THE UNITY HOSPITAL OF ROCHESTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
THE UNITY HOSPITAL OF ROCHESTER (EIN 23-7221763)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201143199349306249
Schema version
2010v3.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-15T12:10:52-08:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237221763EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameThomas R CrillyName
TitleCFOTitle
Date Signed2011-11-15DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11555 Long Pond RdAddressLine1
CityRochesterCity
StateNYState
ZIP Code14626ZIPCode
FieldValueIRS element (for citing)
Gross Receipts363916719GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.unityhealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1972YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionSee Schedule OActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees5614TotalNbrEmployees
Total Nbr Volunteers501TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year3494155ContributionsGrantsPriorYear
Contributions Grants Current Year2958137ContributionsGrantsCurrentYear
Program Service Revenue Prior Year351597980ProgramServiceRevenuePriorYear
Program Service Revenue CY355213644ProgramServiceRevenueCY
Investment Income Prior Year1263InvestmentIncomePriorYear
Investment Income Current Year97967InvestmentIncomeCurrentYear
Other Revenue Prior Year5242510OtherRevenuePriorYear
Other Revenue Current Year5646971OtherRevenueCurrentYear
Total Revenue Prior Year360335908TotalRevenuePriorYear
Total Revenue Current Year363916719TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year207162785SalariesEtcPriorYear
Salaries Etc Current Year209754594SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year145195768OtherExpensePriorYear
Other Expenses Current Year148526670OtherExpensesCurrentYear
Total Expenses Prior Year352358553TotalExpensesPriorYear
Total Expenses Current Year358281264TotalExpensesCurrentYear
Revenues Less Expenses Prior Year7977355RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5635455RevenuesLessExpensesCY
Total Assets BOY195466879TotalAssetsBOY
Total Assets EOY370834724TotalAssetsEOY
Total Liabilities BOY156717280TotalLiabilitiesBOY
Total Liabilities EOY331280015TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY38749599NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY39554709NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSee Schedule OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense97099466Expense
Revenue138051272Revenue
DescriptionAcute Inpatient Care: The Unity Hospital of Rochester provides acute inpatient hospital care to the residents of Rochester, NY and surrounding areas regardless of ability to pay. Total inpatient admissions for 2010 totaled 17,644.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense72414615Expense
Revenue113441491Revenue
DescriptionAcute Outpatent Care: The Unity Hospital of Rochester provides acute outpatient hospital care to the residents of Rochester, NY and surrounding areas regardless of ability to pay. Total outpatient care visits for 2010 were 323,399.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense58825334Expense
Revenue70117769Revenue
DescriptionAdditional Program Services: The Unity Hospital of Rochester provides Acute Rehab, Inpatient Chemical Dependency, Outpatient Chemical Dependency, I/P Psychiatric, Outpatient Mental Health, and skilled nursing services to the residents of Rochester, NY and surrounding areas regardless of ability to pay.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp50546652TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev42531313TotalOfOtherProgramServiceRev
Total Program Service Expense278886067TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingtrueCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096277NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees5614NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line195 Canal Landing BlvdAddressLine1
CityRochesterCity
StateNYState
ZIP Code14626ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekHighest Compensated EmployeeHighestCompensatedEmployeeReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerFormerFormerIndividual Trustee Or DirectorIndividualTrusteeOrDirectorKey EmployeeKeyEmployee
Ziad Alkhoury
Physician40.00X613471015665
Warren Hern
President & CEO40.00799397025798X
Toufic Rizk
Physician0.00X512148012287
Timothy R McCormick
Former President & CEO0.0025000000X
Thomas R Crilly
Sr. VP/CFO40.00376746029767X
Tarun Kothari MD
Director2.00000X
Stewart Putnam
Exec VP/COO40.00527550029965XX
Scott Turner
Director2.00000X
Sarah Amering
Director2.00000X
Ruth Hetland MD
Director2.00000X
Robert Oppenheimer
Director2.00000X
Robert Asbury MD
Director2.00000X
Richard Machemer PhD
Secretary2.00000X
Rich Jasinski
Director2.00000X
Penelope Martin MS RN NP
Director2.00000X
Nayef El-daher
Physician40.00X486809015293
Mark Meyer
Director2.00000X
Manuel Matos
Physician40.00X522844015952
Karen Gallina
Vice Chairman2.00000X
John Halstead PhD
Director2.00000X
Jeffrey C Mapstone
Treasurer2.00000X
Hari P Garg MD
Director2.00000X
Gregory Lewish MD
Vice Chairman2.00000X
Faheem AR Masood
Director2.00000X
Elizabeth V Patton PhD
Chairman2.00000X
Douglas F Brush
Director2.00000X
Bharat Gupta
Physician40.00X826885016452
FieldValueIRS element (for citing)
Total Reportable Comp From Org4915850TotalReportableCompFromOrg
Total Other Compensation161179TotalOtherCompensation
Number Individuals GT100 K251NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Liberty Solutions
19 Templeton TrailOrchard ParkNY14127Consulting650949
LeChase Construction
300 Trolley BlvdRochesterNY14606Construction11119800
Hypertype Inc
39 Halada DriveLake GeorgeNY12845Medical Transcrip549535
Gardner Plus Architects
40 Wildbriar RdRochesterNY14623A/E Services3171674
Butler-Till Media Services
2349 Monroe AvenueRochesterNY14618Advertising743044
FieldValueIRS element (for citing)
Number Of Contractors GT100 K29NumberOfContractorsGT100K
Government Grants2951385GovernmentGrants
All Other Contributions6752AllOtherContributions
Total Contributions2958137TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Other9000993076117930761179
MVP9000992706080727060807
Medicare900099151712897151712897
Medicaid9000997080050670800506
Blue Cross9000996656465366564653

