2015-11-13T14:31:30-06:00 2014-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2014-01-01 237221763 THE UNITY HOSPITAL OF ROCHESTER UNIT 5857237000 1555 LONG POND RD ROCHESTER NY 14626 PAULA TINCH CHIEF FINANCIAL OFFICER 5857237000 2015-11-11 1 ANGELA M FRANCO P00589741 3154463600 2014 2016-03-07 17:11:31Z ERIC J BIEBER MD 1555 LONG POND RD ROCHESTER NY 14626 435471652 0 X WWW.UNITYHEALTH.ORG X 1972 NY TO MAKE A POSITIVE DIFFERENCE IN THE LIVES AND HEALTH STATUS OF INDIVIDUALS IN THE CITY OF ROCHESTER, NY AND WESTERN MONROE COUNTY. WE WILL EDUCATE OUR COMMUNITY, OUR PROVIDERS, AND FUTURE HEALTH CARE PROFESSIONALS IN ORDER TO OFFER THE HIGHEST QUALITY CARE TO ALL MEMBERS OF OUR COMMUNITY, ESPECIALLY THOSE THAT ARE UNDERSERVED AND MOST VULNERABLE. 25 24 4723 1286 0 0 4192443 4549314 399681071 425153615 462704 739593 5254878 5029130 409591096 435471652 0 0 0 0 242596491 259165298 0 0 0 160534019 175807994 403130510 434973292 6460586 498360 431596713 432202465 358832388 405295600 72764325 26906865 X SEE SCHEDULE OTO MAKE A POSITIVE DIFFERENCE IN THE LIVES AND HEALTH STATUS OF INDIVIDUALS IN THE CITY OF ROCHESTER, NY AND WESTERN MONROE COUNTY. WE WILL EDUCATE OUR COMMUNITY, OUR PROVIDERS, AND FUTURE HEALTH CARE PROFESSIONALS IN ORDER TO OFFER THE HIGHEST QUALITY CARE TO ALL MEMBERS OF OUR COMMUNITY, ESPECIALLY THOSE THAT ARE UNDERSERVED AND MOST VULNERABLE. 0 1 105290349 152055888 ACUTE INPATIENT CARE: THE UNITY HOSPITAL OF ROCHESTER PROVIDES ACUTE INPATIENT HOSPITAL CARE TO THE RESIDENTS OF ROCHESTER, NY AND SURROUNDING AREAS REGARDLESS OF ABILITY TO PAY. 93561236 145968659 ACUTE OUTPATIENT CARE: THE UNITY HOSPITAL OF ROCHESTER PROVIDES ACUTE OUTPATIENT HOSPITAL CARE TO THE RESIDENTS OF ROCHESTER, NY AND SURROUNDING AREAS REGARDLESS OF ABILITY TO PAY. 75930013 65369106 PHYSICIAN SERVICES: THE UNITY HOSPITAL OF ROCHESTER PROVIDES PHYSICIAN CARE SERVICES TO THE RESIDENTS OF ROCHESTER, NY AND SURROUNDING AREAS REGARDLESS OF ABILITY TO PAY. 62148712 61759962 ADDITIONAL PROGRAM SERVICES: THE UNITY HOSPITAL OF ROCHESTER PROVIDES I/P OB/NEWBORN, ACUTE REHAB, INPATIENT CHEMICAL DEPENDENCY, OUTPATIENT CHEMICAL DEPENDENCY, I/P PSYCHIATRIC, OUTPATIENT MENTAL HEALTH, AND SKILLED NURSING SERVICES TO THE RESIDENTS OF ROCHESTER, NY AND SURROUNDING AREAS REGARDLESS OF ABILITY TO PAY. 62148712 61759962 336930310 1 1 0 0 0 0 0 0 1 1 1 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 261 0 1 4723 1 0 0 0 0 0 0 0 0 0 0 X 25 24 0 0 1 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X HUGH CHISHOLM 5859221221 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 RACHEL ADONIS DIRECTOR 1.00 1.00 X 0 0 0 RALPH DESTEPHANO DIRECTOR 1.00 1.00 X 0 0 0 ROBERT HAVRILLA DIRECTOR 1.00 1.00 X 0 0 0 JAGAT MEHTA MD DIRECTOR 1.00 1.00 X 0 0 0 ELIZABETH PATTON PHD DIRECTOR 1.00 1.00 X 0 0 0 NANCY FERRIS PHD DIRECTOR 1.00 1.00 X 0 0 0 JOHN GENIER MD DIRECTOR 1.00 1.00 X 0 0 0 TARUN KOTHARI MD DIRECTOR 1.00 1.00 X 0 0 0 ANNA LYNCH DIRECTOR 1.00 1.00 X 0 0 0 LEONARD OLIVIERI DIRECTOR 1.00 1.00 X 0 0 0 THOMAS PENN MD DIRECTOR 1.00 1.00 X 0 0 0 JOHN RIEDMAN DIRECTOR 1.00 1.00 X 0 0 0 THOMAS RILEY DIRECTOR 1.00 1.00 X 0 0 0 EFRAIN RIVERA DIRECTOR 1.00 1.00 X 0 0 0 LEON T SAWYKO DIRECTOR 1.00 1.00 X 0 0 0 JUSTIN SMITH DIRECTOR 1.00 1.00 X 0 0 0 LINDA BECKER DIRECTOR 1.00 1.00 X 0 0 0 ROBERT DOBIES CHAIRMAN OF THE BOARD 1.00 1.00 X X 0 0 0 KAREN M GALLINA DIRECTOR 1.00 1.00 X 0 0 0 JEFFREY C MAPSTONE DIRECTOR 1.00 1.00 X 0 0 0 FAHEEM AR MASOOD TREASURER 1.00 1.00 X 0 0 0 DANIEL MEYERS DIRECTOR 1.00 1.00 X 0 0 0 MICHAEL R NUCCITELLI VICE CHAIRMAN 1.00 1.00 X 0 0 0 ROBERT SANDS SECRETARY 1.00 1.00 X 0 0 0 ERIC BIEBER MD PRESIDENT & CEO 8.00 47.00 X X 28386 72994 189013 DUSTIN RICCIO MD PHYSICIAN 40.00 0.00 X 375319 0 6700 MARK CLEMENT CEO (UNTIL 11/30/14) 0.00 55.00 X 0 3233272 2090584 THOMAS R CRILLY CFO 7.00 48.00 X 372700 269885 60281 WARREN HERN CEO (UNTIL 11/30/14) 0.00 55.00 X 930898 139099 6420216 ROBERT NESSELBUSH COO 15.00 40.00 X 211550 1299524 86316 HUGH THOMAS CAO 10.00 45.00 X 177520 1090480 70528 STEWART PUTNAM PRESIDENT (UNTIL 3/2014) 40.00 0.00 X 460770 0 1829 PAUL MAURER PHYSICIAN 40.00 0.00 X 1492123 0 4665 BHARAT GUPTA DIVISION CHIEF, UMG 40.00 0.00 X 870258 0 5361 DANIEL GRACE PHYSICIAN 40.00 0.00 X 799425 0 3912 MARY DOMBOVY VP, NEUROLOGY & REHAB 40.00 0.00 X 787850 0 8813 JAMES HALEY CHIEF MEDICAL OFFICER 40.00 0.00 X 706029 0 10088 7212828 6105254 8958306 11 0 1 0 LECHASE CONSTRUCTION 300 TROLLEY BLVD ROCHESTER NY 14606 CONSTRUCTION 11688303 ELMER W DAVIS COMPANY 1217 CLIFFORD AVENUE ROCHESTER NY 14621 CONSTRUCTION 962200 WESTSIDE ANESTHESIA ASSOCIATES 1561 LONG POND ROAD ROCHESTER NY 14626 CONSULTING 918072 GARDNER PLUS ARCHITECTS 40 WILDBRIAR ROAD ROCHESTER NY 14623 ARCHITECTURAL SERVIC 720447 MRI CONTRACTORS OF NY 300 HOGAN ROAD FAIRPORT NY 14450 CONSULTING 713094 34 3149998 1399316 4549314 NET PROGRAM SERVICE REVENUE 900099 425153615 425153615 425153615 733738 733738 5855 0 5855 5855 5855 CAFETERIA 900099 1875582 1875582 MISCELLANEOUS 900099 1825868 1825868 PHYSICIAN 621110 1327680 1327680 5029130 435471652 425153615 0 5768723 8261104 6445324 1815780 201528447 156057662 45470785 8359419 6475206 1884213 26558984 20572589 5986395 14457344 11198659 3258685 2573257 1993245 580012 627772 486272 141500 271023 209934 61089 24698909 19131775 5567134 1124848 871307 253541 10765939 8339296 2426643 9864321 7640903 2223418 14710680 11394893 3315787 726149 562475 163674 10431381 8080148 2351233 18077399 14002753 4074646 3958588 3066322 892266 MEDICAL SUPPLIES 57615118 44628670 12986448 PROV FOR DOUBTFUL ACCOU 10836099 8393642 2442457 MISCELLANEOUS 6348726 4917723 1431003 PARTS & REPAIRS 3177785 2461512 716273 434973292 336930310 98042982 0 19348497 19665825 8914350 15636061 44241258 42284209 7083851 7811293 2678388 3353566 449518896 183964792 255207943 265554104 94122426 77897407 431596713 432202465 56065311 57860433 219647274 218775451 57529 73139 18198615 14989736 64863659 113596841 358832388 405295600 X 62281063 18370135 8004162 5980473 2479100 2556257 72764325 26906865 431596713 432202465 X 498360 -46355820 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 110515 110515 0 PART II-B, LINE 1: THE AMOUNT REFLECTED ON PART II-B, LINE 1I REPRESENTS THE PORTION OF MEMBERSHIP DUES PAID TO HEALTH CARE ASSOCIATION OF NYS (HANYS) ATTRIBUTABLE TO LOBBYING ACTIVITIES. 