TY 2019 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)
(1) ARUN KUMAR NAGPAUL MD...................................................................... MEDICAL STAFF PRESIDENT	40.00 ................. 0.00	X				327,654	0	144,892
(2) EDWARD LEROUX...................................................................... DIRECTOR	1.00 ................. 0.00	X				0	0	0
(3) ERIC BIEBER MD...................................................................... CEO	6.00 ................. 49.00	X	X			264,319	2,158,604	1,217,087
(4) HARVEY FOWLER...................................................................... DIRECTOR	1.00 ................. 0.00	X				0	0	0
(5) ROBERT HUTTEMAN...................................................................... DIRECTOR	1.00 ................. 0.00	X				0	0	0
(6) SCOTT HEALY...................................................................... CHAIR OF THE BOARD	1.00 ................. 0.00	X	X			0	0	0
(7) STEVE TAYLOR...................................................................... VICE CHAIR	1.00 ................. 0.00	X	X			0	0	0
(8) DUSTIN RICCIO...................................................................... PRESIDENT, EASTERN REGION	30.00 ................. 25.00		X			208,923	174,102	173,535
(9) HUGH THOMAS...................................................................... CAO	6.00 ................. 49.00		X			112,918	922,165	611,973
(10) ROBERT NESSELBUSH...................................................................... COO	7.00 ................. 48.00		X			252,180	1,729,238	1,301,292
(11) THOMAS CRILLY...................................................................... CFO	6.00 ................. 49.00		X			89,902	734,198	535,741
(12) EVE M WILLIAMS...................................................................... PHYSICIAN	40.00 ................. 0.00			X		353,206	0	173,064
(13) MARITA MICHELIN...................................................................... CHIEF, EMERGENCY MEDICINE	40.00 ................. 0.00			X		380,582	0	65,697
(14) MICHAEL CUNNINGHAM...................................................................... PHYSICIAN	40.00 ................. 0.00			X		386,035	0	157,847
(15) SERHIY SOSNIYENKO...................................................................... PHYSIAN	40.00 ................. 0.00			X		347,972	0	117,731
(16) YULIYA REHAB...................................................................... PHYSICIAN	40.00 ................. 0.00			X		359,133	0	158,199
(17) WARREN HERN...................................................................... FORMER CEO	0.00 .................				X	0	250,000	0

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

NEWARK-WAYNE COMMUNITY HOSPITAL

Employer identification number

15-0584188

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2019

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2018. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2018. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2019

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2019

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2019

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2019 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Name of the organization

NEWARK-WAYNE COMMUNITY HOSPITAL

Employer identification number

15-0584188

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization NEWARK-WAYNE COMMUNITY HOSPITAL

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 3

Name of organization NEWARK-WAYNE COMMUNITY HOSPITAL		Employer identification number 15-0584188

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 4


Name of organization NEWARK-WAYNE COMMUNITY HOSPITAL			Employer identification number 15-0584188
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

NEWARK-WAYNE COMMUNITY HOSPITAL

Employer identification number

15-0584188

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2019

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2019

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

11,725

Total. Add lines 1c through 1i ....................................................................................................

11,725

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	THE AMOUNT REFLECTED ON PART II-B, LINE 1I REPRESENTS THE PORTION OF MEMBERSHIP DUES PAID TO GREATER NY HOSPITAL ASSOCIATION, HEALTH CARE ASSOCIATION OF NYS (HANYS), AMERICAN HOSPITAL ASSOCIATION (AHA), LEADING AGE NEW YORK, AND LEADING AGE NATIONAL, ATTRIBUTABLE TO LOBBYING ACTIVITIES.

Schedule C (Form 990 or 990EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

NEWARK-WAYNE COMMUNITY HOSPITAL

Employer identification number

15-0584188

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2019

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c	197,310
d	Additions during the year ............................	1d	626,657
e	Distributions during the year ..........................	1e	617,156
f	Ending balance ................................	1f	206,811

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	402,315	402,315	402,315	402,315	402,315
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	402,315	402,315	402,315	402,315	402,315

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

100.000 %

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	56,981		56,981
b	Buildings ....	68,090,895	44,361,730	23,729,165
c	Leasehold improvements
d	Equipment ....	35,494,575	30,268,058	5,226,517
e	Other .....	4,530,601	1,245,249	3,285,352
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				32,298,015

Schedule D (Form 990) 2019

Page 3

Part VII

InvestmentsOther Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3) Other (A) COMMON COLLECTIVE TRUSTS	13,606,910	C
(B) LIMITED PARTNERSHIP HEDGE FUND	28,504,277	C
(C) LIMITED PARTNERSHIP	3,769,813	C
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	45,881,000

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)ESTIMATED 3RD PARTY RECEIVABLE				804,368
(2)INTEREST IN ASSETS OF FOUNDATIONS				6,852,945
(3)OTHER INVESTMENTS				891,817
(4)DUE FROM AFFILIATES				417,586
(5)OTHER RECEIVABLES				591,033
(6)SELF-INSURANCE ASSETS				5,450,542
(7)OPERATING LEASES - RIGHT TO USE ASSETS				408,228
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				15,416,519

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	25,238,726
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2019

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART IV, LINE 2B:

RESIDENTS HAVE AUTHORIZED DEMAY LIVING CENTER, ATTACHED TO AND A PART OF NEWARK WAYNE COMMUNITY HOSPITAL, TO MANAGE THEIR PERSONAL FINANCES. THE FACILITY HOLDS, SAFEGUARDS, MANAGES, AND ACCOUNTS FOR PERSONAL FUNDS OF THE RESIDENTS DEPOSITED WITH THE FACILITY. INDIVIDUAL RESIDENT FUNDS ARE DEPOSITED INTO AN INTEREST-BEARING ACCOUNT AND EACH RESIDENT HAS AN INTERNAL ACCOUNTING OF THE BALANCE OF THEIR FUND. EACH RESIDENT IS PROVIDED ON A MONTHLY BASIS AN ACCOUNTING OF THEIR FUND BALANCE.

PART V, LINE 4:

INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS INCLUDE: 1) CAPITAL EXPANSION 2) ADVANCEMENT OF MEDICAL EDUCATION AND RESEARCH AND HEALTH CARE SERVICES

Schedule D (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

NEWARK-WAYNE COMMUNITY HOSPITAL

Employer identification number

15-0584188

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	3,585,030	1,943,564	1,641,466	1.550 %
b	Medicaid (from Worksheet 3, column a) . . . . .	18,818,661	11,604,813	7,213,848	6.830 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	6,235,357	3,118,923	3,116,434	2.950 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	28,639,048	16,667,300	11,971,748	11.330 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	46,200		46,200	0.040 %
f	Health professions education (from Worksheet 5) . . .
g	Subsidized health services (from Worksheet 6) . . . .	48,505,718	37,904,179	10,601,539	10.030 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .	48,551,918	37,904,179	10,647,739	10.070 %
k	Total. Add lines 7d and 7j .	77,190,966	54,571,479	22,619,487	21.400 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements	98,328	77,772	20,556	0.020 %
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	98,328	77,772	20,556	0.020 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

2,251,990

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

534,803

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

14,206,140

Enter Medicare allowable costs of care relating to payments on line 5.....

15,752,143

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-1,546,003

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 NW ASSOCIATES LP	LEASING	73.610 %	26.360 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2019

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	NEWARK-WAYNE COMMUNITY HOSPITAL 1200 DRIVING PARK AVENUE NEWARK,NY14513	X	X	X	X

Schedule H (Form 990) 2019

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	NEWARK-WAYNE COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 19

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.ROCHESTERREGIONAL.ORG

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.ROCHESTERREGIONAL.ORG

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	NEWARK-WAYNE COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.ROCHESTERREGIONAL.ORG

The FAP application form was widely available on a website (list url):

WWW.ROCHESTERREGIONAL.ORG

A plain language summary of the FAP was widely available on a website (list url):
WWW.ROCHESTERREGIONAL.ORG

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	NEWARK-WAYNE COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	NEWARK-WAYNE COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2019

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
NEWARK-WAYNE COMMUNITY HOSPITAL	PART V, SECTION B, LINE 5: FACILITATED WITH THE ASSISTANCE OF S2AY RURAL HEALTH NETWORK AND COMMON GROUND HEALTH, THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN PARTNERSHIP BETWEEN WAYNE COUNTY PUBLIC HEALTH AND NEWARK WAYNE COMMUNITY HOSPITAL. STARTING IN THE SUMMER OF 2018, REPRESENTATIVES FROM EACH OF THESE ORGANIZATIONS AS WELL AS REPRESENTATIVES FROM A VARIETY OF OTHER COMMUNITY ORGANIZATIONS CONSTITUTE THE WAYNE HEALTH IMPROVEMENT PARTNERSHIP (WHIP), THE OVERSIGHT BODY FOR THE DEVELOPMENT OF THE CHNA. INFORMATION DISCUSSED BY THE WHIP IS SHARED, AS IS APPROPRIATE, WITH HOSPITAL LEADERSHIP AND TO VARIOUS COMMUNITY GROUPS FOR INPUT AND COMMENT
NEWARK-WAYNE COMMUNITY HOSPITAL	PART V, SECTION B, LINE 6B: WAYNE COUNTY PUBLIC HEALTH
NEWARK-WAYNE COMMUNITY HOSPITAL	PART V, SECTION B, LINE 11: THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE MOST RECENTLY CONDUCTED CHNA ARE ALL BEING ADDRESSED BY THE HOSPITAL FACILITY. SEE THE DISCLOSURES IN PART VI AS WELL AS THE HOSPITAL FACILITY'S IMPLEMENTATION PLAN FOUND AT WWW.ROCHESTERREGIONAL.ORG FOR MORE INFORMATION.
NEWARK-WAYNE COMMUNITY HOSPITAL	PART V, SECTION B, LINE 16J: ALSO LOCATED IN OUTPATIENT SETTINGS.

Schedule H (Form 990) 2019

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?12
Name and address		Type of Facility (describe)
1	1 - DEMAY LIVING CENTER 100 SUNSET DRIVE NEWARK,NY14513	SKILLED NURSING FACILITY
2	2 - MYERS LAB 6692 MIDDLE ROAD SUITE 1100 SODUS,NY14551	LABORATORY
3	3 - NEWARK HOSPITAL LAB 1200 DRIVING PARK AVENUE NEWARK,NY14513	LABORATORY
4	4 - WILLIAMSON LAB 4425 OLD RIDGE ROAD WILLIAMSON,NY14589	LABORATORY
5	5 - NWH CARDIAC REHAB 111 DRIVING PARK AVENUE NEWARK,NY14513	NWH SPECIALTY PRACTICE
6	6 - NWH SURGICAL ASSOCIATED 1200 DRIVING PARK AVENUE NEWARK,NY14513	NWH SPECIALTY PRACTICE
7	7 - NWH DEPARTMENT OF SURGERY AT SODUS 6692 MIDDLE ROAD SODUS,NY14551	NWH SPECIALTY PRACTICE
8	8 - NWH JOINT ORTHO CLASS 1200 DRIVING PARK AVENUE NEWARK,NY14513	NWH SPECIALTY PRACTICE
9	9 - NWH LAB WOLCOTT 6256 LAWVILLE ROAD WOLCOTT,NY14590	LABORATORY
10	10 - NWH PHLEBOTOMY 1200 DRIVING PARK AVENUE NEWARK,NY14513	NWH SPECIALTY PRACTICE
11	11 - NWH RADIOLOGY MYERS 6692 MIDDLE ROAD SODUS,NY14551	NWH SPECIALTY PRACTICE
12	12 - NWH SPEECH PATHOLOGY REHABILITATION 111 DRIVING PARK AVENUE NEWARK,NY14513	NWH SPECIALTY PRACTICE

