2020-07-14T18:20:21-05:00 2019-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2018-07-01 160743209 UNIVERSITY OF ROCHESTER % HOLLY G CRAWFORD UNIV 5852752800 BOX 278893 ROCHESTER NY 146278893 HOLLY G CRAWFORD SRVP ADMIN/FIN & CFO 5852752800 2020-06-29 true ANTONIO C RUSSO P00858539 2673303000 2020-06-17 155.201.35.117 23522320201965000093 2020-07-14 P 0DE03ECFA713B1DDABE8375BC7BC510949BCCF51 1165BB5F41A71AB0D781DA876A823BF1466164C1 2018 2020-09-23 17:36:50Z SARAH C MANGELSDORF 208 WALLIS HALL ROCHESTER NY 14627 5229132529 false X www.rochester.edu X 1850 NY THE PROVISION OF HIGHER EDUCATION IN THE LIBERAL ARTS AND SCIENCES, MEDICINE AND DENTISTRY, NURSING AND MUSIC; RESEARCH; AND CHARITABLE PATIENT CARE SERVICES. 45 38 32684 7572 21265910 0 398868083 415411853 3299478987 3492293403 199086732 250799994 2259695 3210327 3899693497 4161715577 225773794 242418990 0 0 2166644871 2314944492 247712 260891 41706588 1425478186 1449968909 3818144563 4007593282 81548934 154122295 5497835359 5717053404 2216216343 2302095381 3281619016 3414958023 X THE PROVISION OF HIGHER EDUCATION IN THE LIBERAL ARTS AND SCIENCES, MEDICINE AND DENTISTRY, NURSING AND MUSIC; RESEARCH; AND CHARITABLE PATIENT CARE SERVICES. false false 701946306 242418990 584379266 EDUCATIONAL ACTIVITIES - THE UNIVERSITY IS COMPRISED OF SIX SCHOOLS OFFERING PROGRAMS FROM UNDERGRADUATE TO POST-DOCTORAL DEGREES. THESE ARE THE SCHOOL OF ARTS AND SCIENCES, THE HAJIM SCHOOL OF ENGINEERING, THE WARNER SCHOOL OF EDUCATION AND HUMAN DEVELOPMENT, EASTMAN SCHOOL OF MUSIC, SIMON GRADUATE SCHOOL OF BUSINESS ADMINISTRATION, SCHOOL OF NURSING, AND SCHOOL OF MEDICINE AND DENTISTRY. THERE ARE ALSO A NUMBER OF IMPORTANT CENTERS OF ACADEMIC EXCELLENCE, FOR EXAMPLE, THE INSTITUTE OF OPTICS, THE LABORATORY FOR LASER ENERGETICS, THE WILMOT CANCER CENTER, AND THE FLAUM EYE INSTITUTE. THE FULL-TIME FACULTY OF THE SCHOOL OF MEDICINE AND DENTISTRY PROVIDE CLINICAL SERVICES AS PART OF THE ACADEMIC MEDICAL PROGRAM; THIS ACTIVITY OCCURS 100 PERCENT WITHIN THE MEDICAL SCHOOL AND IS INTERNALLY ORGANIZED AND SUPERVISED AS URMFG OR UNIVERSITY OF ROCHESTER MEDICAL FACULTY GROUP. THERE ARE 1,348 FULL-TIME TENURED FACULTY MEMBERS AND 11,817 UNDERGRADUATE AND GRADUATE STUDENTS ENROLLED IN THE UNIVERSITY. THE UNIVERSITY HAS ALWAYS PLACED FINANCIAL AID FOR ITS STUDENTS AMONG ITS HIGHEST PRIORITIES. SCHOLARSHIPS COVER A PORTION OF THE COST OF ATTENDING THE UNIVERSITY OF ROCHESTER. THE UNIVERSITY IS COMMITTED TO OFFERING THE HIGHEST QUALITY EDUCATION TO ITS STUDENTS, REGARDLESS OF THEIR ECONOMIC CIRCUMSTANCES OR BACKGROUND. FOR EXAMPLE, THE UNIVERSITY HAS A PROGRAM TO EXPAND HIGHER EDUCATION OPPORTUNITIES FOR STUDENTS FROM THE ROCHESTER CITY SCHOOL DISTRICT (RCSD), A DISTRICT WITH ONE OF THE HIGHEST POVERTY AND SCHOOL DROPOUT RATES IN NEW YORK STATE. THE UNIVERSITY PROVIDES $25,000 PER YEAR FOR FOUR YEARS TO EVERY GRADUATE OF THE SCHOOL DISTRICT WHO IS ADMITTED TO THE UNIVERSITY'S COLLEGE OF ARTS, SCIENCES AND ENGINEERING; THIS IS EQUIVALENT TO AN AWARD OF $100,000 FOR EACH STUDENT.THROUGH THE ENDOWMENT, THE UNIVERSITY PERPETUATES AND ENHANCES ITS EDUCATIONAL, RESEARCH, CLINICAL CARE PROGRAMS AND PUBLIC SERVICE MISSIONS. THIS COMMITMENT REQUIRES AN ENDOWMENT PAYOUT OF 5.7 PERCENT CALCULATED ON A ROLLING FIVE-YEAR AVERAGE OF THE ENDOWMENT'S MARKET VALUE. THE UNIVERSITY'S ENDOWMENT CONSISTS LARGELY OF INDIVIDUAL FUNDS THANKS TO THE GENEROSITY OF CHARITABLE DONORS. THE DONORS OF THESE GIFTS OFTEN SPECIFY AND RESTRICT THE PURPOSES FOR WHICH THE INCOME MAY BE SPENT TO ENSURE LONG-TERM BENEFITS. 336275025 0 97875232 RESEARCH ACTIVITIES: THE UNIVERSITY PERFORMS RESEARCH, TRAINING, AND OTHER SERVICES UNDER GRANTS, CONTRACTS, AND SIMILAR AGREEMENTS WITH SPONSORING ORGANIZATIONS, PRIMARILY DEPARTMENTS AND AGENCIES OF THE UNITED STATES GOVERNMENT. DURING THE 2018-2019 FISCAL YEAR, THERE WERE 4,165 GRANTS AND CONTRACTS IN EFFECT THAT TOTALED $320,729,801 IN REVENUE. ROCHESTER RESEARCHERS ARE SCIENTISTS AND SCHOLARS, INVENTORS AND CONSERVATORS, ARTISTS AND ANALYSTS. THEY KNOW MANY OF THE BEST BREAKTHROUGHS IN KNOWLEDGE AND CREATIVITY OCCUR BY CROSSING BOUNDARIES. MANY OF THE UNIVERSITYS RESEARCH ENVIRONMENTS ARE DESIGNED TO FACILITATE COLLABORATION AND EXPLORATION ACROSS DISCIPLINES. RESEARCH AT THE UNIVERSITY OF ROCHESTER OCCURS IN 60 RESEARCH CENTERS AND INSTITUTES ACROSS THE UNIVERSITY, INCLUDING: - THE LABORATORY FOR LASER ENERGETICS (LLE) - THE LASER LAB IS THE LARGEST UNIVERSITY-BASED DEPARTMENT OF ENERGY RESEARCH PROGRAM IN THE NATION AND IS HOME TO THE MOST POWERFUL LASER SYSTEMS FOUND AT ANY ACADEMIC INSTITUTION IN THE WORLD. AT THE LAB, RESEARCHERS FROM ALL OVER THE WORLD PROBE THE EXTREMES OF TEMPERATURE AND PRESSURE IN LABORATORY-SCALE EXPERIMENTS. - THE INSTITUTE OF OPTICS - HOME TO THE NATIONS FIRST OPTICAL SCIENCE, ENGINEERING AND DESIGN PROGRAM. THE INSTITUTE OF OPTICS HAS GRANTED ABOUT HALF OF ALL DEGREES IN OPTICS AWARDED IN THE U.S. - THE DEL MONTE INSTITUTE FOR NEUROSCIENCE - INSTRUMENTAL IN BRINGING TOGETHER NEUROSCIENCE AND RELATED DISCIPLINES- BIOMEDICAL ENGINEERING, BRAIN AND COGNITIVE SCIENCES, COMPUTER SCIENCE, AND NEUROLOGY. THIS MULTIDISCIPLINARY WORK HAS MADE POSSIBLE CRITICAL RESEARCH INTO ALZHEIMERS, MULTIPLE SCLEROSIS, AUTISM AND DYSLEXIA. - THE HUMANITIES CENTER - AN INTELLECTUAL HOME BASE FOR STUDENTS, FACULTY, RESEARCHERS, ARTISTS AND THE PUBLIC. RESEARCH PROJECTS AFFECT FIELDS BEYOND THE HUMANITIES, INCLUDING MEDICINE, BUSINESS, SCIENCE AND ENGINEERING. - MT. HOPE FAMILY CENTER - LEADING EXPERTS PROVIDE EVIDENCE-BASED INTERVENTION AND PREVENTION SERVICES TO OVER 900 AT-RISK CHILDREN AND FAMILIES ANNUALLY. - INSTITUTE FOR MUSIC LEADERSHIP - DEVELOPING CREATIVE AND EFFECTIVE LEADERS FOR TODAYS MUSICAL WORLD. 2598314807 0 2698224265 SERVICES OF HOSPITAL AND CLINICS- THE UNIVERSITY OF ROCHESTER (THE "UNIVERSITY") PROVIDES HEALTH CARE SERVICES TO THE GREATER ROCHESTER AND FINGER LAKES AREA THROUGH STRONG MEMORIAL HOSPITAL, STRONG HOME CARE GROUP, THE VARIOUS ENTITIES INCLUDED IN STRONG PARTNERS HEALTH SYSTEM, INC. (SPHS), F.F. THOMPSON HEALTH SYSTEM, INC., LIVINGSTON HEALTH CARE SYSTEM, INC., THE MEMORIAL HOSPITAL OF WILLIAM F. AND GERTRUDE F. JONES, INC. AND ST. JAMES HOSPITAL. TO SUPPORT THE TEACHING AND RESEARCH MISSIONS OF ITS SCHOOL OF MEDICINE AND DENTISTRY AND ITS SCHOOL OF NURSING, THE UNIVERSITY OF ROCHESTER OPERATES STRONG MEMORIAL HOSPITAL, A TERTIARY CARE TEACHING HOSPITAL, WHICH INCLUDES THE GOLISANO CHILDRENS HOSPITAL. STRONG MEMORIAL HOSPITAL, GOLISANO CHILDRENS HOSPITAL, AND THE UNIVERSITY OF ROCHESTER MEDICAL FACULTY GROUP OPERATE AS UNINCORPORATED DIVISIONS OF THE UNIVERSITY OF ROCHESTER. STRONG MEMORIAL HOSPITAL PROVIDES HEALTH CARE SERVICES THROUGH ITS INPATIENT, OUTPATIENT AND EMERGENCY FACILITIES. THE MEDICAL STAFF OF THE HOSPITAL IS THE FACULTY OF THE SCHOOL OF MEDICINE AND DENTISTRY. THE ACADEMIC DEPARTMENT CHAIRS ALSO FUNCTION AS THE DEPARTMENT HEADS OF THE MEDICAL SERVICES IN THE HOSPITAL. THERE ARE EXTENSIVE INTERN AND RESIDENT PROGRAMS. THE HOSPITAL PROVIDES CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR SERVICES. DURING THE 2018-2019 FISCAL YEAR, THERE WERE 303,771 TOTAL INPATIENT DAYS AND 134,231 EMERGENCY VISITS. IN ADDITION TO BEING A TEACHING FACILITY, THE HOSPITAL OPERATES IN A CHARITABLE MANNER CONSISTENT WITH THE REQUIREMENTS OF INTERNAL REVENUE CODE SECTION 501(C)(3) AND THE "COMMUNITY BENEFIT STANDARD" OF IRS REVENUE RULING 69-545. IN THIS REGARD, THE GOVERNING BODY OF THE ORGANIZATION IS COMPOSED OF PROMINENT CITIZENS IN THE COMMUNITY. MEDICAL STAFF PRIVILEGES IN THE HOSPITAL ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA WHO ALSO CAN QUALIFY AS FULL OR PART-TIME FACULTY OF THE SCHOOL OF MEDICINE AND DENTISTRY; THE HOSPITAL MAINTAINS A FULL-TIME EMERGENCY ROOM OPEN TO ALL REGARDLESS OF ABILITY TO PAY; THE HOSPITAL PROVIDES CARE TO NEEDY MEMBERS OF ITS COMMUNITY WITH ITS CHARITY CARE POLICY REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES AND ADMITS AS PATIENTS THOSE ABLE TO PAY FOR CARE, EITHER THEMSELVES OR THROUGH THIRD-PARTY PAYERS SUCH AS PRIVATE HEALTH INSURANCE OR GOVERNMENT PROGRAMS SUCH AS MEDICARE AND MEDICAID. THE HOSPITAL'S EXCESS FUNDS ARE GENERALLY APPLIED TO EXPANSION AND REPLACEMENT OF EXISTING FACILITIES AND EQUIPMENT, MEDICAL RESEARCH, AMORTIZATION OF INDEBTEDNESS, IMPROVEMENTS IN PATIENT CARE, COMMUNITY BENEFIT ACTIVITIES AND CHARITY CARE. 125367567 0 111740912 3761903705 true true false true false true false true false true true true false false true true false true true true true false false true true false true true false true true true false false false false false true true true true true true true false false true true true true true false true 16965 0 true 32684 true true true true UK false false false true true false false false false false false false false false X 45 38 false false false false false false false true true false false true true true true true true true true true true CA X HOLLY G CRAWFORD 5852752800 208 WALLIS HALL ROCHESTER NY 14627 X RICHARD FELDMAN INTERIM TRUSTEE,PRES&CEO 80.0 0.0 X X 877740 0 53057 RICHARD T AAB TRUSTEE 2.0 0.0 X 0 0 0 JOSEPH W ABRAMS TRUSTEE 2.0 0.0 X 0 0 0 MARK S AIN TRUSTEE 2.0 0.0 X 0 0 0 JOAN S BEAL TRUSTEE 2.0 0.0 X 0 0 0 JAY S BENET TRUSTEE 2.0 0.0 X 0 0 0 NAOMI M BERGMAN TRUSTEE 2.0 0.0 X 0 0 0 STEPHEN R BIGGAR MD PHD TRUSTEE 2.0 0.0 X 0 0 0 LAURENCE H BLOCH TRUSTEE 2.0 0.0 X 0 0 0 H CHRISTOPHER BOEHNING TRUSTEE 2.0 0.0 X 0 0 0 JOHN H BRUNING TRUSTEE 2.0 0.0 X 0 0 0 ELIZABETH P BRUNO TRUSTEE 2.0 0.0 X 0 0 0 BARBARA J BURGER TRUSTEE 2.0 0.0 X 0 0 0 CAROL JOHN A DAVIDSON TRUSTEE 2.0 0.0 X 0 0 0 LAUNCELOT F DRUMMOND TRUSTEE 2.0 0.0 X 0 0 0 BERNARD T FERRARI MD TRUSTEE 2.0 0.0 X 0 0 0 ROGER B FRIEDLANDER TRUSTEE (UNTIL MAY 2019) 2.0 0.0 X 0 0 0 EMERSON U FULLWOOD TRUSTEE 2.0 0.0 X 0 0 0 ANI N GABRELLIAN TRUSTEE 2.0 0.0 X 0 0 0 GWEN MELTZER GREENE TRUSTEE 2.0 0.0 X 0 0 0 EDMUND A HAJIM TRUSTEE (UNTIL MAY 2019) 2.0 0.0 X 0 0 0 RICHARD B HANDLER TRUSTEE (CHAIR AS OF OCT 2018) 2.0 0.0 X X 0 0 0 CAROL D KARP TRUSTEE 2.0 0.0 X 0 0 0 ROBERT J KEEGAN TRUSTEE 2.0 0.0 X 0 0 0 LAURENCE KESSLER TRUSTEE 2.0 0.0 X 0 0 0 EVANS Y LAM TRUSTEE 2.0 0.0 X 0 0 0 NANCY A LIEBERMAN TRUSTEE 2.0 0.0 X 0 0 0 GAIL A LIONE TRUSTEE 2.0 0.0 X 0 0 0 EDWARD D MILLER MD TRUSTEE 2.0 0.0 X 0 0 0 CATHY E MINEHAN TRUSTEE 2.0 0.0 X 0 0 0 KATHLEEN ANN MURRAY TRUSTEE 2.0 0.0 X 0 0 0 NEVEEN NATARAJ TRUSTEE (AS OF MAY 2019) 2.0 0.0 X 0 0 0 SANDRA A PARKER TRUSTEE 2.0 0.0 X 0 0 0 LIZETTE M PEREZ-DEISBOECK TRUSTEE 2.0 0.0 X 0 0 0 PHILIP A PIZZO MD TRUSTEE 2.0 0.0 X 0 0 0 FRANCIS L PRICE TRUSTEE 2.0 0.0 X 0 0 0 BRIAN F PRINCE TRUSTEE 2.0 0.0 X 0 0 0 RONALD RETTNER TRUSTEE 2.0 0.0 X 0 0 0 THOMAS S RICHARDS TRUSTEE 2.0 0.0 X 0 0 0 MICHAEL S ROSEN TRUSTEE (UNTIL MAY 2019) 2.0 0.0 X 0 0 0 PHILIP E SAUNDERS TRUSTEE 2.0 0.0 X 0 0 0 THOMAS R SLOAN TRUSTEE 2.0 0.0 X 0 0 0 KATHY N WALLER TRUSTEE (AS OF MAY 2019) 2.0 0.0 X 0 0 0 DANIEL R WEGMAN TRUSTEE (CHAIR UNTIL OCT 2018) 2.0 0.0 X X 0 0 0 TIMOTHY C WENTWORTH TRUSTEE 2.0 0.0 X 0 0 0 THOMAS C WILMOT SR TRUSTEE 2.0 0.0 X 0 0 0 NATHANIEL WISCH MD TRUSTEE (UNTIL MAY 2019) 2.0 0.0 X 0 0 0 G ROBERT WITMER JR TRUSTEE 2.0 0.0 X 0 0 0 ALAN S ZEKELMAN TRUSTEE 2.0 0.0 X 0 0 0 PAUL J BURGETT VP&SR ADVISOR-(UNTIL AUG 2018) 40.0 0.0 X 136492 0 23730 ROBERT L CLARK PROVOST & SRVP RESEARCH 55.0 0.0 X 658835 0 290761 HOLLY G CRAWFORD SR VP, ADMIN & FIN, CFO, TRSR 65.0 0.0 X 577720 0 50598 THOMAS J FARRELL SRVP & CHIEF ADVANCEMENT OFCR 55.0 0.0 X 723253 0 51079 LAMAR R MURPHY CHIEF OF STAFF, GENL SECRETARY 55.0 0.0 X 403206 0 55371 GAIL M NORRIS VP & GENERAL COUNSEL 60.0 2.0 X 541868 0 50537 DOUGLAS W PHILLIPS SRVP & CHIEF INVESTMENT OFCR 62.0 0.0 X 760655 0 54677 ELIZABETH STAUDERMAN VP FOR COMMUNICATIONS 55.0 0.0 X 332315 0 36261 MARK B TAUBMAN MD SRVP HEALTH,CEO URMC, DEAN SMD 68.0 7.0 X 2070504 0 248883 ADAM P ANOLIK CFO URMC 55.0 9.0 X 652526 0 149040 MICHAEL J APOSTOLAKOS MD CMO,SMH & HH, VP URMC 55.0 9.0 X 649551 0 52865 CARRIE P FULLER-SPENCER0718 CFO SMH,HH,LTC&ASSOC VP URMC 55.0 9.0 X 357952 0 57127 STEVEN I GOLDSTEIN PRES/CEO SMH & HH,SRVP URMC 55.0 16.0 X 1196035 0 504848 KATHLEEN PARRINELLO COO SMH, EXEC VP SMH 55.0 0.0 X 756814 0 151698 PETER G ROBINSON VP GOV'T & COMM REL, URMC 55.0 5.0 X 1827058 0 229274 MICHAEL F ROTONDO MD CEO URMFG, SR VP URMC 55.0 0.0 X 1350556 0 142353 MICHAEL D MALONEY MD PROFESSOR-ORTHOPAEDICS M&D 86.0 0.0 X 1967072 0 53737 ILYA VOLOSHIN MD PROFESSOR-ORTHOPAEDICS M&D 60.0 0.0 X 1851932 0 49186 GEORGE M ALFIERIS MD PROFESSOR-CARDIAC SURGERY M&D 85.0 0.0 X 1687660 0 347479 SHERRIF F IBRAHIM MD PHD ASSOC PROF DERMATOLOGY M&D 60.0 0.0 X 1541049 0 56029 YAN M LI MD ASST PROFESSOR-NEUROSURGERY 60.0 0.0 X 1293784 0 55551 JOEL S SELIGMAN PRESIDENT EMERITUS & PROFESSOR 40.0 0.0 X 2756529 0 54445 BRADFORD C BERK DIRECTOR-UR NEUROREST. INST. 65.0 0.3 X 1437230 0 184903 PETER LENNIE PROFESSOR 40.0 0.0 X 528326 0 41836 RAYMOND J MAYEWSKI MD PROFESSOR 40.0 0.0 X 548504 0 51822 LEONARD J SHUTE SPEC PROJ/CONTRACT MGR URMC 20.0 0.0 X 221033 0 33534 27706199 0 3130681 3242 true true false LECHASE CONSTRUCTION SERVICES 205 INDIGO CREEK DRIVE ROCHESTER NY 