UNITED MEMORIAL MEDICAL CENTER: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- UNITED MEMORIAL MEDICAL CENTER (EIN 16-0743029)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-12
- IRS object ID
- 201533179349301383
- Schema version
- 2014v5.0
- 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 | 2015-11-12T07:04:12-07:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 160743029 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNITED MEMORIAL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UNIT | BusinessNameControlTxt |
| Phone | 5853445249 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 127 North Street | AddressLine1Txt |
| City | Batavia | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14020 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Robert Chiavetta | PersonNm |
| Person Title | Vice President Finance | PersonTitleTxt |
| Phone | 5853445249 | PhoneNum |
| Signature | 2015-11-13 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-04-25 22:37:26Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | United Memorial Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 127 North Street | AddressLine1Txt |
| City | Batavia | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14020 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $90,399,855 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.ummc.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1944 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | United Memorial Medical Center is the only acute care hospital in Genesee County, with 131 licensed acute care beds that provide the necessary healthcare services to a regional population of over 93,000 residents and operates the only inpatient alcohol and substance abuse program in a four county area. United Memorial Medical Center is dedicated to providing the very best healthcare possible to the residents of the Genesee Region. We strive to build a culture of excellence focusing on the fact that we are doing more than just treating patients - we are caring for our neighbors, our friends and our families every day. Our mission is working together to promote, enhance and restore health for the patients of our community. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 856 | TotalEmployeeCnt |
| Total Volunteers | 96 | TotalVolunteersCnt |
| Total Gross UBI | $1,157,806 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $58,067 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,477,797 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,360,888 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $77,195,036 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $84,117,655 | CYProgramServiceRevenueAmt |
| PY Investment Income | $369,322 | PYInvestmentIncomeAmt |
| CY Investment Income | $748,217 | CYInvestmentIncomeAmt |
| PY Other Revenue | $873,049 | PYOtherRevenueAmt |
| CY Other Revenue | $1,249,926 | CYOtherRevenueAmt |
| PY Total Revenue | $79,915,204 | PYTotalRevenueAmt |
| CY Total Revenue | $87,476,686 | 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 | $42,763,451 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $43,906,258 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $34,667,159 | PYOtherExpensesAmt |
| CY Other Expenses | $37,860,052 | CYOtherExpensesAmt |
| PY Total Expenses | $77,430,610 | PYTotalExpensesAmt |
| CY Total Expenses | $81,766,310 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,484,594 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,710,376 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $75,583,915 | TotalAssetsBOYAmt |
| Total Assets EOY | $80,383,196 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $44,591,204 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $49,583,908 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $30,992,711 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $30,799,288 | NetAssetsOrFundBalancesEOYAmt |
| Mission | United Memorial Medical Center has been established as a general acute care community hospital, serving an estimated 93,000 residents of Genesee County and adjacent areas. Its purpose is to operate inpatient and outpatient services, oriented toward general medical/surgical, pediatric, maternity and emergency care. The hospital continually monitors the needs of the community and develops services to maximize benefits to the community, consistent with the financial resources available to the hospital. In 2014, UMMC served 4,426 inpatients and 219,959 outpatients. The hospital accepts all patients, regardless of ability to pay. The Hospital has a Charity Care Program that is designed to assist those patients who do not have the resources available to reimburse the hospital for medical services rendered. The total amount of charity care rendered by the hospital totaled approximately $5,905,940 for 2014. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $68,343,306 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $84,562,676 | RevenueAmt |
| Desc | Healthcare Programs, General/Other: United Memorial Medical Center has been established as a general acute community hospital, serving an estimated 93,000 residents of Genesee County and adjacent areas. Its purpose is to operate inpatient and outpatient services, oriented towards general medical/surgical, pediatric, maternity and emergency care. The hospital continually monitors the needs of the community and develops services to maximize benefits to the community, consistent with the financial resources available to the hospital. In 2014, UMMC served 4,426 inpatients and 219,959 outpatients. The hospital accepts all patients, regardless of ability to pay. The Hospitals Charity Care Program is designated to assist those patients who do not have the resources available to reimburse the hospital for the services it provides. Discounts will be awarded based according to the Federal Poverty Guidelines as published annually by the Department of Health and Human Services. Charity care rendered by the hospital totaled approximated $5,905,940 for calendar year ending December 31, 2014. The hospital currently applies a 60% reduction in charges to all self-pay patients regardless of their abilities to pay for their service. UMMC is committed to enhancing the health of the residents in its primary service area, so it offers an in-patient alcohol and substance abuse program serving a four county area. United Memorial Medical Center is dedicated to providing the very best healthcare possibilities to residents of the Genesee Region. We strive to build a culture of excellence focusing on the fact that we are doing more than just treating patients - we are caring for our neighbors, our friends and our families every day. Our mission is working together to promote, enhance and restore health for the people of our community. | 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 | $68,343,306 | 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 | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 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 | 0 | 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 | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 39 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 856 | 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 | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | 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 | 0 | 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 | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Robert L Chiavetta | PersonNm |
