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      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>St James Hospital</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>7329 Seneca Road North</AddressLine1Txt>
          <CityNm>Hornell</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14843</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>https://www.urmc.rochester.edu/st-james.aspx</WebsiteAddressTxt>
        <StateLicenseNum>5002001H</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>St James Hospital</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>19</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>1</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>1</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>See Supplemental Information</OwnWebsiteURLTxt>
        <OtherWebsiteInd>X</OtherWebsiteInd>
        <OtherWebsiteURLTxt>See Supplemental Information</OtherWebsiteURLTxt>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>19</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>See Supplemental Information</StrategyWebsiteURLTxt>
        <StrategyAttachedInd>0</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>300</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>See Supplemental Information</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>See Supplemental Information</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>See Supplemental Information</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5-St James Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMUNITY NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN 2018 IN COLLABORATION WITH STEUBEN COUNTY PUBLIC HEALTH. THIS INCLUDED THE THREE HOSPITALS LOCATED WITHIN THE COUNTY. A VARIETY OF PARTNERS WERE ENGAGED THROUGHOUT THE PROCESS INCLUDING REPRESENTATIVES FROM LOCAL FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS). COMMUNITY BASED ORGANIZATIONS (CBOS). THE COUNTY LEGISLATURE, COUNTY GOVERNMENT EMPLOYEES, SCHOOL DISTRICT REPRESENTATIVES, OFFICE FOR THE AGING, AND MORE. THE COMMUNITY AT LARGE WAS ENGAGED THROUGHOUT THE ASSESSMENT PERIOD VIA A REGIONAL HEALTH SURVEY IN 2018 (MY HEALTH STORY 2019) AND FOCUS GROUPS. A FULL LIST OF PARTICIPANTS CAN BE FOUND IN THE COMMUNITY SERVICE PLAN LOCATED ON THE ST JAMES HOSPITAL WEBSITE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a-St James Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>ARNOT HEALTH - IRA DAVENPORT MEMORIAL HOSPITAL, GUTHRIE CORNING HOSPITAL. ST. JAMES HOSPITAL</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b-St James Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>CENTER FOR COMMUNITY HEALTH AND PREVENTION, CENTER FOR TOBACCO FREE FINGER LAKES, FINGER LAKES COMMUNITY HEALTH, OAK ARCHARD HEALTH, PREGNANCY RESOURCE CENTER OF THE VALLEY, PROACTION, STEUBEN COUNTY ALOCHOL AND SUBSTANCE ABUSE SERVICES/MENTAL HEALTH, STEUBEN COUNTY PUBLIC HEALTH STEUBEN RURAL HEALTH NEWWORK, STTAC</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 7a-St James Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>https://www.urmc.rochester.edu/MediaLibraries/URMCMedia/st-james/images/Steuben-CHA-and-CHIP-2019-2021.pdf</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 7b-St James Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>https://www.steubencony.org/Files/Documents/publichealth/Steuben%20CHA%20and%20CHIP%2012-2-19.pdf</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 10a-St James Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>https://www.urmc.rochester.edu/st-james/patients-visitors/financial.aspx</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11-St James Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIORITY: PREVENT CHRONIC DISEASES - FOCUS AREA - TOBACCO PREVENTION - INTERVENTION - ASSIST MEDICAL AND BEHAVIORAL HEALTH CARE ORGANIZATIONS AND PROVIDERS GROUPS IN ESTABLISHING POLICIES, PROCEDURES, AND WORKFLOWS TO FACILITATE THE DELIVERY OF TOBACCO DEPENDENCE TREATMENT, CONSISTENT WITH THE PUBLIC HEALTH SERVICE CLINICAL PRACTICE GUIDELINES, COMMUNITY HEALTH CENTERS AND BEHAVIORAL HEALTH PROVIDERS: ST. JAMES HOSPITAL AND ST JAMES PRIMARY CARE ASSESS PATIENTS FOR TOBACCO USE AND PROVIDE TOBACCO CESSATION EDUCATION AND ALSO REFER PATIENTS TO NY QUITS IF PATIENT IS AGREEABLE. TREATMENT OPTIONS ARE DISCUSSED AND OFFERED TO PATIENT. FOCUS ARAE 2 - PREVENT MENTAL &amp; SUBSTANCE USE DISORDERS - INTERVENTION - BUILD SUPPORT SYSTEMS TO CARE FOR OPIOD USERS OR AT RISK OF AN OVERDOSE. ST. JAMES HOSPITAL IS LINKING ED PROVIDERS WITH I-STOP. SJH IS WORKING WITH CASA TRINITY TO IDENTIFY PATIENTS WITH SUBSTANCE ABUSE CONCERNS WHETHER NEW OR CHRONIC. STJ REACHES OUT TO CASA'S CASE WORKER WHO COME DIRECTLY ON-SITE AT THE HOSPITAL TO GET THEM LINKED WITH THEIR PROGRAM (EITHER INPATIENT OR OUTPATIENT). IF THE PATIENT IS IN WITHDRAWAL AT THE TIMIE OF ARRIVAL TO SJH, THEY ARE ADMITTED AND PROVIDED CARE TO SAFELY GET THROUGH THE ACTUE DETOX/WITHDRAWAL PHASE. THEY ARE LINKED WITH CASA FROM THE TIME THEY ARRIVE. ALSO PROVIDE EDUCATION AND TRAINING TO ED PROVIDERS FOR PIOATE PRESCRIBING, INTERVENTION- PREVENT SUICIDES - IDENTIFY AND SUPPORT PEOPLE AT RISK: GATEKEEPER TRAINING, CRISIS INTERVENTION, TREATMENT FOR PEOPLE AT RISK OF SUICIDE, TREATMENT TO PREVENT RE-ATTEMPTS, POSTVENTION, SAFE REPORTING AND MESSAGING ABOUT SUICIDE. SJH'S PSYCHIATRIC ASSESSMENT OFFICER (PAO) IS LOCATED IN THE EMERGENCY DEPARTMENT. THE PAO CONNECTS MENTAL HEALTH PATIENTS AND SUBSTANCE ABUSE PATIENTS WITH COMMUNITY RESOURCES. THE PAO WORKS WITH A TELEPSCYH-PSCYHIASTRIST TO IDENTITY THE NEED FOR INPATIENT TREAMENTS AS WELL. THIS HELPS TO KEEP PATIENTS WITHIN THEIR OWN COMMUNITY AND NOT TO TRAVEL OUTSIDE THE COMMUNITY UNLESS THE NEED FOR FURTHER SERVICES IS AVAILABLE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a-St James Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>https://www.urmc.rochester.edu/MediaLibraries/URMCMedia/st-james/images/SJMH-Charity-Care-Summary.pdf</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b-St James Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>https://www.urmc.rochester.edu/MediaLibraries/URMCMedia/st-james/images/2020-FSP-app_1.pdf</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c-St James Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>https://www.urmc.rochester.edu/st-james/patients-visitors/financial.aspx#finasst</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>The cost-to-charge ratio is used to fines 7A and 7B, computed by taking total expenses divided by total gross patient revenue.