2012-11-15T14:51:05-06:00 2011-12-31 ERNST & YOUNG US LLP 75 BEATTIE PLACE SUITE 800 GREENVILLE SC 29601 990 2011-01-01 222229425 ROCHESTER GENERAL HOSPITAL FOUNDATION INC % TAMMY CLAFLIN ROCH 5859224800 100 Kings Highway South Rochester NY 14617 PAULA M TINCH 2012-11-14 8642425740 2011 2016-02-24 21:20:13Z X Mark Clement 100 Kings Highway South Rochester NY 14617 6706793 false X www.rochestergeneral.org X 1988 NY TO CONDUCT ACTIVITIES THAT RAISE FUNDS AND TO INVEST SUCH FUNDS FOR THE BENEFIT OF THE ROCHESTER GENERAL HOSPITAL AND ITS AFFILIATED ORGANIZATIONS. 28 23 11 27 0 0 5380006 4299404 0 0 1532682 2296756 -368772 -487354 6543916 6108806 3270788 5624482 0 0 1249158 1371494 261116 0 766052 648225 1193844 5429287 8189820 1114629 -2081014 40357179 38220562 2884918 5278532 37472261 32942030 X TO PROVIDE FUNDS TO OR FOR THE BENEFIT OF THE ROCHESTER GENERAL HOSPITAL AND ITS AFFILIATES BY: A) SOLICITING, ACCEPTING, HOLDING, INVESTING, REINVESTING AND ADMINISTERING ANY GIFTS, BEQUESTS, DEVISES, BENEFITS OF TRUSTS AND PROPERTY 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; AND C) PERFORMING ANY OTHER ACT OR THING INCIDENTAL TO OR CONNECTED WITH THE FOREGOING PURPOSES OR IN ADVANCEMENT THEREOF. false false 5922723 5624482 0 The Rochester General Hospital Foundation conducts a broad range of fundraising efforts to drive annual giving, special event support, major gifts and planned gifts. The Rochester General Hospital Foundation had a successful year in 2011 in terms of securing grants. One of the most significant examples was a grant of $527,249 from the New York State Department of Health for the "Doctors Across New York" Program. Another significant grant was from the Jacob and Valeria Langeloth Foundation to support refugees healing from trauma. Events - In 2011, 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 2011 ROCHESTER GENERAL HOSPITAL FOUNDATION EVENTS. IN 2011, THE FOUNDATION HELD THE SECOND EDITION OF "COOKING FOR A CURE", AN EVENT FEATURING FOOD PREPARED BY LOCAL CHEFS TO SUPPORT PROSTATE CANCER CARE AND TREATMENT AT ROCHESTER GENERAL HEALTH SYSTEM. THE FIRST EDITION OF THIS EVENT WAS HELD IN 2009. THE MOST SIGNIFICANT EVENT OF THE YEAR, THE FOUNDERS SOCIETY GALA, WAS HELD IN NOVEMBER 2011. APPROXIMATELY, 1,300 PEOPLE ATTENDED THE EVENT AND RAISED OVER $687,000 - 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 GENEROUS 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 3,500 NEW DONORS SINCE 2011. AS PART OF THE PLANNED PROGRESSION TOWARD THE CAMPAIGN, 2011 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 CONTINUING TO FOCUS ON FINDING NEW DONORS. WHILE THIS EFFORT BENEFITS BOTH FOUNDATIONS, WHEN APPROPRIATE, 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. 