2018-11-15T09:47:03-06:00 2017-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL SUITE 201 PITTSFORD NY 14534 990 2017-01-01 160743979 NICHOLAS H NOYES MEMORIAL HOSPITAL NICH 5853356001 111 CLARA BARTON STREET DANSVILLE NY 14437 JAY MASLYN CFO 5853356001 2018-11-13 WILLIAM MCDONALD P01600766 5853811000 4.14.157.194 2018-11-13 16:10:27 ES P D360F84E3F0AD10F5627038E856A557EFFF2FA52 BA9DD01E2068C257FA2589B5B0D3714828123AF1 2017 2019-02-21 02:37:17Z JAY MASLYN 111 CLARA BARTON STREET DANSVILLE NY 14437 58928723 0 X WWW.NOYES-HEALTH.ORG 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. 19 9 557 88 51119 0 3232869 996671 57837963 55483179 289801 67551 1560431 1831423 62921064 58378824 0 0 0 0 30861368 32946940 0 0 59123 28731138 25756872 59592506 58703812 3328558 -324988 54776691 54603173 22018678 20461557 32758013 34141616 NICHOLAS H NOYES MEMORIAL HOSPITAL SUPPORTS AND PROMOTES THE HEALTH OF OUR COMMUNITIES THROUGH COMPASSIONATE QUALITY CARE 0 0 44807081 55569285 NICHOLAS H NOYES MEMORIAL HOSPITAL IS A 67 BED HOSPITAL WHICH PROVIDES ACUTE, SUB-ACUTE EMERGENCY AND OUTPATIENT CARE. 44807081 1 1 0 1 0 0 0 0 0 1 1 1 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 84 0 1 557 1 1 1 0 0 0 0 1 1 0 0 0 0 X 19 9 0 0 0 0 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 NY X JAY MASLYN 5853354306 111 CLARA BARTON STREET DANSVILLE NY 14437 GRAHAM FRAZER CHAIRPERSON 10.00 X 0 0 0 JAMES CULBERTSON FIRST VICE CHAIRPERSON 2.00 X 0 0 0 DOMENICK MARTELLO SECOND VICE CHAIRPERSON 2.00 X 0 0 0 MICHAEL JOHNSEN PAST CHAIRPERSON 1.00 X 0 0 0 LESLIE COLE JR PAST CHAIRPERSON 5.00 X 0 0 0 AMY POLLARD PRESIDENT/CEO 47.90 2.10 X X 187288 0 7065 JOAN FLENDER MD DIRECTOR 1.00 X 0 0 0 GEOFFERY WITTIG MD PRES-ELECT, MEDICAL STAFF 1.00 X 0 0 0 MARK LYONS TREASURER 1.00 X 0 0 0 DOUGLAS MAYHLE MD MEDICAL DIRECTOR (NON-VOTING) 1.00 X 416275 0 7071 LINDSAY QUINTILONE DIRECTOR 1.00 X 0 0 0 BERNARD SWEENEY MD DIRECTOR 1.00 X 0 0 0 MARILYN MOORE SECRETARY 5.00 X 0 0 0 RICHARD RIZZIERI DIRECTOR 1.00 X 0 0 0 STEVEN GOLDSTEIN PRES/CEO-STRONG & HIGHLAND 2.00 71.00 X 0 1366233 503360 ROBERT MCCANN MD CEO - AHP CHAIR OF MEDICINE-HIGHLAND 2.00 60.00 X 0 585766 62140 MARK TAUBMAN MD CEO-U OF R MED CENTER 2.00 75.00 X 0 1091700 322203 AHSEN SHEIKH PRES-ELECT, MEDICAL STAFF 2.00 X 0 0 0 JOHN M LOCKHART DIRECTOR 2.00 X 0 0 0 JAY MASLYN CFO 38.90 1.10 X 141003 0 2955 ROBERT CAPECCI ORTHOPEDIST 40.00 X 628386 0 8904 KEVIN O'KEEFE ORTHOPEDIST 40.00 X 521927 0 8904 BRIAN FORESMAN GENERAL SURGEON 40.00 X 498457 0 8904 CHIRAG PATEL ANESTHESIOLOGIST 40.00 X 405156 0 8904 ALBERTO VELASCO ANESTHESIOLOGIST 40.00 X 346243 0 7071 3144735 3043699 947481 39 0 1 0 PIKE COMPANY INC 1 CIRCLE STREET ROCHESTER NY 14607 BUILDING CONTRACTOR 1462793 ARUP LABORATORIES PO BOX 27964 SALT LAKE CITY UT 84127 LAB TESTING 571193 SLEEP INSIGHTS MANAGEMENT SERVICES 755 JEFFERSON ROAD ROCHESTER NY 14623 CONTRACTED SERVICE 354999 MEDICOR INTERNAL MEDICINE PLLC 50 EAST SOUTH STREET SUITE 600 GENESEO NY 14454 