14626 CONSTRUCTION SRVCS 11326941 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 TECH SUPPT,TRAINING 6993892 PIKE COMPANY INC ONE CIRCLE STREET ROCHESTER NY 14607 CONSTRUCTION SRVCS 6034309 DGA BUILDERS LLC 1170 PITTSFORD-VICTOR ROAD PITTSFORD NY 14534 CONSTRUCTION SRVCS 5880002 INTERLAKES ONCOLOGY AND HEMATOLOGY 211 WHITE SPRUCE BLVD SUITE A ROCHESTER NY 14623 ADMIN MGMT CONSULT 5276178 677 606660 4548774 2035000 320729801 87491618 14938682 415411853 SERVICES OF HOSPITALS AND CLINICS (NET) 621500 2698224265 2686355009 11869256 EDUCATIONAL ACTIVITIES 611310 584452995 584452995 RESEARCH & OTHER CONTRACTS 900099 97875232 97875232 AUXILIARY ENTERPRISES 900099 111740911 111740911 3492293403 102525700 8679581 93846119 719811 719811 2141762 2141762 0 0 0 1213205974 1065651491 147554483 147554483 147554483 2116953 4548774 1765461 351492 351492 0 0 0 0 0 0 ATHLETIC FACILITY FEES 713940 28338 28338 MAG & CHAPEL FACILITY RENTAL 531390 677026 677026 TRAVEL TOURS 561520 11709 11709 717073 4161715577 3480424147 21265910 244613667 5485 5485 242413505 242413505 0 0 14029490 10105679 3135827 787984 1950418 1950418 0 0 1781721838 1713422416 47520547 20778875 109077872 103246821 4549225 1281826 292468266 276833589 12197744 3436933 115696608 109511735 4825268 1359605 21681560 21681560 0 0 5367119 4614256 746819 6044 1136014 15420 1120594 0 396800 396800 0 0 260891 260891 69805638 0 69805638 0 130671483 125958850 3917911 794722 3447892 3406787 7340 33765 144063820 139698510 2213158 2152152 38200739 37523684 431674 245381 0 106990989 106345717 637486 7786 26305858 23691987 491902 2121969 0 18657482 14769549 793709 3094224 39776124 34867751 4192403 715970 0 200816863 187077006 12934861 804996 17650926 16450629 1198631 1666 MEDICAL SUPPLIES 559912518 559912518 0 0 OTHER-UBIT STATE TAX PAID 69937 69937 0 0 OTHER EXPENSES 65017147 27933096 33262252 3821799 4007593282 3761903705 203982989 41706588 X 0 0 151765883 192343078 171584520 169882730 394791413 465708277 6986310 7726910 0 0 18126176 14778895 40936082 42924580 16094890 15803827 4364254631 2496800112 1817162481 1867454519 776570920 537332694 2020295437 2316041545 0 0 0 0 83521247 87056349 5497835359 5717053404 431583825 463184532 0 0 37412586 48306338 929102585 881078720 0 0 0 0 127802106 123988599 52763897 100696968 637551344 684840224 2216216343 2302095381 X 2005042560 2089796609 688906646 699846122 587669810 625315292 3281619016 3414958023 5497835359 5717053404 X 154122295 -22293521 1510233 X false true X true true true X 345905882 365364666 379449692 398868083 415411853 1905000176 0 0 345905882 365364666 379449692 398868083 415411853 1905000176 0 1905000176 106498980 84262108 76738221 92486026 96707692 456693027 0 0 2361693203 14980338558 0.80663 0.79907 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false true 3992 false false true 608677 false false 612669 false SCHEDULE C, PART II-B, LINE 1 DETAIL OF LOBBYING ACTIVITIES THE UNIVERSITY OF ROCHESTER (THE "UNIVERSITY") ADVANCES ITS MISSIONS(EDUCATION, RESEARCH, HEALTH CARE AND COMMUNITY) WITH NATIONAL, STATE AND LOCAL ELECTED OFFICIALS, THEIR STAFF, OUR SURROUNDING COMMUNITY, AND WITH AGENCIES AT ALL LEVELS OF GOVERNMENT. THE UNIVERSITY ALSO INTERACTS WITH PEER INSTITUTIONS, D.C. AND ALBANY-BASED HIGHER EDUCATION AND MEDICAL ASSOCIATIONS, SCIENTIFIC COALITIONS AND SOCIETIES, AND CONSULTANTS TO ADVANCE ITS INTERESTS THROUGH POLICY, LEGISLATION AND REGULATIONS. 23 484530 1800384 6375841 true true 81589 40612986 X X X X false false 2108597452 39807016 128306491 20918930 82806003 2172986026 1980167484 39128228 194112646 18661772 86149134 2108597452 1797727143 38987413 251558457 17912500 90193029 1980167484 1922892466 31412694 -61083382 16617676 78876959 1797727143 1883514930 45895617 83377311 14971593 74923799 1922892466 0.48330 0.51320 0.00350 true false 11607818 11607818 2696865348 1208581288 1488284060 89489763 25333769 64155994 1152377131 1049182889 103194242 413914571 213702166 200212405 1867454519 OPERATING INVESTMENTS 332613384 F CASH & CASH EQUIVALENTS 31762631 F INTERESTS 1951665530 F 2316041545 0 THIRD PARTY SETTLEMENTS 153956555 RETIREMENT & POST-EMPLOYMENT 470289616 ASSET RETIREMENT OBLIGATION 35207039 FOR STUDENT LOANS 14825436 SPONSORED RESEARCH 10561578 684840224 X SCHEDULE D, PART I, LINE 1 DESCRIPTION OF DONOR ADVISED FUNDS THE UNIVERSITY OF ROCHESTER ("THE UNIVERSITY") OFFERS ITS DONORS THE OPPORTUNITY TO USE CONTRIBUTIONS TO CREATE DONOR-ADVISED FUNDS. A DONOR GENERALLY MAY ESTABLISH A DONOR-ADVISED FUND WITH THE UNIVERSITY BY SIGNING THE AGREEMENT AND THEN MAKING CONTRIBUTIONS TO THE FUND. THE DONOR IS ALLOWED TO RECOMMEND THE INVESTMENT OF THE FUND INTO EITHER A MONEY MARKET FUND OR THE UNIVERSITY'S GENERAL ENDOWMENT. THE DONOR MAY SERVE, OR MAY DESIGNATE ANOTHER PERSON TO SERVE, AS THE FUND ADVISOR, WHO MAKES GRANT RECOMMENDATIONS TO THE UNIVERSITY. THE GRANT RECOMMENDATIONS ARE NOT BINDING AND WILL BE SUBJECT TO THE UNIVERSITY'S DILIGENT REVIEW. -------------------- SCHEDULE D, PART III, LINE 4 DESCRIPTION OF COLLECTIONS THE UNIVERSITY'S MEMORIAL ART GALLERY MAINTAINS BROAD COLLECTIONS, COMPRISING NEARLY 11,000 OBJECTS SPANNING 5,000 YEARS OF ART HISTORY, THAT PROVIDES THE FOUNDATION FOR THE UNIVERSITY'S ROLE AS A SIGNIFICANT EDUCATIONAL CENTER COMMITTED TO BROADENING PEOPLES' UNDERSTANDING OF WORLD CULTURES, ART AND HISTORY. THE UNIVERSITY'S DEPARTMENT OF RARE BOOKS AND SPECIAL COLLECTIONS MAINTAINS RARE BOOK COLLECTIONS THAT INCLUDE PRINTED BOOKS, JOURNALS AND PAMPHLETS FROM 1472 TO THE PRESENT, AS WELL AS MANUSCRIPTS AND SPECIAL COLLECTIONS. THESE MATERIALS ARE PROVIDED FOR TEACHING, LEARNING AND RESEARCH PURPOSES. -------------------- SCHEDULE D, PART V USE OF ENDOWMENT FUNDS THE UNIVERSITY'S ENDOWMENT FUNDS ARE UTILIZED IN FURTHERANCE OF THE ORGANIZATION'S EXEMPT PURPOSES, INCLUDING THE PROVISION OF PERPETUAL ANNUAL SUPPORT FOR STUDENT FINANCIAL AID AND FACULTY SALARIES, AS WELL AS FOR CERTAIN FACILITIES AND ACADEMIC PROGRAMS. -------------------- SCHEDULE D, PART X, LINE 2 TEXT OF FIN48 (ASC 740) DISCLOSURE FROM AUDITED FINANCIAL STATEMENTS THE UNIVERSITY AND THE MAJORITY OF ITS AFFILIATES ARE NOT-FOR-PROFIT ORGANIZATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE GENERALLY EXEMPT FROM INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. UNRELATED ACTIVITIES AND INCOME, INCLUDING CERTAIN LABORATORY AND FACILITY RENTALS AND INCOME FROM LIMITED PARTNERSHIPS IN THE LONG TERM INVESTMENT POOL, ARE SUBJECT TO FEDERAL AND STATE UNRELATED BUSINESS INCOME TAX. THE TAX CUTS AND JOBS ACT (THE ACT) WAS ENACTED ON DECEMBER 22, 2017. THE ACT IMPACTS THE UNIVERSITY IN SEVERAL WAYS, INCLUDING A NEW EXCISE TAX ON EXECUTIVE COMPENSATION AND NEW RULES TO CALCULATE UNRELATED BUSINESS TAXABLE INCOME. THE UNIVERSITY REGULARLY EVALUATES ITS TAX POSITION AND DOES NOT BELIEVE IT HAS ANY UNCERTAIN TAX POSITIONS THAT REQUIRE DISCLOSURE OR ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS BASED ON CURRENTLY AVAILABLE REGULATORY GUIDANCE. true true true true true true true false false false false false false false false true false true SCHEDULE E, LINE 3A NONDISCRIMINATION POLICY STATEMENT ALL PUBLISHED UNIVERSITY OF ROCHESTER OPPORTUNITY ADVERTISEMENTS INCLUDE THE FOLLOWING STATEMENT: "THE UNIVERSITY OF ROCHESTER IS AN EQUAL OPPORTUNITY EMPLOYER." IN ADDITION, THE UNIVERSITY OF ROCHESTER'S NONDISCRIMINATION POLICY IS ADVERTISED TO PROSPECTIVE STUDENTS AND OTHERS IN THE COMMUNITY SERVED BY THE UNIVERSITY OF ROCHESTER THROUGH A NONDISCRIMINATION STATEMENT USED IN A WIDE VARIETY OF UNIVERSITY PROSPECTUS (FOR UNIVERSITY UNDERGRADUATES), UNDERGRADUATE BULLETINS AND GRADUATE BULLETINS. THE STATEMENT, WHICH ALSO APPEARS ON THE UNIVERSITY WEBSITE ON EQUAL OPPORTUNITY, READS AS FOLLOWS: The University of Rochester does not discriminate on the basis of age, color, disability, domestic violence victim status, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion/creed, sex, sexual orientation, citizenship status, or any other status protected by law in matters of admissions, employment, housing or services or in the educational programs or activities it operates. The University of Rochester prohibits and will not engage in discrimination and harassment on the basis of age, color, disability, domestic violence victim status, ethnicity, gender identity or expression, genetic information, marital status, familial status or an individuals reproductive health decision making, military/veteran status, national origin, race (including hair style), religion/creed (including religious attire and facial hair), sex, sexual orientation, citizenship status, or any other status protected by law (anyone individually, a "Protected Class"). Discrimination or harassment (including hostile work environment harassment) based on protected status is illegal, will not be tolerated, and is considered misconduct that will be subject to discipline. The University complies with all federal and state laws that prohibit discrimination based on the protected categories listed above, including Title IX of the Education Amendments of 1972, which prohibits sex discrimination (including sexual harassment and violence based on sex) in the Universitys educational programs and activities, and Section 504 of the Rehabilitation Act of 1973, which prohibits discrimination on the basis of disability. Inquiries concerning the application of Title IX and sex-based complaints should be referred to the Universitys Title IX Coordinator, Morgan Levy, 20 Taylor Hall, 585-275-7814, Morgan.Levy@rochester.edu. Questions about compliance with Section 504 can be addressed to the Universitys Disability Compliance Director, 36 Wallis Hall, 275-9125, l.vanslyke@rochester.edu. Questions regarding the application of Title IX and Section 504 can also be directed to the U.S. Department of Educations Office of Civil Rights (OCR) at its New York office at (646) 428-3800 or its national headquarters at (800) 421-3481; TTY: (800)-877-8339, or www.ed.gov/ocr/. THE UNIVERSITY OF ROCHESTER ALSO POSTS A "STATEMENT OF EDUCATIONAL PHILOSOPHY" WHICH IS AMPLIFICATION OF THE NONDISCRIMINATION STATEMENT. SEE:https://www.rochester.edu/diversity/reports/policies-2/statement-of-ed ucational-philosophy/. -------------------- SCHEDULE E, LINE 6A FINANCIAL AID/ASSISTANCE FROM GOV'T AGENCY THE UNIVERSITY OF ROCHESTER RECEIVES FINANCIAL ASSISTANCE FUNDS FOR STUDENTS, AS PROVIDED BY HHS PROGRAMS, AND HAS GOVERNMENT RESEARCH CONTRACTS AND GRANTS. Central America and the Caribbean 16 Program Services CONDUCTED RESEARCH 19879 Central America and the Caribbean 14 Program Services PRESENTATION AT CONFER 38871 Central America and the Caribbean 1 Program Services TEACHING & RECRUITMENT 376 Central America and the Caribbean Investments 1400796751 Central America and the Caribbean 12 Program Services STUDY ABROAD 24439 East Asia and the Pacific 33 Fundraising 101698 East Asia and the Pacific 20 Program Services CONDUCTED RESEARCH 54600 East Asia and the Pacific 141 Program Services PRESENTATION AT CONFER 365135 East Asia and the Pacific 30 Program Services STUDY ABROAD 111494 East Asia and the Pacific 50 Program Services TEACHING & RECRUITMENT 164641 Europe (Including Iceland and Greenland) 15 Fundraising 22859 Europe (Including Iceland and Greenland) Investments 11799364 Europe (Including Iceland and Greenland) 74 Program Services CONDUCTED RESEARCH 151238 Europe (Including Iceland and Greenland) 379 Program Services PRESENTATION AT CONFER 945338 Europe (Including Iceland and Greenland) 75 Program Services STUDY ABROAD 283209 Europe (Including Iceland and Greenland) 85 Program Services TEACHING & RECRUITMENT 87146 Middle East and North Africa 7 Program Services CONDUCTED RESEARCH 29339 Middle East and North Africa 32 Program Services PRESENTATION AT CONFER 88832 Middle East and North Africa 19 Program Services STUDY ABROAD 97963 Middle East and North Africa 7 Program Services TEACHING & RECRUITMENT 7489 North America 4 Fundraising 9171 North America Investments 26954869 North America 19 Program Services CONDUCTED RESEARCH 36860 North America 203 Program Services PRESENTATION AT CONFER 302294 North America 4 Program Services STUDY ABROAD 5909 North America 41 Program Services TEACHING & RECRUITMENT 25317 Russia and the Newly Independent States 3 Program Services CONDUCTED RESEARCH 6996 Russia and the Newly Independent States 9 Program Services PRESENTATION AT CONFER 25471 Russia and the Newly Independent States 1 Program Services STUDY ABROAD 18432 Russia and the Newly Independent States 2 Program Services TEACHING & RECRUITMENT 2653 South America 3 Program Services CONDUCTED RESEARCH 7807 South America 9 Program Services PRESENTATION AT CONFER 14723 South America 9 Program Services STUDY ABROAD 36607 South America 7 Program Services TEACHING & RECRUITMENT 30084 South Asia 4 Program Services CONDUCTED RESEARCH 17687 South Asia 17 Program Services PRESENTATION AT CONFER 32152 South Asia 15 Program Services STUDY ABROAD 76229 South Asia 15 Program Services TEACHING & RECRUITMENT 41291 Sub-Saharan Africa Investments 31597078 Sub-Saharan Africa 32 Program Services CONDUCTED RESEARCH 112718 Sub-Saharan Africa 6 