2021-05-13T16:30:48-05:00 2020-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2019-07-01 160743037 HIGHLAND HOSPITAL OF ROCHESTER % CARRIE FULLER SPENCER HIGH 5853416686 1000 SOUTH AVENUE ROCHESTER NY 14620 CARRIE FULLER SPENCER CFO 5852753033 2021-05-12 true ANTONIO C RUSSO P00858539 2673303000 2021-05-11 2019 2022-09-23 18:48:47Z STEVEN GOLDSTEIN 1000 SOUTH AVENUE ROCHESTER NY 14620 416962538 false X http://www.urmc.rochester.edu/hh/ X 1889 NY OPERATION OF AN ACUTE CARE HOSPITAL COMMITTED TO SERVICE EXCELLENCE IN THE HEALTHCARE INDUSTRY 19 14 3662 212 0 0 2847286 17998355 370962972 368247700 4479868 3754250 22106875 26962233 400397001 416962538 0 0 0 0 241004180 251238273 0 0 0 139238914 137888278 380243094 389126551 20153907 27835987 431871239 515976149 205506959 285559982 226364280 230416167 X HIGHLAND HOSPITAL OF ROCHESTER ("HIGHLAND") PROVIDES INPATIENT AND OUTPATIENT HEALTHCARE SERVICES WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY. HIGHLAND OPERATES A 261 BED ACUTE CARE HOSPITAL, AS WELL AS 13 PRIMARY CARE SATELLITE CLINICS, 4 OB/MIDWIFERY CLINICS, BREASTCARE CLINIC AND 3 RADIATION ONCOLOGY TREATMENT CENTERS. HIGHLAND IS ALSO A TEACHING AFFILIATE OF THE UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY. HIGHLAND'S SERVICE AREA INCLUDES MONROE COUNTY, NEW YORK, AS WELL AS SEVERAL COUNTIES SURROUNDING THE ROCHESTER, NEW YORK REGION. DURING THE FISCAL YEAR ENDING JUNE 30, 2020, HIGHLAND HAD 16,734 ADULT ADMISSIONS, DELIVERED 3,079 NEWBORNS AND HAD 42,574 PATIENTS TREATED IN ITS EMERGENCY DEPARTMENT. HIGHLAND IS COMMITTED TO SERVICE EXCELLENCEE IN HEALTHCARE- ONE PERSON AT A TIME. HIGHLAND'S MISSION IS TO BE THE COMMUNITY HEALTHCARE PROVIDER RENOWNED FOR UNMATCHED SERVICE, EXCELLENCE AND BEST PATIENT OUTCOMES. HIGHLAND'S POLICY IS TO TREAT PATIENTS IN NEED OF MEDICAL S false false 332913678 0 395209933 PROVISION OF HEALTHCARE SERVICES, INCLUDING INPATIENT SERVICES, ANCILLARY SERVICES AND ED/CLINIC/AMBULATORY SERVICES. ALSO SEE ATTACHMENT 1. 332913678 true true false true false false false false false true true false false true true false false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true true true false false true 186 0 true 3662 true false false false false false false false false false false false false X 19 14 false false false false true true true true true false false true true true true true true true true false NY X CARRIE FULLER SPENCER 5852753033 1000 SOUTH AVENUE ROCHESTER NY 14620 X STEVEN I GOLDSTEIN CEO 8.0 63.0 X X 0 1232162 505762 BRENT DUBESHTER MD BOARD MEMBER 2.0 60.0 X 0 1105071 49279 ADAM ANOLIK FORMER CFO 0.0 64.0 X 0 721744 151089 MICHAEL APOSTOLAKIS MD CHIEF MEDICAL OFFICER 1.0 63.0 X 0 661347 76522 ROBERT MCCANN MD BOARD MEMBER 2.0 0.0 X 0 610788 65990 RAYMOND MAYEWSKI MD BOARD MEMBER 2.0 57.0 X 0 551109 43216 CARRIE FULLER SPENCER CFO 9.0 55.0 X 0 445805 77031 LORI FERRIS MD PHYSICIAN 40.0 0.0 X 411071 0 100614 JULIETTA FISCELLA MD PHYSICIAN 40.0 0.0 X 410692 0 98423 CINDY BECKER COO 40.0 1.0 X 374933 0 121143 JEFFREY HANSON MD PHYSICIAN 40.0 0.0 X 379264 0 107032 GREGORY RYAN MD PHYSICIAN 40.0 0.0 X 369876 0 102535 MAUREEN PERRY PHYSICIAN 40.0 0.0 X 273489 0 91667 MELISSA DERLETH CNO 40.0 0.0 X 186661 0 22043 STEVEN BURKHART MD BOARD MEMBER 2.0 0.0 X 21250 0 0 ANN MARIE COOK BOARD MEMBER 2.0 0.0 X 0 0 0 BELINDA LISCHERELLI TREASURER 2.0 0.0 X X 0 0 0 KAREN LAMY BOARD MEMBER 2.0 0.0 X 0 0 0 THOMAS GREINER BOARD MEMBER 2.0 0.0 X 0 0 0 CHRISTIAN MODESTI BOARD MEMBER 2.0 0.0 X 0 0 0 RICHARD LEFROIS CHAIR 2.0 0.0 X X 0 0 0 THEODORE HIROKAWA MD BOARD MEMBER 2.0 0.0 X 0 0 0 MARK EIDLIN VICE CHAIR 2.0 0.0 X X 0 0 0 CORAL SURGEON MD BOARD MEMBER 2.0 0.0 X 0 0 0 MICHAEL RIORDAN BOARD MEMBER 2.0 0.0 X 0 0 0 KATHLEEN WHELEHAN SECRETARY 2.0 0.0 X X 0 0 0 NICHOLAS NICOSIA BOARD MEMBER 2.0 0.0 X 0 0 0 WILLIAM KREIENBERG BOARD MEMBER 2.0 0.0 X 0 0 0 JEROME UNDERWOOD BOARD MEMBER 2.0 0.0 X 0 0 0 2427236 5328026 1612346 159 true true false DGA BUILDERS LLC ONE CORPORATE PLACE STE 100 PITTSFORD NY 14534 GENERAL CONSTRUCTION 5584338 LECHASE CONSTRUCTION 205 INDIGO CREEK DR ROCHESTER NY 14626 GENERAL CONSTRUCTION 1685466 TRUSTED NURSE STAFFING LLC BUFFALO STATION BUFFALO NY 14240 TEMPORARY SERVICES 1487046 SUPPLEMENTAL HEALTHCARE SVCS LTD PO BOX 677896 DALLAS TX 75267 TEMPORARY SERVICES 1309691 SUNBBELT STAFFING SOLUTIONS LLC DEPT CH 14430 PALATINE IL 60055 TEMPORARY SERVICES 402644 15 654179 17344176 17998355 NET PATIENT SERVICE REVENUES 622110 368247700 368247700 368247700 3754250 3754250 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CAFETERIA REVENUE 900099 1426523 1426523 PARKING REVENUE 900099 1490627 1490627 CONTRACT PHARMACY REVENUE 900099 13462350 13462350 10582733 10582733 26962233 416962538 395209933 3754250 0 0 0 0 580215 580215 0 193061575 163962302 29099273 15344054 13042446 2301608 30928016 26288814 4639202 11324413 9625751 1698662 0 295858 295858 287817 287817 0 0 0 2031870 1625496 406374 385000 385000 3641536 2913013 728523 3964402 2378641 1585761 0 4398941 4398941 153795 146105 7690 0 0 1740437 1740437 379002 379002 24128936 14091634 10037302 0 PHARMA & MED SUPPLIES 54883166 54883166 0 0 MISCELLANEOUS EXPENSES 13612026 13612026 0 0 SERVICE CONTRACTS 4921772 4921772 0 0 OTHER FEES 4323974 3459179 864795 0 18739746 17564392 1175354 389126551 332913678 56212873 0 X 54357114 158259039 107475435 74602027 0 0 27254849 21479309 0 0 0 0 0 0 5753400 6538581 1783072 1828661 438399249 260874406 175237161 177524843 0 0 0 0 0 0 0 0 60010208 75743689 431871239 515976149 41120936 82894754 0 0 1050242 1222304 44373252 42716148 0 0 0 0 0 0 0 0 118962529 158726776 205506959 285559982 X 226364280 230416167 0 0 226364280 230416167 431871239 515976149 X 27835987 -23784100 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 30582 false false false 30582 false SCHEDULE C, PART II-B, LINE 1(F) DETAIL OF LOBBYING HIGHLAND HOSPITAL IS A MEMBER OF REGIONAL, STATE AND FEDERAL HEALTHCARE ORGANIZATIONS AND PAYS DUES ON AN ANNUAL BASIS. A PORTION OF THESE DUES HAS BEEN DETERMINED TO HAVE BEEN ALLOCATED BY THESE ORGANIZATIONS TO SUPPORT LOBBYING ACTIVITIES. THE TOTAL AMOUNT ALLOCATED FROM HIGHLAND HOSPITAL'S DUES IN FY 2020 WAS ESTIMATED TO BE $30,582. 