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      <Form990PartVIISectionAGrp>
        <PersonNm>YULIYA REHAB</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>359133</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>158199</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WARREN HERN</PersonNm>
        <TitleTxt>FORMER CEO</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>250000</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>3082824</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>5968307</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>4657058</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>37</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DGA BUILDERS</BusinessNameLine1Txt>
          </BusinessName>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14534</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SCRIBEAMERICA LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 417756</AddressLine1Txt>
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            <ZIPCd>02241</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
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      <TotalContributionsAmt>596646</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT REVENUE</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>108020737</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>108020737</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>108020737</TotalProgramServiceRevenueAmt>
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      <GrossRentsGrp>
        <RealAmt>85671</RealAmt>
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        <RealAmt>0</RealAmt>
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      <RentalIncomeOrLossGrp>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>85671</TotalRevenueColumnAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>60087277</SecuritiesAmt>
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      <GainOrLossGrp>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>1016908</TotalRevenueColumnAmt>
        <ExclusionAmt>1016908</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA SALES</Desc>
        <BusinessCd>445110</BusinessCd>
        <TotalRevenueColumnAmt>409897</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>409897</RelatedOrExemptFuncIncomeAmt>
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      <MiscellaneousRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>686599</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>1096496</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>112572503</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>109117233</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>2858624</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1919041</TotalAmt>
        <ProgramServicesAmt>1667573</ProgramServicesAmt>
        <ManagementAndGeneralAmt>251468</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>55084997</TotalAmt>
        <ProgramServicesAmt>47906029</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7178968</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>2455860</TotalAmt>
        <ProgramServicesAmt>1975200</ProgramServicesAmt>
        <ManagementAndGeneralAmt>480660</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>2895537</ProgramServicesAmt>
        <ManagementAndGeneralAmt>704622</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>2291516</ProgramServicesAmt>
        <ManagementAndGeneralAmt>557634</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>9050</TotalAmt>
        <ProgramServicesAmt>8003</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1047</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>11725</TotalAmt>
        <ProgramServicesAmt>11725</ProgramServicesAmt>
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        <TotalAmt>16431712</TotalAmt>
        <ProgramServicesAmt>14510723</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1920989</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>5333</TotalAmt>
        <ProgramServicesAmt>4716</ProgramServicesAmt>
        <ManagementAndGeneralAmt>617</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>397399</TotalAmt>
        <ProgramServicesAmt>356647</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40752</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>2507082</TotalAmt>
        <ProgramServicesAmt>2249990</ProgramServicesAmt>
        <ManagementAndGeneralAmt>257092</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>75834</TotalAmt>
        <ProgramServicesAmt>68057</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7777</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>40488</TotalAmt>
        <ProgramServicesAmt>36336</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4152</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>474664</TotalAmt>
        <ProgramServicesAmt>364969</ProgramServicesAmt>
        <ManagementAndGeneralAmt>109695</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>3740897</TotalAmt>
        <ProgramServicesAmt>2876376</ProgramServicesAmt>
        <ManagementAndGeneralAmt>864521</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>331475</TotalAmt>
        <ProgramServicesAmt>272743</ProgramServicesAmt>
        <ManagementAndGeneralAmt>58732</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>13572022</TotalAmt>
        <ProgramServicesAmt>12180259</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1391763</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>2251990</TotalAmt>
        <ProgramServicesAmt>2251990</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LICENSES AND TAXES</Desc>
        <TotalAmt>1321536</TotalAmt>
        <ProgramServicesAmt>1186017</ProgramServicesAmt>
        <ManagementAndGeneralAmt>135519</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SHARED SERVICES</Desc>
        <TotalAmt>639060</TotalAmt>
        <ProgramServicesAmt>573527</ProgramServicesAmt>
        <ManagementAndGeneralAmt>65533</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>200320</TotalAmt>
        <ProgramServicesAmt>179778</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20542</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>107919794</TotalAmt>
        <ProgramServicesAmt>93867711</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14052083</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>12334079</BOYAmt>
