ST JAMES HOSPITAL: Form 990, tax year 2020
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- Organization
- ST JAMES HOSPITAL (EIN 16-0743310)
- Tax period
- 2020-01-01 to 2020-06-30
- Filed
- 2021-05-12
- IRS object ID
- 202111339349300826
- Schema version
- 2020v4.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-05-12T10:48:45-07:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 160743310 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JAMES HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STJA | BusinessNameControlTxt |
| Phone | 6073248110 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7329 Seneca Road North | AddressLine1Txt |
| City | Hornell | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14843 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | James Helms | PersonNm |
| Person Title | CFO/VP Finance | PersonTitleTxt |
| Phone | 5853701815 | PhoneNum |
| Signature | 2021-05-13 | 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 | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Bryan O'Donavan | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7329 Seneca Road North | AddressLine1Txt |
| City | Hornell | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14843 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $20,847,807 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://www.urmc.rochester.edu/st-james | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1921 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $31,839,048 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,023,372 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $32,307,998 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $13,970,178 | CYProgramServiceRevenueAmt |
| PY Investment Income | $88,580 | PYInvestmentIncomeAmt |
| CY Investment Income | $11,743 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,685,747 | PYOtherRevenueAmt |
| CY Other Revenue | $842,514 | CYOtherRevenueAmt |
| PY Total Revenue | $65,921,373 | PYTotalRevenueAmt |
| CY Total Revenue | $20,847,807 | 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 | $17,780,867 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,221,344 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $20,629,811 | PYOtherExpensesAmt |
| CY Other Expenses | $11,347,388 | CYOtherExpensesAmt |
| PY Total Expenses | $38,410,678 | PYTotalExpensesAmt |
| CY Total Expenses | $20,568,732 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $27,510,695 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $279,075 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $87,431,040 | TotalAssetsBOYAmt |
| Total Assets EOY | $107,500,975 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $35,389,325 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $46,883,707 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $52,041,715 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $60,617,268 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | See Schedule O for Part I, Line 1 | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $15,154,860 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $14,803,764 | RevenueAmt |
| Desc | 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 835. OUTPATIENT REGISTRATIONS FOR THE HOSPITAL WERE 162,915. ST. JAMES HOSPITAL OPERATES SEVERAL PHYSICIAN PRACTICES. TOTAL OFFICE VISITS WERE 30,659, INCLUDING URGENT CARE. | 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 | $15,154,860 | 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 | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | 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 | 0 | 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 |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| 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 |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | 0 | Form8899Filedind |
| Form1098 C Filed | 0 | Form1098CFiledInd |
| 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | 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 | James Helms | PersonNm |
| Phone | 6072472250 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7329 Seneca Road North | AddressLine1Txt |
| City | Hornell | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14843 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 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 | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| Steve Goldstein | |||||||
| Board Member | 1 | 71 | Yes (X) | $0 | $0 | $0 | |
| Michael Kamali MD | |||||||
| Board Member | 1 | 71 | Yes (X) | $0 | $0 | $0 | |
| Ismail Mehr MD | |||||||
| Board Member | 1 | 0 | Yes (X) | $0 | $0 | $0 | |
| Aileen Shinaman | |||||||
| Board Member | 1 | 55 | Yes (X) | $0 | $0 | $0 | |
| Spencer Annabel MD | |||||||
| Board Member | 1 | 0 | Yes (X) | $0 | $0 | $0 | |
| Sue Gray PhD | |||||||
| Chair | 1 | 0 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Shawn Hogan | |||||||
| Vice Chair | 1 | 0 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Brian Schu | |||||||
| Treasurer | 1 | 0 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Pete Wall | |||||||
