2024-05-13T15:16:06-05:00 2023-06-30 161131146 BONADIO & CO LLP 432 NORTH FRANKLIN STREET SYRACUSE NY 13204 990 2022-07-01 161584778 THE FOUNDATION FOR NOYES MEMORIAL HEALTH SYSTEM INC FOUN 5853356001 111 CLARA BARTON STREET DANSVILLE NY 14437 MARK PRUNOSKE CHIEF FINANCIAL OFFICER 5853356001 2024-05-10 1 MARK PRUNOSKE 999009999 0 TIMOTHY HAMMOND P01224809 3154227109 2024-05-10 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z J CHAD TEETERS MD 111 CLARA BARTON STREET DANSVILLE NY 14437 1104951 0 X N/A X 2000 NY TO PROVIDE FUNDS TO OR FOR THE BENEFIT OF LIVINGSTON HEALTH CARE SYSTEM, INC.; NICHOLAS H. NOYES MEMORIAL HOSPITAL; AND RED JACKET CENTER, INC. 14 12 0 17 0 0 308886 805068 0 0 396481 -49886 0 -58882 705367 696300 0 938738 0 0 0 0 0 0 16123 102690 117524 102690 1056262 602677 -359962 16969390 18036231 16612 40849 16952778 17995382 TO PROVIDE FUNDS TO OR FOR THE BENEFIT OF LIVINGSTON HEALTH CARE SYSTEM, INC.; NICHOLAS H. NOYES MEMORIAL HOSPITAL; AND RED JACKET CENTER, INC. 0 0 938738 938738 TO PROVIDE FUNDS TO OR FOR THE BENEFIT OF LIVINGSTON HEALTH CARE SYSTEM, INC.; NICHOLAS H. NOYES MEMORIAL HOSPITAL; AND RED JACKET CENTER, INC. 938738 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 5 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 14 12 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X MARK PRUNOSKE 5853354307 111 CLARA BARTON STREET DANSVILLE NY 14437 J CHAD TEETERS MD PRESIDENT/CHIEF EXECUTIVE 1.00 55.00 X X 0 584126 62674 LESLIE COLE CHAIRPERSON 1.00 X X 0 0 0 MARY ANN MERLE VICE CHAIRPERSON 1.00 X X 0 0 0 BILL BACON TREASURER 1.00 X X 0 0 0 JOHN QUINLAN SECRETARY 1.00 2.00 X X 0 0 0 LYNN WHITE DIRECTOR 1.00 31.00 X 0 55732 1450 THOMAS WAMP DIRECTOR 1.00 X 0 0 0 JAMES CONIGLIO DIRECTOR 1.00 X 0 0 0 TIM COSTELLO DIRECTOR 1.00 X 0 0 0 RANDY HAMILTON DIRECTOR 1.00 X 0 0 0 KELLY SHAY HOAG DIRECTOR 1.00 X 0 0 0 TAMMY INGRAM DIRECTOR 1.00 X 0 0 0 KATHLEEN MOODIE DIRECTOR 1.00 X 0 0 0 BRIDGETT HOAG DIRECTOR 1.00 X 0 0 0 HELEN GRAY DIRECTOR 1.00 X 0 0 0 MAUREEN WOLCOTT DIRECTOR 1.00 X 0 0 0 ROBERT SMITH DIRECTOR 1.00 X 0 0 0 MARK PRUNOSKE CHIEF FINANCIAL OFFICER 1.00 39.00 X 0 438547 80242 0 1078405 144366 0 0 1 0 0 168656 636412 23845 805068 190861 190861 49327 290074 -240747 -240747 -240747 59695 168656 118577 -58882 -58882 696300 0 0 -108768 938738 938738 49327 49327 20004 20004 9713 9713 6410 6410 259 259 OTHER EXPENSES 31811 31811 1056262 938738 101401 16123 2225527 1989005 9408818 10712170 5335045 5335056 16969390 18036231 667 15945 40849 16612 40849 X 15788648 17359083 1164130 636299 16952778 17995382 16969390 18036231 -359962 1402566 0 X 0 1 X 1 0 X 220448 101020 920161 308886 840918 2391433 220448 101020 920161 308886 840918 2391433 509455 1881978 204812 88983 211288 330023 141534 976640 3368073 0.55880 0.51600 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 911874 134675 5232 1041317 1028329 -109754 6701 911874 1052025 