        <EOYAmt>4212431</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>3747271</BOYAmt>
        <EOYAmt>2661487</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>136004</BOYAmt>
        <EOYAmt>40070</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>6972828</BOYAmt>
        <EOYAmt>7819379</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>107924</BOYAmt>
        <EOYAmt>95881</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>144003</BOYAmt>
        <EOYAmt>235224</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>108173052</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>75875037</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>33659002</BOYAmt>
        <EOYAmt>32298015</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>15314663</BOYAmt>
        <EOYAmt>18751685</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>34714127</BOYAmt>
        <EOYAmt>45881000</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>14654001</BOYAmt>
        <EOYAmt>15416519</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>121783902</BOYAmt>
        <EOYAmt>127411691</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>8946955</BOYAmt>
        <EOYAmt>9412627</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>2</BOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>10842767</BOYAmt>
        <EOYAmt>10057130</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <EscrowAccountLiabilityGrp>
        <BOYAmt>197310</BOYAmt>
        <EOYAmt>206811</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>30251580</BOYAmt>
        <EOYAmt>25238726</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>50238614</BOYAmt>
        <EOYAmt>44915294</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>70362581</BOYAmt>
        <EOYAmt>81196553</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>1182707</BOYAmt>
        <EOYAmt>1299844</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>71545288</BOYAmt>
        <EOYAmt>82496397</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>121783902</BOYAmt>
        <EOYAmt>127411691</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>4652709</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>5654269</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>644131</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>11725</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>11725</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 GREATER NY HOSPITAL ASSOCIATION, HEALTH CARE 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>197310</BeginningBalanceAmt>
      <AdditionsDuringYearAmt>626657</AdditionsDuringYearAmt>
      <DistributionsDuringYearAmt>617156</DistributionsDuringYearAmt>
      <EndingBalanceAmt>206811</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>68090895</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>44361730</DepreciationAmt>
        <BookValueAmt>23729165</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>35494575</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>30268058</DepreciationAmt>
        <BookValueAmt>5226517</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>4530601</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1245249</DepreciationAmt>
        <BookValueAmt>3285352</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>32298015</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>COMMON COLLECTIVE TRUSTS</Desc>
        <BookValueAmt>13606910</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>LIMITED PARTNERSHIP HEDGE FUND</Desc>
        <BookValueAmt>28504277</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>LIMITED PARTNERSHIP</Desc>
        <BookValueAmt>3769813</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>45881000</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>ESTIMATED 3RD PARTY RECEIVABLE</Desc>
        <BookValueAmt>804368</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INTEREST IN ASSETS OF FOUNDATIONS</Desc>
        <BookValueAmt>6852945</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER INVESTMENTS</Desc>
        <BookValueAmt>891817</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM AFFILIATES</Desc>
        <BookValueAmt>417586</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLES</Desc>
        <BookValueAmt>591033</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>SELF-INSURANCE ASSETS</Desc>
        <BookValueAmt>5450542</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OPERATING LEASES - RIGHT TO USE ASSETS</Desc>
        <BookValueAmt>408228</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>15416519</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ESTIMATED 3RD PARTY PAYABLES</Desc>
        <Amt>14731926</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED SELF-INSURED LIABILITIES</Desc>
        <Amt>10102710</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASES - RIGHT TO USE LIABILITIES</Desc>
        <Amt>404090</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>25238726</TotalLiabilityAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>RESIDENTS HAVE AUTHORIZED DEMAY LIVING CENTER, ATTACHED TO AND A PART OF NEWARK WAYNE COMMUNITY HOSPITAL, 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>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
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      <WrittenPolicyInd>1</WrittenPolicyInd>
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      <MedicareSurplusOrShortfallAmt>-1546003</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
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      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>1 NW ASSOCIATES LP</BusinessNameLine1Txt>
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        <PhysiciansProfitOrOwnershipPct>0.26360</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>
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      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>NEWARK-WAYNE COMMUNITY HOSPITAL</BusinessNameLine1Txt>
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        <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>
