FINGER LAKES HEALTH SYSTEMS AGENCY: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
FINGER LAKES HEALTH SYSTEMS AGENCY (EIN 16-1061456)
Tax period
2016-04-01 to 2017-03-31
Filed
2017-09-13
IRS object ID
201712569349300446
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-09-13T12:26:33-05:00ReturnTs
Tax Period End2017-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161092347PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MENGEL METZGER BARR & CO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1100 CHESTNUT STREET SUITE 1200AddressLine1Txt
CityROCHESTERCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14604ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN161061456EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FINGER LAKES HEALTH SYSTEMS AGENCYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFINGBusinessNameControlTxt
Phone5854613520PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11150 UNIVERSITY AVENUEAddressLine1Txt
CityROCHESTERCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14607ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTRILBY DE JUNGPersonNm
Person TitleCEOPersonTitleTxt
Phone5854613520PhoneNum
Signature2017-09-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRAYMOND J JACOBIPreparerPersonNm
PTINP00160856PTIN
Phone5854231860PhoneNum
Preparation2017-09-11PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address24.39.170.122IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-09-11IPDt
IP Tm15:41:35IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id2CFD7D2AC1511B9DDEFABC4F698368CCED9812E7AtSubmissionCreationDeviceId
At Submission Filing Device Id501149EB233EA5A41CADA9B184A715E09E34FA20AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1COMMON GROUND HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerTRILBY DE JUNGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11150 UNIVERSITY AVENUEAddressLine1Txt
CityROCHESTERCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14607ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$8,137,846GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.COMMONGROUNDHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1976FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionWE BRING FOCUS TO COMMUNITY HEALTH ISSUES VIA DATA ANALYSIS, COMMUNITY ENGAGEMENT AND SOLUTION IMPLEMENTATION THROUGH COMMUNITY COLLABORATION AND PARTNERSHIP.ActivityOrMissionDesc
Voting Members Governing Body25VotingMembersGoverningBodyCnt
Voting Members Independent22VotingMembersIndependentCnt
Total Employee53TotalEmployeeCnt
Total Volunteers1200TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$10,777,075PYContributionsGrantsAmt
CY Contributions Grants$8,130,016CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$1,363PYInvestmentIncomeAmt
CY Investment Income$1,477CYInvestmentIncomeAmt
PY Other Revenue$18,457PYOtherRevenueAmt
CY Other Revenue$6,353CYOtherRevenueAmt
PY Total Revenue$10,796,895PYTotalRevenueAmt
CY Total Revenue$8,137,846CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,058,093PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,840,824CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,719,207PYOtherExpensesAmt
CY Other Expenses$3,771,360CYOtherExpensesAmt
PY Total Expenses$10,777,300PYTotalExpensesAmt
CY Total Expenses$7,612,184CYTotalExpensesAmt
PY Revenues Less Expenses$19,595PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$525,662CYRevenuesLessExpensesAmt
Total Assets BOY$3,902,495TotalAssetsBOYAmt
Total Assets EOY$4,299,593TotalAssetsEOYAmt
Total Liabilities BOY$2,782,804TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,648,722TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,119,691NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,650,871NetAssetsOrFundBalancesEOYAmt
MissionWE BRING FOCUS TO COMMUNITY HEALTH ISSUES VIA DATA ANALYSIS, COMMUNITY ENGAGEMENT AND SOLUTION IMPLEMENTATION THROUGH COMMUNITY COLLABORATION AND PARTNERSHIP.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$7,058,241ExpenseAmt
Revenue$6,353RevenueAmt
