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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT NESSELBUSH</PersonNm>
        <TitleTxt>FORMER COO</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>112780</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>773348</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>351248</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>3210527</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>5454142</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>3841493</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>54</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DGA BUILDERS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1170 PITTSFORD VICTOR RD</AddressLine1Txt>
            <CityNm>PITTSFORD</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14534</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION SERVICES</ServicesDesc>
        <CompensationAmt>183830</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SCRIBEAMERICA LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 417756</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02241</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>AGENCY SERVICES</ServicesDesc>
        <CompensationAmt>169320</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>70505</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>11145359</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>6435</AllOtherContributionsAmt>
      <TotalContributionsAmt>11222299</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT REVENUE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>95978200</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>95978200</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>95978200</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>2776744</TotalRevenueColumnAmt>
        <ExclusionAmt>2776744</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>68557</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>68557</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>68557</TotalRevenueColumnAmt>
        <ExclusionAmt>68557</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>28678262</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>26996508</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>1681754</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>1681754</TotalRevenueColumnAmt>
        <ExclusionAmt>1681754</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA SALES</Desc>
        <BusinessCd>445110</BusinessCd>
        <TotalRevenueColumnAmt>174376</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>174376</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>LOSS ON EXTINGUISHMENT OF DEBT</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>-452476</TotalRevenueColumnAmt>
        <ExclusionAmt>-452476</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>843414</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>843414</RelatedOrExemptFuncIncomeAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>565314</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>112292868</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>96995990</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>4074579</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1218084</TotalAmt>
        <ProgramServicesAmt>1027982</ProgramServicesAmt>
        <ManagementAndGeneralAmt>190102</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>53657503</TotalAmt>
        <ProgramServicesAmt>47786768</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5870735</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>2887000</TotalAmt>
        <ProgramServicesAmt>2366070</ProgramServicesAmt>
        <ManagementAndGeneralAmt>520930</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>4136970</TotalAmt>
        <ProgramServicesAmt>3390495</ProgramServicesAmt>
        <ManagementAndGeneralAmt>746475</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>2936408</TotalAmt>
        <ProgramServicesAmt>2406563</ProgramServicesAmt>
        <ManagementAndGeneralAmt>529845</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>56922</TotalAmt>
        <ProgramServicesAmt>49910</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7012</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>7500</TotalAmt>
        <ProgramServicesAmt>6576</ProgramServicesAmt>
        <ManagementAndGeneralAmt>924</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>11749</TotalAmt>
        <ProgramServicesAmt>11749</ProgramServicesAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>11693328</TotalAmt>
        <ProgramServicesAmt>9581264</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2112064</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>2513</TotalAmt>
        <ProgramServicesAmt>2513</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>528301</TotalAmt>
        <ProgramServicesAmt>503429</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24872</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>2579730</TotalAmt>
        <ProgramServicesAmt>2458276</ProgramServicesAmt>
        <ManagementAndGeneralAmt>121454</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>56503</TotalAmt>
        <ProgramServicesAmt>53843</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2660</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>14428</TotalAmt>
        <ProgramServicesAmt>13749</ProgramServicesAmt>
        <ManagementAndGeneralAmt>679</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>341645</TotalAmt>
        <ProgramServicesAmt>265421</ProgramServicesAmt>
        <ManagementAndGeneralAmt>76224</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>3686116</TotalAmt>
        <ProgramServicesAmt>2834623</ProgramServicesAmt>
        <ManagementAndGeneralAmt>851493</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>710255</TotalAmt>
        <ProgramServicesAmt>622361</ProgramServicesAmt>
        <ManagementAndGeneralAmt>87894</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>13465134</TotalAmt>
        <ProgramServicesAmt>12831195</ProgramServicesAmt>
        <ManagementAndGeneralAmt>633939</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SHARED SERVICES</Desc>
        <TotalAmt>6502937</TotalAmt>
        <ProgramServicesAmt>6196779</ProgramServicesAmt>
        <ManagementAndGeneralAmt>306158</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LICENSES AND TAXES</Desc>
        <TotalAmt>1319620</TotalAmt>
        <ProgramServicesAmt>1257492</ProgramServicesAmt>
        <ManagementAndGeneralAmt>62128</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>848260</TotalAmt>
        <ProgramServicesAmt>848260</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>398654</TotalAmt>
        <ProgramServicesAmt>381717</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16937</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>107059560</TotalAmt>
        <ProgramServicesAmt>94897035</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12162525</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>4212431</BOYAmt>
        <EOYAmt>18925074</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>2661487</BOYAmt>
        <EOYAmt>3049266</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>40070</BOYAmt>
        <EOYAmt>52424</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>7819379</BOYAmt>
        <EOYAmt>4605749</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>561724</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>95881</BOYAmt>
        <EOYAmt>468452</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>235224</BOYAmt>
        <EOYAmt>241503</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>110391996</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>79401466</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>32298015</BOYAmt>
        <EOYAmt>30990530</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>18751685</BOYAmt>
        <EOYAmt>25387558</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>45881000</BOYAmt>
        <EOYAmt>46549113</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>15416519</BOYAmt>
        <EOYAmt>18792766</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>127411691</BOYAmt>
        <EOYAmt>149624159</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>9412627</BOYAmt>
        <EOYAmt>11317907</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>9517473</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>10057130</BOYAmt>
        <EOYAmt>9366619</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <EscrowAccountLiabilityGrp>
        <BOYAmt>206811</BOYAmt>
        <EOYAmt>251603</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>25238726</BOYAmt>
        <EOYAmt>26041348</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>44915294</BOYAmt>
        <EOYAmt>56494950</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>81196553</BOYAmt>
        <EOYAmt>91672081</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>1299844</BOYAmt>
        <EOYAmt>1457128</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>82496397</BOYAmt>
        <EOYAmt>93129209</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>127411691</BOYAmt>
        <EOYAmt>149624159</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>5233308</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>4622697</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>776807</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <VolunteersInd>0</VolunteersInd>
      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>1</OtherActivitiesInd>
      <OtherActivitiesAmt>11749</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>11749</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT REFLECTED ON PART II-B. LINE 1I REPRESENTS THE PORTION OF MEMBERSHIP DUES PAID TO HEALTHCARE ASSOCIATION OF NYS (HANYS), AMERICAN HOSPITAL ASSOCIATION (AHA), LEADING AGE NEW YORK AND LEADING AGE NATIONAL ATTRIBUTABLE TO LOBBYING ACTIVITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <AgentTrusteeEtcInd>0</AgentTrusteeEtcInd>
      <BeginningBalanceAmt>206811</BeginningBalanceAmt>
      <AdditionsDuringYearAmt>406806</AdditionsDuringYearAmt>
      <DistributionsDuringYearAmt>362014</DistributionsDuringYearAmt>
      <EndingBalanceAmt>251603</EndingBalanceAmt>
      <InclEscrowCustodialAcctLiabInd>1</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>402315</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>402315</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>402315</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>402315</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>402315</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>402315</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>402315</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>402315</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>402315</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>402315</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.00000</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>56981</OtherCostOrOtherBasisAmt>
        <BookValueAmt>56981</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>69283936</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>46422837</DepreciationAmt>
        <BookValueAmt>22861099</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>36780658</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>31654104</DepreciationAmt>
        <BookValueAmt>5126554</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>4270421</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1324525</DepreciationAmt>
        <BookValueAmt>2945896</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>30990530</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>COMMON COLLECTIVE TRUSTS</Desc>
        <BookValueAmt>3778256</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>LIMITED PARTNERSHIP HEDGE FUND</Desc>
        <BookValueAmt>42770857</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>46549113</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>ESTIMATED 3RD PARTY RECEIVABLE</Desc>
        <BookValueAmt>1441751</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>BENEFICIAL INTEREST IN FOUNDATION</Desc>
        <BookValueAmt>7629751</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER INVESTMENTS</Desc>
        <BookValueAmt>1236705</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM AFFILIATES</Desc>
        <BookValueAmt>349783</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLES</Desc>
        <BookValueAmt>737700</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>SELF-INSURANCE ASSETS</Desc>
        <BookValueAmt>7129117</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OPERATING LEASES - RIGHT TO USE ASSETS</Desc>
        <BookValueAmt>267959</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>18792766</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ESTIMATED 3RD PARTY PAYABLES</Desc>
        <Amt>14304053</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED SELF-INSURED LIABILITIES</Desc>
        <Amt>11127281</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASES - RIGHT TO USE LIABILITIES</Desc>
        <Amt>260231</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AFFILIATES</Desc>
        <Amt>349783</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>26041348</TotalLiabilityAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>RESIDENTS HAVE AUTHORIZED DEMAY LIVING CENTER, ATTACHED TO AND A PART OF NEWARK WAYNE COMMUNITY HOSPTIAL, TO MANAGE THEIR PERSONAL FINANCES. THE FACILITY HOLDS, SAFEGUARDS, MANAGES, AND ACCOUNTS FOR PERSONAL FUNDS OF THE RESIDENTS DEPOSITED WITH THE FACILITY. INDIVIDUAL RESIDENT FUNDS ARE DEPOSITED INTO AN INTEREST-BEARING ACCOUNT AND EACH RESIDENT HAS AN INTERNAL ACCOUNTING OF THE BALANCE OF THEIR FUND. EACH RESIDENT IS PROVIDED ON A MONTHLY BASIS AN ACCOUNTING OF THEIR FUND BALANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS INCLUDE: 1) CAPITAL EXPANSION 2) ADVANCEMENT OF MEDICAL EDUCATION AND RESEARCH AND HEALTH CARE SERVICES</ExplanationTxt>
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      <WrittenPolicyInd>1</WrittenPolicyInd>
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      <FPGReferenceDiscountedCareInd>1</FPGReferenceDiscountedCareInd>
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      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>60027658</TotalCommunityBenefitExpnsAmt>
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        <TotalCommunityBenefitExpnsAmt>22826</TotalCommunityBenefitExpnsAmt>
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      <ReimbursedByMedicareAmt>12210589</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>12384327</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-173738</MedicareSurplusOrShortfallAmt>
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        <CostToChargeRatioInd>X</CostToChargeRatioInd>
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      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
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        <EntityName>
          <BusinessNameLine1Txt>1 NW ASSOCIATES LP</BusinessNameLine1Txt>
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        <PhysiciansProfitOrOwnershipPct>0.24900</PhysiciansProfitOrOwnershipPct>
