THE UNITY HOSPITAL OF ROCHESTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
THE UNITY HOSPITAL OF ROCHESTER (EIN 23-7221763)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-13
IRS object ID
201323179349304622
Schema version
2012v2.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-13T13:49:05-08:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237221763EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1The Unity Hospital of RochesterBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlUNITNameControl
Phone5853686290Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11555 Long Pond RdAddressLine1
CityRochesterCity
StateNYState
ZIP Code14626ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameThomas R CrillyName
TitleCFOTitle
Date Signed2013-11-13DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWarren HernNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11555 Long Pond RdAddressLine1
CityRochesterCity
StateNYState
ZIP Code14626ZIPCode
FieldValueIRS element (for citing)
Gross Receipts395439008GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.unityhealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1972YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionSee Schedule OActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees5642TotalNbrEmployees
Total Nbr Volunteers915TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year2921892ContributionsGrantsPriorYear
Contributions Grants Current Year3330710ContributionsGrantsCurrentYear
Program Service Revenue Prior Year374609463ProgramServiceRevenuePriorYear
Program Service Revenue CY386137402ProgramServiceRevenueCY
Investment Income Prior Year580555InvestmentIncomePriorYear
Investment Income Current Year571811InvestmentIncomeCurrentYear
Other Revenue Prior Year5677648OtherRevenuePriorYear
Other Revenue Current Year5399085OtherRevenueCurrentYear
Total Revenue Prior Year383789558TotalRevenuePriorYear
Total Revenue Current Year395439008TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year222527942SalariesEtcPriorYear
Salaries Etc Current Year234941624SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year154921060OtherExpensePriorYear
Other Expenses Current Year154339165OtherExpensesCurrentYear
Total Expenses Prior Year377449002TotalExpensesPriorYear
Total Expenses Current Year389280789TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6340556RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6158219RevenuesLessExpensesCY
Total Assets BOY390852190TotalAssetsBOY
Total Assets EOY408472845TotalAssetsEOY
Total Liabilities BOY358711405TotalLiabilitiesBOY
Total Liabilities EOY371261374TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY32140785NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY37211471NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSee Schedule OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense100290256Expense
Revenue140844428Revenue
DescriptionAcute 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 2012 totaled 17,056.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense88904961Expense
Revenue135334558Revenue
DescriptionAcute 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 2012 were 295,084.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense67069577Expense
Revenue54738524Revenue
DescriptionPhysician 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 2012 were 426,942.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp60725361TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev65851152TotalOfOtherProgramServiceRev
Total Program Service Expense316990155TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingtrueCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096309NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees5642NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonThe Unity Hospital of RochesteNamePerson
Telephone Number5853686227TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line195 Canal Landing BlvdAddressLine1
CityRochesterCity
StateNYState
ZIP Code14626ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Faheem AR Masood
Treasurer0.251.25XX000
John Halstead PhD
Director0.500.60X000
Scott Turner
Director0.500.60X000
Jeffrey C Mapstone
Chairman0.251.25XX000
Gregory Lewish MD
Vice Chairman0.500.60XX000
Rich Jasinski
Director0.500.60X000
Hari P Garg MD
Director0.500.60X000
Richard Machemer PhD
Secretary0.200.80XX000
William Neilson
Director0.500.60X000
Robert Oppenheimer
Director0.500.60X000
Rufus Judson
Director0.500.60X000
Warren Hern
CEO - UHS10.0030.00XX40572240572174259
Karen Gallina
Director0.251.25X000
Mark Meyer
Director0.500.60X000
Ruth Hetland MD
Director0.500.60X000
Robert Asbury MD
Director0.500.60X000
Douglas F Brush
Director0.500.60X000
Mary Jane Hellyar
Director0.500.60X000
Stewart Putnam
President-HCSD25.0015.00X159127717680968528
Thomas R Crilly
Exec. VP/CFO15.0025.00X18423118423060143
Samuel Tripp
Physician40.000.00513873034871X
Ziad Alkhoury
Physician40.000.00686452035311X
Bharat Gupta
Physician40.000.00959201052918X
Daniel W Grace
Physician40.000.00755356029897X
Paul K Maurer
Physician40.000.001391160070646X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6487272TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs766760TotalReportableCompFrmRltdOrgs