Schedule H (Form 990) 2019

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 6A:	NEWARK WAYNE COMMUNITY HOSPITAL'S COMMUNITY BENEFIT REPORT IS INCLUDED IN THE COMMUNITY BENEFIT REPORT FOR ROCHESTER REGIONAL HEALTH, A RELATED NOT-FOR-PROFIT ORGANIZATION, AS PART OF THE JOINT COMMUNITY BENEFIT REPORT DISTRIBUTED BY WAYNE COUNTY, NY.
PART I, LINE 7:	THE COSTING METHODOLOGY USED FOR LINES 7A, B, C AND F WAS FROM BOTH THE HOSPITAL'S 2019 MEDICAID ICR, UTILIZING EXHIBIT 46, AND THE 2019 MEDICARE MCR, UTILIZING WORKSHEETS S-10 AND B, PART I. WORKSHEET 2 WAS USED TO CALCULATE THE RATIO OF PATIENT CARE COST-TO-CHARGES. EXHIBITS 11 AND 46 FROM THE 2019 MEDICAID ICR WERE UTILIZED TO COMPLETE THE CALCULATIONS.
PART I, LINE 7G:	NO PHYSICIAN CLINIC COSTS WERE INCLUDED ON LINE 7G.
PART I, LN 7 COL(F):	TOTAL EXPENSES ON FORM 990, PART IX, LINE 25, COLUMN (A) ARE $107,919,794. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $2,251,990. AFTER BAD DEBT WAS DEDUCTED FROM TOTAL EXPENSES, THE AMOUNT OF TOTAL EXPENSES USED TO CALCULATE THE PERCENT IN LINE 7, COLUMN (F) WAS $105,667,804.
PART I, LINE 7E:	DURING 2019, NEWARK WAYNE COMMUNITY HOSPITAL (NWCH) 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). NEWARK WAYNE COMMUNITY HOSPITAL SUMMERFEST - IN PARTNERSHIP WITH THE NEWARK POLICE DEPARTMENT AND ALL THREE NEWARK ELEMENTARY SCHOOLS, NEWARK-WAYNE HOSPITAL HOSTED ITS ANNUAL SUMMERFEST HEALTH FAIR OFFERING COMMUNITY MEMBERS MANY HEALTH AND SAFETY RELATED SERVICES INCLUDING: FITTING OF FREE BIKE HELMETS (DONATED BY PHYSICIANS) TO OVER 200 CHILDREN; CHILDREN'S CAR SEAT SAFETY CHECKS; A BIKE RODEO TO TEACH CHILDREN ABOUT BIKE SAFETY; BLOOD PRESSURE AND GLUCOSE SCREENINGS; AND INFORMATION ON MANY HEALTH-RELATED TOPICS FROM NWCH AND PARTNER HEALTH AGENCIES FROM AROUND WAYNE COUNTY. ADDITIONALLY, THE CANCER SERVICES PROGRAM (CSP) PROVIDED INFORMATION AND EDUCATION ABOUT THE IMPORTANCE OF GETTING SCREENED. WAYNE COUNTY FAIR - RRH PRESENCE COVERED INFORMATION AND EMPLOYEE VOLUNTEERS FROM SURGICAL SERVICES, LAB SERVICES, NICHE/HEALTH FIRST FAMILY MEDICINE, STROKE, ICU, CARDIAC REHAB, WOMEN'S CARE, ENDOCRINOLOGY, RESPIRATORY THERAPY, ORTHOPEDICS, PHYSICAL AND OCCUPATIONAL THERAPY AND SPEECH THERAPY.CAMP MEDQUEST- CAMP MEDQUEST IS A DAY CAMP FOR HIGH SCHOOL STUDENTS TO EXPERIENCE THE OPPORTUNITIES AVAILABLE IN HEALTHCARE. STUDENTS LEARN FROM A VARIETY OF HEALTH PROFESSIONALS THROUGH ONE-ON-ONE AND HANDS-ON ACTIVITIES. THE GOOD LIFE, A 10-WEEK HEALTH AND WEIGHT-LOSS PROGRAM WAS SPONSORED BY THE WAYNE COUNTY RURAL HEALTH NETWORK, CORNELL COOPERATIVE EXTENSION AND NEWARK-WAYNE COMMUNITY HOSPITAL, OFFERING INCENTIVES, EDUCATION AND OPTIONS FOR FAMILIES TO BECOME HEALTHIER. MEASUREMENTS OF WEIGHT, HEIGHT AND BLOOD PRESSURE WERE TAKEN AS A BASELINE TO HELP TRACK SUCCESS. PARTICIPANTS ALSO RECEIVE A PEDOMETER, TRACKING TOOLS AND INFORMATION ABOUT HOW TO ACHIEVE GOALS. THE CLASSES TAUGHT STEP-BY-STEP TOOLS ABOUT HOW TO STAY GOAL-FOCUSED.THE WAYNE COUNTY RURAL HEALTH NETWORK (OF WHICH NWCH IS A PARTNER) RAN THE WAYNE COUNTY 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. NWCH IS A SPONSOR OF THIS PROGRAM AND PROVIDES SPACE AND RESOURCES TO ITS EFFORT.CANCER SERVICES PROGRAM COLLABORATED WITH LOCAL YMCAS TO PROMOTE CANCER SCREENINGS. SCREENINGS FOR BREAST, CERVICAL AND COLORECTAL CANCER WERE CONDUCTED THROUGH COLLABORATION BETWEEN THE NWCH CANCER SERVICES PROGRAM AND LOCAL YMCAS. MANY OTHER SERVICES WERE PROVIDED SUCH AS CONSULTS AND PATHOLOGY. DURING COLORECTAL CANCER AWARENESS MONTH, THE CSP PARTNERED WITH THE GI OFFICES IN THE GO BLUE (COLORECTAL CANCER - CRC) CAMPAIGN. CSP INVITED GI PROVIDERS, LOCAL OFFICIALS AND LEGISLATORS TO SPEAK AT A PRESENTATION SUPPORTING CRC AWARENESS.NATIONAL HEALTH-RELATED HOLIDAYS- NEWARK-WAYNE COMMUNITY HOSPITAL STAFF PROVIDED HEALTH EDUCATION INFORMATION TO STAFF AND VISITORS ON NATIONAL HEALTH-RELATED HOLIDAYS. IN 2019, RECOGNITIONS INCLUDED EDUCATIONAL MATERIALS, SOCIAL MEDIA OUTREACH, MEDIA PITCHES AND GIVEAWAYS. SOME TOPICS INCLUDED: HEART, BRAIN INJURY AWARENESS, DIABETES, BREAST CANCER, COLORECTAL CANCER, MELANOMA, CONCUSSION, CHOLESTEROL EDUCATION, MEN'S HEALTH, BETTER SLEEP AND DEPRESSION. NWCH SPONSORED AN EARTH DAY EVENT WHICH FEATURED A TREE SAPLING GIVEAWAY, SUSTAINABILITY PLEDGE, COMPOSTING QUESTIONS AND ANSWERS, AND MORE FUN ACTIVITIES RELATED TO SUSTAINABILITY AND CONSERVATION. THE NEW VISIONS HEALTH PROFESSIONS PROGRAM IS CAREER EXPLORATION, THROUGH WAYNE FINGER LAKES BOCES, DESIGNED FOR HIGH SCHOOL SENIORS INTERESTED IN MEDICAL AND HEALTH-RELATED PROFESSIONS. THE GOAL IS TO PROVIDE STUDENTS WITH AN EXPOSURE TO THE VARIED CAREERS IN MEDICINE. NEWARK WAYNE HOSPITAL PROVIDES CLASSROOM SPACE AND STUDENTS WITH SHADOWING OPPORTUNITIES TO APPROXIMATELY 25 STUDENTS THROUGHOUT THE SCHOOL YEAR. IN ADDITION TO THOSE EVENTS SPONSORED SPECIFICALLY BY NEWARK WAYNE COMMUNITY HOSPITAL, ROCHESTER REGIONAL HEALTH, THE PARENT ORGANIZATION, SPONSORED THE FOLLOWING EVENTS AS A MEANS OF IMPROVING THE HEALTH OF ALL OF THE COMMUNITIES SERVED BY THE HEALTH SYSTEM: SCHOOL BASED CLINICS - ROCHESTER REGIONAL HEALTH SPONSORS MANY SCHOOL BASED HEALTH CLINICS WITHIN THE ROCHESTER CITY SCHOOL DISTRICT THAT PROVIDE HEALTHCARE SERVICES AND EDUCATION FOR STUDENTS INCLUDING PHYSICAL EXAMINATIONS FOR WORK OR SPORTS, TREATMENT OF INJURIES AND ILLNESSES, PRESCRIPTION MANAGEMENT, IMMUNIZATIONS, LABORATORY TESTING, AND MENTAL HEALTH SERVICES. THESE CLINICS ARE FREE FOR ANY STUDENTS ENROLLED IN THE SCHOOL.YOUTH APPRENTICE PROGRAM (SCHOOL-TO-WORK)THE ROCHESTER CITY SCHOOL DISTRICT AND ROCHESTER REGIONAL HEALTH HAVE PARTNERED TOGETHER WITH A VISION TO GIVE HIGH SCHOOL STUDENTS IN THE ROCHESTER CITY SCHOOL DISTRICT THE OPPORTUNITY TO GAIN "REAL-LIFE" EXPERIENCES IN HEALTHCARE. STUDENTS GAIN ACCESS TO THE DIFFERENT POSITIONS WITHIN A HEALTHCARE ORGANIZATION, AND BECOME CERTIFIED BY NEW YORK STATE THAT THEY HAVE HAD YOUTH EMPLOYMENT COMPETENCY TRAINING WHEN THEY EARN THEIR HIGH SCHOOL DIPLOMA. IN THE PAST 9 YEARS, 100% OF STUDENTS WHO WENT THROUGH THIS PROGRAM HAVE GRADUATED HIGH SCHOOL. UPON GRADUATION AND COMPLETION OF THE PROGRAM, PARTICIPANTS ARE ELIGIBLE TO APPLY FOR ENTRY LEVEL POSITIONS AS A PATIENT CARE TECHNICIAN, PEDIATRIC TECHNICIAN, MATERIAL RECORD ASSISTANT, RESPIRATORY CARE AIDE, AND A TRANSPORTER AND LAB ASSISTANT. HILLSIDE WORK SCHOLARSHIP PROGRAM ROCHESTER REGIONAL PROUDLY PARTNERS WITH HILLSIDE THROUGH THEIR WORK-SCHOLARSHIP PROGRAM. THIS SCHOLARSHIP WAS STARTED AS A WAY TO EMPLOY TEENAGE STUDENTS IDENTIFIED WITH A HIGH RISK OF NOT GRADUATING HIGH SCHOOL, AND PROVIDES THEM MENTORSHIP AND A CHANCE TO GAIN VALUABLE HANDS-ON EXPERIENCE. STUDENTS ENTER THE PROGRAM FROM SEVENTH THROUGH NINTH GRADE AND ARE OFFERED AN OPPORTUNITY TO GAIN REAL-WORLD JOB EXPERIENCES AT ROCHESTER REGIONAL TO ASSIST IN BUILDING AN ACADEMIC AND CAREER PATHWAY IN HEALTHCARE. THANKS TO THE COMPREHENSIVE SUPPORT THEY RECEIVE FROM HILLSIDE AND PARTNERS AT ROCHESTER REGIONAL HEALTH, STUDENTS ENROLLED IN THE PROGRAM ARE ABLE TO COMPLETE HIGH SCHOOL AT ALMOST DOUBLE THE RATE OF THEIR ROCHESTER CITY SCHOOL DISTRICT PEERS.RIT ROCHESTER REGIONAL HEALTH ALLIANCEROCHESTER REGIONAL PARTNERS WITH ROCHESTER INSTITUTE OF TECHNOLOGY (RIT) ON MANY INITIATIVES INCLUDING BIOMEDICAL RESEARCH, HEALTHCARE EDUCATIONAL PROGRAMS, RESEARCH AND DEVELOPMENT OF INNOVATIVE TECHNOLOGY, AND OTHER SUSTAINABILITY INITIATIVES WITHIN THE ROCHESTER COMMUNITY. ROCHESTER REGIONAL PROVIDES REAL WORLD EXPERIENCE FOR STUDENTS WHO WILL EXPAND THE CARE WE PROVIDE TO OUR COMMUNITIES. TO LEARN MORE VISIT THE RIT ROCHESTER REGIONAL HEALTH ALLIANCE WEBSITESOCIAL MEDIA SPOTLIGHTS FEATURING TOPICS SUCH AS CARDIOLOGY CARE, FITTING IN FITNESS, DENTAL CARE, WOMEN AND HEART DISEASE, HEART FAILURE TREATMENT, EDUCATION AND AWARENESS ABOUT ORGAN AND TISSUE DONATION, OPIOID FREE AND CONTROLLING CHRONIC PAIN, DEBUNKING MYTHS ON COLONOSCOPIES AND COLORECTAL CANCER, HERNIAS AND HOW THEY ARE TREATED, OBESITY AND BARIATRIC SURGERY, WOMEN AND INCONTINENCE, LYME DISEASE, LIFESTYLE MEDICINE, SKIN CANCER AND SKIN PROTECTION, EARLY SIGNS OF A HEART ATTACK, ROCHESTER PRIDE PARADE AND FESTIVAL, AWARENESS OF SERVICES AVAILABLE TO THE DEAF POPULATION, OVERCOMING ADDICTION, PEANUT ALLERGY TREATMENT, AMONG OTHERS. SPONSORSHIPS- ROCHESTER REGIONAL HEALTH, AS A SYSTEM, INCLUDING NEWARK WAYNE COMMUNITY HOSPITAL, IS COMMITTED TO GIVING BACK TO THE COMMUNITY BY SUPPORTING THE MANY ORGANIZATIONS THAT ARE ALREADY WORKING SO HARD TO IMPROVE COMMUNITY HEALTH. AS SUCH, WE PROVIDE CASH AND IN-KIND SPONSORSHIPS, SERVICES AND STAFF TO LOCAL ORGANIZATIONS AND COMMUNITY EVENTS INCLUDING THE AMERICAN HEART WALK, THE CENTER FOR YOUTH, JORDAN HEALTH CENTER, ROCHESTER INTERNATIONAL JAZZ FESTIVAL, ST. JOSEPH'S NEIGHBORHOOD, THE AMERICAN DIABETES ASSOCIATION, MERCY FLIGHT CENTRAL, INTERVOL, GREATER NEWARK CHAMBER OF COMMERCE, AND OTHERS.
PART II, COMMUNITY BUILDING ACTIVITIES:	AT ROCHESTER REGIONAL HEALTH, WE UNDERSTAND THAT THE HEALTH OF OUR COMMUNITY, ENVIRONMENT, AND FINANCES ARE ALL INTERTWINED. WE'RE MANAGING ALL OF OUR RESOURCES TO REDUCE OUR OVERALL ENVIRONMENTAL FOOTPRINT AND LEAD SUSTAINABILITY EFFORTS IN THE NORTHEAST. HOSPITALS CAN USE MORE THAN DOUBLE THE AMOUNT OF ENERGY AS COMMERCIAL BUILDINGS AND ON AVERAGE GENERATE MORE THAN THIRTY-THREE POUNDS OF WASTE PER PATIENT PER DAY. WE'RE MAKING ROCHESTER REGIONAL HEALTH THE EXCEPTION.OUR SUSTAINABILITY DEPARTMENT IS DEDICATED TO HELPING IMPROVE THE HEALTHCARE EXPERIENCE, ENSURE A HEALTHY ENVIRONMENT, AND LOWER HEALTHCARE COSTS. WE'RE REDUCING WASTE, ELIMINATING TOXINS, AND CREATING A MORE SUSTAINABLE COMMUNITY NOW AND FOR THE FUTURE. A FEW OF THE MANY SUSTAINABILITY PROJECTS AN INITIATIVES UNDERWAY AT ROCHESTER REGIONAL HEALTH INCLUDE:ENERGY EFFICIENT EQUIPMENT AND LIGHTING UPGRADES - ROCHESTER REGIONAL IS INCREASING ENERGY EFFICIENCY THROUGH EQUIPMENT UPGRADES IN OUR BUILDINGS. WE ARE RETROFITTING INTERNAL AND EXTERNAL LIGHTING WITH LED LIGHTING, A TECHNOLOGY THAT CONSUMES A THIRD OF THE ENERGY OF TRADITIONAL LIGHTING AND LASTS THREE TIMES AS LONG SAVING MONEY ON BOTH ENERGY AND MAINTENANCE. OTHER ENERGY EFFICIENCY UPGRADES ARE FOCUSED ON REDUCING THE ELECTRICAL AND HEATING LOADS OF OUR HVAC SYSTEMS AND OTHER EQUIPMENT. WE ARE UPGRADING SEVERAL PIECES OF ENERGY INTENSIVE EQUIPMENT THAT ARE OFTEN NOT CONSIDERED, INCLUDING VENDING MACHINES, AND REFRIGERATION UNITS. SOLAR INSTALLATIONS - OPPORTUNITIES FOR ON-SITE SOLAR INSTALLATIONS ARE BEING INVESTIGATED TO PROVIDE POWER TO FACILITIES ACROSS OUR ORGANIZATION. AT OUR HEADQUARTERS, THE RIEDMAN CAMPUS, WE HAVE CONSTRUCTED A 486 KW PHOTOVOLTAIC ARRAY THAT WILL PRODUCE AROUND 550,000 KWH ANNUALLY, PROVIDING POWER TO 20 OF OUR LOCATIONS. THIS WILL OFFSET APPROXIMATELY 848,000 LBS OF CO2 EMISSIONS PER YEAR. COMMUNITY SUPPORTIVE AGRICULTURE - ROCHESTER REGIONAL IS CURRENTLY WORKING WITH LOCAL ORGANIZATIONS TO OFFER COMMUNITY SUPPORTIVE AGRICULTURE (CSA) FOOD SHARE DROP-OFF LOCATIONS ACROSS THE ORGANIZATION. THESE CSA ORGANIZATIONS PARTNER WITH CREDENTIALED FARMERS AND WHOLESALERS THAT ENSURE THE BEST QUALITY LOCAL PRODUCE AND SUSTAINABLE FOOD, ADHERING TO THE HIGHEST STANDARDS IN OUR FACILITIES AND COMMUNITIES. THUS FAR, FIVE FOOD SHARE LOCATIONS WERE ESTABLISHED AT OUR FACILITIES.LOCAL FOOD PURCHASING