2017-11-14T15:11:19-06:00 2016-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2016-01-01 223187140 ROCHESTER GENERAL LONG TERM CARE ROCH 5859221032 1550 EMPIRE BLVD WEBSTER NY 14580 THOMAS R CRILLY CFO 5859221032 2017-11-13 1 ANGELA M FRANCO P00589741 3154463600 2017-11-13 24.39.85.114 2017-11-13 18:35:54 ES P 517AEBE328CBAAA90E396C2FD1060AA56161F780 517AEBE328CBAAA90E396C2FD1060AA56161F780 2016 2017-02-10 21:41:12Z HILL HAVEN NURSING HOME ERIC J BIEBER MD 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 28194143 0 X WWW.ROCHESTERREGIONAL.ORG X 1993 NY TO OPERATE LONG TERM HEALTH FACILITIES AND SERVICES FOR THE CARE AND TREATMENT OF SICK, INVALID, INFIRM, AGED, DISABLED OR CONVALESCENT PERSONS. 26 24 534 0 0 0 1942 210601 24848073 26481701 5137 0 1437846 1501841 26292998 28194143 300 2058 0 0 18327957 18049481 0 0 0 12341160 13328667 30669417 31380206 -4376419 -3186063 25129742 21913777 16944016 16914114 8185726 4999663 TO ESTABLISH, AQUIRE, DEVELOP, OWN, OPERATE AND MAINTAIN LONG TERM HEALTH CARE FACILITIES AND SERVICES FOR THE CARE AND TREATMENT OF SICK, INVALID, INFIRM, AGED, DISABLED OR CONVALESCENT PERSONS IN ACCORDANCE WITH THE PUBLIC HEALTH LAW OF THE STATE OF NEW YORK. 0 0 26922613 2058 27983542 THE ORGANIZATION PROVIDES 24-HOUR SKILLED NURSING CARE TO THOSE IN NEED OF REHABILIATION, LONG-TERM CARE, TRANSITIONAL CARE, HOSPICE CARE, AND CARE FOR ALZEHEIMER'S-TYPE DEMENTIA. THE GOAL IS TO HELPRESIDENTS REACH THEIR GREATEST LEVEL OF PHYSICAL FUNCTIONING AND EMOTIONAL WELL-BEING. THE FACILITY IS A PARK-LIKE SETTING IN WEBSTER, NY WITH 288 BEDS, DEDICATED ROOMS FOR MINGLING AND RECREATION, AND BEAUTIFULLY LANDSCAPED GROUNDS. RESIDENTS HAVE ACCESS TO IN-HOUSE MEDICAL CARE PROVIDED BY PHYSICIANS, NURSE PRACTITIONERS, AND A RANGE OF MEDICAL AND REHABILITATION SPECIALISTS. THE ORGANIZATION IS COMMITED TO HELPING SENIORS STAY AS CONNECTED TO THE COMMUNITY AS POSSIBLE WITH SPECIAL PROGRAMS AND AN OPEN DOOR FOR FAMILY AND FRIENDS. 26922613 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 25 0 1 534 1 0 0 0 0 0 0 0 0 0 0 X 26 24 0 0 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X CHRIS PETERSON 5859220089 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 ROBERT DOBIES CHAIR OF THE BOARD 1.00 1.00 X 0 0 0 MICHAEL R NUCCITELLI VICE CHAIR 1.00 1.00 X 0 0 0 ROBERT SANDS SECRETARY 1.00 1.00 X 0 0 0 FAHEEM AR MASOOD TREASURER 1.00 1.00 X 0 0 0 ERIC BIEBER MD CEO 1.00 54.00 X X 63942 3452878 1064908 RACHEL ADONIS DIRECTOR 1.00 1.00 X 0 0 0 RALPH DESTEPHANO DIRECTOR 1.00 1.00 X 0 0 0 ROBERT HAVRILLA DIRECTOR 1.00 1.00 X 0 0 0 JAGAT MEHTA MD DIRECTOR 1.00 1.00 X 0 0 0 ELIZABETH PATTON PHD DIRECTOR 1.00 1.00 X 0 0 0 THOMAS PENN MD DIRECTOR 1.00 1.00 X 0 0 0 THOMAS RILEY DIRECTOR 1.00 1.00 X 0 0 0 NANCY FERRIS PHD DIRECTOR 1.00 1.00 X 0 0 0 JOHN GENIER MD DIRECTOR 1.00 1.00 X 0 0 0 TARUN KOTHARI MD DIRECTOR 1.00 1.00 X 0 0 0 ANNA LYNCH DIRECTOR 1.00 1.00 X 0 0 0 LEONARD OLIVIERI DIRECTOR 1.00 1.00 X 0 0 0 EFRAIN RIVERA