THE FREDERICK FERRIS THOMPSON HOSPI TAL: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- THE FREDERICK FERRIS THOMPSON HOSPI TAL (EIN 16-0743024)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-08
- IRS object ID
- 201833129349301938
- Schema version
- 2017v2.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-08T10:42:46-07:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 160743024 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FREDERICK FERRIS THOMPSON HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FRED | BusinessNameControlTxt |
| Phone | 5853966000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 Parrish Street | AddressLine1Txt |
| City | Canandaigua | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14424 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Mark Prunoske | PersonNm |
| Person Title | Sr VP Finance CFO | PersonTitleTxt |
| Phone | 5853966280 | PhoneNum |
| Signature | 2018-11-08 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 128.151.71.11 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2018-06-14 16:35:46Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Michael F Stapleton Jr | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 Parrish Street | AddressLine1Txt |
| City | Canandaigua | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14424 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $140,125,481 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.thompsonhealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1904 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | FF Thompson Hospital is dedicated to continuously improve the health of the residents and communities of the Finger Lakes and surrounding regions. | ActivityOrMissionDesc |
| Voting Members Governing Body | 25 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 20 | VotingMembersIndependentCnt |
| Total Employee | 1494 | TotalEmployeeCnt |
| Total Volunteers | 247 | TotalVolunteersCnt |
| Total Gross UBI | $477,978 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $875,315 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,317,864 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $120,973,420 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $129,316,031 | CYProgramServiceRevenueAmt |
| PY Investment Income | $58,576 | PYInvestmentIncomeAmt |
| CY Investment Income | -$871,531 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,724,307 | PYOtherRevenueAmt |
| CY Other Revenue | $2,514,129 | CYOtherRevenueAmt |
| PY Total Revenue | $124,631,618 | PYTotalRevenueAmt |
| CY Total Revenue | $132,276,493 | 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 | $69,823,152 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $72,224,994 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $54,052,801 | PYOtherExpensesAmt |
| CY Other Expenses | $51,918,516 | CYOtherExpensesAmt |
| PY Total Expenses | $123,875,953 | PYTotalExpensesAmt |
| CY Total Expenses | $124,143,510 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $755,665 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,132,983 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $122,831,417 | TotalAssetsBOYAmt |
| Total Assets EOY | $125,696,214 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $76,904,681 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $72,751,600 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $45,926,736 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $52,944,614 | NetAssetsOrFundBalancesEOYAmt |
| Mission | FF Thompson Hospital is a community hospital which exists to serve the health care needs of the people in partnership with regional health care providers. FF Thompson Hospital serves as the center of a health care network to provide a full range of health care services and to improve community health. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $98,659,179 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $131,830,160 | RevenueAmt |
| Desc | Inpatient care: 5,582 Inpatient discharges, 21,275 Inpatient Days. Outpatient: 1,563,497 Lab visits/tests, 28,175 ED visits, 73,354 Diagnostic Imaging, 29,412 Urgent Care, 66,608 Primary Care Practices, 36,427 Rehabilitation Services, and 6,438 Surgical Services. Charity Care was provided in the amount of $760,135 (at cost). Community Benefit was $2,384,441. Uncompensated Care was $4,379,563. | 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 | $98,659,179 | 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 | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | 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 | 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 | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | 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 | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 163 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1494 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 25 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 20 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FF Thompson Hospital | BusinessNameLine1Txt |
| Business Name Line2 | Roberta Spezzano | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5853966000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 Parrish Street | AddressLine1Txt |
| City | Canandaigua | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14424 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (42 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Steven Goldstein | |||||||||
| Board Member | 0.5 | 71.00 | Yes (X) | $0 | $1,366,233 | $503,360 | |||
| Raymond Mayewski MD | |||||||||
| Board Member till April 2017 | 0.5 | 60 | Yes (X) | $0 | $532,752 | $32,625 | |||
| Michael Apostolakos MD | |||||||||
| Board Member as of April 2017 | 0.5 | 55 | Yes (X) | $0 | $525,399 | $58,879 | |||
| Mark Taubman MD | |||||||||
| Board Member | 0.5 | 75 | Yes (X) | $0 | $1,091,700 | $322,203 | |||
| James H Barr CPA | |||||||||
| Board Chair | 1.0 | 1 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Daniel Fuller | |||||||||
| Board Vice Chair | 1 | 1 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Brian Meath Esq | |||||||||
| Board Secretary | 1 | 1 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Deborah Price | |||||||||
| Board Treasurer | 1 | 1 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Mark Blazey | |||||||||
| Board Member | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| David G Case | |||||||||
| Board Member | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| Lauren Dixon | |||||||||
| Board Member | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| Randall Farnsworth | |||||||||
| Board Member | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| Ellie Fralick | |||||||||
| Board Member | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| Roger Friedlander | |||||||||
| Board Member | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| Paul Griswold | |||||||||
| Board Member | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| Frank Hamlin | |||||||||
| Board Member | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| George Hamlin II | |||||||||
| Board Member | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| Richard H Hawks Jr | |||||||||
| Board Member | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| Dale Hunt | |||||||||
| Board Member | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| William R Kenyon Esq | |||||||||
| Board Member | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| A David Peter MD | |||||||||
| Board Member | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| Robert Sands Esq | |||||||||
| Board Member | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| Margaret Somerset Esq | |||||||||
| Board Member | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| Cynthia Teerlinck MD | |||||||||
| Board Member | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| Lori Van Dusen | |||||||||
| Board Member | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| Michael F Stapleton JR | |||||||||
| President/CEO | 2.00 | 38.00 | Yes (X) | $0 | $575,444 | $110,281 | Yes (X) | ||
| Ben C Wandke MD | |||||||||
| President of Medical Staff | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Vijay Bansal MD | |||||||||
| VP of the Medical Staff | 27.00 | 0 | $304,275 | $0 | $44,662 | Yes (X) | |||
| David Baum MD | |||||||||
| SVP Medical Affairs & Emergency Physician | 20 | 20 | $219,998 | $194,473 | $105,214 | Yes (X) | |||
| Jennifer DeVault | |||||||||
| VP Associate Services and Wellness | 36 | 4 | $164,997 | $0 | $47,908 | Yes (X) | |||
| Kirk Heriot | |||||||||
| Medical Staff Chief of Pathology | 40 | 0 | $263,732 | $0 | $115,302 | Yes (X) | |||
| Kurt Koczent | |||||||||
