NICHOLAS H NOYES MEMORIAL HOSPITAL: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: NICHOLAS H NOYES MEMORIAL HOSPITAL (EIN 16-0743979)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2015-11-13
IRS object ID: 201543179349307394
Schema version: 2014v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-11-13T15:14:21-06:00	ReturnTs
Tax Period End	2014-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	264298079	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	EFP ROTENBERG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	280 KENNETH DRIVE	AddressLine1Txt
City	ROCHESTER	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14623	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	160743979	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NICHOLAS H NOYES MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	NICH	BusinessNameControlTxt
Phone	5853356001	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	111 CLARA BARTON STREET	AddressLine1Txt
City	DANSVILLE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14437	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	AMY POLLARD	PersonNm
Person Title	PRESIDENT/CEO	PersonTitleTxt
Phone	5853356001	PhoneNum
Signature	2015-11-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	WILLIAM MCDONALD	PreparerPersonNm
PTIN	P01600766	PTIN
Phone	5854278900	PhoneNum
Preparation	2015-11-12	PreparationDt

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-04-25 22:37:26Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	AMY POLLARD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	111 CLARA BARTON STREET	AddressLine1Txt
City	DANSVILLE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14437	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$50,127,033	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.NOYES-HEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1927	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	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.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	585	TotalEmployeeCnt
Total Volunteers	102	TotalVolunteersCnt
Total Gross UBI	$29,006	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$374,206	PYContributionsGrantsAmt
CY Contributions Grants	$403,159	CYContributionsGrantsAmt
PY Program Service Revenue	$44,674,685	PYProgramServiceRevenueAmt
CY Program Service Revenue	$46,709,052	CYProgramServiceRevenueAmt
PY Investment Income	$68,268	PYInvestmentIncomeAmt
CY Investment Income	$525,695	CYInvestmentIncomeAmt
PY Other Revenue	$1,866,387	PYOtherRevenueAmt
CY Other Revenue	$2,028,440	CYOtherRevenueAmt
PY Total Revenue	$46,983,546	PYTotalRevenueAmt
CY Total Revenue	$49,666,346	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$24,354,966	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$25,499,151	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$80,500	CYTotalFundraisingExpenseAmt
PY Other Expenses	$24,043,917	PYOtherExpensesAmt
CY Other Expenses	$23,917,555	CYOtherExpensesAmt
PY Total Expenses	$48,398,883	PYTotalExpensesAmt
CY Total Expenses	$49,416,706	CYTotalExpensesAmt
PY Revenues Less Expenses	-$1,415,337	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$249,640	CYRevenuesLessExpensesAmt
Total Assets BOY	$44,386,301	TotalAssetsBOYAmt
Total Assets EOY	$47,622,426	TotalAssetsEOYAmt
Total Liabilities BOY	$22,710,156	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$26,039,970	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$21,676,145	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$21,582,456	NetAssetsOrFundBalancesEOYAmt
Mission	NICHOLAS H. NOYES MEMORIAL HOSPITAL SUPPORTS AND PROMOTES THE HEALTH OF OUR COMMUNITIES THROUGH COMPASSIONATE QUALITY CARE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$37,610,007	ExpenseAmt
Revenue	$46,709,052	RevenueAmt
Desc	NICHOLAS H. NOYES MEMORIAL HOSPITAL IS A 67 BED HOSPITAL WHICH PROVIDES ACUTE, SUB-ACUTE, EMERGENCY AND OUTPATIENT CARE.	Desc
Total Program Service Expenses	$37,610,007	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	78	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	585	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	Yes (1)	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JAY MASLYN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5853354306	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	111 CLARA BARTON STREET	AddressLine1Txt
City	DANSVILLE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14437	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
GRAHAM FRAZER
SECOND VICE CHAIRPERSON	2.00	Yes (X)	$0	$0	$0
JOHN LOCKHART
DIRECTOR	2.00	Yes (X)	$0	$0	$0
MICHAEL JOHNSEN
CHAIRPERSON	10.00	Yes (X)	$0	$0	$0
LESLIE COLE JR
FIRST VICE CHAIRPERSON	2.00	Yes (X)	$0	$0	$0
JOE BUCCI JR
DIRECTOR	1.00	Yes (X)	$0	$0	$0
AMY POLLARD
PRESIDENT/CEO	30.00	Yes (X)	$179,170	$0	$13,203	10.00	Yes (X)
JOAN FLENDER MD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
GEOFFREY WITTIG MD
PRESIDENT ELECT, MEDICAL STAFF	1.00	Yes (X)	$0	$0	$0
MARK LYONS
DIRECTOR	1.00	Yes (X)	$0	$0	$0
DOMENICK MARTELLO
DIRECTOR	1.00	Yes (X)	$0	$0	$0
DOUGLAS MAYHLE MD
MEDICAL DIRECTOR	40.00	Yes (X)	$367,875	$0	$10,182
LINDSAY QUINTILONE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
ARIF QURESHI MD
PRESIDENT, MEDICAL STAFF	2.00	Yes (X)	$0	$0	$0
BERNARD SWEENEY MD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MARILYN MOORE
PAST CHAIRPERSON/SECRETARY	5.00	Yes (X)	$0	$0	$0
JAMES CULBERTSON
TREASURER	1.00	Yes (X)	$0	$0	$0
JAY MASLYN
CFO	40.00		$136,439	$0	$3,389		Yes (X)
ROBERT CAPECCI MD
PHYSICIAN-ORTHOPEDIST	40.00		$544,150	$0	$13,373			Yes (X)
KEVIN WENTWORTH
PHYSICIANS ASSISTANT	40.00		$200,624	$0	$12,550			Yes (X)
JOHN SKILLINGS
GENERAL SURGEON	40.00		$348,801	$0	$9,825			Yes (X)
BRIAN FORESMAN
GENERAL SURGEON	40.00		$460,961	$0	$12,293			Yes (X)
MICHAEL PARKOT
PHYSICIANS ASSISTANT	40.00		$184,648	$0	$14,021			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,422,668	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$88,836	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	27	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
DANSVILLE ANESTHESIA & PAIN MGMT
PO BOX 33058	PALM BEACH GARDENS	FL	33420	ANESTHESIOLOGIST	$1,171,729
ARUP LABORATORIES
500 CHIPETA WAY	SALT LAKE CITY	UT	841081221	LAB TESTING SERVICES	$576,326
SLEEP INSIGHTS MANAGEMENT SVC
10 HAGEN DR SUITE 200	ROCHESTER	NY	14625	POLYSOMNOGRAPHY SVC	$316,424
RONDON RAFAEL MD
84 ASHLAND AVENUE	BUFFALO	NY	14222	EMERGENCY PHYSICIAN	$299,320
MEDICOR INTERNAL MEDICINE PLLC
50 EAST SOUTH STREET SUITE 600	GENESEO	NY	14454	MEDICAL SERVICES	$290,988

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	13	CntrctRcvdGreaterThan100KCnt
Government Grants	$340,877	GovernmentGrantsAmt
All Other Contributions	$62,282	AllOtherContributionsAmt
