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      <Description>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 1,324 FULL-TIME TENURED FACULTY MEMBERS AND 9,943 UNDERGRADUATE AND GRADUATE STUDENTS ENROLLED IN THE UNIVERSITY. THE UNIVERSITY HAS ALWAYS PLACED FINANCIAL AID FOR ITS STUDENTS AMONG ITS HIGHEST PRIORITIES. THE AVERAGE SCHOLARSHIP COVERS ABOUT 40 PERCENT 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 5.9 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.</Description>
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        <Description>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. THERE WERE 267,920 PATIENT DAYS AND 1,285,185 EMERGENCY AND CLINICAL VISITS DURING THE 2012-2013 FISCAL YEAR. 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.</Description>
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        <NamePerson>BERNARD T FERRARI MD</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DAVID FLAUM</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BARRY W FLORESCUE</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ROGER B FRIEDLANDER</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ANI GABRELLIAN</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>0.25</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ROBERT B GOERGEN</NamePerson>
        <Title>CHAIR EMERITUS</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GWEN MELTZER GREENE</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PAUL F GRINER</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>EDMUND A HAJIM</NamePerson>
        <Title>Chair</Title>
        <AverageHoursPerWeek>3.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RICHARD B HANDLER</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ALAN F HILFIKER</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CAROL D KARP</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ROBERT KEEGAN</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOHN M KELLY</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LAURENCE KESSLER</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>EVANS LAM</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>0.25</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LOUIS G LANGE MD</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>NANCY A LIEBERMAN</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GAIL A LIONE</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CATHY E MINEHAN</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>NATHAN F MOSER</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KATHLEEN ANN MURRAY</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SANDRA A PARKER</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>0.25</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PHILIP A PIZZO MD</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>2500</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>FRANCIS L PRICE</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ELENA A PROKUPETS</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RONALD RETTNER</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>0.25</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>THOMAS S RICHARDS</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MICHAEL S ROSEN</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RICHARD E SANDS</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>THOMAS R SLOAN</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>HUGO F SONNENSCHEIN</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KATHY N WALLER</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DANIEL R WEGMAN</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>TIMOTHY C WENTWORTH</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>0.25</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RALPH R WHITNEY JR</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JANICE M WILLETT</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CARL C WILLIAMS</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>THOMAS C WILMOT SR</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>NATHANIEL WISCH MD</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
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        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>G ROBERT WITMER JR</NamePerson>
        <Title>CHAIR EMERITUS</Title>
        <AverageHoursPerWeek>3.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JAMES C WYANT</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PAUL J BURGETT</NamePerson>
        <Title>VP AND SR ADVISOR-PRES &amp; DEAN</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>151298</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>27843</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BRADFORD C BERK</NamePerson>
        <Title>SR. VP HEALTH SCIENCE</Title>
        <AverageHoursPerWeek>65.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.3</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>937152</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>289016</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ROBERT L CLARK</NamePerson>
        <Title>SRVP RESEARCH&amp;DEAN HAJIM ASE</Title>
        <AverageHoursPerWeek>55.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>451886</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>46335</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RALPH W KUNCL</NamePerson>
        <Title>PROVOST &amp; EXEC. VP- TIL 8/12</Title>
        <AverageHoursPerWeek>74.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>392707</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>42494</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PETER LENNIE</NamePerson>
        <Title>PROVOST &amp; DEAN OF FACULTY-ASE</Title>
        <AverageHoursPerWeek>60.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>501609</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>40196</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LAMAR MURPHY</NamePerson>
        <Title>GENL SECRETARY&amp;CHIEF OF STAFF</Title>
        <AverageHoursPerWeek>55.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.0</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>217248</ReportableCompFromOrganization>
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        <Explanation>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 OUR 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.</Explanation>
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        <Explanation>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.</Explanation>
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        <Explanation>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: HTTP://WWW.ROCHESTER.EDU/DIVERSITY/PHILOSOPHY.HTML.</Explanation>
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      <MedicareSurplusOrShortfall>-9590108</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostAccountingSystem>X</CostAccountingSystem>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>STRONG MEMORIAL HOSPITAL &amp;EXT CLINICS</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>601 ELMWOOD AVENUE</AddressLine1>
          <City>ROCHESTER</City>
          <State>NY</State>
          <ZIPCode>14642</ZIPCode>
        </Address>
        <WebsiteAddress>WWW.URMC.ROCHESTER.EDU/STRONG-MEMORIAL</WebsiteAddress>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <ChildrensHospital>X</ChildrensHospital>
        <TeachingHospital>X</TeachingHospital>
        <ResearchFacility>X</ResearchFacility>
        <Er24Hours>X</Er24Hours>
        <Other>OUTPATIENT MED CLINI OUTPATIENT MENTAL HE METHADONE MAINTENANC</Other>
        <FacilityReportingGroup>1</FacilityReportingGroup>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>STRONG MEMORIAL HOSPITAL</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <CHNAConducted>true</CHNAConducted>
        <CommunityDefinition>X</CommunityDefinition>
        <CommunityDemographics>X</CommunityDemographics>
        <ExistingResources>X</ExistingResources>
        <HowDataObtained>X</HowDataObtained>
        <CommunityHealthNeeds>X</CommunityHealthNeeds>
        <OtherHealthIssues>X</OtherHealthIssues>
        <IdentifyingProcess>X</IdentifyingProcess>
        <ConsultingProcess>X</ConsultingProcess>
        <InformationGaps>X</InformationGaps>
        <NeedsAssessmentConducted>12</NeedsAssessmentConducted>
        <TakeIntoAccount>true</TakeIntoAccount>
        <OtherFacilities>true</OtherFacilities>
        <CHNAWidelyAvailable>true</CHNAWidelyAvailable>
        <OwnWebsite>X</OwnWebsite>
        <OnRequest>X</OnRequest>
        <OtherMethod>X</OtherMethod>
        <AdoptImplementStrategy>X</AdoptImplementStrategy>
