2014-11-14T15:13:44-07:00 2013-12-31 990 2013-01-01 160743024 FREDERICK FERRIS THOMPSON HOSPITAL FRED 5853966124 350 Parrish Street Canandaigua NY 14424 Mark Prunoske Sr VP Finance/CFO 5853966490 2014-11-14 2013 2015-11-30 17:44:51Z Michael F Stapleton Jr 350 Parrish Street Canandaigua NY 14424 113142457 0 X www.thompsonhealth.org X 1904 NY FF Thompson Hospital Inc. is a community hospital which exists to serve the health care needs of the people in partnership with regional health care providers. FF Thompson Hospital serves as the center of a health care network to provide a full range of health care services and to improve community health. 24 19 1634 200 519378 -117525 2096585 1504029 91501000 100334288 126216 2045108 1273332 3317885 94997133 107201310 0 0 0 0 52947205 55692125 0 0 190253 43172066 45723277 96119271 101415402 -1122138 5785908 100901418 112458502 69169974 67243444 31731444 45215058 FF Thompson Hospital Inc. is a community hospital which exists to serve the health care needs of the people in partnership with regional health care providers. FF Thompson Hospital serves as the center of a health care network to provide a full range of health care services and to improve community health. 0 0 78977055 0 96567385 Inpatient care: 5,352 Inpatient discharges, 20,717 Inpatient Days. Outpatient: 1,133,077 Lab visits/tests, 23,960 ED visits, 57,479 Diagnostic Imaging, 16,651 Urgent Care, 26,520 Rehabilitation Services, and 5,659 Surgical Services. Charity Care was provided in the amount of $1,487,218 (at cost). Community Benefit was $2,239,234. Uncompensated Care was $3,609,560 (at cost). 0 0 0 78977055 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 181 0 1 1634 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 24 19 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X FF Thompson Hospital Mark Prunoske 5853966124 350 Parrish Street Canandaigua NY 14424 Ellie Fralick Board Member 0.5 0.5 X 0 0 0 Richard Cutri Board Member 0.5 0.5 X 0 0 0 William R Kenyon ESQ Board Chair 1 1 X X 0 0 0 David Baum MD Board Member President of Medical Staff 42 0 X X 337450 0 31387 Robert Sands Board Treasurer 1 1 X X 0 0 0 Ronald Knight Board Vice Chair 1 1 X X 0 0 0 Reverend Thomas Mull Board Member 0.5 0.5 X 0 0 0 James H Barr CPA Board Member 0.5 0.5 X 0 0 0 Paul Hudson Board Member 0.5 0.5 X 0 0 0 Randall Farnsworth Board Member 0.5 0.5 X 0 0 0 Brian Meath Board Secretary 1 1 X X 0 0 0 Richard H Hawks Jr Board Member 0.5 0.5 X 0 0 0 Thomas Kubiak Board Member 0.5 0.5 X 0 0 0 Carl Sahler MD Board Member 0.5 0.5 X 0 0 0 Deborah Price Board Member 0.5 0.5 X 0 0 0 Cynthia Teerlinck MD Board Member 0.5 0.5 X 0 0 0 Michael F Stapleton JR President/CEO 33 7 X X 0 304552 76759 Bradford Berk MD Board Member 0.5 65 X 0 950163 420661 Roger Friedlander Board Member 1 1 X 0 0 0 Daniel Fuller Board Member 0.5 0.5 X 0 0 0 Steven Goldstein Board Member 0.5 71 X 0 946186 263006 Frank Hamlin ESQ Board Member 0.5 0.5 X 0 0 0 Robert N Latella Esq Board Member 1 1 X 0 0 0 Raymond Mayewski MD Board Member 0.5 60 X 0 580688 109496 Carlos R Ortiz MD SVP Medical Services 35 5 X 0 272180 77303 Christopher B Mahan SVP Development and Support Services 20 20 X 38808 106444 5697 Jennifer DeVault VP Associate Services and Wellness 40 0 X 116957 0 16887 Mark Prunoske Senior VP & CFO 27 13 X 0 190003 39427 Hazel Robertshaw VP Patient Care Services/CNO 40 0 X 117589 0 11634 Dr John McGuire MD VP of the Medical Staff 40 0 X 172297 0 24936 Kurt Koczent EVP/COO 34.5 5.5 X 146077 36519 50698 Dr Vijay Bansal MD Physician 47.00 0 X 353449 0 19226 Dr Timothy Pitler MD Physician 44.00 0 X 330189 0 50732 Dr Jason McClung MD Physician 42.00 0 X 323322 0 17894 Dr Matthew Osborne MD Physician 41 0 X 297427 0 34223 Dr Kirk Heriot MD Physician 40 0 X 281543 0 44151 2515108 3386735 1294117 44 0 1 0 LeChase Construction Services LLC 300 Trolley Blvd Rochester NY 14606 Construction 3993450 Strong Memorial Hosp Clinical lab 601 Elmwood Ave Box 608 Rochester NY 14642 Clinical Lab Services 1518410 Philips Healthcare Informatics P O Box 403831 Atlanta GA 303843831 Imaging Services 485165 Canandaigua Medical Group 335 Parrish Street Canandaigua NY 14424 On Call Services 444804 M Modal Services LTD PO Box 538504 Atlanta GA 30368 Transcription Services 432768 20 0 0 0 1258129 215900 30000 0 1504029 Community Health Service 622000 86287488 85768110 519378 0 Medicare/Medicaid Payments 622000 14046800 14046800 0 0 0 0 0 0 100334288 90629 0 0 90629 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 256807 7638819 237820 5703327 18987 1935492 1954479 0 0 1954479 0 Associate/Patient Support 622000 1334071 0 0 1334071 Meaningful Use 622000 1983814 1983814 0 0 0 0 0 0 