Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1a · Federated campaigns

  $0

• 1b · Membership dues

  $0

• 1c · Fundraising events

  $0

• 1d · Related organizations

  $57,160

• 1e · Government grants (contributions)

  $0

• 1f · All other contributions, gifts and grants

  $0

• 1g · Noncash contributions included above

  $0

• 2a · Program service revenue: Skilled Nursing Services

  total $20,297,208 · related or exempt $20,297,208 · unrelated business $0 · excluded $0

• 2f · All other program service revenue

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 3 · Investment income

  total $14,383 · related or exempt $523 · unrelated business $0 · excluded $13,860

• 4 · Income from investment of tax-exempt bond proceeds

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 5 · Royalties

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 6a · Gross rents

  real property $0 · personal property $0

• 6b · Less rental expenses

  real property $0 · personal property $0

• 6c · Rental income or loss

  real property $0 · personal property $0

• 6d · Net rental income or loss

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 7a · Gross sales of assets other than inventory

  securities $0 · other assets $7,456

• 7b · Less cost or other basis and sales expenses

  securities $0 · other assets $12,784

• 7c · Gain or loss

  securities $0 · other assets -$5,328

• 7d · Net gain or loss

  total -$5,328 · related or exempt $0 · unrelated business $0 · excluded -$5,328

• 8a · Fundraising events: gross income

  $0

• 8a · Fundraising events: contributions included on line 1c

  $0

• 8b · Fundraising events: direct expenses

  $0

• 8c · Net income from fundraising events

  total $0 · unrelated business $0 · excluded $0

• 9a · Gaming: gross income

  $0

• 9b · Gaming: direct expenses

  $0

• 9c · Net income from gaming

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 10a · Gross sales of inventory

  $0

• 10b · Cost of goods sold

  $0

• 10c · Net income from sales of inventory

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 11a · Other revenue: Allocation From Hospital

  total $62,016 · related or exempt $0 · unrelated business $0 · excluded $62,016

• 11b · Other revenue: Associate Resident Support Laundry, Hair Dresser

  total $1,065 · related or exempt $1,065 · unrelated business $0 · excluded $0

• 11d · All other revenue

  total $6,174 · related or exempt $6,174 · unrelated business $0 · excluded $0

• 11e · Other revenue, total

  $69,255

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $0 · program services $0

• 2 · Grants to domestic individuals

  total $0 · program services $0

• 3 · Grants to foreign organizations and individuals

  total $0 · program services $0

• 4 · Benefits paid to or for members

  total $0 · program services $0

• 5 · Compensation of officers, directors and key employees

  total $259,563 · program services $0 · management and general $259,563 · fundraising $0

• 6 · Compensation of disqualified persons

  total $0 · program services $0 · management and general $0 · fundraising $0

• 7 · Other salaries and wages

  total $11,833,378 · program services $10,487,315 · management and general $1,346,063 · fundraising $0

• 8 · Pension plan contributions

  total $295,987 · program services $256,688 · management and general $39,299 · fundraising $0

• 9 · Other employee benefits

  total $939,758 · program services $815,553 · management and general $124,205 · fundraising $0

• 10 · Payroll taxes

  total $614,173 · program services $532,627 · management and general $81,546 · fundraising $0

• 11a · Fees: management

  total $19,197 · program services $16,648 · management and general $2,549 · fundraising $0

• 11b · Fees: legal

  total $20,832 · program services $18,066 · management and general $2,766 · fundraising $0

• 11c · Fees: accounting

  total $34,784 · program services $30,166 · management and general $4,618 · fundraising $0

• 11d · Fees: lobbying

  total $0 · program services $0 · management and general $0 · fundraising $0

• 11e · Fees: professional fundraising services

  total $0 · fundraising $0

• 11f · Fees: investment management

  total $0 · program services $0 · management and general $0 · fundraising $0

• 11g · Fees: other

  total $1,424,073 · program services $1,401,400 · management and general $22,673 · fundraising $0

• 12 · Advertising and promotion

  total $0 · program services $0 · management and general $0 · fundraising $0

• 13 · Office expenses

  total $130,811 · program services $122,095 · management and general $8,716 · fundraising $0

• 14 · Information technology

  total $84,124 · program services $44,534 · management and general $39,590 · fundraising $0

• 15 · Royalties

  total $0 · program services $0 · management and general $0 · fundraising $0

• 16 · Occupancy

  total $341,412 · program services $245,787 · management and general $95,625 · fundraising $0

• 17 · Travel

  total $0 · program services $0 · management and general $0 · fundraising $0

• 18 · Travel or entertainment for public officials

  total $0 · program services $0 · management and general $0 · fundraising $0

• 19 · Conferences, conventions and meetings

  total $6,767 · program services $5,410 · management and general $1,357 · fundraising $0

• 20 · Interest

  total $0 · program services $0 · management and general $0 · fundraising $0

• 21 · Payments to affiliates

  total $0 · program services $0 · management and general $0 · fundraising $0

• 22 · Depreciation, depletion and amortization

  total $488,491 · program services $293,122 · management and general $195,369 · fundraising $0

• 23 · Insurance

  total $99,131 · program services $0 · management and general $99,131 · fundraising $0

• 24a · Other expenses: Hospital Services

  total $3,803,638 · program services $3,318,266 · management and general $485,372 · fundraising $0

• 24b · Other expenses: NYS Cash Receipts

  total $1,122,373 · program services $1,122,373 · management and general $0 · fundraising $0

• 24c · Other expenses: Other

  total $709,135 · program services $694,042 · management and general $15,093 · fundraising $0

• 24d · Other expenses: Health System Membership Assessment

  total $330,312 · program services $11,891 · management and general $318,421 · fundraising $0