1 57529 57529 1 X 10472186 1391191 79715 3321981 84381 8536730 10649897 1541942 60512 1774365 5800 10472186 10942747 3291730 62118 3646560 138 10649897 13110305 3198682 53219 5391974 27485 10942747 5066939 10657412 34738 2648784 13110305 0.29940 0.70060 0 1 1 625721 625721 270374353 79419353 190955000 8094448 5020871 3073577 15812847 8236262 7576585 154611527 91288306 63323221 265554104 BOND INDENTURE AND MORTGAGE AGREEMENTS 28735900 DEFERRED COMPENSATION 13325733 DEFERRED FINANCING COSTS, NET 8831259 DUE FROM AFFILIATES 4990435 HCCI LTD 408475 INTEREST IN NET ASSETS OF FOUNDATION 8536730 INVESTMENT IN PHYSICIAN PRACTICE 914000 PATIENT FUNDS 72627 POB ESCROW 20000 PROFESSIONAL LIABILITY TRUST FUND 7084927 SECURITY DEPOSITS, LONG TERM 100000 WORKERS COMPENSATION TRUST FUND 4877321 77897407 ACCRUED PENSION LIABILITY 86193220 ACCRUED POST RETIREMENT BENEFITS 637728 CONSTRUCTION RETAINAGE 2516701 DEFERRED COMPENSATION 12326150 THIRD PARTY PAYORS 11923042 113596841 435471652 0 435471652 0 435471652 434973292 0 434973292 0 434973292 PART IV, LINE 2B: EXPLANATION OF ESCROW ACCOUNT LIABILITY UNITY LIVING CENTER IS A LONG-TERM CARE FACILITY THAT OPERATES AS A DEPARTMENT OF THE UNITY HOSPITAL OF ROCHESTER. RESIDENTS HAVE AUTHORIZED UNITY LIVING CENTER TO MANAGE THEIR PERSONAL FINANCES. THE FACILITY HOLDS, SAFEGUARDS, MANAGES, AND ACCOUNTS FOR PERSONAL FUNDS OF THE RESIDENTS DEPOSITED WITH THE FACILITY. INDIVIDUAL RESIDENT FUNDS ARE DEPOSITED IN AN INTEREST-BEARING ACCOUNT AND EACH RESIDENT HAS AN INTERNAL ACCOUNTING OF THE BALANCE OF THEIR FUND. EACH RESIDENT IS PROVIDED ON A MONTHLY BASIS AN ACCOUNTING OF THEIR FUND BALANCE. PART V, LINE 4: INTENDED USES OF ENDOWMENT FUND ENDOWMENT FUNDS HELD FOR INTENDED USE BY THE UNITY HOSPITAL OF ROCHESTER ARE IN THE POSSESSION OF THE UNITY HEALTH SYSTEM FOUNDATION. WHEN THE TERMS OF THE ENDOWMENT ARE MET, THE FOUNDATION GRANTS THE FUNDS OVER TO THE UNITY HOSPITAL OF ROCHESTER. 1 1 X 1 X 1 X 1 1 1 0 1 1 8656016 5830579 2825437 0.00670 80389158 75043528 5345630 0.01260 4982687 4385942 596745 0.00140 94027861 85260049 8767812 0.02070 9491675 2528812 6962863 0.01640 83552467 69624119 13928348 0.03280 93044142 72152931 20891211 0.04920 187072003 157412980 29659023 0.06990 1 10836099 4865448 48651264 55002163 -6350899 X 1 1 1 1 THE UNITY HOSPITAL OF ROCHESTER 1555 LONG POND ROAD ROCHESTER NY 14626 X X X X THE UNITY HOSPITAL OF ROCHESTER 1 0 0 1 X X X X X X X X X 13 1 1 1 1 X WWW.ROCHESTERREGIONAL.ORG X 1 14 1 WWW.ROCHESTERREGIONAL.ORG 0 0 1 X 150.000000000000 400.000000000000 X 1 1 X X X X 1 X X X X X X X X 1 0 1 X 0 0 THE UNITY HOSPITAL OF ROCHESTER PART V, SECTION B, LINE 5: ACCOUNT INPUT FROM PERSON WHO REPRESENTS THE COMMUNITYFACILITY: THE UNITY HOSPITAL OF ROCHESTERTHROUGH A COLLABORATIVE EFFORT WITH MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH, AND THE FOLLOWING OTHER HOSPITALS OF MONROE COUNTY ARE PARTNERS IN HELPING TO IDENTIFY UNMET AND EMERGING HEALTH CARE NEEDS IN THE MONROE COUNTY COMMUNITY:1) ROCHESTER GENERAL HOSPITAL2) STRONG MEMORIAL HOSPITAL3) HIGHLAND HOSPITALPUBLIC PARTICIPATION AND ASSESSMENT OF PUBLIC HEALTH PRIORITIES AND NEEDS OF MONROE COUNTY ARE ACCOMPLISHED USING A PROCESS KNOWN AS HEALTH ACTION. HEALTH ACTION IS A COMMUNITY-WIDE HEALTH IMPROVEMENT INITIATIVE COORDINATED BY THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH. THE VISION FOR HEALTH ACTION IS CONTINUOUS, MEASURABLE IMPROVEMENT IN HEALTH STATUS IN MONROE COUNTY. THE UNITY HOSPITAL OF ROCHESTER PART V, SECTION B, LINE 6A: LIST OTHER HOSPITAL FACILITIES THAT JOINTLY CONDUCTED NEEDS ASSESSMENTTHE UNITY HOSPITAL OF ROCHESTERROCHESTER GENERAL HOSPITALSTRONG MEMORIAL HOSPITALHIGHLAND HOSPITAL THE UNITY HOSPITAL OF ROCHESTER PART V, SECTION B, LINE 16I: ALSO LOCATED IN OUTPATIENT SETTINGS AND LAB DEPOTS. THE UNITY HOSPITAL OF ROCHESTER PART V, SECTION B, LINE 22D: ACTUAL CHARGES ARE BILLED, LESS 20% DISCOUNT, PLUS 9.63% NYS SURCHARGE. PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY THE UNITY HOSPITAL OF ROCHESTER PART V, SECTION B, LINE 16A WEBSITE: WWW.ROCHESTERREGIONAL.ORG THE UNITY HOSPITAL OF ROCHESTER PART V, SECTION B, LINE 16B WEBSITE: WWW.ROCHESTERREGIONAL.ORG THE UNITY HOSPITAL OF ROCHESTER PART V, SECTION B, LINE 16C WEBSITE: WWW.ROCHESTERREGIONAL.ORG PART I, LINE 7: THE COSTING METHODOLOGY USED WAS FROM THE HOSPITAL'S ICR UTILIZING BOTH EXHIBIT 46 AND THE COST TO CHARGE RATIO ON EXHIBIT 49. THE HOSPITAL'S MEDICARE COST REPORT WAS USED FOR LINE 7F, WHICH UTILIZES WORKSHEET B, PART I. PART I, LINE 7G: N/A - NO PHYSICIAN CLINIC COSTS WERE INCLUDED ON LINE 7G. PART I, LN 7 COL(F): TOTAL EXPENSES ON FORM 990, PART IX, LINE 25, COLUMN (A) ARE $434,973,292. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $10,836,099. AFTER BAD DEBT WAS DEDUCTED FROM TOTAL EXPENSES, THE AMOUNT OF TOTAL EXPENSES USED TO CALCULATE THE PERCENT IN LINE 7, COLUMN (F) WAS $424,137,193. PART I, LINE 7E: DURING 2014, THE FILING ORGANIZATION (UNITY HOSPITAL) SPONSORED THE FOLLOWING EVENTS AND ACTIVITIES TO PROMOTE COMMUNITY HEALTH IMPROVEMENT THAT MEET THE DEFINITION FOR DISCLOSURE ON SCHEDULE H, PART I, LINE 7E (COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS). HOWEVER, COMMUNITY BENEFIT EXPENSE AND DIRECT OFFSETTING REVENUE WERE NOT SEPARATELY TRACKED IN THE ORGANIZATION'S ACCOUNTING RECORDS. AS A RESULT, NO AMOUNTS HAVE BEEN INCLUDED ON SCHEDULE H, PART I, LINE 7E.UNITY HOSPITAL IS THE CONDUIT FOR CARE FOR THOUSANDS OF OUR COMMUNITY MEMBERS. WE OFFER MANY COMMUNITY BASED HEALTH SERVICES. OUR MISSION IS TO MAKE A POSITIVE DIFFERENCE IN THE HEALTH AND WELL-BEING OF THOSE WE SERVE. THE HOSPITAL IS COMMITTED TO GIVING BACK TO THE COMMUNITY BY SUPPORTING THE MANY ORGANIZATIONS THAT ARE ALREADY WORKING SO HARD TO IMPROVE COMMUNITY HEALTH. AS SUCH, WE PROVIDE SERVICES AND STAFF TO LOCAL ORGANIZATIONS AND COMMUNITY EVENTS INCLUDING THE AMERICAN HEART WALK, THE AMERICAN CANCER SOCIETY, THE MARCH OF DIMES, THE JUVENILE DIABETES FOUNDATION, THE AMERICAN DIABETES ASSOCIATION, TOUR DE CURE, AND THE UNITED WAY. ROCHESTER REGIONAL HEALTH IS ALSO A MEMBER OF THE ROCHESTER INTEGRATED HEALTH NETWORK (RIHN) WHICH WORKS TO PROMOTE THE INTEGRATION AND COORDINATION OF QUALITY, ACCESSIBLE AND AFFORDABLE MEDICAL AND BEHAVIORAL HEALTH CARE SERVICES FOR LOW INCOME, UNINSURED, UNDER INSURED CHILDREN AND ADULTS IN THE ROCHESTER, NEW YORKREGION. THE ROCHESTER INTEGRATED HEALTH NETWORK COLLABORATES ON IMPROVEMENT PROJECTS WITH ITS MEMBER ORGANIZATIONS AND COMMUNITY PARTNERS.NOT ONLY DO WE PROVIDE SERVICES AND STAFF FOR THESE ORGANIZATIONS, BUT WE ALSO INDEPENDENTLY PROVIDE COMMUNITY SERVICES SUCH AS "HEALTHY START PROGRAM", "PASTORAL OUTREACH PROGRAM", AND "HEALTHCARE FOR THE HOMELESS". WITHIN THE HEALTHCARE FOR THE HOMELESS PROGRAM, WE ADMINISTER QUALITY CARE BY USING A 40-FOOT MOBILE UNIT WITH EXAM ROOMS FOR HOMELESS PATIENTS IN NEED OF PRIMARY, URGENT, AND DENTAL CARE. WE ALSO OFFER A DESIGNATED CALL CENTER TO ASSIST OUR CURRENT AND PROSPECTIVE PATIENTS IN NEEDS THEY MAY HAVE, SUCH AS HELP FINDING A QUALIFIED PHYSICIAN IN THE AREA, QUESTIONS REGARDING MEDICATIONS, POST-VISITS WITH THE PATIENT TO SEE HOW THEY ARE DOING AND PATIENT SATISFACTION SURVEYS TO DETERMINE THE QUALITY OF CARE. PART II, COMMUNITY BUILDING ACTIVITIES: MEDICAL STAFFUNITY MEDICAL STAFF HAS 417 CURRENTLY ACTIVE STAFF MEMBERS. THESE PHYSICIANS REPRESENT A BROAD SPECTRUM OF PRIMARY CARE AND SPECIALTY SERVICES. AS AN AFFILIATE OF ROCHESTER REGIONAL HEALTH, OUR PATIENTS HAVE SEAMLESS ACCESS TO ADDITIONAL SPECIALISTS INCLUDING THE WORLD-CLASS PROVIDERS AT THE ROCHESTER HEART INSTITUTE AND THE LIPSON CANCER CENTER BOTH IN PENFIELD AND ROCHESTER.VOLUNTEERS/AUXILIANSMEMBERS OF COMMUNITIES FROM ACROSS MONROE AND SURROUNDING COUNTIES HAVE ALWAYS PLAYED AN IMPORTANT ROLE IN ADVOCATING FOR, AND OFFERING ASSISTANCE AT UNITY. IN 2014, 1,268 