2017-11-14T14:03:30-06:00 2016-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2016-01-01 471234999 ROCHESTER REGIONAL HEALTH ROCH 5859221032 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 THOMAS CRILLY CFO 5859221032 2017-11-13 1 ANGELA M FRANCO P00589741 3154463600 2017-11-13 24.39.85.114 2017-11-13 19:44:36 ES P 517AEBE328CBAAA90E396C2FD1060AA56161F780 315614A2A569D91B0F4A84342C1D145A8997199D 2016 2017-02-10 21:41:12Z ERIC J BIEBER MD 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 23199968 0 X WWW.ROCHESTERREGIONAL.ORG X 2014 NY TO SUPPORT AND ASSIST ALL OF THE AFFILIATES WITHIN ROCHESTER REGIONAL HEALTH SYSTEM. COORDINATES AND MANAGES THE DELIVERY OF HEALTH CARE RELATED SERVICES AND EDUCATION BY ITS AFFILIATES. 26 25 0 0 0 0 0 0 15157455 23199968 0 0 48076000 0 63233455 23199968 0 0 0 0 15982369 0 0 0 0 -824914 23189638 15157455 23189638 48076000 10330 117997815 115635708 12660447 10288010 105337368 105347698 X THE ORGANIZATION IS ORGANIZED AND OPERATED FOR THE BENEFIT OF ALL OF THE AFFILIATES WITHIN ROCHESTER REGIONAL HEALTH SYSTEM. THE ORGANIZATION SUPPORTS AND ASSISTS THE AFFILIATES BY REVIEWING AND MONITORING THEIR MISSIONS, OBJECTIVES, ACTIVITIES AND RESOURCES, AND ADVISING THEM WITH RESPECT TO THE SAME, INCLUDING, BUT NOT LIMITED TO, THE COORDINATION OF THEIR MISSIONS, OBJECTIVES, ACTIVITIES AND RESOURCES WITH EACH OTHER AND WITH THOSE OF REGIONAL HEALTH CARE PROVIDERS, HEALTH CARE AGENCIES AND RELATED ORGANIZATIONS, ALL IN FUTHERANCE OF THE PURPOSE OF PROMOTING EFFICIENT, EFFECTIVE AND ECONOMICAL HEALTH CARE SERVICES IN MONROE COUNTY, WAYNE COUNTY, ONTARIO COUNTY, AND GENESEE COUNTY, THE FINGER LAKES REGION AND ADJOINING AREAS OF NEW YORK STATE 1 0 23189638 23199968 SEE SCHEDULE OROCHESTER REGIONAL HEALTH (ROCHESTER REGIONAL) (I.E. THE PARENT ORGANIZATION AND ITS RELATED AFFILIATES) HAS PROVIDED HIGH QUALITY HEALTHCARE SERVICES TO THE GREATER ROCHESTER NY AREA AND SURROUNDING REGIONS FOR MORE THAN 160 YEARS. IT IS THE SECOND LARGEST EMPLOYER IN ROCHESTER AND AN INTEGRAL PART OF THE COMMUNITY. ROCHESTER REGIONAL HAS A NATIONALLY RECOGNIZED HEART PROGRAM AND A NATIONALLY ACCREDITED CANCER CENTER, AND OFFERS PATIENTS MANY OF THE SAME LEADING EDGE TREATMENT OPTIONS FOUND AT THE COUNTRY'S FINEST MEDICAL CENTERS. FROM SURGERY TO ORTHOPEDICS, WOMEN'S HEALTH TO EMERGENCY CARE, PEOPLE ALL ACROSS WESTERN NY TURN TO ROCHESTER REGIONAL FOR THEIR EXPERIENCE, COMPASSION AND EXPERTISE IN HELPING THEM GET BACK TO LIVING THEIR LIVES. POVERTY TRENDS, COMMUNITY HEALTH RESEARCH AND NEEDS ASSESSMENTS ARE REVIEWED ON A REGULAR BASIS WHILE PLANNING COMMUNITY HEALTH PROGRAMS. ROCHESTER REGIONAL REPRESENTATIVES ARE ACTIVELY ENGAGED IN VARIOUS COMMUNITY HEALTH COLLABORATIONS WITH THE LOCAL HEALTH DEPARTMENTS, STATE HEALTH DEPARTMENT, AND LOCAL NOT-FOR-PROFIT HEALTH AND HUMAN SERVICE AGENCIES, AND ACTIVELY WORKS TO RESPOND TO COMMUNITY PRIORITIES AND DEVELOP PROGRAMS AND SERVICES THAT FILL A GAP OR SUPPLEMENT AN EXISTING PROGRAM. MOST ROCHESTER REGIONAL COMMUNITY HEALTH OUTREACH PROGRAMS ARE OFFERED IN PARTNERSHIP WITH OTHER COMMUNITY ORGANIZATIONS OR GOVERNMENTAL AGENCIES, IN ORDER TO LEVERAGE RESOURCES TO MEET COMMUNITY NEEDS. INFORMATION REGARDING THE AVAILABILITY OF COMMUNITY HEALTH PROGRAMS, ASSISTANCE WITH HEALTH INSURANCE ENROLLMENT AND FINANCIAL ASSISTANCE FOR MEDICAL CARE RECEIVED AT ROCHESTER REGIONAL HOSPITALS, EMERGENCY DEPARTMENTS, OUTPATIENT DEPARTMENTS OR LONG-TERM CARE FACILITIES ARE DISSEMINATED TO THE PUBLIC IN ELECTRONIC (WEBSITE) FORM.ROCHESTER GENERAL HOSPITAL (RGH), THE FLAGSHIP OF THE ROCHESTER REGIONAL HEALTH, IS A REGIONAL LEADER IN HEALTH CARE. THIS 528-BED ACUTE CARE, TEACHING HOSPITAL SERVES THE GREATER ROCHESTER, NY REGION AND BEYOND. ROCHESTER GENERAL HOSPITAL'S NATIONALLY RECOGNIZED PROGRAMS HAVE CONSISTENTLY DEMONSTRATED QUALITY OUTCOMES THAT POSITIVELY IMPACT PATIENTS, THEIR FAMILIES AND THE ENTIRE COMMUNITY. ROCHESTER GENERAL PROVIDES CARE TO MORE MONROE COUNTY RESIDENTS THAN ANY OTHER HOSPITAL IN THE REGION AND, AS A TERTIARY CARE FACILITY, HAS STRONG REFERRAL RELATIONSHIPS WITH SEVERAL REGIONAL HOSPITALS. ROCHESTER GENERAL OFFERS A FULL ARRAY OF SERVICES TO MEET THE MEDICAL NEEDS OF UPSTATE NEW YORK, INCLUDING NATIONALLY RECOGNIZED PROGRAMS IN CARDIAC, CANCER, ORTHOPEDIC, VASCULAR, SURGICAL AND DIABETES CARE. RGH IS HOME TO A NUMBER OF CENTERS OF EXCELLENCE INCLUDING THE LIPSON CANCER INSTITUTE AND THE SANDS-CONSTELLATION HEART INSTITUTE. ROCHESTER GENERAL IS A CERTIFIED QUALITY BREAST CENTER OF EXCELLENCE BY THE NATIONAL QUALITY MEASURES FOR BREAST CENTERS PROGRAM FROM THE NATIONAL CONSORTIUM OF BREAST CENTER, INC.; A NEW YORK STATE-DESIGNATED STROKE CENTER AND A BARIATRIC SURGERY CENTER OF EXCELLENCE BY THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY. DISTINCTIONS FOR QUALITY INCLUDE DESIGNATIONS AS ONE OF AMERICA'S 100 BEST HOSPITALS AND DISTINGUISHED HOSPITAL FOR CLINICAL EXCELLENCE BY HEALTHGRADES; THE SURGICAL INTENSIVE CARE UNIT EARNED THE GOLD-LEVEL AND BOTH THE MEDICAL INTENSIVE CARE UNIT AND CARDIOTHORACIC INTENSIVE CARE UNIT EARNED THE SILVER-LEVEL OF THE BEACON AWARD FOR EXCELLENCE FROM AMERICAN ASSOCIATION OF CRITICAL CARE NURSES. HIGH QUALITY CLINICAL CARE