2020-11-16T08:28:13-06:00 2019-12-31 161131146 BONADIO & CO LLP 432 NORTH FRANKLIN STREET SYRACUSE NY 13204 990 2019-01-01 160743979 NICHOLAS H NOYES MEMORIAL HOSPITAL NICH 5853356001 111 CLARA BARTON STREET DANSVILLE NY 14437 MARK PRUNOSKE CHIEF FINANCIAL OFFICER 5853356001 2020-11-15 1 TIMOTHY HAMMOND P01224809 3154227109 71.176.70.217 2020-11-15 12:54:39 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 9B9B2C04414E8A8A7B0B000B564D82BBD9A17CFF 2019 2021-01-29 14:40:06Z AMY POLLARD 111 CLARA BARTON STREET DANSVILLE NY 14437 61490114 0 X HTTPS://WWW.URMC.ROCHESTER.EDU/NOYES.ASPX X 1927 NY NICHOLAS H NOYES MEMORIAL HOSPITAL IS A 67 BED HOSPITAL WHICH PROVIDES ACUTE, SUB-ACUTE EMERGECNY AND OTHER OUTPATIENT CARE AND WHOSE MISSION IS TO SUPPORT AND PROMOTE THE HEALTH OF OUR COMMUNITIES THROUGH COMPASSIONATE QUALITY CARE. 18 12 683 90 23510 0 754622 840894 57626845 58232720 2217154 150529 1205635 1278708 61804256 60502851 0 0 0 0 32863935 34814235 0 0 47178 26653786 27013483 59517721 61827718 2286535 -1324867 58838287 59430555 20276487 20391898 38561800 39038657 NICHOLAS H. 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THESE ASSOCIATION ORGANIZATIONS, OF WHICH THE HOSPITAL IS A MEMBER, PERFORM DIRECT LOBBYING AND ADVOCACY ACTIVITIES ON BEHALF OF THEIR MEMBERS. 1857148 366078 15679 2207547 1943489 -71195 15146 1857148 1901682 56551 14626 1943489 1794736 106946 1901682 1808503 -1728 12039 794736 0.69640 0.30360 0 0 372690 372690 30983134 17011430 13971704 33503400 27667999 5835401 3030930 1095583 1935347 22115142 DUE FROM RELATED PARTIES 3262378 BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 15174014 RIGHT OF USE ASSET 773997 19210389 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 1989564 ACCRUED PENSION LIABILITY 3222298 ASSET RETIREMENT OBLIGATION 585236 OTHER LIABILITIES 747236 OPERATING LEASE LIABILITY 773997 7318331 PART V, LINE 4: INDIGENT CARE OF LIVINGSTON COUNTY RESIDENTS AND FUTURE CAPITAL PURCHASES. GOLF TOURNAMENT 22007 5000 17007 1908 2862 463 22007 5000 17007 1908 2862 463 5233 11774 1 1 1 X 1 X 1 1 1 0 1 1 12850 1427585 0 1427585 0.02310 42419 10065937 8752282 1313655 0.02120 6341 1619230 1303437 315793 0.00510 61610 13112752 10055719 3057033 0.04940 17 261321 66660 1960 64700 0.00100 3 140 123348 0 123348 0.00200 9 70391 21495418 17869496 3625922 0.05860 0 0 29 331852 21685426 17871456 3813970 0.06160 29 393462 34798178 27927175 6871003 0.11100 4 179 7846 873 6973 0.00010 1 65478 27066 0 27066 0.00040 5 65657 34912 873 34039 0.00050 1 1092076 8980823 8503941 476882 X 1 1 1 1 NICHOLAS H NOYES MEMORIAL HOSPITAL 111 CLARA BARTON STREET DANSVILLE NY 14437 HTTPS://WWW.URMC.ROCHESTER.EDU/NOYES.A X X X NICHOLAS H NOYES MEMORIAL HOSPITAL 0 0 1 X X X X X X X X 19 1 0 1 1 X HTTP://WWW.NOYES-HEALTH.ORG/COMMUNITY-SERVICES/COMMUNITY-SERVICE-PLANS X HTTP://WWW.CO.LIVINGSTON.STATE.NY.US/617/COUNTY-HEALTH-DATA X X 1 19 1 HTTP://WWW.NOYES-HEALTH.ORG/COMMUNITY-SERVICES/COMMUNITY-SERVICE-PLANS 0 1 X 100.000000000000 300.000000000000 1 1 X X X X 1 X HTTPS://WWW.URMC.ROCHESTER.EDU/NOYES/ABOUT/FINANCIAL-ASSISTANCE.ASPX X HTTPS://WWW.URMC.ROCHESTER.EDU/NOYES/ABOUT/FINANCIAL-ASSISTANCE.ASPX X HTTPS://WWW.URMC.ROCHESTER.EDU/NOYES/ABOUT/FINANCIAL-ASSISTANCE.ASPX X X X X 1 X 0 X X X 1 X 0 0 NICHOLAS H. NOYES MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: COMMON GROUND HEALTH REGIONAL CHA/CHIP: DEVELOPMENT OF THE 2019-2021 COMMUNITY HEALTH ASSESSMENT, COMMUNITY SERVICE PLANS AND COMMUNITY HEALTH IMPROVEMENT PLANS WAS A JOINT PROCESS, WHICH BEGAN IN THE SUMMER OF 2018. WHILE SUBMISSION OF THE REGIONAL COMMUNITY HEALTH ASSESSMENT WAS ON BEHALF OF THE EIGHT COUNTIES, EACH HEALTH DEPARTMENT MANAGED THEIR OWN COUNTY'S PRIORITIZATION AND PLANNING MEETINGS WITH ASSISTANCE FROM THE S2AY RURAL HEALTH NETWORK, COMMON GROUND HEALTH AND THE GENESEE VALLEY HEALTH PARTNERSHIP. REGIONAL CHECK-INS OCCURRED ON A MONTHLY BASIS.LIVINGSTON COUNTY CHA/CHIP/CSP: SELECTION OF THE 2019-2021 COMMUNITY HEALTH ASSESSMENT (CHA), COMMUNITY SERVICE PLAN (CSP) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PRIORITY AND DISPARITY AREAS WAS A JOINT PROCESS WHICH BEGAN IN THE SUMMER OF 2018 WITH ASSISTANCE FROM THE GENESEE VALLEY HEALTH PARTNERSHIP AND COMMON GROUND HEALTH. A VARIETY OF PARTNERS WERE ENGAGED THROUGHOUT THE PROCESS INCLUDING THE PUBLIC HEALTH DEPARTMENT AND NOYES HOSPITAL STAFF, COMMUNITY BASED ORGANIZATIONS (CBOS), OFFICE FOR AGING, SKILLED NURSING FACILITY, CASA, COUNTY GOVERNMENT EMPLOYEES, THE GENESEE VALLEY HEALTH PARTNERSHIP, COMMON GROUND HEALTH, COMMUNITY MEMBERS AND MORE. THE COMMUNITY AT LARGE WAS ENGAGED THROUGHOUT THE ASSESSMENT PERIOD VIA A REGIONAL HEALTH SURVEY IN 2018 (MY HEALTH STORY 2018) AND FOCUS GROUPS. PARTNERS' ROLE IN THE ASSESSMENT WERE TO HELP INFORM AND SELECT THE 2019-2021 PRIORITY AREAS BY SHARING ANY PERTINENT DATA OR CONCERNS AND ACTIVELY PARTICIPATING IN PLANNING MEETINGS.ON JUNE 11, 2019, THE HEALTH