2015-11-13T15:50:57-06:00 2014-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2014-01-01 150584188 NEWARK-WAYNE COMMUNITY HOSPITAL NEWA 3153322456 PO BOX 111 NEWARK NY 14513 THOMAS R CRILLY CFO 3153322456 2015-11-11 1 ANGELA M FRANCO P00589741 3154463600 2014 2016-04-25 22:37:26Z X ERIC J BIEBER MD 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 123864781 0 X WWW.ROCHESTERGENERAL.ORG X 1952 NY TO OPERATE AN INPATIENT AND OUTPATIENT HOSPITAL, CLINICS AND TREATMENT CENTERS FOR THE DELIVERY OF ACUTE MEDICAL, SURGICAL AND PREVENTATIVE HEALTH CARE SERVICES. 14 13 1160 216 0 0 653468 845838 95710287 99070768 3289727 1883788 2760556 2130599 102414038 103930993 0 0 0 0 51181557 53082078 0 0 0 41929278 43670928 93110835 96753006 9303203 7177987 102850647 116672951 60197230 68037259 42653417 48635692 X SEE SCHEDULE O 0 1 78495521 100822133 THE ORGANIZATION HAS 2 COMPONENTS; 1) A TAX EXEMPT HOSPITAL THAT PROVIDES INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO ROCHESTER AND THE SURROUNDING COMMUNITY AND 2) THE DEMAY NURSING HOME WHICH IS A 180 SKILLED NURSING FACILITY OFFERING 24 HOUR NURSING CARE, VENTILATOR DEPENDENT CARE AND SPECIALIZED CARE FOR INDIVIDUALS IN THE EARLY AND MID STAGES OF ALZHEIMER'S AND OTHER COGNITIVE DISORDERS OF AGING. SEE SCHEDULE H FOR CHARITY CARE DETAIL.DURING 2014, THE HOSPITAL PROVIDED 612,351 OUTPATIENT VISITS, 22,830 INPATIENT DAYS, AND HAD 771 BIRTHS. THE DEMAY NURSING HOME PROVIDED 9,985 ADULT DAY CARE DAYS AND 63,033 PATIENT DAYS. 78495521 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 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 1 1 0 0 1 81 0 1 1160 1 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 1 0 1 0 1 1 1 0 0 0 1 1 1 1 1 1 1 1 1 NY X HUGH CHISHOLM 5859221221 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 DANIEL MEYERS DIRECTOR 1.00 1.00 X 0 0 0 GAIL BEDELL TREASURER 1.00 1.00 X 0 0 0 ERIC BIEBER MD CEO 5.00 50.00 X X 7097 94283 189014 HARVEY FOWLER DIRECTOR 1.00 1.00 X 0 0 0 JAMES HOFFMAN DIRECTOR 1.00 1.00 X 0 0 0 JAMES PRAINO DIRECTOR 1.00 1.00 X 0 0 0 JEFFREY LEENHOUTS DIRECTOR 1.00 1.00 X 0 0 0 MARGARET CHURCHILL SECRETARY 1.00 1.00 X 0 0 0 MARYSUE NAPOLEON DIRECTOR 1.00 1.00 X 0 0 0 MICHAEL JANKOWSKI DIRECTOR 1.00 1.00 X 0 0 0 PAUL JOHNSON DIRECTOR 1.00 1.00 X 0 0 0 ROBERT HUTTEMAN DIRECTOR 1.00 1.00 X 0 0 0 SCOTT HEALY CHAIRMAN 1.00 1.00 X 0 0 0 STEVE TAYLOR VICE CHAIR 1.00 1.00 X 0 0 0 MARK CLEMENT CEO (UNTIL 11/30/14) 0.00 55.00 X 161664 3071608 2090584 THOMAS R CRILLY CFO 5.00 50.00 X 25704 616881 60281 WARREN HERN CEO (UNTIL 11/30/14) 0.00 55.00 X 0 1069997 6420216 ROBERT NESSELBUSH COO 5.00 50.00 X 135996 1375078 86315 HUGH THOMAS CAO 5.00 50.00 X 101440 1166560 70527 MICHAEL CUNNINGHAM PHYSICIAN 40.00 0.00 X 358433 0 6543 EVE WILLIAMS PHYSICIAN 40.00 0.00 X 358119 0 4744 JAMES SYRETT PHYSICIAN 40.00 0.00 X 354082 0 500 CYNTHIA MARTINEZ-CAPOLINO PHYSICIAN 40.00 0.00 X 337573 0 4164 BRIAN LAUX PHYSICIAN 40.00 0.00 X 288026 0 4085 2128134 7394407 8936973 8 0 1 0 MEDICAL STAFFING NETWORK PO BOX 203000 DALLAS TX 75320 AGENCY SERVICES 676398 DGA BUILDERS 1170 PITTSFORD VICTOR RD PITTSFORD NY 14534 CONSTRUCTION SERVICES 489063 ALLIANCE HEALTHCARE SERVICES PO BOX 6600 NEWPORT BEACH CA 92658 HEALTHCARE SERVICES 404458 FINGER LAKES BONE AND JOINT 875 PRE-EMPTION ROAD GENEVA NY 14456 HEALTHCARE SERVICES 385000 GUARDSMARK LLC PO BOX 11407 BIRMINGHAM AL 35246 AGENCY SERVICES 288438 10 405000 440838 845838 NET PATIENT REVENUE 621110 99070768 99070768 99070768 942532 942532 244183 0 244183 244183 244183 20870174 4870 19841741 92047 1028433 -87177 941256 941256 MEANINGFUL USE FUNDS 900099 1245026 1245026 ALL OTHER REVENUE 900099 506339 506339 CAFETERIA SALES 722310 135051 135051 1886416 103930993 100822133 0 2263022 X 565482 465956 99526 42052561 33244916 8807645 2051122 1622437 428685 5721515 4525718 1195797 2691398 2128896 562502 211404 211404 15000 15000 11290 11290 12522233 9905086 2617147 49719 39328 10391 3507926 2774769 733157 207283 163961 43322 1370096 1083746 286350 139000 109949 29051 607578 480594 126984 1545386 1545386 4172353 3300331 872022 615560 615560 MEDICAL SUPPLIES 13728882 13728882 BAD DEBT EXPENSE 3467453 3467453 LICENSES AND TAXES 1453499 1453499 DUES AND SUBSCRIPTIONS 46266 46266 96753006 78495521 18257485 0 23360601 11544934 4592312 4518375 9193842 7797214 1401283 1603282 1356436 1231037 93657533 61327439 31303342 32330094 10658956 33868146 20983875 23779869 102850647 116672951 6617994 6911249 16790000 15235000 36789236 45891010 60197230 68037259 X 39406866 45991485 2844236 2241892 402315 402315 42653417 48635692 102850647 116672951 X 7177987 -986631 -209081 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 11290 0 0 0 11290 0 PART II-B, LINE 1: THE AMOUNT REFLECTED ON PART II-B, LINE 1F REPRESENTS THE PORTION OF DUES PAID TO HEALTH CARE ASSOCIATION OF NYS AND THE AMERICAN HOSPITAL ASSOCIATION THAT ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. 402315 402315 401999 316 402315 401999 401999 401999 401999 400249 1750 401999 1.00000 0 0 1042770 1042770 56915546 45356960 11558586 34307198 15970479 18336719 1392019 1392019 32330094 CUSTODIAL ACCOUNT 85402 ESTIMATED 3RD PARTY RECEIVABLE 3245059 INTEREST IN ASSETS OF FOUNDATIONS 7526207 OTHER INVESTMENTS 806956 INSURANCE RECOVERIES RECEIVABLE 10973486 UNAMORTIZED MORTGAGE COSTS 653983 DUE FROM AFFILIATES 488776 23779869 CUSTODIAL ACCOUNTS 85402 ESTIMATED 3RD PARTY PAYABLES 19316179 DUE TO AFFILIATES 9945232 ACCRUED SELF-INSURED LIABILITIES 16544197 45891010 103930993 0 103930993 0 103930993 96753006 0 96753006 0 96753006 PART V, LINE 4: INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS INCLUDE: 1) CAPITAL EXPANSION 2) THE ADVANCEMENT OF MEDICAL EDUCATION AND RESEARCH AND HEALTH CARE SERVICES 1 1 X 1 X 1 X 1 1 1 0 1 1 2281651 1982045 299606 0.00320 29258430 29210565 47865 0.00050 752624 570901 181723 0.00190 32292705 31763511 529194 0.00560 23860906 17973924 5886982 0.06310 23860906 17973924 5886982 0.06310 56153611 49737435 6416176 0.06870 1 3467453 2281651 13183913 16732112 -3548199 X 1 1 1 NW ASSOCIATES LP LEASING 0.52570 0.07430 0.40000 1 1 NEWARK-WAYNE COMMUNITY HOSPITAL 1200 DRIVING PARK AVENUE NEWARK NY 14513 X X X X X NEWARK-WAYNE COMMUNITY HOSPITAL 1 0 0 1 X X X X X X X X X 13 1 0 1 1 X WWW.ROCHESTERREGIONAL.ORG X 1 13 1 WWW.ROCHESTERREGIONAL.ORG 0 0 1 X 200.000000000000 400.000000000000 1 1 X X X X 1 X X X X X X X X 1 0 1 X 0 0 NEWARK-WAYNE COMMUNITY HOSPITAL PART V, SECTION B, LINE 5: IDENTIFIED WITHIN REPORT NEWARK-WAYNE COMMUNITY HOSPITAL PART V, SECTION B, LINE 11: THERE WERE NEEDS IDENTIFIED IN THE CHNA THAT WERE NOT ADDRESSED DUE TO RESOURCE CONSTRAINTS. NEWARK-WAYNE COMMUNITY HOSPITAL PART V, SECTION B, LINE 16I: ALSO LOCATED IN OUTPATIENT SETTINGS AND LAB DEPOTS. NEWARK-WAYNE COMMUNITY HOSPITAL PART V, SECTION B, LINE 22D: WE BILL ACTUAL CHARGES, LESS 30% DISCOUNT, PLUS 9.63% NYS SURCHARGE PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY NEWARK-WAYNE COMMUNITY HOSPITAL PART V, SECTION B, LINE 16A WEBSITE: WWW.ROCHESTERREGIONAL.ORG NEWARK-WAYNE COMMUNITY HOSPITAL PART V, SECTION B, LINE 16B WEBSITE: WWW.ROCHESTERREGIONAL.ORG NEWARK-WAYNE COMMUNITY HOSPITAL PART V, SECTION B, LINE 16C WEBSITE: WWW.ROCHESTERREGIONAL.ORG 4 DEMAY LIVING CENTER 100 SUNSET DRIVE NEWARK NY 14513 SKILLED NURSING FACILITY MYERS LAB 6692 MIDDLE ROAD SUITE 1100 SODUS NY 14551 LABORATORY NEWARK HOSPITAL LAB 1200 DRIVING PARK AVENUE NEWARK NY 14513 LABORATORY WILLIAMSON LAB 4425 OLD RIDGE ROAD WILLIAMSON NY 14589 LABORATORY PART I, LINE 7: THE COSTING METHODOLOGY USED WAS FROM THE HOSPITAL'S ICR UTILIZING BOTH EXHIBIT 46 AND THE COST TO CHARGE RATIO ON EXHIBIT 49. THE HOSPITALS MEDICARE COST REPORT WAS USED FOR LINE 7F, WHICH UTILIZES WORKSHEET B, PART I. PART I, LINE 7G: N/A - NO PHYSICIAN CLINIC COSTS WERE INCLUDED IN LINE 7G AMOUNTS. PART I, LN 7 COL(F): TOTAL EXPENSE ON FORM 990, PART IX, LINE 25, COLUMN (A) IS $96,753,006.THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $3,467,453. AFTER BAD DEBT WAS DEDUCTED FROM TOTAL EXPENSES THE AMOUNT OF TOTAL EXPENSES USED TO CALCULATE THE PERCENT IN LINE 7, COLUMN (F) WAS $93,285,553. PART I, LINE 7E: DURING 2014 THE FILING ORGANIZATION (NWH) SPONSORED THE FOLLOWING EVENTS AND ACTIVITIES TO PROMOTE COMMUNITY HEALTH IMPROVEMENT THAT MEET THE DEFINITION FOR DISCLOSURE ON SCHEDULE H, PART I, LINE 7E (COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS). HOWEVER, COMMUNITY BENEFIT EXPENSE AND DIRECT OFFSETTING REVENUE WERE NOT SEPARATELY TRACKED IN THE ORGANIZATION'S ACCOUNTING RECORDS. AS A RESULT, NO AMOUNTS HAVE BEEN INCLUDED ON SCHEDULE H, PART I, LINE 7E.NEWARK WAYNE COMMUNITY HOSPITAL SPRING FESTSPRING FEST OFFERED COMMUNITY MEMBERS MANY HEALTH AND SAFETY RELATED SERVICES INCLUDING: FREE FITTING OF BIKE HELMETS TO OVER 300 CHILDREN; CHILDREN'S CAR SEAT SAFETY CHECKS; A BIKE RODEO TO TEACH CHILDREN ABOUT BIKE SAFETY; BLOOD PRESSURE AND GLUCOSE SCREENS; AND INFORMATION ON MANY HEALTH-RELATED TOPICS FROM NWCH AND PARTNER HEALTH AGENCIES FROM AROUND WAYNE COUNTY.ADDITIONAL WAYNE COUNTY COMMUNITY EVENTS:ST. MICHAEL'S/LYONS CENTRAL SCHOOL HEALTH FAIRNEWARK SCHOOL CAREER DAYSFLCC SCHOLARSHIP SUPPORT FOR RN PROGRAMSPRING FEST HEALTH FAIRCOPD EDUCATION WAYNE COUNTY FAIR HEALTH BOOTHCARDIAC REHAB EDUCATIONPER NYSDOH PREVENTION AGENDA PROGRAMS AND PROJECTS:- LOCATED AT NEWARK-WAYNE COMMUNITY HOSPITAL, WAYNE COUNTY RURAL HEALTH NETWORK (WCRHN) IS NOW PROVIDING AN INTEGRATED WELLNESS AND WEIGHT LOSS AND WEIGHT MANAGEMENT PROGRAM CALLED "THE GOOD LIFE" WITH A SERIES OF 8 CLASSES OFFERED IN 2014 TO 10 PEOPLE.- THE WAYNE COUNTY RURAL HEALTH NETWORK PROVIDES DIABETES EDUCATION TOOLKITS TO PROVIDER OFFICES.- NEWARK-WAYNE COMMUNITY HOSPITAL PARTICIPATES IN THE MOLST COLLABORATIVE AT NEWARK-WAYNE, OFFERING COMMUNITY EDUCATION AND OUTREACH ABOUT ADVANCED DIRECTIVES, DNR, AND HEALTH CARE PROXIES FOR WAYNE COUNTY (N=15).- WCRHN OFFERS FREE CERTIFICATION TRAINING CLASSES FOR MENTAL HEALTH FIRST AID; TOTAL OF 10 CLASSES OFFERED IN 2014 TO 200 PEOPLE.- WCRHN DISCOUNT RX CARD PROVIDED COVERAGE FOR 3,001 RXS FOR PEOPLE WITHOUT INSURANCE AT A TOTAL COST SAVINGS OF $71,872 IN 2014.- CHILDREN'S HEALTH FAIRS AT CLYDE (SEPTEMBER 6, 2014), MARION (JUNE 6, 2014), AND HOLIDAY HEALTH FAIR IN LYONS (DECEMBER 6, 2014) FOR MORE THAN 725 CHILDREN AND FAMILIES.- SUBSIDIZED DENTAL SERVICES THROUGH SLIDING SCALE SUPPORT AT FINGER LAKES COMMUNITY HEALTH.- PROVIDED SUPPORT FOR RN SCHOLARSHIP PROGRAM AT FLCC.- PROVIDED SITES AND ADVERTISING SUPPORT FOR FACILITATED ENROLLERS AND CERTIFIED APPLICATION COUNSELORS.- PROVIDED SITE FOR MH COUNSELING TO TAKE PLACE IN NORTHERN PART OF WAYNE COUNTY.- PROVIDED SPECIAL OUTREACH EVENTS FOR CANCER SCREENINGS AND COLORECTAL SCREENINGS THROUGH THE CANCER SERVICES PROGRAM.- BREAST FEEDING SUMMIT ON AUGUST 22, 2014 IN NEWARK, NY TO INCREASE BREAST FEEDING RATES IN WAYNE COUNTY. - SENIOR EXPO AT LYONS, NY ON SEPTEMBER 23, 2014. INFORMATION WAS PROVIDED ON MANY HEALTH TOPICS FOR SENIORS INCLUDING OBESITY AND DISEASE PREVENTION (DIABETES, HEART, STROKE AND MORE)- WAYNE COUNT WORKSITE WELLNESS COALITION AND LEARNING COLLABORATIVE TO EDUCATE EMPLOYERS IN WAYNE COUNTY ABOUT HOW TO DEVELOP A WORKSITE WELLNESS PROGRAMS, SHARE AVAILABLE RESOURCES, AND DEVELOP A LOCALLY AVAILABLE TOOLKIT AND WEBSITE PAGE (QUARTERLY MEETINGS AT NWCH).- CANCER SERVICES PROGRAM AT NWCH OFFERED FREE PAP TESTS, MAMMOGRAMS, FIT TEST, AND COLONOSCOPIES TO 271 PATIENTS IN 2014. PART III, LINE 4: IN 2014, THE ORGANIZATION CONTINUED ITS ENHANCED PROCESS FOR OBTAINING ADDITIONAL FINANCIAL INFORMATION FOR UNINSURED AND UNDER-INSURED PATIENTS WHO HAVE NOT SUPPLIED THE REQUISITE INFORMATION TO DETERMINE IF THEY QUALIFY FOR CHARITY CARE. THE ADDITIONAL INFORMATION OBTAINED WAS USED BY THE ORGANIZATION TO DETERMINE WHETHER TO QUALIFY PATIENTS FOR CHARITY CARE IN ACCORDANCE WITH THE ORGANIZATION'S POLICY. THE APPLICATION OF THIS ADDITIONAL INFORMATION IN 2014 RESULTED IN ADDITIONAL PATIENTS QUALIFYING FOR CHARITY CARE AND THUS RE-CLASSIFYING THIS AMOUNT FROM BAD DEBT EXPENSE. BAD DEBT EXPENSE ON PART III, LINE 2 REPRESENTS ESTIMATED UNCOLLECTIBLE CHARGES FOR THOSE PATIENTS UNWILLING, NOT UNABLE, TO PAY.BAD DEBT COSTING METHODOLOGY:THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HOSPITAL FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE HOSPITAL. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE HOSPITAL'S POLICIES.BAD DEBT EXPENSE IS RECORDED USING THE VALUATION METHOD AS OUTLINED IN HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT 15, WHICH REQUIRES BAD DEBT EXPENSE TO BE RECORDED AT THE AMOUNT THAT THE PAYER IS EXPECTED TO PAY. THE PROVISION FOR BAD DEBTS REPRESENTS ESTIMATED UNCOLLECTIBLE CHARGES OF PATIENTS UNWILLING TO PAY. IN 2014, THE ORGANIZATION CONTINUED ITS ENHANCED PROCESS FOR OBTAINING ADDITIONAL FINANCIAL INFORMATION FOR UNINSURED AND UNDERINSURED PATIENTS WHO HAVE NOT SUPPLIED THE REQUISITE INFORMATION TO DETERMINE IF THEY QUALIFY FOR CHARITY CARE. THE APPLICATION OF THIS ADDITIONAL INFORMATION IN 2014 RESULTED IN ADDITIONAL PATIENTS QUALIFYING FOR CHARITY CARE AND A REDUCTION TO BAD DEBT EXPENSE. PART III, LINE 8: MEDICARE COSTING METHODOLOGY: THE ORGANIZATION USED THE FILED 2014 CMS COST REPORT TO DETERMINE THE MEDICARE ALLOWABLE COSTS OF CARE RELATING TO PAYMENTS RECEIVED FROM MEDICARE. MEDICARE SHORTFALLS, WHICH ARE COSTS INCURRED BY THE HOSPITAL TO PROVIDE QUALITY CARE AND TREATMENT TO ITS PATIENTS, SHOULD BE TREATED AS A COMMUNITY BENEFIT. TO NOT INCUR THESE COSTS WOULD POTENTIALLY LIMIT OR EVEN COMPROMISE THE QUALITY OF SERVICE PROVIDED. PART III, LINE 9B: AT SUCH TIME THAT A PATIENT EXPRESSES A FINANCIAL CONCERN, THE PATIENT WILL BE OFFERED THE OPPORTUNITY TO APPLY FOR CHARITY CARE. ONCE THE PATIENT SUBMITS THE COMPLETED CHARITY CARE APPLICATION, THE ACCOUNT IS