2015-11-13T11:52:04-06:00 2014-12-31 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2014-01-01 160743037 HIGHLAND HOSPITAL OF ROCHESTER % ADAM ANOLIK HIGH 5853416686 1000 SOUTH AVENUE ROCHESTER NY 14620 ADAM ANOLIK CFO 2673303000 2015-11-12 2014 2016-02-25 16:41:14Z STEVEN GOLDSTEIN 1000 SOUTH AVENUE ROCHESTER NY 14620 312781392 false X http://www.urmc.rochester.edu/hh/ X 1889 NY OPERATION OF AN ACUTE CARE HOSPITAL COMMITTED TO SERVICE EXCELLENCE IN THE HEALTHCARE INDUSTRY. 17 13 3011 354 0 0 592483 131925 288411216 295660316 690492 733950 13242258 16255201 302936449 312781392 0 0 0 0 180247043 182666698 0 0 0 106209489 108842032 286456532 291508730 16479917 21272662 290273684 314435013 131740872 176253572 158532812 138181441 X HIGHLAND HOSPITAL OF ROCHESTER ("HIGHLAND") PROVIDES INPATIENT AND OUTPATIENT HEALTHCARE SERVICES WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY. HIGHLAND OPERATES A 261 BED ACUTE CARE HOSPITAL, AS WELL AS 13 PRIMARY CARE SATELLITE CLINICS, AN OB/MIDWIFERY CLINIC, BREASTCARE CLINIC AND THREE RADIATION ONCOLOGY TREATMENT CENTERS. HIGHLAND IS ALSO A TEACHING AFFILIATE OF THE UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY. HIGHLAND'S SERVICE AREA INCLUDES MONROE COUNTY, NEW YORK, AS WELL AS SEVERAL COUNTIES SURROUNDING THE ROCHESTER, NEW YORK REGION. IN 2014, HIGHLAND HAD 15,778 ADULT ADMISSIONS, DELIVERED 3,200 NEWBORNS AND HAD 42,375 PATIENTS TREATED IN ITS EMERGENCY DEPARTMENT. HIGHLAND IS COMMITTED TO SERVICE EXCELLENCE IN HEALTHCARE- ONE PERSON AT A TIME. HIGHLAND'S MISSION IS TO BE THE COMMUNITY HEALTHCARE PROVIDER RENOWNED FOR UNMATCHED SERVICE, EXCELLENCE AND BEST PATIENT OUTCOMES. HIGHLAND'S POLICY IS TO TREAT PATIENTS IN NEED OF MEDICAL SERVICES WITHOUT REGARD TO THEIR A false false 249026321 0 311915517 PROVISION OF HEALTHCARE SERVICES, INCLUDING INPATIENT SERVICES, ANCILLARY SERVICES AND ED/CLINIC/AMBULATORY SERVICES. ALSO SEE ATTACHMENT 1. 249026321 true true true true false false false false false true true false false true true false false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true true true false false true 221 0 true 3011 true false false false false false false false false false false X 17 13 false false false false true true true true true false false true true true true true true true true false NY X ADAM ANOLIK 5852753033 1000 SOUTH AVENUE ROCHESTER NY 14620 X STEVEN I GOLDSTEIN CEO 8.0 56.5 X X 0 942378 280988 BRENT DUBESHTER MD BOARD MEMBER 2.0 55.0 X 0 1171901 47378 AMY KATES SECRETARY 2.0 0.0 X X 0 0 0 ANN MARIE COOK BOARD MEMBER 2.0 0.0 X 0 0 0 BELINDA LISCHERELLI BOARD MEMBER 2.0 0.0 X 0 0 0 KAREN LAMY BOARD MEMBER 2.0 0.0 X 0 0 0 DAVID DEJOY BOARD MEMBER 2.0 0.0 X 0 0 0 JOSEPH JOHNSON MD BOARD CHAIR 2.0 55.0 X X 0 645855 42925 CHRISTIAN MODESTI BOARD MEMBER 2.0 0.0 X 0 0 0 RICHARD LEFROIS BOARD MEMBER (THRU JUNE 2014) 2.0 0.0 X 0 0 0 TED HIROKAWA MD BOARD MEMBER 2.0 0.0 X 0 0 0 HON FRANCIS AFFRONTI BOARD MEMBER 2.0 0.0 X 0 0 0 MARK EIDLIN BOARD MEMBER 2.0 0.0 X 0 0 0 BILAL AHMED BOARD MEMBER 2.0 55.0 X 0 352136 67644 MICHAEL RIORDAN BOARD MEMBER 2.0 0.0 X 0 0 0 KATHLEEN WHELEHAN VICE CHAIR & TREASURER 2.0 0.0 X X 0 0 0 J STEVEN BURKHART MD BOARD MEMBER 3.0 0.0 X 9636 0 0 NED NICOSIA BOARD MEMBER 2.0 0.0 X 0 0 0 CINDY BECKER COO 40.0 1.0 X 301536 0 90406 ADAM ANOLIK CFO 9.0 54.0 X 0 320751 47308 RAYMOND MAYEWSKI MD CHIEF MEDICAL OFFICER 9.0 51.5 X 0 604132 117066 TOMMYE HINTON CHIEF NURSING OFFICER 40.0 4.0 X 228099 0 31029 LORI FERRIS MD PHYSICIAN 40.0 0.0 X 429490 0 67291 JULIETTA FISCELLA MD PHYSICIAN 40.0 0.0 X 377554 0 64555 JEFFREY HANSON MD PHYSICIAN 40.0 0.0 X 325918 0 60097 GREGORY RYAN MD PHYSICIAN 40.0 0.0 X 318884 0 63821 MAUREEN PERRY PHYSICIAN 40.0 0.0 X 235754 0 58454 LEONARD J SHUTE FORMER EXECUTIVE VP & CFO 0.0 0.0 X 0 271929 25318 2226871 4309082 1064280 82 true true false HOLDSWORTH KLIMOWSKI CONSTRUCTION L 51 GOODWAY DRIVE SOUTH ROCHESTER NY 14623 GENERAL CONSTRUCTION 2745222 LECHASE CONSTRUCTION 205 INDIGO CREEK DRIVE ROCHESTER NY 14626 GENERAL CONSTRUCTION 1417338 DGA BUILDERS LLC 1170 PITTSFORD-VICTOR RD STE 100 PITTSFORD NY 14534 GENERAL CONTRACTOR 1101596 EXECUTIVE HEALTH 15 CAMPUS BLVD NEWTOWN SQUARE PA 19073 PHYSICIAN CONSULTING 755474 MED-SCRIBE INC 535 WILLOWBROOK OFFICE PARK FAIRPORT NY 14450 TRANSCRIPTION 321838 16 X 131925 131925 NET PATIENT SERVICE REVENUES 900099 295660316 295660316 295660316 733950 0 0 733950 0 0 0 0 0 0 0 0 0 CAFETERIA REVENUE 900099 775058 775058 PARKING REVENUE 900099 1199963 1199963 CONTRACT PHARMACY REVENUE 900099 4648093 4648093 9632087 9632087 16255201 312781392 311915517 0 733950 X 0 0 0 0 529635 0 529635 0 0 142219418 118042117 24177301 0 8756018 7442615 1313403 0 22622968 19229523 3393445 0 8538659 7257860 1280799 0 0 290856 0 290856 0 168992 0 168992 0 0 0 0 2328872 1863098 465774 0 514491 0 514491 0 2864655 2291724 572931 0 1525476 915286 610190 0 0 3648552 3648552 0 0 47405 45035 2370 0 0 0 1470491 1470491 356748 356748 0 0 17456332 13239697 4216635 0 0 PHARMA & MED SUPPLIES 46723681 46723681 0 0 MISCELLANEOUS EXPENSES 8533872 8533872 0 0 LAB OUTSIDE PROCESSING 4517961 4517961 0 0 EQUIPMENT MAINT/REPAIRS 1947361 1557889 389472 0 16446287 13360663 3085624 291508730 249026321 42482409 0 X 26680992 31553764 63250989 74663150 0 0 17337660 19750100 0 0 0 0 0 0 3977284 4514965 1557131 1890312 306208102 171116210 128977630 135091892 0 0 0 0 0 0 0 0 48491998 46970830 290273684 314435013 22685201 25436624 0 0 469988 867598 33416474 30676538 0 0 0 0 0 0 0 0 75169209 119272812 131740872 176253572 X 158532812 138181441 0 0 0 0 158532812 138181441 290273684 314435013 X 21272662 -41624033 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 false false false false false true 17483 false false false 17483 false DETAIL OF LOBBYING HIGHLAND HOSPITAL IS A MEMBER OF REGIONAL, STATE AND FEDERAL HEALTHCARE ORGANIZATIONS AND PAYS DUES ON AN ANNUAL BASIS. A PORTION OF THESE DUES HAS BEEN DETERMINED TO HAVE BEEN ALLOCATED BY THESE ORGANIZATIONS TO SUPPORT LOBBYING ACTIVITIES. THE TOTAL AMOUNT ALLOCATED FROM HIGHLAND HOSPITAL'S DUES IN 2014 WAS ESTIMATED TO BE $17,483. 