The Unity Hospital of Rochester

“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.”

“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.”

“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.”

“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.”

“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, officer and director 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.”

“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.”

“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.”

“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.”

“Rochester regional health (rochester regional) (i.e. The parent organization and its related affiliates) has provided high quality healthcare services to the greater rochester ny area and surrounding regions for more than 170 years. It is one of the largest employers in rochester and an integral part of the community. Rochester regional has a nationally recognized heart program and a nationally accredited cancer center, and offers patients many of the same leading edge treatment options found at the country's finest medical centers. From surgery to orthopedics, women's health to emergency care, people all across western ny turn to rochester regional for their experience, compassion and expertise in helping them get back to living their lives. Poverty trends, community health research and needs assessments are reviewed on a regular basis while planning community health programs. Rochester regional representatives are actively engaged in various community health collaborations with the local health departments, state health department, and local not-for-profit health and human service agencies, and actively works to respond to community priorities and develop programs and services that fill a gap or supplement an existing program. Most rochester regional community health outreach programs are offered in partnership with other community organizations or governmental agencies, in order to leverage resources to meet community needs. Information regarding the availability of community health programs, assistance with health insurance enrollment and financial assistance for medical care received at rochester regional hospitals, emergency departments, outpatient departments or long-term care facilities is disseminated to the public in electronic (website) form. A cornerstone of rochester regional health's strategic plan is to invest in a sustainable business model that is, to prioritize investments in growth and services that create long-term value. Despite the ongoing impact of covid-19, rochester regional continues to celebrate progress on the following initiatives essential to the future of the institution and the health of the new york state communities it serves: destination campuses: better service to rural patients rochester regional's destination-campus strategy brings rural patients easy, local access to a wide range of high quality, coordinated primary and specialty care services. The new geneseo medical campus which opened in october 2021 expanded services in 2022 with the addition of an urgent care center. Strategic framework: creating the future of quality care all of these projects show how rochester regional is forging ahead on all fronts of a strategic plan: value-focused growth and investment. Working as one organization, integrating care delivery to provide seamless transitions and the right care, in the right place, at the right time. Delivering frictionless care experiences for our community, patients, employees, and providers. Driving innovation, using data-driven insights to continuously improve quality and outcomes. In addition to expanding geographic reach, facility capabilities, and service lines, rochester regional pursues system-wide initiatives that define who they are and what they value. These include environmental sustainability; a commitment to diversity, equity, and inclusion; and an ongoing promise to improve the communities served. The overall health system continues to grow through the addition of medical practices strengthening the service offerings to those throughout the communities served. New and expanded service offerings include: new at rrh: transcranial magnetic stimulation (tms) - rrh is now offering, for the first time, a new treatment option to patients with treatment-resistant depression. Tms is a noninvasive form of brain stimulation performed on an outpatient basis. Approximately one-third of tms patients have experienced their symptoms go away completely. Major depression affects as m”

