ROME MEMORIAL HOSPITAL INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: ROME MEMORIAL HOSPITAL INC (EIN 16-1471634)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-10-12
IRS object ID: 202332859349301908
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-10-12T13:56:28-05:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	161226221	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	FUSTCHARLES LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	220 S WARREN STREET	AddressLine1Txt
City	SYRACUSE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13202	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	161471634	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ROME MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ROME	BusinessNameControlTxt
Phone	3153387021	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1500 NORTH JAMES STREET	AddressLine1Txt
City	ROME	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13440	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DEWEY ROWLANDS	PersonNm
Person Title	CFO/VP FINANCE	PersonTitleTxt
Phone	3153387000	PhoneNum
Signature	2023-09-27	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	DEWEY	PersonFirstNm
Person Last	ROWLANDS	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	PATRICK CAPELLA	PreparerPersonNm
PTIN	P01359200	PTIN
Phone	3154463600	PhoneNum
Preparation	2023-09-27	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	ROME HEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	ANNMARIE CZYZ	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1500 NORTH JAMES STREET	AddressLine1Txt
City	ROME	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13440	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$116,601,264	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	ROMEHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Assoc	Yes (X)	TypeOfOrganizationAssocInd
Formation	1995	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	PROVIDE QUALITY HEALTHCARE WITH COMPASSION.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	1094	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	-$167,235	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$8,611,714	PYContributionsGrantsAmt
CY Contributions Grants	$12,383,867	CYContributionsGrantsAmt
PY Program Service Revenue	$90,975,099	PYProgramServiceRevenueAmt
CY Program Service Revenue	$95,719,031	CYProgramServiceRevenueAmt
PY Investment Income	$176,868	PYInvestmentIncomeAmt
CY Investment Income	$112,249	CYInvestmentIncomeAmt
PY Other Revenue	$3,652,048	PYOtherRevenueAmt
CY Other Revenue	$3,244,586	CYOtherRevenueAmt
PY Total Revenue	$103,415,729	PYTotalRevenueAmt
CY Total Revenue	$111,459,733	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$42,543,643	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$48,225,694	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$54,078,612	PYOtherExpensesAmt
CY Other Expenses	$65,898,194	CYOtherExpensesAmt
PY Total Expenses	$96,622,255	PYTotalExpensesAmt
CY Total Expenses	$114,123,888	CYTotalExpensesAmt
PY Revenues Less Expenses	$6,793,474	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$2,664,155	CYRevenuesLessExpensesAmt
Total Assets BOY	$72,806,706	TotalAssetsBOYAmt
Total Assets EOY	$75,315,807	TotalAssetsEOYAmt
Total Liabilities BOY	$32,888,053	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$35,331,951	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$39,918,653	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$39,983,856	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	ABOUT ROME MEMORIAL HOSPITAL: OVERALL, ROME MEMORIAL HOSPITAL PROVIDES INPATIENT, OUTPATIENT, SKILLED NURSING, AND EMERGENCY CARE SERVICES PRIMARILY FOR THE RESIDENTS OF ROME AND THE SURROUNDING AREAS.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$36,524,784	ExpenseAmt
Revenue	$37,448,015	RevenueAmt
Desc	INPATIENT CARE SERVICES, INPATIENT NURSING UNITS CONSIST OF THE FOLLOWING:INTENSIVE CARE-2ND FLOOR, MATERNITY-4TH FLOOR, 2 EAST MEDICAL/SURGICAL-2ND FLOOR, 2 NORTH MEDICAL/SURGICAL WITH CARDIAC MONITORING-2ND FLOOR, PEDIATRICS-2ND FLOOR, AND SENIOR BEHAVIORAL HEALTH- 2ND FLOOR.2022 INPATIENT DISCHARGES: 3,8302022 BIRTHS: 6362022 PATIENT DAYS: 15,801	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$5,065,461	ExpenseAmt
Revenue	$5,193,499	RevenueAmt
Desc	RESIDENTIAL HEALTHCARE FACILITY (RHCF)BECAUSE OF OUR COMMITTMENT TO SERVE THE UNIQUE NEEDS OF SENIORS, WE HAVE AN 80-BED RESIDENTIAL HEALTH CARE FACILITY AND 12 BED INPATIENT UNIT FOR SENIOR BEHAVIORAL HEALTHCARE FACILITY. OUR RESIDENTIAL HEALTHCARE FACILITY CONSISTS OF THE FOLLOWING: LONG-TERM NURSING HOME CARE, SHORT-TERM SUB-ACUTE REHABILITATION, AND RESPITE CARE- ALL LOCATED ON THE 3RD FLOOR.2022 PATIENT DAYS = 17,9672022 OCCUPANCY PERCENTAGE = 85.57%	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$12,747,940	ExpenseAmt
Revenue	$13,070,168	RevenueAmt
Desc	EMERGENCY DEPARTMENT (ED)ROME MEMORIAL HOSPITAL EMERGENCY DEPARTMENT IS A SAFETY NET FOR THE MOST VULNERABLE POPULATIONS IN THE COMMUNITY. IN 2022, APPROXIMATELY 47.30% OF THE PATIENTS TREATED WERE LISTED AS UNINSURED OR UNDER INSURED. FOR LOWER LEVEL EMERGENCY DEPARTMENT VISITS, THIS POPULATION REPRESENTED 60.30% OF THE VISITS BECAUSE MANY PRIMARY CARE PHYSICIANS DO NOT ACCEPT MEDICAID.2022 ED ADMISSIONS: 3,0872022 ED VISITS: 25,606	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$39,021,020	ExpenseAmt
Revenue	$40,007,349	RevenueAmt
Desc	ALL SERVICES TO PROVIDE QUALITY, COMPASSIONATE CARE IN A SAFE ENVIRONMENT TO SERVE THE HEALTHCARE NEEDS OF THE PEOPLE OF ROME AND THE SURROUNDING COMMUNITIES.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$39,021,020	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$40,007,349	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$93,359,205	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	36	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1094	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DEWEY ROWLANDS - ROME MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3153387024	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1500 NORTH JAMES STREET	AddressLine1Txt
City	ROME	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13440	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
ANKUR DESAI MD
CHAIRMAN	2.00	Yes (X)	Yes (X)	$0	$0	$0
LYNN REESE
VICE CHAIRMAN	2.00	Yes (X)	Yes (X)	$0	$0	$0
DARLENE BURNS
SECRETARY	2.00	Yes (X)	Yes (X)	$0	$0	$0
JULIE GROW-DENTON
TREASURER	2.00	Yes (X)	Yes (X)	$0	$0	$0
DAVID NOLAN
DIRECTOR	2.00	Yes (X)		$0	$0	$0
DONALD HANSON
DIRECTOR	2.00	Yes (X)		$0	$0	$0
JOHN RESTIVO MD
ASST. VICE CHAIRMAN	2.00	Yes (X)		$0	$0	$0
KRISTIN GRUNDER
ASST. SECRETARY	2.00	Yes (X)		$0	$0	$0
LORI KAPLAN FELICE
DIRECTOR	2.00	Yes (X)		$0	$0	$0
RYAN O'SHAUGNESSY
ASST. TREASURER	2.00	Yes (X)		$0	$0	$0
KRISTIN MUCITELLI-HEATH
ST. JOSEPH'S HEALTH LIAISO	2.00	Yes (X)		$0	$0	$0
ELEANOR PICENTE
DIRECTOR	2.00	Yes (X)		$0	$0	$0
MARYBETH LYONS
DIRECTOR	2.00	Yes (X)		$0	$0	$0
JESSICA YOUNG
DIRECTOR	2.00	Yes (X)		$0	$0	$0
JAMES SPROCK
DIRECTOR	2.00	Yes (X)		$0	$0	$0
DEWEY ROWLANDS
CFO	48.00		Yes (X)	$223,992	$33,470	$34,575	7.00
ANNEMARIE CZYZ
CEO	45.00		Yes (X)	$0	$0	$0	10.00
ROBIN BIANCO
REGISTERED NURSE	55.00			$180,410	$0	$292		Yes (X)
RYAN THOMPSON
COO	44.00			$143,282	$35,821	$9,416	11.00	Yes (X)
MARK ROWAN
SIO	55.00			$173,747	$0	$34,131		Yes (X)
SCOTT BURNS
CQO	55.00			$169,758	$0	$9,401	0.00	Yes (X)
DAVID O'CONNOR
NURSE PRACTITIONER	55.00			$149,998	$0	$2,019		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,041,187	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$69,291	TotReportableCompRltdOrgAmt
Total Other Compensation	$89,834	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	69	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
DAVIN HEALTHCARE
18 DICISION ST STE 311	SARATOGA SPRING	NY	12866	NURSE STAFFING	$10,060,769
LAB CORP (CENTREX CLINICAL LABS)
PO BOX 12140	BURLINGTON	NC	27216	LAB SERVICES	$2,413,388
MEDICAL SOLUTIONS
1010 N 102ND STREET SUIT 300	OMAHA	NE	68114	NURSE STAFFING	$2,068,636
PREMIER ANESTHESIA
2655 NORTHWINDS PKWY	ALPHARETTE	GA	30009	ANESTHESIA SERVICES	$1,688,332
ST JOSEPH'S PHYSICIANS
301 PROSPECT AVE	SYRACUSE	NY	13203	PHYSICANS	$659,551

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	39	CntrctRcvdGreaterThan100KCnt
Government Grants	$1,602,542	GovernmentGrantsAmt
All Other Contributions	$10,781,325	AllOtherContributionsAmt
Total Contributions	$12,383,867	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INPATIENT SERVICES	622110	$37,448,015	$37,448,015
EMERGENCY DEPARTMENT	621990	$13,070,168	$13,070,168
RESIDENTIAL HEALTHCARE FACILITY	623990	$5,193,499	$5,193,499

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$40,007,349	TotalRevenueColumnAmt
Related Or Exempt Func Income	$40,007,349	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$95,719,031	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$236,132	TotalRevenueColumnAmt
Exclusion	$236,132	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$22,681	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$5,078	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$17,603	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$17,603	TotalRevenueColumnAmt
Exclusion	$17,603	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$4,999,475	SecuritiesAmt
Other	$13,095	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$5,065,587	SecuritiesAmt
Other	$70,866	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$66,112	SecuritiesAmt
