THE FREDERICK FERRIS THOMPSON HOSPI TAL: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- THE FREDERICK FERRIS THOMPSON HOSPI TAL (EIN 16-0743024)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-12
- IRS object ID
- 201323189349303102
- Schema version
- 2012v2.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-12T14:52:14-07:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 160743024 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FREDERICK FERRIS THOMPSON HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | FRED | NameControl |
| Phone | 5853966124 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 Parrish Street | AddressLine1 |
| City | Canandaigua | City |
| State | NY | State |
| ZIP Code | 14424 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Mark Prunoske | Name |
| Title | Sr VP Finance/CFO | Title |
| Phone | 5853966490 | Phone |
| Date Signed | 2013-11-12 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Michael Stapleton | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Frederick Ferris Thompson Hospital | AddressLine1 |
| Address Line2 | 350 Parrish Street | AddressLine2 |
| City | Canandaigua | City |
| State | NY | State |
| ZIP Code | 14424 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 95753550 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.thompsonhealth.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1904 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 25 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 22 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1638 | TotalNbrEmployees |
| Total Nbr Volunteers | 222 | TotalNbrVolunteers |
| Total Gross UBI | 356037 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -95046 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 8689165 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2096585 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 91020033 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 91501000 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 401087 | InvestmentIncomePriorYear |
| Investment Income Current Year | 126216 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1143873 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1273332 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 101254158 | TotalRevenuePriorYear |
| Total Revenue Current Year | 94997133 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 49761743 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 52947205 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 210000 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 39464646 | OtherExpensePriorYear |
| Other Expenses Current Year | 43172066 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 89226389 | TotalExpensesPriorYear |
| Total Expenses Current Year | 96119271 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 12027769 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1122138 | RevenuesLessExpensesCY |
| Total Assets BOY | 96052782 | TotalAssetsBOY |
| Total Assets EOY | 100901418 | TotalAssetsEOY |
| Total Liabilities BOY | 62399983 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 69169974 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 33652799 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 31731444 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 78522661 | Expense |
| Grants | 0 | Grants |
| Revenue | 88127390 | Revenue |
| Description | Inpatient care: 4,854 Inpatient discharges, 19,191 Inpatient Days. Outpatient: 994,835 Lab visits/tests, 25,965 ED visits, 65,829 Diagnostic Imaging, 17,035 Urgent Care, 26,964 Rehabilitation Services, and 5,391 Surgical Services. Charity Care was provided in the amount of $1,276,957 (at cost). Community Benefit was $1,951,578. Uncompensated Care was $3,369,803 (at cost). | Description |
| Total Of Other Program Service Exp | 0 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 0 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 0 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 78522661 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 203 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1638 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 25 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 22 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FF Thompson Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5853966124 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 Parrish Street | AddressLine1 |
| City | Canandaigua | City |
| State | NY | State |
| ZIP Code | 14424 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (39 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | FormerFormer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| Ellie Fralick | |||||||||
| Board Member at large | 0.5 | 0.5 | X | 0 | 0 | 0 | |||
