2022-05-11T13:49:37-07:00 2021-06-30 990 2020-07-01 160743310 ST JAMES HOSPITAL STJA 6073248110 7329 Seneca Road North Hornell NY 14843 Jim Wright Interim CFO 5853701815 2022-05-11 1 11 0 AAL2 X 2020 2022-09-23 18:48:47Z James Wright 7329 Seneca Road North Hornell NY 14807 52945961 0 X https://www.urmc.rochester.edu/st-james X 1921 NY SEE SCHEDULE O. 13 7 449 0 0 0 6023372 12952596 13970178 38612959 11743 190799 842514 1189607 20847807 52945961 0 0 0 0 9221344 19334124 0 0 0 11347388 26011147 20568732 45345271 279075 7600690 107500975 102328620 46883707 34064785 60617268 68263835 X See Schedule O for Part I, Line 1 0 0 34525464 0 39993365 ST. JAMES HOSPITAL IS AN ACUTE HEALTHCARE FACILITY PROVIDING ROUTINE, AMBULATORY AND ANCILLARY SERVICES. MAJOR SERVICES INCLUDE MEDICAL, SURGICAL, RADIOLOGY, AND LABORATORY. TOTAL ACUTE DISCHARGES FOR THE HOSPITAL WERE 718. OUTPATIENT REGISTRATIONS FOR THE HOSPITAL WERE 185,490. ST. JAMES HOSPITAL OPERATES SEVERAL PHYSICIAN PRACTICES. TOTAL OFFICE VISITS WERE 32,517, INCLUDING URGENT CARE. 0 0 0 34525464 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 110 0 1 449 1 0 0 0 0 0 0 0 0 X 13 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X James Helms 6072472250 7329 Seneca Road North Hornell NY 14843 Steve Goldstein Board Member 1 72.00 X 0 1352695 336816 Michael Kamali MD Board Member 1 55 X 0 608375 48427 John Robshaw Physician 40 0 X 451490 0 33556 Ismail Mehr MD Board Member 40 0 X 468463 0 0 Aileen Shinaman Board Member 1 55 X 0 350847 96961 Shane Varghese Physician 40 0 X 276661 0 9514 Sachin Manthuruthil Physician Assistant 40 0 X 272445 0 9451 Giacomo Floria Chief Advanced Practice Provider 40 0 X 215258 0 23554 Curtis Wininger Physician Assistant 36 0 X 209944 0 14467 Bryan O'Donovan President/CEO 55 0 X 200387 0 11087 James Helms CFP/ VP of Finance 30 30 X 0 183798 11379 Spencer Annabel MD Board Member 1 0 X 0 0 0 Skip Sullivan Board Member 1 0 X 0 0 0 Shawn Hogan Chair 1 0 X 0 0 0 Greg Sammons Board Member 1 0 X 0 0 0 Nick Kelley Board Member 1 0 X 0 0 0 Susan Gray Board Member 1 0 X 0 0 0 Brian Schu Secretary 1 0 X 0 0 0 Pete Wall Vice Chair 1 0 X 0 0 0 John Weyand DC Treasurer 1 0 X 0 0 0 2094648 2495715 595212 10 0 1 0 Abadan Medical PPLC 325 Cleveland Avenue Hornell NY 14843 Contract Physician 468463 Asif Ali Khan 47 Angels Path Webster NY 14580 Contract Physician 326885 Comphealth Medical Staffing PO Box 972670 Dallas TX 75397 Nursing Staffing 241329 Trusted Nurse Staffing LLC Buffalo Station 1200 William Streetq Buffalo NY 14240 Nurse Staffing 225516 Medical Solutions LLC PO Box 310737 DeMoines IA 50331 Nurse Staffing 176497 11 0 0 0 0 12952596 0 0 12952596 Net Patient Revenue 621990 38612959 38612959 0 0 0 0 0 0 38612959 190799 190799 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Lifeline Revenue 900099 12191 12191 0 0 URMC Revenue 900099 677727 677727 0 0 499689 499689 0 0 1189607 52945961 39993365 0 0 519860 0 519860 15036829 11228187 3808642 0 282728 202534 80194 0 2408026 1725005 683021 0 1086681 778451 308230 0 0 0 0 0 47178 2041 45137 0 102353 0 102353 0 0 0 0 0 0 0 0 0 0 0 146755 0 146755 0 322894 63327 259567 0 0 0 0 0 0 0 0 0 687588 294564 393024 0 0 0 0 0 0 0 0 0 0 0 0 0 368358 171397 196961 0 0 0 0 0 4193097 1951047 2242050 0 256839 119507 137332 0 Physician Fees 7295252 7295252 0 0 Medical Supplies 4975229 4975229 0 0 Purchased Services 5200409 4092476 1107933 0 Equipment Rental 1631892 1415482 216410 0 783303 210965 572338 45345271 34525464 10819807 0 11477904 11404429 17042 17292 4850610 1002304 3071305 5095005 0 0 0 0 5441600 5441600 1175184 1224712 285033 400271 68734399 6869104 63696108 61865295 0 0 0 0 0 0 0 0 17486189 15877712 107500975 102328620 14423181 8779355 10430457 9617273 22030069 15668157 46883707 34064785 X 58987651 66588340 1629617 1675495 60617268 68263835 107500975 102328620 X 7600690 0 0 0 0 45877 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 26366 0 0 0 0 0 26366 26366 0 0 0 0 0 26366 26366 0 0 0 0 0 26366 27732 0 -1366 0 0 0 26366 27732 0 0 0 0 0 27732 0 1 0 0 1 1 0 950912 950912 0 53222896 3008912 50213984 0 