Total Contributions	$403,159	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT SERVICE REVENUE	Desc
Business	621990	BusinessCd
Total Revenue Column	$46,709,052	TotalRevenueColumnAmt
Related Or Exempt Func Income	$46,709,052	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$46,709,052	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$517,620	TotalRevenueColumnAmt
Exclusion	$517,620	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$376,620	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$368,545	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$8,075	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,075	TotalRevenueColumnAmt
Exclusion	$8,075	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$30,445	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$11,460	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,985	TotalRevenueColumnAmt
Exclusion	$18,985	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$155,560	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$80,682	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$74,878	TotalRevenueColumnAmt
Related Or Exempt Func Income	$74,878	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
OTHER REVENUE	541380	$1,691,236	$23,898	$1,667,338
SEAGATE ALLIANCE, LLC	900000	$243,341	$5,108	$238,233

Field	Value	IRS element (for citing)
Other Revenue Total	$1,934,577	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$49,666,346	TotalRevenueColumnAmt
Related Or Exempt Func Income	$46,783,930	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$29,006	UnrelatedBusinessRevenueAmt
Exclusion	$2,450,251	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$710,258	TotalAmt
Program Services	$270,401	ProgramServicesAmt
Management And General	$439,857	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$20,758,377	TotalAmt
Program Services	$14,996,003	ProgramServicesAmt
Management And General	$5,728,370	ManagementAndGeneralAmt
Fundraising	$34,004	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$31,492	TotalAmt
Program Services	$22,750	ProgramServicesAmt
Management And General	$8,692	ManagementAndGeneralAmt
Fundraising	$50	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,534,014	TotalAmt
Program Services	$1,832,384	ProgramServicesAmt
Management And General	$697,572	ManagementAndGeneralAmt
Fundraising	$4,058	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,465,010	TotalAmt
Program Services	$1,058,323	ProgramServicesAmt
Management And General	$404,343	ManagementAndGeneralAmt
Fundraising	$2,344	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$18,815	TotalAmt
Program Services	$17,814	ProgramServicesAmt
Management And General	$1,001	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$84,140	TotalAmt
Management And General	$84,140	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$47,431	TotalAmt
Management And General	$47,431	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$10,363	TotalAmt
Management And General	$10,363	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,110,017	TotalAmt
Program Services	$3,551,563	ProgramServicesAmt
Management And General	$539,229	ManagementAndGeneralAmt
Fundraising	$19,225	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$82,311	TotalAmt
Program Services	$19,899	ProgramServicesAmt
Management And General	$49,948	ManagementAndGeneralAmt
Fundraising	$12,464	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,012,281	TotalAmt
Program Services	$9,107,110	ProgramServicesAmt
Management And General	$902,117	ManagementAndGeneralAmt
Fundraising	$3,054	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,003,518	TotalAmt
Program Services	$610,955	ProgramServicesAmt
Management And General	$392,563	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,572,493	TotalAmt
Program Services	$613,762	ProgramServicesAmt
Management And General	$958,731	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$27,728	TotalAmt
Program Services	$10,805	ProgramServicesAmt
Management And General	$16,923	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$74,626	TotalAmt
Program Services	$59,780	ProgramServicesAmt
Management And General	$14,846	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$64,084	TotalAmt
Program Services	$9,787	ProgramServicesAmt
Management And General	$54,297	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,248,826	TotalAmt
Program Services	$1,573,371	ProgramServicesAmt
Management And General	$675,455	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$477,250	TotalAmt
Program Services	$372,803	ProgramServicesAmt
Management And General	$104,447	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
BAD DEBT	$1,946,672	$1,946,672
OTHER PURCHASED SERVICE	$1,292,233	$933,571	$358,662
REPAIRS & MAINTENANCE	$751,505	$552,503	$199,002
OTHER EXPENSES	$56,201	$22,753	$28,147	$5,301

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$37,061	TotalAmt
Program Services	$26,998	ProgramServicesAmt
Management And General	$10,063	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$49,416,706	TotalAmt
Program Services	$37,610,007	ProgramServicesAmt
Management And General	$11,726,199	ManagementAndGeneralAmt
Fundraising	$80,500	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,399	BOYAmt
EOY	$5,738	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$977,243	BOYAmt
EOY	$1,779,154	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$6,492,042	BOYAmt
EOY	$6,425,022	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$163,527	BOYAmt
EOY	$177,801	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$892,523	BOYAmt
EOY	$917,852	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$816,599	BOYAmt
EOY	$875,870	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$56,442,724	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$36,040,116	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$19,535,580	BOYAmt
EOY	$20,402,608	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,582,668	BOYAmt
EOY	$1,694,908	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$13,920,720	BOYAmt
EOY	$15,343,473	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$44,386,301	BOYAmt
EOY	$47,622,426	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$6,599,184	BOYAmt
EOY	$5,427,075	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$4,471,895	BOYAmt
EOY	$6,080,362	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$7,839,581	BOYAmt
EOY	$7,491,420	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,799,496	BOYAmt
EOY	$7,041,113	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$22,710,156	BOYAmt
EOY	$26,039,970	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$20,552,522	BOYAmt
EOY	$20,534,232	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$379,917	BOYAmt
EOY	$304,518	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$743,706	BOYAmt