AND FARMERS MARKET - ROCHESTER REGIONAL ACTIVELY SUPPORTS PURCHASES FROM LOCAL FARMS TO SUPPORT OUR LOCAL ECONOMY. CURRENTLY, WE PURCHASE PRODUCE FROM A NUMBER OF LOCAL VENDORS, ANNUALLY AMOUNTING TO AROUND 20% OF THE ORGANIZATION'S TOTAL SPENT ON PRODUCE. ADDITIONALLY, ROCHESTER REGIONAL'S RIEDMAN LOCATION HOLDS WEEKLY FARMERS MARKETS TO ENCOURAGE THE COMMUNITY AND EMPLOYEES TO PURCHASE MORE LOCALLY GROWN FOOD. WE ARE ACTIVELY SEEKING TO EXPAND THE PROGRAM AND START FARMERS MARKETS AT OTHER FACILITIES.WASTE TO ENERGY - FOOD WASTES AND OTHER ORGANIC MATERIALS THAT COULD BE DIVERTED MAKE UP 25% OF TRASH SENT TO LANDFILLS. SEVERAL FOOD WASTE AUDITS RECENTLY CONDUCTED AT ROCHESTER GENERAL HOSPITAL, UNITY HOSPITAL, AND THE RIEDMAN CAMPUS SUGGEST THAT WE COULD BE DIVERTING UP TO 705,925 LBS OF FOOD WASTE FROM LANDFILLS A YEAR ACROSS OUR ORGANIZATION. WHEN ORGANIC WASTE IS SENT TO LANDFILLS, IT BREAKS DOWN INTO METHANE, WHICH IS 20 TIMES MORE POTENT GREENHOUSE GAS THAN CO2. THAT MEANS 1 LB OF METHANE EMITTED IS LIKE PUTTING 20 LBS OF CO2 INTO THE AIR. ROCHESTER REGIONAL BEGAN DIVERTING ORGANIC WASTE FROM OUR RIEDMAN CAMPUS TO AN ANAEROBIC DIGESTER JUST SOUTH OF ROCHESTER. BACTERIA IN THE ANAEROBIC DIGESTER BREAK DOWN ORGANIC WASTE INTO METHANE THAT IS THEN COMBUSTED ON-SITE TO PRODUCE ELECTRICITY. THE PROCESS ALSO PRODUCES A NUTRIENT-RICH SLURRY THAT IS USED IN AGRICULTURAL APPLICATIONS TO HELP DISPLACE SYNTHETIC CHEMICAL FERTILIZERS.ELECTRONICS RECYCLING - HEALTHCARE DATA STORED ON ELECTRONIC DEVICES IS EXTREMELY SENSITIVE, AND WE TAKE SECURING THAT INFORMATION VERY SERIOUSLY AT ROCHESTER REGIONAL. FOR ALL OF OUR ELECTRONIC DEVICES IN NEED OF REPLACEMENT, USUALLY BECAUSE THEY ARE OUTDATED OR TOO COSTLY TO REPAIR, WE HAVE TO FIND A REPLACEMENT WHILE TAKING THE UTMOST CARE THAT WE SECURELY REMOVE ANY SENSITIVE INFORMATION FROM THE OLD DEVICE. FOR PIECES OF EQUIPMENT THAT MAY HAVE SENSITIVE INFORMATION, WE REMOVE THE DATA STORAGE PORTION, SHRED IT, AND RECYCLE THE PIECES. THE REST OF THE DEVICE MAY BE COMPLETELY FINE WHERE THE COMPONENTS INCLUDING THE HOUSING AND ON-BOARD SENSORS CAN STILL BE USED. RATHER THAN THROW OUT THE REMAINDER OF THE EQUIPMENT, WE WORK WITH ORGANIZATIONS THAT RE-SELL/REFURBISH THE HOUSING AND OTHER CRITICAL COMPONENTS, INTO NEW DEVICES, ELIMINATING THE NEED FOR MANY RAW MATERIALS TO BE CONSUMED. SUSTAINABLE PURCHASING CRITERIA IS A BROAD TOPIC THAT ULTIMATELY AIMS TO ENSURE THE ENTITIES WE PROCURE PRODUCTS AND SERVICES FROM ARE COMMITTED TO THE SAME CORE VALUES AS ROCHESTER REGIONAL, INCLUDING QUALITY, COMPASSION, RESPECT, COLLABORATION, AND FORESIGHT. IN ADDITION, WE UNDERSTAND THAT AS THE SECOND LARGEST EMPLOYER IN OUR AREA, WE ARE A SIGNIFICANT ECONOMIC DRIVER WITHIN OUR COMMUNITY, AND AIM TO USE THIS INFLUENCE FOR GOOD. NOT ONLY DO WE WORK TOWARDS IMPROVING THE PHYSICAL HEALTH OF OUR COMMUNITY MEMBERS, BUT WE ALSO SEEK TO IMPROVE THE ECONOMIC AND ENVIRONMENTAL HEALTH OF THE COMMUNITY AS WELL. WITH THAT IN MIND, WE HAVE A DEDICATED TEAM THAT IS DEVELOPING SUSTAINABLE PURCHASING CRITERIA THAT WILL SET GUIDELINES AROUND THE SOCIAL, ECONOMIC, AND ENVIRONMENTAL IMPACTS OF THE PRODUCTS AND SERVICES WE PROCURE. THE PRIMARY STRATEGIES FOR THESE CRITERIA ARE TO BUY MORE LOCALLY PRODUCED ITEMS, PURCHASE PRODUCTS THAT ARE MADE WITH SAFER MATERIALS, AND WORK MORE WITH COMPANIES THAT TREAT THEIR EMPLOYEES WELL.ELECTRIC VEHICLE CHARGING STATIONS - ELECTRIC VEHICLE CHARGING STATIONS ARE NOW AVAILABLE IN THE EASTERN REGION AT BOTH NEWARK-WAYNE AND CLIFTON SPRINGS HOSPITALS. THIS INITIATIVE HELPS STAFF AND PATIENTS REDUCE THEIR ENVIRONMENTAL FOOTPRINTS, AND IT SUPPORTS THE GREENING OF OUR COMMUNITIES' TRANSPORTATION INFRASTRUCTURE.
PART III, LINE 4:	IN 2019, 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 2019 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 2019, 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 2019 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 2019 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:	FACILITATED WITH THE ASSISTANCE OF S2AY RURAL HEALTH NETWORK AND COMMON GROUND HEALTH, THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN PARTNERSHIP BETWEEN WAYNE COUNTY PUBLIC HEALTH AND NEWARK WAYNE COMMUNITY HOSPITAL. STARTING IN THE SUMMER OF 2018, REPRESENTATIVES FROM EACH OF THESE ORGANIZATIONS AS WELL AS REPRESENTATIVES FROM A VARIETY OF OTHER COMMUNITY ORGANIZATIONS CONSTITUTE THE WAYNE HEALTH IMPROVEMENT PARTNERSHIP (WHIP), THE OVERSIGHT BODY FOR THE DEVELOPMENT OF THE CHNA. INFORMATION DISCUSSED BY THE WHIP IS SHARED, AS IS APPROPRIATE, WITH HOSPITAL LEADERSHIP AND TO VARIOUS COMMUNITY GROUPS FOR INPUT AND COMMENT. THE WHIP CONTRACTED WITH S2AY TO AID IN FACILITATION AND PREPARATION OF THIS REPORT. S2AY BEGAN ITS DATA COLLECTION AND ANALYSIS EFFORTS BY FOCUSING ON DATA RELATED TO THE PRIOR CHNA FOR THE REGION AS WELL AS EMERGING ISSUES AS IDENTIFIED BY HOSPITALS AND PUBLIC HEALTH EXPERTS AS WELL AS THE NYS PREVENTION AGENDA. THE PRIMARY AND CONSISTENT SOURCE OF DATA USED TO PRIORITIZE THE HEALTH NEEDS OF THE COMMUNITY WAS THE COUNTY LEVEL DASHBOARDS OF THE NEW YORK STATE PREVENTION AGENDA. IN ADDITION, OTHER KEY SOURCES OF DATA INCLUDING BUT NOT LIMITED TO THE AMERICAN COMMUNITY SURVEY, THE ENHANCED BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, VITAL STATISTICS, COMMUNICABLE DISEASE AND DENTAL REPORTS, PRIMARY DATA COLLECTED FROM THE MY HEALTH STORY 2018 SURVEY AND LOCAL DATA SOURCES SUCH AS WAYNE COUNTY'S SCHOOL STUDENT SURVEY.THE WHIP REVIEWED DATA FROM EACH OF THESE SOURCES AND IN CONJUNCTION WITH S2AY THEY DEVELOPED A PRESENTATION OUTLINING THE HIGHEST NEEDS IN WAYNE COUNTY. KEY PARTNERS AND COMMUNITY MEMBERS WERE INVITED TO ATTEND PRIORITIZATION MEETINGS. AT THE MEETINGS, DATA WERE REVIEWED WHICH INCLUDED A MIX OF QUANTITATIVE, QUALITATIVE, PRIMARY AND SECONDARY DATA ON EACH OF THE FIVE PRIORITY AREAS OUTLINED IN THE NYS PREVENTION AGENDA. S2AY SHARED THIS DATA WITH DIVERSE FOCUS GROUPS THROUGHOUT THE COMMUNITY. THESE MEETINGS WERE USED TO NOT ONLY REVIEW THE DATA BUT ALSO TO GAIN AN UNDERSTANDING OF THE PERCEPTIONS REGARDING THE NEEDS OF THE COMMUNITY. THE PROCESS FOR PRIORITIZING COMMUNITY HEALTH NEEDS AND SERVICES WAS DETERMINED THROUGH LISTENING TO THE OPINIONS OF MEMBERS OF WHIP, SEVERAL COMMUNITY HEALTH EXPERTS AS WELL AS THE FOCUS GROUPS. MEMBERS OF EACH FOCUS GROUP WERE INVITED TO ATTEND THE PRIORITY SETTING MEETING. AFTER THE PRELIMINARY PRIORITY SETTING MEETING WAS HELD, ANOTHER OPPORTUNITY FOR INPUT FROM THE GENERAL PUBLIC WAS PROVIDED. PRELIMINARY PRIORITIES WERE LISTED IN A MEDIA RELEASE AS WELL AS WEBSITES OF THE HOSPITAL AND PUBLIC HEALTH OFFICES. OVERALL, AFTER CONSIDERING THE OPINIONS OF THE WHIP MEMBERS, THE COMMUNITY, THE STATE OF NEW YORK AND THE HEALTH DATA, THE FOLLOWING PRIORITIES WERE IDENTIFIED: PREVENT CHRONIC DISEASE:1. TOBACCO PREVENTION2. CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENT PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS3. PREVENT MENTAL AND SUBSTANCE USE DISORDERSADDITIONALLY, WAYNE COUNTY IS FOCUSING ON LOW INCOME AS THE MAIN DISPARITY IN THIS COMMUNITY HEALTH IMPROVEMENT PLAN. THE 2019-2021 COMMUNITY HEALTH IMPROVEMENT PLAN OUTLINES THE PRIORITIES IDENTIFIED IN THE CHNA AND PROVIDES INTERVENTIONS TO IMPACT THE HEALTH PRIORITIES AS FOLLOWS: PRIORITY 1: PREVENT CHRONIC DISEASE: TOBACCO PREVENTION - IN AN EFFORT TO PROMOTE TOBACCO-FREE OUTDOOR SPACES, OUTDOOR TOOLKITS WILL BE DEVELOPED AND PROVIDED TO NWCH WHO WILL IN TURN SHARE AND DISSEMINATE THIS INFORMATION TO HEALTHCARE PROVIDERS. ADDITIONALLY, TO INCREASE TOBACCO CESSATION REFERRALS, NWCH WILL CONTINUE TO ENCOURAGE PROVIDERS TO CONSISTENTLY REFER SMOKING PATIENTS TO EVIDENCE-BASED TOBACCO CESSATION PROGRAMS. NWCH, IN PARTNERSHIP OF WHIP, WILL CREATE A "PRESCRIPTION PAD" FOR PROVIDERS TO USE WITH THEIR SMOKING PATIENTS WHO ARE INTERESTED IN QUITTING. - TO SUPPORT THE PROMOTION OF TOBACCO USE CESSATION, NWCH WILL CONTINUE TO ENCOURAGE THEIR NETWORK OF PROVIDERS TO CONNECT THEIR SMOKING PATIENTS TO THE QUIT LINE (OPT-TO-QUIT), BABY & ME TOBACCO FREE AND PUBLIC HEALTH'S TOBACCO CESSATION PROGRAMS. PRIORITY 2: PREVENT CHRONIC DISEASE: INCREASE CANCER SCREENING RATES - NWCH WILL USE UNIFIED MESSAGING TO PROMOTE AWARENESS AND UTILIZATION OF LUNG CANCER SCREENING SERVICES AVAILABLE AT NWCH. - NWCH WILL USE UNIFIED MESSAGING TO PROMOTE AWARENESS AND UTILIZATION OF BREAST, CERVICAL AND COLORECTAL CANCER SCREENING SERVICES AVAILABLE AT THROUGH THE CANCER SERVICES PROGRAM FOR THE UNINSURED AND UNDER-INSURED. - NWCH WILL INCREASE ACCESS TO MAMMOGRAPHY BY COORDINATING WITH RRH'S MOBILE MAMMOGRAPHY UNIT AND CANCER SERVICES PROGRAM TO SCHEDULE SCREENING EVENTS AND PROMOTE THEM VIA UNIFIED MESSAGING. PROMOTE TO THE COMMUNITY AND WORKSITES TO GENERATE AWARENESS OF AND DEMAND FOR SCREENING EVENTS.PRIORITY 3: PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS: STRENGTHEN OPPORTUNITIES TO BUILD WELL-BEING AND RESILIENCE ACROSS THE LIFESPAN - ROCHESTER REGIONAL HEALTH AND NWCH ARE PILOTING A PRESCRIPTION FOOD PROGRAM WITH FOODLINK. SERVING PATIENTS AT CANAL PARK FAMILY MEDICINE (MACEDON), NEWARK INTERNAL MEDICINE, SODUS INTERNAL MEDICINE AND ELDERONE (NEWARK), PATIENTS WILL BE GIVEN $30/MONTH TO USE AT FOODLINK'S MOBILE UNIT TO PURCHASE FRESH FRUIT AND VEGETABLES. EDUCATION TO PATIENTS WILL BE PROVIDED AT THE PRACTICES. - ENABLE RESILIENCE FOR PEOPLE LIVING WITH CHRONIC ILLNESS NWCH WILL WORK IN CONJUNCTION WITH OTHER PARTNER AGENCIES TO ASSIST IN THE DEVELOPMENT OF A DIRECTORY OF WELLNESS CLASSES, INCLUDING AT-HOME CLASSES, AND PROMOTE IT TO HEALTHCARE PROVIDERS TO INCREASE WAYNE COUNTY PARTICIPATION IN CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS. ADDITIONALLY, NWCH WILL COLLABORATE WITH WHIP AGENCIES OFFERING EVIDENCE-BASED CHRONIC DISEASE SELF-MANAGEMENT COURSES TO CONTINUE PROMOTING ITS "PRESCRIPTION PAD" USED BY PROVIDERS TO CONVENIENTLY PROVIDE PATIENTS WITH APPROPRIATE SERVICES.
PART VI, LINE 3:	ROCHESTER REGIONAL INFORMS INDIVIDUALS OF AVAILABLE FREE OR REDUCED PRICE SERVICES AT THE TIME OF REGISTRATION INTO INPATIENT, OUTPATIENT, AND EMERGENCY DEPARTMENTS. POSTERS INFORMING THE PATIENT/FAMILY OF ASSISTANCE ARE POSTED IN BOTH ENGLISH AND SPANISH AND AVAILABLE THROUGHOUT ROCHESTER REGIONAL LOCATIONS. BROCHURES AND PAMPHLETS, IN BOTH ENGLISH AND SPANISH, 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 ROCHESTER REGIONAL'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 RRH SITES AND AT VARIOUS LOCATIONS THROUGHOUT THE COMMUNITY.- FINANCIAL ASSISTANCE PROGRAM - THE ROCHESTER REGIONAL FINANCIAL ASSISTANCE PROGRAM OFFERS FREE OR REDUCED-PRICES FOR PATIENTS TREATED AT A ROCHESTER REGIONAL HOSPITAL, OUTPATIENT, EMERGENCY ROOM, OR LONG-TERM CARE FACILITY. 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:	NEWARK WAYNE COMMUNITY HOSPITAL IS THE ONLY HOSPITAL IN WAYNE COUNTY AND SERVES A POPULATION PRIMARILY FROM TOWNS AND VILLAGES 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. IN 2019, NWCH PROVIDED CARE TO OVER 20,270 PATIENTS WHO VISITED THE EMERGENCY DEPARTMENT, EXPERIENCED MORE THAN 7,000 INPATIENT/OBSERVATION DISCHARGES AND 95,000 OUTPATIENT ENCOUNTERS. ACCORDING TO THE US CENSUS BUREAU, WAYNE COUNTY IS HOME TO OVER 91,400 RESIDENTS. 11.7% OF WAYNE COUNTY RESIDENTS LIVE BELOW THE FEDERAL POVERTY RATE WITH ANOTHER 17% LIVING NEAR IT. ADDITIONALLY, WAYNE COUNTY IS MORE DIVERSE THAN SURROUNDING COUNTIES WITH 94% OF THE POPULATION IS WHITE WITH THE REMAINDER CONSISTING OF BLACK/AFRICAN AMERICAN, OTHER OR MULTI-RACIAL. 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 HISPANIC - SWELLS BY ESTIMATES BETWEEN 8,000 AND 10,000 ADDITIONAL RESIDENTS. THE WAYNE COUNTY PUBLIC HEALTH DEPARTMENT ESTIMATES THAT LESS THAN 8% OF THE COUNTY'S ENTIRE POPULATION IS UNINSURED. HEALTHCARE DELIVERY IN THE COMMUNITY IS ALSO COMPLICATED BY TRANSPORTATION ISSUES, AN AGING POPULATION BASE, AND RURAL ECONOMIC DECLINE.
