ROME MEMORIAL HOSPITAL INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: ROME MEMORIAL HOSPITAL INC (EIN 16-1471634)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-14
IRS object ID: 202003199349300330
Schema version: 2019v5.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-14T09:21:40-06:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	FUST CHARLES CHAMBERS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	5784 WIDEWATERS PARKWAY	AddressLine1Txt
City	SYRACUSE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13214	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	161471634	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DEWEY ROWLANDS	PersonNm
Person Title	CFO/VP FINANCE	PersonTitleTxt
Phone	3153387000	PhoneNum
Signature	2020-11-12	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ANGELA M FRANCO	PreparerPersonNm
PTIN	P00589741	PTIN
Phone	3154463600	PhoneNum
Preparation	2020-11-12	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	67.242.7.99	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-11-12	IPDt
IP Tm	16:34:08	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	D2E8F385EE88BD29EFAB248CF612B9DA1F974714	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MARK MURPHY	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$89,679,852	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	ROMEHOSPITAL.ORG	WebsiteAddressTxt
Type Of Organization Assoc	Yes (X)	TypeOfOrganizationAssocInd
Formation	1995	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	PROVIDE QUALITY HEALTHCARE WITH COMPASSION.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	1241	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$12,749	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$10,872	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,234,636	PYContributionsGrantsAmt
CY Contributions Grants	$4,409,232	CYContributionsGrantsAmt
PY Program Service Revenue	$81,873,738	PYProgramServiceRevenueAmt
CY Program Service Revenue	$83,690,655	CYProgramServiceRevenueAmt
PY Investment Income	$188,926	PYInvestmentIncomeAmt
CY Investment Income	$137,441	CYInvestmentIncomeAmt
PY Other Revenue	$1,217,337	PYOtherRevenueAmt
CY Other Revenue	$1,289,746	CYOtherRevenueAmt
PY Total Revenue	$85,514,637	PYTotalRevenueAmt
CY Total Revenue	$89,527,074	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$47,984,561	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$47,972,926	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$44,355,900	PYOtherExpensesAmt
CY Other Expenses	$46,579,114	CYOtherExpensesAmt
PY Total Expenses	$92,340,461	PYTotalExpensesAmt
CY Total Expenses	$94,552,040	CYTotalExpensesAmt
PY Revenues Less Expenses	-$6,825,824	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$5,024,966	CYRevenuesLessExpensesAmt
Total Assets BOY	$50,687,446	TotalAssetsBOYAmt
Total Assets EOY	$47,403,294	TotalAssetsEOYAmt
Total Liabilities BOY	$28,854,675	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$30,805,077	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$21,832,771	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$16,598,217	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	ABOUT ROME MEMORIAL HOSPITAL: OVERALL, ROME MEMORIAL HOSPITAL PROVIDES INPATIENT, OUTPATIENT, SKILLED NURSING, AND EMERGENCY CARE SERVICES PRIMARILY FOR THE RESIDENTS OF ROME AND THE SURROUNDING AREAS.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$31,051,922	ExpenseAmt
Revenue	$27,595,825	RevenueAmt
Desc	INPATIENT CARE SERVICES, INPATIENT NURSING UNITS CONSIST OF THE FOLLOWING:INTENSIVE CARE-2ND FLOOR, MATERNITY-4TH FLOOR, 2 EAST MEDICAL/SURGICAL-2ND FLOOR, 2 NORTH MEDICAL/SURGICAL WITH CARDIAC MONITORING-2ND FLOOR, PEDIATRICS-2ND FLOOR, AND SENIOR BEHAVIORAL HEALTH- 2ND FLOOR.2019 INPATIENT DISCHARGES: 3,5312019 BIRTHS: 5002019 PATIENT DAYS: 15,079	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$8,663,954	ExpenseAmt
Revenue	$7,125,402	RevenueAmt
Desc	RESIDENTIAL HEALTHCARE FACILITY (RHCF)BECAUSE OF OUR COMMITTMENT TO SERVE THE UNIQUE NEEDS OF SENIORS, WE HAVE AN 80-BED RESIDENTIAL HEALTH CARE FACILITY AND INPATIENT UNIT FOR SENIOR BEHAVIORAL HEALTH CARE. OUR RESIDENTIAL HEALTHCARE FACILITY CONSISTS OF THE FOLLOWING: LONG-TERM NURSING HOME CARE, SHORT-TERM SUB-ACUTE REHABILITATION, AND RESPITE CARE- ALL LOCATED ON THE 3RD FLOOR.2019 PATIENT DAYS = 26,3472019 OCCUPANCY PERCENTAGE = 94.98%	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$8,760,672	ExpenseAmt
Revenue	$11,982,426	RevenueAmt
Desc	EMERGENCY DEPARTMENT (ED)ROME MEMORIAL HOSPITAL EMERGENCY DEPARTMENT IS A SAFETY NET FOR THE MOST VULNERABLE POPULATIONS IN THE COMMUNITY. IN 2019, APPROXIMATELY 44.99% OF THE PATIENTS TREATED WERE LISTED AS UNINSURED OR UNDER INSURED. FOR LOWER LEVEL EMERGENCY DEPARTMENT VISITS, THIS POPULATION REPRESENTED 55.01% OF THE VISITS BECAUSE MANY PRIMARY CARE PHYSICIANS DO NOT ACCEPT MEDICAID.2019 ED ADMISSIONS: 3,2272019 ED VISITS: 27,879	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$28,222,262	ExpenseAmt
Revenue	$36,987,002	RevenueAmt
Desc	ALL SERVICES TO PROVIDE QUALITY, COMPASSIONATE CARE IN A SAFE ENVIRONMENT TO SERVE THE HEALTHCARE NEEDS OF THE PEOPLE OF ROME AND THE SURROUNDING COMMUNITIES.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$28,222,262	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$36,987,002	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$76,698,810	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	39	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1241	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	3153387024	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
ANKUR DESAI MD
CHAIRMAN	2.00	Yes (X)	Yes (X)	$0	$0	$0
LYNN REESE
VICE CHAIRMAN	2.00	Yes (X)	Yes (X)	$0	$0	$0
DARLENE BURNS
SECRETARY	2.00	Yes (X)	Yes (X)	$0	$0	$0
JULIE GROW-DENTON
TREASURER	2.00	Yes (X)	Yes (X)	$0	$0	$0
DAVID NOLAN
DIRECTOR	2.00	Yes (X)		$0	$0	$0
DONALD HANSON
DIRECTOR	2.00	Yes (X)		$0	$0	$0
JOHN RESTIVO MD
DIRECTOR	2.00	Yes (X)		$0	$0	$0
KIM COOK
DIRECTOR	2.00	Yes (X)		$0	$0	$0
KRISTIN GRUNDER
DIRECTOR	2.00	Yes (X)		$0	$0	$0
LORI KAPLAN FELICE
DIRECTOR	2.00	Yes (X)		$0	$0	$0
RYAN O'SHAUGNESSY
DIRECTOR	2.00	Yes (X)		$0	$0	$0
FRANCA ARMSTRONG
DIRECTOR	2.00	Yes (X)		$0	$0	$0
KRISTIN MUCITELLI-HEATH
ST. JOSEPH'S HEALTH LIAISON	2.00	Yes (X)		$0	$0	$0
DAVID LUNDQUIST
CEO	45.00		Yes (X)	$284,822	$66,810	$570	10.00
DEWEY ROWLANDS
CFO	48.00		Yes (X)	$202,052	$30,192	$6,687	7.00
ANDREW BUSHNELL
CMO	55.00			$300,694	$0	$487		Yes (X)
MARK ROWAN
CIO	55.00			$164,120	$0	$8,306		Yes (X)
RENEE RISANESCHI
REGISTERED NURSE	55.00			$152,239	$0	$1,815		Yes (X)
ROSEMEL ATKINSON
VP OF PHYSICIAN PRACTICES	11.00			$28,820	$115,279	$233	44.00	Yes (X)
SCOTT BURNS
DIRECTOR OF PHARMACY	55.00			$147,725	$0	$8,279		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,280,472	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$212,281	TotReportableCompRltdOrgAmt
Total Other Compensation	$26,377	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	6	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
LABCORP
PO BOX 12140	BURLINGTON	NC	27216	LAB SERVICES	$4,664,881
ST JOSEPH'S PHYSICIANS
301 PROSPECT AVE	SYRACUSE	NY	13203	HOSPITALIST SERVICES	$2,918,264
PREMIER ANESTHESIA
2655 NORTHWINDS PARKWAY	ALPHARETTA	GA	30009	HOSPITALIST SERVICES	$1,467,144
STAT STAFF PROFESSIONALS
18 DIVISION STREET STE 311	SARATOGA SPRINGS	NY	12866	NURSING SERVICES	$1,138,421
TEAM HEALTH
265 BROOKVIEW CENTRE WAY STE 400	KNOXVILLE	TN	37919	PHYSICIAN STAFFING	$634,504

