2011-11-14T12:05:13-07:00 2010-12-31 990 2010-01-01 160743029 UNITED MEMORIAL MEDICAL CENTER UNIT 5853445249 127 North Street Batavia NY 14020 Robert Chiavetta 5853445249 2011-09-28 2010 2016-03-07 17:11:31Z Mark Schoell 127 North Street Batavia NY 14020 77241394 0 X www.ummc.org X 1944 NY 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. 14 12 858 118 648890 0 671827 2930889 67761426 72857360 13576 208802 483579 407922 68930408 76404973 0 0 0 0 36086678 38894743 0 0 0 29613983 31888917 65700661 70783660 3229747 5621313 51700835 69264644 35627385 45558763 16073450 23705881 United Memorial Medical Center has been established as a general acute 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 2009, UMMC served 5,294 inpatients and 210,398 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 $884,000 for 2009. 0 0 57140488 72780633 Healthcare Programs, General/Other: United memorial Medical Center has been established as a general acute 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 2010, UMMC served 5,240 inpatients and 215,309 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 $1,337,000 for calendar year ending December 31, 2010. 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 possibility 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. 0 0 0 57140488 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 1 0 0 0 0 1 56 0 1 858 1 1 1 0 0 0 0 0 X 14 12 0 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 NY X X Robert Chiavetta 5853445249 127 North Street Batavia NY 14020 Barton Dambra 5 X 0 0 0 James Fulmer 5 X 0 0 0 Betty Lapp 5 X 0 0 0 Mary Raymond 5 X 0 0 0 Thomas Houseknecht 5 X 0 0 0 William Fritts 5 X 0 0 0 Victor DeSa MD 5 X 0 0 0 Anthony Froix MD 40 X X 361172 0 7010 Robert Baker 5 X 0 0 0 Barry Rosenberg MD 5 X 100000 0 0 Lalit Jain MD 5 X 0 0 0 Jerry Reinhart 5 X 0 0 0 Donna Thompson 5 X 0 0 0 Shelley Stein 5 X 0 0 0 Mark Schoell 40 X 344294 0 49860 Robert Chiavetta 40 X 214883 0 25799 Mary Beth Bowen 40 X 166845 0 14229 Daniel Ireland 40 X 165964 0 23795 Richard King MD 40 X 344557 0 23152 Stanley Ambis MD 40 X 196878 0 25528 Nashiha Shahid MD 40 X 152234 0 19124 Richard Edwards MD 40 X 147699 0 12866 Yeong Lee MD 40 X 285270 0 12711 2479796 0 214074 18 0 1 0 Aramark Servicemaster PO Box 33170 Newark NJ 07188 Facilities Management Services 1146155 Summit Rehabilitation Services 99 Medtech Drive Batavia NY 14020 Physical Therapy Services 1121911 Clark Patterson Lee 205 St Paul Street Suite 500 Rochester NY 14604 Architect 832398 Genesee Hospitalist 4201 North Buffalo Road Orchard Park NY 14127 Hospitalists 700000 Rochester General Hospital PO Box 10758 Rochester NY 14610 Pathology Service 604726 16 0 1680 0 0 2669123 260086 0 2930889 Inpatient Revenue 621110 24476488 24476488 0 0 Outpatient Revenue 621110 48380872 47731982 648890 0 0 0 0 0 72857360 205102 0 0 205102 0 0 0 0 0 0 0 0 428864 0 593105 0 -164241 0 -164241 0 0 -164241 0 3700 0 0 0 3700 3700 0 0 3700 0 0 0 0 0 0 0 0 0 0 0 0 175339 243316 -67977 -67977 0 0 Cafeteria Sales 722210 258981 258981 0 0 Lab Capitation 621500 135021 135021 0 0 246138 246138 0 0 640140 76404973 72780633 648890 44561 0 0 0 0 0 0 0 0 2693870 1688201 1005669 0 0 0 0 0 25981743 21362527 4619216 0 2363476 1899867 463609 0 5606734 4506941 1099793 0 2248920 1807782 441138 0 2687152 2173034 514118 0 156734 0 156734 0 98396 11896 86500 0 0 0 0 0 0 0 0 0 0 0 2590290 2150769 439521 0 184889 139928 44961 0 200851 138917 61934 0 1243162 971904 271258 0 0 0 0 0 1432902 888399 544503 0 172176 54705 117471 0 0 0 0 0 0 0 0 0 794614 500390 294224 0 0 0 0 0 3601359 2232843 1368516 0 883325 809354 73971 0 Supplies 9527290 8953708 573582 0 Purchased Services 3722458 3047030 675428 0 Provision For Bad Debt 2798203 2798203 0 0 1795116 1004090 791026 0 70783660 57140488 13643172 0 6679829 9204737 708033 101595 510331 133003 6309139 7422799 0 0 0 0 0 0 896626 885092 806500 933421 79796837 39804238 27420433 39992599 3083121 4817010 0 0 0 0 0 0 5286823 5774388 51700835 69264644 9547934 12853170 0 0 0 0 12805000 12075000 0 0 0 0 3218095 11060270 0 0 10056356 9570323 35627385 45558763 X 13952544 19526148 1834130 3892957 286776 286776 16073450 23705881 51700835 69264644 X 5621313 2011118 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1271721 0 117020 0 0 0 1388741 1054071 0 217650 0 0 0 1271721 1323072 0 -269001 0 0 0 1054071 0.82 0.18 0 0 0 0 592242 592242 0 31678596 15941033 15737563 0 0 0 0 0 31984217 23863205 8121012 0 15541782 0 15541782 39992599 Interest in Net Assets of Foundation 3257789 Prepaid Pension 1498253 Deferred Financing Cost Bond Issue 634416 Merger Organizational Cost 143523 Covenant Not to Compete 111979 Genesee MRI - Goodwill 95833 Deferred Compensation Plan 32595 5774388 0 Accrued Pension 9570323 9570323 76404973 70783660 5621313 139152 0 0 0 -164309 -25157 5596156 75882313 0 0 0 1299606 1299606 74582707 0 1822266 1822266 76404973 71620086 0 0 0 836426 836426 70783660 0 0 0 70783660 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 $1,127,388. The unrestricted portion of the endowment fund has no restrictions placed 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 formed as an S Corporation for both federal and state income tax purposes. The Center