2015-11-13T15:14:21-06:00 2014-12-31 264298079 EFP ROTENBERG LLP 280 KENNETH DRIVE ROCHESTER NY 14623 990 2014-01-01 160743979 NICHOLAS H NOYES MEMORIAL HOSPITAL NICH 5853356001 111 CLARA BARTON STREET DANSVILLE NY 14437 AMY POLLARD PRESIDENT/CEO 5853356001 2015-11-13 1 WILLIAM MCDONALD P01600766 5854278900 2015-11-12 2014 2016-04-25 22:37:26Z AMY POLLARD 111 CLARA BARTON STREET DANSVILLE NY 14437 50127033 0 X WWW.NOYES-HEALTH.ORG X 1927 NY NICHOLAS H. NOYES MEMORIAL HOSPITAL IS A 67 BED HOSPITAL WHICH PROVIDES ACUTE, SUB-ACUTE, EMERGENCY AND OTHER OUTPATIENT CARE AND WHOSE MISSION IS TO SUPPORT AND PROMOTE THE HEALTH OF OUR COMMUNITIES THROUGH COMPASSIONATE QUALITY CARE. 16 9 585 102 29006 0 374206 403159 44674685 46709052 68268 525695 1866387 2028440 46983546 49666346 0 0 0 0 24354966 25499151 0 0 80500 24043917 23917555 48398883 49416706 -1415337 249640 44386301 47622426 22710156 26039970 21676145 21582456 NICHOLAS H. NOYES MEMORIAL HOSPITAL SUPPORTS AND PROMOTES THE HEALTH OF OUR COMMUNITIES THROUGH COMPASSIONATE QUALITY CARE. 0 0 37610007 46709052 NICHOLAS H. NOYES MEMORIAL HOSPITAL IS A 67 BED HOSPITAL WHICH PROVIDES ACUTE, SUB-ACUTE, EMERGENCY AND OUTPATIENT CARE. 37610007 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 78 0 1 585 1 1 1 0 0 0 0 1 1 0 0 0 0 X 16 9 0 0 0 0 0 0 0 1 1 1 0 1 1 1 1 1 1 1 0 0 NY X X JAY MASLYN 5853354306 111 CLARA BARTON STREET DANSVILLE NY 14437 GRAHAM FRAZER SECOND VICE CHAIRPERSON 2.00 X 0 0 0 JOHN LOCKHART DIRECTOR 2.00 X 0 0 0 MICHAEL JOHNSEN CHAIRPERSON 10.00 X 0 0 0 LESLIE COLE JR FIRST VICE CHAIRPERSON 2.00 X 0 0 0 JOE BUCCI JR DIRECTOR 1.00 X 0 0 0 AMY POLLARD PRESIDENT/CEO 30.00 10.00 X X 179170 0 13203 JOAN FLENDER MD DIRECTOR 1.00 X 0 0 0 GEOFFREY WITTIG MD PRESIDENT ELECT, MEDICAL STAFF 1.00 X 0 0 0 MARK LYONS DIRECTOR 1.00 X 0 0 0 DOMENICK MARTELLO DIRECTOR 1.00 X 0 0 0 DOUGLAS MAYHLE MD MEDICAL DIRECTOR 40.00 X 367875 0 10182 LINDSAY QUINTILONE DIRECTOR 1.00 X 0 0 0 ARIF QURESHI MD PRESIDENT, MEDICAL STAFF 2.00 X 0 0 0 BERNARD SWEENEY MD DIRECTOR 1.00 X 0 0 0 MARILYN MOORE PAST CHAIRPERSON/SECRETARY 5.00 X 0 0 0 JAMES CULBERTSON TREASURER 1.00 X 0 0 0 JAY MASLYN CFO 40.00 X 136439 0 3389 ROBERT CAPECCI MD PHYSICIAN-ORTHOPEDIST 40.00 X 544150 0 13373 KEVIN WENTWORTH PHYSICIANS ASSISTANT 40.00 X 200624 0 12550 JOHN SKILLINGS GENERAL SURGEON 40.00 X 348801 0 9825 BRIAN FORESMAN GENERAL SURGEON 40.00 X 460961 0 12293 MICHAEL PARKOT PHYSICIANS ASSISTANT 40.00 X 184648 0 14021 2422668 0 88836 27 0 1 0 DANSVILLE ANESTHESIA & PAIN MGMT PO BOX 33058 PALM BEACH GARDENS FL 33420 ANESTHESIOLOGIST 1171729 ARUP LABORATORIES 500 