Total Other Compensation426573TotalOtherCompensation
Number Individuals GT100 K8NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Wahl Media
580 Packetts LandingFairportNY14450Advertising715398
NurseFinders
PO Box 910738DallasTX753910738Temp Nursing Service758187
LeChase Construction
300 Trolley BlvdRochesterNY14606Construction35196998
Huron Health Care Inc
3005 Momentum PlaceChicagoIL606895330Consulting2369143
Gardner Plus Architects
40 Wildbriar RoadRochesterNY14623Architectural Servic1553862
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Government Grants3296106GovernmentGrants
All Other Contributions34604AllOtherContributions
Total Contributions3330710TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Other9000993685622036856220
MVP9000991886004618860046
Medicare900099162041259162041259
Medicaid9000997338405673384056
Blue Cross9000998900540889005408

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column5990413TotalRevenueColumn
Related Or Exempt Function Income5990413RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue386137402TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column588644TotalRevenueColumn
Exclusion$588,644ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-16833TotalRevenueColumn
Exclusion-$16,833ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Physician6211101908034$1,908,034
Miscellaneous9000991048378$1,048,378
Cafeteria9000991509542$1,509,542

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column933131TotalRevenueColumn
Exclusion$933,131ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue5399085TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column395439008TotalRevenueColumn
Related Or Exempt Function Income386137402RelatedOrExemptFunctionIncome
Exclusion$5,970,896ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4087551Total
Program Services3188290ProgramServices
Management And General899261ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total184485270Total
Program Services143898511ProgramServices
Management And General40586759ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total11128513Total
Program Services8680240ProgramServices
Management And General2448273ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total21793337Total
Program Services16998803ProgramServices
Management And General4794534ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total13446953Total
Program Services10488623ProgramServices
Management And General2958330ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total3287019Total
Program Services2563875ProgramServices
Management And General723144ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total487289Total
Program Services380085ProgramServices
Management And General107204ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total201003Total
Program Services156782ProgramServices
Management And General44221ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total26906894Total
Program Services20987380ProgramServices
Management And General5919514ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1203826Total
Program Services938984ProgramServices
Management And General264842ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total11299937Total
Program Services8813951ProgramServices
Management And General2485986ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total7508608Total
Program Services5856714ProgramServices
Management And General1651894ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total13462221Total
Program Services10500532ProgramServices
Management And General2961689ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total640370Total
Program Services499489ProgramServices
Management And General140881ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total3850178Total
Program Services3003139ProgramServices
Management And General847039ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total14489642Total
Program Services11301921ProgramServices
Management And General3187721ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3773363Total
Program Services2943223ProgramServices
Management And General830140ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Miscellaneous21801681700531479637
Parts & Repairs23637181843700520018
Prov for Doubtful Accounts88397198839719
Medical Supplies5178617551786175

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2059035Total
Program Services1619488ProgramServices
Management And General439547ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total389280789Total
Program Services316990155ProgramServices
Management And General72290634ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY11149307BOY
EOY18634323EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY14068648BOY
EOY8837587EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY35995725BOY
EOY37140636EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY6538027BOY
EOY6918402EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2412663BOY
EOY2400024EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis406121056LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec187384127LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY157892079BOY
EOY218736929EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY162795741BOY
