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AND HEALTHCARE ASSOCIATION OF NEW YORK STATE, INC., A PORTION OF MEMBERSHIP DUES REPRESENT AMOUNTS DESIGNATED FOR LOBBYING ACTIVITIES. THESE ASSOCIATION ORGANIZATIONS, OF WHICH THE HOSPITAL IS A MEMBER, PERFORM DIRECT LOBBYING AND ADVOCACY ACTIVITIES ON BEHALF OF THEIR MEMBERS. 2390085 337715 11914 2715886 2649726 -247183 12458 2390085 2206578 458214 15066 2649726 2207547 6806 7775 2206578 1857148 366078 15679 2207547 0.69608 0.30392 0 0 372690 372690 33525346 17941756 15583590 29177467 13486152 15691315 1885346 1333767 551579 32199174 DUE FROM RELATED PARTIES 156577 BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 17995382 RIGHT OF USE ASSETS 1256528 19408487 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 3371586 ACCRUED PENSION LIABILITY 930908 ASSET RETIREMENT OBLIGATION 526939 MALPRACTICE LIABILITIES 646000 OPERATING LEASE LIABILITY 1256528 6731961 PART V, LINE 4: INDIGENT CARE OF LIVINGSTON COUNTY RESIDENTS AND FUTURE CAPITAL PURCHASES. GOLF TOURNAMENT 31000 20888 10112 8555 31000 20888 10112 8555 8555 1557 1 1 1 X 1 X 1 1 0 1 1 1537601 65826 1471775 0.01790 12989955 8570557 4419398 0.05380 14527556 8636383 5891173 0.07170 22873546 17557278 5316268 0.06480 22873546 17557278 5316268 0.06480 37401102 26193661 11207441 0.13650 2 11690 11690 0.00010 1 144 2947 2947 0.00000 4 513034 33119 33119 0.00040 5 734 7398 7398 0.00010 3 89 86210 86210 0.00110 15 514001 141364 141364 0.00170 1 1485295 8981215 8731888 249327 X 1 1 1 1 NICHOLAS H NOYES MEMORIAL HOSPITAL 111 CLARA BARTON STREET DANSVILLE NY 14437 HTTPS://WWW.URMC.ROCHESTER.EDU/NOYES.A X X X NICHOLAS H NOYES MEMORIAL HOSPITAL 0 0 1 X X X X X X X X X 22 1 0 1 1 X HTTPS://WWW.URMC.ROCHESTER.EDU/NOYES/COMMUNITY-OUTREACH/HEALTH-SERVICES X HTTP://WWW.CO.LIVINGSTON.STATE.NY.US/617/COUNTY-HEALTH-DATA X X 1 22 1 HTTPS://WWW.URMC.ROCHESTER.EDU/NOYES/COMMUNITY-OUTREACH.ASPX 0 1 X 100.000000000000 300.000000000000 1 1 X X X X 1 X HTTPS://WWW.URMC.ROCHESTER.EDU/NOYES/ABOUT/FINANCIAL-ASSISTANCE.ASPX X HTTPS://WWW.URMC.ROCHESTER.EDU/NOYES/ABOUT/FINANCIAL-ASSISTANCE.ASPX X HTTPS://WWW.URMC.ROCHESTER.EDU/NOYES/ABOUT/FINANCIAL-ASSISTANCE.ASPX X X X X X 1 X 0 X X X 1 X 0 0 NICHOLAS H. NOYES MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: COMMON GROUND HEALTH REGIONAL CHA/CHIP: DEVELOPMENT OF THE 2022-2024 COMMUNITY HEALTH ASSESSMENT, COMMUNITY SERVICE PLANS AND COMMUNITY HEALTH IMPROVEMENT PLANS WAS A JOINT PROCESS, WHICH BEGAN IN THE SUMMER OF 2021. WHILE SUBMISSION OF THE REGIONAL COMMUNITY HEALTH ASSESSMENT WAS ON BEHALF OF THE EIGHT COUNTIES, EACH HEALTH DEPARTMENT MANAGED THEIR OWN COUNTY'S PRIORITIZATION AND PLANNING MEETINGS WITH ASSISTANCE FROM THE PIVOTAL PUBLIC HEALTH PARTNERSHIP (FORMERLY S2AY RURAL HEALTH NETWORK), COMMON GROUND HEALTH AND THE GENESEE VALLEY HEALTH PARTNERSHIP. REGIONAL CHECK-INS OCCURRED ON A MONTHLY BASIS.LIVINGSTON COUNTY CHA/CHIP/CSP: SELECTION OF THE 2022-2024 COMMUNITY HEALTH ASSESSMENT (CHA), COMMUNITY SERVICE PLAN (CSP) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PRIORITY AND DISPARITY AREAS WAS A JOINT PROCESS WHICH BEGAN IN THE SUMMER OF 2021 WITH ASSISTANCE FROM THE PIVOTAL PUBLIC HEALTH PARTNERSHIP AND COMMON GROUND HEALTH. A VARIETY OF PARTNERS WERE ENGAGED THROUGHOUT THE PROCESS INCLUDING THE LIVINGSTON COUNTY PUBLIC HEALTH DEPARTMENT AND NOYES HOSPITAL STAFF, COMMUNITY BASED ORGANIZATIONS (CBOS), OFFICE FOR AGING, SKILLED NURSING FACILITY, CASA, COUNTY GOVERNMENT EMPLOYEES, THE GENESEE VALLEY HEALTH PARTNERSHIP, COMMON GROUND HEALTH, COMMUNITY MEMBERS AND MORE. THE CHA LEADERSHIP COMMITTEE PARTNERS' ROLE IN THE ASSESSMENT WERE TO HELP INFORM AND SELECT THE 2022-2024 PRIORITY AREAS BY SHARING ANY PERTINENT DATA OR CONCERNS AND ACTIVELY PARTICIPATING IN PLANNING MEETINGS. ON JULY 21, 2021, THE LIVINGSTON COUNTY HEALTH DEPARTMENT AND UR MEDICINE NOYES HEALTH ENGAGED KEY STAKEHOLDERS ON THE CHA LEADERSHIP TEAM IN A PRIORITIZATION MEETING FACILITATED BY COMMON GROUND HEALTH. KEY PARTNERS AND COMMUNITY MEMBERS WERE INVITED TO ATTEND THE PRIORITIZATION MEETINGS, INCLUDING ALL THOSE WHO ATTENDED PRIOR FOCUS GROUPS. SOCIAL MEDIA PLATFORMS, E-MAIL, NEWS MEDIA AND NEWSLETTERS WERE UTILIZED TO HELP STIMULATE PARTICIPATION. COMMON GROUND HEALTH PROVIDED GROUP MEMBERS COPIES OF COUNTY SPECIFIC PRE-READ DOCUMENTS IN ADVANCE OF THE MEETINGS. THE DOCUMENTS INCLUDED INFORMATION ON CURRENT PRIORITY AREAS AND PROGRESS MADE TO DATE, AS WELL AS A MIX OF UPDATED QUANTITATIVE, QUALITATIVE, PRIMARY AND SECONDARY DATA ON EACH OF THE FIVE PRIORITY AREAS OUTLINED IN THE NEW YORK STATE PREVENTION AGENDA. DATA WAS COLLECTED FROM A VARIETY OF DIFFERENT SOURCES INCLUDING BUT NOT LIMITED TO THE AMERICAN COMMUNITY SURVEY, THE ENHANCED BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, COUNTY