DEPARTMENT AND UR MEDICINE|NOYES HEALTH ENGAGED KEY STAKEHOLDERS ON THE CHA LEADERSHIP TEAM IN A PRIORITIZATION MEETING FACILITATED BY COMMON GROUND HEALTH. KEY PARTNERS AND COMMUNITY MEMBERS WERE INVITED TO ATTEND THE PRIORITIZATION MEETINGS, INCLUDING ALL THOSE WHO ATTENDED PRIOR FOCUS GROUPS. SOCIAL MEDIA PLATFORMS, E-MAIL, NEWS MEDIA AND NEWSLETTERS WERE UTILIZED TO HELP STIMULATE PARTICIPATION. COMMON GROUND HEALTH PROVIDED GROUP MEMBERS COPIES OF COUNTY SPECIFIC PRE-READ DOCUMENTS IN ADVANCE OF THE MEETINGS. THE DOCUMENTS INCLUDED INFORMATION ON CURRENT PRIORITY AREAS AND PROGRESS MADE TO DATE, AS WELL AS A MIX OF UPDATED QUANTITATIVE, QUALITATIVE, PRIMARY AND SECONDARY DATA ON EACH OF THE FIVE PRIORITY AREAS OUTLINED IN THE NEW YORK STATE PREVENTION AGENDA. DATA WERE COLLECTED FROM A VARIETY OF DIFFERENT SOURCES INCLUDING, BUT NOT LIMITED TO THE AMERICAN COMMUNITY SURVEY, THE ENHANCED BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, COUNTY RANKINGS AND ROADMAPS, VITAL STATISTICS, COMMUNICABLE DISEASE AND DENTAL REPORTS, PRIMARY DATA COLLECTED FROM THE MY HEALTH STORY 2018 SURVEY AND LOCAL DATA SOURCES SUCH AS LIVINGSTON COUNTY'S PREVENTION NEEDS ASSESSMENT. A COPY OF THE PRE-READ DOCUMENT, PRIORITIZATION MEETING MATERIALS AND MEETING ATTENDEES ARE AVAILABLE UPON REQUEST.USING THE ABOVE REFERENCED DATA AND GROUP DISCUSSIONS, PARTICIPANTS UTILIZED HANLON AND PEARL METHODS TO RANK A LIST OF GROUP IDENTIFIED PRIORITIES. TO ADDRESS THE PREVIOUSLY MENTIONED PRIORITIES AND DISPARITIES, THE HEALTH DEPARTMENT FACILITATED A CHIP PLANNING MEETING WHERE PARTNERS DISCUSSED OPPORTUNITIES TO LEVERAGE EXISTING WORK. EXISTING WORK EFFORTS WERE THEN COMPARED TO INTERVENTION OPTIONS (PRIMARILY SELECTED FROM THE NEW YORK STATE PREVENTION AGENDA REFRESH CHART) AND WERE INFORMALLY VOTED ON AND SELECTED.IN ADDITION, THE ONGOING COLLABORATIVE PROCESS FOR UPDATING AND REVISING THE ASSESSMENT, INCLUDING NEW INFORMATION ON DATA, WILL OCCUR DURING THE ANNUAL STATE OF THE COUNTY HEALTH REPORT 2019 UPDATE PRESENTATION AND DURING GVHP MEMBERSHIP MEETINGS AND SUBCOMMITTEE MEETINGS, SUCH AS: THE SUICIDE PREVENTION TASK FORCE AND BE WELL MEETINGS. THESE COMMITTEES ARE COMPRISED OF DIVERSE COMMUNITY SECTORS INCLUDING COMMUNITY MEMBERS. RECRUITMENT OF NEW MEMBERS OCCURS ON PARTNERS' WEBSITES AND SOCIAL MEDIA. THE GVHP BOARD REVIEWS ANNUAL MEMBERSHIP TO IDENTIFY GAPS IN MEMBERSHIP BASED ON CURRENT HEALTH PRIORITIES.THE LIVINGSTON COUNTY HEALTH DEPARTMENT, IN PARTNERSHIP WITH UR MEDICINE|NOYES HEALTH, HAS SELECTED THE FOLLOWING PRIORITY AREAS AND DISPARITY FOR THE 2019-2021 ASSESSMENT AND PLANNING PERIOD:COUNTY PRIORITY AREAS & DISPARITY LIVINGSTON COUNTY PREVENT CHRONIC DISEASE 1. HEALTHY EATING AND FOOD SECURITY 2. PHYSICAL ACTIVITY 3. CHRONIC DISEASE PREVENTATIVE CARE AND MANAGEMENT PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS 4. PROMOTE WELL-BEING 5. MENTAL AND SUBSTANCE USE DISORDERS PREVENTION DISPARITY: LOW SOCIOECONOMIC STATUS AND OLDER ADULTS NICHOLAS H. NOYES MEMORIAL HOSPITAL PART V, SECTION B, LINE 6B: LEAD CHA/CHIP AGENCIES:1. LIVINGSTON COUNTY DEPARTMENT OF HEALTH 2. UR MEDICINE | NOYES HEALTH3. GENESEE VALLEY HEALTH PARTNERSHIP: RURAL HEALTH NETWORK LIVINGSTON COUNTY 4. COMMON GROUND HEALTH EIGHT-COUNTY REGIONAL REPORT FOR CHEMUNG, LIVINGSTON, ONTARIO, SCHUYLER, SENECA, STEUBEN, WAYNE AND YATES COUNTIESLIST OF LIVINGSTON COUNTY PRIORITIZATION AGENCIES LIVINGSTON COUNTY PUBLIC HEALTH UR MEDICINE |NOYES HEALTH COMMON GROUND HEALTH EXCELLUS BLUE CROSS BLUE SHIELD ARC OF LIVINGSTON AND WAYNE LCCNR HEALTH AND WELLNESS TRI-COUNTY FAMILY MEDICINE OFFICE FOR AGING VETS GENESEE VALLEY HEALTH PARTNERSHIP NOYES MENTAL HEALTH AND WELLNESS LIVINGSTON COUNTY MENTAL HEALTH CASA/TRINITY LIVINGSTON COUNTY PLANNING DEPARTMENT CANCER SERVICES UR CENTER FOR COMMUNITY HEALTH AND PREVENTION LIVINGSTON COUNTY SHERRIFF DEPARTMENT COMMUNITY MEMBER NICHOLAS H. NOYES MEMORIAL HOSPITAL PART V, SECTION B, LINE 7D: BESIDES CHA/CHIP/CSP'S PREVIOUSLY LISTED WEBSITE POSTINGS, THE 2019-21 CHA/CHIP UPDATE WAS ALSO SHARED WITH THE FOLLOWING COMMUNITY ORGANIZATIONS, BOARDS, AND COALITIONS: SHARED WITH ALL APPROPRIATE LOCAL PR OUTLETS IN THE FORM OF A PRESS/MEDIA RELEASE CHA/CHIP/CSP UPDATE PRESENTATIONS WERE PROVIDED TO: CONTINUUM OF CARE COALITION, GENESEE VALLEY HEALTH PARTNERSHIP MEMBERSHIP, UR MEDICINE | NOYES HEALTH BOARD, UR MEDICINE|NOYES HEALTH MANAGEMENT TEAM, AND LIV CO CHA/CHIP LEADERSHIP COMMITTEE. 