Other	-$57,771	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$123,883	TotalRevenueColumnAmt
Exclusion	-$123,883	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
LAB REVENUE	621493	$360,000	$360,000
340B REVENUE	722514	$335,369	$335,369
RMG	541200	$318,086	$318,086

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,213,528	TotalRevenueColumnAmt
Unrelated Business Revenue	-$167,235	UnrelatedBusinessRevenueAmt
Exclusion	$2,380,763	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,226,983	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$111,459,733	TotalRevenueColumnAmt
Related Or Exempt Func Income	$95,719,031	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$167,235	UnrelatedBusinessRevenueAmt
Exclusion	$3,524,070	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$257,582	TotalAmt
Management And General	$257,582	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$40,199,110	TotalAmt
Program Services	$36,845,757	ProgramServicesAmt
Management And General	$3,353,353	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$390,291	TotalAmt
Program Services	$355,683	ProgramServicesAmt
Management And General	$34,608	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,289,183	TotalAmt
Program Services	$3,906,355	ProgramServicesAmt
Management And General	$382,828	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,089,528	TotalAmt
Program Services	$2,813,904	ProgramServicesAmt
Management And General	$275,624	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$235,960	TotalAmt
Management And General	$235,960	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$30,600	TotalAmt
Management And General	$30,600	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$13,332	TotalAmt
Management And General	$13,332	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$35,435	TotalAmt
Management And General	$35,435	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$26,336,857	TotalAmt
Program Services	$24,456,727	ProgramServicesAmt
Management And General	$1,880,130	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$93,713	TotalAmt
Management And General	$93,713	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$470,981	TotalAmt
Program Services	$158,877	ProgramServicesAmt
Management And General	$312,104	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$819,147	TotalAmt
Program Services	$650,458	ProgramServicesAmt
Management And General	$168,689	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$106,038	TotalAmt
Program Services	$88,632	ProgramServicesAmt
Management And General	$17,406	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$114,486	TotalAmt
Program Services	$51,168	ProgramServicesAmt
Management And General	$63,318	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$17,821	TotalAmt
Program Services	$17,821	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,619,287	TotalAmt
Program Services	$1,889,568	ProgramServicesAmt
Management And General	$729,719	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,441,988	TotalAmt
Management And General	$1,441,988	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES EXPENSE	$11,093,128	$10,834,883	$258,245
PURCHASED SERVICES	$6,759,034	$3,035,700	$3,723,334
BAD DEBT EXPENSE	$3,825,651	$3,825,651
PHARMACY	$3,125,352	$3,125,352

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,759,384	TotalAmt
Program Services	$1,302,669	ProgramServicesAmt
Management And General	$7,456,715	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$114,123,888	TotalAmt
Program Services	$93,359,205	ProgramServicesAmt
Management And General	$20,764,683	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$7,527,048	BOYAmt
EOY	$613,605	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$15,529,499	BOYAmt
EOY	$6,417,755	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$10,008,053	BOYAmt
EOY	$10,099,880	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,747,317	BOYAmt
EOY	$1,532,907	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,560,054	BOYAmt
EOY	$2,542,229	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,238,078	BOYAmt
EOY	$5,249,485	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$100,507,622	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$63,560,787	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$24,566,571	BOYAmt
EOY	$36,946,835	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$7,630,086	BOYAmt
EOY	$11,913,111	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$72,806,706	BOYAmt
EOY	$75,315,807	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$17,923,348	BOYAmt
EOY	$25,040,341	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$350,331	BOYAmt
EOY	$221,225	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$14,614,374	BOYAmt
EOY	$10,070,385	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$32,888,053	BOYAmt
EOY	$35,331,951	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$36,153,985	BOYAmt
EOY	$31,937,789	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,764,668	BOYAmt
EOY	$8,046,067	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$39,918,653	BOYAmt
EOY	$39,983,856	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$72,806,706	BOYAmt
EOY	$75,315,807	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$2,664,155	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$809,719	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$3,539,077	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$13,332	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$13,332	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	$13,332 REPRESENTS THE PORTION OF THE 2022 MEMBERSHIP DUES OF HANYS, AHA, AND IROQUOIS HEALTHCARE ALLIANCE, THAT RMH IS A MEMBER OF, THAT HAS BEEN DEEMED TO BE RELATED TO LOBBYING EXPENSES. THESE EXPENDITURES ARE DEFINED AS DIRECT COMMUNICATIONS WITH CERTAIN MEMBERS OF FEDERAL, STATE, OR LOCAL GOVERNMENTS TO INFLUENCE LEGISLATION.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,764,669	BeginningYearBalanceAmt
Investment Earnings Or Losses	$4,324,347	InvestmentEarningsOrLossesAmt
Other Expenditures	$42,948	OtherExpendituresAmt
End Year Balance	$8,046,068	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,640,995	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,123,674	InvestmentEarningsOrLossesAmt
Other Expenditures	$15,186	OtherExpendituresAmt
End Year Balance	$3,764,669	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,722,080	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$58,864	InvestmentEarningsOrLossesAmt
Other Expenditures	$22,222	OtherExpendituresAmt
End Year Balance	$1,640,995	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,932,885	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$179,623	InvestmentEarningsOrLossesAmt
Other Expenditures	$31,182	OtherExpendituresAmt
End Year Balance	$1,722,080	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$714,585	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,267,200	InvestmentEarningsOrLossesAmt
Other Expenditures	$48,900	OtherExpendituresAmt
End Year Balance	$1,932,885	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.00311	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.99689	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$55,909,793	OtherCostOrOtherBasisAmt
Depreciation	$28,005,250	DepreciationAmt
Book Value	$27,904,543	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,475,296	OtherCostOrOtherBasisAmt
Depreciation	$2,461,660	DepreciationAmt
Book Value	$13,636	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$36,031,334	OtherCostOrOtherBasisAmt
Depreciation	$30,623,705	DepreciationAmt
Book Value	$5,407,629	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,091,199	OtherCostOrOtherBasisAmt
Depreciation	$2,470,172	DepreciationAmt
Book Value	$3,621,027	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$36,946,835	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
NET ASSETS OF FOUNDATION	$7,895,650
OTHER LONG-TERM RECEIVABLES	$4,017,461

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$11,913,111	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
OTHER LONG-TERM LIABILITIES	$4,586,969
THIRD-PARTY PAYABLE, NET	$3,137,350
DUE TO RELATED ENTITIES	$1,278,998
OPERATING LEASE LIABILITIES	$1,067,068

Field	Value	IRS element (for citing)
Total Liability	$10,070,385	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$107,702,801	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$104,154	OtherRevenueAmt
Revenue Not Reported	$104,154	RevenueNotReportedAmt
Revenue Subtotal	$107,598,647	RevenueSubtotalAmt
Investment Expenses Not Incld	$35,435	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$3,825,651	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$3,861,086	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$111,459,733	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$110,224,932	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$5,078	OtherExpensesIncludedAmt
Expenses Not Reported	$5,078	ExpensesNotReportedAmt
Expenses Subtotal	$110,219,854	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$35,435	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$3,868,599	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$3,904,034	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$114,123,888	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	INTENDED USE OF ENDOWMENT FUND IS THAT THE PRINCIPLE CAN BE INVESTED, WHILE KEPT INTACT IN PERPETUITY; ONLY THE INCOME GENERATED CAN BE USED BY THE ORGANIZATION.