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      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>NEWARK-WAYNE COMMUNITY HOSPITAL</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1200 DRIVING PARK AVENUE</AddressLine1Txt>
          <CityNm>NEWARK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14513</ZIPCd>
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        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <CriticalAccessHospitalInd>X</CriticalAccessHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>NEWARK-WAYNE COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>19</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>0</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>1</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.ROCHESTERREGIONAL.ORG</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>19</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>WWW.ROCHESTERREGIONAL.ORG</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>WWW.ROCHESTERREGIONAL.ORG</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>WWW.ROCHESTERREGIONAL.ORG</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>WWW.ROCHESTERREGIONAL.ORG</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <OtherPublicityInd>X</OtherPublicityInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <NoneMadeInd>X</NoneMadeInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicareInd>X</LookBackMedicareInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>NEWARK-WAYNE COMMUNITY HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: FACILITATED WITH THE ASSISTANCE OF S2AY RURAL HEALTH NETWORK AND COMMON GROUND HEALTH, THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN PARTNERSHIP BETWEEN WAYNE COUNTY PUBLIC HEALTH AND NEWARK WAYNE COMMUNITY HOSPITAL. STARTING IN THE SUMMER OF 2018, REPRESENTATIVES FROM EACH OF THESE ORGANIZATIONS AS WELL AS REPRESENTATIVES FROM A VARIETY OF OTHER COMMUNITY ORGANIZATIONS CONSTITUTE THE WAYNE HEALTH IMPROVEMENT PARTNERSHIP (WHIP), THE OVERSIGHT BODY FOR THE DEVELOPMENT OF THE CHNA. INFORMATION DISCUSSED BY THE WHIP IS SHARED, AS IS APPROPRIATE, WITH HOSPITAL LEADERSHIP AND TO VARIOUS COMMUNITY GROUPS FOR INPUT AND COMMENT.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>NEWARK-WAYNE COMMUNITY HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6B: WAYNE COUNTY PUBLIC HEALTH</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>NEWARK-WAYNE COMMUNITY HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE MOST RECENTLY CONDUCTED CHNA ARE ALL BEING ADDRESSED BY THE HOSPITAL FACILITY. SEE THE DISCLOSURES IN PART VI AS WELL AS THE HOSPITAL FACILITY'S IMPLEMENTATION PLAN FOUND AT WWW.ROCHESTERREGIONAL.ORG FOR MORE INFORMATION.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>NEWARK-WAYNE COMMUNITY HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 16J: ALSO LOCATED IN OUTPATIENT SETTINGS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>12</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - DEMAY LIVING CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>100 SUNSET DRIVE</AddressLine1Txt>
            <CityNm>NEWARK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14513</ZIPCd>
          </USAddress>
          <FacilityTxt>SKILLED NURSING FACILITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - MYERS LAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6692 MIDDLE ROAD SUITE 1100</AddressLine1Txt>
            <CityNm>SODUS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14551</ZIPCd>
          </USAddress>
          <FacilityTxt>LABORATORY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - NEWARK HOSPITAL LAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1200 DRIVING PARK AVENUE</AddressLine1Txt>
            <CityNm>NEWARK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14513</ZIPCd>
          </USAddress>
          <FacilityTxt>LABORATORY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - WILLIAMSON LAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4425 OLD RIDGE ROAD</AddressLine1Txt>
            <CityNm>WILLIAMSON</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14589</ZIPCd>
          </USAddress>
          <FacilityTxt>LABORATORY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>5 - NWH CARDIAC REHAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>111 DRIVING PARK AVENUE</AddressLine1Txt>
            <CityNm>NEWARK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14513</ZIPCd>
          </USAddress>
          <FacilityTxt>NWH SPECIALTY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>6 - NWH SURGICAL ASSOCIATED</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1200 DRIVING PARK AVENUE</AddressLine1Txt>
            <CityNm>NEWARK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14513</ZIPCd>
          </USAddress>
          <FacilityTxt>NWH SPECIALTY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>7 - NWH DEPARTMENT OF SURGERY AT SODUS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6692 MIDDLE ROAD</AddressLine1Txt>
            <CityNm>SODUS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14551</ZIPCd>
          </USAddress>
          <FacilityTxt>NWH SPECIALTY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>8 - NWH JOINT ORTHO CLASS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1200 DRIVING PARK AVENUE</AddressLine1Txt>
            <CityNm>NEWARK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14513</ZIPCd>
          </USAddress>
          <FacilityTxt>NWH SPECIALTY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>9 - NWH LAB WOLCOTT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6256 LAWVILLE ROAD</AddressLine1Txt>
            <CityNm>WOLCOTT</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14590</ZIPCd>
          </USAddress>
          <FacilityTxt>LABORATORY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>10 - NWH PHLEBOTOMY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1200 DRIVING PARK AVENUE</AddressLine1Txt>
            <CityNm>NEWARK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14513</ZIPCd>
          </USAddress>
          <FacilityTxt>NWH SPECIALTY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>11 - NWH RADIOLOGY MYERS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6692 MIDDLE ROAD</AddressLine1Txt>
            <CityNm>SODUS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14551</ZIPCd>
          </USAddress>
          <FacilityTxt>NWH SPECIALTY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>12 - NWH SPEECH PATHOLOGY REHABILITATION</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>111 DRIVING PARK AVENUE</AddressLine1Txt>
            <CityNm>NEWARK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14513</ZIPCd>
          </USAddress>
          <FacilityTxt>NWH SPECIALTY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6A:</FormAndLineReferenceDesc>
        <ExplanationTxt>NEWARK WAYNE COMMUNITY HOSPITAL'S COMMUNITY BENEFIT REPORT IS INCLUDED IN THE COMMUNITY BENEFIT REPORT FOR ROCHESTER REGIONAL HEALTH, A RELATED NOT-FOR-PROFIT ORGANIZATION, AS PART OF THE JOINT COMMUNITY BENEFIT REPORT DISTRIBUTED BY WAYNE COUNTY, NY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COSTING METHODOLOGY USED FOR LINES 7A, B, C AND F WAS FROM BOTH THE HOSPITAL'S 2020 MEDICAID ICR, UTILIZING EXHIBIT 46, AND THE 2020 MEDICARE MCR, UTILIZING WORKSHEETS S-10 AND B, PART I. WORKSHEET 2 WAS USED TO CALCULATE THE RATIO OF PATIENT CARE COST-TO-CHARGES. EXHIBITS 11 AND 46 FROM THE 2020 MEDICAID ICR WERE UTILIZED TO COMPLETE THE CALCULATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7G:</FormAndLineReferenceDesc>
        <ExplanationTxt>NO PHYSICIAN CLINIC COSTS WERE INCLUDED ON LINE 7G.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LN 7 COL(F):</FormAndLineReferenceDesc>
        <ExplanationTxt>TOTAL EXPENSES ON FORM 990, PART IX, LINE 25, COLUMN (A) ARE $107,059,560. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $848,260. AFTER BAD DEBT WAS DEDUCTED FROM TOTAL EXPENSES, THE AMOUNT OF TOTAL EXPENSES USED TO CALCULATE THE PERCENT IN LINE 7, COLUMN (F) WAS $106,211,300.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7E:</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING 2020, NEWARK WAYNE COMMUNITY HOSPITAL (NWCH) SPONSORED THE FOLLOWING EVENTS AND ACTIVITIES TO PROMOTE COMMUNITY HEALTH IMPROVEMENT THAT MEET THE DEFINITION FOR DISCLOSURE ON SCHEDULE H, PART I, LINE 7E (COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS). 2020 WAS A VERY DIFFERENT YEAR GIVEN THE ONSET AND SPREAD OF COVID-19 THROUGHOUT THE STATE AND LOCAL COMMUNITIES. AS A RESULT, THE MAJORITY OF EVENTS WERE HELD VIRTUALLY AND COMMUNITY EDUCATION BECAME THE FOCUS OF THE HOSPITAL AND OVERALL HEALTH SYSTEM. SPECIAL MAMMOGRAM SCREENING AND SELF CARE EVENT - NWCH HELD AN EVENT WHERE WOMEN IN THE COMMUNITY WERE ABLE TO RECEIVE A MAMMOGRAM. THIS EVENT ALSO INCLUDED A FREE WOMEN'S SELF-DEFENSE SEMINAR, MAKEOVERS, CHAIR MASSAGE AND NUTRITIONAL ADVICE.HONEY BEE PROGRAM - NEWARK WAYNE COMMUNITY HOSPITAL HAS JOINED THE OTHER RRH HOSPITALS BY PLAYING HOST TO A NEW UNBEELIEVABLE WORKSPACE FOR SOME NEW WORKER BEES. THE BEEHIVES ON NWCH'S ROOF ARE UNDER THE WATCHFUL EYE OF AN EXPERIENCED BEEKEEPER. THE BEEKEEPER WILL MAINTAIN THE HIVES AND HARVEST THE HONEY WHEN IT'S READY. THIS PROGRAM SUPPORTS ROCHESTER REGIONAL HEALTH'S SUSTAINABILITY MISSION TO STRENGTHEN AND SUPPORT OUR LOCAL ENVIRONMENT. IN ADDITION, OUR BEES WILL MAKE HONEY! THE HONEY WILL BE BOTTLED AND AVAILABLE FOR EMPLOYEES, PATIENTS AND VISITORS TO PURCHASE ONCE HARVEST TIME ARRIVES.EXPANDED MEDICAL SERVICES, BLOOD DRIVES AND OTHER PROGRAMS:- SOCIAL MEDIA SPOTLIGHT - STRIKING A BALANCE: HOW TO JUGGLE DEMANDS OF WORKING ON THE FRONT LINES AND FAMILY LIFE.- NWCH IS NOW HOME TO AN ORTHOPAEDIC ROBOT MAKING NWCH AMONG THE FIRST HOSPITALS IN OUR REGION ABLE TO PERFORM ROBOTIC TOTAL KNEE REPLACEMENTS. IN ADDITION TO THOSE EVENTS SPONSORED SPECIFICALLY BY NEWARK WAYNE COMMUNITY HOSPITAL, ROCHESTER REGIONAL HEALTH, THE PARENT ORGANIZATION, SPONSORED THE FOLLOWING EVENTS AS A MEANS OF IMPROVING THE HEALTH OF ALL OF THE COMMUNITIES SERVED BY THE HEALTH SYSTEM: YOUTH APPRENTICE PROGRAM (SCHOOL-TO-WORK)THE ROCHESTER CITY SCHOOL DISTRICT AND ROCHESTER REGIONAL HEALTH HAVE PARTNERED TOGETHER WITH A VISION TO GIVE HIGH SCHOOL STUDENTS IN THE ROCHESTER CITY SCHOOL DISTRICT THE OPPORTUNITY TO GAIN "REAL-LIFE" EXPERIENCES IN HEALTHCARE. STUDENTS GAIN ACCESS TO THE DIFFERENT POSITIONS WITHIN A HEALTHCARE ORGANIZATION, AND BECOME CERTIFIED BY NEW YORK STATE THAT THEY HAVE HAD YOUTH EMPLOYMENT COMPETENCY TRAINING WHEN THEY EARN THEIR HIGH SCHOOL DIPLOMA. IN THE PAST 10 YEARS, 100% OF STUDENTS WENT THROUGH THIS PROGRAM HAVE GRADUATED HIGH SCHOOL. UPON GRADUATION AND COMPLETION OF THE PROGRAM, PARTICIPANTS ARE ELIGIBLE TO APPLY FOR ENTRY LEVEL POSITIONS AS A PATIENT CARE TECHNICIAN, PEDIATRIC TECHNICIAN, MATERIAL RECORD ASSISTANT, RESPIRATORY CARE AIDE, AND A TRANSPORTER AND LAB ASSISTANT. RIT - ROCHESTER REGIONAL HEALTH ALLIANCEROCHESTER REGIONAL PARTNERS WITH ROCHESTER INSTITUTE OF TECHNOLOGY (RIT) ON MANY INITIATIVES INCLUDING BIOMEDICAL RESEARCH, HEALTHCARE EDUCATIONAL PROGRAMS, RESEARCH AND DEVELOPMENT OF INNOVATIVE TECHNOLOGY, AND OTHER SUSTAINABILITY INITIATIVES WITHIN THE ROCHESTER COMMUNITY. ROCHESTER REGIONAL PROVIDES REAL WORLD EXPERIENCE FOR STUDENTS WHO WILL EXPAND THE CARE WE PROVIDE TO OUR COMMUNITIES. TO LEARN MORE VISIT THE RIT - ROCHESTER REGIONAL HEALTH ALLIANCE WEBSITE. FUTURE OF HEALTH CARE AFTER THE PANDEMIC: RRH'S HEALTH INFORMATICS TEAM PARTICIPATED IN AN RIT-SPONSORED PANEL DISCUSSION AND WEBINAR ON CURRENT EVENTS. LEADING EXPERTS WEIGHED IN ON THE INFLUENCE OF COVID-19, INCLUDING ITS IMPACT ON PATIENT CARE AND TELEMEDICINE. JCC OF GREATER ROCHESTER - ROCHESTER REGIONAL HEALTH ALLIANCE PEDIATRIC DENTIST FROM RRH VISITED THE JCC TO SHARE IMPORTANT TIPS ABOUT BRUSHING WITH SOME OF THE JCC'S YOUNGEST MEMBERS. SEVERAL CLASSES OF CHILDREN, RANGING IN AGE FROM 2-6 YEARS OLD, LEARNED ABOUT HEALTHY FOODS FOR THEIR TEETH, HOW TO BRUSH AND FLOSS, AND THAT THE BABY SHARK SONG IS THE PERFECT LENGTH FOR TIMING BRUSHING ROUTINES. THIS VISIT IS JUST ONE OF THE EDUCATIONAL SEMINARS RRH PROVIDES TO MEMBERS OF THE COMMUNITY AS PART OF OUR PARTNERSHIP WITH THE JCC.URBAN RENEWAL - EDUCATION EXPANSION - RRH HAS STARTED WORK ON ONE OF ITS MOST AMBITIOUS URBAN RENEWAL PROJECTS TO DATE - THE TRANSFORMATION OF THE LONG-ABANDONED MACY'S BUILDING IN THE FORMER MEDLEY CENTER IN IRONDEQUOIT. RENOVATIONS WILL RESULT IN A NEW, EXPANDED SPACE FOR THE ISABELLA GRAHAM HART SCHOOL OF PRACTICAL NURSING AND THE FUTURE RRH COLLEGE OF HEALTH CAREERS. THIS EXPANSION REPRESENTS NOT ONLY OUR COMMITMENT TO THE ADVANCEMENT OF NURSING EDUCATION BUT ALSO OUR LEADERSHIP IN SUSTAINABILITY THROUGH URBAN RENEWAL. RRH WILL TAKE THE LONG-ABANDONED BUILDING AND CREATE A LEADING-CLASS INSTITUTION OF HIGHER LEARNING FOR NURSES AND HEALTH CARE PROFESSIONALS OF THE FUTURE. NURSES OF EVERY DISCIPLINE AND DEGREE LEVEL ARE IN HIGH DEMAND. RRH IS COMMITTED TO ENSURING A CLEAR, NAVIGABLE PATH TO TRAINING AND EDUCATION ACROSS THE NURSING EDUCATION SPECTRUM, BEGINNING WITH THE LPN PROGRAM AND CONTINUING THROUGH OUR NEW REGISTERED NURSE (RN) PROGRAM. SOCIAL MEDIA SPOTLIGHTS AND NEWS FEATURES PROVED TO BE A VITAL COMPONENT DURING THE COVID PANDEMIC YEAR. RRH PREPARED, PARTICIPATED IN AND PRESENTED ON THE FOLLOWING TOPICS THROUGHOUT THE COURSE OF THE YEAR: HEALTH AND SAFETY TIPS FOR STUDENTS STUDYING ABROAD; MEN'S HEALTH AND NEW TECHNOLOGY IN THE TREATMENT OF PROSTATE, KIDNEY AND BLADDER CANCER; OPENING OF THE NEW CENTER FOR CRITICAL CARE; HEART FAILURE TREATMENT; ELECTROPHYSIOLOGY AND HOW PATIENTS CAN STAY IN TUNE WITH THEIR OVERALL HEART HEALTH; TIPS FOR PEOPLE WHO THINK THEY HAVE A HEART CONDITION; STRUCTURAL HEART DISEASES AND THE APPROACHES USED TO TREAT THESE CONDITIONS; HEART DISEASE IN WOMEN; BENEFITS OF POSITIVE THINKING, GRATITUDE AND BEING OPTIMISTIC IN THE WELLNESS OF PATIENTS AND THE SUCCESSFUL OUTCOMES IN THEIR OVERALL CARE; GUIDELINES ON SCREEN TIME FOR KIDS AND HARM THAT CAN BE CAUSED BY OVERUSE; BREAKFAST AND ITS IMPORTANCE FOR THE ENERGY NEEDED TO FOCUS WHILE AT SCHOOL OR WORK; COLORECTAL CANCER SCREENING AND PREVENTION PROGRAM DESIGNED TO EDUCATE AND HELP PREVENT COLORECTAL CANCER IN MEN AND WOMEN; TIPS FOR STARTING A HOME VEGETABLE GARDEN DURING THIS TIME OF SOCIAL DISTANCING; HOW TO HAVE A CONVERSATION WITH CHILDREN ABOUT COVID-19; NECESSITY TO ASSIST PATIENTS AND MEMBERS OF THE COMMUNITY WHO ARE STRUGGLING DURING THIS CRISIS AND BEYOND; A NEW DRIVE-THRU EVALUATION VIDEO TO EDUCATE OUR COMMUNITY AND SHOW THE EXTENSIVE WORK THAT IS HAPPENING TO MEET THE GROWING LOCAL NEED FOR HEALTH CARE SERVICES, INCLUDING COVID-19 SCREENINGS; IN-DEPTH CONVERSATION ON COVID-19, ITS IMPACT ON OUR PEOPLE, ADJUSTMENTS MADE BY OUR HEALTH SYSTEM, THE SAFETY OF OUR COMMUNITY; STEPS TO TAKE IN PREPARING YOUR FAMILY FOR TICK AND MOSQUITO SEASON; EXPANDED COVID-19 TESTING CAPACITY TO INCLUDE AUTOMATED TESTING ON THE ROCHE PLATFORM; CLEANING TIPS FOR COVID-19; KEEPING YOUR CHILD'S BRAIN ACTIVE WHILE MAINTAINING SOCIAL DISTANCING; ADVICE ON HOW TO MAINTAIN GOOD MENTAL HEALTH DURING THE PANDEMIC AND EVERY DAY; HEADACHES, MIGRAINES AND HOW RRH IS UTILIZING CARE NOW TELEHEALTH TO TREAT PATIENTS DURING THE COVID-19 PANDEMIC; AT-HOME SKIN AND HAIR CARE; FIVE RECOVERY TIPS FOR THOSE STRUGGLING WITH SUBSTANCE USE AND SUBSTANCE ABUSE DISORDERS; HELPFUL TIPS ON HOW TO PRACTICE HEALTHY EATING HABITS AT HOME; TOOLS AND MOBILE APPS THAT CAN HELP SUPPORT HEALTHY EATING AND EXERCISE HABITS DURING COVID; HOW TO DIFFERENTIATE BETWEEN COVID-19 SYMPTOMS AND SEASONAL ALLERGIES; HOW TO HAVE A CONVERSATION WITH YOUR FAMILY ABOUT CARE PREFERENCES AND END-OF-LIFE WISHES; CHEMICAL DEPENDENCY TREATMENT OPTIONS DURING COVID-19; PRIMARY CARE OPTIONS DURING COVID-19; SIX TIPS ON AVOIDING ZOOM FATIGUE AND STAYING HEALTHY WHEN USING VIDEO CHATS; AND NUMEROUS OTHERS. ROC2025 - ROCHESTER REGIONAL HEALTH HAS ENTERED INTO A PLEDGE AGREEMENT WITH ROC2025 TO CONTRIBUTE $100,000 FOR EACH OF THE NEXT FIVE YEARS. ROC2025 IS AN INNOVATIVE ALLIANCE OF ECONOMIC DEVELOPMENT ORGANIZATIONS DEDICATED TO MAKING GREATER ROCHESTER, NEW YORK ONE OF THE MOST DYNAMIC AND RAPIDLY GROWING REGIONAL ECONOMIES IN THE U.S. IT IS THE MISSION OF ROC2025 TO CREATE NEW JOBS, INCREASE REGIONAL WEALTH, RAISE REGIONAL GDP AND ENHANCE OPPORTUNITY. ROC2025 INVESTS IN A WORLD-CLASS ECONOMIC DEVELOPMENT ECOSYSTEM WHERE INCUMBENT BUSINESSES ARE THRIVING, NEW FIRMS ARE LOCATING, AND THE WORLD'S BEST TALENT IS CHOOSING TO LIVE. THROUGH ROC2025, WE'RE DEDICATING SIGNIFICANTLY MORE RESOURCES TO GROWTH. ENHANCING THE REACH AND IMPACT OF CURRENT EFFORTS, FURTHERING OUR WORK TO EXPAND THE REGIONAL ECONOMY, AND COMPETING MORE EFFECTIVELY FOR JOBS AND INVESTMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7E (CON'T):</FormAndLineReferenceDesc>
