MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INC (EIN 22-2807681)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-11
- IRS object ID
- 202301319349300930
- Schema version
- 2021v4.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
- Reasonable Cause Explanation
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-11T08:16:50-07:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222807681 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MEMO | BusinessNameControlTxt |
| Phone | 5855931100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 191 N Main Street | AddressLine1Txt |
| City | Wellsville | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14895 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Boyd Chappell | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5855964002 | PhoneNum |
| Signature | 2023-05-01 | SignatureDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 1 | TrustedCustomerCd |
| OOB Security Verification | 11 | OOBSecurityVerificationCd |
| Last Submission Rqr OOB | 1 | LastSubmissionRqrOOBCd |
| Authentication Assurance Level | AAL2 | AuthenticationAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | James Helms | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 191 North Main Street | AddressLine1Txt |
| City | Wellsville | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14895 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $62,154,382 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://www.urmc.rochester.edu/jones-memorial-hospital.aspx | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1921 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | JONES MEMORIAL HOSPITAL IS COMMITTED TO ENSURING ACCESS TO THE HIGHEST QUALITY HEALTHCARE FOR OUR COMMUNITY IN A CARING MANNER. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 547 | TotalEmployeeCnt |
| Total Volunteers | 60 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $9,841,114 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,809,365 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $49,517,953 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $51,301,572 | CYProgramServiceRevenueAmt |
| PY Investment Income | $107,988 | PYInvestmentIncomeAmt |
| CY Investment Income | $265,106 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,954,507 | PYOtherRevenueAmt |
| CY Other Revenue | $4,729,875 | CYOtherRevenueAmt |
| PY Total Revenue | $64,421,562 | PYTotalRevenueAmt |
| CY Total Revenue | $62,105,918 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $28,128,899 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $29,313,593 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $25,609,329 | PYOtherExpensesAmt |
| CY Other Expenses | $31,616,653 | CYOtherExpensesAmt |
| PY Total Expenses | $53,738,228 | PYTotalExpensesAmt |
| CY Total Expenses | $60,930,246 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $10,683,334 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,175,672 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $55,322,921 | TotalAssetsBOYAmt |
| Total Assets EOY | $59,496,738 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $22,053,635 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $22,165,019 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $33,269,286 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $37,331,719 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Provision of healthcare services | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $52,284,161 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $51,301,572 | RevenueAmt |
| Desc | QUALITY 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 1,746 PATIENTS PLUS 386 BIRTHS. THE HOSPITAL HAS PROVIDED CHARITY CARE TO INDIGENT PATIENTS TOTALING $907,303. | Desc |
| Total Other Prog Srvc Expense | $0 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $0 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $52,284,161 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 44 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 547 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BOYD CHAPPELL CFO | PersonNm |
| Phone | 5855964002 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 191 N Main Street | AddressLine1Txt |
| City | Wellsville | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14895 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|---|
| STEVEN GOLDSTEIN | ||||||||
| BOARD MEMBER | 2 | 71 | Yes (X) | $0 | $3,165,448 | $215,223 | ||
| MARK TAUBMAN | ||||||||
| BOARD MEMBER | 2 | 75 | Yes (X) | $0 | $1,570,098 | $204,474 | ||
| MICHAEL APOSTOLAKOS | ||||||||
| BOARD MEMBER | 2 | 64 | Yes (X) | $0 | $678,764 | $111,083 | ||
| PAUL AXTELL | ||||||||