Program Services PRESENTATION AT CONFER 12491 Sub-Saharan Africa 9 Program Services STUDY ABROAD 17581 Sub-Saharan Africa 21 Program Services TEACHING & RECRUITMENT 25660 952 491 1443 1414996377 59604364 1474600741 true false true true true true SCHEDULE F, PART I, LINE 3(c) SUBAWARDS ISSUED TO FOREIGN ENTITIES IN FURTHERANCE OF ITS RESEARCH ACTIVITIES THE UNIVERSITY OF ROCHESTER MAKES SUB-AWARDS TO OTHER FOREIGN ORGANIZATIONS THAT PERFORM RESEARCH IN CONNECTION WITH RESEARCH GRANTS AWARDED TO THE UNIVERSITY. THE UNIVERSITY DOES NOT CATEGORIZE THESE SUB-AWARDS AS "FOREIGN ACTIVITIES OR GRANTS" FOR FORM 990, SCHEDULE F REPORTING, SINCE THE FOREIGN RECIPIENT ORGANIZATIONS PERFORM RESEARCH SERVICES FOR THE UNIVERSITY AND ARE CONSIDERED INDEPENDENT CONTRACTORS WHICH SERVE THE DIRECT NEEDS OF THE UNIVERSITY. X X X X X X X true RUFFALO NOEL LEVITZ LLC 1025 KIRKWOOD PARKWAY SW CEDAR RAPIDS IA 524063018 PHONE SOLICITAT'N false 379470 260891 118579 379470 260891 118579 NY TOAST HLTH AUCT 2618000 2114395 503605 0 6863 161753 56548 1400 156836 GCH GALA 1152408 421310 731098 0 0 4000 129043 67975 106310 9 2895319 2013069 882250 0 57096 236898 221058 100356 459325 6665727 4548774 2116953 0 63959 402651 406649 169731 722471 1765461 351492 SCHEDULE G, PART I, LINE 2(B), ITEM #1 ADDITIONAL INFORMATION REGARDING FUNDRAISING ACTIVITIES GROSS RECEIPTS REPORTED IN PART I, LINE 1, COLUMN (IV) REPRESENT PHONE DONATIONS ONLY RECEIVED PURSUANT TO RUFFALO NOEL LEVITZS SOLICITATION EFFORTS. ON-LINE DONATIONS TO THE UNIVERSITY, WHICH MAY HAVE BEEN PROMPTED BY A PHONE SOLICITATION, ARE NOT REFLECTED IN THIS COLUMN. ADDITIONALLY, THE AMOUNT PAID TO RUFFALO NOEL LEVITZ AS REPORTED IN PART I, LINE 2B, COLUMN (V) INCLUDES BOTH PHONE SOLICITATION/TELEMARKETING SERVICES AND NON-SOLICITATION EFFORTS RELATED TO ALUMNI ENGAGEMENT AND DATA ENRICHMENT. THESE NON-SOLICITATION EFFORTS HAVE RESULTED IN IMPROVED ALUMNI CONTACT INFORMATION FOR THE UNIVERSITYS USE AND INCLUDES SERVICES TO UPDATE ADDRESSES, CELL PHONE NUMBERS, EMAIL ADDRESSES AND SOCIAL HANDLES. true true true X true X true true false true true 17249252 6863468 10385784 0.00260 489724882 365718129 124006753 0.03090 5061665 1632545 3429120 0.00090 512035799 374214142 137821657 0.03440 1920666 2400 1918266 0.00050 139351909 12172023 127179886 0.03170 269475977 198866566 70609411 0.01760 332668309 332668309 0 0.00000 451999 0 451999 0.00010 743868860 543709298 200159562 0.04990 1255904659 917923440 337981219 0.08430 9065 0 9065 0.00000 434 0 434 0.00000 1260 0 1260 0.00000 74 0 74 0.00000 10833 0 10833 0.00000 false 21230117 408015 287478436 329321889 -41843453 X true true 1 1 STRONG MEMORIAL HOSPITAL &EXT CLINICS 601 ELMWOOD AVENUE ROCHESTER NY 14642 WWW.URMC.ROCHESTER.EDU/STRONG-MEMORIAL LICENSE #2701005H X X X X X X OUTPATIENT MED CLINI OUTPATIENT MENTAL HE METHADONE MAINT, URG STRONG MEMORIAL HOSPITAL 1 false false true X X X X X X X X X 18 true true true true X SEE SCHEDULE H, PART V, SECTION C X SEE SCHEDULE H, PART V, SECTION C X X true 18 true SEE SCHEDULE H, PART V, SECTION C false true X 200. 400. X X X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false PART V, SECTION B, LINE 5- INPUT FROM COMMUNITY UR STRONG MADE SEVERAL SUCCESSFUL ATTEMPTS TO SOLICIT INPUT FROM THE BROAD INTERESTS OF THE COMMUNITY SERVED WHILE CONDUCTING ITS CHNA AND CHIP. THE MONROE COUNTY CHNA IS CONDUCTED IN COLLABORATION WITH OTHER HOSPITALS, THE LOCAL PUBLIC HEALTH DEPARTMENT AND OTHER AGENCIES IN MONROE COUNTY. A GROUP OF REPRESENTATIVES FROM EACH OF THESE ENTITIES MEETS MONTHLY AND IS CALLED THE COMMUNITY HEALTH IMPROVEMENT WORKGROUP (CHIW). THE CHIW MEETS TO CONDUCT THE CHNA WHEN INDICATED AND TO IMPLEMENT THE COMMUNITY-WIDE IMPROVEMENT STRATEGY. THERESA GREEN, DIRECTOR OF COMMUNITY HEALTH POLICY FROM THE URMC CENTER FOR COMMUNITY HEALTH AND PREVENTION, LED THE CHIW AND PROVIDED EXPERT ADVICE ON COMMUNITY ENGAGEMENT AND EVIDENCE BASED INTERVENTIONS. COMMUNITY INPUT IS CRITICAL THROUGHOUT THE CHNA PROCESS, THE IMPROVEMENT PLANNING PROCESS, AND THE IMPLEMENTATION PROCESS. ONGOING COMMUNITY ENGAGEMENT IS VITAL TO INFORM THE AGENDA. THE CHIW USED SEVERAL STRATEGIES TO ASSURE COMMUNITY INPUT WHEN DEVELOPING THE CHNA. FIRST, EACH OF THE COUNTYS HOSPITAL SYSTEMS REPRESENTATIVES TO THE CHIW TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY. EACH OF THE HOSPITAL SYSTEMS INCLUDED IN THE CHNA: UNIVERSITY OF ROCHESTER STRONG MEMORIAL HOSPITAL, HIGHLAND HOSPITAL, ROCHESTER REGIONAL HEALTH, AND UNITY HOSPITAL, SEND A REPRESENTATIVE TO THE CHIW. IN ADDITION, COMMON GROUND HEALTH, WHO REPRESENTS THE COMMUNITY VOICE AND WHO MANAGES BOTH THE AFRICAN AMERICAN HEALTH COALITION AND THE LATINO HEALTH COALITION FOR MONROE COUNTY, WAS REPRESENTED AT EACH CHIW MEETING BY EITHER DINA FATICONE, DIRECTOR OF COMMUNITY HEALTH AND ENGAGEMENT, OR SEVERAL OF THEIR OTHER REPRESENTATIVES. SEVERAL OTHER COMMUNITY AGENCIES INCLUDING UNITED WAY, THE REGIONAL HEALTH INFORMATION ORGANIZATION, AND THE COORDINATED CARE SERVICES, INC FOR MENTAL HEALTH ATTEND THE CHIW MEETINGS AND INFORMED THE CHNA AND CHIP. THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH WAS REPRESENTED AT EACH CHIW MEETING BY DR. MARIELENA VELEZ DE BROWN, MD, MPH DEPUTY COMMISSIONER OF PUBLIC HEALTH AT MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH; ANNE KERN, PUBLIC HEALTH PROGRAM COORDINATOR, AND KATHY CARELOCK, MANAGER OF THE DIVISION OF EPIDEMIOLOGY. ALL ARE AWARE OF COMMUNITY NEEDS, OVERSEE THE ADULT AND YOUTH HEALTH SURVEY PROCESS AND ARE EXPERTS IN EFFECTIVE PUBLIC HEALTH ASSESSMENT AND INTERVENTION. MICHAEL MENDOZA, MD, MPH AND CURRENT COMMISSIONER OF THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH, ATTENDED MEETINGS OCCASSIONALLY BUT WAS ALSO INFORMED BY DR. VELEZ DE BROWN, MS. KERN, MS. CARELOCK, AND DR. GREEN. ASIDE FOR INFRASTRUCTURE DESIGNED FOR COMMUNITY REPRSENTATION, THE CHIW RELIED HEAVILY ON A COMMUNITY SURVEY CONDUCTED BY COMMON GROUND HEALTH FOR COMMUNITY INPUT. IN 2018, COMMON GROUND HEALTH CONDUCTED A REGIONAL SURVEY OF COMMUNITY MEMBERS TO LEARN MORE ABOUT HEALTH BEHAVIORS AND BARRIERS TO HEALTHY LIVES. WITH PARTICULAR ATTENTION TO GATHERING INPUT FROM A DIVERSE GROUP OF PARTICIPANTS, OVER 4,000 PEOPLE WERE SURVEYED. THE SURVEY ASKED ABOUT A WIDE RANGE OF TOPICS FROM ACCESS TO MEDICAL AND DENTAL CARE TO PERCEPTIONS OF PERSONAL SAFETY AND SATISFACTION WITH WORK. TO CAPTURE EACH INDIVIDUALS UNIQUE STORY, SEVERAL QUESTIONS ARE OPEN-ENDED WITH AN OPPORTUNITY FOR UNSTRUCTURED FEEDBACK. THE RESULTS OF THE SURVEY INDICATED THAT THE TOP CONCERN FOR ADULTS IN MONROE COUNTY ACROSS ALL RACES, GEOGRAPHIES, AND SOCIOECONOMIC STATUS LEVELS WAS MENTAL HEALTH. AFTER REVIEWING THE DATA AND PRIORITIZING THE GENERAL DIRECTION FOR THE CHNA/CHIP, SEVERAL MEETINGS WERE PLANNED WITH SIGNIFICANT COMMUNITY GROUPS TO GATHER INPUT. MEMBERS FROM THE CHIW MET FIRST WITH THE AFRICAN AMERICAN HEALTH COALITION AT COMMON GROUND HEALTH ON MARCH 14TH, 2019. THEIR FEEDBACK INCLUDED SPECIFIC AREAS OF MENTAL HEALTH CONCERNS, THE NEED TO REDUCE THE STIGMA OF MENTAL HEALTH DIAGNOSES, AND INVOLVEMENT WITH THE CHURCH COMMUNITY. THEY ALSO SUGGESTED EMPHASIS IN MATERNAL AND CHILD HEALTH OUTCOMES DISPARITIES. REPRESENTATIVES FROM THE CHIW MET WITH THE LATINO HEALTH COALITION AT COMMON GROUND HEALTH ON MARCH 27TH, 2019. THE MATERNAL AND CHILD HEALTH ADVISORY GROUP MET WITH CHIW LEADERS ON MARCH 22, 2019. THIS GROUP DISCUSSED AREAS OF NEED WITHIN MATERNAL/CHILD HEALTH IN MONROE COUNTY, AND IDENTIFIED SEVERAL PRIORITIES INCLUDING FOCUSING ON HOUSING, TRANSPORTATION AND INCOME AS WELL AS ADVOCATING FOR FUNDING FOR SOME OF THE GRANT FUNDED AGENCIES AND INITIATIVES. A SPECIAL SESSION OF THE COMMUNITY ADVISORY COUNCIL WAS CALLED FOR APRIL 11, 2019. THE COMMUNITY ADVISORY COUNCIL (CAC) IS A GROUP OF 40+ LEADERS OF COMMUNITY AGENCIES MEETING WITH UNIVERSITY RESEARCHERS AND PROVIDERS. THE CAC MET IN THIS SESSION TO DISCUSS BOTH THE UNIVERSITY OF ROCHESTERS UPCOMING APPLICATION FOR THE CARNEGIE CLASSIFICATION IN COMMUNITY ENGAGEMENT AND THE COMMUNITY HEALTH IMPROVEMENT PLAN. THE CAC EXPRESSED OVERALL APPROVAL FOR THE PRIORITY AREAS OF THE CHIP AND ADDED SEVERAL MEANINGFUL SUGGESTIONS THAT WERE INCORPORATED INTO THE PLAN. THIS HIGH LEVEL COLLABORATION AMONG COMMUNITY MEMBERS, PUBLIC HEALTH PROVIDERS AND HOSPITAL SYSTEMS, ALONG WITH THE ROBUST PROCESS OF COMMUNITY INPUT GATHERING, PROVIDES A TRULY COMMUNITY BASED HEALTH NEEDS ASSESSMENT AND IMPROVEMENT PLAN. -------------------- PART V, SECTION B, LINE 6a- JOINT CHNA THE CHNA WAS CONDUCTED WITH SEVERAL OTHER HOSPITAL FACILITIES, as it has been since the early 2000s. THE CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT OF MONROE COUNTY WAS CONDUCTED JOINTLY BY UNIVERSITY OF ROCHESTER STRONG MEMORIAL HOSPITAL AND HIGHLAND HOSPITAL, and ROCHESTER REGIONAL HEALTH INCLUDING ROCHESTER REGIONAL HOSPITAL AND UNITY HOSPITAL. -------------------- PART V, SECTION B, LINE 6b - CHNA CONDUCTED WITH NON-HOSPITAL FACILITIES THE CHNA WAS CONDUCTED WITH SEVERAL OTHER ORGANIZATIONS BESIDES THE HOSPITAL FACILITIES. THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH WAS VERY ENGAGED IN THE CHNA PROCESS, WAS PRESENT AT EACH MEETING AND ASSISTED WITH DATA ANALYSIS AND IMPROVEMENT PLANNING. COMMON GROUND HEALTH IS THE REGIONAL PLANNING AGENCY AND IS REPRESENTED AT ALMOST EVERY MEETING OF THE COMMUNITY HEALTH IMPROVEMENT WORKGROUP (CHIW), AND WAS INSTRUMENTAL IN DEVELOPING THE CHNA, BOTH BY PROVIDING DATA AND ASSISTING WITH COMMUNITY ENGAGEMENT. THE REGIONAL DSRIP AGENCY ALSO ATTENDS THE CHIW MEETINGS AND GAVE INPUT TO THE CHNA PROCESS. AND THE REGIONAL HEALTH INFORMATION ORGANIZATION (RHIO) HAS BEEN TO MOST CHIW MEETINGS AND WAS ENGAGED IN THE CHNA PROCESS. THE MONROE COUNTY OFFICE OF MENTAL HEALTH JOINED THE CHIW AS THE 2019-2021 GOALS AND OBJECTIVES CHANGED TO INCLUDE MORE FOCUS IN MENTAL HEALTH AND WELL-BEING INITIATIVES. -------------------- PART V, SECTION B, LINE 7A&D,10 - CHNA & IMP PLAN PUBLIC AVAILABILITY THE CHNA REPORT WAS MADE WIDELY AVAILABLE TO THE PUBLIC. A COPY OF THE ORGANIZATION'S CHNA AND IMPLEMENTATION/IMPROVEMENT PLAN CAN BE FOUND AT: https://www.urmc.rochester.edu/community.aspx THE CHNA AND IMPLEMENTATION/IMPROVEMENT PLAN ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND ARE ALSO POSTED ON THE COLLABORATING HOSPITAL SYSTEM'S WEBSITES AND ON THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH'S WEBSITE. OUR CHIW MEETINGS ARE OPEN TO THE PUBLIC UPON REQUEST AND THE CHNA WAS DISCUSSED WITH EACH OF THE HOSPITALS BOARD OF DIRECTORS. IN ADDITION, THE CHNA AND CHIP HAS BEEN SHARED WITH NUMEROUS COMMUNITY AGENCIES AND STUDENT GROUPS AT CLASSES OR MEETINGS With MEMBERS OF THE CHIW PRESENT. INFORMATION IS ALWAYS SHARED AS TO WHERE TO FIND THE COMPLETE REPORT. -------------------- PART V, SECTION B, LINE 11 - ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED TWO PRIMARY FOCUS AREAS BASED ON VARIOUS SOURCES OF DATA AND SEVERAL OPPORTUNITIES FOR COMMUNITY INPUT. THE IDENTIFIED PRIORITY AREAS ARE MENTAL HEALTH/WELL-BEING AND MATERNAL CHILD HEALTH DISPARITIES. THE OBJECTIVES AND INTERVENTIONS FOR EACH AREA OF NEED WERE SELECTED FROM THE NEW YORK STATE PREVENTION AGENDAS LIST OF RECOMMENDED, EVIDENCE-BASED INTERVENTIONS AND PROGRAMS. THE FOLLOWING WORK PLAN WILL BE IMPLEMENTED IN MONROE COUNTY TO PROGRESS TOWARDS THE GOALS OF THE 2019-2021 COMMUNITY HEALTH IMPROVEMENT PLAN, USING THE RESOURCES OF THE CHIW. ALL FOUR HOSPITALS AND THE HEALTH DEPARTMENT AS WELL AS COMMUNITY PARTNERS WILL WORK COLLABORATIVELY ON THE SAME WORK PLAN TOWARDS THE SAME GOALS. THE INTERVENTIONS WILL BE IMPLEMENTED IN A COLLABORATIVE MANNER, AND THE HOSPITALS WILL DELEGATE RESOURCES INCLUDING REPRESENTATIVES, MEETING SPACES, CONTENT EXPERTS AND ORGANIZATIONAL CONNECTIONS. OUR COMMUNITY PARTNERS ARE INVOLVED IN THE PLANNING AND IMPLEMENTATION OF ALL INTERVENTION STRATEGIES, FROM THEIR SELECTION TO THEIR COMPLETION. MATERNAL CHILD HEALTH IS AN AREA OF CONCERN FOR MONROE COUNTY, AND THE CURRENT DISPARITIES ARE UNACCEPTABLE. THE GOAL FOR MATERNAL CHILD HEALTH IN THE 2019-2021 CHIP IS: REDUCE RACIAL, ETHNIC, ECONOMIC AND GEOGRAPHIC DISPARITIES IN MATERNAL AND CHILD HEALTH OUTCOMES AND PROMOTE HEALTH EQUITY FOR MATERNAL AND CHILD POPULATIONS. THE GOAL WILL BE ATTAINED THROUGH SEVERAL INTERVENTIONS INCLUDING: 1. PARTNER WITH HEALTHY BABY NETWORK AND OTHER MEMBERS OF THE MATERNAL CHILD HEALTH ADVISORY GROUP TO CONDUCT COMMUNITY INPUT SESSIONS TO IDENTIFY THE DRIVERS AND SOLUTIONS TO DISPARITIES. BY DECEMBER OF 2020, COMPLETE A COMPREHENSIVE SUMMARY OF BARRIERS TO HEALTHY OUTCOMES AMONG WOMEN OF REPRODUCTIVE AGE, PRIMARILY PEOPLE OF COLOR, PEOPLE WITH LOW SES, AND PEOPLE WHO LIVE IN THE CITY OF ROCHESTER. 