2017-11-15T11:32:45-06:00 2016-12-31 474526160 EFPR GROUP CPAS PLLC 280 KENNETH DRIVE ROCHESTER NY 14623 990 2016-01-01 160743979 NICHOLAS H NOYES MEMORIAL HOSPITAL NICH 5853356001 111 CLARA BARTON STREET DANSVILLE NY 14437 JAY MASLYN CFO 5853356001 2017-11-14 1 WILLIAM FRIEDMAN P00060112 5854278900 2017-11-14 64.88.174.3 2017-11-14 12:07:12 ES P 686D3FDA2483D0C8E235A6419B36E432E9EF45B7 1AAB4BE4BFD0F8AB06F1D37B2ABAD12AD21C5869 2016 2017-02-10 21:41:12Z JAY MASLYN 111 CLARA BARTON STREET DANSVILLE NY 14437 63784059 0 X WWW.NOYES-HEALTH.ORG X 1927 NY NICHOLAS H. NOYES MEMORIAL HOSPITAL IS A 67 BED HOSPITAL WHICH PROVIDES ACUTE, SUB-ACUTE, EMERGENCY AND OTHER OUTPATIENT CARE AND WHOSE MISSION IS TO SUPPORT AND PROMOTE THE HEALTH OF OUR COMMUNITIES THROUGH COMPASSIONATE QUALITY CARE. 18 10 619 0 49883 0 2025841 3232869 50234878 57837963 68663 289801 1628585 1560431 53957967 62921064 0 0 0 0 28386054 30861368 0 0 69901 23492968 28731138 51879022 59592506 2078945 3328558 48802142 54776691 25248245 22018678 23553897 32758013 NICHOLAS H. NOYES MEMORIAL HOSPITAL SUPPORTS AND PROMOTES THE HEALTH OF OUR COMMUNITIES THROUGH COMPASSIONATE QUALITY CARE. 0 0 46154816 57920180 NICHOLAS H. NOYES MEMORIAL HOSPITAL IS A 67 BED HOSPITAL WHICH PROVIDES ACUTE, SUB-ACUTE, EMERGENCY AND OUTPATIENT CARE. 46154816 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 84 0 1 619 1 1 1 0 0 0 0 1 1 0 0 0 0 X 18 10 0 0 0 0 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0 0 NY X JAY MASLYN 5853354306 111 CLARA BARTON STREET DANSVILLE NY 14437 GRAHAM FRAZER FIRST VICE CHAIRPERSON 2.00 X 0 0 0 JOHN LOCKHART DIRECTOR 2.00 X 0 0 0 MICHAEL JOHNSEN PAST CHAIRPERSON 5.00 X 0 0 0 LESLIE COLE JR CHAIRPERSON 10.00 X 0 0 0 AMY POLLARD PRESIDENT/CEO 47.90 2.10 X X 183492 0 7529 JOAN FLENDER MD DIRECTOR 1.00 X 0 0 0 GEOFFREY WITTIG MD PRES-ELECT, MEDICAL STAFF 1.00 X 0 0 0 MARK LYONS TREASURER 1.00 X 0 0 0 DOMENICK MARTELLO DIRECTOR 1.00 X 0 0 0 DOUGLAS MAYHLE MD MEDICAL DIRECTOR (NON-VOTING) 40.00 X 421268 0 6355 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 JAMES CULBERTSON SECOND VICE CHAIRPERSON 2.00 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 1026708 601517 ROBERT MCCANN MD CHAIR OF MEDICINE - HIGHLAND 2.00 61.00 X 0 573973 60979 MARK TAUBMAN CEO - U OF R MED. CENTER 2.00 75.00 X 0 958575 322052 AHSEN SHEIKH PRES-ELECT, MEDICAL STAFF 2.00 X 0 0 0 JAY MASLYN CFO 40.00 X 140421 0 547 ROBERT CAPECCI MD PHYSICIAN-ORTHOPEDIST 40.00 X 626976 0 7874 BRIAN FORESMAN GENERAL SURGEON 40.00 X 511590 0 7874 KEVIN O'KEEFE ORTHOPEDIST 40.00 X 488293 0 7874 CHIRAG PATEL ANESTHESIOLOGIST 40.00 X 413568 0 7874 ALBERT VELASCO ANESTHESIOLOGIST 40.00 X 336107 0 6355 3121715 2559256 1036830 31 0 1 0 PIKE COMPANY INC 1 CIRCLE STREET ROCHESTER NY 14607 BUILDING CONTRACTOR 3931228 LOCUMTENENSCOM LLC 2655 NOTHWINDS PARKWAY ALPHARETTA GA 30009 CONTRACT PHYSICIAN 635065 ARUP LABORATORIES PO BOX 27964 SALT LAKE CITY UT 84127 LAB TESTING SERVICES 505999 RONDON RAFAEL MD 84 ASHLAND AVENUE BUFFALO NY 14222 CONTRACT PHYSICIAN 366327 NATIONAL ANESTHESIA SERVICES INC 31040 LAHSER ROAD BEVERLY HILLS MI 48025 CONTRACT PHYSICIAN 335546 16 1135 210041 3021693 3232869 PATIENT SERVICE REVENUE 621990 57837963 57837963 57837963 317737 317737 748532 776468 -27936 -27936 -27936 52477 1135 17925 34552 34552 150819 68602 82217 82217 OTHER REVENUE 541380 1185178 36205 1148973 SEAGATE ALLIANCE, LLC 900000 258484 13678 244806 1443662 62921064 