2023-11-13T12:43:59-06:00 2022-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 990 2022-01-01 223159644 NORTH PARK NURSING HOME INC DBA EDNA TINA WILSON LIVING CENTER NORT 5859221595 1555 LONG POND RD ROCHESTER NY 14626 THOMAS R CRILLY CFO 5859221595 2023-11-09 THOMAS CRILLY XXX-XX-XXXX 1 CHELSEY WYANT P01336644 5853811000 2023-11-08 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DR RICHARD DAVIS 100 KINGS HIGHWAY S ROCHESTER NY 14617 13488961 0 X WWW.ROCHESTERREGIONAL.ORG X 1991 NY AS AN AFFILIATE OF THE SYSTEM AND THE CENTER OF AGING AND CONTINUING CARE SERVICES, NORTH PARK NURSING HOME, INC. (D.B.A EDNA TINA WILSON LIVING CENTER) IS DEDICATED TO PROVIDING QUALITY CARE, INDEPENDENCE AND A POSITIVE LIVING EXPERIENCE FOR PATIENTS AND RESIDENTS IN OUR FACILITY. THE MISSION IS ACHIEVED THROUGH THE CORE VALUES OF THE SYSTEM WHICH INCLUDE PEOPLE, EXCELLENCE, LEARNING AND RESULTS. 10 8 337 8 0 0 3183891 5000 12942363 13494734 102 233 10888 -11006 16137244 13488961 0 0 0 0 8759774 9884926 0 0 0 7165577 6232366 15925351 16117292 211893 -2628331 11370134 7945599 5800722 4047045 5569412 3898554 X EDNA TINA WILSON LIVING CENTER IS A 120-BED SKILLED NURSING FACILITY DEDICATED TO PROVIDING HIGH-QUALITY HEALTHCARE FOR SENIORS. THE CENTER USES AN INNOVATIVE NEIGHBORHOOD DESIGN, WITH RESIDENT ROOMS CLUSTERED AROUND THE ACTIVITY CENTER AND THE LIVING AND DINING AREAS, TO PROMOTE SOCIAL AND INTERACTIVE LIVING. THE CENTER CARES FOR THE PHYSICAL AND MEDICAL NEEDS OF OUR RESIDENTS AND ALSO SPECIALIZES IN PAIN MANAGEMENT, IV THERAPY, AND HOSPICE CARE FOR ITS RESIDENTS. 0 0 14408507 13327953 120-BED SKILLED NURSING FACILITY. THE EDNA TINA WILSON LIVING CENTER USES AN INNOVATIVE NEIGHBORHOOD DESIGN, WITH RESIDENT ROOMS CLUSTERED AROUND THE ACTIVITY CENTER AND THE LIVING AND DINING AREAS, TO PROMOTE MORE SOCIAL AND INTERACTIVE LIVING. 187278 173233 A LICENSED HOME CARE SERVICE AGENCY. THIS PROGRAM ALLOWS SENIORS TO CONTINUE LIVING SAFELY AND INDEPENDENTLY IN THEIR OWN HOMES. SERVICES ARE CUSTOMIZED FOR EACH INDIVIDUAL AND RANGE FROM MEAL DELIVERY AND ASSISTANCE WITH HOUSEHOLD TASKS TO MEDICAL CARE. 184 170 AN ADULT DAYCARE CENTER. ADULT DAY SERVICES PROVIDE A CARING, SUPPORTIVE, AND THERAPEUTIC ENVIRONMENT FOR PEOPLE WHO NEED CARE OR SUPERVISION DURING DAYTIME HOURS. 14595969 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 23 0 1 337 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 8 0 0 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X HOWARD GLASTONBURY 5859221595 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 X CHARLES H HANK STUART CHAIR OF THE BOARD 1.00 1.00 X X 0 0 0 MARILYN DOLLINGER TREASURER 1.00 1.00 X X 0 0 0 DANIEL MEYERS SECRETARY 1.00 1.00 X X 0 0 0 RICHARD DAVIS PHD CEO 1.00 54.00 X X 23527 1270487 11213 