2015-11-10T10:38:43-06:00 2014-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2014-01-01 161165049 UNITED HEALTH SERVICES HOSPITALS INC UNIT 6077623024 10-42 MITCHELL AVENUE BINGHAMTON NY 13903 MATTHEW J SALANGER PRES/CEO 6077623024 2015-10-30 1 ANGELA M FRANCO P00589741 3154463600 2014 2016-02-25 16:41:14Z MATTHEW J SALANGER 10-42 MITCHELL AVENUE BINGHAMTON NY 13903 569357500 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. 13 12 4680 701 11811 0 3216559 3553277 521521831 543338008 1207556 1397259 25271366 20375623 551217312 568664167 0 0 0 0 255501089 255869657 0 0 0 287302231 312141884 542803320 568011541 8413992 652626 385945442 370938967 227071770 235738658 158873672 135200309 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 163282954 279194388 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 FOR THE YEAR ENDED DECEMBER 31, 2014 TOTALED 106,197, DISCHARGES WERE 18,092 AND AVERAGE LENGTH OF STAY WAS 5.97 DAYS. THERE WERE 1,415 BIRTHS AND 4,704 INPATIENT SURGERIES PERFORMED AT UHS HOSPITALS IN 2014. IN 2014, UHS HOSPITALS GAVE FINANCIAL ASSISTANCE TO APPROXIMATELY 9,633 PATIENT ENCOUNTERS FOR WHICH $2,229,329 OF INPATIENT CARE (AT CHARGES) WAS PROVIDED. 100596388 240688430 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 2014 TOTALED 1,685,651 EXCLUSIVE OF THE CLINIC SERVICES NOTED IN 4C BELOW. INCLUDED IN THE 1,685,651 VISITS WERE 43,171 EMERGENCY ROOM VISITS, 12,152 EMERGENCY ROOM TREATED AND ADMITTED AS ACUTE CARE PATIENTS, 29,283 VARIOUS OUTPATIENT SURGICAL CASES, 150,873 SPECIALTY CARE VISITS AND 105,317 OTHER OUTPATIENT DEPARTMENT VISITS. IN 2014 UHS HOSPITALS GAVE FINANCIAL ASSISTANCE TO APPROXIMATELY 15,090 PATIENT ENCOUNTERS FOR WHICH $2,624,014 OF OUTPATIENT CARE (AT CHARGES) WAS PROVIDED. 26623632 14023753 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) COUNTRY CLUB 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 WOMENS' HEALTH CENTER. TOTAL PATIENT CLINIC VISITS/PHYSICIAN ENCOUNTERS FOR THE UHSH CLINICS AT YEAR-END 2014 TOTALED 251,879 PRIMARY CARE AND 150,873 SPECIALITY CARE VISITS. 202086618 21831837 ALL OTHER - 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, MAKE AVAILABLE WELL-TRAINED HEALTH CARE PROFESSIONALS AND ADVANCED CLINICAL AND MEDICAL PRACTICES. IN 2014, APPROXIMATELY 225 MEDICAL STUDENTS, REGISTERED NURSES, AND PHARMACY STUDENTS BENEFITTED FROM UHS HOSPITALS PROGRAMS. UHS HOSPITALS ALSO PROVIDES PROGRAMS AND SERVICES WHICH EDUCATES 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 2014, APPROXIMATELY 36,000 COMMUNITY MEMBERS WERE SERVED. UHS HOSPITALS INCREASES ACCESS TO HEALTH CARE SERVICES BY OFFERING AN ADVOCACY PROGRAM WHICH HELPS THOSE WITHOUT FINANCIAL RESOURCES TO PAY THEIR HEALTHCARE BILLS. 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 $113,000 IN SPONSORSHIP FUNDS WERE PROVIDED. 202086618 21831837 492589592 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 0 0 0 0 0 0 0 1 0 0 0 1 264 0 1 4680 1 1 1 0 0 0 0 0 0 0 0 0 X 13 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 MICHAEL SCULLARD CHAIR 2.00 X X 0 0 0 DIANA BENDZ IMMEDIATE PAST CHAIR 2.00 X X 0 0 0 BRUCE BOWLING MD 1ST VICE CHAIR 2.00 X X 0 0 0 SUSAN MISTRETTAESQ SECRETARY 2.00 X X 0 0 0 JEROME CANNY BOARD MEMBER 2.00 X 0 0 0 HORATIO DENSON BOARD MEMBER 2.00 X 0 0 0 LINDA BEST BOARD MEMBER 2.00 X 0 0 0 CAROL MILLER MD BOARD MEMBER 2.00 X 0 0 0 JUDITH PECKHAM BOARD MEMBER 2.00 X 0 0 0 FRANK FLOYD MD BOARD MEMBER 2.00 X 0 0 0 JAMES VANVOORST BOARD MEMBER 2.00 X 0 0 0 SEAN BRADY BOARD MEMBER 2.00 X 0 0 0 MATTHEW SALANGER FACHE,2ND VICE CHR., CEO 28.00 27.00 X X 692457 692457 36805 ROBERT G GOMULKA CHIEF FINANCIAL OFFICER (RETIRED OCT14) 33.00 22.00 X 317023 211349 28763 RAJESH DAVE MD CHIEF MEDICAL OFFICER 44.00 11.00 X 478694 119674 31558 JOHN CARRIGG CHIEF OPERATING OFFICER 28.00 27.00 X 258750 258750 36392 KAY BOLAND V.P. PATIENT CARE SERVISES 28.00 27.00 X 160707 160707 35141 MICHAEL MCNALLY V.P. HUMAN RESOURCES 55.00 X 270182 0 24701 MARK MCMANUS V.P. FINANCE 55.00 X 288067 0 29502 CHRISTINA BOYD V.P. COMMUNITY RELATIONS 28.00 27.00 X 107656 107656 31983 NANCY RONGO V.P. CARE MANAGEMENT 55.00 X 201741 0 25758 ROBERT MCCARTHY VP - FINANCIAL OPERATIONS 27.50 27.50 X 106975 106975 21473 DAVE MACDOUGALL SR. VP. OF FINANCE AND SYSTEM CFO 33.00 22.00 X 156309 104206 26250 ISKANDAR KASSIS MD DIRECTOR OF OBGYN 55.00 X 542451 0 23749 PETER RONAN ASSISTANT MEDICAL DIRECTOR ALCOHOLISM 55.00 X 273848 0 18745 OLAYINKA WILHELMMD ENDROCONLOGIST 55.00 X 285303 0 29168 JOHN R CUNNINGHAM MD PHYSICIAN 55.00 X 290777 0 23447 S MANDAPALLI MD PHYSICIAN 55.00 X 257084 0 28671 4688024 1761774 452106 139 0 1 0 SIEMENS MEDICAL SOLUTIONS USA INC PO BOX 959167 ST LOUIS MO 63195 SOFTWARE MAINTENANCE 6595935 PRISM HEALTHCARE PARTNERS LTD 190 SOUTH LA SALLE STREET SUITE 29 CHICAGO IL 60603 CONSULTING 5976596 LABORATORY CORP OF AMERICA HOLDINGS PO BOX 12140 BURLINGTON NC 27216 LAB SERVICES 4596511 LECHASE CONSTRUCTION 205 INDIGO CREEK DRIVE ROCHESTER NY 14626 CONTRACTOR 4057851 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 15251 FOOD SERVICES 3903632 122 2276208 1277069 3553277 OPERATING ROOM 621990 77795585 77795585 LAB CLINICAL-CHEMISTRY 621500 45247148 45247148 PHARMACY 621990 33701166 33701166 CT SCAN 621500 29705111 29705111 CARDIAC CATH LAB 621500 24064930 24064930 332824068 332824068 543338008 1397259 1397259 2903613 693333 2210280 2210280 11811 2198469 SERVICES RENDERED 621990 6328083 6328083 MEANINGFUL USE FUNDING 621990 3349914 3349914 OCCUPATIONAL HEALTH 621300 2722403 2722403 5764943 5764943 18165343 568664167 555738408 11811 9360671 3257674 1303070 1954604 191516806 170356310 21160496 11925462 10607830 1317632 34875687 31457143 3418544 14294028 12714695 1579333 16855910 1204952 15650958 464072 26451 437621 533797 533797 54986389 54986389 37195 31363 5832 5659951 2068279 3591672 6376689 2570160 3806529 11192843 5467349 5725494 759825 581273 178552 1887170 1649386 237784 23244551 20315738 2928813 2838039 2480446 357593 BAD DEBT EXPENSE 43901855 43901855 PURCHASED SERVICES 37631095 29812141 7818954 DRUGS & PHARMACEUTICALS 32128818 32035192 93626 PROSTHESIS EXPENSE 30896169 30896169 42747516 38123401 4624115 568011541 492589592 75421949 0 X 69028721 49382877 59910608 62791553 8875767 9475162 12907194 14429079 526699907 350076469 176660465 176623438 24748993 22787736 26213162 24306566 7600532 11142556 385945442 370938967 69552994 63276809 63577721 56792059 93941055 115669790 227071770 235738658 X 144677312 120839466 10044020 10226001 4152340 4134842 158873672 135200309 385945442 370938967 X 652626 -216596 -24109393 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 26844 26844 0 PART II-B, LINE 1: UHS HOSPITALS HAS LIMITED LOBBYING ACTIVITIES WHICH ARE CONDUCTED ON BEHALF OF THE ORGANIZATION THROUGH MEMBERSHIP IN THE HEALTHCARE ASSOCIATION OF NEW YORK STATE. THESE ACTIVITIES INCLUDE ADVERTISEMENTS AND CONTACTS WITH THE LEGISLATORS ON VARIOUS HEALTH ISSUES. 2436086 255690 120000 9334 2562442 2138980 425841 120000 8735 2436086 2036899 245491 135053 8357 2138980 2080223 84937 120083 8178 2036899 1985769 264023 156640 12929 2080223 0.94210 0.05790 1 0 11685097 11685097 265714707 165669660 100045047 12426512 6038028 6388484 222391176 178368781 44022395 14482415 14482415 176623438 MUTUAL FUNDS @ FMV 3589050 F FUNDED DEPREC INVESTMENTS 5790204 F ENDOWMENT INVESTMENT 2526988 F INVESTMENT-UHS FOUNDATION 12400324 F 24306566 ACCRUED PENSION LIABILITY 81901316 DEFERRED COMPENSATION PAYABLE 3589050 OTHER LIABILITIES 28547189 DUE TO AFFILIATES 1632235 115669790 X 568664167 0 568664167 0 568664167 568011541 0 568011541 0 568011541 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: PART X, LINE 2 : THE HOSPITALS ARE A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3)OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31, 2014 AND 2013, THE HOSPITALS 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 2011 THROUGH 2014. 1 1 X 1 X 1 X 1 1 0 1 1 1794 6289995 6100455 189540 0.00040 80924408 54200588 26723820 0.05100 6451269 2949110 3502159 0.00670 1794 93665672 63250153 30415519 0.05810 8878497 7222061 1656436 0.00320 37046881 23183858 13863023 0.02650 51555 2048895 283826 1765069 0.00340 51555 47974273 30689745 17284528 0.03310 53349 141639945 93939898 47700047 0.09120 112958 112958 0.00020 103 7062 7062 0.00000 65 411615 411615 0.00080 168 531635 531635 0.00100 0 14950205 849813 101597255 103377660 -1780405 X 1 0 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 13 1 1 1 1 X HTTP://WWW.UHS.NET X 1 13 1 HTTP://WWW.UHS.NET 0 0 1 X 200.000000000000 300.000000000000 X X X 1 1 X X X X 1 X 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 2013-2017 STEERING COMMITTEE.INDIVIDUALS AND COMMUNITY ORGANIZATIONS:YVONNE JOHNSTON- BINGHAMTON UNIVERSITY, DECKER SCHOOL OF NURSINGCLAUDIA EDWARDS- BROOME COUNTY HEALTH DEPARTMENTMARY MCFADDEN- BROOME COUNTY HEALTH DEPARTMENTDR. CHRISTOPHER RYAN- BROOME COUNTY HEALTH DEPARTMENTLEIGH ANN SCHEIDER- BROOME COUNTY HEALTH DEPARTMENTANTHONY FIALA- BROOME COUNTY LEGISLATURELYNNE ESQUIVEL- BROOME COUNTY MENTAL HEALTH DEPARTMENTKATHLEEN BUNNELL- BROOME COUNTY OFFICE FOR AGINGDON BOWERSOX- BROOME COUNTY SOCIAL SERVICES DEPARTMENTALAN BUYCK- BROOME TIOGA BOCESDR. JOHN HARDING- COMMUNITY REPRESENTATIVESHARON CHESNA- MOTHERS AND BABIES PERINATAL NETWORKCHRISTY FINCH- MOTHERS AND BABIES PERINATAL NETWORKLISA BOBBY- OUR LADY OF LOURDES HOSPITALDR. HEMANT GUPTA- OUR LADY OF LOURDES HOSPITALCAMERON SOULE- OUR LADY OF LOURDES HOSPITALWAYNE MITTEER- OUR LADY OF LOURDES HOSPITALPAM GUTH- RURAL HEALTH NETWORK OF SCNYLESLIE KANNUS- RURAL HEALTH NETWORK OF SCNYJACK SALO- RURAL HEALTH NETWORK OF SCNYLENORE BORIS- SUNY-B UPSTATE MEDICAL UNIVERSITY CLINICAL CAMPUS KAREN BAYER- UHS HOSPITALSROBIN KINSLOW-EVANS- UHS HOSPITALSPAT WILLIAMS- UHS HOSPITALSNIKKI FRENCH- UNITED WAY OF BROOME COUNTYAMELIA LODOLCE- UNITED WAY OF BROOME COUNTYLEA WEBB- WEBB CONSULTING GROUP A-FACILITY 1 -- WILSON MEMORIAL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6A: CHENANGO MEMORIAL HOSPITAL, DELAWARE VALLEY HOSPITAL 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 DEPARTMENTENTBROOME 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 HEALTHGOVENERMENTAL AND NON-GOVERNMENTAL AGENCIES:BROOME-TIOGA BOCESBOCES FOOD SERVICESOUTHERN TIER HEALTH LINKAMERICAN 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 ACTIONPRIORITY AREA: PROMOTE HEALTHY WOMEN, INFANTS AND CHILDRENFOR BROOME COUNTY, THE PERCENTAGE OF INFANTS WHO WERE FED ANY BREAST MILK IN THE DELIVERY HOSPITAL WAS 74.1% AND WHO WERE EXCLUSIVELY BREASTFED IN THE HOSPITAL WAS 66.1%. THIS LATTER FIGURE WAS HIGHER THAN BOTH NYS (42.5%) AND THE PREVENTION AGENDA 2017 OBJECTIVE OF 48.1%. THE PERCENTAGE OF WIC MOTHERS WHO BREASTFED FOR AT LEAST SIX MONTHS WAS 19.8%, AND BROOME COUNTY WAS SIGNIFICANTLY LOWER THAN NYS (39.7%) AND UPSTATE NY (28.7%) FOR THIS INDICATOR.GOAL: INCREASE BREASTFEEDINGTACTICS:-LABOR AND DELIVERY NURSING STAFF ENCOURAGE SKIN-TO-SKIN CONTACT IMMEDIATELY AFTER BIRTH.-STAY HEALTHY NURSING STAFF CONTACTS ALL MOTHERS UPON 3-5 DAYS OF DISCHARGE AND OFFERS GUIDANCE AND SUPPORT IN ANY BREAST-FEEDING STRATEGIES AND (IF NEEDED) EQUIPMENT RENTAL; FREE LACTATION CONSULTANT MADE AVAILABLE TO ALL MOTHERS.PERFORMANCE ACTIONS AND MEASURES:-TRACK THE NUMBER/PERCENTAGE OF MOTHERS CONTACTED UPON DISCHARGE.-MONITOR DECREASED FORMULA USAGE AT THE POST-PARTUM UNIT.-TRACK ENROLLMENT IN PRE-NATAL CLASSES AND BREASTFEEDING COURSES.-TRACK THE PERCENTAGE OF WOMEN ENROLLED IN THE WIC PROGRAM WHO INITIATE BREASTFEEDING DURING THE FIRST 48 HOURS OF BIRTH.BREASTFEEDING IS A REWARDING AND CHALLENGING CHOICE FOR MOTHERS. UHS STAY HEALTHY HAS REGISTERED NURSES IN NEW YORK WHO ARE LACTATION COUNSELORS OR CONSULTANTS ON STAFF TO ANSWER QUESTIONS AND GET PATIENTS THE NEEDED INFORMATION ON BREASTFEEDING WITH CONFIDENCE. FROM THE PROPER POSITIONING OF A BABY WHILE FEEDING TO DEALING WITH DISCOMFORT AND SORENESS, OUR NURSES ARE TRAINED TO WORK WITH PATIENTS IN A PROFESSIONAL AND UNDERSTANDING MANNER SO THAT THEY ARE ABLE TO BOND WITH THEIR BABY AND RELAX IN THE PROCESS.2014 PROGRESS REPORT-UHS STAY HEALTHY NURSES WORKED IN CONJUNCTION WITH THE BROOME COUNTY-HEALTH DEPARTMENT AND MOTHER'S AND BABIES TO ESTABLISH "BREASTFEEDING FRIENDLY" OFFICE POLICY WITH UHS PERINATAL CENTER.-OUR UHS LACTATION CONSULTANT PROVIDED CONSULTANT SERVICES TO 96 BREASTFEEDING MOTHERS IN 2014.-ADDITIONAL STAY HEALTHY NURSE WAS CERTIFIED AS A "LACTATION COUNSELOR". UHS CONTINUES TO PROVIDE FREE LACTATION SERVICES AT THE STAY HEALTHY CENTER WITH A CERTIFIED INTERNATIONAL LACTATION CONSULTANT. STAY HEALTHY CENTER PROVIDES ON-SITE PRIVATE SPACE FOR BREASTFEEDING MOTHERS AND THEIR BABIES.PRIORITY AREA: PREVENT CHRONIC DISEASEIN BROOME COUNTY, THERE IS AN AVERAGE OF 65 DEATHS PER YEAR DUE TO DIABETES MELLITUS. THE AGE ADJUSTED DIABETES MORTALITY RATE WAS ESTIMATED TO BE 24.4 PER 100,000 POPULATION, AND THIS RATE WAS HIGHER THAN BOTH NYS (16.6 PER 100,000) AND UPSTATE NY (14.9 PER 100,000). AMONG NYS COUNTIES, BROOME COUNTY RANKED IN THE FOURTH QUARTILE FOR DIABETES. THE DIABETES MORTALITY WAS SLIGHTLY LESS THAN THE 65.8 DEATHS PER 100,000 POPULATION OBJECTIVE SET BY HEALTHY PEOPLE 2020. THE AVERAGE NUMBER OF HOSPITALIZATIONS PER YEAR WAS 283 FOR DIABETES AS A PRIMARY (ADMITTING) DIAGNOSIS AND 4,971 FOR ANY DIABETES DIAGNOSTIC CODE ASSOCIATED WITH THE HOSPITALIZATION. THE AGE ADJUSTED HOSPITALIZATION RATE FOR THOSE WITH A PRIMARY (ADMITTING) DIAGNOSIS OF DIABETES WAS 12.9 PER 10,000 POPULATION COMPARED WITH 19.0 PER 10,000 FOR NYS AND 14.3 PER 10,000 FOR UPSTATE NY. THE AGE-ADJUSTED HOSPITALIZATION RATE FOR THOSE WITH ANY DIAGNOSIS OF DIABETES WAS 195.7 PER 10,000 POPULATION FOR BROOME COUNTY COMPARED TO 226.1 PER 10,000 FOR NYS AND 198.2 PER 10,000 FOR UPSTATE NY. IN BOTH OF THESE AREAS (PRIMARY OR ANY DIAGNOSIS OF DIABETES), BROOME COUNTY WAS SIGNIFICANTLY LOWER THAN BOTH NYS AND WAS SIGNIFICANTLY LESS THAN UPSTATE NY FOR HOSPITALIZATIONS WITH DIABETES AS A PRIMARY DIAGNOSIS.GOAL: INCREASE SCREENING RATES FOR DIABETESUHS HAS PROVIDED SPECIALTY SERVICES FOR PEOPLE WITH THE TREATMENT AND MANAGEMENT OF DIABETES IN BINGHAMTON, NORWICH, AND SOUTHERN TIER COMMUNITY FOR OVER 35 YEARS. THE UHS DIABETES AND ENDOCRINOLOGY CENTER TEACHES PATIENT RESPONSIBILITY AND SELF-MANAGEMENT TO HELP THE PERSON WITH DIABETES ACHIEVE AND MAINTAIN OPTIMAL HEALTH. EVERYONE AFFECTED BY DIABETES-PATIENTS, FAMILIES AND FRIENDS-CAN ACQUIRE SKILLS TO SUCCESSFULLY MANAGE THEIR DIABETES. OUR NORWICH, WALTON, AND BINGHAMTON DIABETES TREATMENT PROGRAMS SERVE THE ENTIRE SOUTHERN TIER COMMUNITY AND OFFERS COMPREHENSIVE RESOURCES FOR DIABETICS AND THEIR FAMILIES.TACTICS:-TRACK THE NUMBER OF PATIENTS IDENTIFIED AS HAVING DIABETES OR PRE-DIABETES WHO WILL THEN RECEIVE FOLLOW-UP BY STAY HEALTHY CENTER.-TRACK THE NUMBER AND PERCENTAGE OF ADULTS DIAGNOSED WITH PRE-DIABETES OR TYPE 2 DIABETES WHO THEN ARE REFERRED TO DIABETES SELF-MANAGEMENT TRAINING.-TRACK THE NUMBER OF RURAL RESIDENTS PARTICIPATING IN CHRONIC DISEASE SELF-MANAGEMENT AND THE NUMBER OF PATIENTS RECEIVING DIABETES EDUCATION.PERFORMANCE ACTIONS AND MEASURES:-MONITOR AND TRACK THE DIABETES EDUCATION THAT IS PROVIDED BY CERTIFIED DIABETES EDUCATORS, REGISTERED NURSES AND REGISTERED DIETITIANS [INCLUDE: INDIVIDUAL AND GROUP COUNSELING, INSULIN STARTS, INSTRUCTION ON INJECTABLE DIABETES MEDICATION AND INSULIN PUMP AND CONTINUOUS GLUCOSE MONITORING (CGM) EDUCATION.]-FOR TYPE I DIABETES, ASSIST IN OBTAINING INDIVIDUAL APPOINTMENTS FOR DIABETES EDUCATION.-FOR TYPE 2 DIABETES PRE-DIABETES, RECOMMEND ATTENDANCE OF THE INTRODUCTORY SESSIONS AS WELL AS ASSISTANCE IN MEAL PLANNING AND METER CLASSES (90-120 MINUTES) FOR NEWLY DIAGNOSED OR NO PRIOR EDUCATION AND THE TAKE CONTROL OF YOU R DIABETES CLASS, (90 MINUTE) REFRESHER CLASS FOR THOSE WITH PRIOR EDUCATION.-MONITOR AND EXPAND THE COMPREHENSIVE DIABETES SELF-MANAGEMENT EDUCATION PROGRAMS ON NUTRITION, MEAL PLANNING AND CARBOHYDRATE COUNTING, BLOOD GLUCOSE MONITORING, PREVENTION OF COMPLICATIONS/DECREASING RISKS ASSOCIATED WITH DIABETES, INCREASED PHYSICAL ACTIVITY, DIABETES DISEASE PROCESS AND TREATMENT OPTIONS AND LIVING WITH DIABETES.2014 PROGRESS REPORT-CERTIFIED DIABETES NURSE EDUCATORS PROVIDED INDIVIDUAL AND GROUP COUNSELING TO 1,265 PATIENTS. THIS INCLUDES INDIVIDUAL SESSIONS, MEAL PLANNING, METER CLASS, AND INCORPORATING NUTRITIONAL MANAGEMENT INTO LIFESTYLE.-ACTUAL VISITS TO PHYSICIAN PROVIDERS TOTALED 8,637 DURING 2014.-THE ON-GOING DIABETES SELF-MANAGEMENT EDUCATION PROGRAM WHICH IS SCHEDULED ONCE A MONTH PROVIDES EDUCATION ON NUTRITION, MEAL PLANNING AND CARBOHYDRATE COUNTING, BLOOD GLUCOSE MONITORING, PREVENTION OF COMPLICATIONS/DECREASING RISKS ASSOCIATED WITH DIABETES, PHYSICAL ACTIVITY, DIABETES DISEASE PROCESS AND TREATMENT OPTIONS, AND LIVING WITH DIABETES.GOAL: INCREASE SCREENING RATES FOR CARDIOVASCULAR DISEASETHROUGH UHS WILSON MEDICAL CENTER, PATIENTS HAVE ACCESS TO THE REGION'S LARGEST AND MOST COMPREHENSIVE ARRAY OF CARDIAC SERVICES, AS WELL AS A DEDICATED AND HIGHLY SKILLED TEAM OF HEART SPECIALISTS. THESE SPECIALISTS HAVE BEEN ON THE LEADING EDGE OF DISEASE PREVENTION, DIAGNOSIS, TREATMENT, RESEARCH AND REHABILITATION, AND ARE JOINED BY STAFFS OF HEALTH CARE PROFESSIONALS WHO ARE EQUALLY TALENTED AND DETERMINED TO PROVIDING THE VERY BEST CARE TO EVERY CARDIAC PATIENT WHO WALKS THROUGH OUR DOORS. WITH LOCATIONS IN BINGHAMTON, NORWICH, WALTON AND JOHNSON CITY, OUR HEART CARE SPECIALISTS SERVE THE ENTIRE NEW YORK SOUTHERN TIER.TACTICS:-MEASURE THE NUMBER/PERCENTAGE OF ADULTS WITH HYPERTENSION WHOSE BLOOD PRESSURE IS CONTROLLED (< 140/90); NUMBER/PERCENTAGE OF BLACK/AFRICAN AMERICAN ADULTS WITH HYPERTENSION WHOSE BLOOD PRESSURE IS CONTROLLED (<140/90); THE NUMBER/PERCENTAGE OF PATIENTS RECEIVING EDUCATION RELATED TO HYPERTENSION, WEIGHT LOSS; MEDICAL COMPLIANCE.-EVALUATE RURAL DISEASE MANAGEMENT PROGRAMS INCLUDING BARRIERS AND ISSUES AND EFFECTIVENESS OF STRATEGIES THAT ARE USED.PERFORMANCE ACTIONS AND MEASURES:-MEASURE THE PERCENTAGE OF HEALTH PLAN MEMBERS AGES 18-85 YEARS, WITH HYPERTENSION WHO HAVE CONTROLLED THEIR BLOOD PRESSURE (<140/90). TRACK DATA AMONG MEDICAID MANAGED CARE AND AMONG BLACK/AFRICAN AMERICAN ADULTS.-IN 2013, UHSH STAY HEALTHY PROVIDED 11,400 FREE BLOOD PRESSURE SCREENINGS TO THE PUBLIC. CONTINUE TO OFFER AND EXPAND THIS SERVICE TO RURAL POPULATIONS THROUGH ESTABLISHED COMMUNITY EVENT PARTICIPATION.2014 PROGRESS REPORT-UHS STAY HEALTHY NURSES FOLLOWED UP ON ALL INPATIENTS AND OUTPATIENTS THAT WERE REFERRED TO THE CHF DISEASE MANAGEMENT PROGRAM. OVER 1200 PHONE CALLS TO PATIENTS OCCURRED TO REVIEW PATIENT'S UNDERSTANDING OF DIET, EXERCISE PLAN, SYMPTOMS, MEDICATIONS, ETC.-IN THE 4TH QUARTER, A CARDIAC NURSE NAVIGATOR WAS HIRED TO MEET "FACE TO FACE" WITH CHF PATIENTS IN THE HOSPITAL, OR AT HOME, TO REVIEW PATIENT CARE PLAN, DISCHARGE INSTRUCTIONS, MEDICATIONS, DIET, EXERCISE, ETC. THE NAVIGATOR FOLLOWS THE PATIENT FOR SEVERAL WEEKS OR MONTHS AS NEEDED, TO MONITOR PATIENT'S PROGRESS AND UNDERSTANDING OF INSTRUCTIONS AND CONDITION. OVER 200 PATIENTS WERE CONTACTED BY NAVIGATOR.GOAL: INCREASE ACCESS TO COMPREHENSIVE ARRAY OF CANCER SERVICESEACH YEAR AN ESTIMATED 1,287 PEOPLE ARE DIAGNOSED WITH CANCER, AND IT IS RESPONSIBLE FOR 445 DEATHS PER YEAR IN BROOME COUNTY. INCIDENCE AND MORTALITY IS SOMEWHAT HIGHER F GROUP A-FACILITY 1 -- WILSON MEMORIAL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 22D: UHS HOSPITALS WILL PROVIDE A 50% REDUCTION FROM ITS "HIGHEST" VOLUME PAYER FOR INCOMES BETWEEN 201%-250% OF FEDERAL POVERTY LEVELS. 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 2013-2017 STEERING COMMITTEE.INDIVIDUALS AND COMMUNITY ORGANIZATIONS:YVONNE JOHNSTON- BINGHAMTON UNIVERSITY, DECKER SCHOOL OF NURSINGCLAUDIA EDWARDS- BROOME COUNTY HEALTH DEPARTMENTMARY MCFADDEN- BROOME COUNTY HEALTH DEPARTMENTDR. CHRISTOPHER RYAN- BROOME COUNTY HEALTH DEPARTMENTLEIGH ANN SCHEIDER- BROOME COUNTY HEALTH DEPARTMENTANTHONY FIALA- BROOME COUNTY LEGISLATURELYNNE ESQUIVEL- BROOME COUNTY MENTAL HEALTH DEPARTMENTKATHLEEN BUNNELL- BROOME COUNTY OFFICE FOR AGINGDON BOWERSOX- BROOME COUNTY SOCIAL SERVICES DEPARTMENTALAN BUYCK- BROOME TIOGA BOCESDR. JOHN HARDING- COMMUNITY REPRESENTATIVESHARON CHESNA- MOTHERS AND BABIES PERINATAL NETWORKCHRISTY FINCH- MOTHERS AND BABIES PERINATAL NETWORKLISA BOBBY- OUR LADY OF LOURDES HOSPITALDR. HEMANT GUPTA- OUR LADY OF LOURDES HOSPITALCAMERON SOULE- OUR LADY OF LOURDES HOSPITALWAYNE MITTEER- OUR LADY OF LOURDES HOSPITALPAM GUTH- RURAL HEALTH NETWORK OF SCNYLESLIE KANNUS- RURAL HEALTH NETWORK OF SCNYJACK SALO- RURAL HEALTH NETWORK OF SCNYLENORE BORIS- SUNY-B UPSTATE MEDICAL UNIVERSITY CLINICAL CAMPUS KAREN BAYER- UHS HOSPITALSROBIN KINSLOW-EVANS- UHS HOSPITALSPAT WILLIAMS- UHS HOSPITALSNIKKI FRENCH- UNITED WAY OF BROOME COUNTYAMELIA LODOLCE- UNITED WAY OF BROOME COUNTYLEA WEBB- WEBB CONSULTING GROUP A-FACILITY 2 -- BINGHAMTON GENERAL HOSPITAL PART V, SECTION B, LINE 6A: CHENANGO MEMORIAL HOSPITAL, DELAWARE VALLEY HOSPITAL 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 DEPARTMENTENTBROOME 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 HEALTHGOVENERMENTAL AND NON-GOVERNMENTAL AGENCIES:BROOME-TIOGA BOCESBOCES FOOD SERVICESOUTHERN TIER HEALTH LINKAMERICAN 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 2 -- BINGHAMTON GENERAL HOSPITAL PART V, SECTION B, LINE 11: THREE YEAR PLAN OF ACTIONPRIORITY AREA: PROMOTE HEALTHY WOMEN, INFANTS AND CHILDRENFOR BROOME COUNTY, THE PERCENTAGE OF INFANTS WHO WERE FED ANY BREAST MILK IN THE DELIVERY HOSPITAL WAS 74.1% AND WHO WERE EXCLUSIVELY BREASTFED IN THE HOSPITAL WAS 66.1%. THIS LATTER FIGURE WAS HIGHER THAN BOTH NYS (42.5%) AND THE PREVENTION AGENDA 2017 OBJECTIVE OF 48.1%. THE PERCENTAGE OF WIC MOTHERS WHO BREASTFED FOR AT LEAST SIX MONTHS WAS 19.8%, AND BROOME COUNTY WAS SIGNIFICANTLY LOWER THAN NYS (39.7%) AND UPSTATE NY (28.7%) FOR THIS INDICATOR.GOAL: INCREASE BREASTFEEDINGTACTICS:-LABOR AND DELIVERY NURSING STAFF ENCOURAGE SKIN-TO-SKIN CONTACT IMMEDIATELY AFTER BIRTH.-STAY HEALTHY NURSING STAFF CONTACTS ALL MOTHERS UPON 3-5 DAYS OF DISCHARGE AND OFFERS GUIDANCE AND SUPPORT IN ANY BREAST-FEEDING STRATEGIES AND (IF NEEDED) EQUIPMENT RENTAL; FREE LACTATION CONSULTANT MADE AVAILABLE TO ALL MOTHERS.PERFORMANCE ACTIONS AND MEASURES:-TRACK THE NUMBER/PERCENTAGE OF MOTHERS CONTACTED UPON DISCHARGE.-MONITOR DECREASED FORMULA USAGE AT THE POST-PARTUM UNIT.-TRACK ENROLLMENT IN PRE-NATAL CLASSES AND BREASTFEEDING COURSES.-TRACK THE PERCENTAGE OF WOMEN ENROLLED IN THE WIC PROGRAM WHO INITIATE BREASTFEEDING DURING THE FIRST 48 HOURS OF BIRTH.BREASTFEEDING IS A REWARDING AND CHALLENGING CHOICE FOR MOTHERS. UHS STAY HEALTHY HAS REGISTERED NURSES IN NEW YORK WHO ARE LACTATION COUNSELORS OR CONSULTANTS ON STAFF TO ANSWER QUESTIONS AND GET PATIENTS THE NEEDED INFORMATION ON BREASTFEEDING WITH CONFIDENCE. FROM THE PROPER POSITIONING OF A BABY WHILE FEEDING TO DEALING WITH DISCOMFORT AND SORENESS, OUR NURSES ARE TRAINED TO WORK WITH PATIENTS IN A PROFESSIONAL AND UNDERSTANDING MANNER SO THAT THEY ARE ABLE TO BOND WITH THEIR BABY AND RELAX IN THE PROCESS.2014 PROGRESS REPORT-UHS STAY HEALTHY NURSES WORKED IN CONJUNCTION WITH THE BROOME COUNTY-HEALTH DEPARTMENT AND MOTHER'S AND BABIES TO ESTABLISH "BREASTFEEDING FRIENDLY" OFFICE POLICY WITH UHS PERINATAL CENTER.-OUR UHS LACTATION CONSULTANT PROVIDED CONSULTANT SERVICES TO 96 BREASTFEEDING MOTHERS IN 2014.-ADDITIONAL STAY HEALTHY NURSE WAS CERTIFIED AS A "LACTATION COUNSELOR". UHS CONTINUES TO PROVIDE FREE LACTATION SERVICES AT THE STAY HEALTHY CENTER WITH A CERTIFIED INTERNATIONAL LACTATION CONSULTANT. STAY HEALTHY CENTER PROVIDES ON-SITE PRIVATE SPACE FOR BREASTFEEDING MOTHERS AND THEIR BABIES.PRIORITY AREA: PREVENT CHRONIC DISEASEIN BROOME COUNTY, THERE IS AN AVERAGE OF 65 DEATHS PER YEAR DUE TO DIABETES MELLITUS. THE AGE ADJUSTED DIABETES MORTALITY RATE WAS ESTIMATED TO BE 24.4 PER 100,000 POPULATION, AND THIS RATE WAS HIGHER THAN BOTH NYS (16.6 PER 100,000) AND UPSTATE NY (14.9 PER 100,000). AMONG NYS COUNTIES, BROOME COUNTY RANKED IN THE FOURTH QUARTILE FOR DIABETES. THE DIABETES MORTALITY WAS SLIGHTLY LESS THAN THE 65.8 DEATHS PER 100,000 POPULATION OBJECTIVE SET BY HEALTHY PEOPLE 2020. THE AVERAGE NUMBER OF HOSPITALIZATIONS PER YEAR WAS 283 FOR DIABETES AS A PRIMARY (ADMITTING) DIAGNOSIS AND 4,971 FOR ANY DIABETES DIAGNOSTIC CODE ASSOCIATED WITH THE HOSPITALIZATION. THE AGE ADJUSTED HOSPITALIZATION RATE FOR THOSE WITH A PRIMARY (ADMITTING) DIAGNOSIS OF DIABETES WAS 12.9 PER 10,000 POPULATION COMPARED WITH 19.0 PER 10,000 FOR NYS AND 14.3 PER 10,000 FOR UPSTATE NY. THE AGE-ADJUSTED HOSPITALIZATION RATE FOR THOSE WITH ANY DIAGNOSIS OF DIABETES WAS 195.7 PER 10,000 POPULATION FOR BROOME COUNTY COMPARED TO 226.1 PER 10,000 FOR NYS AND 198.2 PER 10,000 FOR UPSTATE NY. IN BOTH OF THESE AREAS (PRIMARY OR ANY DIAGNOSIS OF DIABETES), BROOME COUNTY WAS SIGNIFICANTLY LOWER THAN BOTH NYS AND WAS SIGNIFICANTLY LESS THAN UPSTATE NY FOR HOSPITALIZATIONS WITH DIABETES AS A PRIMARY DIAGNOSIS.GOAL: INCREASE SCREENING RATES FOR DIABETESUHS HAS PROVIDED SPECIALTY SERVICES FOR PEOPLE WITH THE TREATMENT AND MANAGEMENT OF DIABETES IN BINGHAMTON, NORWICH, AND SOUTHERN TIER COMMUNITY FOR OVER 35 YEARS. THE UHS DIABETES AND ENDOCRINOLOGY CENTER TEACHES PATIENT RESPONSIBILITY AND SELF-MANAGEMENT TO HELP THE PERSON WITH DIABETES ACHIEVE AND MAINTAIN OPTIMAL HEALTH. EVERYONE AFFECTED BY DIABETES-PATIENTS, FAMILIES AND FRIENDS-CAN ACQUIRE SKILLS TO SUCCESSFULLY MANAGE THEIR DIABETES. OUR NORWICH, WALTON, AND BINGHAMTON DIABETES TREATMENT PROGRAMS SERVE THE ENTIRE SOUTHERN TIER COMMUNITY AND OFFERS COMPREHENSIVE RESOURCES FOR DIABETICS AND THEIR FAMILIES.TACTICS:-TRACK THE NUMBER OF PATIENTS IDENTIFIED AS HAVING DIABETES OR PRE-DIABETES WHO WILL THEN RECEIVE FOLLOW-UP BY STAY HEALTHY CENTER.-TRACK THE NUMBER AND PERCENTAGE OF ADULTS DIAGNOSED WITH PRE-DIABETES OR TYPE 2 DIABETES WHO THEN ARE REFERRED TO DIABETES SELF-MANAGEMENT TRAINING.-TRACK THE NUMBER OF RURAL RESIDENTS PARTICIPATING IN CHRONIC DISEASE SELF-MANAGEMENT AND THE NUMBER OF PATIENTS RECEIVING DIABETES EDUCATION.PERFORMANCE ACTIONS AND MEASURES:-MONITOR AND TRACK THE DIABETES EDUCATION THAT IS PROVIDED BY CERTIFIED DIABETES EDUCATORS, REGISTERED NURSES AND REGISTERED DIETITIANS [INCLUDE: INDIVIDUAL AND GROUP COUNSELING, INSULIN STARTS, INSTRUCTION ON INJECTABLE DIABETES MEDICATION AND INSULIN PUMP AND CONTINUOUS GLUCOSE MONITORING (CGM) EDUCATION.]-FOR TYPE I DIABETES, ASSIST IN OBTAINING INDIVIDUAL APPOINTMENTS FOR DIABETES EDUCATION.-FOR TYPE 2 DIABETES PRE-DIABETES, RECOMMEND ATTENDANCE OF THE INTRODUCTORY SESSIONS AS WELL AS ASSISTANCE IN MEAL PLANNING AND METER CLASSES (90-120 MINUTES) FOR NEWLY DIAGNOSED OR NO PRIOR EDUCATION AND THE TAKE CONTROL OF YOU R DIABETES CLASS, (90 MINUTE) REFRESHER CLASS FOR THOSE WITH PRIOR EDUCATION.-MONITOR AND EXPAND THE COMPREHENSIVE DIABETES SELF-MANAGEMENT EDUCATION PROGRAMS ON NUTRITION, MEAL PLANNING AND CARBOHYDRATE COUNTING, BLOOD GLUCOSE MONITORING, PREVENTION OF COMPLICATIONS/DECREASING RISKS ASSOCIATED WITH DIABETES, INCREASED PHYSICAL ACTIVITY, DIABETES DISEASE PROCESS AND TREATMENT OPTIONS AND LIVING WITH DIABETES.2014 PROGRESS REPORT-CERTIFIED DIABETES NURSE EDUCATORS PROVIDED INDIVIDUAL AND GROUP COUNSELING TO 1,265 PATIENTS. THIS INCLUDES INDIVIDUAL SESSIONS, MEAL PLANNING, METER CLASS, AND INCORPORATING NUTRITIONAL MANAGEMENT INTO LIFESTYLE.-ACTUAL VISITS TO PHYSICIAN PROVIDERS TOTALED 8,637 DURING 2014.-THE ON-GOING DIABETES SELF-MANAGEMENT EDUCATION PROGRAM WHICH IS SCHEDULED ONCE A MONTH PROVIDES EDUCATION ON NUTRITION, MEAL PLANNING AND CARBOHYDRATE COUNTING, BLOOD GLUCOSE MONITORING, PREVENTION OF COMPLICATIONS/DECREASING RISKS ASSOCIATED WITH DIABETES, PHYSICAL ACTIVITY, DIABETES DISEASE PROCESS AND TREATMENT OPTIONS, AND LIVING WITH DIABETES.GOAL: INCREASE SCREENING RATES FOR CARDIOVASCULAR DISEASETHROUGH UHS WILSON MEDICAL CENTER, PATIENTS HAVE ACCESS TO THE REGION'S LARGEST AND MOST COMPREHENSIVE ARRAY OF CARDIAC SERVICES, AS WELL AS A DEDICATED AND HIGHLY SKILLED TEAM OF HEART SPECIALISTS. THESE SPECIALISTS HAVE BEEN ON THE LEADING EDGE OF DISEASE PREVENTION, DIAGNOSIS, TREATMENT, RESEARCH AND REHABILITATION, AND ARE JOINED BY STAFFS OF HEALTH CARE PROFESSIONALS WHO ARE EQUALLY TALENTED AND DETERMINED TO PROVIDING THE VERY BEST CARE TO EVERY CARDIAC PATIENT WHO WALKS THROUGH OUR DOORS. WITH LOCATIONS IN BINGHAMTON, NORWICH, WALTON AND JOHNSON CITY, OUR HEART CARE SPECIALISTS SERVE THE ENTIRE NEW YORK SOUTHERN TIER.TACTICS:-MEASURE THE NUMBER/PERCENTAGE OF ADULTS WITH HYPERTENSION WHOSE BLOOD PRESSURE IS CONTROLLED (< 140/90); NUMBER/PERCENTAGE OF BLACK/AFRICAN AMERICAN ADULTS WITH HYPERTENSION WHOSE BLOOD PRESSURE IS CONTROLLED (<140/90); THE NUMBER/PERCENTAGE OF PATIENTS RECEIVING EDUCATION RELATED TO HYPERTENSION, WEIGHT LOSS; MEDICAL COMPLIANCE.-EVALUATE RURAL DISEASE MANAGEMENT PROGRAMS INCLUDING BARRIERS AND ISSUES AND EFFECTIVENESS OF STRATEGIES THAT ARE USED.PERFORMANCE ACTIONS AND MEASURES:-MEASURE THE PERCENTAGE OF HEALTH PLAN MEMBERS AGES 18-85 YEARS, WITH HYPERTENSION WHO HAVE CONTROLLED THEIR BLOOD PRESSURE (<140/90). TRACK DATA AMONG MEDICAID MANAGED CARE AND AMONG BLACK/AFRICAN AMERICAN ADULTS.-IN 2013, UHSH STAY HEALTHY PROVIDED 11,400 FREE BLOOD PRESSURE SCREENINGS TO THE PUBLIC. CONTINUE TO OFFER AND EXPAND THIS SERVICE TO RURAL POPULATIONS THROUGH ESTABLISHED COMMUNITY EVENT PARTICIPATION.2014 PROGRESS REPORT-UHS STAY HEALTHY NURSES FOLLOWED UP ON ALL INPATIENTS AND OUTPATIENTS THAT WERE REFERRED TO THE CHF DISEASE MANAGEMENT PROGRAM. OVER 1200 PHONE CALLS TO PATIENTS OCCURRED TO REVIEW PATIENT'S UNDERSTANDING OF DIET, EXERCISE PLAN, SYMPTOMS, MEDICATIONS, ETC.-IN THE 4TH QUARTER, A CARDIAC NURSE NAVIGATOR WAS HIRED TO MEET "FACE TO FACE" WITH CHF PATIENTS IN THE HOSPITAL, OR AT HOME, TO REVIEW PATIENT CARE PLAN, DISCHARGE INSTRUCTIONS, MEDICATIONS, DIET, EXERCISE, ETC. THE NAVIGATOR FOLLOWS THE PATIENT FOR SEVERAL WEEKS OR MONTHS AS NEEDED, TO MONITOR PATIENT'S PROGRESS AND UNDERSTANDING OF INSTRUCTIONS AND CONDITION. OVER 200 PATIENTS WERE CONTACTED BY NAVIGATOR.GOAL: INCREASE ACCESS TO COMPREHENSIVE ARRAY OF CANCER SERVICESEACH YEAR AN ESTIMATED 1,287 PEOPLE ARE DIAGNOSED WITH CANCER, AND IT IS RESPONSIBLE FOR 445 DEATHS PER YEAR IN BROOME COUNTY. INCIDENCE AND MORTALITY IS SOMEWHAT HIGHER F GROUP A-FACILITY 2 -- BINGHAMTON GENERAL HOSPITAL PART V, SECTION B, LINE 22D: UHS HOSPITALS WILL PROVIDE A 50% REDUCTION FROM ITS "HIGHEST" VOLUME PAYER FOR INCOMES BETWEEN 201%-250% OF FEDERAL POVERTY LEVELS. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 16A WEBSITE: HTTP://WWW.UHS.NET FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 16B WEBSITE: HTTP://WWW.UHS.NET FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 16C WEBSITE: HTTP://WWW.UHS.NET 26 UHS WALK-INMULTIPLE SPECIALTY CARE 4417 VESTAL PARKWAY EAST VESTAL NY 13850 OUTPATIENT PRIMARY CARE CENTER WILSON PLACE AMBUL CARE CENTER 52 HARRISON ST JOHNSON CITY NY 13790 OUTPATIENT SPECIALTY CARE CENTER WILSON SQUARE MULT SPEC CARE CTRS 30 HARRISON ST JOHNSON CITY NY 13790 OUTPATIENT SPECIALTY CARE CENTER BINGHAMTON CARE CENTER - INT MED SUMMITT BLDG 33 MITCHELL AVE BINGHAMTON NY 13903 OUTPATIENT PRIMARY CARE CENTER UHS MULTIPLE SPECIALTY CARE CENTERS 65 PENNSYLVANIA AVE BINGHAMTON NY 13903 OUTPATIENT SPECIALTY CARE CENTER UHS PHYSICAL THERAPY 4401 VESTAL PARKWAY EAST VESTAL NY 13850 OUTPATIENT SPECIALTY CARE CENTER ENDICOTT FAMILY CARE CENTER - WALK INPT 1302 E MAIN ST ENDICOTT NY 13760 OUTPATIENT PRIMARY CARE CENTER JOHNSON CITY FAMILY CARE CENTER 40 ARCH ST WILSON HOSPITAL JOHNSON CITY NY 13790 OUTPATIENT PRIMARY CARE CENTER CYBERKNIFE CENTER OF NEW YORK 22 HARRISON ST JOHNSON CITY NY 13790 OUTPATIENT SPECIALTY CARE CENTER SUMMIT ORTHOPEDICS CLINIC 33 MITCHELL AVE BINGHAMTON NY 13903 OUTPATIENT SPECIALTY CARE CENTER UPPER FRONT ST INT MED & FAM PRAC 1290 UPPER FRONT ST BINGHAMTON NY 13901 OUTPATIENT PRIMARY CARE CENTER ENDWELL PULMONARY & INTERNAL MEDICINE 800 HOOPER RD ENDWELL NY 13760 OUTPATIENT PRIMARY CARE CENTER VESTAL DERMATOLOGY CLINIC 200 FRONT ST VESTAL NY 13850 OUTPATIENT SPECIALTY CARE CENTER UHS MULTIPLE SPECIALTY CARE CENTERS 93 PENNSYLVANIA AVE BINGHAMTON NY 13903 OUTPATIENT SPECIALTY CARE CENTER GREENE FAMILY CARE CENTER 15 BIRDSALL ST GREENE NY 13778 OUTPATIENT PRIMARY CARE CENTER DEPOSIT FAMILY CARE CENTER 53 PINE ST DEPOSIT NY 13754 OUTPATIENT PRIMARY CARE CENTER WINDSOR FAMILY CARE CENTER 5 COLLEGE AVE WINDSOR NY 13865 OUTPATIENT PRIMARY CARE CENTER CANDOR FAMILY CARE CENTER 54 MAIN ST CANDOR NY 13743 OUTPATIENT PRIMARY CARE CENTER OWEGO FAMILY CARE CENTER 42 W MAIN ST OWEGO NY 13827 OUTPATIENT PRIMARY CARE CENTER JOHNSON CITY INTERNAL MEDICINE 507 MAIN ST JOHNSON CITY NY 13790 OUTPATIENT PRIMARY CARE CENTER NORTHERN TIOGA FAMILY CARE CENTER 119 WHIG ST NEWARK VALLEY NY 13811 OUTPATIENT PRIMARY CARE CENTER CLINTON STREET FAMILY CARE CENTER 142 CLINTON ST BINGHAMTON NY 13905 OUTPATIENT PRIMARY CARE CENTER BENJAMIN FRANKLIN SCHOOL-BASED CLINIC 262 CONKLIN AVE BINGHAMTON NY 13903 OUTPATIENT SPECIALTY CARE CENTER THEO ROOSEVELT SCHOOL-BASED CLINIC 9 OGDEN ST BINGHAMTON NY 13901 OUTPATIENT SPECIALTY CARE CENTER UHSH MULTIPLE SPECIALTY CARE CENTERS 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 OUTPATIENT SPECIALTY CARE CENTER BINGHAMTON PEDIATRIC CENTER 10-42 MITCHELL AVE BINGHAMTON NY 13903 OUTPATIENT PRIMARY CARE CENTER PART I, LINE 7: THE ORGANIZATION,UHS HOSPITALS, HAS USED THE COST TO CHARGE COSTING METHODOLOGY UTILIZING AMOUNTS FROM OUR 2014 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 WE USED EXHIBIT A, CMS - 2552. 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 O/P MENTAL HEALTH CLINIC, METHADONE TREATMENT PROGRAM, THE ALCOHOL REHABILITATION PROGRAM, THE TRANSITIONAL CARE UNIT, EMERGENCY SERVICES, AND CANCER TREATMENT 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 $43,901,855 IN 2014. 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, STAY HEALTHY MAGAZINE, 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 2014, 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 2014, $1,348,274 WAS SPENT IN DELIVERING THESE PROGRAMS TO 50,324 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 251,879 PATIENT ENCOUNTERS IN 2014.- 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 HAVE 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 2014, UHS HOSPITALS ASSISTED 672 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 2014, UHS HOSPITALS PROVIDED SPONSORSHIP FUNDS TOTALING APPROXIMATELY $113,000 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 UHS HOSPITALS 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 METS 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 UHS HOSPITALS 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 2014 THE UHS HOSPITALS EDUCATION PROGRAM SERVED APPROXIMATELY 225 STUDENTS PROVIDING A TOTAL OF $411,615 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 2014, CAPITAL CONTRIBUTIONS TO UHS HOSPITALS FROM THE UNITED HEALTH SERVICES FOUNDATION, INC. TOTALED $771,426. THESE FUNDS PURCHASED NEEDED MEDICAL EQUIPMENT THAT OTHERWISE WOULD BE UNAFFORDABLE BY UHS HOSPITALS. PART III, LINE 4: THE ORGANIZATION'S COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON PART III, SECTION A, NUMBERS 2 AND 3 IS THE RATIO OF PATIENT CARE COSTS TO CHARGES (SEE BELOW FOR GREATER DETAIL).PART III, SECTION A - #2 - THE COST OF BAD DEBTS IS COMPUTED BY APPLYING THE OVERALL RATIO OF PATIENT COST TO CHARGES TO THE TOTAL BAD DEBT EXPENSE. PART III, SECTION A - #3 - THE CHARITY CARE BAD DEBT IS DERIVED BY COMPUTING THE CHARGES SUBJECT TO COLLECTION WHICH IS THE DIFFERENCE BETWEEN THE TOTAL CHARGES AND ALLOWANCES. THIS AMOUNT IS DIVIDED BY UHS HOSPITALS' TOTAL GROSS CHARGES RESULTING IN THE CHARITY PERCENT WHICH IS APPLIED TO THE TOTAL COST OF BAD DEBTS. 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 19% POORER THAN THE U.S. AVERAGE. THEREFORE, UHS HOSPITALS IS SERVICING AT RISK MEDICARE BENEFICIARIES WITH ALL ITS PROGRAMS AND SERVICES. IN ADDITION, IT PROVIDES OVER $4,000,000 OF FINANCIAL ASSISTANCE AND RELATED PROGRAMS TO ITS PATIENTS, MANY OF WHOM ARE MEDICARE BENEFICIARIES. UHS HOSPITALS USES THE COST TO CHARGE COSTING METHODOLOGY UTILIZING AMOUNTS FROM OUR 2014 MEDICARE COST REPORT FOR ALL PERTINENT CALCULATIONS IN PART III, LINE 6. PART III, LINE 9B: UHS HOSPITALS' POLICY CLEARLY STATES "FORWARDING A CLAIM TO A COLLECTION AGENCY WHILE FINANCIAL ASSISTANCE IS BEING DETERMINED IS PROHIBITED." AFTER PATIENTS' REQUESTS FOR FINANCIAL ASSISTANCE ARE APPROVED THE ORGANIZATION WILL PROVIDE THEM WITH THE SAME LEVEL OF FINANCIAL ASSISTANCE FOR 6 MONTHS AT WHICH TIME ANOTHER EVALUATION OF THE PATIENT'S FINANCIAL CONDITION WILL BE MADE. PART VI, LINE 2: UHS HOSPITALS USES COMMUNITY SPECIFIC DATA FROM MULTIPLE SOURCES TO UNDERSTAND THE HEALTH CARE NEEDS OF OUR AREA RESIDENTS. DURING 2014, 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)- UHS HOSPITALS-SPONSORED PRIMARY MARKET RESEARCH STUDIES, INCLUDING A CONSUMER PERCEPTION SURVEY CONDUCTED BY PRC.- MARKET EXPERT SOFTWARE FROM THE HOSPITAL 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.UHS 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 2013-2016, BROOME COUNTY HEALTH DEPARTMENT- COMMUNITY HEALTH ASSSESSMENT 2013-2016, TIOGA COUNTY HEALTH DEPARTMENT- HEALTHY PEOPLE 2010- ANNUAL ENVIRONMENTAL ASSESSMENT PREPARED BY UHS HOSPITALS MARKET RESEARCH- UHS, INC. (OUR PARENT COMPANY) STRATEGIC PLAN - 2014-2016IN 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 2013-2015 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 2014 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 2013 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 2014 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, AND DELAWARE COUNTIES IN ADDITION TO SUSQUEHANNA COUNTY, PA. DEMOGRAPHICALLY, THE SERVICE AREA HAS A POPULATION BASE OF APPROXIMATELY 383,500 PEOPLE. THE REGION HAS A HIGHER PROPORTION OF ELDERLY THAN THE UNITED STATES OR NEW YORK STATE AVERAGES, WITH A MEDIAN INCOME THAT IS 15% 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 400 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. IN 2010, THE UHS SYSTEM ENGAGED IN A STRATEGIC PLANNING PROCESS FOR THE YEARS 2011-2014. 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: CLINICAL EXCELLENCE, MARKET GROWTH, SERVICE EXCELLENCE 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. - CLINICAL EXCELLENCE: UHS HOSPITALS HAS FOCUSED ITS RESOURCES AND ENERGY AROUND ACHIEVING DISTINCTION AS A HEALTH 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.- SERVICE EXCELLENCE: ADDRESSES DELIVERING ON THE UHS HOSPITALS BRAND PROMISE OF A MEANINGFULLY BETTER PATIENT EXPERIENCE. THE PLAN FOCUSES ON PATIENT-CENTERED CARE AND THE BRAND PROMISE OF RESPECT AND ACCOUNTABILITY. THIS GOAL ALIGNS TECHNOLOGY WITH PERFORMANCE STANDARDS TO IMPROVE ACCESS TO BETTER MEET PATIENT NEEDS.- MARKET GROWTH: THIS GOAL AREA ADDRESSES THE KEY ASPECTS OF ALIGNING TECHNOLOGY, PHYSICIAN RESOURCES AND PROGRAMS AROUND THE CLINICAL NEEDS OF THE SERVICE AREA. THE PLAN FOCUSES ATTENTION ON KEY TERTIARY SERVICES AND THE ASSURANCE OF AN ADEQUATE SUPPLY OF PRIMARY CARE AND SPECIALIST PHYSICIANS FOR THE AREA. AT THE SAME TIME, UHS HOSPITALS REMAINS COMMITTED TO MEETING THE COMMUNITY'S BEHAVIORAL HEALTH SERVICES 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: UHS HOSPITALS FILES THE COMMUNITY BENEFIT REPORT WITH NEW YORK STATE PART VI, LINE 7, REPORTS FILED WITH STATES NY 1 X X X X X 0 1 0 0 0 1 1 0 0 MATTHEW SALANGER FACHE,2ND VICE CHR., CEO 612364 612364 71234 71234 8859 8859 7140 7140 11263 11262 710860 710859 0 0 ROBERT G GOMULKA CHIEF FINANCIAL OFFICER (RETIRED OCT 282833 188556 34190 22793 0 0 8568 5712 8690 5793 334281 222854 0 0 RAJESH DAVE MD CHIEF MEDICAL OFFICER 413219 103305 53912 13478 11563 2891 11424 2856 13822 3456 503940 125986 0 0 JOHN CARRIGG CHIEF OPERATING OFFICER 229288 229288 29462 29462 0 0 7140 7140 11056 11056 276946 276946 0 0 KAY BOLAND V.P. PATIENT CARE SERVISES 145274 145274 15433 15433 0 0 7140 7140 10431 10430 178278 178277 0 0 MICHAEL MCNALLY V.P. HUMAN RESOURCES 244410 0 25772 0 0 0 14280 0 10421 0 294883 0 0 0 MARK MCMANUS V.P. FINANCE 261341 0 26726 0 0 0 14280 0 15222 0 317569 0 0 0 CHRISTINA BOYD V.P. COMMUNITY RELATIONS 96943 96943 10713 10713 0 0 6029 6029 9962 9963 123647 123648 0 0 NANCY RONGO V.P. CARE MANAGEMENT 181708 0 20033 0 0 0 11297 0 14461 0 227499 0 0 0 ROBERT MCCARTHY VP - FINANCIAL OPERATIONS 96469 96469 10506 10506 0 0 5991 5990 4746 4746 117712 117711 0 0 DAVE MACDOUGALL SR. VP. OF FINANCE AND SYSTEM CFO 156309 104206 0 0 0 0 8568 5712 7182 4788 172059 114706 0 0 ISKANDAR KASSIS MD DIRECTOR OF OBGYN 538451 0 4000 0 0 0 11144 0 12605 0 566200 0 0 0 PETER RONAN ASSISTANT MEDICAL DIRECTOR ALCOHOLIS 273848 0 0 0 0 0 11145 0 7600 0 292593 0 0 0 OLAYINKA WILHELMMD ENDROCONLOGIST 279054 0 4711 0 1538 0 11145 0 18023 0 314471 0 0 0 JOHN R CUNNINGHAM MD PHYSICIAN 290777 0 0 0 0 0 11144 0 12303 0 314224 0 0 0 S MANDAPALLI MD PHYSICIAN 210816 0 20258 0 26010 0 11144 0 17527 0 285755 0 0 0 PART I, QUESTION 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, QUESTIONS 6A, 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 HOSPITAL AND UNITED MEDICAL ASSOCIATES, P.C.. A PORTION OF THE 2014 INCENTIVE COMPENSATION PAYMENT WAS ATTRIBUTABLE TO THE TWO COMPANIES MEETING THE COMBINED NET INCOME GOALS. A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 SEEPTFIVE 2009-09-02 28880000 REFINANCE OF OLD ISSUE 0 0 0 B DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 BANKQLFID 2010-12-14 20000000 CONSTRUCTION OF CLINIC BUIDING 0 0 0 A 28800000 2923000 33442927 1238999 1990 1 0 1 1 B 20000000 400000 19600000 2012 0 0 1 1 A 0 0 1 1 0 0.03140 0.03140 1 0 1 B 0 0 0 0 1 0 1 A 1 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 A 0 B 0 PART II, PROCEEDS, COLUMN A DURING 2009, THE BONDS DISCLOSED IN COLUMN A WERE REFINANCED, THE SERIES 1989 BONDS WERE REFUNDED AND SERIES 2009 BONDS WERE ISSUED IN THE AMOUNT OF $28,800,000. PART III QUESTION #4 THE PRIVATE USE FINANCING PERCENTAGE WAS DETERMINED BY BOND COUNSEL ON THE 2009 TAX CERTIFICATE WITH MINIMAL CHANGE IN USAGE SINCE THAT POINT IN TIME. 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 11 THE 990 PREPARATION AND FILING IS THE RESPONSIBILITY OF THE UNITED HEALTH SERVICES HOSPITALS, INC. (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 HOSPITAL 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 ITS 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 X, BALANCE SHEET THE BEGINNING BALANCES OF THE BALANCE SHEET DO NOT MATCH THE 2013 COLUMN OF OUR AUDITED FINANCIAL STATEMENTS DUE TO A RECLASSIFICATION OF TWO ACCOUNTS IN 2013 AND 2014. THE ACCOUNT BLUE CROSS CURRENT FIN ADVANCE WAS RECLASSIFIED FROM AN ASSET TO A LIABILITY AND ACCRUAL NYS SURCHARGE WAS RECLASSIFIED FROM A LIABILITY TO AN ASSET ACCOUNT. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSETS OF UHS FOUNDATION, INC. 965,906. RETIREMENT PLAN OBLIGATION CHANGES -25,075,299. FORM 990 PART XII LINE 2C NEITHER THE PROCESS FOR THE OVERSIGHT OF THE AUDIT OR 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) 9 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) 9 UNITED HEALTH SERVICES INC 0 PROFESSIONAL HOME CARE INC 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 161261977 HOME HEALTH CARE NY 501(C)(3) 9 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 ECKELBERGER TOWER INC 156 CORLISS AVENUE JOHNSON CITY NY 13790 237171440 MEDICAL STUDENT HOUSING NY 501(C)(3) 9 BOARD OF DIRECTORS UHS HOSPITALS 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 -703 3551 0.50000 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0