UNITED MEMORIAL MEDICAL CENTER: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- UNITED MEMORIAL MEDICAL CENTER (EIN 16-0743029)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-10-31
- IRS object ID
- 201243189349302799
- Schema version
- 2011v1.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-10-31T11:53:05-07:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 160743029 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNITED MEMORIAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | UNIT | NameControl |
| Phone | 5853445249 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 127 North Street | AddressLine1 |
| City | Batavia | City |
| State | NY | State |
| ZIP Code | 14020 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Robert Chiavetta | Name |
| Title | Vice President Finance | Title |
| Phone | 5853445249 | Phone |
| Date Signed | 2012-10-25 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Mark Schoell | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 127 North Street | AddressLine1 |
| City | Batavia | City |
| State | NY | State |
| ZIP Code | 14020 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 80008668 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.ummc.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1944 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | United Memorial Medical Center is the only acute care hospital in Genesee County, with 131 licensed acute care beds that provide the necessary healthcare services to a regional population of over 93,000 residents and operates the only in-patient alcohol and substance abuse program in a four county area. United Memorial Medical Center is dedicated to providing the very best healthcare possible to the residents of the Genesee Region. We strive to build a culture of excellence focusing on the fact that we are doing more than just treating patients - we are caring for our neighbors, our friends and our families everyday. Our mission is working together to promote, enhance and restore health for the people of our community. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 894 | TotalNbrEmployees |
| Total Nbr Volunteers | 120 | TotalNbrVolunteers |
| Total Gross UBI | 688842 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2930889 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2934610 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 72857360 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 75436907 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 208802 | InvestmentIncomePriorYear |
| Investment Income Current Year | 264429 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 407922 | OtherRevenuePriorYear |
| Other Revenue Current Year | 735440 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 76404973 | TotalRevenuePriorYear |
| Total Revenue Current Year | 79371386 | 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 | 38894743 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 40985079 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 31888917 | OtherExpensePriorYear |
| Other Expenses Current Year | 35038536 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 70783660 | TotalExpensesPriorYear |
| Total Expenses Current Year | 76023615 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 5621313 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3347771 | RevenuesLessExpensesCY |
| Total Assets BOY | 69264644 | TotalAssetsBOY |
| Total Assets EOY | 73049982 | TotalAssetsEOY |
| Total Liabilities BOY | 45558763 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 50751238 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 23705881 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 22298744 | NetAssetsOrFundBalancesEOY |
| Mission Description | United Memorial Medical Center has been established as a general acute care community hospital, serving an estimated 93,000 residents of Genesee County and adjacent areas. Its purpose is to operate both inpatient and outpatient services, oriented toward general medical/surgical, pediatric, maternity and emergency care. The hospital continually monitors the needs of the community and develops services to maximize benefits to the community, consistent with the financial resources available to the hospital. In 2011, UMMC served 5,111 inpatients and 209,323 outpatients. The hospital accepts all patients, regardless of ability to pay. The Hospital has a Charity Care Program that is designed to assist those patients who do not have the resources available to reimburse the hospital for medical services rendered. The total amount of charity care rendered by the hospital totaled approximately $1,262,000 for 2011. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 61873632 | Expense |
| Grants | 0 | Grants |
| Revenue | 75556419 | Revenue |
| Description | Healthcare Programs, General/Other: United Memorial Medical Center has been established as a general acute care community hospital, serving an estimated 93,000 residents of Genesee County and adjacent areas. Its purpose is to operate inpatient and outpatient services, oriented towards general medical/surgical, pediatric, maternity and emergency care. The hospital continually monitors the needs of the community and develops services to maximize benefits to the community, consistent with the financial resources available to the hospital. In 2011, UMMC served 5,111 inpatients and 209,322 outpatients. The hospital accepts all patients, regardless of ability to pay. The Hospitals Charity Care Program is designated to assist those patients who do not have the resources available to reimburse the hospital for the services it provides. Discounts will be awarded based according to the Federal Poverty Guidelines as published annually by the Department of Health and Human Services. Charity care rendered by the hospital totaled approximated $1,262,000 for calendar year ending December 31, 2011. UMMC is committed to enhancing the health of the residents in its primary service area, so it offers an in-patient alcohol and substance abuse program serving a four county