| Richard Cutri | |||||||||
| Board Member | 0.5 | 0.5 | X | 0 | 0 | 0 | |||
| William R Kenyon | |||||||||
| Board Chair | 0.5 | 0.5 | X | 0 | 0 | 0 | X | ||
| George W Hamlin IV | |||||||||
| Board Chair Emeritus | 0.5 | 0.5 | X | 0 | 0 | 0 | X | ||
| David Baum MD | |||||||||
| Board Member President of Medical Staff | 42 | 0.5 | X | 320566 | 0 | 77329 | X | ||
| Robert Sands | |||||||||
| Board Treasurer | 0.5 | 0.5 | X | 0 | 0 | 0 | X | ||
| Ronald Knight | |||||||||
| Board Vice Chair | 0.5 | 0.5 | X | 0 | 0 | 0 | X | ||
| 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 | 0.5 | 0.5 | X | 0 | 0 | 0 | X | ||
| 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 | |||
| Dr 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 | |||
| Dianne Cooney Miner PhD | |||||||||
| Board Member | 0.5 | 0.5 | X | 0 | 0 | 0 | |||
| Michael Stapleton RN | |||||||||
| President/CEO | 33 | 7 | X | 0 | 301766 | 77352 | X | ||
| Bradford Berk MD | |||||||||
| Board Member | 0.5 | 0.5 | X | 0 | 0 | 0 | |||
| Roger Friedlander | |||||||||
| Board Member | 0.5 | 0.5 | X | 0 | 0 | 0 | |||
| Daniel Fuller | |||||||||
| Board Member | 0.5 | 0.5 | X | 0 | 0 | 0 | |||
| Steven Goldstein | |||||||||
| Board Member | 0.5 | 0.5 | X | 0 | 0 | 0 | |||
| Frank Hamlin | |||||||||
| Board Member | 0.5 | 0.5 | X | 0 | 0 | 0 | |||
| Robert N Latella Esq | |||||||||
| Board Member | 0.5 | 0.5 | X | 0 | 0 | 0 | |||
| Raymond Mayewski MD | |||||||||
| Board Member | 0.5 | 0.5 | X | 0 | 0 | 0 | |||
| Linda M Farchione | |||||||||
| President/CEO | 33 | 7 | 0 | 480527 | 215504 | X | X | ||
| Carlos Ortiz MD | |||||||||
| SVP Medical Services | 35 | 5 | 0 | 292669 | 72172 | X | |||
| Christopher B Mahan | |||||||||
| SVP Development and Support Services | 20 | 20 | 67599 | 125540 | 62772 | X | |||
| Jennifer DeVault | |||||||||
| VP Associate Services and Wellness | 40 | 0 | 120567 | 0 | 43040 | X | |||
| Mark Prunoske | |||||||||
| Senior VP & CFO | 27 | 13 | 0 | 205782 | 69235 | X | |||
| Hazel Robertshaw | |||||||||
| VP Patient Care Services/CNO | 40 | 0 | 112096 | 0 | 16292 | X | |||
| Dr Anthony Geraci MD | |||||||||
| VP Emergency & Outpatient Practices | 40 | 0 | 72678 | 0 | 28107 | X | X | ||
| Dr John McGuire MD | |||||||||
| VP of the Medical Staff | 40 | 0 | 167514 | 0 | 47160 | X | |||
| Kurt Koczent | |||||||||
| EVP/COO | 33 | 7 | 42876 | 10719 | 5607 | X | |||
| Dr Vijay Bansal MD | |||||||||
| Physician | 47 | 0 | 350730 | 0 | 33968 | X | |||
| Dr Timothy Pitler MD | |||||||||
| Physician | 44 | 0 | 333044 | 0 | 104019 | X | |||
| Dr Matthew Osborne MD | |||||||||
| Physician | 42 | 0 | 304639 | 0 | 44176 | X | |||
| Dr William Livingston MD | |||||||||
| Physician | 41 | 0 | 286571 | 0 | 41661 | X | |||
| Dr John Sullivan MD | |||||||||
| Physician | 40 | 0 | 281318 | 0 | 41966 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2460198 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1417003 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 980360 | TotalOtherCompensation |
| Number Individuals GT100 K | 36 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation | Address Line2AddressOfContractor/AddressUS/AddressLine2 |
|---|---|---|---|---|---|---|
| LeChase Construction Services LLC | ||||||
| 300 Trolley Blvd | Rochester | NY | 14606 | Construction | 11440631 | |
| Bond Schoeneck & King PLLC Attorney | ||||||
| 350 Linden Oaks | Rochester | NY | 14625 | Legal Services | 262620 | Suite 310 |
| Canandaigua Medical Group | ||||||
| 335 Parrish Street | Canandaigua | NY | 14424 | On Call Services | 443741 | |
| Canandaigua Orthopaedic Association | ||||||
| 229 Parrish Street | Canandaigua | NY | 14424 | On Call Services | 313773 | |
| HMP of Ontario County PLLC | ||||||
| PO Box 645037 | Cincinnati | OH | 452645037 | Hospitalist Medical Services | 1042417 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 10 | NumberOfContractorsGT100K |
| Federated Campaigns | 0 | FederatedCampaigns |
| Membership Dues | 0 | MembershipDues |
| Fundraising Events | 0 | FundraisingEvents |
| Related Organizations | 2043405 | RelatedOrganizations |
| Government Grants | 53180 | GovernmentGrants |
| All Other Contributions | 0 | AllOtherContributions |
| Noncash Contributions | 0 | NoncashContributions |
| Total Contributions | 2096585 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Community Health Service | 622000 | 82350900 | 81994863 | 356037 | $0 |
| Medicare/Medicaid Payments | 622000 | 9150100 | 9150100 | 0 | $0 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 91501000 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 110990 | TotalRevenueColumn |
| Exclusion | $110,990 | ExclusionAmount |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 45726 | Securities |
| Other | 725917 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 9999 | Securities |