3413941 25229 -43551 0 0 0 3395619 3443290 100 -29449 0 0 0 3413941 3418895 26 24369 0 0 0 3443290 3145208 50 273637 0 0 0 3418895 3318012 2986 -175790 0 0 0 3145208 0.00000 1.00000 0.00000 true true 207769 207769 208191545 105604860 102586685 9497353 3900378 5596975 209380251 151369168 58011083 11122331 11122331 177524843 OTHER RECEIVABLES 32118085 ASSETS WHOSE USE IS LIMITED 2225195 DEFERRED AND OTHER INTANGIBLES 170000 OTHER ASSETS 3152232 AFFILIATE RECEIVABLES 17748154 INSURANCE CLAIMS RECEIVABLE 7925698 OPERATING LEASE ASSETS 12404325 75743689 0 ACCRUED PENSION LIABILITY 121284613 EST. PROFESSIONAL LIABILITY 11121515 ACCRUED WORKERS' COMP LIABILIT 4607425 EST. THIRD PARTY SETTLEMENTS 9264160 OPERATING LEASE LIABILITY 12449063 158726776 FORM 990, SCHEDULE D, PART V, LINES 3A & 4 DETAIL OF ENDOWMENT FUNDS ALL ENDOWMENT FUNDS ARE HELD AND ADMINISTERED BY HIGHLAND FOUNDATION INC., A RELATED IRC SECTION 501(c)(3) ORGANIZATION, FOR THE BENEFIT OF HIGHLAND HOSPITAL IN FURTHERANCE OF ITS CHARITABLE HEALTH CARE SERVICES. true true true X true X true true true false true true 7360159 4707919 2652240 0.00680 50544454 41759289 8785165 0.02260 57904613 46467208 11437405 0.02940 10539209 2892561 7646648 0.01970 54827592 42104938 12722654 0.03270 73650 73650 0.00020 65440451 44997499 20442952 0.05260 123345064 91464707 31880357 0.08200 false 8006511 97961 162028988 156706495 5322493 X true true 1 1 HIGHLAND HOSPITAL 1000 SOUTH AVENUE ROCHESTER NY 14620 http://www.urmc.rochester.edu/hh/ LICENSE #2701001H X X X X HIGHLAND HOSPITAL 1 false false true X X X X X X X X X 19 true true true true X SEE SUPPLEMENTAL DISCLOSURE X X true 19 true SEE SUPPLEMENTAL DISCLOSURE false true X 200. 400. X true true X X X X true X SEE SUPPLEMENTAL DISCLOSURE X SEE SUPPLEMENTAL DISCLOSURE X SEE SUPPLEMENTAL DISCLOSURE X X X X X X true X false X X X X true X false false PART V, SECTION B, LINE 5- INPUT FROM COMMUNITY HIGHLAND HOSPITAL CONDUCTED ITS CHNA COLLABORATION WITH OTHER HOSPITALS AND AGENCIES IN MONROE COUNTY. THIS GROUP, CALLED THE COMMUNITY HEALTH IMPROVEMENT WORKGROUP (CHIW) MEETS MONTHLY TO CONDUCT THE CHNA WHEN INDICATED AND TO IMPLEMENT THE COMMUNITY-WIDE IMPROBMENT STRATEGY. COMMUNITY INPUT IS CRITICAL THROUGHOUT THE CHNA PROCESS, THE IMPROVEMENT PLANNING PROCESS, AND THE IMPLEMENATION PROCESS. ONGOING COMMUNITY ENGAGEMENT IS VITAL TO INFORM OUR AGENDA. EACH OF THE HOSPITAL SYSTEMS INCLUDED IN THE CHNA: UNIVERSITY OF ROCHESTER STRONG MEMORIAL HOSPITAL, HIGHLAND HOSPITAL, AND ROCHESTER REGIONAL HEALTH (INCLUDING ROCHESTER GENERAL HOSPITAL AND UNITY HOSPITAL) TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY. THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH WAS REPRESENTED AT EACH COMMUNITY BENEFITS MEETING BY ANNE KERN, PUBLIC HEALTH PROGRAM COORDINATOR, AND KATHY CARELOCK, MANAGER OF THE DIVISION OF EPIDEMIOLOGY. BOTH ARE AWARE OF COMMUNITY NEEDS, OVERSEE THE ADULT HEALTH SURVEY AND ARE EXPERTS IN EFFECTIVE PUBLIC HEALTH ASSESSMENT AND INTERVENTION. THERESA GREEN, DIRECTOR OF COMMUNITY HEALTH POLICY AND SHANNON KLYMOCHKO, HEALTH POLICY COORDINATOR, BOTH FOR THE URMC CENTER FOR COMMUNITY HEALTH AND PREVENTION, PROVIDED EXPERT ADVICE ON COMMUNITY ENGAGEMENT AND EVIDENCE BASED INTERVENTIONS. IN ADDITION,COMMON GROUND HEALTH (FORMERLY KNOWN AS FINGER LAKES HEALTH SYSTEM AGENCY), WHO REPRESENTS THE COMMUNITY VOICE AND WHO MANAGES BOTH THE AFRICAN AMERICAN HEALTH COALITION AND THE LATINO HEALTH COALITION AND THE BLOOD PRESSURE COLLABORATIVE FOR MONROE COUNTY, WAS REPRESENTED AT EACH MEETING BY EITHER DINA FATICONE, DIRECTOR OF COMMUNITY HEALTH AND ENGAGEMENT OR SEVERAL OF THEIR OTHER REPRESENTATIVES. SPECIFICALLY FOR THE 2019 CHNA, COMMUNITY INPUT WAS ACQUIRED BY REVIEWING EXITING COMMUNITY REPORTS AND BY DISCUSSIONS WITH EXISTING COMMUNITY BASED GROUPS ABOUT THE DATA-IDENTIFIED NEEDS. IN 2018, COMMON GROUND HEALTH CONDUCTED A REGIONAL SURVEY OF COMMUNITY MEMBERS TO LEARN MORE ABOUT HEALTH BEHAVIORS AND BARRIERS TO HEALTHY LIVES. WITH PARTICULAR ATTENTIAON TO GATHERING INPUT FROM A DIVERSE GROUP OF PARTICIPATNS, OVER 4,000 PEOPLE WERE SURVERYED. ALTHOUGH RESULTS WERE NOT FULLY ANALYZED AT THE TIME OF THE CHNA DEVELOPMENT, COMMON GROUND HEALTH SHARED SEVERAL PRELIMINARY RESULTS OF THE SURVEY WITH THE CHIW. THE SURVEY ASKED ABOUT A WIDE RANGE OF TOPICS FROM ACCESS TO MEDICAL AND DENTAL CARE TO PERCEPTIONS OF PERSONAL SAFETY AND SATISFACTION WITH WORK. TO CAPTURE EACH INDIVIDUAL'S UNIQUE STORY, SEVERAL QUESTIONS WERE OPEN-ENDED WITH AN OPPORTUNITY FOR UNSTRUCTURED FEEDBACK. THE RESULTS OF THE SURVEY INDICATED THAT THE TOP CONCERN FOR ADULTS IN MONROE COUNTY ACROSS ALL RACES, GEOGRAPHIES, AND SOCIOECONOMIC STATUS LEVELS WAS MENTAL HEALTH. BEYOND THE MY HEALTH SURVEY INFORMATION, THE CHIW MET WITH SEVERAL COMMUNITY GROUPS INCLUDING THE AFRICAN AMERICAN HEALTH COALITION, THE LATINO HEALTH COALITION, THE MATERNAL CHILD HEALTH ADVISORY GROUP AND THE COMMUNITY ADVISORY COUNCIL. THIS HIGH LEVEL COLLABORATION AMONG COMMUNITY MEMBERS, PUBLIC HEALTH PROVIDERS AND HOSPITAL SYSTEMS, ALONG WITH THE ROBUST PROCESS OF COMMUNITY INPUT GATHERING, PROVIDES A TRULY COMMUNITY BASED HEALTH NEEDS ASSESSMENT AND IMPROVEMENT PLAN. -------------------- PART V, SECTION B, LINE 6A- JOINT CHNA THE CHNA WAS CONDUCTED WITH SEVERAL OTHER HOSPITAL FACILITIES. AN ASSESSMENT OF MONROE COUNTY WAS CONDUCTED JOINTLY BY THE UNIVERSITY OF ROCHESTER STRONG MEMORIAL HOSPITAL AND HIGHLAND HOSPITAL, AND ROCHESTER REGIONAL HEALTH INCLUDING ROCHESTER GENERAL HOSPITAL AND UNITY HOSPITAL. -------------------- PART V, SECTION B, LINE 6B- CHNA CONDUCTED WITH NON-HOSPITAL FACILITIES THE CHNA WAS CONDUCTED WITH SEVERAL OTHER ORGANIZATIONS BESIDES THE HOSPITAL FACILITIES. THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH WAS VERY ENGAGED IN THE CHNA PROCESS, WAS PRESENT AT EACH MEETING AND SASSISTED WITH DATA ANALYSIS AND IMPROVEMENT PLANNING. COMMON GROUND HEALTH IS THE REGIONAL PLANNING AGENCY AND IS REPRESENTED AT ALMOST EVERY MEETING OF THE COMMUNITY HEALTH IMPROVEMENT WORKGROUP (CHIW), AND WAS INSTRUMENTAL IN DEVELOPING THE CHNA, BOTH BY PROVIDING DATA AND ASSISTING WITH COMMUNITY ENGAGEMENT. OUR REGIONAL DSRIP AGENCY ALSO ATTENDS THE CHIW MEETINGS AND GAVE INPUT TO THE CHNA PROCESS. THE REGIONAL HEALTH INFORMATION ORGANIZATION (RHIO) HAS BEEN TO MOST CHIW MEETINGS AND WAS ENGAGED IN THE CHNA PROCESS. IN ADDITION, SINCE THE 2019 CHNA FOCUSED ON MENTAL HEALTH, THE MONROE COUNTY OFFICE OF MENTAL HEALTH GAVE INPUT TO THE CHNA AND ATTENDS THE CHIW MEETINGS DURING THE IMPLEMENTATION PHASE OF THE ASSESSMENT. -------------------- PART V, SECTION B, LINE 7A&D, 10- CHNA & IMP PLAN PUBLIC AVAILABILITY THE CHNA REPORT AND IMPLEMENTATION PLAN ARE MADE WIDELY AVAILABLE TO THE PUBLIC. A COPY OF THE ORGANIZATION'S CHNA AND IMPLEMENTATION/IMPROVEMENT PLAN CAN BE FOUND AT: HTTPS://WWW.URMC.ROCHESTER.EDU/COMMUNITY.ASPX CLICK: "VIEW THE IMPROVEMENT PLANS" -------------------- PART V, SECTION B, LINE 11- ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA FOR A COMPLETE DESCRIPTION ON HOW THE ORGANIZATION IS ADDRESSING THE NEEDS IDENTIFIED IN THE MOST RECENTLY COMPLETED CHNA, SEE THE FOLLOWING: HTTPS://WWW.URMC.ROCHESTER.EDU/COMMUNITY.ASPX CLICK: "VIEW THE IMPROVEMENT PLANS" -------------------- PART V, SECTION B, LINE 16A- AVAILABILITY OF FINANCIAL ASSISTANCE POLICY HIGHLAND HOSPITAL'S CURRENT FINANCIAL ASSISTANCE POLICY CAN BE FOUND AT: https://www.urmc.rochester.edu/highland/patients-visitors/billing- insurance/financial-assistance.aspx -------------------- PART V, SECTION B, LINE 16B- AVAILABILITY OF FINANCIAL ASSISTANCE APPLICATION HIGHLAND HOSPITAL'S CURRENT FINANCIAL ASSISTANCE POLICY APPLICATION CAN BE FOUND AT: https://www.urmc.rochester.edu/highland/patients-visitors/billing-insuranc e/financial-assistance.aspx -------------------- PART