MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INC (EIN 22-2807681)
Tax period: 2019-07-01 to 2020-06-30
Filed: 2021-05-06
IRS object ID: 202141309349301304
Schema version: 2019v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R
Reasonable Cause Explanation

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-05-06T14:18:33-07:00	ReturnTs
Tax Period End	2020-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	222807681	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MEMO	BusinessNameControlTxt
Phone	5855931100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	191 N Main Street	AddressLine1Txt
City	Wellsville	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14895	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	James Helms	PersonNm
Person Title	VP of Finance	PersonTitleTxt
Phone	5855964002	PhoneNum
Signature	2021-04-30	SignatureDt

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Eva Benedict	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	191 North Main Street	AddressLine1Txt
City	Wellsville	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14895	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$50,327,205	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	https://www.urmc.rochester.edu/jones-memorial-hospital.aspx	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1921	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	JONES MEMORIAL HOSPITAL IS COMMITTED TO ENSURING ACCESS TO THE HIGHEST QUALITY HEALTHCARE FOR OUR COMMUNITY IN A CARING MANNER.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	511	TotalEmployeeCnt
Total Volunteers	60	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,491,120	PYContributionsGrantsAmt
CY Contributions Grants	$8,704,693	CYContributionsGrantsAmt
PY Program Service Revenue	$20,009,267	PYProgramServiceRevenueAmt
CY Program Service Revenue	$38,595,565	CYProgramServiceRevenueAmt
PY Investment Income	$78,841	PYInvestmentIncomeAmt
CY Investment Income	$165,431	CYInvestmentIncomeAmt
PY Other Revenue	$1,869,476	PYOtherRevenueAmt
CY Other Revenue	$2,861,516	CYOtherRevenueAmt
PY Total Revenue	$24,448,704	PYTotalRevenueAmt
CY Total Revenue	$50,327,205	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	$12,029,451	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$26,169,452	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$10,189,895	PYOtherExpensesAmt
CY Other Expenses	$19,351,897	CYOtherExpensesAmt
PY Total Expenses	$22,219,346	PYTotalExpensesAmt
CY Total Expenses	$45,521,349	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,229,358	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$4,805,856	CYRevenuesLessExpensesAmt
Total Assets BOY	$30,019,052	TotalAssetsBOYAmt
Total Assets EOY	$49,277,026	TotalAssetsEOYAmt
Total Liabilities BOY	$17,952,611	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$32,443,157	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$12,066,441	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$16,833,869	NetAssetsOrFundBalancesEOYAmt
Mission	Provision of healthcare services	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$38,025,531	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$38,595,565	RevenueAmt
Desc	QUALITY OF HEALTH CARE: THE MEMORIAL HOSPITAL OF WILLIAM F. & GERTRUDE F. JONES, INC. A/K/A JONES MEMORIAL HOSPITAL IS A SOLE COMMUNITY PROVIDER WITH 49 ACUTE CARE BEDS, NOT FOR PROFIT, LOCATED IN RURAL WELLSVILLE NY IN A PROFESSIONALLY UNDERSERVED AREA. WE PROVIDE PRIMARY CARE, AMBULATORY CARE, EMERGENCY CARE AND ACUTE (MEDICAL, SURGICAL, PEDIATRIC, OB AND GYN) AND INTENSIVE CARE PLUS COMMUNITY OUTREACH PROGRAMS. WE ADMITTED 1,787 PATIENTS PLUS 411 BIRTHS AND HAD 283,291 PATIENT ENCOUNTERS ON AN OUTPATIENT BASIS. THE HOSPITAL HAS PROVIDED CHARITY CARE TO INDIGENT PATIENTS TOTALING $1,075,060.	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	$38,025,531	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	46	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	511	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
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
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	17	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JAMES HELMS CFO	PersonNm
Phone	5855964002	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	191 N Main Street	AddressLine1Txt
City	Wellsville	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14895	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	OfficerOfficerInd	Key EmployeeKeyEmployeeInd
MARK TAUBMAN
BOARD MEMBER	2	75	Yes (X)	$0	$1,584,714	$176,558
STEVEN GOLDSTEIN
BOARD MEMBER	2	71	Yes (X)	$0	$1,232,162	$505,762
MICHAEL APOSTOLAKOS
BOARD MEMBER	2	64	Yes (X)	$0	$661,347	$76,522
PAUL AXTELL
MD	40	0		$711,261	$0	$21,928	Yes (X)
BILAL AHMED
BOARD MEMBER	2	55.00	Yes (X)	$0	$553,824	$28,646
HEATHER LANPHERE
OB/GYN	40	0		$397,414	$0	$23,186	Yes (X)
ANDRES RUBERT
OB/GYN	40	0		$342,499	$0	$20,116	Yes (X)
KEVIN MCCORMICK
BOARD MEMBER	2	55.00	Yes (X)	$0	$297,953	$55,841
ANNA HARING
MD	40	0		$325,499	$0	$14,153	Yes (X)
ROBERT GILFERT
BOARD MEMBER	2	40	Yes (X)	$284,385	$0	$2,800
MARK ELLIOTT
CRNA	40	0		$246,654	$0	$13,092	Yes (X)
EVA BENEDICT
EXEC DIRECTOR/CEO	40	0		$248,210	$0	$8,769		Yes (X)
KAROL MARCIANO
VICE CHAIRPERSON	2	55	Yes (X)	$0	$185,950	$26,710
JAMES HELMS
CFO	40	0		$147,984	$0	$11,150			Yes (X)
WILLIAM COCH
BOARD MEMBER	2	0	Yes (X)	$3,000	$0	$0
DANIEL GUINEY
BOARD MEMBER	2	0	Yes (X)	$0	$0	$0
BARRY KULP
BOARD MEMBER	2	0	Yes (X)	$0	$0	$0
MARY KATE COLE
BOARD MEMBER	2	0	Yes (X)	$0	$0	$0
IAN JONES
BOARD MEMBER	2	0	Yes (X)	$0	$0	$0
JAMES KNAPP
BOARD MEMBER	2	0	Yes (X)	$0	$0	$0
ZAHI KASSAS
BOARD MEMBER	2	0	Yes (X)	$0	$0	$0
RICHARD EWELL
CHAIRPERSON	2	0	Yes (X)	$0	$0	$0
SAMANTHA GILKEY
SECRETARY	2	0	Yes (X)	$0	$0	$0
DANIEL JOHNSON
TREASURER	2	0	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,706,906	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,515,950	TotReportableCompRltdOrgAmt
Total Other Compensation	$985,233	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	22	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
DELPHI HOSPITALIST SERVICES
2701 CULVER ROAD	ROCHESTER	NY	14622	STAFFING	$1,301,995
DELPHI HEALTHCARE
2701 CULVER ROAD	ROCHESTER	NY	14622	STAFFING	$931,847
PICCO PULMONARY & INTERNAL MEDICINE
11 MAIN STREET	HORNELL	NY	14843	MEDICAL PHYSICIAN	$811,249
SUPPLEMENTAL HEALTHCARE
PO BOX 677896	DALLAS	TX	75267	STAFFING	$605,766
COMPHEALTH MEDICAL STAFFING
PO BOX 972670	DALLAS	TX	75397	STAFFING	$344,299

