Form 990 for tax year 2024

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $1,063,818

• 1e · Government grants (contributions)

  $4,056,773

• 1f · All other contributions, gifts and grants

  $89,290

• 2a · Program service revenue: PATIENT SERVICE REVENUE

  total $701,418,448 · related or exempt $701,418,448

• 2b · Program service revenue: RENTAL REVENUE FROM RELATED PARTI

  total $102,922 · related or exempt $102,922

• 2c · Program service revenue: RESEARCH

  total $6,145 · related or exempt $6,145

• 3 · Investment income

  total $3,356,920 · excluded $3,356,920

• 6a · Gross rents

  real property $36,226

• 6b · Less rental expenses

  real property $0

• 6c · Rental income or loss

  real property $36,226

• 6d · Net rental income or loss

  total $36,226 · excluded $36,226

• 7a · Gross sales of assets other than inventory

  securities $23,275,097

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

  securities $21,876,909 · other assets -$1,030,198

• 7c · Gain or loss

  securities $1,398,188 · other assets $1,030,198

• 7d · Net gain or loss

  total $2,428,386 · excluded $2,428,386

• 11a · Other revenue: CAFETERIA

  total $970,589 · related or exempt $970,589

• 11b · Other revenue: PHYSICIAN

  total $490,337 · related or exempt $490,337

• 11c · Other revenue: GIFT SHOP

  total $211,754 · related or exempt $211,754

• 11d · All other revenue

  total $2,980,359 · related or exempt $2,980,359

• 11e · Other revenue, total

  $4,653,039

Functional expenses

Part IX, the statement of functional expenses.

• 5 · Compensation of officers, directors and key employees

  total $4,174,311 · program services $3,861,425 · management and general $312,886

• 7 · Other salaries and wages

  total $315,314,850 · program services $290,155,086 · management and general $25,159,764

• 8 · Pension plan contributions

  total $18,951,016 · program services $15,550,158 · management and general $3,400,858

• 9 · Other employee benefits

  total $32,109,306 · program services $26,347,125 · management and general $5,762,181

• 10 · Payroll taxes

  total $22,370,381 · program services $18,355,901 · management and general $4,014,480

• 11a · Fees: management

  total $1,061,175 · program services $720,632 · management and general $340,543

• 11b · Fees: legal

  total $72,145 · program services $48,993 · management and general $23,152

• 11c · Fees: accounting

  total $26,669 · program services $18,111 · management and general $8,558

• 11d · Fees: lobbying

  total $8,192 · management and general $8,192

• 11g · Fees: other

  total $105,966,955 · program services $93,685,766 · management and general $12,281,189

• 12 · Advertising and promotion

  total $549 · program services $373 · management and general $176

• 13 · Office expenses

  total $2,952,280 · program services $2,837,843 · management and general $114,437

• 16 · Occupancy

  total $23,972,723 · program services $16,279,599 · management and general $7,693,124

• 17 · Travel

  total $187,697 · program services $180,421 · management and general $7,276

• 19 · Conferences, conventions and meetings

  total $270,356 · program services $259,876 · management and general $10,480

• 20 · Interest

  total $6,178,604 · program services $4,711,260 · management and general $1,467,344

• 22 · Depreciation, depletion and amortization

  total $16,738,590 · program services $12,763,378 · management and general $3,975,212

• 23 · Insurance

  total $9,000,897 · program services $8,652,003 · management and general $348,894

• 24a · Other expenses: MEDICAL SUPPLIES

  total $131,145,895 · program services $126,062,406 · management and general $5,083,489

• 24b · Other expenses: SHARED SERVICES ALLOCAT

  total $37,215,276 · program services $25,272,464 · management and general $11,942,812

• 24c · Other expenses: BAD DEBT

  total $4,644,694 · program services $4,644,694

• 24d · Other expenses: TAXES AND ASSESSMENTS

  total $3,801,055 · program services $3,653,718 · management and general $147,337

• 24e · All other expenses

  total $165,104 · program services $158,704 · management and general $6,400

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $21,395,209 · end of year $15,320,532

• 2 · Savings and temporary cash investments

  beginning of year $6,164,272 · end of year $3,471,330

• 3 · Pledges and grants receivable

  beginning of year $559,200 · end of year $1,298,992

• 4 · Accounts receivable

  beginning of year $35,132,784 · end of year $46,471,621

• 8 · Inventories for sale or use

  beginning of year $8,637,774 · end of year $7,847,891

• 9 · Prepaid expenses and deferred charges

  beginning of year $1,278,970 · end of year $1,082,552

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

  $554,974,986

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

  $370,685,737

• 10c · Land, buildings and equipment, net

  beginning of year $198,158,033 · end of year $184,289,249

• 11 · Investments: publicly traded securities

  beginning of year $12,452,587 · end of year $19,028,631

• 12 · Investments: other securities

  beginning of year $37,764,709 · end of year $41,495,334

• 15 · Other assets

  beginning of year $187,705,395 · end of year $149,382,902

• 17 · Accounts payable and accrued expenses

  beginning of year $82,949,053 · end of year $69,660,962

• 19 · Deferred revenue

  beginning of year $2,589,076 · end of year $6,614,026

• 20 · Tax-exempt bond liabilities

  beginning of year $158,797,980 · end of year $151,279,648

• 21 · Escrow or custodial account liability

  beginning of year $262,082 · end of year $376,391

• 25 · Other liabilities

  beginning of year $236,251,296 · end of year $201,802,946

• 27 · Net assets without donor restrictions

  beginning of year $22,320,723 · end of year $33,046,011

• 28 · Net assets with donor restrictions

  beginning of year $6,078,723 · end of year $6,909,050

The filer's explanations (Part III)