PROVIDED AT ROCHESTER GENERAL IS AMPLIFIED BY RELATIONSHIPS AND AFFILIATIONS WITH NATIONALLY RENOWNED INSTITUTIONS SUCH AS THE CLEVELAND CLINIC (FOR CARDIAC CARE) AND ROSWELL PARK CANCER INSTITUTE.ROCHESTER GENERAL MEDICAL GROUP (RGMG) OPERATES AS A DIVISION OF RGH. RGMG HAS MORE THAN 40 PRACTICES IN MONROE AND WAYNE COUNTIES WITH SPECIALTIES IN ALLERGY/RHEUMATOLOGY, DERMATOLOGY, DIABETES/ENDOCRINOLOGY, FAMILY MEDICINE, GERIATRICS, INTERNAL MEDICINE, NUTRITION & WEIGHT MANAGEMENT, ORTHOPEDICS, PEDIATRICS, PHYSICAL MEDICINE & REHABILITATION, VASCULAR SURGERY & VEIN CARE AND WOMEN'S HEALTH (OB/GYN). IN ADDITION TO HOSPITAL LOCATIONS, RGMG ALSO OPERATES TWO FULL-SERVICE OUTREACH CAMPUSES AT ALEXANDER PARK AND LINDEN OAKS.UNITY HOSPITAL IS A 287-BED RECENTLY RENOVATED HOSPITAL LOCATED IN THE TOWN OF GREECE. KEY PROGRAMS AND CENTERS INCLUDE CHEMICAL DEPENDENCY, BRAIN INJURY & REHABILITATION, JOINT REPLACEMENT CENTER, FAMILY BIRTH PLACE, SPINE CENTER, DIABETES CENTER, STROKE CENTER, AND EMERGENCY CENTER. ITS AWARDS AND DESIGNATIONS INCLUDE: EXCELLUS BLUECROSS BLUESHIELD BLUE DISTINCTION CENTER FOR KNEE AND HIP REPLACEMENT AND FOR SPINE SURGERY; EXCELLUS BLUECROSS BLUESHIELD BLUE DISTINCTION CENTER FOR MATERNITY CARE AT THE AUGUST FAMILY BIRTH PLACE AT UNITY HOSPITAL; AMERICAN ASSOCIATION OF CRITICAL CARE NURSES (AACN) SILVER-LEVEL BEACON AWARD FOR EXCELLENCE IN PROFESSIONAL PRACTICE (INTENSIVE CARE UNIT), PATIENT CARE AND OUTCOMES; COMMISSION ON THE ACCREDITATION OF REHABILITATION FACILITIES (CARF) ACCREDITATION FOR ACUTE REHABILITATION AND BRAIN INJURY REHABILITATION AT THE GOLISANO RESTORATIVE NEUROLOGY & REHABILITATION CENTER; JOINT COMMISSION GOLD SEAL OF APPROVAL DESIGNATION FOR HEALTH CARE QUALITY; JOINT COMMISSION GOLD SEAL OF APPROVAL AT THE CHARLES J. AUGUST JOINT REPLACEMENT CENTER; ADVANCED CERTIFICATION FROM THE JOINT COMMISSION FOR PALLIATIVE CARE; STAR RATING ON FACILITY COMPARE REPORTS FROM CMS ON 3 OUT OF 4 DIALYSIS UNITS; CMS 4-STAR RATING; AND AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES -STROKE GOLD PLUS ACHIEVEMENT AWARD WITH TARGET: STROKE HONOR ROLL ELITE PLUS AWARD RECOGNITION FOR STROKE CARE.UNITY MEDICAL GROUP OPERATES AS A DIVISION OF UNITY HOSPITAL. UNITY MEDICAL GROUP HAS 28 OFFICE- AND HOSPITAL-BASED LOCATIONS IN MONROE AND GENESEE COUNTY. THE SERVICES OFFERED BY UNITY MEDICAL GROUP INCLUDE GERIATRICS, PALLIATIVE CARE, SKILLED NURSING HOME SUPPORT, ENDOCRINOLOGY, DENTAL CARE, INTERNAL MEDICINE, PEDIATRICS, FAMILY MEDICINE, OBSTETRICS, GYNECOLOGY, PULMONARY SERVICES, SLEEP SERVICES, INFECTIOUS DISEASE TREATMENT, ORTHOPEDIC SPINE TREATMENT, PROGRESSIVE NEUROVASCULAR SERVICE WITH NEUROLOGY SPECIALTY OUTPATIENT CARE AND ENDOVASCULAR SURGICAL ACUTE CARE. THERE ARE ALSO A SPECIALIZED VASCULAR SURGERY GROUP AND NEPHROLOGY WITH COMPREHENSIVE DIALYSIS SERVICES. NEWARK-WAYNE COMMUNITY HOSPITAL (NWCH) HAS SERVED GENERATIONS OF WAYNE COUNTY RESIDENTS SINCE 1957, AND MANY HAVE BECOME MEMBERS OF OUR GROWING HEALTHCARE FAMILY. WITH NEW, LEADING-EDGE MEDICAL TECHNOLOGY, A DIRECT PARTNERSHIP WITH ROCHESTER REGIONAL HEALTH, AND HIGHLY TRAINED STAFF, NWCH CONTINUES TO GROW IN EVERY ASPECT OF ITS HEALTHCARE DELIVERY. THE HOSPITAL IS LICENSED TO OPERATE 120 ACUTE CARE BEDS, WHICH INCLUDES 82 MEDICAL/SURGICAL BEDS, 16 ADULT MENTAL HEALTH BEDS, 8 ICU BEDS, AND 14 OBSTETRICAL BEDS. NWCH ALSO OFFERS A FULL ARRAY OF OUTPATIENT SERVICES INCLUDING AN EMERGENCY DEPARTMENT, CARDIAC REHABILITATION, LAB SERVICES, DIAGNOSTIC IMAGING, REHABILITATION SERVICES, AND LAB DRAW STATIONS AND PATIENT IMAGING UNITS IN OTHER PARTS OF WAYNE COUNTY. IN 1997, NWCH ESTABLISHED THE WAYNE COUNTY RURAL HEALTH NETWORK (WCRHN) TO ENCOURAGE GREATER COLLABORATION AMONG HEALTH AND SOCIAL SERVICE AGENCIES WITHIN WAYNE COUNTY IN ORDER TO PROVIDE GREATER ACCESS TO NEEDED SERVICES AND TO DEVELOP INNOVATIVE PROGRAMS TO BETTER MEET IDENTIFIED NEEDS. WCRHN IS ONE OF 35 SUCH NETWORKS IN NYS. NWCH WAS CHOSEN AS A BENCHMARK IN THE SOCIOECONOMIC FACTORS CATEGORY OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) PUBLICATION, COMMUNITY CONNECTIONS: IDEAS & INNOVATIONS FOR HOSPITAL LEADERS: CASE EXAMPLES. DISTINCTIONS FOR QUALITY INCLUDE EARNING THE GOLD SEAL OF APPROVAL FOR KNEE AND HIP REPLACEMENTS BY THE JOINT COMMISSION AND THE SILVER-LEVEL OF THE BEACON AWARD FOR EXCELLENCE FROM AMERICAN ASSOCIATION OF CRITICAL CARE NURSES AT ITS INTENSIVE CARE UNIT. ADDITIONALLY, NEWARK-WAYNE IS A NEW YORK STATE-DESIGNATED STROKE CENTER, A NICHE (NURSES IMPROVING CARE FOR HEALTHSYSTEM ELDERS) EXEMPLAR HOSPITAL AND A RECENT RECIPIENT OF THE WHO BABY-FRIENDLY DESIGNATION. REHABILITATIVE AND LONG-TERM CARE SERVICES ARE PROVIDED THROUGH DEMAY LIVING CENTER, AN ATTACHED FACILITY. 