2018-05-14T09:52:17-05:00 2017-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2016-07-01 160743209 UNIVERSITY OF ROCHESTER % HOLLY G CRAWFORD UNIV 5852752800 910 GENESEE STREET Suite STE 200 ROCHESTER NY 146113847 HOLLY G CRAWFORD SRVP ADMIN/FIN & CFO 5852752800 2018-05-11 true ANTONIO C RUSSO P00858539 2673303000 2018-05-08 155.201.188.33 23522320181345000011 2018-05-14 P 3731A6F799237F33F776378579FDB554F62AB96F 6B31A66F590469DF48D2CDCA3B6D3E9B59D14DAF 2016 2021-01-29 14:40:06Z RICHARD FELDMAN 208 WALLIS HALL ROCHESTER NY 14627 5352485945 false X www.rochester.edu X 1850 NY PROVISION OF HIGHER EDUCATION IN THE LIBERAL ARTS AND SCIENCES, MEDICINE AND DENTISTRY, NURSING AND MUSIC, AS WELL AS MAINTAINING THE STRONG MEMORIAL HOSPITAL. 50 43 31266 6450 12153706 0 365364666 379449692 2721117145 2959191187 121266941 195384221 24156951 5317567 3231905703 3539342667 189127542 212589141 0 0 1907357389 2004185105 430658 341248 41686308 1161690583 1218555101 3258606172 3435670595 -26700469 103672072 4969395345 5300091281 2074206659 2185142393 2895188686 3114948888 X 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. false false 668508135 212589141 532824133 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 1,250 FULL-TIME TENURED FACULTY MEMBERS AND 10,791 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. 293012874 76835311 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 2016-2017 FISCAL YEAR, THERE WERE 4,240 GRANTS AND CONTRACTS IN EFFECT THAT TOTALED $290,987,714 IN REVENUE. 2160622545 2249767914 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 2016-2017 FISCAL YEAR, THERE WERE 295,599 PATIENT DAYS AND 1,633,199 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. 114281178 99763829 3236424732 true false false true false true false true false true true true false false true true false true true true true false false true true false true true false true true true false false false false false true true true true true true true false false true true true true true false true 15108 0 true 31266 true true true true UK false false false true true false false false false false false false X 50 43 true false false false false false false true true false false true true true true true true true true true true CA X HOLLY G CRAWFORD 5852752800 208 WALLIS HALL ROCHESTER NY 14627 X JOEL S SELIGMAN TRUSTEE, PRESIDENT & CEO 80.0 0.0 X X 1932449 0 83300 RICHARD T AAB TRUSTEE 2.0 0.0 X 0 0 0 MARK S AIN TRUSTEE 2.0 0.0 X 0 0 0 JOAN S BEAL TRUSTEE (AS OF MAY 2017) 2.0 0.0 X 0 0 0 JAY S BENET TRUSTEE (AS OF MAY 2017) 2.0 0.0 X 0 0 0 NAOMI M BERGMAN TRUSTEE 2.0 0.0 X 0 0 0 STEPHEN R BIGGAR MD TRUSTEE (AS OF MAY 2017) 2.0 0.0 X 0 0 0 LAURENCE H BLOCH TRUSTEE 2.0 0.0 X 0 0 0 H CHRISTOPHER BOEHNING TRUSTEE (AS OF MAY 2017) 2.0 0.0 X 0 0 0 JOHN H BRUNING TRUSTEE 2.0 0.0 X 0 0 0 BARBARA J BURGER TRUSTEE 2.0 0.0 X 0 0 0 WILLIAM M CARPENTER LIFE TRUSTEE (AS OF MAY 2017 2.0 0.0 X 0 0 0 ARUNAS A CHESONIS LIFE TRUSTEE (AS OF MAY 2017) 2.0 0.0 X 0 0 0 CAROL JOHN A DAVIDSON TRUSTEE 2.0 0.0 X 0 0 0 LAUNCELOT F DRUMMOND TRUSTEE 2.0 0.0 X 0 0 0 BERNARD T FERRARI MD TRUSTEE 2.0 0.0 X 0 0 0 DAVID FLAUM LIFE TRUSTEE (AS OF MAY 2017) 2.0 0.0 X 0 0 0 BARRY W FLORESCUE TRUSTEE 2.0 0.0 X 0 0 0 ROGER B FRIEDLANDER TRUSTEE 2.0 0.0 X 0 0 0 EMERSON U FULLWOOD TRUSTEE (AS OF MAY 2017) 2.0 0.0 X 0 0 0 ANI GABRELLIAN TRUSTEE 2.0 0.0 X 0 0 0 GWEN MELTZER GREENE TRUSTEE 2.0 0.0 X 0 0 0 EDMUND A HAJIM TRUSTEE 2.0 0.0 X 0 0 0 RICHARD B HANDLER TRUSTEE 2.0 0.0 X 0 0 0 ALAN F HILFIKER TRUSTEE 2.0 0.0 X 0 0 0 CAROL D KARP TRUSTEE 2.0 0.0 X 0 0 0 ROBERT J KEEGAN TRUSTEE 2.0 0.0 X 0 0 0 JOHN M KELLY LIFE TRUSTEE (AS OF MAY 2017) 2.0 0.0 X 0 0 0 LAURENCE KESSLER TRUSTEE 2.0 0.0 X 0 0 0 EVANS Y LAM TRUSTEE 2.0 0.0 X 0 0 0 LOUIS G LANGE MD LIFE TRUSTEE (AS OF MAY 2017) 2.0 0.0 X 0 0 0 NANCY A LIEBERMAN TRUSTEE 2.0 0.0 X 0 0 0 GAIL A LIONE TRUSTEE 2.0 0.0 X 0 0 0 EDWARD D MILLER MD TRUSTEE 2.0 0.0 X 0 0 0 CATHY E MINEHAN TRUSTEE 2.0 0.0 X 0 0 0 KATHLEEN ANN MURRAY TRUSTEE 2.0 0.0 X 0 0 0 SANDRA A PARKER TRUSTEE 2.0 0.0 X 0 0 0 LIZETTE M PEREZ-DEISBOECK TRUSTEE 2.0 0.0 X 0 0 0 PHILIP A PIZZO MD TRUSTEE 2.0 0.0 X 0 0 0 FRANCIS L PRICE TRUSTEE 2.0 0.0 X 0 0 0 BRIAN F PRINCE TRUSTEE 2.0 0.0 X 0 0 0 RONALD RETTNER TRUSTEE 2.0 0.0 X 0 0 0 THOMAS S RICHARDS TRUSTEE 2.0 0.0 X 0 0 0 MICHAEL S ROSEN TRUSTEE 2.0 0.0 X 0 0 0 RICHARD E SANDS TRUSTEE 2.0 0.0 X 0 0 0 PHILIP E SAUNDERS TRUSTEE 2.0 0.0 X 0 0 0 JOHN E SEXTON JR TRUSTEE (AS OF MAY 2017) 2.0 0.0 X 0 0 0 THOMAS R SLOAN TRUSTEE 2.0 0.0 X 0 0 0 HUGO F SONNENSCHEIN LIFE TRUSTEE (AS OF MAY 2017) 2.0 0.0 X 0 0 0 AMY L TAIT TRUSTEE (AS OF MAY 2017) 2.0 0.0 X 0 0 0 DANIEL R WEGMAN CHAIR 2.0 0.0 X X 0 0 0 TIMOTHY C WENTWORTH TRUSTEE 2.0 0.0 X 0 0 0 THOMAS C WILMOT SR TRUSTEE 2.0 0.0 X 0 0 0 NATHANIEL WISCH MD TRUSTEE 