2025-11-06T09:55:54-06:00 2024-12-31 222027092 WITHUM SMITH & BROWN PC 424 MAIN STREET SUITE 800 BUFFALO NY 142023508 990 2024-01-01 150532180 CHENANGO MEMORIAL HOSPITAL INC CHEN 6073374111 179 NORTH BROAD STREET NORWICH NY 13815 DESIREE AXLEY VP FINANCE & CFO 6073374111 2025-11-04 1 0 MARY MADONIA P00405803 7168472651 2024 2025-03-06 01:10:19Z DESIREE AXLEY 179 NORTH BROAD STREET NORWICH NY 13815 111566471 0 X WWW.NYUHS.ORG X 1910 NY (SEE SCHEDULE O) 16 12 550 216 3300 0 5565439 1087443 93452632 108305655 876172 1140611 185731 980670 100079974 111514379 0 0 0 0 32772441 34695937 0 0 0 61157217 66065748 93929658 100761685 6150316 10752694 99102707 114199096 38358264 39375699 60744443 74823397 X (SEE SCHEDULE O)CHENANGO MEMORIAL HOSPITAL, INC. (THE HOSPITAL) IS A NOT-FOR-PROFIT CORPORATION ORGANIZED TO OPERATE ACUTE NURSING FACILITIES IN NORWICH, NEW YORK. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF CHENANGO AND SURROUNDING COUNTIES. 0 0 19480875 16726919 INPATIENT, ACUTE NURSING SERVICES- CHENANGO MEMORIAL HOSPITAL FULFILLS ITS MISSION BY WORKING TOGETHER WITH THE COMMUNITY, PHYSICIANS AND OTHER HEALTH CARE PROVIDERS TO CONTINUOUSLY IMPROVE THE AVAILABILITY AND QUALITY OF SERVICES AND THE ABILITY TO PROVIDE A COMPREHENSIVE RANGE OF SHORT-TERM INPATIENT ACUTE SERVICES. CHENANGO MEMORIAL HOSPITAL PROVIDES A WIDE RANGE OF MEDICAL-SURGICAL SERVICES, INCLUDING: OPHTHALMOLOGY, EMERGENCY MEDICINE, MATERNITY CARE, PULMONARY MEDICINE, AND PEDIATRICS. TOTAL INPATIENT DAYS FOR THE YEAR ENDED DECEMBER 31, 2024 WAS 4,782. DISCHARGES WERE 1,383, AND AVERAGE LENGTH OF STAY WAS 3.46 DAYS. THERE WERE 198 BIRTHS AND 296 INPATIENT SURGERIES PERFORMED AT CHENANGO MEMORIAL HOSPITAL IN 2024. IN 2024, CHENANGO MEMORIAL HOSPITAL GAVE FINANCIAL ASSISTANCE TO 68 INDIVIDUALS FOR WHICH $512,222 OF INPATIENT CARE (AT CHARGES) WAS PROVIDED. 45875987 77421038 OUTPATIENT AND AMBULATORY SERVICES- CHENANGO MEMORIAL HOSPITAL ALSO PROVIDES A WIDE RANGE OF OUTPATIENT DIAGNOSTIC AND TREATMENT SERVICES, INCLUDING EMERGENCY DEPARTMENT, AMBULATORY SURGERY, FULL-SERVICE LABORATORY, COMPREHENSIVE IMAGING AND OTHER PROCEDURAL OUTPATIENT SERVICES. TOTAL PATIENT VISITS FOR OUTPATIENT SERVICES FOR YEAR-ENDED 2024 WAS 211,859. INCLUDED IN THE 211,829 VISITS WERE 17,203 EMERGENCY ROOM VISITS, 769 EMERGENCY ROOM TREATED AND ADMITTED AS ACUTE CARE PATIENTS, 3,761 VARIOUS OUTPATIENT SURGICAL CASES, AND 190,126 OTHER OUTPATIENT DEPARTMENT VISITS. IN 2024, CHENANGO MEMORIAL HOSPITAL GAVE FINANCIAL ASSISTANCE TO 2,691 INDIVIDUALS FOR WHICH $2,756,099 OF OUTPATIENT CARE (AT CHARGES) WAS PROVIDED. 21759644 14157698 CLINICS- CHENANGO MEMORIAL HOSPITAL PROVIDES A WIDE RANGE OF PRIMARY CARE AND SPECIALTY CARE CLINICS. PRIMARY CARE SERVICES ARE THE FOUNDATION FOR SERVING THE COMMUNITY WITH A COORDINATED SYSTEM OF CARE, WITH SPECIAL ATTENTION TO UNDER-SERVED AREAS. CMH OFFERS FIVE FAMILY HEALTH CENTERS LOCATED THROUGHOUT A MULTI-COUNTY SERVICE AREA: 1) NORWICH FAMILY HEALTH CENTER 2) INTERNAL MEDICINE 3) OXFORD FAMILY HEALTH CENTER 4) SHERBURNE FAMILY HEALTH CENTER AND 5) SIDNEY FAMILY HEALTH CENTER. OTHER OUTPATIENT SERVICES INCLUDE: GERIATRICS, WOMEN'S HEALTH CENTER, GENERAL SURGERY, HEART CENTER, GI, ORTHOPEDICS, PODIATRY, ONCOLOGY AND PAIN MANAGEMENT CLINIC. TOTAL PATIENT VISITS FOR THE CMH CLINICS AT YEAR-ENDED 2024 WAS 82,173. 958141 958141 87116506 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 68 0 1 550 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 16 12 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 NY X DESIREE AXLEY 6073736912 179 NORTH BROAD ST NORWICH NY 13815 JOHN M CARRIGG BOARD MEMBER/ 2ND VICE CHAIR 2.00 55.00 X X 0 1386812 50729 JOSEPH R STAGLIANO BOARD MEMBER/ CHAIR 2.00 X X 0 0 0 BRUCE S ERATH BOARD MEMBER/ 1ST VICE CHAI 2.00 X X 0 0 0 DRAKE LAMEN MD BOARD MEMBER/ PRESIDENT/CEO/CMO 2.00 55.00 X X 415119 0 46090 ROBERT W NASSAR BOARD MEMBER/ SECRETARY 2.00 X X 0 0 0 JULIANNE OEHLBECK BOARD MEMBER/ TREASURER 2.00 X X 0 0 0 ELIZABETH K BOLAND BOARD MEMBER 2.00 55.00 X 0 734575 31579 KURT HARDING DO BOARD MEMBER 2.00 X 0 0 0 SHAUNA HYLE BOARD MEMBER 2.00 X 0 0 0 ERIC G LARSEN BOARD MEMBER 2.00 X 0 0 0 SHEILA MARSHMAN BOARD MEMBER 2.00 X 0 0 0 MARTIN MASARECH MD BOARD MEMBER 2.00 55.00 X 0 0 0 LUKE MURPHY BOARD MEMBER 2.00 X 0 0 0 DENISE REPPERT BOARD MEMBER 2.00 X 0 0 0 BARBARA SCHINDLER BOARD MEMBER 2.00 X 0 0 0 JAY SMITH BOARD MEMBER 2.00 55.00 X 0 575370 31015 PHYLLIS SHERIFF-WHITE PRESIDENT OF MED STAFF 55.00 X 432270 0 43844 THOMAS GENESE VICE PRESIDENT MEDICAL AFFAIRS 55.00 X 375484 0 53330 DESIREE A AXLEY VP FINANCE AND CFO 55.00 X 261767 0 15367 CHRISTINA KISACKY VP OF OPERATIONS 55.00 X 233508 0 27281 KRISTINA HUMMER VP OF MEDICAL 55.00 X 217995 0 28535 DAVID FINNEY VP NURSING 55.00 X 0 206740 40265 ZAIMA CHOUDHRY PHYSICIAN 55.00 X 236572 67949 28200 SRIKANTH PORANKI DIRECTOR STRATEGIC INITIATIVE 55.00 X 184590 0 10121 RICHARD R STONE VICE PRESIDENT SUPPORT SERVICES 55.00 X 183059 0 43586 MATTHEW MASSE DIRECTOR SERVICE COORDINATION 55.00 X 162776 0 8396 MELISSA STAGNARO DIRECTOR DEVELOPMENT & ENGAGEMENT 55.00 X 153401 0 45304 2856541 2971446 503642 66 0 1 1 AMN HEALTHCARE PO BOX 56157 LOS ANGELES CA 90074 TEMPORARY SVCS 3476653 SUSQUEHANNA ANESTHESIA 156 CORLISS AVE JOHNSON CITY NY 13790 ANESTHESIA SVCS 2416052 CROTHALL HEALTHCARE 13028 COLLECTIONS CENTER DR CHICAGO IL 60693 HOUSEKEEPING SVCS 2287588 CHIANIS AND ANDERSON ARCHITECTS 31 FRONT STREET BINGHAMTON NY 13905 ARCHITECTS 1974847 PARK AVE ASSOC IN RADIOLOGY 32-36 HARRISON ST JOHNSON CITY NY 13790 RADIOLOGY SVCS 1661093 33 659100 428343 1087443 OUTPATIENT & AMBULATORY SVCS 623000 77421038 77421038 INPATIENT, ACUTE 623000 16726919 16726919 CLINICS 623000 14157698 14157698 108305655 1192703 1192703 3300 0 3300 3300 3300 52092 -52092 -52092 -52092 CONTRACT PHARMACY 623000 803620 803620 OTHER OPERATING REVENUE 623000 154521 154521 19229 19229 977370 111514379 109263796 3300 1159840 X 3305047 3305047 24475925 21052566 3423359 958645 824435 134210 4003458 3454639 548819 1952862 1679461 273401 1132920 1132920 490 490 102300 102300 11879 11879 20906516 17979604 2926912 123130 40780 82350 251958 142074 109884 1943085 1731976 211109 80772 56268 24504 762942 762942 4827819 4827819 772648 772648 SUPPLIES 28398894 24517113 3881781 BAD DEBTS 3977815 3977815 0 NEW YORK STATE CASH REC 375437 375437 0 MISCELLANEOUS AUXILLARY 45535 45535 2351608 1570347 781261 100761685 87116506 13645179 0 16982500 29616827 6408951 6491010 9066783 8197709 859916 704430 1842036 859826 129802115 75658041 51854429 54144074 136325 286185 11951767 13899035 99102707 114199096 8845965 8995438 14299300 14775849 15212999 15604412 38358264 39375699 X 52398501 68092919 8345942 6730478 60744443 74823397 99102707 114199096 X 10752694 7940 3318320 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 11879 11879 0 PART II-B, LINE 1: EXPENDITURES FOR LOBBYING IS A PERCENTAGE OF DUES PAID TO IROQUOIS HEALTHCARE ALLIANCE (50%) AND HEALTHCARE ASSOCIATION OF NYS (10.08%). 8345942 670533 -123345 2162652 6730478 7748028 2394605 -654334 1142357 8345942 22706421 1099442 -1645284 14412551 7748028 17098616 5919643 -12986 298852 22706421 11463530 6062602 -352916 74600 17098616 0.96440 0.03560 0 1 1 195653 195653 72900130 33244803 39655327 2996888 2064032 932856 46050867 40349206 5701661 7658577 7658577 54144074 BENEFICIAL INTEREST IN CMH FOUNDATION 7089736 ASSETS LIMITED TO USE- RESTRICTED CASH FOR EQUIPMENT 909476 OPERATING LEASE FOR RIGHT OF USE ASSETS 2248324 OTHER ASSETS 703596 PENSION ASSET 2947903 13899035 DUE TO THIRD-PARTY PAYORS 5634940 DUE TO AFFILIATES 4735074 CAPITAL LEASE OBLIGATIONS 2245048 OTHER LIABILITIES 2989350 15604412 X 110863074 7940 3551334 3559274 107303800 4210579 4210579 111514379 96784120 0 96784120 3977565 3977565 100761685 PART V, LINE 4: THE INTENDED USE OF ENDOWMENT FUNDS IS A COMBINATION OF DESIGNATED SPECIAL PURPOSES AND GENERAL USE BY THE HOSPITAL. 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. AS OF DECEMBER 31, 2024 AND 2023, THE HOSPITAL DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2021 THROUGH 2024. THE HOSPITAL DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN INTEREST IN CHENANGO FOUNDATION 214,996. PENSION CHANGES OTHER THAN NET PERIODIC BENEFIT 3,254,279. CHANGE IN VALUE OF FUNDS HELD IN TRUST 82,059. PART XI, LINE 4B - OTHER ADJUSTMENTS: AUXILLARY ASSETS 232,764. BAD DEBT 3,977,815. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 3,977,815. RENTAL EXPENSE -250. 