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7, Column f</FormAndLineReferenceDesc>
        <ExplanationTxt>Due to the adoption of new accounting pronouncement ASC606, current year implicit price concessions are treated as a contra-revenue item on the statement of revenues.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Section A, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The costing methodology used in determining the amounts reported on lines 2 and 3 are based on actual charges written off (amounts that are deemed to be uncollectible and recorded as implicit price concessions under new accounting pronouncement ASC 606). The test of the implicit price concessions (Bad Debt Expense) footnote can be found on page 7 of the electronically attached audited financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Section A, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The costing methodology used in determining the amounts reported on lines 2 and 3 are based on actual charges written off (amounts that are deemed to be uncollectible and recorded as implicit price concessions under new accounting pronouncement ASC 606). The test of the implicit price concessions (Bad Debt Expense) footnote can be found on page 7 of the electronically attached audited financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Section B, Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>To determine Medicare allowable costs reportable in the Medicare cost report, the cost-to-charge ratio is applied to gross patient revenue associated with services performed for patients who are eligible for Medicare.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Section C, Line 9b</FormAndLineReferenceDesc>
        <ExplanationTxt>A bad debt results from a patient account balance from which payment was anticipated from the patient, credit extended and the account later deemed to be uncollectible. A bad debt does not meet the criteria for charity care, that is, bad debt patients are considered to have the financial capability and ability to pay, but are unwilling to pay. Collection activities are only pursued with respect to amounts that patients are able to pay as determined by the Hospital's charity care policy. No collection activities take place with respect to amounts that patients re not expected to pay under this policy. A separate charity care policy is in place and would be exhausted before a patient balance would be deemed Self-pay. Under eth charity care policy, charity care/financial assistance is provided to a patient with a demonstrated inability to pay. A patient is eligible for charity care/financial assistance consideration based upon meeting certain income eligibility criteria as established by the federal poverty income guideline sliding scale. Per NYS PHL 2807k, this considers patients whose household income is up to 300% of the most recent federal poverty guidelines. All uninsured, low-income patients within St. James Hospital's primary service are who can demonstrate an inability to pay charge may apply for charity care/financial assistance for adjustments to their balances for all medically necessary healthcare services, provided that a member, in good standing of St. James Hospital's medical staff determines the need for such medical care.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>In conjunction with the community needs assessment that is done every three years in conjunction with Steuben County Public Health, the organization uses the following to determine the health needs of the community: community town hall meetings, surveying participants at public health education programs, local case management meetings, and physician /medical office information shared. In addition, regional data and information from DSRIP projects is used to assess community need. St. James Hospital conducts a community needs assessment every three years in conjunction with Steuben County Public Health. Based on resident's feedback the county's health care priorities, strategies, and programs are determined. St. James Hospital creates an annual plan based on this assessment, and the progress of these initiatives is reported annually to the NYS Department of Health. Local Health Care Priorities are also identified through surveying participants at public health education programs.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>At the time of registration, all self-pay individuals receive an information sheet describing the type of Federal State and Local government programs available including St. James Hospital's charity care policy. The eligibility process is coordinated by a financial counselor, who contacts the patient family member by phone and/or letter. Patients who qualify for Medicaid are also directed to an in-house facilitated enroller, who coordinates the Medicaid application process on behalf of the patient.