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        <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 2019 MEDICAID ICR, UTILIZING EXHIBIT 46, AND THE 2019 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 2019 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 $107,919,794. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $2,251,990. AFTER BAD DEBT WAS DEDUCTED FROM TOTAL EXPENSES, THE AMOUNT OF TOTAL EXPENSES USED TO CALCULATE THE PERCENT IN LINE 7, COLUMN (F) WAS $105,667,804.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7E:</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING 2019, 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). NEWARK WAYNE COMMUNITY HOSPITAL SUMMERFEST - IN PARTNERSHIP WITH THE NEWARK POLICE DEPARTMENT AND ALL THREE NEWARK ELEMENTARY SCHOOLS, NEWARK-WAYNE HOSPITAL HOSTED ITS ANNUAL SUMMERFEST HEALTH FAIR OFFERING COMMUNITY MEMBERS MANY HEALTH AND SAFETY RELATED SERVICES INCLUDING: FITTING OF FREE BIKE HELMETS (DONATED BY PHYSICIANS) TO OVER 200 CHILDREN; CHILDREN'S CAR SEAT SAFETY CHECKS; A BIKE RODEO TO TEACH CHILDREN ABOUT BIKE SAFETY; BLOOD PRESSURE AND GLUCOSE SCREENINGS; AND INFORMATION ON MANY HEALTH-RELATED TOPICS FROM NWCH AND PARTNER HEALTH AGENCIES FROM AROUND WAYNE COUNTY. ADDITIONALLY, THE CANCER SERVICES PROGRAM (CSP) PROVIDED INFORMATION AND EDUCATION ABOUT THE IMPORTANCE OF GETTING SCREENED. WAYNE COUNTY FAIR - RRH PRESENCE COVERED INFORMATION AND EMPLOYEE VOLUNTEERS FROM SURGICAL SERVICES, LAB SERVICES, NICHE/HEALTH FIRST FAMILY MEDICINE, STROKE, ICU, CARDIAC REHAB, WOMEN'S CARE, ENDOCRINOLOGY, RESPIRATORY THERAPY, ORTHOPEDICS, PHYSICAL AND OCCUPATIONAL THERAPY AND SPEECH THERAPY.CAMP MEDQUEST- CAMP MEDQUEST IS A DAY CAMP FOR HIGH SCHOOL STUDENTS TO EXPERIENCE THE OPPORTUNITIES AVAILABLE IN HEALTHCARE. STUDENTS LEARN FROM A VARIETY OF HEALTH PROFESSIONALS THROUGH ONE-ON-ONE AND HANDS-ON ACTIVITIES. THE GOOD LIFE, A 10-WEEK HEALTH AND WEIGHT-LOSS PROGRAM WAS SPONSORED BY THE WAYNE COUNTY RURAL HEALTH NETWORK, CORNELL COOPERATIVE EXTENSION AND NEWARK-WAYNE COMMUNITY HOSPITAL, OFFERING INCENTIVES, EDUCATION AND OPTIONS FOR FAMILIES TO BECOME HEALTHIER. MEASUREMENTS OF WEIGHT, HEIGHT AND BLOOD PRESSURE WERE TAKEN AS A BASELINE TO HELP TRACK SUCCESS. PARTICIPANTS ALSO RECEIVE A PEDOMETER, TRACKING TOOLS AND INFORMATION ABOUT HOW TO ACHIEVE GOALS. THE CLASSES TAUGHT STEP-BY-STEP TOOLS ABOUT HOW TO STAY GOAL-FOCUSED.THE WAYNE COUNTY RURAL HEALTH NETWORK (OF WHICH NWCH IS A PARTNER) RAN THE WAYNE COUNTY WORKSITE WELLNESS COALITION AND LEARNING COLLABORATIVE TO EDUCATE EMPLOYERS IN WAYNE COUNTY ABOUT HOW TO DEVELOP A WORKSITE WELLNESS PROGRAMS, SHARE AVAILABLE RESOURCES, AND DEVELOP A LOCALLY AVAILABLE TOOLKIT AND WEBSITE PAGE. NWCH IS A SPONSOR OF THIS PROGRAM AND PROVIDES SPACE AND RESOURCES TO ITS EFFORT.CANCER SERVICES PROGRAM COLLABORATED WITH LOCAL YMCAS TO PROMOTE CANCER SCREENINGS. SCREENINGS FOR BREAST, CERVICAL AND COLORECTAL CANCER WERE CONDUCTED THROUGH COLLABORATION BETWEEN THE NWCH CANCER SERVICES PROGRAM AND LOCAL YMCAS. MANY OTHER SERVICES WERE PROVIDED SUCH AS CONSULTS AND PATHOLOGY. DURING COLORECTAL CANCER AWARENESS MONTH, THE CSP PARTNERED WITH THE GI OFFICES IN THE GO BLUE (COLORECTAL CANCER - CRC) CAMPAIGN. CSP INVITED GI PROVIDERS, LOCAL OFFICIALS AND LEGISLATORS TO SPEAK AT A PRESENTATION SUPPORTING CRC AWARENESS.NATIONAL HEALTH-RELATED HOLIDAYS- NEWARK-WAYNE COMMUNITY HOSPITAL STAFF PROVIDED HEALTH EDUCATION INFORMATION TO STAFF AND VISITORS ON NATIONAL HEALTH-RELATED HOLIDAYS. IN 2019, RECOGNITIONS INCLUDED EDUCATIONAL MATERIALS, SOCIAL MEDIA OUTREACH, MEDIA PITCHES AND GIVEAWAYS. SOME TOPICS INCLUDED: HEART, BRAIN INJURY AWARENESS, DIABETES, BREAST CANCER, COLORECTAL CANCER, MELANOMA, CONCUSSION, CHOLESTEROL EDUCATION, MEN'S HEALTH, BETTER SLEEP AND DEPRESSION. NWCH SPONSORED AN EARTH DAY EVENT WHICH FEATURED A TREE SAPLING GIVEAWAY, SUSTAINABILITY PLEDGE, COMPOSTING QUESTIONS AND ANSWERS, AND MORE FUN ACTIVITIES RELATED TO SUSTAINABILITY AND CONSERVATION. THE NEW VISIONS HEALTH PROFESSIONS PROGRAM IS CAREER EXPLORATION, THROUGH WAYNE FINGER LAKES BOCES, DESIGNED FOR HIGH SCHOOL SENIORS INTERESTED IN MEDICAL AND HEALTH-RELATED PROFESSIONS. THE GOAL IS TO PROVIDE STUDENTS WITH AN EXPOSURE TO THE VARIED CAREERS IN MEDICINE. NEWARK WAYNE HOSPITAL PROVIDES CLASSROOM SPACE AND STUDENTS WITH SHADOWING OPPORTUNITIES TO APPROXIMATELY 25 STUDENTS THROUGHOUT THE SCHOOL YEAR. 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: SCHOOL BASED CLINICS - ROCHESTER REGIONAL HEALTH SPONSORS MANY SCHOOL BASED HEALTH CLINICS WITHIN THE ROCHESTER CITY SCHOOL DISTRICT THAT PROVIDE HEALTHCARE SERVICES AND EDUCATION FOR STUDENTS INCLUDING PHYSICAL EXAMINATIONS FOR WORK OR SPORTS, TREATMENT OF INJURIES AND ILLNESSES, PRESCRIPTION MANAGEMENT, IMMUNIZATIONS, LABORATORY TESTING, AND MENTAL HEALTH SERVICES. THESE CLINICS ARE FREE FOR ANY STUDENTS ENROLLED IN THE SCHOOL.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 9 YEARS, 100% OF STUDENTS WHO 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. HILLSIDE WORK SCHOLARSHIP PROGRAM ROCHESTER REGIONAL PROUDLY PARTNERS WITH HILLSIDE THROUGH THEIR WORK-SCHOLARSHIP PROGRAM. THIS SCHOLARSHIP WAS STARTED AS A WAY TO EMPLOY TEENAGE STUDENTS IDENTIFIED WITH A HIGH RISK OF NOT GRADUATING HIGH SCHOOL, AND PROVIDES THEM MENTORSHIP AND A CHANCE TO GAIN VALUABLE HANDS-ON EXPERIENCE. STUDENTS ENTER THE PROGRAM FROM SEVENTH THROUGH NINTH GRADE AND ARE OFFERED AN OPPORTUNITY TO GAIN REAL-WORLD JOB EXPERIENCES AT ROCHESTER REGIONAL TO ASSIST IN BUILDING AN ACADEMIC AND CAREER PATHWAY IN HEALTHCARE. THANKS TO THE COMPREHENSIVE SUPPORT THEY RECEIVE FROM HILLSIDE AND PARTNERS AT ROCHESTER REGIONAL HEALTH, STUDENTS ENROLLED IN THE PROGRAM ARE ABLE TO COMPLETE HIGH SCHOOL AT ALMOST DOUBLE THE RATE OF THEIR ROCHESTER CITY SCHOOL DISTRICT PEERS.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 WEBSITESOCIAL MEDIA SPOTLIGHTS FEATURING TOPICS SUCH AS CARDIOLOGY CARE, FITTING IN FITNESS, DENTAL CARE, WOMEN AND HEART DISEASE, HEART FAILURE TREATMENT, EDUCATION AND AWARENESS ABOUT ORGAN AND TISSUE DONATION, OPIOID FREE AND CONTROLLING CHRONIC PAIN, DEBUNKING MYTHS ON COLONOSCOPIES AND COLORECTAL CANCER, HERNIAS AND HOW THEY ARE TREATED, OBESITY AND BARIATRIC SURGERY, WOMEN AND INCONTINENCE, LYME DISEASE, LIFESTYLE MEDICINE, SKIN CANCER AND SKIN PROTECTION, EARLY SIGNS OF A HEART ATTACK, ROCHESTER PRIDE PARADE AND FESTIVAL, AWARENESS OF SERVICES AVAILABLE TO THE DEAF POPULATION, OVERCOMING ADDICTION, PEANUT ALLERGY TREATMENT, AMONG OTHERS. SPONSORSHIPS- ROCHESTER REGIONAL HEALTH, AS A SYSTEM, INCLUDING NEWARK WAYNE COMMUNITY HOSPITAL, 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 CASH AND IN-KIND SPONSORSHIPS, SERVICES AND STAFF TO LOCAL ORGANIZATIONS AND COMMUNITY EVENTS INCLUDING THE AMERICAN HEART WALK, THE CENTER FOR YOUTH, JORDAN HEALTH CENTER, ROCHESTER INTERNATIONAL JAZZ FESTIVAL, ST. JOSEPH'S NEIGHBORHOOD, THE AMERICAN DIABETES ASSOCIATION, MERCY FLIGHT CENTRAL, INTERVOL, GREATER NEWARK CHAMBER OF COMMERCE, AND OTHERS.