CONTRACTED PHYSIICAN 335668 RONDON RAFAEL MD 84 ASHLAND AVENUE BUFFALO NY 14222 CONTRACTED PHYSIICAN 312100 5 120253 718749 157669 996671 PATIENT SERVICE REVENUE 621990 55483179 55483179 55483179 73004 73004 480326 485779 -5453 -5453 -5453 24142 6731 17411 17411 143495 57389 86106 86106 OTHER REVENUE 541380 1156446 37325 1119121 PANDION SOURCING NATIONAL LLC 900000 571460 13794 557666 1727906 58378824 55569285 51119 1761749 779521 302161 477360 26149267 19255399 6855414 38454 527280 367297 159983 3703464 2600044 1103420 1787408 1298097 489311 32566 32566 65450 65450 45271 45271 5715474 5165642 546848 2984 266087 188155 63048 14884 10390779 9329667 1058311 2801 1372528 763961 608567 1508335 674790 833545 34139 4846 29293 34091 25393 8698 2359765 1700833 658932 234401 162726 71675 BAD DEBT EXPENSE 1380526 1380526 OTHER PURCHASED SERVICE 1287205 1000033 287172 REPAIRS AND MAINTENANCE 803653 458580 345073 226602 128931 97671 58703812 44807081 13837608 59123 5869 6587 3277302 2972659 186217 93185 7639862 4786706 200028 1213609 1242723 731947 1310282 62553520 41292742 25529468 21260778 3423758 3735185 12568631 19195068 54776691 54603173 7636616 6886581 148916 30828 6215368 6805894 8017778 6738254 22018678 20461557 X 31810560 33209879 203747 188031 743706 743706 32758013 34141616 54776691 54603173 X -324988 168664 1539927 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 9861 9861 0 PART II-B, LINE 1: AS MEMBERS OF 3 ASSOCIATIONS (AHA - AMERICAN HOSPITAL ASSOCIATION, HAYNS-THE HEALTHCARE ASSOCIATION OF NEW YORK & RRHA/SEAGATE ALLIANCE) A PORTION OF THE DUES (TOTAL REFLECTED ABOVE) ARE PAID AS PART OF MEMBERSHIP AND REPRESENT AMOUNTS DESIGNATED FOR LOBBYING ACTIVITIES. THESE ASSOCIATE ORGANIZATIONS OF WHICH WE ARE MEMBERS HANDLE THE DIRECT LOBBYING/ADVOCACY ACTIVITIES ON BEHALF OF THEIR MEMBERS. 1901682 56551 14626 1943607 1794736 106946 1901682 1808503 -1728 12039 1794736 1688538 131563 11598 1808503 1561127 138137 10726 1688538 0.66880 0.33120 0 0 372690 372690 29923254 15504643 14418611 30616009 24810871 5805138 1641567 977228 664339 21260778 INVESTMENTS 3735185 F 3735185 OTHER 451553 MORTGAGE REPAYMENT ESCROW FUNDS 805638 BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 12635812 DUE FROM RELATED ENTITY 5302065 19195068 WORKERS COMPENSATION EXIT LIABILITY 862620 PENSION LIABILITY 3913961 RETIREMENT OBLIGATION 517759 DUE TO THIRD-PARTY PAYERS 1443914 6738254 58771009 168664 1539927 1708591 57062418 1316406 1316406 58378824 57387406 64120 64120 57323286 1380526 1380526 58703812 PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGES IN MINIMUM PENSION LIABILITY 621,179. CHANGE IN INTEREST IN FOUNDATION 918,748. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSES 1,380,526. FUNDRAISING EXPENSE -6,731. COST OF GOODS SOLD -57,389. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 6,731. COST OF GOODS SOLD 57,389. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSES 1,380,526. GOLF TOURNAMENT 17829 17829 595 1613 2419 FLOWER SALE 6313 6313 2104 24142 24142 595 1613 2419 2104 6731 17411 1 1 1 X 1 X 1 1 1 0 1 1 11256 1457880 1457880 0.02480 4296 10435804 10376724 59080 0.00100 4229 402050 402050 19781 12295734 10778774 1516960 0.02580 25 264632 69007 3713 65294 0.00110 2 99 134467 134467 0.00230 7 57757 18838942 15380973 3457969 0.05890 34 322488 19042416 15384686 3657730 0.06230 34 342269 31338150 26163460 5174690 0.08810 0 0 0 0 0.00000 1 64025 7294 0 7294 0.00010 4 649 25740 2150 23590 0.00040 0 0 0 0 0.00000 0 0 0 0 0.00000 1 80544 26527 0 26527 0.00050 0 0 0 0 0 0 0 0 0 0 0 0 6 145218 59561 2150 57411 0.00100 1 1380526 8485916 6526725 1959191 X 1 1 1 1 NICHOLAS H NOYES MEMORIAL HOSPITAL 111 CLARA BARTON STREET DANSVILLE NY 14437 X X X NICHOLAS H NOYES MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X 16 1 0 1 1 X WWW.NOYES-HEALTH.ORG/COMMUNITY-SERVICES/COMMUNITY-SERVICE-PLANS X WWW.CO.LIVINGSTON.STATE.NY.US/617/COUNTY-HEALTH-DATA X X 1 16 1 WWW.NOYES-HEALTH.ORG/COMMUNITY-SERVICES/COMMUNITY-SERVICE-PLANS 0 1 X 100.000000000000 300.000000000000 1 1 X X X X 1 X WWW.NOYES-HEALTH.ORG X WWW.NOYES-HEALTH.ORG X X X 1 X 0 X X X 1 X 0 0 PART V, SECTION B, LINE 5: NOYES 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.1.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. 2.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.3.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.4.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 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 INITIATIVEFOCUS 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 FORCEFOCUS 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. 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. PART V, SECTION B, LINE 7D: THE CHNA HAS BEEN:MADE PUBLICLY AVAILABLE ON THE LIVINGSTON COUNTY - DEPT OF HEALTH WEBSITEMADE PUBLICLY AVAILABLE ON THE UR MEDICINE | NOYES HEALTH WEBSITEMADE PUBLICLY AVAILABLE ON THE GENESEE VALLEY HEALTH PARTNERSHIP WEBSITEMADE PUBLICLY AVAILABLE ON THE S2AY RURAL HEALTH NETWORK WEBSITEMADE PUBLICLY AVAILABLE ON ADDITIONAL PARTNERS WEBSITES (CORNELL COOPERATIVE EXTENSION, LOCAL COMMUNITY BASED ORGANIZATIONS, ETC.)SHARED WITH ALL APPROPRIATE NEWS OUTLETS IN THE FORM OF A PRESS/MEDIA RELEASEALL 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 ACCOUNTSUR 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.NOYES-HEALTH.ORG/COMMUNITY-SERVICES/COMMUNITY-SERVICE-PLANS 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 PART V, SECTION B, LINE 11: THE FOLLOWING INITIATIVES WERE BY NOYES MEMORIAL HOSPITAL IN 2017 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 POPULATION1. PREVENT CHRONIC DISEASE - OBESITY PREVENTIONLIVING HEALTHY NY CLASSES: THIS 6-WEEK EDUCATION PROGRAM USES THE STANFORD MODEL EVIDENCE-BASED CHRONIC DISEASE SELF-MANAGEMENT CIRRICULUM. IN 2017, A TOTAL OF 47 PARTICIPANTS COMPLETED ONE OF THE FIVE CLASS SERIES HELD IN DANSVILLE, GENESEO, MT. MORRIS, AND WAYLAND.HEALTHY LIVING LIVINGSTON CLASSES: THIS NEW 8-WEEK PROGRAM PROVIDES EDUCATION RELATIVE