2013-05-14T10:41:16-05:00 2012-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2011-07-01 160743209 UNIVERSITY OF ROCHESTER % RONALD J PAPROCKI UNIV 5852752800 910 GENESEE STREET BROOKS LANDING BUSINESS CENTER ROCHESTER NY 146113847 RONALD J PAPROCKI 5852752800 2013-05-09 true 2673303000 2011 2016-02-24 21:20:13Z RONALD J PAPROCKI 208 WALLIS HALL ROCHESTER NY 14627 3072737318 false X www.rochester.edu X 1850 NY PROVISION OF HIGHER EDUCATION IN THE LIBERAL ARTS AND SCIENCES, MEDICINE AND DENTISTRY, NURSING AND MUSIC, AS WELL AS OPERATING AND MAINTAINING THE STRONG MEMORIAL HOSPITAL. 50 38 27606 6179 -1561462 -5272546 322819223 407000225 2071311836 2085663717 141996456 148665670 43656284 36104255 2579783799 2677433867 142320545 151430029 0 0 1469511818 1551741134 385904 381847 37752682 867074944 856987120 2479293211 2560540130 100490588 116893737 3966515688 4161720674 1470084246 1679130429 2496431442 2482590245 X PROVISION OF HIGHER EDUCATION IN THE LIBERAL ARTS AND SCIENCES, MEDICINE AND DENTISTRY, NURSING AND MUSIC, AS WELL AS OPERATING AND MAINTAINING THE STRONG MEMORIAL HOSPITAL. false false 565385475 151430029 398797398 EDUCATIONAL ACTIVITIES - THE UNIVERSITY IS COMPRISED OF SIX SCHOOLS OFFERING PROGRAMS FROM UNDERGRADUATE TO POST-DOCTORAL DEGREES. THESE ARE THE SCHOOL OF ARTS AND SCIENCES, THE HAJIM SCHOOL OF ENGINEERING, THE WARNER SCHOOL OF EDUCATION AND HUMAN DEVELOPMENT, EASTMAN SCHOOL OF MUSIC, SIMON GRADUATE SCHOOL OF BUSINESS ADMINISTRATION, SCHOOL OF NURSING, AND SCHOOL OF MEDICINE AND DENTISTRY. THERE ARE ALSO A NUMBER OF IMPORTANT CENTERS OF ACADEMIC EXCELLENCE, FOR EXAMPLE, THE INSTITUTE OF OPTICS, THE LABORATORY FOR LASER ENERGETICS, THE WILMOT CANCER CENTER, AND THE FLAUM EYE INSTITUTE. THE FULL-TIME FACULTY OF THE SCHOOL OF MEDICINE AND DENTISTRY PROVIDE CLINICAL SERVICES AS PART OF THE ACADEMIC MEDICAL PROGRAM; THIS ACTIVITY OCCURS 100 PERCENT WITHIN THE MEDICAL SCHOOL AND IS INTERNALLY ORGANIZED AND SUPERVISED AS URMFG OR UNIVERSITY OF ROCHESTER MEDICAL FACULTY GROUP. THERE ARE 1,347 FULL-TIME TENURED FACULTY MEMBERS AND 9,628 UNDERGRADUATE AND GRADUATE STUDENTS ENROLLED IN THE UNIVERSITY. THE UNIVERSITY HAS ALWAYS PLACED FINANCIAL AID FOR ITS STUDENTS AMONG ITS HIGHEST PRIORITIES. THE AVERAGE SCHOLARSHIP COVERS ABOUT 40 PERCENT OF THE COST OF ATTENDING THE UNIVERSITY OF ROCHESTER. THE UNIVERSITY IS COMMITTED TO OFFERING THE HIGHEST QUALITY EDUCATION TO ITS STUDENTS, REGARDLESS OF THEIR ECONOMIC CIRCUMSTANCES OR BACKGROUND. FOR EXAMPLE, THE UNIVERSITY HAS A PROGRAM TO EXPAND HIGHER EDUCATION OPPORTUNITIES FOR STUDENTS FROM THE ROCHESTER CITY SCHOOL DISTRICT (RCSD), A DISTRICT WITH ONE OF THE HIGHEST POVERTY AND SCHOOL DROPOUT RATES IN NEW YORK STATE. THE UNIVERSITY PROVIDES $25,000 PER YEAR FOR FOUR YEARS TO EVERY GRADUATE OF THE SCHOOL DISTRICT WHO IS ADMITTED TO THE UNIVERSITY'S COLLEGE OF ARTS, SCIENCES AND ENGINEERING; THIS IS EQUIVALENT TO AN AWARD OF $100,000 FOR EACH STUDENT. THROUGH THE ENDOWMENT, THE UNIVERSITY PERPETUATES AND ENHANCES ITS EDUCATIONAL, RESEARCH, CLINICAL CARE PROGRAMS AND PUBLIC SERVICE MISSIONS. THIS COMMITMENT REQUIRES AN ENDOWMENT PAYOUT OF 5.9 PERCENT CALCULATED ON A ROLLING FIVE-YEAR AVERAGE OF THE ENDOWMENT'S MARKET VALUE. THE UNIVERSITY'S ENDOWMENT CONSISTS LARGELY OF INDIVIDUAL FUNDS THANKS TO THE GENEROSITY OF CHARITABLE DONORS. THE DONORS OF THESE GIFTS OFTEN SPECIFY AND RESTRICT THE PURPOSES FOR WHICH THE INCOME MAY BE SPENT TO ENSURE LONG-TERM BENEFITS. 315548802 102531233 SPONSORED RESEARCH ACTIVITIES - THE UNIVERSITY IS A CENTER FOR PROGRAMS OF RESEARCH. MUCH OF THE RESEARCH IS FUNDED IN SUBSTANTIAL PART BY PRIVATE AND GOVERNMENTAL AGENCIES. RESEARCH IS UNDERTAKEN IN THE PUBLICS' INTEREST AND ALL RESULTS ARE AVAILABLE TO THE PUBLIC. DURING THE 2011-2012 FISCAL YEAR, THERE WERE 5,770 GRANTS AND CONTRACTS IN EFFECT THAT TOTALED $397,203,811 IN REVENUE. 1425461209 1521234300 SERVICES OF HOSPITAL AND CLINICS- THE UNIVERSITY OF ROCHESTER (THE "UNIVERSITY") TO SUPPORT THE TEACHING AND RESEARCH MISSIONS OF ITS SCHOOL OF MEDICINE AND DENTISTRY AND ITS SCHOOL OF NURSING OPERATES A TERTIARY CARE, TEACHING HOSPITAL THAT PROVIDES HEALTH CARE SERVICES THROUGH ITS INPATIENT, OUTPATIENT AND EMERGENCY FACILITIES. THE MEDICAL STAFF OF THE HOSPITAL IS THE FACULTY OF THE SCHOOL OF MEDICINE AND DENTISTRY. THE ACADEMIC DEPARTMENT CHAIRS ALSO FUNCTION AS THE DEPARTMENT HEADS OF THE MEDICAL SERVICES IN THE HOSPITAL. THERE ARE EXTENSIVE INTERN AND RESIDENT PROGRAMS. THE HOSPITAL PROVIDES CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR SERVICES. THERE WERE 263,589 PATIENT DAYS AND 1,304,861 EMERGENCY AND CLINICAL VISITS DURING THE 2011-2012 FISCAL YEAR. IN ADDITION TO BEING A TEACHING FACILITY, THE HOSPITAL OPERATES IN A CHARITABLE MANNER CONSISTENT WITH THE REQUIREMENTS OF INTERNAL REVENUE CODE SECTION 501(C)(3) AND THE "COMMUNITY BENEFIT STANDARD" OF IRS REVENUE RULING 69-545. IN THIS REGARD, THE GOVERNING BODY OF THE ORGANIZATION IS COMPOSED OF PROMINENT CITIZENS IN THE COMMUNITY. MEDICAL STAFF PRIVILEGES IN THE HOSPITAL ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA WHO ALSO CAN QUALIFY AS FULL OR PART-TIME FACULTY OF THE SCHOOL OF MEDICINE AND DENTISTRY; THE HOSPITAL MAINTAINS A FULL-TIME EMERGENCY ROOM OPEN TO ALL REGARDLESS OF ABILITY TO PAY; THE HOSPITAL PROVIDES CARE TO NEEDY MEMBERS OF ITS COMMUNITY WITH ITS CHARITY CARE POLICY REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES AND ADMITS AS PATIENTS THOSE ABLE TO PAY FOR CARE, EITHER THEMSELVES OR THROUGH THIRD-PARTY PAYERS SUCH AS PRIVATE HEALTH INSURANCE OR GOVERNMENT PROGRAMS SUCH AS MEDICARE AND MEDICAID. THE HOSPITAL'S EXCESS FUNDS ARE GENERALLY APPLIED TO EXPANSION AND REPLACEMENT OF EXISTING FACILITIES AND EQUIPMENT, MEDICAL RESEARCH, AMORTIZATION OF INDEBTEDNESS, IMPROVEMENTS IN PATIENT CARE, COMMUNITY BENEFIT ACTIVITIES AND CHARITY CARE. 90001711 63100786 2396397197 true true false true false true false true false true true true false false true false false true true true true false false true true false true true false true true true false false false false false false false true true true true true false false true true true true true false true 12301 0 true 27606 true true true false false false false true true false false false false false false false X 50 38 true false false false false false false true true false false true true true true true true true true false CA X RONALD J PAPROCKI 5852752800 208 WALLIS HALL ROCHESTER NY 14627 X JOEL SELIGMAN 80.0 X X 717738 0 154417 RICHARD T AAB 2.0 X 0 0 0 MARK S AIN 2.0 X 0 0 0 ERNEST A BATES MD 2.0 X 0 0 0 NAOMI M BERGMAN 2.0 X 0 0 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1647682 0 40642 JEFFREY H PETERS MD 73.0 X 1229071 0 60271 BRENT DUBESHTER MD 80.0 X 1153818 0 42858 JASON HAITAO HUANG MD 60.0 X 1460821 0 43421 ELIZABETH MCANARNEY 45.0 X 148581 0 21082 15915308 0 2393127 2205 true true false THE PIKE COMPANY ONE CIRCLE STREET ROCHESTER NY 14607 CONSTRUCTION SRVCS 14497496 LECHASE CONSTRUCTION SERVICES 300 TROLLEY BLVD ROCHESTER NY 14606 CONSTRUCTION SRVCS 10256334 EPIC SYSTEMS CORP 1979 MILKY WAY VERONA WA 53593 TRAINING AND SUPPORT 8392885 DGA BUILDERS LLC 333 W COMMERCIAL ST SUITE 1500 EAST ROCHESTER NY 14445 CONSTRUCTION SRVCS 6131082 SIMPLEX GRINNELL LP 90 GOODWAY DRIVE ROCHESTER NY 14623 CONSTRUCTION SRVCS 3583292 358 514381 2648631 2390000 294672578 106774635 14471771 407000225 SERVICES OF HOSPITALS AND CLINICS 622110 1521234300 1518484307 2749993 EDUCATIONAL ACTIVITIES 611310 398797398 398759040 38358 SPONSORED RESEARCH ACTIVITIES/CONTRACTS 900099 102531233 102531233 AUXILIARY ENTERPRISES 900099 63100786 40668116 22432670 2085663717 53017433 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THE UNIVERSITY ALSO INTERACTS WITH PEER INSTITUTIONS, HIGHER EDUCATION AND MEDICAL ASSOCIATIONS, SCIENTIFIC COALITIONS AND SOCIETIES, AND CONSULTANTS TO ADVANCE ITS INTERESTS THROUGH POLICY AND LEGISLATION. 