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      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD B HANDLER</PersonNm>
        <TitleTxt>TRUSTEE (CHAIR)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAWNE S HICKTON</PersonNm>
        <TitleTxt>TRUSTEE (EFF 05/2025)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PRAMIT SHASHIKANY JHAVERI</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CURTIS J JOHNSON</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JUAN C JONES</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CAROL D KARP</PersonNm>
        <TitleTxt>TRUSTEE (VICE CHAIR)</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LAURENCE KESSLER</PersonNm>
        <TitleTxt>TRUSTEE (THRU 05/2025)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>EVANS Y LAM</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH LEIGHT</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AMY LESCH</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SARAH C MANGELSDORF</PersonNm>
        <TitleTxt>TRUSTEE, PRES &amp; CEO</TitleTxt>
        <AverageHoursPerWeekRt>80.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>1637764</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>EDWARD D MILLER MD</PersonNm>
        <TitleTxt>TRUSTEE (THRU 05/2025)</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CATHY E MINEHAN</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SARA E NAINZADEH</PersonNm>
        <TitleTxt>TRUSTEE (EFF 05/2025)</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NAVEEN NATARAJ</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RIA NOVA</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KENNETH OURIEL</PersonNm>
        <TitleTxt>TRUSTEE (EFF 05/2025)</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LIZETTE M PEREZ-DEISBOECK</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STEVEN F PIAKER</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JUDITH REINSDORF</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KATHY N WALLER</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH WARD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TIMOTHY C WENTWORTH</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TYLER ZACHEM</PersonNm>
        <TitleTxt>TRUSTEE (EFF 05/2025)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALAN S ZEKELMAN</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN BLACKSHEAR</PersonNm>
        <TitleTxt>VP FOR STUDENT LIFE</TitleTxt>
        <AverageHoursPerWeekRt>55.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>421525</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN DEWHURST</PersonNm>
        <TitleTxt>VP FOR RESEARCH</TitleTxt>
        <AverageHoursPerWeekRt>55.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>622894</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS J FARRELL</PersonNm>
        <TitleTxt>SRVP &amp; CHIEF ADVANCEMENT OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>55.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>752904</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOSHUA FARRELMAN</PersonNm>
        <TitleTxt>VP OF GOVERNMENT RELATIONS (EFF 4/25</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID FIGLIO</PersonNm>
        <TitleTxt>PROVOST (THRU 8/24)</TitleTxt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>694909</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KATHLEEN GALLUCCI</PersonNm>
        <TitleTxt>VP &amp; CHIEF HR OFFICER</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PAGE HETZEL</PersonNm>
        <TitleTxt>VP FOR MKTNG &amp; COMM</TitleTxt>
        <AverageHoursPerWeekRt>55.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
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        <OtherCompensationAmt>49627</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID LINEHAN MD</PersonNm>
        <TitleTxt>SVP, DEAN SMD, CEO URMC</TitleTxt>
        <AverageHoursPerWeekRt>80.00</AverageHoursPerWeekRt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH A MILAVEC</PersonNm>
        <TitleTxt>EVP ADM &amp; FIN, CFO, TREASURER</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ADRIENNE MORGAN</PersonNm>
        <TitleTxt>VP FOR ENG &amp; ENRICHMENT</TitleTxt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>407561</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JULIE MYERS</PersonNm>
        <TitleTxt>VP FOR IT AND CIO</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHAUN NELMS</PersonNm>
        <TitleTxt>VP FOR COMM PARTNERSHIPS &amp; SP ADVISOR</TitleTxt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>587708</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>17039</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LEA NORDHAUS</PersonNm>
        <TitleTxt>SECY BOARD OF TRUSTEES</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DONNA GOODEN PAYNE</PersonNm>
        <TitleTxt>VP AND GENERAL COUNSEL</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DOUGLAS W PHILLIPS</PersonNm>
        <TitleTxt>SRVP &amp; CHIEF INVESTMENT OFFICER</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PETER G ROBINSON</PersonNm>
        <TitleTxt>VP GOV'T &amp; COMM REL (THRU 3/25)</TitleTxt>
        <AverageHoursPerWeekRt>55.00</AverageHoursPerWeekRt>
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        <OfficerInd>X</OfficerInd>
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        <OtherCompensationAmt>132020</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NICOLE SAMPSON</PersonNm>
        <TitleTxt>PROVOST&amp;CHIEF ACADEMIC OFF (EFF 8/24)</TitleTxt>
        <AverageHoursPerWeekRt>55.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>616839</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ADAM P ANOLIK</PersonNm>
        <TitleTxt>CFO URMC</TitleTxt>
        <AverageHoursPerWeekRt>55.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>9.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>861000</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>165081</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL J APOSTOLAKOS MD</PersonNm>
        <TitleTxt>CMO, SMH &amp; HH, VP URMC</TitleTxt>
        <AverageHoursPerWeekRt>55.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>9.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
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      </Form990PartVIISectionAGrp>
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        <PersonNm>CARRIE P FULLER-SPENCER</PersonNm>
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        <PersonNm>STEVEN I GOLDSTEIN</PersonNm>
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        <PersonNm>KATHLEEN PARRINELLO</PersonNm>
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        <PersonNm>MICHAEL F ROTONDO MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GEORGE M ALFIERIS MD</PersonNm>
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        <PersonNm>MATTHEW T BENDER MD</PersonNm>
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        <PersonNm>TARUN BHALLA MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL D MALONEY MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ILYA VOLOSHIN MD</PersonNm>
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        <PersonNm>JACK S BAILEY</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARK B TAUBMAN MD</PersonNm>
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        <PersonNm>ROBERT L CLARK</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANTHONY GREEN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ERIN KANE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SARAH E PEYRE</PersonNm>
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            <BusinessNameLine1Txt>ADAPTIVE WORKFORCE SOLUTIONS LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>111 E RIVULON BLVD</AddressLine1Txt>
            <CityNm>GILBERT</CityNm>
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      <ContractorCompensationGrp>
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          <BusinessName>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
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          <USAddress>
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        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>DETAIL OF LOBBYING ACTIVITIES THE UNIVERSITY OF ROCHESTER (THE "UNIVERSITY") ADVANCES ITS MISSIONS (EDUCATION, RESEARCH, HEALTH CARE AND COMMUNITY) WITH NATIONAL, STATE AND LOCAL ELECTED OFFICIALS, THEIR STAFF, OUR SURROUNDING COMMUNITY, AND WITH AGENCIES AT ALL LEVELS OF GOVERNMENT. THE UNIVERSITY ALSO INTERACTS WITH PEER INSTITUTIONS, D.C. AND ALBANY-BASED HIGHER EDUCATION AND MEDICAL ASSOCIATIONS, SCIENTIFIC COALITIONS AND SOCIETIES, AND CONSULTANTS TO ADVANCE ITS INTERESTS THROUGH POLICY, LEGISLATION AND REGULATIONS.</ExplanationTxt>
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      <OtherSecuritiesGrp>
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        <MethodValuationCd>F</MethodValuationCd>
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        <Desc>ASSET RETIREMENT OBLIGATION</Desc>
        <Amt>36390640</Amt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>TEXT OF FIN48 (ASC 740) DISCLOSURE FROM AUDITED FINANCIAL STATEMENTS THE UNIVERSITY AND THE MAJORITY OF ITS AFFILIATES ARE NOT-FOR-PROFIT ORGANIZATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE GENERALLY EXEMPT FROM INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. UNRELATED ACTIVITIES AND INCOME, INCLUDING CERTAIN LABORATORY AND FACILITY RENTALS AND INCOME FROM LIMITED PARTNERSHIPS IN THE LONG-TERM INVESTMENT POOL, ARE SUBJECT TO FEDERAL AND STATE UNRELATED BUSINESS INCOME TAX. THE UNIVERSITY REGULARLY EVALUATES ITS TAX POSITION AND DOES NOT BELIEVE IT HAS ANY UNCERTAIN TAX POSITIONS THAT REQUIRE DISCLOSURE OR ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS BASED ON CURRENTLY AVAILABLE REGULATORY GUIDANCE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART I, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF DONOR ADVISED FUNDS THE UNIVERSITY OF ROCHESTER ("THE UNIVERSITY") OFFERS ITS DONORS THE OPPORTUNITY TO USE CONTRIBUTIONS TO CREATE DONOR-ADVISED FUNDS. A DONOR GENERALLY MAY ESTABLISH A DONOR-ADVISED FUND WITH THE UNIVERSITY BY SIGNING THE AGREEMENT AND THEN MAKING CONTRIBUTIONS TO THE FUND. THE DONOR IS ALLOWED TO RECOMMEND THE INVESTMENT OF THE FUND INTO EITHER A MONEY MARKET FUND OR THE UNIVERSITY'S GENERAL ENDOWMENT. THE DONOR MAY SERVE, OR MAY DESIGNATE ANOTHER PERSON TO SERVE, AS THE FUND ADVISOR, WHO MAKES GRANT RECOMMENDATIONS TO THE UNIVERSITY. THE GRANT RECOMMENDATIONS ARE NOT BINDING AND WILL BE SUBJECT TO THE UNIVERSITY'S DILIGENT REVIEW.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF COLLECTIONS THE UNIVERSITY'S MEMORIAL ART GALLERY MAINTAINS BROAD COLLECTIONS, COMPRISING NEARLY 11,000 OBJECTS SPANNING 5,000 YEARS OF ART HISTORY, THAT PROVIDES THE FOUNDATION FOR THE UNIVERSITY'S ROLE AS A SIGNIFICANT EDUCATIONAL CENTER COMMITTED TO BROADENING PEOPLES' UNDERSTANDING OF WORLD CULTURES, ART AND HISTORY. THE UNIVERSITY'S DEPARTMENT OF RARE BOOKS AND SPECIAL COLLECTIONS MAINTAINS RARE BOOK COLLECTIONS THAT INCLUDE PRINTED BOOKS, JOURNALS AND PAMPHLETS FROM 1472 TO THE PRESENT, AS WELL AS MANUSCRIPTS AND SPECIAL COLLECTIONS. THESE MATERIALS ARE PROVIDED FOR TEACHING, LEARNING AND RESEARCH PURPOSES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>USE OF ENDOWMENT FUNDS THE UNIVERSITY'S ENDOWMENT FUNDS ARE UTILIZED IN FURTHERANCE OF THE ORGANIZATION'S EXEMPT PURPOSES, INCLUDING THE PROVISION OF PERPETUAL ANNUAL SUPPORT FOR STUDENT FINANCIAL AID AND FACULTY SALARIES, AS WELL AS FOR CERTAIN FACILITIES AND ACADEMIC PROGRAMS.</ExplanationTxt>
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      <PolicyStmtInBrochuresEtcInd>1</PolicyStmtInBrochuresEtcInd>
      <PlcyPblczdViaBroadcastMediaInd>1</PlcyPblczdViaBroadcastMediaInd>
      <MaintainRacialCompRecsInd>1</MaintainRacialCompRecsInd>
      <MaintainScholarshipsRecsInd>1</MaintainScholarshipsRecsInd>
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      <DiscriminateRaceAdmissPlcyInd>0</DiscriminateRaceAdmissPlcyInd>
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      <DiscriminateRaceSchsInd>0</DiscriminateRaceSchsInd>
      <DiscriminateRaceEducPlcyInd>0</DiscriminateRaceEducPlcyInd>
      <DiscriminateRaceUseOfFcltsInd>0</DiscriminateRaceUseOfFcltsInd>
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        <FormAndLineReferenceDesc>SCHEDULE E, PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE SUPPLEMENTAL PAGE</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE E, LINE 3A</FormAndLineReferenceDesc>
        <ExplanationTxt>NONDISCRIMINATION POLICY STATEMENT ALL PUBLISHED UNIVERSITY OF ROCHESTER OPPORTUNITY ADVERTISEMENTS INCLUDE THE FOLLOWING STATEMENT: "THE UNIVERSITY OF ROCHESTER IS AN EQUAL OPPORTUNITY EMPLOYER." IN ADDITION, THE UNIVERSITY OF ROCHESTER'S NONDISCRIMINATION POLICY IS ADVERTISED TO PROSPECTIVE STUDENTS AND OTHERS IN THE COMMUNITY SERVED BY THE UNIVERSITY OF ROCHESTER THROUGH A NONDISCRIMINATION STATEMENT USED IN A WIDE VARIETY OF UNIVERSITY PROSPECTUS (FOR UNIVERSITY UNDERGRADUATES), UNDERGRADUATE BULLETINS AND GRADUATE BULLETINS. THE STATEMENT, WHICH ALSO APPEARS ON THE UNIVERSITY WEBSITE ON EQUAL OPPORTUNITY, READS AS FOLLOWS: THE UNIVERSITY OF ROCHESTER PROHIBITS AND WILL NOT ENGAGE IN DISCRIMINATION AND HARASSMENT ON THE BASIS OF AGE, COLOR, DISABILITY, DOMESTIC VIOLENCE VICTIM STATUS, ETHNICITY, GENDER IDENTITY OR EXPRESSION, GENETIC INFORMATION, MARITAL STATUS, FAMILIAL STATUS OR AN INDIVIDUAL'S REPRODUCTIVE HEALTH DECISION MAKING, MILITARY/VETERAN STATUS, NATIONAL ORIGIN, RACE (INCLUDING HAIR STYLE), RELIGION (INCLUDING RELIGIOUS ATTIRE AND FACIAL HAIR), CREED, SEX, SEXUAL ORIENTATION, CITIZENSHIP STATUS, OR ANY OTHER STATUS PROTECTED BY LAW (ANYONE INDIVIDUALLY, A "PROTECTED CLASS"). DISCRIMINATION OR HARASSMENT (INCLUDING HOSTILE WORK ENVIRONMENT HARASSMENT) BASED ON PROTECTED STATUS IS ILLEGAL, WILL NOT BE TOLERATED, AND IS CONSIDERED MISCONDUCT THAT WILL BE SUBJECT TO DISCIPLINE. THE UNIVERSITY IS COMMITTED TO FOSTERING, CULTIVATING, AND PRESERVING A CULTURE OF DIVERSITY, EQUITY, AND INCLUSION, A CENTRAL TENET OF OUR INSTITUTIONAL VISION AND VALUES. THE UNIVERSITY COMPLIES WITH ALL FEDERAL AND STATE LAWS THAT PROHIBIT DISCRIMINATION BASED ON THE PROTECTED CATEGORIES LISTED ABOVE, INCLUDING TITLE IX OF THE EDUCATION AMENDMENTS OF 1972, WHICH PROHIBITS SEX DISCRIMINATION (INCLUDING SEXUAL HARASSMENT AND VIOLENCE BASED ON SEX) IN THE UNIVERSITY'S EDUCATIONAL PROGRAMS AND ACTIVITIES, AND SECTION 504 OF THE REHABILITATION ACT OF 1973, WHICH PROHIBITS DISCRIMINATION ON THE BASIS OF DISABILITY.</ExplanationTxt>
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        <FormAndLineReferenceDesc>SCHEDULE E, LINE 6A</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL AID/ASSISTANCE FROM GOV'T AGENCY THE UNIVERSITY OF ROCHESTER RECEIVES FINANCIAL ASSISTANCE FUNDS FOR STUDENTS, AS PROVIDED BY HHS PROGRAMS, AND HAS GOVERNMENT RESEARCH CONTRACTS AND GRANTS.</ExplanationTxt>
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        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
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        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>STUDY ABROAD</SpecificServicesProvidedTxt>
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      <AccountActivitiesOutsideUSGrp>
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        <OfficesCnt>0</OfficesCnt>
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        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
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        <TypeOfActivitiesConductedTxt>INVESTMENTS</TypeOfActivitiesConductedTxt>
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      <AccountActivitiesOutsideUSGrp>
