HIGHLAND HOSPITAL OF ROCHESTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: HIGHLAND HOSPITAL OF ROCHESTER (EIN 16-0743037)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-14
IRS object ID: 201123189349301012
Schema version: 2010v3.4
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-14T08:14:00-05:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PricewaterhouseCoopers LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	2001 MARKET ST SUITE 1700	AddressLine1
City	PHILADELPHIA	City
State	PA	State
ZIP Code	19103	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	160743037	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	HIGHLAND HOSPITAL OF ROCHESTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	HIGH	NameControl
Phone	5853416686	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 SOUTH AVENUE	AddressLine1
City	ROCHESTER	City
State	NY	State
ZIP Code	14620	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	LEONARD SHUTE	Name
Title	CFO	Title
Date Signed	2011-11-11	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	2673303000	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	LEONARD J SHUTE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1000 SOUTH AVENUE	AddressLine1
City	ROCHESTER	City
State	NY	State
ZIP Code	14620	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	266729240	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	http://www.urmc.rochester.edu/hh/	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1889	YearFormation
State Legal Domicile	NY	StateLegalDomicile
Activity Or Mission Description	OPERATION OF AN ACUTE CARE HOSPITAL COMMITTED TO SERVICE EXCELLENCE IN THE HEALTHCARE INDUSTRY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	17	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	2789	TotalNbrEmployees
Total Nbr Volunteers	280	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	242187	ContributionsGrantsPriorYear
Contributions Grants Current Year	489037	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	249947374	ProgramServiceRevenuePriorYear
Program Service Revenue CY	259454591	ProgramServiceRevenueCY
Investment Income Prior Year	648763	InvestmentIncomePriorYear
Investment Income Current Year	963235	InvestmentIncomeCurrentYear
Other Revenue Prior Year	4591122	OtherRevenuePriorYear
Other Revenue Current Year	5822377	OtherRevenueCurrentYear
Total Revenue Prior Year	255429446	TotalRevenuePriorYear
Total Revenue Current Year	266729240	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	143332681	SalariesEtcPriorYear
Salaries Etc Current Year	149718904	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	101209381	OtherExpensePriorYear
Other Expenses Current Year	100284789	OtherExpensesCurrentYear
Total Expenses Prior Year	244542062	TotalExpensesPriorYear
Total Expenses Current Year	250003693	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	10887384	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	16725547	RevenuesLessExpensesCY
Total Assets BOY	204810744	TotalAssetsBOY
Total Assets EOY	231155069	TotalAssetsEOY
Total Liabilities BOY	104156569	TotalLiabilitiesBOY
Total Liabilities EOY	118794191	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	100654175	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	112360878	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	HIGHLAND HOSPITAL OF ROCHESTER ("HIGHLAND") PROVIDES INPATIENT AND OUTPATIENT HEALTHCARE SERVICES WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY. HIGHLAND OPERATES A 261 BED ACUTE CARE HOSPITAL, AS WELL AS 13 PRIMARY CARE SATELLITE CLINICS, AN OB/MIDWIFERY CLINIC, BREASTCARE CLINIC AND THREE RADIATION ONCOLOGY TREATMENT CENTERS. HIGHLAND IS ALSO A TEACHING AFFILIATE OF THE UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY. HIGHLAND'S SERVICE AREA INCLUDES MONROE COUNTY, NEW YORK, AS WELL AS SEVERAL COUNTIES SURROUNDING THE ROCHESTER, NEW YORK REGION. IN 2010, HIGHLAND HAD 16,007 ADULT ADMISSIONS, DELIVERED 3,057 NEWBORNS AND HAD 32,696 PATIENTS TREATED IN ITS EMERGENCY DEPARTMENT. HIGHLAND IS COMMITTED TO SERVICE EXCELLENCE IN HEALTHCARE- ONE PERSON AT A TIME. HIGHLAND'S MISSION IS TO BE THE COMMUNITY HEALTHCARE PROVIDER RENOWNED FOR UNMATCHED SERVICE, EXCELLENCE AND BEST PATIENT OUTCOMES. HIGHLAND'S POLICY IS TO TREAT PATIENTS IN NEED OF MEDICAL SERVICES WITHOUT REGARD TO THEIR A	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	215723966	Expense
Grants	0	Grants
Revenue	264879786	Revenue
Description	PROVISION OF HEALTHCARE SERVICES, INCLUDING INPATIENT SERVICES, ANCILLARY SERVICES AND ED/CLINIC/AMBULATORY SERVICES. ALSO SEE ATTACHMENT 1.	Description
Total Program Service Expense	215723966	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	true	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	false	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	200	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	2789	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	17	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	NY	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	LEONARD J SHUTE	NamePerson
Telephone Number	5852753033	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1000 SOUTH AVENUE	AddressLine1
City	ROCHESTER	City
State	NY	State
ZIP Code	14620	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
STEVEN GOLDSTEIN
CEO	8.0	X	X	0	873182	162555
ROBERT MCCANN MD
BOARD MEMBER	40.0	X		0	308499	27782
AMY KATES
BOARD CHAIR	2.0	X	X	44482	0	9497
JOHN BARR
BOARD MEMBER	2.0	X		0	0	0
MICHAEL BUCKLEY
BOARD MEMBER	2.0	X	X	0	0	0
JEAN CLOSE
BOARD MEMBER	2.0	X		0	0	0
DAVID DEJOY
BOARD MEMBER	2.0	X	X	0	0	0
JOSEPH JOHNSON MD
BOARD MEMBER	2.0	X		0	642827	46771
HOWARD KONAR
BOARD MEMBER	2.0	X		0	0	0
RICHARD LEFROIS
BOARD MEMBER	2.0	X		0	0	0
GEORGE LORD
BOARD MEMBER	2.0	X		0	0	0
LISA HARRIS MD
BOARD MEMBER	2.0	X		0	0	0
ANIL SHARMA MD
BOARD MEMBER	2.0	X		7500	0	0
HON FRANCIS AFFRONTI
BOARD MEMBER	2.0	X		0	0	0
GERARD GUERINOT
BOARD MEMBBER	2.0	X		0	0	0
MARK EIDLIN
BOARD MEMBER	2.0	X		0	0	0
RAPHAEL TSHIBANGU
BOARD MEMBER	2.0	X		0	0	0
LEONARD SHUTE
CFO	12.0		X	0	445350	178689
CINDY BECKER
COO	40.0		X	239708	0	60309
RAYMOND MAYEWSKI MD
CHIEF MEDICAL OFFICER	9.0			0	508997	115827	X
LORI FERRIS MD
PHYSICIAN	40.0			374948	0	44063		X
JULIETTA FISCELLA MD
PHYSICIAN	40.0			318602	0	49866		X
JEFFREY HANSON MD
PHYSICIAN	40.0			310478	0	40135		X
GREGORY RYAN MD
PHYSICIAN	40.0			282934	0	42511		X
CHARLES MASKIELL MD
PRIMARY CARE PHYSICIAN	40.0			205741	0	79014		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1784393	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2778855	TotalReportableCompFrmRltdOrgs
Total Other Compensation	857019	TotalOtherCompensation
Number Individuals GT100 K	39	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
BETH PLATT AND ASSOCIATES
2100 PENFIELD RD BOX 29	WALWORTH	NY	14568	BILLING SERVICES	303549
HOLDSWORTH KLOMOWSKI CONSTRUCTION L
51 GOODWAY DR SOUTH	ROCHESTER	NY	14623	GENERAL CONSTRUCTION	1741293
MEDSTAFF INC
453 BACKUS RD	WEBSTER	NY	14580	TEMPORARY STAFFING	244193
NEW YORK DIALYSIS SERVICES NORTH
PO BOX 27731	NEW YORK	NY	10087	DIALYSIS TREATMENTS	643731
CAREFUSION
1952 Solutions Center	CHICAGO	IL	606771009	equipment rental	387642

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	19	NumberOfContractorsGT100K
Related Organizations	489037	RelatedOrganizations
Total Contributions	489037	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PATIENT SERVICE REVENUE	Description
Business Code	900099	BusinessCode
Total Revenue Column	259454591	TotalRevenueColumn
Related Or Exempt Function Income	259454591	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	259454591	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	963235	TotalRevenueColumn
Exclusion	$963,235	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	350450	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	350450	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	350450	TotalRevenueColumn
Exclusion	$350,450	ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA REVENUE	900099	708332	708332
PARKING REVENUE	900099	1107044	1107044
MEDICAL ADMIN ASSOCIATES MGMT FEE	900099	701608	701608

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2954943	TotalRevenueColumn
Related Or Exempt Function Income	2954943	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	5471927	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	266729240	TotalRevenueColumn
Related Or Exempt Function Income	264926518	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$1,313,685	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	291690	Total
Program Services	0	ProgramServices
Management And General	291690	ManagementAndGeneral
Fundraising	0	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	117771360	Total
Program Services	101888360	ProgramServices
Management And General	15883000	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	6590311	Total
Program Services	5687438	ProgramServices
Management And General	902873	ManagementAndGeneral
Fundraising	0	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	17844175	Total
Program Services	15399523	ProgramServices
Management And General	2444652	ManagementAndGeneral
Fundraising	0	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	7221368	Total
Program Services	6232040	ProgramServices
Management And General	989328	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	223133	Total
Program Services	0	ProgramServices
Management And General	223133	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	185961	Total
Program Services	0	ProgramServices
Management And General	185961	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	0	Total