14 95367 744820 3541781 true true 149515 30881937 X X X X false 1517585000 23399000 22662000 12604000 69278000 1481764000 1308342000 20773000 252741000 11153000 53118000 1517585000 1226281000 15354000 148151000 10875000 70569000 1308342000 1629458000 13510000 -330619000 9699000 76369000 1226281000 0.53430 0.46500 0.00070 true false 4440628 4440628 1853996907 941793023 912203884 8250518 3127759 5122759 765917983 502620201 263297782 351311718 141340959 209970759 1395035812 OPERATING INVESTMENTS 202489454 F CASH & CASH EQUIVALENTS 201462724 F INTERESTS 774703529 F OTHER INVESTMENTS 42821632 F 1221477339 0 THIRD PARTY SETTLEMENTS 86129000 RETIREMENT & POST EMPLOYMEN 297351368 ASSET RETIREMENT OBLIGATION 18612432 FOR STUDENT LOANS 16223425 SPONSORED RESEARCH 23471654 441787879 SUPPLEMENTAL DISCLOSURES DESCRIPTION OF DONOR ADVISED FUNDS SCHEDULE D, PART I, LINE 1 THE UNIVERSITY OF ROCHESTER ("THE UNIVERSITY") OFFERS ITS DONORS THE OPPORTUNITY TO USE CONTRIBUTIONS TO CREATE DONOR-ADVISED FUNDS. A DONOR GENERALLY MAY ESTABLISH A DONOR-ADVISED FUND WITH THE UNIVERSITY BY SIGNING THE AGREEMENT AND THEN MAKING CONTRIBUTIONS TO THE FUND. THE DONOR IS ALLOWED TO RECOMMEND THE INVESTMENT OF THE FUND INTO EITHER A MONEY MARKET FUND OR THE UNIVERSITY'S GENERAL ENDOWMENT. THE DONOR MAY SERVE, OR MAY DESIGNATE ANOTHER PERSON TO SERVE, AS THE FUND ADVISOR, WHO MAKES GRANT RECOMMENDATIONS TO THE UNIVERSITY. THE GRANT RECOMMENDATIONS ARE NOT BINDING AND WILL BE SUBJECT TO THE UNIVERSITY'S DILIGENT REVIEW. ---------------------------------- DESCRIPTION OF THE ORGANIZATION'S COLLECTIONS SCHEDULE D, PART III, LINE 4 THE UNIVERSITY'S GALLERY MAINTAINS BROAD COLLECTIONS, COMPRISING NEARLY 11,000 OBJECTS SPANNING 5,000 YEARS OF ART HISTORY, THAT PROVIDES THE FOUNDATION FOR OUR ROLE AS A SIGNIFICANT EDUCATIONAL CENTER COMMITTED TO BROADENING PEOPLES' UNDERSTANDING OF WORLD CULTURES, ART AND HISTORY. ---------------------------------- INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS FORM 990, SCHEDULE D, PART V, LINE 4 THE UNIVERSITY'S ENDOWMENT FUNDS ARE UTILIZED IN FURTHERANCE OF THE ORGANIZATION'S EXEMPT PURPOSES, INCLUDING THE PROVISION OF PERPETUAL ANNUAL SUPPORT FOR STUDENT FINANCIAL AID AND FACULTY SALARIES, AS WELL AS FOR CERTAIN FACILITIES AND ACADEMIC PROGRAMS. true true true true true true true false false false false false false false false true false true NONDISCRIMINATION POLICY STATEMENT SCHEDULE E, LINE 3 ALL PUBLISHED UNIVERSITY OF ROCHESTER OPPORTUNITY ADVERTISEMENTS INCLUDE THE FOLLOWING STATEMENT: "THE UNIVERSITY OF ROCHESTER IS AN EQUAL OPPORTUNITY EMPLOYER." IN ADDITION, THE UNIVERSITY OF ROCHESTER'S NONDISCRIMINATION POLICY IS ADVERTISED TO PROSPECTIVE STUDENTS AND OTHERS IN THE COMMUNITY SERVED BY THE UNIVERSITY OF ROCHESTER THROUGH AN EQUAL OPPORTUNITY STATEMENT USED IN A WIDE VARIETY OF UNIVERSITY PROSPECTUS (FOR UNIVERSITY UNDERGRADUATES), UNDERGRADUATE BULLETINS AND GRADUATE BULLETINS. THE STATEMENT, WHICH ALSO APPEARS ON THE UNIVERSITY WEBSITE ON DIVERSITY, READS AS FOLLOWS: "THE UNIVERSITY OF ROCHESTER VALUES DIVERSITY AND IS COMMITTED TO EQUAL OPPORTUNITY FOR PERSONS REGARDLESS OF AGE, COLOR, DISABILITY, ETHNICITY, GENDER IDENTITY OR EXPRESSION, GENETIC INFORMATION, MARITAL STATUS, MILITARY/VETERAN STATUS, NATIONAL ORIGIN, RACE, RELIGION/CREED, SEX, SEXUAL ORIENTATION OR ANY OTHER STATUS PROTECTED BY LAW. FURTHER, THE UNIVERSITY COMPLIES WITH ALL APPLICABLE NON-DISCRIMINATION LAWS IN THE ADMINISTRATION OF ITS POLICIES, ADMISSIONS, EMPLOYMENT, AND ACCESS TO AND TREATMENT IN UNIVERSITY PROGRAMS AND ACTIVITIES. QUESTIONS ON COMPLIANCE SHOULD BE DIRECTED TO THE PARTICULAR SCHOOL OR DEPARTMENT AND/OR TO THE UNIVERSITY'S INTERCESSOR, UNIVERSITY OF ROCHESTER, P.O. BOX 270040, ROCHESTER, NY 14627-0040. PHONE: (585) 275-7814. THE UNIVERSITY OF ROCHESTER ALSO POSTS A "STATEMENT OF EDUCATIONAL PHILOSOPHY" WHICH IS AMPLIFICATION OF THE NONDISCRIMINATION STATEMENT. SEE: HTTP://WWW.ROCHESTER.EDU/DIVERSITY/PHILOSOPHY.HTML. FINANCIAL AID/ASSISTANCE FROM A GOVERNMENTAL AGENCY SCHEDULE E, LINE 6a THE UNIVERSITY OF ROCHESTER RECEIVES FINANCIAL ASSISTANCE FUNDS FOR STUDENTS, AS PROVIDED BY HHS PROGRAMS, AND HAS GOVERNMENT RESEARCH CONTRACTS AND GRANTS. Central America and the Caribbean 0 0 Program Services CONDUCTED RESEARCH 12977 East Asia and the Pacific 0 0 Program Services CONDUCTED RESEARCH 96685 Europe (Including Iceland and Greenland) 1 6 Program Services CONDUCTED RESEARCH 414922 Middle East and North Africa 0 0 Program Services CONDUCTED RESEARCH 11527 North America 0 0 Program Services CONDUCTED RESEARCH 87871 South America 0 0 Program Services CONDUCTED RESEARCH 5947 South Asia 0 0 Program Services CONDUCTED RESEARCH 22127 Sub-Saharan Africa 0 0 Program Services CONDUCTED RESEARCH 30827 Central America and the Caribbean 0 0 Program Services PRESENTATION AT CONFER 13005 East Asia and the Pacific 0 0 Program Services PRESENTATION AT CONFER 124203 Europe (Including Iceland and Greenland) 0 0 Program Services PRESENTATION AT CONFER 404387 Middle East and North Africa 0 0 Program Services PRESENTATION AT CONFER 16738 North America 0 0 Program Services PRESENTATION AT CONFER 123722 Russia and the Newly Independent States 0 0 Program Services PRESENTATION AT CONFER 16136 South America 0 0 Program Services PRESENTATION AT CONFER 37893 South Asia 0 0 Program Services PRESENTATION AT CONFER 50154 Sub-Saharan Africa 0 0 Program Services PRESENTATION AT CONFER 16079 East Asia and the Pacific 0 0 Program Services TEACHING AND RECRUITME 116158 Europe (Including Iceland and Greenland) 0 0 Program Services TEACHING AND RECRUITME 170892 North America 0 0 Program Services TEACHING AND RECRUITME 38340 South America 0 0 Program Services TEACHING AND RECRUITME 18191 South Asia 0 0 Program Services TEACHING AND RECRUITME 19464 Central America and the Caribbean 0 0 Program Services STUDY ABROAD 36155 East Asia and the Pacific 0 0 Program Services STUDY ABROAD 6352 Europe (Including Iceland and Greenland) 0 0 Program Services STUDY ABROAD 395219 Middle East and North Africa 0 0 Program Services STUDY ABROAD 2234 North America 0 0 Program Services STUDY ABROAD 6400 South Asia 0 0 Program Services STUDY ABROAD 5678 Sub-Saharan Africa 0 0 Program Services STUDY ABROAD 24161 East Asia and the Pacific 0 0 Fundraising 65781 Europe (Including Iceland and Greenland) 0 0 Fundraising 61041 North America 0 0 Fundraising 15587 South Asia 0 0 Fundraising 9724 Central America and the Caribbean 0 0 Investments 474427571 South America 0 0 Investments 5448017 Sub-Saharan Africa 0 0 Investments 28564880 1 6 0 0 1 6 1485200 509431845 510917045 true false true true true false SUBAWARDS ISSUED TO FOREIGN ENTITIES SCHEDULE F, PART I, LINE 3(c) IN FURTHERANCE OF ITS RESEARCH ACTIVITIES, THE UNIVERSITY OF ROCHESTER MAKES SUB-AWARDS TO OTHER FOREIGN ORGANIZATIONS THAT PERFORM RESEARCH IN CONNECTION WITH RESEARCH GRANTS AWARDED TO THE UNIVERSITY. 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OUTPATIENT DENTAL CLINIC METRO YMCA

444 EAST MAIN STREET ROCHESTER NY 14604

OUTPATIENT MEDICAL CLINIC PART I, LINE 7g COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC WERE INCLUDED ON PART I, LINE 7g, SUBSIDIZED HEALTH SERVICES, AND INCLUDED TOTAL COMMUNITY BENEFIT EXPENSE OF $37,871,687; DIRECT OFFSETTING REVENUE OF $29,288,796; NET COMMUNITY BENEFIT EXPENSE OF $8,582,891. PART I, LINE 7, COLUMN (f) THE AMOUNT OF BAD DEBT EXPENSE INCLUDED ON FORM 990 PART IX, LINE 25 COLUMN (A) BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE REPORTED ON LINE 7, COLUMN(f) WAS $8,349,985. PART I, LINE 7 (COSTING METHODOLOGY USED) THE COSTING METHODOLOGY USED IN CALCULATING THE AMOUNTS REPORTED ON THE LINE 7 TABLE ARE BASED ON A COST ACCOUNTING SYSTEM. PART II (COMMUNITY BUILDING ACTIVITIES) THE COMMUNITY BUILDING PROGRAMS REPORTED IN PART II PROMOTE THE HEALTH OF THE COMMUNITY IN MANY WAYS. EXAMPLES INCLUDE: COMMUNITY SUPPORT THE URMC KESSLER BURN & TRAUMA CENTER HAVE PARTNERED WITH THE FINGER LAKES REGIONAL BURN ASSOCIATION, AN INDEPENDENT, NOT-FOR-PROFIT, 501C3 ORGANIZATION, TO ESTABLISH A SOAR PROGRAM. SOAR STANDS FOR SURVIVORS OFFERING ASSISTANCE IN RECOVERY. SOAR IS A PROGRAM DESIGNED TO PROVIDE TRAINING TO BURN SURVIVORS OR THEIR FAMILY MEMBERS WHO WANT TO VOLUNTEER TO HELP OTHERS WHOSE LIVES HAVE BEEN TOUCHED BY A BURN INJURY. THE HOSPITAL BASED PROGRAM IS INTENDED TO MAKE IT EASIER FOR BURN CENTERS TO WORK WITH VOLUNTEERS IN PROVIDING PEER SUPPORT TO PATIENTS. PEER SUPPORT ASSISTS INDIVIDUALS IN ADAPTING TO A BURN INJURY THROUGH SHARING SIMILAR EXPERIENCES. JUST THE FACTS IS A LECTURE SERIES THAT FOCUSES ON TOPICS RELATED TO BREAST HEALTH DURING TREATMENT AND BEYOND. PROFESSIONALS ARE BROUGHT IN TO SPEAK TO PATIENTS AND FAMILIES