ST JAMES HOSPITAL: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- ST JAMES HOSPITAL (EIN 16-0743310)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-13
- IRS object ID
- 201903199349300440
- Schema version
- 2018v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-13T22:30:37-07:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 160743310 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JAMES HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STJA | BusinessNameControlTxt |
| Phone | 6073248110 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 411 Canisteo Street | AddressLine1Txt |
| City | Hornell | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14843 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Mark Prunoske | PersonNm |
| Person Title | SVP Finance/CFO | PersonTitleTxt |
| Phone | 5853701815 | PhoneNum |
| Signature | 2019-11-12 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 128.151.71.17 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-03-31 21:24:44Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Bryan O'Donovan | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 411 Canisteo Street | AddressLine1Txt |
| City | Hornell | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14843 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $30,434,740 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://www.urmc.rochester.edu/st-james | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1992 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 374 | TotalEmployeeCnt |
| Total Volunteers | 28 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $1,372 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,428,596 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,401,665 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $26,479,025 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $25,136,390 | CYProgramServiceRevenueAmt |
| PY Investment Income | $53,968 | PYInvestmentIncomeAmt |
| CY Investment Income | $100,000 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,460,061 | PYOtherRevenueAmt |
| CY Other Revenue | $796,685 | CYOtherRevenueAmt |
| PY Total Revenue | $34,421,650 | PYTotalRevenueAmt |
| CY Total Revenue | $30,434,740 | 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 | $15,587,975 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $16,840,401 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $14,859,670 | PYOtherExpensesAmt |
| CY Other Expenses | $16,147,812 | CYOtherExpensesAmt |
| PY Total Expenses | $30,447,645 | PYTotalExpensesAmt |
| CY Total Expenses | $32,988,213 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,974,005 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,553,473 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $18,016,126 | TotalAssetsBOYAmt |
| Total Assets EOY | $50,200,664 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $10,848,220 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $25,669,644 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,167,906 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $24,531,020 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | See Schedule O for Part I, Line 1 | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $22,099,606 | ExpenseAmt |
| Revenue | $25,933,075 | RevenueAmt |
| Desc | ST. JAMES HOSPITAL IS AN ACUTE HEALTHCARE FACILITY PROVIDING ROUTINE, AMBULATORY AND ANCILLARY SERVICES. MAJOR SERVICES INCLUDE MEDICAL, SURGICAL, RADIOLOGY, AND LABORATORY. TOTAL ACUTE DISCHARGES FOR THE HOSPITAL WERE 848. OUTPATIENT REGISTRATIONS FOR THE HOSPITAL WERE 126,406. ST. JAMES HOSPITAL OPERATES SEVERAL PHYSICIAN PRACTICES. TOTAL OFFICE VISITS WERE 16,745, INCLUDING EXPRESS CARE. | Desc |
| Total Other Prog Srvc Expense | $0 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $0 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $22,099,606 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 95 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 374 | 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 | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jodi Howe | PersonNm |
| Phone | 6073248000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 411 Canisteo Street | AddressLine1Txt |
| City | Hornell | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14843 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Sue Gray PhD | ||||||||
| Chair | 1 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Shawn Hogan | ||||||||
| Vice Chair | 1 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Brian Schu | ||||||||
| Treasurer | 1.00 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Pete Wall | ||||||||
| Secretary | 1 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Spencer Annabel MD | ||||||||
| Board Member | 36 | 0 | Yes (X) | $138,000 | $0 | $0 | ||
| Matt Shick | ||||||||
| Board Member | 1 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Skip Sullivan | ||||||||
| Board Member | 1 | 0 | Yes (X) | $0 | $0 | $0 | ||
| John Eagleton | ||||||||
| Board Member | 1 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Ismail Mehr MD | ||||||||
| Board Member | 1 | 0 | Yes (X) | $487,549 | $0 | $0 | ||
| John Weyand DC | ||||||||
| Board Member | 1 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Michael Kamali MD | ||||||||
| Board Member | 1 | 55.00 | Yes (X) | $0 | $629,891 | $64,505 | ||
| Aileen Shinaman | ||||||||
| Board Member | 1 | 55 | Yes (X) | $0 | $303,394 | $78,182 | ||
| Bryan O'Donovan | ||||||||
| President/CEO (starting 6/1/2018) | 39 | 1 | Yes (X) | $99,119 | $0 | $240 | ||
| Jennifer Sullivan | ||||||||
| President & CEO (through 5/11/2018) | 39 | 1 | Yes (X) | $896,282 | $0 | $3,820 | ||
| Stanley Konopko | ||||||||
| CFO (through 5/11/2018) | 39.7 | 0.3 | Yes (X) | $839,765 | $0 | $9,722 | ||
| John Robshaw | ||||||||
| Physician | 40 | 0 | $475,092 | $0 | $2,024 | Yes (X) | ||
| M Tariq Randhawa | ||||||||