EOY115804944EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY390852190BOY
EOY408472845EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY51295266BOY
EOY51752540EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY3564910BOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY221404131BOY
EOY220525702EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY72662BOY
EOY52832EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY17756358BOY
EOY21107550EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY64618078BOY
EOY77822750EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY358711405BOY
EOY371261374EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY32140785BOY
EOY37211471EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY32140785BOY
EOY37211471EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY390852190BOY
EOY408472845EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses6158219ReconcilationRevenueExpenses
Reconcilation Other Changes-1087533ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtctrueAgentTrusteeEtc
Beginning Balance72662BeginningBalance
Additions During Year49112AdditionsDuringYear
Distributions During Year68942DistributionsDuringYear
Ending Balance52832EndingBalance
Included On FStrueIncludedOnFS
Explanation In Part XIIIXExplanationInPartXIII

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance10942747BeginningOfYearBalance
Contributions3291730Contributions
Investment Earnings Or Losses62118InvestmentEarningsOrLosses
Grants Or Scholarships3646560GrantsOrScholarships
Other Expenditures138OtherExpenditures
End Of Year Balance10650173EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance13110305BeginningOfYearBalance
Contributions3198682Contributions
Investment Earnings Or Losses53219InvestmentEarningsOrLosses
Grants Or Scholarships5391974GrantsOrScholarships
Other Expenditures27485OtherExpenditures
End Of Year Balance10942747EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance5066939BeginningOfYearBalance
Contributions10657412Contributions
Investment Earnings Or Losses34738InvestmentEarningsOrLosses
Grants Or Scholarships2648784GrantsOrScholarships
End Of Year Balance13110305EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance4851291BeginningOfYearBalance
Contributions877731Contributions
Investment Earnings Or Losses23206InvestmentEarningsOrLosses
Grants Or Scholarships685289GrantsOrScholarships
End Of Year Balance5066939EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance-187434BeginningOfYearBalance
Contributions-187434Contributions
Investment Earnings Or Losses20114InvestmentEarningsOrLosses
Grants Or Scholarships1062683GrantsOrScholarships
End Of Year Balance4851291EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.23330PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.76670TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis625721OtherCostOrOtherBasis
Book Value625721BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis116749462OtherCostOrOtherBasis
Depreciation67478745Depreciation
Book Value49270717BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis13807005OtherCostOrOtherBasis
Depreciation10945924Depreciation
Book Value2861081BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis28787864OtherCostOrOtherBasis
Depreciation23816373Depreciation
Book Value4971491BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis246151004OtherCostOrOtherBasis
Depreciation85143085Depreciation
Book Value161007919BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings218736929TotalOfBookValueLandBuildings

Other Assets OtherAssets (12 entries)

DescriptionDescriptionBook ValueBookValue
Workers Compensation Trust Fund1749873
Security Deposits, Long Term100000
Rounding1
Professional Liability Trust Fund5129138
POB Escrow20000
Patient Funds57792
Inv in Physician Practice505000
HCCI Ltd338475
Due From Affiliates-4030779
Deferred Financing Costs, Net9952577
Deferred Compensation10016756
Bond Indenture & Mortgage Agreements91966111
FieldValueIRS element (for citing)
Total Book Value Other Assets115804944TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
Third Party Payors$9,969,903
Deferred Compensation$9,590,873
Construction Retainage$5,028,000
Accrued Post Retirement Benefits$763,459
Accrued Pension Liability$52,470,515
FieldValueIRS element (for citing)
Total Of Amounts77822750TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt395439008TotRevenueEtcAuditedFinclStmt
Revenue Subtotal395439008RevenueSubtotal
Total Revenue Per Form990395439008TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt389280789TotExpensesEtcAuditedFinclStmt
Expenses Subtotal389280789ExpensesSubtotal
Total Expenses Per Form990389280789TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XPart X : FIN48 FootnoteUnity Health System and its members (The System) include not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. In addition,the System is exempt from state income tax under the New York State Corporation tax law.
Part V, Line 4Part V, Line 4: Intended uses of the endowment fund.Endowment funds held for intended use by The Unity Hospital of Rochester are in the possession of the Unity Health System Foundation. When the terms of the endowment are met, the Foundation grants the funds over to The Unity Hospital of Rochester.
