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    <Timestamp>2011-11-15T12:10:52-08:00</Timestamp>
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      <Name>
        <BusinessNameLine1>The Unity Hospital of Rochester</BusinessNameLine1>
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      <Phone>5853686290</Phone>
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        <AddressLine1>1555 Long Pond Rd</AddressLine1>
        <City>Rochester</City>
        <State>NY</State>
        <ZIPCode>14626</ZIPCode>
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    <Officer>
      <Name>Thomas R Crilly</Name>
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      <DateSigned>2011-11-15</DateSigned>
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        <Description>Additional 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>
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        <Identifier>Part X</Identifier>
        <ReturnReference>Part X : FIN48 Footnote</ReturnReference>
        <Explanation>FIN 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.</Explanation>
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        <ReturnReference>Part XI, Line 8: Other Changes in Net Assets or Fund Balances</ReturnReference>
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      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part V, Line 4</Identifier>
        <ReturnReference>Part V, Line 4: Intended uses of the endowment fund.</ReturnReference>
        <Explanation>Endowment funds held for intended use by The Unity Hospital of Rochester are in the possession of the Unity Health System Foundation. When the terms of the endowment are met, the Foundation grants the funds over to The Unity Hospital of Rochester.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part IV, Line 2b</Identifier>
        <ReturnReference>Part IV, Line 2b: Explanation of escrow account liability</ReturnReference>
        <Explanation>Unity Living Center is a long-term care facility that operates as 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</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH" softwareId="10000105" softwareVersion="2010v3.2">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent150>X</Pcent150>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent400>X</Pcent400>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>4605711</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>4605711</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01290</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>72572376</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>69897625</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2674751</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00750</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>77178087</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>69897625</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>7280462</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02040</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <NumberOfActivitiesOrPrograms>48</NumberOfActivitiesOrPrograms>
        <TotalCommunityBenefitExpense>143347</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>143347</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>9903490</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>2904843</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>6998647</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01950</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>48</NumberOfActivitiesOrPrograms>
        <TotalCommunityBenefitExpense>10046837</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>2904843</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>7141994</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01990</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>48</NumberOfActivitiesOrPrograms>
        <TotalCommunityBenefitExpense>87224924</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>72802468</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>14422456</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04030</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <EconomicDevelopment>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <PersonsServed>4</PersonsServed>
        <TotalCommunityBuildingExpense>24000</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>24000</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </EconomicDevelopment>
      <Total>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <PersonsServed>4</PersonsServed>
        <TotalCommunityBuildingExpense>24000</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>24000</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>9215825</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>38993867</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>56871991</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-17878124</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>false</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>0</FacilityNumber>
        <Name>
          <BusinessNameLine1>The Unity Hospital of Rocheste</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1555 Long Pond Rd</AddressLine1>
          <City>Rochester</City>
          <State>NY</State>
          <ZIPCode>14626</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>The Unity Hospital of Rocheste</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <CHNAConducted>false</CHNAConducted>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>150.0000</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>400.0000</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <MedicaidMedicare>X</MedicaidMedicare>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <AttachedToInvoices>X</AttachedToInvoices>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <PermitReportToCreditAgency>X</PermitReportToCreditAgency>
        <PermitLawsuit>X</PermitLawsuit>
        <CollectionActivities>true</CollectionActivities>
        <ReportToCreditAgency>X</ReportToCreditAgency>
        <Lawsuit>X</Lawsuit>
        <NotifyUponAdmission>X</NotifyUponAdmission>
        <NotifyBeforeDischarge>X</NotifyBeforeDischarge>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <LowestNegotiatedRates>X</LowestNegotiatedRates>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>true</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - States Where Community Benefit Report Filed</ReturnReference>
        <Explanation>NY</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Affilated Health Care System Roles and Promotion</ReturnReference>
        <Explanation>The Unity Hospital of Rochester is an affiliate of Unity Health System, Inc. Unity Health System, Inc. and Subsidiaries (the System)is an integrated health care delivery system that provides patient care, senior housing, laboratory services, and community outreach to residents and other clients in Monroe County, New York and several surrounding counties.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Explanation Of How Organization Furthers Its Exempt Purpose</ReturnReference>