2. CONVENE A MATERNAL CHILD HEALTH ADVISORY GROUP TO DISCUSS INTERVENTIONS AND PLAN IMPLEMENTATION TO ADDRESS BARRIERS IDENTIFIED BY THE COMMUNITY. BY DECEMBER OF 2021, IMPLEMENT AT LEAST 3 SYSTEMS CHANGES THAT WILL ADDRESS SOCIAL BARRIERS AND IMPROVE DISPARITIES IN MATERNAL CHILD HEALTH OUTCOMES. AND 3. HOST A SYNERGY MEETING ON LOCAL MATERNAL AND CHILD HEALTH DISPARITIES ANNUALLY PRESENTING RESULTS OF FOCUS GROUPS AND MCH ADVISORY GROUP WORK. BY DECEMBER OF 2021, HOST TWO WELL ATTENDED SYNERGY MEETINGS FOCUSING ON MCH DISPARITIES AND PROGRESS OF THE ADVISORY GROUP. PROMOTING MENTAL HEALTH AND WELL-BEING IS A PRIORITY AREA OF PARTICULAR IMPORTANCE TO OUR COMMUNITY MEMBERS. INTERVENTIONS FOCUS ON THE UPSTREAM APPROACH OF ADDRESSING SOCIAL DETERMINANTS OF HEALTH INCLUDING POVERTY AND EMPLOYMENT IN ORDER TO IMPACT THE LONG TERM HEALTH OF THE COMMUNITY AND ADDRESS DISPARITIES IN WEALTH. THERE ARE TWO GOALS IN THIS AREA. ONE IS TO STRENGTHEN OPPORTUNITIES TO BUILD WELL-BEING AND RESILIENCE ACROSS THE LIFESPAN. THIS GOAL WILL BE ATTAINED THROUGH SEVERAL INTERVENTIONS INCLUDING: 1. EXPLORE OPPORTUNITIES TO USE THE POWER OF ANCHOR INSTITUTIONS SUCH AS HOSPITALS TO REVITALIZE NEIGHBORHOODS, SUPPORTING DEMOCRATICALLY OPERATED WORKER COOPERATIVES, REEMPLOYMENT, AND SUPPORTED EMPLOYMENT. BY DECEMBER OF 2021, COMPLETE A COMPREHENSIVE SUMMARY OF INTERVENTIONS THAT ANCHOR INSTITUTIONS HAVE SUCCESSFULLY IMPLEMENTED TO IMPROVE COMMUNITY WEALTH AND PRESENT AT LEAST ONE RECOMMENDED OPTION TO EACH OF THE HOSPITALS IN THE COMMUNITY HEALTH IMPROVEMENT WORKGROUP. THE SECOND GOAL FOR THIS AREA IS TO FACILITATE SUPPORTIVE ENVIRONMENTS THAT PROMOTE RESPECT AND DIGNITY FOR PEOPLE OF ALL AGES. INTERVENTIONS IN THIS AREA INCLUDE: 1. BY DECEMBER 2021, HOST AT LEAST 4 MENTAL HEALTH FIRST AID SESSIONS TO INCREASE MENTAL HEALTH LITERACY, AWARENESS, AND EDUCATION ABOUT MENTAL HEALTH AND AVAILABLE SERVICES IN MONROE COUNTY. 2. BY DECEMBER 2021, REVIEW AT LEAST 3 TYPES OF DOCUMENTS INTERNAL TO THE HOSPITAL SYSTEMS, AND SEEK HELP FROM LANGUAGE EXPERTS TO CHANGE AND ADAPT LANGUAGE THAT IS NOT ENHANCING STIGMA AND IS DESIGNED TO BE MORE INCLUSIVE. IF RELEVANT, MAKE THESE LANGUAGE CHANGES TO DEFAULT LANGUAGE THAT IS USED IN THE EMR. IN ADDITION TO THE TWO IDENTIFIED FOCUS AREAS OUTLINED ABOVE, THERE ARE SEVERAL AREAS THAT WERE OF NOTED CONCERN TO THE CHIW. THESE SECONDARY AREAS SHOW UNACCEPTABLE OUTCOMES IN ONE OR MORE MEASURABLE INDICATOR HOWEVER LIMITED RESOURCES DO NOT ALLOW FOR DEDICATED ATTENTION AND INTERVENTION TO ADDRESS THEM. THE CHIW HAS AGREED TO FOLLOW AND SUPPORT THESE AREAS IN THE CHIP 2019-2021, WHILE DEDICATING PRIMARY ATTENTION TO THE TWO FOCUS AREAS OF MENTAL HEALTH, AND MATERNAL CHILD HEALTH INEQUITIES. THE FIVE AREAS THE CHIW WILL FOLLOW ARE: 1. SMOKING CESSATION INCREASING SMOKING CESSATION WAS A FOCUS AREA FOR THE MONROE COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN (2016-2018). THROUGH A CHANGE IN THE ELECTRONIC MEDICAL RECORDS PROCESS OF ALL FOUR HOSPITALS IN THE CHIW COLLABORATIVE, THE REFERRALS TO THE NYS QUIT LINE INCREASED 100 FOLD. ELECTRONIC REFERRALS TO THE NYS QUITLINE ARE AVAILABLE THROUGH BOTH MAJOR HEALTH SYSTEMS AND SEVERAL INDEPENDENT CLINICS AND FQHCS THROUGHOUT THE REGION. IN ADDITION, THE LOCAL MILLION HEARTS GROUP CONTINUES TO ORGANIZE AND HOST TOBACCO FREE COLLEGE CAMPUS CONFERENCES AND SUPPORT T-21 LEGISLATIVE INITIATIVES. THE TOBACCO FREE COLLEGE CAMPUS CONFERENCES WAS ORGANIZED BY THE MILLION HEARTS COLLABORATIVE, INCLUDING MEMBERS FROM THE ROCHESTER CHAMBER OF COMMERCE, AND LIDESTRI FOODS INC. AND INCLUDES SUPPORT AND REPRESENTATION FROM LOCAL COLLEGES INCLUDING ROCHESTER INSTITUTE OF TECHNOLOGY, UNIVERSITY OF ROCHESTER, ST. JOHN FISHER, MONROE COMMUNITY COLLEGE, AND NAZARETH COLLEGE. THIS GROUP MEETS TO DISCUSS PROGRESS, CAMPUS POLICIES, AND SETBACKS IN DEVELOPING AND MAINTAINING SMOKE-, TOBACCO-, AND VAPE-FREE LOCAL COLLEGE CAMPUSES. 2. FOOD INSECURITY WORK ON FOOD INSECURITY WAS BEGUN WITH THE CHIP 2016-2018. LOCAL SYSTEMS INTEGRATION PROJECTS ARE UNDERWAY, AND BOTH ROCHESTER REGIONAL HEALTH AND UNIVERSITY OF ROCHESTER MEDICAL CENTER ARE INVOLVED IN THESE PROJECTS, BOTH AS POTENTIAL PILOT LOCATIONS, AND ADVISORY GROUPS. AS THE COMMUNITY HEALTH IMPROVEMENT PLAN FOR 2019-2021 WILL BE ADDRESSING COMMUNITY WELL-BEING, AND SOCIAL DETERMINANT IMPACT ON MATERNAL-CHILD HEALTH, THESE FOCUS AREAS ARE RELATED TO AND INSEPARABLE FROM FOOD INSECURITY AND RESOURCE PROVISION. THE CHIW WILL CONTINUE TO SUPPORT PEDIATRIC DEPARTMENTS AS THEY SCREEN FOR SOCIAL DETERMINANTS INCLUDING FOOD SECURITY, AND WORK WITH LOCAL ORGANIZATIONS SUCH AS FOODLINK AND 2-1-1 TO BUILD COLLABORATIONS WITH THE HEALTH SYSTEMS. 3. OPIOID CRISIS THE OPIOID CRISIS HAS BEEN IMPACTING MONROE COUNTY SINCE THE EARLY 2010S. IN 2016, THE PUBLIC HEALTH GOAL WAS TO DECREASE OVERDOSE AND DEATH BY OVERDOSE RATES TO BELOW THE 2015 LEVEL. UNFORTUNATELY, WITH THE SPREAD OF THE OPIOID CRISIS AND THE INTRODUCTION OF FENTANYL TO THE STREET MARKETPLACE, OPIOID OVERDOSES AND DEATHS HAVE NOT DECREASED TO THIS SET GOAL, AND THEY HAVE INCREASED IN THE PAST 3 YEARS. THERE ARE MANY GROUPS WITHIN AND OUTSIDE OF THE HEALTH SYSTEMS WORKING TO ADDRESS THIS CRISIS. INCREASING THE HIRING OF TOXICOLOGISTS IN THE OFFICE OF THE MEDICAL EXAMINER, TRAINING MORE LOCAL PROVIDERS WITH BUPRENORPHINE WAIVERS AND TRAINING IN MEDICATION-ASSISTED TREATMENT (MAT), THE CONTINUATION AND EXPANSION OF LOCAL HEROIN AND OPIOID TASK FORCES INCLUDING LAW ENFORCEMENT, COUNTY OFFICIALS, TREATMENT CENTERS, AND MEDICAL PROFESSIONALS. THE HEALTH SYSTEMS ARE CONTINUING WORK IN THE SPACE OF SUBSTANCE USE DISORDER PREVENTION, IDENTIFICATION, AND TREATMENT WITH COMMUNITY AND GOVERNMENT PARTNERS. NALOXONE: THERE IS A NYS POLICY NALOXONE CO-PAYMENT ASSISTANCE PROGRAM (N-CAP) THAT PROVIDES A STANDING PRESCRIPTION AND COPAY COVERAGE AVAILABLE AT PHARMACIES WITHOUT AN OPEN PRESCRIPTION. RAISING AWARENESS ABOUT THE AVAILABILITY AND PROPER USE OF NALOXONE WILL CONTINUE IN MONROE COUNTY. TRAININGS ON HOW TO ADMINISTER NALOXONE IN THE CASE OF AN OPIOID OVERDOSE ARE PROVIDED BY MANY COMMUNITY GROUPS AND HEALTHCARE PROVIDERS INCLUDING BUT NOT LIMITED TO MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH, ROCHESTER GENERAL HOSPITAL, URMC, OAK ORCHARD HEALTH, AND TRILLIUM HEALTH. THESE TRAININGS ARE FREQUENT, OFTEN OPEN TO THE PUBLIC, AND ADVERTISED ONLINE BY EACH GROUP. 4. SEXUALLY TRANSMITTED INFECTION (STI) RATES MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH RUNS THE STD AND HIV CONTROL PROGRAM, INCLUDING MEDICAL INTERVENTIONS, SCREENINGS, PREVENTION, EDUCATION, AND PROVIDER TRAINING. THE MATERNAL CHILD HEALTH ADVISORY GROUP INCLUDES MANY GROUPS THAT WORK IN PRENATAL CARE, REPRODUCTIVE EDUCATION, AND STI EDUCATION. CONTINUATION OF SUPPORT AND FUNDING TO THE LOCAL PROVIDERS OF SEX AND REPRODUCTIVE EDUCATION TO BOTH CHILDREN AND ADULTS IN MONROE COUNTY WILL BE NECESSARY TO REDUCE THE RATE OF STIS IN THE REGION. 5. VIOLENCE PREVENTION THERE ARE CONSISTENT TRENDS OF DISPARITIES IN POPULATIONS IMPACTED BY VIOLENCE WITHIN MONROE COUNTY AND THE CITY OF ROCHESTER. THE AFRICAN AMERICAN HEALTH COALI PARV V, SECTION B, LINE 13B - INCOME LEVEL OTHER THAN FPG CHARITY CARE ASSISTANCE IS GENERALLY AVAILABLE TO INDIVIDUALS WHOSE INCOME IS LESS THAN OR EQUAL TO 400% OF THE FEDERAL POVERTY LEVEL. HOWEVER, PATIENTS WHO EXCEED THE INCOME THRESHOLD WHO HAVE EXHAUSTED THEIR INSURANCE BENEFITS, FACE EXTRAORDINARY MEDICAL COSTS, HAVE FILED FOR BANKRUPTCY OR HAVE OTHER UNIQUE OR EXTENUATING CIRCUMSTANCES MAY BE CONSIDERED FOR CHARITY CARE APPROVAL IN THE HOSPITAL'S SOLE DISCRETION. -------------------- PART V, SECTION B, LINES 16A-C - FINANCIAL ASSISTANCE POLICY AVAILABILITY A COPY OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT: HTTPS://WWW.URMC.ROCHESTER.EDU/STRONG-MEMORIAL/PATIENTS-FAMILIES/BILLING-I NSURANCE.ASPX -------------------- PART V, SECTION B, LINE 20E - PRESUMPTIVE ELIGIBILITY PRESUMPTIVE ELIGIBILITY FILES ARE RUN THROUGH PARO/CONNANCE TO DETERMINE WHETHER A PATIENT MAY QUALIFY FOR 100% PRESUMPTIVE FINANCIAL ASSISTANCE PRIOR TO AN EXTERNAL CREDIT AGENCY REFERRAL. -------------------- 7 EASTMAN DENTAL CENTER 625 ELMWOOD AVENUE ROCHESTER NY 14620 OUTPATIENT DENTAL CLINIC UNIVERSITY DENTAL FACULTY GROUP 2400 SOUTH CLINTON AVENUE BLDG H S ROCHESTER NY 14618 OUTPATIENT DENTAL CLINIC EASTMAN DENTAL CLINIC AT SCHOOL #17 158 ORCHARD STREET ROCHESTER NY 14611 OUTPATIENT DENTAL CLINIC EASTMAN DENTAL-DOWNTOWN CLINIC 228 E MAIN STREET ROCHESTER NY 14604 OUTPATIENT DENTAL CLINIC EDC SMILEMOBILE VANS 625 ELMWOOD AVENUE ROCHESTER NY 14620 OUTPATIENT DENTAL CLINIC EDC HIGHLAND HOSPITAL CLINIC 990 SOUTH AVENUE SUITE 020 ROCHESTER NY 14620 OUTPATIENT DENTAL CLINIC CULVER COMPLEX CARE CENTER 905 CULVER ROAD ROCHESTER NY 14609 OUTPATIENT DENTAL CLINIC PART I, LINE 7g- SUBSIDIZED HEALTH SERVICES COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC WERE INCLUDED ON PART I, LINE 7G, SUBSIDIZED HEALTH SERVICES, AND INCLUDED TOTAL COMMUNITY BENEFIT EXPENSE OF $98,889,019; DIRECT OFFSETTING REVENUE OF $72,623,147; NET COMMUNITY BENEFIT EXPENSE OF $26,265,872. -------------------- PART I, LINE 7- COSTING METHODOLOGY USED, BAD DEBT EXPENSE THE COSTING METHODOLOGY USED IN CALCULATING THE AMOUNTS REPORTED ON THE LINE 7 TABLE ARE BASED ON A COST ACCOUNTING SYSTEM. DUE TO THE ADOPTION OF NEW ACCOUNTING PRONOUNCEMENT ASC 606, CURRENT YEAR IMPLICIT PRICE CONCESSIONS ARE TREATED AS A CONTRA-REVENUE ITEM ON THE STATEMENT OF REVENUE. -------------------- PART II- DETAIL OF COMMUNITY BUILDING ACTIVITIES THE UNIVERSITY OF ROCHESTER IS VERY ENGAGED IN COMMUNITY BUILDING. PROGRAMS REPORTED IN PART II PROMOTE THE HEALTH OF THE COMMUNITY IN MANY WAYS. A FEW EXEMPLARY EXAMPLES OF COMMUNITY BUILDING ACTIVITIES ARE INCLUDED BELOW: COMMUNITY SUPPORT - BRA DAY- BREAST RECONSTRUCTION AWARENESS/BRA DAY. TO LEARN ABOUT THE OPTIONS AVAILABLE AND THE LATEST TECHNIQUES FOR IMPROVED RESULT IN BREAST RECONSTRUCTION. IN ADDITION, HEAR FROM PATIENTS WHO HAVE HAD BREAST RECONSTRUCTION AND HOW IT HAS HELPED THEM. - ROCHESTER ROOKIES VOLUNTEER- ENHANCING THE QUALITY OF CHILDREN'S LIVES BY TEACHING ATHLETIC SKILLS, FOSTERING INDEPENDENCE, BUILDING CHARACTER AND HELPING FAMILIES REALIZE THEIR CHILD'S FULL POTENTIAL THROUGH PROGRAMS, ADVOCACY AND SERVICES. THE UR SUPPORTS MANY COMMUNITY COALITIONS THROUGH MEETING ATTENDANCE AND RESOURCE ALLOCATION. THESE COALITIONS INCLUDE THE AFRICAN AMERICAN AND LATINO HEALTH COALITIONS WHICH ARE GROUPS OF INDIVIDUALS AND ORGANIZATIONS CONVENED BY THE FINGER LAKES HEALTH SYSTEMS AGENCY, WHO WORK TOGETHER TO BUILD A COORDINATED COMMUNITY RESPONSE TO ELIMINATE AFRICAN AMERICAN AND LATINO HEALTH DISPARITIES. THE CENTER FOR COMMUNITY HEALTH LINKS UR TO COMMUNITY MEMBERS AND FACILITATES COMMUNITY ENGAGEMENT, DEVELOPING LEADERS AMONG COMMUNITY MEMBERS AND SUPPORTING COALITIONS AND COMMUNITY IMPROVEMENT. THE CENTER FOR COMMUNITY HEALTH FACILITATES THE COMMUNITY ADVISORY BOARD WHICH GIVES LEADERS OF COMMUNITY BASED ORGANIZATIONS A VOICE IN SETTING THE RESEARCH AND INTERVENTION AGENDA FOR UR. IN ADDITION TO SEVERAL COMMUNITY SERVICE AND EDUCATION INITIATIVES, THE CENTER ADVOCATES FOR COMMUNITY HEALTH IN EDUCATION, SERVICE AND RESEARCH. THE CENTER HAS SEVERAL ONGOING INTIATIVES TO IMPROVE HEALTHY LIVING THROUGH NUTRITION ACCESS AND ACTIVE LIFESTYLE BOTH IN HEALTH EDUCATION AND ENVIRONMENTAL DESIGN. THE CENTER HOUSES THE TEEN HEALTH AND SUCCESS PARTNERSHIP THAT MENTORS YOUTH IN THE ROCHESTER CITY SCHOOLS TO GRADUATE AND OBTAIN AND MAINTAIN EMPLOYMENT, THUS SUPPORTING WORKFORCE DEVELOPMENT. THE CENTER ALSO ORGANIZES AND FACILITATES THE DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPROVEMENT PLANNING, WHICH IS A COOPERATIVE EFFORT FOR ALL THE HOSPITALS IN MONROE COUNTY AND THE HEALTH DEPARTMENT. -------------------- PART III, SECTION A, LINE 2- IMPLICIT PRICE CONCESSIONS/BAD DEBT EXPENSE 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). -------------------- PART III, SECTION A, LINE 4- IMPLICIT PRICE CONCESSION FOOTNOTE THE TEXT OF THE IMPLICIT PRICE CONCESSION (BAD DEBT EXPENSE) FOOTNOTE FOR THE UNIVERSITY CAN BE FOUND ON PAGE 14 (ITEM V) OF THE ELECTRONICALLY ATTACHED AUDITED FINANCIAL STATEMENTS. -------------------- PART III, SECTION B, LINE 8- COSTING METHODOLOGY, MEDICARE SHORTFALL THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 IS BASED ON REPORTS PRODUCED FROM THE HOSPITAL'S DECISION SUPPORT SYSTEM FOR THE YEAR. CONSISTENT WITH THE CHARITABLE HEALTHCARE MISSION OF THE HOSPITAL AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545, THE HOSPITAL PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE SEEKING MEDICAL CARE. SUCH CARE IS PROVIDED REGARDLESS OF WHETHER THE REIMBURSEMENT PROVIDED FOR SUCH SERVICES MEETS OR EXCEEDS THE COSTS INCURRED BY THE HOSPITAL TO PROVIDE SUCH SERVICES. AS A RESULT, THE HOSPITAL VIEWS ANY SHORTFALL REPORTED IN LINE 7 AS AN ADDITIONAL ITEM OF COMMUNITY BENEFIT PROVIDED BY THE ORGANIZATION. -------------------- PART III, SECTION C, LINE 9b- COLLECTION PRACTICES FINANCIAL ASSISTANCE PROGRAM MISSION/PURPOSE/PREAMBLE: STRONG MEMORIAL HOSPITAL IMPROVES HEALTH THROUGH CARING, DISCOVERY, TEACHING AND LEARNING. WE PROVIDE EXCELLENT AND COMPASSIONATE CARE AND RESPONSIVE SERVICE. AS WE SEEK TO UNDERSTAND AND FULLY MEET OUR PATIENTS' CURRENT AND FUTURE NEEDS AND EXPECTATIONS, WE RECOGNIZE OUR RESPONSIBILITY TO PRUDENTLY USE THE SCARCE RESOURCES ENTRUSTED TO US. LAWS, REGULATIONS, CATASTROPHIC ILLNESSES AND THE RISING COSTS OF NEW TECHNOLOGY HAVE CREATED A CATEGORY OF PATIENTS WHO ARE EITHER UNINSURED OR UNDERINSURED. THIS CHARITY CARE PROGRAM