2016-11-15T12:11:56-06:00 2015-12-31 474526160 EFPR GROUP CPAS PLLC 280 KENNETH DRIVE ROCHESTER NY 14623 990 2015-01-01 160743979 NICHOLAS H NOYES MEMORIAL HOSPITAL NICH 5853356001 111 CLARA BARTON STREET DANSVILLE NY 14437 AMY POLLARD PRESIDENT/CEO 5853356001 2016-11-14 1 WILLIAM MCDONALD P01600766 5854278900 2016-11-14 2015 2017-02-10 21:41:12Z AMY POLLARD 111 CLARA BARTON STREET DANSVILLE NY 14437 54492669 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. 17 10 608 120 49202 0 403159 2025841 46709052 50234878 525695 68663 2028440 1628585 49666346 53957967 0 0 0 0 25499151 28386054 0 0 89241 23917555 23492968 49416706 51879022 249640 2078945 47622426 48802142 26039970 25248245 21582456 23553897 NICHOLAS H. NOYES MEMORIAL HOSPITAL SUPPORTS AND PROMOTES THE HEALTH OF OUR COMMUNITIES THROUGH COMPASSIONATE QUALITY CARE. 0 0 38999725 50314028 NICHOLAS H. NOYES MEMORIAL HOSPITAL IS A 67 BED HOSPITAL WHICH PROVIDES ACUTE, SUB-ACUTE, EMERGENCY AND OUTPATIENT CARE. 38999725 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 71 0 1 608 1 1 1 0 0 0 0 1 1 0 0 0 0 X 17 10 0 0 0 0 0 0 0 1 1 1 0 1 1 1 1 1 1 1 0 0 NY X 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 JOE BUCCI JR DIRECTOR 1.00 X 0 0 0 AMY POLLARD PRESIDENT/CEO 30.00 10.00 X X 205900 0 7241 JOAN FLENDER MD DIRECTOR 1.00 X 0 0 0 GEOFFREY WITTIG MD PRESIDENT ELECT, MEDICAL S 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 40.00 X 399263 0 6022 LINDSAY QUINTILONE DIRECTOR 1.00 X 0 0 0 ARIF QURESHI MD PRESIDENT, MEDICAL STAFF 2.00 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 JAY MASLYN CFO 40.00 X 143679 0 548 ROBERT CAPECCI MD PHYSICIAN-ORTHOPEDIST 40.00 X 583123 0 7466 BRIAN FORESMAN GENERAL SURGEON 40.00 X 492718 0 7466 KEVIN O'KEEFE ORTHOPEDIST 40.00 X 487240 0 4838 CHIRAG PATEL ANESTHESIOLOGIST 40.00 X 385537 0 7466 DONALD DUNAC ANESTHESIOLOGIST 40.00 X 353517 0 7466 3050977 0 48513 28 0 1 0 PIKE COMPANY INC 1 CIRCLE STREET ROCHESTER NY 14607 BUILDING CONTRACTOR 858863 ARUP LABORATORIES PO BOX 27964 SALT LAKE CITY UT 84127 LAB TESTING SERVICES 593539 HARRIS BEACH LLP 99 GARNSEY ROAD PITTSFORD NY 14534 LEGAL SERVICES 377116 RONDON RAFAEL MD 84 ASHLAND AVENUE BUFFALO NY 14222 CONTRACT PHYSICIAN 347583 MEDICOR INTERNAL MEDICINE PLLC 50 EAST SOUTH STREET SUITE 600 GENESEO NY 14454 CONTRACT PHYSICIAN 294354 13 403237 1622604 2025841 PATIENT SERVICE REVENUE 621990 50234878 50234878 50234878 45246 45246 472089 448672 23417 23417 23417 31390 10347 21043 21043 154833 75683 79150 79150 SEAGATE ALLIANCE, LLC 900000 1056917 13767 1043150 OTHER REVENUE 541380 471475 35435 436040 1528392 53957967 50314028 49202 1568896 762652 296932 465720 23162416 16699552 6421614 41250 283585 204465 78610 510 2604480 1877830 721962 4688 1572921 1134076 436014 2831 5023 4575 448 213418 213418 49050 49050 10521 10521 3247943 2702074 527195 18674 91037 30009 48091 12937 10941191 9998635 939505 3051 1181981 646819 535162 1492305 576867 915438 23883 6506 17377 82849 54861 27988 49474 15185 34289 2170916 1509663 661253 528126 441726 86400 BAD DEBT 1265231 1265231 OTHER PURCHASED SERVICE 1247711 945850 301861 REPAIRS & MAINTENANCE 778773 538733 240040 OTHER EXPENSES 77527 24829 47398 5300 36009 25307 10702 51879022 38999725 12790056 89241 5738 5944 1779154 3157294 