Advertising Advertising

Field	Value	IRS element (for citing)
Total	0	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	0	Total

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	3014366	Total
Program Services	3014366	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	203015	Total
Program Services	203015	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	1564596	Total
Program Services	0	ProgramServices
Management And General	1564596	ManagementAndGeneral
Fundraising	0	Fundraising

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	12918981	Total
Program Services	9976324	ProgramServices
Management And General	2942657	ManagementAndGeneral
Fundraising	0	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2217642	Total
Program Services	0	ProgramServices
Management And General	2217642	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PHARMA & MED SUPPLIES	44935251	44935251	0
MISCELLANEOUS EXPENSES	9483729	6638610	2845119
LAB OUTSIDE PROCESSING	4186121	4186121	0
PROVISION FOR BAD DEBTS	4365265	4365265	0
EQUIPMENT MAINT/REPAIRS	1240338	930254	310084

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	15746391	Total
Program Services	12267399	ProgramServices
Management And General	3478992	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	250003693	Total
Program Services	215723966	ProgramServices
Management And General	34279727	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	49179611	BOY
EOY	53819862	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	16494849	BOY
EOY	16654478	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3607310	BOY
EOY	3699863	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1426541	BOY
EOY	1125066	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	248451469	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	136175838	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	106550166	BOY
EOY	112275631	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	27552267	BOY
EOY	43580169	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	204810744	BOY
EOY	231155069	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	22421555	BOY
EOY	20065721	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	477922	BOY
EOY	328292	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	31282206	BOY
EOY	41561283	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	2453170	BOY
EOY	1923495	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	47521716	BOY
EOY	54915400	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	104156569	BOY
EOY	118794191	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	100654175	BOY
EOY	112360878	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	100654175	BOY
EOY	112360878	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	204810744	BOY
EOY	231155069	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	16725547	ReconcilationRevenueExpenses
Reconcilation Other Changes	-5018844	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Amt Of4955 Tax	0	AmtOf4955Tax
Amt Of4955 Tax On Managers	0	AmtOf4955TaxOnManagers
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$32,586	GrantsOtherOrganizationsAmount
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	32586	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2985938	BeginningOfYearBalance
Contributions	2390	Contributions
Investment Earnings Or Losses	55193	InvestmentEarningsOrLosses
End Of Year Balance	3043521	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3156954	BeginningOfYearBalance
Contributions	2205	Contributions
Investment Earnings Or Losses	-173221	InvestmentEarningsOrLosses
End Of Year Balance	2985938	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3177416	BeginningOfYearBalance
Contributions	2709	Contributions
Investment Earnings Or Losses	-23171	InvestmentEarningsOrLosses
End Of Year Balance	3156954	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.00000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.00000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	true	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	true	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	207769	OtherCostOrOtherBasis
Book Value	207769	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	125384730	OtherCostOrOtherBasis
Depreciation	61327735	Depreciation
Book Value	64056995	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	690686	OtherCostOrOtherBasis
Depreciation	489806	Depreciation
Book Value	200880	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	110504529	OtherCostOrOtherBasis
Depreciation	74358297	Depreciation
Book Value	36146232	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	11663755	OtherCostOrOtherBasis
Depreciation	0	Depreciation
Book Value	11663755	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	112275631	TotalOfBookValueLandBuildings

Other Assets OtherAssets (10 entries)

DescriptionDescription	Book ValueBookValue
OTHER RECEIVABLES	21489037
ASSETS WHOSE USE IS LIMITED	12626006
DEFERRED AND OTHER INTANGIBLES	2034231
EST. THIRD PARTY SETTLEMENTS	10612
OTHER ASSETS	2369468
LIVING CENTER, INC.	1000508
AT WESTFALL, INC.	547733
COMMUNITY DEVELOPMENT CORP.	145084
ROCHESTER	1155258
INVESTMENT HELD FOR LT PURPOSE	2202232

Field	Value	IRS element (for citing)
Total Book Value Other Assets	43580169	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
ACCRUED PENSION LIABILITY	$37,269,975
EST. PROFESSIONAL LIABILITY	$3,957,614
ACCRUED WORKERS' COMP LIABILIT	$6,070,418
EST. THIRD PARTY SETTLEMENTS	$7,617,393

Field	Value	IRS element (for citing)
Total Of Amounts	54915400	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	ENDOWMENT FUNDS	Identifier
Return Reference	PART V line 3a	ReturnReference
Explanation	ALL ENDOWMENT FUNDS ARE HELD AND ADMINISTERED BY HIGHLAND FOUNDATION INC., A RELATED IRC SECTION 501(c)(3) ORGANIZATION, FOR THE BENEFIT OF HIGHLAND HOSPITAL IN FURTHERANCE OF ITS CHARITABLE HEALTH CARE SERVICES.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2376891	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1731976	DirectOffsettingRevenue
Net Community Benefit Expense	644915	NetCommunityBenefitExpense
Percent Of Total Expense	0.00260	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	40957355	TotalCommunityBenefitExpense
Direct Offsetting Revenue	40228960	DirectOffsettingRevenue
Net Community Benefit Expense	728395	NetCommunityBenefitExpense
Percent Of Total Expense	0.00300	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	43334246	TotalCommunityBenefitExpense
Direct Offsetting Revenue	41960936	DirectOffsettingRevenue
Net Community Benefit Expense	1373310	NetCommunityBenefitExpense
Percent Of Total Expense	0.00560	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9294067	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2585286	DirectOffsettingRevenue
Net Community Benefit Expense	6708781	NetCommunityBenefitExpense
Percent Of Total Expense	0.02730	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	30300574	TotalCommunityBenefitExpense
Direct Offsetting Revenue	22693001	DirectOffsettingRevenue
Net Community Benefit Expense	7607573	NetCommunityBenefitExpense
Percent Of Total Expense	0.03100	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	35625	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	35625	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	39630266	TotalCommunityBenefitExpense
Direct Offsetting Revenue	25278287	DirectOffsettingRevenue
Net Community Benefit Expense	14351979	NetCommunityBenefitExpense
Percent Of Total Expense	0.05840	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	82964512	TotalCommunityBenefitExpense
Direct Offsetting Revenue	67239223	DirectOffsettingRevenue
Net Community Benefit Expense	15725289	NetCommunityBenefitExpense
Percent Of Total Expense	0.06400	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$2,394,947	BadDebtExpenseAmount
Amount Attributable To	584606	AmountAttributableTo
Amount Reimbursed By Medicare	98533051	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	95607898	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	2925153	MedicareSurplusOrShortfall
Costing Methodology Used		CostingMethodologyUsed
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	HIGHLAND HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1000 SOUTH AVENUE	AddressLine1
City	ROCHESTER	City
State	NY	State
ZIP Code	14620	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	HIGHLAND HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	18	NumberOfOtherFacilities