PART X, LINE 2:	THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE HOSPITAL IS SUBJECT TO FEDERAL INCOME TAXES ON UNRELATED BUSINESS INCOME UNDER SECTION 511 OF THE INTERNAL REVENUE CODE. ROME MEDICAL GROUP AND ROME MEDICAL PRACTICE ARE FOR-PROFIT ENTITIES SUBJECT TO FEDERAL AND STATE INCOME TAXES. AS OF DECEMBER 31, 2022 AND 2021, THE HOSPITAL DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2019 THROUGH 2022. THE HOSPITAL DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSE 5,078. BOOK/TAX DIFFERENCE ON PASS-THROUGH INCOME 99,076.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 3,825,651.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 5,078.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 3,825,651. NET ASSETS RELEASED FROM RESTRICTIONS 42,948.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,370,363	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$268,438	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,101,925	NetCommunityBenefitExpnsAmt
Total Expense	0.01000	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,421,242	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,959,288	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,461,954	NetCommunityBenefitExpnsAmt
Total Expense	0.08580	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$275,342	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$275,342	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,066,947	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,227,726	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,839,221	NetCommunityBenefitExpnsAmt
Total Expense	0.09830	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,986	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,543	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,443	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,986	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,543	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,443	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,092,933	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,230,269	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,862,664	NetCommunityBenefitExpnsAmt
Total Expense	0.09850	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$95,655	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$95,655	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$95,655	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$95,655	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$3,825,651	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,136,011	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$18,418,634	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$23,563,975	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$5,145,341	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 GRIFFISS EYE CENTER LLC
SEE SCHEDULE R PART VII	0.20960	0.00000	0.79040
2 RHCNY LLC
SEE SCHEDULE R PART VII	0.20000		0.80000

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ROME MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1500 NORTH JAMES STREET	AddressLine1Txt
City	ROME	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13440	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ROME MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE LINE 7D DESCRIPTION FOR FULL URL	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE LINE 7D DESCRIPTION FOR FULL URL	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE LINE 7D DESCRIPTION FOR FULL URL	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.ROMEHEALTH.ORG/MEDICAL-FINANCIAL-ASSISTANCE-NEAR-ROME-NY/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.ROMEHEALTH.ORG/MEDICAL-FINANCIAL-ASSISTANCE-NEAR-ROME-NY/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.ROMEHEALTH.ORG/MEDICAL-FINANCIAL-ASSISTANCE-NEAR-ROME-NY/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ROME MEMORIAL HOSPITAL	PART V, SECTION B, LINE 5: ONEIDA COUNTY HEALTH DEPARTMENT (OCHD), ROME MEMORIAL HOSPITAL, INC., D/B/A ROME HEALTH (RH) AND MOHAWK VALLEY HEALTH SYSTEM (MVHS) COLLABORATED TO DEVELOP A THREE-YEAR COMMUNITY HEALTH ASSESSMENT, COMMUNITY SERVICE PLAN, AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHA/CSP/CHIP). THE DEVELOPMENT OF THE CHA, CSP AND CHIP FOR THE PERIOD OF 2022-2024 INVOLVED A SYSTEMATIC APPROACH OF DATA RETRIEVAL AND ANALYSIS, COMMUNITY ENGAGEMENT WITH A UNIFIED MISSION TO IDENTIFY AND RANK HEALTH PRIORITIES THAT AIM TO IMPROVE OVERALL HEALTH AND REDUCE DISPARITIES AMONG RESIDENTS OF ONEIDA COUNTY. MULTIPLE METHODS WERE USED TO GATHER COMMUNITY INPUT, INCLUDING CONDUCTING COMMUNITY FOCUS GROUPS, AN ONLINE SURVEY, AND IN-DEPTH INTERVIEWS OF COMMUNITY MEMBERS AND LEADERS. THESE METHODS PROVIDED ADDITIONAL PERSPECTIVES ON HOW TO SELECT AND ADDRESS TOP HEALTH ISSUES FACING THE REGION.IN-DEPTH INTERVIEWS WERE CONDUCTED WITH 12 COMMUNITY STAKEHOLDERS REPRESENTING COMMUNITY LEADERS, HEALTH ORGANIZATION ADMINISTRATORS, PUBLIC HEALTH STAKEHOLDERS, SOCIAL SERVICE PERSONNEL, THE NAACP AND THE LATINO ASSOCIATION.THE HEALTH PRIORITIES IDENTIFIED WITHIN THIS REPORT ALIGN WITH NEW YORK STATE'S MISSION, WHICH IS TO BE THE HEALTHIEST STATE FOR PEOPLE ACROSS ALL AGES. THE COLLABORATIVE COMMUNITY HEALTH PLANNING PARTNERSHIP ADOPTED THE NEW YORK STATE (NYS) PREVENTION AGENDA 2019-2024 PRIORITIES, WHICH PROVIDES THE BLUEPRINT TO IMPROVE THE HEALTH AND WELLBEING, AS WELL AS TO PROMOTE HEALTH EQUITY ACROSS POPULATIONS WHO EXPERIENCE DISPARITIES AND GUIDE THE DEVELOPMENT OF THE PLAN. THE 2022-2024 CHNA AND COMMUNITY HEALTH IMPROVEMENT PLAN OUTLINING THE PRIORITIES IS AVAILABLE ONLINE AT WWW.ROMEHEALTH.ORG.
ROME MEMORIAL HOSPITAL	PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED IN COLLABORATION WITH THE MOHAWK VALLEY HEALTH SYSTEM (FAXTON-ST. LUKE'S HOSPITAL AND ST. ELIZABETH'S MEDICAL CENTER) AND THE ONEIDA COUNTY HEALTH DEPARTMENT. ROME HEALTH, MVHS, AND OCHD CONTRACTED WITH RESEARCH AND MARKETING STRATEGIES, INC. (RMS HEALTHCARE) TO GATHER COMMUNITY INPUT THROUGH ONLINE SURVEYS, FOCUS GROUP AND IN-DEPTH INTERVIEWS. RMS CONSULTED WITH A RANGE OF GOVERNMENTAL, HEALTHCARE, PUBLIC HEALTH AND COMMUNITY SERVICE ORGANIZATIONS THAT BEST REPRESENTED THE BROAD INTERESTS AND NEEDS OF THE COMMUNITY OVERALL.
ROME MEMORIAL HOSPITAL	PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN COLLABORATION WITH THE MOHAWK VALLEY HEALTH SYSTEM (FAXTON-ST. LUKE'S HOSPITAL AND ST. ELIZABETH'S MEDICAL CENTER) AND THE ONEIDA COUNTY HEALTH DEPARTMENT. ROME HEALTH, MVHS, AND OCHD CONTRACTED WITH RESEARCH AND MARKETING STRATEGIES, INC. (RMS HEALTHCARE) TO GATHER COMMUNITY INPUT THROUGH ONLINE SURVEYS, FOCUS GROUP AND IN-DEPTH INTERVIEWS. RMS CONSULTED WITH A RANGE OF GOVERNMENTAL, HEALTHCARE, PUBLIC HEALTH AND COMMUNITY SERVICE ORGANIZATIONS THAT BEST REPRESENTED THE BROAD INTERESTS AND NEEDS OF THE COMMUNITY OVERALL.
ROME MEMORIAL HOSPITAL	PART V, SECTION B, LINE 7D: THE CHNA (INCLUDING AN IMPLEMENTATION PLAN) IS AVAILABLE AT THE HOSPITAL'S WEBSITE USING THE FOLLOWING URL: HTTPS://WWW.ROMEHEALTH.ORG/COMMUNITY-HEALTH-ASSESSMENT-ROME-NY/A JOINT PRESS RELEASE WAS ALSO DISTRIBUTED ANNOUNCING TO THE COMMUNITY THAT THE COMMUNITY NEEDS ASSESSMENT WAS AVAILABLE FOR REVIEW AND COMMENT.THE CHNA IS ALSO AVAILABLE AT ONEIDA COUNTY'S WEBSITE USING THE FOLLOWING URL: HTTP://WWW.OCGOV.NET/HEALTH/COMMUNITY-HEALTH-ASSESSMENT
ROME MEMORIAL HOSPITAL	PART V, SECTION B, LINE 11: THE HOSPITAL ADDRESSES THE SIGNIFICANT HEALTH CARE NEEDS OF THE COMMUNITY THROUGH ITS CONTINUUM OF HEALTHCARE SERVICES/PROGRAMS AND RELATIONSHIPS WITH COMMUNITY PARTNERS. THE COMMUNITY HOSPITAL HAS 130 LICENSED ACUTE CARE BEDS, AN 80-BED SKILLED NURSING FACILITY, A BROAD ARRAY OF OUTPATIENT SERVICES AND THREE ARTICLE 28 PRIMARY CARE PRACTICES. IN ADDITION, THE HOSPITAL PROVIDES ESSENTIAL ACCESS TO SPECIALTY PHYSICIAN SERVICES THROUGH AN AFFILIATED CAPTIVE PC.THE DATA FROM THE CHA GUIDES THE HOSPITAL IN THE DEVELOPMENT OF TACTICS TO TRANSFORM OPERATIONS IN SUPPORT OF ITS STRATEGIC PLAN. THESE TACTICS ARE ORGANIZED UNDER THE PILLARS OF FISCAL SUSTAINABILITY; CONVENIENCE, QUALITY, ACCESS; AND ENGAGEMENT.FOR THE PURPOSES OF THE COUNTY/HOSPITAL COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP), WE ARE TASKED WITH IDENTIFYING TWO KEY PRIORITY AREAS THAT THE HOSPITALS AND THE COUNTY HEALTH DEPARTMENT WILL WORK ON COLLABORATIVELY USING EVIDENCE BASED INTERVENTIONS FROM THE NEW YORK STATE PREVENTION AGENDA. BASED UPON THE FEEDBACK FROM THE COMMUNITY AND THE DATA ANALYSIS, ROME HEALTH, THE ONEIDA COUNTY HEALTH DEPARTMENT AND MOHAWK VALLEY HEALTH SYSTEM NARROWED THE PRIORITIES DOWN TO 4 AREAS AND SELECTED THE FOLLOWING 2 FOCUS AREAS. MENTAL HEALTH/CHILDREN TEENS SOCIAL EMOTIONAL HEALTH:MENTAL HEALTH WAS OVERWHELMING IDENTIFIED AS A CRISIS FOR THIS COMMUNITY AND OUR COUNTY DOESN'T HAVE A GOOD STRUCTURE IN PLACE TO COORDINATE OUR EFFORTS. CHRONIC DISEASE PREVENTIVE CARE/SCREENINGS:WHILE THERE IS INFRASTRUCTURE IN PLACE, THERE ARE STILL GAPS WITH LACK OF ACCESS, COORDINATION OF CARE, ESPECIALLY WITH VULNERABLE POPULATIONS. IT'S AN AREA THAT IMPACTS LARGE NUMBERS OF PEOPLE. THE OTHER TWO AREAS THAT HAD EMERGED FROM THE RESEARCH WERE:SUBSTANCE USE/OPIOIDSMATERNAL CHILD HEALTH WHILE THEY WILL NOT BE SELECTED AS ONE OF THE TWO PRIORITIES IN OUR CHIP, THE HEALTH ASSESSMENT WILL IDENTIFY THEM AS IMPORTANT HEALTH ISSUES IN OUR COMMUNITY THAT GROUPS WILL CONTINUE TO WORK ON TO IMPROVE OUTCOMES. IT WAS FELT THAT THESE TWO AREAS HAD SOME INFRASTRUCTURE IN PLACE FOR COLLABORATION AND TEAMS WERE ALREADY ACTIVELY WORKING ON INTERVENTIONS WITHIN THEIR SCOPE OF WORK.UNMET COMMUNITY NEEDS ARE DUE TO A SHORTAGE OF PROVIDERS AND LIMITED FINANCIAL RESOURCES.