ABOUT BREAST CANCER RELATED TOPICS OF INTEREST. THE GRAVES SUPPORT GROUP CONSISTS OF PATIENTS WHO HAVE GRAVES DISEASE OR THYROID DISEASE AND THEIR IMMEDIATE FAMILIAL SUPPORT (SPOUSES, CHILDREN, OTHERS). THE GROUP MEETS THREE TIMES PER YEAR AND IS OPEN TO ANYONE INTERESTED IN GRAVES OR THE OPHTHALMIC MANIFESTATIONS OF THYROID DISEASE. THE MEETING FORMAT CONSISTS OF A HEALTHCARE PROVIDER PROVIDING A LECTURE ON A TOPIC ASSOCIATED WITH THYROID EYE DISEASE FOLLOWED BY QUESTIONS AND A ROUND TABLE SHARING SESSION. THE MEETINGS ARE TYPICALLY IN THE EVENING AND PROVIDE A LIGHT MEAL AND REFRESHMENTS FOR PARTICIPANTS. YOUNG ADULT SURVIVORS GROUP IS FOR CANCER PATIENTS FROM 18-39. THE GROUP IS FACILITATED BY A CANCER CENTER SOCIAL WORKER. DISCUSSIONS AND ACTIVITIES ARE DRIVEN BY THE PATIENTS. COALITION BUILDING THE ROCHESTER YOUTH VIOLENCE PARTNERSHIP ENSURES THAT YOUNG VICTIMS OF VIOLENCE DO NOT LEAVE THE URMC EMERGENCY DEPARTMENT TRAUMA CENTER UNTIL A TEAM OF MEDICAL, LAW-ENFORCEMENT AND COMMUNITY PROFESSIONALS COMPLETE A COMPREHENSIVE INTERVENTION TO HELP THEM TURN THEIR LIVES AROUND AND AVOID FUTURE VIOLENCE. THE RESULTS ARE PROMISING. MOST SIGNIFICANTLY, THERE HAS BEEN A DECLINE IN RECIDIVISM. COMMUNITY CANCER COLLABORATIVE IS A GROUP OF HEALTHCARE PROFESSIONALS THAT COME TOGETHER TO SHARE BEST PRACTICES WITH 18 DIFFERENT FACILITIES SUCH AS UNITY, GILDA'S CLUB, AMERICAN CANCER SOCIETY, PLUTA CANCER CENTER, HIGHLAND, RGH, ETC.). COMMUNITY HEALTH IMPROVEMENT ADVOCACY THE "BREATH OF HOPE" - A COMMUNITY-WIDE ASTHMA INITIATIVE - IS A COMMUNITY COLLABORATIVE PROJECT TO IMPROVE THE MANAGEMENT OF ASTHMA IN CHILDREN. THIS EFFORT WAS BUILT UPON A SUCCESSFUL HOSPITAL-BASED PILOT DEMONSTRATING EFFICACY OF THE USE OF COMMUNITY AND HOSPITAL-BASED EDUCATION, STANDARDIZED PRACTICE ACROSS THE COMMUNITY AND HOSPITAL, AND BEHAVIORAL PROMPTS TO IMPROVE OUTCOMES, INCLUDING DECREASED ED VISITS AND INPATIENT ADMISSIONS. "PEDIATRIC LINKS WITH THE COMMUNITY" IS AN INNOVATIVE PARTNERSHIP BETWEEN THE URMC'S DEPARTMENTS OF PEDIATRICS, MEDICINE-PEDIATRICS, FAMILY MEDICINE, COMMUNITY AND PREVENTIVE MEDICINE AND PSYCHOLOGY, THE UR SCHOOL OF NURSING, AND MORE THAN 70 COMMUNITY-BASED AGENCIES THAT SERVE CHILDREN AND THEIR FAMILIES. THE PROGRAM'S MISSION IS TO DEVELOP A MODEL OF COMMUNITY PEDIATRICS IN WHICH PEDIATRICIANS COLLABORATE WITH COMMUNITY-BASED ORGANIZATIONS, WORK TO ASSURE THE HEALTH OF ALL CHILDREN IN THEIR COMMUNITY, AND ADVOCATE FOR THEIR COMMUNITY TO BE MORE CHILD-RESPONSIVE AND CHILD-ORIENTED. THE COLLABORATION HAS ENHANCED MORE THAN 750 RESIDENTS', FELLOWS' AND MEDICAL STUDENTS' KNOWLEDGE ABOUT COMMUNITY-ORIENTED AND COMMUNITY-BASED HEALTH CARE, INSPIRING FUTURE HEALTH CARE PROFESSIONALS TO IMPROVE THE HEALTH OF CHILDREN IN THEIR COMMUNITIES. COMMUNITY-WIDE BLADDER AND PROSTATE CANCER EDUCATIONAL AWARENESS PROGRAMS WERE SPONSORED BY URMC UROLOGY. THE PRESENTATIONS FOCUSED ON PREVENTION, EARLY DETECTION, AND TREATMENT OF BLADDER AND PROSTATE CANCER. THE PROGRAMS ALSO INCLUDED SEVERAL GUEST LECTURES. PART III, SECTION A, LINE 4 (BAD DEBT EXPENSE, COSTING METHODOLOGY USED) STRONG MEMORIAL HOSPITAL (THE "HOSPITAL") PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE OR PATIENT ACCOUNTS RECEIVABLE. THE HOSPITAL GRANTS CREDIT WITHOUT COLLATERAL TO PATIENTS, MOST OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD-PARTY ARRANGEMENTS. ADDITIONS TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS ARE MADE BY MEANS OF THE PROVISION FOR BAD DEBTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE AND SUBSEQUENT RECOVERIES ARE ADDED. THE AMOUNT OF THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS. THE COSTING METHODOLOGY FOR DETERMINING BAD DEBT EXPENSE WAS BASED ON ACTUAL CHARGES WRITTEN OFF AS BAD DEBTS DURING THE YEAR. PART III, SECTION B, LINE 8 (COSTING METHODOLOGY, MEDICARE SHORTFALL) THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 IS BASED ON REPORTS PRODUCED FROM THE HOSPITAL'S DECISION SUPPORT SYSTEM FOR THE YEAR. CONSISTENT WITH THE CHARITABLE HEALTHCARE MISSION OF THE HOSPITAL AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545, THE HOSPITAL PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE SEEKING MEDICAL CARE. SUCH CARE IS PROVIDED REGARDLESS OF WHETHER THE REIMBURSEMENT PROVIDED FOR SUCH SERVICES MEETS OR EXCEEDS THE COSTS INCURRED BY THE HOSPITAL TO PROVIDE SUCH SERVICES. AS A RESULT, THE HOSPITAL VIEWS ANY SHORTFALL REPORTED IN LINE 7 AS AN ADDITIONAL ITEM OF COMMUNITY BENEFIT PROVIDED BY THE ORGANIZATION. PART III, SECTION C, LINE 9b (COLLECTION PRACTICES) CHARITY CARE POLICY MISSION/PURPOSE/PREAMBLE: STRONG MEMORIAL HOSPITAL IMPROVES HEALTH THROUGH CARING, DISCOVERY, TEACHING AND LEARNING. WE PROVIDE EXCELLENT AND COMPASSIONATE CARE AND RESPONSIVE SERVICE. AS WE SEEK TO UNDERSTAND AND FULLY MEET OUR PATIENTS' CURRENT AND FUTURE NEEDS AND EXPECTATIONS, WE RECOGNIZE OUR RESPONSIBILITY TO PRUDENTLY USE THE SCARCE RESOURCES ENTRUSTED TO US. LAWS, REGULATIONS, CATASTROPHIC ILLNESSES AND THE RISING COSTS OF NEW TECHNOLOGY HAVE CREATED A CATEGORY OF PATIENTS WHO ARE EITHER UNINSURED OR UNDERINSURED. THIS CHARITY CARE PROGRAM HAS BEEN DEVELOPED TO HELP THE HOSPITAL MEET THE NEEDS OF THESE PATIENTS AND, CONCURRENTLY, MAINTAIN THE FINANCIAL VIABILITY OF THE HOSPITAL FOR FUTURE GENERATIONS. THIS CHARITY CARE POLICY EXPLAINS HOW THE HOSPITAL ASSISTS PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE ESSENTIAL MEDICAL CARE THEY RECEIVE. PRINCIPLES: STRONG MEMORIAL HOSPITAL PROACTIVELY CONVEYS INFORMATION ABOUT THIS CHARITY CARE POLICY TO PATIENTS AND THEIR FAMILIES. - WE BELIEVE THAT FEAR OF A HOSPITAL BILL SHOULD NEVER GET IN THE WAY OF ESSENTIAL HEALTH SERVICES. THE PROVISION OF URGENT OR EMERGENT HEALTHCARE IS NEVER DELAYED PENDING A FINANCIAL ASSISTANCE DETERMINATION. SIGNS ANNOUNCING THE CHARITY CARE PROGRAM ARE POSTED IN THE HOSPITAL (E.G. EMERGENCY DEPARTMENT, ADMITTING OFFICE) TO PROACTIVELY CONVEY THIS MESSAGE TO PROSPECTIVE PATIENTS AND THE PUBLIC IN GENERAL. - WE MAINTAIN FINANCIAL AID POLICIES THAT ARE CONSISTENT WITH THE MISSION, VALUES AND CAPACITY OF THE HOSPITAL AND THAT TAKE INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE. - WE COMMUNICATE THE AVAILABILITY OF FINANCIAL AID IN A MANNER THAT IS CLEAR, UNDERSTANDABLE, SENSITIVE TO THE PATIENT'S DIGNITY, AND IN MULTIPLE LANGUAGES. A NOTICE IS AVAILABLE AT REGISTRATION SITES THAT INFORMS PATIENTS OF THIS PROGRAM AND PROVIDES THE PHONE NUMBER TO CALL TO OBTAIN MORE INFORMATION AND TO APPLY FOR THIS PROGRAM. DESIGNATED STAFF ARE PROVIDED DETAILED TRAINING SO THAT THEY CAN PROVIDE INFORMATION AND ANSWER QUESTIONS ABOUT THE CHARITY CARE PROGRAM. INFORMATION IS GENERALLY AVAILABLE IN BOTH ENGLISH AND SPANISH. WHEN REQUESTED, IT WILL ALSO BE MADE AVAILABLE IN OTHER LANGUAGES. - INFORMATION REGARDING OUR CHARITY CARE PROGRAM IS ALSO AVAILABLE ON THE URMC WEBSITE. - WE IMPLEMENT FINANCIAL AID PROCEDURES THAT ARE CONSUMER-FRIENDLY, RESPECTFUL, AND CONFIDENTIAL, AS WELL AS DEBT COLLECTION POLICIES THAT REFLECT THE MISSION AND VALUES OF THIS HOSPITAL. - WE WORK WITH GOVERNMENT, PAYERS, BUSINESS, CONSUMER GROUPS AND OTHERS TO ADDRESS THE UNDERLYING PROBLEM THAT TOO MANY NEW YORKERS LACK HEALTH INSURANCE. GENERAL GUIDELINES: AS PART OF FINANCIAL PLANNING ASSISTANCE, WE PROVIDE PATIENTS, AND/OR THEIR LEGAL REPRESENTATIVE, WITH INFORMATION ABOUT THE CRITERIA THAT MUST BE MET IN ORDER TO OBTAIN MEDICAID, MEDICARE, OR OTHER HEALTH INSURANCES. PATIENTS ARE ASSISTED IN MAKING APPLICATIONS FOR ANY OF THESE INSURANCES OR DISCOUNTED FEE PLANS. PATIENTS ARE EXPECTED TO PARTICIPATE FULLY IN ALL EFFORTS TO OBTAIN ANY INSURANCE FOR WHICH THEY MAY QUALIFY. UNDER CERTAIN CIRCUMSTANCES, AS DETERMINED BY THE FINANCIAL CASE MANAGERS OR OTHER HOSPITAL SENIOR ADMINISTRATORS. APPLICATIONS FOR MEDICAID, MEDICARE OR OTHER INSURANCE PROGRAMS MAY BE WAIVED WHEN DEEMED UNNECESSARY. IF AVAILABLE INSURANCE BENEFITS ARE NOT SUFFICIENT TO COVER THE COST OF THEIR CARE, PATIENTS MAY THEN APPLY FOR ASSISTANCE FROM THE CHARITY CARE PROGRAM. CHARITY CARE APPLICATIONS MUST BE COMPLETED AND RETURNED TO THE HOSPITAL WITH THE REQUESTED INCOME DOCUMENTATION. PATIENTS WILL NOT RECEIVE CHARITY CARE ASSISTANCE IF THEY (A) DO NOT COMPLETE THE APPLICATION PROCESS FOR MEDICAID OR OTHER INSURANCE FOR WHICH THEY MAY QUALIFY, (B) ELECT NOT TO MAKE APPLICATION FOR