UNIVERSITY OF ROCHESTER: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: UNIVERSITY OF ROCHESTER (EIN 16-0743209)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-14
IRS object ID: 201901349349310300
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule C
Schedule D
Schedule E
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-14T17:59:08-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PricewaterhouseCoopers LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2001 MARKET ST SUITE 1800	AddressLine1Txt
City	PHILADELPHIA	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19103	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	160743209	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	UNIVERSITY OF ROCHESTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% HOLLY G CRAWFORD	InCareOfNm
Business Name Control	UNIV	BusinessNameControlTxt
Phone	5852752800	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	BOX 278893	AddressLine1Txt
City	ROCHESTER	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	146278893	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	HOLLY G CRAWFORD	PersonNm
Person Title	SRVP ADMIN/FIN & CFO	PersonTitleTxt
Phone	5852752800	PhoneNum
Signature	2019-05-09	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ANTONIO C RUSSO	PreparerPersonNm
PTIN	P00858539	PTIN
Phone	2673303000	PhoneNum
Preparation	2019-05-02	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	155.201.188.33	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	23522320191345000065	FederalOriginalSubmissionId
Federal Original Submission Id	2019-05-14	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	61FA3088966E13B81C87B908DD916C3EF010676C	AtSubmissionCreationDeviceId
At Submission Filing Device Id	CFCED273F45E15359E1AD418F281705A5641D1F2	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd
Principal Officer	RICHARD FELDMAN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	208 WALLIS HALL	AddressLine1Txt
City	ROCHESTER	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14627	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$5,066,275,224	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.rochester.edu	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1850	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	PROVISION OF HIGHER EDUCATION IN THE LIBERAL ARTS AND SCIENCES, MEDICINE AND DENTISTRY, NURSING AND MUSIC, AS WELL AS MAINTAINING THE STRONG MEMORIAL HOSPITAL.	ActivityOrMissionDesc
Voting Members Governing Body	47	VotingMembersGoverningBodyCnt
Voting Members Independent	40	VotingMembersIndependentCnt
Total Employee	31403	TotalEmployeeCnt
Total Volunteers	7542	TotalVolunteersCnt
Total Gross UBI	$10,830,505	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$3,557,390	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$379,449,692	PYContributionsGrantsAmt
CY Contributions Grants	$398,868,083	CYContributionsGrantsAmt
PY Program Service Revenue	$2,959,191,187	PYProgramServiceRevenueAmt
CY Program Service Revenue	$3,299,478,987	CYProgramServiceRevenueAmt
PY Investment Income	$195,384,221	PYInvestmentIncomeAmt
CY Investment Income	$199,086,732	CYInvestmentIncomeAmt
PY Other Revenue	$5,317,567	PYOtherRevenueAmt
CY Other Revenue	$2,259,695	CYOtherRevenueAmt
PY Total Revenue	$3,539,342,667	PYTotalRevenueAmt
CY Total Revenue	$3,899,693,497	CYTotalRevenueAmt
PY Grants And Similar Paid	$212,589,141	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$225,773,794	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$2,004,185,105	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$2,166,644,871	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$341,248	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$247,712	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$39,997,906	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,218,555,101	PYOtherExpensesAmt
CY Other Expenses	$1,425,478,186	CYOtherExpensesAmt
PY Total Expenses	$3,435,670,595	PYTotalExpensesAmt
CY Total Expenses	$3,818,144,563	CYTotalExpensesAmt
PY Revenues Less Expenses	$103,672,072	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$81,548,934	CYRevenuesLessExpensesAmt
Total Assets BOY	$5,300,091,281	TotalAssetsBOYAmt
Total Assets EOY	$5,497,835,359	TotalAssetsEOYAmt
Total Liabilities BOY	$2,185,142,393	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,216,216,343	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$3,114,948,888	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$3,281,619,016	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	PROVISION OF HIGHER EDUCATION IN THE LIBERAL ARTS AND SCIENCES, MEDICINE AND DENTISTRY, NURSING AND MUSIC, AS WELL AS OPERATING AND MAINTAINING THE STRONG MEMORIAL HOSPITAL.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$666,018,046	ExpenseAmt
Grant	$225,773,794	GrantAmt
Revenue	$570,236,766	RevenueAmt
Desc	EDUCATIONAL ACTIVITIES - THE UNIVERSITY IS COMPRISED OF SIX SCHOOLS OFFERING PROGRAMS FROM UNDERGRADUATE TO POST-DOCTORAL DEGREES. THESE ARE THE SCHOOL OF ARTS AND SCIENCES, THE HAJIM SCHOOL OF ENGINEERING, THE WARNER SCHOOL OF EDUCATION AND HUMAN DEVELOPMENT, EASTMAN SCHOOL OF MUSIC, SIMON GRADUATE SCHOOL OF BUSINESS ADMINISTRATION, SCHOOL OF NURSING, AND SCHOOL OF MEDICINE AND DENTISTRY. THERE ARE ALSO A NUMBER OF IMPORTANT CENTERS OF ACADEMIC EXCELLENCE, FOR EXAMPLE, THE INSTITUTE OF OPTICS, THE LABORATORY FOR LASER ENERGETICS, THE WILMOT CANCER CENTER, AND THE FLAUM EYE INSTITUTE. THE FULL-TIME FACULTY OF THE SCHOOL OF MEDICINE AND DENTISTRY PROVIDE CLINICAL SERVICES AS PART OF THE ACADEMIC MEDICAL PROGRAM; THIS ACTIVITY OCCURS 100 PERCENT WITHIN THE MEDICAL SCHOOL AND IS INTERNALLY ORGANIZED AND SUPERVISED AS URMFG OR UNIVERSITY OF ROCHESTER MEDICAL FACULTY GROUP. THERE ARE 1,294 FULL-TIME TENURED FACULTY MEMBERS AND 11,119 UNDERGRADUATE AND GRADUATE STUDENTS ENROLLED IN THE UNIVERSITY. THE UNIVERSITY HAS ALWAYS PLACED FINANCIAL AID FOR ITS STUDENTS AMONG ITS HIGHEST PRIORITIES. SCHOLARSHIPS COVER A PORTION OF THE COST OF ATTENDING THE UNIVERSITY OF ROCHESTER. THE UNIVERSITY IS COMMITTED TO OFFERING THE HIGHEST QUALITY EDUCATION TO ITS STUDENTS, REGARDLESS OF THEIR ECONOMIC CIRCUMSTANCES OR BACKGROUND. FOR EXAMPLE, THE UNIVERSITY HAS A PROGRAM TO EXPAND HIGHER EDUCATION OPPORTUNITIES FOR STUDENTS FROM THE ROCHESTER CITY SCHOOL DISTRICT (RCSD), A DISTRICT WITH ONE OF THE HIGHEST POVERTY AND SCHOOL DROPOUT RATES IN NEW YORK STATE. THE UNIVERSITY PROVIDES $25,000 PER YEAR FOR FOUR YEARS TO EVERY GRADUATE OF THE SCHOOL DISTRICT WHO IS ADMITTED TO THE UNIVERSITY'S COLLEGE OF ARTS, SCIENCES AND ENGINEERING; THIS IS EQUIVALENT TO AN AWARD OF $100,000 FOR EACH STUDENT.THROUGH THE ENDOWMENT, THE UNIVERSITY PERPETUATES AND ENHANCES ITS EDUCATIONAL, RESEARCH, CLINICAL CARE PROGRAMS AND PUBLIC SERVICE MISSIONS. THIS COMMITMENT REQUIRES AN ENDOWMENT PAYOUT OF 5.7 PERCENT CALCULATED ON A ROLLING FIVE-YEAR AVERAGE OF THE ENDOWMENT'S MARKET VALUE. THE UNIVERSITY'S ENDOWMENT CONSISTS LARGELY OF INDIVIDUAL FUNDS THANKS TO THE GENEROSITY OF CHARITABLE DONORS. THE DONORS OF THESE GIFTS OFTEN SPECIFY AND RESTRICT THE PURPOSES FOR WHICH THE INCOME MAY BE SPENT TO ENSURE LONG-TERM BENEFITS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$309,917,319	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$85,172,772	RevenueAmt
Desc	SPONSORED RESEARCH ACTIVITIES - THE UNIVERSITY IS A CENTER FOR PROGRAMS OF RESEARCH. MUCH OF THE RESEARCH IS FUNDED IN SUBSTANTIAL PART BY PRIVATE AND GOVERNMENTAL AGENCIES. RESEARCH IS UNDERTAKEN IN THE PUBLIC'S INTEREST AND ALL RESULTS ARE AVAILABLE TO THE PUBLIC. DURING THE 2017-2018 FISCAL YEAR, THERE WERE 4,011 GRANTS AND CONTRACTS IN EFFECT THAT TOTALED $303,770,585 IN REVENUE.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$2,486,110,454	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$2,531,776,025	RevenueAmt
Desc	SERVICES OF HOSPITAL AND CLINICS- THE UNIVERSITY OF ROCHESTER (THE "UNIVERSITY"), TO SUPPORT THE TEACHING AND RESEARCH MISSIONS OF ITS SCHOOL OF MEDICINE AND DENTISTRY AND ITS SCHOOL OF NURSING, OPERATES A TERTIARY CARE, TEACHING HOSPITAL, THAT PROVIDES HEALTH CARE SERVICES THROUGH ITS INPATIENT, OUTPATIENT AND EMERGENCY FACILITIES. THE MEDICAL STAFF OF THE HOSPITAL IS THE FACULTY OF THE SCHOOL OF MEDICINE AND DENTISTRY. THE ACADEMIC DEPARTMENT CHAIRS ALSO FUNCTION AS THE DEPARTMENT HEADS OF THE MEDICAL SERVICES IN THE HOSPITAL. THERE ARE EXTENSIVE INTERN AND RESIDENT PROGRAMS. THE HOSPITAL PROVIDES CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR SERVICES. DURING THE 2017-2018 FISCAL YEAR, THERE WERE 298,987 TOTAL INPATIENT DAYS AND 1,658,712 EMERGENCY AND CLINICAL VISITS. IN ADDITION TO BEING A TEACHING FACILITY, THE HOSPITAL OPERATES IN A CHARITABLE MANNER CONSISTENT WITH THE REQUIREMENTS OF INTERNAL REVENUE CODE SECTION 501(C)(3) AND THE "COMMUNITY BENEFIT STANDARD" OF IRS REVENUE RULING 69-545. IN THIS REGARD, THE GOVERNING BODY OF THE ORGANIZATION IS COMPOSED OF PROMINENT CITIZENS IN THE COMMUNITY. MEDICAL STAFF PRIVILEGES IN THE HOSPITAL ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA WHO ALSO CAN QUALIFY AS FULL OR PART-TIME FACULTY OF THE SCHOOL OF MEDICINE AND DENTISTRY; THE HOSPITAL MAINTAINS A FULL-TIME EMERGENCY ROOM OPEN TO ALL REGARDLESS OF ABILITY TO PAY; THE HOSPITAL PROVIDES CARE TO NEEDY MEMBERS OF ITS COMMUNITY WITH ITS CHARITY CARE POLICY REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES AND ADMITS AS PATIENTS THOSE ABLE TO PAY FOR CARE, EITHER THEMSELVES OR THROUGH THIRD-PARTY PAYERS SUCH AS PRIVATE HEALTH INSURANCE OR GOVERNMENT PROGRAMS SUCH AS MEDICARE AND MEDICAID. THE HOSPITAL'S EXCESS FUNDS ARE GENERALLY APPLIED TO EXPANSION AND REPLACEMENT OF EXISTING FACILITIES AND EQUIPMENT, MEDICAL RESEARCH, AMORTIZATION OF INDEBTEDNESS, IMPROVEMENTS IN PATIENT CARE, COMMUNITY BENEFIT ACTIVITIES AND CHARITY CARE.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$121,924,611	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$112,293,424	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$3,583,970,430	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	Yes (true)	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	Yes (true)	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	Yes (true)	SchoolOperatingInd
Foreign Office	Yes (true)	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (true)	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	Yes (true)	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	Yes (true)	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	15622	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	31403	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	UK	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	47	GoverningBodyVotingMembersCnt
Independent Voting Member	40	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	HOLLY G CRAWFORD	PersonNm
Phone	5852752800	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	208 WALLIS HALL	AddressLine1Txt
City	ROCHESTER	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14627	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (79 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JOEL S SELIGMAN
TRUSTEE,PRES&CEO(THRU 2-28-18)	80.0	0.0	Yes (X)	Yes (X)	$1,579,768	$0	$86,441
RICHARD FELDMAN
INTERIM TRUS,PRES&CEO(3-1-18)	80.0	0.0	Yes (X)	Yes (X)	$381,163	$0	$42,356
RICHARD T AAB
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
JOSEPH W ABRAMS
TRUSTEE (AS OF MAY 2018)	2.0	0.0	Yes (X)		$0	$0	$0
MARK S AIN
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
JOAN S BEAL
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
JAY S BENET
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
NAOMI M BERGMAN
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
STEPHEN R BIGGAR MD
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
LAURENCE H BLOCH
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
H CHRISTOPHER BOEHNING
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
JOHN H BRUNING
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
ELIZABETH P BRUNO
TRUSTEE (AS OF MAY 2018)	2.0	0.0	Yes (X)		$0	$0	$0
BARBARA J BURGER
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
CAROL JOHN A DAVIDSON
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
LAUNCELOT F DRUMMOND
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
BERNARD T FERRARI MD
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
BARRY W FLORESCUE
TRUSTEE (UNTIL 10-3-17)	2.0	0.0	Yes (X)		$0	$0	$0
ROGER B FRIEDLANDER
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
EMERSON U FULLWOOD
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
ANI GABRELLIAN
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
GWEN MELTZER GREENE
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
EDMUND A HAJIM
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
RICHARD B HANDLER
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
ALAN F HILFIKER
TRUSTEE (UNTIL MAY 2018)	2.0	0.0	Yes (X)		$0	$0	$0
CAROL D KARP
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
ROBERT J KEEGAN
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
LAURENCE KESSLER
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
EVANS Y LAM
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
NANCY A LIEBERMAN
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
GAIL A LIONE
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
EDWARD D MILLER MD
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
CATHY E MINEHAN
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
KATHLEEN ANN MURRAY
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
SANDRA A PARKER
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
LIZETTE M PEREZ-DEISBOECK
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
PHILIP A PIZZO MD
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
FRANCIS L PRICE
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
BRIAN F PRINCE
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
RONALD RETTNER
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
THOMAS S RICHARDS
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
MICHAEL S ROSEN
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
RICHARD E SANDS
TRUSTEE (UNTIL MAY 2018)	2.0	0.0	Yes (X)		$0	$0	$0
PHILIP E SAUNDERS
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
JOHN E SEXTON JR
TRUSTEE (UNTIL 1-23-18)	2.0	0.0	Yes (X)		$0	$0	$0
THOMAS R SLOAN
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
AMY L TAIT
TRUSTEE (UNTIL MAY 2018)	2.0	0.0	Yes (X)		$0	$0	$0
DANIEL R WEGMAN
CHAIR	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
TIMOTHY C WENTWORTH
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
THOMAS C WILMOT SR
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
NATHANIEL WISCH MD
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
G ROBERT WITMER JR
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
ALAN S ZEKELMAN
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
PAUL J BURGETT
VP & SR ADVISOR- PRES & DEAN	40.0	0.0		Yes (X)	$176,901	$0	$32,281
ROBERT L CLARK
SRVP RESEARCH & PROVOST	55.0	0.0		Yes (X)	$1,321,881	$0	$246,076
HOLLY G CRAWFORD
SR VP, ADMIN & FIN, CFO	65.0	0.0		Yes (X)	$539,183	$0	$74,874
THOMAS J FARRELL
SRVP & CHIEF ADVANCEMENT OFFCR	55.0	0.0		Yes (X)	$696,298	$0	$49,621
LAMAR R MURPHY
GENL SECRETARY, CHIEF OF STAFF	55.0	0.0		Yes (X)	$338,535	$0	$48,934
GAIL M NORRIS
VP & GENERAL COUNSEL	60.0	2.0		Yes (X)	$492,696	$0	$50,243
DOUGLAS W PHILLIPS
SRVP INSTITUTIONAL RESOURCES	62.0	0.0		Yes (X)	$731,592	$0	$51,406
ELIZABETH STAUDERMAN
VP FOR COMMUNICATIONS	55.0	0.0		Yes (X)	$318,689	$0	$35,114
MARK B TAUBMAN
CEO URMC, DEAN SMD, SRVP HEAL.	68.0	7.0		Yes (X)	$1,091,700	$0	$322,203
DAVID A KIRSHNER
SR VP & CFO, URMC (THRU 6-17)	55.0	0.0			$1,312,645	$0	$58,383	Yes (X)
ADAM P ANOLIK INTERIM 6-17
SR VP & CFO,URMC (AS OF 10-17)	55.0	9.0			$523,899	$0	$82,468	Yes (X)
MICHAEL J APOSTOLAKOS MD
CMO, SMH & HH (AS OF AUG 2017)	55.0	9.0			$525,399	$0	$58,879	Yes (X)
CARRIE P FULLER-SPENCER
INTERIM CFO, SMH&HH (OCT 2017)	55.0	9.0			$240,002	$0	$44,897	Yes (X)
STEVEN I GOLDSTEIN
URMC VP, PRES/CEO SMH & HH	55.0	16.0			$1,366,233	$0	$503,360	Yes (X)
RAYMOND J MAYEWSKI
VP, URMC (THRU 6-2017)	51.0	9.0			$532,752	$0	$32,625	Yes (X)
KATHLEEN PARRINELLO
EXEC VP & COO, SMH	55.0	0.0			$827,832	$0	$150,160	Yes (X)
PETER G ROBINSON
VP&COO, MEDCTR & STRONG HEALTH	55.0	5.0			$660,761	$0	$339,302	Yes (X)
MICHAEL ROTONDO
CEO, URMFG	55.0	0.0			$998,193	$0	$129,218	Yes (X)
MICHAEL D MALONEY MD
PROFESSOR-ORTHOPAEDICS M&D	86.0	0.0			$4,111,759	$0	$51,923		Yes (X)
GEORGE M ALFIERIS MD
PROF-CARDIAC SURGERY M&D	85.0	0.0			$1,699,753	$0	$339,844		Yes (X)
MARC D BROWN MD
PROF-DERMATOLOGY M&D	60.0	0.0			$1,465,689	$0	$48,082		Yes (X)
SHERRIF F IBRAHIM MD PHD
ASSOC PROFESSOR-DERMATOLOGYM&D	60.0	0.0			$1,437,530	$0	$52,907		Yes (X)
ILYA VOLOSHIN MD
PROFESSOR-ORTHOPAEDICS M&D	60.0	0.0			$1,310,719	$0	$47,445		Yes (X)
BRADFORD C BERK
DIRECTOR-UR NEUROREST. INST.	65.0	0.3			$908,891	$0	$190,185			Yes (X)
PETER LENNIE
DEAN OF FACULTY- ASE	60.0	0.0			$664,859	$0	$68,548			Yes (X)
LEONARD J SHUTE
SR. ADVISOR, URMC	20.0	0.0			$221,220	$0	$33,235			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$26,476,542	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,271,010	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2982	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PIKE COMPANY INC
ONE CIRCLE STREET	ROCHESTER	NY	14607	CONSTRUCTION SRVCS	$19,158,013
EPIC SYSTEMS CORPORATION
1979 MILKY WAY	VERONA	WI	53593	TECH SUPPT,TRAINING	$9,380,842
WELLIVER MCGUIRE INC
250 NORTH GENESEE STREET	MONTOUR FALLS	NY	14865	CONSTRUCTION SRVCS	$6,011,393
DGA BUILDERS LLC
1170 PITTSFORD-VICTOR ROAD	PITTSFORD	NY	14534	CONSTRUCTION SRVCS	$5,962,890
INTERLAKES ONCOLOGY AND HEMATOLOGY
211 WHITE SPRUCE BLVD SUITE A	ROCHESTER	NY	14623	ADMIN MGMT CONSULT	$5,175,320

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	533	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Federated Campaigns	$1,749,542	FederatedCampaignsAmt
Fundraising	$3,852,636	FundraisingAmt
Related Organizations	$2,237,895	RelatedOrganizationsAmt
Government Grants	$303,770,585	GovernmentGrantsAmt
All Other Contributions	$87,257,425	AllOtherContributionsAmt
Noncash Contributions	$13,850,366	NoncashContributionsAmt
Total Contributions	$398,868,083	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
SERVICES OF HOSPITALS AND CLINICS	622110	$2,531,776,024	$2,522,276,722	$9,499,302
EDUCATIONAL ACTIVITIES	611310	$570,236,767	$570,236,767
RESEARCH & OTHER CONTRACTS	900099	$85,172,772	$85,172,772
AUXILIARY ENTERPRISES	900099	$112,293,424	$112,293,424

Field	Value	IRS element (for citing)
Total Program Service Revenue	$3,299,478,987	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$90,557,485	TotalRevenueColumnAmt
Unrelated Business Revenue	$656,529	UnrelatedBusinessRevenueAmt
Exclusion	$89,900,956	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$742,524	TotalRevenueColumnAmt
Exclusion	$742,524	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,842,546	TotalRevenueColumnAmt
Exclusion	$1,842,546	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,272,738,795	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,164,952,072	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$107,786,723	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$107,786,723	TotalRevenueColumnAmt
Exclusion	$107,786,723	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$1,372,130	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$3,852,636	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$1,629,655	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$257,525	TotalRevenueColumnAmt
Exclusion	-$257,525	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
ATHLETIC FEES	900099	$26,784	$26,784
MAG ROOM RENTAL	900099	$587,035	$587,035
OTHER REVENUE	900099	$60,855	$60,855

