2025-11-13T17:14:58-06:00 2024-12-31 222027092 WITHUM SMITH & BROWN PC 424 MAIN STREET SUITE 800 BUFFALO NY 142023508 990 2024-01-01 161165049 UNITED HEALTH SERVICES HOSPITALS INC UNIT 6077623024 10-42 MITCHELL AVENUE BINGHAMTON NY 13903 JOHN M CARRIGG PRESIDENT/CEO 6077623021 2025-11-14 1 0 MARY MADONIA P00405803 7168472651 2024 2025-03-06 01:10:19Z JOHN M CARRIGG 10-42 MITCHELL AVENUE BINGHAMTON NY 13903 1224287927 0 X WWW.NYUHS.ORG X 1981 NY (SEE SCHEDULE O)UNITED HEALTH SERVICES HOSPITALS, INC. (HEREAFTER REFERRED TO AS UHS HOSPITALS), IS A NOT-FOR-PROFIT PROVIDER OF HEALTH CARE SERVICES AND IS PART OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM SERVING NEW YORK'S SOUTHERN TIER AND SURROUNDING AREAS. UHS HOSPITALS FULFILLS ITS MISSION BY WORKING TOGETHER WITH THE COMMUNITY, PHYSICIANS, AND OTHER HEALTH CARE PROVIDERS TO CONTINUOUSLY IMPROVE THE AVAILABILITY AND QUALITY OF SERVICES. 14 12 6421 222 2384535 21012 13112386 13957940 945478404 1118520118 7126635 8283676 28098207 21400417 993815632 1162162151 0 0 0 0 408502668 449698321 0 0 0 599659808 666820630 1008162476 1116518951 -14346844 45643200 781800382 801823327 581416813 553939708 200383569 247883619 X (SEE SCHEDULE O)THE UHS HOSPITALS' PRIMARY MISSION IS TO SERVE THE PEOPLE OF OUR REGION, TO IMPROVE OR MAINTAIN THEIR HEALTH, AND TO PROVIDE PATIENT-CENTERED, CONTEMPORARY HEALTH SERVICES IN A CARING, COMPETENT, AND CONVENIENT MANNER. SERVICES WILL BE AFFORDABLE AND WELL ORGANIZED TO MEET THE NEEDS OF OUR PATIENTS AND THEIR FAMILIES. 0 0 274981735 314819521 INPATIENT AND ACUTE SERVICES (SEE SCHEDULE O)UHS HOSPITALS 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 AND REHABILITATIVE SERVICES ON ITS WILSON MEDICAL CENTER AND BINGHAMTON GENERAL HOSPITAL CAMPUSES. WILSON MEDICAL CENTER IS A 280-BED TEACHING HOSPITAL WHICH PROVIDES A FULL RANGE OF MEDICAL-SURGICAL SERVICES, INCLUDING: CARDIOLOGY, PERINATOLOGY, EMERGENCY MEDICINE, MATERNITY CARE, PULMONARY MEDICINE, NEONATOLOGY, PEDIATRICS, ORTHOPEDIC, ONCOLOGY, AS WELL AS NEUROSCIENCE. WILSON MEDICAL CENTER IS A REGIONAL REFERRAL CENTER FOR THE ADVANCED PRACTICE OF EMERGENCY MEDICINE, NEUROSURGERY AND NEWBORN INTENSIVE CARE. IT IS ALSO THE SITE FOR THE PRACTICE OF OPEN-HEART SURGERY AND OTHER ADVANCED CARDIAC PROCEDURES. BINGHAMTON GENERAL HOSPITAL IS A 220-BED FACILITY OFFERING: MENTAL HEALTH SERVICES, ORTHOPEDIC AND RECONSTRUCTIVE SURGERY, AND REHABILITATION CENTER. TOTAL INPATIENT DAYS IN 2024 TOTALED 107,065, DISCHARGES WERE 18,036 AND THE AVERAGE LENGTH OF STAY WAS 6.03 DAYS. THERE WERE 1,552 BIRTHS AND 3,545 INPATIENT SURGERIES PERFORMED AT UHS HOSPITALS IN 2024. UHS HOSPITALS INCREASES ACCESS TO HEALTH CARE SERVICES BY OFFERING AN ADVOCACY PROGRAM WHICH HELPS THOSE WITHOUT FINANCIAL RESOURCES TO PAY THEIR HEALTHCARE BILLS. IN 2024, UHS HOSPITALS GAVE FINANCIAL ASSISTANCE TO APPROXIMATELY 693 PATIENTS FOR WHICH $5,182,465 OF INPATIENT CARE (AT CHARGES) WAS PROVIDED. 481218040 550934162 OUTPATIENT AND AMBULATORY SERVICES (SEE SCHEDULE O)UHS HOSPITALS ALSO PROVIDES A COMPREHENSIVE RANGE OF OUTPATIENT DIAGNOSTIC AND TREATMENT SERVICES, ON ITS WILSON MEDICAL CENTER AND BINGHAMTON GENERAL HOSPITAL CAMPUSES. WILSON MEDICAL CENTER PROVIDES A FULL RANGE OF MEDICAL OUTPATIENT SERVICES, INCLUDING EMERGENCY DEPARTMENT, AMBULATORY SURGERY, FULL-SERVICE LABORATORY, COMPREHENSIVE IMAGING, GASTROENTEROLOGY LAB, CARDIAC CATH LAB, PHARMACY, AND OTHER PROCEDURAL OUTPATIENT SERVICES. BINGHAMTON GENERAL HOSPITAL ALSO PROVIDES AN EMERGENCY DEPARTMENT, AMBULATORY SURGERY, LABORATORY, INFUSION, IMAGING AND GASTROENTEROLOGY LAB SERVICES, IN ADDITION TO CARDIAC REHABILITATION, OUTPATIENT MENTAL HEALTH, AND OUTPATIENT SUBSTANCE USE DISORDER SERVICES. TOTAL PATIENT VISITS FOR OUTPATIENT SERVICES FOR YEAR-END 2024 TOTALED 2,358,154 EXCLUSIVE OF THE CLINIC SERVICES NOTED IN 4C BELOW. INCLUDED IN THE 2,358,154 VISITS WERE 56,768 EMERGENCY ROOM VISITS, 10,953 EMERGENCY ROOM TREATED AND ADMITTED AS ACUTE CARE PATIENTS, 1,663,408 OUTPATIENT LAB TESTS, 240,152 SPECIALTY CARE VISITS, AND 197,535 IMAGING AND RADIOLOGY OUTPATIENT VISITS. IN 2024, UHS HOSPITALS GAVE FINANCIAL ASSISTANCE TO APPROXIMATELY 19,839 PATIENTS FOR WHICH $14,278,300 OF OUTPATIENT CARE (AT CHARGES) WAS PROVIDED. 220811372 258601749 CLINICS (SEE SCHEDULE O)UHS HOSPITALS 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. UHS HOSPITALS OFFERS SIXTEEN PRIMARY CARE CENTERS LOCATED THROUGHOUT A MULTI-NEW YORK COUNTY SERVICE AREA: 1)BINGHAMTON FAMILY CARE, 2) UPPER FRONT STREET (BINGHAMTON), 3) CLINTON STREET (BINGHAMTON), 4) NORTHERN TIOGA, 5) DEPOSIT, 6) WINDSOR, 7) JOHNSON CITY, 8) VESTAL PARKWAY (VESTAL), 9) CANDOR, 10) OWEGO, 11) GREENE, 12) ENDICOTT, 13) MAIN STREET (JOHNSON CITY), 14) BINGHAMTON PEDIATRICS, 15) HOOPER ROAD (ENDWELL) AND 16)ROBINSON STREET (BINGHAMTON). OTHER OUTPATIENT SERVICES INCLUDE: TWO SCHOOL BASED HEALTH CENTERS, TWO WALK-IN CARE CENTERS, DIABETES MANAGEMENT CENTER, DENTAL CLINIC, NEPHROLOGY CLINIC, PLASTIC SURGERY CLINIC, AND THE WOMENS' HEALTH CENTER. TOTAL PATIENT CLINIC VISITS/PHYSICIAN ENCOUNTERS FOR THE UHS CLINCS AT YEAR END 2024 TOTALED 326,120 PRIMARY CARE AND 262,141 SPECIALTY CARE CLINIC VISITS.UHS HOSPITALS 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 EDUCATIONAL PROGRAMS IN WHICH GRADUATE, UNDERGRADUATE AND CONTINUING MEDICAL EDUCATION, AS WELL AS NURSING AND OTHER PROFESSIONAL,TECHNICAL TRAINING AND SCHOLARSHIP PROGRAMS, AND MAKING WELL-TRAINED HEALTH CARE PROFESSIONALS AND ADVANCED CLINICAL AND MEDICAL PRACTICES AVAILABLE TO THE PUBLIC. IN 2024, APPROXIMATELY 115 RESIDENTS, MEDICAL STUDENTS, REGISTERED NURSING, AND PHARMACY STUDENTS BENEFITTED FROM UHS HOSPITALS PROGRAMS. DUE TO COVID, STUDENT PARTICIPATION HAD BEEN LIMITED FOR THE PAST SEVERAL YEARS AND THE NUMBERS ARE NOW MORE CONSISTENT WITH PRE-COVID LEVELS. UHS HOSPITALS ALSO PROVIDES PROGRAMS AND SERVICES TO EDUCATE OUR PATIENTS, THEIR FAMILIES, BUSINESSES AND THE COMMUNITY AT LARGE ABOUT PROMOTING HEALTHY LIFESTYLES, FACILITATING UNDERSTANDING OF PERSONAL HEALTH STATUS, INCREASING KNOWLEDGE OF HEALTH CARE OPTIONS, AND ENCOURAGING EFFECTIVE UTILIZATION OF THE HEALTH-CARE SYSTEM. UHS HOSPITALS ALSO SPONSORS COMMUNITY ORGANIZATIONS THAT BRING PROGRAMS TO THE COMMUNITY WHICH ARE MOST DIRECTLY RELATED TO HEALTH ISSUES OR PROMOTE LOCAL HEALTH AND HUMAN SERVICES WITHIN THE COMMUNITY. UHS PROVIDED $256,000 IN SPONSORSHIP FUNDS IN 2024. 5066483 5066483 ALL OTHER (SEE SCHEDULE O)UHS HOSPITALS PROVIDES VARIOUS SERVICES TO THEIR AFFILIATE COMPANIES CHENANGO MEMORIAL HOSPITAL, IDEAL SENIOR LIVING CENTER, IDEAL SENIOR LIVING CENTER HOUSING CORPORATION, TWIN TIER HOME HEALTH, PROFESSIONAL HOME CARE, AND DELAWARE VALLEY HOSPITAL IN ADDITION TO THEIR PARENT COMPANY, UNITED HEALTH SERVICES, INC. UHS HOSPITALS ALSO RENDERS SERVICES TO THE PHYSICIAN PRACTICE MEDICAL GROUP, UNITED MEDICAL ASSOCIATES, PC. SERVICES RENDERED ARE CHARGED TO THE APPROPRIATE ENTITY AT COST. 5066483 5066483 982077630 1 1 0 1 0 0 0 0 0 1 1 0 1 0 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 268 0 1 6421 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 14 12 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X JOHN KLEESPIES-SYSTEM CONTROLLER 6077623021 10-42 MITCHELL AVE BINGHAMTON NY 13903 AMY HOWARD BOARD MEMBER/SECRETARY 2.00 X X 0 0 0 BRUCE BOWLING MD TO 63024 BOARD MEMBER/1ST VICE CHAI 2.00 X X 0 0 0 CAROLE COPPENS BOARD MEMBER 2.00 X 0 0 0 FRANK FLOYD MD BOARD MEMBER 2.00 X 0 0 0 GARY VANNOSTRAND BOARD MEMBER 2.00 X 0 0 0 JEROME CANNY BOARD MEMBER 2.00 X 0 0 0 JOANN NAVARRO BOARD MEMBER 2.00 X 0 0 0 JOHN CARRIGG BOARD MEMBER/2ND VICE CHR 2.00 55.00 X X 0 1386812 50729 JULIA MILLER MD BOARD MEMBER 2.00 X 0 0 0 KIMBERLY DESANTIS MD BOARD MEMBER 2.00 X 0 0 0 LINDA BEST BOARD MEMBER/1ST VICE CHAI 2.00 X X 0 0 0 MATTHEW SALANGER BOARD MEMBER 2.00 X 0 0 0 PETER NEWMAN BOARD MEMBER/CHAIR 2.00 X X 0 0 0 ROY GILL MD BOARD MEMBER 2.00 X 0 0 0 SHARON YAPLE BOARD MEMBER 2.00 X 0 0 0 AMINE HILA MD ASSOCIATE MEDICAL DIRECTOR 5.00 50.00 X 0 573647 9126 ANN TENG VP CHIEF WELLNESS OFFICER 5.00 50.00 X 0 337424 28586 CARRIE DAVIS VP COMMUNITY RELATIONS 1.00 55.00 X 0 231905 6368 DANIELLE DONLIN VP PHYSICIAN PRACTICE 1.00 55.00 X 0 346511 14616 DEBORAH PLATZ VP LEGAL COUNSEL 1.00 55.00 X 0 429209 24764 ERIK JONES AVP CLINICAL SERVICES 55.00 X 249447 0 47242 JAMES SMITH VP OF FINANCE AND CFO 1.00 55.00 X 0 575370 31015 JENNIFER GUSSE VP QUALITY MGMT 55.00 X 258432 0 46350 KARA HINES AVP INFORMATION SERVICES 55.00 X 205514 0 35314 KAY BOLAND SENIOR VICE PRESIDENT, CHI 1.00 55.00 X 0 734575 31579 NANCY RONGO VP CARE MANAGEMENT 55.00 X 110523 0 3103 PEGGY THOMAS VP NURSING/CNO 1.00 55.00 X 0 350600 48455 MOHAMMAD RAHMAN VP CHIEF INFORMATION OFFIC 55.00 X 352854 0 17517 RAJESH