2019-11-14T07:56:34-06:00 2018-12-31 161131146 BONADIO & CO LLP 432 NORTH FRANKLIN STREET SYRACUSE NY 13204 990 2018-01-01 160743979 NICHOLAS H NOYES MEMORIAL HOSPITAL NICH 5853356001 111 CLARA BARTON STREET DANSVILLE NY 14437 JAY MASLYN CHIEF FINANCIAL OFFICER 5853356001 2019-11-13 1 TIMOTHY HAMMOND P01224809 3154227109 216.171.181.162 2019-11-13 14:21:48 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 9B9B2C04414E8A8A7B0B000B564D82BBD9A17CFF 2018 2020-03-31 21:24:44Z AMY POLLARD 111 CLARA BARTON STREET DANSVILLE NY 14437 62481717 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 12 670 90 38230 0 996671 754622 55483179 57626845 67551 2217154 1831423 1205635 58378824 61804256 0 0 0 0 32946940 32863935 0 0 30550 25756872 26653786 58703812 59517721 -324988 2286535 55442173 58838287 21300557 20276487 34141616 38561800 NICHOLAS H. NOYES MEMORIAL HOSPITAL SUPPORTS AND PROMOTES THE HEALTH OF OUR COMMUNITIES THROUGH COMPASSIONATE QUALITY CARE 0 0 45985855 58368039 NICHOLAS H. NOYES MEMORIAL HOSPITAL IS A 67 BED HOSPITAL WHICH PROVIDES ACUTE, SUB-ACUTE, EMERGENCY, AND OUTPATIENT CARE. 45985855 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 1 93 0 1 670 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 18 12 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X JAY MASLYN 5853356001 111 CLARA BARTON STREET DANSVILLE NY 14437 GRAHAM FRAZER SR CHAIRPERSON 10.00 10.00 X X 0 0 0 JOHN LOCKHART COMMUNITY DIRECTOR 1.00 1.00 X 0 0 0 MICHAEL A JOHNSEN COMMUNITY DIRECTOR 1.00 1.00 X 0 0 0 LESLIE L COLE JR IMMEDIATE PAST CHAIRPERSON 5.00 5.00 X X 0 0 0 AMY POLLARD PRESIDENT/CHIEF EXECUTIVE OFFICER 47.00 3.00 X X 188323 0 8198 JOAN FLENDER MD COMMUNITY DIRECTOR 1.00 1.00 X 0 0 0 GEOFFERY WITTIG MD PRESIDENT, MEDICAL STAFF 1.00 1.00 X 0 0 0 MARK LYONS TREASURER 2.00 2.00 X X 0 0 0 DOMENICK MARTELLO SECOND VICE CHAIRPERSON 2.00 2.00 X X 0 0 0 LINDSAY QUINTILONE COMMUNITY DIRECTOR 1.00 1.00 X 0 0 0 BERNARD SWEENEY MD COMMUNITY DIRECTOR 1.00 1.00 X 0 0 0 MARILYN M MOORE SECRETARY 5.00 5.00 X X 0 0 0 JAMES CULBERTSON FIRST VICE CHAIRPERSON 2.00 2.00 X X 0 0 0 RICHARD RIZZIERI COMMUNITY DIRECTOR 1.00 1.00 X 0 0 0 STEVEN GOLDSTEIN UR DIRECTOR 2.00 71.00 X 0 1196035 504848 ROBERT MCCANN MD UR DIRECTOR 2.00 60.00 X 0 598632 65016 MARK TAUBMAN MD UR DIRECTOR 2.00 75.00 X 0 2070504 248883 AHSEN SHEIKH MD PRESIDENT-ELECT, MEDICAL STAFF 1.00 1.00 X 0 0 0 JAY MASLYN CHIEF FINANCIAL OFFICER 38.00 2.00 X 137534 0 8330 DOUGLAS MAYHLE MD MEDICAL DIRECTOR 40.00 X 419122 0 8288 ROBERT CAPECCI MD PHYSICIAN-ORTHOPEDIST 40.00 X 648894 0 10406 BRIAN FORESMAN MD GENERAL SURGEON 40.00 X 549433 0 10451 KEVIN O'KEEFE MD ORTHOPEDIST 40.00 X 535786 0 10451 CHIRAG PATEL MD ANESTHESIOLOGIST 40.00 X 470884 0 10451 SVETLANA V YUDINA MD GENERAL SURGEON 40.00 X 381467 0 9845 3331443 3865171 895167 32 0 1 0 ARUP LABORATORIES PO BOX 27964 SALT LAKE CITY UT 84127 LAB TESTING 599938 SLEEP INSIGHTS MANAGEMENT SERVICES 775 JEFFERSON ROAD ROCHESTER NY 14623 CONTRACTED SERVICE 442471 DANELI ASSOCIATES LLC 3901 BEECHWOOD ROAD UNIVERSITY PARK MD 20782 CONTRACTED PHYSICIAN 425375 BLADES A L 1150 PENFIED ROAD ROCHESTER NY 14625 CONTRACTED SERVICE 404491 MEDICOR INTERNAL MEDICINE PLLC 50 EAST SOUTH STREET SUITE 600 GENESEO NY 14454 CONTRACTED PHYSICIAN 326600 23 15000 11952 589926 137744 7498 754622 PATIENT SERVICE REVENUE 621990 57626845 57626845 57626845 82732 82732 159956 0 159956 159956 159956 2742413 604353 3638 2138060 -3638 2134422 2134422 7729 15000 6112 1617 1617 133976 63358 70618 70618 OTHER REVENUE 541380 973444 741194 38230 194020 973444 61804256 58368039 38230 2643365 X 769981 292183 477798 27104250 20091982 6988366 23902 196986 139518 57468 2932208 2098538 833670 1860510 1341071 519439 45149 45149 77200 77200 7735 7735 8677013 7947568 722797 6648 116046 39913 76133 2631568 1451085 1180483 1297795 904441 393354 1724885 864332 860553 36799 4829 31970 44235 37806 6429 2597060 1940229 656831 376763 298627 78136 