Field	Value	IRS element (for citing)
Other Revenue Total	$674,674	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,899,693,497	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,289,979,685	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$10,830,505	UnrelatedBusinessRevenueAmt
Exclusion	$200,015,224	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$6,614	TotalAmt
Program Services	$6,614	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$225,767,180	TotalAmt
Program Services	$225,767,180	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$19,543,420	TotalAmt
Program Services	$14,595,997	ProgramServicesAmt
Management And General	$4,188,077	ManagementAndGeneralAmt
Fundraising	$759,346	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$2,057,189	TotalAmt
Program Services	$2,057,189	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,661,513,487	TotalAmt
Program Services	$1,594,502,087	ProgramServicesAmt
Management And General	$45,698,326	ManagementAndGeneralAmt
Fundraising	$21,313,074	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$103,255,984	TotalAmt
Program Services	$97,561,426	ProgramServicesAmt
Management And General	$4,404,813	ManagementAndGeneralAmt
Fundraising	$1,289,745	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$271,678,119	TotalAmt
Program Services	$256,695,095	ProgramServicesAmt
Management And General	$11,589,559	ManagementAndGeneralAmt
Fundraising	$3,393,465	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$108,596,672	TotalAmt
Program Services	$102,607,575	ProgramServicesAmt
Management And General	$4,632,642	ManagementAndGeneralAmt
Fundraising	$1,356,455	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$20,747,802	TotalAmt
Program Services	$20,747,802	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$9,524,912	TotalAmt
Program Services	$8,767,520	ProgramServicesAmt
Management And General	$731,085	ManagementAndGeneralAmt
Fundraising	$26,307	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,263,731	TotalAmt
Program Services	$149,674	ProgramServicesAmt
Management And General	$1,114,057	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$391,800	TotalAmt
Program Services	$391,800	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$247,712	TotalAmt
Fundraising	$247,712	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$58,341,346	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$58,341,346	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$145,727,844	TotalAmt
Program Services	$132,418,514	ProgramServicesAmt
Management And General	$12,052,535	ManagementAndGeneralAmt
Fundraising	$1,256,795	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,890,281	TotalAmt
Program Services	$2,850,152	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$40,129	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$139,284,344	TotalAmt
Program Services	$134,932,798	ProgramServicesAmt
Management And General	$2,226,518	ManagementAndGeneralAmt
Fundraising	$2,125,028	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$36,069,025	TotalAmt
Program Services	$35,483,035	ProgramServicesAmt
Management And General	$347,747	ManagementAndGeneralAmt
Fundraising	$238,243	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$104,743,574	TotalAmt
Program Services	$104,038,351	ProgramServicesAmt
Management And General	$702,572	ManagementAndGeneralAmt
Fundraising	$2,651	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$23,778,692	TotalAmt
Program Services	$21,206,174	ProgramServicesAmt
Management And General	$521,447	ManagementAndGeneralAmt
Fundraising	$2,051,071	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$17,457,757	TotalAmt
Program Services	$14,113,609	ProgramServicesAmt
Management And General	$786,682	ManagementAndGeneralAmt
Fundraising	$2,557,466	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$36,578,406	TotalAmt
Program Services	$31,728,110	ProgramServicesAmt
Management And General	$4,191,885	ManagementAndGeneralAmt
Fundraising	$658,411	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$188,586,114	TotalAmt
Program Services	$175,630,089	ProgramServicesAmt
Management And General	$12,090,343	ManagementAndGeneralAmt
Fundraising	$865,682	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$17,225,934	TotalAmt
Program Services	$16,173,522	ProgramServicesAmt
Management And General	$1,051,073	ManagementAndGeneralAmt
Fundraising	$1,339	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$504,827,594	$504,827,594	$0	$0
BAD DEBTS- URMFG & ACADEMIC	$37,211,462	$37,211,462	$0	$0
BAD DEBTS- HOSPITAL	$27,427,318	$27,427,318	$0	$0
OTHER-UBIT STATE TAX PAID	$255,115	$255,115	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$53,145,135	TotalAmt
Program Services	$21,824,628	ProgramServicesAmt
Management And General	$29,505,520	ManagementAndGeneralAmt
Fundraising	$1,814,987	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,818,144,563	TotalAmt
Program Services	$3,583,970,430	ProgramServicesAmt
Management And General	$194,176,227	ManagementAndGeneralAmt
Fundraising	$39,997,906	FundraisingAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part X	Yes (X)	InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$200,417,217	BOYAmt
EOY	$151,765,883	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$160,652,879	BOYAmt
EOY	$171,584,520	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$309,835,404	BOYAmt
EOY	$394,791,413	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$6,997,184	BOYAmt
EOY	$6,986,310	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$19,821,859	BOYAmt
EOY	$18,126,176	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$39,678,786	BOYAmt
EOY	$40,936,082	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$12,341,791	BOYAmt
EOY	$16,094,890	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$4,150,756,501	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,333,594,020	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,758,528,801	BOYAmt
EOY	$1,817,162,481	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$721,321,828	BOYAmt
EOY	$776,570,920	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,989,126,809	BOYAmt
EOY	$2,020,295,437	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$81,368,723	BOYAmt
EOY	$83,521,247	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,300,091,281	BOYAmt
EOY	$5,497,835,359	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$398,587,230	BOYAmt
EOY	$431,583,825	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$35,597,939	BOYAmt
EOY	$37,412,586	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$948,481,323	BOYAmt
EOY	$929,102,585	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$133,627,166	BOYAmt
EOY	$127,802,106	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$54,977,600	BOYAmt
EOY	$52,763,897	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$613,871,135	BOYAmt
EOY	$637,551,344	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,185,142,393	BOYAmt
EOY	$2,216,216,343	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,931,211,605	BOYAmt
EOY	$2,005,042,560	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$629,381,412	BOYAmt
EOY	$688,906,646	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$554,355,871	BOYAmt
EOY	$587,669,810	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,114,948,888	BOYAmt
EOY	$3,281,619,016	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,300,091,281	BOYAmt
EOY	$5,497,835,359	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$81,548,934	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$94,477,632	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$9,356,438	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
School	Yes (X)	SchoolInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$356,349,742	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$345,905,882	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$365,364,666	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$379,449,692	CurrentTaxYearMinus1YearAmt
Current Tax Year	$398,868,083	CurrentTaxYearAmt
Total	$1,845,938,065	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$356,349,742	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$345,905,882	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$365,364,666	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$379,449,692	CurrentTaxYearMinus1YearAmt
Current Tax Year	$398,868,083	CurrentTaxYearAmt
Total	$1,845,938,065	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$0	SubstantialContributorsTotAmt
Public Support Total170	$1,845,938,065	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$104,200,043	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$106,498,980	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$84,262,108	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$76,738,221	CurrentTaxYearMinus1YearAmt
Current Tax Year	$92,486,026	CurrentTaxYearAmt
Total	$464,185,378	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$2,310,123,443	TotalSupportAmt
Gross Receipts Rltd Activities	$13,866,388,522	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.79907	PublicSupportCY170Pct
Public Support PY170	0.79882	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	Yes (true)	MailingsMembersInd
Mailings Members	$3,615	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$641,118	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$644,733	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1	FormAndLineReferenceDesc
Explanation	DETAIL OF LOBBYING ACTIVITIES THE UNIVERSITY OF ROCHESTER (THE "UNIVERSITY") ADVANCES ITS MISSIONS (EDUCATION, RESEARCH, HEALTH CARE AND COMMUNITY) WITH NATIONAL, STATE AND LOCAL ELECTED OFFICIALS, THEIR STAFF, OUR SURROUNDING COMMUNITY, AND WITH GOVERNMENT AGENCIES AT ALL LEVELS. THE UNIVERSITY ALSO INTERACTS WITH PEER INSTITUTIONS, HIGHER EDUCATION AND MEDICAL ASSOCIATIONS, SCIENTIFIC COALITIONS AND SOCIETIES, AND CONSULTANTS TO ADVANCE ITS INTERESTS THROUGH POLICY AND LEGISLATION.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Donor Advised Funds Held	22	DonorAdvisedFundsHeldCnt
Donor Advised Funds Contri	$538,813	DonorAdvisedFundsContriAmt
Donor Advised Funds Grants	$973,584	DonorAdvisedFundsGrantsAmt
Donor Advised Funds Vl EOY	$7,119,555	DonorAdvisedFundsVlEOYAmt
Disclosed Org Leg Ctrl	Yes (true)	DisclosedOrgLegCtrlInd
Disclosed For Charitable Prps	Yes (true)	DisclosedForCharitablePrpsInd

Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp

Field	Value	IRS element (for citing)
Revenues Included	$712,500	RevenuesIncludedAmt
Assets Included	$38,178,908	AssetsIncludedAmt

Field	Value	IRS element (for citing)
Held Works Art		HeldWorksArtGrp
Collection Used Pub Exhibition	Yes (X)	CollectionUsedPubExhibitionInd
Coll Used Scholarly Rsrch	Yes (X)	CollUsedScholarlyRsrchInd
Collection Used Preservation	Yes (X)	CollectionUsedPreservationInd
Coll Used Loan Or Exch Prog	Yes (X)	CollUsedLoanOrExchProgInd
Solicited Assets Sale	false	SolicitedAssetsSaleInd
Agent Trustee Etc	false	AgentTrusteeEtcInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,980,167,484	BeginningYearBalanceAmt
Contributions	$39,128,228	ContributionsAmt
Investment Earnings Or Losses	$194,112,646	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$18,661,772	GrantsOrScholarshipsAmt
Other Expenditures	$86,149,134	OtherExpendituresAmt
End Year Balance	$2,108,597,452	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,797,727,143	BeginningYearBalanceAmt
Contributions	$38,987,413	ContributionsAmt
Investment Earnings Or Losses	$251,558,457	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$17,912,500	GrantsOrScholarshipsAmt
Other Expenditures	$90,193,029	OtherExpendituresAmt
End Year Balance	$1,980,167,484	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,922,892,466	BeginningYearBalanceAmt
Contributions	$31,412,694	ContributionsAmt
Investment Earnings Or Losses	-$61,083,382	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$16,617,676	GrantsOrScholarshipsAmt
Other Expenditures	$78,876,959	OtherExpendituresAmt
End Year Balance	$1,797,727,143	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,883,514,930	BeginningYearBalanceAmt
Contributions	$45,895,617	ContributionsAmt
Investment Earnings Or Losses	$83,377,311	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$14,971,593	GrantsOrScholarshipsAmt
Other Expenditures	$74,923,799	OtherExpendituresAmt
End Year Balance	$1,922,892,466	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,613,500,847	BeginningYearBalanceAmt
Contributions	$55,721,494	ContributionsAmt
Investment Earnings Or Losses	$301,335,737	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$13,729,609	GrantsOrScholarshipsAmt
Other Expenditures	$73,313,539	OtherExpendituresAmt
End Year Balance	$1,883,514,930	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.49510	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.50240	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00250	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,607,818	OtherCostOrOtherBasisAmt
Book Value	$11,607,818	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,590,524,389	OtherCostOrOtherBasisAmt
Depreciation	$1,134,729,436	DepreciationAmt
Book Value	$1,455,794,953	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$70,659,462	OtherCostOrOtherBasisAmt
Depreciation	$19,217,872	DepreciationAmt
Book Value	$51,441,590	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,089,412,105	OtherCostOrOtherBasisAmt
Depreciation	$977,230,171	DepreciationAmt
Book Value	$112,181,934	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$388,552,727	OtherCostOrOtherBasisAmt
Depreciation	$202,416,541	DepreciationAmt
Book Value	$186,136,186	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,817,162,481	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (4 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
OPERATING INVESTMENTS	$315,430,661	F
CASH & CASH EQUIVALENTS	$40,958,527	F
INTERESTS	$1,663,906,249	F
OTHER INVESTMENTS	$0	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$2,020,295,437	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
THIRD PARTY SETTLEMENTS	$137,331,836
RETIREMENT & POST-EMPLOYMENT	$441,597,347
ASSET RETIREMENT OBLIGATION	$34,421,538
FOR STUDENT LOANS	$14,630,954
SPONSORED RESEARCH	$9,569,669

Field	Value	IRS element (for citing)
Total Liability	$637,551,344	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART I, LINE 1	DESCRIPTION OF DONOR ADVISED FUNDS THE UNIVERSITY OF ROCHESTER ("THE UNIVERSITY") OFFERS ITS DONORS THE OPPORTUNITY TO USE CONTRIBUTIONS TO CREATE DONOR-ADVISED FUNDS. A DONOR GENERALLY MAY ESTABLISH A DONOR-ADVISED FUND WITH THE UNIVERSITY BY SIGNING THE AGREEMENT AND THEN MAKING CONTRIBUTIONS TO THE FUND. THE DONOR IS ALLOWED TO RECOMMEND THE INVESTMENT OF THE FUND INTO EITHER A MONEY MARKET FUND OR THE UNIVERSITY'S GENERAL ENDOWMENT. THE DONOR MAY SERVE, OR MAY DESIGNATE ANOTHER PERSON TO SERVE, AS THE FUND ADVISOR, WHO MAKES GRANT RECOMMENDATIONS TO THE UNIVERSITY. THE GRANT RECOMMENDATIONS ARE NOT BINDING AND WILL BE SUBJECT TO THE UNIVERSITY'S DILIGENT REVIEW. --------------------
SCHEDULE D, PART III, LINE 4	DESCRIPTION OF COLLECTIONS THE UNIVERSITY'S MEMORIAL ART GALLERY MAINTAINS BROAD COLLECTIONS, COMPRISING NEARLY 11,000 OBJECTS SPANNING 5,000 YEARS OF ART HISTORY, THAT PROVIDES THE FOUNDATION FOR THE UNIVERSITY'S ROLE AS A SIGNIFICANT EDUCATIONAL CENTER COMMITTED TO BROADENING PEOPLES' UNDERSTANDING OF WORLD CULTURES, ART AND HISTORY. THE UNIVERSITY'S DEPARTMENT OF RARE BOOKS AND SPECIAL COLLECTIONS MAINTAINS RARE BOOK COLLECTIONS THAT INCLUDE PRINTED BOOKS, JOURNALS AND PAMPHLETS FROM 1472 TO THE PRESENT, AS WELL AS MANUSCRIPTS AND SPECIAL COLLECTIONS. THESE MATERIALS ARE PROVIDED FOR TEACHING, LEARNING AND RESEARCH PURPOSES. --------------------
SCHEDULE D, PART V	USE OF ENDOWMENT FUNDS THE UNIVERSITY'S ENDOWMENT FUNDS ARE UTILIZED IN FURTHERANCE OF THE ORGANIZATION'S EXEMPT PURPOSES, INCLUDING THE PROVISION OF PERPETUAL ANNUAL SUPPORT FOR STUDENT FINANCIAL AID AND FACULTY SALARIES, AS WELL AS FOR CERTAIN FACILITIES AND ACADEMIC PROGRAMS. --------------------
SCHEDULE D, PART X, LINE 2	TEXT OF FIN48 (ASC 740) DISCLOSURE FROM AUDITED FINANCIAL STATEMENTS THE UNIVERSITY AND THE MAJORITY OF ITS AFFILIATES ARE NOT-FOR-PROFIT ORGANIZATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE GENERALLY EXEMPT FROM INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. UNRELATED ACTIVITIES AND INCOME, INCLUDING CERTAIN LABORATORY AND FACILITY RENTALS AND INCOME FROM LIMITED PARTNERSHIPS IN THE LONG TERM INVESTMENT POOL, ARE SUBJECT TO FEDERAL AND STATE "UNRELATED BUSINESS INCOME TAX". THE UNIVERSITY REGULARLY EVALUATES ITS TAX POSITION AND DOES NOT BELIEVE IT HAS ANY UNCERTAIN TAX POSITIONS THAT REQUIRE DISCLOSURE OR ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS.

Schedule E IRS990ScheduleE

Field	Value	IRS element (for citing)
Nondiscriminatory Policy Stmt	Yes (true)	NondiscriminatoryPolicyStmtInd
Policy Stmt In Brochures Etc	Yes (true)	PolicyStmtInBrochuresEtcInd
Plcy Pblczd Via Broadcast Media	Yes (true)	PlcyPblczdViaBroadcastMediaInd
Maintain Racial Comp Recs	Yes (true)	MaintainRacialCompRecsInd
Maintain Scholarships Recs	Yes (true)	MaintainScholarshipsRecsInd
Maintain Cpy Of Brochures Etc	Yes (true)	MaintainCpyOfBrochuresEtcInd
Maintain Cpy Of All Sol	Yes (true)	MaintainCpyOfAllSolInd
Discriminate Race Stdnts Rghts	false	DiscriminateRaceStdntsRghtsInd
Discriminate Race Admiss Plcy	false	DiscriminateRaceAdmissPlcyInd
Discriminate Race Emplm Fculty	false	DiscriminateRaceEmplmFcultyInd
Discriminate Race Schs	false	DiscriminateRaceSchsInd
Discriminate Race Educ Plcy	false	DiscriminateRaceEducPlcyInd
Discriminate Race Use Of Fclts	false	DiscriminateRaceUseOfFcltsInd
Discriminate Race Athlt Prog	false	DiscriminateRaceAthltProgInd
Discriminate Race Other Acty	false	DiscriminateRaceOtherActyInd
Government Financial Aid Rcvd	Yes (true)	GovernmentFinancialAidRcvdInd
Government Financial Aid Rvkd	false	GovernmentFinancialAidRvkdInd
Compliance With Rev Proc7550	Yes (true)	ComplianceWithRevProc7550Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE E, LINE 3

NONDISCRIMINATION POLICY STATEMENT ALL PUBLISHED UNIVERSITY OF ROCHESTER OPPORTUNITY ADVERTISEMENTS INCLUDE THE FOLLOWING STATEMENT: "THE UNIVERSITY OF ROCHESTER IS AN EQUAL OPPORTUNITY EMPLOYER." IN ADDITION, THE UNIVERSITY OF ROCHESTER'S NONDISCRIMINATION POLICY IS ADVERTISED TO PROSPECTIVE STUDENTS AND OTHERS IN THE COMMUNITY SERVED BY THE UNIVERSITY OF ROCHESTER THROUGH AN EQUAL OPPORTUNITY STATEMENT USED IN A WIDE VARIETY OF UNIVERSITY PROSPECTUS (FOR UNIVERSITY UNDERGRADUATES), UNDERGRADUATE BULLETINS AND GRADUATE BULLETINS. THE STATEMENT, WHICH ALSO APPEARS ON THE UNIVERSITY WEBSITE ON DIVERSITY, READS AS FOLLOWS: "THE UNIVERSITY OF ROCHESTER VALUES DIVERSITY AND IS COMMITTED TO EQUAL OPPORTUNITY FOR PERSONS REGARDLESS OF AGE, COLOR, DISABILITY, ETHNICITY, GENDER IDENTITY OR EXPRESSION, GENETIC INFORMATION, MARITAL STATUS, MILITARY/VETERAN STATUS, NATIONAL ORIGIN, RACE, RELIGION/CREED, SEX, SEXUAL ORIENTATION OR ANY OTHER STATUS PROTECTED BY LAW. FURTHER, THE UNIVERSITY COMPLIES WITH ALL APPLICABLE NON-DISCRIMINATION LAWS IN THE ADMINISTRATION OF ITS POLICIES, ADMISSIONS, EMPLOYMENT, AND ACCESS TO AND TREATMENT IN UNIVERSITY PROGRAMS AND ACTIVITIES. QUESTIONS ON COMPLIANCE SHOULD BE DIRECTED TO THE PARTICULAR SCHOOL OR DEPARTMENT AND/OR TO THE UNIVERSITY'S INTERCESSOR, UNIVERSITY OF ROCHESTER, P.O. BOX 270040, ROCHESTER, NY 14627-0040. PHONE: (585) 275-7814. THE UNIVERSITY OF ROCHESTER ALSO POSTS A "STATEMENT OF EDUCATIONAL PHILOSOPHY" WHICH IS AMPLIFICATION OF THE NONDISCRIMINATION STATEMENT. SEE: https://www.rochester.edu/diversity/reports/policies-2/statement-of-educat ional-philosophy/. --------------------

SCHEDULE E, LINE 6A

FINANCIAL AID/ASSISTANCE FROM GOV'T AGENCY THE UNIVERSITY OF ROCHESTER RECEIVES FINANCIAL ASSISTANCE FUNDS FOR STUDENTS, AS PROVIDED BY HHS PROGRAMS, AND HAS GOVERNMENT RESEARCH CONTRACTS AND GRANTS.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (44 entries)

RegionRegionTxt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	2	Program Services	CONDUCTED RESEARCH	$3,788
Central America and the Caribbean	3	Program Services	PRESENTATION AT CONFER	$3,979
Central America and the Caribbean	1	Program Services	STUDY ABROAD	$6,359
Central America and the Caribbean	10	Program Services	TEACHING & RECRUITMENT	$20,371
Central America and the Caribbean		Investments		$1,093,527,195
East Asia and the Pacific	35	Fundraising		$98,201
East Asia and the Pacific	34	Program Services	CONDUCTED RESEARCH	$57,948
East Asia and the Pacific	127	Program Services	TEACHING & RECRUITMENT	$251,306
East Asia and the Pacific	10	Program Services	STUDY ABROAD	$74,927
East Asia and the Pacific	97	Program Services	TEACHING & RECRUITMENT	$140,321
Europe (Including Iceland and Greenland)	10	Fundraising		$27,052
Europe (Including Iceland and Greenland)	47	Program Services	CONDUCTED RESEARCH	$82,121
Europe (Including Iceland and Greenland)	379	Program Services	PRESENTATION AT CONFER	$600,060
Europe (Including Iceland and Greenland)	88	Program Services	STUDY ABROAD	$268,893
Europe (Including Iceland and Greenland)	248	Program Services	TEACHING & RECRUITMENT	$296,322
Europe (Including Iceland and Greenland)		Investments		$15,931,930
Middle East and North Africa	4	Fundraising		$5,646
Middle East and North Africa	2	Program Services	CONDUCTED RESEARCH	$2,734
Middle East and North Africa	14	Program Services	PRESENTATION AT CONFER	$28,145
Middle East and North Africa	1	Program Services	STUDY ABROAD	$66,160
Middle East and North Africa	11	Program Services	TEACHING & RECRUITMENT	$19,316
North America	7	Fundraising		$9,810
North America	19	Program Services	CONDUCTED RESEARCH	$13,733
North America	162	Program Services	PRESENTATION AT CONFER	$166,193
North America	15	Program Services	STUDY ABROAD	$17,526
North America	70	Program Services	TEACHING & RECRUITMENT	$67,371
North America		Investments		$22,912,482
Russia and the Newly Independent States	9	Program Services	PRESENTATION AT CONFER	$9,028
Russia and the Newly Independent States	3	Program Services	STUDY ABROAD	$3,997
Russia and the Newly Independent States	10	Program Services	TEACHING & RECRUITMENT	$26,313
South America	1	Fundraising		$2,246
South America	5	Program Services	CONDUCTED RESEARCH	$6,074
South America	19	Program Services	PRESENTATION AT CONFER	$18,665
South America	1	Program Services	STUDY ABROAD	$17,802
South America	24	Program Services	TEACHING & RECRUITMENT	$33,068
South Asia	4	Fundraising		$17,132
South Asia	13	Program Services	PRESENTATION AT CONFER	$15,231
South Asia	2	Program Services	STUDY ABROAD	$12,998
South Asia	32	Program Services	TEACHING & RECRUITMENT	$47,810
Sub-Saharan Africa	39	Program Services	CONDUCTED RESEARCH	$222,826
Sub-Saharan Africa	4	Program Services	PRESENTATION AT CONFER	$4,612
Sub-Saharan Africa	4	Program Services	STUDY ABROAD	$3,356
Sub-Saharan Africa	23	Program Services	TEACHING & RECRUITMENT	$49,256
Sub-Saharan Africa		Investments		$29,967,458

Field	Value	IRS element (for citing)
Subtotal Employees	1095	SubtotalEmployeesCnt
Continuation Total Employee	494	ContinuationTotalEmployeeCnt
Total Employee	1589	TotalEmployeeCnt
Subtotal Spent	$1,111,396,419	SubtotalSpentAmt
Continuation Spent	$53,761,342	ContinuationSpentAmt
Total Spent	$1,165,157,761	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (true)	ForeignPartnershipInd
Boycott Countries	Yes (true)	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE F, PART I, LINE 3(c)	FormAndLineReferenceDesc
Explanation	SUBAWARDS ISSUED TO FOREIGN ENTITIES IN FURTHERANCE OF ITS RESEARCH ACTIVITIES THE UNIVERSITY OF ROCHESTER MAKES SUB-AWARDS TO OTHER FOREIGN ORGANIZATIONS THAT PERFORM RESEARCH IN CONNECTION WITH RESEARCH GRANTS AWARDED TO THE UNIVERSITY. THE UNIVERSITY DOES NOT CATEGORIZE THESE SUB-AWARDS AS "FOREIGN ACTIVITIES OR GRANTS" FOR FORM 990, SCHEDULE F REPORTING, SINCE THE FOREIGN RECIPIENT ORGANIZATIONS PERFORM RESEARCH SERVICES FOR THE UNIVERSITY AND ARE CONSIDERED INDEPENDENT CONTRACTORS WHICH SERVE THE DIRECT NEEDS OF THE UNIVERSITY.	ExplanationTxt

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (true)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Field	Value	IRS element (for citing)
Person	RUFFALO NOEL LEVITZ LLC	PersonNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1025 KIRKWOOD PARKWAY SW	AddressLine1Txt
City	CEDAR RAPIDS	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	524063018	ZIPCd

