2024-11-08T15:16:41-06:00 2023-12-31 161226221 FUSTCHARLES LLP 220 S WARREN STREET SYRACUSE NY 13202 990 2023-01-01 161471634 ROME MEMORIAL HOSPITAL ROME 3153387021 1500 NORTH JAMES STREET ROME NY 13440 NATHAN SMITH VP FINANCE 3153387000 2024-11-01 1 0 PATRICK CAPELLA P01359200 3154463600 2024-11-01 2023 2024-10-15 13:58:12Z ROME HEALTH ANNMARIE CZYZ 1500 NORTH JAMES STREET ROME NY 13440 122675547 0 X ROMEHEALTH.ORG X 1995 NY PROVIDE QUALITY HEALTHCARE WITH COMPASSION. 14 13 1416 14 51974 9395 12383867 14042074 95719031 97685111 112249 -643092 3244586 4011647 111459733 115095740 0 0 0 0 48225694 56483169 0 0 0 65898194 62462071 114123888 118945240 -2664155 -3849500 75315807 82098269 35331951 39902674 39983856 42195595 X ABOUT ROME MEMORIAL HOSPITAL: OVERALL, ROME MEMORIAL HOSPITAL PROVIDES INPATIENT, OUTPATIENT, SKILLED NURSING, AND EMERGENCY CARE SERVICES PRIMARILY FOR THE RESIDENTS OF ROME AND THE SURROUNDING AREAS. 0 0 33744320 33369873 INPATIENT CARE SERVICES, INPATIENT NURSING UNITS CONSIST OF THE FOLLOWING: INTENSIVE CARE , MATERNITY, MEDICAL/SURGICAL WITH CARDIAC MONITORING, AND BEHAVIORAL HEALTH.2023 INPATIENT DISCHARGES: 3,6392023 BIRTHS: 6592023 PATIENT DAYS: 14,073 4755391 4702623 RESIDENTIAL HEALTHCARE FACILITY (RHCF)OUR RESIDENTIAL HEALTHCARE FACILITY CONSISTS 80 BEDS FOCUSED ON PROVIDING LONG-TERM NURSING HOME CARE, SHORT-TERM SUB-ACUTE REHABILITATION, AND RESPITE CARE.2023 PATIENT DAYS = 17,0662023 OCCUPANCY PERCENTAGE = 65.85% 14961527 14795506 EMERGENCY DEPARTMENT (ED)ROME MEMORIAL HOSPITAL EMERGENCY DEPARTMENT IS A SAFETY NET FOR THE MOST VULNERABLE POPULATIONS IN THE COMMUNITY. IN 2023, APPROXIMATELY 44.50% OF THE PATIENTS TREATED WERE LISTED AS UNINSURED OR UNDER INSURED. FOR LOWER LEVEL EMERGENCY DEPARTMENT VISITS, THIS POPULATION REPRESENTED 56.4% OF THE VISITS BECAUSE MANY PRIMARY CARE PHYSICIANS DO NOT ACCEPT MEDICAID.2023 ED ADMISSIONS: 3,0972023 ED VISITS: 26,564 45320006 44817109 ALL SERVICES TO PROVIDE QUALITY, COMPASSIONATE CARE IN A SAFE ENVIRONMENT TO SERVE THE HEALTHCARE NEEDS OF THE PEOPLE OF ROME AND THE SURROUNDING COMMUNITIES. 45320006 44817109 98781244 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 33 0 1 1416 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 13 0 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X NATHAN SMITH - ROME MEMORIAL HOSPITAL 3153387024 1500 NORTH JAMES STREET ROME NY 13440 X ANKUR DESAI MD CHAIRMAN 2.00 X X 0 0 0 JOHN RESTIVO VICE CHAIRMAN 2.00 X X 0 0 0 LYNN REESE ASST. VICE CHAIRMAN 2.00 X X 0 0 0 DARLENE BURNS SECRETARY 2.00 X X 0 0 0 KRISTIN GRUNDER ASST. SECRETARY 2.00 X X 0 0 0 RYAN O'SHAUGHNESSY TREASURER 2.00 X X 0 0 0 DAVID NOLAN BOARD MEMBER 2.00 X 0 0 0 JULIE GROW DENTON BOARD MEMBER 2.00 X 0 0 0 DONALD HANSON BOARD MEMBER 2.00 X 0 0 0 LORI KAPLAN FELICE BOARD MEMBER 2.00 X 0 0 0 KRISTIN MUCITELLI-HEATH ST. JOSEPH'S HEALTH LIAISO 2.00 X 0 0 0 MARYBETH LYONS BOARD MEMBER 2.00 X 0 0 0 JAMES SPROCK BOARD MEMBER 2.00 X 0 0 0 ELEANOR PICENTE BOARD MEMBER 2.00 X 0 0 0 JESSICA YOUNG BOARD MEMBER 2.00 X 0 0 0 DEWEY ROWLANDS CFO 50.00 5.00 X 245655 24296 37595 ANNEMARIE CZYZ CEO 45.00 10.00 X 0 0 0 MARK WILLIAMS SURGEON 55.00 X 396923 0 32419 SAMUEL MOLICA SURGEON 55.00 X 370331 0 32226 VIVIENNE TAYLOR PHYSICIAN 55.00 X 267154 0 26924 MAHMOUD AHMED NURSE PRACTITIONER 55.00 X 236367 0 7541 LWIN WIN PHYSICIAN 55.00 X 281144 0 8643 1797574 24296 145348 94 0 1 0 LABORATORY CORP OF AM PO BOX 12140 BURLINGTON NC 27216 LAB SERVICES 6137462 HAYNER HOYT CORP 400 S SALINA ST SUITE 301 SYRACUSE NY 13202 CONSTRUCTION 4357537 PREMIER ANESTHESIA 2655 NORTHWINDS PKWY ALPHARETTE GA 30009 ANESTHESIA SERVICES 3722049 DAVIN HEALTHCARE 18 DIVISION ST STE 311 SARATOGA SPRINGS NY 12866 AGENCY STAFFING 2571810 ST JOSEPH'S PHYSICIANS 301 PROSPECT AVE SYRACUSE NY 13203 PHYSICANS 2409067 49 826102 13096191 119781 14042074 INPATIENT SERVICES 622110 33369873 33369873 EMERGENCY DEPARTMENT 621990 14795506 14795506 RESIDENTIAL HEALTHCARE FACILITY 623990 4702623 4702623 44817109 44817109 97685111 162691 162691 82303 4767 77536 77536 77536 6766922 2335 7565502 9538 -798580 -7203 -805783 -805783 FEMA 624200 957314 957314 340B REVENUE 541200 793759 793759 LAB 621493 131597 131597 2051441 51974 1999467 3934111 115095740 97685111 51974 3316581 X 282567 282567 48019204 43521696 4497508 452319 407748 44571 4276891 3853638 423253 3452188 3110680 341508 138312 138312 37118 37118 18539 18539 27850 27850 23618803 21339629 2279174 174993 4769 170224 389018 168463 220555 1195820 1032194 163626 120942 97264 23678 110804 95688 15116 8967 8967 4920559 2327525 2593034 SUPPLIES EXPENSE 11566156 11154788 411368 PURCHASED SERVICES 6588512 3081370 3507142 BAD DEBT EXPENSE 4311853 4311853 PHARMACY 2769706 2769706 6464119 1495266 4968853 118945240 98781244 20163996 0 613605 251371 6417755 5217974 10099880 10326126 1532907 2016202 2542229 2582392 5249485 4612794 105801839 65987921 36946835 39813918 11913111 17277492 75315807 82098269 25040341 29810984 221225 83248 10070385 10008442 35331951 39902674 X 31937789 26223567 8046067 15972028 39983856 42195595 75315807 82098269 X -3849500 839108 5222131 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 18539 0 0 18539 0 PART II-B, LINE 1: $18,539 REPRESENTS THE PORTION OF THE 2023 MEMBERSHIP DUES OF HANYS, AHA, AND IROQUOIS HEALTHCARE ALLIANCE, THAT RMH IS A MEMBER OF, THAT HAS BEEN DEEMED TO BE RELATED TO LOBBYING EXPENSES. THESE EXPENDITURES ARE DEFINED AS DIRECT COMMUNICATIONS WITH CERTAIN MEMBERS OF FEDERAL, STATE, OR LOCAL GOVERNMENTS TO INFLUENCE LEGISLATION. 