23189638 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 1 1 1 1 0 0 1 0 0 0 0 1 CJ 0 0 0 0 0 0 0 0 X 26 25 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X CHRISTOPHER PETERSON 5859220089 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 ROBERT DOBIES CHAIR OF THE BOARD 1.00 0.00 X 0 0 0 MICHAEL R NUCCITELLI VICE CHAIR 1.00 0.00 X 0 0 0 ROBERT SANDS SECRETARY 1.00 0.00 X 0 0 0 FAHEEM AR MASOOD TREASURER 1.00 0.00 X 0 0 0 ERIC BIEBER MD CEO 1.00 54.00 X X 0 3516820 1064908 RACHEL ADONIS DIRECTOR 1.00 0.00 X 0 0 0 LINDA BECKER DIRECTOR 1.00 0.00 X 0 0 0 RALPH DESTEPHANO DIRECTOR 1.00 0.00 X 0 0 0 WILLIAM DESTLER PHD DIRECTOR 1.00 0.00 X 0 0 0 NANCY FERRIS PHD DIRECTOR 1.00 0.00 X 0 0 0 KAREN M GALLINA DIRECTOR 1.00 0.00 X 0 0 0 JOHN GENIER MD DIRECTOR 1.00 0.00 X 0 0 0 ROBERT HAVRILLA DIRECTOR 1.00 0.00 X 0 0 0 THOMAS HOUSEKNECHT DIRECTOR 1.00 0.00 X 0 0 0 TARUN KOTHARI MD DIRECTOR 1.00 0.00 X 0 0 0 ANNA LYNCH DIRECTOR 1.00 0.00 X 0 0 0 JEFFREY C MAPSTONE DIRECTOR 1.00 0.00 X 0 0 0 JAGAT MEHTA MD DIRECTOR 1.00 0.00 X 0 0 0 DANIEL MEYERS DIRECTOR 1.00 0.00 X 0 0 0 LEONARD OLIVIERI DIRECTOR 1.00 0.00 X 0 0 0 ELIZABETH PATTON PHD DIRECTOR 1.00 0.00 X 0 0 0 THOMAS PENN MD DIRECTOR 1.00 0.00 X 0 0 0 THOMAS RILEY DIRECTOR 1.00 0.00 X 0 0 0 EFRAIN RIVERA DIRECTOR 1.00 0.00 X 0 0 0 LEON T SAWYKO DIRECTOR 1.00 0.00 X 0 0 0 JUSTIN SMITH DIRECTOR 1.00 0.00 X 0 0 0 THOMAS CRILLY CFO 0.00 55.00 X 0 1012616 427250 ROBERT NESSELBUSH COO 0.00 55.00 X 0 1608627 676261 HUGH THOMAS CAO 0.00 55.00 X 0 1230940 512645 MARK CLEMENT FORMER CEO 0.00 55.00 X 0 1373284 30715 0 8742287 2711779 0 1 1 0 0 AFFILIATE SUPPORT 525100 23199968 23199968 23199968 23199968 23199968 0 0 107169 107169 AFFILIATE SUPPORT 23082469 23082469 23189638 23189638 0 0 570967 520000 400000 3402 324255 450000 453402 116453446 114458051 117997815 115635708 12087745 9531796 572702 756214 12660447 10288010 X 99535368 99545698 3169322 3169322 2632678 2632678 105337368 105347698 117997815 115635708 10330 0 X X 0 1 X 1 0 X X 35 THE ROCHESTER GENERAL HOSPITAL 160743134 3 1 11467750 0 ROCHESTER MENTAL HEALTH CENTER 166069131 10 1 247088 0 NEWARK WAYNE COMMUNITY HOSPITAL 150584188 3 1 2872049 0 ROCHESTER GENERAL HUDSON HOUSING 223210351 10 1 0 0 VIA HEALTH HOME CARE I 161504370 10 1 0 0 VIA HEALTH HOMECARE II 161538727 10 1 0 0 INDEPENDENT LIVING FOR SENIORS 161491059 10 1 425752 0 ROCHESTER GENERAL LONG TERM CARE 223187140 10 1 424383 0 WESTERN NEW YORK MEDICAL PRACTICE PC 611654232 10 1 0 0 THE UNITY HOSPITAL OF ROCHESTER 237221763 3 1 5439932 0 NORTH PARK NURSING HOME INC 223159644 10 1 175805 0 PARK RIDGE NURSING HOME INC 160978184 10 1 391865 0 UNITY HEALTH SYSTEM FOUNDATION 119627400 7 1 0 0 PRCD INC 161311581 7 1 0 0 PARK RIDGE CHILD CARE CENTER INC 222918126 10 1 0 0 PARK RIDGE HOUSING DEVELOPMENT FUND INC 222608311 10 1 0 0 PARK RIDGE HOUSING INC 222570457 10 1 107711 0 PARKWAY COMMONS HOUSING DEVELOPMENT FUND CO 223130818 10 1 0 0 STBERNARD'S HOUSING DEVELOPMENT FUND COMPANY INC 161492955 10 1 0 0 UNITY AGING SERVICES INC 841684195 10 1 94548 0 UNITY HOUSING DEVELOPMENT FUND CORPORATION 300068596 10 1 0 0 WOODLAND VILLAGE INC 161588242 10 1 27759 0 UNITY ABULATORY SURGERY CENTER INC 383871383 10 1 0 0 CLIFTON SPRINGS HOSPITAL & CLINIC 160743966 3 1 405478 0 UNITED MEMORIAL MEDICAL CENTER 160743029 3 1 458256 0 UNITY HEALTH SYSTEM 222572873 7 1 0 0 ROCHESTER GENERAL HOSPITAL FOUNDATION 222229425 7 1 458854 0 GRHS FOUNDATION INC 223378111 10 1 202739 0 CLIFTON SPRINGS HOSPITAL & CLINIC FOUNDATION 161560033 7 1 0 0 CONTINUING CARE NETWORK 911893968 10 1 0 0 HENRY FOSTER ASSOCIATES INC DBA CORPORATE CARE OF FINGER LAKES 161282294 10 1 0 0 NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATION 222963344 7 1 0 0 RGHS WORKERS COMPENSATION TRUST 166429300 10 1 0 0 ROCHESTER GENERAL HEALTH SYSTEM 222551509 10 1 0 0 PARMA HOUSING DEVELOPMENT FUND CORP 810671685 10 1 0 0 35 23199969 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART IV, SECTION C, LINE 1: ROCHESTER REGIONAL HEALTH, AS THE SOLE CORPORATE MEMBER, ALSO HAS THE RIGHT TO APPROVE OR RATIFY SIGNIFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY INCLUDING AMENDMENT OF BYLAWS AND CHAPTERS, REMOVAL OF MEMBERS OF THE GOVERNING BODY, AND THE DECISION TO DISSOLVE THE ORGANIZATION. 0 0 0 0 0 0 0 0 1 107169 107169 0 PART II-B, LINE 1: REPRESENTS PAYMENTS MADE TO LEGAL COUNSEL IN AN EFFORT TO ADVOCATE ON THE ORGANIZATION'S BEHALF AT THE NEW YORK STATE AND FEDERAL LEVELS AS IT SPECIFICALLY RELATED TO HEALTH CARE LEGISLATION AND REGULATORY ISSUES. 0 DUE FROM AFFILIATES 8920683 INVESTMENT IN PRH, INC 51459368 INVESTMENT IN UMMC 30799000 INVESTMENT IN CLIFTON SPRINGS HOSPITAL 23079000 OTHER ASSETS 200000 114458051 DUE TO AFFILIATES 756214 756214 23199968 0 23199968 0 23199968 23189638 0 23189638 0 23189638 CENTRAL AMERICA AND CARIBBAN 1 1 INSURANCE 180551 1 1 0 0 1 1 180551 0 180551 0 0 1 0 0 0 X X X X X X 1 1 0 0 0 0 0 0 0 ERIC BIEBER MD CEO 0 1116015 0 2400805 0 0 0 1011846 0 53062 0 4581728 0 1070317 THOMAS CRILLY CFO 0 435307 0 577309 0 0 0 375536 0 51714 0 1439866 0 372767 ROBERT NESSELBUSH COO 0 747958 0 860669 0 0 0 624284 0 51977 0 2284888 0 556513 HUGH THOMAS CAO 0 547274 0 683666 0 0 0 466348 0 46297 0 1743585 0 442221 MARK CLEMENT FORMER CEO 0 0 0 0 0 1373284 0 26618 0 4097 0 1403999 0 1373284 PART I, LINE 3 COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS INCLUDING: - ERIC BIEBER, M.D. (PRESIDENT & CEO) - THOMAS CRILLY (CFO) - HUGH THOMAS (CAO) - ROBERT NESSELBUSH (COO) - MARK CLEMENT (CEO UNTIL 11/30/14) USED THE FOLLOWING TO ESTABLISH THEIR COMPENSATION AND BENEFITS: - COMPENSATION COMMITTEE, - INDEPENDENT COMPENSATION CONSULTANT, - FORM 990 OF OTHER