Field	Value	IRS element (for citing)
Activity	PHONE SOLICITAT'N	ActivityTxt
Fundraiser Control Of Funds	false	FundraiserControlOfFundsInd
Gross Receipts	$458,939	GrossReceiptsAmt
Retained By Contractor	$247,712	RetainedByContractorAmt
Net To Organization	$211,227	NetToOrganizationAmt

Field	Value	IRS element (for citing)
Total Gross Receipts	$458,939	TotalGrossReceiptsAmt
Total Retained By Contractors	$247,712	TotalRetainedByContractorsAmt
Total Net To Organization	$211,227	TotalNetToOrganizationAmt
Licensed States	NY	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	HLTH TOAST AUCT	Event1Nm
Gross Receipts Event1	$1,729,145	GrossReceiptsEvent1Amt
Charitable Contri Event1	$1,297,929	CharitableContriEvent1Amt
Gross Revenue Event1	$431,216	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$33,495	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$135,051	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$49,363	FoodAndBeverageEvent1Amt
Entertainment Event1	$12,016	EntertainmentEvent1Amt
Other Direct Expenses Event1	$152,014	OtherDirectExpensesEvent1Amt
Event2	GCHAS GALA	Event2Nm
Gross Receipts Event2	$1,042,097	GrossReceiptsEvent2Amt
Charitable Contri Event2	$817,856	CharitableContriEvent2Amt
Gross Revenue Event2	$224,241	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$3,750	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$132,592	FoodAndBeverageEvent2Amt
Entertainment Event2	$58,200	EntertainmentEvent2Amt
Other Direct Expenses Event2	$82,250	OtherDirectExpensesEvent2Amt
Other Events Total	9	OtherEventsTotalCnt
Gross Receipts Other Events	$2,453,524	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$1,736,851	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$716,673	GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events	$59,697	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$215,833	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$229,067	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$23,397	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$442,930	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$5,224,766	GrossReceiptsTotalAmt
Charitable Contributions Tot	$3,852,636	CharitableContributionsTotAmt
Gross Revenue Total Events	$1,372,130	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$93,192	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$354,634	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$411,022	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$93,613	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$677,194	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$1,629,655	DirectExpenseSummaryEventsAmt
Net Income Summary	-$257,525	NetIncomeSummaryAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE G, PART I, LINE 2(B), ITEM #1	FormAndLineReferenceDesc
Explanation	ADDITIONAL INFORMATION REGARDING FUNDRAISING ACTIVITIES GROSS RECEIPTS REPORTED IN PART I, LINE 1, COLUMN (IV) REPRESENT PHONE DONATIONS ONLY RECEIVED PURSUANT TO RUFFALO NOEL LEVITZS SOLICITATION EFFORTS. ON-LINE DONATIONS TO THE UNIVERSITY, WHICH MAY HAVE BEEN PROMPTED BY A PHONE SOLICITATION, ARE NOT REFLECTED IN THIS COLUMN.ADDITIONALLY, THE AMOUNT PAID TO RUFFALO NOEL LEVITZ AS REPORTED IN PART I, LINE 2B, COLUMN (V) INCLUDES BOTH PHONE SOLICITATION/TELEMARKETING SERVICES AND NON-SOLICITATION EFFORTS RELATED TO ALUMNI ENGAGEMENT AND DATA ENRICHMENT. THESE NON-SOLICITATION EFFORTS HAVE RESULTED IN IMPROVED ALUMNI CONTACT INFORMATION FOR THE UNIVERSITYS USE AND INCLUDES SERVICES TO UPDATE ADDRESSES, CELL PHONE NUMBERS, EMAIL ADDRESSES AND SOCIAL HANDLES.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,099,703	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,596,215	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,503,488	NetCommunityBenefitExpnsAmt
Total Expense	0.00410	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$443,541,862	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$326,633,939	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$116,907,923	NetCommunityBenefitExpnsAmt
Total Expense	0.03120	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,252,576	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,632,545	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,620,031	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$469,894,141	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$335,862,699	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$134,031,442	NetCommunityBenefitExpnsAmt
Total Expense	0.03570	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,224,995	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$414,327	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,810,668	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$124,907,867	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,381,596	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$112,526,271	NetCommunityBenefitExpnsAmt
Total Expense	0.03000	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$225,032,769	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$162,682,663	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$62,350,106	NetCommunityBenefitExpnsAmt
Total Expense	0.01660	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$323,284,047	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$323,284,047	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$475,964	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$751	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$475,213	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$675,925,642	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$498,763,384	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$177,162,258	NetCommunityBenefitExpnsAmt
Total Expense	0.04720	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,145,819,783	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$834,626,083	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$311,193,700	NetCommunityBenefitExpnsAmt
Total Expense	0.08290	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,679	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,679	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$145	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$145	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$60	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$60	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,884	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,884	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$27,427,318	BadDebtExpenseAmt
Bad Debt Expense Attributable	$225,371	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$290,771,886	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$329,387,799	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$38,615,913	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	STRONG MEMORIAL HOSPITAL &EXT CLINICS	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	601 ELMWOOD AVENUE	AddressLine1Txt
City	ROCHESTER	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14642	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.URMC.ROCHESTER.EDU/STRONG-MEMORIAL	WebsiteAddressTxt
State License	LICENSE# 2701005H	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	OUTPATIENT MED CLINI OUTPATIENT MENTAL HE METHADONE MAINT, URG	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	STRONG MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SCHEDULE H, PART V, SECTION C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE SCHEDULE H, PART V, SECTION C	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SCHEDULE H, PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5- INPUT FROM COMMUNITY	UR STRONG CONDUCTED ITS CHNA IN COLLABORATION WITH OTHER HOSPITALS AND AGENCIES IN MONROE COUNTY. THIS GROUP, CALLED THE COMMUNITY HEALTH IMPROVEMENT WORKGROUP (CHIW) MEETS MONTHLY TO CONDUCT THE CHNA WHEN INDICATED AND TO IMPLEMENT THE COMMUNITY-WIDE IMPROVEMENT STRATEGY. COMMUNITY INPUT IS CRITICAL THROUGHOUT THE CHNA PROCESS, THE IMPROVEMENT PLANNING PROCESS, AND THE IMPLEMENTATION PROCESS. ONGOING COMMUNITY ENGAGEMENT IS VITAL TO INFORM OUR AGENDA. EACH OF THE HOSPITAL SYSTEMS INCLUDED IN THE CHNA: UNIVERSITY OF ROCHESTER STRONG MEMORIAL HOSPITAL, HIGHLAND HOSPITAL, ROCHESTER REGIONAL HEALTH, AND UNITY HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY. THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH WAS REPRESENTED AT EACH CHIW MEETING BY ANNE KERN, PUBLIC HEALTH PROGRAM COORDINATOR, AND KATHY CARELOCK, MANAGER OF THE DIVISION OF EPIDEMIOLOGY. BOTH ARE AWARE OF COMMUNITY NEEDS, OVERSEE THE ADULT AND YOUTH HEALTH SURVEY PROCESS AND ARE EXPERTS IN EFFECTIVE PUBLIC HEALTH ASSESSMENT AND INTERVENTION. MICHAEL MENDOZA, MD, MPH AND CURRENT DIRECTOR OF THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH, ATTENDED MEETINGS OCCASSIONALLY BUT WAS ALSO INFORMED BY MS. KERN, MS. CARELOCK AND DR. GREEN. THERESA GREEN, DIRECTOR OF COMMUNITY HEALTH POLICY AND THE HEALTH POLICY COORDINATOR, BOTH FROM THE URMC CENTER FOR COMMUNITY HEALTH AND PREVENTION, PROVIDED EXPERT ADVICE ON COMMUNITY ENGAGEMENT AND EVIDENCE BASED INTERVENTIONS. IN ADDITION, COMMON GROUND HEALTH (FORMERLY FINGER LAKES HEALTH SYSTEM AGENCY), WHO REPRESENTS THE COMMUNITY VOICE AND WHO MANAGES BOTH THE AFRICAN AMERICAN HEALTH COALITION AND THE LATINO HEALTH COALITION AND THE BLOOD PRESSURE COLLABORATIVE FOR MONROE COUNTY, WAS REPRESENTED AT EACH MEETING BY EITHER DINA FATICONE, DIRECTOR OF COMMUNITY HEALTH AND ENGAGEMENT OR SEVERAL OF THEIR OTHER REPRESENTATIVES. SPECIFICALLY FOR THE 2016 CHNA, COMMUNITY INPUT WAS ACQUIRED BY REVIEWING EXISTING COMMUNITY REPORTS AND BY DISCUSSIONS WITH EXISTING COMMUNITY BASED GROUPS ABOUT THE DATA-IDENTIFIED NEEDS. THE CHIW REVIEWED SEVERAL RECENTLY CONDUCTED COMMUNITY ENGAGED REPORTS AROUND COMMUNTY HEALTH IN MONROE COUNTY, PRIMARILY THOSE CONDUCTED FOR DSRIP IN LATE 2015. FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WERE CONDUCTED BY COMMON GROUND HEALTH FOR THE DSRIP COMMUNITY NEEDS ASSESSMENT IN 2015. (1) THE FOCUS GROUP FINDINGS PROVIDED INSIGHT INTO ISSUES IMPACTING HEALTH OF THE MEDICAID POPULATION. THREE KEY THEMES THAT EMERGED FROM THE FOCUS GROUPS INCLUDED 1. THE EFFECT OF SOCIAL DETERMINANTS INCLUDING POVERTY ON HEALTH, 2. HEALTH LITERACY AND THE IMPACT IT HAS ON PEOPLES ABILITY TO MANAGE THEIR HEALTH AND 3. THE IMPORTANCE OF CULTURALLY APPROPRIATE CARE. IN LATE 2014, COMMON GROUND HEALTH, IN COLLABORATION WITH THE HIGH BLOOD PRESSURE COLLABORATIVE OF THE ROCHESTER CHAMBER OF COMMERCE, CONDUCTED A SERIES OF FOCUS GROUPS WITH PEOPLE DIAGNOSED WITH HIGH BLOOD PRESSURE. KEY THEMES IDENTIFIED DURING THE FOCUS GROUPS INCLUDED A NEED TO SUPPORT PEOPLE IN MAKING LIFESTYLE CHANGES, HEALTH LITERACY, AND STRATEGIES AROUND MEDICATION COMPLIANCE. THE ROCHESTER-MONROE ANTI-POVERTY INITIATIVE AT UNITED WAY (RMAPI), IN 2015, FORMED SIX WORKGROUPS INCLUDING HEALTH & NUTRITION, EDUCATION, HOUSING, JOBS, JUSTICE SYSTEM AND SAFE NEIGHBORHOODS WITH CROSS-SECTION REPRESENTATION INCLUDING COMMUNITY MEMBERS. RECOMMENDATIONS FROM THE HEALTH AND NUTRITION WORK GROUP CENTERED AROUND FOOD ACCESS, SCREENING FOR FOOD INSECURITY, FOOD LITERACY, AND PREVENTING AND ADDRESSING TRAUMA ACROSS THE LIFESPAN (INCLUDING EMPOWERING EVERY WOMAN IN HER SEXUAL AND REPRODUCTIVE CHOICES.) (2) THIS HIGH LEVEL COLLABORATION AMONG COMMUNITY MEMBERS, PUBLIC HEALTH PROVIDERS AND HOSPITAL SYSTEMS, ALONG WITH THE ROBUST PROCESS OF COMMUNITY INPUT GATHERING, PROVIDES A TRULY COMMUNITY BASED HEALTH NEEDS ASSESSMENT AND IMPROVEMENT PLAN. (1)COMMUNITY NEEDS ASSESSMENT, FINGER LAKES PERFORMING PROVIDER SYSTEM DELIVERY SYSTEM REFORM INCENTIVE PROGRAM. DECEMBER 18, 2014. FINGER LAKES HEALTH SYSTEMS AGENCY. PAGES 100-106. HTTP://WWW.FLHSA.ORG/MEDIA/DEFAULT/DOCUMENTS/DSRIP/FINAL%20CNA%20REPORT%20 12-18-14.PDF) (2)POVERTY INITIATIVE AT UNITED WAY OF GREATER ROCHESTER. PROGRESS REPORT: A ROADMAP FOR CHANGE, SEPTEMBER 2015. HTTPS://WWW.UWROCHESTER.ORG/UNITEDWAYOFROCHESTER/MEDIA/OUR-WORK-RESULTS/DO CUMENTS/RMAPI-PROGRESS-REPORT-OCTOBER-2015-PRINT-VERSION.PDF --------------------
PART V, SECTION B, LINE 6a- JOINT CHNA	THE CHNA WAS CONDUCTED WITH SEVERAL OTHER HOSPITAL FACILITIES. AN ASSESSMENT OF MONROE COUNTY WAS CONDUCTED JOINTLY BY UNIVERSITY OF ROCHESTER STRONG MEMORIAL HOSPITAL AND HIGHLAND HOSPITAL, ROCHESTER REGIONAL HEALTH INCLUDING ROCHESTER REGIONAL HOSPITAL AND UNITY HOSPITAL (SINCE THE 2013 CHNA, ROCHESTER GENERAL HEALTH SYSTEM AND UNITY HEALTH SYSTEM HAVE MERGED TO CREATE ROCHESTER REGIONAL HEALTH WHICH INCLUDES BOTH HOSPITALS). --------------------
PART V, SECTION B, LINE 6b - CHNA CONDUCTED WITH NON-HOSPITAL FACILITIES	THE CHNA WAS CONDUCTED WITH SEVERAL OTHER ORGANIZATIONS BESIDES THE HOSPITAL FACILITIES. THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH WAS VERY ENGAGED IN THE CHNA PROCESS, WAS PRESENT AT EACH MEETING AND ASSISTED WITH DATA ANALYSIS AND IMPROVEMENT PLANNING. COMMON GROUND HEALTH (FORMERLY THE FINGER LAKES HEALTH SYSTEM AGENCY) IS THE REGIONAL PLANNING AGENCY AND IS REPRESENTED AT ALMOST EVERY MEETING OF THE COMMUNITY HEALTH IMPROVEMENT WORKGROUP (CHIW), AND WAS INSTRUMENTAL IN DEVELOPING THE CHNA, BOTH BY PROVIDING DATA AND ASSISTING WITH COMMUNITY ENGAGEMENT. OUR REGIONAL DSRIP AGENCY ALSO ATTENDS THE CHIW MEETINGS AND GAVE INPUT TO THE CHNA PROCESS. AND THE REGIONAL HEALTH INFORMATION ORGANIZATION (RHIO) HAS BEEN TO MOST CHIW MEETINGS AND WAS ENGAGED IN THE CHNA PROCESS. --------------------
PART V, SECTION B, LINE 7A&D,10 - CHNA & IMP PLAN PUBLIC AVAILABILITY	THE CHNA REPORT WAS MADE WIDELY AVAILABLE TO THE PUBLIC. A COPY OF THE ORGANIZATION'S CHNA AND IMPLEMENTATION/IMPROVEMENT PLAN CAN BE FOUND AT: https://www.urmc.rochester.edu/community.aspx OUR CHNA AND IMPLEMENTATION/IMPROVEMENT PLAN ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND ARE ALSO POSTED ON THE COLLABORATING HOSPITAL SYSTEM'S WEBSITES AND ON THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH'S WEBSITE. OUR CHIW MEETINGS ARE OPEN TO THE PUBLIC UPON REQUEST AND THE CHNA WAS DISCUSSED WITH EACH OF THE HOSPITALS BOARD OF DIRECTORS. IN ADDITION, THE CHNA AND CHIP HAS BEEN SHARED WITH NUMEROUS COMMUNITY AGENCIES AND STUDENT GROUPS AT CLASSES OR MEETINGS WHERE MEMBERS OF THE CHIW PRESENT. INFORMATION IS ALWAYS SHARED AS TO WHERE TO FIND THE COMPLETE REPORT. --------------------
PART V, SECTION B, LINE 11 - ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA	THE CHIW STUDIED DATA FROM A VARIETY OF SOURCES; THE DETAILS OF WHICH ARE EXPLAINED IN THEIR ENTIRETY WITHIN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). IN SHORT, THE WORKGROUP EXTENSIVELY REVIEWED THE NEW YORK STATE PREVENTION AGENDA WITH PARTICULAR INTEREST IN THE COUNTY LEVEL DASHBOARDS. THE CHIW GROUP EXAMINED AREAS IN WHICH MONROE COUNTY WAS IDENTIFIED AS WORSE THAN NEW YORK STATE AS A WHOLE OR IN WHICH MONROE COUNTY WAS NOT PREVIOUSLY ABLE TO MEET THE PREVENTION AGENDA TARGET. ADDITIONALLY, THE GROUP LOOKED FOR NEW OR EMERGING TROUBLESOME HEALTH TRENDS THAT MAY NOT HAVE BEEN IDENTIFIED AS A PREVENTION AGENDA TARGET. THIRTEEN AREAS OF PARTICULAR CONCERN WERE IDENTIFIED AND WERE PRIORITIZED ACCORDING TO WHERE THE COMMUNITY HAD THE GREATEST POTENTIAL FOR MAKING THE MOST IMPACT WITHIN THE 3-6 YEAR TIMEFRAME. THE FOLLOWING HEALTH NEEDS WERE IDENTIFIED AND PRIORITIES SELECTED: Selected: Tobacco Use Chronic Disease Care Childhood Health Unplanned Pregnancy Substance Abuse Additional areas of concern: Obesity STD morbidity Colorectal Cancer Adverse childhood experiences Violence Suicide Premature Birth Teen pregnancy INTERVENTIONS WERE PLANNED AROUND THE SELECTED AREAS OF TOBACCO CESSATION, CHRONIC DISEASE MANAGEMENT, CHILDHOOD HEALTH, UNPLANNED PREGNANCY AND SUBSTANCE ABUSE. THE OTHER AREAS OF CONCERN WERE NOT ADDRESSED IN THE IMPROVEMENT PLAN, PRIMARILY BECAUSE OF LIMITED RESOURCES, LACK OF FUNDING AND TIME, AS WELL AS AVOIDING MISSION CREEP FOR THE HOSPITALS. OBESITY, ALTHOUGH A MAJOR PROBLEM IN OUR COMMUNITY WAS NOT SELECTED BECAUSE THE CHIW WAS NOT CLEAR ON AN EFFECTIVE INTERVENTION GIVEN THE 3-YEAR IMPLEMENTATION PERIOD. COLORECTAL CANCER SCREENINGS ARE BEING ADDRESSED THROUGH THE CANCER SERVICES DEPARTMENT WITHIN THE CENTER FOR COMMUNITY HEALTH, AND ONLY IMPACTS A SMALLER SUBSET OF THE POPULATION. ADVERSE CHILDHOOD EXPRIENCES, VIOLENCE AND SUICIDE PREVENTION ALL CENTER AROUND MENTAL HEALTH WHICH IS THE PRIMARY FOCUS OF THE DSRIP INITIATIVE IN OUR COMMUNITY, AND VIOLENCE PREVENTION WAS THOUGHT TO BE BEYOND THE MISSION OF THE HOSPITALS AT THIS TIME. STDS, PREMATURE BIRTHS AND TEEN PREGNANCIES SOMEWHAT OVERLAP WITH THE UNPLANNED PREGNANCY PRIORITY AREA THAT WAS SELECTED. EDUCATION AROUND AVOIDING RISKY SEXUAL BEHAVIOR, AS RECOMMENDED TO ADDRESS UNPLANNED PREGNANCY, WILL ALSO IMPACT THESE AREAS OF CONCERN. OF COURSE, WITH UNLIMITED RESOURCES, WE WOULD ADDRESS ALL THESE AREAS, BUT UNFORTUNATELY WE NEED TO PRIORITIZE FOR THE GIVEN TIME PERIOD. THE HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE 2016 CHNA THROUGH MANY INTERVENTIONS DESCRIBED IN THE IMPLEMENTATION STRATEGY. PROGRESS ON THE IMPLEMENTATION STRATEGY IS WIDELY AVAILABLE TO THE PUBLIC AND CAN BE FOUND ON THE SAME WEBSITE AS THE CHNA: (https://www.urmc.rochester.edu/community.aspx). TOBACCO USE: IMPLEMENTATION EFFORTS CONTINUE FOR SMOKING CESSATION, AT THE TIME OF THE CHNA 2016, UNIVERSITY OF ROCHESTER STRONG AND HIGHLAND WERE WORKING TO ADOPT AN OPT-TO-QUIT POLICY WHERE IDENTIFIED SMOKERS WILL BE AUTOMATICALLY REFERRED TO THE NY STATE QUIT LINE. EMR CHANGES WERE IN PROCESS AND THE POLICY HAS BEEN IMPLEMENTED AT STRONG HIGHLAND. THE OBJECTIVES FOR THIS FOCUS AREA INCLUDE: Objective 1.1: UR STRONG will enact a tobacco cessation policy that incorporates the opt-to-quit program and will implement that policy thereby electronically linking tobacco using patients to the NYS quit line. Objective 1.3: UR STRONG WILL WORK TO decrease the percent of women who smoke during pregnancy from 11% of births (2013 vital statistics) to less than 10% of births, and to especially concentrate on those women who receive Medicaid baseline 20% of births were smoking during pregnancy. UR STRONG AGREES WITH THE CONCEPT OF REFERRING ALL TOBACCO USERS TO THE NY STATE QUITLINE VIA THE EMR. IMPLEMENTATION EFFORTS FOR THE 2016-18 TIME PERIOD WILL INCLUDE ESTABLISHING THE EMR CHANGES, ASSURING PRIVATE TRANSFER OF DATA TO THE QUITLINE, ESTABLISHING FEEDBACK TO THE REFERRING PHYSICIANS AND EVALUATING THE INCREASE IN REFERRALS TO THE QUITLINE. UR STRONG IS ALSO ADDRESSING SMOKING DURING PREGNANCY BY LINKING PATIENTS WITHIN THE BABY LOVE PROGRAM WITH THE MOMMY AND ME TOBACCO FREE PROGRAM TO INCREASE CESSATION. CHRONIC DISEASE CARE: OUR WORK HERE FOCUSES ON HYPERTENTION CONTROL. TO ADDRESS BLOOD PRESSURE CONTROL, UR CONTINUES TO BE AN ACTIVE MEMBER OF THE ROCHESTER BUSINESS ALLIANCE (CHAMBER OF COMMERCE) HEALTH CARE PLANNING TEAM THAT MEETS WEEKLY AND IS FOCUSING ON HYPERTENSION. UR HAS MANAGED A COMMUNITY HEALTH WORKER PROGRAM THAT CONCENTRATED ON BLOOD PRESSURE CONTROL BUT IS NO LONGER ACTIVE, CONTRIBUTES TO A REGIONAL REGISTRY OF HYPERTENSIVE PATIENTS, HELPS FUND IMPROVEMENT INITIATIVES, AND PARTICIPATES IN THE PRACTICE IMPROVEMENT CONSULTANT PROGRAM TO INCREASE CONTROL RATES. THE OBJECTIVES FOR THIS FOCUS AREA INCLUDE: Objective 2.1: By December 2018, decrease the disparity among hypertensive residents in the local registry who have their blood pressure in control by increasing the control rate among Monroe County African Americans [58.8% and Latinos (61.5%) compared to Whites (75.4%)] Objective 2.2: Increase the control rate for hypertensive patients who also have diabetes ADDRESSING DISPARITY IN HYPERTENSION CONTROL RATES WILL INCLUDE COLLABORATION WITH THE DSRIP CULTURAL COMPETENCY WORKGROUP AS WELL AS THE REGISTRY REPORTING FUNCTION. CHILDHOOD HEALTH: UR STRONG IS WORKING TO IMPROVING CHILDHOOD HEALTH BY FOLLOWING THE APA GUIDELINE TO SCREEN ALL CHILDREN FOR FOOD INSECURITY AT WELL CHILD VISITS. THE OBJECTIVE FOR THIS FOCUS AREA IS: Objective 4.1: Decrease the percent of children living in food insecure households from 20.5% (Feeding America, 2014) while also striving to decrease the percent of adults who experienced food insecurity in the past year worried or stressed about having enough money to buy nutritious meals (EBRFSS2013-4) from 23% in Monroe County. AT LEASE ONE PEDIATRIC CLINIC IN STRONG IS CURRENTLY SCREENING FOR FOOD INSECURITY AND UR STRONG COMMITS TO ENHANCING THIS PROCESS WITH ACTIVE REFERRAL AS WELL AS EXPANDING THE MODEL TO OTHER CLINICS WITHIN UR AS WELL AS WITHIN OTHER HOSPITALS AND OFFICES IN MONROE COUNTY. WE WILL ALSO ASSURE THAT RESOURCES TO FOOD FOR FAMILIES WHO POSITIVELY SCREEN FOR FOOD INSECURITY ARE KNOWN AND ACCESSIBLE AND UPDATED. UNPLANNED PREGNANCY: THE CHIW AND UR STRONG ARE COMMITTED TO REDUCING THE UNPLANNED PREGNANCY RATE IN MONROE COUNTY AND TO ADDRESSING THE SIGNIFICANT DISPARITIES THAT EXIST BY RACE, ZIP CODE AND ECONOMIC STATUS. WE HAVE THE FOLLOWING OBJECTIVES: Objective 3.1: By December 2018, reduce significant barriers to the use of LARC (Long-Acting Reversible Contraception), particularly among at-risk women of reproductive age Objective 3.2: By December 2018, increase the number of youth reached with evidence-based sexual health education (baseline measure of current youth being reached is needed) PRIMARY TO THE BARRIERS TO THE USE OF LARC IS THE MEDICAID REIMBURSEMENT RULES IN NEW YORK THAT DO NOT ACCOUNT FOR PLACEMENT OF LARC IN MEDICAID MANAGED CARE PARTICIPANTS (AT THE TIME OF THE CHNA/IMPROVEMENT PLANNING). UR STRONG IS COMMITTED TO CHANGING THIS RULE AND ASSURING THE MEDICAID CLIENTS CAN RECEIVE LARC AT DELIVERY IF DESIRED. THIS RULE WAS CHANGED IN 2017 AND STRONG ASSURED THAT POST PARTUM LARC WAS REIMBURSED FOR MEDICAID PATIENTS. OTHER BARRIERS TO BE ADDRESSED INCLUDE LACK OF EDUCATION AND LACK OF TRAINING ON INSERTION. IN ADDITION TO LOGISTICAL BARRIERS TO LARC, UNPLANNED PREGNANCY CAN BE REDUCED BY WORKING TO EDUCATE YOUTH IN OUR COMMUNITY AROUND SAFE SECUARY HEALTH AND GOAL SETTING, ETC. UR AND THE CHIW WILL WORK WITH COMMUNITY AGENCIES, PARTICULARY THE METRO COUNCIL FOR TEEN POTENTIAL. SUSTANCE ABUSE: UR STRONG WILL JOIN OTHER LEAD AGENCIES TO ADDRESS THE OPIOID EPIDEMIC PLAGUING OUR COMMUNITY. ADDRESSING THIS PROBLEM HAS MANY PREVENTION STRATEGIES FROM PREVENTING SUBSTANCE ABUSE TO DECREASING DEATHS DUE TO OPIOID OVERDOSE AND TREATMENT FOR THOSE WHO ARE ADDICTED. OUR OBJECTIVE FOCUSES ON DEATHS DUE TO OVERDOSE: Objective 5.1: By December 2018, decrease the number of deaths due to opioid overdose from 69 in 2015 (Medical Examiners report of 2015). THERE IS A MONROE COUNTY TASK FORCE ADDRESSING OPIOID MISUSE AND UR STRONG COMMITS TO SENDING REPRESENTATION TO THE TASK FORCE AND SUPPORTING ANY PLANS THAT COME FROM THAT GROUP OF EXPERTS. IN ADDITION, THERE IS NOW A URMC OPIOID TASK FORCE THAT MEETS MONTHLY WITH SUBCOMMITTEES CONCENTRATING ON PREVENTION, IDENTIFICATION AND TREATMENT OF OPIOID MISUSE. CHARITY CARE ASSISTANCE IS GENERALLY AVAILABLE TO INDIVIDUALS WHOSE INCOME IS LESS THAN OR EQUAL TO 400% OF THE FEDERAL POVERTY LEVEL. HOWEVER, PATIENTS WHO EXCEED THE INCOME THRESHOLD WHO HAVE EXHAUSTED THEIR INSURANCE BENEFITS, FACE EXTRAORDINARY MEDICAL COSTS, HAVE FILED FOR BANKRUPTCY OR HAVE OTHER UNIQUE OR EXTENUATING CIRCUMSTANCES MAY BE CONSIDERED FOR CHARITY CARE APPROVAL IN THE HOSPITAL'S SOLE DISCRETION. ------------------
PARV V, SECTION B, LINE 13B - INCOME LEVEL OTHER THAN FPG	CHARITY CARE ASSISTANCE IS GENERALLY AVAILABLE TO INDIVIDUALS WHOSE INCOME IS LESS THAN OR EQUAL TO 400% OF THE FEDERAL POVERTY LEVEL. HOWEVER, PATIENTS WHO EXCEED THE INCOME THRESHOLD WHO HAVE EXHAUSTED THEIR INSURANCE BENEFITS, FACE EXTRAORDINARY MEDICAL COSTS, HAVE FILED FOR BANKRUPTCY OR HAVE OTHER UNIQUE OR EXTENUATING CIRCUMSTANCES MAY BE CONSIDERED FOR CHARITY CARE APPROVAL IN THE HOSPITAL'S SOLE DISCRETION. --------------------
PART V, SECTION B, LINES 16A-C - FINANCIAL ASSISTANCE POLICY AVAILABILITY	A COPY OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT: HTTPS://WWW.URMC.ROCHESTER.EDU/STRONG-MEMORIAL/PATIENTS-FAMILIES/BILLING-I NSURANCE.ASPX HTTPS://WWW.URMC.ROCHESTER.EDU/STRONG-MEMORIAL/PATIENTS-FAMILIES/BILLING-I NSURANCE/FINANCIAL-ASSISTANCE.ASPX --------------------
PART V, SECTION B, LINE 20E - PRESUMPTIVE ELIGIBILITY	PRESUMPTIVE ELIGIBILITY FILES ARE RUN THROUGH PARO/CONNANCE TO DETERMINE WHETHER A PATIENT MAY QUALIFY FOR 100% PRESUMPTIVE FINANCIAL ASSISTANCE PRIOR TO AN EXTERNAL CREDIT AGENCY REFERRAL. --------------------

