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        <BeginningYearBalanceAmt>3435492</BeginningYearBalanceAmt>
        <ContributionsAmt>14113</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>618671</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>62999</GrantsOrScholarshipsAmt>
        <EndYearBalanceAmt>4005277</EndYearBalanceAmt>
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        <BeginningYearBalanceAmt>3461031</BeginningYearBalanceAmt>
        <ContributionsAmt>107332</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-75517</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>57354</GrantsOrScholarshipsAmt>
        <EndYearBalanceAmt>3435492</EndYearBalanceAmt>
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      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>3050351</BeginningYearBalanceAmt>
        <ContributionsAmt>61516</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>451903</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>102739</GrantsOrScholarshipsAmt>
        <EndYearBalanceAmt>3461031</EndYearBalanceAmt>
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        <BeginningYearBalanceAmt>3514680</BeginningYearBalanceAmt>
        <ContributionsAmt>110975</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>14974</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>178503</GrantsOrScholarshipsAmt>
        <EndYearBalanceAmt>3462126</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>0.95870</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.04130</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>true</EndowmentsHeldRelatedOrgInd>
      <RelatedOrgListSchRInd>true</RelatedOrgListSchRInd>
      <LeaseholdImprovementsGrp>
        <InvestmentCostOrOtherBasisAmt>454199</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>15995</DepreciationAmt>
        <BookValueAmt>438204</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>22220204</InvestmentCostOrOtherBasisAmt>
        <OtherCostOrOtherBasisAmt>26107</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3888535</DepreciationAmt>
        <BookValueAmt>18357776</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>18795980</TotalBookValueLandBuildingsAmt>
      <CloselyHeldEquityInterestsGrp>
        <BookValueAmt>49895011</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </CloselyHeldEquityInterestsGrp>
      <TotalBookValueSecuritiesAmt>49895011</TotalBookValueSecuritiesAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Accrued Pension Liability</Desc>
        <Amt>2232101</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2232101</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part V, Line 4: Intended uses of the endowment fund.</FormAndLineReferenceDesc>
        <ExplanationTxt>Endowment funds held for the intended use by Unity Health System are in the possession of the Unity Health System Foundation and can be used for various entities that comprise Unity Health System, at the descretion of the Foundation. When the terms of the endowment are met, the Foundation grants the funds over to the intended Unity Health System entity.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>Unity Health System and its members (The System) include not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. In addition,the System is exempt from state income tax under the New York State Corporation tax law.As of December 31, 2013 and 2012, the System does not have a liability for unrecognized tax positions. The System files tax returns in the U.S. federal jurisdiction and New York State.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>true</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RebuttablePresumptionProcInd>false</RebuttablePresumptionProcInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Michele Grazulis</PersonNm>
        <TitleTxt>VP/HR - UHS</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>208125</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>23358</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>810</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>29689</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>4726</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>266708</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Steward Putnam</PersonNm>
        <TitleTxt>President HCSD</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>424541</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>28725</BonusRelatedOrganizationsAmt>
        <DeferredCompRltdOrgsAmt>71688</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>10334</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>535288</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Thomas R Crilly</PersonNm>
        <TitleTxt>Exec. VP/CFO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>333830</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>39258</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>1527</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>41011</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>11707</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>427333</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Warren Hern</PersonNm>
        <TitleTxt>CEO - UHS</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>708187</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>154114</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>58651</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>65237</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>4599</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>990788</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 6b: Explanation of organization compensation contingent on net earnings from related or</FormAndLineReferenceDesc>
        <ExplanationTxt>The officers and key employees are eligible for incentive compensation contingent upon various performance indicators of Unity Health System, Inc. including net earnings.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Additional Information</FormAndLineReferenceDesc>
        <ExplanationTxt>PART II EXPLANATION: The Unity Hospital of Rochester, a related Organization was responsible for paying the compensation for the Organization's CEO, CFO, and President.</ExplanationTxt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="13000170" softwareVersion="2013v3.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body</FormAndLineReferenceDesc>
        <ExplanationTxt>All the policies, property, affairs and business of the corporation shall be under the charge, control and direction of its Board of Directors. Directors shall be elected by the Board at its annual meeting following nomination of potential directors by the Governance Committee. In addition to the directors elected by the Board, the President shall serve as an ex-officio director , with vote.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders</FormAndLineReferenceDesc>
        <ExplanationTxt>Any action taken by the Corporation in its capacity as the member of the Corporation's not-for profit Affiliates, or as the shareholder of its business subsidiaries, in connection with the proposed amendment, repeal, or adoption of the certificates of incorporation and/or bylaws of such Affiliates or subsidiaries, shall be by vote of three-quarters of the directors of the Corporation then serving. The text of any proposed amendment of the certificate of incorporation or bylaws of such an Affiliate or subsidiary shall be included with the notice of any meeting at which such amendment is presented for action.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 will be reviewed by the Executive Committee of the System's Board of Directors prior to the annual filing date and also made available to the entire Board of Directors of the System.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>On an annual basis the System sends a Conflict of Interest statement to all Board Members, Officers, Directors, Key Employees, and management staff asking them to disclose any potential conflict of interest that could compromise their position within the Corporation. These statements are reviewed by the CFO of the Corporation to determine if there are any issues that require further follow-up. All disclosures are presented to the Audit Committee and the CFO points out any disclosures that he feels are significant. If there is a disclosure that is of concern, a determination is made for further follow-up.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO's compensation is determined by an independent consulting firm that makes a recommendation based on surveys and market valuation. Once a compensation package is determined, it is presented to the Board of Directors for approval.Compensation for all other positions are determined based on market pricing, the position evaluation system and /or the position's responsibilities.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>The System makes documents available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Increases</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in funded status of pension and postretirement plan = $726129</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Line1, Parts I and III</FormAndLineReferenceDesc>