2.0 0.0 X 0 0 0 G ROBERT WITMER JR TRUSTEE 2.0 0.0 X 0 0 0 JAMES C WYANT LIFE TRUSTEE (AS OF MAY 2017) 2.0 0.0 X 0 0 0 ALAN S ZEKELMAN TRUSTEE 2.0 0.0 X 0 0 0 PAUL J BURGETT VP & SR ADVISOR- PRES & DEAN 40.0 0.0 X 182454 0 31459 ROBERT L CLARK SRVP RESEARCH & PROVOST 55.0 0.0 X 595943 0 196716 HOLLY G CRAWFORD SR VP, ADMIN & FIN, CFO 65.0 0.0 X 531247 0 108367 THOMAS J FARRELL SRVP & CHIEF ADVANCEMENT OFFCR 55.0 0.0 X 659142 0 48794 LAMAR R MURPHY GENL SECRETARY, CHIEF OF STAFF 55.0 0.0 X 327594 0 48818 GAIL M NORRIS VP & GENERAL COUNSEL 60.0 2.0 X 453756 0 49077 DOUGLAS W PHILLIPS SRVP INSTITUTIONAL RESOURCES 62.0 0.0 X 715796 0 50310 ELIZABETH STAUDERMAN VP FOR COMMUNICATIONS 55.0 0.0 X 330885 0 36887 MARK B TAUBMAN CEO URMC, DEAN SMD, SRVP HEAL. 68.0 7.0 X 958575 0 322052 DAVID A KIRSHNER SR VP & CFO, URMC 55.0 0.0 X 738758 0 142120 STEVEN I GOLDSTEIN URMC VP, PRES/CEO SMH & HH 55.0 16.0 X 1026708 0 601517 RAYMOND J MAYEWSKI VP, URMC 51.0 9.0 X 722056 0 117766 KATHLEEN PARRINELLO EXEC VP & COO, SMH 55.0 0.0 X 678461 0 149367 ADAM P ANOLIK ASSOC VP & SR DIR FINANCE/CFO 55.0 9.0 X 424966 0 75559 PETER G ROBINSON VP&COO, MEDCTR & STRONG HEALTH 55.0 5.0 X 645095 0 336680 MICHAEL ROTONDO CEO, URMFG 55.0 0.0 X 891601 0 128654 GEORGE M ALFIERIS MD PROF-CARDIAC SURGERY M&D 95.0 0.0 X 2049731 0 337831 MICHAEL D MALONEY MD PROFESSOR-ORTHOPAEDICS M&D 86.0 0.0 X 1867862 0 50620 MARC D BROWN MD PROF-DERMATOLOGY M&D 60.0 0.0 X 1399387 0 47291 SHERRIF F IBRAHIM MD PHD ASSOC PROFESSOR-DERMATOLOGYM&D 65.0 0.0 X 1348011 0 52046 BRENT DUBESHTER MD PROFESSOR-DEPT OF OBGYN 55.0 2.0 X 1288813 0 48792 BRADFORD C BERK DIRECTOR-UR NEUROREST. INST. 65.0 0.3 X 648312 0 334092 PETER LENNIE DEAN OF FACULTY- ASE 60.0 0.0 X 652265 0 88364 RONALD J PAPROCKI FORMER SRVP ADMIN&FINANCE,CFO 0.0 0.0 X 458047 0 7707 MICHAEL C GOONAN SR. ADVISOR, URMC 5.0 0.0 X 875041 0 1432 LEONARD J SHUTE SR. ADVISOR, URMC 20.0 0.0 X 221305 0 32984 22624260 0 3528602 2729 true true false WELLIVER MCGUIRE INC 250 NORTH GENESEE STREET MONTOUR FALLS NY 14865 CONSTRUCTION SRVCS 14284734 LECHASE CONSTRUCTION SERVICES 205 INDIGO CREEK DRIVE ROCHESTER NY 14626 CONSTRUCTION SRVCS 11842640 THE PIKE COMPANY ONE CIRCLE STREET ROCHESTER NY 14607 CONSTRUCTION SRVCS 10880191 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 MAINT/CONSULT/TRAIN 6557908 DGA BUILDERS INC 1170 PITTSFORD-VICTOR ROAD PITTSFORD NY 14534 CONSTRUCTION SRVCS 4749792 503 X 784417 2116700 1967000 290987714 83593861 15301151 379449692 SERVICES OF HOSPITALS AND CLINICS 622110 2249767914 2242720121 7047793 EDUCATIONAL ACTIVITIES 611310 532824133 532824133 RESEARCH & OTHER CONTRACTS 900099 76835311 76835311 AUXILIARY ENTERPRISES 900099 99763829 99763829 2959191187 76818710 4384721 72433989 217150 217150 4087082 4087082 0 0 0 1930121888 1811773527 118348361 118348361 118348361 1879044 2116700 1369751 509293 509293 0 0 0 0 0 0 ATHLETIC FEES 900099 29407 29407 MAG ROOM RENTAL 900099 616448 616448 OTHER REVENUE 900099 75337 75337 721192 3539342667 2952143394 12153706 195595875 500 500 212588641 212588641 0 0 14708307 10714972 3261414 731921 2315898 2315898 0 0 1555252298 1492251123 42190606 20810569 93215424 88046604 3959257 1209563 236895223 223759318 10061952 3073953 101797955 96153231 4323794 1320930 20104532 20104532 0 0 3665609 3407426 230843 27340 1107119 28110 1079009 0 382400 382400 0 0 341248 341248 41456601 0 41456601 0 112552250 108031657 3394597 1125996 3911266 3897399 0 13867 131036159 126238680 2572546 2224933 28692013 28197179 261164 233670 0 0 0 0 100181516 99477285 700169 4062 23988645 17504830 486934 5996881 0 0 0 0 16486271 15989456 496815 0 40004159 35130157 4153927 720075 0 0 0 0 183553875 170932284 11835051 786540 14356910 13342970 1007952 5988 MEDICAL SUPPLIES 420265940 420264990 780 170 BAD DEBT EXPENSE-ACADEMIC 1187067 1187067 BAD DEBT EXPENSE-HOSPITAL 22525518 22525518 OTHER-UBIT STATE TAX PAID 165231 165231 52932020 23787274 26086144 3058602 3435670595 3236424732 157559555 41686308 X 0 0 173739387 200417217 168885123 160652879 292792773 309835404 6301584 6997184 0 0 21000744 19821859 34602720 39678786 18600593 12341791 3944345046 2185816245 1675364672 1758528801 707465336 721321828 1796144683 1989126809 0 0 0 0 74497730 81368723 4969395345 5300091281 374544486 398587230 0 0 36798272 35597939 893962292 948481323 0 0 0 0 177316731 133627166 6107143 54977600 585477735 613871135 2074206659 2185142393 X 1825370103 1931211605 557277760 629381412 512540823 554355871 2895188686 3114948888 4969395345 5300091281 X 103672072 151746168 -35658038 X false true X true true true X 368529261 356349742 345905882 365364666 379449692 1815599243 0 0 368529261 356349742 345905882 365364666 379449692 1815599243 0 1815599243 85562195 104200043 106498980 84262108 76738221 457261547 0 0 2272860790 12801498350 0.79882 0.79751 X false true false true 4329 false false true 656163 false false 660492 false SCHEDULE C, PART II-B, LINE 1 DETAIL OF LOBBYING ACTIVITIES 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. 