ST JAMES HOSPITAL: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: ST JAMES HOSPITAL (EIN 16-0743310)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-12
IRS object ID: 202003179349303935
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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-12T08:59:51-07:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	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	2020-11-12	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	64.80.174.146	IPv4AddressTxt

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd
Principal Officer	Bryan O'Donovan	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	$65,921,373	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	13	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	443	TotalEmployeeCnt
Total Volunteers	22	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,401,665	PYContributionsGrantsAmt
CY Contributions Grants	$31,839,048	CYContributionsGrantsAmt
PY Program Service Revenue	$25,136,390	PYProgramServiceRevenueAmt
CY Program Service Revenue	$32,307,998	CYProgramServiceRevenueAmt
PY Investment Income	$100,000	PYInvestmentIncomeAmt
CY Investment Income	$88,580	CYInvestmentIncomeAmt
PY Other Revenue	$796,685	PYOtherRevenueAmt
CY Other Revenue	$1,685,747	CYOtherRevenueAmt
PY Total Revenue	$30,434,740	PYTotalRevenueAmt
CY Total Revenue	$65,921,373	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	$16,840,401	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$17,780,867	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$16,147,812	PYOtherExpensesAmt
CY Other Expenses	$20,629,811	CYOtherExpensesAmt
PY Total Expenses	$32,988,213	PYTotalExpensesAmt
CY Total Expenses	$38,410,678	CYTotalExpensesAmt
PY Revenues Less Expenses	-$2,553,473	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$27,510,695	CYRevenuesLessExpensesAmt
Total Assets BOY	$50,200,664	TotalAssetsBOYAmt
Total Assets EOY	$87,431,040	TotalAssetsEOYAmt
Total Liabilities BOY	$25,669,644	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$35,389,325	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$24,531,020	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$52,041,715	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	$28,508,072	ExpenseAmt
Revenue	$34,082,325	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	$28,508,072	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	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	98	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	443	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
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	13	GoverningBodyVotingMembersCnt
Independent Voting Member	8	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

Form990 Part VII Section A Form990PartVIISectionAGrp (20 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
Steve Goldstein
Board Member	1	71.00	Yes (X)	$0	$1,232,162	$505,762
Michael Kamali MD
Board Member	1	55	Yes (X)	$0	$642,978	$66,738
John Robshaw
Physician	40	0		$475,634	$0	$24,121	Yes (X)
Ismail Mehr MD
Board Member	1	0	Yes (X)	$472,640	$0	$0
M Tariq Randhawa
Physician	40	0		$422,201	$0	$5,907	Yes (X)
Aileen Shinaman
Board Member	1	55	Yes (X)	$0	$310,262	$100,525
Kevin Wentworth
Physician Assistant	40	0		$290,402	$0	$24,914	Yes (X)
Giacomo Floria
Chief Advanced Practice Provider	40	0		$231,441	$0	$14,347	Yes (X)
Bryan O'Donovan
President/CEO	55	1		$217,257	$0	$8,550		Yes (X)
Kevin Briceland
Physician Assistant	40	0		$191,994	$0	$7,412	Yes (X)
James Helms
CFP/ VP of Finance	30	30		$0	$147,984	$10,751		Yes (X)
Spencer Annabel MD
Board Member	1	0	Yes (X)	$138,000	$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)
Matt Shick
Board Member	1	0	Yes (X)	$0	$0	$0
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	$2,439,569	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,333,386	TotReportableCompRltdOrgAmt
Total Other Compensation	$769,027	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	16	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	Address Line2ContractorAddress/USAddress/AddressLine2Txt
Le Chase Construction
205 Indigo Creek Dr	Rochester	NY	14626	Construct Proj New Hosp	$27,337,412
FSI Acoustical Systems LLC
90 Goodway Dr	Rochester	NY	14623	Construct Project MOB	$1,521,662
Univ of Rochester
135 Corporate Woods	Rochester	NY	14623	Physician/Radiology Staffing	$1,189,177	Suite 100
Strong Memorial Hospital
Strong Mem Hosp	Rochester	NY	14642	Pathology/ Lab Services	$1,169,969	601 Elmwood Ave PO Box 608
Razak Assoc Architecture Eng and Land Survey PLLC
2060 Fairport Nine Mile Road	Penfield	NY	14526	Architect	$778,914	Suite 300

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	16	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$0	RelatedOrganizationsAmt
Government Grants	$30,559,270	GovernmentGrantsAmt
All Other Contributions	$1,279,778	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$31,839,048	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	Net Patient Service Revenue	Desc
Business	621990	BusinessCd
Total Revenue Column	$32,307,998	TotalRevenueColumnAmt
Related Or Exempt Func Income	$32,307,998	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	$32,307,998	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$88,580	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$88,580	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	$123,203	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	$123,203	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$123,203	TotalRevenueColumnAmt
Related Or Exempt Func Income	$123,203	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	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
URMC Revenue	900099	$978,489	$978,489	$0	$0
Lifeline Revenue	900099	$252,736	$252,736	$0	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$331,319	TotalRevenueColumnAmt
Related Or Exempt Func Income	$331,319	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,562,544	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$65,921,373	TotalRevenueColumnAmt
Related Or Exempt Func Income	$33,993,745	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$88,580	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

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	$334,551	TotalAmt
Program Services	$117,070	ProgramServicesAmt
Management And General	$217,481	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	$13,775,541	TotalAmt
