2020-11-13T13:25:26-06:00 2019-12-31 454051133 FREED MAXICK CPAS PC 424 MAIN STREET SUITE 800 BUFFALO NY 142023508 990 2019-01-01 150532180 CHENANGO MEMORIAL HOSPITAL INC CHEN 6073374111 179 NORTH BROAD STREET NORWICH NY 13815 DRAKE LAMEN MD PRESIDENT/CEO 6073374111 2020-11-11 1 MARY MADONIA P00405803 7168472651 2020-11-10 2019 2022-09-23 18:48:47Z DRAKE LAMEN MD 179 NORTH BROAD STREET NORWICH NY 13815 78679925 0 X WWW.NYUHS.ORG X 1910 NY (SEE SCHUDULE O)CHENANGO MEMORIAL HOSPITAL, INC. (THE HOSPITAL) IS A NOT-FOR-PROFIT CORPORATION ORGANIZED TO OPERATE ACUTE AND SKILLED NURSING FACILITIES IN NORWICH, NEW YORK. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF CHENANGO AND SURROUNDING COUNTIES. 16 10 547 158 -1729 -1979 646131 2014103 72882337 73869582 376087 446447 3643951 2221388 77548506 78551520 22451 0 0 0 30135822 27280584 0 0 0 43418293 44822826 73576566 72103410 3971940 6448110 48051242 56498249 34132160 35860172 13919082 20638077 X (SEE SCHEDULE O)CHENANGO MEMORIAL HOSPITAL, INC. (THE HOSPITAL) IS A NOT-FOR-PROFIT CORPORATION ORGANIZED TO OPERATE ACUTE AND SKILLED NURSING FACILITIES IN NORWICH, NEW YORK. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF CHENANGO AND SURROUNDING COUNTIES. 0 0 17251578 17913578 INPATIENT, ACUTE AND LONG TERM SKILLED NURSING SERVICES- CHENANGO MEMORIAL HOSPITAL FULFILLS ITS MISSION BY WORKING TOGETHER WITH THE COMMUNITY, PHYSICIANS AND OTHER HEALTH CARE PROVIDERS TO CONTINUOUSLY IMPROVE THE AVAILABILITY AND QUALITY OF SERVICES AND THE ABILITY TO PROVIDE A COMPREHENSIVE RANGE OF SHORT-TERM INPATIENT ACUTE SERVICES AND LONG-TERM SKILLED NURSING CARE. CHENANGO MEMORIAL HOSPITAL PROVIDES A WIDE RANGE OF MEDICAL-SURGICAL SERVICES, INCLUDING: OPHTHALMOLOGY, EMERGENCY MEDICINE, MATERNITY CARE, PULMONARY MEDICINE, AND PEDIATRICS. TOTAL INPATIENT DAYS FOR THE YEAR ENDED DECEMBER 31, 2019 WAS 3,835. DISCHARGES WERE 1,334, AND AVERAGE LENGTH OF STAY WAS 2.87 DAYS. LONG TERM SKILLED NURSING DAYS WERE 20,501. THERE WERE 231 BIRTHS AND 249 INPATIENT SURGERIES PERFORMED AT CHENANGO MEMORIAL HOSPITAL IN 2019. IN 2019, CHENANGO MEMORIAL HOSPITAL GAVE FINANCIAL ASSISTANCE TO 335 INDIVIDUALS FOR WHICH $313,027 OF INPATIENT CARE (AT CHARGES) WAS PROVIDED. 31557565 47264100 OUTPATIENT AND AMBULATORY SERVICES- CHENANGO MEMORIAL HOSPITAL ALSO PROVIDES A WIDE RANGE OF OUTPATIENT DIAGNOSTIC AND TREATMENT SERVICES, INCLUDING EMERGENCY DEPARTMENT, AMBULATORY SURGERY, FULL-SERVICE LABORATORY, COMPREHENSIVE IMAGING AND OTHER PROCEDURAL OUTPATIENT SERVICES. TOTAL PATIENT VISITS FOR OUTPATIENT SERVICES FOR YEAR-ENDED 2019 WAS 175,943. INCLUDED IN THE 175,943 VISITS WERE 17,805 EMERGENCY ROOM VISITS, 588 EMERGENCY ROOM TREATED AND ADMITTED AS ACUTE CARE PATIENTS, 3,300 VARIOUS OUTPATIENT SURGICAL CASES, AND 154,250 OTHER OUTPATIENT DEPARTMENT VISITS. IN 2019, CHENANGO MEMORIAL HOSPITAL GAVE FINANCIAL ASSISTANCE TO 5,535 INDIVIDUALS FOR WHICH $1,668,924 OF OUTPATIENT CARE (AT CHARGES) WAS PROVIDED. 14217824 8691904 CLINICS- CHENANGO MEMORIAL HOSPITAL PROVIDES A WIDE RANGE OF PRIMARY CARE AND SPECIALTY CARE CLINICS. PRIMARY CARE SERVICES ARE THE FOUNDATION FOR SERVING THE COMMUNITY WITH A COORDINATED SYSTEM OF CARE, WITH SPECIAL ATTENTION TO UNDER-SERVED AREAS. CMH OFFERS FIVE FAMILY HEALTH CENTERS LOCATED THROUGHOUT A MULTI-COUNTY SERVICE AREA: 1) NORWICH FAMILY HEALTH CENTER 2) INTERNAL MEDICINE 3) OXFORD FAMILY HEALTH CENTER 4) SHERBURNE FAMILY HEALTH CENTER AND 5) SIDNEY FAMILY HEALTH CENTER. OTHER OUTPATIENT SERVICES INCLUDE: GERIATRICS, WOMEN'S HEALTH CENTER, GENERAL SURGERY, HEART CENTER, GI, ORTHOPEDICS, PODIATRY, ONCOLOGY AND PAIN MANAGEMENT CLINIC. TOTAL PATIENT VISITS FOR THE CMH CLINICS AT YEAR-ENDED 2019 WAS 77,523. 2207412 2207412 63026967 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 60 0 1 547 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 16 10 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 NY X DRAKE LAMEN MD 6073374111 179 NORTH BROAD ST NORWICH NY 13815 JOHN M CARRIGG BOARD MEMBER 2ND VICE CHAIR 2.00 55.00 X X 0 965944 39637 THOMAS C EMERSON TO MAY 2019 BOARD MEMBER 2.00 X 0 0 0 JOHN M KWASNIK TO MAY 2019 BOARD MEMBER SECRETARY 2.00 X X 0 0 0 ELIZABETH K BOLAND BOARD MEMBER 2.00 55.00 X 0 584156 32699 DAVE MACDOUGALL TO MAY 2019 BOARD MEMBER 2.00 55.00 X 0 563424 35910 ROHAN JAYASENA FORMER PRESIDENT OF MEDICA 0.00 55.00 X 466742 0 34741 JAMES K O'BRIEN MD FORMER PRESIDENT OF MEDICA 0.00 55.00 X 458168 0 41576 DRAKE LAMEN MD BOARD MEMBER PRESIDENT/CEO/CMO 57.00 X X 376259 0 28014 PHYLLIS SHERIFF-WHITE PRESIDENT OF MEDICAL STAFF 57.00 X X 277498 0 32123 MATTHEW J SALANGER FORMER 2ND VICE CHAIRMAN 0.00 20.00 X 0 260000 19752 MARTIN MASARECH MD BOARD MEMBER 1.00 55.00 X 240833 0 33439 YESU MATTA PHYSICIAN 55.00 X 233895 0 33396 JAMES R SIMCOE MD FORMER PRES OF MEDICAL STA 55.00 X 232373 0 27137 DAVID FINNEY VP NURSING 55.00 X 0 166487 33901 KRISTINA K HUMMER DO VP OF MEDICAL STAFF 2.00 55.00 X X 166428 0 32246 CHRISTINA KISACKY VP OF OPERATIONS 2.00 55.00 X 162622 0 24912 MARGARET SWARTWOOD CONTROLLER 55.00 X 162448 0 21726 RON CEROW ADMINISTRATOR 55.00 X 141871 0 22705 WENDY SURDOVAL VP OF QUALITY MGMT 55.00 X 137707 0 17681 RICHARD STONE DIRECTOR OF SUPP SERV-FAUC 55.00 X 121883 0 29101 PATRICIA ROMA NURSING SUPERVISOR 55.00 X 108785 0 21791 LEIA L TRACY STAFF NURSE 55.00 X 108690 0 12541 GARY ROOT DIRECTOR COMMUNITY RELATIONS 55.00 X 113077 0 6419 AARON J VALENTINE FORMER TREASURER 2.00 X 51572 0 6143 CATHERINE M SCARLETT BOARD MEMBER CHAIR 2.00 X X 0 0 0 JOSEPH R STAGLIANO BOARD MEMBER 1ST VICE CHAIR 2.00 X X 0 0 0 HEATHER FERRARESE BOARD MEMBER 2.00 X 0 0 0 RIC FESTARINI BOARD MEMBER 2.00 X 0 0 0 ERIC G LARSEN BOARD MEMBER 2.00 X 0 0 0 KATHARINE MIRABITO VOSS PRESIDENT OF CMH AUXILIARY 2.00 X X 0 0 0 ROBERT W NASSAR BOARD MEMBER 2.00 X 0 0 0 JULIE OEHLBECK BOARD MEMBER 2.00 X 0 0 0 BRUCE S ERATH BOARD MEMBER TREASURER 2.00 X X 0 0 0 STEVEN PALMATIER BOARD MEMBER SECRETARY 2.00 X X 0 0 0 3560851 2540011 587590 13 1 1 0 CROTHALL HEALTHCARE 13028 COLLECTIONS CENTER CHICAGO IL 60693 HOUSEKEEPING SVCS 1429455 SECO PHYSICAL AND OCCUPATIONAL THERAPY PO BOX 1046 NORWICH NY 13815 THERAPY SVCS 1185430 AMN HEALTHCARE INC PO BOX 56157 LOS ANGELES CA 90074 LOCUM SVCS 801053 J AND K PLUMBING AND HEATING CO PO BOX 25 WESTVIEW STATION BINGHAMTON NY 13905 CONSTRUCTION SVCS 432524 COLLEGE STREET ORTHOPEDICS 85 COLLEGE STREET HAMILTON NY 13346 PROFESSIONAL SVCS 424806 52 100 1077520 936483 2014103 OUTPATIENT AND AMBULATORY SERVICE 623000 47264101 47264101 INPATIENT, ACUTE AND LONG TERM SK 623000 17913577 17913577 CLINICS 623000 8691904 8691904 73869582 500373 500373 11700 13429 -1729 -1729 -1729 61050 114976 -53926 -53926 -53926 15705 0 15705 15705 NON OPERATING REVENUE 623000 1466348 1466348 OTHER OPERATING REVENUE 623000 735566 735566 CAFETERIA REVENUE 623000 5498 5498 2207412 78551520 76076994 -1729 462152 X 2421483 2421483 19415704 16829841 2585863 822494 715570 106924 3131013 2723981 407032 1489890 1296204 193686 765484 765484 78469 78469 75846 75846 12806 12806 13730671 11945684 1784987 12646 12646 297937 155823 142114 171413 168574 2839 1161331 973812 187519 100974 74210 26764 221148 221148 2877452 2877452 571173 571173 SUPPLIES 18478957 16323157 2155800 BAD DEBTS 3310450 3310450 NEW YORK STATE CASH REC 564115 564115 MISCELLANEOUS AUXILLARY 7707 7707 2384247 1846583 537664 72103410 63026967 9076443 0 8524544 8518945 6175049 6768037 7052002 7159536 434694 404762 511644 286119 81360950 57434788 19645926 23926162 111116 126537 5596267 9308151 48051242 56498249 6878072 7199817 2598620 2038092 24655468 26622263 34132160 35860172 X 7118253 9174547 6800829 11463530 13919082 20638077 48051242 56498249 X 6448110 15420 255465 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 12806 12806 0 PART II-B, LINE 1: AMOUNT DISCLOSED IS THE LOBBYING PORTION OF DUES PAID TO THE HEALTHCARE ASSOCIATION OF NY, IROQUOIS HEALTHCARE ASSOCIATION AND LEADING AGE NY. 6800829 2008119 3286342 631760 11463530 7611346 664482 -844488 630511 6800829 7394735 596045 429683 809117 7611346 6965521 628485 182234 381505 7394735 7323240 683410 -572769 468360 6965521 0.59040 0.40960 0 1 1 195653 195653 38632921 21953744 16679177 2002918 1586627 416291 39236254 33894417 5341837 1293204 1293204 23926162 BENEFICIAL INTEREST IN CMH FOUNDATION 7420122 ASSETS LIMITED TO USE- RESTRICTED CASH FOR EQUIPMENT 1060716 OTHER ASSETS 827313 9308151 DUE TO THIRD-PARTY PAYORS 3611010 DUE TO AFFILIATES 6352906 LONG TERM PENSION LIABILITY 13584402 CAPITAL LEASE OBLIGATIONS 1035302 OTHER LIABILITIES 2038643 26622263 X 75517677 15420 278202 293622 75224055 3327465 3327465 78551520 68798682 0 68798682 3304728 3304728 72103410 PART V, LINE 4: THE INTENDED USE OF ENDOWMENT FUNDS IS A COMBINATION OF DESIGNATED SPECIAL PURPOSES AND GENERAL USE BY THE HOSPITAL. 