ROCHESTER REGIONAL HEALTH FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ROCHESTER REGIONAL HEALTH FOUNDATION (EIN 22-2229425)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-12
IRS object ID
201303169349304000
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-12T11:59:10-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN161226221EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1FUST CHARLES CHAMBERS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15784 WIDEWATERS PARKWAYAddressLine1
CitySYRACUSECity
StateNYState
ZIP Code13214ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222229425EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ROCHESTER GENERAL HOSPITAL FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlROCHNameControl
Phone5859224800Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 KINGS HIGHWAY SOUTH NO 2300AddressLine1
CityROCHESTERCity
StateNYState
ZIP Code14617ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePAULA TINCHName
TitleSVP FINANCE & CFOTitle
Phone5859224800Phone
Date Signed2013-11-06DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameANGELA M FRANCOName
PTINP00589741PTIN
Phone3154463600Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARK C CLEMENTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1100 KINGS HIGHWAY SOUTH NO 2300AddressLine1
CityROCHESTERCity
StateNYState
ZIP Code14617ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5827876GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ROCHESTERGENERAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1988YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO CONDUCT ACTIVITIES THAT RAISE FUNDS AND TO INVEST SUCH FUNDS FOR THE BENEFIT OF THE ROCHESTER GENERAL HOSPITAL AND ITS AFFILIATED ORGANIZATIONS.ActivityOrMissionDescription
Nbr Voting Members Governing Body27NbrVotingMembersGoverningBody
Nbr Independent Voting Members22NbrIndependentVotingMembers
Total Nbr Employees11TotalNbrEmployees
Total Nbr Volunteers27TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4299404ContributionsGrantsPriorYear
Contributions Grants Current Year4415887ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year2296756InvestmentIncomePriorYear
Investment Income Current Year1057001InvestmentIncomeCurrentYear
Other Revenue Prior Year-487354OtherRevenuePriorYear
Other Revenue Current Year-421328OtherRevenueCurrentYear
Total Revenue Prior Year6108806TotalRevenuePriorYear
Total Revenue Current Year5051560TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year5624482GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2920962GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1371494SalariesEtcPriorYear
Salaries Etc Current Year1312604SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY142105TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year798407TotalFundrsngExpCurrentYear
Other Expense Prior Year1193844OtherExpensePriorYear
Other Expenses Current Year1221562OtherExpensesCurrentYear
Total Expenses Prior Year8189820TotalExpensesPriorYear
Total Expenses Current Year5597233TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2081014RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-545673RevenuesLessExpensesCY
Total Assets BOY38220562TotalAssetsBOY
Total Assets EOY36621400TotalAssetsEOY
Total Liabilities BOY5278532TotalLiabilitiesBOY
Total Liabilities EOY2813087TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY32942030NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY33808313NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE FUNDS TO OR FOR THE BENEFIT OF ROCHESTER GENERAL HOSPITAL AND AFFILIATES BY:A) SOLICITING, ACCEPTING, HOLDING, INVESTING, REINVESTING AND ADMINISTERING ANY GIFTS, BEQUESTS, DEVISES, BENEFITS OF TRUSTS AND PROPERY OF ANY SORT, WITHOUT LIMITATION AS TO AMOUNT OR VALUE;B) USING, DISBURSING OR DONATING THE INCOME OR PRINCIPAL THEREOF EXCLUSIVELY FOR THE FOREGOING PURPOSES; ANDC) PERFORMING ANY OTHER ACT OR THING INCIDENTAL TO OR CONNECTED WITH THE FOREGOING PURPOSES OR IN ADVANCEMENT THEREOF.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense3255757Expense