PART VI, LINE 5:	MEDICAL STAFFNWCH MEDICAL STAFF HAS MORE THAN 550 CURRENTLY ACTIVE STAFF MEMBERS. 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 2019, 176 VOLUNTEERS PROVIDED MORE THAN 15,000 HOURS OF SERVICE AT NEWARK-WAYNE COMMUNITY HOSPITAL/DEMAY LIVING CENTER. BOARD OF DIRECTORS AND COMMUNITY GUIDANCENWCH ENSURES 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 ROCHESTER 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 AS WELL AS USED FOR CHARITY CARE.
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 160 YEARS. IT 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, AND OFFERS 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 COLLABORATIONS WITH THE LOCAL HEALTH DEPARTMENTS, STATE HEALTH DEPARTMENT, AND LOCAL NOT-FOR-PROFIT HEALTH AND HUMAN SERVICE AGENCIES, AND ACTIVELY WORKS TO RESPOND TO COMMUNITY PRIORITIES AND DEVELOP 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.IMPROVING ACCESS TO KEY OUTPATIENT SERVICES, RRH OPENED THE RIEDMAN HEALTH CENTER IN 2019. THE 74,355 SQUARE FOOT FACILITY SERVES AS A ONE-STOP DESTINATION FOR NON-SURGICAL CARE OFFERING PERSONALIZED SERVICE IN A SETTING THAT'S SOOTHING, MODERN AND DESIGNED TO REDUCE WAIT TIMES WHILE ALLOWING PROVIDERS TO SPEND MORE TIME WITH PATIENTS. LOCATED IN A NEWLY REVITALIZED AND EXPANDED IRONDEQUOIT RETAIL SPACE, THE RIEDMAN HEALTH CENTER IS EASILY ACCESSIBLE AND PROVIDES RESIDENTS WITH A NUMBER OF OUTPATIENT SERVICES INCLUDING PRIMARY CARE, OPHTHALMOLOGY, DENTAL AS WELL AS THE ABILITY TO OBTAIN IMAGING AND LAB SERVICES. THE OVERALL HEALTH SYSTEM CONTINUES TO GROW THROUGH THE ADDITION OF MEDICAL PRACTICES STRENGTHENING THE SERVICE OFFERINGS TO THOSE THROUGHOUT THE COMMUNITIES WE SERVE. NEW AND EXPANDED SERVICE OFFERINGS INCLUDE: ADDITIONAL PRIMARY CARE SITES; DERMATOLOGY AND MOHS SURGERY CENTER; PULMONARY AND SLEEP MEDICINE; FAMILY AND LIFESTYLE MEDICINE PRACTICE; EXPANSION OF THE BREAST CENTER; EXPANDED PHARMACY LOCATIONS; MIDWIFERY PRACTICE; AND THE ADDITION OF REED EYE ASSOCIATES OFFERING COMPREHENSIVE OPHTHALMOLOGY, OPTOMETRY AND EYE EVALUATION SERVICES. ROCHESTER GENERAL HOSPITAL (RGH), THE FLAGSHIP OF 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, STROKE AND DIABETES CARE. RGH IS HOME TO A NUMBER OF CENTERS OF EXCELLENCE INCLUDING THE LIPSON CANCER INSTITUTE AND THE SANDS-CONSTELLATION HEART INSTITUTE. 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.AS WITH THE OVERALL HEALTH SYSTEM, ROCHESTER GENERAL HOSPITAL WORKS TIRELESSLY TO EXPAND CARE AND IMPROVE ITS FACILITIES AND BRING STATE-OF-THE-ART MEDICAL EQUIPMENT AND PROCEDURES TO OUR PATIENTS AND COMMUNITY. DURING 2019 SOME OF THE MAJOR IMPROVEMENTS INCLUDE THE FOLLOWING:- NEW STATE-OF-THE-ART GE SIGNA ARTIST MRI SYSTEM. IT'S THE ONLY SYSTEM OF ITS KIND IN THE GREATER ROCHESTER AREA. THE GE SIGNA ARTIST OFFERS THE HIGHEST RESOLUTION IMAGING AND MOST ADVANCED MRI TECHNOLOGY. IT WILL HELP IMPROVE WORKFLOW EFFICIENCIES AND PROVIDE A MORE COMFORTABLE AND ENHANCED PATIENT EXPERIENCE.- RGH'S CENTER FOR RISK PREVENTION AND WELLNESS OPENED ITS FOURTH LOCATION. THIS TEAM OFFERS PATIENTS COMPASSIONATE, CONFIDENTIAL CARE FROM A TEAM OF PHYSICIANS AND NURSE PRACTITIONERS CERTIFIED IN INFECTIOUS DISEASES, AND EXPERIENCED IN THE TREATMENT OF HIV, HEPATITIS C, AND HIGH-RISK BEHAVIORS. EDUCATION AND COUNSELING REGARDING HIV RELATED MEDICATIONS IS ALSO AVAILABLE.- RGH UNVEILED ITS NEW BIPLANE SUITE IN 2019 ALLOWING UNINTERRUPTED 24/7 CARE FOR EVEN MORE STROKE PATIENTS IN OUR COMMUNITY.- THE UROLOGY DEPARTMENT AT ROCHESTER GENERAL HOSPITAL IS THE FIRST IN THE REGION AND FIFTH IN THE NATION WITH FOCAL ONE HIGH-INTENSITY FOCUSED ULTRASOUND. THIS NEW TECHNOLOGY PROVIDES QUICKER RECOVERY TIMES, PRECISION TREATMENT OF THE DIAGNOSED TUMOR AND PRESERVATION OF QUALITY OF LIFE. DURING 2019 ROCHESTER GENERAL HOSPITAL WAS RECOGNIZED BY THE FOLLOWING:- HEALTHGRADES RGH WAS NAMED ONE OF THE TOP 50 HOSPITALS IN THE NATION AND THE ONLY HOSPITAL IN UPSTATE NEW YORK. THIS RECOGNITION IS AWARDED TO THE TOP 1% OF HOSPITALS THAT CONSISTENTLY EXHIBIT EXCEPTIONAL, COMPREHENSIVE, HIGH-QUALITY CARE. - BEACON AWARD FOR EXCELLENCE RGH'S INTENSIVE CARE UNIT, TELEMEDICAL CARDIAC UNIT, ORTHOPAEDIC UNIT AND THE NEONATAL INTENSIVE CARE UNIT ACHIEVED THE AACN (AMERICAN ASSOCIATION OF COLLEGES OF NURSING) BEACON AWARD FOR EXCELLENCE. ADDITIONALLY, THE POST-ANESTHESIA CARE UNIT WON THE SILVER-LEVEL AND THE 5800 UNIT WON THE BRONZE-LEVEL AWARDS OF EXCELLENCE. THE ACHIEVEMENT RECOGNIZES HOSPITAL UNITS THAT EMPLOY EVIDENCE-BASED PRACTICE TO IMPROVE PATIENT AND FAMILY OUTCOMES AS WELL AS RECOGNIZES HOSPITAL UNITS THAT EXEMPLIFY EXCELLENCE IN PROFESSIONAL PRACTICE, PATIENT CARE, AND OUTCOMES.- AMERICAN HEART ASSOCIATION'S QUALITY ACHIEVEMENT AWARD RGH WAS SELECTED FOR THE AHA'S STROKE GOLD PLUS ELITE PLUS HONOR ROLL. THIS NATIONAL AWARD RECOGNIZES HOSPITALS THAT ARE ABOVE COMPLIANCE LEVELS FOR QUALITY STROKE MEASURES DURING THE AWARD TIME FRAME.- BREAST CENTER OF EXCELLENCE ROCHESTER GENERAL ONCE AGAIN RECEIVED NATIONAL CERTIFICATION AS A QUALITY BREAST CENTER OF EXCELLENCE FROM THE NATIONAL QUALITY MEASURES FOR BREAST CENTERS PROGRAM. THE BREAST CENTER TEAM IS RECOGNIZED AS A LEADER FOR PROVIDING THE HIGHEST STANDARDS OF BREAST HEALTH CARE FOR PATIENTS.- 2019 ADVOCACY AWARD FROM THE NEPHROLOGY NURSING CERTIFICATION COMMISSION (NNCC) RGH'S DIALYSIS TEAM RECEIVED THIS NATIONAL AWARD FOR SUPPORTING ONGOING EDUCATION OF ITS NURSES, AS WELL AS DEMONSTRATING AN UNPARALLELED APPRECIATION FOR NURSES WHO HAVE EARNED THEIR CERTIFICATION. ALMOST 90% OF ELIGIBLE RNS ARE CERTIFIED!
PART VI, LINE 6 (CON'T):	ADDITIONALLY, ROCHESTER GENERAL HOSPITAL ACHIEVED THE FOLLOWING CERTIFICATIONS AND ACCREDITATIONS DURING 2019:- FIRST ADVANCED THROMBECTOMY-CAPABLE STROKE CENTER (TSC) IN NEW YORK STATE. THIS CERTIFICATION CONFIRMS THAT RGH IS PROVIDING THE MOST ADVANCED LEVEL OF STROKE CARE IN THE REGION AND MEETING THE HIGH STANDARDS OF EXCELLENCE SET BY THE JOINT COMMISSION. THE TSC CERTIFICATION IDENTIFIES RGH AS A FACILITY THAT PERFORMS ENDOVASCULAR THROMBECTOMY (EVT) THE EMERGENCY PROCEDURE TO REMOVE BLOOD CLOTS, IMPROVING QUALITY OF LIFE FOR STROKE PATIENTS IN THE REGION BY PROVIDING ACCESS TO THIS DISABILITY-SAVING PROCEDURE.- AMERICAN COLLEGE OF SURGEON'S COMMISSION ON CANCER (COC) ACCREDITATION THIS NOTABLE RECOGNITION MARKS THE 40TH CONSECUTIVE YEAR RGH HAS RECEIVED THIS ACCREDITATION MAKING RGH THE FIRST AND LONGEST RUNNING COMMISSION ON CANCER-ACCREDITED PROGRAM IN OUR REGION. THE COC ACCREDITATION RECOGNIZES CANCER CARE PROGRAMS FOR THEIR COMMITMENT TO PROVIDING COMPREHENSIVE, HIGH-QUALITY, PATIENT-CENTERED CARE. THIS OUTSTANDING RECOGNITION REFLECTS THE DEDICATED, HIGH-QUALITY CANCER CARE THAT THE LIPSON CANCER INSTITUTE AND RGH TEAMS PROVIDE DAILY.- COMPREHENSIVE STROKE CENTER CERTIFICATION FROM DNV GL HEALTHCARE RGH NOW JOINS AN ELITE GROUP OF HOSPITALS TO EARN THIS PRESTIGIOUS DESIGNATION. THE INTENSE AND RIGOROUS PROCESS REQUIRED COLLABORATION AND HARD WORK FROM A MULTI-DISCIPLINARY GROUP OF PHYSICIANS, NURSES AND TEAM MEMBERS ACROSS THE ORGANIZATION. WITH THIS CERTIFICATION, RRH CONTINUES TO LEAD THE WAY IN ELEVATING THE LEVEL OF STROKE CARE BY IMPROVING ACCESS TO IMMEDIATE, LIFE-SAVING TREATMENT.- THE SPIRITUAL CARE TEAM AT ROCHESTER GENERAL HOSPITAL HAS RECEIVED ACCREDITED CENTER STATUS BY THE ASSOCIATION FOR CLINICAL PASTORAL EDUCATION (ACPE). THIS NATIONAL STATUS ALLOWS THE TEAM TO PROVIDE CLINICAL PASTORAL EDUCATION IN-HOUSE AT RGH FOR GRADUATE-LEVEL STUDENTS AND INTERNS. ROCHESTER GENERAL HOSPITAL ACHIEVED ITS FOURTH CONSECUTIVE DESIGNATION AS A MAGNET HOSPITAL, ALONG WITH FIVE EXEMPLARS FOR INDUSTRY-LEADING PERFORMANCE. MAGNET RECOGNIZES ORGANIZATIONS THAT PROVIDE THE HIGHEST QUALITY CARE. THE RIGOROUS APPRAISAL PROCESS INVOLVES SITE VISITS AND INTERVIEWS, AS WELL AS QUALITY MEASURES DEMONSTRATING NURSING LEADERSHIP AND COORDINATION ACROSS SPECIALTIES. RGH'S REMARKABLE ACHIEVEMENT IS A TESTAMENT TO THE EXCELLENCE OF OUR NURSES AND THE ENTIRE CARE TEAM.ROCHESTER GENERAL MEDICAL GROUP (RGMG) OPERATES AS A DIVISION OF RGH. RGMG HAS MORE THAN 40 PRACTICES IN MONROE AND WAYNE COUNTIES WITH SPECIALTIES IN ALLERGY/RHEUMATOLOGY, DERMATOLOGY, DIABETES/ENDOCRINOLOGY, FAMILY MEDICINE, GERIATRICS, INTERNAL MEDICINE, NUTRITION & WEIGHT MANAGEMENT, ORTHOPEDICS, PEDIATRICS, PHYSICAL MEDICINE & REHABILITATION, VASCULAR SURGERY & VEIN CARE AND WOMEN'S HEALTH (OB/GYN). IN ADDITION TO HOSPITAL LOCATIONS, RGMG ALSO OPERATES TWO FULL-SERVICE OUTREACH CAMPUSES AT ALEXANDER PARK AND LINDEN OAKS.UNITY HOSPITAL (UH) IS A 287-BED RECENTLY RENOVATED HOSPITAL LOCATED IN THE TOWN OF GREECE. KEY PROGRAMS AND CENTERS INCLUDE CHEMICAL DEPENDENCY, BRAIN INJURY & REHABILITATION, JOINT REPLACEMENT CENTER, FAMILY BIRTH PLACE, SPINE CENTER, DIABETES CENTER, STROKE CENTER, AND EMERGENCY CENTER. NOT TO BE OUTDONE BY ITS FELLOW AFFILIATES, UNITY HOSPITAL HAS CONTINUED TO EXPAND CARE AND IMPROVE ITS PATIENT FOCUSED SERVICES. DURING 2019 SOME OF THE MAJOR PROGRAM INITIATIVES INCLUDE THE FOLLOWING:- UNITY HOSPITAL'S BEHAVIORAL HEALTH ACCESS & CRISIS CENTER LOCATED ON THE ST. MARY'S CAMPUS LAUNCHED A NEW JAIL DIVERSION PROGRAM IN PARTNERSHIP WITH LOCAL LAW ENFORCEMENT. THIS VOLUNTARY PROGRAM ENABLES POLICE TO WORK WITH AN INDIVIDUAL TO IDENTIFY IF MENTAL HEALTH TREATMENT IS MORE BENEFICIAL THAN JAIL. - UNITY HOSPITAL IS THE FIRST IN NEW YORK STATE TO USE THE NEW 7D NEUROSURGERY NAVIGATION SYSTEM FOR SPINE AND CRANIAL SURGERIES. THIS NEW TECHNOLOGY ACTS AS A DETAILED GPS AND EMITS ZERO RADIATION. - IMAGING CAPABILITIES ARE EXPANDING AT UH WITH TWO NEW 64-SLICE CT SCANNERS. RENOVATIONS AND CONSTRUCTION ARE EXPECTED TO BE COMPLETED IN JANUARY 2021. THE NEW SCANNERS WILL ENHANCE UNITY'S ABILITY TO SERVE PATIENTS WITH HIGHER QUALITY IMAGING AND FASTER TURNAROUND TIMES. UNITY TEAMS WILL ALSO HAVE THE ABILITY TO PERFORM CT INTERVENTIONAL PROCEDURES INSIDE THE HOSPITAL AND WILL HAVE A DEDICATED CT FOR STROKES WHEN NEEDED. A NEW IMAGING ULTRASOUND SUITE WILL IMPROVE THE EXPERIENCE OF BOTH PATIENTS AND STAFF, AND WILL MEET ADA COMPLIANCE.- HEALTH REACH HEALTHCARE FOR THE HOMELESS' NEW MOBILE MEDICAL UNIT WAS OPERATIONAL IN DECEMBER 2019, REPLACING ITS CURRENT BUS. THE MOBILE CAPABILITIES WILL PROVIDE COMPREHENSIVE PRIMARY MEDICAL AND DENTAL SERVICES ON THE ROAD. RECOGNITIONS AND AWARDS BESTOWED UPON UNITY HOSPITAL IN 2019 INCLUDE:- BEACON AWARD FOR EXCELLENCE UH'S INTENSIVE CARE UNIT AND THEIR INTENSIVE NURSING CARE UNIT ACHIEVED THE AACN (AMERICAN ASSOCIATION OF COLLEGES OF NURSING) BEACON AWARD FOR EXCELLENCE. ADDITIONALLY, THE CHARLES J. AUGUST JOINT REPLACEMENT CENTER WON THE SILVER-LEVEL BEACON AWARD OF EXCELLENCE. THE ACHIEVEMENT RECOGNIZES HOSPITAL UNITS THAT EMPLOY EVIDENCE-BASED PRACTICE TO IMPROVE PATIENT AND FAMILY OUTCOMES AS WELL AS RECOGNIZES HOSPITAL UNITS THAT EXEMPLIFY EXCELLENCE IN PROFESSIONAL PRACTICE, PATIENT CARE, AND OUTCOMES.- AMERICAN HEART ASSOCIATION (AHA) QUALITY ACHIEVEMENT AWARD - UNITY HOSPITAL WAS SELECTED FOR THE AHA STROKE GOLD PLUS ELITE PLUS HONOR ROLL. THIS NATIONAL AWARD RECOGNIZES HOSPITALS THAT ARE ABOVE COMPLIANCE LEVELS FOR QUALITY STROKE MEASURES DURING THE AWARD TIME FRAME.- AMERICAN COLLEGE OF SURGEONS NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM (ACS NSQIP) HONORED UNITY HOSPITAL NATIONALLY FOR "MERITORIOUS" SURGICAL PATIENT CARE OUTCOMES. OUT OF 592 ELIGIBLE HOSPITALS, ACS DEEMED ONLY 88 "MERITORIOUS", INCLUDING UNITY HOSPITAL, THE ONLY HOSPITAL TO EARN THIS RECOGNITION IN THE ROCHESTER AREA. ACS NSQIP IS THE ONLY NATIONALLY VALIDATED QUALITY IMPROVEMENT PROGRAM THAT MEASURES AND ENHANCES THE CARE OF SURGICAL PATIENTS. - UNITY HOSPITAL HAS LONG BEEN A RECOGNIZED LEADER IN THE CARE OF WOMEN AND NEWBORNS AND BECAUSE OF THIS EXCEPTIONAL CARE UNITY HAS EARNED THE HIGHLY PRESTIGIOUS INTERNATIONAL BABY-FRIENDLY DESIGNATION. THIS DISTINGUISHED HONOR FOLLOWED A RIGOROUS REVIEW PROCESS BY BABY-FRIENDLY USA. WITH UNITY HOSPITAL'S DESIGNATION, ALL OF ROCHESTER REGIONAL HEALTH'S LABOR AND DELIVERY HOSPITALS (ROCHESTER GENERAL, NEWARK-WAYNE AND UNITED MEMORIAL) ARE NOW CERTIFIED AS BABY-FRIENDLY.