DIRECTOR 1.00 1.00 X 0 0 0 LEON T SAWYKO DIRECTOR 1.00 1.00 X 0 0 0 JUSTIN SMITH DIRECTOR 1.00 1.00 X 0 0 0 LINDA BECKER DIRECTOR 1.00 1.00 X 0 0 0 KAREN M GALLINA DIRECTOR 1.00 1.00 X 0 0 0 JEFFREY C MAPSTONE DIRECTOR 1.00 1.00 X 0 0 0 DANIEL MEYERS DIRECTOR 1.00 1.00 X 0 0 0 WILLIAM DESTLER PHD DIRECTOR 1.00 1.00 X 0 0 0 THOMAS HOUSEKNECHT DIRECTOR 1.00 1.00 X 0 0 0 THOMAS CRILLY CFO 1.00 54.00 X 18412 994204 427250 ROBERT NESSELBUSH COO 0.00 55.00 X 0 1608627 676261 HUGH THOMAS CAO 1.00 54.00 X 22380 1208560 512645 MARK KLYCZEK VICE PRESIDENT, LTC 20.00 35.00 X 126711 221742 109799 SANRDA DUELL MANAGER, NURSING 40.00 0.00 X 116684 0 48310 KATHY THURMEIER MANAGER, PHARMACY 40.00 0.00 X 142042 0 31619 LOUANN RUPERT PHARMACIST 40.00 0.00 X 116478 0 45345 CATHERINE CHABRIER ADMINISTRATOR 40.00 0.00 X 155726 0 20517 DEBRA DEMOTT DIRECTOR OF NURSING 40.00 0.00 X 148294 0 22376 MARK CLEMENT FORMER CEO (UNTIL 11/30/20 0.00 X 0 1373284 30715 910669 8859295 2989745 6 1 1 0 SUPPLEMENTAL HEALTH CARE SHC SERVICES I PO BOX 677896 DALLAS TX 75267 TEMPORARY STAFF SERVICES 234870 DGA BUILDERS LLC 1170 PITTSFORD VICTOR ROAD SUITE 10 PITTSFORD NY 14534 CONSTRUCTION 116283 2 209978 623 210601 PATIENT/RESIDENT SERVICE REVENUE 623000 26481701 26481701 26481701 PHARMACY 446110 1421497 1421497 CAFETERIA 445100 63882 63882 VENDING/LAUNDRY REVENUE 812320 6998 6998 9464 9464 1501841 28194143 27983542 0 0 X 2058 2058 307822 264544 43278 14731620 12518982 2212638 912740 775829 136911 1094066 929956 164110 1003233 852748 150485 6593 6593 5604768 4764053 840715 9273 9273 79205 67324 11881 824325 700676 123649 8632 7337 1295 1285400 1092590 192810 44366 37711 6655 MEDICAL SUPPLIES 3514053 2986945 527108 NYS REVENUE AND RECEIPT 1361316 1361316 0 BAD DEBTS 389457 389457 SHARED SERVICES 15917 13529 2388 185362 157558 27804 31380206 26922613 4457593 0 46275 2500 240170 3126509 2750613 249590 290067 937977 13000 25153695 10817670 14949300 14336025 5820091 4281402 25129742 21913777 2292131 2979881 240184 14651885 13694049 16944016 16914114 X 8185726 4999663 8185726 4999663 25129742 21913777 -3186063 0 X X 0 1 X 1 0 X 5218 5651 2753 1942 210601 226165 24759888 24548795 24996031 24848073 26481701 125634488 24765106 24554446 24998784 24850015 26692302 125860653 0 0 0 125860653 885 3047 655 5137 0 9724 885 3047 655 5137 9724 609783 1217008 1380977 1437846 1501841 6147455 25375774 25774501 26380416 26292998 28194143 132017832 0.95340 0.96160 0.00010 0.00010 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2012 AMOUNT: $ 194,276. 2013 AMOUNT: $ 129,363. 2014 AMOUNT: $ 17,481. 2015 AMOUNT: $ 19,648. 2016 AMOUNT: $ 6,730. PHARMACY INCOME - 2012 AMOUNT: $ 326,680. 2013 AMOUNT: $ 1,011,477. 2014 AMOUNT: $ 1,287,844. 2015 AMOUNT: $ 1,357,915. 2016 AMOUNT: $ 1,421,497. CAFETERIA INCOME - 2012 AMOUNT: $ 84,201. 2013 AMOUNT: $ 73,855. 2014 AMOUNT: $ 75,555. 2015 AMOUNT: $ 60,283. 2016 AMOUNT: $ 63,882. GIFT SHOP INCOME - 2012 AMOUNT: $ 4,626. 2013 AMOUNT: $ 2,313. 2014 AMOUNT: $ 97. 