141148 156896 7948 1028329 1007938 159728 155772 264410 7003 1052025 929422 84139 5623 1007938 1.00000 0 0 0 DUE FROM RELATED PARTY 5335056 5335056 DUE TO RELATED PARTY 40849 40849 PART V, LINE 4: INDIGENT CARE OF LIVINGSTON COUNTY RESIDENTS AND FUTURE CAPITAL PURCHASES. GALA 228351 168656 59695 1200 68165 14433 34779 228351 168656 59695 1200 68165 14433 34779 118577 -58882 0 NICHOLAS H NOYES MEMORIAL HOSPITAL 111 CLARA BARTON STREET DANSVILLE NY 14437 160743979 501(C)(3 938738 0 FMV FINANCIAL SUPPORT 0 1 0 0 0 0 0 0 0 J CHAD TEETERS MD PRESIDENT/CHIEF EXECUTIVE 0 584126 0 0 0 0 0 28787 0 33887 0 646800 0 0 MARK PRUNOSKE CHIEF FINANCIAL OFFICER 0 317212 0 69455 0 51880 0 52884 0 27358 0 518789 0 36846 PART I, LINE 3 THE BOARD OF DIRECTORS OF NICHOLAS H. NOYES MEMORIAL HOSPITAL (THE HOSPITAL) REVIEWS THE GOALS AND OBJECTIVES OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER ALONG WITH COMPARABILITY DATA TO DETERMINE APPROPRIATE COMPENSATION. THE DELIBERATION AND DECISION IS RECORDED IN THE MINUTES OF THE BOARD OF DIRECTORS OF THE HOSPITAL. PART I, LINE 4B THE FOLLOWING INDIVIDUAL PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED EMPLOYER PAID AMOUNTS THAT ARE INCLUDED IN DEFERRED COMPENSATION: MARK PRUNOSKE - 457(F) PLAN - $31,534 THE FOLLOWING INDIVIDUAL PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED EMPLOYER PAID AMOUNTS THAT ARE INCLUDED IN OTHER REPORTABLE COMPENSATION: MARK PRUNOSKE - 457(F) PLAN - $36,846 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 IN SCHEDULE J, PART II, COLUMN F. FORM 990, PART VI, SECTION A, LINE 2 J. CHAD TEETERS IS AN OFFICER OF NICHOLAS H. NOYES MEMORIAL HOSPITAL (THE HOSPITAL), AND LYNNE WHITE IS AN EMPLOYEE OF THE HOSPITAL, WHICH IS A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF THE FOUNDATION FOR NOYES MEMORIAL HEALTH SYSTEM, INC. ARE LIVINGSTON HEALTH CARE SYSTEM, INC. AND THE UNIVERSITY OF ROCHESTER. FORM 990, PART VI, SECTION A, LINE 7A UP TO 19 DIRECTORS ARE APPOINTED BY LIVINGSTON HEALTH CARE SYSTEM, INC. UP TO 1 DIRECTOR IS APPOINTED BY THE UNIVERSITY OF ROCHESTER. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN DECISIONS REQUIRE THE APPROVAL OF LIVINGSTON HEALTH CARE SYSTEM, INC. AS THE CORPORATE MEMBER OF THE FOUNDATION FOR NOYES MEMORIAL HEALTH SYSTEM, INC., INCLUDING BUT NOT LIMITED TO: SIGNIFICANT PURCHASES OR SALES OF REAL PROPERTY, AMENDMENTS TO THE CERTIFICATE OF INCORPORATION, MERGERS, AND DISSOLUTION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE AND BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, COMMITTEE MEMBERS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST (A) PRIOR TO VOTING ON OR OTHERWISE DISCHARGING THEIR DUTIES WITH RESPECT TO ANY MATTER INVOLVING THE CONFLICT THAT COMES BEFORE THE BOARD OR COMMITTEE, (B) PRIOR TO ENTERING INTO ANY CONTRACT OR TRANSACTION INVOLVING THE CONFLICT, (C) AS SOON AS POSSIBLE AFTER THEY LEARN OF THE CONFLICT, AND (D) ON AN ANNUALLY COMPLETED AND SUBMITTED CONFLICT OF INTEREST DISCLOSURE FORM. FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION FOR NOYES MEMORIAL HEALTH SYSTEM, INC.'S FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST. THE HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE NOT ROUTINELY MADE AVAILABLE TO THE PUBLIC. FFT SENIOR COMMUNITIES INC 1 FERRIS HILLS CANANDAIGUA NY 14424 161557494 ELDER CARE NY 501(C)(3) LINE 10 FF THOMPSON HEALTH SYSTEM INC 0 HIGHLAND COMMUNITY DEVELOPMENT CORP - 100 HAHNEMANN TRAIL PITTSFORD NY 14534 223154715 ELDER CARE NY 501(C)(3) LINE 10 STRONG PARTNERS HEALTH SYSTEM INC 0 HIGHLAND HOSPITAL OF ROCHESTER 1000 SOUTH AVENUE ROCHESTER NY 14620 160743037 HOSPITAL NY 501(C)(3) LINE 3 STRONG PARTNERS HEALTH SYSTEM INC 0 THE HIGHLAND FOUNDATION INC 1000 SOUTH AVENUE ROCHESTER NY 14620 237310662 FUNDRAISING NY 501(C)(3) LINE 12A, I HIGHLAND HOSPITAL OF ROCHESTER 0 HIGHLAND FACILITIES DEVELOPMENT CORPORATION 1000 SOUTH AVENUE ROCHESTER NY 14620 223039077 MEDICAL BLDG NY 501(C)(3) LINE 10 HIGHLAND HOSPITAL OF ROCHESTER 0 LIVINGSTON HEALTH CARE SYSTEM INC 111 CLARA BARTON STREET DANSVILLE NY 14427 161455240 SUPPORT ORG NY 501(C)(3) LINE 12A, I UNIVERSITY OF ROCHESTER 0 RED JACKET CENTER INC 111 CLARA BARTON STREET DANSVILLE NY 14427 161037658 MEDICAL BLDG NY 501(C)(3) LINE 12A, I LIVINGSTON HEALTH CARE SYSTEM INC 0 NICHOLAS H NOYES MEMORIAL HOSPITAL INC 111 CLARA BARTON STREET DANSVILLE NY 14427 160743024 HOSPITAL NY 501(C)(3) LINE 7 LIVINGSTON HEALTH CARE SYSTEM INC 0 JONES MEDICAL SERVICES PC 191 NORTH MAIN STREET WELLSVILLE NY 14895 465210222 MEDICAL CLINIC NY 501(C)(3) LINE 3 THE MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INC 0 JONES MEMORIAL HOSPITAL FOUNDATION 191 NORTH MAIN STREET WELLSVILLE NY 14895 473763374 SUPPORT ORG NY 501(C)(3) LINE 7 THE MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INC 0 THE MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INC 191 NORTHMAIN STREET WELLSVILLE NY 14895 222807681 HOSPITAL NY 501(C)(3) LINE 3 UNIVERSITY OF ROCHESTER 0 UNIVERSITY OF ROCHESTER BROADCASTING CORPORATION 201 WILSON COMMONS ROCHESTER NY 14627 160743209 BROADCAST LIC NY 501(C)(4) UNIVERSITY OF ROCHESTER 0 UR MEDICINE HOME CARE COMMUNITY SERVICES INC 2180 EMPIRE BOULEVARD WEBSTER NY 14580 825091873 HEALTHCARE NY 501(C)(3) LINE 10 UR MEDICINE HOME CARE INC 0 UR MEDICINE HOME CARE LICENSED SERVICES INC 2180 EMPIRE BOULEVARD WEBSTER NY 14580 161561691 HEALTHCARE NY 501(C)(3) LINE 10 UR MEDICINE HOME CARE INC 0 UR MEDICINE HOME CARE CERTIFIED SERVICES INC 2180 EMPIRE BOULEVARD WEBSTER NY 14580 160743215 HEALTHCARE NY 501(C)(3) LINE 10 UR MEDICINE HOME CARE INC 0 UR MEDICINE HOME CARE INC 2180 EMPIRE BOULEVARD WEBSTER NY 14580 222577664 FUNDRAISING NY 501(C)(3) LINE 7 UNIVERSITY OF ROCHESTER 0 UR MEDICINE HOME CARE FOUNDATION INC 2180 EMPIRE BOULEVARD WEBSTER NY 14534 831912967 SUPPORT ORG NY 