| Phone | 5853445249 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 127 North Street | AddressLine1Txt |
| City | Batavia | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14020 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Betty Lapp | |||||||||
| Chairman | 5 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Mary Raymond | |||||||||
| Vice Chairman | 5 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Barton Dambra | |||||||||
| Treasurer | 5 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Peter Call | |||||||||
| Secretary | 5 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Alan Barcomb MD | |||||||||
| Board Member | 5 | 0 | Yes (X) | $24,250 | $0 | $0 | |||
| Joseph Forsyth | |||||||||
| Board Member | 5 | 0 | Yes (X) | $0 | $0 | $0 | |||
| William Fritts | |||||||||
| Board Member | 5 | 0 | Yes (X) | $0 | $0 | $0 | |||
| James Fulmer | |||||||||
| Board Member | 5 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Thomas Houseknecht | |||||||||
| Board Member | 5 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Lalit Jain MD | |||||||||
| Board Member | 5 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Jerry Reinhart | |||||||||
| Board Member | 5 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Barry Rosenberg MD | |||||||||
| Board Member and Radiologist | 40 | 0 | Yes (X) | $100,000 | $0 | $0 | |||
| Augusta Welsh | |||||||||
| Board Member | 5 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Christian Yunker | |||||||||
| Board Member | 0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Mark Schoell | |||||||||
| CEO | 40 | 0 | Yes (X) | $355,650 | $0 | $44,433 | |||
| Daniel Ireland | |||||||||
| President | 40 | 0 | Yes (X) | $254,421 | $0 | $25,250 | |||
| Robert Chiavetta | |||||||||
| Vice President of Finance/CFO | 40 | 0 | Yes (X) | $230,859 | $0 | $24,729 | |||
| Mary Beth Bowen | |||||||||
| Vice President Nursing/Chief Nursing Officer | 40 | 0 | Yes (X) | $178,592 | $0 | $13,084 | |||
| Michael Merrill MD | |||||||||
| VP of Medical Affairs | 40 | 0 | $341,258 | $0 | $26,187 | Yes (X) | |||
| Kurt Calman | |||||||||
| CIO/ VP of Technology and Clinical Services | 40 | 0 | $155,301 | $0 | $12,042 | Yes (X) | |||
| Sonja Gonyea | |||||||||
| VP of Human Resources | 40 | 0 | $133,007 | $0 | $17,833 | Yes (X) | |||
| Jin Chang MD | |||||||||
| Anesthesialogoist | 40 | 0 | $458,365 | $0 | $26,490 | Yes (X) | |||
| Anthony Froix MD | |||||||||
| Surgeon | 40 | 0 | $356,800 | $0 | $17,961 | Yes (X) | |||
| Anupa Seth MD | |||||||||
| Physician | 40 | 0 | $291,188 | $0 | $17,297 | Yes (X) | |||
| Andrea Zucchiatti MD | |||||||||
| Surgeon | 40 | $287,390 | $0 | $12,376 | Yes (X) | ||||
| Michele Odrobina MD | |||||||||
| Obstetrician | 40 | 0 | $271,477 | $0 | $12,285 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,438,558 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $249,967 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 22 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Summit Rehabilitation Services | |||||
| 99 Medtech Drive | Batavia | NY | 14020 | Physical & Occupantional Therapy Services | $1,290,843 |
| Aramark Service Master | |||||
| PO Box 33170 | Newark | NJ | 07188 | Facilities Management Service | $979,355 |
| Rochester General Hospital | |||||
| PO Box 10758 | Rochester | NY | 14610 | Pathology Services | $845,868 |
| Genesee Hospitalist | |||||
| 4201 Buffalo Road | Orchard Park | NY | 14217 | Hospitalist Services | $811,127 |
| Quest Diagnostic | |||||
| PO Box 740709 | Atlanta | GA | 30374 | Reference Lab Services | $532,875 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 25 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $653,330 | RelatedOrganizationsAmt |
| Government Grants | $706,558 | GovernmentGrantsAmt |
| All Other Contributions | $1,000 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $1,360,888 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Inpatient Revenue | 622110 | $27,159,591 | $27,159,591 | $0 | $0 |
| Outpatient Revenue | 622110 | $55,805,433 | $54,647,627 | $1,157,806 | $0 |
| Health Information Technology | 622110 | $1,152,631 | $1,152,631 | $0 | $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 | $84,117,655 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $297,230 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $297,230 | 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 | $378,232 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $410,247 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$32,015 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$32,015 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$32,015 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,804,024 | SecuritiesAmt |
| Other | $105,785 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,401,155 | SecuritiesAmt |
| Other | $57,667 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $402,869 | SecuritiesAmt |
| Other | $48,118 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $450,987 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $450,987 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
| Gross Sales Of Inventory | $57,885 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $54,100 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,785 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,785 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Cqfeteria Sales | 722210 | $408,303 | $408,303 | $0 | $0 |
| Lab Payments | 621500 | $122,559 | $122,559 | $0 | $0 |
| Contracted Pharmacy Sales | 622110 | $794,347 | $794,347 | $0 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$47,053 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $273,833 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$320,886 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,278,156 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $87,476,686 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $84,562,676 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,157,806 | UnrelatedBusinessRevenueAmt |
| Exclusion | $395,316 | ExclusionAmt |
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 | $1,812,646 | TotalAmt |
| Program Services | $559,121 | ProgramServicesAmt |
| Management And General | $1,253,525 | 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 | $32,030,973 | TotalAmt |
| Program Services | $27,034,886 | ProgramServicesAmt |
| Management And General | $4,996,087 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,082,517 | TotalAmt |
| Program Services | $1,697,956 | ProgramServicesAmt |
| Management And General | $384,561 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,611,723 | TotalAmt |
| Program Services | $4,575,454 | ProgramServicesAmt |
| Management And General | $1,036,269 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,368,399 | TotalAmt |