1 1 X 1 X 0 1 1 0 1 1 1061000 1061000 0.01050 14450756 12659938 1790818 0.01780 1383202 1473373 0 0.00000 16894958 14133311 2851818 0.02830 3192667 464945 2727722 0.02710 179154 179154 0.00180 603523 587057 16466 0.00020 1500 1500 0.00000 3976844 1052002 2924842 0.02910 20871802 15185313 5776660 0.05740 210232 210232 0.00210 9916 9916 0.00010 4865 4865 0.00000 9552 9552 0.00010 815263 815263 0.00810 4815 4815 0.00000 1054643 1054643 0.01040 1 3977815 700963 9208154 11301377 -2093223 X 1 1 1 1 CHENANGO MEMORIAL HOSPITAL INC 179 NORTH BROAD STREET NORWICH NY 13815 HTTPS://WWW.NYUHS.ORG X X X SOLE COMMUNITY CHENANGO MEMORIAL HOSPITAL INC 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X HTTPS://WWW.NYUHS.ORG X 1 22 1 HTTPS://WWW.NYUHS.ORG 0 1 X 200.000000000000 X X X X 1 1 X X X 1 X HTTPS://WWW.NYUHS.ORG X HTTPS://WWW.NYUHS.ORG X HTTPS://WWW.NYUHS.ORG X X X X X X 1 X 0 X X X 1 X 0 0 CHENANGO MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 13H: FEDERAL POVERTY GUIDELINES (FPG) IS USED TO DETERMINE THE FAMILY INCOME LIMIT FOR FREE CARE ELIGIBILITY OF 200%. THE FPG IS NOT USED TO DETERMINE DISCOUNTED CARE ELIGIBILITY. HOWEVER THE FPG IS USED TO DETERMINE THE PERCENTAGE OF DISCOUNTED CARE A PATIENT WILL RECEIVE. PART V, SECTION B, LINE 5: CHENANGO COUNTY DEPARTMENT OF PUBLIC HEALTH (CCPH) AND UHS CHENANGO MEMORIAL HOSPITAL (CMH) COLLABORATED TO CONDUCT THE 2022-2024 COMMUNITY HEALTH ASSESSMENT (CHA) AND COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). A NEEDS ASSESSMENT COMMITTEE WAS CREATED AND COMPRISED OF REPRESENTATIVES FROM CCPH, CMH, AND THE CHENANGO HEALTH NETWORK (CHN). THE COMMITTEE PROVIDED OVERSIGHT AND GUIDANCE TO THE ASSESSMENT PROCESS.PRIORITY SELECTION PROCESS CHENANGO COUNTY ENGAGED IN A PROCESS TO SELECT PRIORITIES AND ACTIVITIES FOR THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP)/COMMUNITY SERVICE PLAN (CSP). THE PROCESS ALLOWED SIGNIFICANT INPUT FROM STAKEHOLDERS AND INTEGRATED FEEDBACK FROM THE COMMUNITY. HEALTHCARE AND SOCIAL DETERMINANTS OF HEALTH DATA WERE COLLECTED FROM A VARIETY OF SOURCES INCLUDING, BUT NOT LIMITED TO, THE NYS DEPARTMENT OF HEALTH (NYSDOH), THE US CENSUS, THE NYS DEPARTMENT OF EDUCATION (NYSED), THE NYS OFFICE OF FAMILY AND CHILDREN (NYSOCFS), AND THE BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY (BRFSS). ADDITIONAL DATARESOURCES UTILIZED INCLUDED THE COUNTY HEALTH RANKINGS AND OTHER LOCAL NEEDS ASSESSMENT REPORTS. QUALITATIVE DATA WAS GATHERED FROM 781 CHENANGO COUNTY RESIDENTS THROUGH A COMMUNITY SURVEY. PARTICIPANTS WERE ASKED TO SHARE THEIR PERSPECTIVES ON THE MOST PRESSING HEALTH ISSUES FACING THE COUNTY, AS WELL AS THE BARRIERS AND CHALLENGES THEY FACE IN THEIR EFFORT TO LEAD HEALTHY LIVES. IN ADDITION, 10 KEY STAKEHOLDERS REPRESENTING A RANGE OF NON-PROFIT ORGANIZATIONS, GOVERNMENT AGENCIES AND PROVIDERS, WERE INTERVIEWED TO GAIN FURTHER INSIGHT INTO THE COUNTY'S HEALTH CARE STRENGTHS AND BARRIERS. BASED ON ALL QUALITATIVE DATA COLLECTED AND STAKEHOLDER INSIGHT, THE NEEDS ASSESSMENT COMMITTEE SELECTED INTERVENTIONS WITH THE GREATEST OPPORTUNITY TO OPTIMIZE ON CURRENT RESOURCES AND THOSE THAT WOULD HAVE THE GREATEST IMPACT ON THE FOCUS AREAS RELATED TO THE COUNTY'S MOST SIGNIFICANT HEALTH ISSUES.SELECTED PRIORITIES AND INTERVENTIONSPROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN HEALTH DISPARITY:CHENANGO COUNTY IS A RURAL UPSTATE COMMUNITY WITH A HIGH POVERTY RATE. STAKEHOLDERS REGULARLY SITE ACCESS AS A PRIMARY BARRIER TO CARE.INTERVENTION:GOAL 2.1: REDUCE INFANT MORTALITY AND MORBIDITY CHENANGO COUNTY WILL UTILIZE A PROGRAM CALLED PROJECT SAFE SLEEP TO FOCUS ON SHARING INFORMATION ABOUT ACTIONS NEW PARENTS AND OTHERS CAN TAKE TO HELP BABIES SLEEP SAFELY, WITH THE GOAL OF REDUCING INFANT'S RISK OF SUDDEN INFANT DEATH SYNDROME (SIDS) AND OTHER SLEEP-RELATED CAUSES OF INFANT DEATH.CHENANGO COUNTY PUBLIC HEALTH WILL PROVIDE LOGISTICAL SUPPORT, TRAINING MATERIALS, TRAINERS, AND EVENT PROMOTION. MULTIPLE HEALTH SERVICE ORGANIZATIONS THROUGHOUT THE COUNTY WILL SERVE TO HOST, REFER, AND PROMOTE EVENTS, INCLUDING UHS CHENANGO MEMORIAL HOSPITAL.UHS CHENANGO MEMORIAL HOSPITAL WILL REDOUBLE EFFORTS TO PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN BY ENSURING EASY ACCESS TO THE PATIENT AND FAMILY EDUCATION IT OFFERS INCLUDING REGULARLY SCHEDULING TWO-PART BIRTHING CLASSES TAUGHT BY REGISTERED NURSES. FOR THOSE WHO ARE UNABLE TO ATTEND THESE CLASSES IN PERSON, A VIRTUAL OPTION WHICH CAN BE ACCESSED ON A SMARTPHONE BY SCANNING A QR CODE IS BEING MADE AVAILABLE. IN ADDITION, PRENATAL NUTRITIONAL INFORMATION AND EDUCATION WILL BE MADE MORE READILY AVAILABLE. THERE WILL ALSO BE AN INCREASED FOCUS ON REFERRALS TO COMMUNITY PARTNERS SUCH AS MOTHERS AND BABIES PERINATAL NETWORK, AS WELL AS TO SOCIAL WORKERS WHO CAN WORK WITH THE EXPECTANT MOTHERS AND THEIR PARTNERS IF NEEDED. BIRTH CONTROL FOLLOW-UPS WILL ALSO BE ENCOURAGED.GOAL 2.2: INCREASE BREASTFEEDING CHENANGO COUNTY WILL PARTNER WITH THE LOCAL BREASTFEEDING COALITION TO INCREASE THE NUMBER OF CERTIFIED LACTATION CONSULTANTS AND INCREASE LOCAL BREASTFEEDING SUPPORTS.UHS CHENANGO MEMORIAL HOSPITAL WILL LEVERAGE ITS SUCCESS IN INCREASING BREASTFEEDING RATES FOR NEW MOTHERS OVER THE LAST TEN YEARS. TO THAT END, THE UHS WOMEN'S HEALTH CENTER IN NORWICH WILL DISTRIBUTE PRENATAL EDUCATION PACKETS DURING VISITS TO INFORM AND PREPARE EXPECTANT MOTHERS. LACTATION CONSULTANTS WILL CONTINUE TO BE STAFFED ON THE LABOR DELIVERY FLOOR, TO PROVIDE IMMEDIATE SUPPORT AND COACHING TO NEW MOTHERS. IN ADDITION, LACTATION CONSULTANTS ON STAFF IN THE OFFICE SETTING WILL OFFER A NEEDED POINT OF EDUCATION TO MOTHERS DEALING WITH FIRST-TIME BREAST-FEEDING CHALLENGES OR ISSUES THAT ARISE AFTER BIRTH. IN ADDITION, UHS CHENANGO MEMORIAL WILL SERVE AS A REFERRAL SOURCE TO PARTNERS WITHIN THE BREASTFEEDING COALITION.GOAL 3.3: REDUCE DENTAL CONCERNS AMONG CHILDREN CHENANGO COUNTY PUBLIC HEALTH WILL CREATE AND PUBLISH DENTAL HEALTH EDUCATION MATERIALS WHILE MULTIPLE PARTNERS IN DENTAL TASK FORCE WILL WORK TO DISTRIBUTE THE HEALTH INFORMATION. UHS CHENANGO MEMORIAL HOSPITAL, AND PARTICULARLY ITS PEDIATRIC PRACTICES, WILL PROVIDE PATIENTS WITH DENTAL HEALTH EDUCATION MATERIALS AND INFORM PATIENTS IN NEED OF DENTAL SERVICES OF LOCAL DENTAL HEALTH OFFERINGS. WHILE IN APPOINTMENTS WITH CMH PROVIDERS, PATIENTS WILL BE MADE AWARE OF SPECIFIC SERVICES OFFERED BY PUBLIC HEALTH, LIKE WIC. WHEN DENTAL HEALTH EVENTS ARE SCHEDULED, CMH WILL HELP TO PROMOTETHESE EVENTS TO ITS STAFF AND PATIENTS.PROMOTE A HEALTHY AND SAFE ENVIRONMENTHEALTH DISPARITY:CHENANGO COUNTY IS AN AGING, LOW-INCOME COMMUNITY. STAKEHOLDERS REGULARLY SITE ACCESS AS A PRIMARY BARRIER TO CARE.INTERVENTION:UTILIZING THE PROGRAM BINGOCIZE, WHICH IS AN EVIDENCED BASED SENIOR MOVEMENT THAT COMBINES EXERCISE AND HEALTH INFORMATION WITH THE FAMILIAR GAME OF BINGO, HAS BEEN SHOWN TO BE A GREAT WAY TO GET SENIORS MOVING WHILE SOCIALIZING. THE GOAL OF PARTICIPATION IS IMPROVED AND/OR MAINTAINED MOBILITY AND INDEPENDENCE AS IT IS ADAPTABLE AND BENEFICIAL FOR ALL RANGES OF PHYSICAL AND MENTAL ABILITY. THE OVERALL GOALS OF THE PROGRAM ARE TO HELP OLDER ADULTS IMPROVE AND/OR MAINTAIN MOBILITY AND INDEPENDENCE, LEARN AND USE HEALTH INFORMATION FOCUSED ON FALLS REDUCTION TO PROMOTE WELLNESS, SOCIALIZATION AND CONNECTEDNESS. CHENANGO COUNTY PUBLIC HEALTH WILL COLLABORATE WITH CHENANGO COUNTY'S AREA AGENCY OF THE AGING TO PROVIDE THE CERTIFIED TRAINER, LOGISTICS, PROMOTION, REFERRAL, AND IMPLEMENTATION OF PROGRAM. UHS CHENANGO MEMORIAL HOSPITAL PROVIDERS WILL WORK WITH PATIENTS DURING APPOINTMENTS TO PROMOTE HEALTHY AND SAFE ENVIRONMENTS AT WORK AND HOME. PROVIDERS WORK CLOSELY WITH EACH PATIENT PERSONALLYTO SOLVE ISSUES THEY MAY BE DEALING WITH OR CONCERNED ABOUT. PROVIDERS WILL BE INFORMED ABOUT THE BINGOCIZE PROGRAM, AS WELL AS OTHER COMMUNITY-BASED OFFERINGS, TO FACILITATE REFERRALS TO THESE PROGRAMS. PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERSHEALTH DISPARITY:CHENANGO COUNTY IS A LOW-INCOME, RURAL COMMUNITY CONSISTENTLY HINDERED BY LIMITED ACCESS TO CARE.INTERVENTION:MENTAL HEALTH FIRST AID - WHILE INCREASING THE NUMBER OF MENTAL HEALTH CARE PROVIDERS WOULD BENEFIT THE COUNTY, A MORE IMMEDIATE AND EFFECTIVE COMMUNITY-BASED INTERVENTION WOULD BE TO EXPAND THE NUMBER OF PEOPLE TRAINED TO IDENTIFY MENTAL HEALTH ISSUES IN THEIR PROFESSIONAL SPHERE AND TO PROVIDE APPROPRIATE SUPPORT. EARLY DETECTION AND INTERVENTION COULD HAVE A SIGNIFICANT IMPACT ON THE TRAJECTORY OF YOUNG PEOPLE IN THE COUNTY. CHENANGO COUNTY PROPOSES TO EXPAND THE MENTAL HEALTH FIRST AID PROGRAM BY MAKING HOSPITAL STAFF, HEALTH DEPARTMENT STAFF, AND PROVIDERS AVAILABLE FOR TRAINING. EFFORTS WILL BE MADE TO PROMOTE THE PROGRAM AND ORGANIZE TRAININGS FOR OTHER STAKEHOLDERS WITH A PARTICULAR EMPHASIS ON TRAINING INDIVIDUALS WHO WORK WITH YOUNG PEOPLE SUCH AS SCHOOL STAFF, EDUCATORS, AND ORGANIZATIONS SERVING YOUTH.PARTNERSBRINGING PARTNERS TO THE TABLE AND MAINTAINING THEIR ENGAGEMENT WILL BE VITAL TO THE SUCCESS OF THEINTERVENTIONS WITHIN THE CHOSEN PRIORITY AREAS. THE NEEDS ASSESSMENT COMMITTEE WILL CREATE ANDMAINTAIN PLANNING COMMITTEES FOR EACH OF THE IDENTIFIED PRIORITY AREAS. THESE COMMITTEES, AND SUB-COMMITTEES, WILL BRING TOGETHER COMMUNITY STAKEHOLDERS REPRESENTING VARIOUS CONSTITUENCIES INCLUDING COMMUNITY-BASED ORGANIZATIONS, GOVERNMENTAL ENTITIES, FUNDERS, FAITH COMMUNITIES, AND EMPLOYERS.IMPACT AND PROCESS MEASURESTHOSE COMMITTEES AND SUB-COMMITTEES FORMED FOR EACH PRIORITY AREA WILL BE CHARGED WITH ACTIVITY PLANNING, MEASURING PROGRESS TOWARD GOALS, AND REPORTING ON EACH PRIORITY AREA. THE NEEDS ASSESSMENT COMMITTEE WILL PROVIDE SUPPORT AS NEEDED TO THESE COMMITTEES TO ENSURE IMPACT AND PROCESS MEASURES ARE DEVELOPED AND THAT PROGRESS IS MADE TOWARDS MEETING THESE MEASURES. THE FOLLOWING AGENCIES WERE AT SOME POINT IN TIME INVOLVED WITH INFORMATION GATHERING DURING THIS PROCESS: CARE COMPASS NETWORK CHENANGO COUNTY AREA AGENCY ON AGING CHENANGO COUNTY CATHOLIC CHARITIES CHENANGO COUNTY DEPARTMENT OF PUBLIC HEALTH CHENANGO COUNTY DEPARTMENT OF SOCIAL SERVICES CHENANGO COUNTY MENTAL HYGIENE & BEHAVIORAL HEALTH SERVICES CHENANGO HEALTH NETWORK PART V, SECTION B, LINE 5: CHENANGO UNITED WAY COMMUNITY FOUNDATION OF SOUTH-CENTRAL