MEDICAL SUPPLIES 7779639 7779639 REPAIRS AND MAINTENANCE 898024 580820 317204 OTHER EXPENSES 343875 173274 170601 59517721 45985855 13501316 30550 6587 5137 2972659 3318673 93185 58679 5870453 7664904 206806 65606 1242723 1363821 1310282 1436317 65731480 43848764 21260778 21882716 2605752 2543182 1935071 2145308 145000 17937877 18208944 55442173 58838287 6761580 6335127 30828 5002033 4681395 1803861 1794617 7702255 7465348 21300557 20276487 X 33209879 36690330 188031 1127764 743706 743706 34141616 38561800 55442173 58838287 X 2286535 308612 1825037 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 7735 7735 0 PART II-B, LINE 1: AS A MEMBERS OF AMERICAN HOSPITAL ASSOCIATION, INC., HEALTHCARE ASSOCIATION OF NEW YORK STATE, INC., AND PANDION SOURCING NATIONAL LLC, A PORTION OF MEMBERSHIP DUES REPRESENT AMOUNTS DESIGNATED FOR LOBBYING ACTIVITIES. THESE ASSOCIATION ORGANIZATIONS, OF WHICH THE HOSPITAL IS A MEMBER, PERFORM DIRECT LOBBYING AND ADVOCACY ACTIVITIES ON BEHALF OF THEIR MEMBERS. 1943489 -71195 15146 1857148 1901682 56551 14626 1943489 1794736 106946 0 1901682 1808503 -1728 12039 794736 1688538 131563 11598 1808503 0.66880 0.33120 0 0 372690 372690 30105715 16296617 13809098 32509483 26527399 5982084 2743592 1024748 1718844 21882716 DUE FROM RELATED PARTIES 4404828 BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 13804116 18208944 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 2793930 ACCRUED PENSION LIABILITY 3150844 ASSET RETIREMENT OBLIGATION 517759 OTHER LIABILITIES 1002815 7465348 PART V, LINE 4: INDIGENT CARE OF LIVINGSTON COUNTY RESIDENTS AND FUTURE CAPITAL PURCHASES. GOLF TOURNAMENT 20508 15000 5508 664 1794 2691 20508 15000 5508 664 1794 2691 5149 359 1 1 1 X 1 X 1 1 1 0 1 1 11260 1411071 0 1411071 0.02370 3744 10009156 8833259 1175897 0.01980 6356 1535786 1269967 265819 0.00450 21360 12956013 10103226 2852787 0.04800 23 203874 72449 13440 59009 0.00100 3 138 152979 0 152979 0.00260 7 62876 19639554 16241009 3398545 0.05710 0 0 0 0 0 0 0 0 33 266888 19864982 16254449 3610533 0.06070 33 288248 32820995 26357675 6463320 0.10870 0 0 0 0 1 0 4788 0 4788 0.00010 4 231 14228 1604 12624 0.00020 0 0 0 0 0 0 0 0 1 65564 37194 0 37194 0.00060 0 0 0 0 0 0 0 0 0 0 0 0 6 65795 56210 1604 54606 0.00090 1 1043135 8964830 7589256 1375574 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 X 16 1 0 1 1 X HTTPS://WWW.URMC.ROCHESTER.EDU/NOYES.ASPX X HTTPS://WWW.LIVINGSTONCOUNTY.US/617/COUNTY-HEALTH-DATA X X 1 18 1 HTTPS://WWW.URMC.ROCHESTER.EDU/NOYES/COMMUNITY-OUTREACH/COMMUNITY-SERVICE-P 0 1 X 100.000000000000 300.000000000000 1 1 X X X X 1 X HTTPS://WWW.URMC.ROCHESTER.EDU/NOYES.ASPX X HTTPS://WWW.URMC.ROCHESTER.EDU/NOYES.ASPX X X X 1 X 0 X X X 1 X 0 0 NICHOLAS H. NOYES MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: COMMUNITY ENGAGEMENT: THE COMMUNITY WAS ENGAGED IN A VARIETY OF DIFFERENT WAYS. AFTER S2AY PREPARED A PRESENTATION TO HIGHLIGHT LIVINGSTON COUNTY'S TOP HEALTH NEED PRIORITIES, IT WAS SHARED WITH EIGHT DIVERSE FOCUS GROUPS THROUGHOUT THE COMMUNITY BY REVIEWING DATA AND GATHERING THEIR INPUT AND PERCEPTIONS REGARDING THE NEEDS IN THE COUNTY. ADDITIONALLY, FOCUS GROUP PARTICIPANTS WERE INVITED TO ATTEND THE PRIORITY-SETTING MEETING FOR COMMUNITY MEMBERS. AGAIN, AFTER THE PRELIMINARY PRIORITY-SETTING MEETING WAS HELD, ANOTHER OPPORTUNITY FOR INPUT FROM THE GENERAL PUBLIC WAS PROVIDED. PRELIMINARY PRIORITIES WERE LISTED IN A MEDIA RELEASE AND ALSO POSTED ON THE WEBSITE OF THE HOSPITAL, PUBLIC HEALTH AND THE GENESEE VALLEY HEALTH PARTNERSHIP. THE PUBLIC WAS AGAIN ASKED TO PROVIDE ANY ADDITIONAL INPUT AT THIS THIRD OPPORTUNITY. ALL COMMUNITY HEALTH ASSESSMENT DATA AND FOCUS GROUP/SURVEY OUTCOMES CAN BE FOUND ON THE GENESEE VALLEY HEALTH PARTNERSHIP WEBSITE: HTTP://WWW.GVHP.ORG/LIVINGSTON-COUNTY-ASSESSMENTS-AND-PLANS.HTML AS DETAILED IN THE LIVINGSTON COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP)/COMMUNITY SERVICE PLAN (CSP), THE THREE NEW