CHARITY CARE, OR (C) HAVE ADEQUATE RESOURCES OR INCOME TO PAY PRIVATELY FOR THEIR CARE. IN THESE SITUATIONS, THEY WILL REMAIN FINANCIALLY RESPONSIBLE FOR FULL PAYMENT OF THEIR HOSPITAL BILLS. CHARITY CARE ASSISTANCE IS AVAILABLE FOR PATIENTS WHO RESIDE IN NEW YORK STATE AND RECEIVE EMERGENCY HOSPITAL SERVICES, INCLUDING EMERGENCY TRANSFERS, AND TO PATIENTS WHO RESIDE IN STRONG MEMORIAL HOSPITAL'S PRIMARY SERVICE AREA IN NEW YORK STATE WHO RECEIVE SERVICES IN DESIGNATED STRONG MEMORIAL HOSPITAL PROGRAMS, INCLUDING MOST INPATIENT AND OUTPATIENT SERVICES. IN ADDITION, THE HOSPITAL MAY, IN ITS DISCRETION, GRANT CHARITY CARE TO INDIVIDUALS WHO RESIDE OUTSIDE OF NEW YORK STATE. CHARITY CARE ASSISTANCE DOES NOT COVER MEDICALLY UNNECESSARY CARE, COSMETIC ALTERATION, TELEPHONE, TELEVISION AND PRIVATE ROOM CHARGES. IT DOES NOT COVER SERVICES GENERATED BY AN INSURED PATIENT WHO CHOOSES TO RECEIVE CARE AT AN OUT-OF-NETWORK HOSPITAL, OR WHO FAILS TO COMPLY WITH INSURANCE POLICY REQUIREMENTS (E.G. UNAUTHORIZED SERVICES) NOR DOES IT APPLY TO NON-RESIDENT ALIENS (UNLESS APPROVED IN ADVANCE OF CARE BEING PROVIDED), TO DRUGS NOT ADMINISTERED IN THE HOSPITAL, TO TRANSPORTATION FURNISHED BY THIRD PARTY VENDORS, OR TO CARE, SERVICES, DRUGS OR SUPPLIES FOR THE PURPOSE OF GENDER CHANGE PROCEDURE. SPECIFIC QUESTIONS ABOUT SERVICES THAT ARE NOT COVERED SHOULD BE DIRECTED TO THE PATIENT ACCOUNTS MANAGER OR THEIR DELEGATE. FINANCIAL GUIDELINES: FINANCIAL AID IS INTENDED TO ASSIST THOSE INDIVIDUALS WHO CANNOT AFFORD TO PAY IN PART OR IN FULL FOR THEIR CARE. IT SHOULD TAKE INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE. HOSPITAL FINANCIAL AID SHOULD NOT BE VIEWED AS A SUBSTITUTE FOR EMPLOYER-SPONSORED OR INDIVIDUALLY PURCHASED INSURANCE. PATIENTS WITHOUT INSURANCE AND WITH INCOME THAT WOULD QUALIFY THEM FOR THE CHARITY CARE PROGRAM BUT ALSO HAVE SUBSTANTIAL RESOURCES (OTHER THAN TAX-DEFERRED OR COMPARABLE RETIREMENT SAVINGS OR COLLEGE SAVINGS ACCOUNTS) MAY BE EXPECTED TO PAY PART OF THEIR BILLS(S). CHARITY CARE ASSISTANCE IS GENERALLY AVAILABLE TO INDIVIDUALS WHOSE INCOME IS LESS THAN OR EQUAL TO 400% OF THE FEDERAL POVERTY LEVEL. HOWEVER, PATIENTS WHO HAVE EXHAUSTED THEIR INSURANCE BENEFITS, EXCEEDED FINANCIAL ELIGIBILITY CRITERIA, FACE EXTRAORDINARY MEDICAL COSTS, OR WHO HAVE OTHER UNIQUE CIRCUMSTANCES MAY BE CONSIDERED FOR CHARITY CARE APPROVAL IN THE HOSPITAL'S SOLE DISCRETION. WHILE APPLICATION FOR MEDICAID OR OTHER INSURANCE IS USUALLY REQUIRED, THE HOSPITAL MAY, AT ITS SOLE DISCRETION, IN APPROPRIATE CASES, ALSO CONSIDER PATIENTS FOR CHARITY CARE WHEN THEY MEET THE FINANCIAL CRITERIA OF THIS PROGRAM, BUT HAVE NOT SATISFACTORILY COMPLETED ALL THE REQUIREMENTS OF THE CHARITY CARE APPLICATION PROCESS. THIS MAY INCLUDE PATIENTS WHO HAVE BEEN SANCTIONED BY MEDICAID, HAVE FILED BANKRUPTCY OR APPEAR TO BE ELIGIBLE FOR CHARITY CARE ASSISTANCE BASED ON AVAILABLE INFORMATION. ELIGIBILITY DETERMINATIONS IN COMPLEX CASE CIRCUMSTANCES WILL BE MADE AFTER CONSIDERATION BY THE CHARITY CARE REVIEW TEAM THAT INCLUDES THE CHARITY CARE OFFICER, FINANCIAL CASE MANAGER AND/OR THEIR MANAGERS, OR MAY BE MADE BY SENIOR HOSPITAL ADMINISTRATORS. THE AMOUNT OF THE DISCOUNT AFFORDED TO QUALIFIED CHARITY CARE PATIENTS WILL BE DETERMINED THROUGH ASSESSMENT OF THE RESPONSIBLE PARTY'S ANNUAL HOUSEHOLD INCOME AND THE NUMBER OF PEOPLE IN THE HOME, AS A PERCENTAGE OF THE FEDERAL POVERTY GUIDELINE AMOUNTS FOR SAME SIZE HOUSEHOLDS. THE FINANCIAL GUIDELINES WILL BE UPDATED ANNUALLY IN CONJUNCTION WITH THE FEDERAL POVERTY UPDATES PUBLISHED BY CMS. PATIENTS MAY RECEIVE FULL OR PARTIAL DISCOUNT FROM THE COST OF CARE, DEPENDING ON THE PERCENTAGE OF THE GUIDELINES MATCHED BY THE PATIENT'S HOUSEHOLD INCOME. ANY BILL AMOUNT REMAINING AFTER APPLICATION OF A PARTIAL CHARITY CARE DISCOUNT IS THE RESPONSIBILITY OF THE PATIENT. THE AMOUNT AN APPROVED CHARITY CARE PATIENT WILL GENERALLY BE EXPECTED TO PAY FOR SERVICES COVERED BY THE POLICY WILL BE LIMITED TO THE LOWER OF THE AMOUNT THAT THE HOSPITAL WOULD HAVE RECEIVED FOR THE SAME SERVICE UNDER MEDICARE PARTS A AND B, (INCLUDING COINSURANCE, CO-PAYMENTS AND DEDUCTIBLES) OR THE USUAL AND CUSTOMARY CHARGES. THE PATIENT WILL BE ASSISTED BY THE HOSPITAL IN MAKING ARRANGEMENTS TO SATISFY ANY BALANCE REMAINING ON THE ACCOUNT(S) AFTER THE APPLICATION OF THE APPROPRIATE CHARITY CARE DISCOUNT BY USE OF A PAYMENT PLAN. THE MONTHLY PAYMENTS UNDER SUCH PLANS SHALL NOT EXCEED TEN PERCENT (10%) OF THE ELIGIBLE PATIENT'S GROSS MONTHLY INCOME. THE RATE OF INTEREST ON UNPAID BALANCES SHALL NOT EXCEED THE US TREASURY RATE FOR 90 DAY SECURITIES PLUS 0.5%. HOSPITAL PATIENT FINANCIAL AID STATUTE DISCOUNTING REQUIREMENTS DISCOUNT / GROSS INCOME AS % OF FEDERAL POVERTY LEVEL 100% / UP TO 200% 80% / BETWEEN 201-250% 60% / BETWEEN 251-300% 40% / BETWEEN 301-350% 20% / BETWEEN 351-400% 0% / OVER 401% PROCESS: APPLICATIONS WILL BE ACCEPTED IMMEDIATELY BEFORE, DURING OR AFTER CARE IS PROVIDED. THE HOSPITAL WILL STRIVE TO ASSIST PATIENTS RECEIVING HIGH-COST SERVICES AS THEY OCCUR. PATIENTS MAY BE APPROVED FOR CHARITY CARE ON AN ACCOUNT-BY-ACCOUNT BASIS OR FOR A PERIOD OF TIME (FOR A COURSE OF TREATMENT). FULLY COMP PART VI, LINE 2 (NEEDS ASSESSMENT) MONROE COUNTY ASSESSES THE HEALTH NEEDS OF THE COMMUNITY THROUGH HEALTH ACTION, A ROBUST COMMUNITY-WIDE PROCESS ESTABLISHED IN 1995 THAT IS LED BY THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH. IT INVOLVES ALL FOUR LOCAL HEALTH SYSTEMS, LOCAL INSURERS, AND OTHER KEY COMMUNITY STAKEHOLDERS. THROUGH THIS PROCESS, COMMUNITY PRIORITIES, GOALS, AND INTERVENTIONS ARE IDENTIFIED AND IMPLEMENTED. THESE PRIORITIES ALIGN WITH THE HEALTH PRIORITIES AND INDICATORS AS PUBLISHED BY NEW YORK STATE'S DOH AND INCLUDE ACCESS TO QUALITY HEALTH CARE, TOBACCO USE, HEALTHY MOTHERS/HEALTHY BABIES/HEALTHY CHILDREN, PHYSICAL ACTIVITY/NUTRITION, UNINTENTIONAL INJURY, HEALTHY ENVIRONMENTS, CHRONIC DISEASE, AND MENTAL HEALTH/SUBSTANCE ABUSE. FIVE HEALTH STATUS "REPORT CARDS" IN SPECIFIC AGE GROUPS AND CATEGORIES ARE USED TO MEASURE PROGRESS TOWARDS HEALTH STATUS IMPROVEMENT. THEY INCLUDE MATERNAL AND CHILD HEALTH, ADOLESCENT HEALTH, ADULT/OLDER ADULT HEALTH, AND ENVIRONMENTAL HEALTH, EACH OF WHICH CONTAIN GOALS FOR IMPROVING HEALTH. PRIORITIES FOR EACH AREA ARE SELECTED BASED ON INPUT FROM FOCUS GROUPS WITH RESIDENTS, AND HEALTH AND SOCIAL SERVICE PROFESSIONALS. UPDATED REPORT CARDS ARE PRODUCED AND DISTRIBUTED ON AVERAGE EVERY 4-6 YEARS FOR EACH SPECIFIC AGE GROUP. THESE PRIORITIES SERVE AS A FOUNDATION FOR COMMUNITY HEALTH IMPROVEMENT AND COMMUNITY BUILDING EFFORTS AND HELP TO ENSURE COLLABORATIVE AND COORDINATED USE OF HEALTH SYSTEM RESOURCES TO ADDRESS THE MOST PRESSING NEEDS. THE PRIORITY SETTING PROCESS IS A SIX-STEP PROCESS THAT INCLUDES: 1) ASSESS HEALTH STATUS: DATA DETAILING HEALTH STATUS, ACCESS TO HEALTH CARE AND HEALTH BEHAVIORS ARE COMPILED AND ANALYZED TO IDENTIFY TRENDS AND DISPARITIES AND TO COMPARE OUR COUNTY TO OTHER COMMUNITIES. FOR EACH LIFECYCLE GROUP, AN ADVISORY COMMITTEE, WITH REPRESENTATION FROM AREA HOSPITALS, HELPS TO INTERPRET THE DATA AND DEVELOP HEALTH GOALS BASED ON THE DATA. A REPORT CARD CONTAINING THE DATA AND HEALTH GOALS IS PUBLISHED. 2) CHOOSE PRIORITY GOALS: THE ADVISORY COMMITTEE HOSTS COMMUNITY FORUMS TO ADDRESS HEALTH IMPROVEMENT PRIORITIES. THE ADVISORY COMMITTEE THEN MAKES RECOMMENDATIONS TO THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH ON PRIORITIES. 3) DEFINE THE LEADERSHIP: PARTNERS ARE IDENTIFIED TO SUPPORT THE PRIORITIES FOR ACTION. THE MEDICAL CENTER PROVIDES SALARY SUPPORT FOR FACULTY AND STAFF TO CONTRIBUTE THEIR ACADEMIC AND CLINICAL EXPERTISE TO HELP IDENTIFY AND IMPLEMENT THE MOST EFFECTIVE INTERVENTIONS ON THE HEALTH PRIORITIES. 4) DEVELOP IMPROVEMENT PLANS: EACH PARTNERSHIP DEVELOPS IMPROVEMENT PLANS TO ADDRESS HEALTH GOALS. 5) PERFORM INTERVENTIONS: EACH PARTNERSHIP, ALONG WITH THE STEERING COMMITTEE, WHICH INCLUDES THE MEDICAL CENTER, OVERSEES THE IMPLEMENTATION OF INTERVENTIONS IN VARIOUS VENUES THAT INCLUDE SCHOOLS, DAY CARE CENTERS, PLACES OF WORSHIP, COMMUNITY BASED ORGANIZATIONS AND WITHIN THE HEALTH SYSTEMS. 