RANKINGS AND ROADMAPS, VITAL STATISTICS, COMMUNICABLE DISEASE AND DENTAL REPORTS, PRIMARY DATA COLLECTED FROM THE MY HEALTH STORY 2018 SURVEY AND LOCAL DATA SOURCES SUCH AS LIVINGSTON COUNTY'S PREVENTION NEEDS ASSESSMENT. USING THE ABOVE REFERENCED DATA AND GROUP DISCUSSIONS, PARTICIPANTS UTILIZED CLEAR IMPACT TO RANK A LIST OF GROUP IDENTIFIED PRIORITIES. TO ADDRESS THE PREVIOUSLY MENTIONED PRIORITIES AND DISPARITIES, THE HEALTH DEPARTMENT FACILITATED A CHIP PLANNING MEETING WHERE PARTNERS DISCUSSED OPPORTUNITIES TO LEVERAGE EXISTING WORK. EXISTING WORK EFFORTS WERE THEN COMPARED TO INTERVENTION OPTIONS (PRIMARILY SELECTED FROM THE NEW YORK STATE PREVENTION AGENDA REFRESH CHART) AND WERE INFORMALLY VOTED ON AND SELECTED.IN ADDITION, THE ONGOING COLLABORATIVE PROCESS FOR UPDATING AND REVISING THE ASSESSMENT, INCLUDING NEW INFORMATION ON DATA, OCCURS DURING THE ANNUAL STATE OF THE COUNTY HEALTH REPORT IN AN UPDATE PRESENTATION AND DURING GVHP MEMBERSHIP MEETINGS AND SUBCOMMITTEE MEETINGS, SUCH AS SUICIDE PREVENTION TASK FORCE AND BE WELL MEETINGS. THESE COMMITTEES ARE COMPRISED OF DIVERSE COMMUNITY SECTORS INCLUDING COMMUNITY MEMBERS. RECRUITMENT OF NEW MEMBERS OCCURS ON PARTNERS' WEBSITES AND SOCIAL MEDIA. THE GVHP BOARD REVIEWS ANNUAL MEMBERSHIP TO IDENTIFY GAPS IN MEMBERSHIP BASED ON CURRENT HEALTH PRIORITIES.THE LIVINGSTON COUNTY HEALTH DEPARTMENT, IN PARTNERSHIP WITH UR MEDICINE NOYES HEALTH, SELECTED THE FOLLOWING PRIORITY AREAS AND DISPARITY FOR THE 2022-2024 ASSESSMENT AND PLANNING PERIOD:PRIORITY AREAS & DISPARITY:PREVENT CHRONIC DISEASE 1. INCREASE FOOD SECURITY2. REDUCE OBESITY AND THE RISK OF CHRONIC DISEASES PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS 1. PREVENT SUICIDES DISPARITY: LOW SOCIOECONOMIC STATUS NICHOLAS H. NOYES MEMORIAL HOSPITAL PART V, SECTION B, LINE 6B: LEAD CHA/CHIP AGENCIES:1. LIVINGSTON COUNTY DEPARTMENT OF HEALTH 2. UR MEDICINE|NOYES HEALTH3. PIVOTAL PUBLIC HEALTH PARTNERSHIP - EIGHT COUNTY PARTNERSHIP FOR CHEMUNG, LIVINGSTON, ONTARIO, SCHUYLER, SENECA, STEUBEN, WAYNE, AND YATES COUNTIES4. COMMON GROUND HEALTH - EIGHT-COUNTY REGIONAL REPORT FOR CHEMUNG, LIVINGSTON, ONTARIO, SCHUYLER, SENECA, STEUBEN, WAYNE AND YATES COUNTIESLIST OF LIVINGSTON COUNTY PRIORITIZATION AGENCIES:-LIVINGSTON COUNTY PUBLIC HEALTH-UR MEDICINE|NOYES HEALTH-COMMON GROUND HEALTH-SUNY GENESEO-GENESEE VALLEY BOCES-GLOW ARC-LIVINGSTON COUNTY CENTER FOR NURSING AND REHAB-HEALTH AND WELLNESS-TRI-COUNTY FAMILY MEDICINE-OFFICE FOR AGING-LIVINGSTON COUNTY VETERANS' SERVICES-GENESEE VALLEY HEALTH PARTNERSHIP-NOYES MENTAL HEALTH AND WELLNESS-LIVINGSTON COUNTY MENTAL HEALTH-CASA/TRINITY-CATHOLIC CHARITIES-LIVINGSTON COUNTY PLANNING DEPARTMENT-CANCER SERVICES-UR CENTER FOR COMMUNITY HEALTH AND PREVENTION-LIVINGSTON COUNTY SHERRIFF'S DEPARTMENT-COMMUNITY MEMBERS-PIVOTAL PUBLIC HEALTH PARTNERSHIP-CORNELL COOPERATIVE EXTENSION-LIVINGSTON COUNTY DEPARTMENT OF SOCIAL SERVICES NICHOLAS H. NOYES MEMORIAL HOSPITAL PART V, SECTION B, LINE 7D: BESIDES CHA/CSP/CHIP'S PREVIOUSLY LISTED WEBSITE POSTINGS, THE 2022-2024 CHA/CHIP UPDATE WAS ALSO SHARED WITH THE FOLLOWING COMMUNITY ORGANIZATIONS, BOARDS, AND COALITIONS: -SHARED WITH ALL APPROPRIATE LOCAL PUBLIC RELATIONS OUTLETS IN THE FORM OF A PRESS/MEDIA RELEASE-CHA/CSP/CHIP UPDATE PRESENTATIONS WERE PROVIDED TO: CONTINUUM OF CARE COALITION, GENESEE VALLEY HEALTH PARTNERSHIP MEMBERSHIP, UR MEDICINE|NOYES HEALTH BOARD OF DIRECTORS, UR MEDICINE|NOYES HEALTH MANAGEMENT TEAM, AND LIVINGSTON COUNTY CHA/CHIP LEADERSHIP COMMITTEE. A 2022-2024 CHA/CHIP UPDATE WAS ALSO SCHEDULED FOR APRIL'S ANNUAL LIVINGSTON COUNTY - STATE OF THE COUNTY HEALTH REPORT PRESENTATION. NICHOLAS H. NOYES MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: THE FOLLOWING INITIATIVES ARE PROVIDED BY NOYES HEALTH AS PART OF CURRENT CHA/CHIP PRIORITIES: -PREVENT CHRONIC DISEASE: OBESITY PREVENTION-PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSEPREVENT CHRONIC DISEASE-LIVING HEALTHY NY CLASSES: NOYES HEALTH PROVIDES UP TO FOUR 6-WEEK CERTIFIED CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS THROUGHOUT THE SERVICE AREA FREE OF CHARGE TO EDUCATE PARTICIPANTS TO SUCCESSFULLY MANAGE THEIR CHRONIC DISEASE AND/OR CHRONIC PAIN. TWO SESSIONS WERE HELD BOTH, IN PERSON, WITH A TOTAL OF 19 PARTICIPANTS COMPLETING THE SERIES.-NOYES DIABETES EDUCATION PROGRAM: NOYES HEALTH MAINTAINS A CERTIFIED AADE DIABETES EDUCATION PROGRAM IN OUR RURAL REGION TO PROVIDE INDIVIDUAL DIABETES EDUCATION SERVICES. SERVICES INCLUDE INDIVIDUAL COUNSELING, INSULIN PUMP STARTS AND UPGRADES, CONTINUOUS GLUCOSE MONITOR SCREENINGS, ANNUAL DIABETES HEALTH FAIR, AND NOYES CDCES OVERSEES A COUNTYWIDE DIABETES COALITION.