area. United Memorial Medical Center is dedicated to providing the very best healthcare possibilities to residents of the Genesee Region. We strive to build a culture of excellence focusing on the fact that we are doing more than just treating patients - we are caring for our neighbors, our friends and our families every day. Our mission is working together to promote, enhance and restore health for the people of our community. | 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 | 61873632 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | 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 | 0 | 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 | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | 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 |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 60 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 894 | 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 |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | 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 | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Robert Chiavetta | NamePerson |
| Telephone Number | 5853445249 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 127 North Street | AddressLine1 |
| City | Batavia | City |
| State | NY | State |
| ZIP Code | 14020 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Betty Lopp | |||||||
| Chairman | 5 | X | X | 0 | 0 | 0 | |
| William Fritts | |||||||
| Vice Chairman | 5 | X | X | 0 | 0 | 0 | |
| Barton Dambra | |||||||
| Treasurer | 5 | X | X | 0 | 0 | 0 | |
| Mary Raymond | |||||||
| Secretary | 5 | X | X | 0 | 0 | 0 | |
| Scott Belotte MD | |||||||
| Board Member | 5 | X | 18998 | 0 | 0 | ||
| Peter Call | |||||||
| Board Member | 5 | X | 0 | 0 | 0 | ||
| Victor DeSa MD | |||||||
| Board Member | 5 | X | 0 | 0 | 0 | ||
| Anthony Froix MD | |||||||
| Board Member | 40 | X | 370578 | 0 | 15423 | ||
| James Fulmer | |||||||
| Board Member | 5 | X | 0 | 0 | 0 | ||
| Thomas Houseknecht | |||||||
| Board Member | 5 | X | 0 | 0 | 0 | ||
| Lalit Jain MD | |||||||
| Board Member | 5 | X | 0 | 0 | 0 | ||
| Jerry Reinhart | |||||||
| Board Member | 5 | X | 0 | 0 | 0 | ||
| Donna Thompson | |||||||
| Board Member | 5 | X | 0 | 0 | 0 | ||
| August Welsh | |||||||
| Board Member | 5 | X | 0 | 0 | 0 | ||
| Christopher White | |||||||
| Board Member | 5 | X | 0 | 0 | 0 | ||
| Mark Schoell | |||||||
| Executive Director CEO | 40 | X | 398716 | 0 | 52708 | ||
| Robert Chiavetta | |||||||
| VP Finance | 40 | X | 242503 | 0 | 28526 | ||
| Mary Beth Bowen | |||||||
| VP Acute Care | 40 | X | 192070 | 0 | 15203 | ||
| Daniel Ireland | |||||||
| Chief Operating Officer | 40 | X | 190149 | 0 | 26971 | ||
| Young Lee MD | |||||||
| Pediatrician | 40 | 312313 | 0 | 16333 | X | ||
| Richard Edwards MD | |||||||
| Obstetrician | 40 | 246460 | 0 | 24197 | X | ||
| Stanley Ambis MD | |||||||
| Physician | 40 | 207250 | 0 | 29137 | X | ||
| Anthony Debeneditto MD | |||||||
| Surgeon | 40 | 188066 | 0 | 0 | X | ||
| Richard King MD | |||||||
| Surgeon | 40 | 332152 | 0 | 27661 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2699255 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 236159 | TotalOtherCompensation |
| Number Individuals GT100 K | 22 | NumberIndividualsGT100K |
| Formers Listed | 0 | 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 |
|---|---|---|---|---|---|
| Summit Rehabilitation Services | |||||
| 99 Medtech Drive | Batavia | NY | 14020 | Physical Therapy Services | 1271202 |
| Aramark Servicemaster | |||||
| PO Box 33170 | Newark | NJ | 07188 | Facilities Management Services | 1174464 |
| Rochester General Hospital | |||||
| PO Box 10758 | Rochester | NY | 14610 | Pathology Service | 786017 |
| Genesee Hospitalist | |||||
| 4201 North Buffalo Road | Orchard Park | NY | 14127 | Hospitalists | 754876 |
| ACM Medical Laboratory | |||||
| PO box 26290 | Rochester | NY | 146260290 | Reference Laboratory | 629375 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 15 | NumberOfContractorsGT100K |
| Federated Campaigns | 0 | FederatedCampaigns |
| Membership Dues | 1725 | MembershipDues |
| Fundraising Events | 0 | FundraisingEvents |
| Related Organizations | 1123755 | RelatedOrganizations |
| Government Grants | 1806568 | GovernmentGrants |
| All Other Contributions | 2562 | AllOtherContributions |
| Noncash Contributions | 0 | NoncashContributions |
| Total Contributions | 2934610 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Inpatient Revenue | 621110 | 32761574 | 32761574 | 0 | $0 |
| Outpatient Revenue | 621110 | 42675333 | 41986491 | 688842 | $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 | 75436907 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 259179 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $259,179 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| 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 |
Royalties Revenue RoyaltiesRevenue
| 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 |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 489690 | Real |
| Personal | 0 | Personal |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 562604 | Real |
| Personal | 0 | Personal |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -72914 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -72914 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | -$72,914 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 5250 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 5250 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5250 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $5,250 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrbtns Rprtd Fundraising Events | 0 | CntrbtnsRprtdFundraisingEvents |
| Gross Sales Of Inventory | 56430 | GrossSalesOfInventory |
| Cost Of Goods Sold | 74678 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -18248 | TotalRevenueColumn |
| Related Or Exempt Function Income | -18248 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Cafeteria Sales | 722210 | 389481 | 389481 | 0 | $0 |