8046068 8419575 493614 15972029 3764669 4324347 42948 8046068 1640995 2123674 15186 3764669 1722080 -58864 22222 1640995 1932885 -179623 31182 1722080 0.00156 0.99844 0 0 60310890 29467829 30843061 2475296 2468872 6424 37930141 31550053 6380088 5085512 2501167 2584345 39813918 NET ASSETS OF FOUNDATION 13135334 OTHER LONG-TERM RECEIVABLES 2469665 RH/CNY OPERATING LEASE 1672493 17277492 OTHER LONG-TERM LIABILITIES 6698294 THIRD-PARTY PAYABLE, NET 1907096 DUE TO RELATED ENTITIES 1020246 OPERATING LEASE LIABILITIES 382806 10008442 X 110743240 4767 4767 110738473 27850 4329417 4357267 115095740 114554771 4767 4767 114550004 27850 4367386 4395236 118945240 PART V, LINE 4: INTENDED USE OF ENDOWMENT FUND IS THAT THE PRINCIPLE CAN BE INVESTED, WHILE KEPT INTACT IN PERPETUITY; ONLY THE INCOME GENERATED CAN BE USED BY THE ORGANIZATION. PART X, LINE 2: THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE HOSPITAL IS SUBJECT TO FEDERAL INCOME TAXES ON UNRELATED BUSINESS INCOME UNDER SECTION 511 OF THE INTERNAL REVENUE CODE. ROME MEDICAL GROUP AND ROME MEDICAL PRACTICE ARE FOR-PROFIT ENTITIES SUBJECT TO FEDERAL AND STATE INCOME TAXES. AS OF DECEMBER 31, 2023 AND 2022, THE HOSPITAL DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2020 THROUGH 2023. THE HOSPITAL DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 4,767. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 4,311,853. BOOK/TAX DIFFERENCE ON PASS-THROUGH INCOME 17,564. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 4,767. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 4,311,853. NET ASSETS RELEASED FROM RESTRICTIONS 55,533. 1 1 1 X 1 X 1 1 1 0 1 1 1344457 108423 1236034 0.01080 28007482 19430623 8576859 0.07480 267449 267449 0.00230 29619388 19539046 10080342 0.08790 11346 2277 9069 0.00010 11346 2277 9069 0.00010 29630734 19541323 10089411 0.08800 51910 51910 0.00050 51910 51910 0.00050 0 4311853 1230419 17311533 20983597 -3672064 X 1 1 1 GRIFFISS EYE CENTER LLC SEE SCHEDULE R PART VII 0.20960 0.00000 0.79040 2 RHCNY LLC SEE SCHEDULE R PART VII 0.20000 0.80000 1 1 ROME MEMORIAL HOSPITAL 1500 NORTH JAMES STREET ROME NY 13440 X X X ROME MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE LINE 7D DESCRIPTION FOR FULL URL X SEE LINE 7D DESCRIPTION FOR FULL URL X 1 22 1 SEE LINE 7D DESCRIPTION FOR FULL URL 0 1 X 100.000000000000 300.000000000000 1 1 X X X X 1 X HTTPS://WWW.ROMEHEALTH.ORG/MEDICAL-FINANCIAL-ASSISTANCE-NEAR-ROME-NY/ X HTTPS://WWW.ROMEHEALTH.ORG/MEDICAL-FINANCIAL-ASSISTANCE-NEAR-ROME-NY/ X HTTPS://WWW.ROMEHEALTH.ORG/MEDICAL-FINANCIAL-ASSISTANCE-NEAR-ROME-NY/ X X X X X X 1 X 0 X X 1 X 0 0 ROME MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: ONEIDA COUNTY HEALTH DEPARTMENT (OCHD), ROME MEMORIAL HOSPITAL, INC., D/B/A ROME HEALTH (RH) AND MOHAWK VALLEY HEALTH SYSTEM (MVHS) COLLABORATED TO DEVELOP A THREE-YEAR COMMUNITY HEALTH ASSESSMENT, COMMUNITY SERVICE PLAN, AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHA/CSP/CHIP). THE DEVELOPMENT OF THE CHA, CSP AND CHIP FOR THE PERIOD OF 2022-2024 INVOLVED A SYSTEMATIC APPROACH OF DATA RETRIEVAL AND ANALYSIS, COMMUNITY ENGAGEMENT WITH A UNIFIED MISSION TO IDENTIFY AND RANK HEALTH PRIORITIES THAT AIM TO IMPROVE OVERALL HEALTH AND REDUCE DISPARITIES AMONG RESIDENTS OF ONEIDA COUNTY. MULTIPLE METHODS WERE USED TO GATHER COMMUNITY INPUT, INCLUDING CONDUCTING COMMUNITY FOCUS GROUPS, AN ONLINE SURVEY, AND IN-DEPTH INTERVIEWS OF COMMUNITY MEMBERS AND LEADERS. THESE METHODS PROVIDED ADDITIONAL PERSPECTIVES ON HOW TO SELECT AND ADDRESS TOP HEALTH ISSUES FACING THE REGION.IN-DEPTH INTERVIEWS WERE CONDUCTED WITH 12 COMMUNITY STAKEHOLDERS REPRESENTING COMMUNITY LEADERS, HEALTH ORGANIZATION ADMINISTRATORS, PUBLIC HEALTH STAKEHOLDERS, SOCIAL SERVICE PERSONNEL, THE NAACP AND THE LATINO ASSOCIATION.THE HEALTH PRIORITIES IDENTIFIED WITHIN THIS REPORT ALIGN WITH NEW YORK STATE'S MISSION, WHICH IS TO BE THE HEALTHIEST STATE FOR PEOPLE ACROSS ALL AGES. THE COLLABORATIVE COMMUNITY HEALTH PLANNING PARTNERSHIP ADOPTED THE NEW YORK STATE (NYS) PREVENTION AGENDA 2019-2024 PRIORITIES, WHICH PROVIDES THE BLUEPRINT TO IMPROVE THE HEALTH AND WELLBEING, AS WELL AS TO PROMOTE HEALTH EQUITY ACROSS POPULATIONS WHO EXPERIENCE DISPARITIES AND GUIDE THE DEVELOPMENT OF THE PLAN. THE 2022-2024 CHNA AND COMMUNITY HEALTH IMPROVEMENT PLAN OUTLINING THE PRIORITIES IS AVAILABLE ONLINE AT WWW.ROMEHEALTH.ORG. ROME MEMORIAL HOSPITAL PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED IN COLLABORATION WITH THE MOHAWK VALLEY HEALTH SYSTEM (FAXTON-ST. LUKE'S HOSPITAL AND ST. ELIZABETH'S MEDICAL CENTER) AND THE ONEIDA COUNTY HEALTH DEPARTMENT. ROME HEALTH, MVHS, AND OCHD CONTRACTED WITH RESEARCH AND