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	10	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$0	RelatedOrganizationsAmt
Government Grants	$8,538,292	GovernmentGrantsAmt
All Other Contributions	$166,401	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$8,704,693	TotalContributionsAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$38,595,565	TotalRevenueColumnAmt
Related Or Exempt Func Income	$38,595,565	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$38,595,565	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$159,512	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$159,512	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	$58,794	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	$58,794	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$58,794	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$58,794	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$5,919	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$5,919	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,919	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$5,919	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$0	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

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)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PT & OT Consulting Income	900099	$2,599	$0	$0	$2,599
Cafeteria	900099	$262,589	$0	$0	$262,589

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,537,534	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$2,537,534	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,802,722	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$50,327,205	TotalRevenueColumnAmt
Related Or Exempt Func Income	$38,595,565	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$3,026,947	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$396,194	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$396,194	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$21,565,703	TotalAmt
Program Services	$17,691,373	ProgramServicesAmt
Management And General	$3,874,330	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$360,000	TotalAmt
Program Services	$289,997	ProgramServicesAmt
Management And General	$70,003	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,353,428	TotalAmt
Program Services	$2,353,428	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,494,127	TotalAmt
Program Services	$1,203,592	ProgramServicesAmt
Management And General	$290,535	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$85,069	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$85,069	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$46,998	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$46,998	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$95,075	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$95,075	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$41,141	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$41,141	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,372,377	TotalAmt
Program Services	$6,844,621	ProgramServicesAmt
Management And General	$527,756	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$25,549	TotalAmt
Program Services	$14,168	ProgramServicesAmt
Management And General	$11,381	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$17,259	TotalAmt
Program Services	$10,184	ProgramServicesAmt
Management And General	$7,075	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$27,084	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$27,084	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,453,606	TotalAmt
Program Services	$1,162,885	ProgramServicesAmt
Management And General	$290,721	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$280,169	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$280,169	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
PROFESSIONAL FEES	$6,210,399	$5,724,793	$485,606	$0
PURCHASED SERVICES	$2,021,077	$1,491,548	$529,529	$0
LICENSES AND TAXES	$226,082	$113,477	$112,605	$0
LEASES	$391,668	$378,386	$13,282	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,058,344	TotalAmt
Program Services	$747,079	ProgramServicesAmt
Management And General	$311,265	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$45,521,349	TotalAmt
Program Services	$38,025,531	ProgramServicesAmt
Management And General	$7,495,818	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,871,193	BOYAmt
EOY	$17,375,040	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$574,705	BOYAmt
EOY	$119,497	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$10,775,181	BOYAmt
EOY	$9,873,394	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$978,473	BOYAmt
EOY	$1,482,025	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$354,358	BOYAmt
EOY	$355,168	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$37,947,099	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$28,302,377	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$7,452,632	BOYAmt
EOY	$9,644,722	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$6,787,295	BOYAmt
EOY	$7,497,880	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,225,215	BOYAmt
EOY	$2,929,300	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$30,019,052	BOYAmt
EOY	$49,277,026	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$15,834,544	BOYAmt
EOY	$18,282,331	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$6,047,520	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,118,067	BOYAmt
EOY	$8,113,306	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$17,952,611	BOYAmt
EOY	$32,443,157	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	$9,416,620	BOYAmt
EOY	$14,168,334	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,649,821	BOYAmt
EOY	$2,665,535	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$12,066,441	BOYAmt
EOY	$16,833,869	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$30,019,052	BOYAmt
EOY	$49,277,026	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$4,805,856	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	-$38,428	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	$622,856	BeginningYearBalanceAmt
Contributions	$41,736	ContributionsAmt
Investment Earnings Or Losses	$17,032	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$681,624	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$477,036	BeginningYearBalanceAmt
Contributions	$145,820	ContributionsAmt
Investment Earnings Or Losses	$0	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$622,856	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$363,388	BeginningYearBalanceAmt
Contributions	$116,695	ContributionsAmt
Investment Earnings Or Losses	-$3,047	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$477,036	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$80,097	BeginningYearBalanceAmt
Contributions	$281,271	ContributionsAmt
Investment Earnings Or Losses	$2,020	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$363,388	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$0	BeginningYearBalanceAmt
Contributions	$80,097	ContributionsAmt
Investment Earnings Or Losses	$0	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$80,097	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	$393,177	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Book Value	$393,177	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$956,599	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$780,157	DepreciationAmt
Book Value	$176,442	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$16,260,982	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$12,176,573	DepreciationAmt
Book Value	$4,084,409	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$19,226,045	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$15,345,647	DepreciationAmt
Book Value	$3,880,398	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$1,110,296	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$1,110,296	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$9,644,722	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
CAPITAL IMPROVEMENTS/MORGAN STANLEY	$4,757,592	F
HELD IN TRUST/KEY BANK	$1,808,756	F
TEMP RESTRICTED/STEUBEN TRUST	$931,532	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$7,497,880	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
EQUITY INVESTMENT	$1,101,853
RIGHT OF USE LONG TERM ASSET	$1,827,447

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$2,929,300	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
RIGHT OF USE LT LIABILITY	$1,706,028
INSURANCE RESERVES	$1,604,277
ASSET RETIREMENT FIN 47	$576,345
CARES FUNDING ADVANCE	$4,226,656

Field	Value	IRS element (for citing)
Total Liability	$8,113,306	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part V, Line 4	FormAndLineReferenceDesc
Explanation	To support Jones Memorial Hospital.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$293,191	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$293,191	NetCommunityBenefitExpnsAmt
Total Expense	0.0064	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$8,501,475	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,077,761	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,423,714	NetCommunityBenefitExpnsAmt
Total Expense	0.0313	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$965,609	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$965,609	NetCommunityBenefitExpnsAmt
Total Expense	0.0212	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$9,760,275	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,077,761	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,682,514	NetCommunityBenefitExpnsAmt
Total Expense	0.0589	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	193	PersonsServedCnt
Total Community Benefit Expns	$5,430	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,430	NetCommunityBenefitExpnsAmt

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	54	PersonsServedCnt
Total Community Benefit Expns	$111,919	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$111,919	NetCommunityBenefitExpnsAmt

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	247	PersonsServedCnt
Total Community Benefit Expns	$117,349	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$117,349	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	247	PersonsServedCnt
Total Community Benefit Expns	$9,877,624	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,077,761	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,799,863	NetCommunityBenefitExpnsAmt
Total Expense	0.0589	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	20	PersonsServedCnt
Total Community Benefit Expns	$468	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$468	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	20	PersonsServedCnt
Total Community Benefit Expns	$468	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$468	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,155,778	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,155,778	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$4,822,852	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$7,923,044	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,100,192	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	8	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JONES MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	191 NORTH MAIN STREET	AddressLine1Txt
City	WELLSVILLE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14895	ZIPCd