| Physician | 40 | 0 | $406,514 | $0 | $7,596 | Yes (X) | ||
| Kevin Wentworth | ||||||||
| Physician Assistant | 40 | 0 | $300,480 | $0 | $10,885 | Yes (X) | ||
| Kevin Briceland | ||||||||
| Physician Assistant | 40 | 0 | $228,922 | $0 | $2,751 | Yes (X) | ||
| Giacomo Floria | ||||||||
| Chief Advanced Practice Provider | 40 | 0 | $196,389 | $0 | $10,407 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,068,112 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $933,285 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $190,132 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 16 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| Le Chase Construction | ||||||
| 205 Indigo Creek Dr | Rochester | NY | 14626 | Construction Proj New Hosp | $12,628,841 | |
| FSI Acoustical Systems LLC | ||||||
| 90 Goodway Dr | Rochester | NY | 14623 | Construction Project MOB | $1,347,266 | |
| Univ of Rochester | ||||||
| 135 Corporate Woods | Rochester | NY | 14623 | Office Rent MOB and Constr | $1,284,383 | Suite 100 |
| Univ of Rochester | ||||||
| Strong Mem Hosp | Rochester | NY | 14642 | Lab Tests | $518,504 | 601 Elmwood Ave PO Box 608 |
| Razak Assoc Architecture Eng and Land Survey PLLC | ||||||
| 2060 Fairport Nine Mile Road | Penfield | NY | 14526 | Architect | $505,282 | Suite 300 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 26 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $0 | RelatedOrganizationsAmt |
| Government Grants | $3,860,811 | GovernmentGrantsAmt |
| All Other Contributions | $540,854 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $4,401,665 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Net Patient Service Revenue | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $25,136,390 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,136,390 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $25,136,390 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $100,000 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $100,000 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $207,302 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $207,302 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $207,302 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $207,302 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Lifeline Revenue | 900099 | $261,634 | $261,634 | $0 | $0 |
| Trinity Revenue | 900099 | $28,517 | $28,517 | $0 | $0 |
| DSRIP Funding | 900099 | $160,470 | $160,470 | $0 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $138,762 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $138,762 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $589,383 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,434,740 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,933,075 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $100,000 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,094,086 | TotalAmt |
| Program Services | $734,939 | ProgramServicesAmt |
| Management And General | $359,147 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,070,316 | TotalAmt |
| Program Services | $7,424,357 | ProgramServicesAmt |
| Management And General | $4,645,959 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $245,121 | TotalAmt |
| Program Services | $151,926 | ProgramServicesAmt |
| Management And General | $93,195 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,571,649 | TotalAmt |
| Program Services | $974,108 | ProgramServicesAmt |
| Management And General | $597,541 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,859,229 | TotalAmt |
| Program Services | $1,152,350 | ProgramServicesAmt |
| Management And General | $706,879 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $240,764 | TotalAmt |
| Program Services | $170,942 | ProgramServicesAmt |
| Management And General | $69,822 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,618 | TotalAmt |
| Program Services | $52,269 | ProgramServicesAmt |
| Management And General | $21,349 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,246,653 | TotalAmt |
| Program Services | $885,124 | ProgramServicesAmt |
| Management And General | $361,529 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,575 | TotalAmt |
| Program Services | $113,298 | ProgramServicesAmt |
| Management And General | $46,277 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,565 | TotalAmt |
| Program Services | $40,776 | ProgramServicesAmt |
| Management And General | $82,789 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $798,981 | TotalAmt |
| Program Services | $263,664 | ProgramServicesAmt |
| Management And General | $535,317 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $375,660 | TotalAmt |
| Program Services | $123,968 | ProgramServicesAmt |
| Management And General | $251,692 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $416,284 | TotalAmt |
| Program Services | $137,374 | ProgramServicesAmt |
| Management And General | $278,910 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Physician Fees | $3,941,212 | $3,941,212 | $0 | $0 |
| Supplies | $3,493,679 | $2,480,512 | $1,013,167 | $0 |
| Purchased Services | $3,246,289 | $2,304,865 | $941,424 | $0 |
| Equipment Rental/Equipment Lease | $774,911 | $255,721 | $519,190 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,256,621 | TotalAmt |
| Program Services | $892,201 | ProgramServicesAmt |
| Management And General | $364,420 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,988,213 | TotalAmt |
| Program Services | $22,099,606 | ProgramServicesAmt |
| Management And General | $10,888,607 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,750,768 | BOYAmt |
| EOY | $1,184,607 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,013 | BOYAmt |
| EOY | $17,030 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $12,254,049 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,172,578 | BOYAmt |