VOLUNTEERS PROVIDED MORE THAN 151,838 HOURS OF SERVICE AT UNITY.BOARD OF DIRECTORS AND COMMUNITY GUIDANCEUNITY ENSURES COMMUNITY CONTROL OVER THE CORPORATION THROUGH ITS BOARD OF DIRECTORS, COMPRISED OF COMMUNITY AND FAITH LEADERS, AND LEADERS IN BUSINESS AND INDUSTRY, HEALTHCARE, AND PHYSICIANS REPRESENTING THE MEDICAL STAFF OF THE ORGANIZATION. THE MAJORITY OF THE DIRECTORS RESIDE IN THE ROCHESTER AREA AND EACH DIRECTOR SERVES A THREE-YEAR TERM.USE OF SURPLUS FUNDSSURPLUS FUNDS ARE USED TO FURTHER THE MISSION AND OPERATIONS OF THE ORGANIZATION, SUCH AS REINVESTING IN COMMUNITY BENEFIT PROGRAMS, AND MAKING IMPROVEMENTS IN FACILITIES, PATIENT CARE, MEDICAL, NURSING AND ALLIED HEALTH TRAINING, EDUCATION AND RESEARCH IN SUPPORT OF THE HEALTH NEEDS OF THE COMMUNITY AS WELL AS USED FOR CHARITY CARE. PART III, LINE 4: IN 2014, THE ORGANIZATION CONTINUED ITS ENHANCED PROCESS FOR OBTAINING ADDITIONAL FINANCIAL INFORMATION FOR UNINSURED AND UNDER-INSURED PATIENTS WHO HAVE NOT SUPPLIED THE REQUISITE INFORMATION TO DETERMINE IF THEY QUALIFY FOR CHARITY CARE. THE ADDITIONAL INFORMATION OBTAINED WAS USED BY THE ORGANIZATION TO DETERMINE WHETHER TO QUALIFY PATIENTS FOR CHARITY CARE IN ACCORDANCE WITH THE ORGANIZATION'S POLICY. THE APPLICATION OF THIS ADDITIONAL INFORMATION IN 2014 RESULTED IN ADDITIONAL PATIENTS QUALIFYING FOR CHARITY CARE AND THUS RE-CLASSIFYING THIS AMOUNT FROM BAD DEBT EXPENSE. BAD DEBT EXPENSE ON PART III, LINE 2 REPRESENTS ESTIMATED UNCOLLECTIBLE CHARGES FOR THOSE PATIENTS UNWILLING, NOT UNABLE, TO PAY.BAD DEBT COSTING METHODOLOGY:THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HOSPITAL FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE HOSPITAL. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE HOSPITAL'S POLICIES.BAD DEBT EXPENSE IS RECORDED USING THE VALUATION METHOD AS OUTLINED IN HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT 15, WHICH REQUIRES BAD DEBT EXPENSE TO BE RECORDED AT THE AMOUNT THAT THE PAYER IS EXPECTED TO PAY. THE PROVISION FOR BAD DEBTS REPRESENTS ESTIMATED UNCOLLECTIBLE CHARGES OF PATIENTS UNWILLING TO PAY. IN 2014, THE ORGANIZATION CONTINUED ITS ENHANCED PROCESS FOR OBTAINING ADDITIONAL FINANCIAL INFORMATION FOR UNINSURED AND UNDERINSURED PATIENTS WHO HAVE NOT SUPPLIED THE REQUISITE INFORMATION TO DETERMINE IF THEY QUALIFY FOR CHARITY CARE. THE APPLICATION OF THIS ADDITIONAL INFORMATION IN 2014 RESULTED IN ADDITIONAL PATIENTS QUALIFYING FOR CHARITY CARE AND A REDUCTION TO BAD DEBT EXPENSE. PART III, LINE 8: MEDICARE COSTING METHODOLOGY: THE ORGANIZATION USED THE FILED 2014 CMS COST REPORT TO DETERMINE THE MEDICARE ALLOWABLE COSTS OF CARE RELATING TO PAYMENTS RECEIVED FROM MEDICARE. MEDICARE SHORTFALLS, WHICH ARE COSTS INCURRED BY THE HOSPITAL TO PROVIDE QUALITY CARE AND TREATMENT TO ITS PATIENTS, SHOULD BE TREATED AS A COMMUNITY BENEFIT. TO NOT INCUR THESE COSTS WOULD POTENTIALLY LIMIT OR EVEN COMPROMISE THE QUALITY OF SERVICE PROVIDED. PART III, LINE 9B: AT SUCH TIME THAT A PATIENT EXPRESSES A FINANCIAL CONCERN, THE PATIENT WILL BE OFFERED THE OPPORTUNITY TO APPLY FOR CHARITY CARE. ONCE THE PATIENT SUBMITS THE COMPLETED CHARITY CARE APPLICATION, THE ACCOUNT IS PLACED ON HOLD AND ALL COLLECTION ACTIVITIES ARE SUSPENDED UNTIL AN ELIGIBILITY DETERMINATION IS MADE. IF THE PATIENT IS ELIGIBLE FOR CHARITY CARE, THEN THE PATIENT IS NOTIFIED OF THE LEVEL OF CHARITY CARE AWARDED. IF 100% CHARITY CARE IS AWARDED, THAN NO BILL IS SENT TO THE PATIENT. IF LESS THAN 100% CHARITY CARE IS AWARDED, THAN THE PATIENT WILL RECEIVE A BILL PURSUANT TO THE PRIVATE PAY COLLECTION POLICY. ONLY AFTER PATIENT'S LIABILITY HAS BEEN DETERMINED FOLLOWING PROCESSING OF APPLICATIONS FOR GOVERNMENT ASSISTANCE, CHARITY CARE, AND/OR INSURANCE CARRIER REMITTANCE WILL THE PATIENT STATEMENT BE MAILED FOR PAYMENT RECOVERY. THE HOSPITAL'S COLLECTION PRACTICES SET FORTH IN ITS WRITTEN DEBT COLLECTION POLICY APPLY TO ALL PATIENT TYPES OF THE HOSPITAL. PART VI, LINE 2: THROUGH A TWELVE YEAR COLLABORATIVE EFFORT WITH MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH, ROCHESTER REGIONAL HEALTH (THE PARENT OF UNITY HOSPITAL) AND THE FOLLOWING OTHER HOSPITALS OF MONROE COUNTY ARE PARTNERS IN HELPING TO IDENTIFY UNMET AND EMERGING HEALTH CARE NEEDS IN THE MONROE COUNTY COMMUNITY:1) ROCHESTER GENERAL HOSPITAL2) STRONG MEMORIAL HOSPITAL3) HIGHLAND HOSPITALPUBLIC PARTICIPATION AND ASSESSMENT OF PUBLIC HEALTH PRIORITIES AND NEEDS OF MONROE COUNTY ARE ACCOMPLISHED USING A PROCESS KNOWN AS HEALTH ACTION. HEALTH ACTION IS A COMMUNITY-WIDE HEALTH IMPROVEMENT INITIATIVE COORDINATED BY THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH. THE VISION FOR HEALTH ACTION IS CONTINUOUS, MEASURABLE IMPROVEMENT IN HEALTH STATUS IN MONROE COUNTY. THIS IS IMPLEMENTED BY SELECTING PRIORITIES FOR ACTION FROM HEALTH GOALS IDENTIFIED IN COMMUNITY HEALTH REPORT CARDS IN EACH OF THE FOLLOWING FOCUS AREAS:- MATERNAL AND CHILD HEALTH- ADOLESCENT HEALTH- ADULT/OLDER ADULT HEALTH- ENVIRONMENTAL HEALTHTHE PROCESS USED BY HEALTH ACTION FOR EACH FOCUS AREA ABOVE IS:- ASSESS HEALTH STATUS- CHOOSE PRIORITY GOALS- DEFINE LEADERSHIP- DEVELOP IMPROVEMENT PLANS- PERFORM INTERVENTIONS- MEASURE THE IMPACTTO ACCOMPLISH A COMMUNITY ENGAGED HEALTH STATUS ASSESSMENT, THE STEERING COMMITTEE OF HEALTH ACTION ESTABLISHED FIVE SUBCOMMITTEES TO DEVELOP THE INITIAL COMMUNITY HEALTH REPORT CARDS: MATERNAL/CHILD HEALTH, ADOLESCENT HEALTH, ADULT HEALTH, OLDER ADULT HEALTH AND ENVIRONMENTAL HEALTH. THESE COMMITTEES WERE CHARGED WITH COMPILING AND ANALYZING DATA TO IDENTIFY MEASURES OF HEALTH STATUS FOR EACH OF THE REPORT CARDS, IDENTIFYING FIVE TO TEN GOAL AREAS, PREPARING REPORT CARDS FOR PUBLICATION, AND MAKING RECOMMENDATIONS ABOUT PRIORITIES FOR ACTION. PUBLICATION DATES OF THE MOST RECENT REPORT CARDS ARE AS FOLLOWS:- MATERNAL CHILD HEALTH REPORT CARD - 2003- ADOLESCENT HEALTH REPORT CARD - 2006- ADULT/OLDER ADULT HEALTH REPORT CARD - 2008-ADULT HEALTH ASSESSMENT - 2012AFTER THE PUBLICATION OF EACH REPORT CARD, THE RESPECTIVE REPORT CARD COMMITTEE HOSTS A SERIES OF COMMUNITY FORUMS WITH HEALTH PROFESSIONALS, COMMUNITY ORGANIZATIONS AND MONROE COUNTY RESIDENTS IN ORDER TO OBTAIN INPUT ON WHICH HEALTH GOALS SHOULD BE PRIORITIES FOR ACTION. DURING THE FORUMS THERE IS A BRIEF PRESENTATION OF THE GOALS AND MEASURES CONTAINED IN THE REPORT CARD. FORUM PARTICIPANTS ARE THEN ASKED TO RANK THE GOALS BASED ON THE FOLLOWING CRITERIA: - IMPORTANCE; - SENSITIVITY TO INTERVENTION;- CONTROL; - AND TIMELINESSIN ADDITION, PARTICIPANTS ARE ASKED WHICH GOAL THEY THINK SHOULD BE A PRIORITY FOR ACTION. IN 2006, THE ADOLESCENT HEALTH REPORT CARD COMMITTEE CONDUCTED 22 FORUMS WITH 284 PARTICIPANTS INCLUDING YOUTH, PARENTS, AND PROFESSIONALS THAT WORK WITH YOUTH. BASED ON THE FEEDBACK RECEIVED DURING THE FORUMS, THE BOARD OF HEALTH, IN 2007, SELECTED THE FOLLOWING GOALS AS PRIORITIES FOR ACTION:- INCREASE PHYSICAL ACTIVITY AND IMPROVE NUTRITION- BUILD YOUTH ASSETSIN 2008, THE ADULT/OLDER ADULT HEALTH REPORT CARD COMMITTEE CONDUCTED 29 HEALTH FORUMS AND OBTAINED FEEDBACK ABOUT HEALTH PRIORITIES FROM 450 ADULTS, OLDER