136058 137239 -1181 0 12560267 3722953 8837314 0 1864266 0 1864266 61865295 Right to use Asset 10330119 Due from Third Parties 3496205 Other Misc Assets 2051388 15877712 Due to Third Parties 3099494 Legal/Insurance Liability 318878 Right to Use Liability 11140376 Other Liabilities 1109409 15668157 X Schedule D, Part V, Line 4 With the help of nearly 350 community members, business partners, employees, providers, and friends and donors like you, SJ Foundation raises charitable gifts to make possible a range of facilities improvements, capital equipment and program initiatives. Schedule D, Part X, Line 2 Income Taxes - The hospital and the Foundation are non-for-profit corporations described in Section 501(c)(3) of the Internal Revenue Code (Code) and is exempt from federal, state and local income taxes on related income pursuant to Section 501(a) of the Code. The hospital and the Foundation have also been classified by the Internal Revenue Service as a corporation that is not a private foundation. HMV is considered a for-profit entity and subject to New York State and Federal income taxes. AS of June 30, 2021 the Hospital does not have a liability for unrecognized tax positions. The Hospital files informational tax returns in the U. S. federal jurisdiction and New York State. 1 1 1 X 1 X 1 1 1 0 0 0 0 502095 819954 -317859 0 0 0 9777383 6321711 3455672 0.0762 0 0 0 0 0 0 0 0 10279478 7141665 3137813 0.0762 0 0 48029 0 48029 0.0011 0 0 41028 0 41028 0.0009 0 0 0 0 0 0 0 0 0 0 0 0 18151 0 18151 0.0004 0 0 107208 0 107208 0.0024 0 0 10386686 7141665 3245021 0.0786 1 666339 204 6450953 7396073 -945120 X 1 1 1 1 St James Hospital 411 Canisteo Street Hornell NY 14843 www.urmc.rochester.edu/st-james 5002001H X X X St James Hospital 1 0 0 1 X X X X X X X X X 19 1 1 1 1 X See Supplemental Information X See Supplemental Information 1 19 1 See Supplemental Information 0 0 1 X 200 300 X X X X X 1 1 X X X X 1 X See Supplemental Information X See Supplemental Information X See Supplemental Information X X X X X X 1 X 0 X X X 1 X 0 0 Schedule H, Part V, Section B, Line 5-St James Hospital THE COMMUNITY NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN 2018 IN COLLABORATION WITH STEUBEN COUNTY PUBLIC HEALTH. THIS INCLUDED THE THREE HOSPITALS LOCATED WITHIN THE COUNTY. A VARIETY OF PARTNERS WERE ENGAGED THROUGHOUT THE PROCESS INCLUDING REPRESENTATIVES FROM LOCAL FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS). COMMUNITY BAESD ORGANIZATIONS (CBOS). THE COUNTY LEGISLATURE, COUNTY GOVERNMENT EMPLOYEES, SCHOOL DISTRICT REPRESENTATIVES, OFFICE FOR HTE AGIN, AND MORE. THE COMMUNITY AT LARGE WAS ENGAGED THROUGHOUT THE ASSESSMENT PERIOD VIA A REGIONAL HEALTH SURVEY IN 2018 (MY HEALTH STORY 2019) AND FOCUS GROUPS. A FULL LIST OF PARTICIPANTS CAN BE FOUND INT HE COMMUNITY SERVICE PLAN LOCATED ON THE ST JAMES HOSPITAL WEBSITE. Schedule H, Part V, Section B, Line 6a-St James Hospital ARNOT HEALTH- IRA DAVENPORT MEMORIAL HOSPITAL, GUTHRIE CORNING HOSPITAL, ST. JAMES HOSPITAL Schedule H, Part V, Section B, Line 6b-St James Hospital CENTER FOR COMMUNITY HEALTH AND PREVENTION, CENTER FOR TOBACCO FREE FINGER LAKES, FINGER LAKES COMMUNITY HEALTH, OAK OARCHARD HEALTH, PREGNANCY RESOURCE CENTER OF HTE VALLEY, PROACTION, SEUBEN COUNTY ALCOHOL AND SUBSTANCE ABUSE SERVICES/MENTAL HEALTH, STEUBEN COUNTY PUBLIC HEALTH STEUBEN RURLA HEALTH NETWORK, STTAC Schedule H, Part V, Section B, Line 7a-St James Hospital https://www.urmc.rochester.edu/MediaLibraries/URMCMedia/st-james/images/Steuben-CHA-and-CHIP-2019-2021.pdf Schedule H, Part V, Section B, Line 7b-St James Hospital https://www.steubencountyny.gov/Files/Documents/publichealth/Steuben%20County%20CHIP%20Chart%20-%20120319.pdf Schedule H, Part V, Section B, Line 10a-St James Hospital https://www.urmc.rochester.edu/pay-bill/financial-assistance.aspx Schedule H, Part V, Section B, Line 11-St James Hospital PRIORITY: PREVENT CHRONIC DISEASES - FOCUS AREA - TOBACCO PREVENTION - INTERVENTION - ASSIST MEDICAL AND BEHAVIORAL, HEALTH CARE ORGANIZATIONS AND PROVIDER GROUPS IN ESTABLISHING POLICIES, PROCEDURES, AND