Program Services	$10,036,069	ProgramServicesAmt
Management And General	$3,739,472	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$241,698	TotalAmt
Program Services	$173,831	ProgramServicesAmt
Management And General	$67,867	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,365,383	TotalAmt
Program Services	$1,701,205	ProgramServicesAmt
Management And General	$664,178	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,063,694	TotalAmt
Program Services	$765,018	ProgramServicesAmt
Management And General	$298,676	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	$148,908	TotalAmt
Program Services	$39,679	ProgramServicesAmt
Management And General	$109,229	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$80,000	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$80,000	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	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$215,971	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$215,971	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$390,124	TotalAmt
Program Services	$78,735	ProgramServicesAmt
Management And General	$311,389	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	$853,314	TotalAmt
Program Services	$273,705	ProgramServicesAmt
Management And General	$579,609	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

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

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$307,050	TotalAmt
Program Services	$100,072	ProgramServicesAmt
Management And General	$206,978	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	$525,137	TotalAmt
Program Services	$171,150	ProgramServicesAmt
Management And General	$353,987	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$376,398	TotalAmt
Program Services	$122,674	ProgramServicesAmt
Management And General	$253,724	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Physician Fees	$6,276,741	$6,276,741	$0	$0
Purchased Services	$4,521,834	$2,718,411	$1,803,423	$0
Medical Supplies	$3,826,249	$3,826,249	$0	$0
Equipment Rental/Leases	$1,988,921	$1,728,920	$260,001	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,119,164	TotalAmt
Program Services	$378,543	ProgramServicesAmt
Management And General	$740,621	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$38,410,678	TotalAmt
Program Services	$28,508,072	ProgramServicesAmt
Management And General	$9,902,606	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,184,607	BOYAmt
EOY	$2,297,627	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$17,030	BOYAmt
EOY	$17,042	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$12,254,049	BOYAmt
EOY	$6,184,345	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,307,803	BOYAmt
EOY	$3,125,489	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

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	$705,405	BOYAmt
EOY	$823,750	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$245,365	BOYAmt
EOY	$152,483	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$53,259,949	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,195,921	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$25,189,938	BOYAmt
EOY	$52,064,028	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,854,867	BOYAmt
EOY	$17,324,676	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$50,200,664	BOYAmt
EOY	$87,431,040	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$16,658,653	BOYAmt
EOY	$14,500,251	EOYAmt

Deferred Revenue DeferredRevenueGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$7,486,980	BOYAmt
EOY	$6,563,454	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,524,011	BOYAmt
EOY	$14,325,620	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$25,669,644	BOYAmt
EOY	$35,389,325	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	$24,531,020	BOYAmt
EOY	$50,430,179	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$1,611,536	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$24,531,020	BOYAmt
EOY	$52,041,715	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$50,200,664	BOYAmt
EOY	$87,431,040	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$27,510,695	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	$0	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	$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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 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	$26,332	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$1,400	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	$0	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$0	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	$4,954,313	OtherCostOrOtherBasisAmt
Depreciation	$1,059,864	DepreciationAmt
Book Value	$3,894,449	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$47,233,982	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$47,233,982	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$52,064,028	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
Due from Third Parties	$3,777,383
Right to Use Asset	$11,211,677
Other Misc Assets	$2,335,616

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$17,324,676	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Due to Third Parties	$2,486,999
Legal/Insurance Liabilities	$230,637
Right to Use Liability	$11,570,491
Misc. Liabilities	$37,493

Field	Value	IRS element (for citing)
Total Liability	$14,325,620	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) of the Code. The Hospital and the Foundation have also been classified by the Internal Revenue Service as a corporation that is not a private foundation. HMV is considered a for-profit entity and subject to New York State and Federal Income taxes. As of December 31, 2019 and 2018, 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	$1,117,496	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,084,037	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,459	NetCommunityBenefitExpnsAmt
Total Expense	0.0009	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,319,128	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,181,388	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,137,740	NetCommunityBenefitExpnsAmt
Total Expense	0.0817	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	$9,436,624	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,265,425	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,171,199	NetCommunityBenefitExpnsAmt