PLACED ON HOLD AND ALL COLLECTION ACTIVITIES ARE SUSPENDED UNTIL AN ELIGIBILITY DETERMINATION IS MADE. IF THE PATIENT IS ELIGIBLE FOR CHARITY CARE, THEN THE PATIENT IS NOTIFIED OF THE LEVEL OF CHARITY CARE AWARDED. IF 100% CHARITY CARE IS AWARDED, THAN NO BILL IS SENT TO THE PATIENT. IF LESS THAN 100% CHARITY CARE IS AWARDED, THAN THE PATIENT WILL RECEIVE A BILL PURSUANT TO THE PRIVATE PAY COLLECTION POLICY. ONLY AFTER PATIENT'S LIABILITY HAS BEEN DETERMINED FOLLOWING PROCESSING OF APPLICATIONS FOR GOVERNMENT ASSISTANCE, CHARITY CARE, AND/OR INSURANCE CARRIER REMITTANCE WILL THE PATIENT STATEMENT BE MAILED FOR PAYMENT RECOVERY. THE HOSPITAL'S COLLECTION PRACTICES SET FORTH IN ITS WRITTEN DEBT COLLECTION POLICY APPLY TO ALL PATIENT TYPES OF THE HOSPITAL. PART VI, LINE 2: IN 2013, WAYNE COUNTY PUBLIC HEALTH (WCPH) CARRIED OUT A COMPREHENSIVE COMMUNITY HEALTH ASSESSMENT OF SERVICES, PERCEPTIONS, AND HEALTH CARE NEEDS IN WAYNE COUNTY. THE WAYNE COUNTY RURAL HEALTH NETWORK (WCRHN) PARTNERED WITH THE WCPH TO DISSEMINATE THE SURVEY AND TO ENCOURAGE PARTICIPATION. IN 2013, NEWARK-WAYNE COMMUNITY HOSPITAL (NWCH), WCRHN, AND WCPH MET IN THREE SEPARATE MEETINGS WITH COMMUNITY AND COUNTY LEADERS, INCLUDING NOT-FOR-PROFIT SERVICE AGENCIES, TO REVIEW THE PRIORITIES IDENTIFIED IN THE NEEDS ASSESSMENT AND TO DISCUSS WCPH'S PRIORITIES FOR ITS PLANS TO ADDRESS COUNTY-WIDE NEEDS. THE MEETINGS WERE ALSO OPPORTUNITIES FOR NWCH, WCRHN, WCPH AND PROVIDERS AND HEALTH AND HUMAN SERVICE AGENCIES TO DISCUSS HOW TO LEVERAGE AVAILABLE FUNDS TO EXTEND AND COMPLEMENT THE WORK AND PROGRAMS THAT ARE ON-GOING, AND, TO AGREE ON FUTURE PROGRAM DEVELOPMENT OPPORTUNITIES. THE WCRHN BOARD MEETS BI-MONTHLY TO DISCUSS ACTION PLAN ITEMS AND TO PROVIDE INPUT AND SUGGESTIONS FOR CHANGES AND/OR ADDITIONS. AS A RESULT OF THOSE MEETINGS, NWCH, IN CONCERT WITH WCRHN AND KEY MEDICAL AND HOSPITAL STAFF, THEN IDENTIFIED TWO PRIORITY AREAS FOR ITS COMMUNITY SERVICE ACTIVITIES AND FUTURE PROGRAM DEVELOPMENT OPPORTUNITIES. THOSE PRIORITY AREAS ARE:1.) REDUCE OBESITY IN CHILDREN AND ADULTS2.) REDUCE HEART DISEASE AND HYPERTENSIONNEXT STEPS WILL CENTER ON ACCOMPLISHING THE ACTIVITIES OUTLINED IN THE COMMUNITY HEALTH IMPROVEMENT WORK PLAN TO ACHIEVE THE OBJECTIVES RELATED TO IDENTIFIED PRIORITIES. THE GROUP HAS ALREADY BEGUN DEVELOPING A MORE DETAILED WORKPLAN FOR EACH ACTIVITY IN THE CHIP CHART IN THE COMMUNITY HEALTH IMPROVEMENT PLAN. NEWARK-WAYNE COMMUNITY HOSPITAL WILL CONTINUE TO MEET AND WORK WITH WAYNE COUNTY PUBLIC HEALTH AND OTHER PARTNERS ON A REGULAR BASIS TO BEGIN TO MAKE PROGRESS IN ADDRESSING THE IDENTIFIED PRIORITIES TO REDUCE OBESITY, HEART DISEASE AND HYPERTENSION IN OUR COMMUNITY. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEROCHESTER REGIONAL HEALTH (ROCHESTER REGIONAL) INFORMS INDIVIDUALS OF AVAILABLE FREE OR REDUCED PRICE SERVICES AT THE TIME OF REGISTRATION INTO THE INPATIENT, OUTPATIENT, EMERGENCY DEPARTMENT, AND LONG-TERM CARE FACILITY. POSTERS INFORMING THE PATIENT/FAMILY OF ASSISTANCE ARE AVAILABLE THROUGHOUT THE RRH LOCATIONS. BROCHURES AND PAMPHLETS INFORMING THE COMMUNITY ARE WIDELY DISTRIBUTED IN THE COMMUNITY AT HEALTH FAIRS, CHURCHES, SCHOOLS AND OTHER PUBLIC LOCATIONS. INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE IS ALSO AVAILABLE THROUGH RGHS'S WEBSITE AND PATIENTS WITH A SELF-PAY BALANCE ARE NOTIFIED OF OUR FINANCIAL ASSISTANCE PROGRAM VIA THE PATIENT'S STATEMENT. ROCHESTER REGIONAL OFFERS SEVERAL INITIATIVES TO HELP INDIVIDUALS IN OUR COMMUNITY ACCESS AFFORDABLE HEALTH CARE, INCLUDING:FACILITATED ENROLLMENT: TO ASSIST ELIGIBLE INDIVIDUALS WITH HEALTH INSURANCE ENROLLMENT BY OFFERING EDUCATION AND APPLICATION ASSISTANCE FOR MEDICAID, CHILD HEALTH PLUS, FAMILY HEALTH PLUS, PRENATAL CARE ASSISTANCE PROGRAM, AND STATE AID FOR CHILDREN WITH SPECIAL NEEDS. A DEDICATED TELEPHONE NUMBER IS AVAILABLE AND INFORMATION IS PUBLISHED IN PAMPHLETS AT RGHS SITES AND AT VARIOUS LOCATIONS THROUGHOUT THE COMMUNITY. FINANCIAL ASSISTANCE PROGRAM: THE RRH FINANCIAL ASSISTANCE PROGRAM OFFERS FREE OR REDUCED-PRICES FOR PATIENTS TREATED AT ROCHESTER REGIONAL HOSPITALS, OUTPATIENT, EMERGENCY ROOM, OR LONG-TERM CARE FACILITIES. DISCOUNTS ARE AWARDED BASED UPON INCOME AND ASSET VERIFICATION. INDIVIDUALS WHO DO NOT QUALIFY FOR MEDICAID, CHILD HEALTH PLUS, FAMILY HEALTH PLUS, PRENATAL CARE ASSISTANCE PROGRAM, AND/OR STATE AID FOR CHILDREN WITH SPECIAL NEEDS ARE CONSIDERED FOR FINANCIAL ASSISTANCE (CHARITY CARE). PART VI, LINE 4: THE ORGANIZATION IS THE ONLY HOSPITAL IN WAYNE COUNTY. THE NEAREST MAJOR CITY TO NEWARK IS ROCHESTER (WHICH IS 45 MINUTES AWAY IN MONROE COUNTY). THE PRIMARY AREA SERVED BY THE ORGANIZATION INCLUDES VILLAGES AND TOWNS WITHIN WAYNE COUNTY INCLUDING: THE TOWNS OF ARCADIA, ONTARIO, WALWORTH, MACEDON, WILLIAMSON, MARION, PALMYRA, SODUS, SODUS POINT, LYONS, HURON, ROSE, GALEN, SAVANNAH, BUTLER, AND WOLCOTT IN WAYNE COUNTY, AND AREAS OF ONTARIO COUNTY INCLUDING MANCHESTER AND PHELPS. THE MAJORITY OF WAYNE COUNTY IS A SUBSTANTIALLY RURAL LANDSCAPE WITH A LARGE AGRICULTURAL PRESENCE. MANY OF THE ZIP CODES (14589, 14551, 14413, 14433, 14449, 14489, 14516, 14542, 13143, 13146, 13154, AND 14590) IN WAYNE COUNTY ARE DESIGNATED RURAL BY FEDERAL GUIDELINES. ACCORDING TO THE US CENSUS BUREAU, WAYNE COUNTY, WHERE NEWARK-WAYNE IS LOCATED, IS HOME TO OVER 93,000 RESIDENTS, 11.1% OF WHO LIVE BELOW THE POVERTY LINE, AND 13.3% OF WHO HAVE LESS THAN A HIGH SCHOOL DIPLOMA. THE REGION IS ALSO HOME TO THE LARGEST SEASONAL POPULATION OF MIGRANT AND SEASONAL FARM WORKERS IN NEW YORK STATE, DUE TO THE FACT THAT WAYNE COUNTY IS THE SECOND LARGEST APPLE-PRODUCING COUNTY IN THE NATION. DURING THE MIGRANT FARM SEASON THE POPULATION OF MIGRANT FARM WORKERS - PRIMARILY LATINO AND HAITIAN - SWELLS BY MORE THAN 7,000 ADDITIONAL RESIDENTS. THE WAYNE COUNTY PUBLIC HEALTH DEPARTMENT ESTIMATES THAT APPROXIMATELY 10% OF THE COUNTY'S ENTIRE POPULATION IS UNINSURED. MANY OF THESE MIGRANT FARM WORKERS (93% OF WHOM ARE UNINSURED), ARE INDIVIDUALS IN TRANSITION FROM WELFARE TO WORK, THOSE EMPLOYED PART-TIME IN FOOD PROCESSING PLANTS, AND THOSE TRANSITIONING FROM JAIL TO THE COMMUNITY. HEALTHCARE DELIVERY IN THE COMMUNITY IS ALSO COMPLICATED BY TRANSPORTATION ISSUES, AN AGING POPULATION BASE, AND RURAL ECONOMIC DECLINE. PART VI, LINE 5: MEDICAL STAFFTHE NEWARK-WAYNE COMMUNITY HOSPITAL MEDICAL STAFF HAS 480 STAFF MEMBERS WITH 180 CURRENTLY ON ACTIVE STAFF. THESE PHYSICIANS REPRESENT A BROAD SPECTRUM OF PRIMARY CARE AND SPECIALTY SERVICES. AS AN AFFILIATE OF ROCHESTER REGIONAL HEALTH, OUR PATIENTS HAVE SEAMLESS ACCESS TO ADDITIONAL SPECIALISTS INCLUDING THE WORLD-CLASS PROVIDERS AT THE ROCHESTER HEART INSTITUTE AND THE LIPSON CANCER CENTER BOTH IN PENFIELD AND ROCHESTER.VOLUNTEERS/AUXILIANSMEMBERS OF COMMUNITIES FROM ACROSS WAYNE AND SURROUNDING COUNTIES HAVE ALWAYS PLAYED AN IMPORTANT ROLE IN ADVOCATING FOR, AND OFFERING ASSISTANCE AT NEWARK-WAYNE