Field	Value	IRS element (for citing)
Facility	7	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
EASTMAN DENTAL CENTER
625 ELMWOOD AVENUE	ROCHESTER	NY	14620	OUTPATIENT DENTAL CLINIC
UNIVERSITY DENTAL FACULTY GROUP
2400 SOUTH CLINTON AVENUE BLDG H S	ROCHESTER	NY	14618	OUTPATIENT DENTAL CLINIC
EASTMAN DENTAL DOWNTOWN CLINIC
228 E MAIN STREET	ROCHESTER	NY	14604	OUTPATIENT DENTAL CLINIC
ENRICO FERMI DENTAL CLINIC AT SCHOOL #17
158 ORCHARD STREET	ROCHESTER	NY	14611	OUTPATIENT DENTAL CLINIC
EDC SMILEMOBILE VANS
625 ELMWOOD AVENUE	ROCHESTER	NY	14620	OUTPATIENT DENTAL CLINIC
EDC HIGHLAND HOSPITAL CLINIC
990 SOUTH AVENUE SUITE 020	ROCHESTER	NY	14620	OUTPATIENT DENTAL CLINIC
CULVER COMPLEX CARE CENTER
905 CULVER ROAD	ROCHESTER	NY	14609	OUTPATIENT DENTAL CLINIC