| MD | 40 | 0 | $718,000 | $0 | $23,011 | Yes (X) | ||
| HEATHER LANPHERE | ||||||||
| OB/GYN | 40 | 0 | $410,066 | $0 | $21,498 | Yes (X) | ||
| ANNA HARING | ||||||||
| MD | 40 | 0 | $378,077 | $0 | $19,263 | Yes (X) | ||
| NISHANT CHAUDHARY | ||||||||
| MD | 40 | 0 | $375,410 | $0 | $14,513 | Yes (X) | ||
| SADDAM YASIN | ||||||||
| MD | 40 | 0 | $353,580 | $0 | $14,193 | Yes (X) | ||
| ROBERT GILFERT | ||||||||
| BOARD MEMBER | 2 | 40 | Yes (X) | $280,622 | $0 | $7,061 | ||
| JAMES HELMS | ||||||||
| CFO | 40 | 2 | $200,558 | $0 | $12,086 | Yes (X) | ||
| EVA BENEDICT | ||||||||
| EXEC DIRECTOR/CEO | 40 | 2 | $192,273 | $0 | $6,808 | Yes (X) | ||
| KAROL MARCIANO | ||||||||
| VICE CHAIRPERSON | 2 | 55 | Yes (X) | $0 | $151,375 | $20,709 | ||
| MARY KATE COLE | ||||||||
| BOARD MEMBER | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||
| IAN JONES | ||||||||
| BOARD MEMBER | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||
| JAMES KNAPP | ||||||||
| BOARD MEMBER | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD EWELL | ||||||||
| CHAIRPERSON | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||
| SAMANTHA GILKEY | ||||||||
| SECRETARY | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||
| DANIEL JOHNSON | ||||||||
| TREASURER | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||
| JENNY BILOTTA | ||||||||
| BOARD MEMBER | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,908,586 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,565,685 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $669,922 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 36 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DELPHI HOSPITALIST SERVICES | |||||
| 2701 CULVER ROAD | ROCHESTER | NY | 14622 | STAFFING | $1,413,912 |
| DELPHI HEALTHCARE | |||||
| 2701 CULVER ROAD | ROCHESTER | NY | 14622 | STAFFING | $1,635,271 |
| PICCO PULMONARY & INTERNAL MEDICINE | |||||
| 11 MAIN STREET | HORNELL | NY | 14843 | MEDICAL PHYSICIAN | $758,745 |
| JEREMY OOSTERKAMP | |||||
| 3750 TRANSIT ROAD | ORCHARD PARK | NY | 14127 | CRNA | $282,500 |
| CORAZON HOFFMAN | |||||
| 211 HAEGELE PLACE | MT ROYAL | NJ | 08061 | CRNA | $187,652 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $15,187 | RelatedOrganizationsAmt |
| Government Grants | $5,717,491 | GovernmentGrantsAmt |
| All Other Contributions | $76,687 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $5,809,365 | TotalContributionsAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $51,301,572 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $51,301,572 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $51,301,572 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $246,106 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $246,106 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $137,979 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $48,464 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $89,515 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $89,515 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $89,515 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $19,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $19,000 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,000 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $19,000 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| STAFF LEASING | 900099 | $331,992 | $0 | $0 | $331,992 |
| CAFETERIA | 722212 | $238,915 | $0 | $0 | $238,915 |
| 340B CONTRACT PHARMACY | 900099 | $2,242,208 | $0 | $0 | $2,242,208 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,827,245 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,827,245 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,640,360 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $62,105,918 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $51,301,572 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,994,981 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $392,831 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $392,831 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,406,559 | TotalAmt |
| Program Services | $20,262,128 | ProgramServicesAmt |
| Management And General | $4,144,431 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $230,000 | TotalAmt |
| Program Services | $187,920 | ProgramServicesAmt |
| Management And General | $42,080 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,525,776 | TotalAmt |
| Program Services | $2,525,776 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,758,427 | TotalAmt |
| Program Services | $1,436,708 | ProgramServicesAmt |