        <ExecuteImplementStrategy>X</ExecuteImplementStrategy>
        <DevelopCommunityPlan>X</DevelopCommunityPlan>
        <ParticipateCommunityPlan>X</ParticipateCommunityPlan>
        <PrioritizeHealthNeeds>X</PrioritizeHealthNeeds>
        <PrioritizeServices>X</PrioritizeServices>
        <AllNeedsAddressed>false</AllNeedsAddressed>
        <OrganizationIncurExciseTax>false</OrganizationIncurExciseTax>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>200.</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>400.</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <MedicaidMedicare>X</MedicaidMedicare>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <AttachedToInvoices>X</AttachedToInvoices>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <ProvidedOnAdmission>X</ProvidedOnAdmission>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NotifyUponAdmission>X</NotifyUponAdmission>
        <NotifyBeforeDischarge>X</NotifyBeforeDischarge>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <MedicareRate>X</MedicareRate>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>8</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EASTMAN DENTAL CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>625 ELMWOOD AVENUE</AddressLine1>
            <City>ROCHESTER</City>
            <State>NY</State>
            <ZIPCode>14620</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT DENTAL CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>UNIVERSITY DENTAL FACULTY GROUP</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2400 SOUTH CLINTON AVENUE BLDG H S</AddressLine1>
            <City>ROCHESTER</City>
            <State>NY</State>
            <ZIPCode>14618</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT DENTAL CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>ENRICO FERMI DENTAL CLINIC AT SCHOOL #17</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>158 ORCHARD STREET</AddressLine1>
            <City>ROCHESTER</City>
            <State>NY</State>
            <ZIPCode>14611</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT DENTAL CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EASTMAN DENTAL DOWNTOWN CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>228 EAST MAIN STREET</AddressLine1>
            <City>ROCHESTER</City>
            <State>NY</State>
            <ZIPCode>14604</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT DENTAL CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EDC SMILEMOBILE VANS</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>625 ELMWOOD AVENUE</AddressLine1>
            <City>ROCHESTER</City>
            <State>NY</State>
            <ZIPCode>14620</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT DENTAL CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>ORAL MEDICINE SALIVARY DYSFUNCTION</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>601 ELMWOOD AVENUE</AddressLine1>
            <City>ROCHESTER</City>
            <State>NY</State>
            <ZIPCode>14642</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT DENTAL CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EDC-MONROE COMMUNITY HOSPITAL CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>435 EAST HENRIETTA ROAD</AddressLine1>
            <City>ROCHESTER</City>
            <State>NY</State>
            <ZIPCode>14620</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT DENTAL CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EDC-HILLSIDE CHILDRENS CENTER CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1183 MONROE AVENUE</AddressLine1>
            <City>ROCHESTER</City>
            <State>NY</State>
            <ZIPCode>14620</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT DENTAL CLINIC</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>PART I, LINE 7g</Identifier>
        <Explanation>COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC WERE INCLUDED ON PART I, LINE 7g, SUBSIDIZED HEALTH SERVICES, AND INCLUDED TOTAL COMMUNITY BENEFIT EXPENSE OF $40,303,314; DIRECT OFFSETTING REVENUE OF $30,809,433; NET COMMUNITY BENEFIT EXPENSE OF $9,493,881.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART I, LINE 7, COLUMN (f)</Identifier>
        <Explanation>THE AMOUNT OF BAD DEBT EXPENSE 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 $13,597,901.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART I, LINE 7 (COSTING METHODOLOGY USED)</Identifier>
        <Explanation>THE COSTING METHODOLOGY USED IN CALCULATING THE AMOUNTS REPORTED ON THE LINE 7 TABLE ARE BASED ON A COST ACCOUNTING SYSTEM.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART II (COMMUNITY BUILDING ACTIVITIES)</Identifier>
        <Explanation>THE COMMUNITY BUILDING PROGRAMS REPORTED IN PART II PROMOTE THE HEALTH OF THE COMMUNITY IN MANY WAYS. EXAMPLES INCLUDE: American Cancer Society Gala: Event to raise awareness and funds for the American Cancer Society. Finger Lakes African American Health Coalition: The African American Health Coalition is a group 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 health Disparities. Rochester Youth Violence Partnership: The Rochester Youth Violence Partnership is a group based at the trauma center that includes prominent members from local and county government, local law enforcement and community representatives dedicated to reducing violence in our young people. Youths who have been victims of penetrating trauma are known to be at significant risk of subsequent death due to violence. This group works with youths under the age of 18 who have been shot or stabbed to address the identified risk factors to prevent further injury. Pediatric Links with the Community: To inspire and enable health care professionals to participate in community-based partnerships, evidence-based programs, and advocacy to improve the health of children and families. Burn Bowling Event: Community Fundraiser for Pediatric Compression Garments. Burn Camp: Burn Awareness and Prevention. Clothesline Festival: Education. Finger Lakes Regional Burn Association Meetings: The Finger Lakes Regional Burn Association (FLRBA) is an independent, non for profit organization dedicated to increasing awareness of burn-related issues and helping burn survivors-monthly reoccurrence. Just the Facts: To provide education and support for newly diagnosed breast cancer patients and families. Finger Lakes Regional Burn Walk: The Finger Lakes Regional Burn Association hosts a 10K run to raise money for the children's burn camp held each year. Young Adult Survivors: To provide a safe venue for Young survivors to share experiences, while building confidence and connections to young adult cancer survivors connected to resources that will help to move them forward.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART III, SECTION A, LINE 4 (BAD DEBT EXPENSE, COSTING METHODOLOGY USED)</Identifier>
        <Explanation>THE TEXT OF THE BAD DEBT FOOTNOTE FOR THE UNIVERSITY CAN BE FOUND ON PAGE 13 (ITEM 1Q) OF THE 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART III, SECTION B, LINE 8 (COSTING METHODOLOGY, MEDICARE SHORTFALL)</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART III, SECTION C, LINE 9b (COLLECTION PRACTICES)</Identifier>
        <Explanation>CHARITY CARE POLICY 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). FULLY COMP</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART V, SECTION B, LINE 3</Identifier>
        <Explanation>COMMUNITY INPUT IS AN ONGOING PROCESS IN MONROE COUNTY AND COLLABORATION AMONG THE HOSPITALS AND THE COMMUNITY IS VITAL TO INFORM OUR AGENDA. EACH OF THE HOSPITAL SYSTEMS INCLUDED IN THE CHNA: UNIVERSITY OF ROCHESTER MEDICAL CENTER STRONG MEMORIAL HOSPITAL, HIGHLAND HOSPITAL, ROCHESTER GENERAL HEALTH SYSTEM, UNITY HEALTH SYSTEM AND LAKESIDE 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 EITHER ANNE KERN, PUBLIC HEALTH PROGRAM COORDINATOR, OR BYRON KENNEDY, MD, PHD, MPH, DIRECTOR OF THE HEALTH DEPARTMENT. BOTH ARE AWARE OF COMMUNITY NEEDS, OVERSEE THE ADULT HEALTH SURVEY AND ARE EXPERTS IN EFFECTIVE PUBLIC HEALTH ASSESSMENT AND INTERVENTION. THERESA GREEN, DIRECTOR OF COMMUNITY HEALTH POLICY AND ANDREA DEMEO, EXECUTIVE DIRECTOR AND CHIEF OPERATING OFFICER, BOTH FOR THE URMC CENTER FOR COMMUNITY HEALTH, PROVIDED EXPERT ADVICE ON COMMUNITY ENGAGEMENT AND EVIDENCE BASED INTERVENTIONS. IN ADDITION, 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, DIRECTOR OF COMMUNITY ENGAGEMENT OR AL BRADLEY, SENIOR MANAGER. THIS HIGH LEVEL COLLABORATION AMONG COMMUNITY MEMBERS, PUBLIC HEALTH PROVIDERS AND HOSPITAL SYSTEMS, ALONG WITH THE ROBUST HEALTH ACTION PROCESS OF COMMUNITY INPUT GATHERING, PROVIDES A TRULY COMMUNITY BASED HEALTH NEEDS ASSESSMENT AND IMPROVEMENT PLAN.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART V, SECTION B, LINE 4</Identifier>