ORGANIZATIONS, - COMPENSATION SURVEYS AND STUDIES; - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. ON AN ANNUAL BASIS, THE ORGANIZATION USES AN INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE SALARIES FOR ALL EXECUTIVES TO ENSURE SUCH SALARIES ARE CONSISTENT WITH MARKET SALARIES PAID TO SIMILARLY SITUATED EXECUTIVES. IN ADDITION, A COMPENSATION COMMITTEE REVIEWS THIS INFORMATION ANNUALLY AND IT IS THEN APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. FINALLY, EXECUTIVES RECEIVE A WRITTEN LETTER OUTLINING THE SPECIFICS OF THE COMPENSATION AGREEMENT AND THEIR EXPECTED PERFORMANCE. PART I, LINES 4A-B SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS PROVIDE BENEFITS TO CERTAIN KEY EXECUTIVE EMPLOYEES OF ROCHESTER REGIONAL HEALTH. THE ORGANIZATION MAINTAINS A SECTION 457(F) PLAN WHICH WOULD BE CONSIDERED A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THERE WERE NO DISTRIBUTIONS PAID IN 2016. IN 2014 AND PRIOR YEARS, THE TOTAL COMPENSATION OF THE FORMER CEO'S WAS DISCLOSED AS A COMBINATION OF CASH PAID BY THE ORGANIZATION AND DEFERRED COMPENSATION. THE CASH PAYMENTS TO THE FORMER CEO'S SHOWN ON THE 2016 TAX RETURNS REPRESENTS PAYMENT OF COMPENSATION WHICH WAS RECOGNIZED IN PREVIOUS TAX RETURNS. THERE WAS NO INCREMENTAL EXPENSE RECOGNIZED BY THE ORGANIZATION IN 2016 FOR PAYMENTS MADE TO FORMER CEO'S. ERIC BIEBER CEO X 500000 400000 0 1 1 400000 JUSTIN SMITH DIRECTOR 522893 JUSTIN SMITH IS A CO-OWNER OF BRITE COMPUTERS WHICH PROVIDES INFORMATION TECHNOLOGY SOLUTION SERVICES TO AFFILIATES OF THE SYSTEM IN THE AMOUNT OF $522,893. 0 SCH L, PART II, LOANS TO AND FROM INTERESTED PERSONS: ERIC BIEBER, CEO - THE ORGANIZATION HAS AN AGREEMENT WITH AND HAS PROVIDED THE EXECUTIVE WITH A $500,000 LOAN, FOR A 5 YEAR PERIOD WITH WITH INTEREST ACCRUED AT A COMPETITIVE MARKET RATE. THE ANNUAL PAYMENT, INCLUDING INTEREST, WILL BE FORGIVEN IF THE EXECUTIVE REMAINS EMPLOYED AT THE TIME THE PAYMENT IS DUE. FORM 990, PART III, LINE 2 ROCHESTER REGIONAL HEALTH (RRH) IS DEEPLY COMMITTED TO MAKING CARE CONVENIENT AND ACCESSIBLE TO PATIENTS ACROSS THE REGION. AS A RESULT, IN AUGUST 2016, RRH EXPANDED THEIR RELATIONSHIP WITH ROCHESTER IMMEDIATE CARE TO FORM ROCHESTER REGIONAL HEALTH IMMEDIATE CARE CENTERS. ROCHESTER REGIONAL HEALTH IMMEDIATE CARE OPERATES FOUR LOCATIONS IN MONROE COUNTY, AND OFFERS FULL-SERVICE URGENT CARE WITH PHYSICIANS, DIAGNOSTIC TOOLS, AND LABS ON-SITE. THESE CENTERS, WITH THEIR CONVENIENT HOURS AND STATE-OF-THE-ART, CUSTOM-DESIGNED FACILITIES, ARE THE REGION'S ONLY JOINT COMMISSION-ACCREDITED URGENT CARE CENTERS. URGENT CARE CENTERS MEET A CRITICAL NEED FOR HEALTHCARE THAT IS NOT ONLY EXPERT AND RELIABLE, BUT ALSO PATIENT-ORIENTED, CONVENIENT AND COST EFFECTIVE. ROCHESTER REGIONAL IS PLANNING TO OPEN ADDITIONAL CENTERS IN THE NEAR FUTURE. FORM 990, PART III, LINE 4A CLIFTON SPRINGS HOSPITAL AND CLINIC (CSHC) IS A 262-BED HOSPITAL WITH A LEVEL OF TECHNOLOGY CONSISTENT WITH THAT OF LARGE URBAN HOSPITALS. THE MAIN HOSPITAL IS PHYSICALLY LOCATED IN CLIFTON SPRINGS, MIDWAY BETWEEN (BUT NORTH OF) GENEVA AND CANANDAIGUA. CSHC'S PRIMARY SERVICE AREA CONSISTS OF FOUR COUNTIES IN THE CENTRAL FINGER LAKES REGION OF UPSTATE NEW YORK: ONTARIO, WAYNE, SENECA AND YATES. CLIFTON SPRINGS HOSPITAL & CLINIC IS A NOT-FOR-PROFIT HEALTH CARE SYSTEM PROVIDING GENERAL ACUTE CARE, PRIMARY CARE, NURSING HOME CARE, CANCER CARE, PROGRAMS FOR BEHAVIORAL HEALTH AND ADDICTION RECOVERY, AND SPECIALTY CARE TO RESIDENTS OF AND VISITORS TO THE CENTRAL FINGER LAKES REGION. THE FINGER LAKES COMMUNITY CANCER CENTER (FLCCC) IS LOCATED ON THE MAIN CAMPUS AND WAS THE FIRST FULL TREATMENT CANCER CENTER IN THE FINGER LAKES REGION. FLCCC PARTICIPATES IN CLINICAL TRIALS, OFFERS MONTHLY CANCER CONFERENCES, YEARLY SYMPOSIUMS AND SUPPORT GROUPS. THE FINGER LAKES RADIATION ONCOLOGY HAS ONE OF FIVE INTENSITY MODULATED RADIATION THERAPY UNITS IN NEW YORK STATE FOR TREATING PROSTATE CANCER. THE RADIOLOGY DEPARTMENT HAS THE LATEST TECHNOLOGY AND SOPHISTICATED EQUIPMENT FOR THE EARLY DETECTION OF CANCER AND OTHER DISEASES. THE BEHAVIORAL HEALTH DEPARTMENT IS THE AREA'S LARGEST AND HAS OFFERED MENTAL HEALTH AND ADDICTION RECOVERY SERVICES LONGER THAN ANY OTHER ORGANIZATION IN THE REGION. CSHC OFFERS NUMEROUS SUBSPECIALTIES INCLUDING BLOOD DISORDERS, RENAL DISEASE, DIABETES, AND REHABILITATION. IN ADDITION, THE SPRINGS OF CLIFTON IS AN INTEGRATED HEALTH CARE PROGRAM, COMBINING BOTH CONVENTIONAL AND ALTERNATIVE/COMPLEMENTARY MEDICINE. COMPLEMENTARY THERAPIES SUPPORT THE MAINTENANCE OF HEALTH AND WELL-BEING AND THE PROCESS OF HEALING AND INCLUDE ACUPUNCTURE, CHIROPRACTIC SERVICES, HYDROTHERAPY, MASSAGE THERAPY, NATUROPATHY, CHINESE MEDICINE, QI GONG, HERBOLOGY, AND REIKI THERAPEUTIC TOUCH. UNITED MEMORIAL MEDICAL CENTER (UMMC) SERVES RESIDENTS OF GENESEE COUNTY AND SURROUNDING RURAL COMMUNITIES. THE 131-BED HOSPITAL IN BATAVIA FEATURES A NEW, STATE-OF-ART SURGICAL DEPARTMENT, A WOUND CARE CENTER, A TELEMEDICINE PROGRAM FOR INTENSIVE CARE, A JOINT REPLACEMENT CENTER OF EXCELLENCE, TWO URGENT CARE CENTERS AND A NUMBER OF PRIMARY AND SPECIALTY PHYSICIAN OFFICES. UNITED MEMORIAL IS A NICHE (NURSES IMPROVING CARE FOR HEALTHSYSTEM ELDERS) HOSPITAL AND