2935 6425022 6266002 177801 177801 917852 1029407 875870 717817 59991458 38107045 20402608 21884413 1694908 3027853 15343473 12532676 47622426 48802142 5427075 6015712 6080362 5372117 7491420 7029423 7041113 6830993 26039970 25248245 X 20534232 22395185 304518 415006 743706 743706 21582456 23553897 47622426 48802142 X 2078945 989890 -1097394 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 10521 10521 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 1808503 -1728 12039 1794736 1688538 131563 11598 1808503 1561127 138137 10726 1688538 1449363 121879 10115 1561127 1434453 24558 9648 1449363 0.64130 0.35870 1 0 372690 372690 30154529 14911221 15243308 26992578 23195824 3796754 2471661 2471661 21884413 INVESTMENTS 3027853 F 3027853 BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 11252251 DEBT ORIGINATION COSTS - NET 381529 MORTGAGE REPAYMENT ESCROW FUNDS 805638 OTHER 93258 12532676 ASSET RETIREMENT OBLIGATION 517759 DUE TO RELATED ENTITY 144693 DUE TO THIRD PARTY PAYORS- LONG TERM 1507920 DUE TO THIRD PARTY PAYORS- SHORT TERM 590895 LINE OF CREDIT 145000 PENSION LIABILITY 3608046 WORKERS' COMPENSATION 316680 6830993 X 53768656 989890 989890 52778766 1179201 1179201 53957967 50699821 86030 86030 50613791 1265231 1265231 51879022 PART V, LINE 4: EMPLOYEE EDUCATION. PART X, LINE 2: IN ACCORDANCE WITH ASC 740-10-50, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, THE SYSTEM RECOGNIZES THE TAX BENEFITS FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES. MANAGEMENT BELIEVES THAT THE SYSTEM IS CURRENTLY OPERATING IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE. THEREFORE, NO LIABILITY FOR UNRECOGNIZED TAX BENEFITS HAS BEEN INCLUDED ON THE SYSTEMS FINANCIAL STATEMENTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 1,265,231. FUNDRAISING EXPENSES -10,347. COST OF GOODS SOLD -75,683. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 10,347. COST OF GOODS SOLD 75,683. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 1,265,231. GOLF TOURNAMENT 19727 19727 1753 2630 120 FLOWER SALE 5499 5499 3042 25226 25226 1753 2630 3162 7545 17681 1 1 0 1 X 1 1 1 0 1 1 6063 902357 902357 0.01740 42494 9385243 8235060 1150183 0.02220 1181 144503 113798 30705 0.00060 49738 10432103 8348858 2083245 0.04020 26 83362 124585 20097 104488 0.00200 2 127 163042 200 162842 0.00310 7 56170 15939425 13226546 2712879 0.05230 4 3199 31351 5040 26311 0.00050 39 142858 16258403 13251883 3006520 0.05790 39 192596 26690506 21600741 5089765 0.09810 1 30407 20341 20341 0.00040 1 30407 20341 20341 0.00040 1 1280289 8006498 6031523 1974975 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 13 1 0 1 1 X WWW.NOYES-HEALTH.ORG/COMMUNITY-SERVICES/COMMUNITY-SERVICE-PLANS X X 1 13 1 WWW.NOYES-HEALTH.ORG/COMMUNITY-SERVICES/COMMUNITY-SERVICE-PLANS 0 0 1 X 300.000000000000 X X X 1 1 X X X X 1 X WWW.NOYES-HEALTH.ORG X 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: IN 2013, THE LIVINGSTON COUNTY DEPARTMENT OF HEALTH AND NOYES HEALTH COMPLETED THE REQUIRED ANNUAL COMMUNITY NEEDS HEALTH ASSESSMENT BETWEEN FEBRUARY AND SEPTEMBER. A CHA LEADERSHIP TEAM WAS CREATED UNDER THE DIRECTION OF CO-COORDINATORS FROM THE LIVINGSTON COUNTY DEPARTMENT OF HEALTH AND NOYES HEALTH.INFORMATION FROM 427 COMMUNITY SURVEYS, TWO COMMUNITY