and JRD account for uncertain tax positions that the Center and JRD have taken or expects to take in the Center or JRD's tax returns. Accordingly, no provisions for income taxes have 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 2007. SchD_P11_S00_L08 Schedule D, Part XI, Line 8 Gain on Sale of Assets $3,700 Loss on Impairment of Assets ($168,009) SchD_P12_S00_L02d Schedule D, Part XII, Line 2d Rental Expense $593,110 Cost of Goods Sold $243,316 and Net Assets Released From Restrictions Used for Operations $463,180. SchD_P12_S00_L04b Schedule D, Part XII, Line 4b Contributions for Purchase of Property, Plant and Equipment $1,818,569, Gain on Sale of Equipment $3,700 and a rounding variance Minus $3. SchD_P13_S00_L02d Schedule D, Part XIII, Line 2d Rental Expense $593,110 Cost of Goods Sold $243,316 1 1 X 1 X 3 1 X 1 1 1 0 1 1 1361546 169182 1192364 0.0175 10499300 9267487 1231813 0.0181 1125602 955600 170002 0.0025 0 0 12986448 10392269 2594179 0.0381 197737 34784 162952 0.0024 25111 0 25111 0.0004 33841 0 33841 0.0005 0 0 256689 34784 221904 0.0033 0 0 13243137 10427053 2816083 0.0414 1095 0 1095 0.0001 68293 0 68293 0.0001 0 0 69388 0 69388 0.0002 1 1139988 284997 10616688 13053750 -2437062 X 1 1 0 1 United Memorial Medical Center

127 North Street Batavia NY 14020

X X X United Memorial Medical Center 1 SchH_P01_S00_L06a Schedule H, Part I, Line 6a The hospital completes and files with the New York State Department of Health an Annual Report which includes community benefits that the hospital provides. SchH_P01_S00_L07 Schedule H, Part I, Line 7 The hospital used its internal cost acccounting system to develop the cost to charge ratio for each of the programs listed. 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 $2,798,203 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 * Physician 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 payors. 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. The hosptial used the cost-to-charge ratio for determining the cost of bad debt expense listed above. The hospital calculated the percentage in bad debt relating to patients eligible for charity care based on doubling the amount of patients that did submit a charity care application but the applicant did not provide the necessary financial information for the application to be acted upon. 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 2010 Medicare Cost Report to determine the shortfall in Medicare Payments. SchH_P03_S0C_L09b Schedule H, Part III, Section C, Line 9b The following has been taken from the hospitals Self Pay Collection Policy as it relates to financial assistance. Paragraph 2 "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 through Sunday. A Self Pay report is compiled daily to identify all outpatient 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 Needs Assessment. 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 * Physician 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 Asssistance program to patients by posting it on the hospitals website, providing it in writing to patients on admission to the hospital, available upon request and is available through published brochure of the hospital. The hospitals has also done educational session with the local radio station. SchH_P06_S00_L04 Schedule H, Part VI, Line 4 . Community information: 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 2010 population of 57,500. With the inclusion of adjacent communities, United Memorial serves a total population of approximately 93,000 residents. Of the estimated 2009 county population, 92.7% are considered White, non-Hispanics; 5.7% were under the age of 5; 22.1 % were under the age of 18 and 16.3% were age 65 and older. In Genesee County, 10.8% (2008) of the population lives below the poverty level. The median household income is $49,133. 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. 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 November 2010, the Jerome Senior Apartments were fully occupied. This cooperative venture between government, public agencies, the private sector and United Memorial created 37 one and two bedroom apartments for low to moderate income seniors. Not only did this project fulfill an important housing need within our community, it preserved a beloved building located in downtown Batavia. This building had been left nearly vacant and underutilized following the merger of Genesee Memorial and St. Jerome Hospital's in January 2000. The apartments marked the completion of this multi-year project which resulted in a vibrant mixed use structure. The former hospital is now home to a number of senior citizens, a hospital-run diagnostic center, medical offices which include primary care, a cafeteria and a 20-bed inpatient alcohol/substance abuse program. In May 2010, 10 members of our senior leadership and management team volunteered for the United Way's Make a Difference Day by painting the Boy Scout Offices and performing yard work for a local non-profit- Genesee ARC, which serves residents with mental retardation and developmental disabilities. Hospital leaders served as active members of the local chapters of Rotary, Kiwanis, and Junior Achievement. 