RALPH DESTEPHANO DIRECTOR 1.00 1.00 X 0 0 0 ERIKA GREEN DIRECTOR 1.00 1.00 X 0 0 0 DR RICHARD MACHEMER DIRECTOR 1.00 1.00 X 0 0 0 MANUEL MATOS MD DIRECTOR 1.00 40.00 X 0 519169 -201393 JAMES NORMAN DIRECTOR 1.00 1.00 X 0 0 0 ELIZABETH PATTON PHD DIRECTOR 1.00 1.00 X 0 0 0 THOMAS CRILLY CFO 1.00 54.00 X 24236 1308772 -231918 HUGH THOMAS CAO 1.00 54.00 X 26619 1437405 -194485 ALLEN HART OFF SHIFT DIRECTOR 40.00 0.00 X 114657 0 -5763 DENIS VINNIK VP, OPERATIONS - LONG TERM CARE 40.00 0.00 X 176791 0 23070 GRACE DENGLER ASSOCIATE CHIEF NURSING OFFICER- LONG TERM CARE 40.00 0.00 X 156386 0 -19371 SARAH BATEMAN ADMINISTRATOR, NHA 40.00 0.00 X 136656 0 -10081 SEVINC INCE DIRECTOR, NURSING - LONG TERM CARE 40.00 0.00 X 139812 0 -175833 ERIC BIEBER FORMER CEO 0.00 0.00 X 861 46499 293 799545 4582332 -804268 6 1 1 0 0 5000 5000 PATIENT SERVICE REVENUE 623000 13494734 13494734 13494734 233 233 LOSS ON EXTINGUISHMENT OF DEBT 900099 -17628 -17628 6622 6622 -11006 13488961 13501356 0 -17395 X 67700 57755 9945 7982698 7448044 534654 582449 543047 39402 616092 574414 41678 635987 592963 43024 338 308 30 685 685 2286169 1920382 365787 4948 4156 792 129655 109595 20060 229336 192642 36694 23413 19667 3746 12226 10270 1956 26384 24541 1843 728071 709631 18440 23193 19482 3711 MEDICAL SUPPLES 966506 811865 154641 SHARED SERVICES 769904 644237 125667 TAXES AND ASSESSMENTS 741053 622485 118568 BAD DEBT 290485 290485 16117292 14595969 1521323 0 3436926 505551 71222 123672 1042340 1159343 19559 19559 24329 12381 22451806 16353994 6742366 6097812 33392 27281 11370134 7945599 1873518 1384120 77603 90661 1449744 0 2399857 2572264 5800722 4047045 X 5537060 3872643 32352 25911 5569412 3898554 11370134 7945599 X -2628331 957473 X X 0 1 X 1 0 X 13680 16363 2730746 3183891 5000 5949680 15434812 13855418 12208055 12942363 13494734 67935382 15448492 13871781 14938801 16126254 13499734 73885062 0 0 0 73885062 1424 1016 178 102 233 2953 1424 1016 178 102 233 2953 162807 141020 4564 10888 6622 325901 15612723 14013817 14943543 16137244 13506589 74213916 0.99560 0.99470 0.00000 0.00010 X PART III, LINE 12: 2018: MISCELLANEOUS INCOME $162,807 2019: MISCELLANEOUS INCOME $141,020 2020: MISCELLANEOUS INCOME $4,564 2021: MISCELLANEOUS INCOME $10,888 2022: MISCELLANEOUS INCOME $6,622 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 685 685 0 PART II-B, LINE 1: THE AMOUNT REFLECTED ON PART II-B. LINE 1I REPRESENTS THE PORTION OF MEMBERSHIP DUES PAID TO LEADING AGE NY AND LEADING AGE NATIONAL. 