V, SECTION B, LINE 16C- AVAILABILITY OF FINANCIAL ASSISTANCE POLICY PLAIN LANGUAGE SUMMARY HIGHLAND HOSPITAL'S CURRENT PLAIN LANGUAGE SUMMARY CAN BE FOUND AT: https://www.urmc.rochester.edu/highland/patients-visitors/billing-insuranc e/financial-assistance.aspx -------------------- 26 DAISY MARQUIS JONES RADIATION ONCOLOGY 155 BELLWOOD DRIVE ROCHESTER NY 14606 RADIATION ONCOLOGY CENTER HIGHLAND FAMILY MEDICINE CENTER 777 SOUTH CLINTON AVENUE ROCHESTER NY 14620 FAMILY MEDICINE CLINIC SANDS CANCER CENTER 395 WEST STREET CANANDAIGUA NY 14424 RADIATION ONCOLOGY CENTER CULVER MEDICAL GROUP 913 CULVER ROAD ROCHESTER NY 14609 PRIMARY CARE CLINIC CALEDONIA FAMILY MEDICINE 3350 BROWN ROAD CALEDONIA NY 14423 PRIMARY CARE CLINIC PENFIELD FAMILY MEDICINE 2212 PENFIELD ROAD PENFIELD NY 14526 PRIMARY CARE CLINIC EAST RIDGE FAMILY MEDICINE 999 EAST RIDGE ROAD ROCHESTER NY 14621 PRIMARY CARE CLINIC WEBSTER FAMILY MEDICINE 1900 EMPIRE BLVD WEBSTER NY 14580 PRIMARY CARE CLINIC HIGHLAND BREAST CARE CENTER 500 RED CREEK DRIVE ROCHESTER NY 14623 BREAST CARE DIAGNOSTIC SERVICE CALKINS CREEK FAMILY MEDICINE 200 RED CREEK DRIVE SUITE 100 ROCHESTER NY 14623 PRIMARY CARE CLINIC AVON FAMILY MEDICINE 470 COLLINS STREET AVON NY 14414 PRIMARY CARE CLINIC GREECE MEDICAL GROUP 10 SOUTH POINTE LANDING ROCHESTER NY 14606 PRIMARY CARE CLINIC GENESEE VALLEY FAMILY MEDICINE 118 MAIN STREET PO BOX 99 MOUNT MORRIS NY 14510 PRIMARY CARE CLINIC GENESEE VALLEY FAMILY MEDICINE LAKEVILLE 3509 THOMAS DRIVE SUITE 4 LAKEVILLE NY 14480 PRIMARY CARE CLINIC STRONG HEALTH MIDWIFERY GROUP 909 CULVER ROAD ROCHESTER NY 14609 OB/GYN CLINIC PENFIELD MEDICAL IMAGING 2212 PENFIELD ROAD SUITE 300 PENFIELD NY 14526 OUTPATIENT DIAGNOSTIC RADIOLOGY SERVICES GENESEE VALLEY FAMILY MEDICINE GENESEO 4400 LAKEVILLE ROAD GENESEO NY 14454 PRIMARY CARE CLINIC HIGHLAND BREAST IMAGING 2212 PENFIELD ROAD SUITE 500 PENFIELD NY 14526 BREAST CARE DIAGNOSTIC SERVICE HIGHLAND WOMEN'S HEALTH 990 SOUTH AVENUE SUITE 103 ROCHESTER NY 14620 OB/GYN CLINIC HIGHLAND BREAST IMAGING AT AJHC 82 HOLLAND STREET ROCHESTER NY 14605 BREAST CARE DIAGNOSTIC SERVICE HIGHLAND MEDICAL IMAGING AT AJHC 82 HOLLAND STREET ROCHESTER NY 14605 OUTPATIENT DIAGNOSTIC RADIOLOGY SERVICE HIGHLAND CARDIOLOGY AT RED CREEK 600 RED CREEK DRIVE ROCHESTER NY 14623 OUTPATIENT CARDIOLOGY SERVICES HIGHLAND DIABETES HEALTH SOURCE 2400 SOUTH CLINTON AVENUE BUILDING ROCHESTER NY 14618 DIABETES HEALTH SOURCE HIGHLAND FAMILY MEDICINE EXTENSION 757 SOUTH CLINTON AVENUE ROCHESTER NY 14620 FAMILY MEDICINE CLINIC HIGHLAND WOMEN'S HEALTH - PERINTON 800 AYRAULT ROAD FAIRPORT NY 14450 OB/GYN CLINIC HIGHLAND WOMEN'S HEALTH - PITTSFORD 2300 JEFFERSON ROAD PITTSFORD NY 14534 OB/GYN CLINIC SUPPLEMENTAL DISCLOSURES PART I, LINE 7- COSTING METHODOLOGY USED, BAD DEBT EXPENSE THE COSTING METHODOLOGY USED IN CALCULATING THE AMOUNTS REPORTED ON THE LINE 7 TABLE ARE BASED ON A COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 OF THE FORM 990, SCHEDULE H INSTRUCTIONS. CONSISTENT WITH PRIOR YEAR, DUE TO THE ADOPTION OF ACCOUNTING PRONOUNCEMENT ASC 606, IMPLICIT PRICE CONCESSIONS ARE TREATED AS A CONTRA-REVENUE ITEM ON THE STATEMENT OF REVENUE. -------------------- PART III, SECTION A, LINE 2- IMPLICIT PRICE CONCESSIONS/BAD DEBT EXPENSE THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 ARE BASED ON ACTUAL CHARGES WRITTEN OFF (AMOUNTS THAT ARE DEEMED TO BE UNCOLLECTIBLE AND RECORDED AS IMPLICIT PRICE CONCESSIONS UNDER ACCOUNTING PRONOUNCEMENT ASC 606). -------------------- PART III, SECTION A, LINE 4- IMPLICIT PRICE CONCESSION FOOTNOTE THE TEXT OF THE IMPLICIT PRICE CONCESSION (BAD DEBT EXPENSE) FOOTNOTE CAN BE FOUND ON PAGES 11-12 OF THE ELECTRONICALLY ATTACHED AUDITED FINANCIAL STATEMENTS. -------------------- PART III, SECTION B, LINE 8- COSTING METHODOLOGY, MEDICARE SHORTFALL THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 IS BASED ON AN OVERALL RCC METHODOLOGY PER THE HOSPITAL'S MEDICARE COST REPORT FILING FOR THE YEAR. CONSISTENT WITH THE CHARITABLE HEALTHCARE MISSION OF THE HOSPITAL AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545, THE HOSPITAL PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE SEEKING MEDICAL CARE. SUCH CARE IS PROVIDED REGARDLESS OF WHETHER THE REIMBURSEMENT PROVIDED FOR SUCH SERVICES MEETS OR EXCEEDS THE COSTS INCURRED BY THE HOSPITAL TO PROVIDE SUCH SERVICES. AS A RESULT, THE HOSPITAL VIEWS ANY SHORTFALL REPORTED IN LINE 7 AS AN ADDITIONAL ITEM OF COMMUNITY BENEFIT PROVIDED BY THE ORGANIZATION. -------------------- PART III, SECTION C, LINE 9B- COLLECTION PRACTICES HIGHLAND HOSPITAL'S MISSION IS OUR COMMITTMENT TO EXCELLENCE IN HEALTH CARE, WITH PATIENTS AND THEIR FAMILIES AT THE HEART OF ALL THAT WE DO. LAWS, REGULATIONS, CATASTROPHIC ILLNESSES AND THE RISING COSTS OF NEW TECHNOLOGY HAVE CREATED A CATEGORY OF PATIENTS WHO ARE EITHER UNINSURED OR UNDERINSURED. THIS FINANCIAL ASSISTANCE PROGRAM HAS BEEN DEVELOPED TO HELP THE HOSPITAL MEET THE NEEDS OF THESE PATIENTS AND, CONCURRENTLY, MAINTAIN THE FINANCIAL VIABILITY OF THE HOSPITAL FOR FUTURE GENERATIONS. THIS FINANCIAL ASSISTANCE POLICY EXPLAINS HOW THE HOSPITAL ASSISTS PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE ESSENTIAL MEDICAL CARE THEY RECEIVE. PRINCIPLES: HIGHLAND HOSPITAL PROACTIVELY CONVEYS INFORMATION ABOUT THIS FINANCIAL ASSISTANCE POLICY TO PATIENTS AND THEIR FAMILIES. - WE BELIEVE THAT FEAR OF A HOSPITAL BILL SHOULD NEVER GET IN THE WAY OF ESSENTIAL HEALTH SERVICES. THE PROVISION OF URGENT OR EMERGENT HEALTHCARE IS NEVER DELAYED PENDING A FINANCIAL ASSISTANCE DETERMINATION. SIGNS ANNOUNCING THE FINANCIAL ASSISTANCE PROGRAM ARE POSTED IN THE HOSPITAL (E.G. EMERGENCY DEPARTMENT, ADMITTING OFFICE) TO PROACTIVELY CONVEY THIS MESSAGE TO PROSPECTIVE PATIENTS AND THE PUBLIC IN GENERAL. - WE MAINTAIN FINANCIAL AID POLICIES THAT ARE CONSISTENT WITH THE MISSION, VALUES AND CAPACITY OF THE HOSPITAL AND THAT TAKE INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE. - WE COMMUNICATE THE AVAILABILITY OF FINANCIAL AID IN A MANNER THAT IS CLEAR, UNDERSTANDABLE, SENSITIVE TO THE PATIENT'S DIGNITY, AND IN MULTIPLE LANGUAGES. A NOTICE IS AVAILABLE AT REGISTRATION SITES THAT INFORMS PATIENTS OF THIS PROGRAM AND PROVIDES THE PHONE NUMBER TO CALL TO OBTAIN MORE INFORMATION AND TO APPLY FOR THIS PROGRAM. DESIGNATED STAFF ARE PROVIDED DETAILED TRAINING SO THAT THEY CAN PROVIDE INFORMATION AND ANSWER QUESTIONS ABOUT THE FINANCIAL ASSISTANCE PROGRAM. INFORMATION IS GENERALLY AVAILABLE IN BOTH ENGLISH AND SPANISH. WHEN REQUESTED, IT WILL ALSO BE MADE AVAILABLE IN OTHER LANGUAGES. - WE IMPLEMENT FINANCIAL AID PROCEDURES THAT ARE CONSUMER-FRIENDLY, RESPECTFUL, AND CONFIDENTIAL, AS WELL AS DEBT COLLECTION POLICIES THAT REFLECT THE MISSION AND VALUES OF THIS HOSPITAL. - WE WORK WITH GOVERNMENT, PAYERS, BUSINESS, CONSUMER GROUPS AND OTHERS TO ADDRESS THE UNDERLYING PROBLEM THAT TOO MANY NEW YORKERS LACK HEALTH INSURANCE. GENERAL GUIDELINES: AS PART OF FINANCIAL PLANNING ASSISTANCE, WE PROVIDE PATIENTS, AND/OR