COMMUNITY HOSPITAL AND DEMAY LIVING CENTER. IN 2014, 216 VOLUNTEERS PROVIDED MORE THAN 30,066 HOURS OF SERVICE AT NEWARK-WAYNE COMMUNITY HOSPITAL/DEMAY LIVING CENTER. ADDITIONALLY, A FACILITIES ADVISORY COUNCIL AND A COMMUNITY ADVISORY COUNCIL WERE FORMED TO GARNER COMMUNITY FEEDBACK ON SIGNIFICANT CAMPUS CHANGES AND PROGRAMS BEING OFFERED IN THE COMMUNITY.BOARD OF DIRECTORS AND COMMUNITY GUIDANCENEWARK WAYNE COMMUNITY HOSPITAL MAINTAINS COMMUNITY CONTROL OVER THE CORPORATION THROUGH ITS BOARD OF DIRECTORS, COMPRISED OF COMMUNITY AND FAITH LEADERS, AND LEADERS IN BUSINESS AND INDUSTRY, HEALTHCARE, AND PHYSICIANS REPRESENTING THE MEDICAL STAFF OF THE ORGANIZATION. THE MAJORITY OF THE DIRECTORS RESIDE IN THE WAYNE COUNTY AREA AND EACH DIRECTOR SERVES A THREE-YEAR TERM.USE OF SURPLUS FUNDSSURPLUS FUNDS ARE USED TO FURTHER THE MISSION AND OPERATIONS OF THE ORGANIZATION, SUCH AS REINVESTING IN COMMUNITY BENEFIT PROGRAMS, AND MAKING IMPROVEMENTS IN FACILITIES, PATIENT CARE, MEDICAL, NURSING AND ALLIED HEALTH TRAINING, EDUCATION AND RESEARCH IN SUPPORT OF THE HEALTH NEEDS OF THE COMMUNITY. PART VI, LINE 7, REPORTS FILED WITH STATES NY PART VI, LINE 6: ROCHESTER REGIONAL HEALTH (ROCHESTER REGIONAL) (I.E. THE PARENT ORGANIZATION AND ITS RELATED AFFILIATES) HAS PROVIDED HIGH QUALITY HEALTHCARE SERVICES TO THE GREATER ROCHESTER NY AREA AND SURROUNDING REGIONS FOR MORE THAN 150 YEARS. ROCHESTER REGIONAL IS THE SECOND LARGEST EMPLOYER IN ROCHESTER AND AN INTEGRAL PART OF THE COMMUNITY. ROCHESTER REGIONAL HAS A NATIONALLY RECOGNIZED HEART PROGRAM AND A NATIONALLY ACCREDITED CANCER CENTER. ROCHESTER REGIONAL OFFER PATIENTS MANY OF THE SAME LEADING EDGE TREATMENT OPTIONS FOUND AT THE COUNTRY'S FINEST MEDICAL CENTERS. FROM SURGERY TO ORTHOPEDICS, WOMEN'S HEALTH TO EMERGENCY CARE, PEOPLE ALL ACROSS WESTERN NY TURN TO ROCHESTER REGIONAL FOR THEIR EXPERIENCE, COMPASSION AND EXPERTISE IN HELPING THEM GET BACK TO LIVING THEIR LIVES. POVERTY TRENDS, COMMUNITY HEALTH RESEARCH AND NEEDS ASSESSMENTS ARE REVIEWED ON A REGULAR BASIS WHILE PLANNING COMMUNITY HEALTH PROGRAMS. ROCHESTER REGIONAL REPRESENTATIVES ARE ACTIVELY ENGAGED IN VARIOUS COMMUNITY HEALTH COLLABORATIVE WITH THE LOCAL HEALTH DEPARTMENTS, STATE HEALTH DEPARTMENT, AND LOCAL NOT-FOR-PROFIT HEALTH AND HUMAN SERVICE AGENCIES. ROCHESTER REGIONAL IS RESPONSIVE TO COMMUNITY PRIORITIES AND DEVELOPS PROGRAMS AND SERVICES THAT FILL A GAP OR SUPPLEMENT AN EXISTING PROGRAM. MOST ROCHESTER REGIONAL COMMUNITY HEALTH OUTREACH PROGRAMS ARE OFFERED IN PARTNERSHIP WITH OTHER COMMUNITY ORGANIZATIONS OR GOVERNMENTAL AGENCIES, IN ORDER TO LEVERAGE RESOURCES TO MEET COMMUNITY NEEDS. INFORMATION REGARDING THE AVAILABILITY OF COMMUNITY HEALTH PROGRAMS, ASSISTANCE WITH HEALTH INSURANCE ENROLLMENT AND FINANCIAL ASSISTANCE FOR MEDICAL CARE RECEIVED AT ROCHESTER REGIONAL HOSPITALS, EMERGENCY DEPARTMENTS, OUTPATIENT DEPARTMENTS OR LONG-TERM CARE FACILITIES ARE DISSEMINATED TO THE PUBLIC IN ELECTRONIC (WEBSITE) FORM.ROCHESTER GENERAL HOSPITAL (RGH), THE FLAGSHIP OF THE ROCHESTER REGIONAL HEALTH, IS A REGIONAL LEADER IN HEALTH CARE. THIS 528-BED ACUTE CARE, TEACHING HOSPITAL SERVES THE GREATER ROCHESTER, NY REGION AND BEYOND. ROCHESTER GENERAL HOSPITAL'S NATIONALLY RECOGNIZED PROGRAMS HAVE CONSISTENTLY DEMONSTRATED QUALITY OUTCOMES THAT POSITIVELY IMPACT PATIENTS, THEIR FAMILIES AND THE ENTIRE COMMUNITY. ROCHESTER GENERAL PROVIDES CARE TO MORE MONROE COUNTY RESIDENTS THAN ANY OTHER HOSPITAL IN THE REGION AND, AS A TERTIARY CARE FACILITY, HAS STRONG REFERRAL RELATIONSHIPS WITH SEVERAL REGIONAL HOSPITALS. ROCHESTER GENERAL OFFERS A FULL ARRAY OF SERVICES TO MEET THE MEDICAL NEEDS OF UPSTATE NEW YORK, INCLUDING NATIONALLY RECOGNIZED PROGRAMS IN CARDIAC, CANCER, ORTHOPEDIC, VASCULAR, SURGICAL AND DIABETES CARE. DISTINCTIONS FOR QUALITY INCLUDE DESIGNATION AS A SOLUCIENT/THOMPSON TOP 100 CARDIAC HOSPITAL AND DESIGNATION BY NEW YORK STATE AND THE JCAHO AS AN ACCREDITED STROKE CENTER. HIGH QUALITY CLINICAL CARE PROVIDED AT ROCHESTER GENERAL IS AMPLIFIED BY RELATIONSHIPS AND AFFILIATIONS WITH NATIONALLY RENOWNED INSTITUTIONS SUCH AS THE CLEVELAND CLINIC (FOR CARDIAC CARE) AND ROSWELL PARK CANCER INSTITUTE.UNITY HOSPITAL IS LOCATED ON THE UNITY PARK RIDGE HEALTH CARE CAMPUS IN THE TOWN OF GREECE AND IS PART OF UNITY HEALTH SYSTEM. KEY PROGRAMS INCLUDE UNITY HOSPITAL'S JOINT REPLACEMENT CENTER, FAMILY BIRTH PLACE, SPINE CENTER, DIABETES, CENTER, STROKE CENTER, EMERGENCY CENTER, CHEMICAL DEPENDENCY, AND BRAIN INJURY & REHABILITATION.IN AN EFFORT TO PROVIDE THE BEST POSSIBLE PATIENT CARE, UNITY HOSPITAL COMPLETED A FOUR-YEAR $158 MILLION MODERNIZATION AND EXPANSION PROJECT THAT RE-ENGINEERED THE HOSPITAL CAMPUS TO MEET THE NEEDS OF THE COMMUNITY. TODAY, THE 154-ACRE UNITY HOSPITAL CAMPUS IS A 268-BED HOSPITAL THAT INCLUDES ALL BRAND NEW PRIVATE ROOMS.NEWARK-WAYNE COMMUNITY HOSPITAL (NWCH) HAS SERVED GENERATIONS OF WAYNE COUNTY RESIDENTS SINCE 1957, AND MANY HAVE BECOME MEMBERS OF OUR GROWING HEALTHCARE FAMILY. WITH NEW, LEADING-EDGE MEDICAL TECHNOLOGY, A DIRECT PARTNERSHIP WITH ROCHESTER REGIONAL HEALTH, AND HIGHLY TRAINED STAFF, NWCH CONTINUES TO GROW IN EVERY ASPECT OF ITS HEALTHCARE DELIVERY. THE HOSPITAL IS LICENSED TO OPERATE 120 ACUTE CARE BEDS, WHICH INCLUDES: 82 MEDICAL/SURGICAL BEDS, 16 ADULT MENTAL HEALTH BEDS, 8 ICU BEDS AND 14 OBSTETRICAL BEDS. NWCH ALSO OFFERS A FULL ARRAY OF OUTPATIENT SERVICES INCLUDING AN EMERGENCY DEPARTMENT, CARDIAC REHABILITATION, LAB SERVICES, DIAGNOSTIC IMAGING, REHABILITATION SERVICES, AS WELL AS LAB DRAW STATIONS AND PATIENT IMAGING UNITS IN OTHER PARTS OF WAYNE COUNTY. IN RESPONSE TO COMMUNITY NEED, NWCH OPENED THE DEMAY LIVING CENTER IN 1994, A 180-BED SKILLED NURSING FACILITY. DEMAY LIVING CENTER OFFERS SKILLED NURSING CARE, A DEMENTIA UNIT, A NEUROBEHAVIORAL UNIT, A REHABILITATION DEPARTMENT AND ADULT DAY CARE. IN 1997, NWCH ESTABLISHED THE WAYNE COUNTY RURAL HEALTH NETWORK (WCRHN) TO ENCOURAGE GREATER COLLABORATION AMONG HEALTH AND SOCIAL SERVICE AGENCIES WITHIN WAYNE COUNTY IN ORDER TO PROVIDE GREATER ACCESS TO NEEDED SERVICES AND TO DEVELOP INNOVATIVE PROGRAMS TO BETTER MEET IDENTIFIED NEEDS. WCRHN IS ONE OF 35 SUCH NETWORKS IN NYS.ROCHESTER MENTAL HEALTH CENTER (RMHC) HAS NINE LOCATIONS ACROSS THE COMMUNITY, INCLUDING TWO OF THE AREA'S BEST MENTAL HEALTH CENTERS,GENESEE MENTAL HEALTH CENTER AND ROCHESTER MENTAL HEALTH CENTER, AND OVER40 YEARS OF EXPERIENCE AND TRADITION. RMHC HAS COMPREHENSIVE SERVICES AND DEDICATED MENTAL HEALTH AND SUBSTANCE ABUSE PROFESSIONALS, WORKING TO HELP PATIENTS ACHIEVE THEIR FULL POTENTIAL TO LIVE AND WORK AS PRODUCTIVE MEMBERS OF THE COMMUNITY. THEY OFFER:-A COMPREHENSIVE SYSTEM OF CLINICAL MENTAL HEALTH SERVICES-READILY-ACCESSIBLE, CULTURALLY-SENSITIVE SERVICES UNIQUELY MATCHED TO THE INDIVIDUAL NEEDS OF EACH PATIENT AND THEIR FAMILY-CONVENIENT ACCESS TO MENTAL HEALTH OUTPATIENT SERVICES WITH LOCATIONS THROUGHOUT