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        <BusinessNameLine1>The Unity Hospital of Rochester</BusinessNameLine1>
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        <AddressLine1>1555 Long Pond Rd</AddressLine1>
        <City>Rochester</City>
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        <ZIPCode>14626</ZIPCode>
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    <Officer>
      <Name>Thomas R Crilly</Name>
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      <Form990ScheduleDPartXIII>
        <Identifier>Part X</Identifier>
        <ReturnReference>Part X : FIN48 Footnote</ReturnReference>
        <Explanation>Unity 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.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Part V, Line 4</Identifier>
        <ReturnReference>Part V, Line 4: Intended uses of the endowment fund.</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Part IV, Line 2b</Identifier>
        <ReturnReference>Part IV, Line 2b: Explanation of escrow account liability</ReturnReference>
        <Explanation>Unity Living Center is a long-term care facility that operates as a department of the Unity Hospital of Rochester. Residents have authorized Unity Living Center to manage their personal finances. The facility holds, safeguards, manages, and accounts for personal funds of the residents deposited with the facility. Individual resident funds are deposited in an interest-bearing account and each resident has an internal accounting of the balance of their fund. Each resident is provided on a monthly basis an accounting of their fund balance</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH" softwareId="12000229" softwareVersion="2012v2.0">
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      <WrittenPolicy>true</WrittenPolicy>
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      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent400>X</Pcent400>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>5082174</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>5082174</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01310</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>75606942</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>68532552</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>7074390</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01820</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>80689116</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>68532552</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>12156564</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03130</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>943262</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>943262</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00240</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>9264272</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>2956346</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>6307926</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01620</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>59471041</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>51840711</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>7630330</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01960</PercentOfTotalExpense>
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      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>13466</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>13466</NetCommunityBenefitExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>69692041</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>54797057</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>14894984</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03820</PercentOfTotalExpense>
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      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>150381157</TotalCommunityBenefitExpense>
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        <NetCommunityBenefitExpense>27051548</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.06950</PercentOfTotalExpense>
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        <TotalCommunityBuildingExpense>64500</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>64500</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
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        <TotalCommunityBuildingExpense>64500</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>64500</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
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      <BadDebtExpenseReported>true</BadDebtExpenseReported>
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      <CostOfCareReimbursedByMedicare>47457546</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-8699569</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>false</ProvisionForCharityCare>
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      <Form990ScheduleHPartVSectionA>
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        <Name>
          <BusinessNameLine1>The Unity Hospital of Rocheste</BusinessNameLine1>
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        <Address>
          <AddressLine1>1555 Long Pond Rd</AddressLine1>
          <City>Rochester</City>
          <State>NY</State>
          <ZIPCode>14626</ZIPCode>
        </Address>
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        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
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        <HospitalFacilityName>
          <BusinessNameLine1>The Unity Hospital of Rocheste</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
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        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>400.0000</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <MedicaidMedicare>X</MedicaidMedicare>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <AttachedToInvoices>X</AttachedToInvoices>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <ProvidedOnAdmission>X</ProvidedOnAdmission>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <PermitReportToCreditAgency>X</PermitReportToCreditAgency>
        <PermitLawsuit>X</PermitLawsuit>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Additional Information</ReturnReference>