| Program Services | $1,931,047 | ProgramServicesAmt |
| Management And General | $437,352 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,848,447 | TotalAmt |
| Program Services | $3,642,910 | ProgramServicesAmt |
| Management And General | $205,537 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,288 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $85,288 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,255 | TotalAmt |
| Program Services | $9,250 | ProgramServicesAmt |
| Management And General | $98,005 | 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 | $3,870,976 | TotalAmt |
| Program Services | $3,726,933 | ProgramServicesAmt |
| Management And General | $144,043 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $284,048 | TotalAmt |
| Program Services | $233,021 | ProgramServicesAmt |
| Management And General | $51,027 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $164,084 | TotalAmt |
| Program Services | $130,469 | ProgramServicesAmt |
| Management And General | $33,615 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,185,917 | TotalAmt |
| Program Services | $1,763,132 | ProgramServicesAmt |
| Management And General | $422,785 | 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 | $914,253 | TotalAmt |
| Program Services | $720,979 | ProgramServicesAmt |
| Management And General | $193,274 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $208,689 | TotalAmt |
| Program Services | $119,845 | ProgramServicesAmt |
| Management And General | $88,844 | 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 | $81,921 | TotalAmt |
| Program Services | $81,921 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $993,570 | TotalAmt |
| Program Services | $801,891 | ProgramServicesAmt |
| Management And General | $191,679 | 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 | $4,442,115 | TotalAmt |
| Program Services | $3,511,282 | ProgramServicesAmt |
| Management And General | $930,833 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $904,117 | TotalAmt |
| Program Services | $862,103 | ProgramServicesAmt |
| Management And General | $42,014 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Supplies | $4,438,282 | $3,808,172 | $630,110 | $0 |
| Purchased Services | $4,949,492 | $3,727,139 | $1,222,353 | $0 |
| Surgical Supplies | $5,224,484 | $5,224,484 | $0 | $0 |
| Drugs | $2,397,614 | $2,397,614 | $0 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,759,500 | TotalAmt |
| Program Services | $1,783,697 | ProgramServicesAmt |
| Management And General | $975,803 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,766,310 | TotalAmt |
| Program Services | $68,343,306 | ProgramServicesAmt |
| Management And General | $13,423,004 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,666,465 | BOYAmt |
| EOY | $14,142,338 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,240 | BOYAmt |
| EOY | $102,575 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $337,043 | BOYAmt |
| EOY | $231,765 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,584,727 | BOYAmt |
| EOY | $7,047,123 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,141,105 | BOYAmt |
| EOY | $1,257,174 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,247,841 | BOYAmt |
| EOY | $1,125,543 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $95,653,899 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $55,246,548 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,898,087 | BOYAmt |
| EOY | $40,407,351 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,329,117 | BOYAmt |
| EOY | $10,154,961 | 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 | $6,276,290 | BOYAmt |
| EOY | $5,914,366 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,583,915 | BOYAmt |
| EOY | $80,383,196 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,011,858 | BOYAmt |
| EOY | $9,108,408 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,640,000 | BOYAmt |
| EOY | $8,755,000 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,491,410 | BOYAmt |
| EOY | $12,939,804 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,447,936 | BOYAmt |
| EOY | $18,780,696 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,591,204 | BOYAmt |
| EOY | $49,583,908 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,992,825 | BOYAmt |
| EOY | $28,552,844 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,713,110 | BOYAmt |
| EOY | $1,959,668 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $286,776 | BOYAmt |
| EOY | $286,776 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,992,711 | BOYAmt |
| EOY | $30,799,288 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,583,915 | BOYAmt |
| EOY | $80,383,196 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $5,710,376 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $0 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$5,903,799 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,749,280 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $70,831 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $1,820,111 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,534,386 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $214,894 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $1,749,280 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,393,290 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $141,096 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $1,534,386 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,388,741 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $4,549 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $1,393,290 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,271,721 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $117,020 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $1,388,741 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.86 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.14 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $592,242 | OtherCostOrOtherBasisAmt |
| Book Value | $592,242 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $54,860,550 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,274,642 | DepreciationAmt |
| Book Value | $31,585,908 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $40,201,107 | OtherCostOrOtherBasisAmt |
| Depreciation | $31,971,906 | DepreciationAmt |
| Book Value | $8,229,201 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $40,407,351 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (8 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Prepaid Pension Cost | $3,610,057 |
| Interest In Net Assets of Foundation | $1,356,932 |
| Deferred Financing Bond Issue | $425,432 |
| Deferred Financing OR Note | $375,973 |
| Merger Organizational Cost | $79,731 |
| Deferred Compensation Assets | $32,595 |
| Covenant Not To Compete | $28,646 |
| Long-term Asset USDA | $5,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $5,914,366 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Minimum Pension Liability | $16,292,156 |
| Estimated amoutns due to third-parties, net | $1,906,416 |