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        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>INVESTMENTS</TypeOfActivitiesConductedTxt>
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      <TotalOfficeCnt>13</TotalOfficeCnt>
      <TotalEmployeeCnt>2</TotalEmployeeCnt>
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      <ContinuationSpentAmt>1414733309</ContinuationSpentAmt>
      <TotalSpentAmt>1415583955</TotalSpentAmt>
      <TransferToForeignCorpInd>1</TransferToForeignCorpInd>
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      <EmailSolicitationsInd>X</EmailSolicitationsInd>
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      <SolicitationOfGovtGrantsInd>X</SolicitationOfGovtGrantsInd>
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          <CityNm>CEDAR RAPIDS</CityNm>
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        <FundraiserControlOfFundsInd>0</FundraiserControlOfFundsInd>
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        <RetainedByContractorAmt>289441</RetainedByContractorAmt>
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      </FundraiserActivityInfoGrp>
      <TotalGrossReceiptsAmt>78708</TotalGrossReceiptsAmt>
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        <Event2Nm>TTYH WINE AUCTION</Event2Nm>
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        <OthDirectExpnssTotalEventsAmt>958211</OthDirectExpnssTotalEventsAmt>
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        <ExplanationTxt>ADDITIONAL INFORMATION REGARDING FUNDRAISING ACTIVITIES GROSS RECEIPTS REPORTED IN PART I, LINE 1, COLUMN (IV) REPRESENT PHONE DONATIONS ONLY RECEIVED PURSUANT TO RUFFALO NOEL LEVITZ'S SOLICITATION EFFORTS. ON-LINE DONATIONS TO THE UNIVERSITY, WHICH MAY HAVE BEEN PROMPTED BY A PHONE SOLICITATION, ARE NOT REFLECTED IN THIS COLUMN. ADDITIONALLY, THE AMOUNT PAID TO RUFFALO NOEL LEVITZ AS REPORTED IN PART I, LINE 2B, COLUMN (V) INCLUDES BOTH PHONE SOLICITATION/TELEMARKETING SERVICES AND NON-SOLICITATION EFFORTS RELATED TO ALUMNI ENGAGEMENT AND DATA ENRICHMENT. THESE NON-SOLICITATION EFFORTS HAVE RESULTED IN IMPROVED ALUMNI CONTACT INFORMATION FOR THE UNIVERSITY'S USE AND INCLUDES SERVICES TO UPDATE ADDRESSES, CELL PHONE NUMBERS, EMAIL ADDRESSES AND SOCIAL HANDLES.</ExplanationTxt>
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        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
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        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <OtherActionsTakenInd>X</OtherActionsTakenInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicareInd>X</LookBackMedicareInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>STRONG MEMORIAL HOSPITAL &amp; EXT CLINICS</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: UR STRONG CONDUCTED ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN COLLABORATION WITH OTHER HOSPITALS, THE HEALTH DEPARTMENT, COMMUNITY BASED ORGANIZATIONS, AND RESIDENTS IN MONROE COUNTY. THE OVERSIGHT GROUP, CALLED THE COMMUNITY HEALTH IMPROVEMENT WORKGROUP (CHIW) MEETS MONTHLY TO CONDUCT THE CHNA WHEN INDICATED AND TO IMPLEMENT THE COMMUNITY-WIDE IMPROVEMENT STRATEGY. COMMUNITY INPUT IS CRITICAL THROUGHOUT THE CHNA PROCESS, THE IMPROVEMENT PLANNING PROCESS, AND THE IMPLEMENTATION PROCESS. ONGOING COMMUNITY ENGAGEMENT IS VITAL TO INFORM THE AGENDA. EACH OF THE HOSPITAL SYSTEMS INCLUDED IN THE CHNA: UNIVERSITY OF ROCHESTER STRONG MEMORIAL HOSPITAL, HIGHLAND HOSPITAL, ROCHESTER GENERAL, AND UNITY HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY. THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH WAS REPRESENTED AT EACH CHIW MEETING BY DR. MARIELENA VELEZ DE BROWN, COMMISSIONER OF PUBLIC HEALTH, AND/OR KATHY CARELOCK, BSN MANAGER OF PUBLIC HEALTH NURSING SERVICES FOR THE MONROE COUNTY DEPT OF PUBLIC HEALTH. DR. VELEZ DE BROWN AND MS. CARELOCK ARE VERY AWARE OF COMMUNITY NEEDS, OVERSEE THE YOUTH RISK BEHAVIOR SURVEY PROCESS AND ARE EXPERTS IN EFFECTIVE PUBLIC HEALTH ASSESSMENT AND INTERVENTION. THERESA GREEN, PHD, MBA, DIRECTOR OF COMMUNITY HEALTH POLICY FROM THE URMC CENTER FOR COMMUNITY HEALTH AND PREVENTION, AND DEPT OF PUBLIC HEALTH BOARD PRESIDENT, PROVIDED EXPERT ADVICE ON COMMUNITY ENGAGEMENT AND EVIDENCE-BASED INTERVENTIONS. IN ADDITION, COMMON GROUND HEALTH, WHO REPRESENTS THE COMMUNITY VOICE TO THE CHIW, AND WHO MANAGES BOTH THE AFRICAN AMERICAN HEALTH COALITION AND THE LATINO HEALTH COALITION FOR MONROE COUNTY, WAS REPRESENTED AT EACH MEETING BY EITHER DINA FATICONE, DIRECTOR OF COMMUNITY HEALTH AND ENGAGEMENT OR LUCAS SEINK, MSBA, CASAC, HEALTH PLANNING RESEARCH ANALYST, OR BOTH.SPECIFICALLY, FOR THE 2025 CHNA, COMMUNITY INPUT WAS ACQUIRED BY REVIEWING EXISTING COMMUNITY REPORTS AND BY DISCUSSIONS WITH EXISTING COMMUNITY-BASED GROUPS ABOUT THE DATA-IDENTIFIED NEEDS. RECENTLY, COMMON GROUND HEALTH REPORTED THE RESULTS OF ITS SUMMER 2022 "MY HEALTH STORY" SURVEY IN A SPOTLIGHT REPORT TITLED "SELF-REPORTED HEALTH CONCERNS IN THE FINGER LAKES REGION, 2022". THIS SERVED AS A STARTING POINT TO COMMUNITY INPUT. BETWEEN JULY AND NOVEMBER 2024, CHIW LEADERSHIP FACILITATED A SERIES OF ENGAGEMENT SESSIONS WITH DIVERSE GROUPS ACROSS THE COUNTY TO GATHER INPUT TO INFORM THE CHNA. GROUPS INCLUDED ADVISORY BOARDS, THE MONROE COUNTY BOARD OF HEALTH, COMMUNITY-BASED COALITIONS AND THE ROCHESTER FLOWER CITY AMERICORPS MEMBERS. THIS HIGH-LEVEL COLLABORATION AMONG COMMUNITY MEMBERS, PUBLIC HEALTH PROVIDERS AND HOSPITAL SYSTEMS, ALONG WITH THE ROBUST PROCESS OF COMMUNITY INPUT GATHERING, PROVIDES A TRULY COMMUNITY-BASED HEALTH NEEDS ASSESSMENT AND IMPROVEMENT PLAN.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>STRONG MEMORIAL HOSPITAL &amp; EXT CLINICS</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED WITH SEVERAL OTHER HOSPITAL FACILITIES. ANASSESSMENT OF MONROE COUNTY WAS CONDUCTED JOINTLY BY UNIVERSITY OFROCHESTER STRONG MEMORIAL HOSPITAL AND HIGHLAND HOSPITAL, AND ROCHESTERREGIONAL HEALTH INCLUDING ROCHESTER GENERAL HOSPITAL AND UNITY HOSPITAL</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>STRONG MEMORIAL HOSPITAL &amp; EXT CLINICS</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH SEVERAL OTHER ORGANIZATIONS BESIDES THE HOSPITAL FACILITIES. THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH WAS VERY ENGAGED IN THE CHNA PROCESS, WAS PRESENT AT EACH MEETING AND ASSISTED WITH DATA ANALYSIS AND IMPROVEMENT PLANNING. COMMON GROUND HEALTH IS THE REGIONAL PLANNING AGENCY AND WAS REPRESENTED AT ALMOST EVERY MEETING OF THE COMMUNITY HEALTH IMPROVEMENT WORKGROUP (CHIW), AND WAS INSTRUMENTAL IN DEVELOPING THE CHNA, BOTH BY PROVIDING DATA AND ASSISTING WITH COMMUNITY ENGAGEMENT. THE MONROE COUNTY CHIW OVERSEES THE CHNA PROCESS AS WELL AS THE CHIP CREATION AND IMPLEMENTATION. THERE ARE SEVERAL COMMUNITY-BASED ADVISORY MEMBERS OF THE CHIW WHO HELPED CONDUCT THE CHNA INCLUDING REPRESENTATIVES FROM: GOODWILL (211 AND 988 SYSTEMS), ACTION FOR A BETTER COMMUNITY, CENTER FOR TOBACCO-FREE FINGER LAKES, THE CITY OF ROCHESTER, FINGER LAKES PERFORMING PROVIDER SYSTEM (LOCAL DSRIP AGENCY), MONROE COUNTY OFFICE OF MENTAL HEALTH, AGENCIES FOR THE UNHOUSED, ROCHESTER-MONROE ANTI-POVERTY INITIATIVE, ROCHESTER REGIONAL HEALTH INFORMATIONAL EXCHANGE, RONALD MCDONALD HOUSE, UNITED WAY OF GREATER ROCHESTER, TRILLIUM HEALTH, ANTHONY JORDAN HEALTH CENTER (FQHC) AND WILMOT CANCER INSTITUTE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>STRONG MEMORIAL HOSPITAL &amp; EXT CLINICS</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 7D: PART V, SECTION B, LINE 7A&amp;D,10 - CHNA &amp; IMP PLAN PUBLIC AVAILABILITYTHE CHNA REPORT WAS MADE WIDELY AVAILABLE TO THE PUBLIC. A COPY OF THE ORGANIZATION'S CHNA AND IMPLEMENTATION/IMPROVEMENT PLAN CAN BE FOUND AT: HTTPS://WWW.URMC.ROCHESTER.EDU/COMMUNITY-HEALTH/HEALTH-POLICY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-IMPROVEMENT-PLAN OUR CHNA AND IMPLEMENTATION/IMPROVEMENT PLAN ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND ARE ALSO POSTED ON THE COLLABORATING HOSPITAL SYSTEM'S WEBSITES AND ON THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH'S WEBSITE. OUR CHIW MEETINGS ARE OPEN TO THE PUBLIC UPON REQUEST AND THE CHNA WAS DISCUSSED WITH EACH OF THE HOSPITALS BOARD OF DIRECTORS. IN ADDITION, THE CHNA AND CHIP HAS BEEN SHARED WITH NUMEROUS COMMUNITY AGENCIES AND STUDENT GROUPS AT CLASSES OR MEETINGS WHERE MEMBERS OF THE CHIW PRESENT. INFORMATION IS ALWAYS SHARED AS TO WHERE TO FIND THE COMPLETE REPORT.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>STRONG MEMORIAL HOSPITAL &amp; EXT CLINICS</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: IN CONDUCTING THE 2025 CHNA, SEVERAL PRIORITY NEEDS WERE IDENTIFIED. THE CHIW MEMBERS DISCUSSED SEVERAL CHARACTERISTICS THAT WOULD HELP TO DEFINE HOW TO PRIORITIZE THE MANY NEEDS IN MONROE COUNTY. IMPORTANT CRITERIA FOR SELECTION INCLUDED THE DEGREE TO WHICH THE COMMUNITY SAW THIS AS A PROBLEM, THE MAGNITUDE OF THE NEED IN MONROE COUNTY, AND THE SEVERITY OF THE NEED. REVIEW OF SEVERAL DATA SOURCES AS WELL AS COMMUNITY ENGAGEMENT AND REPORT REVIEW YIELDED THE IDENTIFICATION OF SEVERAL AREAS OF CONCERN THAT FIT THE PRIORITIZATION CRITERIA. THE CHIW EXAMINED MONROE COUNTY METRICS AGAINST THE NEW YORK STATE'S PREVENTION AGENDA DASHBOARD AND 2030 PREVENTION AGENDA GOALS. THE CHIW PRIORITIZED AREAS THAT WERE IDENTIFIED BY THE COMMUNITY AS CRITICAL, AND AREAS WHERE THE MAGNITUDE OF THE NEED WAS SIGNIFICANT (BY EXAMINING THE MONROE COUNTY STATISTIC AGAINST STATE AVERAGES, AND PREVENTION AGENDA GOALS). THREE PRIORITY AREAS WERE SELECTED FOR THE 2025-2027 MONROE COUNTY COMMUNITY HEALTH IMRPOVEMENT PLAN, IN ACCORDANCE WITH THE NYS PREVENTION AGENDA, AND THE URMC HOSPITALS WILL WORK TO ADDRESS THESE AREAS. (1) ECONOMIC STABILITY REDUCE THE PERCENTAGE OF PEOPLE LIVING IN POVERTY, AND THE IMPACT OF POVERTY ON HEALTH, WITH SPECIAL ATTENTION TO ROCHESTER RESIDENTS. (2) MENTAL WELLNESS DECREASE THE PERCENTAGE OF ADULTS IN MONROE COUNTY WHO EXPERIENCE FREQUENT MENTAL DISTRESS FROM ANXIETY AND STRESS. (3) HEALTHY BIRTHS DECREASE THE RATE OF MATERNAL MORTALITY IN MONROE COUNTY SPECIFICALLY REDUCING DIFFERENCES IN HEALTH OUTCOMES. TO ADDRESS THESE STRATEGIES, SEVERAL EVIDENCE-BASED INTERVENTIONS WERE SELECTED. THE CHIW EXTENSIVELY REVIEWED THE NYS PREVENTION AGENDA FOR EVIDENCE-BASED INTERVENTIONS FOR EACH STRATEGY AND CATALOGUED WHAT WAS ALREADY BEING DONE IN MONROE COUNTY. TO IMPROVE ECONOMIC STABILITY THERE ARE THREE EVIDENCE-INFORMED STRATEGIES: (1) LINK RESIDENTS TO CAREER PATHWAYS AND EDUCTIONAL PROGRAMS IN NEEDED HEALTH PROFESSIONS; (2) BUILD STRONG COLLABORATION BETWEEN THE CHIW AND THE ROCHESTER-MONROE ANTIPOVERTY INITIATIVE; AND (3) SCREEN PATIENTS FOR SOCIAL NEEDS AND CONNECT PATIENTS TO NEEDED RESOURCES. TO IMPROVE MENTAL WELLNESS THERE ARE TWO EVIDENCE-INFORMED STRATEGIES: (1) PROMOTE SOCIAL PRESCRIBING AND PROGRAMS THAT ARE RESOURCES FOR SOCIAL CONNECTION, AND (2) PROMOTE EVIDENCE-BASED MINDFULNESS PROGRAMS.TO IMPROVE HEALTHY BIRTHS THERE ARE THREE EVIDENCE-INFORMED STRATEGIES: (1) SUPPORT COMMUNITY-BASED DOULA PROGRAMS, (2) CONNECT HIGH-RISK PEOPLE TO HOME VISITATION PROGRAMS, AND (3) EXPLORE QUANTITATIVE AND QUALITATIVE DATA FOR DRIVERS OF OUTCOME DIFFERENCES. THE URMC WILL CONTINUE TO SUPPORT A MINI-GRANT PROCESS TO PROVIDE RESOURCES TO COMMUNITY-BASED ORGANIZATIONS THAT ARE WORKING TO ADVANCE THESE THREE PRIORITY AREAS. MINI-GRANT AWARDS ARE GIVEN ANNUALLY AND RESULTS ARE TRACKED AND REPORTED.IN SELECTING THESE AREAS, SEVERAL OTHER HEALTH PRIORITY AREAS COULD NOT BE PRIORITIZED. THERE ARE NOT ENOUGH RESOURCES TO ADDRESS ALL THE AREAS OF NEED SIMULTANEOUSLY AND THEREFORE SOME AREAS CANNOT BE ACTIONABLE. THE CHIW USED THE SELECTION CRITERIA, AND THE DATA IN RELATION TO THE NYS PREVENTION AGENDA TO SELECT AREAS OF PRIORITY. THE OTHER NON-SELECTED HEALTH CONCERNS ARE STILL SIGNIFICANT NEEDS THAT MUST BE ADDRESSED TO IMPROVE THE HEALTH OF MONROE COUNTY. THESE INCLUDE: ACCESS TO CARE, CULTURAL UNDERSTANDING AMONG HEALTH CARE WORKERS, PREVENTIVE CARE AND HEALTH EDUCATION, AGING OF THE POPULATION, OPIOID ADDICTION AND OVERDOSE, OBESITY AND OVERWEIGHT. ALTHOUGH NOT SPECIFICALLY PRIORITIZED IN THE CHIW, SEVERAL DEPARTMENTS WITHIN THE HOSPITAL ARE WORKING WITH COMMUNITY AGENCIES TO ADDRESS THESE PROBLEMS. THE CHIW WILL CONTINUE TO FOLLOW THESE AREAS AND TO SUPPORT ANY AGENCY WORKING PRODUCTIVELY ON THESE HEALTH CONCERNS. IN ADDITION, SOME OF THESE SECONDARY NON-SELECTED ISSUES WILL BE ADDRESSED WITHIN THE TWO SELECTED FOCUS AREAS, A BIT LATER. BY FOCUSING ON SOCIAL DETERMINANTS AND UPSTREAM INTERVENTIONS, THE CHIW HOPES TO EXPAND ITS IMPACT TO OTHER AREAS OF NEED, NOT SELECTED AS FOCUS AREAS AT THIS TIME.PROGRESS ON THE IMPLEMENTATION STRATEGY IS WIDELY AVAILABLE TO THE PUBLIC AND CAN BE FOUND ON THE SAME WEBSITE AS THE CHNA (HTTPS://WWW.URMC.ROCHESTER.EDU/COMMUNITY.ASPX).</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>11</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - EASTMAN DENTAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>625 ELMWOOD AVENUE</AddressLine1Txt>
            <CityNm>ROCHESTER</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14620</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT DENTAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - UNIVERSITY DENTAL FACULTY GROUP</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2400 SOUTH CLINTON AVENUE BLDG H</AddressLine1Txt>
            <AddressLine2Txt>STE220</AddressLine2Txt>
            <CityNm>ROCHESTER</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14618</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT DENTAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - EASTMAN DENTAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>180 SAWGRASS DRIVE</AddressLine1Txt>
            <CityNm>ROCHESTER</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14620</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT DENTAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - EASTMAN DENTAL CLINIC AT SCHOOL #17</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>158 ORCHARD ST</AddressLine1Txt>
            <CityNm>ROCHESTER</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14611</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT DENTAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>5 - EASTMAN DENTAL - DOWNTOWN CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>228 E MAIN ST</AddressLine1Txt>
            <CityNm>ROCHESTER</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14604</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT DENTAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>6 - EASTMAN DENTAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>601 ELMWOOD AVE</AddressLine1Txt>
            <CityNm>ROCHESTER</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14642</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT DENTAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>7 - EDC SMILEMOBILE VANS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>625 ELMWOOD AVE</AddressLine1Txt>
            <CityNm>ROCHESTER</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14620</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT DENTAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>8 - CULVER COMPLEX CARE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>905 CULVER ROAD</AddressLine1Txt>
            <CityNm>ROCHESTER</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14609</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT DENTAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>9 - EASTMAN DENTAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5100 WEST TAFT ROAD</AddressLine1Txt>