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. AS OF DECEMBER 31, 2019 AND 2018, THE HOSPITAL DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2016 THROUGH 2019. THE HOSPITAL DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN INTEREST IN CHENANGO FOUNDATION 3,228,237. PENSION CHANGES OTHER THAN NET PERIODIC BENEFIT -3,543,023. CHANGE IN VALUE OF FUNDS HELD IN TRUST 592,988. PART XI, LINE 4B - OTHER ADJUSTMENTS: AUXILIARY INCOME 28,715. RENTAL INCOME EXPENSES RECON -11,700. BAD DEEBT 3,310,450. PART XII, LINE 4B - OTHER ADJUSTMENTS: AUXILIARY EXPENSES 7,707. RENTAL INCOME EXPENSES RECON -13,429. BAD DEBT EXPENSE 3,310,450. UNIFORM AND BOOK SALE 9265 9265 6440 6440 15705 15705 15705 JANET JOHNSON 179 BROAD STREET NORWICH NY 13815 1 1 X 1 X 0 1 1 0 1 1 636000 636000 0.00920 14774815 13085998 1688817 0.02450 15410815 13085998 2324817 0.03370 3225678 0 3225678 0.04690 185998 350 185648 0.00270 10766270 10234573 531697 0.00770 14177946 10234923 3943023 0.05730 29588761 23320921 6267840 0.09100 922 922 0.00000 7688 7688 0.00010 9778 9778 0.00010 23370 23370 0.00030 901609 901609 0.01310 4460 4460 0.00010 947827 947827 0.01370 1 3310450 957672 8401107 9513673 -1112566 X 1 1 1 1 CHENANGO MEMORIAL HOSPITAL INC 179 NORTH BROAD STREET NORWICH NY 13815 HTTPS://WWW.NYUHS.ORG X X X SOLE COMMUNITY CHENANGO MEMORIAL HOSPITAL INC 1 0 0 1 X X X X X X X X X 19 1 1 1 1 X HTTPS://WWW.NYUHS.ORG X 1 19 1 HTTPS://WWW.NYUHS.ORG 0 1 X 200.000000000000 X X X X 1 1 X X X 1 X HTTP://WWW.NYUHS.ORG X HTTP://WWW.NYUHS.ORG X HTTP://WWW.NYUHS.ORG X X X X X X 1 X 0 X X X 1 X 0 0 CHENANGO MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 13H: FEDERAL POVERTY GUIDELINES (FPG) IS USED TO DETERMINE THE FAMILY INCOME LIMIT FOR FREE CARE ELIGIBILITY OF 200%. THE FPG IS NOT USED TO DETERMINE DISCOUNTED CARE ELIGIBILITY. HOWEVER THE FPG IS USED TO DETERMINE THE PERCENTAGE OF DISCOUNTED CARE A PATIENT WILL RECEIVE. SCHEDULE H, PART V, SECTION B: NEEDS ASSESSMENT. IN DECEMBER 2018, CHENANGO MEMORIAL HOSPITAL (CMH), CHENANGO COUNTY PUBLIC HEALTH (CCPH) AND THE CHENANGO HEALTH NETWORK (CHN) CAME TOGETHER TO START COLLABORATION AROUND THE DEVELOPMENT OF THE 2019-2021 COMMUNITY HEALTH ASSESSMENT (CHA) AND COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE NEWLY FORMED NEEDS ASSESSMENT COMMITTEE SUBSEQUENTLY CONTRACTED WITH HORN RESEARCH LLC TO CONDUCT THE ASSESSMENT TO ENSURE AN OBJECTIVE, UNBIASED, AND EXPERIENCED APPROACH. THE COMMITTEE PROVIDED OVERSIGHT AND GUIDANCE TO THE ASSESSMENT PROCESS AND ORGANIZED THE MEETINGS OF STAKEHOLDERS DESCRIBED IN MORE DETAIL LATER IN THIS SECTION. QUALITATIVE DATA WAS GATHERED FIRST FROM 51 CHENANGO COUNTY RESIDENTS THROUGH FOCUS GROUPS AND TELEPHONE INTERVIEWS. PARTICIPANTS WERE ASKED TO SHARE THEIR PERSPECTIVES ON THE MOST PRESSING HEALTH ISSUES FACING THE COUNTY, AS WELL AS THE BARRIERS AND CHALLENGES THEY FACE IN THEIR EFFORT TO LEAD HEALTHY LIVES. IN ADDITION, 23 KEY STAKEHOLDERS REPRESENTING A RANGE OF NON-PROFIT ORGANIZATIONS, GOVERNMENT AGENCIES AND PROVIDERS, WERE INTERVIEWED TO GAIN FURTHER INSIGHT INTO THE COUNTY'S HEALTH CARE STRENGTHS AND BARRIERS. CHENANGO COUNTY THEN ENGAGED IN AN ITERATIVE PROCESS TO SELECT PRIORITIES AND ACTIVITIES FOR THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP)/COMMUNITY SERVICE PLAN (CSP). THE PROCESS ALLOWED SIGNIFICANT INPUT FROM STAKEHOLDERS AND INTEGRATED FEEDBACK FROM THE COMMUNITY. HEALTHCARE AND SOCIAL DETERMINANTS OF HEALTH DATA WERE COLLECTED FROM A VARIETY OF SOURCES INCLUDING, BUT NOT LIMITED TO, THE NYS DEPARTMENT OF HEALTH (NYSDOH), THE US CENSUS, THE NYS DEPARTMENT OF EDUCATION (NYSED), THE NYS OFFICE OF FAMILY AND CHILDREN (NYSOCFS), AND THE BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY (BRFSS). ADDITIONAL DATA RESOURCES UTILIZED INCLUDED THE COUNTY HEALTH RANKINGS AND OTHER LOCAL NEEDS ASSESSMENT REPORTS. THE THREE ORGANIZATIONS THEN SCHEDULED THE FIRST OF TWO STAKEHOLDER MEETINGS INVITING SEVERAL COMMUNITY STAKEHOLDERS. AGENCIES REPRESENTED AT THE STAKEHOLDER MEETINGS WERE:-CARE COMPASS NETWORK-CHENANGO COUNTY AREA AGENCY ON AGING-CHENANGO COUNTY CATHOLIC CHARITIES-CHENANGO COUNTY DEPARTMENT OF PUBLIC HEALTH-CHENANGO COUNTY DEPARTMENT OF SOCIAL SERVICES-CHENANGO COUNTY MENTAL HYGIENE & BEHAVIORAL HEALTH SERVICES-CHENANGO HEALTH NETWORK-CHENANGO UNITED WAY-CHOBANI-COMMUNITY FOUNDATION OF SOUTH CENTRAL NEW YORK-CORNELL COOPERATIVE EXTENSION-CROUSE HOSPITAL-DCMO BOCES-DELAWARE COUNTY DEPARTMENT OF HEALTH-FRIENDS OF ROGERS-HOSPICE & PALLIATIVE CARE OF CHENANGO COUNTY-LIBERTY PARTNERSHIP-LOCAL BUSINESSES-LOCAL SCHOOL DISTRICTS-MOTHERS & BABIES PERINATAL NETWORK-NEW YORK CONNECTS-NORWICH FAMILY YMCA-OPPORTUNITIES FOR CHENANGO AND HEADSTART-POPULATION HEALTH IMPROVEMENT PROGRAM-PUBLIC LIBRARIES-THE PLACE-UHS CHENANGO MEMORIAL HOSPITAL-UNITED HEALTH SERVICES (UHS)-VARIOUS COMMUNITY FOUNDATIONS-WOMEN, INFANTS & CHILDREN (WIC)NEXT, THE FIRST DRAFT OF THE CHA/CHNA WAS DEVELOPED BASED ON A COMPREHENSIVE REVIEW OF INDICATOR DATA AND QUALITATIVE DATA COLLECTED FROM COMMUNITY MEMBERS AND KEY STAKEHOLDERS. THE DRAFT REPORT WAS COMPLETED BY HORN RESEARCH ON DECEMBER 31, 2018. THIS WAS FOLLOWED BY THE FIRST OF TWO STAKEHOLDER MEETINGS ON JANUARY 28, 2019 WHEN KEY COMMUNITY PARTNERS CONVENED TO HEAR FEEDBACK COLLECTED FROM THE COMMUNITY AND OTHER STAKEHOLDERS, AND SUBSEQUENTLY VOTE ON THE PRIORITY AREAS. A PRESENTATION WAS PROVIDED WHICH INCLUDED AREAS WHERE THERE WAS CONVERGENCE IN INDICATOR INFORMATION AND QUALITATIVE DATA. AFTER THE PRESENTATION, PARTICIPANTS WERE ASKED TO PARTICIPATE IN A RANKING ACTIVITY TO PROVIDE A FIRST CUT OF THE PRIORITY SELECTION. EACH STAKEHOLDER WAS GIVEN FIVE STICKERS AND ASKED TO PLACE THEM ON THE PREVENTION AGENDA FOCUS AREAS THEY BELIEVED SHOULD BE SELECTED FOR THE CHIP/CSP. PARTICIPANTS WERE ALLOWED TO DISBURSE THEIR STICKERS IN WHATEVER WAY THEY PREFERRED WHICH ALLOWED THEM TO WEIGHT THEIR PREFERENCES. THE RANKING ACTIVITY RESULTED IN THE IDENTIFICATION OF FOUR MAIN FOCUS AREAS: -MENTAL HEALTH AND SUBSTANCE USE PREVENTION-HEALTHY EATING AND FOOD SECURITY-CHILD AND ADOLESCENT HEALTH-PREVENTIVE CARE AND MANAGEMENTTHE NEEDS ASSESSMENT COMMITTEE THEN REVIEWED THE DATA, GOALS AND OBJECTIVES RELATED TO THESE FOUR FOCUS AREAS. THEY IDENTIFIED CURRENT AND POTENTIAL PROGRAMMING, AND ASSESSED THE FEASIBILITY OF ADDRESSING THEM. THIS PROCESS RESULTED IN THE SELECTION OF EIGHT GOALS RELATED TO THESE FOUR FOCUS AREAS. THEN THE SECOND STAKEHOLDER MEETING WAS CONVENED ON APRIL 8, 2019 TO MAP OUT CURRENT RESOURCES TO THE ABOVE-MENTIONED FOCUS AREAS AND RELATED GOAL AREAS. THE MAPPING PROCESS IDENTIFIED OPPORTUNITIES FOR COLLABORATION AND ENHANCEMENT OF PROGRAMMING TO ADDRESS POTENTIAL GAPS IN SERVICE AND IMPROVE COMMUNITY HEALTH OUTCOMES. DURING THE FINAL STEP, THE NEEDS ASSESSMENT COMMITTEE SELECTED INTERVENTIONS BASED ON THE FOLLOWING CRITERIA:A.THE RESULTS OF THE MAPPING PROCESSB.OPTIMIZATION OF CURRENT RESOURCES C.GREATEST IMPACT ON THE FOCUS AREAS RELATED TO THE COUNTY'S MOST SIGNIFICANT HEALTH ISSUES.ALL OF THESE ORGANIZATIONS ASSIST THE MEDICALLY UNDERSERVED, LOW INCOME, AND AGED POPULATIONS THAT ARE DETAILED IN LINE 4 OF PART VI SUPPLEMENTAL INFORMATION.CONDUCTED WITH 1 OR MORE OTHER HOSPITAL FACILITIES:UHS CHENANGO MEMORIAL HOSPITAL IS THE ONLY HOSPITAL IN CHENANGO COUNTY.OTHER FACILITIES:SEE #5 IN THIS SECTIONHOW THE HOSPITAL ADDRESSED NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA.THE MAJORITY OF 2019 WAS SPENT RESEARCHING THE NEEDS OF THE COMMUNITY, IDENTIFYING THE INITIATIVES THAT WOULD HAVE THE GREATEST IMPACT WITH AVAILABLE RESOURCES, AUTHORING THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR 2019-2021, AND BEGINNING WORK ON THE IDENTIFIED INITIATIVES IN COLLABORATION WITH THE LHD. THE COMPLETED CHNA WAS FIRST PRESENTED TO THE PLANNING COMMITTEE OF THE HOSPITAL'S BOARD OF DIRECTORS FOR APPROVAL IN NOVEMBER 2019. IT WAS THEN PRESENTED TO THE HOSPITAL'S BOARD OF DIRECTORS IN DECEMBER 2019 FOR FINAL APPROVAL BY RESOLUTION. SELECTED PRIORITY AREAS AND INTERVENTIONSPREVENT CHRONIC DISEASE: PREVENTIVE CARE AND MANAGEMENTWITH HIGH MORTALITY RATES FOR SEVERAL CHRONIC DISEASES, CHENANGO COUNTY FACES A SIGNIFICANT CHALLENGE IN ASSISTING COUNTY RESIDENTS IN EFFECTIVELY MANAGING THEIR CONDITIONS. HORN RESEARCH CONDUCTED AN ANALYSIS OF THE POTENTIAL HEALTH CARE COSTS AS WELL AS THE YEARS OF LIFE LOST AND POTENTIAL EARNINGS LOSS ASSOCIATED WITH THESE DISEASES IN THE COUNTY. THE RESULTS SHOW A NEED FOR INCREASED HEALTHY BEHAVIORS AND BETTER DISEASE MANAGEMENT AMONG CHENANGO COUNTY RESIDENTS. LOW-INCOME INDIVIDUALS AND FAMILIES ARE AT PARTICULAR RISK FOR CHRONIC DISEASE AND OFTEN LACK THE RESOURCES AND KNOWLEDGE TO MANAGE THEIR ILLNESSES.CHN HAS RECENTLY INCORPORATED THE EVIDENCE-BASED CHRONIC DISEASE SELF-MANAGEMENT PROGRAM INTO THE SERVICES THEY OFFER. THE PROGRAM SUCCESSFULLY TAUGHT SELF-MANAGEMENT SKILLS TO 59 CHENANGO COUNTY RESIDENTS IN 2018 AND CONTINUED CLASSES IN 2019. PROGRAM RESULTS SHOW A CLINICAL REDUCTION IN A1C LEVELS IN PARTICIPANTS AS WELL AS INCREASED KNOWLEDGE OF DISEASE SELF-MANAGEMENT AND A BETTER UNDERSTANDING OF THEIR HEALTH AND PHYSICAL ACTIVITY. THE PROGRAM'S EARLY SUCCESS COUPLED WITH THE HIGH NEED FOR INDIVIDUAL SELF-MANAGEMENT IMPROVEMENT CLEARLY SHOW THE SUITABILITY OF INVESTING IN THE PROGRAM MORE BROADLY.CHENANGO COUNTY PROPOSES TO EXPAND THE CHRONIC DISEASE SELF-MANAGEMENT PROGRAM BY ESTABLISHING A REFERRAL PROCESS OF NEWLY DIAGNOSED PATIENTS THROUGH THE HOSPITAL, INCORPORATING THE HOSPITAL'S HEAD DIETICIAN AND CHEF INTO THE PROGRAM'S CURRICULUM, CREATING A REFERRAL PROCESS THROUGH THE HEALTH DEPARTMENT'S PROGRAMS, AND EXPLORING HAVING HEALTH DEPARTMENT STAFF BECOME TRAINED AS PEER LEADERS. A SPECIAL EMPHASIS WILL BE PLACED ON PARTNERING WITH AND RECRUITING FROM COMMUNITY-BASED ORGANIZATIONS WHO WORK WITH LOW-INCOME INDIVIDUALS AND FAMILIES TO ADDRESS THE HEALTH DISPARITIES ASSOCIATED WITH INCOME AND HEALTH. 9 1 - UHS IMAGING 6 NEWTON AVENUE NORWICH NY 13815 IMAGING CARE CENTER 2 - UHS PHYSICAL THERAPY 26 CONKEY AVENUE NORWICH NY 13815 CENTER FOR PHYSICAL THERAPIES 3 - UHS PRIMARY CARE - SIDNEY 44 PEARL STREET SIDNEY NY 13838 PRIMARY CARE CENTER 4 - UHS PEDIATRICS 4 NEWTON AVENUE NORWICH NY 13815 PEDIATRIC CARE CENTER 5 - UHS ORTHOPEDICS 4 NEWTON AVENUE NORWICH NY 13815 ORTHOPEDIC CARE CENTER 6 - UHS GENERAL SURGERY 4 NEWTON AVENUE NORWICH NY 13815 GENERAL SURGERY CARE CENTER 7 - UHS PRIMARY CARE - SHERBURNE 38A CLASSIC STREET SHERBURNE NY 13460 PRIMARY CARE CENTER 8 - UHS PRIMARY CARE - OXFORD 21 NORTH CANAL STREET OXFORD NY 13830 PRIMARY CARE CENTER 11 - UHS PODIATRY 32 CONKEY AVENUE NORWICH NY 13815 PODIATRY PART I, LINE 7: A COMBINATION OF IRS PROVIDED WORKSHEETS AND THE RATIO OF PATIENT CARE COST TO CHARGES WAS USED. PART I, LN 7 COL(F): 100% OF THE ANNUAL BAD DEBT EXPENSE OF $3,310,450 WAS NOT INCLUDED IN THE CALCULATION OF NET BENEFIT EXPENSE. PART II, COMMUNITY BUILDING ACTIVITIES: THE HOSPITAL CONDUCTS AND ATTENDS NUMEROUS EVENTS IN THE COMMUNITY TO DEVELOP COMMUNITY RELATIONSHIPS AND SUPPORT HEALTHCARE INITIATIVES.LINE 1 - PHYSICAL IMPROVEMENTS*ASBESTOS REMOVAL--AS PART OF THE HOSPITAL'S ON-GOING RENOVATION PROJECTS, IT IS ALWAYS NECESSARY TO ABATE ASBESTOS. REMOVAL OF FIRE-PROOFING, ADHESIVES, CAULK, ETC., THAT TESTED POSITIVE FOR ASBESTOS DURING RENOVATION PROJECTS AND REQUIRED AIR TESTING TO ENSURE AIR IS CLEAR OF CONTAMINANTS. TOTAL COST OF ABATEMENT AND MONITORING IN 2019 WAS $233,197.