NICHOLAS H NOYES MEMORIAL HOSPITAL: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- NICHOLAS H NOYES MEMORIAL HOSPITAL (EIN 16-0743979)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-16
- IRS object ID
- 202013219349303056
- Schema version
- 2019v5.1
- 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 C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-16T08:28:13-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161131146 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BONADIO & CO LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 432 NORTH FRANKLIN STREET | AddressLine1Txt |
| City | SYRACUSE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 160743979 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NICHOLAS H NOYES MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NICH | BusinessNameControlTxt |
| Phone | 5853356001 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 CLARA BARTON STREET | AddressLine1Txt |
| City | DANSVILLE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14437 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK PRUNOSKE | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 5853356001 | PhoneNum |
| Signature | 2020-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TIMOTHY HAMMOND | PreparerPersonNm |
| PTIN | P01224809 | PTIN |
| Phone | 3154227109 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 71.176.70.217 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-11-15 | IPDt |
| IP Tm | 12:54:39 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 9B9B2C04414E8A8A7B0B000B564D82BBD9A17CFF | AtSubmissionFilingDeviceId |
| 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) |
|---|---|---|
| Principal Officer | AMY POLLARD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 CLARA BARTON STREET | AddressLine1Txt |
| City | DANSVILLE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14437 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $61,490,114 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTPS://WWW.URMC.ROCHESTER.EDU/NOYES.ASPX | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1927 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | NICHOLAS H NOYES MEMORIAL HOSPITAL IS A 67 BED HOSPITAL WHICH PROVIDES ACUTE, SUB-ACUTE EMERGECNY AND OTHER OUTPATIENT CARE AND WHOSE MISSION IS TO SUPPORT AND PROMOTE THE HEALTH OF OUR COMMUNITIES THROUGH COMPASSIONATE QUALITY CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 683 | TotalEmployeeCnt |
| Total Volunteers | 90 | TotalVolunteersCnt |
| Total Gross UBI | $23,510 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $754,622 | PYContributionsGrantsAmt |
| CY Contributions Grants | $840,894 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $57,626,845 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $58,232,720 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,217,154 | PYInvestmentIncomeAmt |
| CY Investment Income | $150,529 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,205,635 | PYOtherRevenueAmt |
| CY Other Revenue | $1,278,708 | CYOtherRevenueAmt |
| PY Total Revenue | $61,804,256 | PYTotalRevenueAmt |
| CY Total Revenue | $60,502,851 | 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 | $32,863,935 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $34,814,235 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $47,178 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $26,653,786 | PYOtherExpensesAmt |
| CY Other Expenses | $27,013,483 | CYOtherExpensesAmt |
| PY Total Expenses | $59,517,721 | PYTotalExpensesAmt |
| CY Total Expenses | $61,827,718 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,286,535 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,324,867 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $58,838,287 | TotalAssetsBOYAmt |
| Total Assets EOY | $59,430,555 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $20,276,487 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $20,391,898 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $38,561,800 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $39,038,657 | NetAssetsOrFundBalancesEOYAmt |
| Mission | NICHOLAS H. NOYES MEMORIAL HOSPITAL SUPPORTS AND PROMOTES THE HEALTH OF OUR COMMUNITIES THROUGH COMPASSIONATE QUALITY CARE | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $47,754,096 | ExpenseAmt |
| Revenue | $59,045,805 | RevenueAmt |
| Desc | NICHOLAS H. NOYES MEMORIAL HOSPITAL IS A 67 BED HOSPITAL WHICH PROVIDES ACUTE, SUB-ACUTE, EMERGENCY, AND OUTPATIENT CARE. | Desc |
| Total Program Service Expenses | $47,754,096 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 | 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 | Yes (1) | 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 | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| 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 | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | 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 | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 86 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 683 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| 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 | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 | 0 | 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 | RHEA DEICHMAN | PersonNm |
| Phone | 5853356001 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 CLARA BARTON STREET | AddressLine1Txt |
| City | DANSVILLE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14437 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| JAMES CULBERTSON | |||||||||
| CHAIRPERSON | 10.00 | 10.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DOMENICK MARTELLO | |||||||||
| FIRST VICE CHAIRPERSON | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RICHARD RIZZIERI | |||||||||
| SECOND VICE CHAIRPERSON | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MARK LYONS | |||||||||
| TREASURER | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MARILYN M MOORE | |||||||||
| SECRETARY | 5.00 | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GRAHAM FRAZER SR | |||||||||
| IMMEDIATE PAST CHAIRPERSON | 5.00 | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL A JOHNSEN | |||||||||
| COMMUNITY DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOAN FLENDER MD | |||||||||
| COMMUNITY DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LINDSAY QUINTILONE | |||||||||
| COMMUNITY DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BERNARD SWEENEY MD | |||||||||
| COMMUNITY DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MATT COLE | |||||||||
| COMMUNITY DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN LOCKHART | |||||||||
| COMMUNITY DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LESLIE L COLE JR | |||||||||
| COMMUNITY DIRECTOR | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| AMY POLLARD | |||||||||
| PRESIDENT/CHIEF EXECUTIVE | 47.00 | 3.00 | Yes (X) | Yes (X) | $191,224 | $0 | $11,003 | ||
| GEOFFERY WITTIG MD | |||||||||
| PRESIDENT, MEDICAL STAFF | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| AHSEN SHEIKH MD | |||||||||
| PRESIDENT-ELECT, MEDICAL S | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| STEVEN GOLDSTEIN | |||||||||
| UR DIRECTOR | 2.00 | 71.00 | Yes (X) | $0 | $1,232,162 | $505,762 | |||
| ROBERT MCCANN MD | |||||||||
| UR DIRECTOR | 2.00 | 60.00 | Yes (X) | $0 | $610,788 | $65,990 | |||
| MARK TAUBMAN MD | |||||||||
| UR DIRECTOR | 2.00 | 75.00 | Yes (X) | $0 | $1,584,714 | $176,558 | |||
| JAY MASLYN | |||||||||
| CHIEF FINANCIAL OFFICER | 38.00 | 2.00 | Yes (X) | $143,098 | $0 | $8,957 | |||
| DOUGLAS MAYHLE MD | |||||||||
| MEDICAL DIRECTOR | 40.00 | $401,464 | $0 | $11,003 | Yes (X) | ||||
| ROBERT CAPECCI MD | |||||||||
| PHYSICIAN-ORTHOPEDIST | 40.00 | $620,476 | $0 | $11,682 | Yes (X) | ||||
| BRIAN FORESMAN MD | |||||||||
| GENERAL SURGEON | 40.00 | $572,976 | $0 | $16,259 | Yes (X) | ||||
| KEVIN O'KEEFE MD | |||||||||
| ORTHOPEDIST | 40.00 | $592,925 | $0 | $16,259 | Yes (X) | ||||
| ALBERTO N VELASCO MD | |||||||||
| ANESTHESIOLOGIST | 40.00 | $359,709 | $0 | $13,365 | Yes (X) | ||||
| SVETLANA V YUDINA MD | |||||||||
| GENERAL SURGEON | 40.00 | $454,364 | $0 | $14,080 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,336,236 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,427,664 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $850,918 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 36 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ARUP LABORATORIES | |||||
| PO BOX 27964 | SALT LAKE CITY | UT | 84127 | LAB TESTING | $585,769 |
| DANELI ASSOCIATES LLC | |||||
| 3901 BEECHWOOD ROAD | UNIVERSITY PARK | MD | 20782 | CONTRACTED PHYSICIAN | $473,685 |
| SLEEP INSIGHTS MANAGEMENT SERVICES | |||||
| 775 JEFFERSON ROAD | ROCHESTER | NY | 14623 | CONTRACTED SERVICE | $394,573 |
| MEDICOR INTERNAL MEDICINE PLLC | |||||
| 50 EAST SOUTH STREET SUITE 600 | GENESEO | NY | 14454 | CONTRACTED PHYSICIAN | $348,000 |
| SHIFA MEDICAL PLLC | |||||
| PO BOX 57 | DANSVILLE | NY | 14437 | CONTRACTED PHYSICIAN | $320,400 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 21 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $5,000 | FundraisingAmt |