            <CityNm>LIVERPOOL</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>13088</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT DENTAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>10 - EASTMAN DENTAL CLINIC AT EAST HIGH SCHL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1801 E MAIN ST</AddressLine1Txt>
            <CityNm>ROCHESTER</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14609</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT DENTAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>11 - EASTMAN DENTAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7329 SENECA ROAD</AddressLine1Txt>
            <CityNm>HORNELL</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14843</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT DENTAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINE 7- COSTING METHODOLOGY USEDTHE COSTING METHODOLOGY USED IN CALCULATING THE AMOUNTS REPORTED ON THELINE 7 TABLE IS BASED ON A COST ACCOUNTING SYSTEM.CONSISTENT WITH PRIOR YEARS, DUE TO THE ADOPTION OF ACCOUNTINGPRONOUNCEMENT ASC 606, IMPLICIT PRICE CONCESSIONS ARE TREATED AS ACONTRA-REVENUE ITEM ON THE STATEMENT OF REVENUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7G:</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINE 7G- SUBSIDIZED HEALTH SERVICESCOSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC WERE INCLUDED ON PART I, LINE7G,SUBSIDIZED HEALTH SERVICES, AND INCLUDED TOTAL COMMUNITY BENEFIT EXPENSEOF $136,999,204; DIRECT OFFSETTING REVENUE OF $111,140,379, NET COMMUNITY BENEFIT EXPENSE OF $25,858,825.PART I, LINE 7, COL. (F) - BAD DEBT EXPENSE AND DIRECT OFFSETTING REVENUETHE AMOUNT OF BAD DEBT EXPENSE INCLUDED ON FORM 990 PART IX, LINE 25 COLUMN (A) BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE REPORTED ON LINE 7, COLUMN (F) WAS $25,547,323</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LN 7 COL(F):</FormAndLineReferenceDesc>
        <ExplanationTxt>PART III, SECTION A, LINE 4- IMPLICIT PRICE CONCESSION FOOTNOTETHE TEXT OF THE IMPLICIT PRICE CONCESSION (BAD DEBT EXPENSE) FOOTNOTE FORTHE UNIVERSITY CAN BE FOUND ON PAGE 17 (ITEM W) OF THE ELECTRONICALLYATTACHED AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>PART III, SECTION A, LINE 2- IMPLICIT PRICE CONCESSIONS/BAD DEBT EXPENSETHE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES2 AND 3 IS BASED ON ACTUAL CHARGES WRITTEN OFF (AMOUNTS THAT ARE DEEMEDTO BE UNCOLLECTIBLE AND RECORDED AS IMPLICIT PRICE CONCESSIONS UNDERACCOUNTING PRONOUNCEMENT ASC 606).PART III, SECTION A, LINE 4- IMPLICIT PRICE CONCESSION FOOTNOTETHE TEXT OF THE IMPLICIT PRICE CONCESSION (BAD DEBT EXPENSE) FOOTNOTE FORTHE UNIVERSITY CAN BE FOUND ON PAGE 17 (ITEM W) OF THE ELECTRONICALLYATTACHED AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II- DETAIL OF COMMUNITY BUILDING ACTIVITIES</FormAndLineReferenceDesc>
        <ExplanationTxt>UR STRONG HAS SEVERAL INITIATIVES THAT CONTRIBUTE TO COMMUNITY BENEFITS AND COMMUNITY BUILDING ACTIVITIES, NOT ALL OF WHICH ARE DETAILED HERE. OVERALL, REVIEW OF A HOSPITAL ASSOCIATION OF NEW YORK STATE (HANYS) ANALYSIS OF THE ECONOMIC AND COMMUNITY BENEFIT OF UR STRONG SHOWS SIGNIFICANT CONTRIBUTIONS TO THE COMMUNITY. IN THE 2025 HANYS ECONOMIC AND COMMUNITY BENEFITS REPORT, STRONG MEMORIAL HOSPITAL GENERATED 25,000 JOBS AND APPROXIMATELY $600 MILLION TAX DOLLARS TO STIMULATE THE ECONOMIES OF THE COMMUNITY. A RECENT STUDY, "ECONOMIC ENGINE AND COMMUNITY CATALYST" ANALYZED FY24 DATA AND FOUND THAT THE UNIVERSITY OF ROCHESTER (INCLUDING URMC, STRONG) HAS A $13 BILLION ANNUAL ECONOMIC IMPACT STATEWIDE, INCLUDING SUPPORTING 66,700 JOBS ACROSS NEW YORK STATE. THERE ARE SEVERAL HOSPITAL-BASED INITIATIVES THAT SUPPORT THE HEALTH OF OUR COMMUNITY THROUGH COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFITS OPERATIONS AND CASH/IN-KIND CONTRIBUTIONS (REPORTED IN PART I #7) AND COMMUNITY BUILDING ACTIVITIES (REPORTED IN PART II). IN FY2025, CONSISTENT WITH YEARS PAST, THE LARGEST REPORTED SUBMISSIONS INCLUDE THE CENTER FOR COMMUNITY HEALTH AND PREVENTION (CCHP), PEDIATRIC LINKS TO THE COMMUNITY (PLC), WILMOT CANCER CENTER'S COMMUNITY OUTREACH AND ENGAGEMENT, PSYCHIATRY MENTAL HEALTH PREVENTION INITIATIVES AND HOPE LODGE - EACH DESCRIBED BELOW. TO HIGHLIGHT THE IMPORTANCE OF ITS COMMUNITY HEALTH MISSION, THE URMC FINANCIALLY SUPPORTS THE CENTER FOR COMMUNITY HEALTH AND PREVENTION (CCHP) WHICH WAS ESTABLISHED IN 2006 AS THE LINK BETWEEN THE COMMUNITY AND THE UNIVERSITY. IN FY25, THE CCHP UPDATED ITS MISSION: TO UNITE OUR COMMUNITY AND THE UNIVERSITY OF ROCHESTER MEDICAL CENTER IN A SHARED GOAL OF ENSURING EVERYONE ACHIEVE THEIR HIGHEST LEVEL OF HEALTH. THROUGH DISEASE PREVENTION AND HEALTHY LIVING PROGRAMS, RESEARCH, EDUCATION, AND POLICY THE CCHP WORKS TO CREATE ENVIRONMENTS THAT SUPPORT HEALTHY BEHAVIORS AIMED AT PREVENTING DISEASE AND CREATING A HEALTHIER COMMUNITY. THE CCHP HOUSES THE NEW YORK STATE EMERGING INFECTIONS PROGRAM WHICH IS PART OF THE NATIONAL EFFORT TO PROVIDE POPULATION-BASED COMMUNICABLE DISEASE DATA TO IDENTIFY POPULATIONS AT RISK. THE CCHP MANAGES THE COMMUNITY HEALTH IMPROVEMENT EFFORTS, INCLUDING THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPROVEMENT PLANNING AND IMPLEMENTATION. URMC STRONG AND HIGHLAND HOSPITALS CONTRIBUTE FINANCIALLY TO THIS PROCESS IN ADDITION TO SPECIFIC CCHP SUPPORT FUNDS. THE CCHP SUPPORTS THE COMMUNITY ADVISORY COUNCIL AND THE YOUTH ADVISORY BOARD THAT DEVELOPS LEADERSHIP IN COMMUNITY MEMBERS WHILE ADVISING URMC RESEARCH AND INTERVENTIONS.PEDIATRIC LINKS WITH THE COMMUNITY (PLC) IS HOUSED IN THE HOEKELMAN CENTER, SUPPORTED BY URMC STRONG, AND HAS TRAINED CLOSE TO 1000 FIRST-YEAR RESIDENTS FROM PEDIATRICS, MEDICINE-PEDIATRICS, AND FAMILY MEDICINE, AND MEDICAL STUDENTS. DURING THIS TWO-WEEK ROTATION, RESIDENTS AND STUDENTS LEARN FIRST-HAND ABOUT CRITICAL FACTORS AFFECTING CHILD HEALTH, WHILE INTERACTING WITH MEDICAL AND NON-MEDICAL PROVIDERS AT VARIOUS COMMUNITY-BASED ORGANIZATIONS AND PROGRAMS. THIS PROGRAM PROMOTES THE HEALTH OF THE COMMUNITY BY HAVING STUDENTS CONTRIBUTE TO THE COMMUNITY-BASED ORGANIZATIONS WITH THEIR MEDICAL TALENTS, WHILE ALSO LEARNING TO BECOME MORE EMPATHETIC PROVIDERS TO SERVE THEIR COMMUNITY IN THE FUTURE.THE WILMOT CANCER INSTITUTE HOUSES THE COMMUNITY OUTREACH &amp; ENGAGEMENT (COE) CENTER WHICH WORKS TO REDUCE THE BURDEN OF CANCER, PARTICULARLY IN UNDERSERVED AND UNDERSTUDIED PEOPLE, BY COLLABORATING WITH COMMUNITIES TO BETTER UNDERSTAND AND RESOLVE DIFFERENCES IN CANCER OUTCOMES. THE COE ASSISTS WILMOT RESEARCHERS AND URMC STAFF AND COMMUNITY MEMBERS WITH A VARIETY OF CANCER-RELATED SERVICES INCLUDING COMMUNITY-DRIVEN RESEARCH PROJECTS, OUTREACH ACTIVITIES, DISSEMINATION OF PROGRAMS AND TRANSLATION SERVICES. COMMUNITY BENEFITS ARE GIVEN THROUGH THE COE ACTIVIES, MOU'S WITH COMMUNITY AGENCIES, AND THE BUILDING AND SUPPORT OF THE CANCER COMMUNITY ADVISORY COUCIL COALITION. THE URMC DEPARTMENT OF PSYCHIATRY HAS MANY COMMUNITY-ENGAGED INITIATIVES TO SUPPORT MENTAL HEALTH IN THE GREATER ROCHESTER AREA AND BEYOND. THE DEPARTMENT AIMS TO ADVOCATE FOR AND DELIVER ACCESSIBLE, QUALITY BEHAVIORAL HEALTH SERVICE, ASSIST MEDICAL CARE OF THE PSYCHIATRICALLY VULNERABLE POPULATION AND ENHANCE ONGOING EDUCATIONAL AND RESEARCH PARTNERSHIPS WITH LOCAL COMMUNITY ORGANIZATIONS IN THE GREATER ROCHESTER AREA. OF NOTE IS THE PSYCHIATRY DEPARTMENTS EXTENSIVE EDUCATION AND TRAINING COLLABORATIONS, INCLUDING THE ECHO PROJECT WHICH PROVIDES SPECIALTY TRAINING FOR TEAMS TO SUPPORT BEHAVIORAL NEEDS AMONG VULNERABLE POPULATIONS SUCH AS YOUTH AND THE ELDERLY; AND THE HEAL PROGRAM (HEALING THROUGH HEALTH, EDUCATION, ADVOCACY AND LAW) WHICH PROVIDES MENTAL HEALTH, LEGAL AND SOCIAL SERVICES TO ADULTS IN NEED. URMC SUPPORTS THE AMERICAN CANCER SOCIETY HOPE LODGE PROGRAM WHICH PROVIDES A FREE HOME AWAY FROM HOME FOR CANCER PATIENTS AND THEIR CAREGIVERS. GUESTS SHARE MEALS, CAN JOIN ACTIVITIES AND HAVE THEIR OWN PRIVATE ROOM. COMMUNITY BUILDING IS EVIDENT THROUGHOUT THE HOSPITAL DEPARTMENTS THROUGH SEVERAL INITIATIVES. OF NOTE, THE COMMUNITY-BASED PARTICIPATORY RESEARCH TRAINING PROGRAM IS A FREE COURSE FOR RESEARCHERS AND COMMUNITY MEMBERS TO LEARN HOW TO WORK TOGETHER TO RESPECT THE TALENTS AND STRENGTHS OF BOTH IN AN EFFORT TO ADVANCE RESEARCH. SPEECH PATHOLOGY HAS SEVERAL COMMUNITY OUTREACH PROGRAMS AND RUNS 'THE LOUD CROWD', A FREE GROUP THERAPY APPROACH TO HELP INDIVIDUALS WITH PARKINSON'S DISEASE. THE OPHTHALMOLOGY DEPARTMENT HAS MENTORSHIP PROGRAMS TO INCREASE INTEREST IN THE FIELD BY HELPING MEDICAL STUDENTS BECOME COMPETITIVE OPHTHALMOLOGY RESIDENCY APPLICANTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>PART III, SECTION B, LINE 8- COSTING METHODOLOGY, MEDICARE SHORTFALLTHE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6IS BASED ON REPORTS PRODUCED FROM THE HOSPITAL'S DECISION SUPPORT SYSTEMFOR THE YEAR.CONSISTENT WITH THE CHARITABLE HEALTHCARE MISSION OF THE HOSPITAL AND THECOMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545, THEHOSPITAL PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE SEEKINGMEDICAL CARE. SUCH CARE IS PROVIDED REGARDLESS OF WHETHER THEREIMBURSEMENT PROVIDED FOR SUCH SERVICES MEETS OR EXCEEDS THE COSTSINCURRED BY THE HOSPITAL TO PROVIDE SUCH SERVICES. AS A RESULT, THEHOSPITAL VIEWS ANY SHORTFALL REPORTED IN LINE 7 AS AN ADDITIONAL ITEM OFCOMMUNITY BENEFIT PROVIDED BY THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, SECTION C, LINE 9B- COLLECTION PRACTICES</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL ASSISTANCE PROGRAM MISSION/PURPOSE/PREAMBLE: STRONG MEMORIALHOSPITAL IMPROVES HEALTH THROUGH CARING, DISCOVERY, TEACHING ANDLEARNING. WE PROVIDE EXCELLENT AND COMPASSIONATE CARE AND RESPONSIVESERVICE. AS WE SEEK TO UNDERSTAND AND FULLY MEET OUR PATIENTS' CURRENTAND FUTURE NEEDS AND EXPECTATIONS, WE RECOGNIZE OUR RESPONSIBILITY TOPRUDENTLY USE THE SCARCE RESOURCES ENTRUSTED TO US. LAWS, REGULATIONS,CATASTROPHIC ILLNESSES AND THE RISING COSTS OF NEW TECHNOLOGY HAVECREATED A CATEGORY OF PATIENTS WHO ARE EITHER UNINSURED OR UNDERINSURED.THIS CHARITY CARE PROGRAM HAS BEEN DEVELOPED TO HELP THE HOSPITAL MEETTHE NEEDS OF THESE PATIENTS AND, CONCURRENTLY, MAINTAIN THE FINANCIALVIABILITY OF THE HOSPITAL FOR FUTURE GENERATIONS. THIS CHARITY CAREPOLICY EXPLAINS HOW THE HOSPITAL ASSISTS PATIENTS WHO CANNOT PAY FOR PARTOR ALL OF THE ESSENTIAL MEDICAL CARE THEY RECEIVE.PRINCIPLES: STRONG MEMORIAL HOSPITAL PROACTIVELY CONVEYS INFORMATIONABOUT THIS CHARITY CARE POLICY TO PATIENTS AND THEIR FAMILIES.- WE BELIEVE THAT FEAR OF A HOSPITAL BILL SHOULD NEVER GET IN THE WAY OFESSENTIAL HEALTH SERVICES. THE PROVISION OF URGENT OR EMERGENT HEALTHCAREIS NEVER DELAYED PENDING A FINANCIAL ASSISTANCE DETERMINATION. SIGNSANNOUNCING THE CHARITY CARE PROGRAM ARE POSTED IN THE HOSPITAL (E.G.EMERGENCY DEPARTMENT, ADMITTING OFFICE) TO PROACTIVELY CONVEY THISMESSAGE TO PROSPECTIVE PATIENTS AND THE PUBLIC IN GENERAL.- WE MAINTAIN FINANCIAL AID POLICIES THAT ARE CONSISTENT WITH THEMISSION, VALUES AND CAPACITY OF THE HOSPITAL AND THAT TAKE INTO ACCOUNTEACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE.- WE COMMUNICATE THE AVAILABILITY OF FINANCIAL AID IN A MANNER THAT ISCLEAR, UNDERSTANDABLE, SENSITIVE TO THE PATIENT'S DIGNITY, AND INMULTIPLE LANGUAGES. A NOTICE IS AVAILABLE AT REGISTRATION SITES THATINFORMS PATIENTS OF THIS PROGRAM AND PROVIDES THE PHONE NUMBER TO CALL TOOBTAIN MORE INFORMATION AND TO APPLY FOR THIS PROGRAM. DESIGNATED STAFFARE PROVIDED DETAILED TRAINING SO THAT THEY CAN PROVIDE INFORMATION ANDANSWER QUESTIONS ABOUT THE CHARITY CARE PROGRAM. INFORMATION IS GENERALLYAVAILABLE IN BOTH ENGLISH AND SPANISH. WHEN REQUESTED, IT WILL ALSO BEMADE AVAILABLE IN OTHER LANGUAGES.- INFORMATION REGARDING OUR CHARITY CARE PROGRAM IS ALSO AVAILABLE ON THEURMC WEBSITE.- WE IMPLEMENT FINANCIAL AID PROCEDURES THAT ARE CONSUMER-FRIENDLY,RESPECTFUL, AND CONFIDENTIAL, AS WELL AS DEBT COLLECTION POLICIES THATREFLECT THE MISSION AND VALUES OF THIS HOSPITAL.- WE WORK WITH GOVERNMENT, PAYERS, BUSINESS, CONSUMER GROUPS AND OTHERSTO ADDRESS THE UNDERLYING PROBLEM THAT TOO MANY NEW YORKERS LACK HEALTHINSURANCE.GENERAL GUIDELINES: AS PART OF FINANCIAL PLANNING ASSISTANCE, WE PROVIDEPATIENTS, AND/OR THEIR LEGAL REPRESENTATIVE, WITH INFORMATION ABOUT THECRITERIA THAT MUST BE MET IN ORDER TO OBTAIN MEDICAID, MEDICARE, OR OTHERHEALTH INSURANCES. PATIENTS ARE ASSISTED IN MAKING APPLICATIONS FOR ANYOF THESE INSURANCES OR DISCOUNTED FEE PLANS. PATIENTS ARE EXPECTED TOPARTICIPATE FULLY IN ALL EFFORTS TO OBTAIN ANY INSURANCE FOR WHICH THEYMAY QUALIFY. UNDER CERTAIN CIRCUMSTANCES, AS DETERMINED BY THE FINANCIALCASE MANAGERS OR OTHER HOSPITAL SENIOR ADMINISTRATORS.APPLICATIONS FOR MEDICAID, MEDICARE OR OTHER INSURANCE PROGRAMS MAY BEWAIVED WHEN DEEMED UNNECESSARY. IF AVAILABLE INSURANCE BENEFITS ARE NOTSUFFICIENT TO COVER THE COST OF THEIR CARE, PATIENTS MAY THEN APPLY FORASSISTANCE FROM THE CHARITY CARE PROGRAM. CHARITY CARE APPLICATIONS MUSTBE COMPLETED AND RETURNED TO THE HOSPITAL WITH THE REQUESTED INCOMEDOCUMENTATION.PATIENTS WILL NOT RECEIVE CHARITY CARE ASSISTANCE IF THEY (A) DO NOTCOMPLETE THE APPLICATION PROCESS FOR MEDICAID OR OTHER INSURANCE FORWHICH THEY MAY QUALIFY, (B) ELECT NOT TO MAKE APPLICATION FOR CHARITYCARE, OR (C) HAVE ADEQUATE RESOURCES OR INCOME TO PAY PRIVATELY FOR THEIRCARE. IN THESE SITUATIONS, THEY WILL REMAIN FINANCIALLY RESPONSIBLE FORFULL PAYMENT OF THEIR HOSPITAL BILLS.CHARITY CARE ASSISTANCE IS AVAILABLE FOR PATIENTS WHO RESIDE IN NEW YORKSTATE AND RECEIVE EMERGENCY HOSPITAL SERVICES, INCLUDING EMERGENCYTRANSFERS, AND TO PATIENTS WHO RESIDE IN STRONG MEMORIAL HOSPITAL'SPRIMARY SERVICE AREA IN NEW YORK STATE WHO RECEIVE SERVICES IN DESIGNATEDSTRONG MEMORIAL HOSPITAL PROGRAMS, INCLUDING MOST INPATIENT ANDOUTPATIENT SERVICES. IN ADDITION, THE HOSPITAL MAY, IN ITS DISCRETION,GRANT CHARITY CARE TO INDIVIDUALS WHO RESIDE OUTSIDE OF NEW YORK STATE.CHARITY CARE ASSISTANCE DOES NOT COVER MEDICALLY UNNECESSARY CARE,COSMETIC ALTERATION, TELEPHONE, TELEVISION AND PRIVATE ROOM CHARGES. ITDOES NOT COVER SERVICES GENERATED BY AN INSURED PATIENT WHO CHOOSES TORECEIVE CARE AT AN OUT-OF NETWORK HOSPITAL, OR WHO FAILS TO COMPLY WITHINSURANCE POLICY REQUIREMENTS (E.G. UNAUTHORIZED SERVICES) NOR DOES ITAPPLY TO NON-RESIDENT ALIENS (UNLESS APPROVED IN ADVANCE OF CARE BEINGPROVIDED), TO DRUGS NOT ADMINISTERED IN THE HOSPITAL, TO TRANSPORTATIONFURNISHED BY THIRD PARTY VENDORS, OR TO CARE, SERVICES, DRUGS OR SUPPLIESFOR THE PURPOSE OF GENDER CHANGE PROCEDURE. SPECIFIC QUESTIONS ABOUTSERVICES THAT ARE NOT COVERED SHOULD BE DIRECTED TO THE PATIENT ACCOUNTSMANAGER OR THEIR DELEGATE.FINANCIAL GUIDELINES: FINANCIAL AID IS INTENDED TO ASSIST THOSEINDIVIDUALS WHO CANNOT AFFORD TO PAY IN PART OR IN FULL FOR THEIR CARE.IT SHOULD TAKE INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TOTHE COST OF HIS OR HER CARE. HOSPITAL FINANCIAL AID SHOULD NOT BE VIEWEDAS A SUBSTITUTE FOR EMPLOYER-SPONSORED OR INDIVIDUALLY PURCHASEDINSURANCE. PATIENTS WITHOUT INSURANCE AND WITH INCOME THAT WOULD QUALIFYTHEM FOR THE CHARITY CARE PROGRAM BUT ALSO HAVE SUBSTANTIAL RESOURCES(OTHER THAN TAX-DEFERRED OR COMPARABLE RETIREMENT SAVINGS OR COLLEGESAVINGS ACCOUNTS) MAY BE EXPECTED TO PAY PART OF THEIR BILLS(S).CHARITY CARE ASSISTANCE IS GENERALLY AVAILABLE TO INDIVIDUALS WHOSEINCOME IS LESS THAN OR EQUAL TO 400% OF THE FEDERAL POVERTY LEVEL.HOWEVER, PATIENTS WHO HAVE EXHAUSTED THEIR INSURANCE BENEFITS, EXCEEDEDFINANCIAL ELIGIBILITY CRITERIA, FACE EXTRAORDINARY MEDICAL COSTS, OR WHOHAVE OTHER UNIQUE CIRCUMSTANCES MAY BE CONSIDERED FOR CHARITY CAREAPPROVAL IN THE HOSPITAL'S SOLE DISCRETION. WHILE APPLICATION FORMEDICAID OR OTHER INSURANCE IS USUALLY REQUIRED, THE HOSPITAL MAY, AT ITSSOLE DISCRETION, IN APPROPRIATE CASES, ALSO CONSIDER PATIENTS FOR CHARITYCARE WHEN THEY MEET THE FINANCIAL CRITERIA OF THIS PROGRAM, BUT HAVE NOTSATISFACTORILY COMPLETED ALL THE REQUIREMENTS OF THE CHARITY CAREAPPLICATION PROCESS. THIS MAY INCLUDE PATIENTS WHO HAVE BEEN SANCTIONEDBY MEDICAID, HAVE FILED BANKRUPTCY OR APPEAR TO BE ELIGIBLE FOR