        <Explanation>Rochester, 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).</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - States Where Community Benefit Report Filed</ReturnReference>
        <Explanation>NY</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Affilated Health Care System Roles and Promotion</ReturnReference>
        <Explanation>The 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Explanation Of How Organization Furthers Its Exempt Purpose</ReturnReference>
        <Explanation>Unity Health System is the conduit for care for thousands of our community members. At Unity Health System, we offer many community based health services. At Unity Health System our mission is to make a positive difference in the health and well-being of those serve. We provide accurate information and quality services, enabling our community to lead healthy lifestyles for themselves and their families. The Health System is committed to giving back to the community by supporting the many organizations that are already working so hard to improve community health. As such, we provide services and staff to local organizations and community events including the American Heart Walk, the American Cancer Society, the March of Dimes, the Juvenile Diabetes Foundation, the American Diabetes Association, Tour De Cure, and the United Way. Unity Health System is also a member of The Rochester Integrated Health Network (RIHN) which works to promote the integration and coordination of quality, accessible and affordable medical and behavioral health care services for low income, uninsured, under insured children and adults in the Rochester, New York region. The Rochester Integrated Health Network collaborates on improvement projects with its member organizations and community partners. Not only do we provide services and staff for these organizations, but we also independently provide community services such as Healthy Start program, Pastoral Outreach program, and Healthcare for the Homeless. Within the Healthcare for the Homeless program, we administer quality care by using a 40-foot Mobile Unit with exam rooms for homeless patients in need of primary, urgent, and dental care. We also offer a designated Call Center to assist our current and prospective patients in needs they may have, such as help finding a qualified physician in the area, questions regarding medications, post-visits with the patient to see how they are doing and patient satisfaction surveys to determine the quality of care. 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&amp;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 &amp; 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 &amp; 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Community Information</ReturnReference>
        <Explanation>The 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Patient Education of Eligibility for Assistance</ReturnReference>
        <Explanation>Financial Counselors make every effort to interview all inpatients without full insurance coverage to determine insurance and/or Charity Care eligibility during the patients stay in the Hospital. In addition, any patient may contact a Financial Counselor or the Patient Accounting Department to learn more about the Charity Care Program. The procedure for contacting either of these areas is outlined in all published materials. In addition, all registration representatives are trained on how to direct patients to the appropriate area when questions arise related to Charity Care.Upon receipt of the referral, the Patient Accounting Dept/Financial Counselor will conduct a financial assessment of the patient. If appropriate, the patient will be referred to a Medicaid Liaison/Facilitated Enroller to complete an application for Medicaid, Child Health Plus, or Family Health Plus.Medicaid Liaisons are available to assist patients through the Medicaid application/determination process. If necessary, Medicaid Liaisons are also available to assist with the fair hearing process.Patients who are not eligible to apply for the above insurance or patients who are unable to obtain sufficient insurance coverage, are eligible to apply for Charity Care.Charity Care applications may be submitted by patients, guarantors, guardians, or Powers of Attorney. Applications will be accepted prior to, during, or within six months of service. Exceptions are made in appropriate circumstances.Once an application is received, the Financial Counselor/Patient Account Representative will determine eligibility and the qualifying discount amount. Additional documentation or information may be requested during this phase of the process.Patients may be approved for Charity Care on an account by account basis or for a period of time up to six months. Patients will be required to update their financial information after six months if the need for Charity Care continues. Charity Care applications are processed by the Patient Accounting Department timely and determinations are communicated to the patients within 10 business days of submission. A patient or their representative may request consideration either by phone or in writing of a Charity Care determination if additional information is available that would change their application. A letter indicating the outcome of the reconsideration will be sent out within 10 business days of the request.Bills will continue to be generated and mailed to patients during the application process, however, payment will not be expected until the Charity Care determination is made as long as the patient submits required information within set timeframes.Patients or their representatives who are unwilling to provide required documentation or comply with other aspects of the process are informed that they will not be eligible for Charity Care and that they are responsible for all Hospital charges related to their care.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Needs Assessment</ReturnReference>
        <Explanation>The 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Number of Hospital Faciltiy - 1</Identifier>
        <ReturnReference>Part V, Line 20d - Other Billing Determination of Individuals Without Insurance</ReturnReference>