0 1 X 32352 -6441 25911 28078 4274 32352 27853 225 28078 39286 -11433 27853 37128 2158 39286 1.00000 0 1 1 485000 485000 17344517 12443430 4901087 4483963 3808961 675002 138326 101603 36723 6097812 ACCRUED PENSION LIABILITY 1251953 THIRD PARTY PAYOR PAYABLES 441130 DUE TO AFFILIATES 879181 2572264 PART IV, LINE 2B: RESIDENTS HAVE AUTHORIZED NORTH PARK NURSING HOME TO MANAGE THEIR PERSONAL FINANCES. THE FACILITY HOLDS, SAFEGUARDS, MANAGES, AND ACCOUNTS FOR PERSONAL FUNDS OF THE RESIDENTS DEPOSITED WITH THE FACILITY. INDIVIDUAL RESIDENT FUNDS ARE DEPOSITED IN AN INTEREST-BEARING ACCOUNT AND EACH RESIDENT HAS AN INTERNAL ACCOUNTING OF THE BALANCE OF THEIR FUND. EACH RESIDENT IS PROVIDED ON A MONTHLY BASIS IN ACCOUNTING OF THEIR FUND BALANCE. PART V, LINE 4: ENDOWMENT FUNDS HELD FOR INTENDED USE BY NORTH PARK NURSING HOME, INC. ARE IN THE POSSESSION OF THE ROCHESTER REGIONAL HEALTH FOUNDATION. WHEN THE TERMS OF THE ENDOWMENT ARE MET, THE FOUNDATION GRANTS THE FUNDS OVER TO NORTH PARK NURSING HOME, INC. 0 1 0 0 0 0 0 0 0 RICHARD DAVIS PHD CEO 18982 1025032 4545 245455 0 0 0 0 204 11009 23731 1281496 0 0 HUGH THOMAS CAO 16289 879589 10330 557816 0 0 -3764 -203253 228 12304 23083 1246456 2504 135196 THOMAS CRILLY CFO 11493 620627 11826 638607 917 49538 -4447 -240163 231 12461 20020 1081070 1921 103748 MANUEL MATOS MD DIRECTOR 0 250969 0 268200 0 0 0 -212766 0 11373 0 317776 0 0 DENIS VINNIK VP, OPERATIONS - LONG TERM CARE 144234 0 32557 0 0 0 13687 0 9383 0 199861 0 0 0 ERIC BIEBER FORMER CEO 861 46499 0 0 0 0 0 0 5 288 866 46787 0 0 PART I, LINE 3 COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS IS ESTABLISHED USING THE FOLLOWING: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACTS - COMPENSATION SURVEYS AND STUDIES - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE ON AN ANNUAL BASIS, THE ORGANIZATION USES AN INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE SALARIES FOR ALL EXECUTIVES TO ENSURE SUCH SALARIES ARE CONSISTENT WITH MARKET SALARIES PAID TO SIMILARLY SITUATED EXECUTIVES. IN ADDITION, A COMPENSATION COMMITTEE REVIEWS THIS INFORMATION ANNUALLY AND IT IS THEN APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. FINALLY, EXECUTIVES RECEIVE A WRITTEN LETTER OUTLINING THE SPECIFICS OF THE COMPENSATION AGREEMENT AND THEIR EXPECTED PERFORMANCE. PART I, LINE 4B SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS PROVIDE BENEFITS TO CERTAIN KEY EXECUTIVE EMPLOYEES OF ROCHESTER REGIONAL HEALTH. THE ORGANIZATION MAINTAINS A SECTION 457(F) PLAN WHICH WOULD BE CONSIDERED A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. DURING 2022 THE CFO OF ROCHESTER REGIONAL HEALTH RECEIVED A DISTRIBUTION TOTALING $49,054. PART II, COLUMN C: RETIREMENT AND OTHER DEFERRED COMPENSATION - THIS COLUMN IS REFLECTIVE OF THE ACTUARIAL CHANGE IN DEFINED BENEFIT PENSION PLAN AND POST-RETIREMENT BENEFITS FOR THE TAX YEAR. FORM 990, PART VI, SECTION A, LINE 1A EACH BOARD HAS AN EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE BOARD PLUS THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION AND SUCH OTHER DIRECTORS AS THE CHAIR MAY NOMINATE FROM TIME TO TIME FOR APPOINTMENT BY A MAJORITY VOTE OF THE ENTIRE BOARD. BETWEEN MEETINGS OF THE BOARD, AND TO THE EXTENT PERMITTED BY LAW, THE EXECUTIVE COMMITTEE SHALL POSSESS THE POWERS OF THE BOARD WITH RESPECT TO MANAGING AND CONDUCTING THE AFFAIRS OF THE CORPORATION, EXCEPT AS OTHERWISE PROVIDED BY LAW OR WITHIN CERTAIN BY-LAWS. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS A MEMBERSHIP (NOT A STOCK) CORPORATION UNDER NEW YORK STATE LAW. THE ORGANIZATION'S SOLE CORPORATE MEMBER IS ROCHESTER REGIONAL HEALTH, A RELATED NOT-FOR-PROFIT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B ROCHESTER REGIONAL HEALTH, AS THE SOLE CORPORATE MEMBER, ALSO HAS THE RIGHT TO APPROVE OR RATIFY SIGNIFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY, INCLUDING AMENDMENT OF BYLAWS AND CHARTERS, REMOVAL OF MEMBERS OF THE GOVERNING BODY, AND THE DECISION TO DISSOLVE THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, A COPY OF THE FORM 990 IS PROVIDED TO, AND REVIEWED WITH, ALL MEMBERS OF THE AUDIT AND COMPLIANCE COMMITTEE. THIS REVIEW IS PERFORMED IN CONSULTATION WITH THE ORGANIZATION'S TAX ADVISORS, AND IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS AND OTHER RELEVANT INFORMATION FOR THE APPROPRIATE TIME PERIOD. FORM 990, PART VI, SECTION B, LINE 12C UPON EMPLOYMENT, ALL EMPLOYEES RECEIVE THE ETHICAL STANDARD OF CONDUCT BOOKLET FOR WHICH THEY SIGN A RECEIPT OF ACKNOWLEDGEMENT. CONFLICT OF INTEREST EDUCATION IS CONDUCTED ANNUALLY FOR ALL EMPLOYEES. CONFLICT OF INTEREST IS DEFINED, AS IS MANAGEMENT OF A CONFLICT OF INTEREST. EMPLOYEES ARE REQUIRED TO DISCLOSE AND SEEK RESOLUTION TO ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST BEFORE TAKING A POTENTIALLY IMPROPER ACTION. ANNUALLY, EACH KEY EMPLOYEE, DIRECTOR AND OFFICER OF THE ORGANIZATION IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE FORM, PROVIDING MANAGEMENT WITH SUFFICIENT INFORMATION ABOUT HIS/HER PERSONAL INTERESTS AND RELATIONSHIPS SO THAT MANAGEMENT CAN: (1) DETERMINE WHETHER ANY ACTUAL OR PERCEIVED CONFLICT OF INTEREST EXISTS, AND (2) MONITOR WORK ASSIGNMENTS TO AVOID PLACING THE KEY EMPLOYEE OR OFFICER IN A POSITION WHERE THERE MAY BE A QUESTION AS TO HIS/HER OBJECTIVITY AS WELL AS TO AVOID ANY APPEARANCE OF IMPROPRIETY. THROUGHOUT THE YEAR, KEY EMPLOYEES, OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE ALSO REQUIRED TO NOTIFY MANAGEMENT PROMPTLY IF ANY CHANGE TO THEIR DISCLOSURES OCCURS. IN ADDITION, EACH MEMBER OF THE BOARD OF DIRECTORS MUST ALSO COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE FORM, WHICH MUST BE SUBMITTED TO THE GENERAL COUNSEL. BOARD MEMBERS LEAVE THE ROOM DURING DISCUSSIONS AND ABSTAIN FROM VOTING WHEN THEY HAVE A CONFLICT OF