Field	Value	IRS element (for citing)
Website Address	https://www.urmc.rochester.edu/jones-memorial-hospital.aspx	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	JONES MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.urmc.rochester.edu/jones-memorial-hospital.aspx	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	50	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.urmc.rochester.edu/jones-memorial-hospital.aspx	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.urmc.rochester.edu/jones-memorial-hospital.aspx	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://urmc.rochester.edu/jones-memorial-hospital.aspx	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3-JONES MEMORIAL HOSPITAL	Please see Schedule H Part VI, Line 2 Supplemental Information.
Schedule H, Part V, Section B, Line 4-JONES MEMORIAL HOSPITAL	Please see Schedule H, Part VI, Line 2 Supplemental Information.
Schedule H, Part V, Section B, Line 5-JONES MEMORIAL HOSPITAL	Please see Schedule H, Part VI, Line 2 Supplemental Information.
Schedule H, Part V, Section B, Line 6a-JONES MEMORIAL HOSPITAL	Cuba Memorial Hospital.
Schedule H, Part V, Section B, Line 6b-JONES MEMORIAL HOSPITAL	Allegany County Department of Health, Allegany County Community Wellness Committee and Cuba Memorial Hospital.
Schedule H, Part V, Section B, Line 7d-JONES MEMORIAL HOSPITAL	Please see Schedule H Part VI, line 2 Supplemental Information.
Schedule H, Part V, Section B, Line 10-JONES MEMORIAL HOSPITAL	The Hospital provides discounted care not free care.
Schedule H, Part V, Section B, Line 11-JONES MEMORIAL HOSPITAL	For Priority Area: Prevent Chronic Disease, Focus Area Healthy Eating and Food Security. Interventions, strategies and activities will work toward increasing the redemption of farmers market coupons distributed through the WIC Program and the Office for the Aging. These will include but are not limited to developing a key stakeholders group; a work plan; increased access to the farmers markets; increase knowledge of use; preparation and preservation of fruits and vegetables; and program review using guidance workbook to expand activities over year two and three. For Priority Area: Prevent Chronic Disease, Focus Area: Preventative Care and Management. Interventions, strategies and activities will work toward increasing the number of adults with a chronic disease who have taken a course or class to learn how to manage their condition. These will include but are not limited to identifying additional agencies and their staff to be trained to facilitate the Stanford University Chronic Disease Self Management course; Ardent Solutions Inc Master Trainer offering trainings to increase the number of facilitators in Allegany County; offering a minimum of two CDSM workshop series each year and collaborating with area health care providers and their care managers to identify their patients with chronic diseases and make referrals to CDSM. For Priority Area: Promote Well Being and Prevent Mental and Substance Use Disorders. Interventions, strategies and activities will work toward decreasing the age adjusted suicide mortality rates by ten percent by 2021. These will include but are not limited to supporting and promoting the suicide prevention coalition activities; offering programming to prevent suicides including ASIST, Mental Health First AID, Safe Talk and Talk Saves Lives, evaluating the suicide prevention program in Allegany County using RAND or a similar tool kit and developing an action plan for years two and three. For Disparity Socio Economical Income; the evidence based interventions, strategies and activities locally decreases the financial burden to the residents of Allegany County by reducing the travel and time expense to county residents.
Schedule H, Part V, Section B, Line 16a-JONES MEMORIAL HOSPITAL	https://www.urmc.rochester.edu/jones-memorial-hospital.aspx
Schedule H, Part V, Section B, Line 16b-JONES MEMORIAL HOSPITAL	https://www.urmc.rochester.edu/jones-memorial-hospital.aspx
Schedule H, Part V, Section B, Line 16c-JONES MEMORIAL HOSPITAL	https://www.urmc.rochester.edu/jones-memorial-hospital.aspx