CHIPETA WAY SALT LAKE CITY UT 841081221 LAB TESTING SERVICES 576326 SLEEP INSIGHTS MANAGEMENT SVC 10 HAGEN DR SUITE 200 ROCHESTER NY 14625 POLYSOMNOGRAPHY SVC 316424 RONDON RAFAEL MD 84 ASHLAND AVENUE BUFFALO NY 14222 EMERGENCY PHYSICIAN 299320 MEDICOR INTERNAL MEDICINE PLLC 50 EAST SOUTH STREET SUITE 600 GENESEO NY 14454 MEDICAL SERVICES 290988 13 340877 62282 403159 PATIENT SERVICE REVENUE 621990 46709052 46709052 46709052 517620 517620 376620 368545 8075 8075 8075 30445 11460 18985 18985 155560 80682 74878 74878 OTHER REVENUE 541380 1691236 23898 1667338 SEAGATE ALLIANCE, LLC 900000 243341 5108 238233 1934577 49666346 46783930 29006 2450251 710258 270401 439857 20758377 14996003 5728370 34004 31492 22750 8692 50 2534014 1832384 697572 4058 1465010 1058323 404343 2344 18815 17814 1001 84140 84140 47431 47431 10363 10363 4110017 3551563 539229 19225 82311 19899 49948 12464 10012281 9107110 902117 3054 1003518 610955 392563 1572493 613762 958731 27728 10805 16923 74626 59780 14846 64084 9787 54297 2248826 1573371 675455 477250 372803 104447 BAD DEBT 1946672 1946672 OTHER PURCHASED SERVICE 1292233 933571 358662 REPAIRS & MAINTENANCE 751505 552503 199002 OTHER EXPENSES 56201 22753 28147 5301 37061 26998 10063 49416706 37610007 11726199 80500 5399 5738 977243 1779154 6492042 6425022 163527 177801 892523 917852 816599 875870 56442724 36040116 19535580 20402608 1582668 1694908 13920720 15343473 44386301 47622426 6599184 5427075 4471895 6080362 7839581 7491420 3799496 7041113 22710156 26039970 X 20552522 20534232 379917 304518 743706 743706 21676145 21582456 44386301 47622426 X 249640 78663 -421992 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 10363 10363 0 PART II-B, LINE 1: AS MEMBERS OF 3 ASSOCIATIONS (AHA - AMERICAN HOSPITAL ASSOCIATION, HANYS-THE HEALTHCARE ASSOCIATION OF NEW YORK STATE & RRHA/SEAGATE ALLIANCE) A PORTION OF THE DUES (TOTAL REFLECTED ABOVE) ARE PAID AS PART OF MEMBERSHIP AND REPRESENT AMOUNTS DESIGNATED FOR LOBBYING ACTIVITIES. THESE ASSOCIATE ORGANIZATIONS OF WHICH WE ARE MEMBERS HANDLE THE DIRECT LOBBYING/ADVOCACY ACTIVITIES ON BEHALF OF THEIR MEMBERS. 0 1688538 131563 11598 1808503 1561127 138137 10726 1688538 1449363 121879 10115 1561127 1434453 24558 9648 1449363 1335945 107551 9043 1434453 0.64410 0.35590 1 0 372690 372690 28424006 14171781 14252225 26315632 21868335 4447297 1330396 1330396 20402608 BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 13425028 DEBT ORIGINATION COSTS - NET 406964 MORTGAGE REPAYMENT ESCROW FUNDS 805638 OTHER 705843 15343473 DUE TO RELATED ENTITY 2325027 DUE TO THIRD PARTY PAYORS- LONG TERM 1223103 DUE TO