MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INC (EIN 22-2807681)
Tax period
2024-07-01 to 2025-06-30
Filed
2026-05-07
IRS object ID
202641279349302824
Schema version
2024v5.5
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)
Return2026-05-07T12:30:28-05:00ReturnTs
Tax Period End2025-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161131146PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BONADIO & CO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1171 SULLYS TRAILAddressLine1Txt
CityPITTSFORDCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14534ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN222807681EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL HOSPITAL OF WILLIAM F ANDBusinessNameLine1Txt
Business Name Line2GERTRUDE F JONES INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlMEMOBusinessNameControlTxt
Phone5855931100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1191 NORTH MAIN STREETAddressLine1Txt
CityWELLSVILLECityNm
State AbbreviationNYStateAbbreviationCd
ZIP14895ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBOYD CHAPPELLPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone5855931100PhoneNum
Signature2026-04-23SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAIMEE JOZICPreparerPersonNm
PTINP01329472PTIN
Phone5853811000PhoneNum
Preparation2026-04-23PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBOYD CHAPPELLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1191 NORTH MAIN STREETAddressLine1Txt
CityWELLSVILLECityNm
State AbbreviationNYStateAbbreviationCd
ZIP14895ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$107,027,980GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.URMC.ROCHESTER.EDU/JONES-MEMORIAL-HOSPITALWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1921FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionJONES MEMORIAL HOSPITAL IS COMMITTED TO ENSURING ACCESS TO THE HIGHEST QUALITY HEALTHCARE FOR OUR COMMUNITY IN A CARING MANNER.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee600TotalEmployeeCnt
Total Volunteers60TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$7,493,556PYContributionsGrantsAmt
CY Contributions Grants$953,750CYContributionsGrantsAmt
PY Program Service Revenue$68,677,425PYProgramServiceRevenueAmt
CY Program Service Revenue$93,533,006CYProgramServiceRevenueAmt
PY Investment Income$87,780PYInvestmentIncomeAmt
CY Investment Income$109,495CYInvestmentIncomeAmt
PY Other Revenue$6,435,016PYOtherRevenueAmt
CY Other Revenue$12,403,704CYOtherRevenueAmt
PY Total Revenue$82,693,777PYTotalRevenueAmt
CY Total Revenue$106,999,955CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$33,862,776PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$40,088,352CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$41,849,458PYOtherExpensesAmt
CY Other Expenses$56,500,500CYOtherExpensesAmt
PY Total Expenses$75,712,234PYTotalExpensesAmt
CY Total Expenses$96,588,852CYTotalExpensesAmt
PY Revenues Less Expenses$6,981,543PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$10,411,103CYRevenuesLessExpensesAmt
Total Assets BOY$96,754,018TotalAssetsBOYAmt
Total Assets EOY$105,845,618TotalAssetsEOYAmt
Total Liabilities BOY$46,598,623TotalLiabilitiesBOYAmt
Total Liabilities EOY$45,282,326TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$50,155,395NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$60,563,292NetAssetsOrFundBalancesEOYAmt
MissionJONES MEMORIAL HOSPITAL PROVIDES THE HIGHEST QUALITY HEALTHCARE IN A CARING MANNER TO IMPROVE THE QUALITY OF LIFE FOR OUR COMMUNITIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$82,316,431ExpenseAmt
Revenue$105,495,181RevenueAmt
DescQUALITY OF HEALTH CARE: THE MEMORIAL HOSPITAL OF WILLIAM F. & GERTRUDE F. JONES, INC. A/K/A JONES MEMORIAL HOSPITAL IS A SOLE COMMUNITY PROVIDER WITH 49 ACUTE CARE BEDS, NOT FOR PROFIT, LOCATED IN RURAL WELLSVILLE NY IN A PROFESSIONALLY UNDERSERVED AREA. WE PROVIDE PRIMARY CARE, AMBULATORY CARE, EMERGENCY CARE AND ACUTE (MEDICAL, SURGICAL, PEDIATRIC, OB AND GYN) AND INTENSIVE CARE PLUS COMMUNITY OUTREACH PROGRAMS. WE ADMITTED 1,670 PATIENTS PLUS 362 BIRTHS. THE HOSPITAL HAS PROVIDED CHARITY CARE TO INDIGENT PATIENTS TOTALING $548,746.Desc
Total Program Service Expenses$82,316,431TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document116IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee600EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBOYD CHAPPELLPersonNm
Phone5855964002PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1191 N MAIN STAddressLine1Txt
CityWELLSVILLECityNm
State AbbreviationNYStateAbbreviationCd
ZIP14895ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
KAROL MARCIANO
CHAIRPERSON1.0055.00Yes (X)Yes (X)$0$166,119$45,723
DANIEL JOHNSON
VICE CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
JENNY BILOTTA
TREASURER1.00Yes (X)Yes (X)$0$0$0
STEVEN GOLDSTEIN
BOARD MEMBER1.0071.00Yes (X)$0$1,408,233$183,208
MARK TAUBMAN
BOARD MEMBER1.0075.00Yes (X)$0$742,745$44,194
MICHAEL APOSTOLAKOS
BOARD MEMBER1.0064.00Yes (X)$0$733,026$115,508
SAMANTHA GILKEY
BOARD MEMBER2.00Yes (X)$0$0$0
RICHARD EWELL
BOARD MEMBER1.00Yes (X)$0$0$0
IAN JONES
BOARD MEMBER1.00Yes (X)$0$0$0
JAMES KNAPP
SECRETARY1.00Yes (X)Yes (X)$0$0$0
RHIANNON SISSON
BOARD MEMBER1.00Yes (X)$0$0$0
STEVEN MAURO
BOARD MEMBER1.00Yes (X)$0$0$0
ANDRES RUBERT MD
CHIEF OF MEDICAL STAFF40.00Yes (X)$386,600$0$31,651
JUDITH HOPKINS
BOARD MEMBER1.00Yes (X)$0$0$0
AMY BENNETT
BOARD MEMBER1.00Yes (X)$0$0$0
JENNIFER JOYCE
BOARD MEMBER1.00Yes (X)$0$0$0
JAMES HELMS
CHIEF EXECUTIVE OFFICER40.00Yes (X)$271,154$0$18,974
BOYD CHAPPELL
CHIEF FINANCIAL OFFICER40.00Yes (X)$228,617$0$10,350
PAUL AXTELL MD
ORTHOPAEDIC SURGEON40.00$718,000$0$45,618Yes (X)
HEATHER LANPHERE MD
OB/GYN40.00$474,010$0$37,188Yes (X)
NISHANT CHAUDHARY MD
HOSPITALIST40.00$444,891$0$34,312Yes (X)
SADDAM YASIN MD
PEDIATRICIAN40.00$455,650$0$20,655Yes (X)
LU-ANNE KAYE
OB/GYN40.00$365,530$0$31,112Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,344,452TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,050,123TotReportableCompRltdOrgAmt
Total Other Compensation$618,493TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K60IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
DELPHI HOSPITALIST SERVICES