DAVE MD EXECUTIVE VP/CHIEF MEDICAL 1.00 13.75 X 0 167809 3785 RICHARD KEEHLE AVP SUPPORT SERVICES 55.00 X 248977 0 23834 SHERI LAMOUREUX VP HUMAN RESOURCES 1.00 55.00 X 0 384432 15693 AMRINDER SINGH MD PHYSICIAN 55.00 X 808798 0 48203 FNU SHAILESH MD PHYSICIAN 55.00 X 624271 0 47017 MAHMOUD AWAD MD PHYSICIAN 55.00 X 645187 0 23266 MUHAMMAD NADEEM MD PHYSICIAN 55.00 X 928935 0 47025 SATHAPPAN KARUPPIAH MD PHYSICIAN 55.00 X 715766 0 45825 5148704 5518294 649412 764 0 1 0 UNITED MEDICAL ASSOCIATES 10-42 MITCHELL AVE BINGHAMTON NY 13903 MEDICAL STAFFING 102674173 AMN HEALTHCARE PO BOX 56157 LOS ANGELES CA 90074 MEDICAL STAFFING 23959798 SUSQUEHANNA ANESTHESIA AFF 156 CORLISS AVE SUITE 107 JOHNSON CITY NY 13790 MEDICAL STAFFING 18266256 TRELLIS RX LLC PO BOX 7410812 CHICAGO IL 606740812 SPECIALTY PHARMACY SERVICES 14946567 BROOME ONCOLOGY 30 HARRISON ST SUITE 100 JOHNSON CITY NY 13790 MEDICAL STAFFING 8525317 121 7125464 6832476 13957940 LAB CLINICAL-CHEMISTRY 621500 113668883 113668883 PHARMACY 621500 101799475 101799475 OPERATING ROOM 621990 96046164 96046164 MEDICAL ONCOLOGY 621990 76950123 76950123 CT SCANS 621990 70586838 70586838 659468635 659468635 1118520118 5990195 5990195 1894610 0 1894610 1894610 39926 1854684 64419257 62074648 51128 2344609 -51128 2293481 2344609 -51128 CONTRACT REVENUE 621990 5835314 5835314 MEDICAL SERVICES RENDERED 621990 5066483 5066483 CONTRACT PHARMACY-340B 621990 2876208 2876208 5727802 5727802 19505807 1162162151 1129421915 2384535 16397761 X 1599107 1306470 292637 354949841 290104419 64845422 5558899 4543349 1015550 62632434 51154175 11478259 24958040 20398481 4559559 12654999 11134235 1520764 1205642 1060759 144883 269664 269664 16922 14888 2034 116322481 102343892 13978589 10952 9636 1316 3821270 3362064 459206 19787366 17409499 2377867 14740055 12968728 1771327 466747 410658 56089 6384768 5618596 766172 34858066 30675098 4182968 5336876 4695538 641338 DRUGS & PHARMACEUTICALS 175344753 175225403 119350 PURCHASED SERVICES 141457597 124458496 16999101 MEDICAL/SURGICAL SUPPLI 50842196 44732438 6109758 PROSTHESIS EXPENSE 33063300 33063300 50236976 47387508 2849468 1116518951 982077630 134441321 0 19761848 63251584 39605687 42635380 77535687 92280927 19622702 21244856 26857656 26484939 1019902469 623847032 374412669 396055437 33952707 15772935 101713590 72345969 88337836 71751300 781800382 801823327 174867662 172043184 278622646 284921214 29046173 16080197 98880332 80895113 581416813 553939708 X 177151460 228880987 23232109 19002632 200383569 247883619 781800382 801823327 X 45643200 3033207 -1176357 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 16922 16922 0 PART II-B, LINE 1: UHS HOSPITALS HAS LIMITED LOBBYING ACTIVITIES WHICH ARE CONDUCTED ON BEHALF OF THE ORGANIZATION THROUGH MEMBERSHIPS IN THE HEALTHCARE ASSOCIATION OF NEW YORK STATE AND UNITED IROQUOIS SELECT, LLC. THESE ACTIVITIES INCLUDE ADVERTISEMENTS AND CONTACTS WITH THE LEGISLATORS ON VARIOUS HEALTH ISSUES. 22898895 -3648254 240000 8009 19002632 20655972 2490510 240000 7587 22898895 20248546 655684 240000 8258 20655972 16873818 3623848 240000 9120 20248546 15233697 1888470 239940 8409 16873818 0.02921 0.24219 0.72860 1 0 20332955 20332955 538509787 268281388 270228399 29080738 15111577 13969161 394294268 340454067 53840201 37684721 37684721 396055437 MUTUAL FUNDS @ FMV 3261380 F FUNDED DEPREC INVESTMENTS 50895890 F ENDOWMENT INVESTMENT 1282819 F BENEFICIAL INTEREST IN UHS FOUNDATION 16905880 F 72345969 DUE FROM AFFILIATES - S/T AND L/T 13927386 INVESTMENTS IN SUSQUEHANNA REGIONAL PHYS./HOSP. ORG. 1078 GOODWILL - SNY ASSETS 1200000 VHA INVESTMENT 138417 MORRISON INVENTORY 86064 INSURANCE CLAIM PAYMENT RESERVE 3064372 ESTIMATED DUE FROM 3RD PARTY PAYORS-ST 1210655 ESTIMATED DUE FROM 3RD PARTY PAYORS-LT 570196 OPERATING LEASE RIGHT OF USE ASSETS 51553132 71751300 ACCRUED PENSION LIABILITY 41854035 ESTIMATED DUE TO THIRD PARTY PAYORS 8658863 OTHER LIABILITIES 20819517 DUE TO AFFILIATES 9562698 80895113 X 1137334088 3033207 -1176361 1856846 1135477242 26684909 26684909 1162162151 1089834042 0 1089834042 26684909 26684909 1116518951 PART V, LINE 4: THE USE OF ENDOWMENT FUNDS RECEIVED FROM THE UNITED HEALTH SERVICES FOUNDATION ARE IN ACCORDANCE WITH THE DONORS' WISHES. (I.E. PEDIATRIC PROGRAMS AND CARDIAC PROGRAMS). THE JOURNEY CAMPAIGN IS EXCLUSIVELY FUNDS RAISED FOR THE WILSON PROJECT, A STATE OF THE ART 120 PRIVATE PATIENT ROOM FACILITY ON THE UHS WILSON CAMPUS. THIS FUND IS MAINTAINED BY THE UHS FOUNDATION ON BEHALF OF UHS HOSPITALS. PART X, LINE 2: UHSH 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. AS OF DECEMBER 31, 2024 AND 2023, UHSH DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY THE FEDERAL AND STATE TAXING AUTHORITIES ARE 2021 THROUGH 2024. PART XI, LINE 2D - OTHER ADJUSTMENTS: RETIREMENT PLAN OBLIGATION 2,965,761. CHANGE IN INTEREST OF UHS FOUNDATION -4,142,122. RENTAL EXPENSES CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE-LEASES ROUNDING ADJ PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 26,684,909. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES ROUNDING ADJ PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 26,684,909. 1 1 X 1 X 1 X 1 1 1 0 1 1 7216209 0 7216209 0.00660 180113567 119309603 60803964 0.05580 15933322 12661232 3272090 0.00300 203263098 131970835 71292263 0.06540 4750869 0 4750869 0.00440 10383639 8767019 1616620 0.00150 315035738 254309578 60726160 0.05570 341963 301084 40879 0.00000 330512209 263377681 67134528 0.06160 533775307 395348516 138426791 0.12700 995800 995800 0.00090 256165 256165 0.00020 1976270 1976270 0.00180 3025104 3025104 0.00280 6253339 6253339 0.00570 0 26684909 7216209 123467673 114110090 9357583 X 1 1 2 1 WILSON MEMORIAL REGIONAL MEDICAL CENTER 33-57 HARRISON ST JOHNSON CITY NY 13790 WWW.NYUHS.ORG 0303001H X X X X A 2 BINGHAMTON GENERAL HOSPITAL 10-42 MITCHELL AVE BINGHAMTON NY 13903 WWW.NYUHS.ORG 0303001H X X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 22 1 1 1 1 X HTTP://WWW.NYUHS.ORG X 1 22 1 HTTP://WWW.NYUHS.ORG 0 1 X 200.000000000000 300.000000000000 X 1 1 X X X 1 X HTTP://WWW.NYUHS.ORG X HTTP://WWW.NYUHS.ORG X HTTP://WWW.NYUHS.ORG X X X X X X 1 X 0 X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: WILSON MEMORIAL REGIONAL MEDICAL CENTER, - FACILITY 2: BINGHAMTON GENERAL HOSPITAL GROUP A-FACILITY 1 -- WILSON MEMORIAL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5: THE MOBILIZING ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) MODEL WAS USED TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY, PRIORITIZE HEALTH NEEDS, AND STRATEGIZE ABOUT WAYS TO IMPROVE THE HEALTH OF BROOME COUNTY RESIDENTS. THIS MODEL FUNCTIONED AS A COMMUNITY-WIDE STRATEGIC PLANNING TOOL AND FORMED THE BASIS FOR PRIORITIZING KEY PUBLIC HEALTH ISSUES AND IDENTIFYING POTENTIAL RESOURCES. THE INDIVIDUALS THAT WERE INVOLVED ARE LISTED BELOW AND WERE MEMBERS OF THE BROOME COUNTY COMMUNITY HEALTH ASSESSMENT 2019-2024 STEERING COMMITTEE. INFORMATION HAS BEEN EDITED ACCORDING TO THE 2022-2024 UPDATE TO THE ORIGINAL 2019-2024 DOCUMENT.INDIVIDUALS AND COMMUNITY ORGANIZATIONS:ADDICTION CENTER OF BROOME COUNTY - CARMELA PIRICHAMERICAN HEARTH ASSOCIATION - BRITTNEY TAYLORBINGHAMTON HOUSING AUTHORITY - JEAN WESCOTT, TAMI ROBINSONBINGHAMTON UNIVERSITY - LEON COSLER, VIPUL A. LUGADE,, YVONNE JOHNSTON, CHRISTINE PODOLAKBROOME COUNTY COUNCIL OF CHURCHES - LES AYLESWORTH, SUE SPENCERBROOME COUNTY HEALTH DEPARTMENT - MARY MCFADDEN, DR. CHRISTOPHER RYANBROOME COUNTY PLANNING DEPARTMENT - STEPHANIE BREWERBROOME COUNTY MENTAL HEALTH DEPARTMENT - MEGAN WISE, HEIDI MIKESKA, MARIA FABRIZI, KIMBERLY SAUNDERSBROOME COUNTY OFFICE FOR AGING - MARY WHITCOMB, RITA FLUHARTY, MARYJANE LAWRENCEBROOME TIOGA BOCES - REBECCA STONE, JULIE RAWAYBROOME TIOGA NAACP - NICOLE SIRJU-JOHNSONBROOME COUNTY URBAN LEAGUE - JENNIFER LESKOBROOME COUNTY YMCA - GARETH SANSOMCARE COMPASS NETWORK - LISA BERARD, EMILY PAPECATHOLIC CHARITIES - TRACIE LAYTONCORNELL COOPERATIVE EXTENSION - BETH ROBERTS, TARA KENYONCORNERSTONE FAMILY HEALTHCARE - KELLY WILDEYEXCELLUS BLUE CROSS BLUE SHIELD - MELISSA KLINKO, AMY HOUGHTONFAMILY ENRICHMENT NETWORK - JENNIFER PERNEYFOOD BANK OF THE SOUTHERN TIER - NATASHA THOMPSON, THERESA KRAUSEGREATER GOOD GROCERY STORE - KINYA MIDDLETONGUTHRIE MEDICAL GROUP, PC - JOSHUA STOUTHELIO HEALTH - ERICA ROBINSONMENTAL HEALTH ASSOCIATION OF THE SOUTHERN TIER - KATHY ECKERTMOTHERS AND BABIES PERINATAL NETWORK - CHRISTY FINCHOUR LADY OF LOURDES HOSPITAL - DEBORAH BLAKENEY, LISA DONOVAN, WAYNE MITTEER, SUSAN BRETSCHER, BERNARD BUSH, ROBIN KINSLOW-EVANSRURAL HEALTH NETWORK OF SCNY - NICK CECCONI, PAM GUTH, MARY MARUSCAK, MARK BORDEUA, EMMA NALIN, ERIN SUMMERLYNORTH OF MAIN (NOMA) - BRANDY BROWNSEPP - JOHN BERNARDSOUTHERN TIER INDEPENDENCE