21 2715102 1504860 7829313 true true 197284 37491969 X X X X false false 1797727143 38987413 251558457 17912500 90193029 1980167484 1922892466 31412694 -61083382 16617676 78876959 1797727143 1883514930 45895617 83377311 14971593 74923799 1922892466 1613500847 55721494 301335737 13729609 73313539 1883514930 1481764000 40254764 175395638 12199562 71713993 1613500847 0.50380 0.49460 0.00160 true false 7257818 7257818 2481887757 1059444484 1422443273 60358167 14435242 45922925 985370441 920613563 64756878 409470863 191322956 218147907 1758528801 OPERATING INVESTMENTS 347932723 F CASH & CASH EQUIVALENTS 138689022 F INTERESTS 1486993004 F OTHER INVESTMENTS 15512060 F 1989126809 0 THIRD PARTY SETTLEMENTS 128266162 RETIREMENT & POST-EMPLOYMENT 434386133 ASSET RETIREMENT OBLIGATION 27459670 FOR STUDENT LOANS 16662112 SPONSORED RESEARCH 7097058 613871135 X 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. true true true true true true true false false false false false false false false true false true 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. Central America and the Caribbean 0 3 Fundraising 5936 Central America and the Caribbean 0 8 Program Services CONDUCTED RESEARCH 13023 Central America and the Caribbean 0 9 Program Services PRESENTATION AT CONFER 18696 Central America and the Caribbean 0 25 Program Services STUDY ABROAD 36741 Central America and the Caribbean 0 7 Program Services TEACHING & RECRUITMENT 12002 Central America and the Caribbean Investments 1011180444 East Asia and the Pacific 0 16 Fundraising 74179 East Asia and the Pacific 0 94 Program Services CONDUCTED RESEARCH 126507 East Asia and the Pacific 0 115 Program Services PRESENTATION AT CONFER 301736 East Asia and the Pacific 0 30 Program Services STUDY ABROAD 44761 East Asia and the Pacific 0 87 Program Services TEACHING & RECRUITMENT 132811 Europe (Including Iceland and Greenland) 0 26 Fundraising 71889 Europe (Including Iceland and Greenland) 1 239 Program Services CONDUCTED RESEARCH 208778 Europe (Including Iceland and Greenland) 0 316 Program Services PRESENTATION AT CONFER 508363 Europe (Including Iceland and Greenland) 0 155 Program Services STUDY ABROAD 240072 Europe (Including Iceland and Greenland) 0 75 Program Services TEACHING & RECRUITMENT 85645 Europe (Including Iceland and Greenland) Investments 18557886 Middle East and North Africa 0 12 Program Services CONDUCTED RESEARCH 11270 Middle East and North Africa 0 13 Program Services PRESENTATION AT CONFER 16867 Middle East and North Africa 0 4 Program Services STUDY ABROAD 3119 Middle East and North Africa 0 7 Program Services TEACHING & RECRUITMENT 3828 North America 0 9 Fundraising 18109 North America 0 40 Program Services CONDUCTED RESEARCH 39225 North America 0 160 Program Services PRESENTATION AT CONFER 188620 North America 0 52 Program Services STUDY ABROAD 37232 North America 0 33 Program Services TEACHING & RECRUITMENT 35796 North America Investments 14460597 Russia and the Newly Independent States 0 2 Program Services CONDUCTED RESEARCH 3112 Russia and the Newly Independent States 0 7 Program Services PRESENTATION AT CONFER 6179 Russia and the Newly Independent States 0 4 Program Services STUDY ABROAD 12658 Russia and the Newly Independent States 0 5 Program Services TEACHING & RECRUITMENT 592 South America 0 13 Program Services CONDUCTED RESEARCH 13952 South America 0 19 Program Services PRESENTATION AT CONFER 26894 South America 0 1 Program Services STUDY ABROAD 1002 South America 0 18 Program Services TEACHING & RECRUITMENT 38491 South America Investments 17739829 South Asia 0 3 Fundraising 5096 South Asia 0 3 Program Services CONDUCTED RESEARCH 1080 South Asia 0 19 Program Services PRESENTATION AT CONFER 34519 South Asia 0 2 Program Services STUDY ABROAD 4537 South Asia 0 15 Program Services TEACHING & RECRUITMENT 39496 Sub-Saharan Africa 0 1 Fundraising 608 Sub-Saharan Africa 0 35 Program Services CONDUCTED RESEARCH 120584 Sub-Saharan Africa 0 10 Program Services PRESENTATION AT CONFER 13643 Sub-Saharan Africa 0 2 Program Services STUDY ABROAD 5367 Sub-Saharan Africa 0 12 Program Services TEACHING & RECRUITMENT 28232 Sub-Saharan Africa Investments 25255044 1 1205 0 501 1 1706 1031619469 58165578 1089785047 true false true true true false SCHEDULE F, PART I, LINE 3(c) 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. X X X X X X X true RUFFALO NOEL LEVITZ LLC 1025 KIRKWOOD PARKWAY SW CEDAR RAPIDS IA 524063018 PHONE SOLICITAT'N false 494380 341248 153132 494380 341248 153132 NY GCHAS GALA 1044046 509913 534133 0 0 3750 135044 46500 79706 WILMOT CC BALL 689109 