Part IV, Line 2bPart IV, Line 2b: Explanation of escrow account liabilityUnity 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

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense5082174TotalCommunityBenefitExpense
Net Community Benefit Expense5082174NetCommunityBenefitExpense
Percent Of Total Expense0.01310PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense75606942TotalCommunityBenefitExpense
Direct Offsetting Revenue68532552DirectOffsettingRevenue
Net Community Benefit Expense7074390NetCommunityBenefitExpense
Percent Of Total Expense0.01820PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense80689116TotalCommunityBenefitExpense
Direct Offsetting Revenue68532552DirectOffsettingRevenue
Net Community Benefit Expense12156564NetCommunityBenefitExpense
Percent Of Total Expense0.03130PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense943262TotalCommunityBenefitExpense
Net Community Benefit Expense943262NetCommunityBenefitExpense
Percent Of Total Expense0.00240PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense9264272TotalCommunityBenefitExpense
Direct Offsetting Revenue2956346DirectOffsettingRevenue
Net Community Benefit Expense6307926NetCommunityBenefitExpense
Percent Of Total Expense0.01620PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense59471041TotalCommunityBenefitExpense
Direct Offsetting Revenue51840711DirectOffsettingRevenue
Net Community Benefit Expense7630330NetCommunityBenefitExpense
Percent Of Total Expense0.01960PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense13466TotalCommunityBenefitExpense
Net Community Benefit Expense13466NetCommunityBenefitExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense69692041TotalCommunityBenefitExpense
Direct Offsetting Revenue54797057DirectOffsettingRevenue
Net Community Benefit Expense14894984NetCommunityBenefitExpense
Percent Of Total Expense0.03820PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense150381157TotalCommunityBenefitExpense
Direct Offsetting Revenue123329609DirectOffsettingRevenue
Net Community Benefit Expense27051548NetCommunityBenefitExpense
Percent Of Total Expense0.06950PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense64500TotalCommunityBuildingExpense
Net Community Building Expense64500NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense64500TotalCommunityBuildingExpense
Net Community Building Expense64500NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$8,839,378BadDebtExpenseAmount
Amount Reimbursed By Medicare38757977AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare47457546CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-8699569MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CarefalseProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1The Unity Hospital of RochesteBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11555 Long Pond RdAddressLine1
CityRochesterCity
StateNYState
ZIP Code14626ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1The Unity Hospital of RochesteBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent150.0000FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent400.0000FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Medical IndigencyXMedicalIndigency
Medicaid MedicareXMedicaidMedicare
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit LawsuitXPermitLawsuit
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part VI - Additional InformationRochester, NY and its surrounding communities in the Western Rochester Region provide a remarkable example of what can be accomplished through collaboration. Unity Health System along with other Health Systems in Monroe County including Rochester General Health System, Lakeside Health System, University of Rochester Medical Center (URMC) Highland and Strong have jointly filed a community service plan to the New York State Department of Health for the past thirteen years, and this year is no exception. This unique effort, done in collaboration with the Monroe County Department of Public Health and the Finger Lakes Health System Agency, demonstrates true community health assessment and improvement planning. This partnership assures synergistic, non-duplicative meaningful strategic efforts towards the common goal of improving the populations health. The report is available on Unity Health System's website (http://www.unityhealth.org/about/doc/Monroe-County-Joint-Community-Service-Plan-2012.pdf).
Part VI - States Where Community Benefit Report FiledNY
Part VI - Affilated Health Care System Roles and PromotionThe Unity Hospital of Rochester is an affiliate of Unity Health System, Inc (the System). The System, and its Subsidiaries is an integrated health care delivery system that provides patient care, senior housing, laboratory services, and community outreach to residents and other clients. The majority of the services provided are provided within Monroe County, New York but the system also provides services outside of Monroe County.