</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 ROCHESTER REGIONAL HEALTH INCLUDE:ENERGY EFFICIENT EQUIPMENT AND LIGHTING UPGRADES - ROCHESTER REGIONAL IS INCREASING ENERGY EFFICIENCY THROUGH EQUIPMENT UPGRADES IN OUR BUILDINGS. WE ARE RETROFITTING INTERNAL AND EXTERNAL LIGHTING WITH LED LIGHTING, A TECHNOLOGY THAT CONSUMES A THIRD OF THE ENERGY OF TRADITIONAL LIGHTING AND LASTS THREE TIMES AS LONG SAVING MONEY ON BOTH ENERGY AND MAINTENANCE. OTHER ENERGY EFFICIENCY UPGRADES ARE FOCUSED ON REDUCING THE ELECTRICAL AND HEATING LOADS OF OUR HVAC SYSTEMS AND OTHER EQUIPMENT. WE ARE UPGRADING SEVERAL PIECES OF ENERGY INTENSIVE EQUIPMENT THAT ARE OFTEN NOT CONSIDERED, INCLUDING VENDING MACHINES, AND REFRIGERATION UNITS. SOLAR INSTALLATIONS - OPPORTUNITIES FOR ON-SITE SOLAR INSTALLATIONS ARE BEING INVESTIGATED TO PROVIDE POWER TO FACILITIES ACROSS OUR ORGANIZATION. AT OUR HEADQUARTERS, THE RIEDMAN CAMPUS, WE HAVE CONSTRUCTED A 486 KW PHOTOVOLTAIC ARRAY THAT WILL PRODUCE AROUND 550,000 KWH ANNUALLY, PROVIDING POWER TO 20 OF OUR LOCATIONS. THIS WILL OFFSET APPROXIMATELY 848,000 LBS OF CO2 EMISSIONS PER YEAR. COMMUNITY SUPPORTIVE AGRICULTURE - ROCHESTER REGIONAL IS CURRENTLY WORKING WITH LOCAL ORGANIZATIONS TO OFFER COMMUNITY SUPPORTIVE AGRICULTURE (CSA) FOOD SHARE DROP-OFF LOCATIONS ACROSS THE ORGANIZATION. THESE CSA ORGANIZATIONS PARTNER WITH CREDENTIALED FARMERS AND WHOLESALERS THAT ENSURE THE BEST QUALITY LOCAL PRODUCE AND SUSTAINABLE FOOD, ADHERING TO THE HIGHEST STANDARDS IN OUR FACILITIES AND COMMUNITIES. THUS FAR, FIVE FOOD SHARE LOCATIONS WERE ESTABLISHED AT OUR FACILITIES.LOCAL FOOD PURCHASING AND FARMERS MARKET - ROCHESTER REGIONAL ACTIVELY SUPPORTS PURCHASES FROM LOCAL FARMS TO SUPPORT OUR LOCAL ECONOMY. CURRENTLY, WE PURCHASE PRODUCE FROM A NUMBER OF LOCAL VENDORS, ANNUALLY AMOUNTING TO AROUND 20% OF THE ORGANIZATION'S TOTAL SPENT ON PRODUCE. ADDITIONALLY, ROCHESTER REGIONAL'S RIEDMAN LOCATION HOLDS WEEKLY FARMERS MARKETS TO ENCOURAGE THE COMMUNITY AND EMPLOYEES TO PURCHASE MORE LOCALLY GROWN FOOD. WE ARE ACTIVELY SEEKING TO EXPAND THE PROGRAM AND START FARMERS MARKETS AT OTHER FACILITIES.WASTE TO ENERGY - FOOD WASTES AND OTHER ORGANIC MATERIALS THAT COULD BE DIVERTED MAKE UP 25% OF TRASH SENT TO LANDFILLS. SEVERAL FOOD WASTE AUDITS RECENTLY CONDUCTED AT ROCHESTER GENERAL HOSPITAL, UNITY HOSPITAL, AND THE RIEDMAN CAMPUS SUGGEST THAT WE COULD BE DIVERTING UP TO 705,925 LBS OF FOOD WASTE FROM LANDFILLS A YEAR ACROSS OUR ORGANIZATION. WHEN ORGANIC WASTE IS SENT TO LANDFILLS, IT BREAKS DOWN INTO METHANE, WHICH IS 20 TIMES MORE POTENT GREENHOUSE GAS THAN CO2. THAT MEANS 1 LB OF METHANE EMITTED IS LIKE PUTTING 20 LBS OF CO2 INTO THE AIR. ROCHESTER REGIONAL BEGAN DIVERTING ORGANIC WASTE FROM OUR RIEDMAN CAMPUS TO AN ANAEROBIC DIGESTER JUST SOUTH OF ROCHESTER. BACTERIA IN THE ANAEROBIC DIGESTER BREAK DOWN ORGANIC WASTE INTO METHANE THAT IS THEN COMBUSTED ON-SITE TO PRODUCE ELECTRICITY. THE PROCESS ALSO PRODUCES A NUTRIENT-RICH SLURRY THAT IS USED IN AGRICULTURAL APPLICATIONS TO HELP DISPLACE SYNTHETIC CHEMICAL FERTILIZERS.ELECTRONICS RECYCLING - HEALTHCARE DATA STORED ON ELECTRONIC DEVICES IS EXTREMELY SENSITIVE, AND WE TAKE SECURING THAT INFORMATION VERY SERIOUSLY AT ROCHESTER REGIONAL. FOR ALL OF OUR ELECTRONIC DEVICES IN NEED OF REPLACEMENT, USUALLY BECAUSE THEY ARE OUTDATED OR TOO COSTLY TO REPAIR, WE HAVE TO FIND A REPLACEMENT WHILE TAKING THE UTMOST CARE THAT WE SECURELY REMOVE ANY SENSITIVE INFORMATION FROM THE OLD DEVICE. FOR PIECES OF EQUIPMENT THAT MAY HAVE SENSITIVE INFORMATION, WE REMOVE THE DATA STORAGE PORTION, SHRED IT, AND RECYCLE THE PIECES. THE REST OF THE DEVICE MAY BE COMPLETELY FINE WHERE THE COMPONENTS INCLUDING THE HOUSING AND ON-BOARD SENSORS CAN STILL BE USED. RATHER THAN THROW OUT THE REMAINDER OF THE EQUIPMENT, WE WORK WITH ORGANIZATIONS THAT RE-SELL/REFURBISH THE HOUSING AND OTHER CRITICAL COMPONENTS, INTO NEW DEVICES, ELIMINATING THE NEED FOR MANY RAW MATERIALS TO BE CONSUMED. SUSTAINABLE PURCHASING CRITERIA IS A BROAD TOPIC THAT ULTIMATELY AIMS TO ENSURE THE ENTITIES WE PROCURE PRODUCTS AND SERVICES FROM ARE COMMITTED TO THE SAME CORE VALUES AS ROCHESTER REGIONAL, INCLUDING QUALITY, COMPASSION, RESPECT, COLLABORATION, AND FORESIGHT. IN ADDITION, WE UNDERSTAND THAT AS THE SECOND LARGEST EMPLOYER IN OUR AREA, WE ARE A SIGNIFICANT ECONOMIC DRIVER WITHIN OUR COMMUNITY, AND AIM TO USE THIS INFLUENCE FOR GOOD. NOT ONLY DO WE WORK TOWARDS IMPROVING THE PHYSICAL HEALTH OF OUR COMMUNITY MEMBERS, BUT WE ALSO SEEK TO IMPROVE THE ECONOMIC AND ENVIRONMENTAL HEALTH OF THE COMMUNITY AS WELL. WITH THAT IN MIND, WE HAVE A DEDICATED TEAM THAT IS DEVELOPING SUSTAINABLE PURCHASING CRITERIA THAT WILL SET GUIDELINES AROUND THE SOCIAL, ECONOMIC, AND ENVIRONMENTAL IMPACTS OF THE PRODUCTS AND SERVICES WE PROCURE. THE PRIMARY STRATEGIES FOR THESE CRITERIA ARE TO BUY MORE LOCALLY PRODUCED ITEMS, PURCHASE PRODUCTS THAT ARE MADE WITH SAFER MATERIALS, AND WORK MORE WITH COMPANIES THAT TREAT THEIR EMPLOYEES WELL.ELECTRIC VEHICLE CHARGING STATIONS - ELECTRIC VEHICLE CHARGING STATIONS ARE NOW AVAILABLE IN THE EASTERN REGION AT BOTH NEWARK-WAYNE AND CLIFTON SPRINGS HOSPITALS. THIS INITIATIVE HELPS STAFF AND PATIENTS REDUCE THEIR ENVIRONMENTAL FOOTPRINTS, AND IT SUPPORTS THE GREENING OF OUR COMMUNITIES' TRANSPORTATION INFRASTRUCTURE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN 2019, 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 2019 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 2019, 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 2019 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 2019 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, THAN NO BILL IS SENT TO THE PATIENT. IF LESS THAN 100% CHARITY CARE IS AWARDED, THAN 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 2019, NWCH PROVIDED CARE TO OVER 20,270 PATIENTS WHO VISITED THE EMERGENCY DEPARTMENT, EXPERIENCED MORE THAN 7,000 INPATIENT/OBSERVATION DISCHARGES AND 95,000 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 2019, 176 VOLUNTEERS PROVIDED MORE THAN 15,000 HOURS OF SERVICE AT NEWARK-WAYNE COMMUNITY HOSPITAL/DEMAY LIVING CENTER. 