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	32	CntrctRcvdGreaterThan100KCnt
Related Organizations	$335,201	RelatedOrganizationsAmt
Government Grants	$3,936,788	GovernmentGrantsAmt
All Other Contributions	$137,243	AllOtherContributionsAmt
Total Contributions	$4,409,232	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INPATIENT SERVICES	622110	$27,595,825	$27,595,825
EMERGENCY DEPARTMENT	621990	$11,982,426	$11,982,426
RESIDENTIAL HEALTHCARE FACILITY	623990	$7,125,402	$7,125,402

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$36,987,002	TotalRevenueColumnAmt
Related Or Exempt Func Income	$36,987,002	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$83,690,655	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$89,581	TotalRevenueColumnAmt
Exclusion	$89,581	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$58,707	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$10,488	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$48,219	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$48,219	TotalRevenueColumnAmt
Exclusion	$48,219	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$180,150	SecuritiesAmt
Other	$10,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$127,203	SecuritiesAmt
Other	$15,087	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$52,947	SecuritiesAmt
Other	-$5,087	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$47,860	TotalRevenueColumnAmt
Exclusion	$47,860	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA SALES	722514	$240,670	$240,670
QUALITY CARE INCENTIVE PROGRAM	621990	$119,997	$119,997
GRIFFISS EYE SURGERY CENTER	541200	$12,749		$12,749

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$868,111	TotalRevenueColumnAmt
Exclusion	$868,111	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,241,527	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$89,527,074	TotalRevenueColumnAmt
Related Or Exempt Func Income	$83,690,655	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$12,749	UnrelatedBusinessRevenueAmt
Exclusion	$1,414,438	ExclusionAmt

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$486,155	TotalAmt
Management And General	$486,155	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$39,726,599	TotalAmt
Program Services	$35,079,810	ProgramServicesAmt
Management And General	$4,646,789	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$347,998	TotalAmt
Program Services	$304,007	ProgramServicesAmt
Management And General	$43,991	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,415,288	TotalAmt
Program Services	$3,851,700	ProgramServicesAmt
Management And General	$563,588	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,996,886	TotalAmt
Program Services	$2,614,645	ProgramServicesAmt
Management And General	$382,241	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$151,002	TotalAmt
Management And General	$151,002	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$142,278	TotalAmt
Management And General	$142,278	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$17,191	TotalAmt
Management And General	$17,191	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$3,269	TotalAmt
Management And General	$3,269	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$15,439,739	TotalAmt
Program Services	$15,161,226	ProgramServicesAmt
Management And General	$278,513	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$172,245	TotalAmt
Program Services	$79,139	ProgramServicesAmt
Management And General	$93,106	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$356,025	TotalAmt
Program Services	$156,507	ProgramServicesAmt
Management And General	$199,518	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,989,364	TotalAmt
Program Services	$474,596	ProgramServicesAmt
Management And General	$1,514,768	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,304,492	TotalAmt
Program Services	$1,091,181	ProgramServicesAmt
Management And General	$213,311	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$66,661	TotalAmt
Program Services	$58,828	ProgramServicesAmt
Management And General	$7,833	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$44,965	TotalAmt
Program Services	$33,907	ProgramServicesAmt
Management And General	$11,058	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$122,345	TotalAmt
Management And General	$122,345	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,922,328	TotalAmt
Program Services	$1,964,996	ProgramServicesAmt
Management And General	$957,332	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$922,893	TotalAmt
Management And General	$922,893	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE	$5,766,348	$5,766,348
SUPPLIES	$5,623,782	$5,470,101	$153,681
PHARMACY	$2,940,575	$2,940,575
PURCHASE SERVICES	$1,904,703	$517,473	$1,387,230

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,688,909	TotalAmt
Program Services	$1,133,771	ProgramServicesAmt
Management And General	$5,555,138	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$94,552,040	TotalAmt
Program Services	$76,698,810	ProgramServicesAmt
Management And General	$17,853,230	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,764,876	BOYAmt
EOY	$349,089	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,132,321	BOYAmt
EOY	$7,376,468	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,877,434	BOYAmt
EOY	$1,675,768	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,831,689	BOYAmt
EOY	$1,902,949	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,021,953	BOYAmt
EOY	$3,589,673	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$83,734,066	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$58,930,558	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$26,962,895	BOYAmt
EOY	$24,803,508	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,739,239	BOYAmt
EOY	$1,156,441	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,357,039	BOYAmt
EOY	$6,549,398	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$50,687,446	BOYAmt
EOY	$47,403,294	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$14,740,349	BOYAmt
EOY	$16,541,706	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
EOY	$1,190,489	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$14,114,326	BOYAmt
EOY	$13,072,882	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$28,854,675	BOYAmt
EOY	$30,805,077	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$19,899,886	BOYAmt
EOY	$14,876,137	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,932,885	BOYAmt
EOY	$1,722,080	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$21,832,771	BOYAmt
EOY	$16,598,217	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$50,687,446	BOYAmt
EOY	$47,403,294	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$5,024,966	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$209,587	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$17,191	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$17,191	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	$17,191 REPRESENTS THE PORTION OF THE 2019 MEMBERSHIP DUES OF HANYS, AHA, AND IROQUOIS HEALTHCARE ALLIANCE, THAT RMH IS A MEMBER OF, THAT HAS BEEN DEEMED TO BE RELATED TO LOBBYING EXPENSES. THESE EXPENDITURES ARE DEFINED AS DIRECT COMMUNICATIONS WITH CERTAIN MEMBERS OF FEDERAL, STATE, OR LOCAL GOVERNMENTS TO INFLUENCE LEGISLATION.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$704,285	BeginningYearBalanceAmt
Investment Earnings Or Losses	$40,484	InvestmentEarningsOrLossesAmt
Other Expenditures	$30,184	OtherExpendituresAmt
End Year Balance	$714,585	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$751,555	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$12,601	InvestmentEarningsOrLossesAmt
Other Expenditures	$34,669	OtherExpendituresAmt
End Year Balance	$704,285	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$747,775	BeginningYearBalanceAmt
Investment Earnings Or Losses	$102,327	InvestmentEarningsOrLossesAmt
Other Expenditures	$98,547	OtherExpendituresAmt
End Year Balance	$751,555	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$44,340,349	OtherCostOrOtherBasisAmt
Depreciation	$25,206,251	DepreciationAmt
Book Value	$19,134,098	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,477,791	OtherCostOrOtherBasisAmt
Depreciation	$2,426,782	DepreciationAmt
Book Value	$51,009	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$34,069,341	OtherCostOrOtherBasisAmt
Depreciation	$28,922,847	DepreciationAmt
Book Value	$5,146,494	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,846,585	OtherCostOrOtherBasisAmt
Depreciation	$2,374,678	DepreciationAmt
Book Value	$471,907	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$24,803,508	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
NET ASSETS OF FOUNDATION	$2,104,560
OTHER LONG-TERM RECEIVABLES	$4,444,838