| Management And General | $321,719 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,729 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $42,729 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,103 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $126,103 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,235 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $117,235 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,484 | TotalAmt |
| Program Services | $1,400 | ProgramServicesAmt |
| Management And General | $47,084 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,553,398 | TotalAmt |
| Program Services | $12,105,518 | ProgramServicesAmt |
| Management And General | $447,880 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,658 | TotalAmt |
| Program Services | $11,292 | ProgramServicesAmt |
| Management And General | $1,366 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,796 | TotalAmt |
| Program Services | $24,964 | ProgramServicesAmt |
| Management And General | $4,832 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,268 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $11,268 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,938,336 | TotalAmt |
| Program Services | $1,550,669 | ProgramServicesAmt |
| Management And General | $387,667 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$33,398 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | -$33,398 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PROFESSIONAL FEES | $11,280,530 | $10,146,410 | $1,134,120 | $0 |
| PURCHASEDSERVICES | $2,995,357 | $1,964,674 | $1,030,683 | $0 |
| MAINTENANCE AND REPAIRS | $828,503 | $755,326 | $73,177 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,665,654 | TotalAmt |
| Program Services | $1,311,376 | ProgramServicesAmt |
| Management And General | $354,278 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,930,246 | TotalAmt |
| Program Services | $52,284,161 | ProgramServicesAmt |
| Management And General | $8,646,085 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,609,354 | BOYAmt |
| EOY | $6,506,941 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,521 | BOYAmt |
| EOY | $119,527 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,884,140 | BOYAmt |
| EOY | $15,083,699 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,455,667 | BOYAmt |
| EOY | $1,716,116 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $493,159 | BOYAmt |
| EOY | $264,218 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $53,820,132 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $31,124,551 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,257,654 | BOYAmt |
| EOY | $22,695,581 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,726,387 | BOYAmt |
| EOY | $8,254,358 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $2,230,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,777,039 | BOYAmt |
| EOY | $2,626,298 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,322,921 | BOYAmt |
| EOY | $59,496,738 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,133,394 | BOYAmt |
| EOY | $12,020,291 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $500,000 | BOYAmt |
| EOY | $449,759 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,420,241 | BOYAmt |
| EOY | $9,694,969 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,053,635 | BOYAmt |
| EOY | $22,165,019 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,133,288 | BOYAmt |
| EOY | $33,475,994 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,135,998 | BOYAmt |
| EOY | $3,855,725 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,269,286 | BOYAmt |
| EOY | $37,331,719 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,322,921 | BOYAmt |
| EOY | $59,496,738 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,175,672 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $0 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $2,886,761 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $867,775 | BeginningYearBalanceAmt |
| Contributions | $1,352,613 | ContributionsAmt |
| Investment Earnings Or Losses | -$87,567 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $2,132,821 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $681,624 | BeginningYearBalanceAmt |
| Contributions | $57,821 | ContributionsAmt |
| Investment Earnings Or Losses | $128,330 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $867,775 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $622,856 | BeginningYearBalanceAmt |
| Contributions | $41,736 | ContributionsAmt |
| Investment Earnings Or Losses | $17,031 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $681,623 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $477,036 | BeginningYearBalanceAmt |
| Contributions | $145,820 | ContributionsAmt |