WORKFLOWS TO FACILITATE THE DELIVERY OF TOBACCO DEPENDENCE TREATMENT, CONSISTENT WITH THE PUBLIC HEALTH SERVICE CLINICAL PRACTICE GUIDELINES, COMMUNITY HEALTH CENTERS AND BEHAVIORAL HEALTH PROVIDERS: ST JAMES HOSPITAL AND ST JAMES PRIMARY CARE ASSESS PATIENTS FOR TOBACCO USE AND PROVIDE TOBACCO CESSATION EDUCATION AND ALSO REFER PATIENTS TO NY QUITS IF PATIENTS AGREEABLE. TREATMENT OPTIONS ARE DISCUSSED AND OFFERED TO PATIENT, FOCUS AREAS - PREVENT MENTAL & SUBSTANCE USE DISORDERS - INTERVENTION - BUILD SUPPORT SYSTEMS TO CARE FOR OPIOD USERS OR AT RISK OF AN OVERDOSE. ST JAMES HOSPITAL IS LINKING ED PROVIDERS WITH I-STOP. SJH IS WORKING WITH CASA TRINITY TO IDENTIFY PATIENTS WITH SUBSTANCE ABUSE CONCERNS WHETHER NEW OR CHRONIC. SJH REACHES OUT TO CASA'S CASE WORKERS WHO COME DIRECTLY ON-SITE AT THE HOSPITAL TO GET THEM LINKED WITH THEIR PROGRAM, (EITHER INPATIENT OR OUTPATIENT). IF THE PATIENT IS IN WITHDRAWAL AT THE TIME OF ARRIVAL TO SJH, THEY ARE ADMITTED AND PROVIDED CARE TO SAFELY GET THROUGH THE ACTIVE DETOX/WITHDRWAWL PHASE. THEY ARE LINKED WITH CASA FROM THE TIME THEY ARRIVE. ALSO PROVIDE EDUCATION AND TRAINING TO ED PROVIDERS FOR OPIATE PRESCRIBING, INTERVENTION- PREVENT SUICIDES - IDENTIFY AND SUPPORT PEOPLE AT RISK: GATEKEEPER TRAINING, CRISIS INTERVENTION, TREATMENT FOR PEOPLE AT RISK OF SUICIDE, TREATMENT TO PREVENT RE-ATTEMPTS, POSTVENTION, SAFE REPORTING AND MESSAGING ABOUT SUICIDE. SJH'S PSYCHIATRIC ASSESSMENT OFFICES (pao) IS LOCATED IN THE EMERGENCY DEPARTMENT. THE PAO CONNECTS MENTAL HEALTH PATIENTS AND SUBSTANCE ABUSE PATIENTS WITH COMMUNITY RESOURCES. THE PAO WORKS WITH A TELEPHYCH - PSYCHIATRIST TO IDENTIFY THE NEED FOR INPATIENT TREATMENTS AS WELL. THIS HELPS TO KEEP PATIENTS WIHIN THEIR OWN COMMUNITY AND NOT TO TRAVEL OUTSIDE THE COMMUNITY UNLESS THE NEED FOR FURTHER SERVICES IS AVAILABLE. Schedule H, Part V, Section B, Line 16a-St James Hospital https://www.urmc.rochester.edu/MediaLibraries/URMCMedia/st-james/images/SJMH-Charity-Care-Summary.pdf Schedule H, Part V, Section B, Line 16b-St James Hospital https://www.urmc.rochester.edu/MediaLibraries/URMCMedia/pay-bill/documents/affiliate-sliding-fee-application.pdf Schedule H, Part V, Section B, Line 16c-St James Hospital https://www.urmc.rochester.edu/pay-bill/financial-assistance/st-james-hospital-financial-assistance.aspx Schedule H, Part I, Line 7 The cost-to-charge ratio is used to find 7A and 7B, computed by taking total expenses divided by total gross patient revenue. Schedule H, Part I, Line 7, Column f Due to the adoption of new accounting pronouncement ASC606, current year implicit price concessions are treated as a contra-revenue item on the statement of revenues. Schedule H, Part III, Section A, Line 2 The costing methodology used in determining the amounts reported on lines 2 and 3 are based on actual charges written off ( amounts that are deemed to be uncollectible and recorded as implicit price concessions under new accounting pronouncement ASC606). The test of the implicit price concessions (Bad Debt Expense ) footnote can be found on page 7 of the electronically attached audited financial statements. Schedule H, Part III, Section A, Line 4 The costing methodology used in determining the amounts reported on lines 2 and 3 are based on actual charges written off ( amounts that are deemed to be uncollectible and recorded as implicit price concessions under new accounting pronouncement ASC 606). The test of the implicit price concessions (Bade Debt Expense ) footnote can be found on page 7 of the electronically attached audited financial statements. Schedule H, Part III, Section B, Line 8 To determine Medicare allowable costs reportable in the Medicare cost report, the cost-to-charge ratio is applied to gross patient revenue associated with services performed for patients who are eligible for Medicare. Schedule H, Part III, Section C, Line 9b A bad debt results from a patient account balance from which payment was anticipated from the patient, credit extended and then account later deemed to be uncollectible. A bad debt