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$6,549,398	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
OTHER LONG-TERM LIABILITIES	$7,781,971
THIRD-PARTY PAYABLE, NET	$4,271,651
DUE TO RELATED ENTITIES	$1,019,260

Field	Value	IRS element (for citing)
Total Liability	$13,072,882	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$89,530,621	TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$89,530,621	RevenueSubtotalAmt
Other Revenues Not Included	-$3,547	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$3,547	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$89,527,074	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$94,552,041	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$94,552,041	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$94,552,041	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	INTENDED USE OF ENDOWMENT FUND IS THAT THE PRINCIPLE CAN BE INVESTED, WHILE KEPT INTACT IN PERPETUITY; ONLY THE INCOME GENERATED CAN BE USED BY THE ORGANIZATION.
PART X, LINE 2:	THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE HOSPITAL IS SUBJECT TO FEDERAL INCOME TAXES ON UNRELATED BUSINESS INCOME UNDER SECTION 511 OF THE INTERNAL REVENUE CODE. ROME MEDICAL GROUP AND ROME MEDICAL PRACTICE ARE FOR-PROFIT ENTITIES SUBJECT TO FEDERAL AND STATE INCOME TAXES. AS OF DECEMBER 31, 2019 AND 2018, THE HOSPITAL DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2016 THROUGH 2019. THE HOSPITAL DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	GRIFFISS EYE SURGERY 1231 LOSS

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$627,559	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$630,895	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,121,672	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,915,344	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,206,328	NetCommunityBenefitExpnsAmt
Total Expense	0.05510	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$178,344	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$178,344	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,927,575	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,546,239	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,384,672	NetCommunityBenefitExpnsAmt
Total Expense	0.05700	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$68,535	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,850	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$61,685	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$68,535	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,850	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$61,685	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,996,110	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,553,089	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,446,357	NetCommunityBenefitExpnsAmt
Total Expense	0.05770	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$66,730	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$66,730	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$66,730	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$66,730	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$1,631,466	BadDebtExpenseAmt
Bad Debt Expense Attributable	$262,488	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$20,532,457	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$24,994,374	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,461,917	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	0	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 GRIFFISS EYE CENTER LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	SEE SCHEDULE R PART VII	PrimaryActivitiesTxt
Org Profit Or Ownership	0.23450	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.00000	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.76550	PhysiciansProfitOrOwnershipPct