EOY	$743,706	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$21,676,145	BOYAmt
EOY	$21,582,456	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$44,386,301	BOYAmt
EOY	$47,622,426	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$249,640	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$78,663	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$421,992	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$10,363	OtherActivitiesAmt
Total Lobbying Expenditures	$10,363	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,688,538	BeginningYearBalanceAmt
Investment Earnings Or Losses	$131,563	InvestmentEarningsOrLossesAmt
Administrative Expenses	$11,598	AdministrativeExpensesAmt
End Year Balance	$1,808,503	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,561,127	BeginningYearBalanceAmt
Investment Earnings Or Losses	$138,137	InvestmentEarningsOrLossesAmt
Administrative Expenses	$10,726	AdministrativeExpensesAmt
End Year Balance	$1,688,538	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,449,363	BeginningYearBalanceAmt
Investment Earnings Or Losses	$121,879	InvestmentEarningsOrLossesAmt
Administrative Expenses	$10,115	AdministrativeExpensesAmt
End Year Balance	$1,561,127	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,434,453	BeginningYearBalanceAmt
Investment Earnings Or Losses	$24,558	InvestmentEarningsOrLossesAmt
Administrative Expenses	$9,648	AdministrativeExpensesAmt
End Year Balance	$1,449,363	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,335,945	BeginningYearBalanceAmt
Investment Earnings Or Losses	$107,551	InvestmentEarningsOrLossesAmt
Administrative Expenses	$9,043	AdministrativeExpensesAmt
End Year Balance	$1,434,453	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.64410	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.35590	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (1)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$372,690	OtherCostOrOtherBasisAmt
Book Value	$372,690	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$28,424,006	OtherCostOrOtherBasisAmt
Depreciation	$14,171,781	DepreciationAmt
Book Value	$14,252,225	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,315,632	OtherCostOrOtherBasisAmt
Depreciation	$21,868,335	DepreciationAmt
Book Value	$4,447,297	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,330,396	OtherCostOrOtherBasisAmt
Book Value	$1,330,396	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$20,402,608	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION	$13,425,028
DEBT ORIGINATION COSTS - NET	$406,964
MORTGAGE REPAYMENT ESCROW FUNDS	$805,638
OTHER	$705,843

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$15,343,473	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
DUE TO RELATED ENTITY	$2,325,027
DUE TO THIRD PARTY PAYORS- LONG TERM	$1,223,103
DUE TO THIRD PARTY PAYORS- SHORT TERM	$261,295
LINE OF CREDIT	$655,000
PENSION LIABILITY	$2,429,008
WORKERS COMPENSATION	$147,680

Field	Value	IRS element (for citing)
Total Liability	$7,041,113	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$47,890,479	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$78,663	NetUnrealizedGainsInvstAmt
Revenue Not Reported	$78,663	RevenueNotReportedAmt
Revenue Subtotal	$47,811,816	RevenueSubtotalAmt
Other Revenues Not Included	$1,854,530	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$1,854,530	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$49,666,346	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$47,562,176	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$92,142	OtherExpensesIncludedAmt
Expenses Not Reported	$92,142	ExpensesNotReportedAmt
Expenses Subtotal	$47,470,034	ExpensesSubtotalAmt
Other Expenses Not Included	$1,946,672	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$1,946,672	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$49,416,706	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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. THE EXEMPT SYSTEMS INFORMATIONAL RETURNS ARE SUBJECT TO AUDIT BY VARIOUS TAXING AUTHORITIES AND ITS OPEN AUDIT PERIODS ARE 2011 THROUGH 2013.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 1,946,672. FUNDRAISING EXPENSES -11,460. COST OF GOODS SOLD -80,682.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	FUNDRAISING EXPENSES 11,460. COST OF GOODS SOLD 80,682.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 1,946,672.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GOLF TOURNAMENT	Event1Nm
Gross Receipts Event1	$19,854	GrossReceiptsEvent1Amt
Gross Revenue Event1	$19,854	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$120	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$1,771	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$3,509	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$1,983	OtherDirectExpensesEvent1Amt
Event2	FLOWER SALE	Event2Nm
Gross Receipts Event2	$6,215	GrossReceiptsEvent2Amt
Gross Revenue Event2	$6,215	GrossRevenueEvent2Amt
Other Direct Expenses Event2	$3,299	OtherDirectExpensesEvent2Amt
Gross Receipts Total	$26,069	GrossReceiptsTotalAmt
Gross Revenue Total Events	$26,069	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$120	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$1,771	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$3,509	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$5,282	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$10,682	DirectExpenseSummaryEventsAmt
Net Income Summary	$15,387	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	0	FPGReferenceFreeCareInd
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	1174	PersonsServedCnt
Total Community Benefit Expns	$440,445	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$440,445	NetCommunityBenefitExpnsAmt
Total Expense	0.00890	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	9446	PersonsServedCnt
Total Community Benefit Expns	$8,737,299	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,713,098	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,024,201	NetCommunityBenefitExpnsAmt
Total Expense	0.02070	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Persons Served	660	PersonsServedCnt
Total Community Benefit Expns	$150,282	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$131,824	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,458	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	11280	PersonsServedCnt
Total Community Benefit Expns	$9,328,026	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,844,922	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,483,104	NetCommunityBenefitExpnsAmt
Total Expense	0.03000	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	24	ActivitiesOrProgramsCnt
Persons Served	19134	PersonsServedCnt