        <Explanation>THE CHNA WAS CONDUCTED WITH OTHER HOSPITALS. AN ASSESSMENT OF MONROE COUNTY WAS CONDUCTED JOINTLY BY UNIVERSITY OF ROCHESTER MEDICAL CENTER STRONG MEMORIAL HOSPITAL, HIGHLAND HOSPITAL, ROCHESTER GENERAL HEALTH SYSTEM, UNITY HEALTH SYSTEM AND LAKESIDE HEALTH SYSTEM, ALONG WITH THE FINGER LAKES HEALTH SYSTEM AGENCY AND THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART V, SECTION B, LINE 5A AND 5C</Identifier>
        <Explanation>A COPY OF THE ORGANIZATION'S CHNA AND IMPLEMENTATION/IMPROVEMENT PLAN CAN BE FOUND AT: HTTP://WWW.URMC.ROCHESTER.EDU/COMMUNITY-ENGAGEMENT/ OUR CHNA AND IMPLEMENTATION/IMPROVEMENT PLAN ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND ARE ALSO POSTED THE HOSPITAL SYSTEM'S WEBSITE AND ON THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH'S WEBSITE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART V, SECTION B, LINE 7</Identifier>
        <Explanation>THE FIRST CHNA AND IMPLEMENTATION PLAN FOR THE ORGANIZATION WAS ADOPTED JUNE 30, 2013. AS A RESULT, THE ORGANIZATION HAS NOT YET HAD THE OPPORTUNITY TO BEGIN ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART VI, LINE 2 (NEEDS ASSESSMENT)</Identifier>
        <Explanation>MONROE COUNTY ASSESSES THE HEALTH NEEDS OF THE COMMUNITY THROUGH "HEALTHACTION," A ROBUST COMMUNITY-WIDE PROCESS ESTABLISHED IN 1995 THAT IS LED BY THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH (MCDPH). IT INVOLVES ALL FOUR LOCAL HEALTH SYSTEMS, LOCAL INSURERS, AND OTHER KEY COMMUNITY STAKEHOLDERS. THE MONROE COUNTY COMMUNITY HEALTH IMPROVEMENT WORKGROUP, CONSISTING OF STRONG MEMORIAL HOSPITAL, HIGHLAND HOSPITAL, ROCHESTER GENERAL HOSPITAL, UNITY HEALTH SYSTEM, ALONG WITH THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH AND FINGER LAKES HEALTH SYSTEMS AGENCY BEGAN MEETING MONTHLY IN MAY 2012 TO ASSESS THE NEEDS OF THE COMMUNITY, CONTINUING A LONG HISTORY OF COLLABORATION. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS DEVELOPED BASED ON SEVERAL SOURCES OF LOCAL, STATE AND NATIONAL DATA WITH EXTENSIVE INPUT FROM THE HEALTH DEPARTMENT AND COMMUNITY MEMBER FORUMS THROUGH THE "HEALTHACTION" PROCESS. ALSO REFERENCED WERE THE HEALTH IMPROVEMENT PRIORITIES IDENTIFIED IN THE NEW YORK STATE PREVENTION AGENDA. DATA POINTED TO THE UNDERLYING BEHAVIORS AND RISK FACTORS THAT LEAD TO CHRONIC DISEASE AS A NEEDED AREA OF IMPROVEMENT. THE COMMUNITY HEALTH NEEDS ASSESSMENT REVEALED THAT THE TOP THREE CAUSES OF DEATH IN MONROE COUNTY ARE HEART DISEASE, CANCER AND STROKE. THE ACTUAL, OR UNDERLYING, CAUSES OF DEATH FOR THESE MORTALITIES ARE TOBACCO, POOR DIET, AND PHYSICAL INACTIVITY, WHICH ALSO LEAD TO CHRONIC DISEASE AND HYPERTENSION, BOTH OF PARTICULAR CONCERN TO MONROE COUNTY. INCREASING PHYSICAL ACTIVITY AND IMPROVING NUTRITION WERE IDENTIFIED AS PRIORITIES FOR ACTION THAT ALL THREE DEMOGRAPHIC FORUMS IN THE "HEALTHACTION" COMMUNITY INPUT PROCESS CHOSE INDEPENDENTLY. FOR THIS REASON, INTERVENTIONS THAT ADDRESS THESE PRIORITIES WERE INCORPORATED INTO THE COMMUNITY HEALTH IMPROVEMENT PLAN. THE PLAN WAS JOINTLY DRAFTED BY THE COMMUNITY HEALTH IMPROVEMENT WORKGROUP IN 2013. IT WAS REVIEWED AND APPROVED BY THE FOUR LOCAL HEALTH SYSTEMS, INCLUDING THE URMC'S BOARD. THE FULL PLAN IS POSTED ON THE URMC WEBSITE. ALL HOSPITALS WILL BE WORKING COLLABORATIVELY TOWARDS THE SAME IMPROVEMENT GOALS THAT WERE DECIDED ON JOINTLY WITH THE HEALTH DEPARTMENT. HOSPITALS HAVE AGREED TO SEVERAL COMMUNITY HEALTH IMPROVEMENTS INCLUDING: -WORKSITE WELLNESS INTERVENTIONS BASED ON A WORKSITE WELLNESS INDEX; -INCREASING SMOKING CESSATION BY INTEGRATING A STANDARDIZED "OPT- TO-QUIT" POLICY FOR SMOKERS ADMITTED TO THE HOSPITALS SO THAT PATIENTS ARE IDENTIFIED AND SUBSCRIBED TO THE STATE'S QUIT LINE; AND -WORKING WITH THE MCDPH TO LINK CHRONIC DISEASE MANAGEMENT AND COMMUNITY RESOURCES TO PATIENTS IN PATIENT-CENTERED MEDICAL HOMES AND PRIMARY CARE CLINICS THE HOSPITALS THROUGH PROVIDERS, CASE MANAGERS AND COMMUNITY HEALTH WORKERS. THE PLAN SERVES AS A FOUNDATION FOR COMMUNITY HEALTH IMPROVEMENT AND COMMUNITY BUILDING EFFORTS AND HELPS TO ENSURE COLLABORATIVE AND COORDINATED USE OF HEALTH SYSTEM RESOURCES TO ADDRESS THE MOST PRESSING NEEDS. 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 PRIORITIES. TO MEASURE PROGRESS AGAINST THE PLAN, FIVE HEALTH STATUS "REPORT CARDS" IN SPECIFIC AGE GROUPS AND CATEGORIES ARE PRODUCED BY THE MCDPH. THEY INCLUDE MATERNAL AND CHILD HEALTH, ADOLESCENT HEALTH, ADULT/OLDER ADULT HEALTH, AND ENVIRONMENTAL HEALTH, EACH OF WHICH CONTAINSGOALS FOR IMPROVING HEALTH. UPDATED REPORT CARDS ARE PRODUCED AND DISTRIBUTED ON AVERAGE EVERY 4-6 YEARS FOR EACH SPECIFIC AGE GROUP. THE MOST RECENT ADULT HEALTH SURVEY WAS CONDUCTED IN THE SPRING/SUMMER OF 2013.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART VI, LINE 3 (PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE)</Identifier>
        <Explanation>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. THE HOSPITAL PROVIDES A COPY OF THE CHARITY CARE POLICY AND FINANCIAL ASSISTANCE CONTACTS TO PATIENTS AS PART OF ITS ADMITTING PROCESS. 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART VI, LINE 4 (COMMUNITY INFORMATION)</Identifier>
        <Explanation>STRONG MEMORIAL HOSPITAL IS LOCATED IN THE CITY OF ROCHESTER, COUNTY OF MONROE (POPULATION 747,306) 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 1,746,750. 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 THREE 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 AND FF THOMPSON, ROCHESTER GENERAL HEALTH SYSTEM CONSISTS OF ROCHESTER GENERAL HOSPITAL AND NEWARK WAYNE COMMUNITY HOSPITAL AND UNITY HEALTH CONSISTS OF PARK RIDGE HOSPITAL AND ST. MARY'S HOSPITAL. THERE ARE ROUGHLY TWENTY 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 AREA. DEMOGRAPHIC ANALYSIS HISTORICALLY UNDER REPRESENTED ETHNIC GROUPS INCLUDING BLACK NON-HISPANIC, HISPANIC AND OTHER POPULATIONS COMPRISE ROUGHLY 28% OF THE POPULATION OF MONROE COUNTY. ACCORDING TO U.S. CENSUS DATA ROUGHLY 12.5% OF THE POPULATION OF MONROE COUNTY IS NON-ENGLISH SPEAKING. AVERAGE HOUSEHOLD INCOME FOR THE PRIMARY SERVICE AREA IS $52,260 VERSUS THE NATIONAL AVERAGE OF $69,637. ACCORDING TO THE US CENSUS, 14.4% OF INDIVIDUALS IN MONROE COUNTY WERE CONSIDERED BELOW THE POVERTY LEVEL. THE PERCENTAGE OF THE MONROE COUNTY POPULATION AGE 65 AND OLDER WAS 14.2% IN 2013 AND IS ANTICIPATED TO GROW TO 16% IN 2018. MONROE COUNTY'S POPULATION OF SENIORS OUTPACES THE NATIONAL AVERAGE OF 13.3%. AT THE SAME TIME, THE POPULATION OF RESIDENTS 18 AND YOUNGER IS ANTICIPATED TO DECLINE OVER THE NEXT SEVERAL YEARS FROM 22.4% IN 2013 TO 21.2% IN 2018. UNDER REPRESENTED ETHNIC GROUPS COMPRISE ROUGHLY 9.9% OF THE POPULATION IN THE FIFTEEN COUNTIES SURROUNDING MONROE COUNTY. AVERAGE HOUSEHOLD INCOME FOR THE FIFTEEN-COUNTY SERVICE AREA WAS $61,323 VERSUS THE US AVERAGE OF $69,637. THE 65 AND OLDER POPULATION COMPRISED 15.8% OF THE POPULATION AND IS ANTICIPATED TO GROW TO 18.0% BY 2016. THE POPULATION OF INDIVIDUALS 18 YEARS AND YOUNGER IS ANTICIPATED TO DECLINE FROM 21.2% (2013) TO 20.6% IN 2017. THE RATE OF UNINSURED IN MONROE COUNTY IS 6.7 PERCENT, COMPARED TO THE NEW YORK STATE RATE OF 10.9 PERCENT (2012 CENSUS BUREAU ESTIMATES). ACCORDING TO THE NEW YORK STATE DEPARTMENT OF HEALTH, ROUGHLY 8.5% OF THE POPULATION OF MONROE COUNTY IS ENROLLED IN MEDICAID COMPARED TO 8.9% FOR NEW YORK STATE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART VI, LINE 5 (PROMOTION OF COMMUNITY HEALTH)</Identifier>