| Other | 746418 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 35727 | Securities |
| Other | -20501 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 15226 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $15,226 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrbtns Rprtd Fundraising Events | 0 | CntrbtnsRprtdFundraisingEvents |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Associate/Patient Support | Description |
| Business Code | 622000 | BusinessCode |
| Total Revenue Column | 1273332 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,273,332 | ExclusionAmount |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1273332 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 94997133 | TotalRevenueColumn |
| Related Or Exempt Function Income | 91144963 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 356037 | UnrelatedBusinessRevenue |
| Exclusion | $1,399,548 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 831218 | Total |
| Program Services | 488080 | ProgramServices |
| Management And General | 343138 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41002887 | Total |
| Program Services | 35412903 | ProgramServices |
| Management And General | 5589984 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2333751 | Total |
| Program Services | 2007026 | ProgramServices |
| Management And General | 326725 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5445419 | Total |
| Program Services | 4683060 | ProgramServices |
| Management And General | 762359 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3333930 | Total |
| Program Services | 2867180 | ProgramServices |
| Management And General | 466750 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1635097 | Total |
| Program Services | 1175234 | ProgramServices |
| Management And General | 459863 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 82260 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 82260 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 92275 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 92275 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Fundraising | 0 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5782956 | Total |
| Program Services | 4172722 | ProgramServices |
| Management And General | 1610234 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28825 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 28825 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13607673 | Total |
| Program Services | 13377559 | ProgramServices |
| Management And General | 230114 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3561260 | Total |
| Program Services | 1483633 | ProgramServices |
| Management And General | 2077627 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2004978 | Total |
| Program Services | 1830254 | ProgramServices |
| Management And General | 174724 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 191806 | Total |
| Program Services | 47655 | ProgramServices |
| Management And General | 144151 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 124632 | Total |
| Program Services | 112077 | ProgramServices |
| Management And General | 12555 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 960867 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 960867 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 210000 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 210000 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6184098 | Total |
| Program Services | 5318324 | ProgramServices |
| Management And General | 865774 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 822551 | Total |
| Program Services | 58544 | ProgramServices |
| Management And General | 764007 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Health System Member Assessment | 3681440 | 1767091 | 1914349 | |
| Provision for Uncollectable Accounts | 3373610 | 3373610 | 0 | 0 |
| New York State Cash Assessment | 354095 | 0 | 354095 | 0 |
| Equipment & Maintenance | 280610 | 265737 | 14873 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 193033 | Total |
| Program Services | 81972 | ProgramServices |
| Management And General | 111061 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 96119271 | Total |
| Program Services | 78522661 | ProgramServices |
| Management And General | 17386610 | ManagementAndGeneral |
| Fundraising | 210000 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3035 | BOY |
| EOY | 3308 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17192913 | BOY |
| EOY | 9107193 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6530760 | BOY |
| EOY | 7272795 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1461006 | BOY |
| EOY | 1421573 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1565291 | BOY |