Total Community Benefit Expns	$132,512	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,092	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$117,420	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	205	PersonsServedCnt
Total Community Benefit Expns	$249,754	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$300	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$249,454	NetCommunityBenefitExpnsAmt
Total Expense	0.00500	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	4445	PersonsServedCnt
Total Community Benefit Expns	$4,731,823	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,575,918	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,155,905	NetCommunityBenefitExpnsAmt
Total Expense	0.02340	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	3411	PersonsServedCnt
Total Community Benefit Expns	$27,823	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,040	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,783	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	36	ActivitiesOrProgramsCnt
Persons Served	27195	PersonsServedCnt
Total Community Benefit Expns	$5,141,912	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,596,350	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,545,562	NetCommunityBenefitExpnsAmt
Total Expense	0.03130	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	36	ActivitiesOrProgramsCnt
Persons Served	38475	PersonsServedCnt
Total Community Benefit Expns	$14,469,938	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,441,272	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,028,666	NetCommunityBenefitExpnsAmt
Total Expense	0.06130	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	15	PersonsServedCnt
Total Community Benefit Expns	$133	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$133	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	20584	PersonsServedCnt
Total Community Benefit Expns	$15,112	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,112	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	20599	PersonsServedCnt
Total Community Benefit Expns	$15,245	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,245	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,957,166	BadDebtExpenseAmt
Bad Debt Expense Attributable	$812,653	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$9,484,508	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$7,909,976	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$1,574,532	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NICHOLAS H NOYES MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	111 CLARA BARTON STREET	AddressLine1Txt
City	DANSVILLE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14437	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	NICHOLAS H NOYES MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.NOYES-HEALTH.ORG/COMMUNITY-SERVICES	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	14	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.NOYES-HEALTH.ORG/COMMUNITY-SERVICES	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Lowest Negotiated Rates	Yes (X)	LowestNegotiatedRatesInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
NICHOLAS H NOYES MEMORIAL HOSPITAL	PART V, SECTION B, LINE 5: A. IN MARCH 2013, THE LIVINGSTON COUNTY DEPARTMENT OF HEALTH STARTED WORKING WITH NOYES HEALTH TO COMPLETE THE LIVINGSTON COUNTY COMMUNITY HEALTH ASSESSMENT (CHA). A CHA LEADERSHIP TEAM WAS CREATED UNDER THE DIRECTION OF CO-COORDINATORS FROM THE LIVINGSTON COUNTY DEPARTMENT OF HEALTH AND NOYESHEALTH. THE CO-COORDINATORS MET FREQUENTLY BETWEEN LEADERSHIP MEETINGS TO IMPLEMENT THE CHA PROCESS.INVITATIONS TO JOIN THE TEAM WERE EXTENDED TO ALL MEMBERS OF THE GENESEE VALLEY HEALTH PARTNERSHIP (GVHP), 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. GVHP IS A 501(C)3 ORGANIZATION WHOSE MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE LIVINGSTON COUNTY COMMUNITY THROUGH COLLABORATION, EDUCATION AND PREVENTION. THEIR TAGLINE IS "CREATING A HEALTHY FUTURE NOW".THE CHA LEADERSHIP TEAM CONSISTS 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- 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 PARTNERSHIPB. PUBLIC INPUT OUTCOMESMAY 2013: THE FIRST ORGANIZATIONAL MEETING OF THE CHA LEADERSHIP TEAM WAS HELD TO ESTABLISH THE CHA ASSESSMENT PROCESS TO IDENTIFY HEALTH CARE PRIORITIES. THE FIRST ACTION ITEM WAS TO COMPLETE THE COMMUNITY HEALTH SURVEY.JUNE 2013: THE LEADERSHIP TEAM THEN REVIEWED THE SURVEY RESULTS: 427 SURVEYS WERE COMPLETED USING BOTH SURVEY MONKEY AND PAPER SURVEYS AT MANY AGENCY LOCATIONS THROUGHOUT COUNTY. SURVEY RESULTS DEMONSTRATED GOOD ZIP CODE REPRESENTATION AND CROSS SECTIONAL DATA, INCLUDING: ANNUAL HOUSEHOLDINCOME, EMPLOYMENT, EDUCATION, AND RACE/ETHNICITY DISTRIBUTION. THE TEAM THEN PLANNED FOR TWO COMMUNITY FORUMS IN JULY.JULY 2013: THE COMMUNITY HEALTH STATUS DATA/REPORT CARD WAS PRESENTED WITH EXTENSIVE DISCUSSION FOCUSED ON CURRENT COUNTY-WIDE POSITIVE HEALTH OUTCOMES, ALONG WITH NEW OPPORTUNITIES FOR HEALTH IMPROVEMENT.JULY 2013: ATTENDEES REVIEWED COMMUNITY FORUM RESULTS AND COMPARED THEM TO THE COMMUNITY HEALTH STATUS DATA. THE ATTENDANCE WAS LOW AT THE FORUMS (APPROXIMATELY 15), BUT THE MEETINGS WERE PRODUCTIVE AND FEEDBACK WAS GOOD. IT WAS NOTED FOR FUTURE CHA PROCESSES, THAT IN ORDER TO INCREASE COMMUNITY PARTICIPATION AT FORUMS, WE NEED TO CONSIDER TAKING THE FORUMS TO THE COMMUNITY MEETINGS AND GROUPS, RATHER THAN EXPECT THE COMMUNITY TO COME TO US.AUGUST 2013: THE TEAM REVIEWED DATA FROM TWO AUGUST FOCUS GROUPS: A SENIOR NUTRITION SITE AND THE ARC OF LIVINGSTON-WYOMING COUNTY. (ADDITIONAL NOTE: ATTEMPT TO HOLD FOCUS GROUP WITH LIVINGSTON MENTAL HEALTH WAS UNSUCCESSFUL DUE TO INABILITY TO GET PARTICIPATE COMMITMENT). A DATA MATRIX WAS PRESENTED TO THE LEADERSHIP TEAM THAT INCLUDED ALL ASSESSMENT AND DATA ANALYSIS OUTCOMES (SEE #4 BELOW). EACH MEMBER OF THE LEADERSHIP TEAM THEN VOTED FOR THEIR TOP TWO PRIORITIES FROM THE TWELVE PRIORITIES IDENTIFIED THROUGHOUT THE CHA PROCESS.MARCH 2014: NOYES 2014 COMMUNITY SERVICE PLAN COMPLETED AND POSTED ON WEBSITE. COPIES ALSO DISTRIBUTED TO KEY STAKEHOLDERS, THE CHNA TEAM, NOYES ADMIN/MANAGEMENT AND COUNTY AGENCIES/PARTNERS. JULY 2014: CHNA/CHIP UPDATE PRESENTATION DONE AT LIV CO GVHP MEETING. 30+ ATTENDED FROM WIDE VARIETY OF HEALTH AND HUMAN SERVICE AGENCIES. INFORMATION SHARED ON ACHIEVEMENTS AND CHALLENGES AND FEEDBACK SOLICITED FROM ATTENDEES. C. PUBLIC NOTIFICATION: LOCAL PENNYSAVER ADS AND GVHP MEMBERSHIP OUTREACH VIA STAFF AND INTERNET (WEBSITES/E-BLASTS/SURVEY MONKEY) WERE USED TO PROMOTE AND COMPLETE ALL CHA INITIATIVES.
NICHOLAS H NOYES MEMORIAL HOSPITAL	PART V, SECTION B, LINE 7D: CHNA UPDATES PROVIDED IN 2014 FOR NOYES EXECUTIVE BOARD, LIVINGSTON COUNTY BOARD OF SUPERVISORS, LIVINGSTON COUNTY BOARD OF HEALTH, CHNA LEADERSHIP AND GENERAL PUBLIC.