PART I, LINE 3

COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS IS ESTABLISHED USING THE FOLLOWING: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACTS - COMPENSATION SURVEYS AND STUDIES - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE ON AN ANNUAL BASIS, THE ORGANIZATION USES AN INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE SALARIES FOR ALL EXECUTIVES TO ENSURE SUCH SALARIES ARE CONSISTENT WITH MARKET SALARIES PAID TO SIMILARLY SITUATED EXECUTIVES. IN ADDITION, A COMPENSATION COMMITTEE REVIEWS THIS INFORMATION ANNUALLY AND IT IS THEN APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. FINALLY, EXECUTIVES RECEIVE A WRITTEN LETTER OUTLINING THE SPECIFICS OF THE COMPENSATION AGREEMENT AND THEIR EXPECTED PERFORMANCE.

PART I, LINES 4A-B

COMPENSATION TO THE FORMER CHIEF ADMINISTRATIVE OFFICER INCLUDES PAYMENTS AGREED TO UPON SEPARATION FROM THE ORGANIZATION. SEVERANCE PAYMENTS CONTINUE TO BE MADE THROUGH EARLY 2025. THESE PAYMENTS HAVE NOT BEEN ACCRUED OR REPORTED AS OF DECEMBER 31, 2024. COMPENSATION TO THE FORMER UNITY HOSPITAL PRESIDENT INCLUDES PAYMENTS AGREED TO UPON SEPARATION FROM THE ORGANIZATION. SEVERANCE PAYMENTS CONTINUE TO BE MADE THROUGH EARLY 2025. THESE PAYMENTS HAVE NOT BEEN ACCRUED OR REPORTED AS OF DECEMBER 31, 2024. SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS PROVIDE BENEFITS TO CERTAIN KEY EXECUTIVE EMPLOYEES OF ROCHESTER REGIONAL HEALTH. THE ORGANIZATION MAINTAINS A SECTION 457(F) PLAN WHICH WOULD BE CONSIDERED A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THERE WERE NO DISTRIBUTIONS FROM THE PLAN IN 2024.

PART II, COLUMN C:

RETIREMENT AND OTHER DEFERRED COMPENSATION - THIS COLUMN IS REFLECTIVE OF THE ACTUARIAL CHANGE IN DEFINED BENEFIT PENSION PLAN AND POST-RETIREMENT BENEFITS FOR THE TAX YEAR.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• ST MARY'S RESIDENCE FACILITY LLC

  ADMINISTRATIVE AND MEDICAL OFFICES · NY

  Directly controlled by THE UNITY HOSPITAL OF ROCHESTER

Related partnerships

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

• NW ASSOCIATES LP

  RELATED · R/E LEASING · NY · 73.61% owned

  Directly controlled by NWCH

• PARMA SENIOR HOUSING

  HILTON PROJ · NY

• UNITY SENIOR HOUSING

  MOORE PK · NY

Related corporations and trusts

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

• GREATER ROCHESTER ASSURANCE COMPANY LTD

  C · INSURANCE · CJ · 100% owned

• GRACO RISK RETENTION GROUP INC

  C · INSURANCE · SC · 100% owned

  Directly controlled by RGH

• NWA INC

  C · R/E LEASING · NY · 100% owned

  Directly controlled by NWCH

• GREATER ROCHESTER INDEPENDENT PRACTICE ASSOCIATION INC

  C · INDEPENDENT PRACTICE ASSOCIATION · NY · 100% owned

  Directly controlled by ROCHESTER REGIONAL HEALTH

• ROCHESTER GENERAL HEALTH SYSTEM DIALYSIS INC

  C · DIALYSIS · NY · 100% owned

  Directly controlled by RGHS

• ACM MEDICAL LABORATORY INC

  C · CLINICAL LAB · NY

  Directly controlled by PRH INC

• PRH INC

  C · MEDICAL LAB · NY

  Directly controlled by ROCHESTER REGIONAL HEALTH

• PARMA SENIOR HOUSING LLC

  C · SENIOR HOUSING · NY

  Directly controlled by ROCHESTER REGIONAL HEALTH

• UNITY SENIOR HOUSING CORP

  C · SENIOR HOUSING · NY

  Directly controlled by ROCHESTER REGIONAL HEALTH

• UNITY HEALTH SYSTEM PURCHASING GROUP LLC

  C · SENIOR HOUSING · NY

  Directly controlled by ROCHESTER REGIONAL HEALTH

• ENHANCED STAFFING SOLUTIONS LLC

  C · TEMPORARY STAFFING · NY · 100% owned

  Directly controlled by PRH INC