| EVP/COO | 36.00 | 4.00 | $232,509 | $58,127 | $68,508 | Yes (X) | |||
| Mark Prunoske | |||||||||
| Senior VP & CFO | 2.00 | 38.00 | $0 | $289,283 | $91,316 | Yes (X) | |||
| Ann Robenstien | |||||||||
| Acting Chief of Emergency Medicine | 43.00 | 0 | $404,039 | $0 | $36,141 | Yes (X) | |||
| Hazel Robertshaw | |||||||||
| VP Patient Care Services/CNO | 40 | 0 | $169,139 | $0 | $26,234 | Yes (X) | |||
| Elizabeth Talia | |||||||||
| VP Legal & Regulatory Affairs and General Counsel | 25.50 | 14.50 | $0 | $189,007 | $42,997 | Yes (X) | |||
| Peter Fenton MD | |||||||||
| Physician | 40 | 0 | $376,105 | $0 | $49,146 | Yes (X) | |||
| William Livingston MD | |||||||||
| Physician | 44.00 | 0 | $476,499 | $0 | $24,935 | Yes (X) | |||
| Timothy Pitler MD | |||||||||
| Physician | 43.00 | 0 | $417,564 | $0 | $151,478 | Yes (X) | |||
| Joseph Talarico MD | |||||||||
| Physician | 40.00 | 0 | $490,836 | $0 | $40,130 | Yes (X) | |||
| Matthew Osborne MD | |||||||||
| Physician | 41.00 | 0 | $401,105 | $0 | $55,334 | Yes (X) | |||
| Jason McClung MD | |||||||||
| Physician | 45.00 | 0 | $302,283 | $0 | $16,078 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,223,081 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,822,418 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,942,731 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 85 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | 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 |
|---|---|---|---|---|---|
| The Pike Company | |||||
| One Circle Street | Rochester | NY | 14607 | Construction Services | $1,318,892 |
| Mckesson Technologies Inc | |||||
| PO Box 98347 | Chicago | IL | 606938347 | Support and fees | $1,010,708 |
| Dr Henry Maglente | |||||
| 177 Fresh Water Lane | Mooresville | NC | 28117 | Nocturnalist Services | $934,194 |
| Hanlon Architects PC | |||||
| 1300 University Avenue | Rochester | NY | 14607 | Architect Services | $748,309 |
| Philips Healthcare | |||||
| PO Box 100355 | Atlanta | GA | 303840355 | Service Agreement | $638,311 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 28 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $1,317,864 | RelatedOrganizationsAmt |
| Government Grants | $0 | GovernmentGrantsAmt |
| All Other Contributions | $0 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $1,317,864 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Community Health Service | 622110 | $108,783,714 | $108,783,714 | $0 | $0 |
| Medicare/Medicaid Payments | 622110 | $20,054,339 | $20,054,339 | $0 | $0 |
| Lab Revenue | 621500 | $477,978 | $0 | $477,978 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $129,316,031 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $143,777 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $143,777 | 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 | $0 | 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 | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| 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 Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,307,538 | SecuritiesAmt |
| Other | $3,526,142 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,914,604 | SecuritiesAmt |
| Other | $4,934,384 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $392,934 | SecuritiesAmt |
| Other | -$1,408,242 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,015,308 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$1,015,308 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Associate/Patient Support | 622000 | $2,488,649 | $2,488,649 | $0 | $0 |
| Meaningful Use | 622000 | $25,480 | $25,480 | $0 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,514,129 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $132,276,493 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $131,352,182 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $477,978 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$871,531 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,758,689 | TotalAmt |
| Program Services | $1,192,044 | ProgramServicesAmt |
| Management And General | $566,645 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,796,047 | TotalAmt |
| Program Services | $49,916,551 | ProgramServicesAmt |
| Management And General | $8,879,496 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,750,539 | TotalAmt |
| Program Services | $1,477,466 | ProgramServicesAmt |
| Management And General | $273,073 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,835,129 | TotalAmt |
| Program Services | $4,924,887 | ProgramServicesAmt |
| Management And General | $910,242 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,084,590 | TotalAmt |
| Program Services | $3,447,421 | ProgramServicesAmt |
| Management And General | $637,169 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,303 | TotalAmt |
| Program Services | $23,949 | ProgramServicesAmt |
| Management And General | $157,354 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,273 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $105,273 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $241,881 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $241,881 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,753,499 | TotalAmt |
| Program Services | $5,697,708 | ProgramServicesAmt |
| Management And General | $3,055,791 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,110 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $21,110 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,169,963 | TotalAmt |
| Program Services | $20,552,375 | ProgramServicesAmt |
| Management And General | $617,588 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,917,503 | TotalAmt |
| Program Services | $1,863,413 | ProgramServicesAmt |
| Management And General | $2,054,090 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,112,622 | TotalAmt |
| Program Services | $1,975,715 | ProgramServicesAmt |
| Management And General | $136,907 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,150 | TotalAmt |
| Program Services | $65,330 | ProgramServicesAmt |
| Management And General | $25,820 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $182,435 | TotalAmt |
| Program Services | $172,144 | ProgramServicesAmt |
| Management And General | $10,291 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,609,332 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $1,609,332 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,974,399 | TotalAmt |
| Program Services | $5,898,590 | ProgramServicesAmt |
| Management And General | $2,075,809 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $630,538 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $630,538 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Health System Assessment | $3,279,779 | $1,377,507 | $1,902,272 | $0 |
| Facility Services | $993,330 | $0 | $993,330 | $0 |
| New York State Assessment | $440,375 | $0 | $440,375 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $214,024 | TotalAmt |
| Program Services | $74,079 | ProgramServicesAmt |
| Management And General | $139,945 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,143,510 | TotalAmt |
| Program Services | $98,659,179 | ProgramServicesAmt |
| Management And General | $25,484,331 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,780,664 | BOYAmt |
| EOY | $19,202,019 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,077,961 | BOYAmt |
| EOY | $12,851,442 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,294,424 | BOYAmt |
| EOY | $9,275,636 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,957,301 | BOYAmt |
| EOY | $1,770,388 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,229,133 | BOYAmt |
| EOY | $4,556,212 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $152,604,779 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $91,175,710 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,010,801 | BOYAmt |
| EOY | $61,429,069 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,039,286 | BOYAmt |
| EOY | $1,196,077 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,441,847 | BOYAmt |
| EOY | $15,415,371 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,831,417 | BOYAmt |
| EOY | $125,696,214 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,734,040 | BOYAmt |
| EOY | $15,003,222 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,989,733 | BOYAmt |
| EOY | $33,400,000 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,127,091 | BOYAmt |
| EOY | $776,500 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,053,817 | BOYAmt |
| EOY | $23,571,878 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,904,681 | BOYAmt |
| EOY | $72,751,600 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,153,502 | BOYAmt |
| EOY | $50,089,055 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,773,234 | BOYAmt |