2701 CULVER ROADROCHESTERNY14622STAFFING$1,736,603
DELPHI HEALTHCARE
2701 CULVER ROADROCHESTERNY14622STAFFING$1,303,615
PICCO PULMONARY & INTERNAL MEDICINE
11 MAIN STREETHORNELLNY14843MEDICAL PHYSICIAN$975,715
KINLEY CONTRACTORS
2383 W FIVE MILE RDALLEGANYNY14706CONSTRUCTION$462,767
STONEBRIDGE ANESTHESIA SERVICES
910 GENESEE ST STE 200ROCHESTERNY14611CRNA$349,575
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt
Related Organizations$334,118RelatedOrganizationsAmt
Government Grants$277,713GovernmentGrantsAmt
All Other Contributions$341,919AllOtherContributionsAmt
Total Contributions$953,750TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business621990BusinessCd
Total Revenue Column$93,533,006TotalRevenueColumnAmt
Related Or Exempt Func Income$93,533,006RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$93,533,006TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$109,495TotalRevenueColumnAmt
Exclusion$109,495ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$113,168RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$28,025RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$85,143RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$85,143TotalRevenueColumnAmt
Exclusion$85,143ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
340B CONTRACT PHARMACY900099$9,998,416$9,998,416
OTHER INCOME900099$1,963,759$1,963,759
CAFETERIA722514$386,495$386,495

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column-$30,109TotalRevenueColumnAmt
Exclusion-$30,109ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$12,318,561OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$106,999,955TotalRevenueColumnAmt
Related Or Exempt Func Income$105,495,181RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$551,024ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$578,991TotalAmt
Management And General$578,991ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$33,097,857TotalAmt
Program Services$29,071,630ProgramServicesAmt
Management And General$4,026,227ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$149,092TotalAmt
Program Services$138,897ProgramServicesAmt
Management And General$10,195ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,262,412TotalAmt
Program Services$5,427,083ProgramServicesAmt
Management And General$835,329ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$153,588TotalAmt
Management And General$153,588ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$143,180TotalAmt
Management And General$143,180ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$19,496,619TotalAmt
Program Services$18,685,180ProgramServicesAmt
Management And General$811,439ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$118,419TotalAmt
Program Services$675ProgramServicesAmt
Management And General$117,744ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$74,028TotalAmt
Program Services$5,650ProgramServicesAmt
Management And General$68,378ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$91,768TotalAmt
Program Services$12,520ProgramServicesAmt
Management And General$79,248ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,491,030TotalAmt
Program Services$1,390,342ProgramServicesAmt
Management And General$100,688ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$117,189TotalAmt
Program Services$82,623ProgramServicesAmt
Management And General$34,566ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$399,823TotalAmt
Management And General$399,823ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,334,017TotalAmt
Program Services$2,364,426ProgramServicesAmt
Management And General$1,969,591ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$498,174TotalAmt
Program Services$233,792ProgramServicesAmt
Management And General$264,382ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$20,113,978$20,048,905$65,073
PURCHASED SERVICES$6,156,351$3,378,533$2,777,818
OTHER EXPENSES$1,732,813$86,727$1,646,086
REPAIRS AND MAINTENANCE$1,132,754$1,048,555$84,199

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$446,769TotalAmt
Program Services$340,893ProgramServicesAmt
Management And General$105,876ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$96,588,852TotalAmt
Program Services$82,316,431ProgramServicesAmt
Management And General$14,272,421ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$8,692,187BOYAmt
EOY$5,451,203EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,537,433BOYAmt
EOY$16,503,689EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$351,408BOYAmt
EOY$263,175EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$10,238,432BOYAmt
EOY$9,903,160EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,474,961BOYAmt
EOY$1,288,417EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$203,065BOYAmt
EOY$381,204EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$74,836,301LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$33,932,905LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$43,502,099BOYAmt
EOY$40,903,396EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$143,845BOYAmt
EOY$226,970EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$26,610,588BOYAmt
EOY$30,924,404EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$96,754,018BOYAmt
EOY$105,845,618EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$10,215,274BOYAmt
EOY$7,708,510EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$36,383,349BOYAmt
EOY$37,573,816EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$46,598,623BOYAmt
EOY$45,282,326EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$45,750,449BOYAmt
EOY$57,155,379EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,404,946BOYAmt
EOY$3,407,913EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$50,155,395BOYAmt
EOY$60,563,292EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$96,754,018BOYAmt
EOY$105,845,618EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$10,411,103ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$360,901NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$364,107OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$8,027OtherActivitiesAmt
