NICHOLAS H NOYES MEMORIAL HOSPITAL: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- NICHOLAS H NOYES MEMORIAL HOSPITAL (EIN 16-0743979)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-15
- IRS object ID
- 201103199349305905
- Schema version
- 2010v3.4
- 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 G
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-15T13:01:56-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EFP ROTENBERG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 280 KENNETH DRIVE | AddressLine1 |
| City | ROCHESTER | City |
| State | NY | State |
| ZIP Code | 14623 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 160743979 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NICHOLAS H NOYES MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NICH | NameControl |
| Phone | 5853356001 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 CLARA BARTON STREET | AddressLine1 |
| City | DANSVILLE | City |
| State | NY | State |
| ZIP Code | 14437 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | AMY POLLARD | Name |
| Title | PRESIDENT / CEO | Title |
| Phone | 5853356001 | Phone |
| Date Signed | 2011-11-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BRUCE A NEWMAN CPA | Name |
| Phone | 5854278900 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | AMY POLLARD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 CLARA BARTON STREET | AddressLine1 |
| City | DANSVILLE | City |
| State | NY | State |
| ZIP Code | 14437 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 50800025 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.NOYES-HEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1927 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | NICHOLAS H. NOYES MEMORIAL HOSPITAL IS A 72 BED HOSPITAL WHICH PROVIDES ACUTE, SUB-ACUTE, EMERGENCY AND OTHER OUTPATIENT CARE AND WHOSE MISSION IS TO SUPPORT AND PROMOTE THE HEALTH OF OUR COMMUNITIES THROUGH COMPASSIONATE QUALITY CARE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 610 | TotalNbrEmployees |
| Total Nbr Volunteers | 110 | TotalNbrVolunteers |
| Total Gross UBI | 544727 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -27365 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 660400 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 395232 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 47942760 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 48323463 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -28214 | InvestmentIncomePriorYear |
| Investment Income Current Year | 72638 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 568755 | OtherRevenuePriorYear |
| Other Revenue Current Year | 796552 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 49143701 | TotalRevenuePriorYear |
| Total Revenue Current Year | 49587885 | 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 | 25564050 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 26607732 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 92294 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 23501384 | OtherExpensePriorYear |
| Other Expenses Current Year | 23900802 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 49065434 | TotalExpensesPriorYear |
| Total Expenses Current Year | 50508534 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 78267 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -920649 | RevenuesLessExpensesCY |
| Total Assets BOY | 40151327 | TotalAssetsBOY |
| Total Assets EOY | 40642575 | TotalAssetsEOY |
| Total Liabilities BOY | 19180464 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 19895660 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 20970863 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 20746915 | NetAssetsOrFundBalancesEOY |
| Mission Description | NICHOLAS H. NOYES MEMORIAL HOSPITAL SUPPORTS AND PROMOTES THE HEALTH OF OUR COMMUNITIES THROUGH COMPASSIONATE QUALITY CARE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 38627378 | Expense |
| Revenue | 48412365 | Revenue |
| Description | NICHOLAS H. NOYES MEMORIAL HOSPITAL IS A 72 BED HOSPITAL WHICH PROVIDES ACUTE, SUB-ACUTE, AND OUTPATIENT CARE. | Description |