NICHOLAS H NOYES MEMORIAL HOSPITAL	PART V, SECTION B, LINE 11: PREVENTION AGENDA PRIORITIES IDENTIFIED IN 2013 NOYES HEALTH CHNA:- PREVENT CHRONIC DISEASES- PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE2014 PREVENTION AGENDA OUTCOMES FOR NOYES HEALTH:PRIORITY GOAL #1: CHRONIC DISEASE MANAGEMENTCDSMPTHESE ARE THE FIRST TWO EVIDENCE-BASED CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS PROVIDED IN LIVINGSTON COUNTY BY NOYES HEALTH, WITH START-UP FUNDING FROM THE GVHP RURAL HEALTH GRANT. - LIVING HEALTHY NY: IS A 6-SESSION PEER-LED 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. GROWTH IN NOYES DIABETES EDUCATION PROGRAMIN 2014, AN ADDITIONAL CERTIFIED DIABETES EDUCATOR WAS ADDED TO OUR NOYES DIABETES EDUCATION PROGRAM. THE PROGRAM ALSO APPLIED FOR AND RECEIVED FIVE YEAR ACCREDITATION FROM THE AMERICAN ASSOCIATION OF DIABETES EDUCATORS - DIABETES EDUCATION ACCREDITATION PROGRAM. PRIMARY STROKE CENTER DESIGNATIONTHROUGHOUT 2014, NOYES UNDERTOOK THE CHALLENGE TO BECOME A DESIGNATED PRIMARY STROKE CENTER TO BE ABLE TO PROVIDE NEEDED STROKE CARE SERVICES CLOSE TO HOME, FOR THE COMMUNITIES WE SERVE. A STROKE LEADERSHIP TEAM WAS IDENTIFIED, EDUCATION REQUIREMENTS COMPLETED, AND POLICIES WRITTEN AND PUT IN PLACE. COMMUNITY EDUCATION WAS INITIATED WITH SURVEYS AND PROMOTION OF SPOT A STROKE F.A.S.T. CAMPAIGN. AN APPLICATION WAS SUBMITTED TO NYSDOH THE END OF 2014 AND PLANS ARE IN PLACE FOR SURVEY AND APPROVAL IN EARLY 2015. OBESITY PREVENTION- DAY CARE GARDENS: THIS GRANT FUNDED INITIATIVE IDENTIFIES UP TO TWO DAY CARE CENTERS ANNUALLY TO PARTNER WITH AND GROW GARDENS THAT ARE TAKEN CARE OF AND HARVESTED BY THE CHILDREN AT THE DAY CARE CENTER. THE GOAL OF THE PROGRAM IS TO INTRODUCE CHILDREN TO A VARIETY OF VEGETABLES, BOTH FAMILIAR AND UNFAMILIAR, TO INCREASE THEIR VEGETABLE SERVINGS/DAY AND PROMOTE HEALTHY EATING IN PRE-SCHOOL AGE CHILDREN. IN 2014, TWO DAY CARE CENTERS PARTICIPATED AND 28 CHILDREN WERE IMPACTED BY THIS PROGRAM. OUTCOME: 90% INCREASED NUMBER OF 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. THREE NOYES NURSES WERE TRAINED TO BE CERTIFIED LACTATION CONSULTANTS THROUGH FUNDING OF A NYS HEALTH FOUNDATION GRANT. NOYES HEALTH IS ALSO CURRENTLY SUPPORTING THE LIVINGSTON COUNTY HEALTH DEPARTMENT IN THEIR EFFORTS TO ESTABLISH THE FIRST BABY CAFE IN LIVINGSTON COUNTY - A DROP-IN CENTER WITH SERVICES TO SUPPORT BREASTFEEDING MOTHERS.CONTINUUM OF CARE COALITION (CCC)THIS COALITION, MADE UP OF OVER 25 AREA HEALTH AND HUMAN SERVICE PROVIDERS, MET SIX TIMES AT NOYES MEMORIAL HOSPITAL IN 2014 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: DIRECT MESSAGING AND ELECTRONIC HEALTH RECORDS, UPDATES ON AREA AGING SERVICES, RECENT LIVINGSTON COUNTY TRANSPORTATION ASSESSMENT AND PROGRESS OF NEWLY FORMED PUBLIC TRANSPORTATION WORK GROUP, AND UPDATE ON LIVINGSTON COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT AND PREVENTION AGENDA PRIORITIES. THE CCC WILL CONTINUE TO MEET TO ADDRESS ONE OF THE HOSPITAL'S STRATEGIC GOALS, TO SUPPORT APPROPRIATE AND SAFE POST-DISCHARGE CARE AND PREVENT HOSPITAL READMISSION. THIS FORUM HELPS MEMBERS PLAN AND WORK TOGETHER TO MEET THE NEEDS OF OUR COMMUNITIES AND IMPROVE COMMUNICATIONS RESULTING IN BETTER PATIENT OUTCOMES. PRIORITY GOAL #2: MENTAL AND EMOTIONAL HEALTH ACHIEVEMENTSNOYES MENTAL HEALTHPROGRAM SERVICES, PROVIDERS AND LOCATIONS EXPANDED SIGNIFICANTLY IN 2014 TO ADDRESS ONE OF THE TOP PREVENTION AGENDA PRIORITIES IDENTIFIED AND IMPROVE ACCESS OF CARE TO THOSE WHO REQUIRE MENTAL AND EMOTIONAL HEALTH SERVICES- STAFFING: INCREASED FROM 13.5 TO 17.5 FTE'S AND WITH THE ADDITION OF A NEW FULL-TIME CHILD AND ADOLESCENT PSYCHIATRIST- OFFICE LOCATIONS: EXPANDED FROM FOUR TO SIX WITH NEWEST LOCATIONS AT A SATELLITE OFFICE AT CANASERAGA FAMILY MEDICINE AND AT NOYES MEMORIAL HOSPITAL- NEW SERVICES: DAILY WALK-IN CRISIS SERVICES- OUTCOMES: PATIENT VISITS INCREASED 9.8% (10,076 TO 11,067)SOCIAL AND EMOTIONAL HEALTH COMMUNITY HEALTH IMPROVEMENT PLAN COMMITTEETHE 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 HEALTH ALSO SUPPORTS THE FOLLOWING INITIATIVES ADDRESSING OTHER CURRENT LIVINGSTON COUNTY MENTAL HEALTH SERVICE NEEDS: - SUICIDE PREVENTION TASK FORCE: CONTINUES TO IDENTIFY SUICIDE PREVENTION EDUCATION OPPORTUNITIES AND HAS GOAL TO BRING SAFETALK TRAINING SUICIDE PREVENTION TRAINING TO ALL SCHOOLS IN LIVINGSTON COUNTY BY THE END OF 2015.- PRESCRIPTION DRUG DISPOSAL TASK FORCE: ADDRESSED NEED FOR PROPER PRESCRIPTION DRUG DISPOSAL. THEY PROVIDED COMMUNITY-WIDE EDUCATION ON PRESCRIPTION DRUG MISUSE TO LOCAL PROVIDERS, DENTAL OFFICES AND PHARMACIES PROMOTED PRESCRIPTION DRUG TAKE BACK DAYS IN 2014, AND WERE INSTRUMENTAL IN GETTING THE PRESCRIPTION DROP BOX PUT IN PLACE AT THE LIVINGSTON COUNTY SHERIFF'S OFFICE AVAILABLE 24 HOURS/DAY. ALCOHOLIC ANONYMOUS MEETINGSNOYES HOSPITAL CONTINUES TO PROVIDE CONFERENCE ROOM SPACE FOR WEEKLY AA MEETINGS, AT NO CHARGE TO THE GROUP. IN 2015, WE WILL ALSO BE PROVIDING FREE SPACE FOR WEEKLY NARCOTICS ANONYMOUS MEETINGS. THESE EFFORTS SUPPORT COMMUNITY NEED FOR SUPPORT GROUPS TO HELP THOSE WITH ALCOHOL AND SUBSTANCE ABUSE ISSUES LIVING THROUGHOUT OUR SERVICE AREA.