5922723 true true false false false false false false false true true true false false true false false true false false false false false false true false false true false true false false false false false false false false true false false false false true false false false false true 53 0 true 11 true false false false false false true true false false false false false X 28 23 false false false false true true true true true false false false true true true true true false true false NY X TAMMY CLAFLIN 5859221745 100 KINGS HIGHWAY SOUTH Rochester NY 14617 X SCOTT ANTHONY 1.0 X 0 0 0 JOSEPHINE BRAITMAN 1.0 X 0 0 0 DAVID BROADBENT 1.0 X 0 0 0 FREDDIE CALDWELL 1.0 X 0 0 0 DONALD CAMERON 1.0 X 0 0 0 KEVIN CANNAN 1.0 X 0 0 0 KEVIN CASEY MD 1.0 X 0 294361 60961 CYNTHIA CHRISTY 1.0 X 0 0 0 RICHARD CONSTANTINO MD 1.0 X 0 145955 52691 CHARLES EAGLE JR 1.0 X 0 0 0 LOUISE EPSTEIN 1.0 X 0 0 0 JACK A ERDLE 1.0 X 0 0 0 STEPHEN ETTINGHAUSEN MD 1.0 X 0 393458 41909 SAMUEL HUSTON 1.0 X 0 0 0 GREGORY KAUSCH 1.0 X 0 0 0 PETER KOUIDES MD 1.0 X 0 388144 52159 ELLIOT LANDSMAN 1.0 X 0 0 0 JEFFREY LEENHOUTS 1.0 X 0 0 0 ARTHUR LIEBERT 1.0 X 0 0 0 CARL LUGER 1.0 X 0 0 0 IRVING MANN 1.0 X 0 0 0 KEVIN OVERTON 1.0 X X 0 0 0 RALPH PENNINO MD 1.0 X 0 455664 71062 WANDA POLISSENI 1.0 X 0 0 0 PATRICK RIGGS MD 1.0 X 0 489162 91788 KATHERINE SCHUMACHER 1.0 X X 0 0 0 STEVEN SCHWARTZ 1.0 X 0 0 0 EDWARD TANNER MD 1.0 X 0 276431 93082 DON TWIETMEYER 1.0 X 0 0 0 JOHN VALVO 1.0 X 0 0 0 ROBERTA VANWINKLE 1.0 X X 0 0 0 JOSEPH VASILE MD 1.0 X 0 366439 98775 ETHAN WELCH 1.0 X X 0 0 0 Trent Bridges 1.0 X 0 0 0 William Mendick 1.0 X 0 0 0 Len Olivieri 1.0 X 0 0 0 Mike Pichichero MD 1.0 X 0 837837 46222 James P Digan 20.0 X 490209 0 191033 MARK CLEMENT 1.0 X 0 1331486 789546 ROBERT NESSELBUSH 1.0 X 0 646375 255571 490209 5625312 1844799 1 false true false COMMUNITY COUNSELING SERVICE LLC PO Box 27462 NEW YORK NY 10087 CONSULTING 329500 RUDY BENDA PRODUCTIONS 307 EAST 76TH STREET NEW YORK NY 10021 EVENT PRODUCTION 122190 2 644225 102356 3552823 66887 4299404 0 2296756 2296756 0 0 0 110633 644225 597987 -487354 -487354 0 0 0 6108806 1809402 5624482 5624482 0 0 0 681242 340621 340621 0 677077 338538 338539 0 13175 6587 6588 0 0 5712 5712 16989 16989 0 0 0 458174 377870 80304 0 53917 53917 0 0 46841 46841 85948 85948 0 0 0 0 18576 18576 0 NEWSLETTER & DONOR RECOG 298241 298241 UNCOLLECTIBLE PLEDGES 77536 77536 OTHER EXPENSES 131910 131910 8189820 5922723 1501045 766052 2263669 1556869 499079 2173954 9062554 9415127 0 0 0 0 0 0 0 0 0 0 6161 33708 990752 52382 698933 938370 16330051 11575467 11496732 12527067 0 0 0 0 0 0 40357179 38220562 248860 456650 164421 86607 0 0 0 0 0 0 0 0 0 0 0 0 2471637 4735275 2884918 5278532 X 3293343 1836768 26135056 22999118 8043862 8106144 37472261 32942030 40357179 38220562 X -2081014 -2449217 X false true true X true true X X X false false false ROCHESTER GENERAL HOSPITAL 160743134 03 true true true 5600250 ROCHESTER GENERAL HUDSON HOUSING 223210351 09 true true true 0 ROCHESTER GENERAL LONG TERM CARE 223187140 09 true true true 254 ROCHESTER MENTAL HEALTH CENTER 166069131 09 true true true 8328 INDEPENDENT LIVING FOR SENIORS 161491059 09 true true true 15650 5 5624482 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8043862 62281 8106143 7960615 83247 8043862 7955419 5196 7960615 7924901 30518 7955419 0.00000 1.00000 0.00000 false false 555000 555000 0 435752 52382 383370 938370 COMMON COLLECTIVE