2019-21 CHA/CHIP UPDATE WAS ALSO SCHEDULED FOR APRIL'S ANNUAL LIVINGSTON COUNTY - STATE OF THE COUNTY HEALTH REPORT PRESENTATION, BUT HAD TO BE CANCELLED DUE TO COVID. UR MEDICINE|NOYES HEALTH: 2019 ANNUAL REPORT WILL INCLUDE CHA/CHIP UPDATE INFORMATION 2019-21 CHA/CHIP UPDATE WA SHARED IN NOYES HEALTH EMPLOYEE NEWSLETTER, THE PULSE, Q1 2020 ISSUE NICHOLAS H. NOYES MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: THE FOLLOWING INITIATIVES ARE PROVIDED BY NOYES HEALTH AS PART OF CURRENT CHA/CHIP PRIORITIES: PREVENT CHRONIC DISEASE: OBESITY PREVENTION PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE SAFE COMMUNITIES: FALL PREVENTION PREVENT CHRONIC DISEASE LIVING HEALTHY NY CLASSES: NOYES HEALTH PROVIDES UP TO FOUR 6-WEEK CERTIFIED CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS THROUGHOUT SERVICE AREA FREE OF CHARGE TO EDUCATE PARTICIPANTS TO SUCCESSFULLY MANAGE THEIR CRHONIC DISEASE AND/OR CHRONIC PAIN. NOYES DIABETES EDUCATION PROGRAM: NOYES HEALTH MAINTAINS A CERTIFIED AADE DIABETES EDUCATION PROGRAM IN OUR RURAL REGION TO PROVIDE INDIVIDUAL AND GROUP DIABETES EDUCATION SERVICES. SERVICES INCLUDE: INDIVIDUAL AND GROUP COUNSELING, INSULIN PUMP STARTS AND UPGRADES, CONTINUOUS GLUCOSE MONITOR SCREENINGS, ANNUAL DIABETES HEALTH FAIR, FREE DIABETES EDUCATION SUPPORT GROUP, AND NOYES CDE OVERSEES COUNTYWIDE DIABETES COALITION. BE WELL IN LIVINGSTON: NOYES HEALTH AND THE LIVINGSTON COUNTY DEPARTMENT OF HEALTH, WITH GRANT SUPPORT FROM THE GENESEE VALLEY HEALTH PARTNERSHIP, HAVE CO-LEAD THIS COMMUNITY HEALTH IMPROVEMENT COMMITTEE SINCE INCEPTION IN 2017.GOAL: TO REDUCE OBESITY IN CHILDREN AND ADULTS BY IMPLEMENTING POLICY, SYSTEM AND ENVIRONMENTAL CHANGESOUR MISSION: SUPPORT SUSTAINABLE HEALTHY LIFESTYLE CHOICES WITHIN COMMUNITIES THROUGH POLICY, SYSTEM AND ENVIRONMENTAL CHANGES UTILIZING LOCAL RESOURCES.OUR VISION: BE WELL IN LIVINGSTON WILL SUPPORT LOCAL COMMUNITIES WITH OPPORTUNITIES TO PROMOTE HEALTHY LIVING.COMMITTEE OVERSEES AND SUPPORTS COMMUNITY EFFORTS TO EAT BETTER, MOVE MORE AND STRESS LESS., UTILIZING LOCAL RESOURCES. ASSESSMENTS ARE COMPLETED (SCHOOL, WORKSITE, LOCAL GOVERNMENT, SERVICE GROUPS, CHURCHES), DATA ANALYZED AND PRIORITIES IDENTIFIED BY LOCAL BE WELL COMMITTEE. THE COUNTYWIDE BE WELL COMMITTEE ASSISTS WITH MEETING MANAGEMENT, RESOURCES, COMMUNICATIONS AND EVENT SUPPORT. MODEL DEVELOPED WITH FIRST RURAL TOWN BASED ON HEALTH DATA AND NEEDS IN 2018. MODEL THEN EXPANDED TO SECOND TOWN IN Q4 2019, BUT MOST WORK ON HOLD SINCE MARCH 2020 DUE TO COVID. NOYES HEALTH DESIGNATED STROKE CENTERTHE STAFF AT NOYES HEALTH ARE COMMITTED TO PROVIDING QUALITY STROKE CARE TO EVERY PATIENT. OUR PROVIDERS AND NURSING STAFF ARE TRAINED IN EARLY STROKE CARE AND WORK HARD EVERY DAY TO PROVIDE THE BEST POSSIBLE OUTCOME FOR OUR PATIENTS. TIME IS THE MOST IMPORTANT FACTOR WHEN SOMEONE IS POSSIBLY SUFFERING A STROKE AND OUR TEAM IS READY TO BEAT THAT CLOCK. BEING A DESIGNATED STROKE CENTER MEANS THAT OUR TEAM HAS WORKED HARD TO MEET THE STRINGENT STANDARDS SET BY NEW YORK STATE FOR STROKE CARE AND WILL CONTINUE EFFORTS TO ONLY IMPROVE OUR PROGRAM. OUR TEAM IS FURTHER ADVANCED THROUGH OUR AFFILIATION WITH THE UNIVERSITY OF ROCHESTER MEDICAL CENTER THAT ALLOWS OUR EMERGENCY PROVIDERS TO CONNECT WITH A TEAM OF INTERVENTIONAL STROKE NEUROLOGISTS 24/7. THIS BRINGS THE SPECIALIZED RESOURCES OF UR MEDICINE, A COMPREHENSIVE STROKE CENTER, TO THE RESIDENTS OF THIS RURAL COMMUNITY AND SURROUNDING COMMUNITIES.PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE DISORDERS ACCESS TO CARE: NOYES MENTAL HEALTH AND WELLNESS CLINIC CONTINUED TO EXPAND TO MEET INCREASING NEEDS FOR COUNSELING AND THERAPEUTIC INTERVENTIONS IN THE REGION. EVERY DAY, THE MENTAL HEALTH AND WELLNESS STAFF COLLABORATE WITH PATIENTS, THEIR FAMILIES, AND COUNTY AGENCIES TO SUPPORT WELLNESS AND RECOVERY, AND TO MAKE A PROFOUND DIFFERENCE IN THE LIVES OF AREA RESIDENTS THOSE STRUGGLING WITH LIFE'S EVERYDAY CHALLENGES, AS WELL AS THOSE WITH SEVERE AND PERSISTENT MENTAL ILLNESS. IN 2019, CLINIC VISITS GREW 12% - FROM 20K TO 22.5K VISITS. OVER 500 PEOPLE UTILIZED THE DANSVILLE CLINIC'S WALK-IN CRISIS OPTION, THAT WAS EXPANDED TO 8A 4:30P MON THRU FRI TO HELP PATIENTS IN CRISIS AND/OR WITH ACCESS ISSUES. STAFFING LEVELS ALSO INCREASED TO MEET THE DEMAND, AND NOW INCLUDE ONE FULL-TIME CHILD PSYCHIATRIST, THREE FULL-TIME NURSE PRACTITIONERS, AND 24 THERAPISTS.TWO NEW SATELLITE OFFICES WERE ADDED TO PROVIDE MENTAL HEALTH SERVICES IN 2019: MAY CENTER (BOCES) IN MT MORRIS AND CANASERAGA CENTRAL SCHOOL. LAND WAS ALSO PURCHASED TO START CONSTRUCTION IN 2020 OF A NEW NOYES MENTAL HEALTH AND WELLNESS CLINIC IN AVON (NORTHERN PART OF COUNTY), TO COMPLEMENT THEIR BASE OFFICE LOCATION IN DANSVILLE (SOUTHERN PART OF COUNTY). MOBILE CRISIS RESPONSE TEAM (DSRIP PROJECT): NOYES COLLABORATED WITH CASA TRINITY, UR MEDICINE, LOCAL FIRST RESPONDERS AND THE LIVINGSTON COUNTY MENTAL HEALTH DEPARTMENT TO CREATE THE 24/7 MOBILE CRISIS RESPONSE TEAM. THE PROGRAM IS A MULTI-AGENCY EFFORT TO PREVENT POTENTIAL INCARCERATION OF PERSONS FACING WHAT APPEARS TO BE A MENTAL HEALTH CRISIS, AND TO DECREASE THE NEED FOR EMERGENCY HOSPITAL ADMISSION OR INPATIENT PSYCHIATRIC SERVICES. IN 2019 (Y2 OF PROJECT), LAW ENFORCEMENT OFFICERS ASSESSED CALLS FOR BEHAVIORAL HEALTH ISSUES, AND, IF NECESSARY, CONTACTED THE MOBILE CRISIS COUNSELOR ON-CALL. THE COUNSELOR RESPONDED TO SCENE, IMMEDIATELY