| Lab Capitation | 621500 | 155523 | 155523 | 0 | $0 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 281598 | TotalRevenueColumn |
| Related Or Exempt Function Income | 281598 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 826602 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 79371386 | TotalRevenueColumn |
| Related Or Exempt Function Income | 75556419 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 688842 | UnrelatedBusinessRevenue |
| Exclusion | $191,515 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1551845 | Total |
| Program Services | 404999 | ProgramServices |
| Management And General | 1146846 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29442523 | Total |
| Program Services | 24636463 | ProgramServices |
| Management And General | 4806060 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2321544 | Total |
| Program Services | 1875659 | ProgramServices |
| Management And General | 445885 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5492447 | Total |
| Program Services | 4437545 | ProgramServices |
| Management And General | 1054902 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2176720 | Total |
| Program Services | 1758650 | ProgramServices |
| Management And General | 418070 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3176202 | Total |
| Program Services | 2821622 | ProgramServices |
| Management And General | 354580 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61655 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 61655 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 98778 | Total |
| Program Services | 17378 | ProgramServices |
| Management And General | 81400 | 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 | 3105413 | Total |
| Program Services | 2580775 | ProgramServices |
| Management And General | 524638 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 263928 | Total |
| Program Services | 159178 | ProgramServices |
| Management And General | 104750 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 211760 | Total |
| Program Services | 121010 | ProgramServices |
| Management And General | 90750 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1403791 | Total |
| Program Services | 1108995 | ProgramServices |
| Management And General | 294796 | 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 | 1444384 | Total |
| Program Services | 987694 | ProgramServices |
| Management And General | 456690 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 221989 | Total |
| Program Services | 111432 | ProgramServices |
| Management And General | 110557 | 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 | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 941172 | Total |
| Program Services | 653532 | ProgramServices |
| Management And General | 287640 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4353554 | Total |
| Program Services | 3003952 | ProgramServices |
| Management And General | 1349602 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 898512 | Total |
| Program Services | 825318 | ProgramServices |
| Management And General | 73194 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Supplies | 10333523 | 9703646 | 629877 | 0 |
| Purchased Services | 3845920 | 2843841 | 1002079 | 0 |
| Provisions for Bad Debts | 2779819 | 2779819 | 0 | 0 |
| All Other Expenses | 1898136 | 1042124 | 856012 | 0 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 76023615 | Total |
| Program Services | 61873632 | ProgramServices |
| Management And General | 14149983 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9204737 | BOY |
| EOY | 5787862 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 101595 | BOY |
| EOY | 102931 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 133003 | BOY |
| EOY | 145809 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7422799 | BOY |
| EOY | 8078723 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 885092 | BOY |
| EOY | 1123692 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 933421 | BOY |
| EOY | 1286197 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 87313308 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 42773954 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39992599 | BOY |
| EOY | 44539354 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4817010 | BOY |
| EOY | 4842614 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5774388 | BOY |
| EOY | 7142800 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69264644 | BOY |
| EOY | 73049982 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12853170 | BOY |
| EOY | 11103214 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12075000 | BOY |
| EOY | 11300000 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11060270 | BOY |
| EOY | 14998349 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9570323 | BOY |
| EOY | 13349675 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45558763 | BOY |
| EOY | 50751238 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19526148 | BOY |
| EOY | 18779823 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3892957 | BOY |
| EOY | 3232145 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 286776 | BOY |
| EOY | 286776 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23705881 | BOY |
| EOY | 22298744 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69264644 | BOY |
| EOY | 73049982 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 3347771 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -4754908 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1388741 | BeginningOfYearBalance |
| Contributions | 0 | Contributions |
| Investment Earnings Or Losses | 4549 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 0 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 1393290 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1271721 | BeginningOfYearBalance |
| Contributions | 0 | Contributions |
| Investment Earnings Or Losses | 117020 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 0 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 1388741 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1054071 | BeginningOfYearBalance |