MARKETING STRATEGIES, INC. (RMS HEALTHCARE) TO GATHER COMMUNITY INPUT THROUGH ONLINE SURVEYS, FOCUS GROUP AND IN-DEPTH INTERVIEWS. RMS CONSULTED WITH A RANGE OF GOVERNMENTAL, HEALTHCARE, PUBLIC HEALTH AND COMMUNITY SERVICE ORGANIZATIONS THAT BEST REPRESENTED THE BROAD INTERESTS AND NEEDS OF THE COMMUNITY OVERALL. ROME MEMORIAL HOSPITAL PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN COLLABORATION WITH THE MOHAWK VALLEY HEALTH SYSTEM (FAXTON-ST. LUKE'S HOSPITAL AND ST. ELIZABETH'S MEDICAL CENTER) AND THE ONEIDA COUNTY HEALTH DEPARTMENT. ROME HEALTH, MVHS, AND OCHD CONTRACTED WITH RESEARCH AND MARKETING STRATEGIES, INC. (RMS HEALTHCARE) TO GATHER COMMUNITY INPUT THROUGH ONLINE SURVEYS, FOCUS GROUP AND IN-DEPTH INTERVIEWS. RMS CONSULTED WITH A RANGE OF GOVERNMENTAL, HEALTHCARE, PUBLIC HEALTH AND COMMUNITY SERVICE ORGANIZATIONS THAT BEST REPRESENTED THE BROAD INTERESTS AND NEEDS OF THE COMMUNITY OVERALL. ROME MEMORIAL HOSPITAL PART V, SECTION B, LINE 7D: THE CHNA (INCLUDING AN IMPLEMENTATION PLAN) IS AVAILABLE AT THE HOSPITAL'S WEBSITE USING THE FOLLOWING URL: HTTPS://WWW.ROMEHEALTH.ORG/COMMUNITY-HEALTH-ASSESSMENT-ROME-NY/A JOINT PRESS RELEASE WAS ALSO DISTRIBUTED ANNOUNCING TO THE COMMUNITY THAT THE COMMUNITY NEEDS ASSESSMENT WAS AVAILABLE FOR REVIEW AND COMMENT.THE CHNA IS ALSO AVAILABLE AT ONEIDA COUNTY'S WEBSITE USING THE FOLLOWING URL: HTTP://WWW.OCGOV.NET/HEALTH/COMMUNITY-HEALTH-ASSESSMENT ROME MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: THE HOSPITAL ADDRESSES THE SIGNIFICANT HEALTH CARE NEEDS OF THE COMMUNITY THROUGH ITS CONTINUUM OF HEALTHCARE SERVICES/PROGRAMS AND RELATIONSHIPS WITH COMMUNITY PARTNERS. THE COMMUNITY HOSPITAL HAS 130 LICENSED ACUTE CARE BEDS, AN 80-BED SKILLED NURSING FACILITY, A BROAD ARRAY OF OUTPATIENT SERVICES AND THREE ARTICLE 28 PRIMARY CARE PRACTICES. IN ADDITION, THE HOSPITAL PROVIDES ESSENTIAL ACCESS TO SPECIALTY PHYSICIAN SERVICES THROUGH AN AFFILIATED CAPTIVE PC.THE DATA FROM THE CHA GUIDES THE HOSPITAL IN THE DEVELOPMENT OF TACTICS TO TRANSFORM OPERATIONS IN SUPPORT OF ITS STRATEGIC PLAN. THESE TACTICS ARE ORGANIZED UNDER THE PILLARS OF FISCAL SUSTAINABILITY; CONVENIENCE, QUALITY, ACCESS; AND ENGAGEMENT.FOR THE PURPOSES OF THE COUNTY/HOSPITAL COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP), WE ARE TASKED WITH IDENTIFYING TWO KEY PRIORITY AREAS THAT THE HOSPITALS AND THE COUNTY HEALTH DEPARTMENT WILL WORK ON COLLABORATIVELY USING EVIDENCE BASED INTERVENTIONS FROM THE NEW YORK STATE PREVENTION AGENDA. BASED UPON THE FEEDBACK FROM THE COMMUNITY AND THE DATA ANALYSIS, ROME HEALTH, THE ONEIDA COUNTY HEALTH DEPARTMENT AND MOHAWK VALLEY HEALTH SYSTEM NARROWED THE PRIORITIES DOWN TO 4 AREAS AND SELECTED THE FOLLOWING 2 FOCUS AREAS. MENTAL HEALTH/CHILDREN TEENS SOCIAL EMOTIONAL HEALTH:MENTAL HEALTH WAS OVERWHELMING IDENTIFIED AS A CRISIS FOR THIS COMMUNITY AND OUR COUNTY DOESN'T HAVE A GOOD STRUCTURE IN PLACE TO COORDINATE OUR EFFORTS. CHRONIC DISEASE PREVENTIVE CARE/SCREENINGS:WHILE THERE IS INFRASTRUCTURE IN PLACE, THERE ARE STILL GAPS WITH LACK OF ACCESS, COORDINATION OF CARE, ESPECIALLY WITH VULNERABLE POPULATIONS. IT'S AN AREA THAT IMPACTS LARGE NUMBERS OF PEOPLE. THE OTHER TWO AREAS THAT HAD EMERGED FROM THE RESEARCH WERE:SUBSTANCE USE/OPIOIDSMATERNAL CHILD HEALTH WHILE THEY WILL NOT BE SELECTED AS ONE OF THE TWO PRIORITIES IN OUR CHIP, THE HEALTH ASSESSMENT WILL IDENTIFY THEM AS IMPORTANT HEALTH ISSUES IN OUR COMMUNITY THAT GROUPS WILL CONTINUE TO WORK ON TO IMPROVE OUTCOMES. IT WAS FELT THAT THESE TWO AREAS HAD SOME INFRASTRUCTURE IN PLACE FOR COLLABORATION AND TEAMS WERE ALREADY ACTIVELY WORKING ON INTERVENTIONS WITHIN THEIR SCOPE OF WORK.UNMET COMMUNITY NEEDS ARE DUE TO A SHORTAGE OF PROVIDERS AND LIMITED FINANCIAL RESOURCES. 10 1 - COMMUNITY RECOVERY CENTER 264 W DOMINICK STREET ROME NY 13440 SUBSTANCE ABUSE COUNSELING 2 - PHYSICAL THERAPY 107 E CHESTNUT STREET ROME NY 13440 OFFSITE PHYSICAL THERAPY SERVICES 3 - BOONVILLE FAMILY CARE 13407 STATE ROUTE 12 BOONVILLE NY 13309 PRIMARY CARE SERVICES 4 - LABORATORY COLLECTION SITE 107 E CHESTNUT STREET ROME NY 13440 OFFSITE LAB COLLECTION SITE 5 - LABORATORY COLLECTION SITE 13407 STATE ROUTE 12 BOONVILLE NY 13309 OFFSITE LAB COLLECTION SITE 6 - MEDICAL IMAGING 107 E CHESTNUT STREET ROME NY 13440 OFFSITE RADIOLOGY SERVICES 7 - PRENATAL CARE CENTER 155 WEST DOMINICK STREET ROME NY 13440 OFFSITE PRENATAL CARE SERVICES 8 - DELTA MEDICAL CENTER 1819 BLACK RIVER BLVD ROME NY 13440 PRIMARY CARE SERVICES 9 - REGIONAL WOUND CARE CENTER 267 HILL ROAD ROME NY 13441 ADVANCED WOUND CARE AND HYPERBARIC OXYGEN TREATMENT 10 - CAMDEN FAMILY CARE 5 MASONIC AVENUE CAMDEN NY 13316 PRIMARY CARE SERVICES PART I, LINE 6A: THE COMBINED ONEIDA COUNTY COMMUNITY HEALTH ASSESSMENT (CHA)/COMMUNITY SERVICE PLAN (CSP)) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) IS POSTED ON ROME MEMORIAL HOSPITAL'S WEBSITE AT WWW.ROMEHOSPITAL.ORG. PART I, LINE 7: FINANCIAL ASSISTANCE AT COST (7A) AND UNREIMBURSED MEDICAID (7B) WERE CALCULATED BY USING A COST TO CHARGE RATIO. THIS COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, SUPPLIED BY