3317885 107201310 101798724 519378 3379179 929177 509747 419430 43435305 35429241 8006064 0 2605358 2214554 390804 0 5437269 4621679 815590 0 3285016 2792264 492752 0 846176 628889 217287 0 209967 0 209967 0 129284 0 129284 0 0 0 0 0 0 0 0 0 0 0 4982880 3007783 1975097 0 25709 0 25709 0 15325263 15002017 323246 0 3697547 1249506 2448041 0 0 0 0 0 1627269 1490370 136899 0 59429 42665 16764 0 0 0 0 0 121554 114142 7412 0 1758179 0 1758179 0 190253 0 0 190253 7262659 6173260 1089399 0 873652 37856 835796 0 Health System member Assessment 3055049 1466424 1588625 0 Provision for Uncollectible Accounts 3766903 3766903 0 0 New York State Cash Assessment 398214 0 398214 0 Facility Services 882614 0 882614 0 510676 429755 80921 0 101415402 78977055 22248094 190253 3308 3383 9107193 24403349 7272795 5798155 1421573 1801438 1489919 749161 133709946 66089111 70655462 67620835 797879 912034 10153289 11170147 100901418 112458502 13918568 13775755 0 0 34855911 39329733 0 0 3127203 2190087 17268292 11947869 69169974 67243444 X 28276790 41158199 3454654 4056859 0 0 31731444 45215058 100901418 112458502 X 5785908 157844 0 0 0 7539862 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7571403 13176 1114484 0 538948 0 8160115 6934130 167545 769935 0 300207 0 7571403 6239690 863280 44331 0 213171 0 6934130 5619137 72378 814801 0 266626 0 6239690 4831696 57312 976186 0 246057 0 5619137 0.93 0.07 0 0 1 1 0 58076 58076 0 76403832 28889420 47514412 0 472759 240675 232084 0 53184329 35525619 17658710 0 3590950 1433397 2157553 67620835 Other Assets 771404 Due from Affiliates 1511423 Assets Limited as to Use 2797998 Beneficial Interest in Charitable Remainder Trust 381679 Deferred Financing Costs, net 1687369 Beneficial Interest in net assets of FFTH Foundation 4020274 11170147 0 Accrued Pension Liability 8940488 Charitable Gift Annuity Payment Liability 108780 Interest Rate Swap Liability 637592 Third Party Payor Accrual 1254484 Other Non-Current Liabilities Acc Ins reserve 673018 Other Non-Current Liabilities MCIC Tail Liability-LT 255507 Other Non-Current Liabilities L-T portion Practice Acq 78000 11947869 X 104009138 0 0 0 111064 111064 103898074 0 3303236 3303236 107201310 97458246 0 0 0 0 0 97458246 0 3957156 3957156 101415402 Schedule D, Part V, Line 4 The funds are for the benefit of FF Thompson Health System, Hospital, Senior Communities, and Continuing Care Center. The Foundation continuously evaluates the needs of these organizations and attempts to meet those needs. Schedule D, Part X, Line 2 The Hospital adopted the provisions of ASC Section 740 on January 1, 2009, and there was no impact on the Hospital's financial statements. As of December 31, 2013 the Hospital does not have a liability for unrecognized tax benefits. Schedule D, Part XI, Line 2d Net Assets released from restrictions used for operations $111,064 Schedule D, Part XI, Line 4b Investment Income $109,617, Loss on disposal of equipment - $211,508, Contributions from the FF Thompson Foundation Inc $200,746, Contributions from the FF Thompson Foundation Inc $1,057,381, Sale of Finger Lakes VNS $2,147,000 Schedule D, Part XII, Line 4b Payment for services from the FF Thompson Foundation Inc $190,253, Provision for bad debts $3,766,903. 1 1 X 1 X 0 1 1 1 0 1 1 668518 411912 256056 0.0026 10305175 8592664 1712511 0.0175 0 0 10973693 9004576 1968567 0.0201 483238 76073 407165 0.0042 4996917 4469691 527226 0.0054 28751 0 28751 0.0003 0 0 5508906 4545764 963142 0.0099 0 0 16482599 13550340 2931709 0.0300 211199 0 211199 0.0022 62172 0 62172 0.0006 161267 111517 49750 0.0005 841454 0 841454 0.0086 0 0 1276092 111517 1164575 0.0119 1 3623332 61363 12516592 14396199 -1879607 X 1 1 1 1 The Fredrick Ferris Thompson Hospital 350 Parrish Street Canandaigua NY 14424 X X X The Fredrick Ferris Thompson Hospital 1 1 X X X X X X X X X 13 1 1 1 X http://www.co.ontario.ny.us/documentcenter/view/1564 X X X X X X 0 0 1 1 100 1 300 1 X X X X X X 1 1 X X X X X 1 0 X X X X 1 X 0 0 Schedule H, Part V, Section B, Line 3-The Fredrick Ferris Thompson Hospital Ontario County Public Health was charged with working with local hospitals and other key partner agencies to select two key health priorities and one disparity to address in the community. To this end, we partnered with Ontario County Public Health, the S2AY Rural Health Network in a comprehensive process involving other local hospitals, community organizations, and county residents. We launched a 22- month long process to collect data, solicit opinions, facilitate a process and guide a discussion to determine not only what the most pressing problems facing our county are, but also what we can effectively and efficiently address. Led