Total Expense	0.0826	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$54,279	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$54,279	NetCommunityBenefitExpnsAmt
Total Expense	0.0014	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,852	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$24,852	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$49,269	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$49,269	NetCommunityBenefitExpnsAmt
Total Expense	0.0013	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$128,400	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$128,400	NetCommunityBenefitExpnsAmt
Total Expense	0.0033	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$9,565,024	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,265,425	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,299,599	NetCommunityBenefitExpnsAmt
Total Expense	0.0859	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$764,774	BadDebtExpenseAmt
Bad Debt Expense Attributable	$124	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$6,163,255	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$6,729,554	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$566,299	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	411 Canisteo Street	AddressLine1Txt
City	Hornell	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14843	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.urmc.rochester.edu/st-james	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 FROMLOCAL 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 HEATH 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 ALCOHOL AND SUSTANCE ABUSE SERVICES/MENTAL HEALTH, STEUBEN COUNTY PUBLIC HEALTH, STEUBEN RURAL HEALTH NETWORK, STTAC
Schedule H, Part V, Section B, Line 7a-St James Hospital	https://www.urmc.rochester.edu/MediaLibraries/URMCMedia/st-james/images/Steuben-CHA-and-CHIP-2019-2021.pdf
Schedule H, Part V, Section B, Line 7b-St James Hospital	https://www.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.aspx
Schedule H, Part V, Section B, Line 11-St James Hospital	PRIORITY: PREVENT CHRONIC DISEASES - FOCUS AREA - TOBACCO PREVENTION - INTERVENTION - ASSIST MEDICAL AND BEHAVIORAL HEALTH CARE ORGANIZATIONS AND PROVIDER GROUPS IN ESTABLISHING POLICIES, PROCEDURES, AND WORKFLOWS TO FACILITATE THE DELIVERY OF TOBACCO DEPENDENCE TREATMENT, CONSISTENT WITH THE PUBLIC HEALTH SERVICE CLINICAL PRACTICE GUIDELINES, COMMUNITY HEALTH CENTERS AND BEHAVIORAL HEALTH PROVIDERS: ST. JAMES HOSPITAL AND ST JAMES PRIMARY CARE ASSESS PATIENTS FOR TOBACCO USE AND PROVIDE TOBACCO CESSATION EDUCATION AND ALSO REFER PATIENTS TO NY QUITS IF PATIENT IS AGREEABLE. TREATMENT OPTIONS ARE DISCUSSED AND OFFERED TO PATIENT. FOCUS AREA 2 - PREVENT MENTAL & SUBSTANCE USE DISORDERS - INTERVENTION - BUILD SUPPORT SYSTEMS TO CARE FOR OPIOD USERS OR AT RISK OF AN OVERDOES. ST. JAMES HOSPITAL IS LINKING ED PROVIDERS WITH I-STOP. SJH IS WORKING WITH CASA TRINITY TO IDENTIFY PATIENTS WITH SUSBSTANCE ABUSE CONCERNS WHETHER NEW OR CHRONIC. SJH REACHES OUT TO CASA'S CASE WORKER WHO COMES DIRECTLY ON-SITE AT THE HOSPITAL TO GET THEM LINKED WITH THEIR PROGRAM (EITHER INPATIENT OR OUTPATIENT). IF THE PATIENT IS IN WITHDRAWAL AT THE TIME OF ARRIVAL TO SJH, THEY ARE ADMITTED AND PROVIDED CARE TO SAFELY GET THROUGH THE ACTUE DETOX/WITHDRWAWL 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 PSCYHIATRIST TO IDENTIFY THE NEED FOR INPATIENT TREATMENT 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 (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7	The cost-to-charge ratio is used for Lines 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 ASC 606, current year implicit price concessions are treated as a contra-revenue item on the statement of revenue.
Schedule H, Part III, Section A, Line 4	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 concession (Bad Debt Expense) footnote can be found on page 8 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 are not expected to pay under this policy. A separate charity care policy is in place and would be exhausted before a patient balance would be deemed Self=pay. Under the charity care policy, charity care/financial assistance is provided to a patient with a demonstrated inability to pay. A patient is eligible for charity care/financial assistance consideration based upon meeting certain income eligibility criteria as established by the federal poverty income guideline sliding scale. Per NYS PHL 2807K, this considers patients whose household income in up to 300% of the most recent federal poverty guidelines. All uninsured, low-income patients within St. James Hospital's primary service area who can demonstrate an inability to pay charge may apply for charity care/financial assistance for 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 types 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 or 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, (Steuben County), New York, and includes the towns of Wayland to the northeast and Troupsburg to the southeast (just outside of the 15-miles 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 to 90,990 and is projected to remain flat throughout 2014. The population aged 65 and over comprises 16% of the primary service area compared to 13% for New York State. The population is racially and ethnically homogenous with 95.3% white, 1.6% black, 1.4% Hispanic/Latino, and 1.2% Asian. Persons over the age of 65 represent 15.6% of the county, 2percentage points higher than the state. Median household income is $42,764 compared to $54,554 for the state. Approximately 20% of the county population have a bachelor's degree or higher compared to 32% 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 SCP 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 kid's day at the Maple City kid's quarter miler. This event is directed to parents and community youth and includes a pediatric health fair and a longstanding 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 a 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 Tier, Smart Steuben, Steuben prevention coalition and other non-profit organizations whose primary mission is to assess and address community needs. St. James Hospital welcomes community organizations to utilize space for meetings, programs and activities that are deem supportive to the health of the community, this includes support groups, drier safety programs and blood drives.