“Now open: imaging scans are an essential part of keeping our community healthy. To help support the growing need for imaging services, rrh has recently opened a new imaging center at the linden oaks medical campus. Services available include: x-rays, 3d mammogram (including diagnostics), ultrasounds (including breast ultrasounds & biopsies), and dexa scans. Now available: rrh expresscare - in support of our ongoing effort to improve healthcare with technology, rochester regional health offers on-demand video visits through rrh expresscare. Rrh expresscare acts as a virtual urgent care and is available 7 days a week. Rrh expresscare is recommended for patients with conditions such as ear infections, sore throat, fever, cold, allergies, stomach issues, upper respiratory infections, asthma, and rashes. Rrh joins national hospital coalition to prevent gun deaths among children - while there is no easy solution to address the rise in random acts of mass gun violence in our nation, we do have the power to prevent an even greater source of gun deaths in america suicide and gun accidents. Today, these are the leading cause of death for kids in america. And the simple act of locking up guns and ammo reduces the risk of self-inflicted or unintentional injury to kids by 85%. Our rrh board and our executive and physician leaders unanimously agreed to have rrh join a coalition of u.s. Hospitals and health systems in support of a nationwide public service campaign focused on preventing child access to guns. The campaign theme is, "it doesn't kill to ask, and is aimed at making it easier and more comfortable for parents, grandparents, and caregivers to ask about unlocked guns in places where children may play, be cared for, or visit. 2022 continued to be a challenging year with the continuation of covid-19. When covid-19 came to nys and specifically into the service area of rochester regional, the organization responded by taking measures to ensure the safety of patients, team members and the broader community. The actions continued into 2022 and included: rochester regional continued to provide education regarding covid-19 and vaccine on multiple platforms including: social media, website, mycare patient portal, phone messaging, and e-newsletter. More specifically: rrh's "health hive," an online portal of articles and helpful hints in dealing with the pandemic challenges as well as other health related topics. During 2022, more than 75 articles were published, 25 relating to covid covering areas that included: how to slow the spread; how to keep you and your family safe; impact of covid on various types of underlying conditions; vaccination information and many others. Rrh participated in over 350 news articles, special reports, and interviews over a variety of mediums including tv, radio and printed news articles. Additionally, rrh made over 2,500 social media posts across multiple platforms including facebook, instagram, twitter and linkedin. The rochester regional health diversity, equity, inclusion and justice office hosted community conversations with various community and church groups. Attendees have joined from rochester and also throughout other parts of the us. Rrh established and continues to maintain collaborative partnerships to ensure those most vulnerable in the community are well served including: community 1a eligible drive-thru clinic; in partnership with finger lakes vaccine hub fqhc and safety net populations pop-up clinic for latinx community at the jackson r-center (community recreation center) ongoing support for local health department run clinics, such as genesee county and wayne county tonawanda reservation partnership genesee community college clinic regional health reach program rrh and its employees have an incredibly strong commitment to the communities they serve. In 2022 events sponsored and held by rrh include: celebrating women and cultivating leaders - international women's day on march 8, celebrated women”

“Participated in yap, and every one of them has graduated from high school. The community services team and nursing students from isabella graham hart school of practical nursing participated and represented rrh at a call to women of color event at genesee valley park. During 2022 rochester regional health was recognized by the following: congratulations: pcasi earns first magnet designation - rrh is proud to announce that primary care and ambulatory specialty institute (pcasi) achieved its first magnet designation in 2022. Pcasi is the first primary care organization (and only the second ambulatory care group) in the nation to receive a magnet designation. Magnet is the internationally recognized gold standard of excellence in the nursing profession by the american nurses credentialing center (ancc) and less than 8% of healthcare facilities in the u.s. Are magnet recognized. Pcasi now joins rochester general, unity, and newark-wayne community hospitals in reaching this milestone. Clifton springs hospital & clinic, ummc and the st. Lawrence hospitals are currently underway on their own magnet journeys. Congratulations: rrh is&t team members receive hdi awards - rochester regional health's it service and delivery leadership is sending congratulations for being honored at the 2022 western new york hdi awards. Congratulations: rochester business journal recognizes local health care heroes - every year, the rochester business journal recognizes health care workers across all areas of specialty, highlighting their impact on greater rochester. Potential honorees can be nominated for consideration by their colleagues or members of the community. In 2022, six rochester regional health team members were selected as honorees by the rbj and recognized in a virtual award ceremony. Health care pioneers: rrh leads the country in geriatric surgical care - rrh was the first in the nation to have a hospital with the fully accredited program and will likely become the first this year to have accredited rural hospitals, newark-wayne community hospital and clifton springs hospital & clinic- expected later this year. Rochester general hospital and united memorial medical center are on track to start the acs gsv program soon, with st. Lawrence health not far behind. National award: rrh wins prestigious "system for change" award - in recognition of our achievements and innovation in health care sustainability, rrh has proudly earned the system for change award from practice greenhealth, the nation's leading organization dedicated to environmental sustainability in health care. The designation recognizes rrh's system-wide, ongoing commitment to eliminating toxins, reducing waste, and building sustainability into the operations and culture of our institute. Well done: rrh receives positive cms performance score - rochester regional health is again a top performer based on the centers for medicare and medicaid services' (cms) newly released 2021 merit-based incentive payment system (mips) scores. Rrh's medicare shared savings program accountable care organization (mssp aco) participated as a group and scored 100 out of 100 for the 2021 mips reporting year, which is part of the cms quality payment program. Mips rates providers based on performance in several categories, including quality, improvement activities, and promoting interoperability. For participating providers in the aco, data is gathered from electronic health record systems (ehrs) and submitted to cms. Quality informatics and gripa ensure program requirements are met as the program evolves yearly. This includes ensuring appropriate workflows are available to capture and track the needed health information that demonstrates the excellent care provided to rrh patients. Clinical excellence: congratulations to the radiation oncology teams at lipson cancer institute-linden oaks, united memorial medical center, unity hospital, clifton springs hospital, and rochester general hospital for achieving”