by the S2AY Rural Health Network, Ontario County Public Health Department with local hospitals and community partners utilized the Mobilizing for Action through Planning and Partnership (MAPP) process to determine two priorities and a disparity from the 2013 - 2017 Prevention Agenda. Organizations that participated in the community health assessment process included: Ontario County Public Health Department, Clifton Springs Hospital and Clinic, FF Thompson Hospital, Geneva General Hospital, S2AY Rural Health Network, Geneva Housing Authority, Churches in Action, Ontario County Youth Bureau, Ontario County Office of the Aging, Ontario County DSS, Ontario County Sheriff's Office, Ontario County Mental Health Department, Ontario United Way, Ontario County Workforce Development, Ontario County Correctional Facility, Finger Lakes Visiting Nurse Services, Courts of Ontario County, Canandaigua Red Cross, The Salvation Army Rushville Health Center (RPCN), Geneva Head Start, Canandaigua Veterans Affairs Medical Center, Finger Lakes Cerebral Palsy/Happiness House, NAACP - Geneva, Geneva Community Health, Ontario County ARC, Catholic Charities, The Monroe Plan for Medical Care, Lifetime Care, Finger Lakes Addictions Counseling and Referral Agency (FLACRA), Cornell Cooperative Extension, Partnership for Ontario County Council on Alcoholism & Addictions in the Finger Lakes, Council of Churches, Our Lady of Peace Parish, Success for Geneva's Children, Finger Lakes Community College, Finger Lakes WIC Program, Town of Hopewell, Tobacco Coalition of the Finger Lakes Youth for Youth, Ontario Finger Lakes BOCES, Hobart William Smith Colleges, Hubbs Health Center, Finger Lakes Health, Child and Family Resources, Inc. Schedule H, Part V, Section B, Line 4-The Fredrick Ferris Thompson Hospital Geneva General Hospital (Finger Lakes Health), Clifton Springs Hospital Schedule H, Part V, Section B, Line 5-The Fredrick Ferris Thompson Hospital Yearly Community Benefit Report Booklet (mailing) Schedule H, Part V, Section B, Line 7-The Fredrick Ferris Thompson Hospital the Hanlon Method was used to rank the issues. This method of ranking focuses most heavily on how effective any interventions might be. The Hanlon Method utilizes the following formula to rank priorities: (A & 2B) X C where A= the size of the problem, B= the severity of the problem and C=the effectiveness of the solution. The effectiveness of the solution is given a lot more weight than the size or seriousness of the problem, with the hope of making wise use of limited resources by targeting solutions that are known to be effective. Participants also consider the weight of the Propriety, Economic feasibility, Acceptability, Resources and Legality (PEARL) of issues in this ranking system. Numerical values were determined by each participant for size, severity and effectiveness, and then plugged into the formula along with average PEARL scores. It is important to note that while the Hanlon Method offers a numerical and systematic method of ranking public health priorities, it is still a method that is largely subjective, but which represents a quantitative way to rank qualitative and non-comparable quantitative information. Since respondents ranked each component (size, seriousness and effectiveness of the solution) individually using a paper ranking form, the rankings were not heavily influenced by group dynamics. Based upon the ranking through the Hanlon Method, Ontario County's scores on the top health related issues in the county were: Cerebrovascular Disease (stroke, hypertension) Cancer (lung, ovarian, prostate) Poor Nutrition (unhealthy eating) Obesity (including lack of physical activity & fitness) Behavioral Problems in Children Dental Health Depression/Other Mental Illnesses Smoking/Tobacco Use/Secondhand Smoke Access to Specialty Health Care Drug & Alcohol Abuse/Abuse of Prescription Drugs or CLRD (COPD) Unintentional Injuries Community partners discussed all these issues, but concentrated on the top ranked issues. After reviewing, discussing and considering county assessments, data and previous initiatives the group decided to focus on the top two priorities of: 1. Obesity 2. Hypertension And the following disparity: Obesity in the low-income population Schedule H, Part I, Line 3c All patients with no insurance receive a discount. Inpatient discount is applied to charges to bring to the Medicare Inpatient DRG reimbursement. A 50% discount to charges is applied for all Outpatient services. Schedule H, Part I, Line 7 Patient Cost to Charge calculated according to the IRS 990 schedule H worksheet instructions. Schedule H, Part I, Line 7, Column f Bad debt in the