| EOY | 1489919 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 135063956 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 64408494 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58140097 | BOY |
| EOY | 70655462 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 707662 | BOY |
| EOY | 797879 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10452018 | BOY |
| EOY | 10153289 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 96052782 | BOY |
| EOY | 100901418 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14969807 | BOY |
| EOY | 13918568 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11130000 | BOY |
| EOY | 23725911 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10459184 | BOY |
| EOY | 14257203 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25840992 | BOY |
| EOY | 17268292 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62399983 | BOY |
| EOY | 69169974 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29808998 | BOY |
| EOY | 28276790 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3843801 | BOY |
| EOY | 3454654 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33652799 | BOY |
| EOY | 31731444 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 96052782 | BOY |
| EOY | 100901418 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -1122138 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 0 | ReconciliationUnrealizedInvest |
| Reconcilation Donated Services | 0 | ReconcilationDonatedServices |
| Reconcilation Invest Expenses | 0 | ReconcilationInvestExpenses |
| Reconcilation Prior Adjustment | 0 | ReconcilationPriorAdjustment |
| Reconcilation Other Changes | -799217 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Both | X | FinancialStatementBoth |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 6934130 | BeginningOfYearBalance |
| Contributions | 167545 | Contributions |
| Investment Earnings Or Losses | 769935 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 300207 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 7571403 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 6239690 | BeginningOfYearBalance |
| Contributions | 863280 | Contributions |
| Investment Earnings Or Losses | 44331 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 213171 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 6934130 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 5619137 | BeginningOfYearBalance |
| Contributions | 72378 | Contributions |
| Investment Earnings Or Losses | 814801 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 266626 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 6239690 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4831696 | BeginningOfYearBalance |
| Contributions | 57312 | Contributions |
| Investment Earnings Or Losses | 976186 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 246057 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 5619137 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 7159761 | BeginningOfYearBalance |
| Contributions | 267354 | Contributions |
| Investment Earnings Or Losses | -2251021 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 344398 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 4831696 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.93 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.07 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 58217 | OtherCostOrOtherBasis |
| Book Value | 58217 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 75276478 | OtherCostOrOtherBasis |
| Depreciation | 27578666 | Depreciation |
| Book Value | 47697812 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 387316 | OtherCostOrOtherBasis |
| Depreciation | 213304 | Depreciation |
| Book Value | 174012 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 54763612 | OtherCostOrOtherBasis |
| Depreciation | 35119243 | Depreciation |
| Book Value | 19644369 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 4578333 | OtherCostOrOtherBasis |
| Depreciation | 1497281 | Depreciation |
| Book Value | 3081052 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 70655462 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (6 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Other Assets | 552633 |
| Due from Affiliates | 1671411 |
| Assets Limited as to Use | 2696823 |
| Beneficial interest in Charitable Remainder Trust | 359046 |
| Deferred Financing Costs, net | 1777768 |
| Beneficial Interest in net assets of FFTH Foundation | 3095608 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 10153289 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Accrued Pension Liability | $14,027,466 |
| Charitable Gift Annuity Payment Liability | $156,581 |
| Interest Rate Swap Liability | $910,055 |
| Third Party Payor Accrual | $1,306,472 |