FORUMS WITH LOW ATTENDANCE, TWO COMMUNITY FOCUS GROUPS (SENIOR NUTRITION AND THE ARC OF LIVINGSTON COUNTY - NOTE: MENTAL HEALTH FOCUS GROUP ATTEMPTED, BUT UNSUCCESSFUL) AND HEALTH CARE DATA IN OUR COMMUNITY WAS USED TO IDENTIFY THE TOP TWO NYS PREVENTION AGENDA (PA) PRIORITIES TO BE USED TO DEVELOP THE NOYES HEALTH THREE-YEAR COMMUNITY SERVICE PLAN (CSP) AND THE LIVINGSTON COUNTY DEPARTMENT OF HEALTH'S COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP).THE IMPLEMENTATION OF THE CSP AND CHIP IS OVERSEEN BY THE GENESEE VALLEY HEALTH PARTNERSHIP (GVHP). GVHP IS A NON-PROFIT, RURAL HEALTH NETWORK OF MORE THAN 40 DIFFERENT ORGANIZATIONS THAT ARE EITHER BASED IN LIVINGSTON COUNTY OR PROVIDE SERVICES TO LIVINGSTON COUNTY RESIDENTS. THE GVHP IS FUNDED BY AN OFFICE OF RURAL HEALTH GRANT AND IS A 501(C)3 ORGANIZATION. THEIR MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE LIVINGSTON COUNTY COMMUNITY THROUGH COLLABORATION, EDUCATION AND PREVENTION.DURING 2015, COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) COMMITTEES WORKED YEAR ROUND ON OUR TWO PREVENTION AGENDA PRIORITIES:1. PREVENT CHRONIC DISEASE2. PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSETHE COMMUNITY HEALTH ASSESSMENT IS COMPLETED EVERY THREE YEARS AND WILL BE DONE AGAIN IN 2016 UNDER THE DIRECTION AND SUPPORT OF THE GENESEE VALLEY HEALTH PARTNERSHIP IN LIVINGSTON COUNTY. THE RESULTS WILL USED TO COMPILE A NEW LIVINGSTON COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN. NICHOLAS H NOYES MEMORIAL HOSPITAL PART V, SECTION B, LINE 6B: LIVINGSTON COUNTY DEPARTMENT OF HEALTH AND NOYES HEALTH CO-LEAD THE CHNA/CHIP LEADERSHIP TEAM AND COLLABORATIVELY COMPLETED THE FINAL 2013-16 CHIP. THE CHA LEADERSHIP TEAM CONSISTED OF 22 MEMBERS FROM THE FOLLOWING 19 COMMUNITY HEALTH CARE ORGANIZATIONS, COUNTY AND GOVERNMENT AGENCIES, FAITH BASED ORGANIZATIONS, LOCAL SCHOOLS AND ACADEMIA, AND HUMAN SERVICE ORGANIZATIONS THAT PARTICIPATED IN THE CHA PROCESS THROUGHOUT THE FIVE MONTH PERIOD: - THE ARC OF LIVINGSTON-WYOMING COUNTY/KIDSTART- CATHOLIC CHARITIES OF LIVINGSTON COUNTY- CORNELL COOPERATIVE EXTENSION OF LIVINGSTON COUNTY- HEALTH AND WELLNESS (HOME CARE)- LITERACY VOLUNTEERS - LIVINGSTON COUNTY OFFICE FOR AGING- LIVINGSTON COUNTY CENTER FOR NURSING AND REHAB- LIVINGSTON COUNTY EMS- LIVINGSTON COUNTY PLANNING DEPARTMENT- LIVINGSTON COUNTY DEPARTMENT OF SOCIAL SERVICES- LIVINGSTON COUNTY DEPARTMENT OF HEALTH- LIVINGSTON COUNTY BOARD OF HEALTH - LIVINGSTON COUNTY PROBATION- LIVINGSTON COUNTY WORKFORCE DEVELOPMENT AND YOUTH BUREAU- LIVINGSTON COUNTY CHAMBER OF COMMERCE- LIVINGSTON COUNTY MENTAL HEALTH - NOYES HEALTH/COMMUNITY OUTREACH SERVICES- NOYES MENTAL HEALTH- STUDENT SUPPORT SERVICES CENTER - GENESEE VALLEY EDUCATION PARTNERSHIP NICHOLAS H NOYES MEMORIAL HOSPITAL PART V, SECTION B, LINE 7D: CHNA UPDATES PROVIDED TO NOYES EXECUTIVE BOARD, NOYES MANAGEMENT TEAM, LIV CO BOARD OF SUPERVISORS, LIV CO BOARD OF HEALTH, CHNA LEADERSHIP TEAM, AND GENERAL PUBLIC (UPON REQUEST). NICHOLAS H NOYES MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: PREVENTION AGENDA GOAL #1: CHRONIC DISEASE MANAGEMENT ACHIEVEMENTSCHRONIC DISEASE SELF-MANAGEMENT PROGRAMS:NOYES HEALTH COORDINATED THREE EVIDENCE-BASED CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS IN LIVINGSTON COUNTY IN 2015 WITH RURAL HEALTH GRANT FUNDING. CLASSES ARE LED BY VOLUNTEER PEER LEADERS IN LOCATIONS THROUGHOUT THE COUNTY. 