THE GREATER ROCHESTER AREA-AN UNWAVERING COMMITMENT TO SERVE THOSE IN THE COMMUNITY WHO HAVE EMOTIONAL NEEDS.PRCD, INC. OFFERS TWO COMMUNITY RESIDENCES THAT ARE UNIQUE TO UPSTATE NEW YORK, ONE FOR ADOLESCENT MALES AND THE OTHER FOR WOMEN. THESE RESIDENTS PROVIDE A STABLE HOUSING ENVIRONMENT DURING CHEMICAL DEPENDENCY TREATMENT.INDEPENDENT LIVING FOR SENIORS (ILS) OFFERS A PROGRAM THAT GIVES THE FRAIL ELDERLY AN ALTERNATIVE TO NURSING HOME PLACEMENT. IT IS DESIGNED TO ENABLE SENIORS TO LIVE IN THEIR OWN HOME SERVED BY A NETWORK OF SUPPORTIVE SERVICES. THE ILS PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE), HAS PROVEN THAT INTEGRATING HEALTH CARE SERVICES CAN HAVE A POWERFUL AND BENEFICIAL IMPACT ON INDIVIDUAL HEALTH AND WELL-BEING. SENIORS NOW HAVE A CHOICE TO LIVE OUT THEIR LIVES IN THEIR COMMUNITY - ENJOYING FAMILY, MANAGING THEIR HEALTH, MAKING NEW FRIENDS - SIMPLIFYING HOW THEY CHOOSE AND PAY FOR NEEDED LONG-TERM CARE. ILS OFFERS ALL OF THE HEALTH, MEDICAL AND SOCIAL SERVICES NEEDED TO HELP AN AGING LOVED ONE MAINTAIN THEIR INDEPENDENCE, DIGNITY AND QUALITY OF LIFE. A RANGE OF SERVICES ARE AVAILABLE TO AN ILS PARTICIPANT, INCLUDING: ADULT DAY CARE; PRIMARY CARE; LABORATORY; X-RAY AND AMBULANCE SERVICES; REHABILITATIVE AND SUPPORT SERVICES; MEDICAL SPECIALTY SERVICES; SKILLED NURSING CARE; ACUTE HOSPITAL CARE; IN-HOME SERVICES; INTERDISCIPLINARY CONSULTATION; AND NURSING HOME CARE SHOULD THE NEED ARISE.EDNA TINA WILSON LIVING CENTER IS A 120-BED SKILLED NURSING FACILITY. THE EDNA TINA WILSON LIVING CENTER USES AN INNOVATIVE NEIGHBORHOOD DESIGN, WITH RESIDENT ROOMS CLUSTERED AROUND THE ACTIVITY CENTER AND THE LIVING AND DINING AREAS, TO PROMOTE MORE SOCIAL AND INTERACTIVE LIVING. EDNA TINA WILSON LIVING CENTER CARES FOR THE PHYSICAL AND MEDICAL NEEDS OF RESIDENTS, AND IS A NATIONAL MODEL OF CARE FOR THE SPECIAL NEEDS OF THOSE WITH ALZHEIMER'S DISEASE AND OTHER MEMORY IMPAIRMENTS. THE LIVING CENTER ALSO SPECIALIZES IN PAIN MANAGEMENT, RESPIRATORY THERAPY, IV THERAPY, PERITONEAL DIALYSIS SERVICES, RESPITE CARE, AND HOSPICE CARE FOR ITS RESIDENTS.PARK RIDGE LIVING CENTERPARK RIDGE LIVING CENTER IS A 120-BED SKILLED NURSING FACILITY THAT INCLUDES THE WEGMAN FAMILY COTTAGES AND THE 40-BED TIMOTHY R. MCCORMICK TRANSITIONAL CARE CENTER.THE WEGMAN FAMILY COTTAGES ARE DESIGNED AROUND THE SMALL HOME CONCEPT. EACH OF THE FOUR RANCH-STYLE COTTAGE HOMES HAS 20 PRIVATE ROOMS, EACH WITH A PRIVATE BATH. THE CENTRAL DINING AREA IS EASILY ACCESSIBLE WITH ADJACENT KITCHEN AND LIVING ROOM AREAS. THE KITCHEN IS DESIGNED TO ENCOURAGE PARTICIPATION OF THE ELDERS IN MEAL PLANNING AND PREPARATION.THE WEGMAN FAMILY COTTAGES EMBRACE A NEW MODEL OF CARE FOR LIVING CENTER ELDERS, WHERE THEY ARE ENCOURAGED TO MAKE THEIR OWN CHOICES, AND PROVIDED A HOME ENVIRONMENT IN WHICH THEY WILL LIVE AND SHARE LIFE'S JOURNEY. OFTEN REFERRED TO AS THE CULTURE CHANGE MODEL, THIS IS A NEW APPROACH TO TRADITIONAL SKILLED NURSING CARE. COMBINING A CARING PHILOSOPHY, HOME ORGANIZATIONAL STRUCTURE, AND INVITING ARCHITECTURE, THIS APPROACH HAS CAREFULLY REMOVED INSTITUTIONALIZATION FROM THE LONG-TERM CARE MODEL. PART VI, LINE 6 (CON'T): SPECIALIZED SERVICES INCLUDE PHYSICAL AND OCCUPATIONAL THERAPIES, SPEECH-LANGUAGE PATHOLOGY, MEDICAL CARE, SPECIALIZED DIETARY SERVICES, SOCIAL WORK SERVICES, AND PHARMACY SERVICES. IN ADDITION, SEVERAL SPECIALTY SERVICES ARE OFFERED, INCLUDING PSYCHIATRY, DENTISTRY, AND PODIATRY. ROCHESTER GENERAL LONG TERM CARE (HILL HAVEN) PROVIDES 24-HOUR SKILLED NURSING CARE TO THOSE IN NEED OF:-REHABILITATION-LONG-TERM CARE-TRANSITIONAL CARE-HOSPICE CARE-CARE FOR ALZHEIMER'S-TYPE DEMENTIATHE GOAL IS TO HELP RESIDENTS REACH THEIR GREATEST LEVEL OF PHYSICAL FUNCTIONING AND EMOTIONAL WELL-BEING. THE FACILITY IS A PARK-LIKE SETTING IN WEBSTER, NEW YORK WITH 355 BEDS, DEDICATED ROOMS FOR MINGLING AND RECREATION, AND BEAUTIFULLY LANDSCAPED GROUNDS. RESIDENTS HAVE ACCESS TO IN-HOUSE MEDICAL CARE PROVIDED BY PHYSICIANS, NURSE PRACTITIONERS AND A RANGE OF MEDICAL AND REHABILITATION SPECIALISTS. HILL HAVEN IS COMMITTED TO HELPING SENIORS STAY AS CONNECTED TO THE COMMUNITY AS POSSIBLE WITH SPECIAL PROGRAMS AND AN OPEN DOOR FOR FAMILY AND FRIENDS. UNITY'S HOUSING GROUP OFFERS 539 INDEPENDENT LIVING, ASSISTED LIVING, MEMORY CARE, AFFORDABLE AND SUBSIDIZED APARTMENTS IN FIVE LOCATIONS. THE VILLAGE AT UNITY WAS ONE OF THE FIRST INDEPENDENT LIVING COMMUNITIES IN THE AREA AND IS ONE OF THE LARGEST AND WELL RESPECTED COMMUNITIES AND CATERS TO SENIORS LOOKING FOR SUPERIOR HOSPITALITY SERVICES. IN 2013, A $22 MILLION EXPANSION PROJECT WAS COMPLETED, ADDING 20 NEW MEMORY CARE APARTMENTS, A NEW ASSISTED LIVING COMMUNITY, COMMUNITY CENTER AND MORE DINING OPTIONS.PARK RIDGE CHILD CARE CENTER IS THE FIRST AND ONLY CHILD CARE CENTER IN MONROE COUNTY TO BE AWARDED THE PRESTIGIOUS PATHWAYS NATIONAL ACCREDITATION, AND CARES FOR NEARLY 150 CHILDREN OF UNITY EMPLOYEES AND THE COMMUNITY PER DAY.ACM MEDICAL LABORATORY IS A FULL SERVICE CLINICAL AND PATHOLOGY LABORATORY CONDUCTING MORE THAN 15 MILLION TESTS EVERY YEAR FOR NURSING HOMES, DOCTORS, COLLEGES, PRISONS AND COMMUNITY HOSPITALS ACROSS THE UNITED STATES. ACM IS ONE OF THE WORLD'S LARGEST PROVIDERS OF CLINICAL TRIALS TESTING, WITH WHOLLY OWNED LABS IN THE U.S. AND U.K., AND ALLIANCE LAB PARTNERSHIPS IN INDIA, CHINA, AUSTRALIA AND LATIN AMERICA. OPERATIONS EXTEND TO MORE THAN 60 COUNTRIES AND OFFER A BROAD MENU OF CLINICAL, PATHOLOGY AND MOLECULAR TESTING. ACM IS THE LARGEST OUTPATIENT LAB IN ROCHESTER.ROCHESTER GENERAL HOSPITAL FOUNDATION, UNITY HEALTH SYSTEM FOUNDATION AND NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATIONS: THE VITAL SERVICES THAT ROCHESTER REGIONAL PROVIDES TO THE COMMUNITY WOULD NOT BE POSSIBLE WITHOUT THE FOUNDATION SUPPORT. IN THE NONPROFIT ORGANIZATIONAL STRUCTURE THE FOUNDATIONS ARE CRITICAL TO THE ABILITY TO MAKE ONGOING INVESTMENTS IN STATE-OF-THE-ART MEDICAL TECHNOLOGY, CLINICAL PROGRAMS, FACILITIES, RESEARCH AND EDUCATION THAT BENEFIT THE COMMUNITY AS A WHOLE. THE IMPACTS OF THE FOUNDATIONS' EFFORTS ARE VISIBLE THROUGHOUT THE HOSPITALS, AND IN THEIR DISTINGUISHED CENTERS OF EXCELLENCE. THE FOUNDATIONS' FUNDRAISING PROGRAMS DIRECTLY BENEFIT THE ONGOING NEEDS OF THE COMMUNITY THROUGH IMPROVED AND EXPANDED PATIENT CARE PROGRAMS, SERVICES, AND FACILITIES AND HELP PURCHASE EQUIPMENT. THIS ENHANCES THE HIGH-TOUCH AND COMPASSIONATE CARE AVAILABLE TO ALL WHO ARE SERVED IN THE COMMUNITY. 