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        <BusinessNameLine1>M M EWING CONTINUING CARE CENTER</BusinessNameLine1>
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        <City>Canandaigua</City>
        <State>NY</State>
        <ZIPCode>144241731</ZIPCode>
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      <Title>Sr VP Finance / CFO</Title>
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      <DateSigned>2013-11-12</DateSigned>
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      <FeesForServicesAccounting>
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      <FeesForServicesLobbying>
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        <ProgramServices>562074</ProgramServices>
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      <Advertising>
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        <ProgramServices>44969</ProgramServices>
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      <TravelEntrtnmntPublicOfficials>
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        <Identifier>F990_P06_S0A_L04</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 4</ReturnReference>
        <Explanation>Effective August 31, 2012 the Health System (parent corporation), the University of Rochester Medical Center (URMC) and the University of Rochester (UR) entered into an affiliation agreement, which resulted in the UR becoming the sole corporate member of the Health System.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L11b</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11b</ReturnReference>
        <Explanation>The Director of Finance reviewed the return and consulted with the independent auditors on any areas of question. The return was presented at a Board meeting prior to filing, with an overview of the changes from prior year. The return was made available to the Board memebers via a shared intranet web-site. Questions were entertained by management prior to filing.</Explanation>
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      <GeneralExplanation>
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        <Explanation>The conflict of interest disclosure statements for the Board members are submitted annually to the Chair of the nominating committee and they are responsible for monitoring compliance and follow up with any potential conflicts. For the Officers, the statements are submitted annually to the CEO who is responsible for monitoring compliance and follow-up with any potential conflicts.</Explanation>
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        <Explanation>These documents are available upon request by contacting the adminstration office.</Explanation>
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        <Explanation>Change in fair value of interest rate swap - $25,589; Change in funded status of pension plan - ($166,453); change in beneficial interest in FFThompson Foundation, Inc 26,714.</Explanation>
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