*CHENANGO HOUSING IMPROVEMENT PROGRAM--CHIP, OVERSEEN BY THE LHD'S NY CONNECTS, PROVIDES INDEPENDENT LIVING AND AFFORDABLE HOUSING FOR ELDERLY, DISABLED, HANDICAPPED AND FAMILIES. CMH'S MEDICAL SOCIAL WORKER ATTENDS MONTHLY MEETINGS.LINE 2 - ECONOMIC DEVELOPMENT*COMMERCE CHENANGO--THE CHAMBER REPRESENTS A PARTNERSHIP OF BUSINESS AND PROFESSIONAL PEOPLE, MAKING A DIFFERENCE IN THE COMMUNITY. THE HOSPITAL PARTICIPATES IN MANY OF COMMERCE CHENANGO'S FUNCTIONS INCLUDING THEIR ECONOMIC BREAKFAST, MEMBERSHIP LUNCHEON, SOIREE IN THE PARK, LEGISLATIVE LUNCHEON, BUSINESS AFTER HOURS AND GOLF TOURNAMENT. THE HOSPITAL IS ALSO A MEMBER OF THE SIDNEY CHAMBER OF COMMERCE.*SOUTHERN TIER ADVISORY BOARD OF NBT--NBT BANK, NA OF NORWICH, NY, HAS SEVERAL REGIONAL ADVISORY BOARDS CONSISTING OF LEADERS IN BUSINESS, HEALTHCARE, AGRICULTURE, LAW, AND FINANCE INDUSTRIES TO NAME A FEW. THESE BOARDS ENABLE NBT TO ESTABLISH LINKAGES TO KEY BUSINESSES IN THE COMMUNITY TO UNDERSTAND WHAT THEY NEED, CHALLENGES, ETC., AND HOW NBT MAY BE ABLE TO ASSIST. THE GROUP MEETS QUARTERLY. THE HOSPITAL'S PRESIDENT & CEO IS A MEMBER OF THE SOUTHERN TIER ADVISORY BOARD. NBT HAS BEEN A LONG-TIME PARTNER OF THE HOSPITAL AND CONTINUES TO PROVIDE FINANCIAL SUPPORT FOR MANY OF THE HOSPITAL'S MAJOR PROJECTS TO IMPROVE PATIENT CARE AND ACCESS THAT WOULD NOT COME TO FRUITION WITHOUT THEIR ASSISTANCE.LINE 3 - COMMUNITY SUPPORTNO ENTRIES REQUIRING NARRATIONLINE 4 -- ENVIRONMENTAL IMPROVEMENTS*PHARMACEUTICAL WASTE TRAINING--COMPASS, THE HOSPITAL'S ENVIRONMENTAL SERVICES CONTRACTOR, CONDUCTS ANNUAL TRAINING FOR NUMEROUS STAFF. THIS TRAINING COVERS WHAT THE WASTE MANAGEMENT PROGRAM IS, THE POLICY, IDENTIFYING THE WASTE AND THE CONTAINERS IT GOES IN, WHERE THE CONTAINERS ARE STORED, HOW AND WHO WILL BE PICKING UP THE FULL CONTAINERS, AND DEVELOPING A PLAN TO TRAIN EMPLOYEES ON THE UNITS.LINE 6 -- COALITION BUILDING*COMMUNITY INPUT--AS PART OF OUR CHENANGO MEDICAL NEIGHBORHOOD PROJECT MENTIONED PREVIOUSLY, CMH REQUESTED INPUT FROM THE COMMUNITY AS FOLLOWS:*NEIGHBORHOOD FORUM--MET WITH NEIGHBORS TO GET THEIR FEEDBACK ABOUT CREATING A PARKING LOT BEHIND THE HOSPITAL TO RELOCATE THE HELIPAD AND CREATE NEW PARKING FOR STAFF IN ORDER TO FREE UP PARKING FOR PATIENTS IN THE MAIN LOT. CMH PROVIDED INFORMATION ABOUT THE PARKING PLAN DEVELOPED TO DATE AND NOTED THE NEIGHBORS' CONCERNS. AS THE PROJECT PROGRESSED, THE HOSPITALS' FACILITIES DIRECTOR COMMUNICATED INDIVIDUALLY WITH NEIGHBORS WHO HAD SPECIFIC QUESTIONS RELATED TO HOW THEIR PERSONAL PROPERTY WOULD BE AFFECTED BY THE PROJECT. AS A RESULT OF ALL OF THIS INFORMATION, FENCING, ACCESS TO BACKYARDS FROM THE HOSPITAL LOT, AND CHANGES IN DRAINAGE WERE INCLUDED IN THE FINAL PLANS.*COUNTY EMERGENCY MANAGEMENT--MET WITH THE COUNTY FIRE COORDINATOR AND OTHER COUNTY EMERGENCY PERSONNEL TO REVIEW PLANS AND UPDATE THE CONSTRUCTION EMERGENCY MANAGEMENT PLAN.*NORWICH ROTARY CLUB--ROTARY IS AN ORGANIZATION OF BUSINESS AND PROFESSIONAL LEADERS WHO PROVIDE HUMANITARIAN SERVICE, ENCOURAGE HIGH ETHICAL STANDARDS IN ALL VOCATIONS, AND HELP BUILD GOODWILL AND PEACE IN THE WORLD. MEMBERSHIP REPRESENTS A CROSS-SECTION OF THE COMMUNITY'S BUSINESS AND PROFESSIONAL MEN AND WOMEN. THE MAIN OBJECTIVE OF ROTARY IS SERVICE - IN THE COMMUNITY, IN THE WORKPLACE, AND THROUGHOUT THE WORLD. THE HOSPITAL'S NURSING HOME ADMINISTRATOR IS AN ACTIVE MEMBER AT THE LOCAL AND DISTRICT LEVEL.*BADEN-POWELL SCOUTS--THE BADEN-POWELL COUNCIL OF THE BOY SCOUTS OF AMERICA, HEADQUARTERED IN BINGHAMTON, NY, SERVES OVER 175 DIFFERENT SCOUT UNITS INCLUDING THOUSANDS OF YOUTH AND ADULTS THROUGHOUT CENTRAL NEW YORK AND NORTHEAST PENNSYLVANIA. THE COUNCIL RUNS PROGRAMS IN CUB SCOUTING, BOY SCOUTING, VENTURING AND EXPLORING WHILE MAINTAINING TWO DIVERSE NATIONALLY RECOGNIZED SCOUT CAMPS: CAMP BARTON ON CAYUGA LAKE AND THE TUSCARORA SCOUT RESERVATION IN THE FOOTHILLS OF THE CATSKILLS.*DISTINGUISHED CITIZEN AWARD BANQUET--THE HOSPITAL SPONSORED A TABLE AT THE 2019 BANQUET. IT PROVIDES AN EXCELLENT NETWORKING OPPORTUNITY WITH OTHER LEADERS IN THE COMMUNITY. THE HOSPITAL'S PRESIDENT & CEO ALSO ATTENDED A CUB SCOUT LUNCHEON EARLIER IN THE YEAR.*COMMUNITY SERVICE DAY--CMH HOSTED 16 EMPLOYEES FROM NORWICH PHARMACEUTICALS - AN ALVOGEN COMPANY DURING THEIR ANNUAL COMMUNITY SERVICE DAY IN SEPTEMBER. AT CMH, VOLUNTEERS ASSISTED WITH ASSEMBLING A MASS MAILING WHILE ANOTHER GROUP IMPROVED FLOWER BEDS AROUND THE CAMPUS, WEEDED, PRUNED, AND REMOVED BRUSH.*"JUST DESSERTS"--CMH'S DIRECTOR OF VOLUNTEERS JOINED CHENANGO HOSPICE, CHENANGO UNITED WAY, CHENANGO SPCA, THE NORTHEAST CLASSIC CAR MUSEUM, CHENANGO COUNTY HISTORICAL SOCIETY AND CHASE MEMORIAL NURSING HOME TO PLAN, PREPARE, AND HOST A CHENANGO COUNTY VOLUNTEER RECOGNITION EVENT THAT WAS HELD APRIL 11, 2019.*IMPROVE NORWICH NOW--CMH'S OUTREACH COORDINATOR ATTENDS INN'S QUARTERLY MEETINGS. THE MISSION OF INN IS TO REMOVE BARRIERS AND PROVIDE SUPPORT, SO ALL COMMUNITY MEMBERS CAN REACH THEIR FULL POTENTIAL. THE VISION OF THE GROUP IS FOR CHENANGO COUNTY TO BECOME A PROACTIVE, COOPERATIVE AREA FOCUSED ON NEXT-LEVEL GROWTH FOR ALL. THE GROUP IS OPEN TO ALL CHENANGO COUNTY RESIDENTS, BUSINESS OWNERS, AND/OR AGENCY REPRESENTATIVES. THIS GROUP PROMOTED THE YOUTH MENTAL HEALTH FIRST AID TRAINING ON 9/28/2019 AND THE CHOBANI HEALTHY CHALLENGE KICK OFF ON 9/21 -- 2 INITIATIVES OF THE CURRENT NEEDS ASSESSMENT. AMONG OTHER INITIATIVES, THIS GROUP IS ALSO WORKING ON MENTORING PROGRAMS SUCH AS BRIDGES OUT OF POVERTY TRAINING AND FINANCIAL LITERACY; HOUSING (HABITAT FOR HUMANITY & IMPACT PROJECT); AND SUBSTANCE ABUSE (FRIENDS OF RECOVERY AND LOW RUN-WALK FOR RECOVERY). INN SERVICES A CRITICAL NEED IN THE COMMUNITY, REACHING OUT TO PEOPLE WHO ARE OUT OF THE RANGE OF COUNTY/STATE BENEFITS. AMONG THEIR ACHIEVEMENTS WAS SECURING FUNDING TO RESTORE A MENTAL HEALTH CLINICIAN IN THE NORWICH CITY SCHOOL DISTRICT THAT WAS PREVIOUSLY ELIMINATED DUE TO BUDGET CUTS.*CHENANGO COUNTY INTERAGENCY COUNCIL -- THIS GROUP MEETS TO EXCHANGE INFORMATION ABOUT WHAT THEY'RE DOING TO ADDRESS HEALTHCARE CONCERNS IN CHENANGO COUNTY. THERE ARE 2 PRESENTERS EACH MONTH FOLLOWED BY A ROUND ROBIN UPDATE. PARTICIPANTS INCLUDE REPRESENTATIVES FROM MOTHERS AND BABIES PERINATAL NETWORK, IMPROVE NORWICH NOW, CHILD ADVOCACY CENTER, CATHOLIC CHARITIES, NORWICH CITY SCHOOLS, SUNY MORRISVILLE, CHENANGO COUNTY HOSPITAL, THE LHD, AND MANY OTHERS. THE GROUP CONSISTS OF OVER 30 COMMUNITY ORGANIZATIONS. THE HOSPITAL'S OUTREACH COORDINATOR ATTENDS THIS MEETING AS WELL.*CHENANGO ARTS COUNCIL--A MEMBER OF THE HOSPITAL'S LEADERSHIP TEAM IS A MEMBER OF THE CAC BOARD. THE ARTS COUNCIL SPONSORS NATIONAL ACTS TO COME TO NORWICH AS WELL AS HOST LOCAL THEATER PRODUCTIONS AND ART SHOWINGS.** SEE SCHEDULE H PART VI SUPPLEMENTAL INFORMATION FOR CONTINUATION PART III, LINE 2: THE COST OF BAD DEBTS IS TAKEN FROM THE 2019 AUDITED FINANCIAL STATEMENTS. PART III, LINE 3: THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE IS BASED ON A PERCENTAGE ALLOCATION APPLIED TO THE TOTAL BAD DEBT EXPENSE REPORTED ON THE AUDITED FINANCIAL STATEMENTS. THE PERCENTAGE CALCULATION COMPARED THE 2019 ACTUAL BAD DEBT WRITE-OFFS RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE TO THE TOTAL 2019 ACTUAL BAD DEBT WRITE-OFFS. THIS CALCULATION DID NOT INCLUDE ESTIMATES OR ACCRUALS. IN 2019, THE WRITE-OFFS RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WAS APPROXIMATELY 28.92% OF THE TOTAL BAD DEBT WRITE-OFFS. PART III, LINE 4: THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE IS BASED ON A PERCENTAGE ALLOCATION APPLIED TO THE TOTAL BAD DEBT EXPENSE REPORTED ON THE AUDITED FINANCIAL STATEMENTS. THE PERCENTAGE CALCULATION COMPARED THE 2018 ACTUAL BAD DEBT WRITE-OFFS RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE TO THE TOTAL 2019 ACTUAL BAD DEBT WRITE-OFFS. THIS CALCULATION DID NOT INCLUDE ESTIMATES OR ACCRUALS. IN 2019, THE WRITE-OFFS RELATED TO PATIENTS ELIGIBE FOR FINANCIAL ASSISTANCE WAS APPROXIMATELY 28.92% OF THE TOTAL BAD DEBT WRITE-OFFS. PART III, LINE 8: CMH FEELS THAT ANY SERVICES PROVIDED TO MEDICARE BENIFICIARIES THAT RESULTS IN A SHORTFALL TO THE ORGANIZATION BASED ON A LESS THAN ADEQUATE MEDICARE REIMBURSEMENT SHOULD BE TREATED AS A COMMUNITY BENEFIT. CMH TREATS ANY AND ALL COMMUNITY MEMBERS REGARDLESS OF ABILITY TO PAY. CMH'S SERVICE REGION HAS A HIGHER PROPORTION OF ELDERLY THAN THE U.S. AVERAGE. THEREFORE, CMH IS SERVICING AT RISK MEDICARE BENEFICIARIES WITH ALL ITS PROGRAMS AND SERVICES. PART III, LINE 9B: THE ORGANIZATION'S COLLECTION POLICY PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE AS FOLLOWS:CHARITY CARE IS GIVEN FIRST, THE REMAINING BALANCE, IS THEN SUBJECT TO AN INTEREST FREE PAY PLAN. IF THE PATIENT GUARANTOR CHOOSES TO IGNORE ALL FURTHER ATTEMPTS TO MAKE ARRANGEMENTS FOR PAYMENTS, AFTER 180 DAYS THE ACCOUNT IS SENT TO A COLLECTION AGENCY AT THE DISCOUNTED LEVEL.CMH'S POLICY CLEARLY STATES THAT THE FORCED SALE OR FORECLOSURE OF A PATIENT'S PRIMARY RESIDENCE, LIQUIDATION OF RETIREMENT ASSETS OR COLLEGE SAVINGS, AND THE SALE OF A CAR USED REGULARLY ARE NOT PERMITTED. THE POLICY ALSO PROHIBITS COLLECTION FROM PATIENTS WHO ARE DETERMINED TO BE ELIGIBLE FOR MEDICAID AT THE TIME OF SERVICE.CMH REFRAINS FROM SENDING AN ACCOUNT TO COLLECTION AGENCIES IF A COMPLETED FINANCIAL ASSISTANCE APPLICATION AND THE REQUIRED DOCUMENTATION ARE PROVIDED. CMH PROVIDES WRITTEN NOTICE NO LESS THAN 30 DAYS PRIOR TO REFERRING DEBTS TO COLLECTION AGENCIES AND WILL REFRAIN FROM INITIATING ANY EXTRAORDINARY COLLECTION ACTS FOR AT LEAST 120 DAYS FROM THE DATE OF THE FIRST DISCHARGE BILLING STATEMENT. CMH ALSO REQUIRES THAT COLLECTION AGENCIES FOLLOW THE FINANCIAL ASSISTANCE POLICY GUIDELINES AND MUST RECEIVE WRITTEN CONSENT FROM UHSH BEFORE COMMENCING LEGAL ACTION. PART VI, LINE 2: IN BETWEEN CHNA SUBMITTALS, UHS CHENANGO MEMORIAL HOSPITAL (CMH) USES IN-PATIENT AND OUT-PATIENT SURVEYS ADMINISTERED THROUGH PRESS GANEY TO COLLECT PATIENT INPUT. ALL CMH PATIENTS, BOTH IN-PATIENT AND OUT-PATIENT, RECEIVE EASY-TO-COMPLETE FORMS ASKING THEM QUESTIONS ABOUT THE CARE ISSUES THEY FEEL NEED TO BE ADDRESSED, AND SERVICES THAT NEED TO BE IMPROVED OR ADDED. PATIENTS PROVIDE VALUABLE INFORMATION IN THE "COMMENTS" SECTION OF THESE SURVEYS. EACH MONTH, THE SURVEY SCORES ARE COMPARED TO A ROLLING 12-MONTH AVERAGE AND TARGETS. THE TARGETS ARE BASED ON NATIONAL AVERAGES TO DETERMINE IF CMH IS AT OR ABOVE TARGET, WITHIN 10% OF APPROACHING TARGET, OR IS MORE THAN 10% BELOW TARGET. THE PROCESS FOR COMPILING AND REPORTING THIS DATA HAS BEEN CUMBERSOME AND TIME