Part VI - Explanation Of How Organization Furthers Its Exempt PurposeUnity 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. Unity Health System has launched a Let's Talk Health event series. These events offer a new opportunity to engage and educate our community. Let's Talk health events are hour long health fairs followed by an hour long Q&A session with Unity experts on a specific topic. Such topics held for the community were Synthetics Drugs - A Growing Teen Danger, presented by Unity Behavioral Health, No Bones About It - Straight Talk about Joint Replacement, presented by Unity Joint Replacement Center specialist services, "Hot Flashes: Hormones & Hors D'oeuvres", presented by Unity Obstetrics, and Getting better ZZZs,presented by Unity Sleep Disorders. All of these events were well received and attended. Unity Health System has programs that are largely underwritten as part of our commitment to under served and special needs segments of our community. The benefits these programs bring to the community are so great that the Hospital deems it necessary to subsidize them to ensure the existence of these programs. We feel so strongly about this that we have incorporated it as part of our four core values. People above everything else by treating each other and those we serve with compassion, dignity and respect, Excellence by acting with integrity for the highest quality and service, Learning by sponsoring and participating in educational opportunities and Results by meeting the expectations of the people we serve. These programs fall under many areas of the hospital such as OB/Newborn, Chemical Dependency, Mental Health, Walk in Care Clinic, Dialysis, Cardiac Rehab and Spine Center. A good example of a program that underlines Unity Health System's commitment to the community is the Memory impairment at the Villages at Unity. "The Basics: Memory Loss, Dementia, and Alzheimer's Disease" is the first in a series of seven programs presented by the Rochester/Finger Lakes Chapter of the Alzheimer's Association. Other programs include: Managing Diabetes classes, Joint Replacement Center Reunion Luncheons, Nutrition Talk at Fleet Feet, Diabetes Center Community Web Chats, Fleet Feet Sports Speaker Series, Experts Presenting on Insomnia, Synthetic Drugs: An EMS Education Event, Meaningful Activities for People with Dementia, Living with Alzheimer, and Community Flu Clinics. Unity Health System is also proud to be a part of a growing collaborative effort with the Rochester Business Alliance and the Finger Lakes Health System Agency's to raise awareness about High Blood Pressure. The High Blood Pressure Collaborative Work Group is a strategic partnership to address community-wide transformational change in health and in health care delivery. A community-wide initiative by the group was enacted to combat hypertension by raising awareness of the disease and by enabling people to take better control over the disease. Leaders from every segment of the community - such as health care, business, labor, government, education, social service and faith-based organizations, and neighborhood groups - are actively engaged in this effort. Individual project teams addressing different aspects of care, from health plan design and best practices, to community awareness and behavior change. Beyond medical services and financial underwriting, Unity Health System offers its expertise and resources to benefit the community at large in the form of cash and in-kind donations. The majority of these come in the form of labor cost on work time associated with community health-related boards and other community involvement such as costs of coordinating community events not sponsored by the health care organization. Examples of such events include Chase Corporate Challenge, United Way Campaign and several other Home & Community based events. This shows not only Unity Health System's commitment to our community but to our employees as well. Our vision going forward is that Unity Health System will be viewed as a leading provider, known for the excellent quality and service that we deliver to our customers.
Part VI - Community InformationThe Unity Hospital of Rochester is an affiliate of Unity Health System, Inc. Unity Health System, Inc. and Subsidiaries (the System)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, New York and several surrounding counties.
Part VI - Patient Education of Eligibility for AssistanceFinancial 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.
Part VI - Needs AssessmentThe mission of the Unity Hospital of Rochester is to make a positive difference in the health and well-being of those we serve.The Unity Hospital of Rochester and its affiliates are committed to caring for patients 24 hours a day, 7 days a week, 365 days a year, regardless of ability to pay.In order to identify the significant health needs in the community, Unity Hospital of Rochester collaborates with other hospitals in the area, along with Finger Lakes Health System Agency and Monroe County Department of Public Health (collectively "the group"), and conducts an annual community health needs assessment (CHNA). The Unity Hospital of Rochester is currently working with the group to develop the CHNA report.The Charity Care program has been developed to help the Hospital meet the needs of our patients who are either uninsured or under-insured while maintaining the financial viability of the Hospital. The following principles and guidelines explain how the Hospital assists those patients in obtaining access to the Charity Care Program.Principles:-The Unity Hospital of Rochester believes that "fear of a hospital" bill should never get in the way of essential health services. The message will be proactively conveyed to prospective patients and local community service agencies.-We are committed to creating financial aid policies that are consistent with the mission and values of the Hospital, that take into account each individual's ability to contribute to the cost of his or her care, and the Hospital's financial ability to provide the care.-We will communicate our Charity Care policy in a manner that is clear, understandable, sensitive to the patient's dignity, and in a language appropriate to the communities and patients served. Designated staff is provided detailed training so that they are able to provide information and answer questions related to this program.-We are committed to implementing debt collection policies that reflect the mission and values of the organization.-The Unity Hospital of Rochester will work with government, payers, consumer groups, employers, and others to find solutions to expand access to health care coverage to all New York residents.-The Charity Care program does not eliminate personal responsibility. Eligible patients will be expected to access public or private insurance options. However, all patients will be expected to contribute to their care based on their ability to pay.-The Hospital maintains patient confidentiality in all aspects of its operations including this program.