YORK STATE DEPARTMENT OF HEALTH (NYSDOH) PREVENTION AGENDA PRIORITY AREAS FOR LIVINGSTON COUNTY FOR 2016-2018 INCLUDE: 1. PRIORITY AREA 1: PREVENT CHRONIC DISEASES FOCUS AREA 1: REDUCE OBESITY IN CHILDREN AND ADULTS WITH NEW BE WELL IN LIVINGSTON INITIATIVE FOCUS AREA 3: INCREASE ACCESS TO HIGH QUALITY CHRONIC DISEASE PREVENTATIVE CARE AND MANAGEMENT IN BOTH CLINICAL AND COMMUNITY SETTINGS WITH ONGOING CDSMP PROGRAMS2. PRIORITY AREA 2: PROMOTE A HEALTHY AND SAFE ENVIRONMENT FOCUS AREA 4: INJURIES, VIOLENCE AND OCCUPATIONAL HEALTH: NEW HOME SAFE HOME FALL PREVENTION INITIATIVE AND EXPANSION OF FALL PREVENTION ED PROGRAMS FOR OLDER ADULTS, I.E. MATTER OF BALANCE AND TAI CHI3. PRIORITY AREA 4: PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE FOCUS AREA 2: PREVENT SUBSTANCE ABUSE AND OTHER MENTAL EMOTIONAL BEHAVIORAL DISORDERS, SUPPORTED BY HEALTHY COMMUNITIES THAT CARE AND SUICIDE PREVENTION TASK FORCE FOCUS AREA 3: STRENGTHEN INFRASTRUCTURE HEALTH DISPARITY ADDRESSED: DURING THE 2016-2018 PERIOD, LIVINGSTON COUNTY PUBLIC HEALTH AND NOYES HEALTH HAVE CHOSEN HIGHER OBESITY RATES IN THE LOWER SES POPULATION TO ADDRESS BY IMPLEMENTING SPECIFIC EVIDENCE BASED ACTIVITIES (AS OUTLINED IN THE CHIP WORKPLAN). THE DISPARITY ADDRESSED FALLS UNDER THE PRIORITY AREA OF PREVENT CHRONIC DISEASES. THE FIRST DISPARITY FOCUSES ON GOALS 1.1 AND 1.2 (CREATE COMMUNITY ENVIRONMENTS THAT PROMOTE AND SUPPORT HEALTHY FOOD AND BEVERAGE CHOICES AND PHYSICAL ACTIVITY, AND PREVENT CHILDHOOD OBESITY THROUGH EARLY CHILDCARE AND SCHOOLS). THIS DISPARITY WILL TARGET THE LOW SOCIOECONOMIC STATUS (SES) POPULATION BY IMPLEMENTING STRATEGIES TO INCREASE PHYSICAL ACTIVITY OPPORTUNITIES FOR ALL POPULATIONS (INCLUDING THE DISABLED POPULATION) AND WORKING ON POLICY IMPLEMENTATION. THE SECOND DISPARITY FOCUSES ON GOAL 1.3 (EXPAND THE ROLE OF HEALTH CARE AND HEALTH SERVICE PROVIDERS AND INSURERS IN OBESITY PREVENTION). THIS HEALTH DISPARITY WAS CHOSEN BY THE CHIP LEADERSHIP TEAM AND CHRONICNOYES HEALTH AND THE LIVINGSTON COUNTY DEPARTMENT OF HEALTH THEN COMPLETED THE 2016-18 COMMUNITY HEALTH IMPROVEMENT PLAN/COMMUNITY SERVICE PLAN (CHIP/CSP) DEMONSTRATING OUR PARTNERSHIPS AND COMMITMENT TO MEETING THE PHYSICAL, MENTAL AND EMOTIONAL HEALTH NEEDS OF THE COMMUNITIES TO BE SERVED. NICHOLAS H. NOYES MEMORIAL HOSPITAL PART V, SECTION B, LINE 6B: 1. LIVINGSTON COUNTY DEPARTMENT OF HEALTH 2. GENESEE VALLEY HEALTH PARTNERSHIP: RURAL HEALTH NETWORK LIVINGSTON COUNTY 3. S2AY RURAL HEALTH NETWORK (FACILITATION/REPORT SUMMARIES) ALLEGANY, LIVINGSTON, ONTARIO, STEUBEN, SCHUYLER, SENECA, WAYNE, AND YATES COUNTIES RURAL HEALTH NETWORK NICHOLAS H. NOYES MEMORIAL HOSPITAL PART V, SECTION B, LINE 7D: THE CHNA HAS ALSO BEEN MADE PUBLICLY AVAILABLE ON THE GENESEE VALLEY HEALTH PARTNERSHIP WEBSITE, THE S2AY RURAL HEALTH NETWORK WEBSITE, AND ADDITIONAL PARTNERS WEBSITES (I.E. CORNELL COOPERATIVE EXTENSION, LOCAL COMMUNITY BASED ORGANIZATIONS, ETC.). IT HAS ALSO BEEN SHARED WITH ALL APPROPRIATE NEWS OUTLETS IN THE FORM OF A PRESS/MEDIA RELEASE.CHNA UPDATES PROVIDED TO: NOYES HOSPITAL BOARD, NOYES MANAGEMENT TEAM, CHNA LEADERSHIP TEAM, AND 2018 - 2019 STATE OF THE COUNTY HEALTH REPORT PRESENTATIONS. ALL PARTNERS INCLUDING LIVINGSTON COUNTY PUBLIC HEALTH, NOYES HEALTH, S2AY RURAL HEALTH NETWORK, AND ADDITIONAL PARTNERS WERE INVITED TO SHARE THE PUBLICATION AND WEBSITE LINKS OF THE CHA/CHIP/CSP ON THEIR RESPECTIVE SOCIAL MEDIA ACCOUNTS UR MEDICINE | NOYES HEALTH: ANNUAL REPORT (HARD COPY)A LIST OF WEBSITES THAT HAVE THE DOCUMENTS POSTED ARE INCLUDED BELOW. LIVINGSTON COUNTY PUBLIC HEALTH: HTTP://WWW.CO.LIVINGSTON.STATE.NY.US/617/COUNTY-HEALTH-DATA NOYES HEALTH: HTTPS://WWW.URMC.ROCHESTER.EDU/NOYES/COMMUNITY-OUTREACH/COMMUNITY-SERVICE-PLANS.ASPX GENESEE VALLEY HEALTH PARTNERSHIP: HTTP://WWW.GVHP.ORG/LIVINGSTON-COUNTY-ASSESSMENTS-AND-PLANS.HTML S2AY RURAL HEALTH NETWORK: HTTP://WWW.S2AYNETWORK.ORG/COMMUNITY-HEALTH-ASSESSMENTS.HTML NICHOLAS