| Secretary | 1 | 0 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| John Weyand DC | |||||||
| Board Member | 1 | 0 | Yes (X) | $0 | $0 | $0 | |
| John Eagleton | |||||||
| Board Member | 1 | 0 | Yes (X) | $0 | $0 | $0 | |
| Skip Sullivan | |||||||
| Board Member | 1 | 0 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $0 | RelatedOrganizationsAmt |
| Government Grants | $6,005,290 | GovernmentGrantsAmt |
| All Other Contributions | $18,082 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $6,023,372 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Net Patient Service Revenue | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $13,970,178 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,970,178 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $13,970,178 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,743 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $11,743 | 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 | $8,928 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $8,928 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,928 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,928 | ExclusionAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Lifeline Revenue | 900099 | $95,608 | $95,608 | $0 | $0 |
| URMC Revenue | 900099 | $281,070 | $281,070 | $0 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $456,908 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $456,908 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $833,586 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,847,807 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,803,764 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $20,671 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $314,405 | TotalAmt |
| Management And General | $314,405 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,907,213 | TotalAmt |
| Program Services | $5,173,252 | ProgramServicesAmt |
| Management And General | $1,733,961 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $134,249 | TotalAmt |
| Program Services | $96,170 | ProgramServicesAmt |
| Management And General | $38,079 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,319,550 | TotalAmt |
| Program Services | $945,268 | ProgramServicesAmt |
| Management And General | $374,282 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $545,927 | TotalAmt |
| Program Services | $391,078 | ProgramServicesAmt |
| Management And General | $154,849 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,650 | TotalAmt |
| Program Services | $9,273 | ProgramServicesAmt |
| Management And General | $15,377 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,200 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $49,200 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,936 | TotalAmt |
| Program Services | $82 | ProgramServicesAmt |
| Management And General | $130,854 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $173,314 | TotalAmt |
| Program Services | $36,995 | ProgramServicesAmt |
| Management And General | $136,319 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $477,991 | TotalAmt |
| Program Services | $149,668 | ProgramServicesAmt |
| Management And General | $328,323 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,314 | TotalAmt |
| Program Services | $48,012 | ProgramServicesAmt |
| Management And General | $99,302 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,480,198 | TotalAmt |
| Program Services | $482,420 | ProgramServicesAmt |
| Management And General | $997,778 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $190,788 | TotalAmt |
| Program Services | $62,181 | ProgramServicesAmt |
| Management And General | $128,607 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Physician Fees | $3,442,485 | $3,442,485 | $0 | $0 |
| Medical Supplies | $1,614,794 | $1,550,566 | $64,228 | $0 |
| Purchased Services | $2,358,445 | $1,854,103 | $504,342 | $0 |
| Equipment Rental | $862,696 | $767,455 | $95,241 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $394,577 | TotalAmt |
| Program Services | $145,852 | ProgramServicesAmt |
| Management And General | $248,725 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,568,732 | TotalAmt |
| Program Services | $15,154,860 | ProgramServicesAmt |
| Management And General | $5,413,872 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,297,627 | BOYAmt |
| EOY | $11,477,904 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,042 | BOYAmt |
| EOY | $17,042 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,184,345 | BOYAmt |
| EOY | $4,850,610 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,125,489 | BOYAmt |
| EOY | $3,071,305 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,441,600 | BOYAmt |
| EOY | $5,441,600 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $823,750 | BOYAmt |
| EOY | $1,175,184 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,483 | BOYAmt |
| EOY | $285,033 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $66,372,229 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,676,121 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,064,028 | BOYAmt |