TO SEVEN PREVALENT TYPES OF CANCER AND INCLUDES HEALTHY LIFESTYLE CHANGES THAT REDUCE RISK OF CANCER AND OTHER CHRONIC DISEASES. THE CLASSES WERE PROVIDED BY URMC'S CENTER FOR COMMUNITY HEALTH AND PREVENTION AND PROMOTED VIA VARIOUS NOYES COMMUNITY PARTNERSHIPS AND COALITIONS. TEN PARTICIPANTS COMPLETED THE PROGRAMS HELD IN DANSVILLE AND MT. MORRIS.NOYES DIABETES EDUCATION PROGRAM: IN 2017, THIS PROGRAM SUCCESSFULLY COMPLETED THE FOUR-YEAR RECERTIFICATION WITH THE AMERICAN ASSOCIATION OF DIABETES EDUCATORS. THE PROGRAM PROVIDED A VARIETY OF DIABETES EDUCATION AND SUPPORT SERVICES: 338 NEW DIABETICS WERE SEEN FOR INDIVIDUAL COUNSELING AND 50 DIABETICS ATTENDED THE FREE DIABETES EDUCATION CLASSES. THE PROGRAM ALSO PROVIDED 15 INSULIN PUMP STARTS AND 13 CONTINUOUS GLUCOSE SCREENINGS. TWO FREE FOOT CARE AND DIABETES HEALTH FAIRS WERE HELD IN DANSVILLE AND GENESEO WITH 35 ATTENDEES.NOYES PRIMARY STROKE CENTER: NOYES ACHIEVED GOLD STATUS FROM THE AMERICAN HEART/AMERICAN STROKE ASSOCIATION INDICATING 85% OR HIGHER COMPLIANCE WITH ALL GET WITH THE GUIDELINES ACHIEVEMENT MEASURES FOR 2+ YEARS. IN 2017, 129 EMERGENCY ROOM PATIENTS WERE ASSESSED FOR STROKES AND APPROPRIATE TREATMENT PROVIDED BASED ON ACTUAL DIAGNOSIS. NOYES COMMUNITY OUTREACH ALSO CONDUCTED FOUR FREE SPEAKER'S BUREAU PRESENTATIONS TO 106 PARTICIPANTS ON STROKE PREVENTION AND F.A.S.T. STROKE WARNING SYMPTOMS.BE WELL IN LIVINGSTON (BWIL): BWIL IS THE NEWEST COLLABORATIVE EFFORT IN LIVINGSTON COUNTY TO ADDRESS OBESITY PREVENTION IN CHILDREN AND ADULTS. THE PROGRAM PROMOTES HEALTHY EATING AND ACTIVE LIFESTYLES IN AN EFFORT TO HELP COMMUNITY RESIDENTS LIVE LONGER, BETTER! NOYES COMMUNITY OUTREACH SERVICES CO-LEADS THIS PROJECT WITH THE LIVINGSTON COUNTY DEPARTMENT OF HEALTH, ALONG WITH SUPPORT FROM OTHER LOCAL HEALTH AND HUMAN SERVICE PROVIDERS. IN 2017, THE PROJECT LOGO, MISSION, VISION, AND GOALS WERE ALL ESTABLISHED. 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. OUR GOAL:TO REDUCE OBESITY IN CHILDREN AND ADULTS BY IMPLEMENTING POLICY, SYSTEM AND ENVIRONMENTAL CHANGES. BASED ON HEALTH CARE DATA, POPULATION SIZE, COMMUNITY RESOURCES AND WILLINGNESS TO CHANGE, NUNDA WAS IDENTIFIED AS OUR FIRST COMMUITY TO PROVIDE FOCUSED SUPPORT OVER THE NEXT TWO YEARS TO HELP PROVIDE EDUCATION, HELP THE COMMUNITY IDENTIFY OPPORTUNITIES TO PROMOTE HEALTHY LIVING, AND SUPPORT LOCAL HEALTHY LIFESTYLE INTIATIVES. 2017 BWIL ACHIEVEMENTS INCLUDED:FOCUS GROUPS: 12 FOCUS GROUPS CONDUCTED IN NUNDA, INCLUDING: GOVERNMENT, SCHOOL, CHURCH, SERVICE CLUBS, EMS/FIRE, COMMUNITY, HEALTH CARE PROVIDERS, ETC.SCHOOL HEALTH INDEX ASSESSMENT: WAS COMPLETED AT KESHEQUA AND SCHOOL IS IMPLEMENTING POLICY/PRACTICE CHANGE REGARDING PHYSICAL ACTIVITY IN THE CLASSROOM.CHANGE (CDC) ASSESSMENT: WAS COMPLETED AT NUNDA LUMBER. A WELLNESS COMMITTEE WAS CREATED AND THEY NOW OFFER HEALTHY SNACK OPTIONS AT WORK.NUNDA HISTORICAL WALKING TRAIL: WAS ESTABLISHED, PROMOTED AND KICK-OFF EVENT HELD MARCH 2018.NUNDA STEERING COMMITTEE: STARTED