THEIR LEGAL REPRESENTATIVE, WITH INFORMATION ABOUT THE CRITERIA THAT MUST BE MET IN ORDER TO OBTAIN MEDICAID, MEDICARE, OR OTHER HEALTH INSURANCES. PATIENTS ARE ASSISTED IN MAKING APPLICATIONS FOR ANY OF THESE INSURANCES OR DISCOUNTED FEE PLANS. PATIENTS ARE EXPECTED TO PARTICIPATE FULLY IN ALL EFFORTS TO OBTAIN ANY INSURANCE FOR WHICH THEY MAY QUALIFY. UNDER CERTAIN CIRCUMSTANCES, AS DETERMINED BY THE FINANCIAL CASE MANAGERS OR OTHER HOSPITAL SENIOR ADMINISTRATORS, APPLICATIONS FOR MEDICAID, MEDICARE OR OTHER INSURANCE PROGRAMS MAY BE WAIVED WHEN DEEMED UNNECESSARY. IF AVAILABLE INSURANCE BENEFITS ARE NOT SUFFICIENT TO COVER THE COST OF THEIR CARE, PATIENTS MAY THEN APPLY FOR ASSISTANCE FROM THE FINANCIAL ASSISTANCE PROGRAM. FINANCIAL ASSISTANCE APPLICATIONS MUST BE COMPLETED AND RETURNED TO THE HOSPITAL WITH THE REQUESTED INCOME DOCUMENTATION. PATIENTS WILL NOT RECEIVE FINANCIAL ASSISTANCE IF THEY (A) DO NOT COMPLETE THE APPLICATION PROCESS FOR MEDICAID OR OTHER INSURANCE FOR WHICH THEY MAY QUALIFY, (B) ELECT NOT TO MAKE APPLICATION FOR FINANCIAL ASSISTANCE, OR (C) HAVE ADEQUATE RESOURCES OR INCOME TO PAY PRIVATELY FOR THEIR CARE. IN THESE SITUATIONS, THEY WILL REMAIN FINANCIALLY RESPONSIBLE FOR FULL PAYMENT OF THEIR HOSPITAL BILLS. FINANCIAL ASSISTANCE IS AVAILABLE FOR PATIENTS WHO RESIDE IN NEW YORK STATE AND RECEIVE EMERGENCY HOSPITAL SERVICES, INCLUDING EMERGENCY TRANSFERS, AND TO PATIENTS WHO RESIDE IN HIGHLAND HOSPITAL'S PRIMARY SERVICE AREA IN NEW YORK STATE WHO RECEIVE SERVICES IN DESIGNATED HIGHLAND HOSPITAL PROGRAMS, INCLUDING MOST INPATIENT AND OUTPATIENT SERVICES. IN ADDITION, THE HOSPITAL MAY, IN ITS DISCRETION, GRANT FINANCIAL ASSISTANCE TO INDIVIDUALS WHO RESIDE OUTSIDE OF NEW YORK STATE. FINANCIAL ASSISTANCE DOES NOT COVER MEDICALLY UNNECESSARY CARE, COSMETIC ALTERATION, TELEPHONE, TELEVISION AND PRIVATE ROOM CHARGES. IT DOES NOT COVER SERVICES GENERATED BY AN INSURED PATIENT WHO CHOOSES TO RECEIVE CARE AT AN OUT-OF-NETWORK HOSPITAL, OR WHO FAILS TO COMPLY WITH INSURANCE POLICY REQUIREMENTS (E.G. UNAUTHORIZED SERVICES) NOR DOES IT APPLY TO NON-RESIDENT ALIENS (UNLESS APPROVED IN ADVANCE OF CARE BEING PROVIDED), TO DRUGS NOT ADMINISTERED IN THE HOSPITAL, TO TRANSPORTATION FURNISHED BY THIRD PARTY VENDORS, OR TO CARE, SERVICES, DRUGS OR SUPPLIES FOR THE PURPOSE OF GENDER RE-ASSIGNMENT. SPECIFIC QUESTIONS ABOUT SERVICES THAT ARE NOT COVERED SHOULD BE DIRECTED TO THE PATIENT ACCOUNTS MANAGER OR THEIR DELEGATE. FINANCIAL GUIDELINES: FINANCIAL AID IS INTENDED TO ASSIST THOSE INDIVIDUALS WHO CANNOT AFFORD TO PAY IN PART OR IN FULL FOR THEIR CARE. IT SHOULD TAKE INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE. HOSPITAL FINANCIAL AID SHOULD NOT BE VIEWED AS A SUBSTITUTE FOR EMPLOYER-SPONSORED OR INDIVIDUALLY PURCHASED INSURANCE. PATIENTS WITHOUT INSURANCE AND WITH INCOME THAT WOULD QUALIFY THEM FOR THE FINANCIAL ASSISTANCE PROGRAM BUT ALSO HAVE SUBSTANTIAL RESOURCES (OTHER THAN TAX-DEFERRED OR COMPARABLE RETIREMENT SAVINGS OR COLLEGE SAVINGS ACCOUNTS) MAY BE EXPECTED TO PAY PART OF THEIR BILLS(S). FINANCIAL ASSISTANCE IS GENERALLY AVAILABLE TO INDIVIDUALS WHOSE INCOME IS LESS THAN OR EQUAL TO 400% OF THE FEDERAL POVERTY LEVEL. HOWEVER, PATIENTS WHO HAVE EXHAUSTED THEIR INSURANCE BENEFITS, EXCEEDED FINANCIAL ELIGIBILITY CRITERIA, FACE EXTRAORDINARY MEDICAL COSTS, OR WHO HAVE OTHER UNIQUE CIRCUMSTANCES MAY BE CONSIDERED FOR FINANCIAL ASSISTANCE APPROVAL IN THE HOSPITAL'S SOLE DISCRETION. WHILE APPLICATION FOR MEDICAID OR OTHER INSURANCE IS USUALLY REQUIRED, THE HOSPITAL MAY, AT ITS SOLE DISCRETION, IN APPROPRIATE CASES, ALSO CONSIDER PATIENTS FOR FINANCIAL ASSISTANCE WHEN THEY MEET THE FINANCIAL CRITERIA OF THIS PROGRAM, BUT HAVE NOT SATISFACTORILY COMPLETED ALL THE REQUIREMENTS OF THE FINANCIAL ASSISTANCE APPLICATION PROCESS. THIS MAY INCLUDE PATIENTS WHO HAVE BEEN SANCTIONED BY MEDICAID, HAVE FILED BANKRUPTCY OR APPEAR TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON AVAILABLE INFORMATION. ELIGIBILITY DETERMINATIONS IN COMPLEX CASE CIRCUMSTANCES WILL BE MADE AFTER CONSIDERATION BY THE FINANCIAL ASSISTANCE REVIEW TEAM THAT INCLUDES THE FINANCIAL ASSISTANCE OFFICER, FINANCIAL CASE MANAGER AND/OR THEIR MANAGERS, OR MAY BE MADE BY SENIOR HOSPITAL ADMINISTRATORS. THE AMOUNT OF THE DISCOUNT AFFORDED TO QUALIFIED FINANCIAL ASSISTANCE PATIENTS WILL BE DETERMINED THROUGH ASSESSMENT OF THE RESPONSIBLE PARTY'S ANNUAL HOUSEHOLD INCOME AND THE NUMBER OF PEOPLE IN THE HOME, AS A PERCENTAGE OF THE FEDERAL POVERTY GUIDELINE AMOUNTS FOR SAME SIZE HOUSEHOLDS. THE FINANCIAL GUIDELINES WILL BE UPDATED ANNUALLY IN CONJUNCTION WITH THE FEDERAL POVERTY UPDATES PUBLISHED BY CMS. PATIENTS MAY RECEIVE FULL OR PARTIAL DISCOUNT FROM THE COST OF CARE, DEPENDING ON THE PERCENTAGE OF THE GUIDELINES MATCHED BY THE PATIENT'S HOUSEHOLD INCOME. ANY BILL AMOUNT REMAINING AFTER APPLICATION OF A PARTIAL FINANCIAL ASSISTANCE DISCOUNT IS THE RESPONSIBILITY OF THE PATIENT. THE AMOUNT AN APPROVED FINANCIAL ASSISTANCE PATIENT WILL GENERALLY BE EXPECTED TO PAY FOR SERVICES COVERED BY THE POLICY WILL BE LIMITED TO THE LOWER OF THE AMOUNT THAT THE HOSPITAL WOULD HAVE RECEIVED FOR THE SAME SERVICE UNDER MEDICARE PARTS A AND B, (INCLUDING COINSURANCE, CO-PAYMENTS AND DEDUCTIBLES) OR THE USUAL AND CUSTOMARY CHARGES. THE PATIENT WILL BE ASSISTED BY THE HOSPITAL IN MAKING ARRANGEMENTS TO SATISFY ANY BALANCE REMAINING ON THE ACCOUNT(S) AFTER THE APPLICATION OF THE APPROPRIATE FINANCIAL ASSISTANCE DISCOUNT BY USE OF A PAYMENT PLAN. THE MONTHLY PAYMENTS UNDER SUCH PLANS SHALL NOT EXCEED TEN PERCENT (10%) OF THE ELIGIBLE PATIENT'S GROSS MONTHLY INCOME. THE RATE OF INTEREST ON UNPAID BALANCES SHALL NOT EXCEED THE US TREASURY RATE FOR 90 DAY SECURITIES PLUS 0.5%. HOSP PART VI, LINE 2- NEEDS ASSESSMENT THE NEEDS OF MONROE COUNTY ARE ASSESSED THROUGH HEALTH ACTION, A ROBUST COMMUNITY-WIDE PROCESS ESTABLISHED IN 1995 THAT IS LED BY THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH (MCDPH). IT INVOLVES ALL FOUR LOCAL HEALTH SYSTEMS, LOCAL INSURERS, AND OTHER KEY COMMUNITY STAKEHOLDERS. THROUGH THIS PROCESS, COMMUNITY PRIORITIES, GOALS, AND INTERVENTIONS ARE IDENTIFIED AND IMPLEMENTED. THESE PRIORITIES ALIGN WITH THE HEALTH PRIORITIES AND INDICATORS AS PUBLISHED BY NEW YORK STATE'S DEPARTMENT OF HEALTH (DOH) AND INCLUDE ACCESS TO QUALITY HEALTH CARE, TOBACCO USE, HEALTHY MOTHERS/HEALTHY BABIES/HEALTHY CHILDREN, PHYSICAL ACTIVITY/NUTRITION, UNINTENTIONAL INJURY, HEALTHY ENVIRONMENTS, CHRONIC DISEASE, AND MENTAL HEALTH/SUBSTANCE ABUSE. FIVE HEALTH STATUS "REPORT CARDS" IN SPECIFIC AGE GROUPS AND CATEGORIES ARE USED TO MEASURE PROGRESS TOWARDS HEALTH STATUS IMPROVEMENT. THEY INCLUDE MATERNAL AND CHILD HEALTH, ADOLESCENT HEALTH, ADULT HEALTH, OLDER ADULT HEALTH AND ENVIRONMENTAL HEALTH, EACH OF WHICH CONTAIN GOALS FOR IMPROVING HEALTH. PRIORITIES FOR EACH AREA ARE SELECTED BASED ON INPUT FROM FOCUS GROUPS WITH RESIDENTS, AND HEALTH AND SOCIAL SERVICE PROFESSIONALS. UPDATED REPORT CARDS ARE PRODUCED AND DISTRIBUTED ON AVERAGE EVERY 4-6 YEARS FOR EACH SPECIFIC AGE GROUP. THESE PRIORITIES SERVE AS A FOUNDATION FOR COMMUNITY HEALTH IMPROVEMENT AND COMMUNITY BUILDING EFFORTS AND HELP TO ENSURE COLLABORATIVE AND COORDINATED USE OF HEALTH SYSTEM RESOURCES TO ADDRESS THE MOST PRESSING NEEDS. THE PRIORITY SETTING PROCESS IS A SIX-STEP PROCESS THAT INCLUDES: 1. ASSESS HEALTH STATUS: DATA DETAILING HEALTH STATUS, ACCESS TO HEALTH CARE AND HEALTH BEHAVIORS ARE COMPILED AND ANALYZED TO IDENTIFY TRENDS AND DISPARITIES AND TO COMPARE OUR COUNTY TO OTHER COMMUNITIES. FOR EACH LIFECYCLE GROUP, AN ADVISORY COMMITTEE, WITH REPRESENTATION FROM AREA HOSPITALS, HELPS TO INTERPRET THE DATA AND DEVELOP HEALTH GOALS BASED ON THE DATA. A REPORT CARD CONTAINING THE DATA AND HEALTH GOALS IS PUBLISHED. 