DescDURING 2016-17, FLHSA COMPLETED A REBRANDING TO ROLL OUT THE NEW DBA OF COMMON GROUND HEALTH; CONCLUDED PHASE ONE FOR THE REGIONAL CONSORTIUM ON HEALTH CARE WORKFORCE WITH THE RELEASE OF A ROADMAP FOR ADDRESSING REGIONAL WORKFORCE NEEDS; LAUNCHED TWO NEW INITIATIVES FOR PRACTICE TRANSFORMATION; SUCCESSFULLY ADVOCATED FOR PUBLIC POLICIES AND PRACTICE CHANGES THAT SUPPORT WALKABILITY AND HEALTHIER, MORE ACTIVE LIFESTYLES WITHIN IN ROCHESTER AND MONROE COUNTY; SUPPORTED CTAAB'S EVIDENCE-BASED APPRAISAL OF COMMUNITY NEEDS FOR NEW OR EXPANDED MEDICAL SERVICES, INCLUDING A REVIEW OF OVER $300 MILLION IN CAPITAL COSTS.Desc
Total Program Service Expenses$7,058,241TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document69IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee53EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members25GoverningBodyVotingMembersCnt
Independent Voting Member22IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KAREN ACCORSOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5854613520PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11150 UNIVERSITY AVENUEAddressLine1Txt
CityROCHESTERCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14607ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JAKE FLAITZ
CHAIR / IMMEDIATE PAST CHAIR1.00Yes (X)Yes (X)$0$0$0
MARILYN L DOLLINGER DNS FNP RN
CHAIR-ELECT / CHAIR1.00Yes (X)Yes (X)$0$0$0
VICKIE SWINEHART
SECRETARY1.00Yes (X)Yes (X)$0$0$0
KATHLEEN PARRINELLO
TREASURER1.00Yes (X)Yes (X)$0$0$0
MICHAEL NAZAR MD
IMMEDIATE PAST CHAIR1.00Yes (X)Yes (X)$0$0$0
NANCY ADAMS
BOARD MEMBER THROUGH 12/31/161.00Yes (X)$0$0$0
DOMINICK BIZZARRO RPH MBA
BOARD MEMBER1.00Yes (X)$0$0$0
RENEE R BROWNSTEIN
BOARD MEMBER1.00Yes (X)$0$0$0
DAVID T HANNAN MD MPA FAAFP
BOARD MEMBER1.00Yes (X)$0$0$0
HARI GARG
BOARD MEMBER THROUGH 3/31/171.00Yes (X)$0$0$0
ANDREA J HARADON
BOARD MEMBER1.00Yes (X)$0$0$0
DAN M DELAUS JR
BOARD MEMBER1.00Yes (X)$0$0$0
JAMES X KENNEDY MS LMSW
BOARD MEMBER1.00Yes (X)$0$0$0
JILL EISENSTEIN
BOARD MEMBER1.00Yes (X)$0$0$0
MARGARET A SANCHEZ
BOARD MEMBER1.00Yes (X)$0$0$0
CHRISTOPHER TAYLOR
BOARD MEMBER THROUGH 8/20161.00Yes (X)$0$0$0
MARTIN TELLER MA
BOARD MEMBER1.00Yes (X)$0$0$0
JAMES H NORMAN
BOARD MEMBER1.00Yes (X)$0$0$0
HUGH R THOMAS
BOARD MEMBER / CHAIR ELECT1.00Yes (X)Yes (X)$0$0$0
MELISSA GARDNER
BOARD MEMBER1.00Yes (X)$0$0$0
LEONARD REDON
BOARD MEMBER THROUGH 1/30/171.00Yes (X)$0$0$0
ROBERT H THOMPSON
BOARD MEMBER THROUGH 3/31/171.00Yes (X)$0$0$0
JANET CROWLEY
BOARD MEMBER1.00Yes (X)$0$0$0
JANICE HARBIN DDS
BOARD MEMBER1.00Yes (X)$0$0$0
MICHAEL MENDOZA MD
BOARD MEMBER1.00Yes (X)$0$0$0
INDIRA PAHARIA PAYD MBA MS
BOARD MEMBER1.00Yes (X)$0$0$0
MARY ZELAZNY
BOARD MEMBER1.00Yes (X)$0$0$0
CHRISTOPHER BELL
BOARD MEMBER1.00Yes (X)$0$0$0
KAREN ACCORSO
DIRECTOR OF FINANCE37.50Yes (X)$83,150$0$11,788
TRILBY DE JUNG
CEO37.50Yes (X)$169,087$0$16,336
CHRIS HILDERBRANT
COO37.50Yes (X)$48,090$0$6,386
THOMAS MAHONEY
CHIEF MEDICAL OFFICER37.50$254,418$0$13,804Yes (X)
WADE NORWOOD
CHIEF STRATEGY OFFICER37.50$119,384$0$8,936Yes (X)
ANNE RUFLIN
CHIEF PLANNING OFFICER37.50$106,202$0$6,211Yes (X)
WILLIAM BRIEN
DIRECTOR OF PRACTICE TRANSFORMATION37.50$100,483$0$7,683Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$880,814TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$71,144TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
UNITY HOSPITAL OF ROCHESTER
100 KINGS HIGHWAY SOUTHROCHESTERNY14617STIPEND$757,966
UNIVERSITY OF ROCHESTER
BROOKS LANDING BUS CTR 910 GENESEEROCHESTERNY14611STIPEND AND BPBAP$657,003
ROCHESTER GENERAL HEALTH SYSTEM
100 KINGS HIGHWAY SOUTHROCHESTERNY14617STIPEND AND HBP PIC$560,537
EAGLE DREAMS
300 TROLLEY BLVDROCHESTERNY14606DATA WORK$410,750
FINGER LAKES HEALTH MEDICAL PC
PO BOX 1077 196 NORTH STREETGENEVANY14456STIPEND$203,189
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K11CntrctRcvdGreaterThan100KCnt
Government Grants$6,087,359GovernmentGrantsAmt
All Other Contributions$2,042,657AllOtherContributionsAmt
Total Contributions$8,130,016TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,477TotalRevenueColumnAmt
Exclusion$1,477ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$6,353TotalRevenueColumnAmt
Related Or Exempt Func Income$6,353RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$6,353OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,137,846TotalRevenueColumnAmt
Related Or Exempt Func Income$6,353RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,477ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$574,572TotalAmt
Program Services$445,481ProgramServicesAmt