ASSESSED THE SITUATION AND DETERMINED A PLAN OF ACTION. IN 2019, OVER 100 REFERRALS AND 100 HOSPITAL DIVERSIONS WERE DONE IN LIVINGSTON COUNTY, RESULTING IN PATIENTS RECEIVING APPROPRIATE CARE OUTSIDE THE HOSPITAL OR JAIL SETTING. UNFORTUNATELY, FUNDING FOR THIS PROJECT IS SCHEDULED TO END IN 2020. MONITOR/SECURE/DISPOSE PROGRAM: LIKE MANY AREAS OF THE COUNTRY, LIVINGSTON COUNTY HAS SEEN AN INCREASE IN LEVELS OF OPIATE ABUSE AND ADDICTION. MANY DRUG ADDICTIONS BEGIN WITH PRESCRIPTION DRUG ABUSE, THEREFORE IN RESPONSE TO THIS NEED, ONE OF THE COUNTY'S PRIORITIES IS TO RESTRICT AVAILABILITY AND TO MONITOR, SECURE, AND SAFELY DISPOSE OF PRESCRIPTION DRUGS. TO DATE, MED DROP BOXES HAVE BEEN INSTALLED IN 7 LOCATIONS THROUGHOUT THE COUNTY WITH OVER 6000 LBS OF UNWANTED MEDS DISPOSED. PROGRAM IS PROVIDED IN PARTNERSHIP WITH CASA TRINITY TO ORDER/INSTALL BOXES PER REGULATIONS AND LIVINGSTON COUNTY SHERIFF PICKS UP/DISPOSES OF UNWANTED MEDS (INCINERATED). MED DROP BOX LOCATION INFO IS AVAILABLE AT ALL NOYES HEALTH SITES TO SHARE WITH PATIENTS/FAMILIES/CAREGIVERS. SUICIDE PREVENTION TASK FORCE: NOYES MENTAL HEALTH STAFF CONTINUE TO BE ACTIVE PARTICIPANTS ON LIVINGSTON COUNTRY'S SUICIDE PREVENTION TASK FORCE. IN 2019, THE TASK FORCE INCREASED COMMUNITY OUTREACH WITH ANTI-STIGMA ADS, BILL BOARDS, BANNERS, SOCIAL MEDIA POSTS, AND OVER 50 PEOPLES ATTENDED THE ANNUAL CANDLELIGHT VIGIL FOR FAMILIES IMPACTED BY SUICIDE. SUICIDE PREVENTION EDUCATION PROVIDED WITH FOCUS ON SCHOOLS AND VETERANS. MONTHLY SUICIDE BEREAVEMENT SUPPORT GROUP IS AVAILABLE TO SUPPORT FAMILIES IMPACTED BY SUICIDE. PROGRAMS AND EFFORTS HAVE HAD POSITIVE IMPACT AS DEMONSTRATED BY COUNTY'S SUICIDE RATE: RANKING HIGHEST IN 8-COUNTY REGION IN 2015-16 AND NOW LOWEST IN 2019.PROMOTE A HEALTHY AND SAFE ENVIRONMENTFALL PREVENTION LIVINGSTON COUNTY FALL PREVENTION TASK FORCE: CO-LEAD BY UR MEDICINE | NOYES HEALTH AND THE LIVINGSTON COUNTY DEPARTMENT OF HEALTH AND OFFICE FOR AGING. THEIR WORK IS TO ADDRESS SAFETY NEEDS OF OUR AGING POPULATION AND IMPLEMENT EVIDENCE-BASED STRATEGIES TO PROMOTE PHYSICAL ACTIVITY OPPORTUNITIES THOUGH ACTIVE DESIGN PROMOTION FOR OLDER ADULTS (TAI CHI, MATTER OF BALANCE, ETC.). HOME SAFE HOME: UR MEDICINE | NOYES HEALTH MANAGES THE LIVINGSTON COUNTY HOME SAFE HOME FALL PREVENTION PROGRAM THROUGH OUTREACH, REFERRAL MANAGEMENT, FUNDING, AND DATA COLLECTION. REFERRALS FOR HOME SAFETY ASSESSMENTS, LIGHT HOME MODIFICATIONS (GRAB BARS, HANDHELD SHOWERS, RAILINGS), AND EDUCATION, ARE COMPLETED BY PROGRAM PARTNER, LIFESPAN OF ROCHESTER. NOYES CO-HOSTS THE ANNUAL LIVINGSTON COUNTY FALL PREVENTION WORKSHOP IN LAKEVILLE DURING SEPTEMBER. THE EVENT IS WELL ATTENDED (50-60 OLDER ADULTS) WHO LEARN ABOUT FALL PREVENTION AND RESOURCES TO ASSIST STAY ACTIVE AND SAFE. CHA COMMUNITY HEALTH SURVEY IN THE FALL OF 2018, UR MEDICINE | NOYES HEALTH WORKED WITH THE LIVINGSTON COUNTY DEPARTMENT OF HEALTH AND COMMON GROUND HEALTH TO BEGIN THE 2019 LIVINGSTON COUNTY COMMUNITY HEALTH ASSESSMENT PROCESS. THE "MY HEALTH STORY 2018" COMMUNITY HEALTH SURVEY WAS COMPLETED IN 2018, WITH ALMOST 500 SURVEYS COMPLETED BY LIVINGSTON COUNTY CONSUMERS AND PROVIDERS. THIS WAS STEP ONE OF A FIVE STEP ASSESSMENT PROCESS COMPLETED IN 2019. PART V, SECTION B, LINE 11: CANCER SUPPORT SERVICES COALTION (CSS): WITH THE 2017 OPENING OF THE ANN AND CARL MYERS CANCER CENTER IN DANSVILLE, NOYES RECOGNIZED OPPORTUNITIES TO EXPAND SUPPORT SERVICES FOR PATIENTS AND CAREGIVERS ACROSS THE TRI-COUNTY REGION AND BEGAN TO REACH OUT TO REGIONAL CANCER SERVICE SUPPORT PROGRAMS, HEALTH CARE AGENCIES, CANCER SURVIVORS, INDIVIDUALS AND COMMUNITY GROUPS. CANCER SUPPORT SERVICE PROVIDERS AND PARTNERS MEET MONTHLY FOR EDUCATION, INFO SHARING AND PARTNERSHIPS TO GROW OUR RURAL AREA CANCER SUPPORT SERVICES. MEETINGS ARE HELD 6 X'S/YR FOR INFO SHARING AND PROGRAM SPEAKERS, I.E. GILDAS CLUB OF ROCHESTER, CAREGIVER RESOURCE CENTER, 13THIRTY CANCER CONNECT AND PLUTA CANCER CENTER.PARTNERSHIP PROGRAMSNOYES CAREGIVER RESOURCE CENTER: THE CAREGIVER RESOURCE CENTER AT NOYES HOSPITAL PROVIDES CAREGIVER SUPPORT SERVICES IN PARTNERSHIP WITH LIVINGSTON COUNTY OFFICE FOR THE AGING. THE PROGRAM ASSISTS INFORMAL CAREGIVERSSPOUSES, ADULT CHILDREN, OTHER FAMILY MEMBERS, FRIENDS, AND NEIGHBORSIN THEIR EFFORTS TO CARE FOR PERSONS WHO NEED HELP WITH EVERYDAY TASKS. THIS CRUCIAL ASSISTANCE ALLOWS THESE PERSONS WITH CHRONIC ILLNESSES OR DISABILITIES TO REMAIN LIVING IN THEIR OWN HOMES THROUGHOUT OUR COMMUNITY.SERVICES INCLUDE INFORMATION & ASSISTANCE, RESPITE CARE (BOTH IN-HOME AND DAY CARE), SUPPORT GROUPS, EDUCATION, MONTHLY CAREGIVER NEWSLETTER, AND COORDINATION OF THE ANNUAL CAREGIVER SYMPOSIUM EVENT. 