Total Lobbying Expenditures$8,027TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationAS A MEMBER OF AMERICAN HOSPITAL ASSOCIATION, INC. AND HEALTHCARE ASSOCIATION OF NEW YORK STATE, INC., A PORTION OF MEMBERSHIP DUES REPRESENTS AMOUNTS DESIGNATED FOR LOBBYING ACTIVITIES. THESE ASSOCIATION ORGANIZATIONS, OF WHICH THE HOSPITAL IS A MEMBER, PERFORMS DIRECT LOBBYING AND ADVOCACY ACTIVITIES ON BEHALF OF ITS MEMBERS.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$286,460BeginningYearBalanceAmt
Investment Earnings Or Losses$26,687InvestmentEarningsOrLossesAmt
End Year Balance$313,147EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$252,845BeginningYearBalanceAmt
Investment Earnings Or Losses$33,615InvestmentEarningsOrLossesAmt
End Year Balance$286,460EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$229,814BeginningYearBalanceAmt
Investment Earnings Or Losses$23,031InvestmentEarningsOrLossesAmt
End Year Balance$252,845EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$267,607BeginningYearBalanceAmt
Investment Earnings Or Losses-$37,793InvestmentEarningsOrLossesAmt
End Year Balance$229,814EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$212,182BeginningYearBalanceAmt
Investment Earnings Or Losses$55,425InvestmentEarningsOrLossesAmt
End Year Balance$267,607EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$393,177OtherCostOrOtherBasisAmt
Book Value$393,177BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,303,516OtherCostOrOtherBasisAmt
Depreciation$14,399,554DepreciationAmt
Book Value$24,903,962BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$968,631OtherCostOrOtherBasisAmt
Depreciation$851,416DepreciationAmt
Book Value$117,215BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$31,367,030OtherCostOrOtherBasisAmt
Depreciation$18,161,910DepreciationAmt
Book Value$13,205,120BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,803,947OtherCostOrOtherBasisAmt
Depreciation$520,025DepreciationAmt
Book Value$2,283,922BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$40,903,396TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDescBook ValueBookValueAmt
ESTIMATED THIRD-PARTY PAYOR RECEIVABLES$1,488,850
BENEFICIAL INTEREST IN PERPETUAL TRUST$2,152,518
BENEFICIAL INTEREST IN FOUNDATION$1,296,013
GOODWILL$2,230,000
OTHER RECEIVABLES$2,874,040
INSURANCE CLAIMS RECEIVABLE$2,622,224
OPERATING RIGHT OF USE ASSET$5,192,202
DUE FROM AFFILIATES$11,812,965
FINANCE RIGHT OF USE ASSET$1,255,592
FieldValueIRS element (for citing)
Total Book Value Other Assets$30,924,404TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS, NET$1,344,277
ASSET RETIREMENT OBLIGATION$625,887
OPERATING LEASE LIABILITY$6,669,298
PENSION LIABILITY$1,493,584
INSURANCE LIABILITY$2,515,393
DUE TO AFFILIATES$24,925,377
FieldValueIRS element (for citing)
Total Liability$37,573,816TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationTO SUPPORT JONES MEMORIAL HOSPITALExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$505,749TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$505,749NetCommunityBenefitExpnsAmt
Total Expense0.00520TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,823,609TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,769,178DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,054,431NetCommunityBenefitExpnsAmt
Total Expense0.08340TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,329,358TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,769,178DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,560,180NetCommunityBenefitExpnsAmt
Total Expense0.08860TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served4899PersonsServedCnt
Total Community Benefit Expns$6,785TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,785NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served60000PersonsServedCnt
Total Community Benefit Expns$20,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$20,000NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Persons Served64899PersonsServedCnt
Total Community Benefit Expns$26,785TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$26,785NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Persons Served64899PersonsServedCnt
Total Community Benefit Expns$20,356,143TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,769,178DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,586,965NetCommunityBenefitExpnsAmt
Total Expense0.08890TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served4936PersonsServedCnt
Total Community Benefit Expns$2,777TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,777NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served4936PersonsServedCnt
Total Community Benefit Expns$2,777TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,777NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$3,440,568BadDebtExpenseAmt
Reimbursed By Medicare$17,999,174ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$21,573,523CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$3,574,349MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JONES MEMORIAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1191 NORTH MAIN STREETAddressLine1Txt
CityWELLSVILLECityNm
State AbbreviationNYStateAbbreviationCd
ZIP14895ZIPCd
FieldValueIRS element (for citing)
Website AddressHTTPS://WWW.URMC.ROCHESTER.EDU/JONES-MWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Emergency Room OtherYes (X)EmergencyRoomOtherInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1JONES MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted25CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://WWW.URMC.ROCHESTER.EDU/JONES-MEMORIAL-HOSPITAL/ABOUT-US/COMMUNITY-SOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLCHROME-EXTENSION://EFAIDNBMNNNIBPCAJPCGLCLEFINDMKAJ/HTTPS://WWW.ALLEGANYCO.OtherWebsiteURLTxt
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt25ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLURMC.ROCHESTER.EDU/JONES-MEMORIAL-HOSPITAL/ABOUT-US/COMMUNITY-SERVICE-PLANStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLURMC.ROCHESTER.EDU/PAY-A-BILL/FINANCIAL-ASSISTANCE/JONES-MEMORIAL-HOSPITALFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLRMC.ROCHESTER.EDU/PAY-A-BILL/FINANCIAL-ASSISTANCE/JONES-MEMORIAL-HOSPITALFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLURMC.ROCHESTER.EDU/PAY-A-BILL/FINANCIAL-ASSISTANCE/JONES-MEMORIAL-HOSPITALFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