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column8313602TotalRevenueColumn
Related Or Exempt Function Income8313602RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue355213644TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column323093TotalRevenueColumn
Exclusion$323,093ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-225126TotalRevenueColumn
Exclusion-$225,126ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Physician6211102338464$2,338,464
Miscellaneous900099857778$857,778
Cafeteria9000991508555$1,508,555

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column942174TotalRevenueColumn
Exclusion$942,174ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue5646971TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column363916719TotalRevenueColumn
Related Or Exempt Function Income355213644RelatedOrExemptFunctionIncome
Exclusion$5,744,938ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3651433Total
Program Services2675463ProgramServices
Management And General975970ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total168744887Total
Program Services123642079ProgramServices
Management And General45102808ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3549036Total
Program Services2600435ProgramServices
Management And General948601ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total22004023Total
Program Services16122700ProgramServices
Management And General5881323ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total11805215Total
Program Services8649870ProgramServices
Management And General3155345ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total3146089Total
Program Services2305190ProgramServices
Management And General840899ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total369649Total
Program Services270848ProgramServices
Management And General98801ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total153480Total
Program Services112457ProgramServices
Management And General41023ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total21139972Total
Program Services15489596ProgramServices
Management And General5650376ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1084764Total
Program Services794824ProgramServices
Management And General289940ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total10906969Total
Program Services7991711ProgramServices
Management And General2915258ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total7903955Total
Program Services5791354ProgramServices
Management And General2112601ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total12605948Total
Program Services9236580ProgramServices
Management And General3369368ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total693906Total
Program Services508436ProgramServices
Management And General185470ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total7336766Total
Program Services5375766ProgramServices
Management And General1961000ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total12687249Total
Program Services9296150ProgramServices
Management And General3391099ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3666489Total
Program Services2686495ProgramServices
Management And General979994ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Prov for Doubtful Accounts92158259215825
Parts & Repairs22976421683519614123
Miscellaneous1121492821735299757
Medical Supplies5202076152020761
Continuing Education854146625846228300