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 WORK SHOP 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. NOYES DIABETES EDUCATION PROGRAM:IN 2015, AN ADDITIONAL CERTIFIED DIABETES EDUCATOR WAS ADDED TO OUR AMERICAN ASSOCIATION OF DIABETES EDUCATORS RECOGNIZED NOYES DIABETES EDUCATION PROGRAM TO EXPAND SERVICES INTO HORNELL AREA IN RESPONSE TO COMMUNITY NEED. IN 2015, THE NOYES DIABETES EDUCATION PROVIDED EDUCATION SERVICES AT SEVEN LOCATIONS THROUGHOUT LIVINGSTON COUNTY, INCLUDING THREE HOSPITAL AND FOUR HEALTH CARE PROVIDER OFFICES. PRIMARY STROKE CENTER DESIGNATION ACHIEVEMENT: IN MAY 2015, NOYES HEALTH ANNOUNCED THAT NOYES MEMORIAL HOSPITAL IN DANSVILLE WAS NOW A PRIMARY STROKE CENTER AS DESIGNATED BY THE NEW YORK STATE DEPARTMENT OF HEALTH. THE NYS DOH EXPERTS BELIEVE NOYES HEALTH HAD THOROUGHLY DEMONSTRATED THE GREATEST LEVEL OF COMMITMENT TO THE CARE OF STROKE PATIENTS THROUGH ITS CERTIFICATION FOR PRIMARY STROKE CENTERS. BECOMING A LEADER IN STROKE CARE AND POTENTIALLY PROVIDING A HIGHER STANDARD OF SERVICE FOR STROKE PATIENTS IN ITS COMMUNITY IS THE GOAL OF NOYES HEALTH.GVHP GRANT FUNDING WAS USED TO DEVELOP THE NEW COMMUNITYWIDE NOYES STROKE EDUCATION WEBSITE TO PROVIDE EASY TO UNDERSTAND AND ACCESS LOCAL STROKE PREVENTION, DETECTION AND TREATMENT EDUCATION THAT WENT LIVE JUNE 2015: WWW.TIMEISBRAINATNOYES.ORG OBESITY PREVENTION:DAY CARE GARDENS: THE GRANT FUNDED "KIDS DIG DIRT" PROGRAM ESTABLISHES GARDENS IN LOCAL DAY CARE CENTERS. NOYES WELLNESS PARTNERS WITH A LOCAL DAY CARE CENTERS TO GROW GARDENS THAT ARE TAKEN CARE OF AND HARVESTED BY THE CHILDREN AT THE CENTER. THE GOAL OF THE PROGRAM IS TO INTRODUCE CHILDREN TO A VARIETY OF VEGETABLES, BOTH FAMILIAR AND UNFAMILIAR, TO INCREASE THEIR DAILY VEGETABLE SERVINGS AND PROMOTE HEALTHY EATING IN PRE-SCHOOL AGE CHILDREN. IN 2015, THREE GARDENS WERE LOCATED AT AVON KIDS START DAY CARE CENTER WHERE 70 CHILDREN AND THEIR PARENTS WERE IMPACTED. POST SURVEY RESULTS OF FAMILIES: MAJORITY OF CHILDREN INCREASED VEGGIE SERVINGS/DAY. BREASTFEEDING INITIATIVES: BREASTFEEDING HAS BEEN SHOWN TO HAVE AN IMPACT ON OBESITY PREVENTION THROUGHOUT THE LIFE SPAN, WHILE ALSO CONTRIBUTING TO NUMEROUS OTHER POSITIVE HEALTH OUTCOMES. NOYES HEALTH WAS AN ACTIVE PARTNER IN ESTABLISHING THE FIRST BABY CAFE IN LIVINGSTON COUNTY, THAT OPENED IN AUGUST 2015. THIS DROP-IN CENTER WITH SERVICES TO SUPPORT BREASTFEEDING MOTHERS IS LOCATED AT THE GCC CAMPUS IN DANSVILLE.CONTINUUM OF CARE COALITION (CCC):THE CCC MEMBERSHIP HAS GROWN TO 30+ AREA HEALTH AND HUMAN SERVICE PROVIDERS AND MET FIVE TIMES AT NOYES HOSPITAL IN 2015 TO PROVIDE EDUCATION AND NETWORKING OPPORTUNITIES TO IMPROVE COMMUNICATION AND PARTNERSHIPS TO HELP PATIENTS TRANSITION MORE EFFECTIVELY THROUGH THE CONTINUUM OF CARE. PRESENTATION TOPICS INCLUDED: HEALTH INSURANCE ENROLLMENT IN THE MARKETPLACE, CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS, VETERANS SERVICE AGENCY, ALZHEIMER'S ASSOCIATION SERVICES, COUNCIL ON ALCOHOLISM AND SUBSTANCE ABUSE, HEALTH INSURANCE HOMES OF UPSTATE NY, CARE TRANSITIONS, AND FALL PREVENTION AND MEDICATION ADHERENCE. THE