CHARITYCARE ASSISTANCE BASED ON AVAILABLE INFORMATION. ELIGIBILITYDETERMINATIONS IN COMPLEX CASE CIRCUMSTANCES WILL BE MADE AFTERCONSIDERATION BY THE CHARITY CARE REVIEW TEAM THAT INCLUDES THE CHARITYCARE OFFICER, FINANCIAL CASE MANAGER AND/OR THEIR MANAGERS, OR MAY BEMADE BY SENIOR HOSPITAL ADMINISTRATORS. THE AMOUNT OF THE DISCOUNTAFFORDED TO QUALIFIED CHARITY CARE PATIENTS WILL BE DETERMINED THROUGHASSESSMENT OF THE RESPONSIBLE PARTY'S ANNUAL HOUSEHOLD INCOME AND THENUMBER OF PEOPLE IN THE HOME, AS A PERCENTAGE OF THE FEDERAL POVERTYGUIDELINE AMOUNTS FOR SAME SIZE HOUSEHOLDS. THE FINANCIAL GUIDELINES WILLBE UPDATED ANNUALLY IN CONJUNCTION WITH THE FEDERAL POVERTY UPDATESPUBLISHED BY CMS.PATIENTS MAY RECEIVE FULL OR PARTIAL DISCOUNT FROM THE COST OF CARE,DEPENDING ON THE PERCENTAGE OF THE GUIDELINES MATCHED BY THE PATIENT'SHOUSEHOLD INCOME.ANY BILL AMOUNT REMAINING AFTER APPLICATION OF A PARTIAL CHARITY CAREDISCOUNT IS THE RESPONSIBILITY OF THE PATIENT. THE AMOUNT AN APPROVEDCHARITY CARE PATIENT WILL GENERALLY BE EXPECTED TO PAY FOR SERVICESCOVERED BY THE POLICY WILL BE LIMITED TO THE LOWER OF THE AMOUNT THAT THEHOSPITAL WOULD HAVE RECEIVED FOR THE SAME SERVICE UNDER MEDICARE PARTS AAND B,(INCLUDING COINSURANCE, CO-PAYMENTS AND DEDUCTIBLES) OR THE USUALAND CUSTOMARY CHARGES. THE PATIENT WILL BE ASSISTED BY THE HOSPITAL INMAKING ARRANGEMENTS TO SATISFY ANY BALANCE REMAINING ON THE ACCOUNT(S)AFTER THE APPLICATION OF THE APPROPRIATE CHARITY CARE DISCOUNT BY USE OFA PAYMENT PLAN. THE MONTHLY PAYMENTS UNDER SUCH PLANS SHALL NOT EXCEEDTEN PERCENT (10%) OF THE ELIGIBLE PATIENT'S GROSS MONTHLY INCOME. THERATE OF INTEREST ON UNPAID BALANCES SHALL NOT EXCEED THE US TREASURY RATEFOR 90 DAY SECURITIES PLUS 0.5%.HOSPITAL PATIENT FINANCIAL AID STATUTE DISCOUNTING REQUIREMENTS DISCOUNT/ GROSS INCOME AS % OF FEDERAL POVERTY LEVEL100% / UP TO 200%80% / BETWEEN 201-250%60% / BETWEEN 251-300%40% / BETWEEN 301-350%20% / BETWEEN 351-400%0% / OVER 401%</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, SECTION C, LINE 9B- COLLECTION PRACTICES</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS: APPLICATIONS WILL BE ACCEPTED IMMEDIATELY BEFORE, DURING OR AFTER CARE IS PROVIDED. THE HOSPITAL WILL STRIVE TO ASSIST PATIENTS RECEIVING HIGH-COST SERVICES AS THEY OCCUR. PATIENTS MAY BE APPROVED FOR CHARITY CARE ON AN ACCOUNT-BY-ACCOUNT BASIS OR FOR A PERIOD OF TIME (FORA COURSE OF TREATMENT). FULLY COMPLETED CHARITY CARE APPLICATIONS ARE PROCESSED TIMELY AND DETERMINATIONS ARE COMMUNICATED TO THE PATIENTS WITHIN THIRTY 30 DAYS AFTER THE HOSPITAL CHARITY CARE OFFICER RECEIVES THEM. THE PATIENT OR RESPONSIBLE PARTY MAY REQUEST RECONSIDERATION OF A CHARITY CARE DETERMINATION BY PROVIDING ADDITIONAL INFORMATION (SUCH AS AN EXPLANATION OF EXTENUATING CIRCUMSTANCES) WITHIN 30 DAYS AFTER RECEIVING THE INITIAL NOTIFICATION.PATIENTS MAY BE ASKED TO RECERTIFY FINANCIAL INFORMATION WHEN LONG TERM INSTALLMENT PAYMENT PLANS ARE BEING COMPLETED. THE HOSPITAL ALSO RESERVES THE RIGHT (A) TO REEVALUTATE A PATIENT'S ELIGIBILITY FOR CHARITY CARE IN THE EVENT OF A CHANGE IN THE PATIENT'S FINANCIAL CIRCUMSTANCES OR FOR OTHER APPROPRIATE REASONS AND (B) TO REQUEST THAT A PATIENT REAPPLY FOR MEDICAID, MEDICARE OR OTHER HEALTH INSURANCES THAT HAVE PREVIOUSLY BEEN DENIED.WHILE A PATIENT'S COMPLETED CHARITY CARE APPLICATION IS BEING CONSIDERED, HOSPITAL BILLS FOR THE ACCOUNT(S) UNDER CONSIDERATION THAT ARE SENT TO THE PATIENT DO NOT NEED TO BE PAID AND THE ACCOUNT(S) UNDER CONSIDERATION FOR CHARITY CARE WILL NOT BE SENT TO A COLLECTION AGENCY.ACCOUNTS UNDER CONSIDERATION FOR CHARITY CARE WILL NOT BE SENT TO COLLECTION UNTIL THIRTY (30) DAYS AFTER NOTICE OF POSSIBLE REFERRAL IS PROVIDED TO THE PATIENT. COLLECTION AGENCIES WHO CONTRACT WITH THE HOSPITAL WILL FOLLOW THE HOSPITAL'S CHARITY CARE POLICIES AND PROCEDURES,WILL MAKE INFORMATION AVAILABLE TO PATIENTS ON HOW TO APPLY FOR CHARITY CARE ASSISTANCE WHEN APPROPRIATE, AND WILL OBTAIN WRITTEN CONSENT FROM THE HOSPITAL BEFORE COMMENCING LEGAL ACTION. UNDER NO CIRCUMSTANCES WILL A PATIENT'S PRIMARY RESIDENCE BE FORECLOSED UPON OR SOLD BY THE HOSPITAL TO COLLECT AN OUTSTANDING MEDICAL BILL.THE HOSPITAL RESERVES THE RIGHT TO CHANGE ITS CHARITY CARE POLICY AT ANY TIME AND TO REEVALUATE PATIENTS USING ANY REVISED CRITERIA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, SECTION C, LINE 9B- COLLECTION PRACTICES</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL ASSISTANCE PROGRAM MISSION/PURPOSE/PREAMBLE: STRONG MEMORIALHOSPITAL IMPROVES HEALTH THROUGH CARING, DISCOVERY, TEACHING ANDLEARNING. WE PROVIDE EXCELLENT AND COMPASSIONATE CARE AND RESPONSIVESERVICE. AS WE SEEK TO UNDERSTAND AND FULLY MEET OUR PATIENTS' CURRENTAND FUTURE NEEDS AND EXPECTATIONS, WE RECOGNIZE OUR RESPONSIBILITY TOPRUDENTLY USE THE SCARCE RESOURCES ENTRUSTED TO US. LAWS, REGULATIONS,CATASTROPHIC ILLNESSES AND THE RISING COSTS OF NEW TECHNOLOGY HAVECREATED A CATEGORY OF PATIENTS WHO ARE EITHER UNINSURED OR UNDERINSURED.THIS CHARITY CARE PROGRAM HAS BEEN DEVELOPED TO HELP THE HOSPITAL MEETTHE NEEDS OF THESE PATIENTS AND, CONCURRENTLY, MAINTAIN THE FINANCIALVIABILITY OF THE HOSPITAL FOR FUTURE GENERATIONS. THIS CHARITY CAREPOLICY EXPLAINS HOW THE HOSPITAL ASSISTS PATIENTS WHO CANNOT PAY FOR PARTOR ALL OF THE ESSENTIAL MEDICAL CARE THEY RECEIVE.PRINCIPLES: STRONG MEMORIAL HOSPITAL PROACTIVELY CONVEYS INFORMATIONABOUT THIS CHARITY CARE POLICY TO PATIENTS AND THEIR FAMILIES.- WE BELIEVE THAT FEAR OF A HOSPITAL BILL SHOULD NEVER GET IN THE WAY OFESSENTIAL HEALTH SERVICES. THE PROVISION OF URGENT OR EMERGENT HEALTHCAREIS NEVER DELAYED PENDING A FINANCIAL ASSISTANCE DETERMINATION. SIGNSANNOUNCING THE CHARITY CARE PROGRAM ARE POSTED IN THE HOSPITAL (E.G.EMERGENCY DEPARTMENT, ADMITTING OFFICE) TO PROACTIVELY CONVEY THISMESSAGE TO PROSPECTIVE PATIENTS AND THE PUBLIC IN GENERAL.- WE MAINTAIN FINANCIAL AID POLICIES THAT ARE CONSISTENT WITH THEMISSION, VALUES AND CAPACITY OF THE HOSPITAL AND THAT TAKE INTO ACCOUNTEACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE.- WE COMMUNICATE THE AVAILABILITY OF FINANCIAL AID IN A MANNER THAT ISCLEAR, UNDERSTANDABLE, SENSITIVE TO THE PATIENT'S DIGNITY, AND INMULTIPLE LANGUAGES. A NOTICE IS AVAILABLE AT REGISTRATION SITES THATINFORMS PATIENTS OF THIS PROGRAM AND PROVIDES THE PHONE NUMBER TO CALL TOOBTAIN MORE INFORMATION AND TO APPLY FOR THIS PROGRAM. DESIGNATED STAFFARE PROVIDED DETAILED TRAINING SO THAT THEY CAN PROVIDE INFORMATION ANDANSWER QUESTIONS ABOUT THE CHARITY CARE PROGRAM. INFORMATION IS GENERALLYAVAILABLE IN BOTH ENGLISH AND SPANISH. WHEN REQUESTED, IT WILL ALSO BEMADE AVAILABLE IN OTHER LANGUAGES.- INFORMATION REGARDING OUR CHARITY CARE PROGRAM IS ALSO AVAILABLE ON THEURMC WEBSITE.- WE IMPLEMENT FINANCIAL AID PROCEDURES THAT ARE CONSUMER-FRIENDLY,RESPECTFUL, AND CONFIDENTIAL, AS WELL AS DEBT COLLECTION POLICIES THATREFLECT THE MISSION AND VALUES OF THIS HOSPITAL.- WE WORK WITH GOVERNMENT, PAYERS, BUSINESS, CONSUMER GROUPS AND OTHERSTO ADDRESS THE UNDERLYING PROBLEM THAT TOO MANY NEW YORKERS LACK HEALTHINSURANCE.GENERAL GUIDELINES: AS PART OF FINANCIAL PLANNING ASSISTANCE, WE PROVIDEPATIENTS, AND/OR THEIR LEGAL REPRESENTATIVE, WITH INFORMATION ABOUT THECRITERIA THAT MUST BE MET IN ORDER TO OBTAIN MEDICAID, MEDICARE, OR OTHERHEALTH INSURANCES. PATIENTS ARE ASSISTED IN MAKING APPLICATIONS FOR ANYOF THESE INSURANCES OR DISCOUNTED FEE PLANS. PATIENTS ARE EXPECTED TOPARTICIPATE FULLY IN ALL EFFORTS TO OBTAIN ANY INSURANCE FOR WHICH THEYMAY QUALIFY. UNDER CERTAIN CIRCUMSTANCES, AS DETERMINED BY THE FINANCIALCASE MANAGERS OR OTHER HOSPITAL SENIOR ADMINISTRATORS.APPLICATIONS FOR MEDICAID, MEDICARE OR OTHER INSURANCE PROGRAMS MAY BEWAIVED WHEN DEEMED UNNECESSARY. IF AVAILABLE INSURANCE BENEFITS ARE NOTSUFFICIENT TO COVER THE COST OF THEIR CARE, PATIENTS MAY THEN APPLY FORASSISTANCE FROM THE CHARITY CARE PROGRAM. CHARITY CARE APPLICATIONS MUSTBE COMPLETED AND RETURNED TO THE HOSPITAL WITH THE REQUESTED INCOMEDOCUMENTATION.PATIENTS WILL NOT RECEIVE CHARITY CARE ASSISTANCE IF THEY (A) DO NOTCOMPLETE THE APPLICATION PROCESS FOR MEDICAID OR OTHER INSURANCE FORWHICH THEY MAY QUALIFY, (B) ELECT NOT TO MAKE APPLICATION FOR CHARITYCARE, OR (C) HAVE ADEQUATE RESOURCES OR INCOME TO PAY PRIVATELY FOR THEIRCARE. IN THESE SITUATIONS, THEY WILL REMAIN FINANCIALLY RESPONSIBLE FORFULL PAYMENT OF THEIR HOSPITAL BILLS.CHARITY CARE ASSISTANCE IS AVAILABLE FOR PATIENTS WHO RESIDE IN NEW YORKSTATE AND RECEIVE EMERGENCY HOSPITAL SERVICES, INCLUDING EMERGENCYTRANSFERS, AND TO PATIENTS WHO RESIDE IN STRONG MEMORIAL HOSPITAL'SPRIMARY SERVICE AREA IN NEW YORK STATE WHO RECEIVE SERVICES IN DESIGNATEDSTRONG MEMORIAL HOSPITAL PROGRAMS, INCLUDING MOST INPATIENT ANDOUTPATIENT SERVICES. IN ADDITION, THE HOSPITAL MAY, IN ITS DISCRETION,GRANT CHARITY CARE TO INDIVIDUALS WHO RESIDE OUTSIDE OF NEW YORK STATE.CHARITY CARE ASSISTANCE DOES NOT COVER MEDICALLY UNNECESSARY CARE,COSMETIC ALTERATION, TELEPHONE, TELEVISION AND PRIVATE ROOM CHARGES. ITDOES NOT COVER SERVICES GENERATED BY AN INSURED PATIENT WHO CHOOSES TORECEIVE CARE AT AN OUT-OF NETWORK HOSPITAL, OR WHO FAILS TO COMPLY WITHINSURANCE POLICY REQUIREMENTS (E.G. UNAUTHORIZED SERVICES) NOR DOES ITAPPLY TO NON-RESIDENT ALIENS (UNLESS APPROVED IN ADVANCE OF CARE BEINGPROVIDED), TO DRUGS NOT ADMINISTERED IN THE HOSPITAL, TO TRANSPORTATIONFURNISHED BY THIRD PARTY VENDORS, OR TO CARE, SERVICES, DRUGS OR SUPPLIESFOR THE PURPOSE OF GENDER CHANGE PROCEDURE. SPECIFIC QUESTIONS ABOUTSERVICES THAT ARE NOT COVERED SHOULD BE DIRECTED TO THE PATIENT ACCOUNTSMANAGER OR THEIR DELEGATE.FINANCIAL GUIDELINES: FINANCIAL AID IS INTENDED TO ASSIST THOSEINDIVIDUALS WHO CANNOT AFFORD TO PAY IN PART OR IN FULL FOR THEIR CARE.IT SHOULD TAKE INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TOTHE COST OF HIS OR HER CARE. HOSPITAL FINANCIAL AID SHOULD NOT BE VIEWEDAS A SUBSTITUTE FOR EMPLOYER-SPONSORED OR INDIVIDUALLY PURCHASEDINSURANCE. PATIENTS WITHOUT INSURANCE AND WITH INCOME THAT WOULD QUALIFYTHEM FOR THE CHARITY CARE PROGRAM BUT ALSO HAVE SUBSTANTIAL RESOURCES(OTHER THAN TAX-DEFERRED OR COMPARABLE RETIREMENT SAVINGS OR COLLEGESAVINGS ACCOUNTS) MAY BE EXPECTED TO PAY PART OF THEIR BILLS(S).CHARITY CARE ASSISTANCE IS GENERALLY AVAILABLE TO INDIVIDUALS WHOSEINCOME IS LESS THAN OR EQUAL TO 400% OF THE FEDERAL POVERTY LEVEL.HOWEVER, PATIENTS WHO HAVE EXHAUSTED THEIR INSURANCE BENEFITS, EXCEEDEDFINANCIAL ELIGIBILITY CRITERIA, FACE EXTRAORDINARY MEDICAL COSTS, OR WHOHAVE OTHER UNIQUE CIRCUMSTANCES MAY BE CONSIDERED FOR CHARITY CAREAPPROVAL IN THE HOSPITAL'S SOLE DISCRETION. WHILE APPLICATION FORMEDICAID OR OTHER INSURANCE IS USUALLY REQUIRED, THE HOSPITAL MAY, AT ITSSOLE DISCRETION, IN APPROPRIATE CASES, ALSO CONSIDER PATIENTS FOR CHARITYCARE WHEN THEY MEET THE FINANCIAL CRITERIA OF THIS PROGRAM, BUT HAVE NOTSATISFACTORILY COMPLETED ALL THE REQUIREMENTS OF THE CHARITY CAREAPPLICATION PROCESS. THIS MAY INCLUDE PATIENTS WHO HAVE BEEN SANCTIONEDBY MEDICAID, HAVE FILED BANKRUPTCY OR APPEAR TO BE ELIGIBLE FOR CHARITYCARE ASSISTANCE BASED ON AVAILABLE INFORMATION. ELIGIBILITYDETERMINATIONS IN COMPLEX CASE CIRCUMSTANCES WILL BE MADE AFTERCONSIDERATION BY THE CHARITY CARE REVIEW TEAM THAT INCLUDES THE CHARITYCARE OFFICER, FINANCIAL CASE MANAGER AND/OR THEIR MANAGERS, OR MAY BEMADE BY SENIOR HOSPITAL ADMINISTRATORS. THE AMOUNT OF THE DISCOUNTAFFORDED TO QUALIFIED CHARITY CARE PATIENTS WILL BE DETERMINED THROUGHASSESSMENT OF THE RESPONSIBLE PARTY'S ANNUAL HOUSEHOLD INCOME AND THENUMBER OF PEOPLE IN THE HOME, AS A PERCENTAGE OF THE FEDERAL POVERTYGUIDELINE AMOUNTS FOR SAME SIZE HOUSEHOLDS. THE FINANCIAL GUIDELINES WILLBE UPDATED ANNUALLY IN CONJUNCTION WITH THE FEDERAL POVERTY UPDATESPUBLISHED BY CMS.PATIENTS MAY RECEIVE FULL OR PARTIAL DISCOUNT FROM THE COST OF CARE,DEPENDING ON THE PERCENTAGE OF THE GUIDELINES MATCHED BY THE PATIENT'SHOUSEHOLD INCOME.ANY BILL AMOUNT REMAINING AFTER APPLICATION OF A PARTIAL CHARITY CAREDISCOUNT IS THE RESPONSIBILITY OF THE PATIENT. THE AMOUNT AN APPROVEDCHARITY CARE PATIENT WILL GENERALLY BE EXPECTED TO PAY FOR SERVICESCOVERED BY THE POLICY WILL BE LIMITED TO THE LOWER OF THE AMOUNT THAT THEHOSPITAL WOULD HAVE RECEIVED FOR THE SAME SERVICE UNDER MEDICARE PARTS AAND B,(INCLUDING COINSURANCE, CO-PAYMENTS AND DEDUCTIBLES) OR THE USUALAND CUSTOMARY CHARGES. THE PATIENT WILL BE ASSISTED BY THE HOSPITAL INMAKING ARRANGEMENTS TO SATISFY ANY BALANCE REMAINING ON THE ACCOUNT(S)AFTER THE APPLICATION OF THE APPROPRIATE CHARITY CARE DISCOUNT BY USE OFA PAYMENT PLAN. THE MONTHLY PAYMENTS UNDER SUCH PLANS SHALL NOT EXCEEDTEN PERCENT (10%) OF THE ELIGIBLE PATIENT'S GROSS MONTHLY INCOME. THERATE OF INTEREST ON UNPAID BALANCES SHALL NOT EXCEED THE US TREASURY RATEHOSPITAL PATIENT FINANCIAL AID STATUTE DISCOUNTING REQUIREMENTS DISCOUNT/ GROSS INCOME AS % OF FEDERAL POVERTY LEVEL100% / UP TO 200%80% / BETWEEN 201-250%60% / BETWEEN 251-300%40% / BETWEEN 301-350%20% / BETWEEN 351-400%0% / OVER 401%CONTD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, SECTION C, LINE 9B- COLLECTION PRACTICES</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS: APPLICATIONS WILL BE ACCEPTED IMMEDIATELY BEFORE, DURING ORAFTER CARE IS PROVIDED. THE HOSPITAL WILL STRIVE TO ASSIST PATIENTSRECEIVING HIGH-COST SERVICES AS THEY OCCUR. PATIENTS MAY BE APPROVED FORCHARITY CARE ON AN ACCOUNT-BY-ACCOUNT BASIS OR FOR A PERIOD OF TIME (FORA COURSE OF TREATMENT). FULLY COMPLETED CHARITY CARE APPLICATIONS AREPROCESSED TIMELY AND DETERMINATIONS ARE COMMUNICATED TO THE PATIENTSWITHIN THIRTY 30 DAYS AFTER THE HOSPITAL CHARITY CARE OFFICER RECEIVESTHEM. THE PATIENT OR RESPONSIBLE PARTY MAY REQUEST RECONSIDERATION OF ACARE DETERMINATION BY PROVIDING ADDITIONAL INFORMATION (SUCH ASAN EXPLANATION OF EXTENUATING CIRCUMSTANCES) WITHIN 30 DAYS AFTERRECEIVING THE INITIAL NOTIFICATION.PATIENTS MAY BE ASKED TO RECERTIFY FINANCIAL INFORMATION WHEN LONG TERMINSTALLMENT PAYMENT PLANS ARE BEING COMPLETED. THE HOSPITAL ALSO RESERVESTHE RIGHT (A) TO REEVALUTATE A PATIENT'S ELIGIBILITY FOR CHARITY CARE INTHE EVENT OF A CHANGE IN THE PATIENT'S FINANCIAL CIRCUMSTANCES OR FOROTHER APPROPRIATE REASONS AND (B) TO REQUEST THAT A PATIENT REAPPLY FORMEDICAID, MEDICARE OR OTHER HEALTH INSURANCES THAT HAVE PREVIOUSLY BEENDENIED.WHILE A PATIENT'S COMPLETED CHARITY CARE APPLICATION IS BEING CONSIDERED,HOSPITAL BILLS FOR THE ACCOUNT(S) UNDER CONSIDERATION THAT ARE SENT TOTHE PATIENT DO NOT NEED TO BE PAID AND THE ACCOUNT(S) UNDER CONSIDERATIONFOR CHARITY CARE WILL NOT BE SENT TO A COLLECTION AGENCY.ACCOUNTS UNDER CONSIDERATION FOR CHARITY CARE WILL NOT BE SENT TOCOLLECTION UNTIL THIRTY (30) DAYS AFTER NOTICE OF POSSIBLE REFERRAL ISPROVIDED TO THE PATIENT. COLLECTION AGENCIES WHO CONTRACT WITH THEHOSPITAL WILL FOLLOW THE HOSPITAL'S CHARITY CARE POLICIES AND PROCEDURES,WILL MAKE INFORMATION AVAILABLE TO PATIENTS ON HOW TO APPLY FOR CHARITYCARE ASSISTANCE WHEN APPROPRIATE, AND WILL OBTAIN WRITTEN CONSENT FROMTHE HOSPITAL BEFORE COMMENCING LEGAL ACTION. UNDER NO CIRCUMSTANCES WILLA PATIENT'S PRIMARY RESIDENCE BE FORECLOSED UPON OR SOLD BY THE HOSPITALTO COLLECT AN OUTSTANDING MEDICAL BILL.THE HOSPITAL RESERVES THE RIGHT TO CHANGE ITS CHARITY CARE POLICY AT ANYTIME AND TO REEVALUATE PATIENTS USING ANY REVISED CRITERIA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>STRONG MEMORIAL HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY AS PART OF CONTINUOUS QUALITY IMPROVEMENT IN MANY OF ITS INTIATIVES. NEEDS ASSESSMENT OCCURS MOST FORMALLY THROUGH THE CHNA PROCESS IN COLLABORATION WITH THE MEMBERS OF THE COMMUNITY HEALTH IMPROVEMENT WORKGROUP (CHIW) AS WELL AS SEVERAL ADDITIONAL COMMUNITY MEMBERS, ORGANIZATIONS AND ASSOCIATIONS. WITH THE INPUT OF THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH (MCDPH), SEVERAL DATA SOURCES ARE REVIEWED, PRIMARILY NATALITY AND MORTALITY DATA, HOSPITALIZATION DATA THROUGH THE STATEWIDE PLANNING AND RESEARCH COOPERATIVE SYSTEMS (SPARCS) FILES, DISEASE