hospital000
Ontario County Industrial Development Agency
521326077683058AB72003-07-0112800000To construct an addition to and renovate portions of the hospital000
Ontario County Local Development Corporation
2724354892010-08-1029700000To construct an addition to and renovate portions of the hospital000

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
00200000000000000020041011
001280000000000000020040011
0090022409224089100000002889977620120001

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedTotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0000001
0000001
0000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
Keybank
0111000000
Keybank
01110.0000000
(no name)
000000

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
IdentifierSchK_P02_S00_L03Identifier
Return ReferenceSchedule K, Part II, Line 3ReturnReference
Explanation$29.7M of bank qualified tax exempt bonds were issued in August 2010. The only bond proceeds received in 2010 were $891,000 to cover closing costs and $9,224 of capitalized interest payments.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0B_L11aForm 990, Part VI, Section B, Line 11aThe Director of Finance reviewed the return and consulted with the independent auditors on any areas of question. The return was presented at a Board meeting prior to filing, with an overview of the changes from prior year. The return was made available to the Board members via a shared intranet web-site. Questions were entertained by management prior to filing.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cThe conflict of interest disclosure statements for the Board members are submitted annually to the Chair of the nominating committee and they are responsible for monitoring compliance and follow-up with any potential conflicts. For the Officers the statements are submitted annually to the CEO who is responsible for monitoring compliance and follow-up with any potential conflicts
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15Executive compensation at Thompson is established by the compensation committee of the Board of Directors. The committee uses an Independent Company to gather comparable data in determining compensation levels for the President/CEO and Senior level executives. The full Board of Directors is surveyed by the compensation committee on executive performance; this is considered in determining compensation levels. The compensation committee is also involved in goal setting for the executive team, which ties back to their performance reviews and compensation rates. The year this process was last undertaken for each such person was 2009.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19These documents are available upon request by contacting the Administration office.
F990_P11_S00_L05Form 990, Part XI, Line 5Change in value of interest rate swap -$230,314, Change in net unrealized gains (losses) on investments $156,650, Change in value of charitable gift annuities -$31,169, Change in funded status of pension plan -$4,601,665, Change in beneficial interest in charitable remainder trust -$37,769, Change in beneficial interest in the net assets of the FF Thompson Foundation Inc $2,918,968

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
FF Thompson Foundation Inc
350 Parrish StreetCanandaiguaNY14424222959984Philanthropic support for the services and priority needs of the systemNY501(c)(3)7N/A
FF Thompson Health System Inc
350 Parrish StreetCanandaiguaNY14424222959987Parent to 7 separate organizations to support the health and well being of the communityNY501(c)(3)11aN/A
Ontario County Advanced Life Support Inc
350 Parrish StreetCanandaiguaNY14424161252661Provider of mobile advanced life support servicesNY501(c)(3)3N/A
M M Ewing Continuing Care Center
350 Parrish StreetCanandaiguaNY14424237046583Long-term, rehabilitative and related services to the communityNY501(c)(3)3N/A
FF Thompson Senior Communities Inc
One Ferris HillsCanandaiguaNY14424161557494Senior living environment providing independent and enriched apts and servicesNY501(c)(3)9N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
Finger Lakes Community Care Network
350 Parrish StreetCanandaiguaNY14424161423442Currently inactiveNYN/AC
FF Thompson Properties and Services Inc
350 Parrish StreetCanandaiguaNY14424161286518Plans, develops, implements, owns and manages health related venturesNYN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationAdditional time was needed due to delay in availability of Form 990 Schedule H, as well as managament and Board review of the 990.Explanation