| Government Grants | $734,464 | GovernmentGrantsAmt |
| All Other Contributions | $101,430 | AllOtherContributionsAmt |
| Total Contributions | $840,894 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $58,232,720 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $58,232,720 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $58,232,720 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $84,700 | TotalRevenueColumnAmt |
| Exclusion | $84,700 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $162,236 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $162,236 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $162,236 | TotalRevenueColumnAmt |
| Exclusion | $162,236 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $981,816 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $915,154 | SecuritiesAmt |
| Other | $833 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $66,662 | SecuritiesAmt |
| Other | -$833 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $65,829 | TotalRevenueColumnAmt |
| Exclusion | $65,829 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $18,878 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $5,000 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $6,201 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,677 | TotalRevenueColumnAmt |
| Exclusion | $12,677 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $142,892 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $65,075 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $77,817 | TotalRevenueColumnAmt |
| Exclusion | $77,817 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 541380 | BusinessCd |
| Total Revenue Column | $1,025,978 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $813,085 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $23,510 | UnrelatedBusinessRevenueAmt |
| Exclusion | $189,383 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,025,978 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $60,502,851 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $59,045,805 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $23,510 | UnrelatedBusinessRevenueAmt |
| Exclusion | $592,642 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $766,749 | TotalAmt |
| Program Services | $274,578 | ProgramServicesAmt |
| Management And General | $492,171 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,885,141 | TotalAmt |
| Program Services | $22,403,487 | ProgramServicesAmt |
| Management And General | $6,441,005 | ManagementAndGeneralAmt |
| Fundraising | $40,649 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $230,000 | TotalAmt |
| Program Services | $175,720 | ProgramServicesAmt |
| Management And General | $54,280 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,932,209 | TotalAmt |
| Program Services | $2,240,208 | ProgramServicesAmt |
| Management And General | $692,001 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,000,136 | TotalAmt |
| Program Services | $1,528,104 | ProgramServicesAmt |
| Management And General | $472,032 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,062 | TotalAmt |
| Management And General | $5,062 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,764 | TotalAmt |
| Management And General | $68,764 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,705,911 | TotalAmt |
| Program Services | $7,983,901 | ProgramServicesAmt |
| Management And General | $717,210 | ManagementAndGeneralAmt |
| Fundraising | $4,800 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,975 | TotalAmt |
| Program Services | $26,769 | ProgramServicesAmt |
| Management And General | $74,206 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,841,935 | TotalAmt |
| Program Services | $1,358,076 | ProgramServicesAmt |
| Management And General | $1,483,804 | ManagementAndGeneralAmt |
| Fundraising | $55 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,372 | TotalAmt |
| Program Services | $84,927 | ProgramServicesAmt |
| Management And General | $68,813 | ManagementAndGeneralAmt |
| Fundraising | $632 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,684,160 | TotalAmt |
| Program Services | $482,209 | ProgramServicesAmt |
| Management And General | $1,201,951 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,250 | TotalAmt |
| Program Services | $17,177 | ProgramServicesAmt |
| Management And General | $17,901 | ManagementAndGeneralAmt |
| Fundraising | $172 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,784 | TotalAmt |
| Program Services | $53,572 | ProgramServicesAmt |
| Management And General | $13,212 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,665,949 | TotalAmt |
| Program Services | $1,961,039 | ProgramServicesAmt |
| Management And General | $704,910 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $262,388 | TotalAmt |
| Program Services | $162,011 | ProgramServicesAmt |
| Management And General | $100,377 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $8,221,380 | $8,221,380 | ||
| REPAIRS AND MAINTENANCE | $1,993,707 | $635,916 | $1,357,791 | |
| OTHER EXPENSES | $206,846 | $145,022 | $60,954 | $870 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,827,718 | TotalAmt |
| Program Services | $47,754,096 | ProgramServicesAmt |
| Management And General | $14,026,444 | ManagementAndGeneralAmt |
| Fundraising | $47,178 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,137 | BOYAmt |
| EOY | $4,672 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,318,673 | BOYAmt |
| EOY | $3,040,043 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,679 | BOYAmt |
| EOY | $22,428 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,664,904 | BOYAmt |
| EOY | $7,187,356 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,606 | BOYAmt |
| EOY | $66,168 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,363,821 | BOYAmt |
| EOY | $1,379,801 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,436,317 | BOYAmt |
| EOY | $993,807 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $67,890,154 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $45,775,012 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,882,716 | BOYAmt |
| EOY | $22,115,142 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,543,182 | BOYAmt |
| EOY | $2,855,457 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,145,308 | BOYAmt |
| EOY | $2,410,292 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $145,000 | BOYAmt |
| EOY | $145,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,208,944 | BOYAmt |
| EOY | $19,210,389 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,838,287 | BOYAmt |
| EOY | $59,430,555 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,335,127 | BOYAmt |
| EOY | $6,868,037 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,681,395 | BOYAmt |
| EOY | $4,380,481 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,794,617 | BOYAmt |
| EOY | $1,825,049 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,465,348 | BOYAmt |
| EOY | $7,318,331 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,276,487 | BOYAmt |
| EOY | $20,391,898 | 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 | $36,690,330 | BOYAmt |
| EOY | $37,307,044 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,871,470 | BOYAmt |
| EOY | $1,731,613 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,561,800 | BOYAmt |
| EOY | $39,038,657 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,838,287 | BOYAmt |
| EOY | $59,430,555 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,324,867 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $821,625 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $980,099 | 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $2,687 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $2,687 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | AS A MEMBER OF AMERICAN HOSPITAL ASSOCIATION, INC., HEALTHCARE ASSOCIATION OF NEW YORK STATE, INC., AND PANDION SOURCING NATIONAL LLC, A PORTION OF MEMBERSHIP DUES REPRESENT AMOUNTS DESIGNATED FOR LOBBYING ACTIVITIES. THESE ASSOCIATION ORGANIZATIONS, OF WHICH THE HOSPITAL IS A MEMBER, PERFORM DIRECT LOBBYING AND ADVOCACY ACTIVITIES ON BEHALF OF THEIR MEMBERS. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,857,148 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $366,078 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $15,679 | AdministrativeExpensesAmt |
| End Year Balance | $2,207,547 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,943,489 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$71,195 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $15,146 | AdministrativeExpensesAmt |
| End Year Balance | $1,857,148 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,901,682 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $56,551 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $14,626 | AdministrativeExpensesAmt |
| End Year Balance | $1,943,489 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,794,736 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $106,946 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,901,682 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,808,503 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$1,728 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $12,039 | AdministrativeExpensesAmt |