2. CHOOSE PRIORITY GOALS: THE ADVISORY COMMITTEE HOSTS COMMUNITY FORUMS TO ADDRESS HEALTH IMPROVEMENT PRIORITIES. THE ADVISORY COMMITTEE THEN MAKES RECOMMENDATIONS TO THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH ON PRIORITIES. 3. DEFINE THE LEADERSHIP: PARTNERS ARE IDENTIFIED TO SUPPORT THE PRIORITIES FOR ACTION. THE MEDICAL CENTER PROVIDES SALARY SUPPORT FOR FACULTY AND STAFF TO CONTRIBUTE THEIR ACADEMIC AND CLINICAL EXPERTISE TO HELP IDENTIFY AND IMPLEMENT THE MOST EFFECTIVE INTERVENTIONS ON THE HEALTH PRIORITIES. 4. DEVELOP IMPROVEMENT PLANS: EACH PARTNERSHIP DEVELOPS IMPROVEMENT PLANS TO ADDRESS HEALTH GOALS. 5. PERFORM INTERVENTIONS: EACH PARTNERSHIP, ALONG WITH THE STEERING COMMITTEE, WHICH INCLUDES THE MEDICAL CENTER, OVERSEES THE IMPLEMENTATION OF INTERVENTIONS IN VARIOUS VENUES THAT INCLUDE SCHOOLS, DAY CARE CENTERS, PLACES OF WORSHIP, COMMUNITY BASED ORGANIZATIONS AND WITHIN THE HEALTH SYSTEMS. 6. MEASURE THE IMPACT: EACH PARTNERSHIP EVALUATES THE INTERVENTION. -------------------- PART VI, LINE 3- PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IS POSTED IN ALL AREAS OF HIGHLAND HOSPITAL AND ITS OFF-SITE LOCATIONS. CHARITY CARE INFORMATION IS POSTED IN INPATIENT AND OUTPATIENT REGISTRATION AREAS; THE EMERGENCY DEPARTMENT; ADMITTING; HIGHLAND FAMILY MEDICINE; AND ALL PRIMARY CARE SITES. THE HOSPITAL PROVIDES A COPY OF THE CHARITY CARE POLICY AND FINANCIAL ASSISTANCE CONTACTS TO PATIENTS AS PART OF ITS ADMITTING PROCESS. HIGHLAND ALSO PROVIDES PRINTED INFORMATION ABOUT CHARITY CARE ASSISTANCE WITH DISCHARGE MATERIALS WHEN IT HAS BEEN DETERMINED THAT A PATIENT IS IN FINANCIAL NEED. OUR CHARITY CARE POLICY IS ONLINE AS WELL, ON THE HOSPITAL WEBSITE. AS PART OF FINANCIAL PLANNING ASSISTANCE, WE PROVIDE PATIENTS OR THEIR LEGAL REPRESENTATIVE, WITH INFORMATION ABOUT THE CRITERIA THAT MUST BE MET IN ORDER TO OBTAIN MEDICAID, MEDICARE, OR OTHER HEALTH INSURANCES. PATIENTS ARE ASSISTED IN MAKING APPLICATIONS FOR ANY OF THESE INSURANCES OR DISCOUNTED FEE PLANS. PATIENTS ARE EXPECTED TO PARTICIPATE FULLY IN ALL EFFORTS TO OBTAIN ANY INSURANCE FOR WHICH THEY MAY QUALIFY. UNDER CERTAIN CIRCUMSTANCES, AS DETERMINED BY THE FINANCIAL CASE COUNSELOR OR OTHER HOSPITAL SENIOR ADMINISTRATOR, APPLICATIONS FOR MEDICAID, MEDICARE OR OTHER INSURANCE PROGRAMS MAY BE WAIVED WHEN DEEMED UNNECESSARY. IF AVAILABLE INSURANCE BENEFITS ARE NOT SUFFICIENT TO COVER THE COST OF THEIR CARE, PATIENTS MAY THEN APPLY FOR ASSISTANCE FROM THE CHARITY CARE PROGRAM. --------------- PART VI, LINE 4- COMMUNITY INFORMATION HIGHLAND HOSPITAL IS LOCATED IN THE CITY OF ROCHESTER, COUNTY OF MONROE (POPULATION 741,770) IN THE FINGER LAKES REGION OF NEW YORK STATE. THE FINGER LAKES REGION EXTENDS APPROXIMATELY 100 MILES NORTH TO SOUTH AND 100 MILES EAST TO WEST. THE REGION ENCOMPASSES URBAN, SUBURBAN AND RURAL COMMUNITIES WITHIN NEW YORK STATE. THE REGION (INCLUDING MONROE COUNTY) HAS A POPULATION OF 1,788,323. HIGHLAND HOSPITAL'S PRIMARY SERVICE AREA (PSA) IS MONROE COUNTY AND THE SECONDARY SERVICE AREA (SSA) ENCOMPASSES THE 15 COUNTIES SURROUNDING MONROE INCLUDING: ALLEGANY, CATTARAUGUS, CAYUGA, CHEMUNG, GENESEE, LIVINGSTON, ONTARIO, ORLEANS, SCHUYLER, SENECA, STEUBEN, TOMPKINS, WAYNE, WYOMING, AND YATES. HEALTH CARE ENVIRONMENT- THE PRIMARY SERVICE AREA IS HOME TO TWO MULTI-HOSPITAL SYSTEMS EACH WITH SEVERAL LONG-TERM CARE, HOME CARE AND OTHER TYPES OF AFFILIATES. THE UNIVERSITY OF ROCHESTER MEDICAL CENTER CONSISTS OF STRONG MEMORIAL HOSPITAL AND AFFILIATES HIGHLAND HOSPITAL, FF THOMPSON HEALTH SYSTEM, ST JAMES HOSPITAL, NICHOLAS NOYES AND JONES MEMORIAL HOSPITALS. ROCHESTER REGIONAL HEALTH SYSTEM CONSISTS OF ROCHESTER GENERAL HOSPITAL, NEWARK WAYNE COMMUNITY HOSPITAL, UNITY HEALTH SYSTEM, CLIFTON SPRINGS HOSPITAL, AND UNITED MEMORIAL MEDICAL CENTER. THERE ARE SMALLER COMMUNITY HOSPITALS THAT OPERATE IN THE FIFTEEN COUNTIES SURROUNDING MONROE COUNTY WITH BED CAPACITY RANGING FROM AS FEW AS 25 BEDS TO AS MANY AS 224 BEDS. OVER 50 RESIDENTIAL HEALTH CARE FACILITIES; MANY PUBLIC AND PRIVATE AGENCIES PROVIDING COMMUNITY AND HOME HEALTH SERVICES; SEVERAL STATE AND FEDERAL FACILITIES; AND A FULL RANGE OF HEALTH CARE PROFESSIONALS, INCLUDING THOUSANDS OF PHYSICIANS, DENTISTS, NURSES, TECHNICIANS, ADMINISTRATORS, EDUCATORS, AND SUPPORT PERSONNEL PROVIDE SERVICES WITHIN THE SIXTEEN COUNTY SERVICE AREA. DEMOGRAPHIC ANALYSIS- HISTORICALLY UNDER REPRESENTED ETHNIC GROUPS INCLUDING BLACK NON-HISPANIC, HISPANIC AND OTHER POPULATIONS COMPRISE ROUGHLY 29.7% OF THE POPULATION OF MONROE COUNTY. MEDIAN HOUSEHOLD INCOME FOR MONROE COUNTY IS $57,479 VERSUS THE NATIONAL MEDIAN OF $60,293. ACCORDING TO THE US CENSUS, 14.4% OF INDIVIDUALS IN MONROE COUNTY WERE CONSIDERED BELOW THE POVERTY LEVEL. MORE THAN 50% OF CHILDREN IN ROCHESTER LIVE IN POVERTY, WHICH IS HIGH FOR ANY COMPARABLY SIZED CITY IN THE US. THE PERCENTAGE OF THE MONROE COUNTY POPULATION AGE 65 AND OLDER WAS 17.2% IN 2019. MONROE COUNTY'S POPULATION OF SENIORS OUTPACES THE NATIONAL AVERAGE OF 16.0%. THE RATE OF UNINSURED (INDIVIDUALS UNDER 65 YEARS OLD) IN MONROE COUNTY IS 4.3%, COMPARED TO 10.0% US AVERAGE. OF THE 3,287,846 INDIVIDUALS ENROLLED IN MEDICAID IN NEW YORK STATE, 3.3% RESIDE IN MONROE COUNTY. -------------------- PART VI, LINE 5- PROMOTION OF COMMUNITY HEALTH HIGHLAND HOSPITAL CONDUCTS MANY COMMUNITY HEALTH INITIATIVES THROUGHOUT THE YEAR. EXAMPLES INCLUDE FREE OR LOW-COST HEALTH EDUCATION PROGRAMS ON TOPICS RELATED TO NUTRITION AND BARIATRIC SURGERY. ALSO, HIGHLAND'S BREAST IMAGING CENTER SPONSORS A FREE MAMMOGRAPHY SCREENING DAY FOR UNINSURED/UNDERINSURED WOMEN. THE HOSPITAL ALSO OFFERS SEMINARS FOR EMS PERSONNEL TO FURTHER THEIR MEDICAL EDUCATION. HIGHLAND HAS ALSO PROVIDED FREE HEALTH INFORMATION TO THE COMMUNITY THROUGH VIDEOS ON OUR SOCIAL MEDIA CHANNELS TO EDUCATE THE PUBLIC ABOUT COVID-19 DURING THE PANDEMIC. THESE EVENTS SERVE SEVERAL PURPOSES: THEY RAISE AWARENESS OF THE BREADTH OF SERVICES OFFERED BY HIGHLAND TO THE COMMUNITY, ESPECIALLY THOSE IN THE URBAN AREA OF ROCHESTER FOR WHOM HIGHLAND IS THEIR CLOSEST HOSPITAL; THEY ENCOURAGE COMMUNITY MEMBERS TO ENGAGE IN PROACTIVE WELLNESS EFFORTS, SUCH AS RECOMMENDED ANNUAL MAMMOGRAMS FOR WOMEN OVER 40 AND THOSE AT RISK; AND