653029 36080 0 0 110669 0 68358 98194 13 2262589 953758 1308831 0 67499 136447 286559 25096 311929 3995744 2116700 1879044 0 67499 250866 421603 139954 489829 1369751 509293 SCHEDULE G, PART I, LINE 2(B), ITEM #1 ADDITIONAL INFORMATION REGARDING FUNDRAISING ACTIVITIES GROSS RECEIPTS REPORTED IN PART I, LINE 2B 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. true true true X true X true true true false true true 19562715 10874445 8688270 0.00250 436447412 330999184 105448228 0.03100 2543280 1413519 1129761 0.00030 458553407 343287148 115266259 0.03380 2001139 300850 1700289 0.00040 116525667 12105660 104420007 0.03060 155964408 121209603 34754805 0.01020 300168851 300168851 0 429636 0 429636 0.00020 575089701 433784964 141304737 0.04140 1033643108 777072112 256570996 0.07520 37214 0 37214 350 0 350 16720 0 16720 54284 0 54284 false 22525518 368016 248776820 276687633 -27910813 X true true 1 1 STRONG MEMORIAL HOSPITAL &EXT CLINICS 601 ELMWOOD AVENUE ROCHESTER NY 14642 WWW.URMC.ROCHESTER.EDU/STRONG-MEMORIAL LICENSE # 2701005H X X X X X X OUTPATIENT MED CLINI OUTPATIENT MENTAL HE METHADONE MAINTENANC STRONG MEMORIAL HOSPITAL 1 false false true X X X X X X X X X 15 true true true true X SEE SCHEDULE H, PART V, SECTION C X SEE SCHEDULE H, PART V, SECTION C X X true 16 true SEE SCHEDULE H, PART V, SECTION C false true X 200. 400. X X X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false 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 GENERAL HEALTH SYSTEM, AND UNITY HEALTH SYSTEM TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY. THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH WAS REPRESENTED AT EACH COMMUNITY BENEFITS 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 STEPHANIE DAVID, HEALTH POLICY COORDINATOR, BOTH FOR 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 WADE NORWOOD, CHIEF STRATEGY OFFICER OR DINA FATICONE, DIRECTOR OF COMMUNITY HEALTH AND ENGAGEMENT. 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. 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.) 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. -------------------- 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, HIGHLAND HOSPITAL, AND 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: 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 RESORUCES, 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 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 AND 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 CONCENTRATES ON BLOOD PRESSURE CONTROL, 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 WILL BE 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 DOES 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. 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 SECURE HEALTH AND GOAL SETTING, ETC. UR AND THE CHIW WILL WORK WITH COMMUNITY AGENCIES, PARTICULARY THE METRO COUNCIL FOR TEEN POTENTIAL. SUBSTANCE 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. -------------------- 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/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. 7 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 PART I, LINE 7g- SUBSIDIZED HEALTH SERVICES COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC WERE INCLUDED ON PART I, LINE7G, SUBSIDIZED HEALTH SERVICES, AND INCLUDED TOTAL COMMUNITY BENEFIT EXPENSE OF $ 66,765,313; DIRECT OFFSETTING REVENUE OF $48,793,470; NET COMMUNITY BENEFIT EXPENSE OF $17,971,843. -------------------- 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 $22,525,518 OF HOSPITAL BAD DEBTS AND $1,187,067 OF 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 1) JUVENILE FIRE INTERVENTION PROGRAM PROVIDES REQUIRED EDUCATION AND PREVENTION STRATEGIES TO JUVENILES ON PROBATION WITHIN MONROE COUNTY FOR FIRE SETTING BEHAVIORS. 2) PROJECT EXILE ADVISORY GROUP, BOARD MEMBER - PROJECT EXILE IS A JOINT INITIATIVE BETWEEN FEDERAL AND LOCAL LAW ENFORCEMENT TO TARGET VIOLENT OFFENDERS, REMOVE ILLEGAL GUNS AND DEVELOP WORKABLE ANTI-CRIME AND ANTI-VIOLENCE TACTICS FOR OUR COMMUNITY. THE GROUP MEETS MONTHLY TO DECREASE VIOLENCE IN OUR COMMUNITY, 3) PROJECT T.I.P.S.