| Total Program Service Expense | 38627378 | 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 | 1 | 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 | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 1 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| 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 | 81 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 610 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 1 | 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 | 0 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JAY MASLYN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5853354307 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 CLARA BARTON STREET | AddressLine1 |
| City | DANSVILLE | City |
| State | NY | State |
| ZIP Code | 14437 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| KEVIN DOUGHERTY | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JOHN LOCKHART | |||||||
| CHAIRPERSON | 1.00 | X | 0 | 0 | 0 | ||
| MICHAEL JOHNSEN | |||||||
| SECOND VICE CHAIRPERSON | 1.00 | X | 0 | 0 | 0 | ||
| LESLIE COLE JR | |||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | ||
| JAMES WISSLER | |||||||
| PRESIDENT/CEO | 40.00 | X | 179068 | 0 | 12056 | X | X |
| GEOFFREY MARKOWSKI MD | |||||||
| PRESIDENT, MEDICAL STARR | 1.00 | X | 0 | 0 | 0 | ||
| DEBORAH SEELOS | |||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | ||
| THOMAS DWYER MD | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JOAN FLENDER MD | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| GRAHAM FRAZER SR | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| ROBERT HART | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| ARIF QURESHI MD | |||||||
| PRESIDENT-ELECT, MEDICAL S | 1.00 | X | 66141 | 0 | 0 | ||
| ANDREW LONG | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| DOUGLAS MAYHLE MD | |||||||
| MEDICAL DIRECTOR | 40.00 | X | 342699 | 0 | 13390 | X | |
| MARILYN MOORE | |||||||
| FIRST VICE CHAIRPERSON | 1.00 | X | 0 | 0 | 0 | ||
| MAUREEN WOLCOTT | |||||||
| PAST CHAIRPERSON | 1.00 | X | 0 | 0 | 0 | ||
| CELESTE GRACE DVM | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| SALLY WEST | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JAY MASLYN | |||||||
| CFO | 40.00 | 132139 | 0 | 1354 | X | X | |
| WAGEEH AZER | |||||||
| PHYSICIAN - VASCULAR SURGEON | 40.00 | 325263 | 0 | 198 | X | ||
| ROBERT CAPECCI | |||||||
| PHYSICIAN - ORTHOPEDIST | 40.00 | 536170 | 0 | 12680 | X | ||
| ASAD MAJID | |||||||
| PHYSICIAN - NEPHROLOGIST | 40.00 | 411573 | 0 | 13707 | X | ||
| ROBERT SUPINSKI | |||||||
| PHYSICIAN - ORTHOPEDIST | 40.00 | 289767 | 0 | 8451 | X | ||
| MARY JANE BOVO | |||||||
| PHYSICIAN - OB/GYN | 40.00 | 270291 | 0 | 5721 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2553111 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 67557 | TotalOtherCompensation |
| Number Individuals GT100 K | 31 | 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 |
|---|---|---|---|---|---|
| ARUP LABORATORIES | |||||
| PO BOX 27964 | SALT LAKE CITY | UT | 84127 | LAB TESTING SERVICES | 636073 |
| MEDICAL DOCTOR ASSOCIATES | |||||
| PO BOX 277185 | ATLANTA | GA | 30384 | LOCUM PHYSICIANS | 530893 |
| SLEEP INSIGHTS MEDICAL SERVICES | |||||
| 10 HAGEN DRIVESUITE 200 | ROCHESTER | NY | 14625 | POLYSOMNOGRAPHY SERVICES | 405730 |
| GENESIS INTERNAL MEDICINE | |||||
| 50 E SOUTH STREETSUITE 600 | GENESEO | NY | 14454 | INTERNIST | 350178 |
| DANVILLE ANESTHESIA & PAIN MGMT | |||||
| PO BOX 784891 | PHILADELPHIA | PA | 19178 | ANESTHESIOLOGIST | 249715 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 11 | NumberOfContractorsGT100K |
| Government Grants | 325223 | GovernmentGrants |
| All Other Contributions | 70009 | AllOtherContributions |
| Total Contributions | 395232 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICE REVENU | Description |
| Business Code | 621990 | BusinessCode |
| Total Revenue Column | 48323463 | TotalRevenueColumn |
| Related Or Exempt Function Income | 48323463 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 48323463 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 50770 | TotalRevenueColumn |
| Exclusion | $50,770 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1133572 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1111704 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 21868 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 21868 | TotalRevenueColumn |
| Exclusion | $21,868 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 21342 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 9315 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12027 | TotalRevenueColumn |
| Exclusion | $12,027 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 180023 | GrossSalesOfInventory |