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The primary service area for St. James Hospital is the 15-mile radius extending from Hornell, NY (Steuben County) and includes the towns of Wayland to the northeast and Troupsburg to the southeast (just outside of the 15-mile radius). The secondary service area is the 30-mile radius extending from Hornell, per the 2010 census, the population for the primary service area (Steuben County) remained relatively flat, increasing 0.3% from 2000 to 2010, with a slight decrease of 3% estimated for 2019. The population aged 65 and over comprises 20% of the primary service area compared to 17% for New York State. The population is racially and ethnically homogenous with 95% white, 1.7% black, 1.7% Hispanic /Latino, 1.6% Asian. Median household income if $53,663 compared to $68,486 for the state. Approximately 23.6% of the county population have a bachelor's degree or higher compared to 36.6% of the state.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>St. James Hospital is the lead agency for the cancer services program (CSP) of Steuben County. A community-based, grant-funded program of New York State Department of Health (NYSDOH), the CSP serves uninsured men and women with comprehensive, age appropriate, no-cost screenings for breast, cervical and colorectal cancer. In addition, St. James Hospital received the NYSDOH Breast and Prostate peer education program in 2016 and began implementation of a community education based program. St. James Hospital participates in coordinating the annual healthy kids day at the Maple City Kids Quarter miler. This event is directed to parents and community youth and includes a pediatric health fair and long standing community kids "fun run" to promote exercise and healthy lifestyles. The organization participates in local health fairs and works with local businesses to promote workplace wellness via the CSP program mentioned above. In addition, St. James Hospital operates a cardiac rehab program and coumadin clinic that provide outpatient based services to the community. A collaboration with Noyes Memorial Hospital supports a diabetes education program available to the community. St. James Hospital staff members throughout the organization participate in community initiatives and hold seats on boards, including the Steuben Rural Health Network, YMCA, United Way of the Southern Tiers, Smart Steuben, Steuben prevention coalition and other non-profit organizations whose primary mission is to assess and address community needs.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The University of Rochester Medical Center is an integrated academic health center that comprises the School of Medicine and Dentistry, including its Faculty Practice (University of Rochester Medical Faculty Group); Strong Memorial Hospital; Highland Hospital; Golisano Children's Hospital; James P. Wilmot Cancer Center; Strong West; School of Nursing; Eastman Institute for Oral Health; Visiting Nurse Service; Highlands at Pittsford; The Highlands Living Center, Inc.; Highlands at Brighton, FF Thompson Health System, Inc., Jones Memorial Hospital, Noyes Health, St. James Hospital and Accountable Health Partners, LLC. UR Medical Center and the Affiliated Health Care entities have embraced a comprehensive approach to community health, which employs the multidisciplinary skills found in an academic medical center to both provide important community services and conduct community-based research. These activities help inform policymakers and the community about local health challenges, evaluate the effectiveness of interventions, and serve as a foundation for evidence-based practices to improve health and overall quality of life.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>New York State</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleO documentId="R000006" softwareId="20012124" softwareVersionNum="v1.00">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part I, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Description of organization mission: St. James Hospital, governed by a self-perpetuating community based board, is a community of persons committed to being a transforming, healing presence within the rural communities we service, particularly addressing the needs of the poor, underserved and disadvantaged.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III (Cont. 1)</FormAndLineReferenceDesc>
        <ExplanationTxt>See the mission description above for Part 1, line 1</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>Due to a change in St. James Hospital's fiscal year end, this short period Form 990 reports information for the period 1/1/2020-6/30/2020. Per the Form 990 instructions, since there is no calendar year which ends during this time period, no Forms 1099, employees or independent contractors are reported. Further, no officer, director, key employee or highest compensated employee compensation information is provided.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 2a</FormAndLineReferenceDesc>