| EOY | $2,855,559 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,926,736 | BOYAmt |
| EOY | $52,944,614 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,831,417 | BOYAmt |
| EOY | $125,696,214 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $8,132,983 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$72,362 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$1,042,743 | 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) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| 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
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,302,363 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $1,208,679 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $414,843 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $9,096,199 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,960,641 | BeginningYearBalanceAmt |
| Contributions | $22,273 | ContributionsAmt |
| Investment Earnings Or Losses | $417,315 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $97,866 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $8,302,363 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,410,147 | BeginningYearBalanceAmt |
| Contributions | $39,879 | ContributionsAmt |
| Investment Earnings Or Losses | -$52,633 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $20,000 | GrantsOrScholarshipsAmt |
| Other Expenditures | $416,752 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $7,960,641 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,160,115 | BeginningYearBalanceAmt |
| Contributions | $60,504 | ContributionsAmt |
| Investment Earnings Or Losses | $440,305 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $250,777 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $8,410,147 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,571,403 | BeginningYearBalanceAmt |
| Contributions | $13,176 | ContributionsAmt |
| Investment Earnings Or Losses | $1,114,484 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $538,948 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $8,160,115 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.94 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.06 | 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 | $58,076 | OtherCostOrOtherBasisAmt |
| Book Value | $58,076 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $80,348,963 | OtherCostOrOtherBasisAmt |
| Depreciation | $38,929,453 | DepreciationAmt |
| Book Value | $41,419,510 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $2,085,532 | OtherCostOrOtherBasisAmt |
| Depreciation | $685,136 | DepreciationAmt |
| Book Value | $1,400,396 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $64,706,127 | OtherCostOrOtherBasisAmt |
| Depreciation | $49,332,816 | DepreciationAmt |
| Book Value | $15,373,311 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $5,406,081 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,228,305 | DepreciationAmt |
| Book Value | $3,177,776 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $61,429,069 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other Assets | $4,926,865 |
| Due from Affiliates | $2,131,617 |
| Assets Limited as to Use | $4,636,051 |
| Beneficial Interest in Charitable Remainder Trust | $360,099 |
| Beneficial Interest in net assets of FFTH Foundation | $2,495,459 |
| Deferred Financing Costs, net | $865,280 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $15,415,371 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)
| DescDesc | AmtAmt |
|---|---|
| Accrued Pension Liability | $13,165,476 |
| Charitable Gift Annuity Payment Liability | $87,898 |
| Interest Rate Swap Liability | $61,725 |
| Estimated third party payor settlements, net | $1,575,573 |
| Acc Ins Reserve | $193,502 |
| MCIC Tail Liability | $790,740 |
| Workers Comp | $3,272,968 |
| CARO | $189,990 |
| Taxable bonds | $2,480,000 |
| Due to URMC | $1,754,006 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $23,571,878 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $131,171,688 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $0 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Recoveries Prior Year Grants | $0 | RecoveriesPriorYearGrantsAmt |
| Other Revenue | $110,126 | OtherRevenueAmt |
| Revenue Not Reported | $110,126 | RevenueNotReportedAmt |
| Revenue Subtotal | $131,061,562 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $0 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $1,214,931 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,214,931 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $132,276,493 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $124,143,510 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $0 | DonatedServicesUseFcltsAmt |
| Prior Year Adjustments | $0 | PriorYearAdjustmentsAmt |
| Losses Reported | $0 | LossesReportedAmt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $124,143,510 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $0 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $124,143,510 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part V, Line 4 | The funds are held by the Foundation for the benefit of FF Thompson Health System, Hospital, Senior Communities, and Continuing Care Center. The Foundation continuously evaluates the needs of these organizations and attempts to meet those needs. |
| Schedule D, Part X, Line 2 | As of December 31, 2017 and 2016, 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 D, Part XI, Line 2d | Net Assets released from restrictions used for operations $110,126 |
| Schedule D, Part XI, Line 4b | Contributions from the FF Thompson Foundation Inc $1,214,931 |
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 |
| Percent400 | Yes (X) | Percent400Ind |
| 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) |
|---|---|---|
| Total Community Benefit Expns | $1,064,323 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $304,188 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $760,135 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0061 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,474,945 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,685,161 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,789,784 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0225 | 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 | $17,539,268 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,989,349 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,549,919 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0286 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $432,897 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $41,779 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $391,117 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0032 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,440,895 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,520,616 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $920,279 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0074 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,533 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $26,533 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0002 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $5,900,325 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,562,395 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,337,929 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0108 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $23,439,593 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,551,744 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,887,848 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0394 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $148,031 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $90 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $147,941 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0012 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $796,244 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $796,244 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0064 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $944,275 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $90 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $944,185 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0076 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,379,563 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $87,591 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $17,808,594 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $20,187,661 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,379,067 | 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 | The Fredrick Ferris Thompson Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 Parrish Street | AddressLine1Txt |