3229007 2060 -29638 3201429 3029833 3256 195918 0 0 0 3229007 2865502 27086 137245 0 0 0 3029833 3043521 2350 -180369 0 0 0 2865502 2985938 2390 55193 0 0 0 3043521 1.00000 false true true 232769 232769 147286139 72473510 74812629 989773 726942 262831 147996122 97915758 50080364 9703299 9703299 135091892 OTHER RECEIVABLES 26346341 ASSETS WHOSE USE IS LIMITED 4211589 DEFERRED AND OTHER INTANGIBLES 1073922 OTHER ASSETS 4066048 RECEIVABLE FROM HLC, INC. 1785300 RECEIVABLE FROM HCDC 325384 RECEIVABLE FROM UNIV OF ROCH 1448288 RECEIVABLE FROM THE MEADOWS 121878 INSURANCE CLAIMS RECEIVABLE 7592080 46970830 0 ACCRUED PENSION LIABILITY 89916047 EST. PROFESSIONAL LIABILITY 8178600 ACCRUED WORKERS' COMP LIABILIT 10505956 EST. THIRD PARTY SETTLEMENTS 10672209 119272812 FORM 990, SCHEDULE D, PART V, LINES 3A & 4 DETAIL OF ENDOWMENT FUNDS ALL ENDOWMENT FUNDS ARE HELD AND ADMINISTERED BY HIGHLAND FOUNDATION INC., A RELATED IRC SECTION 501(c)(3) ORGANIZATION, FOR THE BENEFIT OF HIGHLAND HOSPITAL IN FURTHERANCE OF ITS CHARITABLE HEALTH CARE SERVICES. true true true X true X true true true false true true 8653523 3808486 4845037 0.01660 71741736 63993203 7748533 0.02660 80395259 67801689 12593570 0.04320 10585502 3556796 7028706 0.02410 36305788 27443839 8861949 0.03040 1541043 1541043 17000 0 17000 0.00010 48449333 32541678 15907655 0.05460 128844592 100343367 28501225 0.09780 false 4623890 166200 136897700 129423900 7473800 X true true 1 1 HIGHLAND HOSPITAL 1000 SOUTH AVENUE ROCHESTER NY 14620 http://www.urmc.rochester.edu/hh/ LICENSE# 2701001H X X X X HIGHLAND HOSPITAL 1 true false true X X X X X X X X X 13 true true true true X SEE SUPPLEMENTAL DISCLOSURE X X true 13 true SEE SUPPLEMENTAL DISCLOSURE false false true X 200. 400. true true X true X X X X X true X false X X X X true X false false PART V, SECTION B, LINE 5- INPUT FROM COMMUNITY COMMUNITY INPUT IS AN ONGOING PROCESS IN MONROE COUNTY AND COLLABORATION AMONG THE HOSPITALS AND THE COMMUNITY IS VITAL TO INFORM OUR AGENDA. EACH OF THE HOSPITAL SYSTEMS INCLUDED IN THE CHNA: UNIVERSITY OF ROCHESTER MEDICAL CENTER STRONG MEMORIAL HOSPITAL, HIGHLAND HOSPITAL, AND ROCHESTER REGIONAL HEALTH SYSTEM TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY. THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH WAS REPRESENTED AT EACH COMMUNITY BENEFITS MEETING BY EITHER ANNE KERN, PUBLIC HEALTH PROGRAM COORDINATOR, OR BYRON KENNEDY, MD, PHD, MPH, DIRECTOR OF THE HEALTH DEPARTMENT. BOTH ARE AWARE OF COMMUNITY NEEDS, OVERSEE THE ADULT HEALTH SURVEY AND ARE EXPERTS IN EFFECTIVE PUBLIC HEALTH ASSESSMENT AND INTERVENTION. THERESA GREEN, DIRECTOR OF COMMUNITY HEALTH POLICY AND ANDREA DEMEO, EXECUTIVE DIRECTOR AND CHIEF OPERATING OFFICER, BOTH FOR THE URMC CENTER FOR COMMUNITY HEALTH, PROVIDED EXPERT ADVICE ON COMMUNITY ENGAGEMENT AND EVIDENCE BASED INTERVENTIONS. IN ADDITION, FINGER LAKES HEALTH SYSTEM AGENCY, WHO REPRESENTS THE COMMUNITY VOICE AND WHO MANAGES BOTH THE AFRICAN AMERICAN HEALTH COALITION AND THE LATINO HEALTH COALITION AND THE BLOOD PRESSURE COLLABORATIVE FOR MONROE COUNTY, WAS REPRESENTED AT EACH MEETING BY EITHER WADE NORWOOD, DIRECTOR OF COMMUNITY ENGAGEMENT OR AL BRADLEY, SENIOR MANAGER. THIS HIGH LEVEL COLLABORATION AMONG COMMUNITY MEMBERS, PUBLIC HEALTH PROVIDERS AND HOSPITAL SYSTEMS, ALONG WITH THE ROBUST HEALTH ACTION PROCESS OF COMMUNITY INPUT GATHERING, PROVIDES A TRULY COMMUNITY BASED HEALTH NEEDS ASSESSMENT AND IMPROVEMENT PLAN. -------------------- PART V, SECTION B, LINE 6A & 6B- JOINT CHNA THE CHNA WAS CONDUCTED WITH OTHER HOSPITALS. AN ASSESSMENT OF MONROE COUNTY WAS CONDUCTED JOINTLY BY UNIVERSITY OF ROCHESTER MEDICAL CENTER STRONG MEMORIAL HOSPITAL, HIGHLAND HOSPITAL, AND ROCHESTER REGIONAL HEALTH SYSTEM, UNITY HEALTH SYSTEM AND LAKESIDE HEALTH SYSTEM, ALONG WITH THE FINGER LAKES HEALTH SYSTEM AGENCY AND THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH. -------------------- PART V, SECTION B, LINE 7 & 10- CHNA & IMP. PLAN PUBLIC AVAILABILITY A COPY OF THE ORGANIZATION'S CHNA AND IMPLEMENTATION/IMPROVEMENT PLAN CAN BE FOUND AT: HTTP://WWW.URMC.ROCHESTER.EDU/COMMUNITY-ENGAGEMENT/ OUR CHNA AND IMPLEMENTATION/IMPROVEMENT PLAN ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND ARE ALSO POSTED THE HOSPITAL SYSTEM'S WEBSITE AND ON THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH'S WEBSITE. -------------------- PART V, SECTION B, LINE 11- ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA FOR A COMPLETE DESCRIPTION ON HOW THE ORGANIZATION IS ADDRESSING THE NEEDS IDENTIFIED IN THE MOST RECENTLY COMPLETED CHNA, SEE THE FOLLOWING: https://www.urmc.rochester.edu/MediaLibraries/URMCMedia/ community/document s/MC-JCSP-Progress-Report-2014-6.pdf URMCMedia/community/document s/MC-JCSP-Progress-Report-2014-6.pdf 22 DAISY MARQUIS JONES RADIATION ONCOLOGY 1561 LONG POND ROAD ROCHESTER NY 14626 RADIATION ONCOLOGY CENTER HIGHLAND FAMILY MEDICINE CENTER 777 SOUTH CLINTON AVENUE ROCHESTER NY 14620 FAMILY MEDICINE CLINIC SANDS CANCER CENTER 350 PARRISH STREET CANANDAIGUA NY 14424 RADIATION ONCOLOGY CENTER CULVER MEDICAL GROUP 913 CULVER ROAD ROCHESTER NY 14609 PRIMARY CARE CLINIC CALEDONIA FAMILY MEDICINE 3350 BROWN ROAD CALEDONIA NY 14423 PRIMARY CARE CLINIC PENFIELD FAMILY MEDICINE 2212 PENFIELD ROAD PENFIELD NY 14526 PRIMARY CARE CLINIC EAST RIDGE FAMILY MEDICINE 999 EAST RIDGE ROAD ROCHESTER NY 14621 PRIMARY CARE CLINIC FAMILY MEDICINE OF WEBSTER 1672 EMPIRE BLVD WEBSTER NY 14580 PRIMARY CARE CLINIC HIGHLAND BREAST CARE CENTER 500 RED CREEK DRIVE ROCHESTER NY 14623 BREAST CARE DIAGNOSTIC SERVICE CALKINS CREEK FAMILY MEDICINE 200 RED CREEK DRIVE SUITE 100 ROCHESTER NY 14623 PRIMARY CARE CLINIC AVON FAMILY MEDICINE 470 COLLINS STREET AVON NY 14414 PRIMARY CARE CLINIC GREECE MEDICAL GROUP 2300 WEST RIDGE ROAD ROCHESTER NY 14626 PRIMARY CARE CLINIC CORNHILL INTERNAL MEDICINE 757 SOUTH AVENUE SUITE 100 ROCHESTER NY 14620 PRIMARY CARE CLINIC GENESEE VALLEY FAMILY MEDICINE 118 MAIN STREET PO BOX 99 MOUNT MORRIS NY 14510 PRIMARY CARE CLINIC GENESEE VALLEY FAMILY MEDICINE LAKEVILLE 3509 THOMAS DRIVE SUITE 4 LAKEVILLE NY 14480 PRIMARY CARE CLINIC STRONG HEALTH MIDWIFERY GROUP 909 CULVER ROAD ROCHESTER NY 14609 OB/GYN CLINIC PENFIELD MEDICAL IMAGING 2212 PENFIELD ROAD SUITE 300 PENFIELD NY 14526 OUTPATIENT DIAGNOSTIC RADIOLOGY SERVICES GENESEE VALLEY FAMILY MEDICINE GENESEO 4400 LAKEVILLE ROAD GENESEO NY 14454 PRIMARY CARE CLINIC HIGHLAND BREAST IMAGING 2212 PENFIELD ROAD SUITE 500 PENFIELD NY 14526 BREAST CARE DIAGNOSTIC SERVICE HIGHLAND WOMEN'S HEALTH 990 SOUTH AVENUE SUITE 103 ROCHESTER NY 14620 OB/GYN PRACTICE HIGHLAND BREAST IMAGING AT AJHC 82 HOLLAND STREET ROOM 101E ROCHESTER NY 14605 BREAST CARE DIAGNOSTIC SERVICE HIGHLAND MEDICAL IMAGING AT AJHC 82 HOLLAND STREET ROCHESTER NY 14605 OUTPATIENT DIAGNOSTIC RADIOLOGY SERVICE SUPPLEMENTAL DISCLSOURES PART I, LINE 7- COSTING METHODOLOGY USED THE COSTING METHODOLOGY USED IN CALCULATING THE AMOUNTS REPORTED ON THE LINE 7 TABLE ARE BASED ON A COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2. -------------------- PART III, SECTION A, LINE 2- BAD DEBT EXPENSE THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 ARE BASED ON ACTUAL CHARGES WRITTEN OFF (AMOUNTS THAT ARE DEEMED TO BE UNCOLLECTIBLE). -------------------- PART III, SECTION A, LINE 4- BAD DEBT EXPENSE FOOTNOTE THE TEXT OF THE BAD DEBT FOOTNOTE CAN BE FOUND ON PAGES 9-10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. -------------------- PART III, SECTION B, LINE 8- COSTING METHODOLOGY, MEDICARE SHORTFALL THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 IS BASED ON THE