amount of $3,766,903 which is included in Part IX is removed for the purposes of calculating the percentage on Schedule H, Part I, Line 7, column A. Schedule H, Part I, Line 7g There are no physician clinic costs included in these services. Schedule H, Part II Thompson Health maintains many links and affiliations with community and health organizations to enhance its ability to develop and deliver community programs. Through these partnerships Thompson Health has established a diverse array of community health programs to meet the communities' specific needs. Some of our partnerships include work with the county, school districts, colleges and industry as well as other non-profit community organizations. Schedule H, Part III, Section A, Line 4 As stated in the footnotes to Financial Statements, "An allowance for doubtful accounts receivable is estimated by management based on periodic reviews of collectability of accounts receivable considering historical experience and prevailing economic conditions." Bad debt expense is not included in the community benefit number or treated as community benefit. Bad debt expenses are calculated by converting the net expense per the audited financials back to gross charges. Gross charges are then reduced to cost using the cost to charge ratio calculated on Worksheet A of the 2013 990 form. Schedule H, Part III, Section B, Line 8 Medicare payments are converted to Medicare gross charges. The cost to charge ratio computed on Worksheet 2, line 11 is then applied. Medicare shortfalls are not included in or considered community benefit. Schedule H, Part III, Section C, Line 9b Collection practices are the same for insured and uninsured patients. Patients are billed for any balance due after insurance. Patients who are uninsured are billed at the inpatient and outpatient discounted rates. For patients who have applied for additional financial aid, collection on the accounts discontinue until the financial aid application is reviewed and either approved or denied. Patients receiving partial financial aid will continue with the collection process for the balance due after receiving additional financial aid. Patients denied further financial aid will continue with the collection process. All patients receive balance due statements for 120 days billed in 30 day cycles. Payment arrangements are available to patients. If payment arrangements are made, patients will receive monthly statements with the arranged monthly payment. Schedule H, Part VI, Line 2 Based on its commitment to the community, FF Thompson hospital completed a community health assessment to better understand the needs of the community members. The following identifies the participants in the process of conducting the community health assessments. Participants: The hospital worked with a broad-base of area community agencies known as "The Ontario County Partners for Community Solutions" to continue actions and implement the community health assessment. The participants in this committee included FF Thompson health, the Ontario County Department of Public Health, the Ontario County Office of Aging, the Ontario County Youth Bureau, the United Way, and the Canandaigua Churches in Action (a local church consortium.) Together this group developed and implemented a community health assessment to determine the ongoing needs of the county and to continue laying the groundwork for a county plan to address these needs. Schedule H, Part VI, Line 3 The Thompson Health Community Care Program is communicated in appropriate detail in several mediums. All efforts to provide information at a variety of locations using a variety of media and techniques are attempted. Thompson Health makes its best effort to make the program information available to patients prior to them receiving services, however; it is recognized that in many cases patients will investigate the Financial Aid/Community Care program after services are rendered. Thompson Health makes its best efforts to verbally communicate the program through its associates recognizing that there are levels of associate involvement. Patient registration staffs verbally inform all self-pay patients of this available benefit. There are pamphlets and informational sheets available for all patients in the registration area. Thompson Health associates are given information sheets to assist them with the ability to communicate this program to patients. Translation services are available as needed for any population that reaches 5% of total population visits per year. A variety of written communications are also used such as: Information sheets - located in the same areas as the signs will be