2021-11-11T13:27:26-06:00 2020-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2020-01-01 160978184 PARK RIDGE NURSING HOME INC DBA PARK RIDGE LIVING CENTER PARK 5859221595 1555 LONG POND RD ROCHESTER NY 14626 THOMAS R CRILLY CFO 5859221595 2021-10-29 1 THOMAS CRILLY 999009999 ANGELA M FRANCO P00589741 3154463600 2021-10-29 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z ERIC BIEBER MD 100 KINGS HIGHWAY S ROCHESTER NY 14617 21380437 0 X WWW.ROCHESTERREGIONAL.ORG X 1969 NY AS AN AFFILIATE OF THE SYSTEM AND THE CENTER OF AGING AND CONTINUING CARE SERVICES, PARK RIDGE NURSING HOME (DBA PARK RIDGE LIVING CENTER) IS DEDICATED TO PROVIDING QUALITY CARE, INDEPENDENCE AND A POSITIVE LIVING EXPERIENCE FOR THE PATIENTS AND RESIDENTS IN OUR FACILITY. THE MISSION IS ACHIEVED THROUGH THE CORE VALUES OF THE SYSTEM WHICH INCLUDE PEOPLE, EXCELLENCE, LEARNING AND RESULTS. 20 15 372 19 0 0 771181 1646853 26552572 19692383 375 95 83152 41106 27407280 21380437 0 0 0 0 17739571 13028921 0 0 0 9388328 8236731 27127899 21265652 279381 114785 26195654 26980085 25749117 28210517 446537 -1230432 X AN AFFIILIATE OF THE SYSTEM AND THE CENTER OF AGING AND CONTINUING CARE SERVICES, PARK RIDGE NURSING HOME (D.B.A PARK RIDGE LIVING CENTER) IS DEDICATED TO PROVIDING QUALITY CARE, INDEPENDENCE AND A POSITIVE LIVING EXPERIENCE FOR THE PATIENTS AND RESIDENTS IN OUR FACILITY. THE MISSION IS ACHIEVED THROUGH THE CORE VALUES OF THE SYSTEM WHICH INCLUDE PEOPLE, EXCELLENCE, LEARNING AND RESULTS. 0 1 18991539 19128994 120-BED NURSING FACILITY PROVIDING 41,502 PATIENT CARE DAYS. PARK RIDGE NURSING HOME PROVIDES A MODEL OF CARE FOR RESIDENTS WHERE THEY ARE ENCOURAGED TO MAKE THEIR OWN CHOICES AND PROVIDES A HOME ENVIRONMENT IN WHICH THEY WILL LIVE AND SHARE LIFE'S JOURNEY. 600151 604495 THREE SOCIAL DAYCARES CENTERS PROVIDING 4,580 CLIENT CARE DAYS. AN ADULT DAY SERVICES PROGRAM WHICH PROVIDES A CARING, SUPPORTIVE AND THERAPEUTIC ENVIRONMENT FOR PEOPLE WHO NEED CARE OR SUPERVISION DURING DAY-TIME HOURS. AN EMERGENCY RESPONSE SYSTEM PROVIDING 4,750 CUSTOMERS. A MULTIPLE SCLEROSIS ACHIEVEMENT CENTER PROVIDING 925 CLIENT CARE DAYS. THIS PROGRAM SERVES MID-TO-LATE STAGE M.S. PATIENTS AS WELL AS INDIVIDUALS WITH OTHER NEUROLOGICAL DIAGNOSES. COVID RESTRICTIONS LIMITED SERVICES IN 2020. 19591690 1 1 0 1 0 0 0 0 1 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 26 0 1 372 1 0 0 0 0 0 0 0 0 0 0 0 0 X 20 15 0 0 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X HOWARD GLASTONBURY 5859221595 100 KINGS HIGHWAY ROCHESTER NY 14617 KAREN M GALLINA DIRECTOR 1.00 1.00 X 0 0 0 DIANNE COONEY MINER DIRECTOR 1.00 1.00 X 0 0 0 JEFFREY C MAPSTONE DIRECTOR 1.00 1.00 X 0 0 0 JULIA TEDESCO DIRECTOR 1.00 1.00 X 0 0 0 ERIC BIEBER MD CEO 1.00 54.00 X X 52594 2840053 1280850 KARAN SINGH ALAG MD DIRECTOR 1.00 40.00 X 0 340256 147510 LINDA BECKER DIRECTOR 1.00 