2011-11-15T09:08:35-05:00 2010-12-31 ERNST & YOUNG US LLP 75 BEATTIE PLACE SUITE 800 GREENVILLE SC 29601 990 2010-01-01 223187140 Rochester General Long Term Care ROCH 5856714300 1550 Empire Blvd Webster NY 14580 ROBERT NESSELBUSH 2011-11-14 8642425740 2010 2016-03-07 17:11:31Z Hill Haven Nursing Home Mark Clement 100 KINGS HIGHWAY SOUTH Rochester NY 14617 26911244 false X www.rochestergeneral.org X 1993 NY To operate long term health facilities and services for the care and treatment of sick, invalid, infirm, aged, disabled or convalescent persons. 12 8 584 220 0 0 709 1161 27206988 26545612 1480 760 419556 363711 27628733 26911244 50 50 0 0 19752622 20432419 0 0 0 8476475 8247058 28229147 28679527 -600414 -1768283 7351036 10955432 9996294 8911971 -2645258 2043461 X To establish, acquire, develop, own, operate and maintain long term health care facilities and services for the care and treatment of sick, invalid, infirm, aged, disabled or convalescent persons in accordance with the Public Health Law of the State of New York. false false 20925215 50 26760290 The organization provides 24-hour skilled nursing care to those in need of Rehabilitation, Long-term care, Transitional care, Hospice care and Care for Alzheimer's-type dementia. The goal is to help residents reach their greatest level of physical functioning and emotional well-being. The facility is a park-like setting in Webster, New York with 355 beds, dedicated rooms for mingling and recreation, and beautifully landscaped grounds. Residents have access to in-house medical care provided by physicians, nurse practitioners and a range of medical and rehabilitation specialists. The organization is committed to helping seniors stay as connected to the community as possible with special programs and an open door for family and friends. 20925215 true false false false false false false false false true false false true true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false false true 22 0 true 584 true false 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 false NY X MATT MINISCE 5859221032 1550 EMPIRE BLVD Webster NY 14580 X Linda Becker 1.0 X X 0 0 0 Mark Clement 2.0 X X 40430 970290 253017 Richard S Constantino MD 1.0 X 0 138367 45543 John L Genier MD 1.0 X 0 49723 0 Jeanne Grove DO 1.0 X X 0 0 0 Daniel M Meyers 1.0 X 0 0 0 Ralph Pennino MD 1.0 X 0 93829 32548 Don H Twietmeyer 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 1.0 X 0 250618 59520 Dianne Salesin 1.0 X 0 0 0 Margaret Sanchez 1.0 X 0 0 0 Thomas Penn 1.0 X 0 0 0 Robert S Sands 1.0 X 0 0 0 Robert Mayo MD 1.0 X 0 300384 51536 John Riedman 1.0 X 0 0 0 ROBERT NESSELBUSH 2.0 X 18540 444964 155183 Stephen Ash 40.0 X 122543 0 34385 HUGH THOMAS 2.0 X 15629 375104 129893 RICHARD GANGEMI 2.0 X 18992 455798 132761 Scott Schabel 40.0 X 179881 0 55986 Cheryl Conrad 40.0 X 120034 0 15281 Lou A Rupert 40.0 X 104181 0 29918 Brenda Kloster 40.0 X 100929 0 26311 721159 3079077 1021882 5 false true false Nursefinders PO Box 910738 DALLAS TX 75391 Temporary Services 253783 1 1161 1161 PATIENT/RESIDENT SERVICE REVENUE 623000 26545612 26545612 26545612 760 760 0 0 0 0 0 0 PHARMACY 446110 214678 214678 CAFETERIA 445100 83886 83886 GIFT SHOP 453220 5487 5487 59660 59660 363711 26911244 26760290 149793 0 50 50 0 0 277352 242035 35317 0 15994830 11315532 4679298 723306 506910 216396 2240649 1590555 650094 1196282 849197 347085 0 15624 11091 4533 32520 23085 9435 0 0 0 1746329 1239655 506674 12415 8813 3602 2121812 1506197 615615 10591 7518 3073 0 403369 286337 117032 14976 10631 4345 0 0 0 0 624317 443180 181137 88183 62598 25585 HEALTH ASSESSMENT FACILITY 1353053 1353053 BAD DEBTS 599994 599994 TAXES, LICENSES, & DUES 280709 199265 81444 ALL OTHER EXPENSES 943166 669519 273647 28679527 20925215 7754312 0 223556 73 3596535 4399332 191923 208849 119928 27317 10205108 4847560 1724274 5357548 1494820 962313 7351036 10955432 2312183 2353377 7684111 6558594 9996294 8911971 X -2645258 2043461 -2645258 2043461 7351036 10955432 X -1768283 6457002 X false true true X true true X 0 4279 2946 709 1161 9095 23170344 24847841 27243686 27206988 26545612 129014471 23170344 24852120 27246632 27207697 26546773 129023566 129023566 6391 19118 24446 1480 760 52195 6391 19118 24446 1480 760 52195 42736 240986 409889 419556 363711 1476878 23219471 25112224 27680967 27628733 26911244 130552639 0.98829 0.98991 0.00040 0.00103 X 4876313 1327441 3548872 1786559 1032463 754096 3542236 2487656 1054580 5357548 WORKERS COMP SELF INSURED 