1 1 0 0 0 0 0 0 0 ERIC BIEBER MD CEO 7097 94283 0 0 0 0 13199 175364 32 419 20328 270066 0 0 MARK CLEMENT CEO (UNTIL 11/30/14) 37513 712744 35709 678464 88442 1680400 104302 1981731 228 4323 266194 5057662 44150 838847 THOMAS R CRILLY CFO 15837 380082 3674 88165 6193 148634 2120 50880 291 6990 28115 674751 0 0 WARREN HERN CEO (UNTIL 11/30/14) 0 765994 0 240478 0 63525 0 6414200 0 6016 0 7490213 0 122673 ROBERT NESSELBUSH COO 53492 540864 32007 323631 50497 510583 7121 72004 647 6543 143764 1453625 30668 310083 HUGH THOMAS CAO 37632 432770 23361 268647 40447 465143 5030 57845 612 7040 107082 1231445 23049 265061 MICHAEL CUNNINGHAM PHYSICIAN 323725 0 34708 0 0 0 0 0 6543 0 364976 0 0 0 EVE WILLIAMS PHYSICIAN 310784 0 47335 0 0 0 0 0 4744 0 362863 0 0 0 JAMES SYRETT PHYSICIAN 270024 0 84058 0 0 0 0 0 500 0 354582 0 0 0 CYNTHIA MARTINEZ-CAPOLINO PHYSICIAN 237663 0 99910 0 0 0 0 0 4164 0 341737 0 0 0 BRIAN LAUX PHYSICIAN 270996 0 17030 0 0 0 0 0 4085 0 292111 0 0 0 PART I, LINE 3 COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS INCLUDING: - ERIC BIEBER, M.D. (PRESIDENT & CEO) - THOMAS CRILLY (CFO) - MARK CLEMENT (CEO UNTIL 11/30/14) - WARREN HERN (CEO UNTIL 11/30/14) - HUGH THOMAS (CAO) - ROBERT NESSELBUSH (COO) USED THE FOLLOWING TO ESTABLISH THEIR COMPENSATION AND BENEFITS: - COMPENSATION COMMITTEE, - INDEPENDENT COMPENSATION CONSULTANT, - FORM 990 OF OTHER ORGANIZATIONS, - COMPENSATION SURVEYS AND STUDIES; - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. ON AN ANNUAL BASIS, THE ORGANIZATION USES AN INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE SALARIES FOR ALL EXECUTIVES TO ENSURE SUCH SALARIES ARE CONSISTENT WITH MARKET SALARIES PAID TO SIMILARLY SITUATED EXECUTIVES. IN ADDITION, A COMPENSATION COMMITTEE REVIEWS THIS INFORMATION ANNUALLY AND IT IS THEN APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. FINALLY, EXECUTIVES RECEIVE A WRITTEN LETTER OUTLINING THE SPECIFICS OF THE COMPENSATION AGREEMENT AND THEIR EXPECTED PERFORMANCE. IN 2014, DUE TO UNIQUE CIRCUMSTANCES RESULTING FROM THE COMBINATION OF RGHS & UHS TO FORM RU SYSTEM INC., D/B/A ROCHESTER REGIONAL HEALTH, AND ON BASIS OF INPUT FROM AN INDEPENDENT COMPENSATION CONSULTANT, THE LEGACY EXECUTIVE COMPENSATION COMMITTEES DETERMINED IT WAS PRUDENT TO TERMINATE, AND PAY OUT, A VARIETY OF ANNUAL AND MULTI-YEAR INCENTIVE PLANS OPERATED UNDER THE LEGACY ENTITIES. THE EXTERNAL COMPENSATION CONSULTANTS CONCLUDED THAT SUCH PAYMENTS, UNDER THE CIRCUMSTANCES, WERE REASONABLE AND CONSISTENT WITH MARKET, AND THE EARLY TERMINATION AND PAYOUT OF SUCH PLANS IN SIMILAR SITUATIONS WAS STANDARD PRACTICE. PART I, LINES 4A-B SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS PROVIDE BENEFITS TO CERTAIN KEY EXECUTIVE EMPLOYEES OF THE ROCHESTER GENERAL HOSPITAL. THE ORGANIZATION MAINTAINS A SECTION 457(F) PLAN WHICH WOULD BE CONSIDERED A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. DURING 2014, NO DISTRIBUTIONS WERE PAID OUT. THE FOLLOWING OFFICERS AND KEY EMPLOYEES LISTED IN FORM 990, PART VII, SECTION A WOULD BE ELIGIBLE PARTICIPANTS IN THE PLAN SINCE THEY WOULD BE ENTITLED TO A DISTRIBUTION UPON SEPARATION FROM SERVICE: - HUGH THOMAS - ROBERT NESSELBUSH - MARK CLEMENT PART I, LINE 6 THE OFFICERS AND KEY EMPLOYEES ARE ELIGIBLE FOR INCENTIVE COMPENSATION CONTINGENT UPON VARIOUS PERFORMANCE INDICATORS OF THE UNITY HOSPITAL OF ROCHESTER INCLUDING NET EARNINGS AND SUCCESSFUL CONSUMMATION OF THE RGHS AND UNITY COMBINATION. UNIQUE TO 2014 AND NOT EXPECTED TO REOCCUR IN SUBSEQUENT YEARS IS THE PAY OUT OF MULTIPLE 3-YEAR LONG-TERM INCENTIVE PLANS. THE PLANS WERE TERMINATED EARLY DUE TO THE RGHS AND UNITY COMBINATION. A WAYNE COUNTY CIVIC FACILITY DEVELOPMENT CORP 320345910 2011-11-17 19775000 TO DEFEASE OUTSTANDING 1993 BONDS & FINANCE HOSPITAL RENOVATIONS/EXPANSION 1 0 0 A 8564845 19775000 6164943 395500 13214557 1 0 0 1 A 0 0 0 0 0 0 1 A 0 0 0 0 0 0 0 0 0 A 0 SCHEDULE K, PART V WRITTEN PROCEDURES ARE IN THE PROCESS OF BEING WRITTEN FORM 990, PART III, LINE 1: ORGANIZATION'S MISSION THE PURPOSES FOR WHICH THE CORPORATION IS FORMED ARE: (A) TO PLAN, DEVELOP, ESTABLISH, ORGANIZE, CONSTRUCT, ERECT, BUILD, ACQUIRE, ALTER, RECONSTRUCT, REHABILITATE, OWN, OPERATE, MAINTAIN, AND MANAGE ALL TYPES OF INPATIENT AND OUTPATIENT HOSPITALS, HOSPITAL FACILITIES, CLINICS, TREATMENT CENTERS, SERVICES, AND PROGRAMS FOR THE DELIVERY OF ACUTE MEDICAL, SURGICAL AND PREVENTIVE HEALTH CARE SERVICES, IN ACCORDANCE WITH THE PUBLIC HEALTH LAW OF THE STATE OF NEW YORK; (B) TO PLAN, DEVELOP, ESTABLISH, ORGANIZE, CONSTRUCT, ERECT, BUILD, ACQUIRE, ALTER, RECONSTRUCT, REHABILITATE, OWN, OPERATE, MAINTAIN AND MANAGE NURSING HOMES AND ALL TYPES OF LONG TERM INPATIENT, OUTPATIENT AND RESIDENTIAL HEALTH CARE FACILITIES, SERVICES, AND PROGRAMS FOR ELDERLY, SICK, INVALID, INFIRM, DISABLED AND CONVALESCENT PERSONS, IN ACCORDANCE WITH THE PUBLIC HEALTH LAW OF THE STATE OF NEW YORK; (C) TO PLAN, DEVELOP, ESTABLISH, ORGANIZE, CONSTRUCT, ERECT, BUILD, ACQUIRE, ALTER, RECONSTRUCT, REHABILITATE, OWN OPERATE MAINTAIN, AND MANAGE ALL TYPES OF FAMILY PLANNING FACILITIES, CLINICS, TREATMENT CENTER SERVICES, AND PROGRAMS FOR THE DELIVERY OF ACUTE MEDICAL, SURGICAL AND PREVENTIVE HEALTH CARE SERVICES FOR INDIVIDUALS AND FAMILIES, IN ACCORDANCE WITH THE PUBLIC HEALTH LAW OF THE STATE OF NEW YORK; (D) TO PARTICIPATE IN ANY ACTIVITY DESIGNED AND CARRIED ON TO PROMOTE THE GENERAL HEALTH AND WELFARE OF THE COMMUNITY IN WHICH THE CORPORATION IS LOCATED; (E) TO SOLICIT, ACCEPT, HOLD, INVEST, REINVEST AND ADMINISTER GIFTS, GRANTS, BEQUESTS, CONTRIBUTIONS, DEVISES, BENEFITS OF TRUSTS, ENDOWMENTS AND PROPERTY OF ANY KIND, WITHOUT LIMITATION AS TO AMOUNT OR VALUE, FROM PRIVATE TO PUBLIC SOURCES, IN FURTHERANCE OF ITS CORPORATE PURPOSES; AND (F) TO DO ANY ACT OR THING INCIDENTAL TO OR CONNECT WITH THE FOREGOING PURPOSES OR IN ADVANCEMENT THEREOF, BUT NOT FOR THE PECUNIARY PROFIT OR FINANCIAL GAIN OF ITS MEMBERS, DIRECTORS, OFFICERS OR ANY PRIVATE PERSON. FORM 990, PART III, LINE 3 ROCHESTER REGIONAL HEALTH WAS FORMED THROUGH A CORPORATE RESTRUCTURING WHICH BROUGHT TOGETHER ROCHESTER GENERAL HEALTH SYSTEM AND ITS AFFILIATES AND UNITY HEALTH SYSTEM AND ITS AFFILIATES ON JULY 1, 2014. ROCHESTER REGIONAL HEALTH SEEKS TO BE THE PROVIDER OF CHOICE, WHILE ADDRESSING BOTH THE AFFORDABILITY AND QUALITY OF HEALTHCARE SERVICES THAT IT PROVIDES IN UPSTATE/WESTERN NEW YORK. FORM 990, PART VI, SECTION A, LINE 1 EACH BOARD HAS AN EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE BOARD PLUS THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION AND SUCH OTHER DIRECTORS AS THE CHAIR MAY NOMINATE FROM TIME TO TIME FOR APPOINTMENT BY A MAJORITY VOTE OF THE ENTIRE BOARD. BETWEEN MEETINGS OF THE BOARD, AND TO THE EXTENT PERMITTED BY LAW, THE EXECUTIVE COMMITTEE SHALL POSSESS THE POWERS OF THE BOARD WITH RESPECT TO MANAGING AND CONDUCTING THE AFFAIRS OF THE CORPORATION, EXCEPT AS OTHERWISE PROVIDED BY LAW OR WITHIN CERTAIN BY-LAWS. FORM 990, PART VI, SECTION A, LINE 4 RU SYSTEM, INC. D/B/A ROCHESTER REGIONAL HEALTH, IS A NEW YORK NOT-FOR-PROFIT CORPORATION THAT COORDINATES AND MANAGES THE DELIVERY OF HOUSING AND HEALTH CARE-RELATED SERVICES AND EDUCATION BY ITS AFFILIATES (AFFILIATES). ROCHESTER REGIONAL HEALTH WAS FORMED THROUGH A CORPORATE RESTRUCTURING, EFFECTIVE AS OF JULY 1, 2014, WHICH BROUGHT TOGETHER ROCHESTER GENERAL HEALTH SYSTEM AND