MEETING IN OCTOBER 2017 TO IDENTIFY OPPORTUNTIES AND ESTABLISH STRATEGIC PLAN FOR THEIR NUNDA BWIL.COMMUNITY-WIDE BWIL KICK-OFF EVENT: BEING PLANNED FOR FALL 2018.2. PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSEMONITOR/SECURE/DISPOSE PROGRAM: PROPER PRESCRIPTION DRUG DISPOSAL HAS SIGNIFICANT IMPACT ON SUBSTANCE ABUSE PREVENTION. THE NUMBER OF MEDICATION DROP BOXES INCREASED FROM THREE TO FIVE IN 2017 WITH CURRENT LOCATIONS NOW IN: GENESEO, DANSVILLE, CALEDONIA, LIMA AND LAKEVILLE. THIS PROGRAM STARTED LATE 2014 AND SINCE THE INCEPTION, 3,279 POUNDS OF MEDICATIONS HAVE BEEN DROPPED OFF AT THESE LOCATIONS!! NOYES ACTIVELY PROMOTES THE MED DROP BOX INFORMATION THROUGHOUT OUR FACILITIES AND VIA THE VARIOUS NOYES COALITION GROUPS.CAPACITY BUILDING: NOYES MENTAL HEALTH AND WELLNESS CONTINUED TO GROW TO MEET COMMUNITY NEED IN 2017. THE CLINIC NOW PROVIDES WALK-IN CRISIS SERVICES FIVE DAYS/WEEK DURING OPEN HOURS. TWO FULL-TIME NURSE PRACTICITIONERS, ONE FULL TIME CHILD PSYCHIATRIST, AND 23 THERAPISTS ARE ON STAFF. ALL THERAPISTS ARE NOW TRAUMA FOCUSED - COGNITIVE PROGRAM CERTFIED. PATIENT VISITS GREW 7% - FOR A TOTAL 16,844 VISITS IN 2017. ALSO, IN DECEMBER 2017, A NEW FULL-TIME PSYCHIATRIC ASSESSMENT OFFICER WAS HIRED TO WORK IN THE NOYES EMERGENCY DEPARTMENT TO HELP ADDRESS NEEDS OF PATIENTS WHOSE MENTAL HEALTH IMPACTS MANAGEMENT OF THEIR PHYSICAL HEALTH.SUICIDE PREVENTION: NOYES MENTAL HEALTH STAFF ARE MEMBERS OF THE COUNTY'S SUICIDE PREVENTION TASK FORCE WORKING TO INCREASE SUICIDE PREVENTION AWARENESS THROUGHOUT THE COUNTY VIA COMMUNTIY EDUCATION (ADS, BILL BOARDS, BANNERS, SOCIAL MEDIA) AND THEIR 3RD ANNUAL CANDLE LIGHT VIGIL. A NEW MONTHLY SUICIDE BEREAVEMENT SUPPORT GROUP WAS STARTED IN 2017 TO SUPPORT FAMILIES IMPACTED BY SUICIDE. ALCOHOLICS ANONYMOUS (AA) MEETINGS: NOYES HOSPITAL PROVIDES CONFERENCE ROOM SPACE FOR WEEKLY AA, AL-ANON, AND NARCOTICS ANONYMOUS MEETINGS, AT NO CHARGE TO THE GROUP. THESE EFFORTS SUPPORT COMMUNITY NEED TO HELP THOSE LIVING IN OUR SERVICE AREA WHO STRUGGLE WITH ADDICTION ISSUES.3. PROMOTE HEALTHY AND SAFE ENVIRONMENTUR MEDICINE AND THE LIVINGSTON COUNTY DEPARTMENT OF HEALTH AND OFFICE FOR AGING ARE LEAD AGENCIES ON THE LIVINGSTON COUNTY FALL PREVENTION COALITION THAT WORKS TO IMPLEMENT EVIDENCE-BASED STRATEGIES TO DEVELOP AND PROMOTE COMMUNITY-BASED PROGRAMS FOR FALL PREVENTION.ANNUAL FALL PREVENTION WORKSHOP: 4TH ANNUAL FALL PREVENTION WORKSHOP WAS HELP IN LAKEVILLE DURING SEPTEMBER 2017 AND 67 OLDER ADULTS ATTENDED TO MEET VENDORS/SERVICE PROVIDERS, LISTEN TO SPEAKERS, AND LEARN ABOUT LOCAL FALL PREVENTION RESOURCES.PROMOTE PHYSICAL ACTIVITY OPPORTUNTIES: WITH THE SUPPORT OF THE LIVINGSTON COUNTY OFFICE FOR THE AGING AND RSVP/LIFESPAN, IN 2017 THERE WERE TWO 16-WEEK TAI-CHI CLASS SERIES WITH 25 PARTICIPANTS AND FIVE 8-WEEK MATTER OF BALANCE CLASSES WITH 67 PARTICIPANTS. THESE PROGRAMS ARE ACTIVELY PROMOTED BY THE E.A.R.S. LIFELINE PROGRAM AND CONTINUUM OF CARE COALITION AT NOYES HOSPITAL.HOME SAFE HOME: NOYES TOOK LEAD IN COORDINATING THE HOME SAFE HOME PROGRAM IN 2017 FOR LIVINGSTON COUNTY, IN PARTNERSHIP WITH LIFESPAN. THIS GENESEE VALLEY HEALTH PARTNERSHIP FUNDED PROGRAM PROVIDES HOME FALL RISK ASSESSMENTS, MODIFICATIONS AND EDUCATION TO THOSE 60+ YEARS OLD IN NEED OF GRAB BARS, RAILINGS, SHOWER CHAIR, ETCTO HELP PREVENT FALLS IN THE HOME. THE NOYES LIFELINE COORDINATOR PROVIDES THE OUTREACH/PROMOTION OF THE PROGRAM AND SCREENS ALL REFERRALS. REFERRALS ARE THEN SENT TO LIFESPAN AND THEIR PROVIDER SCHEDULES HOME VISITS IN LIVINGSTON COUNTY ONCE/MONTH. WITH THE GVHP FUNDING, 36 HOME SAFETY VISITS WERE COMPLETED THIS PAST YEAR.COALITION BUILDING ACTIVITIESNOYES 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 2017 INCLUDED: SUICIDE PREVENTION, HOSPICE/PALLIATIVE CARE, ACE'S, VETERAN'S SERVICES, START, HEROINE/OPIATE EPIDEMIC, FINGER LAKES CAREGIVER INSTITUTE, AND STROKE. CANCER SUPPORT SERVICES COALITION (CSS): WITH THE 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. THE INTERESTED PARTIES MET MONTHLY TO DISCUSS WAYS TO MEET THE NEEDS OF CANCER CENTER PATIENTS FROM A PHYSICAL, EMOTIONAL AND FINANCIAL STANDPOINT. 4 1 - LIVINGSTON HEALTH SERVICES 50 EAST SOUTH STREET GENESEO NY 14454 OUTPATIENT SURGERY, DIAGNOSTIC AND URGENT CARE 2 - MENTAL HEALTH CLINIC 9221 ROBERT HART DRIVE DANVILLE NY 14437 MENTAL HEALTH CLINIC 3 - NOYES CTR FOR KIDNEY DISEASE & DIALYSIS 4616 MELLENIUM DRIVE GENESEO NY 14454 CHRONIC DIALYSIS CENTER AND NEPHROLOGIST 4 - CREEKSIDE FAMILY MEDICINE 12 NORTH CHURCH ST CANASERAGA NY 14822 PRIMARY CARE PHYSCIAN OFFICE PART VI, LINE 2: NOYES 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: FOR 2017, 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, 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: THIS COMMUNITY HEALTH ASSESSMENT INCLUDES ALL OF LIVINGSTON COUNTY, NY. LIVINGSTON COUNTY IS A LARGE 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 63,799, PER 2017 CENSUS ESTIMATES (A DECREASE OF 2.3% SINCE 2010). THE POPULATION IS WIDELY SCATTERED OVER THE 631.76 SQUARE MILES, WITH AN AVERAGE POPULATION DENSITY OF APPROXIMATELY 103.5 PERSONS PER SQUARE MILE (2010 DATA). THE MOST POPULOUS COMMUNITIES IN LIVINGSTON COUNTY ARE DANSVILLE, GENESEO,(THE COUNTY SEAT) AND MT. MORRIS. A COMMON CHALLENGE FOR RESIDENTS TO GET THEIR MEDICAL, MENTAL, AND EMOTIONAL NEEDS MET IS LACK OF TRANSPORTATION DUE TO DISTANCE BETWEEN HOME AND PROVIDERS/SUPPORT RESOURCES AND LACK OF PUBLIC TRANSPORTATION OPTIONS. THE ANNUAL MEDIAN HOUSEHOLD INCOME IS $52,724 AND 13.9% ARE PERSONS IN POVERTY. 95.4% OF ALL RESIDENTS UNDER 65 YEARS OLD HAVE HEALTH INSURANCE. THE POPULATION IS PRIMARILY WHITE (93.5%) WITH HISPANIC (3.6%) AND BLACK (3.1%) COMING IN SECOND AND THIRD. LANGUAGE OTHER THAN ENGLISH IS SPOKEN IN 6% OF ALL HOMES. 89% OF ALL RESIDENTS GRADUATED FROM HIGH SCHOOL OR HIGHER LEVEL OF EDUCATION. PART VI, LINE 5: 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 PREVENTIVE, 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: CLASSES (SMOKE CESSATION, MEDICAL TERMINOLOGY, TRAININGS, SPEAKER'S BUREAU ON HEALTH AND WELLNESS TOPICS, AND WEEKLY HEALTH ED ARTICLES IN BOTH LOCAL NEWSPAPERS. 