THEY EDUCATE COMMUNITY MEMBERS ON STEPS THEY CAN TAKE TO LEAD HEALTHY LIVES THROUGH POSITIVE LIFESTYLE CHOICES. IN ADDITION, HIGHLAND COLLABORATES WITH OTHER HOSPITALS IN WESTERN NEW YORK, INCLUDING STRONG MEMORIAL HOSPITAL, IN JOINTLY FILING A COMMUNITY SERVICE PLAN TO THE NEW YORK STATE DEPARTMENT OF HEALTH. THIS UNIQUE EFFORT, DONE IN COLLABORATION WITH THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH AND THE FINGER LAKES HEALTH SYSTEM AGENCY, DEMONSTRATES TRUE COMMUNITY ASSESSMENT AND IMPROVEMENT PLANNING FOR MONROE COUNTY AND ITS SURROUNDING NEIGHBORHOODS. THE JOINT COMMUNITY SERVICE PLAN IS FOCUSING ON REDUCING OBESITY, REDUCING ILLNESS RELATED TO TOBACCO, AND INCREASING ACCESS TO CHRONIC DISEASE PREVENTION. THE UNIVERSITY OF ROCHESTER CENTER FOR COMMUNITY HEALTH SERVES AS A FACILITATING AGENCY. -------------------- PART VI, LINE 5- PROMOTION OF COMMUNITY HEALTH- OTHER INFORMATION HIGHLAND'S BOARD OF DIRECTORS IS COMPRISED OF A DIVERSE GROUP OF MEMBERS OF THE ROCHESTER COMMUNITY. THE BOARD INCLUDES URMC AND HIGHLAND SENIOR LEADERS; EMPLOYED URMC FACULTY BASED AT HIGHLAND HOSPITAL AND PRIVATE COMMUNITY PHYSICIANS; MEMBERS OF THE BUSINESS COMMUNITY AND LOCAL PHILANTHROPISTS WITH AN INTEREST IN ADVOCATING FOR HEALTH CARE. HIGHLAND EXTENDS MEDICAL STAFF PRIVILEGES TO EMPLOYED HIGHLAND PHYSICIANS; URMC FACULTY PHYSICIANS; AND ALL ELIGIBLE PRIVATE PHYSICIANS WHO PRACTICE AT HIGHLAND AND/OR ADMIT PATIENTS TO THE HOSPITAL. HIGHLAND USES SURPLUS FUNDS TO CONTINUALLY REINVEST IN ITS FACILITY; THE 131-YEAR-OLD HOSPITAL HAS IN RECENT YEARS MADE MANY CAPITAL UPDATES TO ITS FACILITY, INCLUDING: ITS EMERGENCY DEPARTMENT IN RESPONSE TO RISING PATIENT VOLUMES, VIRTUALLY DOUBLING ITS CAPACITY TO MEET CURRENT AND FUTURE PATIENT NEEDS, RADIATION ONCOLOGY DEPARTMENT, SEVERAL INPATIENT CARE UNITS AND THE COMMUNITY OB/GYN CLINIC. OTHER ENHANCEMENTS INCLUDE THE ADDITION OF A NEW OUTPATIENT PHARMACY AND EXPANDED LOBBY/SURGICAL WAITING AREA TO ACCOMMODATE SURGICAL VOLUME GROWTH. THE HOSPITAL HAS COMPLETED CONSTRUCTION OF A NEW NEUROMEDICINE UNIT TO PROVIDE INTEGRATED NEUROLOGY/NEUROSURGERY CARE TO STROKE, HEAD INJURY AND NEUROSURGERY PATIENTS. IT HAS COMPLETED CONSTRUCTION OF TWO NEW OPERATING ROOMS AND EXPANSION OF ITS PERIOPERATIVE SERVICES AREA TO MEET DEMAND FOR OR USAGE. MAJOR CAPITAL EQUIPMENT ACQUISITIONS TO MEET COMMUNITY NEEDS INCLUDE AN UPGRADED LINEAR ACCELERATOR AND DAVINCI ROBOTIC SURGICAL SYSTEM. THE HOSPITAL CONTINUES TO REVIEW AND UPGRADE ALL KEY INFORMATION TECHNOLOGY SYSTEMS, INCLUDING THE ELECTRONIC MEDICAL RECORD. FINALLY, THE HOSPITAL COMPLETED THE FIRST PHASE OF ITS $28M MASTER FACILITY PLAN IN JUNE 2017, TO CONSTRUCT A DEDICATED 26 BED OBSERVATION UNIT, ALONG WITH A STATE OF THE ART PERIOPERATIVE UNIT. -------------------- PART VI, LINE 6- DETAIL REGARDING AFFILIATED HEALTH CARE SYSTEM ROLES THE UNIVERSITY OF ROCHESTER MEDICAL CENTER IS AN INTEGRATED ACADEMIC HEALTH CENTER THAT COMPRISES THE SCHOOL OF MEDICINE AND DENTISTRY, INCLUDING ITS FACULTY PRACTICE (UNIVERSITY OF ROCHESTER MEDICAL FACULTY GROUP); STRONG MEMORIAL HOSPITAL; HIGHLAND HOSPITAL; GOLISANO CHILDREN'S HOSPITAL; JAMES P. WILMOT CANCER CENTER; STRONG WEST; SCHOOL OF NURSING; EASTMAN INSTITUTE FOR ORAL HEALTH AND ITS AFFILIATED HEALTH CARE ENTITIES ARE UR MEDICINE HOME CARE; HIGHLANDS AT PITTSFORD; THE HIGHLANDS LIVING CENTER, INC.; HIGHLANDS AT BRIGHTON, FF THOMPSON HEALTH SYSTEM, INC., JONES MEMORIAL HOSPITAL, NOYES HEALTH, ST. JAMES HOSPITAL AND ACCOUNTABLE HEALTH PARTNERS, LLC. UR MEDICAL CENTER AND THE AFFILIATED HEALTH CARE ENTITIES HAVE EMBRACED A COMPREHENSIVE APPROACH TO COMMUNITY HEALTH, WHICH EMPLOYS THE MULTIDISCIPLINARY SKILLS FOUND IN AN ACADEMIC MEDICAL CENTER TO BOTH PROVIDE IMPORTANT COMMUNITY SERVICES AND CONDUCT COMMUNITY-BASED RESEARCH. THESE ACTIVITIES HELP INFORM POLICYMAKERS AND THE COMMUNITY ABOUT LOCAL HEALTH CHALLENGES, EVALUATE THE EFFECTIVENESS OF INTERVENTIONS, AND SERVE AS A FOUNDATION FOR EVIDENCE-BASED PRACTICES TO IMPROVE HEALTH AND OVERALL QUALITY OF LIFE. - THE UNIVERSITY'S HEALTH CARE DELIVERY NETWORK IS ANCHORED BY STRONG MEMORIAL HOSPITAL, AN 838 BED TEACHING HOSPITAL, WHICH INCLUDES A CHILDREN'S HOSPITAL-GOLISANO CHILDREN'S HOSPITAL. PATIENTS BENEFIT FROM THE MEDICAL CENTER'S ROBUST TEACHING AND BIOMEDICAL RESEARCH PROGRAMS. STUDENT ROSTERS INCLUDE APPROXIMATELY 400 MEDICAL STUDENTS, 500 GRADUATE STUDENTS, AND 890 RESIDENTS AND FELLOWS WHO ARE ENGAGED IN COMMUNITY SERVICE THROUGHOUT THEIR EDUCATION. - EASTMAN INSTITUTE FOR ORAL HEALTH PROVIDES COMMUNITY DENTAL CARE IN A NUMBER OF CLINICS, AS WELL AS CLINICAL EDUCATION TO DENTAL STUDENTS ENROLLED AT THE UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY. IT OFFERS GENERAL DENTISTRY, PEDIATRIC AND ORTHODONTIC CLINICS, AND AN URGENT CARE DENTAL CLINIC THAT SEES 10 - 50 PATIENTS PER DAY. IT OPERATES LOW-INCOME CLINICS AT SCHOOLS AND A DOWNTOWN LOCATION. ADDITIONALLY, FOUR SMILEMOBILES PROVIDE A DENTAL OFFICE ON WHEELS, ALLOWING THE CITY'S CHILDREN INCREASED ACCESS TO MUCH NEEDED DENTAL CARE. - THE JAMES P. WILMOT CANCER CENTER IS ORGANIZED AROUND A MULTIDISCIPLINARY CARE MODEL, WHICH LEADING CANCER EXPERTS BELIEVE IS THE GOLD STANDARD IN CANCER CARE IN THE 21ST CENTURY. ITS MODEL UNDERSCORES A COMMITMENT TO PROVIDE PATIENTS IN THE ROCHESTER AREA WITH THE MOST UP-TO-DATE INFORMATION AND AVAILABLE TREATMENTS, BASING OUR RECOMMENDATIONS ON THE BEST EVIDENCE. IT IS THE ONLY CENTER IN THE ROCHESTER AND FINGER LAKES REGION OFFERING THIS TEAM APPROACH TO CARE. A VARIETY OF FREE PREVENTIVE EDUCATION EVENTS ARE HELD THROUGHOUT THE YEAR, INCLUDING MEN'S HEALTH DAY, WHICH INCLUDES NUMEROUS FREE HEALTH SCREENINGS; FREE SKIN CANCER SCREENINGS; AND BREAST CANCER SCREENINGS FOR THE UNINSURED AND UNDERINSURED. - GOLISANO CHILDREN'S HOSPITAL, HOUSED IN STRONG MEMORIAL HOSPITAL, IS A 124-BED CHILDREN'S HOSPITAL THAT SERVES AS THE REFERRAL CENTER FOR ALL SERIOUSLY ILL OR INJURED CHILDREN FROM THE 17-COUNTY FINGER LAKES REGION. IT COMBINES AWARD-WINNING RESEARCH, INTERNATIONALLY ACCLAIMED EDUCATION AND COMPASSIONATE CARE TO SERVE CHILDREN AND FAMILIES. PEDIATRIC SPECIALTIES INCLUDE ORTHOPAEDICS, NEUROLOGY/NEUROSURGERY, CANCER AND NEONATAL CARE. IN ADDITION TO THESE TRADITIONAL MEDICAL SERVICES, GOLISANO CHILDREN'S HOSPITAL IS THE NATION'S MODEL FOR "COMMUNITY PEDIATRICS", A PHILOSOPHY THAT EMBRACES THE IDEA THAT A CHILD'S COMMUNITY AND ENVIRONMENT AFFECT HIS HEALTH AND, THEREFORE, HE CANNOT BE TREATED SOLELY IN AN EXAM ROOM. THE HOSPITAL ENCOURAGES PHYSICIANS AND STAFF TO PARTNER WITH COMMUNTIY ORGANIZAITONS TO IMPROVE VACCINATION RATES, EDUCATIONAL OPPORTUNITIES, SAFETY AT HOME AND ON PLAYGROUNDS, AND HEALTH INSURANCE AND HEALTH CARE ACCESS. - THE STRONG WEST CAMPUS, WHICH IS LOCATED APPROXIMATELY 20 MILES WEST OF ROCHESTER IN BROCKPORT, NY WAS ACQUIRED BY THE UNIVERSITY IN 2013. IT IS THE SITE OF THE FORMER 61 BED LAKESIDE MEMORIAL HOSPITAL, WHICH ANNOUNCED IT WAS CLOSING IN APRIL, 2013, LEAVING THE COMMUNITY WITHOUT AN EMERGENCY