Part V, Line 20d - Other Billing Determination of Individuals Without InsuranceBilled according to our Financial Assistance scale or the Medicaid rate, whichever is lower.Number of Hospital Faciltiy - 1
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsThe Unity Hospital of Rochester works with patients to establish a reasonable payment plan. Patients 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 Unity Hospital of Rochester will not force the sale or foreclosure of a patient's primary residence to pay an outstanding medical bill when a patient is being considered for Charity Care.The Unity Hospital of Rochester maintains a written agreement with each collection agency it retains. These collection agencies are required to follow Hospital guidelines when pursuing payment of an account. Accounts referred to collection agencies are subject to all standard collection practices.In the event a patient/patient representative inquires about the Charity Care program during the collection agency process and are still within the eligible time frame to apply, the patient will be referred to the Patient Accounting Department for processing.
Part III, Line 4 - Bad Debt ExpenseThe 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. Essentially, these policies define charity services as services rendered to patients who have the obligation and willingness to pay, but do not have the ability to pay. In addition to providing charity care, the Hospital provides other programs and services that benefit the community. The Hospital also serves a large Medicaid and indigent population whose health care is only partially paid for by the Medicaid program.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgtrueCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Ziad Alkhoury
Physician68413023221704618265721763
Warren Hern
CEO - UHS33990029072338863243442851339900367503675029071338863244442851
Thomas R Crilly
Exec. VP/CFO167500102821695837621430216750015703157031027216958377214302
Stewart Putnam
President-HCSD37649312047144833913336165295241833100701119133857537114821836621172551130283
Samuel Tripp
Physician51155123221839816473548744
Paul K Maurer
Physician1385814534654130165161461806
Daniel W Grace
Physician75305223041364316254785253
Bharat Gupta
Physician955097410436402165161012119

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Sch J, Part I, Line 6bPart I, Line 6b: Explanation of organization compensation contingent on net earnings from related orThe officers and key employees are eligible for incentive compensation contingent upon various performance indicators of The Unity Hospital of Rochester including net earnings.
Sch J, Part I, Line 1aPart I, Line 1a: Relevant information in regards to selections on 1a.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Monroe Cty Industrial DevBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN510188852IssuerEIN
CUSIP Number61075SAS9CUSIPNumber
Date Issued2010-11-15DateIssued
Issue Price222416764IssuePrice
Description Of PurposeSee part VIDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds224461741TotalProceeds
Amount In Reserve Fund28630167AmountInReserveFund
Capitalized Interest15686730CapitalizedInterest
Issuance Costs From Proceeds1922614IssuanceCostsFromProceeds
Credit Enhancement4220647CreditEnhancement
Capital Expenditures78881199CapitalExpenditures
Other Spent Proceeds46384665OtherSpentProceeds
Amount Unspent61169885AmountUnspent
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadefalseFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Iss Meet Prvt Security Pay TestfalseBondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed PropfalseChangeInUseBondFinancedProp

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiled
Rebate Not Due YettrueRebateNotDueYet
Exception To RebatetrueExceptionToRebate
No Rebate DuefalseNoRebateDue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICtrueGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line1See Part VIBusinessNameLine1
FieldValueIRS element (for citing)
Regulatory Safe Harbor SatisfiedtrueRegulatorySafeHarborSatisfied
Gross Proceeds InvestedfalseGrossProceedsInvested
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective ActionfalseProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSupplemental InformationIdentifier
Return ReferencePart VIReturnReference
ExplanationPart I, Line A, Column F - Construct facility & 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.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part I, Line 5,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 2012.
Form 990 , Part I, Line 1 and Part III, Line 1To 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.
