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      <PhoneNum>5853686290</PhoneNum>
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        <AddressLine1>1555 Long Pond Rd</AddressLine1>
        <City>Rochester</City>
        <State>NY</State>
        <ZIPCode>14626</ZIPCode>
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      <PersonNm>Thomas R Crilly</PersonNm>
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      <SignatureDt>2014-11-11</SignatureDt>
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      <PrincipalOfficerNm>Warren Hern</PrincipalOfficerNm>
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      <Desc>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. Total inpatient admissions for 2013 totaled 17,159.</Desc>
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        <Desc>Acute Outpatent 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. Total outpatient care visits for 2013 were 302,830.</Desc>
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        <Desc>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. Total physician service visits for 2013 were 501,310.</Desc>
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        <PersonNm>The Unity Hospital of Rocheste</PersonNm>
        <PhoneNum>5853686227</PhoneNum>
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          <City>Rochester</City>
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        <PersonNm>Thomas R Crilly</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Sareena Fazili</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Ziad Alkhoury</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Bharat Gupta</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Daniel W Grace</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Paul K Maurer</PersonNm>
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      <ContractorCompensationGrp>
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      <ContractorCompensationGrp>
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          <BusinessName>
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          <USAddress>
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      <ContractorCompensationGrp>
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        <Desc>Bond Indenture &amp; Mortgage Agreements</Desc>
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        <Desc>Deferred Compensation</Desc>
        <BookValueAmt>12299119</BookValueAmt>
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        <Desc>Deferred Financing Costs, Net</Desc>
        <BookValueAmt>9214199</BookValueAmt>
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        <Desc>Due From Affiliates</Desc>
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        <Desc>Workers Compensation Trust Fund</Desc>
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        <Desc>Accrued Pension Liability</Desc>
        <Amt>39040237</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Accrued Post Retirement Benefits</Desc>
        <Amt>691912</Amt>
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        <Desc>Construction Retainage</Desc>
        <Amt>2539073</Amt>
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        <Desc>Deferred Compensation</Desc>
        <Amt>12277982</Amt>
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        <Desc>Third Party Payors</Desc>
        <Amt>10314455</Amt>
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      <TotalLiabilityAmt>64863659</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>409591096</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>409591096</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>409591096</TotalRevenuePerForm990Amt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IV, Line 2b: Explanation of escrow account liability</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part V, Line 4: Intended uses of the endowment fund.</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code (the Code) and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. St. Marys Residence Facility, LLC is a limited liability company and is exempt from federal income taxes.As of December 31, 2013 and 2012, the Hospital does not have a liability for unrecognized tax positions. The Hospital files tax returns in the U.S. federal jurisdiction and New York State and is no longer subject to examinations by tax authorities for years through 2009.</ExplanationTxt>
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      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
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      <UnableToProvideCareInd>false</UnableToProvideCareInd>
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        <FormAndLineReferenceDesc>Part V, Line 3 - Account Input from Person Who Represent the Community</FormAndLineReferenceDesc>
        <ExplanationTxt>Through a collaborative effort with Monroe County Department of Public Health, Unity Health System (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 Health System2) 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>The Unity Hospital of Rochester</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Line 20d - Other Billing Determination of Individuals Without Insurance</FormAndLineReferenceDesc>
        <ExplanationTxt>Billed according to our Financial Assistance scale or the Medicaid rate, whichever is lower.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense</FormAndLineReferenceDesc>