COALITION WORKS TOGETHER TO ADDRESS CHALLENGES, SUCH AS: NEED FOR HOME HEALTH AIDES TO MEET NEEDS AND BETTER UNDERSTANDING OF THE MEDICAID LONG TERM CARE PROGRAMS IN OUR AREA. PREVENTION AGENDA GOAL #2: MENTAL AND EMOTIONAL HEALTH ACHIEVEMENTS NOYES MENTAL HEALTH SERVICES: PROGRAM SERVICES, PROVIDERS AND LOCATIONS CONTINUED TO EXPAND IN 2015 IN RESPONSE TO NEED AND THIS PREVENTION AGENDA PRIORITY FOR LIVINGSTON COUNTY. THE GOAL IS TO IMPROVE ACCESS TO CARE FOR THOSE WHO REQUIRE MENTAL AND EMOTIONAL HEALTH SERVICES. STAFFING: INCREASED FROM 17.5 TO 18 FTE'S AND INCLUDES A FULL TIME CHILD AND ADOLESCENT PSYCHIATRIST.OFFICE LOCATIONS: EXPANDED FROM SIX TO SEVEN, WITH NEWEST SATELLITE AT GENESEO CENTRAL SCHOOLCRISIS MANAGEMENT: DAILY WALK-IN CRISIS SERVICES AT MAIN DANSVILLE CLINIC LOCATIONOUTCOMES: PATIENT VISITS INCREASED 18% (11,000 TO 13,000) SOCIAL AND EMOTIONAL HEALTH COMMUNITY HEALTH IMPROVEMENT PLAN COMMITTEE:THE GOAL IS TO STRENGTHEN SOCIAL AND EMOTIONAL HEALTH. THE COMMITTEE WORKS ON DECREASING SUBSTANCE ABUSE AND CHEMICAL DEPENDENCY IN ADDITION TO ADDRESSING MENTAL HEALTH ISSUES. NOYES MENTAL HEALTH SUPPORTED THE FOLLOWING TASK FORCE INITIATIVES IN 2015: SUICIDE PREVENTION TASK FORCE: SUICIDE RATES IN LIVINGSTON COUNTY ARE ON THE RISE. THIS TASK FORCE CONTINUES TO IDENTIFY SUICIDE PREVENTION EDUCATION INITIATIVES. IN 2015, A CANDLELIGHT VIGIL WAS HELD IN GENESEO WITH 40+ PEOPLE IN ATTENDANCE, A NEW PUBLIC SERVICE ANNOUNCEMENT WAS DEVELOPED AND SHOWN AT THE GENESEO THEATER, SUICIDE PREVENTION TRAINING WAS PROVIDE TO LOCAL LAW ENFORCEMENT IN DECEMBER WITH OVER 20 ATTENDEES, AND SAFETALK SUICIDE PREVENTION TRAINING WAS OFFERED TO ALL LOCAL SCHOOLS. PRESCRIPTION DRUG DISPOSAL TASK FORCE: ADDRESSED NEED FOR PROPER PRESCRIPTION DRUG DISPOSAL IN THE COUNTY. COMMUNITY WIDE MEDICATION DROP OFF POINT WAS ESTABLISHED AT LOCAL SHERIFF'S DEPARTMENT AND WORK CONTINUES TO IDENTIFY TWO MORE LOCATIONS FOR LOCAL DROP BOXES. ALCOHOLICS ANONYMOUS (AA) MEETINGS:NOYES HOSPITAL PROVIDES CONFERENCE ROOM SPACE FOR WEEKLY AA AND NARCOTICS ANONYMOUS MEETINGS, AT NO CHARGE TO THE GROUP. THESE EFFORTS SUPPORT COMMUNITY NEED FOR SUPPORT GROUPS TO HELP THOSE LIVING IN OUR SERVICE AREA WHO STRUGGLE WITH ADDICTION ISSUES. 5 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 4 - OB-GYN ASSOC OF THE FINGER LAKES 253 MAIN STREET DANSVILLE NY 14437 OUTPATIENT PHYSICIAN CLINIC 5 - CREEKSIDE FAMILY MEDICINE 12 NORTH CHURCH ST CANASERAGA NY 14822 PRIMARY CARE PHYSICIAN OFFICE PART II, COMMUNITY BUILDING ACTIVITIES: NOYES HEALTH IS AN ACTIVE LEADER AND MEMBER OF GENESEE VALLEY HEALTH PARTNERSHIP.WE HAVE STAFF WHO SIT ON THREE OF THE GVHP COMMUNITY HEALTH IMPROVEMENT COMMITTEES: SAFE COMMUNITIES, CHRONIC DISEASE MANAGEMENT AND MENTAL & EMOTIONAL HEALTH.IN 2015, THESE COMMITTEES IMPLEMENTED MULTIPLE WORK PLAN STRATEGIES:- NOYES HEALTH COMPLETED STROKE CENTER DESIGNATION PROCESS AND TIMEISBRAINATNOYES.ORG COMMUNITY EDUCATION WEBSITE WAS DEVELOPED.- NOYES HEALTH EXPANDED OUR EVIDENCE BASED CHRONIC DISEASE SELF-MANAGEMENT PROGRAM CLASSES IN LIV CO TO INCLUDE CDSMP AND DSMP (DIABETES). PLAN TO EXPAND AND INCLUDE CPSMP (CHRONIC PAIN) IN 2016- NOYES MENTAL HEALTH SERVICES WERE EXPANDED FROM 6-7 LOCATIONS AND FTE'S INCREASE FORM 17.5 TO 18 TO MEET COMMUNITY NEED AND IMPROVE ACCESS TO CARE. ASSESSING NEW LOCATIONS FOR THE CLINIC THAT CAN INCORPORATE ALL PROVIDERS THAT ARE NOW IN TWO LOCATIONS.