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7g- SUBSIDIZED HEALTH SERVICES	COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC WERE INCLUDED ON PART I, LINE 7G, SUBSIDIZED HEALTH SERVICES, AND INCLUDED TOTAL COMMUNITY BENEFIT EXPENSE OF $79,046,969; DIRECT OFFSETTING REVENUE OF $60,451,613; NET COMMUNITY BENEFIT EXPENSE OF $18,595,356. --------------------
PART I, LINE 7, COLUMN (F)- BAD DEBT EXPENSE AND DIRECT OFFSETTING REVENUE	THE AMOUNT OF BAD DEBT EXPENSES INCLUDED ON FORM 990 PART IX, LINE 25 COLUMN (A) BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE REPORTED ON LINE 7, COLUMN (F) WAS $27,427,318 OF HOSPITAL BAD DEBTS AND $37,211,462 OF URMFG AND ACADEMIC BAD DEBTS. --------------------
PART I, LINE 7- COSTING METHODOLOGY USED	THE COSTING METHODOLOGY USED IN CALCULATING THE AMOUNTS REPORTED ON THE LINE 7 TABLE ARE BASED ON A COST ACCOUNTING SYSTEM. --------------------
PART II- DETAIL OF COMMUNITY BUILDING ACTIVITIES	THE UNIVERSITY OF ROCHESTER IS VERY ENGAGED IN COMMUNITY BUILDING. PROGRAMS REPORTED IN PART II PROMOTE THE HEALTH OF THE COMMUNITY IN MANY WAYS. A FEW EXEMPLARY EXAMPLES OF COMMUNITY BUILDING ACTIVITIES ARE INCLUDED BELOW: COMMUNITY SUPPORT - THE CLARISSA STREET REUNION IS AN ANNUAL FESTIVAL THAT TAKES PLACE IN ONE OF THE MOST CULTURALLY RICH NEIGHBORHOOS IN ROCHESTER. THE EVENT CELEBRATES A NEIGHBORHOOD KNOWN FOR PRODUCING RENOWNED JAZZ MUSICIANS IN THE 1940S, 1950S, AND 1960S. LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS - PEDRIATRIC NURSING CONFERENCE- THE PURPOSE OF THIS CONFERENCE IS TO PROVIDE PEDIATRIC NURSES WITH CURRENT, EVIDENCE BASED INFORMATION REGARDING ADVANCES IN MEDICAL TREATMENTS AND TECHNOLOGY, AS WELL AS CRITICAL ISSUES FACING CHILDREN AND FAMILIES. THE UR SUPPORTS MANY COMMUNITY COALITIONS THROUGH MEETING ATTENDANCE AND RESOURCE ALLOCATION. THESE COALITIONS INCLUDE THE AFRICAN AMERICAN AND LATINO HEALTH COALITIONS WHICH ARE GROUPS OF INDIVIDUALS AND ORGANIZATIONS CONVENED BY THE FINGER LAKES HEALTH SYSTEMS AGENCY, WHO WORK TOGETHER TO BUILD A COORDINATED COMMUNITY RESPONSE TO ELIMINATE AFRICAN AMERICAN AND LATINO HEALTH DISPARITIES. THE CENTER FOR COMMUNITY HEALTH LINKS UR TO COMMUNITY MEMBERS AND FACILITATES COMMUNITY ENGAGEMENT, DEVELOPING LEADERS AMONG COMMUNITY MEMBERS AND SUPPORTING COALITIONS AND COMMUNITY IMPROVEMENT. THE CENTER FOR COMMUNITY HEALTH FACILITATES THE COMMUNITY ADVISORY BOARD WHICH GIVES LEADERS OF COMMUNITY BASED ORGANIZATIONS A VOICE IN SETTING THE RESEARCH AND INTERVENTION AGENDA FOR UR. IN ADDITION TO SEVERAL COMMUNITY SERVICE AND EDUCATION INITIATIVES, THE CENTER ADVOCATES FOR COMMUNITY HEALTH IN EDUCATION, SERVICE AND RESEARCH. THE CENTER HAS SEVERAL ONGOING INTIATIVES TO IMPROVE HEALTHY LIVING THROUGH NUTRITION ACCESS AND ACTIVE LIFESTYLE BOTH IN HEALTH EDUCATION AND ENVIRONMENTAL DESIGN. THE CENTER HOUSES THE TEEN HEALTH AND SUCCESS PARTNERSHIP THAT MENTORS YOUTH IN THE ROCHESTER CITY SCHOOLS TO GRADUATE AND OBTAIN AND MAINTAIN EMPLOYMENT, THUS SUPPORTING WORKFORCE DEVELOPMENT. THE CENTER ALSO ORGANIZES AND FACILITATES THE DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPROVEMENT PLANNING, WHICH IS A COOPERATIVE EFFORT FOR ALL THE HOSPITALS IN MONROE COUNTY AND THE HEALTH DEPARTMENT. --------------------
PART III, SECTION A, LINE 2, 3, 4 - BAD DEBT EXPENSE	THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 ARE BASED ON ACTUAL CHARGES WRITTEN OFF (AMOUNTS THAT ARE DEEMED TO BE UNCOLLECTIBLE). -------------------- PART III, SECTION A, LINE 4- BAD DEBT EXPENSE FOOTNOTE THE TEXT OF THE BAD DEBT FOOTNOTE FOR THE UNIVERSITY CAN BE FOUND ON PAGE 14 (ITEM 1Q) OF THE ELECTRONICALLY ATTACHED AUDITED FINANCIAL STATEMENTS. THE COSTING METHODOLOGY FOR DETERMINING BAD DEBT EXPENSE WAS BASED ON ACTUAL CHARGES WRITTEN OFF AS BAD DEBTS DURING THE YEAR. --------------------
PART III, SECTION B, LINE 8- COSTING METHODOLOGY, MEDICARE SHORTFALL	THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 IS BASED ON REPORTS PRODUCED FROM THE HOSPITAL'S DECISION SUPPORT SYSTEM FOR THE YEAR. CONSISTENT WITH THE CHARITABLE HEALTHCARE MISSION OF THE HOSPITAL AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545, THE HOSPITAL PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE SEEKING MEDICAL CARE. SUCH CARE IS PROVIDED REGARDLESS OF WHETHER THE REIMBURSEMENT PROVIDED FOR SUCH SERVICES MEETS OR EXCEEDS THE COSTS INCURRED BY THE HOSPITAL TO PROVIDE SUCH SERVICES. AS A RESULT, THE HOSPITAL VIEWS ANY SHORTFALL REPORTED IN LINE 7 AS AN ADDITIONAL ITEM OF COMMUNITY BENEFIT PROVIDED BY THE ORGANIZATION. --------------------
PART III, SECTION C, LINE 9b- COLLECTION PRACTICES	FINANCIAL ASSISTANCE PROGRAM MISSION/PURPOSE/PREAMBLE: STRONG MEMORIAL HOSPITAL IMPROVES HEALTH THROUGH CARING, DISCOVERY, TEACHING AND LEARNING. WE PROVIDE EXCELLENT AND COMPASSIONATE CARE AND RESPONSIVE SERVICE. AS WE SEEK TO UNDERSTAND AND FULLY MEET OUR PATIENTS' CURRENT AND FUTURE NEEDS AND EXPECTATIONS, WE RECOGNIZE OUR RESPONSIBILITY TO PRUDENTLY USE THE SCARCE RESOURCES ENTRUSTED TO US. LAWS, REGULATIONS, CATASTROPHIC ILLNESSES AND THE RISING COSTS OF NEW TECHNOLOGY HAVE CREATED A CATEGORY OF PATIENTS WHO ARE EITHER UNINSURED OR UNDERINSURED. THIS CHARITY CARE PROGRAM HAS BEEN DEVELOPED TO HELP THE HOSPITAL MEET THE NEEDS OF THESE PATIENTS AND, CONCURRENTLY, MAINTAIN THE FINANCIAL VIABILITY OF THE HOSPITAL FOR FUTURE GENERATIONS. THIS CHARITY CARE POLICY EXPLAINS HOW THE HOSPITAL ASSISTS PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE ESSENTIAL MEDICAL CARE THEY RECEIVE. PRINCIPLES: STRONG MEMORIAL HOSPITAL PROACTIVELY CONVEYS INFORMATION ABOUT THIS CHARITY CARE POLICY TO PATIENTS AND THEIR FAMILIES. - WE BELIEVE THAT FEAR OF A HOSPITAL BILL SHOULD NEVER GET IN THE WAY OF ESSENTIAL HEALTH SERVICES. THE PROVISION OF URGENT OR EMERGENT HEALTHCARE IS NEVER DELAYED PENDING A FINANCIAL ASSISTANCE DETERMINATION. SIGNS ANNOUNCING THE CHARITY CARE PROGRAM ARE POSTED IN THE HOSPITAL (E.G. EMERGENCY DEPARTMENT, ADMITTING OFFICE) TO PROACTIVELY CONVEY THIS MESSAGE TO PROSPECTIVE PATIENTS AND THE PUBLIC IN GENERAL. - WE MAINTAIN FINANCIAL AID POLICIES THAT ARE CONSISTENT WITH THE MISSION, VALUES AND CAPACITY OF THE HOSPITAL AND THAT TAKE INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE. - WE COMMUNICATE THE AVAILABILITY OF FINANCIAL AID IN A MANNER THAT IS CLEAR, UNDERSTANDABLE, SENSITIVE TO THE PATIENT'S DIGNITY, AND IN MULTIPLE LANGUAGES. A NOTICE IS AVAILABLE AT REGISTRATION SITES THAT INFORMS PATIENTS OF THIS PROGRAM AND PROVIDES THE PHONE NUMBER TO CALL TO OBTAIN MORE INFORMATION AND TO APPLY FOR THIS PROGRAM. DESIGNATED STAFF ARE PROVIDED DETAILED TRAINING SO THAT THEY CAN PROVIDE INFORMATION AND ANSWER QUESTIONS ABOUT THE CHARITY CARE PROGRAM. INFORMATION IS GENERALLY AVAILABLE IN BOTH ENGLISH AND SPANISH. WHEN REQUESTED, IT WILL ALSO BE MADE AVAILABLE IN OTHER LANGUAGES. - INFORMATION REGARDING OUR CHARITY CARE PROGRAM IS ALSO AVAILABLE ON THE URMC WEBSITE. - WE IMPLEMENT FINANCIAL AID PROCEDURES THAT ARE CONSUMER-FRIENDLY, RESPECTFUL, AND CONFIDENTIAL, AS WELL AS DEBT COLLECTION POLICIES THAT REFLECT THE MISSION AND VALUES OF THIS HOSPITAL. - WE WORK WITH GOVERNMENT, PAYERS, BUSINESS, CONSUMER GROUPS AND OTHERS TO ADDRESS THE UNDERLYING PROBLEM THAT TOO MANY NEW YORKERS LACK HEALTH INSURANCE. GENERAL GUIDELINES: AS PART OF FINANCIAL PLANNING ASSISTANCE, WE PROVIDE PATIENTS, AND/OR THEIR LEGAL REPRESENTATIVE, WITH INFORMATION ABOUT THE CRITERIA THAT MUST BE MET IN ORDER TO OBTAIN MEDICAID, MEDICARE, OR OTHER HEALTH INSURANCES. PATIENTS ARE ASSISTED IN MAKING APPLICATIONS FOR ANY OF THESE INSURANCES OR DISCOUNTED FEE PLANS. PATIENTS ARE EXPECTED TO PARTICIPATE FULLY IN ALL EFFORTS TO OBTAIN ANY INSURANCE FOR WHICH THEY MAY QUALIFY. UNDER CERTAIN CIRCUMSTANCES, AS DETERMINED BY THE FINANCIAL CASE MANAGERS OR OTHER HOSPITAL SENIOR ADMINISTRATORS. APPLICATIONS FOR MEDICAID, MEDICARE OR OTHER INSURANCE PROGRAMS MAY BE WAIVED WHEN DEEMED UNNECESSARY. IF AVAILABLE INSURANCE BENEFITS ARE NOT SUFFICIENT TO COVER THE COST OF THEIR CARE, PATIENTS MAY THEN APPLY FOR ASSISTANCE FROM THE CHARITY CARE PROGRAM. CHARITY CARE APPLICATIONS MUST BE COMPLETED AND RETURNED TO THE HOSPITAL WITH THE REQUESTED INCOME DOCUMENTATION. PATIENTS WILL NOT RECEIVE CHARITY CARE ASSISTANCE IF THEY (A) DO NOT COMPLETE THE APPLICATION PROCESS FOR MEDICAID OR OTHER INSURANCE FOR WHICH THEY MAY QUALIFY, (B) ELECT NOT TO MAKE APPLICATION FOR CHARITY CARE, OR (C) HAVE ADEQUATE RESOURCES OR INCOME TO PAY PRIVATELY FOR THEIR CARE. IN THESE SITUATIONS, THEY WILL REMAIN FINANCIALLY RESPONSIBLE FOR FULL PAYMENT OF THEIR HOSPITAL BILLS. CHARITY CARE ASSISTANCE IS AVAILABLE FOR PATIENTS WHO RESIDE IN NEW YORK STATE AND RECEIVE EMERGENCY HOSPITAL SERVICES, INCLUDING EMERGENCY TRANSFERS, AND TO PATIENTS WHO RESIDE IN STRONG MEMORIAL HOSPITAL'S PRIMARY SERVICE AREA IN NEW YORK STATE WHO RECEIVE SERVICES IN DESIGNATED STRONG MEMORIAL HOSPITAL PROGRAMS, INCLUDING MOST INPATIENT AND OUTPATIENT SERVICES. IN ADDITION, THE HOSPITAL MAY, IN ITS DISCRETION, GRANT CHARITY CARE TO INDIVIDUALS WHO RESIDE OUTSIDE OF NEW YORK STATE. CHARITY CARE ASSISTANCE DOES NOT COVER MEDICALLY UNNECESSARY CARE, COSMETIC ALTERATION, TELEPHONE, TELEVISION AND PRIVATE ROOM CHARGES. IT DOES NOT COVER SERVICES GENERATED BY AN INSURED PATIENT WHO CHOOSES TO RECEIVE CARE AT AN OUT-OF-NETWORK HOSPITAL, OR WHO FAILS TO COMPLY WITH INSURANCE POLICY REQUIREMENTS (E.G. UNAUTHORIZED SERVICES) NOR DOES IT APPLY TO NON-RESIDENT ALIENS (UNLESS APPROVED IN ADVANCE OF CARE BEING PROVIDED), TO DRUGS NOT ADMINISTERED IN THE HOSPITAL, TO TRANSPORTATION FURNISHED BY THIRD PARTY VENDORS, OR TO CARE, SERVICES, DRUGS OR SUPPLIES FOR THE PURPOSE OF GENDER CHANGE PROCEDURE. SPECIFIC QUESTIONS ABOUT SERVICES THAT ARE NOT COVERED SHOULD BE DIRECTED TO THE PATIENT ACCOUNTS MANAGER OR THEIR DELEGATE. FINANCIAL GUIDELINES: FINANCIAL AID IS INTENDED TO ASSIST THOSE INDIVIDUALS WHO CANNOT AFFORD TO PAY IN PART OR IN FULL FOR THEIR CARE. IT SHOULD TAKE INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE. HOSPITAL FINANCIAL AID SHOULD NOT BE VIEWED AS A SUBSTITUTE FOR EMPLOYER-SPONSORED OR INDIVIDUALLY PURCHASED INSURANCE. PATIENTS WITHOUT INSURANCE AND WITH INCOME THAT WOULD QUALIFY THEM FOR THE CHARITY CARE PROGRAM BUT ALSO HAVE SUBSTANTIAL RESOURCES (OTHER THAN TAX-DEFERRED OR COMPARABLE RETIREMENT SAVINGS OR COLLEGE SAVINGS ACCOUNTS) MAY BE EXPECTED TO PAY PART OF THEIR BILLS(S). CHARITY CARE ASSISTANCE IS GENERALLY AVAILABLE TO INDIVIDUALS WHOSE INCOME IS LESS THAN OR EQUAL TO 400% OF THE FEDERAL POVERTY LEVEL. HOWEVER, PATIENTS WHO HAVE EXHAUSTED THEIR INSURANCE BENEFITS, EXCEEDED FINANCIAL ELIGIBILITY CRITERIA, FACE EXTRAORDINARY MEDICAL COSTS, OR WHO HAVE OTHER UNIQUE CIRCUMSTANCES MAY BE CONSIDERED FOR CHARITY CARE APPROVAL IN THE HOSPITAL'S SOLE DISCRETION. WHILE APPLICATION FOR MEDICAID OR OTHER INSURANCE IS USUALLY REQUIRED, THE HOSPITAL MAY, AT ITS SOLE DISCRETION, IN APPROPRIATE CASES, ALSO CONSIDER PATIENTS FOR CHARITY CARE WHEN THEY MEET THE FINANCIAL CRITERIA OF THIS PROGRAM, BUT HAVE NOT SATISFACTORILY COMPLETED ALL THE REQUIREMENTS OF THE CHARITY CARE APPLICATION PROCESS. THIS MAY INCLUDE PATIENTS WHO HAVE BEEN SANCTIONED BY MEDICAID, HAVE FILED BANKRUPTCY OR APPEAR TO BE ELIGIBLE FOR CHARITY CARE ASSISTANCE BASED ON AVAILABLE INFORMATION. ELIGIBILITY DETERMINATIONS IN COMPLEX CASE CIRCUMSTANCES WILL BE MADE AFTER CONSIDERATION BY THE CHARITY CARE REVIEW TEAM THAT INCLUDES THE CHARITY CARE OFFICER, FINANCIAL CASE MANAGER AND/OR THEIR MANAGERS, OR MAY BE MADE BY SENIOR HOSPITAL ADMINISTRATORS. THE AMOUNT OF THE DISCOUNT AFFORDED TO QUALIFIED CHARITY CARE PATIENTS WILL BE DETERMINED THROUGH ASSESSMENT OF THE RESPONSIBLE PARTY'S ANNUAL HOUSEHOLD INCOME AND THE NUMBER OF PEOPLE IN THE HOME, AS A PERCENTAGE OF THE FEDERAL POVERTY GUIDELINE AMOUNTS FOR SAME SIZE HOUSEHOLDS. THE FINANCIAL GUIDELINES WILL BE UPDATED ANNUALLY IN CONJUNCTION WITH THE FEDERAL POVERTY UPDATES PUBLISHED BY CMS. PATIENTS MAY RECEIVE FULL OR PARTIAL DISCOUNT FROM THE COST OF CARE, DEPENDING ON THE PERCENTAGE OF THE GUIDELINES MATCHED BY THE PATIENT'S HOUSEHOLD INCOME. ANY BILL AMOUNT REMAINING AFTER APPLICATION OF A PARTIAL CHARITY CARE DISCOUNT IS THE RESPONSIBILITY OF THE PATIENT. THE AMOUNT AN APPROVED CHARITY CARE PATIENT WILL GENERALLY BE EXPECTED TO PAY FOR SERVICES COVERED BY THE POLICY WILL BE LIMITED TO THE LOWER OF THE AMOUNT THAT THE HOSPITAL WOULD HAVE RECEIVED FOR THE SAME SERVICE UNDER MEDICARE PARTS A AND B, (INCLUDING COINSURANCE, CO-PAYMENTS AND DEDUCTIBLES) OR THE USUAL AND CUSTOMARY CHARGES. THE PATIENT WILL BE ASSISTED BY THE HOSPITAL IN MAKING ARRANGEMENTS TO SATISFY ANY BALANCE REMAINING ON THE ACCOUNT(S) AFTER THE APPLICATION OF THE APPROPRIATE CHARITY CARE DISCOUNT BY USE OF A PAYMENT PLAN. THE MONTHLY PAYMENTS UNDER SUCH PLANS SHALL NOT EXCEED TEN PERCENT (10%) OF THE ELIGIBLE PATIENT'S GROSS MONTHLY INCOME. THE RATE OF INTEREST ON UNPAID BALANCES SHALL NOT EXCEED THE US TREASURY RATE FOR 90 DAY SECURITIES PLUS 0.5%. HOSPITAL PATIENT FINANCIAL AID STATUTE DISCOUNTING REQUIREMENTS DISCOUNT / GROSS INCOME AS % OF FEDERAL POVERTY LEVEL 100% / UP TO 200% 80% / BETWEEN 201-250% 60% / BETWEEN 251-300% 40% / BETWEEN 301-350% 20% / BETWEEN 351-400% 0% / OVER 401% PROCESS: APPLICATIONS WILL BE ACCEPTED IMMEDIATELY BEFORE, DURING OR AFTER CARE IS PROVIDED. THE HOSPITAL WILL STRIVE TO ASSIST PATIENTS RECEIVING HIGH-COST SERVICES AS THEY OCCUR. PATIENTS MAY BE APPROVED FOR CHARITY CARE ON AN ACCOUNT-BY-ACCOUNT BASIS OR FOR A PERIOD OF TIME (FOR A COURSE OF TREATMENT). F
PART VI, LINE 2- NEEDS ASSESSMENT	STRONG MEMORIAL HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY AS PART OF CONTINUOUS QUALITY IMPROVEMENT IN MANY OF ITS INTIATIVES. ASSESSMENT OCCURS MOST FORMALLY THROUGH THE CHNA IN COLLABORATION WITH THE MEMBERS OF THE COMMUNITY HEALTH IMPROVEMENT WORKGROUP (CHIW) AS WELL AS SEVERAL ADDITION COMMUNITY MEMBERS, ORGANIZATIONS AND ASSOCIATIONS. WITH THE INPUT OF THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH (MCDPH), SEVERAL DATA SOURCES ARE REVIEWED, PRIMARILY NATALITY AND MORTALITY DATA, HOSPITALIZATION DATA THROUGH THE STATEWIDE PLANNING AND RESEARCH COOPERATIVE SYSTEMS (SPARCS) FILES, DISEASE AND SPECIFIC CONDITION DATA, AND THE NY STATE PREVENTION AGENDA DASHBOARD DATA. SEVERAL REPORTS ARE CONDUCTED PERIODICALLY BY COMMON GROUND HEALTH INCLUDING THE HEALTH EQUITY CHARTBOOK AND THE MONROE COUNTY HEALTH PROFILES, AND BY THE MCDPH INCLUDING THE YOUTH RISK BEHAVIOR SURVEY REPORT AND CHRONIC DISEASES IN MONROE COUNTY REPORT. THESE REPORTS INFORM THE HOSPITAL OF THE HEALTH CARE NEEDS OF THE COMMUNITY. THE CHIW GROUP BEGAN MEETING MONTHLY IN MAY 2012 AND CONTINUES TO MEET EVERY MONTH TO ASSESS THE NEEDS OF THE MONROE COUNTY COMMUNITY AND TO MONITOR SUCCESSES OF IMPLEMENTATION OF THE COMMUNITY HEALTH IMPROVEMENT PLAN. IN ADDITION, COMMUNITY INPUT IS PERIODICALLY SOUGHT FROM RESIDENTS, THE GREATER ROCHESTER CHAMBER OF COMMERCE, THE AFRICAN AMERICAN HEALTH COALITION AND THE LATINO HEALTH COALITION. PROGRAM SPECIFIC NEEDS ASSESSMENTS ARE CONDUCTED AS NECESSARY TO ENSURE THE SUCCESS AMONG THE TARGET POPULATION FOR INDIVIDUAL INTERVENTIONS, FOR EXAMPLE, THE UR WELL STUDENT RUN CLINICS OFTEN ASSESS THE NEEDS OF THEIR CLIENTS IN ORDER TO IMPROVE SERVICES DELIVERED. THE MEDICAL CENTER PROVIDES SALARY SUPPORT FOR FACULTY AND STAFF TO CONTRIBUTE THEIR ACADEMIC AND CLINICAL EXPERTISE TO HELP IDENTIFY AND IMPLEMENT THE MOST EFFECTIVE INTERVENTIONS ON THE HEALTH PRIORITY NEEDS. THE CENTER FOR COMMUNITY HEALTH AND PREVENTION (CCHP) WAS ESTABLISHED IN 2006 AS THE LINK BETWEEN THE COMMUNITY AND THE UNIVERSITY. AS PART OF THAT LINK, THE CENTERS FACULTY AND STAFF ARE FREQUENTLY ENGAGED WITH THE COMMUNITY FOR PROGRAMS, MEETINGS, INFORMATION SHARING AND RESEARCH. THE COMMUNICABLE DISEASE SECTION OF THE CCHP MONITORS INFECTIOUS DISEASE PREVALENCE AND TRENDS FOR OUR COMMUNITY AND SHARES DATA BOTH LOCALLY AND NATIONALLY. THE CANCER PREVENTION SECTION IN THE CCHP FOLLOWS TRENDS IN CANCER RATES AS WELL AS SCREENING RATES. FACULTY AND STAFF FROM WITHIN THE CCHP AS WELL AS AROUND THE INSTITUTION FREQUENTLY ATTEND COMMUNITY MEETINGS AND EVENTS TO GAUGE THE NEEDS OF COMMUNITY MEMBERS. IN ADDITION, THE CCHP SUPPORTS THE COMMUNITY ADVISORY COUNCIL (CAC), A LARGE COLLABORATIVE OF COMMUNITY LEADERS THAT INFORMS THE UNIVERSITY ABOUT ON-GOING AND EMERGING CONCERNS. THE COMMUNITY ADVISORY COUNCIL (CAC) WAS CREATED IN 2006 TO REPRESENT THE VOICE OF THE COMMUNITY AND TO GUIDE AND SUPPORT THE MISSION OF THE URMC. THE THIRTY-NINE MEMBER CAC REPRESENTS TWENTY-ONE COMMUNITY-BASED ORGANIZATIONS, INCLUDING HEALTH AND SOCIAL SERVICE AGENCIES, THE FAITH COMMUNITY, LOCAL GOVERNMENT, THE CITY SCHOOL DISTRICT AND MEDIA. A PRIMARY FUNCTION OF THE CAC IS TO STRENGTHEN URMC-COMMUNITY PARTNERSHIPS WITH A MUTUAL GOAL TO REDUCE INEQUALITIES AND IMPROVE ACCESS TO HEALTH CARE AND SERVICES. THE CAC MEETS AT LEAST QUARTERLY IN EXTENSIVE DIALOGUE AROUND COMMUNITY NEEDS. --------------------
PART VI, LINE 3- PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IS POSTED IN ALL AREAS OF THE FACILITY AND ITS OFF-SITE LOCATIONS. CHARITY CARE INFORMATION IS POSTED IN INPATIENT AND OUTPATIENT REGISTRATION AREAS; THE EMERGENCY DEPARTMENT; ADMITTING; AND ALL PRIMARY CARE SITES. PRINTED INFORMATION ABOUT CHARITY CARE ASSISTANCE IS ALSO PROVIDED WITH DISCHARGE MATERIALS WHEN IT HAS BEEN DETERMINED THAT A PATIENT IS IN FINANCIAL NEED. OUR CHARITY CARE POLICY IS ON-LINE AS WELL, ON THE HOSPITAL WEBSITE. AS PART OF FINANCIAL PLANNING ASSISTANCE, WE PROVIDE PATIENTS, OR THEIR LEGAL REPRESENTATIVE, WITH INFORMATION ABOUT THE CRITERIA THAT MUST BE MET IN ORDER TO OBTAIN MEDICAID, MEDICARE, OR OTHER HEALTH INSURANCES. PATIENTS ARE ASSISTED IN MAKING APPLICATIONS FOR ANY OF THESE INSURANCES OR DISCOUNTED FEE PLANS. PATIENTS ARE EXPECTED TO PARTICIPATE FULLY IN ALL EFFORTS TO OBTAIN ANY INSURANCE FOR WHICH THEY MAY QUALIFY. UNDER CERTAIN CIRCUMSTANCES, AS DETERMINED BY THE FINANCIAL CASE MANAGERS OR OTHER HOSPITAL SENIOR ADMINISTRATORS, APPLICATIONS FOR MEDICAID, MEDICARE OR OTHER INSURANCE PROGRAMS MAY BE WAIVED WHEN DEEMED UNNECESSARY. IF AVAILABLE INSURANCE BENEFITS ARE NOT SUFFICIENT TO COVER THE COST OF THEIR CARE, PATIENTS MAY THEN APPLY FOR ASSISTANCE FROM THE CHARITY CARE PROGRAM. --------------------
PART VI, LINE 4- COMMUNITY INFORMATION	MONROE COUNTY IS LOCATED IN WESTERN NEW YORK, CENTERED ON THE CITY OF ROCHESTER, WITH 19 SUBURBAN AND RURAL TOWNS. THE US CENSUS BUREAU POPULATION ESTIMATE FOR MONROE COUNTY IN 2017 IS 747,642 PERSONS, WHICH REPRESENTS AN INCREASE FROM THE 2010 CENSUS FIGURE OF 744,344. THE ESTIMATE FOR THE CITY OF ROCHESTER IS 209,802 IN 2015, DOWN 0.3% SINCE 210,565 IN 2010. THE AVERAGE HOUSEHOLD SIZE IN MONROE COUNTY (2013-17) IS 2.4 PERSONS. ACCORDING TO THE 2017 POPULATION ESTIMATES THE POPULATION AGED 5 OR YOUNGER IS 5.5% AND THE AGE 65 AND OVER MAKES UP 16.7%. SIXTEEN PERCENT OR 119,623 OF MONROE COUNTY RESIDENTS ARE AFRICAN-AMERICAN; OF THOSE, 73% RESIDE WITHIN THE CITY OF ROCHESTER. OF THE COUNTYS LATINO CITIZENS, 60% RESIDE IN THE CITY OF ROCHESTER. THE LATINO COMMUNITY, MOSTLY OF PUERTO RICAN DESCENT, IS THE FASTEST GROWING SEGMENT OF THE ROCHESTER POPULATION. FOR THE PERIOD 2013-2017, IT IS ESTIMATED THAT 16.4% OF PEOPLE LIVING IN MONROE COUNTY WERE LIVING BELOW THE POVERTY LEVEL. ROCHESTER IS CONSIDERED THE 5TH POOREST CITY IN THE UNITED STATES AMONG THE TOP 75 METROPOLITAN AREAS AND WORST IN CHILD POVERY WITH MORE THAN 50% OF CHILDREN IN ROCHESTER LIVE IN POVERTY, THE HIGHEST FOR ANY COMPARABLY SIZED CITY IN THE US. (3) THE 66,500 ROCHESTER RESIDENTS LIVING IN POVERTY ACCOUNTED FOR 62% OF THE POVERTY IN MONROE COUNTY AND 41% OF THE TOTAL FOR THE REGION. ONE DISTINCT CHARACTERISTIC OF MONROE COUNTY IS THE SIZE OF THE DEAF POPULATION; AN ESTIMATED 10,000-15,000 PRIMARY AMERICAN SIGN LANGUAGE (ASL) USERS. THE DEAF POPULATION IS HETEROGENEOUS AND COMPLEX, DIFFERENTIATED ALONG LINES OF EDUCATIONAL BACKGROUND, ASL FLUENCY, AGE OF ONSET OF DEAFNESS, AS WELL AS RACE AND ETHNICITY. RACIAL AND ETHNIC DISPARITIES WITHIN THIS GROUP, WHILE LIKELY, HAVE NOT BEEN WELL-DOCUMENTED. MONROE COUNTY HAS A PLETHORA OF EXISTING FACILITIES AND RESOURCES WITHIN THE COMMUNITY. SPECIFICALLY, MONROE COUNTY ENJOYS PRODUCTIVE COLLABORATION AMONG ITS HOSPITAL SYSTEMS INCLUDING UNIVERSITY OF ROCHESTERS STRONG MEMORIAL HOSPITAL AND HIGHLAND HOSPITAL, AND ROCHESTER REGIONAL HEALTHS ROCHESTER GENERAL AND UNITY HOSPITAL. IN ADDITION TO THE HEALTH SYSTEMS, THERE IS A ROBUST MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH, A REGIONAL PLANNING AGENCY COMMON GROUND HEALTH, AND MANY RELEVANT COMMUNITY INITIATIVES. FURTHER DETAILS REGARDING THE ROCHESTER COMMUNITY, INCLUDING DESCRIPTIONS OF THE HOSPITALS AND COMMUNITY BASED ORGANIZATIONS AND INITIATIVES, CAN BE FOUND IN THE COMPLETE COMMUNITY HEALTH NEEDS ASSESSMENT. (3)Analysis of American Community Survey Data for 2010-2014, ACT Rochester downloaded May 3, 2016 http://www.actrochester.org/sites/default/files/Rochester%27s%20Poverty%20 Rate%20Rises%20According%20to%20New%20Census_December%202015.pdf --------------------