AN OVERALL RCC METHODOLOGY PER THE HOSPITAL'S MEDICARE COST REPORT FILING FOR THE YEAR. CONSISTENT WITH THE CHARITABLE HEALTHCARE MISSION OF THE HOSPITAL AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545, THE HOSPITAL PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE SEEKING MEDICAL CARE. SUCH CARE IS PROVIDED REGARDLESS OF WHETHER THE REIMBURSEMENT PROVIDED FOR SUCH SERVICES MEETS OR EXCEEDS THE COSTS INCURRED BY THE HOSPITAL TO PROVIDE SUCH SERVICES. AS A RESULT, THE HOSPITAL VIEWS ANY SHORTFALL REPORTED IN LINE 7 AS AN ADDITIONAL ITEM OF COMMUNITY BENEFIT PROVIDED BY THE ORGANIZATION. -------------------- PART III, SECTION C, LINE 9B (COLLECTION PRACTICES) HIGHLAND HOSPITAL'S MISSION IS OUR COMMITTMENT TO EXCELLENCE IN HEALTH CARE, WITH PATIENTS AND THEIR FAMILIES AT THE HEART OF ALL THAT WE DO. LAWS, REGULATIONS, CATASTROPHIC ILLNESSES AND THE RISING COSTS OF NEW TECHNOLOGY HAVE CREATED A CATEGORY OF PATIENTS WHO ARE EITHER UNINSURED OR UNDERINSURED. THIS FINANCIAL ASSISTANCE PROGRAM HAS BEEN DEVELOPED TO HELP THE HOSPITAL MEET THE NEEDS OF THESE PATIENTS AND, CONCURRENTLY, MAINTAIN THE FINANCIAL VIABILITY OF THE HOSPITAL FOR FUTURE GENERATIONS. THIS FINANCIAL ASSISTANCE POLICY EXPLAINS HOW THE HOSPITAL ASSISTS PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE ESSENTIAL MEDICAL CARE THEY RECEIVE. PRINCIPLES: HIGHLAND HOSPITAL PROACTIVELY CONVEYS INFORMATION ABOUT THIS FINANCIAL ASSISTANCE POLICY TO PATIENTS AND THEIR FAMILIES. - WE BELIEVE THAT FEAR OF A HOSPITAL BILL SHOULD NEVER GET IN THE WAY OF ESSENTIAL HEALTH SERVICES. THE PROVISION OF URGENT OR EMERGENT HEALTHCARE IS NEVER DELAYED PENDING A FINANCIAL ASSISTANCE DETERMINATION. SIGNS ANNOUNCING THE FINANCIAL ASSISTANCE PROGRAM ARE POSTED IN THE HOSPITAL (E.G. EMERGENCY DEPARTMENT, ADMITTING OFFICE) TO PROACTIVELY CONVEY THIS MESSAGE TO PROSPECTIVE PATIENTS AND THE PUBLIC IN GENERAL. - WE MAINTAIN FINANCIAL AID POLICIES THAT ARE CONSISTENT WITH THE MISSION, VALUES AND CAPACITY OF THE HOSPITAL AND THAT TAKE INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE. - WE COMMUNICATE THE AVAILABILITY OF FINANCIAL AID IN A MANNER THAT IS CLEAR, UNDERSTANDABLE, SENSITIVE TO THE PATIENT'S DIGNITY, AND IN MULTIPLE LANGUAGES. A NOTICE IS AVAILABLE AT REGISTRATION SITES THAT INFORMS PATIENTS OF THIS PROGRAM AND PROVIDES THE PHONE NUMBER TO CALL TO OBTAIN MORE INFORMATION AND TO APPLY FOR THIS PROGRAM. DESIGNATED STAFF ARE PROVIDED DETAILED TRAINING SO THAT THEY CAN PROVIDE INFORMATION AND ANSWER QUESTIONS ABOUT THE FINANCIAL ASSISTANCE PROGRAM. INFORMATION IS GENERALLY AVAILABLE IN BOTH ENGLISH AND SPANISH. WHEN REQUESTED, IT WILL ALSO BE MADE AVAILABLE IN OTHER LANGUAGES. - WE IMPLEMENT FINANCIAL AID PROCEDURES THAT ARE CONSUMER-FRIENDLY, RESPECTFUL, AND CONFIDENTIAL, AS WELL AS DEBT COLLECTION POLICIES THAT REFLECT THE MISSION AND VALUES OF THIS HOSPITAL. - WE WORK WITH GOVERNMENT, PAYERS, BUSINESS, CONSUMER GROUPS AND OTHERS TO ADDRESS THE UNDERLYING PROBLEM THAT TOO MANY NEW YORKERS LACK HEALTH INSURANCE. GENERAL GUIDELINES: AS PART OF FINANCIAL PLANNING ASSISTANCE, WE PROVIDE PATIENTS, AND/OR THEIR LEGAL REPRESENTATIVE, WITH INFORMATION ABOUT THE CRITERIA THAT MUST BE MET IN ORDER TO OBTAIN MEDICAID, MEDICARE, OR OTHER HEALTH INSURANCES. PATIENTS ARE ASSISTED IN MAKING APPLICATIONS FOR ANY OF THESE INSURANCES OR DISCOUNTED FEE PLANS. PATIENTS ARE EXPECTED TO PARTICIPATE FULLY IN ALL EFFORTS TO OBTAIN ANY INSURANCE FOR WHICH THEY MAY QUALIFY. UNDER CERTAIN CIRCUMSTANCES, AS DETERMINED BY THE FINANCIAL CASE MANAGERS OR OTHER HOSPITAL SENIOR ADMINISTRATORS, APPLICATIONS FOR MEDICAID, MEDICARE OR OTHER INSURANCE PROGRAMS MAY BE WAIVED WHEN DEEMED UNNECESSARY. IF AVAILABLE INSURANCE BENEFITS ARE NOT SUFFICIENT TO COVER THE COST OF THEIR CARE, PATIENTS MAY THEN APPLY FOR ASSISTANCE FROM THE FINANCIAL ASSISTANCE PROGRAM. FINANCIAL ASSISTANCE APPLICATIONS MUST BE COMPLETED AND RETURNED TO THE HOSPITAL WITH THE REQUESTED INCOME DOCUMENTATION. PATIENTS WILL NOT RECEIVE FINANCIAL ASSISTANCE IF THEY (A) DO NOT COMPLETE THE APPLICATION PROCESS FOR MEDICAID OR OTHER INSURANCE FOR WHICH THEY MAY QUALIFY, (B) ELECT NOT TO MAKE APPLICATION FOR FINANCIAL ASSISTANCE, OR (C) HAVE ADEQUATE RESOURCES OR INCOME TO PAY PRIVATELY FOR THEIR CARE. IN THESE SITUATIONS, THEY WILL REMAIN FINANCIALLY RESPONSIBLE FOR FULL PAYMENT OF THEIR HOSPITAL BILLS. FINANCIAL ASSISTANCE IS AVAILABLE FOR PATIENTS WHO RESIDE IN NEW YORK STATE AND RECEIVE EMERGENCY HOSPITAL SERVICES, INCLUDING EMERGENCY TRANSFERS, AND TO PATIENTS WHO RESIDE IN HIGHLAND HOSPITAL'S PRIMARY SERVICE AREA IN NEW YORK STATE WHO RECEIVE SERVICES IN DESIGNATED HIGHLAND HOSPITAL PROGRAMS, INCLUDING MOST INPATIENT AND OUTPATIENT SERVICES. IN ADDITION, THE HOSPITAL MAY, IN ITS DISCRETION, GRANT FINANCIAL ASSISTANCE TO INDIVIDUALS WHO RESIDE OUTSIDE OF NEW YORK STATE. FINANCIAL ASSISTANCE DOES NOT COVER MEDICALLY UNNECESSARY CARE, COSMETIC ALTERATION, TELEPHONE, TELEVISION AND PRIVATE ROOM CHARGES. IT DOES NOT COVER SERVICES GENERATED BY AN INSURED PATIENT WHO CHOOSES TO RECEIVE CARE AT AN OUT-OF-NETWORK HOSPITAL, OR WHO FAILS TO COMPLY WITH INSURANCE POLICY REQUIREMENTS (E.G. UNAUTHORIZED SERVICES) NOR DOES IT APPLY TO NON-RESIDENT ALIENS (UNLESS APPROVED IN ADVANCE OF CARE BEING PROVIDED), TO DRUGS NOT ADMINISTERED IN THE HOSPITAL, TO TRANSPORTATION FURNISHED BY THIRD PARTY VENDORS, OR TO CARE, SERVICES, DRUGS OR SUPPLIES FOR THE PURPOSE OF GENDER RE-ASSIGNMENT. SPECIFIC QUESTIONS ABOUT SERVICES THAT ARE NOT COVERED SHOULD BE DIRECTED TO THE PATIENT ACCOUNTS MANAGER OR HER DELEGATE. FINANCIAL GUIDELINES: FINANCIAL AID IS INTENDED TO ASSIST THOSE INDIVIDUALS WHO CANNOT AFFORD TO PAY IN PART OR IN FULL FOR THEIR CARE. IT SHOULD TAKE INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE. HOSPITAL FINANCIAL AID SHOULD NOT BE VIEWED AS A SUBSTITUTE FOR EMPLOYER-SPONSORED OR INDIVIDUALLY PURCHASED INSURANCE. PATIENTS WITHOUT INSURANCE AND WITH INCOME THAT WOULD QUALIFY THEM FOR THE FINANCIAL ASSISTANCE PROGRAM BUT ALSO HAVE SUBSTANTIAL RESOURCES (OTHER THAN TAX-DEFERRED OR COMPARABLE RETIREMENT SAVINGS OR COLLEGE SAVINGS ACCOUNTS) MAY BE EXPECTED TO PAY PART OF THEIR BILLS(S). CHARITY CARE ASSISTANCE IS GENERALLY AVAILABLE TO INDIVIDUALS WHOSE INCOME IS LESS THAN OR EQUAL TO 400% OF THE FEDERAL POVERTY LEVEL. HOWEVER, PATIENTS WHO HAVE EXHAUSTED THEIR INSURANCE BENEFITS, EXCEEDED FINANCIAL ELIGIBILITY CRITERIA, FACE EXTRAORDINARY MEDICAL COSTS, OR WHO HAVE OTHER UNIQUE CIRCUMSTANCES MAY BE CONSIDERED FOR FINANCIAL ASSISTANCE APPROVAL IN THE HOSPITAL'S SOLE DISCRETION. WHILE APPLICATION FOR MEDICAID OR OTHER INSURANCE IS USUALLY REQUIRED, THE HOSPITAL MAY, AT ITS SOLE DISCRETION, IN APPROPRIATE CASES, ALSO CONSIDER PATIENTS FOR FINANCIAL ASSISTANCE WHEN THEY MEET THE FINANCIAL CRITERIA OF THIS PROGRAM, BUT HAVE NOT SATISFACTORILY