PART VI, LINE 6 (CON'T):	ADDITIONALLY, UNITY HOSPITAL RECEIVED THE FOLLOWING CERTIFICATIONS AND ACCREDITATIONS DURING 2019:- GOLISANO REHABILITATION CENTER RECEIVED THE CARF RE-ACCREDITATION (COMMISSION OF REHABILITATION FACILITIES). REPRESENTING THE ORGANIZATIONS COMMITMENT TO THE HIGHEST LEVEL OF PERFORMANCE EXCELLENCE THROUGH IMPROVING EFFICIENCY, FISCAL HEALTH AND SERVICE DELIVERY. THIS ACCREDITATION IS ONLY ACHIEVED BY 3% OF THOSE SURVEYED.- AMERICAN COLLEGE OF EMERGENCY PHYSICIANS' (ACEP) GERIATRIC EMERGENCY DEPARTMENT ACCREDITATION PROGRAM (GEDA) RECOGNIZES UNITY HOSPITAL WITH ITS SILVER STANDARD ACCREDITATION. UNITY IS ONE OF ONLY THREE HOSPITALS IN NEW YORK STATE TO RECEIVE THIS ACCREDITATION. SILVER LEVEL ACCREDITATION REPRESENTS THAT UNITY HOSPITAL IS A FACILITY THAT INTEGRATES AND SUSTAINS ELDER CARE INITIATIVES INTO THEIR DAILY OPERATIONS, AND DEMONSTRATES THE INTERDISCIPLINARY COOPERATION FOR THE DELIVERY OF EXCELLENT EMERGENCY DEPARTMENT SERVICES FOR THE ELDERLY.- THE JOINT COMMISSION'S ADVANCED CERTIFICATION IN PALLIATIVE CARE HAS BEEN AWARDED TO UNITY HOSPITAL. THIS CERTIFICATION SERVES AS A TESTAMENT OF THE CLINICAL EXCELLENCE AND REMARKABLE PATIENT-CENTERED CARE OUR HEALTH SYSTEM DELIVERS DAY IN AND DAY OUT. THE JOINT COMMISSION SURVEYOR WAS EXTREMELY IMPRESSED WITH THE EXTENT PALLIATIVE CARE IS INTEGRATED INTO THE FABRIC OF UNITY'S PATIENT-CENTERED APPROACH TO CARE.UNITY MEDICAL GROUP OPERATES AS A DIVISION OF UNITY HOSPITAL. UNITY MEDICAL GROUP HAS 28 OFFICE- AND HOSPITAL-BASED LOCATIONS IN MONROE AND GENESEE COUNTY. THE SERVICES OFFERED BY UNITY MEDICAL GROUP INCLUDE GERIATRICS, PALLIATIVE CARE, SKILLED NURSING HOME SUPPORT, ENDOCRINOLOGY, DENTAL CARE, INTERNAL MEDICINE, PEDIATRICS, FAMILY MEDICINE, OBSTETRICS, GYNECOLOGY, PULMONARY SERVICES, SLEEP SERVICES, INFECTIOUS DISEASE TREATMENT, ORTHOPEDIC SPINE TREATMENT, PROGRESSIVE NEUROVASCULAR SERVICE WITH NEUROLOGY SPECIALTY OUTPATIENT CARE AND ENDOVASCULAR SURGICAL ACUTE CARE. THERE ARE ALSO A SPECIALIZED VASCULAR SURGERY GROUP AND NEPHROLOGY WITH COMPREHENSIVE DIALYSIS SERVICES. 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 300 BEDS OFFERING SERVICES INCLUDING CARDIOLOGY, OBSTETRICS AND GYNECOLOGY, ORTHOPAEDICS AND PULMONARY CARE, AS WELL AS AN INNOVATIVE TELEMEDICINE PROGRAM. NWCH ALSO OFFERS A FULL ARRAY OF OUTPATIENT SERVICES INCLUDING AN EMERGENCY DEPARTMENT, CARDIAC REHABILITATION, LAB SERVICES, DIAGNOSTIC IMAGING, REHABILITATION SERVICES, AND LAB DRAW STATIONS AND PATIENT IMAGING UNITS IN OTHER PARTS OF WAYNE COUNTY. 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. NWCH WAS CHOSEN AS A BENCHMARK IN THE SOCIOECONOMIC FACTORS CATEGORY OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) PUBLICATION, COMMUNITY CONNECTIONS: IDEAS & INNOVATIONS FOR HOSPITAL LEADERS: CASE EXAMPLES. ADDITIONALLY, NEWARK-WAYNE IS A NEW YORK STATE-DESIGNATED STROKE CENTER, A NICHE (NURSES IMPROVING CARE FOR HEALTHSYSTEM ELDERS) EXEMPLAR HOSPITAL. REHABILITATIVE AND LONG-TERM CARE SERVICES ARE PROVIDED THROUGH DEMAY LIVING CENTER, AN ATTACHED FACILITY.RECOGNITIONS AND AWARDS GRANTED TO NWCH IN 2019 INCLUDE:- BEACON AWARD FOR EXCELLENCE NWCH'S INTENSIVE CARE UNIT ACHIEVED THE AACN (AMERICAN ASSOCIATION OF COLLEGES OF NURSING) BEACON AWARD FOR EXCELLENCE. THE ACHIEVEMENT RECOGNIZES HOSPITAL UNITS THAT EMPLOY EVIDENCE-BASED PRACTICE TO IMPROVE PATIENT AND FAMILY OUTCOMES AS WELL AS RECOGNIZES HOSPITAL UNITS THAT EXEMPLIFY EXCELLENCE IN PROFESSIONAL PRACTICE, PATIENT CARE, AND OUTCOMES.- NWCH RECEIVED HIGH PRAISE FROM JOINT COMMISSION SURVEY - THE JOINT COMMISSION RECENTLY COMPLETED AN ON-SITE SURVEY AT NEWARK-WAYNE COMMUNITY HOSPITAL. THE RESULTS OF THE SURVEY WERE NOTED AS "A RARITY" FROM THE SURVEYORS WITH NEWARK-WAYNE ACHIEVING THE BEST COMPLIANCE POSSIBLE. THIS RECOGNITION AND LEVEL OF SUCCESS DEMONSTRATES THE COMMITMENT OF THE ENTIRE STAFF TO DELIVERING CARE THAT EXCEEDS EXPECTATIONS.- THE AMERICAN BOARD OF PERIANESTHESIA NURSING CERTIFICATION (ABPANC) HAS HONORED POST-ANESTHESIA CARE UNIT (PACU) AT NWCH WITH THEIR ACHIEVEMENT AWARD. THIS DISTINCTION IS A TESTAMENT TO THE HIGH-QUALITY PATIENT CARE OUR NURSES PROVIDE. THE PRESTIGIOUS, NATIONAL AWARD RECOGNIZES THAT 75-100 PERCENT OF ALL ELIGIBLE PERIANESTHESIA NURSES WITHIN A GIVEN DEPARTMENT HOLD CERTIFIED POST ANESTHESIA NURSE (CPAN) AND/OR CERTIFIED AMBULATORY PERIANESTHESIA NURSE (CAPA) CERTIFICATION.
PART VI, LINE 6 (CON'T):	CLIFTON SPRINGS HOSPITAL AND CLINIC (CSHC) IS A 262-BED HOSPITAL WITH A LEVEL OF TECHNOLOGY CONSISTENT WITH THAT OF LARGE URBAN HOSPITALS. THE MAIN HOSPITAL IS PHYSICALLY LOCATED IN CLIFTON SPRINGS, MIDWAY BETWEEN (BUT NORTH OF) GENEVA AND CANANDAIGUA. CSHC'S PRIMARY SERVICE AREA CONSISTS OF FOUR COUNTIES IN THE CENTRAL FINGER LAKES REGION OF UPSTATE NEW YORK: ONTARIO, WAYNE, SENECA AND YATES. CLIFTON SPRINGS HOSPITAL & CLINIC IS A NOT-FOR-PROFIT HEALTH CARE SYSTEM PROVIDING GENERAL ACUTE CARE, PRIMARY CARE, NURSING HOME CARE, CANCER CARE, PROGRAMS FOR BEHAVIORAL HEALTH AND ADDICTION RECOVERY, AND SPECIALTY CARE TO RESIDENTS OF AND VISITORS TO THE CENTRAL FINGER LAKES REGION. THE FINGER LAKES COMMUNITY CANCER CENTER (FLCCC) IS LOCATED ON THE MAIN CAMPUS AND WAS THE FIRST FULL TREATMENT CANCER CENTER IN THE FINGER LAKES REGION. FLCCC PARTICIPATES IN CLINICAL TRIALS, OFFERS MONTHLY CANCER CONFERENCES, YEARLY SYMPOSIUMS AND SUPPORT GROUPS. THE FINGER LAKES RADIATION ONCOLOGY HAS ONE OF FIVE INTENSITY MODULATED RADIATION THERAPY UNITS IN NEW YORK STATE FOR TREATING PROSTATE CANCER. THE RADIOLOGY DEPARTMENT HAS THE LATEST TECHNOLOGY AND SOPHISTICATED EQUIPMENT FOR THE EARLY DETECTION OF CANCER AND OTHER DISEASES. THE BEHAVIORAL HEALTH DEPARTMENT IS THE AREA'S LARGEST AND HAS OFFERED MENTAL HEALTH AND ADDICTION RECOVERY SERVICES LONGER THAN ANY OTHER ORGANIZATION IN THE REGION. CSHC OFFERS NUMEROUS SUBSPECIALTIES INCLUDING BLOOD DISORDERS, RENAL DISEASE, DIABETES, AND REHABILITATION. IN ADDITION, THE SPRINGS OF CLIFTON IS AN INTEGRATED HEALTH CARE PROGRAM, COMBINING BOTH CONVENTIONAL AND ALTERNATIVE/COMPLEMENTARY MEDICINE. COMPLEMENTARY THERAPIES SUPPORT THE MAINTENANCE OF HEALTH AND WELL-BEING AND THE PROCESS OF HEALING AND INCLUDE ACUPUNCTURE, CHIROPRACTIC SERVICES, HYDROTHERAPY, MASSAGE THERAPY, NATUROPATHY, CHINESE MEDICINE, QI GONG, HERBOLOGY, AND REIKI THERAPEUTIC TOUCH. DURING 2019, CONSTRUCTION CONTINUED ON THE CLIFTON MEDICAL VILLAGE WITH THE COMPLETION OF PHASE I OF THE TWO-PHASE PROJECT. THIS RENOVATION PROJECT CHANGES THE WAY THE FACILITY WILL DELIVER CARE TO PATIENTS AND FAMILIES. PHASE I HAS ALLOWED THE CREATION OF PROGRAMS THAT ARE FOCUSED ON COMMUNITY WELLNESS. PHASE II, WHICH OPENS IN 2020, WILL FEATURE NEW OPERATING ROOMS, PROCEDURE ROOMS, IMPROVE PATIENT ACCESS, AND PRIMARY CARE OFFICES WITH DENTAL ADDITIONS.AS WITH ALL OF THE HOSPITAL AND PATIENT CARE FACILITIES UNDER THE RRH UMBRELLA, CSHC WORKS DILIGENTLY TO CONTINUOUSLY PROVIDE TOP-QUALITY CARE. DURING 2019, CSHC WAS THE RECIPIENT OF SEVERAL RECOGNITIONS AND AWARDS SHINING A LIGHT ON THESE EFFORTS INCLUDING:- BEACON AWARD FOR EXCELLENCE CSHC'S INTENSIVE CARE UNIT ACHIEVED THE AACN (AMERICAN ASSOCIATION OF COLLEGES OF NURSING) BEACON AWARD FOR EXCELLENCE. THE ACHIEVEMENT RECOGNIZES HOSPITAL UNITS THAT EMPLOY EVIDENCE-BASED PRACTICE TO IMPROVE PATIENT AND FAMILY OUTCOMES AS WELL AS RECOGNIZES HOSPITAL UNITS THAT EXEMPLIFY EXCELLENCE IN PROFESSIONAL PRACTICE, PATIENT CARE, AND OUTCOMES.- THE AMERICAN BOARD OF PERIANESTHESIA NURSING CERTIFICATION (ABPANC) HAS HONORED POST-ANESTHESIA CARE UNIT (PACU) AT CSHC WITH THEIR ACHIEVEMENT AWARD. THIS DISTINCTION IS A TESTAMENT TO THE HIGH-QUALITY PATIENT CARE OUR NURSES PROVIDE. THE PRESTIGIOUS, NATIONAL AWARD RECOGNIZES THAT 75-100 PERCENT OF ALL ELIGIBLE PERIANESTHESIA NURSES WITHIN A GIVEN DEPARTMENT HOLD CERTIFIED POST ANESTHESIA NURSE (CPAN) AND/OR CERTIFIED AMBULATORY PERIANESTHESIA NURSE (CAPA) CERTIFICATION. - CSHC RECEIVED THE BRONZE STANDARD FOR GERIATRIC EMERGENCY DEPARTMENT CARE FROM THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS. THE GEDA PROGRAM RECOGNIZES EMERGENCY DEPARTMENTS THAT PROVIDE EXCELLENT CARE FOR OLDER ADULTS THROUGH SEVERAL MEASURES, INCLUDING ENHANCED EDUCATION, GERIATRIC-FOCUSED POLICIES AND PROTOCOLS THAT FOCUS ON TRANSITIONS OF CARE, QUALITY IMPROVEMENT EFFORTS, AND OPTIMAL PREPARATION OF THE PHYSICAL ENVIRONMENT.ADDITIONALLY, NEWARK WAYNE COMMUNITY HOSPITAL AND CLIFTON SPRINGS HOSPITAL AND CLINIC, COLLECTIVE REFERRED TO AS THE EASTERN REGION, WERE TOGETHER HONORED BY WITH THE 2019 PLATINUM PARTNERSHIP AWARD COMPLIMENTS OF THE 2019 WORKPLACE PARTNERSHIP FOR LIFE CAMPAIGN. THIS IS A GREAT ACHIEVEMENT AND DEMONSTRATES THE EASTERN REGION'S DEDICATION TO HELPING PATIENTS IN EVERY WAY POSSIBLE, ESPECIALLY BY SUPPORTING ORGAN, EYE AND TISSUE DONATION.UNITED MEMORIAL MEDICAL CENTER (UMMC) SERVES RESIDENTS OF GENESEE COUNTY AND SURROUNDING RURAL COMMUNITIES. THE 131-BED HOSPITAL IN BATAVIA FEATURES A NEW, STATE-OF-ART SURGICAL DEPARTMENT, A WOUND CARE CENTER, A TELEMEDICINE PROGRAM FOR INTENSIVE CARE, A JOINT REPLACEMENT CENTER OF EXCELLENCE, TWO URGENT CARE CENTERS AND A NUMBER OF PRIMARY AND SPECIALTY PHYSICIAN OFFICES. UNITED MEMORIAL IS A NICHE (NURSES IMPROVING CARE FOR HEALTHSYSTEM ELDERS) HOSPITAL AND A NEW YORK STATE-DESIGNATED STROKE CENTER. UNITED MEMORIAL IS THE SOLE MATERNITY SERVICES PROVIDER FOR GENESEE AND ORLEANS COUNTIES. IT MANAGES THE NEW YORK STATE CANCER SERVICES PARTNERSHIP GRANT FOR ORLEANS AND GENESEE COUNTIES AND PROVIDES ORTHOPEDIC SERVICES IN GENESEE, ORLEANS AND WYOMING COUNTIES.DURING 2019 UMMC RECEIVED SEVERAL RECOGNITIONS AND AWARDS FOR ITS EXEMPLARY SERVICES AND PATIENT CARE. THESE INCLUDE:- CENTERS FOR DISEASE CONTROL (CDC) AND PREVENTION'S PRELIMINARY RECOGNITION OF UMMC'S HEALTHY LIVING DIABETES PREVENTION TEAM FOR DELIVERING QUALITY, EVIDENCE-BASED DIABETES PREVENTION PROGRAM.