- THE PROGRAM, WHICH STANDS FOR TRUST, INFORMATION, PROGRAMS, AND SERVICES, REACHES OUT TO PEOPLE IN THE COMMUNITY TO HELP IMPROVE QUALITY OF LIFE IN THEIR NEIGHBORHOOD. VOLUNTEERS, ACCOMPANIED BY POLICE OFFICERS AND FIREMEN, GO DOOR TO DOOR IN HIGH CRIME NEIGHBORHOODS IN AN EFFORT TO FOSTER AN ATMOSPHERE OF COMMUNICATION AND BUILD STRONGER COMMUNITY TIES. VOLUNTEERS COLLECT RESPONSES AND VOLUNTARY CONTACT INFORMATION FROM THE NEIGHBORHOOD RESIDENCE TO SUBMIT TO THE MAYOR'S OFFICE FOR REVIEW. OCCURS 4X PER YEAR 4) RIVER RUN - PROMOTES AWARENESS OF THE NEED FOR ORGAN DONATION AND RAISES MONEY FOR THE TRANSPLANT PATIENT NEEDS FUND. 5) MFG- Breast Reconstruction Awareness/BRA Day- To learn about the options available and the latest techniques for improved result in breast reconstruction. In addition, hear from patients who have had breast reconstruction and how it has helped them. 6) EIOH- A number of dentistry related programs including oral health and nutrition education, promoting access to dental care and providing information regarding dental care in the community for children and families. LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS 1) PEDIATRIC NURSES CONFERENCE- PROVIDE PEDIATRIC NURSES WITH CURRENT, EVIDENCE-BASED INFORMATION REGARDING ADVANCES IN MEDICAL TREATMENTS AND TECHNOLOGY, AS WELL AS CRITICAL ISSUES FACING CHILDREN AND FAMILIES. WORKFORCE DEVELOPMENT 1) ADVANCED TRAUMA CLASS FOR NURSES (ATCN) - THE CONTENT AND SKILLS PRESENTED IN THIS COURSE ARE DESIGNED TO ASSIST NURSES IN PROVIDING EMERGENCY CARE FOR TRAUMA PATIENTS. THE COURSE PROVIDES THE ESSENTIAL INFORMATION AND SKILLS FOR NURSES TO IDENTIFY AND TREAT LIFE-THREATENING AND POTENTIALLY LIFE-THREATENING INJURIES UNDER THE EXTREME PRESSURES ASSOCIATED WITH THE CARE OF THESE PATIENTS IN THE FAST-PACED ENVIRONMENT AND ANXIETY OF A TRAUMA ROOM. ONGOING--QUARTERLY. INJURY (KESSLER TRAUMA CENTER) 2) BOARD OF DIRECTORS, MERCY FLIGHT CENTRAL - DR. GESTRING - BOARD MEMBER OF MERCY FLIGHT CENTRAL AS WELL AS MEDICAL CONTROL DR. FOR THE ORGANIZATION 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. -------------------- 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 ADDITIONAL COMMUNITY MEMBERS, ORGANIZATIONS AND ASSOCIATIONS. WITH THE INPUT OF THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH, SEVERAL DATA SOURCES ARE REVIEWED, PRIMARILY THE MONROE COUNTY ADULT HEALTH SURVEY, NATALITY AND MORTALITY DATA, HOSPITALIZATION DATA THROUGH THE STATEWIDE PLANNING AND RESEARCH COORPERATIVE SYSTEMS (SPARCS) FILES, DISEASE AND SPECIFIC CONDITION DATA, AND THE NY STATE PREVENTION AGENDA DASHBOARD DATA. 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, CONTINUING A LONG HISTORY OF COLLABORATION. IN ADDITION, COMMUNITY INPUT IS PERIODICALLY SOUGHT FROM RESIDENTS, THE 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 WITH IN THE CCHP AS WELL AS AROUND THE INSTITUTION FREQUENTLY ATTEND COMMUNITY MEETINGS AND EVENTS TO GUAGE 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 WITHIN THE COMMUNITY. 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 STRONG MEMORIAL HOSPITAL IS LOCATED IN THE CITY OF ROCHESTER, COUNTY OF MONROE (POPULATION 747,727) IN THE FINGER LAKES REGION OF NEW YORK STATE. THE FINGER LAKES REGION EXTENDS APPROXIMATELY 100 MILES NORTH TO SOUTH AND 100 MILES EAST TO WEST. THE REGION ENCOMPASSES URBAN, SUBURBAN AND RURAL COMMUNITIES WITHIN NEW YORK STATE. THE REGION (INCLUDING MONROE COUNTY) HAS A POPULATION OF 1,212,929. STRONG MEMORIAL HOSPITAL'S PRIMARY SERVICE AREA (PSA) IS MONROE COUNTY AND THE SECONDARY SERVICE AREA (SSA) ENCOMPASSES THE 15 COUNTIES SURROUNDING MONROE INCLUDING: ALLEGANY, CATTARAUGUS, CAYUGA, CHEMUNG, GENESEE, LIVINGSTON, ONTARIO, ORLEANS, SCHUYLER, SENECA, STEUBEN, TOMPKINS, WAYNE, WYOMING, AND YATES. THERE ARE FIFTEEN FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS WITHIN THIS 16 COUNTY REGION. HEALTH CARE ENVIRONMENT THE PRIMARY SERVICE AREA IS HOME TO TWO MULTI-HOSPITAL SYSTEMS EACH WITH SEVERAL LONG-TERM CARE, HOME CARE AND OTHER TYPES OF AFFILIATES. THE UNIVERSITY OF ROCHESTER MEDICAL CENTER CONSISTS OF STRONG MEMORIAL HOSPITAL AND AFFILIATES HIGHLAND HOSPITAL, FF THOMPSON, JONES MEMORIAL AND NOYES HEALTH. ROCHESTER REGIONAL HEALTH SYSTEM CONSISTS OF ROCHESTER GENERAL HOSPITAL, UNITY HOSPITAL, NEWARK WAYNE COMMUNITY HOSPITAL, CLIFTON SPRINGS HOSPITAL AND UNITED MEMORIAL MEDICAL CENTER. THERE ARE SMALLER COMMUNITY HOSPITALS THAT OPERATE IN THE FIFTEEN COUNTIES SURROUNDING MONROE COUNTY WITH BED CAPACITY RANGING FROM AS FEW AS 25 BEDS TO AS MANY AS 224 BEDS. OVER 50 RESIDENTIAL HEALTH CARE FACILITIES; MANY PUBLIC AND PRIVATE AGENCIES PROVIDING COMMUNITY AND HOME HEALTH SERVICES; SEVERAL STATE AND FEDERAL FACILITIES; AND A FULL RANGE OF HEALTH CARE PROFESSIONALS, INCLUDING THOUSANDS OF PHYSICIANS, DENTISTS, NURSES, TECHNICIANS,ADMINISTRATORS, EDUCATORS, AND SUPPORT PERSONNEL PROVIDE SERVICES WITHIN THE SIXTEEN COUNTY SERVICE AREAS. DEMOGRAPHIC ANALYSIS MONROE COUNTY IS LOCATED IN WESTERN NEW YORK, CENTERED ON THE CITY OF ROCHESTER, WITH 19 SUBURBAN AND RURAL TOWNS. THE POPULATION ESTIMATE FOR MONROE COUNTY IN 2016 IS 747,727 PERSONS, WHICH REPRESENTS A 0.5% INCREASE FROM THE 2010 CENSUS FIGURE OF 744,344. THE ESTIMATE FOR THE CITY OF ROCHESTER IS 208,880 IN 2016, DOWN 0.8% SINCE 210,565 IN 2010. THE AVERAGE HOUSEHOLD SIZE IN MONROE COUNTY IS 2.41. ACCORDING TO THE 2016 POPULATION ESTIMATES THE POPULATION AGED 5 OR YOUNGER IS 5.5% AND THE AGE 65 AND OVER MAKES UP 16.4%. 