H. NOYES MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: THE FOLLOWING INITIATIVES WERE BY NOYES MEMORIAL HOSPITAL IN 2018 IN RESPONSE TO THESE HEALTH CARE PRIORITIES: -CHRONIC DISEASE MANAGEMENT: WITH FOCUS ON OBESITY PREVENTION-PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE-SAFE COMMUNITIES: WITH FOCUS ON FALL PREVENTION AMONG THE AGING POPULATIONHIGHLIGHTS OF 2018 NOYES COMMUNITY SERVICE PLAN PRIORITIES AND OUTCOMES:PREVENT CHRONIC DISEASE:LIVING HEALTHY NY CLASSES: NOYES HEALTH PROVIDED FOUR 6-WEEK CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS TO PROVIDE EDUCATION AND SUPPORT TO HELP PARTICIPANTS SUCCESSFULLY MANAGE THEIR DISEASE. IN 2018, 32 PARTICIPANTS COMPLETED ONE OF THE FOUR GRANT-FUNDED CLASS SERIES HELD IN DANSVILLE, AVON AND GENESEO.NOYES DIABETES EDUCATION PROGRAM: NOYES CERTIFIED DIABETES EDUCATION PROGRAM PROVIDED INDIVIDUAL AND GROUP DIABETES EDUCATION SERVICES AND PLAYED A VITAL ROLE IN IMPROVING LOCAL ACCESS TO AMERICAN ASSOCIATION OF DIABETES EDUCATORS RECOGNIZED DIABETES EDUCATION SERVICES IN OUR RURAL REGION. IN 2018, 278 DIABETICS ENROLLED, 12 INSULIN PUMP STARTS WERE PROVIDED, 14 CONTINUOUS GLUCOSE MONITOR SCREENINGS COMPLETED, 19 FREE DIABETES EDUCATION CLASSES WERE HELD WITH 55 PARTICIPANTS, AND TWO FREE DIABETES HEALTH FAIRS WERE HELD IN DANSVILLE AND GENESEO.BE WELL IN LIVINGSTON - EAT BETTER, MOVE MORE, STRESS LESS!: NOYES HEALTH AND THE LIVINGSTON COUNTY DEPARTMENT OF HEALTH, WITH GRANT SUPPORT FROM THE GENESEE VALLEY HEALTH PARTNERSHIP, WORKED WITH NUNDA RESIDENTS ON THIS HEALTHY LIFESTYLE AND OBESITY PREVENTION INITIATIVE IN THE GREATER NUNDA AREA THE FIRST BE WELL COMMUNITY IN LIVINGSTON COUNTY. THE BE WELL IN NUNDA STEERING COMMITTEE, MADE UP OF LOCAL RESIDENTS AND AGENCY SUPPORTS, COMPLETED MANY COMMUNICATION AND PROGRAM INITIATIVES IN 2018 FOCUSED ON HEALTHY LIFESTYLE. THESE INCLUDED DEVELOPING OUTREACH AND COMMUNICATION MATERIALS, HOSTING A SERIES OF TALKS, STARTING A BE WELL IN NUNDA FACEBOOK PAGE, THE INSTALLATION OF EXERCISE EQUIPMENT AT A KIWANIS PLAYGROUND AND INSTALLING A PRESCRIPTION DROP BOX AT A LOCAL PHARMACY. THE GOAL IS TO EXTEND THE BE WELL INITIATIVE INTO THE MT. MORRIS COMMUNITY IN 2019.PREVENT MENTAL HEALTH AND SUBSTANCE ABUSE DISORDERS: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 ONE OF THE MOST IMPORTANT THINGS OUR COMMUNITY CAN DO IS RESTRICT AVAILABILITY AND TO MONITOR, SECURE, AND SAFELY DISPOSE OF PRESCRIPTION DRUGS. IN 2018, NOYES COOPERATED WITH THE MEDICATION DROP BOX PROGRAM AND INCREASED THE NUMBER OF LOCATIONS SERVED FROM 5 TO 7, INCLUDING SITES IN GENESEO, DANSVILLE, CALEDONIA, LIMA, LAKEVILLE, NUNDA, AND THE CENTER FOR NURSING AND REHABILITATION IN MT MORRIS. SINCE THE PROGRAM'S INCEPTION, MORE THAN 5,000 POUNDS OF MEDICATIONS HAVE BEEN DROPPED OFF AT THESE LOCATIONS, PICKED UP BY LIVINGSTON COUNTY SHERIFFS AND INCINERATED.NOYES MENTAL HEALTH STAFF CONTINUE TO BE ACTIVE PARTICIPANTS ON LIVINGSTON COUNTRY'S SUICIDE PREVENTION TASK FORCE. IN 2018, THE TASK FORCE INCREASED COMMUNITY OUTREACH WITH ADS, BILL BOARDS, BANNERS, SOCIAL MEDIA POSTS, AND 48 PEOPLE ATTENDED THE 4TH ANNUAL CANDLELIGHT VIGIL FOR FAMILIES IMPACTED BY SUICIDE. A NEW MONTHLY SUICIDE BEREAVEMENT SUPPORT GROUP WAS STARTED FOR FAMILIES IMPACTED BY SUICIDE AND THE TASK FORCE SECURED A $3,333 THREE YEAR GRANT TO SUPPORT ITS EFFORTS. LIVONIA CENTRAL SCHOOL HELD GATEKEEPER SUICIDE PREVENTION TRAINING FOR 140 PROFESSIONAL, PARAPROFESSIONAL AND SUPPORT STAFF AND THE TASK FORCE PARTNERED WITH LIVINGSTON COUNTY VETERANS SERVICES TO OFFER SUICIDE PREVENTION TRAININGS TO THE POPULATION MOST VULNERABLE TO SUICIDE: VETERANS.IN 2018, NOYES MENTAL HEALTH AND WELLNESS 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 2018, CLINIC VISITS GREW 23% - FROM 16,000 TO 20,000 VISITS. NEARLY 500 PEOPLE UTILIZED THE DANSVILLE CLINIC'S WALK-IN CRISIS OPTION TO GET IMMEDIATE HELP. STAFFING LEVELS ALSO INCREASED TO MEET THE DEMAND, AND NOW