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE LINE 7D DESCRIPTION FOR FULL URL	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE LINE 7D DESCRIPTION FOR FULL URL	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE LINE 7D DESCRIPTION FOR FULL URL	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTP://WWW.ROMEHOSPITAL.ORG/FINANCIALASSISTANCE/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTP://WWW.ROMEHOSPITAL.ORG/FINANCIALASSISTANCE/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTP://WWW.ROMEHOSPITAL.ORG/FINANCIALASSISTANCE/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ROME MEMORIAL HOSPITAL	PART V, SECTION B, LINE 5: ONEIDA COUNTY HEALTH DEPARTMENT (OCHD), ROME MEMORIAL HOSPITAL (RMH) AND MOHAWK VALLEY HEALTH SYSTEM (MVHS) COLLABORATED WITH KEY COMMUNITY STAKEHOLDERS THROUGHOUT 2019 TO ASSESS AND PRIORITIZE THE HEALTHCARE NEEDS OF THE COMMUNITY. THE 2019-2021 ONEIDA COUNTY COMMUNITY HEALTH ASSESSMENT (CHA/COMMUNITY SERVICE PLAN (CSP)) AND COMMUNITY HEALTH IMPROVEMENT PLAN SUMMARIZES THE HEALTH STATUS OF THE COMMUNITY AND PUBLIC HEALTH AND HOSPITAL PREVENTION AGENDA HEALTH IMPROVEMENT GOALS FOR THE RESIDENTS OF THE COUNTY OF ONEIDATHE ASSESSMENT PROCESS INVOLVED DATA ANALYSIS, DATA COLLECTION, AND COMMUNITY ENGAGEMENT. THE IDENTIFICATION OF PRIORITIES AND FOCUS AREAS WAS GUIDED BY A PARTNERSHIP OF COMMUNITY AGENCIES, ORGANIZATIONS AND GROUPS. STRATEGIC COMMUNITY PARTNERS WERE SOLICITED TO PARTICIPATE IN A COMMUNITY STAKEHOLDER CONFERENCE TO INFORM THE ASSESSMENT PROCESS AS WELL AS TO OBTAIN INPUT ON PERCEPTIONS OF HEALTH ISSUES WITHIN THE COMMUNITY, CONSIDERING SOCIAL DETERMINANTS OF HEALTH AND PROVIDING INSIGHT ON SPECIFIC ASPECTS OF HEALTH PRIORITIES AS IT RELATES TO THE NYSDOH PREVENTION AGENDA. THE COMMITTEE ALSO SOLICITED INPUT FROM THE COMMUNITY THROUGH THE USE OF AN ON-LINE SURVEY, REACHING 898 RESIDENTS. THIS COMBINATION OF RESEARCH FINDINGS WAS USED AS REFERENCES FOR THE DEVELOPMENT OF THE 2019-2021 PRIORITIES. THE INITIAL FINDINGS OF THE COMMUNITY HEALTH ASSESSMENT AND PRIORITIES WERE DISTRIBUTED TO THE PUBLIC VIA A PRESS RELEASE, ANNOUNCING THE AVAILABILITY OF THE DRAFT EXECUTIVE SUMMARY OVERVIEW ON HEALTH DEPARTMENT AND HOSPITAL WEBSITES. FEEDBACK FROM THE PUBIC WAS SOLICITED AT THE TIME. MEDIA INTERVIEWS AND PRINT WERE AVENUES FOR FURTHER COMMUNICATING THE PRIORITY AREAS TO THE PUBLIC. THE COUNTY ALSO CONDUCTED FOCUS GROUPS IN THREE DIFFERENT AREAS OF THE COUNTY, TO URBAN AND ONE RURAL. THE FOCUS GROUPS VALIDATED THE PRIORITY AREAS AND PROVIDED ADDITIONAL DEPTH INTO THE CHALLENGES RESIDENTS FACE ACCESSING HEALTHCARE SERVICES, INCLUDING PRIMARY CARE AND MENTAL HEALTH, WHICH ARE CRITICAL TO IMPACTING THE IDENTIFIED HEALTH PRIORITIES. CONSISTENT WITH THE NEW YORK STATE VALUE BASED PAYMENT ROADMAP, THE HOSPITALS AND THEIR AFFILIATED PRIMARY CARE PRACTICES COMMIT TO LEVERAGING INFORMATION TECHNOLOGY SYSTEMS TO IDENTIFY AND CLOSE CARE GAPS TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY. SPECIFICALLY ADDRESSING SCREENING RATES AND THE OPIOID CRISIS WILL HAVE A POSITIVE IMPACT ON UTILIZATION MEASURES, INCLUDING POTENTIALLY PREVENTABLE VISITS, POTENTIALLY PREVENTABLE ADMISSIONS, AND POTENTIALLY PREVENTABLE READMISSIONS.THE DATA FROM THE CHA GUIDES THE HOSPITAL IN THE DEVELOPMENT OF TACTICS IN SUPPORT OF ITS STRATEGIC PLAN, WHICH IS ORGANIZED UNDER THE FOLLOWING PILLARS:QUALITY: DELIVER BEST PRACTICE IN SAFETY, QUALITY AND THE PATIENT EXPERIENCE.- COMMITMENT TO A CULTURE OF SAFETY WITH HIGH RELIABILITY.- ACHIEVE THE 90TH PERCENTILE FOR PATIENT SATISFACTION NATIONALLY.- EVOLVE AND SUSTAIN A PATIENT-CENTERED COMPREHENSIVE CARE TRANSITIONS MODEL FOR IMPROVE PATIENT OUTCOMES ACROSS THE CONTINUUM OF CARE.PEOPLE: CREATE A CULTURE OF SAFE, COMPETENT, COMPASSIONATE CONNECTED CARE TO SUPPORT OUR MISSION THROUGH EDUCATION, COMMUNICATION, LEADERSHIP AND VALUES AS WE STRIVE TO BE AN EMPLOYER OF CHOICE.- DEVELOP THE SKILLS OF OUR STAFF THROUGHOUT THEIR CAREER FROM NOVICE TO EXPERT, FROM RECRUITMENT TO RETIREMENT.- ENGAGE AND ENCOURAGE THE GROWTH OF OUR STAFF AND SUSTAIN THEIR COMMITMENT TO EACH OTHER, OUR PATIENTS AND THEIR FAMILIES THROUGH RELATIONSHIP BASED CARE.- INCREASE COMMUNICATION AND TRANSPARENCY THROUGH CONSISTENT, RELEVANT AND TIMELY MESSAGING.GROWTH: PURSUE STRATEGIC GROWTH THROUGH THE EXPANSION AND DEVELOPMENT OF TARGETED HEALTHCARE SERVICES TO MEET COMMUNITY NEEDS AND THRIVE IN PURSUIT OF FULFILLING OUR MISSION AND VISION.- EXPAND ACCESS TO PRIMARY CARE.- GROW/REVITALIZE EXISTING SERVICE LINES.- EXPAND INTO NEW MARKETS.- INVEST STRATEGICALLY IN STAKEHOLDER AWARENESS.FINANCE: OPTIMIZE FINANCIAL VIABILITY VIA SHARED ACCOUNTABILITY AMONG ALL STAKEHOLDERS.- INCREASE REVENUE/CASH FLOW.- GENERATE COST SAVINGS AND EFFICIENCIES.THE 2019-2021 CHNA AND COMMUNITY HEALTH IMPROVEMENT PLAN OUTLINING THE PRIORITIES IS AVAILABLE ONLINE AT WWW.ROMEHOSPITAL.ORG.THE CHNA WAS CONDUCTED IN COLLABORATION WITH THE MOHAWK VALLEY HEALTH SYSTEM (FAXTON-ST. LUKE'S HOSPITAL AND ST. ELIZABETH'S MEDICAL CENTER), THE ONEIDA COUNTY HEALTH DEPARTMENT AND COMMUNITY ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF THE POPULATIONS SERVED BY THE COUNTY'S HOSPITALS.ROME MEMORIAL HOSPITAL ADDRESSES THE SIGNIFICANT HEALTH CARE NEEDS OF THE COMMUNITY THROUGH ITS CONTINUUM OF HEALTHCARE SERVICES/PROGRAMS AND RELATIONSHIPS WITH COMMUNITY PARTNERS. THE COMMUNITY HOSPITAL HAS 130 LICENSED ACUTE CARE BEDS, AN 80-BED SKILLED NURSING FACILITY, A BROAD ARRAY OF OUTPATIENT SERVICES AND THREE ARTICLE 28 PRIMARY CARE PRACTICES. IN ADDITION, THE HOSPITAL PROVIDES ESSENTIAL ACCESS TO PRIMARY CARE AND SPECIALTY PHYSICIAN SERVICES THROUGH TWO AFFILIATED CAPTIVE PCS.THE DATA FROM THE CHA GUIDES THE HOSPITAL IN THE DEVELOPMENT OF TACTICS IN SUPPORT OF ITS STRATEGIC PLAN, WHICH IS ORGANIZED UNDER THE FOLLOWING PILLARS:QUALITY: DELIVER BEST PRACTICE IN SAFETY, QUALITY AND THE PATIENT EXPERIENCE.PEOPLE: CREATE A CULTURE OF SAFE, COMPETENT, COMPASSIONATE CONNECTED CARE TO SUPPORT OUR MISSION THROUGH EDUCATION, COMMUNICATION, LEADERSHIP AND VALUES AS WE STRIVE TO BE AN EMPLOYER OF CHOICE.GROWTH: PURSUE STRATEGIC GROWTH THROUGH THE EXPANSION AND DEVELOPMENT OF TARGETED HEALTHCARE SERVICES TO MEET COMMUNITY NEEDS AND THRIVE IN PURSUIT OF FULFILLING OUR MISSION AND VISION.FINANCE: OPTIMIZE FINANCIAL VIABILITY VIA SHARED ACCOUNTABILITY AMONG ALL STAKEHOLDERS.UNMET COMMUNITY NEEDS ARE DUE TO A SHORTAGE OF PROVIDERS AND LIMITED FINANCIAL RESOURCES.
ROME MEMORIAL HOSPITAL	PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED IN COLLABORATION WITH THE MOHAWK VALLEY HEALTH SYSTEM (FAXTON-ST. LUKE'S HOSPITAL AND ST. ELIZABETH'S MEDICAL CENTER), THE ONEIDA COUNTY HEALTH DEPARTMENT AND COMMUNITY ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF THE POPULATIONS SERVED BY THE COUNTY'S HOSPITALS.
ROME MEMORIAL HOSPITAL	PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN COLLABORATION WITH THE MOHAWK VALLEY HEALTH SYSTEM (FAXTON-ST. LUKE'S HOSPITAL AND ST. ELIZABETH'S MEDICAL CENTER), THE ONEIDA COUNTY HEALTH DEPARTMENT AND COMMUNITY ORGANIZATIONS THAT REPRESENTED THE BROAD INTERESTS OF THE POPULATIONS SERVED BY THE COUNTY'S HOSPITALS.
ROME MEMORIAL HOSPITAL	PART V, SECTION B, LINE 7D: THE CHNA (INCLUDING AN IMPLEMENTATION PLAN) IS AVAILABLE AT THE HOSPITAL'S WEBSITE USING THE FOLLOWING URL: HTTP://WWW.ROMEHOSPITAL.ORG/ABOUTUS/COMMUNITY_HEALTH_ASSESSMENT/COMMUNITY_HEALTH_ASSESSMENT/THE CHNA IS ALSO AVAILABLE AT ONEIDA COUNTY'S WEBSITE USING THE FOLLOWING URL: HTTP://WWW.OCGOV.NET/HEALTH/COMMUNITY-HEALTH-ASSESSMENT
ROME MEMORIAL HOSPITAL	PART V, SECTION B, LINE 11: ROME MEMORIAL HOSPITAL ADDRESSES THE SIGNIFICANT HEALTH CARE NEEDS OF THE COMMUNITY THROUGH ITS CONTINUUM OF HEALTHCARE SERVICES/PROGRAMS AND RELATIONSHIPS WITH COMMUNITY PARTNERS. THE COMMUNITY HOSPITAL HAS 130 LICENSED ACUTE CARE BEDS, AN 80-BED SKILLED NURSING FACILITY, A BROAD ARRAY OF OUTPATIENT SERVICES AND THREE ARTICLE 28 PRIMARY CARE PRACTICES. IN ADDITION, THE HOSPITAL PROVIDES ESSENTIAL ACCESS TO PRIMARY CARE, URGENT CARE, AND SPECIALTY PHYSICIAN SERVICES THROUGH TWO AFFILIATED CAPTIVE PCS.THE DATA FROM THE CHA GUIDES THE HOSPITAL IN THE DEVELOPMENT OF TACTICS IN SUPPORT OF ITS STRATEGIC PLAN, WHICH IS ORGANIZED UNDER THE FOLLOWING PILLARS:QUALITY: DELIVER BEST PRACTICE IN SAFETY, QUALITY AND THE PATIENT EXPERIENCE.PEOPLE: CREATE A CULTURE OF SAFE, COMPETENT, COMPASSIONATE CONNECTED CARE TO SUPPORT OUR MISSION THROUGH EDUCATION, COMMUNICATION, LEADERSHIP AND VALUES AS WE STRIVE TO BE AN EMPLOYER OF CHOICE.GROWTH: PURSUE STRATEGIC GROWTH THROUGH THE EXPANSION AND DEVELOPMENT OF TARGETED HEALTHCARE SERVICES TO MEET COMMUNITY NEEDS AND THRIVE IN PURSUIT OF FULFILLING OUR MISSION AND VISION.FINANCE: OPTIMIZE FINANCIAL VIABILITY VIA SHARED ACCOUNTABILITY AMONG ALL STAKEHOLDERS.UNMET COMMUNITY NEEDS ARE DUE TO A SHORTAGE OF PROVIDERS AND LIMITED FINANCIAL RESOURCES.