Other Facilities OtherFacilities (18 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
DAISY MARQUIS JONES RADIATION ONCOLOGY
1561 LONG POND ROAD	ROCHESTER	NY	14626	RADIATION ONCOLOGY CENTER
HIGHLAND FAMILY MEDICINE CENTER
777 SOUTH CLINTON AVENUE	ROCHESTER	NY	14620	FAMILY MEDICINE CLINIC
SANDS CANCER CENTER
350 PARRISH STREET	CANANDAIGUA	NY	14424	RADIATION ONCOLOGY CENTER
CULVER MEDICAL GROUP
913 CULVER ROAD	ROCHESTER	NY	14609	PRIMARY CARE CLINIC
CALEDONIA FAMILY MEDICINE
3350 BROWN ROAD	CALEDONIA	NY	14423	PRIMARY CARE CLINIC
PENFIELD FAMILY MEDICINE
2212 PENFIELD ROAD	PENFIELD	NY	14526	PRIMARY CARE CLINIC
EAST RIDGE FAMILY MEDICINE
809 EAST RIDGE ROAD	ROCHESTER	NY	14621	PRIMARY CARE CLINIC
FAMILY MEDICINE OF WEBSTER
1672 EMPIRE BLVD	WEBSTER	NY	14580	PRIMARY CARE CLINIC
HIGHLAND BREAST CARE CENTER
500 RED CREEK DRIVE	ROCHESTER	NY	14623	BREAST CARE DIAGNOSTIC SERVICE
RUSH FAMILY MEDICINE
15 HIGH TECH DRIVE	RUSH	NY	14543	PRIMARY CARE CLINIC
AVON FAMILY MEDICINE
470 COLLINS STREET	AVON	NY	14414	PRIMARY CARE CLINIC
GREECE MEDICAL GROUP
2300 WEST RIDGE ROAD	ROCHESTER	NY	14626	PRIMARY CARE CLINIC
CORNHILL INTERNAL MEDICINE
777 SOUTH AVENUE SUITE 200	ROCHESTER	NY	14620	PRIMARY CARE CLINIC
GENESEE VALLEY FAMILY MEDICINE
118 MAIN STREET PO BOX 99	MOUNT MORRIS	NY	14510	PRIMARY CARE CLINIC
GENESEE VALEY FAMILY MEDICINE LAKEVILLE
3509 THOMAS DRIVE SUITE 4	LAKEVILLE	NY	14480	PRIMARY CARE CLINIC
STRONG HEALTH MIDWIFERY GROUP
905 CULVER ROAD	ROCHESTER	NY	14620	OB/GYN CLINIC
PENFIELD MEDICAL IMAGING
2212 PENFIELD ROAD SUITE 300	PENFIELD	NY	14526	OUTPATIENT DIAGNOSTIC RADIOLOGY SERVICES
GENESEE VALLEY FAMILY MEDICINE GENESEO
4400 LAKEVILLE ROAD	GENESEO	NY	14454	PRIMARY CARE CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SUPPLEMENTAL DISCLSOURES	PART I, LINE 7 (BAD DEBT EXPENSE, COSTING METHODOLOGY USED)	THE BAD DEBT EXPENSE AMOUNT INCLUDED ON FORM 990, PART IX, COLUMN 25(A) WAS $4,365,265 FOR THE YEAR ENDED DECEMBER 30, 2010. THIS AMOUNT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES REPORTED ON THE SCHEDULE H, PART I, LINE 7 TABLE. THE COSTING METHODOLOGY USED IN CALCULATING THE AMOUNTS REPORTED ON THE LINE 7 TABLE ARE BASED ON A COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2. PART III, SECTION A, LINE 4 (BAD DEBT EXPENSE) HIGHLAND HOSPITAL OF ROCHESTER (THE "HOSPITAL") GRANTS CREDIT WITHOUT COLLATERAL TO PATIENTS, MOST OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD-PARTY ARRANGEMENTS. ADDITIONS TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS ARE MADE BY MEANS OF THE PROVISION FOR BAD DEBTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE AND SUBSEQUENT RECOVERIES ARE ADDED. THE AMOUNT OF THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS. THE COSTING METHODOLOGY FOR DETERMINING BAD DEBT EXPENSE (AT COST) WAS TO APPLY AN OVERALL HOSPITAL RATIO OF TOTAL COSTS TO TOTAL CHARGES, AND APPLY TO CHARGES WRITTEN OFF AS BAD DEBTS.
PART III, SECTION B, LINE 8 (COSTING METHODOLOGY, MEDICARE SHORTFALL)		THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 IS BASED ON THE HOSPITAL'S MEDICARE COST REPORT FILING FOR THE YEAR. CONSISTENT WITH THE CHARITABLE HEALTHCARE MISSION OF THE HOSPITAL AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545, THE HOSPITAL PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE SEEKING MEDICAL CARE. SUCH CARE IS PROVIDED REGARDLESS OF WHETHER THE REIMBURSEMENT PROVIDED FOR SUCH SERVICES MEETS OR EXCEEDS THE COSTS INCURRED BY THE HOSPITAL TO PROVIDE SUCH SERVICES. AS A RESULT, THE HOSPITAL VIEWS ANY SHORTFALL REPORTED IN LINE 7 AS AN ADDITIONAL ITEM OF COMMUNITY BENEFIT PROVIDED BY THE ORGANIZATION. PART III, SECTION C, LINE 9B (COLLECTION PRACTICES) HIGHLAND HOSPITAL'S MISSION IS OUR COMMITTMENT TO EXCELLENCE IN HEALTH CARE, WITH PATIENTS AND THEIR FAMILIES AT THE HEART OF ALL THAT WE DO. LAWS, REGULATIONS, CATASTROPHIC ILLNESSES AND THE RISING COSTS OF NEW TECHNOLOGY HAVE CREATED A CATEGORY OF PATIENTS WHO ARE EITHER UNINSURED OR UNDERINSURED. THIS CHARITY CARE PROGRAM HAS BEEN DEVELOPED TO HELP THE HOSPITAL MEET THE NEEDS OF THESE PATIENTS AND, CONCURRENTLY, MAINTAIN THE FINANCIAL VIABILITY OF THE HOSPITAL FOR FUTURE GENERATIONS. THIS CHARITY CARE POLICY EXPLAINS HOW THE HOSPITAL ASSISTS PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE ESSENTIAL MEDICAL CARE THEY RECEIVE. PRINCIPLES: HIGHLAND HOSPITAL PROACTIVELY CONVEYS INFORMATION ABOUT THIS CHARITY CARE POLICY TO PATIENTS AND THEIR FAMILIES. - WE BELIEVE THAT FEAR OF A HOSPITAL BILL SHOULD NEVER GET IN THE WAY OF ESSENTIAL HEALTH SERVICES. THE PROVISION OF URGENT OR EMERGENT HEALTHCARE IS NEVER DELAYED PENDING A FINANCIAL ASSISTANCE DETERMINATION. SIGNS ANNOUNCING THE CHARITY CARE PROGRAM ARE POSTED IN THE HOSPITAL (E.G. EMERGENCY DEPARTMENT, ADMITTING OFFICE) TO PROACTIVELY CONVEY THIS MESSAGE TO PROSPECTIVE PATIENTS AND THE PUBLIC IN GENERAL. - WE MAINTAIN FINANCIAL AID POLICIES THAT ARE CONSISTENT WITH THE MISSION, VALUES AND CAPACITY OF THE HOSPITAL AND THAT TAKE INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE. - WE COMMUNICATE THE AVAILABILITY OF FINANCIAL AID IN A MANNER THAT IS CLEAR, UNDERSTANDABLE, SENSITIVE TO THE PATIENT'S DIGNITY, AND IN MULTIPLE LANGUAGES. A NOTICE IS AVAILABLE AT REGISTRATION SITES THAT INFORMS PATIENTS OF THIS PROGRAM AND PROVIDES THE PHONE NUMBER TO CALL TO OBTAIN MORE INFORMATION AND TO APPLY FOR THIS PROGRAM. DESIGNATED STAFF ARE PROVIDED DETAILED TRAINING SO THAT THEY CAN PROVIDE INFORMATION AND ANSWER QUESTIONS ABOUT THE CHARITY CARE PROGRAM. INFORMATION IS GENERALLY AVAILABLE IN BOTH ENGLISH AND SPANISH. WHEN REQUESTED, IT WILL ALSO BE MADE AVAILABLE IN OTHER LANGUAGES. - WE IMPLEMENT FINANCIAL AID PROCEDURES THAT ARE CONSUMER-FRIENDLY, RESPECTFUL, AND CONFIDENTIAL, AS WELL AS DEBT COLLECTION POLICIES THAT REFLECT THE MISSION AND VALUES OF THIS HOSPITAL. - WE WORK WITH GOVERNMENT, PAYERS, BUSINESS, CONSUMER GROUPS AND OTHERS TO ADDRESS THE UNDERLYING PROBLEM THAT TOO MANY NEW YORKERS LACK HEALTH INSURANCE. GENERAL GUIDELINES: AS PART OF FINANCIAL PLANNING