57920180 49883 1718132 759615 293895 465720 25218820 18545562 6636204 37054 483710 335079 148631 2674976 1888435 786541 1724247 1267987 453727 2533 12 12 11067 11067 60850 60850 9814 9814 4760472 4111695 639390 9387 160734 73671 70220 16843 14174542 13028352 1142872 3318 1253860 657740 596120 1450690 545735 904955 38325 10316 28009 35426 19329 16097 2096934 1489453 607481 484690 407689 77001 BAD DEBT 1900232 1900232 OTHER PURCHASED SERVICE 1238082 938698 299384 REPAIRS & MAINTENANCE 748108 492547 255561 OTHER EXPENSES 156928 34942 121220 766 150372 113459 36913 59592506 46154816 13367789 69901 5944 5869 3157294 3277302 2935 186217 6266002 7639862 177801 200028 1029407 1213609 717817 731947 65669237 40139769 21884413 25529468 3027853 3423758 12532676 12568631 48802142 54776691 6015712 7636616 5372117 148916 7029423 6215368 6830993 8017778 25248245 22018678 X 22395185 31810560 415006 203747 743706 743706 23553897 32758013 48802142 54776691 X 3328558 390931 5161203 323424 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 9814 9814 0 PART II-B, LINE 1: AS MEMBERS OF 3 ASSOCIATIONS (AHA - AMERICAN HOSPITAL ASSOCIATION, HANYS-THE HEALTHCARE ASSOCIATION OF NEW YORK STATE & 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. 0 1918050 106946 2024996 1808503 -1728 12039 1794736 1688538 131563 11598 1808503 1561127 138137 10726 1688538 1449363 121879 10115 1561127 0.62110 0.36730 0.01160 1 1 1 372690 372690 30917522 15679436 15238086 28802917 24460333 4342584 5576108 5576108 25529468 INVESTMENTS 3423758 F 3423758 BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 11717064 MORTGAGE REPAYMENT ESCROW FUNDS 805637 OTHER 45930 12568631 ASSET RETIREMENT OBLIGATION 517759 DUE TO RELATED ENTITY 379925 DUE TO THIRD PARTY PAYORS- LONG TERM 1716966 DUE TO THIRD PARTY PAYORS- SHORT TERM 682103 LINE OF CREDIT 60000 PENSION LIABILITY 4233145 WORKERS' COMPENSATION 427880 8017778 X 61821714 390931 323424 714355 61107359 1813705 1813705 62921064 57778801 86527 86527 57692274 1900232 1900232 59592506 PART V, LINE 4: EMPLOYEE EDUCATION. PART X, LINE 2: THE SYSTEM IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS GENERALLY EXEMPT FROM INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN INTEREST IN FOUNDATION 464,813. CHANGE IN FUNDED STATUS OF PENSION PLAN -141,389. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 1,900,232. FUNDRAISING EXPENSES -17,925. COST OF GOODS SOLD -68,602. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 17,925. COST OF GOODS SOLD 68,602. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 1,900,232. NIGHT FOR NOYES 27690 1135 26555 4490 300 3150 GOLF TOURNAMENT 16310 16310 733 1302 1953 1 5446 5446 3226 49446 1135 48311 733 5792 1953 300 6376 15154 33157 1 1 1 X 1 X 1 1 1 0 1 1 9287 963774 963774 0.01620 5284 10425489 9157588 1267901 0.02130 288 482440 414809 67631 0.00110 14859 11871703 9572397 2299306 0.03860 24 210652 73335 9794 63541 0.00110 3 198 161283 100 161183 0.00270 6 44712 17111280 13818236 3293044 0.05530 33 255562 17345898 13828130 3517768 0.05910 33 270421 29217601 23400527 5817074 0.09770 4 3216 33369 4749 28620 0.00050 1 30539 19955 19955 0.00030 5 33755 53324 4749 48575 0.00080 1 1912799 8962712 7161285 1801427 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 X 1 X 0 0 NICHOLAS H NOYES MEMORIAL HOSPITAL 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. 