2013-11-11T14:26:25-07:00 2012-12-31 990 2012-01-01 160743029 UNITED MEMORIAL MEDICAL CENTER UNIT 5853445249 127 North Street Batavia NY 14020 Robert Chiavetta 5853445249 2013-11-15 2012 2016-03-07 17:11:31Z Mark Schoell 127 North Street Batavia NY 14020 80743399 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 inpatient 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 every day. Our mission is working together to promote, enhance and restore health for the patients of our community. 15 13 902 79 1043816 0 2934610 1692994 75436907 77504242 264429 225608 735440 729047 79371386 80151891 0 0 0 0 40985074 41970222 0 0 0 35038541 33742541 76023615 75712763 3347771 4439128 73049982 74261994 50751238 49632855 22298744 24629139 United Memorial Medical Center has been established as a general acute care community hospital, serving an estimated 93,000 residents of Genesee County and adjacent areas. Its purpose is to operate 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 2012, UMMC served 4,989 inpatients and 230,974 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 $2,021,456 for 2012. 0 0 61570218 0 77223699 Healthcare Programs, General/Other: United Memorial Medical Center has been established as a general acute community hospital, serving an estimated 90,000 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 2012, UMMC served 4,989 inpatients and 230,974 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 $2,021,456 for calendar year ending December 31, 2012. 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 possibilities 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 61570218 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 1 48 0 1 902 1 1 1 0 0 0 0 0 0 0 0 0 X 15 13 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 X X Betty Lapp 5 0 X X 0 0 0 William Fritts 5 0 X X 0 0 0 Barton Dambra 5 0 X X 0 0 0 Mary Raymond 5 0 X X 0 0 0 Scott Belotte MD 10 0 X 30000 0 0 Peter Call 5 0 X 0 0 0 Victor deSa MD 5 0 X 0 0 0 Anthony Froix MD 40 0 X 382912 0 20785 James Fulmer 5 0 X 0 0 0 Thomas Houseknecht 5 0 X 0 0 0 Lalit Jain MD 5 0 X 0 0 0 Jerry Reinhart 5 0 X 0 0 0 Donna Thompson 5 0 X 0 0 0 Augusta Welsh 5 0 X 0 0 0 Christopher White 5 0 X 0 0 0 Mark Schoell 40 0 X 373075 0 50745 Robert Chiavetta 40 0 X 220469 0 26961 Daniel Ireland 40 0 X 187257 0 24460 Mary Beth Bowen 40 0 X 176050 0 14764 Anthony DiBenedetto MD 40 0 X 289682 0 0 Richard Edwards MD 40 0 X 262845 0 24076 Anupa Seth MD 40 0 X 280858 0 0 Courtney Diehl MD 40 0 X 250186 0 15953 Michele Odrobina MD 40 0 X 262193 0 0 2715527 0 177744 27 0 1 0 Summit Rehabilitation Services 99 Meditech Drive Batavia NY 14020 Phsyiscal Therapy Services 1284917 Aramark Servicemaster PO Box 33170 Newark NJ 07188 Facilities Management Services 939860 Rochester General Hospital PO Box 10758 Rochester NY 14610 Pathology Services 849198 Genesee Hospitalist 4201 Buffalo Road Orchard Park NY 14127 Hospitalist Services 687500 Quest Diagnostics PO Box 740709 Atlanta GA 303740709 Reference Lab Services 459166 23 0 1840 0 512141 1177513 1500 0 1692994 Inpatient Revenue 621110 29586964 29586964 0 0 Outpatient Revenue 621110 45479383 44435567 1043816 0 Health Information Technology Revenue 622000 2437895 2437895 0 0 0 0 0 0 77504242 220308 0 0 220308 0 0 0 0 0 0 0 0 472606 0 506832 0 -34226 0 -34226 0 0 -34226 0 5300 0 0 0 5300 5300 0 0 5300 0 0 0 0 0 0 0 0 0 0 0 0 62952 84676 -21724 -21724 0 0 Cafeteria Sales 722210 388169 388169 0 0 Lab Capitation 621500 150551 150551 0 0 246277 246277 0 0 784997 80151891 77223699 1043816 191382 0 0 0 0 0 0 0 0 1507478 433697 1073781 0 0 0 0 0 30363415 25603537 4759878 0 2627870 2146864 481006 0 5248177 4287549 960628 0 2223282 1816332 406950 0 3533052 3171258 361794 0 61655 0 61655 0 98778 17378 81400 0 0 0 0 0 0 0 0 0 0 0 2891164 2564294 326870 0 254741 215965 38776 0 192707 133747 58960 0 1314357 1051486 262871 0 0 0 0 0 1385202 912802 472400 0 207370 118319 89051 0 0 0 0 0 0 0 0 0 1128856 781105 347751 0 0 0 0 0 4704438 3246062 1458376 0 899919 814183 85736 0 Supplies 10445379 9696656 748723 0 Purchased Services 4698831 3229940 1468891 0 1926092 1329044 597048 0 75712763 61570218 14142545 0 5787862 7370247 102931 103795 145809 164598 8078723 9309879 0 0 0 0 0 0 1123692 1016239 1286197 1149539 89724891 47038452 44539354 42686439 4842614 5204925 0 0 0 0 0 0 7142800 7256333 73049982 74261994 11103214 9604241 0 0 0 0 11300000 10490000 0 0 0 0 14998349 14137038 0 0 13349675 15401576 50751238 49632855 X 18779823 21394372 3232145 2947991 286776 286776 22298744 24629139 73049982 74261994 X 4439128 221882 0 0 0 -2330615 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1393290 0 141096 0 0 0 1534386 1388741 0 4549 0 0 0 1393290 1271721 0 117020 0 0 0 1388741 1054071 0 217650 0 0 0 1271721 1323072 0 -269001 0 0 0 1054071 0.83 0.17 0 0 0 0 592242 592242 0 51449808 19458280 31991528 0 0 0 0 0 37682841 27580172 10102669 0 0 0 0 42686439 Prepaid Pension Cost 3882311 Interest in Net Assets of UMMC Foundation 2190743 Deferred Financing Cost 518524 Deferred Financing Cost OR Project 418138 Merger Organization Cost 111627 Covenant-Not-To-Compete 102395 Deferred Compensation Plan 32595 7256333 0 Accrued Pension 15401576 15401576 