Grants2920962Grants
DescriptionSEE SCHEDULE OTHE ROCHESTER GENERAL FOUNDATION CONDUCTS A BROAD RANGE OF FUNDRAISING EFFORTS TO DRIVE ANNUAL GIVING, SPECIAL EVENT SUPPORT, MAJOR GIFTS AND PLANNED GIFTS. EVENT - IN 2012, THE FOUNDATION CONDUCTED MULTIPLE SPECIAL EVENTS. EACH EVENT WAS DESIGNED WITH THE PURPOSE OF RAISING MONEY, THANKING MAJOR DONORS OR CULTIVATING NEW MAJOR DONORS. SOMETIMES, EVENTS ACCOMPLISHED TWO OR THREE OF THESE OBJECTIVES. THIS SECTION DESCRIBES SOME HIGHLIGHTS OF 2012 ROCHESTER GENERAL HOSPITAL FOUNDATION EVENTS.THE MOST SIGNIFICANT EVENT OF THE YEAR, THE FOUNDERS SOCIETY GALA, WAS HELD IN NOVEMBER 2012. APPROXIMATELY, 1,400 PEOPLE ATTENDED THE EVENT AND RAISED OVER $793,000 - A RECORD AMOUNT - BEFORE EXPENSES. ADDITIONALLY, SIX PEOPLE WERE RECOGNIZED AS PHILANTHROPY AWARD HONOREES. THIS WAS AN OPPORTUNITY TO THANK THEM FOR THEIR SUPPORT OF THE HEALTH SYSTEM. THIS EVENT WAS ALSO AN OPPORTUNITY TO ENGAGE PROSPECTIVE MAJOR DONORS TO MAKE FUTURE GIFTS TO THE CAPITAL CAMPAIGN.LUNCH AND DINNER EVENTS DESIGNED TO THANK, EDUCATE AND INSPIRE FRIENDS OF ROCHESTER GENERAL HEALTH SYSTEMS WERE PEPPERED THROUGHOUT THE YEAR AS WELL. THE FOUNDERS SOCIETY LUNCHEON, THE HANSFORD LEGACY SOCIETY DINNER AND THE BOARD EMERITUS SOCIAL WERE THE MOST NOTABLE EXAMPLES OF THE FOUNDATION THANKING PAST FRIENDS AND DONORS FOR THEIR GENERAL SUPPORT WHILE ALSO ENLIGHTENING THEM ON THE FUTURE NEEDS OF THE SYSTEM AND NEW WAYS TO LEND PHILANTHROPIC SUPPORT IN THE FUTURE.THE FOUNDATION ALSO HELD SEVERAL PRIVATE EVENTS THAT WERE MEANT TO CULTIVATE PROSPECTIVE DONORS TO THE CAMPAIGN. PAST DONORS AND PEOPLE WHO PREVIOUSLY HAD LITTLE CONTACT WITH THE HEALTH SYSTEM WERE INVITED TO "INSIDER EVENTS", WHERE HEALTH SYSTEM LEADERS AND PROMINENT COMMUNITY SUPPORTERS SHARED NEEDS AND ASPIRATIONS FOR THE HEALTH SYSTEM AND THE REGION AT LARGE.ANNUAL GIVING -THE FOUNDATION ALONG WITH NEWARK-WAYNE COMMUNITY HOSPITAL FOUNDATION, CONTINUED A DIRECT MAIL PROGRAM TO ACQUIRE MORE THAN 2,300 NEW DONORS SINCE 2012. AS PART OF THE PLANNED PROGRESSION TOWARD THE CAMPAIGN, 2012 MARKED A YEAR WHEN ACQUISITION EFFORTS WERE REDUCED AND RETENTION EFFORTS WERE EXPANDED. THIS MEANS WE FOCUSED ON MAINTAINING CONTACT WITH THE DONORS WE HAVE ACQUIRED OVER THE PAST THREE YEARS, ENCOURAGING REPEAT GIFTS FROM THEM INSTEAD OF CONTINUTING TO FOCUS ON FINDING NEW DONORS. WHILE THIS EFFORT BENEFITS BOTH FOUNDATIONS, WHEN APPROPIATE, DIRECT MAIL EFFORTS WERE TARGETED TO THE "NEWARK WAYNE" COMMUNITY AND THE "ROCHESTER GENERAL" COMMUNITY.AS THE CAMPAIGN CONTINUES TO PROGRESS, MAJOR GIFT OFFICERS WILL TRY TO REACH OUT TO INDIVIDUALS WHO HAVE MADE MULTIPLE GIFTS AND SATISFY OTHER QUALIFYING CRITERIA TO ENCOURAGE EITHER A MAJOR GIFT OR A PLANNED GIFT.Description
Total Program Service Expense3255757TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109649NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees11NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Excess Business Holdings0ExcessBusinessHoldings
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members27NbrVotingGoverningBodyMembers
Number Independent Voting Members22NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1TAMMY CLAFLINBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5859221745TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 KINGS HIGHWAY SOUTHAddressLine1
CityROCHESTERCity
StateNYState
ZIP Code14617ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (37 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelatedOfficerOfficerKey EmployeeKeyEmployee
TRENT BRIDGES
DIRECTOR1.00X000
DAVID N BROADBENT MD
DIRECTOR1.00X000
DONALD S CAMERON
DIRECTOR1.00X000
KEVIN T CANNAN
DIRECTOR1.00X000
KEVIN J CASEY MD
DIRECTOR/EMPLOYED PHYSICIAN1.00X04002446211939.00
CYNTHIA CHRISTY MD
DIRECTOR/MEDICAL LIASON1.00X00039.00
CHARLES T EAGLE JR
DIRECTOR1.00X000
LOUISE W EPSTEIN
DIRECTOR1.00X000
JACK A ERDLE
DIRECTOR1.00X000
ROBERT W GEORGE SR MD
DIRECTOR/EMPLOYED PHYSICIAN1.00X060010619439.00