ADULTS, PROFESSIONALS, AND REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS THAT WORK WITH THIS POPULATION. BASED ON THE FEEDBACK OBTAINED DURING THE FORUMS, THE BOARD OF HEALTH, IN 2009, SELECTED THE FOLLOWING GOALS AS PRIORITIES FOR ACTION FOR ADULT AND OLDER ADULT HEALTH:- INCREASE PHYSICAL ACTIVITY AND IMPROVE NUTRITION- IMPROVE PREVENTION AND MANAGEMENT OF CHRONIC DISEASE- IMPROVE MENTAL HEALTH (REDUCE VIOLENCE AMONG ADULTS AND ELDER ABUSE AMONG OLDER ADULTS).IN 2010, THE THREE YEAR PLAN OF ACTION FOR THE COMMUNITY COLLABORATIVE FOCUSED ON TWO PREVENTION AGENDA PRIORITIES:- INCREASE PHYSICAL ACTIVITY AND IMPROVE NUTRITION- IMPROVE PREVENTION AND MANAGEMENT OF CHRONIC DISEASE.ALL OF THE PARTICIPATING HEALTHCARE AGENCIES, INCLUDING RRH, COMMITTED TO DEVELOP AND ENHANCE THEIR PHYSICAL ACTIVITY AND NUTRITION INITIATIVES WITHIN THEIR OWN ORGANIZATION TO POSITIVELY AFFECT THEIR EMPLOYEE AND PATIENT POPULATIONS INCLUDING FREE NUTRITION CLASSES, HEALTH MENUS, FOOD PRICING STRATEGIES TO ENCOURAGE HEALTHY FOODS AND FOCUS ON CREATION OR ENHANCED ACCESS TO PLACES THAT ENCOURAGE PHYSICAL ACTIVITY. AS THE THIRD LARGEST EMPLOYER IN THE COUNTY, OTHER INITIATIVES BY RRH INCLUDE CAMPUS WALKING TRAILS, WALKING WORKS! COLLABORATIVE WITH THE OTHER COUNTY HOSPITALS AND INSURANCE COVERAGE FOR PROGRAMS IN NUTRITION & WEIGHT MANAGEMENT SERVICES TO MANAGE OBESITY. THE INITIATIVES TO IMPROVE PREVENTION AND MANAGEMENT OF CHRONIC DISEASE ARE:- IMPROVE ASTHMA CARE OF CHILDREN THROUGH ESTABLISHMENT OF THE BREATH OF HOPE ASTHMA PROGRAM.- IMPROVE DIABETES CARE IN PRIMARY CARE OFFICES BY CONTINUING TO INCREASE THE NUMBER OF PRIMARY CARE PHYSICIANS WHO ARE NCQA-CERTIFIED IN DIABETES CARE USING THE REGIONAL QUALITY IMPROVEMENT MODEL IMPLEMENTED INITIALLY IN 2009.A NEW ADULT HEALTH SURVEY WAS ADMINISTERED IN SPRING AND SUMMER OF 2012, COLLECTING 1800 RESPONSES, OF WHICH HALF WERE FROM CITY ZIP CODES. THE CITY CODES WERE OVERSAMPLED TO ENSURE DATA WAS COLLECTED FROM A BROAD CROSS SECTION OF RESIDENTS TO ENSURE IT INCLUDED LIMITED INCOME, AFRICAN AMERICAN AND LATINO RESIDENTS. THOSE RESULTS WILL BE ANALYZED IN 2013 AND ALONG WITH OTHER NYS AND LOCAL DATA INCLUDING MORTALITY, HOSPITALIZATION AND DISEASE AND CONDITION SPECIFIC DATA. THE NEXT EVOLUTION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND PLAN WILL INTEGRATE THE LOCAL FINDINGS AND CONSIDER THE NEW YORK STATE PREVENTION AGENDA, WHICH CONTINUES TO FOCUS ON PRIORITY AREAS OF PREVENTING CHRONIC DISEASE, PROMOTING HEALTHY AND SAFE ENVIRONMENTS, HEALTHY WOMEN, INFANTS AND CHILDREN, PROMOTING MENTAL HEALTH AND PREVENTING SUBSTANCE ABUSE AND PREVENTING STD, VACCINE PREVENTABLE DISEASE AND HEALTHCARE ASSOCIATED INFECTIONS.FOLLOWING THE ASSESSMENT, THE COMMITTEE CONDUCTED A PRIORITIZATION PROCESS THAT RESULTED IN IDENTIFYING FOUR MAIN HEALTH PRIORITIES FOR THE COMMUNITY: 1. OBESITY RATES 2. SMOKING RATES ESPECIALLY CITY RESIDENTS 3. BLOOD PRESSURE CONTROL FOR THOSE DIAGNOSED WITH HIGH BLOOD PRESSURE 4. CHRONIC DISEASE MANAGEMENT THE THREE YEAR PLAN OF ACTION 2014-2016 DEVELOPED TO IMPACT THE HEALTH PRIORITIES FOR THE AREA WERE:PRIORITY 1: WORKSITE WELLNESS - EACH HOSPITAL WILL MAKE THREE SIGNIFICANT ACTIONS TO IMPROVE THE WELLNESS OF THEIR EMPLOYEES IN THREE YEARS. ROCHESTER GENERAL HAS OPENED A FREE TO EMPLOYEES FITNESS CENTER WITH CLASSES, EQUIPMENT, AND WELLNESS SUPPORT. THE ORGANIZATIONS WILL ALSO REACH OUT TO SUPPORT SMALL AND MEDIUM BUSINESSES TO MODEL WELLNESS INITIATIVES. PRIORITY 2: SMOKING CESSATION - EACH HOSPITAL WILL PUT A POLICY IN PLACE TO PROACTIVELY ENROLL PATIENTS IN THE NYS OPT TO QUIT PROGRAMPRIORITY 3: CHRONIC DISEASE MANAGEMENT - IN PARTICULAR, THERE IS A COMMUNITY WIDE BLOOD PRESSURE COLLABORATIVE TO WITH PARTICULAR FOCUS ON OUTREACH TO THE AT RISK URBAN POPULATION. PART VI, LINE 3: ROCHESTER REGIONAL INFORMS INDIVIDUALS OF AVAILABLE FREE OR REDUCED PRICE SERVICES AT THE TIME OF REGISTRATION INTO INPATIENT, OUTPATIENT, EMERGENCY DEPARTMENT, AND LONG-TERM CARE FACILITIES. POSTERS INFORMING THE PATIENT/FAMILY OF ASSISTANCE ARE AVAILABLE THROUGHOUT THE ROCHESTER REGIONAL LOCATIONS. BROCHURES AND PAMPHLETS INFORMING THE COMMUNITY ARE WIDELY DISTRIBUTED IN THE COMMUNITY AT HEALTH FAIRS, CHURCHES, SCHOOLS AND OTHER PUBLIC LOCATIONS. INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE IS ALSO AVAILABLE THROUGH ROCHESTER REGIONAL'S WEBSITE AND PATIENTS WITH A SELF-PAY BALANCE ARE NOTIFIED OF OUR FINANCIAL ASSISTANCE PROGRAM VIA THE PATIENT'S STATEMENT. ROCHESTER REGIONAL OFFERS SEVERAL INITIATIVES TO HELP INDIVIDUALS IN OUR COMMUNITY ACCESS AFFORDABLE HEALTH CARE, INCLUDING:- FACILITATED ENROLLMENT - TO ASSIST ELIGIBLE INDIVIDUALS WITH HEALTH INSURANCE ENROLLMENT BY OFFERING EDUCATION AND APPLICATION ASSISTANCE FOR MEDICAID, CHILD HEALTH PLUS, FAMILY HEALTH PLUS, PRENATAL CARE ASSISTANCE PROGRAM, AND STATE AID FOR CHILDREN WITH SPECIAL NEEDS. A DEDICATED TELEPHONE NUMBER IS AVAILABLE AND INFORMATION IS PUBLISHED IN PAMPHLETS AT RRH SITES AND AT VARIOUS LOCATIONS THROUGHOUT THE COMMUNITY.- FINANCIAL ASSISTANCE PROGRAM - THE ROCHESTER REGIONAL FINANCIAL ASSISTANCE PROGRAM OFFERS FREE OR REDUCED-PRICES FOR PATIENTS TREATED AT A ROCHESTER REGIONAL HOSPITAL, OUTPATIENT, EMERGENCY ROOM, OR LONG-TERM CARE FACILITY. DISCOUNTS ARE AWARDED BASED UPON INCOME AND ASSET VERIFICATION. INDIVIDUALS WHO DO NOT QUALIFY FOR MEDICAID, CHILD HEALTH PLUS, FAMILY HEALTH PLUS, PRENATAL CARE ASSISTANCE PROGRAM, AND/OR STATE AID FOR CHILDREN WITH SPECIAL NEEDS ARE CONSIDERED FOR FINANCIAL ASSISTANCE (CHARITY CARE). PART VI, LINE 4: UNITY HOSPITAL SERVES MORE THAN ONE MILLION PEOPLE EACH YEAR, PRIMARILY FROM THE CITY OF ROCHESTER AND SURROUNDING AREAS OF MONROE COUNTY. OUR PRIMARY SERVICE AREA, THE POPULATION IS 76% WHITE, 14% AFRICAN AMERICAN, AND 6% HISPANIC (AMERICAN COMMUNITY SURVEY 2005-2009). FROM AMERICAN COMMUNITY SURVEY 2005-2009 INFORMATION, APPROXIMATELY 14% OF HOUSEHOLDS IN MONROE COUNTY ARE LIVING AT OR BELOW THE POVERTY LEVEL. IN THE CITY OF ROCHESTER ITSELF, HOWEVER, THE POPULATION IS MUCH MORE DIVERSE: 42% ARE WHITE, 38% ARE AFRICAN AMERICAN AND 13% ARE HISPANIC OR LATINO. THE CITY OF ROCHESTER HAS A POVERTY RATE DOUBLE THAT OF THE ENTIRE COUNTY AT 29.1%. ROCHESTER IS ALSO ONE OF ONLY FOURTEEN CITIES NATIONWIDE (AND ONE OF TWO IN NEW YORK STATE) THAT IS DESIGNATED BY THE FEDERAL OFFICE OF REFUGEE RESETTLEMENT FOR THE UNACCOMPANIED REFUGEE MINORS PROGRAM, AND BECAUSE OF THIS AND OTHER SIGNIFICANT PROGRAMS FOR REFUGEE RESETTLEMENT, WE HAVE AN UNUSUALLY LARGE NUMBER OF INDIVIDUALS WHO ARE FOREIGN-BORN AND SPEAK A LANGUAGE OTHER THAN ENGLISH. PART VI, LINE 5: MEDICAL STAFFUNITY MEDICAL STAFF HAS 417 CURRENTLY ACTIVE STAFF MEMBERS. THESE PHYSICIANS REPRESENT A BROAD SPECTRUM OF PRIMARY CARE AND SPECIALTY SERVICES. AS AN AFFILIATE OF ROCHESTER REGIONAL HEALTH, OUR PATIENTS HAVE SEAMLESS ACCESS TO ADDITIONAL SPECIALISTS INCLUDING THE WORLD-CLASS PROVIDERS AT THE ROCHESTER HEART INSTITUTE AND THE LIPSON CANCER CENTER BOTH IN PENFIELD AND ROCHESTER.VOLUNTEERS/AUXILIANSMEMBERS OF COMMUNITIES FROM ACROSS MONROE AND SURROUNDING COUNTIES HAVE ALWAYS