| Contributions | 0 | Contributions |
| Investment Earnings Or Losses | 217650 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 0 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 1271721 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1323072 | BeginningOfYearBalance |
| Contributions | 0 | Contributions |
| Investment Earnings Or Losses | -269001 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 0 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 1054071 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.81 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.19 | 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 | 592242 | OtherCostOrOtherBasis |
| Book Value | 592242 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 50939815 | OtherCostOrOtherBasis |
| Depreciation | 17475816 | Depreciation |
| Book Value | 33463999 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 35781251 | OtherCostOrOtherBasis |
| Depreciation | 25298138 | Depreciation |
| Book Value | 10483113 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 44539354 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (7 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Interest in Net Assets of UMMC Foundation | 2461638 |
| Prepaid Pension Cost | 3414155 |
| Deferred Financing Cost | 576470 |
| Merger Organization Cost | 127576 |
| Covenant-Not-To-Compete | 91146 |
| Deferred Financing Cost OR Project | 439220 |
| Deferred Compensation 457 Plan | 32595 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 7142800 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Accrued Pension | Description |
| Amount | $13,349,675 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 13349675 | TotalOfAmounts |
| Total Revenue | 79371386 | TotalRevenue |
| Total Expenses | 76023615 | TotalExpenses |
| Excess Or Deficit For Year | 3347771 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -159831 | NetUnrealizedGLOnInvestments |
| Donated Services And Facilities | 0 | DonatedServicesAndFacilities |
| Investment Expenses | 0 | InvestmentExpenses |
| Prior Period Adjustments | 0 | PriorPeriodAdjustments |
| Other | -$3,804,201 | OtherAmount |
| Total Adjustments | -3964032 | TotalAdjustments |
| Excess Or Deficit Per FS | -616261 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 77747190 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 0 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 0 | DonatedSrvcAndUseOfFacilities |
| Recoveries Of Prior Year Grants | 0 | RecoveriesOfPriorYearGrants |
| Other Revenues | 637280 | OtherRevenues |
| Revenue Not Rptd F990 | 637280 | RevenueNotRptdF990 |
| Revenue Subtotal | 77109910 | RevenueSubtotal |
| Investment Expenses Not Included | 0 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 2261476 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 2261476 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 79371386 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 76660895 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 0 | DonatedServicesUseOfFacilities |
| Prior Year Adjustments | 0 | PriorYearAdjustments |
| Losses Reported | 0 | LossesReported |
| Other Expenses Included | 637280 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 637280 | ExpensesNotRptdF990 |
| Expenses Subtotal | 76023615 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 0 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 0 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 76023615 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchD_P05_S00_L04 | Schedule D, Part V, Line 4 | The hospitals endowment fund is comprised of two parts. The first part is a permanently restricted donation totaling $261,353 and the second part is unrestricted investment returns since the inception of the original donation that totals $1,131,937. The unrestricted portion of the endowment fund has no restrictions place on how it can be used, and the hospital currently has not designated any use for the funds. |
| SchD_P10_S00_L02 | Schedule D, Part X, Line 2 | The Center is a not-for-profit corporation as described in Section 501(c) (3) of the Internal Revenue Code (the Code), and accordingly, is exempt from Federal Income taxes on related income pursuant to Section 501 (a) of the Code. JRD was forms as an S Corporation for both federal and state income tax purposes. The Center and JRD account for uncertain tax positions in accordance with US GAAP, which requires the recognition and measurement of uncertain tax positions that the Center and JRD have taken or expects to take in the Center of JRD's tax returns. Accordingly, no provisions for income taxes has been reflected in the accompanying consolidated financial statements. The Center and JRD are no longer subject to federal and NYS income tax examination for years prior to 2008. |
| SchD_P11_S00_L08 | Schedule D, Part XI, Line 8 | Loss on disposal of assets ($19,579) plus Change in unrestricted interest in net assets of Foundation ($717) plus Transfer of endowment assets ($4,550) plus Minimum pension liability adjustment ($3,779,355) |
| SchD_P12_S00_L02d | Schedule D, Part XII, Line 2d | Rental Expenses $562,602 and Cost of Goods Sold $74,678. |
| SchD_P12_S00_L04b | Schedule D, Part XII, Line 4b | Gain on Sale of Assets $5,250 plus Contribution for purchase of property, plant, and equipment $2,256,225. |