-BE WELL IN LIVINGSTON: NOYES HEALTH AND THE LIVINGSTON COUNTY DEPARTMENT OF HEALTH, WITH GRANT SUPPORT FROM THE GENESEE VALLEY HEALTH PARTNERSHIP, HAVE CO-LEAD THIS COMMUNITY HEALTH IMPROVEMENT COMMITTEE SINCE INCEPTION IN 2017.GOAL: TO REDUCE OBESITY IN CHILDREN AND ADULTS BY IMPLEMENTING POLICY, SYSTEM AND ENVIRONMENTAL CHANGES.OUR MISSION: SUPPORT SUSTAINABLE HEALTHY LIFESTYLE CHOICES WITHIN COMMUNITIES THROUGH POLICY, SYSTEM AND ENVIRONMENTAL CHANGES UTILIZING LOCAL RESOURCES.OUR VISION: BE WELL IN LIVINGSTON WILL SUPPORT LOCAL COMMUNITIES WITH OPPORTUNITIES TO PROMOTE HEALTHY LIVING.COMMITTEE OVERSEES AND SUPPORTS COMMUNITY EFFORTS TO EAT BETTER, MOVE MORE AND STRESS LESS, UTILIZING LOCAL RESOURCES. ASSESSMENTS ARE COMPLETED (SCHOOL, WORKSITE, LOCAL GOVERNMENT, SERVICE GROUPS, CHURCHES), DATA ANALYZED AND PRIORITIES IDENTIFIED BY THE LOCAL BE WELL COMMITTEES. THE COUNTYWIDE BE WELL COMMITTEE ASSISTS WITH MEETING MANAGEMENT, RESOURCES, COMMUNICATIONS AND EVENT SUPPORT. THE MODEL WAS DEVELOPED WITH FIRST RURAL TOWN (NUNDA) BASED ON HEALTH DATA AND NEEDS IN 2018. THE MODEL THEN EXPANDED TO A SECOND TOWN (MT. MORRIS) IN Q4 OF 2019 AND THE THIRD TOWN (LIMA) IN Q2 OF 2023.2022 WAS YEAR SIX FOR BE WELL IN NUNDA, WHICH HAS CONTINUED WITH SUPPORT OF THE STEERING COMMITTEE. FITNESS ACTIVITIES ARE PROMOTED MONTHLY THROUGH THEIR PUBLIC FACEBOOK PAGE, THAT HAS 500+ MEMBERS. THEY SUCCESSFULLY ORGANIZED A 5K, THAT HELPED TO PROVIDE FUNDING FOR ITEMS NOT ALLOWED BY GRANT FUNDING. THE IMPLEMENTATION OF A FARM DROP BOX CONTINUES TO PROVIDE FRESH FRUITS AND VEGETABLES FOR NUNDA RESIDENTS. CONTINUED PARTNERSHIP WITH FOODLINK OF ROCHESTER PROVIDES THE NUNDA COMMUNITY A POP-UP PANTRY TWICE A MONTH TO ADD ANOTHER FREE FOOD SOURCE FOR THOSE IN NEED. COMMUNITY EUCHRE NIGHT BEGAN IN WINTER OF 2022 AND CONTINUES TO BE A WELL-ATTENDED SOCIAL EVENT. THERE ARE EDUCATIONAL PROGRAMS OFFERED: LIVING HEALTHY AND VARIOUS PARENTING CLASSES. DEVELOPMENT OF "PLAY IN NUNDA" INTERACTIVE BROCHURE THAT HIGHLIGHTS PHYSICAL ACTIVITY RESOURCES AND LOCAL BUSINESSES IN THE NUNDA AREA.BE WELL IN MOUNT MORRIS SUCCESSFULLY FORMED A STEERING COMMITTEE THAT HAS A MIXTURE OF LOCAL BUSINESSES AND COMMUNITY MEMBERS THAT ALL HAVE THE COMMON GOAL OF A HEALTHIER COMMUNITY! THE DEVELOPMENT OF THEIR OWN "PLAN IN MOUNT MORRIS" INTERACTIVE BROCHURE WAS ALSO CREATED THAT HIGHLIGHTS PHYSICAL ACTIVITY RESOURCES AND LOCAL BUSINESSES IN MOUNT MORRIS. THIS BROCHURE WAS DISTRIBUTED TO ALL MOUNT MORRIS CENTRAL SCHOOL DISTRICT STUDENTS. THEY SUCCESSFULLY BROUGHT A CORN-HOLE TOURNAMENT TO THE LIVINGSTON COUNTY MURALS FESTIVAL AND COMPLETED ANOTHER FIRST DAY HIKE ON JANUARY 1, 2023. EDUCATIONAL OPPORTUNITIES INCLUDED FRUIT AND VEGGIE RX PROGRAMING THAT WAS OFFERED BY CORNELL COOPERATIVE EXTENSION. MOUNT MORRIS CONTINUES TO STRUGGLE WITH FOOD SECURITY AS THEY DO NOT HAVE A GROCERY STORE. THE STEERING COMMITTEE IS ACTIVELY LOOKING TO INCREASE ACCESS TO HEALTHY FOODS FOR THEIR COMMUNITY.BE WELL IN LIMA IS EAGER TO BRING THE BE WELL INITIATIVE TO THEIR COMMUNITY. THEY HAVE BEGAN TAKING THE FIRST STEP AND HOSTED THE BE WELL IN LIVINGSTON LEADERSHIP TEAM TO LEARN MORE ABOUT WHAT BE WELL IS ALL ABOUT. -NOYES HEALTH DESIGNATED STROKE CENTERTHE STAFF AT NOYES HEALTH ARE COMMITTED TO PROVIDING QUALITY STROKE CARE TO EVERY PATIENT. OUR PROVIDERS AND NURSING STAFF ARE TRAINED IN EARLY STROKE CARE AND WORK HARD EVERY DAY TO PROVIDE THE BEST POSSIBLE OUTCOME FOR OUR PATIENTS. TIME IS THE MOST IMPORTANT FACTOR WHEN SOMEONE IS POSSIBLY SUFFERING A STROKE AND OUR TEAM IS READY TO BEAT THAT CLOCK. BEING A DESIGNATED STROKE CENTER MEANS THAT OUR TEAM HAS WORKED HARD TO MEET THE STRINGENT STANDARDS SET BY NEW YORK STATE FOR STROKE CARE AND WILL CONTINUE EFFORTS TO ONLY IMPROVE OUR PROGRAM. OUR TEAM CONTINUES WITH ITS PRIMARY STROKE CENTER DESIGNATION THROUGH COLLABORATIVE WORK WITH NYS DEPARTMENT OF HEALTH, UNIVERSITY OF ROCHESTER MEDICAL CENTER AND REGIONAL CARE PARTNERS. THIS ALLOWS OUR EMERGENCY PROVIDERS TO CONNECT WITH A TEAM OF INTERVENTIONAL STROKE NEUROLOGISTS 24/7. THIS BRINGS THE SPECIALIZED RESOURCES OF UR MEDICINE, A COMPREHENSIVE STROKE CENTER, TO THE RESIDENTS OF THIS RURAL COMMUNITY AND SURROUNDING COMMUNITIES. PART OF OUR STROKE CENTER DESIGNATION IS EDUCATION. EDUCATION IS STILL PROVIDED IN CONJUNCTION WITH COMMUNITY OUTREACH SERVICES DEPARTMENT TO PROVIDE EDUCATION TO PATRONS OF OUR DIABETES EDUCATION, CAREGIVER RESOURCE CENTER AND MEDICAL ALERT PROGRAMS.