COMPRISE ONE FULL-TIME CHILD PSYCHIATRIST, TWO FULL-TIME NURSE PRACTITIONERS, AND 24 THERAPISTS. NOYES ALSO ADDED A FULL-TIME PSYCHIATRIC ASSESSMENT OFFICER IN THE HOSPITAL'S EMERGENCY DEPARTMENT IN DANSVILLE TO HELP ADDRESS NEEDS OF PATIENTS WHOSE MENTAL HEALTH ULTIMATELY IMPACTS THE MANAGEMENT OF THEIR PHYSICAL HEALTH.PLUS, 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 JOINT 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. STARTING IN JUNE 2018, LAW ENFORCEMENT OFFICERS BEGAN ASSESSING CALLS FOR BEHAVIORAL HEALTH ISSUES, AND, IF NECESSARY, CONTACTED THE MOBILE CRISIS COUNSELOR ON-CALL. THE COUNSELOR RESPONDS ON SITE, IMMEDIATELY ASSESSES THE SITUATION AND DETERMINES A PLAN OF ACTION. SINCE THE PROGRAM'S BEGINNING THERE HAVE BEEN 15 REFERRALS AND 15 HOSPITAL DIVERSIONS IN LIVINGSTON COUNTY, RESULTING IN PATIENTS RECEIVING APPROPRIATE CARE OUTSIDE THE HOSPITAL OR JAIL SETTING. IN 2019, THEY ARE ON TRACK TO COMPLETE 160 MOBILE CRISIS REFERRALS.PROMOTE A HEALTHY AND SAFE ENVIRONMENTFALL PREVENTION:LIVINGSTON COUNTY HAS AN ACTIVE 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 MANAGED THE SECOND YEAR OF THE LIVINGSTON COUNTY HOME SAFE HOME FALL PREVENTION PROGRAM, PROVIDING HOME SAFETY ASSESSMENTS, LIGHT HOME MODIFICATIONS (GRAB BARS, HANDHELD SHOWERS, RAILINGS), AND EDUCATION. THE NOYES LIFELINE PROGRAM MANAGER MANAGES THE PROGRAM, SECURES FUNDING, CONDUCTS OUTREACH, SCREENS ALL REFERRALS, AND MANAGES REPORTING. ALL REFERRALS ARE SENT TO LIFESPAN OF ROCHESTER, THE CONTRACTED PROVIDER, AND THEIR STAFF SCHEDULES HOME VISITS IN LIVINGSTON COUNTY ONCE A MONTH. IN 2018, A TOTAL OF 43 HOMES WERE ASSESSED AND MODIFICATIONS COMPLETED. TWO NEW FUNDING SOURCES WERE IDENTIFIED, LIVINGSTON COUNTY OFFICE FOR THE AGING AND UNITED WAY OF LIVINGSTON COUNTY, WHICH WILL SUPPORT THE SUSTAINABILITY OF THIS VALUABLE FREE FALL PREVENTION PROGRAM FOR INCOME ELIGIBLE OLDER ADULTS.NOYES CO-HOSTED THE 5TH ANNUAL FALL PREVENTION WORKSHOP IN LAKEVILLE DURING SEPTEMBER 2018. 52 OLDER ADULTS (AVG. AGE 73) ATTENDED. THEY MET WITH SERVICE PROVIDER SAND LISTENED TO SPEAKERS TO LEARN HOW THEY CAN PREVENT FALLS.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 TO BE COMPLETED BY JUNE 2019.COALITION BUILDING ACTIVITIES:NOYES CONTINUUM OF CARE COALITION (CCC): THIS 50-AGENCY COALITION MEETS SIX TIMES/YEAR AT NOYES HOSPITAL FOR EDUCATION, AGENCY UPDATES, AND NETWORKING. EDUCATION TOPICS IN 2018 INCLUDED: TRANSPORTATION: CHALLENGES AND OPTIONS, COMMUNITY CRISIS STABILIZATION IN SOUTHERN TIER, MEDICAID LONG TERM CARE OPTIONS, MOBILE INTEGRATION TEAM, EWIC, AND CANCER SERVICES PROGRAMS REGIONALIZATION. MEMBERS USE THE GROUP EMAIL ADDRESS OF CCC@NOYESHEALTH.ORG TO SHARE AGENCY/PROGRAM INFORMATION IN BETWEEN MEETINGS. PARTNERSHIPS AND COLLABORATIONS HAVE STRENGTHENED VIA THIS COALITION. CANCER SUPPORT SERVICES COALITION (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 CANCER SERVICE SUPPORT PROGRAMS, HEALTH CARE AGENCIES, CANCER SURVIVORS, INDIVIDUALS AND COMMUNITY GROUPS. CANCER SUPPORT SERVICE PROVIDERS AND PARTNERS MET MONTHLY FOR EDUCATION, INFO SHARING AND SUPPORT TO GROW OUR RURAL AREA CANCER SUPPORT SERVICES. 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 III, LINE 2: BAD DEBT EXPENSE IS ESTIMATED BASED ON HISTORICAL COLLECTION RATES UPDATED ANNUALLY. PART III, LINE 4: PAGE 12 IN THE ATTACHED FINANCIAL STATEMENTS CONTAIN THE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. PART III, LINE 8: THERE IS NO MEDICARE SHORTFALL THEREFORE NON 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 ASSESSMENTNOYES HEALTH, THE LIVINGSTON COUNTY DEPARTMENT OF HEALTH, AND THE GENESEE VALLEY HEALTH PARTNERSHIP (GVHP) WERE THE COLLABORATING LEADERS WHO CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH ASSESSMENT (CHA) IN 2016. THE MAPP (MOBILIZING ACTION THROUGH PLANNING AND PARTNERSHIPS) PROCESS WAS USED TO COMPLETE CHNA FOR LIVINGSTON COUNTY. COMMUNITY HEALTH STATUS: POPULATION