JONES MEMORIAL HOSPITALPART V, SECTION B, LINE 5: PLEASE SEE SCHEDULE H, PART VI, LINE 2 SUPPLEMENTAL INFORMATION.
JONES MEMORIAL HOSPITALPART V, SECTION B, LINE 6A: CUBA MEMORIAL HOSPITAL.
JONES MEMORIAL HOSPITALPART V, SECTION B, LINE 6B: ALLEGANY COUNTY DEPARTMENT OF HEALTH, ALLEGANY COUNTY COMMUNITY WELLNESS COMMITTEE AND CUBA MEMORIAL HOSPITAL.
JONES MEMORIAL HOSPITALPART V, SECTION B, LINE 11: DOMAIN AREA: ECONOMIC STABILITY PRIORITY AREA: NUTRITION SECURITY: INTERVENTIONS/STRATEGIES/ACTIVITIES WILL WORK TOWARD INCREASING FOOD SECURITY IN HOUSEHOLDS WITH AN ANNUAL TOTAL INCOME OF LESS THAN $25,000 FROM 46% TO 61.4% BY EXPANDING AND CREATING ACCESS POINTS AT LOCATIONS SUCH AS COLLEGES, SCHOOLS, EMERGENCY FOOD PROGRAMS, FOOD PANTRIES, COMMUNITY GARDENS, FARMERS MARKETS AND MORE - TO GET AFFORDABLE, HIGH QUALITY, AND NUTRITIOUS FOOD TO FAMILIES. JMH- FINANCIALLY SUPPORTS AREA FOOD PANTRIES THROUGH MONETARY DONATIONS (WELLNESS FUNDS) ESTIMATES OF NUMBER OF MEALS/FAMILIES SERVED. CARE TEAM MAKE REFERRALS SHARE FOOD PANTRY INFORMATION DOMAIN AREA: SOCIAL AND COMMUNITY CONTEXT PRIORITY AREA: DEPRESSION INTERVENTIONS/STRATEGIES/ACTIVITIES WILL WORK TOWARD REDUCING THE PERCENTAGE OF ADULTS WITH A MAJOR DEPRESSIVE EPISODE DURING THE PAST YEAR IN ALLEGANY COUNTY BY DECEMBER 2030 THROUGH THE DEVELOPMENT OF A COLLABORATIVE CARE MODEL TO ENSURE THAT INDIVIDUALS WITH DEPRESSION RECEIVE TREATMENT. ER, URGENT CARE AND MEDICAL PRACTICES SCREEN FOR MENTAL HEALTH AND BASED ON SCORE, PROVIDER MAKES APPROPRIATE REFERRALS FOR TREATMENT. - SOCIAL WORKERS AND BEHAVIORAL HEALTH OFFICER ASSIST WITH CONNECTING PATIENTS WITH SERVICES. JMH PRACTICES: IN THE PRACTICES WE ARE SCREENING INDIVIDUALS, AT MINIMUM, ANNUALLY FOR ANXIETY (GAD7) AND DEPRESSION USING THE PHQ2 AND PHQ9 (IF PHQ2 IS POSITIVE) SCREENINGS IN EPIC. THE NURSES COMPLETE THE SCREENING, AND THE PROVIDER FOLLOWS UP WITH ASSESSMENT AND RECOMMENDATION. THIS IS EASILY IDENTIFIABLE IN THE HEALTH MAINTENANCE SECTION WHEN THE SCREENING WAS LAST COMPLETED. DOMAIN AREA: HEALTHCARE ACCESS & QUALITYPRIORITY AREA: PREVENTATIVE SERVICES FOR CHRONIC DISEASE PREVENTION AND CONTROL INTERVENTIONS/STRATEGIES/ACTIVITIES WILL FOCUS ON INCREASING THE PERCENTAGE OF ADULT MEDICAID MEMBERS AGED 18 YEARS AND OLDER WITH HYPERTENSION WHO ARE CURRENTLY TAKING MEDICATION TO MANAGE THEIR HIGH BLOOD PRESSURE FROM 79.5% TO 80.7% BY IMPLEMENTING COMMUNITY SCREENINGS TO DETECT AND ADDRESS HYPERTENSION IN ADULTS WHO MAY NOT HAVE REGULAR ACCESS TO CARE. ALLEGANY COUNTY: 2016-2021 RATE IMPROVED FROM 71.6% TO 79.5% NYS WAS AT 80.2%. JMH: - PROVIDE COMMUNITY HEALTH FAIRS TO SCREEN FOR HBP 3-4 ANNUALLY- BLOOD PRESSURE PROGRAM IN COLLABORATION WITH JMH PROVIDERS - BLOOD PRESSURE MACHINES IN JMH LAB AND YMCA. PRIORITY AREA: PREVENTATIVE SERVICES LEAD SCREENINGS: INTERVENTIONS/STRATEGIES/ACTIVITIES WILL FOCUS ON INCREASING THE PERCENTAGE OF CHILDREN IN A SINGLE BIRTH COHORT TESTED AT LEAST TWICE FOR LEAD BEFORE 36 MONTHS OF AGE FROM 52.57% TO 60% IN ALLEGANY COUNTY BY DECEMBER 2030. - THE ALLEGANY COUNTY DEPARTMENT OF HEALTH ACTIVELY WORKS TO PROVIDE EDUCATION AND OUTREACH ABOUT THE DANGERS OF LEAD POISONING FOR CHILDREN, AND OUR PARTNERS WILL CONDUCT OUTREACH IN COMMUNITIES THAT HAVE OLDER, POORLY MAINTAINED HOUSING WITH HIGH-RISK FOR LEAD EXPOSURE, AND PROVIDE EDUCATION REGARDING LEAD EXPOSURE PREVENTION TO FAMILIES. - JMH- SCREENS AND EDUCATES PARENTS OF ONE AND TWO YEAR OLD CHILDREN FOR LEAD AT MEDICAL VILLAGE PEDIATRICS, DR KAYE, BRADLEY, HORNELL SUITE 109, HORNELL PEDIATRICS, NORTH MAIN STREET OFFICE.
FieldValueIRS element (for citing)
Facility10FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - JONES MEMORIAL HEALTH CARE CLINIC
127 N MAIN STREETWELLSVILLENY14895EXTENSION CLINIC
2 - JONES MEMORIAL HEALTH CARE CLINIC
15 LODER STREETWELLSVILLENY14895EXTENSION CLINIC
3 - JONES MEMORIAL HEALTH CARE CLINIC
13 LODER STREETWELLSVILLENY14895EXTENSION CLINIC
4 - JONES MEMORIAL HEALTH CARE CLINIC
5877 OLD STATE ROUTE 19BELMONTNY14813EXTENSION CLINIC
5 - JONES MEMORIAL HEALTH CARE CLINIC
120 1ST STREETBOLIVARNY14715EXTENSION CLINIC
6 - ONCOLOGY AND INFUSION CENTER
1504 WEST STATE STREETOLEANNY14760EXTENSION CLINIC
7 - JONES MEMORIAL HEALTH CARE CLINIC
7309 SENECA ROAD N SUITE 114HORNELLNY14843EXTENSION CLINIC
9 - JONES MEMORIAL HEALTH CARE CLINIC
20 MAIN STREETANDOVERNY14806EXTENSION CLINIC
10 - JONES MEMORIAL HEALTH CARE CLINIC
7309 SENECA ROAD N SUITE 101HORNELLNY14843EXTENSION CLINIC
11 - JONES MEMORIAL HEALTH CARE CLINIC
7309 SENECA ROAD N SUITE 109HORNELLNY14843EXTENSION CLINIC

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:WORKSHEET 2 RATIO OF PATIENT CARE COST TO CHARGES CALCULATION WAS USED. IN ACCORDANCE WITH ACCOUNTING STANDARD CODIFICATION 606, PRICE CONCESSIONS ARE TREATED AS A CONTRAREVENUE ITEM ON THE STATEMENT OF REVENUE.
PART III, LINE 2:PATIENT ACCOUNTS RECEIVABLE ARE DUE 30 DAYS AFTER THE DATE OF DISCHARGE. RECEIVABLES PAST DUE MORE THAN 120 DAYS ARE CONSIDERED DELINQUENT. DELINQUENT RECEIVABLES ARE GENERALLY WRITTEN OFF BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE PATIENT AND OTHER THIRD PARTY PAYERS. BAD DEBT EXPENSE IS CALCULATED BY DEDUCTING BAD DEBT ADJUSTMENTS AND RECEIPTS FROM TRANSFERS TO THE COLLECTION AGENCY. IN ADDITION, AN ANALYSIS IS DONE MONTHLY BASED ON SELF PAY AGING AND ASSESSED RESERVE PERCENTAGES IN ORDER TO DETERMINE REASONABLENESS. FURTHER INFORMATION IS ON PAGE 12 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 4:PATIENT ACCOUNTS RECEIVABLE ARE DUE 30 DAYS AFTER THE DATE OF DISCHARGE. RECEIVABLES PAST DUE MORE THAN 120 DAYS ARE CONSIDERED DELINQUENT. DELINQUENT RECEIVABLES ARE GENERALLY WRITTEN OFF BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE PATIENT AND OTHER THIRD PARTY PAYERS. BAD DEBT EXPENSE IS CALCULATED BY DEDUCTING BAD DEBT ADJUSTMENTS AND RECEIPTS FROM TRANSFERS TO THE COLLECTION AGENCY. IN ADDITION, AN ANALYSIS IS DONE MONTHLY BASED ON SELF PAY AGING AND ASSESSED RESERVE PERCENTAGES IN ORDER TO DETERMINE REASONABLENESS. FURTHER INFORMATION IS ON PAGE 12 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:THE AMOUNT ON LINE 6 IS CALCULATED FROM WORKSHEET E PARTS A AND B ON THE COST REPORT. THE FULL LOSS SHOULD BE CONSIDERED A COMMUNITY BENEFIT.