4 1 - LIVINGSTON HEALTH SERVICES 50 EAST SOUTH STREET GENESEO NY 14454 OUTPATIENT SURGERY, DIAGNOSTIC, AND URGENT CARE 2 - NOYES MENTAL HEALTH CLINIC 9221 ROBERT HART DRIVE DANSVILLE NY 14437 MENTAL HEALTH CLINIC 3 - NOYES CNTR FOR KIDNEY DISEASE & DIALYSIS 4616 MELLENIUM DRIVE GENESEO NY 14454 CHRONIC DIALYSIS CENTER AND NEPHROLOGIST 4 - CREEKSIDE FAMILY MEDICINE 12 NORTH CHURCH STREET CANASERAGA NY 14822 PRIMARY CARE PHYSICIAN OFFICE PART II, COMMUNITY BUILDING ACTIVITIES: COALITION BUILDING ACTIVITIES:NOYES CONTINUUM OF CARE COALITION (CCC): THIS 40-AGENCY COALITION MEETS SIX TIMES/YEAR AT NOYES HOSPITAL FOR EDUCATION, AGENCY UPDATES, AND NETWORKING. EDUCATION TOPICS IN 2019 INCLUDED: MOBILE CRISIS SERVICES, MAX (MEDICAID ACCELERATED EXCHANGE SERVICES), LOCAL ADDICTION TREATMENT AND SUPPORT PROGRAMS, LOCAL FAITH BASED SUPPORT AGENCIES, HOSPICE/PALLIATIVE CARE SERVICES, AND VETERAN SERVICES UPDATE.MEMBERS USE THE GROUP EMAIL ADDRESS OF CCC@NOYESHEALTH.ORG TO SHARE AGENCY/PROGRAM INFORMATION IN BETWEEN MEETINGS. HEALTH AND HUMAN SERVICE AGENCY PARTNERSHIPS AND COLLABORATIONS HAVE STRENGTHENED VIA THIS COALITION. PART III, LINE 2: IMPLICIT PRICE CONCESSIONS IS ESTIMATED BASED ON HISTORICAL COLLECTION RATES, WHICH ARE UPDATED ANNUALLY. PART III, LINE 4: PAGE 12 IN THE ATTACHED FINANCIAL STATEMENTS CONTAIN THE FOOTNOTE THAT DESCRIBES IMPLICIT PRICE CONCESSIONS. PART III, LINE 8: THERE IS NO MEDICARE SHORTFALL THEREFORE NONE IS TREATED AS COMMUNITY BENEFIT AND NO COSTING METHODOLOGY IS USED. PART III, LINE 9B: FINANCIAL ASSISTANCE ELIGIBLE PATIENT BALANCES ARE DISCOUNTED ACCORDING TO THE FINANCIAL ASSISTANCE POLICY AND FEDERAL POVERTY GUIDELINES. PATIENTS WHO DO NOT APPLY FOR FINANCIAL ASSISTANCE AND HAVE NOT PAID BALANCES OWED ON ACCOUNTS HAVE A DETERMINATION OF PRESUMPTIVE ELIGIBILITY SCORE BY AN OUTSIDE VENDOR USING ANALYTICAL SOFTWARE. PATIENTS DEEMED ELIGIBLE BY THIS VENDOR ARE NOT SENT TO AN OUTSIDE COLLECTION AGENCY AND RECEIVE 100% DISCOUNT. PART VI, LINE 2: NEEDS ASSESSMENTSELECTION OF THE 2019-2021 COMMUNITY HEALTH ASSESSMENT (CHA), COMMUNITY SERVICE PLAN (CSP) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PRIORITY AND DISPARITY AREAS WAS A JOINT PROCESS WHICH BEGAN IN THE SUMMER OF 2018 WITH ASSISTANCE FROM THE GENESEE VALLEY HEALTH PARTNERSHIP AND COMMON GROUND HEALTH. A VARIETY OF PARTNERS WERE ENGAGED THROUGHOUT THE PROCESS INCLUDING THE PUBLIC HEALTH DEPARTMENT AND HOSPITAL STAFF, COMMUNITY BASED ORGANIZATIONS (CBOS), OFFICE FOR AGING, SKILLED NURSING FACILITY, CASA, COUNTY GOVERNMENT EMPLOYEES, THE GENESEE VALLEY HEALTH PARTNERSHIP, COMMON GROUND HEALTH, COMMUNITY MEMBERS AND MORE. THE COMMUNITY AT LARGE WAS ENGAGED THROUGHOUT THE ASSESSMENT PERIOD VIA A REGIONAL HEALTH SURVEY IN 2018 (MY HEALTH STORY 2018) AND FOCUS GROUPS. PARTNERS' ROLE IN THE ASSESSMENT WERE TO HELP INFORM AND SELECT THE 2019-2021 PRIORITY AREAS BY SHARING ANY PERTINENT DATA OR CONCERNS AND ACTIVELY PARTICIPATING IN PLANNING MEETINGS.ON JUNE 11, 2019, THE HEALTH DEPARTMENT AND UR MEDICINE|NOYES HEALTH ENGAGED KEY STAKEHOLDERS ON THE CHA LEADERSHIP TEAM IN A PRIORITIZATION MEETING FACILITATED BY COMMON GROUND HEALTH. KEY PARTNERS AND COMMUNITY MEMBERS WERE INVITED TO ATTEND THE PRIORITIZATION MEETINGS, INCLUDING ALL THOSE WHO ATTENDED PRIOR FOCUS GROUPS. SOCIAL MEDIA PLATFORMS, E-MAIL, NEWS MEDIA AND NEWSLETTERS WERE UTILIZED TO HELP STIMULATE PARTICIPATION. COMMON GROUND HEALTH PROVIDED GROUP MEMBERS COPIES OF COUNTY SPECIFIC PRE-READ DOCUMENTS IN ADVANCE OF THE MEETINGS. THE DOCUMENTS INCLUDED INFORMATION ON CURRENT PRIORITY AREAS AND PROGRESS MADE TO DATE, AS WELL AS A MIX OF UPDATED QUANTITATIVE, QUALITATIVE, PRIMARY AND SECONDARY DATA ON EACH OF THE FIVE PRIORITY AREAS OUTLINED IN THE NEW YORK STATE PREVENTION AGENDA. DATA WERE COLLECTED FROM A VARIETY OF DIFFERENT SOURCES INCLUDING, BUT NOT LIMITED, TO THE AMERICAN COMMUNITY SURVEY, THE ENHANCED BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, COUNTY RANKINGS AND ROADMAPS, VITAL STATISTICS, COMMUNICABLE DISEASE AND DENTAL REPORTS, PRIMARY DATA COLLECTED FROM THE MY HEALTH STORY 2018 SURVEY AND LOCAL DATA SOURCES SUCH AS LIVINGSTON COUNTY'S PREVENTION NEEDS ASSESSMENT. A COPY OF THE PRE-READ DOCUMENT, PRIORITIZATION MEETING MATERIALS AND MEETING ATTENDEES ARE AVAILABLE UPON REQUEST.USING THE ABOVE REFERENCED DATA AND GROUP DISCUSSIONS, PARTICIPANTS UTILIZED HANLON AND PEARL METHODS2 TO RANK A LIST OF GROUP IDENTIFIED PRIORITIES. TO ADDRESS THE PREVIOUSLY MENTIONED PRIORITIES AND DISPARITIES, THE HEALTH DEPARTMENT FACILITATED A CHIP PLANNING MEETING WHERE PARTNERS DISCUSSED OPPORTUNITIES TO LEVERAGE EXISTING WORK. EXISTING WORK EFFORTS WERE THEN COMPARED TO INTERVENTION OPTIONS (PRIMARILY SELECTED FROM THE NEW YORK STATE PREVENTION AGENDA REFRESH CHART) AND WERE INFORMALLY VOTED ON AND SELECTED.IN ADDITION, THE ONGOING COLLABORATIVE PROCESS FOR UPDATING AND REVISING THE ASSESSMENT, INCLUDING NEW INFORMATION ON DATA, WILL OCCUR DURING THE ANNUAL STATE OF THE COUNTY HEALTH REPORT 2019 UPDATE PRESENTATION AND DURING GVHP MEMBERSHIP MEETINGS AND SUBCOMMITTEE MEETINGS SUCH AS THE SUICIDE PREVENTION TASK FORCE AND BE WELL MEETINGS. THESE COMMITTEES ARE