HAS BEEN DEVELOPED TO HELP THE HOSPITAL MEET THE NEEDS OF THESE PATIENTS AND, CONCURRENTLY, MAINTAIN THE FINANCIAL VIABILITY OF THE HOSPITAL FOR FUTURE GENERATIONS. THIS CHARITY CARE POLICY EXPLAINS HOW THE HOSPITAL ASSISTS PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE ESSENTIAL MEDICAL CARE THEY RECEIVE. PRINCIPLES: STRONG MEMORIAL HOSPITAL PROACTIVELY CONVEYS INFORMATION ABOUT THIS CHARITY CARE POLICY TO PATIENTS AND THEIR FAMILIES. - WE BELIEVE THAT FEAR OF A HOSPITAL BILL SHOULD NEVER GET IN THE WAY OF ESSENTIAL HEALTH SERVICES. THE PROVISION OF URGENT OR EMERGENT HEALTHCARE IS NEVER DELAYED PENDING A FINANCIAL ASSISTANCE DETERMINATION. SIGNS ANNOUNCING THE CHARITY CARE PROGRAM ARE POSTED IN THE HOSPITAL (E.G. EMERGENCY DEPARTMENT, ADMITTING OFFICE) TO PROACTIVELY CONVEY THIS MESSAGE TO PROSPECTIVE PATIENTS AND THE PUBLIC IN GENERAL. - WE MAINTAIN FINANCIAL AID POLICIES THAT ARE CONSISTENT WITH THE MISSION, VALUES AND CAPACITY OF THE HOSPITAL AND THAT TAKE INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE. - WE COMMUNICATE THE AVAILABILITY OF FINANCIAL AID IN A MANNER THAT IS CLEAR, UNDERSTANDABLE, SENSITIVE TO THE PATIENT'S DIGNITY, AND IN MULTIPLE LANGUAGES. A NOTICE IS AVAILABLE AT REGISTRATION SITES THAT INFORMS PATIENTS OF THIS PROGRAM AND PROVIDES THE PHONE NUMBER TO CALL TO OBTAIN MORE INFORMATION AND TO APPLY FOR THIS PROGRAM. DESIGNATED STAFF ARE PROVIDED DETAILED TRAINING SO THAT THEY CAN PROVIDE INFORMATION AND ANSWER QUESTIONS ABOUT THE CHARITY CARE PROGRAM. INFORMATION IS GENERALLY AVAILABLE IN BOTH ENGLISH AND SPANISH. WHEN REQUESTED, IT WILL ALSO BE MADE AVAILABLE IN OTHER LANGUAGES. - INFORMATION REGARDING OUR CHARITY CARE PROGRAM IS ALSO AVAILABLE ON THE URMC WEBSITE. - WE IMPLEMENT FINANCIAL AID PROCEDURES THAT ARE CONSUMER-FRIENDLY, RESPECTFUL, AND CONFIDENTIAL, AS WELL AS DEBT COLLECTION POLICIES THAT REFLECT THE MISSION AND VALUES OF THIS HOSPITAL. - WE WORK WITH GOVERNMENT, PAYERS, BUSINESS, CONSUMER GROUPS AND OTHERS TO ADDRESS THE UNDERLYING PROBLEM THAT TOO MANY NEW YORKERS LACK HEALTH INSURANCE. GENERAL GUIDELINES: AS PART OF FINANCIAL PLANNING ASSISTANCE, WE PROVIDE PATIENTS, AND/OR THEIR LEGAL REPRESENTATIVE, WITH INFORMATION ABOUT THE CRITERIA THAT MUST BE MET IN ORDER TO OBTAIN MEDICAID, MEDICARE, OR OTHER HEALTH INSURANCES. PATIENTS ARE ASSISTED IN MAKING APPLICATIONS FOR ANY OF THESE INSURANCES OR DISCOUNTED FEE PLANS. PATIENTS ARE EXPECTED TO PARTICIPATE FULLY IN ALL EFFORTS TO OBTAIN ANY INSURANCE FOR WHICH THEY MAY QUALIFY. UNDER CERTAIN CIRCUMSTANCES, AS DETERMINED BY THE FINANCIAL CASE MANAGERS OR OTHER HOSPITAL SENIOR ADMINISTRATORS. APPLICATIONS FOR MEDICAID, MEDICARE OR OTHER INSURANCE PROGRAMS MAY BE WAIVED WHEN DEEMED UNNECESSARY. IF AVAILABLE INSURANCE BENEFITS ARE NOT SUFFICIENT TO COVER THE COST OF THEIR CARE, PATIENTS MAY THEN APPLY FOR ASSISTANCE FROM THE CHARITY CARE PROGRAM. CHARITY CARE APPLICATIONS MUST BE COMPLETED AND RETURNED TO THE HOSPITAL WITH THE REQUESTED INCOME DOCUMENTATION. PATIENTS WILL NOT RECEIVE CHARITY CARE ASSISTANCE IF THEY (A) DO NOT COMPLETE THE APPLICATION PROCESS FOR MEDICAID OR OTHER INSURANCE FOR WHICH THEY MAY QUALIFY, (B) ELECT NOT TO MAKE APPLICATION FOR CHARITY CARE, OR (C) HAVE ADEQUATE RESOURCES OR INCOME TO PAY PRIVATELY FOR THEIR CARE. IN THESE SITUATIONS, THEY WILL REMAIN FINANCIALLY RESPONSIBLE FOR FULL PAYMENT OF THEIR HOSPITAL BILLS. CHARITY CARE ASSISTANCE IS AVAILABLE FOR PATIENTS WHO RESIDE IN NEW YORK STATE AND RECEIVE EMERGENCY HOSPITAL SERVICES, INCLUDING EMERGENCY TRANSFERS, AND TO PATIENTS WHO RESIDE IN STRONG MEMORIAL HOSPITAL'S PRIMARY SERVICE AREA IN NEW YORK STATE WHO RECEIVE SERVICES IN DESIGNATED STRONG MEMORIAL HOSPITAL PROGRAMS, INCLUDING MOST INPATIENT AND OUTPATIENT SERVICES. IN ADDITION, THE HOSPITAL MAY, IN ITS DISCRETION, GRANT CHARITY CARE TO INDIVIDUALS WHO RESIDE OUTSIDE OF NEW YORK STATE. CHARITY CARE ASSISTANCE DOES NOT COVER MEDICALLY UNNECESSARY CARE, COSMETIC ALTERATION, TELEPHONE, TELEVISION AND PRIVATE ROOM CHARGES. IT DOES NOT COVER SERVICES GENERATED BY AN INSURED PATIENT WHO CHOOSES TO RECEIVE CARE AT AN OUT-OF-NETWORK HOSPITAL, OR WHO FAILS TO COMPLY WITH INSURANCE POLICY REQUIREMENTS (E.G. UNAUTHORIZED SERVICES) NOR DOES IT APPLY TO NON-RESIDENT ALIENS (UNLESS APPROVED IN ADVANCE OF CARE BEING PROVIDED), TO DRUGS NOT ADMINISTERED IN THE HOSPITAL, TO TRANSPORTATION FURNISHED BY THIRD PARTY VENDORS, OR TO CARE, SERVICES, DRUGS OR SUPPLIES FOR THE PURPOSE OF GENDER CHANGE PROCEDURE. SPECIFIC QUESTIONS ABOUT SERVICES THAT ARE NOT COVERED SHOULD BE DIRECTED TO THE PATIENT ACCOUNTS MANAGER OR THEIR DELEGATE. FINANCIAL GUIDELINES: FINANCIAL AID IS INTENDED TO ASSIST THOSE INDIVIDUALS WHO CANNOT AFFORD TO PAY IN PART OR IN FULL FOR THEIR CARE. IT SHOULD TAKE INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE. HOSPITAL FINANCIAL AID SHOULD NOT BE VIEWED AS A SUBSTITUTE FOR EMPLOYER-SPONSORED OR INDIVIDUALLY PURCHASED INSURANCE. PATIENTS WITHOUT INSURANCE AND WITH INCOME THAT WOULD QUALIFY THEM FOR THE CHARITY CARE PROGRAM BUT ALSO HAVE SUBSTANTIAL RESOURCES (OTHER THAN TAX-DEFERRED OR COMPARABLE RETIREMENT SAVINGS OR COLLEGE SAVINGS ACCOUNTS) MAY BE EXPECTED TO PAY PART OF THEIR BILLS(S). CHARITY CARE ASSISTANCE IS GENERALLY AVAILABLE TO INDIVIDUALS WHOSE INCOME IS LESS THAN OR EQUAL TO 400% OF THE FEDERAL POVERTY LEVEL. HOWEVER, PATIENTS WHO HAVE EXHAUSTED THEIR INSURANCE BENEFITS, EXCEEDED FINANCIAL ELIGIBILITY CRITERIA, FACE EXTRAORDINARY MEDICAL COSTS, OR WHO HAVE OTHER UNIQUE CIRCUMSTANCES MAY BE CONSIDERED FOR CHARITY CARE APPROVAL IN THE HOSPITAL'S SOLE DISCRETION. WHILE APPLICATION FOR MEDICAID OR OTHER INSURANCE IS USUALLY REQUIRED, THE HOSPITAL MAY, AT ITS SOLE DISCRETION, IN APPROPRIATE CASES, ALSO CONSIDER PATIENTS FOR CHARITY CARE WHEN THEY MEET THE FINANCIAL CRITERIA OF THIS PROGRAM, BUT HAVE NOT SATISFACTORILY COMPLETED ALL THE REQUIREMENTS OF THE CHARITY CARE APPLICATION PROCESS. THIS MAY INCLUDE PATIENTS WHO HAVE BEEN SANCTIONED BY MEDICAID, HAVE FILED BANKRUPTCY OR APPEAR TO BE ELIGIBLE FOR CHARITY CARE ASSISTANCE BASED ON AVAILABLE INFORMATION. ELIGIBILITY DETERMINATIONS IN COMPLEX CASE CIRCUMSTANCES WILL BE MADE AFTER CONSIDERATION BY THE CHARITY CARE REVIEW TEAM THAT INCLUDES THE CHARITY CARE OFFICER, FINANCIAL CASE MANAGER AND/OR THEIR MANAGERS, OR MAY BE MADE BY SENIOR HOSPITAL ADMINISTRATORS. THE AMOUNT OF THE DISCOUNT AFFORDED TO QUALIFIED CHARITY CARE PATIENTS WILL BE DETERMINED THROUGH ASSESSMENT OF THE RESPONSIBLE PARTY'S ANNUAL HOUSEHOLD INCOME AND THE NUMBER OF PEOPLE IN THE HOME, AS A PERCENTAGE OF THE FEDERAL POVERTY GUIDELINE AMOUNTS FOR SAME SIZE HOUSEHOLDS. THE FINANCIAL GUIDELINES WILL BE UPDATED ANNUALLY IN CONJUNCTION WITH THE FEDERAL POVERTY UPDATES PUBLISHED BY CMS. PATIENTS MAY RECEIVE FULL OR PARTIAL DISCOUNT FROM THE COST OF CARE, DEPENDING ON THE PERCENTAGE OF THE GUIDELINES MATCHED BY THE PATIENT'S HOUSEHOLD INCOME. ANY BILL AMOUNT REMAINING AFTER APPLICATION OF A PARTIAL CHARITY CARE DISCOUNT IS THE RESPONSIBILITY OF THE PATIENT. THE AMOUNT AN APPROVED CHARITY CARE PATIENT WILL GENERALLY BE EXPECTED TO PAY FOR SERVICES COVERED BY THE POLICY WILL BE LIMITED TO THE LOWER OF THE AMOUNT THAT THE HOSPITAL WOULD HAVE RECEIVED FOR THE SAME SERVICE UNDER MEDICARE PARTS A AND B, (INCLUDING COINSURANCE, CO-PAYMENTS AND DEDUCTIBLES) OR THE USUAL AND CUSTOMARY CHARGES. THE PATIENT WILL BE ASSISTED BY THE HOSPITAL IN MAKING ARRANGEMENTS TO SATISFY ANY BALANCE REMAINING ON THE ACCOUNT(S) AFTER THE APPLICATION OF THE APPROPRIATE CHARITY CARE DISCOUNT BY USE OF A PAYMENT PLAN. THE MONTHLY PAYMENTS UNDER SUCH PLANS SHALL NOT EXCEED TEN PERCENT (10%) OF THE ELIGIBLE PATIENT'S GROSS MONTHLY INCOME. THE RATE OF INTEREST ON UNPAID BALANCES SHALL NOT EXCEED THE US TREASURY RATE FOR 90 DAY SECURITIES PLUS 0.5%. HOSPITAL PATIENT FINANCIAL AID STATUTE DISCOUNTING REQUIREMENTS DISCOUNT / GROSS INCOME AS % OF FEDERAL POVERTY LEVEL 100% / UP TO 200% 80% / BETWEEN 201-250% 60% / BETWEEN 251-300% 40% / BETWEEN 301-350% 20% / BETWEEN 351-400% 0% / OVER 401% PROCESS: APPLICATIONS WILL BE ACCEPTED IMMEDIATELY BEFORE, DURING OR AFTER CARE IS PROVIDED. THE HOSPITAL WILL STRIVE TO ASSIST PATIENTS RECEIVING HIGH-COST SERVICES AS THEY OCCUR. PATIENTS MAY BE APPROVED FOR CHARITY CARE ON AN ACCOUNT-BY-ACCOUNT BASIS OR FOR A PERIOD OF TIME (FOR A COURSE OF TREATMENT). F PART VI, LINE 2- NEEDS ASSESSMENT UR STRONG CONDUCTS ASSESSMENT OF HEALTH CARE NEEDS OF THE COMMUNITY, MOST FORMALLY THROUGH THE CHNA IN COLLABORATION WITH THE MEMBERS OF THE COMMUNITY HEALTH IMPROVEMENT WORKGROUP (CHIW) AS WELL AS SEVERAL ADDITION COMMUNITY MEMBERS, ORGANIZATIONS AND ASSOCIATIONS. WITH THE INPUT OF THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH (MCDPH), SEVERAL DATA SOURCES ARE REVIEWED, PRIMARILY NATALITY AND MORTALITY DATA, HOSPITALIZATION DATA THROUGH THE STATEWIDE PLANNING AND RESEARCH COOPERATIVE SYSTEMS (SPARCS) FILES, DISEASE AND SPECIFIC CONDITION DATA, AND THE NY STATE PREVENTION AGENDA DASHBOARD DATA. SEVERAL REPORTS ARE CONDUCTED PERIODICALLY BY COMMON GROUND HEALTH INCLUDING THE HEALTH EQUITY CHARTBOOK AND THE MONROE COUNTY HEALTH PROFILES, AND BY THE MCDPH INCLUDING THE YOUTH RISK BEHAVIOR SURVEY REPORT AND CHRONIC DISEASES IN MONROE COUNTY REPORT. THESE REPORTS INFORM THE HOSPITAL OF THE HEALTH CARE NEEDS OF THE COMMUNITY. THERE ARE SEVERAL UR STRONG REPRESENTATIVES TO THE CHIW COMMITTEE, WHICH BEGAN MEETING MONTHLY IN MAY 2012 AND CONTINUES TO MEET EVERY MONTH TO ASSESS THE NEEDS OF THE MONROE COUNTY COMMUNITY AND TO MONITOR SUCCESSES OF IMPLEMENTATION OF THE COMMUNITY HEALTH IMPROVEMENT PLAN. IN ADDITION, COMMUNITY INPUT IS PERIODICALLY SOUGHT FROM RESIDENTS, THE AFRICAN AMERICAN HEALTH COALITION AND THE LATINO HEALTH COALITION. PROGRAM SPECIFIC NEEDS ASSESSMENTS ARE CONDUCTED AS NECESSARY TO ENSURE THE SUCCESS AMONG THE TARGET POPULATION FOR INDIVIDUAL INTERVENTIONS, FOR EXAMPLE, THE UR WELL STUDENT RUN FREE MEDICAL CLINICS OFTEN ASSESS THE NEEDS OF THEIR CLIENTS IN ORDER TO IMPROVE SERVICES DELIVERED. THE MEDICAL CENTER PROVIDES SALARY SUPPORT FOR FACULTY AND STAFF TO CONTRIBUTE TO THEIR ACADEMIC AND CLINICAL EXPERTISE TO HELP IDENTIFY AND IMPLEMENT THE MOST EFFECTIVE INTERVENTIONS ON THE HEALTH PRIORITY NEEDS. THE CENTER FOR COMMUNITY HEALTH & PREVENTION (CCHP) WAS ESTABLISHED IN 2006 AS THE LINK BETWEEN THE COMMUNITY AND THE UNIVERSITY. AS PART OF THAT LINK, THE CENTERS FACULTY AND STAFF ARE FREQUENTLY ENGAGED WITH THE COMMUNITY FOR PROGRAMS, MEETINGS, INFORMATION SHARING AND RESEARCH. THE COMMUNICABLE DISEASE SECTION OF THE CCHP MONITORS INFECTIOUS DISEASE PREVALENCE AND TRENDS FOR OUR COMMUNITY AND SHARES DATA BOTH LOCALLY AND NATIONALLY. THE CANCER PREVENTION SECTION IN THE CCHP FOLLOWS TRENDS IN CANCER RATES AS WELL AS SCREENING RATES. FACULTY AND STAFF FROM WITHIN THE CCHP AS WELL AS AROUND THE INSTITUTION FREQUENTLY ATTEND COMMUNITY MEETINGS AND EVENTS TO GAUGE THE NEEDS OF COMMUNITY MEMBERS. IN ADDITION, THE CCHP SUPPORTS THE COMMUNITY ADVISORY COUNCIL (CAC), A LARGE COLLABORATIVE OF COMMUNITY LEADERS THAT INFORMS THE UNIVERSITY ABOUT ON-GOING AND EMERGING CONCERNS. THE COMMUNITY ADVISORY COUNCIL (CAC) WAS CREATED IN 2006 TO REPRESENT THE VOICE OF THE COMMUNITY AND TO GUIDE AND SUPPORT THE MISSION OF THE URMC. THE THIRTY-NINE MEMBER CAC REPRESENTS TWENTY-ONE COMMUNITY-BASED ORGANIZATIONS, INCLUDING HEALTH AND SOCIAL SERVICE AGENCIES, THE FAITH COMMUNITY, LOCAL GOVERNMENT, THE CITY SCHOOL DISTRICT AND MEDIA. A PRIMARY FUNCTION OF THE CAC IS TO STRENGTHEN URMC-COMMUNITY PARTNERSHIPS WITH A MUTUAL GOAL TO REDUCE INEQUALITIES AND IMPROVE ACCESS TO HEALTH CARE AND SERVICES. THE CAC MEETS AT LEAST QUARTERLY IN EXTENSIVE DIALOGUE AROUND COMMUNITY NEEDS. THE GOVERNMENT AND COMMUNITY RELATIONS OFFICE OF THE UNIVERSITY OF ROCHESTER IS ALSO ENGAGED WITH THE COMMUNITY AND IS ACTIVELY INVOLVED WITH SEVERAL COMMUNITY GROUPS THAT INFORM THE NEEDS OF THE COMMUNITY. THERE IS ALSO A PATIENT AND FAMILY RELATIONS DEPARTMENT WHICH IS A CONFIDENTIAL RESOURCE FOR PATIENTS AND FAMILIES WHO HAVE CONCERNS ABOUT COMMUNICATION, QUALITY OF CARE OR UNEXPECTED OUTCOMES. -------------------- PART VI, LINE 3- PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IS POSTED IN ALL AREAS OF THE FACILITY AND ITS OFF-SITE LOCATIONS. CHARITY CARE INFORMATION IS POSTED IN INPATIENT AND OUTPATIENT REGISTRATION AREAS; THE EMERGENCY DEPARTMENT; ADMITTING; AND ALL PRIMARY CARE SITES. PRINTED INFORMATION ABOUT CHARITY CARE ASSISTANCE IS ALSO PROVIDED WITH DISCHARGE MATERIALS WHEN IT HAS BEEN DETERMINED THAT A PATIENT IS IN FINANCIAL NEED. OUR CHARITY CARE POLICY IS ON-LINE AS WELL, ON THE HOSPITAL WEBSITE. AS PART OF FINANCIAL PLANNING ASSISTANCE, WE PROVIDE PATIENTS, OR THEIR LEGAL REPRESENTATIVE, WITH INFORMATION ABOUT THE CRITERIA THAT MUST BE MET IN ORDER TO OBTAIN MEDICAID, MEDICARE, OR OTHER HEALTH INSURANCES. PATIENTS ARE ASSISTED IN MAKING APPLICATIONS FOR ANY OF THESE INSURANCES OR DISCOUNTED FEE PLANS. PATIENTS ARE EXPECTED TO PARTICIPATE FULLY IN ALL EFFORTS TO OBTAIN ANY INSURANCE FOR WHICH THEY MAY QUALIFY. UNDER CERTAIN CIRCUMSTANCES, AS DETERMINED BY THE FINANCIAL CASE MANAGERS OR OTHER