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 THE SECOND LARGEST EMPLOYER 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.IMPROVING ACCESS TO KEY OUTPATIENT SERVICES, RRH OPENED THE RIEDMAN HEALTH CENTER IN 2019. THE 74,355 SQUARE FOOT FACILITY SERVES AS A ONE-STOP DESTINATION FOR NON-SURGICAL CARE OFFERING PERSONALIZED SERVICE IN A SETTING THAT'S SOOTHING, MODERN AND DESIGNED TO REDUCE WAIT TIMES WHILE ALLOWING PROVIDERS TO SPEND MORE TIME WITH PATIENTS. LOCATED IN A NEWLY REVITALIZED AND EXPANDED IRONDEQUOIT RETAIL SPACE, THE RIEDMAN HEALTH CENTER IS EASILY ACCESSIBLE AND PROVIDES RESIDENTS WITH A NUMBER OF OUTPATIENT SERVICES INCLUDING PRIMARY CARE, OPHTHALMOLOGY, DENTAL AS WELL AS THE ABILITY TO OBTAIN IMAGING AND LAB SERVICES. 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; DERMATOLOGY AND MOHS SURGERY CENTER; PULMONARY AND SLEEP MEDICINE; FAMILY AND LIFESTYLE MEDICINE PRACTICE; EXPANSION OF THE BREAST CENTER; EXPANDED PHARMACY LOCATIONS; MIDWIFERY PRACTICE; AND THE ADDITION OF REED EYE ASSOCIATES OFFERING COMPREHENSIVE OPHTHALMOLOGY, OPTOMETRY AND EYE EVALUATION SERVICES. 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 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 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 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 2019 SOME OF THE MAJOR IMPROVEMENTS INCLUDE THE FOLLOWING:- NEW STATE-OF-THE-ART GE SIGNA ARTIST MRI SYSTEM. IT'S THE ONLY SYSTEM OF ITS KIND IN THE GREATER ROCHESTER AREA. THE GE SIGNA ARTIST OFFERS THE HIGHEST RESOLUTION IMAGING AND MOST ADVANCED MRI TECHNOLOGY. IT WILL HELP IMPROVE WORKFLOW EFFICIENCIES AND PROVIDE A MORE COMFORTABLE AND ENHANCED PATIENT EXPERIENCE.- RGH'S CENTER FOR RISK PREVENTION AND WELLNESS OPENED ITS FOURTH LOCATION. THIS TEAM OFFERS PATIENTS COMPASSIONATE, CONFIDENTIAL CARE FROM A TEAM OF PHYSICIANS AND NURSE PRACTITIONERS CERTIFIED IN INFECTIOUS DISEASES, AND EXPERIENCED IN THE TREATMENT OF HIV, HEPATITIS C, AND HIGH-RISK BEHAVIORS. EDUCATION AND COUNSELING REGARDING HIV RELATED MEDICATIONS IS ALSO AVAILABLE.- RGH UNVEILED ITS NEW BIPLANE SUITE IN 2019 ALLOWING UNINTERRUPTED 24/7 CARE FOR EVEN MORE STROKE PATIENTS IN OUR COMMUNITY.- THE UROLOGY DEPARTMENT AT ROCHESTER GENERAL HOSPITAL IS THE FIRST IN THE REGION AND FIFTH IN THE NATION WITH FOCAL ONE HIGH-INTENSITY FOCUSED ULTRASOUND. THIS NEW TECHNOLOGY PROVIDES QUICKER RECOVERY TIMES, PRECISION TREATMENT OF THE DIAGNOSED TUMOR AND PRESERVATION OF QUALITY OF LIFE. DURING 2019 ROCHESTER GENERAL HOSPITAL WAS RECOGNIZED BY THE FOLLOWING:- HEALTHGRADES 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. - BEACON AWARD FOR EXCELLENCE RGH'S INTENSIVE CARE UNIT, TELEMEDICAL CARDIAC UNIT, ORTHOPAEDIC UNIT AND THE NEONATAL INTENSIVE CARE UNIT ACHIEVED THE AACN (AMERICAN ASSOCIATION OF COLLEGES OF NURSING) BEACON AWARD FOR EXCELLENCE. ADDITIONALLY, THE POST-ANESTHESIA CARE UNIT WON THE SILVER-LEVEL AND THE 5800 UNIT WON THE BRONZE-LEVEL AWARDS OF 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.- AMERICAN HEART ASSOCIATION'S QUALITY ACHIEVEMENT AWARD RGH WAS SELECTED FOR THE AHA'S STROKE GOLD PLUS ELITE PLUS HONOR ROLL. THIS NATIONAL AWARD RECOGNIZES HOSPITALS THAT ARE ABOVE COMPLIANCE LEVELS FOR QUALITY STROKE MEASURES DURING THE AWARD TIME FRAME.- BREAST CENTER OF EXCELLENCE ROCHESTER GENERAL ONCE AGAIN RECEIVED NATIONAL CERTIFICATION AS A QUALITY BREAST CENTER OF EXCELLENCE FROM THE NATIONAL QUALITY MEASURES FOR BREAST CENTERS PROGRAM. THE BREAST CENTER TEAM IS RECOGNIZED AS A LEADER FOR PROVIDING THE HIGHEST STANDARDS OF BREAST HEALTH CARE FOR PATIENTS.- 2019 ADVOCACY AWARD FROM THE NEPHROLOGY NURSING CERTIFICATION COMMISSION (NNCC) RGH'S DIALYSIS TEAM RECEIVED THIS NATIONAL AWARD FOR SUPPORTING ONGOING EDUCATION OF ITS NURSES, AS WELL AS DEMONSTRATING AN UNPARALLELED APPRECIATION FOR NURSES WHO HAVE EARNED THEIR CERTIFICATION. ALMOST 90% OF ELIGIBLE RNS ARE CERTIFIED!</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6 (CON'T):</FormAndLineReferenceDesc>
        <ExplanationTxt>ADDITIONALLY, ROCHESTER GENERAL HOSPITAL ACHIEVED THE FOLLOWING CERTIFICATIONS AND ACCREDITATIONS DURING 2019:- FIRST ADVANCED THROMBECTOMY-CAPABLE STROKE CENTER (TSC) IN NEW YORK STATE. THIS CERTIFICATION CONFIRMS THAT RGH IS PROVIDING THE MOST ADVANCED LEVEL OF STROKE CARE IN THE REGION AND MEETING THE HIGH STANDARDS OF EXCELLENCE SET BY THE JOINT COMMISSION. THE TSC CERTIFICATION IDENTIFIES RGH AS A FACILITY THAT PERFORMS ENDOVASCULAR THROMBECTOMY (EVT) THE EMERGENCY PROCEDURE TO REMOVE BLOOD CLOTS, IMPROVING QUALITY OF LIFE FOR STROKE PATIENTS IN THE REGION BY PROVIDING ACCESS TO THIS DISABILITY-SAVING PROCEDURE.- AMERICAN COLLEGE OF SURGEON'S COMMISSION ON CANCER (COC) ACCREDITATION THIS NOTABLE RECOGNITION MARKS THE 40TH CONSECUTIVE YEAR RGH HAS RECEIVED THIS ACCREDITATION MAKING RGH THE FIRST AND LONGEST RUNNING COMMISSION ON CANCER-ACCREDITED PROGRAM IN OUR REGION. THE COC ACCREDITATION RECOGNIZES CANCER CARE PROGRAMS FOR THEIR COMMITMENT TO PROVIDING COMPREHENSIVE, HIGH-QUALITY, PATIENT-CENTERED CARE. THIS OUTSTANDING RECOGNITION REFLECTS THE DEDICATED, HIGH-QUALITY CANCER CARE THAT THE LIPSON CANCER INSTITUTE AND RGH TEAMS PROVIDE DAILY.- COMPREHENSIVE STROKE CENTER CERTIFICATION FROM DNV GL HEALTHCARE RGH NOW JOINS AN ELITE GROUP OF HOSPITALS TO EARN THIS PRESTIGIOUS DESIGNATION. THE INTENSE AND RIGOROUS PROCESS REQUIRED COLLABORATION AND HARD WORK FROM A MULTI-DISCIPLINARY GROUP OF PHYSICIANS, NURSES AND TEAM MEMBERS ACROSS THE ORGANIZATION. WITH THIS CERTIFICATION, RRH CONTINUES TO LEAD THE WAY IN ELEVATING THE LEVEL OF STROKE CARE BY IMPROVING ACCESS TO IMMEDIATE, LIFE-SAVING TREATMENT.- THE SPIRITUAL CARE TEAM AT ROCHESTER GENERAL HOSPITAL HAS RECEIVED ACCREDITED CENTER STATUS BY THE ASSOCIATION FOR CLINICAL PASTORAL EDUCATION (ACPE). THIS NATIONAL STATUS ALLOWS THE TEAM TO PROVIDE CLINICAL PASTORAL EDUCATION IN-HOUSE AT RGH FOR GRADUATE-LEVEL STUDENTS AND INTERNS. 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.