| Current Portion of estimates due to third-parties | $582,124 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $18,780,696 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $87,286,703 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $0 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Recoveries Prior Year Grants | $0 | RecoveriesPriorYearGrantsAmt |
| Other Revenue | $464,347 | OtherRevenueAmt |
| Revenue Not Reported | $464,347 | RevenueNotReportedAmt |
| Revenue Subtotal | $86,822,356 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $0 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $654,330 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $654,330 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $87,476,686 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $82,230,657 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $0 | DonatedServicesUseFcltsAmt |
| Prior Year Adjustments | $0 | PriorYearAdjustmentsAmt |
| Losses Reported | $0 | LossesReportedAmt |
| Other Expenses Included | $464,347 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $464,347 | ExpensesNotReportedAmt |
| Expenses Subtotal | $81,766,310 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $0 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $81,766,310 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part V, Line 4 | The hospitals endowment fund is comprised of two parts. The first part is a permanently restricted donation totaling $261,353 and the second part is unrestricted investment returns since the inception of the original donation that totals $1,558,758. The unrestricted portion of the endowment fund has no restrictions place on how the funds can be used. The hospital currently has not designated any use for the funds. |
| Schedule D, Part X, Line 2 | The Center is a not-for-profit corporation as described in Section 501(c) (3) of the Internal Revenue Code (the Code), and accordingly, is exempt from Federal income taxes on related income pursuant to Section 501 (a) of the Code. JRD was formed as an S Corporation for both federal and state income tax purposes. The Center and JRD account for uncertain tax positions in accordance with US GAAP, which requires the recognition and measurement of uncertain tax positions that the Center and JRD have taken or expects to take in the Center of JRD's tax returns. Accordingly, no provisions for income taxes has been reflected in the accompanying consolidated financial statements. The Center and JRD are no longer subject to federal and NYS income tax examination for years prior to 2011. |
| Schedule D, Part XI, Line 2d | Rental Expenses $410,247 plus Cost of Goods Sold $54,100. |
| Schedule D, Part XI, Line 4b | Contribution for purchase of property, plant, and equipment $654,330. |
| Schedule D, Part XII, Line 2d | Rental Expenses $410,247, plus Cost of Goods Sold $54,100. |
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 |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 3 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $2,904,456 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $977,897 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,926,559 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0236 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $15,701,838 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,758,536 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,943,302 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0238 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $96,091 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $81,367 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,724 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | 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 | $18,702,385 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,817,800 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,884,585 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0475 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $299,666 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,948 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $274,717 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0034 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $30,750 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $30,750 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0004 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $68,742 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $68,742 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0008 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $399,158 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,948 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $374,209 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0046 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $19,101,543 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,842,748 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,258,794 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0521 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $39,883 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $39,883 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0005 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $39,503 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $39,503 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0005 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | 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 | $79,386 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $79,386 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,505,018 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $94,495 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $11,565,511 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $13,012,647 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,447,136 | 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 | Unted Memorial Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 127 North Street | AddressLine1Txt |
| City | Batavia | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14020 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.ummc.org | WebsiteAddressTxt |
| State License | 1801000H | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Unted Memorial Medical Center | 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 |
| CHNA Conducted | 13 | 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 | www.ummc.org | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | www.co.genesee.ny.us/docs/health/Gen_Orl_WyoCHA_2013.pdf | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.ummc.org | 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 | 300 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| 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 |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Lowest Negotiated Rates | Yes (X) | LowestNegotiatedRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5-Unted Memorial Medical Center | United Memorial Medical Center cooperates with many community groups and agencies to assess the needs of the community. The Hospital uses the following reports, documents, and surveys in developing its assessment: *Press Ganey Patient Satisfaction Surveys *TREO Solutions *Genesee County Health Department Community Health Assessment * United States Census Data * New York State Department of Health * New York State Department of Labor * American Cancer Society * New York State Cancer Registry *National Immunization Program. The Hospital continually monitors local data related to the types of services community members are receiving and whether these services are available locally to sufficiently meet community need. United Memorial uses reports from the State and County Departments of Health, internal committees and task forces, weekly administrative planning sessions and current industry publications to appropriately identify community needs. |
