2025-05-14T11:44:06-05:00 2024-06-30 PwC US Tax LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2023-07-01 160743037 HIGHLAND HOSPITAL OF ROCHESTER % CARRIE FULLER SPENCER HIGH 5853416686 1000 SOUTH AVENUE ROCHESTER NY 14620 CARRIE FULLER SPENCER CFO 5852753033 2025-05-14 true true ANTONIO C RUSSO P00858539 2673303000 2025-05-13 2023 2025-03-06 01:10:19Z KATHY PARRINELLO 1000 SOUTH AVENUE ROCHESTER NY 14620 547342445 false X http://www.urmc.rochester.edu/hh/ X 1889 NY OPERATION OF AN ACUTE CARE HOSPITAL COMMITTED TO SERVICE EXCELLENCE IN THE HEALTHCARE INDUSTRY 18 14 3863 136 0 0 1229787 4789672 459710503 511606840 7500514 12389443 29279622 18556490 497720426 547342445 0 0 0 0 287075740 311834494 0 0 0 206341516 207280660 493417256 519115154 4303170 28227291 534456609 573674527 212989137 214732512 321467472 358942015 X HIGHLAND HOSPITAL OF ROCHESTER ("HIGHLAND") PROVIDES INPATIENT AND OUTPATIENT HEALTHCARE SERVICES WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY. HIGHLAND OPERATES A 261 BED ACUTE CARE HOSPITAL, AS WELL AS 13 PRIMARY CARE SATELLITE CLINICS, 4 OB/MIDWIFERY CLINICS, 1 CARDIOLOGY CLINIC, 3 BREASTCARE CLINICS AND 3 RADIATION ONCOLOGY TREATMENT CENTERS. HIGHLAND IS ALSO A TEACHING AFFILIATE OF THE UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY. HIGHLAND'S SERVICE AREA INCLUDES MONROE COUNTY, NEW YORK, AS WELL AS SEVERAL COUNTIES SURROUNDING THE ROCHESTER, NEW YORK REGION. DURING THE FISCAL YEAR ENDING JUNE 30, 2024, HIGHLAND HAD 14,862 ADULT ADMISSIONS, DELIVERED 2,575 NEWBORNS AND HAD 42,970 PATIENTS TREATED IN ITS EMERGENCY DEPARTMENT. HIGHLAND IS COMMITTED TO SERVICE EXCELLENCEE IN HEALTHCARE- ONE PERSON AT A TIME. HIGHLAND'S MISSION IS TO BE THE COMMUNITY HEALTHCARE PROVIDER RENOWNED FOR UNMATCHED SERVICE, EXCELLENCE AND BEST PATIENT OUTCOMES. HIGHLAND'S POLICY IS TO TREAT PATIE false false 446261499 0 530163330 PROVISION OF HEALTHCARE SERVICES, INCLUDING INPATIENT SERVICES, ANCILLARY SERVICES AND ED/CLINIC/AMBULATORY SERVICES. ALSO SEE SCHEDULE O ATTACHMENT FOR FURTHER DETAILS. 446261499 true true false true false false false false false true true false false true true true false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true true true false false true 108 0 true 3863 true false false false false false false false false false false false false X 18 14 false false false false true true true true true false false true true true true true true true true false NY X CARRIE FULLER SPENCER 5852753033 1000 SOUTH AVENUE ROCHESTER NY 14620 X STEVEN I GOLDSTEIN CEO 8.0 63.0 X X 0 1633548 214557 ADAM ANOLIK FORMER CFO 0.0 64.0 X 0 820514 158521 MICHAEL APOSTOLAKOS MD CHIEF MEDICAL OFFICER 1.0 63.0 X 0 721333 112217 CARRIE FULLER SPENCER CFO 9.0 55.0 X 0 582619 90963 ROBERT MCCANN MD BOARD MEMBER 2.0 58.0 X 0 501910 69444 LORI FERRIS MD PHYSICIAN 40.0 0.0 X 348313 0 134210 AHMAD MATLOUBIEH MD PHYSICIAN 40.0 0.0 X 370664 0 35010 JOSEPH NICHOLAS MD BOARD MEMBER 2.0 0.0 X 0 352059 42887 MAUREEN PERRY MD PHYSICIAN 40.0 0.0 X 283773 0 98813 CARLOS DIAZ-BALZAC MD PHYSICIAN 40.0 0.0 X 339359 0 34626 JULIETTA FISCELLA MD PHYSICIAN 40.0 0.0 X 353876 0 16517 MARK CRONIN BOARD MEMBER 2.0 58.0 X 0 278113 55665 CINDY BECKER FORMER COO 12.0 0.0 X 141313 0 134210 MELISSA DERLETH CNO 40.0 0.0 X 241506 0 32394 THOMAS GREINER JR CHAIR 2.0 0.0 X X 0 0 0 RICHARD LEFROIS BOARD MEMBER 2.0 0.0 X 0 0 0 CORAL SURGEON MD BOARD MEMBER 2.0 0.0 X 0 0 0 JEROME UNDERWOOD BOARD MEMBER 2.0 0.0 X 0 0 0 KENNETH MARVALD VICE CHAIR 2.0 0.0 X X 0 0 0 CURT PROVENZO BOARD MEMBER 2.0 0.0 X 0 0 0 KATHLEEN WHELEHAN TREASURER 2.0 0.0 X X 0 0 0 PATRICK GUISTO BOARD MEMBER 2.0 0.0 X 0 0 0 MICHAEL RIORDAN BOARD MEMBER 2.0 0.0 X 0 0 0 MICHAEL MCRAE BOARD MEMBER 2.0 0.0 X 0 0 0 CHRISTINE WAGNER SSJ PHD SECRETARY 2.0 0.0 X X 0 0 0 ANN MARIE COOK BOARD MEMBER 2.0 0.0 X 0 0 0 JOHN LEFROIS BOARD MEMBER 2.0 0.0 X 0 0 0 MARK SIWIEC BOARD MEMBER 2.0 0.0 X 0 0 0 2078804 4890096 1230034 330 true true false TRUSTED NURSE STAFFING LLC 500 SENECA ST SUITE 501 BUFFALO NY 14204 TEMPORARY SERVICES 14079106 SUNBELT STAFFING SOLUTIONS LLC 501 BROOKER CREEK BLVD STE A-400 OLDSMAR FL 34677 TEMPORARY SERVICES 1872934 SOLIANT HEALTH 5550 PEACHTREE PARKWAY SUITE 500 PEACHTREE CORNERS GA 30092 TEMPORARY SERVICES 1415452 CALKINS CORPORATE PARK LLC 200 RED CREEK DRSUITE 200 ROCHESTER NY 14623 RENTAL SERVICES 389573 DGA BUILDERS LLC 7612 COUNTY RD 42 VICTOR NY 14564 CONSTRUCTION SRVCS 349693 15 4224651 565021 0 4789672 NET PATIENT SERVICE REVENUES 622110 511606840 511606840 511606840 12389443 12389443 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CAFETERIA REVENUE 900099 1917443 1917443 PARKING REVENUE 900099 1070577 1070577 PHARMACY REVENUE 900099 9793659 9793659 5774811 5774811 18556490 547342445 530163330 12389443 0 0 0 0 0 0 0 0 241506 0 241506 0 0 0 0 0 246195399 210140627 36054772 0 11342206 9674902 1667304 0 40587714 34621320 5966394 0 13467669 11487922 1979747 0 0 0 0 0 237160 0 237160 0 280325 0 280325 0 0 0 0 0 0 0 0 0 0 0 36915914 35872057 1043857 0 437789 0 437789 0 6961656 5569325 1392331 0 5840402 3504241 2336161 0 0 0 0 0 4597424 4045733 551691 0 173365 164697 8668 0 0 0 0 0 327923 295131 32792 0 2197313 0 2197313 0 1209094 0 1209094 0 23157507 14301679 8855828 0 2183080 2123221 59859 0 PHARMA & MED SUPPLIES 76639371 76639371 0 0 MISCELLANEOUS EXPENSES 11704288 5501015 6203273 0 SERVICE CONTRACTS 6028226 6028226 0 0 OTHER FEES 4630568 3704455 926113 0 23759255 22587577 1171678 519115154 446261499 72853655 0 X 40455760 35735668 203316044 215598535 0 0 28109749 41001485 0 0 0 0 0 0 7374382 7826170 2157744 1987417 550414339 332767312 209160050 217647027 0 0 0 0 0 0 0 0 43882880 53878225 534456609 573674527 56594002 63022632 0 0 1181205 1229463 64210699 62178873 0 0 0 0 0 0 0 0 91003231 88301544 212989137 214732512 X 321467472 358942015 0 0 321467472 358942015 534456609 573674527 X 28227291 0 0 0 0 9247252 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 24317 false false false 24317 false SCHEDULE C, PART II-B, LINE 1(F) DETAIL OF LOBBYING HIGHLAND HOSPITAL IS A MEMBER OF REGIONAL, STATE AND FEDERAL HEALTHCARE ORGANIZATIONS AND PAYS DUES ON AN ANNUAL BASIS. A PORTION OF THESE DUES HAS BEEN DETERMINED TO HAVE BEEN ALLOCATED BY THESE ORGANIZATIONS TO SUPPORT LOBBYING ACTIVITIES. THE TOTAL AMOUNT ALLOCATED FROM HIGHLAND HOSPITAL'S DUES IN FY 2024 WAS ESTIMATED TO BE $24,317. 3763080 37236 291231 0 8250 0 4083297 3510045 54503 198881 0 349 0 3763080 3878353 4000 -367308 0 5000 0 3510045 3395619 32831 449903 0 0 0 3878353 3413941 25229 -43551 0 0 0 3395619 0.00000 1.00000 0.00000 false true true 207769 207769 288798925 136429129 152369796 11193954 6867905 4326049 237821570 189470278 48351292 12392121 0 12392121 217647027 OTHER RECEIVABLES 14219763 ASSETS WHOSE USE IS LIMITED 15559 OTHER ASSETS 3166326 AFFILIATE RECEIVABLES 19972438 INSURANCE CLAIMS RECEIVABLE 9442638 OPERATING LEASE ASSETS 7061501 53878225 0 ACCRUED PENSION LIABILITY 31996394 EST. PROFESSIONAL LIABILITY 13401221 ACCRUED WORKERS' COMP LIABILIT 5280848 EST. THIRD PARTY SETTLEMENTS 30426713 OPERATING LEASE LIABILITY 7196368 88301544 X FORM 990, SCHEDULE D, PART V, LINES 3A & 4 DETAIL OF ENDOWMENT FUNDS ALL ENDOWMENT FUNDS ARE HELD AND ADMINISTERED BY HIGHLAND FOUNDATION INC., A RELATED IRC SECTION 501(c)(3) ORGANIZATION, FOR THE BENEFIT OF HIGHLAND HOSPITAL IN FURTHERANCE OF ITS CHARITABLE HEALTH CARE SERVICES. -------------------- FORM 990, SCHEDULE D, PART X, LINE 2 TEXT OF FIN 48 (ASC 740) FOOTNOTE THIS ORGANIZATION IS AN AFFILIATE OF THE UNIVERSITY OF ROCHESTER ("UNIVERSITY"). THE FIN 48 (ASC 740) FOOTNOTE BELOW DERIVES FROM THE CONSOLIDATED JUNE 30, 2024 FINANCIAL STATEMENTS OF THE UNIVERSITY THE UNIVERSITY REGULARLY EVALUATES ITS TAX POSITION AND DOES NOT BELIEVE IT HAS ANY UNCERTAIN TAX POSITIONS THAT REQUIRE DISCLOSURE OR ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS BASED ON CURRENTLY AVAILABLE REGULATORY GUIDANCE. true true true X true X true true true false true true 8095653 407352 7688301 0.01480 65154179 46044616 19109563 0.03680 73249832 46451968 26797864 0.05160 10993113 5165836 5827277 0.01120 66762384 45967839 20794545 0.04010 107054 0 107064 0.00020 77862551 51133675 26728886 0.05150 151112383 97585643 53526750 0.10310 false 10864098 107082 61392821 62476610 -1083789 X true true 1 1 HIGHLAND HOSPITAL 1000 SOUTH AVENUE ROCHESTER NY 14620 http://www.urmc.rochester.edu/hh/ 2701001H X X X X 1 HIGHLAND HOSPITAL 1 false false true X X X X X X X X X 22 true true true true X SEE SUPPLEMENTAL DISCLOSURE X X true 22 true SEE SUPPLEMENTAL DISCLOSURE false true X 200. 