X 79945925 221881 0 0 591508 813389 79132536 0 1019355 1019355 80151891 76304288 0 0 0 591525 591525 75712763 0 0 0 75712763 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 $1,273,033. The unrestricted portion of the endowment fund has no restrictions place 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 in accordance with US GAAP, which requires the recognition and measurement of uncertain tax positions that the Center and JRD have taken or expects to take in the Center of JRD's tax returns. Accordingly, no provisions for income taxes has 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 2009. SchD_P11_S00_L02d Schedule D, Part XI, Line 2d Rental Expenses $506,832 plus Cost of Goods Sold $84,676 SchD_P11_S00_L04b Schedule D, Part XI, Line 4b Contribution from HUD $500,000 plus Contributions for property, plant and equipment $513,641 plus loss on impairment of assets $5,714. SchD_P12_S00_L02d Schedule D, Part XII, Line 2d Rental expenses $506,832 and cost of goods sold $84,676 and rounding $17. 1 1 1 X 3 1 X 1 1 1 0 1 1 1481301 520832 960469 0.0127 11552708 10001748 1550960 0.0205 926897 802460 124437 0.0016 0 0 13960906 11325040 2635866 0.0348 308794 19638 289156 0.0038 28202 0 28202 0.0004 54485 0 54485 0.0007 0 0 391481 19638 371843 0.0049 0 0 14352387 11344678 3007709 0.0397 18870 0 18870 0.0002 32646 0 32646 0.0004 0 0 51516 0 51516 0.0006 1 1113613 278403 10021333 11951170 -1929837 X 1 1 1 1 United Memorial Medical Center

127 North Street Batavia NY 14020

www.ummc.org X X X United Memorial Medical Center 1 1 1 300 1 300 1 X X 1 1 X X X 1 X 1 X X X X X 1 X 0 0 SchH_P01_S00_L07 Schedule H, Part I, Line 7 The hospital used the Ratio of Cost to Charges methodology to calculate the cost for each of the programs listed in Part I. The hospital used the Worksheet #2 provided in the 990 Schedule H instructions to calculate the Ratio of Cost to Charges. SchH_P01_S00_L072f Schedule H, Part I, Line 7, Column f The amount omitted from Form 990, Part IX, line 25, column (A) was $2,729,476 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 *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 payers. 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. Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Center analyzes their past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Center analyzes contractually due amounts and provides an allowance for doubtful and a provision for bad debts, if necessary, for receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Center records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have be exhausted is charged off against the allowance for doubtful accounts. The Center's allowance for doubtful accounts decreased form 12% of gross accounts receivable at December 31, 2011 to 10% of gross accounts receivable at December 31, 2012. In addition, the Center's bad debt write-offs decreased $50,343 from $2,779,819 for fiscal year 2011 to $2,729,476 for fiscal year end 2012. Both decreases were to account for positive trends experienced in the collection of amounts from self-pay patients in fiscal year 2012. The Center has not changed its charity care or uninsured discount policies during fiscal years 2011 and 2012. The Center does not maintain a material allowance for doubtful accounts from third-party payors, nor did it have significant write=offs from third party payors. 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 2012 Medicare Cost Report to determine the shortfall in Medicare Payments. SchH_P03_S0C_L09b Schedule H, Part III, Section C, Line 9b 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 thru Sunday. A Self Pay report is compiled daily to identify all outpatients 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 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 *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 Assistance program to patients by posting it on the hospitals website, providing it in writing to patients upon admission to the hospital, available upon request and is available through published brochure of the hospital. The hospital has also done education session with the local radio station. SchH_P06_S00_L04 Schedule H, Part VI, Line 4 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 2012 population of 59,977. With the inclusion of adjacent communities, United Memorial serves a total population of approximately 93,000 residents. Of the estimated 2010 county population, 93.4% are considered White, Non-Hispanics; 5.5% were under the age of 5; 21.7% were under the age of 18 and 15.9% were age 65 and older. In Genesee County, 11.7% (2006-2010) of the population lives below the poverty level. The median household income is $50,861. 