ASSISTANCE, WE PROVIDE PATIENTS, AND/OR THEIR LEGAL REPRESENTATIVE, WITH INFORMATION ABOUT THE CRITERIA THAT MUST BE MET IN ORDER TO OBTAIN MEDICAID, MEDICARE, OR OTHER HEALTH INSURANCES. PATIENTS ARE ASSISTED IN MAKING APPLICATIONS FOR ANY OF THESE INSURANCES OR DISCOUNTED FEE PLANS. PATIENTS ARE EXPECTED TO PARTICIPATE FULLY IN ALL EFFORTS TO OBTAIN ANY INSURANCE FOR WHICH THEY MAY QUALIFY. UNDER CERTAIN CIRCUMSTANCES, AS DETERMINED BY THE FINANCIAL CASE MANAGERS OR OTHER HOSPITAL SENIOR ADMINISTRATORS, APPLICATIONS FOR MEDICAID, MEDICARE OR OTHER INSURANCE PROGRAMS MAY BE WAIVED WHEN DEEMED UNNECESSARY. IF AVAILABLE INSURANCE BENEFITS ARE NOT SUFFICIENT TO COVER THE COST OF THEIR CARE, PATIENTS MAY THEN APPLY FOR ASSISTANCE FROM THE CHARITY CARE PROGRAM. CHARITY CARE APPLICATIONS MUST BE COMPLETED AND RETURNED TO THE HOSPITAL WITH THE REQUESTED INCOME DOCUMENTATION. PATIENTS WILL NOT RECEIVE CHARITY CARE ASSISTANCE IF THEY (A) DO NOT COMPLETE THE APPLICATION PROCESS FOR MEDICAID OR OTHER INSURANCE FOR WHICH THEY MAY QUALIFY, (B) ELECT NOT TO MAKE APPLICATION FOR CHARITY CARE, OR (C) HAVE ADEQUATE RESOURCES OR INCOME TO PAY PRIVATELY FOR THEIR CARE. IN THESE SITUATIONS, THEY WILL REMAIN FINANCIALLY RESPONSIBLE FOR FULL PAYMENT OF THEIR HOSPITAL BILLS. CHARITY CARE ASSISTANCE IS AVAILABLE FOR PATIENTS WHO RESIDE IN NEW YORK STATE AND RECEIVE EMERGENCY HOSPITAL SERVICES, INCLUDING EMERGENCY TRANSFERS, AND TO PATIENTS WHO RESIDE IN HIGHLAND HOSPITAL'S PRIMARY SERVICE AREA IN NEW YORK STATE WHO RECEIVE SERVICES IN DESIGNATED HIGHLAND HOSPITAL PROGRAMS, INCLUDING MOST INPATIENT AND OUTPATIENT SERVICES. IN ADDITION, THE HOSPITAL MAY, IN ITS DISCRETION, GRANT CHARITY CARE TO INDIVIDUALS WHO RESIDE OUTSIDE OF NEW YORK STATE. CHARITY CARE ASSISTANCE DOES NOT COVER MEDICALLY UNNECESSARY CARE, COSMETIC ALTERATION, TELEPHONE, TELEVISION AND PRIVATE ROOM CHARGES. IT DOES NOT COVER SERVICES GENERATED BY AN INSURED PATIENT WHO CHOOSES TO RECEIVE CARE AT AN OUT-OF-NETWORK HOSPITAL, OR WHO FAILS TO COMPLY WITH INSURANCE POLICY REQUIREMENTS (E.G. UNAUTHORIZED SERVICES) NOR DOES IT APPLY TO NON-RESIDENT ALIENS (UNLESS APPROVED IN ADVANCE OF CARE BEING PROVIDED), TO DRUGS NOT ADMINISTERED IN THE HOSPITAL, TO TRANSPORTATION FURNISHED BY THIRD PARTY VENDORS, OR TO CARE, SERVICES, DRUGS OR SUPPLIES FOR THE PURPOSE OF GENDER RE-ASSIGNMENT. SPECIFIC QUESTIONS ABOUT SERVICES THAT ARE NOT COVERED SHOULD BE DIRECTED TO THE PATIENT ACCOUNTS MANAGER OR HER DELEGATE. FINANCIAL GUIDELINES: FINANCIAL AID IS INTENDED TO ASSIST THOSE INDIVIDUALS WHO CANNOT AFFORD TO PAY IN PART OR IN FULL FOR THEIR CARE. IT SHOULD TAKE INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE. HOSPITAL FINANCIAL AID SHOULD NOT BE VIEWED AS A SUBSTITUTE FOR EMPLOYER-SPONSORED OR INDIVIDUALLY PURCHASED INSURANCE. PATIENTS WITHOUT INSURANCE AND WITH INCOME THAT WOULD QUALIFY THEM FOR THE CHARITY CARE PROGRAM BUT ALSO HAVE SUBSTANTIAL RESOURCES (OTHER THAN TAX-DEFERRED OR COMPARABLE RETIREMENT SAVINGS OR COLLEGE SAVINGS ACCOUNTS) MAY BE EXPECTED TO PAY PART OF THEIR BILLS(S). CHARITY CARE ASSISTANCE IS GENERALLY AVAILABLE TO INDIVIDUALS WHOSE INCOME IS LESS THAN OR EQUAL TO 400% OF THE FEDERAL POVERTY LEVEL. HOWEVER, PATIENTS WHO HAVE EXHAUSTED THEIR INSURANCE BENEFITS, EXCEEDED FINANCIAL ELIGIBILITY CRITERIA, FACE EXTRAORDINARY MEDICAL COSTS, OR WHO HAVE OTHER UNIQUE CIRCUMSTANCES MAY BE CONSIDERED FOR CHARITY CARE APPROVAL IN THE HOSPITAL'S SOLE DISCRETION. WHILE APPLICATION FOR MEDICAID OR OTHER INSURANCE IS USUALLY REQUIRED, THE HOSPITAL MAY, AT ITS SOLE DISCRETION, IN APPROPRIATE CASES, ALSO CONSIDER PATIENTS FOR CHARITY CARE WHEN THEY MEET THE FINANCIAL CRITERIA OF THIS PROGRAM, BUT HAVE NOT SATISFACTORILY COMPLETED ALL THE REQUIREMENTS OF THE CHARITY CARE APPLICATION PROCESS. THIS MAY INCLUDE PATIENTS WHO HAVE BEEN SANCTIONED BY MEDICAID, HAVE FILED BANKRUPTCY OR APPEAR TO BE ELIGIBLE FOR CHARITY CARE ASSISTANCE BASED ON AVAILABLE INFORMATION. ELIGIBILITY DETERMINATIONS IN COMPLEX CASE CIRCUMSTANCES WILL BE MADE AFTER CONSIDERATION BY THE CHARITY CARE REVIEW TEAM THAT INCLUDES THE CHARITY CARE OFFICER, FINANCIAL CASE MANAGER AND/OR THEIR MANAGERS, OR MAY BE MADE BY SENIOR HOSPITAL ADMINISTRATORS. THE AMOUNT OF THE DISCOUNT AFFORDED TO QUALIFIED CHARITY CARE PATIENTS WILL BE DETERMINED THROUGH ASSESSMENT OF THE RESPONSIBLE PARTY'S ANNUAL HOUSEHOLD INCOME AND THE NUMBER OF PEOPLE IN THE HOME, AS A PERCENTAGE OF THE FEDERAL POVERTY GUIDELINE AMOUNTS FOR SAME SIZE HOUSEHOLDS. THE FINANCIAL GUIDELINES WILL BE UPDATED ANNUALLY IN CONJUNCTION WITH THE FEDERAL POVERTY UPDATES PUBLISHED BY CMS. PATIENTS MAY RECEIVE FULL OR PARTIAL DISCOUNT FROM THE COST OF CARE, DEPENDING ON THE PERCENTAGE OF THE GUIDELINES MATCHED BY THE PATIENT'S HOUSEHOLD INCOME. ANY BILL AMOUNT REMAINING AFTER APPLICATION OF A PARTIAL CHARITY CARE DISCOUNT IS THE RESPONSIBILITY OF THE PATIENT. THE AMOUNT AN APPROVED CHARITY CARE PATIENT WILL GENERALLY BE EXPECTED TO PAY FOR SERVICES COVERED BY THE POLICY WILL BE LIMITED TO THE LOWER OF THE AMOUNT THAT THE HOSPITAL WOULD HAVE RECEIVED FOR THE SAME SERVICE UNDER MEDICARE PARTS A AND B, (INCLUDING COINSURANCE, CO-PAYMENTS AND DEDUCTIBLES) OR THE USUAL AND CUSTOMARY CHARGES. THE PATIENT WILL BE ASSISTED BY THE HOSPITAL IN MAKING ARRANGEMENTS TO SATISFY ANY BALANCE REMAINING ON THE ACCOUNT(S) AFTER THE APPLICATION OF THE APPROPRIATE CHARITY CARE DISCOUNT BY USE OF A PAYMENT PLAN. THE MONTHLY PAYMENTS UNDER SUCH PLANS SHALL NOT EXCEED TEN PERCENT (10%) OF THE ELIGIBLE PATIENT'S GROSS MONTHLY INCOME. THE RATE OF INTEREST ON UNPAID BALANCES SHALL NOT EXCEED THE US TREASURY RATE FOR 90 DAY SECURITIES PLUS 0.5%. HOSPITAL PATIENT FINANCIAL AID STATUTE DISCOUNTING REQUIREMENTS DISCOUNT / GROSS INCOME AS % OF FEDERAL POVERTY LEVEL 100% / UP TO 200% 80 / BETWEEN 201-250% 60% / BETWEEN 251-300% 40% / BETWEEN