400. X true true X X X X true X SEE SUPPLEMENTAL DISCLOSURE X SEE SUPPLEMENTAL DISCLOSURE X SEE SUPPLEMENTAL DISCLOSURE X X X X X X true X false X X X X true X false false PART V, SECTION B, LINE 5- INPUT FROM COMMUNITY HIGHLAND HOSPITAL CONDUCTED ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN COLLABORATION WITH OTHER HOSPITALS, THE HEALTH DEPARTMENT, COMMUNITY BASED ORGANIZATIONS, AND RESIDENTS IN MONROE COUNTY. THE OVERSIGHT GROUP, CALLED THE COMMUNITY HEALTH IMPROVEMENT WORKGROUP (CHIW) MEETS MONTHLY TO CONDUCT THE CHNA WHEN INDICATED AND TO IMPLEMENT THE COMMUNITY-WIDE IMPROVEMENT STRATEGY. COMMUNITY INPUT IS CRITICAL THROUGHOUT THE CHNA PROCESS, THE IMPROVEMENT PLANNING PROCESS, AND THE IMPLEMENTATION PROCESS. ONGOING COMMUNITY ENGAGEMENT IS VITAL TO INFORM OUR AGENDA. EACH OF THE HOSPITAL SYSTEMS INCLUDED IN THE CHNA: UNIVERSITY OF ROCHESTER STRONG MEMORIAL HOSPITAL, HIGHLAND HOSPITAL, ROCHESTER GENERAL, AND UNITY HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY. THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH WAS REPRESENTED AT EACH CHIW MEETING BY DR. MARIELENA VELEZ DE BROWN, DEPUTY COMMISSIONER OF PUBLIC HEALTH, ANNE KERN, PUBLIC HEALTH PROGRAM COORDINATOR, AND KATHY CARELOCK, MANAGER OF THE MATERNAL AND CHILD HEALTH SERVICES. ALL ARE AWARE OF COMMUNITY NEEDS, OVERSEE THE YOUTH RISK BEHAVIOR SURVEY PROCESS AND ARE EXPERTS IN EFFECTIVE PUBLIC HEALTH ASSESSMENT AND INTERVENTION. MICHAEL MENDOZA, MD, MPH AND CURRENT COMMISSIONER OF THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH, ATTENDED MEETINGS OCCASIONALLY BUT WAS ALSO INFORMED BY DR. VELEZ DE BROWN, MS. KERN, MS. CARELOCK AND DR. GREEN. THERESA GREEN, DIRECTOR OF COMMUNITY HEALTH POLICY AND DANIEL GREEN, THE HEALTH POLICY COORDINATOR, BOTH FROM THE URMC CENTER FOR COMMUNITY HEALTH AND PREVENTION, PROVIDED EXPERT ADVICE ON COMMUNITY ENGAGEMENT AND EVIDENCE-BASED INTERVENTIONS. IN ADDITION, COMMON GROUND HEALTH, WHO REPRESENTS THE COMMUNITY VOICE TO THE CHIW, AND WHO MANAGES BOTH THE AFRICAN AMERICAN HEALTH COALITION AND THE LATINO HEALTH COALITION FOR MONROE COUNTY, WAS REPRESENTED AT EACH MEETING BY EITHER DINA FATICONE, DIRECTOR OF COMMUNITY HEALTH AND ENGAGEMENT, DR. LINDA CLARK, MEDICAL DIRECTOR, AND/OR LUCAS SEINK, MSBA, CASAC, HEALTH PLANNING RESEARCH ANALYST. SPECIFICALLY FOR THE 2022 CHNA, COMMUNITY INPUT WAS ACQUIRED BY REVIEWING EXISTING COMMUNITY REPORTS AND BY DISCUSSIONS WITH EXISTING COMMUNITY BASED GROUPS ABOUT THE DATA-IDENTIFIED NEEDS. IN 2018, COMMON GROUND HEALTH GATHERED COMMUNITY INPUT BY CONDUCTING THE 'MY HEALTH STORY' SURVEY. THE SURVEY COLLECTED RESPONSES AND OPINIONS FROM OVER 4,000 COMMUNITY MEMBERS THROUGHOUT THE REGION TO LEARN MORE ABOUT HEALTH BEHAVIORS AND BARRIERS TO HEALTHY LIVES. THE SURVEY WAS PLANNED TO BE UPDATED IN 2021, HOWEVER DUE TO THE PANDEMIC, ADMINISTRATION OF THE SURVEY WAS DELAYED UNTIL AFTER THE CREATION OF THE CHNA. COMMON GROUND HEALTH SHARED SEVERAL RESULTS OF THE COMMUNITY SURVEY WITH THE CHIW AND SHARED SUBSEQUENT REPORTS BASED ON THE SURVEY. THE SURVEY ASKED ABOUT A WIDE RANGE OF TOPICS FROM ACCESS TO MEDICAL AND DENTAL CARE TO PERCEPTIONS OF PERSONAL SAFETY AND SATISFACTION WITH WORK. TO CAPTURE EACH INDIVIDUAL'S UNIQUE STORY, SEVERAL QUESTIONS WERE OPEN-ENDED WITH AN OPPORTUNITY FOR UNSTRUCTURED FEEDBACK. THE RESULTS OF THE SURVEY INDICATED THAT THE TOP CONCERN FOR ADULTS IN MONROE COUNTY ACROSS ALL RACES, GEOGRAPHIES, AND SOCIOECONOMIC STATUS LEVELS WAS MENTAL HEALTH. BEYOND THE 'MY HEALTH STORY' SURVEY INFORMATION, THE CHIW MET WITH SEVERAL COMMUNITY GROUPS INCLUDING THE AFRICAN AMERICAN HEALTH COALITION, THE LATINO HEALTH COALITION, THE MATERNAL CHILD HEALTH ADVISORY GROUP, THE MONROE COUNTY BOARD OF HEALTH AND THE COMMUNITY ADVISORY COUNCIL. THIS HIGH LEVEL COLLABORATION AMONG COMMUNITY MEMBERS, PUBLIC HEALTH PROVIDERS AND HOSPITAL SYSTEMS, ALONG WITH THE ROBUST PROCESS OF COMMUNITY INPUT GATHERING, PROVIDES A TRULY COMMUNITY BASED HEALTH NEEDS ASSESSMENT AND IMPROVEMENT PLAN. -------------------- PART V, SECTION B, LINE 6A- JOINT CHNA THE CHNA WAS CONDUCTED WITH SEVERAL OTHER HOSPITAL FACILITIES. AN ASSESSMENT OF MONROE COUNTY WAS CONDUCTED JOINTLY BY UNIVERSITY OF ROCHESTER STRONG MEMORIAL HOSPITAL AND HIGHLAND HOSPITAL, AND ROCHESTER REGIONAL HEALTH INCLUDING ROCHESTER REGIONAL HOSPITAL AND UNITY HOSPITAL. -------------------- PART V, SECTION B, LINE 6B- CHNA CONDUCTED WITH NON-HOSPITAL FACILITIES THE CHNA WAS CONDUCTED WITH SEVERAL OTHER ORGANIZATIONS BESIDES THE HOSPITAL FACILITIES. THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH WAS VERY ENGAGED IN THE CHNA PROCESS, WAS PRESENT AT EACH MEETING AND ASSISTED WITH DATA ANALYSIS AND IMPROVEMENT PLANNING. COMMON GROUND HEALTH IS THE REGIONAL PLANNING AGENCY AND IS REPRESENTED AT ALMOST EVERY MEETING OF THE COMMUNITY HEALTH IMPROVEMENT WORKGROUP (CHIW), AND WAS INSTRUMENTAL IN DEVELOPING THE CHNA, BOTH BY PROVIDING DATA AND ASSISTING WITH COMMUNITY ENGAGEMENT. OUR REGIONAL DSRIP AGENCY REPRESENTATIVES (KATHERINE ROGALA, AMIN CHOUKAIRI) ALSO ATTEND THE CHIW MEETINGS AND GAVE INPUT TO THE CHNA PROCESS. THE REGIONAL HEALTH INFORMATION ORGANIZATION (RHIO) REPRESENTATIVE (RENEE GRAHAM) HAS ATTENDED MOST CHIW MEETINGS AND WAS ENGAGED IN THE CHNA PROCESS. IN ADDITION, SINCE THE 2022 CHNA FOCUSED ON MENTAL HEALTH, THE MONROE COUNTY OFFICE OF MENTAL HEALTH REPRESENTATIVE (JASON TELLER) GAVE SIGNIFICANT INPUT TO THE CHNA AND ATTENDS THE CHIW MEETINGS DURING THE IMPLEMENTATION PHASE OF THE ASSESSMENT. OTHER KEY AGENCIES INVOLVED IN THE 2022 CHNA PROCESS INCLUDE THE CITY OF ROCHESTER, JORDAN HEALTH, UNITED WAY OF GREATER ROCHESTER, 211 LIFELINE, TOGETHER NOW, CORNELL COOPERATIVE EXTENSION, AND THE MONROE COUNTY MEDICAL SOCIETY. THE URMC COMMUNITY ADVISORY COUNCIL WAS ALSO INSTRUMENTAL IN THE CHNA PROCESS. -------------------- PART V, SECTION B, LINE 7A&D, 10- CHNA & IMP PLAN PUBLIC AVAILABILITY THE CHNA REPORT WAS MADE WIDELY AVAILABLE TO THE PUBLIC. A COPY OF THE ORGANIZATION'S CHNA AND IMPLEMENTATION/IMPROVEMENT PLAN CAN BE FOUND AT: https://www.urmc.rochester.edu/community/improvement-plan OUR CHNA AND IMPLEMENTATION/IMPROVEMENT PLAN ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND ARE ALSO POSTED ON THE COLLABORATING HOSPITAL SYSTEM'S WEBSITES AND ON THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH'S WEBSITE. OUR CHIW MEETINGS ARE OPEN TO THE PUBLIC UPON REQUEST AND THE CHNA WAS DISCUSSED WITH EACH OF THE HOSPITALS BOARD OF DIRECTORS. IN ADDITION, THE CHNA AND CHIP HAS BEEN SHARED WITH NUMEROUS COMMUNITY AGENCIES AND STUDENT GROUPS AT CLASSES OR MEETINGS WHERE MEMBERS OF THE CHIW PRESENT. INFORMATION IS ALWAYS SHARED AS TO WHERE TO FIND THE COMPLETE REPORT. -------------------- PART V, SECTION B, LINE 11- ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA IN CONDUCTING THE 2022 CHNA, SEVERAL PRIORITY NEEDS WERE IDENTIFIED. THE CHIW MEMBERS DISCUSSED SEVERAL CHARACTERISTICS THAT WOULD HELP TO DEFINE HOW TO PRIORITIZE THE MANY NEEDS IN MONROE COUNTY. IMPORTANT CRITERIA FOR SELECTION INCDLUE ABILITY TO INTERVENE UPSTREAM, IMPORTANCE OF THE PROBLEM TO THE COMMUNITY, ESPECIALLY IN LIGHT OF THE PANDEMIC, ADDRESSING A KNOWN DISPARITY IN HEALTH