| SchD_P13_S00_L02d | Schedule D, Part XIII, Line 2d | Rental Expenses $562,602 and Cost of Goods Sold $74,678. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 3 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| 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 | 1529294 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 655287 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 874007 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0115 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10563584 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8397385 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2166200 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0285 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 874583 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 726487 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 148096 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0019 | 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 | 12967461 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9779159 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3188303 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0419 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 283827 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 34553 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 249275 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0033 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 24421 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 24421 | 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 | 308248 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 34553 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 273696 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0036 | 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 | 13275709 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9813712 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3461999 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0455 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 17875 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 17875 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.0002 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 91416 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 91416 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.0012 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 109291 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 109291 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.0014 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $1,206,738 | BadDebtExpenseAmount |
| Amount Attributable To | 301685 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 11417833 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 13459399 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -2041566 | 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 | United Memorial Medical Center | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 127 North Street | AddressLine1 |
| City | Batavia | City |
| State | NY | State |
| ZIP Code | 14437 | 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 | United Memorial Medical Center | 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 | 300 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Uninsured Discount | X | UninsuredDiscount |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Provided On Admission | X | ProvidedOnAdmission |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| 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 |
| Lowest Negotiated Rates | X | LowestNegotiatedRates |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchH_P01_S00_L07 | Schedule H, Part I, Line 7 | The hospital used the Ratio of Cost to Charges methodology to calculate the cost for each of the programs listed in Part I. The hospital used the Worksheet #2 provided in the 990 Schedule H instructions to calculate the Ratio of Cost to Charges. |
| SchH_P01_S00_L072f | Schedule H, Part I, Line 7, Column f | The total amount omitted from Form 990, Part IX, Line 25, column (A) was $2,779,819 for bad debt expense. |
| SchH_P01_S00_L07g | Schedule H, Part I, Line 7g | The hospital did not include any subsidized health services on Line 7(g). |
| SchH_P02_S00_L00 | Schedule H, Part II | United Memorial Medical Center cooperates with many community groups and agencies to assess the needs of the community. The Hospital uses the following reports, documents, and surveys in developing its assessment: *Press Ganey Patient Satisfaction Surveys *TREO Solutions *Genesee County Health Department Community Health Assessment * United States Census Data * New York State Department of Health * New York State Department of Labor * American Cancer Society * New York State Cancer Registry *National Immunization Program. The Hospital continually monitors local data related to the types of services community members are receiving and whether these services are available locally to sufficiently meet community need. United Memorial uses reports from the State and County Departments of Health, internal committees and task forces, weekly administrative planning sessions and current industry publications to appropriately identify community needs. |
| SchH_P03_S0A_L04 | Schedule H, Part III, Section A, Line 4 | Accounts Receivable: The Center carries its accounts receivable at anticipated amounts due from private pay patients and third-party payers. Periodically, the Center adjusts the allowance for doubtful accounts based upon prior history and current developments. The Center does not charge interest on past due accounts. |
| SchH_P03_S0B_L08 | Schedule H, Part III, Section B, Line 8 | The hospital believes that the shortfall in Medicare payments on patients that it serves should be treated as a community benefit because the hospital provides medical care to all its patients regardless of their ability to pay and does not restrict access or the level of services to patients based on the reimbursement that it receives for those services. The hospital has the ability to negotiate reimbursement rates with commercial insurances but the hospital is restricted from negotiating rates for its Medicare patients. Medicare reimbursement is set by Centers for Medicare Services and cannot be negotiated by the hospital. The hospital feels that any shortfall in reimbursement for services it is required to provide to patients under a government sponsored program where the rate is not negotiable should be included as a community benefit. The hospital used its 2011 Medicare Cost Report to determine the shortfall in Medicare Payments. |