| Cost Of Goods Sold | 91121 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 88902 | TotalRevenueColumn |
| Related Or Exempt Function Income | 88902 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|
| OTHER REVENUE | 541380 | 686316 | 535420 | $150,896 |
| SEAGATE ALLIANCE, LLC | 900000 | 9307 | 9307 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 695623 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 49587885 | TotalRevenueColumn |
| Related Or Exempt Function Income | 48412365 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 544727 | UnrelatedBusinessRevenue |
| Exclusion | $235,561 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 653905 | Total |
| Program Services | 241947 | ProgramServices |
| Management And General | 411958 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21626860 | Total |
| Program Services | 16485171 | ProgramServices |
| Management And General | 5121091 | ManagementAndGeneral |
| Fundraising | 20598 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 283538 | Total |
| Program Services | 213041 | ProgramServices |
| Management And General | 67140 | ManagementAndGeneral |
| Fundraising | 3357 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2553856 | Total |
| Program Services | 1918884 | ProgramServices |
| Management And General | 604735 | ManagementAndGeneral |
| Fundraising | 30237 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1489573 | Total |
| Program Services | 1098560 | ProgramServices |
| Management And General | 372393 | ManagementAndGeneral |
| Fundraising | 18620 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13263 | Total |
| Program Services | 12180 | ProgramServices |
| Management And General | 1083 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 161796 | Total |
| Management And General | 161796 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51735 | Total |
| Management And General | 51735 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58955 | Total |
| Management And General | 58955 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3911872 | Total |
| Program Services | 3032131 | ProgramServices |
| Management And General | 879741 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 116505 | Total |
| Program Services | 26033 | ProgramServices |
| Management And General | 86164 | ManagementAndGeneral |
| Fundraising | 4308 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9638691 | Total |
| Program Services | 8718443 | ProgramServices |
| Management And General | 905074 | ManagementAndGeneral |
| Fundraising | 15174 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 273186 | Total |
| Program Services | 202158 | ProgramServices |
| Management And General | 71028 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1741165 | Total |
| Program Services | 542822 | ProgramServices |
| Management And General | 1198343 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19857 | Total |
| Program Services | 2642 | ProgramServices |
| Management And General | 17215 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 78238 | Total |
| Program Services | 67310 | ProgramServices |
| Management And General | 10928 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 56349 | Total |
| Program Services | 37495 | ProgramServices |
| Management And General | 18854 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2003685 | Total |
| Program Services | 1202211 | ProgramServices |
| Management And General | 801474 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 659261 | Total |
| Program Services | 569976 | ProgramServices |
| Management And General | 89285 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 1752695 | 1752695 | |
| OTHER PURCHASED SERVICE | 1448535 | 1049973 | 398562 |
| REPAIRS & MAINTENANCE | 804244 | 678514 | 125730 |
| EQUIPMENT RENTAL | 758381 | 537608 | 220773 |
| FOOD | 226576 | 192590 | 33986 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 125813 | Total |
| Program Services | 44994 | ProgramServices |
| Management And General | 80819 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50508534 | Total |
| Program Services | 38627378 | ProgramServices |
| Management And General | 11788862 | ManagementAndGeneral |
| Fundraising | 92294 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4364 | BOY |
| EOY | 4664 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2465621 | BOY |
| EOY | 2703682 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 101899 | BOY |