| EOY | $63,696,108 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,324,676 | BOYAmt |
| EOY | $17,486,189 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,431,040 | BOYAmt |
| EOY | $107,500,975 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,500,251 | BOYAmt |
| EOY | $14,423,181 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,563,454 | BOYAmt |
| EOY | $10,430,457 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,325,620 | BOYAmt |
| EOY | $22,030,069 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,389,325 | BOYAmt |
| EOY | $46,883,707 | 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 | $50,430,179 | BOYAmt |
| EOY | $58,987,651 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,611,536 | BOYAmt |
| EOY | $1,629,617 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,041,715 | BOYAmt |
| EOY | $60,617,268 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,431,040 | BOYAmt |
| EOY | $107,500,975 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $279,075 | 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 | $8,296,478 | 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 | $26,366 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $0 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $26,366 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $26,366 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $0 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $26,366 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $27,732 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | -$1,366 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $26,366 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $27,732 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $0 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $27,732 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $27,732 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $0 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $27,732 | 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 | $935,597 | OtherCostOrOtherBasisAmt |
| Book Value | $935,597 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $53,123,895 | OtherCostOrOtherBasisAmt |
| Depreciation | $747,691 | DepreciationAmt |
| Book Value | $52,376,204 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $136,057 | OtherCostOrOtherBasisAmt |
| Depreciation | $136,057 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $12,054,980 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,792,373 | DepreciationAmt |
| Book Value | $10,262,607 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $121,700 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $121,700 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $63,696,108 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Right to use Asset | $10,871,326 |
| Due from Third Parties | $3,822,910 |
| Other Misc Assets | $2,791,953 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $17,486,189 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Third Parties | $5,195,518 |
| Legal/Insurance Liabilities | $293,282 |
| Right to Use Liability | $11,399,115 |
| Deferred Revenue | $4,597,303 |
| Other Misc. Liabilities | $544,851 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $22,030,069 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 not-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) if 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, 2020 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. |
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 |
| Percent200 | Yes (X) | Percent200Ind |
| 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 | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $206,063 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | -$290,707 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $496,770 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0242 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,803,559 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,402,820 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,400,739 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0681 | 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 | $4,009,622 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,112,113 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,897,509 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0923 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,936 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,936 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0002 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,589 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,589 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0002 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,683 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,683 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $10,208 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,208 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0005 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $4,019,830 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,112,113 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,907,717 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0928 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $375,981 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $5,411 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $2,522,598 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $3,844,296 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,321,698 | 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 | 1 | 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 | St James Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7329 Seneca Road North | AddressLine1Txt |