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 2019 SOME OF THE MAJOR PROGRAM INITIATIVES INCLUDE THE FOLLOWING:- UNITY HOSPITAL'S BEHAVIORAL HEALTH ACCESS &amp; CRISIS CENTER LOCATED ON THE ST. MARY'S CAMPUS LAUNCHED A NEW JAIL DIVERSION PROGRAM IN PARTNERSHIP WITH LOCAL LAW ENFORCEMENT. THIS VOLUNTARY PROGRAM ENABLES POLICE TO WORK WITH AN INDIVIDUAL TO IDENTIFY IF MENTAL HEALTH TREATMENT IS MORE BENEFICIAL THAN JAIL. - UNITY HOSPITAL IS THE FIRST IN NEW YORK STATE TO USE THE NEW 7D NEUROSURGERY NAVIGATION SYSTEM FOR SPINE AND CRANIAL SURGERIES. THIS NEW TECHNOLOGY ACTS AS A DETAILED GPS AND EMITS ZERO RADIATION. - IMAGING CAPABILITIES ARE EXPANDING AT UH WITH TWO NEW 64-SLICE CT SCANNERS. RENOVATIONS AND CONSTRUCTION ARE EXPECTED TO BE COMPLETED IN JANUARY 2021. THE NEW SCANNERS WILL ENHANCE UNITY'S ABILITY TO SERVE PATIENTS WITH HIGHER QUALITY IMAGING AND FASTER TURNAROUND TIMES. UNITY TEAMS WILL ALSO HAVE THE ABILITY TO PERFORM CT INTERVENTIONAL PROCEDURES INSIDE THE HOSPITAL AND WILL HAVE A DEDICATED CT FOR STROKES WHEN NEEDED. A NEW IMAGING ULTRASOUND SUITE WILL IMPROVE THE EXPERIENCE OF BOTH PATIENTS AND STAFF, AND WILL MEET ADA COMPLIANCE.- HEALTH REACH HEALTHCARE FOR THE HOMELESS' NEW MOBILE MEDICAL UNIT WAS OPERATIONAL IN DECEMBER 2019, REPLACING ITS CURRENT BUS. THE MOBILE CAPABILITIES WILL PROVIDE COMPREHENSIVE PRIMARY MEDICAL AND DENTAL SERVICES ON THE ROAD. RECOGNITIONS AND AWARDS BESTOWED UPON UNITY HOSPITAL IN 2019 INCLUDE:- BEACON AWARD FOR EXCELLENCE UH'S INTENSIVE CARE UNIT AND THEIR INTENSIVE NURSING CARE UNIT ACHIEVED THE AACN (AMERICAN ASSOCIATION OF COLLEGES OF NURSING) BEACON AWARD FOR EXCELLENCE. ADDITIONALLY, THE CHARLES J. AUGUST JOINT REPLACEMENT CENTER WON THE SILVER-LEVEL BEACON AWARD OF 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.- AMERICAN HEART ASSOCIATION (AHA) QUALITY ACHIEVEMENT AWARD - UNITY HOSPITAL WAS SELECTED FOR THE AHA STROKE GOLD PLUS ELITE PLUS HONOR ROLL. THIS NATIONAL AWARD RECOGNIZES HOSPITALS THAT ARE ABOVE COMPLIANCE LEVELS FOR QUALITY STROKE MEASURES DURING THE AWARD TIME FRAME.- AMERICAN COLLEGE OF SURGEONS NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM (ACS NSQIP) HONORED UNITY HOSPITAL NATIONALLY FOR "MERITORIOUS" SURGICAL PATIENT CARE OUTCOMES. OUT OF 592 ELIGIBLE HOSPITALS, ACS DEEMED ONLY 88 "MERITORIOUS", INCLUDING UNITY HOSPITAL, THE ONLY HOSPITAL TO EARN THIS RECOGNITION IN THE ROCHESTER AREA. ACS NSQIP IS THE ONLY NATIONALLY VALIDATED QUALITY IMPROVEMENT PROGRAM THAT MEASURES AND ENHANCES THE CARE OF SURGICAL PATIENTS. - UNITY HOSPITAL HAS LONG BEEN A RECOGNIZED LEADER IN THE CARE OF WOMEN AND NEWBORNS AND BECAUSE OF THIS EXCEPTIONAL CARE UNITY HAS EARNED THE HIGHLY PRESTIGIOUS INTERNATIONAL BABY-FRIENDLY DESIGNATION. THIS DISTINGUISHED HONOR FOLLOWED A RIGOROUS REVIEW PROCESS BY BABY-FRIENDLY USA. WITH UNITY HOSPITAL'S DESIGNATION, ALL OF ROCHESTER REGIONAL HEALTH'S LABOR AND DELIVERY HOSPITALS (ROCHESTER GENERAL, NEWARK-WAYNE AND UNITED MEMORIAL) ARE NOW CERTIFIED AS BABY-FRIENDLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6 (CON'T):</FormAndLineReferenceDesc>
        <ExplanationTxt>ADDITIONALLY, UNITY HOSPITAL RECEIVED THE FOLLOWING CERTIFICATIONS AND ACCREDITATIONS DURING 2019:- GOLISANO REHABILITATION CENTER RECEIVED THE CARF RE-ACCREDITATION (COMMISSION OF REHABILITATION FACILITIES). REPRESENTING THE ORGANIZATIONS COMMITMENT TO THE HIGHEST LEVEL OF PERFORMANCE EXCELLENCE THROUGH IMPROVING EFFICIENCY, FISCAL HEALTH AND SERVICE DELIVERY. THIS ACCREDITATION IS ONLY ACHIEVED BY 3% OF THOSE SURVEYED.- AMERICAN COLLEGE OF EMERGENCY PHYSICIANS' (ACEP) GERIATRIC EMERGENCY DEPARTMENT ACCREDITATION PROGRAM (GEDA) RECOGNIZES UNITY HOSPITAL WITH ITS SILVER STANDARD ACCREDITATION. UNITY IS ONE OF ONLY THREE HOSPITALS IN NEW YORK STATE TO RECEIVE THIS ACCREDITATION. SILVER LEVEL ACCREDITATION REPRESENTS THAT UNITY HOSPITAL IS A FACILITY THAT INTEGRATES AND SUSTAINS ELDER CARE INITIATIVES INTO THEIR DAILY OPERATIONS, AND DEMONSTRATES THE INTERDISCIPLINARY COOPERATION FOR THE DELIVERY OF EXCELLENT EMERGENCY DEPARTMENT SERVICES FOR THE ELDERLY.- THE JOINT COMMISSION'S ADVANCED CERTIFICATION IN PALLIATIVE CARE HAS BEEN AWARDED TO UNITY HOSPITAL. THIS CERTIFICATION SERVES AS A TESTAMENT OF THE CLINICAL EXCELLENCE AND REMARKABLE PATIENT-CENTERED CARE OUR HEALTH SYSTEM DELIVERS DAY IN AND DAY OUT. THE JOINT COMMISSION SURVEYOR WAS EXTREMELY IMPRESSED WITH THE EXTENT PALLIATIVE CARE IS INTEGRATED INTO THE FABRIC OF UNITY'S PATIENT-CENTERED APPROACH TO CARE.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 2019 INCLUDE:- BEACON AWARD FOR EXCELLENCE NWCH'S INTENSIVE CARE UNIT ACHIEVED THE AACN (AMERICAN ASSOCIATION OF COLLEGES OF NURSING) 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 RECEIVED HIGH PRAISE FROM JOINT COMMISSION SURVEY - THE JOINT COMMISSION RECENTLY COMPLETED AN ON-SITE SURVEY AT NEWARK-WAYNE COMMUNITY HOSPITAL. THE RESULTS OF THE SURVEY WERE NOTED AS "A RARITY" FROM THE SURVEYORS WITH NEWARK-WAYNE ACHIEVING THE BEST COMPLIANCE POSSIBLE. THIS RECOGNITION AND LEVEL OF SUCCESS DEMONSTRATES THE COMMITMENT OF THE ENTIRE STAFF TO DELIVERING CARE THAT EXCEEDS EXPECTATIONS.- THE AMERICAN BOARD OF PERIANESTHESIA NURSING CERTIFICATION (ABPANC) HAS HONORED POST-ANESTHESIA CARE UNIT (PACU) AT NWCH WITH THEIR ACHIEVEMENT AWARD. THIS DISTINCTION IS A TESTAMENT TO THE HIGH-QUALITY PATIENT CARE OUR NURSES PROVIDE. THE PRESTIGIOUS, NATIONAL AWARD RECOGNIZES THAT 75-100 PERCENT OF ALL ELIGIBLE PERIANESTHESIA NURSES WITHIN A GIVEN DEPARTMENT HOLD CERTIFIED POST ANESTHESIA NURSE (CPAN) AND/OR CERTIFIED AMBULATORY PERIANESTHESIA NURSE (CAPA) CERTIFICATION.</ExplanationTxt>
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        <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 HEALTH CARE SYSTEM 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 2019, CONSTRUCTION CONTINUED ON THE CLIFTON MEDICAL VILLAGE WITH THE COMPLETION OF PHASE I OF THE TWO-PHASE PROJECT. THIS RENOVATION PROJECT CHANGES THE WAY THE FACILITY WILL DELIVER CARE TO PATIENTS AND FAMILIES. PHASE I HAS ALLOWED THE CREATION OF PROGRAMS THAT ARE FOCUSED ON COMMUNITY WELLNESS. PHASE II, WHICH OPENS IN 2020, WILL FEATURE NEW OPERATING ROOMS, PROCEDURE ROOMS, IMPROVE PATIENT ACCESS, AND PRIMARY CARE OFFICES WITH DENTAL ADDITIONS.AS WITH ALL OF THE HOSPITAL AND PATIENT CARE FACILITIES UNDER THE RRH UMBRELLA, CSHC WORKS DILIGENTLY TO CONTINUOUSLY PROVIDE TOP-QUALITY CARE. DURING 2019, CSHC WAS THE RECIPIENT OF SEVERAL RECOGNITIONS AND AWARDS SHINING A LIGHT ON THESE EFFORTS INCLUDING:- BEACON AWARD FOR EXCELLENCE CSHC'S INTENSIVE CARE UNIT ACHIEVED THE AACN (AMERICAN ASSOCIATION OF COLLEGES OF NURSING) 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 AMERICAN BOARD OF PERIANESTHESIA NURSING CERTIFICATION (ABPANC) HAS HONORED POST-ANESTHESIA CARE UNIT (PACU) AT CSHC WITH THEIR ACHIEVEMENT AWARD. THIS DISTINCTION IS A TESTAMENT TO THE HIGH-QUALITY PATIENT CARE OUR NURSES PROVIDE. THE PRESTIGIOUS, NATIONAL AWARD RECOGNIZES THAT 75-100 PERCENT OF ALL ELIGIBLE PERIANESTHESIA NURSES WITHIN A GIVEN DEPARTMENT HOLD CERTIFIED POST ANESTHESIA NURSE (CPAN) AND/OR CERTIFIED AMBULATORY PERIANESTHESIA NURSE (CAPA) CERTIFICATION. - CSHC RECEIVED THE BRONZE STANDARD FOR GERIATRIC EMERGENCY DEPARTMENT CARE 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.ADDITIONALLY, NEWARK WAYNE COMMUNITY HOSPITAL AND CLIFTON SPRINGS HOSPITAL AND CLINIC, COLLECTIVE REFERRED TO AS THE EASTERN REGION, WERE TOGETHER HONORED BY WITH THE 2019 PLATINUM PARTNERSHIP AWARD COMPLIMENTS OF THE 2019 WORKPLACE PARTNERSHIP FOR LIFE CAMPAIGN. THIS IS A GREAT ACHIEVEMENT AND DEMONSTRATES THE EASTERN REGION'S DEDICATION TO HELPING PATIENTS IN EVERY WAY POSSIBLE, ESPECIALLY BY SUPPORTING ORGAN, EYE AND TISSUE DONATION.