        <Explanation>Unity 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Community Information</ReturnReference>
        <Explanation>The Unity Hospital of Rochester is an affiliate of Unity Health System, Inc. Unity Health System, Inc. and Subsidiaries (the System)is an integrated health care delivery system that provides patient care, senior housing, laboratory services, and community outreach to residents and other clients in Monroe County, New York and several surrounding counties.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Patient Education of Eligibility for Assistance</ReturnReference>
        <Explanation>Financial Counselors make every effort to interview all inpatients without full insurance coverage to determine insurance and/or Charity Care eligibility during the patients stay in the Hospital. In addition, any patient may contact a Financial Counselor or the Patient Accounting Department to learn more about the Charity Care Program. The procedure for contacting either of these areas is outlined in all published materials. In addition, all registration representatives are trained on how to direct patients to the appropriate area when questions arise related to Charity Care.Upon receipt of the referral, the Patient Accounting Dept/Financial Counselor will conduct a financial assessment of the patient. If appropriate, the patient will be referred to a Medicaid Liaison/Facilitated Enroller to complete an application for Medicaid, Child Health Plus, or Family Health Plus.Medicaid Liaisons are available to assist patients through the Medicaid application/determination process. If necessary, Medicaid Liaisons are also available to assist with the fair hearing process.Patients who are not eligible to apply for the above insurance or patients who are unable to obtain sufficient insurance coverage, are eligible to apply for Charity Care.Charity Care applications may be submitted by patients, guarantors, guardians, or Powers of Attorney. Applications will be accepted prior to, during, or within six months of service. Exceptions are made in appropriate circumstances.Once an application is received, the Financial Counselor/Patient Account Representative will determine eligibility and the qualifying discount amount. Additional documentation or information may be requested during this phase of the process.Patients may be approved for Charity Care on an account by account basis or for a period of time up to six months. Patients will be required to update their financial information after six months if the need for Charity Care continues. Charity Care applications are processed by the Patient Accounting Department timely and determinations are communicated to the patients within 10 business days of submission. A patient or their representative may request consideration either by phone or in writing of a Charity Care determination if additional information is available that would change their application. A letter indicating the outcome of the reconsideration will be sent out within 10 business days of the request.Bills will continue to be generated and mailed to patients during the application process, however, payment will not be expected until the Charity Care determination is made as long as the patient submits required information within set timeframes.Patients or their representatives who are unwilling to provide required documentation or comply with other aspects of the process are informed that they will not be eligible for Charity Care and that they are responsible for all Hospital charges related to their care.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Needs Assessment</ReturnReference>
        <Explanation>The mission of the Unity Hospital of Rochester is to make a positive difference in the health and well-being of those we serve.The Unity Hospital of Rochester and its affiliates are committed to caring for patients 24 hours a day, 7 days a week, 365 days a year, regardless of ability to pay.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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Number of Hospital Faciltiy - 0</Identifier>
        <ReturnReference>Part V, Line 21 - Charge Patients Amount Equal Gross Charge for Services</ReturnReference>
        <Explanation>The 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part III, Line 9b - Provisions On Collection Practices For Qualified Patients</ReturnReference>
        <Explanation>The Unity Hospital of Rochester works with patients to establish a reasonable payment plan. Patients or their representatives who do not fulfill their payment obligations within specified time periods will be referred to a collection agency for further collection activity.Legal action, including the garnishment of wages, may be taken when there is evidence that the patient or responsible party has income and/or assets to meet their financial obligation.The Unity Hospital of Rochester will not force the sale or foreclosure of a patient's primary residence to pay an outstanding medical bill when a patient is being considered for Charity Care.The Unity Hospital of Rochester maintains a written agreement with each collection agency it retains. These collection agencies are required to follow Hospital guidelines when pursuing payment of an account. Accounts referred to collection agencies are subject to all standard collection practices.In the event a patient/patient representative inquires about the Charity Care program during the collection agency process and are still within the eligible time frame to apply, the patient will be referred to the Patient Accounting Department for processing.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part III, Line 4 - Bad Debt Expense</ReturnReference>
        <Explanation>The Hospital accepts patients regardless of their ability to pay and grants credit without collateral. A patient is classified as a charity patient in accordance with certain established policies. Essentially, these policies define charity services as services rendered to patients who have the obligation and willingness to pay, but do not have the ability to pay. In addition to providing charity care, the Hospital provides other programs and services that benefit the community. The Hospital also serves a large Medicaid and indigent population whose health care is only partially paid for by the Medicaid program.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="10000105" softwareVersion="2010v3.2">
      <IdemnificationGrossUpPayments>X</IdemnificationGrossUpPayments>
      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>true</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>true</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>true</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>Ziad Alkhoury</NamePerson>
        <BaseCompensationFilingOrg>151382</BaseCompensationFilingOrg>
        <BonusFilingOrg>459566</BonusFilingOrg>