OUTCOMES, SOLUTIONS THAT ADDRESS THE FULL AGE SPECTRUM, AND REASONABLE FEASIBILITY. REVIEW OF SEVERAL DATA SOURCES AS WELL AS COMMUNITY ENGAGEMENT AND REPORT REVIEW YIELDED THE IDENTIFICATION OF SEVERAL AREAS OF CONCERN THAT FIT THE PRIORITIZATION CRITERIA. THE CHIW EXAMINED MONROE COUNTY METRICS AGAINST THE NEW YORK STATE'S PREVENTION AGENDA DASHBOARD AND 2024 PREVENTION AGENDA GOALS. THE CHIW IDENTIFIED AREAS WHERE MONROE COUNTY: 1. FELL SHORT OF THE STATE GOAL FOR THE PREVENTION AGENDA 2024, 2. FACES SIGNIFICANT DISPARITY IN RACE, ETHNICITY, GEOGRAPHY, OR SOCIOECONOMIC STATUS, AND 3. CONTAINS A DOWNWARD TREND OF "WORSE"SIGNIFICANTLY WORSE". ADDITIONALLY, AFTER EXAMINING ALL THE DATA AVAILABLE AND AFTER MULTIPLE DISCUSSIONS AMONG THE CHIW MEMBERS, THERE WAS A STRONG INCLINATION TO NOT CHANGE THE PRIORITY AREAS FROM THE 2019-2021 COMMUNITY HEALTH IMPROVEMENT PLAN. IT WAS AGREED THAT THE MONROE COUNTY 2022-24 CHIP WILL BUILD ON THE SIGNIFICANT PROGRESS IT HAS MADE ON ESTABLISHING THE INFRASTRUCTURE TO SUPPORT INITIATIVES IN THE AREAS OF (1) IMPROVING MENTAL HEALTH AND (2) REDUCING DISPARITIES IN MATERNAL AND CHILD HEALTH. THIS INCLINATION WAS SUPPORTED ALSO BY THE COVID PANDEMIC SLOWING DOWN IMPLEMENTATION WORK ON THE CHIP IN THE PAST FEW YEARS BECAUSE OF THE NECESSARY PRIORITIZATION OF ADDRESSING PANDEMIC CONCERNS. BASED ON THE TOP PRIORITIZATION CRITERIA CHOSEN BY THE CHIW, THE TWO GOALS OF: 'PROMOTE MENTAL HEALTH AND WELL-BEING'CROSS-CUTTING ISSUES IN HEALTHY WOWMEN, INFANTS, AND CHILDREN' WERE SELECTED. IN SELECTING THESE AREAS, SEVERAL OTHER HEALTH PRIORITY AREAS COULD NOT BE PRIORITIZED. THERE ARE NOT ENOUGH RESOURCES TO ADDRESS ALL THE AREAS OF NEED SIMULATNEOUSLY AND THEREFORE SOME AREAS CANNOT BE ACTIONABLE. THE CHIW USED THE SELECTION CRITERIA, THE DATA IN RELATION TO THE NYS PREVENTION AGENDA AND THE FACT THAT COVID HAS DISRUPTED THE HEALTH CARE SYSTEM TO SELECT AREAS THAT ROSE TO THE TOP. THE OTHER NON-SELECTED INDICATED AREAS ARE STILL SIGNIFICANT NEEDS THAT MUST BE ADDRESSED TO IMPROVE THE HEALTH OF MONROE COUNTY. THESE INCLUDE: HEALTHY EATING AND FOOD SECURITY, TOBACCO PREVENTION, OPIOID ADDICTION, VIOLENCE AND SEXUALLY TRANSMITTED INFECTIONS. ALTHOUGH NOT SPECIFICALLY PRIORITIZED IN COMMUNITY AGENCIES TO ADDRESS THESE PROBLEMS. THE CHIW WILL CONTINUE TO FOLLOW THESE AREAS AND TO SUPPORT ANY AGENCY WORKING PRODUCTIVELY ON THESE HEALTH CONCERNS. FOR EXAMPLE, TO ADDRESS VIOLENCE, URMC SUPPORTS A VIOLENCE PREVENTION PROGRAM IN THE EMERGENCY DEPARTMENT THAT ALLOWS FOR ADMISSIONS UP TO 24 HOURS FOR VICTIMS OF VIOLENCE DURING WHICH TIME EDUCATION AND PREVENTION INTERVENTIONS ARE IMPLEMENTED TO AVOID RETALIATION AND REPEAT VIOLENCE. IN ADDITION, SOME OF THESE SECONDARY NON-SELECTED ISSUES WILL BE ADDRESSED WITHIN THE TWO SELECTED FOCUS AREAS, A BIT LATER. BY FOCUSING ON SOCIAL DETERMINANTS AND UPSTREAM INTERVENTIONS, THE CHIW HOPES TO EXPAND ITS IMPACT TO OTHER AREAS OF NEED, NOT SELECTED AS FOCUS AREAS AT THIS TIME. TO ADDRESS THE FIRST PRIORITIZED GOAL OF 'PROMOTING HEALTHY WOMEN, INFANTS AND CHILDREN', THE HOSPITAL JOINS THE CHIW TO REDUCE RACIAL, ETHNIC ECONOMIC AND GEOGRAPHIC DISPARITIES IN MATERNAL AND CHILD HEALTH OUTCOMES, AND PROMOTE HEALTH EQUITY FOR MATERNAL AND CHILD POPULATIONS. SPECIFICALLY, AS SUGGESTED BY THE NYS DEPARTMENT OF HEALTH IN THE PREVENTION AGENDA, THE HOSPITAL AND THE CHIW HAVE BEEN WORKING TO ENHANCE COLLABORATIONS WITH OTHER PROGRAMS, PROVIDERS, AGENCIES AND COMMUNITY MEMBERS TO ADDRESS KEY SOCIAL DETERMINANTS OF HEALTH THAT IMPACT THE HEALTH OF WOMEN, INFANTS, CHILDREN AND FAMILIES ACROSS THE LIFE COURSE. THE HOSPITAL SUPPORTS THE MATERNAL CHILD HEALTH ADVISORY GROUP (MCH-AG) WHICH FACILITATED SEVERAL COLLABORATIONS BETWEEN THE HOSPITAL AND COMMUNITY AGENCIES. THE MCH-AG HAS IDENTIFIED SEVERAL STRATEGIES INCLUDING: DECREASING HOUSING INSECURITY AMONG YOUNG FAMILIES, ADDRESSING INSTITUTIONAL RACISM ESPECIALLY IN LABOR AND DELIVERY, AND REDUCING UNPLANNED PREGNANCY AND BIRTH SPACING THROUGH LONG ACTING REVERSIBLE CONTRACEPTION AND SOCIAL SUPPORT SYSTEMS THAT ENCOURAGE BIRTH SPACING. UR STRONG SUPPORTS THE BABY LOVE PROGRAM THAT PROVIDES SOCIAL SUPPORTS DELIVERED BY SOCIAL WORKERS TO PREGNANT WOMEN AND THEIR FAMILIES WHO NEED ASSISTANCE WHILE PREGNANT AND FOR THE FIRST TWO YEARS AFTER DELIVERY. IN FY2024 SPECIFICALLY, UR HOSPITAL ALONG WITH THE MCH-AG ARE ADDRESSING DISPARITIES IN THREE SPECIFIC AREAS. (1) SEVERAL URMC PROVIDERS, RESEARCHERS AND ADMINISTRATORS ATTEND THE MCH-AG MEETINGS. THERE WERE FOUR MEETINGS IN FY2024 IN FEBRUARY, MAY, AUGUST AND NOVEMBER. GUEST SPEAKERS DISCUSSED THE FOLLOWING TOPICS: STATE SENATOR SAMRA BROUK AND THE MCH STATE AGENDA, HEALTHY MOMS PROGRAM, ROC DOULA HUB, NY COALITION FOR DOULA ACCESS, YOUTH RISK BEHAVIOR SURVEY, MENTAL HEALTH FIRST AID, THE THIRD ACE PROJECT (CHILD MENTAL HEALTH), IRTH PROGRAM, HEALTH CONNECT ONE DOULA READI PRORGAM. THE MCH-AG SERVES AS THE COMMUNITY ADVISORY BODY FOR THE ROC FAMILY TELECONNECT PROGRAM. THEY REPORT ON PROGRESS AT EACH MCH-AG MEETINGS. (2) THE MCH-AG IS DEVELOPING A STANDARDIZED RESOURCE PLATFORM FOR SUPPORT SERVICES INCLUDING THE UR PROGRAMS. THIS PLATFORM WILL BE INCORPORATED IN THE 211 SYSTEM AND BE ACCESSIBLE THROUGH THE EMR AND ALSO BY INDIVIDUAL PATIENTS. MCH EXPERTS WITHIN UR WORKED TO ASSURE THE ACCURACY OF INFORMATION IN THE NAVIGATION TOOL AND CONTRACTED WITH 211 TO CREATE THE PILOT WHICH WILL BE TESTED WITH CLIENTS IN FY2025. (3) UR STRONG FINANCIALLY SUPPORTED METRO COUNCIL FOR TEEN POTENTIAL THROUGH A MINIGRANT PROCESS TO USE SOCIAL MEDIA TO EDUCATE YOUNG PEOPLE IN ROCHESTER ABOUT BIRTH PLANNING. SOCIAL MEDIA PLATFORMS WERE SELECTED TO REACH WOMEN AGED 15-25 LIVING IN ROCHESTER. FOCUS GROUPS WERE CONDUCTED TO GET INITIAL FEEDBACK ABOUT THE MESSAGING. THE EFFORTS RESULTED IN 2 MILLION IMPRESSIONS TO VIEW THE SOCIAL MEDIA CONTENT, AND 7,500 CLICKS TO THE WEBSITE TO GATHER ADDITIONAL INFORMATION. TO ADDRESS THE SECOND PRIORITIZED GOAL OF PROMOTING WELL-BEING TO PREVENT MENTAL AND SUBSTANCE USE DISORDERS, THE HOSPITAL JOINS THE CHIW IN STRENGTHENING OPPORTUNITIES TO BUILD WELL-BEING AND RESILIENCE ACROSS THE LIFESPAN. IN ADDITION, THE HOSPITAL IS WORKING TO FACILITATE SUPPORTIVE ENVIRONMENTS TO PROMOTE RESPECT AND DIGNITY FOR PEOPLE OF ALL AGES. SIX AREAS OF ACTIVITY HAVE BEEN IDENTIFIED TO ADDRESS THESE SPECIFIC GOALS: 1. SUPPORT OLDER ADULTS THROUGH RESOURCE ACCESS AND INTERGENERATIONAL PROGRAMMING, 2. STRENGTHEN ECONOMIC SUPPORTS BY ADVOCATING FOR PROGRAMS AND POLICIES THAT STABILIZE HOUSING AND DECREASE FOOD INSECURITY, 3. AID IN INTEGRATION OF SOCIAL EMOTIONAL LEARNING TOOLS FOR HOSPITALS AND SCHOOLS, 4. REMOVE STIGMATIZING LANGUAGE AND ADVOCATE FOR POLICIES TO USE THOUGHTFUL MESSAGING AND STIGMA REDUCING LANGUAGE ON MENTAL ILLNESS AND SUBSTANCE USE, 5. COORDINATE AND SUPPORT MENTAL HEALTH FIRST AID TRAINING EFFORTS, AND 6. INTEGRATE AND EXPAND RESILIENCE TRAINING PROGRAMS. SPECIFICALLY, IN FY2024 THE HOSPITAL ALONG WITH THE CHIW IS WORKING IN 3 SPECIFIC AREAS. (1) BUILDING ON A SYNERGY MEETING WITH OVER 60 EXPERTS AND LEADERS WORKING IN TRANSPORTATION, MENTAL AND BEHAVIORAL HEALTH, POLICYMAKING AND COORDINATION OF RESOURCES IN MONROE COUNTY, A PLANNING TEAM MET TO CREATE NEXT ACTION ITEMS. THE PLANNING TEAM WROTE A GRANT PROPOSAL FOR A TRANSPORTATION HUB TO ASSIST PEOPLE EXPERIENCING A BEHAVIORAL HEALTH CRISIS THAT WOULD BYPASS THE EMERGENCY DEPARTMENT AND AMBULANCE SERVICES, WHEN THOSE SERVICES ARE NOT NEEDED. THE PROPOSAL WAS SUBMITTED FOR FUNDING BY THE OFFICE OF MENTAL HEALTH. (2) THROUGH A MINIGRANT PROCESS, THE HOSPITAL SUPPORTING MENTAL HEALTH FIRST AID. THROUGH THE WELLNESS ASSOCIATES OF GREATER ROCHESTER, FIVE COURSES WERE HELD RESULTING IN 81 REGISTERED PARTICIPANTS, 61 COMPLETING THE FULL TRAININGS, AND 45 NEW FULLY CERTIFIED TRAINERS. IN ADDITION, A BI-LINGUAL SPANISH SPEAKING PERSON WAS SUPPORTED TO BECOME A