501(C)(3) LINE 7 UR MEDICINE HOME CARE INC 0 NEXTCORPS INC 260 EAST MAIN STREET SUITE 6000 ROCHESTER NY 14604 161195028 BUSINESS INCUB NY 501(C)(3) LINE 7 UNIVERSITY OF ROCHESTER 0 UR REAL ESTATE CORPORATION 263 WALLIS HALL ROCHESTER NY 14627 271140014 SUPPORT ORG NY 501(C)(3) LINE 12A, I UNIVERSITY OF ROCHESTER 0 MELIORA REAL ESTATE CORPORATION 263 WALLIS HALL ROCHESTER NY 14627 452464788 SUPPORT ORG NY 501(C)(3) LINE 12A, I UNIVERSITY OF ROCHESTER 0 EXCELL PARTNERS INC 343 STATE STREET KODAK TOWER 2ND FL ROCHESTER NY 14650 201862628 ECONOMIC DEV NY 501(C)(4) UNIVERSITY OF ROCHESTER 0 FF THOMPSON HEALTH SYSTEM INC 350 PARRISH STREET CANANDAIGUA NY 14424 222959987 SUPPORT ORG NY 501(C)(3) LINE 12A, I UNIVERSITY OF ROCHESTER 0 MM EWING CONTINUING CARE CENTER 350 PARRISH STREET CANANDAIGUA NY 14424 237046583 HEALTHCARE NY 501(C)(3) LINE 3 FF THOMPSON HEALTH SYSTEM INC 0 THE FREDERICK FERRIS THOMPSON HOSPITAL 350 PARRISH STREET CANANDAIGUA NY 14424 160743024 HOSPITAL NY 501(C)(3) LINE 3 FF THOMPSON HEALTH SYSTEM INC 0 THE FF THOMPSON FOUNDATION INC 350 PARRISH STREET CANANDAIGUA NY 14424 222959984 FUNDRAISING NY 501(C)(3) LINE 7 FF THOMPSON HEALTH SYSTEM INC 0 ST JAMES HOSPITAL 7329 SENECA ROAD NORTH HORNELL NY 14843 160743310 HOSPITAL NY 501(C)(3) LINE 3 UNIVERSITY OF ROCHESTER 0 ST JAMES HOSPITAL FOUNDATION INC 7329 SENECA ROAD NORTH HORNELL NY 14843 161486437 FUNDRAISING NY 501(C)(3) LINE 7 ST JAMES HOSPITAL 0 THE HIGHLANDS LIVING CENTER INC 500 HAHNEMANN TRAIL PITTSFORD NY 14534 223240227 HEALTHCARE NY 501(C)(3) LINE 10 STRONG PARTNERS HEALTH SYSTEM INC 0 THE MEADOWS AT WESTFALL INC 5901 LAC DE VILLE BLVD ROCHESTER NY 14618 161502303 HEALTHCARE NY 501(C)(3) LINE 10 STRONG PARTNERS HEALTH SYSTEM INC 0 STRONG PARTNERS HEALTH SYSTEM INC 601 ELMWOOD AVENUE BOX 706 ROCHESTER NY 14642 161499099 SUPPORT ORG NY 501(C)(3) LINE 12A, I UNIVERSITY OF ROCHESTER 0 FINGER LAKES HOME CARE INC 756 PRE-EMPTION ROAD GENEVA NY 14456 161489133 HEALTHCARE NY 501(C)(3) LINE 10 UR MEDICINE HOME CARE CERTIFIED SERVICES INC 0 UNIVERSITY OF ROCHESTER 910 GENESEE STREET STE 200 ROCHESTER NY 14611 160743209 SCHOOL NY 501(C)(3) LINE 2 N/A 0 EXCELL INNOVATIVE NY FUND LP 343 STATE STREET KODAK TOWER 2ND FL ROCHESTER NY 14650 462405519 INVESTMENT FUND NY N/A 0 0 EXCELL MINORITY AND WOMEN OWNED BUSINESS INVESTMENT FUND LP 343 STATE STREET KODAK TOWER 2ND FL ROCHESTER NY 14650 810723223 INVESTMENT FUND NY N/A 0 0 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ROCHESTER NY 14623 371746016 INDEP PRACTICE ASSOC NY N/A C 0 AHP INSURANCE COMPANY 76 ST PAUL STREET SUITE 500 BURLINGTON VT 05401 814644839 CAPTIVE INSURANCE CO VT N/A C 0 HORNELL MEDICAL VILLAGE LLC 7100 ROUTE 70A HORNELL NY 14843 611886863 HOLD REAL ESTATE NY N/A C 0 ROCHESTER BIOVENTURE CENTER INC 601 ELMWOOD AVENUE BOX 706 ROCHESTER NY 14642 202485999 BIOTECH INCUBATOR NY N/A C 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0