| SchH_P03_S0C_L09b | Schedule H, Part III, Section C, Line 9b | The Express Registration Department receives a listing of all inpatient admissions from the previous day. Monday's listing will include admissions from the previous Friday thru Sunday. A Self Pay report is compiled daily to identify all outpatients self-pay patients by the cashiers and given to Express Registration. Both the inpatient and outpatient report is reviewed to identify possible third party payer information. If third party payer information is identified, it is verified and applied to the account. If no third party payer information is identified, the outpatient report is forwarded to the cashiers to apply the appropriate NYS surcharge once the account has final billed. The Eligibility Department is notified on all inpatient accounts that no third party payer information is identified. The Eligibility Department will interview the patient to determine possible eligibility with Federal or State programs and/or UMMC's Financial Assistance Program. |
| SchH_P06_S00_L02 | Schedule H, Part VI, Line 2 | United Memorial Medical Center cooperates with many community groups and agencies to assess the needs of the community. The Hospital uses the following reports, documents, and surveys in developing its assessment: *Press Ganey Patient Satisfaction Surveys *TREO Solutions *Genesee County Health Department Community Health Assessment * United States Census Data * New York State Department of Health * New York State Department of Labor * American Cancer Society * New York State Cancer Registry *National Immunization Program. The Hospital continually monitors local data related to the types of services community members are receiving and whether these services are available locally to sufficiently meet community need. United Memorial uses reports from the State and County Departments of Health, internal committees and task forces, weekly administrative planning sessions and current industry publications to appropriately identify community needs. |
| SchH_P06_S00_L03 | Schedule H, Part VI, Line 3 | The hospital makes available its Financial Assistance program to patients by posting it on the hospitals website, providing it in writing to patients upon admission to the hospital, available upon request and is available through published brochure of the hospital. The hospital has also done education session with the local radio station. |
| SchH_P06_S00_L04 | Schedule H, Part VI, Line 4 | United Memorial is the only acute care facility in Genesee County and defines as its service area all of the County and the neighboring border communities. Genesee County is centrally located between the more metropolitan areas of Buffalo and Rochester in upstate New York. Considered largely rural, Genesee County had an estimated 2011 population of 59,993. With the inclusion of adjacent communities, United Memorial serves a total population of approximately 93,000 residents. Of the estimated 2010 county population, 93.4% are considered White, Non-Hispanics; 5.5% were under the age of 5; 21.7% were under the age of 18 and 15.9% were age 65 and older. In Genesee County, 11.7% (2006-2010) of the population lives below the poverty level. The median household income is $49,750. Within Genesee County is the Tonawanda Seneca Nation. United Memorial manages primary care services for the residents of the nation through a contract with New York State. For Orleans County, United Memorial began operation of an OB/GYN physician office in Medina, NY when the Orleans County community hospital ended maternity services in July 2011. Women in that county continue to have access to physician services and deliveries are performed at United Memorial in Batavia. Orleans County has a 2011 population estimate of 42,622, of which 50.5% is female. The median household income in Orleans County was $48,063 (2006-2010) |
| SchH_P06_S00_L05 | Schedule H, Part VI, Line 5 | United Memorial aspires to be a great hospital, employer of choice, and a good community partner. To achieve this we engage in a number of community building activities. In May 2011, 12 members of our senior leadership and management team volunteered for the United Way's Make a Difference Day by construction a nature walk at the New York State School for the Blind. Hospital leaders served as active members of the local chapters of Rotary, Kiwanis, Junior Achievement and the Office for the Aging Advisory Counsel. Several are also members of the Board of Directors for the Chamber of Commerce, YMCA, YWCA, Justice for Children GLOW Foundation, Leadership Genesee, and Tonawanda Valley Federal Credit Union. Members of the hospital staff have formed the Outreach Committee which collects school supplies for the Migrant Outreach Daycare Center in Batavia, Christmas stocking stuffers for the Salvation Army, eyeglasses for the Lions Club, and personal care products for military personnel serving overseas. The organization is an active financial supporter of fitness activities such as community walks, health awareness events and health fairs. United Memorial also works collaboratively with a community based coalition to address childhood obesity. Spear headed by a local pediatrician, the Get Fit Program offers nutritional, social and physician education for families in order to improve and promote healthy lifestyles. United Memorial works closely with the Genesee County Emergency Management Office for disaster readiness. United Memorial's Healthy Living Department also engages in a number of activities and programs to improve the well-being of our community. The MOMs (Medicaid Obstetrical Maternity) program saw 189 participants. The Healthy Living Department also cooperates with other community agencies such as the Genesee County Alcohol and Substance Abuse (GCASA) prevention coalition, to promote smoking cessation through the Smoke Free initiative. United Memorial is also actively engaged with the Diabetes Coalition and participates with the many activities of the American Diabetes Association. Healthy Living is responsible for the Cancer Services Partnership (CSP) of Genesee and Orleans County. In 2011, this NYS Department of Health grant funded program provided free clinical screenings and mammograms to women 18-64 