COMPRISED OF DIVERSE COMMUNITY SECTORS INCLUDING COMMUNITY MEMBERS. RECRUITMENT OF NEW MEMBERS OCCURS ON PARTNERS' WEBSITES AND SOCIAL MEDIA. THE GVHP BOARD REVIEWS ANNUAL MEMBERSHIP TO IDENTIFY GAPS IN MEMBERSHIP BASED ON CURRENT HEALTH PRIORITIES.THE LIVINGSTON COUNTY HEALTH DEPARTMENT, IN PARTNERSHIP WITH UR MEDICINE|NOYES HEALTH, HAS SELECTED THE FOLLOWING PRIORITY AREAS AND DISPARITY FOR THE 2019-2021 ASSESSMENT AND PLANNING PERIOD:COUNTY PRIORITY AREAS & DISPARITY LIVINGSTON COUNTY PREVENT CHRONIC DISEASE 1. HEALTHY EATING AND FOOD SECURITY 2. PHYSICAL ACTIVITY 3. CHRONIC DISEASE PREVENTATIVE CARE AND MANAGEMENT PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDER1. PROMOTE WELL-BEING 2. MENTAL AND SUBSTANCE USE DISORDERS PREVENTION DISPARITY: LOW SOCIOECONOMIC STATUS AND OLDER ADULTSTHE COMPLETE DETAILED 8-REGION 2019-21 CHA/CHIP REPORT CAN BE FOUND:HTTP://WWW.NOYES-HEALTH.ORG/COMMUNITY-SERVICES/COMMUNITY-SERVICE-PLANS PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: FOR 2019, NOYES HEALTH CONTINUED EFFORTS TO COMMUNICATE THE FINANCIAL AID POLICY. EVERY UNINSURED AND UNDERINSURED PATIENT RECEIVED A FINANCIAL AID PACKET CONSISTING OF UR MEDICINE | NOYES HEALTH POLICY FOR FINANCIAL ASSISTANCE SUMMARY AND BROCHURE, A FINANCIAL AID (FA) APPLICATION AND INSTRUCTIONS FOR COMPLETION AS WELL AS FINANCIAL ASSISTANCE FREQUENTLY ASKED QUESTIONS AND A PERMISSION TO CONTACT FORM FROM FIDELIS CARE. WE HAVE A FACILITATED ENROLLER ONSITE WEEKLY FROM FIDELIS, A PRESUMPTIVE ENROLLER FOR PREGNANT WOMEN ATTENDING THE NOYES FIRST STEPS PROGRAM, SOCIAL WORKERS AND A DEDICATED FA BILLING REPRESENTATIVE WHO WORKS SPECIFICALLY WITH ALL UNINSURED PATIENTS BEFORE, DURING AND FOLLOWING ADMISSION/SERVICE/CARE AVAILABLE AS NEEDED. PART VI, LINE 4: DEMOGRAPHIC AND SOCIOECONOMIC HEALTH INDICATORS:LIVINGSTON COUNTY IS HOME TO CONESUS AND HEMLOCK LAKES AND LETCHWORTH STATE PARK. IT IS LOCATED SOUTH OF MONROE COUNTY AND NORTH OF STEUBEN AND ALLEGANY COUNTIES. THE NORTHERN PORTION OF THE COUNTY'S PROXIMITY TO THE CITY OF ROCHESTER MAKES IT EASILY ACCESSIBLE FOR JOBS FOR THOSE ABLE TO COMMUTE. A TOTAL OF 64,373 PERSONS RESIDE IN THE COUNTY, THE MAJORITY OF WHICH (94%) ARE WHITE NON-HISPANIC. WOMEN OF CHILDBEARING AGE MAKE UP 18% OF THE POPULATION, AND 25.3% OF THE 18+ POPULATION ARE LIVING WITH A DISABILITY.13 2017 ESTIMATES REVEAL 31% OF THE 65+ POPULATION (N=3,188) IS LIVING ALONE. THIS RATE IS UP 19% FROM 2012 WHEN 26% OF THE 65+ POPULATION (N=2,397) WAS LIVING ALONE.A SIGNIFICANT NUMBER - 14.6% - OF LIVINGSTON COUNTY RESIDENTS ARE LIVING BELOW THE FEDERAL POVERTY LEVEL, AND ANOTHER 16% LIVE NEAR IT. THE RATES ARE HIGHER IN COMMUNITIES SUCH AS GENESEO, MOUNT MORRIS AND DANSVILLE. OVER THE PAST 5 YEARS, THERE HAS BEEN A SLIGHT SHIFT IN EDUCATIONAL ATTAINMENT WHERE THERE ARE MORE RESIDENTS AGED 25+ WITH A BACHELOR'S DEGREE OR HIGHER THAN IN YEARS' PAST.DATA BELOW SHOW THE TREND IN UNINSURED RATES OVER THE PAST 5 YEARS, WHICH HAS DECREASED 33% SINCE 2012 IN LIVINGSTON COUNTY. OF NOTE, UNINSURED RATES IN LIVINGSTON COUNTY ARE LOWER THAN BOTH THE EIGHT COUNTY REGION AND NYS AVERAGES.FINALLY, 27% OF LIVINGSTON COUNTY RESIDENTS RENT VS. OWN THEIR HOME. IN ADDITION, 8% OF OCCUPIED HOUSING UNITS HAVE NO VEHICLES AVAILABLE. ANOTHER 32% HAVE ACCESS TO ONE VEHICLE. OF NOTE, THE AVERAGE HOUSEHOLD SIZE FOR OCCUPIED HOUSING IS GREATER THAN TWO PEOPLE. APPROXIMATELY 50% OF RESIDENTS ARE PAYING 35% OR MORE OF THEIR HOUSEHOLD INCOME IN RENT COSTS. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH:NOYES MEDICAL STAFF: IS AN OPEN MEDICAL STAFF AND IS STAFFED WITH DOCTORS WHO STRIVE TO MEET OUR GOAL FOR EXCEPTIONALLY PERSONALIZED PATIENT CARELIKE EVERYONE AT NOYES HEALTH, THE PATIENT IS THE FOCUS. REPRESENTING A WIDE RANGE OF SPECIALTIES AND SUBSPECIALTIES, OUR PHYSICIANS HAVE EXPERTISE AND EXPERIENCE TO PROVIDE YOU WITH THE HIGHEST STANDARD OF CARE, INCLUDING: GENERAL SURGERY, INTERNAL MEDICINE, FAMILY PRACTICE, ORTHOPEDICS, ONCOLOGY, PODIATRY, AND OBSTETRICS. NOYES BOARD OF DIRECTORS: OUR ORGANIZATION IS GOVERNED BY A VOLUNTEER BOARD OF DIRECTORS WHO REPRESENT THE COMMUNITIES OF LIVINGSTON AND SURROUNDING COUNTIES. THE 17 MEMBERS BRING DIVERSE BACKGROUNDS AND TALENTS TO THE ORGANIZATION. THEY SET NOYES HEALTH'S STRATEGIC DIRECTION AND ARE CONSTANTLY ADVOCATING FOR THE HOSPITAL, PATIENTS, AND FAMILIES.NOYES COMMUNITY OUTREACH SERVICES: PROVIDE MANY PREVENTION, EDUCATION AND SCREENING SERVICES THROUGHOUT THE COMMUNITIES IN OUR SERVICES AREA, VIA ONE-TO-ONE VISITS (OFFICE OR HOME), CLASSES, EVENTS, AND/OR CLINICS: EARS LIFELINE AND MEDICATION DISPENSING SERVICES: TO SUPPORT SAFETY/ACCESS TO HELP AND MEDICATION MANAGEMENT FOR AGING AND DISABLED POPULATION LIVING AT HOME. PRIMARILY ALL HOME VISITS. PROGRAM WORK ALSO INCLUDES COUNTYWIDE FALL PREVENTION INITIATIVES: HOME SAFE HOME, FALL PREVENTION ED PROMOTION, ANNUAL FALL PREVENTION WORKSHOP (LEAD AGENCY). NOYES FIRST STEPS: PRENATAL EDUCATION AND SUPPORT SERVICES FOR LOW INCOME AND/OR HIGH NEED CLIENTS TO SUPPORT HEALTHY BIRTH OUTCOMES, OFFICE AND HOME VISITS. CHILD BIRTH EDUCATION AND INFANT FEEDING CLASSES ALSO PROVIDED TO COMMUNITY. CASE MANAGER FACILITATES THE QUARTERLY REGIONAL MATERNAL CHILD HEALTH COALITION. CAREGIVER RESOURCE CENTER: EDUCATION, INFORMATION AND ASSISTANCE, SUPPORT GROUPS, RESPITE, MONTHLY NEWSLETTER PROVIDED TO CAREGIVERS CARING FOR LOVED ONES WITH ALZHEIMER'S/DEMENTIA VIA HOME VISITS, PHONE CALLS, CLASSES, AND EVENTS. PROVIDED IN PARTNERSHIP WITH LOCAL OFFICE FOR THE AGING. CHRONIC DISEASE SELF-MANAGEMENT CLASSES: YEAR ROUND LIVING HEALTHY, LIVING HEALTHY WITH CHRONIC PAIN, AND LIVING HEALTHY W/DIABETES CLASSES. PROGRAM FREE TO COMMUNITY AND FUNDING SOURCES ARE BASED ON GRANTS AND OTHER AGENCY RESOURCES. COMMUNITY EDUCATION: CLASSES (SMOKE CESSATION, MEDICAL TERMINOLOGY, DIABETES), COMMUNITY SPEAKER'S BUREAU ON HEALTH AND WELLNESS TOPICS, AND WEEKLY HEALTH ED ARTICLES IN LOCAL NEWSPAPERS. SCREENING CLINICS: FREE BLOOD PRESSURE SCREENINGS AT LOCAL GROCERY STORES AND FAIR/FESTIVAL EVENTS, WITH PHYSICIAN REFERRAL AND FOLLOW UP, AS NEEDED WORKSITE WELLNESS PROGRAM: FITNESS, NUTRITION AND STRESS MANAGEMENT OPPORTUNITIES THROUGHOUT THE YEAR COORDINATED BY OUR HEALTH EDUCATOR FOR APPROX. 550 NOYES FTE'S AND THEIR FAMILY MEMBERS CANCER SUPPORT SERVICES: HOSPITAL LEADS CANCER SUPPORT COALITION WORKING WITH CANCER SUPPORT PROGRAMS AND SERVICES IN FIVE COUNTY REGION TO SUPPORT PATIENTS OF THE MYERS CANCER CENTER AT NOYES HOSPITAL. DIABETES EDUCATION PROGRAM: AADE RECOGNIZED DIABETES ED PROGRAM FOR OUR REGION AND PROVIDES INDIVIDUAL COUNSELING AND CLASSES AT VARIETY OF LOCATIONS IN SERVICE AREA. INSULIN PUMP STARTS AND SUPPORT ARE ALSO PROVIDED ALONG WITH CGMS SCREENING. THE CDE LEADS THE COUNTYWIDE DIABETES COALITION. HOME SAFE HOME: IN-HOME FALL PREVENTION ASSESSMENTS AND HOME MODIFICATIONS. NOYES PROVIDES THE PROGRAM MANAGER WHO DOES OUTREACH AND SCREENS ALL REFERRALS FOR HOME FALL RISK ASSESSMENT OF OLDER ADULTS LIVING AT HOME. LIFESPAN OF ROCHESTER IS THE PROGRAM PARTNER WHO PROVIDES THE STAFF AND EQUIPMENT TO DO THE ASSESSMENTS AND LIGHT HOME MODIFICATIONS, I.E. INSTALLATION OF GRAB BARS/RAILINGS, SHOWER CHAIRS, ETC. THE PROGRAM IS CURRENTLY GRANT FUNDED AND FREE TO INDIVIDUALS 60+ WHO MEET INCOME GUIDELINES. PARTNERSHIPS: NOYES HEALTH ACTIVELY COLLABORATES WITH ALL HEALTH AND HUMAN SERVICE AGENCIES IN LIVINGSTON COUNTY, I.E. OFFICE FOR AGING, DEPT OF HEALTH, DEPT OF SOCIAL SERVICES, LIVINGSTON-WYOMING ARC, CATHOLIC CHARITIES OF LIV CO, AND TRIAD, ETC. NOYES HEALTH MANAGERS SIT AS ARE BOARD MEMBERS AND/OR GENERAL MEMBERS OF THE COUNTYWIDE RURAL HEALTH NETWORK, THE GENESEE VALLEY HEALTH PARTNERSHIP. NOYES HEALTH STAFF PERSON LEADS THE CONTINUUM OF CARE COALITION STARTED IN 11/13, HAS 40+ AGENCY MEMBERS AND MEETS 6 TIMES/YR. NOYES HEALTH STAFF PERSON LEADS THE DIABETES EDUCATION COALITION AND MATERNAL CHILD HEALTH COALITION FOR LIVINGSTON COUNTY. NOYES HEALTH HAS HOSPITAL STAFF ON MULTIPLE COUNTY COMMITTEES AND BOARDS, I.E.: OFFICE FOR AGING ADVISORY BOARD, TRIAD, COMMUNITY RESOURCE NETWORK, FALL PREVENTION COALITION, AND FOUR COMMUNITY HEALTHY IMPROVEMENT PLAN (CHIP) COMMITTEES: TRAUMA INFORMED COMMUNITIES, BE WELL IN LIVINGSTON, SOCIAL/EMOTIONAL HEALTH, AND ACCESS TO CARE. HOSPITAL ADMINISTRATORS SIT ON SEVERAL COMMUNITY AND REGIONAL HOSPITAL BOARDS, I.E. ARC OF LIVINGSTON/WYOMING BOARD, LIV CO HOSPICE BOARD, LIV CO PROFESSIONAL ADVISORY BOARD, HANYS BOARD, ALFRED STATE COLLEGE NURSING ADVISORY BOARD, SEAGATE ALLIANCE, AND REGIONAL EMERGENCY MEDICINE ADVISORY BOARD. NOYES COMMUNITY OUTREACH SERVICES PROVIDE MANY PREVENTION, EDUCATION AND SCREENING SERVICES THROUGHOUT THE COMMUNITY AND INCLUDES HOME VISITS FOR SOME SERVICES:O EARS LIFELINE AND MEDICATION DISPENSING SERVICES: ALL HOME VISITSO NOYES FIRST STEPS: PRENATAL EDUCATION AND SUPPORT SERVICES FOR LOW INCOME AND/OR HIGH NEED CLIENTS, INCLUDES OFFICE AND HOME VISITS.O CAREGIVER RESOURCE CENTER: HOME VISITS, PHONE CALLS, CLASSES, SUPPORT GROUPS, AND EVENTSO LIVING HEALTHY AND LIVING HEALTHY W/DIABETES: CHRONIC DISEASE SELF-MANAGEMENT CLASSES PROVIDED THROUGHOUT THE COUNTY 4 TIMES/YRO COMMUNITY EDUCATION: CLASSES, TRAININGS AND SPEAKER'S BUREAU ON HEALTH AND WELLNESS TOPICSO CLINICS: FREE BLOOD PRESSURE SCREENINGS AT LOCAL GROCERY STORES AND FAIR/FESTIVAL EVENTS PART VI, LINE 6: NICHOLAS H. NOYES MEMORIAL HOSPITAL IS AFFILIATED WITH THE UNIVERSITY OF ROCHESTER MEDICAL CENTER (URMC). TOGETHER WITH NICHOLAS H. NOYES MEMORIAL HOSPITAL, URMC AND ITS OTHER HEALTH CARE AFFILIATES PROVIDE COMPREHENSIVE HEALTHCARE SERVICES IN NEW YORK STATE. THIS AFFILIATION PROVIDES ENHANCED CARE TO RESIDENTS OF THE HOSPITAL'S SERVICE AREA THROUGH ACCESS TO SPECIALISTS AND SPECIALTY SERVICES. PART VI, LINE 7, REPORTS FILED WITH STATES NY X X X 0 1 0 0 0 0 0 0 0 AMY POLLARD PRESIDENT/CHIEF EXECUTIVE 191224 0 0 0 0 0 