NEW YORK CORNELL COOPERATIVE EXTENSION CROUSE HOSPITAL DCMO BOCES DELAWARE COUNTY DEPARTMENT OF HEALTH HANYS HOSPICE & PALLIATIVE CARE OF CHENANGO COUNTY LIBERTY PARTNERSHIP LOCAL BUSINESSES LOCAL SCHOOL DISTRICTS MOTHERS & BABIES PERINATAL NETWORK NEW YORK CONNECTS NORWICH FAMILY YMCA OPPORTUNITIES FOR CHENANGO AND HEADSTART POPULATION HEALTH IMPROVEMENT PROGRAM PUBLIC LIBRARIES THE PLACE UHS CHENANGO MEMORIAL HOSPITAL UNITED HEALTH SERVICES (UHS) VARIOUS COMMUNITY FOUNDATIONS WOMEN, INFANTS & CHILDREN (WIC) PART V, SECTION B, LINE 11: THE MAJORITY OF 2024 WAS SPENT RESEARCHING THE NEEDS OF THE COMMUNITY, IDENTIFYING THE INITIATIVES THAT WOULD HAVE THE GREATEST IMPACT WITH AVAILABLE RESOURCES, AUTHORING THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR 2022-2024, AND BEGINNING WORK ON THE IDENTIFIED INITIATIVES IN COLLABORATION WITH THE LHD. SELECTED PRIORITY AREAS AND INTERVENTIONSPREVENT CHRONIC DISEASE: PREVENTIVE CARE AND MANAGEMENTWITH HIGH MORTALITY RATES FOR SEVERAL CHRONIC DISEASES, CHENANGO COUNTY FACES A SIGNIFICANT CHALLENGE IN ASSISTING COUNTY RESIDENTS IN EFFECTIVELY MANAGING THEIR CONDITIONS. HORN RESEARCH CONDUCTED AN ANALYSIS OF THE POTENTIAL HEALTH CARE COSTS AS WELL AS THE YEARS OF LIFE LOST AND POTENTIAL EARNINGS LOSS ASSOCIATED WITH THESE DISEASES IN THE COUNTY. THE RESULTS SHOW A NEED FOR INCREASED HEALTHY BEHAVIORS AND BETTER DISEASE MANAGEMENT AMONG CHENANGO COUNTY RESIDENTS. LOW-INCOME INDIVIDUALS AND FAMILIES ARE AT PARTICULAR RISK FOR CHRONIC DISEASE AND OFTEN LACK THE RESOURCES AND KNOWLEDGE TO MANAGE THEIR ILLNESSES.CHN HAS RECENTLY INCORPORATED THE EVIDENCE-BASED CHRONIC DISEASE SELF-MANAGEMENT PROGRAM INTO THE SERVICES THEY OFFER. THE PROGRAM SUCCESSFULLY TAUGHT SELF-MANAGEMENT SKILLS TO 41 CHENANGO COUNTY RESIDENTS IN 2024 AND WILL CONTINUE CLASSES IN 2025. PROGRAM RESULTS SHOW A CLINICAL REDUCTION IN A1C LEVELS IN PARTICIPANTS AS WELL AS INCREASED KNOWLEDGE OF DISEASE SELF-MANAGEMENT AND A BETTER UNDERSTANDING OF THEIR HEALTH AND PHYSICAL ACTIVITY. THE PROGRAM'S EARLY SUCCESS COUPLED WITH THE HIGH NEED FOR INDIVIDUAL SELF-MANAGEMENT IMPROVEMENT CLEARLY SHOW THE SUITABILITY OF INVESTING IN THE PROGRAM MORE BROADLY.CHENANGO COUNTY PROPOSES TO EXPAND THE CHRONIC DISEASE SELF-MANAGEMENT PROGRAM BY ESTABLISHING A REFERRAL PROCESS OF NEWLY DIAGNOSED PATIENTS THROUGH THE HOSPITAL, INCORPORATING THE HOSPITAL'S HEAD DIETICIAN AND CHEF INTO THE PROGRAM'S CURRICULUM, CREATING A REFERRAL PROCESS THROUGH THE HEALTH DEPARTMENT'S PROGRAMS, AND EXPLORING HAVING HEALTH DEPARTMENT STAFF BECOME TRAINED AS PEER LEADERS. A SPECIAL EMPHASIS WILL BE PLACED ON PARTNERING WITH AND RECRUITING FROM COMMUNITY-BASED ORGANIZATIONS WHO WORK WITH LOW-INCOME INDIVIDUALS AND FAMILIES TO ADDRESS THE HEALTH DISPARITIES ASSOCIATED WITH INCOME AND HEALTH.PROMOTE WELL-BEINGCHENANGO COUNTY HAS HIGH RATES OF POOR SELF-REPORTED MENTAL HEALTH IN ADULTS, HAS HIGH RATES OF YOUTH DISCONNECTION, AND IS DESIGNATED AS A HEALTH PROVIDER SHORTAGE AREA FOR MENTAL HEALTH. WHILE INCREASING THE NUMBER OF MENTAL HEALTH CARE PROVIDERS WOULD BE OF BENEFIT TO THE COUNTY, A MORE IMMEDIATE AND EFFECTIVE COMMUNITY-BASED INTERVENTION WOULD BE TO EXPAND THE NUMBER OF PEOPLE TRAINED TO IDENTIFY MENTAL HEALTH ISSUES IN THEIR PROFESSIONAL SPHERE AND PROVIDE APPROPRIATE SUPPORT. IN PARTICULAR, NEGATIVE YOUTH MENTAL HEALTH OUTCOMES IN THE COUNTY HAVE BEEN INCREASING. EARLY INTERVENTION COULD HAVE A SIGNIFICANT IMPACT ON THE TRAJECTORY OF THE YOUNG PEOPLE IN THE COUNTY AND IMPROVE THOSE OUTCOMES.CHN HAS ADDED THE EVIDENCE-BASED TRAINING PROGRAM MENTAL HEALTH FIRST AID TO THEIR PROGRAMMING. THIS TRAINING CREATES MORE OPPORTUNITIES FOR EARLY DETECTION AND INTERVENTION, AND WITH THE INCREASING NEGATIVE YOUTH MENTAL HEALTH OUTCOMES IN THE COUNTY, EARLY INTERVENTION COULD HAVE A SIGNIFICANT IMPACT ON THE TRAJECTORY OF YOUNG PEOPLE IN THE COUNTY.CHENANGO COUNTY PROPOSES TO EXPAND THE MENTAL HEALTH FIRST AID PROGRAM BY MAKING HOSPITAL STAFF, HEALTH DEPARTMENT STAFF, AND PROVIDERS AVAILABLE FOR TRAINING. IN ADDITION, EFFORTS WILL BE MADE TO PROMOTE THE PROGRAM AND ORGANIZE TRAININGS FOR OTHER STAKEHOLDERS AND PROFESSIONALS FROM COMMUNITY BASED ORGANIZATIONS. A PARTICULAR EMPHASIS WILL BE PLACED ON TRAINING INDIVIDUALS WHO WORK WITH YOUNG PEOPLE SUCH AS SCHOOL STAFF, EDUCATORS, AND ORGANIZATIONS SERVING YOUTH.INITIATIVE 1PRIORITY: PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERSFOCUS AREA: PROMOTE WELL BEINGGOAL: FACILITATE SUPPORTIVE ENHANCEMENTS THAT PROMOTE RESPECT AND DIGNITY FOR PEOPLE OF ALL AGES.OBJECTIVE: INCREASE CHENANGO COUNTY COMMUNITY SCORES BY 7% TO 44.8%.DISPARITIES: LACK OF EDUCATION OF MENTAL HEALTH ISSUES IN COUNTY, LOW-INCOME, LOW PROVIDER AREA, LACK OF TRANSPORTATION AND SERVICES ACCESS.INTERVENTIONS MENTAL HEALTH FIRST AID COURSES MADE AVAILABLE/DELIVERED TO COMMUNITY AND PROFESSIONALS EDUCATE PROVIDERS VIA DETAILING VISITS TO PROMOTE POSTPARTUM DEPRESSION (PPD) SCREENING AT INFANT'S WELL CHILD VISITS (1WK, 2WK, 2, 4 AND 6 MONTHS) IN PEDIATRIC OFFICE WITH REFERRAL TO MOTHER'S PRIMARY HEALTH CARE PROVIDER (PCP) EDUCATE PEDIATRIC PROVIDERS IN THE COUNTY ON THE PROJECT TEACH REFERRAL AND MATERNAL HEALTH MENTAL HEALTH PROJECT THROUGH PROJECT TEACH INITIATIVE VIA DETAILING VISITS TO PROVIDERS MULTI-AGENCY LOBBYING EFFORTS TO NYS MEDICAID TRANSPORTATION PROGRAM TO IMPROVE ACCESS AND TIMELINESS OF TRANSPORTATION TO MEDICAL APPOINTMENTS FOR COUNTY RESIDENTS IMPROVE AWARENESS OF LOCAL AND REGIONAL SERVICES IN AN EFFORT TO IMPROVE OUTREACH EFFORTS EVALUATE AND IMPROVE OUTREACH EFFORTSFAMILY OF MEASURESMENTAL HEALTH FIRST AID NUMBER OF COURSES HELD NUMBER OF INDIVIDUALS TRAINEDPROVIDER DETAILING POSTPARTUM DEPRESSION NUMBER OF PROVIDERS EDUCATED ON PROJECT NUMBER OF PEDIATRIC PRACTICES WILLING TO SCREEN MOMSPROJECT TEACH DETAILING 100% OF HEALTH CARE PROVIDERS IN COUNTY EDUCATED ON BOTH PROJECTS 100% OF HEALTH CARE PROVIDERS IN COUNTY RECEIVE ANNUAL UPDATES AND EDUCATION NUMBER OF PROVIDERS PARTICIPATING IN KICK OFF DINNER/WEBINAR NUMBER OF PROVIDERS COMPLETING CORE TRAINING BY PROJECT TEACHMEDICAID TRANSPORTATION LOBBYING NUMBER OF AGENCIES JOINING LETTER WRITING CAMPAIGN AGENCY SELF-REPORTS IMPROVEMENT IN MEDICAID TRANSPORTATION FOR CLIENTSSERVICES AWARENESS AND IMPROVED OUTREACH NUMBER OF CHENANGO COUNTY CALLS TO 211 AGENCY SELF-REPORTS IMPROVEMENT FOR CLIENTSPROJECTED YEAR 2 INTERVENTIONSMENTAL HEALTH FIRST AID 1. EXECUTE FULL SLATE OF TRAINING COURSES PROVIDER DETAILING - POSTPARTUM DEPRESSION1. BEGIN DETAILING VISITS AT 2ND QUARTER WITH PLANNED REVISIT BY END OF THE YEAR 2023 TO REMIND AND RE-INFORCE THE PROJECT DETAILS2. HAVE AT LEAST ONE HEALTH CARE PROVIDER SUCCESSFULLY IMPLEMENT POSTPARTUM DEPRESSION SCREENING IN THEIR PEDIATRIC PRACTICEPROJECT TEACH DETAILING PROJECT 1. PLAN AND IMPLEMENT INFORMATIONAL DINNER FOR HEALTH CARE PROVIDERS TO EDUCATE THEM ON PROJECT TEACH IN FIRST QUARTER OF THE YEAR 20232. ENCOURAGE PARTICIPANTS TO SIGN UP FOR CORE TRAININGS FOR THEIR STAFF BY PROJECT TEACH FACILITATORS 3. BEGIN DETAILING VISITS IN 2ND QUARTER, WITH PLANNED REVISIT BY END OF THE YEAR 2023 TO REMIND AND RE-INFORCE TRANSPORTATION 1. INTRODUCE PARTNERS TO ADVOCACY LETTER2. EDIT DRAFT AS NEEDED3. COLLECT SIGNATURES 4. SEND LETTERSACCESS TO SERVICE 1. GATHER REFERRALS, CONTACTS AND PROGRAM INFORMATION TO FILL GAPS IN 211 SERVICESPROJECTED YEAR 3 INTERVENTIONSMENTAL HEALTH FIRST AID1. EXECUTE ADDITIONAL TRAININGS 2. EVALUATE PROGRESS AND FUTURE NEEDSPROVIDER DETAILING - POSTPARTUM DEPRESSION1. ANNUAL DETAILING TO HEALTH CARE PROVIDERS TO ENCOURAGE THOSE WHO ARE NOT SCREENING TO START DOING SO2. HAVE ONE ADDITIONAL HEALTH CARE PROVIDER AGREE TO AND IMPLEMENT POSTPARTUM DEPRESSION SCREENING IN THEIR PEDIATRIC PRACTICEPROJECT TEACH DETAILING PROJECT 1. VISIT EACH HEALTH CARE PROVIDER ANNUALLY TO REVIEW PROJECT TEACH AND ENCOURAGE ITS USETRANSPORTATION 1. CONTINUE CONVERSATION WITH PARTNERS AND TARGET PROGRAM STAFF 2. EVALUATE CHANGE AND ADDITIONAL NEEDS ACCESS TO SERVICES 1. CONTINUE TO IMPROVE PROGRAM DETAIL IN 211 SYSTEM 2. ENCOURAGE AGENCY UPDATES TO THE SYSTEM3. PROMOTE SYSTEM USEIMPLEMENTATION PARTNER, ROLE(S) AND RESOURCESLOCAL HEALTH DEPARTMENTMENTAL HEALTH FIRST AID1. HOST TRAINING FOR STAFF2. PROMOTE AND REFER PROVIDER DETAILING - POSTPARTUM DEPRESSION1. CARRY OUT DETAILING PROJECT WITH PROVIDERSPROJECT TEACH DETAILING1. FACILITATE TRAININGS & EVENTS2. FUNDINGMEDICAID TRANSPORTATION LOBBYING1. LEAD AGENCY LOBBYING EFFORTSSERVICES AWARENESS AND IMPROVED OUTREACH WORKGROUP PARTICIPANT1. ID RESOURCES2. ID GAPS IN RESOURCE AWARENESS3. CULMINATE CORRECTIVE RESOURCES AND RECOMMENDATIONSHOSPITALMENTAL HEALTH FIRST AID1. HOST TRAINING FOR STAFF2. FACILITATE3. PROVIDE SPACE4. PROMOTE PROGRAM5. OBTAIN FUNDINGPROVIDER DETAILING - POSTPARTUM DEPRESSION UHS CHENANGO MEMORIAL HOSPITAL COMMUNITY HEALTH ADVOCATE - PROMOTE TO PROVIDERSMEDICAID TRANSPORTATION LOBBYINGASSIST IN FINALIZING LETTER PART V, SECTION B, LINE 11: SERVICES AWARENESS AND IMPROVED OUTREACH UHS CHENANGO MEMORIAL COMMUNITY HEALTH ADVOCATE - WORKGROUP PARTICIPANT1. ID RESOURCES 2. ID GAPS IN RESOURCE AWARENESS 3. CULMINATE CORRECTIVE RESOURCES AND RECOMMENDATIONS PROVIDERSMENTAL HEALTH FIRST AIDBASSETT - STAFF TRAINING, PROMOTEPROVIDER DETAILING - POSTPARTUM DEPRESSION UHS CHENANGO MEMORIAL HOSPITAL - ADOPT PRACTICE CHANGEBASSETT - ADOPT PRACTICE