1.00 X 0 0 0 RALPH DESTEPHANO DIRECTOR 1.00 1.00 X 0 0 0 DANIEL MEYERS SECRETARY 1.00 1.00 X X 0 0 0 ELIZABETH PATTON PHD DIRECTOR 1.00 1.00 X 0 0 0 THOMAS RILEY DIRECTOR 1.00 1.00 X 0 0 0 LEON T SAWYKO DIRECTOR 1.00 1.00 X 0 0 0 DAWN RIEDY MD DIRECTOR 1.00 40.00 X 0 440661 306012 MARCY C MULCONRY MD DIRECTOR 1.00 40.00 X 0 373790 83449 CHARLES STUART CHAIR OF THE BOARD 1.00 1.00 X X 0 0 0 MARILYN DOLLINGER TREASURER 1.00 1.00 X X 0 0 0 RACHEL ADONIS DIRECTOR 1.00 1.00 X 0 0 0 DR RICHARD MACHEMER DIRECTOR 1.00 1.00 X 0 0 0 MANUEL MATOS MD DIRECTOR 1.00 40.00 X 0 507555 209226 JAMES NORMAN DIRECTOR 1.00 1.00 X 0 0 0 THOMAS CRILLY CFO 1.00 54.00 X 16962 915939 583664 HUGH THOMAS CAO 1.00 54.00 X 21110 1139920 625396 AMANDA D BROWN ADMINISTRATOR 40.00 0.00 X 149004 0 27239 CAMILLA J MINER DIRECTOR CLINICAL SERVICES 40.00 0.00 X 119673 0 75152 CONCETTA BOICE COTTAGE RESOURCE NURSE 40.00 0.00 X 122602 0 57241 KRISTI RATHBUN LPN 40.00 0.00 X 116649 0 46061 SHALANA MCKINNEY ADMINISTRATOR 40.00 0.00 X 104795 0 10026 ROBERT NESSELBUSH FORMER COO 0.00 0.00 X 16111 870016 351248 719500 7428190 3803074 6 1 1 0 ET RELIANT SECUIRTY SERVICES 3700 CHILI AVE ROCHESTER NY 14624 SECURITY OFFICERS 189740 SPECIAL CARE SYSTEMS LLC 1450 E RIDGE RD ROCHESTER NY 14621 HOSPITAL EQUIPMENT AND SUPPLIES 110309 2 700000 946853 1646853 PATIENT/RESIDENT SERVICE REVENUE 623000 19692383 19692383 19692383 95 95 41106 41106 41106 21380437 19733489 0 95 X 90666 73710 16956 10443670 9723222 720448 792012 728651 63361 837760 770739 67021 864813 795628 69185 1591 1591 2828639 2479666 348973 1679 1679 200469 182427 18042 521953 476282 45671 28392 27398 994 7477 7215 262 514284 462856 51428 1017111 934623 82488 10094 9741 353 MEDICAL AND FOOD SUPPLI 1548313 1470897 77416 NYS REVENUE & RECEIPTS 911645 866063 45582 SHARED SERVICES ALLOCAT 518415 456206 62209 ALLOWANCE FOR DOUBTFUL 96893 96893 29776 26203 3573 21265652 19591690 1673962 0 6577191 9014655 57040 46396 1932609 814599 11261 14391 24330 19129 26665062 11431838 16184921 15233224 1408302 1837691 26195654 26980085 2108282 2683505 15121158 14725806 52495 46396 8467182 10754810 25749117 28210517 X 97040 -1496298 349497 265866 446537 -1230432 26195654 26980085 X 114785 -1791754 X X 0 1 X 1 1 1 X 1556048 1081575 72090 771181 1646853 5127747 25363391 27559400 28876836 26552572 19692383 128044582 26919439 28640975 28948926 27323753 21339236 133172329 0 0 0 133172329 4441 6136 12288 375 95 23335 4441 6136 12288 375 95 23335 13622 41865 65757 83152 41106 245502 26937502 28688976 29026971 27407280 21380437 133441166 0.99800 0.99830 0.00020 0.00020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1591 1591 0 PART II-B, LINE 1: THE AMOUNT REFLECTED ON PART II-B, LINE 1I REPRESENTS THE PORTION OF MEMBERSHIP DUES PAID TO LEADING AGE NATIONAL AND LEADING AGE NEW YORK ATTRIBUTABLE TO LOBBYING ACTIVITIES. 