| EOY | $3,307,803 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $5,441,600 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $620,090 | BOYAmt |
| EOY | $705,405 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $246,676 | BOYAmt |
| EOY | $245,365 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $25,860,724 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $670,786 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,178,348 | BOYAmt |
| EOY | $25,189,938 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,030,653 | BOYAmt |
| EOY | $1,854,867 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,016,126 | BOYAmt |
| EOY | $50,200,664 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,900,796 | BOYAmt |
| EOY | $16,658,653 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,314,192 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,000,000 | BOYAmt |
| EOY | $7,486,980 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,633,232 | BOYAmt |
| EOY | $1,524,011 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,848,220 | BOYAmt |
| EOY | $25,669,644 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,797,760 | BOYAmt |
| EOY | $23,959,262 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $342,414 | BOYAmt |
| EOY | $647,122 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,732 | BOYAmt |
| EOY | -$75,364 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,167,906 | BOYAmt |
| EOY | $24,531,020 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,016,126 | BOYAmt |
| EOY | $50,200,664 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,553,473 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $0 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $19,916,587 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $27,732 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | -$1,366 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $26,366 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $27,732 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $0 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $27,732 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $27,732 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $0 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $27,732 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $26,332 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $1,400 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $27,732 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $26,332 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $0 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $26,332 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $1,203,414 | OtherCostOrOtherBasisAmt |
| Book Value | $1,203,414 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $136,058 | OtherCostOrOtherBasisAmt |
| Depreciation | $107,317 | DepreciationAmt |
| Book Value | $28,741 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $2,305,023 | OtherCostOrOtherBasisAmt |
| Depreciation | $563,469 | DepreciationAmt |
| Book Value | $1,741,554 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $22,216,229 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $22,216,229 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $25,189,938 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Third Parties | $1,446,006 |
| Malpractice IBNR and Tail Coverage | $63,000 |
| Misc Liabilities | $15,005 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,524,011 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part V, Line 4 | WITH THE HELP OF NEARLY 350 COMMUNITY MEMBERS, BUSINESS PARTNERS, EMPLOYEES, PROVIDERS, AND FRIENDS AND DONORS LIKE YOU, SJ FOUNDATION RAISES CHARITABLE GIFTS TO MAKE POSSIBLE A RANGE OF FACILITIES IMPROVEMENTS, CAPITAL EQUIPMENT, AND PROGRAM INITIATIVES. |
| Schedule D, Part X, Line 2 | As of December 31, 2018, the Hospital does not have a liability for unrecognized tax positions. The Hospital files informational tax returns in the U.S. federal jurisdiction and New York State. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,293,604 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,252,504 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,041,100 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1225 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $7,293,604 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,252,504 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,041,100 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1225 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $102,804 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $102,804 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0031 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,157 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $27,157 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0008 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $97,561 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $97,561 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.003 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $227,522 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $227,522 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0069 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $7,521,126 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,252,504 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,268,622 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1294 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $704,920 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $11,911 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $6,131,564 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $7,554,082 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,422,518 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St James Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 411 Canisteo Street | AddressLine1Txt |