- NYSPQC QUALITY IMPROVEMENT AWARD - BABY FRIENDLY HOSPITAL DESIGNATION HONORS UMMC WITH THE BABY FRIENDLY HOSPITAL DESIGNATION. THIS DESIGNATION RECOGNIZES BIRTH FACILITIES THAT OFFER BREASTFEEDING MOTHERS THE INFORMATION, CONFIDENCE AND SKILLS NEEDED TO SUCCESSFULLY INITIATE AND CONTINUE BREASTFEEDING THEIR BABIES BASED ON THE 10 STEPS TO SUCCESSFUL BREASTFEEDING.- BEACON AWARD FOR EXCELLENCE UMMC'S INTENSIVE CARE UNIT ACHIEVED THE AACN (AMERICAN ASSOCIATION OF COLLEGES OF NURSING) BEACON AWARD FOR EXCELLENCE. THE ACHIEVEMENT RECOGNIZES HOSPITAL UNITS THAT EMPLOY EVIDENCE-BASED PRACTICE TO IMPROVE PATIENT AND FAMILY OUTCOMES AS WELL AS RECOGNIZES HOSPITAL UNITS THAT EXEMPLIFY EXCELLENCE IN PROFESSIONAL PRACTICE, PATIENT CARE, AND OUTCOMES.- ROBERT A. WARRINER III CENTER OF EXCELLENCE AWARD RECOGNIZES UMMC AS WOUND CARE CENTER OF EXCELLENCE. THIS NATIONAL HONOR RECOGNIZES WOUND CARE CENTERS THAT MEET THE HIGHEST LEVEL OF QUALITY STANDARDS FOR A MINIMUM OF TWO CONSECUTIVE YEARS.- GREATER ROCHESTER QUALITY COUNCIL (GRQC) HONORS UMMC AT THE 13TH ANNUAL PERFORMANCE EXCELLENCE AWARDS FOR TEAM EXCELLENCE - GOLD - FOR MANAGING AN OUTBREAK AND WINNING THE BATTLE.- THE GENESEE COUNTY BUSINESS EDUCATION ALLIANCE SELECTED UMMC TO RECEIVE ITS BUSINESS PARTNER OF THE YEAR AWARD. UMMC HAS PARTNERED WITH THE BUSINESS EDUCATION ALLIANCE FOR MORE THAN 15 YEARS TO HELP LOCAL STUDENTS PREPARE FOR THE WORLD OF WORK. IN THAT TIME, UMMC HOSTED A SUMMER CAREER EXPLORATION CAMP, PARTICIPATED IN HEALTH CAREER TALKS, OFFERED JOB SHADOWING AND MORE.- UMMC RECEIVED THE BRONZE STANDARD FOR GERIATRIC EMERGENCY DEPARTMENT CARE FROM THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS. THE GEDA PROGRAM RECOGNIZES EMERGENCY DEPARTMENTS THAT PROVIDE EXCELLENT CARE FOR OLDER ADULTS THROUGH SEVERAL MEASURES, INCLUDING ENHANCED EDUCATION, GERIATRIC-FOCUSED POLICIES AND PROTOCOLS THAT FOCUS ON TRANSITIONS OF CARE, QUALITY IMPROVEMENT EFFORTS, AND OPTIMAL PREPARATION OF THE PHYSICAL ENVIRONMENT.
PART VI, LINE 6 (CON'T):	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 OVER 40 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. IS HOME TO BARBARA WOLK SCHWARZ WOMEN'S COMMUNITY RESIDENCE THAT PROVIDES A SAFE, HOME-LIKE ENVIRONMENT FOR WOMEN UNDERGOING TREATMENT FOR CHEMICAL DEPENDENCY. SPECIALIZED PROGRAM HIGHLIGHTS INCLUDE SUBSTANCE ABUSE AND DRUG ADDICTION TREATMENT (SPECIALIZING IN OPIOID TREATMENT); SOBER LIVING AFTER COMPLETION PROGRAM; SPECIALIZED PROGRAMMING FOR THOSE WHO IDENTIFY AS LGBT, MILITARY, SENIORS, TRAUMA AND REFERRALS FROM THE JUDICIAL SYSTEM. SERVICES ARE PROVIDED IN A VARIETY OF SETTINGS TO ENSURE PARTICIPANTS RECEIVE THE NEEDED SERVICES. 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.LIFETIME CARE AND HOME CARE PLUS (LIFETIME CARE) JOINED THE RRH FAMILY IN OCTOBER 2019. SERVING APPROXIMATELY 33,000 HOME CARE AND HOSPICE PATIENTS PER YEAR AT SEVEN LOCATIONS IN THE ROCHESTER AND FINGER LAKES REGION INCLUDING THE COUNTIES OF: MONROE, WAYNE, SENECA, CAYUGA, YATES, SCHUYLER, ONTARIO AND LIVINGSTON. THE LIFETIME CARE FOCUS IS ON THE DELIVERY OF COMPASSIONATE, PERSONALIZED CARE TO ADULTS AND CHILDREN WHO ARE ILL, INJURED, DYING OR GRIEVING. LIFETIME CARE PROVIDES PRIMARY IN-HOME SERVICES INCLUDING SKILLED NURSING, REHAB THERAPIES, MEDICAL SOCIAL WORK, INFUSION THERAPIES AND HOME HEALTH AIDE SERVICES; SPECIALTY CARE SERVICES INCLUDING CARDIOPULMONARY, DIABETES, CANCER, PARKINSON'S DISEASE, WOUND, JOINT REPLACEMENT AND WOMEN'S AND CHILDREN'S HEALTH; HOSPICE CARE IS PROVIDED IN MONROE, WAYNE AND SENECA COUNTIES FOR THE TERMINALLY ILL; PALLIATIVE CARE SUPPORT FOR SERIOUSLY ILL CHILDREN AND ADULTS; AS WELL AS EDUCATION THAT PROMOTES HEALING AND WELLNESS. CLIFTON SPRINGS LIVING CENTER IS A 108-BED SKILLED NURSING FACILITY LOCATED IN CLIFTON SPRINGS, NY. THE 108-BED FACILITY PROVIDES SPECIALIZED SERVICES INCLUDING TRADITIONAL SNF CARE, AS WELL AS SPECIALTY UNITS FOR RESIDENTS WHO REQUIRE POST-ACUTE CARE, VENTILATOR CARE, AND DEMENTIA CARE. THE SERVICES OF REIKI AND HEALING TOUCH THERAPIES ARE OFFERED BY THE NURSING HOME, AND ADDITIONAL SERVICES INCLUDING ACUPUNCTURE, HYDROTHERAPY, MASSAGE THERAPY, AND NATUROPATHY ARE AVAILABLE THROUGH THE SPRINGS INTEGRATIVE MEDICINE CENTER AND SPA. DE MAY LIVING CENTER LOCATED IN NEWARK IS A 180-BED SKILLED NURSING RESIDENCE THAT PROVIDES BOTH CALM AND STIMULATING ATMOSPHERES FOR RESIDENTS. SERVICES INCLUDE: POST-ACUTE CARE, SHORT-TERM REHABILITATION, VENTILATOR CARE, DEMENTIA CARE, PERITONEAL DIALYSIS, WOUND CARE, TELEMEDICINE, NEUROBEHAVIORAL CARE, LONG TERM SKILLED NURSING CARE AND ADULT DAY CARE.EDNA TINA WILSON LIVING CENTER IN ROCHESTER IS A 120-BED SKILLED NURSING FACILITY THAT USES INNOVATIVE NEIGHBORHOOD DESIGN, WITH RESIDENT ROOMS CLUSTERED AROUND THE ACTIVITY CENTER AND THE LIVING AND DINING AREAS TO PROMOTE MORE SOCIAL AND INTERACTIVE LIVING. THE CENTER SPECIALIZES IN LONG-TERM CARE, REHABILITATIVE SERVICES, PAIN MANAGEMENT, RESPIRATORY THERAPY, IV THERAPY, PERITONEAL DIALYSIS SERVICES, RESPITE AND HOSPICE CARE.HILL HAVEN LIVING AND NURSING CENTER IN WEBSTER IS A 288-BED FACILITY WITH A COMPREHENSIVE RANGE OF MEDICAL AND ASSISTED LIVING SENIOR SERVICES, INCLUDING SHORT-TERM REHABILITATION, SKILLED NURSING, RESPIRATORY, IV THERAPY, CENTRAL LINE MEDICATIONS AND MAINTENANCE, POST-SURGICAL WOUND CARE, ON-SITE HEMODIALYSIS, PERITONEAL DIALYSIS, TELEMEDICINE, DEMENTIA, ALZHEIMER'S, AND HOSPICE CARE. IN 2019, HILL HAVEN RECEIVED THE U.S. NEWS & WORLD REPORT BEST NURSING HOMES DESIGNATION. TO QUALIFY, NURSING HOMES MUST EARN AN AVERAGE RATING OF 4.5 OUT OF 5 DURING 10 MONTHS OF FEDERAL REPORTS. OUT OF 48 FACILITIES REVIEWED IN THE ROCHESTER AREA, HILL HAVEN RECEIVED ONE OF THE THREE AREA DESIGNATIONS.PARK RIDGE LIVING CENTER IS LOCATED IN ROCHESTER. IT RECEIVED A FIVE-STAR RATING FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS), A DESIGNATION GIVEN TO ONLY 10 PERCENT OF NURSING HOMES NATIONWIDE. THIS 120 BED FACILITY IS HOME TO THE 40-BED TIMOTHY R. MCCORMICK TRANSITIONAL CARE CENTER, SPECIALIZING IN JOINT REPLACEMENT AND COMPLEX FRACTURE RECOVERY, STROKE AND NEUROLOGICAL REHABILITATION, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, IV THERAPY, AND CENTRAL LINE MEDICATIONS. THE FACILITY'S WEGMAN FAMILY COTTAGES SERVES 80 ELDERS. THE COTTAGES ALLOW ELDERS TO LIVE IN A HOME-LIKE ENVIRONMENT WHILE RECEIVING SKILLED NURSING CARE. PARK RIDGE LIVING CENTER (PRLC) RECEIVED THE U.S. NEWS & WORLD REPORT BEST NURSING HOMES DESIGNATION. TO QUALIFY, NURSING HOMES MUST EARN AN AVERAGE RATING OF 4.5 OUT OF 5 DURING 10 MONTHS OF FEDERAL REPORTS. OUT OF 48 FACILITIES REVIEWED IN THE ROCHESTER AREA, PRLC RECEIVED ONE OF THE THREE AREA DESIGNATIONS. THIS IS THE THIRD CONSECUTIVE YEAR PRLC HAS RECEIVED THIS OUTSTANDING RECOGNITION.UNITY LIVING CENTER IN ROCHESTER IS A 120-BED STATE-OF-THE-ART SKILLED NURSING FACILITY FOCUSED ON TREATMENT AND REHABILITATIVE CARE FOR PATIENTS WITH MEDICALLY COMPLEX NEEDS, DEMENTIA, AND BEHAVIORAL CHALLENGES. SPECIAL SERVICES INCLUDE SHORT-TERM REHABILITATION, PULMONOLOGY, RESPIRATORY THERAPY, TRACHEOTOMY CARE, WOUND CARE, PAIN CONTROL, AND IV THERAPY, AND PERITONEAL DIALYSIS, ACCESS TO HEMODIALYSIS, VENTILATOR BEDS, BARIATRIC CARE AND RELAXATION THERAPY TO MEET THE NEEDS OF THOSE WITH CHRONIC DISEASES.IN 2019 THE HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS) HONORED RRH'S LONG-TERM CARE DIVISION WITH THEIR PATIENT SAFETY AWARD - 2019 PINNACLE AWARD FOR QUALITY AND PATIENT SAFETY. THIS AWARD RECOGNIZES ORGANIZATIONS THAT ARE LEADERS IN IMPROVING THE DELIVERY OF QUALITY CARE. HANYS RECOGNIZED RRH FOR ITS HIGH FIVE: ACHIEVING CONTINUOUS QUALITY MEASURE IMPROVEMENTS ACROSS SIX SKILLED NURSING FACILITIES PROGRAM, WHICH PRODUCED THE IMPRESSIVE RESULTS OF 13 CONSECUTIVE QUARTERS OF IMPROVEMENT AND FIVE OUT OF SIX FACILITIES WITHIN THE DIVISION ACHIEVED FOUR STARS FOR THE CENTERS FOR MEDICARE AND MEDICAID SERVICES NURSING HOME COMPARE FIVE-STAR QUALITY RATINGS.UNITY'S HOUSING GROUP OFFERS 261 AFFORDABLE AND SUBSIDIZED APARTMENTS IN FIVE LOCATIONS. OUR AFFORDABLE SENIOR LIVING COMMUNITIES OFFER COMFORTABLE AND CONVENIENT HOUSING OPTIONS FOR INDEPENDENT ADULTS AGES 55 AND OLDER AT PRICES THAT FIT EVERY BUDGET. PARK RIDGE CHILD CARE CENTER CARES FOR CHILDREN BETWEEN EIGHT WEEKS TO TWELVE YEARS OF AGE. LOCATED ON THE UNITY HOSPITAL CAMPUS, THE CENTER OFFERS A SAFE AND NURTURING ENVIRONMENT A HAPPY HOME AWAY FROM HOME WHERE EVERYONE TRULY CARES ABOUT YOUR CHILD'S GROWTH, DEVELOPMENT, AND WELL-BEING. EACH OF OUR HIGHLY TRAINED TEACHERS AND STAFF FOCUSES ON MEETING YOUR CHILD'S PHYSICAL, SOCIAL, EMOTIONAL AND COGNITIVE NEEDS.ROCHESTER AMBULATORY SURGERY CENTER (RASC) IS A 29,000 SQUARE-FOOT FACILITY THAT INCLUDES SIX OPERATING ROOMS AND TWO MINOR PROCEDURE ROOMS EQUIPPED WITH STATE OF THE ART EQUIPMENT AND INSTRUMENTATION. ACCREDITED BY THE ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTHCARE, THE NEW YORK STATE DEPARTMENT OF HEALTH AND IS A MEDICARE-CERTIFIED FACILITY. THE MISSION OF RASC IS TO PROVIDE A SAFE, CONVENIENT AND COST-EFFECTIVE ALTERNATIVE TO TRADITIONAL SURGICAL CARE.
PART VI, LINE 6 (CON'T):	LINDEN OAKS SURGERY CENTER IS A FREESTANDING, MULTISPECIALTY AMBULATORY SURGERY CENTER WHERE A BROAD RANGE OF OUTPATIENT SURGICAL PROCEDURES ARE PERFORMED. THE CENTER OFFERS FOUR OPERATING ROOMS AND TWO PROCEDURE ROOMS WHICH ARE FULLY EQUIPPED WITH PREOPERATIVE AND POST-ANESTHESIA CARE AREAS IN ORDER TO PROVIDE HIGH QUALITY CARE AND SAFETY IN A CONVENIENT OUTPATIENT SURGERY CENTER. WESTFALL SURGERY CENTER, OFFERS WIDE RANGE OF SURGICAL SERVICES - FROM GENERAL SURGERY TO PLASTIC SURGERY. WESTFALL SURGERY CENTER PROVIDES HIGH-QUALITY CARE AND SAFETY IN A CONVENIENT OUTPATIENT SURGERY SETTING. ROCHESTER REGIONAL HEALTH IMMEDIATE CARE OPERATING NINE LOCATIONS IN MONROE COUNTY, IS COMMITTED TO PROVIDING THE HIGHEST QUALITY HEALTHCARE FOR RESIDENTS AND VISITORS OF MONROE AND SURROUNDING COUNTIES. THE DEDICATION TO PROVIDING AN EXCEPTIONAL PATIENT EXPERIENCE IS SEEN FROM THE HONOR OF BEING VOTED "BEST URGENT CARE CENTER" IN ROCHESTER BY THE ROCHESTER BUSINESS JOURNAL AND DAILY RECORD FOR TWO CONSECUTIVE YEARS. THESE IMMEDIATE CARE CENTERS OFFER FULL-SERVICE URGENT CARE AND OCCUPATIONAL MEDICINE SERVICES WITH PHYSICIANS, DIAGNOSTIC TOOLS, AND LABS ON-SITE.ACM MEDICAL LABORATORY IS A FULL SERVICE CLINICAL AND PATHOLOGY LABORATORY CONDUCTING MORE THAN 20 MILLION TESTS EVERY YEAR FOR PHYSICIANS, NURSING HOMES AND HOSPITALS; PHARMACEUTICAL, BIOTECH AND RESEARCH ORGANIZATIONS; COLLEGES AND UNIVERSITY HEALTH CENTERS; AND OCCUPATIONAL HEALTH GROUPS. ACM HAS OPERATIONS IN THE U.S., U.K., INDIA, CHINA AND SINGAPORE. OPERATIONS EXTEND TO MORE THAN 60 COUNTRIES AND OFFER A BROAD MENU OF CLINICAL, PATHOLOGY AND MOLECULAR TESTING. ACM IS ONE OF THE LARGEST REGIONAL REFERENCE LABORATORIES IN NEW YORK STATE.ROCHESTER REGIONAL HEALTH FOUNDATION, NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATION, CLIFTON SPRINGS HOSPITAL AND CLINIC FOUNDATION AND UNITED MEMORIAL MEDICAL CENTER FOUNDATION: THE VITAL SERVICES THAT ROCHESTER REGIONAL PROVIDES TO THE COMMUNITY WOULD NOT BE POSSIBLE WITHOUT THE SUPPORT OF THE FOUNDATIONS. 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.