| Investment Earnings Or Losses | $0 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $622,856 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $363,388 | BeginningYearBalanceAmt |
| Contributions | $116,695 | ContributionsAmt |
| Investment Earnings Or Losses | -$3,047 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $477,036 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $393,177 | OtherCostOrOtherBasisAmt |
| Book Value | $393,177 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $1,062,360 | OtherCostOrOtherBasisAmt |
| Depreciation | $820,391 | DepreciationAmt |
| Book Value | $241,969 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $17,028,324 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,227,356 | DepreciationAmt |
| Book Value | $3,800,968 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $28,462,414 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,076,804 | DepreciationAmt |
| Book Value | $11,385,610 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $6,873,857 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $6,873,857 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $22,695,581 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| CAPITAL IMPROVEMENTS/MORGAN STANLEY | $4,744,187 | F |
| HELD IN TRUST/KEY BANK | $1,788,808 | F |
| TEMP RESTRICTED/COMMUNITY BANK | $1,721,363 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $8,254,358 | TotalBookValueSecuritiesAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| LINE OF CREDIT - URMC | $3,200,000 |
| INSURANCE RESERVES | $1,259,759 |
| ASSET RETIREMENT FIN 47 | $566,870 |
| RIGHT OF USE LT LIABILITY | $1,566,016 |
| ACCRUED PENSION LIABILITY | $3,102,324 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $9,694,969 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part V, Line 4 | FormAndLineReferenceDesc |
| Explanation | TO SUPPORT JONES MEMORIAL HOSPITAL | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $52,040 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $52,040 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0009 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $8,804,522 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,329,428 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,475,094 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $564,070 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $564,070 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $9,420,632 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,329,428 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,091,204 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0610 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 9 | PersonsServedCnt |
| Total Community Benefit Expns | $1,182 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,182 | NetCommunityBenefitExpnsAmt |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 27 | PersonsServedCnt |
| Total Community Benefit Expns | $936 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $936 | NetCommunityBenefitExpnsAmt |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 36 | PersonsServedCnt |
| Total Community Benefit Expns | $2,118 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,118 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 36 | PersonsServedCnt |
| Total Community Benefit Expns | $9,422,750 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,329,428 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,093,322 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0610 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,378,498 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $5,094,478 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $9,737,427 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$4,642,949 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 8 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JONES MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 191 NORTH MAIN STREET | AddressLine1Txt |
| City | WELLSVILLE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14895 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | https://www.urmc.rochester.edu/jones-memorial-hospital.aspx | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JONES MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://www.urmc.rochester.edu/jones-memorial-hospital.aspx | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 50 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://www.urmc.rochester.edu/jones-memorial-hospital.aspx | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://www.urmc.rochester.edu/jones-memorial-hospital.aspx | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://urmc.rochester.edu/jones-memorial-hospital.aspx | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 3-JONES MEMORIAL HOSPITAL | Please see Schedule H Part VI, Line 2 Supplemental Information. |