HOSPITAL SENIOR ADMINISTRATORS, APPLICATIONS FOR MEDICAID, MEDICARE OR OTHER INSURANCE PROGRAMS MAY BE WAIVED WHEN DEEMED UNNECESSARY. IF AVAILABLE INSURANCE BENEFITS ARE NOT SUFFICIENT TO COVER THE COST OF THEIR CARE, PATIENTS MAY THEN APPLY FOR ASSISTANCE FROM THE CHARITY CARE PROGRAM. -------------------- PART VI, LINE 4- COMMUNITY INFORMATION THE MAJORITY OF PATIENTS FROM UR STRONG RESIDE IN MONROE COUNTY, WHICH IS LOCATED IN WESTERN NEW YORK, CENTERED ON THE CITY OF ROCHESTER, WITH 19 SUBURBAN AND RURAL TOWNS. THE US CENSUS BUREAU POPULATION ESTIMATE FOR MONROE COUNTY IN 2019 IS 741,770 PERSONS, WHICH REPRESENTS A SLIGHT DECREASE FROM THE 2010 CENSUS FIGURE OF 744,344. THE ESTIMATE FOR THE CITY OF ROCHESTER IS 206,284 IN 2018, DOWN SINCE 2010 WHEN THE POPULATION WAS 210,565. THE AVERAGE HOUSEHOLD SIZE IN MONROE COUNTY (2014-18) IS 2.4 PERSONS. ACCORDING TO THE 2019 POPULATION ESTIMATES THE POPULATION AGED 5 OR YOUNGER IS 5.5% AND THE AGE 65 AND OVER MAKES UP 17.2%. ROUGHLY SIXTEEN PERCENT OR 119,623 OF MONROE COUNTY RESIDENTS ARE AFRICAN-AMERICAN; OF THOSE, 73% RESIDE WITHIN THE CITY OF ROCHESTER. OF THE COUNTYS LATINO CITIZENS, 60% RESIDE IN THE CITY OF ROCHESTER. THE LATINO COMMUNITY, MOSTLY OF PUERTO RICAN DESCENT, IS THE FASTEST GROWING SEGMENT OF THE ROCHESTER POPULATION. FOR 2019, IT IS ESTIMATED THAT 14.4% OF PEOPLE LIVING IN MONROE COUNTY WERE LIVING BELOW THE POVERTY LEVEL. ROCHESTER IS CONSIDERED THE 5TH POOREST CITY IN THE UNITED STATES AMONG THE TOP 75 METROPOLITAN AREAS AND WORST IN CHILD POVERY WITH MORE THAN 50% OF CHILDREN IN ROCHESTER LIVE IN POVERTY, THE HIGHEST FOR ANY COMPARABLY SIZED CITY IN THE US. (1) THE 66,500 ROCHESTER RESIDENTS LIVING IN POVERTY ACCOUNTED FOR 62% OF THE POVERTY IN MONROE COUNTY AND 41% OF THE TOTAL FOR THE REGION. ONE DISTINCT CHARACTERISTIC OF MONROE COUNTY IS THE SIZE OF THE DEAF POPULATION; AN ESTIMATED 10,000-15,000 PRIMARY AMERICAN SIGN LANGUAGE (ASL) USERS. THE DEAF POPULATION IS HETEROGENEOUS AND COMPLEX, DIFFERENTIATED ALONG LINES OF EDUCATIONAL BACKGROUND, ASL FLUENCY, AGE OF ONSET OF DEAFNESS, AS WELL AS RACE AND ETHNICITY. RACIAL AND ETHNIC DISPARITIES WITHIN THIS GROUP, WHILE LIKELY, HAVE NOT BEEN WELL-DOCUMENTED. MONROE COUNTY HAS A PLETHORA OF EXISTING FACILITIES AND RESOURCES WITHIN THE COMMUNITY. SPECIFICALLY, MONROE COUNTY ENJOYS PRODUCTIVE COLLABORATION AMONG ITS HOSPITAL SYSTEMS INCLUDING UNIVERSITY OF ROCHESTERS STRONG MEMORIAL HOSPITAL AND HIGHLAND HOSPITAL, AND ROCHESTER REGIONAL HEALTHS ROCHESTER GENERAL AND UNITY HOSPITAL. IN ADDITION TO THE HEALTH SYSTEMS, THERE IS A ROBUST MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH, A REGIONAL PLANNING AGENCY COMMON GROUND HEALTH, AND MANY RELEVANT COMMUNITY INITIATIVES. FURTHER DETAILS REGARDING THE ROCHESTER COMMUNITY, INCLUDING DESCRIPTIONS OF THE HOSPITALS AND COMMUNITY BASED ORGANIZATIONS AND INITIATIVES, CAN BE FOUND IN THE COMPLETE COMMUNITY HEALTH NEEDS ASSESSMENT. (1) Analysis of American Community Survey Data for 2010-2014, ACT Rochester downloaded May 3, 2016 http://www.actrochester.org/sites/default/files/Rochester%27s%20Poverty%20 Rate%20Rises%20According%20to%20New%20Census_December%202015.pdf -------------------- PART VI, LINE 5- PROMOTION OF COMMUNITY HEALTH THE UR AND AFFILIATED HOSPITALS FURTHER THEIR EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY THROUGH THE MEDICAL STAFF, COMMUNITY BOARD, HEALTH IMPROVEMENT PROGRAMS AND USE OF SURPLUS FUNDS, ALL DESCRIBED BELOW. OUR MEDICAL STAFF AND COMMUNITY BOARD PLAY AN IMPORTANT ROLE IN COMMUNITY HEALTH IMPROVEMENT. STRONG MEMORIAL HOSPITAL IS OVERSEEN BY THE UNIVERSITY OF ROCHESTER MEDICAL CENTER BOARD, A 33 MEMBER BOARD, INCLUSIVE OF 16 EX-OFFICIO MEMBERS AND 19 LIFE MEMBERS, THAT REPORT TO THE UNIVERSITY BOARD OF TRUSTEES. THE MEDICAL CENTER BOARD IS LED BY AND COMPRISED OF A DIVERSE GROUP OF COMMUNITY AND INDUSTRY LEADERS AND ADVOCATES - PEOPLE WHO LIVE AND WORK IN THIS COMMUNITY AND CARE DEEPLY ABOUT THE HEALTH AND WELFARE OF ITS CITIZENS. THE BOARD INCLUDES NON-UR MEDICAL CENTER-EMPLOYED PRIVATE COMMUNITY PHYSICIANS, MEMBERS OF THE BUSINESS COMMUNITY, LOCAL PHILANTHROPISTS WITH AN INTEREST IN ADVOCATING FOR HEALTH CARE, AND OTHER LOCAL REPRESENTATIVES. AS A DEDICATED BOARD, EACH MEMBER UPHOLDS WELL-ESTABLISHED PRINCIPLES OF NONPROFIT CORPORATION LAW CONCERNING THE STANDARDS OF CONDUCT AND ATTENTION A BOARD MEMBER MUST MEET: FIDUCIARY RESPONSIBILITY, OBEDIENCE TO THE CHARITABLE PURPOSE OF THE ORGANIZATION, LOYALTY, A COMMITMENT TO ACT BASED ON BEST INTERESTS OF THE ORGANIZATION AND THE WIDER COMMUNITY IT SERVES, AND DILIGENCE IN CARRYING OUT THE WORK OF THE BOARD. ADMINISTRATIVELY, UR MEDICAL CENTER LEADERSHIP HAS INITIATED A COMPREHENSIVE AND AMBITIOUS STRATEGIC PLAN WHICH SEEKS TO PRODUCES EXCEPTIONAL RESULTS AT AN AFFORDABLE COST, ACROSS ALL OF OUR MISSIONS: EDUCATION, RESEARCH, PATIENT CARE, AND COMMUNITY HEALTH. THE GOALS OF THE PLAN INCLUDE EXPANDING COMMUNITY HEALTH PROGRAMS AND RESEARCH THAT IMPROVE THE OVERALL HEALTH OF THE GREATER ROCHESTER COMMUNITY. THE BOARD OF DIRECTORS ENDORSE AND CHAMPION THE VISION OF THE PLAN. TO HIGHLIGHT THE IMPORTANCE OF THE COMMUNITY HEALTH MISSION, THE CENTER FOR COMMUNITY HEALTH AND PREVENTION (CCHP) WAS ESTABLISHED IN 2006 AS THE LINK BETWEEN THE COMMUNITY AND THE UNIVERSITY. THE CCHP MISSION IS TO JOIN FORCES WITH THE COMMUNITY TO PROMOTE HEALTH EQUITY; IMPROVE HEALTH THROUGH RESEARCH, EDUCATION, SERVICES, AND POLICY; AND ESTABLISH LOCAL AND NATIONAL MODELS FOR PREVENTION AND COMMUNITY ENGAGEMENT. THROUGH DISEASE PREVENTION AND HEALTHY LIVING PROGRAMS, RESEARCH, EDUCATION, AND POLICY THE CCHP WORKS TO CREATE ENVIRONMENTS THAT SUPPORT HEALTHY BEHAVIORS AIMED AT PREVENTING DISEASE AND CREATING A HEALTHIER COMMUNITY. THE CENTER FOR COMMUNITY HEALTH AND PREVENTION HOSTS THE ANNUAL "DR. DAVID SATCHER COMMUNITY HEALTH IMPROVEMENT AWARDS" PROGRAM THAT WAS ESTABLISHED IN 2010 TO RECOGNIZE URMC FACULTY/STAFF AND THEIR COMMUNITY PARTNERS FOR EXEMPLARY COMMUNITY-ENGAGED WORK WHICH CONTRIBUTES TO REDUCING HEALTH INEQUALITIES AND IMPROVES THE COMMUNITY'S HEALTH. THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR MONROE COUNTY IS MANAGED AND LED BY FACULTY AND STAFF OF THE CENTER FOR COMMUNITY HEALTH AND PREVENTION, PART OF UR MEDICAL CENTER. THE 2019 CHIP HAS TWO PRIMARY FOCUS AREAS AND IS ALIGNED WITH THE NYS PREVENTION AGENDA. UR STRONG SUPPORTS THE COMMUNITY HEALTH IMPROVEMENT PLAN OUTLINED IN THE CHNA/CHIP AND HAS DEDICATED FACULTY, STAFF AND RESOURCES TO MEET THE GOALS OUTLINED IN THE PLAN. THE FOCUS AREAS ADDRESSED ARE 1. MATERNAL AND CHILD HEALTH DISPARITIES AND 2. MENTAL HEALTH AND WELL-BEING. UR STRONG WILL DEDICATE ALL REASONABLE RESOURCES TO SUPPORT EFFORTS IN THESE FOCUS AREAS. URMC EXTENDS MEDICAL STAFF PRIVILEGES TO EMPLOYED UR MEDICAL CENTER FACULTY PHYSICIANS AND ALL ELIGIBLE PRIVATE PHYSICIANS WHO PRACTICE AT UR MEDICAL CENTER AFFILIATED HOSPITALS. MANY FACULTY MEMBERS SERVE A DUAL ROLE WITH COMMUNITY AGENCIES, PROVIDING SERVICE AS A MEDICAL DIRECTOR OR ATTENDING PHYSICIAN FOR COMMUNITY HEALTH INITIATIVES. THIS LINKAGE ENHANCES COLLABORATION, PRODUCING A HIGHER QUALITY OF CARE AND SMOOTHER TRANSITIONS FOR PATIENTS WHO MAY NEED ANY OR ALL OF THESE SERVICES. THROUGH THE EFFECTIVE USE OF SURPLUS FUNDS THE UR MEDICAL CENTER CONTINUALLY REINVESTS IN ITS FACILITIES AND PROGRAMS IN AN EFFORT TO IMPROVE THE HEALTH OF THE COMMUNITY. SURPLUS FUNDS ARE ALSO DEDICATED TO SUPPORT RESEARCH. OUR CLINICAL AND TRANSLATIONAL RESEARCH INSTITUTE (CTSI) THAT SERVES AS THE HUB OF RESOURCES, EXPERTISE AND NETWORKS NECESSARY TO ACCELERATE THE CLINICAL APPLICATION OF BIOMEDICAL AND BEHAVIORAL RESEARCH SO THAT INTERVENTIONS CAN REACH INDIVIDUALS IN THE COMMUNITY MORE QUICKLY. THE CTSI'S COMMUNITY ENGAGEMENT FUNCTION, WHICH IS SUPPORTED BY THE UR MEDICAL CENTER'S CENTER FOR COMMUNITY HEALTH AND PREVENTION, SUPPORTS THE CTSI COMMUNITY ENGAGEMENT MISSION BY FACILITATING COMMUNICATION AND PARTNERSHIPS AMONG RESEARCHERS, HEALTH CARE PROVIDERS, AND COMMUNITY MEMBERS AND ORGANIZATIONS. IN ADDITION, SURPLUS FUNDS ALSO SUPPORT THE UR MEDICAL CENTER'S COMMITMENT TO COMMUNITY HEALTH, WHICH DATES BACK TO THE MEDICAL SCHOOL'S FOUNDING. IN 1920, LOCAL BENEFACTOR GEORGE EASTMAN BEQUEATHED A GIFT TO THE SCHOOL WITH THE INSTRUCTIONS THAT THE SCHOOL HELP MAKE ROCHESTER "ONE OF THE HEALTHIEST COMMUNITIES IN THE WORLD." OUTSTANDING EXAMPLES INCLUDE: THE HOEKELMAN CENTER SERVES AS A NATIONAL LEADER FOR PEDIATRIC COMMUNITY HEALTH BY FOCUSING ON CONNECTING, ADVOCATING, RESEARCHING AND EDUCATING IN OUR COMMUNITIES TO "DO WHAT WORKS" FOR HEALTH. THE HOEKELMAN CENTER HOSTS THE PEDIATRIC LINKS WITH THE COMMUNITY (PLC) WHICH WILL HAVE TRAINED OVER 800 FIRST-YEAR RESIDENTS FROM PEDIATRICS, MEDICINE-PEDIATRICS, AND FAMILY MEDICINE, AND MEDICAL STUDENTS BY THE END OF 2016- 2017 ACADEMIC YEAR. DURING THE PLC TWO-WEEK ROTATION, RESIDENTS AND STUDENTS LEARN FIRST-HAND ABOUT CRITICAL FACTORS AFFECTING CHILD HEALTH, WHILE INTERACTING WITH MEDICAL AND NON-MEDICAL PROVIDERS AT VARIOUS COMMUNITY-BASED ORGANIZATIONS AND PROGRAMS. THE CLOSTRIDIUM DIFFICILE INFECTION REDUCTION COLLABORATIVE (CDPC) IS FOCUSED ON LIMITING C. DIFF INFECTION TRANSMISSION BY EMPHASIZING HAND HYGIENE AND ADEQUATE CLEANING OF THE ENVIRONMENT WITHIN FOUR HOSPITALS IN OUR COMMUNITY. A REDUCTION OF HOSPITAL-ONSET CDI OF OVER 30% WAS ACHIEVED THROUGH INVOLVEMENT OF STAFF FROM MULTIPLE DISCIPLINES, EDUCATION, OBSERVATIONS, STANDARDIZATION OF POLICIES, BEHAVIORAL CHANGE THEORY IMPLEMENTATION AND ANTIBIOTIC STEWARDSHIP. THE INITIATIVE IS NOW EXPANDING TO NURSING HOMES IN THE COMMUNITY. FUNDS FROM THE MEDICAL CENTER SUPPORT THE EMERGENCY DEPARTMENTS INJURY FREE COALITION FOR KIDS WHICH HAS AS ITS MISSION TO WORK WITH A COMMUNITY COALITIONS TO LEARN MORE ABOUT HOW, WHEN, AND WHERE INJURIES TO CHILDREN OCCUR, TO SET PRIORITIES FOR INJURY PREVENTION, TO DEVELOP NEW PREVENTION STRATEGIES, AND TO STUDY THE IMPACT OF THESE STRATEGIES ON THE ROCHESTER COMMUNITY. ACTIVITIES INCLUDE BABY SAFE SLEEP, BIKE SAFETY EDUCATION, CHILD PASSENGER SAFETY PROGRAMS, HOME SAFETY, PEDESTRIAN SAFETY AND SAFE TEEN DRIVING SEMINARS. UR STRONG IS HOME TO THE REGIONS ONLY ACADEMIC MEDICAL CENTER, THE LEADING SOURCE OF NEW PHYSICIANS IN THE AREA AND THE SAFETY-NET PROVIDER FOR OUR MOST VULNERABLE CITIZENS. WE ARE HOME TO THE REGIONS ONLY LEVEL I TRAUMA CENTER; NEONATAL, PEDIATRIC, AND ADULT INTENSIVE CARE UNITS; A BURN TRAUMA UNIT; SURGICAL TRANSPLANT SERVICES; AND OTHER NEW AND SPECIALIZED 24/7 CARE UNAVAILABLE ELSEWHERE IN THE COMMUNITY. FINGER LAKES OCCUPATIONAL HEALTH SERVICES IS DEDICATED TO THE DIAGNOSIS, TREATMENT, AND PREVENTION OF WORKPLACE INJURY AND DISEASE ACROSS NINE COUNTIES IN NEW YORK STATE. UR IS ALSO STRONGLY COMMITTED TO THE DSRIP INITIATIVE AS ONE OF THE KEY PARTNER AGENCIES IN THE REGIONAL DSRIP INITIATIVE CALLED FLPPS (FINGER LAKES PERFORMING PROVIDER SYSTEM). FLPPS HAS CHOSEN SEVERAL PROJECTS WITH EXTENSIVE COMMUNITY HEALTH IMPROVEMENT POSSIBILITIES. UR HAS BUILT INFRASTRUCTURE AND LEADERSHIP TO BE ABLE TO IMPLEMENT THE PROJECTS WHICH INLCUDES BEHAVIORAL HEALTH SERVICE IMPROVEMENTS AND CRISIS STABILIZATION, EXPANSION OF THE BABY LOVE PROGRAM THAT PROVIDES SOCIAL AND EDUCATIONAL SUPPORT TO HIGH RISK PREGNANT WOMEN, INCREASING TRANSITIONAL HOUSING OPTIONS FOR HOUSING INSECURE PATIENTS UPON DISCHARGE, AND ACTIVATING PATIENTS WHO ARE HIGH UTILIZERS AND UNDERINSURED. -------------------- PART VI, LINE 6- AFFILIATED HEALTH CARE SYSTEM 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. - THE UNIVERSITY'S HEALTH CARE DELIVERY NETWORK IS ANCHORED BY STRONG MEMORIAL HOSPITAL, AN 838 BED TEACHING HOSPITAL, WHICH INCLUDES A CHILDREN'S HOSPITAL-GOLISANO CHILDREN'S HOSPITAL. PATIENTS BENEFIT FROM THE MEDICAL CENTER'S ROBUST TEACHING AND BIOMEDICAL RESEARCH PROGRAMS. STUDENT ROSTERS INCLUDE APPROXIMATELY 400 MEDICAL STUDENTS, 500 GRADUATE STUDENTS, AND 890 RESIDENTS AND FELLOWS WHO ARE ENGAGED IN COMMUNITY SERVICE THROUGHOUT THEIR EDUCATION. - EASTMAN INSTITUTE FOR ORAL HEALTH PROVIDES COMMUNITY DENTAL CARE IN A NUMBER OF CLINICS, AS WELL AS CLINICAL EDUCATION TO DENTAL STUDENTS ENROLLED AT THE UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY. IT OFFERS GENERAL DENTISTRY, PEDIATRIC AND ORTHODONTIC CLINICS, AND AN URGENT CARE DENTAL CLINIC THAT SEES 10 - 50 PATIENTS PER DAY. IT OPERATES LOW-INCOME CLINICS AT SCHOOLS AND A DOWNTOWN LOCATION. ADDITIONALLY, FOUR SMILEMOBILES PROVIDE A DENTAL OFFICE ON WHEELS, ALLOWING THE CITY'S CHILDREN INCREASED ACCESS TO MUCH NEEDED DENTAL CARE. - THE JAMES P. WILMOT CANCER CENTER IS ORGANIZED AROUND A MULTIDISCIPLINARY CARE MODEL, WHICH LEADING CANCER EXPERTS BELIEVE IS THE GOLD STANDARD IN CANCER CARE IN THE 21ST CENTURY. ITS MODEL UNDERSCORES A COMMITMENT TO PROVIDE PATIENTS IN THE ROCHESTER AREA WITH THE MOST UP-TO-DATE INFORMATION AND AVAILABLE TREATMENTS, BASING OUR RECOMMENDATIONS ON THE BEST EVIDENCE. IT IS THE ONLY CENTER IN THE ROCHESTER AND FINGER LAKES REGION OFFERING THIS TEAM APPROACH TO CARE. A VARIETY OF FREE PREVENTIVE EDUCATION EVENTS ARE HELD THROUGHOUT THE YEAR, INCLUDING MEN'S HEALTH DAY, WHICH INCLUDES NUMEROUS FREE HEALTH