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. WITH THE SUPPORT OF THE S2AY AND GVHP RURAL HEALTH NETWORKS, WE ALSO ENGAGED COMMUNITY MEMBERS THROUGH FOCUS GROUPS TO SOLICIT INPUT REGARDING LOCAL COMMUNITY HEALTH CONCERNS, 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.COMMUNITY ENGAGEMENT: THE COMMUNITY WAS ENGAGED IN A VARIETY OF DIFFERENT WAYS. AFTER S2AY PREPARED A PRESENTATION ON THE HIGHEST NEEDS IN LIVINGSTON COUNTY, 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 - FOCUS AREA 3: INCREASE ACCESS TO HIGH QUALITY CHRONIC DISEASE PREVENTATIVE CARE AND MANAGEMENT IN BOTH CLINICAL AND COMMUNITY SETTINGS 2. PRIORITY AREA 2: PROMOTE A HEALTHY AND SAFE ENVIRONMENT - FOCUS AREA 4: INJURIES, VIOLENCE AND OCCUPATIONAL HEALTH 3. PRIORITY AREA 4: PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE - FOCUS AREA 2: PREVENT SUBSTANCE ABUSE AND OTHER MENTAL EMOTIONAL BEHAVIORAL DISORDERS - 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 WE SERVE. NICHOLAS H NOYES MEMORIAL HOSPITAL PART V, SECTION B, LINE 6B: 1. LIVINGSTON COUNTY DEPARTMENT OF HEALTH2. GENESEE VALLEY HEALTH PARTNERSHIP MEMBERSHIP- LIVINGSTON COUNTY RURAL HEALTH NETWORK3. 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: CHNA UPDATES PROVIDED TO NOYES EXECUTIVE BOARD, NOYES MANAGEMENT TEAM, CHNA LEADERSHIP TEAM, AND GENERAL PUBLIC CHNA UPDATE PRESENTATION.THE CHNA HAS BEEN: - MADE PUBLICLY AVAILABLE ON THE LIVINGSTON COUNTY PUBLIC HEALTH MAIN WEBSITE - MADE PUBLICLY AVAILABLE ON THE NOYES HEALTH MAIN WEBSITE - MADE PUBLICLY AVAILABLE ON THE GENESEE VALLEY HEALTH PARTNERSHIP WEBSITE - MADE PUBLICLY AVAILABLE ON THE S2AY RURAL HEALTH NETWORK WEBSITE - MADE 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 RELEASE - ALL PARTNERS INCLUDING LIVINGSTON COUNTY PUBLIC HEALTH, NOYES HEALTH, S2AY RURAL HEALTH NETWORK, AND ADDITIONAL PARTNERS WERE ASKED TO SHARE THE PUBLICATION AND WEBSITE LINKS OF THE CHA/CHIP/CSP ON THEIR RESPECTIVE SOCIAL MEDIA ACCOUNTS (FACEBOOK, LINKEDIN, TWITTER, ETC.)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 NICHOLAS H NOYES MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: THE FOLLOWING INITIATIVES WERE BY NOYES MEMORIAL HOSPITAL IN 2016 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 POPULATIONPREVENTION AGENDA GOAL #1: CHRONIC DISEASE MANAGEMENTCHRONIC DISEASE SELF-MANAGEMENT PROGRAMSNOYES HEALTH MANAGES THREE EVIDENCE-BASED CHRONIC DISEASE SELF-MANAGEMENT EDUCATION PROGRAMS IN LIVINGSTON COUNTY, WITH RURAL HEALTH GRANT FUNDING SUPPORT. CLASSES ARE LEAD BY PEER LEADERS IN LOCATIONS THROUGHOUT THE COUNTY. CLASS OPTIONS INCLUDE: LIVING HEALTHY NY, LIVING HEALTHY WITH DIABETES, AND LIVING HEALTHY WITH CHRONIC PAIN.NOYES DIABETES EDUCATION PROGRAMTHE AMERICAN ASSOCIATION OF DIABETES EDUCATORS RECOGNIZED NOYES DIABETES EDUCATION PROGRAM SERVICES ARE PROVIDED BY RN/CDE AND DIABETES EDUCATORS AND INCLUDE: ONE-TO-ONE COUNSELING, FREE MONTHLY CLASSES, INSULIN PUMP STARTS AND MANAGEMENT, CONTINUOUS GLUCOSE MONITORING SCREENINGS, AND COMMUNITY EDUCATION. 