Civic Intelligence

The Rochester General Hospital

EIN 16-0743134 • 501(c)3 • Rochester, NY

Profile

To establish, erect and maintain a general hospital and dispensary in the county of monroe, ny for medical and surgical aid, care and treatment of persons in need thereof; to carry on and conduct a training school for nurses; to promote and carry on scientfic research related to the care of the sick and injured; to participate in any activities designed and carried on to promote the general health of the community; and to acquire by purchase, lease or gift, or in any other fashion, any and all real and personal property necessary or advisable for carrying out any of the foregoing purposes and powers.

1425 Portland AvenueRochester, NY 14621

www.rochesterregional.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

78th percentile

0.57x

Higher debt load relative to assets than 78% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Liabilities / Revenue

56th percentile

0.66x

Higher debt load relative to revenue than 56% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Net Margin

18th percentile

-0.7%

Higher net margin than 18% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Top Officer Pay

77th percentile

$4,013,008

Higher top officer pay than 77% of similar nonprofits.

Top officer pay equals 0.2% of source-year revenue.

501(c)3 • $1B+ nonprofits • Source year 2024

Asset Growth

8th percentile

-3.2%

Faster asset growth than 8% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Revenue Growth

48th percentile

10%

Faster revenue growth than 48% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Assets

Down

$2,017,718,765

Down $67,713,923 (-3.2%) from 2023

Liabilities

Down

$1,157,820,039

Down $65,939,855 (-5.4%) from 2023

Net Assets

Down

$859,898,726

Down $1,774,068 (-0.2%) from 2023

Revenue

Up

$1,742,626,515

Up $160,291,452 (+10%) from 2023

Expenses

Up

$1,755,613,794

Up $183,162,480 (+12%) from 2023

Net Income

Down

-$12,987,279

Down $22,871,028 (-231%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$3.0B$2.0B$1.0B$0Assets 2010: $539,083,630Liabilities 2010: $260,868,465Net Assets 2010: $278,215,1652010Assets 2011: $674,600,243Liabilities 2011: $371,640,427Net Assets 2011: $302,959,8162011Assets 2012: $688,935,194Liabilities 2012: $352,154,587Net Assets 2012: $336,780,6072012Assets 2013: $795,666,612Liabilities 2013: $422,158,985Net Assets 2013: $373,507,6272013Assets 2014: $833,553,487Liabilities 2014: $434,721,696Net Assets 2014: $398,831,7912014Assets 2015: $873,413,503Liabilities 2015: $453,359,827Net Assets 2015: $420,053,6762015Assets 2016: $950,501,194Liabilities 2016: $465,156,538Net Assets 2016: $485,344,6562016Assets 2017: $1,193,595,389Liabilities 2017: $648,566,903Net Assets 2017: $545,028,4862017Assets 2018: $1,316,612,374Liabilities 2018: $746,164,892Net Assets 2018: $570,447,4822018Assets 2019: $1,573,204,069Liabilities 2019: $878,416,296Net Assets 2019: $694,787,7732019Assets 2020: $1,909,041,081Liabilities 2020: $1,101,512,918Net Assets 2020: $807,528,1632020Assets 2021: $1,891,434,393Liabilities 2021: $978,531,019Net Assets 2021: $912,903,3742021Assets 2022: $2,092,987,995Liabilities 2022: $1,266,599,059Net Assets 2022: $826,388,9362022Assets 2023: $2,085,432,688Liabilities 2023: $1,223,759,894Net Assets 2023: $861,672,7942023Assets 2024: $2,017,718,765Liabilities 2024: $1,157,820,039Net Assets 2024: $859,898,7262024

Highlighted filing

2024

Assets$2,017,718,765
Liabilities$1,157,820,039
Net Assets$859,898,726

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$2.0B$1.5B$1.0B$500M$0-$500MExpenses 2010: $650,282,4292010Expenses 2011: $688,350,0492011Expenses 2012: $734,920,8912012Revenue 2013: $830,523,753Expenses 2013: $789,773,606Net Income 2013: $40,750,1472013Revenue 2014: $876,451,588Expenses 2014: $840,384,703Net Income 2014: $36,066,8852014Revenue 2015: $914,436,241Expenses 2015: $878,427,615Net Income 2015: $36,008,6262015Revenue 2016: $921,395,510Expenses 2016: $885,986,651Net Income 2016: $35,408,8592016Revenue 2017: $969,828,840Expenses 2017: $922,144,668Net Income 2017: $47,684,1722017Revenue 2018: $1,030,082,135Expenses 2018: $983,441,367Net Income 2018: $46,640,7682018Revenue 2019: $1,074,613,868Expenses 2019: $1,008,759,920Net Income 2019: $65,853,9482019Revenue 2020: $1,138,862,701Expenses 2020: $1,037,405,114Net Income 2020: $101,457,5872020Revenue 2021: $1,281,258,308Expenses 2021: $1,173,234,731Net Income 2021: $108,023,5772021Revenue 2022: $1,343,816,477Expenses 2022: $1,357,482,482Net Income 2022: -$13,666,0052022Revenue 2023: $1,582,335,063Expenses 2023: $1,572,451,314Net Income 2023: $9,883,7492023Revenue 2024: $1,742,626,515Expenses 2024: $1,755,613,794Net Income 2024: -$12,987,2792024