0 52495 71518 77617 46396 1 349497 2000 4369 90000 265866 267973 88380 6099 12955 349497 55299 214530 -321 1535 267973 26129 29170 55299 130417 9201 443 113932 26129 0.05630 0.94370 0 1 1 4736 4736 22109853 7889987 14219866 4503437 3519748 983689 47036 22103 24933 15233224 LEASE- RIGHT TO USE ASSETS 88184 OTHER RECEIVABLES 106075 BENEFICIAL INTEREST IN FOUNDATION 265866 THIRD PARTY RECEIVABLES 1175355 DUE FROM AFFILIATES 202211 1837691 ACCRUED PENSION 7763501 THIRD PARTY PAYABLE 1912358 LEASE RIGHT TO USE LIABILITIES 92393 INTEREST RATE SWAP LIABILITY 784347 DUE TO AFFILIATES 202211 10754810 PART V, LINE 4: ENDOWMENT FUNDS HELD FOR INTENDED USE BY THE PARK RIDGE NURSING HOME, INC. ARE IN THE POSESSION OF THE ROCHESTER REGIONAL HEALTH FOUNDATION. WHEN THE TERMS OF THE ENDOWMENT ARE MET THE FOUNDATION GRANTS THE FUNDS OVER TO PARK RIDGE NURSING HOME, INC. 1 1 0 0 0 0 0 0 0 ERIC BIEBER MD CEO 22804 1231410 27875 1505247 1915 103396 23065 1245505 223 12057 75882 4097615 43821 1161265 HUGH THOMAS CAO 11387 614888 9723 525032 0 0 11149 602071 221 11955 32480 1753946 21824 578324 THOMAS CRILLY CFO 9421 508718 7541 407221 0 0 10388 560942 224 12110 27574 1488991 19045 504696 ROBERT NESSELBUSH FORMER COO 0 0 0 0 16111 870016 6386 344862 0 0 22497 1214878 23545 1271431 DAWN RIEDY MD DIRECTOR 0 353161 0 87500 0 0 0 294632 0 11380 0 746673 0 319398 MANUEL MATOS MD DIRECTOR 0 242555 0 265000 0 0 0 197125 0 12101 0 716781 0 0 KARAN SINGH ALAG MD DIRECTOR 0 145803 0 194453 0 0 0 131474 0 16036 0 487766 0 98590 MARCY C MULCONRY MD DIRECTOR 0 109940 0 263850 0 0 0 72115 0 11334 0 457239 0 44382 CAMILLA J MINER DIRECTOR CLINICAL SERVICES 106458 0 13215 0 0 0 71807 0 3345 0 194825 0 54793 0 CONCETTA BOICE COTTAGE RESOURCE NURSE 122602 0 0 0 0 0 57241 0 0 0 179843 0 50734 0 AMANDA D BROWN ADMINISTRATOR 125581 0 23423 0 0 0 27239 0 0 0 176243 0 20067 0 KRISTI RATHBUN LPN 116649 0 0 0 0 0 40315 0 5746 0 162710 0 0 0 PART I, LINE 3 COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS IS ESTABLISHED USING THE FOLLOWING: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACTS - COMPENSATION SURVEYS AND STUDIES - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE ON AN ANNUAL BASIS, THE ORGANIZATION USES AN INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE SALARIES FOR ALL EXECUTIVES TO ENSURE SUCH SALARIES ARE CONSISTENT WITH MARKET SALARIES PAID TO SIMILARLY SITUATED EXECUTIVES. IN ADDITION, A COMPENSATION COMMITTEE REVIEWS THIS INFORMATION ANNUALLY AND IT IS THEN APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. FINALLY, EXECUTIVES RECEIVE A WRITTEN LETTER OUTLINING THE SPECIFICS OF THE COMPENSATION AGREEMENT AND THEIR EXPECTED PERFORMANCE. PART I, LINES 4A-B COMPENSATION TO THE CHIEF OPERATING OFFICER INCLUDES PAYMENTS AGREED TO UNDER A SEPARATION AGREEMENT EXECUTED IN APRIL 2019. THIS AGREEMENT CALLS FOR PAYMENTS