Field	Value	IRS element (for citing)
Facility	13	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)

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

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	THE COMBINED ONEIDA COUNTY COMMUNITY HEALTH ASSESSMENT (CHA)/COMMUNITY SERVICE PLAN (CSP)) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) IS POSTED ON ROME MEMORIAL HOSPITAL'S WEBSITE AT WWW.ROMEHOSPITAL.ORG.
PART I, LINE 7:	FINANCIAL ASSISTANCE AT COST (7A) AND UNREIMBURSED MEDICAID (7B) WERE CALCULATED BY USING A COST TO CHARGE RATIO. THIS COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, SUPPLIED BY THE IRS. OTHER BENEFITS (7E & 7F) WERE CALCULATED BY DETERMINING ACTUAL COSTS AND ACTUAL REVENUE PER EVENT.THE MAIN SOURCE OR GUIDE OF HOW CALCULATIONS WERE DETERMINED WAS BY UTILIZING THE WORKSHEETS PROVIDED BY THE IRS AND THEN ADJUSTING ACCORDING TO ROME HOSPITAL SPECIFICS (IE. USING ACTUAL COSTS VS. COST TO CHARGE RATIO AS MENTIONED ABOVE).
PART I, LN 7 COL(F):	PERCENT OF TOTAL EXPENSE IS CALCULATED BY USING THE DENOMINATOR OF THE TOTAL FUNCTIONAL EXPENSES LESS BAD DEBT EXPENSE OF $5,766,348(PER AUDITED FINANCIAL STATEMENTS).
PART II, COMMUNITY BUILDING ACTIVITIES:	ROME MEMORIAL HOSPITAL PARTICIPATES IN NUMEROUS COMMUNITY COMMITTEES INVOLVED IN ENHANCING HEALTHCARE OUTCOMES THROUGH PREVENTION, EARLY DETECTION AND INTERVENTION AS WELL AS EMERGENCY PREPAREDNESS ACTIVITIES TO ENSURE A COORDINATED RESPONSE IN AN EVENT OF A DISASTER. HOSPITAL EXPERTS ARE CALLED UPON TO PARTICIPATE IN MULTIPLE INITIATIVES TO ADDRESS ISSUES, SUCH AS DOMESTIC VIOLENCE, TEENAGE PREGNANCY, AND SUBSTANCE ABUSE.ROME MEMORIAL HOSPITAL IS ALSO ONE OF 11 HOSPITALS THAT ARE MEMBERS OF THE CENTRAL NEW YORK CARE COLLABORATIVE (CNYCC), WHICH HAS IDENTIFIED 11 DSRIP PROJECTS TO ADDRESS GAPS IN CARE AND IMPROVE OUTCOMES INCLUDING: EXPANDING CAPACITY, ESPECIALLY FOR PRIMARY AND BEHAVIORAL HEALTH SERVICES, AND IMPLEMENTING CARE MANAGEMENT, CARE COORDINATION AND POPULATION HEALTH INITIATIVES. ROME MEMORIAL HOSPITAL IS A PARTNER IN 5 OF THE 11 PROJECTS.RECRUITING PHYSICIANS AND OTHER HEALTH PROFESSIONALS TO ENHANCE ACCESS TO CARE IS ONE OF THE HOSPITAL'S MOST SIGNIFICANT INVESTMENTS IN COMMUNITY BUILDING ACTIVITIES. WITH EXISTING PROVIDER SHORTAGES, MANY PRACTICES ARE NOT ACCEPTING NEW PATIENTS AND SEVERAL PRIMARY CARE PHYSICIANS WITH LARGE PATIENT PANELS ARE NEARING RETIREMENT, WHICH WILL ONLY EXACERBATE THE PROBLEM.BUILDING ON ITS TRADITION OF SERVING AS A CLINICAL SITE FOR ALLIED HEALTH PROFESSIONALS, ROME MEMORIAL HOSPITAL ENTERED INTO AN AGREEMENT WITH NEW YORK MEDICAL COLLEGE TO HELP DEVELOP THE NEXT GENERATION OF PROVIDERS.
PART III, LINE 2:	BAD DEBT EXPENSE IS CALCULATED BASED ON THE TOTAL BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS. FOR 2019, TOTAL BAD DEBT IS $5,766,348 (PER AUDITED FINANCIAL STATEMENTS). THE RATIO OF PATIENT CARE COST TO CHARGES FROM THE INSTITUTIONAL COST REPORT IS THEN APPLIED TO THE TOTAL BAD DEBT. FOR 2019, THAT PERCENTAGE IS 29.22%. THE CALCULATED AMOUNT IS THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS.
PART III, LINE 3:	TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, THE TOTAL PERCENTAGE OF FINANCIAL ASSISTANCE PROVIDED TO PATIENTS IS APPLIED TO THE CALCULATED BAD DEBT EXPENSE. FOR 2019, THE TOTAL PERCENTAGE OF FINANCIAL AID PROVIDED IS 14.36%. APPLYING THAT PERCENTAGE AGAINST THE CALCULATED BAD DEBT EXPENSE IN PART III LINE 2 RESULTS IN THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTED TO FINANCIAL AID ELIGIBLE PATIENTS.
PART III, LINE 4:	SEE AUDITED FINANCIAL STATEMENTS PAGES 11 THROUGH 13 FOR CURRENT FOOTNOTE LANGUAGE THAT DESCRIBES BAD DEBT. PART III, LINE 6; COSTING METHODOLOGY AND SOURCE:2019 ICR EXHIBIT 46 AND TENTATIVE MEDICARE SETTLEMENT RATES
PART III, LINE 8:	FINANCIAL AID PROGRAM THE SHORTFALL IN QUESTION 7 SHOULD BE TREATED AS COMMUNITY BENEFIT AS MEDICARE REIMBURSEMENTS FAIL TO COVER THE COSTS OF PROVIDING CARE TO MEDICARE BENEFICIARIES. DESPITE EFFORTS TO IMPROVE EFFICIENCY, EXPENSES FOR TECHNOLOGY, PHARMACEUTICAL, AND SALARY AND BENEFITS CONTINUE TO ESCALATE. THE HOSPITALS BAD DEBT EXPENSES IS IMPACTED BY THE SOCIOECONOMICS OF THE COMMUNITY. THE MEDIAN HOUSEHOLD INCOME FOR ONEIDA COUNTY IS LOWER THAN THE STATE AVERAGE AND OVER 16% OF THE POPULATION LIVES BELOW THE POVERTY LINE. ALTHOUGH PEOPLE MAY HAVE INSURANCE, THEIR OUT-OF-POCKET COSTS ARE HIGH BECAUSE EMPLOYERS HAVE RAISED THEIR DEDUCTIBLES OR CO-PAYMENTS, OR REDUCED WHAT THEIR PLANS COVER.TO HELP THOSE WHO ARE UNINSURED LEARN MORE ABOUT POSSIBLE OPTIONS, THE HOSPITAL'S PATIENT REGISTRATION DEPARTMENT PROVIDES INFORMATION FROM INSURERS WHICH OFFER FREE OR LOW-COST HEALTH INSURANCE THROUGH NEW YORK STATE'S CHILD HEALTH PLUS AND FAMILY HEALTH PLUS, ALONG WITH SPACE FOR REPRESENTATIVES TO ANSWER QUESTIONS AND ENROLL ELIGIBLE RESIDENTS.IN ADDITION, THE HOSPITAL HAS PARTNERED WITH THE MOHAWK VALLEY PERINATAL NETWORK, WHOSE FACILITATED ENROLLER CAN ASSIST INDIVIDUALS IN APPLYING FOR COVERAGE FROM CHILD HEALTH PLUS, FAMILY HEALTH PLUS, AND MEDICAID. IN ADDITION TO HELPING PEOPLE OBTAIN INSURANCE COVERAGE, THE HOSPITAL ALSO PROVIDES A FINANCIAL ASSISTANCE PROGRAM AND WORKS WITH PATIENTS TO SET UP AFFORDABLE PAYMENT PLANS.FINANCIAL ASSISTANCE BROCHURES ARE LOCATED IN THE HOSPITAL'S WAITING AREAS AND APPLICATIONS ARE AVAILABLE ON THE WEBSITE. RMH DISCOUNTS PATIENT ACCOUNTS UP TO 100% DEPENDING UPON FAMILY INCOME IN COMPARISON TO THE FEDERAL POVERTY LEVEL. DISCOUNTS ARE BASED UPON THE BLUE CROSS RATE, OUR HIGHEST VOLUME PAYER. ROME MEMORIAL HOSPITAL OFFERS DISCOUNTS TO THE UNINSURED/UNDERINSURED WHOSE INCOME IS UP TO 300% OF THE FEDERAL POVERTY LEVEL.BECAUSE LACK OF AWARENESS IS ONE OF THE BIGGEST BARRIERS, RMH PROVIDES INFORMATION ABOUT AVAILABLE PROGRAMS AT HEALTH FAIRS AND OTHER OUTREACH ACTIVITIES.CHANGES (ACTUAL OR POTENTIAL) IMPACTING COMMUNITY HEALTH, PROVISION OF CHARITY CARE, AND ACCESS TO SERVICES: REIMBURSEMENTS THAT FAIL TO KEEP PACE WITH RISING EXPENSES AND THE CONTINUED GROWTH IN UNCOMPENSATED CARE ARE SIGNIFICANT CHALLENGES THAT NEW YORK'S HOSPITALS FACE, INCLUDING RMH. OTHER CHALLENGES INCLUDE THE ESCALATION OF COSTS FOR DRUGS DUE TO INFLATION AND HAVING TO FIND ALTERNATE SUPPLIERS BECAUSE OF MANUFACTURER PRODUCTION SHORTAGES, SERVICES AND BAD DEBT, AND INVESTMENTS REQUIRED TO COMPLY WITH MANDATES. HERE ARE JUST A FEW EXAMPLES OF OUR CHALLENGES:UNCOMPENSATED CARE: THE COST OF FREE SERVICES PROVIDED TO OUR COMMUNITY REMAINS HIGH WITH THE RISE IN HIGH-DEDUCTIBLE PLANS AND THE APPROXIMATELY 7% OF RESIDENTS WHO ARE UNINSURED. IN 2018, ROME MEMORIAL HOSPITAL'S BAD DEBT AND CHARITY CARE TOTALED $6.6 MILLION. PHYSICIAN SHORTAGES: ROME MEMORIAL HOSPITAL HAS BEEN SUCCESSFUL IN RECRUITING SEVERAL NEW PHYSICIANS TO THE COMMUNITY, BUT AT A GREAT COST. TODAY'S PHYSICIAN WANTS TO BE EMPLOYED SO THEY DON'T HAVE TO BEAR THE RISK OF OPENING A NEW PRACTICE OR MANAGE THE ADMINISTRATIVE ASPECTS OF MEDICINE. ALTHOUGH THEY PROVIDE CRITICAL ACCESS TO CARE, THESE PRACTICES STRUGGLE TO BREAK EVEN. LACK OF PRIMARY CARE: PATIENTS WHO DON'T HAVE INSURANCE OR WHO ARE COVERED BY MEDICAID OFTEN DON'T HAVE A REGULAR PHYSICIAN FOR PREVENTATIVE CARE OR TO MANAGE CHRONIC CONDITIONS. AS A RESULT, THEY USE THE EMERGENCY DEPARTMENT AS THEIR PRIMARY CARE OR DELAY CARE UNTIL THEIR CONDITION IS MORE CRITICAL AND MORE EXPENSIVE TO TREAT. SINCE ROME MEMORIAL HOSPITAL'S NEW EMERGENCY DEPARTMENT OPENED, THE NUMBER OF PATIENT VISITS HAS STEADILY INCREASED FROM 19,000 