SCREENINGS; FREE SKIN CANCER SCREENINGS; AND BREAST CANCER SCREENINGS FOR THE UNINSURED AND UNDERINSURED. - GOLISANO CHILDREN'S HOSPITAL, HOUSED IN STRONG MEMORIAL HOSPITAL, IS A 124-BED CHILDREN'S HOSPITAL THAT SERVES AS THE REFERRAL CENTER FOR ALL SERIOUSLY ILL OR INJURED CHILDREN FROM THE 17-COUNTY FINGER LAKES REGION. IT COMBINES AWARD-WINNING RESEARCH, INTERNATIONALLY ACCLAIMED EDUCATION AND COMPASSIONATE CARE TO SERVE CHILDREN AND FAMILIES. PEDIATRIC SPECIALTIES INCLUDE ORTHOPAEDICS, NEUROLOGY/NEUROSURGERY, CANCER AND NEONATAL CARE. IN ADDITION TO THESE TRADITIONAL MEDICAL SERVICES, GOLISANO CHILDREN'S HOSPITAL IS THE NATION'S MODEL FOR "COMMUNITY PEDIATRICS", A PHILOSOPHY THAT EMBRACES THE IDEA THAT A CHILD'S COMMUNITY AND ENVIRONMENT AFFECT HIS HEALTH AND, THEREFORE, HE CANNOT BE TREATED SOLELY IN AN EXAM ROOM. THE HOSPITAL ENCOURAGES PHYSICIANS AND STAFF TO PARTNER WITH COMMUNTIY ORGANIZAITONS TO IMPROVE VACCINATION RATES, EDUCATIONAL OPPORTUNITIES, SAFETY AT HOME AND ON PLAYGROUNDS, AND HEALTH INSURANCE AND HEALTH CARE ACCESS. - THE STRONG WEST CAMPUS, WHICH IS LOCATED APPROXIMATELY 20 MILES WEST OF ROCHESTER IN BROCKPORT, NY WAS ACQUIRED BY THE UNIVERSITY IN 2013. IT IS THE SITE OF THE FORMER 61 BED LAKESIDE MEMORIAL HOSPITAL, WHICH ANNOUNCED IT WAS CLOSING IN APRIL, 2013, LEAVING THE COMMUNITY WITHOUT AN EMERGENCY ROOM AND LOCAL ACCESS TO OTHER HEALTH CARE SERVICES. STRONG MEMORIAL HOSPITAL NOW OPERATES A FREE-STANDING EMERGENCY ROOM ON THE STRONG WEST CAMPUS, IN ADDITION TO OFFERING AMBULATORY SURGERY, HEALTH IMAGING, LABORATORY SERVICES, PRIMARY CARE, ORTHOPAEDICS, CARDIAC CARE, ONCOLOGY AND HEMATOLOGY, SLEEP MEDICINE, NEUROLOGY, AND UROLOGY SERVICES. THE UNIVERSITY'S WHOLLY OWNED HEALTH CARE AFFILIATES ARE: STRONG PARTNERS HEALTH SYSTEM, INC. AND AFFILIATES IN JUNE 1997, HIGHLAND HOSPITAL AND ITS AFFILIATES AND THE UNIVERSITY BECAME AFFILIATED THROUGH THE RESTRUCTURING OF A CORPORATION NOW KNOWN AS STRONG PARTNERS HEALTH SYSTEM, INC. ("SPHS"), OF WHICH THE UNIVERSITY IS THE SOLE MEMBER. SPHS, A NOT-FOR-PROFIT CORPORATION, NOW SERVES AS THE CORPORATE PARENT OF HIGHLAND HOSPITAL AND THE UNIVERSITYS LONG TERM CARE AFFILIATES. A BRIEF DESCRIPTION OF THE SPHS AFFILIATES FOLLOWS: HIGHLAND HOSPITAL OF ROCHESTER HIGHLAND HOSPITAL OF ROCHESTER IS A 261-BED NOT-FOR-PROFIT ACUTE CARE HOSPITAL LOCATED IN ROCHESTER, NEW YORK. THE HOSPITALS SERVICES INCLUDE MEDICAL/SURGICAL CARE, INTENSIVE CARE, MATERNITY AND EMERGENCY CARE. IN ADDITION, THE HOSPITAL OWNS AND OPERATES 21 OUTPATIENT EXTENSION CLINICS, PROVIDING PRIMARY CARE, PRENATAL CARE, RADIOLOGY, AND/OR THERAPEUTIC RADIOLOGY SERVICES. HIGHLAND COMMUNITY DEVELOPMENT CORPORATION HIGHLAND COMMUNITY DEVELOPMENT CORPORATION ("HCDC") IS A NOT-FOR-PROFIT CORPORATION WHICH OWNS AND OPERATES THE HIGHLANDS AT PITTSFORD, A RETIREMENT COMMUNITY LOCATED IN PITTSFORD, MONROE COUNTY, NEW YORK. THE RETIREMENT COMMUNITY INCLUDES 130 INDEPENDENT LIVING APARTMENTS, 36 INDEPENDENT LIVING COTTAGES, 60 ENRICHED HOUSING UNITS, A COMMUNITY COMMON AREA, A DINING ROOM, SITTING AREAS, RECREATIONAL AREAS, A WELLNESS CENTER, AND A COMMUNITY CENTER. HCDC ALSO OWNS AND OPERATES LAURELWOOD AT THE HIGHLANDS, AN ASSISTED LIVING FACILITY INCLUDING 68 APARTMENTS LOCATED ON THE SAME CAMPUS AS THE HIGHLANDS AT PITTSFORD. THE HIGHLANDS LIVING CENTER, INC. THE HIGHLANDS LIVING CENTER, INC. IS A NOT-FOR-PROFIT CORPORATION WHICH OWNS AND OPERATES A 122-BED SKILLED NURSING FACILITY AND AN ADULT DAY CARE HEALTH PROGRAM FOR SENIORS IN PITTSFORD, MONROE COUNTY, NEW YORK. THE SKILLED NURSING FACILITY IS ADJACENT TO THE HIGHLANDS AT PITTSFORD. THE HIGHLANDS AT BRIGHTON THE MEADOWS AT WESTFALL, INC. D/B/A/ THE HIGHLANDS AT BRIGHTON ("HAB") IS A NOT-FOR-PROFIT CORPORATION WHICH OWNS AND OPERATES A 145-BED SKILLED NURSING FACILITY IN BRIGHTON, MONROE COUNTY, NEW YORK. HIGHLAND FACILITIES DEVELOPMENT CORPORATION HIGHLAND FACILITIES DEVELOPMENT CORPORATION ("HFDC") IS A NOT-FOR-PROFIT CORPORATION WHOSE PRIMARY PURPOSE IS TO PROVIDE SERVICES THAT ARE SUBSTANTIALLY RELATED TO THE CHARITABLE PURPOSES OF HIGHLAND HOSPITAL BUT DO NOT INVOLVE THE PROVISION OF HEALTH CARE SERVICES. HFDC OWNS AND OPERATES A MEDICAL OFFICE BUILDING AND A PARKING GARAGE ON THE HOSPITAL CAMPUS. MEDICAL ADMINISTRATIVE ASSOCIATES, INC. HIGHLAND HOSPITAL IS THE SOLE SHAREHOLDER OF MEDICAL ADMINISTRATIVE ASSOCIATES, INC., D/B/A HIGHLAND SOUTH WEDGE PHARMACY, WHICH IS A FOR-PROFIT CORPORATION WHICH OWNS AND OPERATES A RETAIL PHARMACY IN ROCHESTER, NEW YORK. THE HIGHLAND FOUNDATION, INC. THE HIGHLAND FOUNDATION, INC. IS A NOT-FOR-PROFIT CORPORATION CONTROLLED BY HIGHLAND HOSPITAL WHICH SOLICITS, RECEIVES AND MAINTAINS FUNDS FOR THE SUPPORT OF HIGHLAND HOSPITAL AND THE LONG TERM CARE AFFILIATES. STRONG HOME CARE GROUP AND AFFILIATES THE UNIVERSITY AFFILIATED WITH VISITING NURSE FOUNDATION, INC. IN APRIL 1999, WHICH IS A NOT-FOR-PROFIT CORPORATION NOW KNOWN AS STRONG HOME CARE GROUP ("SHCG"). THE UNIVERSITY IS THE SOLE CORPORATE MEMBER OF SHCG. SHCG SERVES AS THE CORPORATE PARENT OF THE UNIVERSITYS HOME HEALTH CARE AFFILIATES. SHCG IS THE CORPORATE PARENT OF TWO NOT-FOR-PROFIT HOME HEALTH CARE PROVIDERS, UR MEDICINE HOME CARE, CERTIFIED SERVICES, INC. ("CERTIFIED SERVICES") (FORMERLY NAMED VISITING NURSE SERVICE OF ROCHESTER AND MONROE COUNTY, INC.), WHICH OPERATES A LICENSED HOME CARE SERVICES AGENCY. IN OCTOBER 2014, FINGER LAKES VISITING NURSE SERVICE, INC., WHICH OPERATES A NOT-FOR-PROFIT CERTIFIED HOME HEALTH AGENCY AND A HOSPICE, AND FINGER LAKES HOME CARE, INC., WHICH OPERATES A NOT-FOR-PROFIT LICENSED HOME CARE SERVICES AGENCY, BECAME UNIVERSITY AFFILIATES. CERTIFIED SERVICES IS THE SOLE CORPORATE MEMBER OF THE FINGER LAKES HOME HEALTH AFFILIATES. CERTIFIED SERVICES AND FINGER LAKES VISITING NURSE SERVICE, INC. ARE IN THE FINAL STAGES OF A CORPORATE MERGER. IN 2018, SHCG FORMED TWO NEW WHOLLY CONTROLLED, NOT-FOR-PROFIT SUBSIDIARIES: UR MEDICINE HOME CARE, COMMUNITY SERVICES, INC., WHICH OPERATES CERTAIN COMMUNITY-BASED PROGRAMS THAT PROVIDE HOME-BASED SERVICES THAT ARE NOT REGULATED BY THE DEPARTMENT OF HEALTH OR SUBJECT TO THE MEDICARE CONDITIONS OF PARTICIPATION, INCLUDING PROGRAMS SUCH AS MEALS ON WHEELS, WHICH WAS FORMERLY OPERATED BY CERT true SCHOLARSHIPS AND FELLOWSHIPS TO STUDENTS 6684 242413505 N/A N/A SCHEDULE I, PART II DETAIL OF SUBAWARDS IN FURTHERANCE OF ITS RESEARCH ACTIVITIES, THE UNIVERSITY OF ROCHESTER MAKES SUB-AWARDS TO OTHER ORGANIZATIONS THAT PERFORM RESEARCH IN CONNECTION WITH RESEARCH GRANTS AWARDED TO THE UNIVERSITY. THE UNIVERSITY DOES NOT CATEGORIZE THESE SUB-AWARDS AS "GRANTS" FOR FORM 990, SCHEDULE I REPORTING, SINCE THE RECIPIENT ORGANIZATIONS PERFORM RESEARCH SERVICES FOR THE UNIVERSITY AND ARE CONSIDERED INDEPENDENT CONTRACTORS WHICH SERVE THE DIRECT NEEDS OF THE UNIVERSITY. -------------------- SCHEDULE I, PART I, LINE 2 AND PART III STUDENT SCHOLARSHIPS, FELLOWSHIPS AND STUDENT LOANS THE OFFICE OF FINANCIAL AID MONITORS THE DISBURSEMENT OF GRANTS AND FEDERAL LOANS TO STUDENTS. STUDENTS WHO RECEIVE SCHOLARSHIPS, FELLOWSHIPS AND STUDENT LOANS FROM THE UNIVERSITY OF ROCHESTER ARE SELECTED AND THE AMOUNT OF GRANTS OR LOANS DETERMINED BY OBJECTIVE AND NON-DISCRIMINATORY PROCESSES APPLIED TO ALL SIMILARLY SITUATED INDIVIDUALS. THE DECISIONS ARE MADE ON A CASE BY CASE BASIS THROUGH EVALUATING THE ACADEMIC ACHIEVEMENT AND FINANCIAL NEED OF THE APPLICANT IN LIGHT OF THE FUNDS AVAILABLE FOR THIS PURPOSE. -------------------- X X X X X true true X X X X X X true true false false false false false true false RICHARD FELDMAN INTERIM TRUSTEE,PRES&CEO 857512 0 0 0 20228 0 34409 0 18648 0 930797 0 0 0 PAUL J BURGETT VP&SR ADVISOR-(UNTIL AUG 2018) 114569 0 0 0 21923 0 12736 0 10994 0 160222 0 0 0 ROBERT L CLARK PROVOST & SRVP RESEARCH 655044 0 0 0 3791 0 226403 0 64358 0 949596 0 0 0 HOLLY G CRAWFORD SR VP, ADMIN & FIN, CFO, TRSR 558676 0 0 0 19044 0 26403 0 24195 0 628318 0 0 0 THOMAS J FARRELL SRVP & CHIEF ADVANCEMENT OFCR 644130 0 0 0 79123 0 26403 0 24676 0 774332 0 0 0 LAMAR R MURPHY CHIEF OF STAFF, GENL SECRETARY 334706 0 50000 0 18500 0 31705 0 23666 0 458577 0 0 0 GAIL M NORRIS VP & GENERAL COUNSEL 541868 0 0 0 0 0 27033 0 23504 0 592405 0 0 0 DOUGLAS W PHILLIPS SRVP & CHIEF INVESTMENT OFCR 729282 0 0 0 31373 0 26403 0 28274 0 815332 0 0 0 ELIZABETH STAUDERMAN VP FOR COMMUNICATIONS 328315 0 0 0 4000 0 26560 0 9701 0 368576 0 0 0 MARK B TAUBMAN MD SRVP HEALTH,CEO URMC, DEAN SMD 1126391 0 300000 0 644113 0 226402 0 22481 0 2319387 0 612699 0 ADAM P ANOLIK CFO URMC 648669 0 0 0 3857 0 126402 0 22638 0 801566 0 0 0 MICHAEL J APOSTOLAKOS MD CMO,SMH & HH, VP URMC 631051 0 0 0 18500 0 26402 0 26463 0 702416 0 0 0 CARRIE P FULLER-SPENCER0718 CFO SMH,HH,LTC&ASSOC VP URMC 357702 0 0 0 250 0 34238 0 22889 0 415079 0 0 0 STEVEN I GOLDSTEIN PRES/CEO SMH & HH,SRVP URMC 1116420 0 0 0 79615 0 485802 0 19046 0 1700883 0 0 0 KATHLEEN PARRINELLO COO SMH, EXEC VP SMH 598520 0 88000 0 70294 0 127403 0 24295 0 908512 0 30603 0 PETER G ROBINSON VP GOV'T & COMM REL, URMC 590364 0 0 0 1236694 0 178353 0 50921 0 2056332 0 1193967 0 MICHAEL F ROTONDO MD CEO URMFG, SR VP URMC 941473 0 125000 0 284083 0 138903 0 3450 0 1492909 0 259823 0 MICHAEL D MALONEY MD PROFESSOR-ORTHOPAEDICS M&D 1947672 0 19400 0 0 0 26403 0 27334 0 2020809 0 0 0 ILYA VOLOSHIN MD PROFESSOR-ORTHOPAEDICS M&D 1796985 0 36447 0 18500 0 26402 0 22784 0 1901118 0 0 0 GEORGE M ALFIERIS MD PROFESSOR-CARDIAC SURGERY M&D 1669160 0 0 0 18500 0 326403 0 21076 0 2035139 0 0 0 SHERRIF F IBRAHIM MD PHD ASSOC PROF DERMATOLOGY M&D 612307 0 910242 0 18500 0 26403 0 29626 0 1597078 0 0 0 YAN M LI MD ASST PROFESSOR-NEUROSURGERY 591241 0 684043 0 18500 0 26403 0 29148 0 1349335 0 0 0 JOEL S SELIGMAN PRESIDENT EMERITUS & PROFESSOR 1180056 0 250000 0 1326473 0 26402 0 28043 0 2810974 0 0 0 BRADFORD C BERK DIRECTOR-UR NEUROREST. INST. 672018 0 0 0 765212 0 171103 0 13800 0 1622133 0 704264 0 PETER LENNIE PROFESSOR 509826 0 0 0 18500 0 18790 0 23046 0 570162 0 0 0 RAYMOND J MAYEWSKI MD PROFESSOR 518377 0 0 0 30127 0 36378 0 15444 0 600326 0 0 0 LEONARD J SHUTE SPEC PROJ/CONTRACT MGR URMC 187689 0 0 0 33344 0 19578 0 13956 0 254567 0 0 0 SCHEDULE J, PART I, LINE 1A DETAIL OF ADDITIONAL BENEFITS PROVIDED FIRST CLASS OR CHARTER TRAVEL IN LIMITED CIRCUMSTANCES, THE PRESIDENT AND PROVOST OR OTHER KEY EMPLOYEE OF THE UNIVERSITY OF ROCHESTER (THE "UNIVERSITY") MAY TRAVEL FIRST CLASS IF CERTAIN TIME/DISTANCE REQUIREMENTS ARE MET AND A VALID UNIVERSITY-RELATED BUSINESS PURPOSE FOR THE TRAVEL EXISTS. TRAVEL FOR COMPANIONS IN LIMITED CIRCUMSTANCES, THE SPOUSE OF THE PRESIDENT AND PROVOST OR OTHER KEY EMPLOYEE MAY TRAVEL FOR LEGITIMATE UNIVERSITY-RELATED BUSINESS PURPOSES. EXAMPLES OF SUCH TRAVEL INCLUDE ATTENDANCE AT FUNDRAISING OR ALUMNI EVENTS. IN ACCORDANCE WITH APPLICABLE LEGAL STANDARDS, AND ON THESE LIMITED OCCASIONS, THE UNIVERSITY WILL REIMBURSE THE TRAVEL EXPENSES FOR SPOUSAL TRAVEL AS A BUSINESS EXPENSE ONLY IF THE SPOUSAL TRAVEL SERVES A "BONA FIDE BUSINESS PURPOSE" OF THE UNIVERSITY. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE/PERSONAL SERVICES AS A CONDITION OF EMPLOYMENT, THE PRESIDENT AND PROVOST ARE REQUIRED TO LIVE IN A HOME ON THE UNIVERSITY'S CAMPUS WHICH IS FURNISHED AND MAINTAINED AT THE UNIVERSITY'S EXPENSE. SOCIAL CLUB DUES THE UNIVERSITY PROVIDES A SOCIAL CLUB MEMBERSHIP, TO BE USED BY CERTAIN OFFICERS AND KEY EMPLOYEES IN CONNECTION WITH THEIR DUTIES. THESE OFFICERS AND KEY EMPLOYEES ARE RESPONSIBLE FOR ANY PERSONAL USE OF THE CLUB MEMBERSHIP. SIX OFFICERS, TWO KEY EMPLOYEES AND ONE FORMER OFFICER RECEIVED SOCIAL CLUB DUES THAT WERE TREATED AS TAXABLE COMPENSATION. -------------------- SCHEDULE J, PART I, LINE 4A DETAIL OF SEVERANCE OR CHANGE-OF-CONTROL PAYMENT IN CONNECTION WITH THE TERMS OF HIS RESIGNATION AS PRESIDENT OF THE UNIVERSITY, JOEL S. SELIGMAN RECEIVED A PAYMENT OF $1,300,000 IN CALENDAR YEAR 2018 THAT IS INCLUDED IN OTHER REPORTABLE COMPENSATION. -------------------- SCHEDULE J, PART I, LINE 4B PARTICIPATION IN A SUPP. NONQUALIFIED PLAN THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED EMPLOYER PAID AMOUNTS THAT ARE INCLUDED IN DEFERRED COMPENSATION: ADAM P. ANOLIK - SERP - $100,000 BRADFORD C. BERK - SERP - $144,700 MARK B. TAUBMAN - SERP - $125,000 STEVEN I. GOLDSTEIN - SERP - $159,400 PETER G. ROBINSON - SERP - $61,500 KATHLEEN PARRINELLO - SERP - $75,000 MICHAEL ROTONDO - SERP - $75,000 GEORGE M. ALFIERIS - 457(F) $300,000 ROBERT L. CLARK - 457(F) - $200,000 STEVEN I. GOLDSTEIN - 457(F) - $300,000 PETER G. ROBINSON - 457(F) - $90,450 KATHLEEN PARRINELLO - 457(F) - $26,000 MICHAEL ROTONDO - 457(F) - $37,500 MARK B. TAUBMAN - 457(F) - $75,000 PURSUANT TO THE UNIVERSITY'S IRC SECTION 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, PARTICIPANTS ARE ENTITLED TO DISTRIBUTIONS FROM THE PLAN UPON THE OCCURRENCE OF CERTAIN VESTING EVENTS. THE FOLLOWING INDIVIDUALS MET THE VESTING CONDITIONS UNDER THE PLAN AND RECEIVED DISTRIBUTIONS IN CALENDAR YEAR 2018, WHICH ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III) AS OTHER REPORTABLE COMPENSATION: BRADFORD C. BERK - 457(F) - $704,264 MARK B. TAUBMAN - 457(F) - $612,699 KATHLEEN PARRINELLO - 457(F) - $30,603 