MENTAL HEALTH FIRST AID INSTRUCTOR. (3) TWO MAJOR GRANT FUNDED PROJECTS ARE FOCUSED ON IMPROVING ASSISTED LIVING CARE FOR THE ELDERLY, INCLUDING THE TRANSFORMATIONAL COMMUNITY CARE COORDINATION PROJECT AND THE IMPROVING OLDER ADULTS' HEALTH, SAFETY AND ECONOMIC RECOVERY THROUGH COMMUNITY BASED AGING SERVICES AND HEALTHCARE INTEGRATION PROJECT. IMPORTANT IN BOTH IMPROVEMENT STRATEGIES IS THE HOSPITAL'S EQUITY AND ANTIRACISM ACTION PLAN. THIS FIVE-YEAR PLAN IS WORKING TO FACILITATE SUPPORTIVE ENVIRONMENTS THAT INCREASE POLICY AND PROGRAM INTERVENTIONS THAT PROMOTE INCLUSION, INTEGRATION AND DIVERSITY. IN 2023, THE OFFICE OF HEALTH EQUITY RESEARCH WAS ESTABLISHED, AND TRACKING ON THE GOALS AND METRIC PART V, SECTION B, LINES 16A-C - FINANCIAL ASSISTANCE POLICY AVAILABILITY A COPY OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT: HTTPS://WWW.URMC.ROCHESTER.EDU/PAY-A-BILL/FINANCIAL-ASSISTANCE/HIGHLAND-HO SPITAL-FINANCIAL-ASSISTANCE -------------------- 22 WILMOT CANCER INSTITUTE-GREECE AND HIGHL 155 BELLWOOD DRIVE ROCHESTER NY 14606 RADIATION ONCOLOGY CENTER HIGHLAND FAMILY MEDICINE CENTER 777 SOUTH CLINTON AVENUE ROCHESTER NY 14620 FAMILY MEDICINE CLINIC SANDS CANCER CENTER 395 WEST STREET CANANDAIGUA NY 14424 RADIATION ONCOLOGY CENTER CULVER MEDICAL GROUP 913 CULVER ROAD ROCHESTER NY 14609 PRIMARY CARE CLINIC CALEDONIA FAMILY MEDICINE 3350 BROWN ROAD CALEDONIA NY 14423 PRIMARY CARE CLINIC PENFIELD FAMILY MEDICINE 2212 PENFIELD ROAD PENFIELD NY 14526 PRIMARY CARE CLINIC EAST RIDGE FAMILY MEDICINE 999 EAST RIDGE ROAD ROCHESTER NY 14621 PRIMARY CARE CLINIC WEBSTER FAMILY MEDICINE 1900 EMPIRE BLVD WEBSTER NY 14580 PRIMARY CARE CLINIC HIGHLAND BREAST CARE CENTER 500 RED CREEK DRIVE ROCHESTER NY 14623 BREAST CARE DIAGNOSTIC SERVICE CALKINS CREEK FAMILY MEDICINE 200 RED CREEK DRIVE SUITE 100 ROCHESTER NY 14623 PRIMARY CARE CLINIC AVON FAMILY MEDICINE 470 COLLINS STREET AVON NY 14414 PRIMARY CARE CLINIC GREECE MEDICAL GROUP 10 SOUTH POINTE LANDING ROCHESTER NY 14606 PRIMARY CARE CLINIC GENESEE VALLEY FAMILY MEDICINE 118 MAIN STREET PO BOX 99 MOUNT MORRIS NY 14510 PRIMARY CARE CLINIC GENESEE VALLEY FAMILY MEDICINE LAKEVILLE 3509 THOMAS DRIVE SUITE 4 LAKEVILLE NY 14480 PRIMARY CARE CLINIC HIGHLAND WOMEN'S HEALTH - CULVER 909 CULVER ROAD ROCHESTER NY 14609 OB/GYN CLINIC GENESEE VALLEY FAMILY MEDICINE 4400 LAKEVILLE ROAD GENESEO NY 14454 PRIMARY CARE CLINIC HIGHLAND BREAST IMAGING AT JORDAN 82 HOLLAND STREET ROCHESTER NY 14605 BREAST CARE DIAGNOSTIC SERVICE HIGHLAND CARDIOLOGY AT RED CREEK 600 RED CREEK DRIVE ROCHESTER NY 14623 OUTPATIENT CARDIOLOGY SERVICES HIGHLAND DIABETES HEALTH SOURCE 2400 SOUTH CLINTON AVENUE BUILDING ROCHESTER NY 14618 DIABETES HEALTH SOURCE HIGHLAND FAMILY MEDICINE EXTENSION 757 SOUTH CLINTON AVENUE ROCHESTER NY 14620 FAMILY MEDICINE CLINIC HIGHLAND WOMEN'S HEALTH - PERINTON 800 AYRAULT ROAD FAIRPORT NY 14450 OB/GYN CLINIC HIGHLAND WOMEN'S HEALTH - PITTSFORD 2300 JEFFERSON ROAD PITTSFORD NY 14534 OB/GYN CLINIC SUPPLEMENTAL DISCLOSURES PART I, LINE 7- BAD DEBT EXPENSE CONSISTENT WITH PRIOR YEARS, DUE TO THE ADOPTION OF ACCOUNTING PRONOUNCEMENT ASC 606, IMPLICIT PRICE CONCESSIONS ARE TREATED AS A CONTRA-REVENUE ITEM ON THE STATEMENT OF REVENUE. -------------------- PART III, SECTION A, LINE 2- IMPLICIT PRICE CONCESSIONS/BAD DEBT EXPENSE THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 ARE BASED ON ACTUAL CHARGES WRITTEN OFF (AMOUNTS THAT ARE DEEMED TO BE UNCOLLECTIBLE AND RECORDED AS IMPLICIT PRICE CONCESSIONS UNDER ACCOUNTING PRONOUNCEMENT ASC 606). -------------------- PART III, SECTION A, LINE 4- IMPLICIT PRICE CONCESSION FOOTNOTE THE TEXT OF THE IMPLICIT PRICE CONCESSION (BAD DEBT EXPENSE) FOOTNOTE CAN BE FOUND ON PAGES 10-11 OF THE ELECTRONICALLY ATTACHED AUDITED FINANCIAL STATEMENTS. -------------------- PART III, SECTION B, LINE 8- COSTING METHODOLOGY, MEDICARE SHORTFALL THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 IS BASED ON AN OVERALL RCC METHODOLOGY PER THE HOSPITAL'S MEDICARE COST REPORT FILING FOR THE YEAR. CONSISTENT WITH THE CHARITABLE HEALTHCARE MISSION OF THE HOSPITAL AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545, THE HOSPITAL PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE SEEKING MEDICAL CARE. SUCH CARE IS PROVIDED REGARDLESS OF WHETHER THE REIMBURSEMENT PROVIDED FOR SUCH SERVICES MEETS OR EXCEEDS THE COSTS INCURRED BY THE HOSPITAL TO PROVIDE SUCH SERVICES. AS A RESULT, THE HOSPITAL VIEWS ANY SHORTFALL REPORTED IN LINE 7 AS AN ADDITIONAL ITEM OF COMMUNITY BENEFIT PROVIDED BY THE ORGANIZATION. -------------------- PART III, SECTION C, LINE 9B- COLLECTION PRACTICES HIGHLAND HOSPITAL'S MISSION IS OUR COMMITMENT TO EXCELLENCE IN HEALTH CARE, WITH PATIENTS AND THEIR FAMILIES AT THE HEART OF ALL THAT WE DO. LAWS, REGULATIONS, CATASTROPHIC ILLNESSES AND THE RISING COSTS OF NEW TECHNOLOGY HAVE CREATED A CATEGORY OF PATIENTS WHO ARE EITHER UNINSURED OR UNDERINSURED. THIS FINANCIAL ASSISTANCE PROGRAM HAS BEEN DEVELOPED TO HELP THE HOSPITAL MEET THE NEEDS OF THESE PATIENTS AND, CONCURRENTLY, MAINTAIN THE FINANCIAL VIABILITY OF THE HOSPITAL FOR FUTURE GENERATIONS. THIS FINANCIAL ASSISTANCE POLICY EXPLAINS HOW THE HOSPITAL ASSISTS PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE ESSENTIAL MEDICAL CARE THEY RECEIVE. PRINCIPLES: HIGHLAND HOSPITAL PROACTIVELY CONVEYS INFORMATION ABOUT THIS FINANCIAL ASSISTANCE POLICY TO PATIENTS AND THEIR FAMILIES. - WE BELIEVE THAT FEAR OF A HOSPITAL BILL SHOULD NEVER GET IN THE WAY OF ESSENTIAL HEALTH SERVICES. THE PROVISION OF URGENT OR EMERGENT HEALTHCARE IS NEVER DELAYED PENDING A FINANCIAL ASSISTANCE DETERMINATION. SIGNS ANNOUNCING THE FINANCIAL ASSISTANCE PROGRAM ARE POSTED IN THE HOSPITAL (E.G. EMERGENCY DEPARTMENT, ADMITTING OFFICE) TO PROACTIVELY CONVEY THIS MESSAGE TO PROSPECTIVE PATIENTS AND THE PUBLIC IN GENERAL. - WE MAINTAIN FINANCIAL AID POLICIES THAT ARE CONSISTENT WITH THE MISSION, VALUES AND CAPACITY OF THE HOSPITAL AND THAT TAKE INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE. - WE COMMUNICATE THE AVAILABILITY OF FINANCIAL AID IN A MANNER THAT IS CLEAR, UNDERSTANDABLE, SENSITIVE TO THE PATIENT'S DIGNITY, AND IN MULTIPLE LANGUAGES. A NOTICE IS AVAILABLE AT REGISTRATION SITES THAT INFORMS PATIENTS OF THIS PROGRAM AND PROVIDES THE PHONE NUMBER TO CALL TO OBTAIN MORE INFORMATION AND TO APPLY FOR THIS PROGRAM. DESIGNATED STAFF ARE PROVIDED DETAILED TRAINING SO THAT THEY CAN PROVIDE INFORMATION AND ANSWER QUESTIONS ABOUT THE FINANCIAL ASSISTANCE PROGRAM. INFORMATION IS GENERALLY AVAILABLE IN BOTH ENGLISH AND SPANISH. WHEN REQUESTED, IT WILL ALSO BE MADE AVAILABLE IN OTHER LANGUAGES. - WE IMPLEMENT FINANCIAL AID PROCEDURES THAT ARE CONSUMER-FRIENDLY, RESPECTFUL, AND CONFIDENTIAL, AS WELL AS DEBT COLLECTION POLICIES THAT REFLECT THE MISSION AND VALUES OF THIS HOSPITAL. - WE WORK WITH GOVERNMENT, PAYERS, BUSINESS, CONSUMER GROUPS AND OTHERS TO ADDRESS THE UNDERLYING PROBLEM THAT TOO MANY NEW YORKERS LACK HEALTH INSURANCE. GENERAL GUIDELINES: AS PART OF FINANCIAL PLANNING ASSISTANCE, WE PROVIDE PATIENTS, AND/OR THEIR LEGAL REPRESENTATIVE, WITH INFORMATION ABOUT THE CRITERIA THAT MUST BE MET IN ORDER TO OBTAIN MEDICAID, MEDICARE, OR OTHER HEALTH INSURANCES. PATIENTS ARE ASSISTED IN MAKING APPLICATIONS FOR ANY OF THESE INSURANCES OR DISCOUNTED FEE PLANS. PATIENTS ARE EXPECTED TO PARTICIPATE FULLY IN ALL EFFORTS TO OBTAIN ANY INSURANCE FOR WHICH THEY MAY QUALIFY. UNDER CERTAIN CIRCUMSTANCES, AS DETERMINED BY THE FINANCIAL CASE MANAGERS OR OTHER HOSPITAL SENIOR ADMINISTRATORS. APPLICATIONS FOR MEDICAID, MEDICARE OR OTHER INSURANCE PROGRAMS MAY BE WAIVED WHEN DEEMED UNNECESSARY. IF AVAILABLE INSURANCE BENEFITS ARE NOT SUFFICIENT TO COVER THE COST OF THEIR CARE, PATIENTS MAY THEN APPLY FOR ASSISTANCE FROM THE FINANCIAL ASSISTANCE PROGRAM. FINANCIAL ASSISTANCE APPLICATIONS MUST BE COMPLETED AND RETURNED TO THE HOSPITAL WITH THE REQUESTED