| Schedule H, Part V, Section B, Line 4-JONES MEMORIAL HOSPITAL | Please see Schedule H, Part VI, Line 2 Supplemental Information. |
| Schedule H, Part V, Section B, Line 5-JONES MEMORIAL HOSPITAL | Please see Schedule H, Part VI, Line 2 Supplemental Information. |
| Schedule H, Part V, Section B, Line 6a-JONES MEMORIAL HOSPITAL | Cuba Memorial Hospital. |
| Schedule H, Part V, Section B, Line 6b-JONES MEMORIAL HOSPITAL | Allegany County Department of Health, Allegany County Community Wellness Committee and Cuba Memorial Hospital. |
| Schedule H, Part V, Section B, Line 7d-JONES MEMORIAL HOSPITAL | Please see Schedule H, Part VI, Line 2 Supplemental Information. |
| Schedule H, Part V, Section B, Line 10-JONES MEMORIAL HOSPITAL | The Hospital provides discounted care, not free care. |
| Schedule H, Part V, Section B, Line 11-JONES MEMORIAL HOSPITAL | For Priority Area: Prevent Chronic Disease, Focus Area Healthy Eating and Food Security. Interventions, strategies and activities will work towards increasing the redemption of farmers market coupons distributed through the WIC Program and the Office for the Aging. These will include but are not limited to developing a key stakeholders group; a work plan; increased access to the farmers markets; increase knowledge of use; preparation and preservation of fruits and vegetables; and program review using guidance workbook to expand activities over year two and three. For Priority Area: Prevent Chronic Disease, Focus Area: Preventative Care and Management. Interventions, strategies and activities will work toward increasing the number of adults with a chronic disease who have taken a course or class to learn how to manage their condition. These will include but are not limited to identifying additional agencies and their staff to be trained to facilitate the Stanford University Chronic Disease Self Management course; Ardent Solutions Inc Master Trainer offering trainings to increase the number of facilitators in Allegany County; offering a minimum of two CDSM workshop series each year and collaborating with area health care providers and their care managers to identify their patients with chronic diseases and make referrals to CDSM. For Priority Area: Promote Well Being and Prevent Mental and Substance Use Disorders. Interventions, strategies and activities will work toward decreasing the age adjusted suicide mortality rates by ten percent by 2021. These will include but are not limited to supporting and promoting the suicide prevention coalition activities; offering programming to prevent suicides including ASIST, Mental Health First Aid, Safe Talk and Talk Saves Lives, evaluating the suicide prevention program in Allegany County using RAND or a similar tool kit and developing an action plan for years two and three. For Disparity Socio Economical Income; the evidence based interventions, strategies and activities locally decreases the financial burden to the residents of Allegany County by reducing the travel and time expense to county residents. |
| Schedule H, Part V, Section B, Line 16a-JONES MEMORIAL HOSPITAL | https://www.urmc.rochester.edu/jones-memorial-hospital.aspx |
| Schedule H, Part V, Section B, Line 16b-JONES MEMORIAL HOSPITAL | https://www.urmc.rochester.edu/jones-memorial-hospital.aspx |
| Schedule H, Part V, Section B, Line 16c-JONES MEMORIAL HOSPITAL | https://www.urmc.rochester.edu/jones-memorial-hospital.aspx |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 7 | Worksheet 2 Ratio of Patient Care Cost to Charges calculation was used. Due to the adoption of accounting pronouncement ASC 606, current year price concessions are treated as a contra-revenue item on the statement of revenue. |
| Schedule H, Part I, Line 7g | Jones Memorial Hospital operates a Diabetic Clinic as a service to the public due to the high need for it in Allegany County. |
| Schedule H, Part III, Section A, 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. |
| Schedule H, Part III, Section B, 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. |
| Schedule H, Part III, Section C, 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. |