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. URMC 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. - THE UNIVERSITY'S HEALTH CARE DELIVERY NETWORK IS ANCHORED BY STRONG MEMORIAL HOSPITAL, AN 838 BED TEACHING HOSPITAL, WHICH INCLUDES A CHILDREN'S HOSPITAL-GOLISANO CHILDREN'S HOSPITAL. PATIENTS BENEFIT FROM THE MEDICAL CENTER'S ROBUST TEACHING AND BIOMEDICAL RESEARCH PROGRAMS. STUDENT ROSTERS INCLUDE APPROXIMATELY 400 MEDICAL STUDENTS, 500 GRADUATE STUDENTS, AND 890 RESIDENTS AND FELLOWS WHO ARE ENGAGED IN COMMUNITY SERVICE THROUGHOUT THEIR EDUCATION. - EASTMAN INSTITUTE FOR ORAL HEALTH PROVIDES COMMUNITY DENTAL CARE IN A NUMBER OF CLINICS, AS WELL AS CLINICAL EDUCATION TO DENTAL STUDENTS ENROLLED AT THE UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY. IT OFFERS GENERAL DENTISTRY, PEDIATRIC AND ORTHODONTIC CLINICS, AND AN URGENT CARE DENTAL CLINIC THAT SEES 10 - 50 PATIENTS PER DAY. IT OPERATES LOW-INCOME CLINICS AT SCHOOLS AND A DOWNTOWN LOCATION. ADDITIONALLY, FOUR SMILEMOBILES PROVIDE A DENTAL OFFICE ON WHEELS, ALLOWING THE CITY'S CHILDREN INCREASED ACCESS TO MUCH NEEDED DENTAL CARE. - THE JAMES P. WILMOT CANCER CENTER IS ORGANIZED AROUND A MULTIDISCIPLINARY CARE MODEL, WHICH LEADING CANCER EXPERTS BELIEVE IS THE GOLD STANDARD IN CANCER CARE IN THE 21ST CENTURY. ITS MODEL UNDERSCORES A COMMITMENT TO PROVIDE PATIENTS IN THE ROCHESTER AREA WITH THE MOST UP-TO-DATE INFORMATION AND AVAILABLE TREATMENTS, BASING OUR RECOMMENDATIONS ON THE BEST EVIDENCE. IT IS THE ONLY CENTER IN THE ROCHESTER AND FINGER LAKES REGION OFFERING THIS TEAM APPROACH TO CARE. A VARIETY OF FREE PREVENTIVE EDUCATION EVENTS ARE HELD THROUGHOUT THE YEAR, INCLUDING MEN'S HEALTH DAY, WHICH INCLUDES NUMEROUS FREE HEALTH SCREENINGS; FREE SKIN CANCER SCREENINGS; AND BREAST CANCER SCREENINGS FOR THE UNINSURED AND UNDERINSURED. - GOLISANO CHILDREN'S HOSPITAL, HOUSED IN STRONG MEMORIAL HOSPITAL, IS A 124-BED CHILDREN'S HOSPITAL THAT SERVES AS THE REFERRAL CENTER FOR ALL SERIOUSLY ILL OR INJURED CHILDREN FROM THE 17-COUNTY FINGER LAKES REGION. IT COMBINES AWARD-WINNING RESEARCH, INTERNATIONALLY ACCLAIMED EDUCATION AND COMPASSIONATE CARE TO SERVE CHILDREN AND FAMILIES. PEDIATRIC SPECIALTIES INCLUDE ORTHOPAEDICS, NEUROLOGY/NEUROSURGERY, CANCER AND NEONATAL CARE. IN ADDITION TO THESE TRADITIONAL MEDICAL SERVICES, GOLISANO CHILDREN'S HOSPITAL IS THE NATION'S MODEL FOR "COMMUNITY PEDIATRICS", A PHILOSOPHY THAT EMBRACES THE IDEA THAT A CHILD'S COMMUNITY AND ENVIRONMENT AFFECT HIS HEALTH AND, THEREFORE, HE CANNOT BE TREATED SOLELY IN AN EXAM ROOM. THE HOSPITAL ENCOURAGES PHYSICIANS AND STAFF TO PARTNER WITH COMMUNTIY ORGANIZAITONS TO IMPROVE VACCINATION RATES, EDUCATIONAL OPPORTUNITIES, SAFETY AT HOME AND ON PLAYGROUNDS, AND HEALTH INSURANCE AND HEALTH CARE ACCESS. - THE STRONG WEST CAMPUS, WHICH IS LOCATED APPROXIMATELY 20 MILES WEST OF ROCHESTER IN BROCKPORT, NY WAS ACQUIRED BY THE UNIVERSITY IN 2013. IT IS THE SITE OF THE FORMER 61 BED LAKESIDE MEMORIAL HOSPITAL, WHICH ANNOUNCED IT WAS CLOSING IN APRIL, 2013, LEAVING THE COMMUNITY WITHOUT AN EMERGENCY ROOM AND LOCAL ACCESS TO OTHER HEALTH CARE SERVICES. STRONG MEMORIAL HOSPITAL NOW OPERATES A FREE-STANDING EMERGENCY ROOM ON THE STRONG WEST CAMPUS, IN ADDITION TO OFFERING AMBULATORY SURGERY, HEALTH IMAGING, LABORATORY SERVICES, PRIMARY CARE, ORTHOPAEDICS, CARDIAC CARE, ONCOLOGY AND HEMATOLOGY, SLEEP MEDICINE, NEUROLOGY, AND UROLOGY SERVICES. THE UNIVERSITY'S WHOLLY OWNED HEALTH CARE AFFILIATES ARE: STRONG PARTNERS HEALTH SYSTEM, INC. AND AFFILIATES