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1321568Total
Program Services968427ProgramServices
Management And General353141ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total358281264Total
Program Services278886067ProgramServices
Management And General79395197ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY14154710BOY
EOY12462467EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY17525430BOY
EOY14028217EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY34781600BOY
EOY32778846EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4435541BOY
EOY4736609EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3012567BOY
EOY2351341EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis267043419LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec162536991LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY89803240BOY
EOY104506428EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY31753791BOY
EOY199970816EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY195466879BOY
EOY370834724EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY35133982BOY
EOY39229740EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY5757231BOY
EOY2944039EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY47085000BOY
EOY222347031EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY73022BOY
EOY59810EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY893718BOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY26420634BOY
EOY21128896EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY41353693BOY
EOY45570499EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY156717280BOY
EOY331280015EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY38749599BOY
EOY39554709EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY38749599BOY
EOY39554709EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY195466879BOY
EOY370834724EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses5635455ReconcilationRevenueExpenses
Reconcilation Other Changes-4830345ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtctrueAgentTrusteeEtc
Beginning Balance73022BeginningBalance
Additions During Year49760AdditionsDuringYear
Distributions During Year62972DistributionsDuringYear
Ending Balance59810EndingBalance
Included On FStrueIncludedOnFS

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance6081294BeginningOfYearBalance
Contributions-187434Contributions
Investment Earnings Or Losses20114InvestmentEarningsOrLosses
Grants Or Scholarships1062683GrantsOrScholarships
End Of Year Balance4851291EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.19600PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.80400TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis106108413OtherCostOrOtherBasis
Depreciation58576430Depreciation
Book Value47531983BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis12156228OtherCostOrOtherBasis
Depreciation10396051Depreciation
Book Value1760177BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis25323737OtherCostOrOtherBasis
Depreciation22853617Depreciation
Book Value2470120BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis122829320OtherCostOrOtherBasis
Depreciation70710893Depreciation
Book Value52118427BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings104506428TotalOfBookValueLandBuildings

Other Assets OtherAssets (13 entries)

DescriptionDescriptionBook ValueBookValue
Workers Compensation Trust Fund84106
Security Deposits, Long Term100000
Professional Liability Trust Fund6453011
Patient Funds57824
Mortgage Bond Fund
Inv in Physician Practice505000
HCCI Ltd338475
Due From Affiliates-2104064
Deferred Financing Costs, Net10669258
Deferred Compensation8862521
Debt Service Reserve521
Bond Indenture & Mortgage Agreements172802728
Assets Designated for Capital Projects2201436
FieldValueIRS element (for citing)
Total Book Value Other Assets199970816TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Third Party Payors$11,590,804
Deferred Compensation$8,105,876
Accrued Post Retirement Benefits$1,056,346
Accrued Pension Liability$24,817,473
FieldValueIRS element (for citing)
Total Of Amounts45570499TotalOfAmounts
Total Revenue363916719TotalRevenue
Total Expenses358281264TotalExpenses
Excess Or Deficit For Year5635455ExcessOrDeficitForYear
Other-$4,830,345OtherAmount
Total Adjustments-4830345TotalAdjustments
Excess Or Deficit Per FS805110ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt363916719TotRevenueEtcAuditedFinclStmt
Revenue Subtotal363916719RevenueSubtotal
Total Revenue Per Form990363916719TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt358281264TotExpensesEtcAuditedFinclStmt
Expenses Subtotal358281264ExpensesSubtotal
Total Expenses Per Form990358281264TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XPart X : FIN48 FootnoteFIN 48 requires entities to disclose in their financial statement the nature of any uncertainty in their tax positions. For tax-exempt entities, tax-exempt status itself is deemed to be an uncertainty, as events could occur which have the potential to jeopardize an organization's tax-exempt status. The Health System implemented the provisions of FIN 48 in 2008. The System believes it has no uncertain tax positions as of and for the year ended December 31, 2010.
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund BalancesUHS Foundation - Contributed Capital $2385232 $0 Market Value Adjustments $369189 Equity Contribution $496295 Pension Adjustment $ -6456010 Swap Adjustment $ -1625051
Part V, Line 4Part V, Line 4: Intended uses of the endowment fund.Endowment funds held for intended use by The Unity Hospital of Rochester are in the possession of the Unity Health System Foundation. When the terms of the endowment are met, the Foundation grants the funds over to The Unity Hospital of Rochester.
Part IV, Line 2bPart IV, Line 2b: Explanation of escrow account liabilityUnity Living Center is a long-term care facility that operates as part of the Unity Hospital of Rochester. Residents have authorized Unity Living Center in writing to manage their personal finances. The nursing home holds, safeguards, manages, and accounts for personal funds of the residents deposited with the facility. Individual resident funds are deposited in an interest-bearing account and each resident has an internal accounting of the balance of their fund. Each resident is provided on a monthly basis an accounting of their fund balance