        <Explanation>Billed according to our Financial Assistance scale or the Medicaid rate, whichever is lower.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part III, Line 9b - Provisions On Collection Practices For Qualified Patients</ReturnReference>
        <Explanation>The 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part III, Line 4 - Bad Debt Expense</ReturnReference>
        <Explanation>The Hospital accepts patients regardless of their ability to pay and grants credit without collateral. A patient is classified as a charity patient in accordance with certain established policies. 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.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
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        <NamePerson>Thomas R Crilly</NamePerson>
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        <NamePerson>Samuel Tripp</NamePerson>
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        <NamePerson>Paul K Maurer</NamePerson>
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        <NamePerson>Daniel W Grace</NamePerson>
        <Title>Physician</Title>
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        <NamePerson>Bharat Gupta</NamePerson>
        <Title>Physician</Title>
        <BaseCompensationFilingOrg>955097</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>4104</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>36402</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>16516</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>1012119</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Sch J, Part I, Line 6b</Identifier>
        <ReturnReference>Part I, Line 6b: Explanation of organization compensation contingent on net earnings from related or</ReturnReference>
        <Explanation>The officers and key employees are eligible for incentive compensation contingent upon various performance indicators of The Unity Hospital of Rochester including net earnings.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Sch J, Part I, Line 1a</Identifier>
        <ReturnReference>Part I, Line 1a: Relevant information in regards to selections on 1a.</ReturnReference>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK.1" softwareId="12000229" softwareVersion="2012v2.0">
      <Form990ScheduleKPartI>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>Monroe Cty Industrial Dev</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>510188852</IssuerEIN>
        <CUSIPNumber>61075SAS9</CUSIPNumber>
        <DateIssued>2010-11-15</DateIssued>
        <IssuePrice>222416764</IssuePrice>
        <DescriptionOfPurpose>See part VI</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceeds>224461741</TotalProceeds>
        <AmountInReserveFund>28630167</AmountInReserveFund>
        <CapitalizedInterest>15686730</CapitalizedInterest>
        <IssuanceCostsFromProceeds>1922614</IssuanceCostsFromProceeds>
        <CreditEnhancement>4220647</CreditEnhancement>
        <CapitalExpenditures>78881199</CapitalExpenditures>
        <OtherSpentProceeds>46384665</OtherSpentProceeds>
        <AmountUnspent>61169885</AmountUnspent>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>false</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondIssMeetPrvtSecurityPayTest>false</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>false</ChangeInUseBondFinancedProp>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <RebateNotDueYet>true</RebateNotDueYet>
        <ExceptionToRebate>true</ExceptionToRebate>
        <NoRebateDue>false</NoRebateDue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>true</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>See Part VI</BusinessNameLine1>
        </NameOfGICProvider>
        <RegulatorySafeHarborSatisfied>true</RegulatorySafeHarborSatisfied>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>false</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>A</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>false</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartVI>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part VI</ReturnReference>
        <Explanation>Part I, Line A, Column F - Construct facility &amp; refund prior year issue (1/6/05)Part II, Line 3 - The total proceeds do not agree to the issue price in Part I, Column(e) due to investment earnings.Part II, Line 3 - The total proceeds do not equal the summation of lines 4-12 due to transferred or replacement proceeds in line 4. Part IV, Column A, Line 5b - Project Fund, Cap Interest Fund, and Investment Inc Fund - RBC Capital Markets, Reserve Fund - Berkshire Hathaway, Inc.Part IV, Column A, Line 5c - Project Fund, Cap Interest Fund, and Investment Inc Fund - 4.3 years, Reserve Fund - 29.8 years.</Explanation>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="12000229" softwareVersion="2012v2.0">
      <GeneralExplanation>
        <ReturnReference>Form 990, Part I, Line 5,</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990 , Part I, Line 1 and Part III, Line 1</ReturnReference>
        <Explanation>To make a positive difference in the lives and health status of individuals in the city of Rochester, NY and Western Monroe County. We will educate our community, our providers, and future health care professionals in order to offer the highest quality care to all members of our community, especially those that are underserved and most vulnerable.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part XI, Line 9</Identifier>
        <ReturnReference>Other Changes In Net Assets Or Fund Balances - Other Increases</ReturnReference>
        <Explanation>UHS Foundation - Contributed Capital = $3342311</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part XI, Line 9</Identifier>
        <ReturnReference>Other Changes In Net Assets Or Fund Balances - Other Decreases</ReturnReference>
        <Explanation>Pension Adjustment = -$7671734</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part XI, Line 9</Identifier>
        <ReturnReference>Other Changes In Net Assets Or Fund Balances - Other Increases</ReturnReference>
        <Explanation>Market Value Adjustments = $529373</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part XI, Line 9</Identifier>
        <ReturnReference>Other Changes In Net Assets Or Fund Balances - Other Increases</ReturnReference>