GREGORY P KAUSCH
DIRECTOR1.00X000
PETER A KOUIDES MD
DIRECTOR/EMPLOYED PHYSICIAN1.00X03760995400339.00
JEFFREY LEENHOUTS CFP CHFE CLU
DIRECTOR1.00X000
CARL J LUGER
TREASURER1.00X000
JAMES T MAXWELL MD
DIRECTOR1.00X000
WILLIAM B MENDICK
DIRECTOR1.00X000
ANGELO MICCICHE
DIRECTOR1.00X000
LEONARD OLIVIERI
DIRECTOR1.00X000
KEVIN OVERTON ESQ
SECRETARY1.00X000
RALPH P PENNINO MD
DIRECTOR/EMPLOYED PHYSICIAN1.00X05129659937639.00
MICHAEL E PICHICHERO MD
DIRECTOR/EMPLOYED PHYSICIAN1.00X06577035484339.00
WANDA POLISSENI
DIRECTOR1.00X000
JOSEPH R RULISON
DIRECTOR1.00X000
KATHERINE T SCHUMACHER
CHAIR1.00X000
ANTHONY F SOLAZZO MD
DIRECTOR1.00X000
JOHN R VALVO MD
DIRECTOR1.00X000
ETHAN L WELCH MD
VICE CHAIR1.00X000
JOSEPHINE BRAITMAN
DIRECTOR (UNTIL JUNE 2012)1.00X000
FREDDIE CALDWELL
DIRECTOR (UNTIL JUNE 2012)1.00X000
SAMUEL HUTSON
DIRECTOR (UNTIL JUNE 2012)1.00X000
STEVEN SCHWARTZ
DIRECTOR (UNTIL JUNE 2012)1.00X000
DON TWIETMEYER
DIRECTOR (UNTIL JUNE 2012)1.00X000
ROBERTA VANWINKLE
DIRECTOR (UNTIL JUNE 2012)1.00X000
JOSEPH VASILE MD
DIRECTOR/EMPLOYED PHYSICIAN (UNTIL JUNE 2012)1.00X03745766422839.00
MARK CLEMENT
PRESIDENT/CEO1.000138517471257254.00X
PAULA TINCH
SVP FINANCE & CFO1.0002611575714054.00X
JAMES DIGAN
SVP DEVELOPMENT20.00495256013144620.00X
FieldValueIRS element (for citing)
Total Reportable Comp From Org495256TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4027928TotalReportableCompFrmRltdOrgs
Total Other Compensation1241921TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events751633FundraisingEvents
Related Organizations4390RelatedOrganizations
All Other Contributions3659864AllOtherContributions
Noncash Contributions206255NoncashContributions
Total Contributions4415887TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1237001TotalRevenueColumn
Exclusion$1,237,001ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other180000Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-180000Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-180000TotalRevenueColumn
Exclusion-$180,000ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events174988GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events751633CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses596316FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-421328TotalRevenueColumn
Exclusion-$421,328ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5051560TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$635,673ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2920962Total
Program Services2920962ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total626702Total
Management And General313351ManagementAndGeneral
Fundraising313351Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total592928Total
Management And General296464ManagementAndGeneral
Fundraising296464Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total92974Total
Management And General46487ManagementAndGeneral
Fundraising46487Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total6350Total
Management And General6350ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total14126Total
Management And General14126ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total142105Total
Fundraising142105Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total14370Total
Management And General14370ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total31928Total
Management And General31928ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total96507Total
Management And General96507ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total79475Total
Management And General79475ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total32996Total
Management And General32996ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROGRAM EXPENSE334795334795
UNCOLLECTIBLE PLEDGES283254283254
CHANGE IN GIFT ANNUITY102496102496

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total225265Total
Management And General225265ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5597233Total
Program Services3255757ProgramServices