        <ExplanationTxt>The provision for bad debts is based upon managements 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 uncollectible 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 and to establish an appropriate allowance for uncollectible accounts. 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 for which no payments have been received for several months past their due date are considered delinquent and when customary collection efforts are exhausted, the account is written-off. For patient receivables associated with self-pay patients, including patients with deductible and copayment balances for which third-party coverage provides for a portion of the services provided, the Hospital records an estimated provision for uncollectible accounts in the year of service. The difference between the standard rates (or discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 8 - Explanation Of Shortfall As Community Benefit</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization used the filed 2013 CMS cost report to determine the Medicare allowable costs of care relating to payments received from Medicare.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 9b - Provisions On Collection Practices For Qualified Patients</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital accepts patients regardless of their ability to pay and grants credit without collateral. A patient is classified as a charity patient in accordance with certain established policies. 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.The Hospital works with patients to establish a reasonable payment plan. Patient or their representatives who do not fulfill their payment obligations within specified time periods will be referred to a collection agency for further collection activity. Legal action, including the garnishment of wages, may be taken when there is evidence that the patient or responsible party has income and/or assets to meet their financial obligation. The Hospital will not force the sale or foreclosure of a patients primary residence to pay an outstanding medical bill when a patient is being considered for Charity Care.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI - Needs Assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>Through a collaborative effort with Monroe County Department of Public Health, Unity Health System (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 Health System2) 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 RGHS, 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 RGHS include campus walking trails, Walking Works! collaborative with the other county hospitals and insurance coverage for programs in Nutrition &amp; 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. Unity Hospital has opened a free to employees fitness classes, discount at local fitness centers, training programs, weight-loss programs and wellness support. Priority 2: Smoking Cessation Unity Hospital has put a policy in place to proactively enroll patients and employees 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI - Patient Education of Eligibility for Assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>Financial Counselors make every effort to interview all inpatients without full insurance coverage to determine insurance and/or Charity Care eligibility during the patients stay in the Hospital. In addition, any patient may contact a Financial Counselor or the Patient Accounting Department to learn more about the Charity Care Program. The procedure for contacting either of these areas is outlined in all published materials. In addition, all registration representatives are trained on how to direct patients to the appropriate area when questions arise related to Charity Care.Upon receipt of the referral, the Patient Accounting Dept/Financial Counselor will conduct a financial assessment of the patient. If appropriate, the patient will be referred to a Medicaid Liaison/Facilitated Enroller to complete an application for Medicaid, Child Health Plus, or Family Health Plus.Medicaid Liaisons are available to assist patients through the Medicaid application/determination process. If necessary, Medicaid Liaisons are also available to assist with the fair hearing process.Patients who are not eligible to apply for the above insurance or patients who are unable to obtain sufficient insurance coverage, are eligible to apply for Charity Care.Charity Care applications may be submitted by patients, guarantors, guardians, or Powers of Attorney. Applications will be accepted prior to, during, or within six months of service. Exceptions are made in appropriate circumstances.Once an application is received, the Financial Counselor/Patient Account Representative will determine eligibility and the qualifying discount amount. Additional documentation or information may be requested during this phase of the process.Patients may be approved for Charity Care on an account by account basis or for a period of time up to six months. Patients will be required to update their financial information after six months if the need for Charity Care continues. Charity Care applications are processed by the Patient Accounting Department timely and determinations are communicated to the patients within 10 business days of submission. A patient or their representative may request consideration either by phone or in writing of a Charity Care determination if additional information is available that would change their application. A letter indicating the outcome of the reconsideration will be sent out within 10 business days of the request.Bills will continue to be generated and mailed to patients during the application process, however, payment will not be expected until the Charity Care determination is made as long as the patient submits required information within set timeframes.Patients or their representatives who are unwilling to provide required documentation or comply with other aspects of the process are informed that they will not be eligible for Charity Care and that they are responsible for all Hospital charges related to their care.