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7	Worksheet 2 Ratio of Patient Care Cost to Charges calculation was used. Due to the adoption of accounting pronouncement ASC 606, current year price concessions are treated as a contra-revenue item on the statement of revenue.
Schedule H, Part I, Line 7g	Jones Memorial Hospital operates a Diabetic Clinic as a service to the public due to the high need for it in Allegany County.
Schedule H, Part II	As a community hospital, Jones Memorial Hospital takes an active part in promoting the health of those we serve through a wide variety of activities. In addition to Community Health Fairs and screenings, JMH is committed to meeting the needs of this community for generations to come. We provide hands on experience for future healthcare providers and shadow experiences for students exploring their career options. By working with organizations like the Wellsville Area Chamber of Commerce, Ardent Solutions and several Allegany County Departments, we are partners helping this community grow towards a healthy future.
Schedule H, Part III, Section A, Line 4	Patient Accounts Receivable are due 30 days after the date of discharge. Receivables past due more than 120 days are considered delinquent. Delinquent receivables are generally written off based on individual credit evaluation and specific circumstances of the patient and other third party payors. Bad Debt Expense is calculated by deducting bad debt adjustments and receipts from transfers to the collection agency. In addition, an analysis is done monthly based on self pay aging and assessed reserve percentages in order to determine reasonableness. Further information is on page 12 of the attached audited financial statements.
Schedule H, Part III, Section B, Line 8	The amount on Line 6 is calculated from Worksheet E Parts A and B on the cost report. The full loss should be considered a community benefit.
Schedule H, Part III, Section C, Line 9b	Patients who qualify for financial assistance receive a discount from a sliding fee schedule based on the Federal Poverty Guidelines. Flexible payment plans are incorporated as appropriate.
Schedule H, Part VI, Line 2	The hospital uses several methods to assess the healthcare needs of those in the service area. Public survey includes some demographic information and a ratings system for 49 items identified as health needs. The public was notified of the survey process and encouraged to participate through paid advertising in the Wellsville Daily Reporter and Hornell Evening Tribune, press releases to local news agencies, invitations on the hospital website home page, distribution of paper surveys through the JMH medical practice sites (six in total throughout Allegany County) and through email distribution of the survey to agency list serves in the region. The survey was also distributed via Survey Monkey, an online survey to allow recipients to receive and respond via email.
Schedule H, Part VI, Line 3	Our patient statements provide a notice informing patients about our Financial Assistance Program. We have financial counselors that contact our self pay population and inform them of our program. They send letters for those they are unable to reach by telephone. We have signage throughout our campus indicating we have a financial assistance program with the contact information. Each self pay inpatient is seen and educated about our process for applying for financial assistance.
Schedule H, Part VI, Line 4	The Hospital service area is primarily Allegany and Steuben Counties, while 80 percent of the inpatient and outpatient visits originate from Wellsville, Bolivar, Andover, Belmont, Scio, Friendship, Belfast, Angelica and Whitesville for the purposes of community health need and collaboration efforts. Jones Memorial Hospital views the greater Allegany County region as the service area. Jones Memorial Hospital is the only acute care hospital in Allegany County with HPSA Designation.
Schedule H, Part VI, Line 5	Jones Memorial Hospital promotes community wellness in many ways. These include: Free health and wellness fairs at the hospital and throughout the community with screening stations that include Blood Pressure, Cholesterol, Tanita Scale (BMI & Body Fat), Flexibility, Glucose, Bone Density, and Lung Function. These fairs also features stations with information about Smoking Cessation, Community Stroke Education, and Health Eating. Participants leave the events with a record of their results and are encouraged to discuss them with their primary care provider. One of the sponsors of the Allegany County Office for the Aging Senior Forum, which provides health information targeted at the senior population. Free glucose screenings at events sponsored by the Lions Clubs in Andover, Cuba, Belfast, Bolivar, and Angelica. Blood Pressure Machines at JMH & YMCA provide the means to monitor blood pressure. For those patients who must monitor their blood pressure often, home blood pressure cuffs are provide. Hydration Stations at the Wellsville YMCA and at the hospital encourage water consumption and are environmentally friendly water bottle refill stations Provides educational opportunities for local emergency medical squads Corporate sponsorship of the Wellsville YMCA In addition, every year Jones Memorial sponsors two family-friendly wellness events: The RidgeWalk & Run in the fall and the GLOW 5K Run & Walk in the spring. These events allow families to get outside and enjoy the beauty that is all around them, promoting mental, social, and physical wellness. The registration fees are low and all funds raised are put back into community wellness initiatives such as: Walking in Wellsville kiosks located on the hospital grounds and in Island Park have maps and measured walking routes. These routes also provide a way for walkers to connect with the WAG trail and continue on into PA The extension of the RiverWalk walking trail so that it goes under the bridge on busy Route 417 and resumes on the other side. Previously, those using the trail had to cross the busy highway to get to the other side. To encourage blood donations from the community, the Wellness Committee has provided $100 Wellsville Chamber of Commerce Gift Cards as an incentive at each Community Blood Bank Blood Drives held at JMH to encourage community donors give Working with Allegany County Department of Health, the hospital provided gas cards as an incentive to encourage county residents to complete the 2019 Community Health Assessment survey Partnered with local towns and villages and provided funds for a grant writer to apply for a local waterfront revitalization project.