| End Year Balance | $794,736 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.69640 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.30360 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $372,690 | OtherCostOrOtherBasisAmt |
| Book Value | $372,690 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $30,983,134 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,011,430 | DepreciationAmt |
| Book Value | $13,971,704 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $33,503,400 | OtherCostOrOtherBasisAmt |
| Depreciation | $27,667,999 | DepreciationAmt |
| Book Value | $5,835,401 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,030,930 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,095,583 | DepreciationAmt |
| Book Value | $1,935,347 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $22,115,142 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM RELATED PARTIES | $3,262,378 |
| BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION | $15,174,014 |
| RIGHT OF USE ASSET | $773,997 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $19,210,389 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED THIRD PARTY PAYOR SETTLEMENTS | $1,989,564 |
| ACCRUED PENSION LIABILITY | $3,222,298 |
| ASSET RETIREMENT OBLIGATION | $585,236 |
| OTHER LIABILITIES | $747,236 |
| OPERATING LEASE LIABILITY | $773,997 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,318,331 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | INDIGENT CARE OF LIVINGSTON COUNTY RESIDENTS AND FUTURE CAPITAL PURCHASES. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF TOURNAMENT | Event1Nm |
| Gross Receipts Event1 | $22,007 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $5,000 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $17,007 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $1,908 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $2,862 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $463 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $22,007 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $5,000 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $17,007 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $1,908 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $2,862 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $463 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $5,233 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $11,774 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 12850 | PersonsServedCnt |
| Total Community Benefit Expns | $1,427,585 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,427,585 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02310 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 42419 | PersonsServedCnt |
| Total Community Benefit Expns | $10,065,937 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,752,282 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,313,655 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02120 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 6341 | PersonsServedCnt |
| Total Community Benefit Expns | $1,619,230 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,303,437 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $315,793 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00510 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 61610 | PersonsServedCnt |
| Total Community Benefit Expns | $13,112,752 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,055,719 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,057,033 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04940 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 17 | ActivitiesOrProgramsCnt |
| Persons Served | 261321 | PersonsServedCnt |
| Total Community Benefit Expns | $66,660 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,960 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $64,700 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 140 | PersonsServedCnt |
| Total Community Benefit Expns | $123,348 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $123,348 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00200 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 70391 | PersonsServedCnt |
| Total Community Benefit Expns | $21,495,418 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,869,496 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,625,922 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05860 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 29 | ActivitiesOrProgramsCnt |
| Persons Served | 331852 | PersonsServedCnt |
| Total Community Benefit Expns | $21,685,426 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,871,456 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,813,970 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06160 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 29 | ActivitiesOrProgramsCnt |
| Persons Served | 393462 | PersonsServedCnt |
| Total Community Benefit Expns | $34,798,178 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $27,927,175 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,871,003 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11100 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 179 | PersonsServedCnt |
| Total Community Benefit Expns | $7,846 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $873 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,973 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 65478 | PersonsServedCnt |
| Total Community Benefit Expns | $27,066 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $27,066 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 65657 | PersonsServedCnt |
| Total Community Benefit Expns | $34,912 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $873 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $34,039 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,092,076 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $8,980,823 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $8,503,941 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $476,882 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| 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 | NICHOLAS H NOYES MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 CLARA BARTON STREET | AddressLine1Txt |
| City | DANSVILLE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14437 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTPS://WWW.URMC.ROCHESTER.EDU/NOYES.A | 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 | NICHOLAS H NOYES MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | 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 | HTTP://WWW.NOYES-HEALTH.ORG/COMMUNITY-SERVICES/COMMUNITY-SERVICE-PLANS | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | HTTP://WWW.CO.LIVINGSTON.STATE.NY.US/617/COUNTY-HEALTH-DATA | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| 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 | HTTP://WWW.NOYES-HEALTH.ORG/COMMUNITY-SERVICES/COMMUNITY-SERVICE-PLANS | StrategyWebsiteURLTxt |
| 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 | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | 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 |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.URMC.ROCHESTER.EDU/NOYES/ABOUT/FINANCIAL-ASSISTANCE.ASPX | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.URMC.ROCHESTER.EDU/NOYES/ABOUT/FINANCIAL-ASSISTANCE.ASPX | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.URMC.ROCHESTER.EDU/NOYES/ABOUT/FINANCIAL-ASSISTANCE.ASPX | 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 |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| 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 (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| NICHOLAS H. NOYES MEMORIAL HOSPITAL | PART V, SECTION B, LINE 5: COMMON GROUND HEALTH REGIONAL CHA/CHIP: DEVELOPMENT OF THE 2019-2021 COMMUNITY HEALTH ASSESSMENT, COMMUNITY SERVICE PLANS AND COMMUNITY HEALTH IMPROVEMENT PLANS WAS A JOINT PROCESS, WHICH BEGAN IN THE SUMMER OF 2018. WHILE SUBMISSION OF THE REGIONAL COMMUNITY HEALTH ASSESSMENT WAS ON BEHALF OF THE EIGHT COUNTIES, EACH HEALTH DEPARTMENT MANAGED THEIR OWN COUNTY'S PRIORITIZATION AND PLANNING MEETINGS WITH ASSISTANCE FROM THE S2AY RURAL HEALTH NETWORK, COMMON GROUND HEALTH AND THE GENESEE VALLEY HEALTH PARTNERSHIP. REGIONAL CHECK-INS OCCURRED ON A MONTHLY BASIS.LIVINGSTON COUNTY CHA/CHIP/CSP: SELECTION OF THE 2019-2021 COMMUNITY HEALTH ASSESSMENT (CHA), COMMUNITY SERVICE PLAN (CSP) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PRIORITY AND DISPARITY AREAS WAS A JOINT PROCESS WHICH BEGAN IN THE SUMMER OF 2018 WITH ASSISTANCE FROM THE GENESEE VALLEY HEALTH PARTNERSHIP AND COMMON GROUND HEALTH. A VARIETY OF PARTNERS WERE ENGAGED THROUGHOUT THE PROCESS INCLUDING THE PUBLIC HEALTH DEPARTMENT AND NOYES HOSPITAL STAFF, COMMUNITY BASED ORGANIZATIONS (CBOS), OFFICE FOR AGING, SKILLED NURSING FACILITY, CASA, COUNTY GOVERNMENT EMPLOYEES, THE GENESEE VALLEY HEALTH PARTNERSHIP, COMMON GROUND HEALTH, COMMUNITY MEMBERS AND MORE. THE COMMUNITY