- NOYES COMMUNITY OUTREACH ESTABLISHED YET ANOTHER GARDEN AS PART OF CHILDHOOD OBESITY PREVENTION AT LARGE DAY CARE CENTER- NOYES HEALTH WAS PART OF EXPANDING BREASTFEEDING INITIATIVES IN COLLABORATION WITH THE LIV CO DOH TO CONTINUE TO GROW BREAST FEEDING RATES WITH OUR CURRENT SIX CLC'S- CONTINUUM OF CARE COALITION MET SIX TIMES WITH 35 AGENCY MEMBERS TO ADDRESS COMMUNITY HEALTH NEEDS ACROSS THE CONTINUUM OF CARE. AGENCY/SERVICE INFO. PRESENTED AT EACH MEETING, I.E. HEALTH INS ENROLLMENT IN THE MARKETPLACE, CDSMP, HEALTH INSURANCE HOMES, CARE TRANSITIONS, AND FALL PREVENTION. VERY ACTIVE GROUP WITH HIGH PARTICIPATION AND NETWORK EXPANSION.- NOYES WORKED COLLABORATIVELY WITH LIV CO DOH TO PROMOTE THEIR RETAIL PROJECT LABELING HEALTHY FOOD ITEMS IN GROCERY STORES, THEIR RESTAURANT PROJECT WORKING W/AREA RESTAURANTS TO PROVIDE HEALTHY FOOD OPTIONS WHEN EATING OUT, WORKSITE WELLNESS ASSESSMENTS, WITH WELLNESS TOOLKIT OPTIONS TO IMPLEMENT BASED ON ASSESSMENT, AND SCHOOL HEALTH INDEXES TO AGAIN WORK ON SUPPORTING FITNESS AND NUTRITION NEEDS FOR THE SCHOOL.NOYES HEALTH IS COMMITTED TO MEETING COMMUNITY NEED AS SEEN BY EXAMPLES ABOVE AND ALL OUR COLLABORATIVE EFFORTS ON WIDE SPECTRUM OF HEALTH CARE NEEDS THAT RANGE FROM PRENATAL TO END OF LIFE HEALTH CARE NEEDS. PROGRAMS INCLUDE: NOYES FIRST STEPS PRENATAL ED AND SUPPORT SERVICES...ADULT HEALTH CARE EDUCATION AND SCREENINGS...DIABETES EDUCATION...AND A VAST NUMBER OF ELDERCARE PROGRAMS INCLUDING: EARS LIFELINE (PERS) MEDICAL ALERT, MEDICATION DISPENSING SERVICES, CAREGIVER RESOURCE CENTER, CDSMP, FALL PREVENTION COALITION, AND ALZHEIMER'S EDUCATION AND SUPPORT GROUPS. PART III, LINE 4: COSTING METHOD FOR BAD DEBT EXPENSE AT COST IS THE RATIO OF PATIENT CARE COST TO CHARGES FROM WORKSHEET 2 MULTIPLIED BY THE DEMOGRAPHICS OF OUR PRIMARY SERVICE AREA FOR THOSE WHO WOULD RECEIVE CHARITY CARE IF GIVEN ENOUGH INFORMATION. PART III, LINE 8: THE SOURCE OF THE MEDICARE ALLOWABLE COSTS IS THE 2015 MEDICARE COST REPORT. PART VI, LINE 2: PUBLIC PARTICIPATION: COMMUNITY HEALTH ASSESSMENTIN 2013, THE LIVINGSTON COUNTY DEPARTMENT OF HEALTH AND NOYES HEALTH COMPLETED THE REQUIRED ANNUAL COMMUNITY NEEDS HEALTH ASSESSMENT BETWEEN FEBRUARY AND SEPTEMBER. A CHA LEADERSHIP TEAM WAS CREATED UNDER THE DIRECTION OF CO-COORDINATORS FROM THE LIVINGSTON COUNTY DEPARTMENT OF HEALTH AND NOYES HEALTH.INFORMATION FROM 427 COMMUNITY SURVEYS, TWO COMMUNITY FORUMS WITH LOW ATTENDANCE, TWO COMMUNITY FOCUS GROUPS (SENIOR NUTRITION AND THE ARC OF LIVINGSTON COUNTY - NOTE: MENTAL HEALTH FOCUS GROUP ATTEMPTED, BUT UNSUCCESSFUL) AND HEALTH CARE DATA IN OUR COMMUNITY WAS USED TO IDENTIFY THE TOP TWO NYS PREVENTION AGENDA (PA) PRIORITIES TO BE USED TO DEVELOP THE NOYES HEALTH THREE-YEAR COMMUNITY SERVICE PLAN (CSP) AND THE LIVINGSTON COUNTY DEPARTMENT OF HEALTH'S COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP).THE IMPLEMENTATION OF THE CSP AND CHIP IS OVERSEEN BY THE GENESEE VALLEY HEALTH PARTNERSHIP (GVHP). GVHP IS A NON-PROFIT, RURAL HEALTH NETWORK OF MORE THAN 40 DIFFERENT ORGANIZATIONS THAT ARE EITHER BASED IN LIVINGSTON COUNTY OR PROVIDE SERVICES TO LIVINGSTON COUNTY RESIDENTS. THE GVHP IS FUNDED BY AN OFFICE OF RURAL HEALTH GRANT AND IS A 501(C)3 ORGANIZATION. THEIR MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE LIVINGSTON COUNTY COMMUNITY THROUGH COLLABORATION, EDUCATION AND PREVENTION.DURING 2015, COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) COMMITTEES WORKED YEAR ROUND ON OUR TWO PREVENTION AGENDA PRIORITIES:1. PREVENT CHRONIC DISEASE2. PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSETHE COMMUNITY HEALTH ASSESSMENT IS COMPLETED EVERY THREE YEARS AND WILL BE DONE AGAIN IN 2016 UNDER THE DIRECTION AND SUPPORT OF THE GENESEE VALLEY HEALTH PARTNERSHIP IN LIVINGSTON COUNTY. THE RESULTS WILL USED TO COMPILE A NEW LIVINGSTON COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN. PART VI, LINE 3: FOR 2015, WE CONTINUED OUR EFFORTS TO COMMUNICATE OUR FINANCIAL AID POLICY. EVERY UNINSURED AND UNDERINSURED PATIENT RECEIVED A FINANCIAL AID PACKET THAT CONSISTING 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. ONGOING CHALLENGE IS GETTING PATIENTS TO PARTICIPATE IN THE FINANCIAL ASSISTANCE PROCESS. WE GIVE MANY CHARITY CARE APPLICATIONS AND BROCHURES OUT AT THE TIME OF SERVICE AND THEN AGAIN WHEN BILLING STATEMENTS GO OUT TO PATIENTS. WE, LIKE MANY HOSPITALS, TRY TO EDUCATE PATIENTS ON FINANCIAL ASSISTANCE AVAILABLE VIA A VARIETY OF AVENUES, BUT STRUGGLE WITH THE CHALLENGE OF GETTING PATIENTS TO TAKE ADVANTAGE OF THE AVAILABLE ASSISTANCE. PART VI, LINE 4: IN 2015, LIVINGSTON COUNTY WAS RANKED #7 ACCORDING TO THE NATIONAL COUNTY HEALTH RANKINGS AND ROADMAPS REPORT. THE RANKINGS ARE BASED ON A MODEL OF POPULATION HEALTH THAT EMPHASIZES THE MANY FACTORS THAT, IF IMPROVED, CAN HELP MAKE COMMUNITIES HEALTHIER PLACES TO LIVE, LEARN, WORK AND PLAY.DEMOGRAPHIC DATA:LIVINGSTON COUNTY COVERS 640 SQUARE MILES AND HAS A POPULATION OF 64,717THE PERCENTAGE OF RESIDENTS WHO ARE 65+ CONTINUES TO GROW ANNUALLY AND2014 DATA INDICATES THE RATE HAS INCREASED TO 15.8% OF TOTAL POPULATIONACCORDING TO THE US CENSUS BUREAU, 18.7% OF LIVINGSTON COUNTY RESIDENTSARE BELOW 18 YEAR OF AGE, 92.2% ARE NON-HISPANIC WHITE, 3.4% AREHISPANIC, AND 5.7% OF HOMES SPEAK A LANGUAGE OTHER THAN ENGLISHMEDIAN HOUSEHOLD INCOME: $52,200 WITH 14.7% LIVING BELOW POVERTY LEVELLIVINGSTON COUNTY HEALTH DATA INDICATING OPPORTUNITIES TO IMPROVE (BASED ON NYS PREVENTION AGENDA DASHBOARD)OBESITY RATE IN ADULTS: 33.6% AS COMPARED TO NYS 24.9% AND PREVENTION AGENDA (PA) 2018 GOAL 23.2%OBESITY IN CHILDREN: 19.1% AS COMPARED TO NYS 17.3% AND PA 2018 GOAL 16.7%AGE-ADJUSTED SUICIDE DEATH RATE PER 100,000: 15.4 AS COMPARED TO NYS 8 AND PA 2018 GOAL 5.9CIGARETTE SMOKING: 23% AS COMPARED TO NYS 15.6% AND PA 2018 GOAL 12.3%DIABETES - CHILDREN: RATE OF HOSPITALIZATIONS FOR SHORT-TERM COMPLICATIONS OF DIABETES PER 10,000 - AGED 6-17 YEARS IS 3.76 AS COMPARED TO NYS 3.11 AND PAGOAL 3.06DIABETES - ADULTS: RATE OF HOSPITALIZATIONS FOR SHORT-TERM COMPLICATIONS OF DIABETES PER 10,000 - AGED 18+ YEARS 5.92 AS COMPARED TO NYS 6.29 AND PA 2018GOAL 4.86 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 AND LIVING HEALTHY W/DIABETES: CHRONIC DISEASE SELF MANAGEMENT CLASSES PROVIDED THROUGHOUT THE COUNTY 4 TIMES/YR- COMMUNITY EDUCATION: CLASSES (SMOKE CESSATION, MEDICAL TERMINOLOGY, PHLEBOTOMY TRAINING), 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. 