| City | Hornell | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14843 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | https://www.urmc.rochester.edu/st-james.aspx | WebsiteAddressTxt |
| State License | 5002001H | StateLicenseNum |
| 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 | St James 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 On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Supplemental Information | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | See Supplemental Information | OtherWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Supplemental Information | 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 | 200 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| 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 |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Supplemental Information | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Supplemental Information | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Supplemental Information | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| 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 |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 BASED ORGANIZATIONS (CBOS). THE COUNTY LEGISLATURE, COUNTY GOVERNMENT EMPLOYEES, SCHOOL DISTRICT REPRESENTATIVES, OFFICE FOR THE AGING, 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 IN THE 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 ARCHARD HEALTH, PREGNANCY RESOURCE CENTER OF THE VALLEY, PROACTION, STEUBEN COUNTY ALOCHOL AND SUBSTANCE ABUSE SERVICES/MENTAL HEALTH, STEUBEN COUNTY PUBLIC HEALTH STEUBEN RURAL HEALTH NEWWORK, 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.steubencony.org/Files/Documents/publichealth/Steuben%20CHA%20and%20CHIP%2012-2-19.pdf |
| Schedule H, Part V, Section B, Line 10a-St James Hospital | https://www.urmc.rochester.edu/st-james/patients-visitors/financial.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 PROVIDERS 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 PATIENT IS AGREEABLE. TREATMENT OPTIONS ARE DISCUSSED AND OFFERED TO PATIENT. FOCUS ARAE 2 - 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. STJ REACHES OUT TO CASA'S CASE WORKER 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 TIMIE OF ARRIVAL TO SJH, THEY ARE ADMITTED AND PROVIDED CARE TO SAFELY GET THROUGH THE ACTUE DETOX/WITHDRAWAL PHASE. THEY ARE LINKED WITH CASA FROM THE TIME THEY ARRIVE. ALSO PROVIDE EDUCATION AND TRAINING TO ED PROVIDERS FOR PIOATE 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 OFFICER (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 TELEPSCYH-PSCYHIASTRIST TO IDENTITY THE NEED FOR INPATIENT TREAMENTS AS WELL. THIS HELPS TO KEEP PATIENTS WITHIN 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/st-james/images/2020-FSP-app_1.pdf |
| Schedule H, Part V, Section B, Line 16c-St James Hospital | https://www.urmc.rochester.edu/st-james/patients-visitors/financial.aspx#finasst |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 7 | The cost-to-charge ratio is used to fines 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 ASC 606). 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 (Bad 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 the 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 the Hospital's charity care policy. No collection activities take place with respect to amounts that patients re 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 eth 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 are who can demonstrate an inability to pay charge may apply for charity care/financial assistance for adjustments 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 health care priorities, strategies, and programs are determined. St. James Hospital creates an annual plan based on this assessment, and the progress of these initiatives is reported annually to the NYS Department of Health. Local Health Care 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 2019. The population aged 65 and over comprises 20% of the primary service area compared to 17% for New York State. The population is racially and ethnically homogenous with 95% white, 1.7% black, 1.7% Hispanic /Latino, 1.6% Asian. Median household income if $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 includes a pediatric health fair and 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 the CSP 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 organizations 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. 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 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 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 | New York State |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part I, Line 1 | Description of organization mission: 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 V, Line 1a | Due to a change in St. James Hospital's fiscal year end, this short period Form 990 reports information for the period 1/1/2020-6/30/2020. Per the Form 990 instructions, since there is no calendar year which ends during this time period, no Forms 1099, employees or independent contractors are reported. Further, no officer, director, key employee or highest compensated employee compensation information is provided. |