CENTER - CHAD ELDRED, SUSAN RUFFSTAP - JOHN BARRYSUNY UPSTATE MEDICAL UNIVERSITY CLINICAL CAMPUS AT BINGHAMTON - LENORE BORISTIOGA COUNTY HEALTH DEPARTMENT - LISA MCCAFFERTY, KYLE HOLOCHAKTRUTH PHARM - ALEXIS PLEUSUNITED HEALTH SERVICES HOSPITALS - SHOBA AGNESHWAR, ANNE DEPUGH, PATRICIA WILLIAMS, DR. JULIA HUNTER, CARA FRASER, MEGAN D'LINTRONOUNITED WAY - PAULA PERNA, LINDSEY MOTT, LAURA LACASSEVINES (VOLUNTEERS IMPROVING NEIGHBORHOOD ENVIRONMENTS) - AMERIA LODOLCE GROUP A-FACILITY 1 -- WILSON MEMORIAL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6A: OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. GROUP A-FACILITY 1 -- WILSON MEMORIAL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6B: COMMUNITY-BASED HEALTH AND HUMAN SERVICE AGENCIES:RURAL HEALTH NETWORK OF SCNYBROOME COUNTY URBAN LEAGUEMOTHERS AND BABIES PERINATAL NETWORK OF SCNYUNITED WAY OF BROOME COUNTYACTION FOR OLDER PERSONSMENTAL HEALTH ASSOCIATION OF THE SOUTHERN TIERKEEP YOUTH DOING SOMETHING (KYDS) COALITIONAGING FUTURES PARTNERSHIPFAMILY ENRICHMENT NETWORKLOCAL DIABETES AND HEART DISEASE GROUPSGOVERNMENT AGENCIES WITH SPECIAL KNOWLEDGE OF PUBLIC ISSUES:BROOME COUNTY HEALTH DEPARTMENTBROOME COUNTY DEPARTMENT OF SOCIAL SERVICESCOMMUNITY ALTERNATIVE SYSTEMS AGENCY (CASA)BROOME COUNTY MENTAL HEALTH DEPARTMENTBROOME COUNTY OFFICE FOR AGINGBROOME COUNTY ENVIRONMENTAL MANAGEMENT COUNCILBROOME COUNTY PARKS AND RECREATIONNYS DOTBINGHAMTON METROPOLITAN TRANSPORTATION STUDYSTRATEGIC ALLIANCE FOR HEALTHGOVERNMENTAL AND NON-GOVERNMENTAL AGENCIES:BROOME-TIOGA BOCESBOCES FOOD SERVICEHEALTHLINKNYAMERICAN HEART ASSOCIATIONAMERICAN CANCER SOCIETYCOMMUNITIES:LAW ENFORCEMENTBROOME COUNTY COUNCIL OF CHURCHESCATHOLIC CHARITIES OF BROOME COUNTYACADEMIA:BINGHAMTON UNIVERSITYSUNY BROOME COMMUNITY COLLEGESUNY UPSTATE MEDICAL UNIVERSITY CLINICAL CAMPUS AT BINGHAMTONCORNELL COOPERATIVE EXTENSIONOTHER:EMPLOYERS, BUSINESSES, UNIONS, POLICYMAKERS, AND ELECTED OFFICIALS GROUP A-FACILITY 1 -- WILSON MEMORIAL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11: FOCUS AREA #1: HEALTHY EATING AND FOOD SECURITY GOALS: 1.0 REDUCE OBESITY AND THE RISK OF CHRONIC DISEASE, 1.1 INCREASE ACCESS TO HEALTHY AND AFFORDABLE FOODS AND BEVERAGES, 1.2 INCREASE SKILLS AND KNOWLEDGE TO SUPPORT HEALTHY FOOD AND BEVERAGE CHOICES ACCORDING TO THE CENTERS FOR CONTROL AND PREVENTION (CDC), OBESITY AND OVERWEIGHT ARE THE SECOND LEADING CAUSE OF PREVENTABLE DEATH IN THE UNITED STATES (US), WHICH MAY QUICKLY TOP TOBACCO AS THE LEADING PREVENTABLE CAUSE OF DEATH. THE CDC ALSO STATES BY THE YEAR 2050, IF OBESITY TRENDS CONTINUE AS THEY ARE, LIFE EXPECTANCY IN THE US IS PREDICTED TO BE SHORTENED BY 2- 5 YEARS. OBESITY IS A RISK FACTOR FOR MANY CHRONIC CONDITIONS INCLUDING HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, STROKE, HEART DISEASE, TYPE 2 DIABETES, ASTHMA, SOME CANCERS, AND OSTEOARTHRITIS. ALARMINGLY, THESE CONDITIONS ARE NOW APPEARING IN ADOLESCENTS AND CHILDREN. CURRENTLY, THE PERCENT OF ADULTS WHO ARE OBESE IN BROOME COUNTY IS 25.7%, WHICH IS HIGHER THAN THE NYS PREVENTION AGENDA TARGET. THE PERCENT OF CHILDREN AND ADOLESCENTS WHO ARE OBESE IN BROOME COUNTY IS 17.7%, WHICH IS HIGHER THAN THE REST OF THE STATE AND THE NYS PREVENTION AGENDA 2 TARGET 16.7% (2016 NYS EXPANDED BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM). TO REDUCE THE INCIDENCE, PREVALENCE, AND BURDEN OF OBESITY AND CHRONIC DISEASE, IT IS NECESSARY FOR COMMUNITIES TO CREATE ENVIRONMENTS THAT SUPPORT HEALTHIER BEHAVIORS AND MAKE HEALTHY CHOICES, EASIER CHOICES. THIS INVOLVES ENGAGING AND MOBILIZING KEY STAKEHOLDERS, DECISION MAKERS, AND COMMUNITY PARTNERS TO WORK WITHIN ALL LEVELS OF THE HEALTH IMPACT PYRAMID AND ACROSS ALL SECTORS TO PROMOTE "HEALTH IN ALL POLICIES." BROOME COUNTY COMMUNITY HEALTH ASSESSMENT 2019-2024 177 FOCUSED EFFORTS IN THIS AREA INCLUDE INCREASING HEALTHY EATING AND FOOD SECURITY, WHILE COLLECTIVELY WORKING TO ELIMINATE RACIAL/ETHNIC AND SOCIOECONOMIC HEALTH DISPARITIES. OVERVIEW AND MEASURES GOAL 1.0: REDUCE THE PERCENTAGE OF CHILDREN WHO ARE OBESE IN BROOME COUNTY OBJECTIVE 1.1: BY 2024, REACH A CHILDHOOD OBESITY RATE OF 12.9% AMONG THE TARGET DEMOGRAPHIC, A REDUCTION FROM THE BASELINE OF 13.9%. TO ACCOMPLISH THIS, THE BROOME COUNTY HEALTH DEPARTMENT (BCHD) WIC PROGRAM WILL CONTINUE TO PROVIDE A DECREASED FAT WIC FOOD PACKAGE, EDUCATION ONCE A YEAR FOR CHILDREN AGES 2-4 ABOUT HEALTHY LIFESTYLES INCLUDING DIET AND EXERCISE, AND MEASURE BMIS FOR CHILDREN RECEIVING NUTRITION COUNSELING. PROGRESS TOWARDS THIS OBJECTIVE WILL BE EVALUATED BASED ON SELF-REPORT MEASURES GATHERED FROM WIC PARTICIPANTS REGARDING THEIR KNOWLEDGE AND CONSUMPTION OF HEALTHY FOODS AND BEVERAGES, IN ADDITION TO THEIR BMI DATA. PARTNER ROLES AND RESOURCES INCLUDE: BCHD PROVIDES PROMOTION OF HEALTHY LIFESTYLE EDUCATION AND SERVICES OF THE WIC PROGRAM. UHS WILL OVERSEE AND ADMINISTER UHS STAY HEALTHY KIDS PROGRAM.LOURDES WILL OVERSEE THE ACTIVITIES CONDUCTED BY THE PACT PROGRAM. BOTH UHS AND LOURDES WILL ENSURE COMMUNICATION TO PROVIDERS ABOUT REFERRALS TO THE BROOME COUNTY WIC PROGRAM, FOR PREGNANT WOMEN, LACTATING WOMEN, POST-PARTUM WOMEN, INFANTS AND CHILDREN UP TO 5 YEARS OF AGE. OBJECTIVE 1.2: BY 2024, DECREASE THE PERCENTAGE OF SCHOOL AGE CHILDREN WITH OBESITY BY 1 % FROM 17.7% TO THE PREVENTION AGENDA GOAL OF 16.7%. SEVERAL INTERVENTIONS WILL BE USED TO REACH THIS OBJECTIVE; THEY INCLUDE: UHS - 1) UHS STAY HEALTHY KIDS COORDINATOR CONTINUES TO WORK WITH HEAD START SCHOOLS TO PROVIDE MONTHLY CLASSES ON SITE, TO CHILDREN AGE 3-5. HEALTHY EATING AND EXERCISE TIPS ARE PROVIDED TO CHILDREN AND THEIR PARENTS. THE PROGRAM IS 18 CLASSES PER MONTH. (2) THE "KIDS ON TRACK" 8-WEEK PROGRAM CONTINUES IN THE SPRING AND FALL FOR CHILDREN 5-13. THIS PROGRAM COVERS EXERCISE AND NUTRITION APPROPRIATE TO THE AGE GROUP. K-12 SCHOOLS - 1) SCHOOL WELLNESS PROGRAMS/POLICIES - ESTABLISH AND INCORPORATE STRONG NUTRITION STANDARDS FOR FOOD MARKETED, PROVIDED AND SOLD IN SCHOOLS, PROVIDE HEALTHY EATING LEARNING OPPORTUNITIES THROUGH ROCK ON CAFE, STUDENTS USING WALKING OR BIKING TO GET TO SCHOOL, SCHOOLS PROVIDING UNIVERSAL BREAKFAST, GRAB AND GO OPTIONS, BREAKFAST IN THE CLASSROOM, INCORPORATING SMARTER LUNCH ROOM STRATEGIES TO INCREASE ACCESS AND PROMOTE HEALTHY EATING, PARTICIPATING IN FARM TO SCHOOL. THE PARTNERS' ROLES AND RESOURCES INCLUDE: UHS - PROVIDES A STAY HEALTHY KIDS COORDINATOR WHO EDUCATES HEADSTART STUDENTS, PUBLIC SCHOOL AGE CHILDREN/PARENTS ON HEALTHY EATING AND BEVERAGE CONSUMPTION CHOICES, CARE COMPASS NETWORK - INNOVATION FUNDING TO UHS FOR COMMUNITY BASED NUTRITION WELLNESS (EDUCATION TO TAKE PLACE AT CORNELL COOPERATIVE EXTENSION OF BROOME COUNTY). BCHD WILL WORK WITH SCHOOL DISTRICTS TO ENSURE WELLNESS POLICIES ARE FOLLOWING THE REQUIRED STANDARDS SET FORTH BY THE HEALTHY HUNGER FREE KIDS ACT, AND PROVIDE TECHNICAL ASSISTANCE AND SUPPORT TO ASSIST WITH ANY UPDATES. OBJECTIVE 1.3: BY 2024, DECREASE THE PERCENTAGE OF ADULTS AGES 18 YEARS AND OLDER WITH OBESITY, FROM 25.7% TO 23.7%. SEVERAL INTERVENTIONS WILL BE USED TO REACH THIS OBJECTIVE: BCHD - WORK WITH COMMUNITY BASED ORGANIZATIONS, WORKSITES AND RECREATION VENUES TO CREATE POLICIES RELATED TO SUGARY DRINK REDUCTIONS, BROOME COUNTY 178 COMMUNITY HEALTH ASSESSMENT 2019-2024 HEALTHY MEETING GUIDELINES AND/OR FOOD PROCUREMENT STANDARDS, LOURDES - DEVELOP MEDICAL WEIGHT LOSS PROGRAM TO SUPPORT PEOPLE AGED 18 YEARS AND ABOVE WITH A BMI >30 IN ACHIEVING A DECREASE IN THEIR BMI AND IMPROVEMENT IN OVERALL HEALTH, BCHD- UTILIZE NYSDOH, CDC, AND LOCALLY DEVELOPED MESSAGING TO GARNER EARNED MEDIA ON HEALTHY EATING, & PROMOTING HEALTHY BEVERAGES GOAL 1.1: INCREASE ACCESS TO HEALTHY AND AFFORDABLE FOODS AND BEVERAGES OBJECTIVE 1.1.1: BY 2024, DECREASE THE PERCENTAGE OF ADULTS FROM 31.9% TO 27.9%, WHO CONSUME LESS THAN ONE FRUIT AND LESS THAN ONE VEGETABLE PER DAY. SEVERAL INTERVENTIONS WILL BE USED TO REACH THIS OBJECTIVE: INCREASE CHOW MOBILE MARKETS IN HIGH RISK NEIGHBORHOODS, CORNELL COOPERATIVE EXTENSION TO PROVIDE NUTRITION EDUCATION, MENU AND BUDGET PLANNING TO SNAP RECIPIENTS, OFA - PROVIDE HEALTHY MEALS & SNACK AT SENIOR CENTERS AND COMMUNITY EVENTS, INCREASE REDEMPTION OF OFFICE FOR AGING AND WIC PARTICIPANTS FARMER'S MARKET COUPONS, OPEN GROCERY STORE ON NORTHSIDE OF BINGHAMTON (FOOD DESERT) VOLUNTEERS IMPROVING NEIGHBORHOOD PROGRAM (VINES) WILL INCREASE ACCESS TO AND NUMBER OF COMMUNITY GARDENS AND FARM SHARE OPPORTUNITIES, IN HIGH RISK NEIGHBORHOODS. GOAL 1.2: INCREASE SKILLS AND KNOWLEDGE TO SUPPORT HEALTHY FOOD AND BEVERAGE CHOICE OBJECTIVE 1.2.1: BY 2024 LOURDES (ADULTS) INCREASE THE NUMBER OF ADULTS BY 100 (FROM 200 TO 300) THAT IMPROVE THEIR KNOWLEDGE OF AND ENGAGEMENT IN HEALTHY EATING HABITS BY UTILIZING THE FRUIT AND