-DANSVILLE POP UP PANTRYNOYES HEALTH IN PARTNERSHIP WITH THE LOCAL DANSVILLE YMCA BRANCH, AND FOODLINK OF ROCHESTER, CONTINUED TO SERVE THE DANSVILLE COMMUNITY. THIS DRIVE UP FOOD PANTRY DOES NOT REQUIRE PROOF OF INCOME TO RECEIVE FREE FOOD. THE ONLY DATA COLLECTED AT REGISTRATION IS RELEVANT TO THE AGE GROUP IN EACH HOUSEHOLD: CHILDREN, ADULTS OR SENIORS. FROM JULY 2022 THRU JUNE 2023, THERE WERE 11 POP UP PANTRIES HELD, TOTALING 3069 FAMILIES SERVED AND 8344 INDIVIDUALS FED THROUGH THIS VALUABLE PROGRAM!PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE DISORDERS-ACCESS TO CARE: NOYES MENTAL HEALTH AND WELLNESS FELT THE STRAIN OF COVID-19 AS DID EVERYONE. DESPITE THIS NOYES MENTAL HEALTH AND WELLNESS EXPANDED WITH THE OPENING AN AVON LOCATION IN EARLY 2022 IN THANKS TO THE SUPPORT OF OUR GENEROUS COMMUNITY MEMBERS. AMAZINGLY, IN LESS THAN 1 YEAR THE AVON LOCATION FILLED ALL OF IT'S OFFICE SPACE AND EXCEED 4000 PATIENT VISITS. THE DANSVILLE LOCATION WAS HIT PARTICULARLY HARD WITH STAFFING CHALLENGES, HOWEVER IN THE MIDST OF THIS WE WERE ABLE TO RESURRECT THE ANNUAL COMMUNITY ART SHOW. ADDITIONALLY, IN MARCH OF 2023 REPRESENTATIVES FROM NOYES MENTAL HEALTH ATTENDED AND OFFERED INSIGHT TO THE GLOW CAREER DAY AT GENESEE COMMUNITY COLLEGE. PATIENT VISITS IN DANSVILLE SURPASSED 16000 BETWEEN JULY 2022 AND JUNE 2023. WE ALSO BEGAN DISCUSSIONS IN JUNE OF 2023 AS TO PROVIDING TELEPSYCH CONSULTATION TO EMERGENCY DEPARTMENT PATIENTS AT ST. JAMES WHICH BEGAN IN SEPTEMBER. WE CONTINUED OUR CONTRACTS WITH ALFRED UNIVERSITY AND ST. BONAVENTURE UNIVERSITY TO PROVIDE PSYCHIATRIC SERVICES TO THEIR RESPECTIVE STUDENTS DURING THE SEMESTERS.-MONITOR/SECURE/DISPOSE PROGRAM: LIVINGSTON COUNTY, LIKE MANY OTHER AREAS, CONTINUES TO SEE AN ISSUE WITH OPIATE ABUSE AND ADDICTION. MANY OF THE ADDICTION PROBLEMS WE SEE BEGIN WITH PRESCRIPTIONS. IN RESPONSE TO THIS NEED, ONE OF THE COUNTY'S PRIORITIES WAS TO RESTRICT AVAILABILITY AND TO MONITOR, SECURE, AND SAFELY DISPOSE OF PRESCRIPTION DRUGS. SEVEN MED DROP BOXES WERE INSTALLED IN SEPARATE LOCATIONS THROUGHOUT THE COUNTY IN WHICH THOUSANDS OF POUNDS OF UNWANTED MEDS HAVE BEEN DISPOSED. THE PROGRAM IS PROVIDED IN PARTNERSHIP WITH CASA TRINITY TO ORDER/INSTALL BOXES PER REGULATIONS AND LIVINGSTON COUNTY SHERIFF PICKS UP/DISPOSES OF UNWANTED MEDS (INCINERATED). MED DROP BOX LOCATION INFO IS AVAILABLE AT ALL NOYES HEALTH SITES TO SHARE WITH PATIENTS/FAMILIES/CAREGIVERS. -SUICIDE PREVENTION TASK FORCE: NOYES MENTAL HEALTH STAFF CONTINUE TO BE ACTIVE PARTICIPANTS ON LIVINGSTON COUNTRY'S SUICIDE PREVENTION TASK FORCE. THE GOAL IS TO CULTIVATE A SAFETY-ORIENTED CULTURE COMMITTED TO REDUCING SUICIDES IN LIVINGSTON COUNTY. THE TASK FORCE MEETS MONTHLY AT THE LIVINGSTON COUNTY GOVERNMENT CENTER. THE TASK FORCE INTRODUCED THE LOCK & TALK PROGRAM ON DECEMBER 21, 2021. THIS PROGRAM INCORPORATES MEDICATION SAFETY, GUN SAFETY, AND MENTAL HEALTH RESOURCES TO PREVENT SUICIDES.CHA COMMUNITY HEALTH SURVEY IN SPRING OF 2022, UR MEDICINE NOYES HEALTH WORKED WITH THE LIVINGSTON COUNTY DEPARTMENT OF HEALTH, PIVOTAL PUBLIC HEALTH PARTNERSHIP AND COMMON GROUND HEALTH TO COMPLETE THE 2022 LIVINGSTON COUNTY COMMUNITY HEALTH ASSESSMENT PROCESS. THE DECISION WAS MADE TO UTILIZE A NEW COMMUNITY HEALTH ASSESSMENT TOOL: CLEAR IMPACT. COMMON GROUND HEALTH SURVEYED A 12-COUNTY REGION TO COMPLETE THE "MY HEALTH STORY 2.0" IN THE SUMMER OF 2022. 122 SURVEYS WERE COMPLETED. 5 1 - LIVINGSTON HEALTH SERVICES 50 EAST SOUTH STREET GENESEO NY 14454 OUTPATIENT SURGERY, DIAGNOSTIC, AND URGENT CARE 2 - NOYES MENTAL HEALTH CLINIC 9221 ROBERT HART DRIVE DANSVILLE NY 14437 MENTAL HEALTH CLINIC 3 - NOYES CNTR FOR KIDNEY DISEASE & DIALYSIS 4616 MELLENIUM DRIVE GENESEO NY 14454 CHRONIC DIALYSIS CENTER AND NEPHROLOGIST 4 - AVON MENTAL HEALTH 5712 TEC DRIVE AVON NY 14414 MENTAL HEALTH CLINIC 5 - NOYES PHYSICAL OCCUPATIONAL SPEECH THERA 60 RED JACKET STREET DANSVILLE NY 14437 PHYSICAL, OCCUPATIONAL, SPEECH THERAPY PART II, COMMUNITY BUILDING ACTIVITIES: NOYES CONTINUUM OF CARE COALITION (CCC): THIS 40-AGENCY COALITION MEETS SIX TIMES PER CALENDAR YEAR VIA ZOOM FOR EDUCATION, AGENCY UPDATES, AND NETWORKING. SOME EXAMPLES OF EDUCATION INCLUDED CANCER SERVICES PROGRAM OF THE FINGER LAKES, TOGETHER IN CARING AND PERSON-CENTERED SERVICES.MEMBERS USE THE GROUP EMAIL ADDRESS OF TARA_COFFEY@URMC.ROCHESTER.EDU TO SHARE AGENCY/PROGRAM INFORMATION IN BETWEEN MEETINGS. HEALTH AND HUMAN SERVICE AGENCY PARTNERSHIPS AND COLLABORATIONS HAVE STRENGTHENED VIA THIS COALITION. CANCER SUPPORT SERVICES COALTION (CSS): NOYES CONTINUES TO RECOGNIZE OPPORTUNITIES TO EXPAND SUPPORT SERVICES FOR PATIENTS AND CAREGIVERS ACROSS THE TRI-COUNTY REGION AND CONTINUES TO REACH OUT TO REGIONAL CANCER SERVICE SUPPORT PROGRAMS, HEALTHCARE AGENCIES, CANCER SURVIVORS, INDIVIDUALS AND COMMUNITY GROUPS. CANCER SUPPORT SERVICE PROVIDERS AND PARTNERS MEET QUARTERLY FOR EDUCATION, INFO SHARING AND PARTNERSHIPS TO GROW OUR RURAL AREA CANCER SUPPORT SERVICES. PARTNERSHIP PROGRAMSNOYES CAREGIVER RESOURCE CENTER: THE CAREGIVER RESOURCE CENTER AT NOYES HOSPITAL PROVIDES CAREGIVER SUPPORT SERVICES IN PARTNERSHIP WITH LIVINGSTON COUNTY OFFICE FOR THE AGING. THE PROGRAM