Highlighted filing

2024

Revenue$1,742,626,515
Expenses$1,755,613,794
Net Income-$12,987,279

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$2,018$1,158$860$1,743$1,756$13.0
2023Detailed filing. Detailed filing data is available for this year.$2,085$1,224$862$1,582$1,572$9.88
2022Detailed filing. Detailed filing data is available for this year.$2,093$1,267$826$1,344$1,357$13.7
2021Detailed filing. Detailed filing data is available for this year.$1,891$979$913$1,281$1,173$108
2020Detailed filing. Detailed filing data is available for this year.$1,909$1,102$808$1,139$1,037$101
2019Detailed filing. Detailed filing data is available for this year.$1,573$878$695$1,075$1,009$65.9
2018Detailed filing. Detailed filing data is available for this year.$1,317$746$570$1,030$983$46.6
2017Detailed filing. Detailed filing data is available for this year.$1,194$649$545$970$922$47.7
2016Detailed filing. Detailed filing data is available for this year.$951$465$485$921$886$35.4
2015Detailed filing. Detailed filing data is available for this year.$873$453$420$914$878$36.0
2014Detailed filing. Detailed filing data is available for this year.$834$435$399$876$840$36.1
2013Detailed filing. Detailed filing data is available for this year.$796$422$374$831$790$40.8
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$689$352$337$735
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$675$372$303$688
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$539$261$278$650
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Dec 15, 2025
Return Version
2024v5.2
Gross Receipts
$1,899,012,866
Mission and Program Overview

Mission

To establish, erect and maintain a general hospital and dispensary in the county of monroe, ny for medical and surgical aid, care and treatment of persons in need thereof; to carry on and conduct a training school for nurses; to promote and carry on scientific research related to the care of the sick and injured; to participate in any activities designed and carried on to promote the general health of the community; and to acquire by purchase, lease or gift, or in any other fashion, any and all real and personal property necessary or advisable for carrying out any of the foregoing purposes and powers.

To operate a general hospital in the county of monroe, ny for medical and surgical aid, care and treatment of persons in need.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$654,411,566$629,768,800▼ $24,642,766
Investments Other Securities$274,443,846$250,093,511▼ $24,350,335
Investments in Publicly Traded Securities$235,529,306$232,964,186▼ $2,565,120
Accounts Receivable$75,133,578$99,694,519▲ $24,560,941
Prepaid Expenses and Deferred Charges$14,504,819$20,802,198▲ $6,297,379
Inventories for Sale or Use$24,784,748$20,793,416▼ $3,991,332
Savings and Temporary Cash Investments$48,639,843$18,448,257▼ $30,191,586
Cash and Non-Interest-Bearing Accounts$26,755,511$3,828,359▼ $22,927,152
Pledges and Grants Receivable$2,041,397$331,197▼ $1,710,200
Other Notes and Loans Receivable, Net$535,641$321,477▼ $214,164
Total Assets$2,085,432,688$2,017,718,765▼ $67,713,923
Other Assets Total$728,652,433$740,672,845▲ $12,020,412
Liabilities
Tax Exempt Bond Liabilities$505,053,056$499,083,530▼ $5,969,526
Other Liabilities$490,501,099$419,197,390▼ $71,303,709
Accounts Payable and Accrued Expenses$223,549,077$238,051,291▲ $14,502,214
Deferred Revenue$4,656,662$1,487,828▼ $3,168,834
Total Liabilities$1,223,759,894$1,157,820,039▼ $65,939,855
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$822,040,409$816,593,387▼ $5,447,022
Net Assets With Donor Restrictions$39,632,385$43,305,339▲ $3,672,954
Total Net Assets Fund Balance$861,672,794$859,898,726▼ $1,774,068
Total Liabilities and Net Assets / Fund Balance$2,085,432,688$2,017,718,765▼ $67,713,923