INCOME DOCUMENTATION. PATIENTS WILL NOT RECEIVE FINANCIAL ASSISTANCE IF THEY (A) DO NOT COMPLETE THE APPLICATION PROCESS FOR MEDICAID OR OTHER INSURANCE FOR WHICH THEY MAY QUALIFY, (B) ELECT NOT TO MAKE APPLICATION FOR FINANCIAL ASSISTANCE, OR (C) HAVE ADEQUATE RESOURCES OR INCOME TO PAY PRIVATELY FOR THEIR CARE. IN THESE SITUATIONS, THEY WILL REMAIN FINANCIALLY RESPONSIBLE FOR FULL PAYMENT OF THEIR HOSPITAL BILLS. FINANCIAL ASSISTANCE IS AVAILABLE FOR PATIENTS WHO RESIDE IN NEW YORK STATE AND RECEIVE EMERGENCY HOSPITAL SERVICES, INCLUDING EMERGENCY TRANSFERS, AND TO PATIENTS WHO RESIDE IN HIGHLAND HOSPITAL'S PRIMARY SERVICE AREA IN NEW YORK STATE WHO RECEIVE SERVICES IN DESIGNATED HIGHLAND HOSPITAL PROGRAMS, INCLUDING MOST INPATIENT AND OUTPATIENT SERVICES. IN ADDITION, THE HOSPITAL MAY, IN ITS DISCRETION, GRANT FINANCIAL ASSISTANCE TO INDIVIDUALS WHO RESIDE OUTSIDE OF NEW YORK STATE. FINANCIAL ASSISTANCE DOES NOT COVER MEDICALLY UNNECESSARY CARE, COSMETIC ALTERATION, TELEPHONE, TELEVISION AND PRIVATE ROOM CHARGES. IT DOES NOT COVER SERVICES GENERATED BY AN INSURED PATIENT WHO CHOOSES TO RECEIVE CARE AT AN OUT-OF-NETWORK HOSPITAL, OR WHO FAILS TO COMPLY WITH INSURANCE POLICY REQUIREMENTS (E.G. UNAUTHORIZED SERVICES) NOR DOES IT APPLY TO NON-RESIDENT ALIENS (UNLESS APPROVED IN ADVANCE OF CARE BEING PROVIDED), TO DRUGS NOT ADMINISTERED IN THE HOSPITAL, TO TRANSPORTATION FURNISHED BY THIRD PARTY VENDORS, OR TO CARE, SERVICES, DRUGS OR SUPPLIES FOR THE PURPOSE OF GENDER REASSIGNMENT. SPECIFIC QUESTIONS ABOUT SERVICES THAT ARE NOT COVERED SHOULD BE DIRECTED TO THE PATIENT ACCOUNTS MANAGER OR THEIR DELEGATE. FINANCIAL GUIDELINES: FINANCIAL AID IS INTENDED TO ASSIST THOSE INDIVIDUALS WHO CANNOT AFFORD TO PAY IN PART OR IN FULL FOR THEIR CARE. IT SHOULD TAKE INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE. HOSPITAL FINANCIAL AID SHOULD NOT BE VIEWED AS A SUBSTITUTE FOR EMPLOYER-SPONSORED OR INDIVIDUALLY PURCHASED INSURANCE. PATIENTS WITHOUT INSURANCE AND WITH INCOME THAT WOULD QUALIFY THEM FOR THE FINANCIAL ASSISTANCE PROGRAM BUT ALSO HAVE SUBSTANTIAL RESOURCES (OTHER THAN TAX DEFERRED OR COMPARABLE RETIREMENT SAVINGS OR COLLEGE SAVINGS ACCOUNTS) MAY BE EXPECTED TO PAY PART OF THEIR BILLS(S). FINANCIAL ASSISTANCE IS GENERALLY AVAILABLE TO INDIVIDUALS WHOSE INCOME IS LESS THAN OR EQUAL TO 400% OF THE FEDERAL POVERTY LEVEL. HOWEVER, PATIENTS WHO HAVE EXHAUSTED THEIR INSURANCE BENEFITS, EXCEEDED FINANCIAL ELIGIBILITY CRITERIA, FACE EXTRAORDINARY MEDICAL COSTS, OR WHO HAVE OTHER UNIQUE CIRCUMSTANCES MAY BE CONSIDERED FOR FINANCIAL ASSISTANCE APPROVAL AT THE HOSPITAL'S SOLE DISCRETION. WHILE APPLICATION FOR MEDICAID OR OTHER INSURANCE IS USUALLY REQUIRED, THE HOSPITAL MAY, AT ITS SOLE DISCRETION, IN APPROPRIATE CASES, ALSO CONSIDER PATIENTS FOR FINANCIAL ASSISTANCE WHEN THEY MEET THE FINANCIAL CRITERIA OF THIS PROGRAM, BUT HAVE NOT SATISFACTORILY COMPLETED ALL THE REQUIREMENTS OF THE FINANCIAL ASSISTANCE APPLICATION PROCESS. THIS MAY INCLUDE PATIENTS WHO HAVE BEEN SANCTIONED BY MEDICAID, HAVE FILED BANKRUPTCY OR APPEAR TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON AVAILABLE INFORMATION. ELIGIBILITY DETERMINATIONS IN COMPLEX CASE CIRCUMSTANCES WILL BE MADE AFTER CONSIDERATION BY THE FINANCIAL ASSISTANCE REVIEW TEAM THAT INCLUDES THE FINANCIAL ASSISTANCE OFFICER, FINANCIAL CASE MANAGER AND/OR THEIR MANAGERS, OR MAY BE MADE BY SENIOR HOSPITAL ADMINISTRATORS. THE AMOUNT OF THE DISCOUNT AFFORDED TO QUALIFIED FINANCIAL ASSISTANCE PATIENTS WILL BE DETERMINED THROUGH ASSESSMENT OF THE RESPONSIBLE PARTY'S ANNUAL HOUSEHOLD INCOME AND THE NUMBER OF PEOPLE IN THE HOME, AS A PERCENTAGE OF THE FEDERAL POVERTY GUIDELINE AMOUNTS FOR SAME SIZE HOUSEHOLDS. THE FINANCIAL GUIDELINES WILL BE UPDATED ANNUALLY IN CONJUNCTION WITH THE FEDERAL POVERTY UPDATES PUBLISHED BY CMS. PATIENTS MAY RECEIVE FULL OR PARTIAL DISCOUNT FROM THE COST OF CARE, DEPENDING ON THE PERCENTAGE OF THE GUIDELINES MATCHED BY THE PATIENT'S HOUSEHOLD INCOME. ANY BILL AMOUNT REMAINING AFTER APPLICATION OF A PARTIAL FINANCIAL ASSISTANCE DISCOUNT IS THE RESPONSIBILITY OF THE PATIENT. THE AMOUNT AN APPROVED FINANCIAL ASSISTANCE PATIENT WILL GENERALLY BE EXPECTED TO PAY FOR SERVICES COVERED BY THE POLICY WILL BE LIMITED TO THE LOWER OF THE AMOUNT THAT THE HOSPITAL WOULD HAVE RECEIVED FOR THE SAME SERVICE UNDER MEDICARE PARTS A AND B, (INCLUDING COINSURANCE, CO-PAYMENTS AND DEDUCTIBLES) OR THE USUAL AND CUSTOMARY CHARGES. THE PATIENT WILL BE ASSISTED BY THE HOSPITAL IN MAKING ARRANGEMENTS TO SATISFY ANY BALANCE REMAINING ON THE ACCOUNT(S) AFTER THE APPLICATION OF THE APPROPRIATE FINANCIAL ASSISTANCE DISCOUNT BY USE OF A PAYMENT PLAN. THE MONTHLY PAYMENTS UNDER SUCH PLANS SHALL NOT EXCEED TEN PERCENT (10%) OF THE ELIGIBLE PATIENT'S GROSS MONTHLY INCOME. THE RATE OF INTEREST ON UNPAID BALANCES SHALL NOT EXCEED THE US TREASURY RATE FOR 90 DAY SECURITIES PLUS 0.5%. HOSPIT PART VI, LINE 2- NEEDS ASSESSMENT HIGHLAND HOSPITAL ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY AS PART OF CONTINUOUS QUALITY IMPROVEMENT IN MANY OF ITS INIATIVES. NEEDS ASSESSMENT OCCURS MOST FORMALLY THROUGH THE CHNA PROCESS IN COLLABORATION WITH THE MEMBERS OF THE COMMUNITY HEALTH IMPROVEMENT WORKGROUP (CHIW) AS WELL AS SEVERAL ADDITIONAL COMMUNITY MEMBERS, ORGANIZATIONS AND ASSOCIATIONS. WITH THE INPUT OF THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH (MCDPH), SEVERAL DATA SOURCES ARE REVIEWED, PRIMARILY NATALITY AND MORTALITY DATA, HOSPITALIZATION DATA THROUGH THE STATEWIDE PLANNING AND RESEARCH COOPERATIVE SYSTEMS (SPARCS) FILES, DISEASE AND SPECIFIC CONDITION DATA, AND THE NY STATE PREVENTION AGENDA DASHBOARD DATA. SEVERAL REPORTS ARE CONDUCTED PERIODICALLY BY COMMON GROUND HEALTH INCLUDING THE HEALTH EQUITY CHARTBOOK AND THE MONROE COUNTY HEALTH PROFILES, AND BY THE MCDPH INCLUDING THE YOUTH RISK BEHAVIOR SURVEY REPORT AND CHRONIC DISEASES IN MONROE COUNTY REPORT. THESE REPORTS INFORM THE HOSPITAL OF THE HEALTH CARE NEEDS OF THE COMMUNITY. URMC COMMUNICATES FREQUENTLY WITH COMMUNITY PARTNERS TO ASSESS THE NEEDS OF ITS POPULATION. ONE SUCH PARTNER IS COMMON GROUND HEALTH, THE REGIONAL HEALTH PLANNING AGENCY, WHICH REPORTS FREQUENTLY ON REGIONAL HEALTH MEASURES, DECIDED ON BY A COMMUNITY ADVISORY GROUP. REGIONAL HEALTH MEASURES ARE UPDATED FREQUENTLY AND INCLUDE COMMUNITY, CLINICAL AND BEHAVIORAL INDICATORS. IN ADDITION, COMMON GROUNG HEALTH COMPLETED THE 2022 MONROE COUNTY HEALTH PROFILE SUMMARIZING THE HEALTH OF THE PRIMARY CATCHMENT AREA OF HIGHLAND HOSPITAL. IN ADDITION, COMMON GROUND RELEASED "OVERLOADED: THE HEAVY TOOL OF POVERTY ON OUR REGIONS HEALTH." IN 2018, COMMON GROUND HEALTH CONDUCTED AN EXTENSIVE SURVEY OF THE COMMUNITY THAT HIGHLAND HOSPITAL SERVES CALLED THE 'MY HEALTH STORY' SURVEY. RESULTS OF THE SURVEY WERE USED TO INFORM THE CHNA, AND WILL CONTINUE TO BE USED AS REPEATED IN THE FUTURE. IN ADDITION, COMMUNITY INPUT IS PERIODICALLY SOUGHT FROM MONROE COUNTY RESIDENTS, THE AFRICAN AMERICAN HEALTH COALITION AND THE LATINO HEALTH COALITION. PROGRAM SPECIFIC NEEDS ASSESSMENTS ARE CONDUCTED AS NECESSARY TO ENSURE THE SUCCESS AMONG THE TARGET POPULATION FOR INDIVIDUAL INTERVENTIONS. -------------------- PART VI, LINE 3- PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IS POSTED IN ALL AREAS OF HIGHLAND HOSPITAL AND ITS OFF-SITE LOCATIONS. CHARITY CARE INFORMATION IS POSTED IN INPATIENT AND OUTPATIENT REGISTRATION AREAS; THE EMERGENCY DEPARTMENT; ADMITTING; HIGHLAND FAMILY MEDICINE; AND ALL PRIMARY CARE SITES. THE HOSPITAL PROVIDES A COPY OF THE CHARITY CARE POLICY AND FINANCIAL ASSISTANCE CONTACTS TO PATIENTS AS PART OF ITS ADMITTING PROCESS. HIGHLAND ALSO PROVIDES PRINTED INFORMATION ABOUT CHARITY CARE ASSISTANCE WITH DISCHARGE MATERIALS WHEN IT HAS BEEN DETERMINED THAT A PATIENT IS IN FINANCIAL NEED. OUR CHARITY CARE POLICY IS ONLINE AS WELL ON THE HOSPITAL WEBSITE. AS PART OF FINANCIAL