PART V, SECTION B, LINE 16	FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
NICHOLAS H NOYES MEMORIAL HOSPITAL PART V, SECTION B, LINE 16A WEBSITE:	WWW.NOYES-HEALTH.ORG

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
LIVINGSTON HEALTH SERVICES
50 EAST SOUTH STREET	GENESEO	NY	14454	OUTPATIENT SURGERY, DIAGNOSTIC AND URGENT CARE
MENTAL HEALTH CLINIC
1 MAIN STREET	DANSVILLE	NY	14437	MENTAL HEALTH CLINIC
NOYES CTR FOR KIDNEY DISEASE & DIALYSIS
4616 MELLENIUM DRIVE	GENESEO	NY	14454	CHRONIC DIALYSIS CENTER AND NEPHROLOGIST
OB-GYN ASSOC OF THE FINGER LAKES
253 MAIN STREET	DANSVILLE	NY	14437	OUTPATIENT PHYSICIAN CLINIC
CREEKSIDE FAMILY MEDICINE
12 NORTH CHURCH ST	CANASERAGA	NY	14822	PRIMARY CARE PHYSICIAN OFFICE

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 2014, THESE COMMITTEES IMPLEMENTED MULTIPLE WORK PLAN STRATEGIES: NOYES HEALTH STARTED STROKE CENTER DESIGNATION PROCESS NOYES HEALTH INTRODUCED THE EVIDENCE BASED CHRONIC DISEASE SELF MANAGEMENT PROGRAM CLASSES IN LIV CO NOYES MENTAL HEALTH SERVICES WERE EXPANDED FROM 4 TO 6 LOCATIONS AND FTE'S INCREASED FROM 13.5 TO 17.5 TO MEET COMMUNITY NEED AND IMPROVE ACCESS TO CARE NOYES COMMUNITY OUTREACH ESTABLISHED YET ANOTHER PROGRAM AT TWO AREA DAY CARE CENTERS NOYES HEALTH WAS PART OF A NYSHF GRANT FOCUSED ON IMPROVED BREASTFEEDING RATES IN THE COUNTY AND 3 ADDITIONAL RN'S ARE NOW CLC'S CONTINUUM OF CARE COALITION MET SIX TIMES WITH 30 AGENCY MEMBERS TO ADDRESS COMMUNITY HEALTH NEEDS ACROSS THE CONTINUUM OF CARE. NOYES WORKED COLLABORATIVELY WITH LIV CO DOH ON THEIR RETAIL PROJECT LABELING HEALTHY FOOD ITEMS IN GROCERY STORES, THEIR RESTAURANT PROJECT WORKING WITH 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...TO ADULT HEALTH CARE EDUCATION NEEDS AND SCREENINGS...DIABETES EDUCATION, AND A VAST NUMBER OF ELDERCARE PROGRAMS INCLUDING: EARS LIFELINE (PERS), 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 2014 MEDICARE COST REPORT.
PART VI, LINE 2:	PUBLIC PARTICIPATION: COMMUNITY HEALTH ASSESSMENTA. IN MARCH 2013, THE LIVINGSTON COUNTY DEPARTMENT OF HEALTH STARTED WORKING WITH NOYES HEALTH TO COMPLETE THE LIVINGSTON COUNTY COMMUNITY HEALTH ASSESSMENT (CHA). A CHA LEADERSHIP TEAM WAS CREATED UNDER THE DIRECTION OF CO-COORDINATORS FROM THE LIVINGSTON COUNTY DEPARTMENT OF HEALTH AND NOYESHEALTH. THE CO-COORDINATORS MET FREQUENTLY BETWEEN LEADERSHIP MEETINGS TO IMPLEMENT THE CHA PROCESS.INVITATIONS TO JOIN THE TEAM WERE EXTENDED TO ALL MEMBERS OF THE GENESEE VALLEY HEALTH PARTNERSHIP (GVHP), 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. GVHP IS A 501(C)3 ORGANIZATION WHOSE MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE LIVINGSTON COUNTY COMMUNITY THROUGH COLLABORATION, EDUCATION AND PREVENTION. THEIR TAGLINE IS "CREATING A HEALTHY FUTURE NOW".THE CHA LEADERSHIP TEAM CONSISTS 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- 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 PARTNERSHIPB. PUBLIC INPUT OUTCOMESMAY 2013: THE FIRST ORGANIZATIONAL MEETING OF THE CHA LEADERSHIP TEAM WAS HELD TO ESTABLISH THE CHA ASSESSMENT PROCESS TO IDENTIFY HEALTH CARE PRIORITIES. THE FIRST ACTION ITEM WAS TO COMPLETE THE COMMUNITY HEALTH SURVEY.JUNE 2013: THE LEADERSHIP TEAM THEN REVIEWED THE SURVEY RESULTS: 427 SURVEYS WERE COMPLETED USING BOTH SURVEY MONKEY AND PAPER SURVEYS AT MANY AGENCY LOCATIONS THROUGHOUT COUNTY. SURVEY RESULTS DEMONSTRATED GOOD ZIP CODE REPRESENTATION AND CROSS SECTIONAL DATA, INCLUDING: ANNUAL