CHANGE PROJECT TEACH DETAILINGUHS CHENANGO MEMORIAL HOSPITAL - PROMOTE & UTILIZE.BASSETT - PROMOTE & UTILIZE.PRIVATE - PROMOTE & UTILIZE. MEDICAID TRANSPORTATION LOBBYING 1. ASSIST IN FINALIZING LETTER2. CONSIDER SUPPORT COMMUNITY BASED ORGANIZATIONSMENTAL HEALTH FIRST AIDCHENANGO HEALTH NETWORK (CHN) 1. FACILITATE2. PROVIDE SPACE3. PROMOTE PROGRAM4. OBTAIN FUNDINGCHENANGO COUNTY BEHAVIORAL HEALTH1. STAFF TRAINED AS PROGRAM FACILITATORSPROJECT TEACH DETAILING CHENANGO HEALTH NETWORK 1. VOLUNTEER2. OBTAIN FUNDING3. FACILITATE KICKOFF EVENTCHENANGO COUNTY BEHAVIORAL HEALTH1. SUPPORT2. KICKOFF EVENT PARTICIPANTMEDICAID TRANSPORTATION LOBBYINGCATHOLIC CHARITIES - LOBBYING EFFORTS CHENANGO COUNTY BEHAVIORAL HEALTH - LOBBYING EFFORTSSERVICES AWARENESS AND IMPROVED OUTREACH CATHOLIC CHARITIES WORKGROUP PARTICIPANT1. ID RESOURCES2. ID GAPS IN RESOURCE AWARENESS 3. CULMINATE CORRECTIVE RESOURCES AND RECOMMENDATIONSCHENANGO COUNTY BEHAVIORAL HEALTH - WORKGROUP PARTICIPANT 1. ID RESOURCES2. ID GAPS IN RESOURCE AWARENESS 3. CULMINATE CORRECTIVE RESOURCES AND RECOMMENDATIONS OTHERMENTAL HEALTH FIRST AIDFIRST RESPONDERS HOST TRAININGS FOR STAFFLAW ENFORCEMENTMENTAL HEALTH FIRST AID HOST TRAININGS FOR STAFFK-12 SCHOOLMENTAL HEALTH FIRST AIDHOST TRAININGS FOR STAFF AND PROMOTEPROJECT TEACH DETAILINGUNADILLA VALLEY SCHOOL BASED CLINIC - PROMOTE AND UTILIZESHERBURNE SCHOOL BASED CLINIC PROMOTE AND UTILIZE2024 UPDATEMENTAL HEALTH FIRST AIDIN 2024 WITH COLLABORATION BETWEEN CHENANGO HEALTH NETWORK AND CHENANGO MEMORIAL HOSPITAL, THERE WERE 4 ADULT AND YOUTH MENTAL HEALTH FIRST AID CLASSES HELD AROUND THE COUNTY TRAINING OVER 68 COMMUNITY MEMBERS, BUSINESS PROFESSIONALS AND EDUCATION STAFF. POSTPARTUM DEPRESSION SINCE COVID WE HAVE BEEN WORKING CLOSELY WITH THE DEPT OF HEALTH TO FIND WAY TO BETTER OUR COMMUNITY IN TERM OF DEPRESSION. NUMBER HAVE REMAINED ABOUT THE SAME AND THE NEED IS STILL THERE.PROJECT TEACH PROJECT TEACH FACILITATOR IS SCHEDULED TO DISCUSS PROGRAM BENEFITS, PLAN AND HOW TO IMPLEMENT. FUNDING HAS BEEN SECURED FOR A DINNER EVENT AND WILL BE ORGANIZED BY CHENANGO HEALTH NETWORK AND CHENANGO COUNTY DEPARTMENT OF HEALTH. ALL PROVIDERS WITHIN CHENANGO COUNTY WILL BE INVITED TO ATTEND.TRANSPORTATIONA DRAFT OF THE ADVOCACY LETTER WAS COMPLETED BUT BEFORE PARTNER SIGNATORIES COULD BE COLLECTED THE PROJECT WAS SUSPENDED BY THE PANDEMIC. IT HAS BEEN NOTED THAT INCREASED VIRTUAL OPTIONS FOR CARE HAVE BEEN CREATED AS A RESULT OF THE PANDEMIC AND THIS MAY SERVE TO CHANGE THE NEED FOR THIS INTERVENTION. IT WILL BE RE-EVALUATED IN 2025. ACCESS TO SERVICES THE WORKGROUP WAS FORMALIZED AND A RESOURCE GUIDE IS BEING DEVELOPED FOR CHENANGO COUNTY ALONG WITH A COLLABORATION WITH CHENANGO UNITED WAY TO IMPROVE OUR COMMUNITY RELATIONSHIP AND RESOURCES WITH OUR LOCAL 211. INITIATIVE 2PRIORITY: PREVENT CHRONIC DISEASESFOCUS AREA: HEALTHY EATING AND FOOD SECURITYGOAL: INCREASE SKILLS AND KNOWLEDGE TO SUPPORT HEALTHY FOOD AND BEVERAGE CHOICES.OBJECTIVE: DECREASE THE PERCENTAGE OF ADULTS WHO CONSUME ONE OR MORE SUGARY DRINKS PER DAY BY 5%. DECREASE THE PERCENT OF CHILDREN WITH OBESITY BY 5%. DECREASE THE PERCENT OF ADULTS, AGES 18 YEARS AND OLDER WITH OBESITY BY 5%. REDUCE DENTAL CARIES. DISPARITIES: LOW INCOME, GEOGRAPHYINTERVENTIONSPROJECT YEAR 1 "RETHINK YOUR DRINK: DRINK WATER" - CAMPAIGN ADOPT BEVERAGE STANDARDS AND PROMOTE MESSAGE THROUGH LITERATURE AND PROGRAMMING TO REDUCE OVER CONSUMPTION OF SUGARY SWEETENED BEVERAGES PROVIDE DENTAL SUPPLIES TO PRE K - 5TH GRADES IN ALL 9 COMMUNITY SCHOOLS ENCOURAGE CLASSROOM DENTAL CARE PRACTICE CHANGE IN THE SCHOOLSPROJECT YEAR 2 EXPAND "RETHINK YOUR DRINK: DRINK WATER" CAMPAIGN FOCUS ON: SUGARY SWEETENED BEVERAGE PRACTICE CHANGE AMONG 1. SCHOOLS 2. COMMUNITY - BASED PARTNERS3. BUSINESS PROVIDE DENTAL SUPPLIES TO PRE K - 5TH GRADES IN ALL 9 COMMUNITY SCHOOLS ALONG WITH A DENTAL PRESENTATION ENCOURAGE CLASSROOM DENTAL CARE PRACTICE CHANGE IN THE SCHOOLSPROJECT YEAR 3 EXPAND "RETHINK YOUR DRINK: DRINK WATER" CAMPAIGN FOCUS ON: SUGARY SWEETENED BEVERAGE PRACTICE CHANGE FOR PROVIDERS 1. CHENANGO MEMORIAL HOSPITAL PROVIDERS 2. BASSETT AND PRIVATE PROVIDERS3. DENTAL PROVIDERS PROVIDE DENTAL SUPPLIES TO PRE K - 5TH GRADES IN ALL 9 COMMUNITY SCHOOLS ENCOURAGE CLASSROOM DENTAL CARE PRACTICE CHANGE IN THE SCHOOLSFAMILY OF MEASURESPROJECT YEAR 3 PROVIDERS TO SCREEN AND COUNSEL PATIENTS REGARDING SUGARY SWEETENED BEVERAGES CONSUMPTION AS PART OF ROUTINE MEDICAL CARE NUMBER OF CHENANGO MEMORIAL HOSPITAL PROVIDERS CURRENTLY SCREENING AND COUNSELLING NUMBER OF CHENANGO MEMORIAL HOSPITAL PROVIDERS THAT AGREE TO PRACTICE CHANGE NUMBER OF BASSETT AND PRIVATE PROVIDERS CURRENTLY SCREENING AND COUNSELLING NUMBER OF BASSETT AND PRIVATE PROVIDERS THAT AGREE TO PRACTICE CHANGE NUMBER OF DENTISTS CURRENTLY SCREENING AND COUNSELLING NUMBER OF DENTISTS THAT AGREE TO PRACTICE CHANGE INCREASE THE NUMBER OF SCHOOLS ADOPTING CLASSROOM DENTAL PRACTICE CHANGE BY 1 SUGARY SWEETENED BEVERAGES CONSUMPTION AMONG NYS ADULTS BY COUNTY BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM PREVALENCE OF OBESITY AMONG NYS ADULTS BY COUNTY BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM PART V, SECTION B, LINE 11: IMPLEMENTATION PARTNERS, ROLES(S) AND RESOURCESLOCAL HEALTH DEPARTMENTSUGARY SWEETENED BEVERAGESCREATE AND FACILITATE SUGARY SWEETENED BEVERAGE CAMPAIGNDENTALFUNDING, VOLUNTEERS, PRESENTATIONS IN SCHOOLSBUSINESSESSUGARY SWEETENED BEVERAGESADVOCATE FOR WORKSITE PRACTICE CHANGEDENTALFRONTIER VOLUNTEERNBT BANK VOLUNTEERBLUEOX VOLUNTEERCOMMUNITY-BASED ORGANIZATIONSSUGARY SWEETENED BEVERAGESADVOCATE FOR WORKSITE PRACTICE CHANGEDENTAL CHENANGO UNITED WAY - FORMATION OF DENTAL TASKFORCE, FUNDING, VOLUNTEER CHENANGO HEALTH NETWORK - FUNDING, VOLUNTEERNORWICH ROTARY - FUNDING, VOLUNTEERROGERS CENTER - HOST EVENTS/SPACE, VOLUNTEERHEALTH INSURANCE PLANSDENTALFIDELIS FUNDINGHOSPITALSUGARY SWEETENED BEVERAGESUHS CHENANGO MEMORIAL HOSPITAL COMMUNITY HEALTH ADVOCATE FACILITATE SUGARY SWEETENED BEVERAGES PRACTICE CHANGE AMONG THEIR PROVIDERSK-12 SCHOOLSUGARY SWEETENED BEVERAGESPLEDGE TO ADOPT CLASSROOM PRACTICE CHANGEPROMOTE MESSAGING IN SCHOOLSDENTALADOPT CLASSROOM PRACTICE CHANGEPROJECT YEAR 1 11 SCHOOLS PROVIDED WITH DENTAL SUPPLIES (ZIP BAGS, TOOTHBRUSHES, TOOTHBRUSH COVERS AND TOOTHPASTE) TWICE DURING THE SCHOOL YEAR (4000 CHILDREN IMPACTED) 11 SCHOOLS ACCEPTED THE INITIAL DENTAL PRESENTATION (4000 CHILDREN IMPACTED) UNADILLA VALLEY CENTRAL SCHOOL - ROLE MODEL FOR CLASSROOM PRACTICE CHANGE PERRY BROWN - ADOPTED CLASSROOM PRACTICE CHANGE STANFORD GIBSON - ADOPTED CLASSROOM PRACTICE CHANGE HOLY FAMILY - ADOPTED CLASSROOM PRACTICE CHANGEMEDIASUGARY SWEETENED BEVERAGESEVENING SUN - RUN PRESS RELEASESPARK OUTDOORS - ASSIST WITH BILLBOARD ADSLOCAL RADIO - ASSIST WITH ADSPROVIDERSSUGARY SWEETENED BEVERAGESADVOCATE FOR STAFF TRAINING, PRACTICE CHANGE AROUND SUGARY SWEETENED BEVERAGESPROVIDERS - SCREEN AND EDUCATE DURING MEDICAL VISITSOTHERDENTALCARE COMPASS NETWORK, DSRIP DONATION COLLECTIONOFFICE FOR THE AGINGSUGARY SWEETENED BEVERAGESADVOCATE FOR MESSAGING CAMPAIGN2024 UPDATE DENTAL INITIATIVE AND RETHINK YOUR DRINK INITIATIVEIN 2024 1,895 STUDENTS PRE K-5TH GRADE RECEIVED DENTAL SUPPLIES AND EDUCATIONAL PRESENTATIONS. IN TOTAL, 9,556 DENTAL KITS CONSISTING OF A TOOTHBRUSH, TOOTHPASTE AND DENTAL FLOSS WERE DISTRIBUTED TO 12 ELEMENTARY SCHOOLS THROUGHOUT CHENANGO COUNTY. DENTAL SUPPLIES WERE ALSO DISTRIBUTED TO THE EMMANUEL SOUL KITCHEN THAT PROVIDES A FREE MEAL ONCE A MONTH; HELPING HANDS THAT DISTRIBUTES FOOD AND SUPPLIES TO THE NEEDY; AND NOURISHING NY THAT HELPS PEOPLE WHO ARE FOOD INSECURE TO ACCESS THE NOURISHMENT THEY NEED. ALL OF THE SUPPLIES WERE DONATED, PRIMARILY FROM EXCELLUS BLUE CROSS/BLUE SHIELD. THIS INITIATIVE WILL RESUME WHEN SCHOOLS RETURN TO NORMAL ACTIVITIES. 2 SCHOOLS (MIDDLE AND HIGH SCHOOL) AGREED TO HAVE WATER ONLY IN CLASS. 12 SCHOOLS (MIDDLE AND HIGH SCHOOL) PLEDGED TO CHANGE TO WATER ONLY IN CLASS. THESE SCHOOLS ALSO RECEIVED A 6'X4' BANNER ACKNOWLEDGING THEIR COMMITMENT. THE LHD PRESENTED INFORMATION AND EDUCATION ABOUT THE PROGRAM TO 7 ELEMENTARY SCHOOLS. THE LHD SURVEYED HEALTH PARTNERS IN THE AREA. SIX (6) REPORTED THEY CURRENTLY SERVE WATER ONLY. THE LHD MET WITH ANOTHER 11 INCLUDING CHENANGO COUNTY HOSPICE, UNITED WAY, CHENANGO COUNTY BEHAVIORAL HEALTH, WIC, HEADSTART, AND THE YMCA. ALL PLEDGED TO CHANGE TO WATER ONLY. THE LHD MET WITH 5 LARGE EMPLOYERS IN THE AREA AND THEY TOO PLEDGED TO CHANGE TO SERVING ONLY WATER. A RETHINK YOUR DRINK INSERT WAS INCLUDED IN THE LOCAL PENNYSAVER THAT HAS A CIRCULATION OF 14,500 READERS. RETHINK YOUR DRINK INFORMATION WAS INCLUDED IN 198 BIRTH PACKETS MAILED TO PARENTS OF NEWBORNS.LOOKING AHEAD, THE GROUP IS RECONSIDERING THEIR OPTIONS DUE TO THE INABILITY TO GET INTO SCHOOLS AND OTHER PUBLIC FACILITIES TO INCREASE THE AWARENESS OF CONSUMING SUGARY BEVERAGES.OTHER INITIATIVESPRIORITY: PREVENT CHRONIC DISEASES FOCUS AREA: PHYSICAL ACTIVITYGOAL: INCREASE ACCESS, FOR PEOPLE OF ALL AGES AND ABILITIES, TO INDOOR AND/OR OUTDOOR PLACES FOR PHYSICAL ACTIVITIES.OBJECTIVE: BY DECEMBER 31, 2024: DECREASE THE PERCENTAGE OF ADULTS AGES 18 YEARS AND OLDER WITH OBESITY (AMONG ALL ADULTS). OBJECTIVE 1.7 INCREASE THE PERCENTAGE OF ADULTS AGE 18 YEARS AND OLDER WHO PARTICIPATE IN LEISURE-TIME PHYSICAL ACTIVITY (AMONG ALL ADULTS).DISPARITIES: LOW-INCOME, GEOGRAPHYINTERVENTIONSCHENANGO