“And beyond. Unity's new cmr capability will eliminate the current need to transfer mri patients to rochester general hospital, and increase outpatient cmr capacity, allowing patients to be scheduled and diagnosed more efficiently. Recognitions and awards bestowed upon unity hospital in 2022 include: leaders in care: unity hospital received healthgrades awards - healthgrades the leading resource connecting consumers, physicians, and health systems, has recognized unity hospital as providing exceptional care for patients in specialized areas. The hospital also attained further acclaim with multiple five-star recipient awards. Unity hospital leads the state as the no. 1 hospital in new york for joint replacement in 2022, placing it among the top 5 percent in the nation for joint replacement. Unity also received recognition for cardiac, orthopedics, pulmonary, gastrointestinal, critical care, and labor and delivery care, and a surgical care excellent award - making it among the top 10 percent of hospitals in the nation for surgical care in 2022. Unity hospital 4400 unit earns prestigious beacon award - compliments to unity hospital's 4400 unit oncology/palliative care team for its industry-leading achievement by earning the silver-level beacon award for excellence from the american association of critical-care nurses (aacn). Receiving this national honor is a testament to the team's hard work and commitment to safe, patient-centered, evidence-based care. The beacon award recognizes hospital units that exemplify excellence in professional practice, patient care, and outcomes. Rrh holds 29 beacon awardsthe most of any hospital system in the country. Congratulations: unity hospital continues to exemplify excellence - compliments to the august family birthplace and intensive care unit (icu) at unity hospital for earning the american association of critical care nurses (aacn) beacon awards for excellence. The august family birthplace earned its first aacn beacon award for excellence with a silver designation. Unity's icu received the aacn beacon award for excellence with a gold designation. This is their third consecutive designation and first gold designation after earning two silvers. The american association of critical-care nurses (aacn) recognizes hospital units that integrate evidence-based practices to improve patient and family outcomes and rrh continues to demonstrate nursing excellence with the largest amount of beacon awards for excellence per healthcare system in nys! Safe sleep champion: unity hospital takes home the gold - unity hospital and the august family birth place have achieved the highest level of gold safe sleep champion. This designation highlights their ongoing commitment to reducing infant sleep-related deaths, establishing a safe sleep policy, and more. Congratulations to everyone in the august family birth place for your dedication to our tiniest patients in your care, and in their homes. Unity hospital recognized by healthgrades for superior clinical performance - to determine top performers, healthgrades evaluates nearly 4,500 u.s. Hospitals across 17 specialty care areas using publicly reported centers for medicare and medicaid services (cms) data from a rolling three-year period. Awards are presented to those that rank among the top 1% - 10% of u.s. Hospitals demonstrating superior clinical performance and consistently exceptional patient outcomes overall and for each specialty. Uh was recognized as a five-star recipient for total knee replacement (7 years in a row), hip replacement (4 years in a row), respiratory failure (5 years in a row), sepsis (6 years in a row), and carotid procedures. Achievement awards: unity hospital nationally recognized for stroke care - unity hospital has received american heart association's gold plus get with the guidelines - stroke quality achievement awards for their commitment to improving care by adhering to the latest treatment guidelines and streamlining processes to”

“Contract services: program service expenses 98,615,830. Management and general expenses 9,659,792. Fundraising expenses 0. Total expenses 108,275,622. Medical purchased services: program service expenses 9,800,939. Management and general expenses 960,039. Fundraising expenses 0. Total expenses 10,760,978. Repairs & maintenance: program service expenses 2,418,398. Management and general expenses 236,891. Fundraising expenses 0. Total expenses 2,655,289. Special fees: program service expenses -76,460. Management and general expenses -7,490. Fundraising expenses 0. Total expenses -83,950.”

“Pension adjustment 37,569,522. Change in beneficial interest -2,534,021.”

“The process has not changed from the prior year.”

“Statement pursuant to treas reg sec 1 6038-2(j)(3) the following information is submitted with respect to unity hospital of rochester'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.”