Management And General$129,091ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,683,546TotalAmt
Program Services$2,449,797ProgramServicesAmt
Management And General$233,749ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$128,008TotalAmt
Program Services$117,926ProgramServicesAmt
Management And General$10,082ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$227,709TotalAmt
Program Services$209,377ProgramServicesAmt
Management And General$18,332ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$226,989TotalAmt
Program Services$202,437ProgramServicesAmt
Management And General$24,552ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$27,610TotalAmt
Program Services$27,610ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$18,900TotalAmt
Management And General$18,900ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$36,000TotalAmt
Program Services$36,000ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,729,994TotalAmt
Program Services$2,673,770ProgramServicesAmt
Management And General$56,224ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$245,554TotalAmt
Program Services$238,440ProgramServicesAmt
Management And General$7,114ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$130,863TotalAmt
Program Services$117,107ProgramServicesAmt
Management And General$13,756ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$192,400TotalAmt
Program Services$169,864ProgramServicesAmt
Management And General$22,536ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$58,322TotalAmt
Program Services$56,937ProgramServicesAmt
Management And General$1,385ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$27,267TotalAmt
Program Services$26,620ProgramServicesAmt
Management And General$647ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$47,789TotalAmt
Program Services$47,789ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,194TotalAmt
Program Services$4,615ProgramServicesAmt
Management And General$579ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
REPAIRS AND MAINTENANCE$113,676$99,727$13,949
OUTREACH$80,116$80,116
MISCELLANEOUS$45,261$44,638$623
DUES AND SUBSCRIPTIONS$12,414$9,990$2,424

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,612,184TotalAmt
Program Services$7,058,241ProgramServicesAmt
Management And General$553,943ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$97,370BOYAmt
EOY$1,030,163EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,038,644BOYAmt
EOY$1,250,979EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,512,283BOYAmt
EOY$1,772,551EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$32,164BOYAmt
EOY$15,237EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$323,779LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$136,410LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$185,073BOYAmt
EOY$187,369EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$36,961BOYAmt
EOY$43,294EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,902,495BOYAmt
EOY$4,299,593EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,720,124BOYAmt
EOY$554,784EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,062,680BOYAmt
EOY$2,093,938EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,782,804BOYAmt
EOY$2,648,722EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,076,753BOYAmt
EOY$1,601,595EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$42,938BOYAmt
EOY$49,276EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,119,691BOYAmt
EOY$1,650,871EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,902,495BOYAmt
EOY$4,299,593EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$525,662ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$5,518NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,442,605CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,164,661CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,374,746CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,777,075CurrentTaxYearMinus1YearAmt
Current Tax Year$8,130,016CurrentTaxYearAmt
Total$51,889,103TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,442,605CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,164,661CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,374,746CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,777,075CurrentTaxYearMinus1YearAmt
Current Tax Year$8,130,016CurrentTaxYearAmt