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense4605711TotalCommunityBenefitExpense
Net Community Benefit Expense4605711NetCommunityBenefitExpense
Percent Of Total Expense0.01290PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense72572376TotalCommunityBenefitExpense
Direct Offsetting Revenue69897625DirectOffsettingRevenue
Net Community Benefit Expense2674751NetCommunityBenefitExpense
Percent Of Total Expense0.00750PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense77178087TotalCommunityBenefitExpense
Direct Offsetting Revenue69897625DirectOffsettingRevenue
Net Community Benefit Expense7280462NetCommunityBenefitExpense
Percent Of Total Expense0.02040PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs48NumberOfActivitiesOrPrograms
Total Community Benefit Expense143347TotalCommunityBenefitExpense
Net Community Benefit Expense143347NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense9903490TotalCommunityBenefitExpense
Direct Offsetting Revenue2904843DirectOffsettingRevenue
Net Community Benefit Expense6998647NetCommunityBenefitExpense
Percent Of Total Expense0.01950PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs48NumberOfActivitiesOrPrograms
Total Community Benefit Expense10046837TotalCommunityBenefitExpense
Direct Offsetting Revenue2904843DirectOffsettingRevenue
Net Community Benefit Expense7141994NetCommunityBenefitExpense
Percent Of Total Expense0.01990PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs48NumberOfActivitiesOrPrograms
Total Community Benefit Expense87224924TotalCommunityBenefitExpense
Direct Offsetting Revenue72802468DirectOffsettingRevenue
Net Community Benefit Expense14422456NetCommunityBenefitExpense
Percent Of Total Expense0.04030PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served4PersonsServed
Total Community Building Expense24000TotalCommunityBuildingExpense
Net Community Building Expense24000NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served4PersonsServed
Total Community Building Expense24000TotalCommunityBuildingExpense
Net Community Building Expense24000NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$9,215,825BadDebtExpenseAmount
Amount Reimbursed By Medicare38993867AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare56871991CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-17878124MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number0FacilityNumber