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI - Community Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Unity Hospital serves more than one million people each year, primarily from the city of Rochester and surrounding areas of Monroe County. In 2013,Unity had over 18,000 hospital admission, 15,000 patients visited the emergency department, 25,000 surgeries, 225,000 mental health and chemical dependency outpatient visits, 1,628 joint replacements, and over 400,000 outpatient encounters. In 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 is 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI - Explanation Of How Organization Furthers Its Exempt Purpose</FormAndLineReferenceDesc>
        <ExplanationTxt>Medical StaffUnity Hospital had 663 physicians on its medical staff in 2013. These physicians represent a broad spectrum of primary care and specialty services. As an affiliate of Unity Health System, our patients have seamless access to additional specialists including transitional care, skilled nursing facilities, senior housing, memory care, and at home-based care.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 2013, 1,145 volunteers provided more than 137,450 hours of service at Unity Health System.Board of Directors and Community GuidanceUnity Hospital 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.Unity Health System is the conduit for care for thousands of our community members. At Unity Health System, we offer many community based health services. At Unity Health System our mission is to make a positive difference in the health and well-being of those serve. We provide accurate information and quality services, enabling our community to lead healthy lifestyles for themselves and their families. The Health System 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. Unity Health System 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 York region. 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI - Affilated Health Care System Roles and Promotion</FormAndLineReferenceDesc>
        <ExplanationTxt>Unity Hospital is an affiliate of Unity Health System, which is an integrated health care delivery system that provides patient care, senior housing, laboratory services, and community outreach to residents and other clients in Monroe County and surrounding counties. Unity Hospital is ranked among the top 100 hospitals in the country for its outstanding National Community Value Index score based on the service and value we provide to our community. Unity excels in several specialities, such as:Orthopedics Unity replaces more joints per year than any other hospital in Rochester. The Joint Replacement Center was named a Blue Distinction Hospital by Excellus BlueCross BlueShield and awarded the Gold Seal of Approval from the Joint Commission for demonstrating expertise in delivering quality healthcare.Womens Care The August Family Birth Place welcomed 1,500 babies in 2013 in one of the 21 private birthing suires or dedicated surgical suites. There are nearly 20 OB/Gyns in six offices in Monroe County.Cardiovascular Unity has one of the most sophisticated echoracriography laboratories in the United States, which performs more than 40,000 cardiovascular procedures per year up to and including cardiac catherization, EKGs, diagnostic cardiac procedures and electrophysiology, but excluding open heart surgery.Neurosciences - Nationally recognized and New York State designated Stroke Center, including ranking on the US News and World Report's honor roll for stroke care and the recipient of the American Heart Association's Get With the Guidelines Stroke Silver Plus Performance Award. - Unity's interdisciplinary Spine Center sees more than 1,500 new patients per year. - Unity's world-class neurosurgery program is led by Paul K. Maurer, M.D.,a highly-acclaimed neurosurgeon who has more than 20 years of experience. - Unity offers the only hospital-based inpatient brain injury and rehabilitation program and pediatric unit in Upstate New York accredited by the Commission on Accreditation of Rehabilitation Facilities, and has the largest physical therapy and rehabilitation program in the Rochester area, including two aquatic-therapy locations. - Unity has the largest neurology program in the region. There are 18 neurologists, neurosurgeons and physical medicine and rehabilitation physicians that specialize in traumatic brain injury, concussion, dementia, headache management, memory loss, neuromuscular disorders and neuro-oncology.Dialysis - With 78 stations in four locations Unity Dialysis provides nearly 50,000 dialysis treatments each year in state-of-the-art facilities in Rochester, Greece, Spencerport, and Chili. Behavioral Health - Unity Hospital is Rochester's largest, most experienced mental health and chemical dependency treatment provider with approximately 225,000 outpatient visits per year and more than 2,200 inpatient admissions per year providing services across