| Other Non-Current Liabilities Acc Ins reserve | $867,718 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 17268292 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 93007453 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 0 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 0 | DonatedSrvcAndUseOfFacilities |
| Recoveries Of Prior Year Grants | 0 | RecoveriesOfPriorYearGrants |
| Other Revenues | 179941 | OtherRevenues |
| Revenue Not Rptd F990 | 179941 | RevenueNotRptdF990 |
| Revenue Subtotal | 92827512 | RevenueSubtotal |
| Investment Expenses Not Included | 0 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 2169621 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 2169621 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 94997133 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 92535661 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 0 | DonatedServicesUseOfFacilities |
| Prior Year Adjustments | 0 | PriorYearAdjustments |
| Losses Reported | 0 | LossesReported |
| Other Expenses Included | 0 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 92535661 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 0 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 3583610 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 3583610 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 96119271 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchD_P05_S00_L04 | 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. |
| SchD_P10_S00_L02 | 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, 2012 the Hospital does not have a liability for unrecognized tax benefits. |
| SchD_P11_S00_L02d | Schedule D, Part XI, Line 2d | Net Assets released from restrictions used for operations |
| SchD_P11_S00_L04b | Schedule D, Part XI, Line 4b | Investment Income $146,717, Loss on disposal of equipment -$20,501, Contributions from the FF Thompson Foundation Inc $103,124, Contributions from the FF Thompson Foundation Inc $1,940,281. |
| SchD_P12_S00_L04b | Schedule D, Part XII, Line 4b | Contributions to the FF Thompson Foundation Inc $210,000. Provision for bad debts $3,373,610. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1547908 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 270951 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1276957 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0138 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9316060 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6645234 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2670826 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0289 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 10863968 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6916185 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3947783 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0427 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 558783 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 53388 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 505395 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0055 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4106202 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3771490 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 334712 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0036 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 23276 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 23276 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0003 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 4688261 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3824878 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 863383 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0094 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 15552229 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10741063 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4811166 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0521 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 160630 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 160630 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.0017 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 45823 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 45823 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.0005 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 60998 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 60998 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.0007 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 820743 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 820743 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.0089 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 1088194 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 1088194 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.0118 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $3,369,803 | BadDebtExpenseAmount |