Name Name

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

Address Address

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

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1The Unity Hospital of RochesteBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedfalseCHNAConducted
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent150.0000FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent400.0000FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Medical IndigencyXMedicalIndigency
Medicaid MedicareXMedicaidMedicare
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit LawsuitXPermitLawsuit
Collection ActivitiestrueCollectionActivities
Report To Credit AgencyXReportToCreditAgency
LawsuitXLawsuit
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Lowest Negotiated RatesXLowestNegotiatedRates
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargestrueGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part VI - States Where Community Benefit Report FiledNY
Part VI - Affilated Health Care System Roles and PromotionThe Unity Hospital of Rochester is an affiliate of Unity Health System, Inc. Unity Health System, Inc. and Subsidiaries (the System)is an integrated health care delivery system that provides patient care, senior housing, laboratory services, and community outreach to residents and other clients in Monroe County, New York and several surrounding counties.
Part VI - Explanation Of How Organization Furthers Its Exempt PurposeUnity Health System is a leader in advancing the health and well being of the greater Rochester area. The System believes in enhancing direct health care to vulnerable populations and the fear of a bill should never get in the way of essential health services. The System is committed to creating financial aid policies that take into account each individual's ability to contribute to the cost of his or her care, and the System's ability to provide care. The mission and values of the System focus on collaboration with community partners to improve access and delivery to care and maintaining strong relationships as a good corporate citizen and engaged workforce within our local communities.
Part VI - Community InformationThe Unity Hospital of Rochester is an affiliate of Unity Health System, Inc. Unity Health System, Inc. and Subsidiaries (the System)is an integrated health care delivery system that provides patient care, senior housing, laboratory services, and community outreach to residents and other clients in Monroe County, New York and several surrounding counties.
Part VI - Patient Education of Eligibility for AssistanceFinancial Counselors make every effort to interview all inpatients without full insurance coverage to determine insurance and/or Charity Care eligibility during the patients stay in the Hospital. In addition, any patient may contact a Financial Counselor or the Patient Accounting Department to learn more about the Charity Care Program. The procedure for contacting either of these areas is outlined in all published materials. In addition, all registration representatives are trained on how to direct patients to the appropriate area when questions arise related to Charity Care.Upon receipt of the referral, the Patient Accounting Dept/Financial Counselor will conduct a financial assessment of the patient. If appropriate, the patient will be referred to a Medicaid Liaison/Facilitated Enroller to complete an application for Medicaid, Child Health Plus, or Family Health Plus.Medicaid Liaisons are available to assist patients through the Medicaid application/determination process. If necessary, Medicaid Liaisons are also available to assist with the fair hearing process.Patients who are not eligible to apply for the above insurance or patients who are unable to obtain sufficient insurance coverage, are eligible to apply for Charity Care.Charity Care applications may be submitted by patients, guarantors, guardians, or Powers of Attorney. Applications will be accepted prior to, during, or within six months of service. Exceptions are made in appropriate circumstances.Once an application is received, the Financial Counselor/Patient Account Representative will determine eligibility and the qualifying discount amount. Additional documentation or information may be requested during this phase of the process.Patients may be approved for Charity Care on an account by account basis or for a period of time up to six months. Patients will be required to update their financial information after six months if the need for Charity Care continues. Charity Care