        <ExplanationTxt>Short Period Form 990 Filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The sole member of St. James Hospital is the University of Rochester (UR). As such, UR has the authority to elect the governing body of St. James Hospital and certain decisions of St. James Hospital are subject to the approval of UR. Such decisions include amendment of the certificate of incorporation and bylaws and approval of extraordinary corporate actions such as merger or dissolution.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Refer to Schedule O, Membership information Form 990 Part V1, Section A, Line 6</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>Refer to Schedule o, Membership Information Form 990 Part VI, Section A, Line 6</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>A copy of the Form 990 was made available to each board member before it was filed. St. James Hospital has designed the audit and compliance committee as the group to be educated and to review the return.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Board members, officers and key employees (determined by the President &amp; CEO) complete conflict of interest forms annually to identify actual and potential conflicts of interest that may exist relative to their duties with the organization and the organization's COI policy. The CEO shall disclose to the Board or appropriate committee thereof any employee disclosure made relevant to the matter and the evaluation thereof. Copies are provided to the Corporate Compliance Office and maintained by the executive assistant to the Board of Directors and the CEO. If a conflict is disclosed, that person shall leave the Board or committee meeting while the determination of a conflict of interest is discussed and voted upon. The Chairperson of the Board of committee will determine if a conflict of interest exists. To help ensure compliance with the COI policy, among the provisions the person with an actual or potential conflict of interest will not be allowed to participate in any discussion or decision in any area of the conflict identified and leave the room during discussion and vote. The Corporate Responsibility and Compliance Committee review these procedures every two (2) years to assess their effectiveness and recommend (or make) appropriate changes as needed to ensure the conflict of interest policy is consistently and effectively enforced.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The board has an independent committee review and approve all elements of remuneration for all disqualified parties, as well as other key management. The board/committee has an established compensation philosophy which details the objectives of market positioning and pay elements. The committee reviews marked data, comparative market compensation data, approves any salary adjustments for the executive population, considers both reasonableness and effectiveness of all remunerative programs and establishes the detailed performance expectations, All of these discussions and decisions are documented through the provision of meeting minutes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>St. James Hospital's Form 1023 and Form 990 are available on request. St. James Hospital's governing documents, conflict of interest policy and audited financial statements are not routinely made available to the public.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>Due to a short year return filing, no key employees and highest compensated employees are reported per the instructions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Grants for capital acquisitions</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>UNIVERSITY OF ROCHESTER</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>910 GENESEE STREET STE 200</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14611</ZIPCd>
        </USAddress>
        <EIN>160743209</EIN>
        <PrimaryActivitiesTxt>SCHOOL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 C (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>2</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HIGHLAND HOSPITAL OF ROCHESTER</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1000 SOUTH AVENUE</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14620</ZIPCd>
        </USAddress>
        <EIN>160743037</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 C (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>SPHS</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE HIGHLAND FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1000 SOUTH AVENUE</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14620</ZIPCd>
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        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
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        <PublicCharityStatusTxt>12A 1</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>HIGHLD HOSP</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HIGHLAND FACILITIES DEVELOPMENT CORP</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1000 SOUTH AVENUE</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14620</ZIPCd>
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        <EIN>223039077</EIN>
        <PrimaryActivitiesTxt>MEDICAL BLDG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>HIGHLD HOSP</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>HIGHLAND COMMUNITY DEVELOPMENT CORP</BusinessNameLine1Txt>
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          <AddressLine1Txt>100 HAHNEMANN TRAIL</AddressLine1Txt>
          <CityNm>PITTSFORD</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
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        <EIN>223154715</EIN>
        <PrimaryActivitiesTxt>ELDER CARE</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>SPHS</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE HIGHLANDS LIVING CENTER INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>500 HAHNEMANN TRAIL</AddressLine1Txt>
          <CityNm>PITTSFORD</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14534</ZIPCd>
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        <EIN>223240227</EIN>
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        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>SPHS</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE MEADOWS AT WESTFALL INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>5901 LAC DE VILLE BLVD</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14618</ZIPCd>