CONSUMING. IN 2019, CMH IDENTIFIED THREE OPPORTUNITIES TO IMPROVE THE PROCESS: 1) DEVELOP MORE PURPOSEFUL, CONSISTENT VISUALS (CHARTS) ACROSS SURVEY TYPES, 2) CREATE MORE USEFUL PATIENT COMMENT SHARING - FOR BOTH SUCCESSES AND REMINDERS OF AREAS FOR IMPROVEMENT, AND 3) INCREASE STAFF INVOLVEMENT WITH MORE TRANSPARENCY ON PERFORMANCE AND CREATE A PLATFORM FOR EDUCATION.DEPARTMENTAL SURVEY SCORES ARE NOW SHOWN IN A "SCORECARD" FORMAT THAT IS A CLEANER VISUAL AND IS EASY TO USE AND MODIFY. IT IS ALSO A BETTER REPRESENTATION OF ACTUAL PERFORMANCE ILLUSTRATING CAHPS AND HCAHPS SCORES AS WELL AS PATIENT COMMENTS. CMH'S PATIENT EXPERIENCE TEAM REVIEWS THE CHARTS MONTHLY AND DEPARTMENT LEADERS SHARE THE CHARTS WITH THEIR STAFF SO THEY CAN SEE PROGRESS AGAINST TARGETS AND READ PATIENT COMMENTS. PATIENT COMMENTS THAT REQUIRE MANAGEMENT CONSIDERATION ARE FORWARDED TO THE APPROPRIATE LEADERS FOR REVIEW AND DISCUSSION TO IMPROVE SERVICES.LIVING IN A SMALL COMMUNITY, WE ALSO GET SUGGESTIONS DIRECTLY FROM RESIDENTS ABOUT SERVICES THAT ARE NEEDED OR NEED IMPROVEMENT. HOSPITAL BOARD MEMBERS, AUXILIARY BOARD MEMBERS, AND FOUNDATION BOARD MEMBERS ARE VERY VOCAL ABOUT WHAT THEY ARE HEARING IN THE COMMUNITY OR EXPERIENCING THEMSELVES. EMPLOYEES ARE QUITE CRITICAL ABOUT THEIR OR THEIR FAMILY'S EXPERIENCES IN ALL FACETS OF PATIENT CARE PROVIDING VALUABLE FEEDBACK WITH A TRAINED EYE. BASED ON THIS FEEDBACK AND THOSE OF PATIENTS CALLING IN OR VISITING PROVIDERS, THE HOSPITAL HAS DEVELOPED THE FOLLOWING INITIATIVES.THE HOSPITAL HAS USED OTHER MEANS FOR COLLECTING COMMUNITY INPUT BETWEEN NEEDS ASSESSMENTS. FOCUS GROUPS HAVE BEEN USED TO DISCUSS A SPECIFIC NEED THAT HAS BEEN IDENTIFIED AND REQUIRES FURTHER RESEARCH. FOCUS GROUPS WERE HELD DURING OUR MOST RECENT NEEDS ASSESSMENT PROCESS AND MORE INFORMATION ABOUT THAT IS AVAILABLE IN PART V, SECTION C - SUPPLEMENTAL INFORMATION FOR PART V, SECTION B.CMH ALSO LOOKS AT DIAGNOSIS CODES AND MARKET DATA PERIODICALLY TO DETECT DEVELOPING TRENDS AND ADDRESS THEM AS NEEDED.LASTLY, THE HOSPITAL'S VP OF SERVICE COORDINATION & DEVELOPMENT IS CHAIRMAN OF THE CHENANGO HEALTH NETWORK (CHN). THE CHN IS CHENANGO COUNTY'S RURAL HEALTH NETWORK. THE BOARD CONSISTS OF 13 COMMUNITY LEADERS REPRESENTING A CROSS SECTION OF HEALTH CARE SERVICES IN THE AREA. THIS GROUP MEETS MONTHLY AND DISCUSSES HEALTH CARE CONCERNS AND OPPORTUNITIES IN THE COMMUNITY AND INITIATES SUBCOMMITTEES TO ADDRESS SPECIFIC ISSUES AS NEEDED. PART VI, LINE 3: OUR ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER OUR CHARITY CARE POLICY AS FOLLOWS:* EVERY CLINIC AND AREA OF PATIENT REGISTRATION HAS A NOTICE POSTED INFORMING THE PATIENT/S/PUBLIC OF THE AVAILABILITY OF FINANCIAL ASSISTANCE* BROCHURES DESCRIBING THE POLICY ARE AVAILABLE AT CLINICS, POINTS OF REGISTRATION, AND ARE MAILED TO SELF PAY PATIENTS ALONG WITH APPLICATIONS* INPATIENTS ARE VISITED BY THE PATIENT FINANCIAL ADVOCATE. THEY ARE MADE AWARE OF GOVERNMENT PROGRAMS AND IF NECESSARY, ARRANGEMENTS ARE MADE WITH THE DEPARTMENT OF SOCIAL SERVICES TO HAVE A WORKER COME IN AND TAKE THE APPLICATION FROM THE PATIENT. THE PATIENT IS GIVEN INFORMATION AND AN APPLICATION FOR FINANCIAL ASSISTANCE, WHICH CAN BE COMPLETED AT THE PATIENT'S BEDSIDE.* THE WOMAN'S HEALTH CENTER INFORMS ALL SELF PAY PREGNANT WOMEN OF THE "PRESUMPTIVE ELIGIBILITY" PROCESS AND PATIENTS ARE DIRECTED TO PATIENT FINANCIAL SERVICES FOR COMPLETION OF THE APPLICATION AND COMPLETION OF A WIC APPLICATION IF PATIENT SO DESIRES* EVERY CMH EMPLOYEE IS MADE AWARE OF THE CHARITY CARE PROGRAM AT ORIENTATION AND ENCOURAGED TO INFORM PATIENTS AND THE PUBLIC ABOUT THE PROGRAM. PERSONNEL WHO HAVE PATIENT CONTACT ARE ANNUALLY IN-SERVICED ON CHARITY CARE PROGRAM* EVERY BILL THAT IS SENT OUT IS MARKED "FOR INFORMATION REGARDING OUR "PATIENT FINANCIAL ASSISTANCE" PROGRAM" PLEASE CONTACT 607-337-4295 PART VI, LINE 4: CHENANGO COUNTY IS A RURAL COUNTY WITH TWO PRIMARY DISPARITIES: SOCIO-ECONOMIC AND AGE. THE COUNTY IS LOCATED IN SOUTH-CENTRAL NEW YORK STATE IN THE AREA REFERRED TO AS THE SOUTHERN TIER. THE COUNTY IS ALSO LOCATED IN THE APPALACHIAN REGION OF THE UNITED STATES. PER GOOGLE MAPS, CHENANGO COUNTY IS 126.5 MILES WEST OF ALBANY, NEW YORK STATE'S CAPITAL, AND 211 MILES NORTHWEST OF NEW YORK CITY. PER THE US CENSUS BUREAU, ITS LAND AREA ENCOMPASSES 899 SQUARE MILES WITH 56.5 PERSONS PER SQUARE MILE. CONTIGUOUS COUNTIES ARE MADISON, OTSEGO, DELAWARE, BROOME, AND CORTLAND. THERE ARE 21 TOWNS, 8 VILLAGES AND 1 CITY IN CHENANGO COUNTY. THE CITY OF NORWICH IS THE COUNTY SEAT WHERE THE LARGEST SEGMENT OF THE POPULATION RESIDES. UHS CHENANGO MEMORIAL HOSPITAL, LOCATED IN NORWICH, IS A NYS DESIGNATED RURAL HOSPITAL AND IS THE ONLY HOSPITAL IN THE COUNTY. THE MAJORITY OF RESIDENTS (60%) LIVE WITHIN 10 MILES OF NORWICH, MAKING NORWICH A GOOD LOCATION FOR TIMELY CARE. THE REMAINING 40% LIVE IN MORE REMOTE AREAS OF THE COUNTY, DETERRED BY GEOGRAPHY AS A PHYSICAL BARRIER TO ACCESS. THE COUNTY'S LARGER POPULATION CENTERS ARE LOCATED ALONG NYS ROUTE 12 AND THE CHENANGO AND UNADILLA RIVERS WHICH RUN NORTH TO SOUTH THROUGH THE CENTER OF THE COUNTY. GREENE, NORWICH, AND SHERBURNE ARE THE MOST POPULOUS TOWNS SITUATED ALONG THE ROUTE 12 CORRIDOR. THERE ARE 2 INTERSTATE HIGHWAYS ACCESSIBLE TO CHENANGO COUNTY RESIDENTS: I-88 AND I-81. INTERSTATE 88 INTERSECTS WITH CHENANGO COUNTY AT BAINBRIDGE AND IS ACCESSIBLE FROM DELAWARE AND BROOME COUNTIES. INTERSTATE 81 IS ACCESSIBLE FROM BROOME AND CORTLAND COUNTIES; NYS ROUTE 12 BISECTS THE COUNTY AND IS THE MAJOR NORTH-SOUTH ROUTE.TRAVEL DISTANCES TO THE NEAREST HOSPITALS ARE AS FOLLOWS:A.O. FOX HOSPITAL, ONEONTA, NY, IS 32 MILES OR 45 MINUTESM.I. BASSETT HEALTHCARE, COOPERSTOWN, NY, IS 44 MILES OR 1 HOURUHS BINGHAMTON GENERAL HOSPITAL, NY, IS 43 MILES OR 1 HOURCOMMUNITY MEMORIAL HOSPITAL (CRITICAL ACCESS), HAMILTON, NY, IS 22 MILES OR 30 MINUTESCORTLAND REGIONAL MEDICAL CENTER, NY, IS 43 MILES OR 1 HOURCROUSE HOSPITAL, SYRACUSE, NY, IS 58 MILES OR 1 HOUR, 15 MINUTESMOHAWK VALLEY MEDICAL HEALTH SYSTEM, UTICA, NY, IS 47 MILES OR 1 HOUROUR LADY OF LOURDES HOSPITAL, JOHNSON CITY, NY, IS 42 MILES OR 1 HOURST. JOSEPH'S HOSPITAL, SYRACUSE, NY, IS 58 MILES OR 1 HOUR, 15 MINUTESSYRACUSE VA MEDICAL CENTER, NY, IS 58 MILES OR 1 HOUR, 15 MINUTESTRI TOWN REGIONAL HOSPITAL (ED ONLY), NY, 22 MILES OR 30 MINUTESUHS WILSON MEDICAL CENTER, BINGHAMTON, NY, IS 43 MILES OR 1 HOURUPSTATE UNIVERSITY HOSPITAL, SYRACUSE, NY IS 58 MILES OR 1 HOUR, 15 MINUTES.THE ONLY EMERGENCY ROOM (ER) IN CHENANGO COUNTY IS LOCATED AT CHENANGO MEMORIAL. THE ER IS PHYSICIAN STAFFED 24/7 AND THERE ARE OVER 18,000 VISITS PER YEAR. ACCORDING TO THE DSRIP COMMUNITY HEALTH ASSESSMENT, THE ER IS VIEWED BY SOME RESIDENTS AS AN "ALWAYS AVAILABLE" OPTION FOR HEALTH AND DENTAL SERVICES AND IS OFTEN VISITED BECAUSE OF CONVENIENCE AND ACCESSIBILITY. SOME RESIDENTS CONSIDER THE ER AS AN ACCEPTABLE LOCATION TO RECEIVE "ANY TYPE" OF MEDICAL CARE, NOT JUST WHEN LIFE-THREATENING HEALTHCARE IS NEEDED. SIGNIFICANT DRIVERS FOR USING THE ER INCLUDE READY TRANSPORTATION, ONE-STOP SHOPPING (X-RAY, LAB, SPECIALISTS, MEDICATIONS) ALL UNDER ONE ROOF, ABILITY TO ALWAYS "BE SEEN BY A DOCTOR", SHORTAGE OF OTHER HEALTHCARE RESOURCES (PROVIDERS), AND NO OUT OF POCKET, UP-FRONT COSTS.DEMOGRAPHICALLY, 95% OF THE COUNTY'S POPULATION (49,286) IS PREDOMINANTLY WHITE NON-HISPANIC. THE REMAINING POPULATION INCLUDES HISPANIC, LATINO, OR PERSONS WHO IDENTIFY AS BEING OF TWO OR MORE RACES. 85.8% OF THE COUNTY'S POPULATION IS CATEGORIZED AS LIVING IN RURAL AREAS. CHENANGO COUNTY IS 49TH IN TOTAL POPULATION AMONG THE 62 COUNTIES IN NEW YORK STATE AND HAS BEEN EXPERIENCING A STEADY DECLINE IN ITS OVERALL POPULATION. THE AGE OF THE COUNTY'S RESIDENTS HAS BEEN CHANGING AS WELL. THE MEDIAN AGE HAS INCREASED TO 44.9 YEARS FROM 43 YEARS IN 2010. THE GROUP THAT HAS SEEN THE LARGEST INCREASE DURING THIS TIME IS ADULTS AGED 65 TO 79, WITH A POPULATION INCREASE FROM 11.6% IN 2010 TO 14.5% IN 2017. IT IS ANTICIPATED THAT THE POPULATION OF RESIDENTS BETWEEN 45 AND 64 WILL DECREASE FROM 29.8% TO 28.1% IN 2020 AND THEN TO 23.6% IN 2030. HOWEVER, THE POPULATION OF RESIDENTS OVER 65 YEARS WILL INCREASE FROM 18.9% TO 21.85% IN 2020 AND TO 27.5% BY 2030 DUE TO RESIDENTS AGING IN PLACE. ALL TOTALED, IT IS PROJECTED THE PERCENTAGE OF RESIDENTS IN CHENANGO COUNTY OVER 45 WILL INCREASE TO 49.9% IN 2020 AND TO 51.1% BY 2030.THE MEDIAN FAMILY INCOME FOR CHENANGO COUNTY IS $58,675 IN COMPARISON TO THE REST OF NEW YORK STATE WITH AN AVERAGE FAMILY INCOME OF $74,036. THE MAJORITY OF JOBS ARE IN EDUCATION, HEALTH AND HUMAN SERVICE SECTORS. MANUFACTURING AND RETAIL TRADE ARE THE NEXT LARGEST SECTORS FOR EMPLOYMENT. THE PERCENTAGE OF UNEMPLOYED RESIDENTS OF CHENANGO COUNTY FROM DATA OF DECEMBER 2019 WAS 4.9% COMPARED TO NEW YORK STATE'S UNEMPLOYMENT RATE OF 4.0% DURING THE SAME TIME FRAME.CHENANGO COUNTY IS A POOR COUNTY WITH 15.4% OF ITS POPULATION AND 18.9% OF ITS CHILDREN LIVING BELOW THE FEDERAL POVERTY LEVEL. THE NUMBER OF CHILDREN AGED 0-17 LIVING IN POVERTY INCREASED FROM 18.7% IN 2010 TO 18.9% IN 2016. THE NUMBER OF CHILDREN IN GRADES K-6 WHO ARE ELIGIBLE FOR FREE OR REDUCED LUNCHES INCREASED FROM 50.5% IN 2009/2010 TO 58% IN 2017/2018. THIS INCREASE IS ALSO ABOVE THE NYS LEVEL OF 52.4%. OF THOSE FAMILIES WITH FEMALE HEADS OF HOUSEHOLD AND CHILDREN PRESENT, 44.2% LIVE IN POVERTY. OF THE 30,870 PEOPLE AGED 16-64 IN THE COUNTY, 72.3% (22,322) WORKED AT LEAST A PART-TIME FOR PART OF THE YEAR. IN 2016, 16.4% OF THE PEOPLE IN CHENANGO COUNTY AGED 18-64 IDENTIFIED AS HAVING A DISABILITY, AN INCREASE FROM 13.6% IN 2012.POOR ECONOMIC STATUS IS OFTEN ASSOCIATED WITH POOR HEALTH OUTCOMES AS THOSE WITHOUT MEANS ARE NOT IN A POSITION TO MAKE LIFESTYLE CHANGES TO PROMOTE GOOD HEALTH. IN CHENANGO COUNTY MANAGING EXPENSES RELATED TO FOOD, HOUSING, CLOTHING, TRANSPORTATION, CHILD CARE AND HEALTH CARE IS A MAJOR STRESSOR FOR INDIVIDUALS PARTICULARLY WITH FAMILIES AND SENIOR ADULTS. CHENANGO COUNTY'S POVERTY LEVELS BRING TO FOCUS FOOD INSECURITIES FOR THAT POPULATION. ONE OF THE ISSUES OF GENERATIONAL POVERTY (FAMILIES AND INDIVIDUALS LIVING IN POVERTY GENERATION TO GENERATION) THAT IS EVIDENT IN THE COUNTY IS THE UTILIZATION OF FOOD PANTRIES AND FREE MEAL PROGRAMS OFFERED BY AREA CHURCHES. RESIDENTS