ROOM AND LOCAL ACCESS TO OTHER HEALTH CARE SERVICES. STRONG MEMORIAL HOSPITAL NOW OPERATES A FREE-STANDING EMERGENCY ROOM ON THE STRONG WEST CAMPUS, IN ADDITION TO OFFERING AMBULATORY SURGERY, HEALTH IMAGING, LABORATORY SERVICES, PRIMARY CARE, ORTHOPAEDICS, CARDIAC CARE, ONCOLOGY AND HEMATOLOGY, SLEEP MEDICINE, NEUROLOGY, AND UROLOGY SERVICES. THE UNIVERSITY'S WHOLLY OWNED HEALTH CARE AFFILIATES ARE: STRONG PARTNERS HEALTH SYSTEM, INC. AND AFFILIATES IN JUNE 1997, HIGHLAND HOSPITAL AND ITS AFFILIATES AND THE UNIVERSITY BECAME AFFILIATED THROUGH THE RESTRUCTURING OF A CORPORATION NOW KNOWN AS STRONG PARTNERS HEALTH SYSTEM, INC. ("SPHS"), OF WHICH THE UNIVERSITY IS THE SOLE MEMBER. SPHS, A NOT-FOR-PROFIT CORPORATION, NOW SERVES AS THE CORPORATE PARENT OF HIGHLAND HOSPITAL AND THE UNIVERSITY'S LONG TERM CARE AFFILIATES. A BRIEF DESCRIPTION OF THE SPHS AFFILIATES FOLLOWS: HIGHLAND HOSPITAL OF ROCHESTER HIGHLAND HOSPITAL OF ROCHESTER IS A 261-BED NOT-FOR-PROFIT ACUTE CARE HOSPITAL LOCATED IN ROCHESTER, NEW YORK. THE HOSPITAL'S SERVICES INCLUDE MEDICAL/SURGICAL CARE, INTENSIVE CARE, MATERNITY AND EMERGENCY CARE. IN ADDITION, THE HOSPITAL OWNS AND OPERATES 21 OUTPATIENT EXTENSION CLINICS, PROVIDING PRIMARY CARE, PRENATAL CARE, RADIOLOGY, AND/OR THERAPEUTIC RADIOLOGY SERVICES. HIGHLAND COMMUNITY DEVELOPMENT CORPORATION HIGHLAND COMMUNITY DEVELOPMENT CORPORATION ("HCDC") IS A NOT-FOR-PROFIT CORPORATION WHICH OWNS AND OPERATES THE HIGHLANDS AT PITTSFORD, A RETIREMENT COMMUNITY LOCATED IN PITTSFORD, MONROE COUNTY, NEW YORK. THE RETIREMENT COMMUNITY INCLUDES 130 INDEPENDENT LIVING APARTMENTS, 36 INDEPENDENT LIVING COTTAGES, 60 ENRICHED HOUSING UNITS, A COMMUNITY COMMON AREA, A DINING ROOM, SITTING AREAS, RECREATIONAL AREAS, A WELLNESS CENTER, AND A COMMUNITY CENTER. HCDC ALSO OWNS AND OPERATES LAURELWOOD AT THE HIGHLANDS, AN ASSISTED LIVING FACILITY INCLUDING 68 APARTMENTS LOCATED ON THE SAME CAMPUS AS THE HIGHLANDS AT PITTSFORD. THE HIGHLANDS LIVING CENTER, INC. THE HIGHLANDS LIVING CENTER, INC. IS A NOT-FOR-PROFIT CORPORATION WHICH OWNS AND OPERATES A 122-BED SKILLED NURSING FACILITY AND AN ADULT DAY CARE HEALTH PROGRAM FOR SENIORS IN PITTSFORD, MONROE COUNTY, NEW YORK. THE SKILLED NURSING FACILITY IS ADJACENT TO THE HIGHLANDS AT PITTSFORD. THE HIGHLANDS AT BRIGHTON THE MEADOWS AT WESTFALL, INC. D/B/A/ THE HIGHLANDS AT BRIGHTON ("HAB") IS A NOT-FOR-PROFIT CORPORATION WHICH OWNS AND OPERATES A 145-BED SKILLED NURSING FACILITY IN BRIGHTON, MONROE COUNTY, NEW YORK. HIGHLAND FACILITIES DEVELOPMENT CORPORATION HIGHLAND FACILITIES DEVELOPMENT CORPORATION ("HFDC") IS A NOT-FOR-PROFIT CORPORATION WHOSE PRIMARY PURPOSE IS TO PROVIDE SERVICES THAT ARE SUBSTANTIALLY RELATED TO THE CHARITABLE PURPOSES OF HIGHLAND HOSPITAL BUT DO NOT INVOLVE THE PROVISION OF HEALTH CARE SERVICES. HFDC OWNS AND OPERATES A MEDICAL OFFICE BUILDING AND A PARKING GARAGE ON THE HOSPITAL CAMPUS. MEDICAL ADMINISTRATIVE ASSOCIATES, INC. HIGHLAND HOSPITAL IS THE SOLE SHAREHOLDER OF MEDICAL ADMINISTRATIVE ASSOCIATES, INC., D/B/A HIGHLAND SOUTH WEDGE PHARMACY, WHICH IS A FOR-PROFIT CORPORATION WHICH OWNS AND OPERATES A RETAIL PHARMACY IN ROCHESTER, NEW YORK. THE HIGHLAND FOUNDATION, INC. THE HIGHLAND FOUNDATION, INC. IS A NOT-FOR-PROFIT CORPORATION CONTROLLED BY HIGHLAND HOSPITAL WHICH SOLICITS, RECEIVES AND MAINTAINS FUNDS FOR THE SUPPORT OF HIGHLAND HOSPITAL AND THE LONG TERM CARE AFFILIATES. STRONG HOME CARE GROUP AND AFFILIATES THE UNIVERSITY AFFILIATED WITH VISITING NURSE FOUNDATION, INC. IN APRIL 1999, WHICH IS A NOT-FOR-PROFIT CORPORATION NOW KNOWN AS UR MEDICINE HOME CARE,INC. ("URMHC"). THE UNIVERSITY IS THE SOLE CORPORATE MEMBER OF URMHC. URMHC SERVES AS THE CORPORATE PARENT OF THE UNIVERSITY'S HOME HEALTH CARE AFFILIATES. URMHC IS THE CORPORATE PARENT OF TWO NOT-FOR-PROFIT HOME HEALTH CARE PROVIDERS, UR MEDICINE HOME CARE, CERTIFIED SERVICES, INC. ("CERTIFIED SERVICES") (FORMERLY NAMED VISITING NURSE SERVICE OF ROCHESTER AND MONROE COUNTY, INC.), WHICH OPERATES A CERTIFIED HOME HEALTH AGENCY AND A HOSPICE, AND UR MEDICINE HOME CARE, LICENSED SERVICES, INC., WHICH OPERATES A LICENSED HOME CARE SERVICES AGENCY. IN OCTOBER 2014, FINGER LAKES VISITING NURSE SERVICE, INC., WHICH OPERATES A NOT-FOR-PROFIT CERTIFIED HOME HEALTH AGENCY AND A HOSPICE, FINGER LAKES HOME CARE, INC., WHICH OPERATES A NOT-FOR-PROFIT LICENSED HOME CARE SERVICES AGENCY, BECAME UNIVERSITY AFFILIATES. CERTIFIED SERVICES IS THE SOLE CORPORATE MEMBER OF THE FINGER LAKES HOME CARE, INC. AND FINGER LAKES VISITING NURSE SERVICE, INC. MERGED INTO CERTIFIED SERVICES IN NOVEMBER 2020. IN 2018, URMHC FORMED TWO NEW WHOLLY CONTROLLED, NOT-FOR-PROFIT SUBSIDIARIES: UR MEDICINE HOME CARE, COMMUNITY SERVICES, INC., WHICH OPERATES CERTAIN COMMUNITY-BASED PROGRAMS THAT PROVIDE HOME-BASED SERVICES THAT ARE NOT REGULATED BY THE DEPARTMENT OF HEAL false true false false false false false false false STEVEN I GOLDSTEIN CEO 0 1143063 0 5000 0 84099 0 486254 0 19508 0 1737924 0 0 BRENT DUBESHTER MD BOARD MEMBER 0 1105071 0 0 0 0 0 26854 0 22425 0 1154350 0 0 ROBERT MCCANN MD BOARD MEMBER 0 596094 0 0 0 14694 0 39154 0 26836 0 676778 0 0 CINDY BECKER COO 374933 0 0 0 0 0 89022 0 32121 0 496076 0 0 0 LORI FERRIS MD PHYSICIAN 411071 0 0 0 0 0 64513 0 36101 0 511685 0 0 0 JULIETTA FISCELLA MD PHYSICIAN 410692 0 0 0 0 0 80953 0 17470 0 509115 0 0 0 GREGORY RYAN MD PHYSICIAN 369876 0 0 0 0 0 65021 0 37514 0 472411 0 0 0 JEFFREY HANSON MD PHYSICIAN 379264 0 0 0 0 0 80060 0 26972 0 486296 0 0 0 RAYMOND MAYEWSKI MD BOARD MEMBER 0 520982 0 0 0 30127 0 27135 0 16081 0 594325 0 0 ADAM ANOLIK FORMER CFO 0 714726 0 0 0 7018 0 126854 0 24235 0 872833 0 0 MAUREEN PERRY PHYSICIAN 273489 0 0 0 0 0 65578 0 26089 0 365156 0 0 0 MICHAEL APOSTOLAKIS MD CHIEF MEDICAL OFFICER 0 642347 0 0 0 19000 0 51854 0 24668 0 737869 0 0 CARRIE FULLER SPENCER CFO 0 445805 0 0 0 0 0 52795 0 24236 0 522836 0 0 MELISSA DERLETH CNO 186661 0 0 0 0 0 9883 0 12160 0 208704 0 0 0 FORM 990, SCHEDULE J, PART I, LINE 3 TOP MANAGEMENT COMPENSATION AS PROVIDED IN THE FORM 990, SCHEDULE J INSTRUCTIONS, SINCE THE ORGANIZATION RELIES ON A RELATED ORGANIZATION WHICH USES ONE OR MORE OF THE METHODS DESCRIBED IN LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIALS' COMPENSATION, THIS QUESTION HAS BEEN LEFT UNANSWERED. REFER TO SCHEDULE O, DESCRIPTION OF COMPENSATION REVIEW AND APPROVAL PROCESS. -------------------- FORM 990, SCHEDULE J, PART I, LINE 4B PARTICIPATION IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN BOX 4(B) HAS BEEN CHECKED YES, SINCE CERTAIN OFFICERS OF HIGHLAND HOSPITAL OF ROCHESTER PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PROVIDED BY THE UNIVERSITY OF ROCHESTER, A RELATED IRC SECTION 501(C)(3) ORGANIZATION. THESE AMOUNTS ARE INCUDED IN DEFERRED COMPENSATION, FOR THE FOLLOWING INDIVIDUALS: STEVEN I. GOLDSTEIN SERP PLAN $159,400 STEVEN I. GOLDSTEIN 457(F) PLAN $300,000 ADAM ANOLIK SERP PLAN $100,000 ROBERT MCCANN, MD SERP PLAN $12,300 MICHAEL APOSTOLAKOS, MD SERP PLAN $25,000 CARRIE FULLER SPENCER SERP PLAN $25,000 -------------------- A DORMITORY AUTHORITY OF STATE OF NEW YORK 146000293 649905W93 2010-06-25 10932064 MEDICAL FACILTY, EQUIP & TECHNLGY false false false B MONROE COUNTY INDUSTRIAL DEVELOPMENT CORPORATION 510188852 61075TPC6 2015-09-24 40469568 MEDICAL FACILTY, EQUIP & TECHNLGY false false false A 2627064 0 10932064 428710 0 0 218641 0 0 10284713 0 0 2011 false false true true B 3995000 0 40469568 0 0 15192904 572717 0 0 24703947 0 0 2017 true false false true A false false false false 0 false false false true B false false false false 0 false false false true A false false true false false false 0 false 0 false true B false false true false false false 0 false 0 false true A true B true FORM 990, SCHEDULE K, PART III, LINES 3B & 3D SUPPLEMENTAL INFORMATION HIGHLAND HOSPITAL DOES NOT HAVE ANY MANAGEMENT CONTRACTS, SERVICE CONTRACTS OR RESEARCH AGREEMENTS BUT WOULD ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW BEFORE ENTERING INTO ANY SUCH AGREEMENTS. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 REVIEW PROCESS THE FORM 990 OF HIGHLAND HOSPITAL IS PREPARED BY FINANCE STAFF AND PROVIDED TO PRICEWATERHOUSECOOPERS LLP AND SENIOR MANAGEMENT FOR REVIEW PRIOR TO FILING. THE FORM 990 FOR THE YEAR ENDED JUNE 30, 2020 WAS REVIEWED WITH THE FINANCE COMMITTEE BY PRICEWATERHOUSECOOPERS LLP PRIOR TO FILING. THE FORM 990 WAS ALSO PROVIDED TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO FILING. -------------------- FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY DIRECTORS, COMMITTEE MEMBERS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE A CONFLICT OF INTEREST: (A) PRIOR TO VOTING ON OR OTHERWISE DISCHARGING THEIR DUTIES WITH RESPECT TO ANY MATTER INVOLVING THE CONFLICT WHICH COMES BEFORE THE BOARD OR ANY COMMITTEE; (B) PRIOR TO ENTERING INTO ANY CONTRACT OR TRANSACTION INVOLVING THE CONFLICT; (C) AS SOON AS POSSIBLE AFTER THE DIRECTOR, COMMITTEE MEMBER OR OFFICER LEARNS OF THE CONFLICT; AND (D) ON AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM. THE FORM IS DISTRIBUTED ANNUALLY AND REQUIRES DISCLOSURE OF ALL CONFLICTS OF INTEREST, INCLUDING SPECIFIC INFORMATION CONCERNING THE TERMS OF ANY CONTRACT OR TRANSACTION WITH THE HOSPITAL THAT INVOLVES A POTENTIAL CONFLICT OF INTEREST FOR THE INDIVIDUAL. THE FORMS ARE REVIEWED BY THE BOARD CHAIR AND LEGAL COUNSEL, ANY CONFLICTS DISCLOSED ON THE FORMS OR ON AN AD HOC BASIS ARE REVIEWED BY A BOARD COMMITTEE. THE COMMITTEE CONSIDERS THE MATERIAL FACTS CONCERNING ANY PROPOSED CONTRACT OR TRANSACTION, INCLUDING THE PROCESS BY WHICH THE DECISION WAS MADE TO APPROVE OR RECOMMEND ENTERING INTO THE ARRANGEMENT ON THE TERMS PROPOSED, AND APPROVES SUCH CONTRACTS OR TRANSACTIONS ONLY IF THE TERMS ARE FAIR AND REASONABLE TO THE HOSPITAL AND THE ARRANGEMENTS ARE CONSISTENT WITH THE BEST INTERESTS OF THE HOSPITAL. -------------------- FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION REVIEW AND APPROVAL WRITTEN SELF-EVALUATIONS AND PERFORMANCE EVALUATIONS FOR HIGHLAND HOSPITAL'S OFFICERS AND KEY EMPLOYEES ANNUALLY ARE REVIEWED BY THE COMMITTEE ON COMPLIANCE AND COMPENSATION OF THE UNIVERSITY OF ROCHESTER MEDICAL CENTER BOARD. THE COMMITTEE HAS AVAILABLE THE EVALUATIONS FROM HIGHLAND HOSPITAL'S BOARD, AS WELL AS FROM THE CEO OF URMC HEALTH SYSTEM AND IN SOME CASES HIGHLAND'S CEO. THE COMMITTEE REVIEWS AND APPROVES TOTAL COMPENSATION FOR OFFICERS AND KEY EMPLOYEES AND CONSIDERS, IN ADDITION TO THE EVALUATIONS, THE SCOPE OF THE INDIVIDUAL'S JOB RESPONSIBILITIES, PREVIOUS COMPENSATION AND COMPARABLE COMPENSATION PAID TO PEOPLE WITH SIMILAR RESPONSIBILITIES AT COMPARABLE INSTITUTIONS. THE COMPARABLE INFORMATION IS PROVIDED BY AN INDEPENDENT CONSULTANT AND IS BASED ON LOCAL, REGIONAL AND NATIONAL COMPENSATION SURVEYS. -------------------- FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS HIGHLAND HOSPITAL'S FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST. HIGHLAND HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE NOT ROUTINELY MADE AVAILABLE TO THE PUBLIC. -------------------- FORM 990, PART VII & FORM 990, SCHEDULE J, PART II COMPENSATION INFORMATION CERTAIN OFFICERS, DIRECTORS AND KEY EMPLOYEES OF HIGHLAND HOSPITAL RECEIVE COMPENSATION FROM THE UNIVERSITY OF ROCHESTER, A RELATED IRC SECTION 501(C)(3) ORGANIZATION. A PORTION OF THE SALARIES OF THESE INDIVIDUALS IS ALLOCATED TO HIGHLAND HOSPITAL AND IS INCLUDED AS A PART OF OTHER SALARY AND WAGES ON THE STATEMENT OF FUNCTIONAL EXPENSES. CERTAIN OFFICERS AND KEY EMPLOYEES OF HIGHLAND HOSPITAL ALSO DEVOTE SIGNIFICANT TIME EACH WEEK TO OTHER RELATED ORGANIZATIONS. NONE OF THE BOARD MEMBERS OF HIGHLAND HOSPITAL ARE COMPENSATED FOR THEIR BOARD SERVICE. -------------------- FORM 990, PART VI, SECTION A, LINES 6, 7A, & 7B MEMBERSHIP INFORMATION THE SOLE MEMBER OF HIGHLAND HOSPITAL IS STRONG PARTNERS HEALTH SYSTEM, INC. ("SPHS"). SPHS, ACTING THROUGH ITS BOARD OF DIRECTORS, HAS THE AUTHORITY TO ELECT THE GOVERNING BODY OF HIGHLAND HOSPITAL, AND CERTAIN DECISIONS OF THE HIGHLAND HOSPITAL BOARD ARE SUBJECT TO THE APPROVAL OF THE SPHS BOARD. SUCH DECISIONS INCLUDE APPOINTMENT OF THE HIGHLAND HOSPITAL PRESIDENT AND CEO, AMENDMENT OF THE CERTIFICATE OF INCORPORATION AND BYLAWS, APPROVAL OF EXTRAORDINARY CORPORATE ACTIONS SUCH AS MERGER OR DISSOLUTION, AND APPROVAL OF CAPITAL AND OPERATING BUDGETS, STRATEGIC PLANS, AND INCURRENCE OF CERTAIN DEBT. -------------------- FORM 990, PART XI, LINE 9 DETAIL OF OTHER CHANGES IN NET ASSETS OR FUND BALANCES CHANGE IN ACCRUED PENSION LIABILITY ($23,784,100) ----------- TOTAL CHANGES IN NET ASSETS ($23,784,100) -------------------- UNIVERSITY OF ROCHESTER 910 GENESEE STREET STE 200 ROCHESTER NY 14611 160743209 SCHOOL NY 501(C)(3) 2 NA false THE HIGHLAND FOUNDATION INC 1000 SOUTH AVENUE ROCHESTER NY 14620 237310662 FUNDRAISING NY 501(c)(3) 12A, I HIGHLD HOSP true HIGHLAND FACILITIES DEVELOPMENT CORP 1000 SOUTH AVENUE ROCHESTER NY 14620 223039077 MEDICAL BLDG NY 501(C)(3) 10 HIGHLD HOSP true STRONG PARTNERS HEALTH SYSTEM INC 601 ELMWOOD AVENUE BOX 706 ROCHESTER NY 14642 161499099 SUPPORT 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320 ROCHESTER NY 14623 300787967 ACCT CARE NETWORK NY UNIV OF ROCH C CORP false ACCOUNTABLE HEALTH PARTNERS IPA LLC 135 CORPORATE WOODS SUITE 320 ROCHESTER NY 14623 371746016 INDEP PRACT ASSOC NY AHP LLC C CORP false AHP INSURANCE COMPANY 76 ST PAUL STREET SUITE 500 BURLINGTON VT 05401 814644839 CAPTIVE INS CO VT AHP LLC C CORP false LUMINATE VENTURE CHALLENGE CORP 260 EAST MAIN STREET SUITE 6000 ROCHESTER NY 14604 823954131 BUSINESS INCUBATO NY NEXTCORPS INC C CORP false HORNELL MEDICAL VILLAGE LLC 7100 ROUTE 70A HORNELL NY 14843 611886763 HOLD REAL ESTATE NY ST JAMES C CORP false false true true false false false false false false true true true true true true true true false false THE HIGHLAND FOUNDATION INC C,M,N 654179 FMV GIFT MEDICAL ADMINISTRATIVE ASSOCIATES INC J,O,Q 868429 SERVICE COST HIGHLAND FACILITIES DEVELOPMENT CORPORATION K,L,O 402230 NET EXPENSES