2024-05-14T16:22:01-05:00 2023-06-30 161131146 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 990 2022-07-01 473763374 JONES MEMORIAL HOSPITAL FOUNDATION JONE 5855931100 191 N MAIN STREET WELLSVILLE NY 14895 BOYD CHAPPELL CHIEF FINANCIAL OFFICER 5855931100 2024-05-14 1 BOYD CHAPPELL 999009999 1 AIMEE JOZIC P01329472 5853811000 2024-05-01 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z BOYD CHAPPELL 191 N MAIN STREET WELLSVILLE NY 14895 1010610 0 X N/A X 2016 NY TO BENEFIT JONES MEMORIAL HOSPITAL AND AFFLIATES 10 8 0 9 0 0 230075 998297 0 0 7 0 0 6270 230082 1004567 0 957398 0 0 0 0 0 0 0 229324 31314 229324 988712 758 15855 2132820 2295148 232337 348611 1900483 1946537 TO BENEFIT JONES MEMORIAL HOSPITAL AND AFFLIATES 0 0 986695 957398 TO BENEFIT JONES MEMORIAL HOSPITAL AND AFFLIATES 986695 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 8 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X BOYD CHAPPELL 5855964002 191 N MAIN STREET WELLSVILLE NY 14895 GARY BALCOM PRESIDENT 5.00 X X 0 0 0 JAQUELINE COMSTOCK VICE PRESIDENT 5.00 X X 0 0 0 RICH SHEAR TREASURER 5.00 X X 0 0 0 LUANNE COMSTOCK SECRETARY 5.00 X X 0 0 0 KELLIE ANDERSON BOARD MEMBER 2.00 55.00 X 0 379393 83997 JAMES HELMS BOARD MEMBER 2.00 40.00 X 0 220834 13048 KAY EICHER BOARD MEMBER 2.00 X 0 0 0 GERALYN GOUGH BOARD MEMBER 2.00 X 0 0 0 SAMANTHA GILKEY BOARD MEMBER 2.00 X 0 0 0 JENNIFER JOYCE BOARD MEMBER 2.00 X 0 0 0 VALERIE VREELAND BOARD MEMBER 2.00 X 0 0 0 0 600227 97045 0 0 1 0 0 3298 994999 998297 10040 3298 6043 3997 3997 OTHER OPERATING REVENU 900099 2273 2273 2273 1004567 0 0 6270 957398 957398 21985 21985 3792 3792 OTHER EXPENSES 3520 3520 BANK FEES 2017 2017 988712 986695 2017 0 451600 220964 336540 675073 1344680 1055317 0 343794 2132820 2295148 6157 2358 226180 346253 232337 348611 X 1900483 1127352 819185 1900483 1946537 2132820 2295148 15855 30199 0 X 0 1 X 1 0 X 82354 66396 39379 1120117 998297 2306543 82354 66396 39379 1120117 998297 2306543 2306543 2306543 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 229814 23031 252845 267607 -37793 229814 212182 55425 267607 20500 7182 27682 1.00000 0 0 0 DUE FROM AFFILIATES 343794 343794 DUE TO AFFILIATES 346253 346253 0 THE MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INC 191 NORTH MAIN STREET WELLSVILLE NY 14895 222807681 957398 0 FAIR MARKET VALUE TO SUPPORT HOSPITAL OPERATIONS 1 0 1 0 0 0 0 0 0 0 KELLIE ANDERSON BOARD MEMBER 0 376093 0 0 0 3300 0 53344 0 30653 0 463390 0 0 JAMES HELMS BOARD MEMBER 0 220834 0 0 0 0 0 6625 0 6423 0 233882 0 0 PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED EMPLOYER PAID AMOUNTS THAT ARE INCLUDED IN DEFERRED REVENUE: KELLIE ANDERSON - SERP PLAN - $25,000 FORM 990, PART VI, SECTION A, LINE 2 SOME OF THE TRUSTEES OF THE ORGANIZATION HAVE BUSINESS RELATIONSHIPS WITH EACH OTHER THROUGH THEIR EMPLOYMENT AND SERVICE AS OFFICER OF A RELATED ORGANIZATION - THE UNIVERSITY OF ROCHESTER. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER IS JONES MEMORIAL HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A JONES MEMORIAL HOSPITAL HAS THE AUTHORITY TO ELECT THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS SUCH AS AMENDMENT OF THE CERTIFICATE OF INCORPORATION AND BYLAWS AND APPROVAL OF EXTRAORDINARY CORPORATE ACTIONS SUCH AS MERGER OR DISSOLUTION ARE SUBJECT TO THE APPROVAL OF JONES MEMORIAL HOSPITAL. FORM 990, PART VI, SECTION B, LINE 11B THE VP OF FINANCE FOR JONES MEMORIAL HOSPITAL REVIEWS THE DRAFT REPORT. ALL MEMBERS OF THE GOVERNING BODY ARE PROVIDED WITH A COPY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES SIGN A CONFLICT OF INTEREST DISCLOSURE ANNUALLY. THE SIGNED STATEMENTS ARE KEPT IN THE ADMINISTRATION OFFICE. FORM 990, PART VI, SECTION C, LINE 19 THE FORM 990 IS AVAILABLE UPON REQUEST. THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE NOT ROUTINELY MADE AVAILABLE TO THE PUBLIC. 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