2015 AMOUNT: $ 0. 2016 AMOUNT: $ 0. VENDING INCOME - 2012 AMOUNT: $ 0. 2013 AMOUNT: $ 0. 2014 AMOUNT: $ 0. 2015 AMOUNT: $ 0. 2016 AMOUNT: $ 6,998. HAIR INCOME - 2012 AMOUNT: $ 0. 2013 AMOUNT: $ 0. 2014 AMOUNT: $ 0. 2015 AMOUNT: $ 0. 2016 AMOUNT: $ 197. XEROX COPY INCOME - 2012 AMOUNT: $ 0. 2013 AMOUNT: $ 0. 2014 AMOUNT: $ 0. 2015 AMOUNT: $ 0. 2016 AMOUNT: $ 2,537. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 17524891 5665293 11859598 1878385 1433767 444618 5156947 3718610 1438337 593472 593472 14336025 DUE FROM AFFILIATES 774 ESTIMATED THIRD PARTY RECEIVABLES 331000 SELF INSURANCE 3941364 OTHER ASSETS 8264 4281402 ESTIMATED THIRD PARTY PAYABLES 5897908 ACCRUED SELF-INSURED LIABILITY 5765982 DUE TO AFFILIATES 2029698 DEFERRED COMPENSATION 461 13694049 28194143 0 28194143 0 28194143 31380206 0 31380206 0 31380206 1 1 0 0 0 0 0 0 0 ERIC BIEBER MD CEO 20291 1095724 43651 2357154 0 0 18397 993449 965 52097 83304 4498424 19460 1050827 THOMAS CRILLY CFO 7915 427392 10497 566812 0 0 6828 368708 940 50774 26180 1413686 6778 365989 ROBERT NESSELBUSH COO 0 747958 0 860669 0 0 0 624284 0 51977 0 2284888 0 556513 HUGH THOMAS CAO 9950 537324 12430 671236 0 0 8479 457869 842 45455 31701 1711884 8040 434181 MARK KLYCZEK VICE PRESIDENT, LTC 87975 153955 38736 67787 0 0 36265 63465 3661 6408 166637 291615 25568 44745 SANRDA DUELL MANAGER, NURSING 102872 0 13812 0 0 0 42904 0 5406 0 164994 0 0 0 KATHY THURMEIER MANAGER, PHARMACY 125028 0 17014 0 0 0 24403 0 7216 0 173661 0 0 0 LOUANN RUPERT PHARMACIST 116478 0 0 0 0 0 36994 0 8351 0 161823 0 0 0 CATHERINE CHABRIER ADMINISTRATOR 129424 0 26302 0 0 0 19847 0 670 0 176243 0 0 0 DEBRA DEMOTT DIRECTOR OF NURSING 127903 0 20391 0 0 0 21781 0 595 0 170670 0 0 0 MARK CLEMENT FORMER CEO (UNTIL 11/30/20 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) - MARK CLEMENT (CEO UNTIL 11/30/14) - HUGH THOMAS (CAO) - ROBERT NESSELBUSH (COO) 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 GENERAL LONG TERM CARE. 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 PAYMENTS OF COMPENSATION WHICH WAS RECOGNIZED IN PREVIOUS TAX RETURNS. THERE WAS NO INCREMENTAL EXPENSE RECOGNIZED BY THE ORGANIZATION IN 2016 FOR PAYMENTS MADE TO THE FORMER CEO'S. ANNA LYNCH DIRECTOR 235588 ANNA LYNCH IS A MANAGING PARTNER AT UNDERBERG & KESSLER. UNDERBERG & KESSLER PROVIDES LEGAL SERVICES TO VARIOUS AFFILIATES OF THE HEALTH SYSTEM. 0 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 6 THE ORGANIZATION IS A MEMBERSHIP (NOT A STOCK) CORPORATION UNDER NEW YORK STATE LAW. THE ORGANIZATION'S SOLE CORPORATE MEMBER IS ROCHESTER REGIONAL HEALTH, A RELATED NOT-FOR-PROFIT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B ROCHESTER REGIONAL HEALTH, AS THE SOLE MEMBER, ALSO HAS THE RIGHT TO APPROVE OR RATIFY SIGNIFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY, INCLUDING AMENDMENT OF BYLAWS AND CHARTERS, REMOVAL OF MEMBERS OF THE GOVERNING BODY, AND THE DECISION TO DISSOLVE THE ORGANIZATION. 