A NEW YORK STATE-DESIGNATED STROKE CENTER. UNITED MEMORIAL IS THE SOLE MATERNITY SERVICES PROVIDER FOR GENESEE AND ORLEANS COUNTIES. IT MANAGES THE NEW YORK STATE CANCER SERVICES PARTNERSHIP GRANT FOR ORLEANS AND GENESEE COUNTIES AND PROVIDES ORTHOPEDIC SERVICES IN GENESEE, ORLEANS AND WYOMING COUNTIES. ROCHESTER MENTAL HEALTH CENTER (RMHC) HAS NINE LOCATIONS ACROSS THE COMMUNITY, INCLUDING TWO OF THE AREA'S BEST MENTAL HEALTH CENTERS, GENESEE MENTAL HEALTH CENTER AND ROCHESTER MENTAL HEALTH CENTER, AND OVER 40 YEARS OF EXPERIENCE AND TRADITION. RMHC HAS COMPREHENSIVE SERVICES AND DEDICATED MENTAL HEALTH AND SUBSTANCE ABUSE PROFESSIONALS, WORKING TO HELP PATIENTS ACHIEVE THEIR FULL POTENTIAL TO LIVE AND WORK AS PRODUCTIVE MEMBERS OF THE COMMUNITY. THEY OFFER: - A COMPREHENSIVE SYSTEM OF CLINICAL MENTAL HEALTH SERVICES - READILY-ACCESSIBLE, CULTURALLY-SENSITIVE SERVICES UNIQUELY MATCHED TO THE INDIVIDUAL NEEDS OF EACH PATIENT AND THEIR FAMILY - CONVENIENT ACCESS TO MENTAL HEALTH OUTPATIENT SERVICES WITH LOCATIONS THROUGHOUT THE GREATER ROCHESTER AREA - AN UNWAVERING COMMITMENT TO SERVE THOSE IN THE COMMUNITY WHO HAVE EMOTIONAL NEEDS. PRCD, INC. OFFERS TWO COMMUNITY RESIDENCES THAT ARE UNIQUE TO UPSTATE NEW YORK, ONE FOR ADOLESCENT MALES AND THE OTHER FOR WOMEN. THESE RESIDENTS PROVIDE A STABLE HOUSING ENVIRONMENT DURING CHEMICAL DEPENDENCY TREATMENT. INDEPENDENT LIVING FOR SENIORS, (ILS) OFFERS A PROGRAM THAT GIVES THE FRAIL ELDERLY AN ALTERNATIVE TO NURSING HOME PLACEMENT. IT IS DESIGNED TO ENABLE SENIORS TO LIVE IN THEIR OWN HOME SERVED BY A NETWORK OF SUPPORTIVE SERVICES. THE ILS PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) HAS PROVEN THAT INTEGRATING HEALTH CARE SERVICES CAN HAVE A POWERFUL AND BENEFICIAL IMPACT ON INDIVIDUAL HEALTH AND WELL-BEING. SENIORS NOW HAVE A CHOICE TO LIVE OUT THEIR LIVES IN THEIR COMMUNITY - ENJOYING FAMILY, MANAGING THEIR HEALTH, MAKING NEW FRIENDS - SIMPLIFYING HOW THEY CHOOSE AND PAY FOR NEEDED LONG-TERM CARE. ILS OFFERS ALL OF THE HEALTH, MEDICAL AND SOCIAL SERVICES NEEDED TO HELP AN AGING LOVED ONE MAINTAIN THEIR INDEPENDENCE, DIGNITY AND QUALITY OF LIFE. A RANGE OF SERVICES ARE AVAILABLE TO AN ILS PARTICIPANT, INCLUDING ADULT DAY CARE; PRIMARY CARE; LABORATORY, X-RAY AND AMBULANCE SERVICES; REHABILITATIVE AND SUPPORT SERVICES; MEDICAL SPECIALTY SERVICES; SKILLED NURSING CARE; ACUTE HOSPITAL CARE; IN-HOME SERVICES; INTERDISCIPLINARY CONSULTATION; AND NURSING HOME CARE SHOULD THE NEED ARISE. CLIFTON SPRINGS LIVING CENTER IS A 108-BED SKILLED NURSING FACILITY LOCATED IN CLIFTON SPRINGS, NY. THE 108-BED FACILITY PROVIDES SPECIALIZED SERVICES INCLUDING TRADITIONAL SNF CARE, AS WELL AS SPECIALTY UNITS FOR RESIDENTS WHO REQUIRE POST-ACUTE CARE, VENTILATOR CARE, AND DEMENTIA CARE. THE SERVICES OF REIKI AND HEALING TOUCH THERAPIES ARE OFFERED BY THE NURSING HOME, AND ADDITIONAL SERVICES INCLUDING ACUPUNCTURE, HYDROTHERAPY, MASSAGE THERAPY, AND NATUROPATHY ARE AVAILABLE THROUGH THE SPRINGS INTEGRATIVE MEDICINE CENTER AND SPA. DE MAY LIVING CENTER LOCATED IN NEWARK IS A 180-BED SKILLED NURSING RESIDENCE THAT PROVIDES BOTH CALM AND STIMULATING ATMOSPHERES FOR RESIDENTS. SERVICES INCLUDE: POST-ACUTE CARE, SHORT-TERM REHABILITATION, VENTILATOR CARE, DEMENTIA CARE, PERITONEAL DIALYSIS, WOUND CARE, TELEMEDICINE, NEUROBEHAVIORAL CARE, LONG TERM SKILLED NURSING CARE AND ADULT DAY CARE. EDNA TINA WILSON LIVING CENTER IN ROCHESTER IS A 120-BED SKILLED NURSING FACILITY THAT USES INNOVATIVE NEIGHBORHOOD DESIGN, WITH RESIDENT ROOMS CLUSTERED AROUND THE ACTIVITY CENTER AND THE LIVING AND DINING AREAS TO PROMOTE MORE SOCIAL AND INTERACTIVE LIVING. THE CENTER SPECIALIZES IN LONG-TERM CARE, REHABILITATIVE SERVICES, PAIN MANAGEMENT, RESPIRATORY THERAPY, IV THERAPY, PERITONEAL DIALYSIS SERVICES, RESPITE AND HOSPICE CARE. HILL HAVEN LIVING AND NURSING CENTER IN WEBSTER IS A 288-BED FACILITY WITH A COMPREHENSIVE RANGE OF MEDICAL AND ASSISTED LIVING SENIOR SERVICES, INCLUDING SHORT-TERM REHABILITATION, SKILLED NURSING, RESPIRATORY, IV THERAPY, CENTRAL LINE MEDICATIONS AND MAINTENANCE, POST-SURGICAL WOUND CARE, ON-SITE HEMODIALYSIS, PERITONEAL DIALYSIS, TELEMEDICINE, DEMENTIA, ALZHEIMER'S, AND HOSPICE CARE. PARK RIDGE LIVING CENTER IS LOCATED IN ROCHESTER. IT RECEIVED A FIVE-STAR RATING FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS), A DESIGNATION GIVEN TO ONLY 10 PERCENT OF NURSING HOMES NATIONWIDE. THIS 120 BED FACILITY IS HOME TO THE 40-BED TIMOTHY R. MCCORMICK TRANSITIONAL CARE CENTER, SPECIALIZING IN JOINT REPLACEMENT AND COMPLEX FRACTURE RECOVERY, STROKE AND NEUROLOGICAL REHABILITATION, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, IV THERAPY, AND CENTRAL LINE MEDICATIONS. THE FACILITY'S WEGMAN FAMILY COTTAGES SERVES 80 ELDERS. THE COTTAGES ALLOW ELDERS TO LIVE IN A HOME-LIKE ENVIRONMENT WHILE RECEIVING SKILLED NURSING CARE. UNITY LIVING CENTER IN ROCHESTER IS A 120-BED STATE-OF-THE-ART SKILLED NURSING FACILITY FOCUSED ON TREATMENT AND REHABILITATIVE CARE FOR PATIENTS WITH MEDICALLY COMPLEX NEEDS, DEMENTIA, AND BEHAVIORAL CHALLENGES. SPECIAL SERVICES INCLUDE SHORT-TERM REHABILITATION, PULMONOLOGY, RESPIRATORY THERAPY, TRACHEOTOMY CARE, WOUND CARE, PAIN CONTROL, AND IV THERAPY, AND