• 24e · All other expenses

  total $161,974 · program services $161,974 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $2,903,254 · end of year $1,056,849

• 2 · Savings and temporary cash investments

  beginning of year $3,765,629 · end of year $2,312,740

• 3 · Pledges and grants receivable

  beginning of year $0 · end of year $0

• 4 · Accounts receivable

  beginning of year $1,832,174 · end of year $1,732,649

• 5 · Loans and receivables from officers and key people

  beginning of year $0 · end of year $0

• 6 · Loans and receivables from disqualified persons

  beginning of year $0 · end of year $0

• 7 · Other notes and loans receivable

  beginning of year $0 · end of year $0

• 8 · Inventories for sale or use

  beginning of year $0 · end of year $0

• 9 · Prepaid expenses and deferred charges

  beginning of year $120,929 · end of year $138,813

• 10a · Land, buildings and equipment: cost or other basis

  $17,504,663

• 10b · Land, buildings and equipment: accumulated depreciation

  $13,042,137

• 10c · Land, buildings and equipment, net

  beginning of year $4,444,312 · end of year $4,462,526

• 11 · Investments: publicly traded securities

  beginning of year $0 · end of year $0

• 12 · Investments: other securities

  beginning of year $0 · end of year $0

• 13 · Investments: program-related

  beginning of year $0 · end of year $0

• 14 · Intangible assets

  beginning of year $0 · end of year $0

• 15 · Other assets

  beginning of year $389,926 · end of year $425,477

• 17 · Accounts payable and accrued expenses

  beginning of year $222,386 · end of year $109,684

• 18 · Grants payable

  beginning of year $0 · end of year $0

• 19 · Deferred revenue

  beginning of year $0 · end of year $0

• 20 · Tax-exempt bond liabilities

  beginning of year $0 · end of year $0

• 21 · Escrow or custodial account liability

  beginning of year $94,142 · end of year $125,393

• 22 · Loans and payables to officers and key people

  beginning of year $0 · end of year $0

• 23 · Secured mortgages and notes payable

  beginning of year $0 · end of year $0

• 24 · Unsecured notes and loans payable

  beginning of year $0 · end of year $0

• 25 · Other liabilities

  beginning of year $4,091,972 · end of year $2,967,689

• 27 · Net assets without donor restrictions

  beginning of year $8,847,272 · end of year $6,713,440

• 28 · Net assets with donor restrictions

  beginning of year $200,452 · end of year $212,848

The filer's explanations (Part III)

Schedule J, Part I, Line 3

Schedule J, Part I, Line 3 - As provided in the Form 990, Schedule J instructions, since the organization relies on a related organization which uses one or more of the methods described in line 3 to establish the top management official's compensation, this question has been left unanswered. Refer to Schedule O, description of compensation review and approval process.

Schedule J, Part I, Line 4

Schedule J, Part 1, Line 4 - the following individuals participated in a supplemental nonqualified retirement plan and received employer paid amounts that are included in deferred compensation. 457(f) plan payments were: Michael Stapleton -$78,930, Mark Prunoske-$31,534, Kurt Koczent-$28,817, David Baum-$38,707. SERP plan payments were: Steven Goldstein-$159,400, Mark Taubman, MD-$127,265 and Michael Apostolakos,MD-$50,000. These payments were made by a related organization. The following individual participated in a supplemental nonqualified retirement plan and received employer paid amounts that are included in other reportable compensation. 457(f) plan payments were: Steven Goldstein-$1,701,399, These amounts represent employee deferrals of compensation, plus investment earnings, over several years that vested and were paid pursuant to the requirements of the plan. The employee deferrals were reported as deferred compensation in schedule J, Part II column C in prior years and are also reflected, net of investment earnings, in schedule J, Part II column (f). This payment was made by a related organization.

Schedule J, Part I, Line 7

Schedule J, Part I, Line 7 - The President/CEO, Executive VP/COO, and Senior VP of Finance/ CFO are eligible for a variable % YE incentive based on predetermined goals. The goals are operational, financial and managerial in nature. The financial goal ties in part to the net earning of the organization and its affiliates.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• Excell Innovate NY Fund LP

  Investment Fund · NY

  Directly controlled by EVT INC

• Excell Minority and Women Owned Business Investment Fund LP

  Investment Fund · NY

  Directly controlled by ETV INC

• Excell Partners Innovation TC Fund LP

  Investment Fund · NY

  Directly controlled by ETV INC

• Finger Lakes Venture Fund LP

  Investment Fund · NY

  Directly controlled by ETV INC

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• Medical Administrative Associates Inc

  C · Retail Pharmacy · NY

  Directly controlled by Highland Hospital

• UR Equity Holdings Inc

  C · Holding Co · DE

  Directly controlled by University of Rochester

• FFTH Properties and Services Inc

  C · Holding CO · NY

  Directly controlled by FF Thompson Health System

• Excell Technology Ventures Inc

  C · Biotech Incubator · NY

  Directly controlled by Rochester Bioventure

• Accountable Health Partners LLC

  C · Acct Care Network · NY

  Directly controlled by University of Rochester

• Accountable Health Partners IPA LLC

  C · Independent Practice Association · NY

  Directly controlled by AHP LLC

• AHP Insurance Company

  C · Captive Insurance Co · VT

  Directly controlled by AHP LLC

• Luminate Venture Challenge Corp

  C · Business Incu · NY

  Directly controlled by Nextcorps Inc

• Hornell Medical Village LLC

  C · Hold Real Estate · NY

  Directly controlled by St James Hosp

• Rochester Bioventure Center Inc

  C · Biotech Incubator · NY

  Directly controlled by University of Rochester