THE IRS. OTHER BENEFITS (7E & 7F) WERE CALCULATED BY DETERMINING ACTUAL COSTS AND ACTUAL REVENUE PER EVENT.THE MAIN SOURCE OR GUIDE OF HOW CALCULATIONS WERE DETERMINED WAS BY UTILIZING THE WORKSHEETS PROVIDED BY THE IRS AND THEN ADJUSTING ACCORDING TO ROME HOSPITAL SPECIFICS (IE. USING ACTUAL COSTS VS. COST TO CHARGE RATIO AS MENTIONED ABOVE). PART I, LN 7 COL(F): PERCENT OF TOTAL EXPENSE IS CALCULATED BY USING THE DENOMINATOR OF THE TOTAL FUNCTIONAL EXPENSES LESS BAD DEBT EXPENSE OF $4,311,853 (PER AUDITED FINANCIAL STATEMENTS). PART II, COMMUNITY BUILDING ACTIVITIES: ROME MEMORIAL HOSPITAL PARTICIPATES IN NUMEROUS COMMUNITY COMMITTEES INVOLVED IN ENHANCING HEALTHCARE OUTCOMES THROUGH PREVENTION, EARLY DETECTION AND INTERVENTION AS WELL AS EMERGENCY PREPAREDNESS ACTIVITIES TO ENSURE A COORDINATED RESPONSE IN AN EVENT OF A DISASTER. HOSPITAL EXPERTS ARE CALLED UPON TO PARTICIPATE IN MULTIPLE INITIATIVES TO ADDRESS ISSUES, SUCH AS DOMESTIC VIOLENCE, TEENAGE PREGNANCY, AND SUBSTANCE ABUSE.RECRUITING PHYSICIANS AND OTHER HEALTH PROFESSIONALS TO ENHANCE ACCESS TO CARE IS ONE OF THE HOSPITAL'S MOST SIGNIFICANT INVESTMENTS IN COMMUNITY BUILDING ACTIVITIES. THE HOSPITAL RECRUITED SEVERAL ADVANCED PRACTICE PROVIDERS AND PHYSICIANS TO EXPAND LOCAL ACCESS TO CARE.ROME MEMORIAL HOSPITAL IS A CLINICAL SITE FOR ALLIED HEALTH PROFESSIONALS AND AN AFFILIATED CLINICAL SITE OF NEW YORK MEDICAL COLLEGE NEW YORK MEDICAL COLLEGE TO HELP DEVELOP THE NEXT GENERATION OF PROVIDERS. THE HOSPITAL IMPLEMENTED TNA TO CNA WORKFORCE DEVELOPMENT PROGRAMS TO CLOSE STAFFING GAPS IN ITS SKILLED NURSING FACILITY TO ENSURE SAFE STAFFING RATIOS FOR ITS RESIDENTS.IN 2022, THE HOSPITAL OPENED A NEW $11.4 MILLION PHYSICIAN CENTER ON ITS MAIN CAMPUS TO BRING TOGETHER PRIMARY CARE, SPECIALTY CARE, TESTING AND PHARMACY IN ONE CONVENIENT LOCATION TO EXPAND ACCESS TO CARE. THE HOSPITAL ALSO BECAME A NATIONALLY ACCREDITED COMPREHENSIVE BARIATRIC CENTER TO IMPROVE LOCAL ACCESS TO SURGICAL AND MEDICAL WEIGHT LOSS PROGRAMS FOR THOSE WHO STRUGGLE WITH ACHIEVING A HEALTHY WEIGHT THROUGH DIET AND EXERCISE ALONE. OBESITY AND OVERWEIGHT ARE CURRENTLY THE SECOND LEADING PREVENTABLE CAUSE OF DEATH IN THE UNITED STATES AND MAY SOON OVERTAKE TOBACCO AS THE LEADING CAUSE OF DEATH. MORE THAN 35% OF THE COUNTY'S RESIDENTS ARE OBESE. PART III, LINE 2: BAD DEBT EXPENSE IS CALCULATED BASED ON THE TOTAL BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS. FOR 2023, TOTAL BAD DEBT IS $4,311,853. THE RATIO OF PATIENT CARE COST TO CHARGES FROM THE INSTITUTIONAL COST REPORT IS THEN APPLIED TO THE TOTAL BAD DEBT. FOR 2023, THAT PERCENTAGE IS 29.55%. THE CALCULATED AMOUNT IS THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS. PART III, LINE 3: TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, THE TOTAL PERCENTAGE OF FINANCIAL ASSISTANCE PROVIDED TO PATIENTS IS APPLIED TO THE CALCULATED BAD DEBT EXPENSE. FOR 2023, THE TOTAL PERCENTAGE OF FINANCIAL AID PROVIDED IS 9.96%. APPLYING THAT PERCENTAGE AGAINST THE CALCULATED BAD DEBT EXPENSE IN PART III LINE 2 RESULTS IN THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTED TO FINANCIAL AID ELIGIBLE PATIENTS. PART III, LINE 4: SEE AUDITED FINANCIAL STATEMENTS PAGES 11 THROUGH 16 FOR CURRENT FOOTNOTE LANGUAGE THAT DESCRIBES BAD DEBT. PART III, LINE 6; COSTING METHODOLOGY AND SOURCE:2023 ICR EXHIBIT 46 AND TENTATIVE MEDICARE SETTLEMENT RATES PART III, LINE 8: FINANCIAL AID PROGRAM THE SHORTFALL IN QUESTION 7 SHOULD BE TREATED AS COMMUNITY BENEFIT AS MEDICARE REIMBURSEMENTS FAIL TO COVER THE COSTS OF PROVIDING CARE TO MEDICARE BENEFICIARIES. DESPITE EFFORTS TO IMPROVE EFFICIENCY, EXPENSES FOR TECHNOLOGY, PHARMACEUTICAL, SALARY AND BENEFITS CONTINUE TO ESCALATE. THE HOSPITALS BAD DEBT EXPENSES IS IMPACTED BY THE SOCIOECONOMICS OF THE COMMUNITY. THE MEDIAN HOUSEHOLD INCOME FOR ONEIDA COUNTY IS LOWER THAN THE STATE AVERAGE AND OVER 20.7% OF THE POPULATION LIVES BELOW THE POVERTY LINE. ALTHOUGH PEOPLE MAY HAVE INSURANCE, THEIR OUT-OF-POCKET COSTS ARE HIGH BECAUSE EMPLOYERS HAVE RAISED THEIR DEDUCTIBLES OR CO-PAYMENTS, OR REDUCED WHAT THEIR PLANS COVER.TO HELP THOSE WHO ARE UNINSURED LEARN MORE ABOUT POSSIBLE OPTIONS, THE HOSPITAL'S PATIENT REGISTRATION DEPARTMENT PROVIDES INFORMATION FROM INSURERS WHICH OFFER FREE OR LOW-COST HEALTH INSURANCE THROUGH NEW YORK STATE'S CHILD HEALTH PLUS AND FAMILY HEALTH PLUS, ALONG WITH SPACE FOR REPRESENTATIVES TO ANSWER QUESTIONS AND ENROLL ELIGIBLE RESIDENTS.IN ADDITION, THE HOSPITAL HAS PARTNERED WITH THE MOHAWK VALLEY PERINATAL NETWORK, WHOSE FACILITATED ENROLLER CAN ASSIST INDIVIDUALS IN APPLYING FOR COVERAGE FROM CHILD HEALTH PLUS, FAMILY HEALTH PLUS, AND MEDICAID. IN ADDITION TO HELPING PEOPLE OBTAIN INSURANCE COVERAGE, THE HOSPITAL ALSO PROVIDES A FINANCIAL ASSISTANCE PROGRAM AND WORKS WITH PATIENTS TO SET UP AFFORDABLE PAYMENT PLANS.FINANCIAL ASSISTANCE BROCHURES ARE LOCATED IN THE HOSPITAL'S WAITING AREAS AND APPLICATIONS ARE AVAILABLE ON THE WEBSITE. RMH DISCOUNTS PATIENT ACCOUNTS UP TO 100% DEPENDING UPON FAMILY INCOME IN COMPARISON TO THE FEDERAL POVERTY LEVEL. DISCOUNTS ARE BASED UPON