does not meet the criteria for charity care, that is, bad debt patients are considered to have the financial capability and ability to pay, but are unwilling to pay. Collection activities are only pursued with respect to amounts that patients are able to pay as determined by that hospital's charity care policy. No collection actives take place with respect to amounts that patients are not expected to pay under this policy. A separate charity care policy is in place and would be exhausted before a patient balance would be deemed Self-pay. Under the charity care policy, charity care/financial assistance is provided to a patient with a demonstrated inability to pay. A patient is eligible for charity care/financial assistance consideration based upon meeting certain income eligibility criteria as established by the federal poverty income guideline sliding scale. Per NYS PHL 2807k, this considers patients whose household income is up to 300% of the most recent federal poverty guidelines. All uninsured, low-income patients within St. James Hospital's primary service area who can demonstrate an inability to pay charge may apply for charity care/financial assistance for adjustment to their balances for all medically necessary healthcare services, provided that a member, in good standing of St. James Hospital's medical staff determines the need for such medical care. Schedule H, Part VI, Line 2 In conjunction with the community needs assessment that is done every three years in conjunction with Steuben County public Health, the organization uses the following to determine the health needs of the community: community town hall meetings, surveying participants at public health education programs, local case management meetings, and physician/medical office information shared. In addition, regional data and information from DSRIP projects is used to assess community need. St. James Hospital conducts a community needs assessment every three years in conjunction with Steuben County Public Health, Based on resident's feedback the county's healthcare priorities, strategies, and programs are determines. St. James Hospital crates an annual plan based on this assessment, and the progress of these initiatives is reported annually to the NYS Department of Health. Local Healthcare Priorities are also identified through surveying participants at public health education programs. Schedule H, Part VI, Line 3 At the time of registration, all self-pay individuals receive an information sheet describing the type of Federal State and Local government programs available including St. James Hospital's charity care policy. The eligibility process is coordinated by a financial counselor, who contacts the patient family member by phone and/or letter. Patients who qualify for Medicaid are also directed to an in-house facilitated enroller, who coordinates the Medicaid application process on behalf of the patient. Schedule H, Part VI, Line 4 The primary service area for St. James Hospital is the 15-mile radius extending from Hornell, NY (Steuben County) and includes the towns of Wayland to the northeast and Troupsburg to the southeast (just outside of the 15-mile radius). The secondary service area is the 30-mile radius extending from Hornell, per the 2010 census, the population for the primary service area (Steuben County) remained relatively flat, increasing 0.3% from 2000 to 2010, with a slight decrease of 3% estimated for 2020. The population aged 65 and over comprises 20% of the primary service area compared to 17% for NYS. The population is racially and ethnically homogenous with 95% white, 1.7% black, 1.7% Hispanic/Latino, 1.6% Asian. Median household income is $53,663 compared to $68,486 for the state. Approximately 23.6% of the county population have a bachelor's degree or higher compared to 36.6% of the state. Schedule H, Part VI, Line 5 St. James Hospital is the lead agency for the cancer services program (CSP) of Steuben County. A community-based, grant-funded program of New York State Department of Health (NYSDOH), the CSP serves uninsured