AND SPECIFIC CONDITION DATA, AND THE NY STATE PREVENTION AGENDA DASHBOARD DATA. SEVERAL REPORTS ARE CONDUCTED PERIODICALLY BY COMMON GROUND HEALTH INCLUDING THE HEALTH EQUITY CHARTBOOK AND THE MONROE COUNTY HEALTH PROFILES, AND BY THE MCDPH INCLUDING THE YOUTH RISK BEHAVIOR SURVEY REPORT AND CHRONIC DISEASES IN MONROE COUNTY REPORT. THESE REPORTS INFORM THE HOSPITAL OF THE HEALTH CARE NEEDS OF THE COMMUNITY. URMC COMMUNICATES FREQUENTLY WITH COMMUNITY PARTNERS TO ASSESS THE NEEDS OF ITS POPULATION. ONE SUCH PARTNER IS COMMON GROUND HEALTH, THE REGIONAL HEALTH PLANNING AGENCY, WHICH REPORTS FREQUENTLY ON REGIONAL HEALTH MEASURES, DECIDED ON BY A COMMUNITY ADVISORY GROUP. REGIONAL HEALTH MEASURES ARE UPDATED FREQUENTLY AND INCLUDE COMMUNITY, CLINICAL AND BEHAVIORAL INDICATORS. IN ADDITION, COMMON GROUND RELEASES PERIODIC REPORTS ON RISING HEALTH ISSUES THAT ARE POSTED ON THEIR WEBSITE AND WIDELY PROMOTED. RECENTLY, REPORTS ON YOUTH SELF-HARM, GUN VIOLENCE, AGING IN PLACE, AND THE BEHAVIORAL NEEDS ASSESSMENT WERE RELEASED. URMC DOES MORE THAN TREAT PATIENTS AND FAMILIES, WE LEARN FROM THEM. STRONG HAS A VERY ROBUST PATIENT AND FAMILY ADVISORY COUNCILS (PFACS) SYSTEM INCLUDING SPECIFIC PFACS FOR SUB-POPULATIONS OF PATIENTS. PATIENT AND FAMILY FEEDBACK IS THE CATALYST FOR MANY IMPROVEMENTS THROUGHOUT THE INSTITUTION, AND THIS SYSTEM ALONG WITH OUR PRESS GANEY EFFORTS FOR PATIENT SATISFACTION ALSO CONTRIBUTE TO THE ASSESSMENT OF THE NEEDS OF OUR COMMUNITY.PROGRAM SPECIFIC NEEDS ASSESSMENTS ARE CONDUCTED AS NECESSARY TO ENSURE SUCCESS AMONG THE TARGET POPULATION FOR INDIVIDUAL INTERVENTIONS. FOR EXAMPLE, THE UR WELL STUDENT-RUN CLINICS OFTEN ASSESS THE NEEDS OF THEIR CLIENTS IN ORDER TO IMPROVE SERVICES DELIVERED. THE WILMOT CANCER INSTITUTE HAS A COMMUNITY OUTREACH AND ENGAGEMENT DEPARTMENT TO COLLABORATE WITH COMMUNITIES TO BETTER UNDERSTAND THEIR NEEDS AND IMPROVE CANCER OUTCOMES. THE MEDICAL CENTER PROVIDES SALARY SUPPORT FOR FACULTY AND STAFF TO CONTRIBUTE TO THEIR ACADEMIC AND CLINICAL EXPERTISE TO HELP IDENTIFY AND IMPLEMENT THE MOST EFFECTIVE INTERVENTIONS ON THE HEALTH PRIORITY NEEDS THEY ARE WORKING ON.AS THE LINK BETWEEN THE COMMUNITY AND THE UNIVERSITY, THE CENTER FOR COMMUNITY HEALTH AND PREVENTION (CCHP) FACULTY AND STAFF ARE FREQUENTLY ENGAGED WITH THE COMMUNITY FOR PROGRAMS, MEETINGS, INFORMATION SHARING AND RESEARCH. FACULTY AND STAFF FROM WITHIN THE CCHP AS WELL AS AROUND THE INSTITUTION FREQUENTLY ATTEND COMMUNITY MEETINGS AND EVENTS TO GAGE THE NEEDS OF COMMUNITY MEMBERS. IN ADDITION, THE CCHP SUPPORTS THE COMMUNITY ADVISORY COUNCIL (CAC), A LARGE COLLABORATIVE OF COMMUNITY LEADERS THAT INFORMS THE UNIVERSITY ABOUT ON-GOING AND EMERGING CONCERNS. THE COMMUNITY ADVISORY COUNCIL (CAC) WAS CREATED IN 2006 TO REPRESENT THE VOICE OF THE COMMUNITY AND TO GUIDE AND SUPPORT THE MISSION OF THE URMC. THE THIRTY MEMBER CAC REPRESENTS MANY COMMUNITY-BASED ORGANIZATIONS, INCLUDING HEALTH AND SOCIAL SERVICE AGENCIES, THE FAITH COMMUNITY, LOCAL GOVERNMENT, THE CITY SCHOOL DISTRICT AND MEDIA. A PRIMARY FUNCTION OF THE CAC IS TO STRENGTHEN URMC-COMMUNITY PARTNERSHIPS WITH A MUTUAL GOAL TO IMPROVE HEALTH FOR ALL AND IMPROVE ACCESS TO HEALTH CARE AND SERVICES. THE CAC MEETS AT LEAST QUARTERLY IN EXTENSIVE DIALOGUE AROUND COMMUNITY NEEDS. THE GOVERNMENT AND COMMUNITY RELATIONS OFFICE OF THE UNIVERSITY OF ROCHESTER IS ALSO ENGAGED WITH THE COMMUNITY AND IS ACTIVELY INVOLVED WITH SEVERAL COMMUNITY GROUPS THAT INFORM THE NEEDS OF THE COMMUNITY. THE UNIVERSITY OF ROCHESTER MAINTAINS ITS VOLUNTARY NATIONAL DESIGNATION AS A CARNEGIE FOUNDATION'S COMMUNITY ENGAGEMENT CLASSIFICATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IS POSTED IN ALL AREAS OF THE FACILITY AND ITS OFF-SITE LOCATIONS. CHARITY CARE INFORMATION IS POSTED IN INPATIENT AND OUTPATIENT REGISTRATION AREAS; THE EMERGENCY DEPARTMENT; ADMITTING; AND ALL PRIMARY CARE SITES. PRINTEDINFORMATION ABOUT CHARITY CARE ASSISTANCE IS ALSO PROVIDED WITH DISCHARGE MATERIALS WHEN IT HAS BEEN DETERMINED THAT A PATIENT IS IN FINANCIAL NEED. OUR CHARITY CARE POLICY IS ON-LINE AS WELL, ON THE HOSPITAL WEBSITE.AS PART OF FINANCIAL PLANNING ASSISTANCE, WE PROVIDE PATIENTS, OR THEIR LEGAL REPRESENTATIVE, WITH INFORMATION ABOUT THE CRITERIA THAT MUST BE MET IN ORDER TO OBTAIN MEDICAID, MEDICARE, OR OTHER HEALTH INSURANCES. PATIENTS ARE ASSISTED IN MAKING APPLICATIONS FOR ANY OF THESE INSURANCES OR DISCOUNTED FEE PLANS. PATIENTS ARE EXPECTED TO PARTICIPATE FULLY IN ALL EFFORTS TO OBTAIN ANY INSURANCE FOR WHICH THEY MAY QUALIFY. UNDER CERTAIN CIRCUMSTANCES, AS DETERMINED BY THE FINANCIAL CASE MANAGERS OR OTHER HOSPITAL SENIOR ADMINISTRATORS, APPLICATIONS FOR MEDICAID, MEDICARE OR OTHER INSURANCE PROGRAMS MAY BE WAIVED WHEN DEEMED UNNECESSARY. IF AVAILABLE INSURANCE BENEFITS ARE NOT SUFFICIENT TO COVER THE COST OFTHEIR CARE, PATIENTS MAY THEN APPLY FOR ASSISTANCE FROM THE CHARITY CARE PROGRAM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>UR STRONG SERVES PRIMARILY RESIDENTS FROM MONROE COUNTY. MONROE COUNTY IS LOCATED IN WESTERN NEW YORK, CENTERED AROUND THE CITY OF ROCHESTER, WITH 19 SUBURBAN AND RURAL TOWNS. THE US CENSUS BUREAU POPULATION ESTIMATE FOR MONROE COUNTY IS APPROXIMATELY 752,202 TO 754,010 FOR 2024-2025 BASED ON CENSUS DATA AND PROJECTIONS, WHICH REPRESENTS AN INCREASE FROM THE 2020 CENSUS AND MAKES MONROE COUNTY THE 9TH MOST POPULATED COUNTY IN NEW YORK STATE. THE ESTIMATE FOR THE CITY OF ROCHESTER POPULATION IS APPROXIMATELY 207,000 TO 210,000, MAKING IT THE THIRD OR FOURTH MOST POPULOUS CITY IN NEW YORK. THE AVERAGE HOUSEHOLD SIZE IN MONROE COUNTY (2024) IS 2.32 PERSONS. ACCORDING TO THE 2024 POPULATION ESTIMATES, MONROE COUNTY POPULATION IS 5.0% IN THE 'AGED 5 OR YOUNGER' GROUP, AND 'AGE 65 AND OVER' MAKES UP 19.9% OF THE POPULATION. MONROE COUNTY IS PREDOMINANTLY WHITE WITH 76% OF THE POPULATION IDENTIFYING AS WHITE NON-HISPANIC, 16.6% IDENTIFYING AS BLACK NON-HISPANIC AND 4.1% AS ASIAN NON-HISPANIC, WITH A HISPANIC POPULATION OF 10.3%. MOST BLACK AND HISPANIC RESIDENTS OF MONROE COUNTY RESIDE WITHIN THE CITY OF ROCHESTER. THE LATINO COMMUNITY, MOSTLY OF PUERTO RICAN DESCENT, IS THE FASTEST GROWING SEGMENT OF THE ROCHESTER POPULATION. THE ECONOMY OF MONROE COUNTY EMPLOYS 379,441 PEOPLE (2024). THE LARGEST INDUSTRIES IN MONROE COUNTY ARE HEALTH CARE &amp; SOCIAL ASSISTANCE, EDUCATIONAL SERVICES, AND MANUFACTURING. ALTHOUGH THE MEDIAN HOUSEHOLD INCOME FOR THE COUNTY IS $76,520 (2024), 13.1% OF HOUSEHOLDS LIVE BELOW THE POVERTY LINE. APPROXIMATELY 40% TO 42% OF CHILDREN IN THE CITY OF ROCHESTER LIVE IN POVERTY, ONE OF THE HIGHEST RATES AMONG SIMILAR-SIZED U.S. CITIES, ACCORDING TO 2025 REPORTS.ONE DISTINCT CHARACTERISTIC OF MONROE COUNTY IS THE SIZE OF THE DEAF POPULATION, WITH AN ESTIMATED 10,000-15,000 PRIMARY AMERICAN SIGN LANGUAGE (ASL) USERS. THE DEAF POPULATION IS HETEROGENEOUS AND COMPLEX, DIFFERENTIATED ALONG LINES OF EDUCATIONAL BACKGROUND, ASL FLUENCY, AGE OF ONSET OF DEAFNESS, AS WELL AS RACE AND ETHNICITY. MONROE COUNTY HAS A WIDE RANGE OF EXISTING FACILITIES AND RESOURCES WITHIN THE COMMUNITY. SPECIFICALLY, MONROE COUNTY ENJOYS PRODUCTIVE COLLABORATION AMONG ITS HOSPITAL SYSTEMS INCLUDING UNIVERSITY OF ROCHESTER'S STRONG MEMORIAL HOSPITAL AND HIGHLAND HOSPITAL, AND ROCHESTER REGIONAL HEALTH'S ROCHESTER GENERAL AND UNITY HOSPITAL. IN ADDITION TO THE HEALTH SYSTEMS, THERE IS A ROBUST MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH, A REGIONAL PLANNING AGENCY COMMON GROUND HEALTH, AND MANY RELEVANT COMMUNITY INITIATIVES. FURTHER DETAILS REGARDING THE ROCHESTER COMMUNITY, INCLUDING DESCRIPTIONS OF THE HOSPITALS AND COMMUNITY BASED ORGANIZATIONS AND INITIATIVES, CAN BE FOUND IN THE COMPLETE COMMUNITY HEALTH NEEDS ASSESSMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE URMC AND AFFILIATED HOSPITALS FURTHER THEIR EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY THROUGH THE MEDICAL STAFF, COMMUNITY BOARD, HEALTH IMPROVEMENT PROGRAMS AND USE OF SURPLUS FUNDS, ALL DESCRIBED BELOW. THE MEDICAL STAFF AND COMMUNITY BOARD PLAY AN IMPORTANT ROLE IN COMMUNITY HEALTH IMPROVEMENT. STRONG MEMORIAL HOSPITAL IS OVERSEEN BY THE UNIVERSITY OF ROCHESTER MEDICAL CENTER BOARD, A 48 MEMBER BOARD, INCLUSIVE OF 15 EX-OFFICIO MEMBERS AND 18 SENIOR / LIFE MEMBERS, THAT REPORT TO THE UNIVERSITY BOARD OF TRUSTEES. THE MEDICAL CENTER BOARD IS LED BY AND COMPRISED OF A DIVERSE GROUP OF COMMUNITY AND INDUSTRY LEADERS AND ADVOCATES - PEOPLE WHO LIVE AND WORK IN THIS COMMUNITY AND CARE DEEPLY ABOUT THE HEALTH AND WELFARE OF ITS CITIZENS. THE BOARD INCLUDES NON-UR MEDICAL CENTER-EMPLOYED PRIVATE COMMUNITY PHYSICIANS, MEMBERS OF THE BUSINESS COMMUNITY, LOCAL PHILANTHROPISTS WITH AN INTEREST IN ADVOCATING FOR HEALTH CARE, AND OTHER LOCAL REPRESENTATIVES. AS A DEDICATED BOARD, EACH MEMBER UPHOLDS WELL-ESTABLISHED PRINCIPLES OF NONPROFIT CORPORATION LAW CONCERNING THE STANDARDS OF CONDUCT AND ATTENTION A BOARD MEMBER MUST MEET: FIDUCIARY RESPONSIBILITY, OBEDIENCE TO THE CHARITABLE PURPOSE OF THE ORGANIZATION, LOYALTY, A COMMITMENT TO ACT BASED ON BEST INTERESTS OF THE ORGANIZATION AND THE WIDER COMMUNITY IT SERVES, AND DILIGENCE IN CARRYING OUT THE WORK OF THE BOARD. IN 2025 THE UNIVERSITY OF ROCHESTER UPDATED ITS STRATEGIC PLAN BASED ON ITS MISSION: LEARN, DISCOVER, HEALTH, CREATE AND MAKE THE WORLD EVER BETTER. BOUNDLESS POSSIBLITY: THE 2030 STRATEGIC PLAN INCLUDES "HEALTHCARE OF THE HIGHEST ORDER" THE FOUNDATION FOR THE MEDICAL CENTER'S WORK WHICH FOCUSES ON ACHIEVING EXCEPTIONAL OUTCOMES AND PATIENT EXPERIENCES FOR ALL, BUILT ON CONFIDENCE AND TRUST. THIS INCLUDES INNOVATION, WORKFORCE, EDUCATION AND HEALTH CARE TO IMPROVE THE HEALTH OF THE COMMUNITY. IN ADDITION TO THE MANY COMMUNITY HEALTH INITIATIVES DESCRIBED ELSEWHERE IN THIS DOCUMENT, THE URMC HAS COMMITTED RESOURCES TO CREATE A NEW OFFICE TO SUPPORT HEALTH OUTCOMES OPTIMIZATION FOR ALL WHICH WILL BE OVERSEEN BY THE BOARD OF DIRECTORS AND THE CEO OF URMC AND MANAGED BY A SENIOR ASSOCIATE DEAN. URMC CONSISTENTLY ASSESSES AND ADDRESSES THE HEALTH OF THE COMMUNITY BY NOT ONLY TENDING TO THE MEDICAL AND HEALTH NEEDS OF COMMUNITY MEMBERS, BUT ALSO CONSISTENTLY SCREENING FOR HEALTH-RELATED SOCIAL NEEDS AND ADDRESSING THOSE NEEDS THROUGH REFERRALS EITHER INTERNALLY OR TO COMMUNITY-BASED ORGANIZATIONS. URMC HAS COMMITTED TO ADDRESSING FOOD INSECURITY AND, THROUGH A PARTNERSHIP WITH A LOCAL FOOD HUB, CREATED THE UR MEDICINE FOOD PANTRY WHICH HAS THREE HOSPITAL-BASED SITES AND FIFTEEN SATELLITE LOCATIONS ACROSS THE GREATER ROCHESTER AREA. URMC HAS COMMITTED TO ADDRESSING HOUSING INSECURITY AND HAS IMPLEMENTED SEVERAL STRATEGIES INCLUDING BRIDGING THE GAP BETWEEN INPATIENT CARE AND COMMUNITY STABILITY BY CREATING TRANSITIONAL SUPPORTIVE HOUSING OPTIONS. THE CENTER FOR COMMUNITY HEALTH AND PREVENTION (CCHP) HOSTS THE ANNUAL "DR. DAVID SATCHER COMMUNITY HEALTH IMPROVEMENT AWARDS" PROGRAM THAT WAS ESTABLISHED IN 2010 TO RECOGNIZE URMC FACULTY/STAFF AND THEIR COMMUNITY PARTNERS FOR EXEMPLARY COMMUNITY-ENGAGED WORK WHICH CONTRIBUTES TO OPTIMIZING HEALTH OUTCOMES FOR ALL AND IMPROVES THE COMMUNITY'S HEALTH. THE CCHP HOUSES THE NEW YORK STATE EMERGING INFECTIONS PROGRAM (EIP), SPONSORED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION, WHICH IS PART OF A NATIONAL EFFORT TO PROVIDE POPULATION-BASED COMMUNICABLE DISEASE DATA FOR SURVEILLANCE OF DISEASE PATTERNS, EVALUATION OF VACCINE PROGRAMS, AND TO IDENTIFY POPULATIONS AT RISK.URMC EXTENDS MEDICAL STAFF PRIVILEGES TO EMPLOYED UR MEDICAL CENTER FACULTY PHYSICIANS AND ALL ELIGIBLE PRIVATE PHYSICIANS WHO PRACTICE AT UR MEDICAL CENTER AFFILIATED HOSPITALS. MANY FACULTY MEMBERS SERVE A DUAL ROLE WITH COMMUNITY AGENCIES, PROVIDING SERVICE AS A MEDICAL DIRECTOR OR ATTENDING PHYSICIAN FOR COMMUNITY HEALTH INITIATIVES. THIS LINKAGE ENHANCES COLLABORATION, PRODUCING A HIGHER QUALITY OF CARE AND SMOOTHER TRANSITIONS FOR PATIENTS WHO MAY NEED ANY OR ALL OF THESE SERVICES.THROUGH THE EFFECTIVE USE OF SURPLUS FUNDS THE UR MEDICAL CENTER CONTINUALLY REINVESTS IN ITS FACILITIES AND PROGRAMS IN AN EFFORT TO IMPROVE THE HEALTH OF THE COMMUNITY. URMC OPENED AN OUTPATIENT ORTHOPEDICS CAMPUS TO MEET GROWING DEMAND FOR MUSCULOSKELETAL TREATMENTS. THE SAUNDERS CENTER FOR ORTHOPEDICS AND PHYSICAL PERFORMANCE IS THE MOST COMPREHENSIVE ORTHOPEDIC FACILITY IN THE NORTHEASTERN US. THE CENTER PROVIDES SPECIALIZED TREATMENT FOR PATIENTS SUFFERING FROM ALL TYPES OF BONE AND MUSCLE CONDITIONS AND INCLUDES STATE OF THE ART TREATMENT AND REHABILITATION TECHNOLOGIES.STRONG MEMORIAL HOSPITAL ALSO RUNS THE REGION'S LARGEST EMERGENCY FACILITY, DESIGNATED BY THE NEW YORK STATE DEPARTMENT OF HEALTH AS A LEVEL ONE REGIONAL TRAUMA CENTER. WHICH ALSO INCLUDES A DEDICATED CHILDREN'S EMERGENCY DEPARTMENT WITH A PRIVATE WAITING ROOM. IT IS ALSO THE REGIONS ONLY DEDICATED BURN CENTER IN THE REGION. SURPLUS FUNDS ARE BEING USED TO TRANSFORM THE EMERGENCY AND IMPATIENT FACILITIES WITH THE CONSTRUCTION OF NEW FACILITIES THAT MEET THE TECHNOLOGY, PRIVACY, INFECTION CONTROL AND ACCESS NEEDS OF OUR PATIENTS AND THEIR FAMILIES. SURPLUS FUNDS ARE ALSO DEDICATED TO SUPPORT RESEARCH, INCLUDING SUPPORT FOR OUR CLINICAL AND TRANSLATIONAL RESEARCH INSTITUTE (CTSI). THE UR CTSI PROVIDES FUNDING, EDUCATION, RESOURCES AND SERVICES TO HELP RESEARCH TEAMS COLLABORATE AND PRODUCE RESULTS FASTER. THROUGH CTSI'S MANY PROGRAMS, THEY STRIVE TO ADVANCE SCIENCE AND MEDICINE AND IMPROVE THE HEALTH OF COMMUNITIES AND POPULATIONS. THE CTSI TEAM WAS INSTRUMENTAL IN ADDRESSING THE COVID19 PANDEMIC BY SUPPORTING RESEARCHERS WHO ARE PURSUING INNOVATIVE WAYS TO TREAT AND PREVENT THE DISEASE. THE TEAM HAS BUILT RESEARCH DATA TOOLS LIKE THE COVID-19 BIOBANK TO HELP RESEARCHERS STUDY THIS DISEASE. IN ADDITION, SURPLUS FUNDS ALSO SUPPORT THE UR MEDICAL CENTER'S COMMITMENT TO COMMUNITY HEALTH, WHICH DATES BACK TO THE MEDICAL SCHOOL'S FOUNDING. OUTSTANDING EXAMPLES INCLUDE THE CENTER FOR COMMUNITY HEALTH AND PREVENTION ESTABLISHED IN 2006 TO CREATE ENVIRONMENTS THAT SUPPORT COMMUNITY HEALTH. THE CENTER PROMOTES HEALTH BEHAVIORS THROUGH DISEASE PREVENTION, HEALTHY LIVING PROGRAMS, RESEARCH, EDUCATION AND POLICY AND IN COLLABORATION WITH COMMUNITY PARTNERS. ANOTHER EXAMPLE INCLUDES THE HOEKELMAN CENTER WHICH SERVES AS A NATIONAL LEADER FOR PEDIATRIC COMMUNITY HEALTH BY FOCUSING ON CONNECTING, ADVOCATING, RESEARCHING AND EDUCATING IN OUR COMMUNITIES THE HOEKELMAN CENTER HOSTS THE PEDIATRIC LINKS WITH THE COMMUNITY (PLC) A TWO-WEEK ROTATION THAT CONNECTS MEDICAL STUDENTS WITH COMMUNITY AGENCIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE UNIVERSITY OF ROCHESTER MEDICAL CENTER IS AN INTEGRATED ACADEMICHEALTH CENTER THAT COMPRISES THE SCHOOL OF MEDICINE AND DENTISTRY,INCLUDING ITS FACULTY PRACTICE (UNIVERSITY OF ROCHESTER MEDICAL FACULTYGROUP); STRONG MEMORIAL HOSPITAL; HIGHLAND HOSPITAL; GOLISANO CHILDREN'SHOSPITAL; JAMES P. WILMOT CANCER CENTER; STRONG WEST; SCHOOL OF NURSING;EASTMAN INSTITUTE FOR ORAL HEALTH; UR MEDICINE HOME CARE; HIGHLANDS ATPITTSFORD; THE HIGHLANDS LIVING CENTER, INC.; HIGHLANDS AT BRIGHTON, FFTHOMPSON HEALTH SYSTEM, INC., JONES MEMORIAL HOSPITAL, NOYES HEALTH,FINGER LAKES HEALTH AND ACCOUNTABLE HEALTH PARTNERS, LLC. UR MEDICALCENTER AND THE AFFILIATED HEALTH CARE ENTITIES HAVE EMBRACED ACOMPREHENSIVE APPROACH TO COMMUNITY HEALTH, WHICH EMPLOYS THEMULTIDISCIPLINARY SKILLS FOUND IN AN ACADEMIC MEDICAL CENTER TO BOTHPROVIDE IMPORTANT COMMUNITY SERVICES AND CONDUCT COMMUNITY-BASEDRESEARCH. THESE ACTIVITIES HELP INFORM POLICYMAKERS AND THE COMMUNITYABOUT LOCAL HEALTH CHALLENGES, EVALUATE THE EFFECTIVENESS OFINTERVENTIONS, AND SERVE AS A FOUNDATION FOR EVIDENCE-BASED PRACTICES TOIMPROVE HEALTH AND OVERALL QUALITY OF LIFE.- THE UNIVERSITY'S HEALTH CARE DELIVERY NETWORK IS ANCHORED BY STRONGMEMORIAL HOSPITAL, AN 838 BED TEACHING HOSPITAL, WHICH INCLUDES ACHILDREN'S HOSPITAL-GOLISANO CHILDREN'S HOSPITAL. PATIENTS BENEFIT FROMTHE MEDICAL CENTER'S ROBUST TEACHING AND BIOMEDICAL RESEARCH PROGRAMS.STUDENT ROSTERS INCLUDE APPROXIMATELY 400 MEDICAL STUDENTS, 500 GRADUATESTUDENTS, AND 890 RESIDENTS AND FELLOWS WHO ARE ENGAGED IN COMMUNITYSERVICE THROUGHOUT THEIR EDUCATION.