PART VI, LINE 2 (NEEDS ASSESSMENT)		THE NEEDS OF MONROE COUNTY ARE ASSESSED THROUGH HEALTH ACTION, A ROBUST COMMUNITY-WIDE PROCESS ESTABLISHED 12 YEARS AGO THAT IS LED BY THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH (MCDPH). IT INVOLVES ALL FOUR LOCAL HEALTH SYSTEMS, LOCAL INSURERS, AND OTHER KEY COMMUNITY STAKEHOLDERS. THROUGH THIS PROCESS, COMMUNITY PRIORITIES, GOALS, AND INTERVENTIONS ARE IDENTIFIED AND IMPLEMENTED. THESE PRIORITIES ALIGN WITH THE HEALTH PRIORITIES AND INDICATORS AS PUBLISHED BY NEW YORK STATE'S DEPARTMENT OF HEALTH (DOH) AND INCLUDE ACCESS TO QUALITY HEALTH CARE AND SERVICES THAT ADDRESS TOBACCO USE, HEALTHY MOTHERS/HEALTHY BABIES/HEALTHY CHILDREN, PHYSICAL ACTIVITY/NUTRITION, UNINTENTIONAL INJURY, HEALTHY ENVIRONMENTS, CHRONIC DISEASE, AND MENTAL HEALTH/ SUBSTANCE ABUSE. FIVE HEALTH STATUS "REPORT CARDS" IN SPECIFIC AGE GROUPS AND CATEGORIES ARE USED TO MEASURE PROGRESS TOWARDS HEALTH STATUS IMPROVEMENT. THEY INCLUDE MATERNAL AND CHILD HEALTH, ADOLESCENT HEALTH, ADULT HEALTH, OLDER ADULT HEALTH AND ENVIRONMENTAL HEALTH, EACH OF WHICH CONTAIN GOALS FOR IMPROVING HEALTH. PRIORITIES FOR EACH AREA ARE SELECTED BASED ON INPUT FROM COMMUNITY SURVEYS, FOCUS GROUPS AND INFORMATION FROM HEALTH CARE PROVIDERS. UPDATED REPORT CARDS ARE PRODUCED AND DISTRIBUTED EVERY 6-8 YEARS FOR EACH SPECIFIC AGE GROUP. THE MONROE COUNTY ADULT HEALTH STATUS SURVEY IS SCHEDULED FOR 2012. THESE PRIORITIES SERVE AS A FOUNDATION FOR COMMUNITY HEALTH IMPROVEMENT AND COMMUNITY BUILDING EFFORTS AND HELP TO ENSURE COLLABORATIVE AND COORDINATED USE OF HEALTH SYSTEM RESOURCES TO ADDRESS THE MOST PRESSING NEEDS. THE PRIORITY SETTING PROCESS IS A SIX-STEP PROCESS THAT INCLUDES: 1. ASSESS HEALTH STATUS: DATA DETAILING HEALTH STATUS, ACCESS TO HEALTH CARE AND HEALTH BEHAVIORS ARE COMPILED AND ANALYZED TO IDENTIFY TRENDS AND DISPARITIES AND TO COMPARE OUR COUNTY TO OTHER COMMUNITIES. THE HEALTH SYSTEM PARTNERS WITH THE COUNTY TO CONDUCT PERIODIC HEALTH ASSESSMENTS. 2. CHOOSE PRIORITY GOALS: THE ADVISORY COMMITTEE, CO-FOUNDED BY THE MEDICAL CENTER, HOSTS COMMUNITY FORUMS TO ADDRESS HEALTH IMPROVEMENT PRIORITIES. THE ADVISORY COMMITTEE RECOMMENDS PRIORITIES OVER THE NEXT 4-5 YEARS TO THE MCDPH BOARD OF HEALTH. 3. DEFINE THE LEADERSHIP: PARTNERS ARE IDENTIFIED TO SUPPORT THE PRIORITIES FOR ACTION. THE MEDICAL CENTER PROVIDES SALARY SUPPORT FOR FACULTY AND STAFF TO CONTRIBUTE THEIR ACADEMIC AND CLINICAL EXPERTISE TO HELP IDENTIFY AND IMPLEMENT THE MOST EFFECTIVE INTERVENTIONS ON THE HEALTH PRIORITIES. 4. DEVELOP IMPROVEMENT PLANS: EACH PARTNERSHIP DEVELOPS IMPROVEMENT PLANS TO ADDRESS HEALTH GOALS. 5. PERFORM INTERVENTIONS: EACH PARTNERSHIP, ALONG WITH THE STEERING COMMITTEE, WHICH INCLUDES THE MEDICAL CENTER, OVERSEES THE IMPLEMENTATION OF INTERVENTIONS IN VARIOUS VENUES THAT INCLUDE SCHOOLS, DAY CARE CENTERS, PLACES OF WORSHIP, COMMUNITY BASED ORGANIZATIONS AND WITHIN THE HEALTH SYSTEMS. 6. MEASURE THE IMPACT: EACH PARTNERSHIP EVALUATES THE INTERVENTION.
PART VI, LINE 3 (PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE)		INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IS POSTED IN ALL AREAS OF HIGHLAND HOSPITAL AND ITS OFF-SITE LOCATIONS. CHARITY CARE INFORMATION IS POSTED IN INPATIENT AND OUTPATIENT REGISTRATION AREAS; THE EMERGENCY DEPARTMENT; ADMITTING; HIGHLAND FAMILY MEDICINE; AND ALL PRIMARY CARE SITES. THE HOSPITAL PROVIDES A COPY OF THE CHARITY CARE POLICY AND FINANCIAL ASSISTANCE CONTACTS TO PATIENTS AS PART OF ITS ADMITTING PROCESS. HIGHLAND ALSO PROVIDES PRINTED INFORMATION ABOUT CHARITY CARE ASSISTANCE WITH DISCHARGE MATERIALS WHEN IT HAS BEEN DETERMINED THAT A PATIENT IS IN FINANCIAL NEED; THIS IS DONE AS A FOLLOW-UP TO A PERSONAL CONTACT BY A HOSPITAL SOCIAL WORKER SPECIALIZING IN COUNSELING PATIENTS WHO NEED TO QUALIFY FOR MEDICAID, AND ASSISTING THEM WITH THE QUALIFICATION PROCESS.
PART VI, LINE 4 (COMMUNITY INFORMATION)		THE HOSPITAL SERVES THE URBAN ROCHESTER AREA AND SURROUNDING COUNTIES (MONROE, GENESEE, LIVINGSTON, ONTARIO, ORLEANS AND WAYNE). PATIENTS ALSO TRAVEL TO HIGHLAND FROM THE UPSTATE NEW YORK REGION, PENNSYLVANIA AND CANADA FOR ITS SPECIALTY SERVICES, WHICH INCLUDE: ORTHOPAEDICS/ JOINT REPLACEMENT; BARIATRIC SURGERY; GERIATRICS; WOMEN'S SERVICES. THE AREA IS ALSO SERVED BY THREE OTHER HOSPITALS: STRONG MEMORIAL HOSPITAL, AN AFFILIATE OF THE UNIVERSITY OF ROCHESTER MEDICAL CENTER; ROCHESTER GENERAL HOSPITAL; AND UNITY HOSPITAL. MONROE COUNTY'S POPULATION, ACCORDING TO 2010 U.S. CENSUS FIGURES, WAS 744,344. MEDIAN HOUSEHOLD INCOME WAS $50,265. PERCENT OF PERSONS BELOW THE POVERTY LEVEL, 2009 DATA: 13.4%. PERCENT OF COMMUNITY RESIDENTS UNDER AGE 65 WHO ARE UNINSURED: 8.8 PERCENT. (DATA COMES FROM ROCHESTER AND MONROE COUNTY PARTNERSHIP ON THE UNINSURED, THE SURVEY OF HEALTH CARE COVERAGE AND ACCESS IN MONROE COUNTY, ROCHESTER, NY, 2000 (NON-ELDERLY ADULTS)).
PART VI, LINE 5 (PROMOTION OF COMMUNITY HEALTH)		HIGHLAND HOSPITAL CONDUCTS MANY EVENTS THROUGHOUT THE YEAR. EXAMPLES INCLUDE FREE OR LOW-COST HEALTH EDUCATION PROGRAMS ON TOPICS RELATED TO GERIATRIC HEALTH, DIABETES MANAGEMENT, JOINT PAIN/JOINT REPLACEMENT, AND BARIATRIC SURGERY. HIGHLAND'S BREAST IMAGING CENTER SPONSORS FREE MAMMOGRAPHY SCREENING DAYS SEVERAL TIMES A YEAR FOR UNINSURED/UNDERINSURED WOMEN. THESE EVENTS SERVE SEVERAL PURPOSES: THEY RAISE AWARENESS OF THE BREADTH OF SERVICES OFFERED BY HIGHLAND TO THE COMMUNITY, ESPECIALLY THOSE IN THE URBAN AREA OF ROCHESTER FOR WHOM HIGHLAND IS THEIR CLOSEST HOSPITAL; THEY ENCOURAGE COMMUNITY MEMBERS TO ENGAGE IN PROACTIVE WELLNESS EFFORTS, SUCH AS RECOMMENDED ANNUAL MAMMOGRAMS FOR WOMEN OVER 40 AND THOSE AT RISK; AND THEY EDUCATE COMMUNITY MEMBERS ON STEPS THEY CAN TAKE TO LEAD HEALTHY LIVES THROUGH POSITIVE LIFESTYLE CHOICES. HIGHLAND STAFF PROVIDE HEALTH INFORMATION AND WELLNESS SCREENINGS AT NUMEROUS COMMUNITY EVENTS SUCH AS ANNUAL HEALTH FAIRS -- THE ALESI WELLNESS FAIR HELD EVERY OCTOBER IN ROCHESTER DRAWS SEVERAL THOUSAND PEOPLE. OTHER EXAMPLES INCLUDE A HIGHLAND-STAFFED BOOTH AT ROCHESTER'S LILAC FESTIVAL IN MAY, ATTENDED BY THOUSANDS OF PEOPLE, WHERE STAFF PROVIDE INFORMATION AND SCREENINGS, AS WELL AS REFERRALS TO HIGHLAND PATIENT EDUCATION OPPORTUNITIES. HIGHLAND ALSO SUPPORTS OTHER COMMUNITY ORGANIZATIONS THAT SHARE THE HOSPITAL'S MISSION OF IMPROVING COMMUNITY HEALTH. EXAMPLES INCLUDE PHYSICIAN AND CLINICAL STAFF VOLUNTEERING AT ST. JOSEPH'S NEIGHBORHOOD CLINIC TO PROVIDE ACCESS TO MEDICAL CARE TO THE UNINSURED.