COMPLETED ALL THE REQUIREMENTS OF THE FINANCIAL ASSISTANCE APPLICATION PROCESS. THIS MAY INCLUDE PATIENTS WHO HAVE BEEN SANCTIONED BY MEDICAID, HAVE FILED BANKRUPTCY OR APPEAR TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON AVAILABLE INFORMATION. ELIGIBILITY DETERMINATIONS IN COMPLEX CASE CIRCUMSTANCES WILL BE MADE AFTER CONSIDERATION BY THE FINANCIAL ASSISTANCE REVIEW TEAM THAT INCLUDES THE FINANCIAL ASSISTANCE OFFICER, FINANCIAL CASE MANAGER AND/OR THEIR MANAGERS, OR MAY BE MADE BY SENIOR HOSPITAL ADMINISTRATORS. THE AMOUNT OF THE DISCOUNT AFFORDED TO QUALIFIED FINANCIAL ASSISTANCE PATIENTS WILL BE DETERMINED THROUGH ASSESSMENT OF THE RESPONSIBLE PARTY'S ANNUAL HOUSEHOLD INCOME AND THE NUMBER OF PEOPLE IN THE HOME, AS A PERCENTAGE OF THE FEDERAL POVERTY GUIDELINE AMOUNTS FOR SAME SIZE HOUSEHOLDS. THE FINANCIAL GUIDELINES WILL BE UPDATED ANNUALLY IN CONJUNCTION WITH THE FEDERAL POVERTY UPDATES PUBLISHED BY CMS. PATIENTS MAY RECEIVE FULL OR PARTIAL DISCOUNT FROM THE COST OF CARE, DEPENDING ON THE PERCENTAGE OF THE GUIDELINES MATCHED BY THE PATIENT'S HOUSEHOLD INCOME. ANY BILL AMOUNT REMAINING AFTER APPLICATION OF A PARTIAL FINANCIAL ASSISTANCE DISCOUNT IS THE RESPONSIBILITY OF THE PATIENT. THE AMOUNT AN APPROVED FINANCIAL ASSISTANCE PATIENT WILL GENERALLY BE EXPECTED TO PAY FOR SERVICES COVERED BY THE POLICY WILL BE LIMITED TO THE LOWER OF THE AMOUNT THAT THE HOSPITAL WOULD HAVE RECEIVED FOR THE SAME SERVICE UNDER MEDICARE PARTS A AND B, (INCLUDING COINSURANCE, CO-PAYMENTS AND DEDUCTIBLES) OR THE USUAL AND CUSTOMARY CHARGES. THE PATIENT WILL BE ASSISTED BY THE HOSPITAL IN MAKING ARRANGEMENTS TO SATISFY ANY BALANCE REMAINING ON THE ACCOUNT(S) AFTER THE APPLICATION OF THE APPROPRIATE FINANCIAL ASSISTANCE DISCOUNT BY USE OF A PAYMENT PLAN. THE MONTHLY PAYMENTS UNDER SUCH PLANS SHALL NOT EXCEED TEN PERCENT (10%) OF THE ELIGIBLE PATIENT'S GROSS MONTHLY INCOME. THE RATE OF INTEREST ON UNPAID BALANCES SHALL NOT EXCEED THE US TREASURY RATE FOR 90 DAY SECURITIES PLUS 0.5% PART VI, LINE 2- NEEDS ASSESSMENT THE NEEDS OF MONROE COUNTY ARE ASSESSED THROUGH HEALTH ACTION, A ROBUST COMMUNITY-WIDE PROCESS ESTABLISHED IN 1995 THAT IS LED BY THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH (MCDPH). IT INVOLVES ALL FOUR LOCAL HEALTH SYSTEMS, LOCAL INSURERS, AND OTHER KEY COMMUNITY STAKEHOLDERS. THROUGH THIS PROCESS, COMMUNITY PRIORITIES, GOALS, AND INTERVENTIONS ARE IDENTIFIED AND IMPLEMENTED. THESE PRIORITIES ALIGN WITH THE HEALTH PRIORITIES AND INDICATORS AS PUBLISHED BY NEW YORK STATE'S DEPARTMENT OF HEALTH (DOH) AND INCLUDE ACCESS TO QUALITY HEALTH CARE, TOBACCO USE, HEALTHY MOTHERS/HEALTHY BABIES/HEALTHY CHILDREN, PHYSICAL ACTIVITY/NUTRITION, UNINTENTIONAL INJURY, HEALTHY ENVIRONMENTS, CHRONIC DISEASE, AND MENTAL HEALTH/ SUBSTANCE ABUSE. FIVE HEALTH STATUS "REPORT CARDS" IN SPECIFIC AGE GROUPS AND CATEGORIES ARE USED TO MEASURE PROGRESS TOWARDS HEALTH STATUS IMPROVEMENT. THEY INCLUDE MATERNAL AND CHILD HEALTH, ADOLESCENT HEALTH, ADULT HEALTH, OLDER ADULT HEALTH AND ENVIRONMENTAL HEALTH, EACH OF WHICH CONTAIN GOALS FOR IMPROVING HEALTH. PRIORITIES FOR EACH AREA ARE SELECTED BASED ON INPUT FROM FOCUS GROUPS WITH RESIDENTS, AND HEALTH AND SOCIAL SERVICE PROFESSIONALS. UPDATED REPORT CARDS ARE PRODUCED AND DISTRIBUTED ON AVERAGE EVERY 4-6 YEARS FOR EACH SPECIFIC AGE GROUP. THESE PRIORITIES SERVE AS A FOUNDATION FOR COMMUNITY HEALTH IMPROVEMENT AND COMMUNITY BUILDING EFFORTS AND HELP TO ENSURE COLLABORATIVE AND COORDINATED USE OF HEALTH SYSTEM RESOURCES TO ADDRESS THE MOST PRESSING NEEDS. THE PRIORITY SETTING PROCESS IS A SIX-STEP PROCESS THAT INCLUDES: 1. ASSESS HEALTH STATUS: DATA DETAILING HEALTH STATUS, ACCESS TO HEALTH CARE AND HEALTH BEHAVIORS ARE COMPILED AND ANALYZED TO IDENTIFY TRENDS AND DISPARITIES AND TO COMPARE OUR COUNTY TO OTHER COMMUNITIES. FOR EACH LIFECYCLE GROUP, AN ADVISORY COMMITTEE, WITH REPRESENTATION FROM AREA HOSPITALS, HELPS TO INTERPRET THE DATA AND DEVELOP HEALTH GOALS BASED ON THE DATA. A REPORT CARD CONTAINING THE DATA AND HEALTH GOALS IS PUBLISHED. 2. CHOOSE PRIORITY GOALS: THE ADVISORY COMMITTEE HOSTS COMMUNITY FORUMS TO ADDRESS HEALTH IMPROVEMENT PRIORITIES. THE ADVISORY COMMITTEE THEN MAKES RECOMMENDATIONS TO THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH ON PRIORITIES. 3. DEFINE THE LEADERSHIP: PARTNERS ARE IDENTIFIED TO SUPPORT THE PRIORITIES FOR ACTION. THE MEDICAL CENTER PROVIDES SALARY SUPPORT FOR FACULTY AND STAFF TO CONTRIBUTE THEIR ACADEMIC AND CLINICAL EXPERTISE TO HELP IDENTIFY AND IMPLEMENT THE MOST EFFECTIVE INTERVENTIONS ON THE HEALTH PRIORITIES. 4. DEVELOP IMPROVEMENT PLANS: EACH PARTNERSHIP DEVELOPS IMPROVEMENT PLANS TO ADDRESS HEALTH GOALS. 5. PERFORM INTERVENTIONS: EACH PARTNERSHIP, ALONG WITH THE STEERING COMMITTEE, WHICH INCLUDES THE MEDICAL CENTER, OVERSEES THE IMPLEMENTATION OF INTERVENTIONS IN VARIOUS VENUES THAT INCLUDE SCHOOLS, DAY CARE CENTERS, PLACES OF WORSHIP, COMMUNITY BASED ORGANIZATIONS AND WITHIN THE HEALTH SYSTEMS. 6. MEASURE THE IMPACT: EACH PARTNERSHIP EVALUATES THE INTERVENTION. -------------------- PART VI, LINE 3- PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IS POSTED IN ALL AREAS OF HIGHLAND HOSPITAL AND ITS OFF-SITE LOCATIONS. CHARITY CARE INFORMATION IS POSTED IN INPATIENT AND OUTPATIENT REGISTRATION AREAS; THE EMERGENCY DEPARTMENT; ADMITTING; HIGHLAND FAMILY MEDICINE; AND ALL PRIMARY CARE SITES. THE HOSPITAL PROVIDES A COPY OF THE CHARITY CARE POLICY AND FINANCIAL ASSISTANCE CONTACTS TO PATIENTS AS PART OF ITS ADMITTING PROCESS. HIGHLAND ALSO PROVIDES PRINTED INFORMATION ABOUT CHARITY CARE ASSISTANCE WITH DISCHARGE MATERIALS WHEN IT HAS BEEN DETERMINED THAT A PATIENT IS IN FINANCIAL NEED. AS PART OF FINANCIAL PLANNING ASSISTANCE, WE PROVIDE PATIENTS WITH INFORMATION ABOUT THE CRITERIA THAT MUST BE MET IN ORDER TO OBTAIN MEDICAID, MEDICARE, OR OTHER HEALTH INSURANCES. PATIENTS ARE ASSISTED IN MAKING APPLICATIONS FOR INSURANCE OR DISCOUNTED FEE PLANS. PATIENTS ARE EXPECTED TO PARTICIPATE FULLY IN ALL EFFORTS TO OBTAIN ANY INSURANCE FOR WHICH THEY MAY QUALIFY. UNDER CERTAIN CIRCUMSTANCES, AS DETERMINED BY THE FINANCIAL CASE COUNSELOR OR OTHER HOSPITAL SENIOR ADMINISTRATOR, APPLICATIONS FOR MEDICAID, MEDICARE OR OTHER INSURANCE PROGRAMS MAY BE WAIVED WHEN DEEMED UNNECESSARY. IF AVAILABLE INSURANCE BENEFITS ARE NOT SUFFICIENT TO COVER THE COST OF THEIR CARE, PATIENTS MAY THEN APPLY FOR ASSISTANCE FROM THE CHARITY CARE PROGRAM. -------------------- PART VI, LINE 4- COMMUNITY INFORMATION HIGHLAND HOSPITAL IS LOCATED IN THE CITY OF ROCHESTER, COUNTY OF MONROE (POPULATION 747,016) IN THE FINGER LAKES REGION OF NEW YORK STATE. THE FINGER LAKES REGION EXTENDS APPROXIMATELY 100 MILES NORTH TO SOUTH AND 100 MILES EAST TO WEST. THE REGION ENCOMPASSES URBAN, SUBURBAN AND RURAL COMMUNITIES WITHIN NEW YORK STATE. THE REGION (INCLUDING MONROE COUNTY) HAS A