IN 2006 TO 27,879 IN 2019. MANY PHYSICIANS DON'T ACCEPT MEDICAID PATIENTS BECAUSE OF LOW REIMBURSEMENT RATES. IN ADDITION, SENIORS MAY SOON FACE THE SAME ACCESS PROBLEMS IF CUTS TO PHYSICIAN MEDICARE RATES ARE IMPLEMENTED. PHARMACEUTICALS: THE HOSPITAL CONTINUES TO SEE SIGNIFICANT INCREASE IN DRUG COSTS DUE TO INFLATION AND MANUFACTURER PRODUCTION SHORTAGES. IN MANY CASES, THESE SHORTAGES FORCE US TO TURN TO ALTERNATE SUPPLIERS, WHO CHARGE A PREMIUM PRICE. INTERPRETER SERVICES: AS OUR POPULATION BECOMES MORE DIVERSE WITH BURMESE AND BOSNIAN REFUGEES AND SPANISH SPEAKING RESIDENTS, THERE IS A GREATER DEMAND FOR INTERPRETER SERVICES. DDSO POPULATION: THE HIGH CONCENTRATION OF DDSO CLIENTS IN ONEIDA COUNTY AND ROME PLACES A UNIQUE BURDEN ON ROME MEMORIAL HOSPITAL. WHEN DDSO CLIENTS REQUIRE HOSPITALIZATION, THEIR CASES ARE OFTEN VERY COMPLEX AND THEIR LENGTH OF STAY IS NEARLY TWICE AS LONG AS THE AVERAGE PATIENT. AS A RESULT, THE HOSPITAL IS ONCE AGAIN FACED WITH ABSORBING THE FINANCIAL LOSS OF CARING FOR THESE PATIENTS. PROGRAM VIABILITY: AS A RESULT OF THESE SIGNIFICANT FINANCIAL CHALLENGES, RMH CONTINUALLY EVALUATES THE VIABILITY OF SOME OF ITS SERVICES. AS A PART OF THE EVALUATION, RMH ASSESSES THE NUMBER OF PEOPLE SERVED AND AVAILABILITY OF OTHER SERVICES TO ADDRESS THE COMMUNITY NEED, IN ADDITION TO THE FINANCIAL BURDEN ON THE HOSPITAL.TRANSITION TO VALUE BASED PAYMENTS: TO PREPARE FOR NEW PAYMENT MODELS THAT REWARD QUALITY AND EFFICIENCY, PROVIDERS NEED TO MAKE INVESTMENTS IN SOPHISTICATED ANALYTICS TO MANAGE RISK AND CARE MANAGERS TO BETTER COORDINATE CARE.
PART VI, LINE 2:	LINE 2 - NEEDS ASSESSMENT:IN ADDITION TO THE FORMAL CHNA REPORTED IN PART V, SECTION B, ROME MEMORIAL HOSPITAL CONTINUALLY ASSESSES THE COMMUNITY'S NEEDS THROUGH ONGOING ANALYSIS OF AVAILABLE INTERNAL AND EXTERNAL DATA AND PARTICIPATION IN COMMUNITY COMMITTEES AND ORGANIZATIONS THAT REPRESENT A BROAD SEGMENT OF THE POPULATION. IN ADDITION, THE HOSPITAL ENCOURAGES COMMUNITY INPUT THROUGH ITS WEBSITE AND PATIENT ENGAGEMENT SURVEYS. INSIGHTS ARE ALSO GATHERED FROM MONITORING SOCIAL MEDIA.
PART VI, LINE 3:	LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:TO ENSURE THAT PATIENTS ARE AWARE OF THE FINANCIAL ASSISTANCE PROGRAM, PATIENTS ARE NOTIFIED THE FOLLOWING WAYS:-THE PATIENT GUIDE, WHICH IS GIVEN TO ALL INPATIENTS AND OBSERVATION PATIENTS, INCLUDES THE PLAIN LANGUAGE SUMMARY OF THE POLICY.- A PAPER COPY OF THE PLAIN LANGUAGE SUMMARY IS OFFERED TO OUTPATIENTS.- SIGNAGE IS LOCATED AT ALL INTAKE AREAS INCLUDING OFF-SITE CLINICS/LOCATIONS AND WITHIN THE BUSINESS OFFICE. THESE AREAS HAVE PAPER COPIES AVAILABLE TO THE PUBLIC IN PERSON AND BY MAIL.- ALL BILLING STATEMENTS AND COLLECTION LETTERS NOTIFY PATIENTS ON HOW TO OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE VIA PHONE OR INTERNET.- BROCHURES/PLAIN LANGUAGE SUMMARIES ARE PROVIDED TO LOCAL COMMUNITY ORGANIZATIONS THAT SERVE INDIVIDUALS MOST LIKELY TO NEED FINANCIAL ASSISTANCE.- INFORMATION IS AVAILABLE ON THE HOSPITAL'S WEBSITE WITH THE LINK TO "FINANCIAL ASSISTANCE" ACCESSIBLE FROM MULTIPLE PAGES.
PART VI, LINE 4:	LINE 4 - COMMUNITY INFORMATION:ROME MEMORIAL HOSPITAL PROVIDES HEALTHCARE SERVICES TO APPROXIMATELY 66,400 RESIDENTS IN ROME AND THE SURROUNDING RURAL COMMUNITIES IN ONEIDA COUNTY. FOR SELECTED SPECIALTIES, SUCH AS SENIOR BEHAVIORAL HEALTH CARE, ROME MEMORIAL HOSPITAL'S SERVICE AREA EXTENDS INTO THE SURROUNDING COUNTIES OF MADISON, HERKIMER LEWIS AND ONONDAGA.ROME MEMORIAL HOSPITAL'S PRIMARY SERVICE AREA INCLUDES: ROME, AVA, BLOSSVALE, BOONVILLE, CAMDEN, LEE CENTER, TABERG, WESTDALE, WESTERNVILLE AND WEST LEYDEN.RESIDENTS FROM ROME'S 13440 ZIP CODE WITH A POPULATION OF APPROXIMATELY 42,000 COMPRISE MORE THAN 60% OF RMH'S INPATIENT DISCHARGES. THE SURROUNDING COMMUNITIES ARE MOSTLY RURAL, WITH CAMDEN (POPULATION OF 6,950) AND BOONVILLE (POPULATION OF 6,276) AS THE TWO LARGEST TOWNS LOCATED IN THE PRIMARY SERVICES AREA.ROME MEMORIAL HOSPITAL AND ITS AFFILIATES SERVE AS A SAFETY NET FOR A REGION THAT IS SOCIOECONOMICALLY CHALLENGED AND AGING. MORE THAN 21 PERCENT OF THE POPULATION IS 65 AND OLDER WITH THE NUMBER OF SENIORS PROJECTED TO INCREASE BY 10 PERCENT IN THE NEXT FIVE YEARS. MORE THAN 20% OF HOUSEHOLDS HAVE INCOME LESS THAN $25,000. LESS THAN 20% OF THE POPULATION HAS A BACHELOR'S DEGREE OR GREATER, COMPARED TO MORE THAN 30% NATIONALLY.AVERAGE HOUSEHOLD INCOME FOR THE SERVICE AREA IS 27% LESS THAN THE NATIONAL AVERAGE.THE POPULATION IS 88% WHITE NON-HISPANIC, 3.9% BLACK NON-HISPANIC AND 4.5% HISPANIC.ROME MEMORIAL HOSPITAL IS THE ONLY HOSPITAL IN THE CITY OF ROME. THERE ARE TWO HOSPITALS IN SOUTHERN ONEIDA COUNTY (ST. ELIZABETH MEDICAL CENTER AND FAXTON-ST. LUKE'S HEALTHCARE).
PART VI, LINE 5:	LINE 5 - PROMOTION OF COMMUNITY HEALTH:ADDITIONAL WAYS THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE:1. ROME MEMORIAL HOSPITAL PROVIDES EMERGENCY SERVICES TO EVERYONE REGARDLESS OF ABILITY TO PAY.2. THE HOSPITAL'S INDEPENDENT GOVERNING BODY IS COMPRISED OF INDIVIDUALS WHO RESIDE OR WORK IN THE PRIMARY SERVICE AREA TO REPRESENT THE INTERESTS OF THE COMMUNITY.3. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY.4. THE HOSPITAL USES ANY SURPLUS FUNDS TO IMPROVE CARE, EXPAND FACILITIES, RECRUIT STAFF AND ADVANCE MEDICAL TRAINING AND COMMUNITY EDUCATION.
PART VI, LINE 6:	LINE 6 - AFFILIATED HEALTH CARE SYSTEM:ROME MEMORIAL HOSPITAL, INC. (THE "HOSPITAL") IS A NEW YORK STATE NOT-FOR-PROFIT CORPORATION AND TAX EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ("IRC"), AND IS PART OF THE FOLLOWING CORPORATE STRUCTURE: GREATER ROME AFFILIATES, INC. ("GRA"), A NEW YORK STATE NOT-FOR-PROFIT CORPORATION, TAX EXEMPT UNDER SECTION 501(C)(3) OF THE IRC, IS THE SOLE CORPORATE MEMBER, AND THEREFORE, THE "PARENT" OF THE HOSPITAL, AS WELL AS ROME MEMORIAL PROPERTIES, INC., A NEW YORK STATE NOT-FOR-PROFIT CORPORATION, TAX EXEMPT UNDER SECTION 501(C)(3) OF THE IRC. GRA IS ALSO THE SOLE SHAREHOLDER OF RMH SERVICES, INC., A NEW YORK STATE BUSINESS CORPORATION, WHICH WAS ESTABLISHED TO UNDERTAKE CERTAIN FOR-PROFIT BUSINESS ACTIVITIES AND WHICH HAS AN EQUITY OWNERSHIP INTEREST IN, AND IS A MEMBER OF, THREE NEW YORK STATE LIMITED LIABILITY COMPANIES: 1819 BLACK RIVER ASSOCIATES, LLC; CHESTNUT COMMONS, LLC; AND RMH RETAIL PHARMACY, LLC. MEMBERS OF THE HOSPITAL'S BOARD OF TRUSTEES AND ADMINISTRATIVE STAFF HAVE OVERLAPPING RESPONSIBILITIES ON THE BOARDS OF THE AFFILIATED CORPORATIONS TO ENSURE THAT THE HOSPITAL'S BEST INTERESTS ARE BEING SERVED. ROME MEMORIAL HOSPITAL FOUNDATION, INC., A NEW YORK STATE NOT-FOR-PROFIT CORPORATION, TAX EXEMPT UNDER SECTION 501(C)(3) OF THE IRC, IS A SEPARATE CORPORATION ESTABLISHED FOR THE SOLE PURPOSE OF CONDUCTING FUND RAISING ACTIVITIES ON BEHALF OF THE HOSPITAL, INCLUDING THE RECEIPT OF GIFTS AND BEQUESTS ON BEHALF OF THE HOSPITAL, INVESTING SUCH ASSETS, AND TRANSFERRING THEM TO THE HOSPITAL IN SUPPORT OF ITS MISSION. IT IS GOVERNED BY A SEPARATE BOARD OF DIRECTORS, WHICH HAS AMONG ITS MEMBERS HOSPITAL TRUSTEES AND MEMBERS OF THE HOSPITAL'S MEDICAL STAFF.THE SYSTEM ALSO INCLUDES TWO CAPTIVE PROFESSIONAL CORPORATIONS, INCLUDING ROME MEDICAL GROUP, P.C., A MULTI-PHYSICIAN PRIMARY CARE PRACTICE, AND ROME MEDICAL PRACTICE, P.C., A MULTI-PHYSICIAN, SPECIALTY GROUP. THE PCS ARE THE VEHICLES THROUGH WHICH PHYSICIANS ARE EMPLOYED TO SERVE THE COMMUNITY. IN TODAY'S ENVIRONMENT, MANY PHYSICIANS PREFER TO BE EMPLOYED VS. GOING OUT IN PRIVATE PRACTICE.
PART VI, LINE 7, REPORTS FILED WITH STATES	NY