AT LARGE WAS ENGAGED THROUGHOUT THE ASSESSMENT PERIOD VIA A REGIONAL HEALTH SURVEY IN 2018 (MY HEALTH STORY 2018) AND FOCUS GROUPS. PARTNERS' ROLE IN THE ASSESSMENT WERE TO HELP INFORM AND SELECT THE 2019-2021 PRIORITY AREAS BY SHARING ANY PERTINENT DATA OR CONCERNS AND ACTIVELY PARTICIPATING IN PLANNING MEETINGS.ON JUNE 11, 2019, THE HEALTH DEPARTMENT AND UR MEDICINE|NOYES HEALTH ENGAGED KEY STAKEHOLDERS ON THE CHA LEADERSHIP TEAM IN A PRIORITIZATION MEETING FACILITATED BY COMMON GROUND HEALTH. KEY PARTNERS AND COMMUNITY MEMBERS WERE INVITED TO ATTEND THE PRIORITIZATION MEETINGS, INCLUDING ALL THOSE WHO ATTENDED PRIOR FOCUS GROUPS. SOCIAL MEDIA PLATFORMS, E-MAIL, NEWS MEDIA AND NEWSLETTERS WERE UTILIZED TO HELP STIMULATE PARTICIPATION. COMMON GROUND HEALTH PROVIDED GROUP MEMBERS COPIES OF COUNTY SPECIFIC PRE-READ DOCUMENTS IN ADVANCE OF THE MEETINGS. THE DOCUMENTS INCLUDED INFORMATION ON CURRENT PRIORITY AREAS AND PROGRESS MADE TO DATE, AS WELL AS A MIX OF UPDATED QUANTITATIVE, QUALITATIVE, PRIMARY AND SECONDARY DATA ON EACH OF THE FIVE PRIORITY AREAS OUTLINED IN THE NEW YORK STATE PREVENTION AGENDA. DATA WERE COLLECTED FROM A VARIETY OF DIFFERENT SOURCES INCLUDING, BUT NOT LIMITED TO THE AMERICAN COMMUNITY SURVEY, THE ENHANCED BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, COUNTY RANKINGS AND ROADMAPS, VITAL STATISTICS, COMMUNICABLE DISEASE AND DENTAL REPORTS, PRIMARY DATA COLLECTED FROM THE MY HEALTH STORY 2018 SURVEY AND LOCAL DATA SOURCES SUCH AS LIVINGSTON COUNTY'S PREVENTION NEEDS ASSESSMENT. A COPY OF THE PRE-READ DOCUMENT, PRIORITIZATION MEETING MATERIALS AND MEETING ATTENDEES ARE AVAILABLE UPON REQUEST.USING THE ABOVE REFERENCED DATA AND GROUP DISCUSSIONS, PARTICIPANTS UTILIZED HANLON AND PEARL METHODS TO RANK A LIST OF GROUP IDENTIFIED PRIORITIES. TO ADDRESS THE PREVIOUSLY MENTIONED PRIORITIES AND DISPARITIES, THE HEALTH DEPARTMENT FACILITATED A CHIP PLANNING MEETING WHERE PARTNERS DISCUSSED OPPORTUNITIES TO LEVERAGE EXISTING WORK. EXISTING WORK EFFORTS WERE THEN COMPARED TO INTERVENTION OPTIONS (PRIMARILY SELECTED FROM THE NEW YORK STATE PREVENTION AGENDA REFRESH CHART) AND WERE INFORMALLY VOTED ON AND SELECTED.IN ADDITION, THE ONGOING COLLABORATIVE PROCESS FOR UPDATING AND REVISING THE ASSESSMENT, INCLUDING NEW INFORMATION ON DATA, WILL OCCUR DURING THE ANNUAL STATE OF THE COUNTY HEALTH REPORT 2019 UPDATE PRESENTATION AND DURING GVHP MEMBERSHIP MEETINGS AND SUBCOMMITTEE MEETINGS, SUCH AS: THE SUICIDE PREVENTION TASK FORCE AND BE WELL MEETINGS. THESE COMMITTEES ARE COMPRISED OF DIVERSE COMMUNITY SECTORS INCLUDING COMMUNITY MEMBERS. RECRUITMENT OF NEW MEMBERS OCCURS ON PARTNERS' WEBSITES AND SOCIAL MEDIA. THE GVHP BOARD REVIEWS ANNUAL MEMBERSHIP TO IDENTIFY GAPS IN MEMBERSHIP BASED ON CURRENT HEALTH PRIORITIES.THE LIVINGSTON COUNTY HEALTH DEPARTMENT, IN PARTNERSHIP WITH UR MEDICINE|NOYES HEALTH, HAS SELECTED THE FOLLOWING PRIORITY AREAS AND DISPARITY FOR THE 2019-2021 ASSESSMENT AND PLANNING PERIOD:COUNTY PRIORITY AREAS & DISPARITY LIVINGSTON COUNTY PREVENT CHRONIC DISEASE 1. HEALTHY EATING AND FOOD SECURITY 2. PHYSICAL ACTIVITY 3. CHRONIC DISEASE PREVENTATIVE CARE AND MANAGEMENT PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS 4. PROMOTE WELL-BEING 5. MENTAL AND SUBSTANCE USE DISORDERS PREVENTION DISPARITY: LOW SOCIOECONOMIC STATUS AND OLDER ADULTS |
| NICHOLAS H. NOYES MEMORIAL HOSPITAL | PART V, SECTION B, LINE 6B: LEAD CHA/CHIP AGENCIES:1. LIVINGSTON COUNTY DEPARTMENT OF HEALTH 2. UR MEDICINE | NOYES HEALTH3. GENESEE VALLEY HEALTH PARTNERSHIP: RURAL HEALTH NETWORK LIVINGSTON COUNTY 4. COMMON GROUND HEALTH EIGHT-COUNTY REGIONAL REPORT FOR CHEMUNG, LIVINGSTON, ONTARIO, SCHUYLER, SENECA, STEUBEN, WAYNE AND YATES COUNTIESLIST OF LIVINGSTON COUNTY PRIORITIZATION AGENCIES LIVINGSTON COUNTY PUBLIC HEALTH UR MEDICINE |NOYES HEALTH COMMON GROUND HEALTH EXCELLUS BLUE CROSS BLUE SHIELD ARC OF LIVINGSTON AND WAYNE LCCNR HEALTH AND WELLNESS TRI-COUNTY FAMILY MEDICINE OFFICE FOR AGING VETS GENESEE VALLEY HEALTH PARTNERSHIP NOYES MENTAL HEALTH AND WELLNESS LIVINGSTON COUNTY MENTAL HEALTH CASA/TRINITY LIVINGSTON COUNTY PLANNING DEPARTMENT CANCER SERVICES UR CENTER FOR COMMUNITY HEALTH AND PREVENTION LIVINGSTON COUNTY SHERRIFF DEPARTMENT COMMUNITY MEMBER |
| NICHOLAS H. NOYES MEMORIAL HOSPITAL | PART V, SECTION B, LINE 7D: BESIDES CHA/CHIP/CSP'S PREVIOUSLY LISTED WEBSITE POSTINGS, THE 2019-21 CHA/CHIP UPDATE WAS ALSO SHARED WITH THE FOLLOWING COMMUNITY ORGANIZATIONS, BOARDS, AND COALITIONS: SHARED WITH ALL APPROPRIATE LOCAL PR OUTLETS IN THE FORM OF A PRESS/MEDIA RELEASE CHA/CHIP/CSP UPDATE PRESENTATIONS WERE PROVIDED TO: CONTINUUM OF CARE COALITION, GENESEE VALLEY HEALTH PARTNERSHIP MEMBERSHIP, UR MEDICINE | NOYES HEALTH BOARD, UR MEDICINE|NOYES HEALTH MANAGEMENT TEAM, AND LIV CO CHA/CHIP LEADERSHIP COMMITTEE. 2019-21 CHA/CHIP UPDATE WAS ALSO SCHEDULED FOR APRIL'S ANNUAL LIVINGSTON COUNTY - STATE OF THE COUNTY HEALTH REPORT PRESENTATION, BUT HAD TO BE CANCELLED DUE TO COVID. UR MEDICINE|NOYES HEALTH: 2019 ANNUAL REPORT WILL INCLUDE CHA/CHIP UPDATE INFORMATION 2019-21 CHA/CHIP UPDATE WA SHARED IN NOYES HEALTH EMPLOYEE NEWSLETTER, THE PULSE, Q1 2020 ISSUE |
| NICHOLAS H. NOYES MEMORIAL HOSPITAL | PART V, SECTION B, LINE 11: THE FOLLOWING INITIATIVES ARE PROVIDED BY NOYES HEALTH AS PART OF CURRENT CHA/CHIP PRIORITIES: PREVENT CHRONIC DISEASE: OBESITY PREVENTION PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE SAFE COMMUNITIES: FALL PREVENTION PREVENT CHRONIC DISEASE LIVING HEALTHY NY CLASSES: NOYES HEALTH PROVIDES UP TO FOUR 6-WEEK CERTIFIED CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS THROUGHOUT SERVICE AREA FREE OF CHARGE TO EDUCATE PARTICIPANTS TO SUCCESSFULLY MANAGE THEIR CRHONIC DISEASE AND/OR CHRONIC PAIN. NOYES DIABETES EDUCATION PROGRAM: NOYES HEALTH MAINTAINS A CERTIFIED AADE DIABETES EDUCATION PROGRAM IN OUR RURAL REGION TO PROVIDE INDIVIDUAL AND GROUP DIABETES EDUCATION SERVICES. SERVICES INCLUDE: INDIVIDUAL AND GROUP COUNSELING, INSULIN PUMP STARTS AND UPGRADES, CONTINUOUS GLUCOSE MONITOR SCREENINGS, ANNUAL DIABETES HEALTH FAIR, FREE DIABETES EDUCATION SUPPORT GROUP, AND NOYES CDE OVERSEES COUNTYWIDE DIABETES COALITION. BE WELL IN LIVINGSTON: NOYES HEALTH AND THE LIVINGSTON COUNTY DEPARTMENT OF HEALTH, WITH GRANT SUPPORT FROM THE GENESEE VALLEY HEALTH PARTNERSHIP, HAVE CO-LEAD THIS COMMUNITY HEALTH IMPROVEMENT COMMITTEE SINCE INCEPTION IN 2017.GOAL: TO REDUCE OBESITY IN CHILDREN AND ADULTS BY IMPLEMENTING POLICY, SYSTEM AND ENVIRONMENTAL CHANGESOUR MISSION: SUPPORT SUSTAINABLE HEALTHY LIFESTYLE CHOICES WITHIN COMMUNITIES THROUGH POLICY, SYSTEM AND ENVIRONMENTAL CHANGES UTILIZING LOCAL RESOURCES.OUR VISION: BE WELL IN LIVINGSTON WILL SUPPORT LOCAL COMMUNITIES WITH OPPORTUNITIES TO PROMOTE HEALTHY LIVING.COMMITTEE OVERSEES AND SUPPORTS COMMUNITY EFFORTS TO EAT BETTER, MOVE MORE AND STRESS LESS., UTILIZING LOCAL RESOURCES. ASSESSMENTS ARE COMPLETED (SCHOOL, WORKSITE, LOCAL GOVERNMENT, SERVICE GROUPS, CHURCHES), DATA ANALYZED AND PRIORITIES IDENTIFIED BY LOCAL BE WELL COMMITTEE. THE COUNTYWIDE BE WELL COMMITTEE ASSISTS WITH MEETING MANAGEMENT, RESOURCES, COMMUNICATIONS AND EVENT SUPPORT. MODEL DEVELOPED WITH FIRST RURAL TOWN BASED ON HEALTH DATA AND NEEDS IN 2018. MODEL THEN EXPANDED TO SECOND TOWN IN Q4 2019, BUT MOST WORK ON HOLD SINCE MARCH 2020 DUE TO COVID. NOYES HEALTH DESIGNATED STROKE CENTERTHE STAFF AT NOYES HEALTH ARE COMMITTED TO PROVIDING QUALITY STROKE CARE TO EVERY PATIENT. OUR PROVIDERS AND NURSING STAFF ARE TRAINED IN EARLY STROKE CARE AND WORK HARD EVERY DAY TO PROVIDE THE BEST POSSIBLE OUTCOME FOR OUR PATIENTS. TIME IS THE MOST IMPORTANT FACTOR WHEN SOMEONE IS POSSIBLY SUFFERING A STROKE AND OUR TEAM IS READY TO BEAT THAT CLOCK. BEING A DESIGNATED STROKE CENTER MEANS THAT OUR TEAM HAS WORKED HARD TO MEET THE STRINGENT STANDARDS SET BY NEW YORK STATE FOR STROKE CARE AND WILL CONTINUE EFFORTS TO ONLY IMPROVE OUR PROGRAM. OUR TEAM IS FURTHER ADVANCED THROUGH OUR AFFILIATION WITH THE UNIVERSITY OF ROCHESTER MEDICAL CENTER THAT ALLOWS OUR EMERGENCY PROVIDERS TO CONNECT WITH A TEAM OF INTERVENTIONAL STROKE NEUROLOGISTS 24/7. THIS BRINGS THE SPECIALIZED RESOURCES OF UR MEDICINE, A COMPREHENSIVE STROKE CENTER, TO THE RESIDENTS OF THIS RURAL COMMUNITY AND SURROUNDING COMMUNITIES.PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE DISORDERS ACCESS TO CARE: NOYES MENTAL HEALTH AND WELLNESS CLINIC CONTINUED TO EXPAND TO MEET INCREASING NEEDS FOR COUNSELING AND THERAPEUTIC INTERVENTIONS IN THE REGION. EVERY DAY, THE MENTAL HEALTH AND WELLNESS STAFF COLLABORATE WITH PATIENTS, THEIR FAMILIES, AND COUNTY AGENCIES TO SUPPORT WELLNESS AND RECOVERY, AND TO MAKE A PROFOUND DIFFERENCE IN THE LIVES OF AREA RESIDENTS THOSE STRUGGLING WITH LIFE'S EVERYDAY CHALLENGES, AS WELL AS THOSE WITH SEVERE AND PERSISTENT MENTAL ILLNESS. IN 2019, CLINIC VISITS GREW 12% - FROM 20K TO 22.5K VISITS. OVER 500 PEOPLE UTILIZED THE DANSVILLE CLINIC'S WALK-IN CRISIS OPTION, THAT WAS EXPANDED TO 8A 4:30P MON THRU FRI TO HELP PATIENTS IN CRISIS AND/OR WITH ACCESS ISSUES. STAFFING LEVELS ALSO INCREASED TO MEET THE DEMAND, AND NOW INCLUDE ONE FULL-TIME CHILD PSYCHIATRIST, THREE FULL-TIME NURSE PRACTITIONERS, AND 24 THERAPISTS.TWO NEW SATELLITE