        <ExplanationTxt>ROCCOVID - ROCHESTER REGIONAL HEALTH JOINED MONROE COUNTY, THE CITY OF ROCHESTER, UNIVERSITY OF ROCHESTER MEDICAL CENTER AND COMMON GROUND HEALTH TO HELP LAUNCH ROC COVID, A NEW ONLINE HEALTH SCREENING SURVEY TOOL TO HELP PREVENT FURTHER SPREAD OF THE VIRUS THROUGHOUT THE GREATER ROCHESTER AND FINGER LAKES REGION. DATA COLLECTED BY ROCCOVID.ORG WILL ALSO INCREASE UNDERSTANDING OF THE VIRUS, MEASURE EFFORTS TO SLOW ITS PROGRESSION, AND HELP DETERMINE WHERE TO FOCUS TESTING OR ADJUST STAY-AT-HOME AND PHYSICAL DISTANCING REQUIREMENTS. SCIENTISTS AND INFORMATION TECHNOLOGY STAFF FROM RRH AND URMC HELPED DEVELOP THE ONLINE SURVEY, WHICH CONSISTS OF A FEW QUESTIONS THAT RESIDENTS ARE ENCOURAGED TO ANSWER DAILY, EVEN WHEN THEY ARE EXPERIENCING NO SYMPTOMS. SPONSORSHIPS - ROCHESTER REGIONAL HEALTH, AS A SYSTEM, INCLUDING CLIFTON SPRINGS HOSPITAL &amp; CLINIC, IS COMMITTED TO GIVING BACK TO THE COMMUNITY BY SUPPORTING THE MANY ORGANIZATIONS THAT ARE ALREADY WORKING SO HARD TO IMPROVE COMMUNITY HEALTH. AS SUCH, WE PROVIDE RESOURCES TO LOCAL ORGANIZATIONS AND COMMUNITY EVENTS INCLUDING THE AMERICAN HEART ASSOCIATION, THE ROCHESTER PHILHARMONIC ORCHESTRA, JORDAN HEALTH CENTER, YWCA OF ROCHESTER, CENTER FOR YOUTH, THE AMERICAN CANCER SOCIETY, THE AMERICAN DIABETES ASSOCIATION, INTERVOL, GREATER ROCHESTER CHAMBER OF COMMERCE, AND MANY OTHERS.OTHER PROGRAMS AND EVENTS HELD IN SUPPORT OF THE COMMUNITY INCLUDE: - COLLECTING DONATIONS FOR HOMELESS RELIEF DRIVE- EVENT HONORING THE LIFE AND LEGACY OF MARTIN LUTHER KING, JR. - "DIGITAL BEAT" (A TV DISPLAY) LIVE IN ALL FIVE HOSPITALS SHOWCASING NEWS, STORIES AND HELPFUL INFORMATION TO PATIENTS AND VISITORS- IN RESPONSE TO EARTHQUAKES IN PUERTO RICO, RRH REACTIVATED ITS BIENVENIDOS HELP DESK, A CENTRALIZED RESOURCE, TO HELP COORDINATE THE NEEDS OF THOSE DISPLACED BY THE EARTHQUAKES ARRIVING HERE IN ROCHESTER. THE BIENVENIDOS HELP DESK PROVIDES A SINGLE POINT OF CONTACT FOR REFERRALS TO RRH, WHERE PATIENT NEEDS ARE TRIAGED AND ALIGNED WITH THE APPROPRIATE RESOURCES.- EDUCATIONAL PROGRAMS OPEN TO ALL ON TOPICS SUCH AS PROSTATE CANCER; THE OPIOID CRISIS; AND A CARDIOVASCULAR SYMPOSIUM.- RRH UNVEILED THE DATOS HEALTH APP, WHICH WAS DEVELOPED TO REMOTELY MONITOR COVID-19 POSITIVE HEALTH CARE WORKERS AND PATIENTS. THIS WILL ALLEVIATE STRAIN ON THE HEALTH SYSTEM AND PROTECT HEALTHY PEOPLE FROM EXPOSURE, WHILE ENSURING THAT COVID-19 PATIENTS AT HOME RECEIVE HIGH QUALITY MEDICAL CARE AND ATTENTION.- CARE ON THE ROAD PROGRAM BRINGS THE RRH LABORATORY TO THE PATIENT. THE TEAM, WHICH INCLUDES MORE THAN 20 MOBILE PHLEBOTOMISTS, IS AVAILABLE AROUND THE CLOCK. COMBINED, THEY AVERAGE 200 NURSING HOME DRAWS DAILY ACROSS FIVE COUNTIES. THE TEAM'S SINGULAR FOCUS DURING THE COVID-19 PANDEMIC IS TO KEEP PATIENTS, RESIDENTS AND STAFF SAFE. - RRH'S FREE MYCARE APP MAKES COMMUNICATION BETWEEN PATIENTS AND THEIR CARE TEAMS EASIER THAN EVER. IT IS AVAILABLE FOR DOWNLOAD ON ANY MOBILE DEVICE, TABLET OR COMPUTER. APP HIGHLIGHTS FOR PATIENTS INCLUDE THE ABILITY TO: VIEW COVID-19 AND OTHER TEST RESULTS; ACCESS LOCATIONS, PROVIDERS OR SERVICES LISTINGS AND INFORMATION; ASK PROVIDERS A MEDICAL QUESTION THROUGH THE "ASK A MEDICAL QUESTION" SECTION.- DURING A TIME WHEN GETTING INFORMATION OUT TO THE COMMUNITY IS MOST IMPORTANT, RRH LAUNCHED HEALTH HIVE. HEALTH HIVE IS YOUR HOME TO TRUSTED, TIMELY, AND RELIABLE HEALTH CONTENT WRITTEN OR REVIEWED BY ROCHESTER REGIONAL HEALTH DOCTORS AND PROVIDERS. AS THE MOST COMPREHENSIVE HEALTH SYSTEM IN WESTERN NEW YORK AND THE FINGER LAKES REGION, ROCHESTER REGIONAL HEALTH KNOWS HOW IMPORTANT IT IS FOR YOU TO HAVE ACCESS TO HEALTHCARE INFORMATION THAT'S RELEVANT TO YOUR LIFE. HEALTH HIVE IS A HUB OF HEALTH INSIGHTS WRITTEN OR REVIEWED BY OUR DOCTORS AND PROVIDERS THAT SUPPORTS YOU THROUGH EVERY STAGE OF YOUR LIFE JOURNEY.- WHITE COATS FOR BLACK LIVES - RRH STAFF AND PHYSICIANS PARTICIPATED IN A DEMONSTRATION WHERE HEALTHCARE PROFESSIONALS ACROSS THE US KNEEL FOR 9 MINUTES IN SILENT REFLECTION ON THE URGENT NEED TO END RACISM AS A THREAT TO THE HEALTH, SAFETY, AND WELL-BEING OF PEOPLE OF COLOR. RRH IS COMMITTED TO ENSURING RACIAL JUSTICE AND THE WELL-BEING OF COMMUNITIES OF COLOR.- RRH ANNOUNCED AN INTEGRATED SPECIALTY PHARMACY TO ENHANCE CARE FOR PATIENTS WITH CHRONIC AND COMPLEX CONDITIONS. PATIENTS WHO REQUIRE SPECIALTY MEDICATIONS OFTEN FACE FINANCIAL CHALLENGES AND REQUIRE ADDITIONAL SUPPORT TO ADHERE TO THEIR THERAPY REGIMENS. WITH AN INTEGRATED APPROACH IN MIND, RRH DESIGNED THE SPECIALTY PHARMACY TO REDUCE BURDENS AND ENSURE PATIENTS RECEIVE THE HELP THEY NEED. - RRH ANNOUNCED AN AFFILIATION AGREEMENT WITH ST. LAWRENCE HEALTH SYSTEM. OPERATING THROUGHOUT THE NORTH COUNTRY, ST. LAWRENCE HEALTH SYSTEM IS COMPOSED OF THREE HOSPITALS AND A NETWORK OF PRIMARY AND SPECIALTY CARE PRACTICES SERVING A COUNTY POPULATION OF APPROXIMATELY 108,000. THE AFFILIATION BETWEEN OUR TWO SYSTEMS WILL EXPAND AND GROW MEDICAL SERVICES THROUGHOUT THE AREA.- RRH BECAME THE ONLY HEALTH SYSTEM IN THE ROCHESTER AREA TO OFFER ROBOTIC TUBAL REANASTOMOSIS (REVERSE TUBE TYING). RRH HAS BEEN LEADING THE WAY IN MINIMALLY INVASIVE, ROBOTIC-ASSISTED SURGERIES SINCE 2004. ROBOTIC SURGERY AT RRH MEANS LESS TRAUMA TO THE BODY, MINIMIZED BLOOD LOSS, LESS POST-OPERATIVE PAIN, SHORTER HOSPITAL STAYS, LOWER RISK OF INFECTION, FASTER RECOVERY, AND LESS SCARRING. THIS IS JUST ANOTHER ONE OF THE WAYS OUR TEAMS ARE AHEAD OF THE CURVE IN DELIVERING THE BEST POSSIBLE CARE TO OUR PATIENTS AND COMMUNITY.- RRH HAS PARTNERED WITH EMMI, OUR PATIENT EDUCATION PLATFORM, TO PROVIDE AN EXTENSIVE LIBRARY OF VALUABLE RESOURCES. EMMI PROGRAMS HELP PATIENTS AND THEIR FAMILIES BY SIMPLIFYING COMPLEX MEDICAL INFORMATION AND INCREASING KNOWLEDGE ABOUT A CONDITION, PROCEDURE, ETC. THESE RESOURCES ARE EVEN MORE MEANINGFUL AND RELEVANT GIVEN THE CURRENT HEALTH CARE ENVIRONMENT. THROUGH THIS PLATFORM, RRH IS LAUNCHING PATIENT OUTREACH CAMPAIGNS THAT FEATURE INFORMATIVE, DIGESTIBLE EMMI VIDEOS ON TOPICS SUCH AS: HYPERTENSION; COVID-19; DIABETES - EYE EXAM VISIT; MEDICARE WELLNESS VISITS; WHERE TO GO WHEN YOU ARE SICK; CHOOSING A HEALTHCARE PROXY; THINKING ABOUT QUITTING SMOKING. - AT RRH, OUR PHILOSOPHY IS TO MEET AND ACCEPT INDIVIDUALS WHEREVER THEY ARE IN THEIR PATH OF RECOVERY. WE SUPPORT OUR PATIENTS IN RECOGNIZING THE HARMFUL EFFECTS OF CONTINUED ABUSE AND HELP THEM TO ADAPT NEW SKILLS TO MANAGE THEIR ADDICTION. IN HONOR OF NATIONAL RECOVERY MONTH, WE THANK OUR DEDICATED HEALTH CARE PROFESSIONALS WHO PROVIDE SUPPORT FOR THOSE ON THEIR ROAD TO RECOVERY, AND CELEBRATE THE GAINS MADE BY THOSE IN RECOVERY.- IN HONOR OF HISPANIC HERITAGE MONTH, RRH CELEBRATES CULTURAL DIVERSITY OF OUR RRH FAMILY AND THE COMMUNITIES WE SERVE. AS WE HONOR HISPANIC HERITAGE, LET'S ALSO RENEW OUR COMMITMENT TO ENSURING THAT EVERY MEMBER OF OUR COMMUNITY ENJOYS ROBUST ACCESS TO THE HIGHEST QUALITY AND MOST AFFORDABLE CARE, DELIVERED WITH KINDNESS, INTEGRITY, AND RESPECT.- IN HONOR OF BREAST CANCER AWARENESS MONTH, RRH STAFF WORE PINK AND PROVIDED MAMMOS &amp; MAKEOVERS-TO-GO. FOR THIS TWO DAY EVENT, WOMEN WHO ATTEND RECEIVED A MAMMOGRAM SCREENING AND COMPLIMENTARY SELF-CARE ITEMS FOR PAMPERING AT HOME. - RRH DIVERSITY, EQUITY &amp; INCLUSION LEADERS HELD A COMMUNITY CONVERSATION ON THE COVID-19.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>AT ROCHESTER REGIONAL HEALTH, WE UNDERSTAND THAT THE HEALTH OF OUR COMMUNITY, ENVIRONMENT, AND FINANCES ARE ALL INTERTWINED. WE'RE MANAGING ALL OF OUR RESOURCES TO REDUCE OUR OVERALL ENVIRONMENTAL FOOTPRINT AND LEAD SUSTAINABILITY EFFORTS IN THE NORTHEAST. HOSPITALS CAN USE MORE THAN DOUBLE THE AMOUNT OF ENERGY AS COMMERCIAL BUILDINGS AND ON AVERAGE GENERATE MORE THAN THIRTY-THREE POUNDS OF WASTE PER PATIENT PER DAY - WE'RE MAKING ROCHESTER REGIONAL HEALTH THE EXCEPTION.OUR SUSTAINABILITY DEPARTMENT IS DEDICATED TO HELPING IMPROVE THE HEALTHCARE EXPERIENCE, ENSURE A HEALTHY ENVIRONMENT, AND LOWER HEALTHCARE COSTS. WE'RE REDUCING WASTE, ELIMINATING TOXINS, AND CREATING A MORE SUSTAINABLE COMMUNITY NOW AND FOR THE FUTURE. A FEW OF THE MANY SUSTAINABILITY PROJECTS AN INITIATIVES UNDERWAY AT NEWARK WAYNE COMMUNITY HOSPITAL DURING 2020 INCLUDE:LIGHTING UPGRADES - ROCHESTER REGIONAL CONTINUES TO EXPAND ENERGY EFFICIENCY THROUGH LIGHTING UPGRADES IN OUR BUILDINGS. THE PURPOSE OF LIGHTING UPGRADES ARE TO REDUCE OVERALL FINANCIAL AND ENERGY COSTS ASSOCIATED WITH ONE OF THE LARGEST ENERGY CONSUMERS IN A BUILDING: LIGHTING. LIGHTING UPGRADES INVOLVE SWITCHING OUT EXISTING INEFFICIENT BULBS/FIXTURES WITH MORE EFFICIENT ONES. THIS NOT ONLY REDUCES THE AMOUNT OF ENERGY CONSUMED BUT ALSO REDUCES THE ELECTRICITY COST OF THE BUILDING (FROM A SUPPLY CHARGE AND DEMAND CHARGE STANDPOINT) AS WELL AS THE BUILDING'S OVERALL CARBON FOOTPRINT BY REDUCING THE AMOUNT OF ELECTRICITY NEEDED TO BE GENERATED BY THE POWER PLANT.SHARP CONTAINER RECYCLING - THIS PROGRAM WAS ESTABLISHED TO RECYCLE SHARP CONTAINERS RATHER THAN SEND THEM TO THE LANDFILL. THIS PREVENTS LANDFILLS FROM FILLING AS QUICKLY. ADDITIONALLY IT REDUCES THE AMOUNT OF HARMFUL GASES PRODUCED AND RELEASED INTO THE ATMOSPHERE, IMPROVING OVERALL HEALTH OF SURROUNDING COMMUNITIES. REPROCESSING OF SINGLE USE DEVICES - A PROGRAM SET UP TO MINIMIZE THE AMOUNT OF WASTE PRODUCED IN OUR OPERATING ROOMS. SINGLE USE DEVICES WHICH WOULD TYPICALLY BE THROWN AWAY AFTER A SINGLE USE ARE SENT TO A FACILITY IN WHICH THEY ARE CLEANED AND REPACKAGED TO BE USED IN OR'S ONCE AGAIN. THE PROGRAM IS SAFE AND EFFECTIVE AT REDUCING WASTE. THE BENEFITS INCLUDE POTENTIALLY SUBSIDIZED HOSPITAL COSTS (AS REPROCESSED DEVICES ARE LESS EXPENSIVE TO BUY THAN NEW DEVICES) AS WELL AS REDUCED LANDFILL USAGE AND RESULTING POLLUTION.RECYCLING - RECYCLING REDUCES WASTE AND INCREASES AVAILABLE RESOURCES FOR CURRENT GENERATIONS WHILE ALSO EXTENDING THE AMOUNT OF RESOURCES AVAILABLE FOR FUTURE GENERATIONS. DURING 2020, NEWARK WAYNE COMMUNITY HOSPITAL, THROUGH ITS RECYCLING EFFORTS REDUCE WASTE IN LANDFILLS BY 163,920 POUNDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN 2020, THE ORGANIZATION CONTINUED ITS ENHANCED PROCESS FOR OBTAINING ADDITIONAL FINANCIAL INFORMATION FOR UNINSURED AND UNDER-INSURED PATIENTS WHO HAVE NOT SUPPLIED THE REQUISITE INFORMATION TO DETERMINE IF THEY QUALIFY FOR CHARITY CARE. THE ADDITIONAL INFORMATION OBTAINED WAS USED BY THE ORGANIZATION TO DETERMINE WHETHER TO QUALIFY PATIENTS FOR CHARITY CARE IN ACCORDANCE WITH THE ORGANIZATION'S POLICY. THE APPLICATION OF THIS ADDITIONAL INFORMATION IN 2020 RESULTED IN ADDITIONAL PATIENTS QUALIFYING FOR CHARITY CARE AND THUS RE-CLASSIFYING THIS AMOUNT FROM BAD DEBT EXPENSE. BAD DEBT EXPENSE ON PART III, LINE 2 REPRESENTS ESTIMATED UNCOLLECTIBLE CHARGES FOR THOSE PATIENTS UNWILLING, NOT UNABLE, TO PAY.BAD DEBT COSTING METHODOLOGY:THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HOSPITAL FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE HOSPITAL. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE HOSPITAL'S POLICIES.BAD DEBT EXPENSE IS RECORDED USING THE VALUATION METHOD AS OUTLINED IN HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT 15, WHICH REQUIRES BAD DEBT EXPENSE TO BE RECORDED AT THE AMOUNT THAT THE PAYER IS EXPECTED TO PAY. THE PROVISION FOR BAD DEBTS REPRESENTS ESTIMATED UNCOLLECTIBLE CHARGES OF PATIENTS UNWILLING TO PAY. IN 2020, THE ORGANIZATION CONTINUED ITS ENHANCED PROCESS FOR OBTAINING ADDITIONAL FINANCIAL INFORMATION FOR UNINSURED AND UNDERINSURED PATIENTS WHO HAVE NOT SUPPLIED THE REQUISITE INFORMATION TO DETERMINE IF THEY QUALIFY FOR CHARITY CARE. THE APPLICATION OF THIS ADDITIONAL INFORMATION IN 2020 RESULTED IN ADDITIONAL PATIENTS QUALIFYING FOR CHARITY CARE AND A REDUCTION TO BAD DEBT EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICARE COSTING METHODOLOGY: THE ORGANIZATION USED THE FILED 2020 CMS COST REPORT TO DETERMINE THE MEDICARE ALLOWABLE COSTS OF CARE RELATING TO PAYMENTS RECEIVED FROM MEDICARE. MEDICARE SHORTFALLS, WHICH ARE COSTS INCURRED BY THE HOSPITAL TO PROVIDE QUALITY CARE AND TREATMENT TO ITS PATIENTS, SHOULD BE TREATED AS A COMMUNITY BENEFIT. TO NOT INCUR THESE COSTS WOULD POTENTIALLY LIMIT OR EVEN COMPROMISE THE QUALITY OF SERVICE PROVIDED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>AT SUCH TIME THAT A PATIENT EXPRESSES A FINANCIAL CONCERN, THE PATIENT WILL BE OFFERED THE OPPORTUNITY TO APPLY FOR CHARITY CARE. ONCE THE PATIENT SUBMITS THE COMPLETED CHARITY CARE APPLICATION, THE ACCOUNT IS PLACED ON HOLD AND ALL COLLECTION ACTIVITIES ARE SUSPENDED UNTIL AN ELIGIBILITY DETERMINATION IS MADE. IF THE PATIENT IS ELIGIBLE FOR CHARITY CARE, THEN THE PATIENT IS NOTIFIED OF THE LEVEL OF CHARITY CARE AWARDED. IF 100% CHARITY CARE IS AWARDED, THEN NO BILL IS SENT TO THE PATIENT. IF LESS THAN 100% CHARITY CARE IS AWARDED, THEN THE PATIENT WILL RECEIVE A BILL PURSUANT TO THE PRIVATE PAY COLLECTION POLICY. ONLY AFTER PATIENT'S LIABILITY HAS BEEN DETERMINED FOLLOWING PROCESSING OF APPLICATIONS FOR GOVERNMENT ASSISTANCE, CHARITY CARE, AND/OR INSURANCE CARRIER REMITTANCE WILL THE PATIENT STATEMENT BE MAILED FOR PAYMENT RECOVERY. THE HOSPITAL'S COLLECTION PRACTICES SET FORTH IN ITS WRITTEN DEBT COLLECTION POLICY APPLY TO ALL PATIENT TYPES OF THE HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>FACILITATED WITH THE ASSISTANCE OF S2AY RURAL HEALTH NETWORK AND COMMON GROUND HEALTH, THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN PARTNERSHIP BETWEEN WAYNE COUNTY PUBLIC HEALTH AND NEWARK WAYNE COMMUNITY HOSPITAL. STARTING IN THE SUMMER OF 2018, REPRESENTATIVES FROM EACH OF THESE ORGANIZATIONS AS WELL AS REPRESENTATIVES FROM A VARIETY OF OTHER COMMUNITY ORGANIZATIONS CONSTITUTE THE WAYNE HEALTH IMPROVEMENT PARTNERSHIP (WHIP), THE OVERSIGHT BODY FOR THE DEVELOPMENT OF THE CHNA. INFORMATION DISCUSSED BY THE WHIP IS SHARED, AS IS APPROPRIATE, WITH HOSPITAL LEADERSHIP AND TO VARIOUS COMMUNITY GROUPS FOR INPUT AND COMMENT. THE WHIP CONTRACTED WITH S2AY TO AID IN FACILITATION AND PREPARATION OF THIS REPORT. S2AY BEGAN ITS DATA COLLECTION AND ANALYSIS EFFORTS BY FOCUSING ON DATA RELATED TO THE PRIOR CHNA FOR THE REGION AS WELL AS EMERGING ISSUES AS IDENTIFIED BY HOSPITALS AND PUBLIC