| Schedule H, Part V, Section B, Line 6a-Unted Memorial Medical Center | United Memorial Medical Center, Medina Memorial Hospital/Orleans Community Health and Wyoming County Community Health System. |
| Schedule H, Part V, Section B, Line 6b-Unted Memorial Medical Center | Genesee County Department of Health, Orleans County Department of Health, Wyoming County Department of Health, and Lake Plains Community Network. |
| Schedule H, Part V, Section B, Line 11-Unted Memorial Medical Center | Significant community health needs identified for all three counties included Cancer (45.7%), Heart Disease/Heart Health/Blood Pressure/Stroke (44%) and Depression/Mental Health/Stress (41.7%). United Memorial is addressing these issues in a number of ways. Currently under construction, United Memorial Medical Center in association with the Rochester Regional Lipson Cancer Center, will open a new, patient- focused cancer center in January 2016. This $6.5 million project at the hospital's main campus will provide chemotherapy, infusion and radiation oncology treatments to residents of Genesee, Orleans and Wyoming Counties. This greatly improves access to specialized care and services and eliminates the need to travel distances of 30 miles or more for care. While United Memorial currently provides outpatient infusion and chemotherapy services, the addition of radiation oncology and other supportive services will provide our rural region with comprehensive care that is not offered at any other hospital in our tri-county region. To address issues related to Heart Disease/Heart Health/Blood Pressure/Stroke, United Memorial recruited a second non-invasive cardiologist to our Medical Staff. Ahmet Guler, DO practices in the Cardiology and Internal Medicine office operated by United Memorial. United Memorial continues to offer a Phase II Cardiac Rehabilitation program and will expand the services in Cardiac Rehab in January 2016. "Ask a Nurse" is a free community health program held twice each month at the hospital and at our outpatient campus. It is advertised and promoted locally for people to ask health questions of a registered nurse who also provides free blood pressure screenings and education materials. Free blood pressure screenings are provided at all local community health fairs and events throughout the year. In 2014, United Memorial also became a New York State designated Stroke Center. Education about the risks and symptoms of stroke are provided at community events, on free magnets distributed to the community, on posters within the organization and was featured in a local advertising campaign involving print media and billboards. Heart health and stroke awareness have also been frequent topics on a weekly radio program featuring United Memorial Medical Center. Depression/Mental Health/Stress and other diagnosis related to behavioral health continue to challenge United Memorial. There is a determined lack of providers and resources within the county however we continue to address this issue with our local health partners at the county level with the Genesee County Office of Mental Health, the Mental Health Association of Genesee County, and the County Health Department. United Memorial has been part of a multi-agency task force aimed at reducing deaths by suicide, The Suicide Prevention Coalition. |
| Schedule H, Part V, Section B, Line 16a-Unted Memorial Medical Center | www.ummc.org |
| Schedule H, Part V, Section B, Line 16c-Unted Memorial Medical Center | www.ummc.org |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 7 | The hospital used the Ratio of Cost to Charges methodology to calculate the cost for each of the programs listed in Part I. The hospital used the Worksheet #2 provided in the 990 Schedule H instructions to calculate the Ratio of Cost to Charges. |
| Schedule H, Part I, Line 7, Column f | The hospital did not include any subsidized health services on Line 7(g). |
| Schedule H, Part I, Line 7g | The amount omitted from Form 990, Part IX, Line 25, column (A) was $3,505,018 for bad debt expense. |
| Schedule H, Part II | United Memorial Medical Center cooperates with many community groups and agencies to assess the needs of the community. The Hospital uses the following reports, documents, and surveys in developing its assessment: *Press Ganey Patient Satisfaction Surveys *TREO Solutions *Genesee County Health Department Community Health Assessment * United States Census Data * New York State Department of Health * New York State Department of Labor * American Cancer Society * New York State Cancer Registry *National Immunization Program. The Hospital continually monitors local data related to the types of services community members are receiving and whether these services are available locally to sufficiently meet community need. United Memorial uses reports from the State and County Departments of Health, internal committees and task forces, weekly administrative planning sessions and current industry publications to appropriately identify community needs. |
| Schedule H, Part III, Section A, Line 4 | Accounts Receivable: The Center carries its accounts receivable at anticipated amounts due from private pay patients and third-party payers. Periodically, the Center adjusts the allowance for doubtful accounts based upon prior history and current developments. The Center does not charge interest on past due accounts. Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Center analyzes their past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Center analyzes contractually due amounts and provides an allowance for doubtful and a provision for bad debts, if necessary, for receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Center records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have be exhausted is charged off against the allowance for doubtful accounts. The Center's allowance for doubtful accounts increased form 11% of gross accounts receivable at December 31, 2013 to 13% of gross accounts receivable at December 31, 2014. In addition, the Center's bad debt write-offs increased by approximately $390,000 from $3,115,000 for fiscal year 2013 to $3,505,000 for fiscal year end 2014. Both increases were to account for negative trends experienced in the collection of amounts from self-pay patients in fiscal year 2014. The Center has not changed its charity care or uninsured discount policies during fiscal years 2013 and 2014. In 2013, the Center changed its uninsured discount policy from 50% to 60%. The Center does not maintain a material allowance for doubtful accounts from third-party payors, nor did it have significant write-offs from third party payors. The amount included as bad debt from patients that qualify for charity care is calculated by based on the portion of the patients account balance that is remaining after the amount awarded the patient for charity care is applied. The remaining balances have not been paid by the patient and are written off as a bad debts. |