THE BLUE CROSS RATE, OUR HIGHEST VOLUME PAYER. ROME MEMORIAL HOSPITAL OFFERS DISCOUNTS TO THE UNINSURED/UNDERINSURED WHOSE INCOME IS UP TO 300% OF THE FEDERAL POVERTY LEVEL.BECAUSE LACK OF AWARENESS IS ONE OF THE BIGGEST BARRIERS, RMH PROVIDES INFORMATION ABOUT AVAILABLE PROGRAMS AT HEALTH FAIRS AND OTHER OUTREACH ACTIVITIES.CHANGES (ACTUAL OR POTENTIAL) IMPACTING COMMUNITY HEALTH, PROVISION OF CHARITY CARE, AND ACCESS TO SERVICES: REIMBURSEMENTS THAT FAIL TO KEEP PACE WITH RISING EXPENSES AND THE CONTINUED GROWTH IN UNCOMPENSATED CARE ARE SIGNIFICANT CHALLENGES THAT NEW YORK'S HOSPITALS FACE, INCLUDING RMH. OTHER CHALLENGES INCLUDE THE ESCALATION OF COSTS FOR DRUGS DUE TO INFLATION AND HAVING TO FIND ALTERNATE SUPPLIERS BECAUSE OF MANUFACTURER PRODUCTION SHORTAGES, SERVICES AND BAD DEBT, AND INVESTMENTS REQUIRED TO COMPLY WITH MANDATES. HERE ARE JUST A FEW EXAMPLES OF OUR CHALLENGES:UNCOMPENSATED CARE: THE COST OF FREE SERVICES PROVIDED TO OUR COMMUNITY REMAINS HIGH WITH THE RISE IN HIGH-DEDUCTIBLE PLANS AND THE APPROXIMATELY 4% OF RESIDENTS WHO ARE UNINSURED. IN 2023, ROME MEMORIAL HOSPITAL'S BAD DEBT AND CHARITY CARE TOTALED $8 MILLION.PHYSICIAN SHORTAGES: ROME MEMORIAL HOSPITAL HAS BEEN SUCCESSFUL IN RECRUITING SEVERAL NEW PHYSICIANS TO THE COMMUNITY, BUT AT A GREAT COST. TODAY'S PHYSICIAN WANTS TO BE EMPLOYED SO THEY DON'T HAVE TO BEAR THE RISK OF OPENING A NEW PRACTICE OR MANAGE THE ADMINISTRATIVE ASPECTS OF MEDICINE. ALTHOUGH THEY PROVIDE CRITICAL ACCESS TO CARE, THESE PRACTICES STRUGGLE TO BREAK EVEN. LACK OF PRIMARY CARE: PATIENTS WHO DON'T HAVE INSURANCE OR WHO ARE COVERED BY MEDICAID OFTEN DON'T HAVE A REGULAR PHYSICIAN FOR PREVENTATIVE CARE OR TO MANAGE CHRONIC CONDITIONS. AS A RESULT, THEY USE THE EMERGENCY DEPARTMENT AS THEIR PRIMARY CARE OR DELAY CARE UNTIL THEIR CONDITION IS MORE CRITICAL AND MORE EXPENSIVE TO TREAT. SINCE ROME MEMORIAL HOSPITAL'S NEW EMERGENCY DEPARTMENT OPENED, THE NUMBER OF PATIENT VISITS HAS STEADILY INCREASED FROM 19,000 IN 2006 TO 26,564 IN 2023. MANY PHYSICIANS DON'T ACCEPT MEDICAID PATIENTS BECAUSE OF LOW REIMBURSEMENT RATES. IN ADDITION, SENIORS MAY SOON FACE THE SAME ACCESS PROBLEMS IF CUTS TO PHYSICIAN MEDICARE RATES ARE IMPLEMENTED. PHARMACEUTICALS: THE HOSPITAL CONTINUES TO SEE SIGNIFICANT INCREASE IN DRUG COSTS DUE TO INFLATION AND MANUFACTURER PRODUCTION SHORTAGES. IN MANY CASES, THESE SHORTAGES FORCE US TO TURN TO ALTERNATE SUPPLIERS, WHO CHARGE A PREMIUM PRICE. INTERPRETER SERVICES: AS OUR POPULATION BECOMES MORE DIVERSE WITH BURMESE AND BOSNIAN REFUGEES AND SPANISH SPEAKING RESIDENTS, THERE IS A GREATER DEMAND FOR INTERPRETER SERVICES. DDSO POPULATION: THE HIGH CONCENTRATION OF DDSO CLIENTS IN ONEIDA COUNTY AND ROME PLACES A UNIQUE BURDEN ON ROME MEMORIAL HOSPITAL. WHEN DDSO CLIENTS REQUIRE HOSPITALIZATION, THEIR CASES ARE OFTEN VERY COMPLEX AND THEIR LENGTH OF STAY IS NEARLY TWICE AS LONG AS THE AVERAGE PATIENT. AS A RESULT, THE HOSPITAL IS ONCE AGAIN FACED WITH ABSORBING THE FINANCIAL LOSS OF CARING FOR THESE PATIENTS. PROGRAM VIABILITY: AS A RESULT OF THESE SIGNIFICANT FINANCIAL CHALLENGES, RMH CONTINUALLY EVALUATES THE VIABILITY OF SOME OF ITS SERVICES. AS A PART OF THE EVALUATION, RMH ASSESSES THE NUMBER OF PEOPLE SERVED AND AVAILABILITY OF OTHER SERVICES TO ADDRESS THE COMMUNITY NEED, IN ADDITION TO THE FINANCIAL BURDEN ON THE HOSPITAL. PART III, LINE 9B: ROME MEMORIAL HOSPITAL (RMH) DOES NOT PURSUE EXTRAORDINARY COLLECTION ACTIVITIES, INCLUDING LEGAL ACTION, TO OBTAIN PAYMENT FOR CARE. RMH DOES NOT SELL AN INDIVIDUAL'S DEBT TO ANOTHER PARTY OR REPORT ADVERSE INFORMATION ABOUT THE INDIVIDUAL TO CREDIT AGENCIES. RMH DOES NOT DEFER, DENY OR REQUIRE PAYMENT PROVIDING MEDICAL SERVICES. PART VI, LINE 2: LINE 2 - NEEDS ASSESSMENT:IN ADDITION TO THE FORMAL CHNA REPORTED IN PART V, SECTION B, ROME MEMORIAL HOSPITAL CONTINUALLY ASSESSES THE COMMUNITY'S NEEDS THROUGH ONGOING ANALYSIS OF AVAILABLE INTERNAL AND EXTERNAL DATA AND PARTICIPATION IN COMMUNITY COMMITTEES AND ORGANIZATIONS THAT REPRESENT A BROAD SEGMENT OF THE POPULATION. IN ADDITION, THE HOSPITAL ENCOURAGES COMMUNITY INPUT THROUGH ITS WEBSITE. INSIGHTS ARE ALSO GATHERED FROM MONITORING SOCIAL MEDIA PART VI, LINE 3: LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:TO ENSURE THAT PATIENTS ARE AWARE OF THE FINANCIAL ASSISTANCE PROGRAM, PATIENTS ARE NOTIFIED THE FOLLOWING WAYS:- THE PLAIN LANGUAGE SUMMARY OF THE POLICY IS INCLUDED IN THE PATIENT ADMISSION PACKET- SIGNAGE IS LOCATED AT ALL INTAKE AREAS INCLUDING OFF-SITE CLINICS. THESE AREAS HAVE PAPER COPIES AVAILABLE TO THE PUBLIC IN PERSON AND BY MAIL.- ALL BILLING STATEMENTS AND COLLECTION LETTERS NOTIFY PATIENTS ON HOW TO OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE VIA PHONE OR INTERNET.