| City | Hornell | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14843 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.urmc.rochester.edu/st-james | WebsiteAddressTxt |
| State License | 5002001H | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St James Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Supplemental Information | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | See Supplemental Information | OtherWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 17 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Supplemental Information | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See supplemental information | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See supplemental information | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See supplemental information | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| None Made | Yes (X) | NoneMadeInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5-St James Hospital | THE COMMUNITY NEEDS ASSESSMENT (CHNA) WAS CONDUCTED 2016 IN COLLABORATION WITH STEUBEN COUNTY PUBLIC HEALTH. THIS INCLUDED THE THREE HOSPITALS LOCATED WITHIN THE COUNTY. IN ADDITION, THERE WERE SEVERAL OTHER PARTNERS INCLUDING REPRESENTATION FROM FEDERALLY QUALIFIED HEALTH CENTERS (FQHC), COMMUNITY BASED ORGANIZATIONS (CBO), THE LEGISLATURE, COMMUNITY ACTION ORGANIZATIONS AND REPRESENTATIVES FROM LOCAL SCHOOLS. CHNA INCLUDED REVIEW AND ANALYSIS OF CURRENT AND LOCAL DATA, NEEDS ASSESMENT INFORMATION FROM THE DELIVERY SYSTEM REFORM INCENTIVE PAYMENT (DSRIP) PROGRAM AND FROM 12 COMMUNITY FOCUS GROUPS. THE INPUT WAS USED TO INDENTIFY HEALTH FACTORS AND DISPARITIES. A FULL LIST OF PARTICIPANTS CAN BE FOUND IN THE COMMUNITY SERVICE PLAN LOCATED ON THE ST. JAMES HOSPITAL WEBSITE. |
| Schedule H, Part V, Section B, Line 6a-St James Hospital | IRA DAVENPORT MEMORIAL HOSPITAL (ARNOT HEALTH), CORNING HOSPITAL (GUTHRIE HEALTH SYSTEM). |
| Schedule H, Part V, Section B, Line 6b-St James Hospital | STEUBEN COUNTY PUBLIC HEALTH DEPARTMENT, IRA DAVENPORT MEMORIAL HOSPITAL (ARNOT HEALTH), CORNING HOSPITAL (GUTHRIE HEALTH SYSTEM), ST. JAMES HOSPITAL, S2AY RURAL HEALTH NETWORK, GENESEE VALLEY BOCES, COMMON GROUND HEALTH (FORMERLY KNOWN AS FINGER LAKES HEALTH SYSTEM AGENCY), FINGER LAKES COMMUNITY HEALTH, STEUBEN COUNTY LEGISLATURE, STEUBEN RURAL HEALTH NETWORK, CORNELL COOPERATIVE EXTENSION, PRO ACTION OF STEUBEN AND YATES, SOUTHERN TIER TOBACCO AWARENESS COALTION, CENTER FOR TOBACCO FREE FINGER LAKES AND CANCER SERVICES PROGRAM OF STEUBEN COUNTY. |
| Schedule H, Part V, Section B, Line 7a-St James Hospital | https://www.urmc.rochester.edu/st-james/patients-visitors.aspx |
| Schedule H, Part V, Section B, Line 7b-St James Hospital | https://www.steubencony.org/pages.asp?PID=419 |
| Schedule H, Part V, Section B, Line 10a-St James Hospital | https://www.urmc.rochester.edu/st-james/patients-visitors.aspx |
| Schedule H, Part V, Section B, Line 11-St James Hospital | NEEDS IDENTIFIED VIA THE CHNA ARE BEING ADDRESSED THROUGH THE STEUBEN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THIS PLAN CAN BE REVIEWED WITHIN THE COMMUNITY SERVICE PLAN. THE PLAN OUTLINES PRIORITY AND FOCUS AREAS AS A RESULT OF THE CHNA. THESE FOCUS AREAS ARE FURTHER DEVELOPED INTO GOALS, OBJECTIVES, INTERVENTIONS/STRATEGIES/ACTIVITIES AND PROCESS MEASURES. PARTNER ROLES AND RESOURCES ARE ALSO DOCUMENTED IN THE CHIP. |
| Schedule H, Part V, Section B, Line 16a-St James Hospital | https://www.urmc.rochester.edu/st-james/patients-visitors/financial |
| Schedule H, Part V, Section B, Line 16b-St James Hospital | https://www.urmc.rochester.edu/st-james/patients-visitors/financial.aspx#finasst |
| Schedule H, Part V, Section B, Line 16c-St James Hospital | https://www.urmc.rochester.edu/st-james/patients-visitors/financial.aspx#finasst |
| Schedule H, Part V, Section B, Line 20a-St James Hospital | St James Hospital did not perform any of the above mentioned activities. |
| Schedule H, Part V, Section B, Line 20b-St James Hospital | St James Hospital did not perform any of the above mentioned activities. |
| Schedule H, Part V, Section B, Line 20c-St James Hospital | St James Hospital did not perform any of the above mentioned activities. |
| Schedule H, Part V, Section B, Line 20d-St James Hospital | St James Hospital did not perform any of the above mentioned activities. |
| Schedule H, Part V, Section B, Line 22-St James Hospital | A PATIENT WHOSE HOUSEHOLD INCOME IS BETWEEN 201% AND 250% OF THE MOST RECENT FEDERAL POVERTY LEVEL QULAIFIED FOR A PARTIAL CHARITY CARE DISCOUNT. THE PATIENT LIABILITY IS 40% OF THE RATE OF REIMBURSEMENT SJH WOULD HAVE RECEIVED FROM ITS "HIGHEST VOLUME PAYOR" (EXCELLUS BLUE CROSS) FOR LIKE SERVICES (INPATIENT, OUTPATIENT AND EMERGENCY ROOM). THE PATIENT IS ELIGIBLE FOR A CHARITY CARE DISCOUNT EQUAL TO THE DIFFERENCE BETWEEN CHARGES AND 40% OF THE EXCELLUS BLUE CROSS RATE. A PATEINT WHOSE HOUSEHOLD INCOME IS BETWEEN 251% AND 300% OF THE MOST RECENT REDERAL POVERTY LEVEL QUALIFIES FOR A PARTIAL CHARITY CARE DISCOUNT. THE PATIENT IS RESPONSIBLE FOR PAYING THE EXCELLUS BLUE CROSS RATE. THE CHARITY CARE DISCOUNT WOULD EQUAL THE DIFFERENCE BETWEEN CHARGES AND THE EXCELLUS BLUE CROSS RATE. SJH DETERMINED THAT EXCELLUS BLUE CROSS IS THE "HIGHEST VOLUME" PAYOR AS REFERENCED IN THE NYS STATUE 2807-K. THEREFORE, FOR UNISURED PATIENTS WITH HOUSEHOLD INCOMES BELOW 300% OF THE MOST RECENT FEDERAL POVERTY LEVEL, THE PAIENT RESPONSIBILITY WILL NOT EXCEED THE RATE OF REIMBURSEMENT SJMH WOULD HAVE RECEIVED FROM EXCELLUS BLUE CROSS. |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 7 | THE COST-TO-CHARGE RATIO IS USED FOR LINES 7A AND 7B, COMPUTED BY TAKING TOTAL EXPENSES DIVIDED BY TOTAL GROSS PATIENT REVENUE. |
| Schedule H, Part I, Line 7f | PATIENT SERVICE BAD DEBTS ARE TREATED AS A CONTRA-REVENUE LINE ITEM ON THE STATEMENT OF REVENUE. |