WITH FOOD INSECURITY LIVE DAY-TO-DAY TO PROVIDE FOR THEMSELVES AND THEIR FAMILIES; THEY FOCUS ON DAY-TO-DAY SURVIVAL VERSUS DEVELOPING STRATEGIES TO PREVENT FOOD INSECURITY AND OTHER HEALTH CONCERNS.ACCORDING TO THE 2019-2024 NYS PREVENTION AGENDA, 94.7% OF ADULTS IN THE COUNTY HAVE HEALTH INSURANCE WHICH IS ABOVE THE NEW YORK STATE RATE OF 92.4%. THIS IS AN IMPROVEMENT OF 1.5% SINCE 2013. DATA FROM DSRIP INDICATES THAT AS OF DECEMBER OF 2017, 29% OF THE CHENANGO COUNTY POPULATION (13,912 UNIQUE MEMBERS) WAS ENROLLED IN MEDICAID. THIS IS SLIGHTLY BELOW THE NYS RATIO OF 31.3% FOR THE SAME TIME PERIOD. THE NUMBER OF PEOPLE ENROLLED IN MEDICAID IN CHENANGO COUNTY HAS INCREASED BY 15.8% SINCE 2013 (12,003 UNIQUE MEMBERS), A RATE SLIGHTLY LOWER THAN NYS'S INCREASE OF 17.3%. THE INCREASE IN THE NUMBER OF MEDICAID ENROLLEES IS REFLECTED IN THE TREND TOWARD LOWER UNINSURED RATES. ACCORDING TO CENSUS DATA, THE PERCENTAGE OF THE COUNTY POPULATION WITHOUT INSURANCE DECLINED FROM 14% IN 2010 TO THE CURRENT LOW OF 5.3% IN 2017. THESE DATA ALSO SHOW THAT AS THE PERCENTAGE OF PEOPLE WHO ARE INSURED HAS INCREASED, THE DISTRIBUTION OF PEOPLE COVERED BY DIFFERENT INSURANCE ENTITIES HAS ALSO CHANGED. IN 2017, A HIGHER PERCENTAGE OF CHENANGO COUNTY RESIDENTS WERE COVERED BY INSURANCE THAT THEY PURCHASED DIRECTLY (SUCH AS THROUGH THE STATE EXCHANGE) AND THROUGH MEDICAID ONLY, THAN WERE IN 2013. A GREATER NUMBER OF CHENANGO COUNTY RESIDENTS WERE ALSO ENROLLED IN MORE THAN ONE INSURANCE PLAN IN 2017. IN CONTRAST, IN 2017 FEWER CHENANGO COUNTY RESIDENTS WERE COVERED BY EMPLOYER-BASED INSURANCE PLANS THAN IN 2013. AS OF YEAR END 2019, UHS CHENANGO MEMORIAL HOSPITAL SHOWED A PAYER MIX OF 41% MEDICARE, 25% MEDICAID, 27.7% COMMERCIAL, 3.7% SELF-PAY AND 2.2% OTHER. ** CONTINUED ON SCHEDULE H SUPPLEMENTAL INFORMATION PART VI, LINE 5: COMMUNITY BOARDUHS CHENANGO MEMORIAL'S BOARD OF DIRECTORS TOTALS 16 MEMBERS, 11 OF WHOM ARE LOCAL RESIDENTS AND COMMUNITY LEADERS IN BANKING, LAW, PHARMACEUTICALS, MANUFACTURING, INSURANCE, INVESTMENTS, AND INDEPENDENT BUSINESS. THE BOARD MEETS BI-MONTHLY. THE BOARD ALSO HAS COMMITTEES THAT FOCUS ON FINANCES, STAFF CREDENTIALING, AND GOVERNANCE ALL OF WHICH HAVE REPRESENTATION FROM THE COMMUNITY.THE CMH AUXILIARY, WHO ALSO REPORT UNDER THE HOSPITAL'S TAX ID NUMBER, HAS ITS OWN BOARD THAT MEETS MONTHLY AND CONSISTS OF 16 MEMBERS ALL OF WHOM LIVE LOCALLY. THEY, TOO, REPRESENT A CROSS SECTION OF BUSINESSES SIMILAR TO THE HOSPITAL'S BOARD OF DIRECTORS. IN ADDITION, THEY INCLUDE RETIRED INDIVIDUALS AND FAMILY MEMBERS OF PROMINENT COMMUNITY LEADERS IN THE AREA.ALTHOUGH THE CHENANGO MEMORIAL HOSPITAL FOUNDATION, INC., HAS ITS OWN TAX ID NUMBER, ITS SOLE PURPOSE IS TO SUPPORT THE HOSPITAL THROUGH FUNDRAISING. THE FOUNDATION BOARD ALSO HAS 14 MEMBERS WHO REPRESENT BUSINESSES FROM THROUGHOUT THE COUNTY AND MEET APPROXIMATELY 3 TIMES PER YEAR.OPEN MEDICAL STAFF THE HOSPITAL REVIEWS MEDICAL STAFF PRIVILEGES OF ANY QUALIFIED PHYSICIANS AND ALLIED PROFESSIONALS IN THE COMMUNITY THAT APPLY. THE RIGOROUS CREDENTIALING PROCESS INCLUDES REVIEW BY AN INTERNAL CREDENTIALS COMMITTEE AND MEDICAL EXECUTIVE COMMITTEE. AFTER APPROVAL FROM THESE TWO COMMITTEES, THE APPLICATION PROCEEDS TO THE PROFESSIONAL ADVISORY COMMITTEE (PAC), A SUBCOMMITTEE OF THE HOSPITAL'S BOARD OF TRUSTEES, FOR APPROVAL. AFTER APPROVAL BY PAC, THE APPLICATION PROCEEDS TO THE HOSPITAL'S BOARD OF DIRECTORS FOR FINAL APPROVAL AND CREDENTIALING. USE OF SURPLUS FUNDS SURPLUS FUNDS ARE MADE AVAILABLE PRIMARILY FOR PURCHASES OF EQUIPMENT, FACILITY IMPROVEMENTS, OR TECHNOLOGY TO IMPROVE PATIENT CARE. IN SOME INSTANCES, FUNDS ARE USED TO SUPPORT NEW SERVICES. CHENANGO MEMORIAL HOSPITAL BEGAN SPENDING SOME OF THE $9M TRANSFORMATION GRANT AWARDED BY THE NYS DEPARTMENT OF HEALTH IN 2017. IN FACT, THE FIRST PHASE OF THE 2-PHASE TRANSFORMATION PROJECT WAS COMPLETED IN 2019 TO PREPARE FOR THE LAST AND LARGEST PHASE OF THE PROJECT. THE HOSPITAL INVESTED $6M IN THE FOLLOWING PROJECTS TO IMPROVE PATIENT SERVICES AND STAFF EFFICIENCIES: *RELOCATION OF THE HOSPITAL'S LAB AND INSTALLATION OF A PNEUMATIC TUBE SYSTEM - BUILDOUT BEGAN IN LATE 2018 AND CONCLUDED IN FEBRUARY 2019. RELOCATION OF THE LAB OPENED SPACE FOR AN ENLARGED CARDIOLOGY DEPARTMENT. INSTALLATION OF THE PNEUMATIC TUBE SYSTEM IMPROVED EFFICIENCIES, PARTICULARLY IN THE EMERGENCY ROOM. ER STAFF CAN NOW SEND SPECIMENS DIRECTLY TO THE LAB RATHER THAN WAITING FOR A LAB TECHNICIAN TO COME AND COLLECT THEM. THIS HAS IMPROVED PATIENT SAFETY BECAUSE TEST RESULTS ARE NOW AVAILABLE MORE EFFICIENTLY.DURING THE DEMOLITION OF THE NEW LAB SPACE, LOCATED IN A BUILDING THAT DATES BACK TO 1958, CONTRACTORS DISCOVERED MAJOR ISSUES WITH THE ELECTRICAL PANELS AS WELL AS A LEAKING STEAM LINE. THESE AND OTHER ISSUES NEEDED REPAIR BEFORE PROCEEDING AND COST TO THE ORGANIZATION WAS APPROXIMATELY $500K.*EXPANDED CARDIOLOGY DEPARTMENT AND NEW CARDIAC REHABILITATION AREA - RENOVATION AND CONSTRUCTION WAS COMPLETED IN EARLY 2019. CHENANGO COUNTY HAS THE HIGHEST RATE OF CARDIAC DISEASE IN THE STATE AND THE HOSPITAL RECOGNIZES THE NEED FOR INCREASED ACCESS TO CARDIOLOGY AND REHABILITATION SERVICES IN THIS AREA. AS INDICATED IN THE 2109-2021 COMMUNITY HEALTH NEEDS ASSESSMENT, CHRONIC DISEASE, PARTICULARLY HEART DISEASE AND DIABETES, ARE PREVALENT THROUGHOUT THE AREA. PATIENTS USING THE CARDIAC REHABILITATION SERVICES HAVE EXPERIENCED SIGNIFICANT IMPROVEMENT IN THEIR HEALTH AND THEY CAN NOW ACCESS THESE SERVICES CLOSE TO HOME.*THE FINAL PIECE OF PHASE 1 OF THE TRANSFORMATION PROJECT WAS THE RELOCATION OF OUR NUCLEAR MEDICINE DEPARTMENT. THIS MOVE WAS NECESSARY TO MAKE THE SPACE MORE COMFORTABLE FOR PATIENTS AS WELL AS VACATE SPACE NEEDED FOR PHASE 2. THE NEW SPACE OPENED IN OCTOBER.*PLANS HAVE BEEN SUBMITTED TO THE NYS DEPARTMENT OF HEALTH TO RELOCATE THE HOSPITAL'S WOMEN'S HEALTH CENTER TO A LOCATION IN DOWNTOWN NORWICH. THE NEW LOCATION WILL BE SIGNIFICANTLY LARGER THAN THEIR EXISTING SPACE AND WILL INCLUDE A BREASTFEEDING AREA, TWO TREATMENT ROOMS, ADDITIONAL EXAM ROOMS, AND AN EDUCATION AREA SUITABLE FOR CHILDBIRTH EDUCATION CLASSES, SUPPORT GROUPS, ETC. DURING THE YEAR, THE HOSPITAL HAS INCURRED SIGNIFICANT ARCHITECTURAL EXPENSES TO PREPARE FOR THIS RELOCATION. CHENANGO MEMORIAL IS THE ONLY HOSPITAL ALONG THE ROUTE 12 CORRIDOR BETWEEN BINGHAMTON AND ONEIDA WITH OBSTETRIC SERVICES. THE NEW SPACE IS ANTICIPATED TO OPEN IN EARLY 2020.*PLENTY OF PARKING ON THE HOSPITAL CAMPUS WILL BE CONSUMED WHEN THE EXTERIOR CONSTRUCTION OF THE TRANSFORMATION PROJECT BEGINS. IT WAS DETERMINED DURING THE SUMMER THAT THE HOSPITAL WOULD NEED TO EXPAND OUR PARKING LOT TO COMPENSATE FOR LOST PARKING. WORK BEGAN IN MID-2019 TO DEVELOP SITE PLANS FOR THE EXTENDED PARKING AREA. IN THE FALL, TREE REMOVAL AND SITE WORK WERE COMPLETED TO PREPARE FOR WORK TO RESUME IN THE SPRING 2020.*RENOVATIONS TOOK PLACE IN THE HOSPITAL'S SIDNEY CLINIC AT THE END OF 2019 TO PREPARE SPACE FOR A NEW 3D MAMMOGRAPHY MACHINE USED FOR BREAST SCANNER SCREENINGS. 3D MAMMOGRAMS REDUCE THE NEED FOR MULTIPLE TESTS AND SAVE WOMEN ANXIETY ABOUT POTENTIALLY POSITIVE DIAGNOSES. THE TECHNOLOGY USES MULTIPLE ANGLED IMAGES AS THE MACHINE SWEEPS IN AN ARC OVER A WOMAN'S BREAST. THE RADIOLOGIST VIEWS THESE IMAGES SEQUENTIALLY. A MASS WILL STAND OUT IN THE SCAN - NOT BE CAMOUFLAGED BY DENSE BREAST TISSUE AS SOMETIMES OCCURS WITH TRADITIONAL 2D MAMMOGRAPHY. THE FOLLOWING ARE THE TOP FIVE BENEFITS OF 3D MAMMOGRAPHY: A) MORE ACCURATE DETECTION, B) EARLIER DIAGNOSIS, C) BETTER DETECTION IN DENSE BREAST TISSUE, D) LESS ANXIETY FOR THE PATIENT DUE TO FALSE ALARMS WITH 2D MAMMOGRAPHY, E) IS SAFE AND EFFECTIVE - WOMEN EXPERIENCE A MINIMAL AMOUNT OF ADDITIONAL RADIATION COMPARED WITH A STANDARD MAMMOGRAM. THE NEW EQUIPMENT COSTS $290K WITH AN ADDITION $115K REQUIRED FOR CONSTRUCTION. THE NEW SERVICE WENT LIVE IN FEBRUARY 2020. *PHARMACY - CMH COMPLETED RENOVATIONS OF OUR CURRENT PHARMACY TO INCORPORATE A STERILE COMPOUNDING AREA COMPLIANT WITH USP 797 AND USP 800 STANDARDS. INCLUDED IN THE PROJECT WAS INSTALLING A NEW ROOF-TOP AIR HANDLING UNIT TO PROVIDE FOR THE ISO7 COMPLIANCE AIR DISTRIBUTION ALONG WITH PROPER NEGATIVE AND POSITIVE PRESSURES. THE SMOKE ZONE, WITHIN WHICH THE PHARMACY IS LOCATED, IS NOW EQUIPPED WITH A FULLY-COMPLIANT FIRE SUPPRESSION, FIRE ALARM AND SMOKE DETECTION SYSTEM. THE PHARMACY ALSO HAS A COMPLIANT TYPE I EMERGENCY EVACUATION SYSTEM. BRINGING THE CMH PHARMACY STERILE COMPOUNDING ROOMS INTO USP 800 COMPLIANCE ALLOWS THE HOSPITAL TO STRENGTHEN AND DIVERSIFY EXISTING SERVICES. PHARMACEUTICALS ARE AN INTEGRAL PART OF MOST SERVICES OFFERED IN A HOSPITAL. DIAGNOSTIC AND TREATMENT SERVICES INCLUDING LABORATORY, IMAGING, INTERVENTIONAL RADIOLOGY, OBSTETRICAL SERVICES, MINOR TO MAJOR SURGICAL PROCEDURES, AND EMERGENCY MEDICINE RELY ON THE AVAILABILITY OF PHARMACEUTICALS. RECENTLY ADDED SERVICES, LIKE VASCULAR SURGERY AND ONCOLOGY, ARE NO EXCEPTION TO RELIANCE ON PHARMACY. THIS PROJECT IS VITAL TO CONTINUED ACCESS TO THESE SERVICES IN THIS COMMUNITY. THIS WAS A $500K PROJECT THAT BEGAN IN 2018 AND WAS GENEROUSLY SUPPORTED BY LOCAL FOUNDATIONS. IT ENSURES LONG-TERM AVAILABILITY OF CHEMOTHERAPY TREATMENTS FOR LOCAL CANCER PATIENTS WHO PREVIOUSLY HAD TO TRAVEL 45 MINUTES FOR THIS SERVICE. *DURING THE WINTER OF 2018-19, THE HOSPITAL'S ROOF DEVELOPED SERIOUS LEAKS IMPACTING OUR AMBULATORY/SURGICAL UNIT. THE LEAKS PARTICULARLY THREATENED OUR ABILITY TO KEEP THE ORS OPEN AND MAINTAIN SURGICAL SERVICES. WITH BOARD APPROVAL, THE HOSPITAL SECURED EMERGENCY FINANCING OF $600K TO COMPLETE THE EXTENSIVE ROOF REPLACEMENT. PRIOR TO THE START OF THE PROJECT, STRUCTURAL ENGINEERS DISCOVERED THE STEEL LOCATED PRIMARILY IN THE CEILING OVER THE RECOVERY AREA WAS NOT STRONG ENOUGH TO SUPPORT THE WEIGHT OF THE NEW ROOF MATERIALS MUCH LESS THE WEIGHT OF A HEAVY SNOWFALL. AN ADDITIONAL $200K WAS APPROVED BY THE HOSPITAL BOARD TO CORRECT THIS ISSUE. THE ROOF REPLACEMENT, INCLUDING ABATEMENT OF THE AREA WHERE THE NEW STEEL WAS INSTALLED, WAS COMPLETED IN DECEMBER.