        <Explanation>THE FOLLOWING HEALTH PROMOTION PROGRAMS SERVE AS EXAMPLES, WHICH ILLUSTRATE HOW OUR AFFILIATED HOSPITALS FURTHER THEIR EXEMPT PURPOSE: COMMUNITY SUPPORT THE KESSLER BURN UNIT AND STRONG MEMORIAL HOSPITAL, IN CONJUNCTION WITH CAMP GOOD DAYS AND SPECIAL TIMES INC. AND THE FINGER LAKES REGIONAL BURN ASSOCIATION, LAUNCHED THE FIRST BURN CAMP IN 1994.SINCE THEN, THE FOUR-DAY OVERNIGHT CAMP HAS BEEN HELD ANNUALLY AT THE END OF AUGUST AT A SITE NEAR ROCHESTER. ANY CHILD BETWEEN SEVEN AND SEVENTEEN WHO HAS BEEN TREATED FOR A BURN INJURY IN NEW YORK STATE AND ONTARIO, CANADA IS INVITED TO PARTICIPATE. THE COST OF THE CAMP HAS BEEN ENTIRELY UNDERWRITTEN, SO THERE IS NO COST TO THE CHILDREN OR THEIR FAMILIES.CAMPERS ENJOY A WIDE VARIETY OF ACTIVITIES, INCLUDING ARTS AND CRAFTS, SPORTS, GAMES, AQUATICS, AND ACTIVITIES THAT ENCOURAGE SELF-EXPRESSION AND CREATING A NEW AND POSITIVE SELF-IMAGE. THE CAMP IS STAFFED BY DEDICATED NURSES, SOCIAL WORKERS, AND OTHER HEALTHCARE PROFESSIONALS AS WELL AS FIREFIGHTERS, ADULT BURN SURVIVORS, AND EQUALLY DEDICATED VOLUNTEERS. THE "SCHOOL-BASED ASTHMA CARE PROGRAM FOR URBAN YOUTH", A COMMUNITY-WIDE ASTHMA INITIATIVE, IS A COMMUNITY COLLABORATIVE PROJECT TO IMPROVE THE MANAGEMENT OF ASTHMA IN CHILDREN AND TEENS IN THE ROCHESTER CITY SCHOOL DISTRICT. THE PROGRAM IS DESIGNED TO IDENTIFY HIGHRISK, SYMPTOMATIC CHILDREN WITH ASTHMA, OPTIMIZE THEIR PREVENTIVE CARE, AND IMPROVE OUTCOMES USING METHODS THAT COULD BE SUSTAINED AND DISSEMINATED ELSEWHERE. THE PROGRAM PARTNERS WITH THE SCHOOL DISTRICT TO PROVIDE SYSTEMATIC SCHOOL-BASED SCREENING FOR ASTHMA SEVERITY, SCHOOL NURSE DELIVERY OF PREVENTIVE ASTHMA MEDICATIONS TO HELP OPTIMIZE ADHERENCE, AND SYMPTOM REASSESSMENTS TO ENSURE ADEQUATE RESPONSE TO THERAPY. THE YOUNG ADULT SURVIVOR CONNECTION IS FOR CANCER SURVIVORS AGES 18-39, WHO FACE UNIQUE EMOTIONAL, PHYSCIAL AND SOCIAL ISSUES AFTER TREATMENT AND MANY YEARS LATER. THE PROGRAM EXISTS TO PROVIDE TEENS AND YOUNG ADULT SURVIVORS WITH INFORMATION AND RESOURCES TO LIVE HEALTHIER AFTER CANCER, TO NETWORK AND TO IMPROVE THEIR QUALITY OF LIFE. PROGRAM TOPICS HAVE INCLUDED LATE EFFECTS OF CANCER TREATMENT, NAVIGATING DISABILITY PAPERWORK, FERTILITY, MASSAGE AND ALTERNATIVE THERAPIES. COALITION BUILDING THE UNIVERSITY OF ROCHESTER'S PILLAR OF HOPE GROUP IS PART OF THE CITYWIDE PILLARS OF HOPE PROGRAM, AN INITIATIVE OF THE CITY OF ROCHESTER'S BUREAU OF YOUTH SERVICES THAT RECRUITS AFRICAN-AMERICAN PROFESSIONALS TO SERVE AS ROLE MODELS FOR STUDENTS AND TO SHARE PERSONAL STORIES OF OVERCOMING OBSTACLES IN THEIR LIVES. ONCE A MONTH DURING THE ACADEMIC YEAR, OUR "PILLARS OF HOPE" MEET WITH SOME 60 STUDENTS AT A ROCHESTER SCHOOL TO OFFER EDUCATIONAL SUPPORT AND AN EXAMPLE OF SUCCESS FOR URBAN STUDENTS, WHICH STRENGTHENS THE STUDENTS' SKILLS, CONFIDENCE AND RESOLVE TO GRADUATE HIGH SCHOOL AND PURSUE HIGHER EDUCATION AND/OR EMPLOYEMENT. THE ROCHESTER YOUTH VIOLENCE PARTNERSHIP ENSURES THAT YOUNG VICTIMS OF VIOLENCE DO NOT LEAVE THE URMC EMERGENCY DEPARTMENT TRAUMA CENTER UNTIL A TEAM OF MEDICAL, LAW-ENFORCEMENT AND COMMUNITY PROFESSIONALS COMPLETE A COMPREHENSIVE INTERVENTION TO HELP THEM TURN THEIR LIVES AROUND AND AVOID FUTURE VIOLENCE. THE RESULTS ARE PROMISING. MOST SIGNIFICANTLY, THERE HAS BEEN A DECLINE IN RECIDIVISM. THE COMMUNITY CANCER COLLABORATIVE IS A GROUP OF PROFESSIONALS WORKING TOGETHER TO COMFORT, SUPPORT, AND EDUCATE THOSE TOUCHED BY CANCER IN THE GREATER ROCHESTER COMMUNITY THROUGH THE DEVELOPMENT, COORDINATION AND PROMOTION OF ACTIVITIES AND RESOURCES. COMMUNITY HEALTH IMPROVEMENT ADVOCACY "PEDIATRIC LINKS WITH THE COMMUNITY" IS AN INNOVATIVE PARTNERSHIP BETWEEN THE URMC'S DEPARTMENTS OF PEDIATRICS, MEDICINE-PEDIATRICS, FAMILY MEDICINE, COMMUNITY AND PREVENTIVE MEDICINE AND PSYCHOLOGY, THE UR SCHOOL OF NURSING, AND MORE THAN 70 COMMUNITY-BASED AGENCIES THAT SERVE CHILDREN AND THEIR FAMILIES. THE PROGRAM'S MISSION IS TO DEVELOP A MODEL OF COMMUNITY PEDIATRICS IN WHICH PEDIATRICIANS COLLABORATE WITH COMMUNITY-BASED ORGANIZATIONS, WORK TO ENSURE THE HEALTH OF ALL CHILDREN IN THEIR COMMUNITY, AND ADVOCATE FOR THEIR COMMUNITY TO BE MORE CHILD-RESPONSIVE AND CHILD-ORIENTED. THE COLLABORATION HAS ENHANCED MORE THAN 568 RESIDENTS', FELLOWS' AND MEDICAL STUDENTS' KNOWLEDGE ABOUT COMMUNITY-ORIENTED AND COMMUNITY-BASED HEALTH CARE, INSPIRING FUTURE HEALTH CARE PROFESSIONALS TO IMPROVE THE HEALTH OF CHILDREN IN THEIR COMMUNITIES. IN ADDITION, 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 36 MEMBER BOARD, INCLUSIVE OF 14 EX-OFFICIO MEMBERS AND 17 LIFE MEMBERS, THAT REPORTS 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 FOUR MISSIONS OF THE URMC. THE THIRTY-TWO 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, S</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART VI, LINE 6 (AFFILIATED HEALTH CARE SYSTEM)</Identifier>
        <Explanation>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; THOMPSON HEALTH; GOLISANO CHILDREN'S HOSPITAL; JAMES P. WILMOT CANCER CENTER; SCHOOL OF NURSING; EASTMAN INSTITUTE FOR ORAL HEALTH; VISITING NURSE SERVICE; HIGHLANDS AT PITTSFORD; THE HIGHLANDS LIVING CENTER AND THE HIGHLANDS AT BRIGHTON. 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 800-BED TEACHING HOSPITAL, WHICH INCLUDES GOLISANO CHILDREN'S HOSPITAL (ADDRESSED SEPARATELY BELOW). STRONG MEMORIAL HOSPITAL IS A TERTIARY AND QUATERNARY HOSPITAL SERVING A BROAD GEOGRAPHIC REGION, WITH SPECIALTY PROGRAMS, INCLUDING AMONG OTHERS ORGAN TRANSPLANT AND TRAUMA AND BURN CARE, MANY OF WHICH ARE HIGHLY RATED ON A NATIONAL LEVEL, PATIENTS BENEFIT FROM THE MEDICAL SCHOOL'S ROBUST TEACHING AND BIOMEDICAL RESEARCH PROGRAMS. STUDENT ROSTERS INCLUDE APPROXIMATELY 400 MEDICAL STUDENTS, 550 GRADUATE STUDENTS, AND 600 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 GRADUATE DENTAL STUDENTS ENROLLED AT THE UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY. IT OFFERS GENERAL DENTISTRY, PEDIATRIC, GERIATRIC AND ORTHODONTIC CLINICS, AS WELL AS A CLINIC FOR THE DEVELOPMENTALLY DISABLED,AND AN URGENT CARE DENTAL CLINIC THAT SEES 40-50 PATIENTS A 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 ITS 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 132-BED CHILDREN'S HOSPITAL THAT SERVES AS THE REFERRAL CENTER FOR UPSTATE NEW YORK, SURROUNDING STATES AND CANADA. 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 COMMUNITY ORGANIZATIONS TO IMPROVE VACCINATION RATES, EDUCATIONAL OPPORTUNITIES, SAFETY AT HOME AND ON PLAYGROUNDS, AND HEALTH INSURANCE AND HEALTH CARE ACCESS. 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 16 PRIMARY CARE SATELLITE CLINICS, AN OB/MIDWIFERY CLINIC, TWO BREAST CARE CLINICS, AND THREE RADIATION 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 ITS SISTER AGENCY, COMMUNITY CARE OF ROCHESTER D/B/A VISITING NURSE SIGNATURE CARE PROVIDE HOME AND COMMUNITY-BASED CARE TO MORE THAN 13,000 PEOPLE ANNUALLY, INCLUDING NURSING, REHABILITATION THERAPY, PERSONAL CARE SUPPORT, HOSPICE, AND MEALS ON WHEELS. THE AGENCY IS NATIONALLY RECOGNIZED FOR ITS SUCCESS IN REDUCING UNNECESSARY HOSPITALIZATIONS. - 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. HIGHLAND COMMUNITY DEVELOPMENT CORPORATION OFFERS 60 ASSISTED LIVING APARTMENTS, 135 INDEPENDENT LIVING APARTMENTS, AND 36 INDEPENDENT COTTAGES FOR SENIORS. THE HIGHLANDS OFFER A COMPREHENSIVE SERIES OF COMMUNITY EDUCATION PROGRAMS ON CURRENT HEALTH TOPICS, INCLUDING AMONG OTHERS HEART HEALTH, NUTRITION, ORAL HEALTH, AND DIABETES PREVENTION. - THE HIGHLANDS AT BRIGHTON IS A 145-BED SKILLED NURSING FACILITY THAT SPECIALIZES IN CARE FOR THE MOST MEDICALLY COMPLEX CASES. - F.F. THOMPSON HOSPITAL, LOCATED IN NEIGHBORING ONTARIO COUNTY, PROVIDES INPATIENT AND OUTPATIENT HEALTHCARE SERVICES WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY. HIGHLAND OPERATES A 113-BED ACUTE CARE HOSPITAL, AS WELL AS 7 PRIMARY CARE SATELLITE CLINICS. - M.M. EWING CONTINUING CARE CENTER IS A 188 BED SKILLED NURSING FACILITY LOCATED ADJACENT TO F.F. THOMPSON HOSPITAL. - F.F.T. SENIOR COMMUNITIES, OPERATING AS FERRIS HILLS AT WEST LAKE AND CLARK MEADOWS, OFFERS INDEPENDENT AND ENRICHED LIVING APARTMENTS FOR SENIORS IN ONTARIO COUNTY.</Explanation>
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      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL C GOONAN</NamePerson>
        <Title>VICE PRESIDENT &amp; CFO, URMC</Title>
        <BaseCompensationFilingOrg>564792</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>RAYMOND J MAYEWSKI</NamePerson>
        <Title>VP, URMC</Title>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PETER G ROBINSON</NamePerson>
        <Title>VP&amp;COO, MEDCTR &amp; STRONG HEALTH</Title>
        <BaseCompensationFilingOrg>576029</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>ELIZABETH R MCANARNEY</NamePerson>
        <Title>FORMER KEY EMPLOYEE</Title>
        <BaseCompensationFilingOrg>134194</BaseCompensationFilingOrg>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARC D BROWN MD</NamePerson>
        <Title>PROF., DERMATOLOGY M&amp;D</Title>
        <BaseCompensationFilingOrg>568692</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>1209908</BonusFilingOrg>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL D MALONEY MD</NamePerson>
        <Title>ASSOC. PROF., ORTHOPAEDICS M&amp;D</Title>
        <BaseCompensationFilingOrg>505787</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>264077</DeferredCompFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>RAJEEV K PATEL</NamePerson>
        <Title>ASSOC PROF, ORTHOPAEDICS M&amp;D</Title>
        <BaseCompensationFilingOrg>275056</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>PETER J SIMS MD</NamePerson>
        <Title>PROFESSOR EMERITUS</Title>