INTEREST." FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S OFFICER AND KEY EMPLOYEE COMPENSATION ARRANGEMENTS ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE. INFORMATION REVIEWED FOR THE OFFICER/KEY EMPLOYEE INCLUDES COMPARABLE DATA FROM SIMILAR SIZE TAX-EXEMPT ORGANIZATIONS IN THE WESTERN/CENTRAL NY COMMUNITY AS WELL AS COMPENSATION FOR THESE POSITIONS (AS DISCLOSED ON FORM 990) WITH OTHER ORGANIZATIONS IN THE HEALTHCARE INDUSTRY THAT ARE OF SIMILAR SIZE, DEMOGRAPHICS AND GEOGRAPHY. REVIEW AND APPROVAL OF THE COMPENSATION ARRANGEMENT BY THE COMPENSATION COMMITTEE IS DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ADMINISTRATIVE OFFICES OF THE AFFILIATED HEALTH SYSTEM AT 100 KINGS HIGHWAY SOUTH, ROCHESTER, NY 14617. A NOMINAL FEE IS CHARGED IF COPIES ARE REQUESTED. FORM 990, PART VII, SECTION A, COLUMN (F): ESTIMATED AMOUNT OF OTHER COMPENSATION FROM THE ORGANIZATION AND RELATED ORGANIZATIONS - THIS COLUMN IS REFLECTIVE OF (1) THE ACTUARIAL CHANGE IN DEFINED BENEFIT PENSION PLAN AND POST-RETIREMENT BENEFITS FOR THE TAX YEAR AND (2) NON-TAXABLE BENEFITS. FORM 990, PART IX, LINE 11G MEDICAL PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 142,587. MANAGEMENT AND GENERAL EXPENSES 27,159. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 169,746. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 1,723,085. MANAGEMENT AND GENERAL EXPENSES 328,207. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,051,292. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 54,710. MANAGEMENT AND GENERAL EXPENSES 10,421. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 65,131. FORM 990, PART XI, LINE 9: CHANGE IN SWAP VALUATION 13,478. PENSION ACTUARIAL VALUATION 950,436. CHANGE IN BENEFICIAL INTEREST IN FOUNDATION -6,441. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. FORM 5471 FILED ON BEHALF STATEMENT STATEMENT PURSUANT TO TREAS REG SEC 1 6038-2(J)(3) THE FOLLOWING INFORMATION IS SUBMITTED WITH RESPECT TO NORTH PARK NURSING HOME, INC. DBA EDNA TINA WILSON LIVING CENTER'S FORM 5471 (INFORMATION RETURN OF U S PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS) FILING REQUIREMENT FOR THE ENTITY BELOW NAME OF FOREIGN CORPORATION HEALTH CARE CASUALTY INSURANCE LIMITED BEGINNING TAX YEAR OF FOREIGN CORPORATION JANUARY 1, 2022 ENDING TAX YEAR OF FOREIGN CORPORATION DECEMBER 31, 2022 THE FORM 5471 FILING REQUIREMENT FOR THIS FOREIGN CORPORATION FOR CATEGORIES 4 AND 5 HAVE BEEN SATISFIED BY INCLUSION IN THE FOLLOWING US FILER'S TAX RETURN NAME OF US FILER UNITY HEALTH SYSTEM, INC. ADDRESS OF US FILER 1555 LONG POND ROAD ROCHESTER, NY 14626 EIN OR SSN 22-2572873 ENDING TAX YEAR OF US FILER DECEMBER 31, 2022 TYPE OF RETURN FILED 990 IRS CENTER WHERE RETURN FILED OGDEN, UTAH 84201-0027. THE ROCHESTER GENERAL HOSPITAL 1425 PORTLAND