HEALTH EXPERTS AS WELL AS THE NYS PREVENTION AGENDA. THE PRIMARY AND CONSISTENT SOURCE OF DATA USED TO PRIORITIZE THE HEALTH NEEDS OF THE COMMUNITY WAS THE COUNTY LEVEL DASHBOARDS OF THE NEW YORK STATE PREVENTION AGENDA. IN ADDITION, OTHER KEY SOURCES OF DATA INCLUDING BUT NOT LIMITED TO THE AMERICAN COMMUNITY SURVEY, THE ENHANCED BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, VITAL STATISTICS, COMMUNICABLE DISEASE AND DENTAL REPORTS, PRIMARY DATA COLLECTED FROM THE MY HEALTH STORY 2018 SURVEY AND LOCAL DATA SOURCES SUCH AS WAYNE COUNTY'S SCHOOL STUDENT SURVEY.THE WHIP REVIEWED DATA FROM EACH OF THESE SOURCES AND IN CONJUNCTION WITH S2AY THEY DEVELOPED A PRESENTATION OUTLINING THE HIGHEST NEEDS IN WAYNE COUNTY. KEY PARTNERS AND COMMUNITY MEMBERS WERE INVITED TO ATTEND PRIORITIZATION MEETINGS. AT THE MEETINGS, DATA WERE REVIEWED WHICH INCLUDED A MIX OF QUANTITATIVE, QUALITATIVE, PRIMARY AND SECONDARY DATA ON EACH OF THE FIVE PRIORITY AREAS OUTLINED IN THE NYS PREVENTION AGENDA. S2AY SHARED THIS DATA WITH DIVERSE FOCUS GROUPS THROUGHOUT THE COMMUNITY. THESE MEETINGS WERE USED TO NOT ONLY REVIEW THE DATA BUT ALSO TO GAIN AN UNDERSTANDING OF THE PERCEPTIONS REGARDING THE NEEDS OF THE COMMUNITY. THE PROCESS FOR PRIORITIZING COMMUNITY HEALTH NEEDS AND SERVICES WAS DETERMINED THROUGH LISTENING TO THE OPINIONS OF MEMBERS OF WHIP, SEVERAL COMMUNITY HEALTH EXPERTS AS WELL AS THE FOCUS GROUPS. MEMBERS OF EACH FOCUS GROUP WERE INVITED TO ATTEND THE PRIORITY SETTING MEETING. AFTER THE PRELIMINARY PRIORITY SETTING MEETING WAS HELD, ANOTHER OPPORTUNITY FOR INPUT FROM THE GENERAL PUBLIC WAS PROVIDED. PRELIMINARY PRIORITIES WERE LISTED IN A MEDIA RELEASE AS WELL AS WEBSITES OF THE HOSPITAL AND PUBLIC HEALTH OFFICES. OVERALL, AFTER CONSIDERING THE OPINIONS OF THE WHIP MEMBERS, THE COMMUNITY, THE STATE OF NEW YORK AND THE HEALTH DATA, THE FOLLOWING PRIORITIES WERE IDENTIFIED: PREVENT CHRONIC DISEASE:1. TOBACCO PREVENTION2. CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENT PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS3. PREVENT MENTAL AND SUBSTANCE USE DISORDERSADDITIONALLY, WAYNE COUNTY IS FOCUSING ON LOW INCOME AS THE MAIN DISPARITY IN THIS COMMUNITY HEALTH IMPROVEMENT PLAN. THE 2019-2021 COMMUNITY HEALTH IMPROVEMENT PLAN OUTLINES THE PRIORITIES IDENTIFIED IN THE CHNA AND PROVIDES INTERVENTIONS TO IMPACT THE HEALTH PRIORITIES AS FOLLOWS: PRIORITY 1: PREVENT CHRONIC DISEASE: TOBACCO PREVENTION-- IN AN EFFORT TO PROMOTE TOBACCO-FREE OUTDOOR SPACES, OUTDOOR TOOLKITS WILL BE DEVELOPED AND PROVIDED TO NWCH WHO WILL IN TURN SHARE AND DISSEMINATE THIS INFORMATION TO HEALTHCARE PROVIDERS. ADDITIONALLY, TO INCREASE TOBACCO CESSATION REFERRALS, NWCH WILL CONTINUE TO ENCOURAGE PROVIDERS TO CONSISTENTLY REFER SMOKING PATIENTS TO EVIDENCE-BASED TOBACCO CESSATION PROGRAMS. NWCH, IN PARTNERSHIP OF WHIP, WILL CREATE A "PRESCRIPTION PAD" FOR PROVIDERS TO USE WITH THEIR SMOKING PATIENTS WHO ARE INTERESTED IN QUITTING. - TO SUPPORT THE PROMOTION OF TOBACCO USE CESSATION, NWCH WILL CONTINUE TO ENCOURAGE THEIR NETWORK OF PROVIDERS TO CONNECT THEIR SMOKING PATIENTS TO THE QUIT LINE (OPT-TO-QUIT), BABY &amp; ME TOBACCO FREE AND PUBLIC HEALTH'S TOBACCO CESSATION PROGRAMS. PRIORITY 2: PREVENT CHRONIC DISEASE: INCREASE CANCER SCREENING RATES- - NWCH WILL USE UNIFIED MESSAGING TO PROMOTE AWARENESS AND UTILIZATION OF LUNG CANCER SCREENING SERVICES AVAILABLE AT NWCH. - NWCH WILL USE UNIFIED MESSAGING TO PROMOTE AWARENESS AND UTILIZATION OF BREAST, CERVICAL AND COLORECTAL CANCER SCREENING SERVICES AVAILABLE AT THROUGH THE CANCER SERVICES PROGRAM FOR THE UNINSURED AND UNDER-INSURED. - NWCH WILL INCREASE ACCESS TO MAMMOGRAPHY BY COORDINATING WITH RRH'S MOBILE MAMMOGRAPHY UNIT AND CANCER SERVICES PROGRAM TO SCHEDULE SCREENING EVENTS AND PROMOTE THEM VIA UNIFIED MESSAGING. PROMOTE TO THE COMMUNITY AND WORKSITES TO GENERATE AWARENESS OF AND DEMAND FOR SCREENING EVENTS.PRIORITY 3: PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS: STRENGTHEN OPPORTUNITIES TO BUILD WELL-BEING AND RESILIENCE ACROSS THE LIFESPAN- - ROCHESTER REGIONAL HEALTH AND NWCH ARE PILOTING A PRESCRIPTION FOOD PROGRAM WITH FOODLINK. SERVING PATIENTS AT CANAL PARK FAMILY MEDICINE (MACEDON), NEWARK INTERNAL MEDICINE, SODUS INTERNAL MEDICINE AND ELDERONE (NEWARK), PATIENTS WILL BE GIVEN $30/MONTH TO USE AT FOODLINK'S MOBILE UNIT TO PURCHASE FRESH FRUIT AND VEGETABLES. EDUCATION TO PATIENTS WILL BE PROVIDED AT THE PRACTICES. - ENABLE RESILIENCE FOR PEOPLE LIVING WITH CHRONIC ILLNESS NWCH WILL WORK IN CONJUNCTION WITH OTHER PARTNER AGENCIES TO ASSIST IN THE DEVELOPMENT OF A DIRECTORY OF WELLNESS CLASSES, INCLUDING AT-HOME CLASSES, AND PROMOTE IT TO HEALTHCARE PROVIDERS TO INCREASE WAYNE COUNTY PARTICIPATION IN CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS. ADDITIONALLY, NWCH WILL COLLABORATE WITH WHIP AGENCIES OFFERING EVIDENCE-BASED CHRONIC DISEASE SELF-MANAGEMENT COURSES TO CONTINUE PROMOTING ITS "PRESCRIPTION PAD" USED BY PROVIDERS TO CONVENIENTLY PROVIDE PATIENTS WITH APPROPRIATE SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>ROCHESTER REGIONAL INFORMS INDIVIDUALS OF AVAILABLE FREE OR REDUCED PRICE SERVICES AT THE TIME OF REGISTRATION INTO INPATIENT, OUTPATIENT, AND EMERGENCY DEPARTMENTS. POSTERS INFORMING THE PATIENT/FAMILY OF ASSISTANCE ARE POSTED IN BOTH ENGLISH AND SPANISH AND AVAILABLE THROUGHOUT ROCHESTER REGIONAL LOCATIONS. BROCHURES AND PAMPHLETS, IN BOTH ENGLISH AND SPANISH, INFORMING THE COMMUNITY ARE WIDELY DISTRIBUTED IN THE COMMUNITY AT HEALTH FAIRS, CHURCHES, SCHOOLS AND OTHER PUBLIC LOCATIONS. INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE IS ALSO AVAILABLE THROUGH ROCHESTER REGIONAL'S WEBSITE AND PATIENTS WITH A SELF-PAY BALANCE ARE NOTIFIED OF OUR FINANCIAL ASSISTANCE PROGRAM VIA THE PATIENT'S STATEMENT. ROCHESTER REGIONAL OFFERS SEVERAL INITIATIVES TO HELP INDIVIDUALS IN OUR COMMUNITY ACCESS AFFORDABLE HEALTH CARE, INCLUDING:- FACILITATED ENROLLMENT - TO ASSIST ELIGIBLE INDIVIDUALS WITH HEALTH INSURANCE ENROLLMENT BY OFFERING EDUCATION AND APPLICATION ASSISTANCE FOR MEDICAID, CHILD HEALTH PLUS, FAMILY HEALTH PLUS, PRENATAL CARE ASSISTANCE PROGRAM, AND STATE AID FOR CHILDREN WITH SPECIAL NEEDS. A DEDICATED TELEPHONE NUMBER IS AVAILABLE AND INFORMATION IS PUBLISHED IN PAMPHLETS AT RRH SITES AND AT VARIOUS LOCATIONS THROUGHOUT THE COMMUNITY.- FINANCIAL ASSISTANCE PROGRAM - THE ROCHESTER REGIONAL FINANCIAL ASSISTANCE PROGRAM OFFERS FREE OR REDUCED-PRICES FOR PATIENTS TREATED AT A ROCHESTER REGIONAL HOSPITAL, OUTPATIENT, EMERGENCY ROOM, OR LONG-TERM CARE FACILITY. DISCOUNTS ARE AWARDED BASED UPON INCOME AND ASSET VERIFICATION. INDIVIDUALS WHO DO NOT QUALIFY FOR MEDICAID, CHILD HEALTH PLUS, FAMILY HEALTH PLUS, PRENATAL CARE ASSISTANCE PROGRAM, AND/OR STATE AID FOR CHILDREN WITH SPECIAL NEEDS ARE CONSIDERED FOR FINANCIAL ASSISTANCE (CHARITY CARE).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>NEWARK WAYNE COMMUNITY HOSPITAL IS THE ONLY HOSPITAL IN WAYNE COUNTY AND SERVES A POPULATION PRIMARILY FROM TOWNS AND VILLAGES WITHIN WAYNE COUNTY INCLUDING THE TOWNS OF ARCADIA, ONTARIO, WALWORTH, MACEDON, WILLIAMSON, MARION, PALMYRA, SODUS, SODUS POINT, LYONS, HURON, ROSE, GALEN, SAVANNAH, BUTLER, AND WOLCOTT IN WAYNE COUNTY, AND AREAS OF ONTARIO COUNTY INCLUDING MANCHESTER AND PHELPS. THE MAJORITY OF WAYNE COUNTY IS A SUBSTANTIALLY RURAL LANDSCAPE WITH A LARGE AGRICULTURAL PRESENCE. IN 2020, NWCH PROVIDED CARE TO OVER 15,100 PATIENTS WHO VISITED THE EMERGENCY DEPARTMENT, EXPERIENCED MORE THAN 6,200 INPATIENT/OBSERVATION DISCHARGES AND 75,600 OUTPATIENT ENCOUNTERS. ACCORDING TO THE US CENSUS BUREAU, WAYNE COUNTY IS HOME TO OVER 91,400 RESIDENTS. 11.7% OF WAYNE COUNTY RESIDENTS LIVE BELOW THE FEDERAL POVERTY RATE WITH ANOTHER 17% LIVING NEAR IT. ADDITIONALLY, WAYNE COUNTY IS MORE DIVERSE THAN SURROUNDING COUNTIES WITH 94% OF THE POPULATION IS WHITE WITH THE REMAINDER CONSISTING OF BLACK/AFRICAN AMERICAN, OTHER OR MULTI-RACIAL. THE REGION IS ALSO HOME TO THE LARGEST SEASONAL POPULATION OF MIGRANT AND SEASONAL FARM WORKERS IN NEW YORK STATE, DUE TO THE FACT THAT WAYNE COUNTY IS THE SECOND LARGEST APPLE-PRODUCING COUNTY IN THE NATION. DURING THE MIGRANT FARM SEASON THE POPULATION OF MIGRANT FARM WORKERS - PRIMARILY LATINO AND HISPANIC - SWELLS BY ESTIMATES BETWEEN 8,000 AND 10,000 ADDITIONAL RESIDENTS. THE WAYNE COUNTY PUBLIC HEALTH DEPARTMENT ESTIMATES THAT LESS THAN 8% OF THE COUNTY'S ENTIRE POPULATION IS UNINSURED. HEALTHCARE DELIVERY IN THE COMMUNITY IS ALSO COMPLICATED BY TRANSPORTATION ISSUES, AN AGING POPULATION BASE, AND RURAL ECONOMIC DECLINE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAL STAFFNWCH MEDICAL STAFF HAS MORE THAN 550 CURRENTLY ACTIVE STAFF MEMBERS. THESE PHYSICIANS REPRESENT A BROAD SPECTRUM OF PRIMARY CARE AND SPECIALTY SERVICES. AS AN AFFILIATE OF ROCHESTER REGIONAL HEALTH, OUR PATIENTS HAVE SEAMLESS ACCESS TO ADDITIONAL SPECIALISTS INCLUDING THE WORLD-CLASS PROVIDERS AT THE ROCHESTER HEART INSTITUTE AND THE LIPSON CANCER CENTER BOTH IN PENFIELD AND ROCHESTER.VOLUNTEERS/AUXILIANSMEMBERS OF COMMUNITIES FROM ACROSS WAYNE AND SURROUNDING COUNTIES HAVE ALWAYS PLAYED AN IMPORTANT ROLE IN ADVOCATING FOR, AND OFFERING ASSISTANCE AT NEWARK-WAYNE COMMUNITY HOSPITAL AND DEMAY LIVING CENTER. IN 2020, 52 VOLUNTEERS PROVIDED MORE THAN 2,500 HOURS OF SERVICE AT NEWARK-WAYNE COMMUNITY HOSPITAL/DEMAY LIVING CENTER. ALTHOUGH VOLUNTEER SERVICES CEASED IN MARCH 2020 DUE TO COVID, THE COMMUNITY REMAINS COMMITTED TO PROVIDING ASSISTANCE TO OTHERS. BOARD OF DIRECTORS AND COMMUNITY GUIDANCENWCH ENSURES COMMUNITY CONTROL OVER THE CORPORATION THROUGH ITS BOARD OF DIRECTORS, COMPRISED OF COMMUNITY AND FAITH LEADERS, AND LEADERS IN BUSINESS AND INDUSTRY, HEALTHCARE, AND PHYSICIANS REPRESENTING THE MEDICAL STAFF OF THE ORGANIZATION. THE MAJORITY OF THE DIRECTORS RESIDE IN THE ROCHESTER AREA AND EACH DIRECTOR SERVES A THREE-YEAR TERM.USE OF SURPLUS FUNDSSURPLUS FUNDS ARE USED TO FURTHER THE MISSION AND OPERATIONS OF THE ORGANIZATION, SUCH AS REINVESTING IN COMMUNITY BENEFIT PROGRAMS, AND MAKING IMPROVEMENTS IN FACILITIES, PATIENT CARE, MEDICAL, NURSING AND ALLIED HEALTH TRAINING, EDUCATION AND RESEARCH IN SUPPORT OF THE HEALTH NEEDS OF THE COMMUNITY AS WELL AS USED FOR CHARITY CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>NY</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>ROCHESTER REGIONAL HEALTH (ROCHESTER REGIONAL) (I.E. THE PARENT ORGANIZATION AND ITS RELATED AFFILIATES) HAS PROVIDED HIGH QUALITY HEALTHCARE SERVICES TO THE GREATER ROCHESTER NY AREA AND SURROUNDING REGIONS FOR MORE THAN 160 YEARS. IT IS ONE OF THE LARGEST EMPLOYERS IN ROCHESTER AND AN INTEGRAL PART OF THE COMMUNITY. ROCHESTER REGIONAL HAS A NATIONALLY RECOGNIZED HEART PROGRAM AND A NATIONALLY ACCREDITED CANCER CENTER, AND OFFERS PATIENTS MANY OF THE SAME LEADING EDGE TREATMENT OPTIONS FOUND AT THE COUNTRY'S FINEST MEDICAL CENTERS. FROM SURGERY TO ORTHOPEDICS, WOMEN'S HEALTH TO EMERGENCY CARE, PEOPLE ALL ACROSS WESTERN NY TURN TO ROCHESTER REGIONAL FOR THEIR EXPERIENCE, COMPASSION AND EXPERTISE IN HELPING THEM GET BACK TO LIVING THEIR LIVES. POVERTY TRENDS, COMMUNITY HEALTH RESEARCH AND NEEDS ASSESSMENTS ARE REVIEWED ON A REGULAR BASIS WHILE PLANNING COMMUNITY HEALTH PROGRAMS. ROCHESTER REGIONAL REPRESENTATIVES ARE ACTIVELY ENGAGED IN VARIOUS COMMUNITY HEALTH COLLABORATIONS WITH THE LOCAL HEALTH DEPARTMENTS, STATE HEALTH DEPARTMENT, AND LOCAL NOT-FOR-PROFIT HEALTH AND HUMAN SERVICE AGENCIES, AND ACTIVELY WORKS TO RESPOND TO COMMUNITY PRIORITIES AND DEVELOP PROGRAMS AND SERVICES THAT FILL A GAP OR SUPPLEMENT AN EXISTING PROGRAM. MOST ROCHESTER REGIONAL COMMUNITY HEALTH OUTREACH PROGRAMS ARE OFFERED IN PARTNERSHIP WITH OTHER COMMUNITY ORGANIZATIONS OR GOVERNMENTAL AGENCIES, IN ORDER TO LEVERAGE RESOURCES TO MEET COMMUNITY NEEDS. INFORMATION REGARDING THE AVAILABILITY OF COMMUNITY HEALTH PROGRAMS, ASSISTANCE WITH HEALTH INSURANCE ENROLLMENT AND FINANCIAL ASSISTANCE FOR MEDICAL CARE RECEIVED AT ROCHESTER REGIONAL HOSPITALS, EMERGENCY DEPARTMENTS, OUTPATIENT DEPARTMENTS OR LONG-TERM CARE FACILITIES ARE DISSEMINATED TO THE PUBLIC IN ELECTRONIC (WEBSITE) FORM.FIGHTING COVID-19 DID NOT STOP ROCHESTER REGIONAL FROM REACHING SIGNIFICANT MILESTONES IN STRATEGIC GROWTH. SOME OF WHICH INCLUDE: - DESTINATION CAMPUSES: BETTER SERVICE TO RURAL PATIENTS - ROCHESTER REGIONAL HEALTH'S DESTINATION-CAMPUS STRATEGY BRINGS RURAL PATIENTS EASY, LOCAL ACCESS TO A WIDE RANGE OF HIGHEST QUALITY, COORDINATED PRIMARY AND SPECIALTY CARE SERVICES. OUR NEWLY EXPANDED GENEVA MEDICAL CAMPUS OPENED IN JULY 2020 FOR PATIENTS OF ALL AGES AND HEALTH BACKGROUNDS. ITS SPECIALTY SERVICES INCLUDE ORTHOPEDICS; ORTHOPEDIC URGENT CARE; VASCULAR SURGERY; GENERAL SURGERY; EAR, NOSE &amp; THROAT (ENT); AND OPEN MRI SERVICES - ALL OF WHICH CAN BE COORDINATED THROUGH THE PATIENT'S TRUSTED PRIMARY-CARE PROVIDER. THE GENEVA CAMPUS WILL CONTINUE TO ADD SERVICES THROUGHOUT THE YEAR, INCLUDING ALLERGY &amp; RHEUMATOLOGY; ENDOCRINOLOGY, DIABETES &amp; NUTRITION COUNSELING; AND GASTROENTEROLOGY. IN 2021, OUR GENESEO CAMPUS WILL BRING A SIMILAR RANGE OF SERVICES TO THE GENESEO COMMUNITY. WHEN IT OPENS, THE NEW RRH GENESEO CAMPUS WILL BE AMONG OUR LARGEST DESTINATION MEDICAL CAMPUSES.- OUR PENN FAIR DESTINATION CAMPUS, ALSO TARGETED FOR COMPLETION IN 2021, WILL ADD URGENT CARE AND PEDIATRIC OFFICES TO RENOVATED RETAIL SPACE ALREADY HOUSING LAB AND PRIMARY CARE SERVICES. - OUR STATE-OF-THE-ART SITE AT 330 MONROE AVE. IN ROCHESTER PROVIDES A NEW HOME FOR RRH FOUNDATIONS AND LIFETIME CARE. - OUR RECENTLY SIGNED AFFILIATION AGREEMENT WITH ST. LAWRENCE HEALTH - A NORTH COUNTRY SYSTEM IN NEW YORK OF THREE HOSPITALS AND A NETWORK OF PRIMARY AND SPECIALTY CARE PRACTICES - EXPANDS RRH'S REGIONAL REACH WHILE ENABLING ST. LAWRENCE TO ELEVATE AND GROW ITS MEDICAL SERVICES.EVEN AS WE EXPAND OUR GEOGRAPHIC REACH, FACILITY CAPABILITIES, AND SERVICE LINES, ROCHESTER REGIONAL PURSUES SYSTEM-WIDE INITIATIVES THAT DEFINE WHO WE ARE AND WHAT WE VALUE. THESE INCLUDE ENVIRONMENTAL SUSTAINABILITY; OUR COMMITMENT TO DIVERSITY, EQUITY, AND INCLUSION; AND OUR ONGOING PROMISE TO IMPROVE THE COMMUNITIES WE SERVE. THE OVERALL HEALTH SYSTEM CONTINUES TO GROW THROUGH THE ADDITION OF MEDICAL PRACTICES STRENGTHENING THE SERVICE OFFERINGS TO THOSE THROUGHOUT THE COMMUNITIES WE SERVE. NEW AND EXPANDED SERVICE OFFERINGS INCLUDE: ADDITIONAL PRIMARY CARE SITES; PEDIATRICS AND GERIATRICS. 2020 WAS AN UNPRECEDENTED YEAR. WHEN COVID-19 CAME TO NYS AND SPECIFICALLY INTO OUR SERVICE AREA, RRH RESPONDED BY TAKING MEASURES TO ENSURE THE SAFETY OF OUR PATIENTS, OUR TEAM MEMBERS AND OUR COMMUNITY. THE ACTIONS TAKEN IN RESPONSE TO COVID INCLUDED:- RRH SPONSORED A TOTAL OF 8 TESTING SITES INCLUDING BOTH DRIVE THRU AND IN-HOUSE OPTIONS OPEN TO PATIENTS, STAFF AND THE COMMUNITY. THESE SITES COVERED ALL OF THE COUNTIES WITHIN OUR SERVICE AREA. - RRH PARTICIPATED IN SEVERAL COVID-19 CLINICAL AND VACCINE TRIALS.- RRH VACCINATED OVER 8,000 PEOPLE THROUGH ITS 8 VACCINE SITES OPEN TO PATIENTS, STAFF AND THE OVERALL COMMUNITY. AGAIN, COVERING ALL OF THE COUNTIES WITHIN OUR SERVICE AREA. - RRH PROVIDED ONGOING EDUCATION REGARDING COVID-19 AND VACCINE ON MULTIPLE PLATFORMS INCLUDING: SOCIAL MEDIA, WEBSITE, MYCARE PATIENT PORTAL, PHONE MESSAGING, E-NEWSLETTER. MORE SPECIFICALLY:- RRH DEVELOPED THE "HEALTH HIVE," AN ONLINE PORTAL TO ARTICLES AND HELPFUL HINTS IN DEALING WITH THE PANDEMIC CHALLENGES. DURING 2020, 95 ARTICLES WERE PUBLISHED RELATING TO COVID COVERING AREAS THAT INCLUDED: HOW TO SLOW THE SPREAD; HOW TO KEEP YOU AND YOUR FAMILY SAFE; IMPACT OF COVID ON VARIOUS TYPES OF UNDERLYING CONDITIONS; AND MANY OTHERS. - RRH PARTICIPATED IN OVER 800 NEWS ARTICLES, SPECIAL REPORTS, AND INTERVIEWS OVER A VARIETY OF MEDIUMS INCLUDING TV, RADIO AND PRINTED NEWS ARTICLES. ADDITIONALLY, RRH MADE OVER 2,500 SOCIAL MEDIA POSTS ACROSS MULTIPLE PLATFORMS INCLUDING FACEBOOK, INSTAGRAM, TWITTER AND LINKEDIN. - THE RRH DIVERSITY, EQUITY AND INCLUSION OFFICE HOSTED CONVERSATIONS WITH VARIOUS COMMUNITY AND CHURCH GROUPS. ATTENDEES HAVE JOINED FROM ROCHESTER AND ALSO THROUGHOUT OTHER PARTS OF THE US. - RRH HAS PRODUCED PROVIDER VIDEOS: MYTH BUSTING SERIES WITH DR. PICHICHERO ON THE VACCINES AND COMMON QUESTIONS/MYTHS- RRH HAS ALSO PRODUCED ANIMATION VIDEOS: CREATED AND PUSHED OUT TO HELP EXPLAIN THE VACCINES IN A WAY THAT IS EASIER FOR THE GENERAL PUBLIC TO UNDERSTAND- RRH ESTABLISHED AND MAINTAINED COLLABORATIVE PARTNERSHIPS TO ENSURE THOSE MOST VULNERABLE IN OUR COMMUNITY WERE WELL SERVED INCLUDING:- COMMUNITY 1A ELIGIBLE DRIVE-THRU CLINIC; IN PARTNERSHIP WITH FINGER LAKES VACCINE HUB- FQHC AND SAFETY NET POPULATIONS- POP-UP CLINIC FOR LATINX COMMUNITY AT THE JACKSON R-CENTER (COMMUNITY RECREATION CENTER)- ONGOING SUPPORT FOR LOCAL HEALTH DEPARTMENT RUN CLINICS, SUCH AS GENESEE COUNTY AND WAYNE COUNTY - TONAWANDA RESERVATION PARTNERSHIP - GENESEE COMMUNITY COLLEGE CLINIC - REGIONAL HEALTH REACH PROGRAM</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6 (CON'T):</FormAndLineReferenceDesc>