POPULATION OF 1,736,369. HIGHLAND HOSPITAL'S PRIMARY SERVICE AREA (PSA) IS MONROE COUNTY AND THE SECONDARY SERVICE AREA (SSA) ENCOMPASSES THE 15 COUNTIES SURROUNDING MONROE INCLUDING: ALLEGANY, CATTARAUGUS, CAYUGA, CHEMUNG, GENESEE, LIVINGSTON, ONTARIO, ORLEANS, SCHUYLER, SENECA, STEUBEN, TOMPKINS, WAYNE, WYOMING, AND YATES. THERE ARE FIFTEEN FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS WITHIN THIS 16 COUNTY REGION. HEALTH CARE ENVIRONMENT- THE PRIMARY SERVICE AREA IS HOME TO TWO MULTI-HOSPITAL SYSTEMS EACH WITH SEVERAL LONG-TERM CARE, HOME CARE AND OTHER TYPES OF AFFILIATES. THE UNIVERSITY OF ROCHESTER MEDICAL CENTER CONSISTS OF STRONG MEMORIAL HOSPITAL AND AFFILIATES HIGHLAND HOSPITAL AND FF THOMPSON HEALTH SYSTEM, ROCHESTER REGIONAL HEALTH SYSTEM CONSISTS OF ROCHESTER GENERAL HOSPITAL, NEWARK WAYNE COMMUNITY HOSPITAL, UNITY HEALTH SYSTEM, CLIFTON SPRINGS HOSPITAL, AND UNITED MEMORIAL MEDICAL CENTER. THERE ARE ROUGHLY TWENTY SMALLER COMMUNITY HOSPITALS THAT OPERATE IN THE FIFTEEN COUNTIES SURROUNDING MONROE COUNTY WITH BED CAPACITY RANGING FROM AS FEW AS 25 BEDS TO AS MANY AS 224 BEDS. OVER 50 RESIDENTIAL HEALTH CARE FACILITIES; MANY PUBLIC AND PRIVATE AGENCIES PROVIDING COMMUNITY AND HOME HEALTH SERVICES; SEVERAL STATE AND FEDERAL FACILITIES; AND A FULL RANGE OF HEALTH CARE PROFESSIONALS, INCLUDING THOUSANDS OF PHYSICIANS, DENTISTS, NURSES, TECHNICIANS, ADMINISTRATORS, EDUCATORS, AND SUPPORT PERSONNEL PROVIDE SERVICES WITHIN THE SIXTEEN COUNTY SERVICE AREA. DEMOGRAPHIC ANALYSIS- HISTORICALLY UNDER REPRESENTED ETHNIC GROUPS INCLUDING BLACK NON-HISPANIC, HISPANIC AND OTHER POPULATIONS COMPRISE ROUGHLY 23% OF THE POPULATION OF MONROE COUNTY. ACCORDING TO U.S. CENSUS DATA ROUGHLY 12.6% OF THE POPULATION OF MONROE COUNTY IS NON-ENGLISH SPEAKING. MEDIAN HOUSEHOLD INCOME FOR THE PRIMARY SERVICE AREA IS $52,394 VERSUS THE NATIONAL MEDIAN OF $53,046. ACCORDING TO THE US CENSUS, 14.5% OF INDIVIDUALS IN MONROE COUNTY WERE CONSIDERED BELOW THE POVERTY LEVEL. THE PERCENTAGE OF THE MONROE COUNTY POPULATION AGE 65 AND OLDER WAS 15.9% IN 2014 AND IS ANTICIPATED TO GROW TO 18.1% IN 2020. MONROE COUNTY'S POPULATION OF SENIORS OUTPACES THE NATIONAL AVERAGE OF 14.5%. UNDER REPRESENTED ETHNIC GROUPS COMPRISE ROUGHLY 11.0% OF THE POPULATION IN THE FIFTEEN COUNTIES SURROUNDING MONROE COUNTY. MEDIAN HOUSEHOLD INCOME FOR THE FIFTEEN-COUNTY SERVICE AREA WAS $53,227 VERSUS THE US MEDIAN OF $53,046. THE 65 AND OLDER POPULATION COMPRISED 16.7% OF THE POPULATION AND IS ANTICIPATED TO GROW TO 19.3% BY 2018. THE RATE OF UNINSURED IN MONROE COUNTY IS 9.4 %, COMPARED TO 12% US AVERAGE. ACCORDING TO THE NEW YORK STATE DEPARTMENT OF HEALTH, ROUGHLY 13.9% OF THE POPULATION OF MONROE COUNTY IS ENROLLED IN MEDICAID COMPARED TO 20.0% FOR NEW YORK STATE. -------------------- PART VI, LINE 5- PROMOTION OF COMMUNITY HEALTH Highland Hospital conducts many community health initiatives throughout the year. Examples include free or low-cost health education programs on topics related to geriatric health, diabetes management, joint pain/joint replacement, and bariatric surgery. Also, Highland's Breast Imaging Center sponsors free mammography screening days several times a year for uninsured/underinsured women. Highland's staff also provides health information and wellness screenings at numerous community events such as annual health fairs - The Family Health and Fitness Fair held every October in Rochester draws several thousand people. Other examples include Highland-staffed booths at Rochester's Lilac Festival, the Highland Family Planning Health and Resource Fair, the 2015 Baby Boomer & Senior Expo in Lyons, and the RWM's Ultimate Health & Wellness Expo. At all of these events, staff provided information, as well as referrals to Highland patient education opportunities. These events serve several purposes: they raise awareness of the breadth of services offered by Highland to the community, especially those in the urban area of Rochester for whom Highland is their closest hospital; they encourage community members to engage in proactive wellness efforts, such as recommended annual mammograms for women over 40 and those at risk; and they educate community members on steps they can take to lead healthy lives through positive lifestyle choices. In addition, Highland collaborates with other hospitals in western New York, including Strong Memorial Hospital, in jointly filing a community service plan to the New York State Department of Health. This unique effort, done in collaboration with the Monroe County Department of Public Health and the Finger Lakes Health System Agency, demonstrates true community assessment and improvement planning for Monroe County and its surrounding neighborhoods. The Joint Community Service Plan is focusing on reducing obesity, reducing illness related to tobacco, and increasing access to chronic disease prevention. The University of Rochester Center for Community Health serves as a facilitating agency. -------------------- PART VI, LINE 5- PROMOTION OF COMMUNITY HEALTH- OTHER INFORMATION HIGHLAND'S BOARD OF DIRECTORS IS COMPRISED OF A DIVERSE GROUP OF MEMBERS OF THE ROCHESTER COMMUNITY. THE BOARD INCLUDES URMC AND HIGHLAND SENIOR LEADERS; EMPLOYED URMC FACULTY BASED AT HIGHLAND HOSPITAL AND PRIVATE COMMUNITY PHYSICIANS; MEMBERS OF THE BUSINESS COMMUNITY AND LOCAL PHILANTHROPISTS WITH AN INTEREST IN ADVOCATING FOR HEALTH CARE. HIGHLAND EXTENDS MEDICAL STAFF PRIVILEGES TO EMPLOYED HIGHLAND PHYSICIANS; URMC FACULTY PHYSICIANS; AND ALL ELIGIBLE PRIVATE PHYSICIANS WHO PRACTICE AT HIGHLAND AND/OR ADMIT PATIENTS TO THE HOSPITAL. HIGHLAND USES SURPLUS FUNDS TO CONTINUALLY REINVEST IN ITS FACILITY; THE 124-YEAR-OLD HOSPITAL HAS IN RECENT YEARS MADE MANY CAPITAL UPDATES TO ITS FACILITY, INCLUDING: ITS EMERGENCY DEPARTMENT IN RESPONSE TO RISING PATIENT VOLUMES, VIRTUALLY DOUBLING ITS CAPACITY TO MEET CURRENT AND FUTURE PATIENT NEEDS, RADIATION ONCOLOGY DEPARTMENT, SEVERAL INPATIENT CARE UNITS AND THE COMMUNITY OB/GYN CLINIC. OTHER ENHANCEMENTS INCLUDE THE ADDITION OF A NEW OUTPATIENT PHARMACY AND EXPANDED LOBBY/SURGICAL WAITING AREA TO ACCOMMODATE SURGICAL VOLUME GROWTH. THE HOSPITAL HAS COMPLETED CONSTRUCTION OF A NEW NEUROMEDICINE UNIT TO PROVIDE INTEGRATED NEUROLOGY/NEUROSURGERY CARE TO STROKE, HEAD INJURY AND NEUROSURGERY PATIENTS.IT HAS COMPLETED CONSTRUCTION OF TWO NEW OPERATING ROOMS AND EXPANSION OF ITS PERIOPERATIVE SERVICES AREA TO MEET DEMAND FOR OR USAGE. MAJOR CAPITAL EQUIPMENT ACQUISITIONS TO MEET COMMUNITY NEEDS INCLUDE AN UPGRADED LINEAR ACCELERATOR AND DaVINCI ROBOTIC SURGICAL SYSTEM. THE HOSPITAL CONTINUES TO REVIEW AND UPGRADE ALL KEY INFORMATION TECHNOLOGY SYSTEMS, INCLUDING THE ELECTRONIC MEDICAL RECORD. FINALLY, THE HOSPITAL BEGAN THE FIRST PHASE OF ITS $28M MASTER FACILITY PLAN, TO BE COMPLETED @ JUNE 2017, TO CONSTRUCT A