400 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 30 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, TRANSPORTATION SAFETY COMMITTEE, SEXUAL HEALTH COMMITTEE, FALL PREVENTION COALITION, AND THREE OF FOUR COMMUNITY HEALTHY IMPROVEMENT PLAN (CHIP)COMMITTEES: SAFE COMMUNITIES,CHRONIC DISEASE MANAGEMENT, AND SOCIAL/EMOTIONAL HEALTH.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 7, REPORTS FILED WITH STATES NY X X X 0 0 0 0 0 0 0 0 0 AMY POLLARD PRESIDENT/CEO 179811 0 25000 0 1089 0 0 0 7241 0 213141 0 0 0 DOUGLAS MAYHLE MD MEDICAL DIRECTOR 386144 0 0 0 13119 0 0 0 6022 0 405285 0 0 0 ROBERT CAPECCI MD PHYSICIAN-ORTHOPEDIST 581539 0 0 0 1584 0 0 0 7466 0 590589 0 0 0 BRIAN FORESMAN GENERAL SURGEON 492358 0 0 0 360 0 0 0 7466 0 500184 0 0 0 KEVIN O'KEEFE ORTHOPEDIST 472056 0 15000 0 184 0 0 0 4838 0 492078 0 0 0 CHIRAG PATEL ANESTHESIOLOGIST 375297 0 10000 0 240 0 0 0 7466 0 393003 0 0 0 DONALD DUNAC ANESTHESIOLOGIST 319109 0 34168 0 240 0 0 0 7466 0 360983 0 0 0 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 3330000 9763548 805638 625676 189438 6449941 1692856 2006 1 0 1 1 B 384948 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 177801 0 1 1 177801 NANCY JOHNSEN WIFE OF BOARD MEMBER 58428 COMPENSATION 0 JOAN FLENDER BOARD MEMBER 50000 PEDIATRIC CALL COVERAGE 0 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS REVIEWED BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C BOARD OF DIRECTORS REGULARLY REVIEWS THE CONFLICT OF INTEREST POLICY AND ASSURES ITS COMPLIANCE. 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 VII GRAHAM FRAZER - 8889 REEDS CORNERS ROAD, DANSVILLE, NY 14437. JOHN LOCKHART - 32 MAIN STREET, GENESEO, NY 14454. MICHAEL JOHNSEN - 3927 COLTON HILL ROAD, DALTON, NY 14836. LESLIE COLE, JR. - 3186 BRONSON HILL ROAD, LIVONIA, NY 14487. JOE BUCCI, JR. - 35 CAVALRY ROAD, GENESEO, NY 14454. JOAN FLENDER, MD - P.O. BOX 499, DANSVILLE, NY 14437. GEOFFREY WITTIG, M.D. - 10055 MCNINCH RD, DANSVILLE, NY 14437. MARK LYONS - 3822 CENTER STREET, LIVONIA, NY 14487. DOMENICK MARTELLO - 4939 BLANK HILL ROAD, DANSVILLE, NY 14437. LINDSAY QUINTILONE - 2 COURT STREET, GENESEO, NY 14454. BERNARD SWEENEY, M.D. - 4380 RESERVOIR RD, GENESEO, NY 14454. MARILYN MOORE - 1856 DUNKLEY RD, LEICESTER, NY 14481. JAMES CULBERTSON - 5879 DIETER ROAD, DANSVILLE, NY 14437. RICHARD RIZZIERI - 11 WHEELER ST., COHOCTON, NY 14826. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN FOUNDATION -2,172,777. PENSION RELATED CHANGES OTHER THAN NET PERIODIC PENSION COSTS -950,463. GAIN ON EXTINGUISHMENT OF RELATED PARTY DEBT 2,025,846. FORM 990, PART XII, LINE 2(C): THE HOSPITAL DID NOT CHANGE THE OVERSIGHT PROCESS IN THE CURRENT YEAR. THE FOUNDATION FOR NOYES MEMORIAL HEALTH SYSTEM INC 111 CLARA BARTON ST DANSVILLE NY 14437 161584778 TO PROVIDE FUNDS FOR BENEFIT OF THE HOSPITAL NY 501(C)(3) 170(B)(1)(A) (VI) 0 RED JACKET CENTER INC 111 CLARA BARTON ST DANSVILLE NY 14437 161037658 TO MAINTAIN A BUILDING AND LEASE SPACE TO THE HOSPITAL NY 501(C)(3) SECTION 509 (A)(3) 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 RED JACKET CENTER INC Q 2307359 FOUNDATION FOR NOYES MEMORIAL HEALTH SYSTEM INC P 2452052 RED JACKET CENTER INC K 537498