*SECURITY - THE HOSPITAL IMPLEMENTED A MATERNITY BABY ALARM/CALL BELL SYSTEM TO PREVENT THE ABDUCTION OF A NEWBORN. AT THE TIME OF BIRTH, THE INFANT IS ISSUED AN ELPAS ACTIVE RFID (RADIO FREQUENCY IDENTIFICATION) INFANT PROTECTION BRACELET, WHICH IS PLACED ON THE BABY'S ANKLE AND LATER CAN BE ADJUSTED SHOULD THE BABY LOSE WEIGHT BEFORE DISCHARGE. SHOULD AN ATTEMPT OCCUR TO MOVE THE PROTECTED INFANT FROM THE SECURED AREA WITHOUT APPROVAL OR AN AUTHORIZED ESCORT, THE BRACELET WILL TRIGGER THE BABYMATCH SYSTEM TO ALERT PERSONNEL OF THE SECURITY THREAT. THE NEW SYSTEM COST NEARLY $47,000.** SEE SCHEDULE H PART VI SUPPLEMENTAL INFORMATION FOR CONTINUATION PART VI, LINE 6: CMH IS AN IMPORTANT PART OF THE UNITED HEALTH SERVICES SYSTEM OF INTEGRATED DELIVERY OF CARE, WHICH PROVIDES ADDITIONAL BENEFITS TO THE COMMUNITY. AS A RESULT OF THE FORMATION OF CMH IN 1910 AND THE SUBSEQUENT TRANSFORMATION OF THE COMBINED ORGANIZATION INTO A HEALTH CARE SYSTEM, OUR REGION TODAY OFFERS MORE COMPLETE AND ADVANCED CARE THAN MANY COMMUNITIES FIVE TIMES OUR SIZE. IN 2013, THE UNITED HEALTH SERVICES SYSTEM ENGAGED IN A STRATEGIC PLANNING PROCESS FOR THE YEARS 2014-2016. CONSISTENT WITH THE MISSION AND VISION, THE PLAN IS FOCUSED ON CONTINUING TO STRENGTHEN THE HEALTH SYSTEM AND ITS SERVICES TO COMMUNITY. THE STRATEGIC PLAN IS ORGANIZED AROUND FOUR GOALS: CLINICAL EXCELLENCE,SERVICE EXCELLENCE, MARKET GROWTH AND FINANCIAL STRENGTH. SPECIFIC DESTINATION METRICS OR MEASURES OF SUCCESS WERE DEVELOPED FOR EACH STRATEGIC GOAL. THE SPECIFIC INITIATIVES SUPPORTING ACHIEVEMENT OF THE GOALS ARE REVIEWED ON A REGULAR BASIS. EACH ENTITY CARRIES OUT INITIATIVES LOCALLY AND REGIONALLY. THE CMH COMMUNITY SERVICE REPORT CAPTURES THE BENEFITS SPECIFIC TO CMH. THE OTHER HOSPITAL MEMBERS OF THE UHS SYSTEM, UHS WILSON MEDICAL CENTER, UHS BINGHAMTON GENERAL HOSPITAL, AND DELAWARE VALLEY HOSPITAL SUBMIT SEPARATE REPORTS.- CLINICAL EXCELLENCE: CMH HAS FOCUSED ITS RESOURCES AND ENERGY AROUND ACHIEVING DISTINCTION AS A HEALTH SYSTEM IN CLINICAL QUALITY, PATIENT SAFETY AND SERVICE. CMH IS FOCUSED ON VIGOROUS ASSESSMENT AND IMPROVEMENT OF THE ORGANIZATION'S PERFORMANCE USING KEY PATIENT QUALITY, SAFETY AND SATISFACTION INDICATORS. THE PLAN PLACES A FOCUS IN PARTICULAR ON EMERGENCY ROOM PERFORMANCE, CLOSER INTEGRATION OF NON-ACUTE SERVICES WITH THE HOSPITALS, DEVELOPMENT AND IMPLEMENTATION OF STATE-OF-THE-ART INFORMATION TECHNOLOGY TO SUPPORT INITIATIVES IN PATIENT QUALITY AND SAFETY AND NEW INITIATIVES IN THE RECRUITMENT AND RETENTION OF A QUALITY PHYSICIAN AND ALLIED HEALTH WORKFORCE.- SERVICE EXCELLENCE: ADDRESS DELIVERING ON THE CMH BRAND PROMISE OF A MEANINGFULLY BETTER PATIENT EXPERIENCE. THE PLAN FOCUSES ON PATIENT-CENTERED CARE AND THE BRAND PROMISE OF RESPECT AND ACCOUNTABILITY. THIS GOAL ALIGNS TECHNOLOGY WITH PERFORMANCE STANDARDS TO IMPROVE ACCESS TO BETTER MEET PATIENT NEEDS.- MARKET GROWTH: THIS GOAL AREA ADDRESSES THE KEY ASPECTS OF ALIGNING TECHNOLOGY, PHYSICIAN RESOURCES AND PROGRAMS AROUND THE CLINICAL NEEDS OF THE SERVICE AREA. THE PLAN FOCUSES ATTENTION ON KEY TERTIARY SERVICES AND THE ASSURANCE OF AN ADEQUATE SUPPLY OF PRIMARY CARE AND SPECIALIST PHYSICIANS FOR THE AREA. AT THE SAME TIME, CMH REMAINS COMMITTED TO MEETING THE COMMUNITY'S BEHAVIORAL HEALTH SERVICES NEEDS.- FINANCIAL STRENGTH: TO ENSURE CMH HAS THE FINANCIAL CAPACITY TO SUPPORT ITS CLINICAL SERVICE AND GROWTH GOALS, THE STRATEGIC PLAN CALLS THE ORGANIZATION TO DEMONSTRATE CONSISTENT PERFORMANCE WITH RESPECT TO BENCHMARKED OPERATING EFFICIENCIES. THIS INCLUDES PARTICIPATING IN 340B INDIGENT CARE PHARMACY PRICING IN ORDER TO SERVE MORE ELIGIBLE PATIENTS AND PROVIDE MORE COMPREHENSIVE SERVICE.PART VI, LINE 7CHENANGO MEMORIAL HOSPITAL FILES THE COMMUNITY BENEFIT REPORT WITH NEW YORK STATE. SCHEDULE H, PART VI, COMMUNITY HEALTH PROMOTION: A NURSE CALL SYSTEM WAS INSTALLED IN THE RESTROOMS OF OUR PEDIATRICS PRACTICE AS WELL AS OUR NEWLY RENOVATED CARDIOLOGY AND NUC MED SPACES. A PATIENT CAN PULL THE CORD OR PUSH THE BUTTON IN CASE OF AN EMERGENCY WHILE IN THE RESTROOM. THE HOSPITAL ALSO INVESTED IN SOFTWARE THAT MONITORS ALL THE NURSE CALL BELLS SO WE CAN RESPOND RAPIDLY IN CASE OF MALFUNCTION. TOTAL INVESTMENT FOR THIS EQUIPMENT WAS $33,577.AUTOMATED DOOR LOCKS AND CONTROL PANELS WERE ALSO INSTALLED IN OUR NEW CARDIOLOGY AND NUC MED SPACES. ALL DOORS ARE PROGRAMMED TO CLOSE AND OPEN AT PRE-PROGRAMMED TIMES. ANYONE WHO NEEDS TO ENTER THE SPACE DURING NON-BUSINESS HOURS, MUST SWIPE THEIR BADGE TO GET ACCESS.LASTLY, CMH PURCHASED 85 MOTOROLA EVX-261 ANALOG/DIGITAL PORTABLE RADIOS, ANTENNAS AND ASSOCIATED ACCESSORIES TO REPLACE OUTDATED EQUIPMENT. THESE RADIOS ARE PART OF OUR EMERGENCY PREPAREDNESS PROGRAM THAT ALSO INCLUDES HAM RADIOS AND OTHER EMERGENCY COMMUNICATION EQUIPMENT. TOTAL INVESTMENT WAS APPROXIMATELY $27,000. SCHEDULE H, PART VI, COMMUNITY BUILDING ACTIVITIES: LINE 7--COMMUNITY HEALTH IMPROVEMENT ADVOCACY CHENANGO COUNTY HAS BEEN DESIGNATED A HEALTH PROFESSIONAL SHORTAGE AREA ACCORDING TO THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES FOR LOW INCOME PRIMARY HEALTH CARE, DENTAL CARE, AND MENTAL HEALTH CARE. THE RATIO OF POPULATION TO PROVIDERS PLACES CHENANGO COUNTY IN THE BOTTOM HALF OF COUNTIES IN NYS FOR PRIMARY CARE PHYSICIANS. UHS CHENANGO MEMORIAL, THEREFORE, IS CONSTANTLY RECRUITING TO IMPROVE ACCESS AND INCREASE SERVICES. THE HOSPITAL'S RECRUITING SUCCESSES ARE OUTLINED IN PART V, SECTION C - SUPPLEMENTAL INFORMATION FOR PART B, SECTION B UNDER "RECRUITMENT."UHS CHENANGO MEMORIAL IS HEAVILY INVOLVED WITH HEALTH PROGRAMS AT THE STATE AND LOCAL LEVEL.*IROQUOIS HEALTH ALLIANCE (IHA)--THE HOSPITAL'S CEO IS AN IHA BOARD MEMBER. THE ORGANIZATION CONSISTS OF CEO'S OF ALL THE HOSPITALS IN CENTRAL NEW YORK. IT IS THE REGIONAL VOICE IN ALBANY AND WASHINGTON FOR UPSTATE HOSPITALS AND HEALTHCARE SYSTEMS MEMBERS. THE IHA PROMOTES A BROADER UNDERSTANDING OF, AND BUILDS SUPPORT FOR, THE HEALTH CARE SYSTEMS SERVING UPSTATE NEW YORK. THIS FORUM HAS BEEN USED BY THE DEPARTMENT OF HEALTH AND OTHER GOVERNMENT ORGANIZATIONS TO DISCUSS CHANGES IN HEALTH CARE AND NEW REGULATIONS DIRECTLY WITH HOSPITAL CEO'S. *AMERICAN HOSPITAL ASSOCIATION (AHA)--CMH'S PRESIDENT & CEO IS A MEMBER OF THE AHA. AHA'S REPRESENTATION AND ADVOCACY ACTIVITIES ENSURES THAT MEMBERS' PERSPECTIVES AND NEEDS ARE HEARD AND ADDRESSED IN NATIONAL HEALTH POLICY DEVELOPMENT, LEGISLATIVE AND REGULATORY DEBATES, AND JUDICIAL MATTERS. THEIR ADVOCACY EFFORTS INCLUDE THE LEGISLATIVE AND EXECUTIVE BRANCHES AND INCLUDE THE LEGISLATIVE AND REGULATORY ARENAS.*SOUTHERN TIER REGIONAL HEALTHCARE BENEFITS & QUALITY MANAGEMENT COMMITTEE - THE COMMITTEE CONSISTS OF EMPLOYERS AND HEALTHCARE ORGANIZATIONS FOR EXCELLUS BLUE CROSS/BLUE SHIELD TO EXPLAIN THEIR BENEFIT PROGRAMS AND QUALITY INITIATIVES, UTILIZATION, CONTROL OF UTILIZATION, I.E. USE OF CT SCANNERS AND MRI'S, WELLNESS PROGRAMS, ETC. EXCELLUS REPORTS THE RESULTS OF QUALITY MEASURES TO UNDERSTAND THE SUCCESSES AND CHALLENGES OF THEIR VARIOUS PROGRAMS. CMH'S PRESIDENT & CEO IS A MEMBER OF THIS COMMITTEE.*ON-SITE VISITS WITH CONGRESSMAN BRINDISI AND STATE SENATOR AKSHAR -BOTH ELECTED OFFICIALS VISITED CMH DURING 2019. REP. BRINDISI VISITED TO GET AN ORIENTATION OF THE HOSPITAL WITH SENIOR MANAGEMENT AND HAVE A FACILITY TOUR TO UNDERSTAND OUR NEEDS THAT COULD BE SUPPORTED WITH FEDERAL GRANTS. SENATOR ASKHAR, WHO HAS MADE SITE VISITS IN THE PAST, RETURNED FOR ANOTHER TOUR OF THE HOSPITAL AND BE UPDATED ON OUR CURRENT NEEDS AND CHALLENGES.*ADVOCACY DAY IN ALBANY, NY--COORDINATED BY THE HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS) AND THE IROQUOIS HEALTHCARE ALLIANCE (IHA), A MEMBER OF SENIOR MANAGEMENT TRAVELED TO ALBANY TO PROTEST CUTS IN HEALTHCARE IN THE PROPOSED BUDGET.*HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS)--HANYS ADVOCATES IN ALBANY AND WASHINGTON ON BEHALF OF ITS MEMBERS AND THE HEALTHCARE NEEDS OF NEW YORKERS. THEY ENGAGE WITH POLICYMAKERS, AGENCIES, COMMUNITY PARTNERS, THE MEDIA AND MORE, WHILE COLLABORATING FREQUENTLY WITH REGIONAL, STATE AND NATIONAL ASSOCIATIONS. THEY ALSO PROVIDE EDUCATION, DATA ANALYSIS, QUALITY IMPROVEMENT INITIATIVES AND OPERATIONAL ASSISTANCE TO THEIR MEMBERS AND PARTNERS. SOME OF THE CRITICAL PRIORITIES THEY ARE ADDRESSING INCLUDE MEDICAID FUNDING, OPIOID ABUSE REDUCTION, CYBERSECURITY, EMERGENCY PREPAREDNESS AND HEALTHCARE PAYMENT REFORM. THESE ARE JUST SOME OF THE CRITICAL HEALTHCARE PRIORITIES HANYS ADDRESSES. TWO SENIOR EXECUTIVES FROM HANYS DID A SITE VISIT TO CMH TO DISCUSS ANY CURRENT NEEDS AS THEY RELATE TO GOVERNMENT ASSISTANCE AND REGULATIONS.*ADVOCACY MEETING W/STATE ASSEMBLYMEN--CMH'S CEO AND TWO OTHER SENIOR LEADERS MET WITH ASSEMBLYMAN CLIFF CROUCH AND THE NYS HEALTH CARE COMMITTEE RICHARD GOTTFRIED IN ALBANY ON MARCH 5TH TO DISCUSS THE FOLLOWING TOPICS:1. CMH IS A SAFETY NET FACILITY MAINTAINING RURAL ACCESS TO CARE: MATERNITY AND OTHER MISSION-BASED SERVICES. LESS THAN HALF OF RURAL COUNTIES ACROSS THE US STILL HAVE HOSPITAL-BASED MATERNITY SERVICES. IN THE LAST DECADE, THE 3 CLOSEST HOSPITALS TO US HAVE CLOSED THEIR MATERNITY UNITS. THE NEXT CLOSEST MATERNITY UNIT IS AN HOUR DRIVE BY CAR ON RURAL ROADS. LONG-TERM CARE: CASE MIX RELATED CUT PROPOSED IN THE GOVERNOR'S BUDGET - POSSIBLE $9 PER DAY REDUCTION IN RATES.2. STAFF RATIOS: WE ARE COMMITTED TO CONSTANTLY IMPROVING THE SAFETY AND QUALITY OF THE CARE WE PROVIDE. WE DON'T FEEL THAT MANDATED STAFF RATIOS ARE THE WAY TO DO THAT. HERE'S WHY: WE USE A CARE TEAM APPROACH TO DELIVER PATIENT-CENTERED SAFE, QUALITY CARE. THE CARE TEAM IS MADE OF UP MULTIPLE PEOPLE FROM MULTIPLE SPECIALTIES & DISCIPLINES, INCLUDING DOCTORS, NURSES, NURSING ASSISTANTS, AIDES, RESPIRATORY THERAPISTS & MORE. THESE CARE TEAMS PROVIDE CARE TAILORED TO THE SPECIFIC NEEDS OF EACH INDIVIDUAL PATIENT. EACH ALLOWS THE OTHER DISCIPLINES TO FOCUS ON THEIR SPECIALTY/AREA OF EXPERTISE (& DOCTORS & RNS TO OPERATE AT THE TOP OF THEIR LICENSE). NOT EVERY PATIENT IS THE SAME, NOT EVERY RN IS THE SAME. STAFFING DECISIONS ARE MADE REAL TIME, ON THE FLOOR TO ENSURE THAT THE APPROPRIATE CARE IS DELIVERED. SUPPORT ROLES ARE IMPORTANT - BOTH TO PATIENT CARE AND OUR LOCAL ECONOMY. THE SUPPORTIVE ROLES ARE OFTEN A CAREER LADDER FOR THOSE LOOKING AT GOING INTO NURSING AND THEY NOT ONLY PLAN A KEY ROLE IN THE EXPERIENCE AND SAFETY OF THE PATIENTS, BUT THEY ALSO DO THE BASIC TASKS THAT ALLOW NURSES TO PRACTICE AT THE TOP OF THEIR LICENSE.THESE POSITIONS,WHICH DON'T REQUIRE A LOT OF FORMAL EDUCATION, ARE A KEY STEP IN RAISING FAMILIES OUT OF POVERTY.WE ARE IN THE MIDDLE OF A NURSING SHORTAGECMH HAS NUMEROUS OPENINGSTRAVELERS ARE ONLY A TEMPORARY FIXBROOME COUNTY HAS IDENTIFIED NURSING AS A CRITICAL WORKFORCE SHORTAGE.ALSO EXPERIENCING STAFFING SHORTAGES OF LPN'S, CAN'S, AND LAB TECHS.OUR INITIATIVES TO IMPROVE QUALITY & SAFETY:HIGH RELIABILITY ORGANIZATIONJUST CULTUREPURPOSEFUL ROUNDINGZERO HARMSAFETY HUDDLES3. ACCESS TO REGIONAL MENTAL/BEHAVIORAL HEALTH RESOURCESLINE 8 - WORKFORCE DEVELOPMENTIN ADDITION TO MENTORING NUMEROUS STUDENTS THROUGHOUT THE YEAR, REPRESENTATIVES OF THE HOSPITAL SERVE ON VARIOUS EDUCATIONAL BOARDS AND/OR PROVIDE INSTRUCTION IN-HOUSE TO MEDICAL STUDENTS. EXAMPLES DURING 2019 WERE AS FOLLOWS:*CMH CAREER DAYS CAMP--THIS 2-DAY EVENT IS SPONSORED BY UHS CHENANGO MEMORIAL HOSPITAL FROM FUNDING PROVIDED BY A LOCAL FOUNDATION. THIS EVENT IS FOR AREA STUDENTS GOING INTO 8TH AND 9TH GRADE. DURING THEIR CAMP EXPERIENCE, THEY ARE ABLE TO VISIT VARIOUS DEPARTMENTS IN THE MEDICAL FIELD AND DO HANDS-ON ACTIVITIES, INCLUDING LAPAROSCOPIC SURGERY, INTUBATION, AND PATIENT TRANSFERS. GOAL IS TO GAIN INTEREST IN THE DIFFERENT FIELDS SO THAT THE STUDENT CAN CONCENTRATE THEIR HIGH SCHOOL STUDIES ON CLASSES THAT WOULD BE NEEDED FOR COLLEGE ENROLLMENT. PARTICIPANTS INCLUDED LIFENET, NORWICH FIRE DEPARTMENT, THE NORWICH SCHOOL DISTRICT AND BOCES. THE EVENT HAD 17 STUDENTS.