- EASTMAN INSTITUTE FOR ORAL HEALTH PROVIDES COMMUNITY DENTAL CARE IN ANUMBER OF CLINICS, AS WELL AS CLINICAL EDUCATION TO DENTAL STUDENTSENROLLED AT THE UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY.IT OFFERS GENERAL DENTISTRY, PEDIATRIC AND ORTHODONTIC CLINICS, AND ANURGENT CARE DENTAL CLINIC THAT SEES 10 - 50 PATIENTS PER DAY. IT OPERATESLOW-INCOME CLINICS AT SCHOOLS AND A DOWNTOWN LOCATION. ADDITIONALLY, FOURSMILEMOBILES PROVIDE A DENTAL OFFICE ON WHEELS, ALLOWING THE CITY'SCHILDREN INCREASED ACCESS TO MUCH NEEDED DENTAL CARE.- THE JAMES P. WILMOT CANCER CENTER IS ORGANIZED AROUND AMULTIDISCIPLINARY CARE MODEL, WHICH LEADING CANCER EXPERTS BELIEVE IS THEGOLD STANDARD IN CANCER CARE IN THE 21ST CENTURY. ITS MODEL UNDERSCORES ACOMMITMENT TO PROVIDE PATIENTS IN THE ROCHESTER AREA WITH THE MOSTUP-TO-DATE INFORMATION AND AVAILABLE TREATMENTS, BASING OURRECOMMENDATIONS ON THE BEST EVIDENCE. IT IS THE ONLY CENTER IN THEROCHESTER AND FINGER LAKES REGION OFFERING THIS TEAM APPROACH TO CARE. AVARIETY OF FREE PREVENTIVE EDUCATION EVENTS ARE HELD THROUGHOUT THE YEAR,INCLUDING MEN'S HEALTH DAY, WHICH INCLUDES NUMEROUS FREE HEALTHSCREENINGS; FREE SKIN CANCER SCREENINGS; AND BREAST CANCER SCREENINGS FORTHE UNINSURED AND UNDERINSURED.- GOLISANO CHILDREN'S HOSPITAL, HOUSED IN STRONG MEMORIAL HOSPITAL, IS A124 BED CHILDREN'S HOSPITAL THAT SERVES AS THE REFERRAL CENTER FOR ALLSERIOUSLY ILL OR INJURED CHILDREN FROM THE 17-COUNTY FINGER LAKES REGION.IT COMBINES AWARD-WINNING RESEARCH, INTERNATIONALLY ACCLAIMED EDUCATIONAND COMPASSIONATE CARE TO SERVE CHILDREN AND FAMILIES. PEDIATRICSPECIALTIES INCLUDE ORTHOPAEDICS, NEUROLOGY/NEUROSURGERY, CANCER ANDNEONATAL CARE. IN ADDITION TO THESE TRADITIONAL MEDICAL SERVICES,GOLISANO CHILDREN'S HOSPITAL IS THE NATION'S MODEL FOR "COMMUNITYPEDIATRICS", A PHILOSOPHY THAT EMBRACES THE IDEA THAT A CHILD'S COMMUNITYAND ENVIRONMENT AFFECT HIS HEALTH AND, THEREFORE, HE CANNOT BE TREATEDSOLELY IN AN EXAM ROOM. THE HOSPITAL ENCOURAGES PHYSICIANS AND STAFF TOPARTNER WITH COMMUNITY ORGANIZATIONS TO IMPROVE VACCINATION RATES,EDUCATIONAL OPPORTUNITIES, SAFETY AT HOME AND ON PLAYGROUNDS, AND HEALTHINSURANCE AND HEALTH CARE ACCESS.- THE STRONG WEST CAMPUS, WHICH IS LOCATED APPROXIMATELY 20 MILES WEST OFROCHESTER IN BROCKPORT, NY WAS ACQUIRED BY THE UNIVERSITY IN 2013. IT ISTHE SITE OF THE FORMER 61 BED LAKESIDE MEMORIAL HOSPITAL, WHICH ANNOUNCEDIT WAS CLOSING IN APRIL, 2013, LEAVING THE COMMUNITY WITHOUT AN EMERGENCYROOM AND LOCAL ACCESS TO OTHER HEALTH CARE SERVICES. STRONG MEMORIALHOSPITAL NOW OPERATES A FREE-STANDING EMERGENCY ROOM ON THE STRONG WESTCAMPUS, IN ADDITION TO OFFERING AMBULATORY SURGERY, HEALTH IMAGING,LABORATORY SERVICES, PRIMARY CARE, ORTHOPAEDICS, CARDIAC CARE, ONCOLOGYAND HEMATOLOGY, SLEEP MEDICINE, NEUROLOGY, AND UROLOGY SERVICES.THE UNIVERSITY'S WHOLLY OWNED HEALTH CARE AFFILIATES ARE:STRONG PARTNERS HEALTH SYSTEM, INC. AND AFFILIATESIN JUNE 1997, HIGHLAND HOSPITAL AND ITS AFFILIATES AND THE UNIVERSITYBECAME AFFILIATED THROUGH THE RESTRUCTURING OF A CORPORATION NOW KNOWN ASSTRONG PARTNERS HEALTH SYSTEM, INC. ("SPHS"), OF WHICH THE UNIVERSITY ISTHE SOLE MEMBER. SPHS, A NOT-FOR-PROFIT CORPORATION, NOW SERVES AS THECORPORATE PARENT OF HIGHLAND HOSPITAL AND THE UNIVERSITY'S LONG TERM CAREAND SENIOR HOUSING AFFILIATES LOCATED IN MONROE COUNTY, NEW YORK.A BRIEF DESCRIPTION OF THE SPHS AFFILIATES FOLLOWS:HIGHLAND HOSPITAL OF ROCHESTERHIGHLAND HOSPITAL OF ROCHESTER IS A 261-BED NOT-FOR-PROFIT ACUTE CAREHOSPITAL LOCATED IN ROCHESTER, NEW YORK. THE HOSPITAL'S SERVICES INCLUDEMEDICAL/SURGICAL CARE, INTENSIVE CARE, MATERNITY AND EMERGENCY CARE. INADDITION, THE HOSPITAL OWNS AND OPERATES 22 OUTPATIENT EXTENSION CLINICS,PROVIDING PRIMARY CARE, PRENATAL CARE, CARDIOLOGY, RADIOLOGY, AND/ORTHERAPEUTIC RADIOLOGY SERVICES.HIGHLAND COMMUNITY DEVELOPMENT CORPORATIONHIGHLAND COMMUNITY DEVELOPMENT CORPORATION ("HCDC") IS A NOT-FOR-PROFITCORPORATION WHICH OWNS AND OPERATES THE HIGHLANDS AT PITTSFORD, ARETIREMENT COMMUNITY LOCATED IN PITTSFORD, MONROE COUNTY, NEW YORK. THERETIREMENT COMMUNITY INCLUDES 135 INDEPENDENT LIVING APARTMENTS, 36INDEPENDENT LIVING COTTAGES, A COMMUNITY COMMON AREA, A DINING ROOM,SITTING AREAS, RECREATIONAL AREAS, A WELLNESS CENTER, AND A COMMUNITYCENTER. HCDC ALSO OWNS AND OPERATES LAURELWOOD AT THE HIGHLANDS, ANASSISTED LIVING FACILITY INCLUDING 65 APARTMENTS, 8 OF WHICH ARE IN ASECURE MEMORY CARE UNIT, LOCATED ON THE SAME CAMPUS AS THE HIGHLANDS ATPITTSFORD.THE HIGHLANDS LIVING CENTER, INC.THE HIGHLANDS LIVING CENTER, INC. IS A NOT-FOR-PROFIT CORPORATION WHICHOWNS AND OPERATES A 120-BED SKILLED NURSING FACILITY AND AN ADULT DAYCARE HEALTH PROGRAM FOR SENIORS IN PITTSFORD, MONROE COUNTY, NEW YORK.THE SKILLED NURSING FACILITY IS ADJACENT TO THE HIGHLANDS AT PITTSFORD.THE MEADOWS AT WESTFALL, INC.THE MEADOWS AT WESTFALL, INC. D/B/A THE HIGHLANDS AT BRIGHTON ("HAB") ISA NOT-FOR-FOR PROFIT CORPORATION WHICH OWNS AND OPERATES A 145-BEDSKILLED NURSING FACILITY, WHICH INCLUDES 125 RESIDENTIAL HEALTH CARE BEDSAND 20 VENTILATOR-DEPENDENT BEDS, IN BRIGHTON, MONROE COUNTY, NEW YORK.HIGHLAND FACILITIES DEVELOPMENT CORPORATIONHIGHLAND FACILITIES DEVELOPMENT CORPORATION ("HFDC") IS A NOT-FOR-PROFITCORPORATION WHOSE PRIMARY PURPOSE IS TO PROVIDE SERVICES THAT ARESUBSTANTIALLY RELATED TO THE CHARITABLE PURPOSES OF HIGHLAND HOSPITAL BUTDO NOT INVOLVE THE PROVISION OF HEALTH CARE SERVICES. HFDC OWNS ANDOPERATES A MEDICAL OFFICE BUILDING AND A PARKING GARAGE ON THE HOSPITALCAMPUS.MEDICAL ADMINISTRATIVE ASSOCIATES, INC.HIGHLAND HOSPITAL IS THE SOLE SHAREHOLDER OF MEDICAL ADMINISTRATIVEASSOCIATES, INC., D/B/A HIGHLAND SOUTH WEDGE PHARMACY, WHICH IS AFOR-PROFIT CORPORATION WHICH OWNS AND OPERATES A RETAIL PHARMACY INROCHESTER, NEW YORK.THE HIGHLAND FOUNDATION, INC.THE HIGHLAND FOUNDATION, INC. IS A NOT-FOR-PROFIT CORPORATION CONTROLLEDBY HIGHLAND HOSPITAL WHICH SOLICITS, RECEIVES AND MAINTAINS FUNDS FOR THESUPPORT OF HIGHLAND HOSPITAL AND THE OTHER NOT-FOR-PROFIT, TAX EXEMPTSPHS AFFILIATES.UR MEDICINE HOME CARE, INC. AND AFFILIATESTHE UNIVERSITY AFFILIATED WITH VISITING NURSE FOUNDATION, INC. IN APRIL1999, WHICH IS A NOT-FOR-PROFIT CORPORATION NOW KNOWN AS UR MEDICINE HOMECARE, INC. ("URMHC INC."). THE UNIVERSITY IS THE SOLE CORPORATE MEMBER OFURMHC INC. URMHC INC. SERVES AS THE CORPORATE PARENT OF THE UNIVERSITY'SCONTD. IN SUPPLEMENTAL INFORMATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>NY</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6- AFFILIATED HEALTH CARE SYSTEM (CONTD)</FormAndLineReferenceDesc>
        <ExplanationTxt>UR MEDICINE HOME CARE, INC. AND AFFILIATESTHE UNIVERSITY AFFILIATED WITH VISITING NURSE FOUNDATION, INC. IN APRIL 1999, WHICH IS A NOT-FOR-PROFIT CORPORATION NOW KNOWN AS UR MEDICINE HOME CARE, INC. ("URMHC INC."). THE UNIVERSITY IS THE SOLE CORPORATE MEMBER OF URMHC INC. URMHC INC. SERVES AS THE CORPORATE PARENT OF THE UNIVERSITY'S HOME HEALTH CARE AFFILIATES.URMHC INC. IS THE CORPORATE PARENT OF TWO NOT-FOR-PROFIT HOME HEALTH CARE PROVIDERS, UR MEDICINE HOME CARE, CERTIFIED SERVICES, INC. ("CERTIFIED SERVICES") (FORMERLY NAMED VISITING NURSE SERVICE OF ROCHESTER AND MONROE COUNTY, INC.), WHICH OPERATES A CERTIFIED HOME HEALTH AGENCY AND A HOSPICE, AND UR MEDICINE HOME CARE, LICENSED SERVICES, INC. (FORMERLY NAMED COMMUNITY CARE OF ROCHESTER, INC. D/B/A VNS SIGNATURE CARE), WHICH OPERATES A LICENSED HOME CARE SERVICES AGENCY. IN OCTOBER 2014, FINGER LAKES VISITING NURSE SERVICE, INC. ("FLVNS"), WHICH OPERATED A NOT-FOR-PROFIT CERTIFIED HOME HEALTH AGENCY AND A HOSPICE, AND FINGER LAKES HOME CARE, INC., WHICH OPERATES A NOT-FOR-PROFIT LICENSED HOME CARE SERVICES AGENCY, BECAME UNIVERSITY AFFILIATES. CERTIFIED SERVICES IS THE SOLE CORPORATE MEMBER OF FINGER LAKES HOME CARE. IN NOVEMBER 2020, FLVNSMERGED INTO CERTIFIED SERVICES.IN 2018, URMHC INC. FORMED TWO NEW WHOLLY CONTROLLED, NOT-FOR-PROFIT SUBSIDIARIES: UR MEDICINE HOME CARE, COMMUNITY SERVICES, INC., WHICH OPERATES CERTAIN COMMUNITY-BASED PROGRAMS THAT PROVIDE HOME-BASED SERVICES THAT ARE NOT REGULATED BY THE DEPARTMENT OF HEALTH OR SUBJECT TOTHE MEDICARE CONDITIONS OF PARTICIPATION, INCLUDING PROGRAMS SUCH AS MEALS ON WHEELS, WHICH WAS FORMERLY OPERATED BY CERTIFIED SERVICES; AND UR MEDICINE HOME CARE FOUNDATION, INC., WHICH SOLICITS, RECEIVES AND MAINTAINS FUNDS FOR THE SUPPORT AND BENEFIT OF THE HOME CARE AFFILIATES.F.F. THOMPSON HEALTH SYSTEM, INC. AND AFFILIATESIN SEPTEMBER 2012, THE UNIVERSITY AFFILIATED WITH F.F. THOMPSON HEALTH SYSTEM, INC. ("FFTHS"), WHICH IS THE CORPORATE PARENT OF A HOSPITAL AND OTHER AFFILIATES LOCATED IN CANANDAIGUA, ONTARIO COUNTY, NEW YORK. THEUNIVERSITY IS THE SOLE MEMBER OF FFTHS.A BRIEF DESCRIPTION OF THE FFTHS AFFILIATES FOLLOWS:THE FREDERICK FERRIS THOMPSON HOSPITALTHE FREDERICK FERRIS THOMPSON HOSPITAL IS A 113-BED NOT-FOR-PROFIT ACUTECARE HOSPITAL. ITS SERVICES INCLUDE MEDICAL/SURGICAL CARE, INTENSIVECARE, MATERNITY AND EMERGENCY CARE. IN ADDITION, THE HOSPITAL OWNS ANDOPERATES 10 EXTENSION CLINICS, 9 OF WHICH PROVIDE PRIMARY HEALTH CARESERVICE AND 1 OF WHICH PROVIDES OUTPATIENT PHYSICAL AND OCCUPATIONALTHERAPY.M.M. EWING CONTINUING CARE CENTERM.M. EWING CONTINUING CARE CENTER INC. IS A NOT-FOR-PROFIT CORPORATIONTHAT OPERATES A 188-BED SKILLED NURSING FACILITY AND ADULT DAY CAREPROGRAM ADJACENT TO F.F. THOMPSON HOSPITAL.F.F.T. SENIOR COMMUNITIES, INC.F.F.T. SENIOR COMMUNITIES, INC. IS A NOT-FOR-PROFIT CORPORATION THATOPERATES FERRIS HILLS AT WESTLAKE, A RESIDENTIAL COMMUNITY CONSISTING OF84 INDEPENDENT LIVING UNITS AND CLARK MEADOWS, CONSISTING OF 48 ENRICHEDLIVING UNITS.THE F.F. THOMPSON FOUNDATION, INC.THE F.F. THOMPSON FOUNDATION, INC. IS A NOT-FOR-PROFIT CORPORATION WHICHSOLICITS, RECEIVES AND MAINTAINS FUNDS FOR THE SUPPORT AND BENEFIT OFFFTHS AND ITS AFFILIATES.FFTH PROPERTIES AND SERVICES, INC. (PROPERTIES)FFTH PROPERTIES AND SERVICES, INC. IS A FOR-PROFIT NEW YORK STATEBUSINESS CORPORATION ORGANIZED FOR THE PURPOSE OF OWNING, DEVELOPING ANDOPERATING UNREGULATED REAL PROPERTY FOR THE BENEFIT OF FFTHS AND ITSAFFILIATES. PROPERTIES OWNS AND OPERATES A MEDICAL OFFICE BUILDING INCANANDAIGUA, NEW YORK AND A MEDICAL OFFICE BUILDING IN THE TOWN OFFARMINGTON, NEW YORK.FINGER LAKES COMMUNITY CARE NETWORK, INC. ("FLCCN")FINGER LAKES COMMUNITY CARE NETWORK, INC. IS A FOR-PROFIT NEW YORK STATEBUSINESS CORPORATION ORIGINALLY ORGANIZED FOR THE PURPOSE OF COORDINATINGSERVICES AMONG THE HOSPITAL, PARTICIPATING PHYSICIANS AND INSURANCEINDUSTRY REPRESENTATIVES. FLCCN IS CURRENTLY INACTIVE. FFTHS MANAGEMENTIS REVIEWING THE CORPORATE STRUCTURE, FUNCTION AND FUTURE OF THECORPORATION.EASTMAN DENTAL CENTER FOUNDATION, INC. ("EDCF")THE EASTMAN DENTAL CENTER FOUNDATION, INC. WAS FORMED TO HOLD AND MANAGETHE INVESTMENT ASSETS OF THE FORMER EASTMAN DENTAL CENTER, WHICH WASMERGED INTO THE UNIVERSITY DURING 1998. INCOME AND ASSETS OF THEFOUNDATION ARE USED TO SUPPORT ORAL HEALTH, EDUCATION, AND RESEARCHPROJECTS AT THE UNIVERSITY. EDCF IS NOT CONTROLLED BY THE UNIVERSITY BUTIS CLOSELY ALIGNED WITH ITS EASTMAN INSTITUTE OF ORAL HEALTH, A DIVISIONOF THE UNIVERSITY OF ROCHESTER MEDICAL CENTER.EXCELL PARTNERS, INC.EXCELL PARTNERS, INC. IS A NOT-FOR-PROFIT CORPORATION THAT SUPPORTS EARLYSTAGE COMMERCIAL DEVELOPMENT UTILIZING TECHNOLOGIES CREATED AT THEUNIVERSITY OF ROCHESTER AND OTHER REGIONAL COLLEGES AND UNIVERSITIES. THEUNIVERSITY IS THE SOLE CORPORATE MEMBER OF EXCELL PARTNERS.EXCELL TECHNOLOGY VENTURES, INC. ("ETV")EXCELL TECHNOLOGY VENTURES, INC. IS A NEW YORK FOR-PROFIT BUSINESSCORPORATION THAT IS THE GENERAL PARTNER OF EXCELL INNOVATE NY FUND, LP,EXCELL MINORITY AND WOMEN OWNED BUSINESS INVESTMENT FUND, LP, AND EXCELLPARTNERS INNOVATIVE TC FUND, LP (THE "LPS"), WHICH PROVIDE SEED STAGEFUNDING TO REGIONAL HIGH TECH COMPANIES. ETV ALSO SERVES AS THE MANAGEROF EACH OF THE LPS, THROUGH EXCELL PARTNERS, INC. RBC (SEE BELOW) IS THESOLE SHAREHOLDER OF ETV.ROCHESTER BIOVENTURE CENTER, INC. ("RBC")ROCHESTER BIOVENTURE CENTER, INC. IS A NOT-FOR-PROFIT CORPORATION WHICHWAS FORMED TO SUPPORT THE DEVELOPMENT OF NEW BUSINESSES UTILIZINGTECHNOLOGIES CREATED AT THE UNIVERSITY AND OTHER REGIONAL COLLEGES ANDUNIVERSITIES THROUGH THE OPERATION OF INCUBATOR/RESEARCH FACILITIES INMONROE COUNTY, NEW YORK. THE UNIVERSITY IS THE SOLE CORPORATE MEMBER OFRBC. RBC HAS CEASED OPERATIONS RELATED TO THE SUPPORT OF BUSINESSDEVELOPMENT.NEXTCORPS, INC. ("NEXTCORPS")NEXTCORPS, INC. (FORMERLY NAMED HIGH TECH ROCHESTER, INC.) IS ANOT-FOR-PROFIT ECONOMIC DEVELOPMENT ORGANIZATION OF WHICH THE UNIVERSITYIS THE SOLE CORPORATE MEMBER. NEXTCORPS PROMOTES THE CREATION AND GROWTHOF TECHNOLOGY COMPANIES THROUGH SUPPORT SERVICES AND INCUBATIONFACILITIES AND PROVIDES CONSULTING SERVICES FOR MANUFACTURERS.MANAGED CARE ORGANIZATIONTHE UNIVERSITY, THROUGH STRONG PARTNERS HEALTH SYSTEM, STRONG MEMORIALHOSPITAL, AND UNIVERSITY MEDICAL FACULTY GROUP, FORMED A MANAGED CAREORGANIZATION ("MCO") IN OCTOBER 1997 TOGETHER WITH TWO COMMUNITYPHYSICIAN ORGANIZATIONS: THE HIGHLAND PHYSICIAN ORGANIZATION AND THEROCHESTER COMMUNITY PHYSICIAN ORGANIZATION. THE MCO HAS CEASED OPERATIONSAND IS INACTIVE.ACCOUNTABLE HEALTH PARTNERS, LLC ("AHP") AND ACCOUNTABLE HEALTH PARTNERS- IPA, LLCACCOUNTABLE HEALTH PARTNERS, LLC ("AHP") AND ACCOUNTABLE HEALTH PARTNERS- IPA, LLC IS A NETWORK OF PHYSICIANS EMPLOYED BY THE UNIVERSITY AND ITSAFFILIATED HOSPITALS, COMMUNITY BASED PHYSICIANS, AND OTHER AFFILIATEDHOSPITALS THAT ARE CLINICALLY INTEGRATED AND NEGOTIATE REIMBURSEMENTCONTRACTS WITH LOCAL PAYERS AND SELF-INSURED BUSINESSES. THE UNIVERSITY,THROUGH STRONG MEMORIAL HOSPITAL, OWNS 25% OF AHP, WITH THE BALANCE OWNEDBY OTHER HOSPITALS, UNIVERSITY-EMPLOYED PHYSICIANS, AFFILIATEDHOSPITAL-EMPLOYED PHYSICIANS, AND COMMUNITY PHYSICIANS.AHP INSURANCE COMPANYAHP INSURANCE COMPANY IS A VERMONT BUSINESS CORPORATION THAT WAS FORMEDBY AHP IN NOVEMBER 2016 TO ENGAGE IN THE BUSINESS OF INSURING ANDREINSURING VARIOUS TYPES OF RISK AND IN PARTICULAR TO SERVE AS A CAPTIVEINSURANCE COMPANY FOR AHP, BY ESTABLISHING A RESERVE FUND TO PROTECT THEORGANIZATION AGAINST POTENTIAL FUTURE LOSSES FROM DOWNSIDE RISK TAKEN ONITS VALUE BASED CONTRACTS. AHP INSURANCE COMPANY IS WHOLLY OWNED BY AHP.LIVINGSTON HEALTH CARE SYSTEM, INC.ON JANUARY 1, 2016, THE UNIVERSITY BECAME THE SOLE CORPORATE MEMBER OFLIVINGSTON HEALTH CARE SYSTEM, INC. ("LHCS"), WHICH IS THE CORPORATEPARENT OF A HOSPITAL AND OTHER AFFILIATES LOCATED IN DANSVILLE,LIVINGSTON COUNTY, NEW YORK. A BRIEF DESCRIPTION OF THE LHCS AFFILIATESFOLLOWS:NICHOLAS H. NOYES MEMORIAL HOSPITAL, INC. (NOYES MEMORIAL HOSPITAL) NOYESMEMORIAL HOSPITAL IS A 67-BED NOT-FOR-PROFIT ACUTE CARE HOSPITAL LOCATEDIN DANSVILLE, NEW YORK. ITS SERVICES INCLUDE MEDICAL/SURGICAL CARE,INTENSIVE CARE, MATERNITY, AND EMERGENCY CARE. IN ADDITION, NOYESMEMORIAL HOSPITAL OPERATES AN AMBULATORY SURGERY AND MULTISPECIALTYEXTENSION CLINIC, AND 3 OTHER EXTENSION CLINICS PROVIDING MENTAL HEALTH,DIALYSIS AND PHYSICAL THERAPY SERVICES, RESPECTIVELY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6- AFFILIATED HEALTH CARE SYSTEM (CONTD)</FormAndLineReferenceDesc>