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$432,480,953$275,789,133$708,270,086
Equipment$115,686,899$436,047,489$551,734,388
Other Land Buildings$76,449,666$9,694,724$86,144,390
Leasehold Improvements$2,251,282$53,340,854$55,592,136
Land$2,900,000-$2,900,000
Other Assets Org$454,144,439--
Other Securities$226,797,163--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$15,229,262$-1,087,839--$14,141,423
2023$14,155,876$1,073,386--$15,229,262
2022$16,249,510$-2,093,634--$14,155,876
2021$14,683,970$1,565,540--$16,249,510
2020$13,088,985$1,594,985--$14,683,970
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Timothy WagerPhysicianFT$1,686,271$392,647$2,078,918
Gordon WhitbeckPhysicianFT$900,999$694,574$1,595,573
Ryan LydonPhysicianFT$875,609$622,294$1,497,903
Gian VinelliPhysicianFT$927,111$483,051$1,410,162
Rami ElshaarPhysicianFT$913,773$423,809$1,337,582
Richard Davis PhdCEOPT$426,107$522,422$948,529
Tammy SnyderPresidentFT$493,655$207,702$701,357
Hugh ThomasFormer CAO-$472,390$472,390$472,390
Jennifer EslingerCOOPT$221,953$200,335$422,288
Thomas CrillyCFOPT$187,530$218,102$405,632
Rania Ayyad MdDirectorFT$189,228$144,855$334,083
Charles WhippleGeneral CounselPT$186,500$68,078$254,578
Laurie Lerner MdMedical Staff PresidentFT$140,013$1,958$141,971
Tricia Gatlin Ph D RnChair of the BoardFT$23,681-$23,681

Board Members and Trustees

NameTitle
Adam Zinkin MdMedical Staff President
Kathy Vaeth Ph DVice Chair
Ernest LamourDirector
Karen M GallinaDirector
Leon T SawykoDirector
Linda BeckerDirector
Marcy C Mulconry MdDirector
Mike CiceroDirector
Sara Kelly PhdDirector
Walter LarkinDirector
Christian CasiniAssistant Secretary
Julia TedescoSecretary
Jeffrey C MapstoneTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Healthcare Workforce LogisticsWorkforce Solutions ServicesPO BOX 860573, Minneapolis, MN 55486$52,252,854
Rochester Radiology Associates PCPhysician Services2050 SOUTH CLINTON AVE, Rochester, NY 14618$25,656,970
TrimedxClinical Asset Management ServicesPO BOX 636129, Cincinnati, OH 45263$18,667,242
Hhs Environmental Services LLCEnvironmental ServicesPO BOX 734367, Dallas, TX 75373$13,379,603
Dga Builders LLCConstruction Services7612 COUNTY RD 42, Victor, NY 14564$8,812,810
Revenue and Support

Revenue Composition

Contributions and Grants
$24,839,837
Program Service Revenue
$1,674,556,266
Investment Income
$27,779,002
Other Revenue
$15,451,410
All Other Contributions
$13,390,876
Change in Net Assets
$-12,987,279
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$923,200,656
Salaries, Compensation, and Employee Benefits$768,485,173
Grants and Similar Amounts Paid$63,927,965
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$595,546,161$22,005,445-$617,551,606
Fees for Services Other$192,513,583$38,254,957-$230,768,540
Depreciation Depletion$52,125,249$12,446,710-$64,571,959
Grants to Domestic Orgs$63,927,965--$63,927,965
Pension Plan Contributions$50,786,625$1,782,412-$52,569,037
Payroll Taxes$46,078,091$2,411,268-$48,489,359
Occupancy$34,695,186$13,281,793-$47,976,979
Other Employee Benefits$45,005,851$1,203,882-$46,209,733
Interest$13,744,306$3,281,930-$17,026,236
Insurance$11,909,590$266,172-$12,175,762
Office Expenses$7,066,232$141,503-$7,207,735
Other Expenses$6,140,289$137,230-$6,277,519
Current Officers, Directors, Trustees, and Key Employees$3,201,189$464,249-$3,665,438
Fees for Services Management$1,730,209$662,348-$2,392,557
All Other Expenses$1,013,462$22,650-$1,036,112
Travel$735,628$16,441-$752,069
Fees for Services Legal$516,906$197,879-$714,785
Fees for Services Lobbying-$230,360-$230,360
Fees for Services Accounting$28,883$11,057-$39,940
Total Functional Expenses$1,637,990,286$117,623,508$0$1,755,613,794
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Canton Potsdam Hospital IncPotsdam, NY501 (c)(3)Funding$60,000,000
Rochester Regional Health FoundationRochester, NY501 (c)(3)Funding$3,319,195
American Heart Association IncPittsburgh, PA501 (c)(3)Sponsorship$100,000
Roc2025 IncRochester, NY501 (c)(6)Sponsorship$100,000
Rochester International Jazz Festival LLCRochester, NYLLC EntitySponsorship$85,000
American Heart Association IncBoone, IA501 (c)(3)Sponsorship$50,000
Monroe County Medical Society IncRochester, NY501 (c)(6)Sponsorship$35,000
Mercy Flight Central IncCanandaigua, NY501 (c)(3)Sponsorship$25,000
Rochester Institute of TechnologyRochester, NY501 (c)(3)Sponsorship$25,000
American Cancer Society IncRochester, NY501 (c)(3)Sponsorship$20,000
Yellow Jacket Racing LLCRochester, NYLLC EntitySponsorship$20,000
Intervol IncRochester, NY501 (c)(3)Sponsorship$18,000
Friends of the Constellation Brands - Marvin Sands Performing Arts CenterBuffalo, NY501 (c)(3)Sponsorship$16,740
Batavia Airshow Foundation IncBatavia, NY501 (c)(3)Sponsorship$15,000
Finger Lakes Health Systems AgencyRochester, NY501 (c)(3)Sponsorship$10,050
Action for a Better Community IncRochester, NY501 (c)(3)Sponsorship$10,000
Cancer Action IncRochester, NY501 (c)(3)Sponsorship$10,000
Lake Erie College of Osteopathic MedicineElmira, NY501 (c)(3)Sponsorship$10,000
Monroe Community College Foundation IncRochester, NY501 (c)(3)Sponsorship$10,000
Trillium Health IncRochester, NY501 (c)(3)Sponsorship$10,000
Partners in Community DevelopmentRochester, NY501 (c)(3)Sponsorship$7,500
Puerto Rican Festival IncRochester, NY501 (c)(3)Sponsorship$7,500
Ronald Mcdonald House Charities of Rochester Ny IncRochester, NY501 (c)(3)Sponsorship$7,500
Bridgetower Opco LLCAtlanta, GALLC EntitySponsorship$6,480