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. For Orleans County, United Memorial began operation of an OB/GYN physician office in Medina, NY when the Orleans County community hospital ended maternity services in July 2011. Women in that county continue to have access to physician services and deliveries are performed at United Memorial in Batavia. Orleans County had a 2012 population estimate of 42,836, of which 50.3% is female. The median household income in Orleans County was $47,788 (2006-2010) 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 2012, several members of our senior leadership and management team volunteered for the United Way's Make a Difference Day and worked at a Habitat for Humanity Home. Hospital leaders served as active members of the local chapters of Rotary, Kiwanis, the Office for the Aging Advisory Counsel, and many are members of the Board of Directors for the Chamber of Commerce, YMCA, Justice for Children GLOW Foundation, Leadership Genesee, and Tonawanda Valley Federal 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 and 5K runs, 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 physician 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. 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 189 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 Program (CSP) of Genesee and Orleans County. In 2011, 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 2012, the CSP assisted 295 individuals with important life-saving diagnostic screenings. The CSP partners with the local Zonta Chapter to provide funding for treatment and services related to the diagnostic outcomes of CSP clients (i.e. follow doctor's 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 hospital 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 over 175 members of the Medical Staff. The hospital operates a 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 hospital's income inures to the benefit of any private individual nor is a private interest being services. The hospitals surplus finds 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 for adults and teenagers. SchH_P06_S00_L06 Schedule H, Part VI, Line 6 Not applicable. SchH_P06_S00_L07 Schedule H, Part VI, Line 7 The hospital completes and files with the New York State Department of Health an Annual Report which includes community benefits that the hospital provides. X X X X X 0 0 0 0 0 0 0 0 0 Mark Schoell 370945 0 0 0 2130 0 35250 0 17041 0 425366 0 0 0 Robert Chiavetta 220202 0 0 0 267 0 11010 0 16327 0 247806 0 0 0 Daniel Ireland 187114 0 0 0 143 0 9709 0 16849 0 213815 0 0 0 Mary Beth Bowen 175859 0 0 0 191 0 8627 0 6433 0 191110 0 0 0 Anthony Froix MD 300480 0 82162 0 270 0 13750 0 7785 0 404447 0 0 0 Anthony DiBenedetto MD 274219 0 15463 0 0 0 0 0 0 0 289682 0 0 0 Richard Edwards MD 247921 0 0 0 14924 0 6185 0 17891 0 286921 0 0 0 Anupa Seth MD 167015 0 113746 0 97 0 0 0 198 0 281056 0 0 0 Courtney Diehl MD 250016 0 0 0 170 0 0 0 16366 0 266552 0 0 0 Michele Odrobina MD 253284 0 8718 0 191 0 0 0 454 0 262647 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. A Genesee County Industrial Developement Agency 161139027 371672AD8 2007-04-27 14704494 Renovation of outpatient diagnostic center and physicians offices 0 0 0 A 0 0 14704494 1176970 0 0 294090 0 0 13233434 0 0 2007 0 0 1 1 A 0 0 0 0 0 0 0 1 0 1 A 0 0 0 0 0 0 0 0 1 A 1 James Fulmer Board Member 516732 See Part V 0 William Fritts Board Member 60170 See Part V 0 SchL_P04_S00_L00 Schedule L, Part IV 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 2012 was $516,732 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 2012 was $60,170. F990_P06_S0A_L03 Form 990, Part VI, Section A, Line 3 During 2012 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, pharmacy and wound care. 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_L11b Form 990, Part VI, Section B, Line 11b The hospital issues the final Form 990 to all member of the hospital's board before their monthly meeting and the Vice President of Finance reviews the Form 990 at this meeting and answers any questions 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 Governance 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 on 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 from a variety of sources. Other 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 statements are included with hospitals annual report which is located on the hospitals website. F990_P07_S0A_L01a Form 990, Part VII, Section A, Line 1a The United Memorial Medical Center has a 15 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 F990_P11_S00_L09 Form 990, Part XI, Line 9 Loss on disposal of assets ($5,714) plus Change in unrestricted interest in net assets of Foundation ($152,253) minus Minimum pension liability adjustment ($2,051,901) minus Net assets released from restrictions used in operations ($2,103), minus change in temporarily restricted interest in net assets of Foundation ($423,149) minus rounding ($1). 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 0 Jerome Center Redevelopment Inc 127 North Street Batavia NY 14020 900461497 Noncontrolling member of Bank Street Senior Housing NY N/A C 0.00005 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 United Memorial Medical Center Foundation Inc c 512141 Total cash transferred from Foundation to Medical Center for capital additions United Memorial Medical Center Foundation Inc n 7524 Actual expenses relating to building that Foundation is located in. United Memorial Medical Center Foundation Inc q 70419 Total expenses paid by United Memorial Medical Center and then reimbursed by the Foundation back to the Medical Center.