Field	Value	IRS element (for citing)
Facility	12	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - COMMUNITY RECOVERY CENTER
264 W DOMINICK STREET	ROME	NY	13440	SUBSTANCE ABUSE COUNSELING
2 - MOHAWK VALLEY RADIATION MEDICINE
107 E CHESTNUT STREET	ROME	NY	13440	RADIATION ONCOLOGY
3 - PHYSICAL THERAPY
107 E CHESTNUT STREET	ROME	NY	13440	OFFSITE PHYSICAL THERAPY SERVICES
4 - BOONVILLE FAMILY CARE
13407 STATE ROUTE 12	BOONVILLE	NY	13309	PRIMARY CARE SERVICES
5 - LABORATORY COLLECTION SITE
1801 BLACK RIVER BLVD	ROME	NY	13440	OFFSITE LAB COLLECTION SITE
6 - LABORATORY COLLECTION SITE
1617 N JAMES STREET	ROME	NY	13440	OFFSITE LAB COLLECTION SITE
7 - LABORATORY COLLECTION SITE
13407 STATE ROUTE 12	BOONVILLE	NY	13309	OFFSITE LAB COLLECTION SITE
8 - MEDICAL IMAGING
107 E CHESTNUT STREET	ROME	NY	13440	OFFSITE RADIOLOGY SERVICES
9 - PRENATAL CARE CENTER
155 WEST DOMINICK STREET	ROME	NY	13440	OFFSITE PRENATAL CARE SERVICES
10 - DELTA MEDICAL CENTER
1819 BLACK RIVER BLVD	ROME	NY	13440	PRIMARY CARE SERVICES
11 - REGIONAL WOUND CARE CENTER
267 HILL ROAD	ROME	NY	13441	ADVANCED WOUND CARE AND HYPERBARIC OXYGEN TREATMENT
12 - CAMDEN FAMILY CARE
5 MASONIC AVENUE	CAMDEN	NY	13316	PRIMARY CARE SERVICES

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	THE COMBINED ONEIDA COUNTY COMMUNITY HEALTH ASSESSMENT (CHA)/COMMUNITY SERVICE PLAN (CSP)) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) IS POSTED ON ROME MEMORIAL HOSPITAL'S WEBSITE AT WWW.ROMEHOSPITAL.ORG.
PART I, LINE 7:	FINANCIAL ASSISTANCE AT COST (7A) AND UNREIMBURSED MEDICAID (7B) WERE CALCULATED BY USING A COST TO CHARGE RATIO. THIS COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, SUPPLIED BY THE IRS. OTHER BENEFITS (7E & 7F) WERE CALCULATED BY DETERMINING ACTUAL COSTS AND ACTUAL REVENUE PER EVENT.THE MAIN SOURCE OR GUIDE OF HOW CALCULATIONS WERE DETERMINED WAS BY UTILIZING THE WORKSHEETS PROVIDED BY THE IRS AND THEN ADJUSTING ACCORDING TO ROME HOSPITAL SPECIFICS (IE. USING ACTUAL COSTS VS. COST TO CHARGE RATIO AS MENTIONED ABOVE).
PART I, LN 7 COL(F):	PERCENT OF TOTAL EXPENSE IS CALCULATED BY USING THE DENOMINATOR OF THE TOTAL FUNCTIONAL EXPENSES LESS BAD DEBT EXPENSE OF $3,825,651 (PER AUDITED FINANCIAL STATEMENTS).
PART II, COMMUNITY BUILDING ACTIVITIES:	PART II COMMUNITY BUILDING ACTIVITIESROME MEMORIAL HOSPITAL PARTICIPATES IN NUMEROUS COMMUNITY COMMITTEES INVOLVED IN ENHANCING HEALTHCARE OUTCOMES THROUGH PREVENTION, EARLY DETECTION AND INTERVENTION AS WELL AS EMERGENCY PREPAREDNESS ACTIVITIES TO ENSURE A COORDINATED RESPONSE IN AN EVENT OF A DISASTER. HOSPITAL EXPERTS ARE CALLED UPON TO PARTICIPATE IN MULTIPLE INITIATIVES TO ADDRESS ISSUES, SUCH AS DOMESTIC VIOLENCE, TEENAGE PREGNANCY, AND SUBSTANCE ABUSE.RECRUITING PHYSICIANS AND OTHER HEALTH PROFESSIONALS TO ENHANCE ACCESS TO CARE IS ONE OF THE HOSPITAL'S MOST SIGNIFICANT INVESTMENTS IN COMMUNITY BUILDING ACTIVITIES. THE HOSPITAL RECRUITED SEVERAL ADVANCED PRACTICE PROVIDERS AND PHYSICIANS TO EXPAND LOCAL ACCESS TO CARE.ROME MEMORIAL HOSPITAL IS A CLINICAL SITE FOR ALLIED HEALTH PROFESSIONALS AND AN AFFILIATED CLINICAL SITE OF NEW YORK MEDICAL COLLEGE NEW YORK MEDICAL COLLEGE TO HELP DEVELOP THE NEXT GENERATION OF PROVIDERS. THE HOSPITAL IMPLEMENTED TNA TO CNA WORKFORCE DEVELOPMENT PROGRAMS TO CLOSE STAFFING GAPS IN ITS SKILLED NURSING FACILITY TO ENSURE SAFE STAFFING RATIOS FOR ITS RESIDENTS.IN 2022, THE HOSPITAL OPENED A NEW $11.4 MILLION PHYSICIAN CENTER ON ITS MAIN CAMPUS TO BRING TOGETHER PRIMARY CARE, SPECIALTY CARE, TESTING AND PHARMACY IN ONE CONVENIENT LOCATION TO EXPAND ACCESS TO CARE. THE HOSPITAL ALSO BECAME A NATIONALLY ACCREDITED COMPREHENSIVE BARIATRIC CENTER TO IMPROVE LOCAL ACCESS TO SURGICAL AND MEDICAL WEIGHT LOSS PROGRAMS FOR THOSE WHO STRUGGLE WITH ACHIEVING A HEALTHY WEIGHT THROUGH DIET AND EXERCISE ALONE. OBESITY AND OVERWEIGHT ARE CURRENTLY THE SECOND LEADING PREVENTABLE CAUSE OF DEATH IN THE UNITED STATES AND MAY SOON OVERTAKE TOBACCO AS THE LEADING CAUSE OF DEATH. MORE THAN 35% OF THE COUNTY'S RESIDENTS ARE OBESE.
PART III, LINE 2:	BAD DEBT EXPENSE IS CALCULATED BASED ON THE TOTAL BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS. FOR 2022, TOTAL BAD DEBT IS $3,825,651. THE RATIO OF PATIENT CARE COST TO CHARGES FROM THE INSTITUTIONAL COST REPORT IS THEN APPLIED TO THE TOTAL BAD DEBT. FOR 2022, THAT PERCENTAGE IS 29.69%. THE CALCULATED AMOUNT IS THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS.