        <BaseCompensationFilingOrg>372420</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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        <NamePerson>JEFFREY H PETERS MD</NamePerson>
        <Title>PROF CHAIR DEPT OF SURGERY</Title>
        <BaseCompensationFilingOrg>944581</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>250055</BonusFilingOrg>
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      <Form990ScheduleJPartIII>
        <Identifier>DETAIL REGARDING BENEFITS PROVIDED</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 1A</ReturnReference>
        <Explanation>FIRST CLASS OR CHARTER TRAVEL IN CERTAIN CIRCUMSTANCES, THE PRESIDENT 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 CERTAIN CIRCUMSTANCES, THE SPOUSE OF THE PRESIDENT OR OTHER KEY EMPLOYEE MAY TRAVEL FOR UNIVERSITY PURPOSES. EXAMPLES OF SUCH TRAVEL INCLUDE ATTENDANCE AT FUNDRAISING OR ALUMNI EVENTS. IN ACCORDANCE WITH APPLICABLE LEGAL STANDARDS, THE UNIVERSITY WILL PAY FOR SPOUSAL TRAVEL AS A REGULAR 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. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE/SOCIAL CLUB DUES/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. THE UNIVERSITY ALSO 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, HOUSEHOLD STAFF OR OTHER PERSONAL EXPENSES INCURRED.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PARTICIPATION</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 4B</ReturnReference>
        <Explanation>THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED EMPLOYER PAID AMOUNTS THAT ARE INCLUDED IN DEFERRED COMPENSATION: BRADFORD C. BERK - SERP - $144,700 STEVEN GOLDSTEIN - SERP - $159,400 MICHAEL C. GOONAN - SERP - $61,500 RAYMOND J. MAYEWSKI - SERP - $124,900 JEFFREY PETERS - SERP - $18,600 PETER G. ROBINSON - SERP - $45,000 MARK B. TAUBMAN - SERP - $105,000 JOEL S. SELIGMAN - 457(F) - $150,000 BRADFORD C. BERK - 457(F) - $99,996 STEVEN GOLDSTEIN - 457(F) - $37,500 MICHAEL C. GOONAN - 457(F) - $120,600 MICHAEL MALONEY - 457(F) - $240,000 RONALD J. PAPROCKI - 457(F) - $10,714 DOUGLAS PHILLIPS - 457(F) - $240,000 PETER G. ROBINSON - 457(F) - $120,600</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>PROVISION OF NON-FIXED PAYMENTS</Identifier>
        <ReturnReference>SCHEDULE J, LINE 7</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
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        <IssuerName>
          <BusinessNameLine1>DORMITORY AUTHORITY OF THE STATE OF NEW YORK</BusinessNameLine1>
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        <IssuerEIN>146000293</IssuerEIN>
        <CUSIPNumber>64983UP20</CUSIPNumber>
        <DateIssued>2003-11-06</DateIssued>
        <IssuePrice>164425000</IssuePrice>
        <DescriptionOfPurpose>2003 A,B,C- CAPITAL PROJECTS</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
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        <BondReferenceCd>B</BondReferenceCd>
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        <CUSIPNumber>64983TC50</CUSIPNumber>
        <DateIssued>2004-08-26</DateIssued>
        <IssuePrice>45602797</IssuePrice>
        <DescriptionOfPurpose>2004 A- CO-GENERATION FACILITY</DescriptionOfPurpose>
        <Defeased>false</Defeased>
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        <PoolFinancing>false</PoolFinancing>
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        <CUSIPNumber>64983QWB1</CUSIPNumber>
        <DateIssued>2006-03-16</DateIssued>
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        <DescriptionOfPurpose>2006 A-1 &amp; B-1- BOND REFINANCING</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
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        <IssuePrice>180959178</IssuePrice>
        <DescriptionOfPurpose>2007 A-1, A-2 &amp; B- CAPITAL PROJECT</DescriptionOfPurpose>
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        <PoolFinancing>false</PoolFinancing>
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        <CreditEnhancement>2349000</CreditEnhancement>
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        <AmountUnspent>0</AmountUnspent>
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        <IssuanceCostsFromProceeds>2170437</IssuanceCostsFromProceeds>
        <CreditEnhancement>1213000</CreditEnhancement>
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        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>true</AdvanceRefunding>
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        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
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        <IssuanceCostsFromProceeds>3175140</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>1629892</WorkingCapitalExpenditures>
        <CapitalExpenditures>173638861</CapitalExpenditures>
        <OtherSpentProceeds>3570247</OtherSpentProceeds>
        <AmountUnspent>3213549</AmountUnspent>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
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        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>true</EngageBondCounselContracts>
        <AnyResearchAgreements>true</AnyResearchAgreements>
        <EngageBondCounselResearch>true</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <BondIssMeetPrvtSecurityPayTest>false</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>false</ChangeInUseBondFinancedProp>
        <PrcntgeBondFinancedProp>0.00000</PrcntgeBondFinancedProp>
        <RemedialActionTaken>false</RemedialActionTaken>
        <NonQualifiedBondRemedProcdrs>true</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
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        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>true</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>true</EngageBondCounselContracts>
        <AnyResearchAgreements>true</AnyResearchAgreements>
        <EngageBondCounselResearch>true</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.00400</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00200</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00600</TotalPrivateBusinessUse>
        <BondIssMeetPrvtSecurityPayTest>false</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>false</ChangeInUseBondFinancedProp>
        <PrcntgeBondFinancedProp>0.00000</PrcntgeBondFinancedProp>
        <RemedialActionTaken>false</RemedialActionTaken>
        <NonQualifiedBondRemedProcdrs>true</NonQualifiedBondRemedProcdrs>
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        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PrcntgeBondFinancedProp>0.00000</PrcntgeBondFinancedProp>
      </Form990ScheduleKPartIII>
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        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>true</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>true</EngageBondCounselContracts>
        <AnyResearchAgreements>true</AnyResearchAgreements>
        <EngageBondCounselResearch>true</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.00100</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00100</TotalPrivateBusinessUse>
        <BondIssMeetPrvtSecurityPayTest>false</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>false</ChangeInUseBondFinancedProp>
        <PrcntgeBondFinancedProp>0.00000</PrcntgeBondFinancedProp>
        <RemedialActionTaken>false</RemedialActionTaken>
        <NonQualifiedBondRemedProcdrs>true</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <ExceptionToRebate>true</ExceptionToRebate>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>true</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>WELLSFARGOCITIGROUP</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>30.</TermOfHedge>
        <SuperintegratedHedge>false</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>true</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>true</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <ExceptionToRebate>true</ExceptionToRebate>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>true</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <ExceptionToRebate>true</ExceptionToRebate>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>true</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>BANK OF AMERICA</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>21.3</TermOfHedge>