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 APROX. 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.PARTNERSHIPS: 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, ARC, CATHOLIC HEALTH OF LIV CO, AND TRIAD. 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 COMMUNITY, 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 PREVENTIVE, EDUCATION AND SCREENING SERVICES THROUGHOUT THE COMMUNITY AND INCLUDES HOME VISITS FOR SOME SERVICES: -EARS LIFELINE AND MEDICATION DISPENSING SERVICES: ALL HOME VISITSNOYES FIRST STEPS: PRENATAL EDUCATION AND SUPPORT SERVICES FOR LOW INCOME AND/OR HIGH NEED CLIENTS, INCLUDES OFFICE AND HOME VISITS. -CAREGIVER RESOURCE CENTER: HOME VISITS, PHONE CALLS, CLASSES, SUPPORT GROUPS, AND EVENTS -LIVING HEALTHY AND LIVING HEALTHY W/DIABETES: CHRONIC DISEASE SELF-MANAGEMENT CLASSES PROVIDED THROUGHOUT THE COUNTY 4 TIMES/YR -COMMUNITY EDUCATION: CLASSES, TRAININGS AND SPEAKER'S BUREAU ON HEALTH AND WELLNESS TOPICS -CLINICS: FREE BLOOD PRESSURE SCREENINGS AT LOCAL GROCERY STORES AND FAIR/FESTIVAL EVENTS PART VI, LINE 7 LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT:NY 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 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 FA POLICY AND FPG. PATIENTS WHO DO NOT APPLY FOR FA 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 OUTSIDE COLLECTION AGENCY AND RECEIVE 100% DISCOUNT. X X X 0 1 0 0 0 0 0 0 0 AMY POLLARD PRESIDENT/CEO 185641 0 0 0 1647 0 0 0 7065 0 194353 0 0 0 DOUGLAS MAYHLE MD MEDICAL DIRECTOR (NON-VOTING) 387529 0 0 0 28746 0 0 0 7071 0 423346 0 0 0 STEVEN GOLDSTEIN PRES/CEO-STRONG & HIGHLAND 0 1089334 0 0 0 276899 0 485358 0 18002 0 1869593 0 201413 ROBERT MCCANN MD CEO - AHP CHAIR OF MEDICINE-HIGHLAND 0 585050 0 0 0 716 0 37158 0 24982 0 647906 0 0 MARK TAUBMAN MD CEO-U OF R MED CENTER 0 964099 0 100000 0 27601 0 300958 0 21245 0 1413903 0 0 ROBERT CAPECCI ORTHOPEDIST 623949 0 2080 0 2357 0 0 0 8904 0 637290 0 0 0 KEVIN O'KEEFE ORTHOPEDIST 506711 0 15000 0 216 0 0 0 8904 0 530831 0 0 0 BRIAN FORESMAN GENERAL SURGEON 498097 0 0 0 360 0 0 0 8904 0 507361 0 0 0 CHIRAG PATEL ANESTHESIOLOGIST 397265 0 7536 0 355 0 0 0 8904 0 414060 0 0 0 ALBERTO VELASCO ANESTHESIOLOGIST 344659 0 0 0 1584 0 0 0 7071 0 353314 0 0 0 PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED EMPLOYER PAID AMOUNTS THAT ARE INCLUDED IN DEFERRED COMPENSATION: STEVEN GOLDSTEIN: SERP PLAN - $159,400 STEVEN GOLDSTEIN: 457(F) PLAN - $300,000 ROBERT MCCANN MD: SERP PLAN - $11,200 MARK TAUBMAN MD: SERP PLAN - $125,000 MARK TAUBMAN MD: 457(F) PLAN - $150,000 THE FOLLOWING INDIVIDUAL PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED EMPLOYER PAID AMOUNTS THAT ARE INCLUDED IN OTHER REPORTABLE COMPENSATION: STEVEN GOLDSTEIN: 457(F) PLAN - $201,413 A LIVINGSTON COUNTY INDUSTRIAL DEVELOPMENT AGENCY 161136853 