HEALTHY CHALLENGE: A FREE RESOURCE FOR ALL COMMUNITY MEMBERS TO BECOME ENGAGED IN PHYSICAL ACTIVITY, HEALTHY EATING AND WHOLE HEALTH WELLNESS.FAMILY OF MEASURESPROJECT YEAR 3 NUMBER OF COMMUNITY PARTNERS AND THEIR STAFF INVOLVED NUMBER OF FAMILIES INVOLVED NUMBER OF PARTICIPANTS NUMBER OF ORGANIZATIONAL TEAMS NUMBER OF SURVEYED PARTICIPANTS WHO IMPROVED THEIR PHYSICAL ACTIVITY NUMBER OF SURVEYED PARTICIPANTS WHO IMPROVED THEIR OVERALL HEALTHIMPLEMENTATION PARTNERS, PARTNER ROLE(S) AND RESOURCESLOCAL HEALTH DEPARTMENTCHENANGO HEALTHY CHALLENGEVOLUNTEER, PROMOTE AND EDUCATE PARTICIPANTS AROUND SUGARY SWEETENED BEVERAGES MESSAGINGBUSINESSCHENANGO HEALTHY CHALLENGECHOBANI DONATIONSWILLOW PRIMITIVE & BOUTIQUE FACILITATE CLASSES AROUND CREATIVE THERAPY FOR EMOTIONAL AND SOCIAL HEALTHOTHER - PROMOTE TO STAFFHEADSTARTCHENANGO HEALTHY CHALLENGEVOLUNTEERHOSPITALCHENANGO HEALTHY CHALLENGEUHS CHENANGO MEMORIAL HOSPITAL, COMMUNITY HEALTH ADVOCATE - VOLUNTEER, PROMOTE TO HOSPITAL STAFF K-12 SCHOOLCHENANGO HEALTHY CHALLENGEPROMOTE TO FAMILIES AND STAFFOFFICE OF THE AGINGCHENANGO HEALTHY CHALLENGEPROMOTE TO STAFF AND SENIORS PART V, SECTION B, LINE 11: HEALTHY CHENANGO 2024 UPDATECHALLENGE ORGANIZERS ENGAGED PARTICIPANTS THROUGH SOCIAL MEDIA BY PROVIDING TIPS AND STRATEGIES TO HELP DURING THE QUARANTINE. POSTS INCLUDED TIPS ON HEALTHY LIVING, EATING, EXERCISE AND MENTAL HEALTH. THE FACEBOOK SITE HAS 100 ACTIVE PARTICIPANTS. THE WALK/RUN IS NOW PART OF THE SUICIDE PREVENTION COALITION.PRIORITY: PREVENT CHRONIC DISEASESFOCUS AREA: PREVENTIVE CARE AND MANAGEMENTGOAL: IN THE COMMUNITY SETTING, IMPROVE SELF-MANAGEMENT SKILLS FOR INDIVIDUALS WITH CHRONIC DISEASES, INCLUDING ASTHMA, ARTHRITIS, CARDIOVASCULAR DISEASE, DIABETES AND PREDIABETES AND OBESITY.OBJECTIVE: BY DECEMBER 31, 2024 INCREASE THE PERCENTAGE OF ADULTS WITH CHRONIC CONDITIONS (ARTHRITIS, ASTHMA, CVD, DIABETES, CKD,) WHO HAVE TAKEN A COURSE OR CLASS TO LEARN HOW TO MANAGE THEIR CONDITION BY 5%. INCREASE HEALTH SYSTEM REFERRALS BY 5%. OVERALL, DECREASE A1CS BY 5% OF PARTICIPANTS THAT COMPLETED THE PROGRAM.DISPARITIES: LOW-INCOME, GEOGRAPHY, AGEINTERVENTIONS: CHN, UHS CHENANGO MEMORIAL HOSPITAL AND BASSETT HEALTH CARE: CHRONIC DISEASE SELF-MANAGEMENT PROGRAMEXPAND ACCESS TO EVIDENCE-BASED SELF-MANAGEMENT INTERVENTIONS FOR INDIVIDUALS WITH CHRONIC DISEASE (ARTHRITIS, ASTHMA, CARDIOVASCULAR DISEASE, DIABETES, PREDIABETES, AND OBESITY) WHOSE CONDITION(S) IS NOT WELL-CONTROLLED WITH GUIDELINES-BASED MEDICAL MANAGEMENT ALONE BASSET HEALTH CARE: NATIONAL DIABETES PREVENTION PROGRAMEXPAND ACCESS TO THE NATIONAL DIABETES PREVENTION PROGRAM (NATIONAL DPP), A LIFESTYLE CHANGE FOR PREVENTING TYPE 2 DIABETESFAMILY OF MEASURES: NUMBER OF HEALTH SYSTEMS THAT HAVE POLICIES & PRACTICES FOR IDENTIFYING AND REFERRING PATIENTS TO EVIDENCE-BASED SELF- MANAGEMENT EDUCATION (EBSMP) (PROGRAMS OFFERED: CHRONIC DISEASE SELF-MANAGEMENT PROGRAM (CDSMP), DIABETES SELF-MANAGEMENT PROGRAM (DSMP), PAIN SELF-MANAGEMENT PROGRAM (PSMP) NUMBER AND TYPE OF EVIDENCE-BASED SELF-MANAGEMENT EDUCATION PROGRAMS IN COMMUNITY SETTINGS NUMBER OF PATIENTS WHO PARTICIPATE IN EVIDENCE-BASED SELF-MANAGEMENT EDUCATION PROGRAMS PERCENTAGE OF PATIENTS WHO COMPLETE EVIDENCE-BASED SELF-MANAGEMENT EDUCATION PROGRAMS A1C PRE/POST FOR DIABETES MANAGEMENT PROGRAM OTHER PRE/POST FOR PAIN MANAGEMENT PROGRAM NUMBER OF HEALTH SYSTEMS THAT HAVE POLICIES & PRACTICES FOR IDENTIFYING AND REFERRING PATIENTS TO NATIONAL DIABETES PREVENTION PROGRAMS (NDPP) NUMBER OF NATIONAL DIABETES PREVENTION PROGRAMS IN COMMUNITY SETTINGS NUMBER OF PATIENTS REFERRED TO NATIONAL DIABETES PREVENTION PROGRAMS NUMBER OF PATIENTS WHO PARTICIPATE IN NATIONAL DIABETES PREVENTION PROGRAMS PERCENTAGE OF PATIENTS WHO COMPLETE NATIONAL DIABETES PREVENTION PROGRAMSPROJECTED (OR COMPLETED) YEAR 1 INTERVENTIONS OFFER:- CHRONIC DISEASE SELF-MANAGEMENT PROGRAM (CDSMP)- DIABETES SELF-MANAGEMENT PROGRAM (DSMP) 95% OF PARTICIPANTS REGISTERED COMPLETE THE PROGRAMPROJECTED YEAR 2 INTERVENTIONS OFFER: - CHRONIC DISEASE SELF-MANAGEMENT PROGRAM (CDSMP)- DIABETES SELF-MANAGEMENT PROGRAM (DSMP)- PAIN SELF-MANAGEMENT PROGRAM (PSMP) UHS CHENANGO MEMORIAL HOSPITAL TO GENERATE REFERRALS VIA THEIR ELECTRONIC MEDICAL RECORDPROJECTED YEAR 3 INTERVENTIONS OFFER:- CHRONIC DISEASE SELF-MANAGEMENT PROGRAM (CDSMP)- DIABETES SELF-MANAGEMENT PROGRAM (DSMP)- PAIN SELF-MANAGEMENT PROGRAM (PSMP) INSTITUTE THE NATIONAL DIABETES PREVENTION PROGRAM (NDPP)IMPLEMENTATION PARTNERS, PARTNER ROLE(S) AND RESOURCESLOCAL HEALTH DEPARTMENTCHRONIC DISEASE SELF-MANAGEMENTREFERRALS, OUTREACH, AND CLASS PROMOTIONCOMMUNITY-BASED ORGANIZATIONCHRONIC DISEASE SELF-MANAGEMENT CHENANGO HEALTH NETWORK - FUNDING, PROGRAM FACILITATORS, SPACE, REFERRALS, OUTREACH AND EDUCATION ABOUT CLASSES, ADVERTISE THE CLASSES, COLLECTING AND TRACKING DATA IN GSI NORWICH FAMILY YMCA - SPACE, OUTREACH AND EDUCATION ABOUT CLASSES, AND ADVERTISE THE CLASSESHOSPITALCHRONIC DISEASE SELF-MANAGEMENT UHS CHENANGO MEMORIAL HOSPITAL - FUNDING, PROGRAM FACILITATORS, SPACE, REFERRALS VIA PROVIDERS AND EMR, OUTREACH AND PROMOTION BASSETT FACILITATE NATIONAL DIABETES PREVENTION PROGRAM, FUNDING, REFERRALS, OUTREACH AND PROMOTION.PROVIDERSCHRONIC DISEASE SELF-MANAGEMENTPROMOTE AND REFERRAL SOURCEOTHERCHRONIC DISEASE SELF-MANAGEMENT CARE COMPASS NETWORK, DSRIP OUTREACH AND PROMOTIONOFFICE OF THE AGINGCHRONIC DISEASE SELF-MANAGEMENTSPACE, REFERRAL, OUTREACH AND PROMOTION 2024 UPDATE - CHRONIC DISEASE SELF MANAGEMENT AND DIABETES SELF MANAGEMENTBASSETT HEALTHCARE OFFERED VIRTUAL SESSIONS, BUT THEY WERE POORLY ATTENDED. IT IS UNKNOWN IF THEY CONTINUED THE SESSIONS DURING THE PANDEMIC, BUT THEY DO PLAN TO CONTINUE TO OFFER THEM IN 2025.THE LHD AND CHENANGO HEALTH NETWORK ARE LOOKING FOR PEOPLE TO BECOME TRAINERS FOR THESE PROGRAMS. DURING THE PANDEMIC, TRAINING TRANSITIONED TO A VIRTUAL FORMAT MAKING IT EASIER FOR PEOPLE TO COMPLETE THE TRAINING. ADDITIONALLY, THE SELF-MANAGEMENT CLASSES ALSO TRANSITIONED TO A VIRTUAL FORMAT MAKING IT EASIER FOR PEOPLE TO ATTEND IN THIS RURAL ENVIRONMENT. 9 1 - UHS IMAGING 6 NEWTON AVENUE NORWICH NY 13815 IMAGING CARE CENTER 2 - UHS PHYSICAL THERAPY 26 CONKEY AVENUE NORWICH NY 13815 CENTER FOR PHYSICAL THERAPIES 3 - UHS PRIMARY CARE - SIDNEY 44 PEARL STREET SIDNEY NY 13838 PRIMARY CARE CENTER 4 - UHS PEDIATRICS 4 NEWTON AVENUE NORWICH NY 13815 PEDIATRIC CARE CENTER 5 - UHS ORTHOPEDICS 4 NEWTON AVENUE NORWICH NY 13815 ORTHOPEDIC CARE CENTER 6 - UHS GENERAL SURGERY 4 NEWTON AVENUE NORWICH NY 13815 GENERAL SURGERY CARE CENTER 7 - UHS PRIMARY CARE - SHERBURNE 38A CLASSIC STREET SHERBURNE NY 13460 PRIMARY CARE CENTER 8 - UHS PRIMARY CARE - OXFORD 21 NORTH CANAL STREET OXFORD NY 13830 PRIMARY CARE CENTER 9 - UHS WOMEN'S HEALTH 32 CONKEY AVENUE NORWICH NY 13815 WOMEN'S HEALTH PART I, LINE 7: A COMBINATION OF IRS PROVIDED WORKSHEETS AND THE RATIO OF PATIENT CARE COST TO CHARGES WAS USED. PART I, LN 7 COL(F): 100% OF THE ANNUAL BAD DEBT EXPENSE OF $3,977,815 WAS NOT INCLUDED IN THE CALCULATION OF NET BENEFIT EXPENSE. PART III, LINE 2: THE COST OF BAD DEBTS IS TAKEN FROM THE 2024 AUDITED FINANCIAL STATEMENTS. PART III, LINE 3: THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE IS BASED ON A PERCENTAGE ALLOCATION APPLIED TO THE TOTAL BAD DEBT EXPENSE REPORTED ON THE AUDITED FINANCIAL STATEMENTS. THE PERCENTAGE CALCULATION COMPARED THE 2024 ACTUAL BAD DEBT WRITE-OFFS RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE TO THE TOTAL 2024 ACTUAL BAD DEBT WRITE-OFFS. THIS CALCULATION DID NOT INCLUDE ESTIMATES OR ACCRUALS. IN 2024, THE WRITE-OFFS RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WAS APPROXIMATELY 17.62% OF THE TOTAL BAD DEBT WRITE-OFFS. PART III, LINE 4: THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE IS BASED ON A PERCENTAGE ALLOCATION APPLIED TO THE TOTAL BAD DEBT EXPENSE REPORTED ON THE AUDITED FINANCIAL STATEMENTS. THE PERCENTAGE CALCULATION COMPARED THE 2024 ACTUAL BAD DEBT WRITE-OFFS RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE TO THE TOTAL 2024 ACTUAL BAD DEBT WRITE-OFFS. THIS CALCULATION DID NOT INCLUDE ESTIMATES OR ACCRUALS. IN 2024, THE WRITE-OFFS RELATED TO PATIENTS ELIGIBE FOR FINANCIAL ASSISTANCE WAS APPROXIMATELY 17.62% OF THE TOTAL BAD DEBT WRITE-OFFS. PART III, LINE 8: CMH FEELS THAT ANY SERVICES PROVIDED TO MEDICARE BENIFICIARIES THAT RESULTS IN A SHORTFALL TO THE ORGANIZATION BASED ON A LESS THAN ADEQUATE MEDICARE REIMBURSEMENT SHOULD BE TREATED AS A COMMUNITY BENEFIT. CMH TREATS ANY AND ALL COMMUNITY MEMBERS REGARDLESS OF ABILITY TO PAY. CMH'S SERVICE REGION HAS A HIGHER PROPORTION OF ELDERLY THAN THE U.S. AVERAGE. THEREFORE, CMH IS SERVICING AT RISK MEDICARE BENEFICIARIES WITH ALL ITS PROGRAMS AND SERVICES. PART III, LINE 9B: THE ORGANIZATION'S COLLECTION POLICY PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE AS FOLLOWS:CHARITY CARE IS GIVEN FIRST, THE REMAINING BALANCE, IS THEN SUBJECT TO AN INTEREST FREE PAY PLAN. IF THE PATIENT GUARANTOR CHOOSES TO IGNORE ALL FURTHER ATTEMPTS TO MAKE ARRANGEMENTS FOR PAYMENTS, AFTER 180 DAYS THE ACCOUNT IS SENT TO A COLLECTION AGENCY AT THE DISCOUNTED LEVEL.CMH'S POLICY CLEARLY STATES THAT THE FORCED SALE OR FORECLOSURE OF A PATIENT'S PRIMARY RESIDENCE, LIQUIDATION OF RETIREMENT ASSETS OR COLLEGE SAVINGS, AND THE SALE OF A CAR USED REGULARLY ARE NOT PERMITTED. THE POLICY ALSO PROHIBITS