6) MEASURE THE IMPACT: EACH PARTNERSHIP EVALUATES THE INTERVENTION. PART VI, LINE 3 (PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE) INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IS POSTED IN ALL AREAS OF THE FACILITY AND ITS OFF-SITE LOCATIONS. CHARITY CARE INFORMATION IS POSTED IN INPATIENT AND OUTPATIENT REGISTRATION AREAS; THE EMERGENCY DEPARTMENT; ADMITTING; AND ALL PRIMARY CARE SITES. THE HOSPITAL PROVIDES A COPY OF THE CHARITY CARE POLICY AND FINANCIAL ASSISTANCE CONTACTS TO PATIENTS AS PART OF ITS ADMITTING PROCESS. PRINTED INFORMATION ABOUT CHARITY CARE ASSISTANCE IS ALSO PROVIDED WITH DISCHARGE MATERIALS WHEN IT HAS BEEN DETERMINED THAT A PATIENT IS IN FINANCIAL NEED. OUR CHARITY CARE POLICY IS ON-LINE AS WELL, ON THE HOSPITAL WEBSITE. AS PART OF FINANCIAL PLANNING ASSISTANCE, WE PROVIDE PATIENTS, OR THEIR LEGAL REPRESENTATIVE, WITH INFORMATION ABOUT THE CRITERIA THAT MUST BE MET IN ORDER TO OBTAIN MEDICAID, MEDICARE, OR OTHER HEALTH INSURANCES. PATIENTS ARE ASSISTED IN MAKING APPLICATIONS FOR ANY OF THESE INSURANCES OR DISCOUNTED FEE PLANS. PATIENTS ARE EXPECTED TO PARTICIPATE FULLY IN ALL EFFORTS TO OBTAIN ANY INSURANCE FOR WHICH THEY MAY QUALIFY. UNDER CERTAIN CIRCUMSTANCES, AS DETERMINED BY THE FINANCIAL CASE MANAGERS OR OTHER HOSPITAL SENIOR ADMINISTRATORS, APPLICATIONS FOR MEDICAID, MEDICARE OR OTHER INSURANCE PROGRAMS MAY BE WAIVED WHEN DEEMED UNNECESSARY. IF AVAILABLE INSURANCE BENEFITS ARE NOT SUFFICIENT TO COVER THE COST OF THEIR CARE, PATIENTS MAY THEN APPLY FOR ASSISTANCE FROM THE CHARITY CARE PROGRAM. PART VI, LINE 4 (COMMUNITY INFORMATION) STRONG MEMORIAL HOSPITAL IS LOCATED IN THE CITY OF ROCHESTER, COUNTY OF MONROE (POPULATION APPROXIMATELY 744,394) IN THE FINGER LAKES REGION OF NEW YORK STATE. THE FINGER LAKES REGION EXTENDS APPROXIMATELY 100 MILES NORTH TO SOUTH AND 100 MILES EAST TO WEST. THE REGION ENCOMPASSES URBAN, SUBURBAN AND RURAL COMMUNITIES WITHIN NEW YORK STATE. THE REGION (INCLUDING MONROE COUNTY) HAS A POPULATION OF MORE THAN 1,703,000. STRONG MEMORIAL HOSPITAL'S PRIMARY SERVICE AREA (PSA) IS MONROE COUNTY AND THE SECONDARY SERVICE AREA (SSA) ENCOMPASSES THE 15 COUNTIES SURROUNDING MONROE INCLUDING: ALLEGANY, CATTARAUGUS, CAYUGA, CHEMUNG, GENESEE, LIVINGSTON, ONTARIO, ORLEANS, SCHUYLER, SENECA, STEUBEN, TOMPKINS, WAYNE, WYOMING, AND YATES. THERE ARE FIFTEEN FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS WITHIN THIS 16 COUNTY REGION. HEALTH CARE ENVIRONMENT THE PRIMARY SERVICE AREA IS HOME TO THREE MULTI-HOSPITAL SYSTEMS EACH WITH SEVERAL LONG-TERM CARE, HOME CARE AND OTHER TYPES OF AFFILIATES. THE UNIVERSITY OF ROCHESTER MEDICAL CENTER CONSISTS OF STRONG MEMORIAL HOSPITAL AND HIGHLAND HOSPITAL, ROCHESTER GENERAL HEALTH SYSTEM CONSISTS OF ROCHESTER GENERAL HOSPITAL AND NEWARK WAYNE COMMUNITY HOSPITAL AND UNITY HEALTH CONSISTS OF PARK RIDGE HOSPITAL AND ST. MARY'S HOSPITAL. THERE ARE ROUGHLY TWENTY-ONE SMALLER COMMUNITY HOSPITALS THAT OPERATE IN THE FIFTEEN COUNTIES SURROUNDING MONROE COUNTY WITH BED CAPACITY RANGING FROM AS FEW AS 25 BEDS TO AS MANY AS 224 BEDS. OVER 50 RESIDENTIAL HEALTH CARE FACILITIES; MANY PUBLIC AND PRIVATE AGENCIES PROVIDING COMMUNITY AND HOME HEALTH SERVICES; SEVERAL STATE AND FEDERAL FACILITIES; AND A FULL RANGE OF HEALTH CARE PROFESSIONALS, INCLUDING THOUSANDS OF PHYSICIANS, DENTISTS, NURSES, TECHNICIANS, ADMINISTRATORS, EDUCATORS, AND SUPPORT PERSONNEL PROVIDE SERVICES WITHIN THE SIXTEEN COUNTY SERVICE AREA. DEMOGRAPHIC ANALYSIS HISTORICALLY UNDER-REPRESENTED ETHNIC GROUPS INCLUDING BLACK NON-HISPANIC, HISPANIC AND OTHER POPULATIONS COMPRISE ROUGHLY 25% OF THE POPULATION OF MONROE COUNTY. ACCORDING TO U.S. CENSUS DATA ROUGHLY 11.7% OF THE POPULATION OF MONROE COUNTY IS NON-ENGLISH SPEAKING. AVERAGE HOUSEHOLD INCOME FOR THE PRIMARY SERVICE AREA IS $68,117 VERSUS THE NATIONAL AVERAGE OF $71,071. ACCORDING TO THE US CENSUS 13.7% OF INDIVIDUALS IN MONROE COUNTY WERE CONSIDERED BELOW THE POVERTY LEVEL. THE PERCENTAGE OF THE MONROE COUNTY POPULATION AGE 65 AND OLDER WAS 13.9% IN 2010 AND IS ANTICIPATED TO GROW TO 15.9% BY 2015. THE POPULATION OF INDIVIDUALS 18 YEARS AND YOUNGER IS ANTICIPATED TO DECLINE FROM 22.4% (2010) TO 21.1% IN 2015. THE RATE OF UNINSURED ADULTS (AGES 19 TO 64) IN MONROE COUNTY IS 10.4 PERCENT, COMPARED TO THE NEW YORK STATE RATE OF 17.2 PERCENT (2007 CENSUS BUREAU ESTIMATES). ACCORDING TO THE NEW YORK STATE DEPARTMENT OF HEALTH, ROUGHLY 18% OF THE POPULATION OF MONROE COUNTY IS ENROLLED IN MEDICAID WHILE ABOUT 12% OF THE SURROUNDING FIFTEEN COUNTY POPULATIONS ARE ENROLLED IN MEDICAID. MONROE COUNTY'S POPULATION OF SENIORS OUTPACES THE NATIONAL AVERAGE OF 13.2%. AT THE SAME TIME, THE POPULATION OF RESIDENTS 18 AND YOUNGER IS ANTICIPATED TO DECLINE OVER THE NEXT SEVERAL YEARS FROM 22.4% IN 2010 TO 21.1% IN 2015. UNDER-REPRESENTED ETHNIC GROUPS COMPRISE ROUGHLY 9.4% OF THE POPULATION IN THE FIFTEEN COUNTIES SURROUNDING MONROE COUNTY. AVERAGE HOUSEHOLD INCOME FOR THE FIFTEEN COUNTY SERVICE AREA WAS $59,462 VERSUS THE US AVERAGE OF $71,071. PART VI, LINE 5 (PROMOTION OF COMMUNITY HEALTH) STRONG MEMORIAL HOSPITAL IS OVERSEEN BY THE UNIVERSITY OF ROCHESTER MEDICAL CENTER BOARD, A 36 MEMBER BOARD, INCLUSIVE OF 14 EX-OFFICIO MEMBERS, THAT REPORTS TO THE UNIVERSITY BOARD OF TRUSTEES. THE MEDICAL CENTER BOARD IS LED BY AND COMPRISED OF A DIVERSE GROUP OF COMMUNITY AND INDUSTRY LEADERS AND ADVOCATES - PEOPLE WHO LIVE AND WORK IN THIS COMMUNITY AND CARE DEEPLY ABOUT THE HEALTH AND WELFARE OF ITS CITIZENS. THE BOARD INCLUDES NON-UR MEDICAL CENTER-EMPLOYED PRIVATE COMMUNITY PHYSICIANS, MEMBERS OF THE BUSINESS COMMUNITY, LOCAL PHILANTHROPISTS WITH AN INTEREST IN ADVOCATING FOR HEALTH CARE, AND OTHER LOCAL REPRESENTATIVES. AS A DEDICATED BOARD, EACH MEMBER UPHOLDS WELL-ESTABLISHED PRINCIPLES OF NONPROFIT CORPORATION LAW CONCERNING THE STANDARDS OF CONDUCT AND ATTENTION A BOARD MEMBER MUST MEET: FIDUCIARY RESPONSIBILITY, OBEDIENCE TO THE CHARITABLE PURPOSE OF THE ORGANIZATION, LOYALTY, A COMMITMENT TO ACT BASED ON BEST INTERESTS OF THE ORGANIZATION AND THE WIDER COMMUNITY IT SERVES, AND DILIGENCE IN CARRYING OUT THE WORK OF THE BOARD. ADMINISTRATIVELY, UR MEDICAL CENTER LEADERSHIP HAS INITIATED A COMPREHENSIVE AND AMBITIOUS STRATEGIC PLANNING PROCESS ACROSS THE INSTITUTION. THE GOALS OF THE PLAN INCLUDE EXPANDING COMMUNITY HEALTH PROGRAMS AND RESEARCH THAT IMPROVE THE OVERALL HEALTH OF THE GREATER ROCHESTER COMMUNITY. THE BOARD OF DIRECTORS ENDORSE AND CHAMPION THE VISION OF THE PLAN. AN ANNUAL "DR. DAVID SATCHER COMMUNITY HEALTH IMPROVEMENT AWARDS" PROGRAM HAS BEEN ESTABLISHED TO ENCOURAGE AND RECOGNIZE FACULTY/STAFF FOR EXEMPLARY WORK WITHIN THE COMMUNITY TO IMPROVE COMMUNITY HEALTH. URMC EXTENDS MEDICAL STAFF PRIVILEGES TO EMPLOYED UR MEDICAL CENTER FACULTY PHYSICIANS AND ALL ELIGIBLE PRIVATE PHYSICIANS WHO PRACTICE AT UR MEDICAL CENTER AFFILIATED HOSPITALS. MANY FACULTY MEMBERS SERVE A DUAL ROLE WITH COMMUNITY AGENCIES, PROVIDING SERVICE AS A MEDICAL DIRECTOR OR ATTENDING PHYSICIAN FOR COMMUNITY HEALTH INITIATIVES. THIS LINKAGE ENHANCES COLLABORATION, PRODUCING A HIGHER QUALITY OF CARE AND SMOOTHER TRANSITIONS FOR PATIENTS WHO MAY NEED ANY OR ALL OF THESE SERVICES. UR MEDICAL CENTER CONTINUALLY REINVESTS IN ITS FACILITIES AND PROGRAMS IN AN EFFORT TO IMPROVE THE HEALTH OF THE COMMUNITY. FOR EXAMPLE, ITS 85-YEAR-OLD STRONG MEMORIAL HOSPITAL HAS IN RECENT YEARS RENOVATED ITS MEDICAL AND SURGICAL ICUS TO PROVIDE PATIENT- AND FAMILY-CENTERED CARE IN LARGER, PRIVATE ROOMS. IT ALSO UNVEILED A NEW FREESTANDING AMBULATORY SURGERY CENTER THAT INCLUDES 10 OPERATING SUITES AND THREE PROCEDURE ROOMS EQUIPPED WITH ADVANCED TECHNOLOGY, AND SPACIOUS FACILITIES FOR ENHANCED CARE AND PRIVACY FOR PATIENTS AND FAMILIES. THE SURGERY CENTER WAS DEVELOPED AS AN INCREASE IN SPECIALTY CARE BEGAN PLACING MORE PRESSURE ON EXISTING OPERATING SUITES FOR URGENT, HIGH-ACUITY INPATIENT PROCEDURES. STRONG MEMORIAL HOSPITAL ALSO RUNS THE REGION'S LARGEST EMERGENCY FACILITY. THE 55,000-SQUARE-FOOT FRANK AND CAROLINE GANNETT EMERGENCY CENTER IS MORE THAN THREE TIMES LARGER THAN STRONG'S FORMER EMERGENCY DEPARTMENT. IT WAS DESIGNED TO IMPROVE EFFICIENCY, WITH THE DIGNITY AND COMFORT OF OUR PATIENTS IN MIND, AND HAS BEEN DESIGNATED BY THE NEW YORK STATE DEPARTMENT OF HEALTH AS A LEVEL ONE REGIONAL TRAUMA CENTER. THE ADULT TREATMENT AREA WAS CONSTRUCTED WITH 25 SEMI-PRIVATE PATIENT CUBICLES SURROUNDING A RAISED NURSING STATION SO THAT PATIENTS ARE READILY VISIBLE TO STAFF. AND UNLIKE OTHER EMERGENCY FACILITIES IN THE REGION, IT ALSO INCLUDES A DEDICATED