TRUSTS 2253517 F HEDGE FUNDS 10273550 F 12527067 0 DUE TO AFFILIATES 4231375 CHARITABLE GIFT ANNUITY LIABILITY 503900 4735275 INTENDED USE OF ENDOWMENT FUNDS SCHEDULE D, PART V, QUESTION 4 THE INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS INCLUDE: 1) CAPITAL EXPANSION AND IMPROVEMENT 2) ADVANCEMENT OF MEDICAL EDUCATION AND RESEARCH AND HEALTH CARE SERVICES. gala 676375 591390 84985 542008 Cook 4 A Cure 78483 52835 25648 55979 0 754858 644225 110633 597987 597987 -487354 DESCRIPTION OF ANNUAL GALA (SPECIAL EVENT) SCHEDULE G, PART II, Column A THIS EVENT, HELD ANNUALLY, IS THE PREMIER FUNDRAISER FOR THE ORGANIZATION. VOLUNTEERS SOLICIT PATRONS AND ATTENDEES IN ADVANCE OF THE EVENT ON BEHALF OF THE ORGANIZATION AS WELL AS CONDUCT OVERALL ACTIVITIES DURING THE EVENT INCLUDING DINNER. ATTENDEES RECEIVE A DINNER IN EXCHANGE FOR THEIR CONTRIBUTION. THE ORGANIZATION PROVIDES EACH DONOR WITH APPROPRIATE INFORMATION RELATED TO THE VALUE OF THE GOODS AND SERVICES RECEIVED TO ENABLE PROPER COMPUTATION OF THE AMOUNT DEDUCTIBLE BY THE DONOR/SPONSOR. true Rochester General Hospital 1425 Portland Avenue Rochester NY 14621 160743134 501(C)(3) 5600250 PROJECT FUNDING Independent Living for Seniors 2066 Hudson Avenue Rochester NY 14617 161491059 501(C)(3) 15650 PROJECT FUNDING Rochester Mental Health Center 490 East Ridge Road Rochester NY 14617 166069131 501(c)(3) 8328 Project Funding 3 0 Schedule I, PART I, LINE 2 Description of Organization's Procedures for Monitoring the Use of Grants 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. X X X true true false true false false false false false false false KEVIN CASEY MD 0 179244 0 101117 0 14000 0 54213 0 6748 0 355322 0 0 RICHARD CONSTANTINO MD 0 105799 0 40156 0 0 0 44904 0 7787 0 198646 0 0 STEPHEN ETTINGHAUSEN MD 0 371458 0 0 0 22000 0 32456 0 9453 0 435367 0 0 PETER KOUIDES MD 0 207426 0 164214 0 16504 0 42089 0 10070 0 440303 0 0 RALPH PENNINO MD 0 455664 0 0 0 0 0 65168 0 5894 0 526726 0 0 PATRICK RIGGS MD 0 489162 0 0 0 0 0 75841 0 15947 0 580950 0 0 EDWARD TANNER MD 0 256431 0 20000 0 0 0 89313 0 3769 0 369513 0 0 JOSEPH VASILE MD 0 287323 0 62616 0 16500 0 89313 0 9462 0 465214 0 0 James P Digan 282320 0 185405 0 22484 0 189440 0 1593 0 681242 0 0 0 MARK CLEMENT 0 679982 0 599404 0 52100 0 784797 0 4749 0 2121032 0 278104 ROBERT NESSELBUSH 0 358758 0 248255 0 39362 0 248120 0 7451 0 901946 0 74255 Mike Pichichero MD 0 287496 0 542967 0 7374 0 41073 0 5149 0 884059 0 0 Supplemental Compensation Information SCHEDULE J, PART I, LINE 1 AS PART OF HIS COMPENSATION PACKAGE, ONE OF THE OFFICERS OF THE FOUNDATION IS ENTITLED TO A HOUSING ALLOWANCE. THIS BENEFIT HAS BEEN INCLUDED IN THE EMPLOYEE'S FORM W-2 AS TAXABLE COMPENSATION AS REQUIRED. CHARTER 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. SCHEDULE J, PART I, LINE 3 - PROCESS TO ESTABLISH CEO COMPENSATION THE FILING ORGANIZATION'S RELATED NON-PROFIT ORGANIZATION, ROCHESTER GENERAL HOSPITAL, UTILIZED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE CEO: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SCHEDULE J, PART I, LINE 