| City | Canandaigua | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14424 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.thompsonhealth.org | WebsiteAddressTxt |
| State License | 3429000H | 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 | The Fredrick Ferris Thompson 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 Part V, Section C | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | See Part V, Section C | 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 | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Part V, Section C | 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 | 100 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400 | FPGFamilyIncmLmtDscntCarePct |
| 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 Part V, Section C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Part V, Section C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Part V, Section C | 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 |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5-The Fredrick Ferris Thompson Hospital | ONTARIO COUNTY PUBLIC HEALTH WAS CHARGED WITH WORKING WITH LOCAL HOSPITALS AND OTHER KEY PARTNER AGENCIES TO SELECT TWO KEY HEALTH PRIORITIES AND ONE DISPARITY TO ADDRESS IN THE COMMUNITY. TO THIS END, WE PARTNERED WITH ONTARIO COUNTY PUBLIC HEALTH, THE S2AY RURAL HEALTH NETWORK IN A COMPREHENSIVE PROCESS INVOLVING OTHER LOCAL HOSPITALS, COMMUNITY ORGANIZATIONS, AND COUNTY RESIDENTS. THE S2AY RURAL HEALTH NETWORK COUNTIES DATA ANALYSIS BEGAN WITH AN UPDATE FOR THE EIGHT COUNTY REGION CONDUCTED BY FLSHA (NOW COMMON GROUND), FOCUSING ON DATA RELATED TO PRIORITIES IN THE 2013 CHA. PUBLIC HEALTH AND HOSPITAL SYSTEMS ALSO REQUESTED DATA COLLECTION FROM DSRIP'S NEEDS ASSESSMENT OF EMERGING ISSUES AS A RESULT OF THEIR WORK IN THE COMMUNITY. THIS DATA WAS PRESENTED TO PUBLIC HEALTH AND HOSPITAL REPRESENTATIVES (OCHC), ALONG WITH DATA SOURCES FROM 2013-2014 EXPANDED BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY(EBRFSS), 2010 CENSUS BUREAU AND 2015 AMERICAN COMMUNITY SERVICES ESTIMATES, 2010-2014 SPARCS DATA SET, NY STATE PREVENTION AGENDA DATA SET(UPDATED 2016), 2014 AGGREGATED CLAIMS DATA, 2014 NY STATE VITAL STATISTICS AND 2015 REGIONAL HIGH BLOOD PRESSURE REGISTERY SUMMARY. THE REVIEW WAS COUNTY-SPECIFIC DATA, AS WELL AS COUNTY PREVENTION AGENDA DASHBOARD (UPDATED 2016), COMMUNITY HEALTH INDICATOR REPORTS (2010-2014), SUB-COUNTY DATA REPORTS (2016 REPORT), LEADING CAUSES OF DEATH INDICATORS (2012-2014) AND COUNTY RANKINGS (2016). OTHER DATA WAS ALSO OBTAINED FROM PARTNERSHIP FOR ONTARIO COUNTY'S YOUNG ADULT SURVEY (2015), A PUBLIC HEALTH SYSTEM ASSESSMENT SURVEY AND INFORMATION OBTAINED FROM COMMUNITY FOCUS GROUPS. THE ONTARIO COUNTY HEALTH COLLABORATIVE WHICH INCLUDE MANY OF THE COMMUNITY STAKEHOLDERS, ALONG WITH PUBLIC HEALTH AND HOSPITAL ORGANIZATIONS AND NOT-FOR-PROFIT ORGANIZATIONS CONTRIBUTED TO THE PROCESS. THIS GROUP OVERSAW THE ASSESSMENT PROCESS AND DEVELOPMENT OF THE CHIP. AFTER IDENTIFYING HIGH PRIORITY NEEDS FOR THE COUNTY, 9 DIVERSE FOCUS GROUPS MET TO REVIEW ALL THE DATA AND SHARE PERCEPTIONS. THESE FOCUS GROUP PARTICIPANTS WERE INVITED TO A PRIORITY-SETTING MEETING. AFTER THIS MEETING ANOTHER INVITATION FOR COMMUNITY INVOLVEMENT AND INPUT OCCURRED. THIS WAS THE YEAR THE STATE WAS ARRANGING FOR PUBLIC HEALTH TO LINE UP WITH THE REPORTING TIMELINE OF HOSPITALS. THE TIMELINE TO UPDATE AND DO A CHNA AND UPDATE THE CHIP/CSP WAS A VERY SHORT TIMELINE. |
| Schedule H, Part V, Section B, Line 6a-The Fredrick Ferris Thompson Hospital | THE FREDERICK FERRIS THOMPSON HOSPITAL CONDUCTED ITS CHNA JOINTLY WITH GENEVA GENERAL HOSPITAL (FINGER LAKES HEALTH) AND CLIFTON SPRINGS HOSPITAL. |
| Schedule H, Part V, Section B, Line 6b-The Fredrick Ferris Thompson Hospital | ORGANIZATIONS THAT PARTICIPATED IN THE COMMUNITY HEALTH ASSESSMENT PROCESS INCLUDED: ONTARIO COUNTY PUBLIC HEALTH DEPARTMENT, CLIFTON SPRINGS HOSPITAL AND CLINIC, FF THOMPSON HOSPITAL, GENEVA GENERAL HOSPITAL, S2AY RURAL HEALTH NETWORK, GENEVA HOUSING AUTHORITY, CHURCHES IN ACTION, ONTARIO COUNTY YOUTH BUREAU, ONTARIO COUNTY OFFICE OF THE AGING, ONTARIO COUNTY DSS, ONTARIO COUNTY SHERIFF'S OFFICE, ONTARIO COUNTY MENTAL HEALTH DEPARTMENT, ONTARIO COUNTY UNITED WAY, ONTARIO COUNTY WORKFORCE DEVELOPMENT, ONTARIO COUNTY CORRECTIONAL FACILITY, FINGER LAKES VISITING NURSE SERVICES, COURTS OF ONTARIO COUNTY, CANANDAIGUA RED CROSS, THE SALVATION ARMY RUSHVILLE HEALTH CENTER (RPCN), GENEVA HEAD START, CANANDAIGUA VETERANS AFFAIRS MEDICAL CENTER, FINGER LAKES CEREBRAL PALSY/HAPPINESS HOUSE, NAACP-GENEVA, GENEVA COMMUNITY HEALTH, ONTARIO COUNTY ARC, CATHOLIC CHARITIES, THE MONROE PLAN FOR MEDICAL CARE, LIFETIME CARE, FINGER LAKES ADDICTIONS COUNSELING AND REFERRAL AGENCY (FLACRA), CORNELL COOPERATIVE EXTENSION, PARTNERSHIP FOR ONTARIO COUNTY COUNCIL ON ALCOHOLISM & ADDICTIONS IN THE FINGER LAKES, COUNCIL OF CHURCHES, OUR LADY OF PEACE PARISH, SUCCESS FOR GENEVA'S CHILDREN, FINGER LAKES COMMUNITY COLLEGE, FINGER LAKES WIC PROGRAM, TOWN OF HOPEWELL, TOBACCO COALITION OF THE FINGER LAKES, YOUTH FOR YOUTH, ONTARIO FINGER LAKES BOCES, HOBART WILLIAM SMITH COLLEGES, HUBBS HEALTH CENTER, FINGER LAKES HEALTH SYSTEMS AGENCY;WHICH IS NOW COMMON GROUND, AND CHILD AND FAMILY RESOURCES, INC. |
| Schedule H, Part V, Section B, Line 7a-The Fredrick Ferris Thompson Hospital | http://www.thompsonhealth.com/Portals/0/_News%20Room/Publications/Community%20Service%20Plan/CSPbooklet2017V5.pdf?ver=2018-07-18-104024-980 |
| Schedule H, Part V, Section B, Line 7b-The Fredrick Ferris Thompson Hospital | http://www.S2AYNETWORK.org/UPLOADS/2/9/6/7/29678331/ONTARIO_CHA_2014-2017.pdf |
| Schedule H, Part V, Section B, Line 7d-The Fredrick Ferris Thompson Hospital | YEARLY COMMUNITY BENEFIT REPORT AND MEDIA RELEASE (DELINEATING COMMUNITY PRIORITIES WAS DISTRIBUTED TO MEDIA OUTLETS AND POSTED ON WEBSITES OF OCHC PARTNERS). |
| Schedule H, Part V, Section B, Line 10a-The Fredrick Ferris Thompson Hospital | http://www.thompsonhealth.com/Portals/0/_News%20Room/Publications/Community%20Service%20Plan/CSPbooklet2017v5.pdf?ver=2018-07-18-104024-980 |
| Schedule H, Part V, Section B, Line 11-The Fredrick Ferris Thompson Hospital | THE HANLON METHOD WAS USED TO RANK THE ISSUES. THIS METHOD OF RANKING FOCUSES MOST HEAVILY ON HOW EFFECTIVE ANY INTERVENTIONS MIGHT BE. THE HANLON METHOD UTILIZES THE FOLLOWING FORMULA TO RANK PRIORITIES: (A&2B) X C WHERE A=THE SIZE OF THE PROBLEM, B=THE SEVERITY OF THE PROBLEM AND C=THE EFFECTIVENESS OF THE SOLUTION. THE EFFECTIVENESS OF THE SOLUTION IS GIVEN A LOT MORE WEIGHT THAN THE SIZE OR SERIOUSNESS OF THE PROBLEM, WITH THE HOPE OF MAKING WISE USE OF LIMITED RESOURCES BY TARGETING SOLUTIONS THAT ARE KNOWN TO BE EFFECTIVE. PARTICIPANTS ALSO CONSIDER THE WEIGHT OF THE PROPRIETY, ECONOMIC FEASIBILITY, ACCEPTABILITY, RESOURCES AND LEGALITY (PEARL) OF ISSUES IN THIS RANKING SYSTEM. NUMERICAL VALUES WERE DETERMINED BY EACH PARTICIPANT FOR SIZE, SEVERITY AND EFFECTIVENESS, AND THEN PLUGGED INTO THE FORMULA ALONG WITH AVERAGE PEARL SCORES. IT IS IMPORTANT TO NOTE THAT WHILE THE HANLON METHOD OFFERS A NUMERICAL AND SYSTEMATIC METHOD OF RANKING PUBLIC HEALTH PRIORITIES, IT IS STILL A METHOD THAT IS LARGELY SUBJECTIVE, BUT WHICH REPRESENTS A QUANTITATIVE WAY TO RANK QUALITATIVE AND NON-COMPARABLE QUANTITATIVE INFORMATION. SINCE RESPONDENTS RANKED EACH COMPONENT (SIZE, SERIOUSNESS AND EFFECTIVENESS OF THE SOLUTION) INDIVIDUALLY USING A PAPER RANKING FORM, THE RANKINGS WERE NOT HEAVILY INFLUENCED BY GROUP DYNAMICS. BASED UPON THE RANKING THROUGH THE HANLON METHOD, ONTARIO COUNTY'S SCORES ON THE TOP HEALTH RELATED ISSUES IN THE COUNTY WERE: CEREBROVASCULAR DISEASE (STROKE, HYPERTENSION), CANCER (LUNG, OVARIAN, PROSTATE), POOR NUTRITION (UNHEALTHY EATING), OBESITY (INCLUDING LACK OF PHYSICAL ACTIVITY & FITNESS), BEHAVORIAL PROBLEMS IN CHILDREN, DENTAL HEALTH, DEPRESSION/OTHER MENTAL ILLNESSES, SMOKING/TOBACCO USE/SECONDHAND SMOKE, ACCESS TO SPECIALTY HEALTH CARE, DRUG & ALCOHOL ABUSE, ABUSE OF PRESCRIPTION DRUGS, CLRD (COPD) AND UNINTENTIONAL INJURIES. COMMUNITY PARTNERS DISCUSSSED ALL THE IDENTIFIED NEEDS BUT CONCENTRATED ON THE TOP RANKED ONES. THE ASSEMBLAGE ACKNOWLEDGED THERE WERE OTHER AREAS OF NEED THAT WOULD REQUIRE ATTENTION OR IN SOME CASES, THE NEED WAS ALREADY BEING ADDRESSED. THE GROUP WAS ALSO MINDFUL OF THE NEW YORK STATE PREVENTION AGENDA FOCUSED AREAS. AFTER REVIEWING, DISCUSSING AND CONSIDERING COUNTY ASSESSMENTS, DATA, PREVIOUS INITIATIVES, ALONG WITH AVAILABLE RESOURCES, THE GROUP DECIDED TO FOCUS ON THE TWO AREAS IN WHICH THEY FELT THEY COULD HAVE THE MOST IMPACT ON AS A COLLABORATING BODY. 1. OBESITY 2. HYPERTENSION AND THE FOLLOWING DISPARITY: OBESITY IN THE LOW-INCOME POPULATION. THE GROUP THEN SAT DOWN TOGETHER AND DEVELOPED THEIR COMMUNITY SERVICE PLAN/COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) INITIATIVES. THE FOCUSED AREAS LISTED ABOVE HAVE SEVERAL ACTION ITEMS LISTED OUT ON THE COMMUNITY SERVICE PLAN FOR BOTH AREAS AND CITES WHAT SPECIFICALLY IS BEING DONE TO ADDRESS EACH AREA. |