information sheets regarding the availability of a financial aid/community care program identifying key contacts for further information. Application and directions - these documents provide the patient with the program application and directions as to how to complete the application and the additional information required for a complete application. These applications are handed out in the Emergency Department to self-pay patients. Patient Bills and Collection Correspondence - patient billing statements include a statement regarding the existence of the program and who to contact. Similar information is included in the "collection" letters. Electronic Media: Intranet - Thompson Health's intranet includes this policy and directions in the Policy & Procedure Manual on the intranet making the policy and program available to all associates. Internet Web Site - Thompson Health incorporates general information about the policy, sliding fee application and directions on its web site. Non-Patient Communication - Financial counselors communicate the program with community health & human service agencies and social service organizations and agencies. (I.e. Office of the Aging, etc.) as well as companies it utilizes in its collection efforts (i.e. collection agencies.) Schedule H, Part VI, Line 4 The method by which FF Thompson hospital defines its service area includes an analysis of its primary and secondary service area as well as the area demographics. The following defines the service areas and provides a demographic summary of the region. Definition of primary and secondary service areas: Thompson health provides services to persons in Ontario County and parts of Wayne, Monroe, Livingston, Yates, and Seneca counties. Thompson health defines its primary service area as including those zip codes that cumulatively add up to 70% of its inpatient admissions and where we receive greater than 50% of the market share. At the 70th percentile the remaining zip codes (up to the 90th percentile) comprise the secondary service area. Distribution by age group for the community is as follows: 29% 35 - 54, 18% 0 - 14, 13% 55 - 64, 12% 25 - 34, 10% 18 - 24, 8% 15 - 17. The current household incomes fall into the following groups: 27% $25-50k, 22% $50k - 75k, 19% Over $100k, 14% Schedule H, Part VI, Line 7 - New York Schedule H, Part VI, Line 5 A majority of Thompson Health's governing body is comprised of persons who reside in our primary service area and are neither employees, contractors, or family members therof. Our organization extends privileges to all qualified physicians in our community for all departments. All surplus funds are rolled into a fund balance for future year capital growth purposes which ensures improvement of our patient care areas. Thompson Hospital is committed to staying connected to our community members. Each of our executives and many of our directors serve on at least one or two boards of directors for the businesses in our community. Also in response to a national shortage of physicians, Thompson continues to recruit new physicians specializing in several arenas as well as additional family practitioners ensuring physician coverage for our community members. Thompson Hospital is a New York State Department of Health designated Stroke Center. We strive to use our resources effectively and efficiently to promote health and to reduce the overall cost of health care, address a multitude of issues and populations, address the health needs of the individual that go beyond medical and physical issues, and to ensure services are locally based. Schedule H, Part VI, Line 6 THE UNIVERSITY OF ROCHESTER MEDICAL CENTER IS AN INTEGRATED ACADEMIC HEALTH CENTER THAT COMPRISES THE SCHOOL OF MEDICINE AND DENTISTRY, INCLUDING ITS FACULTY PRACTICE(UNIVERSITY OF ROCHESTER MEDICAL FACULTY GROUP), STRONG MEMORIAL HOSPITAL, GOLISANO CHILDREN'S HOSPITAL, JAMES P WILMOT CANCER CENTER, SCHOOL OF NURSING, EASTMAN DENTAL CENTER, AND ITS AFFILIATES, HIGHLAND HOSPITAL, VISITING NURSE SERVICE, HIGHLANDS LIVING CENTER, HIGHLAND COMMUNITY DEVELOPMENT CORPORATION (D/B/A THE HIGHLANDS AT PITTSFORD), AND THE MEADOWS AT WESTFALL, INC (D/B/A THE HIGHLANDS AT BRIGHTON) -ONE OF THE NATION'S TOP ACADEMIC MEDICAL CENTERS, THE UNIVERSITY OF ROCHESTER MEDICAL CENTER FORMS THE CENTERPIECE OF THE UNIVERSITY'S HEALTH RESEARCH, TEACHING, PATIENT CARE, AND COMMUNITY OUTREACH MISSIONS WITH MORE THAN $145 MILLION IN FEDERAL RESEARCH FUNDING, UR SCHOOL OF MEDICINE RESEARCH FUNDING RANKS IN THE TOP ONE-QUARTER AMONG OF U S MEDICAL CENTERS WHILE THE SCHOOL OF NURSING RANKS 12TH HIGHEST IN FUNDING THE UNIVERSITY'S HEALTH CARE DELIVERY NETWORK IS ANCHORED BY