THIRD PARTY PAYORS- SHORT TERM 261295 LINE OF CREDIT 655000 PENSION LIABILITY 2429008 WORKERS COMPENSATION 147680 7041113 X 47890479 78663 78663 47811816 1854530 1854530 49666346 47562176 92142 92142 47470034 1946672 1946672 49416706 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. GOLF TOURNAMENT 19854 19854 120 1771 3509 1983 FLOWER SALE 6215 6215 3299 26069 26069 120 1771 3509 5282 10682 15387 1 1 0 1 X 1 1 0 1 1 1174 440445 440445 0.00890 9446 8737299 7713098 1024201 0.02070 660 150282 131824 18458 0.00040 11280 9328026 7844922 1483104 0.03000 24 19134 132512 15092 117420 0.00240 3 205 249754 300 249454 0.00500 5 4445 4731823 3575918 1155905 0.02340 4 3411 27823 5040 22783 0.00050 36 27195 5141912 3596350 1545562 0.03130 36 38475 14469938 11441272 3028666 0.06130 1 15 133 133 0.00000 1 20584 15112 15112 0.00030 2 20599 15245 15245 0.00030 1 1957166 812653 9484508 7909976 1574532 X 1 1 1 1 NICHOLAS H NOYES MEMORIAL HOSPITAL 111 CLARA BARTON STREET DANSVILLE NY 14437 X X X NICHOLAS H NOYES MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X 13 1 0 1 1 X WWW.NOYES-HEALTH.ORG/COMMUNITY-SERVICES X X 1 14 1 WWW.NOYES-HEALTH.ORG/COMMUNITY-SERVICES 0 0 1 X 300.000000000000 X X X 1 1 X X X X 1 X X X X X 1 X 0 X X X X 1 X 0 0 NICHOLAS H NOYES MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: 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 5 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 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 X X X 0 0 0 0 0 0 0 0 0 AMY POLLARD PRESIDENT/CEO 178101 0 0 0 1069 0 0 0 13203 0 192373 0 0 0 DOUGLAS MAYHLE MD MEDICAL DIRECTOR 366291 0 0 0 1584 0 0 0 10182 0 378057 0 0 0 ROBERT CAPECCI MD PHYSICIAN-ORTHOPEDIST 542566 0 0 0 1584 0 0 0 13373 0 557523 0 0 0 KEVIN WENTWORTH PHYSICIANS ASSISTANT 200005 0 0 0 619 0 0 0 12550 0 213174 0 0 0 JOHN SKILLINGS GENERAL SURGEON 348801 0 0 0 0 0 0 0 9825 0 358626 0 0 0 BRIAN FORESMAN GENERAL SURGEON 440601 0 20000 0 360 0 0 0 12293 0 473254 0 0 0 MICHAEL PARKOT PHYSICIANS ASSISTANT 184538 0 0 0 110 0 0 0 14021 0 198669 0 0 0 A LIVINGSTON COUNTY INDUSTRIAL DEVELOPMENT AGENCY 161136853 538655AD3 2005-06-29 9471914 SEE PART VI 0 0 0 B LIVINGSTON COUNTY INDUSTRIAL DEVELOPMENT AGENCY 161136853 538655AE1 2007-12-20 615060 REFUND OF PRIOR BONDS (06/30/99) 0 0 1 A 2895000 9763548 805638 625676 189438 6449941 1692856 2006 1 0 1 1 B 324972 615060 12301 3084 10309 589366 2003 1 0 1 1 A 0 0 1 1 0 0.01200 0.01200 0 0 0 B 0 0 0 0 0 0 0 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 1 0 0 0 1 A 0 B 0 PART I, LINE A, COLUMN (F): ACQUISITION, RENOVATION, CONSTRUCTION AND EQUIPPING