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DAVID LUNDQUIST
CEO	$232,571	$66,810	$0	$0	$52,251	$0	$0	$0	$462	$108	$285,284	$66,918	$0	$0
DEWEY ROWLANDS
CFO	$202,052	$30,192	$0	$0	$0	$0	$0	$0	$5,818	$869	$207,870	$31,061	$0	$0
ANDREW BUSHNELL
CMO	$300,694	$0	$0	$0	$0	$0	$0	$0	$487	$0	$301,181	$0	$0	$0
MARK ROWAN
CIO	$164,120	$0	$0	$0	$0	$0	$0	$0	$8,306	$0	$172,426	$0	$0	$0
RENEE RISANESCHI
REGISTERED NURSE	$152,239	$0	$0	$0	$0	$0	$0	$0	$1,815	$0	$154,054	$0	$0	$0
SCOTT BURNS
DIRECTOR OF PHARMACY	$147,725	$0	$0	$0	$0	$0	$0	$0	$8,279	$0	$156,004	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 1A	FormAndLineReferenceDesc
Explanation	TYPE OF BENEFIT: PAYMENT OF 2019 MEMBERSHIP DUES AND GENERAL MAINTENANCE FEE FOR SOCIAL CLUB, AS AGREED UPON IN EMPLOYMENT CONTRACT. PERSON WHO RECEIVED BENEFIT: DAVID LUNDQUIST, CEO THIS BENEFIT WAS TREATED AS TAXABLE COMPENSATION IN 2019 FOR PERSON LISTED ABOVE.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