Schedule H, Part VI, Line 6	The Hospital is affliated with the University of Rochester Medical Center (URMC). Together with the Hospital, URMC and its other health care affliates provide comprehensive healthcare services in New York State. This affliation provides enhanced care to residents of the Hospital's service area through access to specialists and specialty services. The University of Rochester Medical Center is an integrated academic health center that comprises the School of Medicine and Dentistry, including its Faculty Practice (University of Rochester Medical Faculty Group); Strong Memorial Hospital; Highland Hospital; Golisano Children's Hospital; James P. Wilmot Cancer Center; Strong West; School of Nursing; Eastman Institute for Oral Health; Visiting Nurse Service; Highlands at Pittsford; The Highlands Living Center, Inc.; Highlands at Brighton; FF Thompson Health System, Inc., Jones Memorial Hospital, Noyes Health, St. James Hospital and Accountable Health Partners, LLC. UR Medical Center and the 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	The community benefit report is filed with New York State.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PAUL AXTELL
MD	$711,261	$0	$0	$0	$0	$0	$0	$0	$21,928	$0	$733,189	$0	$0	$0
HEATHER LANPHERE
OB/GYN	$397,414	$0	$0	$0	$0	$0	$0	$0	$23,186	$0	$420,600	$0	$0	$0
ANDRES RUBERT
OB/GYN	$342,499	$0	$0	$0	$0	$0	$0	$0	$20,116	$0	$362,615	$0	$0	$0
ANNA HARING
MD	$325,499	$0	$0	$0	$0	$0	$0	$0	$14,153	$0	$339,652	$0	$0	$0
MARK ELLIOTT
CRNA	$246,654	$0	$0	$0	$0	$0	$0	$0	$13,092	$0	$259,746	$0	$0	$0
EVA BENEDICT
EXEC DIRECTOR/CEO	$248,210	$0	$0	$0	$0	$0	$0	$0	$8,769	$0	$256,979	$0	$0	$0
JAMES HELMS
CFO	$147,984	$0	$0	$0	$0	$0	$0	$0	$11,150	$0	$159,134	$0	$0	$0
WILLIAM COCH
BOARD MEMBER	$3,000	$0	$0	$0	$0	$0	$0	$0	$0	$0	$3,000	$0	$0	$0
MARK TAUBMAN
BOARD MEMBER	$0	$1,374,234	$0	$175,000	$0	$35,480	$0	$151,854	$0	$24,704	$0	$1,761,272	$0	$0
STEVEN GOLDSTEIN
BOARD MEMBER	$0	$1,143,063	$0	$5,000	$0	$84,099	$0	$486,254	$0	$19,508	$0	$1,737,924	$0	$0
MICHAEL APOSTOLAKOS
BOARD MEMBER	$0	$642,347	$0	$0	$0	$19,000	$0	$51,854	$0	$24,668	$0	$737,869	$0	$0
BILAL AHMED
BOARD MEMBER	$0	$551,053	$0	$0	$0	$2,771	$0	$26,735	$0	$1,911	$0	$582,470	$0	$0
KEVIN MCCORMICK
BOARD MEMBER	$0	$264,445	$0	$33,508	$0	$0	$0	$28,828	$0	$27,013	$0	$353,794	$0	$0
ROBERT GILFERT
BOARD MEMBER	$284,385	$0	$0	$0	$0	$0	$0	$0	$2,800	$0	$287,185	$0	$0	$0
KAROL MARCIANO
VICE CHAIRPERSON	$0	$166,950	$0	$0	$0	$19,000	$0	$17,420	$0	$9,290	$0	$212,660	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule J, Part I, Line 4	FormAndLineReferenceDesc
Explanation	The following individuals participated in a supplemental nonqualified retirement plan and received employer paid amounts that are included in deferred compensation. Steven Goldstein SERP Plan 159,400, Steven Goldstein 457(f) Plan 300,000, Mark Taubman, MD SERP Plan 125,000, Michael Apostolakos, MD SERP Plan 25,000.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, Line 2	Some of the trustees of the organization have business relationships with each other through their employment and service as officer of a related organization - The University of Rochester.
Form 990, Part VI, Section A, Line 6	The sole member of the Hospital is the University of Rochester.
Form 990, Part VI, Section A, Line 7a	The University of Rochester has the authority to elect the governing body of the Hospital.
Form 990, Part VI, Section A, Line 7b	Decisions such as amendment of the Certificate of Incorporation and Bylaws and approval of extraordinary corporate actions such as merger or dissolution are subject to the approval of the University of Rochester.
Form 990, Part VI, Section B, Line 11b	The 990 was presented to the Board of Directors prior to filing. The 990 is prepared by the Accounting Department and reviewed by the CFO.
Form 990, Part VI, Section B, Line 12c	Annually, the Hospital requires all Board Members, Senior Managers and Department Managers to complete the Conflict of Interest statement to identify actual and potential conflicts. The statements are reviewed by the Hospital's Compliance Officer for any potential conflicts. If a conflict is identified, the individual with the conflict will not be allowed to participate in any discussion or decision in any area of conflict identified.
Form 990, Part VI, Section B, Line 15	The CEO's salary is set for a specific contract period by the Board of Directors and includes an escalation clause for increases during the contract period. The process includes a review of comparable data for the market area and the complete contract is approved by the Board of Directors. Compensation of other top management officials and key employees is done through a wage analysis performed by the Human Resources Director. The analysis compares current wage to market data. The CEO reviews the analysis.
Form 990, Part VI, Section C, Line 19	The Hospital's Form 990 is available upon request. The Hospital's governing documents, conflict of interest policy and audited financial statements are not routinely made available to the public. The hospital publishes an annual financial and statistical report in the local newspaper each spring. It also has these documents available for in person review or within 30 days of a written request from the general public. Copies of these documents are stored in the Administrative Office of the Hospital for this purpose.
Form 990, Part XI, Line 9	Change in unrealized gain/losses on investments = 26,187, Pension liability adjustment = -239,467, change in contributions = 154,495 and change in value of beneficial interest in perpetual trust = -48,393, change in value of beneficial interest in foundation = 68,750. Total = -38,428.