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        <EIN>161502303</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 C (3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>SPHS</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>STRONG PARTNERS HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>601 ELMWOOD AVENUE BOX 706</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14642</ZIPCd>
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        <EIN>161499099</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 C (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12A 1</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UNIV OF ROCH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>STRONG HOME CARE GROUP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2180 EMPIRE BOULEVARD</AddressLine1Txt>
          <CityNm>WEBSTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14580</ZIPCd>
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        <EIN>222577664</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 C (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UNIV OF ROCH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UR MEDICINE HOME CARE CERTIFIED SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2180 EMPIRE BOULEVARD</AddressLine1Txt>
          <CityNm>WEBSTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14580</ZIPCd>
        </USAddress>
        <EIN>160743215</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 C (3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>SHCG</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>COMMUNITY CARE OF ROCHESTER</BusinessNameLine1Txt>
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          <AddressLine1Txt>2180 EMPIRE BOULEVARD</AddressLine1Txt>
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        <EIN>161561691</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>SHCG</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>EXCELL PARTNERS INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>343 STATE STREET KODAK TOWER</AddressLine1Txt>
          <AddressLine2Txt>2nd Floor</AddressLine2Txt>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14650</ZIPCd>
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        <EIN>201862628</EIN>
        <PrimaryActivitiesTxt>ECONOMIC DEV</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501 C (4)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>UNIV OF ROCH</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ROCHESTER BIOVENTURE CENTER INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>601 ELMWOOD AVENUE BOX 706</AddressLine1Txt>
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        <EIN>202485999</EIN>
        <PrimaryActivitiesTxt>BIOTECH INCUB</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>UNIV OF ROCH</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NEXTCORPS INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>260 EAST MAIN STREET SUITE 6000</AddressLine1Txt>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14604</ZIPCd>
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        <EIN>161195028</EIN>
        <PrimaryActivitiesTxt>BUSINESS INCU</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>UNIV OF ROCH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UNIVERSITY OF ROCHESTER EMPLOYEE BENEFIT TRUST</BusinessNameLine1Txt>
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          <AddressLine1Txt>910 GENESEE STREET SUITE 200</AddressLine1Txt>
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        <EIN>161600112</EIN>
        <PrimaryActivitiesTxt>EMPL BEN TRST</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>UNIV OF ROCH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>U OF R BROADCASTING CORPORATION</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>201 WILSON COMMONS</AddressLine1Txt>
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        <EIN>160743209</EIN>
        <PrimaryActivitiesTxt>BROADCAST LIC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>UNIV OF ROCH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UR REAL ESTATE CORPORATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>263 WALLIS HALL</AddressLine1Txt>
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          <ZIPCd>14627</ZIPCd>
        </USAddress>
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          <BusinessNameLine1Txt>UNIV OF ROCH</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MELIORA REAL ESTATE CORPORATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>263 WALLIS HALL</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>F F THOMPSON HEALTH SYSTEM INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>350 PARRISH STREET</AddressLine1Txt>
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          <BusinessNameLine1Txt>UNIV OF ROCH</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>THE FREDERICK FERRIS THOMPSON HOSPITAL</BusinessNameLine1Txt>
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          <AddressLine1Txt>350 PARRISH STREET</AddressLine1Txt>
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          <BusinessNameLine1Txt>M M EWING CONTINUING CARE CENTER</BusinessNameLine1Txt>
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          <AddressLine1Txt>350 PARRISH STREET</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>F F T SENIOR COMMUNITIES INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>1 FERRIS HILLS</AddressLine1Txt>
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          <BusinessNameLine1Txt>THE F F THOMPSON FOUNDATION INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>350 PARRISH STREET</AddressLine1Txt>