PLAYED AN IMPORTANT ROLE IN ADVOCATING FOR, AND OFFERING ASSISTANCE AT UNITY. IN 2014, 1,268 VOLUNTEERS PROVIDED MORE THAN 151,838 HOURS OF SERVICE AT UNITY.BOARD OF DIRECTORS AND COMMUNITY GUIDANCEUNITY ENSURES COMMUNITY CONTROL OVER THE CORPORATION THROUGH ITS BOARD OF DIRECTORS, COMPRISED OF COMMUNITY AND FAITH LEADERS, AND LEADERS IN BUSINESS AND INDUSTRY, HEALTHCARE, AND PHYSICIANS REPRESENTING THE MEDICAL STAFF OF THE ORGANIZATION. THE MAJORITY OF THE DIRECTORS RESIDE IN THE ROCHESTER AREA AND EACH DIRECTOR SERVES A THREE-YEAR TERM.USE OF SURPLUS FUNDSSURPLUS FUNDS ARE USED TO FURTHER THE MISSION AND OPERATIONS OF THE ORGANIZATION, SUCH AS REINVESTING IN COMMUNITY BENEFIT PROGRAMS, AND MAKING IMPROVEMENTS IN FACILITIES, PATIENT CARE, MEDICAL, NURSING AND ALLIED HEALTH TRAINING, EDUCATION AND RESEARCH IN SUPPORT OF THE HEALTH NEEDS OF THE COMMUNITY AS WELL AS USED FOR CHARITY CARE. PART VI, LINE 7, REPORTS FILED WITH STATES NY PART VI, LINE 6: ROCHESTER REGIONAL HEALTH (ROCHESTER REGIONAL) (I.E. THE PARENT ORGANIZATION AND ITS RELATED AFFILIATES) HAS PROVIDED HIGH QUALITY HEALTHCARE SERVICES TO THE GREATER ROCHESTER NY AREA AND SURROUNDING REGIONS FOR MORE THAN 150 YEARS. ROCHESTER REGIONAL IS THE SECOND LARGEST EMPLOYER IN ROCHESTER AND AN INTEGRAL PART OF THE COMMUNITY. ROCHESTER REGIONAL HAS A NATIONALLY RECOGNIZED HEART PROGRAM AND A NATIONALLY ACCREDITED CANCER CENTER. ROCHESTER REGIONAL OFFER PATIENTS MANY OF THE SAME LEADING EDGE TREATMENT OPTIONS FOUND AT THE COUNTRY'S FINEST MEDICAL CENTERS. FROM SURGERY TO ORTHOPEDICS, WOMEN'S HEALTH TO EMERGENCY CARE, PEOPLE ALL ACROSS WESTERN NY TURN TO ROCHESTER REGIONAL FOR THEIR EXPERIENCE, COMPASSION AND EXPERTISE IN HELPING THEM GET BACK TO LIVING THEIR LIVES. POVERTY TRENDS, COMMUNITY HEALTH RESEARCH AND NEEDS ASSESSMENTS ARE REVIEWED ON A REGULAR BASIS WHILE PLANNING COMMUNITY HEALTH PROGRAMS. ROCHESTER REGIONAL REPRESENTATIVES ARE ACTIVELY ENGAGED IN VARIOUS COMMUNITY HEALTH COLLABORATIVES WITH THE LOCAL HEALTH DEPARTMENTS, STATE HEALTH DEPARTMENT, AND LOCAL NOT-FOR-PROFIT HEALTH AND HUMAN SERVICE AGENCIES. ROCHESTER REGIONAL IS RESPONSIVE TO COMMUNITY PRIORITIES AND DEVELOPS PROGRAMS AND SERVICES THAT FILL A GAP OR SUPPLEMENT AN EXISTING PROGRAM. MOST ROCHESTER REGIONAL COMMUNITY HEALTH OUTREACH PROGRAMS ARE OFFERED IN PARTNERSHIP WITH OTHER COMMUNITY ORGANIZATIONS OR GOVERNMENTAL AGENCIES, IN ORDER TO LEVERAGE RESOURCES TO MEET COMMUNITY NEEDS. INFORMATION REGARDING THE AVAILABILITY OF COMMUNITY HEALTH PROGRAMS, ASSISTANCE WITH HEALTH INSURANCE ENROLLMENT AND FINANCIAL ASSISTANCE FOR MEDICAL CARE RECEIVED AT ROCHESTER REGIONAL HOSPITALS, EMERGENCY DEPARTMENTS, OUTPATIENT DEPARTMENTS OR LONG-TERM CARE FACILITIES ARE DISSEMINATED TO THE PUBLIC IN ELECTRONIC (WEBSITE) FORM.ROCHESTER GENERAL HOSPITAL (RGH), THE FLAGSHIP OF THE ROCHESTER REGIONAL HEALTH, IS A REGIONAL LEADER IN HEALTH CARE. THIS 528-BED ACUTE CARE, TEACHING HOSPITAL SERVES THE GREATER ROCHESTER, NY REGION AND BEYOND. ROCHESTER GENERAL HOSPITAL'S NATIONALLY RECOGNIZED PROGRAMS HAVE CONSISTENTLY DEMONSTRATED QUALITY OUTCOMES THAT POSITIVELY IMPACT PATIENTS, THEIR FAMILIES AND THE ENTIRE COMMUNITY. ROCHESTER GENERAL PROVIDES CARE TO MORE MONROE COUNTY RESIDENTS THAN ANY OTHER HOSPITAL IN THE REGION AND, AS A TERTIARY CARE FACILITY, HAS STRONG REFERRAL RELATIONSHIPS WITH SEVERAL REGIONAL HOSPITALS. ROCHESTER GENERAL OFFERS A FULL ARRAY OF SERVICES TO MEET THE MEDICAL NEEDS OF UPSTATE NEW YORK, INCLUDING NATIONALLY RECOGNIZED PROGRAMS IN CARDIAC, CANCER, ORTHOPEDIC, VASCULAR, SURGICAL AND DIABETES CARE. DISTINCTIONS FOR QUALITY INCLUDE DESIGNATION AS A SOLUCIENT/THOMPSON TOP 100 CARDIAC HOSPITAL AND DESIGNATION BY NEW YORK STATE AND THE JCAHO AS AN ACCREDITED STROKE CENTER. HIGH QUALITY CLINICAL CARE PROVIDED AT ROCHESTER GENERAL IS AMPLIFIED BY RELATIONSHIPS AND AFFILIATIONS WITH NATIONALLY RENOWNED INSTITUTIONS SUCH AS THE CLEVELAND CLINIC (FOR CARDIAC CARE) AND ROSWELL PARK CANCER INSTITUTE.UNITY HOSPITAL IS LOCATED ON THE UNITY PARK RIDGE HEALTH CARE CAMPUS IN THE TOWN OF GREECE AND IS PART OF UNITY HEALTH SYSTEM. KEY PROGRAMS INCLUDE UNITY HOSPITAL'S JOINT REPLACEMENT CENTER, FAMILY BIRTH PLACE, SPINE CENTER, DIABETES, CENTER, STROKE CENTER, EMERGENCY CENTER, CHEMICAL DEPENDENCY, AND BRAIN INJURY & REHABILITATION.IN AN EFFORT TO PROVIDE THE BEST POSSIBLE PATIENT CARE, UNITY HOSPITAL COMPLETED A FOUR-YEAR $158 MILLION MODERNIZATION AND EXPANSION PROJECT THAT RE-ENGINEERED THE HOSPITAL CAMPUS TO MEET THE NEEDS OF THE COMMUNITY. TODAY, THE 154-ACRE UNITY HOSPITAL CAMPUS IS A 268-BED HOSPITAL THAT INCLUDES ALL BRAND NEW PRIVATE ROOMS.NEWARK-WAYNE COMMUNITY HOSPITAL (NWCH) HAS SERVED GENERATIONS OF WAYNE COUNTY RESIDENTS SINCE 1957, AND MANY HAVE BECOME MEMBERS OF OUR GROWING HEALTHCARE FAMILY. WITH NEW, LEADING-EDGE MEDICAL TECHNOLOGY, A DIRECT PARTNERSHIP WITH ROCHESTER REGIONAL HEALTH, AND HIGHLY TRAINED STAFF, NWCH CONTINUES TO GROW IN EVERY ASPECT OF ITS HEALTHCARE DELIVERY. THE HOSPITAL IS LICENSED TO OPERATE 120 ACUTE CARE BEDS, WHICH INCLUDES: 82 MEDICAL/SURGICAL BEDS, 16 ADULT MENTAL HEALTH BEDS, 8 ICU BEDS AND 14 OBSTETRICAL BEDS. NWCH ALSO OFFERS A FULL ARRAY OF OUTPATIENT SERVICES INCLUDING AN EMERGENCY DEPARTMENT, CARDIAC REHABILITATION, LAB SERVICES, DIAGNOSTIC IMAGING, REHABILITATION SERVICES, AS WELL AS LAB DRAW STATIONS AND PATIENT IMAGING UNITS IN OTHER PARTS OF WAYNE COUNTY. IN RESPONSE TO COMMUNITY NEED, NWCH OPENED THE DEMAY LIVING CENTER IN 1994, A 180-BED SKILLED NURSING FACILITY. DEMAY LIVING CENTER OFFERS SKILLED NURSING CARE, A DEMENTIA UNIT, A NEUROBEHAVIORAL UNIT, A REHABILITATION DEPARTMENT AND ADULT DAY CARE. IN 1997, NWCH ESTABLISHED THE WAYNE COUNTY RURAL HEALTH NETWORK (WCRHN) TO ENCOURAGE GREATER COLLABORATION AMONG HEALTH AND SOCIAL SERVICE AGENCIES WITHIN WAYNE COUNTY IN ORDER TO PROVIDE GREATER ACCESS TO NEEDED SERVICES AND TO DEVELOP INNOVATIVE PROGRAMS TO BETTER MEET IDENTIFIED NEEDS. WCRHN IS ONE OF 35 SUCH NETWORKS IN NYS.ROCHESTER MENTAL HEALTH CENTER (RMHC) HAS NINE LOCATIONS ACROSS THE COMMUNITY, INCLUDING TWO OF THE AREA'S BEST MENTAL HEALTH CENTERS, GENESEE MENTAL HEALTH CENTER AND ROCHESTER MENTAL HEALTH CENTER, AND OVER 40 YEARS OF EXPERIENCE AND TRADITION. RMHC HAS COMPREHENSIVE SERVICES AND DEDICATED MENTAL HEALTH AND SUBSTANCE ABUSE PROFESSIONALS, WORKING TO HELP PATIENTS ACHIEVE THEIR FULL POTENTIAL TO LIVE AND WORK AS PRODUCTIVE MEMBERS OF THE COMMUNITY. THEY OFFER:-A COMPREHENSIVE SYSTEM OF CLINICAL MENTAL HEALTH SERVICES-READILY-ACCESSIBLE, CULTURALLY-SENSITIVE SERVICES UNIQUELY MATCHED TO THE INDIVIDUAL NEEDS OF EACH PATIENT AND THEIR FAMILY-CONVENIENT ACCESS TO MENTAL HEALTH OUTPATIENT SERVICES WITH LOCATIONS THROUGHOUT THE GREATER ROCHESTER AREA-AN UNWAVERING COMMITMENT TO SERVE THOSE IN THE COMMUNITY WHO HAVE EMOTIONAL NEEDS.PRCD, INC. OFFERS TWO COMMUNITY RESIDENCES THAT ARE UNIQUE TO UPSTATE NEW YORK, ONE FOR ADOLESCENT MALES AND THE OTHER FOR WOMEN. THESE RESIDENTS PROVIDE A STABLE HOUSING ENVIRONMENT DURING CHEMICAL DEPENDENCY TREATMENT.INDEPENDENT LIVING FOR SENIORS (ILS) OFFERS A PROGRAM THAT