PART III, LINE 3:	TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, THE TOTAL PERCENTAGE OF FINANCIAL ASSISTANCE PROVIDED TO PATIENTS IS APPLIED TO THE CALCULATED BAD DEBT EXPENSE. FOR 2022, THE TOTAL PERCENTAGE OF FINANCIAL AID PROVIDED IS 9.99%. APPLYING THAT PERCENTAGE AGAINST THE CALCULATED BAD DEBT EXPENSE IN PART III LINE 2 RESULTS IN THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTED TO FINANCIAL AID ELIGIBLE PATIENTS.
PART III, LINE 4:	SEE AUDITED FINANCIAL STATEMENTS PAGES 11 THROUGH 16 FOR CURRENT FOOTNOTE LANGUAGE THAT DESCRIBES BAD DEBT. PART III, LINE 6; COSTING METHODOLOGY AND SOURCE:2022 ICR EXHIBIT 46 AND TENTATIVE MEDICARE SETTLEMENT RATES
PART III, LINE 8:	FINANCIAL AID PROGRAM THE SHORTFALL IN QUESTION 7 SHOULD BE TREATED AS COMMUNITY BENEFIT AS MEDICARE REIMBURSEMENTS FAIL TO COVER THE COSTS OF PROVIDING CARE TO MEDICARE BENEFICIARIES. DESPITE EFFORTS TO IMPROVE EFFICIENCY, EXPENSES FOR TECHNOLOGY, PHARMACEUTICAL, AND SALARY AND BENEFITS CONTINUE TO ESCALATE. THE HOSPITALS BAD DEBT EXPENSES IS IMPACTED BY THE SOCIOECONOMICS OF THE COMMUNITY. THE MEDIAN HOUSEHOLD INCOME FOR ONEIDA COUNTY IS LOWER THAN THE STATE AVERAGE AND OVER 20.7% OF THE POPULATION LIVES BELOW THE POVERTY LINE. ALTHOUGH PEOPLE MAY HAVE INSURANCE, THEIR OUT-OF-POCKET COSTS ARE HIGH BECAUSE EMPLOYERS HAVE RAISED THEIR DEDUCTIBLES OR CO-PAYMENTS, OR REDUCED WHAT THEIR PLANS COVER.TO HELP THOSE WHO ARE UNINSURED LEARN MORE ABOUT POSSIBLE OPTIONS, THE HOSPITAL'S PATIENT REGISTRATION DEPARTMENT PROVIDES INFORMATION FROM INSURERS WHICH OFFER FREE OR LOW-COST HEALTH INSURANCE THROUGH NEW YORK STATE'S CHILD HEALTH PLUS AND FAMILY HEALTH PLUS, ALONG WITH SPACE FOR REPRESENTATIVES TO ANSWER QUESTIONS AND ENROLL ELIGIBLE RESIDENTS.IN ADDITION, THE HOSPITAL HAS PARTNERED WITH THE MOHAWK VALLEY PERINATAL NETWORK, WHOSE FACILITATED ENROLLER CAN ASSIST INDIVIDUALS IN APPLYING FOR COVERAGE FROM CHILD HEALTH PLUS, FAMILY HEALTH PLUS, AND MEDICAID. IN ADDITION TO HELPING PEOPLE OBTAIN INSURANCE COVERAGE, THE HOSPITAL ALSO PROVIDES A FINANCIAL ASSISTANCE PROGRAM AND WORKS WITH PATIENTS TO SET UP AFFORDABLE PAYMENT PLANS.FINANCIAL ASSISTANCE BROCHURES ARE LOCATED IN THE HOSPITAL'S WAITING AREAS AND APPLICATIONS ARE AVAILABLE ON THE WEBSITE. RMH DISCOUNTS PATIENT ACCOUNTS UP TO 100% DEPENDING UPON FAMILY INCOME IN COMPARISON TO THE FEDERAL POVERTY LEVEL. DISCOUNTS ARE BASED UPON THE BLUE CROSS RATE, OUR HIGHEST VOLUME PAYER. ROME MEMORIAL HOSPITAL OFFERS DISCOUNTS TO THE UNINSURED/UNDERINSURED WHOSE INCOME IS UP TO 300% OF THE FEDERAL POVERTY LEVEL.BECAUSE LACK OF AWARENESS IS ONE OF THE BIGGEST BARRIERS, RMH PROVIDES INFORMATION ABOUT AVAILABLE PROGRAMS AT HEALTH FAIRS AND OTHER OUTREACH ACTIVITIES.CHANGES (ACTUAL OR POTENTIAL) IMPACTING COMMUNITY HEALTH, PROVISION OF CHARITY CARE, AND ACCESS TO SERVICES: REIMBURSEMENTS THAT FAIL TO KEEP PACE WITH RISING EXPENSES AND THE CONTINUED GROWTH IN UNCOMPENSATED CARE ARE SIGNIFICANT CHALLENGES THAT NEW YORK'S HOSPITALS FACE, INCLUDING RMH. OTHER CHALLENGES INCLUDE THE ESCALATION OF COSTS FOR DRUGS DUE TO INFLATION AND HAVING TO FIND ALTERNATE SUPPLIERS BECAUSE OF MANUFACTURER PRODUCTION SHORTAGES, SERVICES AND BAD DEBT, AND INVESTMENTS REQUIRED TO COMPLY WITH MANDATES. HERE ARE JUST A FEW EXAMPLES OF OUR CHALLENGES:UNCOMPENSATED CARE: THE COST OF FREE SERVICES PROVIDED TO OUR COMMUNITY REMAINS HIGH WITH THE RISE IN HIGH-DEDUCTIBLE PLANS AND THE APPROXIMATELY 4% OF RESIDENTS WHO ARE UNINSURED. IN 2022, ROME MEMORIAL HOSPITAL'S BAD DEBT AND CHARITY CARE TOTALED $4.1 MILLION.PHYSICIAN SHORTAGES: ROME MEMORIAL HOSPITAL HAS BEEN SUCCESSFUL IN RECRUITING SEVERAL NEW PHYSICIANS TO THE COMMUNITY, BUT AT A GREAT COST. TODAY'S PHYSICIAN WANTS TO BE EMPLOYED SO THEY DON'T HAVE TO BEAR THE RISK OF OPENING A NEW PRACTICE OR MANAGE THE ADMINISTRATIVE ASPECTS OF MEDICINE. ALTHOUGH THEY PROVIDE CRITICAL ACCESS TO CARE, THESE PRACTICES STRUGGLE TO BREAK EVEN. LACK OF PRIMARY CARE: PATIENTS WHO DON'T HAVE INSURANCE OR WHO ARE COVERED BY MEDICAID OFTEN DON'T HAVE A REGULAR PHYSICIAN FOR PREVENTATIVE CARE OR TO MANAGE CHRONIC CONDITIONS. AS A RESULT, THEY USE THE EMERGENCY DEPARTMENT AS THEIR PRIMARY CARE OR DELAY CARE UNTIL THEIR CONDITION IS MORE CRITICAL AND MORE EXPENSIVE TO TREAT. SINCE ROME MEMORIAL HOSPITAL'S NEW EMERGENCY DEPARTMENT OPENED, THE NUMBER OF PATIENT VISITS HAS STEADILY INCREASED FROM 19,000 IN 2006 TO 25,692 IN 2022. MANY PHYSICIANS DON'T ACCEPT MEDICAID PATIENTS BECAUSE OF LOW REIMBURSEMENT RATES. IN ADDITION, SENIORS MAY SOON FACE THE SAME ACCESS PROBLEMS IF CUTS TO PHYSICIAN MEDICARE RATES ARE IMPLEMENTED. PHARMACEUTICALS: THE HOSPITAL CONTINUES TO SEE SIGNIFICANT INCREASE IN DRUG COSTS DUE TO INFLATION AND MANUFACTURER PRODUCTION SHORTAGES. IN MANY CASES, THESE SHORTAGES FORCE US TO TURN TO ALTERNATE SUPPLIERS, WHO CHARGE A PREMIUM PRICE. INTERPRETER SERVICES: AS OUR POPULATION BECOMES MORE DIVERSE WITH BURMESE AND BOSNIAN REFUGEES AND SPANISH SPEAKING RESIDENTS, THERE IS A GREATER DEMAND FOR INTERPRETER SERVICES. DDSO POPULATION: THE HIGH CONCENTRATION OF DDSO CLIENTS IN ONEIDA COUNTY AND ROME PLACES A UNIQUE BURDEN ON ROME MEMORIAL HOSPITAL. WHEN DDSO CLIENTS REQUIRE HOSPITALIZATION, THEIR CASES ARE OFTEN VERY COMPLEX AND THEIR LENGTH OF STAY IS NEARLY TWICE AS LONG AS THE AVERAGE PATIENT. AS A RESULT, THE HOSPITAL IS ONCE AGAIN FACED WITH ABSORBING THE FINANCIAL LOSS OF CARING FOR THESE PATIENTS. PROGRAM VIABILITY: AS A RESULT OF THESE SIGNIFICANT FINANCIAL CHALLENGES, RMH CONTINUALLY EVALUATES THE VIABILITY OF SOME OF ITS SERVICES. AS A PART OF THE EVALUATION, RMH ASSESSES THE NUMBER OF PEOPLE SERVED AND AVAILABILITY OF OTHER SERVICES TO ADDRESS THE COMMUNITY NEED, IN ADDITION TO THE FINANCIAL BURDEN ON THE HOSPITAL.TRANSITION TO VALUE BASED PAYMENTS: TO PREPARE FOR NEW PAYMENT MODELS THAT REWARD QUALITY AND EFFICIENCY, PROVIDERS NEED TO MAKE INVESTMENTS IN SOPHISTICATED ANALYTICS TO MANAGE RISK AND CARE MANAGERS TO BETTER COORDINATE CARE.