VEGGIE RX PROGRAM. TO ACCOMPLISH THIS LOURDES DIETICIANS IN LOURDES PRIMARY CARE PRACTICES OFFER REFERRED PATIENTS INFORMATION ON HEALTHY EATING HABITS AND "COUPONS" TO PURCHASE FRUITS AND VEGGIES. THIS IS IN COLLABORATION WITH RURAL HEALTH NETWORK AND CARE COMPASS NETWORK. OBJECTIVE 1.2.2: BY 2024, INCREASE BY 10%, FROM 22% TO 32%, THE PERCENTAGE OF WIC INFANTS WHO CONTINUE TO BE BREASTFED UNTIL 6 MONTHS. TO ACHIEVE THIS OBJECTIVE ALL WIC PRENATAL CLIENTS WILL BE OFFERED BREASTFEEDING PEER COUNSELING AND FREE BREASTFEEDING CLASSES ONCE A MONTH, ONCE BABY IS DELIVERED PEER COUNSELING SERVICES WILL BE PROVIDED FREQUENTLY AND CONSISTENTLY TO ENSURE INCREASED DURATION. GOAL 1.3: INCREASE FOOD SECURITY OBJECTIVE 1.3.1: DECREASE PERCENTAGE OF POPULATION WHO DID NOT HAVE ACCESS TO A RELIABLE SOURCE OF FOOD DURING THE PAST YEAR FROM 13.8% TO 12.6%. INTERVENTIONS EMPLOYED TO ACHIEVE THIS OBJECTIVE INCLUDE: 1) PROMOTE AND SUPPORT SCREENING OF PEDIATRIC PATIENTS BY HEALTHCARE PROVIDERS, FACILITATE REFERRAL AND SUPPORT ACTIVE CONNECTION TO WIC AND/OR SNAP; 2) PROMOTE SCREENING OF OLDER-ADULT POPULATIONS FOR FOOD INSECURITY, FACILITATE REFERRAL AND SUPPORT ACTIVE CONNECTION TO SNAP 3) CONTINUE TO PROVIDE UNIVERSAL BREAKFAST AND LUNCH FOR K-12 IN ALL SCHOOLS 4). ASSIST PATIENTS WITH RURAL HEALTH NETWORK FOOD VOUCHER PROGRAM. PATIENTS RECEIVED NEARLY $60,000 IN FOOD VOUCHERS IN 2023.MEASURES FOR THESE OBJECTIVES INCLUDE: WIC OBESITY -1) NUMBER OF WIC PARTICIPANTS RECEIVING A REDUCED FAT FOOD PACKAGE, PERCENTAGE OF CHILDREN WITH OBESITY (AMONG CHILDREN AGES 2-4 YEARS PARTICIPATING IN THE SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN [WIC]) 2) NUMBER OF WIC PARTICIPANTS RECEIVING GENERAL NUTRITION EDUCATION AND ACTIVE LEARNING INFORMATION AND BEING ASSESSED FOR HEIGHT/WEIGHT EVERY YEAR. BROOME COUNTY COMMUNITY HEALTH ASSESSMENT 2019-2024SCHOOL AGE OBESITY: 1) NUMBER OF STUDENTS IMPACTED BY SPECIFIC POLICIES THAT ADDRESS HEALTHIER NUTRITION STANDARDS FOR FOOD AND BEVERAGES SOLD IN SCHOOLS (2) NUMBER OF SCHOOL DISTRICTS ADOPTING SPECIFIC POLICIES THAT ADDRESS HEALTHIER NUTRITION STANDARDS FOR FOOD AND BEVERAGES SOLD IN SCHOOLS (3) NUMBER OF SCHOOL DISTRICT WELLNESS POLICIES THAT ADDRESS FREE DRINKING WATER. GROUP A-FACILITY 1 -- WILSON MEMORIAL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 13H: FEDERAL POVERTY GUIDELINES (FPG) ARE USED TO DETERMINE THE FAMILY INCOME LIMIT FOR FREE CARE ELIGIBILITY OF 200% AND 300% FOR DISCOUNTED CARE. IN ADDITION TO THE FPG, UHS HOSPITALS ALSO CONSIDERS MEDICAID BENEFIT APPROVALS AS A DISCOUNTED CARE ELIGIBILITY CRITERIA. GROUP A-FACILITY 2 -- BINGHAMTON GENERAL HOSPITAL PART V, SECTION B, LINE 6B: COMMUNITY-BASED HEALTH AND HUMAN SERVICE AGENCIES:RURAL HEALTH NETWORK OF SCNYBROOME COUNTY URBAN LEAGUEMOTHERS AND BABIES PERINATAL NETWORK OF SCNYUNITED WAY OF BROOME COUNTYACTION FOR OLDER PERSONSMENTAL HEALTH ASSOCIATION OF THE SOUTHERN TIERKEEP YOUTH DOING SOMETHING (KYDS) COALITIONAGING FUTURES PARTNERSHIPFAMILY ENRICHMENT NETWORKLOCAL DIABETES AND HEART DISEASE GROUPSGOVERNMENT AGENCIES WITH SPECIAL KNOWLEDGE OF PUBLIC ISSUES:BROOME COUNTY HEALTH DEPARTMENTBROOME COUNTY DEPARTMENT OF SOCIAL SERVICESCOMMUNITY ALTERNATIVE SYSTEMS AGENCY (CASA)BROOME COUNTY MENTAL HEALTH DEPARTMENTBROOME COUNTY OFFICE FOR AGINGBROOME COUNTY ENVIRONMENTAL MANAGEMENT COUNCILBROOME COUNTY PARKS AND RECREATIONNYS DOTBINGHAMTON METROPOLITAN TRANSPORTATION STUDYSTRATEGIC ALLIANCE FOR HEALTHGOVERNMENTAL AND NON-GOVERNMENTAL AGENCIES:BROOME-TIOGA BOCESBOCES FOOD SERVICEHEALTHLINKNYAMERICAN HEART ASSOCIATIONAMERICAN CANCER SOCIETY COMMUNITIES:LAW ENFORCEMENTBROOME COUNTY COUNCIL OF CHURCHESCATHOLIC CHARITIES OF BROOME COUNTYACADEMIA:BINGHAMTON UNIVERSITYSUNY BROOME COMMUNITY COLLEGESUNY UPSTATE MEDICAL UNIVERSITY CLINICAL CAMPUS AT BINGHAMTONCORNELL COOPERATIVE EXTENSIONOTHER:EMPLOYERS, BUSINESSES, UNIONS, POLICYMAKERS, AND ELECTED OFFICIALS GROUP A-FACILITY 2 -- BINGHAMTON GENERAL HOSPITAL PART V, SECTION B, LINE 11: FOCUS AREA #2: PREVENTIVE CARE AND MANAGEMENT THE CDC ESTIMATES THAT SIX OUT OF TEN AMERICANS HAVE AT LEAST ONE CHRONIC DISEASE, AND FOUR OUT OF TEN HAVE TWO OR MORE. THE PRODUCTIVITY AND QUALITY OF LIFE FOR PEOPLE LIVING WITH A CHRONIC DISEASE SUCH AS DIABETES, HEART DISEASE, STROKE AND CANCER IS LIMITED WHICH IN TURN IMPACTS THEIR FAMILIES AS WELL. MOST CHRONIC DISEASES ARE PREVENTABLE AND CAN BE MANAGED SUCCESSFULLY WITH HEALTHY BEHAVIOR CHANGES. IN BROOME COUNTY, SOME POPULATIONS SUFFER DISPROPORTIONATELY FROM PREVENTABLE CHRONIC DISEASE CONDITIONS. NON-HISPANIC AND BLACK POPULATIONS HAVE SIGNIFICANTLY HIGHER LEVELS OF MORTALITY AND HOSPITALIZATIONS ASSOCIATED WITH HEART/STROKE AND DIABETES INDICATORS. IN ADDITION, OTHER HEALTH DETERMINANTS SUCH AS POVERTY AND LOWER EDUCATION STATUS INCREASE THE NEED FOR CHRONIC DISEASE BROOME COUNTY 180 COMMUNITY HEALTH ASSESSMENT 2019-2024 MANAGEMENT MODELS, ESPECIALLY FOR MANY ENROLLEES OF MEDICAID MANAGED CARE PLANS WHO CONSISTENTLY RELY ON HOSPITAL EMERGENCY ROOMS FOR EMERGENT CARE OF PREVENTABLE HEALTH CONDITIONS. IT IS CRITICAL THAT THE DELIVERY SYSTEM REFORM INCENTIVE PROGRAM (DSRIP) FOCUSES ON HELPING MEDICAID MEMBERS REDUCE THEIR RISK AND HELP MANAGE CHRONIC DISEASES AND THEIR RISK FACTORS. CHRONIC DISEASES NEED TO BE APPROPRIATELY DIAGNOSED AND MANAGED IN ORDER TO REDUCE THE COMPLICATIONS, BURDEN OF MORBIDITY, HOSPITALIZATIONS, POOR FUNCTION STATUS AND MORTALITY THAT COMES WITH CHRONIC DISEASE. NECESSARY COLLABORATIONS WITH HEALTHCARE SYSTEMS AND OTHER COMMUNITY SECTORS NEED TO ENSURE THAT SUCCESSFUL STRATEGIES EXIST FOR CHRONIC DISEASE MANAGEMENT OPPORTUNITIES, ESPECIALLY WHERE THE MOST VULNERABLE AND HIGH RISK POPULATIONS ARE CONCERNED. OVERVIEW AND MEASURES GOAL: 4.1 INCREASE CANCER SCREENING RATES OBJECTIVE 4.1: BY 2024, INCREASE THE PERCENTAGE OF ADULTS BY 5% WHO RECEIVE A COLORECTAL CANCER SCREENING BASED ON THE MOST RECENT GUIDELINES (AGES 50 TO 75 YEARS) FROM 72% TO 78% INTERVENTIONS INCLUDE: REMOVAL OF STRUCTURAL BARRIERS TO CANCER SCREENING SUCH AS PROVIDING FLEXIBLE CLINIC HOURS, OFFERING CANCER SCREENING IN NON-CLINICAL SETTINGS (MOBILE MAMMOGRAPHY VANS, FLU CLINICS), OFFERING ON-SITE TRANSLATION, TRANSPORTATION, PATIENT NAVIGATION AND OTHER ADMINISTRATIVE SERVICES AND WORKING WITH EMPLOYERS TO PROVIDE EMPLOYEES WITH PAID LEAVE OR THE OPTION TO USE FLEX TIME FOR CANCER SCREENINGS, WORK WITH CSP TO ENHANCE MARKETING AND COMMUNICATION EFFORTS AROUND COLORECTAL CANCER SCREENING IN THE PRIORITY POPULATION. GOAL 4.2: INCREASE EARLY DETECTION OF CARDIOVASCULAR DISEASE, DIABETES, PREDIABETES AND OBESITY OBJECTIVE 4.1.2: BY 2024, INCREASE THE PERCENTAGE OF CHILDREN AND ADOLESCENTS AGES 3 -17 YEARS WITH AN OUTPATIENT VISIT WITH A PRIMARY CARE PROVIDER OR OB/GYN PRACTITIONER DURING THE MEASUREMENT YEAR WHO RECEIVED APPROPRIATE ASSESSMENT FOR WEIGHT STATUS DURING THE MEASUREMENT YEAR BY 5% (BASELINE 75%). INTERVENTION TO ACHIEVE THIS OBJECTIVE IS BASED ON UTILIZING THE US PREVENTIVE SERVICE GUIDELINES AND HIT, TO CONSISTENTLY IMPLEMENT SCREENING PRACTICES/POLICIES TO IDENTIFY CHILDREN AT RISK FOR OVERWEIGHT OR OVERWEIGHT, AND REFER TO BEHAVIORAL AND NUTRITIONAL EDUCATION PROGRAMS. OBJECTIVE 4.2.2: BY 2024, PROMOTE AT LEAST 3 STRATEGIES THAT IMPROVE THE DETECTION OF UNDIAGNOSED HYPERTENSION IN HEALTH SYSTEMS. THE EVIDENCE BASED INTERVENTION THAT WILL BE USED TO PROMOTE STRATEGIES THAT IMPROVE THE DETECTION OF UNDIAGNOSED HYPERTENSION IN HEALTH SYSTEMS IS THE CDC MILLION HEARTS PROGRAM. GOAL 4.3: PROMOTE EVIDENCE-BASED CARE TO PREVENT AND MANAGE CHRONIC DISEASES INCLUDING ASTHMA, ARTHRITIS, CARDIOVASCULAR DISEASE, DIABETES AND PREDIABETES AND OBESITY OBJECTIVE 4.3.1: BY 2024, DECREASE THE PERCENTAGE BY 5% OF ADULT MEDICAID MEMBERS, IDENTIFIED THROUGH DSRIP WITH DIABETES WHOSE MOST RECENT HBA1C LEVEL INDICATED POOR CONTROL (>9%). INTERVENTIONS EMPLOYED FOR THIS OBJECTIVE INCLUDE: UHS AND LOURDES PRIMARY CARE NETWORK OFFICES TO WORK CLOSELY WITH THE DIABETES CENTERS TO IMPLEMENT STANDARDS OF MEDICAL CARE IN DIABETES, WORK WITH HIT TO IMPLEMENT/MODIFY EMR TO INCLUDE REMINDER SYSTEM FOR SCREENING, FOLLOW UP AND CASE MANAGEMENT ACTIVITIES. BROOME COUNTY COMMUNITY HEALTH ASSESSMENT 2019-2024 GOAL 4.4: IN THE COMMUNITY SETTING, IMPROVE SELF-MANAGEMENT SKILLS FOR INDIVIDUALS WITH CHRONIC DISEASES, INCLUDING ASTHMA, ARTHRITIS, CARDIOVASCULAR DISEASE, DIABETES AND PREDIABETES AND OBESITY OBJECTIVE 4.4.1: BY 2024, INCREASE FROM 225 TO 325 THE NUMBER OF ADULTS WITH CHRONIC CONDITIONS (ARTHRITIS, ASTHMA, CVD, DIABETES, CKD, CANCER) WHO HAVE BEEN IDENTIFIED AND REFERRED TO TAKE A COURSE OR CLASS TO LEARN HOW TO MANAGE THEIR CONDITION. BOTH HOSPITAL SYSTEMS WILL PROVIDE STANDARDS OF CARE TO IDENTIFY AND ASSIST WITH MANAGEMENT OF DIABETES BY: 1. PROMOTE TESTING FOR PREDIABETES, AND RISK FOR FUTURE DIABETES IN ASYMPTOMATIC PEOPLE IN ADULTS OF ANY AGE WITH OBESITY AND OVERWEIGHT (BMI 25 KG/M2 OR 23 KG/M2 IN ASIAN AMERICANS) AND WHO HAVE ONE OR MORE ADDITIONAL RISK FACTORS FOR DIABETES, INCLUDING FIRST DEGREE RELATIVE WITH DIABETES, HIGH RISK RACE/ETHNICITY, AND HISTORY OF CARDIOVASCULAR DISEASE. 