Management And General1543069ManagementAndGeneral
Fundraising798407Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1556869BOY
EOY1019153EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2173954BOY
EOY1006100EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY9415127BOY
EOY8488389EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY33708BOY
EOY153458EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis967059LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec85378LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY938370BOY
EOY881681EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY11575467BOY
EOY9580590EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY12527067BOY
EOY15475514EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY16515EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY38220562BOY
EOY36621400EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY456650BOY
EOY562567EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY86607BOY
EOY214502EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4735275BOY
EOY2036018EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5278532BOY
EOY2813087EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1836768BOY
EOY1943117EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY22999118BOY
EOY23757759EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY8106144BOY
EOY8107437EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY32942030BOY
EOY33808313EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY38220562BOY
EOY36621400EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-545673ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1411956ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (4 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
ROCHESTER GENERAL HOSPITAL
1607431343111$2,869,046
ROCHESTER GENERAL LONG TERM CARE
2231871409111$41,923
ROCHESTER MENTAL HEALTH CENTER
1660691313111$5,253
INDEPENDENT LIVING FOR SENIORS
1614910593111$4,740
FieldValueIRS element (for citing)
Total Number Of Supported Orgs4TotalNumberOfSupportedOrgs
Sum Of Amounts2920962SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance8106143BeginningOfYearBalance
Contributions1294Contributions
End Of Year Balance8107437EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance8043862BeginningOfYearBalance
Contributions62281Contributions
End Of Year Balance8106143EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance7960615BeginningOfYearBalance
Contributions83247Contributions
End Of Year Balance8043862EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance7955419BeginningOfYearBalance
Contributions5196Contributions
End Of Year Balance7960615EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance7924901BeginningOfYearBalance
Contributions30518Contributions
End Of Year Balance7955419EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis510000InvestmentCostOrOtherBasis
Book Value510000BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis457059OtherCostOrOtherBasis
Depreciation85378Depreciation
Book Value371681BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings881681TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
COMMON COLLECTIVE TRUSTS2748686F
HEDGE FUNDS12726828F
FieldValueIRS element (for citing)
Total Of Book Value Securities15475514TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$925,525
CHARITABLE GIFTS ANNUITY LIABILITY$1,110,493
FieldValueIRS element (for citing)
Total Of Amounts2036018TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt5827876TotRevenueEtcAuditedFinclStmt
Other Revenues776316OtherRevenues
Revenue Not Rptd F990776316RevenueNotRptdF990
Revenue Subtotal5051560RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9905051560TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt6373549TotExpensesEtcAuditedFinclStmt
Other Expenses Included776316OtherExpensesIncluded
Expenses Not Rptd F990776316ExpensesNotRptdF990