COLLECTION FROM PATIENTS WHO ARE DETERMINED TO BE ELIGIBLE FOR MEDICAID AT THE TIME OF SERVICE.CMH REFRAINS FROM SENDING AN ACCOUNT TO COLLECTION AGENCIES IF A COMPLETED FINANCIAL ASSISTANCE APPLICATION AND THE REQUIRED DOCUMENTATION ARE PROVIDED. CMH PROVIDES WRITTEN NOTICE NO LESS THAN 30 DAYS PRIOR TO REFERRING DEBTS TO COLLECTION AGENCIES AND WILL REFRAIN FROM INITIATING ANY EXTRAORDINARY COLLECTION ACTS FOR AT LEAST 120 DAYS FROM THE DATE OF THE FIRST DISCHARGE BILLING STATEMENT. CMH ALSO REQUIRES THAT COLLECTION AGENCIES FOLLOW THE FINANCIAL ASSISTANCE POLICY GUIDELINES AND MUST RECEIVE WRITTEN CONSENT FROM UHSH BEFORE COMMENCING LEGAL ACTION. PART VI, LINE 2: IN BETWEEN CHNA SUBMITTALS, UHS CHENANGO MEMORIAL HOSPITAL (CMH) USES INPATIENT AND OUTPATIENT SURVEYS ADMINISTERED THROUGH PRESS GANEY TO COLLECT PATIENT INPUT. ALL CMH PATIENTS, BOTH INPATIENT AND OUTPATIENT, RECEIVE EASY-TO-COMPLETE FORMS ASKING THEM QUESTIONS ABOUT THE CARE ISSUES THEY FEEL NEED TO BE ADDRESSED, AND SERVICES THAT NEED TO BE IMPROVED OR ADDED. PATIENTS PROVIDE VALUABLE INFORMATION IN THE "COMMENTS" SECTION OF THESE SURVEYS. EACH MONTH, THE SURVEY SCORES ARE COMPARED TO A ROLLING 12-MONTH AVERAGE AND TARGETS. THE TARGETS ARE BASED ON NATIONAL AVERAGES TO DETERMINE IF CMH IS AT OR ABOVE TARGET, WITHIN 10% OF APPROACHING TARGET, OR IS MORE THAN 10% BELOW TARGET. THE PROCESS FOR COMPILING AND REPORTING THIS DATA HAS BEEN CUMBERSOME AND TIME CONSUMING. IN 2024, CMH IDENTIFIED THREE OPPORTUNITIES TO IMPROVE THE PROCESS: 1) DEVELOP MORE PURPOSEFUL, CONSISTENT VISUALS (CHARTS) ACROSS SURVEY TYPES, 2) CREATE MORE USEFUL PATIENT COMMENT SHARING - FOR BOTH SUCCESSES AND REMINDERS OF AREAS FOR IMPROVEMENT, AND 3) INCREASE STAFF INVOLVEMENT WITH MORE TRANSPARENCY ON PERFORMANCE AND CREATE A PLATFORM FOR EDUCATION.DEPARTMENTAL SURVEY SCORES ARE NOW SHOWN IN A "SCORECARD" FORMAT THAT IS A CLEANER VISUAL AND IS EASY TO USE AND MODIFY. IT IS ALSO A BETTER REPRESENTATION OF ACTUAL PERFORMANCE ILLUSTRATING CAHPS AND HCAHPS SCORES AS WELL AS PATIENT COMMENTS. CMH'S PATIENT EXPERIENCE TEAM REVIEWS THE CHARTS MONTHLY AND DEPARTMENT LEADERS SHARE THE CHARTS WITH THEIR STAFF SO THEY CAN SEE PROGRESS AGAINST TARGETS AND READ PATIENT COMMENTS. PATIENT COMMENTS THAT REQUIRE MANAGEMENT CONSIDERATION ARE FORWARDED TO THE APPROPRIATE LEADERS FOR REVIEW AND DISCUSSION TO IMPROVE SERVICES.LIVING IN A SMALL COMMUNITY, WE ALSO GET SUGGESTIONS DIRECTLY FROM RESIDENTS ABOUT SERVICES THAT ARE NEEDED OR NEED IMPROVEMENT. HOSPITAL BOARD MEMBERS, AUXILIARY BOARD MEMBERS, AND FOUNDATION BOARD MEMBERS ARE VERY VOCAL ABOUT WHAT THEY ARE HEARING IN THE COMMUNITY OR EXPERIENCING THEMSELVES. EMPLOYEES ARE QUITE CRITICAL ABOUT THEIR OR THEIR FAMILY'S EXPERIENCES IN ALL FACETS OF PATIENT CARE PROVIDING VALUABLE FEEDBACK WITH A TRAINED EYE. BASED ON THIS FEEDBACK AND THOSE OF PATIENTS CALLING IN OR VISITING PROVIDERS, THE HOSPITAL HAS DEVELOPED THE FOLLOWING INITIATIVES.THE HOSPITAL HAS USED OTHER MEANS FOR COLLECTING COMMUNITY INPUT BETWEEN NEEDS ASSESSMENTS. FOCUS GROUPS HAVE BEEN USED TO DISCUSS A SPECIFIC NEED THAT HAS BEEN IDENTIFIED AND REQUIRES FURTHER RESEARCH. FOCUS GROUPS WERE HELD DURING OUR MOST RECENT NEEDS ASSESSMENT PROCESS AND MORE INFORMATION ABOUT THAT IS AVAILABLE IN PART V, SECTION C - SUPPLEMENTAL INFORMATION FOR PART V, SECTION B.CMH ALSO LOOKS AT DIAGNOSIS CODES AND MARKET DATA PERIODICALLY TO DETECT DEVELOPING TRENDS AND ADDRESS THEM AS NEEDED.LASTLY, THE HOSPITAL'S VP OF SERVICE COORDINATION & DEVELOPMENT IS CHAIRMAN OF THE CHENANGO HEALTH NETWORK (CHN). THE CHN IS CHENANGO COUNTY'S RURAL HEALTH NETWORK. THE BOARD CONSISTS OF 13 COMMUNITY LEADERS REPRESENTING A CROSS SECTION OF HEALTH CARE SERVICES IN THE AREA. THIS GROUP MEETS MONTHLY AND DISCUSSES HEALTH CARE CONCERNS AND OPPORTUNITIES IN THE COMMUNITY AND INITIATES SUBCOMMITTEES TO ADDRESS SPECIFIC ISSUES AS NEEDED. PART VI, LINE 3: OUR ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER OUR CHARITY CARE POLICY AS FOLLOWS:* EVERY CLINIC AND AREA OF PATIENT REGISTRATION HAS A NOTICE POSTED INFORMING THE PATIENT/S/PUBLIC OF THE AVAILABILITY OF FINANCIAL ASSISTANCE* BROCHURES DESCRIBING THE POLICY ARE AVAILABLE AT CLINICS, POINTS OF REGISTRATION, AND ARE MAILED TO SELF PAY PATIENTS ALONG WITH APPLICATIONS* INPATIENTS ARE VISITED BY THE PATIENT FINANCIAL ADVOCATE. THEY ARE MADE AWARE OF GOVERNMENT PROGRAMS AND IF NECESSARY, ARRANGEMENTS ARE MADE WITH THE DEPARTMENT OF SOCIAL SERVICES TO HAVE A WORKER COME IN AND TAKE THE APPLICATION FROM THE PATIENT. THE PATIENT IS GIVEN INFORMATION AND AN APPLICATION FOR FINANCIAL ASSISTANCE, WHICH CAN BE COMPLETED AT THE PATIENT'S BEDSIDE.* THE WOMAN'S HEALTH CENTER INFORMS ALL SELF PAY PREGNANT WOMEN OF THE "PRESUMPTIVE ELIGIBILITY" PROCESS AND PATIENTS ARE DIRECTED TO PATIENT FINANCIAL SERVICES FOR COMPLETION OF THE APPLICATION AND COMPLETION OF A WIC APPLICATION IF PATIENT SO DESIRES* EVERY CMH EMPLOYEE IS MADE AWARE OF THE CHARITY CARE PROGRAM AT ORIENTATION AND ENCOURAGED TO INFORM PATIENTS AND THE PUBLIC ABOUT THE PROGRAM. PERSONNEL WHO HAVE PATIENT CONTACT ARE ANNUALLY IN-SERVICED ON CHARITY CARE PROGRAM* EVERY BILL THAT IS SENT OUT IS MARKED "FOR INFORMATION REGARDING OUR "PATIENT FINANCIAL ASSISTANCE" PROGRAM" PLEASE CONTACT 607-337-4295 PART VI, LINE 4: CHENANGO COUNTY IS A RURAL COUNTY IN THE SOUTH-CENTRAL AREA OF NEW YORK, FREQUENTLY REFERRED TO AS THE SOUTHERN TIER. CONTIGUOUS COUNTIES INCLUDE MADISON, OTSEGO, DELAWARE, BROOME, AND CORTLAND. NORWICH, THE COUNTY SEAT, IS APPROXIMATELY 112 MILES WEST OF ALBANY, 40 MILES NORTH OF BINGHAMTON, AND 60 MILES SOUTHEAST OF SYRACUSE. THERE ARE 21 TOWNSHIPS, 8 VILLAGES, AND 1 CITY IN THE COUNTY. THE COUNTY'S LAND AREA CONSTITUTES 899 SQUARE MILES AND IS COMPRISED MAINLY OF RURAL LANDSCAPES WITH AGRICULTURAL LAND (35%) AND FOREST (60%) BEING THE TWO MOST PREDOMINANT. APPROXIMATELY 112,000 ACRES, OR 20%, OF CHENANGO COUNTY'S LAND IS STATE OWNED. THE PRIMARY CONNECTOR FROM CHENANGO COUNTY TO THE REST OF NEW YORK STATE IS STATE ROUTE 12, WHICH PROVIDES LINKS TO THE NYS THRUWAY, AND INTERSTATES 81, 86, AND 88. THERE IS ACCESS TO AIR TRANSPORTATION THROUGH COMMERCIAL AIRPORTS IN BINGHAMTON, UTICA, SYRACUSE, AND ALBANY. BINGHAMTON AIRPORT IS THE CLOSEST AIRPORT AT 42 MILES FROM NORWICH. IN ADDITION, THE LT. WARREN EATON AIRPORT IN NORWICH PROVIDES ACCESS TO PRIVATE AIR TRAVEL. CMH HAS A HELIPORT WHICH ALLOWS PATIENTS IN NEED OF INTENSIVE CARE TO BE AIRLIFTED TO LARGER CARE CENTERS. THE COUNTY DOES NOT HAVE ACCESS TO COMMUTER RAIL TRANSPORTATION. COACH USA AND GREYHOUND LINES OFFER BUS TRANSPORTATION TO AND FROM THE AREA. CHENANGO FIRST TRANSIT PROVIDES BUS SERVICE VIA SIX FIXED ROUTES WITHIN THE COUNTY. THE TRAVEL TIME TO HOSPITALS OTHER THAN CMH FOR CHENANGO COUNTY RESIDENTS IS SUBSTANTIAL. AS NOTED BELOW, THE NEAREST LARGE HOSPITALS REQUIRE TRAVEL OF UP TO 45 MINUTES OR MORE.A.O. FOX HOSPITAL, ONEONTA, NY, IS 32 MILES OR 45 MINUTESM.I. BASSETT HEALTHCARE, COOPERSTOWN, NY, IS 44 MILES OR 1 HOURUHS BINGHAMTON GENERAL HOSPITAL, NY, IS 43 MILES OR 1 HOURCOMMUNITY MEMORIAL HOSPITAL, HAMILTON, NY, IS 22 MILES OR 30 MINUTESCORTLAND REGIONAL MEDICAL CENTER, NY, IS 43 MILES OR 1 HOURCROUSE HOSPITAL, SYRACUSE, NY, IS 58 MILES OR 1 HOUR, 15 MINUTESGUTHRIE, BINGHAMTON, NY, IS 42 MILES OR 1 HOURSYRACUSE VA MEDICAL CENTER, NY, IS 58 MILES OR 1 HOUR, 15 MINUTESTRI TOWN REGIONAL HOSPITAL (ED ONLY), NY, 22 MILES OR 30 MINUTESUHS WILSON MEDICAL CENTER, JOHNSON CITY, NY, IS 44 MILES OR 1 HOURUPSTATE UNIVERSITY HOSPITAL, SYRACUSE, NY IS 58 MILES OR 1 HOUR, 15 MINUTESTHE FOLLOWING DATA WAS PRODUCED BY THE US CENSUS WEBSITE, HTTPS://DATA.CENSUS.GOV/:DEMOGRAPHICALLY, 95% OF THE COUNTY'S POPULATION (47,220) IS PREDOMINANTLY WHITE. THE REMAINING POPULATION INCLUDES HISPANIC/LATINO, BLACK, ASIAN AND AMERICAN INDIAN. CHENANGO COUNTY IS 51ST IN TOTAL POPULATION AMONG THE 62 COUNTIES IN NEW YORK STATE AND HAS BEEN EXPERIENCING A STEADY DECLINE IN ITS OVERALL POPULATION. AS WITH THE REST OF THE UNITED STATES, THE POPULATION OF CHENANGO COUNTY IS AGING. THE MEDIAN AGE OF THE POPULATION HAS CONTINUED TO INCREASE OVER TIME, FROM 44.9 IN 2017 TO 45.5 IN 2023. THE GROUP THAT HAS SEEN THE LARGEST INCREASE DURING THIS TIME IS ADULTS AGED 65 TO 79, WITH A POPULATION INCREASE FROM 20.4% IN 2022 TO 23.1% IN 2023.THE CHENANGO COUNTY UNEMPLOYMENT RATE IS TYPICALLY HIGHER THAN THAT OF NYS AS A WHOLE. AS OF 2023, THE CHENANGO COUNTY UNEMPLOYMENT RATE (NOT SEASONALLY ADJUSTED) WAS 5.1% WHILE THE NYS RATE WAS 4.6%. OF THE 25,935 PEOPLE AGED 16-64 IN THE COUNTY, 79.5% (20,548) WORKED AT LEAST PART-TIME FOR PART OF THE YEAR. THE NUMBER OF PEOPLE AGED 16-64 IN CHENANGO COUNTY WHO DID NOT WORK AT ALL DECREASED FROM 8,741 (28.5%) IN 2022 TO 5,387 (20.8%). OF THOSE WORKERS WHO DID WORK, NEARLY TWO-THIRDS OR 65.2%, WORKED FULL-TIME, YEAR-ROUND, AND 79.2% OF WORKERS USUALLY WORKED 35 HOURS OR MORE IN 2023, SLIGHTLY UP FROM 77.9% IN 2022. IN 2023, 18.8.5% OF THE PEOPLE IN CHENANGO COUNTY AGED 18 TO 64 IDENTIFIED AS HAVING A DISABILITY, AN INCREASE FROM 17.5% IN 2022. 