International Summary

Offices
0
Employees
0
Spending
$0

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
No
Foreign partnership interest
Yes
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
Yes

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and Caribbean-Investments00-
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$154,332,662
Lease Liabilities$102,755,355
Self Insurance Liabilities$87,808,646
Third Party Payables$74,298,827
Other Custodial Liabilities$1,900

Bond Issues

BondIssuerIssuedIssue PricePurpose
CMonroe County Industrial Development Corporation2017-05-18$164,999,706SEE PART VI
DMonroe County Industrial Development Corporation2020-11-17$80,767,117SEE PART VI
AMonroe County Industrial Development Corporation2013-02-27$61,656,043SEE PART VI
BMonroe County Industrial Development Corporation2013-02-27$47,262,507SEE PART VI
AThe Genesee County Funding Corporation2022-05-12$38,407,947SEE PART VI

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
C$164,999,706--$1,899,312
D$80,767,117--$564,686
A$61,656,043$720,879-$983,415
B$47,262,507$11,472,103-$795,669
A$38,407,947--$787,883

Bond Financing Compliance

No rebate due
No
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 1A

Each board has an executive committee. The executive committee consists of the officers of the board plus the chief executive officer of the corporation and such other directors as the chair may nominate from time to time for appointment by a majority vote of the entire board. Between meetings of the board, and to the extent permitted by law, the executive committee shall possess the powers of the board with respect to managing and conducting the affairs of the corporation, except as otherwise provided by law or within certain by-laws.

Form 990, Part VI, Section A, Line 6

The organization is a membership (not a stock) corporation under new york state law. The organization's sole corporate member is rochester regional health, a related not-for-profit organization.

Form 990, Part VI, Section A, Line 7B

Rochester regional health, as the sole corporate member, also has the right to approve or ratify significant decisions of the organization's governing body, including amendment of bylaws and charters, removal of members of the governing body, and the decision to dissolve the organization.

Form 990, Part VI, Section B, Line 11B

Prior to filing, a copy of the form 990 is provided to, and reviewed with, all members of the audit and compliance committee. This review is performed in consultation with the organization's tax advisors, and is based on the organization's audited financial statements and other relevant information for the appropriate time period.

Form 990, Part VI, Section B, Line 12C

Upon employment, all employees receive the ethical standard of conduct booklet for which they sign a receipt of acknowledgement. Conflict of interest education is conducted annually for all employees. Conflict of interest is defined, as is management of a conflict of interest. Employees are required to disclose and seek resolution to any actual or potential conflict of interest before taking a potentially improper action. Annually, each key employee, director and officer of the organization is required to complete a conflict of interest disclosure form, providing management with sufficient information about his/her personal interests and relationships so that management can: (1) determine whether any actual or perceived conflict of interest exists, and (2) monitor work assignments to avoid placing the key employee or officer in a position where there may be a question as to his/her objectivity as well as to avoid any appearance of impropriety. Throughout the year, key employees, officers and directors of the organization are also required to notify management promptly if any change to their disclosures occurs. In addition, each member of the board of directors must also complete a conflict of interest and disclosure form, which must be submitted to the general counsel. Board members leave the room during discussions and abstain from voting when they have a conflict of interest.