- INFORMATION IS AVAILABLE ON THE HOSPITAL'S WEBSITE WITH THE LINK TO "FINANCIAL ASSISTANCE" ACCESSIBLE FROM MULTIPLE PAGES. PART VI, LINE 4: LINE 4 - COMMUNITY INFORMATION:ROME MEMORIAL HOSPITAL AND ITS AFFILIATES PROVIDE HEALTHCARE SERVICES TO THE RESIDENTS OF ROME AND THE SURROUNDING RURAL COMMUNITIES IN ONEIDA AND LEWIS COUNTIES. THE TWO-COUNTY REGION ENCOMPASSES MORE THAN 259,000 PEOPLE. THE HOSPITAL DRAWS 75% OF ITS INPATIENT DISCHARGES FROM THE FOLLOWING ZIP CODES: ROME, BOONVILLE, UTICA, CAMDEN, TABERG, LEE CENTER, BLOSSVALE AND WHITESBORO. MORE THAN 145,000 PEOPLE RESIDE IN RH'S PRIMARY SERVICE AREA. PATIENTS FROM NEW HARTFORD, HOLLAND PATENT, CLINTON AND REMSEN COMPRISE THE NEXT LARGEST SOURCE OF INPATIENT DISCHARGES.POPULATION BY AGE - ONEIDA COUNTY (2000-2026)- BASED UPON THE 2021 ESTIMATES, THOSE 45 TO 54 YEARS OF AGE REPRESENT THE LARGEST POPULATION OF 14%, FOLLOWED WITH THOSE 15 TO 19 YEARS OF AGE, REPRESENTING 13% OF THE POPULATION.- THIS TREND IS CONSISTENT WITH PRIOR CENSUS,' WITH THE LARGEST POPULATION IN 2010 BEING THOSE 35 TO 44 YEARS OF AGE (15.3%), AND 15 TO 19 YEARS OF AGE (14.2%) IN 2010.- BASED UPON THE 2021 ESTIMATES, THE POPULATION FOR THOSE BETWEEN 75 TO 84 YEARS OF AGE (3%) REPRESENT THE SMALLEST AGE GROUP, WHICH HAS BEEN CONSISTENTLY LOW OVER TIME.- THE POPULATION OF THOSE 65 TO 74 YEARS OF AGE IS PROJECTED TO GROW BY 18% WHEN LOOKING AT THE 2021 TO 2026 VARIANCE.POPULATION BY RACE/ETHNICITY - ONEIDA COUNTY (2000-2026)- THOSE WHO IDENTIFY AS WHITE (87.1%) MAKE UP THE LARGEST POPULATION IN ONEIDA COUNTY; FOLLOWED BY THOSE WHO IDENTIFY AS BLACK (6.3%).- POPULATION DISTRIBUTION BY RACE HAS BECOME SLIGHTLY MORE DIVERSE SINCE 2000 BUT IS EXPECTED TO REMAIN RELATIVELY CONSISTENT THROUGH 2026 PROJECTION.- MOST OF THE COUNTY IDENTIFIES A NON-HISPANIC OR LATINO (95.4%)HOUSEHOLD INCOME - ONEIDA COUNTY (2000-2026)- WITHIN ONEIDA COUNTY, THE MOST COMMON HOUSEHOLD INCOME RANGE IS $50,000 - $74,999 (21.4%).- THERE IS A CLOSE DISTRIBUTION IN HOUSEHOLD INCOME RANGES UP TO $50,000 AS WELL AS $75,000 TO $149,999 (21.6%). THOSE MAKING $150,000 OR MORE COMPRISE THE SMALLEST POPULATION (4.0%).- THE MEDIAN HOUSEHOLD INCOME HAS STEADILY INCREASED SINCE 2000 AND IS EXPECTED TO INCREASE 14.7% FROM 2021 TO 2026.- THE OVERALL MEDIAN HOUSEHOLD INCOME FOR THE COUNTY ACCORDING TO THE 2016-2020 AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATE WAS $59,113.PER CAPITA INCOME - ONEIDA COUNTY, NEW YORK STATE (2000-2026)- THE PER CAPITA INCOME FOR ONEIDA COUNTY HAS BEEN STEADILY LOWER THAN THAT OF NYS SINCE 2000. THIS TREND IS EXPECTED TO CONTINUE THROUGH 2026.- THE 5.6% INCREASE IN PER CAPITA INCOME FOR ONEIDA COUNTY IS LOWER THAN THE 13.7% INCREASE IN PER CAPITA INCOME FOR NEW YORK STATE PROJECTED FROM 2021 TO 2026POPULATION LIVING BELOW THE POVERTY LEVEL - ONEIDA COUNTY (2020)- TEN PERCENT OF ONEIDA COUNTY FAMILIES ARE LIVING BELOW THE POVERTY LINE. ONLY 4.3% OF MARRIED COUPLE FAMILIES ARE LIVING BELOW THE POVERTY LINE, WHILE 31.4% OF FAMILIES WITH A FEMALE HOUSEHOLDER, NO HUSBAND PRESENT ARE LIVING BELOW THE POVERTY LINE. WITHIN THIS GROUP, THOSE WITH RELATED CHILDREN UNDER 5 YEARS OLD ARE THE MOST IMPOVERISHED IN ONEIDA COUNTY (36.9%).- AMONG THE ENTIRE POPULATION WITHIN THE COUNTY, 20.7% ARE LIVING BELOW THE POVERTY LINE, WHILE THOSE WITH RELATED CHILDREN UNDER 5 YEARS OLD ARE THE MOST DISADVANTAGED AMONG THE OVERALL COUNTY POPULATION (20%).EDUCATIONAL ATTAINMENT - ONEIDA COUNTY (2000-2026)- IN COMPARING 2010 CENSUS TO 2021 PROJECTED CENSUS, ONEIDA COUNTY WILL EXPERIENCE A VARIANCE IN EDUCATIONAL ATTAINMENT WITH 90% OF THE POPULATION EARNING A HIGH SCHOOL DIPLOMA OR HIGHER IN 2021 (UP FROM 88.1% IN 2010).- THE EDUCATIONAL ATTAINMENT FOR THOSE IN THE COUNTY WHO COMPLETE A HIGH SCHOOL DEGREE OR HIGHER IS EXPECTED TO REMAIN STABLE THROUGH 2026. THOSE WHO COMPLETE AN EIGHTH-GRADE EDUCATION OR LOWER IS EXPECTED TO SHOW A SLIGHT DECREASE FROM 2021 TO 2026.HEALTH INSURANCE COVERAGE - ONEIDA COUNTY, NEW YORK STATE (2020)- MOST INDIVIDUALS IN ONEIDA COUNTY (96%) HAVE HEALTH INSURANCE COVERAGE.- THE INSURED RATE FOR ONEIDA COUNTY IS SLIGHTLY HIGHER (67.8%) THAN THE OVERALL NYS RATE FOR THOSE WITH PRIVATE HEALTH INSURANCE (67.6%).- SIMILARLY, 44.2% OF THOSE IN ONEIDA COUNTY HAVE PUBLIC HEALTH INSURANCE, WHICH IS 4.8% HIGHER THAN THE OVERALL NYS RATE.EMPLOYMENT RATES - ONEIDA COUNTY, NEW YORK STATE, UNITED STATES (2020)- OVER HALF OF ONEIDA COUNTY'S POPULATION (16 YEARS AND OLDER) IS EMPLOYED 58.1% (102,777), WITH ONLY 2.5% (4,738) UNEMPLOYED. THE REMAINING 41.9% (77,816) OF THE POPULATION IS NOT ACTIVE INTHE WORKFORCE.- THIS IS LOWER THAN NYS, WITH 62.4% (10,032,721) EMPLOYED, (570,570) UNEMPLOYED, AND 37.5% (5,876,219) INACTIVE IN THE WORKFORCE.VEHICLES PER HOUSEHOLD - ONEIDA COUNTY (2000-2025)- IN ONEIDA COUNTY, 10.4% OF RESIDENTS DO NOT HAVE ACCESS TO A HOME VEHICLE, WHILE 37.3% HAVE ACCESS TO ONE VEHICLE AND 52.4% HAVE ACCESS TO 2 OR MORE VEHICLES.- MOST PEOPLE IN ONEIDA COUNTY (80.1%) COMMUTE TO WORK ALONE, WHILE 8.6% CARPOOL. A SMALL PERCENTAGE WORK FROM HOME (5.8%) OR WALK TO WORK (3.5%).DISABILITY - ONEIDA COUNTY (2021)- ACCORDING TO THE U.S. CENSUS BUREAU, 13.7% OF THE ONEIDA COUNTY POPULATION IS LIVING WITH A DISABILITY.- MORE SPECIFICALLY, 7.7% OF ADULTS ARE LIVING WITH AN AMBULATORY DISABILITY, WHILE 5.4% OF ADULTS HAVE A COGNITIVE DISABILITY.- JUST UNDER 7% (6.4%) OF ADULTS IN ONEIDA COUNTY HAVE AN INDEPENDENT LIVING DISABILITY, AND 3.9% LIVE WITH A HEARING DISABILITY.