OF IMPROVEMENTS TO A HOSPITAL FACILITY; REFUNDING OF PRIOR BONDS (9/17/1998) PART I, LINE B, COLUMN (E) AND PART II, LINES 1 - 12, COLUMN B REPRESENTS AM ALLOCATION OF 12.24% OF THIS BOND ISSUE; THE REMAINING 87.76% IS ALLOCATED TO RED JACKET CENTER, INC., A RELATED ORGANIZATION. PART II, LINE 3, COLUMN A THE TOTAL PROCEEDS DO NOT AGREE WITH THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENTS EARNINGS. ROBERT BONVINO FORMER EMPLOYEE START-UP X 173535 177801 0 1 1 177801 NANCY JOHNSEN WIFE OF BOARD MEMBER 59055 COMPENSATION 0 JOAN FLENDER BOARD MEMBER 50000 PEDIATRIC CALL COVERAGE 0 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS REVIEWED BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C BOARD OF DIRECTORS REGULARLY REVIEWS THE CONFLICT OF INTEREST POLICY AND ASSURES ITS COMPLIANCE. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS REVIEWS THE GOALS AND OBJECTIVES OF THE CEO ALONG WITH COMPARABILITY DATA TO DETERMINE HER/HIS COMPENSATION. THE DELIBERATION AND DECISION IS RECORDED IN THE MINUTES OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 18 BY REQUEST TO THE CEO, CFO OR ADMINISTRATIVE ASSISTANT. ALSO AVAILABLE ON GUIDESTAR WEBSITE. FORM 990, PART VI, SECTION C, LINE 19 BY REQUEST TO THE CEO, CFO OR ADMINISTRATIVE ASSISTANT. FORM 990, PART VII GRAHAM FRAZER - 8889 REEDS CORNERS ROAD, DANSVILLE, NY 14437. JOHN LOCKHART - 32 MAIN STREET, GENESEO, NY 14454. MICHAEL JOHNSEN - 3927 COLTON HILL ROAD, DALTON, NY 14836. LESLIE COLE, JR. - 3186 BRONSON HILL ROAD, LIVONIA, NY 14487. JOE BUCCI, JR. - 35 CAVALRY ROAD, GENESEO, NY 14454. JOAN FLENDER, MD - P.O. BOX 499, DANSVILLE, NY 14437. GEOFFREY WITTIG, M.D. - 10055 MCNINCH RD, DANSVILLE, NY 14437. MARK LYONS - 3822 CENTER STREET, LIVONIA, NY 14487. DOMENICK MARTELLO - 4939 BLANK HILL ROAD, DANSVILLE, NY 14437. LINDSAY QUINTILONE - 2 COURT STREET, GENESEO, NY 14454. BERNARD SWEENEY, M.D. - 4380 RESERVOIR RD, GENESEO, NY 14454. MARILYN MOORE - 1856 DUNKLEY RD, LEICESTER, NY 14481. JAMES CULBERTSON - 5879 DIETER ROAD, DANSVILLE, NY 14437. 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. THE FOUNDATION FOR NOYES MEMORIAL HEALTH SYSTEM INC 111 CLARA BARTON ST DANSVILLE NY 14437 161584778 TO PROVIDE FUNDS FOR BENEFIT OF THE HOSPITAL NY 501(C)(3) 170(B)(1)(A) (VI) 0 RED JACKET CENTER INC 111 CLARA BARTON ST DANSVILLE NY 14437 161037658 TO MAINTAIN A BUILDING AND LEASE SPACE TO THE HOSPITAL NY 501(C)(3) SECTION 509 (A)(3) 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 RED JACKET CENTER INC Q 1942882 FOUNDATION FOR NOYES MEMORIAL HEALTH SYSTEM INC P 4267909 RED JACKET CENTER INC K 536495