Expenses Subtotal5597233ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9905597233TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS INCLUDE: 1) CAPITAL EXPANSION AND IMPROVEMENT 2) ADVANCEMENT OF MEDICAL EDUCATION AND RESEARCH AND HEALTH CARE SERVICES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES 596,316. IMPAIRMENT LOSS 180,000.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES 596,316. IMPAIRMENT LOSS 180,000.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Phone SolicitationsXPhoneSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Agreement Ref Fundraising1AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeActivityActivityFundraiser Control Of FundsFundraiserControlOfFundsGross ReceiptsGrossReceiptsAmount Retained By ContractorAmountRetainedByContractorNet To OrganizationNetToOrganization
CHAD GOBEL AND ASSOCIATES
2 STATE STREET SUITE 1150ROCHESTERNY14614CONSULTING007317473174
CCS
461 FIFTH AVENUE 3RD FLOORNEW YORKNY10017CONSULTING006893168931
FieldValueIRS element (for citing)
Total Retained By Contractors142105TotalRetainedByContractors
Total Net To Organization142105TotalNetToOrganization

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALANameOfEvent1
Gross Receipts Event1793350GrossReceiptsEvent1
Charitable Contributions Event1624405CharitableContributionsEvent1
Gross Revenue Event1168945GrossRevenueEvent1
Other Direct Expenses Event1553216OtherDirectExpensesEvent1
Name Of Event2RODEONameOfEvent2
Gross Receipts Event2133271GrossReceiptsEvent2
Charitable Contributions Event2127228CharitableContributionsEvent2
Gross Revenue Event26043GrossRevenueEvent2
Other Direct Expenses Event243100OtherDirectExpensesEvent2
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total926621GrossReceiptsTotal
Charitable Contributions Total751633CharitableContributionsTotal
Gross Revenue Total Events174988GrossRevenueTotalEvents
Other Direct Expenses Total Events596316OtherDirectExpensesTotalEvents
Direct Expense Summary Events596316DirectExpenseSummaryEvents
Net Income Summary-421328NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
ROCHESTER GENERAL HOSPITAL
1425 PORTLAND AVENUEROCHESTERNY146211607431342869046PROJECT FUNDING
ROCHESTER MENTAL HEALTH CENTER
490 EAST RIDGE ROADROCHESTERNY146211660691315253PROJECT FUNDING
INDEPENDENT LIVING FOR SENIORS
2066 HUDSON AVENUEROCHESTERNY146171614910594740PROJECT FUNDING
ROCHESTER GENERAL LONG TERM CARE
1550 EMPIRE BOULEVARDWEBSTERNY1458022318714041923PROJECT FUNDING
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.:PART I, LINE 2:SCHEDULE I, PART I, LINE 2: CHECK REQUESTS AND PURCHASE ORDERS ARE REVIEWED FOR APPROPRIATE AUTHORIZATION AND USE OF FUNDS PRIOR TO ISSUANCE OF PAYMENT.
SCHEDULE I, PART II:ALL CONTRIBUTIONS ARE GIVEN SOLELY TO RELATED EXEMPT ORGANIZATIONS.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KEVIN J CASEY MD
DIRECTOR/EMPLOYED PHYSICIAN0169427020635302446405425807861046236300
PETER A KOUIDES MD
DIRECTOR/EMPLOYED PHYSICIAN0192825015054003273404517308830043010200
RALPH P PENNINO MD
DIRECTOR/EMPLOYED PHYSICIAN048250102000001046408962109755061234100
MICHAEL E PICHICHERO MD
DIRECTOR/EMPLOYED PHYSICIAN02762970355324026082044524010319071254600
JOSEPH VASILE MD
DIRECTOR/EMPLOYED PHYSICIAN (UNTIL J028006906684402766305467309555043880400
MARK CLEMENT
PRESIDENT/CEO07053110633799046064070765504917020977460397500
PAULA TINCH
SVP FINANCE & CFO019038804317202759705268504455031829700
JAMES DIGAN
SVP DEVELOPMENT26829701905110364480129793016530626702000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1ACHARTER TRAVEL AND HEALTH & SOCIAL CLUB BENEFITS AS PART OF THEIR COMPENSATION PACKAGE, THE OFFICERS LISTED ON 990, PART VII ARE ELIGIBLE TO UTILIZE SPECIFIC CHARTER TRAVEL ARRANGEMENTS TO CONDUCT BUSINESS OF THE ORGANIZATION. THIS BENEFIT IS UTILIZED TO MAKE THE BEST USE OF THE EXECUTIVE'S TIME WHEN THERE ARE TIME CONSTRAINTS AND/OR LIMITED AVAILABILITY OF NON-STOP FLIGHTS. ALSO, THE FOUNDATION PAYS DUES TO THE GENESEE VALLEY CLUB FOR JAMES DIGAN FOR BUSINESS PURPOSES INCLUDING FOR MEETINGS AND LUNCHEONS RELATED TO FUNDRAISING. THESE BENEFITS HAVE BEEN INCLUDED IN THE EMPLOYEES' FORM W-2 AS TAXABLE COMPENSATION AS REQUIRED.