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. BOARD MEMBERS LEAVE THE ROOM DURING DISCUSSIONS AND ABSTAIN FROM VOTING WHEN THEY HAVE A CONFLICT OF INTEREST. 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 OF ROCHESTER REGIONAL HEALTH, A RELATED NOT-FOR-PROFIT ORGANIZATION. 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 HEALTH CARE 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 OF THE AFFILIATED HEALTH SYSTEM AT 100 KINGS HIGHWAY SOUTH, ROCHESTER, NY 14617 AND ADMINISTRATIVE OFFICES OF THE FILING ORGANIZATION. A NOMINAL FEE IS CHARGED IF COPIES ARE REQUESTED. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 4,764,053. MANAGEMENT AND GENERAL EXPENSES 840,715. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,604,768. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 5471 FILED ON BEHALF STATEMENT STATEMENT PURSUANT TO TREAS REG SEC 1 6038-2(J)(3) THE FOLLOWING INFORMATION IS SUBMITTED WITH RESPECT TO ROCHESTER GENERAL LONG TERM CARE'S FORM 5471 (INFORMATION RETURN OF U S PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS) FILING REQUIREMENT FOR THE ENTITY BELOW NAME OF FOREIGN CORPORATION GREATER ROCHESTER ASSURANCE COMPANY, LTD BEGINNING TAX YEAR OF FOREIGN CORPORATION JANUARY 1, 2016 ENDING TAX YEAR OF FOREIGN CORPORATION DECEMBER 31, 2016 THE FORM 5471 FILING REQUIREMENT FOR THIS FOREIGN CORPORATION FOR CATEGORIES 4 AND 5 HAVE BEEN SATISFIED BY INCLUSION IN THE FOLLOWING US FILER'S TAX RETURN NAME OF US FILER ROCHESTER REGIONAL HEALTH. ADDRESS OF US FILER 100 KINGS HIGHWAY SOUTH ROCHESTER, NY 14617 EIN OR SSN 47-1234999 ENDING TAX YEAR OF US FILER DECEMBER 31, 2016 TYPE OF RETURN FILED 990 IRS CENTER WHERE RETURN FILED OGDEN, UTAH 84201-0027. 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 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 ROCHESTER REGIONAL HEALTH 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 471234999 SYSTEM PARENT NY 501(C)(3) LINE 12A, I N/A 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 AND CLINIC FOUNDATION 2 COULTER ROAD CLIFTON SPRINGS NY 14432 161560033 FUNDRAISING NY 501(C)(3) LINE 12A, I 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 PARMA SENIOR HOUSING 1555 LONG POND RD ROCHESTER NY 14626 432082116 HILTON PROJ NY N/A 0 0 UNITY SENIOR HOUSING 1555 LONG POND RD ROCHESTER NY 14626 061709927 MOORE PK NY N/A 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 RGHS 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 ROCHESTER REGIONAL HEALTH 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 PARMA SENIOR HOUSING LLC 1555 LONG POND ROAD ROCHESTER NY 14626 810671687 SENIOR HOUSING NY ROCHESTER REGIONAL HEALTH C 0 UNITY SENIOR HOUSING CORP 1555 LONG POND ROAD ROCHESTER NY 14624 061709925 SENIOR HOUSING NY ROCHESTER REGIONAL HEALTH C 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 INDEPENDENT LIVING FOR SENIORS L 3127806 FMV ROCHESTER GENERAL HOSPITAL P 1262328 FMV ROCHESTER REGIONAL HEALTH P 424383 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.