OFFICES WERE ADDED TO PROVIDE MENTAL HEALTH SERVICES IN 2019: MAY CENTER (BOCES) IN MT MORRIS AND CANASERAGA CENTRAL SCHOOL. LAND WAS ALSO PURCHASED TO START CONSTRUCTION IN 2020 OF A NEW NOYES MENTAL HEALTH AND WELLNESS CLINIC IN AVON (NORTHERN PART OF COUNTY), TO COMPLEMENT THEIR BASE OFFICE LOCATION IN DANSVILLE (SOUTHERN PART OF COUNTY). MOBILE CRISIS RESPONSE TEAM (DSRIP PROJECT): NOYES COLLABORATED WITH CASA TRINITY, UR MEDICINE, LOCAL FIRST RESPONDERS AND THE LIVINGSTON COUNTY MENTAL HEALTH DEPARTMENT TO CREATE THE 24/7 MOBILE CRISIS RESPONSE TEAM. THE PROGRAM IS A MULTI-AGENCY EFFORT TO PREVENT POTENTIAL INCARCERATION OF PERSONS FACING WHAT APPEARS TO BE A MENTAL HEALTH CRISIS, AND TO DECREASE THE NEED FOR EMERGENCY HOSPITAL ADMISSION OR INPATIENT PSYCHIATRIC SERVICES. IN 2019 (Y2 OF PROJECT), LAW ENFORCEMENT OFFICERS ASSESSED CALLS FOR BEHAVIORAL HEALTH ISSUES, AND, IF NECESSARY, CONTACTED THE MOBILE CRISIS COUNSELOR ON-CALL. THE COUNSELOR RESPONDED TO SCENE, IMMEDIATELY ASSESSED THE SITUATION AND DETERMINED A PLAN OF ACTION. IN 2019, OVER 100 REFERRALS AND 100 HOSPITAL DIVERSIONS WERE DONE IN LIVINGSTON COUNTY, RESULTING IN PATIENTS RECEIVING APPROPRIATE CARE OUTSIDE THE HOSPITAL OR JAIL SETTING. UNFORTUNATELY, FUNDING FOR THIS PROJECT IS SCHEDULED TO END IN 2020. MONITOR/SECURE/DISPOSE PROGRAM: LIKE MANY AREAS OF THE COUNTRY, LIVINGSTON COUNTY HAS SEEN AN INCREASE IN LEVELS OF OPIATE ABUSE AND ADDICTION. MANY DRUG ADDICTIONS BEGIN WITH PRESCRIPTION DRUG ABUSE, THEREFORE IN RESPONSE TO THIS NEED, ONE OF THE COUNTY'S PRIORITIES IS TO RESTRICT AVAILABILITY AND TO MONITOR, SECURE, AND SAFELY DISPOSE OF PRESCRIPTION DRUGS. TO DATE, MED DROP BOXES HAVE BEEN INSTALLED IN 7 LOCATIONS THROUGHOUT THE COUNTY WITH OVER 6000 LBS OF UNWANTED MEDS DISPOSED. PROGRAM IS PROVIDED IN PARTNERSHIP WITH CASA TRINITY TO ORDER/INSTALL BOXES PER REGULATIONS AND LIVINGSTON COUNTY SHERIFF PICKS UP/DISPOSES OF UNWANTED MEDS (INCINERATED). MED DROP BOX LOCATION INFO IS AVAILABLE AT ALL NOYES HEALTH SITES TO SHARE WITH PATIENTS/FAMILIES/CAREGIVERS. SUICIDE PREVENTION TASK FORCE: NOYES MENTAL HEALTH STAFF CONTINUE TO BE ACTIVE PARTICIPANTS ON LIVINGSTON COUNTRY'S SUICIDE PREVENTION TASK FORCE. IN 2019, THE TASK FORCE INCREASED COMMUNITY OUTREACH WITH ANTI-STIGMA ADS, BILL BOARDS, BANNERS, SOCIAL MEDIA POSTS, AND OVER 50 PEOPLES ATTENDED THE ANNUAL CANDLELIGHT VIGIL FOR FAMILIES IMPACTED BY SUICIDE. SUICIDE PREVENTION EDUCATION PROVIDED WITH FOCUS ON SCHOOLS AND VETERANS. MONTHLY SUICIDE BEREAVEMENT SUPPORT GROUP IS AVAILABLE TO SUPPORT FAMILIES IMPACTED BY SUICIDE. PROGRAMS AND EFFORTS HAVE HAD POSITIVE IMPACT AS DEMONSTRATED BY COUNTY'S SUICIDE RATE: RANKING HIGHEST IN 8-COUNTY REGION IN 2015-16 AND NOW LOWEST IN 2019.PROMOTE A HEALTHY AND SAFE ENVIRONMENTFALL PREVENTION LIVINGSTON COUNTY FALL PREVENTION TASK FORCE: CO-LEAD BY UR MEDICINE | NOYES HEALTH AND THE LIVINGSTON COUNTY DEPARTMENT OF HEALTH AND OFFICE FOR AGING. THEIR WORK IS TO ADDRESS SAFETY NEEDS OF OUR AGING POPULATION AND IMPLEMENT EVIDENCE-BASED STRATEGIES TO PROMOTE PHYSICAL ACTIVITY OPPORTUNITIES THOUGH ACTIVE DESIGN PROMOTION FOR OLDER ADULTS (TAI CHI, MATTER OF BALANCE, ETC.). HOME SAFE HOME: UR MEDICINE | NOYES HEALTH MANAGES THE LIVINGSTON COUNTY HOME SAFE HOME FALL PREVENTION PROGRAM THROUGH OUTREACH, REFERRAL MANAGEMENT, FUNDING, AND DATA COLLECTION. REFERRALS FOR HOME SAFETY ASSESSMENTS, LIGHT HOME MODIFICATIONS (GRAB BARS, HANDHELD SHOWERS, RAILINGS), AND EDUCATION, ARE COMPLETED BY PROGRAM PARTNER, LIFESPAN OF ROCHESTER. NOYES CO-HOSTS THE ANNUAL LIVINGSTON COUNTY FALL PREVENTION WORKSHOP IN LAKEVILLE DURING SEPTEMBER. THE EVENT IS WELL ATTENDED (50-60 OLDER ADULTS) WHO LEARN ABOUT FALL PREVENTION AND RESOURCES TO ASSIST STAY ACTIVE AND SAFE. CHA COMMUNITY HEALTH SURVEY IN THE FALL OF 2018, UR MEDICINE | NOYES HEALTH WORKED WITH THE LIVINGSTON COUNTY DEPARTMENT OF HEALTH AND COMMON GROUND HEALTH TO BEGIN THE 2019 LIVINGSTON COUNTY COMMUNITY HEALTH ASSESSMENT PROCESS. THE "MY HEALTH STORY 2018" COMMUNITY HEALTH SURVEY WAS COMPLETED IN 2018, WITH ALMOST 500 SURVEYS COMPLETED BY LIVINGSTON COUNTY CONSUMERS AND PROVIDERS. THIS WAS STEP ONE OF A FIVE STEP ASSESSMENT PROCESS COMPLETED IN 2019. |
| PART V, SECTION B, LINE 11: | CANCER SUPPORT SERVICES COALTION (CSS): WITH THE 2017 OPENING OF THE ANN AND CARL MYERS CANCER CENTER IN DANSVILLE, NOYES RECOGNIZED OPPORTUNITIES TO EXPAND SUPPORT SERVICES FOR PATIENTS AND CAREGIVERS ACROSS THE TRI-COUNTY REGION AND BEGAN TO REACH OUT TO REGIONAL CANCER SERVICE SUPPORT PROGRAMS, HEALTH CARE AGENCIES, CANCER SURVIVORS, INDIVIDUALS AND COMMUNITY GROUPS. CANCER SUPPORT SERVICE PROVIDERS AND PARTNERS MEET MONTHLY FOR EDUCATION, INFO SHARING AND PARTNERSHIPS TO GROW OUR RURAL AREA CANCER SUPPORT SERVICES. MEETINGS ARE HELD 6 X'S/YR FOR INFO SHARING AND PROGRAM SPEAKERS, I.E. GILDAS CLUB OF ROCHESTER, CAREGIVER RESOURCE CENTER, 13THIRTY CANCER CONNECT AND PLUTA CANCER CENTER.PARTNERSHIP PROGRAMSNOYES CAREGIVER RESOURCE CENTER: THE CAREGIVER RESOURCE CENTER AT NOYES HOSPITAL PROVIDES CAREGIVER SUPPORT SERVICES IN PARTNERSHIP WITH LIVINGSTON COUNTY OFFICE FOR THE AGING. THE PROGRAM ASSISTS INFORMAL CAREGIVERSSPOUSES, ADULT CHILDREN, OTHER FAMILY MEMBERS, FRIENDS, AND NEIGHBORSIN THEIR EFFORTS TO CARE FOR PERSONS WHO NEED HELP WITH EVERYDAY TASKS. THIS CRUCIAL ASSISTANCE ALLOWS THESE PERSONS WITH CHRONIC ILLNESSES OR DISABILITIES TO REMAIN LIVING IN THEIR OWN HOMES THROUGHOUT OUR COMMUNITY.SERVICES INCLUDE INFORMATION & ASSISTANCE, RESPITE CARE (BOTH IN-HOME AND DAY CARE), SUPPORT GROUPS, EDUCATION, MONTHLY CAREGIVER NEWSLETTER, AND COORDINATION OF THE ANNUAL CAREGIVER SYMPOSIUM EVENT. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 4 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - LIVINGSTON HEALTH SERVICES | ||||
| 50 EAST SOUTH STREET | GENESEO | NY | 14454 | OUTPATIENT SURGERY, DIAGNOSTIC, AND URGENT CARE |
| 2 - NOYES MENTAL HEALTH CLINIC | ||||
| 9221 ROBERT HART DRIVE | DANSVILLE | NY | 14437 | MENTAL HEALTH CLINIC |
| 3 - NOYES CNTR FOR KIDNEY DISEASE & DIALYSIS | ||||
| 4616 MELLENIUM DRIVE | GENESEO | NY | 14454 | CHRONIC DIALYSIS CENTER AND NEPHROLOGIST |
| 4 - CREEKSIDE FAMILY MEDICINE | ||||
| 12 NORTH CHURCH STREET | CANASERAGA | NY | 14822 | PRIMARY CARE PHYSICIAN OFFICE |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART II, COMMUNITY BUILDING ACTIVITIES: | COALITION BUILDING ACTIVITIES:NOYES CONTINUUM OF CARE COALITION (CCC): THIS 40-AGENCY COALITION MEETS SIX TIMES/YEAR AT NOYES HOSPITAL FOR EDUCATION, AGENCY UPDATES, AND NETWORKING. EDUCATION TOPICS IN 2019 INCLUDED: MOBILE CRISIS SERVICES, MAX (MEDICAID ACCELERATED EXCHANGE SERVICES), LOCAL ADDICTION TREATMENT AND SUPPORT PROGRAMS, LOCAL FAITH BASED SUPPORT AGENCIES, HOSPICE/PALLIATIVE CARE SERVICES, AND VETERAN SERVICES UPDATE.MEMBERS USE THE GROUP EMAIL ADDRESS OF CCC@NOYESHEALTH.ORG TO SHARE AGENCY/PROGRAM INFORMATION IN BETWEEN MEETINGS. HEALTH AND HUMAN SERVICE AGENCY PARTNERSHIPS AND COLLABORATIONS HAVE STRENGTHENED VIA THIS COALITION. |
| PART III, LINE 2: | IMPLICIT PRICE CONCESSIONS IS ESTIMATED BASED ON HISTORICAL COLLECTION RATES, WHICH ARE UPDATED ANNUALLY. |
| PART III, LINE 4: | PAGE 12 IN THE ATTACHED FINANCIAL STATEMENTS CONTAIN THE FOOTNOTE THAT DESCRIBES IMPLICIT PRICE CONCESSIONS. |
| PART III, LINE 8: | THERE IS NO MEDICARE SHORTFALL THEREFORE NONE IS TREATED AS COMMUNITY BENEFIT AND NO COSTING METHODOLOGY IS USED. |
| PART III, LINE 9B: | FINANCIAL ASSISTANCE ELIGIBLE PATIENT BALANCES ARE DISCOUNTED ACCORDING TO THE FINANCIAL ASSISTANCE POLICY AND FEDERAL POVERTY GUIDELINES. PATIENTS WHO DO NOT APPLY FOR FINANCIAL ASSISTANCE AND HAVE NOT PAID BALANCES OWED ON ACCOUNTS HAVE A DETERMINATION OF PRESUMPTIVE ELIGIBILITY SCORE BY AN OUTSIDE VENDOR USING ANALYTICAL SOFTWARE. PATIENTS DEEMED ELIGIBLE BY THIS VENDOR ARE NOT SENT TO AN OUTSIDE COLLECTION AGENCY AND RECEIVE 100% DISCOUNT. |