        <SuperintegratedHedge>false</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>true</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>D</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <ExceptionToRebate>true</ExceptionToRebate>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>true</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>true</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>A</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>true</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>B</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>true</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>C</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>true</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>D</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>true</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartVI>
        <Identifier>PART I, ROW D, COLUMN C</Identifier>
        <ReturnReference>0</ReturnReference>
        <Explanation>ADDITIONAL BOND CUSIP INFORMATION BOND ISSUE 2007 A-2 CUSIP #649903CK5 BOND ISSUE 2007 B CUSIP #649903CG4 BOND ISSUE 2011 CUSIP #61075TDC9</Explanation>
      </Form990ScheduleKPartVI>
      <Form990ScheduleKPartVI>
        <Identifier>PART II, LINE 3</Identifier>
        <ReturnReference>0</ReturnReference>
        <Explanation>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 2004A BOND ISSUE INCLUDES $1,062,225 IN INVESTMENT EARNINGS. THE TOTAL PROCEEDS OF ISSUE REPORTED FOR THE 2007 A-1, A-2, B BOND ISSUE INCLUDES $5,769,674 IN INVESTMENT EARNINGS. THE TOTAL PROCEEDS OF ISSUE REPORTED FOR THE 2009 A,B,C,D,E BOND ISSUE INCLUDES $183,550 IN INVESTMENT EARNINGS. THE TOTAL PROCEEDS OF ISSUE REPORTED FOR THE 2011 A,B BOND ISSUE INCLUDES $57,277 IN INVESTMENT EARNINGS.</Explanation>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="IRS990ScheduleKN1">
      <Form990ScheduleKPartI>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>DORMITORY AUTHORITY OF THE STATE OF NEW YORK</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>146000293</IssuerEIN>
        <CUSIPNumber>649903GW5</CUSIPNumber>
        <DateIssued>2007-02-21</DateIssued>
        <IssuePrice>63115512</IssuePrice>
        <DescriptionOfPurpose>2007 C- BOND REFINANCING</DescriptionOfPurpose>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>DORMITORY AUTHORITY OF THE STATE OF NEW YORK</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>146000293</IssuerEIN>
        <CUSIPNumber>649905KLP</CUSIPNumber>
        <DateIssued>2009-07-22</DateIssued>
        <IssuePrice>120741579</IssuePrice>
        <DescriptionOfPurpose>2009 A B C D E CAPITAL PROJECTS</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>MONROE COUNTY INDUSTRIAL DEVELOPMENT CORPORATION</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>510188852</IssuerEIN>
        <CUSIPNumber>61075TCE6</CUSIPNumber>
        <DateIssued>2011-09-01</DateIssued>
        <IssuePrice>175747934</IssuePrice>
        <DescriptionOfPurpose>2011 A, B MCIDC-CAPITAL PROJECTS</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <BondReferenceCd>A</BondReferenceCd>
        <AmountRetired>3132132</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>63115512</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>965109</IssuanceCostsFromProceeds>
        <CreditEnhancement>499130</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>61651272</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>true</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <BondReferenceCd>B</BondReferenceCd>
        <AmountRetired>31042150</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>120925129</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>1169973</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>1431608</WorkingCapitalExpenditures>
        <CapitalExpenditures>66900335</CapitalExpenditures>
        <OtherSpentProceeds>41161966</OtherSpentProceeds>
        <AmountUnspent>10261247</AmountUnspent>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>true</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <BondReferenceCd>C</BondReferenceCd>
        <AmountRetired>19427682</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>175805211</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>3083383</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>1502375</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>119241786</WorkingCapitalExpenditures>
        <CapitalExpenditures>1536439</CapitalExpenditures>
        <OtherSpentProceeds>14629700</OtherSpentProceeds>
        <AmountUnspent>35811528</AmountUnspent>
        <YearOfSubstCompletion>2011</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>true</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>true</EngageBondCounselContracts>
        <AnyResearchAgreements>true</AnyResearchAgreements>
        <EngageBondCounselResearch>true</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.01000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00800</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.01800</TotalPrivateBusinessUse>
        <BondIssMeetPrvtSecurityPayTest>false</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>false</ChangeInUseBondFinancedProp>
        <PrcntgeBondFinancedProp>0.00000</PrcntgeBondFinancedProp>
        <RemedialActionTaken>false</RemedialActionTaken>
        <NonQualifiedBondRemedProcdrs>true</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>true</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>true</EngageBondCounselContracts>
        <AnyResearchAgreements>true</AnyResearchAgreements>
        <EngageBondCounselResearch>true</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00100</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00100</TotalPrivateBusinessUse>
        <BondIssMeetPrvtSecurityPayTest>false</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>false</ChangeInUseBondFinancedProp>
        <PrcntgeBondFinancedProp>0.00000</PrcntgeBondFinancedProp>
        <RemedialActionTaken>false</RemedialActionTaken>
        <NonQualifiedBondRemedProcdrs>true</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>true</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>true</EngageBondCounselContracts>
        <AnyResearchAgreements>true</AnyResearchAgreements>
        <EngageBondCounselResearch>true</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.00200</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00200</TotalPrivateBusinessUse>
        <BondIssMeetPrvtSecurityPayTest>false</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>false</ChangeInUseBondFinancedProp>
        <PrcntgeBondFinancedProp>0.00000</PrcntgeBondFinancedProp>
        <RemedialActionTaken>false</RemedialActionTaken>
        <NonQualifiedBondRemedProcdrs>true</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <ExceptionToRebate>true</ExceptionToRebate>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>true</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <ExceptionToRebate>true</ExceptionToRebate>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>true</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <ExceptionToRebate>true</ExceptionToRebate>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>true</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>A</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>true</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>B</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>true</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>C</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>true</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <TotalBalanceDue>0</TotalBalanceDue>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>SUSAN FISHER</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF KEY EMPL</Relationship>
        <AmountOfTransaction>205222</AmountOfTransaction>
        <DescriptionOfTransaction>PAYMENT OF COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MARY BERK</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF OFFICER</Relationship>
        <AmountOfTransaction>25152</AmountOfTransaction>
        <DescriptionOfTransaction>PAYMENT OF COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>BONNIE GOLDSTEIN</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF KEY EMPL</Relationship>
        <AmountOfTransaction>74804</AmountOfTransaction>
        <DescriptionOfTransaction>PAYMENT OF COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>THOMAS W WITMER</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF TRUSTEE</Relationship>
        <AmountOfTransaction>227027</AmountOfTransaction>
        <DescriptionOfTransaction>PAYMENT OF COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>KAREN BERK</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF OFFICER</Relationship>
        <AmountOfTransaction>51502</AmountOfTransaction>
        <DescriptionOfTransaction>PAYMENT OF COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>DENNIS KESSLER</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF TRUSTEE</Relationship>