applications are processed by the Patient Accounting Department timely and determinations are communicated to the patients within 10 business days of submission. A patient or their representative may request consideration either by phone or in writing of a Charity Care determination if additional information is available that would change their application. A letter indicating the outcome of the reconsideration will be sent out within 10 business days of the request.Bills will continue to be generated and mailed to patients during the application process, however, payment will not be expected until the Charity Care determination is made as long as the patient submits required information within set timeframes.Patients or their representatives who are unwilling to provide required documentation or comply with other aspects of the process are informed that they will not be eligible for Charity Care and that they are responsible for all Hospital charges related to their care.
Part VI - Needs AssessmentThe mission of the Unity Hospital of Rochester is to make a positive difference in the health and well-being of those we serve.The Unity Hospital of Rochester and its affiliates are committed to caring for patients 24 hours a day, 7 days a week, 365 days a year, regardless of ability to pay.The Charity Care program has been developed to help the Health System meet the needs of our patients who are either uninsured or under-insured while maintaining the financial viability of the Health System. The following principles and guidelines explain how the Health System 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 comitted to implementing debt collection policies that reflect the mission and values of the organization.-The Unity Hospital of Rochester will work with government, payers, consumer groups, employers, and others to find solutions to expand access to health care coverage to all New York residents.-The Charity Care program does not eliminate personal responsibility. Eligible patients will be expected to access public or private insurance options. However, all patients will be expected to contribute to their care based on their ability to pay.-The Hospital maintains patient confidentiality in all aspects of its operations including this program.
Part V, Line 21 - Charge Patients Amount Equal Gross Charge for ServicesThe Unity Hospital's policy is to charge patients that do not qualify for financial assistance to cover gross charges. However, if patients have income over 400% of the Federal Poverty Guidelines, they do have the ability to submit income and expense information to possibly qualify and receive charity care.Number of Hospital Faciltiy - 0
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsThe Unity Hospital of Rochester works with patients to establish a reasonable payment plan. Patients or their representatives who do not fulfill their payment obligations within specified time periods will be referred to a collection agency for further collection activity.Legal action, including the garnishment of wages, may be taken when there is evidence that the patient or responsible party has income and/or assets to meet their financial obligation.The Unity Hospital of Rochester will not force the sale or foreclosure of a patient's primary residence to pay an outstanding medical bill when a patient is being considered for Charity Care.The Unity Hospital of Rochester maintains a written agreement with each collection agency it retains. These collection agencies are required to follow Hospital guidelines when pursuing payment of an account. Accounts referred to collection agencies are subject to all standard collection practices.In the event a patient/patient representative inquires about the Charity Care program during the collection agency process and are still within the eligible time frame to apply, the patient will be referred to the Patient Accounting Department for processing.
Part III, Line 4 - Bad Debt ExpenseThe Hospital accepts patients regardless of their ability to pay and grants credit without collateral. A patient is classified as a charity patient in accordance with certain established policies. Essentially, these policies define charity services as services rendered to patients who have the obligation and willingness to pay, but do not have the ability to pay. In addition to providing charity care, the Hospital provides other programs and services that benefit the community. The Hospital also serves a large Medicaid and indigent population whose health care is only partially paid for by the Medicaid program.