| Schedule H, Part V, Section B, Line 16a-The Fredrick Ferris Thompson Hospital | http://www.thompsonhealth.com/Portals/0/_Patients%20and%20Visitors/_Financial%20Services/_Documents/Financial%20Aid_Community%20Care%20Policy2-12-2016.pdf?ver=2016-03-02-15025 |
| Schedule H, Part V, Section B, Line 16b-The Fredrick Ferris Thompson Hospital | http://www.thompsonhealth.com/Portals/0/_Patients%20and%20Visitors/_Financial%20Services/_Documents/SlidingFeeGuideApplicationWorksheet-2016.pdf?ver=2016-03-02-150257-603 |
| Schedule H, Part V, Section B, Line 16c-The Fredrick Ferris Thompson Hospital | http://www.thompsonhealth.com/Portals/0/_Patients%20and20%Visitors/_Financial%20Services/_Documents/FinancialAidSummary_1-1-2016.pdf |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 3c | ALL PATIENTS WITH NO INSURANCE RECEIVE A DISCOUNT. INPATIENT DISCOUNT IS APPLIED TO CHARGES TO BRING TO THE MEDICARE INPATIENT DRG REIMBURSEMENT. A 50% DISCOUNT TO CHARGES IS APPLIED FOR ALL OUTPATIENT SERVICES. |
| Schedule H, Part I, Line 7 | PATIENT COST TO CHARGE CALCULATED ACCORDING TO THE IRS 990 SCHEDULE H WORKSHEET. |
| Schedule H, Part I, Line 7, Column f | BAD DEBT IN THE AMOUNT OF $4,379,563 WHICH IS INCLUDED IN PART IX IS REMOVED FOR THE PURPOSES OF CALCULATING THE PERCENTAGE ON SCHEDULE H, PART I, LINE 7, COLUMN F. |
| Schedule H, Part I, Line 7g | THERE ARE NO PHYSICIAN CLINIC COSTS INCLUDED IN THESE SERVICES. |
| Schedule H, Part II | REFER TO SCHEDULE H, PART VI, LINE 2 |
| Schedule H, Part III, Section A, Line 4 | AS STATED IN THE FOOTNOTES TO FINANCIAL STATEMENTS, "AN ALLOWANCE FOR DOUBTFUL ACCOUNTS RECEIVABLE IS ESTIMATED BY MANAGEMENT BASED ON PERIODIC REVIEWS OF COLLECTABILITY OF ACCOUNTS RECEIVABLE CONSIDERING HISTORICAL EXPERIENCE AND PREVAILING ECONOMIC CONDITIONS." BAD DEBT EXPENSE IS NOT INCLUDED IN THE COMMUNITY BENEFIT NUMBER OR TREATED AS COMMUNITY BENEFIT. BAD DEBT EXPENSES ARE REPORTED NET OF RECOVERIES AND PER THE AUDITED FINANCIALS. |
| Schedule H, Part III, Section B, Line 8 | CONSISTENT WITH THE CHARITABLE HEALTHCARE MISSION OF THE HOSPITAL AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545, THE HOSPITAL PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE SEEKING MEDICAL CARE. SUCH CARE IS PROVIDED REGARDLESS OF WHETHER THE REIMBURSEMENT PROVIDED FOR SUCH SERVICES MEETS OR EXCEEDS THE COSTS INCURRED BY THE HOSPITAL TO PROVIDE SUCH SERVICES. AS A RESULT, THE HOSPITAL VIEWS ANY SHORTFALL REPORTED IN LINE 7 AS AN ADDITIONAL ITEM OF COMMUNITY BENEFIT PROVIDED BY THE ORGANIZATION. |
| Schedule H, Part III, Section C, Line 9b | COLLECTION PRACTICES ARE THE SAME FOR INSURED AND UNINSURED PATIENTS. PATIENTS ARE BILLED FOR ANY BALANCE DUE AFTER INSURANCE. PATIENTS WHO ARE UNINSURED ARE BILLED AT THE INPATIENT AND OUTPATIENT DISCOUNTED RATES. PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE ARE IDENTIFIED ON THE PATIENT ACCOUNT AND ANY COLLECTION ACTIVITY IS SENT TO THE PATIENT, ONLY AFTER ANY FINANCIAL ASSISTANCE HAS BEEN PROVIDED. FOR PATIENTS WHO HAVE APPLIED FOR ADDITIONAL FINANCIAL AID, COLLECTION ON THESE ACCOUNTS IS DISCONTINUED UNTIL THE FINANCIAL AID APPLICATION IS REVIEWED AND EITHER APPROVED OR DENIED. PATIENTS RECEIVING PARTIAL FINANCIAL AID WILL CONTINUE WITH THE COLLECTION PROCESS FOR THE BALANCE DUE AFTER FINANCIAL AID DISCOUNTS HAVE BEEN APPLIED. PATIENTS DENIED FURTHER FINANCIAL AID ASSISTANCE WILL CONTINUE WITH THE COLLECTION PROCESS. ALL PATIENTS RECEIVED BALANCE DUE STATEMENTS FOR 120 DAYS IN 30 DAY CYCLES. PAYMENT ARRANGEMENTS ARE AVAILABLE TO PATIENTS. IF PAYMENT ARRANGEMENTS ARE MADE, PATIENTS WILL RECEIVE A MONTHLY STATEMENT WITH THE ARRANGED MONTHLY PAYMENT. |
| Schedule H, Part VI, Line 2 | BASED ON ITS COMMITMENT TO THE COMMUNITY, FF THOMPSON HOSPITAL COMPLETED A COMMUNITY HEALTH ASSESSMENT TO BETTER UNDERSTAND THE NEEDS OF THE COMMUNITY MEMBERS. THE FOLLOWING IDENTIFIES THE PARTICIPANTS IN THE PROCESS OF CONDUCTING THE COMMUNITY HEALTH ASSESSMENTS. PARTICIPANTS: THE HOSPITAL WORKED WITH A BROAD-BASE OF AREA COMMUNITY AGENCIES KNOWN AS "THE ONTARIO COUNTY PARTNERS FOR COMMUNITY SOLUTIONS" TO CONTINUE ACTIONS AND IMPLEMENT THE COMMUNITY HEALTH ASSESSMENT. THE PARTICIPANTS IN THIS COMMITTEE INCLUDED FF THOMPSON HEALTH, THE ONTARIO COUNTY DEPARTMENT OF PUBLIC HEALTH, THE ONTARIO COUNTY OFFICE OF AGING, THE ONTARIO COUNTY YOUTH BUREAU, THE UNITED WAY, AND THE CANANDAIGUA CHURCHES IN ACTION (A LOCAL CHURCH CONSORTIUM). TOGETHER THIS GROUP DEVELOPED AND IMPLEMENTED A COMMUNITY HEALTH ASSESSMENT TO DETERMINE THE ONGOING NEEDS OF THE COUNTY AND TO CONTINUE LAYING THE GROUNDWORK FOR A COUNTY PLAN TO ADDRESS THESE NEEDS. THOMPSON HEALTH MAINTAINS MANY LINKS AND AFFILIATIONS WITH COMMUNITY AND HEALTH ORGANIZATIONS TO ENHANCE ITS ABILITY TO DEVELOP AND DELIVER COMMUNITY PROGRAMS. THROUGH THESE PARTNERSHIPS THOMPSON HEALTH HAS ESTABLISHED A DIVERSE ARRAY OF COMMUNITY HEALTH PROGRAMS TO MEET THE COMMUNITIES' SPECIFIC NEEDS. SOME OF OUR PARTNERSHIPS INCLUDE WORK WITH THE COUNTY, SCHOOL DISTRICTS, COLLEGES AND INDUSTRY AS WELL AS OTHER NON-PROFIT COMMUNITY ORGANIZATIONS. |
| Schedule H, Part VI, Line 3 | THE THOMPSON HEALTH COMMUNITY CARE PROGRAM IS COMMUNICATED IN APPROPRIATE DETAIL IN SEVERAL MEDIUMS. ALL EFFORTS TO PROVIDE INFORMATION AT A VARIETY OF LOCATIONS USING A VARIETY OF MEDIA TECHNIQUES ARE ATTEMPTED. THOMPSON HEALTH MAKES ITS BEST EFFORT TO MAKE THE PROGRAM INFORMATION AVAILABLE TO THE PATIENTS PRIOR TO THEM RECEIVING SERVICES; HOWEVER IT IS RECOGNIZED THAT IN MANY CASES PATIENTS WILL INVESTIGATE THE FINANCIAL AID/COMMUNITY CARE PROGRAM AFTER SERVICES ARE RENDERED. THOMPSON HEALTH MAKES ITS BEST EFFORTS TO VERBALLY COMMUNICATE THE PROGRAM THROUGH ITS ASSOCIATES REGOGNIZING THAT THERE ARE LEVELS OF ASSOCIATE INVOLVEMENT. PATIENT REGISTRATION STAFF VERBALLY INFORMS ALL SELF-PAY PATIENTS OF THE AVAILABLE BENEFIT. THERE ARE PAMPHLETS AND INFORMATION SHEETS AVAILABLE FOR ALL PATIENTS IN THE REGISTRATION AREA. THOMPSON HEALTH ASSOCIATES ARE GIVEN INFORMATION SHEETS TO ASSIST THEM WITH THE ABILITY TO COMMUNICATE THE PROGRAM TO PATIENTS. TRANSLATION SERVICES ARE AVAILABLE AS NEEDED THROUGH A TRANSLATION LINE. A VARIETY OF WRITTEN COMMUNICATIONS ARE ALSO USED; INFORMATION SHEETS-LOCATED IN THE SAME AREA AS THE SIGNS, WILL BE INFORMATIONAL SHEETS REGARDING THE AVAILABILITY OF A FINANCIAL AID/COMMUNITY CARE PROGRAM ALONG WITH IDENTIFYING CONTACTS FOR FURTHER INFORMATION. APPLICATION AND DIRECTIONS-THESE DOCUMENTS PROVIDE THE PATIENT WITH THE PROGRAM APPLICATION, DIRECTIONS ON HOW TO COMPLETE THE APPLICATION, AND THE ADDITIONAL INFORMATION REQUIRED FOR A COMPLETE APPLICATION. THESE APPLICATIONS ARE HANDED OUT IN THE EMERGENCY DEPARTMENT TO SELF-PAY PATIENTS. PATIENT BILLS AND COLLECTION CORRESPONDENCE-SELF-PAY PATIENTS ARE MAILED INFORMATION REGARDING THE PROGRAM WHEN THE FINANCIAL COUNSELORS VERIFY THEY HAVE NO OTHER INSURANCE. THE PATIENT BILLING STATEMENTS INCLUDE A STATEMENT REGARDING THE EXISTENCE OF THE PROGRAM AND WHO TO CONTACT. SIMILAR INFORMATION IS INCLUDED IN THE "COLLECTION" LETTERS. ELECTRONIC MEDIA: INTRANET-THOMPSON HEALTH'S INTRANET INCLUDES THIS POLICY AND DIRECTIONS IN THE POLICY & PROCEDURES MANUAL ON THE INTRANET MAKING THE POLICY AND PROGRAM AVAILABLE TO ALL ASSOCIATES. INTERNET WEB SITE-THOMPSON HEALTH INCORPORATES GENERAL INFORMATION ABOUT THE POLICY, SLIDING FEE APPLICATION, AND DIRECTIONS ON ITS WEBSITE. NON-PATIENT COMMUNICATION-FINANCIAL COUNSELORS COMMUNICATE THE PROGRAM WITH COMMUNITY HEALTH & HUMAN SERVICES AGENCIES AND SOCIAL SERVICE ORGANIZATIONS AND AGENCIES (I.E. NAVIGATORS, OFFICE OF THE AGING, ETC. ) AS WELL AS COMPANIES IT UTILIZES IN ITS COLLECTION EFFORTS. |
| Schedule H, Part VI, Line 4 | THE METHOD BY WHICH FF THOMPSON HOSPITAL DEFINES ITS SERVICE AREA INCLUDES AN ANALYSIS OF ITS PRIMARY AND SECONDARY SERVICE AREA AS WELL AS THE AREA DEMOGRAPHICS. THE FOLLOWING DEFINES THE SERVICE AREAS AND PROVIDES A DEMOGRAPHIC SUMMARY OF THE REGION. DEFINITION OF PRIMARY AND SECONDARY SERVICE AREAS: THOMPSON HEALTH PROVIDES SERVICES TO PERSONS IN ONTARIO COUNTY AND PARTS OF WAYNE, MONROE, LIVINGSTON, YATES AND SENECA COUNTIES. THOMPSON HEALTH DEFINES ITS PRIMARY SERVICE AREA AS INCLUDING THOSE ZIP CODES THAT CUMULATIVELY ADD UP TO 70% OF ITS INPATIENT ADMISSIONS AND WHERE WE RECEIVE GREATER THAN 50% OF THE MARKET SHARE. AT THE 70TH PERCENTILE THE REMAINING ZIP CODES (UP TO THE 90TH PERCENTILE) COMPRISE THE SECONDARY SERVICE AREA. DISTRIBUTION BY AGE GROUP FOR THE COMMUNITY IS AS FOLLOWS: 18% 0-14, 8% 15-17, 10% 18-24, 12% 25-34, 29% 35-54, 13% 55-64. THE CURRENT HOUSEHOLD INCOMES FALL INTO THE FOLLOWING GROUPS: 27% $25-50K, 22% $50-75K, 19% OVER $100K. |