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	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
UNIVERSITY OF ROCHESTER
910 GENESEE STREET STE 200	ROCHESTER	NY	14611	160743209	SCHOOL	NY	501 C (3)	2	UNIV OF ROCH	0
HIGHLAND HOSPITAL OF ROCHESTER
1000 SOUTH AVENUE	ROCHESTER	NY	14620	160743037	HOSPITAL	NY	501 C (3)	3	SPHS	0
THE HIGHLAND FOUNDATION INC
1000 SOUTH AVENUE	ROCHESTER	NY	14620	237310662	FUNDRAISING	NY	501 C (3)	12A, 1	HIGHLD HOSP	0
HIGHLAND FACILITIES DEVELOPMENT CORP
1000 SOUTH AVENUE	ROCHESTER	NY	14620	223039077	MEDICAL BLDG	NY	501 C (3)	10	HIGHLD HOSP	0
HIGHLAND COMMUNITY DEVELOPMENT CORP
100 HAHNEMANN TRAIL	PITTSFORD	NY	14534	223154715	ELDER CARE	NY	501 C (3)	10	SPHS	0
THE HIGHLANDS LIVING CENTER INC
500 HAHNEMANN TRAIL	PITTSFORD	NY	14534	223240227	HEALTHCARE	NY	501 C (3)	10	SPHS	0
THE MEADOWS AT WESTFALL INC
5901 LAC DE VILLE BLVD	ROCHESTER	NY	14618	161502303	HEALTHCARE	NY	501 C (3)	10	SPHS	0
STRONG PARTNERS HEALTH SYSTEM INC
601 ELMWOOD AVENUE BOX 706	ROCHESTER	NY	14642	161499099	SUPPORT ORG	NY	501 C (3)	12A, 1	UNIV OF ROCH	0
STRONG HOME CARE GROUP
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	SHCG	0
COMMUNITY CARE OF ROCHESTER
2180 EMPIRE BOULEVARD	WEBSTER	NY	14580	161561691	HEALTHCARE	NY	501 C (3)	10	SHCG	0
EXCELL PARTNERS INC
343 STATE STREET KODAK TOWER 2ND	ROCHESTER	NY	14625	201862628	ECONOMIC DEV	NY	501 C (4)	N/A	UNIV OF ROCH	0
ROCHESTER BIOVENTURE CENTER INC
601 ELMWOOD AVENUE BOX 706	ROCHESTER	NY	14642	202485999	BIOTECH INCUB	NY	501 C (3)	12A, 1	UNIV OF ROCH	0
NEXTCORPS INC
260 EAST MAIN STREET SUITE 6000	WEST HENRIETTA	NY	14586	161195028	BUSINESS INCU	NY	501 C (3)	7	UNIV OF ROCH	0
UNIVERSITY OF ROCHESTER EMPLOYEE BENEFIT TRUST
910 GENESEE STREET SUITE 200	ROCHESTER	NY	14611	161600112	EMPL BEN TRST	NY	501 C (9)	N/A	UNIV OF ROCH	0
U OF R BROADCASTING CORPORATION
201 WILSON COMMONS	ROCHESTER	NY	14627	160743209	BROADCAST LIC	NY	501 C (4)	N/A	UNIV OF ROCH	0
UR REAL ESTATE CORPORATION
263 WALLIS HALL	ROCHESTER	NY	14627	271140014	SUPPORT ORG	NY	501 C (3)	12A, 1	UNIV OF ROCH	0
MELIORA REAL ESTATE CORPORATION
263 WALLIS HALL	ROCHESTER	NY	14627	452464788	SUPPORT ORG	NY	501 C (3)	12A, 1	UNIV OF ROCH	0
F F THOMPSON HEALTH SYSTEM INC
350 PARRISH STREET	CANANDAIGUA	NY	14424	222959987	SUPPORT ORG	NY	501 C (3)	12A, 1	UNIV OF ROCH	0
THE FREDERICK FERRIS THOMPSON HOSPITAL