IN JUNE 1997, HIGHLAND HOSPITAL AND ITS AFFILIATES AND THE UNIVERSITY BECAME AFFILIATED THROUGH THE RESTRUCTURING OF A CORPORATION NOW KNOWN AS STRONG PARTNERS HEALTH SYSTEM, INC. ("SPHS"), OF WHICH THE UNIVERSITY IS THE SOLE MEMBER. SPHS, A NOT-FOR-PROFIT CORPORATION, NOW SERVES AS THE CORPORATE PARENT OF HIGHLAND HOSPITAL AND THE UNIVERSITY'S LONG TERM CARE AFFILIATES. A BRIEF DESCRIPTION OF THE SPHS AFFILIATES FOLLOWS: HIGHLAND HOSPITAL OF ROCHESTER IS A 261-BED NOT-FOR-PROFIT ACUTE CARE HOSPITAL LOCATED IN ROCHESTER, NEW YORK. THE HOSPITAL'S SERVICES INCLUDE MEDICAL/SURGICAL CARE, INTENSIVE CARE, MATERNITY AND EMERGENCY CARE. IN ADDITION, THE HOSPITAL OWNS AND OPERATES 21 OUTPATIENT EXTENSION CLINICS, PROVIDING PRIMARY CARE, PRENATAL CARE, RADIOLOGY, AND/OR THERAPEUTIC RADIOLOGY SERVICES. HIGHLAND COMMUNITY DEVELOPMENT CORPORATION HIGHLAND COMMUNITY DEVELOPMENT CORPORATION ("HCDC") IS A NOT-FOR-PROFIT CORPORATION WHICH OWNS AND OPERATES THE HIGHLANDS AT PITTSFORD, A RETIREMENT COMMUNITY LOCATED IN PITTSFORD, MONROE COUNTY, NEW YORK. THE RETIREMENT COMMUNITY INCLUDES 130 INDEPENDENT LIVING APARTMENTS, 36 INDEPENDENT LIVING COTTAGES, 60 ENRICHED HOUSING UNITS, A COMMUNITY COMMON AREA, A DINING ROOM, SITTING AREAS, RECREATIONAL AREAS, A WELLNESS CENTER, AND A COMMUNITY CENTER. HCDC ALSO OWNS AND OPERATES LAURELWOOD AT THE HIGHLANDS, AN ASSISTED LIVING FACILITY INCLUDING 68 APARTMENTS LOCATED ON THE SAME CAMPUS AS THE HIGHLANDS AT PITTSFORD. THE HIGHLANDS LIVING CENTER, INC. THE HIGHLANDS LIVING CENTER, INC. IS A NOT-FOR-PROFIT CORPORATION WHICH OWNS AND OPERATES A 122-BED SKILLED NURSING FACILITY AND AN ADULT DAY CARE HEALTH PROGRAM FOR SENIORS IN PITTSFORD, MONROE COUNTY, NEW YORK. THE SKILLED NURSING FACILITY IS ADJACENT TO THE HIGHLANDS AT PITTSFORD. THE HIGHLANDS AT BRIGHT ONTHE MEADOWS AT WESTFALL, INC. D/B/A/ THE HIGHLANDS AT BRIGHTON ("HAB") IS A NOT-FOR-PROFIT CORPORATION WHICH OWNS AND OPERATES A 145-BED SKILLED NURSING FACILITY IN BRIGHTON, MONROE COUNTY, NEW YORK. HIGHLAND FACILITIES DEVELOPMENT CORPORATION HIGHLAND FACILITIES DEVELOPMENT CORPORATION ("HFDC") IS A NOT-FOR-PROFIT CORPORATION WHOSE PRIMARY PURPOSE IS TO PROVIDE SERVICES THAT ARE SUBSTANTIALLY RELATED TO THE CHARITABLE PURPOSES OF HIGHLAND HOSPITAL BUT DO NOT INVOLVE THE PROVISION OF HEALTH CARE SERVICES. HFDC OWNS AND OPERATES A MEDICAL OFFICE BUILDING AND A PARKING GARAGE ON THE HOSPITAL CAMPUS. MEDICAL ADMINISTRATIVE ASSOCIATES, INC. HIGHLAND HOSPITAL IS THE SOLE SHAREHOLDER OF MEDICAL ADMINISTRATIVE ASSOCIATES, INC., D/B/A HIGHLAND SOUTH WEDGE PHARMACY, WHICH IS A FOR-PROFIT CORPORATION WHICH OWNS AND OPERATES A RETAIL PHARMACY IN ROCHESTER, NEW YORK. THE HIGHLAND FOUNDATION, INC. THE HIGHLAND FOUNDATION, INC. IS A NOT-FOR-PROFIT CORPORATION CONTROLLED BY HIGHLAND HOSPITAL WHICH SOLICITS, RECEIVES AND MAINTAINS FUNDS FOR THE SUPPORT OF HIGHLAND HOSPITAL AND THE LONG TERM CARE AFFILIATES. STRONG HOME CARE GROUP AND AFFILIATES THE UNIVERSITY AFFILIATED WITH VISITING NURSE FOUNDATION, INC. IN APRIL 1999, WHICH IS A NOT-FOR-PROFIT CORPORATION NOW KNOWN AS STRONG HOME CARE GROUP ("SHCG"). THE UNIVERSITY IS THE SOLE CORPORATE MEMBER OF SHCG. SHCG SERVES AS THE CORPORATE PARENT OF THE UNIVERSITY'S HOME HEALTH CARE AFFILIATES. SHCG IS THE CORPORATE PARENT OF TWO NOT-FOR-PROFIT HOME HEALTH CARE PROVIDERS, UR MEDICINE HOME CARE, CERTIFIED SERVICES, INC. ("CERTIFIED SERVICES") (FORMERLY NAMED VISITING NURSE SERVICE OF ROCHESTER AND MONROE COUNTY, INC.), WHICH OPERATES A LICENSED HOME CARE SERVICES AGENCY.