| Schedule H, Part VI, Line 5 | A MAJORITY OF THOMPSON HEALTH'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN OUR PRIMARY SERVICE AREA AND ARE NEITHER EMPLOYEES, CONTRACTORS, OR FAMILY MEMBERS THEREOF, OUR ORGANIZATION EXTENDS PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNITY FOR ALL DEPARTMENTS. ALL SURPLUS FUNDS ARE ROLLED INTO A FUND BALANCE FOR FUTURE YEAR CAPITAL GROWTH PURPOSES WHICH ENSURES IMPROVEMENT OF OUR PATIENT CARE AREAS. THOMPSON HOSPITAL IS COMMITTED TO STAYING CONNECTED TO OUR COMMUNITY MEMBERS. EACH OF OUR EXECUTIVES AND MANY OF OUR DIRECTORS SERVE ON AT LEAST ONE OR TWO BOARDS OF DIRECTORS FOR THE BUSINESSES IN OUR COMMUNITY. ALSO IN RESPONSE TO A NATIONAL SHORTAGE OF PHYSICIANS, THOMPSON CONTINUES TO RECRUIT NEW PHYSICIANS SPECIALIZING IN SEVERAL ARENAS AS WELL AS ADDITIONAL FAMILY PRACTITIONERS ENSURING PHYSICIAN COVERAGE FOR OUR COMMUNITY MEMBERS. THOMPSON HOSPITAL IS A NEW YORK STATE DEPARTMENT OF HEALTH DESIGNATED STROKE CENTER. WE STRIVE TO USE OUR RESOURCES EFFECTIVELY AND EFFICIENTLY TO PROMOTE HEALTH AND TO REDUCE THE OVERALL COST OF HEALTH CARE, ADDRESS A MULTITUDE OF ISSUES AND POPULATIONS, ADDRESS THE HEALTH NEEDS OF THE INDIVIDUAL THAT GO BEYOND MEDICAL AND PHYSICAL ISSUES, AND ENSURE SERVICES ARE LOCALLY BASED. |
| Schedule H, Part VI, Line 6 | THE UNIVERSITY OF ROCHESTER MEDICAL CENTER IS AN INTEGRATED ACADEMIC HEALTH CENTER THAT COMPRISES THE SCHOOL OF MEDICINE AND DENTISTRY, INCLUDING ITS FACULTY PRACTICE (UNIVERSITY OF ROCHESTER MEDICAL FACULTY GROUP), STRONG MEMORIAL HOSPITAL, GOLISANO CHILDREN'S HOSPITAL, JAMES P WILMOT CANCER CENTER, SCHOOL OF NURSING, EASTMAN DENTAL CENTER, AND ITS AFFILIATES, HIGHLAND HOSPITAL, VISITING NURSE SERVICE, HIGHLANDS LIVING CENTER, HIGHLAND COMMUNITY DEVELOPMENT CORPORATION (D/B/A THE HIGHLANDS AT PITTSFORD), AND THE MEADOWS AT WESTFALL, INC (D/B/A THE HIGHLANDS AT BRIGHTON), JONES MEMORIAL HOSPITAL AND NOYES HEALTH.-ONE OF THE NATION'S TOP ACADEMIC MEDICAL CENTERS, THE UNIVERSITY OF ROCHESTER MEDICAL CENTER FORMS THE CENTERPIECE OF THE UNIVERSITY'S HEALTH RESEARCH, TEACHING, PATIENT CARE, AND COMMUNITY OUTREACH MISSIONS WITH MORE THAN $145 MILLION IN FEDERAL RESEARCH FUNDING. UR SCHOOL OF MEDICINE RESEARCH FUNDING RANKS IN THE TOP ONE-QUARTER AMOUNG U.S. MEDICAL CENTERS WHILE THE SCHOOL OF NURSING RANKS 12TH HIGHEST IN FUNDING. THE UNIVERSITY'S HEALTH CARE DELIVERY NETWORK IS ANCHORED BY STRONG MEMORIAL HOSPITAL-A 800 BED, UNIVERSITY-OWNED TEACHING HOSPITAL. PATIENTS BENEFIT FROM THE MEDICAL CENTER'S ROBUST TEACHING AND BIOMEDICAL RESEARCH PROGRAMS-GOLISANO CHILDREN'S HOSPITAL, HOUSED IN STRONG MEMORIAL HOSPITAL, IS A 132-BED CHILDREN'S HOSPITAL THAT SERVES AS THE REFERRAL CENTER FOR UPSTATE NEW YORK, SURROUNDING STATES AND CANADA. IT COMBINES AWARD-WINNING RESEARCH, INTERNATIONALLY ACCLAIMED EDUCATION AND COMPASSIONATE CARE TO SERVE CHILDREN AND FAMILIES. PEDIATRIC SPECIALITIES INCLUDE ORTHOPEDICS, EUROLOGY/NEUROSURGERY, CANCER AND NEONATAL CARE-THE JAMES P WILMOT CANCER CENTER IS ORGANIZED AROUND A MULTIDISCIPLINARY CARE MODEL, WHICH LEADING CANCER EXPERTS BELIEVE IS THE GOLD STANDARD IN CANCER CARE IN THE 21ST CENTURY. ITS MODEL UNDERSCORES A COMMITMENT TO PROVIDE PATIENTS IN THE ROCHESTER AREA WITH THE MOST UP-TO-DATE INFORMATION AND AVAILABLE TREATMENTS, BASING ITS RECOMMENDATIONS ON THE BEST EVIDENCE IT IS ONE OF THE ONLY CENTERS IN WESTERN NEW YORK OFFERING THIS TEAM APPROACH TO CARE-EASTMAN DENTAL CENTER PROVIDES COMMUNITY DENTAL CARE IN A NUMBER OF CLINICS AS WELL AS CLINICAL EDUCATION TO DENTAL STUDENTS ENROLLED AT THE UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY. IT OFFERS GENERAL DENTISTRY, PEDIATRIC AND ORTHODONTIC CLINICS AND HAS RECENTLY ADDED AN URGENT CARE DENTAL CLINIC THAT SEES APPROXIMATELY 50 PATIENTS A DAY-HIGHLAND HOSPITAL IS A FULL-SERVICES COMMUNITY HOSPITAL THAT ALSO OFFERS NUMEROUS SPECIALITY SERVICES THAT DRAW PATIENTS FROM THE REGION AND CANADA-BARIATRIC SURGERY, JOINT REPLACEMENT, GERIATRICS, WOMEN'S SERVICES AND MATERNITY. HIGHLAND HOSPITAL'S EVOLUTION AS A FULL-SERVICES COMMUNITY HOSPITAL, WITH A FULL COMPLIMENT OF SUBSPECIALITY SERVICES, ENABLES THE HOSPITAL TO ACCEPT PATIENTS FROM STRONG MEMORIAL'S ED AND FLOORS-IMPORTANT TO ASSURING ACCESS OF CARE, SINCE STRONG IS OFTEN AT OR NEAR FULL CAPACITY-VISITING NURSE SERVICE PROVIDES HOME COMMUNITY-BASED CARE TO MORE THAN 14,000 ANNUALLY, INCLUDING NURSING, THERAPY, PERSONAL CARE SUPPORT, AND MEALS ON WHEELS. FF THOMPSON HOSPITAL LOCATED IN CANANDAIGUA, NY IS A 113-BED ACUTE CARE COMMUNITY HOSPITAL SERVING ONTARIO COUNTY, NEW YORK, AND A 178-BED SKILLED NURSING FACILITY. FF THOMPSON ALSO OPERATES SATELLITE CLINICS PROVIDING URGENT CARE, PRIMARY CARE, RHEUMATOLOGY SERVICES AND TREATMENT OF SLEEP DISORDERS-THE HIGHLANDS AT PITTSFORD CAMPUS INCLUDES TWO SEPARATE CORPORATIONS WITH DIFFERENT ACTIVITIES OFFERING NURSING CARE AS WELL AS ASSISTED AND INDEPENDENT LIVING FOR SENIORS. THE HIGHLANDS CENTER IS A 122-BED SKILLED NURSING FACILITY THAT ALSO OFFERS AN ADULT DAY CARE PROGRAM. THE ASSISTED LIVING 171-BED INDEPENDENT FACILITY ARE PROVIDED BY COMMUNITY DEVELOPMENT CORPORATION THE HIGHLANDS AT PITTSFORD AND LAURELWOOD. THE HIGHLANDS OFFER A SERIES OF COMMUNITY EDUCATION ON CURRENT HEALTH TOPICS, INCLUDING HEALTH, NUTRITION, ORAL HEALTH AND PREVENTION, TO NAME A FEW-THE HIGHLANDS AT BRIGHTON IS A 145-BED SKILLED FACILITY THAT SPECIALIZES IN CARE FOR THE MEDICALLY COMPLEX CASES. JONES MEMORIAL HOSPITAL IS A 70-BED ACUTE CARE FACILITY LOCATED IN WELLSVILLE, NY. THE HOSPITAL ALSO PROVIDES A PRIMARY CARE NETWORK WITH SITES THROUGHOUT THE ALLEGHANY COUNTY IN THE JONES MEMORIAL MEDICAL PRACTICES. THE JONES MEMORIAL MEDICAL PRACTICES INVOLVE THE SPECIALITIES OF PEDIATRICS, PODIATRY, PULMONOLOGY, INTERNAL MEDICINE, FAMILY PRACTICE, ORTHOPEDICS, NURSE MIDWIFE, AND OBSTETRICAL AND GYNECOLOGICAL CARE. NOYES HEALTH(INCLUDES NOYES MEMORIAL HOSPITAL, NOYES HEALTH SERVICES, NOYES KIDNEY DISEASE AND DIALYSIS CENTER AND NOYES MENTAL HEALTH SERVICES). NOYES MEMORIAL HOSPITAL IS A 67-BED FACILITY LOCATED IN DANSVILLE, NY. SERVICES INCLUDE BIRTH CENTER, CARDIOLOGY, INFUSION CENTER, DIAGNOSTIC IMAGING, EMERGENCY CARE, HOSPICE CARE, INPATIENT CARE, LABORATORY, PRENATAL, REHABILITATION THERAPY, RESPIRATORY THERAPY, SURGERY AND SLEEP LAB. NOYES HEALTH SERVICES IS LOCATED IN GENESEO, NY AND PROVIDES PHYSICIAN OFFICES AND AFTER HOUR CARE TO THE RESIDENTS OF LIVINGSTON, MONROE, ONTARIO AND WYOMING COUNTIES. NOYES KIDNEY DISEASE AND DIALYSIS CENTER IS LOCATED IN GENESEO, NY AND IS DEDICATED TO TREATING PATIENTS WITH CHRONIC KIDNEY DISEASE. UP TO 12 PATIENTS CAN RECEIVE CARE SIMULTANEOUSLY. NOYES MENTAL HEALTH SERVICES LOCATED IN DANSVILLE, NY SUPPORTS THE WELLNESS AND RECOVERY OF AREA RESIDENTS THAT STRUGGLE WITH EVERYDAY CHALLENGES, AS WELL AS THOSE WITH SEVERE AND PERSISTENT MENTAL ILLNESS. |
| Schedule H, Part VI, Line 7 | NEW YORK |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| 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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Steven Goldstein | ||||||||||||||
| Board Member | $0 | $1,089,334 | $0 | $0 | $0 | $276,899 | $0 | $485,358 | $0 | $18,002 | $0 | $1,869,593 | $0 | $201,413 |
| Raymond Mayewski MD | ||||||||||||||
| Board Member till April 2017 | $0 | $492,625 | $0 | $0 | $0 | $40,127 | $0 | $13,988 | $0 | $18,637 | $0 | $565,377 | $0 | $0 |
| Michael Apostolakos MD | ||||||||||||||
| Board Member as of April 2017 | $0 | $486,999 | $0 | $20,400 | $0 | $18,000 | $0 | $32,363 | $0 | $26,516 | $0 | $584,278 | $0 | $0 |
| Mark Taubman MD | ||||||||||||||
| Board Member | $0 | $964,099 | $0 | $100,000 | $0 | $27,601 | $0 | $300,958 | $0 | $21,245 | $0 | $1,413,903 | $0 | $0 |
| Michael F Stapleton JR | ||||||||||||||
| President/CEO | $0 | $384,867 | $0 | $109,688 | $0 | $80,890 | $0 | $93,566 | $0 | $16,715 | $0 | $685,726 | $0 | $50,147 |
| Vijay Bansal MD | ||||||||||||||
| VP of the Medical Staff | $243,466 | $0 | $32,401 | $0 | $28,409 | $0 | $37,797 | $0 | $6,865 | $0 | $348,938 | $0 | $0 | $0 |
| David Baum MD | ||||||||||||||
| SVP Medical Affairs & Emergency Physician | $191,851 | $169,592 | $19,586 | $17,314 | $8,561 | $7,568 | $54,014 | $47,748 | $1,832 | $1,620 | $275,844 | $243,842 | $0 | $0 |
| Jennifer DeVault | ||||||||||||||
| VP Associate Services and Wellness | $145,764 | $0 | $15,616 | $0 | $3,618 | $0 | $33,927 | $0 | $13,981 | $0 | $212,906 | $0 | $0 | $0 |
| Kirk Heriot | ||||||||||||||
| Medical Staff Chief of Pathology | $262,727 | $0 | $0 | $0 | $1,004 | $0 | $107,575 | $0 | $7,727 | $0 | $379,033 | $0 | $0 | $0 |