2. PROMOTE TESTING FOR ALL OTHER PATIENTS BEGINNING AT 45 YEARS OF AGE. 3. PROMOTE REPEAT TESTING AT A MINIMUM OF 3-YEAR INTERVALS, WITH CONSIDERATION OF MORE FREQUENT TESTING DEPENDING ON INITIAL RESULTS AND RISK STATUS 4. REFER PATIENTS WHO ARE DIAGNOSED WITH OBESITY, CVD, OR DIABETES TO COMMUNITY CHRONIC DISEASE SELF-MANAGEMENT PROGRAM (STAMFORD EVIDENCE BASED CHRONIC DISEASE SELF MANAGEMENT PROGRAM) MEASURES FOR THESE OBJECTIVES INCLUDE: CANCER SCREENING: 1) NUMBER OF HEALTH SYSTEMS THAT IMPLEMENT OR IMPROVE PROVIDER AND PATIENT REMINDER SYSTEMS 2) NUMBER OF PATIENTS REACHED THROUGH PATIENT REMINDER SYSTEMS 3) COMPLIANCE WITH SCREENING GUIDELINES AMONG PATIENTS REACHED THROUGH PATIENT REMINDER SYSTEMS/AMONG PATIENTS OF HEALTH SYSTEMS THAT ADOPTED SYSTEMS 4) PROVIDER, CLINIC OR INSURER BREAST AND COLORECTAL CANCER SCREENING RATES, EARLY DETECTION OF CHRONIC DISEASES- OBESITY: 1) PERCENTAGE OF CHILDREN WHO ARE OVERWEIGHT [DEFINED AS HAVING AN AGE AND GENDER SPECIFIC BMI AT 85TH TO 95TH PERCENTILE 2) PERCENTAGE OF CHILDREN WHO ARE OBESE [DEFINED AS HAVING AN AGE AND GENDER SPECIFIC BMI AT 95TH PERCENTILE] 3) NUMBER & PERCENT OF CHILDREN SCREENED 4) NUMBER OF PRIMARY CARE PROVIDERS CONDUCTING BMI SCREENING 5) NUMBER OF HOSPITAL SYSTEMS IMPLEMENTING CHILDHOOD BMI SCREENING POLICY/SYSTEM CHANGE. EARLY DETECTION OF CHRONIC DISEASES-HYPERTENSION: 1) NUMBER OF HEALTH SYSTEMS WITH POLICIES/PRACTICES TO IDENTIFY PATIENTS WITH UNDIAGNOSED HTN 2) NUMBER/PERCENTAGE OF PATIENTS SERVED BY HEALTH SYSTEMS WITH POLICIES/PRACTICES IN PLACE 3) NUMBER OF PATIENTS IDENTIFIED WITH UNDIAGNOSED HTN. PROMOTE EVIDENCE-BASED CARE TO PREVENT AND MANAGE CHRONIC DISEASES- DIABETES: 1) SCREENING RATE FOR DIABETES AND PRE-DIABETES AMONG ADULTS AGE 45+ 2) NUMBER OF PATIENTS IDENTIFIED AS HAVING DIABETES OR PRE-DIABETES WHO RECEIVE FOLLOW-UP BY STAY HEALTHY CENTER 3)NUMBER OF PATIENTS RECEIVING DIABETES EDUCATION 4) PERCENTAGE OF ADULTS (AGE 45+) DIAGNOSED WITH PRE-DIABETES OR TYPE 2 DIABETES WHO ARE REFERRED TO DIABETES SELF-MANAGEMENT TRAINING (DSMT) 5) NUMBER OF RURAL RESIDENTS PARTICIPATING IN CHRONIC DISEASE SELF-MANAGEMENT 6) NUMBER OF RURAL RESIDENTS PARTICIPATING IN CHRONIC DISEASE SELF-MANAGEMENT, 7) PERCENT OF ADULT MEDICAID MEMBERS WITH DIABETES IDENTIFIED THROUGH DSRIP WITH CONTROLLED HBA1C CHRONIC DISEASE MANAGEMENT IN THE COMMUNITY SETTING: 1) NUMBER OF HEALTH SYSTEMS WITH POLICIES/PRACTICES TO IDENTIFY, REFER PATIENTS WITH DIABETES OR PREDIABETES, OBESITY, CVD 2) NUMBER/PERCENTAGE OF PATIENTS SERVED BY HEALTH SYSTEMS WITH POLICIES/PRACTICES IN PLACE 3) NUMBER OF PATIENTS IDENTIFIED WITH DIABETES/PREDIABETES 4) NUMBER OF PATIENTS REFERRED TO COMMUNITY BASED CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS LIKE STAMFORD CHRONIC DISEASE SELF-MANAGEMENT PROGRAM OR NATIONAL DIABETES PREVENTION PROGRAM. GROUP A-FACILITY 2 -- BINGHAMTON GENERAL HOSPITAL PART V, SECTION B, LINE 13H: FEDERAL POVERTY GUIDELINES (FPG) ARE USED TO DETERMINE THE FAMILY INCOME LIMIT FOR FREE CARE ELIGIBILITY OF 200% AND 300% FOR DISCOUNTED CARE. IN ADDITION TO THE FPG, UHS HOSPITALS ALSO CONSIDERS MEDICAID BENEFIT APPROVALS AS A DISCOUNTED CARE ELIGIBILITY CRITERIA. 23 1 - UHS WILSON PLACE SPECIALTY CARE CENTER 52 HARRISON ST JOHNSON CITY NY 13790 OUTPATIENT SPECIALTY CARE CENTER 2 - UHS WALK-INSPECIALTY CARE CENTER 4417 VESTAL PARKWAY EAST VESTAL NY 13850 OUTPATIENT PRIMARY CARE CENTER 3 - UHS WILSON SQUARE SPECIALTY CARE CENTER 30 HARRISON ST JOHNSON CITY NY 13790 OUTPATIENT SPECIALTY CARE CENTER 4 - UHS NEUROSURGERY 46 HARRISON ST JOHNSON CITY NY 13790 OUTPATIENT SPECIALTY CARE CENTER 5 - UHS PRIMARY CARE - BINGHAMTON SUMMITT BLDG 33 MITCHELL AVE BINGHAMTON NY 13903 OUTPATIENT PRIMARY CARE CENTER 6 - UHS PRIMARY CAREWALK-IN - ENDICOTT 1302 E MAIN ST ENDICOTT NY 13760 OUTPATIENT PRIMARY CARE CENTER 7 - UHS PRIMARY CARE - JOHNSON CITY 507 MAIN ST JOHNSON CITY NY 13790 OUTPATIENT PRIMARY CARE CENTER 8 - UHS MULTIPLE SPECIALTY CARE CENTERS 4433 VESTAL PARKWAY EAST BINGHAMTON NY 13903 OUTPATIENT SPECIALTY CARE CENTER 9 - UHS DERMATOLOGY 200 FRONT ST VESTAL NY 13850 OUTPATIENT SPECIALTY CARE CENTER 10 - UHS PRIMARY CARE - UPPER FRONT STREET 1290 UPPER FRONT ST BINGHAMTON NY 13901 OUTPATIENT PRIMARY CARE CENTER 11 - UHS MULTIPLE SPECIALTY CARE CENTERS 93 PENNSYLVANIA AVE BINGHAMTON NY 13903 OUTPATIENT SPECIALTY CARE CENTER 12 - UHS PRIMARY CARE - ENDWELL 800 HOOPER RD ENDWELL NY 13760 OUTPATIENT PRIMARY CARE CENTER 13 - UHS PRIMARY CARE - GREENE 15 BIRDSALL ST GREENE NY 13778 OUTPATIENT PRIMARY CARE CENTER 14 - UHS PRIMARY CARE - DEPOSIT 53 PINE ST DEPOSIT NY 13754 OUTPATIENT PRIMARY CARE CENTER 15 - UHS PRIMARY CARE - CANDOR 54 MAIN ST CANDOR NY 13743 OUTPATIENT PRIMARY CARE CENTER 16 - UHS PRIMARY CARE - WINDSOR 5 COLLEGE AVE WINDSOR NY 13865 OUTPATIENT PRIMARY CARE CENTER 17 - UHS PRIMARY CARE - NEWARK VALLEY 119 WHIG ST NEWARK VALLEY NY 13811 OUTPATIENT PRIMARY CARE CENTER 18 - UHS PRIMARY CARE - CLINTON STREET 142 CLINTON ST BINGHAMTON NY 13905 OUTPATIENT PRIMARY CARE CENTER 19 - UHS SCHOOL-BASED HEALTH CENTER FRANKLIN 262 CONKLIN AVE BINGHAMTON NY 13903 OUTPATIENT PRIMARY CARE CENTER 20 - UHS SCHOOL-BASED HEALTH CENTER ROOSEVELT 9 OGDEN ST BINGHAMTON NY 13901 OUTPATIENT PRIMARY CARE CENTER 21 - UHS PRIMARY CARE - OWEGO 42 W MAIN ST OWEGO NY 13827 OUTPATIENT PRIMARY CARE CENTER 22 - UHS PEDIATRICS - BINGHAMTON 10-42 MITCHELL AVE BINGHAMTON NY 13903 OUTPATIENT PRIMARY CARE CENTER 23 - UHS PRIMARY CARE - ROBINSON ST 160 ROBINSON ST BINGHAMTON NY 13904 OUTPATIENT PRIMARY CARE CENTER PART I, LINE 3C: UHS HOSPITALS USES FPG AS A FACTOR IN DETERMINING ELIGIBILITY FOR DISCOUNTED CARE. PATIENTS WITH A FAMILY INCOME BELOW 200% OF THE FPL RECEIVE A 100% DISCOUNT, PATIENTS BETWEEN 201%-250% OF THE FPL RECEIVE AN 83.5% DISCOUNT, AND PATIENTS BETWEEN 251%-300% OF THE FPL RECEIVE A 67% DISCOUNT. MEDICALLY UNINSURED PATIENTS AUTOMATICALLY RECEIVE A 35% DISCOUNT GENERATED AT THE TIME OF BILLING; ONCE THIS DISCOUNT HAS BEEN APPLIED, ANY FURTHER DISCOUNTS ARE BASED ON THEIR FAMILY INCOME LIMIT. PART I, LINE 7: UHS HOSPITALS USED THE COST TO CHARGE METHODOLOGY UTILIZING AMOUNTS FROM OUR 2024 MEDICAID COST REPORT AND OUR 2024 MEDICARE COST REPORT FOR ALL PERTINENT CALCULATIONS IN PART I, LINE 7. ADDITIONALLY, THERE IS NO BAD DEBT EXPENSE IN ANY OF THE COSTS USED IN CALCULATING THE PERCENTAGES IN PART I, LINE 7, COLUMN F BECAUSE EXHIBIT A, CMS-2552 WAS USED. PART I, LINE 7G: THE ORGANIZATION HAS SEVERAL PROGRAMS THAT OPERATE AT A LOSS AND ARE SUBSIDIZED BY OTHER PROGRAMS AND SERVICES. SOME OF THE MOST NOTABLE, AS WELL AS ONES WE ARE ABLE TO MEASURE/QUANTIFY ARE REFERRED AMBULATORY SURGERY, METHADONE TREATMENT, EMERGENCY CARE, AND MEDICAL SURGERY. THE AMOUNTS ON LINE 7G REPRESENT THE TOTAL COMMUNITY BENEFIT EXPENSE, OFFSETTING REVENUE, AND THE NET COMMUNITY BENEFITS EXPENSE FOR THESE PROGRAMS. PART I, LN 7 COL(F): BEGINNING IN 2012 BAD DEBT EXPENSE WAS INCLUDED AS A REDUCTION OF PATIENT SERVICE REVENUE IN ACCORDANCE WITH THE FINANCIAL ACCOUNTING STANDARDS BOARD UPDATE (ASU) NO. 2011-07, HEALTH CARE ENTITIES (TOPIC 954). THE ADOPTION OF THIS METHOD HAD THE EFFECT OF REDUCING NET PATIENT SERVICE REVENUE BY $26,684,909 IN 2024. ALTHOUGH FOR FORM 990 PURPOSES, BAD DEBTS ARE REPORTED AS AN EXPENSE RATHER THAN A REDUCTION OF PATIENT SERVICE REVENUE. PART II, COMMUNITY BUILDING ACTIVITIES: THE FOLLOWING ARE WAYS IN WHICH UHS HOSPITALS' COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES:- UHS PARTNERS WITH OTHER ORGANIZATIONS TO OFFER COMMUNITY-WIDE ACTIVITIES SUCH AS THE DIABETES HEALTH FAIR, MAKING STRIDES AGAINST BREAST CANCER, SOUTHERN TIER HEART WALK, GREATER BINGHAMTON BRIDGE RUN, WALK TO STOP DIABETES, THE YMCA CORPORATE CHALLENGE, ALZHEIMER'S ASSOCIATION WALK, AND THE LOCAL UNITED WAY'S ANNUAL CAMPAIGN DAY OF CARING.