378 ENROLLMENTS COMPLETED. PRIMARY STROKE CENTER: GET WITH THE GUIDELINES -STROKE - SILVER ACHIEVEMENT AWARDIN MAY 2015, NOYES MEMORIAL HOSPITAL BECAME A PRIMARY STROKE CENTER AS DESIGNATED BY THE NYS DEPARTMENT OF HEALTH. IN 2016, NOYES ACHIEVED THE SILVER ACHIEVEMENT AWARD FROM THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION. TIME IS VITAL WHEN ASSESSING FOR AND BEING TREATED FOR STROKES AND HAVING A PRIMARY STROKE CENTER INSURES THE PEOPLE LIVING IN THIS RURAL COMMUNITY CAN GET THEIR STROKE CARE CLOSE TO HOME WITH OPTIMAL TREATMENT AND OUTCOMESCHRONIC DISEASE SELF-MANAGEMENT PROGRAMSNOYES HEALTH COORDINATED THREE EVIDENCE-BASED CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS BASED ON THE EVIDENCE BASE STANFORD PROGRAM MODEL IN LIVINGSTON COUNTY IN 2015 WITH RURAL HEALTH GRANT FUNDING. CLASSES LED BY VOLUNTEER PEER LEADERS IN LOCATIONS THROUGHOUT THE COUNTY. THREE CLASSES COMPLETED WITH 61 ENROLLMENTS. - LIVING HEALTHY NY: IS A 6-SESSION EVIDENCE-BASED HEALTH EDUCATION PROGRAM THAT UTILIZES THE CHRONIC DISEASE SELF-MANAGEMENT PROGRAM (CDSMP) CURRICULUM DEVELOPED AT STANFORD UNIVERSITY'S PATIENT EDUCATION RESEARCH CENTER. THE WORKSHOP IS FOR ANYONE DEALING WITH A CHRONIC CONDITION OR LIMITING HEALTH CONDITION. - WALK WITH EASE: NO MATTER IF YOU NEED RELIEF FROM ARTHRITIS PAIN OR JUST WANT TO BE ACTIVE, THE ARTHRITIS FOUNDATION'S SELF-DIRECTED SIX WEEK WALK WITH EASE PROGRAM TEACHES PARTICIPANTS HOW TO SAFELY MAKE PHYSICAL ACTIVITY PART OF THEIR EVERYDAY LIFE. - LIVING HEALTHY WITH DIABETES: IS A 6-SESSION DIABETES EDUCATION SERIES FOR THOSE WITH DIABETES. WE ADDED THIS CLASS SERIES TO OUR MENU OF CDSMP PROGRAMS IN 2015. OBESITY PREVENTION - DAY CARE GARDENS: THE RURAL HEALTH GRANT FUNDED "KIDS DIG DIRT" PROGRAM HAS BEEN SUPPORTING ESTABLISHMENT OF GARDENS IN LOCAL DAY CARE CENTERS SINCE 2010 NOYES WELLNESS PARTNERS WITH LOCAL DAY CARE CENTERS TO GROW GARDENS THAT ARE TAKEN CARE OF AND HARVESTED BY THE CHILDREN AT THE CENTER. THE GOAL IS TO INCREASE DAILY VEGGIE SERVINGS AND PROMOTE HEALTHY EATING IN PRE-SCHOOL AGE CHILDREN. IN 2016, FOUR RAISED BED GARDENS WERE BUILT AT GREAT EXPECTATIONS CHILD CARE CENTER IN LIMA WHERE 26 CHILDREN AND THEIR FAMILIES WERE IMPACTED. POST SURVEY RESULTS INDICATE THE CHILDREN INCREASE THEIR VEGGIE INTAKE AND ARE MORE LIKELY TO TRY NEW VEGETABLES. - BREASTFEEDING INITIATIVES: NOYES BIRTHING CENTER CONTINUES TO EXPAND BREASTFEEDING SUPPORT INITIATIVES BECAUSE IT IMPACTS OBESITY PREVENTION THROUGHOUT THE LIFE SPAN, WHILE ALSO CONTRIBUTING TO NUMEROUS OTHER POSITIVE HEALTH OUTCOMES. NOYES NOW HAS FIVE CERTIFIED LACTATION CONSULTANTS AND ONE INTERNATIONAL BOARD CERTIFIED LACTATION CONSULTANT ON STAFF. NOYES HAS BEEN ACTIVE REFERRAL PARTNER WITH THE LOCAL BABY CAFE, A DROP-IN CENTER AT THE DANSVILLE PUBLIC LIBRARY, WITH SERVICES TO SUPPORT BREASTFEEDING MOTHERS. CANCER SERVICESTHROUGHOUT 2016, NOYES MEMORIAL HOSPITAL BUILT THE ANN AND CARL MYERS CANCER CENTER IN DANSVILLE. THIS HUGE PROJECT TO BRING CANCER TREATMENT SERVICES CLOSER TO HOME FOR PEOPLE LIVING IN OUR RURAL COMMUNITIES WAS THE RESULT OF THE NOYES HEALTH COLLABORATION WITH THE UR MED WILMOT CANCER CENTER IN ROCHESTER. COMPREHENSIVE CANCER SERVICES ARE NOW AVAILABLE IN OUR REGION THUS ELIMINATING THE NEED TO TRAVEL TO ROCHESTER FOR CARE AND PROVIDING MUCH EASIER FOR PATIENTS AND FAMILIES.PREVENTION AGENDA GOAL #2: MENTAL AND EMOTIONAL HEALTH ACHIEVEMENTSNOYES MENTAL HEALTH SERVICES AS COMMUNITY NEED FOR MENTAL HEALTH SERVICES GROWS, THE NOYES COMMITMENT TO MEETING THIS GROWING NEED RESULTED IN THE PURCHASE OF A NEW BUILDING IN DANSVILLE FOR A NEW NOYES MENTAL HEALTH AND WELLNESS CLINIC, THAT OPENED 12/2016. MENTAL HEALTH SERVICES WERE ALSO PROVIDED AT SEVEN OTHER LOCATIONS THROUGHOUT OUR SERVICE AREA, INCLUDING SCHOOLS AND PHYSICIAN OFFICES. - STAFF EXPANSION TO MEET COMMUNITY NEED: THREE FULLTIME PSYCHIATRIC PROVIDERS (ONE MD WHO IS A CHILD & ADOLESCENT PSYCHIATRIST AND TWO NURSE PRACTITIONERS), 18 FULL TIME THERAPISTS AND 3.2 CLERICAL STAFF. - CRISIS MANAGEMENT: DAILY WALK-IN CRISIS SERVICES AT PRIMARY DANSVILLE CLINIC. - OUTCOMES: PATIENT VISITS INCREASED FROM 13,000 VISITS TO 15,500 VISITS/YEAR IN 2016 (19% INCREASE)SOCIAL AND EMOTIONAL HEALTH COMMITTEETHEIR GOAL IS TO STRENGTHEN SOCIAL AND EMOTIONAL HEALTH. THE COMMITTEE WORKS ON PRESCRIPTION MISUSE/SUBSTANCE ABUSE AND SUICIDE PREVENTION INITIATIVES. NOYES MENTAL HEALTH SUPPORTED THE FOLLOWING TASK FORCE INITIATIVES IN 2016: - SUICIDE PREVENTION TASK FORCE: SUICIDE RATES IN LIVINGSTON COUNTY CONTINUE TO BE HIGHEST IN OUR NINE COUNTY REGION. THIS TASK FORCE CONTINUED TO WORK ON SUICIDE PREVENTION EDUCATION INITIATIVES, INCLUDING: SAFE TALK SUICIDE PREVENTION TRAINING, TOOLKITS, ANNUAL CANDLE LIGHT VIGIL FOR FAMILIES OF SUICIDE, AND MOVIE THEATER, BILLBOARD, AND PRINT ADS ON SUICIDE PREVENTION. - PRESCRIPTION DRUG DISPOSAL TASK FORCE: PROPER PRESCRIPTION DRUG DISPOSAL IN THE COUNTY WAS ADDRESSED. THE MONITOR, SECURE, DISPOSE CAMPAIGN EXPANDED TO INCLUDE TWO NEW MED RETURN BOXES IN LIVINGSTON COUNTY IN 2016, FOR A TOTAL OF THREE CURRENT LOCATIONS: CALEDONIA, DANSVILLE, AND GENESEO. ALCOHOLICS ANONYMOUS (AA) MEETINGSNOYES 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.PREVENTION AGENDA GOAL #3: FALL PREVENTION FOR OLDER ADULTSIN OUR 2016 COMMUNITY HEALTH ASSESSMENT, SENIORS RANKED FALLS AS ONE OF THEIR PRIMARY HEALTH CARE CONCERNS. NOYES IS AN ACTIVE PARTNER ON THE LIVINGSTON COUNTY FALL PREVENTION COMMITTEE, WORKING WITH THE OFFICE FOR THE AGING AND DEPARTMENT OF HEALTH STAFF. NEW AND EXPANDED EDUCATION AND OUTREACH STRATEGIES FOR 2016 INCLUDED: - ANNUAL FALL PREVENTION WORKSHOP IN SEPTEMBER - EDUCATION RACK CARDS AND MATERIALS - OUTREACH ADS - MATTER OF BALANCE: FALL PREVENTION EDUCATION CLASSES - TAI CHI: STRENGTH AND BALANCE CLASSES - CHAIR YOGA AND THERA-BAND EXERCISE DEMONSTRATIONS AT SENIOR NUTRITION SITES - INTRODUCTION OF HOME SAFE HOME: A FALL RISK HOME ASSESSMENT/MODIFICATION/EDUCATION PROGRAM FOR SENIORS NICHOLAS H NOYES MEMORIAL HOSPITAL PART V, SECTION B, LINE 20E: WE DO PROVIDE A WRITTEN NOTICE ABOUT UPCOMING ECA'S BUT DO NOT PROVIDE A PLAIN LANGUAGE SUMMARY OF THE FAP AT LEAST 30 DAYS BEFORE INITIATING THE ECA'S. 4 1 - LIVINGSTON HEALTH SERVICES 50 EAST SOUTH STREET GENESEO NY 14454 OUTPATIENT SURGERY, DIAGNOSTIC AND URGENT CARE 2 - MENTAL HEALTH CLINIC 1 MAIN STREET DANSVILLE NY 14437 MENTAL HEALTH CLINIC 3 - NOYES CTR FOR KIDNEY DISEASE & DIALYSIS 4616 MELLENIUM DRIVE GENESEO NY 14454 CHRONIC DIALYSIS CENTER AND NEPHROLOGIST 5 - CREEKSIDE FAMILY MEDICINE 12 NORTH CHURCH ST CANASERAGA NY 14822 PRIMARY CARE PHYSICIAN OFFICE PART II, COMMUNITY BUILDING ACTIVITIES: NOYES HEALTH LEADS OR IS AN ACTIVE PARTICIPANT ON 16 COMMUNITY COALITIONS/COMMITTEES ADDRESSING COMMUNITY HEALTH IMPROVEMENT PLAN PRIORITIES, I.E. CHRONIC DISEASE PREVENTION/MANAGEMENT (DIABETES ED, CDSMP, STROKE ED, OFA ADVISORY), SAFE COMMUNITIES (FALL PREVENTION COALITION), MENTAL HEALTH PROMOTION/SUBSTANCE ABUSE PREVENTION (SUICIDE PREVENTION TASK FORCE, HEALTHY COMMUNITIES THAT CARE COMMITTEE) AND GENERAL COMMUNITY PARTNERSHIPS (TRIAD, GVHP MEMBERSHIP, CRN).NOYES HEALTH ALSO SUPPORTED COMMUNITY NEEDS BY OFFERING USE OF CONFERENCE ROOM SPACE AT NO CHARGE FOR 215 COMMUNITY MEETINGS/CLASSES, I.E. ARC BLOOD DRIVES, AA/AI ANON MEETINGS, LOCAL HCP MEETINGS/EDUCATION, AND WEEKLY BSN CLASSES.MEALS TO GO: NOYES SUPPORTED THE NUTRITIONAL NEEDS OF OLDER ADULTS HOSPITAL PROVIDED 275 MEALS TO 8 RECIPIENTS. PART III, LINE 2: BAD DEBT EXPENSE IS ESTIMATED BASED ON HISTORICAL COLLECTION RATES UPDATED ANNUALLY. PART III, LINE 4: PAGES 11 AND 12 OF 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 AN ANALYTICAL SOFTWARE. PATIENTS DEEMED ELIGIBLE BY THIS VENDOR ARE NOT SENT TO OUTSIDE COLLECTION AGENCY AND RECEIVE 100% DISCOUNT. 