462807 RESIDENT CUSTODIAL FUNDS 241534 DUE FROM AFFILIATES 257972 962313 0 ESTIMATED THIRD PARTY PAYABLES 1959471 ACCRUED SELF-INSURED LIABILITY 1932753 DUE TO AFFILIATES 2424836 RESIDENT FUNDS 241534 6558594 false true false false false false false false false Mark Clement 27268 654424 12641 303372 521 12494 9940 238558 181 4338 50551 1213186 0 0 Richard S Constantino MD 0 116367 0 22000 0 0 0 37865 0 7678 0 183910 0 0 GARY WAHL MD 0 169499 0 67577 0 13542 0 52552 0 6968 0 310138 0 0 ROBERT NESSELBUSH 13419 322046 4217 101220 904 21698 5919 142067 288 6909 24747 593940 0 0 HUGH THOMAS 11028 264681 3696 88710 905 21713 4655 111719 541 12978 20825 499801 0 0 RICHARD GANGEMI 13663 327910 4320 103674 1009 24214 5153 123662 158 3788 24303 583248 0 0 Scott Schabel 157898 0 19683 0 2300 0 51814 0 4172 0 235867 0 0 0 Stephen Ash 93257 0 18903 0 10383 0 29067 0 5318 0 156928 0 0 0 Robert Mayo MD 0 256063 0 28821 0 15500 0 43105 0 8431 0 351920 0 0 PROCESSES USED TO ESTABLISH THE COMPENSATION OF THE CEO Schedule J, Part I, line 3 THE FILING ORGANIZATION'S RELATED NON-PROFIT ORGANIZATION, ROCHESTER GENERAL HOSPITAL, UTILIZED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE CEO: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B RGHS MAINTAINS A SECTION 457(F) PLAN WHICH WOULD BE CONSIDERED A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. DURING 2010, NO DISTRIBUTIONS WERE PAID OUT. HOWEVER, THE FOLLOWING OFFICERS AND DIRECTORS LISTED ON FORM 990, PART VII, SECTION A WOULD BE ELIGIBLE PARTICIPANTS IN THE PLAN SINCE THEY WOULD BE ENTITLED TO A DISTRIBUTION UPON SEPARATION FROM SERVICE: HUGH THOMAS ROBERT NESSELBUSH RICHARD GANGEMI, MD Ralph Pennino, MD THE INCREASE IN THE VALUE OF POSTRETIREMENT BENEFITS DURING 2010 ARE AS FOLLOWS: RALPH PENNINO: $1,764 ROBERT NESSELBUSH: $ 927 HUGH THOMAS: $1,002 ROBERT MAYO: $ 941 Organization's Members Form 990, Part VI, Line 6 The Organization is a membership (NOT a stock) corporation under New York State law. The Organization's sole corporate member is Rochester General Health System (RGHS), a related not-for-profit organization. Members who may elect Members of the Governing Body Form 990, Part VI, Line 7a In accordance with the terms and requirements of its governing documents (i.e. bylaws), the organization's Directors are divided into three classes, and the classes serve for staggered three-year terms. At each annual meeting, Directors in a class are elected by a majority vote of the Directors then in office. Directors are elected from among nominees chosen by the Governance and Nominating Committee of the filing organization's sole corporate member, Rochester General Health System. Decisions by Governing Body Subject to Approval Form 990, Part VI, Line 7b RGHS, as the sole corporate member, also has the right to approve or ratify significant decisions of the Organization's governing body including the amendment of bylaws and charters, removal of members of the governing body, and the decision to dissolve the organization. REVIEW PROCESS FOR THE FORM 990 Form 990, Part VI, line 11A Prior to filing, a copy of THE FORM 990 IS provided to all members of the governing board for their review. In addition, prior to filing, THE FORM 990 IS REVIEWED BY THE following members of the governing body of ROCHESTER GENERAL HEALTH SYSTEMS, A RELATED NOT FOR PROFIT ORGANIZATION AND THE sole corporate member OF THE FILING ORGANIZATION: 1) the CHAIRMAN OF THE BOARD OF DIRECTORS and 2) the governance and nominating committee. This review is performed IN CONSULTATION WITH THE ORGANIZATION'S TAX ADVISORS, ERNST & YOUNG, LLP and iS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS AND OTHER RELEVANT INFORMATION FOR THE APPROPRIATE TIME PERIOD. CONFLICT OF INTEREST POLICY Form 990, Part VI, Line 12c Upon employment, all employees receive the Ethical Standard of Conduct booklet for which they sign a receipt of acknowledgement. In this booklet, 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, Lines 15a and 15b 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. ACCESS TO ORGANIZATIONAL DOCUMENTS Form 990, Part VI, line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC 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 Hospital 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: 40 hrs/wk Rochester General Hospital 4 hrs/wk Newark-Wayne Community Hospital 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 1 hr/wk Newark-Wayne Community Hospital Foundation RICHARD CONSTANTINO: 