STRONG MEMORIAL HOSPITAL-A 800-BED, UNIVERSITY-OWNED TEACHING HOSPITAL PATIENTS BENEFIT FROM THE MEDICAL CENTER'S ROBUST TEACHING AND BIOMEDICAL RESEARCH PROGRAMS RESEARCH FACULTY HAVE ATTRACTED EXTERNAL FUNDING TOTALING APPROXIMATELY $300 MILLION DURING THE LAST FISCALYEAR THE MEDICAL CENTER HAS ACHIEVED TOP-15 RANKINGS IN NIH FUNDING IN BIOCHEMISTRY, MICROBIOLOGY AND IMMUNOLOGY, NEUROLOGY,OBSTETRICS AND GYNECOLOGY, ORAL BIOLOGY AND MUSCULOSKELETAL RESEARCH STUDENT ROSTERS INCLUDE APPROXIMATELY 400 MEDICAL STUDENTS, 550 GRADUATE STUDENTS, AND 600 RESIDENTS AND FELLOWS - GOLISANO CHILDREN'S HOSPITAL, HOUSED IN STRONG MEMORIAL HOSPITAL, IS A 132-BED CHILDREN'S HOSPITAL THAT SERVES AS THE REFERRAL CENTER FOR UPSTATE NEW YORK, SURROUNDING STATES AND CANADA IT COMBINES AWARD-WINNING RESEARCH, INTERNATIONALLY ACCLAIMED EDUCATION AND COMPASSIONATE CARE TO SERVE CHILDREN ANDFAMILIES PEDIATRIC SPECIALTIES INCLUDEORTHOPEDICS, NEUROLOGY/NEUROSURGERY, CANCERAND NEONATAL CARE - THE JAMES P WILMOT CANCERCENTER IS ORGANIZED AROUND A MULTIDISCIPLINARYCARE MODEL, WHICH LEADING CANCER EXPERTS BELIEVEIS THE GOLD STANDARD IN CANCER CARE IN THE 21STCENTURY ITS MODEL UNDERSCORES A COMMITMENT TOPROVIDE PATIENTS IN THE ROCHESTER AREA WITH THEMOST UP-TO-DATE INFORMATION AND AVAILABLETREATMENTS, BASING ITS RECOMMENDATIONS ON THEBEST EVIDENCE IT IS ONE OF THE ONLY CENTERS IN WESTERN NEW YORK OFFERING THIS TEAM APPROACH TO CARE - EASTMAN DENTAL CENTER PROVIDES COMMUNITY DENTAL CARE IN A NUMBER OF CLINICS AS WELL AS CLINICAL EDUCATION TO DENTAL STUDENTS ENROLLED AT THE UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY IT OFFERS GENERAL DENTISTRY, PEDIATRIC AND ORTHODONTIC CLINICS AND HAS RECENTLY ADDED AN URGENT CARE DENTAL CLINIC THAT SEES APPROXIMATELY 50 PATIENTS A DAY - HIGHLAND HOSPITAL IS A FULL-SERVICES COMMUNITY HOSPITAL THAT ALSO OFFERS NUMEROUS SPECIALTY SERVICES THAT DRAW PATIENTS FROM THE REGION AND CANADA BARIATRIC SURGERY, JOINT REPLACEMENT, GERIATRICS, WOMEN'S SERVICES AND MATERNITY HIGHLAND HOSPITAL'S EVOLUTION AS A FULL-SERVICES COMMUNITY HOSPITAL, WITH A FULL COMPLEMENT OF SUBSPECIALTY SERVICES, ENABLES THE HOSPITAL TO ACCEPT PATIENTS FROM STRONG MEMORIAL'S ED AND FLOORS- IMPORTANT TO ASSURING ACCESS OF CARE, SINCE STRONG IS OFTEN AT OR NEAR FULL - VISITING NURSE SERVICE PROVIDES HOME COMMUNITY-BASED CARE TO MORE THAN 14,000 ANNUALLY, INCLUDING NURSING, THERAPY, PERSONAL CARE SUPPORT,AND MEALS ON WHEELS THE AGENCY IS RECOGNIZED FOR ITS SUCCESS IN UNNECESSARY HOSPITALIZATIONS - FF THOMPSON HOSPITAL LOCATED IN CANANDAIGUA, NY IS 113-BED ACUTE CARE COMMUNITY HOSPITAL SERVING ONTARIO COUNTY, NEW YORK, AND A 188-BED SKILLED NURSING FACILITY FF THOMPSON ALSO OPERATES NINE SATELLITE CLINICS PROVIDING URGENT CARE, PRIMARY CARE, RHEUMATOLOGY SERVICES AND TREATMENTOF SLEEP DISORDERS - THE HIGHLANDS AT CAMPUS INCLUDES TWO SEPARATE WITH DIFFERENT ACTIVITIES OFFERING NURSING CARE AS WELL AS ASSISTED AND LIVING FOR SENIORS THE HIGHLANDSCENTER IS A 122-BED SKILLED NURSING FACILITY ALSO OFFERS AN ADULT DAY CARE PROGRAM THE ASSISTED LIVING,171-BED INDEPENDENT AND COMMUNITY EDUCATION ARE PROVIDED BY COMMUNITY DEVELOPMENT CORPORATION THE HIGHLANDS AT PITTSFORD AND LAURELWOOD THE HIGHLANDS THE HIGHLANDS OFFER A SERIES OF COMMUNITY EDUCATION ON CURRENT HEALTH TOPICS, INCLUDING HEALTH, NUTRITION, ORAL HEALTH AND PREVENTION, TO NAME A FEW - THE HIGHLANDS AT BRIGHTON IS A 145-BED SKILLED NURSING FACILITY THAT SPECIALIZES IN CARE FOR THE MOST MEDICALLY COMPLEX CASES BOTH NURSING HOMES REFER TO HIGHLAND FOR THE QUALITY AND BREADTH OF ITS GERIATRIC CARE MANY HIGHLAND GERIATRICIANS SERVE A DUAL ROLE WITH THESE AGENCIES PROVIDING SERVICE AS A MEDICAL DIRECTOR AND/OR ATTENDING PHYSICIAN, WHICH STRENGTHENS THE COLLABORATION BETWEEN NURSING HOME, HOME NURSING CARE, PATIENT AND FAMILY THIS LINKAGE STRENGTHENS PRACTIONERS' KNOWLEDGE OF EACH OTHER AND OF COLLABORATION, PRODUCING A HIGH QUALITY CARE AND SMOOTHER TRANSITIONS FOR PATIENTS WHO MAY NEED ANY OR ALL OF THESE SERVICES AS THEY AGE. Schedule H, Part VI, Line 7 New York X X X X 1 1 0 0 0 1 1 0 0 Michael F Stapleton JR President/CEO 0 291062 0 0 0 13490 0 63668 0 13091 0 381311 0 0 Carlos R Ortiz MD SVP Medical Services 0 240868 0 0 0 31312 0 60319 0 16984 0 349483 0 0 Mark Prunoske Senior VP & CFO 0 183524 0 0 0 6479 0 26606 0 12820 0 229429 0 0 David Baum MD Board Member President of Medical Staff 316239 0 9000 0 12211 0 13097 0 18290 0 368837 0 0 0 Dr John McGuire MD VP of the Medical Staff 166169 0 3700 0 2428 0 6709 0 18227 0 197233 0 0 0 Kurt Koczent EVP/COO 145319 36330 0 0 758 189 30350 7588 10208 2552 186635 46659 0 0 Dr Vijay Bansal MD Physician 337194 0 0 0 16255 0 11298 0 7928 0 