2024-05-13T15:15:15-05:00 2023-06-30 161131146 BONADIO & CO LLP 432 NORTH FRANKLIN STREET SYRACUSE NY 13204 990 2022-07-01 161037658 RED JACKET CENTER INC REDJ 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 2024-05-07 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z J CHAD TEETERS MD 111 CLARA BARTON STREET DANSVILLE NY 14437 1284343 0 X N/A X 1972 NY RED JACKET CENTER, INC. PROVIDES RENTAL SPACE FOR FAMILY PHYSICIANS, PEDIATRICIANS, OPHTHALMOLOGISTS, SURGEONS, AND NICHOLAS H. NOYES MEMORIAL HOSPITAL. 17 12 0 13 0 0 0 0 1143443 1145195 0 -77732 0 0 1143443 1067463 0 0 0 0 0 0 0 0 0 960115 930597 960115 930597 183328 136866 11434498 10467622 6571766 5468024 4862732 4999598 TO ESTABLISH, CONSTRUCT, EQUIP, OPERATE AND MAINTAIN AN OFFICE BUILDING TO ATTRACT DOCTORS INTO THE RURAL AREA OF DANSVILLE, NEW YORK AND THE TRI-COUNTY AREA OF LIVINGSTON, STEUBEN AND ALLEGANY COUNTIES. 0 0 921792 1145195 RENTAL TO FAMILY PHYSICIANS, PEDIATRICIANS, OPTHALMOLOGISTS, SURGEONS, AND NICHOLAS H. NOYES MEMORIAL HOSPITAL. 921792 1 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 17 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 2.00 56.00 X X 0 584126 62674 RICHARD RIZZIERI CHAIRPERSON 2.00 18.00 X X 0 0 0 MATT COLE FIRST VICE CHAIRPERSON 2.00 2.00 X X 0 0 0 LINDSAY QUINTILONE SECOND VICE CHAIRPERSON 1.00 1.00 X X 0 0 0 DOMENICK MARTELLO COMMUNITY DIRECTOR 1.00 1.00 X 0 0 0 BARBARA FRAZER TREASURER 1.00 1.00 X X 0 0 0 MARILYN M MOORE SECRETARY 5.00 5.00 X X 0 0 0 JOAN FLENDER MD COMMUNITY DIRECTOR 1.00 1.00 X 0 0 0 STEVEN GOLDSTEIN UR DIRECTOR 2.00 71.00 X 0 3306548 209673 STEVE HARRISON COMMUNITY DIRECTOR 1.00 1.00 X 0 0 0 ROBERT MCCANN MD UR DIRECTOR 2.00 60.00 X 0 498470 59743 JOHN QUINLAN COMMUNITY DIRECTOR 1.00 2.00 X 0 0 0 AHSEN SHEIKH MD PRESIDENT, MEDICAL STAFF 1.00 1.00 X 0 0 0 BERNARD SWEENEY MD COMMUNITY DIRECTOR 1.00 1.00 X 0 0 0 MARK TAUBMAN MD UR DIRECTOR 2.00 75.00 X 0 1783432 176973 JAMES CULBERTSON COMMUNITY DIRECTOR 1.00 1.00 X 0 0 0 GEOFFREY WITTIG MD PRESIDENT-ELECT, MEDICAL S 1.00 1.00 X 0 0 0 MARK PRUNOSKE CHIEF FINANCIAL OFFICER 1.00 39.00 X 0 438547 80242 0 6611123 589305 0 0 1 0 0 RENTAL INCOME 531120 1145195 1145195 1145195 139148 216880 -77732 -77732 -77732 1067463 1145195 0 -77732 193 193 271 189 82 190060 190060 719543 719543 12000 12000 OTHER EXPENSES 8530 8530 930597 921792 8805 0 327542 206735 9747 28367 16108 23999386 13754607 11068842 10244779 11434498 10467622 2826 17240 6568940 5450784 6571766 5468024 X 4862732 4999598 4862732 4999598 11434498 10467622 136866 0 X 0 1 X 1 0 X X 1 NICHOLAS H NOYES MEMORIAL HOSPITAL 160743979 3 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION A, LINE 1: RED JACKET CENTER, INC. (RED JACKET) WAS ESTABLISHED AS A CODE SECTION 509(A)(3) SUPPORTING ORGANIZATION AND CONTINUES AS A REAL ESTATE HOLDING COMPANY SUPPORTING NICHOLAS H. NOYES MEMORIAL HOSPITAL (THE HOSPITAL). RED JACKET'S PURPOSE IS TO ESTABLISH, CONSTRUCT, EQUIP, OPERATE AND MAINTAIN AN OFFICE BUILDING TO ATTRACT DOCTORS INTO THE RURAL AREA OF DANSVILLE, NEW YORK, AND THE TRI-COUNTY AREA OF LIVINGSTON, STEUBEN AND ALLEGANY COUNTIES. THEREFORE, RED JACKET'S STATUS AS A SUPPORTING ORGANIZATION TO THE HOSPITAL IS DESIGNATED BY PURPOSE. LIVINGSTON HEALTH CARE SYSTEM, INC. (LHCS), RED JACKET'S SOLE CORPORATE MEMBER, OBTAINED A RULING FROM THE INTERNAL REVENUE SERVICE DESIGNATING RED JACKET AS A SUPPORTING ORGANIZATION OF THE HOSPITAL. 