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 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 physical 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. In 2010, hospital officials served on several committees for mutual aide agreement development on regional emergency preparedness. In November 2010, all members of the Hospital management team completed level ICS 300 emergency preparedness training. To protect healthcare services in the eastern portion of the county, United Memorial provided $40,000 in financial assistance to Lovey Daycare. As part of a contractual obligation, the daycare center must remain operational in order for the hospital to provide primary care and diagnostic services in an area that is federally designated as underserved. 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 265 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 2010, 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 2010, the CSP assisted 6,129 people 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 hospitals 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 95 active medical staff and 17 associate. The hospital provides 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 hospitals income inures to the benefit of any private individual nor is a private interest being served. The hospitals surplus funds 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 which offers the community a great opportunity to volunteer. SchH_P06_S00_L06 Schedule H, Part VI, Line 6 Not Applicable SchH_P06_S00_L07 Schedule H, Part VI, Line 7 The hospital files a community service plan with New York State Department of Health. X X X X X 0 0 0 0 0 1 0 1 0 Mark Schoell 276538 0 44483 0 23273 0 34875 0 17612 0 396781 0 0 0 Robert Chiavetta 172474 0 25660 0 16749 0 10814 0 15405 0 241102 0 0 0 Mary Beth Bowen 134457 0 18912 0 13476 0 8599 0 5962 0 181406 0 0 0 Daniel Ireland 134161 0 20161 0 11642 0 8517 0 17329 0 191810 0 0 0 Richard King MD 263277 0 64380 0 16900 0 7874 0 16119 0 368550 0 0 0 Anthony Froix MD 266451 0 77951 0 16770 0 0 0 7851 0 369023 0 0 0 Stanley Ambis MD 185630 0 0 0 11248 0 10250 0 15639 0 222767 0 0 0 Nashiha Shahid MD 139682 0 4600 0 7952 0 7911 0 16674 0 176819 0 0 0 Richard Edwards MD 131199 0 0 0 16500 0 5446 0 7420 0 160565 0 0 0 Yeong Lee MD 176920 0 85453 0 22897 0 0 0 12947 0 298217 0 0 0 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 excutive incentive compensation is based upon meeting certain criteria relating to qulity of patient care, patient satisfaction, patient safety, employee satisfaction and certain financial indicators such as measurement of cash and debt service coverage ratios. Genesee County Industrial Development Agency 161139027 371672AD8 2007-04-27 14704494 Renovation of Outpatient diagnostic center and physician offices 0 0 0 0 0 14704494 1227256 0 0 294090 0 0 13233434 0 0 2007 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 Barry Rosenberg MD PC Board Member 195060 See Part V 0 James Fulmer Board Member 149543 See Part V 0 William Fritts Board Member 60333 See Part V 0 SchL_P04_S00_L00 Schedule L, Part IV Barry Rosenberg MD is the owner of Barry Rosenberg MD PC with which the hospital contracts to provide evening, night and weekend radiology service coverage. The total amounts paid to Barry Rosenberg MD PC in 2009 were $195,060. 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 2009 was $149,543 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 2010 was $60,333. F990_P06_S0A_L03 Form 990, Part VI, Section A, Line 3 During 2010 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, and pharmacy. 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_L11a Form 990, Part VI, Section B, Line 11a The hospital issues the final Form 990 to all members before its monthly meeting and the Vice President of Finance reviews the Form 990 at this meeting and answers any question 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 Governence 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 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. All compensation decisions are based on independent market data obtained form a vriety of sources. Other executive 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 statments are included with the 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 $139,152, Loss on impairment of assets ($168,009), Change in unrestricted interest in net assets of Foundation $159,321, Minimum pension liability adjustment $486,035, Change in temporarily restricted interest in assets of Foundation $1,394,619. United Memorial Medical Center Foundation Inc 121 North Street Batavia NY 14020 222611543 Receive and administer gifts on behalf of United Memorial Medical Center NY 501 (c)(3) 509 (a)(3) Type III N/A Jerome Center Redevelopment Inc 127 North Street Batavia NY 14437 900461497 Noncontrolling member of Bank Street Senior Housing LLC which provides senior housing services NY N/A C 0.00005 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 1 United Memorial Medical Center Foundation Inc c 1818569 Method of determining amount involved was based on the actual tranfer of funds from Untied Memorial Medical Center Foundation, Inc. to the hospital.