outpatient, inpatient, residential and case management with multiple modalities. -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.Wound Care The first Wound Care Center in Rochester to offer two hyperbaric oxygen chambers, with more than 3,000 visits and hyperbaric treatments per year. Outpatient Services Unity Sleep Disorders Center was the first sleep center in Rochester to be accredited by the American Academy of Sleep Medicine with two locations, serving nearly 7,000 patients per year. - Unity Hematology and Oncology received the Commission on Cancer's (CoC) Three-Year Accreditation with Commendation. The program provides patient-focused services on the Unity St. Mary's Campus and provides more than 14,000 treatments per year. - Unity's Endocrinology and Diabetes Education program was the first program in Monroe County to be certified by the American Diabetes Association Education Recognition program for quality. The program provides treatment and education for more than 20,000 patients per year. - Unity operates three dental clinics in Monroe County providing more than 40,000 visits annually. - The Kothari Endoscopy and Digestive Center is one of the largest facilities in the Rochester area and performs more than 14,000 procedures per year. - Unity's Walk In Care Center, located on the Unity St.Mary's Campus, includes psychiatric emergency care service. The Walk In Care Center sees 25,000 visits per year, primarily serving the surrounding underserved residents of the community.Center for Aging Unity Health System offers the most comprehensive range of elder service in the region.- In 2013, Unity created a certified home health agency (CHHA) providing post acute in-home care, building on the quality care Unity is known for in the long term care arena.- There are three skilled nursing homes including the Wegman Family Cottages - the first skilled nursing home of its kind in Western New York to embrace a new model of care in a small homelike setting; six adult day cares, with specialized programs for clients with Alzheimer's and Multiple Sclerosis; and a range of in-home health care services including housekeeping, home health aides, skilled nursing care, meal delivery, companion services and a personal emergency response system. The programs serve nearly 2,000 clients in their homes per year.- Unity Hospital's 10-bed ventilator unit houses one of the most progressive and compassionate respiratory care programs in Western and Central New York.Unity Housing Group 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, additing 20 new memory care apartments, a new assisted living community, community center and more dining options. Park Ridge Child Care Center The first and only child care center in Monroe County to be awarded the prestigious Pathways National Accreditation, cares for nearly 150 children of Unity employees and the community per day.ACM Medical Laboratory Unity Health System's full service clinical and pathology laboratory conducts more than 15 milliion 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, and 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.-It is the largest outpatient lab in Rochester.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI - States Where Community Benefit Report Filed</FormAndLineReferenceDesc>
        <ExplanationTxt>NY</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI - Additional Information</FormAndLineReferenceDesc>
        <ExplanationTxt>The Community Health Needs Assessment/ Community Health Improvement Plan report is on Unity Health Systems website (http://www.unityhealth.org/about/doc/2013-Monroe-County-CHNA-and-CHIP.PDF). The Monroe County, New York 2013 Joint Community Service Plan report is on Unity Health Systems website (http://www.unityhealth.org/about/doc/Monroe-County-Joint-Community-Service-Plan-2014-16.pdf)</ExplanationTxt>
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          <BusinessNameLine1>See Part VI</BusinessNameLine1>
        </GICProviderName>
        <RegulatorySafeHarborStsfdInd>true</RegulatorySafeHarborStsfdInd>
        <GrossProceedsInvestedInd>true</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI</FormAndLineReferenceDesc>
        <ExplanationTxt>Part I, Line A, Column F - Construct facility &amp; refund prior year issue (1/6/05)Part II, Line 3 - The total proceeds do not agree to the issue price in Part I, Column(e) due to investment earnings.Part II, Line 3 - The total proceeds do not equal the summation of lines 4-12 due to transferred or replacement proceeds in line 4. Part IV, Column A, Line 5b - Project Fund, Cap Interest Fund, and Investment Inc Fund - RBC Capital Markets, Reserve Fund - Berkshire Hathaway, Inc.Part IV, Column A, Line 5c - Project Fund, Cap Interest Fund, and Investment Inc Fund - 4.3 years, Reserve Fund - 29.8 years.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="13000170" softwareVersion="2013v3.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d: Other Program Services Description</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES 4: 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. Total physician service visits for 2013 were 501,310.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</FormAndLineReferenceDesc>
        <ExplanationTxt>The sole corporate member of The Unity Hospital of Rochester is the System, the parent corporation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body</FormAndLineReferenceDesc>