4B - NON-QUALIFIED RETIREMENT PLAN RGHS MAINTAINS A SECTION 457(F) PLAN WHICH WOULD BE CONSIDERED A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. DURING 2011, NO DISTRIBUTIONS WERE PAID OUT. HOWEVER, THE FOLLOWING OFFICERS AND DIRECTORS 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: Ralph Pennino, MD Robert Nesselbush Edward Tanner X 12600 sale of comp prop X 1 4787 sale of comp prop X 6700 sale of comp prop X 25000 sale of comp prop X Disposable Cameras/Kodak Easy Share 1431 7800 sale of comp prop X AV Services 0 10000 sale of comp prop 0 false false false CLASSES OF MEMBERS AND MEMBERSHIP RIGHTS FORM 990, PART VI, SECTION A, LINE 6 THE 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 7a IN 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 7b RGHS, 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. REVIEW PROCESS FOR THE FORM 990 FORM 990, PART VI, SECTION B, QUESTION 11B THE FORM 990 IS REVIEWED BY THE CHAIRMAN OF THE BOARD OF DIRECTORS OF ROCHESTER GENERAL HEALTH SYSTEMS, A RELATED NOT FOR PROFIT ORGANIZATION AND THE PARENT OF THE FILING ORGANIZATION,IN CONSULTATION WITH THE ORGANIZATION'S TAX ADVISORS, ERNST & YOUNG. THIS FINANCIAL REVIEW IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS AND OTHER RELEVANT INFORMATION FOR THE APPROPRIATE TIME PERIOD. Conflict of Interest Policy FORM 990, PART VI, SECTION B, QUESTION 12C UPON 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 AND DISCLOSURE 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. Compensation Approval Process FORM 990, PART VI, LINE 15B THE SENIOR VICE PRESIDENT OF DEVELOPMENT'S COMPENSATION ARRANGEMENTS ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF ROCHESTER GENERAL HOSPITAL, A RELATED NOT-FOR-PROFIT ORGANIZATION. INFORMATION REVIEWED FOR THE OFFICER INCLUDES COMPARABLE DATA FROM SIMILAR SIZE TAX EXEMPT ORGANIZATIONS IN THE WESTERN 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. Access to Organizational Documents FORM 990, PART VI, SECTION C, QUESTION 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT ITS ADMINISTRATIVE OFFICES AT 100 KINGS HIGHWAY SOUTH, ROCHESTER, NY 14617. A NOMINAL FEE IS CHARGED IF COPIES ARE REQUESTED. AVERAGE HOURS DEVOTED TO RELATED ORGANIZATIONS FORM 990, PART VII, SECTION A, COLUMN B RICHARD CONSTANTINO: 39 hrs/wk Rochester General Hospital RALPH PENNINO: 39 hrs/wk Rochester General Hospital MARK CLEMENT: 40 hrs/wk Rochester General Hospital 5 hrs/wk Newark-Wayne Community Hospital 1 hr/wk Rochester General Hudson Housing 2 hrs/wk Independent Living for Seniors 2 hrs/wk Rochester General Long Term Care 1 hr/wk GRHS Foundation 1 hr/wk Rochester General Health System 1 hr/wk Rochester Mental Health Center 1 hr/wk Newark-Wayne Community Hospital Foundation ROBERT NESSELBUSH: 39 hrs/wk Rochester General Hospital 5 hrs/wk Newark-Wayne Community Hospital 2 hrS/wk Independent Living for Seniors 1 hr/wk GRHS Foundation 1 hr/wk Workers' Comp Trust 2 HRS/WK Rochester General Long Term Care 1 hr/wk Rochester General Hudson Housing 1 hr/wk Newark-Wayne Community Hospital Foundation 1 hr/wk Rochester