PART III, LINE 9B:PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE RECEIVE A DISCOUNT FROM A SLIDING FEE SCHEDULE BASED ON THE FEDERAL POVERTY GUIDELINES. FLEXIBLE PAYMENT PLANS ARE INCORPORATED AS APPROPRIATE.
PART VI, LINE 2:OUR COMMUNITY NEEDS ASSESSMENT WAS COMPLETED IN ALLEGANY COUNTY IN 2025. THERE WERE A TOTAL OF 2,226 RESPONSES COMPARED TO 570 IN 2022. THESE WERE A COMBINATION OF ELECTRONIC AND PAPER SURVEYS THROUGHOUT THE COUNTY. THERE ALSO WERE SEVERAL FOCUS GROUPS HELD THROUGHOUT THE COUNTY . THAT DATA WAS TABULATED AND FROM THAT THE DOMAINS AND PRIORITIES WERE CHOSEN BY A TASK FORCE OF COMMUNITY PARTNERS, HOSPITALS AND COUNTY AGENCIES. - DATA REVIEWED:- ALLEGANY COUNTY 2025 COMMUNITY SURVEY AND FOCUS GROUPS- LEADING CAUSES OF DEATH - NYS DOH COMMUNITY HEALTH INDICATORS- NYS PREVENTION AGENDA DASHBOARD- COUNTY HEALTH RANKINGS- NYSIIS DATA- CENSUS.GOV DATA - PRESENTED TO KEY STAKEHOLDERS 9-9-25
PART VI, LINE 3:OUR PATIENT STATEMENTS PROVIDE A NOTICE INFORMING PATIENTS ABOUT OUR FINANCIAL ASSISTANCE PROGRAM. WE HAVE FINANCIAL COUNSELORS THAT CONTACT OUR SELF PAY POPULATION AND INFORM THEM OF OUR PROGRAM. THEY SEND LETTERS FOR THOSE THEY ARE UNABLE TO REACH BY TELEPHONE. WE HAVE SIGNAGE THROUGHOUT OUR CAMPUS INDICATING WE HAVE A FINANCIAL ASSISTANCE PROGRAM WITH THE CONTACT INFORMATION. EACH SELF PAY INPATIENT IS SEEN AND EDUCATED ABOUT OUR PROCESS FOR APPLYING FOR FINANCIAL ASSISTANCE.
PART VI, LINE 4:THE HOSPITAL SERVICE AREA IS PRIMARILY ALLEGANY AND STEUBEN COUNTIES, WHILE 80 PERCENT OF THE INPATIENT AND OUTPATIENT VISITS ORIGINATE FROM WELLSVILLE, BOLIVAR, ANDOVER, BELMONT, SCIO, FRIENDSHIP, BELFAST, ANGELICA AND WHITESVILLE FOR THE PURPOSES OF COMMUNITY HEALTH NEED AND COLLABORATION EFFORTS. JONES MEMORIAL HOSPITAL VIEWS THE GREATER ALLEGANY COUNTY REGION AS THE SERVICE AREA. JONES MEMORIAL HOSPITAL IS THE ONLY ACUTE CARE HOSPITAL IN ALLEGANY COUNTY WITH HPSA DESIGNATION.
PART VI, LINE 5:JONES MEMORIAL HOSPITAL PROMOTES COMMUNITY WELLNESS IN MANY WAYS. THE FOLLOWING ACTIVITIES WERE COMPLETED IN 2025: CHRONIC DISEASE AND CARDIOVASCULAR ISSUES ARE A SERIOUS HEALTH INDICATOR FOR OUR COUNTY. ACTIVITIES SURROUNDING HIGH BLOOD PRESSURE AND OBESITY ARE SUPPORTED BY THE HOSPITAL. 1. HYPERTENSION- THE HOSPITAL PURCHASED 125 BLOOD PRESSURE CUFFS FOR 8 JMH OFFICES IN THE COUNTY. THEY DISTRIBUTED TO PATIENTS WITH HIGH BLOOD PRESSURES TO SELF-MONITOR. 2. AUTOMATIC BLOOD PRESSURE MACHINES ARE LOCATED IN THE LAB LOBBY AT JMH AND THE YMCA.3. WELLNESS FAIRS- COMPLETED FOR THE COMMUNITY AT NORTHERN LIGHTS AND RUNNINGS WITH OVER 30 PEOPLE. RESULTS SHOWED: 17% HAD BORDERLINE TO HIGH CHOLESTEROL; 36% WERE PRE-DIABETIC; 89% HAD PRE-HYPERTENSIVE OR HYPERTENSIVE BLOOD PRESSURE; 42% HAD FAIR TO POOR FLEXIBILITY; 70% WERE OVERWEIGHT TO OBESE. JMH AND COMMUNITY RURAL HEALTH DAY WELLNESS FAIR WITH OVER 95 COMMUNITY MEMBERS AND EMPLOYEES. BLOOD PRESSURE, BMI, BONE DENSITY, GLUCOSE AND CHOLESTEROL, PULMONARY FUNCTION TESTS COMPLETED. OUTCOMES SHOWED CHOLESTEROL WAS BORDERLINE OR HIGH IN 38%; 42% WERE EITHER PRE-DIABETIC OR DIABETIC; 75% WERE PRE-HYPERTENSIVE OR HYPERTENSIVE; FLEXIBILITY WAS 80% FAIR TO VERY POOR; 57% HAD LOW LUNG FUNCTION; 70% WERE OVERWEIGHT TO OBESE. PARTNERED WITH OFFICE OF THE AGING, ARDENT HEALTH CARE AND OTHER GROUPS TO OFFER THE OFFICE OF THE AGING SENIOR FORUM. THIS HAD OVER 36 PARTICIPANTS AND OUTCOMES SHOWED OVER 50% OF PATIENTS WERE PRE-HYPERTENSIVE AND 70% WERE OVERWEIGHT OR OBESE. 31% WERE HIGH IN CHOLESTEROL . 4. PROMOTION OF ACTIVITY TO IMPROVE WELLNESS: GLOW RUN AND RIDGE WALK AND RUN COMPLETED WITH OVER 1,000 COMMUNITY MEMBERS PARTICIPATED. 5. MAPLE FESTIVAL BLOOD PRESSURE SCREENINGS IN ANDOVER. 6. COUNTYWIDE WELLNESS MEETING TO SUPPORT THE COMMUNITY SERVICE PLAN OF CHRONIC DISEASE, LOWERING OBESITY AND SUPPORTING LOCAL FARMERS MARKETS ALONG WITH MENTAL HEALTH PROGRAMING.