        <ExplanationTxt>RED JACKET CENTER, INC.RED JACKET CENTER, INC. IS A NEW YORK STATE NOT-FOR-PROFIT CORPORATIONORGANIZED FOR THE PURPOSE OF OWNING, OPERATING AND MAINTAINING OFFICEBUILDINGS TO ATTRACT DOCTORS TO THE RURAL AREA OF DANSVILLE, NEW YORK ANDTHE COUNTIES OF LIVINGSTON, STEUBEN AND ALLEGANY. RED JACKET CENTER, INC.OWNS AND OPERATES A MEDICAL OFFICE BUILDING IN GENESEO, NEW YORK THATLEASES SPACE TO NOYES MEMORIAL HOSPITAL AND PRIVATE PHYSICIANS.THE FOUNDATION FOR NOYES MEMORIAL HEALTH SYSTEM, INC.THE FOUNDATION FOR NOYES MEMORIAL HEALTH SYSTEM, INC. IS A NOT-FOR-PROFITCORPORATION WHICH SOLICITS, RECEIVES, AND MAINTAINS FUNDS FOR THE SUPPORTAND BENEFIT OF LCHS AND ITS NOT-FOR-PROFIT, TAX EXEMPT AFFILIATES.THE MEMORIAL HOSPITAL OF WILLIAM F. AND GERTRUDE F. JONES, INC.ON JANUARY 1, 2016, THE UNIVERSITY BECAME THE SOLE CORPORATE MEMBER OFTHE MEMORIAL HOSPITAL OF WILLIAM F. AND GERTRUDE F. JONES, INC. (JONESMEMORIAL HOSPITAL), WHICH IS LOCATED IN WELLSVILLE, ALLEGANY COUNTY, NEWYORK. JONES MEMORIAL HOSPITAL IS A 49-BED NOT-FOR-PROFIT ACUTE CAREHOSPITAL LOCATED IN WELLSVILLE, NEW YORK. THE HOSPITAL'S SERVICES INCLUDEMEDICAL/SURGICAL CARE, INTENSIVE CARE, MATERNITY, PEDIATRIC, ANDEMERGENCY CARE. IN ADDITION, JONES MEMORIAL HOSPITAL OPERATES SIXEXTENSION CLINICS, PROVIDING PRIMARY CARE, PRENATAL CARE, AND/ORPEDIATRIC CARE, AND AN EXTENSION CLINIC PROVIDING ONCOLOGY AND INFUSIONSERVICES.JONES MEDICAL SERVICES, P.C. IS A CAPTIVE PROFESSIONAL CORPORATION OFJONES MEMORIAL HOSPITAL THAT EMPLOYS PHYSICIANS AND ADVANCED PRACTICEPROVIDERS WHO ARE CONTRACTED TO THE HOSPITAL TO PROVIDE MEDICAL SERVICESIN THE WELLSVILLE, NEW YORK COMMUNITY.JONES MEMORIAL HOSPITAL IS THE SOLE MEMBER OF JONES MEMORIAL HOSPITALFOUNDATION, A NOT-FOR-PROFIT CORPORATION THAT WAS FORMED IN AUGUST 2016AND SOLICITS, RECEIVES, AND MAINTAINS FUNDS FOR THE SUPPORT AND BENEFITOF JONES MEMORIAL HOSPITAL AND ITS NOT-FOR-PROFIT, TAX EXEMPT AFFILIATES.ST. JAMES HOSPITALON MARCH 1, 2018, THE UNIVERSITY BECAME THE SOLE CORPORATE MEMBER OF ST.JAMES HOSPITAL. ST. JAMES HOSPITAL IS A 15-BED NOT-FOR-PROFIT ACUTE CAREHOSPITAL LOCATED IN HORNELL, NEW YORK. THE HOSPITAL'S SERVICES INCLUDEPRIMARY AND SPECIALTY MEDICAL SERVICES, AMBULATORY SURGERY, AND EMERGENCYSERVICES. ST. JAMES HOSPITAL ALSO OPERATES 6 EXTENSION CLINICS THATPROVIDE PRIMARY CARE, AND SPECIALTY CARE INCLUDING ORTHOPAEDIC OUTPATIENTSERVICES.ST. JAMES HOSPITAL IS THE SOLE MEMBER OF ST. JAMES HOSPITAL FOUNDATION,INC. A NOT-FOR-PROFIT CORPORATION THAT SOLICITS, RECEIVES AND MAINTAINSFUNDS FOR THE SUPPORT AND BENEFIT OF ST. JAMES HOSPITAL.FINGER LAKES REGIONAL HEALTH SYSTEM, INC. AND AFFILIATESON AUGUST 1, 2023, THE UNIVERSITY BECAME THE SOLE CORPORATE MEMBER OFFINGER LAKES REGIONAL HEALTH SYSTEM, INC. D/B/A FINGER LAKES HEALTH("FLH"), WHICH IS THE CORPORATE PARENT OF TWO HOSPITALS AND OTHERAFFILIATES LOCATED IN THE COUNTIES OF ONTARIO, YATES, AND SENECA, NEWYORK.A BRIEF DESCRIPTION OF THE FLH AFFILIATES FOLLOWS:GENEVA GENERAL HOSPITALGENEVA GENERAL HOSPITAL IS A 117-BED NOT-FOR-PROFIT, TAX EXEMPT ACUTECARE GENERAL HOSPITAL LOCATED IN GENEVA, ONTARIO COUNTY, NEW YORK. ITSSERVICES INCLUDE MEDICAL/SURGICAL CARE, INTENSIVE CARE, AND EMERGENCYCARE. IN ADDITION, THE HOSPITAL OWNS AND OPERATES AN AMBULATORY SURGERYCENTER, AND 5 EXTENSION CLINICS PROVIDING PRIMARY HEALTH CARE SERVICES,THE JIM DOOLEY CENTER FOR EARLY LEARNING, A CHILD CARE CENTER SERVINGINFANTS AND CHILDREN FROM AGES 6 WEEKS TO 6 YEARS, AND THE MARION S.WHELAN SCHOOL OF PRACTICAL NURSING, WHICH PROVIDES AN EDUCATIONAL PROGRAMLEADING TO A CERTIFICATE IN LICENSED PRACTICAL NURSING.SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES COUNTYSOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES COUNTY IS NOT-FOR-PROFIT,TAX EXEMPT CORPORATION THAT OPERATES A 25-BED CRITICAL ACCESS HOSPITAL.ITS SERVICES INCLUDE EMERGENCY CARE AND AMBULATORY SURGERY. THE HOSPITALALSO OWNS AND OPERATES A 150-BED SKILLED NURSING FACILITY, AND 2EXTENSION CLINICS PROVIDING PRIMARY CARE SERVICES.GENEVA NURSING HOME, INC.GENEVA NURSING HOME, INC. D/B/A LIVING CENTER AT GENEVA - SOUTH IS ANOT-FOR PROFIT, TAX EXEMPT CORPORATION THAT OPERATES A 107-BED SKILLEDNURSING FACILITY ADJACENT TO GENEVA GENERAL HOSPITAL.GENEVA NURSING HOME II, INC.GENEVA NURSING HOME II, INC. D/B/A LIVING CENTER AT GENEVA - NORTH IS ANOT-FOR-PROFIT, TAX EXEMPT CORPORATION THAT OPERATES AN 80-BED SKILLEDNURSING FACILITY ADJACENT TO GENEVA GENERAL HOSPITAL.HUNTINGTON NURSING HOME, INC.HUNTINGTON NURSING HOME, INC. D/B/A HUNTINGTON LIVING CENTER IS ANOT-FOR-PROFIT, TAX EXEMPT CORPORATION THAT OPERATES A 160-BED SKILLEDNURSING FACILITY LOCATED IN WATERLOO, SENECA COUNTY, NEW YORK.FLH MEDICAL, P.C.FLH MEDICAL, P.C. IS A CAPTIVE PROFESSIONAL CORPORATION OF GENEVA GENERALHOSPITAL THAT EMPLOYS PHYSICIANS AND ADVANCED PRACTICE PROVIDERS WHO ARECONTRACTED TO THE HOSPITAL TO PROVIDE MEDICAL SERVICES IN THE REGIONSERVED BY GENEVA GENERAL HOSPITAL.GENEVA GENERAL HOUSING DEVELOPMENT FUND COMPANY, INC.GENEVA GENERAL HOUSING DEVELOPMENT FUND COMPANY, INC. IS ANOT-FOR-PROFIT, TAX EXEMPT CORPORATION THAT OPERATES NORTH STREETAPARTMENTS, 50 UNITS OF SUBSIDIZED HOUSING FOR SENIOR CITIZENS ANDMOBILITY IMPAIRED INDIVIDUALS IN GENEVA, ONTARIO COUNTY, NEW YORK.TAYLOR BROWN HOUSING DEVELOPMENT FUND COMPANY, INC.TAYLOR BROWN HOUSING DEVELOPMENT FUND COMPANY, INC. IS A NOT-FOR-PROFIT,TAX EXEMPT CORPORATION THAT OPERATES EAST MAIN STREET APARTMENTS, 40UNITS OF SUBSIDIZED HOUSING FOR SENIOR CITIZENS AND MOBILITY IMPAIREDINDIVIDUALS IN WATERLOO, SENECA COUNTY, NEW YORK.FINGER LAKES HEALTH FOUNDATION, INC.FINGER LAKES HEALTH FOUNDATION, INC. 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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANTHONY GREEN</PersonNm>
        <TitleTxt>VP ACAD FIN &amp; PLNG, FRMR BD SECY</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>125</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>31561</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>36019</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>378771</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ERIN KANE</PersonNm>
        <TitleTxt>FMR INTERIM VP COMM</TitleTxt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>125</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>30137</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>364122</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSHUA FARRELMAN</PersonNm>
        <TitleTxt>VP OF GOVERNMENT RELATIONS (EFF 4/25</TitleTxt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>338236</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JACK S BAILEY</PersonNm>
        <TitleTxt>FMR SECY TO BRD TRUSTEES</TitleTxt>
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        <PersonNm>LEA NORDHAUS</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>DETAIL OF ADDITIONAL BENEFITS PROVIDED FIRST CLASS OR CHARTER TRAVEL IN LIMITED CIRCUMSTANCES, THE PRESIDENT AND/OR PROVOST OR OTHER KEY EMPLOYEE OF THE UNIVERSITY OF ROCHESTER ("THE UNIVERSITY") MAY TRAVEL FIRST CLASS IF CERTAIN TIME/DISTANCE REQUIREMENTS ARE MET AND A VALID UNIVERSITY-RELATED BUSINESS PURPOSE FOR THE TRAVEL EXISTS. TRAVEL FOR COMPANIONS IN LIMITED CIRCUMSTANCES, THE SPOUSE OF THE PRESIDENT AND/OR PROVOST OR OTHER KEY EMPLOYEE MAY TRAVEL FOR LEGITIMATE UNIVERSITY-RELATED BUSINESS PURPOSES. EXAMPLES OF SUCH TRAVEL INCLUDE ATTENDANCE AT FUNDRAISING OR ALUMNI EVENTS. IN ACCORDANCE WITH APPLICABLE LEGAL STANDARDS, AND ON THESE LIMITED OCCASIONS, THE UNIVERSITY WILL REIMBURSE THE TRAVEL EXPENSES FOR SPOUSAL TRAVEL AS A BUSINESS EXPENSE ONLY IF THE SPOUSAL TRAVEL SERVES A "BONA FIDE BUSINESS PURPOSES" OF THE UNIVERSITY. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE/PERSONAL SERVICES AS A CONDITION OF EMPLOYMENT, THE PRESIDENT AND PROVOST ARE REQUIRED TO LIVE IN A HOME ON THE UNIVERSITY'S CAMPUS WHICH IS FURNISHED AND MAINTAINED AT THE UNIVERSITY'S EXPENSE. SOCIAL CLUB DUES THE UNIVERSITY PROVIDES CERTAIN OFFICERS AND EMPLOYEES A SOCIAL CLUB MEMBERSHIP TO BE USED IN CONNECTION WITH THEIR DUTIES. THE OFFICERS AND EMPLOYEES PROVIDED A MEMBERSHIP ARE RESPONSIBLE FOR ANY PERSONAL USE OF THE CLUB MEMBERSHIP. TWO OFFICERS WERE PROVIDED A SOCIAL CLUB MEMBERSHIP BY THE UNIVERSITY AND HAD TAXABLE COMPENSATION ASSOCIATED WITH THEIR PERSONAL USE OF THE CLUB.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>PARTICIPATION IN A SUPP. NONQUALIFIED PLAN THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED EMPLOYER PAID AMOUNTS THAT ARE INCLUDED IN DEFERRED COMPENSATION: ADAM P. ANOLIK - SERP - $100,000 MICHAEL J. APOSTOLAKOS - SERP - $50,000 STEPHEN DEWHURST - SERP - $11,000 CARRIE P. FULLER SPENCER - SERP - $25,000 KATHLEEN GALLUCCI - SERP - $40,000 STEVEN I. GOLDSTEIN - SERP - $125,000 DAVID LINEHAN - SERP - $150,000 KATHLEEN PARRINELLO - SERP - $125,000 PETER G. ROBINSON - SERP - $61,500 MICHAEL ROTONDO - SERP - $75,000 GEORGE M. ALFIERIS - 457(F) - $300,000 JOHN BLACKSHEAR - 457(F) - $2,250 THOMAS FARRELL - 457(F) - $11,500 PAGE HETZEL - 457(F) - $3,250 ELIZABETH MILAVEC - 457(F) - $11,250 ADRIENNE MORGAN - 457(F) - $6,750 JULIE MYERS - 457(F) - $4,000 SHAUN NELMS - 457(F) - $3,750</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVISION OF NON-FIXED PAYMENTS THE UNIVERSITY OF ROCHESTER MEDICAL SCHOOL COMPENSATION PLAN ALLOWS COMPENSATION TO BE CALCULATED, IN PART, BY MEDICAL SERVICES RENDERED. THE UNIVERSITY OF ROCHESTER DOES NOT PROVIDE DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION. PAYMENTS MADE TO ANY DISQUALIFIED PERSON ARE APPROVED BY THE BOARD THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>INITIAL CONTRACT EXCEPTION CERTAIN INDIVIDUALS ARE, FROM TIME TO TIME, SERVING UNDER THE PROVISIONS OF THEIR INITIAL CONTRACT TO SERVE AS OFFICERS OF THE UNIVERSITY, WHICH PRINCIPALLY ESTABLISHES THEIR COMPENSATION, RESPONSIBILITIES AND DUTIES.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROVISION OF HIGHER EDUCATION IN THE LIBERAL ARTS AND SCIENCES, MEDICINE AND DENTISTRY, NURSING AND MUSIC; RESEARCH; AND CHARITABLE PATIENT CARE SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A, PROGRAM SERVICE</FormAndLineReferenceDesc>
        <ExplanationTxt>EDUCATIONAL ACTIVITIES - THE UNIVERSITY IS COMPRISED OF SIX SCHOOLS OFFERING PROGRAMS FROM UNDERGRADUATE TO POST-DOCTORAL DEGREES. THESE ARE THE SCHOOL OF ARTS AND SCIENCES, THE HAJIM SCHOOL OF ENGINEERING, THE WARNER SCHOOL OF EDUCATION AND HUMAN DEVELOPMENT, EASTMAN SCHOOL OF MUSIC, SIMON GRADUATE SCHOOL OF BUSINESS ADMINISTRATION, SCHOOL OF NURSING, AND SCHOOL OF MEDICINE AND DENTISTRY. THERE ARE ALSO A NUMBER OF IMPORTANT CENTERS OF ACADEMIC EXCELLENCE, FOR EXAMPLE, THE INSTITUTE OF OPTICS, THE LABORATORY FOR LASER ENERGETICS, THE WILMOT CANCER CENTER, AND THE FLAUM EYE INSTITUTE. THE FULL-TIME FACULTY OF THE SCHOOL OF MEDICINE AND DENTISTRY PROVIDE CLINICAL SERVICES AS PART OF THE ACADEMIC MEDICAL PROGRAM; THIS ACTIVITY OCCURS 100 PERCENT WITHIN THE MEDICAL SCHOOL AND IS INTERNALLY ORGANIZED AND SUPERVISED AS URMFG OR UNIVERSITY OF ROCHESTER MEDICAL FACULTY GROUP. THERE ARE OVER 1,000 FULL-TIME TENURED FACULTY MEMBERS AND 11,211 UNDERGRADUATE AND GRADUATE STUDENTS ENROLLED IN THE UNIVERSITY. THE UNIVERSITY HAS ALWAYS PLACED FINANCIAL AID FOR ITS STUDENTS AMONG ITS HIGHEST PRIORITIES. SCHOLARSHIPS COVER A PORTION OF THE COST OF ATTENDING THE UNIVERSITY OF ROCHESTER. THE UNIVERSITY IS COMMITTED TO OFFERING THE HIGHEST QUALITY EDUCATION TO ITS STUDENTS, REGARDLESS OF THEIR ECONOMIC CIRCUMSTANCES OR BACKGROUND. FOR EXAMPLE, THE UNIVERSITY HAS A PROGRAM TO EXPAND HIGHER EDUCATION OPPORTUNITIES FOR STUDENTS FROM THE ROCHESTER CITY SCHOOL DISTRICT (RCSD), A DISTRICT WITH ONE OF THE HIGHEST POVERTY AND SCHOOL DROPOUT RATES IN NEW YORK STATE. THE UNIVERSITY PROVIDES $25,000 PER YEAR FOR FOUR YEARS TO EVERY GRADUATE OF THE SCHOOL DISTRICT WHO IS ADMITTED TO THE UNIVERSITY'S COLLEGE OF ARTS, SCIENCES AND ENGINEERING; THIS IS EQUIVALENT TO AN AWARD OF $100,000 FOR EACH STUDENT.THROUGH THE ENDOWMENT, THE UNIVERSITY PERPETUATES AND ENHANCES ITS EDUCATIONAL, RESEARCH, CLINICAL CARE PROGRAMS AND PUBLIC SERVICE MISSIONS. THIS COMMITMENT REQUIRES AN ENDOWMENT PAYOUT OF 5.7 PERCENT CALCULATED ON A ROLLING FIVE-YEAR AVERAGE OF THE ENDOWMENT'S MARKET VALUE. THE UNIVERSITY'S ENDOWMENT CONSISTS LARGELY OF INDIVIDUAL FUNDS THANKS TO THE GENEROSITY OF CHARITABLE DONORS. THE DONORS OF THESE GIFTS OFTEN SPECIFY AND RESTRICT THE PURPOSES FOR WHICH THE INCOME MAY BE SPENT TO ENSURE LONG-TERM BENEFITS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4B, PROGRAM SERVICE</FormAndLineReferenceDesc>
        <ExplanationTxt>RESEARCH ACTIVITIES: THE UNIVERSITY PERFORMS RESEARCH, TRAINING, AND OTHER SERVICES UNDER GRANTS, CONTRACTS, AND SIMILAR AGREEMENTS WITH SPONSORING ORGANIZATIONS, PRIMARILY DEPARTMENTS AND AGENCIES OF THE UNITED STATES GOVERNMENT. DURING THE 2024-2025 FISCAL YEAR, THERE WERE 5,897 GRANTS AND CONTRACTS IN EFFECT THAT TOTALED $405,546,489 IN REVENUE.ROCHESTER RESEARCHERS ARE SCIENTISTS AND SCHOLARS, INVENTORS AND CONSERVATORS, ARTISTS AND ANALYSTS. THEY KNOW MANY OF THE BEST BREAKTHROUGHS IN KNOWLEDGE AND CREATIVITY OCCUR BY CROSSING BOUNDARIES. MANY OF THE UNIVERSITY'S RESEARCH ENVIRONMENTS ARE DESIGNED TO FACILITATE COLLABORATION AND EXPLORATION ACROSS DISCIPLINES. RESEARCH AT THE UNIVERSITY OF ROCHESTER OCCURS IN 60 RESEARCH CENTERS AND INSTITUTES ACROSS THE UNIVERSITY, INCLUDING: - THE LABORATORY FOR LASER ENERGETICS (LLE) - THE LASER LAB IS THE LARGEST UNIVERSITY-BASED DEPARTMENT OF ENERGY RESEARCH PROGRAM IN THE NATION AND IS HOME TO THE MOST POWERFUL LASER SYSTEMS FOUND AT ANY ACADEMIC INSTITUTION IN THE WORLD. AT THE LAB, RESEARCHERS FROM ALL OVER THE WORLD PROBE THE EXTREMES OF TEMPERATURE AND PRESSURE IN LABORATORY-SCALE EXPERIMENTS. - THE INSTITUTE OF OPTICS - HOME TO THE NATION'S FIRST OPTICAL SCIENCE, ENGINEERING AND DESIGN PROGRAM. THE INSTITUTE OF OPTICS HAS GRANTED ABOUT HALF OF ALL DEGREES IN OPTICS AWARDED IN THE U.S. - THE DEL MONTE INSTITUTE FOR NEUROSCIENCE - INSTRUMENTAL IN BRINGING TOGETHER NEUROSCIENCE AND RELATED DISCIPLINES- BIOMEDICAL ENGINEERING, BRAIN AND COGNITIVE SCIENCES, COMPUTER SCIENCE, AND NEUROLOGY. THIS MULTIDISCIPLINARY WORK HAS MADE POSSIBLE CRITICAL RESEARCH INTO ALZHEIMER'S, MULTIPLE SCLEROSIS, AUTISM AND DYSLEXIA. - THE HUMANITIES CENTER - AN INTELLECTUAL HOME BASE FOR STUDENTS, FACULTY, RESEARCHERS, ARTISTS AND THE PUBLIC. RESEARCH PROJECTS AFFECT FIELDS BEYOND THE HUMANITIES, INCLUDING MEDICINE, BUSINESS, SCIENCE AND ENGINEERING. - MT. HOPE FAMILY CENTER - LEADING EXPERTS PROVIDE EVIDENCE-BASED INTERVENTION AND PREVENTION SERVICES TO OVER 900 AT RISK CHILDREN AND FAMILIES ANNUALLY. - INSTITUTE FOR MUSIC LEADERSHIP - DEVELOPING CREATIVE AND EFFECTIVE LEADERS FOR TODAY'S MUSICAL WORLD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4C, PROGRAM SERVICES</FormAndLineReferenceDesc>