538655AD3 2005-06-29 9471914 SEE PART VI 0 0 0 B LIVINGSTON COUNTY INDUSTRIAL DEVELOPMENT AGENCY 161136853 538655AE1 2007-12-20 615060 REFUND OF PRIOR BONDS (06/30/99) 0 0 1 A 4045000 9763548 805638 625676 189438 6449941 1692856 2006 1 0 1 1 B 513468 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 JOAN FLENDER BOARD MEMBER 50000 PEDIATRIC CALL COVERAGE 0 NANCY JOHNSON WIFE OF A BOARD MEMBER 65710 COMPENSATION 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF NICHOLAS H. NOYES MEMORIAL HOSPITAL ("NOYES") IS LIVINGSTON COUNTY HEALTH SYSTEM, INC (THE "SYSTEM") THE UNIVERSITY OF ROCHESTER IS THE SOLE MEMBER OF THE SYSTEM. FORM 990, PART VI, SECTION A, LINE 7A THE UNIVERSITY OF ROCHESTER, ACTING THROUGH THE CHIEF EXECUTIVE OFFICER OF THE UNIVERSITY OF ROCHESTER AND MEDICAL CENTER, HAS THE AUTHORITY TO ELECT NOYES' BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN DECISIONS OF THE NOYES BOARD OF DIRECTORS ARE SUBJECT TO APPROVAL OF THE SYSTEM, ACTING THROUGH ITS BOARD OF DIRECTORS, INCLUDING AMENDMENT OF THE CERTIFICATE OF INCORPORATION AND BYLAWS, APPROVAL OF MERGER, DISSOLUTION, AND SALE OF ALL OR SUBSTANTIALLY ALL ASSETS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY FINANCE STAFF AND BONADIO & CO., LLP AND PROVIDED TO SENIOR MANAGEMENT, 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 MATER INVLOVING 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 15 THE BOARD OF DIRECTOR REVIEWS THE GOALS AND OBJECTIVES OF THE CEO ALONG WITH COMPARABLITY DATA TO DETERMINE HER/HIS COMPENSATION THE DELIBERATION AND DECISION IS RECORDED IN TEH MINUTES OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 BY REQUEST TO THE CEO, CFO OR ADMINISTRATIVE ASSISTANT. ALSO AVAILABLE ON GUIDESTAR WEBSITE. FORM 990, PART XI, LINE 9: CHANGE IN MINIMUM PENSION LIABILITY 621,179. INTEREST CHANGE IN FOUNDATION 918,748. FORM 990, PART XII, 2C THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS DURING THE YEAR. UNIVERSITY OF ROCHESTER 910 GENESEE STREET STE 200 ROCHESTER NY 14611 160743209 SCHOOL NY 501 C (3) LINE 2 N/A 0 HIGHLAND HOSPITAL OF ROCHESTER 1000 SOUTH AVENUE ROCHESTER NY 14620 160743037 HOSPITAL NY 501 C (3) LINE 3 SPHS 0 THE HIGHLAND FOUNDATION INC 1000 SOUTH AVENUE ROCHESTER NY 14620 237310662 FUNDRAISING NY 501 C (3) LINE 12A, I HIGHLD HOSP 0 HIGHLAND FACILITIES DEVELOPMENT CORP 1000 SOUTH AVENUE ROCHESTER NY 14620 223039077 MEDICAL BLDG NY 501 C (3) LINE 10 HIGHLD HOSP 0 HIGHLAND COMMUNITY DEVELOPMENT CORP 100 HAHNEMANN TRAIL PITTSFORD NY 14534 223154715 ELDER CARE NY 501 C (3) LINE 10 SPHS 0 THE HIGHLANDS LIVING CENTER INC 500 HAHNEMANN TRAIL PITTSFORD NY 14534 223240227 HEALTHCARE NY 501 C (3) LINE 10 SPHS 0 THE MEADOWS AT WESTFALL INC 5901 LAC DE VILLE BLVD ROCHESTER NY 14618 161502303 HEALTHCARE NY 501 C (3) LINE 10 SPHS 0 STRONG PARTNERS HEALTH SYSTEM INC 601 ELMWOOD AVENUE BOX 706 ROCHESTER NY 14642 161499099 SUPPORT ORG NY 501 C (3) LINE 12A, I UNIV OF ROCH 0 STRONG 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