PETER G. ROBINSON - 457(F) - $1,193,967 MICHAEL F. ROTONDO, M.D. - 457(F) - $259,823 THESE AMOUNTS REPRESENT EMPLOYEE DEFERRALS OF COMPENSATION OVER SEVERAL YEARS THAT VESTED AND WERE PAID PURSUANT TO THE REQUIREMENTS OF THE PLAN. THESE AMOUNTS WERE REPORTED AS DEFERRED COMPENSATION IN SCHEDULE J, PART II, COLUMN (C) IN PRIOR YEARS AND ARE ALSO REFLECTED IN SCHEDULE J, PART II, COLUMN (F). -------------------- SCHEDULE J, PART I, LINE 7 PROVISION OF NON-FIXED PAYMENTS THE UNIVERSITY OF ROCHESTER MEDICAL SCHOOL COMPENSATION PLAN ALLOWS COMPENSATION TO BE CALCULATED, IN PART, BY MEDICAL SERVICES RENDERED. THE UNIVERSITY OF ROCHESTER DOES NOT PROVIDE DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION. PAYMENTS MADE TO ANY DISQUALIFIED PERSON IS APPROVED BY THE BOARD THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15. A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64983UP20 2003-11-06 164425000 2003 A,B,C- CAPITAL PROJECTS false false false B DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64983QWB1 2008-03-16 111180000 2006 A-1 & B-1- BOND REFINANCING false false false C DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649905KL9 2009-07-22 120741579 2009 A B C D E CAPITAL PROJECTS false false false D MONROE COUNTY INDUSTRIAL DEVELOPMENT CORPORATION 510188852 61075TCE6 2011-09-01 175747934 2011 A, B MCIDC-CAPITAL PROJECTS false false false A 111895000 0 165914138 0 0 0 3122743 2349000 383179 70315050 89744166 0 2009 true true true true B 66305000 0 111180000 0 0 0 2170437 1213000 0 0 107796563 0 2000 false true true true C 107300000 0 120927106 0 0 0 1169973 0 1991256 76605196 41160681 0 2010 true true true true D 146045000 0 175833848 0 3243526 0 1502375 0 6789361 149668886 14629700 0 2016 true false true true A false true true true true true 0.00500 0.00200 0.00700 false false false true B 0.00000 0.00000 0.00000 0.00000 C false true true true true true 0.00900 0.02500 0.03400 false false 0.00000 false true D false true true true true true 0.01100 0.00200 0.01300 false false 0.00000 false true A false true true true WELLSFARGOCITIGROUP 30. false false false 0 true true B false true true true BANK OF AMERICA 21.3 false false false 0 false true C false true false false 0 false 0 false true D false true false false 0 false 0 false true A true B true C true D true PART I COLUMN C- ADDITIONAL TAX-EXEMPT BOND CUSIP # INFORMATION BOND ISSUE 2009 A,B,C,D,E- CUSIP #649907VR0; #649907VS8; #649907VP4; #649907VQ2 BOND ISSUE 2011 A,B - CUSIP #61075TJM1; #61075TJN9; #61075TDC9; #61075TJK9; #61075TJL3 BOND ISSUE 2013 A,B - CUSIP #61075TJH2 BOND ISSUE 2017 C,D - CUSIP #61075TTB5 -------------------- PART II, LINE 3- ADDITIONAL DETAIL FOR PROCEEDS OF ISSUES THE TOTAL PROCEEDS OF ISSUE REPORTED FOR THE 2003 A,B,C BOND ISSUE INCLUDES $1,489,138 IN INVESTMENT EARNINGS. THE TOTAL PROCEEDS OF ISSUE REPORTED FOR THE 2009 A,B,C,D,E BOND ISSUE INCLUDES $185,527 IN INVESTMENT EARNINGS. THE TOTAL PROCEEDS OF ISSUE REPORTED FOR THE 2011 A,B BOND ISSUE INCLUDES $85,914 IN INVESTMENT EARNINGS. THE TOTAL PROCEEDS OF ISSUE REPORTED FOR THE 2013 A,B BOND ISSUE INCLUDES $82,004 IN INVESTMENT EARNINGS. THE TOTAL PROCEEDS OF ISSUE REPORTED FOR THE 2015 A,B BOND ISSUE INCLUDES $720,608 IN INVESTMENT EARNINGS. THE TOTAL PROCEEDS OF ISSUE REPORTED FOR THE 2017 A,B BOND ISSUE INCLUDES $950,091 IN INVESTMENT EARNINGS. A MONROE COUNTY INDUSTRIAL DEVELOPMENT CORPORATION 510188852 61075THK7 2013-09-19 198885260 2013 A, B CAPITAL PROJECTS false false false B MONROE COUNTY INDUSTRIAL DEVELOPMENT CORPORATION 510188852 61075TND6 2015-06-24 248557616 2015 A, B CAPITAL PROJECTS false false false C MONROE COUNTY INDUSTRIAL DEVELOPMENT CORPORATION 510188852 61075TQA9 2017-04-05 289439545 2017 A, B CAPITAL PROJECTS false false false D MONROE COUNTY INDUSTRIAL DEVELOPMENT CORPORATION 510188852 61075TSK5 2017-12-14 246123340 2017 C, D BOND REFINANCE false false false A 175475000 0 198967264 0 0 0 1422460 0 2956208 185721274 8867322 0 2018 false true false true B 20540000 0 249278224 0 0 0 1460004 0 1846387 76154909 163221324 6595600 true true false true C 9265000 0 290389636 0 1145900 0 1742715 0 31930 63128079 214448166 9892846 true true false true D 0 0 246123340 0 0 0 1656861 0 0 0 244466479 0 false true true true A false true true true true true 0.01800 0.00400 0.02200 false false false true B false true true true true true 0.01200 0.00800 0.02000 false false false true C false true true true true true 0.01000 0.00800 0.01800 false false false true D false true true true true true 0.01600 0.00300 0.01900 false false false true A false true false false 0 false 0 false true B false true false false 0 false 0 false true C false true false false 0 false 0 false true D false true false false 0 false 0 false true A true B true C true D true BRADFORD C BERK FORMER OFFICER SPLITDOLLAR LIFE INS X 1643600 1643600 false true true STEVEN I GOLDSTEIN KEY EMPLOYEE SPLITDOLLAR LIFE INS X 1925200 1925200 false true true RAYMOND J MAYEWSKI FORMER KEY EMPLOYEE SPLITDOLLAR LIFE INS X 921520 921520 false true true KATHLEEN PARRINELLO KEY EMPLOYEE SPLITDOLLAR LIFE INS X 689884 689884 false true true PETER G ROBINSON KEY EMPLOYEE SPLITDOLLAR LIFE INS X 742510 742510 false true true MICHAEL ROTONDO KEY EMPLOYEE SPLITDOLLAR LIFE INS X 200000 200000 false true true LEONARD J SHUTE FORMER KEY EMPLOYEE SPLITDOLLAR LIFE INS X 418496 418496 false true true MARK B TAUBMAN OFFICER SPLITDOLLAR LIFE INS X 995700 995700 false true true ADAM ANOLIK KEY EMPLOYEE SPLITDOLLAR LIFE INS X 190000 190000 false true true 7726910 NA N/A 30000 MERIT SCHOLARSHIP EDUCATION NA N/A 56229 TUITION ASSISTANCE EDUCATION NA N/A 28987 TAXABLE FELLOWSHIP EDUCATION KAREN BERK FAMILY MEMBER OF FORMER OFFICER 25875 PAYMENT OF COMPENSATION false DENNIS KESSLER FAMILY MEMBER OF TRUSTEE 127642 PAYMENT OF COMPENSATION false REBECCA WALTERS FAMILY MEMBER OF KEY EMPLOYEE 138518 PAYMENT OF COMPENSATION false ELIZABETH MAYEWSKI FAMILY MEMBER OF FORMER KEY EMPLOYEE 87781 PAYMENT OF COMPENSATION false LYDIA ROTONDO FAMILY MEMBER OF KEY EMPLOYEE 202595 PAYMENT OF COMPENSATION false JENNIFER ANOLIK MD FAMILY MEMBER OF KEY EMPLOYEE 261978 PAYMENT OF COMPENSATION false SANDRA G WITMER RN FAMILY MEMBER OF TRUSTEE 76710 PAYMENT OF COMPENSATION false LES WEISBROD MD FAMILY MEMBER OF KEY EMPLOYEE 427580 PAYMENT OF COMPENSATION false MAUREEN PRINCE FAMILY MEMBER OF TRUSTEE 123726 PAYMENT OF COMPENSATION false ERICKA AUGUSTINE FAMILY MEMBER OF TRUSTEE 280845 PAYMENT OF COMPENSATION false CHERITH A REYNOLDS CLARK FAMILY MEMBER OF OFFICER 131046 PAYMENT OF COMPENSATION false KENNETH APOSTOLAKOS FAMILY MEMBER OF KEY EMPLOYEE 66120 PAYMENT OF COMPENSATION false WEGMANS OWNED > 35% BY TRUSTEE 386672 PAYMENT OF SUPPLIES & MEDS false VALLEY PROPANE AND FUELS OWNED > 35% BY TRUSTEE 1085867 PAYMENT OF FUEL PURCHASES false FORM 990, SCHEDULE L, PART IV ADDITIONAL SUPPLEMENTAL INFORMATION WEGMANS- TRUSTEE DANIEL R. WEGMAN IS AN OFFICER, DIRECTOR AND OWNER OF WEGMANS. VALLEY PROPANE AND FUELS- TRUSTEE PHILIP E. SAUNDERS IS A GREATER THAN 35% OWNER OF VALLEY PROPANE AND FUELS. X 60 81589 FAIR MARKET VALUE X 6304 FAIR MARKET VALUE X 250 13234205 FAIR MARKET VALUE X 1 100000 FAIR MARKET VALUE X MUSICAL INSTRUMENTS 12 93098 FAIR MARKET VALUE X GIFT-IN-KIND 14 2447 FAIR MARKET VALUE X PERSONAL PROPERTY 109 180718 FAIR MARKET VALUE X MISCELLANEOUS EQUIPMENT 30 1240321 FAIR MARKET VALUE 7 false true false SCHEDULE M, PART I, COLUMN (B) NUMBER OF CONTRIBUTIONS THE UNIVERSITY OF ROCHESTER REPORTS ALL NON-CASH CONTRIBUTIONS RECEIVED, OTHER THAN SECURITIES, BASED ON THE NUMBER OF NON-CASH ITEMS RECEIVED. FORM 990, PART III, LINE 4D DETAIL OF OTHER PROGRAM SERVICES AUXILIARY ENTERPRISES- THE UNIVERSITY OPERATES EITHER DIRECTLY OR THROUGH THIRD PARTY CONTRACTORS FOOD SERVICES WHICH SERVED 5,828 UNDERGRADUATES 3,133,795 MEALS IN FIVE DINING SERVICES. THE UNIVERSITY HAS 803 UNITS USED FOR STUDENT HOUSING. -------------------- FORM 990, PART VI, SECTION A, LINE 1A DELEGATION OF AUTHORITY THE BY-LAWS OF THE UNIVERSITY PROVIDE FOR AN EXECUTIVE COMMITTEE THAT MAY EXERCISE ALL THE POWERS OF THE BOARD IN INTERVALS BETWEEN MEETINGS OF THE BOARD OF TRUSTEES, EXCEPT THAT THE EXECUTIVE COMMITTEE DOES NOT HAVE POWER (1) TO GRANT DEGREES, (2) TO REMOVE A TRUSTEE OR OFFICER, (3) TO ELECT TRUSTEES, THE CHAIR OF THE BOARD OR THE PRESIDENT, OR (4) TO AMEND, ALTER OR REPEAL THE BY-LAWS. THE MEMBERS OF THE EXECUTIVE COMMITTEE ARE ALL TRUSTEES. THE EXECUTIVE COMMITTEE CONSISTS OF THE CHAIR OF THE BOARD, THE PRESIDENT, THE CHAIRS OF THE BOARD COMMITTEES OF INVESTMENT, NOMINATIONS AND BOARD PRACTICES, FACILITIES, AUDIT AND RISK ASSESSMENT, PERSONNEL, HEALTH AFFAIRS, ACADEMIC AFFAIRS, RESEARCH AND INNOVATION, FINANCIAL PLANNING, STUDENT AFFAIRS, COMPLIANCE AND COMPENSATION, AND DEVELOPMENT PLUS SUCH OTHER TRUSTEES AS THE BOARD OF TRUSTEES MAY ELECT TO SERVE FOR TERMS NOT TO EXCEED FIVE YEARS. -------------------- FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS THE FORM 990 OF UNIVERSITY OF ROCHESTER IS PREPARED BY FINANCE STAFF AND PROVIDED TO PRICEWATERHOUSECOOPERS LLP AND SENIOR MANAGEMENT FOR REVIEW PRIOR TO FILING. THE FORM 990 WAS ALSO PROVIDED TO THE UNIVERSITY'S AUDIT AND RISK ASSESSMENT COMMITTEE PRIOR TO FILING. THE COMMITTEE'S QUESTIONS AND COMMENTS WERE ADDRESSED AT A COMMITTEE MEETING PRIOR TO FILING. THE FORM 990 WAS ALSO PROVIDED TO THE ENTIRE BOARD OF TRUSTEES PRIOR TO FILING. -------------------- FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY DIRECTORS, COMMITTEE MEMBERS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE A CONFLICT OF INTEREST: A) PRIOR TO VOTING ON OR OTHERWISE DISCHARGING THEIR DUTIES WITH RESPECT TO ANY MATTER INVOLVING THE CONFLICT WHICH COMES BEFORE THE BOARD OR ANY COMMITTEE; B) PRIOR TO ENTERING INTO ANY CONTRACT OR TRANSACTION INVOLVING THE CONFLICT; C) AS SOON AS POSSIBLE AFTER THE DIRECTOR, COMMITTEE MEMBER OR OFFICER LEARNS OF THE CONFLICT; AND D) ON AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM. THE FORM IS DISTRIBUTED ANNUALLY AND REQUIRES DISCLOSURE OF ALL CONFLICTS OF INTEREST, INCLUDING SPECIFIC INFORMATION CONCERNING THE TERMS OF ANY CONTRACT OR TRANSACTION WITH THE UNIVERSITY THAT INVOLVES A POTENTIAL CONFLICT OF INTEREST FOR THE INDIVIDUAL. THE FORMS ARE REVIEWED BY LEGAL COUNSEL, AND CONFLICTS DISCLOSED ON THE FORMS OR ON AN AD-HOC BASIS ARE REVIEWED BY AN INDEPENDENT BOARD COMMITTEE. THE COMMITTEE CONSIDERS THE MATERIAL FACTS CONCERNING ANY PROPOSED CONTRACT OR TRANSACTION, INCLUDING THE PROCESS BY WHICH THE DECISION WAS MADE TO APPROVE OR RECOMMEND ENTERING INTO THE ARRANGEMENT ON THE TERMS PROPOSED, AND APPROVES SUCH CONTRACTS OR TRANSACTIONS ONLY IF THE TERMS ARE FAIR AND REASONABLE TO THE UNIVERSITY AND THE ARRANGEMENTS ARE CONSISTENT WITH THE BEST INTERESTS OF THE UNIVERSITY. -------------------- FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS WRITTEN SELF-EVALUATIONS AND PERFORMANCE EVALUATIONS FOR THE UNIVERSITY'S OFFICERS AND KEY EMPLOYEES ARE REVIEWED ANNUALLY BY THE UNIVERSITY'S COMMITTEE ON COMPLIANCE AND COMPENSATION. THE COMMITTEE REVIEWS AND APPROVES TOTAL COMPENSATION FOR OFFICERS AND KEY EMPLOYEES AND CONSIDERS, IN ADDITION TO THE PERFORMANCE EVALUATIONS, THE SCOPE OF THE INDIVIDUAL'S JOB RESPONSIBILITIES, PREVIOUS COMPENSATION AND COMPARABLE COMPENSATION PAID TO PEOPLE WITH SIMILAR RESPONSIBILITIES AT COMPARABLE INSTITUTIONS. THE COMPARABLE INFORMATION IS PROVIDED BY AN INDEPENDENT CONSULTANT AND BY REFERENCE TO LOCAL, REGIONAL AND NATIONAL COMPENSATION SURVEYS. -------------------- FORM 990, PART VI, SECTION C, LINE 17 STATE FILING OF FORM 990 ALTHOUGH THE UNIVERSITY OF ROCHESTER IS LOCATED IN THE STATE OF NEW YORK, A COPY OF ITS FORM 990 IS NOT REQUIRED TO BE FILED WITH THE STATE, SINCE EDUCATIONAL INSTITUTIONS INCORPORATED UNDER THE NEW YORK STATE EDUCATION LAW ARE EXEMPT FROM FILING IN THE STATE OF NEW YORK. -------------------- FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS AVAILABILITY TO PUBLIC THE UNIVERSITY OF ROCHESTER'S AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC BY POSTING THEM ON THE UNIVERSITY'S WEBSITE. THE UNIVERSITY OF ROCHESTER'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT ROUTINELY MADE AVAILABLE TO THE PUBLIC. -------------------- FORM 990, PART VII, SECTION B DETAIL OF INDEPENDENT CONTRACTOR PAYMENTS THE PAYMENT AMOUNTS LISTED FOR LECHASE CONSTRUCTION SERVICES, PIKE COMPANY, AND DGA BUILDERS, LLC REPRESENT THE ESTIMATED SERVICE COMPONENT OF THE TOTAL PAYMENTS MADE TO THESE VENDORS FOR CONSTRUCTION SERVICES. -------------------- FORM 990, PART XI, LINE 9 DETAIL OF OTHER CHANGES IN NET ASSETS CHANGE IN VALUATION OF ANNUITIES $ 1,151,325 CHANGE IN POST RETIREMENT LIABILITY 2,932,202 OTHER CHANGES (2,573,294) ----------- TOTAL $ 1,510,233 -------------------- SPRUCE RISK PURCHASING GROUP LLC 263 WALLIS HALL ROCHESTER NY 14627 160743209 INSURANCE NY 0 0 UNIV OF ROCH HIGHLAND HOSPITAL OF ROCHESTER INC 1000 SOUTH AVENUE ROCHESTER NY 14620 160743037 HOSPITAL NY 501 (c)(3) 3 SPHS true THE HIGHLAND FOUNDATION INC 1000 SOUTH AVENUE ROCHESTER NY 14620 237310662 FUNDRAISING 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