        <ExplanationTxt>The System, and its subsidiaries is an integrated healthcare delivery system that provides patient care, senior housing, laboratory sevices, and community outreach to residents and other clients in Monroe County, New York and several surrounding counties.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part I, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>All employees of Unity Health System (the System), including those of Unity Health System, Inc. are paid from one entity, The Unity Hospital of Rochester, which is the common paymaster. The total number of employees for the System have been reported on all entities based on the reporting requirements for 2013.</ExplanationTxt>
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          <AddressLine1>1555 Long Pond Rd</AddressLine1>
          <City>Rochester</City>
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        </USAddress>
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        </DirectControllingEntityName>
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          <BusinessNameLine1>Park Ridge Nursing Home Inc</BusinessNameLine1>
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          <City>Rochester</City>
          <State>NY</State>
          <ZIPCode>14626</ZIPCode>
        </USAddress>
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        <PrimaryActivitiesTxt>Long Term Care Facility</PrimaryActivitiesTxt>
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          <BusinessNameLine1>NA</BusinessNameLine1>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1>Unity Health System Foundation</BusinessNameLine1>
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          <AddressLine1>1555 Long Pond Rd</AddressLine1>
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          <BusinessNameLine1>NA</BusinessNameLine1>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1>PRCD Inc</BusinessNameLine1>
        </DisregardedEntityName>
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          <AddressLine1>1555 Long Pond Rd</AddressLine1>
          <City>Rochester</City>
          <State>NY</State>
          <ZIPCode>14626</ZIPCode>
        </USAddress>
        <EIN>161311581</EIN>
        <PrimaryActivitiesTxt>Substance Abuse Treatment &amp; Rehab.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
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          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Park Ridge Child Care Center Inc</BusinessNameLine1>
        </DisregardedEntityName>
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          <AddressLine1>1555 Long Pond Rd</AddressLine1>
          <City>Rochester</City>
          <State>NY</State>
          <ZIPCode>14626</ZIPCode>
        </USAddress>
        <EIN>222918126</EIN>
        <PrimaryActivitiesTxt>Child Day Care Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1>NA</BusinessNameLine1>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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          <BusinessNameLine1>Park Ridge Housing Development Fund Inc</BusinessNameLine1>
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        <USAddress>
          <AddressLine1>1555 Long Pond Rd</AddressLine1>
          <City>Rochester</City>
          <State>NY</State>
          <ZIPCode>14626</ZIPCode>
        </USAddress>
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        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
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          <BusinessNameLine1>Park Ridge Housing Inc</BusinessNameLine1>
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          <City>Rochester</City>
          <State>NY</State>
          <ZIPCode>14626</ZIPCode>
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          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Parkway Commons Housing Development Fund</BusinessNameLine1>
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        <USAddress>
          <AddressLine1>1555 Long Pond Rd</AddressLine1>
          <City>Rochester</City>
          <State>NY</State>
          <ZIPCode>14626</ZIPCode>
        </USAddress>
        <EIN>223130818</EIN>
        <PrimaryActivitiesTxt>Low Income Housing for Elderly/Handicapped</PrimaryActivitiesTxt>
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          <BusinessNameLine1>NA</BusinessNameLine1>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1>St Bernards Housing Development Fund C</BusinessNameLine1>
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          <AddressLine1>1555 Long Pond Rd</AddressLine1>
          <City>Rochester</City>
          <State>NY</State>
          <ZIPCode>14626</ZIPCode>
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        <PrimaryActivitiesTxt>Low Income Housing Project</PrimaryActivitiesTxt>
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          <BusinessNameLine1>NA</BusinessNameLine1>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1>Unity Aging ServicesInc</BusinessNameLine1>
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          <AddressLine1>1555 Long Pond Rd</AddressLine1>
          <City>Rochester</City>
          <State>NY</State>
          <ZIPCode>14626</ZIPCode>
        </USAddress>
        <EIN>841684195</EIN>
        <PrimaryActivitiesTxt>Management and Development Co</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Unity Housing Development Fund Corp</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>1555 Long Pond Rd</AddressLine1>
          <City>Rochester</City>
          <State>NY</State>
          <ZIPCode>14626</ZIPCode>
        </USAddress>
        <EIN>300068596</EIN>
        <PrimaryActivitiesTxt>Receipt and Disbursements of Subsidies</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Woodland Village Inc</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>1555 Long Pond Rd</AddressLine1>
          <City>Rochester</City>
          <State>NY</State>
          <ZIPCode>14626</ZIPCode>
        </USAddress>
        <EIN>161588242</EIN>
        <PrimaryActivitiesTxt>Senior Apartment Complex</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Unity Ambulatory Surgery Center Inc</BusinessNameLine1>
        </DisregardedEntityName>
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          <AddressLine1>1555 Long Pond Road</AddressLine1>
          <City>Rochester</City>
          <State>NY</State>
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        </USAddress>
        <EIN>383871383</EIN>
        <PrimaryActivitiesTxt>Outpatient Surgery</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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          <City>Rochester</City>
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      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
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      <AssetExchangeInd>false</AssetExchangeInd>
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      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
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      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
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      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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</Return>