        <AmountOfTransaction>102162</AmountOfTransaction>
        <DescriptionOfTransaction>PAYMENT OF COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>DELORES CONWAY</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF OFFICER</Relationship>
        <AmountOfTransaction>333693</AmountOfTransaction>
        <DescriptionOfTransaction>PAYMENT OF COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>REBECCA WALTERS</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF KEY EMPL</Relationship>
        <AmountOfTransaction>32925</AmountOfTransaction>
        <DescriptionOfTransaction>PAYMENT OF COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>XEROX</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>COMMON TRUSTEE/OFFICER</Relationship>
        <AmountOfTransaction>2066045</AmountOfTransaction>
        <DescriptionOfTransaction>PURCHASE OF BUSINESS SERVICES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>WEGMANS</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>COMMON TRUSTEE/OWNER</Relationship>
        <AmountOfTransaction>172456</AmountOfTransaction>
        <DescriptionOfTransaction>PAYMENT OF DRUG DISPENSING FEE</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>ACCOUNTABLE HEALTH PARTNERS LLC</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>COMMON KEY EMPL/DIRECTORS</Relationship>
        <AmountOfTransaction>565859</AmountOfTransaction>
        <DescriptionOfTransaction>INVESTMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>BUSINESS TRANSACTIONS INVOLVING COMMON TRUSTEES&amp;KEY EMPL/OFFICERS&amp;DIRECTOR</Identifier>
        <ReturnReference>FORM 990, SCHEDULE L, PART IV</ReturnReference>
        <Explanation>XEROX - TRUSTEE, JOHN M. KELLY IS AN OFFICER OF XEROX. TRUSTEE, ROBERT KEEGAN IS A DIRECTOR OF XEROX. WEGMANS - TRUSTEE, DANIEL R. WEGMAN IS AN OFFICER, DIRECTOR AND OWNER OF WEGMANS. ACCOUNTABLE HEALTH PARTNERS, LLC - KEY EMPLOYEES, STEVEN GOLDSTEIN AND RAYMOND J. MAYEWSKI ARE DIRECTORS OF ACCOUNTABLE HEALTH PARTNERS, LLC.</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="IRS990ScheduleM">
      <WorksOfArt>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>27</NumberOfContributions>
        <NoncashContribsRptdF990>107774</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </WorksOfArt>
      <ArtHistoricalTreasures />
      <ArtFractionalInterest />
      <BooksAndPublications>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NoncashContribsRptdF990>27816</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </BooksAndPublications>
      <ClothingAndHouseholdGoods />
      <CarsAndOtherVehicles />
      <BoatsAndPlanes />
      <IntellectualProperty />
      <SecuritiesPubliclyTraded>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>249</NumberOfContributions>
        <NoncashContribsRptdF990>11689278</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </SecuritiesPubliclyTraded>
      <SecuritiesCloselyHeldStock>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>150000</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </SecuritiesCloselyHeldStock>
      <SecuritiesPrtnrshpTrustIntrsts />
      <SecuritiesMiscellaneous />
      <QualifiedContribHistStruct />
      <QualifiedContribOther />
      <RealEstateResidential>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>550000</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </RealEstateResidential>
      <RealEstateCommercial />
      <RealEstateOther />
      <Collectibles />
      <FoodInventory />
      <DrugsAndMedicalSupplies>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>3627</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </DrugsAndMedicalSupplies>
      <Taxidermy />
      <HistoricalArtifacts />
      <ScientificSpecimens />
      <ArchaeologicalArtifacts />
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>MUSICAL INSTRUMENTS</Description>
        <NumberOfContributions>11</NumberOfContributions>
        <NoncashContribsRptdF990>123729</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>GIFT-IN-KIND</Description>
        <NumberOfContributions>25</NumberOfContributions>
        <NoncashContribsRptdF990>26279</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>PERSONAL PROPERTY</Description>
        <NumberOfContributions>110</NumberOfContributions>
        <NoncashContribsRptdF990>108748</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>MISCELLANEOUS EQUIPMENT</Description>
        <NumberOfContributions>104</NumberOfContributions>
        <NoncashContribsRptdF990>3918545</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <NumberOf8283Received>5</NumberOf8283Received>
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>true</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
      <Form990ScheduleMPartII>
        <Identifier>DESCRIPTION OF THE NUMBER OF CONTRIBUTIONS</Identifier>
        <ReturnReference>FORM 990, SCHEDULE M, PART I, COLUMN (B)</ReturnReference>
        <Explanation>THE UNIVERSITY OF ROCHESTER REPORTS ALL NON-CASH CONTRIBUTIONS RECEIVED, OTHER THAN SECURITIES, BASED ON THE NUMBER OF NON-CASH ITEMS RECEIVED.</Explanation>
      </Form990ScheduleMPartII>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>DETAIL OF OTHER PROGRAM SERVICES</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4d</ReturnReference>
        <Explanation>AUXILIARY ENTERPRISES- THE UNIVERSITY OPERATES EITHER DIRECTLY OR THROUGH THIRD PARTY CONTRACTORS FOOD SERVICES WHICH SERVED 4,962 UNDERGRADUATES 2,807,747 MEALS IN FIVE DINING SERVICES. THE UNIVERSITY HAS 777 UNITS USED FOR STUDENT HOUSING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DETAIL OF FAMILY OR BUSINESS RELATIONSHIPS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 2</ReturnReference>
        <Explanation>RICHARD T. AAB AND DAVID FLAUM - BUSINESS RELATIONSHIP THOMAS S. RICHARDS AND SUE S. STEWART - BUSINESS RELATIONSHIP LAURENCE H. BLOCH AND MICHAEL S. ROSEN - BUSINESS RELATIONSHIP</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF FORM 990 REVIEW PROCESS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11b</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF PROCESS TO MONITOR CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF PROCESS FOR DETERMINING COMPENSATION</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINES 15A AND 15B</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIPTION FOR MAKING DOCUMENTS PUBLIC</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DETAIL OF INDEPENDENT CONTRACTOR PAYMENTS</Identifier>
        <ReturnReference>FORM 990, PART VII, SECTION B</ReturnReference>
        <Explanation>THE PAYMENT AMOUNTS LISTED FOR LECHASE CONSTRUCTION SERVICES, THE PIKE COMPANY, INC., LECESSE PURCELL JV AND DGA BUILDERS, LLC., REPRESENT THE ESTIMATED SERVICE COMPONENT OF THE TOTAL PAYMENTS MADE TO THESE VENDORS FOR CONSTRUCTION SERVICES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>STATES WHERE A COPY OF THE FORM 990 IS FILED</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 17</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DETAIL OF OTHER CHANGES IN NET ASSETS</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 9</ReturnReference>
        <Explanation>OTHER CHANGES IN NET ASSETS IS COMPRISED OF THE FOLLOWING ITEMS: CHANGE IN VALUATION OF ANNUITIES $(3,337,105) TRANSFERS TO AFFILIATES $ (437,829) OTHER CHANGES $28,413,476 ----------- TOTAL $24,638,542</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DELEGATION OF AUTHORITY</Identifier>
        <ReturnReference>PART VI, SECTION A, LINE 1a</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>SIGNIFICANT DIVERSION OF ASSETS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 5</ReturnReference>
        <Explanation>THROUGH A ROUTINE AUDIT OF BUSINESS EXPENSE REIMBURSEMENTS, THE UNIVERSITY LEARNED OF A DIVERSION OF ITS ASSETS DURING THE CURRENT FISCAL YEAR. THE NATURE OF THE DIVERSION CONSISTED OF A SERIES OF IMPROPER TRANSFERS INITIATED BY ONE DEPARTMENT ADMINISTRATOR. THE IMPROPER TRANSFERS WERE DONE UNDER A NUMBER OF DIFFERENT SCHEMES OVER A FIVE YEAR PERIOD AND AGGREGATED APPROXIMATELY $2 MILLION. THE UNIVERSITY UNDERTOOK SEVERAL CORRECTIVE ACTIONS INCLUDING ENHANCED INTERNAL CONTROLS AND SIGN-OFF PROCEDURES, ENHANCED TRAINING OF DEPARTMENT CHAIRS ON FINANCIAL OVERSIGHT, AND ENHANCED INTERNAL AUDIT OF CERTAIN TYPES OF DEPARTMENT EXPENDITURES. THE UNIVERSITY CONTACTED LAW ENFORCEMENT REGARDING THE SITUATION AND HAS TAKEN ALL POSSIBLE ACTIONS TO RECOVER THE AMOUNTS.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>UNIVERSITY OF ROCHESTER INVESTMENT LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>266 WALLIS HALL</AddressLine1>