- FEWER LIVE WITH A SELF-CARE DISABILITY (3.1%) OR VISION DISABILITY (2.0%).- ACCORDING TO THE 2016-2020 AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES, 13.7% OF ONEIDA COUNTY RESIDENTS HAVE A DISABILITY (EITHER AMBULATORY, INDEPENDENT LIVING, COGNITIVE, HEARING, SELF-CARE, OR VISION).HOUSING STATISTICS - ONEIDA COUNTY (2016-2020)- ACCORDING TO THE 2022 COUNTY HEALTH RANKINGS, WHICH USED DATA FOR 2016-2020, 69% OF HOMES ARE OWNER-OCCUPIED.- 11% OF ONEIDA COUNTY ADULTS SPEND 50% OR MORE OF THEIR HOUSEHOLD INCOME ON HOUSING, INDICATING SEVERE HOUSING COST BURDEN.-- 15% HAVE SEVERE HOUSING PROBLEMS (AT LEAST 1 OF THE FOLLOWING):-- OVERCROWDING-- HIGH HOUSING COSTS-- LACK OF KITCHEN FACILITIES-- LACK OF PLUMBING FACILITIES- BASED UPON 2026 HOUSING PROJECTIONS, 66.8% OF THE TOTAL HOUSING UNITS IN ONEIDA COUNTY WILL BE OWNER-OCCUPIED, 33.2% WILL BE RENTER-OCCUPIED, AND 14.6% WILL BE VACANT.REFUGEE RESETTLEMENT- FOR THE PAST 41 YEARS, UTICA HAS HOUSED THE CENTER RESETTLING OVER 16,500 REFUGEES SINCE ITS INCEPTION IN 1979. THIS INFLUX OF REFUGEES HAS CONTRIBUTED SIGNIFICANTLY TO THE POPULATION PROFILE OF ONEIDA COUNTY.- FROM 1973-2004, MOST REFUGEES HAVE ARRIVED FROM BOSNIA, BURMA, AND THE FORMER SOVIET UNION. IN 2019, THE BULK OF REFUGEES CAME FROM BURMA OR UKRAINE.- OVER THE PAST FOUR YEARS, THE MOST REFUGEE ARRIVALS OCCURRED IN 2016 (SLIGHTLY OVER 400 INDIVIDUALS), WITH A SHARP DECREASE IN ARRIVALS IN 2017 (AROUND 229), 2018 (AROUND 200), 2019 (JUST OVER 200), 2020 (JUST OVER 100), 2021 (WELL UNDER 100 58), AND 2022 PROJECTED (ESTIMATEOF 158).- IN MORE RECENT YEARS, THE AVERAGE NUMBER OF REFUGEE ARRIVALS TO THE MOHAWK VALLEY REGION FLUCTUATES BETWEEN AROUND 10 25 PER MONTH, WITH A SLIGHT SPIKE TO 32 REFUGEES ARRIVING IN AUGUST OF 2019.- THE MOST COMMON RELIGION AMONG REFUGEES TO THE MOHAWK VALLEY REGION IS PENTECOSTALISM, FOLLOWED BY CHRISTIANITY AND MUSLIM. PART VI, LINE 5: LINE 5 - PROMOTION OF COMMUNITY HEALTH:ADDITIONAL WAYS THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE:1. ROME MEMORIAL HOSPITAL PROVIDES EMERGENCY SERVICES TO EVERYONE REGARDLESS OF ABILITY TO PAY.2. THE HOSPITAL'S INDEPENDENT GOVERNING BODY IS COMPRISED OF INDIVIDUALS WHO RESIDE OR WORK IN THE PRIMARY SERVICE AREA TO REPRESENT THE INTERESTS OF THE COMMUNITY.3. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY.4. THE HOSPITAL USES ANY SURPLUS FUNDS TO IMPROVE CARE, EXPAND FACILITIES, RECRUIT STAFF AND ADVANCE MEDICAL TRAINING AND COMMUNITY EDUCATION.IN 2023, ROME MEMORIAL HOSPITAL CONTINUED TO DEMONSTRATE ITS RESPONSIVENESS AS A CRITICAL PUBLIC SAFETY RESOURCE IN THE MIDST OF THE COVID-19 PANDEMIC. THE HOSPITAL PARTNERED WITH THE DEPARTMENT OF HEALTH AND OTHER LOCAL HOSPITALS TO PROTECT OUR COMMUNITY THROUGH PUBLIC HEALTH EDUCATION, AND MANAGING HOSPITALIZATION SURGES WITH CONSTRAINED RESOURCES. YEARS OF PLANNING AND DRILLS ENABLED THE HOSPITAL SYSTEM TO MEET THE COMMUNITY'S NEEDS AS THEY EVOLVED. PART VI, LINE 6: LINE 6 - AFFILIATED HEALTH CARE SYSTEM:ROME MEMORIAL HOSPITAL, INC. (THE "HOSPITAL") IS A NEW YORK STATE NOT-FOR-PROFIT CORPORATION AND TAX EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ("IRC"), AND IS PART OF THE FOLLOWING CORPORATE STRUCTURE: GREATER ROME AFFILIATES, INC. ("GRA"), A NEW YORK STATE NOT-FOR-PROFIT CORPORATION, TAX EXEMPT UNDER SECTION 501(C)(3) OF THE IRC, IS THE SOLE CORPORATE MEMBER, AND THEREFORE, THE "PARENT" OF THE HOSPITAL, AS WELL AS ROME MEMORIAL PROPERTIES, INC., A NEW YORK STATE NOT-FOR-PROFIT CORPORATION, TAX EXEMPT UNDER SECTION 501(C)(3) OF THE IRC. GRA IS ALSO THE SOLE SHAREHOLDER OF RMH SERVICES, INC., A NEW YORK STATE BUSINESS CORPORATION, WHICH WAS ESTABLISHED TO UNDERTAKE CERTAIN FOR-PROFIT BUSINESS ACTIVITIES AND WHICH HAS AN EQUITY OWNERSHIP INTEREST IN, AND IS A MEMBER OF, THREE NEW YORK STATE LIMITED LIABILITY COMPANIES: 1819 BLACK RIVER ASSOCIATES, LLC; CHESTNUT COMMONS, LLC; AND RMH RETAIL PHARMACY, LLC. MEMBERS OF THE HOSPITAL'S BOARD OF TRUSTEES AND ADMINISTRATIVE STAFF HAVE OVERLAPPING RESPONSIBILITIES ON THE BOARDS OF THE AFFILIATED CORPORATIONS TO ENSURE THAT THE HOSPITAL'S BEST INTERESTS ARE BEING SERVED. ROME MEMORIAL HOSPITAL FOUNDATION, INC., A NEW YORK STATE NOT-FOR-PROFIT CORPORATION, TAX EXEMPT UNDER SECTION 501(C)(3) OF THE IRC, IS A SEPARATE CORPORATION ESTABLISHED FOR THE SOLE PURPOSE OF CONDUCTING FUND RAISING ACTIVITIES ON BEHALF OF THE HOSPITAL, INCLUDING THE RECEIPT OF GIFTS AND BEQUESTS ON BEHALF OF THE HOSPITAL, INVESTING SUCH ASSETS, AND TRANSFERRING THEM TO THE HOSPITAL IN SUPPORT OF ITS MISSION. IT IS GOVERNED BY A SEPARATE BOARD OF DIRECTORS, WHICH HAS AMONG ITS MEMBERS HOSPITAL TRUSTEES AND MEMBERS OF THE HOSPITAL'S MEDICAL STAFF.THE SYSTEM ALSO INCLUDES TWO CAPTIVE PROFESSIONAL CORPORATIONS, INCLUDING ROME MEDICAL GROUP, P.C., A MULTI-PHYSICIAN PRIMARY CARE PRACTICE, AND ROME MEDICAL PRACTICE, P.C., A MULTI-PHYSICIAN, SPECIALTY GROUP. THE PCS ARE THE VEHICLES THROUGH WHICH PHYSICIANS ARE EMPLOYED TO SERVE THE COMMUNITY. IN TODAY'S ENVIRONMENT, MANY PHYSICIANS PREFER TO BE EMPLOYED VS. GOING OUT IN PRIVATE PRACTICE. PART VI, LINE 7, REPORTS