        <ExplanationTxt>ROCHESTER GENERAL HOSPITAL (RGH), THE FLAGSHIP OF ROCHESTER REGIONAL HEALTH, IS A REGIONAL LEADER IN HEALTH CARE. THIS 528-BED ACUTE CARE, TEACHING HOSPITAL SERVES THE GREATER ROCHESTER, NY REGION AND BEYOND. ROCHESTER GENERAL HOSPITAL'S NATIONALLY RECOGNIZED PROGRAMS HAVE CONSISTENTLY DEMONSTRATED QUALITY OUTCOMES THAT POSITIVELY IMPACT PATIENTS, THEIR FAMILIES AND THE ENTIRE COMMUNITY. ROCHESTER GENERAL HOSPITAL PROVIDES CARE TO MORE MONROE COUNTY RESIDENTS THAN ANY OTHER HOSPITAL IN THE REGION AND, AS A TERTIARY CARE FACILITY, HAS STRONG REFERRAL RELATIONSHIPS WITH SEVERAL REGIONAL HOSPITALS. ROCHESTER GENERAL HOSPITAL OFFERS A FULL ARRAY OF SERVICES TO MEET THE MEDICAL NEEDS OF UPSTATE NEW YORK, INCLUDING NATIONALLY RECOGNIZED PROGRAMS IN CARDIAC, CANCER, ORTHOPEDIC, VASCULAR, SURGICAL, STROKE AND DIABETES CARE. RGH IS HOME TO A NUMBER OF CENTERS OF EXCELLENCE INCLUDING THE LIPSON CANCER INSTITUTE AND THE SANDS-CONSTELLATION HEART INSTITUTE. HIGH QUALITY CLINICAL CARE PROVIDED AT ROCHESTER GENERAL HOSPITAL IS AMPLIFIED BY RELATIONSHIPS AND AFFILIATIONS WITH NATIONALLY RENOWNED INSTITUTIONS SUCH AS THE CLEVELAND CLINIC (FOR CARDIAC CARE) AND ROSWELL PARK CANCER INSTITUTE.AS WITH THE OVERALL HEALTH SYSTEM, ROCHESTER GENERAL HOSPITAL WORKS TIRELESSLY TO EXPAND CARE AND IMPROVE ITS FACILITIES AND BRING STATE-OF-THE-ART MEDICAL EQUIPMENT AND PROCEDURES TO OUR PATIENTS AND COMMUNITY. DURING 2020 SOME OF THE MAJOR IMPROVEMENTS INCLUDE THE FOLLOWING:- RGH OPENED THE SANDS-CONSTELLATION CENTER FOR CRITICAL CARE, A SEVEN-STORY, 312,000 SQUARE FOOT FACILITY THAT FEATURES PRIVATE ROOMS FOR ALL PATIENTS, 23 MULTI-DISCIPLINARY OPERATING ROOMS, 108 PRIVATE ACUITY-ADAPTABLE PATIENT ROOMS, 20 PRIVATE POST-PARTUM ROOMS, AND 14 SPECIAL CARE NURSERY ROOMS.- RGH WAS SELECTED AS THE FIRST HOSPITAL IN THE NORTHEAST, AND ONLY ONE OF TEN IN THE NATION, TO INITIALLY OFFER THE NEW MEDTRONIC ABRE VENOUS SELF-EXPANDING STENT SYSTEM TO PATIENTS WITH DEEP VEIN BLOCKAGES. THE FLEXIBLE, SELF-EXPANDING STENT ALLOWS DOCTORS TO TREAT MORE PATIENTS WITH THIS DISEASE THAN EVER BEFORE. THIS NEW, INNOVATIVE TREATMENT OPTION HELPS PATIENTS RESTORE THEIR MOVEMENT, BLOOD FLOW, AND QUALITY OF LIFE.- RGH'S SANDS-CONSTELLATION HEART INSTITUTE BRINGS THE LATEST IN STATE-OF-THE-ART TECHNOLOGY TO OUR PATIENTS WITH A NEW CARDIAC PET/CT PROGRAM. IN ADDITION TO EXISTING SERVICES, THE PROGRAM INCLUDES CARDIAC MYOCARDIAL PERFUSION IMAGING SOMETHING ONLY OFFERED IN THE REGION BY RRH. - AS PART OF OUR CONTINUED EFFORTS TO PROVIDE EXCEPTIONAL NEUROLOGIC CARE, RRH'S NEUROSCIENCE INSTITUTE SHOWED OFF ITS NEWLY UPDATED SURGICAL INTENSIVE CARE UNIT &amp; NEUROCRITICAL CARE UNIT AT ROCHESTER GENERAL HOSPITAL.- RGH OPENED THE WOLFGANG PUCK KITCHEN COUNTER. OPEN FOR BREAKFAST, LUNCH AND DINNER, THE CAFE OFFERS GUESTS AND EMPLOYEES A VARIETY OF HOT AND COLD FOOD ITEMS INCLUDING SIGNATURE WOLFGANG PUCK DISHES LIKE ROTISSERIE CHICKEN, BEEF RIBEYE, THE WOLFGANG PUCK BURGER AND ASIAN CHICKEN SALAD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6 (CON'T):</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING 2020, ROCHESTER GENERAL HOSPITAL WAS RECOGNIZED BY THE FOLLOWING:- HEALTHGRADES - FOR THE SECOND YEAR IN A ROW, RGH WAS NAMED ONE OF THE TOP 50 HOSPITALS IN THE NATION AND THE ONLY HOSPITAL IN UPSTATE NEW YORK. THIS RECOGNITION IS AWARDED TO THE TOP 1% OF HOSPITALS THAT CONSISTENTLY EXHIBIT EXCEPTIONAL, COMPREHENSIVE, HIGH-QUALITY CARE FOR SIX OR MORE CONSECUTIVE YEARS ACROSS A BROAD SPECTRUM OF CONDITIONS AND PROCEDURES. - HEALTHGRADES ALSO NAMED RGH AMONG AMERICA'S 100 BEST HOSPITALS FOR STROKE CARE, GASTROINTESTINAL CARE, CRITICAL CARE, AND GENERAL SURGERY. RGH ALSO WON 2020 EXCELLENCE AWARDS IN THESE AREAS, AS WELL AS FOR NEUROSCIENCES AND CRANIAL NEUROSURGERY - CONTINUING A TRADITION OF MULTIPLE YEAR-AFTER-YEAR AWARDS. HEALTHGRADES IS THE LEADING RESOURCE THAT CONNECTS CONSUMERS, PHYSICIANS, AND HEALTH SYSTEMS. IN SELECTING THE 2020 AMERICAS BEST HOSPITALS, HEALTHGRADES ANALYZED THE PERFORMANCE OF NEARLY 4,500 HOSPITALS NATIONWIDE ACROSS 32 CONDITIONS AND PROCEDURES. - BEACON AWARD FOR EXCELLENCE - RGH'S 2000/2800 UNIT ACHIEVED THE AACN (AMERICAN ASSOCIATION OF COLLEGES OF NURSING) GOLD-LEVEL BEACON AWARD FOR EXCELLENCE. ADDITIONALLY, RGH'S 4500 UNIT, 5500 UNIT AND THE RGH MEDICAL INTENSIVE CARE UNIT (MICU) ACHIEVED A SILVER-LEVEL BEACON AWARD. THE ACHIEVEMENT RECOGNIZES HOSPITAL UNITS THAT EMPLOY EVIDENCE-BASED PRACTICE TO IMPROVE PATIENT AND FAMILY OUTCOMES AS WELL AS RECOGNIZES HOSPITAL UNITS THAT EXEMPLIFY EXCELLENCE IN PROFESSIONAL PRACTICE, PATIENT CARE, AND OUTCOMES. RRH NOW HOLDS 26 BEACON AWARDS, - THE MOST OF ANY HOSPITAL SYSTEM IN THE COUNTRY. EACH BEACON AWARD FOR EXCELLENCE IS ACTIVE FOR THREE YEARS. - THE STROKE AND HEART TEAMS AT ROCHESTER GENERAL HOSPITAL EARNED GOLD PLUS HIGH HONORS FROM THE AMERICAN HEART ASSOCIATION, FOR CONTINUING TO PROVIDE IMPECCABLE, AWARD-WINNING CARE TO OUR COMMUNITY.- RGH RECEIVED THE SILVER STANDARD FOR GERIATRIC EMERGENCY DEPARTMENT CARE - LEVEL 2 ACCREDITATION AS PART OF THE GERIATRIC EMERGENCY DEPARTMENT ACCREDITATION (GEDA) PROGRAM FROM THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS. THE GEDA PROGRAM RECOGNIZES EMERGENCY DEPARTMENTS THAT PROVIDE EXCELLENT CARE FOR OLDER ADULTS THROUGH SEVERAL MEASURES, INCLUDING ENHANCED EDUCATION, GERIATRIC-FOCUSED POLICIES AND PROTOCOLS THAT FOCUS ON TRANSITIONS OF CARE, QUALITY IMPROVEMENT EFFORTS, AND OPTIMAL PREPARATION OF THE PHYSICAL ENVIRONMENT.- RGH NAMED BLUE DISTINCTION CENTER PLUS BY EXCELLUS BLUE CROSS BLUE SHIELD - RECOGNIZED FOR DEMONSTRATING EXPERTISE IN DELIVERING HIGH-QUALITY, SPECIALTY PATIENT CARE - SAFELY, EFFECTIVELY AND COST EFFICIENTLY.ADDITIONALLY, ROCHESTER GENERAL HOSPITAL ACHIEVED THE FOLLOWING CERTIFICATIONS AND ACCREDITATIONS DURING 2020:- ROCHESTER GENERAL HOSPITAL HAS ONCE AGAIN EARNED THE HIGHLY PRESTIGIOUS INTERNATIONAL BABY-FRIENDLY DESIGNATION! THIS DESIGNATION, WHICH FOLLOWED A RIGOROUS REVIEW PROCESS BY BABY-FRIENDLY USA, IS A TRIBUTE TO RRH'S COMMITMENT TO ENSURING THAT EVERY WOMAN WHO DELIVERS A BABY AT RGH RECEIVES THE RESOURCES AND INFORMATION NEEDED TO HELP HER AND HER BABY GET THE BEST, HEALTHIEST START IN LIFE.- ROCHESTER GENERAL HOSPITAL ACHIEVED ITS FOURTH CONSECUTIVE DESIGNATION AS A MAGNET HOSPITAL, ALONG WITH FIVE EXEMPLARS FOR INDUSTRY-LEADING PERFORMANCE. MAGNET RECOGNIZES ORGANIZATIONS THAT PROVIDE THE HIGHEST QUALITY CARE. THE RIGOROUS APPRAISAL PROCESS INVOLVES SITE VISITS AND INTERVIEWS, AS WELL AS QUALITY MEASURES DEMONSTRATING NURSING LEADERSHIP AND COORDINATION ACROSS SPECIALTIES. RGH'S REMARKABLE ACHIEVEMENT IS A TESTAMENT TO THE EXCELLENCE OF OUR NURSES AND THE ENTIRE CARE TEAM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6 (CON'T):</FormAndLineReferenceDesc>
        <ExplanationTxt>ROCHESTER GENERAL MEDICAL GROUP (RGMG) OPERATES AS A DIVISION OF RGH. RGMG HAS MORE THAN 40 PRACTICES IN MONROE AND WAYNE COUNTIES WITH SPECIALTIES IN ALLERGY/RHEUMATOLOGY, DERMATOLOGY, DIABETES/ENDOCRINOLOGY, FAMILY MEDICINE, GERIATRICS, INTERNAL MEDICINE, NUTRITION &amp; WEIGHT MANAGEMENT, ORTHOPEDICS, PEDIATRICS, PHYSICAL MEDICINE &amp; REHABILITATION, VASCULAR SURGERY &amp; VEIN CARE AND WOMEN'S HEALTH (OB/GYN). IN ADDITION TO HOSPITAL LOCATIONS, RGMG ALSO OPERATES TWO FULL-SERVICE OUTREACH CAMPUSES AT ALEXANDER PARK AND LINDEN OAKS.UNITY HOSPITAL (UH) IS A 287-BED RECENTLY RENOVATED HOSPITAL LOCATED IN THE TOWN OF GREECE. KEY PROGRAMS AND CENTERS INCLUDE CHEMICAL DEPENDENCY, BRAIN INJURY &amp; REHABILITATION, JOINT REPLACEMENT CENTER, FAMILY BIRTH PLACE, SPINE CENTER, DIABETES CENTER, STROKE CENTER, AND EMERGENCY CENTER. NOT TO BE OUTDONE BY ITS FELLOW AFFILIATES, UNITY HOSPITAL HAS CONTINUED TO EXPAND CARE AND IMPROVE ITS PATIENT FOCUSED SERVICES. DURING 2020 SOME OF THE MAJOR PROGRAM INITIATIVES INCLUDE THE FOLLOWING:- UH CELEBRATED A SYSTEM-FIRST PROCEDURE - A ROBOTIC-ASSISTED LUNG RESECTION. DURING THE ANATOMIC SEGMENTECTOMY, THE CARDIOTHORACIC SURGEON AND TEAM, REMOVED A SECTION OF THE LUNG FROM AN EARLY-STAGE LUNG CANCER PATIENT. THE FIVE-YEAR PROGNOSIS FOR A COMPLETELY RESECTED STAGE 1 LUNG CANCER IS MORE THAN 75%.- AS A LEADER OF CANCER CARE IN THE REGION, ROCHESTER REGIONAL HEALTH'S LIPSON CANCER INSTITUTE AT UNITY HOSPITAL IS PROVIDING CONVENIENT AND ACCESSIBLE CARE TO PATIENTS IN OUR COMMUNITY. MEDICAL ONCOLOGY/HEMATOLOGY AND INFUSION SERVICES ARE NOW LOCATED IN THE PROFESSIONAL OFFICE BUILDING. THE NEW SPACE ALLOWS FOR BETTER COLLABORATION AMONG TEAM MEMBERS AND A TRUE HOME FOR CANCER SERVICES AT UNITY. WORK CONTINUES ON THE NEW RADIATION ONCOLOGY SUITE ONSITE AT UNITY.- RRH PLASTIC SURGERY &amp; HAND CENTER IS NOW OPEN AT UNITY HOSPITAL. OUR TEAM OF EXPERIENCED PLASTIC SURGEONS, REGISTERED NURSES, MEDICAL ASSISTANTS, SURGICAL TECHNICIANS, AND MANAGERIAL PERSONNEL ARE DEDICATED TO DELIVERING QUALITY CARE TO EVERY PATIENT. THE CENTER OFFERS HAND, AND COSMETIC AND RECONSTRUCTIVE PLASTIC SURGERY TREATMENTS USING THE LATEST TECHNOLOGY AND MINIMALLY INVASIVE TECHNIQUES, WHENEVER POSSIBLE, TO ADVANCE HEALING AND MINIMIZE RECOVERY TIME. A COMBINATION OF SURGICAL AND NONSURGICAL OPTIONS IS ALSO AVAILABLE TO MEET PATIENTS' DIVERSE NEEDS.RECOGNITIONS AND AWARDS BESTOWED UPON UNITY HOSPITAL IN 2020 INCLUDE:- BEACON AWARD FOR EXCELLENCE - UH'S THE GOLISANO RESTORATIVE NEUROLOGY AND REHABILITATION CENTER, POST ANESTHESIA CARE UNIT, CARDIAC CATH LAB AND 2300 CARDIAC STROKE UNIT EACH ACHIEVED THE AACN (AMERICAN ASSOCIATION OF COLLEGES OF NURSING) SILVER-LEVEL BEACON AWARD FOR EXCELLENCE. ADDITIONALLY, UNITY HOSPITAL'S INCU UNIT WAS RE-DESIGNATED AS A SILVER-LEVEL BEACON AWARD. THE ACHIEVEMENT RECOGNIZES HOSPITAL UNITS THAT EMPLOY EVIDENCE-BASED PRACTICE TO IMPROVE PATIENT AND FAMILY OUTCOMES AS WELL AS RECOGNIZES HOSPITAL UNITS THAT EXEMPLIFY EXCELLENCE IN PROFESSIONAL PRACTICE, PATIENT CARE, AND OUTCOMES. RRH NOW HOLDS 26 BEACON AWARDS, - THE MOST OF ANY HOSPITAL SYSTEM IN THE COUNTRY. EACH BEACON AWARD FOR EXCELLENCE IS ACTIVE FOR THREE YEARS. - HEALTHGRADES RANKED UNITY HOSPITAL AMONG THE AMERICA'S BEST 250 HOSPITALS, PLACING IT IN THE TOP 5 PERCENT IN OVERALL CLINICAL EXCELLENCE FOR THE CURRENT YEAR. UNITY ALSO WAS NAMED ONE OF AMERICA'S 100 BEST HOSPITALS FOR GENERAL SURGERY, AND WAS RECOGNIZED FOR EXCELLENCE IN CARDIAC CARE, ORTHOPEDICS, PULMONARY CARE, GASTROINTESTINAL SURGERY AND TREATMENT, CRITICAL CARE, LABOR AND DELIVERY, AND GYNECOLOGICAL SURGERY. ADDITIONALLY, UNITY HOSPITAL WAS RANKED AMONG THE TOP 10 PERCENT IN THE NATION FOR JOINT REPLACEMENT. HEALTHGRADES IS THE LEADING RESOURCE THAT CONNECTS CONSUMERS, PHYSICIANS, AND HEALTH SYSTEMS. IN SELECTING THE 2020 AMERICAS BEST HOSPITALS, HEALTHGRADES ANALYZED THE PERFORMANCE OF NEARLY 4,500 HOSPITALS NATIONWIDE ACROSS 32 CONDITIONS AND PROCEDURES. - THE STROKE AND HEART TEAMS AT UNITY HOSPITAL EARNED GOLD PLUS HIGH HONORS FROM THE AMERICAN HEART ASSOCIATION FOR CONTINUING TO PROVIDE IMPECCABLE, AWARD-WINNING CARE TO OUR COMMUNITY.- UNITY HOSPITAL RECEIVED FIVE-STAR RATINGS FROM HEALTHGRADES FOR CHILDBIRTH SERVICES! THE FIVE-STAR RATING REFLECTS OUR TEAMS' COMMITMENT TO PROVIDING THE HIGHEST QUALITY OF CARE TO ALL PATIENTS DURING SOME OF THE MOST PROFOUND MOMENTS IN THEIR LIVES. WE APPRECIATE THE TRUST OUR COMMUNITY PUTS IN US TO TAKE CARE OF THEIR FAMILIES, AND WE ARE PROUD TO RELENTLESSLY PURSUE EVEN MORE EXTRAORDINARY CARE FOR OUR PATIENTS.ADDITIONALLY, UNITY HOSPITAL RECEIVED THE FOLLOWING CERTIFICATIONS AND ACCREDITATIONS DURING 2020:- UH NAMED BLUE DISTINCTION CENTER PLUS BY EXCELLUS BLUE CROSS BLUE SHIELD - RECOGNIZED FOR DEMONSTRATING EXPERTISE IN DELIVERING HIGH-QUALITY, SPECIALTY PATIENT CARE - SAFELY, EFFECTIVELY AND COST EFFICIENTLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6 (CON'T):</FormAndLineReferenceDesc>