DEDICATED 26 BED OBSERVATION UNIT, ALONG WITH A STATE OF THE ART PERIOPERATIVE UNIT. -------------------- -------------------- PART VI, LINE 6- DETAIL REGARDING AFFILIATED HEALTH CARE SYSTEM ROLES THE UNIVERSITY OF ROCHESTER MEDICAL CENTER IS AN INTEGRATED ACADEMIC HEALTH CENTER THAT COMPRISES THE SCHOOL OF MEDICINE AND DENTISTRY, INCLUDING ITS FACULTY PRACTICE (UNIVERSITY OF ROCHESTER MEDICAL FACULTY GROUP); STRONG MEMORIAL HOSPITAL; HIGHLAND HOSPITAL; GOLISANO CHILDREN'S HOSPITAL; JAMES P. WILMOT CANCER CENTER; STRONG WEST; SCHOOL OF NURSING; EASTMAN INSTITUTE FOR ORAL HEALTH; VISITING NURSE SERVICE; HIGHLANDS AT PITTSFORD; THE HIGHLANDS LIVING CENTER, INC.; HIGHLANDS AT BRIGHTON, AND FF THOMPSON HEALTH SYSTEM, INC. UR MEDICAL CENTER AND THE AFFILIATED HEALTH CARE ENTITIES HAVE EMBRACED A COMPREHENSIVE APPROACH TO COMMUNITY HEALTH, WHICH EMPLOYS THE MULTIDISCIPLINARY SKILLS FOUND IN AN ACADEMIC MEDICAL CENTER TO BOTH PROVIDE IMPORTANT COMMUNITY SERVICES AND CONDUCT COMMUNITY-BASED RESEARCH. THESE ACTIVITIES HELP INFORM POLICYMAKERS AND THE COMMUNITY ABOUT LOCAL HEALTH CHALLENGES, EVALUATE THE EFFECTIVENESS OF INTERVENTIONS, AND SERVE AS A FOUNDATION FOR EVIDENCE-BASED PRACTICES TO IMPROVE HEALTH AND OVERALL QUALITY OF LIFE. - THE UNIVERSITY'S HEALTH CARE DELIVERY NETWORK IS ANCHORED BY STRONG MEMORIAL HOSPITAL, AN 830 BED TEACHING HOSPITAL, WHICH INCLUDES A CHILDREN'S HOSPITAL-GOLISANO CHILDREN'S HOSPITAL. PATIENTS BENEFIT FROM THE MEDICAL CENTER'S ROBUST TEACHING AND BIOMEDICAL RESEARCH PROGRAMS. STUDENT ROSTERS INCLUDE APPROXIMATELY 400 MEDICAL STUDENTS, 500 GRADUATE STUDENTS, AND 700 RESIDENTS AND FELLOWS WHO ARE ENGAGED IN COMMUNITY SERVICE THROUGHOUT THEIR EDUCATION. - EASTMAN INSTITUTE FOR ORAL HEALTH PROVIDES COMMUNITY DENTAL CARE IN A NUMBER OF CLINICS, AS WELL AS CLINICAL EDUCATION TO DENTAL STUDENTS ENROLLED AT THE UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY. IT OFFERS GENERAL DENTISTRY, PEDIATRIC AND ORTHODONTIC CLINICS, AND AN URGENT CARE DENTAL CLINIC THAT SEES 10 - 50 PATIENTS PER DAY. IT OPERATES LOW-INCOME CLINICS AT SCHOOLS AND A DOWNTOWN LOCATION. ADDITIONALLY, FOUR SMILEMOBILES PROVIDE A DENTAL OFFICE ON WHEELS, ALLOWING THE CITY'S CHILDREN INCREASED ACCESS TO MUCH NEEDED DENTAL CARE. - THE JAMES P. WILMOT CANCER CENTER IS ORGANIZED AROUND A MULTIDISCIPLINARY CARE MODEL, WHICH LEADING CANCER EXPERTS BELIEVE IS THE GOLD STANDARD IN CANCER CARE IN THE 21ST CENTURY. ITS MODEL UNDERSCORES A COMMITMENT TO PROVIDE PATIENTS IN THE ROCHESTER AREA WITH THE MOST UP-TO-DATE INFORMATION AND AVAILABLE TREATMENTS, BASING OUR RECOMMENDATIONS ON THE BEST EVIDENCE. IT IS THE ONLY CENTER IN THE ROCHESTER AND FINGER LAKES REGION OFFERING THIS TEAM APPROACH TO CARE. A VARIETY OF FREE PREVENTIVE EDUCATION EVENTS ARE HELD THROUGHOUT THE YEAR, INCLUDING MEN'S HEALTH DAY, WHICH INCLUDES NUMEROUS FREE HEALTH SCREENINGS; FREE SKIN CANCER SCREENINGS; AND BREAST CANCER SCREENINGS FOR THE UNINSURED AND UNDERINSURED. - GOLISANO CHILDREN'S HOSPITAL, HOUSED IN STRONG MEMORIAL HOSPITAL, IS A 132-BED CHILDREN'S HOSPITAL THAT SERVES AS THE REFERRAL CENTER FOR UPSTATE NEW YORK, SURROUNDING STATES AND CANADA. IT COMBINES AWARD-WINNING RESEARCH, INTERNATIONALLY ACCLAIMED EDUCATION AND COMPASSIONATE CARE TO SERVE CHILDREN AND FAMILIES. PEDIATRIC SPECIALTIES INCLUDE ORTHOPAEDICS, NEUROLOGY/NEUROSURGERY, CANCER AND NEONATAL CARE. IN ADDITION TO THESE TRADITIONAL MEDICAL SERVICES, GOLISANO CHILDREN'S HOSPITAL IS THE NATION'S MODEL FOR "COMMUNITY PEDIATRICS", A PHILOSOPHY THAT EMBRACES THE IDEA THAT A CHILD'S COMMUNITY AND ENVIRONMENT AFFECT HIS HEALTH AND, THEREFORE, HE CANNOT BE TREATED SOLELY IN AN EXAM ROOM. THE HOSPITAL ENCOURAGES PHYSICIANS AND STAFF TO PARTNER WITH COMMUNTIY ORGANIZAITONS TO IMPROVE VACCINATION RATES, EDUCATIONAL OPPORTUNITIES, SAFETY AT HOME AND ON PLAYGROUNDS, AND HEALTH INSURANCE AND HEALTH CARE ACCESS. - THE STRONG WEST CAMPUS, WHICH IS LOCATED APPROXIMATELY 20 MILES WEST OF ROCHESTER IN BROCKPORT, NY WAS ACQUIRED BY THE UNIVERSITY IN 2013. IT IS THE SITE OF THE FORMER 61 BED LAKESIDE MEMORIAL HOSPITAL, WHICH ANNOUNCED IT WAS CLOSING IN APRIL, 2013, LEAVING THE COMMUNITY WITHOUT AN EMERGENCY ROOM AND LOCAL ACCESS TO OTHER HEALTH CARE SERVICES. STRONG MEMORIAL HOSPITAL NOW OPERATES A FREE-STANDING EMERGENCY ROOM ON THE STRONG WEST CAMPUS, IN ADDITION TO OFFERING AMBULATORY SURGERY, HEALTH IMAGING, LABORATORY SERVICES, PRIMARY CARE, ORTHOPAEDICS, CARDIAC CARE, ONCOLOGY AND HEMATOLOGY, SLEEP MEDICINE, NEUROLOGY, AND UROLOGY SERVICES. THE UNIVERSITY'S WHOLY OWNED HEALTH CARE AFFILIATES ARE: - HIGHLAND HOSPITAL OF ROCHESTER (HIGHLAND) PROVIDES INPATIENT AND OUTPATIENT HEALTHCARE SERVICES WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY. HIGHLAND OPERATES A 261-BED ACUTE CARE HOSPITAL, AS WELL AS 13 PRIMARY CARE SATELLITE CLINICS, AND OB/MIDWIFERY CLINIC, BREAST CARE CLINIC, AND THREE RADIATION ONCOLOGY TREATMENT CENTERS. HIGHLAND IS ALSO A TEACHING AFFILIATE OF THE UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY. HIGHLAND'S SERVICE AREA INCLUDES MONROE COUNTY, NEW YORK, AS WELL AS SEVERAL COUNTIES SURROUNDING THE ROCHESTER, NEW YORK REGION. - VISITING NURSE SERVICE OF ROCHESTER AND MONROE COUNTY, INC. AND COMMUNITY CARE OF ROCHESTER, INC. D/B/A VISITING NURSE SIGNATURE CARE PROVIDE HOME AND COMMUNITY BASED CARE TO OVER 13,000 PEOPLE ANNUALLY, INCLUDING NURSING, REHABILITATION THERAPY, PERSONAL CARE, HOSPICE AND MEALS ON WHEELS. THE AGENCY IS NATIONALLY RECOGNIZED FOR ITS ABILITY TO REDUCE UNNECESSARY HOSPITALIZATIONS. DURING 2013, AFFILIATES FINGER LAKES VISITING NURSE SERVICE, INC. AND FINGER LAKES HOME CARE, INC. JOINED THE SYSTEM, EXTENDING THE HOME CARE AFFILIATES' PROVISION OF HIGH QUALITY HOME HEALTH CARE SERVICES TO THE FINGER LAKES REGION. - THE HIGHLANDS AT PITTSFORD CAMPUS INCLUDES TWO SEPARATE CORPORATIONS WITH DIFFERENT ACTIVITIES OFFERING SKILLED NURSING CARE, AS WELL AS ASSISTED AND INDEPENDENT LIVING FOR SENIORS. THE HIGHLANDS LIVING CENTER IS A 122-BED SKILLED NURSING FACILITY THAT ALSO OFFERS AN ADULT DAY CARE PROGRAM. THE 60-BED ASSISTED LIVING, 171-BED INDEPENDENT LIVING, AND COMMUNITY EDUCATION ARE PROVIDED BY HIGHLAND COMMUNITY DEVELOPMENT CORPORATION D/B/A/THE HIGHLANDS AT PITTSFORD AND LAURELWOOD AT THE HIGHLANDS. THE HIGHLANDS OFFER A COMPREHENSIVE SERIES OF COMMUNITY EDUCATION PROGRAMS ON CURRENT HEALTH TOPICS, INCLUDING HEART HEALTH, NUTRITION, ORAL HEALTH, AND DIABETES PREVENTION, TO NAME A FEW. - THE HIGHLANDS AT BRIGHTON IS A 145-BED SKILLED NURSING FACILITY THAT SPECIALIZES IN CARE FOR THE MOST MEDICALLY COMPLEX CASES, INCLUDING A NEUROBEHAVIORAL UNIT, VENTILATOR UNIT, AND BEHAVIORAL STEP-DOWN/DEMENTIA CARE UNIT IN ADDITION TO TRANSITIONAL, POST-ACUTE CARE AND REHABILITATION SERVICES. THROUGH ITS TRANSITIONAL CARE MODEL, THE HIGHLANDS AT BRIGHTON ACCEPTS PATIENTS WHO NO