CHILDREN'S EMERGENCY DEPARTMENT WITH A PRIVATE WAITING ROOM. SURPLUS FUNDS ARE ALSO DEDICATED TO SUPPORT RESEARCH. WORK CONTINUED ON OUR NEW CLINICAL AND TRANSLATIONAL RESEARCH INSTITUTE (CTSI) THAT WILL SERVE AS THE HUB OF RESOURCES, EXPERTISE AND NETWORKS NECESSARY TO ACCELERATE THE CLINICAL APPLICATION OF BIOMEDICAL AND BEHAVIORAL RESEARCH SO EFFICACIOUS INTERVENTIONS CAN REACH INDIVIDUALS IN THE COMMUNITY MORE QUICKLY. THE CTSI'S COMMUNITY ENGAGEMENT FUNCTION, WHICH IS ADMINISTERED BY THE UR MEDICAL CENTER'S CENTER FOR COMMUNITY HEALTH, PROVIDES THE INFRASTRUCTURE TO SUPPORT THE CTSI COMMUNITY ENGAGEMENT MISSION BY FACILITATING COMMUNICATION AND PARTNERSHIPS AMONG RESEARCHERS, HEALTH CARE PROVIDERS, AND COMMUNITY MEMBERS AND ORGANIZATIONS. IN ADDITION, SURPLUS FUNDS ALSO SUPPORT THE UR MEDICAL CENTER'S COMMITMENT TO COMMUNITY HEALTH, WHICH DATES BACK TO THE MEDICAL SCHOOL'S FOUNDING. IN 1920, LOCAL BENEFACTOR GEORGE EASTMAN BEQUEATHED A GIFT TO THE SCHOOL WITH THE INSTRUCTIONS THAT THE SCHOOL HELP MAKE ROCHESTER "ONE OF THE HEALTHIEST COMMUNITIES IN THE WORLD." THAT CHARGE HAS GIVEN RISE TO MANY PROGRAMS THAT SEEK TO ADDRESS PUBLIC HEALTH CHALLENGES, INCLUDING OBESITY, SMOKING CESSATION, HOME VISITS FOR AT-RISK MOTHERS, AND EFFORTS TO ELIMINATE DISPARITIES IN IMMUNIZATION RATES. THESE EFFORTS TAKE MANY FORMS AND RANGE FROM GRASSROOTS EFFORTS TO IMPROVE ACCESS, TO HEALTHY FOODS TO HIGH-TECH SOLUTIONS SUCH AS PROVIDING PEDIATRIC AND DENTAL TELEMEDICINE SERVICES TO SCHOOLS AND DAY CARE CENTERS. A FEW EXAMPLES INCLUDE: - THE MONROE COUNTY CANCER SERVICES PROVIDES CANCER SCREENING AND FOLLOW-UP ASSISTANCE TO UNINSURED/UNDER-INSURED FOR BREAST, COLON AND CERVICAL CANCER. THE INITIATIVE ANNUALLY HELPS MORE THAN 1,500 INDIVIDUALS WHO OTHERWISE MAY NOT GET SCREENED. - THE HEALTHY LIVING PROGRAM'S NATIONALLY RECOGNIZED FAITH-BASED PREVENTION PROGRAM WORKS IN THE AFRICAN-AMERICAN AND LATINO COMMUNITIES. HELD IN CHURCH BASEMENTS AND COMMUNITY CENTERS, THIS CULTURALLY SENSITIVE PROGRAM TAUGHT BY CERTIFIED INSTRUCTORS HAS BENEFITED MORE THAN 2,018 ATTENDEES SINCE ITS INCEPTION IN 2002. - OUR "BABY LOVE" PROGRAM, LAUNCHED IN 1988, HAS PROVIDED HOME VISITS AND EVIDENCE-BASED SERVICES TO REDUCE INFANT MORTALITY, PREMATURE BIRTHS, LOW-BIRTH WEIGHT AND FOSTER CARE PLACEMENT OF AT-RISK BABIES. THIS VITAL HOME-VISIT PROGRAM CONTINUES TO MAKE A REMARKABLE DIFFERENCE IN THE LIVES OF YOUNG WOMEN AND THEIR FAMILIES IN THE MOST IMPOVERISHED NEIGHBORHOODS WITHIN OUR INNER CITY. THE PROGRAM SERVES MORE THAN 220 AT-RISK PREGNANT TEENS AND WOMEN AND THEIR NEWBORNS EACH YEAR. BABY LOVE OUTCOMES CONTINUE TO SHOW AVOIDANCE OF NEONATAL INTENSIVE CARE ADMISSION FOR ENROLLED FAMILIES. PART VI, LINE 6 (AFFILIATED HEALTH CARE SYSTEM) THE UNIVERSITY OF ROCHESTER MEDICAL CENTER IS AN INTEGRATED ACADEMIC HEALTH CENTER THAT COMPRISES THE SCHOOL OF MEDICINE AND DENTISTRY, INCLUDING ITS FACULTY PRACTICE (UNIVERSITY OF ROCHESTER MEDICAL FACULTY GROUP); STRONG MEMORIAL HOSPITAL; HIGHLAND HOSPITAL; GOLISANO CHILDREN'S HOSPITAL; JAMES P. WILMOT CANCER CENTER; SCHOOL OF NURSING; EASTMAN INSTITUTE FOR ORAL HEALTH; VISITING NURSE SERVICE; HIGHLANDS AT PITTSFORD; THE HIGHLANDS LIVING CENTER, INC. AND HIGHLANDS AT BRIGHTON. UR MEDICAL CENTER AND THE AFFILIATED HEALTH CARE ENTITIES HAVE EMBRACED A COMPREHENSIVE APPROACH TO COMMUNITY HEALTH, WHICH EMPLOYS THE MULTIDISCIPLINARY SKILLS FOUND IN AN ACADEMIC MEDICAL CENTER TO BOTH PROVIDE IMPORTANT COMMUNITY SERVICES AND CONDUCT COMMUNITY-BASED RESEARCH. THESE ACTIVITIES HELP INFORM POLICYMAKERS AND THE COMMUNITY ABOUT LOCAL HEALTH CHALLENGES, EVALUATE THE EFFECTIVENESS OF INTERVENTIONS, AND SERVE AS A FOUNDATION FOR EVIDENCE-BASED PRACTICES TO IMPROVE HEALTH AND OVERALL QUALITY OF LIFE. - THE UNIVERSITY'S HEALTH CARE DELIVERY NETWORK IS ANCHORED BY STRONG MEMORIAL HOSPITAL, A 800-BED TEACHING HOSPITAL, WHICH INCLUDES A CHILDREN'S HOSPITAL. PATIENTS BENEFIT FROM THE MEDICAL CENTER'S ROBUST TEACHING AND BIOMEDICAL RESEARCH PROGRAMS. STUDENT ROSTERS INCLUDE APPROXIMATELY 400 MEDICAL STUDENTS, 550 GRADUATE STUDENTS, AND 600 RESIDENTS AND FELLOWS WHO ARE ENGAGED IN COMMUNITY SERVICE THROUGHOUT THEIR EDUCATION. - EASTMAN INSTITUTE FOR ORAL HEALTH PROVIDES COMMUNITY DENTAL CARE IN A NUMBER OF CLINICS, AS WELL AS CLINICAL EDUCATION TO DENTAL STUDENTS ENROLLED AT THE UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY. IT OFFERS GENERAL DENTISTRY, PEDIATRIC AND ORTHODONTIC CLINICS, AND AN URGENT CARE DENTAL CLINIC THAT SEES 40-50 PATIENTS A DAY. IT OPERATES LOW-INCOME CLINICS AT SCHOOLS AND A DOWNTOWN LOCATION. ADDITIONALLY, FOUR SMILEMOBILES PROVIDE A DENTAL OFFICE ON WHEELS, ALLOWING THE CITY'S CHILDREN INCREASED ACCESS TO MUCH NEEDED DENTAL CARE. - THE JAMES P. WILMOT CANCER CENTER IS ORGANIZED AROUND A MULTIDISCIPLINARY CARE MODEL, WHICH LEADING CANCER EXPERTS BELIEVE IS THE GOLD STANDARD IN CANCER CARE IN THE 21ST CENTURY. ITS MODEL UNDERSCORES A COMMITMENT TO PROVIDE PATIENTS IN THE ROCHESTER AREA WITH THE MOST UP-TO-DATE INFORMATION AND AVAILABLE TREATMENTS, BASING OUR RECOMMENDATIONS ON THE BEST EVIDENCE. IT IS THE ONLY CENTER IN THE ROCHESTER AND FINGER LAKES REGION OFFERING THIS TEAM APPROACH TO CARE. A VARIETY OF FREE PREVENTIVE EDUCATION EVENTS ARE HELD THROUGHOUT THE YEAR, INCLUDING MEN'S HEALTH DAY, WHICH INCLUDES NUMEROUS FREE HEALTH SCREENINGS; FREE SKIN CANCER SCREENINGS; AND BREAST CANCER SCREENINGS FOR THE UNINSURED AND UNDERINSURED. - GOLISANO CHILDREN'S HOSPITAL, HOUSED IN STRONG MEMORIAL HOSPITAL, IS A 132-BED CHILDREN'S HOSPITAL THAT SERVES AS THE REFERRAL CENTER FOR UPSTATE NEW YORK, SURROUNDING STATES AND CANADA. IT COMBINES AWARD-WINNING RESEARCH, INTERNATIONALLY ACCLAIMED EDUCATION AND COMPASSIONATE CARE TO SERVE CHILDREN AND FAMILIES. PEDIATRIC SPECIALTIES INCLUDE ORTHOPAEDICS, NEUROLOGY/NEUROSURGERY, CANCER AND NEONATAL CARE. IN ADDITION TO THESE TRADITIONAL MEDICAL SERVICES, GOLISANO CHILDREN'S HOSPITAL IS THE NATION'S MODEL FOR "COMMUNITY PEDIATRICS," A PHILOSOPHY THAT EMBRACES THE IDEA THAT A CHILD'S COMMUNITY AND ENVIRONMENT AFFECT HIS HEALTH AND, THEREFORE, HE CANNOT BE TREATED SOLELY IN AN EXAM ROOM. THE HOSPITAL ENCOURAGES PHYSICIANS AND STAFF TO PARTNER WITH COMMUNITY ORGANIZATIONS TO IMPROVE VACCINATION RATES, EDUCATIONAL OPPORTUNITIES, SAFETY AT HOME AND ON PLAYGROUNDS, AND HEALTH INSURANCE AND HEALTH CARE ACCESS. THE UNIVERSITY'S WHOLLY OWNED HEALTH CARE AFFILIATES ARE: - HIGHLAND HOSPITAL OF ROCHESTER (HIGHLAND) PROVIDES INPATIENT AND OUTPATIENT HEALTHCARE SERVICES WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY. HIGHLAND OPERATES A 261-BED ACUTE CARE HOSPITAL, AS WELL AS 13 PRIMARY CARE SATELLITE CLINICS, AND OB/MIDWIFERY CLINIC, BREAST CARE CLINIC, AND THREE RADIATION ONCOLOGY TREATMENT CENTERS. HIGHLAND IS ALSO A TEACHING AFFILIATE OF THE UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY. HIGHLAND'S SERVICE AREA INCLUDES MONROE COUNTY, NEW YORK, AS WELL AS SEVERAL COUNTIES SURROUNDING THE ROCHESTER, NEW YORK REGION. - VISITING NURSE SERVICE OFFERS CERTIFIED AND LICENSED HOME HEALTH CARE SERVICES FOR NEWBORNS TO SENIORS. - THE HIGHLANDS AT PITTSFORD CAMPUS INCLUDES TWO SEPARATE CORPORATIONS WITH DIFFERENT ACTIVITIES OFFERING SKILLED NURSING CARE AS WELL AS ASSISTED AND INDEPENDENT LIVING FOR SENIORS. THE HIGHLANDS LIVING CENTER IS A 122-BED SKILLED NURSING FACILITY THAT ALSO OFFERS AN ADULT DAY CARE PROGRAM. THE 60-BED ASSISTED LIVING, 171-BED INDEPENDENT LIVING, AND COMMUNITY EDUCATION ARE PROVIDED BY HIGHLAND COMMUNITY DEVELOPMENT CORPORATION D/B/A THE HIGHLANDS AT PITTSFORD AND LAURELWOOD AT THE HIGHLANDS. THE HIGHLANDS OFFER A COMPREHENSIVE SERIES OF COMMUNITY EDUCATION PROGRAMS ON CURRENT HEALTH TOPICS, INCLUDING HEART HEALTH, NUTRITION, ORAL HEALTH, AND DIABETES PREVENTION, TO NAME A FEW. - THE HIGHLANDS AT BRIGHTON IS A 145-BED SKILLED NURSING FACILITY THAT SPECIALIZES IN CARE FOR THE MOST MEDICALLY COMPLEX CASES. STATE FILING OF COMMUNITY BENEFIT REPORT 990 SCHEDULE H, PART VI NY, true SCHOLARSHIPS AND FELLOWSHIPS TO STUDENTS 6411 151430029 N/A N/A STUDENT SCHOLARSHIP, FELLOWSHIPS AND STUDENT LOANS SCHEDULE I, PART IV STUDENYS WHO RECEIVE SCHOLARSHIPS, FELLOWSHIPS AND STUDENT LOANS FROM THE UNIVERSITY OF ROCHESTER ARE SELECTED AND THE AMOUNT OF GRANTS OR LOANS DETERMINED BY OBJECTIVE AND NON-DISCRIMINATORY PROCESSES APPLIED TO ALL