35 hrs/wk Rochester General Hospital 1 hr/wk Rochester General Hospital Foundation 1 hr/wk Independent Living for Seniors 1 hr/wk Rochester General Hudson Housing 1 hr/wk Rochester Mental Health Center JOHN GENIER: 36 hrs/wk Rochester General Hospital 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 Hospital 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 DANIEL MEYERS: 1 hr/wk Rochester General Hospital 1 hr/wk Rochester Mental Health Center 1 hr/wk Rochester General Hudson Housing 1 hr/wk Independent Living for Seniors 1 hr/wk Newark Wayne Community Hospital RALPH PENNINO: 35 hrs/wk Rochester General Hospital 1 hr/wk Rochester General Hospital Foundation 1 hr/wk Independent Living for Seniors 1 hr/wk Rochester General Hudson Housing 1 hr/wk Rochester Mental Health Center DON TWIETMEYER: 1 hr/wk Rochester General Hospital 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 ELAINE SPAULL: 1 hr/wk Rochester General Hospital 1 hr/wk Rochester Mental Health Center 1 hr/wk Rochester General Hudson Housing 1 hr/wk Independent Living for Seniors JUAN VILLANUEVA: 1 hr/wk Rochester General Hospital 1 hr/wk Rochester Mental Health Center 1 hr/wk Rochester General Hudson Housing 1 hr/wk Independent Living for Seniors GARY WAHL: 35 hrs/wk Rochester General Hospital 1 hr/wk Rochester Mental Health Center 1 hr/wk Rochester General Hudson Housing 1 hr/wk Rochester General Health System 1 hr/wk Independent Living for Seniors ROBERT NESSELBUSH: 40 hrs/wk Rochester General Hospital 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 Hudson Housing 1 hr/wk Newark-Wayne Community Hospital Foundation 1 hr/wk Rochester General Health System 1 hr/wk Rochester General Hospital Foundation HUGH THOMAS: 44 hrs/wk Rochester General Hospital 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: 49 HRS/wk Rochester General Hospital 4 hrs/wk Newark-Wayne Community Hospital DIANNE SALESIN: 1 hr/wk Rochester General Hospital 1 hr/wk Rochester Mental Health Center 1 hr/wk Rochester General Hudson Housing 1 hr/wk Independent Living for Seniors MARGARET SANCHEZ: 1 hr/wk Rochester General Hospital 1 hr/wk Rochester Mental Health Center 1 hr/wk Rochester General Hudson Housing 1 hr/wk Independent Living for Seniors THOMAS PENN: 1 hr/wk Rochester General Hospital 1 hr/wk Rochester Mental Health Center 1 hr/wk Rochester General Hudson Housing 1 hr/wk Independent Living for Seniors JOHN RIEDMAN: 1 hr/wk Rochester General Hospital 1 hr/wk Rochester Mental Health Center 1 hr/wk Rochester General Hudson Housing 1 hr/wk Independent Living for Seniors ROBERT SANDS: 1 hr/wk Rochester General Hospital 1 hr/wk Rochester Mental Health Center 1 hr/wk Rochester General Hudson Housing 1 hr/wk Independent Living for Seniors ROBERT MAYO: 36 hrs/wk Rochester General Hospital 1 hr/wk Rochester Mental Health Center 1 hr/wk Independent Living for Seniors 1 hr/wk Rochester General Hudson Housing Form 990, Part XI, Line 5 Other Changes in Net Assets Transfer of Assets from GRHS Foundation: $3,859,216 Forgiveness of Amounts due to Rochester General Hospital: $2,597,786 Total Changes in Net Assets: $6,457,002 WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY FORM 990, PART VI, LINE 4 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. ROCHESTER GENERAL HEALTH SYSTEM 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 222551509 System Parent NY 501(c)(3) 11, Type II NA THE ROCHESTER GENERAL HOSPITAL 1425 PORTLAND AVENUE ROCHESTER NY 14621 160743134 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 14617 223210351 LOW INC HSING NY 501(C)(3) 9 RGHS INDEPENDENT LIVING FOR SENIORS 2066 HUDSON AVENUE ROCHESTER NY 14617 161491059 ADULT Care NY 501(c)(3) 9 RGHS 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 Inc 100 KINGS HIGHWAY SOUTH Rochester NY 14617 222963015 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 Greater Rochester Assurance Company Ltd Georgetown Grand Cayman Cayman Island CJ insurance CJ NA C Corp 0 0 0.00000 false false true true true false false false false true true true false false false false true true Independent Living for Seniors D 257369 ROCHESTER WORKERS COMPENSATION TRUST E 1946219 ROCHESTER WORKERS COMPENSATION TRUST Q 699000 Rochester General Hospital C 2597786 Rochester General Hospital E 185549 Greater Rochester Assurance Company Ltd E 231721 Greater Rochester Assurance Company Ltd L 80070 Rochester Mental Health Center K 52629 GRHS Foundation R 3846869 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.