| Schedule H, Part VI, Line 2 | The hospital uses several methods to assess the healthcare needs of those in the service area. Public survey includes some demographic information and a ratings system for 49 items identified as health needs. The public was notified of the survey process and encouraged to participate through paid advertising in the Wellsville Daily Reporter and Hornell Evening Tribune, press releases to local news agencies, invitations on the hospital website home page, distribution of paper surveys through the JMH medical practice sites (six in total throughout Allegany County) and through email distribution of the survey to agency list serves in the region. The survey was also distributed via Survey Monkey, an online survey to allow recipients to receive and respond via email. The most recent survey was May 5, 2023 - June 30, 2023. This survey is completed every 2-3 years. |
| Schedule H, 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. |
| Schedule H, 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. |
| Schedule H, Part VI, Line 5 | Jones Memorial Hospital promotes community wellness in many ways. Several activities were planned however, due to COVID restrictions many were cancelled. The following activities were completed: 1. Blood pressure cuffs were distributed to our providers for patients identified with hypertension. They were given to the patient and instructed to monitor their blood pressure to assess whether adjustments to medications or diet were necessary. 2. Pediatric patients received a book to encourage reading. 3. Jones Memorial Hospital was a corporate sponsor for a RAM (Rural Area Medical) Clinic. Overall, 316 individual patients were seen, resulting in $103,000 of free medical care. Several staff participated in the event. Stroke and health information was displayed. 4. Blood pressure machine support at the local YMCA and in the Outpatient Lab area at Jones Memorial Hospital. 5. Participation in the community meetings for development of a Local Waterfront Revitalization Program. 6. County-wide wellness meetings to support the Community Service Plan. 7. Covid employee and community vaccinations. 8. Covid testing programs. |
| Schedule H, 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, 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 community-based research. These activities help inform policymakers and the community about local health challenges, evaluate the effectiveness of interventions, and serve as a foundation for evidence-based practices to improve health and overall quality of life. |
| Schedule H, Part VI, Line 7 | The community benefit report is filed with New York State. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EVA BENEDICT | ||||||||||||||
| EXEC DIRECTOR/CEO | $192,273 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $6,808 | $0 | $199,081 | $0 | $0 | $0 |
| JAMES HELMS | ||||||||||||||
| CFO | $200,558 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $12,086 | $0 | $212,644 | $0 | $0 | $0 |
| NISHANT CHAUDHARY | ||||||||||||||
| MD | $375,410 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $14,513 | $0 | $389,923 | $0 | $0 | $0 |
| PAUL AXTELL | ||||||||||||||
| MD | $718,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $23,011 | $0 | $741,011 | $0 | $0 | $0 |
| HEATHER LANPHERE | ||||||||||||||
| OB/GYN | $410,066 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $21,498 | $0 | $431,564 | $0 | $0 | $0 |
| SADDAM YASIN | ||||||||||||||
| MD | $353,580 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $14,193 | $0 | $367,773 | $0 | $0 | $0 |
| ANNA HARING | ||||||||||||||
| MD | $378,077 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $19,263 | $0 | $397,340 | $0 | $0 | $0 |
| STEVEN GOLDSTEIN | ||||||||||||||
| BOARD MEMBER | $0 | $1,326,627 | $0 | $0 | $0 | $1,838,821 | $0 | $193,001 | $0 | $22,222 | $0 | $3,380,671 | $0 | $889,000 |
| KAROL MARCIANO | ||||||||||||||
| VICE CHAIRPERSON | $0 | $141,625 | $0 | $0 | $0 | $9,750 | $0 | $10,417 | $0 | $10,293 | $0 | $172,085 | $0 | $0 |
| MICHAEL APOSTOLAKOS | ||||||||||||||
| BOARD MEMBER | $0 | $659,140 | $0 | $0 | $0 | $19,624 | $0 | $83,601 | $0 | $27,482 | $0 | $789,847 | $0 | $0 |
| MARK TAUBMAN | ||||||||||||||
| BOARD MEMBER | $0 | $1,535,309 | $0 | $0 | $0 | $34,790 | $0 | $183,601 | $0 | $20,873 | $0 | $1,774,573 | $0 | $0 |
| ROBERT GILFERT | ||||||||||||||
| BOARD MEMBER | $280,622 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $7,061 | $0 | $287,683 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule J, Part I, Line 4 | FormAndLineReferenceDesc |
| Explanation | The following individuals participated in a supplemental nonqualified retirement plan and received employer paid amounts that are included in deferred compensation. Steven Goldstein SERP Plan 159,400, Mark Taubman MD SERP Plan 150,000, Michael Apostolakos MD SERP Plan 50,000. The following individual participated in a supplemental nonqualified retirement plan and received employer paid amounts that are included in other reportable compensation. Steven Goldstein 457(f) Plan 1,749,057. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, Line 2 | Some of the trustees of the organization have business relationships with each other through their employment and service as officer of a related organization - The University of Rochester. |