        <OtherCompensationFilingOrg>2523</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>3347</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>12318</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>629136</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Warren Hern</NamePerson>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Toufic Rizk</NamePerson>
        <BaseCompensationFilingOrg>407777</BaseCompensationFilingOrg>
        <BonusFilingOrg>101325</BonusFilingOrg>
        <OtherCompensationFilingOrg>3046</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>12287</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>524435</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Timothy R McCormick</NamePerson>
        <BonusFilingOrg>250000</BonusFilingOrg>
        <TotalCompensationFilingOrg>250000</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Thomas R Crilly</NamePerson>
        <BaseCompensationFilingOrg>306467</BaseCompensationFilingOrg>
        <BonusFilingOrg>60464</BonusFilingOrg>
        <OtherCompensationFilingOrg>9815</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>19747</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>10020</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>406513</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Stewart Putnam</NamePerson>
        <BaseCompensationFilingOrg>616579</BaseCompensationFilingOrg>
        <BonusFilingOrg>132224</BonusFilingOrg>
        <OtherCompensationFilingOrg>50594</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>21772</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>4026</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>825195</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Nayef El-daher</NamePerson>
        <BaseCompensationFilingOrg>244561</BaseCompensationFilingOrg>
        <BonusFilingOrg>237972</BonusFilingOrg>
        <OtherCompensationFilingOrg>4276</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>3274</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>12019</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>502102</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Manuel Matos</NamePerson>
        <BaseCompensationFilingOrg>190716</BaseCompensationFilingOrg>
        <BonusFilingOrg>329255</BonusFilingOrg>
        <OtherCompensationFilingOrg>2873</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>3784</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>12168</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>538796</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Bharat Gupta</NamePerson>
        <BaseCompensationFilingOrg>522197</BaseCompensationFilingOrg>
        <BonusFilingOrg>300342</BonusFilingOrg>
        <OtherCompensationFilingOrg>4346</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>4091</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>12361</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>843337</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Sch J, Part I, Line 6b</Identifier>
        <ReturnReference>Part I, Line 6b: Explanation of organization compensation contingent on net earnings from related or</ReturnReference>
        <Explanation>The officers and key employees are eligible for incentive compensation contingent upon various performance indicators of The Unity Hospital of Rochester including net earnings.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Sch J, Part I, Line 1a</Identifier>
        <ReturnReference>Part I, Line 1a: Relevant information in regards to selections on 1a.</ReturnReference>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK.1" softwareId="10000105" softwareVersion="2010v3.2">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Monroe Cty Industrial Dev</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>510188852</IssuerEIN>
        <CUSIPNumber>61075SAS9</CUSIPNumber>
        <DateIssued>2010-11-15</DateIssued>
        <IssuePrice>222416764</IssuePrice>
        <DescriptionOfPurpose>Construction of facility</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>222467161</TotalProceeds>
        <AmountInReserveFund>16196000</AmountInReserveFund>
        <CapitalizedInterest>231528</CapitalizedInterest>
        <IssuanceCostsFromProceeds>1922614</IssuanceCostsFromProceeds>
        <CreditEnhancement>2457124</CreditEnhancement>
        <CapitalExpenditures>4753132</CapitalExpenditures>
        <OtherSpentProceeds>46384665</OtherSpentProceeds>
        <AmountUnspent>150522097</AmountUnspent>
        <YearOfSubstCompletion>2014</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>false</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>true</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>See Part V</BusinessNameLine1>
        </NameOfGICProvider>
        <RegulatorySafeHarborSatisfied>true</RegulatorySafeHarborSatisfied>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <Explanation>Part 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>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="10000105" softwareVersion="2010v3.2">
      <GeneralExplanation>
        <ReturnReference>Form 990, Part I, Line 5,</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990 , Part I, Line 1 and Part III, Line 1</ReturnReference>
        <Explanation>To make a positive difference in the lives and health status of individuals in the city of Rochester, NY and Western Monroe County. We will educate our community, our providers, and future health care professionals in order to offer the highest quality care to all members of our community, especially those that are underserved and most vulnerable.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>The Unity Hospital of Rochester makes documents available upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>The CEO's compensation is determined 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>On an annual basis the member, 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>The 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 7a</Identifier>
        <ReturnReference>Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body</ReturnReference>
        <Explanation>The President shall be appointed by the Corporate Member (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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 6</Identifier>
        <ReturnReference>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</ReturnReference>
        <Explanation>The sole corporate member of The Unity Hospital of Rochester is Unity Health System, the parent corporation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part III, Line 4d</Identifier>
        <ReturnReference>Form 990, Part III, Line 4d : Other Program Services Description</ReturnReference>
        <Explanation>OTHER PROGRAM SERVICES 4: Physician Services: The Unity Hospital of Rochester provides physician care services to the residents of Rochester, NY and surrounding areas regardless of ability to pay. Total physician service visits for 2010 were 396,356.</Explanation>
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