PERITONEAL DIALYSIS, ACCESS TO HEMODIALYSIS, VENTILATOR BEDS, BARIATRIC CARE AND RELAXATION THERAPY TO MEET THE NEEDS OF THOSE WITH CHRONIC DISEASES. UNITY'S HOUSING GROUP OFFERS 539 INDEPENDENT LIVING, ASSISTED LIVING, MEMORY CARE, AFFORDABLE AND SUBSIDIZED APARTMENTS IN FIVE LOCATIONS. THE VILLAGE AT UNITY WAS ONE OF THE FIRST INDEPENDENT LIVING COMMUNITIES IN THE AREA AND IS ONE OF THE LARGEST AND WELL RESPECTED COMMUNITIES AND CATERS TO SENIORS LOOKING FOR SUPERIOR HOSPITALITY SERVICES. IN 2013, A $22 MILLION EXPANSION PROJECT WAS COMPLETED, ADDING 20 NEW MEMORY CARE APARTMENTS, A NEW ASSISTED LIVING COMMUNITY, COMMUNITY CENTER AND MORE DINING OPTIONS. PARK RIDGE CHILD CARE CENTER CARES FOR NEARLY 140 CHILDREN OF THE COMMUNITY PER DAY, AND IN 2016, THE CENTER WAS NAMED A HEALTHY WAY TO GROW SILVER CENTER BY THE AMERICAN HEART ASSOCIATION. ROCHESTER AMBULATORY SURGERY CENTER IS A 29,000 SQUARE-FOOT FACILITY THAT INCLUDES SIX OPERATING ROOMS AND TWO MINOR PROCEDURE ROOMS EQUIPPED WITH STATE OF THE ART EQUIPMENT AND INSTRUMENTATION. FORM 990, PART III, LINE 4A LINDEN OAKS SURGERY CENTER IS A FREESTANDING, MULTISPECIALTY AMBULATORY SURGERY CENTER WHERE A BROAD RANGE OF OUTPATIENT SURGICAL PROCEDURES ARE PERFORMED. THE CENTER OFFERS FOUR OPERATING ROOMS AND TWO PROCEDURE ROOMS WHICH ARE FULLY EQUIPPED WITH PREOPERATIVE AND POST-ANESTHESIA CARE AREAS IN ORDER TO PROVIDE HIGH QUALITY CARE AND SAFETY IN A CONVENIENT OUTPATIENT SURGERY CENTER. ROCHESTER REGIONAL HEALTH IMMEDIATE CARE OPERATES FOUR LOCATIONS IN MONROE COUNTY, AND OFFERS FULL-SERVICE URGENT CARE WITH PHYSICIANS, DIAGNOSTIC TOOLS, AND LABS ON-SITE. ACM MEDICAL LABORATORY IS A FULL SERVICE CLINICAL AND PATHOLOGY LABORATORY CONDUCTING MORE THAN 20 MILLION TESTS EVERY YEAR FOR PHYSICIANS, NURSING HOMES AND HOSPITALS; PHARMACEUTICAL, BIOTECH AND RESEARCH ORGANIZATIONS; COLLEGES AND UNIVERSITY HEALTH CENTERS; AND OCCUPATIONAL HEALTH GROUPS. ACM HAS OPERATIONS IN THE U.S., U.K., INDIA, CHINA AND SINGAPORE. OPERATIONS EXTEND TO MORE THAN 60 COUNTRIES AND OFFER A BROAD MENU OF CLINICAL, PATHOLOGY AND MOLECULAR TESTING. ACM IS ONE OF THE LARGEST REGIONAL REFERENCE LABORATORIES IN NEW YORK STATE. ROCHESTER GENERAL HOSPITAL FOUNDATION, UNITY HEALTH SYSTEM FOUNDATION, NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATION AND THE CLIFTON SPRINGS FOUNDATION: THE VITAL SERVICES THAT ROCHESTER REGIONAL PROVIDES TO THE COMMUNITY WOULD NOT BE POSSIBLE WITHOUT THE SUPPORT OF THE FOUNDATIONS. IN THE NONPROFIT ORGANIZATIONAL STRUCTURE THE FOUNDATIONS ARE CRITICAL TO THE ABILITY TO MAKE ONGOING INVESTMENTS IN STATE-OF-THE-ART MEDICAL TECHNOLOGY, CLINICAL PROGRAMS, FACILITIES, RESEARCH, AND EDUCATION THAT BENEFIT THE COMMUNITY AS A WHOLE. THE IMPACTS OF THE FOUNDATIONS' EFFORTS ARE VISIBLE THROUGHOUT THE HOSPITALS, AND IN THEIR DISTINGUISHED CENTERS OF EXCELLENCE. THE FOUNDATIONS' FUNDRAISING PROGRAMS DIRECTLY BENEFIT THE ONGOING NEEDS OF THE COMMUNITY THROUGH IMPROVED AND EXPANDED PATIENT CARE PROGRAMS, SERVICES, AND FACILITIES AND HELP PURCHASE EQUIPMENT. THIS ENHANCES THE HIGH-TOUCH AND COMPASSIONATE CARE AVAILABLE TO ALL WHO ARE SERVED IN THE COMMUNITY. FORM 990, PART VI, SECTION A, LINE 1 EACH BOARD HAS AN EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE BOARD PLUS THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION AND SUCH OTHER DIRECTORS AS THE CHAIR MAY NOMINATE FROM TIME TO TIME FOR APPOINTMENT BY A MAJORITY VOTE OF THE ENTIRE BOARD. BETWEEN MEETINGS OF THE BOARD, AND TO THE EXTENT PERMITTED BY LAW, THE EXECUTIVE COMMITTEE SHALL POSSESS THE POWERS OF THE BOARD WITH RESPECT TO MANAGING AND CONDUCTING THE AFFAIRS OF THE CORPORATION, EXCEPT AS OTHERWISE PROVIDED BY LAW OR WITHIN CERTAIN BY-LAWS. FORM 990, PART VI, SECTION A, LINE 7A IN ACCORDANCE WITH THE TERMS AND REQUIREMENTS OF ITS GOVERNING DOCUMENTS (I.E. BYLAWS), THE ORGANIZATION'S DIRECTORS ARE DIVIDED INTO THREE CLASSES, AND THE CLASSES SERVE FOR STAGGERED THREE-YEAR TERMS. AT EACH ANNUAL MEETING, DIRECTORS IN A CLASS ARE ELECTED BY A MAJORITY VOTE OF THE DIRECTORS THEN IN OFFICE. DIRECTORS ARE ELECTED FROM AMONG NOMINEES CHOSEN BY THE BOARD'S GOVERNANCE AND NOMINATING COMMITTEE. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, A COPY OF THE FORM 990 IS PROVIDED TO, AND REVIEWED WITH, ALL MEMBERS OF THE AUDIT AND COMPLIANCE COMMITTEE. THIS REVIEW IS PERFORMED IN CONSULTATION WITH THE ORGANIZATION'S TAX ADVISORS, AND IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS AND OTHER RELEVANT INFORMATION FOR THE APPROPRIATE TIME PERIOD. FORM 990, PART VI, SECTION B, LINE 12C UPON EMPLOYMENT, ALL EMPLOYEES RECEIVE THE ETHICAL STANDARD OF CONDUCT BOOKLET FOR WHICH THEY SIGN A RECEIPT OF ACKNOWLEDGEMENT. CONFLICT OF INTEREST IS DEFINED, AS IS MANAGEMENT OF A CONFLICT OF INTEREST. EMPLOYEES ARE REQUIRED TO DISCLOSE AND SEEK RESOLUTION TO ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST BEFORE TAKING A POTENTIALLY IMPROPER ACTION AND THEREAFTER, ANNUALLY, EACH KEY EMPLOYEE AND OFFICER OF THE ORGANIZATION IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM, PROVIDING MANAGEMENT WITH SUFFICIENT INFORMATION ABOUT HIS/HER PERSONAL INTERESTS AND RELATIONSHIPS SO THAT MANAGEMENT CAN (1) DETERMINE WHETHER ANY ACTUAL OR PERCEIVED CONFLICT OF INTEREST EXISTS, AND (2) MONITOR WORK ASSIGNMENTS TO AVOID PLACING THE KEY EMPLOYEE OR OFFICER IN A POSITION WHERE THERE MAY BE A QUESTION AS TO HIS/HER OBJECTIVITY AS WELL AS TO AVOID ANY APPEARANCE OF IMPROPRIETY. THROUGHOUT THE YEAR, KEY EMPLOYEES AND OFFICERS OF THE ORGANIZATION ARE ALSO REQUIRED TO NOTIFY MANAGEMENT PROMPTLY IF ANY CHANGE TO THEIR DISCLOSURES OCCURS. BOARD MEMBERS LEAVE THE ROOM DURING DISCUSSIONS AND ABSTAIN FROM VOTING WHEN THEY HAVE A CONFLICT OF INTEREST. IN ADDITION, EACH MEMBER OF THE BOARD OF DIRECTORS MUST ALSO COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE FORM, WHICH MUST BE SUBMITTED TO THE GENERAL COUNSEL. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S OFFICER AND KEY EMPLOYEE COMPENSATION ARRANGEMENTS ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE. INFORMATION REVIEWED FOR THE OFFICER/KEY EMPLOYEE INCLUDES COMPARABLE DATA FROM SIMILAR SIZE TAX EXEMPT ORGANIZATIONS IN THE WESTERN/CENTRAL NY COMMUNITY AS WELL AS COMPENSATION FOR THESE POSITIONS (AS DISCLOSED ON FORM 990) WITH OTHER ORGANIZATIONS IN THE HEALTHCARE INDUSTRY THAT ARE OF SIMILAR SIZE, DEMOGRAPHICS AND GEOGRAPHY. REVIEW AND APPROVAL OF THE COMPENSATION ARRANGEMENT BY THE COMPENSATION COMMITTEE IS DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ADMINISTRATIVE OFFICES LOCATED AT 100 KINGS HIGHWAY SOUTH, ROCHESTER, NY 14617. A NOMINAL FEE IS CHARGED IF COPIES ARE REQUESTED. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. PSYCHIATRIC SERVICES GROUP 1425 PORTLAND AVENUE ROCHESTER NY 14621 161464705 PSYCH SVCS NY RGH GRHS LLC 125 LATTIMORE ROAD ROCHESTER NY 14620 453685937 AMBULATORY SURGERY CENTER NY GRHS UNITY LINDEN OAKS SURGERY CENTER LLC 1555 LONG POND RD ROCHESTER NY 14626 800798208 OUTPATIENT SURGERY NY UNITY AMBULATORY SURGERY CENTER INC ST MARY'S RESIDENCE FACILITY LLC 89 GENESEE ST ROCHESTER NY 14611 222572873 ADMINISTRATIVE AND MEDICAL OFFICES NY THE UNITY HOSPITAL OF ROCHESTER THE ROCHESTER GENERAL HOSPITAL 1425 PORTLAND AVENUE ROCHESTER NY 14621 160743134 HOSPITAL NY 501(C)(3) LINE 3 ROCHESTER REGIONAL HEALTH 1 GRHS FOUNDATION 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 223378111 R/E INV MGMT NY 501(C)(3) LINE 12A, I ROCHESTER REGIONAL HEALTH 1 THE ROCHESTER GENERAL HOSPITAL FOUNDATION 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 222229425 FUNDRAISING NY 501(C)(3) LINE 12A, I ROCHESTER REGIONAL HEALTH 1 NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATION DRIVING PARK AVENUE NEWARK NY 14513 222963015 FUNDRAISING NY 501(C)(3) LINE 12A, I NWCH 1 NEWARK WAYNE COMMUNITY HOSPITAL DRIVING PARK AVENUE NEWARK NY 14513 150584188 HOSPITAL NY 501(C)(3) LINE 3 ROCHESTER REGIONAL HEALTH 1 RGHS WORKERS' COMPENSATION TRUST 1425 PORTLAND AVENUE ROCHESTER NY 14621 166429300 SEE PART VII NY 501(C)(3) LINE 12A, I ROCHESTER REGIONAL HEALTH 1 CONTINUING CARE NETWORK INC (CCN) 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 222963016 SUPPORT RGH NY 501(C)(3) LINE 12A, I ROCHESTER REGIONAL HEALTH 1 ROCHESTER GENERAL HUDSON HOUSING 2066 HUDSON AVENUE ROCHESTER NY 14621 223210351 LOW INC HOUSING NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 VIA HEALTH HOME CARE I 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 161504370 HOME HEALTH NY 501(C)(3) LINE 10 CCN 1 VIA HEALTH HOMECARE II 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 161538727 HOME HEALTH NY 501(C)(3) LINE 10 CCN 1 INDEPENDENT LIVING FOR SENIORS 2066 HUDSON AVENUE ROCHESTER NY 14617 161491059 ADULT DAY HC NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 ROCHESTER GENERAL LONG TERM CARE 1550 EMPIRE BLVD WEBSTER NY 14580 223187140 NH & REHAB NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 WESTERN NEW YORK MEDICAL PRACTICE PC 1425 PORTLAND AVENUE ROCHESTER NY 14621 611654232 PHYS PRAC NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 THE UNITY HOSPITAL OF ROCHESTER 1555 LONG POND RD ROCHESTER NY 14626 237221763 HOSPITAL NY 501(C)(3) LINE 3 ROCHESTER REGIONAL HEALTH 1 NORTH PARK NURSING HOME INC 1555 LONG POND RD ROCHESTER NY 14626 223159644 LONG TERM CARE FACILITY NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 PARK RIDGE NURSING HOME INC 1555 LONG POND RD ROCHESTER NY 14626 160978184 LONG TERM CARE FACILITY NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 UNITY HEALTH SYSTEM FOUNDATION 1555 LONG POND RD ROCHESTER NY 14626 119627400 FOUNDATION NY 501(C)(3) LINE 7 ROCHESTER REGIONAL HEALTH 1 ROCHESTER GENERAL HEALTH SYSTEM 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 222551509 SYSTEM SUPPORT NY 501(C)(3) LINE 12A, I ROCHESTER REGIONAL HEALTH 1 PARK RIDGE CHILD CARE CENTER INC 1555 LONG POND RD ROCHESTER NY 14626 222918126 CHILD DAY CARE SERVICES NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 PARK RIDGE HOUSING DEVELOPMENT FUND 1555 LONG POND RD ROCHESTER NY 14626 222608311 LOW INCOME HOUSING PROJECT FOR ELDERLY NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 PARK RIDGE HOUSING INC 1555 LONG POND RD ROCHESTER NY 14626 222570457 SENIOR APARTMENT COMPLEX NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 PARKWAY COMMONS HOUSING DEVELOPMENT 1555 LONG POND RD ROCHESTER NY 14626 223130818 LOW