| Kurt Koczent | ||||||||||||||
| EVP/COO | $174,429 | $43,607 | $34,545 | $8,636 | $23,535 | $5,884 | $41,005 | $10,764 | $13,391 | $3,348 | $286,905 | $72,239 | $16,656 | $4,164 |
| Matthew Osborne MD | ||||||||||||||
| Physician | $364,375 | $0 | $36,428 | $0 | $302 | $0 | $39,805 | $0 | $15,529 | $0 | $456,439 | $0 | $0 | $0 |
| Mark Prunoske | ||||||||||||||
| Senior VP & CFO | $0 | $225,903 | $0 | $33,340 | $0 | $30,040 | $0 | $74,854 | $0 | $16,462 | $0 | $380,599 | $0 | $20,789 |
| Ann Robenstien | ||||||||||||||
| Acting Chief of Medicine June 2017 | $363,380 | $0 | $39,297 | $0 | $1,362 | $0 | $22,087 | $0 | $14,055 | $0 | $440,181 | $0 | $0 | $0 |
| Hazel Robertshaw | ||||||||||||||
| VP Patient Care Services/CNO | $155,064 | $0 | $13,387 | $0 | $688 | $0 | $24,622 | $0 | $1,612 | $0 | $195,373 | $0 | $0 | $0 |
| Elizabeth Talia | ||||||||||||||
| VP Legal & Regulatory Affairs and General Counsel | $0 | $168,747 | $0 | $13,145 | $0 | $7,115 | $0 | $26,311 | $0 | $16,686 | $0 | $232,004 | $0 | $0 |
| Peter Fenton MD | ||||||||||||||
| Physician | $337,388 | $0 | $38,386 | $0 | $331 | $0 | $35,096 | $0 | $14,050 | $0 | $425,251 | $0 | $0 | $0 |
| William Livingston MD | ||||||||||||||
| Physician | $447,484 | $0 | $28,825 | $0 | $189 | $0 | $16,330 | $0 | $8,605 | $0 | $501,433 | $0 | $0 | $0 |
| Timothy Pitler MD | ||||||||||||||
| Physician | $359,957 | $0 | $44,214 | $0 | $13,393 | $0 | $137,242 | $0 | $14,236 | $0 | $569,042 | $0 | $0 | $0 |
| Joseph Talarico MD | ||||||||||||||
| Physician | $490,550 | $0 | $0 | $0 | $286 | $0 | $26,108 | $0 | $14,021 | $0 | $530,965 | $0 | $0 | $0 |
| Jason McClung MD | ||||||||||||||
| Physician | $269,999 | $0 | $24,038 | $0 | $8,246 | $0 | $14,066 | $0 | $2,012 | $0 | $318,361 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 | The CEO of the FF Thompson Hospital receives compensation from the Hospital. However because the Hospital is a common paymaster, the CEO's salary is allocated to an affiliate. In addition the affiliated entities collectively establish CEO compensation by the manner's described. |
| Schedule J, Part I, Line 4 | The following individuals participated in a supplemental nonqualified retirement plan and received employer paid amounts that are included in deferred compensation. 457(f) plan payments were: Michael Stapleton - $56,250, Mark Prunoske - $22,227, Kurt Koczent - $21,167, David Baum - $17,157, Steven Goldstein - $300,000 and Mark Taubman - $150,000. SERP plan payments were: Steven Goldstein - $159,400 and Mark Taubman - $125,000. These payments were made by a related organization. The following individuals participated in a supplemental nonqualified retirement plan and received employer paid amounts that are included in other reportable compensation. 457(f) plan payments were: Steven Goldstein - $201,413. This payment was made by a related organization. |
| Schedule J, Part I, Line 7 | The President/CEO, Executive VP/COO, and Senior VP of Finance/CFO are eligible for a variable % YE incentive based on predetermined goals. The goals are operational, financial and managerial in nature. The financial goal ties in part to the net earnings of the organization and its affiliates. |
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 | Ontario County Local Development Corporation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 272435489 | BondIssuerEIN |
| CUSIP | 000000000 | CUSIPNum |
| Bond Issued | 2017-12-27 | BondIssuedDt |
| Issue Price | $33,400,000 | IssuePriceAmt |
| Purpose | Refund a prior issue | 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 | $0 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $33,400,000 | TotalProceedsAmt |
| In Reserve Fund | $0 | InReserveFundAmt |
| Capitalized Interest | $0 | CapitalizedInterestAmt |
| Refunding Escrow | $0 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $313,026 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $0 | CapitalExpendituresAmt |
| Other Spent Proceeds | $33,086,974 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Substantial Completion | 2017 | SubstantialCompletionYr |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| 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 | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Total Private Business Use | 0 | 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 | 0 | 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 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Darcy Prunoske | |||
| Family Member of Officer | $24,792 | Wages and benefits | 0 |
| Randall Farnsworth | |||
| Greater than 35% owner of AFM Properties LLC | $107,095 | Rent | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule L, Part IV | FormAndLineReferenceDesc |
| Explanation | Line 1 - Although The Frederick Ferris Thompson Hospital is the common paymaster for it's affiliates and the CFO's salary is allocated to the Health System, we are disclosing this transaction on the Hospital because the CFO's spouse's salary is a Hospital expense. See also further explanation on Schedule O | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part V, Line 2a | Employees and certain officers, directors, and key employees of the Frederick Ferris Thompson Hospital's related organizations receive compensation from the Hospital, through a common paymaster. Because employees are included in the common paymaster, a portion of the salaries of these individuals is allocated to it's affiliates and is included as part of other salary and wages on their statement of functional expenses. None of the board members of the Hospital are compensated for their board services. |
| Form 990, Part VI, Section A, Line 2 | Refer to Schedule O Form 990 Part VI, Section B, Line 12c note. |
| Form 990, Part VI, Section A, Line 6 | The sole member of Frederick Ferris Thompson Hospital is FF Thompson Health System Inc. (System). The System, the University of Rochester Medical Center and the University of Rochester (UR) are parties in an affiliation agreement whereby UR is the sole corporate member of the System. The System acting through its board of directors, has the authority to elect the governing body of Thompson Hospital and approve certain decisions. Such decisions include appointment of the Hospital President and CEO, amendment of the certificate of incorporations and bylaws, approval of extraordinary corporate actions such as merger or dissolution, approval of capital and operating budgets, strategic plans, and incurrence of certain debt. |
| 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 | The Director of Finance and Reimbursement and CFO reviewed the return as well as a review by an independent accounting firm. The return was also reviewed with the Audit Committee and then made available to the Board members via a shared intranet website. At the Board meeting preceding the filing date, questions were entertained by management. There are several days after the Board meeting where members can also review the return and ask questions prior to the filing date. |
| Form 990, Part VI, Section B, Line 12c | Board members, officers and key employees complete conflict of interest disclosure statements annually and the statements are reviewed by the Audit Committee and General Counsel. The Audit Committee and General Counsel are responsible for monitoring compliance and follow-up with any potential conflicts, including developing a conflicts of interest management plan that identifies each conflict and potential conflict and how it will be addressed. In addition, each Board member, officer or key employee with a conflict or potential conflict receives a letter outlining how the conflict will be addressed. |
| Form 990, Part VI, Section B, Line 15 | Executive compensation at Thompson is established by the compensation committee of the Board of Directors. The committee uses an independent company to gather comparable data in determining compensation levels for the President/CEO and Senior level executives. The full Board of Directors is surveyed by the compensation committee on executive performance; this is considered in determining compensation levels. The compensation committee is also involved in goal setting for the CEO, which ties back to his performance reviews and incentive compensation rates. The year in which this process was last undertaken for each person was 2017. |
| Form 990, Part VI, Section C, Line 19 | These documents are available upon request by contacting the Administrative Office |
| Form 990, Part VII, Section A, Line 1a | Refer to Schedule O, Employment information, Form 990, Part V, Line 2a |
| Form 990, Part IX, Line 7 | Refer to Schedule O, Employment information, Form 990, Part V, Line 2a |