PART VI, LINE 5 (PROMOTION OF COMMUNITY HEALTH- OTHER INFORMATION)		HIGHLAND'S BOARD OF DIRECTORS IS COMPRISED OF A DIVERSE GROUP OF MEMBERS OF THE ROCHESTER COMMUNITY. THE BOARD INCLUDES URMC AND HIGHLAND SENIOR LEADERS; EMPLOYED URMC FACULTY BASED AT HIGHLAND HOSPITAL AND PRIVATE COMMUNITY PHYSICIANS; MEMBERS OF THE BUSINESS COMMUNITY AND LOCAL PHILANTHROPISTS WITH AN INTEREST IN ADVOCATING FOR HEALTH CARE. HIGHLAND EXTENDS MEDICAL STAFF PRIVILEGES TO EMPLOYED HIGHLAND PHYSICIANS; URMC FACULTY PHYSICIANS; AND ALL ELIGIBLE PRIVATE PHYSICIANS WHO PRACTICE AT HIGHLAND AND/OR ADMIT PATIENTS TO THE HOSPITAL. HIGHLAND USES SURPLUS FUNDS TO CONTINUALLY REINVEST IN ITS FACILITY; THE 121-YEAR-OLD HOSPITAL HAS IN RECENT YEARS RENOVATED ITS EMERGENCY DEPARTMENT IN RESPONSE TO RISING PATIENT VOLUMES, VIRTUALLY DOUBLING ITS CAPACITY TO MEET CURRENT AND FUTURE PATIENT NEEDS. OTHER ENHANCEMENTS INCLUDE THE ADDITION OF A NEW OUTPATIENT PHARMACY AND EXPANDED LOBBY/SURGICAL WAITING AREA TO ACCOMMODATE SURGICAL VOLUME GROWTH. THE HOSPITAL HAS BEGUN CONSTRUCTION OF A NEW NEUROMEDICINE UNIT TO PROVIDE INTEGRATED NEUROLOGY/NEUROSURGERY CARE TO STROKE, HEAD INJURY AND NEUROSURGERY PATIENTS. AND, IT HAS BEGUN CONSTRUCTION OF TWO NEW OPERATING ROOMS AND EXPANSION OF ITS PERIOPERATIVE SERVICES AREA TO MEET DEMAND FOR OR USAGE.
PART VI, LINE 6 (DETAIL REGARDING AFFILIATED HEALTH CARE SYSTEM ROLES)		THE UNIVERSITY OF ROCHESTER MEDICAL CENTER IS AN INTEGRATED ACADEMIC HEALTH CENTER THAT COMPRISES THE SCHOOL OF MEDICINE AND DENTISTRY, INCLUDING ITS FACULTY PRACTICE (UNIVERSITY OF ROCHESTER MEDICAL FACULTY GROUP); STRONG MEMORIAL HOSPITAL; GOLISANO CHILDREN'S HOSPITAL; JAMES P. WILMOT CANCER CENTER; SCHOOL OF NURSING; EASTMAN DENTAL CENTER; AND ITS AFFILIATES, HIGHLAND HOSPITAL, VISITING NURSE SERVICE, HIGHLANDS LIVING CENTER, HIGHLAND COMMUNITY DEVELOPMENT CORPORATION (D/B/A THE HIGHLANDS AT PITTSFORD), AND HIGHLANDS AT BRIGHTON. - ONE OF THE NATION'S TOP ACADEMIC MEDICAL CENTERS, THE UNIVERSITY OF ROCHESTER MEDICAL CENTER FORMS THE CENTERPIECE OF THE UNIVERSITY'S HEALTH RESEARCH, TEACHING, PATIENT CARE, AND COMMUNITY OUTREACH MISSIONS. WITH MORE THAN $145 MILLION IN FEDERAL RESEARCH FUNDING, UR SCHOOL OF MEDICINE RESEARCH FUNDING RANKS IN THE TOP ONE-QUARTER OF U.S. MEDICAL CENTERS, WHILE THE SCHOOL OF NURSING RANKS 12TH HIGHEST IN FUNDING. THE UNIVERSITY'S HEALTH CARE DELIVERY NETWORK IS ANCHORED BY STRONG MEMORIAL HOSPITAL-A 739-BED, UNIVERSITY-OWNED TEACHING HOSPITAL. PATIENTS BENEFIT FROM THE MEDICAL CENTER'S ROBUST TEACHING AND BIOMEDICAL RESEARCH PROGRAMS. ITS RESEARCH FACULTY HAVE ATTRACTED EXTERNAL FUNDING TOTALING APPROXIMATELY $300 MILLION DURING THE LAST FISCAL YEAR. THE MEDICAL CENTER HAS ACHIEVED TOP-15 RANKINGS IN NIH FUNDING IN BIOCHEMISTRY, MICROBIOLOGY AND IMMUNOLOGY, NEUROLOGY, OBSTETRICS AND GYNECOLOGY, ORAL BIOLOGY, AND MUSCULOSKELETAL RESEARCH. STUDENT ROSTERS INCLUDE APPROXIMATELY 400 MEDICAL STUDENTS, 550 GRADUATE STUDENTS, AND 600 RESIDENTS AND FELLOWS. - GOLISANO CHILDREN'S HOSPITAL, HOUSED IN STRONG MEMORIAL HOSPITAL, IS A 124-BED CHILDREN'S HOSPITAL THAT SERVES AS THE REFERRAL CENTER FOR UPSTATE NEW YORK, SURROUNDING STATES AND CANADA. IT COMBINES AWARD-WINNING RESEARCH, INTERNATIONALLY ACCLAIMED EDUCATION AND COMPASSIONATE CARE TO SERVE CHILDREN AND FAMILIES. PEDIATRIC SPECIALTIES INCLUDE ORTHOPAEDICS, NEUROLOGY/NEUROSURGERY, CANCER AND NEONATAL CARE. - THE JAMES P. WILMOT CANCER CENTER IS ORGANIZED AROUND A MULTIDISCIPLINARY CARE MODEL, WHICH LEADING CANCER EXPERTS BELIEVE IS THE GOLD STANDARD IN CANCER CARE IN THE 21ST CENTURY. ITS MODEL UNDERSCORES A COMMITMENT TO PROVIDE PATIENTS IN THE ROCHESTER AREA WITH THE MOST UP-TO-DATE INFORMATION AND AVAILABLE TREATMENTS, BASING OUR RECOMMENDATIONS ON THE BEST EVIDENCE. IT IS ONE OF THE ONLY CENTERS IN WESTERN NEW YORK OFFERING THIS TEAM APPROACH TO CARE. - EASTMAN DENTAL CENTER PROVIDES COMMUNITY DENTAL CARE IN A NUMBER OF CLINICS AS WELL AS CLINICAL EDUCATION TO DENTAL STUDENTS ENROLLED AT THE UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY. IT OFFERS GENERAL DENTISTRY, PEDIATRIC AND ORTHODONTIC CLINICS AND HAS RECENTLY ADDED AN URGENT CARE DENTAL CLINIC THAT SEES APPROXIMATELY 50 PATIENTS A DAY. - HIGHLAND HOSPITAL IS A FULL-SERVICES COMMUNITY HOSPITAL THAT ALSO OFFERS NUMEROUS SPECIALTY SERVICES THAT DRAW PATIENTS FROM THE REGION AND CANADA: BARIATRIC SURGERY, JOINT REPLACEMENT, GERIATRICS, WOMEN'S SERVICES AND MATERNITY. HIGHLAND HOSPITAL'S EVOLUTION AS A FULL-SERVICES COMMUNITY HOSPITAL, WITH A FULL COMPLEMENT OF SUBSPECIALTY SERVICES, ENABLES THE HOSPITAL TO ACCEPT PATIENTS FROM STRONG MEMORIAL'S ED AND INPATIENT FLOORS - IMPORTANT TO ASSURING ACCESS OF CARE, SINCE STRONG IS OFTEN AT OR NEAR FULL CAPACITY. - VISITING NURSE SERVICE OFFERS COMPLETE HOME HEALTH CARE SERVICES FOR NEWBORNS TO SENIORS. - THE HIGHLANDS LIVING CENTER OFFERS SKILLED NURSING CARE. - HIGHLAND COMMUNITY DEVELOPMENT CORPORATION (D/B/A THE HIGHLANDS AT PITTSFORD) OFFERS ENRICHMENT AND INDEPENDENT LIVING OPTIONS FOR SENIORS. - THE HIGHLANDS AT BRIGHTON IS A SKILLED NURSING FACILITY THAT SPECIALIZES IN CARE FOR THE MOST MEDICALLY COMPLEX CASES. BOTH NURSING HOMES REFER TO HIGHLAND FOR THE QUALITY AND BREADTH OF ITS GERIATRIC CARE. MANY HIGHLAND GERIATRICIANS SERVE A DUAL ROLE WITH THESE AGENCIES, PROVIDING SERVICE AS A MEDICAL DIRECTOR AND/OR ATTENDING PHYSICIAN, WHICH STRENGTHENS THE COLLABORATION BETWEEN HOSPITAL, NURSING HOME, HOME NURSING CARE, PATIENT AND FAMILY. THIS LINKAGE STRENGTHENS PRACTITIONERS' KNOWLEDGE OF EACH OTHER AND LEVEL OF COLLABORATION, PRODUCING A HIGH QUALITY OF CARE AND SMOOTHER TRANSITIONS FOR PATIENTS WHO MAY NEED ANY OR ALL OF THESE SERVICES AS THEY AGE.
STATE FILING OF COMMUNITY BENEFIT REPORT	990 SCHEDULE H, PART VI	NY,