SIMILARLY SITUATED INDIVIDUALS. THE DECISIONS ARE MADE ON A CASE BY CASE BASIS THROUGH EVALUATING THE ACADEMIC ACHIEVEMENT AND FINANCIAL NEED OF THE APPLICANT IN LIGHT OF THE FUNDS AVAILABLE FOR THIS PURPOSE. SUBAWARDS SCHEDULE I, PART II IN FURTHERANCE OF ITS RESEARCH ACTIVITIES, THE UNIVERSITY OF ROCHESTER MAKES SUB-AWARDS TO OTHER ORGANIZATIONS THAT PERFORM RESEARCH IN CONNECTION WITH RESEARCH GRANTS AWARDED TO THE UNIVERSITY. THE UNIVERSITY DOES NOT CATEGORIZE THESE SUB-AWARDS AS "GRANTS" FOR FORM 990, SCHEDULE I REPORTING, SINCE THE RECIPIENT ORGANIZATIONS PERFORM RESEARCH SERVICES FOR THE UNIVERSITY AND ARE CONSIDERED INDEPENDENT CONTRACTORS WHICH SERVE THE DIRECT NEEDS OF THE UNIVERSITY. X X X X X X true true X X X X X X false true false false false false false true false JOEL SELIGMAN 700836 0 0 0 16902 0 136073 0 18344 0 872155 0 0 0 PAUL J BURGETT 198536 0 0 0 8747 0 19939 0 7715 0 234937 0 0 0 BRADFORD C BERK 856511 0 0 0 62096 0 193273 0 19708 0 1131588 0 0 0 RALPH W KUNCL 524229 0 0 0 25474 0 23573 0 53155 0 626431 0 0 0 PETER LENNIE 407461 0 0 0 17474 0 24466 0 12939 0 462340 0 0 0 WILLIAM M MURPHY 227078 0 0 0 0 0 22453 0 11545 0 261076 0 0 0 RONALD J PAPROCKI 520549 0 0 0 21075 0 23573 0 21490 0 586687 0 0 0 DOUGLAS W PHILLIPS 272199 0 0 0 41913 0 263573 0 19611 0 597296 0 0 0 SUE S STEWART 400636 0 0 0 16600 0 24781 0 10876 0 452893 0 0 0 MARK B TAUBMAN 713392 0 0 0 711 0 118573 0 20008 0 852684 0 0 0 JAMES D THOMPSON 472475 0 0 0 42541 0 24965 0 20090 0 560071 0 0 0 RICHARD FISHER 613774 0 0 0 17942 0 49323 0 18251 0 699290 0 0 0 STEVEN GOLDSTEIN 854020 0 0 0 47743 0 182973 0 3627 0 1088363 0 0 0 MICHAEL C GOONAN 546739 0 0 0 33753 0 205674 0 10177 0 796343 0 0 0 RAYMOND J MAYEWSKI 476883 0 0 0 35670 0 127183 0 3158 0 642894 0 0 0 PETER G ROBINSON 556125 0 0 0 30056 0 189173 0 23537 0 798891 0 0 0 ELIZABETH MCANARNEY 132081 0 0 0 16500 0 13795 0 7287 0 169663 0 0 0 MICHAEL D MALONEY MD 504206 0 1010989 0 0 0 263573 0 17481 0 1796249 0 0 0 MARC D BROWN MD 554977 0 1076205 0 16500 0 23573 0 17069 0 1688324 0 0 0 JEFFREY H PETERS MD 921828 0 250000 0 57243 0 41573 0 18698 0 1289342 0 0 0 BRENT DUBESHTER MD 934414 0 219404 0 0 0 23573 0 19285 0 1196676 0 0 0 JASON HAITAO HUANG MD 574321 0 870000 0 16500 0 23573 0 19848 0 1504242 0 0 0 DETAIL REGARDING BENEFITS PROVIDED SCHEDULE J, PART I, LINE 1A FIRST CLASS OR CHARTER TRAVEL IN CERTAIN CIRCUMSTANCES, THE PRESIDENT OF THE UNIVERSITY OF ROCHESTER (THE "UNIVERSITY") MAY TRAVEL FIRST CLASS IF CERTAIN TIME/DISTANCE REQUIREMENTS ARE MET AND A VALID UNIVERSITY-RELATED BUSINESS PURPOSE FOR THE TRAVEL EXISTS. TRAVEL FOR COMPANIONS IN CERTAIN CIRCUMSTANCES, THE SPOUSE OF THE PRESIDENT OR OTHER KEY EMPLOYEE MAY TRAVEL FOR UNIVERSITY PURPOSES. EXAMPLES OF SUCH TRAVEL INCLUDE ATTENDANCE AT FUNDRAISING OR ALUMNI EVENTS. IN ACCORDANCE WITH APPLICABLE LEGAL STANDARDS, THE UNIVERSITY WILL PAY FOR SPOUSAL TRAVEL AS A REGULAR BUSINESS EXPENSE ONLY IF THE SPOUSAL TRAVEL SERVES A "BONA FIDE BUSINESS PURPOSE" OF THE UNIVERSITY. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS THE UNIVERSITY MAY PROVIDE TAX GROSS-UP PAYMENTS UNDER CERTAIN CIRCUMSTANCES AS APPROVED BY THE BOARD. THE UNIVERSITY DOES NOT GENERALLY PROVIDE TAX INDEMNIFICATIONS. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE/SOCIAL CLUB DUES/PERSONAL SERVICES AS A CONDITION OF EMPLOYMENT, THE PRESIDENT AND PROVOST ARE REQUIRED TO LIVE IN A HOME ON THE UNIVERSITY'S CAMPUS WHICH IS FURNISHED AND MAINTAINED AT THE UNIVERSITY'S EXPENSE. THE UNIVERSITY ALSO PROVIDES A SOCIAL CLUB MEMBERSHIP, TO BE USED BY THE PROVOST IN CONNECTION WITH HIS DUTIES. THE PRESIDENT AND PROVOST ARE RESPONSIBLE FOR ANY PERSONAL USE OF THE CLUB MEMBERSHIP, HOUSEHOLD STAFF OR OTHER PERSONAL EXPENSES INCURRED. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PARTICIPATION SCHEDULE J, PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED EMPLOYER PAID AMOUNTS THAT ARE INCLUDED IN DEFERRED COMPENSATION: BRADFORD C. BERK - SERP - $144,700 MARK B. TAUBMAN - SERP - $ 95,000 RICHARD FISHER - SERP - $ 25,750 RAYMOND J. MAYEWSKI - SERP - $103,610 STEVEN GOLDSTEIN - SERP - $159,400 JEFFREY PETERS - SERP - $ 18,000 MICHAEL C. GOONAN - SERP - $61,500 PETER G. ROBINSON - SERP - $45,000 JOEL S. SELIGMAN - 457(F) - $112,500 MICHAEL MALONEY - 457(F) - $240,000 DOUGLAS PHILLIPS - 457(F) - $240,000 BRADFORD C. BERK - 457(F) - $25,000 MICHAEL C. GOONAN - 457(F) - $120,600 PETER G. ROBINSON - 457(F) - $120,600 PROVISION OF NON-FIXED PAYMENTS SCHEDULE J, LINE 7 THE UNIVERSITY OF ROCHESTER MEDICAL SCHOOL COMPENSATION PLAN ALLOWS COMPENSATION TO BE CALCULATED, IN PART, BY MEDICAL SERVICES RENDERED. THE UNIVERSITY OF ROCHESTER DOES NOT PROVIDE DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION. PAYMENTS MADE TO ANY DISQUALIFIED PERSON IS APPROVED BY THE BOARD THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15. DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64983UP20 2003-11-06 164425000 2003 A,B,C- CAPITAL PROJECTS false false false DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64983TC50 2004-08-26 45602797 2004 A- CO-GENERATION FACILITY false false false DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64983QWB1 2006-03-16 111180000 2006 A-1 & B-1- BOND REFINANCING false false false DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649903BH3 2007-02-21 180959178 2007 A-1, A-2 & B- CAPITAL PROJECT false false false 57670000 0 165914139 0 0 0 3122743 2349000 383179 70315050 89744167 0 2009 true true true true 20040331 0 46665022 0 2520693 0 839083 0 0 43305246 0 0 2008 false false true true 0 0 111180000 0 0 0 2170437 1213000 0 0 107796563 0 2000 false true true true 5212211 0 186724874 0 1501163 0 3175140 0 1629892 173638861 0 6779818 2010 false false true true false true true true true true 0 true false true true true true true 0.00300 0.00200 0.00500 true 0 false true true true true true 0.00900 0.00900 true false true true WELLSFARGOCITIGROUP 30. false false false 0 true false false false false 0 false 0 false false false true true BANK OF AMERICA 21.3 false false false 0 false false false false false 0 false 0 true false DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649903GW5 2007-02-21 63115512 2007 C- BOND REFINANCING false false false DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649905KLP 2009-07-22 120741579 2009 A B C D E CAPITAL PROJECTS false false false MONROE COUNTY INDUSTRIAL DEVELOPMENT CORPORATION 510188852 61075TCE6 2011-09-01 175747934 2011 A, B MCIDC-CAPITAL PROJECTS false false false 82848 0 63115512 0 0 0 965109 499130 0 0 61651273 0 2008 false true true true 23827800 0 120921173 0 0 0 1169973 0 780606 58273658 41152989 19543947 2010 true true true true 3982398 0 175602740 0 0 0 1502375 0 1358040 75008162 16143159 81591004 2011 true false true true false true true true true true 0.00400 0.00200 0.00600 true false true true true true true 0.00200 0.00200 true false true true true true true 0.00000 0.00100 0.00100 true false false false 0 false 0 false false false false false 0 false 0 false false false false false 0 false 0 false false SEE SCHEDULE O FOR ADDITIONAL SUPPLEMENTAL INFORMATION 0 0 SUSAN FISHER FAMILY MEMBER OF KEY EMPL 299017 PAYMENT OF COMPENSATION false MARY BERK FAMILY MEMBER OF OFFICER 47496 PAYMENT OF COMPENSATION false LAMAR MURPHY FAMILY MEMBER OF OFFICER 228467 PAYMENT OF COMPENSATION false BONNIE GOLDSTEIN FAMILY MEMBER OF KEY EMPL 82485 PAYMENT OF COMPENSATION false THOMAS W WITMER FAMILY MEMBER OF TRUSTEE 205701 PAYMENT OF COMPENSATION false KAREN BERK FAMILY MEMBER OF OFFICER 51752 PAYMENT OF COMPENSATION false DENNIS KESSLER FAMILY MEMBER OF TRUSTEE 45176 PAYMENT OF COMPENSATION false XEROX COMMON TRUSTEE/OFFICER 2050045 PURCHASE OF BUSINESS SERVICES false PAETEC COMMON TRUSTEE/OFFICER 155294 PURCHASE OF COMMUN. SERVICE false LECHASE CONSTRUCTION COMMON TRUSTEE/OFFICER 21940605 PURCHASE OF CONSTRUCTION SVCS false BECTON DICKINSON AND COMPANY COMMON TRUSTEE/OFFICER 1460823 PURCHASE PRODUCTS EQ/SVC CONTR false WEGMANS COMMON TRUSTEE/OWNER 162184 PAYMENT OF DRUG DISPENSING FEE false JP MORGAN CHASE BANK COMMON TRUSTEE/OFFICER 814319 PURCHASE OF BANKING SERVICES false COCA COLA COMMON TRUSTEE/OFFICER 788755 PURCHASE OF PRODUCTS false INDIA EQUITY PARTNERS FAMILY MEMBER OF TRUSTEE 307060 PURCHASE OF INVESTMENT ADVICE false X 23 