PART III, LINE 9B:	ROME MEMORIAL HOSPITAL (RMH) DOES NOT PURSUE EXTRAORDINARY COLLECTION ACTIVITIES, INCLUDING LEGAL ACTION, TO OBTAIN PAYMENT FOR CARE. RMH DOES NOT SELL AN INDIVIDUAL'S DEBT TO ANOTHER PARTY OR REPORT ADVERSE INFORMATION ABOUT THE INDIVIDUAL TO CREDIT AGENCIES. RMH DOES NOT DEFER, DENY OR REQUIRE PAYMENT PROVIDING MEDICAL SERVICES.
PART VI, LINE 2:	LINE 2 - NEEDS ASSESSMENT:IN ADDITION TO THE FORMAL CHNA REPORTED IN PART V, SECTION B, ROME MEMORIAL HOSPITAL CONTINUALLY ASSESSES THE COMMUNITY'S NEEDS THROUGH ONGOING ANALYSIS OF AVAILABLE INTERNAL AND EXTERNAL DATA AND PARTICIPATION IN COMMUNITY COMMITTEES AND ORGANIZATIONS THAT REPRESENT A BROAD SEGMENT OF THE POPULATION. IN ADDITION, THE HOSPITAL ENCOURAGES COMMUNITY INPUT THROUGH ITS WEBSITE. INSIGHTS ARE ALSO GATHERED FROM MONITORING SOCIAL MEDIA
PART VI, LINE 3:	LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:TO ENSURE THAT PATIENTS ARE AWARE OF THE FINANCIAL ASSISTANCE PROGRAM, PATIENTS ARE NOTIFIED THE FOLLOWING WAYS:- THE PLAIN LANGUAGE SUMMARY OF THE POLICY IS INCLUDED IN THE PATIENT ADMISSION PACKET- SIGNAGE IS LOCATED AT ALL INTAKE AREAS INCLUDING OFF-SITE CLINICS. THESE AREAS HAVE PAPER COPIES AVAILABLE TO THE PUBLIC IN PERSON AND BY MAIL.- ALL BILLING STATEMENTS AND COLLECTION LETTERS NOTIFY PATIENTS ON HOW TO OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE VIA PHONE OR INTERNET.- INFORMATION IS AVAILABLE ON THE HOSPITAL'S WEBSITE WITH THE LINK TO "FINANCIAL ASSISTANCE" ACCESSIBLE FROM MULTIPLE PAGES.
PART VI, LINE 4:	LINE 4 - COMMUNITY INFORMATION:ROME MEMORIAL HOSPITAL AND ITS AFFILIATES PROVIDE HEALTHCARE SERVICES TO THE RESIDENTS OF ROME AND THE SURROUNDING RURAL COMMUNITIES IN ONEIDA AND LEWIS COUNTIES. THE TWO-COUNTY REGION ENCOMPASSES MORE THAN 259,000 PEOPLE. THE HOSPITAL DRAWS 75% OF ITS INPATIENT DISCHARGES FROM THE FOLLOWING ZIP CODES: ROME, BOONVILLE, UTICA, CAMDEN, TABERG, LEE CENTER, BLOSSVALE AND WHITESBORO. MORE THAN 145,000 PEOPLE RESIDE IN RH'S PRIMARY SERVICE AREA. PATIENTS FROM NEW HARTFORD, HOLLAND PATENT, CLINTON AND REMSEN COMPRISE THE NEXT LARGEST SOURCE OF INPATIENT DISCHARGES.POPULATION BY AGE - ONEIDA COUNTY (2000-2026)- BASED UPON THE 2021 ESTIMATES, THOSE 45 TO 54 YEARS OF AGE REPRESENT THE LARGEST POPULATION OF 14%, FOLLOWED WITH THOSE 15 TO 19 YEARS OF AGE, REPRESENTING 13% OF THE POPULATION.- THIS TREND IS CONSISTENT WITH PRIOR CENSUS,' WITH THE LARGEST POPULATION IN 2010 BEING THOSE 35 TO 44 YEARS OF AGE (15.3%), AND 15 TO 19 YEARS OF AGE (14.2%) IN 2010.- BASED UPON THE 2021 ESTIMATES, THE POPULATION FOR THOSE BETWEEN 75 TO 84 YEARS OF AGE (3%) REPRESENT THE SMALLEST AGE GROUP, WHICH HAS BEEN CONSISTENTLY LOW OVER TIME.- THE POPULATION OF THOSE 65 TO 74 YEARS OF AGE IS PROJECTED TO GROW BY 18% WHEN LOOKING AT THE 2021 TO 2026 VARIANCE.POPULATION BY RACE/ETHNICITY - ONEIDA COUNTY (2000-2026)- THOSE WHO IDENTIFY AS WHITE (87.1%) MAKE UP THE LARGEST POPULATION IN ONEIDA COUNTY; FOLLOWED BY THOSE WHO IDENTIFY AS BLACK (6.3%).- POPULATION DISTRIBUTION BY RACE HAS BECOME SLIGHTLY MORE DIVERSE SINCE 2000 BUT IS EXPECTED TO REMAIN RELATIVELY CONSISTENT THROUGH 2026 PROJECTION.- MOST OF THE COUNTY IDENTIFIES A NON-HISPANIC OR LATINO (95.4%)HOUSEHOLD INCOME - ONEIDA COUNTY (2000-2026)- WITHIN ONEIDA COUNTY, THE MOST COMMON HOUSEHOLD INCOME RANGE IS $50,000 - $74,999 (21.4%).- THERE IS A CLOSE DISTRIBUTION IN HOUSEHOLD INCOME RANGES UP TO $50,000 AS WELL AS $75,000 TO $149,999 (21.6%). THOSE MAKING $150,000 OR MORE COMPRISE THE SMALLEST POPULATION (4.0%).- THE MEDIAN HOUSEHOLD INCOME HAS STEADILY INCREASED SINCE 2000 AND IS EXPECTED TO INCREASE 14.7% FROM 2021 TO 2026.- THE OVERALL MEDIAN HOUSEHOLD INCOME FOR THE COUNTY ACCORDING TO THE 2016-2020 AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATE WAS $59,113.PER CAPITA INCOME - ONEIDA COUNTY, NEW YORK STATE (2000-2026)- THE PER CAPITA INCOME FOR ONEIDA COUNTY HAS BEEN STEADILY LOWER THAN THAT OF NYS SINCE 2000. THIS TREND IS EXPECTED TO CONTINUE THROUGH 2026.- THE 5.6% INCREASE IN PER CAPITA INCOME FOR ONEIDA COUNTY IS LOWER THAN THE 13.7% INCREASE IN PER CAPITA INCOME FOR NEW YORK STATE PROJECTED FROM 2021 TO 2026POPULATION LIVING BELOW THE POVERTY LEVEL - ONEIDA COUNTY (2020)- TEN PERCENT OF ONEIDA COUNTY FAMILIES ARE LIVING BELOW THE POVERTY LINE. ONLY 4.3% OF MARRIED COUPLE FAMILIES ARE LIVING BELOW THE POVERTY LINE, WHILE 31.4% OF FAMILIES WITH A FEMALE HOUSEHOLDER, NO HUSBAND PRESENT ARE LIVING BELOW THE POVERTY LINE. WITHIN THIS GROUP, THOSE WITH RELATED CHILDREN UNDER 5 YEARS OLD ARE THE MOST IMPOVERISHED IN ONEIDA COUNTY (36.9%).- AMONG THE ENTIRE POPULATION WITHIN THE COUNTY, 20.7% ARE LIVING BELOW THE POVERTY LINE, WHILE THOSE WITH RELATED CHILDREN UNDER 5 YEARS OLD ARE THE MOST DISADVANTAGED AMONG THE OVERALL COUNTY POPULATION (20%).EDUCATIONAL ATTAINMENT - ONEIDA COUNTY (2000-2026)- IN COMPARING 2010 CENSUS TO 2021 PROJECTED CENSUS, ONEIDA COUNTY WILL EXPERIENCE A VARIANCE IN EDUCATIONAL ATTAINMENT WITH 90% OF THE POPULATION EARNING A HIGH SCHOOL DIPLOMA OR HIGHER IN 2021 (UP FROM 88.1% IN 2010).- THE EDUCATIONAL ATTAINMENT FOR THOSE IN THE COUNTY WHO COMPLETE A HIGH SCHOOL DEGREE OR HIGHER IS EXPECTED TO REMAIN STABLE THROUGH 2026. THOSE WHO COMPLETE AN EIGHTH-GRADE EDUCATION OR LOWER IS EXPECTED TO SHOW A SLIGHT DECREASE FROM 2021 TO 2026.HEALTH INSURANCE COVERAGE - ONEIDA COUNTY, NEW YORK STATE (2020)- MOST INDIVIDUALS IN ONEIDA COUNTY (96%) HAVE HEALTH INSURANCE COVERAGE.- THE INSURED RATE FOR ONEIDA COUNTY IS SLIGHTLY HIGHER (67.8%) THAN THE OVERALL NYS RATE FOR THOSE WITH PRIVATE HEALTH INSURANCE (67.6%).- SIMILARLY, 44.2% OF THOSE IN ONEIDA COUNTY HAVE PUBLIC HEALTH INSURANCE, WHICH IS 4.8% HIGHER THAN THE OVERALL NYS RATE.EMPLOYMENT RATES - ONEIDA COUNTY, NEW YORK STATE, UNITED STATES (2020)- OVER HALF OF ONEIDA COUNTY'S POPULATION (16 YEARS AND OLDER) IS EMPLOYED 58.1% (102,777), WITH ONLY 2.5% (4,738) UNEMPLOYED. THE REMAINING 41.9% (77,816) OF THE POPULATION IS NOT ACTIVE INTHE WORKFORCE.