PART I, LINE 3THE FILING ORGANIZATION'S RELATED NON-PROFIT ORGANIZATION, ROCHESTER GENERAL HEALTH SYSTEM, UTILIZES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE CEO: A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 4BRGHS MAINTAINS A SECTION 457(F) PLAN WHICH WOULD BE CONSIDERED A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. DURING 2012, NO DISTRIBUTIONS WERE PAID OUT. THE FOLLOWING OFFICERS AND KEY EMPLOYEES LISTED ON FORM 990, PART VII, SECTION A WOULD BE ELIGIBLE PARTICIPANTS IN THE PLAN SINCE THEY WOULD BE ENTITLED TO A DISTRIBUTION UPON SEPARATION FROM SERVICE: MARK CLEMENT

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99010000NoncashContribsRptdF990
Method Of Determining RevenuesSALE OF COMP PROPMethodOfDeterminingRevenues

Real Estate Commercial RealEstateCommercial

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990135000NoncashContribsRptdF990
Method Of Determining RevenuesSALE OF COMP PROPMethodOfDeterminingRevenues

Food Inventory FoodInventory

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F9909670NoncashContribsRptdF990
Method Of Determining RevenuesSALE OF COMP PROPMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XDISPOSABLE CAMERAS/KODAK EASY SHARE5000SALE OF COMP PROP
XMEDICAL EQUIPMENT45985SALE OF COMP PROP
XLOADER600SALE OF COMP PROP
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION IS A MEMBERSHIP (NOT A STOCK) CORPORATION UNDER NEW YORK STATE LAW. THE ORGANIZATION'S SOLE CORPORATE MEMBER IS ROCHESTER GENERAL HEALTH SYSTEM (RGHS), A RELATED NOT-FOR-PROFIT ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7AIN ACCORDANCE WITH THE TERMS AND REQUIREMENTS OF ITS GOVERNING DOCUMENTS (I.E. BYLAWS), THE ORGANIZATION'S DIRECTORS ARE DIVIDED INTO THREE CLASSES, AND THE CLASSES SERVE FOR STAGGERED THREE-YEAR TERMS. AT EACH ANNUAL MEETING, DIRECTORS IN A CLASS ARE ELECTED BY A MAJORITY VOTE OF THE DIRECTORS THEN IN OFFICE. DIRECTORS ARE ELECTED FROM AMONG NOMINEES CHOSEN BY THE GOVERNANCE AND NOMINATING COMMITTEE OF THE FILING ORGANIZATION'S SOLE CORPORATE MEMBER, ROCHESTER GENERAL HEALTH SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7BRGHS, AS THE SOLE CORPORATE MEMBER, ALSO HAS THE RIGHT TO APPROVE OR RATIFY SIGNIFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY INCLUDING THE AMENDMENT OF BYLAWS AND CHARTERS, REMOVAL OF MEMBERS OF THE GOVERNING BODY, AND THE DECISION TO DISSOLVE THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11PRIOR TO FILING, A COPY OF THE FORM 990 IS PROVIDED TO, AND REVIEWED WITH, ALL MEMBERS OF THE EXECUTIVE COMPENSATION COMMITTEE. THIS REVIEW IS PERFORMED IN CONSULTATION WITH THE ORGANIZATION'S TAX ADVISORS, AND IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS AND OTHER RELEVANT INFORMATION FOR THE APPROPRIATE TIME PERIOD.