Total$51,889,103TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$51,889,103PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,607CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,393CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,390CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,363CurrentTaxYearMinus1YearAmt
Current Tax Year$1,477CurrentTaxYearAmt
Total$11,230TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,317CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,608CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$32,905CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,457CurrentTaxYearMinus1YearAmt
Current Tax Year$6,353CurrentTaxYearAmt
Total$69,640TotalAmt
FieldValueIRS element (for citing)
Total Support$51,969,973TotalSupportAmt
Public Support CY1700.99840PublicSupportCY170Pct
Public Support PY1700.99820PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationOTHER INCOMEExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Political Expenditures$0PoliticalExpendituresAmt
Volunteer Hours0VolunteerHoursCnt
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$10,000DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$36,164OtherActivitiesAmt
Total Lobbying Expenditures$46,164TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationFLHSA (D/B/A CGH) HAS AN AGREEMENT FOR $3,000 PER MONTH, INCLUDING INCIDENTAL EXPENSES, WITH LEGAL COUNSEL TO PROVIDE LOBBYING ACTIVITIES. TRILBY DE JUNG, CEO, DEVOTES APPROXIMATELY 2-3% OF HER TIME TO DIRECT CONTACT WITH LEGISLATORS, GOVERNMENT OFFICIALS, AND THEIR STAFF ABOUT FUNDING FOR THE AGENCY.ExplanationTxt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$93,582OtherCostOrOtherBasisAmt
Depreciation$37,515DepreciationAmt
Book Value$56,067BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$230,197OtherCostOrOtherBasisAmt
Depreciation$98,895DepreciationAmt
Book Value$131,302BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$187,369TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$8,143,364TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$5,518NetUnrealizedGainsInvstAmt
Revenue Not Reported$5,518RevenueNotReportedAmt
Revenue Subtotal$8,137,846RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$8,137,846TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$7,612,184TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$7,612,184ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$7,612,184TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
TRILBY DE JUNG
CEO$169,087$0$0$0$0$0$10,188$0$6,148$0$185,423$0$0$0
THOMAS MAHONEY
CHIEF MEDICAL OFFICER$254,418$0$0$0$0$0$12,000$0$1,804$0$268,222$0$0$0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
ROCHESTER REGIONAL
COMMON BOARD MEMBER/KEY EMPLOYEE, HUGH THOMAS$438,574RECEIPT OF PAYMENTS FOR DISCHARGE FEES0
ROCHESTER REGIONAL
COMMON BOARD MEMBER/KEY EMPLOYEE, HUGH THOMAS$1,318,503PAYMENTS MADE FOR STIPENDS AND OTHER CONTRACTS0
MVP
COMMON BOARD MEMBER/KEY EMPLOYEE, DOMINICK BIZZARRO$150,000RECEIPT OF PAYMENTS FOR ANNUAL SUPPORT0
MVP
COMMON BOARD MEMBER/KEY EMPLOYEE, DOMINICK BIZZARRO$568,066RECEIPT OF PAYMENTS FOR HBP DISCHARGE FEES0
EXCELLUS
COMMON BOARD MEMBER/KEY EMPLOYEE, MELISSA GARDNER$225,000RECEIPT OF PAYMENTS FOR ANNUAL SUPPORT0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4THE ORGANIZATION MADE "COMMON GROUND HEALTH" THE ORGANIZATION'S DBA IN THE CURRENT YEAR.
FORM 990, PART VI, SECTION B, LINE 11BTHE 990 WILL BE EMAILED TO ALL VOTING MEMBERS FOR REVEIW AND APPROVAL PRIOR TO SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. CONFLICTS ARE DISCLOSED AND THEN MANAGED IN ACCORDANCE WITH THE POLICIES AND PROCEDURES SET FORTH IN THE AGENCY BY-LAWS.
FORM 990, PART VI, SECTION B, LINE 15THE CEO IS REVIEWED ANNUALLY BY THE BOARD CHAIR OR AN INDEPENDENT CONSULTANT. OFFICERS RECEIVE ANNUAL REVIEWS FROM THE CEO. SALARY LEVELS ARE CHECKED AGAINST COMPARABILITY DATA PROVIDED BY CONSULTANT.
FORM 990, PART VI, SECTION C, LINE 19AVAILABLE AT THE OFFICES OF FLHSA UPON REQUEST DURING NORMAL BUSINESS HOURS.
FORM 990, PART IX, LINE 11GPURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,673,770. MANAGEMENT AND GENERAL EXPENSES 56,224. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,729,994.
FORM 990, PART XII, LINE 2C:PROCESS IS CONSISTENT WITH PRIOR YEARS

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