| Schedule H, Part III, Section B, Line 8 | The hospital believes that the shortfall in Medicare payments on patients that it serves should be treated as a community benefit because the hospital provides medical care to all its patients regardless of their ability to pay and does not restrict access or the level of services to patients based on the reimbursement that it receives for those services. The hospital has the ability to negotiate reimbursement rates with commercial insurances but the hospital is restricted from negotiating rates for its Medicare patients. Medicare reimbursement is set by Centers for Medicare Services and cannot be negotiated by the hospital. The hospital feels that any shortfall in reimbursement for services it is required to provide to patients under a government sponsored program where the rate is not negotiable should be included as a community benefit. The hospital used its 2013 Medicare Cost Report to determine the shortfall in Medicare Payments. |
| Schedule H, Part III, Section C, Line 9b | The Express Registration Department receives a listing of all inpatient admissions from the previous day. Monday's listing will include admissions from the previous Friday thru Sunday. A Self Pay report is compiled daily to identify all outpatients self-pay patients by the cashiers and given to Express Registration. Both the inpatient and outpatient report is reviewed to identify possible third party payer information. If third party payer information is identified, it is verified and applied to the account. If no third party payer information is identified, the outpatient report is forwarded to the cashiers to apply the appropriate NYS surcharge once the account has final billed. The Eligibility Department is notified on all inpatient accounts that no third party payer information is identified. The Eligibility Department will interview the patient to determine possible eligibility with Federal or State programs and/or UMMC's Financial Assistance Program. |
| Schedule H, Part VI, Line 2 | United Memorial Medical Center cooperates with many community groups and agencies to assess the needs of the community. The Hospital uses the following reports, documents, and surveys in developing its assessment: *Press Ganey Patient Satisfaction Surveys *TREO Solutions *Genesee County Health Department Community Health Assessment * United States Census Data * New York State Department of Health * New York State Department of Labor * American Cancer Society * New York State Cancer Registry *National Immunization Program. The Hospital continually monitors local data related to the types of services community members are receiving and whether these services are available locally to sufficiently meet community need. United Memorial uses reports from the State and County Departments of Health, internal committees and task forces, weekly administrative planning sessions and current industry publications to appropriately identify community needs. |
| Schedule H, Part VI, Line 3 | The hospital makes available its Financial Assistance program to patients by posting it on the hospitals website, providing it in writing to patients upon admission to the hospital, available upon request and is available through published brochure of the hospital. The hospital has also done education session with the local radio station. |
| Schedule H, Part VI, Line 4 | United Memorial is the only acute care facility in Genesee County and defines as its service area all of the County and the neighboring border communities. Genesee County is centrally located between the more metropolitan areas of Buffalo and Rochester in upstate New York. Considered largely rural, Genesee County had an estimated 2012 population of 59,977. With the inclusion of adjacent communities, United Memorial serves a total population of approximately 93,000 residents. Of the estimated 2010 county population, 93.4% are considered White, Non-Hispanics; 5.5% were under the age of 5; 21.7% were under the age of 18 and 15.9% were age 65 and older. In Genesee County, 11.7% (2006-2010) of the population lives below the poverty level. The median household income is $50,861. Within Genesee County is the Tonawanda Seneca Nation. United Memorial manages primary care services for the residents of the nation through a contract with New York State. For Orleans County, United Memorial began operation of an OB/GYN physician office in Medina, NY when the Orleans County community hospital ended maternity services in July 2011. Women in that county continue to have access to physician services and deliveries are performed at United Memorial in Batavia. Orleans County had a 2012 population estimate of 42,836, of which 50.3% is female. The median household income in Orleans County was $47,788 (2006-2010) |
| Schedule H, Part VI, Line 5 | United Memorial aspires to be a great hospital, employer of choice, and a good community partner. To achieve this we engage in a number of community building activities. In 2013, several members of our senior leadership and management team volunteered for the United Way's Make a Difference Day and worked at a Habitat for Humanity Home. Hospital leaders served as active members of the local chapters of Rotary, Kiwanis, and the Office for the Aging Advisory Counsel, and many are members of the Board of Directors for the Chamber of Commerce, YMCA, and Justice for Children GLOW Foundation, Leadership Genesee, and Tonawanda Valley Federal Credit Union. Members of the hospital staff have formed the Outreach Committee which collects school supplies for the Migrant Outreach Daycare Center in Batavia, Christmas stocking stuffers for the Salvation Army, eyeglasses for the Lions Club, and personal care products for military personnel serving overseas. The organization is an active financial supporter of fitness activities such as community walks and 5K runs, health awareness events and health fairs. United Memorial also works collaboratively with a community based coalition to address childhood obesity. Spear headed by a local pediatrician, the Get Fit Program offers nutritional, social and physician education for families in order to improve and promote healthy lifestyles. United Memorial works closely with the Genesee County Emergency Management Office for disaster readiness. United Memorial's Healthy Living Department also engages in a number of activities and programs to improve the well-being of our community. The MOMs (Medicaid Obstetrical Maternity) program saw 104 participants. The Healthy Living Department