ASSISTS INFORMAL CAREGIVERS, SPOUSES, ADULT CHILDREN, OTHER FAMILY MEMBERS, FRIENDS, AND NEIGHBORS IN THEIR EFFORTS TO CARE FOR PERSONS WHO NEED HELP WITH EVERYDAY TASKS. THIS CRUCIAL ASSISTANCE ALLOWS THESE PERSONS WITH CHRONIC ILLNESSES OR DISABILITIES TO REMAIN LIVING IN THEIR OWN HOMES THROUGHOUT OUR COMMUNITY.SERVICES INCLUDE INFORMATION & ASSISTANCE, RESPITE CARE (BOTH IN-HOME AND DAY CARE), SUPPORT GROUPS, EDUCATION, MONTHLY CAREGIVER NEWSLETTER, AND COORDINATION OF THE ANNUAL CAREGIVER SYMPOSIUM EVENT. THE CAREGIVER RESOURCE CENTER PROVIDED ASSISTANCE TO 128 NEW FAMILIES FROM JULY 2022 THROUGH JUNE 30, 2023. PART III, LINE 2: IMPLICIT PRICE CONCESSIONS ARE ESTIMATED BASED ON HISTORICAL COLLECTION RATES, WHICH ARE UPDATED ANNUALLY. PART III, LINE 4: PAGES 11-12 IN THE ATTACHED FINANCIAL STATEMENTS CONTAIN THE FOOTNOTE THAT DESCRIBES IMPLICIT PRICE CONCESSIONS. PART III, LINE 8: THERE IS NO MEDICARE SHORTFALL; THEREFORE, NONE IS TREATED AS COMMUNITY BENEFIT AND NO COSTING METHODOLOGY IS USED. PART III, LINE 9B: FINANCIAL ASSISTANCE ELIGIBLE PATIENT BALANCES ARE DISCOUNTED ACCORDING TO THE FINANCIAL ASSISTANCE POLICY AND FEDERAL POVERTY GUIDELINES. PATIENTS WHO DO NOT APPLY FOR FINANCIAL ASSISTANCE AND HAVE NOT PAID BALANCES OWED ON ACCOUNTS HAVE A DETERMINATION OF PRESUMPTIVE ELIGIBILITY SCORE BY AN OUTSIDE VENDOR USING ANALYTICAL SOFTWARE. PATIENTS DEEMED ELIGIBLE BY THIS VENDOR ARE NOT SENT TO AN OUTSIDE COLLECTION AGENCY AND RECEIVE 100% DISCOUNT. PART VI, LINE 2: NEEDS ASSESSMENTSELECTION OF THE 2022-2024 COMMUNITY HEALTH ASSESSMENT (CHA), COMMUNITY SERVICE PLAN (CSP) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PRIORITY AND DISPARITY AREAS WAS A JOINT PROCESS WHICH BEGAN IN THE SUMMER OF 2021 WITH ASSISTANCE FROM PIVOTAL PUBLIC HEALTH PARTNERSHIP AND COMMON GROUND HEALTH. A VARIETY OF PARTNERS WERE ENGAGED THROUGHOUT THE PROCESS INCLUDING THE PUBLIC HEALTH DEPARTMENT AND HOSPITAL STAFF, COMMUNITY BASED ORGANIZATIONS (CBOS), OFFICE FOR AGING, SKILLED NURSING FACILITY, CASA, COUNTY GOVERNMENT EMPLOYEES, THE GENESEE VALLEY HEALTH PARTNERSHIP, COMMON GROUND HEALTH, COMMUNITY MEMBERS AND MORE. THE CHA LEADERSHIP COMMITTEE PARTNERS' ROLE IN THE ASSESSMENT WERE TO HELP INFORM AND SELECT THE 2022-2024 PRIORITY AREAS BY SHARING ANY PERTINENT DATA OR CONCERNS AND ACTIVELY PARTICIPATING IN PLANNING MEETINGS.ON JULY 21, 2021, THE LIVINGSTON COUNTY HEALTH DEPARTMENT AND UR MEDICINE NOYES HEALTH ENGAGED KEY STAKEHOLDERS ON THE CHA LEADERSHIP TEAM IN A PRIORITIZATION MEETING FACILITATED BY COMMON GROUND HEALTH. KEY PARTNERS AND COMMUNITY MEMBERS WERE INVITED TO ATTEND THE PRIORITIZATION MEETINGS, INCLUDING ALL THOSE WHO ATTENDED PRIOR FOCUS GROUPS. SOCIAL MEDIA PLATFORMS, E-MAIL, NEWS MEDIA AND NEWSLETTERS WERE UTILIZED TO HELP STIMULATE PARTICIPATION. COMMON GROUND HEALTH PROVIDED GROUP MEMBERS COPIES OF COUNTY SPECIFIC PRE-READ DOCUMENTS IN ADVANCE OF THE MEETINGS. THE DOCUMENTS INCLUDED INFORMATION ON CURRENT PRIORITY AREAS AND PROGRESS MADE TO DATE, AS WELL AS A MIX OF UPDATED QUANTITATIVE, QUALITATIVE, PRIMARY AND SECONDARY DATA ON EACH OF THE FIVE PRIORITY AREAS OUTLINED IN THE NEW YORK STATE PREVENTION AGENDA. DATA WAS COLLECTED FROM A VARIETY OF DIFFERENT SOURCES INCLUDING BUT NOT LIMITED TO THE AMERICAN COMMUNITY SURVEY, THE ENHANCED BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, COUNTY RANKINGS AND ROADMAPS, VITAL STATISTICS, COMMUNICABLE DISEASE AND DENTAL REPORTS, PRIMARY DATA COLLECTED FROM THE MY HEALTH STORY 2018 SURVEY AND LOCAL DATA SOURCES SUCH AS LIVINGSTON COUNTY'S PREVENTION NEEDS ASSESSMENT. A COPY OF THE PRE-READ DOCUMENT, PRIORITIZATION MEETING MATERIALS AND MEETING ATTENDEES ARE AVAILABLE UPON REQUEST.USING THE ABOVE REFERENCED DATA AND GROUP DISCUSSIONS, PARTICIPANTS UTILIZED CLEAR IMPACT TO RANK A LIST OF GROUP IDENTIFIED PRIORITIES. TO ADDRESS THE PREVIOUSLY MENTIONED PRIORITIES AND DISPARITIES, THE HEALTH DEPARTMENT FACILITATED A CHIP PLANNING MEETING WHERE PARTNERS DISCUSSED OPPORTUNITIES TO LEVERAGE EXISTING WORK. EXISTING WORK EFFORTS WERE THEN COMPARED TO INTERVENTION OPTIONS (PRIMARILY SELECTED FROM THE NEW YORK STATE PREVENTION AGENDA REFRESH CHART) AND WERE INFORMALLY VOTED ON AND SELECTED.IN ADDITION, THE ONGOING COLLABORATIVE PROCESS FOR UPDATING AND REVISING THE ASSESSMENT, INCLUDING NEW INFORMATION ON DATA, OCCURRED DURING THE ANNUAL STATE OF THE COUNTY HEALTH REPORT 2019 UPDATE PRESENTATION AND DURING GVHP MEMBERSHIP MEETINGS AND SUBCOMMITTEE MEETINGS SUCH AS THE SUICIDE PREVENTION TASK FORCE AND BE WELL MEETINGS. THESE COMMITTEES ARE COMPRISED OF DIVERSE COMMUNITY SECTORS INCLUDING COMMUNITY MEMBERS. RECRUITMENT OF NEW MEMBERS OCCURS ON PARTNERS' WEBSITES AND SOCIAL MEDIA. THE GVHP BOARD REVIEWS ANNUAL MEMBERSHIP TO IDENTIFY GAPS IN MEMBERSHIP