| Schedule H, Part III, Section A, Line 2 | THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINE 2 ARE BASED ON ACTUAL CHARGES WRITTEN OFF (AMOUNTS THAT ARE DEEMED TO BE UNCOLLECTIBLE). |
| Schedule H, Part III, Section A, Line 3 | THE AMOUNT REPORTED IN PART III, SECTION A, LINE 3 IS DETERMINED BY ESTIMATING THE AMOUNT OF BAD DEBT EXPENSE THAT WOULD BE ATTRIBUTED TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE BUT FOR WHOM SUFFICIENT INFORMATION WAS NOT OBTAINED TO MAKE THAT DETERMINATION. |
| Schedule H, Part III, Section A, Line 4 | THE TEXT OF THE BAD DEBT FOOTNOTE FOR THE HOSPITAL CAN BE FOUND ON PAGE 7 (ITEM ASU 2014 09) OF THE ELECTRONICALLY ATTACHED AUDITED FINANCIAL STATEMENTS. |
| Schedule H, Part III, Section B, Line 8 | TO DETERMINE MEDICARE ALLOWABLE COSTS REPORTABLE IN THE MEDICARE COST REPORT, THE COST-TO-CHARGE RATIO IS APPLIED TO GROSS PATIENT REVENUE ASSOCIATED WITH SERVICES PERFORMED FOR PATIENTS WHO ARE ELIGIBLE FOR MEDICARE. |
| Schedule H, Part III, Section C, Line 9b | A BAD DEBT RESULTS FROM A PATIENT ACCOUNT BALANCE FROM WHICH PAYMENT WAS ANTICIPATED FROM THE PATIENT, CREDIT EXTENDED AND THE ACCOUNT LATER DEEMED TO BE UNCOLLECTIBLE. A BAD DEBT DOES NOT MEET THE CRITERIA FOR CHARITY CARE, THAT IS, BAD DEBT PATIENTS ARE CONSIDERED TO HAVE THE FINANCIAL CAPABILITY AND ABILITY TO PAY, BUT ARE UNWILLING TO PAY. COLLECTION ACTIVITIES ARE ONLY PURSUED WITH RESPECT TO AMOUNTS THAT PATIENTS ARE ABLE TO PAY AS DETERMINED BY THE HOSPITAL'S CHARITY CARE POLICY. NO COLLECTION ACTIVITIES TAKE PLACE WITH RESPECT TO AMOUNTS THAT PATIENTS ARE NOT EXPECTED TO PAY UNDER THIS POLICY. A SEPARATE CHARITY CARE POLICY IS IN PLACE AND WOULD BE EXHAUSTED BEFORE A PATIENT BALANCE WOULD BE DEEMED SELF-PAY. UNDER THE CHARITY CARE POLICY, CHARITY CARE/FINANCIAL ASSISTANCE IS PROVIDED TO A PATIENT WITH A DEMONSTRATED INABILITY TO PAY. A PATIENT IS ELIBIBLE FOR CHARITY CARE/FINANCIAL ASSISTANCE CONSIDERATION BASED UPON MEETING CERTAIN INCOME ELIGIBILITY CRITERIA AS ESTABLISHED BY THE FEDERAL POVERTY INCOME GUIDELINE SLIDING SCALE. PER NYS PHL 2807K, THIS CONSIDERS PATIENTS WHOSE HOUSEHOLD INCOME IS UP TO 300% OF THE MOST RECENT FEDERAL POVERTY GUIDELINES. ALL UNINSURED, LOW-INCOME PATIENTS WITHIN ST. JAMES HOSPITAL'S PRIMARY SERVICE AREA WHO CAN DEMONSTRATE AN INABILITY TO PAY CHARGES MAY APPLY FOR CHARITY CARE/FINANCIAL ASSISTANCE FOR ADJUSTMENTS TO THEIR BALANCES FOR ALL MEDICALLY NECESSARY HEALTHCARE SERVICES, PROVIDED THAT A MEMBER, IN GOOD STANDING, OF ST. JAMES HOSPITAL'S MEDICAL STAFF DETERMINES THE NEED FOR SUCH MEDICAL CARE TREATMENT. |
| Schedule H, Part VI, Line 2 | IN CONJUNCTION WITH THE COMMUNITY NEEDS ASSESSMENT THAT IS DONE EVERY THREE YEARS IN CONJUNCTION WITH STEUBEN COUNTY PUBLIC HEALTH, THE ORGANIZATION USES THE FOLLOWING TO DETERMINE THE HEALTH NEEDS OF THE COMMUNITY: COMMUNITY TOWN HALL MEETINGS, SURVEYING PARTICIPANTS AT PUBLIC HEALTH EDUCATION PROGRAMS, LOCAL CASE MANAGEMENT MEETINGS, AND PHYSICIAN/MEDICAL OFFICE INFORMATION SHARED. IN ADDITION, REGIONAL DATA AND INFORMATION FROM DSRIP PROJECTS IS USED TO ASSESS COMMUNITY NEED. ST. JAMES HOSPITAL CONDUCTS A COMMUNITY NEEDS ASSESSMENT EVERY THREE YEARS IN CONJUNCTION WITH STEUBEN COUNTY PUBLIC HEALTH. BASED ON RESIDENTS' FEEDBACK, THE COUNTY'S HEALTH CARE PRIORITIES, STRATEGIES, AND PROGRAMS ARE DETERMINED. ST. JAMES HOSPTIAL CREATES AN ANNUAL PLAN BASED ON THIS ASSESSMENT, AND THE PROGRESS OF THESE INITIATIVES IS REPORTED ANNUALLY TO THE NYS DEPARTMENT OF HEALTH. LOCAL HEALTH CARE PRIORITIES ARE ALSO IDENTIFIED THROUGH SURVEYING PARTICIPANTS AT PUBLIC HEALTH EDUCATION PROGRAMS. |
| Schedule H, Part VI, Line 3 | PART VI, LINE 3: AT THE TIME OF REGISTRATION, ALL SELF-PAY INDIVIDUALS RECEIVE AN INFORMATION SHEET DESCRIBING THE TYPES OF FEDERAL, STATE AND LOCAL GOVERNMENT PROGRAMS AVAILABLE, INCLUDING ST. JAMES HOSPITAL'S CHARITY CARE POLICY. THE ELIGIBILITY PROCESS IS COORDINATED BY A FINANCIAL COUNSELOR, WHO CONTACTS THE PATIENT OR PATIENT FAMILY MEMBER BY PHONE AND/OR LETTER. PATIENTS WHO QUALIFY FOR MEDICAID ARE ALSO DIRECTED TO AN IN-HOUSE FACILITATED ENROLLER, WHO COORDINATES THE MEDICAID APPLICATION PROCESS ON BEHALF OF THE PATIENT. |
| Schedule H, Part VI, Line 4 | THE PRIMARY SERVICE AREA FOR ST. JAMES HOSPITAL IS THE 15-MILE RADIUS EXTENDING FROM HORNELL (STEUBEN COUNTY), NEW YORK, AND INCLUDES THE TOWNS OF WAYLAND TO THE NORTHEAST AND TROUPSBURG TO THE SOUTHEAST (JUST OUTSIDE OF THE 15-MILE RADIUS). THE SECONDARY SERVICE AREA IS THE 30-MILE RADIUS EXTENDING FROM HORNELL. PER THE 2010 CENSUS, THE POPULATION FOR THE PRIMARY SERVICE AREA (STEUBEN COUNTY) REMAINED RELATIVELY FLAT, INCREASING 0.3% FROM 2000 TO 2010 TO 98,990 AND IS PROJECTED TO REMAIN FLAT THROUGHOUT 2014. THE POPULATION AGED 65 AND OVER COMPRISES 16% OF THE PRIMARY SERVICE AREA COMPARED TO 13% FOR NEW YORK STATE. THE POPULATION IS RACIALLY AND ETHNICALLY HOMOGENOUS WITH 95.3% WHITE, 1.6% BLACK, 1.4% HISPANIC/LATINO, AND 1.2% ASIAN. PERSONS OVER THE AGE OF 65 REPRESENT 15.6% OF THE COUNTY, 2 PERCENTAGE POINTS HIGHER THAN THE STATE. MEDIAN HOUSEHOLD INCOME IS $42,764 COMPARED TO $54,554 FOR THE STATE. APPROXIMATELY 20% OF THE COUNTY POPULATION HAVE A BACHELOR'S DEGREE OR HIGHER COMPARED TO 32% OF STATE RESIDENTS. |