| Form 990, Part VI, Section A, Line 6 | The sole member of the Hospital is the University of Rochester. |
| Form 990, Part VI, Section A, Line 7a | The University or Rochester has the authority to elect the governing body of the Hospital. |
| Form 990, Part VI, Section A, Line 7b | Decisions 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 11b | The 990 was presented to the Board of Directors prior to filing. The 990 is prepared by the Accounting Department and reviewed by the VP of Finance. |
| Form 990, Part VI, Section B, Line 12c | Annually, the Hospital requires all Board Members, Senior Managers 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 15 | The 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. The CEO reviews the analysis. |
| Form 990, Part VI, Section C, Line 19 | The 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 XI, Line 9 | Change in unrealized gain/losses on investments = -917,919, Pension liability adjustment = 1,460,986, transfers from University of Rochester = 1,623,967, change in value of beneficial interest in perpetual trust = -313,581 and change in value of beneficial interest in foundation = 1,033,308. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (33 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| UNIVERSITY OF ROCHESTER | ||||||||||
| 910 GENESEE STREET STE 200 | ROCHESTER | NY | 14611 | 160743209 | SCHOOL | NY | 501 C (3) | 2 | UNIV OF ROCH | 0 |
| HIGHLAND HOSPITAL OF ROCHESTER | ||||||||||
| 1000 SOUTH AVENUE | ROCHESTER | NY | 14620 | 160743037 | HOSPITAL | NY | 501 C (3) | 3 | SPHS | 0 |
| THE HIGHLAND FOUNDATION INC | ||||||||||
| 1000 SOUTH AVENUE | ROCHESTER | NY | 14620 | 237310662 | FUNDRAISING | NY | 501 C (3) | 12A, 1 | HIGHLD HOSP | 0 |
| HIGHLAND FACILITIES DEVELOPMENT CORP | ||||||||||
| 1000 SOUTH AVENUE | ROCHESTER | NY | 14620 | 223039077 | MEDICAL BLDG | NY | 501 C (3) | 10 | HIGHLD HOSP | 0 |
| HIGHLAND COMMUNITY DEVELOPMENT CORP | ||||||||||
| 100 HAHNEMANN TRAIL | PITTSFORD | NY | 14534 | 223154715 | ELDER CARE | NY | 501 C (3) | 10 | SPHS | 0 |
| THE HIGHLANDS LIVING CENTER INC | ||||||||||
| 500 HAHNEMANN TRAIL | PITTSFORD | NY | 14534 | 223240227 | HEALTHCARE | NY | 501 C (3) | 10 | SPHS | 0 |
| THE MEADOWS AT WESTFALL INC | ||||||||||
| 5901 LAC DE VILLE BLVD | ROCHESTER | NY | 14618 | 161502303 | HEALTHCARE | NY | 501 C (3) | 10 | SPHS | 0 |
| STRONG PARTNERS HEALTH SYSTEM INC | ||||||||||
| 601 ELMWOOD AVENUE BOX 706 | ROCHESTER | NY | 14642 | 161499099 | SUPPORT ORG | NY | 501 C (3) | 12A, 1 | UNIV OF ROCH | 0 |
| UR MEDICINE HOME CARE INC | ||||||||||
| 2180 EMPIRE BOULEVARD | WEBSTER | NY | 14580 | 222577664 | FUNDRAISING | NY | 501 C (3) | 7 | UNIV OF ROCH | 0 |
| UR MEDICINE HOME CARE CERTIFIED SERVICES INC | ||||||||||
| 2180 EMPIRE BOULEVARD | WEBSTER | NY | 14580 | 160743215 | HEALTHCARE | NY | 501 C (3) | 10 | URMHC | 0 |
| UR MEDICINE HOME CARE LICENSED SERVICES INC | ||||||||||
| 2180 EMPIRE BOULEVARD | WEBSTER | NY | 14580 | 161561691 | HEALTHCARE | NY | 501 C (3) | 10 | URMHC | 0 |
| EXCELL PARTNERS INC | ||||||||||
| 343 STATE STREET KODAK TOWER 2ND | ROCHESTER | NY | 14625 | 201862628 | ECONOMIC DEV | NY | 501 C (4) | N/A | UNIV OF ROCH | 0 |
| ROCHESTER BIOVENTURE CENTER INC | ||||||||||
| 601 ELMWOOD AVENUE BOX 706 | ROCHESTER | NY | 14642 | 202485999 | BIOTECH INCUB | NY | 501 C (3) | 12A, 1 | UNIV OF ROCH | 0 |
| NEXTCORPS INC | ||||||||||
| 260 EAST MAIN STREET SUITE 6000 | WEST HENRIETTA | NY | 14586 | 161195028 | BUSINESS INCU | NY | 501 C (3) | 7 | UNIV OF ROCH | 0 |
| U OF R BROADCASTING CORPORATION | ||||||||||
| 201 WILSON COMMONS | ROCHESTER | NY | 14627 | 160743209 | BROADCAST LIC | NY | 501 C (4) | N/A | UNIV OF ROCH | 0 |
| UR REAL ESTATE CORPORATION | ||||||||||
| 263 WALLIS HALL | ROCHESTER | NY | 14627 | 271140014 | SUPPORT ORG | NY | 501 C (3) | 12A, 1 | UNIV OF ROCH | 0 |
| MELIORA REAL ESTATE CORPORATION | ||||||||||
| 263 WALLIS HALL | ROCHESTER | NY | 14627 | 452464788 | SUPPORT ORG | NY | 501 C (3) | 12A, 1 | UNIV OF ROCH | 0 |
| F F THOMPSON HEALTH SYSTEM INC | ||||||||||
| 350 PARRISH STREET | CANANDAIGUA | NY | 14424 | 222959987 | SUPPORT ORG | NY | 501 C (3) | 12A, 1 | UNIV OF ROCH | 0 |
| THE FREDERICK FERRIS THOMPSON HOSPITAL | ||||||||||
| 350 PARRISH STREET | CANANDAIGUA | NY | 14424 | 160743024 | HOSPITAL | NY | 501 C (3) | 3 | THS | 0 |
| MM EWING CONTINUING CARE CENTER | ||||||||||