PLANNING ASSISTANCE, WE PROVIDE PATIENTS OR THEIR LEGAL REPRESENTATIVE, WITH INFORMATION ABOUT THE CRITERIA THAT MUST BE MET IN ORDER TO OBTAIN MEDICAID, MEDICARE, OR OTHER HEALTH INSURANCES. PATIENTS ARE ASSISTED IN MAKING APPLICATIONS FOR ANY OF THESE INSURANCES OR DISCOUNTED FEE PLANS. PATIENTS ARE EXPECTED TO PARTICIPATE FULLY IN ALL EFFORTS TO OBTAIN ANY INSURANCE FOR WHICH THEY MAY QUALIFY. UNDER CERTAIN CIRCUMSTANCES, AS DETERMINED BY THE FINANCIAL CASE COUNSELORS OR OTHER HOSPITAL SENIOR ADMINISTRATORS, APPLICATIONS FOR MEDICAID, MEDICARE OR OTHER INSURANCE PROGRAMS MAY BE WAIVED WHEN DEEMED UNNECESSARY. IF AVAILABLE INSURANCE BENEFITS ARE NOT SUFFICIENT TO COVER THE COST OF THEIR CARE, PATIENTS MAY THEN APPLY FOR ASSISTANCE FROM THE CHARITY CARE PROGRAM. --------------- PART VI, LINE 4- COMMUNITY INFORMATION HIGHLAND HOSPITAL IS LOCATED IN THE CITY OF ROCHESTER, COUNTY OF MONROE (POPULATION ESTIMATE FOR 2023 IS 748,483) IN THE FINGER LAKES REGION OF NEW YORK STATE. THE FINGER LAKES REGION EXTENDS APPROXIMATELY 100 MILES NORTH TO SOUTH AND 100 MILES EAST TO WEST. THE REGION ENCOMPASSES URBAN, SUBURBAN AND RURAL COMMUNITIES WITHIN NEW YORK STATE. HIGHLAND HOSPITAL'S PRIMARY SERVICE AREA (PSA) IS MONROE COUNTY AND THE SECONDARY SERVICE AREA (SSA) ENCOMPASSES THE 15 COUNTIES SURROUNDING MONROE INCLUDING: ALLEGANY, CATTARAUGUS, CAYUGA, CHEMUNG, GENESEE, LIVINGSTON, ONTARIO, ORLEANS, SCHUYLER, SENECA, STEUBEN, TOMPKINS, WAYNE, WYOMING, AND YATES. HEALTH CARE ENVIRONMENT- THE PRIMARY SERVICE AREA IS HOME TO TWO MULTI HOSPITAL SYSTEMS EACH WITH SEVERAL LONG-TERM CARE, HOME CARE AND OTHER TYPES OF AFFILIATES. THE UNIVERSITY OF ROCHESTER MEDICAL CENTER CONSISTS OF STRONG MEMORIAL HOSPITAL AND AFFILIATES HIGHLAND HOSPITAL, FF THOMPSON HEALTH SYSTEM, ST JAMES HOSPITAL, FINGER LAKES REGIONAL HEALTH SYSTEM, NICHOLAS NOYES AND JONES MEMORIAL HOSPITALS. ROCHESTER REGIONAL HEALTH SYSTEM CONSISTS OF ROCHESTER GENERAL HOSPITAL, NEWARK WAYNE COMMUNITY HOSPITAL, UNITY HEALTH SYSTEM, CLIFTON SPRINGS HOSPITAL, AND UNITED MEMORIAL MEDICAL CENTER. THERE ARE SMALLER COMMUNITY HOSPITALS THAT OPERATE IN THE FIFTEEN COUNTIES SURROUNDING MONROE COUNTY WITH BED CAPACITY RANGING FROM AS FEW AS 25 BEDS TO AS MANY AS 224 BEDS. OVER 50 RESIDENTIAL HEALTH CARE FACILITIES; MANY PUBLIC AND PRIVATE AGENCIES PROVIDING COMMUNITY AND HOME HEALTH SERVICES; SEVERAL STATE AND FEDERAL FACILITIES; AND A FULL RANGE OF HEALTH CARE PROFESSIONALS, INCLUDING THOUSANDS OF PHYSICIANS, DENTISTS, NURSES, TECHNICIANS, ADMINISTRATORS, EDUCATORS, AND SUPPORT PERSONNEL PROVIDE SERVICES WITHIN THE SIXTEEN COUNTY SERVICE AREA. DEMOGRAPHIC ANALYSIS- HISTORICALLY UNDER REPRESENTED ETHNIC GROUPS INCLUDING BLACK NON-HISPANIC, HISPANIC AND OTHER POPULATIONS COMPRISE ROUGHLY 30.4% OF THE POPULATION OF MONROE COUNTY. MEDIAN HOUSEHOLD INCOME FOR MONROE COUNTY IS $71,450 (2018-2022). ACCORDING TO THE US CENSUS, 13.9% OF INDIVIDUALS IN MONROE COUNTY WERE CONSIDERED BELOW THE POVERTY LEVEL. ROCHESTER NOW RANKS THIRD IN OVERALL POVERTY AMONG THE TOP 75 METROPOLITAN AREAS IN THE UNITED STATS, AND WORST IN CHILD POVERTY WITH MORE THAN 50% OF CHILDREN IN ROCHESTER LIVING IN POVERTY, THE HIGHEST FOR ANY COMPARABLY SIZED CITY IN THE US. THE PERCENTAGE OF THE MONROE COUNTY POPULATION AGE 65 AND OLDER WAS 18.9% IN 2022. THE RATE OF UNINSURED (INDIVIDUALS UNDER 65 YEARS OLD) IN MONROE COUNTY IS 4.6%, COMPARED TO 9.3% US AVERAGE. -------------------- PART VI, LINE 5- PROMOTION OF COMMUNITY HEALTH HIGHLAND HOSPITAL CONDUCTS MANY COMMUNITY HEALTH INITIATIVES THROUGHOUT THE YEAR. EXAMPLES INCLUDE FREE OR LOW-COST HEALTH EDUCATION PROGRAMS ON TOPICS RELATED TO NUTRITION AND BARIATRIC SURGERY. ALSO, HIGHLAND'S BREAST IMAGING CENTER SPONSORS A FREE MAMMOGRAPHY SCREENING DAY FOR UNINSURED/UNDERINSURED WOMEN. THE HOSPITAL ALSO OFFERS SEMINARS FOR EMS PERSONNEL TO FURTHER THEIR MEDICAL EDUCATION. HIGHLAND HAS ALSO PROVIDED FREE HEALTH INFORMATION TO THE COMMUNITY THROUGH VIDEOS ON OUR SOCIAL MEDIA CHANNELS TO EDUCATE THE PUBLIC ABOUT COVID-19 DURING THE PANDEMIC. THIS SERVES SEVERAL PURPOSES: THEY RAISE AWARENESS OF THE BREADTH OF SERVICES OFFERED BY HIGHLAND TO THE COMMUNITY, ESPECIALLY THOSE IN THE URBAN AREA OF ROCHESTER FOR WHOM HIGHLAND IS THEIR CLOSEST HOSPITAL; THEY ENCOURAGE COMMUNITY MEMBERS TO ENGAGE IN PROACTIVE WELLNESS EFFORTS, SUCH AS RECOMMENDED ANNUAL MAMMOGRAMS FOR WOMEN OVER 40 AND THOSE AT RISK; AND THEY EDUCATE COMMUNITY MEMBERS ON STEPS THEY CAN TAKE TO LEAD HEALTHY LIVES THROUGH POSITIVE LIFESTYLE CHOICES. IN ADDITION, HIGHLAND COLLABORATES WITH OTHER HOSPITALS IN WESTERN NEW YORK, INCLUDING STRONG MEMORIAL HOSPITAL, IN JOINTLY FILING A COMMUNITY SERVICE PLAN TO THE NEW YORK STATE DEPARTMENT OF HEALTH. THIS UNIQUE EFFORT, DONE IN COLLABORATION WITH THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH AND THE FINGER LAKES HEALTH SYSTEM AGENCY, DEMONSTRATES TRUE COMMUNITY ASSESSMENT AND IMPROVEMENT PLANNING FOR MONROE COUNTY AND ITS SURROUNDING NEIGHBORHOODS. THE JOINT COMMUNITY SERVICE PLAN IS FOCUSING ON REDUCING OBESITY, REDUCING ILLNESS RELATED TO TOBACCO, AND INCREASING ACCESS TO CHRONIC DISEASE PREVENTION. THE UNIVERSITY OF ROCHESTER CENTER FOR COMMUNITY HEALTH SERVES AS A FACILITATING AGENCY. -------------------- PART VI, LINE 5- PROMOTION OF COMMUNITY HEALTH- OTHER INFORMATION HIGHLAND'S BOARD OF DIRECTORS IS COMPRISED OF A DIVERSE GROUP OF MEMBERS OF THE ROCHESTER COMMUNITY. THE BOARD INCLUDES URMC AND HIGHLAND SENIOR LEADERS; EMPLOYED URMC FACULTY BASED AT HIGHLAND HOSPITAL AND PRIVATE COMMUNITY PHYSICIANS; MEMBERS OF THE BUSINESS COMMUNITY AND LOCAL PHILANTHROPISTS WITH AN INTEREST IN ADVOCATING FOR HEALTH CARE. HIGHLAND EXTENDS MEDICAL STAFF PRIVILEGES TO EMPLOYED HIGHLAND PHYSICIANS; URMC FACULTY PHYSICIANS; AND ALL ELIGIBLE PRIVATE PHYSICIANS WHO PRACTICE AT HIGHLAND AND/OR ADMIT PATIENTS TO THE HOSPITAL. HIGHLAND USES SURPLUS FUNDS TO CONTINUALLY REINVEST IN ITS FACILITY; THE 135-YEAR-OLD HOSPITAL HAS IN RECENT YEARS MADE MANY CAPITAL UPDATES TO ITS FACILITY, INCLUDING: VIRTUALLY DOUBLING ITS CAPACITY TO MEET CURRENT AND FUTURE PATIENT NEEDS, RADIATION ONCOLOGY DEPARTMENT, SEVERAL INPATIENT CARE UNITS AND THE COMMUNITY OB/GYN CLINIC. OTHER ENHANCEMENTS INCLUDE NEW OPERATING ROOMS AND EXPANSION OF ITS PERIOPERATIVE SERVICES AREA TO MEET DEMAND FOR OR USAGE. MAJOR CAPITAL EQUIPMENT ACQUISITIONS TO MEET COMMUNITY NEEDS INCLUDE AN UPGRADED LINEAR ACCELERATOR AND DAVINCI ROBOTIC SURGICAL SYSTEM. THE HOSPITAL CONTINUES TO REVIEW AND UPGRADE ALL KEY INFORMATION TECHNOLOGY SYSTEMS, INCLUDING THE ELECTRONIC MEDICAL RECORD. FINALLY, THE HOSPITAL HAS COMPLETED CONSTRUCTION OF THE 2ND PHASE OF ITS MASTER FACILITY PLAN TO MODERNIZE ITS PATIENT CARE FACILITIES AND ACHIEVE HAVING NEARLY ALL PRIVATE PATIENT ROOMS. THE PROJECT INCLUDED FOUR STORIES AND A MECHANICAL PENTHOUSE ATOP THE HOSPITAL'S SOUTHEAST WING AND INCLUDES 58 PRIVATE PATIENT ROOMS AND OTHER CLINICAL PROGRAMS. -------------------- PART VI, LINE 6- DETAIL REGARDING AFFILIATED HEALTH CARE SYSTEM ROLES 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, FINGER LAKES REGIONAL HEALTH SYSTEM, INC. 