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
Ziad Alkhoury
1513824595662523334712318629136
Warren Hern
Toufic Rizk
407777101325304612287524435
Timothy R McCormick
250000250000
Thomas R Crilly
3064676046498151974710020406513
Stewart Putnam
61657913222450594217724026825195
Nayef El-daher
2445612379724276327412019502102
Manuel Matos
1907163292552873378412168538796
Bharat Gupta
5221973003424346409112361843337

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

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

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

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

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds222467161TotalProceeds
Amount In Reserve Fund16196000AmountInReserveFund
Capitalized Interest231528CapitalizedInterest
Issuance Costs From Proceeds1922614IssuanceCostsFromProceeds
Credit Enhancement2457124CreditEnhancement
Capital Expenditures4753132CapitalExpenditures
Other Spent Proceeds46384665OtherSpentProceeds
Amount Unspent150522097AmountUnspent
Year Of Subst Completion2014YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadefalseFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedtrueBondCounselRoutinelyEngaged
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICtrueGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line1See Part VBusinessNameLine1
FieldValueIRS element (for citing)
Regulatory Safe Harbor SatisfiedtrueRegulatorySafeHarborSatisfied
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatetrueExceptionToRebate

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
ExplanationPart II, Line 3 - The total proceeds do not agree to the issue price in Part I, Column(e) due to investment earnings.Part IV, Column A, Line 4b - Project Fund, Cap Interest Fund, and Investment Inc Fund - RBC Capital Markets, Reserve Fund - Berkshire Hathaway, Inc.Part IV, Column A, Line 4c - Project Fund, Cap Interest Fund, and Investment Inc Fund - 4.3 years, Reserve Fund - 29.8 years.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part I, Line 5,All employees of Unity Health System are paid from one entity, The Unity Hospital of Rochester, which is the common paymaster. The total number of employees for the entire Health System have been reported on all entities based on the reporting requirements for 2010.
Form 990 , Part I, Line 1 and Part III, Line 1To make a positive difference in the lives and health status of individuals in the city of Rochester, NY and Western Monroe County. We will educate our community, our providers, and future health care professionals in order to offer the highest quality care to all members of our community, especially those that are underserved and most vulnerable.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThe Unity Hospital of Rochester makes documents available upon request.Form 990, Part VI, Line 19
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe CEO's compensation is determined by 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 Unity Health System, which is comprised of the Board Members of Unity Health System.Compensation for all other positions are determined based on market pricing, the position evaluation system and /or the position's responsibilities.Form 990, Part VI, Line 15b
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsOn an annual basis the member, Unity Health 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 and the CFO points out any disclosures that he feels are significant. If there is a disclosure that is of concern, a determination is made for further follow-up.Form 990, Part VI, Line 12c
Form 990, Part VI, Line 11: Form 990 Review ProcessThe Form 990 will be reviewed by the Executive Committee of Unity Health System Board of Directors prior to the annual filing date and also made available to the entire Board of Directors of Unity Health System.Form 990, Part VI, Line 11
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyThe President shall be appointed by the Corporate Member (Unity Health System) and shall serve at the discretion of the Corporate Member. Each elected director shall be elected by the Member to serve for a term of three years and until his or her successor is elected and qualified.Form 990, Part VI, Line 7a
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderThe sole corporate member of The Unity Hospital of Rochester is Unity Health System, the parent corporation.Form 990, Part VI, Line 6
Form 990, Part III, Line 4d : Other Program Services DescriptionOTHER PROGRAM SERVICES 4: Physician Services: The Unity Hospital of Rochester provides physician care services to the residents of Rochester, NY and surrounding areas regardless of ability to pay. Total physician service visits for 2010 were 396,356.Form 990, Part III, Line 4d

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

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

Address US AddressUS

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

Direct Controlling Entity Name DirectControllingEntityName

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

Form990 Schedule R Part II Form990ScheduleRPartII (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Unity Health System Inc
1555 Long Pond RdRochesterNY14626222572873Healthcare ManagementNY501(c)(3)11NAfalse
Woodland Village Inc
1555 Long Pond RdRochesterNY14626161588242Senior Apartment ComplexNY501(c)(3)9NAfalse
Unity Housing Development Fund Corp
1555 Long Pond RdRochesterNY14626300068596Receipt and Disbursement of SubsidiesNY501(c)(3)9NAfalse
Unity Aging Services Inc
1555 Long Pond RdRochesterNY14626841684195Management and Development CoNY501(c)(3)9NAfalse
St Bernards Housing Development Fund C
1555 Long Pond RdRochesterNY14626161492955Low Income Housing ProjectNY501(c)(3)9NAfalse
Parkway Commons Housing Development Fund
1555 Long Pond RdRochesterNY14626223130818Low Income Housing for Elderly/HandicappedNY501(c)(3)9NAfalse
Park Ridge Housing Inc
1555 Long Pond RdRochesterNY14626222570457Senior Housing ApartmentsNY501(c)(3)9NAfalse
Park Ridge Housing Development Fund Inc
1555 Long Pond RdRochesterNY14626222608311Low Income Housing Project for the ElderlyNY501(c)(3)9NAfalse
Park Ridge Child Care Center Inc
1555 Long Pond RdRochesterNY14626222918126Child Day Care ServicesNY501(c)(3)9NAfalse
PRCD Inc
1555 Long Pond RdRochesterNY14626161311581Substance Abuse Treatment and RehabilitationNY501(c)(3)7NAfalse
Unity Health System Foundation
1555 Long Pond RdRochesterNY14626119627400FoundationNY501(c)(3)7NAfalse
Park Ridge Nursing Home Inc
1555 Long Pond RdRochesterNY14626160978184Long Term Care FacilityNY501(c)(3)9NAfalse
North Park Nursing Home Inc
1555 Long Pond RdRochesterNY14626223159644Long Term Care FacilityNY501(c)(3)9NAfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

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

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

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

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