47.4% OF PEOPLE WITH DISABILITIES ARE NOT IN THE LABOR FORCE WHILE 20.6% ARE EMPLOYED.CHENANGO COUNTY HAS A SIGNIFICANTLY LOWER MEDIAN INCOME THAN NEW YORK STATE AS A WHOLE, BOTH FOR HOUSEHOLDS AND FAMILIES. THIS SUGGESTS THAT THE COUNTY POPULATION OVERALL HAS LESS "BUYING" POWER. THE MEDIAN HOUSEHOLD INCOME IN 2023 WAS $55,615 IN CHENANGO COUNTY WHILE NYS WAS $82,095. MEDIAN FAMILY INCOME IN 2023 WAS $70,791 FOR FAMILIES.CHENANGO COUNTY IS A POOR COUNTY WITH 14.2% OF ITS POPULATION AND 3.5% OF ITS CHILDREN LIVING BELOW THE FEDERAL POVERTY LEVEL. THE NUMBER OF CHILDREN AGED 0-17 LIVING IN POVERTY DECREASED FROM 17.6% IN 2022 TO 10.6% IN 2023. OF THOSE FAMILIES WITH FEMALE HEADS OF HOUSEHOLD AND CHILDREN PRESENT, 47.1% LIVE IN POVERTY. OF THE 25,935 PEOPLE AGED 16-64 IN THE COUNTY, 79.3% (20,548) WORKED AT LEAST A PART-TIME FOR PART OF THE YEAR. POOR ECONOMIC STATUS IS OFTEN ASSOCIATED WITH POOR HEALTH OUTCOMES AS THOSE WITHOUT MEANS ARE NOT IN A POSITION TO MAKE LIFESTYLE CHANGES TO PROMOTE GOOD HEALTH. IN CHENANGO COUNTY MANAGING EXPENSES RELATED TO FOOD, HOUSING, CLOTHING, TRANSPORTATION, CHILD CARE AND HEALTH CARE IS A MAJOR STRESSOR FOR INDIVIDUALS PARTICULARLY WITH FAMILIES AND SENIOR ADULTS. CHENANGO COUNTY'S POVERTY LEVELS BRING TO FOCUS FOOD INSECURITIES FOR THAT POPULATION. ONE OF THE ISSUES OF GENERATIONAL POVERTY (FAMILIES AND INDIVIDUALS LIVING IN POVERTY GENERATION TO GENERATION) THAT IS EVIDENT IN THE COUNTY IS THE UTILIZATION OF FOOD PANTRIES AND FREE MEAL PROGRAMS OFFERED BY AREA CHURCHES. RESIDENTS WITH FOOD INSECURITY LIVE DAY-TO-DAY TO PROVIDE FOR THEMSELVES AND THEIR FAMILIES; THEY FOCUS ON DAY-TO-DAY SURVIVAL VERSUS DEVELOPING STRATEGIES TO PREVENT FOOD INSECURITY AND OTHER HEALTH CONCERNS.DATA FROM NYSDOH INDICATES THAT AS OF OCTOBER OF 2023, 49.4% OF THE CHENANGO COUNTY POPULATION (22,443 MEMBERS) WAS ENROLLED IN MEDICAID. THIS IS GREATER THAN THE NYS RATIO OF 43.3% FOR THE SAME TIME PERIOD. THE NUMBER OF PEOPLE ENROLLED IN MEDICAID IN CHENANGO COUNTY HAS INCREASED BY 8.2% SINCE 2020, A RATE SLIGHTLY LOWER THAN NYS'S INCREASE OF 10.8%.THE INCREASE IN THE NUMBER OF MEDICAID ENROLLEES IS REFLECTED IN THE TREND TOWARD LOWER UNINSURED RATES. ACCORDING TO CENSUS DATA, THE PERCENTAGE OF THE COUNTY POPULATION WITHOUT INSURANCE DECLINED FROM 4.1% IN 2022 TO THE CURRENT LOW OF 3.9% IN 2023. THIS DATA SHOWS THAT AS THE PERCENTAGE OF PEOPLE WHO ARE INSURED HAS INCREASED, THE DISTRIBUTION OF PEOPLE COVERED BY DIFFERENT INSURANCE ENTITIES HAS ALSO CHANGED. IN 2022, A HIGHER PERCENTAGE OF CHENANGO COUNTY RESIDENTS WERE COVERED BY INSURANCE THAT THEY PURCHASED DIRECTLY (SUCH AS THROUGH THE STATE EXCHANGE) AND THROUGH MEDICAID ONLY, THAN WERE IN 2017. FEWER CHENANGO COUNTY RESIDENTS WERE ENROLLED IN MORE THAN ONE INSURANCE PLAN IN 2022, THAN COMPARED TO 2017. FEWER CHENANGO COUNTY RESIDENTS IN 2022 WERE ALSO NOT COVERED BY EMPLOYER-BASED INSURANCE PLANS THAN IN 2017. AS OF YEAR-END 2022, UHS CHENANGO MEMORIAL HOSPITAL SHOWED A PAYER MIX OF 38% MEDICARE, 23% MEDICAID, 19% COMMERCIAL, 12% PRIVATE-PAY AND 8% OTHER.** CONTINUED ON SCHEDULE H SUPPLEMENTAL INFORMATION PART VI, LINE 5: COMMUNITY BOARDUHS CHENANGO MEMORIAL'S BOARD OF DIRECTORS TOTALS 16 MEMBERS, 13 OF WHOM ARE LOCAL RESIDENTS AND COMMUNITY LEADERS IN BANKING, LAW, PHARMACEUTICALS, MANUFACTURING, MEDICINE, INSURANCE, INVESTMENTS, AND INDEPENDENT BUSINESS. THE BOARD MEETS BI-MONTHLY. THE BOARD ALSO HAS COMMITTEES THAT FOCUS ON FINANCES, STAFF CREDENTIALING, AND GOVERNANCE, ALL OF WHICH HAVE REPRESENTATION FROM THE COMMUNITY.THE CMH AUXILIARY, WHO ALSO REPORT UNDER THE HOSPITAL'S TAX ID NUMBER, HAS ITS OWN BOARD THAT MEETS MONTHLY AND CONSISTS OF 14 MEMBERS. THEY, TOO, REPRESENT A CROSS SECTION OF BUSINESSES SIMILAR TO THE HOSPITAL'S BOARD OF DIRECTORS. IN ADDITION, THEY INCLUDE RETIRED INDIVIDUALS AND FAMILY MEMBERS OF PROMINENT COMMUNITY LEADERS IN THE AREA.ALTHOUGH THE CHENANGO MEMORIAL HOSPITAL FOUNDATION, INC., HAS ITS OWN TAX ID NUMBER, ITS SOLE PURPOSE IS TO SUPPORT THE HOSPITAL THROUGH FUNDRAISING. THE FOUNDATION BOARD ALSO HAS 14 MEMBERS WHO REPRESENT BUSINESSES FROM THROUGHOUT THE COUNTY AND MEET APPROXIMATELY 4 TIMES PER YEAR.OPEN MEDICAL STAFF THE HOSPITAL REVIEWS MEDICAL STAFF PRIVILEGES OF ANY QUALIFIED PHYSICIANS AND ALLIED PROFESSIONALS IN THE COMMUNITY THAT APPLY. THE RIGOROUS CREDENTIALING PROCESS INCLUDES REVIEW BY AN INTERNAL CREDENTIALS COMMITTEE AND MEDICAL EXECUTIVE COMMITTEE. AFTER APPROVAL FROM THESE TWO COMMITTEES, THE APPLICATION PROCEEDS TO THE PROFESSIONAL ADVISORY COMMITTEE (PAC), A SUBCOMMITTEE OF THE HOSPITAL'S BOARD OF TRUSTEES, FOR APPROVAL. AFTER APPROVAL BY PAC, THE APPLICATION PROCEEDS TO THE HOSPITAL'S BOARD OF DIRECTORS FOR FINAL APPROVAL AND CREDENTIALING. USE OF SURPLUS FUNDS SURPLUS FUNDS ARE MADE AVAILABLE PRIMARILY FOR PURCHASES OF EQUIPMENT, FACILITY IMPROVEMENTS, OR TECHNOLOGY TO IMPROVE PATIENT CARE. IN SOME INSTANCES, FUNDS ARE USED TO SUPPORT NEW SERVICES. ONE IMPORTANT PART OF THE RENOVATION OF ALL INTERIOR SERVICES IS THE NEED FOR ADDITIONAL AND UPDATED PARKING SERVICES. THE NEW REAR PARKING LOT WAS FINISHED AND STRIPPED AS WELL AS GATED. THE NEW PARKING SPOTS ADDED 50 PLUS LOCATIONS FOR PATIENTS. IN 2024 THE REORGANIZATION OF THE FRONT PARKING LOT WAS PLANNED AND WORK STARTED IN LATE FALL. THE OVERALL PLAN FOR THE FRONT PARKING LOT INCLUDES 80+ PARKING SPOTS AND A HANDICAPPED ENTRANCE IN THE FRONT. SAFETY AND CONVENIENCE ARE OF THE MOST IMPORTANCE WHEN CONSIDERING PATIENT AND EMPLOYEE NEEDS. PLANS FOR ADDITIONAL PARKING IN THE FRONT OF THE BUILDING ARE PLANNED FOR THE NEXT PHASE AND TAKING PLACE IN 2025. THE OLD AND NO LONGER NEEDED COVID SHACK WAS DISASSEMBLED PRIOR TO THE CONSTRUCTION OF NEW PARKING IN THE FRONT OF THE BUILDING WHICH BEGAN IN THE FALL 2024. THE OLD ROOF OVER THE OPERATING ROOMS WERE REMOVED AND REPLACED WITH MORE MODERN MATERIAL AND ALL LEAKS HAVE BEEN STOPPED. THIS IMPORTANT SPACE IN THE HOSPITAL NOW HAS A RELIABLE ROOF TO WORK UNDER AND WORRIES HAVE BEEN ELIMINATED FOR THIS SPACE. THE RADIOLOGY UNIT WAS COMPLETED IN 2024, BRINGING ALL RADIOLOGY MODALITIES TO THE SAME LOCATION ON THE FIRST FLOOR. ALL THESE SERVICES THAT HAVE BEEN PREVIOUSLY LOCATED THROUGHOUT THE BUILDING NOW HAVE THE ADVANTAGE OF CO-LOCATING. THE CHECK-IN LOCATION HAS BEEN MOVED CLOSER TO THE MAIN ENTRANCE FOR BOTH THE PATIENT'S CONVENIENCE AND SAFETY. THE OLD EMERGENCY DEPARTMENT SPACE WAS RENOVATED AND THE OLD WOMEN'S IMAGING SPACE THAT WAS ACROSS THE PARKING LOT WAS BROUGHT BACK INTO THE HOSPITAL, ALSO INTO THE SAME RADIOLOGY SPACE. THE CMH RADIOLOGY/IMAGING AND PHLEBOTOMY SPACES NOW SHARE THE SAME WAITING ROOM. THIS CHANGE OFFERS MORE CLARITY FOR PATIENTS AND STAFF, AND THE LOCATION OF THESE TWO AREAS WORKS WELL, SENDING PATIENTS IN OPPOSITE DIRECTIONS FOR CARE. THIS CENTRAL LOCATION ALSO PROVIES A SAFER AND CONTROLLABLE SINGLE AREA INSTEAD OF MULTIPLE LOCATIONS. THE OLD FREEZERS AND COOLERS IN THE DIETARY DEPARTMENT WERE REBUILT IN THE SAME SPACE. THE OLD FREEZER WAS IN NEED FOR MUCH TLC AND WAS TORN APART, RE-INSULATED AND THE MECHANICALS WERE REPLACED. THE NEW FREEZER NOW RUNS IN A MUCH MORE EFFICIENT MANNER. THE OTHER REMAINING THREE COOLERS WERE ALSO REBUILT AND REFURBISHED. THESE AREAS WERE IN NEED OF REPAIR AND NOW THE KITCHEN CAN RELY ON THIS EQUIPMENT WITH GREATER FREQUENCY. THE RELOCATION OF NURSING ADMINISTRATION, INFECTION CONTROL AND MANY OTHER IN HOSPITAL OFFICES TO A SINGLE LOCATION OF THE FOURTH FLOOR WAS ACCOMPLISHED. THIS RELOCATION LENDS A MORE CENTRAL LOCATION AND PARTNERSHIP BETWEEN LEADERSHIP AND PRIORITY DEPARTMENTS. THE NEW SPACE INCLUDES MORE THAN 12 OFFICE SPACES AND A CONFERENCE ROOM. THIS FOURTH-FLOOR LOCATION IS OUT OF THE WAY AND IN A SPACE THAT IS DESIGNATED FOR NON-PATIENT CARE, SO THIS IS A GOOD OVERALL FIT FOR THIS USE. THE SECOND GENERATOR WAS ORDERED AND WORK STARTED ON ITS NEW LOCATION, NEXT TO THE CURRENT GENERATOR. THE WORK WAS FINISHED ON THE LOCATION AND PREPPED FOR THE EARLY 2025 DELIVERY OF THE SECOND UNIT. THIS SECOND UNIT IS NEEDED BECAUSE OF NEW YORK STATES REQUIREMENTS FOR POWER REQUIREMENTS FOR AIR CONDITIONING DURING POWER OUTAGES. THESE GENERATOR UNITS COMBINED WILL WORK TOGETHER TO PROVIDE THE HOSPITAL WITH ALL NEEDED POWER DURING UNPLANNED OUTAGES. PART VI, LINE 6: CMH IS AN IMPORTANT PART OF THE UNITED HEALTH SERVICES SYSTEM OF INTEGRATED DELIVERY OF CARE, WHICH PROVIDES ADDITIONAL BENEFITS TO THE COMMUNITY. AS A RESULT OF THE FORMATION OF CMH IN 1910 AND THE SUBSEQUENT TRANSFORMATION OF THE COMBINED ORGANIZATION INTO A HEALTH CARE SYSTEM, OUR REGION TODAY OFFERS MORE COMPLETE AND ADVANCED CARE THAN MANY COMMUNITIES FIVE TIMES OUR SIZE. CMH PARTICIPATES IN THE UNITED HEALTH SERVICES SYSTEMSTRATEGIC PLANNING PROCESS. CONSISTENT WITH THE MISSION AND VISION, THE PLAN FOCUSES ON CONTINUING TO STRENGTHEN THE HEALTH SYSTEM AND ITS SERVICES TO THE REGION. THE STRATEGIC PLAN IS ORGANIZED AROUND THREE OBJECTIVES: IMPROVE OUR CARE, MANAGE OUR COSTS, AND GROW OUR MARKET SHARE. SPECIFIC DESTINATION METRICS OR MEASURES OF SUCCESS WERE DEVELOPED FOR EACH STRATEGIC OBJECTIVE THEY RELATE TO THE HOSPITAL'S SERVICES AND THE NEEDS OF OUR PATIENTS. THE SPECIFIC INITIATIVES SUPPORTING ACHIEVEMENT OF THE OBJECTIVES ARE REVIEWED ON A REGULAR BASIS. EACH ENTITY CARRIES OUT INITIATIVES LOCALLY AND REGIONALLY. THE CMH COMMUNITY SERVICE REPORT CAPTURES THE BENEFITS SPECIFIC TO CMH. THE OTHER HOSPITAL MEMBERS OF THE UHS SYSTEM, UHS WILSON MEDICAL CENTER, UHS BINGHAMTON GENERAL HOSPITAL, AND DELAWARE VALLEY HOSPITAL SUBMIT SEPARATE REPORTS.