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
STEVEN GOLDSTEIN
0	831072	0	0	0	42110	0	158596	0	3959	0	1035737	0	0
ROBERT MCCANN MD
0	308499	0	0	0	0	0	26339	0	1443	0	336281	0	0
JOSEPH JOHNSON MD
0	626227	0	0	0	16600	0	0	0	0	0	642827	0	0
LEONARD SHUTE
0	418271	0	0	0	27079	0	0	0	0	0	445350	0	0
CINDY BECKER
239708	0	0	0	0	0	0	0	0	0	239708	0	0	0
LORI FERRIS MD
374948	0	0	0	0	0	0	0	0	0	374948	0	0	0
JULIETTA FISCELLA MD
318602	0	0	0	0	0	0	0	0	0	318602	0	0	0
JEFFREY HANSON MD
310478	0	0	0	0	0	0	0	0	0	310478	0	0	0
GREGORY RYAN MD
282934	0	0	0	0	0	0	0	0	0	282934	0	0	0
RAYMOND MAYEWSKI MD
0	477012	0	0	0	31985	0	0	0	0	0	508997	0	0
CHARLES MASKIELL MD
205741	0	0	0	0	0	0	0	0	0	205741	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
TOP MANAGEMENT COMPENSATION	FORM 990, SCHEDULE J, LINE 3	AS PROVIDED IN THE FORM 990, SCHEDULE J INSTRUCTIONS, SINCE THE ORGANIZATION RELIES ON A RELATED ORGANIZATION WHICH USES ONE OR MORE OF THE METHODS DESCRIBED IN LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIALS' COMPENSATION, THIS QUESTION HAS BEEN LEFT UNANSWERED. REFER TO SCHEDULE O, DESCRIPTION OF COMPENSATION REVIEW AND APPROVAL PROCESS.
PARTICIPATION IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	FORM 990, SCHEDULE J, LINE 4B	BOX 4(B) HAS BEEN CHECKED YES, SINCE CERTAIN OFFICERS OF HIGHLAND HOSPITAL OF ROCHESTER PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PROVIDED BY THE UNIVERSITY OF ROCHESTER, A RELATED IRC SECTION 501(C) (3) ORGANIZATION. tHESE AMOUNTS ARE INCUDED IN DEFERRED COMPENSATION, FOR THE FOLLOWING INDIVIDUALS: STEVEN GOLDSTEIN SERP PLAN $135,000 LEONARD SHUTE SERP PLAN $50,000 LEONARD SHUTE 457(F) PLAN $81,250 RAYMOND MAYEWSKI SERP PLAN $89,010