HEALTH DATA WAS PROVIDED BY THE FINGER LAKES HEALTH SYSTEM AGENCY (NOW COMMON GROUND HEALTH) FOR REVIEW AND ASSESSMENT. IN ADDITION TO THIS DATA, THE PREVENTION NEEDS ASSESSMENT (PNA) OF THE HEALTHY COMMUNITIES THAT CARE COMMITTEE WAS REVIEWED. COMMUNITY THEMES AND STRENGTHS: WITH THE SUPPORT OF THE S2AY AND GVHP RURAL HEALTH NETWORKS, WE ALSO ENGAGED COMMUNITY MEMBERS THROUGH 11 FOCUS GROUPS TO SOLICIT INPUT REGARDING LOCAL COMMUNITY HEALTH CONCERNS.LOCAL PUBLIC HEALTH SYSTEMS ASSESSMENT: WE MET WITH KEY HEALTH AND HUMAN SERVICE PROVIDERS TO OBTAIN THEIR INPUT, AND WE CONDUCTED AN ONLINE SURVEY AMONG KEY STAKEHOLDERS REGARDING OUR CURRENT LIVINGSTON COUNTY PUBLIC HEALTH SYSTEM.FORCES OF CHANGE ASSESSMENT: WAS COMPLETED WITH THE TWO LARGEST HEALTH AND HUMAN SERVICE COALITIONS IN THE COUNTY: GENESEE VALLEY HEALTH PARTNERSHIP AND CONTINUUM OF CARE COALITION.COMMUNITY ENGAGEMENT: THE COMMUNITY WAS ENGAGED IN A VARIETY OF DIFFERENT WAYS. AFTER S2AY PREPARED A PRESENTATION TO HIGHLIGHT LIVINGSTON COUNTY'S TOP HEALTH NEED PRIORITIES, IT WAS SHARED WITH EIGHT DIVERSE FOCUS GROUPS THROUGHOUT THE COMMUNITY BY REVIEWING DATA AND GATHERING THEIR INPUT AND PERCEPTIONS REGARDING THE NEEDS IN THE COUNTY. ADDITIONALLY, FOCUS GROUP PARTICIPANTS WERE INVITED TO ATTEND THE PRIORITY-SETTING MEETING FOR COMMUNITY MEMBERS. AGAIN, AFTER THE PRELIMINARY PRIORITY-SETTING MEETING WAS HELD, ANOTHER OPPORTUNITY FOR INPUT FROM THE GENERAL PUBLIC WAS PROVIDED. PRELIMINARY PRIORITIES WERE LISTED IN A MEDIA RELEASE AND ALSO POSTED ON THE WEBSITE OF THE HOSPITAL, PUBLIC HEALTH AND THE GENESEE VALLEY HEALTH PARTNERSHIP. THE PUBLIC WAS AGAIN ASKED TO PROVIDE ANY ADDITIONAL INPUT AT THIS THIRD OPPORTUNITY. ALL COMMUNITY HEALTH ASSESSMENT DATA AND FOCUS GROUP/SURVEY OUTCOMES CAN BE FOUND ON THE GENESEE VALLEY HEALTH PARTNERSHIP WEBSITE: HTTP://WWW.GVHP.ORG/LIVINGSTON-COUNTY-ASSESSMENTS-AND-PLANS.HTML PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: FOR 2018, WE CONTINUED OUR EFFORTS TO COMMUNICATE OUR FINANCIAL AID POLICY. EVERY UNINSURED AND UNDERINSURED PATIENT RECEIVED A FINANCIAL AID PACKET CONSISTING OF NICHOLAS NOYES MEMORIAL HOSPITAL POLICY MANUAL 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 WORK SPECIFICALLY WITH ALL UNINSURED PATIENTS UPON ADMISSION AND FOLLOWING SERVICE/CARE, AS NEEDED. PART VI, LINE 4: 4. COMMUNITY INFORMATION:LIVINGSTON COUNTY IS A LARGER RURAL COUNTY LOCATED IN THE WESTERN NEW YORK REGION. IT IS BORDERED BY MONROE COUNTY TO THE NORTH, ONTARIO COUNTY TO THE EAST, ALLEGANY AND STEUBEN COUNTIES TO THE SOUTH, AND GENESEE AND WYOMING COUNTIES TO THE WEST. THE GEOGRAPHY OF LIVINGSTON COUNTY HAS AFFECTED THE AGRICULTURE IN THE AREA, AND ALSO THE PRESENCE OF A SUBSTANTIAL MIGRANT LABOR FORCE. THE POPULATION OF LIVINGSTON COUNTY IS 64,717, PER THE CENSUS 2015. THE POPULATION IS WIDELY SCATTERED OVER THE 631.76 SQUARE MILES, WITH AN AVERAGE POPULATION DENSITY OF APPROXIMATELY 103.5 PERSONS PER SQUARE MILE. THE MOST POPULOUS COMMUNITIES IN LIVINGSTON COUNTY ARE DANSVILLE, GENESEO, AND MT. MORRIS (THE COUNTY SEAT). THE POPULATION HAS BEEN SLIGHTLY DECLINING EACH YEAR FOR THE LAST FIVE YEARS.SOCIOECONOMIC STATUS (SES) OFTEN MEASURES AS A COMBINATION OF EDUCATION, INCOME AND OCCUPATION. IN THE PROVIDED MAP THE MAJORITY OF LIVINGSTON COUNTY POPULATION FALLS INTO THE MEDIUM TO LOW SOCIO-ECONOMIC STATUS CATEGORIES. DIFFERENCES IN SOCIOECONOMIC STATUS ARE RESPONSIBLE FOR IMPORTANT DISPARITIES IN THE NUTRITION, HOUSING, SAFETY, AND HEALTH OF LARGE GROUPS OF PEOPLE. IN GENERAL, THE LOWER ONE'S SES, THE GREATER ONE'S RISK OF MALNUTRITION, HEART DISEASE, INFECTIOUS DISEASES, AND EARLY MORTALITY FROM ALL CAUSES. THE ANNUAL MEDIAN HOUSEHOLD INCOME IS $52,200 COMPARED TO $53,482 FOR THE NATION AND THE PER CAPITA INCOME IS $23,981 COMPARED TO $28,555 FOR THE NATION. ACCORDING TO 2016 USDA DATA, THE COUNTY POVERTY RATE IS 14.7% WITH 18.9% OF CHILDREN 0-17 YEARS LIVING IN POVERTY.IN GENERAL, LIVINGSTON