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        <EIN>222959984</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FINGER LAKES HOME CARE INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>756 PRE EMPTION ROAD</AddressLine1Txt>
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        </USAddress>
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          <BusinessNameLine1Txt>URM HOME CARE</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FINGER LAKES VISITING NURSE SERVICE INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>756 PRE EMPTION ROAD</AddressLine1Txt>
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        </USAddress>
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        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>URM HOME CARE</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>191 NORTH MAIN STREET</AddressLine1Txt>
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          <ZIPCd>14895</ZIPCd>
        </USAddress>
        <EIN>222807681</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>UNIV OF ROCH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LIVINGSTON HEALTH CARE SYSTEM INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>111 CLARA BARTON STREET</AddressLine1Txt>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14427</ZIPCd>
        </USAddress>
        <EIN>161455240</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>12A 1</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UNIV OF ROCH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NICHOLAS H NOYES MEMORIAL HOSPITAL INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>111 CLARA BARTON STREET</AddressLine1Txt>
          <CityNm>DANSVILLE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14427</ZIPCd>
        </USAddress>
        <EIN>160743979</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 C (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LHCS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>RED JACKET CENTER INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>111 CLARA BARTON STREET</AddressLine1Txt>
          <CityNm>DANSVILLE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14427</ZIPCd>
        </USAddress>
        <EIN>161037658</EIN>
        <PrimaryActivitiesTxt>MEDICAL BLDG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 C (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12A 1</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LHCS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE FOUNDATION FOR NOYES MEMORIAL HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>111 CLARA BARTON STREET</AddressLine1Txt>
          <CityNm>DANSVILLE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14427</ZIPCd>
        </USAddress>
        <EIN>161584778</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 C (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LHCS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>JONES MEMORIAL HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>191 NORTH MAIN STREET</AddressLine1Txt>
          <CityNm>WELLSVILLE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14895</ZIPCd>
        </USAddress>
        <EIN>473763374</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 C (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>JONES HOSP</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>JONES MEDICAL SERVICES PC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>191 NORTH MAIN STREET</AddressLine1Txt>
          <CityNm>WELLSVILLE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14895</ZIPCd>
        </USAddress>
        <EIN>465210222</EIN>
        <PrimaryActivitiesTxt>MEDICAL CLINIC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 C (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>JONES HOSP</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST JAMES FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>411 CANISTEO STREET</AddressLine1Txt>
          <CityNm>HORNELL</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14843</ZIPCd>
        </USAddress>
        <EIN>161486437</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 C (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>STJAMES HOSP</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UR MEDICINE HOME CARE COMMUNITY SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2180 EMPIRE BOULEVARD</AddressLine1Txt>
          <CityNm>WEBSTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14580</ZIPCd>
        </USAddress>
        <EIN>825091873</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 C (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SHCG</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UR MEDICINE HOME CARE FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2180 EMPIRE BOULEVARD</AddressLine1Txt>
          <CityNm>WEBSTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14580</ZIPCd>
        </USAddress>
        <EIN>831912967</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 C (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12A 1</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SHCG</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Excell Innovate NY Fund LP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>343 State St</AddressLine1Txt>
          <AddressLine2Txt>Kodak Tower 2nd Fl</AddressLine2Txt>
          <CityNm>Rochester</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14650</ZIPCd>
        </USAddress>
        <EIN>462405519</EIN>