INCOME HOUSING FOR ELDERLY/HANDICAPPED NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 STBERNARD'S HOUSING DEVELOPMENT FU 1555 LONG POND RD ROCHESTER NY 14626 161492955 LOW INCOME HOUSING PROJECT NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 UNITY AGING SERVICES INC 1555 LONG POND RD ROCHESTER NY 14626 841684195 MANAGEMENT AND DEVELOPMENT CO NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 UNITY HOUSING DEVELOPMENT FUND CORP 1555 LONG POND RD ROCHESTER NY 14626 300068596 RECEIPT AND DISBURSEMENTS OF SUBSIDIES NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 WOODLAND VILLAGE INC 1555 LONG POND RD ROCHESTER NY 14626 161588242 SENIOR APARTMENT COMPLEX NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 UNITY AMBULATORY SURGERY CENTER INC 1555 LONG POND RD ROCHESTER NY 14626 383871383 OUTPATIENT SURGERY NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 UNITY HEALTH SYSTEM INC 1555 LONG POND ROAD ROCHESTER NY 14626 222572873 SYSTEM SUPPORT NY 501(C)(3) LINE 12A, I ROCHESTER REGIONAL HEALTH 1 UNITED MEMORIAL MEDICAL CENTER 127 NORTH STREET BOTAVIA NY 14020 160743029 HOSPITAL NY 501(C)(3) LINE 3 ROCHESTER REGIONAL HEALTH 1 HENRY FOSTER ASSOCIATES DBA CORPORATE CARE OF FINGER LAKES 4 COULTER ROAD CLIFTON SPRINGS NY 14432 161282294 EMPLOYEE ASSISTANCE PROGRAMS NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 CLIFTON SPRINGS HOSPITAL AND CLINIC 2 COULTER ROAD CLIFTON SPRINGS NY 14432 160743966 HOSPITAL NY 501(C)(3) LINE 3 ROCHESTER REGIONAL HEALTH 1 BEHAVIORAL HEALTH NETWORK INC 490 EAST RIDGE ROAD ROCHESTER NY 14621 166069131 MENTAL HEALTH NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 PRCD INC 1555 LONG POND RD ROCHESTER NY 14626 161311581 SUBSTANCE ABUSE TREATMENT & REHAB. NY 501(C)(3) LINE 7 ROCHESTER REGIONAL HEALTH 1 CLIFTON SPRINGS HOSPITAL & CLINIC FOUNDATION 2 COULTER ROAD CLIFTON SPRINGS NY 14432 161560033 FUNDRAISING NY 501(C)(3) LINE 11 ROCHESTER REGIONAL HEALTH 1 NW ASSOCIATES LP PO BOX 111 DRIVING PARK AVENUE NEWARK NY 14513 141674119 R/E LEASING NY NWCH RELATED 0 0 0.52570 PARMA SENIOR HOUSING 1555 LONG POND RD ROCHESTER NY 14626 432082116 HILTON PROJ NY ROCHESTER REGIONAL HEALTH RELATED 0 0 UNITY SENIOR HOUSING 1555 LONG POND RD ROCHESTER NY 14626 061709927 MOORE PK NY ROCHESTER REGIONAL HEALTH RELATED 0 0 BIG TREE GLENN PROPERTIES INC 127 NORTH STREET BATAVIA NY 14620 471852248 PROVIDES AFFORDABLE HOUSING NY UMMC RELATED 0 0 JEROME CENTER REDEVELOPMENT INC 127 NORTH STREET BATAVIA NY 14020 900461497 NONCONTROLLING MEMBER OF BANK STREET SENIOR HOUSING NY UMMC RELATED 0 0 LOSC MANAGEMENT LLC 10 HAGEN DRIVE SUITE 110 ROCHESTER NY 14625 010951203 MANAGEMENT SERVICE NY PRH RELATED 0 0 RIC MANAGEMENT 265 BROOKVIEW CENTRE WAY SUITE 400 KNOXVILLE TN 37919 461201798 MANAGEMENT SERVICE TN PRH RELATED 0 0 GREATER ROCHESTER ASSURANCE COMPANY LTD GEORGE TOWN GRAND CAYMAN CJ INSURANCE CJ N/A C 1.00000 0 GRACO RISK RETENTION GROUP INC 1425 PORTLAND AVENUE ROCHESTER NY 14621 710933967 INSURANCE SC RGH C 1.00000 0 NWA INC DRIVING PARK AVENUE NEWARK NY 14513 141667339 R/E LEASING NY NWCH C 1.00000 0 GREATER ROCHESTER INDEPENDENT PRACTICE ASSOCIATION INC 100 KINGS HWY S SUITE 2500 ROCHESTER NY 14617 161507171 INDEPENDENT PRACTICE ASSOCIATION NY N/A C 0.50000 0 ROCHESTER GENERAL HEALTH SYSTEM DIALYSIS INC 1425 PORTLAND AVENUE ROCHESTER NY 14621 383912199 DIALYSIS NY N/A C 1.00000 0 ACM MEDICAL LABORATORY INC 160 ELMGROVE PARK ROCHESTER NY 14624 161059691 CLINICAL LAB NY PRH INC C 0 PRH INC 1555 LONG POND ROAD ROCHESTER NY 14626 161329632 MEDICAL LAB NY N/A C 0 PARMA SENIOR HOUSING LLC 1555 LONG POND ROAD ROCHESTER NY 14626 810671687 SENIOR HOUSING NY N/A C 0 UNITY SENIOR HOUSING CORP 1555 LONG POND ROAD ROCHESTER NY 14624 061709925 SENIOR HOUSING NY N/A C 0 WOODBURY ENTERPRISES INC 2 COULTER ROAD CLIFTON SPRINGS NY 14432 161342461 LEASING EQUIPMENT NY CSS C 0 GREATER ROCHESTER IMMEDIATE MEDICAL CARE PLLC DBA ROCHESTER IMMEDIATE CARE 265 BROOKVIEW CENTRE WAY SUITE 400 KNOXVILLE TN 37919 271453784 URGENT CARE CENTERS TN WESTERN NEW YORK MEDICAL PC C 1.00000 0 ROCHESTER MEDICINE PLLC 265 BROOKVIEW CENTRE WAY SUITE 400 KNOXVILLE TN 37919 812625325 OCCUPATIONAL MEDICINE TN WESTERN NEW YORK MEDICAL PC C 1.00000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 ROCHESTER GENERAL HOSPITAL Q 11467750 FMV THE UNITY HOSPITAL OF ROCHESTER Q 5329932 FMV NORTH PARK NURSING HOME Q 175805 FMV PARK RIDGE NURSING HOME Q 391865 FMV ROCHESTER GENERAL HOSPITAL FOUNDATION Q 458854 FMV NEWARK WAYNE COMMUNITY HOSPITAL Q 2872049 FMV ROCHESTER GENERAL LONG TERM CARE Q 424383 FMV INDEPENDENT LIVING FOR SENIORS Q 425752 FMV ROCHESTER MENTAL HEALTH CENTER Q 247088 FMV CLIFTON SPRINGS HOSPITAL Q 405478 FMV PARK RIDGE HOUSING Q 127711 FMV UNITY AGING SERVICES Q 164548 FMV GRHSF Q 202739 FMV UMMC Q 458256 FMV SCHEDULE R, PART II, COLUMN (B): RELATED TAX-EXEMPT ORGANIZATION - PRIMARY ACTIVITY: RGHS WORKERS' COMPENSATION TRUST SUPPORTS THE ROCHESTER GENERAL HOSPITAL, NEWARK WAYNE COMMUNITY HOSPITAL, ROCHESTER GENERAL LONG TERM CARE, INDEPENDENT LIVING FOR SENIORS, VIAHEALTH HOMECARE I, VIAHEALTH HOMECARE II, BEHAVIORAL HEALTH NETWORK, INC, CLIFTON SPRINGS HOSPITAL & CLINIC AND UNITED MEMORIAL MEDICAL CENTER.