men and women with comprehensive, age appropriate, no-cost screenings for breast, cervical and colorectal cancer. In addition, St. James Hospital received the NYSDOH Breast and Prostate peer education program in 2016 and began implementation of a community education based program. St James Hospital participates in coordinating the annual healthy kids day at the Maple City Kids Quarter miler. This event is directed to parents and community youth and i includes a pediatric health fair a long standing community kids "fun run" to promote exercise and healthy lifestyles. The organization participates in local health fairs and works with local businesses to promote workplace wellness via SCP program mentioned above. In addition, St. James Hospital operates a cardiac rehab program and coumadin clinic that provide outpatient based services to the community. A collaboration with Noyes Memorial Hospital supports a diabetes education program available to the community. St. James Hospital staff members throughout the organization participate in community initiatives and hold seats on boards, including the Steuben Rural Health Network, YMCA United Way of the southern Tiers, Smart Steuben, Steuben prevention coalition and other non-profit organization whose primary mission is to assess and address community needs. Schedule H, Part VI, Line 6 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 Wilmont Cancer Center, Strong West, School of Nursing, Eastman Institute for Oral Health' Visiting Nurse Services, Highlands at Pittsford; the Highlands Living Center, Inc. Highlands at Brighton, FF Thompson Health System, Jones Memorial Hospital, Noyes Health, St James Hospital and Accountable Health Partners, LLC. UR Medical Center and the Affiliated 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 policy makers and the community about local health challenges, evaluate the effectiveness of interventions, and serve as foundation for evidence-based practices to improve health and overall quality of life. Schedule H, Part VI, Line 7 New York State X X X X 0 1 0 0 0 0 0 0 0 Steve Goldstein Board Member 0 1113771 0 0 0 238924 0 315600 0 21216 0 1689511 0 111000 Michael Kamali MD Board Member 0 586945 0 18752 0 2678 0 19100 0 29327 0 656802 0 0 Aileen Shinaman Board Member 0 330997 0 0 0 19850 0 18275 0 78686 0 447808 0 Bryan O'Donovan President/CEO 200387 0 0 0 0 0 0 0 11087 0 211474 0 Giacomo Floria Chief Advanced Practice Provider 169928 0 0 0 45330 0 0 0 23554 0 238812 0 Sachin Manthuruthil Physician Assistant 272445 0 0 0 0 0 0 0 9451 0 281896 0 Shane Varghese Physician 276661 0 0 0 0 0 0 0 9514 0 286175 0 Curtis Wininger Physician Assistant 209944 0 0 0 0 0 0 0 14467 0 224411 0 John Robshaw Physician 451490 0 0 0 0 0 0 0 33556 0 485046 0 James Helms CFP/ VP of Finance 0 183798 0 0 0 0 0 0 0 11379 0 195177 Schedule J, Part I, Line 4 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 Steven Goldstein 457 (f) Plan $150,000 Michael Kamali, MD SERP Plan $12,900 The following individual participated in a supplemental non qualified retirement plan and received employer paid amounts that are included in other reportable compensation Steven Goldstein 457 (f) Plan $152,459 These amounts represent employee deferrals of compensation, plus investment earnings, over several years that vested and were paid pursuant to the requirements of the plan. The employee deferrals were reported as deferred compensation in Schedule J, Part II, Column C in prior years and are also reflected in Schedule J, Part II, Column (F) Form 990, Part I, Line 1 St James Hospital, governed by a self-perpetuating community based board, is a community of persons committed to being a transforming, healing presence within the rural communities we service, particularly addressing the needs of the poor, underserved and disadvantaged. Form 990, Part III (Cont. 1) See the mission description above for Part 1, Line 1 Form 990, Part VI, Section A, Line 6 The sole member of St. James Hospital is the University of Rochester (UR). As such, UR has the authority to elect the governing