- COMMUNITY HEALTH/OUTREACH PROGRAMS: IN 2024, UHS HOSPITALS INVESTED SUBSTANTIAL FUNDS AND SUPPLIED HUMAN RESOURCES TO PROVIDE EDUCATIONAL PROGRAMS, HEALTH SCREENINGS, PRINTED AND ON-LINE EDUCATIONAL INFORMATION AND OTHER WELLNESS AND PREVENTION SERVICES TO THE COMMUNITY. NUMEROUS UHS HOSPITALS DEPARTMENTS WERE INSTRUMENTAL IN DEVELOPING AND PROVIDING THESE BENEFICIAL PROGRAMS THAT ENABLED THE COMMUNITY TO ACCESS HEALTH EDUCATION AND PREVENTION SERVICES. DURING 2024, OVER $2,200,000 WAS SPENT IN DELIVERING THESE PROGRAMS TO COMMUNITY MEMBERS. IN 2024, UHS HOSPITALS IMPLEMENTED A FOOD BANK IN CONJUNCTION WITH THE UHS FOUNDATION AND CHOW (COMMUNITY HUNGER OUTREACH WAREHOUSE) TO CREATE AN IN-HOUSE FOOD PANTRY TO ADDRESS FOOD INSECURITY AND PROVIDE MEALS FOR PATIENTS IN NEED. UHS POPULATION HEALTH PROVIDES CARE COORDINATION TO MAXIMIZE THE PATIENT HEALTHCARE EXPERIENCE AND ALSO WORKS TO IDENTIFY ADDITIONAL AREAS OF SUPPORT. FOOD AND BASIC NEED INSECURITY HAS BEEN AN INCREASING FOCUS OF THIS DEPARTMENT. THEY HAVE INCREASED THE FOCUS ON HELPING PATIENTS OBTAIN RENT/HOUSING ASSISTANCE AND COMPLETING NECESSARY PAPERWORK. DURING 2024, THE FOOD PANTRY SERVED OVER 400 INDIVIDUALS IN 294 HOUSEHOLDS. ADDITIONALLY, UHS EMPLOYESS CONTRIBUTED $15,000 AND OVER 4,000 POUNDS OF FOOD TO BENEFIT THE UHS FOOD PANTRY AND THE CHOW PROGRAM IN 2024.- SERVING RURAL/UNDERSERVED POPULATIONS: UHS HOSPITALS OPERATES 16 PRIMARY CARE CENTERS, TWO SCHOOL-BASED HEALTH CENTERS, AND A DENTAL CLINIC WHICH PROVIDED ESSENTIAL CARE TO THE UNDERSERVED POPULATION. THE COMBINED 19 SITES HAD 326,120 PATIENT ENCOUNTERS IN 2024. IN 2024, UHS SCHOOL BASED HEALTH CLINICS COMPLETED OVER 6,000 VISITS. THE CLINIC STAFF WORKS CLOSELY WITH THE STUDENT'S PRIMARY CARE PROVIDER AND SCHOOL NURSING STAFF TO ENSURE CONTINUITY OF CARE.- UHS PERINATAL CENTER: THE CENTER OFFERS A COMPREHENSIVE RANGE OF SERVICES FROM GYNECOLOGY TO MATERNITY & CHILDBIRTH TO BREAST HEALTH. THE STAFF OF SPECIALIZED PHYSICIANS, NURSE PRACTITIONERS, AND CERTIFIED NURSE MIDWIVES CREATED A CARING AND COMPASSIONATE ENVIRONMENT SERVING WOMEN AT EACH STAGE OF LIFE: FROM TEENAGE AND CHILDBEARING YEARS TO MID-LIFE AND SENIOR YEARS ALL HAVING THEIR OWN UNIQUE HEALTH ISSUES. UHS HOSPITALS' PRIMARY CARE CENTERS AND THE PERINATAL CENTER PARTICIPATE IN THE PRENATAL CARE ASSISTANCE PROGRAM (PCAP) OFFERING FINANCIAL ASSISTANCE TO HELP EXPECTANT MOTHERS WITH THE COST OF PRENATAL CARE. IN 2024, UHS MATERNITY AND THE METHADONE CLINIC BEGAN A PARTNERSHIP TO IDENTIFY PREGNANT PATIENTS WHO NEED ADMISSION TO A SPECIALIZED SUBSTANCE USE DISORDER BED IN THE 3RD TRIMESTER. ADDITIONALLY, PATIENTS WHO DELIVER AT UHS ARE GIVEN A NALOXONE KIT WITH A TOTAL OF 851 KITS DISTRIBUTED IN 2024.-BRAIN/SPINE TRAUMA CENTER: UHS WILSON MEDICAL CENTER IS A LEVEL II TRAUMA CENTER WITHIN CENTRAL NEW YORK'S REGIONAL TRAUMA SYSTEM. THE TRAUMA CENTER ACCEPTS SEVERELY INJURED TRAUMA PATIENTS FROM ALL SURROUNDING COUNTIES AND IS THE ONLY TRAUMA CENTER IN THE SERVICE AREA. THE TRAUMA CENTER IS LOCATED WITHIN THE EMERGENCY DEPARTMENT AT WILSON MEDICAL CENTER, WITH SPACIOUS, SPECIALIZED TRAUMA ROOMS THAT CAN PROVIDE CARE SIMULTANEOUSLY TO AS MANY AS FOUR VICTIMS OF SUDDEN, SERIOUS INJURY. WITH THE OPENING OF THE WILSON TOWER, THE EMERGENCY DEPARTMENT WILL EVENTUALLY BE 3 TIMES LARGER THAN THE ORIGINAL FACILITY AND INCLUDES A NEW HELIPAD WITH A DEDICATED ELEVATOR TO THE ED WHICH WILL IMPROVE PATIENT ARRIVAL TIMES BY AS MUCH AS 9 MINUTES.- NEONATAL INTENSIVE CARE UNIT: AS THE PROVIDER OF THE AREA'S ONLY COMPREHENSIVE NICU, WILSON MEDICAL CENTER PROVIDES CARE TO PREMATURE INFANTS, LOW BIRTH WEIGHT BABIES AND THOSE WITH SPECIAL NEEDS. SPECIALIZED EQUIPMENT, ADVANCED TECHNOLOGY AND OUR HIGHLY-TRAINED STAFF HAVE HELPED THOUSANDS OF INFANTS SINCE THE UNIT OPENED OVER 30 YEARS AGO. THE NEW YORK STATE DEPARTMENT OF HEALTH HAS DESIGNATED THIS UNIT AS THE AREA'S ONLY LEVEL 3 NURSERY FOR CARING FOR BOTH BABIES AND THEIR MOTHERS.- EVENT SPONSORSHIPS: UHS HOSPITALS SUPPORTS SPONSORSHIPS THAT ARE DIRECTLY RELATED TO COMMUNITY HEALTH ISSUES OR PROMOTE LOCAL HEALTH AND HUMAN SERVICES WHILE KEEPING WITH THE MISSION OF UHS HOSPITALS. DURING 2024, UHS HOSPITALS PROVIDED SPONSORSHIP FUNDS TOTALING APPROXIMATELY $256,000 TO A VARIETY OF COMMUNITY ORGANIZATIONS SUCH AS THE AMERICAN HEART ASSOCIATION AND THE AMERICAN CANCER SOCIETY. - VOLUNTEERS AT COMMUNITY EVENTS: UHS HOSPITALS' MEDICAL PROFESSIONALS FROM THE INTERNAL MEDICINE AND FAMILY PRACTICE RESIDENCY PROGRAM, UHS EMERGENCY AND TRAUMA SERVICES AS WELL AS OTHER AREAS OF UHS HOSPITALS VOLUNTEER THROUGHOUT THE YEAR TO STAFF MEDICAL TENTS AT NUMEROUS COMMUNITY EVENTS INCLUDING THE SPIEDIE FEST (WHICH DRAWS MORE THAN 100,000 PEOPLE), THE DICK'S SPORTING GOODS OPEN (A WEEKLONG EVENT WHICH INCLUDES THE PRACTICE ROUNDS, PRO-AM AND A COMMUNITY CONCERT), MACK SHOOT OUT LACROSSE TOURNAMENT, BINGHAMTON BRIDGE RUN, BINGHAMTON RUMBLE PONIES GAMES, AND BINGHAMTON BLACK BEARS HOCKEY GAMES. - POST COVID-19, UHS HAS MAINTAINED PARTNERSHIPS WITH A WIDE RANGE OF COMMUNITY ORGANIZATIONS, GROUPS, BUSINESSES AND AGENCIES TO ENSURE ACCESS TO CARE AND IMPROVE THE HEALTH STATUS OF GREATER BINGHAMTON AS A KEY PRIORITY. UHS CONTINUED THE USE OF TELEHEALTH FOR THOSE PATIENTS WHO COULD NOT, OR WERE RELUCTANT TO, SEEK CARE AT A PHYSICAL LOCATION. IN 2024, UHS CONDUCTED 28,514 TELEHEALTH APPOINTMENTS TO FACILITATE ACCESS FOR THOSE PATIENTS. THIS REFLECTS THE WILLINGNESS OF MANY PATIENTS TO RETURN TO IN-PERSON VISITS WHILE STILL ALLOWING PATIENTS WITH ACCESS ISSUES TO SEEK NEEDED CARE. -RESIDENCY AND EDUCATION INCENTIVES: AS A MAJOR TEACHING AND EDUCATIONAL FACILITY IN THE SOUTHERN TIER OF NEW YORK STATE AND THE SURROUNDING REGION, UHS HOSPITALS SERVES AS A CLINICAL PRACTICE SITE FOR MEDICAL STUDENTS, NURSING STUDENTS, DIETARY INTERNS, LABORATORY TECHNICIANS, MANAGEMENT/BUSINESS INTERNS AND PHYSICAL THERAPY INTERNS. PROGRAMS SUCH AS THESE PROVIDE THE AREA WITH A CONSTANT SUPPLY OF WELL-TRAINED HEALTH CARE PROFESSIONALS AND ENHANCE THE ABILITY OF THE COMMUNITY TO RECEIVE STATE-OF-THE-ART, HIGH QUALITY AFFORDABLE MEDICAL CARE. IN 2024 THE UHS HOSPITALS EDUCATION PROGRAM PROVIDED OVER $1.2 MILLION IN INCENTIVES, INCLUDING, BUT NOT LIMITED TO: THE REGISTERED NURSE EDUCATION INCENTIVE PROGRAM, THE LICENSED PRACTICAL NURSE EDUCATION INCENTIVE PROGRAM, THE RESPIRATORY THERAPY INCENTIVE PROGRAM,OR TECH INCENTIVE PROGRAM, AND SEVERAL TEACHING DAY PROGRAMS FOR PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS. TUITON FORGIVENESS AND ASSISTANCE FOR 2024 WAS AN ADDITIONAL $1.8 MILLION IN 2024.- THE UHS FOUNDATION IS A SEPARATE INDEPENDENT CORPORATION DEDICATED TO RAISING FUNDS DIRECTLY FROM COMMUNITY MEMBERS AND GRANT CONTRIBUTORS FOR THE PURPOSE OF PROVIDING INCREMENTAL FINANCIAL SUPPORT TO CERTAIN MEMBERS OF THE UNITED HEALTH SERVICES HEALTH CARE SYSTEM. IN 2024, CAPITAL CONTRIBUTIONS TO UHS HOSPITALS FROM THE UHS FOUNDATION, INC. TOTALED $6,832,476. THESE FUNDS PURCHASED NEEDED MEDICAL EQUIPMENT AND FUNDED PATIENT PROGRAMS THAT OTHERWISE WOULD BE UNAFFORDABLE BY UHS HOSPITALS. IN ADDITION, THROUGH A NEW INITIATIVE IN CONCERT WITH THE COMMUNITY'S "SOCK OUT CANCER" INITIATIVE, THE FOUNDATION IS ABLE TO PROVIDE FINANCIAL ASSISTANCE FOR PATIENTS CURRENTLY IN TREATMENT WHO ARE UNABLE TO MEET THE BASIC COSTS OF LIVING DUE TO THEIR NECESSARY TREATMENT AND LIFESTYLE CHANGES. IN 2024, THE UHS CHILDCARE CENTER OPENED IN PARTNERSHIP WITH BRIGHT HORIZONS IN JOHNSON CITY, NY. THE LOCATION IS A SHORT DISTANCE FROM UHS WILSON MEDICAL CENTER. THE FACILITY SERVED 121 FAMILIES IN 2024. THE FACILITY ACCEPTS CHILDREN FROM 6 WEEKS TO 5 YEARS OLD DURING THE REGULAR SCHOOL YEAR AND SCHOOL-AGE CHILDREN AT SUMMER AND DAY CAMPS WHEN SCHOOL IS NOT IN SESSION, UHS CHILDCARE IS OPEN TO BOTH EMPLOYEES OF UHS AND THE COMMUNITY AT LARGE. THE UHS RETAIL PHARMACY OPERATIONS HAVE EXPANDED TO INCLUDE A SPECIALTY PHARMACY SERVICE TO BETTER SERVE OUR PATIENTS WITH SPECIFIC MEDICATION NEEDS. IN 2024, UHS OPENED THE FORMER CVS SITE ON MAIN STREET IN JOHNSON CITY, NY NEAR THE WILSON MEDICAL CENTER CAMPUS. THE SITE HOUSES THE SPECIALTY PHARMACY SERVICES AND A 24/7 RETAIL PHARMACY LOCATION THAT MOVED FROM WILSON PLACE AT 52 HARRISON ST. THIS WILL PROVIDE CONVENIENT 24/7 PHARMACY SERVICES AND A DRIVE THRU SERVICE FOR PRESCRIPTION PICK UP. THIS LOCATION OPENED IN APRIL 2024. TOTAL 340B GIVE BACK FOR 2024 FROM ALL RETAIL PHARMACY LOCATIONS WAS $4,750,869 WITH 127,599 SCRIPTS AT $0 COST TO PATIENTS. PART III, LINE 2: IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, UHS HOSPITALS (UHSH) ANALYZES PAST PAYMENT HISTORY AND IDENTIFIES TRENDS FOR EACH MAJOR PAYOR SOURCE OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISIONS FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, UHSH ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, UHSH ALSO ANALYZES AMOUNTS DUE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE BASED ON PAST EXPERIENCE, INCLUDING CONSIDERATION OF CURRENT BUSINESS AND ECONOMIC CONDITIONS. UHSH CONSIDERS THE FACT THAT MANY SELF-PAY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE WHEN CALCULATING ALLOWANCE FOR DOUBTFUL ACCOUNTS AND BAD DEBT PROVISIONS. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PLEASE REFER TO PAGE 10 OF THE AUDITED FINANCIAL STATEMENTS FOR ADDITIONAL INFORMATION. 