TO BE MADE THROUGH EARLY 2021. THESE PAYMENTS HAVE BEEN ACCRUED AND REPORTED AS OTHER DEFERRED COMPENSATION. SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS PROVIDE BENEFITS TO CERTAIN KEY EXECUTIVE EMPLOYEES OF ROCHESTER REGIONAL HEALTH. THE ORGANIZATION MAINTAINS A SECTION 457(F) PLAN WHICH WOULD BE CONSIDERED A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THERE WERE NO DISTRIBUTIONS PAID FROM THIS PLAN IN 2020. A VILLAGE OF EAST ROCHESTER HOUSING AUTHORITY 161497561 274722DX2 2008-12-11 18750000 CONSTRUCT FACILITY 0 0 0 A 3495000 19177030 19177030 2010 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 1 1 1 SEE PART VI 10.000000000000 0 0 0 0 1 A 1 SCHEDULE K, PART IV, ARBITRAGE, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 12/01/2010 NOTE REGARDING THE REBATE COMPUTATION: SINCE THE BOND PROCEEDS HAVE BEEN SPENT, AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS. NO FURTHER REBATE CALCULATIONS ARE NECESSARY. PART II, LINE 3 - THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN E DUE TO INVESTMENT EARNINGS, INC PART IV, LINE 4B - MORGAN STANLEY CAPITAL SERVICES, INC. FORM 990, PART III, LINE 3 THE CERTIFIED HOME HEALTH AGENCY (CHHA) IS NO LONGER A COMPONENT OF PARK RIDGE NURSING HOME. THESE SERVICES WERE TRANSFERRED TO ANOTHER AFFILIATED ORGANIZATION OF ROCHESTER REGIONAL HEALTH. FORM 990, PART VI, SECTION A, LINE 1 EACH BOARD HAS AN EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE BOARD PLUS THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION AND SUCH OTHER DIRECTORS AS THE CHAIR MAY NOMINATE FROM TIME TO TIME FOR APPOINTMENT BY A MAJORITY VOTE OF THE ENTIRE BOARD. BETWEEN MEETINGS OF THE BOARD, AND TO THE EXTENT PERMITTED BY LAW, THE EXECUTIVE COMMITTEE SHALL POSSESS THE POWERS OF THE BOARD WITH RESPECT TO MANAGING AND CONDUCTING THE AFFAIRS OF THE CORPORATION, EXCEPT AS OTHERWISE PROVIDED BY LAW OR WITHIN CERTAIN BY-LAWS. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS A MEMBERSHIP (NOT A STOCK) CORPORATION UNDER NEW YORK STATE LAW. THE ORGANIZATION'S SOLE CORPORATE MEMBER IS ROCHESTER REGIONAL HEALTH, A RELATED NOT-FOR-PROFIT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B ROCHESTER REGIONAL HEALTH, AS THE SOLE CORPORATE MEMBER, ALSO HAS THE RIGHT TO APPROVE OR RATIFY SIGNIFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY, INCLUDING AMENDMENT OF BYLAWS AND CHARTERS, REMOVAL OF MEMBERS OF THE GOVERNING BODY, AND THE DECISION TO DISSOLVE THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, A COPY OF THE FORM 990 IS PROVIDED TO, AND REVIEWED WITH, ALL MEMBERS OF THE AUDIT AND COMPLIANCE COMMITTEE. THIS REVIEW IS PERFORMED IN CONSULTATION WITH THE ORGANIZATION'S TAX ADVISORS, AND IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS AND OTHER RELEVANT INFORMATION FOR THE APPROPRIATE TIME PERIOD. FORM 990, PART VI, SECTION B, LINE 12C