        <ExplanationTxt>UNITY MEDICAL GROUP OPERATES AS A DIVISION OF UNITY HOSPITAL. UNITY MEDICAL GROUP HAS 28 OFFICE- AND HOSPITAL-BASED LOCATIONS IN MONROE AND GENESEE COUNTY. THE SERVICES OFFERED BY UNITY MEDICAL GROUP INCLUDE GERIATRICS, PALLIATIVE CARE, SKILLED NURSING HOME SUPPORT, ENDOCRINOLOGY, DENTAL CARE, INTERNAL MEDICINE, PEDIATRICS, FAMILY MEDICINE, OBSTETRICS, GYNECOLOGY, PULMONARY SERVICES, SLEEP SERVICES, INFECTIOUS DISEASE TREATMENT, ORTHOPEDIC SPINE TREATMENT, PROGRESSIVE NEUROVASCULAR SERVICE WITH NEUROLOGY SPECIALTY OUTPATIENT CARE AND ENDOVASCULAR SURGICAL ACUTE CARE. THERE ARE ALSO A SPECIALIZED VASCULAR SURGERY GROUP AND NEPHROLOGY WITH COMPREHENSIVE DIALYSIS SERVICES. NEWARK-WAYNE COMMUNITY HOSPITAL (NWCH) HAS SERVED GENERATIONS OF WAYNE COUNTY RESIDENTS SINCE 1957, AND MANY HAVE BECOME MEMBERS OF OUR GROWING HEALTHCARE FAMILY. WITH NEW, LEADING-EDGE MEDICAL TECHNOLOGY, A DIRECT PARTNERSHIP WITH ROCHESTER REGIONAL HEALTH, AND HIGHLY TRAINED STAFF, NWCH CONTINUES TO GROW IN EVERY ASPECT OF ITS HEALTHCARE DELIVERY. THE HOSPITAL IS LICENSED TO OPERATE 300 BEDS OFFERING SERVICES INCLUDING CARDIOLOGY, OBSTETRICS AND GYNECOLOGY, ORTHOPAEDICS AND PULMONARY CARE, AS WELL AS AN INNOVATIVE TELEMEDICINE PROGRAM. NWCH ALSO OFFERS A FULL ARRAY OF OUTPATIENT SERVICES INCLUDING AN EMERGENCY DEPARTMENT, CARDIAC REHABILITATION, LAB SERVICES, DIAGNOSTIC IMAGING, REHABILITATION SERVICES, AND LAB DRAW STATIONS AND PATIENT IMAGING UNITS IN OTHER PARTS OF WAYNE COUNTY. IN 1997, NWCH ESTABLISHED THE WAYNE COUNTY RURAL HEALTH NETWORK (WCRHN) TO ENCOURAGE GREATER COLLABORATION AMONG HEALTH AND SOCIAL SERVICE AGENCIES WITHIN WAYNE COUNTY IN ORDER TO PROVIDE GREATER ACCESS TO NEEDED SERVICES AND TO DEVELOP INNOVATIVE PROGRAMS TO BETTER MEET IDENTIFIED NEEDS. WCRHN IS ONE OF 35 SUCH NETWORKS IN NYS. NWCH WAS CHOSEN AS A BENCHMARK IN THE SOCIOECONOMIC FACTORS CATEGORY OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) PUBLICATION, COMMUNITY CONNECTIONS: IDEAS &amp; INNOVATIONS FOR HOSPITAL LEADERS: CASE EXAMPLES. ADDITIONALLY, NEWARK-WAYNE IS A NEW YORK STATE-DESIGNATED STROKE CENTER, A NICHE (NURSES IMPROVING CARE FOR HEALTHSYSTEM ELDERS) EXEMPLAR HOSPITAL. REHABILITATIVE AND LONG-TERM CARE SERVICES ARE PROVIDED THROUGH DEMAY LIVING CENTER, AN ATTACHED FACILITY.RECOGNITIONS AND AWARDS GRANTED TO NWCH IN 2020 INCLUDE:- BEACON AWARD FOR EXCELLENCE - NWCH'S INTENSIVE CARE UNIT ACHIEVED THE AACN (AMERICAN ASSOCIATION OF COLLEGES OF NURSING) GOLD-LEVEL BEACON AWARD FOR EXCELLENCE. THE ACHIEVEMENT RECOGNIZES HOSPITAL UNITS THAT EMPLOY EVIDENCE-BASED PRACTICE TO IMPROVE PATIENT AND FAMILY OUTCOMES AS WELL AS RECOGNIZES HOSPITAL UNITS THAT EXEMPLIFY EXCELLENCE IN PROFESSIONAL PRACTICE, PATIENT CARE, AND OUTCOMES.- NWCH NAMED BLUE DISTINCTION CENTER BY EXCELLUS BLUE CROSS BLUE SHIELD - RECOGNIZED FOR DEMONSTRATING EXPERTISE IN DELIVERING HIGH-QUALITY, SPECIALTY PATIENT CARE - SAFELY, EFFECTIVELY AND COST EFFICIENTLY.- NEWARK-WAYNE COMMUNITY HOSPITAL EARNED ITS FIRST MAGNET DESIGNATION, ALONG WITH SIX EXEMPLARS FOR INDUSTRY-LEADING PERFORMANCE. THIS IS A TREMENDOUS ACHIEVEMENT FOR NEWARK-WAYNE, ONE OF VERY FEW RURAL HOSPITALS TO JOIN THE ELITE GROUP OF 461 U.S. HEALTH CARE ORGANIZATIONS, OUT OF MORE THAN 6,300, THAT HAVE ACHIEVED MAGNET RECOGNITION.- HEALTHGRADES NAMED NEWARK-WAYNE COMMUNITY HOSPITAL A FIVE-STAR RECIPIENT IN APPENDECTOMY, COLORECTAL SURGERIES, TREATMENT OF SEPSIS, TREATMENT OF RESPIRATORY FAILURE, AND TREATMENT OF PNEUMONIA. ADDITIONALLY, NEWARK-WAYNE COMMUNITY HOSPITAL RECEIVED FIVE-STAR RATINGS FROM HEALTHGRADES FOR CHILDBIRTH SERVICES. THE FIVE-STAR RATINGS REFLECT OUR TEAMS' COMMITMENT TO PROVIDING THE HIGHEST QUALITY OF CARE TO ALL PATIENTS DURING SOME OF THE MOST PROFOUND MOMENTS IN THEIR LIVES. HEALTHGRADES IS THE LEADING RESOURCE THAT CONNECTS CONSUMERS, PHYSICIANS, AND HEALTH SYSTEMS. IN SELECTING THE 2020 AMERICAS BEST HOSPITALS, HEALTHGRADES ANALYZED THE PERFORMANCE OF NEARLY 4,500 HOSPITALS NATIONWIDE ACROSS 32 CONDITIONS AND PROCEDURES. WE APPRECIATE THE TRUST OUR COMMUNITY PUTS IN US TO TAKE CARE OF THEIR FAMILIES, AND WE ARE PROUD TO RELENTLESSLY PURSUE EVEN MORE EXTRAORDINARY CARE FOR OUR PATIENTS.- THE STROKE AND HEART TEAMS AT NEWARK-WAYNE EARNED GOLD PLUS HIGH HONORS FROM THE AMERICAN HEART ASSOCIATION FOR CONTINUING TO PROVIDE IMPECCABLE, AWARD-WINNING CARE TO OUR COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6 (CON'T):</FormAndLineReferenceDesc>
        <ExplanationTxt>CLIFTON SPRINGS HOSPITAL AND CLINIC (CSHC) IS A 262-BED HOSPITAL WITH A LEVEL OF TECHNOLOGY CONSISTENT WITH THAT OF LARGE URBAN HOSPITALS. THE MAIN HOSPITAL IS PHYSICALLY LOCATED IN CLIFTON SPRINGS, MIDWAY BETWEEN (BUT NORTH OF) GENEVA AND CANANDAIGUA. CSHC'S PRIMARY SERVICE AREA CONSISTS OF FOUR COUNTIES IN THE CENTRAL FINGER LAKES REGION OF UPSTATE NEW YORK: ONTARIO, WAYNE, SENECA AND YATES. CLIFTON SPRINGS HOSPITAL &amp; CLINIC IS A NOT-FOR-PROFIT HOSPITAL PROVIDING GENERAL ACUTE CARE, PRIMARY CARE, NURSING HOME CARE, CANCER CARE, PROGRAMS FOR BEHAVIORAL HEALTH AND ADDICTION RECOVERY, AND SPECIALTY CARE TO RESIDENTS OF AND VISITORS TO THE CENTRAL FINGER LAKES REGION. THE FINGER LAKES COMMUNITY CANCER CENTER (FLCCC) IS LOCATED ON THE MAIN CAMPUS AND WAS THE FIRST FULL TREATMENT CANCER CENTER IN THE FINGER LAKES REGION. FLCCC PARTICIPATES IN CLINICAL TRIALS, OFFERS MONTHLY CANCER CONFERENCES, YEARLY SYMPOSIUMS AND SUPPORT GROUPS. THE FINGER LAKES RADIATION ONCOLOGY HAS ONE OF FIVE INTENSITY MODULATED RADIATION THERAPY UNITS IN NEW YORK STATE FOR TREATING PROSTATE CANCER. THE RADIOLOGY DEPARTMENT HAS THE LATEST TECHNOLOGY AND SOPHISTICATED EQUIPMENT FOR THE EARLY DETECTION OF CANCER AND OTHER DISEASES. THE BEHAVIORAL HEALTH DEPARTMENT IS THE AREA'S LARGEST AND HAS OFFERED MENTAL HEALTH AND ADDICTION RECOVERY SERVICES LONGER THAN ANY OTHER ORGANIZATION IN THE REGION. CSHC OFFERS NUMEROUS SUBSPECIALTIES INCLUDING BLOOD DISORDERS, RENAL DISEASE, DIABETES, AND REHABILITATION. IN ADDITION, THE SPRINGS OF CLIFTON IS AN INTEGRATED HEALTH CARE PROGRAM, COMBINING BOTH CONVENTIONAL AND ALTERNATIVE/COMPLEMENTARY MEDICINE. COMPLEMENTARY THERAPIES SUPPORT THE MAINTENANCE OF HEALTH AND WELL-BEING AND THE PROCESS OF HEALING AND INCLUDE ACUPUNCTURE, CHIROPRACTIC SERVICES, HYDROTHERAPY, MASSAGE THERAPY, NATUROPATHY, CHINESE MEDICINE, QI GONG, HERBOLOGY, AND REIKI THERAPEUTIC TOUCH. DURING 2020, PROGRESS CONTINUED ON THE MEDICAL VILLAGE AT CLIFTON SPRINGS HOSPITAL &amp; CLINIC. HIGHLIGHTS FROM THE PROJECT INCLUDE: A NEW PATIENT ACCESS CENTER AND PRE-ADMISSION TESTING SUITE AT THE SOUTH ENTRANCE; NEW OPERATING ROOMS, ENDOSCOPY ROOMS, AND AMBULATORY PROCEDURE ROOMS; A NEW PRIMARY CARE SPACE AND DENTAL SPACE; A PRE/POST-SURGERY AREA; AN EXPANDED BEHAVIORAL HEALTH/CPEP SPACE.IN AN EFFORT TO PROVIDE WOMEN WITH THE BEST DIAGNOSTIC TOOLS AVAILABLE, CLIFTON SPRINGS HOSPITAL &amp; CLINIC IS NOW PROVIDING PATIENTS THE 3D MAMMOGRAM, A MORE ADVANCED MAMMOGRAPHY EXAM. MORE ACCURATE THAN CONVENTIONAL 2D MAMMOGRAMS, 3D MAMMOGRAPHY IS THE GOLD STANDARD FOR EARLY DETECTION FOR PATIENTS ACROSS A VARIETY OF AGES AND BREAST DENSITIES.NAMED IN HONOR OF HENRY FOSTER, MD, FOUNDER OF CLIFTON SPRINGS HOSPITAL &amp; CLINIC, CSH OPENED A NEW CAFETERIA. "FOSTER'S CAFE" UPHOLDS HIS VISION OF HOLISTIC CARE BY OFFERING HEALTHY AND NUTRITIOUS FOOD OPTIONS FOR EMPLOYEES, FAMILIES AND COMMUNITY MEMBERS.A NEW EMERGENCY DEPARTMENT WITH MORE CAPACITY, THE LATEST TECHNOLOGY, AND ADDITIONAL SPACE FOR ONE OF THE MOST COMPREHENSIVE BEHAVIORAL HEALTH PROGRAMS IN THE STATE, IS IN THE WORKS FOR THE CLIFTON SPRINGS HOSPITAL &amp; CLINIC. PLANS TO BREAK GROUND ON THE NEW 6,500 SQUARE FOOT EMERGENCY DEPARTMENT ARE SLATED FOR EARLY 2021. THE NEW EMERGENCY DEPARTMENT WILL SUPPORT MORE PATIENT VISITS WITH ADDITIONAL TREATMENT ROOMS, TRIAGE SPACE, AND EASIER ACCESS TO THE FACILITY. THE DESIGN WILL SUPPORT THE INTEGRATION OF NEW DIAGNOSTIC AND TREATMENT TECHNOLOGIES, AND PROVIDE PATIENTS AND THEIR LOVED ONES WITH GREATER COMFORT AND DIGNITY AS THEY SEEK EMERGENCY CARE.AS WITH ALL OF THE HOSPITAL AND PATIENT CARE FACILITIES UNDER THE RRH UMBRELLA, CSHC WORKS DILIGENTLY TO CONTINUOUSLY PROVIDE TOP-QUALITY CARE. DURING 2020, CSHC WAS THE RECIPIENT OF SEVERAL RECOGNITIONS AND AWARDS SHINING A LIGHT ON THESE EFFORTS INCLUDING:- THE WOUND CARE CENTER AT CLIFTON SPRINGS HOSPITAL &amp; CLINIC WAS RECENTLY NAMED A CENTER OF DISTINCTION BY HEALOGICS, THE NATION'S LARGEST PROVIDER OF ADVANCED WOUND CARE SERVICES. THE CLIFTON SPRINGS WOUND CARE TEAM ACHIEVED OUTSTANDING CLINICAL OUTCOMES FOR TWELVE CONSECUTIVE MONTHS, INCLUDING HIGH MARKS IN PATIENT SATISFACTION; HEALING RATE; MEDIAN DAYS TO HEAL AND PATIENT OUTLIER RATE. THIS RECOGNITION IS A TESTAMENT TO THE TEAM'S SKILL AND DEDICATION, AS WELL AS THEIR COMMITMENT TO PROVIDE EXCEPTIONAL, COMPASSIONATE AND PATIENT-CENTERED CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6 (CON'T):</FormAndLineReferenceDesc>
        <ExplanationTxt>UNITED MEMORIAL MEDICAL CENTER (UMMC) SERVES RESIDENTS OF GENESEE COUNTY AND SURROUNDING RURAL COMMUNITIES. THE 131-BED HOSPITAL IN BATAVIA FEATURES A NEW, STATE-OF-ART SURGICAL DEPARTMENT, A WOUND CARE CENTER, A TELEMEDICINE PROGRAM FOR INTENSIVE CARE, A JOINT REPLACEMENT CENTER OF EXCELLENCE, TWO URGENT CARE CENTERS AND A NUMBER OF PRIMARY AND SPECIALTY PHYSICIAN OFFICES. UNITED MEMORIAL IS A NICHE (NURSES IMPROVING CARE FOR HEALTHSYSTEM ELDERS) HOSPITAL AND A NEW YORK STATE-DESIGNATED STROKE CENTER. UNITED MEMORIAL IS THE SOLE MATERNITY SERVICES PROVIDER FOR GENESEE AND ORLEANS COUNTIES. IT MANAGES THE NEW YORK STATE CANCER SERVICES PARTNERSHIP GRANT FOR ORLEANS AND GENESEE COUNTIES AND PROVIDES ORTHOPEDIC SERVICES IN GENESEE, ORLEANS AND WYOMING COUNTIES.DURING 2020 UMMC IMPROVED AND EXPANDED SERVICES AND RECEIVED RECOGNITIONS AND AWARDS FOR ITS EXEMPLARY SERVICES AND PATIENT CARE. THESE INCLUDE:- UMMC WENT LIVE WITH CARE CONNECT IN FEBRUARY 2020. THIS INTEGRATION ENABLED UMMC TO BE ON THE SAME ELECTRONIC MEDICAL RECORD PLATFORM AS THE REST OF THE HEALTH SYSTEM. PATIENTS BENEFIT FROM HAVING THEIR HEALTH INFORMATION ACCESSIBLE THROUGH ONE, EASY-TO-USE, PATIENT PORTAL.- UNITED MEMORIAL MEDICAL CENTER WAS RECOGNIZED BY HEALTHGRADES FOR EXCELLENCE IN PNEUMONIA TREATMENT, PATIENT SAFETY, AND LABOR AND DELIVERY. HEALTHGRADES IS THE LEADING RESOURCE THAT CONNECTS CONSUMERS, PHYSICIANS, AND HEALTH SYSTEMS. IN SELECTING THE 2020 AMERICAS BEST HOSPITALS, HEALTHGRADES ANALYZED THE PERFORMANCE OF NEARLY 4,500 HOSPITALS NATIONWIDE ACROSS 32 CONDITIONS AND PROCEDURES. ACCORDING TO HEALTHGRADES ANALYSIS, PATIENTS TREATED IN HOSPITALS NAMED AS AMERICA'S BEST HOSPITALS HAVE, ON AVERAGE, A 26.6 PERCENT LOWER RISK OF DYING THAN IF THEY WERE TREATED IN HOSPITALS THAT DID NOT RECEIVE THIS AWARD.- THE WOUND CARE CENTER AT UNITED MEMORIAL MEDICAL CENTER IS PROOF THAT GREAT THINGS HAPPEN WHEN WE PUT PATIENTS FIRST: UMMC WOUND CARE WAS RECENTLY NAMED A CENTER OF DISTINCTION BY HEALOGICS! THIS IS THE FOURTH YEAR IN A ROW THE TEAM HAS BEEN RECOGNIZED FOR OUTSTANDING PERFORMANCE, INCLUDING HIGH MARKS IN PATIENT SATISFACTION; HEALING RATES; MEDIAN DAYS TO HEAL AND PATIENT OUTLIERS. CLINICAL EXCELLENCE IS MORE IMPORTANT NOW THAN EVER, AND MAINTAINING A HIGH STANDARD OF CARE YEAR AFTER YEAR REQUIRES A DEDICATED FOCUS, STAMINA, STRENGTH - AND AN EXTRAORDINARY TEAM.- BEACON AWARD FOR EXCELLENCE - UMMC'S INTENSIVE CARE UNIT ACHIEVED THE AACN (AMERICAN ASSOCIATION OF COLLEGES OF NURSING) SILVER-LEVEL BEACON AWARD FOR EXCELLENCE. THE ACHIEVEMENT RECOGNIZES HOSPITAL UNITS THAT EMPLOY EVIDENCE-BASED PRACTICE TO IMPROVE PATIENT AND FAMILY OUTCOMES AS WELL AS RECOGNIZES HOSPITAL UNITS THAT EXEMPLIFY EXCELLENCE IN PROFESSIONAL PRACTICE, PATIENT CARE, AND OUTCOMES.- THE STROKE AND HEART TEAMS AT UMMC EARNED SILVER PLUS HIGH HONORS FROM THE AMERICAN HEART ASSOCIATION FOR CONTINUING TO PROVIDE IMPECCABLE, AWARD-WINNING CARE TO OUR COMMUNITY.- UNITED MEMORIAL MEDICAL CENTER RECEIVES PRAISE FROM JOINT COMMISSION - THE JOINT COMMISSION COMPLETED AN ON-SITE SURVEY AT UNITED MEMORIAL MEDICAL CENTER AND ALL OF THE SURVEYORS WERE COMPLIMENTARY ABOUT UMMC AND ITS TEAM OF EMPLOYEES. OVER THE FOUR-DAY VISIT, THE SURVEYORS REPEATEDLY MENTIONED HOW THE TEAM LIVES RRH'S VALUES IN WAYS LARGE AND SMALL, AND ALSO COMMENDED THE STRONG COLLABORATION AMONG UMMC EMPLOYEES AND WITH THE HEALTH SYSTEM.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6 (CON'T):</FormAndLineReferenceDesc>
        <ExplanationTxt>ROCHESTER MENTAL HEALTH CENTER (RMHC) HAS NINE LOCATIONS ACROSS THE COMMUNITY, INCLUDING TWO OF THE AREA'S BEST MENTAL HEALTH CENTERS, GENESEE MENTAL HEALTH CENTER AND ROCHESTER MENTAL HEALTH CENTER, AND OVER 40 YEARS OF EXPERIENCE AND TRADITION. RMHC HAS COMPREHENSIVE SERVICES AND DEDICATED MENTAL HEALTH AND SUBSTANCE ABUSE PROFESSIONALS, WORKING TO HELP PATIENTS ACHIEVE THEIR FULL POTENTIAL TO LIVE AND WORK AS PRODUCTIVE MEMBERS OF THE COMMUNITY. THEY OFFER A COMPREHENSIVE SYSTEM OF CLINICAL MENTAL HEALTH SERVICES; READILY-ACCESSIBLE, CULTURALLY-SENSITIVE SERVICES UNIQUELY MATCHED TO THE INDIVIDUAL NEEDS OF EACH PATIENT AND THEIR FAMILY; CONVENIENT ACCESS TO MENTAL HEALTH OUTPATIENT SERVICES WITH LOCATIONS THROUGHOUT THE GREATER ROCHESTER AREA; AN UNWAVERING COMMITMENT TO SERVE THOSE IN THE COMMUNITY WHO HAVE EMOTIONAL NEEDS.PRCD, INC. IS HOME TO BARBARA WOLK SCHWARZ WOMEN'S COMMUNITY RESIDENCE THAT PROVIDES A SAFE, HOME-LIKE ENVIRONMENT FOR WOMEN UNDERGOING TREATMENT FOR CHEMICAL DEPENDENCY. SPECIALIZED PROGRAM HIGHLIGHTS INCLUDE SUBSTANCE ABUSE AND DRUG ADDICTION TREATMENT (SPECIALIZING IN OPIOID TREATMENT); SOBER LIVING AFTER COMPLETION PROGRAM; SPECIALIZED PROGRAMMING FOR THOSE WHO IDENTIFY AS LGBT, MILITARY, SENIORS, TRAUMA AND REFERRALS FROM THE JUDICIAL SYSTEM. SERVICES ARE PROVIDED IN A VARIETY OF SETTINGS TO ENSURE PARTICIPANTS RECEIVE THE NEEDED SERVICES. INDEPENDENT LIVING FOR SENIORS, (ILS) OFFERS A PROGRAM THAT GIVES THE FRAIL ELDERLY AN ALTERNATIVE TO NURSING HOME PLACEMENT. IT IS DESIGNED TO ENABLE SENIORS TO LIVE IN THEIR OWN HOME SERVED BY A NETWORK OF SUPPORTIVE SERVICES. THE ILS PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) HAS PROVEN THAT INTEGRATING HEALTH CARE SERVICES CAN HAVE A POWERFUL AND BENEFICIAL IMPACT ON INDIVIDUAL HEALTH AND WELL-BEING. SENIORS NOW HAVE A CHOICE TO LIVE OUT THEIR LIVES IN THEIR COMMUNITY - ENJOYING FAMILY, MANAGING THEIR HEALTH, MAKING NEW FRIENDS - SIMPLIFYING HOW THEY CHOOSE AND PAY FOR NEEDED LONG-TERM CARE. ILS OFFERS ALL OF THE HEALTH, MEDICAL AND SOCIAL SERVICES NEEDED TO HELP AN AGING LOVED ONE MAINTAIN THEIR INDEPENDENCE, DIGNITY AND QUALITY OF LIFE. A RANGE OF SERVICES ARE AVAILABLE TO AN ILS PARTICIPANT, INCLUDING ADULT DAY CARE; PRIMARY CARE; LABORATORY, X-RAY AND AMBULANCE SERVICES; REHABILITATIVE AND SUPPORT SERVICES; MEDICAL SPECIALTY SERVICES; SKILLED NURSING CARE; ACUTE HOSPITAL CARE; IN-HOME SERVICES; INTERDISCIPLINARY CONSULTATION; AND NURSING HOME CARE SHOULD THE NEED ARISE.LIFETIME CARE AND HOME CARE PLUS (LIFETIME CARE) JOINED THE RRH FAMILY IN OCTOBER 2019. SERVING APPROXIMATELY 33,000 HOME CARE AND HOSPICE PATIENTS PER YEAR AT SEVEN LOCATIONS IN THE ROCHESTER AND FINGER LAKES REGION INCLUDING THE COUNTIES OF: MONROE, WAYNE, SENECA, CAYUGA, YATES, SCHUYLER, ONTARIO AND LIVINGSTON. THE LIFETIME CARE FOCUS IS ON THE DELIVERY OF COMPASSIONATE, PERSONALIZED CARE TO ADULTS AND CHILDREN WHO ARE ILL, INJURED, DYING OR GRIEVING. LIFETIME CARE PROVIDES PRIMARY IN-HOME SERVICES INCLUDING SKILLED NURSING, REHAB THERAPIES, MEDICAL SOCIAL WORK, INFUSION THERAPIES AND HOME HEALTH AIDE SERVICES; SPECIALTY CARE SERVICES INCLUDING CARDIOPULMONARY, DIABETES, CANCER, PARKINSON'S DISEASE, WOUND, JOINT REPLACEMENT AND WOMEN'S AND CHILDREN'S HEALTH; HOSPICE CARE IS PROVIDED IN MONROE, WAYNE AND SENECA COUNTIES FOR THE TERMINALLY ILL; PALLIATIVE CARE SUPPORT FOR SERIOUSLY ILL CHILDREN AND ADULTS; AS WELL AS EDUCATION THAT PROMOTES HEALING AND WELLNESS. LIFETIME CARE HAS BEEN NAMED A TOP AGENCY OF THE 2019 HOMECARE ELITE, A RECOGNITION OF THE BEST-PERFORMING HOME HEALTH AGENCIES IN THE UNITED STATES. ONLY 25% OF ELIGIBLE AGENCIES ARE RECOGNIZED AS A TOP AGENCY. HOMECARE ELITE AGENCIES ARE DETERMINED BY A NUMBER OF PERFORMANCE MEASURES IN AREAS SUCH AS QUALITY OUTCOMES, BEST PRACTICES IMPLEMENTATION AND PATIENT EXPERIENCE (HHCAHPS). LIFETIME CARE HAS RECEIVED THIS RECOGNITION 12 TIMES IN THE LAST 14 YEARS.CLIFTON SPRINGS LIVING CENTER IS A 108-BED SKILLED NURSING FACILITY LOCATED IN CLIFTON SPRINGS, NY. THE 108-BED FACILITY PROVIDES SPECIALIZED SERVICES INCLUDING TRADITIONAL SNF CARE, AS WELL AS SPECIALTY UNITS FOR RESIDENTS WHO REQUIRE POST-ACUTE CARE, VENTILATOR CARE, AND DEMENTIA CARE. THE SERVICES OF REIKI AND HEALING TOUCH THERAPIES ARE OFFERED BY THE NURSING HOME, AND ADDITIONAL SERVICES INCLUDING ACUPUNCTURE, HYDROTHERAPY, MASSAGE THERAPY, AND NATUROPATHY ARE AVAILABLE THROUGH THE SPRINGS INTEGRATIVE MEDICINE CENTER AND SPA. THE CLIFTON SPRINGS LIVING CENTER WAS RECENTLY RECOGNIZED BY THE AMERICAN NURSES CREDENTIALING CENTER AS A PATHWAY TO EXCELLENCE IN LONG TERM CARE. CLIFTON SPRINGS LIVING CENTER NOW JOINS AN ELITE GROUP OF ONLY SIX LONG TERM CARE FACILITIES IN NEW YORK STATE TO RECEIVE THIS PRESTIGIOUS HONOR. THE ANCC RECOGNIZES LONG TERM CARE FACILITIES WITH PATHWAY TO EXCELLENCE, COMPARABLE TO A HOSPITAL RECEIVING MAGNET STATUS, FOR THEIR DIVERSE AND POSITIVE PRACTICE ENVIRONMENTS THAT ENABLE NURSES TO GROW. CLIFTON SPRINGS LIVING CENTER RECEIVED THIS RECOGNITION FOR ITS COMMITMENT TO PROVIDING A NETWORK OF SUPPORT AND ADVANCEMENT OPPORTUNITIES THAT EMPOWER OUR NURSING STAFF.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6 (CON'T):</FormAndLineReferenceDesc>