| Amount Attributable To | 46453 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 11940964 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 15250855 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -3309891 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Fredrick Ferris Thompson Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 Parrish Street | AddressLine1 |
| City | Canandaigua | City |
| State | NY | State |
| ZIP Code | 14424 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Fredrick Ferris Thompson Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 100 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Medicare Rate | X | MedicareRate |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchH_P01_S00_L03c | 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. |
| SchH_P01_S00_L07 | Schedule H, Part I, Line 7 | Patient Cost to Charge system from the worksheets. |
| SchH_P01_S00_L072f | Schedule H, Part I, Line 7, Column f | Bad debt expense is removed for the purposes of calculating the percentage on Schedule H, Part I, Line 7, column A. |
| SchH_P01_S00_L07g | Schedule H, Part I, Line 7g | There are no physician clinic costs included in these services. |
| SchH_P02_S00_L00 | 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. |
| SchH_P03_S0A_L04 | 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 2012 990 form. |
| SchH_P03_S0B_L08 | 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. |
| SchH_P03_S0C_L09b | Schedule H, Part III, Section C, Line 9b | Patient balance-due accounts that are not Medicare primary, which include patients that qualify for charity care or financial assistance that are not paid in full or are not subject of an agreed-upon payment arrangement or in the process of review for financial aid or pending Medicaid are eligible to be referred to a collection agency when they reach a delinquency status of 90 days old from date of first self-pay bill. Self-pay bills which are a result of Medicare coinsurance and/or deductible are eligible to be referred to a collection agency when they reach a delinquency status of 120 days old from date of first self-pay bill. |
| SchH_P06_S00_L02 | 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. |
| SchH_P06_S00_L03 | 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.) |
| SchH_P06_S00_L04 | 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 J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 1 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Linda M Farchione | ||||||||||||||
| President/CEO | 0 | 271317 | 0 | 142186 | 0 | 67025 | 0 | 206467 | 0 | 9037 | 0 | 696032 | 0 | 0 |
| Michael Stapleton RN | ||||||||||||||
| President/CEO | 0 | 260863 | 0 | 34988 | 0 | 5916 | 0 | 55655 | 0 | 21697 | 0 | 379119 | 0 | 0 |
| Carlos Ortiz MD | ||||||||||||||
| SVP Medical Services | 0 | 237302 | 0 | 22425 | 0 | 32941 | 0 | 53541 | 0 | 18632 | 0 | 364841 | 0 | 0 |
| Mark Prunoske | ||||||||||||||
| Senior VP & CFO | 0 | 179777 | 0 | 22040 | 0 | 3965 | 0 | 50425 | 0 | 18809 | 0 | 275016 | 0 | 0 |
| Jennifer DeVault | ||||||||||||||
| VP Associate Services and Wellness | 110837 | 0 | 8962 | 0 | 768 | 0 | 21046 | 0 | 21994 | 0 | 163607 | 0 | 0 | 0 |
| Dr Anthony Geraci MD | ||||||||||||||
| VP Emergency & Outpatient Practices | 72577 | 0 | 0 | 0 | 100 | 0 | 22735 | 0 | 5372 | 0 | 100784 | 0 | 0 | 0 |
| Hazel Robertshaw | ||||||||||||||
| VP Patient Care Services/CNO | 107037 | 0 | 4678 | 0 | 381 | 0 | 14595 | 0 | 1698 | 0 | 128389 | 0 | 0 | 0 |
| David Baum MD | ||||||||||||||
| Board Member President of Medical Staff | 320139 | 0 | 0 | 0 | 427 | 0 | 56532 | 0 | 20797 | 0 | 397895 | 0 | 0 | 0 |
| Dr John McGuire MD | ||||||||||||||
| VP of the Medical Staff | 166621 | 0 | 700 | 0 | 193 | 0 | 28938 | 0 | 18222 | 0 | 214674 | 0 | 0 | 0 |
| Dr Vijay Bansal MD | ||||||||||||||
| Physician | 332875 | 0 | 12391 | 0 | 5463 | 0 | 26111 | 0 | 7858 | 0 | 384698 | 0 | 0 | 0 |
| Dr Timothy Pitler MD | ||||||||||||||
| Physician | 314023 | 0 | 5325 | 0 | 13696 | 0 | 86238 | 0 | 17781 | 0 | 437063 | 0 | 0 | 0 |
| Dr Matthew Osborne MD | ||||||||||||||
| Physician | 294113 | 0 | 0 | 0 | 10526 | 0 | 24575 | 0 | 19601 | 0 | 348815 | 0 | 0 | 0 |
| Dr William Livingston MD | ||||||||||||||
| Physician | 286378 | 0 | 0 | 0 | 193 | 0 | 23620 | 0 | 18041 | 0 | 328232 | 0 | 0 | 0 |
| Dr John Sullivan MD | ||||||||||||||
| Physician | 279855 | 0 | 0 | 0 | 1462 | 0 | 24785 | 0 | 17181 | 0 | 323283 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchJ_P01_S00_L01a | Schedule J, Part I, Line 1a | Club dues of $923 were paid for the President/CEO |