16.2% OR 121,132 OF MONROE COUNTY RESIDENTS ARE AFRICAN-AMERICAN; OF THOSE, 73% RESIDE WITHIN THE CITY OF ROCHESTER. OF THE COUNTYS 63,557(8.5%) 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 2010-2014, IT WAS ESTIMATED THAT 15.4% 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. MORE THAN 50% OF CHILDREN IN ROCHESTER LIVE IN POVERTY, THE HIGHEST FOR ANY COMPARABLY SIZED CITY IN THE US. A LOW GRADUATION RATE IN THE CITY OF ROCHESTER IS A MAJOR SOCIOECONOMIC ISSUE FOR THE COMMUNITY. FIFTY-ONE PERCENT OF THE STUDENTS WHO ENTERED 9TH GRADE IN 2010 IN THE ROCHESTER CITY SCHOOL DISTRICT GRADUATED FOUR YEARS LATER. THE HIGH SCHOOL GRADUATION RATE COUNTY-WIDE IN 2014 WAS 82%. (SOURCE: NYS EDUCATION DEPARTMENT LATEST DATA AS OF JUNE 2016) 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 ROCHESTER MEDICINES 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 FINGER LAKES HEALTH SYSTEM AGENCY, 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. -------------------- 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 30 MEMBER BOARD, INCLUSIVE OF 14 EX-OFFICIO MEMBERS AND 18 SENIOR AND 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 PLANNING PROCESS ACROSS THE INSTITUTION. 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. 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-SEVEN MEMBER CAC REPRESENTS EIGHTEEN 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. TO HIGHLIGHT THE IMPORTANCE OF THE COMMUNITY HEALTH MISSION, THE ANNUAL "DR. DAVID SATCHER COMMUNITY HEALTH IMPROVEMENT AWARDS" PROGRAM 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 THROUGH RESEARCH, EDUCATION, AND SERVICE. 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 85-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. SURPLUS FUNDS ARE ALSO DEDICATED TO SUPPORT RESEARCH. FINAL RENOVATIONS WERE MADE TO 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, 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." UR MEDICAL CENTER 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 HAD DEDICATED FACULTY, STAFF AND RESOURCES TO MEET THE GOALS OUTLINED IN THE PLAN. THE FOCUS AREAS ADDRESSED ARE 1. SMOKING CESSATION, WHICH IS ADRESSED BY REFERRING ALL TOBACCO USES TO THE NYSTATE QUIT LINE VIA THE ELECTRONIC MEDICAL RECORD; 2. HYPERTENSION CONTROL, BY WORKING WITH THE HIGH BLOOD PRESSURE COLLABORATIVE TO INCREASE THE RATE OF HYPERTENSIVE PATIENTS WHO ARE IN CONTROL. UR MEDICINES CENTER FOR COMMUNITY HEALTH HAS DEVELOPED A BLOOD PRESSURE ADVOCACY PROGRAM WHICH USES COMMUNITY HEALTH ADVOCATES TO WORK WITH PATIENTS TO LOWER THEIR BLOOD PRESSURE WHILE SEVERAL UR PROVIDERS CONTRIBUTE INFORMATION TO THE BLOOD PRESSURE REGISTRY TO TRACK CONTROL RATES. 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 PROGRAM THAT PROVIDES SOCIAL AND EDUCATIONAL SUPPORT TO HIGH RISK PREGNANT WOMEN, INCREASING TRANSITIONAL HOUSING OPTIONS FOR HOUSING INSECURE PATIENTS UPON DISCHARGE, AND ACTIVATING PATIENTS WHO ARE HIGH UTILIZERS AND UNDERINSURED. -------------------- 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 CAR true SCHOLARSHIPS AND FELLOWSHIPS TO STUDENTS 6804 212588641 N/A N/A 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. -------------------- X X X X X X true true X X X X X X true true false false false false false true false JOEL S SELIGMAN TRUSTEE, PRESIDENT & CEO 1253000 0 0 0 679449 0 25499 0 57801 0 2015749 0 656547 0 BRADFORD C BERK DIRECTOR-UR NEUROREST. INST. 596249 0 0 0 52063 0 314199 0 19893 0 982404 0 0 0 PAUL J BURGETT VP & SR ADVISOR- PRES & DEAN 181760 0 0 0 694 0 16312 0 15147 0 213913 0 0 0 ROBERT L CLARK SRVP RESEARCH & PROVOST 591248 0 0 0 4695 0 175499 0 21217 0 792659 0 0 0 HOLLY G CRAWFORD SR VP, ADMIN & FIN, CFO 490530 0 0 0 40717 0 38624 0 69743 0 639614 0 0 0 THOMAS J FARRELL SRVP & CHIEF ADVANCEMENT OFFCR 601593 0 0 0 57549 0 25499 0 23295 0 707936 0 0 0 DAVID A KIRSHNER SR VP & CFO, URMC 632549 0 78000 0 28209 0 125499 0 16621 0 880878 0 0 0 PETER LENNIE DEAN OF FACULTY- ASE 632963 0 0 0 19302 0 25499 0 62865 0 740629 0 0 0 LAMAR R MURPHY GENL SECRETARY, CHIEF OF STAFF 309594 0 0 0 18000 0 26654 0 22164 0 376412 0 0 0 GAIL M NORRIS VP & GENERAL COUNSEL 453756 0 0 0 0 0 27074 0 22003 0 502833 0 0 0 RONALD J PAPROCKI FORMER SRVP ADMIN&FINANCE,CFO 12785 0 300000 0 145262 0 0 0 7707 0 465754 0 0 0 DOUGLAS W PHILLIPS SRVP INSTITUTIONAL RESOURCES 666077 0 0 0 49719 0 25499 0 24811 0 766106 0 23252 0 ELIZABETH STAUDERMAN VP FOR COMMUNICATIONS 303951 0 0 0 26934 0 28912 0 7975 0 367772 0 0 0 MARK B TAUBMAN CEO URMC, DEAN SMD, SRVP HEAL. 924205 0 0 0 34370 0 300499 0 21553 0 1280627 0 0 0 STEVEN I GOLDSTEIN URMC VP, PRES/CEO SMH & HH 954740 0 0 0 71968 0 584899 0 16618 0 1628225 0 0 0 MICHAEL C GOONAN SR. ADVISOR, URMC 73531 0 0 0 801510 0 0 0 1432 0 876473 