HOUSEHOLDINCOME, EMPLOYMENT, EDUCATION, AND RACE/ETHNICITY DISTRIBUTION. THE TEAM THEN PLANNED FOR TWO COMMUNITY FORUMS IN JULY.JULY 2013: THE COMMUNITY HEALTH STATUS DATA/REPORT CARD WAS PRESENTED WITH EXTENSIVE DISCUSSION FOCUSED ON CURRENT COUNTY-WIDE POSITIVE HEALTH OUTCOMES, ALONG WITH NEW OPPORTUNITIES FOR HEALTH IMPROVEMENT.JULY 2013: ATTENDEES REVIEWED COMMUNITY FORUM RESULTS AND COMPARED THEM TO THE COMMUNITY HEALTH STATUS DATA. THE ATTENDANCE WAS LOW AT THE FORUMS (APPROXIMATELY 15), BUT THE MEETINGS WERE PRODUCTIVE AND FEEDBACK WAS GOOD. IT WAS NOTED FOR FUTURE CHA PROCESSES, THAT IN ORDER TO INCREASE COMMUNITY PARTICIPATION AT FORUMS, WE NEED TO CONSIDER TAKING THE FORUMS TO THE COMMUNITY MEETINGS AND GROUPS, RATHER THAN EXPECT THE COMMUNITY TO COME TO US.AUGUST 2013: THE TEAM REVIEWED DATA FROM TWO AUGUST FOCUS GROUPS: A SENIOR NUTRITION SITE AND THE ARC OF LIVINGSTON-WYOMING COUNTY. (ADDITIONAL NOTE: ATTEMPT TO HOLD FOCUS GROUP WITH LIVINGSTON MENTAL HEALTH WAS UNSUCCESSFUL DUE TO INABILITY TO GET PARTICIPATE COMMITMENT). A DATA MATRIX WAS PRESENTED TO THE LEADERSHIP TEAM THAT INCLUDED ALL ASSESSMENT AND DATA ANALYSIS OUTCOMES (SEE #4 BELOW). EACH MEMBER OF THE LEADERSHIP TEAM THEN VOTED FOR THEIR TOP TWO PRIORITIES FROM THE TWELVE PRIORITIES IDENTIFIED THROUGHOUT THE CHA PROCESS.MARCH 2014: NOYES 2014 COMMUNITY SERVICE PLAN COMPLETED AND POSTED ON WEBSITE. COPIES ALSO DISTRIBUTED TO KEY STAKEHOLDERS, THE CHNA TEAM, NOYES ADMIN/MANAGEMENT AND COUNTY AGENCIES/PARTNERS. JULY 2014: CHNA/CHIP UPDATE PRESENTATION DONE AT LIV CO GVHP MEETING. 30+ ATTENDED FROM WIDE VARIETY OF HEALTH AND HUMAN SERVICE AGENCIES. INFORMATION SHARED ON ACHIEVEMENTS AND CHALLENGES AND FEEDBACK SOLICITED FROM ATTENDEES. C. PUBLIC NOTIFICATION: LOCAL PENNYSAVER ADS AND GVHP MEMBERSHIP OUTREACH VIA STAFF AND INTERNET (WEBSITES/E-BLASTS/SURVEY MONKEY) WERE USED TO PROMOTE AND COMPLETE ALL CHA INITIATIVES.ASSESSMENT AND SELECTION OF PUBLIC HEALTH PRIORITIESTHE LEADERSHIP TEAM COMPILED ALL ASSESSMENT RESULTS AND REVIEWED ALL COUNTY-WIDE HEALTH CARE DATA. SUMMARY OF ALL ASSESSMENT RESULTS IS DOCUMENTED IN TABLE BELOW:ALL CHA HEALTH PRIORITIES IDENTIFIED:COMMUNITY SURVEY (427) COMMUNITY FORUMS(2) FOCUS GROUPS (2) LIV CO HEALTH DATA/REPORT CARDCHA LEADERSHIP VOTING - PRIORITIES (CONSENSOGRAM):MENTAL HEALTH 12CHRONIC DISEASE 10ALCOHOL/SUBSTANCE ABUSE 9AGING 1TOBACCO USECHILD ABUSE/NEGLECTACCESS TO HEALTH CARE 9DOMESTIC (FAMILY) VIOLENCEINJURY PREVENTION/SAFETY 2ORAL HEALTHIMMUNIZATIONS/INFECTIOUS DISEASEMATERNAL/CHILD HEALTH 1AN OUTSIDE CONTRACTOR FACILITATED THE DISCUSSION WITH THE LEADERSHIP TEAM ON ALL ASSESSMENT OUTCOMES TO HELP EACH MEMBER IDENTIFY THEIR TOP TWO HEALTH PRIORITIES (RESULTS IN TABLE ABOVE). ONCE TOP TWO PRIORITIES WERE IDENTIFIED, THE FOLLOWING OUTCOME OBJECTIVES WERE DEFINED:TOP 2 HEALTH CARE PRIORITIES 2013 LIVINGSTON COUNTY1. PREVENT CHRONIC DISEASE: OBESITY AND DIABETES2. PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSENOTED: FEEDBACK FROM MENTAL HEALTH SERVICE PROVIDERS - LIVINGSTON COUNTY COUNCILFOR SUBSTANCE ABUSE IS UNDER-UTILIZED AND LOCAL COUNTY MENTAL HEALTH SERVICES NEED TO INCREASE CAPACITY TO MEET NEED.STAFF FROM THE LIVINGSTON COUNTY HEALTH DEPARTMENT AND NOYES HEALTH THEN LED SEPARATE WORK SESSIONS UTILIZING COMMUNITY PARTNERS TO IDENTIFY THE STRATEGIES, OBJECTIVES, ACTIVITIES, PARTNERS, TIMEFRAMES AND OUTCOME MEASUREMENTS FOR THREE YEAR PLAN OF ACTION OF TOP TWO PRIORITIES IDENTIFIED.