BASED ON CURRENT HEALTH PRIORITIES.THE LIVINGSTON COUNTY HEALTH DEPARTMENT, IN PARTNERSHIP WITH UR MEDICINE NOYES HEALTH, SELECTED THE FOLLOWING PRIORITY AREAS AND DISPARITY FOR THE 2022-2024 ASSESSMENT AND PLANNING PERIOD:PREVENT CHRONIC DISEASE1. INCREASE FOOD SECURITY2. REDUCE OBESITY AND THE RISK OF CHRONIC DISEASESPROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDER1. PREVENT SUICIDES DISPARITY: LOW SOCIOECONOMIC STATUS THE COMPLETE DETAILED 8-REGION 2022-24 CHA/CHIP REPORT CAN BE FOUND:HTTPS://MEDIA.CMSMAX.COM/RAVK3PGZ5KTLUJS1R08CI/134-45-CGH-COMMUNITYHEALTHASSESSMENT-2022-R9.PDF PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: FOR 2022, NOYES HEALTH CONTINUED EFFORTS TO COMMUNICATE THE FINANCIAL AID POLICY. WE HAVE A DEDICATED FINANCIAL AID COUNSELOR WHO CONTACTS ALL FA PATIENTS AND IS A CERTIFIED MEDICAID ENROLLER. EVERY UNINSURED AND UNDERINSURED PATIENT RECEIVES A FINANCIAL AID PACKET CONSISTING OF THE UR MEDICINE NOYES HEALTH POLICY FOR FINANCIAL ASSISTANCE, OUR FINANCIAL ASSISTANCE SUMMARY WHICH GIVES A BRIEF EXPLANATION OF HOW WE CAN HELP OUR PATIENTS WITH LIMITED INCOMES, OUR FAQS SHEET AND OUR FINANCIAL ASSISTANCE APPLICATION. A PRESUMPTIVE ENROLLER FOR PREGNANT WOMEN ATTENDING THE NOYES FIRST STEPS PROGRAM, SOCIAL WORKERS AND A DEDICATED FA BILLING REPRESENTATIVE WHO WORKS SPECIFICALLY WITH ALL UNINSURED PATIENTS BEFORE, DURING AND FOLLOWING ADMISSION/SERVICE/CARE AVAILABLE AS NEEDED. PART VI, LINE 4: DEMOGRAPHIC AND SOCIOECONOMIC HEALTH INDICATORS BASED ON U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY 2021 1-YEAR ESTIMATES:LIVINGSTON COUNTY IS HOME TO CONESUS AND HEMLOCK LAKES AND LETCHWORTH STATE PARK. IT IS LOCATED SOUTH OF MONROE COUNTY AND NORTH OF STEUBEN AND ALLEGANY COUNTIES. THE NORTHERN PORTION OF THE COUNTY'S PROXIMITY TO THE CITY OF ROCHESTER MAKES IT EASILY ACCESSIBLE FOR JOBS FOR THOSE ABLE TO COMMUTE. AN ESTIMATED OF 62,000 PERSONS RESIDE IN THE COUNTY, THE MAJORITY OF WHICH (93%) ARE WHITE NON-HISPANIC. 8.4% OF THE 18+ POPULATION ARE LIVING WITH A DISABILITY. A SIGNIFICANT NUMBER 12.6% - OF LIVINGSTON COUNTY RESIDENTS ARE LIVING BELOW THE FEDERAL POVERTY LEVEL, AND ANOTHER 16% LIVE NEAR IT. THE RATES ARE HIGHER IN COMMUNITIES SUCH AS GENESEO, MOUNT MORRIS AND DANSVILLE. HIGHER LEVEL EDUCATION HAS BEEN ON THE RISE WITH AN INCREASE 2020 DATA HAS SHOWN THAT 56.8% OF LIVINGSTON COUNTY RESIDENTS HAVE AT LEAST SOME FORM OF COLLEGE EXPERIENCE.24% OF LIVINGSTON COUNTY RESIDENTS RENT VS. OWN THEIR HOME. IN ADDITION, 8% OF OCCUPIED HOUSING UNITS HAVE NO VEHICLES AVAILABLE. ANOTHER 32% HAVE ACCESS TO ONE VEHICLE. OF NOTE, THE AVERAGE HOUSEHOLD SIZE FOR OCCUPIED HOUSING IS GREATER THAN TWO PEOPLE. APPROXIMATELY 50% OF RESIDENTS ARE PAYING 35% OR MORE OF THEIR HOUSEHOLD INCOME IN RENT COSTS. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH:NOYES MEDICAL STAFF: IS AN OPEN MEDICAL STAFF AND IS STAFFED WITH DOCTORS WHO STRIVE TO MEET OUR GOAL FOR EXCEPTIONALLY PERSONALIZED PATIENT CARE; LIKE EVERYONE AT NOYES HEALTH, THE PATIENT IS THE FOCUS. REPRESENTING A WIDE RANGE OF SPECIALTIES AND SUBSPECIALTIES, OUR PHYSICIANS HAVE EXPERTISE AND EXPERIENCE TO PROVIDE YOU WITH THE HIGHEST STANDARD OF CARE, INCLUDING GENERAL SURGERY, INTERNAL MEDICINE, FAMILY PRACTICE, ORTHOPEDICS, ONCOLOGY, PODIATRY, AND OBSTETRICS. 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 COMMUNITY OUTREACH SERVICES: PROVIDE MANY PREVENTION, EDUCATION AND SCREENING SERVICES THROUGHOUT THE COMMUNITIES IN OUR SERVICE AREA, VIA ONE-TO-ONE VISITS (OFFICE OR HOME), CLASSES, EVENTS, AND/OR CLINICS:-NOYES HEALTH MEDICAL ALERT PROGRAM AND MEDICATION DISPENSING SERVICES: TO SUPPORT SAFETY/ACCESS TO HELP AND MEDICATION MANAGEMENT FOR AGING AND DISABLED POPULATIONS LIVING AT HOME. THIS PROGRAM IS PRIMARILY ALL HOME VISITS. PROGRAM WORK ALSO INCLUDES COUNTYWIDE FALL PREVENTION INITIATIVES: HOME SAFE HOME, FALL PREVENTION EDUCATION PROMOTION, ANNUAL FALL PREVENTION WORKSHOP (LEAD AGENCY).-NOYES FIRST STEPS: PRENATAL EDUCATION AND SUPPORT SERVICES FOR LOW INCOME AND/OR HIGH NEED CLIENTS TO SUPPORT HEALTHY BIRTH OUTCOMES, OFFICE AND HOME VISITS. CHILD BIRTH EDUCATION AND INFANT FEEDING CLASSES ALSO PROVIDED TO COMMUNITY. RN CASE MANAGER FACILITATES THE QUARTERLY REGIONAL MATERNAL CHILD HEALTH COALITION.-CAREGIVER RESOURCE CENTER: EDUCATION, INFORMATION AND ASSISTANCE, SUPPORT GROUPS, RESPITE, MONTHLY EMAILS PROVIDED TO CAREGIVERS CARING FOR LOVED ONES WITH ALZHEIMER'S/DEMENTIA VIA HOME VISITS, PHONE CALLS, CLASSES, AND EVENTS. PROVIDED IN PARTNERSHIP WITH LOCAL OFFICE FOR THE AGING. -CHRONIC DISEASE SELF-MANAGEMENT CLASSES: YEAR-ROUND LIVING HEALTHY, LIVING HEALTHY WITH CHRONIC PAIN, AND LIVING HEALTHY W/DIABETES CLASSES. PROGRAM FREE TO COMMUNITY AND FUNDING SOURCES ARE BASED ON GRANTS AND OTHER AGENCY RESOURCES. -WORKSITE WELLNESS PROGRAM: FITNESS, NUTRITION AND STRESS MANAGEMENT OPPORTUNITIES THROUGHOUT THE YEAR COORDINATED BY OUR WELLNESS COMMITTEE FOR APPROX. 