FORM 990, PART VI, SECTION B, LINE 12CUPON EMPLOYMENT, ALL EMPLOYEES RECEIVE THE ETHICAL STANDARD OF CONDUCT BOOKLET FOR WHICH THEY SIGN A RECEIPT OF ACKNOWLEDGEMENT. CONFLICT OF INTEREST IS DEFINED, AS IS MANAGEMENT OF A CONFLICT OF INTEREST. EMPLOYEES ARE REQUIRED TO DISCLOSE AND SEEK RESOLUTION TO ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST BEFORE TAKING A POTENTIALLY IMPROPER ACTION AND THEREAFTER, ANNUALLY, EACH KEY EMPLOYEE AND OFFICER OF THE ORGANIZATION IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM, PROVIDING MANAGEMENT WITH SUFFICIENT INFORMATION ABOUT HIS/HER PERSONAL INTERESTS AND RELATIONSHIPS SO THAT MANAGEMENT CAN (1) DETERMINE WHETHER ANY ACTUAL OR PERCEIVED CONFLICT OF INTEREST EXISTS, AND (2) MONITOR WORK ASSIGNMENTS TO AVOID PLACING THE KEY EMPLOYEE OR OFFICER IN A POSITION WHERE THERE MAY BE A QUESTION AS TO HIS/HER OBJECTIVITY AS WELL AS TO AVOID ANY APPEARANCE OF IMPROPRIETY. THROUGHOUT THE YEAR, KEY EMPLOYEES AND OFFICERS OF THE ORGANIZATION ARE ALSO REQUIRED TO NOTIFY MANAGEMENT PROMPTLY IF ANY CHANGE TO THEIR DISCLOSURES OCCURS. IN ADDITION, EACH MEMBER OF THE BOARD OF DIRECTORS MUST ALSO COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE FORM, WHICH MUST BE SUBMITTED TO THE GENERAL COUNSEL. BOARD MEMBERS LEAVE THE ROOM DURING DISCUSSIONS AND ABSTAIN FROM VOTING WHEN THEY HAVE A CONFLICT OF INTEREST. IN ADDITION TO THE BOARD OF DIRECTORS, THE ORGANIZATION'S MANAGERS AND DIRECTORS WHO OVERSEE ITS OPERATIONS COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY AS WELL.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION'S OFFICER AND KEY EMPLOYEE COMPENSATION ARRANGEMENTS ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF ROCHESTER GENERAL HEALTH SYSTEM, A RELATED NOT-FOR-PROFIT ORGANIZATION. INFORMATION REVIEWED FOR THE OFFICER/KEY EMPLOYEE INCLUDES COMPARABLE DATA FROM SIMILAR SIZE TAX EXEMPT ORGANIZATIONS IN THE WESTERN/CENTRAL NY COMMUNITY AS WELL AS COMPENSATION FOR THESE POSITIONS (AS DISCLOSED ON FORM 990) WITH OTHER ORGANIZATIONS IN THE HEALTH CARE INDUSTRY THAT ARE OF SIMILAR SIZE, DEMOGRAPHICS AND GEOGRAPHY. REVIEW AND APPROVAL OF THE COMPENSATION ARRANGEMENT BY THE COMPENSATION COMMITTEE IS DOCUMENTED.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ADMINISTRATIVE OFFICES OF THE AFFILIATED HEALTH SYSTEM AT 100 KINGS HIGHWAY SOUTH, ROCHESTER, NY 14617 AND ADMINISTRATIVE OFFICES OF THE FILING ORGANIZATION. A NOMINAL FEE IS CHARGED IF COPIES ARE REQUESTED.