Form 990, Part VI, Section B, Line 15

The organization's officer and key employee compensation arrangements are reviewed and approved by the compensation committee. Information reviewed for the officer/key employee includes comparable data from similar size tax-exempt organizations as well as compensation for these positions (as disclosed on form 990) with other organizations in the healthcare industry that are of similar size. Review and approval of the compensation arrangement by the compensation committee is documented.

Form 990, Part VI, Section C, Line 19

The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request at the administrative offices of the affiliated health system at 100 kings highway south, rochester, ny 14617. A nominal fee is charged if copies are requested.

FORM 990, PART VII, SECTION A, COLUMN (F):

Estimated amount of other compensation from the organization and related organizations - this column is reflective of (1) the actuarial change in defined benefit pension plan and post-retirement benefits for the tax year and (2) non-taxable benefits.

FORM 990, PART VII, SECTION A:

The organization is filing this amended 2024 form 990 to correct information previously reported in part vii, section a - compensation of officers, directors, trustees, key employees, highest compensated employees, and independent contractors. The list of highest compensated employees has been updated to reflect the correct individuals for 2024. Part vii affects schedule j, so corresponding updates were also made to schedule j, part ii. No other sections of the return were changed. All information in this amended filing is complete and accurate to the best of the organization's knowledge.

Filing and Contact Details

Filer

Filer Name
The Rochester General Hospital
EIN
16-0743134
Phone
5859221595
Address
1425 PORTLAND AVENUE, ROCHESTER, NY 14621

Signing Officer

Name
Thomas R Crilly
Title
CFO
Phone
5859221595
Signed
2025-12-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Dr Richard Davis
Formed
1847
Legal Domicile
Ny
Voting Board Members
17
Independent Board Members
11
Employees
9,753
Volunteers
291

Preparer

Firm
Bonadio & Co Llp
Address
171 SULLYS TRAIL, PITTSFORD, NY 14534
Preparer
Chelsey Wyant
Phone
5853811000
Supplemental Narrative

Additional Explanations

FORM 990, PART III, LINE 4A:

Rochester regional health (rochester regional/rrh) (i.e. The parent organization and its related affiliates) is an integrated health system rooted in community, serving together to uplift humanity through compassionate care for the people of rochester, the finger lakes region, and new york state's north country. Through robust investments in people, facilities, and technology in each community we serve, rochester regional stands out for its ability to bring the highest quality care close to home. Across western new york, the finger lakes, st. Lawrence county and beyond, rrh proudly serves the community through its nine hospitals providing inpatient, advanced and critical care; hundreds of outpatient specialty, urgent care and primary care practices; behavioral health and chemical dependency treatment centers; innovative and comforting senior services; compassionate home care and hospice care programs; and laboratories, including specialized clinical trial and toxicology testing facilities. Rochester regional has a nationally recognized heart program and a nationally accredited cancer center, and offers patients many of the same leading edge treatment options found at the country's finest medical centers. From surgery to orthopedics, women's health to emergency care, people all across western ny and nys's north country turn to rochester regional for their experience, compassion and expertise in helping them get back to living their lives. Poverty trends, community health research and needs assessments are reviewed on a regular basis while planning community health programs. Rochester regional representatives are actively engaged in various community health collaborations with the local health departments, state health department, and local not-for-profit health and human service agencies, and actively work to respond to community priorities and develop programs and services that fill a gap or supplement an existing program. Most rochester regional community health outreach programs are offered in partnership with other community organizations or governmental agencies, in order to leverage resources to meet community needs. Information regarding the availability of community health programs, assistance with health insurance enrollment and financial assistance for medical care received at rochester regional hospitals, emergency departments, outpatient departments or long-term care facilities is disseminated to the public in electronic form on the organization's website. At rochester regional health, diversity, equity, inclusion and social justice are woven into the tapestry of our culture and health equity is our true north. Rrh is committed to fostering a diverse and inclusive environment where people from all backgrounds are included, valued, and respected. By establishing and maintaining community partnerships, rrh is leading efforts to cultivate an equitable and inclusive environment and deliver high-quality patient outcomes and experiences. We believe our workforce and patient care are directly connected and are committed to ensuring that our teams and each patient we care for enjoys better, healthier lives. Two of the keys to reducing health disparities and building health literacy are community outreach and education. To this end, rrh has developed targeted interventions, community outreach and education programs. Rrh is committed to providing a relaxed and welcoming environment to ask questions, and had medical experts that provided solid, relevant and timely information so that people could make informed healthcare decisions. The rrh community conversations are hosted in partnership with a wide range of leaders throughout the community. Rrh has partnered with various communities such as the latinx community, rural migrant farmers, faith communities, deaf and hard of hearing, lgbtq+, veterans, people living with disabilities, elders and their caregivers, adolescents and parents. With these partnerships rrh has been able t