also cooperates with other community agencies such as the Genesee County Alcohol and Substance Abuse (GCASA) prevention coalition, to promote smoking cessation through the Smoke Free initiative. United Memorial is also actively engaged with the Diabetes Coalition and participates with the many activities of the American Diabetes Association. Healthy Living is responsible for the Cancer Services Program (CSP) of Genesee and Orleans County. In 2013, this NYS Department of Health grant funded program provided free clinical screenings and mammograms to women 18-64 and free colorectal cancer screenings to men and women age 50 and above who are uninsured or underinsured. In 2013, the CSP assisted 137 individuals with important life-saving diagnostic screenings. The CSP partners with the local Zonta Chapter to provide funding for treatment and services related to the diagnostic outcomes of CSP clients (i.e. follow doctor's appointments and further diagnostic testing.) United Memorial also enjoys strong partnerships with Genesee Community College for workforce development by allowing the clinical training for nursing and respiratory therapy students to be conducted at the hospital and providing staff mentors. The clinical pharmacy, radiology and physical therapy departments were also host to a number of students from SUNY Brockport, Daemen College, and the University of Buffalo. Each summer, United Memorial hosts middle school aged children from local schools who demonstrate an interest in health careers. They participate in a 2 day MASH Camp experience which exposes them to the many professional facets of healthcare. United Memorial also serves as a day session host for Genesee Community College's BioTechnology students and as the clinical site for the BOCES Health Careers Academy for Junior and Senior High School students. United Memorial Medical Center has a 14 member board comprised of community members in areas it serves. No member of the board is compensated for the services they provide as a board member, however one member of the board is an employee of the hospital and another is an independent contractor of the hospital. Both of these board members are compensated by the hospital based on services that they provide to the hospital patients. The medical staff of United Memorial Medical Center is organized to serve the members of the community. Medical staff privileges are open and available to all qualified physicians and we currently have over 175 members of the Medical Staff. The hospital operates a 24 hour a day emergency room which provides emergency services to the community regardless of their ability to pay for services. No part of the hospital's income inures to the benefit of any private individual nor is a private interest being services. The hospitals surplus finds are reinvested into the facility, equipment or programs of the hospital to improve the quality of patient care, and expand the services the hospital provides. The hospital provides valuable services to the community it serves and continues to demonstrate its mission by providing support for health fairs, health screening programs, educational programs, and allowing hospital staff to serve on community wide boards and organizations. We also provide a very successful volunteer program for adults and teenagers. The medical staff of United Memorial Medical Center is organized to serve the members of the community. Medical staff privileges are open and available to all qualified physicians and we currently have 95 active medical staff and 17 associate. The hospital provides 24 hour a day emergency room which provides emergency services to the community regardless of their ability to pay for services. No part of the hospitals income inures to the benefit of any private individual nor is a private interest being served. The hospitals surplus funds are reinvested into the facility, equipment or programs of the hospital to improve the quality of patient care, and expand the services the hospital provides. The hospital provides valuable services to the community it serves and continues to demonstrate its mission by providing support for health fairs, health screening programs, educational programs, and allowing hospital staff to serve on community wide boards and organizations. We also provide a very successful volunteer program which offers the community a great opportunity to volunteer. |
| Schedule H, Part VI, Line 6 | Not applicable. On January 1, 2015 the hospital became a member of the Rochester Regional Health System. |
| Schedule H, Part VI, Line 7 | The hospital completes and files with the New York State Department of Health an Annual Report which includes community benefits that the hospital provides. |
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 | 0 | 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 | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Jin Chang MD | ||||||||||||||
| Anesthesialogoist | $452,078 | $0 | $0 | $0 | $6,287 | $0 | $11,700 | $0 | $14,790 | $0 | $484,855 | $0 | $0 | $0 |
| Mark Schoell | ||||||||||||||
| CEO | $350,766 | $0 | $2,500 | $0 | $2,384 | $0 | $29,200 | $0 | $15,233 | $0 | $400,083 | $0 | $0 | $0 |
| Anthony Froix MD | ||||||||||||||
| Surgeon | $286,310 | $0 | $70,080 | $0 | $410 | $0 | $11,700 | $0 | $6,261 | $0 | $374,761 | $0 | $0 | $0 |
| Michael Merrill MD | ||||||||||||||
| VP of Medical Affairs | $308,253 | $0 | $32,294 | $0 | $711 | $0 | $11,700 | $0 | $14,487 | $0 | $367,445 | $0 | $0 | $0 |
| Anupa Seth MD | ||||||||||||||
| Physician | $206,194 | $0 | $84,799 | $0 | $195 | $0 | $9,150 | $0 | $8,147 | $0 | $308,485 | $0 | $0 | $0 |
| Andrea Zucchiatti MD | ||||||||||||||
| Surgeon | $287,169 | $0 | $0 | $0 | $221 | $0 | $0 | $0 | $12,376 | $0 | $299,766 | $0 | $0 | $0 |
| Michele Odrobina MD | ||||||||||||||
| Obstetrician | $252,512 | $0 | $18,746 | $0 | $219 | $0 | $11,700 | $0 | $585 | $0 | $283,762 | $0 | $0 | $0 |
| Daniel Ireland | ||||||||||||||
| President | $242,586 | $0 | $11,500 | $0 | $335 | $0 | $11,434 | $0 | $13,816 | $0 | $279,671 | $0 | $0 | $0 |
| Robert Chiavetta | ||||||||||||||
| Vice President of Finance/CFO | $219,600 | $0 | $10,793 | $0 | $466 | $0 | $10,458 | $0 | $14,271 | $0 | $255,588 | $0 | $0 | $0 |
| Mary Beth Bowen | ||||||||||||||
| Vice President Nursing/Chief Nursing Officer | $169,907 | $0 | $8,355 | $0 | $330 | $0 | $6,832 | $0 | $6,252 | $0 | $191,676 | $0 | $0 | $0 |
| Kurt Calman | ||||||||||||||
| CIO/ VP of Technology and Clinical Services | $148,003 | $0 | $7,193 | $0 | $105 | $0 | $6,973 | $0 | $5,069 | $0 | $167,343 | $0 | $0 | $0 |
| Sonja Gonyea | ||||||||||||||
| VP of Human Resources | $126,756 | $0 | $6,160 | $0 | $91 | $0 | $5,494 | $0 | $12,339 | $0 | $150,840 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 | Review of executive compensation is done annually by the Board of Directors. The hospital uses a compensation committee to determine what the CEO will be paid. This committee gathers information from an outside consultant who gathers information on comparable CEO salaries and provides a compensation report to the compensation committee. The hospital's Board of Directors has to approve the recommendations of the compensation committee before the CEO compensation is implemented. |