613126 613126 20052634 10715506 9337128 3333626 3039101 294525 10244779 DUE TO RELATED ENTITY 5450784 5450784 0 1 0 0 0 0 0 0 0 STEVEN GOLDSTEIN UR DIRECTOR 0 1509252 0 0 0 1797296 0 188712 0 20961 0 3516221 0 1701400 MARK TAUBMAN MD UR DIRECTOR 0 1744544 0 0 0 38888 0 156577 0 20396 0 1960405 0 0 J CHAD TEETERS MD PRESIDENT/CHIEF EXECUTIVE 0 584126 0 0 0 0 0 28787 0 33887 0 646800 0 0 ROBERT MCCANN MD UR DIRECTOR 0 494955 0 0 0 3515 0 36333 0 23410 0 558213 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 INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED EMPLOYER PAID AMOUNTS THAT ARE INCLUDED IN DEFERRED COMPENSATION: STEVEN GOLDSTEIN - SERP PLAN - $159,400 ROBERT MCCANN, M.D. - SERP PLAN - $12,800 MARK TAUBMAN, M.D. - SERP PLAN - $127,265 MARK PRUNOSKE - 457(F) PLAN - $31,534 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED EMPLOYER PAID AMOUNTS THAT ARE INCLUDED IN OTHER REPORTABLE COMPENSATION: STEVEN GOLDSTEIN - 457(F) PLAN - $1,701,400 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 SEVERAL OF THE DIRECTORS OF NICHOLAS H. NOYES MEMORIAL HOSPITAL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER THROUGH THEIR EMPLOYMENT. MARK TAUBMAN IS AN OFFICER OF THE UNIVERSITY OF ROCHESTER. STEVEN GOLDSTEIN, ROBERT MCCANN, AND J. CHAD TEETERS ARE EMPLOYEES OF THE UNIVERSITY OF ROCHESTER. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF RED JACKET CENTER, INC. IS LIVINGSTON HEALTH CARE SYSTEM, INC. FORM 990, PART VI, SECTION A, LINE 7A UP TO 18 "COMMUNITY DIRECTORS" ARE APPOINTED BY LIVINGSTON HEALTH CARE SYSTEM, INC. TO THE BOARD OF DIRECTORS OF NICHOLAS H. NOYES MEMORIAL HOSPITAL (THE HOSPITAL). PER THE BYLAWS OF RED JACKET CENTER, INC. (RED JACKET), THE COMMUNITY DIRECTORS OF RED JACKET SHALL CONSIST OF THOSE INDIVIDUALS WHO SERVE AS COMMUNITY DIRECTORS OF THE HOSPITAL. UP TO 3 "UR DIRECTORS" ARE APPOINTED BY THE UNIVERSITY OF ROCHESTER TO THE BOARD OF DIRECTORS OF RED JACKET. THE UNIVERSITY OF ROCHESTER RESERVES THE POWER TO ELECT AND REMOVE THE DIRECTORS OF RED JACKET. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN DECISIONS REQUIRE THE APPROVAL OF LIVINGSTON HEALTH CARE SYSTEM, INC. AS THE SOLE CORPORATE MEMBER OF RED JACKET CENTER, 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 AN ACTUAL OR POTENTIAL CONFLICT 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 RED JACKET CENTER, 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. 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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 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0