| Form 990, Part V, Line 2a | Short Period Form 990 Filing. |
| 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 V1, Section A, Line 6 |
| Form 990, Part VI, Section A, Line 7b | Refer to Schedule o, Membership Information Form 990 Part VI, Section A, 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 filed. St. James Hospital has designed 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 to the Board or appropriate committee thereof any employee disclosure made relevant to the matter and the evaluation thereof. Copies are provided to the Corporate Compliance Office 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 provisions the person with an actual or potential conflict of interest will not be allowed to participate in any discussion or decision in 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 (2) 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 marked 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 VII, Section A, Line 1a | Due to a short year return filing, no key employees and highest compensated employees are reported per the instructions. |
| Form 990, Part XI, Line 9 | Grants for capital acquisitions |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (35 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 0 | SPHS | ||
| THE HIGHLAND FOUNDATION INC | ||||||||||||
| 1000 SOUTH AVENUE | ROCHESTER | NY | 14620 | 237310662 | FUNDRAISING | NY | 501 C (3) | 12A 1 | 0 | HIGHLD HOSP | ||
| HIGHLAND FACILITIES DEVELOPMENT CORP | ||||||||||||
| 1000 SOUTH AVENUE | ROCHESTER | NY | 14620 | 223039077 | MEDICAL BLDG | NY | 501 C (3) | 10 | 0 | HIGHLD HOSP | ||
| HIGHLAND COMMUNITY DEVELOPMENT CORP | ||||||||||||
| 100 HAHNEMANN TRAIL | PITTSFORD | NY | 14534 | 223154715 | ELDER CARE | NY | 501 C (3) | 10 | 0 | SPHS | ||
| THE HIGHLANDS LIVING CENTER INC | ||||||||||||
| 500 HAHNEMANN TRAIL | PITTSFORD | NY | 14534 | 223240227 | HEALTHCARE | NY | 501 C (3) | 10 | 0 | SPHS | ||
| THE MEADOWS AT WESTFALL INC | ||||||||||||
| 5901 LAC DE VILLE BLVD | ROCHESTER | NY | 14618 | 161502303 | HEALTHCARE | NY | 501 C (3) | 10 | 0 | SPHS | ||
| STRONG PARTNERS HEALTH SYSTEM INC | ||||||||||||
| 601 ELMWOOD AVENUE BOX 706 | ROCHESTER | NY | 14642 | 161499099 | SUPPORT ORG | NY | 501 C (3) | 12A 1 | 0 | UNIV OF ROCH | ||
| STRONG HOME CARE GROUP | ||||||||||||
| 2180 EMPIRE BOULEVARD | WEBSTER | NY | 14580 | 222577664 | FUNDRAISING | NY | 501 C (3) | 7 | 0 | UNIV OF ROCH | ||
| UR MEDICINE HOME CARE CERTIFIED SERVICES INC | ||||||||||||
| 2180 EMPIRE BOULEVARD | WEBSTER | NY | 14580 | 160743215 | HEALTHCARE | NY | 501 C (3) | 10 | 0 | SHCG | ||
| COMMUNITY CARE OF ROCHESTER | ||||||||||||
| 2180 EMPIRE BOULEVARD | WEBSTER | NY | 14580 | 161561691 | HEALTHCARE | NY | 501 C (3) | 10 | 0 | SHCG | ||
| EXCELL PARTNERS INC | ||||||||||||
| 343 STATE STREET KODAK TOWER | ROCHESTER | NY | 14650 | 201862628 | ECONOMIC DEV | NY | 501 C (4) | N/A | 0 | UNIV OF ROCH | 2nd Floor | |
| ROCHESTER BIOVENTURE CENTER INC | ||||||||||||
| 601 ELMWOOD AVENUE BOX 706 | ROCHESTER | NY | 14642 | 202485999 | BIOTECH INCUB | NY | 501 C (3) | 12A 1 | 0 | UNIV OF ROCH | ||
| NEXTCORPS INC | ||||||||||||
| 260 EAST MAIN STREET SUITE 6000 | ROCHESTER | NY | 14604 | 161195028 | BUSINESS INCU | NY | 501 C (3) | 7 | 0 | UNIV OF ROCH | ||
| UNIVERSITY OF ROCHESTER EMPLOYEE BENEFIT TRUST | ||||||||||||
| 910 GENESEE STREET SUITE 200 | ROCHESTER | NY | 14611 | 161600112 | EMPL BEN TRST | NY | 501 C (9) | N/A | 0 | UNIV OF ROCH | ||
| U OF R BROADCASTING CORPORATION | ||||||||||||
| 201 WILSON COMMONS | ROCHESTER | NY | 14627 | 160743209 | BROADCAST LIC | NY | 501 C (4) | N/A | 0 | UNIV OF ROCH | ||
| UR REAL ESTATE CORPORATION | ||||||||||||
| 263 WALLIS HALL | ROCHESTER | NY | 14627 | 271140014 | SUPPORT ORG | NY | 501 C (3) | 12A 1 | 0 | UNIV OF ROCH | ||
| MELIORA REAL ESTATE CORPORATION | ||||||||||||
| 263 WALLIS HALL | ROCHESTER | NY | 14627 | 452464788 | SUPPORT ORG | NY | 501 C (3) | 12A 1 | 0 | UNIV OF ROCH | ||
| F F THOMPSON HEALTH SYSTEM INC | ||||||||||||
| 350 PARRISH STREET | CANANDAIGUA | NY | 14424 | 222959987 | SUPPORT ORG | NY | 501 C (3) | 12A 1 | 0 | UNIV OF ROCH | ||
| THE FREDERICK FERRIS THOMPSON HOSPITAL | ||||||||||||
| 350 PARRISH STREET | CANANDAIGUA | NY | 14424 | 160743024 | HOSPITAL | NY | 501 C (3) | 3 | 0 | THS | ||
| M M EWING CONTINUING CARE CENTER | ||||||||||||
| 350 PARRISH STREET | CANANDAIGUA | NY | 14424 | 237046583 | HEALTHCARE | NY | 501 C (3) | 3 | 0 | THS | ||