        <PrimaryActivitiesTxt>Investment Fund</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ETV Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Excell Minority and Women Owned Investment Fund LP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>343 State St</AddressLine1Txt>
          <AddressLine2Txt>Kodak Tower 2nd Fl</AddressLine2Txt>
          <CityNm>Rochester</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14650</ZIPCd>
        </USAddress>
        <EIN>810723223</EIN>
        <PrimaryActivitiesTxt>Investment Fund</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ETV Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Excell Partners Innovative TC Fund LP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>343 State St</AddressLine1Txt>
          <AddressLine2Txt>Kodak Tower 2nd Fl</AddressLine2Txt>
          <CityNm>Rochester</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14650</ZIPCd>
        </USAddress>
        <EIN>810711015</EIN>
        <PrimaryActivitiesTxt>Investment Fund</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ETV Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MEDICAL ADMINISTRATIVE ASSOCIATES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>777 SOUTH CLINTON AVENUE</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14620</ZIPCd>
        </USAddress>
        <EIN>161354319</EIN>
        <PrimaryActivitiesTxt>RETAIL PHARMACY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HIGHLD HOSP</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UR EQUITY HOLDINGS INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>110 OFFICE PARK WAY</AddressLine1Txt>
          <CityNm>PITTSFORD</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14534</ZIPCd>
        </USAddress>
        <EIN>273040889</EIN>
        <PrimaryActivitiesTxt>HOLDING CO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UNIV OF ROCH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>F F T H PROPERTIES AND SERVICES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>350 PARRISH STREET</AddressLine1Txt>
          <CityNm>CANANDAIGUA</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14424</ZIPCd>
        </USAddress>
        <EIN>161286518</EIN>
        <PrimaryActivitiesTxt>HOLDING CO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>THS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>FINGER LAKES COMMUNITY CARE NETWORK INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>350 PARRISH STREET</AddressLine1Txt>
          <CityNm>CANANDAIGUA</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14424</ZIPCd>
        </USAddress>
        <EIN>161423442</EIN>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>THS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>EXCELL TECHNOLOGY VENTURES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>343 STATE STREET KODAK TOWER</AddressLine1Txt>
          <AddressLine2Txt>2ND Floor</AddressLine2Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14650</ZIPCd>
        </USAddress>
        <EIN>800909149</EIN>
        <PrimaryActivitiesTxt>BIOTECH INCUBATOR</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROCH BIOVENTURE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ACCOUNTABLE HEALTH PARTNERS LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>135 CORPORATE WOODS STE 320</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14623</ZIPCd>
        </USAddress>
        <EIN>300787967</EIN>
        <PrimaryActivitiesTxt>ACCT CARE NETWORK</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UNIV OF ROCH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ACCOUNTABLE HEALTH PARTNERS IPA LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>135 CORPORATE WOODS STE 320</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14623</ZIPCd>
        </USAddress>
        <EIN>371746016</EIN>
        <PrimaryActivitiesTxt>INDEP PRACTICE ASSOC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AHP LLC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
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      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>AHP INSURANCE COMPANY</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>76 ST PAUL STREET SUITE 500</AddressLine1Txt>
          <CityNm>BURLINGTON</CityNm>
          <StateAbbreviationCd>VT</StateAbbreviationCd>
          <ZIPCd>05401</ZIPCd>
        </USAddress>
        <EIN>814644839</EIN>
        <PrimaryActivitiesTxt>CAPTIVE INSURANCE CO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VT</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AHP LLC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>LUMINATE VENTURE CHALLENGE CORP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>260 EAST MAIN STREET SUITE 6000</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14604</ZIPCd>
        </USAddress>
        <EIN>823954131</EIN>
        <PrimaryActivitiesTxt>BUSINESS INCU</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NEXTCORPS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HORNELL MEDICAL VILLAGE LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>7100 ROUTE 70A</AddressLine1Txt>
          <CityNm>HORNELL</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14843</ZIPCd>
        </USAddress>
        <EIN>611886763</EIN>
        <PrimaryActivitiesTxt>HOLD REAL ESTATE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ST JAMES HOSP</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <OwnershipPct>1</OwnershipPct>
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      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HORNELL MEDICAL VILLAGE LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>j</TransactionTypeTxt>
        <InvolvedAmt>208175</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Rental of building &amp; equipment</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>