70491 FAIR MARKET VALUE X 500 FAIR MARKET VALUE X 218 13161030 FAIR MARKET VALUE X 1 7015 FAIR MARKET VALUE X 23 235495 FAIR MARKET VALUE X MEDICAL PRACTICE 1 750000 FAIR MARKET VALUE X GIFT-IN-KIND 28 15963 FAIR MARKET VALUE X PERSONAL PROPERTY 193 97650 FAIR MARKET VALUE X MISCELLANEOUS EQUIPMENT 28 80477 FAIR MARKET VALUE X MUSICAL INSTRUMENTS 7 53150 FAIR MARKET VALUE 12 false true false DESCRIPTION OF THE NUMBER OF CONTRIBUTIONS FORM 990, SCHEDULE M, PART I, COLUMN (B) THE UNIVERSITY OF ROCHESTER REPORTS ALL NON-CASH CONTRIBUTIONS RECEIVED, OTHER THAN SECURITIES, BASED ON THE NUMBER OF NON-CASH ITEMS RECEIVED. DETAIL OF OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4d AUXILIARY ENTERPRISES- THE UNIVERSITY OPERATES EITHER DIRECTLY OR THROUGH THIRD PARTY CONTRACTORS FOOD SERVICES WHICH SERVED 4,918 UNDERGRADUATES 2,620,501 MEALS IN FIVE DINING SERVICES. THE UNIVERSITY HAS 837 UNITS USED FOR STUDENT HOUSING. DETAIL OF FAMILY OR BUSINESS RELATIONSHIPS FORM 990, PART VI, SECTION A, LINE 2 RICHARD T. AAB AND ARUNAS A. CHESONIS - BUSINESS RELATIONSHIP RICHARD T. AAB AND DAVID FLAUM - BUSINESS RELATIONSHIP THOMAS S. RICHARDS AND SUE S. STEWART - BUSINESS RELATIONSHIP LAURENCE H. BLOCH AND MICHAEL S. ROSEN - BUSINESS RELATIONSHIP DESCRIPTION OF FORM 990 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11b THE FORM 990 OF UNIVERSITY OF ROCHESTER IS PREPARED BY FINANCE STAFF AND PROVIDED TO PRICEWATERHOUSECOOPERS LLP AND SENIOR MANAGEMENT FOR REVIEW PRIOR TO FILING. THE FORM 990 WAS ALSO PROVIDED TO THE UNIVERSITY'S AUDIT AND RISK ASSESSMENT COMMITTEE PRIOR TO FILING. THE COMMITTEE'S QUESTIONS AND COMMENTS WERE ADDRESSED AT A COMMITTEE MEETING PRIOR TO FILING. THE FORM 990 WAS ALSO PROVIDED TO THE ENTIRE BOARD OF TRUSTEES PRIOR TO FILING. DESCRIPTION OF PROCESS TO MONITOR CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, COMMITTEE MEMBERS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE A CONFLICT OF INTEREST: A) PRIOR TO VOTING ON OR OTHERWISE DISCHARGING THEIR DUTIES WITH RESPECT TO ANY MATTER INVOLVING THE CONFLICT WHICH COMES BEFORE THE BOARD OR ANY COMMITTEE; B) PRIOR TO ENTERING INTO ANY CONTRACT OR TRANSACTION INVOLVING THE CONFLICT; C) AS SOON AS POSSIBLE AFTER THE DIRECTOR, COMMITTEE MEMBER OR OFFICER LEARNS OF THE CONFLICT; AND D) ON AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM. THE FORM IS DISTRIBUTED ANNUALLY AND REQUIRES DISCLOSURE OF ALL CONFLICTS OF INTEREST, INCLUDING SPECIFIC INFORMATION CONCERNING THE TERMS OF ANY CONTRACT OR TRANSACTION WITH THE UNIVERSITY THAT INVOLVES A POTENTIAL CONFLICT OF INTEREST FOR THE INDIVIDUAL. THE FORMS ARE REVIEWED BY LEGAL COUNSEL, AND CONFLICTS DISCLOSED ON THE FORMS OR ON AN AD-HOC BASIS ARE REVIEWED BY AN INDEPENDENT BOARD COMMITTEE. THE COMMITTEE CONSIDERS THE MATERIAL FACTS CONCERNING ANY PROPOSED CONTRACT OR TRANSACTION, INCLUDING THE PROCESS BY WHICH THE DECISION WAS MADE TO APPROVE OR RECOMMEND ENTERING INTO THE ARRANGEMENT ON THE TERMS PROPOSED, AND APPROVES SUCH CONTRACTS OR TRANSACTIONS ONLY IF THE TERMS ARE FAIR AND REASONABLE TO THE UNIVERSITY AND THE ARRANGEMENTS ARE CONSISTENT WITH THE BEST INTERESTS OF THE UNIVERSITY. DESCRIPTION OF PROCESS FOR DETERMINING COMPENSATION FORM 990, PART VI, SECTION B, LINES 15A AND 15B WRITTEN SELF-EVALUATIONS AND PERFORMANCE EVALUATIONS FOR THE UNIVERSITY'S OFFICERS AND KEY EMPLOYEES ARE REVIEWED ANNUALLY BY THE UNIVERSITY'S COMMITTEE ON COMPLIANCE AND COMPENSATION. THE COMMITTEE REVIEWS AND APPROVES TOTAL COMPENSATION FOR OFFICERS AND KEY EMPLOYEES AND CONSIDERS, IN ADDITION TO THE PERFORMANCE EVALUATIONS, THE SCOPE OF THE INDIVIDUAL'S JOB RESPONSIBILITIES, PREVIOUS COMPENSATION AND COMPARABLE COMPENSATION PAID TO PEOPLE WITH SIMILAR RESPONSIBILITIES AT COMPARABLE INSTITUTIONS. THE COMPARABLE INFORMATION IS PROVIDED BY AN INDEPENDENT CONSULTANT AND BY REFERENCE TO LOCAL, REGIONAL AND NATIONAL COMPENSATION SURVEYS. DESCRIPTION FOR MAKING DOCUMENTS PUBLIC FORM 990, PART VI, SECTION C, LINE 19 THE UNIVERSITY OF ROCHESTER'S AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC BY POSTING THEM ON THE UNIVERSITY'S WEBSITE. THE UNIVERSITY OF ROCHESTER'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT ROUTINELY MADE AVAILABLE TO THE PUBLIC. DETAIL OF INDEPENDENT CONTRACTOR PAYMENTS FORM 990, PART VII, SECTION B THE PAYMENT AMOUNTS LISTED FOR LECHASE CONSTRUCTION SERVICES, THE PIKE COMPANY, INC., AND DGA BUILDERS, LLC., REPRESENT THE ESTIMATED SERVICE COMPONENT OF THE TOTAL PAYMENTS MADE TO THESE VENDORS FOR CONSTRUCTION SERVICES. STATES WHERE A COPY OF THE FORM 990 IS FILED FORM 990, PART VI, SECTION C, LINE 17 ALTHOUGH THE UNIVERSITY OF ROCHESTER IS LOCATED IN THE STATE OF NEW YORK, A COPY OF ITS FORM 990 IS NOT REQUIRED TO BE FILED WITH THE STATE, SINCE EDUCATIONAL INSTITUTIONS INCORPORATED UNDER THE NEW YORK STATE EDUCATION LAW ARE EXEMPT FROM FILING IN THE STATE OF NEW YORK. DETAIL OF OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 OTHER CHANGES IN NET ASSETS IS COMPRISED OF THE FOLLOWING ITEMS: NET UNREALIZED DEPRECIATION $(108,175,489) CHANGE IN VALUATION OF ANNUITIES $ (1,619,290) TRANSFERS TO AFFILIATES $ (1,568,001) OTHER CHANGES $ (19,372,154) ______________ TOTAL $(130,734,934) DELEGATION OF AUTHORITY PART VI, SECTION A, LINE 1a THE BY-LAWS OF THE UNIVERSITY PROVIDE FOR AN EXECUTIVE COMMITTEE THAT MAY EXERCISE ALL THE POWERS OF THE BOARD IN INTERVALS BETWEEN MEETINGS OF THE BOARD OF TRUSTEES, EXCEPT THAT THE EXECUTIVE COMMITTEE DOES NOT HAVE POWER (1) TO GRANT DEGREES, (2) TO REMOVE A TRUSTEE OR OFFICER, (3) TO ELECT TRUSTEES, THE CHAIR OF THE BOARD OR THE PRESIDENT, OR (4) TO AMEND, ALTER OR REPEAL THE BY-LAWS. THE MEMBERS OF THE EXECUTIVE COMMITTEE ARE ALL TRUSTEES. THE EXECUTIVE COMMITTEE CONSISTS OF THE CHAIR OF THE BOARD, THE PRESIDENT, THE CHAIRS OF THE BOARD COMMITTEES OF INVESTMENT, NOMINATIONS AND BOARD PRACTICES, FACILITIES, AUDIT AND RISK ASSESSMENT, PERSONNEL, HEALTH AFFAIRS, ACADEMIC AFFAIRS, RESEARCH AND INNOVATION, FINANCIAL PLANNING, STUDENT AFFAIRS, COMPLIANCE AND COMPENSATION, AND DEVELOPMENT PLUS SUCH OTHER TRUSTEES AS THE BOARD OF TRUSTEES MAY ELECT TO SERVE FOR TERMS NOT TO EXCEED FIVE YEARS. SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS FORM 990, SCHEDULE K PART II, LINE 3 BOND ISSUE 2003 A,B,C THE TOTAL PROCEEDS OF ISSUE REPORTED FOR THE 2003 A,B,C BOND ISSUE INCLUDES $1,489,139 IN INVESTMENT EARNINGS. BOND ISSUE 2004 A THE TOTAL PROCEEDS OF ISSUE REPORTED FOR THE 2004A BOND ISSUE INCLUDES $1,062,225 IN INVESTMENT EARNINGS. BOND ISSUE 2007 A-1, A-2, B THE TOTAL PROCEEDS OF ISSUE REPORTED FOR THE 2007 A-1, A-2, B BOND ISSUE INCLUDES $5,765,696 IN INVESTMENT EARNINGS. BOND ISSUE 2009 A,B,C,D,E THE TOTAL PROCEEDS OF ISSUE REPORTED FOR THE 2009 A,B,C,D,E BOND ISSUE INCLUDES $179,593 IN INVESTMENT EARNINGS. BOND ISSUE 2011 A,B THE TOTAL PROCEEDS OF ISSUE REPORTED FOR THE 2011 A,B BOND ISSUE INCLUDES $145,195 IN INVESTMENT LOSSES. PART I, ROW D, COLUMN C ADDITIONAL BOND CUSIP INFORMATION BOND ISSUE 2007 A-2 CUSIP #649903CK5 BOND ISSUE 2007 B CUSIP #649903CG4 BOND ISSUE 2011 CUSIP #61075TDC9 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PAUL J BURGETT TITLE:VP AND GENERAL SECRETARY HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:BRADFORD C BERK TITLE:SR. VP HEALTH SCIENCE HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RONALD J PAPROCKI TITLE:SR. VP ADMIN & FINANCE, CFO HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SUE S STEWART TITLE:SR VP AND GENERAL COUNSEL HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:STEVEN GOLDSTEIN TITLE:VICE PRESIDENT- URMC HOURS:16 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL C GOONAN TITLE:VICE PRESIDENT & CFO, URMC HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RAYMOND J MAYEWSKI TITLE:VP, URMC OFC SR VP FOR HEALTH HOURS:9 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PETER G ROBINSON TITLE:VP&COO, MEDCTR & STRONG HEALTH HOURS:5 UNIVERSITY OF ROCHESTER INVESTMENT LLC 266 WALLIS HALL ROCHESTER NY 14627 160743209 INVESTING DE 194979 4435660 UNIV OF ROCH EXTENSIBLE CATALOG ORGANIZATION LLC 263 WALLIS HALL ROCHESTER NY 14627 160743209 TECH DEVELOP NY 80946 44538 UNIV OF ROCH SPRUCE RISK PURCHASING GROUP LLC 263 WALLIS HALL ROCHESTER NY 14627 160743209 INSURANCE NY 0 0 UNIV OF ROCH HIGHLAND 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