FORM 990, PART XII, LINE 2C:PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 5471 FILED ON BEHALF OF STATEMENTTHE FOLLOWING INFORMATION IS SUBMITTED WITH RESPECT TO ROCHESTER GENERAL HEALTH SYSTEM WORKERS COMPENSATION TRUST'S FORM 5471 (INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS) FILING REQUIREMENT FOR THE ENTITY BELOW. NAME OF FOREIGN CORPORATION GREATER ROCHESTER ASSURANCE COMPANY, LTD BEGINNING TAX YEAR OF FOREIGN CORPORATION JANUARY 1, 2012 ENDING TAX YEAR OF FOREIGN CORPORATION DECEMBER 31, 2012 THE FORM 5471 FILING REQUIREMENT FOR THIS FOREIGN CORPORATION FOR CATEGORIES 4 AND 5 HAVE BEEN SATISFIED BY INCLUSION IN THE FOLLOWING U.S. FILER'S TAX RETURN NAME OF U.S. FILER ROCHESTER GENERAL HEALTH SYSTEMS ADDRESS OF U.S. FILER 100 KINGS HIGHWAY SOUTH ROCHESTER, NY 14617 EIN OR SSN 22-2551509 ENDING TAX YEAR OF U.S. FILER DECEMBER 31, 2012 TYPE OF RETURN FILED 990-T IRS SERVICE CENTER WHERE RETURN FILED OGDEN, UTAH 84201-0027STATEMENT PURSUANT TO TREAS REG SEC 1 60382-2(J)(3)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
THE ROCHESTER GENERAL HOSPITAL
1425 PORTLAND AVENUEROCHESTERNY14621160743134HOSPITALNY501(C)(3)LINE 3RGHS0
ROCHESTER MENTAL HEALTH CENTER
490 EAST RIDGE ROADROCHESTERNY14621166069131MENTAL HEALTHNY501(C)(3)LINE 9RGHS0
GRHS FOUNDATION
100 KINGS HIGHWAY SOUTHROCHESTERNY14617222963015R/E INV MGMTNY501(C)(3)LINE 11B, IIRGHS0
ROCHESTER GENERAL HEALTH SYSTEM
100 KINGS HIGHWAY SOUTHROCHESTERNY14617222551509SYSTEM PARENTNY501(C)(3)LINE 11B, II0N/A
NEWARK WAYNE COMMUNITY HOSPITAL
DRIVING PARK AVENUENEWARKNY14513150584188HOSPITALNY501(C)(3)LINE 3RGHS0
RGHS WORKERS' COMPENSATION TRUST
1425 PORTLAND AVENUEROCHESTERNY14621166429300SEE PART VIINY501(C)(3)LINE 11B, IIRGHS0
CONTINUING CARE NETWORK INC (CCN)
100 KINGS HIGHWAY SOUTHROCHESTERNY14617222963016SUPPORT RGHNY501(C)(3)LINE 11B, IIRGHS0
ROCHESTER GENERAL HUDSON HOUSING
2066 HUDSON AVENUEROCHESTERNY14617223210351LOW INC HOUSINGNY501(C)(3)LINE 9RGHS0
INDEPENDENT LIVING FOR SENIORS
2066 HUDSON AVENUEROCHESTERNY14617161491059ADULT DAY HCNY501(C)(3)LINE 9RGHS0
ROCHESTER GENERAL LONG TERM CARE
1550 EMPIRE BLVDWEBSTERNY14580223187140NH & REHABNY501(C)(3)LINE 9RGHS0
WESTERN NEW YORK MEDICAL PRACTICE PC
1425 PORTLAND AVENUEROCHESTERNY14621611654232PHYS PRACNY501(C)(3)LINE 90N/A
NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATION
DRIVING PARK AVENUENEWARKNY14513222963015FUNDRAISINGNY501(C)(3)LINE 11B, IINWCH0

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1GREATER ROCHESTER ASSURANCE COMPANY LTDBusinessNameLine1

Address Foreign AddressForeign

FieldValueIRS element (for citing)
Address Line1GEORGE TOWNAddressLine1
CityGRAND CAYMANCity
CountryCJCountry
FieldValueIRS element (for citing)
Primary ActivityINSURANCEPrimaryActivity
Legal Domicile Foreign CountryCJLegalDomicileForeignCountry
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1ROCHESTER GENERAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeBTransactionType
Amount Involved2869047AmountInvolved
Method Of Amt DeterminationFMVMethodOfAmtDetermination

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierRELATED TAX-EXEMPT ORGANIZATION - PRIMARY ACTIVITYIdentifier
Return ReferenceSCHEDULE R, PART II, COLUMN B:ReturnReference
ExplanationRGHS WORKERS' COMPENSATION TRUST SUPPORTS THE GENESEE HOSPITAL, ROCHESTER GENERAL HOSPITAL, ROCHESTER GENERAL HOSPITAL FOUNDATION, NEWARK WAYNE COMMUNITY HOSPITAL, NEWARK COMMUNITY HOSPITAL FOUNDATION, INDEPENDENT LIVING FOR SENIORS, ROCHESTER GENERAL LONG TERM CARE, ROCHESTER GENERAL HUDSON HOUSING, GRHS FOUNDATION, BEHAVIORAL HEALTH NETWORK, AND ROCHESTER GENERAL HEALTH SYSTEMS.Explanation

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