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. - THE UNIVERSITY'S HEALTH CARE DELIVERY NETWORK IS ANCHORED BY STRONG MEMORIAL HOSPITAL, AN 838 BED TEACHING HOSPITAL, WHICH INCLUDES A CHILDREN'S HOSPITAL-GOLISANO CHILDREN'S HOSPITAL. PATIENTS BENEFIT FROM THE MEDICAL CENTER'S ROBUST TEACHING AND BIOMEDICAL RESEARCH PROGRAMS. STUDENT ROSTERS INCLUDE APPROXIMATELY 400 MEDICAL STUDENTS, 500 GRADUATE STUDENTS, AND 890 RESIDENTS AND FELLOWS WHO ARE ENGAGED IN COMMUNITY SERVICE THROUGHOUT THEIR EDUCATION. - EASTMAN INSTITUTE FOR ORAL HEALTH PROVIDES COMMUNITY DENTAL CARE IN A NUMBER OF CLINICS, AS WELL AS CLINICAL EDUCATION TO DENTAL STUDENTS ENROLLED AT THE UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY. IT OFFERS GENERAL DENTISTRY, PEDIATRIC AND ORTHODONTIC CLINICS, AND AN URGENT CARE DENTAL CLINIC THAT SEES 10 - 50 PATIENTS PER DAY. IT OPERATES LOW-INCOME CLINICS AT SCHOOLS AND A DOWNTOWN LOCATION. ADDITIONALLY, FOUR SMILEMOBILES PROVIDE A DENTAL OFFICE ON WHEELS, ALLOWING THE CITY'S CHILDREN INCREASED ACCESS TO MUCH NEEDED DENTAL CARE. - THE JAMES P. WILMOT CANCER CENTER IS ORGANIZED AROUND A MULTIDISCIPLINARY CARE MODEL, WHICH LEADING CANCER EXPERTS BELIEVE IS THE GOLD STANDARD IN CANCER CARE IN THE 21ST CENTURY. ITS MODEL UNDERSCORES A COMMITMENT TO PROVIDE PATIENTS IN THE ROCHESTER AREA WITH THE MOST UP-TO-DATE INFORMATION AND AVAILABLE TREATMENTS, BASING OUR RECOMMENDATIONS ON THE BEST EVIDENCE. IT IS THE ONLY CENTER IN THE ROCHESTER AND FINGER LAKES REGION OFFERING THIS TEAM APPROACH TO CARE. A VARIETY OF FREE PREVENTIVE EDUCATION EVENTS ARE HELD THROUGHOUT THE YEAR, INCLUDING MEN'S HEALTH DAY, WHICH INCLUDES NUMEROUS FREE HEALTH SCREENINGS; FREE SKIN CANCER SCREENINGS; AND BREAST CANCER SCREENINGS FOR THE UNINSURED AND UNDERINSURED. - GOLISANO CHILDREN'S HOSPITAL, HOUSED IN STRONG MEMORIAL HOSPITAL, IS A 124-BED CHILDREN'S HOSPITAL THAT SERVES AS THE REFERRAL CENTER FOR ALL SERIOUSLY ILL OR INJURED CHILDREN FROM THE 17-COUNTY FINGER LAKES REGION. IT COMBINES AWARD-WINNING RESEARCH, INTERNATIONALLY ACCLAIMED EDUCATION AND COMPASSIONATE CARE TO SERVE CHILDREN AND FAMILIES. PEDIATRIC SPECIALTIES INCLUDE ORTHOPAEDICS, NEUROLOGY/NEUROSURGERY, CANCER AND NEONATAL CARE. IN ADDITION TO THESE TRADITIONAL MEDICAL SERVICES, GOLISANO CHILDREN'S HOSPITAL IS THE NATION'S MODEL FOR "COMMUNITY PEDIATRICS", A PHILOSOPHY THAT EMBRACES THE IDEA THAT A CHILD'S COMMUNITY AND ENVIRONMENT AFFECT HIS HEALTH AND, THEREFORE, HE CANNOT BE TREATED SOLELY IN AN EXAM ROOM. THE HOSPITAL ENCOURAGES PHYSICIANS AND STAFF TO PARTNER WITH COMMUNTIY ORGANIZAITONS TO IMPROVE VACCINATION RATES, EDUCATIONAL OPPORTUNITIES, SAFETY AT HOME AND ON PLAYGROUNDS, AND HEALTH INSURANCE AND HEALTH CARE ACCESS. - THE STRONG WEST CAMPUS, WHICH IS LOCATED APPROXIMATELY 20 MILES WEST OF ROCHESTER IN BROCKPORT, NY WAS ACQUIRED BY THE UNIVERSITY IN 2013. IT IS THE SITE OF THE FORMER 61 BED LAKESIDE MEMORIAL HOSPITAL, WHICH ANNOUNCED IT WAS CLOSING IN APRIL, 2013, LEAVING THE COMMUNITY WITHOUT AN EMERGENCY ROOM AND LOCAL ACCESS TO OTHER HEALTH CARE SERVICES. STRONG MEMORIAL HOSPITAL NOW OPERATES A FREE-STANDING EMERGENCY ROOM ON THE STRONG WEST CAMPUS, IN ADDITION TO OFFERING AMBULATORY SURGERY, HEALTH IMAGING, LABORATORY SERVICES, PRIMARY CARE, ORTHOPAEDICS, CARDIAC CARE, ONCOLOGY AND HEMATOLOGY, SLEEP MEDICINE, NEUROLOGY, AND UROLOGY SERVICES. THE UNIVERSITY'S WHOLLY OWNED HEALTH CARE AFFILIATES ARE: STRONG PARTNERS HEALTH SYSTEM, INC. AND AFFILIATES IN JUNE 1997, HIGHLAND HOSPITAL AND ITS AFFILIATES AND THE UNIVERSITY BECAME AFFILIATED THROUGH THE RESTRUCTURING OF A CORPORATION NOW KNOWN AS STRONG PARTNERS HEALTH SYSTEM, INC. ("SPHS"), OF WHICH THE UNIVERSITY IS THE SOLE MEMBER. SPHS, A NOT-FOR-PROFIT CORPORATION, NOW SERVES AS THE CORPORATE PARENT OF HIGHLAND HOSPITAL AND THE UNIVERSITY'S LONG TERM CARE AND SENIOR HOUSING AFFILIATES LOCATED IN MONROE COUNTY, NEW YORK. A BRIEF DESCRIPTION OF THE SPHS AFFILIATES FOLLOWS: HIGHLAND HOSPITAL OF ROCHESTER HIGHLAND HOSPITAL OF ROCHESTER IS A 261-BED NOT-FOR-PROFIT ACUTE CARE HOSPITAL LOCATED IN ROCHESTER, NEW YORK. THE HOSPITAL'S SERVICES INCLUDE MEDICAL/SURGICAL CARE, INTENSIVE CARE, MATERNITY AND EMERGENCY CARE. IN ADDITION, THE HOSPITAL OWNS AND OPERATES 22 OUTPATIENT EXTENSION CLINICS, PROVIDING PRIMARY CARE, PRENATAL CARE, CARDIOLOGY, RADIOLOGY, AND/OR THERAPEUTIC RADIOLOGY SERVICES. HIGHLAND COMMUNITY DEVELOPMENT CORPORATION HIGHLAND COMMUNITY DEVELOPMENT CORPORATION ("HCDC") IS A NOT-FOR-PROFIT CORPORATION WHICH OWNS AND OPERATES THE HIGHLANDS AT PITTSFORD, A RETIREMENT COMMUNITY LOCATED IN PITTSFORD, MONROE COUNTY, NEW YORK. THE RETIREMENT COMMUNITY INCLUDES 135 INDEPENDENT LIVING APARTMENTS, 36 INDEPENDENT LIVING COTTAGES, A COMMUNITY COMMON AREA, A DINING ROOM, SITTING AREAS, RECREATIONAL AREAS, A WELLNESS CENTER, AND A COMMUNITY CENTER. HCDC ALSO OWNS AND OPERATES LAURELWOOD AT THE HIGHLANDS, AN ASSISTED LIVING FACILITY INCLUDING 65 APARTMENTS, 8 OF WHICH ARE IN A SECURE MEMORY CARE UNIT, LOCATED ON THE SAME CAMPUS AS THE HIGHLANDS AT PITTSFORD. THE HIGHLANDS LIVING CENTER, INC. THE HIGHLANDS LIVING CENTER, INC. IS A NOT-FOR-PROFIT CORPORATION WHICH OWNS AND OPERATES A 120-BED SKILLED NURSING FACILITY AND AN ADULT DAY CARE HEALTH PROGRAM FOR SENIORS IN PITTSFORD, MONROE COUNTY, NEW YORK. THE SKILLED NURSING FACILITY IS ADJACENT TO THE HIGHLANDS AT PITTSFORD. THE MEADOWS AT WESTFALL, INC. THE MEADOWS AT WESTFALL, INC. D/B/A THE HIGHLANDS AT BRIGHTON ("HAB") IS A NOT-FOR-FOR PROFIT CORPORATION WHICH OWNS AND OPERATES A 145-BED SKILLED NURSING FACILITY, WHICH INCLUDES 125 RESIDENTIAL HEALTH CARE BEDS AND 20 VENTILATOR-DEPENDENT BEDS, IN BRIGHTON, MONROE COUNTY, NEW YORK. HIGHLAND FACILITIES DEVELOPMENT CORPORATION HIGHLAND FACILITIES DEVELOPMENT CORPORATION ("HFDC") IS A NOT-FOR-PROFIT CORPORATION WHOSE PRIMARY PURPOSE IS TO PROVIDE SERVICES THAT ARE SUBSTANTIALLY RELATED TO THE CHARITABLE PURPOSES OF HIGHLAND HOSPITAL BUT DO NOT INVOLVE THE PROVISION OF HEALTH CARE SERVICES. HFDC OWNS AND OPERATES A MEDICAL OFFICE BUILDING AND A PARKING GARAGE ON THE HOSPITAL CAMPUS. MEDICAL ADMINISTRATIVE ASSOCIATES, INC. HIGHLAND HOSPITAL IS THE SOLE SHAREHOLDER OF MEDICAL ADMINISTRATIVE ASSOCIATES, INC., D/B/A HIGHLAND SOUTH WEDGE PHARMACY, WHICH IS A FOR-PROFIT CORPORATION WHICH OWNS AND OPERATES A RETAIL PHARMACY IN ROCHESTER, NEW YORK. THE HIGHLAND FOUNDATION, INC. THE HIGHLAND FOUNDATION, INC. IS A NOT-FOR-PROFIT CORPORATION CONTROLLED BY HIGHLAND HOSPITAL WHICH SOLICITS, RECEIVES AND MAINTAINS FUNDS FOR THE SUPPORT OF HIGHLAND HOSPITAL AND THE OTHER NOT-FOR-PROFIT, TAX EXEMPT SPHS AFFILIATES. UR MEDICINE HOME CARE, INC. AND AFFILIATES THE UNIVERSITY AFFILIATED WITH VISITING NURSE FOUNDATION, INC. IN APRIL 1999, WHICH IS A NOT-FOR-PROFIT CORPORATION NOW KNOWN AS UR MEDICINE HOME CARE, INC. ("URMHC INC."). THE UNIVERSITY IS THE SOLE CORPORATE MEMBER OF URMHC INC. URMHC INC. SERVES AS THE CORPORATE PARENT OF THE UNIVERSITY'S HOME HEALTH CARE AFFILIATES. URMHC INC. IS THE CORPORATE PARENT OF TWO NOT-FOR-PROFIT HOME HEALTH CARE PROVIDERS, UR MEDICINE HOME CARE, CERTIFIED SERVICES, INC. ("CERTIFIED SERVICES") (FORMERLY NAMED VISITING NURSE SERVICE OF ROCHESTER AND MONROE COUNTY, INC.), WHICH OPERATES A CERTIFIED HOME HEALTH AGENCY AND A HOSPICE, AND UR MEDICINE HOME CARE, LICENSED SERVICES, INC. (FORMERLY NAMED COMMUNITY CARE OF ROCHESTER, INC. D/B/A VNS SIGNATURE CARE), WHICH OPERATED A LICENSED HOME CARE SERVICES AGENCY. IN OCTOBER 2014, FINGER LAKES VISITING NURSE SERVICE, INC.("FLVNS"), WHICH OPERATED A NOT-FOR-PROFIT CERTIFIED HOME HEALTH AGENCY AND A HOSPICE, AND FINGER LAKES HOME CARE, INC., WHICH OPERATES A NOT-FOR-PROFIT LICENSED HOME CARE SERVICES AGENCY, BECAME UNIVERSITY AFFILIATES. CERTIFIED SERVICES IS THE SOLE CORPORATE MEMBER OF THE FINGER LAKES HOME CARE. IN NOVEMBER 2020, FLVNS MERGED INTO CERTIFIED SERVICES. IN 2018 false true false false false false false false false STEVEN I GOLDSTEIN CEO 0 1528811 0 0 0 104737 0 191337 0 23220 0 1848105 0 0 ROBERT MCCANN MD BOARD MEMBER 0 497753 0 0 0 4157 0 42637 0 26807 0 571354 0 0 CINDY BECKER FORMER COO 141313 0 0 0 0 0 95761 0 38449 0 275523 0 0 0 LORI FERRIS MD PHYSICIAN 348313 0 0 0 0 0 95761 0 38449 0 482523 0 0 0 JULIETTA FISCELLA MD PHYSICIAN 353876 0 0 0 0 0 0 0 16517 0 370393 0 0 0 ADAM ANOLIK FORMER CFO 0 802045 0 0 0 18469 0 131937 0 26584 0 979035 0 0 MICHAEL APOSTOLAKOS MD CHIEF MEDICAL OFFICER 0 693444 0 0 0 27889 0 81937 0 30280 0 833550 0 0 CARRIE FULLER SPENCER CFO 0 579573 0 0 0 3046 0 55837 0 35126 0 673582 0 0 MELISSA DERLETH CNO 241506 0 0 0 0 0 17861 0 14533 0 273900 0 0 0 AHMAD MATLOUBIEH MD PHYSICIAN 370664 0 0 0 0 0 0 0 35010 0 405674 0 0 0 CARLOS DIAZ-BALZAC MD PHYSICIAN 339359 0 0 0 0 0 18450 0 16176 0 373985 0 0 0 MARK CRONIN BOARD MEMBER 0 278113 0 0 0 0 0 27850 0 27815 0 333778 0 0 JOSEPH NICHOLAS MD BOARD MEMBER 0 285920 0 51739 0 14400 0 14400 0 28487 0 394946 0 0 MAUREEN PERRY MD PHYSICIAN 283773 0 0 0 0 0 69467 0 29346 0 382586 0 0 0 FORM 990, SCHEDULE J, PART I, LINE 3 TOP MANAGEMENT COMPENSATION AS PROVIDED IN THE FORM 990, SCHEDULE J INSTRUCTIONS, SINCE THE ORGANIZATION RELIES ON A RELATED ORGANIZATION WHICH USES ONE OR MORE OF THE METHODS DESCRIBED IN LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIALS' COMPENSATION, THIS QUESTION HAS BEEN LEFT UNANSWERED. REFER TO SCHEDULE O, DESCRIPTION OF COMPENSATION REVIEW AND APPROVAL PROCESS. -------------------- FORM 990, SCHEDULE J, PART I, LINE 4B PARTICIPATION IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN CERTAIN OFFICERS AND DIRECTORS OF THE HIGHLAND FOUNDATION, INC. PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PROVIDED BY THE UNIVERSITY OF ROCHESTER, A RELATED IRC SECTION 501(C)(3) ORGANIZATION. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED EMPLOYER PAID AMOUNTS THAT ARE INCLUDED IN DEFERRED COMPENSATION: STEVEN I. GOLDSTEIN SERP PLAN $159,400 STEVEN I. GOLDSTEIN 457(F) PLAN $0 ADAM ANOLIK SERP PLAN $100,000 ROBERT MCCANN, MD SERP PLAN $12,800 MICHAEL APOSTOLAKOS, MD SERP PLAN $50,000 CARRIE FULLER SPENCER SERP PLAN $25,000 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 DORMITORY AUTHORITY OF STATE OF NEW YORK 146000293 649905W93 2010-06-25 10932064 MEDICAL FACILTY, EQUIP & TECHNLGY true false false B MONROE COUNTY INDUSTRIAL DEVELOPMENT CORPORATION 510188852 61075TPC6 2015-09-24 40469568 MEDICAL FACILTY, EQUIP & TECHNLGY false false false C MONROE COUNTY INDUSTRIAL DEVELOPMENT CORPORATION 510188852 61075TVT2 2020-10-21 35262881 MEDICAL FACILITY, EQUIP & TECHNOLO false false false A 4675000 7495000 10932064 428710 0 0 218641 0 0 10284713 0 0 2011 false false true true B 9090000 0 40469568 0 0 15192904 572717 0 0 24703947 0 0 2017 true false true true C 0 0 35262881 0 2337323 6970580 671286 0 0 25283692 0 0 2023 true false true true A false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true B false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true C false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true A false false true false false false 0 false 0 false true B false false true false false false 0 false 0 false true C false false true false false false 0 false 0 false true A true B true C true FORM 990, SCHEDULE K, PART III, LINES 3B & 3D SUPPLEMENTAL INFORMATION HIGHLAND HOSPITAL DOES NOT HAVE ANY MANAGEMENT CONTRACTS, SERVICE CONTRACTS OR RESEARCH AGREEMENTS BUT WOULD ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW BEFORE ENTERING INTO ANY SUCH AGREEMENTS. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 REVIEW PROCESS THE FORM 990 OF HIGHLAND HOSPITAL IS PREPARED BY FINANCE STAFF AND PROVIDED TO PWC US TAX LLP AND SENIOR MANAGEMENT FOR REVIEW PRIOR TO FILING. THE FORM 990 FOR THE YEAR ENDED JUNE 30, 2024 WAS ALSO PROVIDED TO THE FINANCE COMMITTEE AND ALSO TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO FILING. -------------------- FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY DIRECTORS, COMMITTEE MEMBERS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE A CONFLICT OF INTEREST: (A) PRIOR TO VOTING ON OR OTHERWISE DISCHARGING THEIR DUTIES WITH RESPECT TO ANY MATTER INVOLVING THE CONFLICT WHICH COMES BEFORE THE BOARD OR ANY COMMITTEE; (B) PRIOR TO ENTERING INTO ANY CONTRACT OR TRANSACTION INVOLVING THE CONFLICT; (C) AS SOON AS POSSIBLE AFTER THE DIRECTOR, COMMITTEE MEMBER OR OFFICER LEARNS OF THE CONFLICT; AND (D) ON AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM. THE FORM IS DISTRIBUTED ANNUALLY AND REQUIRES DISCLOSURE OF ALL CONFLICTS OF INTEREST, INCLUDING SPECIFIC INFORMATION CONCERNING THE TERMS OF ANY CONTRACT OR TRANSACTION WITH THE HOSPITAL THAT INVOLVES A POTENTIAL CONFLICT OF INTEREST FOR THE INDIVIDUAL. THE FORMS ARE REVIEWED BY THE BOARD CHAIR AND LEGAL COUNSEL, ANY CONFLICTS DISCLOSED ON THE FORMS OR ON AN AD HOC BASIS ARE REVIEWED BY A BOARD COMMITTEE. THE COMMITTEE CONSIDERS THE MATERIAL FACTS CONCERNING ANY PROPOSED CONTRACT OR TRANSACTION, INCLUDING THE PROCESS BY WHICH THE DECISION WAS MADE TO APPROVE OR RECOMMEND ENTERING INTO THE ARRANGEMENT ON THE TERMS PROPOSED, AND APPROVES SUCH CONTRACTS OR TRANSACTIONS ONLY IF THE TERMS ARE FAIR AND REASONABLE TO THE HOSPITAL AND THE ARRANGEMENTS ARE CONSISTENT WITH THE BEST INTERESTS OF THE HOSPITAL. -------------------- FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION REVIEW AND APPROVAL WRITTEN SELF-EVALUATIONS AND PERFORMANCE EVALUATIONS FOR HIGHLAND HOSPITAL'S OFFICERS AND KEY EMPLOYEES ANNUALLY ARE REVIEWED BY THE COMMITTEE ON COMPLIANCE AND COMPENSATION OF THE UNIVERSITY OF ROCHESTER MEDICAL CENTER BOARD. THE COMMITTEE HAS AVAILABLE THE EVALUATIONS FROM HIGHLAND HOSPITAL'S BOARD, AS WELL AS FROM THE CEO OF URMC HEALTH SYSTEM AND IN SOME CASES HIGHLAND'S CEO. THE COMMITTEE REVIEWS AND APPROVES TOTAL COMPENSATION FOR OFFICERS AND KEY EMPLOYEES AND CONSIDERS, IN ADDITION TO THE EVALUATIONS, THE SCOPE OF THE INDIVIDUAL'S JOB RESPONSIBILITIES, PREVIOUS COMPENSATION AND COMPARABLE COMPENSATION PAID TO PEOPLE WITH SIMILAR RESPONSIBILITIES AT COMPARABLE INSTITUTIONS. THE COMPARABLE INFORMATION IS PROVIDED BY AN INDEPENDENT CONSULTANT AND IS BASED ON LOCAL, REGIONAL AND NATIONAL COMPENSATION SURVEYS. -------------------- FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS HIGHLAND HOSPITAL'S FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST. HIGHLAND HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE NOT ROUTINELY MADE AVAILABLE TO THE PUBLIC. -------------------- FORM 990, PART VII & FORM 990, SCHEDULE J, PART II COMPENSATION INFORMATION CERTAIN OFFICERS, DIRECTORS AND KEY EMPLOYEES OF HIGHLAND HOSPITAL RECEIVE COMPENSATION FROM THE UNIVERSITY OF ROCHESTER, A RELATED IRC SECTION 501(C)(3) ORGANIZATION. A PORTION OF THE SALARIES OF THESE INDIVIDUALS IS ALLOCATED TO HIGHLAND HOSPITAL AND IS INCLUDED AS A PART OF OTHER SALARY AND WAGES ON THE STATEMENT OF FUNCTIONAL EXPENSES. CERTAIN OFFICERS AND KEY EMPLOYEES OF HIGHLAND HOSPITAL ALSO DEVOTE SIGNIFICANT TIME EACH WEEK TO OTHER RELATED ORGANIZATIONS. NONE OF THE BOARD MEMBERS OF HIGHLAND HOSPITAL ARE COMPENSATED FOR THEIR BOARD SERVICE. -------------------- FORM 990, PART VI, SECTION A, LINES 6, 7A, & 7B MEMBERSHIP INFORMATION THE SOLE MEMBER OF HIGHLAND HOSPITAL IS STRONG PARTNERS HEALTH SYSTEM, INC.("SPHS"). SPHS, ACTING THROUGH ITS BOARD OF DIRECTORS, HAS THE AUTHORITY TO ELECT THE GOVERNING BODY OF HIGHLAND HOSPITAL, AND CERTAIN DECISIONS OF THE HIGHLAND HOSPITAL BOARD ARE SUBJECT TO THE APPROVAL OF THE SPHS BOARD. SUCH DECISIONS INCLUDE APPOINTMENT OF THE HIGHLAND HOSPITAL PRESIDENT AND CEO, AMENDMENT OF THE CERTIFICATE OF INCORPORATION AND BYLAWS, APPROVAL OF EXTRAORDINARY CORPORATE ACTIONS SUCH AS MERGER OR DISSOLUTION, AND APPROVAL OF CAPITAL AND OPERATING BUDGETS, STRATEGIC PLANS, AND INCURRENCE OF CERTAIN DEBT. -------------------- FORM 990, PART XI, LINE 9 DETAIL OF OTHER CHANGES IN NET ASSETS OR FUND BALANCES CHANGE IN ACCRUED PENSION LIABILITY $9,247,252 ----------- TOTAL CHANGES IN NET ASSETS $9,247,252 -------------------- UNIVERSITY OF ROCHESTER BOX 278893 ROCHESTER NY 14627 160743209 SCHOOL NY 501(C)(3) 2 NA false THE HIGHLAND FOUNDATION INC 1000 SOUTH AVENUE ROCHESTER NY 14620 237310662 FUNDRAISING NY 501(c)(3) 12A, I HIGHLD HOSP true HIGHLAND FACILITIES DEVELOPMENT CORP 1000 SOUTH AVENUE ROCHESTER NY 14620 223039077 MEDICAL BLDG NY 501(C)(3) 10 HIGHLD HOSP true STRONG PARTNERS HEALTH SYSTEM INC 1000 SOUTH AVENUE ROCHESTER NY 14620 161499099 SUPPORT ORG NY 501(C)(3) 12A, I UNIV OF 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