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
COUNTY OF MONROE INDUSTRIAL DEVELOPMENT AGENCY
161005429	610752DY0	2005-06-23	36194096	REFUND 1997 BONDS/ BLDING & EQUIP	false	false	false
DORMITORY AUTHORITY OF STATE OF NEW YORK
146000293	649905W93	2010-06-25	10932064	MEDICAL FACILTY, EQUIP & TECHNLGY	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetired	Amount Bond DefeasedAmountBondDefeased	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
5632814	0	30561282	3358494	0	0	323708	0	0	14228315	0	0	2006	false	true	true	true
0	0	10932064	428710	0	0	218641	0	0	10284713	0	0	2011	false	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	false	true	0.00000	0.00000	0.00000	true
false	false	false	false	true	0.00000	0.00000	0.00000	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
false	true	false	false	false	true
false	true	false	false	false	true

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Identifier	SUPPLEMENTAL INFORMATION	Identifier
Return Reference	FORM 990, SCHEDULE K, PART III, LINE 3C	ReturnReference
Explanation	HIGHLAND HOSPITAL DOES NOT HAVE ANY MANAGEMENT OR SERVICE CONTRACTS OR RESEARCH AGREEMENTS BUT WOULD ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW BEFORE ENTERING INTO ANY SUCH AGREEMENTS.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FORM 990 REVIEW PROCESS	FORM 990, PART VI, SECTION B, LINE 11	The Form 990 of Highland Hospital is prepared by Finance staff and provided to PricewaterhouseCoopers LLP and senior management for review prior to filing. The Form 990 wAS ALSO PROVIDED to the Hospital's Joint Audit and Finance Committee prior to filing. The Committee's questions and comments WERE addressed at a Committee meeting prior to filing. The 2010 Form 990 was presented to the Joint Audit and Finance Committee by PriceWaterhouseCoopers LLP prior to filing. The Form 990 was also provided to the entire Board of Directors prior to filing.
CONFLICT OF INTEREST POLICY	FORM 990, PART VI, SECTION B, LINE 12C	Directors, committee members, officers and key employees are required to disclose a conflict of interest: (a) prior to voting on or otherwise discharging their duties with respect to any matter involving the conflict which comes before the Board or any committee; (b) prior to entering into any contract or transaction involving the conflict; (c) as soon as possible after the director, committee member or officer learns of the conflict; and (d) on an annual conflict of interest disclosure form. The form is distributed annually and requires disclosure of all conflicts of interest, including specific information concerning the terms of any contract or transaction with the Hospital that involves a potential conflict of interest for the individual. The forms are reviewed by the Board Chair and legal counsel, and conflicts disclosed on the forms or on an ad hoc basis are reviewed by a Board committee. The Committee considers the material facts concerning any proposed contract or transaction, including the process by which the decision was made to approve or recommend entering into the arrangement on the terms proposed, and approves such contracts or transactions only if the terms are fair and reasonable to the Hospital and the arrangements are consistent with the best interests of the Hospital.
COMPENSATION REVIEW AND APPROVAL	FORM 990, PART VI, SECTION B, LINE 15	Written self-evaluations and performance evaluations for Highland Hospital's officers and key employees annually are reviewed by the Committee on Compliance and Compensation of the University of Rochester Medical Center Board. The Committee has available the evaluations from Highland Hospital's board, as well as from the CEO of URMC health system and in some cases Highland's CEO. The Committee reviews and approves total compensation for officers and key employees and considers, in addition to the evaluations, the scope of the individual's job responsibilities, previous compensation and comparable compensation paid to people with similar responsibilities at comparable institutions. The comparable information is provided by an independent consultant and is based on local, regional and national compensation surveys.
GOVERNING DOCUMENTS	FORM 990, PART VI, SECTION C, LINE 19	Highland Hospital's FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST. Highland Hospital's GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE NOT ROUTINELY MADE AVAILABLE TO THE PUBLIC.
COMPENSATION INFORMATION	FORM 990, PART VII AND SCHEDULE J-2	CERTAIN OFFICERS, DIRECTORS AND KEY EMPLOYEES OF HIGHLAND HOSPITAL RECEIVE COMPENSATION FROM THE UNIVERSITY OF ROCHESTER, A RELATED IRC SECTION 501(C)(3) ORGANIZATION. A PORTION OF THE SALARIES OF THESE INDIVIDUALS IS ALLOCATED TO HIGHLAND HOSPITAL AND IS INCLUDED AS A PART OF OTHER SALARY AND WAGES ON THE STATEMENT OF FUNCTIONAL EXPENSES. CERTAIN OFFICERS AND KEY EMPLOYEES OF HIGHLAND HOSPITAL ALSO DEVOTE SIGNIFICANT TIME EACH WEEK TO OTHER RELATED ORGANIZATIONS, AS FOLLOWS: - STEVEN GOLDSTEIN DEVOTES APPROXIMATELY 55 HRS TO THE STRONG MEMORIAL HOSPITAL DIVISION OF THE UNIVERSITY OF ROCHESTER; 1 HR TO THE HIGHLAND HOSPITAL FOUNDATION; 1 HR TO HIGHLAND COMMUNITY DEVELOPMENT CORPORATION; 1 HR TO THE MEADOWS AT WESTFALL, INC.; AND 1 HR TO THE HIGHLANDS LIVING CENTER, INC. - LEONARD SHUTE DEVOTES APPROXIMATELY 45 HRS TO THE STRONG MEMORIAL HOSPITAL DIVISION OF THE UNIVERSITY OF ROCHESTER; 1 HR TO HIGHLAND COMMUNITY DEVELOPMENT CORPORATION; 1 HR TO THE MEADOWS AT WESTFALL, INC.; AND 1 HR TO THE HIGHLANDS LIVING CENTER, INC. - RAYMOND MAYEWSKI MD DEVOTES APPROXIMATELY 51 HRS TO THE STRONG MEMORIAL HOSPITAL DIVISION OF THE UNIVERSITY OF ROCHESTER. - ROBERT MCCANN, MD CURRENTLY SERVES AS THE CHIEF OF MEDICINE AT HIGHLAND HOSPITAL. A PORTION OF THE TOTAL COMPENSATION REPORTED RELATES TO HIS SERVICES PERFORMED IN THIS ROLE. - JOSEPH JOHNSON, MD CURRENTLY SERVES AS THE CHIEF OF SURGERY AT HIGHLAND HOSPITAL. A PORTION OF THE TOTAL COMPENSATION REPORTED RELATES TO HIS SERVICES PERFORMED IN THIS ROLE. - ANIL SHARMA, MD CURRENTLY SERVES AS THE CHIEF OF GASTROENTEROLOGY AT HIGHLAND HOSPITAL. THE COMPENSATION REPORTED RELATES TO HIS SERVICES PERFORMED IN THIS ROLE. NONE OF THE BOARD MEMBERS OF HIGHLAND HOSPITAL ARE COMPENSATED FOR THEIR BOARD SERVICE. HIGHLAND HOSPITAL OF ROCHESTER MAINTAINS A DEFINED BENEFIT RETIREMENT PLAN (THE "PLAN") WHICH COVERS EMPLOYEES OF THE HOSPITAL THAT HAVE COMPLETED TWO YEARS OF CONTINUOUS EMPLOYMENT. THE DEFERRED COMPENSATION AMOUNTS REPORTED FOR CINDY BECKER, CHOLPADY KAMATH MD, JULIETTA FISCELLA MD, LORI FERRIS MD, JEFFREY HANSON MD, AND GREGORY RYAN MD REPRESENT THE ACTUARIAL PRESENT VALUE OF THE BENEFITS ATTRIBUTED BY THE PLAN'S BENEFIT FORMULA TO SERVICES RENDERED BY THESE INDIVIDUALS DURING 2010. THE PRESENT VALUES ARE BASED UPON MANDATED IRS INTEREST AND MORTALITY ASSUMPTIONS AS DETAILED IN THE PLAN'S 2010 ACTUARIAL VALUATION REPORT. THE PENSION PLAN FORMULA CALCULATES A BENEFIT BASED UPON THE PARTICIPANT'S SERVICE AND 5 YEAR AVERAGE COMPENSATION. THE PRESENT VALUES OF THE BENEFITS ARE DEPENDENT UPON THE PARTICIPANT'S AGE AND THE INTEREST AND MORTALITY ASSUMPTIONS.
MEMBERSHIP INFORMATION	FORM 990, PART VI, SECTION A, LINES 6, 7A & 7B	The sole member of Highland Hospital is Strong Partners Health System, Inc. ("SPHS"). SPHS, acting through its Board of Directors, has the authority to elect the governing body of Highland Hospital, and certain decisions of the Highland Hospital Board are subject to the approval of the SPHS Board. Such decisions include appointment of the Highland Hospital President and CEO, amendment of the Certificate of Incorporation and Bylaws, approval of extraordinary corporate actions such as merger or dissolution, and approval of capital and operating budgets, strategic plans, and incurrence of certain debt.
DETAIL OF OTHER CHANGES IN NET ASSETS	PART XI, LINE 5	OTHER CHANGES IN NET ASSESTS IS COMPRISED OF THE FOLLOWING ITEMS: -CHANGE IN ACCRUED PENSION LIABILITY ($4,634,844) -TRANSFERS TO AFFILIATES - HIGHLANDS AT BRIGHTON ($384,000) ----------- ($5,018,844)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (18 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1
UNIVERSITY OF ROCHESTER
910 GENESEE STREET STE 200	ROCHESTER	NY	14611	160743209	SCHOOL	NY	501(C)(3)	2	NA
THE HIGHLAND FOUNDATION INC
1000 SOUTH AVENUE	ROCHESTER	NY	14620	237310662	FUNDRAISING	NY	501(C)(3)	7	HIGHLD HOSP
HIGHLAND FACILITIES DEVELOPMENT CORP
1000 SOUTH AVENUE	ROCHESTER	NY	14620	223039077	MEDICAL BLDG	NY	501(C)(3)	9	HIGHLD HOSP
STRONG PARTNERS HEALTH SYSTEM INC
601 ELMWOOD AVENUE BOX 706	ROCHESTER	NY	14642	161499099	SUPPORT ORG	NY	501(C)(3)	11A, 1	UNIV OF ROCH
THE MEADOWS AT WESTFALL INC
5901 LAC DE VILLE BLVD	ROCHESTER	NY	14618	161502303	HEALTHCARE	NY	501(C)(3)	9	SPHS
THE HIGHLANDS LIVING CENTER INC
500 HAHNEMANN TRAIL	PITTSFORD	NY	14534	223240227	HEALTHCARE	NY	501(C)(3)	9	SPHS
HIGHLAND COMMUNITY DEVELOPMENT CORP
100 HAHNEMANN TRAIL	PITTSFORD	NY	14534	223154715	ELDER CARE	NY	501(C)(3)	9	SPHS
STRONG HOME CARE GROUP
2180 EMPIRE BOULEVARD	WEBSTER	NY	14580	222577664	FUNDRAISING	NY	501(C)(3)	7	UNIV OF ROCH
VISITING NURSE SRVC OF ROCHESTER & MONRO
2180 EMPIRE BOULEVARD	WEBSTER	NY	14580	160743215	HEALTHCARE	NY	501(C)(3)	9	SHCG
COMMUNITY CARE OF ROCHESTER
2180 EMPIRE BOULEVARD	WEBSTER	NY	14580	161561691	HEALTHCARE	NY	501(C)(3)	9	SHCG
EXCELL PARTNERS INC
160 LINDEN OAKS SUITE E	ROCHESTER	NY	14625	201862628	ECONOMIC DEV	NY	501(C)(4)	N/A	UNIV OF ROCH
ROCHESTER BIOVENTURE CENTER INC
601 ELMWOOD AVENUE BOX 706	ROCHESTER	NY	14642	202485999	BIOTECH INCUB	NY	501(C)(3)	11A, 1	UNIV OF ROCH
HIGH TECH ROCHESTER INC
150 LUCIUS GORDON DRIVE SUITE 100	WEST HENRIETTA	NY	14586	161195028	BUSINESS INCU	NY	501(C)(3)	7	UNIV OF ROCH
CRITTENDEN BOULEVARD HOUSING CO INC
249 NORTON VILLAGE LANE	ROCHESTER	NY	14609	237035414	SUPPORT ORG	NY	501(C)(3)	11B, II	UNIV OF ROCH
UNIVERSITY OF ROCHESTER EMPLOYEE BEN TRS
910 GENESEE STREET SUITE 200	ROCHESTER	NY	14611	161600112	EMPL BEN TRST	NY	501(C)(9)	N/A	UNIV OF ROCH
U OF R BROADCASTING CORPORATION
201 WILSON COMMONS	ROCHESTER	NY	14627	160743209	BROADCAST LIC	NY	501(C)(4)	N/A	UNIV OF ROCH
UR REAL ESTATE CORPORATION
263 WALLIS HALL	ROCHESTER	NY	14627	271140014	SUPPORT ORG	NY	501(C)(3)	11D, III-OT	UNIV OF ROCH
FRAMEMED FOUNDATION INC
263 WALLIS HALL	ROCHESTER	NY	14627	161490497	SUPPORT ORG	NY	501(C)(3)	7	UNIV OF ROCH

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
MEDICAL ADMINISTRATIVE ASSOCIATES INC
777 SOUTH CLINTON AVENUE	ROCHESTER	NY	14620	161354319	RETAIL PHARMACY	NY	HIGHLAND HOSPIT	C CORP	-740218	3374767	1.00000
UR EQUITY HOLDINGS INC
110 OFFICE PARK WAY	PITTSFORD	NY	14534	273040889	HOLDING CO	NY	UNIV ROCH	C CORP

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
THE HIGHLAND FOUNDATION INC
C,R	489037
MEDICAL ADMINISTRATIVE ASSOCIATES INC
K,N,P	701609
HIGHLAND FACILITIES DEVELOPMENT CORPORATION
J,K,N	461600