PART VI, LINE 6:THE HOSPITAL IS AFFLIATED WITH THE UNIVERSITY OF ROCHESTER MEDICAL CENTER (URMC). TOGETHER WITH THE HOSPITAL, URMC AND ITS OTHER HEALTH CARE AFFLIATES PROVIDE COMPREHENSIVE HEALTHCARE SERVICES IN NEW YORK STATE. THIS AFFLIATION PROVIDES ENHANCED CARE TO RESIDENTS OF THE HOSPITAL'S SERVICE AREA THROUGH ACCESS TO SPECIALISTS AND SPECIALTY SERVICES. THE UNIVERSITY OF ROCHESTER MEDICAL CENTER IS AN INTEGRATED ACADEMIC HEALTH CENTER THAT COMPRISES THE SCHOOL OF MEDICINE AND DENTISTRY, INCLUDING ITS FACULTY PRACTICE (UNIVERSITY OF ROCHESTER MEDICAL FACULTY GROUP), STRONG MEMORIAL HOSPITAL, HIGHLAND HOSPITAL, GOLISANO CHILDREN'S HOSPITAL, JAMES P. WILMOT CANCER CENTER, STRONG WEST, SCHOOL OF NURSING, EASTMAN INSTITUTE FOR ORAL HEALTH, VISITING NURSE SERVICE, HIGHLANDS AT PITTSFORD, THE HIGHLANDS LIVING CENTER, INC., HIGHLANDS AT BRIGHTON, FF THOMPSON HEALTH SYSTEM, INC., JONES MEMORIAL HOSPITAL, NOYES HEALTH, GENEVA GENERAL HOSPITAL, SOLDIERS & SAILORS MEMORIAL HOSPITAL, ST. JAMES HOSPITAL AND ACCOUNTABLE HEALTH PARTNERS, LLC. UR MEDICAL CENTER AND THE AFFLIATED HEALTH CARE ENTITIES HAVE EMBRACED A COMPREHENSIVE APPROACH TO COMMUNITY HEALTH, WHICH EMPLOYS THE MULTIDISCIPLINARY SKILLS FOUND IN AN ACADEMIC MEDICAL CENTER TO BOTH PROVIDE IMPORTANT COMMUNITY SERVICES AND CONDUCT COMMUNITYBASED RESEARCH. THESE ACTIVITIES HELP INFORM POLICYMAKERS AND THE COMMUNITY ABOUT LOCAL HEALTH CHALLENGES, EVALUATE THE EFFECTIVENESS OF INTERVENTIONS, AND SERVE AS A FOUNDATION FOR EVIDENCEBASED PRACTICES TO IMPROVE HEALTH AND OVERALL QUALITY OF LIFE.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STEVEN GOLDSTEIN
BOARD MEMBER$0$1,297,334$0$0$0$110,899$0$158,430$0$24,778$0$1,591,441$0$0
MICHAEL APOSTOLAKOS
BOARD MEMBER$0$702,547$0$0$0$30,479$0$83,430$0$32,078$0$848,534$0$0
MARK TAUBMAN
BOARD MEMBER$0$697,274$0$0$0$45,471$0$22,719$0$21,475$0$786,939$0$0
PAUL AXTELL MD
ORTHOPAEDIC SURGEON$718,000$0$0$0$0$0$26,019$0$19,599$0$763,618$0$0$0
HEATHER LANPHERE MD
OB/GYN$474,010$0$0$0$0$0$18,788$0$18,400$0$511,198$0$0$0
NISHANT CHAUDHARY MD
HOSPITALIST$444,891$0$0$0$0$0$15,909$0$18,403$0$479,203$0$0$0
SADDAM YASIN MD
PEDIATRICIAN$455,650$0$0$0$0$0$2,444$0$18,211$0$476,305$0$0$0
ANDRES RUBERT MD
CHIEF OF MEDICAL STAFF$386,600$0$0$0$0$0$13,779$0$17,872$0$418,251$0$0$0
LU-ANNE KAYE
OB/GYN$365,530$0$0$0$0$0$13,246$0$17,866$0$396,642$0$0$0
JAMES HELMS
CHIEF EXECUTIVE OFFICER$271,154$0$0$0$0$0$10,827$0$8,147$0$290,128$0$0$0
BOYD CHAPPELL
CHIEF FINANCIAL OFFICER$228,617$0$0$0$0$0$9,145$0$1,205$0$238,967$0$0$0
KAROL MARCIANO
CHAIRPERSON$0$162,119$0$0$0$4,000$0$15,361$0$30,362$0$211,842$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4BFormAndLineReferenceDesc
ExplanationTHE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED EMPLOYER PAID AMOUNTS THAT ARE INCLUDED IN DEFERRED COMPENSATION: STEVEN GOLDSTEIN - SERP PLAN - $125,000 MICHAEL APOSTOLAKOS, MD - SERP PLAN - $50,000 DAVID LINEHAN - -SERP PLAN - $150,000ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2SOME OF THE TRUSTEES OF THE ORGANIZATION HAVE BUSINESS RELATIONSHIPS WITH EACH OTHER THROUGH THEIR EMPLOYMENT AND/OR THEY SERVE AS AN OFFICER OF A RELATED ORGANIZATION, THE UNIVERSITY OF ROCHESTER.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF THE HOSPITAL IS THE UNIVERSITY OF ROCHESTER.
FORM 990, PART VI, SECTION A, LINE 7ATHE UNIVERSITY OR ROCHESTER HAS THE AUTHORITY TO ELECT THE GOVERNING BODY OF THE HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7BDECISIONS SUCH AS AMENDMENT OF THE CERTIFICATE OF INCORPORATION AND BYLAWS AND APPROVAL OF EXTRAORDINARY CORPORATE ACTIONS SUCH AS MERGER OR DISSOLUTION ARE SUBJECT TO THE APPROVAL OF THE UNIVERSITY OF ROCHESTER.
FORM 990, PART VI, SECTION B, LINE 11BTHE 990 WAS PRESENTED TO THE BOARD OF DIRECTORS PRIOR TO FILING. THE 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY, THE HOSPITAL REQUIRES ALL BOARD MEMBERS, EXECUTIVE LEADERSHIP, AND DEPARTMENT MANAGERS TO COMPLETE THE CONFLICT OF INTEREST STATEMENT TO IDENTIFY ACTUAL AND POTENTIAL CONFLICTS. THE STATEMENTS ARE REVIEWED BY THE HOSPITAL'S COMPLIANCE OFFICER FOR ANY POTENTIAL CONFLICTS. IF A CONFLICT IS IDENTIFIED, THE INDIVIDUAL WITH THE CONFLICT WILL NOT BE ALLOWED TO PARTICIPATE IN ANY DISCUSSION OR DECISION IN ANY AREA OF CONFLICT IDENTIFIED.