COUNTY HAS A HIGH DEPENDENCY RATIO, WITH 18.4% OF THE POPULATION ESTIMATED TO BE UNDER AGE 18 IN 2015 (4.3% UNDER AGE 5), AND 16.3% ESTIMATED TO BE AGED 65 OR OVER. APPROXIMATELY 93.5% OF THE POPULATION IS WHITE, 3.1% IS BLACK/AFRICAN AMERICAN AND THE REMAINDER OTHER RACES. IN 2015, 3.7% OF THE POPULATION IS ESTIMATED TO BE HISPANIC/LATINO. THIS MAKES LIVINGSTON COUNTY ONE OF THE MOST DIVERSE COUNTY OF THE FINGER LAKES REGION.IN THE 2010 CENSUS, 957 PEOPLE INDICATED THAT THEY SPOKE ENGLISH "LESS THAN VERY WELL", WHILE THE 2015 ESTIMATES INDICATE THAT 5.7% SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME, WITH 522 OF THESE INDICATING THAT THEY SPEAK SPANISH AT HOME. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH: NOYES HAS AN OPEN MEDICAL STAFF AND IS STAFFED WITH DOCTORS WHO STRIVE TO MEET OUR GOAL FOR EXCEPTIONALLY PERSONALIZED PATIENT CARE. LIKE EVERYONE AT NOYES THEY KEEP THE FOCUS ON THE PATIENT. REPRESENTING A WIDE RANGE OF SPECIALTIES AND SUBSPECIALTIES, OUR PHYSICIANS HAVE EXPERTISE AND EXPERIENCE TO PROVIDE YOU WITH THE HIGHEST STANDARD OF CARE. 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 OUR HEALTHCARE COMMUNITY, VIA ONE-TO-ONE VISITS (OFFICE OR HOME), CLASSES, EVENTS, AND CLINICS: EARS LIFELINE AND MEDICATION DISPENSING SERVICES: TO SUPPORT AGING AND DISABLED POPULATION LIVING AT HOME. PRIMARILY ALL HOME VISITS. PROGRAM WORK 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 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 PROVIDED IN PARTNERSHIP WITH RURAL HEALTH NETWORK (FUNDING), COMMUNITY EDUCATION: SMOKEING CESSATION, MEDICAL TERMINOLOGY, TRAININGS, SPEAKER'S BUREAU ON HEALTH AND WELLNESS TOPICS, AND WEEKLY HEALTH ED ARTICLES IN BOTH 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 FAMILIES. CANCER SUPPORT SERVICES: HOSPITAL LEADS COALITION WORKING WITH CANCER SUPPORT PROGRAMS AND SERVICES IN FIVE COUNTY SERVICE AREA. DIABETES EDUCATION PROGRAM: IS 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: WAS A NEW FALL PREVENTION INITIATIVE. NOYES PROVIDES THE PROGRAM COORDINATOR 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. IN 2018, 42 HOME ASSESSMENTS WITH MODIFICATIONS WERE COMPLETED. NOYES HEALTH WORKS CLOSELY 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 HAS MANAGERS WHO ARE BOARD MEMBERS AND GENERAL MEMBERS OF THE COUNTYWIDE RURAL HEALTH FUNDED GENESEE VALLEY HEALTH PARTNERSHIP. NOYES LEADS THE NEW CONTINUUM OF CARE COALITION STARTED IN 11/13, HAS 50+ AGENCY MEMBERS AND MEETS 6 TIMES/YR. NOYES ALSO LEADS THE DIABETES EDUCATION COALITION AND MATERNAL CHILD HEALTH COALITION FOR LIVINGSTON COUNTY. WE HAVE HOSPITAL STAFF ON MULTIPLE COUNTY COMMITTEES AND BOARDS, I.E.: OFFICE FOR AGING ADVISORY BOARD, TRIAD, COMMUNITY RESOURCE NETWORK, FALL PREVENTION COALITION, AND THREE OF FOUR COMMUNITY HEALTHY IMPROVEMENT PLAN (CHIP) COMMITTEES: TRAUMA INFORMED COMMUNITIES, BE WELL IN LIVINGSTON, AND SOCIAL/EMOTIONAL HEALTH. HOSPITAL ADMINISTRATORS SIT ON SEVERAL COMMUNITY AND REGIONAL HOSPITAL BOARDS, I.E. ARC 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 NEW YORK X X X 0 1 0 0 0 0 0 0 0 AMY POLLARD PRESIDENT/CHIEF EXECUTIVE OFFICER 187123 0 0 0 1200 0 0 0 8198 0 196521 0 0 0 STEVEN GOLDSTEIN UR DIRECTOR 0 1116420 0 0 0 79615 0 485802 0 19046 0 1700883 0 0 ROBERT MCCANN MD UR DIRECTOR 0 585245 0 0 0 13387 0 38703 0 26313 0 663648 0 0 MARK TAUBMAN MD UR DIRECTOR 0 1126391 0 300000 0 644113 0 226402 0 22481 0 2319387 0 612699 DOUGLAS MAYHLE MD MEDICAL DIRECTOR 391137 0 0 0 27985 0 0 0 8288 0 427410 0 0 0 ROBERT CAPECCI MD PHYSICIAN-ORTHOPEDIST 643361 0 3680 0 1853 0 0 0 10406 0 659300 0 0 0 BRIAN FORESMAN MD GENERAL SURGEON 548918 0 0 0 515 0 0 0 10451 0 559884 0 0 0 KEVIN O'KEEFE MD ORTHOPEDIST 520581 0 15000 0 205 0 0 0 10451 0 546237 0 0 0 CHIRAG PATEL MD ANESTHESIOLOGIST 442065 0 28468 0 351 0 0 0 10451 0 481335 0 0 0 SVETLANA V YUDINA MD GENERAL SURGEON 380511 0 640 0 316 0 0 0 9845 0 391312 