- THIS IS LOWER THAN NYS, WITH 62.4% (10,032,721) EMPLOYED, (570,570) UNEMPLOYED, AND 37.5% (5,876,219) INACTIVE IN THE WORKFORCE.VEHICLES PER HOUSEHOLD - ONEIDA COUNTY (2000-2025)- IN ONEIDA COUNTY, 10.4% OF RESIDENTS DO NOT HAVE ACCESS TO A HOME VEHICLE, WHILE 37.3% HAVE ACCESS TO ONE VEHICLE AND 52.4% HAVE ACCESS TO 2 OR MORE VEHICLES.- MOST PEOPLE IN ONEIDA COUNTY (80.1%) COMMUTE TO WORK ALONE, WHILE 8.6% CARPOOL. A SMALL PERCENTAGE WORK FROM HOME (5.8%) OR WALK TO WORK (3.5%).DISABILITY - ONEIDA COUNTY (2021)- ACCORDING TO THE U.S. CENSUS BUREAU, 13.7% OF THE ONEIDA COUNTY POPULATION IS LIVING WITH A DISABILITY.- MORE SPECIFICALLY, 7.7% OF ADULTS ARE LIVING WITH AN AMBULATORY DISABILITY, WHILE 5.4% OF ADULTS HAVE A COGNITIVE DISABILITY.- JUST UNDER 7% (6.4%) OF ADULTS IN ONEIDA COUNTY HAVE AN INDEPENDENT LIVING DISABILITY, AND 3.9% LIVE WITH A HEARING DISABILITY.- FEWER LIVE WITH A SELF-CARE DISABILITY (3.1%) OR VISION DISABILITY (2.0%).- ACCORDING TO THE 2016-2020 AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES, 13.7% OF ONEIDA COUNTY RESIDENTS HAVE A DISABILITY (EITHER AMBULATORY, INDEPENDENT LIVING, COGNITIVE, HEARING, SELF-CARE, OR VISION).HOUSING STATISTICS - ONEIDA COUNTY (2016-2020)- ACCORDING TO THE 2022 COUNTY HEALTH RANKINGS, WHICH USED DATA FOR 2016-2020, 69% OF HOMES ARE OWNER-OCCUPIED.- 11% OF ONEIDA COUNTY ADULTS SPEND 50% OR MORE OF THEIR HOUSEHOLD INCOME ON HOUSING, INDICATING SEVERE HOUSING COST BURDEN.-- 15% HAVE SEVERE HOUSING PROBLEMS (AT LEAST 1 OF THE FOLLOWING):-- OVERCROWDING-- HIGH HOUSING COSTS-- LACK OF KITCHEN FACILITIES-- LACK OF PLUMBING FACILITIES- BASED UPON 2026 HOUSING PROJECTIONS, 66.8% OF THE TOTAL HOUSING UNITS IN ONEIDA COUNTY WILL BE OWNER-OCCUPIED, 33.2% WILL BE RENTER-OCCUPIED, AND 14.6% WILL BE VACANT.REFUGEE RESETTLEMENT- FOR THE PAST 41 YEARS, UTICA HAS HOUSED THE CENTER RESETTLING OVER 16,500 REFUGEES SINCE ITS INCEPTION IN 1979. THIS INFLUX OF REFUGEES HAS CONTRIBUTED SIGNIFICANTLY TO THE POPULATION PROFILE OF ONEIDA COUNTY.- FROM 1973-2004, MOST REFUGEES HAVE ARRIVED FROM BOSNIA, BURMA, AND THE FORMER SOVIET UNION. IN 2019, THE BULK OF REFUGEES CAME FROM BURMA OR UKRAINE.- OVER THE PAST FOUR YEARS, THE MOST REFUGEE ARRIVALS OCCURRED IN 2016 (SLIGHTLY OVER 400 INDIVIDUALS), WITH A SHARP DECREASE IN ARRIVALS IN 2017 (AROUND 229), 2018 (AROUND 200), 2019 (JUST OVER 200), 2020 (JUST OVER 100), 2021 (WELL UNDER 100 58), AND 2022 PROJECTED (ESTIMATEOF 158).- IN MORE RECENT YEARS, THE AVERAGE NUMBER OF REFUGEE ARRIVALS TO THE MOHAWK VALLEY REGION FLUCTUATES BETWEEN AROUND 10 25 PER MONTH, WITH A SLIGHT SPIKE TO 32 REFUGEES ARRIVING IN AUGUST OF 2019.- THE MOST COMMON RELIGION AMONG REFUGEES TO THE MOHAWK VALLEY REGION IS PENTECOSTALISM, FOLLOWED BY CHRISTIANITY AND MUSLIM.
PART VI, LINE 5:	LINE 5 - PROMOTION OF COMMUNITY HEALTH:ADDITIONAL WAYS THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE:1. ROME MEMORIAL HOSPITAL PROVIDES EMERGENCY SERVICES TO EVERYONE REGARDLESS OF ABILITY TO PAY.2. THE HOSPITAL'S INDEPENDENT GOVERNING BODY IS COMPRISED OF INDIVIDUALS WHO RESIDE OR WORK IN THE PRIMARY SERVICE AREA TO REPRESENT THE INTERESTS OF THE COMMUNITY.3. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY.4. THE HOSPITAL USES ANY SURPLUS FUNDS TO IMPROVE CARE, EXPAND FACILITIES, RECRUIT STAFF AND ADVANCE MEDICAL TRAINING AND COMMUNITY EDUCATION.IN 2022, ROME MEMORIAL HOSPITAL CONTINUED TO DEMONSTRATE ITS RESPONSIVENESS AS A CRITICAL PUBLIC SAFETY RESOURCE IN THE MIDST OF THE COVID-19 PANDEMIC. THE HOSPITAL PARTNERED WITH THE DEPARTMENT OF HEALTH AND OTHER LOCAL HOSPITALS TO PROTECT OUR COMMUNITY THROUGH PUBLIC HEALTH EDUCATION, AND MANAGING HOSPITALIZATION SURGES WITH CONSTRAINED RESOURCES. YEARS OF PLANNING AND DRILLS ENABLED THE HOSPITAL SYSTEM TO MEET THE COMMUNITY'S NEEDS AS THEY EVOLVED.
PART VI, LINE 6:	LINE 6 - AFFILIATED HEALTH CARE SYSTEM:ROME MEMORIAL HOSPITAL, INC. (THE "HOSPITAL") IS A NEW YORK STATE NOT-FOR-PROFIT CORPORATION AND TAX EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ("IRC"), AND IS PART OF THE FOLLOWING CORPORATE STRUCTURE: GREATER ROME AFFILIATES, INC. ("GRA"), A NEW YORK STATE NOT-FOR-PROFIT CORPORATION, TAX EXEMPT UNDER SECTION 501(C)(3) OF THE IRC, IS THE SOLE CORPORATE MEMBER, AND THEREFORE, THE "PARENT" OF THE HOSPITAL, AS WELL AS ROME MEMORIAL PROPERTIES, INC., A NEW YORK STATE NOT-FOR-PROFIT CORPORATION, TAX EXEMPT UNDER SECTION 501(C)(3) OF THE IRC. GRA IS ALSO THE SOLE SHAREHOLDER OF RMH SERVICES, INC., A NEW YORK STATE BUSINESS CORPORATION, WHICH WAS ESTABLISHED TO UNDERTAKE CERTAIN FOR-PROFIT BUSINESS ACTIVITIES AND WHICH HAS AN EQUITY OWNERSHIP INTEREST IN, AND IS A MEMBER OF, THREE NEW YORK STATE LIMITED LIABILITY COMPANIES: 1819 BLACK RIVER ASSOCIATES, LLC; CHESTNUT COMMONS, LLC; AND RMH RETAIL PHARMACY, LLC. MEMBERS OF THE HOSPITAL'S BOARD OF TRUSTEES AND ADMINISTRATIVE STAFF HAVE OVERLAPPING RESPONSIBILITIES ON THE BOARDS OF THE AFFILIATED CORPORATIONS TO ENSURE THAT THE HOSPITAL'S BEST INTERESTS ARE BEING SERVED. ROME MEMORIAL HOSPITAL FOUNDATION, INC., A NEW YORK STATE NOT-FOR-PROFIT CORPORATION, TAX EXEMPT UNDER SECTION 501(C)(3) OF THE IRC, IS A SEPARATE CORPORATION ESTABLISHED FOR THE SOLE PURPOSE OF CONDUCTING FUND RAISING ACTIVITIES ON BEHALF OF THE HOSPITAL, INCLUDING THE RECEIPT OF GIFTS AND BEQUESTS ON BEHALF OF THE HOSPITAL, INVESTING SUCH ASSETS, AND TRANSFERRING THEM TO THE HOSPITAL IN SUPPORT OF ITS MISSION. IT IS GOVERNED BY A SEPARATE BOARD OF DIRECTORS, WHICH HAS AMONG ITS MEMBERS HOSPITAL TRUSTEES AND MEMBERS OF THE HOSPITAL'S MEDICAL STAFF.THE SYSTEM ALSO INCLUDES TWO CAPTIVE PROFESSIONAL CORPORATIONS, INCLUDING ROME MEDICAL GROUP, P.C., A MULTI-PHYSICIAN PRIMARY CARE PRACTICE, AND ROME MEDICAL PRACTICE, P.C., A MULTI-PHYSICIAN, SPECIALTY GROUP. THE PCS ARE THE VEHICLES THROUGH WHICH PHYSICIANS ARE EMPLOYED TO SERVE THE COMMUNITY. IN TODAY'S ENVIRONMENT, MANY PHYSICIANS PREFER TO BE EMPLOYED VS. GOING OUT IN PRIVATE PRACTICE.