| EOY | 35300 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5889812 | BOY |
| EOY | 5520151 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 890755 | BOY |
| EOY | 868988 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1060589 | BOY |
| EOY | 871986 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 44716115 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 28141222 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17008857 | BOY |
| EOY | 16574893 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1261075 | BOY |
| EOY | 1352993 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11468355 | BOY |
| EOY | 12709918 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40151327 | BOY |
| EOY | 40642575 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4239842 | BOY |
| EOY | 4518254 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 925992 | BOY |
| EOY | 637872 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9551071 | BOY |
| EOY | 9189986 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4463559 | BOY |
| EOY | 5549548 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19180464 | BOY |
| EOY | 19895660 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20045465 | BOY |
| EOY | 19877759 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 181692 | BOY |
| EOY | 125450 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 743706 | BOY |
| EOY | 743706 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20970863 | BOY |
| EOY | 20746915 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40151327 | BOY |
| EOY | 40642575 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -920649 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 696701 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| 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 | 0 | FederalGrantAuditRequired |
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 | 1335945 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 107551 | InvestmentEarningsOrLosses |
| Administrative Expenses | 9043 | AdministrativeExpenses |
| End Of Year Balance | 1434453 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1155614 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 188466 | InvestmentEarningsOrLosses |
| Administrative Expenses | 8135 | AdministrativeExpenses |
| End Of Year Balance | 1335945 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1614612 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -273730 | InvestmentEarningsOrLosses |
| Other Expenditures | 175000 | OtherExpenditures |
| Administrative Expenses | 10268 | AdministrativeExpenses |
| End Of Year Balance | 1155614 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.55120 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.44880 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 372690 | OtherCostOrOtherBasis |
| Book Value | 372690 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 22109114 | OtherCostOrOtherBasis |
| Depreciation | 11336761 | Depreciation |
| Book Value | 10772353 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 21068755 | OtherCostOrOtherBasis |
| Depreciation | 16804461 | Depreciation |
| Book Value | 4264294 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1165556 | OtherCostOrOtherBasis |
| Book Value | 1165556 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 16574893 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION | 9336386 |
| DEBT ORIGINATION COSTS - NET | 508705 |
| DUE FROM RELATED ENTITY | 264371 |
| MORTGAGE REPAYMENT ESCROW FUNDS | 805638 |
| OTHER | 1794818 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 12709918 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO THIRD PARTY PAYORS- LONG TERM | $832,694 |
| DUE TO THIRD PARTY PAYORS- SHORT TERM | $1,965,209 |
| LINE OF CREDIT | $210,000 |
| PENSION LIABILITY | $2,161,296 |
| WORKERS COMPENSATION | $380,349 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 5549548 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | EMPLOYEE EDUCATION. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | IN ACCORDANCE WITH ASC 740-10-50, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, THE SYSTEM RECOGNIZES THE TAX BENEFITS FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES. MANAGEMENT BELIEVES THAT THE SYSTEM IS CURRENTLY OPERATING IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE. THEREFORE, NO LIABILITY FOR UNRECOGNIZED TAX BENEFITS HAS BEEN INCLUDED ON THE SYSTEMS FINANCIAL STATEMENTS. THE EXEMPT SYSTEMS INFORMATIONAL RETURNS ARE SUBJECT TO AUDIT BY VARIOUS TAXING AUTHORITIES AND ITS OPEN AUDIT PERIODS ARE 2007 THROUGH 2010. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF TOURNAMENT | NameOfEvent1 |