        <Explanation>Equity Contribution = $2712517</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>The Unity Hospital of Rochester makes documents available upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>The CEO's compensation is determined with input from an independent consulting firm that makes a recommendation based on surveys and market valuation. Once a compensation package is determined, it is presented for approval to the Compensation Committee of the System, which is comprised of the Board Members of the System.Compensation for all other positions are determined based on market pricing, the position evaluation system and /or the position's responsibilities.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>On an annual basis the member, the System, sends a Conflict of Interest statement to all Board Members, Officers, Directors, Key Employees, and management staff asking them to disclose any potential conflict of interest that could compromise their position within the Corporation. These statements are reviewed by the CFO of the Corporation to determine if there are any issues that require further follow-up. All disclosures are presented to the Audit Committee. If there is a disclosure that is of concern, a determination is made for further follow-up.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11b: Form 990 Review Process</ReturnReference>
        <Explanation>The Form 990 will be reviewed by the Executive Committee of the System's Board of Directors prior to the annual filing date and also made available to the entire Board of Directors of the System.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 7b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders</ReturnReference>
        <Explanation>Any action required by the System in its capacity as the Member of the Corporation under the Certificate of Incorporation or the Bylaws shall be taken by the System through written resolution consenting to such action in accordance with the System's Certificate of Incorporation, Bylaws, policies and procedures. Such written resolutions shall be signed by an officer of the System and shall be forwarded to the President of the Corporation, with a copy to the Chairman of the Corporation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 7a</Identifier>
        <ReturnReference>Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body</ReturnReference>
        <Explanation>The President shall be appointed by the Corporate Member (the system) and shall serve at the discretion of the Corporate Member. Each elected director shall be elected by the Member to serve for a term of three years and until his or her successor is elected and qualified.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 6</Identifier>
        <ReturnReference>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</ReturnReference>
        <Explanation>The sole corporate member of The Unity Hospital of Rochester is the System, the parent corporation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part III, Line 4d</Identifier>
        <ReturnReference>Form 990, Part III, Line 4d: Other Program Services Description</ReturnReference>
        <Explanation>OTHER PROGRAM SERVICES 4: Physician Services: The Unity Hospital of Rochester provides physician care services to the residents of Rochester, NY and surrounding areas regardless of ability to pay. Total physician service visits for 2012 were 426,942.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Marys Residence Facility LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>89 Genesee St</AddressLine1>
          <City>Rochester</City>
          <State>NY</State>
          <ZIPCode>14611</ZIPCode>
        </AddressUS>
        <EIN>222572873</EIN>
        <PrimaryActivities>Administrative and Medical Offices</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityName>
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          <BusinessNameLine1>Unity Ambulatory Surgery Center Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1555 Long Pond Road</AddressLine1>
          <City>Rochester</City>
          <State>NY</State>
          <ZIPCode>14626</ZIPCode>
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        <EIN>383871383</EIN>
        <PrimaryActivities>Outpatient Surgery</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
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          <City>Rochester</City>
          <State>NY</State>
          <ZIPCode>14626</ZIPCode>
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        <PrimaryActivities>Healthcare Management</PrimaryActivities>
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        <PublicCharityStatus>11</PublicCharityStatus>
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          <City>Rochester</City>
          <State>NY</State>
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          <BusinessNameLine1>Unity Housing Development Fund Corp</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1555 Long Pond Rd</AddressLine1>
          <City>Rochester</City>
          <State>NY</State>
          <ZIPCode>14626</ZIPCode>
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        <EIN>300068596</EIN>
        <PrimaryActivities>Receipt and Disbursement of Subsidies</PrimaryActivities>
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        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
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        <ControlledOrg>false</ControlledOrg>
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          <BusinessNameLine1>Unity Aging Services Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1555 Long Pond Rd</AddressLine1>
          <City>Rochester</City>
          <State>NY</State>
          <ZIPCode>14626</ZIPCode>
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        <EIN>841684195</EIN>
        <PrimaryActivities>Management and Development Co</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
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          <BusinessNameLine1>St Bernards Housing Development Fund C</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1555 Long Pond Rd</AddressLine1>
          <City>Rochester</City>
          <State>NY</State>
          <ZIPCode>14626</ZIPCode>
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        <EIN>161492955</EIN>
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        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