2809 0 8194 0 202227 0 0 0 STEVEN GOLDSTEIN UR DIRECTOR 0 1143063 0 5000 0 84099 0 486254 0 19508 0 1737924 0 0 ROBERT MCCANN MD UR DIRECTOR 0 596094 0 0 0 14694 0 39154 0 26836 0 676778 0 0 MARK TAUBMAN MD UR DIRECTOR 0 1374234 0 175000 0 35480 0 151854 0 24704 0 1761272 0 0 JAY MASLYN CHIEF FINANCIAL OFFICER 143098 0 0 0 0 0 3165 0 5792 0 152055 0 0 0 DOUGLAS MAYHLE MD MEDICAL DIRECTOR 401464 0 0 0 0 0 2809 0 8194 0 412467 0 0 0 ROBERT CAPECCI MD PHYSICIAN-ORTHOPEDIST 620476 0 0 0 0 0 1423 0 10259 0 632158 0 0 0 BRIAN FORESMAN MD GENERAL SURGEON 572976 0 0 0 0 0 6000 0 10259 0 589235 0 0 0 KEVIN O'KEEFE MD ORTHOPEDIST 592925 0 0 0 0 0 6000 0 10259 0 609184 0 0 0 ALBERTO N VELASCO MD ANESTHESIOLOGIST 359709 0 0 0 0 0 5171 0 8194 0 373074 0 0 0 SVETLANA V YUDINA MD GENERAL SURGEON 454364 0 0 0 0 0 3268 0 10812 0 468444 0 0 0 PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SPONSORED BY A RELATED ORGANIZATION AND RECEIVED COMPENSATION THAT IS INCLUDED IN DEFERRED COMPENSATION IN PART II AS FOLLOWS: STEVEN GOLDSTEIN - SERP PLAN - $159,400 STEVEN GOLDSTEIN - 457(F) PLAN - $300,000 MARK TAUBMAN, M.D. - SERP PLAN - $125,000 ROBERT MCCANN, M.D. - SERP PLAN - $12,300 A LIVINGSTON COUNTY INDUSTRIAL DEVELOPMENT AGENCY 161136853 538655AD3 2005-06-29 9471914 ACQUISITION, RENOVATION, CONSTRUCTION, AND EQUIPPING OF HOSPITAL 0 0 0 A 4591000 9763548 805638 625676 189438 6449941 1692856 2006 1 0 1 1 A 0 0 1 1 0 0.01200 0.01200 0 0 0 A 0 0 1 0 0 0 0 0 0 A 0 SCHEDULE K, PART II, LINE 3, PROCEEDS: THE TOTAL PROCEEDS ON PART II LINE 3 DOES NOT AGREE TO THE ISSUE PRICE LISTED IN PART I COLUMN (E) DUE TO INVESTMENT EARNINGS. MEDICOR INTERNAL MEDICINE PLLC ENTITY MORE THAN 35% OWNED BY AHSEN SHEIKH, DIRECTOR 326600 CONTRACTED SERVICES 0 NANCY JOHNSEN FAMILY MEMBER OF MICHAEL A. JOHNSEN, DIRECTOR 47616 COMPENSATION 0 FORM 990, PART VI, SECTION A, LINE 2 SEVERAL OF THE DIRECTORS OF NICHOLAS H. NOYES MEMORIAL HOSPITAL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER THROUGH THEIR EMPLOYMENT. MARK TAUBMAN IS AN OFFICER OF THE UNIVERSITY OF ROCHESTER, AND STEVEN GOLDSTEIN AND ROBERT MCCANN ARE EMPLOYEES OF THE UNIVERSITY OF ROCHESTER. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF NICHOLAS H. NOYES MEMORIAL HOSPITAL IS LIVINGSTON HEALTH CARE SYSTEM, INC. FORM 990, PART VI, SECTION A, LINE 7A UP TO 18 "COMMUNITY DIRECTORS" ARE APPOINTED BY LIVINGSTON HEALTH CARE SYSTEM, INC. TO THE BOARD OF DIRECTORS. UP TO 3 "UR DIRECTORS" ARE APPOINTED BY THE UNIVERSITY OF ROCHESTER TO THE BOARD OF DIRECTORS. THE UNIVERSITY OF ROCHESTER RESERVES THE POWER TO ELECT AND REMOVE THE DIRECTORS OF THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN DECISIONS REQUIRE THE APPROVAL OF LIVINGSTON HEALTH CARE SYSTEM, INC. AS THE SOLE CORPORATE MEMBER OF NICHOLAS H. NOYES MEMORIAL HOSPITAL, INCLUDING BUT NOT LIMITED TO: SIGNIFICANT PURCHASES OR SALES OF REAL PROPERTY, AMENDMENTS TO THE CERTIFICATE OF INCORPORATION, MERGERS, AND DISSOLUTION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE AND BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, COMMITTEE MEMBERS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST (A) PRIOR TO VOTING ON OR OTHERWISE DISCHARGING THEIR DUTIES WITH RESPECT TO ANY MATTER INVOLVING THE CONFLICT THAT COMES BEFORE THE BOARD OR COMMITTEE, (B) PRIOR TO ENTERING INTO ANY CONTRACT OR TRANSACTION INVOLVING THE CONFLICT, (C) AS SOON AS POSSIBLE AFTER THEY LEARN OF THE CONFLICT, AND (D) ON AN ANNUALLY COMPLETED AND SUBMITTED CONFLICT OF INTEREST DISCLOSURE FORM. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS REVIEWS THE GOALS AND OBJECTIVES OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER ALONG WITH COMPARABILITY DATA TO DETERMINE COMPENSATION. THE DELIBERATION AND DECISION IS RECORDED IN THE MINUTES OF THE BOARD OF DIRECTORS. THE PRESIDENT/CHIEF EXECUTIVE OFFICER DETERMINES THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES BASED ON COMPARABILITY DATA AND PERFORMANCE. FORM 990, PART VI, SECTION C, LINE 19 NICHOLAS H. NOYES MEMORIAL HOSPITAL'S FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST. THE HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE NOT ROUTINELY MADE AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G CONTRACTED LABOR: PROGRAM SERVICE EXPENSES 6,833,754. MANAGEMENT AND GENERAL EXPENSES 383,520. FUNDRAISING EXPENSES 4,800. TOTAL EXPENSES 7,222,074. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,073,376. MANAGEMENT AND GENERAL EXPENSES 333,690. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,407,066. COLLECTION FEES: PROGRAM SERVICE EXPENSES 55,622. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 55,622. RECRUITMENT FEES: PROGRAM SERVICE EXPENSES 21,149. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,149. FORM 990, PART XI, LINE 9: CHANGE IN FUNDED STATUS OF PENSION PLAN -389,799. CHANGE IN INTEREST OF FOUNDATION 1,369,898. 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