        <ExplanationTxt>DE MAY LIVING CENTER LOCATED IN NEWARK IS A 180-BED SKILLED NURSING RESIDENCE THAT PROVIDES BOTH CALM AND STIMULATING ATMOSPHERES FOR RESIDENTS. SERVICES INCLUDE: POST-ACUTE CARE, SHORT-TERM REHABILITATION, VENTILATOR CARE, DEMENTIA CARE, PERITONEAL DIALYSIS, WOUND CARE, TELEMEDICINE, NEUROBEHAVIORAL CARE, LONG TERM SKILLED NURSING CARE AND ADULT DAY CARE.EDNA TINA WILSON LIVING CENTER IN ROCHESTER IS A 120-BED SKILLED NURSING FACILITY THAT USES INNOVATIVE NEIGHBORHOOD DESIGN, WITH RESIDENT ROOMS CLUSTERED AROUND THE ACTIVITY CENTER AND THE LIVING AND DINING AREAS TO PROMOTE MORE SOCIAL AND INTERACTIVE LIVING. THE CENTER SPECIALIZES IN LONG-TERM CARE, REHABILITATIVE SERVICES, PAIN MANAGEMENT, RESPIRATORY THERAPY, IV THERAPY, PERITONEAL DIALYSIS SERVICES, RESPITE AND HOSPICE CARE.HILL HAVEN LIVING AND NURSING CENTER IN WEBSTER IS A 288-BED FACILITY WITH A COMPREHENSIVE RANGE OF MEDICAL AND ASSISTED LIVING SENIOR SERVICES, INCLUDING SHORT-TERM REHABILITATION, SKILLED NURSING, RESPIRATORY, IV THERAPY, CENTRAL LINE MEDICATIONS AND MAINTENANCE, POST-SURGICAL WOUND CARE, ON-SITE HEMODIALYSIS, PERITONEAL DIALYSIS, TELEMEDICINE, DEMENTIA, ALZHEIMER'S, AND HOSPICE CARE. IN 2019, HILL HAVEN RECEIVED THE U.S. NEWS &amp; WORLD REPORT BEST NURSING HOMES DESIGNATION. TO QUALIFY, NURSING HOMES MUST EARN AN AVERAGE RATING OF 4.5 OUT OF 5 DURING 10 MONTHS OF FEDERAL REPORTS. OUT OF 48 FACILITIES REVIEWED IN THE ROCHESTER AREA, HILL HAVEN RECEIVED ONE OF THE THREE AREA DESIGNATIONS.AS COVID-19 SURGED IN OUR COMMUNITY, ROCHESTER REGIONAL HEALTH ANSWERED THE CHALLENGE WITH THE CREATION OF EMPIRE MANOR, A TEMPORARY COVID-DEDICATED NURSING HOME ON THE HILL HAVEN CAMPUS. DURING A TIME WHEN OUR COMMUNITY NEEDS MORE HOSPITAL BED CAPACITY TO CARE FOR THE ACUTELY ILL AND INJURED. EMPIRE MANOR HELPED TO RELIEVE SOME OF THIS PRESSURE ON OUR HOSPITALS.PARK RIDGE LIVING CENTER IS LOCATED IN ROCHESTER. IT RECEIVED A FIVE-STAR RATING FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS), A DESIGNATION GIVEN TO ONLY 10 PERCENT OF NURSING HOMES NATIONWIDE. THIS 120 BED FACILITY IS HOME TO THE 40-BED TIMOTHY R. MCCORMICK TRANSITIONAL CARE CENTER, SPECIALIZING IN JOINT REPLACEMENT AND COMPLEX FRACTURE RECOVERY, STROKE AND NEUROLOGICAL REHABILITATION, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, IV THERAPY, AND CENTRAL LINE MEDICATIONS. THE FACILITY'S WEGMAN FAMILY COTTAGES SERVES 80 ELDERS. THE COTTAGES ALLOW ELDERS TO LIVE IN A HOME-LIKE ENVIRONMENT WHILE RECEIVING SKILLED NURSING CARE. FOUR YEARS IN A ROW - PARK RIDGE LIVING CENTER (PRLC) HAS BEEN NAMED A BEST NURSING HOME BY U.S. NEWS &amp; WORLD REPORT. ONLY 19% OF APPROXIMATELY 15,000 NURSING HOMES RATED ACROSS THE U.S. RECEIVED THIS HIGH HONOR. PRLC IS ONE OF ONLY FOUR NURSING HOMES IN NEW YORK STATE TO BE RECOGNIZED FOR BOTH LONG-TERM AND SHORT-TERM CARE.UNITY LIVING CENTER IN ROCHESTER IS A 120-BED STATE-OF-THE-ART SKILLED NURSING FACILITY FOCUSED ON TREATMENT AND REHABILITATIVE CARE FOR PATIENTS WITH MEDICALLY COMPLEX NEEDS, DEMENTIA, AND BEHAVIORAL CHALLENGES. SPECIAL SERVICES INCLUDE SHORT-TERM REHABILITATION, PULMONOLOGY, RESPIRATORY THERAPY, TRACHEOTOMY CARE, WOUND CARE, PAIN CONTROL, AND IV THERAPY, AND PERITONEAL DIALYSIS, ACCESS TO HEMODIALYSIS, VENTILATOR BEDS, BARIATRIC CARE AND RELAXATION THERAPY TO MEET THE NEEDS OF THOSE WITH CHRONIC DISEASES.UNITY LIVING CENTER HAS BEEN AWARDED A FOUR-STAR RATING FROM THE CENTERS FOR MEDICARE &amp; MEDICAID SERVICES (CMS). THIS TREMENDOUS ACCOMPLISHMENT HIGHLIGHTS THE SUCCESSFUL PERFORMANCE OF UNITY LIVING CENTER'S DEDICATED, HARD-WORKING AND PASSIONATE EMPLOYEES. CMS RANKS NURSING HOMES NATIONWIDE WITH THE INTENT TO HELP FAMILIES AND CAREGIVERS COMPARE FACILITIES AND MAKE THE BEST CHOICE WHEN DECIDING ON CARE FOR A LOVED ONE. THE RATING INCORPORATES THREE FACTORS: QUALITY MEASURES, STAFFING RATIO, AND ANNUAL HEALTH INSPECTION REPORTS FROM THE NYS DEPARTMENT OF HEALTH.UNITY'S HOUSING GROUP OFFERS 261 AFFORDABLE AND SUBSIDIZED APARTMENTS IN FIVE LOCATIONS. OUR AFFORDABLE SENIOR LIVING COMMUNITIES OFFER COMFORTABLE AND CONVENIENT HOUSING OPTIONS FOR INDEPENDENT ADULTS AGES 55 AND OLDER AT PRICES THAT FIT EVERY BUDGET. STARTING IN 2020, RRH BEGAN COLLABORATING WITH PATHSTONE, A NOT-FOR-PROFIT COMMUNITY DEVELOPMENT AND HUMAN SERVICES ORGANIZATION, TO OFFER SUPPORTIVE SERVICES FOR RESIDENTS OF THE NEW SKYVIEW PARK APARTMENTS LOCATED AT THE FORMER MEDLEY CENTRE IN IRONDEQUOIT. THE SENIOR APARTMENT COMPLEX IS FOR INDIVIDUALS 55 YEARS OR OLDER WHO MAY BE AT RISK FOR HOMELESSNESS OR WISH TO REMAIN INDEPENDENT WITH THE ASSISTANCE OF SUPPORTIVE SERVICES.PARK RIDGE CHILD CARE CENTER CARES FOR CHILDREN BETWEEN EIGHT WEEKS TO TWELVE YEARS OF AGE. LOCATED ON THE UNITY HOSPITAL CAMPUS, THE CENTER OFFERS A SAFE AND NURTURING ENVIRONMENT - A HAPPY HOME AWAY FROM HOME - WHERE EVERYONE TRULY CARES ABOUT YOUR CHILD'S GROWTH, DEVELOPMENT, AND WELL-BEING. EACH OF OUR HIGHLY TRAINED TEACHERS AND STAFF FOCUSES ON MEETING YOUR CHILD'S PHYSICAL, SOCIAL, EMOTIONAL AND COGNITIVE NEEDS.ROCHESTER AMBULATORY SURGERY CENTER (RASC) IS A 29,000 SQUARE-FOOT FACILITY THAT INCLUDES SIX OPERATING ROOMS AND TWO MINOR PROCEDURE ROOMS EQUIPPED WITH STATE OF THE ART EQUIPMENT AND INSTRUMENTATION. ACCREDITED BY THE ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTHCARE, THE NEW YORK STATE DEPARTMENT OF HEALTH AND IS A MEDICARE-CERTIFIED FACILITY. THE MISSION OF RASC IS TO PROVIDE A SAFE, CONVENIENT AND COST-EFFECTIVE ALTERNATIVE TO TRADITIONAL SURGICAL CARE. LINDEN OAKS SURGERY CENTER IS A FREESTANDING, MULTISPECIALTY AMBULATORY SURGERY CENTER WHERE A BROAD RANGE OF OUTPATIENT SURGICAL PROCEDURES ARE PERFORMED. THE CENTER OFFERS FOUR OPERATING ROOMS AND TWO PROCEDURE ROOMS WHICH ARE FULLY EQUIPPED WITH PREOPERATIVE AND POST-ANESTHESIA CARE AREAS IN ORDER TO PROVIDE HIGH QUALITY CARE AND SAFETY IN A CONVENIENT OUTPATIENT SURGERY CENTER. WESTFALL SURGERY CENTER, OFFERS WIDE RANGE OF SURGICAL SERVICES - FROM GENERAL SURGERY TO PLASTIC SURGERY. WESTFALL SURGERY CENTER PROVIDES HIGH-QUALITY CARE AND SAFETY IN A CONVENIENT OUTPATIENT SURGERY SETTING. ROCHESTER REGIONAL HEALTH IMMEDIATE CARE OPERATING SEVEN LOCATIONS IN MONROE COUNTY, IS COMMITTED TO PROVIDING THE HIGHEST QUALITY HEALTHCARE FOR RESIDENTS AND VISITORS OF MONROE AND SURROUNDING COUNTIES. THE DEDICATION TO PROVIDING AN EXCEPTIONAL PATIENT EXPERIENCE IS SEEN FROM THE HONOR OF BEING VOTED "BEST URGENT CARE CENTER" IN ROCHESTER BY THE ROCHESTER BUSINESS JOURNAL AND DAILY RECORD FOR TWO CONSECUTIVE YEARS. THESE IMMEDIATE CARE CENTERS OFFER FULL-SERVICE URGENT CARE AND OCCUPATIONAL MEDICINE SERVICES WITH PHYSICIANS, DIAGNOSTIC TOOLS, AND LABS ON-SITE.ACM MEDICAL LABORATORY IS A FULL SERVICE CLINICAL AND PATHOLOGY LABORATORY CONDUCTING MORE THAN 20 MILLION TESTS EVERY YEAR FOR PHYSICIANS, NURSING HOMES AND HOSPITALS; PHARMACEUTICAL, BIOTECH AND RESEARCH ORGANIZATIONS; COLLEGES AND UNIVERSITY HEALTH CENTERS; AND OCCUPATIONAL HEALTH GROUPS. ACM HAS OPERATIONS IN THE U.S., U.K., INDIA, CHINA AND SINGAPORE. OPERATIONS EXTEND TO MORE THAN 60 COUNTRIES AND OFFER A BROAD MENU OF CLINICAL, PATHOLOGY AND MOLECULAR TESTING. ACM IS ONE OF THE LARGEST REGIONAL REFERENCE LABORATORIES IN NEW YORK STATE.ROCHESTER REGIONAL HEALTH FOUNDATION, NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATION, CLIFTON SPRINGS HOSPITAL FOUNDATION AND UNITED MEMORIAL MEDICAL CENTER FOUNDATION: THE VITAL SERVICES THAT ROCHESTER REGIONAL PROVIDES TO THE COMMUNITY WOULD NOT BE POSSIBLE WITHOUT THE SUPPORT OF THE FOUNDATIONS. IN THE NONPROFIT ORGANIZATIONAL STRUCTURE THE FOUNDATIONS ARE CRITICAL TO THE ABILITY TO MAKE ONGOING INVESTMENTS IN STATE-OF-THE-ART MEDICAL TECHNOLOGY, CLINICAL PROGRAMS, FACILITIES, RESEARCH, AND EDUCATION THAT BENEFIT THE COMMUNITY AS A WHOLE. THE IMPACTS OF THE FOUNDATIONS' EFFORTS ARE VISIBLE THROUGHOUT THE HOSPITALS, AND IN THEIR DISTINGUISHED CENTERS OF EXCELLENCE. THE FOUNDATIONS' FUNDRAISING PROGRAMS DIRECTLY BENEFIT THE ONGOING NEEDS OF THE COMMUNITY THROUGH IMPROVED AND EXPANDED PATIENT CARE PROGRAMS, SERVICES, AND FACILITIES AND HELP PURCHASE EQUIPMENT. THIS ENHANCES THE HIGH-TOUCH AND COMPASSIONATE CARE AVAILABLE TO ALL WHO ARE SERVED IN THE COMMUNITY.</ExplanationTxt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>146426</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SERHIY SOSNIYENKO</PersonNm>
        <TitleTxt>PHYSIAN</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ARUN KUMAR NAGPAUL MD</PersonNm>
        <TitleTxt>MEDICAL STAFF PRESIDENT</TitleTxt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARITA MICHELIN</PersonNm>
        <TitleTxt>CHIEF, EMERGENCY MEDICINE</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>219398</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT E COLE</PersonNm>
        <TitleTxt>CMO, EASTERN REGION</TitleTxt>
        <BaseCompensationFilingOrgAmt>205591</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>127552</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>60153</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>1214</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>394510</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINES 4A-B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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    </IRS990ScheduleJ>
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        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>MONROE COUNTY INDUSTRIAL DEVELOPMENT CORPORATION</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>510188852</BondIssuerEIN>
        <CUSIPNum>61075TVU9</CUSIPNum>
        <BondIssuedDt>2020-11-17</BondIssuedDt>
        <IssuePriceAmt>8280000</IssuePriceAmt>
        <PurposeDesc>FINANCE CAPITAL IMPROVEMENT PROJECTS OF THE HOSPITAL</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceedsAmt>8280000</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>66807</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>8213193</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2020</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>0</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>1</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
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    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATION'S MISSION THE PURPOSES FOR WHICH THE CORPORATION IS FORMED ARE: (A) TO PLAN, DEVELOP, ESTABLISH, ORGANIZE, CONSTRUCT, ERECT, BUILD, ACQUIRE, ALTER, RECONSTRUCT, REHABILITATE, OWN, OPERATE, MAINTAIN, AND MANAGE ALL TYPES OF INPATIENT AND OUTPATIENT HOSPITALS, HOSPITAL FACILITIES, CLINICS, TREATMENT CENTERS, SERVICES, AND PROGRAMS FOR THE DELIVERY OF ACUTE MEDICAL, SURGICAL AND PREVENTIVE HEALTH CARE SERVICES, IN ACCORDANCE WITH THE PUBLIC HEALTH LAW OF THE STATE OF NEW YORK; (B) TO PLAN, DEVELOP, ESTABLISH, ORGANIZE, CONSTRUCT, ERECT, BUILD, ACQUIRE, ALTER, RECONSTRUCT, REHABILITATE, OWN, OPERATE, MAINTAIN AND MANAGE NURSING HOMES AND ALL TYPES OF LONG TERM INPATIENT, OUTPATIENT AND RESIDENTIAL HEALTH CARE FACILITIES, SERVICES, AND PROGRAMS FOR ELDERLY, SICK, INVALID, INFIRM, DISABLED AND CONVALESCENT PERSONS, IN ACCORDANCE WITH THE PUBLIC HEALTH LAW OF THE STATE OF NEW YORK; (C) TO PLAN, DEVELOP, ESTABLISH, ORGANIZE, CONSTRUCT, ERECT, BUILD, ACQUIRE, ALTER, RECONSTRUCT, REHABILITATE, OWN OPERATE MAINTAIN, AND MANAGE ALL TYPES OF FAMILY PLANNING FACILITIES, CLINICS, TREATMENT CENTER SERVICES, AND PROGRAMS FOR THE DELIVERY OF ACUTE MEDICAL, SURGICAL AND PREVENTIVE HEALTH CARE SERVICES FOR INDIVIDUALS AND FAMILIES, IN ACCORDANCE WITH THE PUBLIC HEALTH LAW OF THE STATE OF NEW YORK; (D) TO PARTICIPATE IN ANY ACTIVITY DESIGNED AND CARRIED ON TO PROMOTE THE GENERAL HEALTH AND WELFARE OF THE COMMUNITY IN WHICH THE CORPORATION IS LOCATED; (E) TO SOLICIT, ACCEPT, HOLD, INVEST, REINVEST AND ADMINISTER GIFTS, GRANTS, BEQUESTS, CONTRIBUTIONS, DEVISES, BENEFITS OF TRUSTS, ENDOWMENTS AND PROPERTY OF ANY KIND, WITHOUT LIMITATION AS TO AMOUNT OR VALUE, FROM PRIVATE TO PUBLIC SOURCES, IN FURTHERANCE OF ITS CORPORATE PURPOSES; AND (F) TO DO ANY ACT OR THING INCIDENTAL TO OR CONNECT WITH THE FOREGOING PURPOSES OR IN ADVANCEMENT THEREOF, BUT NOT FOR THE PECUNIARY PROFIT OR FINANCIAL GAIN OF ITS MEMBERS, DIRECTORS, OFFICERS OR ANY PRIVATE PERSON.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 5,926,932. MANAGEMENT AND GENERAL EXPENSES 1,306,514. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,233,446. MEDICAL PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,091,375. MANAGEMENT AND GENERAL EXPENSES 681,453. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,772,828. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 562,090. MANAGEMENT AND GENERAL EXPENSES 123,906. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 685,996. SPECIAL FEES: PROGRAM SERVICE EXPENSES 867. MANAGEMENT AND GENERAL EXPENSES 191. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,058.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN INTEREST IN NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATION 776,807.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 5471 FILED ON BEHALF STATEMENT</FormAndLineReferenceDesc>
        <ExplanationTxt>STATEMENT PURSUANT TO TREAS. REG. SEC. 1.6038-2(J)(3): THE FOLLOWING INFORMATION IS SUBMITTED WITH RESPECT TO NEWARK-WAYNE COMMUNITY HOSPITAL'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: GREATER ROCHESTER ASSURANCE COMPANY, LTD. 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 U.S. FILER'S TAX RETURN: NAME OF U.S. FILER: ROCHESTER REGIONAL HEALTH ADDRESS OF U.S. FILER: 100 KINGS HIGHWAY SOUTH, ROCHESTER, NY 14617 EIN: 47-1234999 ENDING TAX YEAR OF U.S. FILER: DECEMBER 31, 2020 TYPE OF RETURN FILED: 990 IRS SERVICE CENTER WHERE RETURN FILED: OGDEN, UTAH 84201-0027</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
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          <BusinessNameLine1Txt>THE ROCHESTER GENERAL HOSPITAL</BusinessNameLine1Txt>
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          <AddressLine1Txt>1425 PORTLAND AVENUE</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14621</ZIPCd>
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          <BusinessNameLine1Txt>GRHS FOUNDATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>100 KINGS HIGHWAY SOUTH</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
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        <PrimaryActivitiesTxt>R/E INV MGMT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>DRIVING PARK AVENUE</AddressLine1Txt>
          <CityNm>NEWARK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14513</ZIPCd>
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        <EIN>222963015</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>RGHS WORKERS' COMPENSATION TRUST</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1425 PORTLAND AVENUE</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14621</ZIPCd>
        </USAddress>
        <EIN>166429300</EIN>
        <PrimaryActivitiesTxt>SEE PART VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CONTINUING CARE NETWORK INC (CCN)</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 KINGS HIGHWAY SOUTH</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14617</ZIPCd>
        </USAddress>
        <EIN>222963016</EIN>
        <PrimaryActivitiesTxt>SUPPORT RGH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ROCHESTER GENERAL HUDSON HOUSING</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2066 HUDSON AVENUE</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14621</ZIPCd>