Schedule H, Part VI, Line 7	New York -- Schedule H Part VI - Line 6 Continued:IN OCTOBER 2014, FINGER LAKES VISITING NURSE SERVICE, INC., WHICH OPERATES A NOT-FOR-PROFIT CERTIFIED HOME HEALTH AGENCY AND A HOSPICE, AND FINGERLAKES HOME CARE, INC., WHICH OPERATES A NOT-FOR-PROFIT LICENSED HOME CARE SERVICES AGENCY, BECAME UNIVERSITY AFFILIATES. CERTIFIED SERVICES IS THE SOLE CORPORATE MEMBER OF THE FINGER LAKES HOME HEALTH AFFILIATES. CERTIFIED SERVICES AND FINGER LAKES VISITING NURSE SERVICE, INC. ARE IN THE FINAL STAGES OF A CORPORATE MERGER. IN 2018, SHCG FORMED TWO NEW WHOLLY CONTROLLED, NOT-FOR-PROFIT SUBSIDIARIES: UR MEDICINE HOME CARE, COMMUNITY SERVICES, INC., WHICH OPERATES CERTAIN COMMUNITY-BASED PROGRAMS THAT PROVIDE HOME-BASED SERVICES THAT ARE NOT REGULATED BY THE DEPARTMENT OF HEALTH OR SUBJECT TO THE MEDICARE CONDITIONS OF PARTICIPATION, INCLUDING PROGRAMS SUCH AS MEALS ON WHEELS, WHICH WAS FORMERLY OPERATED BY CERTIFIED SERVICES; AND UR MEDICINE HOME CARE FOUNDATION, INC., WHICH SOLICITS, RECEIVES AND MAINTAINS FUNDS FOR THE SUPPORT AND BENEFIT OF THE HOME CARE AFFILIATES. F.F. THOMPSON HEALTH SYSTEM, INC. AND AFFILIATES IN SEPTEMBER 2012, THE UNIVERSITY AFFILIATED WITH F.F. THOMPSON HEALTH SYSTEM, INC. ("FFTHS"), WHICH IS THE CORPORATE PARENT OF A HOSPITAL ANDOTHER AFFILIATES LOCATED IN CANANDAIGUA, ONTARIO COUNTY, NEW YORK. THE UNIVERSITY IS THE SOLE MEMBER OF FFTHS. A BRIEF DESCRIPTION OF THE FFTHS AFFILIATES FOLLOWS: THE FREDERICK FERRIS THOMPSON HOSPITAL THE FREDERICK FERRIS THOMPSON HOSPITAL IS A 113-BED NOT-FOR-PROFIT ACUTE CARE HOSPITAL. ITS SERVICES INCLUDE MEDICAL/SURGICAL CARE, INTENSIVE CARE, MATERNITY AND EMERGENCY CARE. IN ADDITION, THE HOSPITAL OWNS AND OPERATES 10 EXTENSION CLINICS, 9 OF WHICH PROVIDE PRIMARY HEALTH CARE SERVICE AND 1 OF WHICH PROVIDES OUTPATIENT PHYSICAL AND OCCUPATIONAL THERAPY. M.M. EWING CONTINUING CARE CENTER M.M. EWING CONTINUING CARE CENTER INC. IS A NOT-FOR-PROFIT CORPORATION THAT OPERATES A 188-BED SKILLED NURSING FACILITY AND ADULT DAY CARE PROGRAM ADJACENT TO F.F. THOMPSON HOSPITAL. F.F.T. SENIOR COMMUNITIES, INC. F.F.T. SENIOR COMMUNITIES, INC. IS A NOT-FOR-PROFIT CORPORATION THAT OPERATES FERRIS HILLS AT WESTLAKE, A RESIDENTIAL COMMUNITY CONSISTING OF 84 INDEPENDENT LIVING UNITS AND CLARK MEADOWS, CONSISTING OF 48 ENRICHED LIVING UNITS. THE F.F. THOMPSON FOUNDATION, INC. THE F.F. THOMPSON FOUNDATION, INC. IS A NOT-FOR-PROFIT CORPORATION WHICH SOLICITS, RECEIVES AND MAINTAINS FUNDS FOR THE SUPPORT AND BENEFIT OF FFTHS AND ITS AFFILIATES. FFTH PROPERTIES AND SERVICES, INC. (PROPERTIES) FFTH PROPERTIES AND SERVICES, INC. IS A FOR-PROFIT NEW YORK STATE BUSINESS CORPORATION ORGANIZED FOR THE PURPOSE OF OWNING, DEVELOPING AND OPERATING UNREGULATED REAL PROPERTY FOR THE BENEFIT OF FFTHS AND ITS AFFILIATES. PROPERTIES OWNS AND OPERATES A MEDICAL OFFICE BUILDING IN CANANDAIGUA, NEW YORK AND A MEDICAL OFFICE BUILDING IN THE TOWN OF FARMINGTON, NEW YORK. FINGER LAKES COMMUNITY CARE NETWORK, INC. (FLCCN) FINGER LAKES COMMUNITY CARE NETWORK, INC. IS A FOR-PROFIT NEW YORK STATE BUSINESS CORPORATION ORIGINALLY ORGANIZED FOR THE PURPOSE OF COORDINATING SERVICES AMONG THE HOSPITAL, PARTICIPATING PHYSICIANS AND INSURANCE INDUSTRY REPRESENTATIVES. FLCCN IS CURRENTLY INACTIVE. FFTHS MANAGEMENT IS REVIEWING THE CORPORATE STRUCTURE, FUNCTION AND FUTURE OF THE CORPORATION. ACCOUNTABLE HEALTH PARTNERS, LLC ("AHP") AND ACCOUNTABLE HEALTH PARTNERS - IPA, LLC ACCOUNTABLE HEALTH PARTNERS, LLC ("AHP") AND ACCOUNTABLE HEALTH PARTNERS - IPA, LLC IS A NETWORK OF PHYSICIANS EMPLOYED BY THE UNIVERSITY AND ITS AFFILIATED HOSPITALS, COMMUNITY BASED PHYSICIANS, AND OTHER AFFILIATED HOSPITALS THAT ARE CLINICALLY INTEGRATED AND NEGOTIATE REIMBURSEMENT CONTRACTS WITH LOCAL PAYERS AND SELF-INSURED BUSINESSES. THE UNIVERSITY, THROUGH STRONG MEMORIAL HOSPITAL, OWNS 25% OF AHP, WITH THE BALANCE OWNED BY OTHER HOSPITALS, UNIVERSITY-EMPLOYED PHYSICIANS, AFFILIATED HOSPITAL-EMPLOYED PHYSICIANS, AND COMMUNITY PHYSICIANS. AHP INSURANCE COMPANY AHP INSURANCE COMPANY IS A VERMONT