| PART VI, LINE 2: | NEEDS ASSESSMENTSELECTION OF THE 2019-2021 COMMUNITY HEALTH ASSESSMENT (CHA), COMMUNITY SERVICE PLAN (CSP) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PRIORITY AND DISPARITY AREAS WAS A JOINT PROCESS WHICH BEGAN IN THE SUMMER OF 2018 WITH ASSISTANCE FROM THE GENESEE VALLEY HEALTH PARTNERSHIP AND COMMON GROUND HEALTH. A VARIETY OF PARTNERS WERE ENGAGED THROUGHOUT THE PROCESS INCLUDING THE PUBLIC HEALTH DEPARTMENT AND HOSPITAL STAFF, COMMUNITY BASED ORGANIZATIONS (CBOS), OFFICE FOR AGING, SKILLED NURSING FACILITY, CASA, COUNTY GOVERNMENT EMPLOYEES, THE GENESEE VALLEY HEALTH PARTNERSHIP, COMMON GROUND HEALTH, COMMUNITY MEMBERS AND MORE. THE COMMUNITY AT LARGE WAS ENGAGED THROUGHOUT THE ASSESSMENT PERIOD VIA A REGIONAL HEALTH SURVEY IN 2018 (MY HEALTH STORY 2018) AND FOCUS GROUPS. PARTNERS' ROLE IN THE ASSESSMENT WERE TO HELP INFORM AND SELECT THE 2019-2021 PRIORITY AREAS BY SHARING ANY PERTINENT DATA OR CONCERNS AND ACTIVELY PARTICIPATING IN PLANNING MEETINGS.ON JUNE 11, 2019, THE HEALTH DEPARTMENT AND UR MEDICINE|NOYES HEALTH ENGAGED KEY STAKEHOLDERS ON THE CHA LEADERSHIP TEAM IN A PRIORITIZATION MEETING FACILITATED BY COMMON GROUND HEALTH. KEY PARTNERS AND COMMUNITY MEMBERS WERE INVITED TO ATTEND THE PRIORITIZATION MEETINGS, INCLUDING ALL THOSE WHO ATTENDED PRIOR FOCUS GROUPS. SOCIAL MEDIA PLATFORMS, E-MAIL, NEWS MEDIA AND NEWSLETTERS WERE UTILIZED TO HELP STIMULATE PARTICIPATION. COMMON GROUND HEALTH PROVIDED GROUP MEMBERS COPIES OF COUNTY SPECIFIC PRE-READ DOCUMENTS IN ADVANCE OF THE MEETINGS. THE DOCUMENTS INCLUDED INFORMATION ON CURRENT PRIORITY AREAS AND PROGRESS MADE TO DATE, AS WELL AS A MIX OF UPDATED QUANTITATIVE, QUALITATIVE, PRIMARY AND SECONDARY DATA ON EACH OF THE FIVE PRIORITY AREAS OUTLINED IN THE NEW YORK STATE PREVENTION AGENDA. DATA WERE COLLECTED FROM A VARIETY OF DIFFERENT SOURCES INCLUDING, BUT NOT LIMITED, TO THE AMERICAN COMMUNITY SURVEY, THE ENHANCED BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, COUNTY RANKINGS AND ROADMAPS, VITAL STATISTICS, COMMUNICABLE DISEASE AND DENTAL REPORTS, PRIMARY DATA COLLECTED FROM THE MY HEALTH STORY 2018 SURVEY AND LOCAL DATA SOURCES SUCH AS LIVINGSTON COUNTY'S PREVENTION NEEDS ASSESSMENT. A COPY OF THE PRE-READ DOCUMENT, PRIORITIZATION MEETING MATERIALS AND MEETING ATTENDEES ARE AVAILABLE UPON REQUEST.USING THE ABOVE REFERENCED DATA AND GROUP DISCUSSIONS, PARTICIPANTS UTILIZED HANLON AND PEARL METHODS2 TO RANK A LIST OF GROUP IDENTIFIED PRIORITIES. TO ADDRESS THE PREVIOUSLY MENTIONED PRIORITIES AND DISPARITIES, THE HEALTH DEPARTMENT FACILITATED A CHIP PLANNING MEETING WHERE PARTNERS DISCUSSED OPPORTUNITIES TO LEVERAGE EXISTING WORK. EXISTING WORK EFFORTS WERE THEN COMPARED TO INTERVENTION OPTIONS (PRIMARILY SELECTED FROM THE NEW YORK STATE PREVENTION AGENDA REFRESH CHART) AND WERE INFORMALLY VOTED ON AND SELECTED.IN ADDITION, THE ONGOING COLLABORATIVE PROCESS FOR UPDATING AND REVISING THE ASSESSMENT, INCLUDING NEW INFORMATION ON DATA, WILL OCCUR DURING THE ANNUAL STATE OF THE COUNTY HEALTH REPORT 2019 UPDATE PRESENTATION AND DURING GVHP MEMBERSHIP MEETINGS AND SUBCOMMITTEE MEETINGS SUCH AS THE SUICIDE PREVENTION TASK FORCE AND BE WELL MEETINGS. THESE COMMITTEES ARE COMPRISED OF DIVERSE COMMUNITY SECTORS INCLUDING COMMUNITY MEMBERS. RECRUITMENT OF NEW MEMBERS OCCURS ON PARTNERS' WEBSITES AND SOCIAL MEDIA. THE GVHP BOARD REVIEWS ANNUAL MEMBERSHIP TO IDENTIFY GAPS IN MEMBERSHIP BASED ON CURRENT HEALTH PRIORITIES.THE LIVINGSTON COUNTY HEALTH DEPARTMENT, IN PARTNERSHIP WITH UR MEDICINE|NOYES HEALTH, HAS SELECTED THE FOLLOWING PRIORITY AREAS AND DISPARITY FOR THE 2019-2021 ASSESSMENT AND PLANNING PERIOD:COUNTY PRIORITY AREAS & DISPARITY LIVINGSTON COUNTY PREVENT CHRONIC DISEASE 1. HEALTHY EATING AND FOOD SECURITY 2. PHYSICAL ACTIVITY 3. CHRONIC DISEASE PREVENTATIVE CARE AND MANAGEMENT PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDER1. PROMOTE WELL-BEING 2. MENTAL AND SUBSTANCE USE DISORDERS PREVENTION DISPARITY: LOW SOCIOECONOMIC STATUS AND OLDER ADULTSTHE COMPLETE DETAILED 8-REGION 2019-21 CHA/CHIP REPORT CAN BE FOUND:HTTP://WWW.NOYES-HEALTH.ORG/COMMUNITY-SERVICES/COMMUNITY-SERVICE-PLANS |
| PART VI, LINE 3: | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: FOR 2019, NOYES HEALTH CONTINUED EFFORTS TO COMMUNICATE THE FINANCIAL AID POLICY. EVERY UNINSURED AND UNDERINSURED PATIENT RECEIVED A FINANCIAL AID PACKET CONSISTING OF UR MEDICINE | NOYES HEALTH POLICY FOR FINANCIAL ASSISTANCE SUMMARY AND BROCHURE, A FINANCIAL AID (FA) APPLICATION AND INSTRUCTIONS FOR COMPLETION AS WELL AS FINANCIAL ASSISTANCE FREQUENTLY ASKED QUESTIONS AND A PERMISSION TO CONTACT FORM FROM FIDELIS CARE. WE HAVE A FACILITATED ENROLLER ONSITE WEEKLY FROM FIDELIS, A PRESUMPTIVE ENROLLER FOR PREGNANT WOMEN ATTENDING THE NOYES FIRST STEPS PROGRAM, SOCIAL WORKERS AND A DEDICATED FA BILLING REPRESENTATIVE WHO WORKS SPECIFICALLY WITH ALL UNINSURED PATIENTS BEFORE, DURING AND FOLLOWING ADMISSION/SERVICE/CARE AVAILABLE AS NEEDED. |
| PART VI, LINE 4: | DEMOGRAPHIC AND SOCIOECONOMIC HEALTH INDICATORS:LIVINGSTON COUNTY IS HOME TO CONESUS AND HEMLOCK LAKES AND LETCHWORTH STATE PARK. IT IS LOCATED SOUTH OF MONROE COUNTY AND NORTH OF STEUBEN AND ALLEGANY COUNTIES. THE NORTHERN PORTION OF THE COUNTY'S PROXIMITY TO THE CITY OF ROCHESTER MAKES IT EASILY ACCESSIBLE FOR JOBS FOR THOSE ABLE TO COMMUTE. A TOTAL OF 64,373 PERSONS RESIDE IN THE COUNTY, THE MAJORITY OF WHICH (94%) ARE WHITE NON-HISPANIC. WOMEN OF CHILDBEARING AGE MAKE UP 18% OF THE POPULATION, AND 25.3% OF THE 18+ POPULATION ARE LIVING WITH A DISABILITY.13 2017 ESTIMATES REVEAL 31% OF THE 65+ POPULATION (N=3,188) IS LIVING ALONE. THIS RATE IS UP 19% FROM 2012 WHEN 26% OF THE 65+ POPULATION (N=2,397) WAS LIVING ALONE.A SIGNIFICANT NUMBER - 14.6% - OF LIVINGSTON COUNTY RESIDENTS ARE LIVING BELOW THE FEDERAL POVERTY LEVEL, AND ANOTHER 16% LIVE NEAR IT. THE RATES ARE HIGHER IN COMMUNITIES SUCH AS GENESEO, MOUNT MORRIS AND DANSVILLE. OVER THE PAST 5 YEARS, THERE HAS BEEN A SLIGHT SHIFT IN EDUCATIONAL ATTAINMENT WHERE THERE ARE MORE RESIDENTS AGED 25+ WITH A BACHELOR'S DEGREE OR HIGHER THAN IN YEARS' PAST.DATA BELOW SHOW THE TREND IN UNINSURED RATES OVER THE PAST 5 YEARS, WHICH HAS DECREASED 33% SINCE 2012 IN LIVINGSTON COUNTY. OF NOTE, UNINSURED RATES IN LIVINGSTON COUNTY ARE LOWER THAN BOTH THE EIGHT COUNTY REGION AND NYS AVERAGES.FINALLY, 27% OF LIVINGSTON COUNTY RESIDENTS RENT VS. OWN THEIR HOME. IN ADDITION, 8% OF OCCUPIED HOUSING UNITS HAVE NO VEHICLES AVAILABLE. ANOTHER 32% HAVE ACCESS TO ONE VEHICLE. OF NOTE, THE AVERAGE HOUSEHOLD SIZE FOR OCCUPIED HOUSING IS GREATER THAN TWO PEOPLE. APPROXIMATELY 50% OF RESIDENTS ARE PAYING 35% OR MORE OF THEIR HOUSEHOLD INCOME IN RENT COSTS. |
| PART VI, LINE 5: | PROMOTION OF COMMUNITY HEALTH:NOYES MEDICAL STAFF: IS AN OPEN MEDICAL STAFF AND IS STAFFED WITH DOCTORS WHO STRIVE TO MEET OUR GOAL FOR EXCEPTIONALLY PERSONALIZED PATIENT CARELIKE EVERYONE AT NOYES HEALTH, THE PATIENT IS THE FOCUS. REPRESENTING A WIDE RANGE OF SPECIALTIES AND SUBSPECIALTIES, OUR PHYSICIANS HAVE EXPERTISE AND EXPERIENCE TO PROVIDE YOU WITH THE HIGHEST STANDARD OF CARE, INCLUDING: GENERAL SURGERY, INTERNAL MEDICINE, FAMILY PRACTICE, ORTHOPEDICS, ONCOLOGY, PODIATRY, AND OBSTETRICS. NOYES BOARD OF DIRECTORS: OUR ORGANIZATION IS GOVERNED BY A VOLUNTEER BOARD OF DIRECTORS WHO REPRESENT THE COMMUNITIES OF LIVINGSTON AND SURROUNDING COUNTIES. THE 17 MEMBERS BRING DIVERSE BACKGROUNDS AND TALENTS TO THE ORGANIZATION. THEY SET NOYES HEALTH'S STRATEGIC DIRECTION AND ARE CONSTANTLY ADVOCATING FOR THE HOSPITAL, PATIENTS, AND FAMILIES.NOYES COMMUNITY OUTREACH SERVICES: PROVIDE MANY PREVENTION, EDUCATION AND SCREENING SERVICES THROUGHOUT THE COMMUNITIES IN OUR SERVICES AREA, VIA ONE-TO-ONE VISITS (OFFICE OR HOME), CLASSES, EVENTS, AND/OR CLINICS: EARS LIFELINE AND MEDICATION DISPENSING SERVICES: TO SUPPORT SAFETY/ACCESS TO HELP AND MEDICATION MANAGEMENT FOR AGING AND DISABLED POPULATION LIVING AT HOME. PRIMARILY ALL HOME VISITS. PROGRAM WORK ALSO INCLUDES COUNTYWIDE FALL PREVENTION INITIATIVES: HOME SAFE HOME, FALL PREVENTION ED PROMOTION, ANNUAL FALL PREVENTION WORKSHOP (LEAD AGENCY). NOYES FIRST STEPS: PRENATAL EDUCATION AND SUPPORT SERVICES FOR LOW INCOME AND/OR HIGH NEED CLIENTS TO SUPPORT HEALTHY BIRTH OUTCOMES, OFFICE AND HOME VISITS. CHILD BIRTH EDUCATION AND INFANT FEEDING CLASSES ALSO PROVIDED TO COMMUNITY. CASE MANAGER FACILITATES THE QUARTERLY REGIONAL MATERNAL CHILD HEALTH COALITION. CAREGIVER RESOURCE CENTER: EDUCATION, INFORMATION AND ASSISTANCE, SUPPORT GROUPS, RESPITE, MONTHLY NEWSLETTER PROVIDED TO CAREGIVERS CARING FOR LOVED ONES WITH ALZHEIMER'S/DEMENTIA VIA HOME VISITS, PHONE CALLS, CLASSES, AND EVENTS. PROVIDED IN PARTNERSHIP WITH LOCAL OFFICE FOR THE AGING. CHRONIC DISEASE SELF-MANAGEMENT CLASSES: YEAR ROUND LIVING HEALTHY, LIVING HEALTHY WITH CHRONIC PAIN, AND LIVING HEALTHY W/DIABETES CLASSES. PROGRAM FREE TO COMMUNITY AND FUNDING SOURCES ARE BASED ON GRANTS AND OTHER AGENCY RESOURCES. COMMUNITY EDUCATION: CLASSES (SMOKE CESSATION, MEDICAL TERMINOLOGY, DIABETES), COMMUNITY SPEAKER'S BUREAU ON HEALTH AND WELLNESS TOPICS, AND WEEKLY HEALTH ED ARTICLES IN LOCAL NEWSPAPERS. SCREENING CLINICS: FREE BLOOD PRESSURE SCREENINGS AT LOCAL GROCERY STORES AND FAIR/FESTIVAL EVENTS, WITH PHYSICIAN REFERRAL AND FOLLOW UP, AS NEEDED WORKSITE WELLNESS PROGRAM: FITNESS, NUTRITION AND STRESS MANAGEMENT OPPORTUNITIES THROUGHOUT THE YEAR COORDINATED BY OUR HEALTH EDUCATOR FOR APPROX. 