| Gross Receipts Event1 | 13898 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 0 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 13898 | GrossRevenueEvent1 |
| Cash Prizes Event1 | 280 | CashPrizesEvent1 |
| Non Cash Prizes Event1 | 80 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 1675 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 2042 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 0 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 938 | OtherDirectExpensesEvent1 |
| Name Of Event2 | FLOWER SALE | NameOfEvent2 |
| Gross Receipts Event2 | 7444 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 0 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 7444 | GrossRevenueEvent2 |
| Cash Prizes Event2 | 0 | CashPrizesEvent2 |
| Non Cash Prizes Event2 | 0 | NonCashPrizesEvent2 |
| Rent Facility Costs Event2 | 0 | RentFacilityCostsEvent2 |
| Food And Beverage Event2 | 0 | FoodAndBeverageEvent2 |
| Entertainment Event2 | 0 | EntertainmentEvent2 |
| Other Direct Expenses Event2 | 4300 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 21342 | GrossReceiptsTotal |
| Gross Revenue Total Events | 21342 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 280 | CashPrizesTotalEvents |
| Non Cash Prizes Total Events | 80 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 1675 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 2042 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 5238 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 9315 | DirectExpenseSummaryEvents |
| Net Income Summary | 12027 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 0 | FPGReferenceFreeCare |
| 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 | 632555 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 632555 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01250 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6508442 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6095457 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 412985 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00820 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 782879 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 765625 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17254 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7923876 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6861082 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1062794 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02100 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 16 | NumberOfActivitiesOrPrograms |
| Persons Served | 7374 | PersonsServed |
| Total Community Benefit Expense | 66015 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17082 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 48933 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 199 | PersonsServed |
| Total Community Benefit Expense | 111955 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 111955 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00220 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 4252571 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3679267 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 573304 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01140 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 4625 | PersonsServed |
| Total Community Benefit Expense | 45486 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14155 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 31331 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 24 | NumberOfActivitiesOrPrograms |
| Persons Served | 12198 | PersonsServed |
| Total Community Benefit Expense | 4476027 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3710504 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 765523 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01520 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 24 | NumberOfActivitiesOrPrograms |
| Persons Served | 12198 | PersonsServed |