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

Field	Value	IRS element (for citing)
Relationship Description	SON OF BOARD DIRECTOR	RelationshipDescriptionTxt
Transaction	$147,725	TransactionAmt
Transaction	COMPENSATION	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	GREATER ROME AFFILIATES IS THE SOLE MEMBER OF ROME MEMORIAL HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7A	PER THE HOSPITAL BY-LAWS "THE SOLE CORPORATE MEMBER OF THE CORPORATION SHALL BE GREATER ROME AFFILIATES, INC. WHICH SHALL ACT HEREUNDER AS SUCH MEMBER BY DULY AUTHORIZED RESOLUTION OF ITS BOARD OF DIRECTORS AND WHICH SHALL COMMUNICATE ITS ACTIONS TO THIS BOARD THROUGH ITS PRESIDENT OR OTHER DULY AUTHORIZED OFFICER." GREATER ROME AFFILIATES APPOINTS THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11B	THE COMPLETED 2019 990 WAS PRESENTED TO THE BOARD BY THE CFO OF THE HOSPITAL AT ITS OCTOBER 2020 BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 12C	CONSISTENT WITH ROME HOSPITAL'S GIFTS, GRATUITIES AND CONFLICT OF INTEREST POLICY, THE COMPLIANCE OFFICER OF RMH HAS A CONFLICT OF INTEREST DISCLOSURE FORM COMPLETED ON AN ANNUAL BASIS BY ALL OFFICERS, DIRECTORS AND MANAGEMENT PERSONNEL. THE COMPLIANCE OFFICER COLLECTS AND REVIEWS THE BOARD OF TRUSTEES/FOUNDATION BOARD INTEREST DISCLOSURE FORMS ON AN ANNUAL BASIS. THE INFORMATION GATHERED ON THE DISCLOSURE IS REVIEWED AND ANY CONFLICTS ARE COMMUNICATED TO THE PRESIDENT/CEO, COMPLIANCE BOARD, AND BOARD OF TRUSTEES TO ENSURE ALL HOSPITAL TRANSACTION/BUSINESS ACTIVITIES ARE CONDUCTED IN A MANNER THAT IS FREE FROM UNLAWFUL OR OTHERWISE INAPPROPRIATE OFFERS OR SOLICITATIONS OF IMPROPER INDUCEMENTS IN EXCHANGE FOR INFLUENCE OR ASSISTANCE IN A TRANSACTION. POTENTIAL CONFLICTS THAT MAY ARISE THROUGHOUT THE YEAR ARE BROUGHT TO THE ATTENTION OF THE COMPLIANCE OFFICER AND PRESIDENT/CEO FOR REVIEW. ANY IDENTIFIED CONFLICTS ARE THEN REVIEWED AT THE CORPORATE COMPLIANCE COMMITTEE AND BY THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 15	USE OF IROQUOIS DATA, ASSOCIATION FOR HEALTHCARE PHILANTHROPY SALARY DATA, AND THE ROME HOSPITAL HUMAN RESOURCE DEPARTMENT ARE UTILIZED TO DETERMINE COMPENSATION FOR THE ORGANIZATION'S EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 18	FORMS ARE AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19	FORMS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST OR THROUGH WWW.GUIDESTAR.ORG- A WEBSITE THAT PROVIDES NON-PROFIT INFORMATION TO THE PUBLIC. RMH MAKES ITS GOVERNING DOCUMENTS (BY - LAWS) AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC THROUGH RMH WEBSITE - WWW.ROMEHOSPITAL.ORG. ALSO, FINANCIAL FACTS AND FIGURES AND ECONOMIC IMPACT REPORTS CAN BE FOUND ON THIS WEBSITE.
FORM 990, PART IX, LINE 11G	PHYSICIANS: PROGRAM SERVICE EXPENSES 6,097,930. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,097,930. LAB SERVICES: PROGRAM SERVICE EXPENSES 4,688,718. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,688,718. SERVICE CONTRACT : PROGRAM SERVICE EXPENSES 2,216,243. MANAGEMENT AND GENERAL EXPENSES 79,097. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,295,340. NURSE STAFFING: PROGRAM SERVICE EXPENSES 1,197,026. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,197,026. CONSULTING: PROGRAM SERVICE EXPENSES 526,150. MANAGEMENT AND GENERAL EXPENSES 199,416. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 725,566. LAUNDRY SERVICE: PROGRAM SERVICE EXPENSES 435,159. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 435,159.
FORM 990, PART XI, LINE 9:	CHANGE IN UNRESTRICTED INTEREST IN FOUNDATION BOOK/TAX DIFFERENCE OF GRIFFIS EYE CENTER CHANGE IN TEMPORARY INTEREST IN FOUNDATION -213,135. CHANGE IN RELATED ORG ASSETS 3,548.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
RMH SERVICES INC
1500 N JAMES STREET	ROME	NY	13440	161490045	FOR PROFIT	NY	GREATER ROME AFFILIATES	C	$135,195	$3,674,641	1.00000	0
ROME MEDICAL GROUP
1801 BLACK RIVER BLVD	ROME	NY	13440	161464822	CAPTIVE P.C.	NY	ROME MEMORIAL HOSPITAL	C				0
ROME MEDICAL PRACTICE
1500 N JAMES STREET	ROME	NY	13440	203827393	CAPTIVE P.C.	NY	ROME MEMORIAL HOSPITAL	C				0

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