GIVES THE FRAIL ELDERLY AN ALTERNATIVE TO NURSING HOME PLACEMENT. IT IS DESIGNED TO ENABLE SENIORS TO LIVE IN THEIR OWN HOME SERVED BY A NETWORK OF SUPPORTIVE SERVICES. THE ILS PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE), HAS PROVEN THAT INTEGRATING HEALTH CARE SERVICES CAN HAVE A POWERFUL AND BENEFICIAL IMPACT ON INDIVIDUAL HEALTH AND WELL-BEING. SENIORS NOW HAVE A CHOICE TO LIVE OUT THEIR LIVES IN THEIR COMMUNITY - ENJOYING FAMILY, MANAGING THEIR HEALTH, MAKING NEW FRIENDS - SIMPLIFYING HOW THEY CHOOSE AND PAY FOR NEEDED LONG-TERM CARE. ILS OFFERS ALL OF THE HEALTH, MEDICAL AND SOCIAL SERVICES NEEDED TO HELP AN AGING LOVED ONE MAINTAIN THEIR INDEPENDENCE, DIGNITY AND QUALITY OF LIFE. A RANGE OF SERVICES ARE AVAILABLE TO AN ILS PARTICIPANT, INCLUDING: ADULT DAY CARE; PRIMARY CARE; LABORATORY; X-RAY AND AMBULANCE SERVICES; REHABILITATIVE AND SUPPORT SERVICES; MEDICAL SPECIALTY SERVICES; SKILLED NURSING CARE; ACUTE HOSPITAL CARE; IN-HOME SERVICES; INTERDISCIPLINARY CONSULTATION; AND NURSING HOME CARE SHOULD THE NEED ARISE.EDNA TINA WILSON LIVING CENTER IS A 120-BED SKILLED NURSING FACILITY. THE EDNA TINA WILSON LIVING CENTER USES AN INNOVATIVE NEIGHBORHOOD DESIGN, WITH RESIDENT ROOMS CLUSTERED AROUND THE ACTIVITY CENTER AND THE LIVING AND DINING AREAS, TO PROMOTE MORE SOCIAL AND INTERACTIVE LIVING. EDNA TINA WILSON LIVING CENTER CARES FOR THE PHYSICAL AND MEDICAL NEEDS OF RESIDENTS, AND IS A NATIONAL MODEL OF CARE FOR THE SPECIAL NEEDS OF THOSE WITH ALZHEIMER'S DISEASE AND OTHER MEMORY IMPAIRMENTS. THE LIVING CENTER ALSO SPECIALIZES IN PAIN MANAGEMENT, RESPIRATORY THERAPY, IV THERAPY, PERITONEAL DIALYSIS SERVICES, RESPITE CARE, AND HOSPICE CARE FOR ITS RESIDENTS.PARK RIDGE LIVING CENTER IS A 120-BED SKILLED NURSING FACILITY THAT INCLUDES THE WEGMAN FAMILY COTTAGES AND THE 40-BED TIMOTHY R. MCCORMICK TRANSITIONAL CARE CENTER.THE WEGMAN FAMILY COTTAGES ARE DESIGNED AROUND THE SMALL HOME CONCEPT. EACH OF THE FOUR RANCH-STYLE COTTAGE HOMES HAS 20 PRIVATE ROOMS, EACH WITH A PRIVATE BATH. THE CENTRAL DINING AREA IS EASILY ACCESSIBLE WITH ADJACENT KITCHEN AND LIVING ROOM AREAS. THE KITCHEN IS DESIGNED TO ENCOURAGE PARTICIPATION OF THE ELDERS IN MEAL PLANNING AND PREPARATION.THE WEGMAN FAMILY COTTAGES EMBRACE A NEW MODEL OF CARE FOR LIVING CENTER ELDERS, WHERE THEY ARE ENCOURAGED TO MAKE THEIR OWN CHOICES, AND PROVIDED A HOME ENVIRONMENT IN WHICH THEY WILL LIVE AND SHARE LIFE'S JOURNEY. PART VI, LINE 6 (CON'T): OFTEN REFERRED TO AS THE CULTURE CHANGE MODEL, THIS IS A NEW APPROACH TO TRADITIONAL SKILLED NURSING CARE. COMBINING A CARING PHILOSOPHY, HOME ORGANIZATIONAL STRUCTURE, AND INVITING ARCHITECTURE, THIS APPROACH HAS CAREFULLY REMOVED INSTITUTIONALIZATION FROM THE LONG-TERM CARE MODEL. SPECIALIZED SERVICES INCLUDE PHYSICAL AND OCCUPATIONAL THERAPIES, SPEECH-LANGUAGE PATHOLOGY, MEDICAL CARE, SPECIALIZED DIETARY SERVICES, SOCIAL WORK SERVICES, AND PHARMACY SERVICES. IN ADDITION, SEVERAL SPECIALTY SERVICES ARE OFFERED, INCLUDING PSYCHIATRY, DENTISTRY, AND PODIATRY. ROCHESTER GENERAL LONG TERM CARE (HILL HAVEN) PROVIDES 24-HOUR SKILLED NURSING CARE TO THOSE IN NEED OF:-REHABILITATION-LONG-TERM CARE-TRANSITIONAL CARE-HOSPICE CARE-CARE FOR ALZHEIMER'S-TYPE DEMENTIATHE GOAL IS TO HELP RESIDENTS REACH THEIR GREATEST LEVEL OF PHYSICAL FUNCTIONING AND EMOTIONAL WELL-BEING. THE FACILITY IS A PARK-LIKE SETTING IN WEBSTER, NEW YORK WITH 355 BEDS, DEDICATED ROOMS FOR MINGLING AND RECREATION, AND BEAUTIFULLY LANDSCAPED GROUNDS. RESIDENTS HAVE ACCESS TO IN-HOUSE MEDICAL CARE PROVIDED BY PHYSICIANS, NURSE PRACTITIONERS AND A RANGE OF MEDICAL AND REHABILITATION SPECIALISTS. HILL HAVEN IS COMMITTED TO HELPING SENIORS STAY AS CONNECTED TO THE COMMUNITY AS POSSIBLE WITH SPECIAL PROGRAMS AND AN OPEN DOOR FOR FAMILY AND FRIENDS. UNITY'S HOUSING GROUP OFFERS 539 INDEPENDENT LIVING, ASSISTED LIVING, MEMORY CARE, AFFORDABLE AND SUBSIDIZED APARTMENTS IN FIVE LOCATIONS. THE VILLAGES AT UNITY WAS ONE OF THE FIRST INDEPENDENT LIVING COMMUNITIES IN THE AREA AND IS ONE OF THE LARGEST AND WELL RESPECTED COMMUNITIES AND CATERS TO SENIORS LOOKING FOR SUPERIOR HOSPITALITY SERVICES. IN 2013, A $22 MILLION EXPANSION PROJECT WAS COMPLETED, ADDING 20 NEW MEMORY CARE APARTMENTS, A NEW ASSISTED LIVING COMMUNITY, COMMUNITY CENTER AND MORE DINING OPTIONS.PARK RIDGE CHILD CARE CENTER IS THE FIRST AND ONLY CHILD CARE CENTER IN MONROE COUNTY TO BE AWARDED THE PRESTIGIOUS PATHWAYS NATIONAL ACCREDITATION, AND CARES FOR NEARLY 150 CHILDREN OF UNITY EMPLOYEES AND THE COMMUNITY PER DAY.ACM MEDICAL LABORATORY IS A FULL SERVICE CLINICAL AND PATHOLOGY LABORATORY CONDUCTING MORE THAN 15 MILLION TESTS EVERY YEAR FOR NURSING HOMES, DOCTORS, COLLEGES, PRISONS AND COMMUNITY HOSPITALS ACROSS THE UNITED STATES. ACM IS ONE OF THE WORLD'S LARGEST PROVIDERS OF CLINICAL TRIALS TESTING, WITH WHOLLY OWNED LABS IN THE U.S. AND U.K., AND ALLIANCE LAB PARTNERSHIPS IN INDIA, CHINA, AUSTRALIA AND LATIN AMERICA. OPERATIONS EXTEND TO MORE THAN 60 COUNTRIES AND OFFER A BROAD MENU OF CLINICAL, PATHOLOGY AND MOLECULAR TESTING. ACM IS THE LARGEST OUTPATIENT LAB IN ROCHESTER.ROCHESTER GENERAL HOSPITAL FOUNDATION, UNITY HEALTH SYSTEM FOUNDATION AND NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATIONS: THE VITAL SERVICES THAT ROCHESTER REGIONAL PROVIDES TO THE COMMUNITY WOULD NOT BE POSSIBLE WITHOUT THE FOUNDATION SUPPORT. IN THE NONPROFIT ORGANIZATIONAL STRUCTURE THE FOUNDATIONS ARE CRITICAL TO THE ABILITY TO MAKE ONGOING INVESTMENTS IN STATE-OF-THE-ART MEDICAL TECHNOLOGY, CLINICAL PROGRAMS, FACILITIES, RESEARCH AND EDUCATION THAT BENEFIT THE COMMUNITY AS A WHOLE. THE IMPACTS OF THE FOUNDATIONS' EFFORTS ARE VISIBLE THROUGHOUT THE HOSPITALS, AND IN THEIR DISTINGUISHED CENTERS OF EXCELLENCE. THE FOUNDATIONS' FUNDRAISING PROGRAMS DIRECTLY BENEFIT THE ONGOING NEEDS OF THE COMMUNITY THROUGH IMPROVED AND EXPANDED PATIENT CARE PROGRAMS, SERVICES, AND FACILITIES AND HELP PURCHASE EQUIPMENT. THIS ENHANCES THE HIGH-TOUCH AND COMPASSIONATE CARE AVAILABLE TO ALL WHO ARE SERVED IN THE COMMUNITY. 1 1 0 0 0 0 0 0 0 ERIC BIEBER MD PRESIDENT & CEO 28386 72994 0 0 0 0 52798 135765 126 324 81310 209083 0 0 DUSTIN RICCIO MD PHYSICIAN 352768 0 20400 0 2151 0 0 0 6700 0 382019 0 0 0 MARK CLEMENT CEO (UNTIL 11/30/14) 0 750257 0 714173 0 1768842 0 2086033 0 4551 0 5323856 0 882997 THOMAS R CRILLY CFO 229633 166286 53267 38572 89800 65027 30740 22260 4223 3058 407663 295203 0 0 WARREN HERN CEO (UNTIL 11/30/14) 666415 99579 209216 31262 55267 8258 5580354 833846 5234 782 6516486 973727 106726 15947 ROBERT NESSELBUSH COO 83210 511146 49789 305849 78551 482529 11078 68048 1007 6183 223635 1373755 47705 293045 HUGH THOMAS CAO 65856 404546 40881 251127 70783 434807 8803 54073 1071 6581 187394 1151134 40335 247775 STEWART PUTNAM PRESIDENT (UNTIL 3/2014) 0 0 0 0 460770 0 0 0 1829 0 462599 0 0 0 PAUL MAURER PHYSICIAN 1275561 0 216562 0 0 0 0 0 4665 0 1496788 0 0 0 BHARAT GUPTA DIVISION CHIEF, UMG 576412 0 293846 0 0 0 0 0 5361 0 875619 0 0 0 DANIEL GRACE PHYSICIAN 672465 0 126960 0 0 0 0 0 3912 0 803337 0 0 0 MARY DOMBOVY VP, NEUROLOGY & REHAB 485484 0 302366 0 0 