LONGER REQUIRE HOSPITAL CARE BUT ARE DIFFICULT TO DISCHARGE DUE TO THE COMPLEXITY OF THEIR MEDICAL OR BEHAVIORAL NEEDS, PROVIDING THEM WITH SUPPORTIVE CARE AND IN MANY CASES, HELPING THEM TRANSITION TO MORE APPROPRIATE LEVELS OF CARE IN THE COMMUNITY. - FF THOMPSON HEALTH SYSTEM IS COMPRISED OF THE FREDERICK FERRIS THOMPSON HOSPITAL (FF THOMPSON). FF THOMPSON IS A 113-BED ACUTE CARE HOSPITAL THAT IS LOCATED IN CANANDAIGUA, NY, APPROXIMATELY 30 MILES SOUTH OF ROCHESTER AND SERVES THE FINGER LAKES REGION. ITS SERVICES INCLUDE MEDICAL/SURGICAL CARE, INTENSIVE CARE, MATERNITY AND EMERGENCY CARE. IN ADDITION, THE HOSPITAL OWNS AND OPERATES 9 EXTENSION CLINICS, 8 OF WHICH PROVIDE PRIMARY HEALTH CARE SERVICE AND 2 OF WHICH PROVIDE OUTPATIENT PHYSICAL AND/OR OCCUPATIONAL THERAPY. - M.M. EWING CONTINUING CARE CENTER INC. IS A NOT-FOR-PROFIT CORPORATION THAT OPERATES A 188-BED SKILLED NURSING FACILITY AND ADULT DAY CARE PROGRAM ADJACENT TO F.F. THOMPSON HOSPITAL. - F.F.T. SENIOR COMMUNITIES, INC. IS A NOT-FOR-PROFIT CORPORATION THAT OPERATES FERRIS HILLS AT WESTLAKE, A RESIDENTIAL COMMUNITY CONSISTING OF 84 INDEPENDENT LIVING UNITS AND 48 ENRICHED LIVING UNITS. -------------------- false true false false false false false false false STEVEN I GOLDSTEIN CEO 0 880628 0 0 0 61750 0 277469 0 3519 0 1223366 0 0 BRENT DUBESHTER MD BOARD MEMBER 0 1101901 0 70000 0 0 0 25069 0 22309 0 1219279 0 0 JOSEPH JOHNSON MD BOARD CHAIR 0 578355 0 50000 0 17500 0 25069 0 17856 0 688780 0 0 LEONARD J SHUTE FORMER EXECUTIVE VP & CFO 0 188188 0 0 0 83741 0 9585 0 15733 0 297247 0 0 CINDY BECKER COO 301536 0 0 0 0 0 62600 0 27806 0 391942 0 0 0 LORI FERRIS MD PHYSICIAN 429490 0 0 0 0 0 33900 0 33391 0 496781 0 0 0 JULIETTA FISCELLA MD PHYSICIAN 377554 0 0 0 0 0 47700 0 16855 0 442109 0 0 0 JEFFREY HANSON MD PHYSICIAN 325918 0 0 0 0 0 44900 0 15197 0 386015 0 0 0 GREGORY RYAN MD PHYSICIAN 318884 0 0 0 0 0 33000 0 30821 0 382705 0 0 0 RAYMOND MAYEWSKI MD CHIEF MEDICAL OFFICER 0 560195 0 0 0 43937 0 100069 0 16997 0 721198 0 0 BILAL AHMED BOARD MEMBER 0 352136 0 0 0 0 0 25659 0 41985 0 419780 0 0 TOMMYE HINTON CHIEF NURSING OFFICER 228099 0 0 0 0 0 12352 0 18677 0 259128 0 0 0 ADAM ANOLIK CFO 0 320626 0 0 0 125 0 30355 0 16953 0 368059 0 0 MAUREEN PERRY PHYSICIAN 235754 0 0 0 0 0 36900 0 21554 0 294208 0 0 0 FORM 990, SCHEDULE J, PART I, LINE 3 TOP MANAGEMENT COMPENSATION AS PROVIDED IN THE FORM 990, SCHEDULE J INSTRUCTIONS, SINCE THE ORGANIZATION RELIES ON A RELATED ORGANIZATION WHICH USES ONE OR MORE OF THE METHODS DESCRIBED IN LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIALS' COMPENSATION, THIS QUESTION HAS BEEN LEFT UNANSWERED. REFER TO SCHEDULE O, DESCRIPTION OF COMPENSATION REVIEW AND APPROVAL PROCESS. -------------------- FORM 990, SCHEDULE J, PART I, LINE 4B PARTICIPATION IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN BOX 4(B) HAS BEEN CHECKED YES, SINCE CERTAIN OFFICERS OF HIGHLAND HOSPITAL OF ROCHESTER PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PROVIDED BY THE UNIVERSITY OF ROCHESTER, A RELATED IRC SECTION 501(C) (3) ORGANIZATION. THESE AMOUNTS ARE INCUDED IN DEFERRED COMPENSATION, FOR THE FOLLOWING INDIVIDUALS: STEVEN I. GOLDSTEIN SERP PLAN $159,400 STEVEN I. GOLDSTEIN 457(F) PLAN $93,000 RAYMOND MAYEWSKI, MD SERP PLAN $75,000 -------------------- A COUNTY OF MONROE INDUSTRIAL DEVELOPMENT AGENCY 161005429 610752DY0 2005-06-23 36194096 REFUND 1997 BONDS/ BLDING & EQUIP false false false B DORMITORY AUTHORITY OF STATE OF NEW YORK 146000293 649905W93 2010-06-25 10932064 MEDICAL FACILTY, EQUIP & TECHNLGY false false false A 15442558 0 36194096 3358494 0 0 323708 0 0 14228315 18283579 0 2006 false true true true B 1007064 0 10932064 428710 0 0 218641 0 0 10284713 0 0 2011 false false true true A false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true B false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true A false false true false false false 0 false 0 false true B false false true false false false 0 false 0 false true A true B true FORM 990, SCHEDULE K, PART III, LINES 3B & 3D SUPPLEMENTAL INFORMATION HIGHLAND HOSPITAL DOES NOT HAVE ANY MANAGEMENT CONTRACTS, SERVICE CONTRACTS OR RESEARCH AGREEMENTS BUT WOULD ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW BEFORE ENTERING INTO ANY SUCH AGREEMENTS. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 REVIEW PROCESS THE FORM 990 OF HIGHLAND HOSPITAL IS PREPARED BY FINANCE STAFF AND PROVIDED TO PRICEWATERHOUSECOOPERS LLP AND SENIOR MANAGEMENT FOR REVIEW PRIOR TO FILING. THE FORM 990 WAS ALSO PROVIDED TO THE HOSPITAL'S AUDIT COMMITTEE PRIOR TO FILING. THE COMMITTEE'S QUESTIONS AND COMMENTS WERE ADDRESSED AT A COMMITTEE MEETING PRIOR TO FILING. THE 2014 FORM 990 WAS PRESENTED TO THE AUDIT COMMITTEE BY PRICEWATERHOUSECOOPERS LLP PRIOR TO FILING. THE FORM 990 WAS ALSO PROVIDED TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO FILING. -------------------- FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY DIRECTORS, COMMITTEE MEMBERS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE A CONFLICT OF INTEREST: (A) PRIOR TO VOTING ON OR OTHERWISE DISCHARGING THEIR DUTIES WITH RESPECT TO ANY MATTER INVOLVING THE CONFLICT WHICH COMES BEFORE THE BOARD OR ANY COMMITTEE; (B) PRIOR TO ENTERING INTO ANY CONTRACT OR TRANSACTION INVOLVING THE CONFLICT; (C) AS SOON AS POSSIBLE AFTER THE DIRECTOR, COMMITTEE MEMBER OR OFFICER LEARNS OF THE CONFLICT; AND (D) ON AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM. THE FORM IS DISTRIBUTED ANNUALLY AND REQUIRES DISCLOSURE OF ALL CONFLICTS OF INTEREST, INCLUDING SPECIFIC INFORMATION CONCERNING THE TERMS OF ANY CONTRACT OR TRANSACTION WITH THE HOSPITAL THAT INVOLVES A POTENTIAL CONFLICT OF INTEREST FOR THE INDIVIDUAL. THE FORMS ARE REVIEWED BY THE BOARD CHAIR AND LEGAL COUNSEL, AND CONFLICTS DISCLOSED ON THE FORMS OR ON AN AD HOC BASIS ARE REVIEWED BY A BOARD COMMITTEE. THE COMMITTEE CONSIDERS THE MATERIAL FACTS CONCERNING ANY PROPOSED CONTRACT OR TRANSACTION, INCLUDING THE PROCESS BY WHICH THE DECISION WAS MADE TO APPROVE OR RECOMMEND ENTERING INTO THE ARRANGEMENT ON THE TERMS PROPOSED, AND APPROVES SUCH CONTRACTS OR TRANSACTIONS ONLY IF THE TERMS ARE FAIR AND REASONABLE TO THE HOSPITAL AND THE ARRANGEMENTS ARE CONSISTENT WITH THE BEST INTERESTS OF THE HOSPITAL. -------------------- FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION REVIEW AND APPROVAL WRITTEN SELF-EVALUATIONS AND PERFORMANCE EVALUATIONS FOR HIGHLAND HOSPITAL'S OFFICERS AND KEY EMPLOYEES ANNUALLY ARE REVIEWED BY THE COMMITTEE ON COMPLIANCE AND COMPENSATION OF THE UNIVERSITY OF ROCHESTER MEDICAL CENTER BOARD. THE COMMITTEE HAS AVAILABLE THE EVALUATIONS FROM HIGHLAND HOSPITAL'S BOARD, AS WELL AS FROM THE CEO OF URMC HEALTH SYSTEM AND IN SOME CASES HIGHLAND'S CEO. THE COMMITTEE REVIEWS AND APPROVES TOTAL COMPENSATION FOR OFFICERS AND KEY EMPLOYEES