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 2019 UMMC RECEIVED SEVERAL RECOGNITIONS AND AWARDS FOR ITS EXEMPLARY SERVICES AND PATIENT CARE. THESE INCLUDE:- CENTERS FOR DISEASE CONTROL (CDC) AND PREVENTION'S PRELIMINARY RECOGNITION OF UMMC'S HEALTHY LIVING DIABETES PREVENTION TEAM FOR DELIVERING QUALITY, EVIDENCE-BASED DIABETES PREVENTION PROGRAM.- NYSPQC QUALITY IMPROVEMENT AWARD - BABY FRIENDLY HOSPITAL DESIGNATION HONORS UMMC WITH THE BABY FRIENDLY HOSPITAL DESIGNATION. THIS DESIGNATION RECOGNIZES BIRTH FACILITIES THAT OFFER BREASTFEEDING MOTHERS THE INFORMATION, CONFIDENCE AND SKILLS NEEDED TO SUCCESSFULLY INITIATE AND CONTINUE BREASTFEEDING THEIR BABIES BASED ON THE 10 STEPS TO SUCCESSFUL BREASTFEEDING.- BEACON AWARD FOR EXCELLENCE UMMC'S INTENSIVE CARE UNIT ACHIEVED THE AACN (AMERICAN ASSOCIATION OF COLLEGES OF NURSING) 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.- ROBERT A. WARRINER III CENTER OF EXCELLENCE AWARD RECOGNIZES UMMC AS WOUND CARE CENTER OF EXCELLENCE. THIS NATIONAL HONOR RECOGNIZES WOUND CARE CENTERS THAT MEET THE HIGHEST LEVEL OF QUALITY STANDARDS FOR A MINIMUM OF TWO CONSECUTIVE YEARS.- GREATER ROCHESTER QUALITY COUNCIL (GRQC) HONORS UMMC AT THE 13TH ANNUAL PERFORMANCE EXCELLENCE AWARDS FOR TEAM EXCELLENCE - GOLD - FOR MANAGING AN OUTBREAK AND WINNING THE BATTLE.- THE GENESEE COUNTY BUSINESS EDUCATION ALLIANCE SELECTED UMMC TO RECEIVE ITS BUSINESS PARTNER OF THE YEAR AWARD. UMMC HAS PARTNERED WITH THE BUSINESS EDUCATION ALLIANCE FOR MORE THAN 15 YEARS TO HELP LOCAL STUDENTS PREPARE FOR THE WORLD OF WORK. IN THAT TIME, UMMC HOSTED A SUMMER CAREER EXPLORATION CAMP, PARTICIPATED IN HEALTH CAREER TALKS, OFFERED JOB SHADOWING AND MORE.- UMMC RECEIVED THE BRONZE STANDARD FOR GERIATRIC EMERGENCY DEPARTMENT CARE 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.</ExplanationTxt>
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        <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. 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. 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.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. PARK RIDGE LIVING CENTER (PRLC) 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, PRLC RECEIVED ONE OF THE THREE AREA DESIGNATIONS. THIS IS THE THIRD CONSECUTIVE YEAR PRLC HAS RECEIVED THIS OUTSTANDING RECOGNITION.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.IN 2019 THE HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS) HONORED RRH'S LONG-TERM CARE DIVISION WITH THEIR PATIENT SAFETY AWARD - 2019 PINNACLE AWARD FOR QUALITY AND PATIENT SAFETY. THIS AWARD RECOGNIZES ORGANIZATIONS THAT ARE LEADERS IN IMPROVING THE DELIVERY OF QUALITY CARE. HANYS RECOGNIZED RRH FOR ITS HIGH FIVE: ACHIEVING CONTINUOUS QUALITY MEASURE IMPROVEMENTS ACROSS SIX SKILLED NURSING FACILITIES PROGRAM, WHICH PRODUCED THE IMPRESSIVE RESULTS OF 13 CONSECUTIVE QUARTERS OF IMPROVEMENT AND FIVE OUT OF SIX FACILITIES WITHIN THE DIVISION ACHIEVED FOUR STARS FOR THE CENTERS FOR MEDICARE AND MEDICAID SERVICES NURSING HOME COMPARE FIVE-STAR QUALITY RATINGS.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. 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6 (CON'T):</FormAndLineReferenceDesc>
        <ExplanationTxt>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 NINE 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 AND CLINIC 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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        <PersonNm>ROBERT NESSELBUSH</PersonNm>
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        <PersonNm>EVE M WILLIAMS</PersonNm>
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        <PersonNm>YULIYA REHAB</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <PersonNm>WARREN HERN</PersonNm>
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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 - 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>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINES 4A-B</FormAndLineReferenceDesc>
        <ExplanationTxt>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 DISTIBUTIONS PAID FROM THIS PLAN IN 2019. THE TOTAL COMPENSATION PAID TO THE FORMER CEO REPRESENTED A DISTRIBUTION OF DEFERRED COMPENSATION FROM A 457(B) PLAN. THIS DISTRIBUTION TO THE FORMER CEO SHOWN IN THE 2019 TAX RETURN REPRESENTS COMPENSATION WHICH WAS RECOGNIZED IN PREVIOUS TAX YEARS. THERE WAS NO INCREMENTAL EXPENSE RECOGNIZED BY THE ORGANIZATION IN 2018 FOR PAYMENTS MADE TO THE FORMER CEO. 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.</ExplanationTxt>
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        <BondIssuedDt>2011-11-17</BondIssuedDt>
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        <BondReferenceCd>A</BondReferenceCd>
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        <IssuanceCostsFromProceedsAmt>395500</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>13214557</CapitalExpendituresAmt>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
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        <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>0</WrittenProcToMonitorReqsInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</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>
      </SupplementalInformationDetail>
      <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>
      </SupplementalInformationDetail>