372675 0 0 0 Dr Timothy Pitler MD Physician 310861 0 5325 0 14003 0 31898 0 18833 0 380920 0 0 0 Dr Jason McClung MD Physician 313202 0 10000 0 120 0 0 0 17894 0 341216 0 0 0 Dr Matthew Osborne MD Physician 290407 0 0 0 7020 0 15804 0 18419 0 331650 0 0 0 Dr Kirk Heriot MD Physician 244414 0 25000 0 12129 0 25991 0 18159 0 325693 0 0 0 Bradford Berk MD Board Member 0 904509 0 0 0 45654 0 409267 0 11394 0 1370824 0 0 Steven Goldstein Board Member 0 889314 0 0 0 56872 0 258967 0 4039 0 1209192 0 0 Raymond Mayewski MD Board Member 0 556546 0 0 0 24142 0 99567 0 9929 0 690184 0 0 Christopher B Mahan SVP Development and Support Services 33195 91051 0 0 5613 15394 980 2689 542 1485 40330 110619 0 0 Schedule J, Part I, Line 4 The following individuals participated in a supplemental nonqualified retirement plan and received employer paid amounts that are included in deferred compensation. 457 (f) plan payments were: Michael Stapleton - $45,000, Carlos Ortiz - $24,000, Mark Prunoske - $19,000, Chris Mahan - $12,000, Kurt Koczent - $23,364, Bradford Berk - $240,000, and Steven Goldstein - $75,000. SERP plan payments were: Bradford Berk - $144,700, Steven Goldstein - $159,400, and Raymond Mayewski - $75,000. Schedule J, Part I, Line 6 The President/CEO and SR executives are eligible for a variable % YE incentive based on predetermined goals. The goals are operational, financial, and managerial in nature. The financial goal is tied in part to the net earnings of the organization and its affiliates. A Ontario County Industrial Development Agency 521326077 683058AB7 2003-07-01 12800000 To construct an addition to and renovate portions of the hospital 0 0 0 B Ontario County Local Development Corporation 272435489 2010-08-10 29700000 To construct an addition to and renovate portions of the hospital 0 0 0 A 0 0 12800000 0 0 0 0 0 0 0 0 0 2004 0 0 1 1 B 0 0 29700000 0 633000 0 952000 0 0 28115000 0 0 2013 0 0 1 1 A 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 A 0 0 0 0 1 1 Keybank 10.00 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 Form 990, Part VI, Section A, Line 6 The sole member of Frederick Ferris Thompson Hospital is F F Thompson Health System Inc. The Health System, acting through its board of directors, has the authority to elect the governing body of Thompson Hospital and approve certain decisions. Such decisions include appointment of the Hospital President and CEO, amendment of the certificate of incorporations and bylaws, approval of extraordinary corporate actions such as merger or dissolution, approval of capital and operating budgets, strategic plans, and incurrence of certain debt. Form 990, Part VI, Section A, Line 7a Refer to Schedule O, Membership information, Form 990, Part VI, Section A, Line 6 Form 990, Part VI, Section A, Line 7b Refer to Schedule O, Membership information, Form 990, Part VI, Section A, Line 6 Form 990, Part VI, Section B, Line 11b The Director of Finance reviewed the return and then provided it to an independent accounting firm for their review as well. The return was presented at a Board meeting prior to filing, with an overview of the changes from the prior year. The return was made available to the Board members via a shared intranet web-site. Questions were entertained by management prior to filing. Form 990, Part VI, Section B, Line 12c Board members complete conflict of interest disclosure statements annually and the statements are reviewed by the Chair of the Nominating Committee and General Counsel. The Committee and General Counsel are responsible for monitoring compliance and follow-up with any potential conflicts, including developing a conflicts of interest management plan that identifies each conflict and potential conflict and how it will be addressed. In addition, each Board member with a conflict or potential conflict receives a letter outlining how the conflict will be addressed. Form 990, Part VI, Section B, Line 15 Executive compensation at Thompson is established by the compensation committee of the Board of Directors. The committee uses an independent company to gather comparable data in determining compensation levels for the President/CEO and Senior level executives. The full Board of Directors is surveyed by the compensation committee on executive performance; this is considered in determining compensation levels. The compensation committee is also involved in goal setting for the executive team, which ties back to their performance reviews and compensation rates. Form 990, Part VI, Section C, Line 19 These documents are available upon request by contacting the Administrative Office. Form 990, Part XI, Line 9 Change in value of interest rate