        </USAddress>
        <EIN>223210351</EIN>
        <PrimaryActivitiesTxt>LOW INC HOUSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VIA HEALTH HOME CARE I</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 KINGS HIGHWAY SOUTH</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14617</ZIPCd>
        </USAddress>
        <EIN>161504370</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CCN</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VIA HEALTH HOMECARE II</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 KINGS HIGHWAY SOUTH</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14617</ZIPCd>
        </USAddress>
        <EIN>161538727</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CCN</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>INDEPENDENT LIVING FOR SENIORS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2066 HUDSON AVENUE</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14617</ZIPCd>
        </USAddress>
        <EIN>161491059</EIN>
        <PrimaryActivitiesTxt>ADULT DAY HC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ROCHESTER GENERAL LONG TERM CARE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1550 EMPIRE BLVD</AddressLine1Txt>
          <CityNm>WEBSTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14580</ZIPCd>
        </USAddress>
        <EIN>223187140</EIN>
        <PrimaryActivitiesTxt>NH &amp; REHAB</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WESTERN NEW YORK MEDICAL PRACTICE PC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1425 PORTLAND AVENUE</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14621</ZIPCd>
        </USAddress>
        <EIN>611654232</EIN>
        <PrimaryActivitiesTxt>PHYS PRAC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE UNITY HOSPITAL OF ROCHESTER</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1555 LONG POND RD</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14626</ZIPCd>
        </USAddress>
        <EIN>237221763</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NORTH PARK NURSING HOME INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1555 LONG POND RD</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14626</ZIPCd>
        </USAddress>
        <EIN>223159644</EIN>
        <PrimaryActivitiesTxt>LONG TERM CARE FACILITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PARK RIDGE NURSING HOME INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1555 LONG POND RD</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14626</ZIPCd>
        </USAddress>
        <EIN>160978184</EIN>
        <PrimaryActivitiesTxt>LONG TERM CARE FACILITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PARK RIDGE CHILD CARE CENTER INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1555 LONG POND RD</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14626</ZIPCd>
        </USAddress>
        <EIN>222918126</EIN>
        <PrimaryActivitiesTxt>CHILD DAY CARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PARK RIDGE HOUSING DEVELOPMENT FUND</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1555 LONG POND RD</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14626</ZIPCd>
        </USAddress>
        <EIN>222608311</EIN>
        <PrimaryActivitiesTxt>LOW INCOME HOUSING PROJECT FOR ELDERLY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PARK RIDGE HOUSING INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1555 LONG POND RD</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14626</ZIPCd>
        </USAddress>
        <EIN>222570457</EIN>
        <PrimaryActivitiesTxt>SENIOR APARTMENT COMPLEX</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PARKWAY COMMONS HOUSING DEVELOPMENT</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1555 LONG POND RD</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14626</ZIPCd>
        </USAddress>
        <EIN>223130818</EIN>
        <PrimaryActivitiesTxt>LOW INCOME HOUSING FOR ELDERLY/HANDICAPPED</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UNITY AGING SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1555 LONG POND RD</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14626</ZIPCd>
        </USAddress>
        <EIN>841684195</EIN>
        <PrimaryActivitiesTxt>MANAGEMENT AND DEVELOPMENT CO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UNITY HOUSING DEVELOPMENT FUND CORP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1555 LONG POND RD</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14626</ZIPCd>
        </USAddress>
        <EIN>300068596</EIN>
        <PrimaryActivitiesTxt>RECEIPT AND DISBURSEMENTS OF SUBSIDIES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WOODLAND VILLAGE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1555 LONG POND RD</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14626</ZIPCd>
        </USAddress>
        <EIN>161588242</EIN>
        <PrimaryActivitiesTxt>SENIOR APARTMENT COMPLEX</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UNITY AMBULATORY SURGERY CENTER INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1555 LONG POND RD</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14626</ZIPCd>
        </USAddress>
        <EIN>383871383</EIN>
        <PrimaryActivitiesTxt>OUTPATIENT SURGERY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UNITY HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1555 LONG POND ROAD</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14626</ZIPCd>
        </USAddress>
        <EIN>222572873</EIN>
        <PrimaryActivitiesTxt>SYSTEM SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 KINGS HIGHWAY SOUTH</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14617</ZIPCd>
        </USAddress>
        <EIN>471234999</EIN>
        <PrimaryActivitiesTxt>SYSTEM PARENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UNITED MEMORIAL MEDICAL CENTER</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>127 NORTH STREET</AddressLine1Txt>
          <CityNm>BATAVIA</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14020</ZIPCd>
        </USAddress>
        <EIN>160743029</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CLIFTON SPRINGS HOSPITAL AND CLINIC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2 COULTER ROAD</AddressLine1Txt>
          <CityNm>CLIFTON SPRINGS</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14432</ZIPCd>
        </USAddress>
        <EIN>160743966</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BEHAVIORAL HEALTH NETWORK INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>490 EAST RIDGE ROAD</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14621</ZIPCd>
        </USAddress>
        <EIN>166069131</EIN>
        <PrimaryActivitiesTxt>MENTAL HEALTH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PRCD INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1555 LONG POND RD</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14626</ZIPCd>
        </USAddress>
        <EIN>161311581</EIN>
        <PrimaryActivitiesTxt>SUBSTANCE ABUSE TREATMENT &amp; REHAB.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ROCHESTER GENERAL HEALTH SYSTEM</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 KINGS HIGHWAY SOUTH</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14617</ZIPCd>
        </USAddress>
        <EIN>222551509</EIN>
        <PrimaryActivitiesTxt>SYSTEM SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UNITED MEMORIAL MEDICAL CENTER FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>127 NORTH STREET</AddressLine1Txt>
          <CityNm>BATAVIA</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14020</ZIPCd>
        </USAddress>
        <EIN>222611543</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UNITED MEMORIAL MEDICAL CENTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CLIFTON SPRINGS HOSPITAL &amp; CLINIC FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2 COULTER ROAD</AddressLine1Txt>
          <CityNm>CLIFTON SPRINGS</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14432</ZIPCd>
        </USAddress>
        <EIN>161560033</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GENESEE REGION HOME CARE ASSOCIATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 KINGS HIGHWAY</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14617</ZIPCd>
        </USAddress>
        <EIN>160844109</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GENESEE REGION HOME CARE OF ONTARIO COUNTY INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 KINGS HIGHWAY</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14617</ZIPCd>
        </USAddress>
        <EIN>223257719</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NW ASSOCIATES LP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO BOX 111 DRIVING PARK AVENUE</AddressLine1Txt>
          <CityNm>NEWARK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14513</ZIPCd>
        </USAddress>
        <EIN>141674119</EIN>
        <PrimaryActivitiesTxt>R/E LEASING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NWCH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.73610</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PARMA SENIOR HOUSING</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1555 LONG POND RD</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14626</ZIPCd>
        </USAddress>
        <EIN>432082116</EIN>
        <PrimaryActivitiesTxt>HILTON PROJ</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UNITY SENIOR HOUSING</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1555 LONG POND RD</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14626</ZIPCd>
        </USAddress>
        <EIN>061709927</EIN>
        <PrimaryActivitiesTxt>MOORE PK</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GREATER ROCHESTER ASSURANCE COMPANY LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>GEORGE TOWN</AddressLine1Txt>
          <CityNm>GRAND CAYMAN</CityNm>
          <CountryCd>CJ</CountryCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GRACO RISK RETENTION GROUP INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1425 PORTLAND AVENUE</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14621</ZIPCd>
        </USAddress>
        <EIN>710933967</EIN>
        <PrimaryActivitiesTxt>INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>RGH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NWA INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>DRIVING PARK AVENUE</AddressLine1Txt>
          <CityNm>NEWARK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14513</ZIPCd>
        </USAddress>
        <EIN>141667339</EIN>
        <PrimaryActivitiesTxt>R/E LEASING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NWCH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GREATER ROCHESTER INDEPENDENT PRACTICE ASSOCIATION INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>100 KINGS HWY S SUITE 2500</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14617</ZIPCd>
        </USAddress>
        <EIN>161507171</EIN>
        <PrimaryActivitiesTxt>INDEPENDENT PRACTICE ASSOCIATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <OwnershipPct>0.50000</OwnershipPct>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ROCHESTER GENERAL HEALTH SYSTEM DIALYSIS INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1425 PORTLAND AVENUE</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14621</ZIPCd>
        </USAddress>
        <EIN>383912199</EIN>
        <PrimaryActivitiesTxt>DIALYSIS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>RGHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ACM MEDICAL LABORATORY INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>160 ELMGROVE PARK</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14624</ZIPCd>
        </USAddress>
        <EIN>161059691</EIN>
        <PrimaryActivitiesTxt>CLINICAL LAB</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PRH INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PRH INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1555 LONG POND ROAD</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14626</ZIPCd>
        </USAddress>
        <EIN>161329632</EIN>
        <PrimaryActivitiesTxt>MEDICAL LAB</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GREATER ROCHESTER IMMEDIATE MEDICAL CARE PLLC DBA ROCHESTER IMMEDIATE CARE</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>265 BROOKVIEW CENTRE WAY SUITE 400</AddressLine1Txt>
          <CityNm>KNOXVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37919</ZIPCd>
        </USAddress>
        <EIN>271453784</EIN>
        <PrimaryActivitiesTxt>URGENT CARE CENTERS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WESTERN NEW YORK MEDICAL PC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ROCHESTER MEDICINE PLLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>265 BROOKVIEW CENTRE WAY SUITE 400</AddressLine1Txt>
          <CityNm>KNOXVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37919</ZIPCd>
        </USAddress>
        <EIN>812625325</EIN>
        <PrimaryActivitiesTxt>OCCUPATIONAL MEDICINE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WESTERN NEW YORK MEDICAL PC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PARMA SENIOR HOUSING LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1555 LONG POND ROAD</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14626</ZIPCd>
        </USAddress>
        <EIN>810671687</EIN>
        <PrimaryActivitiesTxt>SENIOR HOUSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UNITY SENIOR HOUSING CORP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1555 LONG POND ROAD</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14624</ZIPCd>
        </USAddress>
        <EIN>061709925</EIN>
        <PrimaryActivitiesTxt>SENIOR HOUSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ROCHESTER GENERAL HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>15703995</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GREATER ROCHESTER ASSUANCE COMPANY LTD</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>611493</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>1740325</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>NEWARK-WAYNE COMMUNITY HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>148846</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>INDEPENDENT LIVING FOR SENIORS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>1900251</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>RGHS WORKERS COMPENSATION TRUST</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>479614</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GENESEE REGION HOME CARE ASSOCIATION INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>212679</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R, PART II, COLUMN B:</FormAndLineReferenceDesc>
        <ExplanationTxt>RELATED TAX-EXEMPT ORGANIZATION - PRIMARY ACTIVITY: RGHS WORKERS' COMPENSATION TRUST SUPPORTS THE ROCHESTER GENERAL HOSPITAL, NEWARK WAYNE COMMUNITY HOSPITAL, INDEPENDENT LIVING FOR SENIORS, ROCHESTER GENERAL LONG TERM CARE, ROCHESTER GENERAL HUDSON HOUSING, VIAHEALTH HOMECARE I, VIAHEALTH HOMECARE II, BEHAVIORAL HEALTH NETWORK, INC, CLIFTON SPRINGS HOSPITAL &amp; CLINIC, UNITED MEMORIAL MEDICAL CENTER, THE UNITY HOSPITAL OF ROCHESTER, GENESEE REGION HOME CARE ASSOCIATION AND GENESEE REGION HOME CARE OF ONTARIO COUNTY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