PART VI, LINE 5- PROMOTION OF COMMUNITY HEALTH	THE UR AND AFFILIATED HOSPITALS FURTHER THEIR EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY THROUGH THE MEDICAL STAFF, COMMUNITY BOARD, HEALTH IMPROVEMENT PROGRAMS AND USE OF SURPLUS FUNDS, ALL DESCRIBED BELOW. OUR MEDICAL STAFF AND COMMUNITY BOARD PLAY AN IMPORTANT ROLE IN COMMUNITY HEALTH IMPROVEMENT. STRONG MEMORIAL HOSPITAL IS OVERSEEN BY THE UNIVERSITY OF ROCHESTER MEDICAL CENTER BOARD, A 40 MEMBER BOARD, INCLUSIVE OF 14 EX-OFFICIO MEMBERS AND 23 LIFE MEMBERS, THAT REPORT TO THE UNIVERSITY BOARD OF TRUSTEES. THE MEDICAL CENTER BOARD IS LED BY AND COMPRISED OF A DIVERSE GROUP OF COMMUNITY AND INDUSTRY LEADERS AND ADVOCATES - PEOPLE WHO LIVE AND WORK IN THIS COMMUNITY AND CARE DEEPLY ABOUT THE HEALTH AND WELFARE OF ITS CITIZENS. THE BOARD INCLUDES NON-UR MEDICAL CENTER-EMPLOYED PRIVATE COMMUNITY PHYSICIANS, MEMBERS OF THE BUSINESS COMMUNITY, LOCAL PHILANTHROPISTS WITH AN INTEREST IN ADVOCATING FOR HEALTH CARE, AND OTHER LOCAL REPRESENTATIVES. AS A DEDICATED BOARD, EACH MEMBER UPHOLDS WELL-ESTABLISHED PRINCIPLES OF NONPROFIT CORPORATION LAW CONCERNING THE STANDARDS OF CONDUCT AND ATTENTION A BOARD MEMBER MUST MEET: FIDUCIARY RESPONSIBILITY, OBEDIENCE TO THE CHARITABLE PURPOSE OF THE ORGANIZATION, LOYALTY, A COMMITMENT TO ACT BASED ON BEST INTERESTS OF THE ORGANIZATION AND THE WIDER COMMUNITY IT SERVES, AND DILIGENCE IN CARRYING OUT THE WORK OF THE BOARD. ADMINISTRATIVELY, UR MEDICAL CENTER LEADERSHIP HAS INITIATED A COMPREHENSIVE AND AMBITIOUS STRATEGIC PLAN WHICH SEEKS TO PRODUCES EXCEPTIONAL RESULTS AT AN AFFORDABLE COST, ACROSS ALL OF OUR MISSIONS: EDUCATION, RESEARCH, PATIENT CARE, AND COMMUNITY HEALTH. THE GOALS OF THE PLAN INCLUDE EXPANDING COMMUNITY HEALTH PROGRAMS AND RESEARCH THAT IMPROVE THE OVERALL HEALTH OF THE GREATER ROCHESTER COMMUNITY. THE BOARD OF DIRECTORS ENDORSE AND CHAMPION THE VISION OF THE PLAN. TO HIGHLIGHT THE IMPORTANCE OF THE COMMUNITY HEALTH MISSION, THE CENTER FOR COMMUNITY HEALTH AND PREVENTION (CCHP) WAS ESTABLISHED IN 2006 AS THE LINK BETWEEN THE COMMUNITY AND THE UNIVERSITY. THE CCHP MISSION IS TO JOIN FORCES WITH THE COMMUNITY TO PROMOTE HEALTH EQUITY; IMPROVE HEALTH THROUGH RESEARCH, EDUCATION, SERVICES, AND POLICY; AND ESTABLISH LOCAL AND NATIONAL MODELS FOR PREVENTION AND COMMUNITY ENGAGEMENT. THROUGH DISEASE PREVENTION AND HEALTHY LIVING PROGRAMS, RESEARCH, EDUCATION, AND POLICY THE CCHP WORKS TO CREATE ENVIRONMENTS THAT SUPPORT HEALTHY BEHAVIORS AIMED AT PREVENTING DISEASE AND CREATING A HEALTHIER COMMUNITY. THE CENTER FOR COMMUNITY HEALTH AND PREVENTION HOSTS THE ANNUAL "DR. DAVID SATCHER COMMUNITY HEALTH IMPROVEMENT AWARDS" PROGRAM THAT WAS ESTABLISHED IN 2010 TO RECOGNIZE URMC FACULTY/STAFF AND THEIR COMMUNITY PARTNERS FOR EXEMPLARY COMMUNITY-ENGAGED WORK WHICH CONTRIBUTES TO REDUCING HEALTH INEQUALITIES AND IMPROVES THE COMMUNITY'S HEALTH. URMC EXTENDS MEDICAL STAFF PRIVILEGES TO EMPLOYED UR MEDICAL CENTER FACULTY PHYSICIANS AND ALL ELIGIBLE PRIVATE PHYSICIANS WHO PRACTICE AT UR MEDICAL CENTER AFFILIATED HOSPITALS. MANY FACULTY MEMBERS SERVE A DUAL ROLE WITH COMMUNITY AGENCIES, PROVIDING SERVICE AS A MEDICAL DIRECTOR OR ATTENDING PHYSICIAN FOR COMMUNITY HEALTH INITIATIVES. THIS LINKAGE ENHANCES COLLABORATION, PRODUCING A HIGHER QUALITY OF CARE AND SMOOTHER TRANSITIONS FOR PATIENTS WHO MAY NEED ANY OR ALL OF THESE SERVICES. THROUGH THE EFFECTIVE USE OF SURPLUS FUNDS THE UR MEDICAL CENTER CONTINUALLY REINVESTS IN ITS FACILITIES AND PROGRAMS IN AN EFFORT TO IMPROVE THE HEALTH OF THE COMMUNITY. EXAMPLES INCLUDE: ITS 92-YEAR-OLD STRONG MEMORIAL HOSPITAL HAS IN RECENT YEARS RENOVATED ITS MEDICAL AND SURGICAL ICUS TO INCLUDE LARGER, PRIVATE ROOMS. IT ALSO UNVEILED A NEW FREESTANDING AMBULATORY SURGERY CENTER THAT INCLUDES 10 OPERATING SUITES AND THREE PROCEDURE ROOMS EQUIPPED WITH ADVANCED TECHNOLOGY. THE SURGERY CENTER WAS DEVELOPED AS AN INCREASE IN SPECIALTY CARE BEGAN PLACING MORE PRESSURE ON EXISTING OPERATING SUITES. STRONG MEMORIAL HOSPITAL ALSO RUNS THE REGION'S LARGEST EMERGENCY FACILITY. THE 55,000-SQUARE-FOOT FRANK AND CAROLINE GANNETT EMERGENCY CENTER WAS DESIGNED TO IMPROVE EFFICIENCY, WITH THE DIGNITY AND COMFORT OF OUR PATIENTS IN MIND. IT WAS DESIGNATED BY THE NEW YORK STATE DEPARTMENT OF HEALTH AS A LEVEL ONE REGIONAL TRAUMA CENTER. THE ADULT TREATMENT AREA WAS CONSTRUCTED WITH 25 SEMI-PRIVATE PATIENT CUBICLES, AND UNLIKE OTHER EMERGENCY FACILITIES IN THE REGION, IT ALSO INCLUDES A DEDICATED CHILDREN'S EMERGENCY DEPARTMENT WITH A PRIVATE WAITING ROOM. IT IS ALSO THE REGIONS ONLY DEDICATED BURN CENTER IN THE REGION, AND ALSO HAS THE REGIONS ONLY TOXICOLOGIST- A DOCTOR THAT SPECIALIZES IN POISONINGS AND DRUG OVERDOSES. SURPLUS FUNDS ARE ALSO DEDICATED TO SUPPORT RESEARCH. OUR CLINICAL AND TRANSLATIONAL RESEARCH INSTITUTE (CTSI) THAT SERVES AS THE HUB OF RESOURCES, EXPERTISE AND NETWORKS NECESSARY TO ACCELERATE THE CLINICAL APPLICATION OF BIOMEDICAL AND BEHAVIORAL RESEARCH SO THAT INTERVENTIONS CAN REACH INDIVIDUALS IN THE COMMUNITY MORE QUICKLY. THE CTSI'S COMMUNITY ENGAGEMENT FUNCTION, WHICH IS ADMINISTERED BY THE UR MEDICAL CENTER'S CENTER FOR COMMUNITY HEALTH AND PREVENTION, SUPPORTS THE CTSI COMMUNITY ENGAGEMENT MISSION BY FACILITATING COMMUNICATION AND PARTNERSHIPS AMONG RESEARCHERS, HEALTH CARE PROVIDERS, AND COMMUNITY MEMBERS AND ORGANIZATIONS. IN ADDITION, SURPLUS FUNDS ALSO SUPPORT THE UR MEDICAL CENTER'S COMMITMENT TO COMMUNITY HEALTH, WHICH DATES BACK TO THE MEDICAL SCHOOL'S FOUNDING. IN 1920, LOCAL BENEFACTOR GEORGE EASTMAN BEQUEATHED A GIFT TO THE SCHOOL WITH THE INSTRUCTIONS THAT THE SCHOOL HELP MAKE ROCHESTER "ONE OF THE HEALTHIEST COMMUNITIES IN THE WORLD." OUTSTANDING EXAMPLES INCLUDE: THE HOEKELMAN CENTER SERVES AS A NATIONAL LEADER FOR PEDIATRIC COMMUNITY HEALTH BY FOCUSING ON CONNECTING, ADVOCATING, RESEARCHING AND EDUCATING IN OUR COMMUNITIES TO DO WHAT WORKS FOR HEALTH. THE HOEKELMAN CENTER HOSTS THE PEDIATRIC LINKS WITH THE COMMUNITY (PLC) WHICH WILL HAVE TRAINED CLOSE TO 800 FIRST-YEAR RESIDENTS FROM PEDIATRICS, MEDICINE-PEDIATRICS, AND FAMILY MEDICINE, AND MEDICAL STUDENTS BY THE END OF 2016- 2017 ACADEMIC YEAR. DURING THE PLC TWO-WEEK ROTATION, RESIDENTS AND STUDENTS LEARN FIRST-HAND ABOUT CRITICAL FACTORS AFFECTING CHILD HEALTH, WHILE INTERACTING WITH MEDICAL AND NON-MEDICAL PROVIDERS AT VARIOUS COMMUNITY-BASED ORGANIZATIONS AND PROGRAMS. THE CLOSTRIDIUM DIFFICILE INFECTION REDUCTION COLLABORATIVE (CDPC) IS FOCUSED ON LIMITING C. DIFF INFECTION TRANSMISSION BY EMPHASIZING HAND HYGIENE AND ADEQUATE CLEANING OF THE ENVIRONMENT WITHIN FOUR HOSPITALS IN OUR COMMUNITY. A REDUCTION OF HOSPITAL-ONSET CDI OF OVER 30% WAS ACHIEVED THROUGH INVOLVEMENT OF STAFF FROM MULTIPLE DISCIPLINES, EDUCATION, OBSERVATIONS, STANDARDIZATION OF POLICIES, BEHAVIORAL CHANGE THEORY IMPLEMENTATION AND ANTIBIOTIC STEWARDSHIP. THE INITIATIVE IS NOW EXPANDING TO NURSING HOMES IN THE COMMUNITY. FUNDS FROM THE MEDICAL CENTER SUPPORT THE EMERGENCY DEPARTMENTS INJURY FREE COALITION FOR KIDS WHICH HAS AS ITS MISSION TO WORK WITH A COMMUNITY COALITIONS TO LEARN MORE ABOUT HOW, WHEN, AND WHERE INJURIES TO CHILDREN OCCUR, TO SET PRIORITIES FOR INJURY PREVENTION, TO DEVELOP NEW PREVENTION STRATEGIES, AND TO STUDY THE IMPACT OF THESE STRATEGIES ON THE ROCHESTER. ACTIVITIES INCLUDE BIKE RODEOS, HELMUT DISTRIBUTIONS, AND SAFE TEEN DRIVING SEMINARS. UR MEDICINE PARTICIPATES IN THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPROVEMENT PLAN FOR MONROE COUNTY. THE PLAN HAS FIVE FOCUS AREAS AND IS ALIGNED WITH THE NYS PREVENTION AGENDA. UR MEDICINE SUPPORTS THE COMMUNITY HEALTH IMPROVEMENT PLAN OUTLINED IN THE CHNA/CHIP AND HAS DEDICATED FACULTY, STAFF AND RESOURCES TO MEET THE GOALS OUTLINED IN THE PLAN. THE FOCUS AREAS ADDRESSED ARE 1. SMOKING CESSATION, BY REFERRING ALL TOBACCO USES TO THE NYSTATE QUIT LINE VIA THE ELECTRONIC MEDICAL RECORD; 2. HYPERTENSION CONTROL, BY WORKING WITH THE COMMUNITY HIGH BLOOD PRESSURE COLLABORATIVE TO INCREASE THE RATE OF HYPERTENSIVE PATIENTS WHO ARE IN CONTROL. PROVIDERS ARE WORKING WITH PRACTICE IMPROVEMENT CONSULTANTS TO FIND SYSTEM SOLUTIONS TO BLOOD PRESSURE CONTROL; 3. SCREENING FOR FOOD INSECURITY, WHICH IS BEING DONE CURRENTLY IN THE PEDIATRIC OUTPATIENT CLINICS USING THE WE CARE TOOL AND ACTIVELY REFERRING THOSE WITH FOOD INSECURITY TO THE FOODLINK FOOD HUB; 4. REDUCING UNPLANNED PREGNANCY BY REMOVING BARRIERS TO LONG-ACTING REVERSIBLE CONTRACEPTION AND CONCENTRATING ON SEXUAL HEALTH EDUCATION TO YOUTH; AND 5. ADDRESSING THE OPIOD CRISIS BY DISCOVERING WAYS TO DECREASE DEATHS DUE TO OPIOID OVERDOSE. UR IS ALSO STRONGLY COMMITTED TO THE DSRIP INITIATIVE AS ONE OF THE KEY PARTNER AGENCIES IN THE REGIONAL DSRIP INITIATIVE CALLED FLPPS (FINGER LAKES PERFORMING PROVIDER SYSTEM). FLPPS HAS CHOSEN SEVERAL PROJECTS WITH EXTENSIVE COMMUNITY HEALTH IMPROVEMENT POSSIBILITIES. UR IS BUILDING INFRASTRUCTURE AND LEADERSHIP TO BE ABLE TO IMPLEMENT THE PROJECTS WHICH INLCUDE BEHAVIORAL HEALTH SERVICE IMPROVEMENTS AND CRISIS STABILIZATION, EXPANSION OF THE BABY LOVE
PART VI, LINE 6- AFFILIATED HEALTH CARE SYSTEM	THE UNIVERSITY OF ROCHESTER MEDICAL CENTER IS AN INTEGRATED ACADEMIC HEALTH CENTER THAT COMPRISES THE SCHOOL OF MEDICINE AND DENTISTRY, INCLUDING ITS FACULTY PRACTICE (UNIVERSITY OF ROCHESTER MEDICAL FACULTY GROUP); STRONG MEMORIAL HOSPITAL; HIGHLAND HOSPITAL; GOLISANO CHILDREN'S HOSPITAL; JAMES P. WILMOT CANCER CENTER; STRONG WEST; SCHOOL OF NURSING; EASTMAN INSTITUTE FOR ORAL HEALTH; VISITING NURSE SERVICE; HIGHLANDS AT PITTSFORD; THE HIGHLANDS LIVING CENTER, INC.; HIGHLANDS AT BRIGHTON, FF THOMPSON HEALTH SYSTEM, INC., JONES MEMORIAL HOSPITAL, NOYES HEALTH, AND ACCOUNTABLE HEALTH PARTNERS, LLC. UR MEDICAL CENTER AND THE AFFILIATED HEALTH CARE ENTITIES HAVE EMBRACED A COMPREHENSIVE APPROACH TO COMMUNITY HEALTH, WHICH EMPLOYS THE MULTIDISCIPLINARY SKILLS FOUND IN AN ACADEMIC MEDICAL CENTER TO BOTH PROVIDE IMPORTANT COMMUNITY SERVICES AND CONDUCT COMMUNITY-BASED RESEARCH. THESE ACTIVITIES HELP INFORM POLICYMAKERS AND THE COMMUNITY ABOUT LOCAL HEALTH CHALLENGES, EVALUATE THE EFFECTIVENESS OF INTERVENTIONS, AND SERVE AS A FOUNDATION FOR EVIDENCE-BASED PRACTICES TO IMPROVE HEALTH AND OVERALL QUALITY OF LIFE. - THE UNIVERSITY'S HEALTH CARE DELIVERY NETWORK IS ANCHORED BY STRONG MEMORIAL HOSPITAL, AN 838 BED TEACHING HOSPITAL, WHICH INCLUDES A CHILDREN'S HOSPITAL-GOLISANO CHILDREN'S HOSPITAL. PATIENTS BENEFIT FROM THE MEDICAL CENTER'S ROBUST TEACHING AND BIOMEDICAL RESEARCH PROGRAMS. STUDENT ROSTERS INCLUDE APPROXIMATELY 400 MEDICAL STUDENTS, 500 GRADUATE STUDENTS, AND 890 RESIDENTS AND FELLOWS WHO ARE ENGAGED IN COMMUNITY SERVICE THROUGHOUT THEIR EDUCATION. - EASTMAN INSTITUTE FOR ORAL HEALTH PROVIDES COMMUNITY DENTAL CARE IN A NUMBER OF CLINICS, AS WELL AS CLINICAL EDUCATION TO DENTAL STUDENTS ENROLLED AT THE UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY. IT OFFERS GENERAL DENTISTRY, PEDIATRIC AND ORTHODONTIC CLINICS, AND AN URGENT CARE DENTAL CLINIC THAT SEES 10 - 50 PATIENTS PER DAY. IT OPERATES LOW-INCOME CLINICS AT SCHOOLS AND A DOWNTOWN LOCATION. ADDITIONALLY, FOUR SMILEMOBILES PROVIDE A DENTAL OFFICE ON WHEELS, ALLOWING THE CITY'S CHILDREN INCREASED ACCESS TO MUCH NEEDED DENTAL CARE. - THE JAMES P. WILMOT CANCER CENTER IS ORGANIZED AROUND A MULTIDISCIPLINARY CARE MODEL, WHICH LEADING CANCER EXPERTS BELIEVE IS THE GOLD STANDARD IN CANCER CARE IN THE 21ST CENTURY. ITS MODEL UNDERSCORES A COMMITMENT TO PROVIDE PATIENTS IN THE ROCHESTER AREA WITH THE MOST UP-TO-DATE INFORMATION AND AVAILABLE TREATMENTS, BASING OUR RECOMMENDATIONS ON THE BEST EVIDENCE. IT IS THE ONLY CENTER IN THE ROCHESTER AND FINGER LAKES REGION OFFERING THIS TEAM APPROACH TO CARE. A VARIETY OF FREE PREVENTIVE EDUCATION EVENTS ARE HELD THROUGHOUT THE YEAR, INCLUDING MEN'S HEALTH DAY, WHICH INCLUDES NUMEROUS FREE HEALTH SCREENINGS; FREE SKIN CANCER SCREENINGS; AND BREAST CANCER SCREENINGS FOR THE UNINSURED AND UNDERINSURED. - GOLISANO CHILDREN'S HOSPITAL, HOUSED IN STRONG MEMORIAL HOSPITAL, IS A 124-BED CHILDREN'S HOSPITAL THAT SERVES AS THE REFERRAL CENTER FOR ALL SERIOUSLY ILL OR INJURED CHILDREN FROM THE 17-COUNTY FINGER LAKES REGION. IT COMBINES AWARD-WINNING RESEARCH, INTERNATIONALLY ACCLAIMED EDUCATION AND COMPASSIONATE CARE TO SERVE CHILDREN AND FAMILIES. PEDIATRIC SPECIALTIES INCLUDE ORTHOPAEDICS, NEUROLOGY/NEUROSURGERY, CANCER AND NEONATAL CARE. IN ADDITION TO THESE TRADITIONAL MEDICAL SERVICES, GOLISANO CHILDREN'S HOSPITAL IS THE NATION'S MODEL FOR "COMMUNITY PEDIATRICS", A PHILOSOPHY THAT EMBRACES THE IDEA THAT A CHILD'S COMMUNITY AND ENVIRONMENT AFFECT HIS HEALTH AND, THEREFORE, HE CANNOT BE TREATED SOLELY IN AN EXAM ROOM. THE HOSPITAL ENCOURAGES PHYSICIANS AND STAFF TO PARTNER WITH COMMUNTIY ORGANIZAITONS TO IMPROVE VACCINATION RATES, EDUCATIONAL OPPORTUNITIES, SAFETY AT HOME AND ON PLAYGROUNDS, AND HEALTH INSURANCE AND HEALTH CARE ACCESS. - THE STRONG WEST CAMPUS, WHICH IS LOCATED APPROXIMATELY 20 MILES WEST OF ROCHESTER IN BROCKPORT, NY WAS ACQUIRED BY THE UNIVERSITY IN 2013. IT IS THE SITE OF THE FORMER 61 BED LAKESIDE MEMORIAL HOSPITAL, WHICH ANNOUNCED IT WAS CLOSING IN APRIL, 2013, LEAVING THE COMMUNITY WITHOUT AN EMERGENCY ROOM AND LOCAL ACCESS TO OTHER HEALTH CARE SERVICES. STRONG MEMORIAL HOSPITAL NOW OPERATES A FREE-STANDING EMERGENCY ROOM ON THE STRONG WEST CAMPUS, IN ADDITION TO OFFERING AMBULATORY SURGERY, HEALTH IMAGING, LABORATORY SERVICES, PRIMARY CARE, ORTHOPAEDICS, CARDIAC CARE, ONCOLOGY AND HEMATOLOGY, SLEEP MEDICINE, NEUROLOGY, AND UROLOGY SERVICES. THE UNIVERSITY'S WHOLLY OWNED HEALTH CARE AFFILIATES ARE: - HIGHLAND HOSPITAL OF ROCHESTER (HIGHLAND) PROVIDES INPATIENT AND OUTPATIENT HEALTHCARE SERVICES WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY. HIGHLAND OPERATES A 261-BED ACUTE CARE HOSPITAL, AS WELL AS 20 OUTPATIENT CLINICS, AND OB/MIDWIFERY CLINIC, BREAST CARE CLINIC, AND THREE RATIATION ONCOLOGY TREATMENT CENTERS. HIGHLAND IS ALSO A TEACHING AFFILIATE OF THE UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY. HIGHLAND'S SERVICE AREA INCLUDES MONROE COUNTY, NEW YORK, AS WELL AS SEVERAL COUNTIES SURROUNDING THE ROCHESTER, NEW YORK REGION. - VISITING NURSE SERVICE OF ROCHESTER AND MONROE COUNTY, INC. AND COMMUNITY CARE OF ROCHESTER, INC. D/B/A VISITING NURSE SIGNATURE CARE PROVIDE HOME AND COMMUNITY BASED CARE TO OVER 13,000 PEOPLE ANNUALLY, INCLUDING NURSING, REHABILITATION THERAPY, PERSONAL CARE, HOSPICE AND MEALS ON WHEELS. THE AGENCY IS NATIONALLY RECOGNIZED FOR ITS ABILITY TO REDUCE UNNECESSARY HOSPITALIZATIONS. DURING 2013, AFFILIATES FINGER LAKES VISITING NURSE SERVICE, INC. AND FINGER LAKES HOME CARE, INC. JOINED THE SYSTEM, EXTENDING THE HOME CARE AFFILIATES' PROVISION OF HIGH QUALITY HOME HEALTH CARE SERVICES TO THE FINGER LAKES REGION. - THE HIGHLANDS AT PITTSFORD CAMPUS INCLUDES TWO SEPARATE CORPORATIONS WITH DIFFERENT ACTIVITIES OFFERING SKILLED NURSING CARE, AS WELL AS ASSISTED AND INDEPENDENT LIVING FOR SENIORS. THE HIGHLANDS LIVING CENTER IS A 122-BED SKILLED NURSING FACILITY THAT ALSO OFFERS AN ADULT DAY CARE PROGRAM. THE 60-BED ASSISTED LIVING, 166-BED INDEPENDENT LIVING, AND COMMUNITY EDUCATION ARE PROVIDED BY HIGHLAND COMMUNITY DEVELOPMENT CORPORATION D/B/A/THE HIGHLANDS AT PITTSFORD AND LAURELWOOD AT THE HIGHLANDS. THE HIGHLANDS OFFER A COMPREHENSIVE SERIES OF COMMUNITY EDUCATION PROGRAMS ON CURRENT HEALTH TOPICS, INCLUDING HEART HEALTH, NUTRITION, ORAL HEALTH, AND DIABETES PREVENTION, TO NAME A FEW. - THE HIGHLANDS AT BRIGHTON IS A 145-BED SKILLED NURSING FACILITY THAT SPECIALIZES IN CARE FOR THE MOST MEDICALLY COMPLEX CASES, INCLUDING A NEUROBEHAVIORAL UNIT, VENTILATOR UNIT, AND BEHAVIORAL STEP-DOWN/DEMENTIA CARE UNIT IN ADDITION TO TRANSITIONAL, POST-ACUTE CARE AND REHABILITATION SERVICES. THROUGH ITS TRANSITIONAL CARE MODEL, THE HIGHLANDS AT BRIGHTON ACCEPTS PATIENTS WHO NO LONGER REQUIRE HOSPITAL CARE BUT ARE DIFFICULT TO DISCHARGE DUE TO THE COMPLEXITY OF THEIR MEDICAL OR BEHAVIORAL NEEDS, PROVIDING THEM WITH SUPPORTIVE CARE AND IN MANY CASES, HELPING THEM TRANSITION TO MORE APPROPRIATE LEVELS OF CARE IN THE COMMUNITY. - FF THOMPSON HEALTH SYSTEM INCLUDES THE FREDERICK FERRIS THOMPSON HOSPITAL (FF THOMPSON). FF THOMPSON IS A 113-BED ACUTE CARE HOSPITAL THAT IS LOCATED IN CANANDAIGUA, NY, APPROXIMATELY 30 MILES SOUTH OF ROCHESTER AND SERVES THE FINGER LAKES REGION. ITS SERVICES INCLUDE MEDICAL/SURGICAL CARE, INTENSIVE CARE, MATERNITY AND EMERGENCY CARE. IN ADDITION, THE HOSPITAL OWNS AND OPERATES 9 EXTENSION CLINICS, 8 OF WHICH PROVIDE PRIMARY HEALTH CARE SERVICE AND 2 OF WHICH PROVIDE OUTPATIENT PHYSICAL AND/OR OCCUPATIONAL THERAPY. - M.M. EWING CONTINUING CARE CENTER INC. IS A NOT-FOR-PROFIT CORPORATION THAT OPERATES A 188-BED SKILLED NURSING FACILITY AND ADULT DAY CARE PROGRAM ADJACENT TO F.F. THOMPSON HOSPITAL. - F.F.T. SENIOR COMMUNITIES, INC. IS A NOT-FOR-PROFIT CORPORATION THAT OPERATES FERRIS HILLS AT WESTLAKE, A RESIDENTIAL COMMUNITY CONSISTING OF 84 INDEPENDENT LIVING UNITS AND 48 ENRICHED LIVING UNITS. - ACCOUNTABLE HEALTH PARTNERS, LLC AND ACCOUNTABLE HEALTH PARTNERS-IPA, LLC IS A NETWORK OF PHYSICIANS EMPLOYED BY THE UNIVERSITY AND ITS AFFILIATED HOSPITALS, COMMUNITY BASED PHYSICIANS, AND OTHER AFFILIATED HOSPITALS THAT ARE CLINICALLY INTEGRATED AND NEGOTIATE REIMBURSEMENT CONTRACTS WITH LOCAL PAYORS AND SELF-INSURED BUSINESSES. THE UNIVERSITY, THROUGH STRONG MEMORIAL HOSPITAL, OWNS ACCOUNTABLE HEALTH PARTNERS, ALONG WITH OTHER HOSPITALS, UNIVERSITY-EMPLOYED PHYSICIANS, AFFILIATED HOSPITAL-EMPLOYED PHYSICIANS AND COMMUNITY PHYSICIANS. AHP IS AN ENGAGED, HIGH-PERFORMING, ROBUST REGIONAL PROVIDER NETWORK THAT IS DELIVERING HIGH-QUALITY, COST-EFFECTIVE HEALTH CARE. AHP EXECUTES ACOMPREHENSIVE, INTEGRATED CARE MANAGEMENT PROGRAM THAT PUTS THE PATIENT AT THE CENTER AND EXPLICITLY STRIVES FOR THE BEST INTERESTS OF THE PATIENTS. AHP EMPHASIZES AND SUPPORTS THE IMPORTANCE OF PRIMARY CARE AND THE VALUE OF PATIENT-CENTERED MEDICAL HOMES, AND CREATES AND ADHERES TO CLINICAL PROTOCOLS THAT ARE EVIDENCE-BASED AND INFORMED BY BEST PRACTICES. - JONES MEMORIAL HOSPITAL IS A 70-BED ACUTE CA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS AND FELLOWSHIPS TO STUDENTS	GrantTypeTxt
Recipient	6752	RecipientCnt
Cash Grant	$225,767,180	CashGrantAmt
Valuation Method Used	N/A	ValuationMethodUsedDesc
Non Cash Assistance	N/A	NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE I, PART II