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 27% OF THE TOTAL BAD DEBT WRITE-OFFS. PART III, LINE 4: UHSH RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICES RENDERED. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, UHSH RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED (OR ON THE BASIS OF DISCOUNTED RATES, IF NEGOTIATED OR PROVIDED BY POLICY). ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF UHSH'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, UHSH RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. PLEASE REFER TO PAGE 10 OF THE AUDITED FINANCIAL STATEMENTS FOR ADDITIONAL INFORMATION. PART III, LINE 8: UHS HOSPITALS FEELS THAT ANY SERVICES PROVIDED TO MEDICARE BENEFICIARIES THAT RESULT IN A SHORTFALL TO THE ORGANIZATION BASED ON A LESS THAN ADEQUATE MEDICARE REIMBURSEMENT SHOULD BE TREATED AS A COMMUNITY BENEFIT. UHS HOSPITALS TREATS ANY AND ALL COMMUNITY MEMBERS REGARDLESS OF ABILITY TO PAY. UHS HOSPITALS' SERVICE REGION HAS A 23% OF ELDERLY COMPARED TO THE US AVERAGE OF 18.6% AND HAS AN INCOME LEVEL THAT IS 23% POORER THAN THE U.S. AVERAGE. ADDITIONALLY, APPROXIMATELY 30% OF THE ADULT POPULATION IN THE UHS HOSPITALS SERVICE AREA IS DISABLED AND MANY FACE AMBULATORY DIFFICULTIES. THEREFORE, UHS HOSPITALS IS SERVICING AT RISK MEDICARE BENEFICIARIES WITH MOST OF ITS PROGRAMS AND SERVICES. DURING 2024, IT PROVIDED OVER $19,460,766 OF FINANCIAL ASSISTANCE AND RELATED PROGRAMS TO ITS PATIENTS, MANY OF WHOM WERE MEDICARE BENEFICIARIES. UHS HOSPITALS USES THE COST TO CHARGE COSTING METHODOLOGY UTILIZING AMOUNTS FROM OUR 2024 MEDICAID COST REPORT FOR ALL PERTINENT CALCULATIONS IN PART III, LINE 6. PART III, LINE 9B: UHS HOSPITALS' POLICY 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.UHSH DOES NOT SEND AN ACCOUNT TO COLLECTION AGENCIES IF A COMPLETED FINANCIAL ASSISTANCE APPLICATION IS UNDER REVIEW FOR ELIGIBITY AND/OR UHSH HAS RECEIVED COMPLETE INFORMATION FROM THE PATIENT. UHSH 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. UHSH 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: UHS HOSPITALS USES COMMUNITY SPECIFIC DATA FROM MULTIPLE SOURCES TO UNDERSTAND THE HEALTH CARE NEEDS OF OUR AREA RESIDENTS. DURING 2024, WE CONTINUED TO FOCUS ON IMPROVING COMMUNITY HEALTH CARE BY LISTENING TO INPUT FROM CUSTOMERS AND RESPONDING TO THOSE NEEDS. WE CONTINUALLY INVITE THE PUBLIC TO PARTICIPATE IN OUR SELF-ASSESSMENT PROCESS BY MEANS OF SURVEYS, PRIMARY MARKET STUDIES, FOCUS GROUPS AND E-MAIL COMMENTS SUBMITTED THROUGH OUR COMPREHENSIVE INTERNET SITE. THROUGHOUT THE YEAR, INPUT FROM STAFF, THE PUBLIC, AND OUR BOARD MEMBERS ARE UTILIZED IN DETERMINING AND SHAPING OUR RESPONSE TO THE COMMUNITY'S HEALTH CARE NEEDS. RECENT STUDIES USED BY THE HOSPITAL FOR THE PURPOSE OF ASSESSING OUR MARKET'S HEALTH STATUS INCLUDES:- PRESS GANEY PATIENT SATISFACTION SURVEY SCORES AND COMMENTS (ONGOING)- MARKET EXPERT SOFTWARE FROM THE HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS) WHICH CONTAINS A HEALTH STATUS PROFILER MODULE.- UHS HOSPITALS ADMINISTRATIVE AND BOARD STRATEGIC PLANNING COMMITTEES.- FEEDBACK FROM KEY PHYSICIAN PARTNERSHIPS AS WELL AS INPUT FROM VARIOUS PHYSICIAN FORUMS.- QUALITATIVE SURVEYS AND FOCUS GROUPS TO CAPTURE CONSUMER FEEDBACK, PRIMARILY ON NEW PROGRAMS UNDER DEVELOPMENT.- LOCAL AND NATIONAL HEALTH-RELATED NEWS REPORTS.- REPORTS FROM INDUSTRY PUBLICATIONS AND ORGANIZATIONS.- SOCIAL MEDIAUHS HOSPITALS COMMUNITY SERVICE PLANNING IS SHAPED BY ANNUAL STRATEGIC PLANNING WHICH INCLUDES A REVIEW OF ALL AVAILABLE HEALTH/COMMUNITY ASSESSMENT DOCUMENTS, INCLUDING:- COMMUNITY HEALTH ASSESSMENT 2019-2024 (UPDATED FOR 2022-2024). BROOME COUNTY HEALTH DEPARTMENT- ANNUAL ENVIRONMENTAL ASSESSMENT PREPARED BY UHS HOSPITALS MARKET RESEARCH- UHS, INC. (UHS HOSPITALS' PARENT COMPANY) STRATEGIC PLAN: 2023-2025IN 2008, NEW YORK STATE DEPARTMENT OF HEALTH (DOH) DEVELOPED A PREVENTION AGENDA THAT ESTABLISHED 10 PRIORITY AREAS WITH YEAR 2012 GOALS AND MEASURABLE OBJECTIVES. AS PART OF A STATEWIDE EFFORT TO EMPHASIZE LOCAL HEALTH PLANNING, UHS HOSPITALS COLLABORATED WITH THE BROOME AND TIOGA COUNTY HEALTH DEPARTMENTS AND OTHER COMMUNITY PARTNERS TO DETERMINE TWO PUBLIC HEALTH PRIORITIES WHICH FORM THE BASIS OF THE UHSH 2019-2024 COMMUNITY SERVICE PLAN. UHS HOSPITALS IS PROUD OF THE TRADITION OF PARTNERING WITH MANY COMMUNITY AGENCIES, BOTH FORMALLY AND INFORMALLY, TO HELP MEET THE HEALTH NEEDS OF THE COMMUNITY. IN ORDER TO ASSESS COMMUNITY HEALTH NEEDS FOR THIS PLAN, UHS HOSPITALS COLLABORATED WITH THE BROOME AND TIOGA COUNTY HEALTH DEPARTMENTS AND A TASK FORCE OF REPRESENTATIVES FROM COMMUNITY AGENCIES WHICH INCLUDED:- BINGHAMTON UNIVERSITY- SUNY BROOME COMMUNITY COLLEGE- BROOME COUNTY COUNCIL OF CHURCHES- BROOME COUNTY DEPARTMENT OF SOCIAL SERVICES- BROOME COUNTY ENVIRONMENTAL MANAGEMENT COUNCIL- BROOME COUNTY HEALTH DEPARTMENT- BROOME COUNTY OFFICE FOR THE AGING- BROOME COUNTY URBAN LEAGUE- BROOME COUNTY YOUTH BUREAU- EXCELLUS BLUECROSS & BLUE SHIELD- LOURDES/ASCENSION- MOTHERS & BABIES PRENATAL NETWORK OF SCNY- SUNY UPSTATE MEDICAL UNIVERSITY CLINICAL CAMPUS AT BINGHAMTON - UHS HOSPITALS- UNITED WAY OF BROOME COUNTYTHE BROOME AND TIOGA COUNTY COMMUNITY HEALTH ASSESSMENTS ARE THE RESULT OF THIS TASK FORCE'S COLLABORATION AND THE BASIS FOR SELECTION OF THE PUBLIC HEALTH PRIORITIES FRAMING THE COMMUNITY SERVICE PLAN. THE MAPP PROCESS WAS USED TO CONDUCT ASSESSMENTS OF: COMMUNITY THEMES & STRENGTHS, LOCAL PUBLIC HEALTH SYSTEM, COMMUNITY HEALTH STATUS AND FORCES OF CHANGE. THE PROCESS RELIED HEAVILY ON THE CAPTURE AND ANALYSIS OF DATA THROUGH FOCUS GROUPS AND SURVEYS AND THE ANALYSIS OF EXISTING DATA SETS (THE COMMUNITY HEALTH DATA SET, COUNTY HEALTH ASSESSMENT INDICATORS, BEHAVIORIAL RISK FACTOR STATISTICAL SURVEY, YOUTH RISK BEHAVIORIAL SURVEY, STATEWIDE PLANNING AND RESEARCH COUNCIL STATISTICS AND OTHER COUNTY LEVEL DATA AVAILABLE ON THE NYS HEALTH INFORMATION NETWORK) IN COMPARISON TO THE 2015 PREVENTION AGENDA GOALS. UHS HOSPITALS ENHANCED THE PREVENTION QUALITY INDICATORS DATA BY ADDING INCIDENCE DATA FOR BROOME COUNTY RESIDENTS WHO USE PENNSYLVANIA HOSPITALS. THE STEERING COMMITTEE SYNTHESIZED THE ASSESSMENTS IN ORDER TO IDENTIFY STRATEGIC ISSUES AND FORMULATE GOALS AND STRATEGIES. THE STEERING COMMITTEE USED THE FOLLOWING CRITERIA TO RATE THE PREVENTION AGENDA PRIORITIES AND ADDITIONAL PRIORITIES IDENTIFIED BY TASK FORCE MEMBERS:- POTENTIAL COSTS TO THE HEALTH CARE SYSTEM- ABSOLUTE NUMBER OF INDIVIDUALS AFFECTED- WORSENING TREND IN HEALTHCARE INDICATORS OVER THE PAST 5 YEARS- UNDERPERFORMING HEALTHY PEOPLE 2010 REPORT AND/OR NEW YORK STATE 2015 PREVENTION AGENCY GOALS- WORK TIME LOST OR DISABILITY CLAIMS- PARTICULAR AREAS OF CONCERN (DISPARITIES)- FEASIBILITY FOR POTENTIAL INTERVENTION- AVAILABILITY FOR FUNDING THE INITIATIVES- FORCES FOR CHANGE (TRENDS, FACTORS AND EVENTS)- MEASURABILITY OVER TIME PART VI, LINE 3: UHS HOSPITALS IS COMMITTED TO PROVIDE FINANCIAL ASSISTANCE TO ALL PATIENTS IN NEED AND TO COMMUNICATE THE AVAILABILITY OF ITS FINANCIAL ASSISTANCE AND RELATED PROGRAMS TO ALL. OUR PATIENT FINANCIAL ADVOCATES ARE AVAILABLE TO ASSIST PATIENTS AND PROVIDE ASSESSMENTS FOR ELIGIBILITY UNDER ANY STATE, FEDERAL OR UHS HOSPITALS FINANCIAL ASSISTANCE PROGRAM. BROCHURES AND SIGNAGE ARE POSTED IN MULTIPLE LANGUAGES AS REQUIRED BY NYS REGULATIONS AT EACH REGISTRATION/PATIENT ACCESS AREA. IF NEEDED, TRANSLATION SERVICES ARE AVAILABLE. UHS HOSPITALS ALSO MAINTAINS A FINANCIAL ASSISTANCE HELP LINE THAT IS IDENTIFIED ON ALL PATIENT BILLS. THE TOTAL 2024 FINANCIAL ASSISTANCE AMOUNTS PROVIDED TO UHS HOSPITALS PATIENTS IS DETAILED IN SCHEDULE H PART 1, LINE 7. PART VI, LINE 4: UHS HOSPITALS SERVES THE GREATER BINGHAMTON, NEW YORK REGION, WHICH ENCOMPASSES BROOME, TIOGA, CHENANGO, OTSEGO, SULLIVAN, AND DELAWARE COUNTIES IN ADDITION TO SUSQUEHANNA COUNTY, PA. DEMOGRAPHICALLY, THE SERVICE AREA HAS A POPULATION BASE OF APPROXIMATELY 350,000 PEOPLE. THE REGION HAS A HIGHER PROPORTION OF ELDERLY THAN THE UNITED STATES OR NEW YORK STATE AVERAGES, WITH A MEDIAN INCOME THAT IS 23% POORER THAN THE UNITED STATES AVERAGE. 