*RMED STUDENT FROM UPSTATE MEDICAL CENTER--CMH'S PRESIDENT & CEO INTERVIEWED THE RURAL MEDICINE STUDENT WHO DID HER PHYSICIAN INTERNSHIP AT CMH IN 2019. WHILE AT CMH, SHE INTERNED WITH PHYSICIANS SPECIALIZING IN PEDIATRICS, SURGERY, PRIMARY CARE, EMERGENCY MEDICINE, AND ANESTHESIOLOGY.MORRISVILLE STATE*ADVISORY COUNCIL FOR NORWICH CAMPUS--A REPRESENTATIVE FROM THE HOSPITAL'S HUMAN RESOURCE DEPARTMENT IS A MEMBER OF THIS COUNCIL. THE PURPOSE IS FOR EMPLOYERS TO ADVISE THE COLLEGE ON IDEAS FOR STUDENT ENROLLMENT, PROGRAMMING AND COMMUNITY NEEDS AND INVOLVEMENT. OTHER ATTENDEES INCLUDE REPRESENTATIVES FROM CITY OF NORWICH, YMCA, BOCES, COMMERCE CHENANGO, NBT, NORWICH CITY SCHOOLS AND OTHERS.*A HUMAN RESOURCES REPRESENTATIVE OF THE HOSPITAL ATTENDED MORRISVILLE'S STUDENT EMPLOYMENT SHOWCASE. THIS WAS AN EVENT TO PROVIDE AND ASSIST STUDENTS WITH INFORMATION REGARDING JOB OPENINGS AND INTERNSHIP OPPORTUNITIES AT CMH. *18 NURSING STUDENTS DID THEIR CLINICAL ROUNDS AT CMH IN 2019. THIS INCLUDED AN ORIENTATION BY OUR TRAINING & DEVELOPMENT SUPERVISOR ABOUT HOW TO USE THE ELECTRONIC MEDICAL RECORD SYSTEM AND THE MEDICAL ADMINISTRATION CARTS.DCMO BOCES*UHS CHENANGO MEMORIAL HAS AN ON-GOING RELATIONSHIP WITH DELAWARE, CHENANGO, MADISON, OTSEGO (DCMO) BOARD OF COOPERATIVE EDUCATIONAL SERVICES (BOCES). CMH PARTICIPATED IN MANY EVENTS THROUGHOUT THE YEAR TO SUPPORT BOCES' EDUCATIONAL AND CAREER DEVELOPMENT ACTIVITIES. SCHEDULE H, PART VI, COMMUNITY BUILDING ACTIVITIES: *NEW VISIONS (HEALTHCARE) - CMH HOSTS BOCES' NEW VISIONS STUDENTS INTERESTED IN PURSUING HEALTHCARE CAREERS. THIS GROUP HAS A CLASSROOM ON-SITE AT THE HOSPITAL THAT IS PROVIDED AT NO COST WHILE THEY PURSUE THEIR STUDIES DURING THE SCHOOL YEAR. BY HAVING THE CLASSROOM ON SITE, THEY HAVE EASY AND AMPLE ACCESS TO THE PATIENT CARE AREAS, NURSES AND CLINICAL CAREGIVERS TO OBSERVE PROCEDURES AND ASSIST WHEN APPROPRIATE. STUDENTS ENTERING THEIR SENIOR YEAR GO THROUGH A RIGOROUS APPLICATION PROCESS WITH BOCES TO GET INTO THE CLASS BASED SOMEWHAT ON THEIR CURRENT GPA. THIS PARTNERSHIP HAS PROVEN SUCCESSFUL AS MANY GRADUATES HAVE GONE ON TO GET THEIR DEGREES IN VARIOUS HEALTHCARE PROFESSIONS. SOME OF THE GRADUATES HAVE ACTUALLY RETURNED TO THE AREA. THERE WERE 20 STUDENTS ENROLLED IN THE PROGRAM IN 2018-2019. STUDENTS ALSO PLAYED THE ROLES OF "VICTIMS" IN THE HOSPITAL'S DECONTAMINATION DRILL. AT THE END OF THE SCHOOL YEAR, BOCES HOSTED THEIR ANNUAL CAREER DINNER FOR GRADUATES OF THE NEW VISIONS PROGRAM THAT WAS ATTENDED BY 3 OF CMH'S LEADERSHIP TEAM.*THE BOCES CAREER AND TECHNICAL EDUCATION CENTER CONSULTANT COMMITTEE MET IN OCTOBER TO DISCUSS WHAT'S NEW AT BOCES, THEIR INITIATIVES, TABLE DISCUSSION OF THE RELATIONSHIP BETWEEN CMH AND THE NEW VISIONS PROGRAM AND WHAT'S NEW IN HEALTH CARE TO ASSIST WITH DEVELOPING A FUTURE CURRICULUM. CMH'S INFECTION CONTROL NURSE, SERVICE LINE MANAGER OF SURGICAL SERVICES, AND TWO RESPIRATORY THERAPISTS ATTENDED THIS EVENT.*CAREER AND COLLEGE DAYS - CMH PARTICIPATED IN THIS EVENT TO EDUCATE STUDENTS ABOUT CAREERS AVAILABLE IN THEIR COMMUNITY AND PROVIDE INFORMATION ON HEALTHCARE CAREERS AND OTHER SUPPORT SERVICES RELATED TO HEALTHCARE. SHADOWING AND VOLUNTEER OPPORTUNITIES AVAILABLE WITH CMH WERE ALSO DISCUSSED. CMH'S VP OF PATIENT CARE AND SERVICE LINE MANAGER FOR CARDIAC AND ACUTE CARE SERVICES ATTENDED THE EVENT AND DISCUSSED CAREER OPPORTUNITIES WITH 8TH GRADERS.*TAKE A LOOK PROGRAM - THE HOSPITAL AND BOCES COLLABORATED TO DEVELOP A LOCAL "TAKE A LOOK PROGRAM" ALSO KNOWN AS HOSPITAL 101. MODELED AFTER A PROGRAM DEVELOPED BY THE IHA AND THE NY CHAPTER OF THE AMERICAN COLLEGE OF PHYSICIANS, THE TAKE-A-LOOK PROGRAM AIMS TO EXPOSE STUDENTS TO TRAINING, EDUCATION AND EMPLOYMENT OPPORTUNITIES IN CHENANGO COUNTY. THE EVENT INCLUDES ON-SITE MEETINGS WITH REPRESENTATIVES FROM BOCES, SUNY MORRISVILLE, UHS CHENANGO MEMORIAL, THE NYS DEPARTMENT OF LABOR, THE CHENANGO HEALTH NETWORK, AND MOHAWK VALLEY COMMUNITY COLLEGE. DURING THESE MEETINGS, STUDENTS LEARN ABOUT BOTH CLINICAL AND SUPPORT POSITIONS WITH AN EMPHASIS ON SUPPORT JOBS SUCH AS ACCOUNTING, ADMINISTRATION, BILLING, MAINTENANCE, FOOD SERVICE, MEDICAL RECORDS, PURCHASING, AND SENIOR CARE. PLANNING FOR THIS EVENT HAS BEEN A COLLABORATIVE EFFORT BETWEEN DCMO BOCES, CMH AND SUNY MORRISVILLE. THE EVENT IS SCHEDULED TO BE HELD IN 2020.*LEADERSHIP CHENANGO -- LEADERSHIP CHENANGO IS DESIGNED TO IDENTIFY AND DEVELOP INDIVIDUALS TO BECOME COMMUNITY LEADERS, VOLUNTEERS FOR CHARITABLE ORGANIZATIONS AND BOARD MEMBERS FOR SCHOOL, GOVERNMENT OR COMMUNITY ORGANIZATIONS. PARTICIPANTS JOIN OVER 300 ALUMNI WHO ARE APPLYING THEIR SKILLS TO MAKE A DIFFERENCE IN CHENANGO COUNTY. MANY OF THE LEADERSHIP CHENANGO ALUMNI CURRENTLY SERVE IN LEADERSHIP ROLES IN THE COMMUNITY OF THEIR WORKPLACE. AS A PROGRAM OF THE CHENANGO FOUNDATION, LEADERSHIP CHENANGO IS COMMITTED TO DEVELOPING ALL FACETS OF THE COUNTY INCLUDING LEADERS WHO WILL GUIDE OUR AREA TOWARD FUTURE SUCCESS. THE HOSPITAL'S COORDINATOR OF OUTREACH WILL GRADUATE FROM THE PROGRAM IN 2020 AND CMH'S DIRECTOR OF FUNDRAISING AND BUSINESS DEVELOPMENT IS A FACILITATOR.AS THE ONLY HOSPITAL IN CHENANGO COUNTY, UHS CHENANGO MEMORIAL IS THE EPICENTER FOR TRAINING AND MENTORING OF HEALTH CARE STUDENTS. IN 2019, OVER 200 STUDENTS RECEIVED HANDS-ON, REAL-LIFE EXPERIENCE ON-SITE THROUGHOUT THE YEAR.*STUDENT MENTORING -STUDENTS FROM VARIOUS EDUCATIONAL INSTITUTIONS WERE ON-SITE TO COMPLETE THEIR CLINICALS, PRECEPTORSHIPS, INTERNSHIPS, ETC., AT THE HOSPITAL IN THESE DISCIPLINES: NURSING, ANESTHESIOLOGY, RADIOLOGY, LAB, OB/GYN, CERTIFIED NURSE AID AND RURAL MEDICINE.STUDENTS CAME FROM LOCAL HIGH SCHOOLS, ALBANY MEDICAL, BOCES, BINGHAMTON UNIVERSITY, SUNY BROOME, MORRISVILLE STATE, SUNY UPSTATE MEDICAL, ALFRED STATE, KEUKA COLLEGE, KINGS COLLEGE AND SUNY POLYTECH.LINE 9 -- OTHER COMMUNITY BUILDING ACTIVITIESUHS CHENANGO MEMORIAL HOSPITAL ALSO SUPPORTS CULTURAL ORGANIZATIONS AND EVENTS IN THE AREA.*COLORSCAPE CHENANGO--THIS MAJOR SUMMER EVENT IN NORWICH, NY IS PUT ON BY THE COLORSCAPE CHENANGO ARTS FESTIVAL, INC. IT IS A JURIED ARTS, CRAFTS, FOOD AND MUSIC FESTIVAL ATTENDED BY THOUSANDS OF PEOPLE. CMH SPONSORS A FOOD BOOTH THAT WAS MANNED BY CMH AND MORRISON STAFF BOTH DAYS OF THE FESTIVAL. *ADOPT A FAMILY PROGRAM--IN COORDINATION WITH CHENANGO COUNTY DEPARTMENT OF SOCIAL SERVICES, LIBERTY PARTNERSHIP, HEAD START AND CATHOLIC CHARITIES, EMPLOYEES PURCHASED GIFTS FOR NEEDY FAMILIES FOR DISTRIBUTION AROUND CHRISTMAS. 23 FAMILIES INCLUDING 45 CHILDREN WERE SERVED.*CHENANGO COUNTY SPCA--THE HOSPITAL'S MEDICAL SOCIAL WORKER IS A BOARD MEMBER OF THE LOCAL SCPA WHICH IS A NO-KILL SHELTER. THEY PROVIDE CARE FOR LOST AND HOMELESS PETS FOR ADOPTION TO NEW HOMES. THEY ALSO EDUCATE FAMILIES AND COMMUNITIES ABOUT NEEDS OF COMPANION ANIMALS.*THE CMH AUXILIARY PROVIDES MAGAZINES AND NEWSPAPERS IN THE WAITING ROOMS AND BEAUTY SUPPLIES FOR RESIDENTS OF OUR LONG-TERM CARE FACILITY. ADDITIONALLY, VOLUNTEERS THROUGHOUT THE COMMUNITY DONATE MANY HAND-MADE ITEMS FOR DISTRIBUTION TO PEDIATRIC PATIENTS, IN-PATIENTS, AND MOMS AND BABIES.*MEMBERS OF THE NORWICH HOME BUREAU WERE INVITED TO THE HOSPITAL'S SENIOR LIVING UNIT TO CREATE/PROVIDE SEWING PROJECTS FOR THE RESIDENTS. THE CMH AUXILIARY DONATED THE SEWING MATERIAL AND BATTING FOR THE GROUP TO MAKE COUGH PILLOWS FOR SURGERY PATIENTS AND STUFFED ANIMALS FOR PEDIATRIC PATIENTS.IN A WONDERFUL GESTURE OF "GIVING BACK" THE CV FREE METHODIST CHURCH DELIVERED LUNCH ON CHRISTMAS DAY TO THOSE THAT WERE WORKING ON THE HOLIDAY. SCHEDULE H, PART VI, COMMUNITY INFORMATION: CHENANGO COUNTY HAS FOURTEEN HEALTH CENTERS LOCATED THROUGHOUT THE TOWNSHIPS. ANY PSYCHIATRIC PATIENTS MUST BE TRANSFERRED TO FACILITIES OUTSIDE THE COUNTY. THE AREA HAS A RATIO OF 1 PRIMARY CARE PROVIDER FOR EVERY 2,710 RESIDENTS AND 1 DENTIST FOR EVERY 2,820 RESIDENTS. IT HAS BEEN DESIGNATED A HEALTH PROFESSIONAL SHORTAGE AREA ACCORDING THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES FOR LOW INCOME PRIMARY HEALTH CARE, DENTAL CARE, AND MENTAL HEALTH CARE. THE RATIO OF POPULATION TO PROVIDERS PLACES CHENANGO COUNTY IN THE BOTTOM HALF OF COUNTIES IN NYS FOR PRIMARY CARE PHYSICIANS. OTHER BARRIERS TO ACCESS TO CARE INCLUDE LACK OF SPECIALTY CARE WITHIN THE COUNTY AND LACK OF TRANSPORTATION SERVICES TO THAT CARE LOCATED BOTH IN AND OUT OF THE COUNTY. THESE BARRIERS ARE TRUE FOR DENTAL AND MENTAL HEALTH AS WELL.UHS CHENANGO MEMORIAL IS A STATE DESIGNATED RURAL HOSPITAL AND WAS JUST RECENTLY DESIGNATED AS A SOLE COMMUNITY HOSPITAL BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. A HOSPITAL RECEIVES THIS DESIGNATION IF IT IS LOCATED MORE THAN 35 MILES FROM OTHER LIKE HOSPITALS. A HOSPITAL MAY ALSO BE CLASSIFIED AS A SCH IF IT IS LOCATED IN A RURAL AREA AND NO MORE THAN 25 PERCENT OF RESIDENTS WHO BECOME HOSPITAL INPATIENTS OR NO MORE THAN 25 PERCENT OF THE MEDICARE