| Total Community Benefit Expense | 12399903 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10571586 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1828317 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03620 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 8017 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 8017 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 8017 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 8017 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $597,669 | BadDebtExpenseAmount |
| Amount Attributable To | 153517 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 9846836 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 8580697 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 1266139 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 6 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (6 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|---|
| NICHOLAS H NOYES MEMORIAL HOSPITAL | ||||||||
| 1 | 111 CLARA BARTON STREET | DANSVILLE | NY | 14437 | X | X | X | |
| AFTER HOURS CARE CENTER | ||||||||
| 2 | 4440 LAKEVILLE ROAD | GENESEO | NY | 14454 | URGEN CARE CENTER | |||
| LIVINGSTON HEALTH SERVICES | ||||||||
| 3 | 50 EAST SOUTH STREET | GENESEO | NY | 14454 | OUTPATIENT SURGERY AND DIAGNOSTIC | |||
| MENTAL HEALTH CLINIC | ||||||||
| 4 | 1 MAIN STREET | DANSVILLE | NY | 14437 | MENTAL HEALTH CLINIC | |||
| NOYES CTR FOR KIDNEY DISEASE & DIALYSIS | ||||||||
| 5 | 4616 MELLENIUM DRIVE | GENESEO | NY | 14454 | CHRONIC DIALYSIS CENTER AND NEPHROLOGIST | |||
| OB-GYN ASSOC OF THE FINGER LAKES | ||||||||
| 6 | 253 MAIN STREET | DANSVILLE | NY | 14437 | OUTPATIENT PHYSICIAN CLINIC | |||
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NOT REQUIRED | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (8 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART II: NOYES HOSPITAL STAFF ACTIVELY PARTICIPATES IN MULTIPLE COMMUNITY COALITIONS AND PARTNERSHIPS ADDRESSING THE HEALTH CARE NEEDS OF OUR COMMUNITY, INCLUDING: GENESEE VALLEY HEALTH PARTNERSHIP (GVHP) MEMBERSHIP GVHP EXECUTIVE BOARD (NOYES CEO WAS THE GVHP PRESIDENT) GVHP LONG TERM CARE COUNCIL GVHP LIVINGSTON WELLNESS PARTNERSHIP GVHP ACCESS TO HEALTH CARE FINGER LAKES HEALTH CARE SYSTEM: VISION 2020 COMMUNITY SAFETY COALITION SEXUAL RESPONSIBILITY COALITION MATERNAL CHILD HEALTH COALITION TOBACCO ACTION COALITION DIABETES COALITION TRAFFIC SAFETY COALITION FAITH IN ACTION ADVISORY BOARD (UNDER CATHOLIC CHARITIES OF LIVINGSTON COUNTY) | ||
| PART III, LINE 4: COSTING METHOD FOR BAD DEBT EXPENSE AT COST IS RATIO OF PATIENT CARE COST TO CHARGES FROM WORKSHEET 2.THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO CHARITY CARE IS ESTIMATED USING THE SELF PAY % OF TOTAL BAD DEBT AND MULTIPLYING BY THE DEMOGRAPHICS OF OUR PRIMARY SERVICE AREA FOR THOSE WHO WOULD RECEIVE CHARITY CARE IF GIVEN ENOUGH INFORMATION. | ||
| PART III, LINE 8: THE SOURCE OF THE MEDICARE ALLOWABLE COSTS IS THE 2009 CMS 2552 WORKSHEET I-4. | ||
| PART VI, LINE 2: NOYES MEMORIAL HOSPITAL IS A MEMBER OF THE GENESEE VALLEY HEALTH PARTNERSHIP (GVHP). THE GVHP IS A NON PROFIT,RURAL HEALTH NETWORK OF MORE THAN 40 DIFFERENT ORGANIZATIONS THAT ARE EITHER BASED IN LIVINGSTON COUNTY OR PROVIDE SERVICES TO LIVINGSTON COUNTY RESIDENTS. THE GVHP MISSION IS TO "IMPROVE THE HEALTH AND WELL BEING OF THE LIVINGSTON COUNTY COMMUNITY THROUGH COLLABORATION, EDUCATION AND PREVENTION."THE COMMUNITY ASSESSMENT MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) PROCESS WAS COORDINATED BY THE GVHP WHOSE VISION STATEMENT IS "WITH OUR PARTNERS' CREATING A HEALTHY FUTURE NOW."THE MAPP LEADERSHIP TEAM RECOMMENDED USING THE NYS DOH PREVENTION AGENDA AND UTILIZING HEALTHY PEOPLE 2010/2020 STANDARDS AND NEW YORK STATE AVERAGES AS COMPARISON BENCHMARKS FOR PLAN SUCCESS. THIS SIX PHASE PROCESS STARTED OCTOBER 2008 WITH GOAL TO BE COMPLETED FALL OF 2010. THE COMMUNITY HEALTH STATUS AND LOCAL PUBLIC HEALTH SYSTEM WERE ASSESSED AND COMMUNITY THEMES AND FORCES OF CHANGE IDENTIFIED. THEN THE GOALS AND STRATEGIC ISSUES WERE FINALIZED IN 2010 AS FOLLOWS:PROMOTE PREVENTION AND EARLY DIAGNOSIS SCREENINGS EARLY DIAGNOSIS IMMUNIZATIONS/VACCINESPROMOTE SAFE COMMUNITY DECREASE FALLS DECREASE ACCIDENTS/UNINTENTIONAL INJURY SAFE FAMILIESIMPROVE NUTRITION AND INCREASE PHYSICAL ACTIVITY HEALTHY EATING PHYSICAL ACTIVITY REDUCE CHRONIC DISEASESSTRENGTHEN SOCIAL AND EMOTIONAL HEALTH DECREASE SUBSTANCE USE AND ABUSE DECREASE CHEMICAL DEPENDENCY MENTAL HEALTHIMPROVE ACCESS TO HEALTHCARE HEALTH INSURANCE TRANSPORTATION OPTIONS LOCAL HEALTH SYSTEM RESOURCES (I.E. WORKFORCE, SERVICES, FACILITIES) | ||