          <City>ROCHESTER</City>
          <State>NY</State>
          <ZIPCode>14627</ZIPCode>
        </AddressUS>
        <EIN>160743209</EIN>
        <PrimaryActivities>INVESTING</PrimaryActivities>
        <LegalDomicileState>DE</LegalDomicileState>
        <TotalIncome>343352</TotalIncome>
        <EOYAssets>2606422</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>UNIV OF ROCH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>EXTENSIBLE CATALOG ORGANIZATION LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>263 WALLIS HALL</AddressLine1>
          <City>ROCHESTER</City>
          <State>NY</State>
          <ZIPCode>14627</ZIPCode>
        </AddressUS>
        <EIN>160743209</EIN>
        <PrimaryActivities>TECH DEVELOP</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <TotalIncome>108797</TotalIncome>
        <EOYAssets>49956</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>UNIV OF ROCH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SPRUCE RISK PURCHASING GROUP LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>263 WALLIS HALL</AddressLine1>
          <City>ROCHESTER</City>
          <State>NY</State>
          <ZIPCode>14627</ZIPCode>
        </AddressUS>
        <EIN>160743209</EIN>
        <PrimaryActivities>INSURANCE</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <TotalIncome>0</TotalIncome>
        <EOYAssets>0</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>UNIV OF ROCH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HIGHLAND HOSPITAL OF ROCHESTER INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1000 SOUTH AVENUE</AddressLine1>
          <City>ROCHESTER</City>
          <State>NY</State>
          <ZIPCode>14620</ZIPCode>
        </AddressUS>
        <EIN>160743037</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501 (c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SPHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE HIGHLAND FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1000 SOUTH AVENUE</AddressLine1>
          <City>ROCHESTER</City>
          <State>NY</State>
          <ZIPCode>14620</ZIPCode>
        </AddressUS>
        <EIN>237310662</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501 (c)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HIGHLD HOSP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HIGHLAND FACILITIES DEVELOPMENT CORP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1000 SOUTH AVENUE</AddressLine1>
          <City>ROCHESTER</City>
          <State>NY</State>
          <ZIPCode>14620</ZIPCode>
        </AddressUS>
        <EIN>223039077</EIN>
        <PrimaryActivities>MEDICAL BLDG</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501 (c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HIGHLD HOSP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HIGHLAND COMMUNITY DEVELOPMENT CORP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>100 HAHNEMANN TRAIL</AddressLine1>
          <City>PITTSFORD</City>
          <State>NY</State>
          <ZIPCode>14534</ZIPCode>
        </AddressUS>
        <EIN>223154715</EIN>
        <PrimaryActivities>ELDER CARE</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501 (c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SPHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE HIGHLANDS LIVING CENTER INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>500 HAHNEMANN TRAIL</AddressLine1>
          <City>PITTSFORD</City>
          <State>NY</State>
          <ZIPCode>14534</ZIPCode>
        </AddressUS>
        <EIN>223240227</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501 (c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SPHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE MEADOWS AT WESTFALL INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5901 LAC DE VILLE BLVD</AddressLine1>
          <City>ROCHESTER</City>
          <State>NY</State>
          <ZIPCode>14618</ZIPCode>
        </AddressUS>
        <EIN>161502303</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501 (c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SPHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>STRONG PARTNERS HEALTH SYSTEM INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1000 SOUTH AVENUE</AddressLine1>
          <City>ROCHESTER</City>
          <State>NY</State>
          <ZIPCode>14620</ZIPCode>
        </AddressUS>
        <EIN>161499099</EIN>
        <PrimaryActivities>SUPPORT ORG</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501 (c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A, 1</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>UNIV OF ROCH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>STRONG HOME CARE GROUP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2180 EMPIRE BOULEVARD</AddressLine1>
          <City>WEBSTER</City>
          <State>NY</State>
          <ZIPCode>14580</ZIPCode>
        </AddressUS>
        <EIN>222577664</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501 (c)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>UNIV OF ROCH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VISITING NURSE SRVC OF ROCHESTER &amp; MONRO</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2180 EMPIRE BOULEVARD</AddressLine1>
          <City>WEBSTER</City>
          <State>NY</State>
          <ZIPCode>14580</ZIPCode>
        </AddressUS>
        <EIN>160743215</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501 (c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHCG</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COMMUNITY CARE OF ROCHESTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2180 EMPIRE BOULEVARD</AddressLine1>
          <City>WEBSTER</City>
          <State>NY</State>
          <ZIPCode>14580</ZIPCode>
        </AddressUS>
        <EIN>161561691</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501 (c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHCG</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>EXCELL PARTNERS INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>222 WEST RIDGE ROAD</AddressLine1>
          <City>ROCHESTER</City>
          <State>NY</State>
          <ZIPCode>14615</ZIPCode>
        </AddressUS>
        <EIN>201862628</EIN>
        <PrimaryActivities>ECONOMIC DEV</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501 (c)(4)</ExemptCodeSection>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>UNIV OF ROCH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ROCHESTER BIOVENTURE CENTER INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>601 ELMWOOD AVENUE</AddressLine1>
          <City>ROCHESTER</City>
          <State>NY</State>
          <ZIPCode>14642</ZIPCode>
        </AddressUS>
        <EIN>202485999</EIN>
        <PrimaryActivities>BIOTECH INCUB</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501 (c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A, 1</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>UNIV OF ROCH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HIGH TECH ROCHESTER INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>150 LUCIUS GORDON DRIVE SUITE 100</AddressLine1>
          <City>WEST HENRIETTA</City>
          <State>NY</State>
          <ZIPCode>14586</ZIPCode>
        </AddressUS>
        <EIN>161195028</EIN>
        <PrimaryActivities>BUSINESS INCU</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501 (c)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>UNIV OF ROCH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
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          <State>NY</State>
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          <BusinessNameLine1>THE FREDERICK FERRIS THOMPSON HOSPITAL</BusinessNameLine1>
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          <BusinessNameLine1>VISITING NURSE SERVICE OF ROCHESTER &amp; MC INC</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>VISITING NURSE SERVICE OF ROCHESTER &amp; MC INC</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>VISITING NURSE SERVICE OF ROCHESTER &amp; MC INC</BusinessNameLine1>
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          <BusinessNameLine1>CRITTENDEN BOULEVARD HOUSING COMPANY INC</BusinessNameLine1>
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          <BusinessNameLine1>CRITTENDEN BOULEVARD HOUSING COMPANY INC</BusinessNameLine1>
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          <BusinessNameLine1>UR REAL ESTATE CORPORATION</BusinessNameLine1>
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          <BusinessNameLine1>ACCOUNTABLE HEALTH PARTNERS LLC</BusinessNameLine1>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>