Schedule H (Form 990) 2019

Additional Data

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

NEWARK-WAYNE COMMUNITY HOSPITAL

Employer identification number

15-0584188

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2019

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1ARUN KUMAR NAGPAUL MD MEDICAL STAFF PRESIDENT	(i) (ii)	79,566 ------------- 0	248,088 ------------- 0	0 ------------- 0	133,521 ------------- 0	11,371 ------------- 0	472,546 ------------- 0	0 ------------- 0
2ERIC BIEBER MD CEO	(i) (ii)	131,473 ------------- 1,073,693	121,358 ------------- 991,089	11,488 ------------- 93,822	131,464 ------------- 1,073,623	1,309 ------------- 10,691	397,092 ------------- 3,242,918	115,960 ------------- 947,010
3DUSTIN RICCIO PRESIDENT, EASTERN REGION	(i) (ii)	136,624 ------------- 113,853	72,299 ------------- 60,249	0 ------------- 0	88,057 ------------- 73,381	6,598 ------------- 5,499	303,578 ------------- 252,982	45,471 ------------- 37,893
4HUGH THOMAS CAO	(i) (ii)	65,778 ------------- 537,189	47,140 ------------- 384,976	0 ------------- 0	65,471 ------------- 534,677	1,290 ------------- 10,535	179,679 ------------- 1,467,377	43,740 ------------- 357,206
5ROBERT NESSELBUSH COO	(i) (ii)	31,018 ------------- 212,697	76,318 ------------- 523,324	144,844 ------------- 993,217	164,815 ------------- 1,130,160	804 ------------- 5,513	417,799 ------------- 2,864,911	69,340 ------------- 475,477
6THOMAS CRILLY CFO	(i) (ii)	53,300 ------------- 435,284	36,602 ------------- 298,914	0 ------------- 0	57,135 ------------- 466,606	1,309 ------------- 10,691	148,346 ------------- 1,211,495	29,964 ------------- 244,709
7EVE M WILLIAMS PHYSICIAN	(i) (ii)	313,682 ------------- 0	39,524 ------------- 0	0 ------------- 0	164,343 ------------- 0	8,721 ------------- 0	526,270 ------------- 0	29,190 ------------- 0
8MARITA MICHELIN CHIEF, EMERGENCY MEDICINE	(i) (ii)	258,081 ------------- 0	122,501 ------------- 0	0 ------------- 0	55,176 ------------- 0	10,521 ------------- 0	446,279 ------------- 0	23,780 ------------- 0
9MICHAEL CUNNINGHAM PHYSICIAN	(i) (ii)	329,486 ------------- 0	56,549 ------------- 0	0 ------------- 0	146,426 ------------- 0	11,421 ------------- 0	543,882 ------------- 0	-2,014 ------------- 0
10SERHIY SOSNIYENKO PHYSIAN	(i) (ii)	307,236 ------------- 0	40,736 ------------- 0	0 ------------- 0	112,860 ------------- 0	4,871 ------------- 0	465,703 ------------- 0	0 ------------- 0
11YULIYA REHAB PHYSICIAN	(i) (ii)	333,798 ------------- 0	25,335 ------------- 0	0 ------------- 0	147,199 ------------- 0	11,000 ------------- 0	517,332 ------------- 0	-2,492 ------------- 0
12WARREN HERN FORMER CEO	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 250,000	0 ------------- 0	0 ------------- 0	0 ------------- 250,000	0 ------------- 250,000

Schedule J (Form 990) 2019

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

PART I, LINE 3

COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS IS ESTABLISHED USING THE FOLLOWING: - 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.

PART I, LINES 4A-B

SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS PROVIDE BENEFITS TO CERTAIN KEY EXECUTIVE EMPLOYEES OF ROCHESTER REGIONAL HEALTH. THE ORGANIZATION MAINTAINS A SECTION 457(F) PLAN WHICH WOULD BE CONSIDERED A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THERE WERE NO DISTIBUTIONS PAID FROM THIS PLAN IN 2019. THE TOTAL COMPENSATION PAID TO THE FORMER CEO REPRESENTED A DISTRIBUTION OF DEFERRED COMPENSATION FROM A 457(B) PLAN. THIS DISTRIBUTION TO THE FORMER CEO SHOWN IN THE 2019 TAX RETURN REPRESENTS COMPENSATION WHICH WAS RECOGNIZED IN PREVIOUS TAX YEARS. THERE WAS NO INCREMENTAL EXPENSE RECOGNIZED BY THE ORGANIZATION IN 2018 FOR PAYMENTS MADE TO THE FORMER CEO. COMPENSATION TO THE CHIEF OPERATING OFFICER INCLUDES PAYMENTS AGREED TO UNDER A SEPARATION AGREEMENT EXECUTED IN APRIL 2019. THIS AGREEMENT CALLS FOR PAYMENTS TO BE MADE THROUGH EARLY 2021. THESE PAYMENTS HAVE BEEN ACCRUED AND REPORTED AS OTHER DEFERRED COMPENSATION.

Schedule J (Form 990) 2019

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
NEWARK-WAYNE COMMUNITY HOSPITAL

Employer identification number
15-0584188

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	WAYNE COUNTY CIVIC FACILITY DEVELOPMENT CORP	32-0345910		11-17-2011	19,775,000	TO DEFEASE OUTSTANDING 1993 BONDS & FINANCE HOSPITAL RENOVATIONS/EXPANSION	X			X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................
2 Amount of bonds legally defeased ..............	8,564,845
3 Total proceeds of issue ..................	19,775,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............	6,164,943
7 Issuance costs from proceeds ...............	395,500
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	13,214,557
11 Other spent proceeds .............
12 Other unspent proceeds .............
13 Year of substantial completion .............
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? ........	X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2018, an advance refunding issue)? ........		X
16 Has the final allocation of proceeds been made? ..........		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2019

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X
b Exception to rebate? ........		X
c No rebate due? .........		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2019

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation

Schedule K (Form 990) 2019

Additional Data

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SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

NEWARK-WAYNE COMMUNITY HOSPITAL

Employer identification number

15-0584188

Return Reference	Explanation
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 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 6	THE ORGANIZATION IS A MEMBERSHIP (NOT A STOCK) CORPORATION UNDER NEW YORK STATE LAW. THE ORGANIZATION'S SOLE CORPORATE MEMBER IS ROCHESTER REGIONAL HEALTH, A RELATED NOT-FOR-PROFIT ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7B	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 11B	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 EDUCATION IS CONDUCTED ANNUALLY FOR ALL EMPLOYEES. 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. ANNUALLY, EACH KEY PERSON, DIRECTOR AND OFFICER OF THE ORGANIZATION IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE 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, OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE ALSO REQUIRED TO NOTIFY MANAGEMENT PROMPTLY IF ANY CHANGE TO THEIR DISCLOSURES OCCURS. 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. BOARD MEMBERS LEAVE THE ROOM DURING DISCUSSIONS AND ABSTAIN FROM VOTING WHEN THEY HAVE A CONFLICT OF INTEREST.
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. INFORMATION REVIEWED FOR THE OFFICER/KEY EMPLOYEE INCLUDES COMPARABLE DATA FROM SIMILAR SIZE TAX-EXEMPT ORGANIZATIONS AS WELL AS COMPENSATION FOR THESE POSITIONS (AS DISCLOSED ON FORM 990) WITH OTHER ORGANIZATIONS IN THE HEALTHCARE INDUSTRY THAT ARE OF SIMILAR SIZE. 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 AT 100 KINGS HIGHWAY SOUTH, ROCHESTER, NY 14617. A NOMINAL FEE IS CHARGED IF COPIES ARE REQUESTED.
FORM 990, PART IX, LINE 11G	CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 3,878,685. MANAGEMENT AND GENERAL EXPENSES 513,476. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,392,161. SHARED SERVICE ALLOCATION: PROGRAM SERVICE EXPENSES 4,526,738. MANAGEMENT AND GENERAL EXPENSES 599,268. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,126,006. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 701,212. MANAGEMENT AND GENERAL EXPENSES 92,829. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 794,041. OTHER: PROGRAM SERVICE EXPENSES 2,167,979. MANAGEMENT AND GENERAL EXPENSES 287,007. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,454,986. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 3,236,109. MANAGEMENT AND GENERAL EXPENSES 428,409. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,664,518.
FORM 990, PART XI, LINE 9:	CHANGE IN INTEREST IN NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATION 1,561,323. CHANGE IN ACCOUNTING ESTIMATES -917,192.
FORM 990, PART XII, LINE 2C:	THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.
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, 2019 ENDING TAX YEAR OF FOREIGN CORPORATION: DECEMBER 31, 2019 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 REGIONAL HEALTH ADDRESS OF U.S. FILER: 100 KINGS HIGHWAY SOUTH, ROCHESTER, NY 14617 EIN: 47-1234999 ENDING TAX YEAR OF U.S. FILER: DECEMBER 31, 2019 TYPE OF RETURN FILED: 990 IRS SERVICE CENTER WHERE RETURN FILED: OGDEN, UTAH 84201-0027