FILED WITH STATES NY 1 X X X X 0 0 0 0 0 0 0 0 0 MARK WILLIAMS SURGEON 395673 0 1250 0 0 0 30000 0 2419 0 429342 0 0 0 SAMUEL MOLICA SURGEON 370331 0 0 0 0 0 22500 0 9726 0 402557 0 0 0 DEWEY ROWLANDS CFO 245655 24296 0 0 0 0 30000 0 6911 684 282566 24980 0 0 VIVIENNE TAYLOR PHYSICIAN 267154 0 0 0 0 0 17365 0 9559 0 294078 0 0 0 LWIN WIN PHYSICIAN 279410 0 1734 0 0 0 8188 0 455 0 289787 0 0 0 MAHMOUD AHMED NURSE PRACTITIONER 236367 0 0 0 0 0 0 0 7541 0 243908 0 0 0 SCOTT BURNS SON OF BOARD DIRECTOR 180573 COMPENSATION 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATED CONTROL OVER MANAGEMENT DUTIES CUSTOMARILY PREFORMED BY OR UNDER DIRECT SUPERVISION OF OFFICERS, DIRECTORS, TRUSTEES, OR KEY EMPLOYEES TO ANNEMARIE CZYZ AS CEO. FORM 990, PART VI, SECTION A, LINE 6 GREATER ROME AFFILIATES IS THE SOLE MEMBER OF ROME MEMORIAL HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A PER THE HOSPITAL BY-LAWS "THE SOLE CORPORATE MEMBER OF THE CORPORATION SHALL BE GREATER ROME AFFILIATES, INC. WHICH SHALL ACT HEREUNDER AS SUCH MEMBER BY DULY AUTHORIZED RESOLUTION OF ITS BOARD OF DIRECTORS AND WHICH SHALL COMMUNICATE ITS ACTIONS TO THIS BOARD THROUGH ITS PRESIDENT OR OTHER DULY AUTHORIZED OFFICER." GREATER ROME AFFILIATES APPOINTS THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE COMPLETED 2023 990 WAS PRESENTED TO THE BOARD BY THE CFO OF THE HOSPITAL AT ITS AUGUST 2024 BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C CONSISTENT WITH ROME HOSPITAL'S GIFTS, GRATUITIES AND CONFLICT OF INTEREST POLICY, THE COMPLIANCE OFFICER OF RMH HAS A CONFLICT OF INTEREST DISCLOSURE FORM COMPLETED ON AN ANNUAL BASIS BY ALL OFFICERS, DIRECTORS AND MANAGEMENT PERSONNEL. THE COMPLIANCE OFFICER COLLECTS AND REVIEWS THE BOARD OF TRUSTEES/FOUNDATION BOARD INTEREST DISCLOSURE FORMS ON AN ANNUAL BASIS. THE INFORMATION GATHERED ON THE DISCLOSURE IS REVIEWED AND ANY CONFLICTS ARE COMMUNICATED TO THE PRESIDENT/CEO, COMPLIANCE BOARD, AND BOARD OF TRUSTEES TO ENSURE ALL HOSPITAL TRANSACTION/BUSINESS ACTIVITIES ARE CONDUCTED IN A MANNER THAT IS FREE FROM UNLAWFUL OR OTHERWISE INAPPROPRIATE OFFERS OR SOLICITATIONS OF IMPROPER INDUCEMENTS IN EXCHANGE FOR INFLUENCE OR ASSISTANCE IN A TRANSACTION. POTENTIAL CONFLICTS THAT MAY ARISE THROUGHOUT THE YEAR ARE BROUGHT TO THE ATTENTION OF THE COMPLIANCE OFFICER AND PRESIDENT/CEO FOR REVIEW. ANY IDENTIFIED CONFLICTS ARE THEN REVIEWED AT THE CORPORATE COMPLIANCE COMMITTEE AND BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 15 USE OF IROQUOIS DATA, ASSOCIATION FOR HEALTHCARE PHILANTHROPY SALARY DATA, AND THE ROME HOSPITAL HUMAN RESOURCE DEPARTMENT ARE UTILIZED TO DETERMINE COMPENSATION FOR THE ORGANIZATION'S EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 18 FORMS ARE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 FORMS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST OR THROUGH WWW.GUIDESTAR.ORG- A WEBSITE THAT PROVIDES NON-PROFIT INFORMATION TO THE PUBLIC. RMH MAKES ITS GOVERNING DOCUMENTS (BY - LAWS) AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC THROUGH RMH WEBSITE - WWW.ROMEHOSPITAL.ORG. ALSO, FINANCIAL FACTS AND FIGURES AND ECONOMIC IMPACT REPORTS CAN BE FOUND ON THIS WEBSITE. FORM 990, PART VII: IN 990 PART VII, ANNEMARIE CZYZ IS LISTED AS AN OFFICER AND ASSUMED THE DUTIES OF CEO. THERE IS NO COMPENSATION LISTED AS THE INDIVIDUAL WAS HIRED THROUGH A SERVICE AGREEMENT WITH SJH (COMPENSATION THROUGH THE AGREEMENT TO ANNEMARIE CZYZ WAS $508,230). ANNEMARIE CZYZ IS NOT CONSIDERED A COMMON LAW EMPLOYEE. FORM 990, PART IX, LINE 11G PHYSICIANS: PROGRAM SERVICE EXPENSES 5,482,777. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,482,777. LAB SERVICES: PROGRAM SERVICE EXPENSES 6,185,684. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,185,684. SERVICE CONTRACT: PROGRAM SERVICE EXPENSES 5,146,985. MANAGEMENT AND GENERAL EXPENSES 1,273,584. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,420,569. NURSE STAFFING: PROGRAM SERVICE EXPENSES 3,669,107. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,669,107. CONSULTING: PROGRAM SERVICE EXPENSES 575,297. MANAGEMENT AND GENERAL EXPENSES 1,005,590. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,580,887. LAUNDRY SERVICE: PROGRAM SERVICE EXPENSES 279,779. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 279,779. FORM 990, PART XI, LINE 9: BOOK/TAX DIFFERENCE OF GRIFFIS EYE CENTER -17,563. CHANGE IN RESTRICTED INTEREST IN FOUNDATION 5,376,611. CHANGE IN UNRESTRICTED INTEREST IN FOUNDATION -136,917. GREATER ROME AFFILIATES 1500 N JAMES STREET ROME NY 13440 161508597 PARENT CORPORATION NY 501C3 LINE 12C, III-FI 0 ROME MEMORIAL PROPERTIES 1500 N JAMES STREET ROME NY 13440 161492003 SUPPORT HOSPITAL ACTIVITIES NY 501C3 LINE 12A, I GRA 0 RMH SERVICES INC 1500 N JAMES STREET ROME NY 13440 161490045 FOR PROFIT NY GREATER ROME AFFILIATES C 1.00000 0 ROME MEDICAL GROUP 1801 BLACK RIVER BLVD ROME NY 13440 161464822 CAPTIVE P.C. NY ROME MEMORIAL HOSPITAL C 0 ROME MEDICAL PRACTICE 1500 N JAMES STREET ROME NY 13440 203827393 CAPTIVE P.C. NY GREATER ROME AFFILIATES C 1.00000 0 0 0 1 0 1 0 0 0 0 1 1 1 0 0 1 1 1 0 0