550 NOYES FTE'S AND THEIR FAMILY MEMBERS CANCER SUPPORT SERVICES: HOSPITAL LEADS CANCER SUPPORT COALITION WORKING WITH CANCER SUPPORT PROGRAMS AND SERVICES IN FIVE COUNTY REGION TO SUPPORT PATIENTS OF THE MYERS CANCER CENTER AT NOYES HOSPITAL. DIABETES EDUCATION PROGRAM: AADE RECOGNIZED DIABETES ED PROGRAM FOR OUR REGION AND PROVIDES INDIVIDUAL COUNSELING AND CLASSES AT VARIETY OF LOCATIONS IN SERVICE AREA. INSULIN PUMP STARTS AND SUPPORT ARE ALSO PROVIDED ALONG WITH CGMS SCREENING. THE CDE LEADS THE COUNTYWIDE DIABETES COALITION. HOME SAFE HOME: IN-HOME FALL PREVENTION ASSESSMENTS AND HOME MODIFICATIONS. NOYES PROVIDES THE PROGRAM MANAGER WHO DOES OUTREACH AND SCREENS ALL REFERRALS FOR HOME FALL RISK ASSESSMENT OF OLDER ADULTS LIVING AT HOME. LIFESPAN OF ROCHESTER IS THE PROGRAM PARTNER WHO PROVIDES THE STAFF AND EQUIPMENT TO DO THE ASSESSMENTS AND LIGHT HOME MODIFICATIONS, I.E. INSTALLATION OF GRAB BARS/RAILINGS, SHOWER CHAIRS, ETC. THE PROGRAM IS CURRENTLY GRANT FUNDED AND FREE TO INDIVIDUALS 60+ WHO MEET INCOME GUIDELINES. PARTNERSHIPS: NOYES HEALTH ACTIVELY COLLABORATES WITH ALL HEALTH AND HUMAN SERVICE AGENCIES IN LIVINGSTON COUNTY, I.E. OFFICE FOR AGING, DEPT OF HEALTH, DEPT OF SOCIAL SERVICES, LIVINGSTON-WYOMING ARC, CATHOLIC CHARITIES OF LIV CO, AND TRIAD, ETC. NOYES HEALTH MANAGERS SIT AS ARE BOARD MEMBERS AND/OR GENERAL MEMBERS OF THE COUNTYWIDE RURAL HEALTH NETWORK, THE GENESEE VALLEY HEALTH PARTNERSHIP. NOYES HEALTH STAFF PERSON LEADS THE CONTINUUM OF CARE COALITION STARTED IN 11/13, HAS 40+ AGENCY MEMBERS AND MEETS 6 TIMES/YR. NOYES HEALTH STAFF PERSON LEADS THE DIABETES EDUCATION COALITION AND MATERNAL CHILD HEALTH COALITION FOR LIVINGSTON COUNTY. NOYES HEALTH HAS HOSPITAL STAFF ON MULTIPLE COUNTY COMMITTEES AND BOARDS, I.E.: OFFICE FOR AGING ADVISORY BOARD, TRIAD, COMMUNITY RESOURCE NETWORK, FALL PREVENTION COALITION, AND FOUR COMMUNITY HEALTHY IMPROVEMENT PLAN (CHIP) COMMITTEES: TRAUMA INFORMED COMMUNITIES, BE WELL IN LIVINGSTON, SOCIAL/EMOTIONAL HEALTH, AND ACCESS TO CARE. HOSPITAL ADMINISTRATORS SIT ON SEVERAL COMMUNITY AND REGIONAL HOSPITAL BOARDS, I.E. ARC OF LIVINGSTON/WYOMING BOARD, LIV CO HOSPICE BOARD, LIV CO PROFESSIONAL ADVISORY BOARD, HANYS BOARD, ALFRED STATE COLLEGE NURSING ADVISORY BOARD, SEAGATE ALLIANCE, AND REGIONAL EMERGENCY MEDICINE ADVISORY BOARD. NOYES COMMUNITY OUTREACH SERVICES PROVIDE MANY PREVENTION, EDUCATION AND SCREENING SERVICES THROUGHOUT THE COMMUNITY AND INCLUDES HOME VISITS FOR SOME SERVICES:O EARS LIFELINE AND MEDICATION DISPENSING SERVICES: ALL HOME VISITSO NOYES FIRST STEPS: PRENATAL EDUCATION AND SUPPORT SERVICES FOR LOW INCOME AND/OR HIGH NEED CLIENTS, INCLUDES OFFICE AND HOME VISITS.O CAREGIVER RESOURCE CENTER: HOME VISITS, PHONE CALLS, CLASSES, SUPPORT GROUPS, AND EVENTSO LIVING HEALTHY AND LIVING HEALTHY W/DIABETES: CHRONIC DISEASE SELF-MANAGEMENT CLASSES PROVIDED THROUGHOUT THE COUNTY 4 TIMES/YRO COMMUNITY EDUCATION: CLASSES, TRAININGS AND SPEAKER'S BUREAU ON HEALTH AND WELLNESS TOPICSO CLINICS: FREE BLOOD PRESSURE SCREENINGS AT LOCAL GROCERY STORES AND FAIR/FESTIVAL EVENTS |
| PART VI, LINE 6: | NICHOLAS H. NOYES MEMORIAL HOSPITAL IS AFFILIATED WITH THE UNIVERSITY OF ROCHESTER MEDICAL CENTER (URMC). TOGETHER WITH NICHOLAS H. NOYES MEMORIAL HOSPITAL, URMC AND ITS OTHER HEALTH CARE AFFILIATES PROVIDE COMPREHENSIVE HEALTHCARE SERVICES IN NEW YORK STATE. THIS AFFILIATION PROVIDES ENHANCED CARE TO RESIDENTS OF THE HOSPITAL'S SERVICE AREA THROUGH ACCESS TO SPECIALISTS AND SPECIALTY SERVICES. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | NY |
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 (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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AMY POLLARD | ||||||||||||||
| PRESIDENT/CHIEF EXECUTIVE | $191,224 | $0 | $0 | $0 | $0 | $0 | $2,809 | $0 | $8,194 | $0 | $202,227 | $0 | $0 | $0 |
| STEVEN GOLDSTEIN | ||||||||||||||
| UR DIRECTOR | $0 | $1,143,063 | $0 | $5,000 | $0 | $84,099 | $0 | $486,254 | $0 | $19,508 | $0 | $1,737,924 | $0 | $0 |
| ROBERT MCCANN MD | ||||||||||||||
| UR DIRECTOR | $0 | $596,094 | $0 | $0 | $0 | $14,694 | $0 | $39,154 | $0 | $26,836 | $0 | $676,778 | $0 | $0 |
| MARK TAUBMAN MD | ||||||||||||||
| UR DIRECTOR | $0 | $1,374,234 | $0 | $175,000 | $0 | $35,480 | $0 | $151,854 | $0 | $24,704 | $0 | $1,761,272 | $0 | $0 |
| JAY MASLYN | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $143,098 | $0 | $0 | $0 | $0 | $0 | $3,165 | $0 | $5,792 | $0 | $152,055 | $0 | $0 | $0 |
| DOUGLAS MAYHLE MD | ||||||||||||||
| MEDICAL DIRECTOR | $401,464 | $0 | $0 | $0 | $0 | $0 | $2,809 | $0 | $8,194 | $0 | $412,467 | $0 | $0 | $0 |
| ROBERT CAPECCI MD | ||||||||||||||
| PHYSICIAN-ORTHOPEDIST | $620,476 | $0 | $0 | $0 | $0 | $0 | $1,423 | $0 | $10,259 | $0 | $632,158 | $0 | $0 | $0 |
| BRIAN FORESMAN MD | ||||||||||||||
| GENERAL SURGEON | $572,976 | $0 | $0 | $0 | $0 | $0 | $6,000 | $0 | $10,259 | $0 | $589,235 | $0 | $0 | $0 |
| KEVIN O'KEEFE MD | ||||||||||||||
| ORTHOPEDIST | $592,925 | $0 | $0 | $0 | $0 | $0 | $6,000 | $0 | $10,259 | $0 | $609,184 | $0 | $0 | $0 |
| ALBERTO N VELASCO MD | ||||||||||||||
| ANESTHESIOLOGIST | $359,709 | $0 | $0 | $0 | $0 | $0 | $5,171 | $0 | $8,194 | $0 | $373,074 | $0 | $0 | $0 |
| SVETLANA V YUDINA MD | ||||||||||||||
| GENERAL SURGEON | $454,364 | $0 | $0 | $0 | $0 | $0 | $3,268 | $0 | $10,812 | $0 | $468,444 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SPONSORED BY A RELATED ORGANIZATION AND RECEIVED COMPENSATION THAT IS INCLUDED IN DEFERRED COMPENSATION IN PART II AS FOLLOWS: STEVEN GOLDSTEIN - SERP PLAN - $159,400 STEVEN GOLDSTEIN - 457(F) PLAN - $300,000 MARK TAUBMAN, M.D. - SERP PLAN - $125,000 ROBERT MCCANN, M.D. - SERP PLAN - $12,300 | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LIVINGSTON COUNTY INDUSTRIAL DEVELOPMENT AGENCY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 161136853 | BondIssuerEIN |
| CUSIP | 538655AD3 | CUSIPNum |
| Bond Issued | 2005-06-29 | BondIssuedDt |
| Issue Price | $9,471,914 | IssuePriceAmt |
| Purpose | ACQUISITION, RENOVATION, CONSTRUCTION, AND EQUIPPING OF HOSPITAL | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $4,591,000 | RetiredAmt |
| Total Proceeds | $9,763,548 | TotalProceedsAmt |
| In Reserve Fund | $805,638 | InReserveFundAmt |
| Capitalized Interest | $625,676 | CapitalizedInterestAmt |
| Issuance Costs From Proceeds | $189,438 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $6,449,941 | CapitalExpendituresAmt |
| Other Spent Proceeds | $1,692,856 | OtherSpentProceedsAmt |
| Substantial Completion | 2006 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (1) | EngageBondCounselContractsInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Concerning UBI | 0.01200 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.01200 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | Yes (1) | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K, PART II, LINE 3, PROCEEDS: | FormAndLineReferenceDesc |
| Explanation | THE TOTAL PROCEEDS ON PART II LINE 3 DOES NOT AGREE TO THE ISSUE PRICE LISTED IN PART I COLUMN (E) DUE TO INVESTMENT EARNINGS. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| MEDICOR INTERNAL MEDICINE PLLC | |||
| ENTITY MORE THAN 35% OWNED BY AHSEN SHEIKH, DIRECTOR | $326,600 | CONTRACTED SERVICES | 0 |
| NANCY JOHNSEN | |||
| FAMILY MEMBER OF MICHAEL A. JOHNSEN, DIRECTOR | $47,616 | COMPENSATION | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | SEVERAL OF THE DIRECTORS OF NICHOLAS H. NOYES MEMORIAL HOSPITAL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER THROUGH THEIR EMPLOYMENT. MARK TAUBMAN IS AN OFFICER OF THE UNIVERSITY OF ROCHESTER, AND STEVEN GOLDSTEIN AND ROBERT MCCANN ARE EMPLOYEES OF THE UNIVERSITY OF ROCHESTER. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE CORPORATE MEMBER OF NICHOLAS H. NOYES MEMORIAL HOSPITAL IS LIVINGSTON HEALTH CARE SYSTEM, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | UP TO 18 "COMMUNITY DIRECTORS" ARE APPOINTED BY LIVINGSTON HEALTH CARE SYSTEM, INC. TO THE BOARD OF DIRECTORS. UP TO 3 "UR DIRECTORS" ARE APPOINTED BY THE UNIVERSITY OF ROCHESTER TO THE BOARD OF DIRECTORS. THE UNIVERSITY OF ROCHESTER RESERVES THE POWER TO ELECT AND REMOVE THE DIRECTORS OF THE HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 7B | CERTAIN DECISIONS REQUIRE THE APPROVAL OF LIVINGSTON HEALTH CARE SYSTEM, INC. AS THE SOLE CORPORATE MEMBER OF NICHOLAS H. NOYES MEMORIAL HOSPITAL, INCLUDING BUT NOT LIMITED TO: SIGNIFICANT PURCHASES OR SALES OF REAL PROPERTY, AMENDMENTS TO THE CERTIFICATE OF INCORPORATION, MERGERS, AND DISSOLUTION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE AND BOARD OF DIRECTORS PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | DIRECTORS, COMMITTEE MEMBERS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST (A) PRIOR TO VOTING ON OR OTHERWISE DISCHARGING THEIR DUTIES WITH RESPECT TO ANY MATTER INVOLVING THE CONFLICT THAT COMES BEFORE THE BOARD OR COMMITTEE, (B) PRIOR TO ENTERING INTO ANY CONTRACT OR TRANSACTION INVOLVING THE CONFLICT, (C) AS SOON AS POSSIBLE AFTER THEY LEARN OF THE CONFLICT, AND (D) ON AN ANNUALLY COMPLETED AND SUBMITTED CONFLICT OF INTEREST DISCLOSURE FORM. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE BOARD OF DIRECTORS REVIEWS THE GOALS AND OBJECTIVES OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER ALONG WITH COMPARABILITY DATA TO DETERMINE COMPENSATION. THE DELIBERATION AND DECISION IS RECORDED IN THE MINUTES OF THE BOARD OF DIRECTORS. THE PRESIDENT/CHIEF EXECUTIVE OFFICER DETERMINES THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES BASED ON COMPARABILITY DATA AND PERFORMANCE. |
| FORM 990, PART VI, SECTION C, LINE 19 | NICHOLAS H. NOYES MEMORIAL HOSPITAL'S FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST. THE 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 11G | CONTRACTED LABOR: PROGRAM SERVICE EXPENSES 6,833,754. MANAGEMENT AND GENERAL EXPENSES 383,520. FUNDRAISING EXPENSES 4,800. TOTAL EXPENSES 7,222,074. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,073,376. MANAGEMENT AND GENERAL EXPENSES 333,690. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,407,066. COLLECTION FEES: PROGRAM SERVICE EXPENSES 55,622. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 55,622. RECRUITMENT FEES: PROGRAM SERVICE EXPENSES 21,149. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,149. |