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. 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. WITH THE SUPPORT OF THE S2AY AND GVHP RURAL HEALTH NETWORKS, WE ALSO ENGAGED COMMUNITY MEMBERS THROUGH FOCUS GROUPS TO SOLICIT INPUT REGARDING LOCAL COMMUNITY HEALTH CONCERNS, 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. COMMUNITY ENGAGEMENT: THE COMMUNITY WAS ENGAGED IN A VARIETY OF DIFFERENT WAYS. AFTER S2AY PREPARED A PRESENTATION ON THE HIGHEST NEEDS IN LIVINGSTON COUNTY, IT WAS SHARED WITH EIGHT DIVERSE FOCUS GROUPS THROUGHOUT THE COMMUNITY BY REVIEWING DATA AND GATHERING THEIR INPUT AND PERCEPTIONS REGARDING THENEEDS 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.HTMLAS 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 - FOCUS AREA 3: INCREASE ACCESS TO HIGH QUALITY CHRONIC DISEASE PREVENTATIVE CARE AND MANAGEMENT IN BOTH CLINICAL AND COMMUNITY SETTINGS2. PRIORITY AREA 2: PROMOTE A HEALTHY AND SAFE ENVIRONMENT - FOCUS AREA 4: INJURIES, VIOLENCE AND OCCUPATIONAL HEALTH3. PRIORITY AREA 4: PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE - FOCUS AREA 2: PREVENT SUBSTANCE ABUSE AND OTHER MENTAL EMOTIONAL BEHAVIORAL DISORDERS - FOCUS AREA 3: STRENGTHEN INFRASTRUCTUREHEALTH 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 WE SERVE. PART VI, LINE 3: FOR 2016, WE CONTINUED OUR EFFORTS TO COMMUNICATE OUR FINANCIAL AID POLICY. EVERY UNINSURED AND UNDERINSURED PATIENT RECEIVED A FINANCIAL AID PACKET THAT CONSISTED OF THE FINANCIAL AID PROGRAM SUMMARY AND BROCHURE, A FINANCIAL AID (FA) APPLICATION AND INSTRUCTIONS ON HOW TO APPLY, AS WELL AS HOW TO RECEIVE ASSISTANCE IN APPLYING. WE HAVE A SOCIAL WORKER 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: THE SERVICE AREA FOR THIS COMMUNITY HEALTH ASSESSMENT INCLUDES ALL OF LIVINGSTON COUNTY, NY.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 THEAGRICULTURE 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 INPOVERTY.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. LIVINGSTON COUNTY POPULATION SIZE - CENSUS QUICKFACTS: 2010 - 65,241, 2011 - 64,890, 2012 - 64,869, 2013 - 64,764, 2014 - 64,763, 2015 - 64,717IN 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: 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 HEALTH CARE PROVIDERS: 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 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: ALL HOME VISITS- NOYES FIRST STEPS: PRENATAL EDUCATION AND SUPPORT SERVICES FOR LOW INCOME AND/OR HIGH NEED CLIENTS TO SUPPORT HEALTHY BIRTH OUTCOMES, INCLUDES OFFICE AND HOME VISITS.- CAREGIVER RESOURCE CENTER: EDUCATION, INFORMATION AND ASSISTANCE, SUPPORT GROUPS, RESPITE, MONTHLY NEWSLETTER PROVIDED VIA HOME VISITS, PHONE CALLS, CLASSES, AND EVENTS- LIVING HEALTHY, LIVING HEALTHY WITH CHRONIC PAIN, AND LIVING HEALTHY W/DIABETES: CHRONIC DISEASE SELF MANAGEMENT CLASSES PROVIDED THROUGHOUT THE COUNTY 4 TIMES/YR- 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 REFERRAL AND FOLLOW UP, AS NEEDED- WORKSITE WELLNESS PROGRAM: FITNESS, NUTRITION AND STRESS MANAGEMENT OPPORTUNITIES THROUGHTOUT THE YEAR COORDINATED BY OUR HEALTH EDUCATOR FOR APROX. 