0 0 0 8813 0 796663 0 0 0 JAMES HALEY CHIEF MEDICAL OFFICER 404368 0 301661 0 0 0 0 0 10088 0 716117 0 0 0 PART I, LINE 3 COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS INCLUDING: - ERIC BIEBER, M.D. (PRESIDENT & CEO) - THOMAS CRILLY (CFO) - MARK CLEMENT (CEO UNTIL 11/30/14) - WARREN HERN (CEO UNTIL 11/30/14) - HUGH THOMAS (CAO) - ROBERT NESSELBUSH (COO) USED THE FOLLOWING TO ESTABLISH THEIR COMPENSATION AND BENEFITS: - COMPENSATION COMMITTEE, - INDEPENDENT COMPENSATION CONSULTANT, - FORM 990 OF OTHER ORGANIZATIONS, - COMPENSATION SURVEYS AND STUDIES; - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. ON AN ANNUAL BASIS, THE ORGANIZATION USES AN INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE SALARIES FOR ALL EXECUTIVES TO ENSURE SUCH SALARIES ARE CONSISTENT WITH MARKET SALARIES PAID TO SIMILARLY SITUATED EXECUTIVES. IN ADDITION, A COMPENSATION COMMITTEE REVIEWS THIS INFORMATION ANNUALLY AND IT IS THEN APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. FINALLY, EXECUTIVES RECEIVE A WRITTEN LETTER OUTLINING THE SPECIFICS OF THE COMPENSATION AGREEMENT AND THEIR EXPECTED PERFORMANCE. IN 2014, DUE TO UNIQUE CIRCUMSTANCES RESULTING FROM THE COMBINATION OF RGHS & UHS TO FORM RU SYSTEM INC., D/B/A ROCHESTER REGIONAL HEALTH, AND ON BASIS OF INPUT FROM AN INDEPENDENT COMPENSATION CONSULTANT, THE LEGACY EXECUTIVE COMPENSATION COMMITTEES DETERMINED IT WAS PRUDENT TO TERMINATE, AND PAY OUT, A VARIETY OF ANNUAL AND MULTI-YEAR INCENTIVE PLANS OPERATED UNDER THE LEGACY ENTITIES. THE EXTERNAL COMPENSATION CONSULTANTS CONCLUDED THAT SUCH PAYMENTS, UNDER THE CIRCUMSTANCES, WERE REASONABLE AND CONSISTENT WITH MARKET, AND THE EARLY TERMINATION AND PAYOUT OF SUCH PLANS IN SIMILAR SITUATIONS WAS STANDARD PRACTICE. PART I, LINES 4A-B SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS PROVIDE BENEFITS TO CERTAIN KEY EXECUTIVE EMPLOYEES OF THE UNITY HOSPITAL OF ROCHESTER. THE ORGANIZATION MAINTAINS A SECTION 457(F) PLAN WHICH WOULD BE CONSIDERED A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. DURING 2014, NO DISTRIBUTIONS WERE PAID OUT. OFFICERS ARE PROVIDED ACCESS TO CONTRIBUTE TO THE PLAN. THESE OFFICERS ALSO RECEIVED NON-TAXABLE CONTRIBUTION TO THEIR INDIVIDUAL ACCOUNTS BY THE ORGANIZATION. THE AMOUNTS CONTRIBUTED ARE AS FOLLOWS: - WARREN HERN - $17,500 - STEWART PUTNAM - $17,500 OFFICERS CAN SELECT ADDITIONAL BENEFITS PURSUANT TO A NON-QUALIFIED 457(F) PLAN. THIS BENEFIT IS A CAPITAL ACCUMULATION FUND AND IS OFFERED TO VICE PRESIDENTS THROUGH AN EXTERNAL INVESTMENT COMPANY. EACH VP IS GIVEN A CONTRIBUTION AMOUNTING TO 5% OF THEIR SALARY AND THEY CAN INVEST THE FUNDS IN 3 DIFFERENT OPTIONS. THE OPTIONS ARE LIFE INSURANCE FOR SELF, LIFE INSURANCE FOR SPOUSE OR CAPITAL ACCUMULATION. A MONROE CTY INDUSTRIAL DEV 510188852 61075SAS9 2010-11-15 222416764 CONSTRUCT FACILITY & REFUND PRIOR YEAR ISSUE (1/6/05) 0 0 0 A 9515000 225546919 23415009 27288087 1922614 5102408 4505379 120556559 46384665 3591205 2014 1 0 0 1 A 0 0 0 0 0 0 1 A 0 1 1 0 0 0 1 SEE PART VI 1 1 1 A 1 PART II, LINE 3: THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. THE TOTAL PROCEEDS DO NOT EQUAL TO THE SUMMATION OF LINES 4-12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS ON LINE 4. PART IV, COLUMN A, LINE 5B: PROJECT FUND, CAPITAL INTEREST FUND, AND INVESTMENT INCOME FUND - RBC CAPITAL MARKETS, RESERVE FUND - BERKSHIRE HATHAWAY, INC. PART IV, COLUMN A, LINE 5C: PROJECT FUND, CAPITAL INTEREST FUND, AND INVESTMENT INCOME FUND - 4.3 YEARS, RESERVE FUND - 29.8 YEARS. FORM 990, PART III, LINE 3 ROCHESTER REGIONAL HEALTH WAS FORMED THROUGH A CORPORATE RESTRUCTURING WHICH BROUGHT TOGETHER ROCHESTER GENERAL HEALTH SYSTEM AND ITS AFFILIATES AND UNITY HEALTH SYSTEM AND ITS AFFILIATES ON JULY 1, 2014. ROCHESTER REGIONAL HEALTH SEEKS TO BE THE PROVIDER OF CHOICE, WHILE ADDRESSING BOTH THE AFFORDABILITY AND QUALITY OF HEALTHCARE SERVICES THAT IT PROVIDES IN UPSTATE/WESTERN NEW YORK. FORM 990, PART VI, SECTION A, LINE 1 EACH BOARD HAS AN EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE BOARD PLUS THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION AND SUCH OTHER DIRECTORS AS THE CHAIR MAY NOMINATE FROM TIME TO TIME FOR APPOINTMENT BY A MAJORITY VOTE OF THE ENTIRE BOARD. BETWEEN MEETINGS OF THE BOARD, AND TO THE EXTENT PERMITTED BY LAW, THE EXECUTIVE COMMITTEE SHALL POSSESS THE POWERS OF THE BOARD WITH RESPECT TO MANAGING AND CONDUCTING THE AFFAIRS OF THE CORPORATION, EXCEPT AS OTHERWISE PROVIDED BY LAW OR WITHIN CERTAIN BY-LAWS. FORM 990, PART VI, SECTION A, LINE 4 RU SYSTEM, INC. D/B/A ROCHESTER REGIONAL HEALTH, IS A NEW YORK NOT-FOR-PROFIT CORPORATION THAT COORDINATES AND MANAGES THE DELIVERY OF HOUSING AND HEALTH CARE-RELATED SERVICES AND EDUCATION BY ITS AFFILIATES (AFFILIATES). ROCHESTER REGIONAL HEALTH WAS FORMED THROUGH A CORPORATE RESTRUCTURING, EFFECTIVE AS OF JULY 1, 2014, WHICH BROUGHT TOGETHER ROCHESTER GENERAL HEALTH SYSTEM AND ITS AFFILIATES AND UNITY HEALTH SYSTEM AND ITS AFFILIATES. AS A RESULT OF THIS CORPORATE REORGANIZATION, ROCHESTER REGIONAL HEALTH SERVES AS THE SOLE CORPORATE MEMBER OF THE ENTITIES LISTED BELOW (THE "EXEMPT AFFILIATES"). IRS FORM 1023 (APPLICATION FOR TAX-EXEMPT STATUS) HAS BEEN FILED FOR ROCHESTER REGIONAL HEALTH, SEEKING EXEMPT STATUS UNDER SECTION 501(C) OF THE INTERNAL REVENUE CODE. THE CORPORATE RESTRUCTURING WHICH CREATED ROCHESTER REGIONAL HEALTH WAS ACCOMPLISHED VIA CHANGES TO THE GOVERNING DOCUMENTS OF THE EXEMPT AFFILIATES, AS FOLLOWS: (A)ROCHESTER REGIONAL HEALTH WAS NAMED AS THE EXEMPT AFFILIATES' SOLE CORPORATE MEMBER; (B)ROCHESTER REGIONAL HEALTH WAS GRANTED THE AUTHORITY TO APPOINT AND REMOVE THE GOVERNING BOARD OF THE EXEMPT AFFILIATES; AND (C)CERTAIN ACTIONS OF THE EXEMPT AFFILIATE AND/OR ITS GOVERNING BOARD WERE MADE SUBJECT TO THE APPROVAL OF THE GOVERNING BOARD OF ROCHESTER REGIONAL HEALTH. IN ADDITION, THE GOVERNING DOCUMENTS OF SOME (BUT NOT ALL) OF THE EXEMPT AFFILIATES WERE CHANGED AS FOLLOWS: (A)THE INDIVIDUALS SERVING ON THE GOVERNING BOARD OF CERTAIN EXEMPT AFFILIATES INCLUDE, IN WHOLE OR IN PART, THE INDIVIDUALS WHO SERVE ON THE GOVERNING BOARD OF ROCHESTER REGIONAL HEALTH; AND (B)THE CHIEF EXECUTIVE OFFICER OF ROCHESTER REGIONAL HEALTH SERVES AS THE CHIEF EXECUTIVE OFFICER OF CERTAIN EXEMPT AFFILIATES. FINALLY, THE GOVERNING DOCUMENTS, SPECIFICALLY THE BYLAWS, OF THE EXEMPT AFFILIATES, WHICH ARE EACH NOT-FOR-PROFIT COMPANIES PURSUANT TO NEW YORK LAW, WERE REVISED TO IMPLEMENT THE REQUIREMENTS OF THE NON-PROFIT REVITALIZATION ACT ("NPRA"); A NEW YORK LAW WHICH WENT INTO EFFECT ON JULY 1. 