PART VI, LINE 7, REPORTS FILED WITH STATES	NY

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DEWEY ROWLANDS
CFO	$223,992	$33,470	$0	$0	$0	$0	$27,000	$0	$6,590	$985	$257,582	$34,455	$0	$0
MARK ROWAN
SIO	$173,747	$0	$0	$0	$0	$0	$26,692	$0	$7,439	$0	$207,878	$0	$0	$0
RYAN THOMPSON
COO	$143,282	$35,821	$0	$0	$0	$0	$0	$0	$7,533	$1,883	$150,815	$37,704	$0	$0
ROBIN BIANCO
REGISTERED NURSE	$179,160	$0	$1,250	$0	$0	$0	$0	$0	$292	$0	$180,702	$0	$0	$0
SCOTT BURNS
CQO	$168,024	$0	$1,734	$0	$0	$0	$0	$0	$9,401	$0	$179,159	$0	$0	$0
DAVID O'CONNOR
NURSE PRACTITIONER	$149,998	$0	$0	$0	$0	$0	$0	$0	$2,019	$0	$152,017	$0	$0	$0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	SCOTT BURNS	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SON OF BOARD DIRECTOR	RelationshipDescriptionTxt
Transaction	$179,160	TransactionAmt
Transaction	COMPENSATION	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3	THE ORGANIZATION DELEGATED CONTROL OVER MANAGEMENT DUTIES CUSTOMARILY PREFORMED BY OR UNDER DIRECT SUPERVISION OF OFFICERS, DIRECTORS, TRUSTEES, OR KEY EMPLOYEES TO ANNEMARIE CZYZ AS CEO.
FORM 990, PART VI, SECTION A, LINE 6	GREATER ROME AFFILIATES IS THE SOLE MEMBER OF ROME MEMORIAL HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7A	PER THE HOSPITAL BY-LAWS "THE SOLE CORPORATE MEMBER OF THE CORPORATION SHALL BE GREATER ROME AFFILIATES, INC. WHICH SHALL ACT HEREUNDER AS SUCH MEMBER BY DULY AUTHORIZED RESOLUTION OF ITS BOARD OF DIRECTORS AND WHICH SHALL COMMUNICATE ITS ACTIONS TO THIS BOARD THROUGH ITS PRESIDENT OR OTHER DULY AUTHORIZED OFFICER." GREATER ROME AFFILIATES APPOINTS THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11B	THE COMPLETED 2022 990 WAS PRESENTED TO THE BOARD BY THE CFO OF THE HOSPITAL AT ITS AUGUST 2023 BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 12C	CONSISTENT WITH ROME HOSPITAL'S GIFTS, GRATUITIES AND CONFLICT OF INTEREST POLICY, THE COMPLIANCE OFFICER OF RMH HAS A CONFLICT OF INTEREST DISCLOSURE FORM COMPLETED ON AN ANNUAL BASIS BY ALL OFFICERS, DIRECTORS AND MANAGEMENT PERSONNEL. THE COMPLIANCE OFFICER COLLECTS AND REVIEWS THE BOARD OF TRUSTEES/FOUNDATION BOARD INTEREST DISCLOSURE FORMS ON AN ANNUAL BASIS. THE INFORMATION GATHERED ON THE DISCLOSURE IS REVIEWED AND ANY CONFLICTS ARE COMMUNICATED TO THE PRESIDENT/CEO, COMPLIANCE BOARD, AND BOARD OF TRUSTEES TO ENSURE ALL HOSPITAL TRANSACTION/BUSINESS ACTIVITIES ARE CONDUCTED IN A MANNER THAT IS FREE FROM UNLAWFUL OR OTHERWISE INAPPROPRIATE OFFERS OR SOLICITATIONS OF IMPROPER INDUCEMENTS IN EXCHANGE FOR INFLUENCE OR ASSISTANCE IN A TRANSACTION. POTENTIAL CONFLICTS THAT MAY ARISE THROUGHOUT THE YEAR ARE BROUGHT TO THE ATTENTION OF THE COMPLIANCE OFFICER AND PRESIDENT/CEO FOR REVIEW. ANY IDENTIFIED CONFLICTS ARE THEN REVIEWED AT THE CORPORATE COMPLIANCE COMMITTEE AND BY THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 15	USE OF IROQUOIS DATA, ASSOCIATION FOR HEALTHCARE PHILANTHROPY SALARY DATA, AND THE ROME HOSPITAL HUMAN RESOURCE DEPARTMENT ARE UTILIZED TO DETERMINE COMPENSATION FOR THE ORGANIZATION'S EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 18	FORMS ARE AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19	FORMS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST OR THROUGH WWW.GUIDESTAR.ORG- A WEBSITE THAT PROVIDES NON-PROFIT INFORMATION TO THE PUBLIC. RMH MAKES ITS GOVERNING DOCUMENTS (BY - LAWS) AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC THROUGH RMH WEBSITE - WWW.ROMEHOSPITAL.ORG. ALSO, FINANCIAL FACTS AND FIGURES AND ECONOMIC IMPACT REPORTS CAN BE FOUND ON THIS WEBSITE.
FORM 990, PART VII:	IN 990 PART VII, ANNEMARIE CZYZ IS LISTED AS AN OFFICER AND ASSUMED THE DUTIES OF CEO. THERE IS NO COMPENSATION LISTED AS THE INDIVIDUALS WERE HIRED THROUGH A SERVICE AGREEEMNT WITH SJH (COMPENSATION THROUGH THE AGREEMENT TO ANNE MARIE CZYZ WAS $512,486). ANNEMARIE CZYZ IS NOT CONSIDERED A COMMON LAW EMPLOYEE.
FORM 990, PART IX, LINE 11G	PHYSICIANS: PROGRAM SERVICE EXPENSES 4,442,041. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,442,041. LAB SERVICES: PROGRAM SERVICE EXPENSES 6,346,603. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,346,603. SERVICE CONTRACT: PROGRAM SERVICE EXPENSES 3,780,083. MANAGEMENT AND GENERAL EXPENSES 1,148,287. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,928,370. NURSE STAFFING: PROGRAM SERVICE EXPENSES 9,465,432. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,465,432. CONSULTING: PROGRAM SERVICE EXPENSES 67,354. MANAGEMENT AND GENERAL EXPENSES 731,843. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 799,197. LAUNDRY SERVICE: PROGRAM SERVICE EXPENSES 355,214. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 355,214.
FORM 990, PART XI, LINE 9:	BOOK/TAX DIFFERENCE OF GRIFFIS EYE CENTER 99,076. CHANGE IN RESTRICTED INTEREST IN FOUNDATION 3,802,442. CHANGE IN UNRESTRICTED INTEREST IN FOUNDATION -362,441.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
GREATER ROME AFFILIATES
1500 N JAMES STREET	ROME	NY	13440	161508597	PARENT CORPORATION	NY	501C3	LINE 12C, III-FI	0
ROME MEMORIAL PROPERTIES
1500 N JAMES STREET	ROME	NY	13440	161492003	SUPPORT HOSPITAL ACTIVITIES	NY	501C3	LINE 12A, I	0	GRA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
RMH SERVICES INC
1500 N JAMES STREET	ROME	NY	13440	161490045	FOR PROFIT	NY	GREATER ROME AFFILIATES	C	1.00000	0
ROME MEDICAL GROUP
1801 BLACK RIVER BLVD	ROME	NY	13440	161464822	CAPTIVE P.C.	NY	ROME MEMORIAL HOSPITAL	C		0
ROME MEDICAL PRACTICE
1500 N JAMES STREET	ROME	NY	13440	203827393	CAPTIVE P.C.	NY	GREATER ROME AFFILIATES	C	1.00000	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd