2017-11-09T16:44:27-06:00 2016-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2016-01-01 161165049 UNITED HEALTH SERVICES HOSPITALS INC UNIT 6077623024 10-42 MITCHELL AVENUE BINGHAMTON NY 13903 JOHN M CARRIGG PRESIDENT/CEO 6077623024 2017-10-19 1 ANGELA M FRANCO P00589741 3154463600 2017-10-19 2016 2022-09-23 18:48:47Z JOHN M CARRIGG 10-42 MITCHELL AVENUE BINGHAMTON NY 13903 630577929 0 X WWW.UHS.NET X 1981 NY 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. 15 12 5036 494 -65098 -65098 2913252 8180263 575557788 590683934 1170169 1937625 27031153 29033890 606672362 629835712 0 0 0 0 270409288 283799554 0 0 0 321869852 331587447 592279140 615387001 14393222 14448711 385860388 411610484 237642814 242351578 148217574 169258906 X 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 207329800 206958267 INPATIENT AND ACUTE SERVICES - 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, OPHTHALMOLOGY, EMERGENCY MEDICINE, MATERNITY CARE, PULMONARY MEDICINE, NEONATOLOGY, PEDIATRICS, AND 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, DIALYSIS, REHABILITATION CENTER, AND A TRANSITIONAL CARE UNIT. TOTAL INPATIENT DAYS IN 2016 TOTALED 95,524, DISCHARGES WERE 17,828 AND THE AVERAGE LENGTH OF STAY WAS 5.47 DAYS. THERE WERE 1,311 BIRTHS AND 4,430 INPATIENT SURGERIES PERFORMED AT UHS HOSPITALS IN 2016. 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 2016, UHS HOSPITALS GAVE FINANCIAL ASSISTANCE TO APPROXIMATELY 544 PATIENTS FOR WHICH $3,708,292 OF INPATIENT CARE (AT CHARGES) WAS PROVIDED. 104059664 242436827 OUTPATIENT AND AMBULATORY SERVICES - 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, CYBERKNIFE, CARDIAC CATH LAB, AND OTHER PROCEDURAL OUTPATIENT SERVICES. BINGHAMTON GENERAL HOSPITAL ALSO PROVIDES EMERGENCY DEPARTMENT, AMBULATORY SURGERY, LABORATORY, IMAGING AND GASTROENTEROLOGY LAB SERVICES, IN ADDITION TO CARDIAC REHABILITATION, OUTPATIENT MENTAL HEALTH, AND OUTPATIENT CHEMICAL DEPENDENCY SERVICES. TOTAL PATIENT VISITS FOR OUTPATIENT SERVICES FOR YEAR-END 2016 TOTALED 1,750,697 EXCLUSIVE OF THE CLINIC SERVICES NOTED IN 4C BELOW. INCLUDED IN THE 1,750,697 VISITS WERE 43,025 EMERGENCY ROOM VISITS, 13,037 EMERGENCY ROOM TREATED AND ADMITTED AS ACUTE CARE PATIENTS, 60,011 VARIOUS OUTPATIENT SURGICAL CASES, 174,972 SPECIALTY CARE VISITS AND 111,425 OTHER OUTPATIENT DEPARTMENT VISITS. IN 2016, UHS HOSPITALS GAVE FINANCIAL ASSISTANCE TO APPROXIMATELY 16,342 PATIENTS FOR WHICH $6,201,888 OF OUTPATIENT CARE (AT CHARGES) WAS PROVIDED. 209061425 141914240 CLINICS - 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 FIFTEEN 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 AND 15) HOOPER ROAD (ENDWELL). 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 UHSH CLINICS AT YEAR-END 2016 TOTALED 259,576 PRIMARY CARE AND 174,972 SPECIALTY CARE 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 AND TECHNICAL TRAINING AND SCHOLARSHIP PROGRAMS, AND MAKING WELL-TRAINED HEALTH CARE PROFESSIONALS AND ADVANCED CLINICAL AND MEDICAL PRACTICES AVAILABLE TO THE PUBLIC. IN 2016, APPROXIMATELY 200 MEDICAL STUDENTS, REGISTERED NURSES, AND PHARMACY STUDENTS BENEFITTED FROM UHS HOSPITALS PROGRAMS. 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. DURING 2016, APPROXIMATELY 55,000 COMMUNITY MEMBERS WERE SERVED. 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. AN ESTIMATED $53,720 IN SPONSORSHIP FUNDS WERE PROVIDED. 5900470 5900470 ALL OTHER - 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. 5900470 5900470 526351359 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 1 267 0 1 5036 1 1 1 0 0 0 0 0 0 0 0 0 X 15 12 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X DAVE MACDOUGALL-SR VP OF FINANCE & INFO SRV SYSTEM CFO 6077623011 10-42 MITCHELL AVE BINGHAMTON NY 13903 JEROME CANNY CHAIR 2.00 X X 0 0 0 MICHAEL SCULLARD IMMEDIATE PAST CHAIR 2.00 X X 0 0 0 BRUCE BOWLING MD 1ST VICE CHAIR 2.00 X X 0 0 0 MATTHEW SALANGER FACHE, 2ND VICE CHR, CEO 30.00 27.00 X X 673563 673563 40748 SUSAN MISTRETTAESQ SECRETARY 2.00 X X 0 0 0 DIANA BENDZ TRUSTEE 2.00 X 0 0 0 LINDA BEST TRUSTEE 2.00 X 0 0 0 SEAN BRADY TRUSTEE 2.00 X 0 0 0 HORATIO DENSON TRUSTEE 2.00 X 0 0 0 STEPHEN FEEHAN TRUSTEE 2.00 X 0 0 0 FRANK FLOYD MD TRUSTEE 2.00 X 0 0 0 ROY GILL MD TRUSTEE 2.00 X 0 0 0 JULIA MILLER MD TRUSTEE 2.00 X 0 0 0 JOANN NAVARRO TRUSTEE 2.00 X 0 0 0 JUDITH PECKHAM TRUSTEE 2.00 X 0 0 0 GARY VANNOSTRAND TRUSTEE 2.00 X 0 0 0 JAMES VANVOORST TRUSTEE 2.00 X 0 0 0 RAJESH DAVE MD CHIEF MEDICAL OFFICER 44.00 11.00 X 525154 131289 33485 JOHN CARRIGG CHIEF OPERATING OFFICER 28.00 27.00 X 287828 287829 34830 DAVE MACDOUGALL SR VP OF FINANCE AND SYS 33.00 22.00 X 343803 229201 40573 KAY BOLAND VP PATIENT CARE SERVICES 28.00 27.00 X 183088 183088 27883 MICHAEL MCNALLY VP HUMAN RESOURCES 55.00 X 324406 0 27612 ROBERT MCCARTHY VP FINANCIAL OPERATIONS 44.00 11.00 X 141538 35385 16111 CHRISTINA BOYD VP COMMUNITY RELATIONS 28.00 27.00 X 120064 120064 36888 NANCY RONGO VP CARE MANAGEMENT 55.00 X 250476 0 31323 VARUN REDDY MD NEURO INTERVENTION SURGEON 55.00 X 684845 0 26199 MITHAQ VAHEDI MD PHYSICIAN 55.00 X 535642 0 27137 ISKANDAR KASSIS MD DIRECTOR OF OBGYN 55.00 X 522396 0 32130 VIVIEN FONGUE DO ORTHOPEDIC SURGEON 55.00 X 508846 0 34371 SRINIVASA MANDAPALLI MD PHYSICIAN 55.00 X 477109 0 36859 5578758 1660419 446149 157 0 1 0 CERNER HEALTH SERVICES INC PO BOX 959167 ST LOUIS MO 63195 SOFTWARE MAINTENANCE 4882147 LECHASE CONSTRUCTION 205 INDIGO CREEK DRIVE ROCHESTER NY 14626 CONSTRUCTION 3396957 ANDREW R MANCINI ASSOC 129 ODELL AVE ENDICOTT NY 13760 CONSTRUCTION 3308073 US SECURITY ASSOCIATES INC BOX 931703 ATLANTA GA 31193 SECURITY 2893634 FE JONES CONSTRUCTION INC BOX 12140 BURLINGTON NC 27216 CONSTRUCTION 1937109 244 8060474 119789 8180263 OPERATING ROOM 621990 72536958 72536958 MEDICAL ONCOLOGY 621990 46971568 46971568 LAB CLINICAL-CHEMISTRY 621500 46129144 46129144 PHARMACY 621990 31511561 31511561 CARDIAC CATH LAB 621500 28828700 28828700 364706003 364706003 590683934 1937625 1937625 2347407 742217 1605190 1605190 -65098 1670288 CONTRACT PHARMACY-340B 621990 10036785 10036785 SERVICES RENDERED 621990 5900470 5900470 VENDOR REBATES 621990 2359837 2359837 9131608 625400 8506208 27428700 629835712 597209804 -65098 24510743 X 3043050 1217220 1825830 209771523 180919237 28852286 14488807 12539595 1949212 41143967 35530679 5613288 15352207 13240642 2111565 8168918 198907 7970011 825941 763 825178 304528 304528 61838156 61838156 40110 26160 13950 5941747 2194787 3746960 6709827 3085899 3623928 11181201 5445718 5735483 1031005 746857 284148 2021995 1767224 254771 24640901 21536147 3104754 4136022 3614883 521139 PURCHASED SERVICES 51319026 41219772 10099254 DRUGS & PHARMACEUTICALS 48453534 48282112 171422 PROSTHESIS EXPENSE 33402541 33402541 BAD DEBT EXPENSE 15389993 15389993 56182002 44154067 12027935 615387001 526351359 89035642 0 X 66240747 37698309 56687346 53537886 10504562 10773679 15988191 15927989 586246984 397876948 170339428 188370036 20455468 13053438 35577689 82871867 10066957 9377280 385860388 411610484 67438131 66285110 20718290 35734788 35530287 34509888 113956106 105821792 237642814 242351578 X 134509484 155137124 9608712 10025398 4099378 4096384 148217574 169258906 385860388 411610484 X 14448711 -146508 6739129 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 27995 27995 0 PART II-B, LINE 1: UHS HOSPITALS HAS LIMITED LOBBYING ACTIVITIES WHICH ARE CONDUCTED ON BEHALF OF THE ORGANIZATION THROUGH MEMBERSHIPS IN THE AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION AND IN THE HEALTHCARE ASSOCIATION OF NEW YORK STATE. THESE ACTIVITIES INCLUDE ADVERTISEMENTS AND CONTACTS WITH THE LEGISLATORS ON VARIOUS HEALTH ISSUES. 14229719 559909 148000 17718 14623910 14962766 -596985 120000 16062 14229719 14647262 444838 120000 9334 14962766 13878428 897569 120000 8735 14647262 13359085 662753 135053 8357 13878428 0.03430 0.28010 0.68560 1 0 11805065 11805065 301342012 182674319 118667693 13217581 7462809 5754772 239627210 207739820 31887390 20255116 20255116 188370036 MUTUAL FUNDS @ FMV 3790453 F FUNDED DEPREC INVESTMENTS 64506584 F ENDOWMENT INVESTMENT 2458162 F INVESTMENT-UHS FOUNDATION 12116668 F 82871867 ACCRUED PENSION LIABILITY 73327837 DEFERRED COMPENSATION PAYABLE 3790453 OTHER LIABILITIES 24785576 DUE TO AFFILIATES 3917926 105821792 X 630458140 742217 742217 629715923 119789 119789 629835712 616129218 742217 742217 615387001 0 615387001 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). 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, 2016 AND 2015, 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 2013 THROUGH 2016. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES PART XI, LINE 4B - OTHER ADJUSTMENTS: UHS FOUNDATION GRANT FOR CAPITAL EQUIPMENT PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 1 1 X 1 X 0 1 1 1 0 1 1 118501242 91265397 27235845 0.04540 5314977 3181859 2133118 0.00360 123816219 94447256 29368963 0.04900 2412658 123144 2289514 0.00380 9676829 6688255 2988574 0.00500 271506924 245977841 25529083 0.04250 283596411 252789240 30807171 0.05130 407412630 347236496 60176134 0.10030 53721 53721 0.00010 55730 1650004 135440 1514564 0.00250 224 380107 380107 0.00060 55954 2083832 135440 1948392 0.00320 0 15389993 5325188 107133869 110009057 -2875188 X 1 1 2 1 WILSON MEMORIAL REGIONAL MEDICAL CENTER 33-57 HARRISON ST JOHNSON CITY NY 13790 WWW.UHS.NET 0303001H X X X X OUTLYING CLINICS A 2 BINGHAMTON GENERAL HOSPITAL 10-42 MITCHELL AVE BINGHAMTON NY 13903 WWW.UHS.NET 0303001H X X X X OUTLYING CLINICS A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 16 1 1 1 1 X HTTP://WWW.UHS.NET X 1 16 1 HTTP://WWW.UHS.NET 0 1 X 200.000000000000 X X X X 1 1 X X X 1 X HTTP://WWW.UHS.NET X HTTP://WWW.UHS.NET X HTTP://WWW.UHS.NET X X X X X X 1 X 0 X 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 2016-2018 STEERING COMMITTEE.INDIVIDUALS AND COMMUNITY ORGANIZATIONS:BINGHAMTON HOUSING AUTHORITY - ELAINE MILLERBINGHAMTON UNIVERSITY - LEON COSLER, DIANE CREWS, YVONNE JOHNSTON, TITLAYOI OKORORBROOME COUNTY COUNCIL OF CHURCHES - MICHAEL LEAHEYBROOME COUNTY HEALTH DEPARTMENT - MARY MCFADDEN, DR. CHRISTOPHER RYANBROOME COUNTY LEGISLATURE - KIM MYERS, KELLY WILDONERBROOME COUNTY MENTAL HEALTH DEPARTMENT - LYNNE ESQUIVELBROOME COUNTY OFFICE FOR AGING - RITA FLUHARTY, JAMIE KELLYBROOME COUNTY PLANNING DEPARTMENT - STEPHANIE BREWERBROOME TIOGA BOCES - ALAN BUYCKBROOME COUNTY URBAN LEAGUE - JENNIFER LESKOBROOME COUNTY YMCA - AUBREY CARR, ALICE HARPER, GARETH SANSOMCORNERSTONE FAMILY HEALTHCARE - MARIANNE BUCK, KELLY WILDEYEXCELLUS BLUE CROSS BLUE SHIELD - MELISSA KLINKOFAMILY AND CHILDREN'S SOCIETY - LISA HOESCHELEGUTHRIE MEDICAL GROUP, PC - SHAWN KARNEY, HILLARY SAXTON, SHERRY SALISBURYHEALTHLINKNY - ADAM HUGHESMENTAL HEALTH ASSOCIATION OF THE SOUTHERN TIER - KATHY ECKERTMOTHERS AND BABIES PERINATAL NETWORK - CHRISTY FINCHOUR LADY OF LOURDES HOSPITAL - DEBORAH BLAKENEY, LISA BOBBY, CARMEN FRANCAVILLA, WAYNE MITTEER, JEFFREY PENOYERRURAL HEALTH NETWORK OF SCNY - PAM GUTH, EMILY HOTCHKISS, MARY MARUSCAK, JACK SALOSOUTHERN TIER INDEPENDENCE CENTER - SUSAN RUFFSUNY UPSTATE MEDICAL UNIVERSITY CLINICAL CAMPUS AT BINGHAMTON - LENORE BORISTIOGA COUNTY HEALTH DEPARTMENT - REBECCA KAUFMAN, HEATHER MORGANUNITED HEALTH SERVICES HOSPITALS - KAREN BAYER, NICOLLE ADDICOTT, ROBIN KINSLOW-EVANSWEBB CONSULTING - LEA WEBB 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 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: THREE YEAR PLAN OF ACTION 1. PROMOTE HEALTHY AND SAFE ENVIRONMENT:FOCUS AREA: INJURIES, VIOLENCE, AND OCCUPATIONAL HEALTHGOAL-DECREASE FALLS THROUGH THE ADOPTION OF EVIDENCE-BASED FALL RISK ASSESSMENT AND PREVENTION PROGRAMS AND COMMUNITY SETTINGSTACTICS-FOURTEEN UHS PRIMARY CARE PRACTICES HAVE BEEN A PILOT SITE FOR A PROGRAM CALLED STEADI (STOPPING ELDERLY ACCIDENTS DEATHS AND INJURIES), WHICH WAS CREATED FOR CLINICIANS IN RESPONSE TO THE LACK OF AWARENESS OF THE AMERICAN AND BRITISH GERIATRICS SOCIETY'S CLINICAL GUIDELINES FOR PREVENTION OF FALLS IN OLDER ADULTS. THE STEADI PROGRAM ENFORCES THE US PREVENTIVE SERVICES TASK FORCE RECOMMENDATIONS FOR FALL RISK ASSESSMENTS AND INVOLVES THE USE OF A CLINICIAN TOOL KIT THAT GUIDES PROVIDERS THROUGH A MULTIFUNCTIONAL FALL RISK ASSESSMENT. UHS WILL EXPAND ITS CURRENT PRACTICES TO THE SURROUNDING COUNTIES OF TIOGA, CHENANGO, AND DELAWARE.IN ADDITION TO THE STEADI PROGRAM, THE CDC ALSO PROMOTES THE USE OF OTAGO. OTAGO IS A HEALTHCARE FALL PREVENTION INTERVENTION THAT PROVIDES PHYSICAL THERAPISTS WITH TRAINING ON INDIVIDUALLY TAILORED, HOME-BASED, STRENGTH AND BALANCE PROGRAMS FOR HIGH RISK INDIVIDUALS 80 YEARS AND OLDER. UHS HOME CARE AND PHYSICAL THERAPY PROGRAMS WILL DEVELOP IMPLEMENTATION PLANS, TRAIN STAFF ON FALL PREVENTION EXERCISES, TRAIN PHYSICAL THERAPISTS TO USE THE OTAGO INTERVENTION, AND FOLLOW UP MONTHLY WITH PT ADMINISTRATION.MEASURES-THE PROCESS MEASURES FOR THESE OBJECTIVES ARE THE IMPLEMENTATION OF FALL RISK ASSESSMENTS AND HOSPITAL-BASED HOME CARE PHYSICAL THERAPY PROGRAMS, THE NUMBER OF PRIMARY CARE AND PHYSICAL THERAPY STAFF TRAINED, THE NUMBER OF MEDICARE PATIENTS SCREENED, THE NUMBER OF AT-RISK PATIENTS WITH A FALL PLAN OF CARE, THE NUMBER OF REFERRALS TO PHYSICAL THERAPY AND COMMUNITY PROGRAMS, AND ASSESSMENT/MONITORING OF PROGRAMS. OUTCOME MEASURES FOR THESE OBJECTIVES INCLUDE THE IMPLEMENTATION OF SCREENING AND PHYSICAL THERAPY PROGRAMS, PERCENT OF OLDER ADULTS SCREENED, PERCENT OF AT-RISK PATIENTS RECEIVING A FALL RISK PLAN OF CARE, AND HOSPITALIZATION RATES DUE TO FALLS.2. PREVENT CHRONIC DISEASE:FOCUS AREA: REDUCE OBESITY IN CHILDREN AND ADULTSGOAL-REDUCE THE PERCENTAGE OF CHILDREN WHO ARE OBESE IN BROOME COUNTYTACTICS-TO ACCOMPLISH A BMI SCREENING RATE OF 69.5% FOR CHILDREN BETWEEN THE AGES OF 3-17, UHS PRIMARY CARE PROVIDERS WILL ENGAGE IN OBESITY PREVENTION MEASURES ON A YEARLY BASIS. THIS WILL INCLUDE EXPANDING THE USE OF EMRS FOR ASSESSING PEDIATRIC BMI SCREENINGS, GENERATING REFERRALS FOR NUTRITION AND PHYSICAL ACTIVITY, AS WELL AS TRAINING PROVIDERS IN ADEQUATE MEASURES TO IDENTIFY, ASSESS, AND TREAT CHILDHOOD OBESITY. MEASURES-PROGRESS TOWARDS THIS OBJECTIVE WILL BE EVALUATED BY THE NUMBER OF PRIMARY CARE PROVIDERS WHO CONDUCT BMI SCREENINGS AND THE PERCENTAGE OF CHILDREN SCREENED WILL ALSO BE MONITORED. ADDITIONALLY, THE PERCENTAGE OF CHILDREN WHO ARE REFERRED FOR NUTRITION AND PHYSICAL ACTIVITY EDUCATION BY A HEALTHCARE PROVIDER WILL BE MONITORED. THIS DATA WILL BE COMPARED TO THE PERCENTAGE OF CHILDREN WHO ARE AT A HEALTHY WEIGHT, OVERWEIGHT, OR OBESE.GOAL-INCREASE BREASTFEEDINGTACTICS-THE 2018 GOALS INCLUDE INCREASING THE BREASTFEEDING RATE TO 71.4% AS WELL AS INCREASING THE BREASTFEEDING FOR 6 MONTHS DURATION RATE TO 27.5% AMONG THE TARGET DEMOGRAPHIC. THIS WILL BE ACCOMPLISHED BY BUILDING ENHANCED SUPPORT SYSTEMS INCLUDING EARLY BREASTFEEDING EDUCATION AND PROMOTION EFFORTS, IN ADDITION TO THE INITIATION OF A PEER COUNSELING PLAN TO ASSIST WITH INITIATION OF BREASTFEEDING AS SOON AS POSSIBLE AFTER BIRTH.MAKE PROGRESS TOWARDS DESIGNATION AS A BABY FRIENDLY HOSPITAL WITH AN INCREASE OF OUTPATIENT PROVIDERS IN THE COMMUNITY ADOPTING BREASTFEEDING POLICIES. THIS WILL BE ACCOMPLISHED BY SUBMITTING A LETTER OF INTENT TO NYSDOH TO PARTICIPATE IN GREAT BEGINNINGS, CREATING A LOCAL BREASTFEEDING RESOURCE GUIDE FOR HEALTHCARE PROVIDERS, GARNERING EARNED MEDIA, AND DEVELOPING, ADOPTING, AND IMPLEMENTING POLICIES.MEASURES-PROGRESS TOWARDS THIS OBJECTIVE WILL BE EVALUATED BASED ON THE PERCENTAGE OF WOMEN WHO CONSIDER BREASTFEEDING IN THE PRENATAL PHASE AS WELL AS BY THE NUMBER OF WIC MOTHERS WHO FULLY BREASTFEED AND WHO CONTINUE TO BREASTFEED AFTER RETURNING TO WORK, AND INFANTS WHO GET 1 HOUR OF SKIN-TO-SKIN CONTACT IN THE HOSPITAL. ADDITIONALLY, PROGRESS WILL BE MEASURED BY LOOKING AT THE PROGRESS THAT HAS BEEN MADE FOR FACILITIES SEEKING DESIGNATION AS BABY FRIENDLY.GOAL-CREATE COMMUNITY ENVIRONMENTS THAT PROMOTE AND SUPPORT HEALTHY FOOD AND BEVERAGE CHOICES AND PHYSICAL ACTIVITYTACTICS-DECREASE THE PERCENTAGE OF ADULTS AGES 18 YEARS AND OLDER WHO CONSUME ONE OR MORE SUGARY DRINKS PER DAY. THE 2018 TARGET IS TO DECREASE SUGARY BEVERAGE CONSUMPTION TO 21.8% AMONG THE TARGET POPULATION, A DECREASE FROM THE BASELINE OF 23%. THE GOAL WILL BE ACCOMPLISHED BY CONDUCTING PRESENTATIONS AT SCHOOLS, COMMUNITY SITES, AND BUSINESSES TO INCREASE KNOWLEDGE ABOUT HEALTHY BEVERAGE CHOICES. ADDITIONALLY, TECHNICAL ASSISTANCE WILL BE PROVIDED TO ANY ORGANIZATION OR SCHOOL WANTING TO MAKE CHANGES.INCREASE THE PERCENTAGE OF ADULTS 18 YEARS AND OLDER WHO PARTICIPATE IN LEISURE-TIME PHYSICAL ACTIVITY. THE 2018 TARGET IS TO INCREASE LEISURE TIME PHYSICAL ACTIVITY TO 78.7% AMONG THE TARGET POPULATION, AN INCREASE FROM THE BASELINE OF 73.7%. THE GOAL WILL BE ACCOMPLISHED BY SUPPORTING THE REVITALIZATION OF THE BC WALKS PROGRAM AND WEBSITE, ESTABLISHING JOINT-USE AGREEMENTS WITH SCHOOLS FOR COMMUNITY MEMBERS TO USE THE GYMNASIUMS, AS WELL AS WORKING TO GARNER EARNED MEDIA TO PROMOTE HEALTHY PROGRAMS.MEASURES-TO EVALUATE THIS OBJECTIVE, DATA REGARDING THE NUMBER OF BUILDINGS THAT CHANGE PROCUREMENT AND VENDING POLICIES, ALONG WITH THE CONTENT OF BEVERAGES AVAILABLE FOR SALE WILL BE STUDIED. ATTITUDES AND PERCEPTIONS TOWARDS SUGARY DRINKS WILL ALSO BE TAKEN INTO CONSIDERATION. THE NUMBER OF RESIDENTS PARTICIPATING IN THE BC WALKS PROGRAM WILL BE UTILIZED TO DETERMINE THE PERCENTAGE OF ADULTS PARTICIPATING IN LEISURE TIME PHYSICAL ACTIVITY.3. PREVENT CHRONIC DISEASE:FOCUS AREA: INCREASE ACCESS TO HIGH QUALITY CHRONIC DISEASE PREVENTATIVE CARE AND MANAGEMENT IN BOTH CLINICAL AND COMMUNITY SETTINGSGOAL-INCREASE SCREENING RATES AND TREATMENT FOR CARDIOVASCULAR DISEASE AND DIABETES, ESPECIALLY AMONG DISPARATE POPULATIONS.TACTICS-UNITED HEALTH SERVICES WILL IMPLEMENT STANDARDS OF MEDICAL CARE FOR DIABETES INTO THEIR PRIMARY CARE PRACTICES, TRACK REFERRALS TO THE UHS STAY HEALTHY CENTER, PROVIDE INDIVIDUAL EDUCATION AND GROUP SELF- MANAGEMENT EDUCATION FOR DIABETES, MODIFY THEIR EHRS, AND ADVERTISE THEIR SERVICES.UHS WILL MODIFY ITS EHR, MEET THE SILVER SIX AWARD FOR HEART FAILURE, EDUCATE AND WORK WITH EMTS TO GATHER PRE-HOSPITAL DATA, EXPAND CARDIAC REHAB SERVICES, EVALUATE OUTCOME TRACKING AND COLLABORATE WITH UHS HEALTH HOMES.UHS WILL ALSO TARGET DIABETES EDUCATION SERVICES IN BLACK/AFRICAN AMERICAN COMMUNITIES, PROVIDE FACILITATED ENROLLMENT SITES FOR HEALTH INSURANCE, AND MONITOR PRIMARY CARE DIABETIC SCREENING PRACTICES.MEASURES-PROCESS MEASURES FOR THIS OBJECTIVE INCLUDE THE PERCENTAGE OF PATIENTS WITH DIABETES OR A CARDIOVASCULAR DISEASE, PERCENTAGE OF PATIENTS RECEIVING SCREENINGS FOR CHRONIC ILLNESS, NUMBER OF PATIENTS WITH CHRONIC ILLNESS FOLLOWING UP WITH REFERRAL PROGRAMS, NUMBER OF PATIENTS ATTENDING CHRONIC DISEASE SELF-MANAGEMENT AND EDUCATION CLASSES, AND AN EVALUATION OF RURAL DISEASE MANAGEMENT PROGRAM. OUTCOME MEASURES INCLUDE SCREENING RATES FOR CHRONIC ILLNESS AND AGE-ADJUSTED HOSPITALIZATION RATES FOR CHRONIC ILLNESS-RELATED CONDITIONS. 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%. THE FPG IS NOT USED TO DETERMINE DISCOUNTED CARE ELIGIBILITY. HOWEVER, THE FPG IS USED TO DETERMINE THE PERCENTAGE OF DISCOUNTED CARE A PATIENT WILL RECEIVE. GROUP A-FACILITY 2 -- BINGHAMTON GENERAL HOSPITAL 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 2016-2018 STEERING COMMITTEE.INDIVIDUALS AND COMMUNITY ORGANIZATIONS:BINGHAMTON HOUSING AUTHORITY - ELAINE MILLERBINGHAMTON UNIVERSITY - LEON COSLER, DIANE CREWS, YVONNE JOHNSTON, TITLAYOI OKORORBROOME COUNTY COUNCIL OF CHURCHES - MICHAEL LEAHEYBROOME COUNTY HEALTH DEPARTMENT - MARY MCFADDEN, DR. CHRISTOPHER RYANBROOME COUNTY LEGISLATURE - KIM MYERS, KELLY WILDONERBROOME COUNTY MENTAL HEALTH DEPARTMENT - LYNNE ESQUIVELBROOME COUNTY OFFICE FOR AGING - RITA FLUHARTY, JAMIE KELLYBROOME COUNTY PLANNING DEPARTMENT - STEPHANIE BREWERBROOME TIOGA BOCES - ALAN BUYCKBROOME COUNTY URBAN LEAGUE - JENNIFER LESKOBROOME COUNTY YMCA - AUBREY CARR, ALICE HARPER, GARETH SANSOMCORNERSTONE FAMILY HEALTHCARE - MARIANNE BUCK, KELLY WILDEYEXCELLUS BLUE CROSS BLUE SHIELD - MELISSA KLINKOFAMILY AND CHILDREN'S SOCIETY - LISA HOESCHELEGUTHRIE MEDICAL GROUP, PC - SHAWN KARNEY, HILLARY SAXTON, SHERRY SALISBURYHEALTHLINKNY - ADAM HUGHESMENTAL HEALTH ASSOCIATION OF THE SOUTHERN TIER - KATHY ECKERTMOTHERS AND BABIES PERINATAL NETWORK - CHRISTY FINCHOUR LADY OF LOURDES HOSPITAL - DEBORAH BLAKENEY, LISA BOBBY, CARMEN FRANCAVILLA, WAYNE MITTEER, JEFFREY PENOYERRURAL HEALTH NETWORK OF SCNY - PAM GUTH, EMILY HOTCHKISS, MARY MARUSCAK, JACK SALOSOUTHERN TIER INDEPENDENCE CENTER - SUSAN RUFFSUNY UPSTATE MEDICAL UNIVERSITY CLINICAL CAMPUS AT BINGHAMTON - LENORE BORISTIOGA COUNTY HEALTH DEPARTMENT - REBECCA KAUFMAN, HEATHER MORGANUNITED HEALTH SERVICES HOSPITALS - KAREN BAYER, NICOLLE ADDICOTT, ROBIN KINSLOW-EVANSWEBB CONSULTING - LEA WEBB GROUP A-FACILITY 2 -- BINGHAMTON GENERAL HOSPITAL PART V, SECTION B, LINE 6A: OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. 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 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: THREE YEAR PLAN OF ACTION 1. PROMOTE HEALTHY AND SAFE ENVIRONMENT:FOCUS AREA: INJURIES, VIOLENCE, AND OCCUPATIONAL HEALTHGOAL-DECREASE FALLS THROUGH THE ADOPTION OF EVIDENCE-BASED FALL RISK ASSESSMENT AND PREVENTION PROGRAMS AND COMMUNITY SETTINGSTACTICS-FOURTEEN UHS PRIMARY CARE PRACTICES HAVE BEEN A PILOT SITE FOR A PROGRAM CALLED STEADI (STOPPING ELDERLY ACCIDENTS DEATHS AND INJURIES), WHICH WAS CREATED FOR CLINICIANS IN RESPONSE TO THE LACK OF AWARENESS OF THE AMERICAN AND BRITISH GERIATRICS SOCIETY'S CLINICAL GUIDELINES FOR PREVENTION OF FALLS IN OLDER ADULTS. THE STEADI PROGRAM ENFORCES THE US PREVENTIVE SERVICES TASK FORCE RECOMMENDATIONS FOR FALL RISK ASSESSMENTS AND INVOLVES THE USE OF A CLINICIAN TOOL KIT THAT GUIDES PROVIDERS THROUGH A MULTIFUNCTIONAL FALL RISK ASSESSMENT. UHS WILL EXPAND ITS CURRENT PRACTICES TO THE SURROUNDING COUNTIES OF TIOGA, CHENANGO, AND DELAWARE.IN ADDITION TO THE STEADI PROGRAM, THE CDC ALSO PROMOTES THE USE OF OTAGO. OTAGO IS A HEALTHCARE FALL PREVENTION INTERVENTION THAT PROVIDES PHYSICAL THERAPISTS WITH TRAINING ON INDIVIDUALLY TAILORED, HOME-BASED, STRENGTH AND BALANCE PROGRAMS FOR HIGH RISK INDIVIDUALS 80 YEARS AND OLDER. UHS HOME CARE AND PHYSICAL THERAPY PROGRAMS WILL DEVELOP IMPLEMENTATION PLANS, TRAIN STAFF ON FALL PREVENTION EXERCISES, TRAIN PHYSICAL THERAPISTS TO USE THE OTAGO INTERVENTION, AND FOLLOW UP MONTHLY WITH PT ADMINISTRATION.MEASURES-THE PROCESS MEASURES FOR THESE OBJECTIVES ARE THE IMPLEMENTATION OF FALL RISK ASSESSMENTS AND HOSPITAL-BASED HOME CARE PHYSICAL THERAPY PROGRAMS, THE NUMBER OF PRIMARY CARE AND PHYSICAL THERAPY STAFF TRAINED, THE NUMBER OF MEDICARE PATIENTS SCREENED, THE NUMBER OF AT-RISK PATIENTS WITH A FALL PLAN OF CARE, THE NUMBER OF REFERRALS TO PHYSICAL THERAPY AND COMMUNITY PROGRAMS, AND ASSESSMENT/MONITORING OF PROGRAMS. OUTCOME MEASURES FOR THESE OBJECTIVES INCLUDE THE IMPLEMENTATION OF SCREENING AND PHYSICAL THERAPY PROGRAMS, PERCENT OF OLDER ADULTS SCREENED, PERCENT OF AT-RISK PATIENTS RECEIVING A FALL RISK PLAN OF CARE, AND HOSPITALIZATION RATES DUE TO FALLS.2. PREVENT CHRONIC DISEASE:FOCUS AREA: REDUCE OBESITY IN CHILDREN AND ADULTSGOAL-REDUCE THE PERCENTAGE OF CHILDREN WHO ARE OBESE IN BROOME COUNTYTACTICS-TO ACCOMPLISH A BMI SCREENING RATE OF 69.5% FOR CHILDREN BETWEEN THE AGES OF 3-17, UHS PRIMARY CARE PROVIDERS WILL ENGAGE IN OBESITY PREVENTION MEASURES ON A YEARLY BASIS. THIS WILL INCLUDE EXPANDING THE USE OF EMRS FOR ASSESSING PEDIATRIC BMI SCREENINGS, GENERATING REFERRALS FOR NUTRITION AND PHYSICAL ACTIVITY, AS WELL AS TRAINING PROVIDERS IN ADEQUATE MEASURES TO IDENTIFY, ASSESS, AND TREAT CHILDHOOD OBESITY. MEASURES-PROGRESS TOWARDS THIS OBJECTIVE WILL BE EVALUATED BY THE NUMBER OF PRIMARY CARE PROVIDERS WHO CONDUCT BMI SCREENINGS AND THE PERCENTAGE OF CHILDREN SCREENED WILL ALSO BE MONITORED. ADDITIONALLY, THE PERCENTAGE OF CHILDREN WHO ARE REFERRED FOR NUTRITION AND PHYSICAL ACTIVITY EDUCATION BY A HEALTHCARE PROVIDER WILL BE MONITORED. THIS DATA WILL BE COMPARED TO THE PERCENTAGE OF CHILDREN WHO ARE AT A HEALTHY WEIGHT, OVERWEIGHT, OR OBESE.GOAL-INCREASE BREASTFEEDINGTACTICS-THE 2018 GOALS INCLUDE INCREASING THE BREASTFEEDING RATE TO 71.4% AS WELL AS INCREASING THE BREASTFEEDING FOR 6 MONTHS DURATION RATE TO 27.5% AMONG THE TARGET DEMOGRAPHIC. THIS WILL BE ACCOMPLISHED BY BUILDING ENHANCED SUPPORT SYSTEMS INCLUDING EARLY BREASTFEEDING EDUCATION AND PROMOTION EFFORTS, IN ADDITION TO THE INITIATION OF A PEER COUNSELING PLAN TO ASSIST WITH INITIATION OF BREASTFEEDING AS SOON AS POSSIBLE AFTER BIRTH.MAKE PROGRESS TOWARDS DESIGNATION AS A BABY FRIENDLY HOSPITAL WITH AN INCREASE OF OUTPATIENT PROVIDERS IN THE COMMUNITY ADOPTING BREASTFEEDING POLICIES. THIS WILL BE ACCOMPLISHED BY SUBMITTING A LETTER OF INTENT TO NYSDOH TO PARTICIPATE IN GREAT BEGINNINGS, CREATING A LOCAL BREASTFEEDING RESOURCE GUIDE FOR HEALTHCARE PROVIDERS, GARNERING EARNED MEDIA, AND DEVELOPING, ADOPTING, AND IMPLEMENTING POLICIES.MEASURES-PROGRESS TOWARDS THIS OBJECTIVE WILL BE EVALUATED BASED ON THE PERCENTAGE OF WOMEN WHO CONSIDER BREASTFEEDING IN THE PRENATAL PHASE AS WELL AS BY THE NUMBER OF WIC MOTHERS WHO FULLY BREASTFEED AND WHO CONTINUE TO BREASTFEED AFTER RETURNING TO WORK, AND INFANTS WHO GET 1 HOUR OF SKIN-TO-SKIN CONTACT IN THE HOSPITAL. ADDITIONALLY, PROGRESS WILL BE MEASURED BY LOOKING AT THE PROGRESS THAT HAS BEEN MADE FOR FACILITIES SEEKING DESIGNATION AS BABY FRIENDLY.GOAL-CREATE COMMUNITY ENVIRONMENTS THAT PROMOTE AND SUPPORT HEALTHY FOOD AND BEVERAGE CHOICES AND PHYSICAL ACTIVITYTACTICS-DECREASE THE PERCENTAGE OF ADULTS AGES 18 YEARS AND OLDER WHO CONSUME ONE OR MORE SUGARY DRINKS PER DAY. THE 2018 TARGET IS TO DECREASE SUGARY BEVERAGE CONSUMPTION TO 21.8% AMONG THE TARGET POPULATION, A DECREASE FROM THE BASELINE OF 23%. THE GOAL WILL BE ACCOMPLISHED BY CONDUCTING PRESENTATIONS AT SCHOOLS, COMMUNITY SITES, AND BUSINESSES TO INCREASE KNOWLEDGE ABOUT HEALTHY BEVERAGE CHOICES. ADDITIONALLY, TECHNICAL ASSISTANCE WILL BE PROVIDED TO ANY ORGANIZATION OR SCHOOL WANTING TO MAKE CHANGES.INCREASE THE PERCENTAGE OF ADULTS 18 YEARS AND OLDER WHO PARTICIPATE IN LEISURE-TIME PHYSICAL ACTIVITY. THE 2018 TARGET IS TO INCREASE LEISURE TIME PHYSICAL ACTIVITY TO 78.7% AMONG THE TARGET POPULATION, AN INCREASE FROM THE BASELINE OF 73.7%. THE GOAL WILL BE ACCOMPLISHED BY SUPPORTING THE REVITALIZATION OF THE BC WALKS PROGRAM AND WEBSITE, ESTABLISHING JOINT-USE AGREEMENTS WITH SCHOOLS FOR COMMUNITY MEMBERS TO USE THE GYMNASIUMS, AS WELL AS WORKING TO GARNER EARNED MEDIA TO PROMOTE HEALTHY PROGRAMS.MEASURES-TO EVALUATE THIS OBJECTIVE, DATA REGARDING THE NUMBER OF BUILDINGS THAT CHANGE PROCUREMENT AND VENDING POLICIES, ALONG WITH THE CONTENT OF BEVERAGES AVAILABLE FOR SALE WILL BE STUDIED. ATTITUDES AND PERCEPTIONS TOWARDS SUGARY DRINKS WILL ALSO BE TAKEN INTO CONSIDERATION. THE NUMBER OF RESIDENTS PARTICIPATING IN THE BC WALKS PROGRAM WILL BE UTILIZED TO DETERMINE THE PERCENTAGE OF ADULTS PARTICIPATING IN LEISURE TIME PHYSICAL ACTIVITY.3. PREVENT CHRONIC DISEASE:FOCUS AREA: INCREASE ACCESS TO HIGH QUALITY CHRONIC DISEASE PREVENTATIVE CARE AND MANAGEMENT IN BOTH CLINICAL AND COMMUNITY SETTINGSGOAL-INCREASE SCREENING RATES AND TREATMENT FOR CARDIOVASCULAR DISEASE AND DIABETES, ESPECIALLY AMONG DISPARATE POPULATIONS.TACTICS-UNITED HEALTH SERVICES WILL IMPLEMENT STANDARDS OF MEDICAL CARE FOR DIABETES INTO THEIR PRIMARY CARE PRACTICES, TRACK REFERRALS TO THE UHS STAY HEALTHY CENTER, PROVIDE INDIVIDUAL EDUCATION AND GROUP SELF- MANAGEMENT EDUCATION FOR DIABETES, MODIFY THEIR EHRS, AND ADVERTISE THEIR SERVICES.UHS WILL MODIFY ITS EHR, MEET THE SILVER SIX AWARD FOR HEART FAILURE, EDUCATE AND WORK WITH EMTS TO GATHER PRE-HOSPITAL DATA, EXPAND CARDIAC REHAB SERVICES, EVALUATE OUTCOME TRACKING AND COLLABORATE WITH UHS HEALTH HOMES.UHS WILL ALSO TARGET DIABETES EDUCATION SERVICES IN BLACK/AFRICAN AMERICAN COMMUNITIES, PROVIDE FACILITATED ENROLLMENT SITES FOR HEALTH INSURANCE, AND MONITOR PRIMARY CARE DIABETIC SCREENING PRACTICES.MEASURES-PROCESS MEASURES FOR THIS OBJECTIVE INCLUDE THE PERCENTAGE OF PATIENTS WITH DIABETES OR A CARDIOVASCULAR DISEASE, PERCENTAGE OF PATIENTS RECEIVING SCREENINGS FOR CHRONIC ILLNESS, NUMBER OF PATIENTS WITH CHRONIC ILLNESS FOLLOWING UP WITH REFERRAL PROGRAMS, NUMBER OF PATIENTS ATTENDING CHRONIC DISEASE SELF-MANAGEMENT AND EDUCATION CLASSES, AND AN EVALUATION OF RURAL DISEASE MANAGEMENT PROGRAM. OUTCOME MEASURES INCLUDE SCREENING RATES FOR CHRONIC ILLNESS AND AGE-ADJUSTED HOSPITALIZATION RATES FOR CHRONIC ILLNESS-RELATED CONDITIONS. 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%. THE FPG IS NOT USED TO DETERMINE DISCOUNTED CARE ELIGIBILITY. HOWEVER, THE FPG IS USED TO DETERMINE THE PERCENTAGE OF DISCOUNTED CARE A PATIENT WILL RECEIVE. 22 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 PRIMARY CARE - BINGHAMTON SUMMITT BLDG 33 MITCHELL AVE BINGHAMTON NY 13903 OUTPATIENT PRIMARY CARE CENTER 5 - UHS PRIMARY CAREWALK-IN - ENDICOTT 1302 E MAIN ST ENDICOTT NY 13760 OUTPATIENT PRIMARY CARE CENTER 6 - UHS PRIMARY CARE - JOHNSON CITY 507 MAIN ST JOHNSON CITY NY 13790 OUTPATIENT PRIMARY CARE CENTER 7 - UHS MULTIPLE SPECIALTY CARE CENTERS 4433 VESTAL PARKWAY EAST BINGHAMTON NY 13903 OUTPATIENT SPECIALTY CARE CENTER 8 - UHS DERMATOLOGY 200 FRONT ST VESTAL NY 13850 OUTPATIENT SPECIALTY CARE CENTER 9 - UHS CYBERKNIFE CENTER 22 HARRISON ST JOHNSON CITY NY 13790 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 PART I, LINE 7: UHS HOSPITALS USED THE COST TO CHARGE COSTING METHODOLOGY UTILIZING AMOUNTS FROM OUR 2016 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 THE METHADONE TREATMENT PROGRAM, ALCOHOL REHABILITATION PROGRAM, CHEMICAL DEPENDENCY REHABILITATION PROGRAM, OP MENTAL HEALTH CLINIC, TRANSITIONAL CARE UNIT, REFERRED AMBULATORY SURGERY, AMBULUTORY SURGERY, AND EMERGENCY SERVICES. 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 $15,389,993 IN 2016. 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 HOSPITALS STAY HEALTHY CENTER FOR COMMUNITY HEALTH, LOCATED AT THE OAKDALE MALL IN JOHNSON CITY, NEW YORK COLLABORATES WITH NUMEROUS COMMUNITY AGENCIES AND PROMOTES HEALTHY LIFESTYLES. NURSES AT OUR STAY HEALTHY PROGRAM HANDLE SPECIFIC HEALTH RELATED CALLS, PROVIDE GENERAL HEALTH AND WELLNESS INFORMATION, CUSTOMIZE PHYSICIAN REFERRALS TO MEET PATIENT NEEDS AND OFFER COMMUNITY AND HOSPITAL BASED WELLNESS PROGRAMS. THE PROGRAM INCLUDES: ADULT WELLNESS CLASSES, HEALTHY LIVING RESOURCES, TOBACCO CESSATION AND BC WALKS. SPECIFIC SERVICES INCLUDE: CARE-A-VAN, LACTATION CONSULTANTS, NURSE DIRECT, STAY HEALTHY KIDS, AND STAY HEALTHY MAGAZINE. ADDITIONALLY,CLASSES OFFERED BY STAY HEALTHY INCLUDE A RANGE OF AREAS SUCH AS: BREASTFEEDING, CHILDBIRTH PREPARATION AND PARENTING, CHILDREN'S HEALTH, DIABETES, FITNESS AND EXERCISE, HEALTH AND FITNESS, MEN'S HEALTH, ORTHOPEDICS, RESPIRATORY AND HEART HEALTH, CANCER SURVIVORSHIP, SMOKING CESSATION AND WOMEN'S HEALTH.-THE STAY HEALTHY CENTER ALSO PARTNERS WITH OTHER ORGANIZATIONS TO OFFER COMMUNITY-WIDE ACTIVITIES SUCH AS THE DIABETES HEALTH FAIR, MAKING STRIDES AGAINST BREAST CANCER, SOUTHERN TIER HEART WALK, THE COLOR RUN, STAP MUD GAUNTLET, GREATER BINGHAMTON BRIDGE RUN, STEP OUT, WALK TO STOP DIABETES, UHS PEARLS OF WISDOM AND THE YMCA CORPORATE CHALLENGE.- COMMUNITY HEALTH/OUTREACH PROGRAMS: IN 2016, 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 2016, $1,505,756 WAS SPENT IN DELIVERING THESE PROGRAMS TO COMMUNITY MEMBERS. - SERVING RURAL/UNDERSERVED POPULATIONS: UHS HOSPITALS OPERATES 15 PRIMARY CARE CENTERS, TWO SCHOOL-BASED HEALTH CENTERS, AND A DENTAL CLINIC WHICH PROVIDED ESSENTIAL CARE TO THE UNDERSERVED POPULATION. THE COMBINED 18 SITES HAD 259,576 PATIENT ENCOUNTERS IN 2016. - 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. DURING 2016, UHS HOSPITALS ASSISTED 959 PREGNANT WOMEN WITH ACCESSING MEDICAID SERVICES. - TRANSITIONAL CARE UNIT: THE TRANSITIONAL CARE UNIT AT BINGHAMTON GENERAL HOSPITAL IS A 20 BED, MEDICARE-CERTIFIED, SKILLED NURSING UNIT FOR PATIENTS WHO HAVE PROGRESSED BEYOND HOSPITAL CARE, BUT WHO STILL NEED 24 HOUR SUPERVISION FOR A SHORT PERIOD OF TIME BEFORE RETURNING HOME. THE UNIT WAS ESTABLISHED AS PART OF A THREE YEAR NYS DEMONSTRATION PROJECT.-BRAIN/SPINE TRAUMA CENTER: 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. 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.- 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 2016, UHS HOSPITALS PROVIDED SPONSORSHIP FUNDS TOTALING APPROXIMATELY $53,700 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, BINGHAMTON SENATORS HOCKEY GAMES, JC CAROUSEL DAY AND THE CHRIS THATER RACE. THE COMMUNITY ACTIVITIES COORDINATED BY THE STAY HEALTHY CENTER ALSO RELY ON UHSH EMPLOYEES THAT VOLUNTEER THEIR TIME AT MANY OF THESE EVENTS. -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 2016 THE UHS HOSPITALS EDUCATION PROGRAM SERVED APPROXIMATELY 220 STUDENTS PROVIDING A TOTAL OF $336,078 IN INCENTIVES, INCLUDING, BUT NOT LIMITED TO: THE REGISTERED NURSE EDUCATION INCENTIVE PROGRAM, THE PHARMACY EDUCATION INCENTIVE PROGRAM AND SEVERAL TEACHING DAY PROGRAMS FOR PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS.- UHS FOUNDATION: THE UNITED HEALTH SERVICES 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 2016, CAPITAL CONTRIBUTIONS TO UHS HOSPITALS FROM THE UNITED HEALTH SERVICES FOUNDATION, INC. TOTALED $119,789. THESE FUNDS PURCHASED NEEDED MEDICAL EQUIPMENT THAT OTHERWISE WOULD BE UNAFFORDABLE BY UHS HOSPITALS. 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 DOUBT ACCOUNTS. PLEASE REFER TO PAGE 14 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 2016 ACTUAL BAD DEBT WRITE-OFFS RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE TO THE TOTAL 2016 ACTUAL BAD DEBT WRITE-OFFS. THIS CALCULATION DID NOT INCLUDE ESTIMATES OR ACCRUALS. IN 2016, THE WRITE-OFFS RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WAS APPROXIMATELY 35% 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 13 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 HIGHER PROPORTION OF ELDERLY THAN THE U.S. OR NEW YORK STATE AVERAGES AND HAS AN INCOME LEVEL THAT IS 18% POORER THAN THE U.S. AVERAGE. THEREFORE, UHS HOSPITALS IS SERVICING AT RISK MEDICARE BENEFICIARIES WITH ALL ITS PROGRAMS AND SERVICES. IN ADDITION, DURING 2016 IT PROVIDED OVER $9,910,000 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 2016 MEDICARE 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 REFRAINS FROM SENDING AN ACCOUNT TO COLLECTION AGENCIES IF A COMPLETED FINANCIAL ASSISTANCE APPLICATION AND THE REQUIRED DOCUMENTATION ARE PROVIDED. 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 COMMENDING 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 2016, WE CONTINUED TO FOCUS ON IMPROVING COMMUNITY HEALTH CARE BY LISTENING TO INPUT FROM OVER 20,000 CUSTOMERS AND RESPONDING TO THOSE NEEDS. ALSO, 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 HOSPITAL ASSOCIATION OF NEW YORK STATE (HANYS) WHICH CONTAINS A HEALTH STATUS PROFILER MODULE.- UHSH 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 2016-2018, BROOME COUNTY HEALTH DEPARTMENT- COMMUNITY HEALTH ASSSESSMENT 2016-2018, TIOGA COUNTY HEALTH DEPARTMENT- HEALTHY PEOPLE 2010- ANNUAL ENVIRONMENTAL ASSESSMENT PREPARED BY UHS HOSPITALS MARKET RESEARCH- UHS, INC. (UHS HOSPITALS' PARENT COMPANY) STRATEGIC PLAN: 2017-2020IN 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 2016-2018 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- 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- OUR LADY OF LOURDES HOSPITAL- 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 INPATIENT & OUTPATIENT BILLS. THE TOTAL 2016 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 AND DELAWARE COUNTIES IN ADDITION TO SUSQUEHANNA COUNTY, PA. DEMOGRAPHICALLY, THE SERVICE AREA HAS A POPULATION BASE OF APPROXIMATELY 382,400 PEOPLE. THE REGION HAS A HIGHER PROPORTION OF ELDERLY THAN THE UNITED STATES OR NEW YORK STATE AVERAGES, WITH A MEDIAN INCOME THAT IS 18% POORER THAN THE UNITED STATES AVERAGE. 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 THE 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 327 ACTIVE PHYSICIANS 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 SERVICE ENHANCEMENTS. PART VI, LINE 6: UHS HOSPITALS IS AN IMPORTANT PART OF A LARGER 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 HEALTH CARE 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 THREE GOALS: QUALITY, MARKET GROWTH, AND FINANCIAL STRENGTH. SPECIFIC DESTINATION METRICS OR MEASURES OF SUCCESS WERE 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 SERVICE REPORT CAPTURES THE BENEFITS SPECIFIC TO UHS HOSPITALS. - QUALITY: UHS HOSPITALS HAS FOCUSED ITS RESOURCES AND ENERGY AROUND ACHIEVING DISTINCTION AS A HEALTH CARE SYSTEM IN CLINICAL QUALITY AND PATIENT SAFETY. UHS HOSPITALS IS FOCUSED ON VIGOROUS ASSESSMENT AND IMPROVEMENT OF THE ORGANIZATION'S PERFORMANCE USING KEY PATIENT QUALITY, SAFETY AND SATISFACTION INDICATORS. THE PLAN PLACES A FOCUS IN PARTICULAR ON EMERGENCY ROOM PERFORMANCE, CLOSER INTEGRATION OF NON-ACUTE SERVICES WITH THE HOSPITALS, DEVELOPMENT AND IMPLEMENTATION OF STATE-OF-THE-ART INFORMATION TECHNOLOGY TO SUPPORT INITIATIVES IN PATIENT QUALITY AND SAFETY AND NEW INITIATIVES IN THE RECRUITMENT AND RETENTION OF A QUALITY PHYSICIAN AND ALLIED HEALTHCARE PROVIDER WORKFORCE. THE PLAN ALSO FOCUSES ON PATIENT-CENTERED CARE AND THE BRAND PROMISE OF RESPECT AND ACCOUNTABILITY. THIS GOAL ALIGNS TECHNOLOGY WITH PERFORMANCE STANDARDS TO IMPROVE ACCESS TO BETTER MEET PATIENT NEEDS.- MARKET GROWTH: THIS GOAL AREA ADDRESSES THE KEY ASPECTS OF ALIGNING TECHNOLOGY, PHYSICIAN RESOURCES AND PROGRAMS AROUND THE CLINICAL NEEDS OF THE SERVICE AREA. THE PLAN FOCUSES ATTENTION ON KEY TERTIARY SERVICES AND THE ASSURANCE OF AN ADEQUATE SUPPLY OF PRIMARY CARE AND SPECIALIST PHYSICIANS FOR THE AREA. AT THE SAME TIME, UHS HOSPITALS REMAINS COMMITTED TO MEETING THE COMMUNITY'S BEHAVIORAL HEALTH SERVICE NEEDS.- FINANCIAL STRENGTH: TO ENSURE UHS HOSPITALS HAS THE FINANCIAL CAPACITY TO SUPPORT ITS CLINICAL SERVICE AND GROWTH GOALS, THE STRATEGIC PLAN CALLS ON THE ORGANIZATION TO DEMONSTRATE CONSISTENT PERFORMANCE WITH RESPECT TO BENCHMARKED OPERATING EFFICIENCIES. THIS INCLUDES PARTICIPATING IN 340B INDIGENT CARE PHARMACY PRICING IN ORDER TO SERVE MORE LOW INCOME ELIGIBLE PATIENTS AND PROVIDE MORE COMPREHENSIVE SERVICE. PART VI, LINE 7, REPORTS FILED WITH STATES NY X 1 1 X X X X 0 1 0 0 0 1 1 0 0 MATTHEW SALANGER FACHE, 2ND VICE CHR, CEO 453050 453050 131437 131438 89076 89075 8082 8083 12292 12291 693937 693937 0 0 RAJESH DAVE MD CHIEF MEDICAL OFFICER 417074 104269 99480 24870 8600 2150 12932 3233 13856 3463 551942 137985 0 0 JOHN CARRIGG CHIEF OPERATING OFFICER 232409 232410 55419 55419 0 0 8082 8083 9333 9332 305243 305244 0 0 DAVE MACDOUGALL SR VP OF FINANCE AND SYS 280300 186866 63503 42335 0 0 9699 6466 14645 9763 368147 245430 0 0 KAY BOLAND VP PATIENT CARE SERVICES 153423 153423 29665 29665 0 0 8082 8083 5859 5858 197029 197029 0 0 MICHAEL MCNALLY VP HUMAN RESOURCES 272676 0 51730 0 0 0 16165 0 11447 0 352018 0 0 0 ROBERT MCCARTHY VP FINANCIAL OPERATIONS 109602 27401 31936 7984 0 0 8634 2158 4255 1064 154427 38607 0 0 CHRISTINA BOYD VP COMMUNITY RELATIONS 100294 100294 19770 19770 0 0 7324 7324 11120 11120 138508 138508 0 0 NANCY RONGO VP CARE MANAGEMENT 212056 0 38420 0 0 0 15279 0 16044 0 281799 0 0 0 VARUN REDDY MD NEURO INTERVENTION SURGEON 383216 0 301629 0 0 0 18126 0 8073 0 711044 0 0 0 MITHAQ VAHEDI MD PHYSICIAN 419766 0 115876 0 0 0 18126 0 9011 0 562779 0 0 0 ISKANDAR KASSIS MD DIRECTOR OF OBGYN 518396 0 4000 0 0 0 18126 0 14004 0 554526 0 0 0 VIVIEN FONGUE DO ORTHOPEDIC SURGEON 483846 0 25000 0 0 0 18126 0 16245 0 543217 0 0 0 SRINIVASA MANDAPALLI MD PHYSICIAN 450027 0 27082 0 0 0 18126 0 18733 0 513968 0 0 0 PART I, LINE 1A ANNUAL SOCIAL CLUB DUES PAID FOR MATTHEW SALANGER, WITH NO PORTION TREATED AS TAXABLE COMPENSATION. SOCIAL CLUB MEMBERSHIP SUPPORTS THE FURTHERANCE OF THE EXEMPT DETERMINATION OF ALL UHS ENTITIES INCLUDING UHS HOSPITALS. PART I, LINE 4B ALL THE AMOUNTS LISTED IN SCHEDULE J, PART II, COLUMN B(III) REFLECT PAYMENTS RECEIVED FROM A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN FOR THOSE INDIVIDUALS SHOWN. PART I, LINE 6A, LINE 6B: UHS HOSPITAL'S EXECUTIVE COMPENSATION INCENTIVE PLAN HAS VARIOUS PERFORMANCE MEASURES WHICH INCLUDE ONES FOR CLINICAL EXCELLENCE, SERVICE EXCELLENCE, MARKET GROWTH, AND FINANCIAL STRENGTH. ONE MEASURE UNDER THE FINANCIAL STRENGTH HEADING IS THE COMBINED NET INCOME OF UHS HOSPITALS AND THE SOLE CORPORATE MEMBER, UNITED HEALTH SERVICES, INC. A PORTION OF THE 2016 INCENTIVE COMPENSATION PAYMENT WAS ATTRITUABLE TO MEETING THE COMBINED NET INCOME GOALS. A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 BANKQLFID 2010-12-14 20000000 CONSTRUCTION OF CLINIC BUILDING 0 0 0 B DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 2015-07-28 22900000 CONSTRUCTION OF COMPREHENSIVE ORTHOPEDIC CENTER 0 0 0 A 20000000 400000 19600000 2012 0 0 1 1 B 18601775 161599 682440 17757736 2016 0 0 0 1 A 0 0 0 0 0.03000 0.03000 1 0 1 B 0 0 0 0 1 0 1 A 1 0 0 0 0 0 B 0 1 0 0 1 1 0 0 0 0 0 A 0 B 0 KELLEY MCCARTHY SPOUSE OF OFFICER, ROBERT MCCARTHY 87537 COMPENSATION (WAGES) 0 RICHARD BOLAND SON OF OFFICER, KAY BOLAND 65619 COMPENSATION (WAGES) 0 COLETTE FLOYD SPOUSE OF TRUSTEE, FLOYD FRANK 47493 COMPENSATION (WAGES) 0 FORM 990, PART VI, SECTION A, LINE 6 THE MEMBER OF THE ORGANIZATION IS UNITED HEALTH SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER OF THE ORGANIZATION IS UNITED HEALTH SERVICES, INC. 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, INDEPENDENT AUDITORS AND BY THE UHS HOSPITALS BOARD OF DIRECTORS. 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. 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 AND NONPHYSICIAN FEES: PROGRAM SERVICE EXPENSES 61,838,156. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 61,838,156. FORM 990 PART X, LINE 23 IN ORDER TO BE IN ALIGNMENT WITH THE FASB ACCOUNTING STANDARD UPDATE 2015-3, DEBT ISSUANCE COSTS FOR 2015 WERE RESTATED ON THE AUDITED 2016 FINANCIAL STATEMENTS FROM A DEFERRED CHARGE ASSET TO A LIABILITY AS A DIRECT DEDUCTION FROM THE CARRYING VALUE OF THE ASSOCIATED DEBT LIABILITY. ALTHOUGH, FOR THE PURPOSES OF THE 2016 FORM 990 FILING, THE BALANCE SHEET BEGINNING OF YEAR BALANCES REMAIN CONSISTENT WITH THE 2015 FORM 990 FILINGS. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSETS OF UHS FOUNDATION, INC. 504,881. RETIREMENT PLAN OBLIGATION CHANGES 5,102,108. ACQUISITION OF ECKELBERGER TOWER 904,186. OTHER 227,954. 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. 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) 7 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 -732 1588 0.50000 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0