| Schedule H, Part VI, Line 5 | ST. JAMES HOSPITAL IS THE LEAD AGENCY FOR THE CANCER SERVICES PROGRAM (CSP) OF STEUBEN COUNTY. A COMMUNITY-BASED, GRANT-FUNDED PROGRAM OF NEW YORK STATE DEPARTMENT OF HEALTH (NYSDOH), THE CSP SERVES UNINSURED MEN AND WOMEN WITH COMPREHENSIVE, AGE-APPROPRIATE, NO-COST SCREENINGS FOR BREAST, CERVICAL AND COLORECTAL CANCER. IN ADDITION, ST. JAMES HOSPITAL RECEIVED THE NYSDOH BREAST AND PROSTATE PEER EDUCATION PROGRAM IN 2016 AND BEGAN IMPLEMENTATION OF A COMMUNITY EDUCATION BASED PROGRAM. ST. JAMES HOSPITAL PARTICIPATES IN COORDINATING THE ANNUAL HEALTHY KIDS DAY AT THE MAPLE CITY KIDS QUARTER MILER. THIS EVENT IS DIRECTED TO PARENTS AND COMMUNITY YOUTH AND INCLUDES A PEDIATRIC HEALTH FAIR AND A LOGSTANDING COMMUNITY KIDS "FUN RUN" TO PROMOTE EXERCISE AND HEALTHY LIFESTYLES. THE ORGANIZATION PARTICIPANTES IN LOCAL HEALTH FAIRS AND WORKS WITH LOCAL BUSINESSES TO PROMOTE WORKPLACE WELLNESS VIA THE CSP PROGRAM MENTIONED ABOVE. IN ADDITION, ST. JAMES HOSPITAL OPERATES A CARDIAC REHAB PROGRAM AND A COUMADIN CLINIC THAT PROVIDE OUTPATIENT BASED SERVICES TO THE COMMUNITY. A COLLABORATION WITH NOYES MEMORIAL HOSPITAL SUPPORTS A DIABETES EDUCATION PROGRAM AVAILABLE TO THE COMMUNITY. ST. JAMES HOSPITAL STAFF MEMBERS THROUGHOUT THE ORGANIZATION PARTICIPATE IN COMMUNITY INITIATIVES AND HOLD SEATS ON BOARDS, INCLUDING THE STUEBEN RURAL HEALTH NETWORK, CATHOLIC CHARITIES, YMCA, UNITED WAY OF THE SOUTHERN TIER, SMART STEUBEN, STEUBEN PREVENTION COALITION AND OTHER NON-PROFIT ORGANIZATIONS WHOSE PRIMARY MISSION IS TO ASSESS AND ADDRESS COMMUNITY NEEDS. ST. JAMES HOSPITAL WELCOMES COMMUNITY ORGANIZATIONS TO UTILIZE SPACE FOR MEETINGS, PROGRAMS AND ACTIVITIES THAT ARE DEEMED SUPPORTIVE TO THE HEALTH OF THE COMMUNITY. THIS INCLUDES SUPPORT GROUPS, DRIVER SAFETY PROGRAMS, BLOOD DRIVES, ETC. |
| Schedule H, Part VI, Line 6 | On March 1, 2018, University of Rochester became the sole corporate member of the Hospital. The University of Rochester Medical Center (URMC) and its other health care affiliates provide comprehensive healthcare services in New York State, This affiliation will provide enhanced care to all residents of the Hospital's service area through access to specialists and services, etc. |
| Schedule H, Part VI, Line 7 | LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: NY |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | 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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Ismail Mehr MD | ||||||||||||||
| Board Member | $487,549 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $487,549 | $0 | $0 | $0 |
| John Robshaw | ||||||||||||||
| Physician | $475,092 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $2,024 | $0 | $477,116 | $0 | $0 | $0 |
| M Tariq Randhawa | ||||||||||||||
| Physician | $406,514 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $7,596 | $0 | $414,110 | $0 | $0 | $0 |
| Kevin Wentworth | ||||||||||||||
| Physician Assistant | $300,480 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $10,885 | $0 | $311,365 | $0 | $0 | $0 |
| Kevin Briceland | ||||||||||||||
| Physician Assistant | $208,922 | $0 | $20,000 | $0 | $0 | $0 | $0 | $0 | $2,751 | $0 | $231,673 | $0 | $0 | $0 |
| Giacomo Floria | ||||||||||||||
| Chief Advanced Practice Provider | $196,389 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $10,407 | $0 | $206,796 | $0 | $0 | $0 |
| Jennifer Sullivan | ||||||||||||||
| President & CEO (through 5/11/2018) | $476,670 | $0 | $44,612 | $0 | $375,000 | $0 | $0 | $0 | $3,820 | $0 | $900,102 | $0 | $0 | $0 |
| Stanley Konopko | ||||||||||||||
| CFO (through 5/11/2018) | $455,736 | $0 | $40,829 | $0 | $343,200 | $0 | $0 | $0 | $9,722 | $0 | $849,487 | $0 | $0 | $0 |
| Michael Kamali MD | ||||||||||||||
| Board Member | $0 | $609,237 | $0 | $18,450 | $0 | $2,204 | $0 | $38,703 | $0 | $25,802 | $0 | $694,396 | $0 | $0 |
| Aileen Shinaman | ||||||||||||||
| Board Member | $0 | $264,644 | $0 | $20,000 | $0 | $18,750 | $0 | $28,502 | $0 | $49,680 | $0 | $381,576 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 4 | Jennifer Sullivan - Bonus $44,612, Severance $375,000; Stanley Konopko Bonus $40,829, Severance $343,200; Dr. Kamali - Bonus $18,450, SERP Plan - receipt of employer paid deferred compensation $12,300; Aileen Shinaman - Bonus $20,000. |
| Schedule J, Part I, Line 7 | Bonuses for Jennifer Sullivan $44,612.50; Stanley Konopko $40,829.36; Kevin Briceland $20,000. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part I, Line 1 | DESCRIPTION OF ORGANIZATION MISSION: ST. JAMES HOSPITAL, GOVERNED BY A SELF-PERPETUATING COMMUNITY BASED BOARD, IS A COMMUNITY OF PERSONS COMMITTED TO BEING A TRANSFORMING, HEALING PRESENCE WITHIN THE RURAL COMMUNITIES WE SERVE, PARTICULARLY ADDRESSING THE NEEDS OF THE POOR, UNDERSERVED AND DISADVANTAGED. |
| Form 990, Part III, Line 1 | See the Mission Description above for Part 1, Line 1. |
| Form 990, Part VI, Section A, Line 4 | Effective March 1, 2018, the Hospital, the University of Rochester Medical Center (URMC),a division of the University of Rochester (UR), entered into an affiliation agreement, which resulted in the UR becoming the sole corporate member of the Hospital. As a result, St. James Hospital amended its Bylaws to reserve certain powers to UR as its member and to change the composition, authority, quorum and voting approval requirements of its board of directors. |
| Form 990, Part VI, Section A, Line 6 | THE SOLE MEMBER OF ST. JAMES HOSPITAL IS THE UNIVERSITY OF ROCHESTER (UR). AS SUCH, UR HAS THE AUTHORITY TO ELECT THE GOVERNING BODY OF ST. JAMES HOSPITAL, AND CERTAIN DECISIONS OF ST. JAMES HOSPITAL ARE SUBJECT TO THE APPROVAL OF UR. SUCH DECISIONS INCLUDE AMENDMENT OF THE CERTIFICATE OF INCORPORATION AND BYLAWS AND APPROVAL OF EXTRAORDINARY CORPORATE ACTIONS SUCH AS MERGER OR DISOLUTION. |
| Form 990, Part VI, Section A, Line 7a | REFER TO SCHEDULE O, MEMBERSHIP INFORMATION, FORM 990, PART VI, SECTION A,LINE 6 |
| Form 990, Part VI, Section A, Line 7b | REFER TO SCHEDULE O, MEMBERSHIP INFORMATION, FORM 990, PART VI, SECTION A,LINE 6. |
| Form 990, Part VI, Section B, Line 11b | A COPY OF THE FORM 990 WAS MADE AVAILABLE TO EACH BOARD MEMBER BEFORE IT WAS FILED. ST. JAMES HOSPITAL HAS DESIGNED THE AUDIT AND COMPLIANCE COMMITTEE AS THE GROUP TO BE EDUCATED AND TO REVIEW THE RETURN. |