FORM 990, PART VI, SECTION B, LINE 15THE CEO'S SALARY IS SET FOR A SPECIFIC CONTRACT PERIOD BY THE BOARD OF DIRECTORS AND INCLUDES AN ESCALATION CLAUSE FOR INCREASES DURING THE CONTRACT PERIOD. THE PROCESS INCLUDES A REVIEW OF COMPARABLE DATA FOR THE MARKET AREA AND THE COMPLETE CONTRACT IS APPROVED BY THE BOARD OF DIRECTORS. COMPENSATION OF OTHER TOP MANAGEMENT OFFICIALS AND KEY EMPLOYEES IS DONE THROUGH A WAGE ANALYSIS PERFORMED BY THE HUMAN RESOURCES DIRECTOR. THE ANALYSIS COMPARES CURRENT WAGE TO MARKET DATA.
FORM 990, PART VI, SECTION C, LINE 19THE HOSPITAL'S FORM 990 IS AVAILABLE UPON REQUEST. THE HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE NOT ROUTINELY MADE AVAILABLE TO THE PUBLIC. THE HOSPITAL PUBLISHES AN ANNUAL FINANCIAL AND STATISTICAL REPORT IN THE LOCAL NEWSPAPER EACH SPRING. IT ALSO HAS THESE DOCUMENTS AVAILABLE FOR IN PERSON REVIEW OR WITHIN 30 DAYS OF A WRITTEN REQUEST FROM THE GENERAL PUBLIC. COPIES OF THESE DOCUMENTS ARE STORED IN THE ADMINISTRATIVE OFFICE OF THE HOSPITAL FOR THIS PURPOSE.
FORM 990, PART IX, LINE 11GPROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 18,685,180. MANAGEMENT AND GENERAL EXPENSES 783,822. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,469,002. BANK FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 27,617. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,617.
FORM 990, PART XI, LINE 9:CHANGE IN FUNDED STATUS OF PENSION PLAN -6,490. CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST -251,824. CHANGE IN VALUE OF BENEFICIAL INTEREST IN FOUNDATION -105,793.
FORM 990. PART XII, LINE 2CTHIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (42 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
UNIVERSITY OF ROCHESTER
910 GENESEE STREET STE 200ROCHESTERNY14611160743209SCHOOLNY501(C)(3)LINE 20
HIGHLAND HOSPITAL OF ROCHESTER
1000 SOUTH AVENUEROCHESTERNY14620160743037HOSPITALNY501(C)(3)LINE 30SPHS
THE HIGHLAND FOUNDATION INC
1000 SOUTH AVENUEROCHESTERNY14620237310662FUNDRAISINGNY501(C)(3)LINE 12A, I0HIGHLD HOSP
HIGHLAND FACILITIES DEVELOPMENT CORP
1000 SOUTH AVENUEROCHESTERNY14620223039077MEDICAL BLDGNY501(C)(3)LINE 100HIGHLD HOSP
HIGHLAND COMMUNITY DEVELOPMENT CORP
100 HAHNEMANN TRAILPITTSFORDNY14534223154715ELDER CARENY501(C)(3)LINE 100SPHS
THE HIGHLANDS LIVING CENTER INC
500 HAHNEMANN TRAILPITTSFORDNY14534223240227HEALTHCARENY501(C)(3)LINE 100SPHS
THE MEADOWS AT WESTFALL INC
5901 LAC DE VILLE BLVDROCHESTERNY14618161502303HEALTHCARENY501(C)(3)LINE 100SPHS
STRONG PARTNERS HEALTH SYSTEM INC
601 ELMWOOD AVENUE BOX 706ROCHESTERNY14642161499099SUPPORT ORGNY501(C)(3)LINE 12A, I0UNIV OF ROCH
UR MEDICINE HOME CARE INC
2180 EMPIRE BOULEVARDWEBSTERNY14580222577664FUNDRAISINGNY501(C)(3)LINE 70UNIV OF ROCH
UR MEDICINE HOME CARE CERTIFIED SERVICES INC
2180 EMPIRE BOULEVARDWEBSTERNY14580160743215HEALTHCARENY501(C)(3)LINE 100URMHC
UR MEDICINE HOME CARE LICENSED SERVICES INC
2180 EMPIRE BOULEVARDWEBSTERNY14580161561691HEALTHCARENY501(C)(3)LINE 100URMHC
EXCELL PARTNERS INC
343 STATE STREET KODAK TOWER 2NDROCHESTERNY14625201862628ECONOMIC DEVNY501(C)(4)0UNIV OF ROCH
NEXTCORPS INC
260 EAST MAIN STREET SUITE 6000WEST HENRIETTANY14586161195028BUSINESS INCUNY501(C)(3)LINE 70UNIV OF ROCH
U OF R BROADCASTING CORPORATION
201 WILSON COMMONSROCHESTERNY14627160743209BROADCAST LICNY501(C)(4)0UNIV OF ROCH
UR REAL ESTATE CORPORATION
263 WALLIS HALLROCHESTERNY14627271140014SUPPORT ORGNY501(C)(3)LINE 12A, I0UNIV OF ROCH
MELIORA REAL ESTATE CORPORATION
263 WALLIS HALLROCHESTERNY14627452464788SUPPORT ORGNY501(C)(3)LINE 12A, I0UNIV OF ROCH
F F THOMPSON HEALTH SYSTEM INC
350 PARRISH STREETCANANDAIGUANY14424222959987SUPPORT ORGNY501(C)(3)LINE 12A, I0UNIV OF ROCH
THE FREDERICK FERRIS THOMPSON HOSPITAL
350 PARRISH STREETCANANDAIGUANY14424160743024HOSPITALNY501(C)(3)LINE 30THS
MM EWING CONTINUING CARE CENTER
350 PARRISH STREETCANANDAIGUANY14424237046583HEALTHCARENY501(C)(3)LINE 30THS
FFT SENIOR COMMUNITIES INC
1 FERRIS HILLSCANANDAIGUANY14424161557494ELDER CARENY501(C)(3)LINE 100THS
THE FF THOMPSON FOUNDATION INC
350 PARRISH STREETCANANDAIGUANY14424222959984FUNDRAISINGNY501(C)(3)LINE 70THS
FINGER LAKES HOME CARE INC
756 PREEMPTION ROADGENEVANY14456161489133HEALTHCARENY501(C)(3)LINE 100URM HOME CARE CERTIFIED SRVCS
LIVINGSTON HEALTH CARE SYSTEM INC
111 CLARA BARTON STREETDANSVILLENY14427161455240SUPPORT ORGNY501(C)(3)LINE 12A, I0UNIV OF ROCH