PART VI, LINE 3:	FOR 2014, 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. 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:	NOYES MEMORIAL HOSPITAL SERVES A RURAL COMMUNITY IN THE NEW YORK FINGER LAKES REGION. OUR PRIMARY MARKET SHARE ZIP CODE REPORT DEMONSTRATES THAT LIVINGSTON COUNTY IS OUR HEALTH CARE SYSTEM'S PRIMARY SERVICE AREA AND WE ALSO SERVE RESIDENTS IN THE SURROUNDING COUNTIES INCLUDING STEUBEN, ALLEGANY, WYOMING AND ONTARIO RESPECTIVELY. LIVINGSTON COUNTY WAS RANKED #5 IN 2012, #1 IN 2013, AND #6 IN 2014 FOR HEALTH RANKINGS ACCORDING TO COUNTY HEALTH RANKINGS AND ROADMAPS REPORT.DEMOGRAPHIC DATA AS FOLLOWS:LIVINGSTON COUNTY IS A RURAL COUNTY COVERING 640 SQUARE MILES WITH POPULATION OF 64,705.15.8% OF POPULATION OF 65+, 18.7% BELOW 18 YEARS OF AGE, 91% NON-HISPANIC WHITE, AND 94% PROFICIENT IN ENGLISH. MEDIAN HOUSEHOLD INCOME IS $53,518 AND 13.4% BELOW POVERTY LEVEL. NOYES HEALTH PROVIDES SERVICES AT MULTIPLE LOCATIONS THROUGHOUT OUR SERVICE AREA: NICHOLAS H. NOYES MEMORIAL HOSPITAL: A 67-BED ACUTE CARE HOSPITAL LOCATED IN DANSVILLE PROVIDING MEDICAL, SURGICAL, AND EMERGENCY INPATIENT/OUTPATIENT SERVICES THAT INCLUDE: RADIOLOGY, LABORATORY, REHAB SERVICES, PAIN MANAGEMENT AND PHYSICIAN SERVICES. A VARIETY OF COMMUNITY OUTREACH PROGRAMS ARE ALSO PROVIDED: PRENATAL CARE SUPPORT, WELLNESS/EDUCATION/PREVENTION PROGRAMS, AND ELDERCARE SUPPORT SERVICES. NOYES HEALTH SERVICES: AN AMBULATORY CARE FACILITY IN GENESEO THAT PROVIDES OUTPATIENT SURGICAL, RADIOLOGY, LABORATORY, REHAB SERVICES, PAIN MANAGEMENT, AND PHYSICIAN SERVICES. NOYES AFTER HOUR CLINICS: WALK-IN URGENT CARE CLINICS IN GENESEO AND DANSVILLE. BOTH LOCATIONS SERVE PATIENTS SEVEN DAYS/WEEK, EVENINGS AND WEEKEND HOURS, WHEN PHYCIAN OFFICES ARE CLOSED. NOYES MENTAL HEALTH: AN OUT-PATIENT CLINIC IN DANSVILLE THAT PROVIDES INDIVIDUAL, GROUP AND FAMILY COUNSELING SERVICES. SERVICES EXPANDED IN 2014-15 TO SEVEN OFFICE/SCHOOL LOCATIONS, INCLUDING: DANSVILLE, CANASERAGA, WAYLAND, NUNDA, DALTON ON GENESEO. NOYES PHYSICIAN SERVICE OFFICES: GENESEE REGIONAL ORTHOPEDICS: DANSVILLE CREEKSIDE FAMILY PRACTICE: CANASERAGA NOYES SURGICAL SERVICS: DANSVILLE AND GENESEO NOYES CENTER FOR KIDNEY DISEASE AND DIALYSIS: A 16 STATION OUTPATIENT DIALYSIS AND RENAL DISEASE MANAGEMENT CENTER IN GENESEO.
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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
AMY POLLARD
PRESIDENT/CEO	$178,101	$0	$0	$0	$1,069	$0	$0	$0	$13,203	$0	$192,373	$0	$0	$0
DOUGLAS MAYHLE MD
MEDICAL DIRECTOR	$366,291	$0	$0	$0	$1,584	$0	$0	$0	$10,182	$0	$378,057	$0	$0	$0
ROBERT CAPECCI MD
PHYSICIAN-ORTHOPEDIST	$542,566	$0	$0	$0	$1,584	$0	$0	$0	$13,373	$0	$557,523	$0	$0	$0
KEVIN WENTWORTH
PHYSICIANS ASSISTANT	$200,005	$0	$0	$0	$619	$0	$0	$0	$12,550	$0	$213,174	$0	$0	$0
JOHN SKILLINGS
GENERAL SURGEON	$348,801	$0	$0	$0	$0	$0	$0	$0	$9,825	$0	$358,626	$0	$0	$0
BRIAN FORESMAN
GENERAL SURGEON	$440,601	$0	$20,000	$0	$360	$0	$0	$0	$12,293	$0	$473,254	$0	$0	$0
MICHAEL PARKOT
PHYSICIANS ASSISTANT	$184,538	$0	$0	$0	$110	$0	$0	$0	$14,021	$0	$198,669	$0	$0	$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
LIVINGSTON COUNTY INDUSTRIAL DEVELOPMENT AGENCY
A	161136853	538655AD3	2005-06-29	$9,471,914	SEE PART VI	0	0	0
LIVINGSTON COUNTY INDUSTRIAL DEVELOPMENT AGENCY
B	161136853	538655AE1	2007-12-20	$615,060	REFUND OF PRIOR BONDS (06/30/99)	0	0	Yes (1)

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Credit EnhancementCreditEnhancementAmt
A	$2,895,000	$9,763,548	$805,638	$625,676	$189,438	$6,449,941	$1,692,856	2006	Yes (1)	0	Yes (1)	Yes (1)
B	$324,972	$615,060			$12,301	$10,309	$589,366	2003	Yes (1)	0	Yes (1)	Yes (1)	$3,084

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	Yes (1)	Yes (1)	0	0.01200	0.01200	0	0	0
B	0	0	0		0			0	0	0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	Yes (1)	0	0	0	0	0	Yes (1)
B	0	0	Yes (1)	0	Yes (1)	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	ROBERT BONVINO	PersonNm
Relationship With Org	FORMER EMPLOYEE	RelationshipWithOrgTxt
Loan Purpose	START-UP	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$173,535	OriginalPrincipalAmt
Balance Due	$177,801	BalanceDueAmt
Default	0	DefaultInd
Board Or Committee Approval	Yes (1)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (1)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$177,801	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
NANCY JOHNSEN
WIFE OF BOARD MEMBER	$59,055	COMPENSATION	0
JOAN FLENDER
BOARD MEMBER	$50,000	PEDIATRIC CALL COVERAGE	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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.
FORM 990, PART XI, LINE 9:	CHANGE IN INTEREST IN FOUNDATION 1,032,663. PENSION RELATED CHANGES OTHER THAN NET PERIODIC PENSION COSTS -1,454,655.
FORM 990, PART XII, LINE 2(C):	THE HOSPITAL DID NOT CHANGE THE OVERSIGHT PROCESS IN THE CURRENT YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Controlled OrganizationControlledOrganizationInd
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

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt
RED JACKET CENTER INC
Q	$1,942,882
FOUNDATION FOR NOYES MEMORIAL HEALTH SYSTEM INC
P	$4,267,909
RED JACKET CENTER INC
K	$536,495