AND CONSIDERS, IN ADDITION TO THE EVALUATIONS, THE SCOPE OF THE INDIVIDUAL'S JOB RESPONSIBILITIES, PREVIOUS COMPENSATION AND COMPARABLE COMPENSATION PAID TO PEOPLE WITH SIMILAR RESPONSIBILITIES AT COMPARABLE INSTITUTIONS. THE COMPARABLE INFORMATION IS PROVIDED BY AN INDEPENDENT CONSULTANT AND IS BASED ON LOCAL, REGIONAL AND NATIONAL COMPENSATION SURVEYS. -------------------- FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS HIGHLAND HOSPITAL'S FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST. HIGHLAND HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE NOT ROUTINELY MADE AVAILABLE TO THE PUBLIC. -------------------- FORM 990, PART VII & FORM 990, SCHEDULE J, PART II COMPENSATION INFORMATION CERTAIN OFFICERS, DIRECTORS AND KEY EMPLOYEES OF HIGHLAND HOSPITAL RECEIVE COMPENSATION FROM THE UNIVERSITY OF ROCHESTER, A RELATED IRC SECTION 501(C)(3) ORGANIZATION. A PORTION OF THE SALARIES OF THESE INDIVIDUALS IS ALLOCATED TO HIGHLAND HOSPITAL AND IS INCLUDED AS A PART OF OTHER SALARY AND WAGES ON THE STATEMENT OF FUNCTIONAL EXPENSES. CERTAIN OFFICERS AND KEY EMPLOYEES OF HIGHLAND HOSPITAL ALSO DEVOTE SIGNIFICANT TIME EACH WEEK TO OTHER RELATED ORGANIZATIONS. JOSEPH JOHNSON, MD CURRENTLY SERVES AS THE CHIEF OF SURGERY AT HIGHLAND HOSPITAL. A PORTION OF THE TOTAL HOURS AND COMPENSATION REPORTED RELATES TO HIS SERVICES PERFORMED IN THIS ROLE. NONE OF THE BOARD MEMBERS OF HIGHLAND HOSPITAL ARE COMPENSATED FOR THEIR BOARD SERVICE. -------------------- FORM 990, PART VI, SECTION A, LINES 6, 7A, & 7B MEMBERSHIP INFORMATION THE SOLE MEMBER OF HIGHLAND HOSPITAL IS STRONG PARTNERS HEALTH SYSTEM, INC. ("SPHS"). SPHS, ACTING THROUGH ITS BOARD OF DIRECTORS, HAS THE AUTHORITY TO ELECT THE GOVERNING BODY OF HIGHLAND HOSPITAL, AND CERTAIN DECISIONS OF THE HIGHLAND HOSPITAL BOARD ARE SUBJECT TO THE APPROVAL OF THE SPHS BOARD. SUCH DECISIONS INCLUDE APPOINTMENT OF THE HIGHLAND HOSPITAL PRESIDENT AND CEO, AMENDMENT OF THE CERTIFICATE OF INCORPORATION AND BYLAWS, APPROVAL OF EXTRAORDINARY CORPORATE ACTIONS SUCH AS MERGER OR DISSOLUTION, AND APPROVAL OF CAPITAL AND OPERATING BUDGETS, STRATEGIC PLANS, AND INCURRENCE OF CERTAIN DEBT. -------------------- FORM 990, PART XI, LINE 9 RECONCILIATION OF NET ASSETS DETAIL OF OTHER CHANGES IN NET ASSETS OR FUND BALANCES: CHANGE IN ACCRUED PENSION LIABILITY ($41,624,033) ----------- TOTAL CHANGES IN NET ASSETS: ($41,624,033) UNIVERSITY OF ROCHESTER 910 GENESEE STREET STE 200 ROCHESTER NY 14611 160743209 SCHOOL NY 501(c)(3) 2 NA false THE HIGHLAND FOUNDATION INC 1000 SOUTH AVENUE ROCHESTER NY 14620 237310662 FUNDRAISING NY 501(c)(3) 11A, 1 HIGHLD HOSP true HIGHLAND FACILITIES DEVELOPMENT CORP 1000 SOUTH AVENUE ROCHESTER NY 14620 223039077 MEDICAL BLDG NY 501(c)(3) 9 HIGHLD HOSP true STRONG PARTNERS HEALTH SYSTEM INC 601 ELMWOOD AVENUE BOX 706 ROCHESTER NY 14642 161499099 SUPPORT ORG NY 501(c)(3) 11A, 1 UNIV OF ROCH false THE MEADOWS AT WESTFALL INC 5901 LAC DE VILLE BLVD ROCHESTER NY 14618 161502303 HEALTHCARE NY 501(c)(3) 9 SPHS false THE HIGHLANDS LIVING CENTER INC 500 HAHNEMANN TRAIL PITTSFORD NY 14534 223240227 HEALTHCARE NY 501(c)(3) 9 SPHS false HIGHLAND COMMUNITY DEVELOPMENT CORP 100 HAHNEMANN TRAIL PITTSFORD NY 14534 223154715 ELDER CARE NY 501(c)(3) 9 SPHS false STRONG HOME CARE GROUP 2180 EMPIRE BOULEVARD WEBSTER NY 14580 222577664 FUNDRAISING NY 501(c)(3) 7 UNIV OF ROCH false VISITING NURSE SRVC OF ROCHESTER & MONRO 2180 EMPIRE BOULEVARD WEBSTER NY 14580 160743215 HEALTHCARE NY 501(c)(3) 9 SHCG false COMMUNITY CARE OF ROCHESTER 2180 EMPIRE BOULEVARD WEBSTER NY 14580 161561691 HEALTHCARE NY 501(c)(3) 9 SHCG false EXCELL PARTNERS INC 222 west ridge rd suite 156-1 ROCHESTER NY 14615 201862628 ECONOMIC DEV NY 501(c)(4) N/A UNIV OF ROCH false ROCHESTER BIOVENTURE CENTER INC 601 ELMWOOD AVENUE BOX 706 ROCHESTER NY 14642 202485999 BIOTECH INCUB NY 501(c)(3) 11A, 1 UNIV OF ROCH false HIGH TECH ROCHESTER INC 150 LUCIUS GORDON DRIVE SUITE 100 WEST HENRIETTA NY 14586 161195028 BUSINESS INCU NY 501(c)(3) 7 UNIV OF ROCH false CRITTENDEN BOULEVARD HOUSING CO INC 249 NORTON VILLAGE LANE ROCHESTER NY 14609 237035414 SUPPORT ORG NY 501(c)(3) 11B, II UNIV OF ROCH false UNIVERSITY OF ROCHESTER EMPLOYEE BEN TRS 910 GENESEE STREET SUITE 200 ROCHESTER NY 14611 161600112 EMPL BEN TRST NY 501(c)(9) N/A UNIV OF ROCH false U OF R BROADCASTING CORPORATION 201 WILSON COMMONS ROCHESTER NY 14627 160743209 BROADCAST LIC NY 501(c)(4) N/A UNIV OF ROCH false UR REAL ESTATE CORPORATION 263 WALLIS HALL ROCHESTER NY 14627 271140014 SUPPORT ORG NY 501(c)(3) 11D, III-OT UNIV OF ROCH false FRAMEMED FOUNDATION INC 263 WALLIS HALL ROCHESTER NY 14627 161490497 SUPPORT ORG NY 501(c)(3) 7 UNIV OF ROCH false MELIORA REAL ESTATE CORPORATION 263 WALLIS HALL ROCHESTER NY 14627 452464788 SUPPORT ORG NY 501(c)(3) 11D, III-OT UNIV OF ROCH false FF THOMPSON HEALTH SYSTEM INC 350 PARRISH STREET CANANDAIGUA NY 14424 222959987 SUPPORT ORG NY 501(C)(3) 11A UNIV OF ROCH false THE FREDERICK FERRIS THOMPSON HOSPITAL 350 PARRISH STREET CANANDAIGUA NY 14424 160743024 HOSPITAL NY 501(C)(3) 3 THS false MM EWING CONTINUING CARE CENTER 350 PARRISH STREET CANANDAIGUA NY 14424 237046583 HEALTHCARE NY 501(C)(3) 3 THS false FFT SENIOR COMMUNITIES INC 1 FERRIS HILLS CANANDAIGUA NY 14424 161557494 ELDER CARE NY 501(C)(3) 9 THS false THE FF THOMPSON FOUNDATION INC 350 PARRISH STREET CANANDAIGUA NY 14424 222959984 FUNDRAISING NY 501(C)(3) 7 THS false FINGER LAKES HOMECARE INC 756 PRE-EMPTION ROAD GENEVA NY 14456 161489133 HEALTHCARE NY 501(C)(3) 9 VNSR false FINGER LAKES VISITING NURSE SERVICE INC 756 PRE-EMPTION ROAD GENEVA NY 14456 223067627 HEALTHCARE NY 501(C)(3) 9 VNSR false EXCELL INNOVATE NY FUND LP 222 WEST RIDGE ROAD BLDG 28 STE 1 ROCHESTER NY 14615 462405519 FUNDING START UPS NY EXCEL TECH VENT MEDICAL ADMINISTRATIVE ASSOCIATES INC 777 SOUTH CLINTON AVENUE ROCHESTER NY 14620 161354319 RETAIL PHARMACY NY HIGHLAND HOSP C CORP -440973 2243807 1.00000 true UR EQUITY HOLDINGS INC 110 OFFICE PARK WAY PITTSFORD NY 14534 273040889 HOLDING COMPANY NY UNIV OF ROCH C CORP false FFTH PROPERTIES AND SERVICES INC 350 PARRISH STREET CANANDAIGUA NY 14424 161286518 HOLDING COMPANY NY THS C CORP false EXCELL TECHNOLOGY VENTURES INC 222 WEST RIDGE ROAD STE 156-1 ROCHESTER NY 14615 800909149 BIOTECH INCUBATOR NY ROCH BIO CTR C CORP false FINGER LAKES COMUNITY CARE NETWORK INC 350 PARRISH STREET CANANDAIGUA NY 14424 161423442 INACTIVE NY THS C CORP false ACCOUNTABLE HEALTH PARTNERS LLC 135 CORPORATE WOODS STE 320 ROCHESTER NY 14623 300787967 ACCT CARE NETWORK NY UNIV OF ROCH C CORP false false true true false false false false false false true true true true true true true true false false THE HIGHLAND FOUNDATION INC C,M,N 131925 FMV GIFT MEDICAL ADMINISTRATIVE ASSOCIATES INC J,O,Q 807472 SERVICE COST HIGHLAND FACILITIES DEVELOPMENT CORPORATION K,L,O 252933 NET EXPENSES