DETAIL OF SUBAWARDS IN FURTHERANCE OF ITS RESEARCH ACTIVITIES, THE UNIVERSITY OF ROCHESTER MAKES SUB-AWARDS TO OTHER ORGANIZATIONS THAT PERFORM RESEARCH IN CONNECTION WITH RESEARCH GRANTS AWARDED TO THE UNIVERSITY. THE UNIVERSITY DOES NOT CATEGORIZE THESE SUB-AWARDS AS "GRANTS" FOR FORM 990, SCHEDULE I REPORTING, SINCE THE RECIPIENT ORGANIZATIONS PERFORM RESEARCH SERVICES FOR THE UNIVERSITY AND ARE CONSIDERED INDEPENDENT CONTRACTORS WHICH SERVE THE DIRECT NEEDS OF THE UNIVERSITY. --------------------

SCHEDULE I, PART I, LINE 2 AND PART III

STUDENT SCHOLARSHIP, FELLOWSHIPS AND STUDENT LOANS THE OFFICE OF FINANCIAL AID MONITORS THE DISBURSEMENT OF GRANTS AND FEDERAL LOANS TO STUDENTS.STUDENTS WHO RECEIVE SCHOLARSHIPS, FELLOWSHIPS AND STUDENT LOANS FROM THE UNIVERSITY OF ROCHESTER ARE SELECTED AND THE AMOUNT OF GRANTS OR LOANS DETERMINED BY OBJECTIVE AND NON-DISCRIMINATORY PROCESSES APPLIED TO ALL SIMILARLY SITUATED INDIVIDUALS. THE DECISIONS ARE MADE ON A CASE BY CASE BASIS THROUGH EVALUATING THE ACADEMIC ACHIEVEMENT AND FINANCIAL NEED OF THE APPLICANT IN LIGHT OF THE FUNDS AVAILABLE FOR THIS PURPOSE. --------------------

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Personal Services	Yes (X)	PersonalServicesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (28 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOEL S SELIGMAN
TRUSTEE,PRES&CEO(THRU 2-28-18)	$1,307,941	$0	$250,000	$0	$21,827	$0	$25,958	$0	$60,483	$0	$1,666,209	$0	$0	$0
RICHARD FELDMAN
INTERIM TRUS,PRES&CEO(3-1-18)	$363,163	$0	$0	$0	$18,000	$0	$25,433	$0	$16,923	$0	$423,519	$0	$0	$0
BRADFORD C BERK
DIRECTOR-UR NEUROREST. INST.	$658,059	$0	$0	$0	$250,832	$0	$170,658	$0	$19,527	$0	$1,099,076	$0	$195,637	$0
PAUL J BURGETT
VP & SR ADVISOR- PRES & DEAN	$176,047	$0	$0	$0	$854	$0	$16,797	$0	$15,484	$0	$209,182	$0	$0	$0
ROBERT L CLARK
SRVP RESEARCH & PROVOST	$630,963	$0	$0	$0	$690,918	$0	$200,958	$0	$45,118	$0	$1,567,957	$0	$686,035	$0
HOLLY G CRAWFORD
SR VP, ADMIN & FIN, CFO	$513,943	$0	$0	$0	$25,240	$0	$26,221	$0	$48,653	$0	$614,057	$0	$0	$0
THOMAS J FARRELL
SRVP & CHIEF ADVANCEMENT OFFCR	$620,038	$0	$0	$0	$76,260	$0	$25,958	$0	$23,663	$0	$745,919	$0	$0	$0
DAVID A KIRSHNER
SR VP & CFO, URMC (THRU 6-17)	$321,171	$0	$0	$0	$991,474	$0	$50,000	$0	$8,383	$0	$1,371,028	$0	$276,934	$0
PETER LENNIE
DEAN OF FACULTY- ASE	$645,996	$0	$0	$0	$18,863	$0	$25,958	$0	$42,590	$0	$733,407	$0	$0	$0
LAMAR R MURPHY
GENL SECRETARY, CHIEF OF STAFF	$320,535	$0	$0	$0	$18,000	$0	$26,483	$0	$22,451	$0	$387,469	$0	$0	$0
GAIL M NORRIS
VP & GENERAL COUNSEL	$492,696	$0	$0	$0	$0	$0	$27,953	$0	$22,290	$0	$542,939	$0	$0	$0
DOUGLAS W PHILLIPS
SRVP INSTITUTIONAL RESOURCES	$703,254	$0	$0	$0	$28,338	$0	$25,958	$0	$25,448	$0	$782,998	$0	$0	$0
ELIZABETH STAUDERMAN
VP FOR COMMUNICATIONS	$318,689	$0	$0	$0	$0	$0	$26,221	$0	$8,893	$0	$353,803	$0	$0	$0
MARK B TAUBMAN
CEO URMC, DEAN SMD, SRVP HEAL.	$964,099	$0	$100,000	$0	$27,601	$0	$300,958	$0	$21,245	$0	$1,413,903	$0	$0	$0
ADAM P ANOLIK INTERIM 6-17
SR VP & CFO,URMC (AS OF 10-17)	$522,918	$0	$0	$0	$981	$0	$60,683	$0	$21,785	$0	$606,367	$0	$0	$0
MICHAEL J APOSTOLAKOS MD
CMO, SMH & HH (AS OF AUG 2017)	$486,999	$0	$20,400	$0	$18,000	$0	$32,363	$0	$26,516	$0	$584,278	$0	$0	$0
CARRIE P FULLER-SPENCER
INTERIM CFO, SMH&HH (OCT 2017)	$240,002	$0	$0	$0	$0	$0	$23,613	$0	$21,284	$0	$284,899	$0	$0	$0
STEVEN I GOLDSTEIN
URMC VP, PRES/CEO SMH & HH	$1,089,334	$0	$0	$0	$276,899	$0	$485,358	$0	$18,002	$0	$1,869,593	$0	$201,413	$0
RAYMOND J MAYEWSKI
VP, URMC (THRU 6-2017)	$492,625	$0	$0	$0	$40,127	$0	$13,988	$0	$18,637	$0	$565,377	$0	$0	$0
KATHLEEN PARRINELLO
EXEC VP & COO, SMH	$555,503	$0	$115,500	$0	$156,829	$0	$126,958	$0	$23,202	$0	$977,992	$0	$119,933	$0
PETER G ROBINSON
VP&COO, MEDCTR & STRONG HEALTH	$619,557	$0	$0	$0	$41,204	$0	$268,358	$0	$70,944	$0	$1,000,063	$0	$0	$0
MICHAEL ROTONDO
CEO, URMFG	$825,605	$0	$150,000	$0	$22,588	$0	$125,958	$0	$3,260	$0	$1,127,411	$0	$0	$0
LEONARD J SHUTE
SR. ADVISOR, URMC	$188,376	$0	$0	$0	$32,844	$0	$19,658	$0	$13,577	$0	$254,455	$0	$0	$0
MICHAEL D MALONEY MD
PROFESSOR-ORTHOPAEDICS M&D	$1,944,037	$0	$21,900	$0	$2,145,822	$0	$25,958	$0	$25,965	$0	$4,163,682	$0	$2,145,822	$0
GEORGE M ALFIERIS MD
PROF-CARDIAC SURGERY M&D	$1,676,753	$0	$5,000	$0	$18,000	$0	$325,958	$0	$13,886	$0	$2,039,597	$0	$0	$0
MARC D BROWN MD
PROF-DERMATOLOGY M&D	$832,084	$0	$615,605	$0	$18,000	$0	$25,958	$0	$22,124	$0	$1,513,771	$0	$0	$0
SHERRIF F IBRAHIM MD PHD
ASSOC PROFESSOR-DERMATOLOGYM&D	$608,133	$0	$811,397	$0	$18,000	$0	$25,958	$0	$26,949	$0	$1,490,437	$0	$0	$0
ILYA VOLOSHIN MD
PROFESSOR-ORTHOPAEDICS M&D	$1,096,426	$0	$196,293	$0	$18,000	$0	$25,958	$0	$21,487	$0	$1,358,164	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A	DETAIL OF ADDITIONAL BENEFITS PROVIDED FIRST CLASS OR CHARTER TRAVEL IN LIMITED CIRCUMSTANCES, THE PRESIDENT AND PROVOST OR OTHER KEY EMPLOYEE OF THE UNIVERSITY OF ROCHESTER (THE "UNIVERSITY") MAY TRAVEL FIRST CLASS IF CERTAIN TIME/DISTANCE REQUIREMENTS ARE MET AND A VALID UNIVERSITY-RELATED BUSINESS PURPOSE FOR THE TRAVEL EXISTS. TRAVEL FOR COMPANIONS IN LIMITED CIRCUMSTANCES, THE SPOUSE OF THE PRESIDENT AND PROVOST OR OTHER KEY EMPLOYEE MAY TRAVEL FOR LEGITIMATE UNIVERSITY-RELATED BUSINESS PURPOSES. EXAMPLES OF SUCH TRAVEL INCLUDE ATTENDANCE AT FUNDRAISING OR ALUMNI EVENTS. IN ACCORDANCE WITH APPLICABLE LEGAL STANDARDS, AND ON THESE LIMITED OCCASIONS, THE UNIVERSITY WILL REIMBURSE THE TRAVEL EXPENSES FOR SPOUSAL TRAVEL AS A BUSINESS EXPENSE ONLY IF THE SPOUSAL TRAVEL SERVES A "BONA FIDE BUSINESS PURPOSE" OF THE UNIVERSITY. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS THE UNIVERSITY MAY PROVIDE TAX GROSS-UP PAYMENTS UNDER CERTAIN CIRCUMSTANCES AS APPROVED BY THE BOARD. THE UNIVERSITY DOES NOT GENERALLY PROVIDE TAX INDEMNIFICATIONS. ONE OFFICER RECEIVED A GROSS-UP PAYMENT THAT WAS TREATED AS TAXABLE COMPENSATION. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE/PERSONAL SERVICES AS A CONDITION OF EMPLOYMENT, THE PRESIDENT AND PROVOST ARE REQUIRED TO LIVE IN A HOME ON THE UNIVERSITY'S CAMPUS WHICH IS FURNISHED AND MAINTAINED AT THE UNIVERSITY'S EXPENSE. SOCIAL CLUB DUES THE UNIVERSITY PROVIDES A SOCIAL CLUB MEMBERSHIP, TO BE USED BY CERTAIN OFFICERS AND KEY EMPLOYEES IN CONNECTION WITH THEIR DUTIES. THESE OFFICERS AND KEY EMPLOYEES ARE RESPONSIBLE FOR ANY PERSONAL USE OF THE CLUB MEMBERSHIP. SEVEN OFFICERS, FOUR KEY EMPLOYEES AND ONE FORMER OFFICER RECEIVED SOCIAL CLUB DUES THAT WERE TREATED AS TAXABLE COMPENSATION. --------------------
SCHEDULE J, PART I, LINE 4A	DETAIL OF SEVERANCE PAYMENT IN CONNECTION WITH THE TERMS OF HIS SEPARATION FROM THE UNIVERSITY, DAVID A. KIRSHNER RECEIVED A PAYMENT OF $702,975 IN CALENDAR YEAR 2017 THAT IS INCLUDED IN OTHER REPORTABLE COMPENSATION. -------------------- SCHEDULE J, PART I, LINE 4B PARTICIPATION IN A SUPP. NONQUALIFIED PLAN THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED EMPLOYER PAID AMOUNTS THAT ARE INCLUDED IN DEFERRED COMPENSATION: ADAM P. ANOLIK - SERP - $30,000 BRADFORD C. BERK - SERP - $144,700 MARK B. TAUBMAN - SERP - $125,000 STEVEN I. GOLDSTEIN - SERP - $159,400 PETER G. ROBINSON - SERP - $61,500 KATHLEEN PARRINELLO - SERP - $75,000 MICHAEL ROTONDO - SERP - $25,000 GEORGE M. ALFIERIS - 457(F) $300,000 ROBERT L. CLARK - 457(F) - $175,000 STEVEN I. GOLDSTEIN - 457(F) - $300,000 DAVID A. KIRSHNER - 457(F) - $50,000 PETER G. ROBINSON - 457(F) - $180,900 KATHLEEN PARRINELLO - 457(F) - $26,000 MICHAEL ROTONDO - 457(F) - $75,000 MARK B. TAUBMAN - 457(F) - $150,000 PURSUANT TO THE UNIVERSITY'S IRC SECTION 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, PARTICIPANTS ARE ENTITLED TO DISTRIBUTIONS FROM THE PLAN UPON THE OCCURRENCE OF CERTAIN VESTING EVENTS. THE FOLLOWING INDIVIDUALS MET THE VESTING CONDITIONS UNDER THE PLAN AND RECEIVED DISTRIBUTIONS IN CALENDAR YEAR 2017, WHICH ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III) AS OTHER REPORTABLE COMPENSATION: BRADFORD C. BERK - 457(F) - $195,637 ROBERT L. CLARK - 457(F) - $686,035 DAVID A KIRSHNER - 457(F) - $276,934 STEVEN I. GOLDSTEIN - 457(F) - $201,413 KATHLEEN PARRINELLO - 457(F) - $119,933 MICHAEL D. MALONEY - 457(F) - $2,145,822 THESE AMOUNTS REPRESENT EMPLOYEE DEFERRALS OF COMPENSATION OVER SEVERAL YEARS THAT VESTED AND WERE PAID PURSUANT TO THE REQUIREMENTS OF THE PLAN. THESE AMOUNTS WERE REPORTED AS DEFERRED COMPENSATION IN SCHEDULE J, PART II, COLUMN (C) IN PRIOR YEARS AND ARE ALSO REFLECTED IN SCHEDULE J, PART II, COLUMN (F). --------------------
SCHEDULE J, PART I, LINE 7	PROVISION OF NON-FIXED PAYMENTS THE UNIVERSITY OF ROCHESTER MEDICAL SCHOOL COMPENSATION PLAN ALLOWS COMPENSATION TO BE CALCULATED, IN PART, BY MEDICAL SERVICES RENDERED. THE UNIVERSITY OF ROCHESTER DOES NOT PROVIDE DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION. PAYMENTS MADE TO ANY DISQUALIFIED PERSON IS APPROVED BY THE BOARD THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
A	146000293	64983UP20	2003-11-06	$164,425,000	2003 A,B,C- CAPITAL PROJECTS	false	false	false
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
B	146000293	64983QWB1	2008-03-16	$111,180,000	2006 A-1 & B-1- BOND REFINANCING	false	false	false
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
C	146000293	649905KL9	2009-07-22	$120,741,579	2009 A B C D E CAPITAL PROJECTS	false	false	false
MONROE COUNTY INDUSTRIAL DEVELOPMENT CORPORATION
D	510188852	61075TCE6	2011-09-01	$175,747,934	2011 A, B MCIDC-CAPITAL PROJECTS	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$103,295,000	$0	$165,914,138	$0	$0	$0	$3,122,743	$2,349,000	$383,179	$70,315,050	$89,744,166	$0	2009	Yes (true)	Yes (true)	Yes (true)	Yes (true)
B	$59,750,000	$0	$111,180,000	$0	$0	$0	$2,170,437	$1,213,000	$0	$0	$107,796,563	$0	2000	false	Yes (true)	Yes (true)	Yes (true)
C	$105,125,000	$0	$120,927,106	$0	$0	$0	$1,169,973	$0	$1,991,256	$76,605,196	$41,160,681	$0	2010	Yes (true)	Yes (true)	Yes (true)	Yes (true)
D	$139,375,000	$0	$175,833,848	$0	$3,243,526	$0	$1,502,375	$0	$6,789,361	$149,668,886	$14,629,700	$0	2016	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct
A	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00300	0.00100	0.00400	false	false	false	Yes (true)
B							0.00000	0.00000	0.00000					0.00000
C	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00600	0.01600	0.02200	false	false	false	Yes (true)	0.00000
D	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00700	0.00200	0.00900	false	false	false	Yes (true)	0.00000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Exception To RebateExceptionToRebateInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
WELLSFARGOCITIGROUP
A	false	Yes (true)	Yes (true)	Yes (true)	30.	false	false	false	0	Yes (true)	Yes (true)
BANK OF AMERICA
B	false	Yes (true)	Yes (true)	Yes (true)	21.3	false	false	false	0	false	Yes (true)
0
C	false	Yes (true)	false	false				false	0	false	Yes (true)
0
D	false	Yes (true)	false	false				false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I COLUMN C- ADDITIONAL TAX-EXEMPT BOND CUSIP # INFORMATION

BOND ISSUE 2009 A,B,C,D,E- CUSIP #649907VR0; #649907VS8; #649907VP4; #649907VQ2 BOND ISSUE 2011 A,B - CUSIP #61075TJM1; #61075TJN9; #61075TDC9; #61075TJK9; #61075TJL3 BOND ISSUE 2013 A,B - CUSIP #61075TJH2 BOND ISSUE 2017 C,D - CUSIP #61075TTB5 --------------------

PART II, LINE 3- ADDITIONAL DETAIL FOR PROCEEDS OF ISSUES

THE TOTAL PROCEEDS OF ISSUE REPORTED FOR THE 2003 A,B,C BOND ISSUE INCLUDES $1,489,138 IN INVESTMENT EARNINGS. THE TOTAL PROCEEDS OF ISSUE REPORTED FOR THE 2009 A,B,C,D,E BOND ISSUE INCLUDES $185,527 IN INVESTMENT EARNINGS. THE TOTAL PROCEEDS OF ISSUE REPORTED FOR THE 2011 A,B BOND ISSUE INCLUDES $85,914 IN INVESTMENT EARNINGS. THE TOTAL PROCEEDS OF ISSUE REPORTED FOR THE 2013 A,B BOND ISSUE INCLUDES $68,964 IN INVESTMENT EARNINGS. THE TOTAL PROCEEDS OF ISSUE REPORTED FOR THE 2015 A,B BOND ISSUE INCLUDES $478,872 IN INVESTMENT EARNINGS. THE TOTAL PROCEEDS OF ISSUE REPORTED FOR THE 2017 A,B BOND ISSUE INCLUDES $485,056 IN INVESTMENT EARNINGS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MONROE COUNTY INDUSTRIAL DEVELOPMENT CORPORATION
A	510188852	61075THK7	2013-09-19	$198,885,260	2013 A, B CAPITAL PROJECTS	false	false	false
MONROE COUNTY INDUSTRIAL DEVELOPMENT CORPORATION
B	510188852	61075TND6	2015-06-24	$248,557,616	2015 A, B CAPITAL PROJECTS	false	false	false
MONROE COUNTY INDUSTRIAL DEVELOPMENT CORPORATION
C	510188852	61075TQA9	2017-04-05	$289,439,545	2017 A, B CAPITAL PROJECTS	false	false	false
MONROE COUNTY INDUSTRIAL DEVELOPMENT CORPORATION
D	510188852	61075TSK5	2017-12-14	$246,123,340	2017 C, D BOND REFINANCE	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$172,895,000	$0	$198,954,224	$0	$0	$0	$1,422,460	$0	$2,548,949	$182,741,617	$8,867,321	$3,373,877	false	Yes (true)	false	Yes (true)
B	$10,485,000	$0	$249,036,488	$0	$0	$0	$1,460,004	$0	$1,730,158	$64,505,006	$163,221,324	$18,119,996	Yes (true)	Yes (true)	false	Yes (true)
C	$3,375,000	$0	$289,924,601	$0	$1,145,900	$0	$1,742,715	$0	$31,930	$41,445,444	$214,448,166	$31,110,446	Yes (true)	Yes (true)	false	Yes (true)
D	$0	$0	$246,123,340	$0	$0	$0	$1,656,861	$0	$0	$0	$244,466,479	$0	false	Yes (true)	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.01500	0.00300	0.01800	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00700	0.00300	0.01000	false	false	false	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00600	0.00300	0.00900	false	false	false	Yes (true)
D	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.01300	0.00300	0.01600	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Exception To RebateExceptionToRebateInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	Yes (true)	false	false	false	0	false	Yes (true)
0
C	false	Yes (true)	false	false	false	0	false	Yes (true)
0
D	false	Yes (true)	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (9 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
BRADFORD C BERK
EMPLOYEE	SPLITDOLLAR LIFE INS	Yes (X)	$1,498,900	$1,498,900	false	Yes (true)	Yes (true)
STEVEN I GOLDSTEIN
EMPLOYEE	SPLITDOLLAR LIFE INS	Yes (X)	$1,765,800	$1,765,800	false	Yes (true)	Yes (true)
RAYMOND J MAYEWSKI
EMPLOYEE	SPLITDOLLAR LIFE INS	Yes (X)	$921,520	$921,520	false	Yes (true)	Yes (true)
KATHLEEN PARRINELLO
EMPLOYEE	SPLITDOLLAR LIFE INS	Yes (X)	$614,884	$614,884	false	Yes (true)	Yes (true)
PETER G ROBINSON
EMPLOYEE	SPLITDOLLAR LIFE INS	Yes (X)	$681,010	$681,010	false	Yes (true)	Yes (true)
MICHAEL ROTONDO
EMPLOYEE	SPLITDOLLAR LIFE INS	Yes (X)	$125,000	$125,000	false	Yes (true)	Yes (true)
LEONARD J SHUTE
EMPLOYEE	SPLITDOLLAR LIFE INS	Yes (X)	$418,496	$418,496	false	Yes (true)	Yes (true)
MARK B TAUBMAN
EMPLOYEE	SPLITDOLLAR LIFE INS	Yes (X)	$870,700	$870,700	false	Yes (true)	Yes (true)
ADAM ANOLIK
EMPLOYEE	SPLITDOLLAR LIFE INS	Yes (X)	$90,000	$90,000	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$6,986,310	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (14 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
KAREN BERK
FAMILY MEMBER OF FORMER OFFICER	$69,614	PAYMENT OF COMPENSATION	false
DENNIS KESSLER
FAMILY MEMBER OF TRUSTEE	$127,178	PAYMENT OF COMPENSATION	false
DELORES CONWAY
FAMILY MEMBER OF OFFICER	$313,050	PAYMENT OF COMPENSATION	false
REBECCA WALTERS
FAMILY MEMBER OF KEY EMPLOYEE	$136,404	PAYMENT OF COMPENSATION	false
ELIZABETH MAYEWSKI
FAMILY MEMBER OF KEY EMPLOYEE	$89,274	PAYMENT OF COMPENSATION	false
LYDIA ROTONDO
FAMILY MEMBER OF KEY EMPLOYEE	$199,523	PAYMENT OF COMPENSATION	false
JENNIFER ANOLIK MD
FAMILY MEMBER OF KEY EMPLOYEE	$240,133	PAYMENT OF COMPENSATION	false
SANDRA G WITMER RN
FAMILY MEMBER OF TRUSTEE	$76,576	PAYMENT OF COMPENSATION	false
NICHOLAS WALTERS
FAMILY MEMBER OF KEY EMPLOYEE	$18,225	PAYMENT OF COMPENSATION	false
LES WEISBROD MD
FAMILY MEMBER OF KEY EMPLOYEE	$410,479	PAYMENT OF COMPENSATION	false
MAUREEN PRINCE
FAMILY MEMBER OF TRUSTEE	$120,587	PAYMENT OF COMPENSATION	false
ERICKA AUGUSTINE
FAMILY MEMBER OF TRUSTEE	$256,146	PAYMENT OF COMPENSATION	false
WEGMANS
OWNED > 35% BY TRUSTEE	$317,985	PAYMENT OF DRUG DISPENSING FEE	false
VALLEY PROPANE AND FUELS
OWNED > 35% BY TRUSTEE	$736,055	PAYMENT OF FUEL PURCHASES	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE L, PART IV	FormAndLineReferenceDesc
Explanation	ADDITIONAL SUPPLEMENTAL INFORMATION WEGMANS- TRUSTEE DANIEL R. WEGMAN IS AN OFFICER, DIRECTOR AND OWNER OF WEGMANS. VALLEY PROPANE AND FUELS- TRUSTEE PHILIP E. SAUNDERS IS A GREATER THAN 35% OWNER OF VALLEY PROPANE AND FUELS.	ExplanationTxt

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	7	ContributionCnt
Noncash Contributions Rpt F990	$712,500	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$24,105	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp

Cars And Other Vehicles CarsAndOtherVehiclesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$33,790	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	307	ContributionCnt
Noncash Contributions Rpt F990	$11,199,163	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

Securities Closely Held Stock SecuritiesCloselyHeldStockGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	3	ContributionCnt
Noncash Contributions Rpt F990	$700,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp

Real Estate Residential RealEstateResidentialGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$525,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp (5 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	MUSICAL INSTRUMENTS	18	$106,889	FAIR MARKET VALUE
Yes (X)	GIFT-IN-KIND	15	$16,569	FAIR MARKET VALUE
Yes (X)	PERSONAL PROPERTY	46	$156,126	FAIR MARKET VALUE
Yes (X)	MISCELLANEOUS EQUIPMENT	28	$184,924	FAIR MARKET VALUE
Yes (X)	MEDICAL RECORDS	1	$191,300	FAIR MARKET VALUE

Field	Value	IRS element (for citing)
Form8283 Received	14	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE M, PART I, COLUMN (B)	FormAndLineReferenceDesc
Explanation	NUMBER OF CONTRIBUTIONS THE UNIVERSITY OF ROCHESTER REPORTS ALL NON-CASH CONTRIBUTIONS RECEIVED, OTHER THAN SECURITIES, BASED ON THE NUMBER OF NON-CASH ITEMS RECEIVED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4D	DETAIL OF OTHER PROGRAM SERVICES AUXILIARY ENTERPRISES- THE UNIVERSITY OPERATES EITHER DIRECTLY OR THROUGH THIRD PARTY CONTRACTORS FOOD SERVICES WHICH SERVED 5,831 UNDERGRADUATES 2,900,754 MEALS IN FIVE DINING SERVICES. THE UNIVERSITY HAS 803 UNITS USED FOR STUDENT HOUSING. --------------------
FORM 990, PART VI, SECTION A, LINE 1A	DELEGATION OF AUTHORITY THE BY-LAWS OF THE UNIVERSITY PROVIDE FOR AN EXECUTIVE COMMITTEE THAT MAY EXERCISE ALL THE POWERS OF THE BOARD IN INTERVALS BETWEEN MEETINGS OF THE BOARD OF TRUSTEES, EXCEPT THAT THE EXECUTIVE COMMITTEE DOES NOT HAVE POWER (1) TO GRANT DEGREES, (2) TO REMOVE A TRUSTEE OR OFFICER, (3) TO ELECT TRUSTEES, THE CHAIR OF THE BOARD OR THE PRESIDENT, OR (4) TO AMEND, ALTER OR REPEAL THE BY-LAWS. THE MEMBERS OF THE EXECUTIVE COMMITTEE ARE ALL TRUSTEES. THE EXECUTIVE COMMITTEE CONSISTS OF THE CHAIR OF THE BOARD, THE PRESIDENT, THE CHAIRS OF THE BOARD COMMITTEES OF INVESTMENT, NOMINATIONS AND BOARD PRACTICES, FACILITIES, AUDIT AND RISK ASSESSMENT, PERSONNEL, HEALTH AFFAIRS, ACADEMIC AFFAIRS, RESEARCH AND INNOVATION, FINANCIAL PLANNING, STUDENT AFFAIRS, COMPLIANCE AND COMPENSATION, AND DEVELOPMENT PLUS SUCH OTHER TRUSTEES AS THE BOARD OF TRUSTEES MAY ELECT TO SERVE FOR TERMS NOT TO EXCEED FIVE YEARS. --------------------
FORM 990, PART VI, SECTION B, LINE 11B	FORM 990 REVIEW PROCESS THE FORM 990 OF UNIVERSITY OF ROCHESTER IS PREPARED BY FINANCE STAFF AND PROVIDED TO PRICEWATERHOUSECOOPERS LLP AND SENIOR MANAGEMENT FOR REVIEW PRIOR TO FILING. THE FORM 990 WAS ALSO PROVIDED TO THE UNIVERSITY'S AUDIT AND RISK ASSESSMENT COMMITTEE PRIOR TO FILING. THE COMMITTEE'S QUESTIONS AND COMMENTS WERE ADDRESSED AT A COMMITTEE MEETING PRIOR TO FILING. THE FORM 990 WAS ALSO PROVIDED TO THE ENTIRE BOARD OF TRUSTEES PRIOR TO FILING. --------------------
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY DIRECTORS, COMMITTEE MEMBERS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE A CONFLICT OF INTEREST: A) PRIOR TO VOTING ON OR OTHERWISE DISCHARGING THEIR DUTIES WITH RESPECT TO ANY MATTER INVOLVING THE CONFLICT WHICH COMES BEFORE THE BOARD OR ANY COMMITTEE; B) PRIOR TO ENTERING INTO ANY CONTRACT OR TRANSACTION INVOLVING THE CONFLICT; C) AS SOON AS POSSIBLE AFTER THE DIRECTOR, COMMITTEE MEMBER OR OFFICER LEARNS OF THE CONFLICT; AND D) ON AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM. THE FORM IS DISTRIBUTED ANNUALLY AND REQUIRES DISCLOSURE OF ALL CONFLICTS OF INTEREST, INCLUDING SPECIFIC INFORMATION CONCERNING THE TERMS OF ANY CONTRACT OR TRANSACTION WITH THE UNIVERSITY THAT INVOLVES A POTENTIAL CONFLICT OF INTEREST FOR THE INDIVIDUAL. THE FORMS ARE REVIEWED BY LEGAL COUNSEL, AND CONFLICTS DISCLOSED ON THE FORMS OR ON AN AD-HOC BASIS ARE REVIEWED BY AN INDEPENDENT BOARD COMMITTEE. THE COMMITTEE CONSIDERS THE MATERIAL FACTS CONCERNING ANY PROPOSED CONTRACT OR TRANSACTION, INCLUDING THE PROCESS BY WHICH THE DECISION WAS MADE TO APPROVE OR RECOMMEND ENTERING INTO THE ARRANGEMENT ON THE TERMS PROPOSED, AND APPROVES SUCH CONTRACTS OR TRANSACTIONS ONLY IF THE TERMS ARE FAIR AND REASONABLE TO THE UNIVERSITY AND THE ARRANGEMENTS ARE CONSISTENT WITH THE BEST INTERESTS OF THE UNIVERSITY. --------------------
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION PROCESS WRITTEN SELF-EVALUATIONS AND PERFORMANCE EVALUATIONS FOR THE UNIVERSITY'S OFFICERS AND KEY EMPLOYEES ARE REVIEWED ANNUALLY BY THE UNIVERSITY'S COMMITTEE ON COMPLIANCE AND COMPENSATION. THE COMMITTEE REVIEWS AND APPROVES TOTAL COMPENSATION FOR OFFICERS AND KEY EMPLOYEES AND CONSIDERS, IN ADDITION TO THE PERFORMANCE EVALUATIONS, THE SCOPE OF THE INDIVIDUAL'S JOB RESPONSIBILITIES, PREVIOUS COMPENSATION AND COMPARABLE COMPENSATION PAID TO PEOPLE WITH SIMILAR RESPONSIBILITIES AT COMPARABLE INSTITUTIONS. THE COMPARABLE INFORMATION IS PROVIDED BY AN INDEPENDENT CONSULTANT AND BY REFERENCE TO LOCAL, REGIONAL AND NATIONAL COMPENSATION SURVEYS. --------------------
FORM 990, PART VI, SECTION C, LINE 17	STATE FILING OF FORM 990 ALTHOUGH THE UNIVERSITY OF ROCHESTER IS LOCATED IN THE STATE OF NEW YORK, A COPY OF ITS FORM 990 IS NOT REQUIRED TO BE FILED WITH THE STATE, SINCE EDUCATIONAL INSTITUTIONS INCORPORATED UNDER THE NEW YORK STATE EDUCATION LAW ARE EXEMPT FROM FILING IN THE STATE OF NEW YORK. --------------------
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENTS AVAILABILITY TO PUBLIC THE UNIVERSITY OF ROCHESTER'S AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC BY POSTING THEM ON THE UNIVERSITY'S WEBSITE. THE UNIVERSITY OF ROCHESTER'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT ROUTINELY MADE AVAILABLE TO THE PUBLIC. --------------------
FORM 990, PART VII, SECTION B	DETAIL OF INDEPENDENT CONTRACTOR PAYMENTS: THE PAYMENT AMOUNTS LISTED FOR PIKE COMPANY, INC., WELLIVER MCGUIRE, INC., AND DGA BUILDERS, LLC REPRESENT THE ESTIMATED SERVICE COMPONENT OF THE TOTAL PAYMENTS MADE TO THESE VENDORS FOR CONSTRUCTION SERVICES. --------------------
FORM 990, PART XI, LINE 9	DETAIL OF OTHER CHANGES IN NET ASSETS CHANGE IN VALUATION OF ANNUITIES $ 59,550 LOSS ON EXTINGUISHMENT OF DEBT (26,760,080) CHANGE IN POST RETIREMENT LIABILITY 25,897,000 OTHER CHANGES (8,552,908) ----------- TOTAL $ (9,356,438) --------------------

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SPRUCE RISK PURCHASING GROUP LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	263 WALLIS HALL	AddressLine1Txt
City	ROCHESTER	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14627	ZIPCd

Field	Value	IRS element (for citing)
EIN	160743209	EIN
Primary Activities	INSURANCE	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	UNIV OF ROCH	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (38 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
HIGHLAND HOSPITAL OF ROCHESTER INC
1000 SOUTH AVENUE	ROCHESTER	NY	14620	160743037	HOSPITAL	NY	501 (c)(3)	3	SPHS	Yes (true)
THE HIGHLAND FOUNDATION INC
1000 SOUTH AVENUE	ROCHESTER	NY	14620	237310662	FUNDRAISING	NY	501 (c)(3)	12A,I	HIGHLD HOSP	Yes (true)
HIGHLAND FACILITIES DEVELOPMENT CORP
1000 SOUTH AVENUE	ROCHESTER	NY	14620	223039077	MEDICAL BLDG	NY	501 (c)(3)	10	HIGHLD HOSP	Yes (true)
HIGHLAND COMMUNITY DEVELOPMENT CORP
100 HAHNEMANN TRAIL	PITTSFORD	NY	14534	223154715	ELDER CARE	NY	501 (c)(3)	10	SPHS	Yes (true)
THE HIGHLANDS LIVING CENTER INC
500 HAHNEMANN TRAIL	PITTSFORD	NY	14534	223240227	HEALTHCARE	NY	501 (c)(3)	10	SPHS	Yes (true)
THE MEADOWS AT WESTFALL INC
5901 LAC DE VILLE BLVD	ROCHESTER	NY	14618	161502303	HEALTHCARE	NY	501 (c)(3)	10	SPHS	Yes (true)
STRONG PARTNERS HEALTH SYSTEM INC
1000 SOUTH AVENUE	ROCHESTER	NY	14620	161499099	SUPPORT ORG	NY	501 (c)(3)	12A,I	UNIV OF ROCH	Yes (true)
STRONG HOME CARE GROUP
2180 EMPIRE BOULEVARD	WEBSTER	NY	14580	222577664	FUNDRAISING	NY	501 (c)(3)	7	UNIV OF ROCH	Yes (true)
VISITING NURSE SRVC OF ROCHESTER & MONRO
2180 EMPIRE BOULEVARD	WEBSTER	NY	14580	160743215	HEALTHCARE	NY	501 (c)(3)	10	SHCG	Yes (true)
COMMUNITY CARE OF ROCHESTER
2180 EMPIRE BOULEVARD	WEBSTER	NY	14580	161561691	HEALTHCARE	NY	501 (c)(3)	10	SHCG	Yes (true)
EXCELL PARTNERS INC
222 WEST RIDGE ROAD	ROCHESTER	NY	14615	201862628	ECONOMIC DEV	NY	501 (c)(4)	N/A	UNIV OF ROCH	Yes (true)
ROCHESTER BIOVENTURE CENTER INC
601 ELMWOOD AVENUE	ROCHESTER	NY	14642	202485999	BIOTECH INCUB	NY	501 (c)(3)	12A,I	UNIV OF ROCH	Yes (true)
NEXTCORPS (FORMERLY HIGHTECH ROCHINC)
260 EAST MAIN STREET	ROCHESTER	NY	14604	161195028	BUSINESS INCU	NY	501 (c)(3)	7	UNIV OF ROCH	Yes (true)
EASTMAN DENTAL CENTER FOUNDATION INC
625 ELMWOOD AVENUE	ROCHESTER	NY	14620	161529555	SUPPORT ORG	NY	501 (c)(3)	12A,I	NA	false
THE JAMES P WILMOT FOUNDATION INC
387 E MAIN STREET	ROCHESTER	NY	14604	222341413	SUPPORT ORG	NY	501 (c)(3)	12D,III-OTH	NA	false
UNIVERSITY OF ROCHESTER EMPLOYEE BEN TRS
910 GENESEE STREET SUITE 200	ROCHESTER	NY	14611	161600112	EMPL BEN TRST	NY	501 (c)(9)	N/A	UNIV OF ROCH	Yes (true)
ROBERT P GIDDINGS TRUST CO TAYLOR
GANSON PERRIN 160 FEDERAL ST 20	BOSTON	MA	02110	046660588	SUPPORT ORG	MA	501 (c)(3)	12D,III-OTH	NA	false
U OF R BROADCASTING CORPORATION
201 WILSON COMMONS	ROCHESTER	NY	14627	160743209	BROADCAST LIC	NY	501 (c)(4)	N/A	UNIV OF ROCH	Yes (true)
UR REAL ESTATE CORPORATION
263 WALLIS HALL	ROCHESTER	NY	14627	271140014	SUPPORT ORG	NY	501 (c)(3)	12A,I	UNIV OF ROCH	Yes (true)
MELIORA REAL ESTATE CORPORATION
263 WALLIS HALL	ROCHESTER	NY	14627	452464788	SUPPORT ORG	NY	501 (c)(3)	12A,I	UNIV OF ROCH	Yes (true)
FREDERICK FERRIS THOMPSON HOSPITAL
350 PARRISH STREET	CANANDAIGUA	NY	14424	160743024	HOSPITAL	NY	501 (c)(3)	3	FFTHS INC	Yes (true)
FF THOMPSON FOUNDATION INC
350 PARRISH STREET	CANANDAIGUA	NY	14424	222959984	FUNDRAISING	NY	501 (c)(3)	7	FFTHS INC	Yes (true)
MM EWING CONTINUING CARE CENTER
350 PARRISH STREET	CANANDAIGUA	NY	14424	237046583	HEALTHCARE	NY	501 (c)(3)	3	FFTHS INC	Yes (true)
FF THOMPSON HEALTH SYSTEM INC
350 PARRISH STREET	CANANDAIGUA	NY	14424	222959987	SUPPORT ORG	NY	501 (c)(3)	12A,I	UNIV OF ROCH	Yes (true)
FF THOMPSON SENIOR COMMUNITIES INC
350 PARRISH STREET	CANANDAIGUA	NY	14424	161557494	ELDER CARE	NY	501 (c)(3)	10	FFTHS INC	Yes (true)
PLUTA CANCER CENTER FOUNDATION INC
125 RED CREEK DRIVE	ROCHESTER	NY	14623	270425383	SUPPORT ORG	NY	501 (c)(3)	12A,I	NA	false
FINGER LAKES VISITING NURSE SERVICE INC
756 PRE-EMPTION ROAD	GENEVA	NY	14456	223067627	HEALTHCARE	NY	501 (c)(3)	10	VNSR	Yes (true)
FINGER LAKES HOME CARE INC
756 PRE-EMPTION ROAD	GENEVA	NY	14456	161489133	HEALTHCARE	NY	501 (c)(3)	10	VNSR	Yes (true)
THE MEMORIAL HOSPITAL OF WILLIAM F AND
191 NORTH MAIN STREET	WELLSVILLE	NY	14895	222807681	Hospital	NY	501(c)(3)	3	UNIV OF ROCH	Yes (true)
LIVINGSTON HEALTH CARE SYSTEM INC
111 CLARA BARTON STREET	DANSVILLE	NY	14427	161455240	SUPPORT ORG	NY	501 (c)(3)	12A,I	UNIV OF ROCH	Yes (true)
NICHOLAS H NOYES MEMORIAL HOSPITAL INC
111 CLARA BARTON STREET	DANSVILLE	NY	14427	160743979	Hospital	NY	501(c)(3)	3	LHCS	Yes (true)
RED JACKET CENTER INC
111 CLARA BARTON STREET	DANSVILLE	NY	14427	161037658	Med Off Bldg	NY	501(c)(3)	12A,I	LHCS	Yes (true)
THE FOUNDATION FOR NOYES MEMORIAL HEALTH
111 CLARA BARTON STREET	DANSVILLE	NY	14427	161584778	Fundraising	NY	501(c)(3)	7	LHCS	Yes (true)
JONES MEMORIAL HOSPITAL FOUNDATION
191 NORTH MAIN STREET	WELLSVILLE	NY	14895	473763374	SUPPORT ORG	NY	501 (c)(3)	7	JONES	Yes (true)
JONES MEDICAL SERVICES PC
191 NORTH MAIN STREET	WELLSVILLE	NY	14895	465210222	MEDICAL CLINI	NY	501 (c)(3)	3	JONES	Yes (true)
ST JAMES HOSPITAL
411 CANISTEO STREET	HORNELL	NY	14844	160743310	HOSPITAL	NY	501 (c)(3)	3	UNIV OF ROCH	Yes (true)
ST JAMES MERCY FOUNDATION
411 CANISTEO STREET	HORNELL	NY	14844	161486437	FUNDRAISING	NY	501 (c)(3)	7	ST JAMES	Yes (true)
UR MEDICINE HOME CARE COMMUNITY SRVCS
2180 EMPIRE BOULEVARD	WEBSTER	NY	14580	825091873	HEALTHCARE	NY	501 (c)(3)	10	SHCG	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
EXCELL INNOVATE NY FUND LP
222 WEST RIDGE ROAD SUITE 156	ROCHESTER	NY	14615	462405519	FUNDING START-UP	NY	ETV INC
EXCELL MINORITY AND WOMEN OWNED BUSINESS
222 WEST RIDGE RD BLDG 28 SUITE 1	ROCHESTER	NY	14615	810723223	FUNDING START-UP	NY	ETV INC
EXCELL PARTNERS INNOVATIVE TC FUND LP
222 WEST RIDGE ROAD BLDG 28SUITE	ROCHESTER	NY	14615	810711015	FUNDING START-UP	NY	ETV INC

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
MEDICAL ADMINISTRATIVE ASSOCIATES INC
777 SOUTH CLINTON AVENUE	ROCHESTER	NY	14620	161354319	RETAIL PHARMACY	NY	HIGHLD HOSP	C CORP	Yes (true)
UR EQUITY HOLDINGS INC
110 OFFICE PARK WAY	PITTSFORD	NY	14534	273040889	HOLDING COMPANY	NY	UNIV OF ROCH	C CORP	Yes (true)	-$1,249	$0	1.00000
FFTH PROPERTIES AND SERVICES INC
350 PARRISH STREET	CANANDAIGUA	NY	14424	161286518	HOLDING COMPANY	NY	FFTHS INC	C CORP	Yes (true)
EXCELL TECHNOLOGY VENTURES INC
222 WEST RIDGE ROAD STE 156-1	ROCHESTER	NY	14615	800909149	BIOTECH INCUBATOR	NY	ROCH BIOVENTURE	C CORP	Yes (true)
ACCOUNTABLE HEALTH PARTNERS LLC
135 CORPORATE WOODS SUITE 320	ROCHESTER	NY	14623	300787967	ACCT CARE NETWORK	NY	UNIV OF ROCH	C CORP	Yes (true)	$0	$11,913,526	0.71000
CHARITABLE REMAINDER TRUSTS (30)
					N/A	NY	NA	TRUST	false
POOLED INCOME FUNDS (3)
					N/A	NY	NA	TRUST	false
IRC SECTION 4947(A)(1) TRUSTS (9)
					N/A	NY	NA	TRUST	false
FINGER LAKES COMMUNITY CARE NETWORK INC
350 PARRISH STREET	CANANDAIGUA	NY	14424	161423442	INACTIVE	NY	THS	C CORP	Yes (true)
ACCOUNTABLE HEALTH PARTNERS IPA LLC
135 CORPORATE WOODS STE 320	ROCHESTER	NY	14623	371746016	INDEP PRACT ASSOC	NY	AHP LLC	C CORP	Yes (true)
AHP INSURANCE COMPANY
76 ST PAUL STREET SUITE 500	BURLINGTON	VT	05401	814644839	CAPTIVE INS CO	VT	AHP LLC	C CORP	Yes (true)
LUMINATE VENTURE CHALLENGE CORP
150 LUCIUS GORDON DRIVE	WEST HENRIETTA	NY	14586	823954131	BUSINESS INCUBATO	NY	NEXTCORPS (HTR)	C CORP	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (29 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
HIGHLAND HOSPITAL OF ROCHESTER INC
M	$2,261,338	SERVICE COST
HIGHLAND HOSPITAL OF ROCHESTER INC
R	$34,659,358	PATIENT COST
HIGHLAND HOSPITAL OF ROCHESTER INC
K	$666,046	FMV RENT
HIGHLAND HOSPITAL OF ROCHESTER INC
P	$674,222	NET EXPENSES
HIGHLAND FACILITIES DEVELOPMENT CORP
K	$182,452	FMV RENT
VISITING NURSE SERVICE OF ROCHESTER & MC INC
B	$2,900,000	FMV GIFT
VISITING NURSE SERVICE OF ROCHESTER & MC INC
P	$673,212	NET EXPENSES
THE MEADOWS AT WESTFALL INC
B	$1,398,438	FMV GIFT
HIGHLAND FOUNDATION INC
B	$83,400	NET EXPENSES
THE FREDERICK FERRIS THOMPSON HOSPITAL
K	$361,548	RENTAL COST
THE FREDERICK FERRIS THOMPSON HOSPITAL
M	$58,835	SERVICE COST
THE FREDERICK FERRIS THOMPSON HOSPITAL
R	$956,920	PATIENT COST
ACCOUNTABLE HEALTH PARTNERS LLC
R	$14,789,452	FMV COST
COMMUNITY CARE OF ROCHESTER
P	$149,737	NET EXPENSES
JONES MEMORIAL HOSPITAL
P	$376,557	RENTAL COST
NICHOLAS H NOYES MEMORIAL HOSPITAL
P	$348,296	NET EXPENSES
HIGHLAND HOSPITAL OF ROCHESTER INC
L	$75,148,080	SERVICE COST
HIGHLAND HOSPITAL OF ROCHESTER INC
Q	$698,383	NET EXPENSES
VISITING NURSE SERVICE OF ROCHESTER & MC INC
L	$426,042	SERVICE COST
THE MEADOWS AT WESTFALL INC
J	$675,450	FMV RENT
THE MEADOWS AT WESTFALL INC
L	$94,046	SERVICE COST
THE MEADOWS AT WESTFALL INC
S	$144,000	FMV RES FUND
THE HIGHLANDS LIVING CENTER INC
L	$244,347	SERVICE COST
THE FREDERICK FERRIS THOMPSON HOSPITAL
L	$4,284,125	SERVICE COST
JONES MEMORIAL HOSPITAL
L	$71,371	SERVICE COST
NICHOLAS H NOYES MEMORIAL HOSPITAL
L	$181,818	SERVICE COST
ST JAMES MERCY HOSPITAL INC
L	$653,997	SERVICE COST
ACCOUNTABLE HEALTH PARTNERS LLC
L	$5,055,286	SERVICE COST
ACCOUNTABLE HEALTH PARTNERS LLC
S	$5,943,052	GAIN SHARING CO