body of St. James Hospital and certain decisions of St. James Hospital are subject to the approval of UR. Such decisions include amendment of the certificate of incorporation and bylaws and approval of extraordinary corporate actions such as merger or dissolution. Form 990, Part VI, Section A, Line 7a Refer to Schedule O, Membership information Form 990 Part V, Line 6 Form 990, Part VI, Section A, Line 7b Refer to Schedule O, Membership information Form 990 Part V, Line 6 Form 990, Part VI, Section B, Line 11b A copy of the Form 990 was made available to each board member before it was files. St. James Hospital has designated the audit and compliance committee as the group to be educated and to review the return. Form 990, Part VI, Section B, Line 12c Board members, officers and key employees (determined by the President & CEO) complete conflict of interest forms annually to identify actual and potential conflicts of interest that may exist relative to their duties with the organization and the organization's COI policy. The CEO shall disclose tot eh Board or appropriate committee thereof any employee disclosure made relevant to the matter and the evaluation thereof. Copies are provided to the Corporate Compliance Officer and maintained by the executive assistant to the Board of Directors and the CEO. If a conflict is disclosed, that person shall leave the Board or Committee meeting while the determination of a conflict of interest is discussed and voted upon. the Chairperson of the Board of committee will determine if a conflict of interest exists. To help ensure compliance with the COI policy, among the provision s the person with an actual or potential conflict of interest will not be allowed to participate in any discussion or decision on any area of the conflict identified and leave the room during discussion and vote. The Corporate Responsibility and Compliance Committee review these procedures every two years to assess their effectiveness and recommend ( or make) appropriate changes as needed to ensure the conflict of interest policy is consistently and effectively enforced Form 990, Part VI, Section B, Line 15 The board has an independent committee review and approve all elements of remuneration for all disqualified parties, as well as other key management. The board/committee has an established compensation philosophy which details the objectives of market positioning and pay elements. The committee reviews market data, comparative market compensation data, approves any salary adjustments for the executive population, considers both reasonableness and effectiveness of all remunerative programs and establishes the detailed performance expectations. All of these discussions and decisions are documented through the provision of meeting minutes. Form 990, Part VI, Section C, Line 19 St. James Hospital's Form 1023 and Form 990 are available on request. St. James Hospital's governing documents, conflict of interest policy and audited financial statements are not routinely made available to the public. Form 990, Part XI, Line 9 Donor Restricted Contributions $70779 Net Assets Released from Restrictions ($24902) UNIVERSITY OF ROCHESTER 910 GENESEE STREET STE 200 ROCHESTER NY 14611 160743209 SCHOOL NY 501 C (3) 2 N/A 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 URMC 0 UR Medicine Home Care Licensed Service Inc 2180 EMPIRE BOULEVARD WEBSTER NY 14580 161561691 HEALTHCARE NY 501 C (3) 10 URMC 0 EXCELL PARTNERS INC 343 STATE STREET KODAK TOWER 2nd Floor ROCHESTER NY 14650 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 ROCHESTER NY 14604 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 M M EWING CONTINUING CARE CENTER 350 PARRISH STREET CANANDAIGUA NY 14424 237046583 HEALTHCARE NY 501 C (3) 3 THS 0 F F T SENIOR COMMUNITIES INC 1 FERRIS HILLS CANANDAIGUA NY 14424 161557494 ELDER CARE NY 501 C (3) 10 THS 0 THE F F 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 FINGER LAKES VISITING NURSE SERVICE INC 756 PRE EMPTION ROAD GENEVA NY 14456 223067627 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