        <ExplanationTxt>SERVICES OF HOSPITAL AND CLINICS- THE UNIVERSITY OF ROCHESTER (THE "UNIVERSITY") PROVIDES HEALTH CARE SERVICES TO THE GREATER ROCHESTER AND FINGER LAKES AREA THROUGH STRONG MEMORIAL HOSPITAL, STRONG HOME CARE GROUP, THE VARIOUS ENTITIES INCLUDED IN STRONG PARTNERS HEALTH SYSTEM, INC. (SPHS), F.F. THOMPSON HEALTH SYSTEM, INC., FINGER LAKES HEALTH SYSTEM, LIVINGSTON HEALTH CARE SYSTEM, INC., THE MEMORIAL HOSPITAL OF WILLIAM F. AND GERTRUDE F. JONES, INC. AND ST. JAMES HOSPITAL. TO SUPPORT THE TEACHING AND RESEARCH MISSIONS OF ITS SCHOOL OF MEDICINE AND DENTISTRY AND ITS SCHOOL OF NURSING, THE UNIVERSITY OF ROCHESTER OPERATES STRONG MEMORIAL HOSPITAL, A TERTIARY CARE TEACHING HOSPITAL, WHICH INCLUDES THE GOLISANO CHILDREN'S HOSPITAL. STRONG MEMORIAL HOSPITAL, GOLISANO CHILDREN'S HOSPITAL, AND THE UNIVERSITY OF ROCHESTER MEDICAL FACULTY GROUP OPERATE AS UNINCORPORATED DIVISIONS OF THE UNIVERSITY OF ROCHESTER. STRONG MEMORIAL HOSPITAL PROVIDES HEALTH CARE SERVICES THROUGH ITS INPATIENT, OUTPATIENT AND EMERGENCY FACILITIES. THE MEDICAL STAFF OF THE HOSPITAL IS THE FACULTY OF THE SCHOOL OF MEDICINE AND DENTISTRY. THE ACADEMIC DEPARTMENT CHAIRS ALSO FUNCTION AS THE DEPARTMENT HEADS OF THE MEDICAL SERVICES IN THE HOSPITAL. THERE ARE EXTENSIVE INTERN AND RESIDENT PROGRAMS. THE HOSPITAL PROVIDES CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR SERVICES. DURING THE 2024-2025 FISCAL YEAR, THERE WERE 306,564 TOTAL INPATIENT DAYS AND 122,653 EMERGENCY VISITS. IN ADDITION TO BEING A TEACHING FACILITY, THE HOSPITAL OPERATES IN A CHARITABLE MANNER CONSISTENT WITH THE REQUIREMENTS OF INTERNAL REVENUE CODE SECTION 501(C)(3) AND THE "COMMUNITY BENEFIT STANDARD" OF IRS REVENUE RULING 69-545. IN THIS REGARD, THE GOVERNING BODY OF THE ORGANIZATION IS COMPOSED OF PROMINENT CITIZENS IN THE COMMUNITY. MEDICAL STAFF PRIVILEGES IN THE HOSPITAL ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA WHO ALSO CAN QUALIFY AS FULL OR PART-TIME FACULTY OF THE SCHOOL OF MEDICINE AND DENTISTRY; THE HOSPITAL MAINTAINS A FULL-TIME EMERGENCY ROOM OPEN TO ALL REGARDLESS OF ABILITY TO PAY; THE HOSPITAL PROVIDES CARE TO NEEDY MEMBERS OF ITS COMMUNITY WITH ITS CHARITY CARE POLICY REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES AND ADMITS AS PATIENTS THOSE ABLE TO PAY FOR CARE, EITHER THEMSELVES OR THROUGH THIRD-PARTY PAYERS SUCH AS PRIVATE HEALTH INSURANCE OR GOVERNMENT PROGRAMS SUCH AS MEDICARE AND MEDICAID. THE HOSPITAL'S EXCESS FUNDS ARE GENERALLY APPLIED TO EXPANSION AND REPLACEMENT OF EXISTING FACILITIES AND EQUIPMENT, MEDICAL RESEARCH, AMORTIZATION OF INDEBTEDNESS, IMPROVEMENTS IN PATIENT CARE, COMMUNITY BENEFIT ACTIVITIES AND CHARITY CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>DELEGATION OF AUTHORITY THE BY-LAWS OF THE UNIVERSITY PROVIDE FOR AN EXECUTIVE COMMITTEE THAT MAY EXERCISE ALL THE POWERS OF THE BOARD IN INTERVALS BETWEEN MEETINGS OF THE BOARD OF TRUSTEES, EXCEPT THAT THE EXECUTIVE COMMITTEE DOES NOT HAVE POWER (1) TO GRANT DEGREES, (2) TO REMOVE A TRUSTEE OR OFFICER, (3) TO ELECT TRUSTEES, THE CHAIR OF THE BOARD OR THE PRESIDENT, OR (4) TO AMEND, ALTER OR REPEAL THE BY-LAWS. THE MEMBERS OF THE EXECUTIVE COMMITTEE ARE ALL TRUSTEES. THE EXECUTIVE COMMITTEE CONSISTS OF THE CHAIR OF THE BOARD, THE PRESIDENT, THE CHAIRS OF THE BOARD COMMITTEES OF INVESTMENT, NOMINATIONS AND BOARD PRACTICES, FACILITIES, AUDIT AND RISK ASSESSMENT, PERSONNEL, HEALTH AFFAIRS, ACADEMIC AFFAIRS, RESEARCH AND INNOVATION, FINANCIAL PLANNING, STUDENT AFFAIRS, COMPLIANCE AND COMPENSATION, AND DEVELOPMENT PLUS SUCH OTHER TRUSTEES AS THE BOARD OF TRUSTEES MAY ELECT TO SERVE FOR TERMS NOT TO EXCEED FIVE YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 REVIEW PROCESS THE UNIVERSITY OF ROCHESTER'S FORM 990 WAS PREPARED BY FINANCE STAFF AND PROVIDED TO THE BONADIO GROUP AND TO SENIOR MANAGEMENT OF THE UNIVERSITY FOR REVIEW PRIOR TO FILING. THE FORM 990 WAS ALSO PROVIDED TO THE UNIVERSITY'S AUDIT AND RISK COMMITTEE PRIOR TO FILING. THE COMMITTEE'S QUESTIONS AND COMMENTS WERE ADDRESSED AT A COMMITTEE MEETING PRIOR TO FILING. AFTER THIS COMMITTEE'S MEETING, THE FORM 990 WAS POSTED TO THE BOARD SHAREPOINT SITE AND EACH TRUSTEE WAS NOTIFIED THAT THE FORM WAS AVAILABLE TO VIEW, PRIOR TO FILING THE FORM WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST POLICY DIRECTORS, COMMITTEE MEMBERS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE A CONFLICT OF INTEREST: A) PRIOR TO VOTING ON OR OTHERWISE DISCHARGING THEIR DUTIES WITH RESPECT TO ANY MATTER INVOLVING THE CONFLICT WHICH COMES BEFORE THE BOARD OR ANY COMMITTEE; B) PRIOR TO ENTERING INTO ANY CONTRACT OR TRANSACTION INVOLVING THE CONFLICT; C) AS SOON AS POSSIBLE AFTER THE DIRECTOR, COMMITTEE MEMBER OR OFFICER LEARNS OF THE CONFLICT; AND D) ON AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM. THE FORM IS DISTRIBUTED ANNUALLY AND REQUIRES DISCLOSURE OF ALL CONFLICTS OF INTEREST, INCLUDING SPECIFIC INFORMATION CONCERNING THE TERMS OF ANY CONTRACT OR TRANSACTION WITH THE UNIVERSITY THAT INVOLVES A POTENTIAL CONFLICT OF INTEREST FOR THE INDIVIDUAL. THE FORMS ARE REVIEWED BY LEGAL COUNSEL, AND CONFLICTS DISCLOSED ON THE FORMS OR ON AN AD-HOC BASIS ARE REVIEWED BY AN INDEPENDENT BOARD COMMITTEE. THE COMMITTEE CONSIDERS THE MATERIAL FACTS CONCERNING ANY PROPOSED CONTRACT OR TRANSACTION, INCLUDING THE PROCESS BY WHICH THE DECISION WAS MADE TO APPROVE OR RECOMMEND ENTERING INTO THE ARRANGEMENT ON THE TERMS PROPOSED, AND APPROVES SUCH CONTRACTS OR TRANSACTIONS ONLY IF THE TERMS ARE FAIR AND REASONABLE TO THE UNIVERSITY AND THE ARRANGEMENTS ARE CONSISTENT WITH THE BEST INTERESTS OF THE UNIVERSITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION PROCESS WRITTEN SELF-EVALUATIONS AND PERFORMANCE EVALUATIONS FOR THE UNIVERSITY'S OFFICERS AND KEY EMPLOYEES ARE REVIEWED ANNUALLY BY THE UNIVERSITY'S COMMITTEE ON COMPLIANCE AND COMPENSATION. THE COMMITTEE REVIEWS AND APPROVES TOTAL COMPENSATION FOR OFFICERS AND KEY EMPLOYEES AND CONSIDERS, IN ADDITION TO THE PERFORMANCE EVALUATIONS, THE SCOPE OF THE INDIVIDUAL'S JOB RESPONSIBILITIES, PREVIOUS COMPENSATION AND COMPARABLE COMPENSATION PAID TO PEOPLE WITH SIMILAR RESPONSIBILITIES AT COMPARABLE INSTITUTIONS. THE COMPARABLE INFORMATION IS PROVIDED BY AN INDEPENDENT CONSULTANT AND BY REFERENCE TO LOCAL, REGIONAL AND NATIONAL COMPENSATION SURVEYS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS AVAILABILITY TO PUBLIC THE UNIVERSITY OF ROCHESTER'S AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC BY POSTING THEM ON THE UNIVERSITY'S WEBSITE. THE UNIVERSITY OF ROCHESTER'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT ROUTINELY MADE AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>URMHC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UR MEDICINE HC LICENSED SRVS INC (CCR)</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2180 EMPIRE BOULEVARD</AddressLine1Txt>
          <CityNm>WEBSTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14580</ZIPCd>
        </USAddress>
        <EIN>161561691</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>URMHC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>EXCELL PARTNERS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>343 STATE STREET KODAK TOWER</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14650</ZIPCd>
        </USAddress>
        <EIN>201862628</EIN>
        <PrimaryActivitiesTxt>ECONOMIC DEV</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(4)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>N/A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UNIV OF ROCHESTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NEXTCORPS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>260 EAST MAIN STREET SUITE 60</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14604</ZIPCd>
        </USAddress>
        <EIN>161195028</EIN>
        <PrimaryActivitiesTxt>BUSINESS INCUBATOR</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UNIV OF ROCHESTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>EASTMAN DENTAL CENTER FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>625 ELMWOOD AVENUE</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14620</ZIPCd>
        </USAddress>
        <EIN>161529555</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE JAMES P WILMOT FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>387 E MAIN STREET</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14604</ZIPCd>
        </USAddress>
        <EIN>222341413</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12D, III-O</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ROBERT P GIDDINGS TRUST CO TAYLOR GANSON &amp; PERRIN</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>160 FEDERAL STREET</AddressLine1Txt>
          <CityNm>BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02110</ZIPCd>
        </USAddress>
        <EIN>046660588</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12D, III-O</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>U OF R BROADCASTING CORPORATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>201 WILSON COMMONS</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14627</ZIPCd>
        </USAddress>
        <EIN>160743209</EIN>
        <PrimaryActivitiesTxt>BROADCAST LICENSE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(4)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>N/A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UNIV OF ROCHESTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UR REAL ESTATE CORPORATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>263 WALLIS HALL</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14627</ZIPCd>
        </USAddress>
        <EIN>271140014</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UNIV OF ROCHESTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MELIORA REAL ESTATE CORPORATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>263 WALLIS HALL</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14627</ZIPCd>
        </USAddress>
        <EIN>452464788</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UNIV OF ROCHESTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FREDERICK FERRIS THOMPSON HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>350 PARRISH STREET</AddressLine1Txt>
          <CityNm>CANANDAIGUA</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14424</ZIPCd>
        </USAddress>
        <EIN>160743024</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>FFTHS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FF THOMPSON FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>350 PARRISH STREET</AddressLine1Txt>
          <CityNm>CANANDAIGUA</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14424</ZIPCd>
        </USAddress>
        <EIN>222959984</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>FFTHS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MM EWING CONTINUING CARE CENTER</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>350 PARRISH STREET</AddressLine1Txt>
          <CityNm>CANANDAIGUA</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14424</ZIPCd>
        </USAddress>
        <EIN>237046583</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>FFTHS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FF THOMPSON HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>350 PARRISH STREET</AddressLine1Txt>
          <CityNm>CANANDAIGUA</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14424</ZIPCd>
        </USAddress>
        <EIN>222959987</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UNIV OF ROCHESTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FF THOMPSON SENIOR COMMUNITIES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>350 PARRISH STREET</AddressLine1Txt>
          <CityNm>CANANDAIGUA</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14424</ZIPCd>
        </USAddress>
        <EIN>161557494</EIN>
        <PrimaryActivitiesTxt>ELDER CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>FFTHS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PLUTA CANCER CENTER FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>125 RED CREEK DRIVE</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14623</ZIPCd>
        </USAddress>
        <EIN>270425383</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FINGER LAKES HOME CARE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>756 PRE-EMPTION ROAD</AddressLine1Txt>
          <CityNm>GENEVA</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14456</ZIPCd>
        </USAddress>
        <EIN>161489133</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>URMHC CS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE JONES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>191 NORTH MAIN STREET</AddressLine1Txt>
          <CityNm>WELLSVILLE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14895</ZIPCd>
        </USAddress>
        <EIN>222807681</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UNIV OF ROCHESTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LIVINGSTON HEALTH CARE SYSTEM INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>111 CLARA BARTON STREET</AddressLine1Txt>
          <CityNm>DANSVILLE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14427</ZIPCd>
        </USAddress>
        <EIN>161455240</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UNIV OF ROCHESTER</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NICHOLAS H NOYES MEMORIAL HOSPITAL INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>111 CLARA BARTON STREET</AddressLine1Txt>
          <CityNm>DANSVILLE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14427</ZIPCd>
        </USAddress>
        <EIN>160743979</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LHCS</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>RED JACKET CENTER INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>111 CLARA BARTON STREET</AddressLine1Txt>
          <CityNm>DANSVILLE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14427</ZIPCd>
        </USAddress>
        <EIN>161037658</EIN>
        <PrimaryActivitiesTxt>MED OFF BLDG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LHCS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE FOUNDATION FOR NOYES MEMORIAL HEALTH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>111 CLARA BARTON STREET</AddressLine1Txt>
          <CityNm>DANSVILLE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14427</ZIPCd>
        </USAddress>
        <EIN>161584778</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LHCS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>JONES MEMORIAL HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>191 NORTH MAIN STREET</AddressLine1Txt>
          <CityNm>WELLSVILLE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14895</ZIPCd>
        </USAddress>
        <EIN>473763374</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>JONES MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>JONES MEDICAL SERVICES PC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>191 NORTH MAIN STREET</AddressLine1Txt>
          <CityNm>WELLSVILLE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14895</ZIPCd>
        </USAddress>
        <EIN>465210222</EIN>
        <PrimaryActivitiesTxt>MEDICAL CLINIC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>JONES MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST JAMES HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>7329 SENECA ROAD NORTH</AddressLine1Txt>
          <CityNm>HORNELL</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14843</ZIPCd>
        </USAddress>
        <EIN>160743310</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UNIV OF ROCHESTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST JAMES HOSPITAL FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>7329 SENECA ROAD NORTH</AddressLine1Txt>
          <CityNm>HORNELL</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14843</ZIPCd>
        </USAddress>
        <EIN>161486437</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>UR MEDICINE HOME CARE COMMUNITY SRVCS</BusinessNameLine1Txt>
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          <AddressLine1Txt>2180 EMPIRE BOULEVARD</AddressLine1Txt>
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          <ZIPCd>14580</ZIPCd>
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          <BusinessNameLine1Txt>URMHC</BusinessNameLine1Txt>
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          <AddressLine1Txt>2180 EMPIRE BOULEVARD</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>FINGER LAKES REGIONAL HEALTH SYSTEM INC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>UNIV OF ROCHESTER</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>GENEVA GENERAL HOSPITAL</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>FLH</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>SOLDIERS &amp; SAILORS MEM HOSPTL OF YATES CTY</BusinessNameLine1Txt>
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          <AddressLine1Txt>418 N MAIN STREET</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GENEVA NURSING HOME INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>45 MASON STREET</AddressLine1Txt>
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          <BusinessNameLine1Txt>FLH</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>FINGER LAKES HEALTH FOUNDATION INC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>GENEVA GENERAL HOUSING DEVELOPMENT FUND</BusinessNameLine1Txt>
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