and free colorectal cancer screenings to men and women age 50 and above who are uninsured or underinsured. In 2011, the CSP assisted 250 individuals with important life saving diagnostic screenings. The CSP partners with the local Zonta Chapter who provides funding for treatment and services related to the diagnostic outcomes of CSP clients (i.e. follow doctors appointments and further diagnostic testing.) United Memorial also enjoys strong partnerships with Genesee Community College for workforce development by allowing the clinical training for nursing and respiratory therapy students to be conducted at the hospital and providing staff mentors. The clinical pharmacy, radiology and physical therapy departments were also host to a number of students from SUNY Brockport, Daemen College, and the University of Buffalo. Each summer, United Memorial hosts 20 middle school aged children from local schools who demonstrate an interest in health careers. They participate in a 2 day MASH Camp experience which exposes them to the many professional facets of healthcare. United Memorial also serves as a day session host for Genesee Community College's BioTechnology students and as the clinical site for the BOCES Health Careers Academy for Junior and Senior High School students. United Memorial Medical Center has a 14 member board comprised of community members in areas it serves. No member of the board is compensated for the services they provide as a board member, however one member of the board is an employee of the hospital and another is an independent contractor of the hospital. Both of these board members are compensated by the hospital based on services that they provide to the hospital patients. The medical staff of United Memorial Medical Center is organized to serve the members of the community. Medical staff privileges are open and available to all qualified physicians and we currently have over 175 members of the Medical Staff. The hospital operates a 24 hour a day emergency room which provides emergency services to the community regardless of their ability to pay for services. No part of the hospital's income inures to the benefit of any private individual nor is a private interest being services. The hospitals surplus finds are reinvested into the facility, equipment or programs of the hospital to improve the quality of patient care, and expand the services the hospital provides. The hospital provides valuable services to the community it serves and continues to demonstrate its mission by providing support for health fairs, health screening programs, educational programs, and allowing hospital staff to serve on community wide boards and organizations. We also provide a very successful volunteer program for adults and teenagers. |
| SchH_P06_S00_L06 | Schedule H, Part VI, Line 6 | Not applicable. |
| SchH_P06_S00_L07 | Schedule H, Part VI, Line 7 | The hospital completes and files with the New York State Department of Health an Annual Report which includes community benefits that the hospital provides. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | 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 | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mark Schoell | |||||||||||||
| 320495 | 0 | 54213 | 0 | 24008 | 0 | 34875 | 0 | 17833 | 0 | 451424 | 0 | 0 | 0 |
| Robert Chiavetta | |||||||||||||
| 194633 | 0 | 31110 | 0 | 16760 | 0 | 12330 | 0 | 16196 | 0 | 271029 | 0 | 0 | 0 |
| Mary Beth Bowen | |||||||||||||
| 153533 | 0 | 24533 | 0 | 14004 | 0 | 9058 | 0 | 6145 | 0 | 207273 | 0 | 0 | 0 |
| Daniel Ireland | |||||||||||||
| 157210 | 0 | 23378 | 0 | 9561 | 0 | 9231 | 0 | 17740 | 0 | 217120 | 0 | 0 | 0 |
| Anthony Froix MD | |||||||||||||
| 275287 | 0 | 78521 | 0 | 16770 | 0 | 8217 | 0 | 7206 | 0 | 386001 | 0 | 0 | 0 |
| Richard King MD | |||||||||||||
| 268426 | 0 | 46868 | 0 | 16858 | 0 | 13196 | 0 | 14465 | 0 | 359813 | 0 | 0 | 0 |
| Young Lee MD | |||||||||||||
| 212325 | 0 | 75397 | 0 | 24591 | 0 | 0 | 0 | 16333 | 0 | 328646 | 0 | 0 | 0 |
| Richard Edwards MD | |||||||||||||
| 240011 | 0 | 0 | 0 | 6449 | 0 | 7939 | 0 | 16258 | 0 | 270657 | 0 | 0 | 0 |
| Stanley Ambis MD | |||||||||||||
| 169800 | 0 | 4250 | 0 | 33200 | 0 | 12893 | 0 | 16244 | 0 | 236387 | 0 | 0 | 0 |
| Anthony Debeneditto MD | |||||||||||||
| 181101 | 0 | 6965 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 188066 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchJ_P01_S00_L03 | Schedule J, Part I, Line 3 | The hospital uses a compensation committee to determine what the CEO will be paid. This committee gathers information from an outside consultant who gathers information of comparable CEO salaries and provides a compensation report to the compensation committee. The hospital's Board of Directors has to approve the recommendations of the compensation committee before the CEO compensation is implemented. |
| SchJ_P01_S00_L06 | Schedule J, Part I, Line 6 | A portion of executive pay is based upon meeting the level of net earnings established in the Board approved annual operating budget. |
| SchJ_P01_S00_L07 | Schedule J, Part I, Line 7 | A portion of executive incentive compensation is based upon meeting certain criteria relating to quality of patient care, patient satisfaction, patient safety, employee satisfaction and certain financial indicators such as measurement of cash and debt service coverage ratios. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Genesee County Industrial Development Agency | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 161139027 | IssuerEIN |
| CUSIP Number | 371672AD8 | CUSIPNumber |
| Date Issued | 2007-04-27 | DateIssued |
| Issue Price | 14704494 | IssuePrice |
| Description Of Purpose | Renovation of Outpatient diagnostic center and physician offices | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 0 | AmountRetired |
| Amount Bond Defeased | 0 | AmountBondDefeased |
| Total Proceeds | 14704494 | TotalProceeds |
| Amount In Reserve Fund | 1176970 | AmountInReserveFund |
| Capitalized Interest | 0 | CapitalizedInterest |
| Refunding Escrow | 0 | RefundingEscrow |