| PART VI, LINE 3: NOYES HOSPITAL CONTINUALLY EDUCATES PATIENTS AND STAFF ON THE FINANCIAL AID POLICY. ALL UNINSURED AND UNDER INSURED PATIENTS RECEIVE A PACKET OF FINANCIAL INFORMATION THAT INCLUDES OUR FINANCIAL AID PROGRAM SUMMARY AND BROCHURE, A FINANCIAL AID APPLICATION AND INSTRUCTIONS ON HOW TO APPLY, AS WELL AS HOW TO RECEIVE ASSISTANCE IN APPLYING. EACH UNINSURED PATIENT IS ASKED IF HE OR SHE WANTS A CALL THE NEXT DAY FROM A FINANCIAL AID COUNSELOR TO GO OVER THE INFORMATION. THE PATIENTS ARE ALSO MAILED FINANCIAL AID INFORMATION WITH THEIR FIRST STATEMENTS. INFORMATION ON THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM IS POSTED IN ALL PUBLIC AREAS THROUGHOUT THE HOSPITAL. WE HAVE ASSIGNED STAFF TO ASSIST PATIENTS IN UNDERSTANDING THIS PROCESS: BUSINESS OFFICE AND SOCIAL WORK. WE ALSO HAVE A FACILITATED ENROLLER FOR PRESUMPTIVE MEDICAID FOR PRENATAL CARE. THE FINANCIAL ASSISTANCE COMMITTEE MEETS AS NEEDED TO REVIEW POLICY AND ADDRESS SPECIAL NEEDS. THE REVENUE CYCLE COMMITTEE MEETS MONTHLY AND INCLUDES FINANCIAL AID DATA REVIEW. | ||
| PART VI, LINE 4: NOYES MEMORIAL HOSPITAL'S COMMUNITY SERVICE PLAN WAS DEVELOPED BY WORKING COLLABORATIVELY WITH AGENCIES, PROVIDERS AND CONSUMERS BASED ON OUR PRIMARY MARKET SHARE ZIP CODE REPORT. LIVINGSTON COUNTY IS OUR HEALTH CARE SYSTEM'S PRIMARY SERVICE AREA AND WE ALSO SERVE A SMALLER PERCENTAGE OF RESIDENTS IN THE SURROUNDING COUNTIES INCLUDING STEUBEN, ALLEGANY, WYOMING AND ONTARIO RESPECTIVELY. LIVINGSTON COUNTY IS A RURAL COUNTY IN WESTERN NEW YORK COVERING 632 SQUARE MILES WITH POPULATION OF 63,154.HEALTH CARE SERVICES ARE PROVIDED AT THE FOLLOWING LOCATIONS THROUGHOUT LIVINGSTON COUNTY: NICHOLAS H. NOYES MEMORIAL HOSPITAL: A 72 BED ACUTE CARE HOSPITAL LOCATED IN DANSVILLE PROVIDING MEDICAL, SURGICAL, AND EMERGENCY INPATIENT/OUTPATIENT SERVICES THAT ALSO INCLUDE COMMUNITY OUTREACH WELLNESS, EDUCATION AND PREVENTION PROGRAMS. LIVINGSTON HEALTH SERVICES: AN AMBULATORY CARE FACILITY IN GENESEO THAT PROVIDES OUTPATIENT SURGICAL, RADIOLOGY, LABORATORY, PHYSICAL THERAPY, PAIN MANAGEMENT, AND PHYSICIAN SERVICES. NOYES MENTAL HEALTH: AN OUT PATIENT CLINIC PROVIDING INDIVIDUAL, GROUP AND FAMILY COUNSELING SERVICES. NOYES PHYSICIAN SERVICE OFFICES OB GYN ASSOCIATES OF THE FINGER LAKES: DANSVILLE AND GENESEO GENESEE REGIONAL ORTHOPEDICS: DANSVILLE NOYES CENTER FOR KIDNEY DISEASE AND DIALYSIS: ONE OF OUR NEWEST SERVICES THAT ENCOMPASSES A 12 STATION OUTPATIENT DIALYSIS AND RENAL DISEASE MANAGEMENT CENTER IN GENESEO | ||
| PART VI, LINE 6: THE OPENING OF THE NOYES CENTER FOR KIDNEY DISEASE AND DIALYSIS MET A HEALTH CARE NEED AND IMPROVED ACCESS TO CARE BY PROVIDING DIALYSIS SERVICES WITHIN THE COUNTY, THUS ALLEVIATING TRANSPORTATION NEEDS AND PATIENT HARDSHIPS TO TRAVEL 1 2 HOURS/DAY TO GET TO AND FROM DIALYSIS THREE TIMES/WEEK. THIS WAS A COLLABORATIVE EFFORT WITH LIVINGSTON COUNTY WHO PROVIDED THE SPACE IN WHAT WAS PREVIOUSLY A COUNTY LONG TERM CARE FACILITY THAT WAS RELOCATED.COMMUNITY BOARDS: SEE LIST OF AGENCIES/BOARDS RELATED TO COMMUNITY BENEFIT ACTIVITIES LISTED IN #6 THAT NOYES HOSPITAL STAFF PARTICIPATE ON. | ||
| NY | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAMES WISSLER | |||||||||||||
| 171187 | 0 | 0 | 0 | 7881 | 0 | 0 | 0 | 12056 | 0 | 191124 | 0 | 202959 | 0 |
| DOUGLAS MAYHLE MD | |||||||||||||
| 341925 | 0 | 0 | 0 | 774 | 0 | 0 | 0 | 13390 | 0 | 356089 | 0 | 369210 | 0 |
| WAGEEH AZER | |||||||||||||
| 310042 | 0 | 15000 | 0 | 221 | 0 | 0 | 0 | 198 | 0 | 325461 | 0 | 0 | 0 |
| ROBERT CAPECCI | |||||||||||||
| 535396 | 0 | 0 | 0 | 774 | 0 | 0 | 0 | 12680 | 0 | 548850 | 0 | 399394 | 0 |
| ASAD MAJID | |||||||||||||
| 411303 | 0 | 0 | 0 | 270 | 0 | 0 | 0 | 13707 | 0 | 425280 | 0 | 378728 | 0 |
| ROBERT SUPINSKI | |||||||||||||
| 289509 | 0 | 0 | 0 | 258 | 0 | 0 | 0 | 8451 | 0 | 298218 | 0 | 0 | 0 |
| MARY JANE BOVO | |||||||||||||
| 269103 | 0 | 0 | 0 | 1188 | 0 | 0 | 0 | 5721 | 0 | 276012 | 0 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| LIVINGSTON COUNTY INDUSTRIAL DEVELOPMENT AGENCY | |||||||
| 161136853 | 538655AD3 | 2005-06-29 | 9471914 | ACQUISITION, RENOVATION, CONSTRUCTION, AND EQUIPPING OF HOSPITAL | 0 | 0 | 0 |
| LIVINGSTON COUNTY INDUSTRIAL DEVELOPMENT AGENCY | |||||||
| 161136853 | 538655AE1 | 2007-12-20 | 5025000 | REFUND PRIOR BONDS (06/30/99) | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Credit EnhancementCreditEnhancement |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1370000 | 9763548 | 805638 | 625676 | 189438 | 6449941 | 1692856 | 2006 | 1 | 0 | 1 | 1 | |