0 0 0 RAYMOND J MAYEWSKI VP, URMC 673929 0 0 0 48127 0 100499 0 17267 0 839822 0 0 0 KATHLEEN PARRINELLO EXEC VP & COO, SMH 533640 0 110000 0 34821 0 126499 0 22868 0 827828 0 0 0 ADAM P ANOLIK ASSOC VP & SR DIR FINANCE/CFO 424528 0 0 0 438 0 57599 0 17960 0 500525 0 0 0 PETER G ROBINSON VP&COO, MEDCTR & STRONG HEALTH 605415 0 0 0 39680 0 267899 0 68781 0 981775 0 0 0 MICHAEL ROTONDO CEO, URMFG 798075 0 72500 0 21026 0 125499 0 3155 0 1020255 0 0 0 LEONARD J SHUTE SR. ADVISOR, URMC 188461 0 0 0 32844 0 19724 0 13260 0 254289 0 0 0 GEORGE M ALFIERIS MD PROF-CARDIAC SURGERY M&D 2031731 0 0 0 18000 0 325499 0 12332 0 2387562 0 0 0 MICHAEL D MALONEY MD PROFESSOR-ORTHOPAEDICS M&D 1626817 0 241045 0 0 0 25499 0 25121 0 1918482 0 0 0 MARC D BROWN MD PROF-DERMATOLOGY M&D 812951 0 568436 0 18000 0 25499 0 21792 0 1446678 0 0 0 SHERRIF F IBRAHIM MD PHD ASSOC PROFESSOR-DERMATOLOGYM&D 588702 0 741309 0 18000 0 25499 0 26547 0 1400057 0 0 0 BRENT DUBESHTER MD PROFESSOR-DEPT OF OBGYN 1288813 0 0 0 0 0 25499 0 23293 0 1337605 0 0 0 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 THREE FORMER OFFICERS RECEIVED SOCIAL CLUB DUES THAT WERE TREATED AS TAXABLE COMPENSATION. -------------------- SCHEDULE J, PART I, LINE 4A DETAIL OF CONTRACTUAL PAYMENT IN CONNECTION WITH THE TERMS OF HIS CONTRACT WITH THE UNIVERSITY, MICHAEL C. GOONAN RECEIVED A PAYMENT OF $779,238 IN CALENDAR YEAR 2016. -------------------- 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 RAYMOND J. MAYEWSKI - SERP - $75,000 PETER G. ROBINSON - SERP - $61,500 KATHLEEN PARRINELLO - SERP - $75,000 MICHAEL ROTONDO - SERP - $25,000 GEORGE M. ALFIERIS - 457(F) $300,000 BRADFORD C. BERK - 457(F) - $144,000 ROBERT L. CLARK - 457(F) - $150,000 STEVEN I. GOLDSTEIN - 457(F) - $400,000 DAVID A. KIRSHNER - 457(F) - $100,000 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 UNIVERSITYS 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 2016, WHICH ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III) AS OTHER REPORTABLE COMPENSATION: DOUGLAS W. PHILLIPS- 457(F) - $23,252 JOEL SELIGMAN - 457(F) - $656,547 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. A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64983UP20 2003-11-06 164425000 2003 A,B,C- CAPITAL PROJECTS false false false B DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64983QWB1 2008-03-16 111180000 2006 A-1 & B-1- BOND REFINANCING false false false C DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649905KL9 2009-07-22 120741579 2009 A B C D E CAPITAL PROJECTS false false false D MONROE COUNTY INDUSTRIAL DEVELOPMENT CORPORATION 510188852 61075TCE6 2011-09-01 175747934 2011 A, B MCIDC-CAPITAL PROJECTS false false false A 94970000 0 165914139 0 0 0 3122743 2349000 383179 70315050 89744167 0 2009 true true true true B 49595000 0 111180000 0 0 0 2170437 1213000 0 0 107796563 0 2000 false true true true C 103050000 0 120927106 0 0 0 1169973 0 1991256 76605196 41160681 0 2010 true true true true D 87195000 0 175833848 0 3243526 0 1502375 0 6789361 149668886 14629700 0 2016 true false false true A false true true true true true 0.00200 0.00100 0.00300 false false false true B 0.00000 0.00000 0.00000 0.00000 C false true true true true true 0.00400 0.01700 0.02100 false false 0.00000 false true D false true true true true true 0.00400 0.00500 0.00900 false false 0.00000 false true A false true true true WELLSFARGOCITIGROUP 30. false false false 0 true true B false true true true BANK OF AMERICA 21.3 false false false 0 false true C false true false false 0 false 0 false true D false true false false 0 false 0 false true A true B true C true D true PART I COLUMN C- ADDITIONAL TAX-EXEMPT BOND CUSIP # INFORMATION BOND ISSUE 2009 A,B,C,D,E- CUSIP #649907VR0, #649907VS8 BOND ISSUE 2009 B- CUSIP #649907VP4, #649907VQ2, #649907VR0, #649907VS8 BOND ISSUE 2011- CUSIP #61075TDC9 BOND ISSUE 2011A- CUSIP #61075TJM1, #61075TJN9, #61075TJK9, #61075TJL3, #61075TJK5 BOND ISSUE 2013- CUSIP #61075TJH2, #61075TJH2 -------------------- 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 $1,489,139 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 $84,175 IN INVESTMENT EARNINGS. THE TOTAL PROCEEDS OF ISSUE REPORTED FOR THE 2013 A,B BOND ISSUE INCLUDES $14,251 IN INVESTMENT EARNINGS. THE TOTAL PROCEEDS OF ISSUE REPORTED FOR THE 2015 A,B BOND ISSUE INCLUDES $60,704 IN INVESTMENT EARNINGS. A MONROE COUNTY INDUSTRIAL DEVELOPMENT CORPORATION 510188852 61075THK7 2013-09-19 198885260 2013 A, B CAPITAL PROJECTS false false false B MONROE COUNTY INDUSTRIAL DEVELOPMENT CORPORATION 510188852 61075TND6 2015-06-24 248557616 2015 A, B CAPITAL PROJECTS false false false C MONROE COUNTY INDUSTRIAL DEVELOPMENT CORPORATION 510188852 61075TQA9 2017-04-05 289439545 2017 A, B CAPITAL PROJECTS false false false A 5975000 0 