AVENUE ROCHESTER NY 14621 160743134 HOSPITAL NY 501(C)(3) LINE 3 ROCHESTER REGIONAL HEALTH 1 GRHS FOUNDATION 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 223378111 R/E INV MGMT NY 501(C)(3) LINE 12B, II ROCHESTER REGIONAL HEALTH 1 ROCHESTER REGIONAL HEALTH FOUNDATION 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 222229425 FUNDRAISING NY 501(C)(3) LINE 12B, II ROCHESTER REGIONAL HEALTH 1 NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATION DRIVING PARK AVENUE NEWARK NY 14513 222963015 FUNDRAISING NY 501(C)(3) LINE 12B, II ROCHESTER REGIONAL HEALTH 1 NEWARK WAYNE COMMUNITY HOSPITAL DRIVING PARK AVENUE NEWARK NY 14513 150584188 HOSPITAL NY 501(C)(3) LINE 3 ROCHESTER REGIONAL HEALTH 1 RGHS WORKERS' COMPENSATION TRUST 1425 PORTLAND AVENUE ROCHESTER NY 14621 166429300 SEE PART VII NY 501(C)(3) LINE 12B, II ROCHESTER REGIONAL HEALTH 1 CONTINUING CARE NETWORK INC (CCN) 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 222963016 SUPPORT RGH NY 501(C)(3) LINE 12B, II ROCHESTER REGIONAL HEALTH 1 ROCHESTER GENERAL HUDSON HOUSING 2066 HUDSON AVENUE ROCHESTER NY 14621 223210351 LOW INC HOUSING NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 VIA HEALTH HOME CARE I 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 161504370 HOME HEALTH NY 501(C)(3) LINE 10 CCN 1 VIA HEALTH HOMECARE II 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 161538727 HOME HEALTH NY 501(C)(3) LINE 10 CCN 1 INDEPENDENT LIVING FOR SENIORS 2066 HUDSON AVENUE ROCHESTER NY 14617 161491059 ADULT DAY HC NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 ROCHESTER GENERAL LONG TERM CARE 1550 EMPIRE BLVD WEBSTER NY 14580 223187140 NH & REHAB NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 WESTERN NEW YORK MEDICAL PRACTICE PC 1425 PORTLAND AVENUE ROCHESTER NY 14621 611654232 PHYS PRAC NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 THE UNITY HOSPITAL OF ROCHESTER 1555 LONG POND RD ROCHESTER NY 14626 237221763 HOSPITAL NY 501(C)(3) LINE 3 ROCHESTER REGIONAL HEALTH 1 PARK RIDGE NURSING HOME INC 1555 LONG POND RD ROCHESTER NY 14626 160978184 LONG TERM CARE FACILITY NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 PARK RIDGE CHILD CARE CENTER INC 1555 LONG POND RD ROCHESTER NY 14626 222918126 CHILD DAY CARE SERVICES NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 PARK RIDGE HOUSING DEVELOPMENT FUND 1555 LONG POND RD ROCHESTER NY 14626 222608311 LOW INCOME HOUSING PROJECT FOR ELDERLY NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 PARK RIDGE HOUSING INC 1555 LONG POND RD ROCHESTER NY 14626 222570457 SENIOR APARTMENT COMPLEX NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 PARKWAY COMMONS HOUSING DEVELOPMENT 1555 LONG POND RD ROCHESTER NY 14626 223130818 LOW INCOME HOUSING FOR ELDERLY/HANDICAPPED NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 UNITY AGING SERVICES INC 1555 LONG POND RD ROCHESTER NY 14626 841684195 MANAGEMENT AND DEVELOPMENT CO NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 UNITY HOUSING DEVELOPMENT FUND CORP 1555 LONG POND RD ROCHESTER NY 14626 300068596 RECEIPT AND DISBURSEMENTS OF SUBSIDIES NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 WOODLAND VILLAGE INC 1555 LONG POND RD ROCHESTER NY 14626 161588242 SENIOR APARTMENT COMPLEX NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 UNITY AMBULATORY SURGERY CENTER INC 1555 LONG POND RD ROCHESTER NY 14626 383871383 OUTPATIENT SURGERY NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 UNITY HEALTH SYSTEM INC 1555 LONG POND ROAD ROCHESTER NY 14626 222572873 SYSTEM SUPPORT NY 501(C)(3) LINE 12B, II ROCHESTER REGIONAL HEALTH 1 ROCHESTER REGIONAL HEALTH 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 471234999 SYSTEM PARENT NY 501(C)(3) LINE 12B, II N/A 1 UNITED MEMORIAL MEDICAL CENTER 127 NORTH STREET BATAVIA NY 14020 160743029 HOSPITAL NY 501(C)(3) LINE 3 ROCHESTER REGIONAL HEALTH 1 CLIFTON SPRINGS HOSPITAL AND CLINIC 2 COULTER ROAD CLIFTON SPRINGS NY 14432 160743966 HOSPITAL NY 501(C)(3) LINE 3 ROCHESTER REGIONAL HEALTH 1 BEHAVIORAL HEALTH NETWORK INC 490 EAST RIDGE ROAD ROCHESTER NY 14621 166069131 MENTAL HEALTH NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 PRCD INC 1555 LONG POND RD ROCHESTER NY 14626 161311581 SUBSTANCE ABUSE TREATMENT & REHAB. NY 501(C)(3) LINE 7 ROCHESTER REGIONAL HEALTH 1 ROCHESTER GENERAL HEALTH SYSTEM 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 222551509 SYSTEM SUPPORT NY 501(C)(3) LINE 12B, II ROCHESTER REGIONAL HEALTH 1 UNITED MEMORIAL MEDICAL CENTER FOUNDATION 127 NORTH STREET BATAVIA NY 14020 222611543 FUNDRAISING NY 501(C)(3) LINE 12B, II UNITED MEMORIAL MEDICAL CENTER 1 CLIFTON SPRINGS HOSPITAL & CLINIC FOUNDATION 2 COULTER ROAD CLIFTON SPRINGS NY 14432 161560033 FUNDRAISING NY 501(C)(3) LINE 12B, II ROCHESTER REGIONAL HEALTH 1 GENESEE REGION HOME CARE ASSOCIATION 100 KINGS HIGHWAY ROCHESTER NY 14617 160844109 HOME HEALTH NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 GENESEE REGION HOME CARE ASSOCIATION OF ONTARIO COUNTY INC 100 KINGS HIGHWAY ROCHESTER NY 14617 223257719 HOME HEALTH NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 CANTON-POTSDAM HOSPITAL 50 LEROY STREET POTSDAM NY 13676 161012691 HOSPITAL NY 501(C)(3) LINE 3 ST LAWRENCE HEALTH SYSTEM INC 1 CANTON-POTSDAM MEDICAL PRACTICE PLLC 50 LEROY STREET POTSDAM NY 13676 460714367 OUT PATIENT CLINIC NY 501(C)(3) LINE 10 ST LAWRENCE HEALTH SYSTEM INC 1 GOVEURNEUR HOSPITAL 77 WEST BARNEY STREET GOUVERNEUR NY 13642 464249555 HOSPITAL NY 501(C)(3) LINE 3 ST LAWRENCE HEALTH SYSTEM INC 1 MASSENA HOSPITAL INC 1 HOSPITAL DRIVE