      <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 PERSON, DIRECTOR AND OFFICER OF THE ORGANIZATION IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST 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 AS WELL AS COMPENSATION FOR THESE POSITIONS (AS DISCLOSED ON FORM 990) WITH OTHER ORGANIZATIONS IN THE HEALTHCARE INDUSTRY THAT ARE OF SIMILAR SIZE. 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 3,878,685. MANAGEMENT AND GENERAL EXPENSES 513,476. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,392,161. SHARED SERVICE ALLOCATION: PROGRAM SERVICE EXPENSES 4,526,738. MANAGEMENT AND GENERAL EXPENSES 599,268. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,126,006. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 701,212. MANAGEMENT AND GENERAL EXPENSES 92,829. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 794,041. OTHER: PROGRAM SERVICE EXPENSES 2,167,979. MANAGEMENT AND GENERAL EXPENSES 287,007. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,454,986. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 3,236,109. MANAGEMENT AND GENERAL EXPENSES 428,409. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,664,518.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN INTEREST IN NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATION 1,561,323. CHANGE IN ACCOUNTING ESTIMATES -917,192.</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, 2019 ENDING TAX YEAR OF FOREIGN CORPORATION: DECEMBER 31, 2019 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, 2019 TYPE OF RETURN FILED: 990 IRS SERVICE CENTER WHERE RETURN FILED: OGDEN, UTAH 84201-0027</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE ROCHESTER GENERAL HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>1425 PORTLAND AVENUE</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
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        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GRHS FOUNDATION</BusinessNameLine1Txt>
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        <PrimaryActivitiesTxt>R/E INV MGMT</PrimaryActivitiesTxt>
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        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>RGHS WORKERS' COMPENSATION TRUST</BusinessNameLine1Txt>
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          <CityNm>ROCHESTER</CityNm>
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          <ZIPCd>14621</ZIPCd>
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        <EIN>166429300</EIN>
        <PrimaryActivitiesTxt>SEE PART VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>CONTINUING CARE NETWORK INC (CCN)</BusinessNameLine1Txt>
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        <PrimaryActivitiesTxt>SUPPORT RGH</PrimaryActivitiesTxt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>ROCHESTER GENERAL HUDSON HOUSING</BusinessNameLine1Txt>
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          <AddressLine1Txt>2066 HUDSON AVENUE</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14621</ZIPCd>
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        <EIN>223210351</EIN>
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        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14617</ZIPCd>
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        <EIN>161491059</EIN>
        <PrimaryActivitiesTxt>ADULT DAY HC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>ROCHESTER GENERAL LONG TERM CARE</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1550 EMPIRE BLVD</AddressLine1Txt>
          <CityNm>WEBSTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14580</ZIPCd>
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        <EIN>223187140</EIN>
        <PrimaryActivitiesTxt>NH &amp; REHAB</PrimaryActivitiesTxt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>WESTERN NEW YORK MEDICAL PRACTICE PC</BusinessNameLine1Txt>
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          <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>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE UNITY HOSPITAL OF ROCHESTER</BusinessNameLine1Txt>
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          <AddressLine1Txt>1555 LONG POND RD</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14626</ZIPCd>
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        <EIN>237221763</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NORTH PARK NURSING HOME INC</BusinessNameLine1Txt>
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          <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>
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        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GENESEE REGION HOME CARE ASSOCIATION INC</BusinessNameLine1Txt>
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        <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>
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          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GENESEE REGION HOME CARE OF ONTARIO COUNTY INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>100 KINGS HIGHWAY</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
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        </USAddress>
        <EIN>223257719</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
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          <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>
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      <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>
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        <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>14471274</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GREATER ROCHESTER ASSUANCE COMPANY LTD</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>181856</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ROCHESTER REGIONAL HEALTH</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>3041624</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>NEWARK-WAYNE COMMUNITY HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>262769</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>INDEPENDENT LIVING FOR SENIORS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>1052223</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>RGHS WORKERS COMPENSATION TRUST</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>1680585</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 AND THE UNITY HOSPITAL OF ROCHESTER.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>