350 PARRISH STREET	CANANDAIGUA	NY	14424	160743024	HOSPITAL	NY	501 C (3)	3	THS	0
MM EWING CONTINUING CARE CENTER
350 PARRISH STREET	CANANDAIGUA	NY	14424	237046583	HEALTHCARE	NY	501 C (3)	3	THS	0
FFT SENIOR COMMUNITIES INC
1 FERRIS HILLS	CANANDAIGUA	NY	14424	161557494	ELDER CARE	NY	501 C (3)	10	THS	0
THE FF THOMPSON FOUNDATION INC
350 PARRISH STREET	CANANDAIGUA	NY	14424	222959984	FUNDRAISING	NY	501 C (3)	7	THS	0
FINGER LAKES HOME CARE INC
756 PRE-EMPTION ROAD	GENEVA	NY	14456	161489133	HEALTHCARE	NY	501 C (3)	10	URM HOME CARE	0
FINGER LAKES VISITING NURSE SERVICE INC
756 PRE-EMPTION ROAD	GENEVA	NY	14456	223067627	HEALTHCARE	NY	501 C (3)	10	URM HOME CARE	0
LIVINGSTON HEALTH CARE SYSTEM INC
111 CLARA BARTON STREET	DANSVILLE	NY	14427	161455240	SUPPORT ORG	NY	501 C (3)	12A, 1	UNIV OF ROCH	0
NICHOLAS H NOYES MEMORIAL HOSPITAL INC
111 CLARA BARTON STREET	DANSVILLE	NY	14427	160743979	HOSPITAL	NY	501 C (3)	3	LHCS	0
RED JACKET CENTER INC
111 CLARA BARTON STREET	DANSVILLE	NY	14427	161037658	MEDICAL BLDG	NY	501 C (3)	12A, 1	LHCS	0
THE FOUNDATION FOR NOYES MEMORIAL HEALTH SYSTEM INC
111 CLARA BARTON STREET	DANSVILLE	NY	14427	161584778	FUNDRAISING	NY	501 C (3)	7	LHCS	0
JONES MEMORIAL HOSPITAL FOUNDATION
191 NORTH MAIN STREET	WELLSVILLE	NY	14895	473763374	SUPPORT ORG	NY	501 C (3)	7	JONES HOSP	Yes (1)
JONES MEDICAL SERVICES PC
191 NORTH MAIN STREET	WELLSVILLE	NY	14895	465210222	MEDICAL CLINIC	NY	501 C (3)	3	JONES HOSP	Yes (1)
ST JAMES HOSPITAL
411 CANISTEO STREET	HORNELL	NY	14843	160743310	HOSPITAL	NY	501 C (3)	3	UNIV OF ROCH	0
ST JAMES FOUNDATION INC
411 CANISTEO STREET	HORNELL	NY	14843	161486437	FUNDRAISING	NY	501 C (3)	7	ST JAMES HOSP	0
UR MEDICINE HOME CARE COMMUNITY SERVICES INC
2180 EMPIRE BOULEVARD	WEBSTER	NY	14580	825091873	HEALTHCARE	NY	501 C (3)	10	SHCG	0
UR MEDICINE HOME CARE FOUNDATION INC
2180 EMPIRE BOULEVARD	WEBSTER	NY	14580	831912967	SUPPORT ORG	NY	501 C (3)	12A, 1	SHCG	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
EXCELL INNOVATE NY FUND LP
343 STATE STREET KODAK TOWER 2ND	ROCHESTER	NY	14650	462405519	INVESTMENT FUND	NY	ETV INC
EXCELL MINORITY AND WOMEN OWNED BUSINESS INVESTMENT FUND LP
343 STATE STREET KODAK TOWER 2ND	ROCHESTER	NY	14650	810723223	INVESTMENT FUND	NY	ETV INC
EXCELL PARTNERS INNOVATIVE TC FUND LP
343 STATE STREET KODAK TOWER 2ND	ROCHESTER	NY	14650	810711015	INVESTMENT FUND	NY	ETV INC