| 890000 | 5025000 | 100500 | 84220 | 4815084 | 2003 | 1 | 0 | 1 | 1 | 25196 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|
| 0 | 0 | 1 | 0 | 1 | 0 |
| 0 | 0 | 1 | 0 | 1 | 0 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0 | 1 |
| 0 | 1 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART II, LINE 3 | Identifier |
| Return Reference | BOND PROCEEDS | ReturnReference |
| Explanation | THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN E DUE TO INVESTMENT EARNINGS. | Explanation |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | OMAR QURESHI | NamePerson |
| Purpose Of Loan | START UP | PurposeOfLoan |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $75,000 | OriginalPrincipalAmount |
| Balance Due | 75000 | BalanceDue |
| Default | 0 | Default |
| Approved By Board | 1 | ApprovedByBoard |
| Written Agreement | 1 | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 75000 | TotalBalanceDue |
Form990 Schedule L Part III Form990ScheduleLPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Interested Person | CHERIE CRANSTON | NameOfInterestedPerson |
| Relationship With Organization | DAUGHTER OF BOARD MEMBER | RelationshipWithOrganization |
| Amount Of Grant | 210420 | AmountOfGrant |
| Type Of Assistance | ASSISTANCE TO ATTEND MEDICAL SCHOOL | TypeOfAssistance |
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | NANCY JOHNSON | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | WIFE OF BOARD MEMBER | Relationship |
| Amount Of Transaction | 56880 | AmountOfTransaction |
| Description Of Transaction | COMPENSATION | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS REVIEWED BEFORE IT IS FILED. | |
| THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE GOALS AND OBJECTIVES OF THE CEO ALONG WITH COMPARABILITY DATA TO DETERMINE HIS COMPENSATION. THE DELIBERATION AND DECISION IS RECORDED IN THE MINUTES OF THE EXECUTIVE COMMITTEE MEETING. | FORM 990, PART VI, SECTION B, LINE 15A | |
| BY REQUEST TO THE CEO, CFO OR ADMINISTRATIVE ASSISTANT. ALSO AVAILABLE ON GUIDESTAR WEBSITE. | FORM 990, PART VI, SECTION C, LINE 18 | |
| BY REQUEST TO THE CEO, CFO OR ADMINISTRATIVE ASSISTANT. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC | KEVIN DOUGHERTY - P.O. BOX 59, LIVONIA, NY 14487. JOHN LOCKHART - 32 MAIN STREET, GENESEO, NY 14454. MICHAEL JOHNSEN - 3927 COLTON HILL ROAD, DALTON, NY 14836. LESLIE COLE, JR. - 3186 BRONSON HILL ROAD, LIVONIA, NY 14487. GEOFFREY MARKOWSKI, MD - 50 EAST SOUTH STREET, GENESEO, NY 14454. DEBORAH SEELOS - 6720 BIG TREE ROAD, LIVONIA, NY 14487. THOMAS DWYER, MD - TRI-COUNTY FAMILY MEDICINE, NORTH CHURCH STREET, CANASERAGA, NY 14822. JOAN FLENDER, MD - STONY BROOK PEDIATRICS, P.O. BOX 499, DANSVILLE, NY 14437. GRAHAM FRAZER, SR. - 8889 REEDS CORNERS ROAD, DANSVILLE, NY 14437. ROBERT HART - 10 MOREY AVENUE, DANSVILLE, NY 14437. ANDREW LONG - 5563 COTTONWOOD DRIVE, CONESUS, NY 14435. MARILYN MOORE - SUNY GENESEO, 1 COLLEGE CIRCLE, GENESEO, NY 14454. MAUREEN WOLCOTT - 10799 EDMOND ROAD, COHOCTON, NY 14826. CELESTE GRACE, DVM - 4029 ROOTS TAVERN ROAD, GENESEO, NY 14454. SALLY WEST - 14 MAIN STREET, GENESEO, NY 14454. | FORM 990, PART VII |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 38,301. CHANGE IN INTEREST IN FOUNDATION 795,414. PENSION RELATED CHANGES OTHER THAN NET PERIODIC PENSION COSTS -137,014. TOTAL TO FORM 990, PART XI, LINE 5: 696,701. | FORM 990, PART XI, LINE 5: |
| OVERSIGHT PROCESS | THE HOSPITAL DID NOT CHANGE THE OVERSIGHT PROCESS IN THE CURRENT YEAR. | PART XII, LINE 2C |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| THE FOUNDATION FOR NOYES MEMORIAL HEALTH SYSTEM INC | |||||||||
| 111 CLARA BARTON ST | DANSVILLE | NY | 14437 | 161584778 | TO PROVIDE FUNDS FOR BENEFIT OF THE HOSPITAL | NY | 501(C)(3) | 170(B)(1)(A) (VI) | 0 |
| RED JACKET CENTER INC | |||||||||
| 111 CLARA BARTON ST | DANSVILLE | NY | 14437 | 161037658 | TO MAINTAIN A BUILDING AND LEASE SPACE TO THE HOSPITAL | NY | 501(C)(3) | SECTION 509 (A)(3) | 0 |
| 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 | 0 | 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 | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | 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 |
|---|---|
| RED JACKET CENTER INC | |
| P | 1162752 |
| FOUNDATION FOR NOYES MEMORIAL HEALTH SYSTEM INC | |
| O | 898381 |
| RED JACKET CENTER INC | |
| J | 571296 |
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