UPON EMPLOYMENT, ALL EMPLOYEES RECEIVE THE ETHICAL STANDARD OF CONDUCT BOOKLET FOR WHICH THEY SIGN A RECEIPT OF ACKNOWLEDGEMENT. CONFLICT OF INTEREST EDUCATION IS CONDUCTED ANNUALLY FOR ALL EMPLOYEES. CONFLICT OF INTEREST IS DEFINED, AS IS MANAGEMENT OF A CONFLICT OF INTEREST. EMPLOYEES ARE REQUIRED TO DISCLOSE AND SEEK RESOLUTION TO ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST BEFORE TAKING A POTENTIALLY IMPROPER ACTION. ANNUALLY, EACH KEY EMPLOYEE, DIRECTOR AND OFFICER OF THE ORGANIZATION IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE FORM, PROVIDING MANAGEMENT WITH SUFFICIENT INFORMATION ABOUT HIS/HER PERSONAL INTERESTS AND RELATIONSHIPS SO THAT MANAGEMENT CAN: (1) DETERMINE WHETHER ANY ACTUAL OR PERCEIVED CONFLICT OF INTEREST EXISTS, AND (2) MONITOR WORK ASSIGNMENTS TO AVOID PLACING THE KEY EMPLOYEE OR OFFICER IN A POSITION WHERE THERE MAY BE A QUESTION AS TO HIS/HER OBJECTIVITY AS WELL AS TO AVOID ANY APPEARANCE OF IMPROPRIETY. THROUGHOUT THE YEAR, KEY EMPLOYEES, OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE ALSO REQUIRED TO NOTIFY MANAGEMENT PROMPTLY IF ANY CHANGE TO THEIR DISCLOSURES OCCURS. IN ADDITION, EACH MEMBER OF THE BOARD OF DIRECTORS MUST ALSO COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE FORM, WHICH MUST BE SUBMITTED TO THE GENERAL COUNSEL. BOARD MEMBERS LEAVE THE ROOM DURING DISCUSSIONS AND ABSTAIN FROM VOTING WHEN THEY HAVE A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S OFFICER AND KEY EMPLOYEE COMPENSATION ARRANGEMENTS ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE. INFORMATION REVIEWED FOR THE OFFICER/KEY EMPLOYEE INCLUDES COMPARABLE DATA FROM SIMILAR SIZE TAX-EXEMPT ORGANIZATIONS IN THE WESTERN/CENTRAL NY COMMUNITY AS WELL AS COMPENSATION FOR THESE POSITIONS (AS DISCLOSED ON FORM 990) WITH OTHER ORGANIZATIONS IN THE HEALTHCARE INDUSTRY THAT ARE OF SIMILAR SIZE, DEMOGRAPHICS AND GEOGRAPHY. REVIEW AND APPROVAL OF THE COMPENSATION ARRANGEMENT BY THE COMPENSATION COMMITTEE IS DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ADMINISTRATIVE OFFICES OF THE AFFILIATED HEALTH SYSTEM AT 100 KINGS HIGHWAY SOUTH, ROCHESTER, NY 14617. A NOMINAL FEE IS CHARGED IF COPIES ARE REQUESTED. FORM 990, PART IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 2,104,792. MANAGEMENT AND GENERAL EXPENSES 296,215. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,401,007. MEDICAL PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 307,324. MANAGEMENT AND GENERAL EXPENSES 43,251. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 350,575. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 67,550. MANAGEMENT AND GENERAL EXPENSES 9,507. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 77,057. FORM 990, PART XI, LINE 9: PENSION ACTUARIAL VALUATION -1,393,859. FMV ADJUSTMENT ON DERIVATIVE INSTRUMENT -314,264. BENEFICIAL INTEREST IN FOUNDATION -83,631. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 5471 FILED ON BEHALF STATEMENT STATEMENT PURSUANT TO TREAS REG SEC 1 6038-2(J)(3) THE FOLLOWING INFORMATION IS SUBMITTED WITH RESPECT TO PARK RIDGE NURSING HOME, INC. DBA PARK RIDGE LIVING CENTER'S FORM 5471 (INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS) FILING REQUIREMENT FOR THE ENTITY BELOW: NAME OF FOREIGN CORPORATION: HEALTH CARE CASUALTY INSURANCE LIMITED, BEGINNING TAX YEAR OF FOREIGN CORPORATION: JANUARY 1, 2020, ENDING TAX YEAR OF FOREIGN CORPORATION: DECEMBER 31, 2020, THE FORM 5471 FILING REQUIREMENT FOR THIS FOREIGN CORPORATION FOR CATEGORIES 4 AND 5 HAVE BEEN SATISFIED BY INCLUSION IN THE FOLLOWING US FILER'S TAX RETURN: NAME OF US FILER: UNITY HEALTH SYSTEM, INC., ADDRESS OF US FILER: 1555 LONG POND ROAD ROCHESTER, NY 14626, EIN OR SSN: 22-2572873, ENDING TAX YEAR OF US FILER: DECEMBER 31, 2020, TYPE OF RETURN FILED: 990, IRS CENTER WHERE RETURN FILED: OGDEN, UTAH 84201-0027. THE ROCHESTER GENERAL HOSPITAL 1425 PORTLAND AVENUE ROCHESTER NY 14621 160743134 HOSPITAL NY 501(C)(3) LINE 3 ROCHESTER REGIONAL HEALTH 1 GRHS FOUNDATION 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 223378111 R/E INV MGMT NY 501(C)(3) LINE 12B, II ROCHESTER REGIONAL HEALTH 1 ROCHESTER REGIONAL HEALTH FOUNDATION 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 222229425 FUNDRAISING NY 501(C)(3) LINE 12B, II ROCHESTER REGIONAL HEALTH 1 NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATION DRIVING PARK AVENUE NEWARK NY 14513 222963015 FUNDRAISING NY 501(C)(3) LINE 12B, II ROCHESTER REGIONAL HEALTH 1 NEWARK WAYNE COMMUNITY HOSPITAL DRIVING PARK AVENUE NEWARK NY 14513 150584188 HOSPITAL NY 501(C)(3) LINE 3 ROCHESTER REGIONAL HEALTH 1 RGHS WORKERS' COMPENSATION TRUST 1425 PORTLAND AVENUE ROCHESTER NY 14621 166429300 SEE PART VII NY 501(C)(3) LINE 12B, II ROCHESTER REGIONAL HEALTH 1 CONTINUING CARE NETWORK INC (CCN) 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 222963016 SUPPORT RGH NY 501(C)(3) LINE 12B, II ROCHESTER REGIONAL HEALTH 1 ROCHESTER GENERAL HUDSON HOUSING 2066 HUDSON AVENUE ROCHESTER NY 14621 223210351 LOW INC HOUSING NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 VIA HEALTH HOME CARE I 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 161504370 HOME HEALTH NY 501(C)(3) LINE 10 CCN 1 VIA HEALTH HOMECARE II 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 161538727 HOME HEALTH NY 501(C)(3) LINE 10 CCN 1 INDEPENDENT LIVING FOR SENIORS 2066 HUDSON AVENUE ROCHESTER NY 14617 161491059 ADULT DAY HC NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 ROCHESTER GENERAL LONG TERM CARE 1550 EMPIRE BLVD WEBSTER NY 14580 223187140 NH & REHAB NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 WESTERN NEW YORK MEDICAL PRACTICE PC 1425 PORTLAND AVENUE ROCHESTER NY 14621 611654232 PHYS PRAC NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 THE UNITY HOSPITAL OF ROCHESTER 1555 LONG POND RD ROCHESTER NY 14626 237221763 HOSPITAL NY 501(C)(3) LINE 3 ROCHESTER REGIONAL HEALTH 1 NORTH PARK NURSING HOME INC 1555 LONG POND RD ROCHESTER NY 14626 223159644 LONG TERM CARE FACILITY NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 PARK RIDGE CHILD CARE CENTER INC 1555 LONG POND RD ROCHESTER NY 14626 222918126 CHILD DAY CARE SERVICES NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 PARK RIDGE HOUSING DEVELOPMENT FUND 1555 LONG POND RD ROCHESTER NY 14626 222608311 LOW INCOME HOUSING PROJECT FOR ELDERLY NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 PARK RIDGE HOUSING INC 1555 LONG POND RD ROCHESTER NY 14626 222570457 SENIOR APARTMENT COMPLEX NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 PARKWAY COMMONS HOUSING DEVELOPMENT 1555 LONG POND RD ROCHESTER NY 14626 223130818 LOW INCOME HOUSING FOR ELDERLY/HANDICAPPED NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 UNITY AGING SERVICES INC 1555 LONG POND RD ROCHESTER NY 14626 841684195 MANAGEMENT AND DEVELOPMENT CO NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 UNITY HOUSING DEVELOPMENT FUND CORP 1555 LONG POND RD ROCHESTER NY 14626 300068596 RECEIPT AND DISBURSEMENTS OF SUBSIDIES NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 WOODLAND VILLAGE INC 1555 LONG POND RD ROCHESTER NY 14626 161588242 SENIOR APARTMENT COMPLEX NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 UNITY AMBULATORY SURGERY CENTER INC 1555 LONG POND RD ROCHESTER NY 14626 383871383 OUTPATIENT SURGERY NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 UNITY HEALTH SYSTEM INC 1555 LONG POND ROAD ROCHESTER NY 14626 222572873 SYSTEM SUPPORT NY 501(C)(3) LINE 12B, II ROCHESTER REGIONAL HEALTH 1 ROCHESTER REGIONAL HEALTH 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 471234999 SYSTEM PARENT NY 501(C)(3) LINE 12B, II N/A 1 UNITED MEMORIAL MEDICAL CENTER 127 NORTH STREET BATAVIA NY 14020 160743029 HOSPITAL NY 501(C)(3) LINE 3 ROCHESTER REGIONAL HEALTH 1 CLIFTON SPRINGS HOSPITAL AND CLINIC 2 COULTER ROAD CLIFTON SPRINGS NY 14432 160743966 HOSPITAL NY 501(C)(3) LINE 3 ROCHESTER REGIONAL HEALTH 1 BEHAVIORAL HEALTH NETWORK INC 490 EAST RIDGE ROAD ROCHESTER NY 14621 166069131 MENTAL HEALTH NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 PRCD INC 1555 LONG POND RD ROCHESTER NY 14626 161311581 SUBSTANCE ABUSE TREATMENT & REHAB. NY 501(C)(3) LINE 7 ROCHESTER REGIONAL HEALTH 1 ROCHESTER GENERAL HEALTH SYSTEM 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 222551509 SYSTEM SUPPORT NY 501(C)(3) LINE 12B, II ROCHESTER REGIONAL HEALTH 1 UNITED MEMORIAL MEDICAL CENTER FOUNDATION 127 NORTH STREET BATAVIA NY 14020 222611543 FUNDRAISING NY 501(C)(3) LINE 12B, II UNITY MEMORIAL MEDICAL CENTER 1 CLIFTON SPRINGS HOSPITAL & CLINIC FOUNDATION 2 COULTER ROAD CLIFTON