General Health System 1 hr/wk Rochester Mental Health Center JAMES DIGAN: 20 HRS/WK NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATION KEVIN CASEY: 39 HRS/WK ROCHESTER GENERAL HOSPITAL STEPHEN ETTINGHAUSEN: 39 HRS/WK ROCHESTER GENERAL HOSPITAL PETER KOUIDES: 39 HRS/WK ROCHESTER GENERAL HOSPITAL PATRICK RIGGS: 39 HRS/WK ROCHESTER GENERAL HOSPITAL EDWARD TANNER: 39 HRS/WK ROCHESTER GENERAL HOSPITAL JOSEPH VASILE 19.5 HRS/WK ROCHESTER GENERAL HOSPITAL 19.5 HRS/WK ROCHESTER MENTAL HEALTH CENTER MIKE PICHICHERO 39 HRS/WK ROCHESTER GENERAL HOSPITAL Other Changes in Net Assets FORM 990, PART XI, LINE 5 UNREALIZED LOSS: $(2,394,473) CHANGE IN VALUE OF GIFT ANNUITY: $(54,744) ---------- $(2,449,217) FORM 5471 FILED ON BEHALF OF STATEMENT STATEMENT PURSUANT TO TREAS. REG. SEC. 1.6038-2(j)(3) The following information is submitted with respect to Rochester General Hospital Foundation, Inc.'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, 2011 Ending Tax Year of Foreign Corporation: December 31, 2011 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, 2011 Type of Return Filed: 990-T IRS Service Center Where Return Filed: Ogden, Utah 84201-0027 Rochester General Health System 100 Kings Highway SOUTH Rochester NY 14617 222551509 SYSTEM PARENT NY 501(c)(3) 11, TYPE II na false Continuing Care Network Inc (CCN) 100 Kings Highway South Rochester NY 14617 222963016 SUPPORT RGH NY 501(c)(3) 11, TYPE II RGHS false Rochester General Hudson Housing 2066 Hudson Avenue Rochester NY 14617 223210351 LOW INC HSING NY 501(c)(3) 9 RGHS false Independent Living for Seniors 2066 Hudson Avenue Rochester NY 14617 161491059 ADLT DAY CARE NY 501(c)(3) 9 RGHS false Western NY Medical Practice PC 1425 Portland Avenue Rochester NY 14621 611654232 Phys Prac NY 501(c)(3) 3 RGHS false Newark-Wayne Community Hospital 1200 Driving Park Avenue Newark NY 14513 150584188 Hospital NY 501(c)(3) 3 RGHS false The Rochester General Hospital 1425 Portland Ave Rochester NY 14621 160743134 Hospital NY 501(c)(3) 3 RGHS false Rochester General Long Term Care 1550 Empire Boulevard Webster NY 14580 223187140 NH & Rehab NY 501(c)(3) 9 RGHS false Rochester Mental Health Center 490 East Ridge Road Rochester NY 14621 166069131 MENTAL HEALTH NY 501(c)(3) 9 RGHS false GRHS Foundation 100 Kings Highway South Rochester NY 14617 222963015 R/E INV MGMT NY 501(c)(3) 11, TYPE II RGHS false RGHS WORKERS COMPENSATION TRUST 1425 Portland Avenue Rochester NY 14621 169429300 SEE PART VII NY 501(c)(3) 11, TYPE II RGHS false Greater Rochester Assurance Company LTD Insurance CJ na C CORP 0 0 0.00000 false true false false true false false false false false false false false false true false false false Rochester General Hospital B 3833795 FMV ROCHESTER GENERAL HOSPITAL E 4433704 FMV ROCHESTER GENERAL HOSPITAL O 1766455 FMV RELATED TAX-EXEMPT ORGANIZATION - PRIMARY ACTIVITY SCHEDULE R, PART II, COLUMN B RGHS WORKERS COMPENSATION TRUST SUPPORTS ROCHESTER GENERAL HOSPITAL, NEWARK-WAYNE COMMUNITY HOSPITAL, INDEPENDENT LIVING FOR SENIORS, ROCHESTER GENERAL LONG TERM CARE AND ROCHESTER GENERAL HEALTH SYSTEMS.