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        <ControlledOrg>false</ControlledOrg>
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          <BusinessNameLine1>Parkway Commons Housing Development Fund</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1555 Long Pond Rd</AddressLine1>
          <City>Rochester</City>
          <State>NY</State>
          <ZIPCode>14626</ZIPCode>
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        <EIN>223130818</EIN>
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        <DirectControllingEntityName>
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          <AddressLine1>1555 Long Pond Rd</AddressLine1>
          <City>Rochester</City>
          <State>NY</State>
          <ZIPCode>14626</ZIPCode>
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        <AddressUS>
          <AddressLine1>1555 Long Pond Rd</AddressLine1>
          <City>Rochester</City>
          <State>NY</State>
          <ZIPCode>14626</ZIPCode>
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        <EIN>222608311</EIN>
        <PrimaryActivities>Low Income Housing Project for the Elderly</PrimaryActivities>
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        <PublicCharityStatus>9</PublicCharityStatus>
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          <BusinessNameLine1>NA</BusinessNameLine1>
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        <ControlledOrg>false</ControlledOrg>
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          <BusinessNameLine1>Park Ridge Child Care Center Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1555 Long Pond Rd</AddressLine1>
          <City>Rochester</City>
          <State>NY</State>
          <ZIPCode>14626</ZIPCode>
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        <EIN>222918126</EIN>
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        <LegalDomicileState>NY</LegalDomicileState>
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        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
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        <ControlledOrg>false</ControlledOrg>
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        <AddressUS>
          <AddressLine1>1555 Long Pond Rd</AddressLine1>
          <City>Rochester</City>
          <State>NY</State>
          <ZIPCode>14626</ZIPCode>
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        <EIN>161311581</EIN>
        <PrimaryActivities>Substance Abuse Treatment and Rehabilitation</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
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        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
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      <Form990ScheduleRPartII>
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          <BusinessNameLine1>Unity Health System Foundation</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1555 Long Pond Rd</AddressLine1>
          <City>Rochester</City>
          <State>NY</State>
          <ZIPCode>14626</ZIPCode>
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        <EIN>119627400</EIN>
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        <LegalDomicileState>NY</LegalDomicileState>
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        <PublicCharityStatus>7</PublicCharityStatus>
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          <BusinessNameLine1>NA</BusinessNameLine1>
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        <ControlledOrg>false</ControlledOrg>
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          <BusinessNameLine1>Park Ridge Nursing Home Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1555 Long Pond Rd</AddressLine1>
          <City>Rochester</City>
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          <BusinessNameLine1>NA</BusinessNameLine1>
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        <ControlledOrg>false</ControlledOrg>
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          <BusinessNameLine1>North Park Nursing Home Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1555 Long Pond Rd</AddressLine1>
          <City>Rochester</City>
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        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
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          <BusinessNameLine1>Unity Senior Housing Associates LP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1555 Long Pond Rd</AddressLine1>
          <City>Rochester</City>
          <State>NY</State>
          <ZIPCode>14626</ZIPCode>
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        <PrimaryActivity>Moore Park</PrimaryActivity>
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          <BusinessNameLine1>Parma Senior Housing Associates LP</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1555 Long Pond Rd</AddressLine1>
          <City>Rochester</City>
          <State>NY</State>
          <ZIPCode>14626</ZIPCode>
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        </DirectControllingEntityName>
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          <AddressLine1>1555 Long Pond Rd</AddressLine1>
          <City>Rochester</City>
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          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C corp</TypeOfEntity>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PRH Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1555 Long Pond Rd</AddressLine1>
          <City>Rochester</City>
          <State>NY</State>
          <ZIPCode>14626</ZIPCode>
        </AddressUS>
        <EIN>161329632</EIN>
        <PrimaryActivity>Medical Lab</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C corp</TypeOfEntity>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ACM Medical Laboratory Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>160 Elmgrove Pk</AddressLine1>
          <City>Rochester</City>
          <State>NY</State>
          <ZIPCode>14624</ZIPCode>
        </AddressUS>
        <EIN>161059691</EIN>
        <PrimaryActivity>Clinical Lab</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C corp</TypeOfEntity>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>false</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>