550 NOYES FTE'S AND THEIR FAMILY MEMBERS.-CANCER SUPPORT SERVICES: HOSPITAL LEADS CANCER SUPPORT COALITION WORKING WITH CANCER SUPPORT PROGRAMS AND SERVICES IN FIVE-COUNTY REGION TO SUPPORT PATIENTS OF THE MYERS CANCER CENTER AT NOYES HOSPITAL. -DIABETES EDUCATION PROGRAM: AADE RECOGNIZED DIABETES EDUCATION PROGRAM FOR OUR REGION AND PROVIDES INDIVIDUAL COUNSELING AT A VARIETY OF LOCATIONS IN SERVICE AREA. INSULIN PUMP STARTS AND SUPPORT ARE ALSO PROVIDED ALONG WITH CGMS SCREENING. THE CDCES LEADS THE COUNTYWIDE DIABETES COALITION.-HOME SAFE HOME: IN-HOME FALL PREVENTION ASSESSMENTS AND HOME MODIFICATIONS. NOYES PROVIDES THE PROGRAM STAFF WHO DOES OUTREACH AND SCREENS ALL REFERRALS FOR HOME FALL RISK ASSESSMENT OF OLDER ADULTS LIVING AT HOME. LIFESPAN OF ROCHESTER IS THE PROGRAM PARTNER WHO PROVIDES THE STAFF AND EQUIPMENT TO DO THE ASSESSMENTS AND LIGHT HOME MODIFICATIONS, I.E. INSTALLATION OF GRAB BARS/RAILINGS, SHOWER CHAIRS, ETC. THE PROGRAM IS CURRENTLY GRANT FUNDED AND FREE TO INDIVIDUALS 60+ WHO MEET INCOME GUIDELINES. PARTNERSHIPS: -NOYES HEALTH ACTIVELY COLLABORATES WITH ALL HEALTH AND HUMAN SERVICE AGENCIES IN LIVINGSTON COUNTY, I.E. OFFICE FOR AGING, DEPT OF HEALTH, DEPT OF SOCIAL SERVICES, LIVINGSTON-WYOMING ARC, CATHOLIC CHARITIES OF LIV CO, AND TRIAD, ETC.-NOYES HEALTH MANAGERS SIT AS BOARD MEMBERS AND/OR GENERAL MEMBERS OF THE COUNTYWIDE RURAL HEALTH NETWORK, THE GENESEE VALLEY HEALTH PARTNERSHIP. -NOYES HEALTH STAFF PERSON LEADS THE CONTINUUM OF CARE COALITION STARTED IN 11/13, HAS 40+ AGENCY MEMBERS AND MEETS 6 TIMES PER CALENDAR YEAR. -NOYES HEALTH STAFF PERSON LEADS THE DIABETES EDUCATION COALITION AND MATERNAL CHILD HEALTH COALITION FOR LIVINGSTON COUNTY.-NOYES HEALTH HAS HOSPITAL STAFF ON MULTIPLE COUNTY COMMITTEES AND BOARDS, I.E. OFFICE FOR AGING ADVISORY BOARD, TRIAD, FALL PREVENTION COALITION, AND TWO COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) COMMITTEES: TRAUMA INFORMED COMMUNITIES AND BE WELL IN LIVINGSTON -HOSPITAL ADMINISTRATORS SIT ON SEVERAL COMMUNITY AND REGIONAL HOSPITAL BOARDS, I.E. LIV CO HOSPICE BOARD, LIV CO PROFESSIONAL ADVISORY BOARD, HANYS BOARD, ALFRED STATE COLLEGE NURSING ADVISORY BOARD, GCC NURSING ADVISORY BOARD, UR SON ADVISORY COMMITTEE, SEAGATE ALLIANCE, AND REGIONAL EMERGENCY MEDICINE ADVISORY BOARD. -NOYES COMMUNITY OUTREACH SERVICES PROVIDE MANY PREVENTION, EDUCATION AND SCREENING SERVICES THROUGHOUT THE COMMUNITY AND INCLUDES HOME VISITS FOR SOME SERVICES: --NOYES HEALTH MEDICAL ALERT PROGRAM AND MEDICATION DISPENSING SERVICES: ALL HOME VISITS --NOYES FIRST STEPS: PRENATAL EDUCATION AND SUPPORT SERVICES FOR LOW INCOME AND/OR HIGH NEED CLIENTS, OFFICE VISITS ONLY --CAREGIVER RESOURCE CENTER: HOME VISITS, PHONE CALLS, CLASSES, SUPPORT GROUPS, AND EVENTS --LIVING HEALTHY: CHRONIC DISEASE SELF-MANAGEMENT CLASSES PROVIDED THROUGHOUT THE COUNTY 3 TIMES PER YEAR PART VI, LINE 6: NICHOLAS H. NOYES MEMORIAL HOSPITAL IS AFFILIATED WITH THE UNIVERSITY OF ROCHESTER MEDICAL CENTER (URMC). TOGETHER WITH NICHOLAS H. NOYES MEMORIAL HOSPITAL, URMC AND ITS OTHER HEALTH CARE AFFILIATES PROVIDE COMPREHENSIVE HEALTHCARE SERVICES IN NEW YORK STATE. THIS AFFILIATION PROVIDES ENHANCED CARE TO RESIDENTS OF THE HOSPITAL'S SERVICE AREA THROUGH ACCESS TO SPECIALISTS AND SPECIALTY SERVICES. THE UNIVERSITY OF ROCHESTER MEDICAL CENTER IS AN INTEGRATED ACADEMIC HEALTH CENTER THAT COMPRISES THE SCHOOL OF MEDICINE AND DENTISTRY, INCLUDING ITS FACULTY PRACTICE (UNIVERSITY OF ROCHESTER MEDICAL FACULTY GROUP); STRONG MEMORIAL HOSPITAL; HIGHLAND HOSPITAL; GOLISANO CHILDREN'S HOSPITAL; JAMES P. WILMOT CANCER CENTER; STRONG WEST; SCHOOL OF NURSING; EASTMAN INSTITUTE FOR ORAL HEALTH; VISITING NURSE SERVICE; HIGHLANDS AT PITTSFORD; THE HIGHLANDS LIVING CENTER, INC.; HIGHLANDS AT BRIGHTON, FF THOMPSON HEALTH SYSTEM, INC., JONES MEMORIAL HOSPITAL, NOYES HEALTH, ST. JAMES HOSPITAL AND ACCOUNTABLE HEALTH PARTNERS, LLC. UR MEDICAL CENTER AND THE AFFILIATED HEALTH CARE ENTITIES HAVE EMBRACED A COMPREHENSIVE APPROACH TO COMMUNITY HEALTH, WHICH EMPLOYS THE MULTIDISCIPLINARY SKILLS FOUND IN AN ACADEMIC MEDICAL CENTER TO BOTH PROVIDE IMPORTANT COMMUNITY SERVICES AND CONDUCT COMMUNITY-BASED RESEARCH. THESE ACTIVITIES HELP INFORM POLICYMAKERS AND THE COMMUNITY ABOUT LOCAL HEALTH CHALLENGES, EVALUATE THE EFFECTIVENESS OF INTERVENTIONS, AND SERVE AS A FOUNDATION FOR EVIDENCE-BASED PRACTICES TO IMPROVE HEALTH AND OVERALL QUALITY OF LIFE. PART VI, LINE 7, REPORTS FILED WITH STATES NY X X X 0 1 0 0 0 0 0 0 0 STEVEN GOLDSTEIN UR DIRECTOR 0 1509252 0 0 0 1797296 0 188712 0 20961 0 3516221 0 1701400 MARK TAUBMAN MD UR DIRECTOR 0 1744544 