FORM 990, PART III, LINE 4A: (CONTINUED)

The ymca portion boasts a brand-new aquatic center, group exercise studios, a wellness center with top-of-the-line fitness equipment, an indoor track, a teaching kitchen, and an adventure room play area for children. There are also a variety of family-friendly, innovative, intergenerational spaces where seniors, teens, and families can connect and thrive through collaborative activities. 2024 saw the reopening of urgent care- penfield. Rochester regional health urgent care providers and staff are available to diagnose and treat most non-life-threatening injuries and illnesses, in addition to offering a full line of occupational health services. Conditions include: abdominal pain, allergies, cold and flu symptoms, ear infections, headaches, sore throats, and urinary tract infections (uti). Additionally, orthopaedic urgent care at the henrietta medical campus opened in 2024. Ortho urgent care provides same-day care for unplanned injuries or ailments directly related to the body's bone, joint, and soft tissue structures with the flexibility to walk in or call to schedule an appointment. Rrh providers specialize in care for orthopaedic injuries and musculoskeletal issues, including: sprains/ strains, fractures, sports injuries, acute joint pain, injuries to the back, shoulder, knee, foot/ankle, and/or hand/wrist. Services include: x-ray, bracing, and casting. Virtual urgent care continues to be available 7 days a week for minor injuries and common illnesses from the comfort of the patient's home, or wherever they may be. Rochester regional is forging ahead on all fronts of a strategic plan whose purpose is to uplift humanity through care for the community with a vision to become a national model of health and healing. The four pillars of the strategic plan are as follows: strengthen our communities community partnership will grow trust with those we serve solidify rrh's position as a cornerstone of community health. Relentless focus on quality and safety improved quality and safety will position us as the provider of choice for patients build and continually focus on a culture of quality and safety. Unleash the power of our people empowered people will allow us to take our organization to the next level engage people to commit, belong and grow at rrh. Growth an evolved health care delivery model will better serve patients become the most accessible and convenient system in the communities we serve and innovate to transform care delivery operations. 2024 continued to be a challenging year for the healthcare industry. In response to these challenges rrh responded by taking measures to ensure the safety of patients, team members and the broader community. The actions continued into 2024 and included: rochester regional continued to provide health and wellness education on multiple platforms including: social media, website, mycare patient portal, phone messaging, and e-newsletter. More specifically: o rrh's "health hive," an online portal of articles and helpful hints in dealing with a host of health related topics. During 2024, more than 115 articles were published. O rrh participated in over 300 news articles, special reports, and interviews over a variety of mediums including tv, radio and printed news articles. Additionally, rrh made over 2,500 social media posts across multiple platforms including facebook, instagram, twitter and linkedin. O the rochester regional health diversity, equity, inclusion and justice office hosted community conversations with various community and church groups. Attendees have joined from rochester and also throughout other parts of the us. Rrh established and continues to maintain collaborative partnerships to ensure those most vulnerable in the community are well served, including: o pharmacy patient assistance program is a partnership between rochester regional health and mckesson rxo to provide free medications, medical devices, and/or co-pay assistance to help our uninsured, underinsured, and low

FORM 990, PART III, LINE 4A: (CONTINUED)

In honor of social work month, the rrh team is collecting the following items or similar to help our social workers support community members in need: diapers, formula, bed sheet sets, gift cards for pharmacies (rite aid, cvs, walgreens, etc.), gift cards for grocery stores (wegmans, walmart, tops, etc.), gift cards for transportation (uber, lyft), other non-perishable items, feminine hygiene products and baby monitors. Rrh celebrated women's history month and the "women who advocate for diversity, equity, and inclusion." events were held to recognize and celebrate both antonia novello, md, who was both the first woman and the first hispanic to serve as u.s. Surgeon general in 1990; and susie walking bear yellowtail's contributions to history and healthcare. Susie walking bear yellowtail, rn, was the first native american registered nurse. She was also the first native american nurse posthumously inducted into the american nursing association's hall of fame. The india heritage museum at the vinod and vinay luthra india heritage center proudly presents holistic harmony nurturing health and longevity. Two complementary exhibits will be showcased: plant-based living and the yoga of b.k.s. Iyengar. The event also includes a panel discussion featuring two rochester regional health physicians. Admission is free and open to the public. Participants learned about healthy plant-based eating and iyengar yoga through vibrant and informative displays, talks, demonstrations, and classes. In advance of the 2024 flower city challenge race, rrh's certified athletic trainer participated in a pre-race talk in conjunction with fleet feet rochester. This free event provided insights about how to train for a half marathon, understanding the ins and outs of nutrition as well as key points on mobility, stretching, hydration, and more. Various rrh providers participated in medicine minis from "the tiny trailblazer," a series of engaging brief interviews by a vibrant young interviewer passionate about our community and healthcare. These interviews shared insights into their provider roles, expertise, and exciting experiences. Sessions features included: a focus on the significance of maintaining a healthy heart; understanding urgent care and exploring the differences between urgent care, the hospital and more. Rochester regional health celebrated national minority health month under the theme of "be the source for better health: improving health outcomes through our cultures, communities, and connections," helps us understand how the unique environments, cultures, histories, and circumstances of social determinants of health (sdoh), racial, and ethnic minorities impact overall health. Throughout the month rrh leaned into our commitment to diversity, equity, inclusion, & justice by building awareness around health disparities that persist among racial and ethnic minority groups and encourage everyone to take action to end these inequities. Rochester regional health hosted middle and high school students from the university preparatory charter school for young men (uprep) for this year's men in healthcare event. The two-day event allowed students from uprep to get hands-on experience, including learning cpr. The event, organized by our diversity, equity, & inclusion team, allowed students to hear from industry professionals in nursing, research, and more and highlighted potential career opportunities in healthcare. Rrh was once again a key contributor and sponsor of the imagine rit: creativity & innovation festival. This event featured 350+ exhibits and 2,200+ exhibitors. Visitors of all ages experienced interactive presentations, hands-on demonstrations, exhibitions, performing arts, and research projects. The rrh exhibit included therapy dogs, led by rocdog; cpr instruction, and more in celebration of earth day 2024, rrh sponsored special activities across its locations, including tree sapling giveaways at each of the hospitals and an e-waste drop-off