| F F T SENIOR COMMUNITIES INC | ||||||||||||
| 1 FERRIS HILLS | CANANDAIGUA | NY | 14424 | 161557494 | ELDER CARE | NY | 501 C (3) | 10 | 0 | THS | ||
| THE F F THOMPSON FOUNDATION INC | ||||||||||||
| 350 PARRISH STREET | CANANDAIGUA | NY | 14424 | 222959984 | FUNDRAISING | NY | 501 C (3) | 7 | 0 | THS | ||
| FINGER LAKES HOME CARE INC | ||||||||||||
| 756 PRE EMPTION ROAD | GENEVA | NY | 14456 | 161489133 | HEALTHCARE | NY | 501 C (3) | 10 | 0 | URM HOME CARE | ||
| FINGER LAKES VISITING NURSE SERVICE INC | ||||||||||||
| 756 PRE EMPTION ROAD | GENEVA | NY | 14456 | 223067627 | HEALTHCARE | NY | 501 C (3) | 10 | 0 | URM HOME CARE | ||
| THE MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INC | ||||||||||||
| 191 NORTH MAIN STREET | WELLSVILLE | NY | 14895 | 222807681 | HOSPITAL | NY | 501 C (3) | 3 | 0 | UNIV OF ROCH | ||
| LIVINGSTON HEALTH CARE SYSTEM INC | ||||||||||||
| 111 CLARA BARTON STREET | DANSVILLE | NY | 14427 | 161455240 | SUPPORT ORG | NY | 501 C (3) | 12A 1 | 0 | UNIV OF ROCH | ||
| NICHOLAS H NOYES MEMORIAL HOSPITAL INC | ||||||||||||
| 111 CLARA BARTON STREET | DANSVILLE | NY | 14427 | 160743979 | HOSPITAL | NY | 501 C (3) | 3 | 0 | LHCS | ||
| RED JACKET CENTER INC | ||||||||||||
| 111 CLARA BARTON STREET | DANSVILLE | NY | 14427 | 161037658 | MEDICAL BLDG | NY | 501 C (3) | 12A 1 | 0 | LHCS | ||
| THE FOUNDATION FOR NOYES MEMORIAL HEALTH SYSTEM INC | ||||||||||||
| 111 CLARA BARTON STREET | DANSVILLE | NY | 14427 | 161584778 | FUNDRAISING | NY | 501 C (3) | 7 | 0 | LHCS | ||
| JONES MEMORIAL HOSPITAL FOUNDATION | ||||||||||||
| 191 NORTH MAIN STREET | WELLSVILLE | NY | 14895 | 473763374 | SUPPORT ORG | NY | 501 C (3) | 7 | 0 | JONES HOSP | ||
| JONES MEDICAL SERVICES PC | ||||||||||||
| 191 NORTH MAIN STREET | WELLSVILLE | NY | 14895 | 465210222 | MEDICAL CLINIC | NY | 501 C (3) | 3 | 0 | JONES HOSP | ||
| ST JAMES FOUNDATION INC | ||||||||||||
| 411 CANISTEO STREET | HORNELL | NY | 14843 | 161486437 | FUNDRAISING | NY | 501 C (3) | 7 | 0 | STJAMES HOSP | ||
| UR MEDICINE HOME CARE COMMUNITY SERVICES INC | ||||||||||||
| 2180 EMPIRE BOULEVARD | WEBSTER | NY | 14580 | 825091873 | HEALTHCARE | NY | 501 C (3) | 10 | 0 | SHCG | ||
| UR MEDICINE HOME CARE FOUNDATION INC | ||||||||||||
| 2180 EMPIRE BOULEVARD | WEBSTER | NY | 14580 | 831912967 | SUPPORT ORG | NY | 501 C (3) | 12A 1 | 0 | SHCG | ||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|
| Excell Innovate NY Fund LP | ||||||||
| 343 State St | Kodak Tower 2nd Fl | Rochester | NY | 14650 | 462405519 | Investment Fund | NY | ETV Inc |
| Excell Minority and Women Owned Investment Fund LP | ||||||||
| 343 State St | Kodak Tower 2nd Fl | Rochester | NY | 14650 | 810723223 | Investment Fund | NY | ETV Inc |
| Excell Partners Innovative TC Fund LP | ||||||||
| 343 State St | Kodak Tower 2nd Fl | Rochester | NY | 14650 | 810711015 | Investment Fund | NY | ETV Inc |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line2USAddress/AddressLine2Txt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MEDICAL ADMINISTRATIVE ASSOCIATES INC | |||||||||||
| 777 SOUTH CLINTON AVENUE | ROCHESTER | NY | 14620 | 161354319 | RETAIL PHARMACY | NY | HIGHLD HOSP | C | 0 | ||
| UR EQUITY HOLDINGS INC | |||||||||||
| 110 OFFICE PARK WAY | PITTSFORD | NY | 14534 | 273040889 | HOLDING CO | DE | UNIV OF ROCH | C | 0 | ||
| F F T H PROPERTIES AND SERVICES INC | |||||||||||
| 350 PARRISH STREET | CANANDAIGUA | NY | 14424 | 161286518 | HOLDING CO | NY | THS | C | 0 | ||
| FINGER LAKES COMMUNITY CARE NETWORK INC | |||||||||||
| 350 PARRISH STREET | CANANDAIGUA | NY | 14424 | 161423442 | INACTIVE | NY | THS | C | 0 | ||
| EXCELL TECHNOLOGY VENTURES INC | |||||||||||
| 343 STATE STREET KODAK TOWER | ROCHESTER | NY | 14650 | 800909149 | BIOTECH INCUBATOR | NY | ROCH BIOVENTURE | C | 0 | 2ND Floor | |
| ACCOUNTABLE HEALTH PARTNERS LLC | |||||||||||
| 135 CORPORATE WOODS STE 320 | ROCHESTER | NY | 14623 | 300787967 | ACCT CARE NETWORK | NY | UNIV OF ROCH | C | 0 | ||
| ACCOUNTABLE HEALTH PARTNERS IPA LLC | |||||||||||
| 135 CORPORATE WOODS STE 320 | ROCHESTER | NY | 14623 | 371746016 | INDEP PRACTICE ASSOC | NY | AHP LLC | C | 0 | ||
| AHP INSURANCE COMPANY | |||||||||||
| 76 ST PAUL STREET SUITE 500 | BURLINGTON | VT | 05401 | 814644839 | CAPTIVE INSURANCE CO | VT | AHP LLC | C | 0 | ||
| LUMINATE VENTURE CHALLENGE CORP | |||||||||||
| 260 EAST MAIN STREET SUITE 6000 | ROCHESTER | NY | 14604 | 823954131 | BUSINESS INCU | NY | NEXTCORPS INC | C | 0 | ||
| HORNELL MEDICAL VILLAGE LLC | |||||||||||
| 7100 ROUTE 70A | HORNELL | NY | 14843 | 611886763 | HOLD REAL ESTATE | NY | ST JAMES HOSP | C | 0 | 1 | |
| 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 | 0 | 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 | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | 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 | HORNELL MEDICAL VILLAGE LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | j | TransactionTypeTxt |
| Involved | $208,175 | InvolvedAmt |
| Method Of Amount Determination | Rental of building & equipment | MethodOfAmountDeterminationTxt |
Comments