ITS AFFILIATES AND UNITY HEALTH SYSTEM AND ITS AFFILIATES. AS A RESULT OF THIS CORPORATE REORGANIZATION, ROCHESTER REGIONAL HEALTH SERVES AS THE SOLE CORPORATE MEMBER OF THE ENTITIES LISTED BELOW (THE "EXEMPT AFFILIATES"). IRS FORM 1023 (APPLICATION FOR TAX-EXEMPT STATUS) HAS BEEN FILED FOR ROCHESTER REGIONAL HEALTH, SEEKING EXEMPT STATUS UNDER SECTION 501(C) OF THE INTERNAL REVENUE CODE. THE CORPORATE RESTRUCTURING WHICH CREATED THE ROCHESTER REGIONAL HEALTH WAS ACCOMPLISHED VIA CHANGES TO THE GOVERNING DOCUMENTS OF THE EXEMPT AFFILIATES, AS FOLLOWS: (A)ROCHESTER REGIONAL HEALTH WAS NAMED AS THE EXEMPT AFFILIATES' SOLE CORPORATE MEMBER; (B)ROCHESTER REGIONAL HEALTH WAS GRANTED THE AUTHORITY TO APPOINT AND REMOVE THE GOVERNING BOARD OF THE EXEMPT AFFILIATES; AND (C)CERTAIN ACTIONS OF THE EXEMPT AFFILIATE AND/OR ITS GOVERNING BOARD WERE MADE SUBJECT TO THE APPROVAL OF THE GOVERNING BOARD OF ROCHESTER REGIONAL HEALTH. IN ADDITION, THE GOVERNING DOCUMENTS OF SOME (BUT NOT ALL) OF THE EXEMPT AFFILIATES WERE CHANGED AS FOLLOWS: (A)THE INDIVIDUALS SERVING ON THE GOVERNING BOARD OF CERTAIN EXEMPT AFFILIATES INCLUDE, IN WHOLE OR IN PART, THE INDIVIDUALS WHO SERVE ON THE GOVERNING BOARD OF ROCHESTER REGIONAL HEALTH; AND (B)THE CHIEF EXECUTIVE OFFICER OF ROCHESTER REGIONAL HEALTH SERVES AS THE CHIEF EXECUTIVE OFFICER OF CERTAIN EXEMPT AFFILIATES. FINALLY, THE GOVERNING DOCUMENTS, SPECIFICALLY THE BYLAWS, OF THE EXEMPT AFFILIATES, WHICH ARE EACH NOT-FOR-PROFIT COMPANIES PURSUANT TO NEW YORK LAW, WERE REVISED TO IMPLEMENT THE REQUIREMENTS OF THE NON-PROFIT REVITALIZATION ACT ("NPRA"); A NEW YORK LAW WHICH WENT INTO EFFECT ON JULY 1. 2015. THE NPRA REQUIRED ALL NEW YORK NOT-FOR-PROFIT CHARITABLE ENTITIES TO ADDRESS CERTAIN ISSUES IN THEIR GOVERNING DOCUMENTS, INCLUDING (BUT NOT LIMITED TO) CONFLICTS OF INTEREST, INDEPENDENT DIRECTORS, FINANCIAL AUDITS AND WHISTLEBLOWER PROTECTIONS. THE EXEMPT AFFILIATES OF ROCHESTER REGIONAL HEALTH (FOR WHICH ROCHESTER REGIONAL HEALTH SERVES AS THE SOLE CORPORATE MEMBER) BEHAVIORAL HEALTH NETWORK, INC. GRHS FOUNDATION, INC. NEWARK-WAYNE COMMUNITY HOSPITAL NORTH PARK NURSING HOME, INC. PARK RIDGE CHILD CARE CENTER, INC. PARK RIDGE HOUSING DEVELOPMENT FUND COMPANY, INC. PARK RIDGE HOUSING, INC. PARK RIDGE NURSING HOME, INC. PARK WAY COMMONS HOUSING DEVELOPMENT FUND COMPANY, INC. PARMA HOUSING DEVELOPMENT FUND CORP. PRCD, INC. ROCHESTER GENERAL HEALTH SYSTEM DIALYSIS, INC. ROCHESTER GENERAL HEALTH SYSTEM ROCHESTER GENERAL HOSPITAL FOUNDATION, INC. ROCHESTER GENERAL HUDSON HOUSING, INC. ROCHESTER GENERAL LONG TERM CARE, INC. ST. BERNARD'S HOUSING DEVELOPMENT FUND COMPANY, INC. ST. BERNARD'S II, INC. THE CLIFTON SPRINGS SANITARIUM COMPANY D/B/A CLIFTON SPRINGS HOSPITAL & CLINIC THE ROCHESTER GENERAL HOSPITAL THE UNITY HOSPITAL OF ROCHESTER UNITED MEMORIAL MEDICAL CENTER UNITY AGING SERVICES, INC. UNITY AMBULATORY SURGERY CENTER, INC. UNITY HEALTH SYSTEM UNITY HEALTH SYSTEM FOUNDATION UNITY HOUSING DEVELOPMENT FUND CORPORATION WOODLAND VILLAGE, INC. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS A MEMBERSHIP (NOT A STOCK) CORPORATION UNDER NEW YORK STATE LAW. THE ORGANIZATION'S SOLE CORPORATE MEMBER IS RU SYSTEM, INC. D/B/A ROCHESTER REGIONAL HEALTH, A RELATED NOT-FOR-PROFIT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B RU SYSTEM, INC. D/B/A ROCHESTER REGIONAL HEALTH, AS THE SOLE CORPORATE MEMBER, ALSO HAS THE RIGHT TO APPROVE OR RATIFY SIGNIFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY, INCLUDING AMENDMENT OF BYLAWS AND CHARTERS, REMOVAL OF MEMBERS OF THE GOVERNING BODY, AND THE DECISION TO DISSOLVE THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11 PRIOR TO FILING, A COPY OF THE FORM 990 IS PROVIDED TO, AND REVIEWED WITH, ALL MEMBERS OF THE AUDIT AND COMPLIANCE COMMITTEE. THIS REVIEW IS PERFORMED IN CONSULTATION WITH THE ORGANIZATION'S TAX ADVISORS, AND IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS AND OTHER RELEVANT INFORMATION FOR THE APPROPRIATE TIME PERIOD. FORM 990, PART VI, SECTION B, LINE 12C UPON EMPLOYMENT, ALL EMPLOYEES RECEIVE THE ETHICAL STANDARD OF CONDUCT BOOKLET FOR WHICH THEY SIGN A RECEIPT OF ACKNOWLEDGEMENT. CONFLICT OF INTEREST IS DEFINED, AS IS MANAGEMENT OF A CONFLICT OF INTEREST. EMPLOYEES ARE REQUIRED TO DISCLOSE AND SEEK RESOLUTION TO ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST BEFORE TAKING A POTENTIALLY IMPROPER ACTION AND THEREAFTER, ANNUALLY, EACH KEY EMPLOYEE AND OFFICER OF THE ORGANIZATION IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM, PROVIDING MANAGEMENT WITH SUFFICIENT INFORMATION ABOUT HIS/HER PERSONAL INTERESTS AND RELATIONSHIPS SO THAT MANAGEMENT CAN (1) DETERMINE WHETHER ANY ACTUAL OR PERCEIVED CONFLICT OF INTEREST EXISTS, AND (2) MONITOR WORK ASSIGNMENTS TO AVOID PLACING THE KEY EMPLOYEE OR OFFICER IN A POSITION WHERE THERE MAY BE A QUESTION AS TO HIS/HER OBJECTIVITY AS WELL AS TO AVOID ANY APPEARANCE OF IMPROPRIETY. THROUGHOUT THE YEAR, KEY EMPLOYEES AND OFFICERS OF THE ORGANIZATION ARE ALSO REQUIRED TO NOTIFY MANAGEMENT PROMPTLY IF ANY CHANGE TO THEIR DISCLOSURES OCCURS. BOARD MEMBERS LEAVE THE ROOM DURING DISCUSSIONS AND ABSTAIN FROM VOTING WHEN THEY HAVE A CONFLICT OF INTEREST. IN ADDITION, EACH MEMBER OF THE BOARD OF DIRECTORS MUST ALSO COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE FORM, WHICH MUST BE SUBMITTED TO THE GENERAL COUNSEL. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S OFFICER AND KEY EMPLOYEE COMPENSATION ARRANGEMENTS ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF ROCHESTER REGIONAL HEALTH, A RELATED NOT-FOR-PROFIT ORGANIZATION. INFORMATION REVIEWED FOR THE OFFICER/KEY EMPLOYEE INCLUDES COMPARABLE DATA FROM SIMILAR SIZE TAX EXEMPT ORGANIZATIONS IN THE WESTERN / CENTRAL NY COMMUNITY AS WELL AS COMPENSATION FOR THESE POSITIONS (AS DISCLOSED ON FORM 990) WITH OTHER ORGANIZATIONS IN THE HEALTH CARE INDUSTRY THAT ARE OF SIMILAR SIZE, DEMOGRAPHICS AND GEOGRAPHY. REVIEW AND APPROVAL OF THE COMPENSATION ARRANGEMENT BY THE COMPENSATION COMMITTEE IS DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ADMINISTRATIVE OFFICES OF THE AFFILIATED HEALTH SYSTEM LOCATED AT 100 KINGS HIGHWAY SOUTH, ROCHESTER, NY 14617. A NOMINAL FEE IS CHARGED IF COPIES ARE REQUESTED. FORM 990, PART IX, LINE 11G PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 9,905,086. MANAGEMENT AND GENERAL EXPENSES 2,617,147. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,522,233. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATION -209,081. FORM 990, PART XII, LINE 2C: THE AUDIT COMMITTEE IS RESPONSIBLE FOR OVERSEEING THE ACCOUNTING AND FINANCIAL REPORTING PROCESS OF THE ORGANIZATION AND THE AUDIT OF ITS FINANCIAL STATEMENTS. THE BOARD OF DIRECTORS SELECTS THE INDEPENDENT AUDITORS BASED ON THE RECOMMENDATIONS OF THE AUDIT COMMITTEE. FORM 5471 FILED ON BEHALF STATEMENT STATEMENT PURSUANT TO TREAS. REG. SEC. 1.6038-2(J)(3): THE FOLLOWING INFORMATION IS SUBMITTED WITH RESPECT TO NEWARK-WAYNE COMMUNITY HOSPITAL'S FORM 5471 (INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS) FILING REQUIREMENT FOR THE ENTITY BELOW: NAME OF FOREIGN CORPORATION: GREATER ROCHESTER ASSURANCE COMPANY, LTD. BEGINNING TAX YEAR OF FOREIGN CORPORATION: JANUARY 1, 2014 ENDING TAX YEAR OF FOREIGN CORPORATION: DECEMBER 31, 2014 THE FORM 5471 FILING REQUIREMENT FOR THIS FOREIGN CORPORATION FOR CATEGORIES 4 AND 5 HAVE BEEN SATISFIED BY INCLUSION IN THE FOLLOWING U.S. FILER'S TAX RETURN: NAME OF U.S. FILER: ROCHESTER GENERAL HEALTH SYSTEM ADDRESS OF U.S. FILER: 100 KINGS HIGHWAY SOUTH, ROCHESTER, NY 14617 EIN: 22-2551509 ENDING TAX YEAR OF U.S. FILER: DECEMBER 31, 2014 TYPE OF RETURN FILED: 990-T IRS SERVICE CENTER WHERE RETURN FILED: OGDEN, UTAH 84201-0027 THE ROCHESTER GENERAL HOSPITAL 1425 PORTLAND AVENUE ROCHESTER NY 14621 160743134 HOSPITAL NY 501(C)(3) LINE 3 N/A 0 ROCHESTER MENTAL HEALTH CENTER 490 EAST RIDGE ROAD ROCHESTER NY 14621 166069131 MENTAL HEALTH NY 501(C)(3) LINE 9 RU SYSTEM INC 0 GRHS FOUNDATION 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 223378111 R/E INV MGMT NY 501(C)(3) LINE 11B, II RU SYSTEM INC 0 THE ROCHESTER GENERAL HOSPITAL FOUNDATION 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 222229425 FUNDRAISING NY 501(C)(3) LINE 11B, II RU SYSTEM INC 0 NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATION DRIVING PARK AVENUE NEWARK NY 14513 222963015 FUNDRAISING NY 501(C)(3) LINE 11B, II NWCH 1 ROCHESTER GENERAL HEALTH SYSTEM 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 222551509 SYSTEM SUPPORT NY 501(C)(3) LINE 11B, II RU SYSTEM INC 0 RGHS WORKERS' COMPENSATION TRUST 1425 PORTLAND AVENUE ROCHESTER NY 14621 166429300 SEE PART VII NY 501(C)(3) LINE 11B, II RU SYSTEM INC 0 CONTINUING CARE NETWORK INC (CCN) 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 222963016 SUPPORT RGH NY 501(C)(3) LINE 11B, II RU SYSTEM INC 0 ROCHESTER GENERAL HUDSON HOUSING 2066 HUDSON AVENUE ROCHESTER NY 14621 223210351 LOW INC HOUSING NY 501(C)(3) LINE 9 RU SYSTEM INC 0 VIA HEALTH HOME CARE I 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 161504370 HOME HEALTH NY 501(C)(3) LINE 9 CCN 0 VIA HEALTH HOMECARE II 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 161538727 HOME HEALTH NY 501(C)(3) LINE 9 CCN 0 INDEPENDENT LIVING FOR SENIORS 2066 HUDSON AVENUE ROCHESTER NY 14617 161491059 ADULT DAY HC NY 501(C)(3) LINE 9 RU SYSTEM INC 0 ROCHESTER GENERAL LONG TERM CARE 1550 EMPIRE BLVD WEBSTER NY 14580 223187140 NH & REHAB NY 501(C)(3) LINE 9 RU SYSTEM INC 0 WESTERN NEW YORK MEDICAL PRACTICE PC 1425 PORTLAND AVENUE ROCHESTER NY 14621 611654232 PHYS PRAC NY 501(C)(3) LINE 9 RU SYSTEM INC 0 THE UNITY HOSPITAL OF ROCHESTER 1555 LONG POND RD ROCHESTER NY 14626 237221763 HOSPITAL NY 501(C)(3) LINE 3 RU SYSTEM INC 0 NORTH PARK NURSING HOME INC 1555 LONG POND RD ROCHESTER NY 14626 223159644 LONG TERM CARE FACILITY NY 501(C)(3) LINE 9 RU SYSTEM INC 0 PARK RIDGE NURSING HOME INC 1555 LONG POND RD ROCHESTER NY 14626 160978184 LONG TERM CARE FACILITY NY 501(C)(3) LINE 9 RU SYSTEM INC 0 UNITY HEALTH SYSTEM FOUNDATION 1555 LONG POND RD ROCHESTER NY 14626 119627400 FOUNDATION NY 501(C)(3) LINE 7 RU SYSTEM INC 0 PRCD INC 1555 LONG POND RD ROCHESTER NY 14626 161311581 SUBSTANCE ABUSE TREATMENT & REHAB. NY 501(C)(3) LINE 7 RU SYSTEM INC 0 PARK RIDGE CHILD CARE CENTER INC 1555 LONG POND RD ROCHESTER NY 14626 222918126 CHILD DAY CARE SERVICES NY 501(C)(3) LINE 9 RU SYSTEM INC 0 PARK RIDGE HOUSING DEVELOPMENT FUND 1555 LONG POND RD ROCHESTER NY 14626 222608311 LOW INCOME HOUSING PROJECT FOR ELDERLY NY 501(C)(3) LINE 9 RU SYSTEM INC 0 PARK RIDGE HOUSING INC 1555 LONG POND RD ROCHESTER NY 14626 222570457 SENIOR APARTMENT COMPLEX NY 501(C)(3) LINE 9 RU SYSTEM INC 0 PARKWAY COMMONS HOUSING DEVELOPMENT 1555 LONG POND RD ROCHESTER NY 14626 223130818 LOW INCOME HOUSING FOR ELDERLY/HANDICAPPED NY 501(C)(3) LINE 9 RU SYSTEM INC 0 STBERNARD'S HOUSING DEVELOPMENT FU 1555 LONG POND RD ROCHESTER NY 14626 161492955 LOW INCOME HOUSING PROJECT NY 501(C)(3) LINE 9 RU SYSTEM INC 0 UNITY AGING SERVICES INC 1555 LONG POND RD ROCHESTER NY 14626 841684195 MANAGEMENT AND DEVELOPMENT CO NY 501(C)(3) LINE 9 RU SYSTEM INC 0 UNITY HOUSING DEVELOPMENT FUND CORP 1555 LONG POND RD ROCHESTER NY 14626 300068596 RECEIPT AND DISBURSEMENTS OF SUBSIDIES NY 501(C)(3) LINE 9 RU SYSTEM INC 0 WOODLAND VILLAGE INC 1555 LONG POND RD ROCHESTER NY 14626 161588242 SENIOR APARTMENT COMPLEX NY 501(C)(3) LINE 9 RU SYSTEM INC 0 UNITY ABULATORY SURGERY CENTER INC 1555 LONG POND RD ROCHESTER NY 14626 383871383 OUTPATIENT SURGERY NY 501(C)(3) LINE 9 RU SYSTEM INC 0 UNITY HEALTH SYSTEM INC 1555 LONG POND ROAD ROCHESTER NY 14626 222572873 SYSTEM SUPPORT NY 501(C)(3) LINE 11B, II RU SYSTEM INC 0 RU SYSTEM INC DBA ROCHESTER REGIONAL HEALTH SYSTEM 100 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 471234999 SYSTEM PARENT NY 501(C)(3) LINE 11B, II N/A 0 NW ASSOCIATES LP PO BOX 111 DRIVING PARK AVENUE NEWARK NY 14513 141674119 R/E LEASING NY NWCH RELATED 132407 714092 0 0 0.52570 PARMA SENIOR HOUSING 1555 LONG POND RD ROCHESTER NY 14626 432082116 HILTON PROJ NY N/A 0 0 UNITY SENIOR HOUSING 1555 LONG POND RD ROCHESTER NY 14626 061709927 MOORE PK NY N/A 0 0 GREATER ROCHESTER ASSURANCE COMPANY LTD GEORGE TOWN GRAND CAYMAN CJ INSURANCE CJ N/A C 0 GRACO RISK RETENTION GROUP INC 1425 PORTLAND AVENUE ROCHESTER NY 14621 710933967 INSURANCE SC RGH C 0 NWA INC DRIVING PARK AVENUE NEWARK NY 14513 141667339 R/E LEASING NY NWCH C 3143 42607 1.00000 1 GREATER ROCHESTER INDEPENDENT PRACTICE ASSOCIATION INC 100 KINGS HWY S SUITE 2500 ROCHESTER NY 14617 161507171 INDEPENDENT PRACTICE ASSOCIATION NY N/A C 0 ROCHESTER GENERAL HEALTH SYSTEM DIALYSIS INC 1425 PORTLAND AVENUE ROCHESTER NY 14621 383912199 DIALYSIS NY RGHS C 0 ACM MEDICAL LABORATORY INC 160 ELMGROVE PARK ROCHESTER NY 14624 161059691 CLINICAL LAB NY PRH INC C 0 PRH INC 1555 LONG POND ROAD ROCHESTER NY 14626 161329632 MEDICAL LAB NY RU SYSTEM INC C 0 PARMA SENIOR HOUSING LLC 1555 LONG POND ROAD ROCHESTER NY 14626 810671687 SENIOR HOUSING NY RU SYSTEM INC C 0 UNITY SENIOR HOUSING CORP 1555 LONG POND ROAD ROCHESTER NY 14624 061709925 SENIOR HOUSING NY RU SYSTEM INC C 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 ROCHESTER GENERAL HOSPITAL P 5538787 FMV GREATER ROCHESTER ASSUANCE COMPANY LTD P 526880 FMV WORKERS COMPENSATION TRUST P 1636346 FMV ROCHESTER GENERAL HEALTH SYSTEM (CORPORATE) P 1545386 FMV SCHEDULE R, PART II, COLUMN B: RELATED TAX-EXEMPT ORGANIZATION - PRIMARY ACTIVITY: RGHS WORKERS' COMPENSATION TRUST SUPPORTS THE GENESEE HOSPITAL, ROCHESTER GENERAL HOSPITAL, ROCHESTER GENERAL HOSPITAL FOUNDATION, NEWARK WAYNE COMMUNITY HOSPITAL, NEWARK COMMUNITY HOSPITAL FOUNDATION, INDEPENDENT LIVING FOR SENIORS, ROCHESTER GENERAL LONG TERM CARE, ROCHESTER GENERAL HUDSON HOUSING, GRHS FOUNDATION, BEHAVIORAL HEALTH NETWORK, AND ROCHESTER GENERAL HEALTH SYSTEM.