BUSINESS CORPORATION THAT WAS FORMED BY AHP IN NOVEMBER 2016 TO ENGAGE IN THE BUSINESS OF INSURING AND REINSURING VARIOUS TYPES OF RISK AND IN PARTICULAR TO SERVE AS A CAPTIVE INSURANCE COMPANY FOR AHP, BY ESTABLISHING A RESERVE FUND TO PROTECT THE ORGANIZATION AGAINST POTENTIAL FUTURE LOSSES FROM DOWNSIDE RISK TAKEN ON ITS VALUE BASED CONTRACTS. AHP INSURANCE COMPANY IS WHOLLY OWNED BY AHP. LIVINGSTON HEALTH CARE SYSTEM, INC. ON JANUARY 1, 2016, THE UNIVERSITY BECAME THE SOLE CORPORATE MEMBER OF LIVINGSTON HEALTH CARE SYSTEM, INC. ("LHCS"), WHICH IS THE CORPORATE PARENT OF A HOSPITAL AND OTHER AFFILIATES LOCATED IN DANSVILLE, LIVINGSTON COUNTY, NEW YORK. A BRIEF DESCRIPTION OF THE LHCS AFFILIATES FOLLOWS: NOYES H. NOYES MEMORIAL HOSPITAL, INC. ("NOYES MEMORIAL HOSPITAL") NOYES MEMORIAL HOSPITAL IS A 67-BED NOT-FOR-PROFIT ACUTE CARE HOSPITALLOCATED IN DANSVILLE, NEW YORK. ITS SERVICES INCLUDE MEDICAL/SURGICAL CARE, INTENSIVE CARE, MATERNITY, AND EMERGENCY CARE. IN ADDITION, NOYES MEMORIAL HOSPITAL OPERATES AN AMBULATORY SURGERY AND MULTISPECIALTY EXTENSION CLINIC, AND 3 OTHER EXTENSION CLINICS PROVIDING MENTAL HEALTH, DIALYSIS AND PRIMARY CARE SERVICES, RESPECTIVELY. RED JACKET CENTER, INC. RED JACKET CENTER, INC. IS A NEW YORK STATE NOT-FOR-PROFIT CORPORATION ORGANIZED FOR THE PURPOSE OF OWNING, OPERATING AND MAINTAINING OFFICE BUILDINGS TO ATTRACT DOCTORS TO THE RURAL AREA OF DANSVILLE NEW YORK AND THE COUNTIES OF LIVINGSTON, STEUBEN AND ALLEGANY. RED JACKET CENTER, INC. OWNS AND OPERATES A MEDICAL OFFICE BUILDING IN GENESEO, NEW YORK THAT LEASES SPACE TO NOYES MEMORIAL HOSPITAL AND PRIVATE PHYSICIANS. THE FOUNDATION FOR NOYES MEMORIAL HEALTH SYSTEM, INC. THE FOUNDATION FOR NOYES MEMORIAL HEALTH SYSTEM, INC. IS A NOT-FOR-PROFIT CORPORATION WHICH SOLICITS, RECEIVES, AND MAINTAINS FUNDS FOR THE SUPPORT AND BENEFIT OF LCHS AND ITS NOT-FOR-PROFIT, TAX EXEMPT AFFILIATES. THE MEMORIAL HOSPITAL OF WILLIAM F. AND GERTRUDE F. JONES, INC. ON JANUARY 1, 2016, THE UNIVERSITY BECAME THE SOLE CORPORATE MEMBER OF THE MEMORIAL HOSPITAL OF WILLIAM F. AND GERTRUDE F. JONES, INC. (JONES MEMORIAL HOSPITAL), WHICH IS LOCATED IN WELLSVILLE, ALLEGANY COUNTY, NEW YORK. JONES MEMORIAL HOSPITAL IS A 70-BED NOT-FOR-PROFIT ACUTE CARE HOSPITAL LOCATED IN WELLSVILLE, NY. THE HOSPITAL'S SERVICES INCLUDE MEDICAL/SURGICAL CARE, INTENSIVE CARE, MATERNITY AND PEDIATRIC CARE. IN ADDITION, JONES MEMORIAL HOSPITAL OPERATES SIX EXTENSION CLINICS, PROVIDING PRIMARY CARE, PRENATAL CARE, AND/OR PEDIATRIC CARE. JONES MEDICAL SERVICES, P.C. IS A CAPTIVE PROFESSIONAL CORPORATION OF JONES MEMORIAL HOSPITAL THAT EMPLOYS PHYSICIANS AND ADVANCED PRACTICE PROVIDERS WHO ARE CONTRACTED TO THE HOSPITAL TO PROVIDE MEDICAL SERVICES IN THE WELLSVILLE, NEW YORK COMMUNITY. JONES MEMORIAL HOSPITAL IS THE SOLE MEMBER OF JONES MEMORIAL HOSPITAL FOUNDATION, A NOT-FOR-PROFIT CORPORATION THAT WAS FORMED IN AUGUST 2016AND SOLICITS, RECEIVES, AND MAINTAINS FUNDS FOR THE SUPPORT AND BENEFIT OF JONES MEMORIAL HOSPITAL AND ITS NOT-FOR-PROFIT, TAX EXEMPT AFFILIATES.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
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 (11 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
Aileen Shinaman
Board Member	$0	$291,012	$0	$0	$0	$19,250	$0	$26,067	$0	$74,458	$0	$410,787	$0	$0
Steve 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
Bryan O'Donovan
President/CEO	$217,257	$0	$0	$0	$0	$0	$0	$0	$8,550	$0	$225,807	$0	$0	$0
John Robshaw
Physician	$427,557	$0	$0	$0	$48,077	$0	$0	$0	$24,121	$0	$499,755	$0	$0	$0
M Tariq Randhawa
Physician	$308,925	$0	$0	$0	$113,276	$0	$0	$0	$5,907	$0	$428,108	$0	$0	$0
Kevin Wentworth
Physician Assistant	$287,402	$0	$0	$0	$3,000	$0	$0	$0	$24,914	$0	$315,316	$0	$0	$0
Giacomo Floria
Chief Advanced Practice Provider	$214,768	$0	$0	$0	$16,673	$0	$0	$0	$14,347	$0	$245,788	$0	$0	$0
Kevin Briceland
Physician Assistant	$173,448	$0	$18,333	$0	$213	$0	$0	$0	$7,412	$0	$199,406	$0	$0	$0
James Helms
CFP/ VP of Finance	$0	$147,984	$0	$0	$0	$0	$0	$0	$0	$10,751	$0	$158,735	$0	$0
Michael Kamali MD