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 MARK TAUBMAN, M.D. - 457(F) PLAN - $75,000 ROBERT MCCANN, M.D. - SERP PLAN - $12,300 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SPONSORED BY A RELATED ORGANIZATION AND RECEIVED COMPENSATION THAT IS INCLUDED IN OTHER REPORTABLE COMPENSATION IN PART II AS FOLLOWS: MARK TAUBMAN, M.D. - 457(F) PLAN - $612,699 A LIVINGSTON COUNTY INDUSTRIAL DEVELOPMENT AGENCY 161136853 538655AD3 2005-06-29 9471914 ACQUISITION, RENOVATION, CONSTRUCTION, AND EQUIPPING OF HOSPITAL 0 0 0 B LIVINGSTON COUNTY INDUSTRIAL DEVELOPMENT AGENCY 161136853 538655AE1 2007-12-20 615060 REFUND OF PRIOR BONDS 0 0 1 A 4310000 9763548 805638 625676 189438 6449941 1692856 2006 1 0 1 1 B 582012 615060 12301 3084 10309 589366 2003 1 0 1 1 A 0 0 1 1 0 0.01200 0.01200 0 0 0 B 0 0 0 0 0 0 0 A 0 0 1 0 0 0 0 0 0 B 0 0 1 0 1 0 0 0 0 A 0 B 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. NANCY JOHNSEN FAMILY MEMBER OF MICHAEL A. JOHNSEN, DIRECTOR 56663 COMPENSATION 0 MEDICOR INTERNAL MEDICINE PLLC ENTITY MORE THAN 35% OWNED BY AHSEN SHEIKH, DIRECTOR 326600 CONTRACTED SERVICES 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 6,765,865. MANAGEMENT AND GENERAL EXPENSES 394,757. FUNDRAISING EXPENSES 6,648. TOTAL EXPENSES 7,167,270. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,082,662. MANAGEMENT AND GENERAL EXPENSES 326,873. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,409,535. COLLECTION FEES: PROGRAM SERVICE EXPENSES 62,655. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 62,655. ARCHITECTURE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,167. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,167. RECRUITMENT FEES: PROGRAM SERVICE EXPENSES 36,386. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,386. FORM 990, PART XI, LINE 9: CHANGE IN FUNDED STATUS OF PENSION PLAN 656,733. CHANGE IN INTEREST OF FOUNDATION 1,168,304. FFT SENIOR COMMUNITIES INC 1 FERRIS HILLS CANANDAIGUA NY 14424 161557494 ELDER CARE NY 501(C)(3) LINE 10 FF THOMPSON HEALTH SYSTEM INC 0 HIGHLAND COMMUNITY DEVELOPMENT CORP - 100 HAHNEMANN TRAIL PITTSFORD NY 14534 223154715 ELDER CARE NY 501(C)(3) LINE 10 STRONG PARTNERS HEALTH SYSTEM INC 0 HIGHLAND HOSPITAL OF ROCHESTER 1000 SOUTH AVENUE ROCHESTER NY 14620 160743037 HOSPITAL NY 501(C)(3) LINE 3 STRONG PARTNERS HEALTH SYSTEM INC 0 THE HIGHLAND FOUNDATION INC 1000 SOUTH AVENUE ROCHESTER NY 14620 237310662 FUNDRAISING NY 501(C)(3) LINE 12A, I HIGHLAND HOSPITAL OF ROCHESTER 0 HIGHLAND FACILITIES DEVELOPMENT CORPORATION 1000 SOUTH AVENUE ROCHESTER NY 14620 223039077 MEDICAL BLDG NY 501(C)(3) LINE 10 HIGHLAND HOSPITAL OF ROCHESTER 0 LIVINGSTON HEALTH CARE SYSTEM INC 111 CLARA BARTON STREET DANSVILLE NY 14427 161455240 SUPPORT ORG NY 501(C)(3) LINE 12A, I UNIVERSITY OF ROCHESTER 0 RED JACKET CENTER INC 111 CLARA BARTON STREET DANSVILLE NY 14427 161037658 MEDICAL BLDG NY 501(C)(3) LINE 12A, I LIVINGSTON HEALTH CARE SYSTEM INC 0 THE FOUNDATION FOR NOYES MEMORIAL HEALTH SYSTEM INC 111 CLARA BARTON STREET DANSVILLE NY 14427 161584778 FUNDRAISING NY 501(C)(3) LINE 7 LIVINGSTON HEALTH CARE SYSTEM INC 0 JONES MEDICAL SERVICES PC 191 NORTH MAIN STREET WELLSVILLE NY 14895 465210222 MEDICAL CLINIC NY 501(C)(3) LINE 3 THE MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INC 0 JONES MEMORIAL HOSPITAL FOUNDATION 191 NORTH MAIN STREET WELLSVILLE NY 14895 473763374 SUPPORT ORG NY 501(C)(3) LINE 7 THE MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INC 0 THE MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INC 191 NORTHMAIN STREET WELLSVILLE NY 14895 222807681 HOSPITAL NY 501(C)(3) LINE 3 UNIVERSITY OF ROCHESTER 0 UNIVERSITY OF ROCHESTER BROADCASTING CORPORATION 201 WILSON COMMONS ROCHESTER NY 14627 160743209 BROADCAST LIC NY 501(C)(4) UNIVERSITY OF ROCHESTER 0 UR MEDICINE HOME CARE COMMUNITY SERVICES INC 2180 EMPIRE BOULEVARD WEBSTER NY 14580 825091873 HEALTHCARE NY 501(C)(3) 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