Other Changes In Net Assets Or Fund Balances - Other IncreasesUHS Foundation - Contributed Capital = $3342311Form 990, Part XI, Line 9
Other Changes In Net Assets Or Fund Balances - Other DecreasesPension Adjustment = -$7671734Form 990, Part XI, Line 9
Other Changes In Net Assets Or Fund Balances - Other IncreasesMarket Value Adjustments = $529373Form 990, Part XI, Line 9
Other Changes In Net Assets Or Fund Balances - Other IncreasesEquity Contribution = $2712517Form 990, Part XI, Line 9
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThe Unity Hospital of Rochester makes documents available upon request.Form 990, Part VI, Line 19
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe 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.Form 990, Part VI, Line 15b
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsOn 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.Form 990, Part VI, Line 12c
Form 990, Part VI, Line 11b: Form 990 Review ProcessThe 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.Form 990, Part VI, Line 11b
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersAny 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.Form 990, Part VI, Line 7b
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyThe 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.Form 990, Part VI, Line 7a
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderThe sole corporate member of The Unity Hospital of Rochester is the System, the parent corporation.Form 990, Part VI, Line 6
Form 990, Part III, Line 4d: Other Program Services DescriptionOTHER 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 2012 were 426,942.Form 990, Part III, Line 4d

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1St Marys Residence Facility LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line189 Genesee StAddressLine1
CityRochesterCity
StateNYState
ZIP Code14611ZIPCode
FieldValueIRS element (for citing)
EIN222572873EIN
Primary ActivitiesAdministrative and Medical OfficesPrimaryActivities
Legal Domicile StateNYLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1The Unity Hospital of RochesterBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (14 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Unity Ambulatory Surgery Center Inc
1555 Long Pond RoadRochesterNY14626383871383Outpatient SurgeryNY501(c)(3)9N/Afalse
Unity Health System Inc
1555 Long Pond RdRochesterNY14626222572873Healthcare ManagementNY501(c)(3)11falseNA
Woodland Village Inc
1555 Long Pond RdRochesterNY14626161588242Senior Apartment ComplexNY501(c)(3)9falseNA
Unity Housing Development Fund Corp
1555 Long Pond RdRochesterNY14626300068596Receipt and Disbursement of SubsidiesNY501(c)(3)9falseNA
Unity Aging Services Inc
1555 Long Pond RdRochesterNY14626841684195Management and Development CoNY501(c)(3)9falseNA
St Bernards Housing Development Fund C
1555 Long Pond RdRochesterNY14626161492955Low Income Housing ProjectNY501(c)(3)9falseNA
Parkway Commons Housing Development Fund
1555 Long Pond RdRochesterNY14626223130818Low Income Housing for Elderly/HandicappedNY501(c)(3)9falseNA
Park Ridge Housing Inc
1555 Long Pond RdRochesterNY14626222570457Senior Apartment ComplexNY501(c)(3)9falseNA
Park Ridge Housing Development Fund Inc
1555 Long Pond RdRochesterNY14626222608311Low Income Housing Project for the ElderlyNY501(c)(3)9falseNA
Park Ridge Child Care Center Inc
1555 Long Pond RdRochesterNY14626222918126Child Day Care ServicesNY501(c)(3)9falseNA
PRCD Inc
1555 Long Pond RdRochesterNY14626161311581Substance Abuse Treatment and RehabilitationNY501(c)(3)7falseNA
Unity Health System Foundation
1555 Long Pond RdRochesterNY14626119627400FoundationNY501(c)(3)7falseNA
Park Ridge Nursing Home Inc
1555 Long Pond RdRochesterNY14626160978184Long Term Care FacilityNY501(c)(3)9falseNA
North Park Nursing Home Inc
1555 Long Pond RdRochesterNY14626223159644Long Term Care FacilityNY501(c)(3)9falseNA

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Disproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
Unity Senior Housing Associates LP
1555 Long Pond RdRochesterNY14626061709927Moore ParkNYNAfalsefalse
Parma Senior Housing Associates LP
1555 Long Pond RdRochesterNY14626432082116Hilton ProjectNYNAfalsefalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrg
Unity Senior Housing Corp
1555 Long Pond RdRochesterNY14626061709925Senior HousingNYNAC corpfalse
Parma Senior Housing LLC
1555 Long Pond RdRochesterNY14626810671687Senior HousingNYNAC corpfalse
PRH Inc
1555 Long Pond RdRochesterNY14626161329632Medical LabNYNAC corpfalse
ACM Medical Laboratory Inc
160 Elmgrove PkRochesterNY14624161059691Clinical LabNYNAC corpfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.