Board Member	$0	$621,632	$0	$18,819	$0	$2,527	$0	$39,754	$0	$26,984	$0	$709,716	$0	$0
Ismail Mehr MD
Board Member	$472,640	$0	$0	$0	$0	$0	$0	$0	$0	$0	$472,640	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule J, Part I, Line 4	FormAndLineReferenceDesc
Explanation	THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED EMPLOYER PAID AMOUNTS THAT ARE INCLUDED IN DEFERRED COMPENSATION STEVEN GOLDSTEIN SERP PLAN 159,400 STEVEN GOLDSTEIN 457(f) PLAN 300,000 MICHAEL KAMALI, MD SERP PLAN 12,900	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 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 serve, particularly addressing the needs of the poor, underserved and disadvantaged.
Form 990, Part III (Cont. 1)	See the mission description above for Part I, line 1
Form 990, Part VI, Section A, Line 6	The sole member of St. James Hospital is the University of Rochester (UR). As such, UR has the authority to elect the governing body of St. James Hospital, and certain decisions of St. James Hospital are subject to the approval of UR. Such decisions include amendment of the certificate of incorporation and bylaws and approval of extraordinary corporate actions such as merger or dissolution.
Form 990, Part VI, Section A, Line 7a	Refer to Schedule O, Membership Information Form 990 Part VI, 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 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 an y discussion or decision in any are of the convict 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. This was done with Board members on December 4, 2018.
Form 990, Part VI, Section B, Line 15	The board has an independent committee review and approval all elements of remuneration for all disqualified parties, as well as other key management. The board/committee has an established compensation philosophy which details the objectives of market positioning and pay elements. The committee reviews market data, comparative market compensation data, approves any salary adjustments for the executive population, considers both reasonableness and effectiveness of all remunerative programs and establishes the detailed performance expectations . All of these discussions and decisions are documented through the provision of meeting minutes.
Form 990, Part VI, Section C, Line 19	St. James Hospital's Form 1023 and Form 990 are available on request. St. James Hospital's governing documents, conflict of interest policy and audited financial statements are not routinely made available to the public.
Form 990, Part IX, Line 7	St. James Hospital contracts with an outside company to employee it's staff. The hospital reimburses all payroll and benefits to the contracted company, but reports the salaries and benefits as such on it's financial statements and in the functional expenses. The contracted company actually pays the employees directly and issues their W-2s and pays employment taxes. The Salaries reported on this line are the salary cost for these employees. The company is ER Select LLC - Tax ID 27-3654825 - the W-2s and payroll taxes would be submitted under their ID number.
Form 990, Part IX, Line 9	St. James Hospital contracts with an outside company to employee it's staff. The hospital reimburses all payroll and benefits to the contracted company, but reports the salaries and benefits as such on it's financial statements and in the functional expenses. The contracted company actually pays the employees directly and issues their W-2s and pays employment taxes. The other employee benefits reported on this line are all of the expenses for benefits and taxes paid to the contracted company.

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	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	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		$900,628	$13,890,053	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 (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ST JAMES FOUNDATION INC
o	$66,864	Actual Salary Expense
HORNELL MEDICAL VILLAGE LLC
j	$614,443	Lease of medical office space