| Form 990, Part VI, Section B, Line 12c | Board members, officers, and key employees (determined by the President & CEO) complete conflict of interest forms annually to identify actual and potential conflicts of interest that may exist relative to their duties with the organization and the organization's COI policy. The CEO shall disclose to the Board or appropriate committee thereof any employee disclosure made relevant to the matter and the evaluation thereof. Copies are provided to the Corporate Compliance Office and maintained by the executive assistant to the Board of Directors and CEO. If a conflict is disclosed, that person shall leave the Board or committee meeting while the determination of a conflict of interest is discussed and voted upon. The Chairperson of the Board or committee will determine if a conflict of interest exist. To help ensure compliance with the COI policy, among the provisions the person with an actual or potential conflict of interest will not be allowed to participate in any discussion or decision in any area of conflict identified, and leave the room during discussion and vote. The Corporate Responsibility and Compliance Committee review these procedures every two (2) years to assess their effectiveness and recommend (or make) appropriate changes as needed to ensure the conflict of interest policy is consistently and effectively enforced. This was done with Board members on December 4, 2018. |
| Form 990, Part VI, Section B, Line 15 | THE BOARD HAS AN INDEPENDENT COMMITTEE REVIEW AND APPROVE ALL ELEMENTS OF REMUNERATION FOR ALL DISQUALIFIED PARTIES, AS WELL AS OTHER KEY MANAGEMENT. THE BOARD/COMMITTEE HAS AN ESTABLISHED COMPENSATION PHILOSOPHY WHICH DETAILS THE OBJECTIVES OF MARKET POSITIONING AND PAY ELEMENTS. THE COMMITTEE REVIEWS MARKET DATA, COMPARATIVE MARKET COMPENSATION DATA, APPROVES ANY SALARY ADJUSTMENTS FOR THE EXECUTIVE POPULATION, CONSIDERS BOTH REASONABLENESS AND EFFECTIVENESS OF ALL REMUNERATIVE PROGRAMS AND ESTABLISHES THE DETAILED PERFORMANCE EXPECTATIONS. ALL OF THESE DISCUSSIONS AND DECISIONS ARE DOCUMENTED THROUGH THE PROVISION OF MEETING MINUTES. THIS APPLIES TO THE PRESIDENT/CEO'S COMPENSATION AND WAS LAST DONE IN JULY 2018. |
| Form 990, Part VI, Section C, Line 19 | St. James Hospital's Form 1023 and Form 990 are available on request. St. James Hospital's governing documents, conflict of interest policy and audited financial statements are not routinely made available to the public. |
| Form 990, Part XI, Line 9 | Net Asset reconciliation also includes $19,903,990 grant for capital acquisitions, $13,636 release from temporary restricted to operating for capital, and ($1,039) misc changes. |
| Form 990, Part XII, Line 2c | THE AUDIT AND COMPLIANCE COMMITTEE IS RESPONSIBLE FOR THE SELECTION OF THE INDEPENDENT AUDITOR AND OVERSIGHT OF THE AUDIT. THERE HAS BEEN A CHANGE FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (35 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| University of Rochester | ||||||||||||
| 910 Genesee St | Suite 200 | Rochester | NY | 14611 | 160743209 | School | NY | 501(c)(3) | 2 | N/A | 0 | |
| Highland Hospital of Rochester | ||||||||||||
| 1000 South Avenue | Rochester | NY | 14620 | 160743037 | Hospital | NY | 501(c)(3) | 3 | 0 | Strong Partners Health System Inc | ||
| The Highland Foundation Inc | ||||||||||||
| 1000 South Avenue | Rochester | NY | 14620 | 237310662 | Fundraising | NY | 501(c)(3) | 12 A 1 | 0 | The Highland Hospital of Rochester | ||
| Highland Facilities Development Corp | ||||||||||||
| 1000 South Avenue | Rochester | NY | 14620 | 223039077 | Medical Building | NY | 501(c)(3) | 10 | 0 | The Highland Hospital of Rochester | ||
| Strong Partners Health System Inc | ||||||||||||
| 601 Elmwood Ave | Box 706 | Rochester | NY | 14642 | 161499099 | Support Organization | NY | 501(c)(3) | 12a1 | 0 | University of Rochester | |
| Highland Community Development Corp | ||||||||||||
| 100 Hahnemann Trail | Pittsford | NY | 14534 | 223154715 | Elder Care | NY | 501(c)(3) | 10 | 0 | Strong Partners Health System | ||
| The Highlands Living Center | ||||||||||||
| 500 Hahnemann Trail | Pittsford | NY | 14534 | 223240227 | Healthcare | NY | 501(c)(3) | 10 | 0 | Strong Partners Health System Inc | ||
| The Meadows at Westfall Inc | ||||||||||||
| 5901 Lac De Ville Blvd | Rochester | NY | 14618 | 161502303 | Healthcare | NY | 501(c)(3) | 10 | 0 | Strong Partners Health System Inc | ||
| FF Thompson Health System Inc | ||||||||||||
| 350 Parrish St | Canandaigua | NY | 14424 | 222959987 | Support Organization | NY | 501(c)(3) | 12a1 | 0 | University of Rochester | ||
| Frederick Ferris Thompson Memorial Hospital | ||||||||||||
| 350 Parrish St | Canandaigua | NY | 14424 | 160743024 | Hospital | NY | 501(c)(3) | 3 | 0 | Thompson Health System | ||
| M M Ewing Continuing Care Center | ||||||||||||
| 350 Parrish St | Canandaigua | NY | 14424 | 237046583 | Healthcare | NY | 501(c)(3) | 3 | 0 | FF Thompson Health System | ||
| F F Thompson Senior Communities Inc | ||||||||||||
| 1 Ferris Hills | Canandaigua | NY | 14424 | 161557494 | Elder Care | NY | 501(c)(3) | 10 | 0 | FF Thompson Health System | ||
| F F Thompson Foundation Inc | ||||||||||||
| 350 Parrish St | Canandaigua | NY | 14424 | 222959984 | Fundraising | NY | 501(c)(3) | 7 | 0 | FF Thompson Health System | ||
| The Memorial Hospital of William F and Gertrude F Jones Inc | ||||||||||||
| 191 North Main St | Wellsville | NY | 14895 | 222807681 | Hospital | NY | 501(c)(3) | 3 | 0 | University of Rochester | ||
| Jones Memorial Hospital Foundation | ||||||||||||
| 191 North Main St | Wellsville | NY | 14895 | 473763374 | Support Organization | NY | 501(c)(3) | 7 | 0 | The Memorial Hospital of William F and Gertrude F Jones Inc | ||
| Jones Medical Services PC | ||||||||||||
| 191 North Main St | Wellsville | NY | 14895 | 465210222 | Medical Clinic | NY | 501(c)(3) | 3 | 0 | The Memorial Hospital of William F and Gertrude F Jones Inc | ||
| Livingston Health Care System Inc | ||||||||||||
| 111 Clara Barton St | Dansville | NY | 14427 | 161455240 | Support Organization | NY | 501(c)(3) | 12a1 | 0 | University of Rochester | ||
| Nicholas H Noyes Memorial Hospital | ||||||||||||