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

NEWARK-WAYNE COMMUNITY HOSPITAL

Employer identification number

15-0584188

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)THE ROCHESTER GENERAL HOSPITAL 1425 PORTLAND AVENUE ROCHESTER,NY14621 16-0743134	HOSPITAL	NY	501(C)(3)	LINE 3	ROCHESTER REGIONAL HEALTH	Yes
(2)GRHS FOUNDATION 100 KINGS HIGHWAY SOUTH ROCHESTER,NY14617 22-3378111	R/E INV MGMT	NY	501(C)(3)	LINE 12B, II	ROCHESTER REGIONAL HEALTH	Yes
(3)ROCHESTER REGIONAL HEALTH FOUNDATION 100 KINGS HIGHWAY SOUTH ROCHESTER,NY14617 22-2229425	FUNDRAISING	NY	501(C)(3)	LINE 12B, II	ROCHESTER REGIONAL HEALTH	Yes
(4)NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATION DRIVING PARK AVENUE NEWARK,NY14513 22-2963015	FUNDRAISING	NY	501(C)(3)	LINE 12B, II	ROCHESTER REGIONAL HEALTH	Yes
(5)RGHS WORKERS' COMPENSATION TRUST 1425 PORTLAND AVENUE ROCHESTER,NY14621 16-6429300	SEE PART VII	NY	501(C)(3)	LINE 12B, II	ROCHESTER REGIONAL HEALTH	Yes
(6)CONTINUING CARE NETWORK INC (CCN) 100 KINGS HIGHWAY SOUTH ROCHESTER,NY14617 22-2963016	SUPPORT RGH	NY	501(C)(3)	LINE 12B, II	ROCHESTER REGIONAL HEALTH	Yes
(7)ROCHESTER GENERAL HUDSON HOUSING 2066 HUDSON AVENUE ROCHESTER,NY14621 22-3210351	LOW INC HOUSING	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(8)VIA HEALTH HOME CARE I 100 KINGS HIGHWAY SOUTH ROCHESTER,NY14617 16-1504370	HOME HEALTH	NY	501(C)(3)	LINE 10	CCN	Yes
(9)VIA HEALTH HOMECARE II 100 KINGS HIGHWAY SOUTH ROCHESTER,NY14617 16-1538727	HOME HEALTH	NY	501(C)(3)	LINE 10	CCN	Yes
(10)INDEPENDENT LIVING FOR SENIORS 2066 HUDSON AVENUE ROCHESTER,NY14617 16-1491059	ADULT DAY HC	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(11)ROCHESTER GENERAL LONG TERM CARE 1550 EMPIRE BLVD WEBSTER,NY14580 22-3187140	NH & REHAB	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(12)WESTERN NEW YORK MEDICAL PRACTICE PC 1425 PORTLAND AVENUE ROCHESTER,NY14621 61-1654232	PHYS PRAC	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(13)THE UNITY HOSPITAL OF ROCHESTER 1555 LONG POND RD ROCHESTER,NY14626 23-7221763	HOSPITAL	NY	501(C)(3)	LINE 3	ROCHESTER REGIONAL HEALTH	Yes
(14)NORTH PARK NURSING HOME INC 1555 LONG POND RD ROCHESTER,NY14626 22-3159644	LONG TERM CARE FACILITY	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(15)PARK RIDGE NURSING HOME INC 1555 LONG POND RD ROCHESTER,NY14626 16-0978184	LONG TERM CARE FACILITY	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(16)PARK RIDGE CHILD CARE CENTER INC 1555 LONG POND RD ROCHESTER,NY14626 22-2918126	CHILD DAY CARE SERVICES	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(17)PARK RIDGE HOUSING DEVELOPMENT FUND 1555 LONG POND RD ROCHESTER,NY14626 22-2608311	LOW INCOME HOUSING PROJECT FOR ELDERLY	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(18)PARK RIDGE HOUSING INC 1555 LONG POND RD ROCHESTER,NY14626 22-2570457	SENIOR APARTMENT COMPLEX	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(19)PARKWAY COMMONS HOUSING DEVELOPMENT 1555 LONG POND RD ROCHESTER,NY14626 22-3130818	LOW INCOME HOUSING FOR ELDERLY/HANDICAPPED	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(20)UNITY AGING SERVICES INC 1555 LONG POND RD ROCHESTER,NY14626 84-1684195	MANAGEMENT AND DEVELOPMENT CO	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(21)UNITY HOUSING DEVELOPMENT FUND CORP 1555 LONG POND RD ROCHESTER,NY14626 30-0068596	RECEIPT AND DISBURSEMENTS OF SUBSIDIES	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(22)WOODLAND VILLAGE INC 1555 LONG POND RD ROCHESTER,NY14626 16-1588242	SENIOR APARTMENT COMPLEX	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(23)UNITY AMBULATORY SURGERY CENTER INC 1555 LONG POND RD ROCHESTER,NY14626 38-3871383	OUTPATIENT SURGERY	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(24)UNITY HEALTH SYSTEM INC 1555 LONG POND ROAD ROCHESTER,NY14626 22-2572873	SYSTEM SUPPORT	NY	501(C)(3)	LINE 12B, II	ROCHESTER REGIONAL HEALTH	Yes
(25)ROCHESTER REGIONAL HEALTH 100 KINGS HIGHWAY SOUTH ROCHESTER,NY14617 47-1234999	SYSTEM PARENT	NY	501(C)(3)	LINE 12B, II	N/A	Yes
(26)UNITED MEMORIAL MEDICAL CENTER 127 NORTH STREET BATAVIA,NY14020 16-0743029	HOSPITAL	NY	501(C)(3)	LINE 3	ROCHESTER REGIONAL HEALTH	Yes
(27)CLIFTON SPRINGS HOSPITAL AND CLINIC 2 COULTER ROAD CLIFTON SPRINGS,NY14432 16-0743966	HOSPITAL	NY	501(C)(3)	LINE 3	ROCHESTER REGIONAL HEALTH	Yes
(28)BEHAVIORAL HEALTH NETWORK INC 490 EAST RIDGE ROAD ROCHESTER,NY14621 16-6069131	MENTAL HEALTH	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(29)PRCD INC 1555 LONG POND RD ROCHESTER,NY14626 16-1311581	SUBSTANCE ABUSE TREATMENT & REHAB.	NY	501(C)(3)	LINE 7	ROCHESTER REGIONAL HEALTH	Yes
(30)ROCHESTER GENERAL HEALTH SYSTEM 100 KINGS HIGHWAY SOUTH ROCHESTER,NY14617 22-2551509	SYSTEM SUPPORT	NY	501(C)(3)	LINE 12B, II	ROCHESTER REGIONAL HEALTH	Yes
(31)UNITED MEMORIAL MEDICAL CENTER FOUNDATION 127 NORTH STREET BATAVIA,NY14020 22-2611543	FUNDRAISING	NY	501(C)(3)	LINE 12B, II	UNITED MEMORIAL MEDICAL CENTER	Yes
(32)CLIFTON SPRINGS HOSPITAL & CLINIC FOUNDATION 2 COULTER ROAD CLIFTON SPRINGS,NY14432 16-1560033	FUNDRAISING	NY	501(C)(3)	LINE 12B, II	ROCHESTER REGIONAL HEALTH	Yes
(33)GENESEE REGION HOME CARE ASSOCIATION INC 100 KINGS HIGHWAY ROCHESTER,NY14617 16-0844109	HOME HEALTH	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(34)GENESEE REGION HOME CARE OF ONTARIO COUNTY INC 100 KINGS HIGHWAY ROCHESTER,NY14617 22-3257719	HOME HEALTH	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2019

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) NW ASSOCIATES LP PO BOX 111 DRIVING PARK AVENUE NEWARK,NY14513 14-1674119	R/E LEASING	NY	NWCH	RELATED				No			No	73.610 %
(2) PARMA SENIOR HOUSING 1555 LONG POND RD ROCHESTER,NY14626 43-2082116	HILTON PROJ	NY	N/A					No			No
(3) UNITY SENIOR HOUSING 1555 LONG POND RD ROCHESTER,NY14626 06-1709927	MOORE PK	NY	N/A					No			No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) GREATER ROCHESTER ASSURANCE COMPANY LTD GEORGE TOWN GRAND CAYMAN CJ	INSURANCE	CJ	N/A	C			100.000 %		No
(2) GRACO RISK RETENTION GROUP INC 1425 PORTLAND AVENUE ROCHESTER,NY14621 71-0933967	INSURANCE	SC	RGH	C			100.000 %		No
(3) NWA INC DRIVING PARK AVENUE NEWARK,NY14513 14-1667339	R/E LEASING	NY	NWCH	C			100.000 %		No
(4) GREATER ROCHESTER INDEPENDENT PRACTICE ASSOCIATION INC 100 KINGS HWY S SUITE 2500 ROCHESTER,NY14617 16-1507171	INDEPENDENT PRACTICE ASSOCIATION	NY	N/A	C			50.000 %		No
(5) ROCHESTER GENERAL HEALTH SYSTEM DIALYSIS INC 1425 PORTLAND AVENUE ROCHESTER,NY14621 38-3912199	DIALYSIS	NY	RGHS	C			100.000 %		No
(6) ACM MEDICAL LABORATORY INC 160 ELMGROVE PARK ROCHESTER,NY14624 16-1059691	CLINICAL LAB	NY	PRH INC	C					No
(7) PRH INC 1555 LONG POND ROAD ROCHESTER,NY14626 16-1329632	MEDICAL LAB	NY	ROCHESTER REGIONAL HEALTH	C					No
(8) GREATER ROCHESTER IMMEDIATE MEDICAL CARE PLLC DBA ROCHESTER IMMEDIATE CARE 265 BROOKVIEW CENTRE WAY SUITE 400 KNOXVILLE,TN37919 27-1453784	URGENT CARE CENTERS	TN	WESTERN NEW YORK MEDICAL PC	C					No
(9) ROCHESTER MEDICINE PLLC 265 BROOKVIEW CENTRE WAY SUITE 400 KNOXVILLE,TN37919 81-2625325	OCCUPATIONAL MEDICINE	TN	WESTERN NEW YORK MEDICAL PC	C					No
(10) PARMA SENIOR HOUSING LLC 1555 LONG POND ROAD ROCHESTER,NY14626 81-0671687	SENIOR HOUSING	NY	ROCHESTER REGIONAL HEALTH	C					No
(11) UNITY SENIOR HOUSING CORP 1555 LONG POND ROAD ROCHESTER,NY14624 06-1709925	SENIOR HOUSING	NY	ROCHESTER REGIONAL HEALTH	C					No

Schedule R (Form 990) 2019

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) ROCHESTER GENERAL HOSPITAL	P	14,471,274	FMV
(2) GREATER ROCHESTER ASSUANCE COMPANY LTD	P	181,856	FMV
(3) ROCHESTER REGIONAL HEALTH	P	3,041,624	FMV
(4) NEWARK-WAYNE COMMUNITY HOSPITAL FOUNDATION	C	262,769	FMV
(5) INDEPENDENT LIVING FOR SENIORS	L	1,052,223	FMV
(6) RGHS WORKERS COMPENSATION TRUST	P	1,680,585	FMV

Schedule R (Form 990) 2019

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2019

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. (see instructions).

Return Reference

Explanation

SCHEDULE R, PART II, COLUMN B:

RELATED TAX-EXEMPT ORGANIZATION - PRIMARY ACTIVITY: RGHS WORKERS' COMPENSATION TRUST SUPPORTS THE ROCHESTER GENERAL HOSPITAL, NEWARK WAYNE COMMUNITY HOSPITAL, INDEPENDENT LIVING FOR SENIORS, ROCHESTER GENERAL LONG TERM CARE, ROCHESTER GENERAL HUDSON HOUSING, VIAHEALTH HOMECARE I, VIAHEALTH HOMECARE II, BEHAVIORAL HEALTH NETWORK, INC, CLIFTON SPRINGS HOSPITAL & CLINIC, UNITED MEMORIAL MEDICAL CENTER AND THE UNITY HOSPITAL OF ROCHESTER.

Schedule R (Form 990) 2019

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO OPERATE AN INPATIENT AND OUTPATIENT HOSPITAL, CLINICS AND TREATMENT CENTERS FOR THE DELIVERY OF ACUTE MEDICAL, SURGICAL AND PREVENTATIVE HEALTH CARE SERVICES.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	6
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	5
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	1,156
6	Total number of volunteers (estimate if necessary) .............	6	176
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	903,862	596,646
9	Program service revenue (Part VIII, line 2g) .........	103,568,301	108,020,737
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,524,246	2,772,953
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,331,454	1,182,167
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	107,327,863	112,572,503
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	59,559,757	65,909,207
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	44,809,682	42,010,587
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	104,369,439	107,919,794
19	Revenue less expenses. Subtract line 18 from line 12.......	2,958,424	4,652,709
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	121,783,902	127,411,691
21	Total liabilities (Part X, line 26).............	50,238,614	44,915,294
22	Net assets or fund balances. Subtract line 21 from line 20.....	71,545,288	82,496,397

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 93,867,711 including grants of $ ) (Revenue $ 109,117,233 )
	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.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses93,867,711

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	3,082,824	5,968,307	4,657,058

(A) Name and business address	(B) Description of services	(C) Compensation
DGA BUILDERS 1170 PITTSFORD VICTOR RD PITTSFORD,NY14534	CONSTRUCTION SERVICES	452,399
SCRIBEAMERICA LLC PO BOX 417756 BOSTON,MA02241	AGENCY SERVICES	203,216



2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 2

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	231,702
e	Government grants (contributions)		1e	336,882

f	All other contributions, gifts, grants, and similar amounts not included above		1f	28,062

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		596,646

		Business Code
2a	NET PATIENT REVENUE	622110	108,020,737	108,020,737
b
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		108,020,737

3 Investment income (including dividends, interest, and othersimilar amounts) ......			1,756,045			1,756,045
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		85,671	6a
b	Less: rental expenses		0	6b
c	Rental income or (loss)		85,671	6c
d	Net rental income or (loss).......			85,671			85,671
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		60,087,277	7a
b	Less: cost or other basis and sales expenses		59,070,369	7b
c	Gain or (loss)		1,016,908	7c
d	Net gain or (loss).........			1,016,908			1,016,908
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	CAFETERIA SALES		445110	409,897	409,897
b
c
d	All other revenue ....			686,599	686,599
e	Total. Add lines 11a–11d ......			1,096,496
12	Total revenue. See instructions.....			112,572,503	109,117,233	0	2,858,624

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	1,919,041	1,667,573	251,468
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	55,084,997	47,906,029	7,178,968
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	2,455,860	1,975,200	480,660
9	Other employee benefits .......	3,600,159	2,895,537	704,622
10	Payroll taxes ...........	2,849,150	2,291,516	557,634
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	9,050	8,003	1,047
c	Accounting ...........
d	Lobbying ...........	11,725	11,725
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	16,431,712	14,510,723	1,920,989
12	Advertising and promotion ....	5,333	4,716	617
13	Office expenses .......	397,399	356,647	40,752
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	2,507,082	2,249,990	257,092
17	Travel ............	75,834	68,057	7,777
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	40,488	36,336	4,152
20	Interest ...........	474,664	364,969	109,695
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	3,740,897	2,876,376	864,521
23	Insurance ...	331,475	272,743	58,732
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	13,572,022	12,180,259	1,391,763
b	BAD DEBT EXPENSE	2,251,990	2,251,990
c	LICENSES AND TAXES	1,321,536	1,186,017	135,519
d	SHARED SERVICES	639,060	573,527	65,533
e	All other expenses	200,320	179,778	20,542
25	Total functional expenses. Add lines 1 through 24e	107,919,794	93,867,711	14,052,083	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			12,334,079	1	4,212,431
2	Savings and temporary cash investments .........			3,747,271	2	2,661,487
3	Pledges and grants receivable, net ......			136,004	3	40,070
4	Accounts receivable, net .............			6,972,828	4	7,819,379
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			107,924	8	95,881
9	Prepaid expenses and deferred charges ......			144,003	9	235,224
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	108,173,052
b	Less: accumulated depreciation	10b	75,875,037	33,659,002	10c	32,298,015
11	Investments—publicly traded securities .			15,314,663	11	18,751,685
12	Investments—other securities. See Part IV, line 11 .....			34,714,127	12	45,881,000
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			14,654,001	15	15,416,519
16	Total assets. Add lines 1 through 15 (must equal line 33)...			121,783,902	16	127,411,691

17	Accounts payable and accrued expenses .....	8,946,955	17	9,412,627
18	Grants payable ...		18
19	Deferred revenue .........	2	19
20	Tax-exempt bond liabilities .........	10,842,767	20	10,057,130
21	Escrow or custodial account liability. Complete Part IV of Schedule D	197,310	21	206,811
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	30,251,580	25	25,238,726
26	Total liabilities. Add lines 17 through 25..	50,238,614	26	44,915,294

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	70,362,581	27	81,196,553
28	Net assets with donor restrictions ...........	1,182,707	28	1,299,844
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	71,545,288	32	82,496,397
33	Total liabilities and net assets/fund balances ........	121,783,902	33	127,411,691