| SchJ_P01_S00_L04 | Schedule J, Part I, Line 4 | The President/CEO and SR VP's participate in a 457 (f) plan. Contributions to the plan for 2012 were $87,700 (Michael Stapleton - $33,750, Carlos Ortiz - $23,833, Mark Prunoske - $18,368, and Chris Mahan - $11,749) |
| SchJ_P01_S00_L06 | 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. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| Ontario County Industrial Development Agency | ||||||||
| A | 521326077 | 683058AA9 | 2003-07-01 | 2000000 | Retire outstanding debt of the hospital | 0 | 0 | 0 |
| Ontario County Industrial Development Agency | ||||||||
| B | 521326077 | 683058AB7 | 2003-07-01 | 12800000 | To construct an addition to and renovate portions of the hospital | 0 | 0 | 0 |
| Ontario County Local Development Corporation | ||||||||
| C | 272435489 | 2010-08-10 | 29700000 | To construct an addition to and renovate portions of the hospital | 0 | 0 | 0 | |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 2000000 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2004 | 1 | 0 | 1 | 1 |
| B | 0 | 0 | 12800000 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2004 | 0 | 0 | 1 | 1 |
| C | 0 | 0 | 23725911 | 0 | 633000 | 0 | 952000 | 0 | 0 | 22140911 | 0 | 0 | 2012 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Total Private Business UseTotalPrivateBusinessUse | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Keybank | ||||||||||||
| A | 0 | 0 | 0 | 0 | 1 | 1 | 10 | 0 | 0 | 0 | 0 | 0 |
| Keybank | ||||||||||||
| B | 0 | 0 | 0 | 0 | 1 | 1 | 10.00 | 0 | 0 | 0 | 0 | 0 |
| (no name) | ||||||||||||
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||
Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 0 |
| B | 0 |
| C | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| F990_P06_S0A_L04 | Form 990, Part VI, Section A, Line 4 | Effective August 31, 2012, the Health System, the University of Rochester Medical Center (URMC), and the University of Rochester (UR) entered into an affiliation agreement, which resulted in the UR becoming the sole corporate member of the Health System. |
| F990_P06_S0B_L11b | Form 990, Part VI, Section B, Line 11b | The Director of Finance reviewed the return and consulted with the independent auditors on any areas of question. 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. |
| F990_P06_S0B_L12c | Form 990, Part VI, Section B, Line 12c | The conflict of interest disclosure statements for the Board members are submitted annually to the Chair of the nominating committee and they are responsible for monitoring compliance and follow-up with any potential conflicts. For the Officers the statements are submitted annually to the CEO who is responsible for monitoring compliance and follow-up with any potential conflicts. |
| F990_P06_S0B_L15 | 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. |
| F990_P06_S0C_L19 | Form 990, Part VI, Section C, Line 19 | These documents are available upon request by contacting the Administrative Office. |
| F990_P11_S00_L09 | Form 990, Part XI, Line 9 | Change in net unrealized gains and losses on investments $178,042, Change in value of interest rate swap $3,968, Change in value of charitable gift annuities -$22,623, Change in funded status of pension plan -$569,457, Change in beneficial interest in charitable remainder trust $39,890, Change in beneficial interest in the net assets of the FF Thompson Foundation -$429,037. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|
| FF Thompson Foundation Inc | |||||||||
| 350 Parrish Street | Canandaigua | NY | 14424 | 222959984 | Philanthropic support for the services and priority needs of the system | NY | 501(c)(3) | 7 | N/A |
| FF Thompson Health System Inc | |||||||||
| 350 Parrish Street | Canandaigua | NY | 14424 | 222959987 | Parent to 6 separate organizations to support the health and well being of the community | NY | 501(c)(3) | 11a | N/A |
| M M Ewing Continuing Care Center | |||||||||
| 350 Parrish Street | Canandaigua | NY | 14424 | 237046583 | Long-term, rehabilitative and related services to the community | NY | 501(c)(3) | 3 | N/A |
| FF Thompson Senior Communities Inc | |||||||||
| One Ferris Hills | Canandaigua | NY | 14424 | 161557494 | Senior living environment providing independent and enriched apts and services | NY | 501(c)(3) | 9 | N/A |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| Finger Lakes Community Care Network | ||||||||
| 350 Parrish Street | Canandaigua | NY | 14424 | 161423442 | Currently inactive | NY | N/A | C |
| FF Thompson Properties and Services Inc | ||||||||
| 350 Parrish Street | Canandaigua | NY | 14424 | 161286518 | Plans, develops, implements, owns and manages health related ventures | NY | N/A | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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