| Schedule J, Part I, Line 6 | A portion of executive pay is based upon meeting the level of net earnings established in the Board approved annual operating budget. A portion of executive incentive compensation is based upon meeting certain criteria relating to quality of patient care, patient satisfaction, patient safety, employee satisfaction and certain financial indicators such as measurement of cash and debt service coverage ratios. |
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 | Genesee County Industrial Developement Agency | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 161139027 | BondIssuerEIN |
| CUSIP | 371672AD8 | CUSIPNum |
| Bond Issued | 2007-04-27 | BondIssuedDt |
| Issue Price | $14,704,494 | IssuePriceAmt |
| Purpose | Renovation of outpatient diagnostic center and physicians offices | 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 | $14,704,494 | TotalProceedsAmt |
| In Reserve Fund | $1,176,970 | InReserveFundAmt |
| Capitalized Interest | $0 | CapitalizedInterestAmt |
| Refunding Escrow | $0 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $294,090 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $13,233,434 | CapitalExpendituresAmt |
| Other Spent Proceeds | $0 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Substantial Completion | 2007 | SubstantialCompletionYr |
| Current Refunding | 0 | 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 |
| Private Bus Use By Others | 0 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | Yes (1) | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | 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 | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| James Fulmer | |||
| Board Member | $464,694 | See Part V | 0 |
| William Fritts | |||
| Board Member | $25,893 | See Part V | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule L, Part IV | FormAndLineReferenceDesc |
| Explanation | James Fulmer is President of The Bank of Castile which the hospital has its banking relationship with. The total amount paid to The Bank of Castile in 2014 was $464,694 and represents the total interest paid on outstanding indebtedness the hospital has with The Bank of Castile. William Fritts is the owner of Lawley Genesee Insurance Company which provides consulting services on insurance policies that the hospital has. The total amount paid to Lawley Genesee in 2014 was $25,893. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, Line 3 | During 2014 the hospital had management contracts for the following areas in which the contracted manager reported directly to an officer or key employee of the hospital: facilities management, bio-medical services, housekeeping, dietary, pharmacy and wound care. |
| Form 990, Part VI, Section A, Line 6 | The Genesee Memorial Hospital Group, Inc. is the sole member of United Memorial Medical Center. |
| Form 990, Part VI, Section A, Line 7a | The Genesee Memorial Hospital Group, Inc. has the right to elect all members of the United Memorial Medical Center Board of Directors. |
| Form 990, Part VI, Section A, Line 9 | MaryBeth Bowen, 15 Vale Drive, Batavia, NY 14020 |
| Form 990, Part VI, Section B, Line 11b | The hospital issues the final Form 990 to all member of the hospital's board before their monthly meeting and the Vice President of Finance reviews the Form 990 at this meeting and answers any questions that may arise. |
| Form 990, Part VI, Section B, Line 12c | The Conflict of Interest Policy and Questionnaire is distributed to the Board members on an annual basis. The Governance Committee is provided with a summary of any duality of interest or possible conflict of interest for their review. The Conflict of Interest summary is then disclosed to the full Board for review. |
| Form 990, Part VI, Section B, Line 15 | Review of executive compensation is done annually by the Board of Directors. The hospital uses a compensation committee to determine what the CEO will be paid. This committee gathers information from an outside consultant who gathers information on comparable CEO salaries and provides a compensation report to the compensation committee. The hospital's Board of Directors has to approve the recommendations of the compensation committee before the CEO compensation is implemented. All compensation decisions are based on independent market data obtained from a variety of sources. Other employee compensation is recommended by the CEO on a similar basis to the Board and after discussion with the compensation committee. |
| Form 990, Part VI, Section C, Line 19 | The hospital currently makes available its governing documents, conflict of interest policy, and financial statements to the public by formal request. The hospital financial statements are included with hospitals annual report which is located on the hospitals website. |
| Form 990, Part XI, Line 9 | Change in unrestricted interest in net assets of Foundation ($129,461) less Minimum pension liability adjustment ($5,350,649) minus change in temporarily restricted interest in net assets of Foundation ($682,611) for a total of $5,903,799. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| United Memorial Medical Center Foundation Inc | |||||||||||
| 207 Summit Street | Batavia | NY | 14020 | 222611543 | Receive and administer gifts on behalf of United Memorial Medical Center | NY | 501 (c) (3) | 509 (a) (3) Type III | N/A | 0 | |
| Genesee Memorial Hospital Group Inc | |||||||||||
| 127 North Street | Batavia | NY | 14020 | 222611545 | Approve the Board of Directors of United Memorial Medical Cener | NY | 501 (c) (3) | 170 (b) (1) (A) (VI) | Yes (1) | United Memorial Medical Center | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jerome Center Redevelopment Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 127 North Street | AddressLine1Txt |
| City | Batavia | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14020 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 900461497 | EIN |
| Primary Activities | Noncontrolling member of Bank Street Senior Housing | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Predominant Income Type | Related | PredominantIncomeTypeTxt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.00005 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | 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 |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| United Memorial Medical Center Foundation Inc | ||
| c | $653,330 | Total amount of cash transferred from United Memorial Medical Center Foundation, Inc. to United Memorial Medical Center for capital additions. |
| United Memorial Medical Center Foundation Inc | ||
| n | $1,426 | The actual average cost per square foot of the building the Foundation is located in, multiplied by the total square feet that the Foundation occupies. |
| United Memorial Medical Center Foundation Inc | ||
| q | $74,240 | Total expenses paid by United Memorial Medical Center on behalf of the Foundation and then reimbursed by the Foundation back to United Memorial Medical Center. |
Comments