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
MEDICAL ADMINISTRATIVE ASSOCIATES INC
777 SOUTH CLINTON AVENUE	ROCHESTER	NY	14620	161354319	RETAIL PHARMACY	NY	HIGHLD HOSP	C
UREQUITY HOLDINGS INC
110 OFFICE PARK WAY	PITTSFORD	NY	14534	273040889	HOLDING CO	DE	UNIV OF ROCH	C
FFTH PROPERTIES AND SERVICES INC
350 PARRISH STREET	CANANDAIGUA	NY	14424	161286518	HOLDING CO	NY	THS	C
FINGER LAKES COMMUNITY CARE NETWORK INC
350 PARRISH STREET	CANANDAIGUA	NY	14424	161423442	INACTIVE	NY	THS	C
EXCELL TECHNOLOGY VENTURES INC
343 STATE STREET KODAK TOWER 2ND	ROCHESTER	NY	14650	800909149	BIOTECH INCUBATOR	NY	ROCH BIOVENTURE	C
ACCOUNTABLE HEALTH PARTNERS LLC
135 CORPORATE WOODS STE 320	ROCHESTER	NY	14623	300787967	ACCT CARE NETWORK	NY	UNIV OF ROCH	C
ACCOUNTABLE HEALTH PARTNERS LLC
135 CORPORATE WOODS STE 320	ROCHESTER	NY	14623	371746016	INDEP PRACTICE ASSOC	NY	AHP LLC	C
AHP INSURANCE COMPANY
76 ST PAUL STREET SUITE 500	BURLINGTON	VT	05401	814644839	CAPTIVE INSURANCE CO	VT	AHP LLC	C
LUMINATE VENTURE CHALLENGE CORP
260 EAST MAIN STREET SUITE 6000	ROCHESTER	NY	14604	823954131	BUSINESS INCU	NY	NEXTCORPS INC	C
HORNELL MEDICAL VILLAGE LLC
7100 ROUTE 70A	HORNELL	NY	14843	611886763	HOLD REAL ESTATE	NY	ST JAMES HOSP	C

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
JONES MEDICAL SERVICES PC
q	$580,000	Invoices and timesheets.
JONES MEMORIAL HOSPITAL FOUNDATION
r	$78,630	Amount determined and approved of by Board of Directors.

Reasonable Cause Explanation ReasonableCauseExplanation

Field	Value	IRS element (for citing)
Explanation	Filed Form 8868	ExplanationTxt