swap $272,465, Change in value of charitable gift annuities $30,425, Change in funded status of pension plan $6,289,673, Change in beneficial interest in charitable remainder trust $22,633, Change in beneficial interest in the net assets of the FF Thompson Foundation $924,666 The FF Thompson Foundation Inc 350 Parrish Street Canandaigua NY 14424 222959984 Fundraising NY 501(c)(3) 7 FF Thompson Health System 0 FF Thompson Health System Inc 350 Parrish Street Canandaigua NY 14424 222959987 Support Org NY 501(c)(3) 11a University of Rochester Medical Center 0 M M Ewing Continuing Care Center 350 Parrish Street Canandaigua NY 14424 237046583 Healthcare NY 501(c)(3) 3 FF Thompson Health System 0 FF Thompson Senior Communities Inc 1 Ferris Hills Canandaigua NY 14424 161557494 Elder Care NY 501(c)(3) 9 FF Thompson Health System 0 University of Rochester 910 Genesee Street STE 200 Rochester NY 14611 160743209 School NY 501 C (3) 2 University of Rochester 0 Highland Hospital of Rochester 1000 South Avenue Rochester NY 14620 160743037 Hospital NY 501 C (3) 3 Strong Partners Health System 0 The Highland Foundation Inc 1000 South Avenue Rochester NY 14620 237310662 Fundraising NY 501 C (3) 11A, 1 Highland Hospital 0 Highland Facilities Development Corp 1000 South Avenue Rochester NY 14620 223039077 Medical Building NY 501 C (3) 9 Highland Hospital 0 Highland Community Development Corp 100 Hahnemann Trail Pittsford NY 14534 223154715 Elder Care NY 501 C (3) 9 Strong Partners Health System 0 The Highlands Living Center Inc 500 Hahnemann Trail Pittsford NY 14534 223240227 Healthcare NY 501 C (3) 9 Strong Partners Health System 0 The Meadows at Westfall Inc 5901 Lac De Ville Blvd Rochester NY 14618 161502303 Healthcare NY 501 C (3) 9 Strong Partners Health System 0 Strong Partners Health System Inc 601 Elmwood Avenue Box 706 Rochester NY 14642 161499099 Support Org NY 501 C (3) 11A, 1 University of Rochester 0 Strong Home Care Group 2180 Empire Boulevard Webster NY 14580 222577664 Fundraising NY 501 C (3) 7 University of Rochester 0 Visiting Nurse Srvc of Rochester & Monroe 2180 Empire Boulevard Webster NY 14580 160743215 Healthcare NY 501 C (3) 9 Strong Home Care Group 0 Community Care of Rochester 2180 Empire Boulevard Webster NY 14580 161561691 Healthcare NY 501 C (3) 9 Strong Home Care Group 0 Excell Partners Inc 160 Linden Oaks Suite E Rochester NY 14625 201862628 Economic Dev NY 501 C (4) N/A University of Rochester 0 Rochester Bioventure Center Inc 601 Elmwood Avenue Box 706 Rochester NY 14642 202485999 Biotech Incub NY 501 C (3) 11A, 1 University of Rochester 0 High Tech Rochester Inc 150 Lucius Gordon Drive Suite 100 West Henrietta NY 14586 161195028 Business Incu NY 501 C (3) 7 University of Rochester 0 Crittenden Boulevard Housing Co Inc 249 Norton Village Lane Rochester NY 14609 237035414 Support Org NY 501 C (3) 11B, II University of Rochester 0 University of Rochester Employee Ben Trs 910 Genesee Street Suite 200 Rochester NY 14611 161600112 Empl Ben Trst NY 501 C (9) N/A University of Rochester 0 U of R Broadcasting Corporation 201 Wilson Commons Rochester NY 14627 160743209 Broadcast Lic NY 501 C (4) N/A University of Rochester 0 UR Real Estate Corporation 263 Wallis Hall Rochester NY 14627 271140014 Support Org NY 501 C (3) 11D, III-OTH University of Rochester 0 Framemed Foundation Inc 263 Wallis Hall Rochester NY 14627 161490497 Support Org NY 501 C (3) 7 University of Rochester 0 Meliora Real Estate Corporation 263 Wallis Hall Rochester NY 14627 452464788 Support Org NY 501 C (3) 11D, III-OTH University of Rochester 0 Finger Lakes Home Care Inc 756 Pre-Emption Road Geneva NY 14456 161489133 Healthcare NY 501 C (3) 9 Visiting Nurse Srvc of Rochester & Monroe 0 Finger Lakes Visiting Nurse Service Inc 756 Pre-Emption Road Geneva NY 14456 223067627 Healthcare NY 501 C (3) 9 Visiting Nurse Srvc of Rochester & Monroe 0 Excell Innovate NY Fund LP 222 West Ridge Road Bldg 28 Suite 156-1 Rochester NY 14615 462405519 Funding Start Ups NY Finger Lakes Community Care Network 350 Parrish Street Canandaigua NY 14424 161423442 Inactive NY N/A C FF Thompson Properties and Services Inc 350 Parrish Street Canandaigua NY 14424 161286518 Holding Co NY N/A C Medical Administrative Associates Inc 777 South Clinton Avenue Rochester NY 14620 161354319 Retail Pharmacy NY N/A C UR Equity Holdings Inc 110 Office Park Way Pittsford NY 14534 273040889 Holding Co NY N/A C Excell Technology Ventures Inc 222 West Ridge Road Ste 156-1 Rochester NY 14615 800909149 Biotech Incubator NY N/A C Accountable Health Partners LLC 135 Corporate Woods Ste 320 Rochester NY 14623 300787967 Acct Care Network NY N/A C 1 0 1 0 1 0 0 0 0 1 1 0 1 0 1 0 1 0 0