- CLINICAL EXCELLENCE: CMH HAS FOCUSED ITS RESOURCES AND ENERGY AROUND ACHIEVING DISTINCTION AS A HEALTH SYSTEM IN CLINICAL QUALITY, PATIENT SAFETY AND SERVICE. CMH IS FOCUSED ON VIGOROUS ASSESSMENT AND IMPROVEMENT OF THE ORGANIZATION'S PERFORMANCE USING KEY PATIENT QUALITY, SAFETY AND SATISFACTION INDICATORS. THE PLAN PLACES A FOCUS IN PARTICULAR ON EMERGENCY ROOM PERFORMANCE, CLOSER INTEGRATION OF NON-ACUTE SERVICES WITH THE HOSPITALS, DEVELOPMENT AND IMPLEMENTATION OF STATE-OF-THE-ART INFORMATION TECHNOLOGY TO SUPPORT INITIATIVES IN PATIENT QUALITY AND SAFETY AND NEW INITIATIVES IN THE RECRUITMENT AND RETENTION OF A QUALITY PHYSICIAN AND ALLIED HEALTH WORKFORCE.- SERVICE EXCELLENCE: ADDRESS DELIVERING ON THE CMH BRAND PROMISE OF A MEANINGFULLY BETTER PATIENT EXPERIENCE. THE PLAN FOCUSES ON PATIENT-CENTERED CARE AND THE BRAND PROMISE OF RESPECT AND ACCOUNTABILITY. THIS GOAL ALIGNS TECHNOLOGY WITH PERFORMANCE STANDARDS TO IMPROVE ACCESS TO BETTER MEET PATIENT NEEDS.- MARKET GROWTH: THIS GOAL AREA ADDRESSES THE KEY ASPECTS OF ALIGNING TECHNOLOGY, PHYSICIAN RESOURCES AND PROGRAMS AROUND THE CLINICAL NEEDS OF THE SERVICE AREA. THE PLAN FOCUSES ATTENTION ON KEY TERTIARY SERVICES AND THE ASSURANCE OF AN ADEQUATE SUPPLY OF PRIMARY CARE AND SPECIALIST PHYSICIANS FOR THE AREA. AT THE SAME TIME, CMH REMAINS COMMITTED TO MEETING THE COMMUNITY'S BEHAVIORAL HEALTH SERVICES NEEDS.- FINANCIAL STRENGTH: TO ENSURE CMH HAS THE FINANCIAL CAPACITY TO SUPPORT ITS CLINICAL SERVICE AND GROWTH GOALS, THE STRATEGIC PLAN CALLS THE ORGANIZATION TO DEMONSTRATE CONSISTENT PERFORMANCE WITH RESPECT TO BENCHMARKED OPERATING EFFICIENCIES. THIS INCLUDES PARTICIPATING IN 340B INDIGENT CARE PHARMACY PRICING IN ORDER TO SERVE MORE ELIGIBLE PATIENTS AND PROVIDE MORE COMPREHENSIVE SERVICE.PART VI, LINE 7CHENANGO MEMORIAL HOSPITAL FILES THE COMMUNITY BENEFIT REPORT WITH NEW YORK STATE. X X X X 0 1 0 0 0 1 1 0 0 JOHN M CARRIGG BOARD MEMBER/ 2ND VICE CHAIR 0 1261668 0 118000 0 7144 0 10350 0 40379 0 1437541 0 0 ELIZABETH K BOLAND BOARD MEMBER 0 679675 0 54900 0 0 0 10350 0 21229 0 766154 0 0 JAY SMITH BOARD MEMBER 0 534170 0 41200 0 0 0 10350 0 20665 0 606385 0 0 PHYLLIS SHERIFF-WHITE PRESIDENT OF MED STAFF 417270 0 15000 0 0 0 10350 0 33494 0 476114 0 0 0 DRAKE LAMEN MD BOARD MEMBER/ PRESIDENT/CEO/CMO 366104 0 49015 0 0 0 18621 0 27469 0 461209 0 0 0 THOMAS GENESE VICE PRESIDENT MEDICAL AFFAIRS 365484 0 10000 0 0 0 18022 0 35308 0 428814 0 0 0 ZAIMA CHOUDHRY PHYSICIAN 236572 67949 0 0 0 0 13856 13856 344 144 250772 81949 0 0 DESIREE A AXLEY VP FINANCE AND CFO 231767 0 30000 0 0 0 13231 0 2136 0 277134 0 0 0 CHRISTINA KISACKY VP OF OPERATIONS 203508 0 30000 0 0 0 11819 0 15462 0 260789 0 0 0 DAVID FINNEY VP NURSING 0 176740 0 30000 0 0 0 3244 0 37021 0 247005 0 0 KRISTINA HUMMER VP OF MEDICAL 217995 0 0 0 0 0 3354 0 25181 0 246530 0 0 0 RICHARD R STONE VICE PRESIDENT SUPPORT SERVICES 153059 0 30000 0 0 0 7395 0 36191 0 226645 0 0 0 MELISSA STAGNARO DIRECTOR DEVELOPMENT & ENGAGEMENT 123401 0 30000 0 0 0 8211 0 37093 0 198705 0 0 0 SRIKANTH PORANKI DIRECTOR STRATEGIC INITIATIVE 154590 0 30000 0 0 0 9224 0 897 0 194711 0 0 0 MATTHEW MASSE DIRECTOR SERVICE COORDINATION 132776 0 30000 0 0 0 8128 0 268 0 171172 0 0 0 PART I, LINE 6 THE EXECUTIVE COMPENSATION INCENTIVE PLAN HAS VARIOUS PERFORMANCE MEASURES WHICH INCLUDE ONES FOR CLINICAL EXCELLENCE, MARKET GROWTH, AND FINANCIAL STRENGTH. ONE MEASURE UNDER THE FINANCIAL STRENGTH HEADING IS THE COMBINED NET INCOME OF THE UNITED HEALTH SERVICES SYSTEM. A PORTION OF THE 2024 INCENTIVE COMPENSATION PAYMENTS WERE ATTRIBUTABLE TO MEETING THE COMBINED NET INCOME, PATIENT SAFETY, AND QUALITY GOALS. THE ORGANIZATION DOES NOT COMPENSATE FOR BOARD SERVICE. THE SALARIES LISTED ARE FOR SERVICES PROVIDED AS EMPLOYEES. FORM 990, PART VII, SECTION A, LINE 5: INDIVIDUAL: KRISTINA HUMMER, D.O. UNRELATED ORGANIZATION: UNITED MEDICAL ASSOCIATES, INC. TYPE AND AMOUNT OF COMPENSATION: $217,995 INDIVIDUAL: PHYLLIS SHERIFF-WHITE UNRELATED ORGANIZATION: UNITED MEDICAL ASSOCIATES, INC. TYPE AND AMOUNT OF COMPENSATION: $417,270 FORM 990, PART VI, SECTION A, LINE 6 UNITED HEALTH SERVICES, INC. IS THE SOLE MEMBER OF CHENANGO MEMORIAL HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER, UNITED HEALTH SERVICES, INC, SHALL ELECT TRUSTEES AT THE ANNUAL MEETING OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B UHS INC, (THE MEMBER AS DEFINED BY THE CMH BYLAWS) MUST PROVIDE PRIOR WRITTEN APPROVAL FOR VARIOUS ACTIONS BY THE CMH BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE 990 PREPARATION AND FILING IS THE RESPONSIBILITY OF THE HOSPITALS BOARD OF DIRECTORS WHO DELEGATES THE TIMELY AND ACCURATE COMPLETION OF THE 990 TO MANAGEMENT. THE FINANCE DIVISION PREPARED THE 990 FORMS WHICH WERE REVIEWED BY THE ORGANIZATION'S CONTROLLER, ASSISTANT VP OF FINANCE, CORPORATE CFO AND INDEPENDENT AUDITORS PRIOR TO FILING. A SUMMARY OF KEY ELEMENTS OF THE 990 IS SHARED WITH THE BOARD OF DIRECTORS FOR INFORMATIONAL PURPOSES. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, OFFICERS AND KEY EMPLOYEES SUBMIT CONFLICT OF INTEREST STATEMENTS ANNUALLY WHICH ARE REVIEWED BY THE CEO, BOARD CHAIRMAN AND THE ORGANIZATION'S AUDIT COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 IT IS THE PHILOSOPHY OF THE HOSPITAL THAT ALL STAFF INCLUDING EXECUTIVE STAFF BE COMPENSATED FAIRLY FOR THEIR WORK. BASE SALARY LEVELS, INCENTIVE/BONUS PROGRAMS AND BENEFIT PLANS SHALL TAKE INTO ACCOUNT THE LOCAL, REGIONAL AND NATIONAL MARKETS TO ALLOW UHS HOSPITALS TO RECRUIT, MOTIVATE, REWARD, RECOGNIZE AND RETAIN HIGHLY TALENTED EXECUTIVES WITH THE SKILL SETS REQUIRED TO FULFILL ITS MISSION. THE EXECUTIVE COMPENSATION PROGRAM MUST FOCUS EXECUTIVES' ATTENTION ON UHS'S STRATEGIC INITIATIVES AND MISSION CRITICAL PERFORMANCE OBJECTIVES THAT WILL LEAD TO THE ORGANIZATION'S AND SYSTEM'S SUCCESS. TO CARRY OUT THIS COMPENSATION PHILOSOPHY, THE UHS HOSPITALS (WHICH INCLUDES CHENANGO MEMORIAL HOSPITAL) BOARD OF DIRECTORS' EXECUTIVE COMPENSATION COMMITTEE REVIEWS ANNUALLY A COMPREHENSIVE REPORT PREPARED BY AN EXTERNAL EXECUTIVE COMPENSATION CONSULTING FIRM, SULLIVAN COTTER ASSOCIATES TO DETERMINE THE APPROPRIATENESS OF THE BASE AND TOTAL COMPENSATION LEVELS FOR THE SENIOR MANAGEMENT STAFF. THIS ANNUAL REPORT FOCUSES ON TWO KEY AREAS; 1) THE COMPETITIVENESS OF THE SENIOR MANAGEMENT STAFF'S BASE AND TOTAL COMPENSATION (INCLUDING BENEFITS) VS. NATIONAL BENCHMARK DATA FOR COMPARABLY SIZED HEALTH CARE SYSTEMS AND HOSPITALS (BASED UPON 'TOTAL REVENUE' METRICS), AND 2) A 'REASONABLENESS ASSESSMENT' CONSISTENT WITH U.S. TREASURY DEPARTMENT REGULATIONS GOVERNING EXECUTIVE COMPENSATION FOR NOT-FOR-PROFIT ORGANIZATIONS. THE DATA FROM THIS REPORT ASSISTS THE EXECUTIVE COMPENSATION COMMITTEE IN DETERMINING THE APPROPRIATENESS OF THE SENIOR MANAGEMENTS' CURRENT BASE AND TOTAL COMPENSATION LEVELS AND THE NEED FOR ANY ADJUSTMENTS FOR THAT CALENDAR YEAR. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES FORM 1023, FORM 990 AND OTHER INFORMATION REQUIRED UNDER INTERNAL REVENUE SERVICE REGULATIONS TO THE PUBLIC, UPON REQUEST. FORM 990, PART IX, LINE 11G PHYSICIAN SERVICE FEES: PROGRAM SERVICE EXPENSES 17,979,604. MANAGEMENT AND GENERAL EXPENSES 2,926,912. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,906,516. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN CHENANGO MEMORIAL HOSPITAL FOUNDATION 214,996. PENSION CHANGES OTHER THAN NET PERIODIC BENEFIT COSTS 3,254,279. RENTAL INCOME INCLUDED IN CONTRIBUTIONS -250. CHANGE IN VALUE OF FUNDS HELD IN TRUST 82,059. AUXILLARY ASSETS -232,764. FORM 990, PART XII, LINE 2C: NEITHER THE PROCESS FOR THE OVERSIGHT OF THE AUDIT NOR THE PROCESS FOR THE SELECTION OF THE INDEPENDENT ACCOUNTANT HAS CHANGED DURING THE YEAR. THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANTS. FORM 990, PART XII, LINE 2C FORM 990, PART XII, LINE 2C: NEITHER THE PROCESS FOR THE OVERSIGHT OF THE AUDIT NOR THE PROCESS FOR THE SELECTION OF THE INDEPENDENT ACCOUNTANT CHANGED DURING THE YEAR. THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT. UNITED HEALTH SERVICES HOSPITALS INC 33-57 HARRISON STREET JOHNSON CITY NY 13790 161165049 HOSPITAL NY 501 (C) (3) 3 UNITED HEALTH SERVICES INC 0 IDEAL SENIOR LIVING CENTER INC 508 HIGH AVENUE ENDICOTT NY 13760 222902896 SENIOR LIVING CENTER NY 501 (C) (3) 3 UNITED HEALTH SERVICES INC 0 IDEAL SENIOR LIVING CENTER HOUSING CO 508 HIGH AVENUE ENDICOTT NY 13760 222902899 SENIOR HOUSING NY 501 (C) (3) 10 UNITED HEALTH SERVICES INC 0 TWIN TIER HOME HEALTH INC 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 222348211 HOME HEALTH CARE NY 501 (C) (3) 10 UNITED HEALTH SERVICES INC 0 PROFESSIONAL HOME CARE INC 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 161261977 HOME HEALTH CARE NY 501 (C) (3) 10 UNITED HEALTH SERVICES INC 0 DELAWARE VALLEY HOSPITAL INC ONE TITUS PLACE WALTON NY 13856 150524324 HOSPITAL NY 501 (C) (3) 3 UNITED HEALTH SERVICES INC 0 CMH FUND 179 NORTH BROAD STREET NORWICH NY 13815 222985550 INACTIVE NY 501 (C) (3) 12B CHENANGO MEMORIAL HOSPITAL INC 0 UNITED HEALTH SERVICES INC 20-42 MITCHELL AVENUE BINGHAMTON NY 13903 222682421 PARENT COMPANY NY 501 (C) (3) 10 BOARD OF DIRECTORS UHS INC 0 PATHWAY HEALTH MANAGEMENT INC 20 MITCHELL AVENUE BINGHAMTON NY 13903 161228654 WINDING DOWN OF MANAGEMENT SERVICES TO SUSQUEHANNA MEDICAL ASSOCIATES NY N/A C 0 CHENANGO MADA INC 179 N BROAD STREET NORWICH NY 13915 161290726 INACTIVE NY CMH FUND INC C 1.00000 1 0 0 0 0 1 0 0 0 0 0 0 1 1 0 1 0 0 0 0