| Form 990, Part X, Line 1 | Prior year balances reclassified to conform to current year presentation. |
| Form 990, Part X, Line 2 | Prior year balances reclassified to conform to current year presentation. |
| Form 990, Part XI, Line 9 | Change in value of interest rate swap $160,348, Change in value of charitable gift annuities ($7,535), Change in funded status of pension plan ($1,277,876), Change in beneficial interest in charitable remainder trust $21,262, Change in beneficial interest in the net assets of the FF Thompson Foundation $61,058. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (31 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 | Address Line2USAddress/AddressLine2Txt | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| The FF Thompson Foundation Inc | ||||||||||||
| 350 Parrish Street | Canandaigua | NY | 14424 | 222959984 | Fundraising | NY | 501(c)(3) | 7 | FF Thompson Health System | 0 | ||
| FF Thompson Health System Inc | ||||||||||||
| 350 Parrish Street | Canandaigua | NY | 14424 | 222959987 | Support Org | NY | 501(c)(3) | 12A, 1 | University of Rochester Medical Center | 0 | ||
| M M Ewing Continuing Care Center | ||||||||||||
| 350 Parrish Street | Canandaigua | NY | 14424 | 237046583 | Healthcare | NY | 501(c)(3) | 3 | FF Thompson Health System | 0 | ||
| FF Thompson Senior Communities Inc | ||||||||||||
| 1 Ferris Hills | Canandaigua | NY | 14424 | 161557494 | Elder Care | NY | 501(c)(3) | 10 | FF Thompson Health System | 0 | ||
| University of Rochester | ||||||||||||
| 910 Genesee Street | Rochester | NY | 14611 | 160743209 | School | NY | 501(c)(3) | 2 | 0 | STE 200 | N/A | |
| Highland Hospital of Rochester | ||||||||||||
| 1000 South Avenue | Rochester | NY | 14620 | 160743037 | Hospital | NY | 501(c)(3) | 3 | Strong Partners Health System | 0 | ||
| The Highland Foundation Inc | ||||||||||||
| 1000 South Avenue | Rochester | NY | 14620 | 237310662 | Fundraising | NY | 501(c)(3) | 12A, 1 | Highland Hospital | 0 | ||
| Highland Facilities Development Corp | ||||||||||||
| 1000 South Avenue | Rochester | NY | 14620 | 223039077 | Medical Building | NY | 501(c)(3) | 10 | Highland Hospital | 0 | ||
| Highland Community Development Corp | ||||||||||||
| 100 Hahnemann Trail | Pittsford | NY | 14534 | 223154715 | Elder Care | NY | 501(c)(3) | 10 | Strong Partners Health System | 0 | ||
| The Highlands Living Center Inc | ||||||||||||
| 500 Hahnemann Trail | Pittsford | NY | 14534 | 223240227 | Healthcare | NY | 501(c)(3) | 10 | Strong Partners Health System | 0 | ||
| The Meadows at Westfall Inc | ||||||||||||
| 5901 Lac De Ville Blvd | Rochester | NY | 14618 | 161502303 | Healthcare | NY | 501(c)(3) | 10 | Strong Partners Health System | 0 | ||
| Strong Partners Health System Inc | ||||||||||||
| 601 Elmwood Avenue | Rochester | NY | 14642 | 161499099 | Support Org | NY | 501(c)(3) | 12A, 1 | University of Rochester | 0 | Box 706 | |
| Strong Home Care Group | ||||||||||||
| 2180 Empire Boulevard | Webster | NY | 14580 | 222577664 | Fundraising | NY | 501(c)(3) | 7 | University of Rochester | 0 | ||
| Visiting Nurse Srvc of Rochester & Monroe | ||||||||||||
| 2180 Empire Boulevard | Webster | NY | 14580 | 160743215 | Healthcare | NY | 501(c)(3) | 10 | Strong Home Care Group | 0 | ||
| Community Care of Rochester | ||||||||||||
| 2180 Empire Boulevard | Webster | NY | 14580 | 161561691 | Healthcare | NY | 501(c)(3) | 10 | Strong Home Care Group | 0 | ||
| Excell Partners Inc | ||||||||||||
| 160 Linden Oaks | Rochester | NY | 14625 | 201862628 | Economic Dev | NY | 501(c)(4) | N/A | University of Rochester | 0 | Suite E | |
| Rochester Bioventure Center Inc | ||||||||||||
| 601 Elmwood Avenue | Rochester | NY | 14642 | 202485999 | Biotech Incub | NY | 501(c)(3) | 12A, 1 | University of Rochester | 0 | Box 706 | |
| NextCorps | ||||||||||||
| 250 East Main Street | Rochester | NY | 14604 | 161195028 | Business Incu | NY | 501(c)(3) | 7 | University of Rochester | 0 | ||
| University of Rochester Employee Ben Trs | ||||||||||||
| 910 Genesee Street | Rochester | NY | 14611 | 161600112 | Empl Ben Trst | NY | 501(c)(9) | N/A | University of Rochester | 0 | Suite 200 | |
| U of R Broadcasting Corporation | ||||||||||||
| 201 Wilson Commons | Rochester | NY | 14627 | 160743209 | Broadcast Lic | NY | 501(c)(4) | N/A | University of Rochester | 0 | ||
| UR Real Estate Corporation | ||||||||||||
| 263 Wallis Hall | Rochester | NY | 14627 | 271140014 | Support Org | NY | 501(c)(3) | 12A, 1 | University of Rochester | 0 | ||
| Meliora Real Estate Corporation | ||||||||||||
| 263 Wallis Hall | Rochester | NY | 14627 | 452464788 | Support Org | NY | 501(c)(3) | 12A, 1 | University of Rochester | 0 | ||
| Finger Lakes Home Care Inc | ||||||||||||
| 756 Pre-Emption Road | Geneva | NY | 14456 | 161489133 | Healthcare | NY | 501(c)(3) | 10 | Visiting Nurse Srvc of Rochester & Monroe | 0 | ||
| Finger Lakes Visiting Nurse Service Inc | ||||||||||||
| 756 Pre-Emption Road | Geneva | NY | 14456 | 223067627 | Healthcare | NY | 501(c)(3) | 10 | Visiting Nurse Srvc of Rochester & Monroe | 0 | ||
| The Memorial Hospital of William F and Gertrude F Jones Inc | ||||||||||||
| 191 North Main Street | Wellsville | NY | 14895 | 222807681 | Hospital | NY | 501(c)(3) | 3 | University of Rochester | 0 | ||
| Livingston Health Care System Inc | ||||||||||||
| 111 Clara Barton Street | Dansville | NY | 14427 | 161455240 | Support Org | NY | 501(c)(3) | 12A, 1 | University of Rochester | 0 | ||
| Nicholas H Noyes Memorial Hospital Inc | ||||||||||||
| 111 Clara Barton Street | Dansville | NY | 14427 | 160743979 | Hospital | NY | 501(c)(3) | 3 | Livingston Health Care System Inc | 0 | ||
| Red Jacket Center Inc | ||||||||||||
| 111 Clara Barton Street | Dansville | NY | 14427 | 161037658 | Medical Bldg | NY | 501(c)(3) | 12A,1 | 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) | 7 | Livingston Health Care System Inc | 0 | ||
| Jones Memorial Hospital Foundation | ||||||||||||
| 191 North Main Street | Wellsville | NY | 14895 | 473763374 | Support Org | NY | 501(c)(3) | 7 | Jones Hospital | 0 | ||
| Jones Medical Services PC | ||||||||||||
| 191 North Main Street | Wellsville | NY | 14895 | 465210222 | Medical Clinic | NY | 501(c)3 | 3 | Jones Hospital | 0 | ||
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 | ||||||||
| 222 West Ridge Road | Bldg 28 Suite 156-1 | Rochester | NY | 14615 | 462405519 | Funding Start Ups | NY | ETV Inc |
| Excell Minority and Women owned Business Investment Fund LP | ||||||||
| 222 West Ridge Road | Bldg 28 Suite 156-1 | Rochester | NY | 14615 | 810723223 | Fundraising Start ups | NY | ETV Inc |
| Excell Partners Innovative TC Fund LP | ||||||||
| 222 West Ridge Road | Bldg 28 Suite 156-1 | Rochester | NY | 14615 | 810711015 | Funding Start Ups | NY | ETV Inc |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| Finger Lakes Community Care Network | ||||||||||
| 350 Parrish Street | Canandaigua | NY | 14424 | 161423442 | Inactive | NY | FF Thompson Health System | C | 0 | |
| FFTH Properties and Services Inc | ||||||||||
| 350 Parrish Street | Canandaigua | NY | 14424 | 161286518 | Plans, develops, implements, owns and manages health related ventures | NY | FF Thompson Health System | C | 0 | |
| Medical Administrative Associates Inc | ||||||||||
| 777 South Clinton Avenue | Rochester | NY | 14620 | 161354319 | Retail Pharmacy | NY | Highland Hospital | C | 0 | |
| UR Equity Holdings Inc | ||||||||||
| 110 Office Park Way | Pittsford | NY | 14534 | 273040889 | Holding Co | NY | University of Rochester | C | 0 | |
| Excell Technology Ventures Inc | ||||||||||
| 222 West Ridge Road | Rochester | NY | 14615 | 800909149 | Biotech Incubator | NY | Rochester Bioventure | C | 0 | Ste 156-1 |
| Accountable Health Partners LLC | ||||||||||
| 135 Corporate Woods | Rochester | NY | 14623 | 300787967 | Acct Care Network | NY | University of Rochester | C | 0 | Ste 320 |
| Accountable Health Partners IPA LLC | ||||||||||
| 135 Corporate Woods Ste 320 | Rochester | NY | 14623 | 371746016 | Indep Practice Asso | NY | AHP LLC | C | 0 | |
| AHP Insurance Company | ||||||||||
| 76 St Paul Street | Burlington | VT | 05401 | 814644839 | Captive Insurance Company | VT | AHP LLC | C | 0 | Suite 500 |
| Luminate Venture Challenge Corp | ||||||||||
| 150 Lucius Gordon Drive | West Henrietta | NY | 14586 | 823954131 | Business Incu | NY | High Tech Rochester Inc | 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 | Yes (1) | 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 | Yes (1) | 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 | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule R, Part III | FormAndLineReferenceDesc |
| Explanation | Columns e, f, g, h, i, j, and k are not applicable. | ExplanationTxt |
Comments