FORM 990, PART III, LINE 4A: (CONTINUED)

Rochester regional health was a proud sponsor of the potsdam snack pack program back-to-school fair held in august at the potsdam high school. Team members were on hand to pass out branded items and share health-related information with children and parents. September is deaf awareness month. During this month rrh hosted events to highlight the culture rich in history, customs, and language. This month allowed rrh to highlight how d/deaf communities worldwide come together to celebrate, and bring awareness of deaf-related issues, their culture, and language unique to d/deaf and hard-of-hearing people. Rochester regional health celebrated national hispanic heritage month by recognizing the heritage, history, traditions, and cultural diversity of hispanic and latinx americans whose heritage is rooted in so many countries. Events included a display case in the riedman training center; the sharing of hispanic/latinx (cultural) recipes; and by hosting a hispanic heritage month event in october. Rochester regional health was a proud presenting sponsor of the 2024 making strides of rochester walk in october. Rochester regional health behavioral health team sponsored the american foundation for suicide prevention out of the darkness walk in october. This event supports efforts in the fight against suicide. Rochester regional health was a proud elite sponsor of the 23rd annual gouverneur breast & ovarian cancer walk. St. Lawrence has been an integral sponsor of this highly attended and important regional event for several years. Rochester regional health was a proud sponsor of the seaway valley prevention council's river run in ogdensburg. September is national recovery month, and a representative of the sl behavioral health team was there to promote and support recovery in st. Lawrence county. Rochester regional health team members participated in a family health & wellness fair in september. This free community event provided health-related information and services including blood pressure screenings, career information, and more. Rrh was proud to honor the legacy of gary smith, the heart behind the pirate toy fund. In partnership with his family, rochester regional health's hospice team collected toys to continue gary's mission of spreading joy to children in the greater rochester community. As part of lung cancer awareness month in november, rochester regional health shed light on the importance of early detection. Our lung cancer screening program offers quick, non-invasive scans at no out-of-pocket cost to those eligible. In honor of native american heritage month, the center for diversity, health equity, inclusion, and justice hosted an in-person witness to injustice program in collaboration with neighbors of the onondaga nation in november. Healthy moms held their annual family resource fair. The fair is a free community event that provides an opportunity for families to connect with community resources, get school supplies, and enter raffles for free giveaways. Nearly 500 backpacks were filled with donations from the community and throughout the system. Rrh hosted "wellness wednesdays" in conjunction with a local community center. Topics during the 2024 sessions included the following: o integrative medicine, wellness & pain management o live to 100 : secrets of the blue zones o pelvic health o indian cuisine with lifestyle medicine provider o expert optometrist & diabetic retinopathy o expert optometrist & cataracts & pbwf pot-luck o knee pain & what you need to know o harmony within: exploring the wonders of our gut microbiome & monthly pbwf pot-luck o tmj & headaches o finding joy as we age o you are what you eat: a twin experiment o hospice and palliative care o experience with medical missions o using wellness guidelines to build strength and remain independent o physical activity and its role in preventing/managing chronic disease o an updated look at menopausal health and wellness & plant-based potluck o stroke awarenes

FORM 990, PART III, LINE 4A: (CONTINUED)