198908667 0 0 0 1422460 0 1727694 179201498 8867321 7689694 false true false true B 1410000 0 248771495 0 0 0 1460004 0 449968 59595351 163221324 24044848 true true false true C 0 0 289492626 0 0 0 1742715 0 0 26649688 214436568 46663655 true true false true A false true true true true true 0.01000 0.00300 0.01300 false false false true B false true true true true true 0.00500 0.00400 0.00900 false false false true C false true true true true true 0.00500 0.00400 0.00900 false false false true A false true false false 0 false 0 false true B false true false false 0 false 0 false true C false true false false 0 false 0 false true A true B true C true BRADFORD C BERK EMPLOYEE SPLITDOLLAR LIFE INS X 1354200 1354200 false true true STEVEN I GOLDSTEIN EMPLOYEE SPLITDOLLAR LIFE INS X 1606400 1606400 false true true MICHAEL C GOONAN EMPLOYEE SPLITDOLLAR LIFE INS X 631474 631474 false true true RAYMOND J MAYEWSKI EMPLOYEE SPLITDOLLAR LIFE INS X 921520 921520 false true true KATHLEEN PARRINELLO EMPLOYEE SPLITDOLLAR LIFE INS X 539884 539884 false true true PETER G ROBINSON EMPLOYEE SPLITDOLLAR LIFE INS X 619510 619510 false true true MICHAEL ROTONDO EMPLOYEE SPLITDOLLAR LIFE INS X 100000 100000 false true true LEONARD J SHUTE EMPLOYEE SPLITDOLLAR LIFE INS X 418496 418496 false true true MARK B TAUBMAN EMPLOYEE SPLITDOLLAR LIFE INS X 745700 745700 false true true ADAM ANOLIK EMPLOYEE SPLITDOLLAR LIFE INS X 60000 60000 false true true 6997184 KAREN BERK FAMILY MEMBER OF OFFICER 67502 PAYMENT OF COMPENSATION false DENNIS KESSLER FAMILY MEMBER OF TRUSTEE 123706 PAYMENT OF COMPENSATION false DELORES CONWAY FAMILY MEMBER OF OFFICER 307779 PAYMENT OF COMPENSATION false REBECCA WALTERS FAMILY MEMBER OF KEY EMPLOYEE 124696 PAYMENT OF COMPENSATION false ELIZABETH MAYEWSKI FAMILY MEMBER OF KEY EMPLOYEE 82962 PAYMENT OF COMPENSATION false JONATHAN SUSSMAN FAMILY MEMBER OF KEY EMPLOYEE 95955 PAYMENT OF COMPENSATION false LYDIA ROTONDO FAMILY MEMBER OF KEY EMPLOYEE 174305 PAYMENT OF COMPENSATION false JENNIFER ANOLIK MD FAMILY MEMBER OF KEY EMPLOYEE 230202 PAYMENT OF COMPENSATION false MARY CARPENTER DESAIN FAMILY MEMBER OF LIFE TRUSTEE 173115 PAYMENT OF COMPENSATION false SANDRA G WITMER RN FAMILY MEMBER OF TRUSTEE 86720 PAYMENT OF COMPENSATION false NICHOLAS WALTERS FAMILY MEMBER OF KEY EMPLOYEE 84294 PAYMENT OF COMPENSATION false LES WEISBROD MD FAMILY MEMBER OF KEY EMPLOYEE 430406 PAYMENT OF COMPENSATION false MAUREEN PRINCE FAMILY MEMBER OF TRUSTEE 117584 PAYMENT OF COMPENSATION false ERICKA AUGUSTINE FAMILY MEMBER OF TRUSTEE 209692 PAYMENT OF COMPENSATION false WEGMANS OWNED > 35% BY TRUSTEE 269486 PAYMENT OF DRUG DISPENSING FEE false VALLEY PROPANE AND FUELS OWNED > 35% BY TRUSTEE 657848 PAYMENT OF FUEL PURCHASES false FORM 990, SCHEDULE L, PART IV ADDITIONAL SUPPLEMENTAL INFORMATION WEGMANS- TRUSTEE DANIEL R. WEGMAN IS AN OFFICER, DIRECTOR AND OWNER OF WEGMANS. VALLEY PROPANE AND FUELS- TRUSTEE PHILIP SAUNDERS IS A GREATER THAN 35% OWNER OF VALLEY PROPANE AND FUELS. X 26 197284 FAIR MARKET VALUE X 34997 FAIR MARKET VALUE X 398 14519746 FAIR MARKET VALUE X MUSICAL INSTRUMENTS 17 119796 FAIR MARKET VALUE X GIFT-IN-KIND 38 13541 FAIR MARKET VALUE X PERSONAL PROPERTY 70 30237 FAIR MARKET VALUE X MISCELLANEOUS EQUIPMENT 45 385550 FAIR MARKET VALUE 11 false true false SCHEDULE M, PART I, COLUMN (B) 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. 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 5,522 UNDERGRADUATES 2,728,705 MEALS IN FIVE DINING SERVICES. THE UNIVERSITY HAS 798 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 A, LINE 2 FAMILY/BUSINESS RELATIONSHIPS ROBERT J. KEEGAN AND JOHN M. KELLY - BUSINESS RELATIONSHIP ARUNAS CHESONIS AND LAUNCELOT F. DRUMMOND - BUSINESS RELATIONSHIP ARUNAS CHESONIS AND ROBERT L. CLARK - BUSINESS RELATIONSHIP -------------------- 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 WELLIVER MCHUIRE, INC., LECHASE CONSTRUCTION SERVICES, PIKE COMPANY, 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 $(21,962,822) LOSS ON EXTINGUISHMENT OF DEBT (8,088,336) CHANGE IN POST RETIREMENT LIABILITY (1,036,880) OTHER CHANGES (4,570,000) ----------- TOTAL $(35,658,038) -------------------- UNIVERSITY OF ROCHESTER INVESTMENT LLC 266 WALLIS HALL ROCHESTER NY 14627 160743209 INVESTING DE 0 0 UNIV OF ROCH SPRUCE RISK PURCHASING GROUP LLC 263 WALLIS HALL ROCHESTER NY 14627 160743209 INSURANCE NY 0 0 UNIV OF ROCH HIGHLAND HOSPITAL OF ROCHESTER INC 1000 SOUTH AVENUE ROCHESTER NY 14620 160743037 HOSPITAL NY 501 (c)(3) 3 SPHS true THE HIGHLAND FOUNDATION INC 1000 SOUTH AVENUE ROCHESTER NY 14620 237310662 FUNDRAISING NY 501 (c)(3) 12A,I HIGHLD HOSP true HIGHLAND FACILITIES DEVELOPMENT CORP 1000 SOUTH AVENUE ROCHESTER NY 14620 223039077 MEDICAL BLDG NY 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