        <ExplanationTxt>The President shall be appointed by the Corporate Member (the system) and shall serve at the discretion of the Corporate Member. Each elected director shall be elected by the Member to serve for a term of three years and until his or her successor is elected and qualified.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders</FormAndLineReferenceDesc>
        <ExplanationTxt>Any action required by the System in its capacity as the Member of the Corporation under the Certificate of Incorporation or the Bylaws shall be taken by the System through written resolution consenting to such action in accordance with the System's Certificate of Incorporation, Bylaws, policies and procedures. Such written resolutions shall be signed by an officer of the System and shall be forwarded to the President of the Corporation, with a copy to the Chairman of the Corporation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 will be reviewed by the Executive Committee of the System's Board of Directors prior to the annual filing date and also made available to the entire Board of Directors of the System.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>On an annual basis the member, the System, sends a Conflict of Interest statement to all Board Members, Officers, Directors, Key Employees, and management staff asking them to disclose any potential conflict of interest that could compromise their position within the Corporation. These statements are reviewed by the CFO of the Corporation to determine if there are any issues that require further follow-up. All disclosures are presented to the Audit Committee. If there is a disclosure that is of concern, a determination is made for further follow-up.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO's compensation is determined with input from an independent consulting firm that makes a recommendation based on surveys and market valuation. Once a compensation package is determined, it is presented for approval to the Compensation Committee of the System, which is comprised of the Board Members of the System.Compensation for all other positions are determined based on market pricing, the position evaluation system and /or the position's responsibilities.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>The Unity Hospital of Rochester makes documents available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Decreases</FormAndLineReferenceDesc>
        <ExplanationTxt>change in TR and PR net assets = -$166911</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Increases</FormAndLineReferenceDesc>
        <ExplanationTxt>Equity Contribution = $1016000</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Decreases</FormAndLineReferenceDesc>
        <ExplanationTxt>Market Value Adjustments = -$94453</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Increases</FormAndLineReferenceDesc>
        <ExplanationTxt>Pension Adjustment = $15331259</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Increases</FormAndLineReferenceDesc>
        <ExplanationTxt>Transfers from Affiliates = $1000000</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Increases</FormAndLineReferenceDesc>
        <ExplanationTxt>UHS Foundation - Contributed Capital = $1356200</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 , Part I, Line 1 and Part III, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part I, Line 5,</FormAndLineReferenceDesc>
        <ExplanationTxt>All employees of Unity Health System (the System) are paid from one entity, The Unity Hospital of Rochester, which is the common paymaster. The total number of employees for the System have been reported on all entities based on the reporting requirements for 2013.</ExplanationTxt>
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          <City>Rochester</City>
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        </DirectControllingEntityName>
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          <BusinessNameLine1>Parkway Commons Housing Development Fund</BusinessNameLine1>
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          <AddressLine1>1555 Long Pond Rd</AddressLine1>
          <City>Rochester</City>
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          <BusinessNameLine1>St Bernards Housing Development Fund C</BusinessNameLine1>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Unity Housing Development Fund Corp</BusinessNameLine1>
        </DisregardedEntityName>
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          <AddressLine1>1555 Long Pond Rd</AddressLine1>
          <City>Rochester</City>
          <State>NY</State>
          <ZIPCode>14626</ZIPCode>
        </USAddress>
        <EIN>300068596</EIN>
        <PrimaryActivitiesTxt>Receipt and Disbursement of Subsidies</PrimaryActivitiesTxt>
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          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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          <BusinessNameLine1>NA</BusinessNameLine1>
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      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>Unity Health System Foundation</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>c</TransactionTypeTxt>
        <InvolvedAmt>1356200</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>fair value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>PRH Inc</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>s</TransactionTypeTxt>
        <InvolvedAmt>1000000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>fair value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>