0 0 0 38888 0 156577 0 20396 0 1960405 0 0 KEVIN O'KEEFE MD ORTHOPEDIST 655094 0 9358 0 195 0 6000 0 27066 0 697713 0 0 0 J CHAD TEETERS MD PRESIDENT/CHIEF EXECUTIVE 0 584126 0 0 0 0 0 28787 0 33887 0 646800 0 0 ROBERT CAPECCI MD ORTHOPEDIST 606888 0 8 0 2196 0 5725 0 27006 0 641823 0 0 0 BRIAN FORESMAN MD GENERAL SURGEON 567897 0 13 0 449 0 6000 0 27066 0 601425 0 0 0 ROBERT MCCANN MD UR DIRECTOR 0 494955 0 0 0 3515 0 36333 0 23410 0 558213 0 0 MARK PRUNOSKE CHIEF FINANCIAL OFFICER 0 317212 0 69455 0 51880 0 52884 0 27358 0 518789 0 36846 DOUGLAS MAYHLE MD MEDICAL DIRECTOR 413682 0 0 0 30001 0 6000 0 23190 0 472873 0 0 0 JAIME MOLINA-MARTINEZ MD HOSPITALIST 398053 0 0 0 293 0 6000 0 24398 0 428744 0 0 0 ALBERTO VELASCO MD ANESTHESIOLOGIST 356919 0 13 0 1354 0 6000 0 23199 0 387485 0 0 0 PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED EMPLOYER PAID AMOUNTS THAT ARE INCLUDED IN DEFERRED COMPENSATION: STEVEN GOLDSTEIN - SERP PLAN - $159,400 ROBERT MCCANN, M.D. - SERP PLAN - $12,800 MARK TAUBMAN, M.D. - SERP PLAN - $127,265 MARK PRUNOSKE - 457(F) PLAN - $31,534 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED EMPLOYER PAID AMOUNTS THAT ARE INCLUDED IN OTHER REPORTABLE COMPENSATION: STEVEN GOLDSTEIN - 457(F) PLAN - $1,701,400 MARK PRUNOSKE - 457(F) PLAN - $36,846 THESE AMOUNTS REPRESENT EMPLOYEE DEFERRALS OF COMPENSATION, PLUS INVESTMENT EARNINGS, OVER SEVERAL YEARS THAT VESTED AND WERE PAID PURSUANT TO THE REQUIREMENTS OF THE PLAN. THE EMPLOYEE DEFERRALS WERE REPORTED AS DEFERRED COMPENSATION IN SCHEDULE J, PART II, COLUMN C IN PRIOR YEARS AND ARE ALSO REFLECTED IN SCHEDULE J, PART II, COLUMN F. A LIVINGSTON COUNTY INDUSTRIAL DEVELOPMENT AGENCY 161136853 538655AD3 2005-06-29 9471914 ACQUISITION, RENOVATION, CONSTRUCTION, AND EQUIPPING OF HOSPITAL 0 0 0 A 5540000 9763548 805638 625676 189438 6449941 1692856 2006 1 0 1 1 A 0 0 1 1 0 0.01200 0.01200 0 0 0 A 0 0 1 0 0 0 0 0 0 A 0 MEDICOR INTERNAL MEDICINE PLLC ENTITY MORE THAN 35% OWNED BY AHSEN SHEIKH, DIRECTOR 375845 CONTRACTED SERVICES 0 FORM 990, PART VI, SECTION A, LINE 2 SEVERAL OF THE DIRECTORS OF NICHOLAS H. NOYES MEMORIAL HOSPITAL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER THROUGH THEIR EMPLOYMENT. MARK TAUBMAN IS AN OFFICER OF THE UNIVERSITY OF ROCHESTER. STEVEN GOLDSTEIN, ROBERT MCCANN, AND J. CHAD TEETERS ARE EMPLOYEES OF THE UNIVERSITY OF ROCHESTER. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF NICHOLAS H. NOYES MEMORIAL HOSPITAL IS LIVINGSTON HEALTH CARE SYSTEM, INC. FORM 990, PART VI, SECTION A, LINE 7A UP TO 18 "COMMUNITY DIRECTORS" ARE APPOINTED BY LIVINGSTON HEALTH CARE SYSTEM, INC. TO THE BOARD OF DIRECTORS. UP TO 3 "UR DIRECTORS" ARE APPOINTED BY THE UNIVERSITY OF ROCHESTER TO THE BOARD OF DIRECTORS. THE UNIVERSITY OF ROCHESTER RESERVES THE POWER TO ELECT AND REMOVE THE DIRECTORS OF THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN DECISIONS REQUIRE THE APPROVAL OF LIVINGSTON HEALTH CARE SYSTEM, INC. AS THE SOLE CORPORATE MEMBER OF NICHOLAS H. NOYES MEMORIAL HOSPITAL, INCLUDING BUT NOT LIMITED TO: SIGNIFICANT PURCHASES OR SALES OF REAL PROPERTY, AMENDMENTS TO THE CERTIFICATE OF INCORPORATION, MERGERS, AND DISSOLUTION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE AND BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, COMMITTEE MEMBERS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST (A) PRIOR TO VOTING ON OR OTHERWISE DISCHARGING THEIR DUTIES WITH RESPECT TO ANY MATTER INVOLVING THE CONFLICT THAT COMES BEFORE THE BOARD OR COMMITTEE, (B) PRIOR TO ENTERING INTO ANY CONTRACT OR TRANSACTION INVOLVING THE CONFLICT, (C) AS SOON AS POSSIBLE AFTER THEY LEARN OF THE CONFLICT, AND (D) ON AN ANNUALLY COMPLETED AND SUBMITTED CONFLICT OF INTEREST DISCLOSURE FORM. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS REVIEWS THE GOALS AND OBJECTIVES OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER ALONG WITH COMPARABILITY DATA TO DETERMINE COMPENSATION. THE DELIBERATION AND DECISION IS RECORDED IN THE MINUTES OF THE BOARD OF DIRECTORS. THE PRESIDENT/CHIEF EXECUTIVE OFFICER DETERMINES THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES BASED ON COMPARABILITY DATA AND PERFORMANCE. FORM 990, PART VI, SECTION C, LINE 19 NICHOLAS H. NOYES MEMORIAL HOSPITAL'S FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST. THE HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE NOT ROUTINELY MADE AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G OTHER FEES FOR SERVICE: PROGRAM SERVICE EXPENSES 16,776,208. MANAGEMENT AND GENERAL EXPENSES 3,398,443. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,174,651. FORM 990, PART XI, LINE 9: CHANGE IN FUNDED STATUS OF PENSION PLAN 318,869. CHANGE IN INTEREST OF FOUNDATION 1,042,604. 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