MASSENA NY 13662 843134268 HOSPITAL NY 501(C)(3) LINE 3 ST LAWRENCE HEALTH SYSTEM INC 1 ST LAWRENCE HEALTH SYSTEM INC 50 LEROY STREET POTSDAM NY 13676 464259168 SYSTEM SUPPORT NY 501(C)(3) LINE 12A, I ROCHESTER REGIONAL HEALTH 1 PARMA HOUSING DEVELOPMENT FUND CORP 89 GENESEE STREET ROCHESTER NY 14611 810671685 LOW INCOME HOUSING FOR ELDERLY/HANDICAPPED NY 501(C)(3) LINE 10 ROCHESTER REGIONAL HEALTH 1 ROCHESTER GENERAL COLLEGE OF HEALTH CAREERS 470 SKYVIEW CENTRE PKWY ROCHESTER NY 14622 862935462 EDUCATION NY 501(C)(3) LINE 2 THE ROCHESTER GENERAL HOSPITAL 1 NW ASSOCIATES LP PO BOX 111 DRIVING PARK AVENUE NEWARK NY 14513 141674119 R/E LEASING NY NWCH RELATED 0 0 0.73610 PARMA SENIOR HOUSING 1555 LONG POND RD ROCHESTER NY 14626 432082116 HILTON PROJ NY N/A 0 0 UNITY SENIOR HOUSING ASSOCIATES LP 1555 LONG POND RD ROCHESTER NY 14626 061709927 MOORE PK NY N/A 0 0 GREATER ROCHESTER ASSURANCE COMPANY LTD GEORGE TOWN GRAND CAYMAN CJ INSURANCE CJ N/A C 1.00000 0 GRACO RISK RETENTION GROUP INC 1425 PORTLAND AVENUE ROCHESTER NY 14621 710933967 INSURANCE SC RGH C 1.00000 0 NWA INC DRIVING PARK AVENUE NEWARK NY 14513 141667339 R/E LEASING NY NWCH C 1.00000 0 GREATER ROCHESTER INDEPENDENT PRACTICE ASSOCIATION INC 100 KINGS HWY S SUITE 2500 ROCHESTER NY 14617 161507171 INDEPENDENT PRACTICE ASSOCIATION NY N/A C 0.50000 0 ROCHESTER GENERAL HEALTH SYSTEM DIALYSIS INC 1425 PORTLAND AVENUE ROCHESTER NY 14621 383912199 DIALYSIS NY RGHS C 1.00000 0 ACM MEDICAL LABORATORY INC 160 ELMGROVE PARK ROCHESTER NY 14624 161059691 CLINICAL LAB NY PRH INC C 0 PRH INC 1555 LONG POND ROAD ROCHESTER NY 14626 161329632 MEDICAL LAB NY ROCHESTER REGIONAL HEALTH C 0 PARMA SENIOR HOUSING LLC 1555 LONG POND ROAD ROCHESTER NY 14626 810671687 SENIOR HOUSING NY ROCHESTER REGIONAL HEALTH C 0 UNITY SENIOR HOUSING CORP 1555 LONG POND ROAD ROCHESTER NY 14624 061709925 SENIOR HOUSING NY ROCHESTER REGIONAL HEALTH C 0 UNITY HEALTH SYSTEM PURCHASING GROUP LLC 1555 LONG POND ROAD ROCHESTER NY 14626 222572873 SENIOR HOUSING NY ROCHESTER REGIONAL HEALTH C 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 ROCHESTER REGIONAL HEALTH P 570659 FMV ROCHESTER GENERAL HOSPITAL P 1139691 FMV THE UNITY HOSPITAL OF ROCHESTER P 1890312 FMV GENESEE REGION HOME CARE ASSOCIATION Q 610877 FMV INDEPENDENT LIVING FOR SENIORS L 104437 FMV SCHEDULE R, PART II, COLUMN (B): RELATED TAX-EXEMPT ORGANIZATION - PRIMARY ACTIVITY: RGHS WORKERS' COMPENSATION TRUST SUPPORTS THE ROCHESTER GENERAL HOSPITAL, NEWARK WAYNE COMMUNITY HOSPITAL, ROCHESTER GENERAL LONG TERM CARE, INDEPENDENT LIVING FOR SENIORS, BEHAVIORAL HEALTH NETWORK, INC, CLIFTON SPRINGS HOSPITAL & CLINIC, UNITED MEMORIAL MEDICAL CENTER, UNITY HOSPITAL OF ROCHESTER, GENESEE REGION HOME CARE ASSOCIATION AND GENESEE REGION HOME CARE OF ONTARIO COUNTY.