| 350 PARRISH STREET | CANANDAIGUA | NY | 14424 | 237046583 | HEALTHCARE | NY | 501 C (3) | 3 | THS | 0 |
| FFT SENIOR COMMUNITIES INC | ||||||||||
| 1 FERRIS HILLS | CANANDAIGUA | NY | 14424 | 161557494 | ELDER CARE | NY | 501 C (3) | 10 | THS | 0 |
| THE FF THOMPSON FOUNDATION INC | ||||||||||
| 350 PARRISH STREET | CANANDAIGUA | NY | 14424 | 222959984 | FUNDRAISING | NY | 501 C (3) | 7 | THS | 0 |
| FINGER LAKES HOME CARE INC | ||||||||||
| 756 PRE-EMPTION ROAD | GENEVA | NY | 14456 | 161489133 | HEALTHCARE | NY | 501 C (3) | 10 | URM HOME CARE CERTIFIED SRVCS | 0 |
| LIVINGSTON HEALTH CARE SYSTEM INC | ||||||||||
| 111 CLARA BARTON STREET | DANSVILLE | NY | 14427 | 161455240 | SUPPORT ORG | NY | 501 C (3) | 12A, 1 | UNIV OF ROCH | 0 |
| NICHOLAS H NOYES MEMORIAL HOSPITAL INC | ||||||||||
| 111 CLARA BARTON STREET | DANSVILLE | NY | 14427 | 160743979 | HOSPITAL | NY | 501 C (3) | 3 | LHCS | 0 |
| RED JACKET CENTER INC | ||||||||||
| 111 CLARA BARTON STREET | DANSVILLE | NY | 14427 | 161037658 | MEDICAL BLDG | NY | 501 C (3) | 12A, 1 | LHCS | 0 |
| THE FOUNDATION FOR NOYES MEMORIAL HEALTH SYSTEM INC | ||||||||||
| 111 CLARA BARTON STREET | DANSVILLE | NY | 14427 | 161584778 | FUNDRAISING | NY | 501 C (3) | 7 | LHCS | 0 |
| JONES MEMORIAL HOSPITAL FOUNDATION | ||||||||||
| 191 NORTH MAIN STREET | WELLSVILLE | NY | 14895 | 473763374 | SUPPORT ORG | NY | 501 C (3) | 7 | JONES HOSP | Yes (1) |
| JONES MEDICAL SERVICES PC | ||||||||||
| 191 NORTH MAIN STREET | WELLSVILLE | NY | 14895 | 465210222 | MEDICAL CLINIC | NY | 501 C (3) | 3 | JONES HOSP | Yes (1) |
| ST JAMES HOSPITAL | ||||||||||
| 7329 SENECA ROAD NORTH | HORNELL | NY | 14843 | 160743310 | HOSPITAL | NY | 501 C (3) | 3 | UNIV OF ROCH | 0 |
| ST JAMES HOSPITAL FOUNDATION INC | ||||||||||
| 7329 SENECA ROAD NORTH | HORNELL | NY | 14843 | 161486437 | FUNDRAISING | NY | 501 C (3) | 7 | ST JAMES HOSP | 0 |
| UR MEDICINE HOME CARE COMMUNITY SERVICES INC | ||||||||||
| 2180 EMPIRE BOULEVARD | WEBSTER | NY | 14580 | 825091873 | HEALTHCARE | NY | 501 C (3) | 10 | URMHC | 0 |
| UR MEDICINE HOME CARE FOUNDATION INC | ||||||||||
| 2180 EMPIRE BOULEVARD | WEBSTER | NY | 14580 | 831912967 | SUPPORT ORG | NY | 501 C (3) | 12A, 1 | URMHC | 0 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|
| EXCELL INNOVATE NY FUND LP | |||||||
| 343 STATE STREET KODAK TOWER 2ND | ROCHESTER | NY | 14650 | 462405519 | INVESTMENT FUND | NY | ETV INC |
| EXCELL MINORITY AND WOMEN OWNED BUSINESS INVESTMENT FUND LP | |||||||
| 343 STATE STREET KODAK TOWER 2ND | ROCHESTER | NY | 14650 | 810723223 | INVESTMENT FUND | NY | ETV INC |
| EXCELL PARTNERS INNOVATIVE TC FUND LP | |||||||
| 343 STATE STREET KODAK TOWER 2ND | ROCHESTER | NY | 14650 | 810711015 | INVESTMENT FUND | NY | ETV INC |
| FINGER LAKES VENTURE FUND LP | |||||||
| 343 STATE STREET KODAK TOWER 2ND | ROCHESTER | NY | 14650 | 833941257 | INVESTMENT FUND | NY | ETV INC |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt |
|---|---|---|---|---|---|---|---|---|
| MEDICAL ADMINISTRATIVE ASSOCIATES INC | ||||||||
| 777 SOUTH CLINTON AVENUE | ROCHESTER | NY | 14620 | 161354319 | RETAIL PHARMACY | NY | HIGHLD HOSP | C |
| UREQUITY HOLDINGS INC | ||||||||
| 110 OFFICE PARK WAY | PITTSFORD | NY | 14534 | 273040889 | HOLDING CO | DE | UNIV OF ROCH | C |
| FFTH PROPERTIES AND SERVICES INC | ||||||||
| 350 PARRISH STREET | CANANDAIGUA | NY | 14424 | 161286518 | HOLDING CO | NY | THS | C |
| EXCELL TECHNOLOGY VENTURES INC | ||||||||
| 343 STATE STREET KODAK TOWER 2ND | ROCHESTER | NY | 14650 | 800909149 | BIOTECH INCUBATOR | NY | ROCH BIOVENTURE | C |
| ACCOUNTABLE HEALTH PARTNERS LLC | ||||||||
| 135 CORPORATE WOODS STE 320 | ROCHESTER | NY | 14623 | 300787967 | ACCT CARE NETWORK | NY | UNIV OF ROCH | C |
| ACCOUNTABLE HEALTH PARTNERS IPA LLC | ||||||||
| 135 CORPORATE WOODS STE 320 | ROCHESTER | NY | 14623 | 371746016 | INDEP PRACTICE ASSOC | NY | AHP LLC | C |
| AHP INSURANCE COMPANY | ||||||||
| 76 ST PAUL STREET SUITE 500 | BURLINGTON | VT | 05401 | 814644839 | CAPTIVE INSURANCE CO | VT | AHP LLC | C |
| LUMINATE VENTURE CHALLENGE CORP | ||||||||
| 260 EAST MAIN STREET SUITE 6000 | ROCHESTER | NY | 14604 | 823954131 | BUSINESS INCU | NY | NEXTCORPS INC | C |
| HORNELL MEDICAL VILLAGE LLC | ||||||||
| 7100 ROUTE 70A | HORNELL | NY | 14843 | 611886763 | HOLD REAL ESTATE | NY | ST JAMES HOSP | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JONES MEDICAL SERVICES PC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | q | TransactionTypeTxt |
| Involved | $895,000 | InvolvedAmt |
| Method Of Amount Determination | Invoices and timesheets | MethodOfAmountDeterminationTxt |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | Filed IRS Form 8868. | ExplanationTxt |
Comments