NICHOLAS H NOYES MEMORIAL HOSPITAL INC
111 CLARA BARTON STREETDANSVILLENY14427160743979HOSPITALNY501(C)(3)LINE 30LHCS
RED JACKET CENTER INC
111 CLARA BARTON STREETDANSVILLENY14427161037658MEDICAL BLDGNY501(C)(3)LINE 12A, I0LHCS
THE FOUNDATION FOR NOYES MEMORIAL HEALTH SYSTEM INC
111 CLARA BARTON STREETDANSVILLENY14427161584778FUNDRAISINGNY501(C)(3)LINE 70LHCS
JONES MEMORIAL HOSPITAL FOUNDATION
191 NORTH MAIN STREETWELLSVILLENY14895473763374SUPPORT ORGNY501(C)(3)LINE 7Yes (1)JONES HOSP
JONES MEDICAL SERVICES PC
191 NORTH MAIN STREETWELLSVILLENY14895465210222MEDICAL CLINICNY501(C)(3)LINE 3Yes (1)JONES HOSP
ST JAMES HOSPITAL
7329 SENECA ROAD NORTHHORNELLNY14843160743310HOSPITALNY501(C)(3)LINE 30UNIV OF ROCH
ST JAMES HOSPITAL FOUNDATION
7329 SENECA ROAD NORTHHORNELLNY14843161486437FUNDRAISINGNY501(C)(3)LINE 70ST JAMES HOSP
UR MEDICINE HOME CARE COMMUNITY SERVICES INC
2180 EMPIRE BOULEVARDWEBSTERNY14580825091873HEALTHCARENY501(C)(3)LINE 100URMHC
UR MEDICINE HOME CARE FOUNDATION INC
2180 EMPIRE BOULEVARDWEBSTERNY14580831912967SUPPORT ORGNY501(C)(3)LINE 12A, I0URMHC
FINGER LAKES REGIONAL HEALTH SYSTEM INC
196 NORTH STREETGENEVANY14456223193606HEALTHCARENY501(C)(3)LINE 70UNIVERSITY OF ROCHESTER
GENEVA GENERAL HOSPITAL
196 NORTH STREETGENEVANY14456160743032HEALTHCARENY501(C)(3)LINE 30FLH
SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES COUNTY
418 N MAIN STREETPENN YANNY14527160743192HEALTHCARENY501(C)(3)LINE 30FLH
GENEVA NURSING HOME INC
45 MASON STREETGENEVANY14456160957268HEALTHCARENY501(C)(3)LINE 100FLH
GENEVA NURSING HOME II INC
75 MASON STREETGENEVANY14456161449543HEALTHCARENY501(C)(3)LINE 100FLH
HUNTINGTON NURSING HOME INC
369 EAST MAIN STREETWATERLOONY13165510169552HEALTHCARENY501(C)(3)LINE 100FLH
FINGER LAKES HEALTH FOUNDATION INC
196 NORTH STREETGENEVANY14456150549310FUNDRAISINGNY501(C)(3)LINE 12C, III-FI0FLH
GENEVA GENERAL HOUSING DEVELOPMENT FUND COMPANY INC
260 NORTH STREETGENEVANY14456222816883HOUSINGNY501(C)(3)LINE 100FLH
TAYLOR BROWN HOUSING DEVELOPMENT FUND COMPANY INC
371 EAST MAIN STREETWATERLOONY13165222807734HOUSINGNY501(C)(3)LINE 100FLH
FLH MEDICAL PC
200 NORTH STREET SUITE 102GENEVANY14456263765332MEDICAL PRACTICENY501(C)(3)LINE 100FLH

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
EXCELL INNOVATE NY FUND LP
343 STATE STREET KODAK TOWER 2NDROCHESTERNY14650462405519INVESTMENT FUNDNYETV INC00
EXCELL MINORITY AND WOMEN OWNED BUSINESS INVESTMENT FUND LP
344 STATE STREET KODAK TOWER 2NDROCHESTERNY14650810723223INVESTMENT FUNDNYETV INC00
EXCELL PARTNERS INNOVATIVE TC FUND LP
345 STATE STREET KODAK TOWER 2NDROCHESTERNY14650810711015INVESTMENT FUNDNYETV INC00
FINGER LAKES VENTURE FUND LP
345 STATE STREET KODAK TOWER 2NDROCHESTERNY14650833941257INVESTMENT FUNDNYETV INC00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
MEDICAL ADMINISTRATIVE ASSOCIATES INC
777 SOUTH CLINTON AVENUEROCHESTERNY14620161354319RETAIL PHARMACYNYHIGHLD HOSPC0
UREQUITY HOLDINGS INC
110 OFFICE PARK WAYPITTSFORDNY14534273040889HOLDING CODEUNIV OF ROCHC0
FFTH PROPERTIES AND SERVICES INC
350 PARRISH STREETCANANDAIGUANY14424161286518HOLDING CONYTHSC0
EXCELL TECHNOLOGY VENTURES INC
343 STATE STREET KODAK TOWER 2NDROCHESTERNY14650800909149BIOTECH INCUBATORNYROCH BIOVENTUREC0
ACCOUNTABLE HEALTH PARTNERS LLC
135 CORPORATE WOODS STE 320ROCHESTERNY14623300787967ACCT CARE NETWORKNYUNIV OF ROCHC0
ACCOUNTABLE HEALTH PARTNERS IPA LLC
135 CORPORATE WOODS STE 320ROCHESTERNY14623371746016INDEP PRACTICE ASSOCNYAHP LLCC0
AHP INSURANCE COMPANY
76 ST PAUL STREET SUITE 500BURLINGTONVT05401814644839CAPTIVE INSURANCE CONYAHP LLCC0
LUMINATE VENTURE CHALLENGE CORP
260 EAST MAIN STREET SUITE 6000ROCHESTERNY14604823954131BUSINESS INCUNYNEXTCORPS INCC0
HORNELL MEDICAL VILLAGE LLC
7100 ROUTE 70AHORNELLNY14843611886763HOLD REAL ESTATENYST JAMES HOSPC0
ROCHESTER BIOVENTURE
601 ELMWOOD AVENUE BOX 706ROCHESTERNY14642202485999BIOTECH INCUBATORNYUNIV OF ROCHC0
SOLDIER VENTURES INC
418 N MAIN STREETPENN YANNY14527161556419MEDICAL SUPPLY CONYSOLDIERS HOSPC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
JONES MEDICAL SERVICES PC
Q$1,310,000FUNDS TRANSFERRED
JONES MEMORIAL HOSPITAL FOUNDATION
Q$14,348CONTRIBUTION FOR CAPITAL
JONES MEMORIAL HOSPITAL FOUNDATION
C$319,770FUNDS TRANSFERRED

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