27% OF THE CHILDREN IN BROOME COUNTY LIVE BELOW THE POVERTY LEVEL. THE MEDIAN HOUSEHOLD INCOME IS $83,730 NATIONALLY VS $62,159 FOR THE UHS SERVICE AREA WITH 20% OF THE TOTAL HOUSEHOLDS LESS THAN $25,000 VS THE NATIONAL LEVEL OF 15.6%. THE PAYER MIX OF THE SERVICE AREA POPULATION IS MEDICAID 33.8%, MEDICARE 21.9%, UNINSURED 8.2% AND COMMERICALLY INSURED 36.0%.THE SERVICE AREA POPULATION OF 65+ IS 22.6% COMPARED TO18.6% FOR THE NATION AND 17% IN NY STATE. THE OLDEST POPULATION IS IN THE RURAL AREAS OF LESS THAN 700 RESIDENTS. OUTSIDE OF THE BINGHAMTON METROPOLITAN AREA, 44% OF THE SERVICE AREA IS PREDOMINANTLY RURAL. ADDITIONALLY, 30% OF THE POPULATION IS DISABLED WITH NEARLY HALF WITH AMBULATORY DIFFICULTIES. PART VI, LINE 5: THE UHS HOSPITALS' MISSION IS TO SERVE THE PEOPLE OF OUR REGION, TO IMPROVE OR MAINTAIN THEIR HEALTH, AND TO PROVIDE PATIENT-CENTERED, CONTEMPORARY HEALTH SERVICES IN A CARING, COMPETENT AND CONVENIENT MANNER. SERVICES WILL BE AFFORDABLE AND WELL ORGANIZED TO MEET THE NEEDS OF OUR PATIENTS AND THEIR FAMILIES. UHS HOSPITALS SERVES THE COMMUNITY WITH AN OPEN MEDICAL STAFF OF APPROXIMATELY 400 ACTIVE PHYSICIANS AND PROVIDERS AND A DIVERSE COMMUNITY BOARD OF DIRECTORS. ANY SURPLUS FUNDS GENERATED THROUGH OPERATIONS ARE USED SOLELY TO PURCHASE NEEDED MEDICAL EQUIPMENT AND PROVIDE FOR PROGRAM AND SERVICE ENHANCEMENTS.WORK BEGAN IN 2021 TO CREATE A NEW SIX STORY, STATE-OF-THE-ART CLINICAL TOWER ON THE CAMPUS OF UHS WILSON MEDICAL CENTER IN JOHNSON CITY, FURTHERING UHS HOSPITAL'S COMMITMENT TO ENHANCING ACCESS AND CLINICAL SERVICE TO THE AREA POPULATION. THE WILSON PROJECT WAS SUBSTANTIALLY COMPLETED IN 2024 AND HAS ADDED 183,375 SQUARE FEET OF SPACE TO THE EXISTING HOSPITAL WITH 120 MEDICAL/SURGICAL PRIVATE ROOMS, UPGRADED AND EXPANDED SPACE IN THE EXISTING EMERGENCY DEPARTMENT, AND PROVIDES STATE OF THE ART MRI SERVICES. THE FACILITY WAS OPEN AND ESTIMATED TO BE AT 90% COMPLETION AT THE END OF 2024. THE EXPECTED COMPLETION DATE IS SUMMER 2025 WITH THE RENOVATION OF THE ORIGINAL EMERGENCY DEPARTMENT. PART VI, LINE 6: UHS HOSPITALS IS AN IMPORTANT PART OF UHS, A NOT-FOR-PROFIT SYSTEM OF INTEGRATED CARE DELIVERY, WHICH PROVIDES ADDITIONAL BENEFITS TO THE COMMUNITY. AS A RESULT OF THE FORMATION OF UHS HOSPITALS IN 1981 AND THE SUBSEQUENT TRANSFORMATION OF THE COMBINED ORGANIZATION INTO THE UHS HEALTHCARE SYSTEM, OUR REGION TODAY OFFERS MORE COMPLETE AND ADVANCED CARE THAN MANY COMMUNITIES FIVE TIMES OUR SIZE. EVERY THREE YEARS, UHS HOSPITALS DEVELOPS A SYSTEM-WIDE STRATEGIC PLAN. CONSISTENT WITH THE MISSION AND VISION, THE PLAN IS FOCUSED ON CONTINUING TO STRENGTHEN THE UHS HEALTH SYSTEM AND ITS SERVICES TO THE COMMUNITY. THE STRATEGIC PLAN IS ORGANIZED AROUND FOUR GOALS: - IMPROVE OUR CARE: OUR MISSION IS TO IMPROVE THE HEALTH OF THOSE WE SERVE THROUGH OUR COMMITMENT TO EXCELLENCE IN ALL THAT WE DO. THIS MISSION DEMANDS THAT WE RESOLUTELY PURSUE WAYS TO IMPROVE OUR CARE. WE CONTINUE ON THE JOURNEY TO BECOME A HIGH-RELIABILITY ORGANIZATION PURSUING ZERO HARM. IN KEEPING WITH THIS MISSION, UHS HOSPITALS MOVED FORWARD WITH THE WILSON PROJECT WHICH HAS OPENED A NEW EMERGENCY DEPARTMENT WITH INCREASED CAPACITY AND OPENED 120 PRIVATE ROOMS FOR PATIENT PRIVACY DURING THE HEALING PROCESS.- OPTIMIZE OUR TEAM'S POTENTIAL: UHS STRIVES TO EMPOWER EVERY EMPLOYEE, PHYSICIAN AND PROVIDER TO MAKE A MEANINGFUL DIFFERENCE FOR OUR PATIENTS, COMMUNITY AND EVOLVING HEALTHCARE SYSTEM. WE HAVE CREATED "THE UHS WAY" WHICH FOCUSES ON A CULTURE OF EMPLOYEE ENGAGEMENT THROUGH A FOCUS ON QUALITY, SAFETY, RESPECT, RECOGNITION AND EMPOWERMENT OF LEADERS AND STAFF. SEVERAL COUNCILS HAVE BEEN ESTABLISHED TO DEVELOP PLANS TO IMPROVE WORKFORCE ENGAGEMENT.- MANAGE OUR COSTS: WORKING WITH A CONSULTANT, WE HAVE CONDUCTED AN ASSESSMENT TO IDENTIFY OPPORTUNITIES FOR COST SAVINGS NOW AND IN FUTURE YEARS WITH A FINANCIAL HEALTH IMPROVEMENT PLAN. - GROW OUR MARKET SHARE: WE ASPIRE TO BE THE PROVIDER OF CHOICE FOR ACCESS, QUALITY AND EXPERIENCE. WE BELIEVE OUR CORE VALUES SET US APART FROM MANY OF OUR COMPETITORS.SPECIFIC DESTINATION METRICS OR MEASURES OF SUCCESS HAVE BEEN DEVELOPED FOR EACH STRATEGIC GOAL. THE SPECIFIC INITIATIVES SUPPORTING ACHIEVEMENT OF THE GOALS ARE REVIEWED ON A REGULAR BASIS. EACH ENTITY CARRIES OUT INITIATIVES LOCALLY AND REGIONALLY. THE UHS HOSPITALS COMMUNITY IMPACT REPORT CAPTURES THE BENEFITS SPECIFIC TO UHS HOSPITALS. PART VI, LINE 7, REPORTS FILED WITH STATES NY X X X 0 1 0 0 0 0 0 0 0 JOHN CARRIGG BOARD MEMBER/2ND VICE CHR 0 1261668 0 118000 0 7144 0 10350 0 40379 0 1437541 0 0 MUHAMMAD NADEEM MD PHYSICIAN 928935 0 0 0 0 0 10350 0 36675 0 975960 0 0 0 AMRINDER SINGH MD PHYSICIAN 808798 0 0 0 0 0 10205 0 37998 0 857001 0 0 0 KAY BOLAND SENIOR VICE PRESIDENT, CHI 0 679675 0 54900 0 0 0 10350 0 21229 0 766154 0 0 SATHAPPAN KARUPPIAH MD PHYSICIAN 715766 0 0 0 0 0 10350 0 35475 0 761591 0 0 0 FNU SHAILESH MD PHYSICIAN 624271 0 0 0 0 0 10350 0 36667 0 671288 0 0 0 MAHMOUD AWAD MD PHYSICIAN 645187 0 0 0 0 0 10350 0 12916 0 668453 0 0 0 JAMES SMITH VP OF FINANCE AND CFO 0 534170 0 41200 0 0 0 10350 0 20665 0 606385 0 0 AMINE HILA MD ASSOCIATE MEDICAL DIRECTOR 0 535447 0 38200 0 0 0 0 0 9126 0 582773 0 0 DEBORAH PLATZ VP LEGAL COUNSEL 0 402309 0 26900 0 0 0 10238 0 14526 0 453973 0 0 SHERI LAMOUREUX VP HUMAN RESOURCES 0 361232 0 23200 0 0 0 10350 0 5343 0 400125 0 0 PEGGY THOMAS VP NURSING/CNO 0 328400 0 22200 0 0 0 10350 0 38105 0 399055 0 0 MOHAMMAD RAHMAN VP CHIEF INFORMATION OFFIC 327454 0 25400 0 0 0 0 0 17517 0 370371 0 0 0 ANN TENG VP CHIEF WELLNESS OFFICER 0 337424 0 0 0 0 0 10267 0 18319 0 366010 0 0 DANIELLE DONLIN VP PHYSICIAN PRACTICE 0 325711 0 20800 0 0 0 9967 0 4649 0 361127 0 0 JENNIFER GUSSE VP QUALITY MGMT 243432 0 15000 0 0 0 8035 0 38315 0 304782 0 0 0 ERIK JONES AVP CLINICAL SERVICES 233247 0 16200 0 0 0 7761 0 39481 0 296689 0 0 0 RICHARD KEEHLE AVP SUPPORT SERVICES 234077 0 14900 0 0 0 7504 0 16330 0 272811 0 0 0 KARA HINES AVP INFORMATION SERVICES 205514 0 0 0 0 0 6366 0 28948 0 240828 0 0 0 CARRIE DAVIS VP COMMUNITY RELATIONS 0 220005 0 11900 0 0 0 2319 0 4049 0 238273 0 0 RAJESH DAVE MD EXECUTIVE VP/CHIEF MEDICAL 0 154909 0 12900 0 0 0 0 0 3785 0 171594 0 0 A BROOME COUNTY LOCAL DEVELOPMENT CORPORATION 300769309 114731AAO 2020-08-26 295419885 CONSTRUCTION/REFINANCE DEBT/EMR IMPLEMENTATION 0 0 0 A 299402324 12273506 2489777 7187612 180065808 97385621 2024 1 1 1 1 A 0 0 0 0 1 0 1 A 0 1 0 0 0 0 0 0 1 A 1 RICHARD BOLAND SON OF OFFICER, KAY BOLAND 111257 COMPENSATION (WAGES) 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS UNITED HEALTH SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER APPOINTS THE ORGANIZATION'S GOVERNING BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE 990 PREPARATION AND FILING IS THE RESPONSIBILITY OF THE UHS HOSPITALS BOARD OF DIRECTORS WHO DELEGATES THE TIMELY AND ACCURATE COMPLETION OF THE 990 (AND 990-T) TO MANAGEMENT. THE UHS HOSPITALS' FINANCE DEPARTMENT PREPARES THE 990 WHICH IS THEN REVIEWED BY THE CORPORATE CFO, THE BOARD OF DIRECTORS, AND INDEPENDENT AUDITORS PRIOR TO IRS FILING. FORM 990, PART VI, SECTION B, LINE 12C UHS HOSPITALS HAS A WRITTEN CONFLICT OF INTEREST POLICY FOLLOWED BY BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES. EACH UHS HOSPITALS AGENT MUST SUBMIT CONFLICT OF INTEREST STATEMENTS ANNUALLY WHICH ARE REVIEWED AND ENFORCED BY THE AUDIT COMMITTEE OF THE UHS HOSPITALS PARENT COMPANY, UNITED HEALTH SERVICES, INC. FORM 990, PART VI, SECTION B, LINE 15 IT IS THE PHILOSOPHY OF UHS HOSPITALS THAT ALL STAFF INCLUDING THE 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 HOSPITALS' 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 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 SENIOR MANAGEMENT'S CURRENT BASE AND TOTAL COMPENSATION LEVELS AND THE NEED FOR ANY ADJUSTMENTS FOR THAT CALENDAR YEAR. UHS HOSPITALS DOES NOT COMPENSATE FOR BOARD SERVICE. THE SALARIES LISTED ARE FOR SERVICES PROVIDED AS EMPLOYEES. 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 FEES: PROGRAM SERVICE EXPENSES 102,343,892. MANAGEMENT AND GENERAL EXPENSES 13,978,589. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 116,322,481. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSETS OF UHS FOUNDATION, INC. -4,142,122. RETIREMENT PLAN OBLIGATION CHANGES 2,965,765. ROUNDING ADJ 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 RESPONSBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT. UNITED HEALTH SERVICES INC 10-42 MITCHELL AVE BINGHAMTON NY 13903 222682421 PARENT COMPANY NY 501(C)(3) 10 BOARD OF DIRECTORS UHS INC 0 CHENANGO MEMORIAL HOSPITAL INC 179 N BROAD STREET NORWICH NY 13815 150532180 ACUTE & OUTPATIENT SERVICES NY 501(C)(3) 3 UNITED HEALTH SERVICES INC 0 DELAWARE VALLEY HOSPITAL INC ONE TITUS PLACE WALTON NY 13856 150524324 ACUTE & OUTPATIENT SERVICES NY 501(C)(3) 3 UNITED HEALTH SERVICES INC 0 IDEAL SENIOR LIVING CENTER INC 508 HIGH AVE ENDICOTT NY 13760 222902896 SENIOR LIVING CENTER NY 501(C)(3) 3 UNITED HEALTH SERVICES INC 0 IDEAL SENIOR LIVING CENTER HOUSING CORPORATION 508 HIGH AVE ENDICOTT NY 13760 222902899 SENIOR HOUSING 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 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 PATHWAY HEALTH MGMT INC 20 MITCHELL AVENUE BINGHAMTON NY 13903 161228654 WINDING DOWN OF MGMT. SVCS. TO SUSQUEHANNA MED. ASSOC. NY UNITED HEALTH SERVICES INC C 0.50000 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 1 1 0 0