550 NOYES FTE'S AND THEIR FAMILIES.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.- WE ARE LEADERS AS BOARD MEMBERS AND GENERAL MEMBERSHIP FOR THE COUNTYWIDE RURAL HEALTH FUNDED GENESEE VALLEY HEALTH PARTNERSHIP.- NOYES LEADS THE NEW CONTINUUM OF CARE COALITION STARTED IN 11/13, HAS 40 AGENCY MEMBERS AND MEETS 6 TIMES/YR.- NOYES ALSO LEADS THE DIABETES EDUCATION COALITION AND MATERNAL CHILD HEALTH COALITION FOR LIV. CO.- 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: SAFE COMMUNITIES,CHRONIC DISEASE MANAGEMENT, 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 VISITS- NOYES 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 6: NOYES HOSPITAL IS AN AFFILIATE OF THE UNIVERSITY OF ROCHESTER HEALTH SYSTEM. THE UNIVERSITY PLAYS AN INTEGRAL ROLE IN WORKING WITH NOYES HOSPITAL IN PROMOTING THE HEALTH OF THE COMMUNITIES WE SERVE. A FEW OF THE PROGRAMS INCLUDE: - UNIVERSITY COORDINATES THE DSRIP (DELIVERY SYSTEM REFORM INCENTIVE PROGRAM) IN THE REGION, THE MAJOR PROGRAMS NOYES PROMOTES ARE AS FOLLOWS: - PSYCHIATRIC ASSESSMENT OFFICER -- NOYES MENTAL HEALTH COUNSELOR PRESENT WITH LAW ENFORCEMENT IN CRISIS SITUATIONS - INTEGRATION OF PRIMARY CARE AND BEHAVIORAL HEALTH -- MENTAL HEALTH COUNSELORS IN PRIMARY CARE PRACTICES - CHRONIC DISEASE PREVENTION -- FOCUS ON CHRONIC DISEASE PREVENTION TO AVOID OPIOID USE - UNIVERSITY ASSISTS IN PLACEMENT OF SPECIALISTS IN THE COMMUNITY THAT NOYES HOSPITAL WOULD NOT OTHERWISE BE ABLE TO ATTRACT AND RETAIN, SUCH AS NEUROLOGY AND UROLOGY. PART VI, LINE 7, REPORTS FILED WITH STATES NY X X X 0 1 0 0 0 0 0 0 0 AMY POLLARD PRESIDENT/CEO 182380 0 0 0 1112 0 0 0 7529 0 191021 0 0 0 DOUGLAS MAYHLE MD MEDICAL DIRECTOR (NON-VOTING) 394004 0 0 0 27264 0 0 0 6355 0 427623 0 0 0 STEVEN GOLDSTEIN PRES/CEO - STRONG & HIGHLAND 0 954740 0 0 0 71968 0 584899 0 16618 0 1628225 0 0 ROBERT MCCANN MD CHAIR OF MEDICINE - HIGHLAND 0 573450 0 0 0 523 0 36399 0 24580 0 634952 0 0 MARK TAUBMAN CEO - U OF R MED. CENTER 0 924205 0 0 0 34370 0 300499 0 21553 0 1280627 0 0 ROBERT CAPECCI MD PHYSICIAN-ORTHOPEDIST 623989 0 0 0 2987 0 0 0 7874 0 634850 0 0 0 BRIAN FORESMAN GENERAL SURGEON 511230 0 0 0 360 0 0 0 7874 0 519464 0 0 0 KEVIN O'KEEFE ORTHOPEDIST 473078 0 15000 0 215 0 0 0 7874 0 496167 0 0 0 CHIRAG PATEL ANESTHESIOLOGIST 398443 0 14905 0 220 0 0 0 7874 0 421442 0 0 0 ALBERT VELASCO ANESTHESIOLOGIST 334523 0 0 0 1584 0 0 0 6355 0 342462 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 - $400,000 MARK TAUBMAN, MD: SERP PLAN - $125,000 MARK TAUBMAN, MD: 457(F) PLAN - $150,000 ROBERT MCCANN, MD: SERP PLAN - $10,900 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 2865000 9763548 805638 625676 189438 6449941 1692856 2006 1 0 1 1 B 321912 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 1 B 0 0 1 0 1 0 0 0 1 A 0 B 0 PART I, LINE A, COLUMN (F): ACQUISITION, RENOVATION, CONSTRUCTION AND EQUIPPING OF IMPROVEMENTS TO A HOSPITAL FACILITY; REFUNDING OF PRIOR BONDS (9/17/1998) PART I, LINE B, COLUMN (E) AND PART II, LINES 1 - 12, COLUMN B REPRESENTS AM ALLOCATION OF 12.24% OF THIS BOND ISSUE; THE REMAINING 87.76% IS ALLOCATED TO RED JACKET CENTER, INC., A RELATED ORGANIZATION. PART II, LINE 3, COLUMN A THE TOTAL PROCEEDS DO NOT AGREE WITH THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENTS EARNINGS. ROBERT BONVINO FORMER EMPLOYEE START-UP X 173535 200028 0 1 1 200028 NANCY JOHNSEN WIFE OF BOARD MEMBER 65710 COMPENSATION 0 JOAN FLENDER BOARD MEMBER 50000 PEDIATRIC CALL COVERAGE 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 UNIVERISTY OF ROCHESTER IS THE SOLE MEMBER OF THE SYSTEM. FORM 990, PART VI, SECTION A, LINE 7A THE UNIVERISTY OF ROCHESTER, ACTING THROUGH THE CHIEF EXECUTIVE OFFICER OF THE UNIVERSITY OF ROCHESTER 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 EFPR GROUP, CPAS, PLLC 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 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 CEO ALONG WITH COMPARABILITY DATA TO DETERMINE HER/HIS COMPENSATION. THE DELIBERATION AND DECISION IS RECORDED IN THE MINUTES OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 18 BY REQUEST TO THE CEO, CFO OR ADMINISTRATIVE ASSISTANT. ALSO AVAILABLE ON GUIDESTAR WEBSITE. FORM 990, PART VI, SECTION C, LINE 19 BY REQUEST TO THE CEO, CFO OR ADMINISTRATIVE ASSISTANT. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN FOUNDATION 464,813. CHANGE IN FUNDED STATUS OF PENSION PLAN -141,389. FORM 990, PART XII, LINE 2(C): THE HOSPITAL DID NOT CHANGE THE OVERSIGHT PROCESS IN THE CURRENT YEAR. UNIVERSITY OF ROCHESTER 910 GENESEE STREET STE 200 ROCHESTER NY 14611 160743209 SCHOOL NY 501(C)(3) LINE 2 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 HOME CARE GROUP 2180 EMPIRE BOULEVARD WEBSTER NY 14580 222577664 FUNDRAISING NY 501(C)(3) LINE 7 UNIV OF ROCH 0 VISITING NURSE SRVC OF ROCHESTER & MONROE 2180 EMPIRE BOULEVARD WEBSTER NY 14580 160743215 HEALTHCARE NY 501(C)(3) LINE 10 SHCG 0 COMMUNITY CARE OF ROCHESTER 2180 EMPIRE BOULEVARD WEBSTER NY 14580 161561691 HEALTHCARE NY 501(C)(3) LINE 10 SHCG 0 EXCELL PARTNERS INC 160 LINDEN OAKS SUITE E ROCHESTER NY 14625 201862628 ECONOMIC DEV NY 501(C)(4) UNIV OF ROCH 0 ROCHESTER BIOVENTURE CENTER INC 601 ELMWOOD AVENUE BOX 706 ROCHESTER NY 14642 202485999 BIOTECH INCUB NY 501(C)(3) LINE 12A, I UNIV OF ROCH 0 HIGH TECH ROCHESTER INC 150 LUCIUS GORDON DRIVE SUITE 100 WEST HENRIETTA NY 14586 161195028 BUSINESS INCUB NY 501(C)(3) LINE 7 UNIV OF ROCH 0 CRITTENDEN BOULEVARD HOUSING CO INC 249 NORTON VILLAGE LANE ROCHESTER NY 14609 237035414 SUPPORT ORG NY 501(C)(3) LINE 12B, II UNIV OF ROCH 0 UNIVERSITY OF ROCHESTER EMPLOYEE BENEFIT TRUST 910 GENESEE STREET STE 200 ROCHESTER NY 14611 161600112 EMPL BEN TRST NY 501(C)(9) UNIV OF ROCH 0 U OF R BROADCASTING CORPORATION 201 WILSON COMMONS ROCHESTER NY 14627 160743209 BROADCAST LIC NY 501(C)(4) UNIV OF ROCH 0 UR REAL ESTATE CORPORATION 263 WALLIS HALL ROCHESTER NY 14627 271140014 SUPPORT ORG NY 501(C)(3) LINE 12D, III-O UNIV OF ROCH 0 FRAMEMED FOUNDATION INC 263 WALLIS HALL ROCHESTER NY 14627 161490497 SUPPORT ORG NY 501(C)(3) LINE 7 UNIV OF ROCH 0 MELIORA REAL ESTATE CORPORATION 263 WALLIS HALL ROCHESTER NY 14627 452464788 SUPPORT ORG NY 501(C)(3) LINE 12D, III-O UNIV OF ROCH 0 FF THOMPSON HEALTH SYSTEM INC 350 PARRISH STREET CANANDAIGUA NY 14424 222959987 SUPPORT ORG NY 501(C)(3) LINE 12A, I UNIV OF ROCH 0 THE FREDERICK FERRIS THOMPSON HOSPITAL 350 PARRISH STREET CANANDAIGUA NY 14424 160743024 HOSPITAL NY 501(C)(3) LINE 3 THS 0 MM EWING CONTINUING CARE CENTER 350 PARRISH STREET CANANDAIGUA NY 14424 237046583 HEALTHCARE NY 501(C)(3) LINE 3 THS 0 FFT SENIOR COMMUNITIES INC 1 FERRIS HILLS CANANDAIGUA NY 14424 161557494 ELDER CARE NY 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