2015. THE NPRA REQUIRED ALL NEW YORK NOT-FOR-PROFIT CHARITABLE ENTITIES TO ADDRESS CERTAIN ISSUES IN THEIR GOVERNING DOCUMENTS, INCLUDING (BUT NOT LIMITED TO) CONFLICTS OF INTEREST, INDEPENDENT DIRECTORS, FINANCIAL AUDITS AND WHISTLEBLOWER PROTECTIONS. THE EXEMPT AFFILIATES OF ROCHESTER REGIONAL HEALTH (FOR WHICH ROCHESTER REGIONAL HEALTH SERVES AS THE SOLE CORPORATE MEMBER) BEHAVIORAL HEALTH NETWORK, INC. GRHS FOUNDATION, INC. NEWARK-WAYNE COMMUNITY HOSPITAL NORTH PARK NURSING HOME, INC. PARK RIDGE CHILD CARE CENTER, INC. PARK RIDGE HOUSING DEVELOPMENT FUND COMPANY, INC. PARK RIDGE HOUSING, INC. PARK RIDGE NURSING HOME, INC. PARK WAY COMMONS HOUSING DEVELOPMENT FUND COMPANY, INC. PARMA HOUSING DEVELOPMENT FUND CORP. PRCD, INC. ROCHESTER GENERAL HEALTH SYSTEM DIALYSIS, INC. ROCHESTER GENERAL HEALTH SYSTEM ROCHESTER GENERAL HOSPITAL FOUNDATION, INC. ROCHESTER GENERAL HUDSON HOUSING, INC. ROCHESTER GENERAL LONG TERM CARE, INC. ST. BERNARD'S HOUSING DEVELOPMENT FUND COMPANY, INC. ST. BERNARD'S II, INC. THE CLIFTON SPRINGS SANITARIUM COMPANY D/B/A CLIFTON SPRINGS HOSPITAL & CLINIC THE ROCHESTER GENERAL HOSPITAL THE UNITY HOSPITAL OF ROCHESTER UNITED MEMORIAL MEDICAL CENTER UNITY AGING SERVICES, INC. UNITY AMBULATORY SURGERY CENTER, INC. UNITY HEALTH SYSTEM UNITY HEALTH SYSTEM FOUNDATION UNITY HOUSING DEVELOPMENT FUND CORPORATION WOODLAND VILLAGE, INC. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS A MEMBERSHIP (NOT A STOCK) CORPORATION UNDER NEW YORK STATE LAW. THE ORGANIZATION'S SOLE CORPORATE MEMBER IS RU SYSTEM, INC. D/B/A ROCHESTER REGIONAL HEALTH, A RELATED NOT-FOR-PROFIT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B RU SYSTEM, INC. D/B/A ROCHESTER REGIONAL HEALTH, AS THE SOLE CORPORATE MEMBER, ALSO HAS THE RIGHT TO APPROVE OR RATIFY SIGNIFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY, INCLUDING AMENDMENT OF BYLAWS AND CHARTERS, REMOVAL OF MEMBERS OF THE GOVERNING BODY, AND THE DECISION TO DISSOLVE THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11 PRIOR TO FILING, A COPY OF THE FORM 990 IS PROVIDED TO, AND REVIEWED WITH, ALL MEMBERS OF THE AUDIT AND COMPLIANCE COMMITTEE. THIS REVIEW IS PERFORMED IN CONSULTATION WITH THE ORGANIZATION'S TAX ADVISORS, AND IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS AND OTHER RELEVANT INFORMATION FOR THE APPROPRIATE TIME PERIOD. FORM 990, PART VI, SECTION B, LINE 12C UPON EMPLOYMENT, ALL EMPLOYEES RECEIVE THE ETHICAL STANDARD OF CONDUCT BOOKLET FOR WHICH THEY SIGN A RECEIPT OF ACKNOWLEDGEMENT. CONFLICT OF INTEREST IS DEFINED, AS IS MANAGEMENT OF A CONFLICT OF INTEREST. EMPLOYEES ARE REQUIRED TO DISCLOSE AND SEEK RESOLUTION TO ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST BEFORE TAKING A POTENTIALLY IMPROPER ACTION AND THEREAFTER, ANNUALLY, EACH KEY EMPLOYEE AND OFFICER OF THE ORGANIZATION IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM, PROVIDING MANAGEMENT WITH SUFFICIENT INFORMATION ABOUT HIS/HER PERSONAL INTERESTS AND RELATIONSHIPS SO THAT MANAGEMENT CAN (1) DETERMINE WHETHER ANY ACTUAL OR PERCEIVED CONFLICT OF INTEREST EXISTS, AND (2) MONITOR WORK ASSIGNMENTS TO AVOID PLACING THE KEY EMPLOYEE OR OFFICER IN A POSITION WHERE THERE MAY BE A QUESTION AS TO HIS/HER OBJECTIVITY AS WELL AS TO AVOID ANY APPEARANCE OF IMPROPRIETY. THROUGHOUT THE YEAR, KEY EMPLOYEES AND OFFICERS OF THE ORGANIZATION ARE ALSO REQUIRED TO NOTIFY MANAGEMENT PROMPTLY IF ANY CHANGE TO THEIR DISCLOSURES OCCURS. BOARD MEMBERS LEAVE THE ROOM DURING DISCUSSIONS AND ABSTAIN FROM VOTING WHEN THEY HAVE A CONFLICT OF INTEREST. IN ADDITION, EACH MEMBER OF THE BOARD OF DIRECTORS MUST ALSO COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE FORM, WHICH MUST BE SUBMITTED TO THE GENERAL COUNSEL. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S OFFICER AND KEY EMPLOYEE COMPENSATION ARRANGEMENTS ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF ROCHESTER REGIONAL HEALTH, A RELATED NOT-FOR-PROFIT ORGANIZATION. INFORMATION REVIEWED FOR THE OFFICER/KEY EMPLOYEE INCLUDES COMPARABLE DATA FROM SIMILAR SIZE TAX EXEMPT ORGANIZATIONS IN THE WESTERN/CENTRAL NY COMMUNITY AS WELL AS COMPENSATION FOR THESE POSITIONS (AS DISCLOSED ON FORM 990) WITH OTHER ORGANIZATIONS IN THE HEALTH CARE INDUSTRY THAT ARE OF SIMILAR SIZE, DEMOGRAPHICS AND GEOGRAPHY. REVIEW AND APPROVAL OF THE COMPENSATION ARRANGEMENT BY THE COMPENSATION COMMITTEE IS DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ADMINISTRATIVE OFFICES OF THE AFFILIATED HEALTH SYSTEM AT 100 KINGS HIGHWAY SOUTH, ROCHESTER, NY 14617 AND ADMINISTRATIVE OFFICES OF THE FILING ORGANIZATION. A NOMINAL FEE IS CHARGED IF COPIES ARE REQUESTED. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INVESTMENTS -304,647. PENSION ADJUSTMENT -47,258,312. CHANGE IN NET ASSETS OF FOUNDATION -1,946,534. GRANTS FOR CAPITAL ADDITIONS 178,173. RELEASED FROM TEMP RESTRICTED NET ASSETS 2,975,500. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. ST MARY'S RESIDENCE FACILITY LLC 89 GENESEE ST ROCHESTER NY 14611 222572873 ADMINISTRATIVE AND MEDICAL OFFICES NY THE UNITY HOSPITAL OF ROCHESTER THE ROCHESTER GENERAL HOSPITAL 1425 PORTLAND AVENUE ROCHESTER NY 14621 160743134 HOSPITAL NY 501(C)(3) LINE 3 N/A 1 ROCHESTER MENTAL HEALTH CENTER 490 EAST RIDGE ROAD ROCHESTER NY 14621 166069131 MENTAL HEALTH NY 501(C)(3) LINE 9 RU SYSTEM INC 1 GRHS FOUNDATION 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 223378111 R/E INV MGMT NY 501(C)(3) LINE 11B, II RU SYSTEM INC 1 THE ROCHESTER GENERAL HOSPITAL FOUNDATION 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 222229425 FUNDRAISING NY 501(C)(3) LINE 11B, II RU SYSTEM INC 1 NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATION DRIVING PARK AVENUE NEWARK NY 14513 222963015 FUNDRAISING NY 501(C)(3) LINE 11B, II NWCH 1 NEWARK WAYNE COMMUNITY HOSPITAL DRIVING PARK AVENUE NEWARK NY 14513 150584188 HOSPITAL NY 501(C)(3) LINE 3 RU SYSTEM INC 1 RGHS WORKERS' COMPENSATION TRUST 1425 PORTLAND AVENUE ROCHESTER NY 14621 166429300 SEE PART VII NY 501(C)(3) LINE 11B, II RU SYSTEM INC 1 CONTINUING CARE NETWORK INC (CCN) 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 222963016 SUPPORT RGH NY 501(C)(3) LINE 11B, II RU SYSTEM INC 1 ROCHESTER GENERAL HUDSON HOUSING 2066 HUDSON AVENUE ROCHESTER NY 14621 223210351 LOW INC HOUSING NY 501(C)(3) LINE 9 RU SYSTEM INC 1 VIA HEALTH HOME CARE I 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 161504370 HOME HEALTH NY 501(C)(3) LINE 9 CCN 1 VIA HEALTH HOMECARE II 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 161538727 HOME HEALTH NY 501(C)(3) LINE 9 CCN 1 INDEPENDENT LIVING FOR SENIORS 2066 HUDSON AVENUE ROCHESTER NY 14617 161491059 ADULT DAY HC NY 501(C)(3) LINE 9 RU SYSTEM INC 1 ROCHESTER GENERAL LONG TERM CARE 1550 EMPIRE BLVD WEBSTER NY 14580 223187140 NH & REHAB NY 501(C)(3) LINE 9 RU SYSTEM INC 1 WESTERN NEW YORK MEDICAL PRACTICE PC 1425 PORTLAND AVENUE ROCHESTER NY 14621 611654232 PHYS PRAC NY 501(C)(3) LINE 9 RU SYSTEM INC 1 ROCHESTER GENERAL HEALTH SYSTEM 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 222551509 SYSTEM SUPPORT NY 501(C)(3) LINE 11B, II RU SYSTEM INC 1 NORTH PARK NURSING HOME INC 1555 LONG POND RD ROCHESTER NY 14626 223159644 LONG TERM CARE FACILITY NY 501(C)(3) LINE 9 RU SYSTEM INC 1 PARK RIDGE NURSING HOME INC 1555 LONG POND RD ROCHESTER NY 14626 160978184 LONG TERM CARE FACILITY NY 501(C)(3) LINE 9 RU SYSTEM INC 1 UNITY HEALTH SYSTEM FOUNDATION 1555 LONG POND RD ROCHESTER NY 14626 119627400 FOUNDATION NY 501(C)(3) LINE 7 RU SYSTEM INC 1 PRCD INC 1555 LONG POND RD ROCHESTER NY 14626 161311581 SUBSTANCE ABUSE TREATMENT & REHAB. 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