O unity hospital received: get with the guidelines: gold plus achievement-stroke +10-year recognition, target: stroke honor roll elite, target: type 2 diabetes honor roll these designations highlight nwch, rgh, ummc, and unity's commitments to applying the most up-to-date evidence-based treatment guidelines and their dedication to providing high-quality care to stroke, diabetes, and heart disease and failure patients in our communities. Our geriatric surgery team was honored to present at the american college of surgeons quality and safety conference in july 2024. This put rochester regional health's geriatric surgery services front and center on this national stage. Several rochester regional health teams were winners of 2024 greater rochester quality council (grqc) showcase & performance excellence awards. The grqc's performance and excellence awards are upstate new york's premier event recognizing quality and performance excellence throughout our region. Congratulations to the following rochester regional health teams on this remarkable achievement: o platinum (team excellence award)- care mgmt/social work team - treat to target inpatient discharge planning o gold (team excellence award)-patient safety/pharmacy team- huddling together: a relentless focus on medication safety o gold (team excellence award)- ummc - a rural hospital's approach to addressing heart failure patient care gaps o silver (team excellence award) - unity hospital perioperative or cost containment o bronze (team excellence award)- long term care - using non-pharmacological interventions to decrease residents on antipsychotic medications icon honors award honorees - congratulations to thomas r. Crilly, chief financial officer, and david j. Riedman, rrh board chair, on being this year's icon honors awards honorees. The icon honors awards recognize greater rochester area business leaders over the age of 60 for their notable success and demonstration of strong leadership both within and outside of their chosen field. Becker's healthcare names rochester regional health in top 100 for cancer care rrh is proud to announce our inclusion in becker's hospital review's esteemed list of the nation's top 100 health systems with outstanding oncology programs. This recognition highlights the exceptional work of the lipson cancer institute and its dedication to providing top-tier, patient-centered cancer care. The list recognizes institutions, which have "garnered national acclaim for advancing cancer care via their cutting-edge clinical trials and life-changing research." this recognition by becker's comes on the heels of another recent accreditation as the lipson cancer institute received a three-year full accreditation as a network cancer program from the american college of surgeons commission on cancer. This accolade distinguishes rochester general and unity hospitals as the only network of cancer centers in upstate new york granted this honor. Congratulations to team members at lipson cancer institute on receiving this exceptional recognition! Rochester regional health also scored on becker's 100 hospitals and health systems with high-achieving orthopedic programs. Rrh's inclusion once again in the becker's hospital review list of the 100 hospitals and health systems with top-performing orthopedic programs, celebrating our leadership in advancing orthopedic care nationwide. Rrh is at the forefront of minimally invasive treatments, pioneering discoveries, and innovative clinical trials that significantly improve patient outcomes. Our commitment to enhancing the quality of life for orthopedic patients sets a national standard of excellence. Rochester general hospital (rgh), the flagship of rochester regional health, is a regional leader in health care. This 528-bed tertiary care, teaching hospital serves the greater rochester, ny region and beyond. Rochester general hospital's nationally recognized programs have consistently demonstrated quality outcomes that posit

Form 990, Part IX, Line 11G

Medical purchased services: program service expenses 25,010,461. Management and general expenses 2,660,279. Fundraising expenses 0. Total expenses 27,670,740. Contracted services: program service expenses 161,269,708. Management and general expenses 34,591,254. Fundraising expenses 0. Total expenses 195,860,962. Repairs and maintenance: program service expenses 6,114,692. Management and general expenses 957,975. Fundraising expenses 0. Total expenses 7,072,667. Special fees: program service expenses 118,722. Management and general expenses 45,449. Fundraising expenses 0. Total expenses 164,171.

FORM 990, PART XI, LINE 9:

Change in interest in net assets of rochester regional health foundation 3,672,954. Lab service ubi -1,028,888. Passthrough ubi -83,445. Net asset transfers -9,642,084.

FORM 990, PART XII, LINE 2C:

The process has not changed from the prior year.

Form 5471 Filed on Behalf of Statement

Statement pursuant to treas reg sec 1 6038-2(j)(3) the following information is submitted with respect to the rochester general hospital's form 5471 (information return of u.s. Persons with respect to certain foreign corporations) filing requirement for the entity below: name of foreign corporation: greater rochester assurance company, ltd. Beginning tax year of foreign corporation: january 1, 2024 ending tax year of foreign corporation: december 31, 2024 the form 5471 filing requirement for this foreign corporation for categories 4 and 5 have been satisfied by inclusion in the following u.s. Filer's tax return: name of u.s. Filer: rochester regional health address of u.s. Filer: 100 kings highway south, rochester, ny 14617 ein: 47-1234999 ending tax year of u.s. Filer: december 31, 2024 type of return filed: 990 irs service center where return filed: ogden, utah 84201-0027

Financial Statement Notes

PART V, LINE 4:

The intended uses of the organization's endowment funds include: 1) capital expansion, and 2) advancement of medical education and research and health care services.

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