| 111 Clara Barton St | Dansville | NY | 14427 | 160743979 | Hospital | NY | 501(c)(3) | 3 | 0 | Livingston Health Care System Inc | ||
| Red Jacket Center Inc | ||||||||||||
| 111 Clara Barton St | Dansville | NY | 14427 | 161037658 | Medical Building | NY | 501(c)(3) | 12a1 | 0 | Livingston Health Care System | ||
| The Foundation for Noyes Memorial Health System Inc | ||||||||||||
| 111 Clara Barton St | Dansville | NY | 14427 | 161584778 | Fundraising | NY | 501(c)(3) | 7 | 0 | Livingston Health Care System Inc | ||
| ST JAMES FOUNDATION INC | ||||||||||||
| 411 CANISTEO STREET | HORNELL | NY | 14843 | 161486437 | Fundraising | NY | 501(C)(3) | 7 | Yes (1) | ST JAMES HOSPITAL | ||
| Strong Home Care Group | ||||||||||||
| 2180 Empire Boulevard | Webster | NY | 14580 | 222577664 | Fundraising | NY | 501(c)(3) | 7 | 0 | University of Rochester | ||
| UR Medicine Home Care Certified Services Inc | ||||||||||||
| 2180 Empire Boulevard | Webster | NY | 14580 | 160743215 | Healthcare | NY | 501(c)(3) | 10 | 0 | Strong Home Care Group | ||
| Community Care of Rochester | ||||||||||||
| 2180 Empire Boulevard | Webster | NY | 14580 | 161561691 | Healthcare | NY | 501(c)(3) | 10 | 0 | Strong Home Care Group | ||
| Finger Lakes Visiting Nurse Service Inc | ||||||||||||
| 756 PreEmption Rd | Geneva | NY | 14456 | 223067627 | Healthcare | NY | 501(c)(3) | 10 | 0 | Visiting Nurse Service of Rochester and Monroe County | ||
| Finger Lakes Home Care Inc | ||||||||||||
| 756 PreEmption Rd | Geneva | NY | 14456 | 161489133 | Healthcare | NY | 501(c)(3) | 10 | 0 | Visiting Nurse Service of Rochester and Monroe County | ||
| UR Medicine Home Care Community Services Inc | ||||||||||||
| 2180 Empire Boulevard | Webster | NY | 14580 | 825091873 | Healthcare | NY | 501(c)(3) | 10 | 0 | Strong Home Care Group | ||
| UR Medicine Home Care Foundation Inc | ||||||||||||
| 2180 Empire Boulevard | Webster | NY | 14580 | 831912967 | Support Org | NY | 501(c)(3) | 12a1 | 0 | Strong Home Care Group | ||
| University of Rochester Employee Benefit Trust | ||||||||||||
| 910 Genesee St | Suite 200 | Rochester | NY | 14611 | 161600112 | Employee Benefit Trust | NY | 501(c)(9) | NA | 0 | University of Rochester | |
| Excell Partners Inc | ||||||||||||
| 343 State St | Kodak Tower 2nd fl | Rochester | NY | 14650 | 201862628 | Economic Development | NY | 501(c)(4) | NA | 0 | University of Rochester | |
| Rochester BioVenture Center Inc | ||||||||||||
| 601 Elmwood Ave | Box 706 | Rochester | NY | 14642 | 202485999 | Biotech Incubator | NY | 501(c)(3) | 12a1 | 0 | University of Rochester | |
| NextCorps Inc | ||||||||||||
| 260 East Main St | Suite 6000 | Rochester | NY | 14604 | 161195028 | Business Incubator | NY | 501(c)(3) | 7 | 0 | University of Rochester | |
| U of R Broadcasting Corporation | ||||||||||||
| 201 Wilson Commons | Rochester | NY | 14627 | 160743209 | Broadcast License | NY | 501(c)(4) | NA | 0 | University of Rochester | ||
| UR Real Estate Corporation | ||||||||||||
| 263 Wallis Hall | Rochester | NY | 14627 | 271140014 | Support Organization | NY | 501(c)(3) | 12a1 | 0 | University of Rochester | ||
| Meliora Real Estate Corporation | ||||||||||||
| 263 Wallis Hall | Rochester | NY | 14627 | 452464788 | Support Organization | NY | 501(c)(3) | 12a1 | 0 | University of Rochester | ||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|
| Excell Innovate NY Fund LP | ||||||||
| 343 State St | Kodak Tower 2nd Fl | Rochester | NY | 14650 | 462405519 | Investment Fund | NY | ETV Inc |
| Minority and Women Owned Investment Fund LP | ||||||||
| 343 State St | Kodak Tower 2nd Fl | Rochester | NY | 14650 | 810723223 | Investment Fund | NY | ETV Inc |
| Excell Partners Innovative TC Fund LP | ||||||||
| 343 State St | Kodak Tower 2nd Fl | Rochester | NY | 14650 | 810711015 | Investment Fund | NY | ETV Inc |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|
| Medical Administrative Associates Inc | ||||||||||
| 777 South Clinton Avenue | Rochester | NY | 14620 | 161354319 | Retail Pharmacy | NY | Highland Hospital | C | 0 | |
| FFTH Properties and Services Inc | ||||||||||
| 350 Parrish St | Canandaigua | NY | 14424 | 161286518 | Holding Company | NY | FF Thompson Health System | C | 0 | |
| Finger Lakes Community Care Network Inc | ||||||||||
| 350 Parrish St | Canandaigua | NY | 14424 | 161423442 | Inactive | NY | FF Thompson Health System | C | 0 | |
| Excell Technology Ventures Inc | ||||||||||
| 343 State St | Rochester | NY | 14650 | 800909149 | Biotech Incubator | NY | Rochester Bioventure | C | 0 | Kodak Tower 2nd Fl |
| Luminate Venture Challenge Corp | ||||||||||
| 260 East Main St | Rochester | NY | 14604 | 823954131 | Business Incubator | NY | NextCorps Inc | C | 0 | Suite 6000 |
| UR Equity Holdings | ||||||||||
| 110 Office Park Way | Pittsford | NY | 14534 | 273040889 | Holding Company | NY | University of Rochester | C | 0 | |
| Accountable Health Partners LLC | ||||||||||
| 135 Corporate Woods | Rochester | NY | 14623 | 300787967 | Acct Care Network | NY | University of Rochester | C | 0 | Suite 320 |
| AHP Insurance Company | ||||||||||
| 76 St Paul St | Burlington | VT | 05401 | 814644839 | Captive Insurance Company | VT | Accountable Health Partners LLC | C | 0 | Suite 500 |
| Accountable Health Partners IPA LLC | ||||||||||
| 135 Corporate Woods | Rochester | NY | 14623 | 371746016 | Indep Practice Assn | NY | AHP LLC | C | 0 | Suite 320 |
| Hornell Medical Village LLC | ||||||||||
| 411 Canisteo St | Hornell | NY | 14843 | 611886763 | Medical Office Building | NY | St James Hospital | 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 | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JAMES FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | o | TransactionTypeTxt |
| Involved | $63,608 | InvolvedAmt |
| Method Of Amount Determination | Actual salary expense | MethodOfAmountDeterminationTxt |
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