BENEFICIARIES WHO BECOME HOSPITAL INPATIENTS IN THE HOSPITAL'S SERVICE AREA ARE ADMITTED TO OTHER LIKE HOSPITALS LOCATED WITHIN A 35-MILE RADIUS OF THE HOSPITAL.ACCORDING TO THE US CENSUS BUREAU, 90% OF ADULTS HAVE A HIGH SCHOOL EDUCATION BUT ONLY 21.2% HAVE A BACHELOR'S DEGREE OR HIGHER IN CHENANGO COUNTY. APPROXIMATELY 75% OF COUNTY RESIDENTS OWN AND OCCUPY THEIR HOME WHILE 25% RENT. 28.9% OF HOMEOWNERS AND 48.4% OF RENTERS HAVE MONTHLY HOUSING COSTS THAT ARE AT LEAST 30% OF THEIR TOTAL HOUSEHOLD INCOME, ACCORDING TO THE HORN RESEARCH CFSCNY NEEDS ASSESSMENT. THIS INDICATES A LARGE SUB-GROUP OF THE POPULATION FOR WHOM HOUSING IS GENERALLY UNAFFORDABLE. IN FACT, 42.5% OF COUNTY RESIDENTS REPORT A LEVEL OF STRESS RELATED TO BEING ABLE TO AFFORD THEIR RENT OR MORTGAGE. THIS EXCEEDS THE REST OF NEW YORK STATE (EXCLUDING NEW YORK CITY) BY 6%.ALSO ACCORDING TO THE HORN ASSESSMENT, CHENANGO COUNTY LACKS SUPPORTIVE HOUSING FOR PEOPLE WITH MENTAL HEALTH DISABILITIES AND THE DEVELOPMENTALLY DELAYED POPULATION. OTHER HOUSING ISSUES INCLUDE LACK OF ASSISTIVE LIVING UNITS FOR ELDERLY AND DISABLED AND FOR RESIDENTS TRANSITIONING FROM INCARCERATION BACK INTO THE COMMUNITY. THERE IS NO HOMELESS SHELTER OR DOMESTIC VIOLENCE SHELTER AVAILABLE FOR THOSE POPULATIONS.MANY OF CHENANGO COUNTY'S FAMILIES AND HOUSEHOLDS ARE EITHER SINGLE PARENTS WHO ARE RAISING CHILDREN AND/OR HAVE ADULT MEMBERS WHO ARE AT LEAST 65 YEARS OLD. 8.6% OF THE TOTAL NUMBER OF FAMILIES LIVING IN CHENANGO COUNTY ARE ONE PARENT FAMILIES WITH CHILDREN UNDER 18 YEARS OLD, AND OF THESE SINGLE PARENT FAMILIES, 6.2% ARE FEMALE AND 2.4% ARE MALE. 12.4% OF HOUSEHOLDS ARE ADULTS 65 YEARS OR OLDER WHO LIVE ALONE. 30.4% OF ALL HOUSEHOLDS HAVE ONE OR MORE PERSONS WHO ARE 65 YEARS OR OLDER. X X X X 0 1 0 0 0 1 1 0 0 JOHN M CARRIGG BOARD MEMBER 2ND VICE CHAIR 0 792683 0 162977 0 10284 0 19000 0 20637 0 1005581 0 0 ELIZABETH K BOLAND BOARD MEMBER 0 496311 0 87845 0 0 0 19000 0 13699 0 616855 0 0 DAVE MACDOUGALL TO MAY 2019 BOARD MEMBER 0 255392 0 87400 0 220632 0 9500 0 26410 0 599334 0 0 ROHAN JAYASENA FORMER PRESIDENT OF MEDICA 369319 0 97423 0 0 0 13160 0 21581 0 501483 0 0 0 JAMES K O'BRIEN MD FORMER PRESIDENT OF MEDICA 398948 0 59220 0 0 0 13160 0 28416 0 499744 0 0 0 DRAKE LAMEN MD BOARD MEMBER PRESIDENT/CEO/CMO 329354 0 46905 0 0 0 14000 0 14014 0 404273 0 0 0 PHYLLIS SHERIFF-WHITE PRESIDENT OF MEDICAL STAFF 262498 0 15000 0 0 0 13699 0 18424 0 309621 0 0 0 MATTHEW J SALANGER FORMER 2ND VICE CHAIRMAN 0 260000 0 0 0 0 0 19000 0 752 0 279752 0 0 MARTIN MASARECH MD BOARD MEMBER 223733 0 17100 0 0 0 13160 0 20279 0 274272 0 0 0 YESU MATTA PHYSICIAN 233895 0 0 0 0 0 10028 0 23368 0 267291 0 0 0 JAMES R SIMCOE MD FORMER PRES OF MEDICAL STA 232373 0 0 0 0 0 13160 0 13977 0 259510 0 0 0 DAVID FINNEY VP NURSING 0 148087 0 18400 0 0 0 11297 0 22604 0 200388 0 0 KRISTINA K HUMMER DO VP OF MEDICAL STAFF 129116 0 37312 0 0 0 6408 0 25838 0 198674 0 0 0 CHRISTINA KISACKY VP OF OPERATIONS 144222 0 18400 0 0 0 8468 0 16444 0 187534 0 0 0 MARGARET SWARTWOOD CONTROLLER 144048 0 18400 0 0 0 8351 0 13375 0 184174 0 0 0 RON CEROW ADMINISTRATOR 123471 0 18400 0 0 0 7081 0 15624 0 164576 0 0 0 WENDY SURDOVAL VP OF QUALITY MGMT 119307 0 18400 0 0 0 7289 0 10392 0 155388 0 0 0 RICHARD STONE DIRECTOR OF SUPP SERV-FAUC 103483 0 18400 0 0 0 6232 0 22869 0 150984 0 0 0 LEIA L TRACY STAFF NURSE 108690 0 0 0 0 0 5435 0 7106 0 121231 0 0 0 AARON J VALENTINE FORMER TREASURER 51572 0 0 0 0 0 0 0 6143 0 57715 0 0 0 PART I, LINE 4B DAVE MACDOUGALL RECEIVED A PAYMENT IN 2019 FROM A 457F PLAN IN THE AMOUNT OF $220,632. PART I, LINE 6 THE EXECUTIVE COMPENSATION INCENTIVE PLAN HAS VARIOUS PERFORMANCE MEASURES WHICH INCLUDE ONES FOR CLINICAL EXCELLENCE, MARKET GROWTH, AND FINANCIAL STRENGTH. ONE MEASURE UNDER THE FINANCIAL STRENGTH HEADING IS THE COMBINED NET INCOME OF THE UNITED HEALTH SERVICES SYSTEM. A PORTION OF THE 2019 INCENTIVE COMPENSATION PAYMENTS WERE ATTRIBUTABLE TO MEETING THE COMBINED NET INCOME, PATIENT SAFETY, AND QUALITY GOALS. FORM 990 PART VII SECTION A LINE 5: INDIVIDUAL: JAMES O'BRIEN, M.D. UNRELATED ORGANIZATION: UNITED MEDICAL ASSOCIATES, INC. TYPE AND AMOUNT OF COMPENSATION: WAGES $458,168 FORM 990 PART VII SECTION A LINE 5: INDIVIDUAL: JAMES R. SIMCOE, M.D. UNRELATED ORGANIZATION: UNITED MEDICAL ASSOCIATES, INC. TYPE AND AMOUNT OF COMPENSATION: WAGES $232,373 FORM 990 PART VII SECTION A LINE 5: INDIVIDUAL: ROHAN S. JAYASENA, M.D. UNRELATED ORGANIZATION: UNITED MEDICAL ASSOCIATES, INC. TYPE AND AMOUNT OF COMPENSATION: WAGES $466,742 FORM 990 PART VII SECTION A LINE 5: INDIVIDUAL: KRISTIN HUMMER, D.O. UNRELATED ORGANIZATION: UNITED MEDICAL ASSOCIATES, INC. TYPE AND AMOUNT OF COMPENSATION: WAGES $166,428 FORM 990 PART VII SECTION A LINE 5: INDIVIDUAL: PHYLLIS SHERIFF-WHITE, M.D. UNRELATED ORGANIZATION: UNITED MEDICAL ASSOCIATES, INC. TYPE AND AMOUNT OF COMPENSATION: WAGES $277,498 FORM 990 PART VII SECTION A LINE 5: INDIVIDUAL: MARTIN MASARECH, M.D. UNRELATED ORGANIZATION: UNITED MEDICAL ASSOCIATES, INC. TYPE AND AMOUNT OF COMPENSATION: WAGES $240,833 FORM 990, PART VI, SECTION A, LINE 6 UNITED HEALTH SERVICES, INC. IS THE SOLE MEMBER OF CHENANGO MEMORIAL HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER, UNITED HEALTH SERVICES, INC, SHALL ELECT TRUSTEES AT THE ANNUAL MEETING OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B UHS INC, (THE MEMBER AS DEFINED BY THE CMH BI-LAWS) MUST PROVIDE PRIOR WRITTEN APPROVAL FOR VARIOUS ACTIONS BY THE CMH BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE 990 PREPARATION AND FILING IS THE RESPONSIBILITY OF THE HOSPITALS BOARD OF DIRECTORS WHO DELEGATES THE TIMELY AND ACCURATE COMPLETION OF THE 990 TO MANAGEMENT. THE FINANCE DIVISION PREPARED THE 990 FORMS WHICH WERE REVIEWED BY THE ORGANIZATION'S PUBLIC ACCOUNTANTS, CONTROLLER, ASSISTANT VP OF FINANCE, CORPORATE CFO AND INDEPENDENT AUDITORS PRIOR TO FILING. A SUMMARY OF KEY ELEMENTS OF THE 990 IS SHARED WITH THE BOARD OF DIRECTORS FOR INFORMATIONAL PURPOSES. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, OFFICERS AND KEY EMPLOYEES SUBMIT CONFLICT OF INTEREST STATEMENTS ANNUALLY WHICH ARE REVIEWED BY THE CEO, BOARD CHAIRMAN AND THE ORGANIZATION'S AUDIT COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 IT IS THE PHILOSOPHY OF THE HOSPITAL THAT ALL STAFF INCLUDING EXECUTIVE STAFF BE COMPENSATED FAIRLY FOR THEIR WORK. BASE SALARY LEVELS, INCENTIVE/BONUS PROGRAMS AND BENEFIT PLANS SHALL TAKE INTO ACCOUNT THE LOCAL, REGIONAL AND NATIONAL MARKETS TO ALLOW UHS HOSPITALS TO RECRUIT, MOTIVATE, REWARD, RECOGNIZE AND RETAIN HIGHLY TALENTED EXECUTIVES WITH THE SKILL SETS REQUIRED TO FULFILL ITS MISSION. THE EXECUTIVE COMPENSATION PROGRAM MUST FOCUS EXECUTIVES' ATTENTION ON UHS'S STRATEGIC INITIATIVES AND MISSION CRITICAL PERFORMANCE OBJECTIVES THAT WILL LEAD TO THE ORGANIZATION'S AND SYSTEM'S SUCCESS. TO CARRY OUT THIS COMPENSATION PHILOSOPHY, THE UHS HOSPITALS (WHICH INCLUDES CHENANGO MEMORIAL HOSPITAL) BOARD OF DIRECTORS' EXECUTIVE COMPENSATION COMMITTEE REVIEWS ANNUALLY A COMPREHENSIVE REPORT PREPARED BY AN EXTERNAL EXECUTIVE COMPENSATION CONSULTING FIRM, SULLIVAN COTTER ASSOCIATES TO DETERMINE THE APPROPRIATENESS OF THE BASE AND TOTAL COMPENSATION LEVELS FOR THE SENIOR MANAGEMENT STAFF. THIS ANNUAL REPORT FOCUSES ON TWO KEY AREAS; 1) THE COMPETITIVENESS OF THE SENIOR MANAGEMENT STAFF'S BASE AND TOTAL COMPENSATION (INCLUDING BENEFITS) VS. NATIONAL BENCHMARK DATA FOR COMPARABLY SIZED HEALTH CARE SYSTEMS AND HOSPITALS (BASED UPON 'TOTAL REVENUE' METRICS), AND 2) A 'REASONABLENESS ASSESSMENT' CONSISTENT WITH U.S. TREASURY DEPARTMENT REGULATIONS GOVERNING EXECUTIVE COMPENSATION FOR NOT-FOR-PROFIT ORGANIZATIONS. THE DATA FROM THIS REPORT ASSISTS THE EXECUTIVE COMPENSATION COMMITTEE IN DETERMINING THE APPROPRIATENESS OF THE SENIOR MANAGEMENTS' CURRENT BASE AND TOTAL COMPENSATION LEVELS AND THE NEED FOR ANY ADJUSTMENTS FOR THAT CALENDAR YEAR. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES FORM 1023, FORM 990 AND OTHER INFORMATION REQUIRED UNDER INTERNAL REVENUE SERVICE REGULATIONS TO THE PUBLIC, UPON REQUEST. FORM 990, PART IX, LINE 11G PHYSICIAN SERVICE FEES: PROGRAM SERVICE EXPENSES 11,945,684. MANAGEMENT AND GENERAL EXPENSES 1,784,987. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,730,671. FORM 990, PART XI, LINE 9: CUMULATIVE EFFECT OF AUXILIARY INCOME AND EXPENSE -21,008. CHANGE IN INTEREST IN CHENANGO MEMORIAL HOSPITAL FOUNDATION 3,228,237. PENSION CHANGES OTHER THAN NET PERIODIC BENEFIT COSTS -3,543,023. CHANGE IN VALUE OF FUNDS HELD IN TRUST BY OTHERS 592,988. RENTAL INCOME INCLUDED IN CONTRIBUTIONS -1,729. 990, PART XII, LINE 2C: NIETHER THE PROCESS FOR THE OVERSIGHT OF THE AUDIT NOR THE PROCESS FOR THE SELECTION OF THE INDEPENDENT ACCOUNTANT HAS CHANGED DURING THE YEAR. THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANTS. UNITED HEALTH SERVICES HOSPITALS INC 33-57 HARRISON STREET JOHNSON CITY NY 13790 161165049 HOSPITAL NY 501 (C) (3) 3 UNITED HEALTH SERVICES INC 0 IDEAL SENIOR LIVING CENTER INC 508 HIGH AVENUE ENDICOTT NY 13760 222902896 SENIOR LIVING CENTER NY 501 (C) (3) 3 UNITED HEALTH SERVICES INC 0 IDEAL SENIOR LIVING CENTER HOUSING CO 508 HIGH AVENUE ENDICOTT NY 13760 222902899 SENIOR HOUSING NY 501 (C) (3) 10 UNITED HEALTH SERVICES INC 0 TWIN TIER HOME HEALTH INC 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 222348211 HOME HEALTH CARE NY 501 (C) (3) 10 UNITED HEALTH SERVICES INC 0 UNITED HEALTH SERVICES INC 20-42 MITCHELL AVENUE BINGHAMTON NY 13903 222682421 PARENT COMPANY NY 501 (C) (3) 10 BOARD OF DIRECTORS UHS INC 0 PROFESSIONAL HOME CARE INC 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 161261977 HOME HEALTH CARE NY 501 (C) (3) 10 UNITED HEALTH SERVICES INC 0 DELAWARE VALLEY HOSPITAL INC ONE TITUS PLACE WALTON NY 13856 150524324 HOSPITAL NY 501 (C) (3) 3 UNITED HEALTH SERVICES INC 0 CMH FUND 179 NORTH BROAD STREET NORWICH NY 13815 222985550 INACTIVE NY 501 (C) (3) 12B CHENANGO MEMORIAL HOSPITAL INC 0 PATHWAY HEALTH MANAGEMENT INC 20 MITCHELL AVENUE BINGHAMTON NY 13903 161228654 WINDING DOWN OF MANAGEMENT SERVICES TO SUSQUEHANNA MEDICAL ASSOCIATES NY N/A C 0 CHENANGO MADA INC 179 N BROAD STREET NORWICH NY 13915 161290726 INACTIVE NY CMH FUND INC C 1.00000 1 0 0 0 0 1 0 0 0 0 0 0 1 1 0 1 0 0 0 0