| FORM 990, PART XI, LINE 9: | CHANGE IN FUNDED STATUS OF PENSION PLAN -389,799. CHANGE IN INTEREST OF FOUNDATION 1,369,898. |
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 | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| FFT SENIOR COMMUNITIES INC | |||||||||||
| 1 FERRIS HILLS | CANANDAIGUA | NY | 14424 | 161557494 | ELDER CARE | NY | 501(C)(3) | LINE 10 | FF THOMPSON HEALTH SYSTEM INC | 0 | |
| HIGHLAND COMMUNITY DEVELOPMENT CORP - | |||||||||||
| 100 HAHNEMANN TRAIL | PITTSFORD | NY | 14534 | 223154715 | ELDER CARE | NY | 501(C)(3) | LINE 10 | STRONG PARTNERS HEALTH SYSTEM INC | 0 | |
| HIGHLAND HOSPITAL OF ROCHESTER | |||||||||||
| 1000 SOUTH AVENUE | ROCHESTER | NY | 14620 | 160743037 | HOSPITAL | NY | 501(C)(3) | LINE 3 | STRONG PARTNERS HEALTH SYSTEM INC | 0 | |
| THE HIGHLAND FOUNDATION INC | |||||||||||
| 1000 SOUTH AVENUE | ROCHESTER | NY | 14620 | 237310662 | FUNDRAISING | NY | 501(C)(3) | LINE 12A, I | HIGHLAND HOSPITAL OF ROCHESTER | 0 | |
| HIGHLAND FACILITIES DEVELOPMENT CORPORATION | |||||||||||
| 1000 SOUTH AVENUE | ROCHESTER | NY | 14620 | 223039077 | MEDICAL BLDG | NY | 501(C)(3) | LINE 10 | HIGHLAND HOSPITAL OF ROCHESTER | 0 | |
| LIVINGSTON HEALTH CARE SYSTEM INC | |||||||||||
| 111 CLARA BARTON STREET | DANSVILLE | NY | 14427 | 161455240 | SUPPORT ORG | NY | 501(C)(3) | LINE 12A, I | UNIVERSITY OF ROCHESTER | 0 | |
| RED JACKET CENTER INC | |||||||||||
| 111 CLARA BARTON STREET | DANSVILLE | NY | 14427 | 161037658 | MEDICAL BLDG | NY | 501(C)(3) | LINE 12A, I | LIVINGSTON HEALTH CARE SYSTEM INC | 0 | |
| THE FOUNDATION FOR NOYES MEMORIAL HEALTH SYSTEM INC | |||||||||||
| 111 CLARA BARTON STREET | DANSVILLE | NY | 14427 | 161584778 | FUNDRAISING | NY | 501(C)(3) | LINE 7 | LIVINGSTON HEALTH CARE SYSTEM INC | 0 | |
| JONES MEDICAL SERVICES PC | |||||||||||
| 191 NORTH MAIN STREET | WELLSVILLE | NY | 14895 | 465210222 | MEDICAL CLINIC | NY | 501(C)(3) | LINE 3 | THE MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INC | 0 | |
| JONES MEMORIAL HOSPITAL FOUNDATION | |||||||||||
| 191 NORTH MAIN STREET | WELLSVILLE | NY | 14895 | 473763374 | SUPPORT ORG | NY | 501(C)(3) | LINE 7 | THE MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INC | 0 | |
| THE MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INC | |||||||||||
| 191 NORTHMAIN STREET | WELLSVILLE | NY | 14895 | 222807681 | HOSPITAL | NY | 501(C)(3) | LINE 3 | UNIVERSITY OF ROCHESTER | 0 | |
| UNIVERSITY OF ROCHESTER BROADCASTING CORPORATION | |||||||||||
| 201 WILSON COMMONS | ROCHESTER | NY | 14627 | 160743209 | BROADCAST LIC | NY | 501(C)(4) | UNIVERSITY OF ROCHESTER | 0 | ||
| UR MEDICINE HOME CARE COMMUNITY SERVICES INC | |||||||||||
| 2180 EMPIRE BOULEVARD | WEBSTER | NY | 14580 | 825091873 | HEALTHCARE | NY | 501(C)(3) | LINE 10 | STRONG HOME CARE GROUP | 0 | |
| COMMUNITY CARE OF ROCHESTER | |||||||||||
| 2180 EMPIRE BOULEVARD | WEBSTER | NY | 14580 | 161561691 | HEALTHCARE | NY | 501(C)(3) | LINE 10 | STRONG HOME CARE GROUP | 0 | |
| UR MEDICINE HOME CARE CERTIFIED SERVICES INC | |||||||||||
| 2180 EMPIRE BOULEVARD | WEBSTER | NY | 14580 | 160743215 | HEALTHCARE | NY | 501(C)(3) | LINE 10 | STRONG HOME CARE GROUP | 0 | |
| STRONG HOME CARE GROUP | |||||||||||
| 2180 EMPIRE BOULEVARD | WEBSTER | NY | 14580 | 222577664 | FUNDRAISING | NY | 501(C)(3) | LINE 7 | UNIVERSITY OF ROCHESTER | 0 | |
| UR MEDICINE HOME CARE FOUNDATION INC | |||||||||||
| 2180 EMPIRE BOULEVARD | WEBSTER | NY | 14534 | 831912967 | SUPPORT ORG | NY | 501(C)(3) | LINE 7 | STRONG HOME CARE GROUP | 0 | |
| NEXTCORPS INC | |||||||||||
| 260 EAST MAIN STREET SUITE 6000 | ROCHESTER | NY | 14604 | 161195028 | BUSINESS INCUB | NY | 501(C)(3) | LINE 7 | UNIVERSITY OF ROCHESTER | 0 | |
| UR REAL ESTATE CORPORATION | |||||||||||
| 263 WALLIS HALL | ROCHESTER | NY | 14627 | 271140014 | SUPPORT ORG | NY | 501(C)(3) | LINE 12D, III-O | UNIVERSITY OF ROCHESTER | 0 | |
| MELIORA REAL ESTATE CORPORATION | |||||||||||
| 263 WALLIS HALL | ROCHESTER | NY | 14627 | 452464788 | SUPPORT ORG | NY | 501(C)(3) | LINE 12D, III-O | UNIVERSITY OF ROCHESTER | 0 | |
| EXCELL PARTNERS INC | |||||||||||
| 343 STATE STREET KODAK TOWER 2ND FL | ROCHESTER | NY | 14650 | 201862628 | ECONOMIC DEV | NY | 501(C)(4) | UNIVERSITY OF ROCHESTER | 0 | ||
| FF THOMPSON HEALTH SYSTEM INC | |||||||||||
| 350 PARRISH STREET | CANANDAIGUA | NY | 14424 | 222959987 | SUPPORT ORG | NY | 501(C)(3) | LINE 12A, I | UNIVERSITY OF ROCHESTER | 0 | |
| MM EWING CONTINUING CARE CENTER | |||||||||||
| 350 PARRISH STREET | CANANDAIGUA | NY | 14424 | 237046583 | HEALTHCARE | NY | 501(C)(3) | LINE 3 | FF THOMPSON HEALTH SYSTEM INC | 0 | |
| THE FREDERICK FERRIS THOMPSON HOSPITAL | |||||||||||
| 350 PARRISH STREET | CANANDAIGUA | NY | 14424 | 160743024 | HOSPITAL | NY | 501(C)(3) | LINE 3 | FF THOMPSON HEALTH SYSTEM INC | 0 | |
| THE FF THOMPSON FOUNDATION INC | |||||||||||
| 350 PARRISH STREET | CANANDAIGUA | NY | 14424 | 222959984 | FUNDRAISING | NY | 501(C)(3) | LINE 7 | FF THOMPSON HEALTH SYSTEM INC | 0 | |
| ST JAMES HOSPITAL | |||||||||||
| 411 CANISTEO STREET | HORNELL | NY | 14844 | 160743310 | HOSPITAL | NY | 501(C)(3) | LINE 3 | UNIVERSITY OF ROCHESTER | 0 | |
| ST JAMES MERCY FOUNDATION INC | |||||||||||
| 411 CANISTEO STREET | HORNELL | NY | 14844 | 161486437 | FUNDRAISING | NY | 501(C)(3) | LINE 7 | ST JAMES HOSPITAL | 0 | |
| THE HIGHLANDS LIVING CENTER INC | |||||||||||
| 500 HAHNEMANN TRAIL | PITTSFORD | NY | 14534 | 223240227 | HEALTHCARE | NY | 501(C)(3) | LINE 10 | STRONG PARTNERS HEALTH SYSTEM INC | 0 | |
| THE MEADOWS AT WESTFALL INC | |||||||||||
| 5901 LAC DE VILLE BLVD | ROCHESTER | NY | 14618 | 161502303 | HEALTHCARE | NY | 501(C)(3) | LINE 10 | STRONG PARTNERS HEALTH SYSTEM INC | 0 | |
| ROCHESTER BIOVENTURE CENTER INC | |||||||||||
| 601 ELMWOOD AVENUE BOX 706 | ROCHESTER | NY | 14642 | 202485999 | BIOTECH INCUB | NY | 501(C)(3) | LINE 12A, I | UNIVERSITY OF ROCHESTER | 0 | |
| STRONG PARTNERS HEALTH SYSTEM INC | |||||||||||
| 601 ELMWOOD AVENUE BOX 706 | ROCHESTER | NY | 14642 | 161499099 | SUPPORT ORG | NY | 501(C)(3) | LINE 12A, I | UNIVERSITY OF ROCHESTER | 0 | |
| FINGER LAKES HOME CARE INC | |||||||||||
| 756 PRE-EMPTION ROAD | GENEVA | NY | 14456 | 161489133 | HEALTHCARE | NY | 501(C)(3) | LINE 10 | UR MEDICINE HOME CARE CERTIFIED SERVICES INC | 0 | |
| FINGER LAKES VISITING NURSE SERVICE INC | |||||||||||
| 756 PRE-EMPTION ROAD | GENEVA | NY | 14456 | 223067627 | HEALTHCARE | NY | 501(C)(3) | LINE 10 | UR MEDICINE HOME CARE CERTIFIED SERVICES INC | 0 | |
| UNIVERSITY OF ROCHESTER EMPLOYEE BENEFIT TRUST | |||||||||||
| 910 GENESEE STREET STE 200 | ROCHESTER | NY | 14611 | 161600112 | EMPL BEN TRST | NY | 501(C)(9) | UNIVERSITY OF ROCHESTER | 0 | ||
| UNIVERSITY OF ROCHESTER | |||||||||||
| 910 GENESEE STREET STE 200 | ROCHESTER | NY | 14611 | 160743209 | SCHOOL | NY | 501(C)(3) | LINE 2 | 0 | N/A | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| EXCELL INNOVATIVE NY FUND LP | |||||||
| 343 STATE STREET KODAK TOWER 2ND FL | ROCHESTER | NY | 14650 | 462405519 | INVESTMENT FUND | NY | N/A |
| EXCELL MINORITY AND WOMEN OWNED BUSINESS INVESTMENT FUND LP | |||||||
| 343 STATE STREET KODAK TOWER 2ND FL | ROCHESTER | NY | 14650 | 810723223 | INVESTMENT FUND | NY | N/A |
| EXCELL PARTNERS INNOVATE TC FUND LP | |||||||
| 343 STATE STREET KODAK TOWER 2ND FL | ROCHESTER | NY | 14650 | 810711015 | INVESTMENT FUND | NY | N/A |
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 | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| MEDICAL ADMINISTRATIVE ASSOCIATES INC | |||||||||
| 777 SOUTH CLINTON AVENUE | ROCHESTER | NY | 14620 | 161354319 | RETAIL PHARMACY | NY | N/A | C | 0 |
| UR EQUITY HOLDINGS INC | |||||||||
| 110 OFFICE PARK WAY | PITTSFORD | NY | 14534 | 273040889 | HOLDING CO | DE | N/A | C | 0 |
| FFTH PROPERTIES AND SERVICES INC | |||||||||
| 350 PARRISH STREET | CANANDAIGUA | NY | 14424 | 161286518 | HOLDING CO | NY | N/A | C | 0 |
| EXCELL TECHNOLOGY VENTURES INC | |||||||||
| 343 STATE STREET KODAK TOWER 2ND FL | ROCHESTER | NY | 14650 | 800909149 | BIOTECH INCUBATOR | NY | N/A | C | 0 |
| ACCOUNTABLE HEALTH PARTNERS LLC | |||||||||
| 135 CORPORATE WOODS STE 320 | ROCHESTER | NY | 14623 | 300787967 | ACCT CARE NETWORK | NY | N/A | C | 0 |
| LUMINATE VENTURE CHALLENGE CORP | |||||||||
| 260 EAST MAIN STREET SUITE 6000 | ROCHESTER | NY | 14604 | 823954131 | BUSINESS INCUB | NY | N/A | C | 0 |
| FINGER LAKES COMMUNITY CARE NETWORK INC | |||||||||
| 350 PARRISH STREET | CANANDAIGUA | NY | 14424 | 161423442 | INACTIVE | NY | N/A | C | 0 |
| ACCOUNTABLE HEALTH PARTNERS IPA LLC | |||||||||
| 135 CORPORATE WOODS STE 320 | ROCHESTER | NY | 14623 | 371746016 | INDEP PRACTICE ASSOC | NY | N/A | C | 0 |
| AHP INSURANCE COMPANY | |||||||||
| 76 ST PAUL STREET SUITE 500 | BURLINGTON | VT | 05401 | 814644839 | CAPTIVE INSURANCE CO | VT | N/A | C | 0 |
| HORNELL MEDICAL VILLAGE LLC | |||||||||
| 7100 ROUTE 70A | HORNELL | NY | 14843 | 611886863 | HOLD REAL ESTATE | NY | N/A | C | 0 |
| 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 | 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 | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Comments