| Issuance Costs From Proceeds | 294090 | IssuanceCostsFromProceeds |
| Credit Enhancement | 0 | CreditEnhancement |
| Working Capital Expenditures | 0 | WorkingCapitalExpenditures |
| Capital Expenditures | 13233434 | CapitalExpenditures |
| Other Spent Proceeds | 0 | OtherSpentProceeds |
| Amount Unspent | 0 | AmountUnspent |
| Year Of Subst Completion | 2007 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 1 | ExceptionToRebate |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| James Fulmer | |||
| Board Member | 169004 | See Part V | 0 |
| William Fritts | |||
| Board Member | 60170 | See Part V | 0 |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SchL_P04_S00_L00 | Identifier |
| Return Reference | Schedule L, Part IV | ReturnReference |
| Explanation | James Fulmer is President of The Bank of Castile which the hospital has its banking relationship with. The total amount paid to The Bank of Castile in 2011 was $169,004 and represents the total interest paid on outstanding indebtedness the hospital has with The Bank of Castile. William Fritts is the owner of Lawley Genesee Insurance Company which provides consulting services on insurance policies that the hospital has. The total amount paid to Lawley Genesee in 2011 was $60,170. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| F990_P06_S0A_L03 | Form 990, Part VI, Section A, Line 3 | During 2011 the hospital had management contracts for the following areas in which the contracted manager reported directly to an officer or key employee of the hospital: facilities management, bio medical services, housekeeping, dietary, pharmacy and wound care. |
| F990_P06_S0A_L06 | Form 990, Part VI, Section A, Line 6 | The Genesee Memorial Hospital Group, Inc. is the sole member of United Memorial Medical Center. |
| F990_P06_S0A_L07a | Form 990, Part VI, Section A, Line 7a | The Genesee Memorial Hospital Group, Inc. has the right to elect all members of the United Memorial Medical Center Board of Directors. |
| F990_P06_S0B_L11b | Form 990, Part VI, Section B, Line 11b | The hospital issues the final Form 990 to all member of the board before their monthly meeting and the Vice President of Finance reviews the Form 990 at this meeting and answers any questions that may arise. |
| F990_P06_S0B_L12c | Form 990, Part VI, Section B, Line 12c | The Conflict of Interest Policy and Questionnaire is distributed to the Board members on an annual basis. The Governance Committee is provided with a summary of any duality of interest or possible conflict of interest for their review. The Conflict of Interest summary is then disclosed to the full Board for review. |
| F990_P06_S0B_L15 | Form 990, Part VI, Section B, Line 15 | Review of executive compensation is done annually by the Board of Directors. The hospital uses a compensation committee to determine what the CEO will be paid. This committee gathers information from an outside consultant who gathers information on comparable CEO salaries and provides a compensation report to the compensation committee. The hospital's Board of Directors has to approve the recommendations of the compensation committee before the CEO compensation is implemented. All compensation decisions are based on independent market data obtained from a variety of sources. Other employee compensation is recommended by the CEO on a similar basis to the Board and after discussion with the compensation committee. |
| F990_P06_S0C_L19 | Form 990, Part VI, Section C, Line 19 | The hospital currently makes available its governing documents, conflict of interest policy, and financial statements to the public by formal request. The hospital financial statements are included with hospitals annual report which is located on the hospitals website. |
| F990_P11_S00_L05 | Form 990, Part XI, Line 5 | The following is the detail which makes up the total of other changes in net assets. Net unrealized gain on investment $(159,831), Loss on impairment of assets $(19,579), Change in unrestricted interest in net assets of Foundation $(717), Minimum pension liability adjustment $(3,779,354), Change in temporarily restricted interest in assets of Foundation $(795,427). |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | United Memorial Medical Center Foundation Inc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 121 North Street | AddressLine1 |
| City | Batavia | City |
| State | NY | State |
| ZIP Code | 14020 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222611543 | EIN |
| Primary Activities | Receive and administer gifts on behalf of United Memorial Medical Center | PrimaryActivities |
| Legal Domicile State | NY | LegalDomicileState |
| Exempt Code Section | 501 (c)(3) | ExemptCodeSection |
| Public Charity Status | 509 (a)(3) Type III | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jerome Center Redevelopment Inc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 127 North Street | AddressLine1 |
| City | Batavia | City |
| State | NY | State |
| ZIP Code | 14437 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 900461497 | EIN |
| Primary Activity | Noncontrolling member of Bank Street Senior Housing LLC which provides senior housing services | PrimaryActivity |
| Legal Domicile State | NY | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Percentage Ownership | 0.00005 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | 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 | 0 | LoansOrGuaranteesFromOtherOrg |
| 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 | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | 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 |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| United Memorial Medical Center Foundation Inc | ||
| c | 1123755 | Total amount of cash transferred from Foundation to Medical Center for capital additions. |
| United Memorial Medical Center Foundation Inc | ||
| m | 8018 | |
| United Memorial Medical Center Foundation Inc | ||
| p | 66624 | Total actual expenses paid by the Medical Center and then reimbursed by the Foundation back to the Medical Center. |
Comments