SPRINGS NY 14432 161560033 FUNDRAISING NY 501(C)(3) LINE 12B, II ROCHESTER REGIONAL HEALTH 1 GENESEE REGION HOME CARE ASSOCIATION INC 100 KINGS HIGHWAY ROCHESTER NY 14617 160844109 HOME HEALTH NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 GENESEE REGION HOME CARE ASSOCIATION OF ONTARIO COUNTY INC 100 KINGS HIGHWAY ROCHESTER NY 14617 223257719 HOME HEALTH NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 NW ASSOCIATES LP PO BOX 111 DRIVING PARK AVENUE NEWARK NY 14513 141674119 R/E LEASING NY NWCH RELATED 0 0 0.73610 PARMA SENIOR HOUSING 1555 LONG POND RD ROCHESTER NY 14626 432082116 HILTON PROJ NY N/A 0 0 UNITY SENIOR HOUSING 1555 LONG POND RD ROCHESTER NY 14626 061709927 MOORE PK NY N/A 0 0 GREATER ROCHESTER ASSURANCE COMPANY LTD GEORGE TOWN GRAND CAYMAN CJ INSURANCE CJ N/A C 1.00000 0 GRACO RISK RETENTION GROUP INC 1425 PORTLAND AVENUE ROCHESTER NY 14621 710933967 INSURANCE SC RGH C 1.00000 0 NWA INC DRIVING PARK AVENUE NEWARK NY 14513 141667339 R/E LEASING NY NWCH C 1.00000 0 GREATER ROCHESTER INDEPENDENT PRACTICE ASSOCIATION INC 100 KINGS HWY S SUITE 2500 ROCHESTER NY 14617 161507171 INDEPENDENT PRACTICE ASSOCIATION NY N/A C 0.50000 0 ROCHESTER GENERAL HEALTH SYSTEM DIALYSIS INC 1425 PORTLAND AVENUE ROCHESTER NY 14621 383912199 DIALYSIS NY RGHS C 1.00000 0 ACM MEDICAL LABORATORY INC 160 ELMGROVE PARK ROCHESTER NY 14624 161059691 CLINICAL LAB NY PRH INC C 0 PRH INC 1555 LONG POND ROAD ROCHESTER NY 14626 161329632 MEDICAL LAB NY ROCHESTER REGIONAL HEALTH C 0 GREATER ROCHESTER IMMEDIATE MEDICAL CARE PLLC DBA ROCHESTER IMMEDIATE CARE 265 BROOKVIEW CENTRE WAY SUITE 400 KNOXVILLE TN 37919 271453784 URGENT CARE CENTERS TN WESTERN NEW YORK MEDICAL PC C 0 ROCHESTER MEDICINE PLLC 265 BROOKVIEW CENTRE WAY SUITE 400 KNOXVILLE TN 37919 812625325 OCCUPATIONAL MEDICINE TN WESTERN NEW YORK MEDICAL PC C 0 PARMA SENIOR HOUSING LLC 1555 LONG POND ROAD ROCHESTER NY 14626 810671687 SENIOR HOUSING NY ROCHESTER REGIONAL HEALTH C 0 UNITY SENIOR HOUSING CORP 1555 LONG POND ROAD ROCHESTER NY 14624 061709925 SENIOR HOUSING NY ROCHESTER REGIONAL HEALTH C 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 ROCHESTER REGIONAL HEALTH P 395693 FMV ROCHESTER GENERAL HOSPITAL P 978564 FMV THE UNITY HOSPITAL OF ROCHESTER L 1226480 FMV INDEPENDENT LIVING FOR SENIORS L 126103 FMV THE UNITY HOSPITAL OF ROCHESTER L 700000 FMV SCHEDULE R, PART II, COLUMN (B): RELATED TAX-EXEMPT ORGANIZATION - PRIMARY ACTIVITY: RGHS WORKERS' COMPENSATION TRUST SUPPORTS THE ROCHESTER GENERAL HOSPITAL, NEWARK WAYNE COMMUNITY HOSPITAL, ROCHESTER GENERAL LONG TERM CARE, INDEPENDENT LIVING FOR SENIORS, VIAHEALTH HOMECARE I, VIAHEALTH HOMECARE II, BEHAVIORAL HEALTH NETWORK, INC, CLIFTON SPRINGS HOSPITAL & CLINIC, UNITY HOSPITAL OF ROCHESTER, UNITED MEMORIAL MEDICAL CENTER, GENESEE REGION HOME CARE ASSOCIATION AND GENESEE REGION HOME CARE OF ONTARIO COUNTY.