TY 2021 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/1099-NEC)
(1) MARK CORNETT...................................................................... CHAIR OF THE BOARD	1.00 ................. 1.00	X	X	0	0
(2) MICHAEL GRIFFIN...................................................................... 1ST VICE CHAIR	1.00 ................. 1.00	X	X	0	0
(3) DONALD DANGREMOND...................................................................... 2ND VICE CHAIR	1.00 ................. 1.00	X	X	0	0
(4) PAUL MCGRATH...................................................................... TREASURER	1.00 ................. 1.00	X	X	0	0
(5) DONNA MCGREGOR...................................................................... ASSISTANT TREASURER	1.00 ................. 40.00	X	X	383,874	116,296
(6) JUDITH CHASE...................................................................... SECRETARY	1.00 ................. 0.00	X	X	0	0
(7) ERIC BIEBER MD...................................................................... CEO, RRH	0.00 ................. 55.00	X	X	4,273,339	538,689
(8) DAVID ACKER...................................................................... CEO, CANTON POTSDAM HOSPITAL	0.00 ................. 55.00	X	X	716,196	76,839
(9) FLORENCE BERO MD...................................................................... DIRECTOR	1.00 ................. 1.00	X		0	0
(10) CATHERINE BLEVINS...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(11) PAUL COLE DVM...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(12) ERIN DRAPER...................................................................... DIRECTOR	1.00 ................. 1.00	X		0	0
(13) BRIAN GARDAM...................................................................... DIRECTOR	1.00 ................. 1.00	X		0	0
(14) JACQUIE KUNO...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(15) EDWARD MUCENSKI...................................................................... DIRECTOR	1.00 ................. 1.00	X		0	0
(16) KATHRYN MULLANEY...................................................................... DIRECTOR	1.00 ................. 1.00	X		0	0
(17) JAMES THEODORE...................................................................... DIRECTOR	1.00 ................. 1.00	X		0	0

(A) Name and business address	(B) Description of services	(C) Compensation
MAYO COLLABORATIVE SERVICES INC PO BOX 9146 MINNEAPOLIS,MN554809146	LAB SERVICES	2,400,006
WEATHERBY LOCUMS INC PO BOX 972633 DALLAS,TX753972633	STAFFING	1,408,447
COMPHEALTH PO BOX 972651 DALLAS,TX753972651	STAFFING	1,295,544
LABCORP PO BOX 12140 BURLINGTON,NC272162140	LAB SERVICES	1,091,444
MEDEFIS INC PO BOX 5068 NEW YORK,NY100875068	HEALTH CARE MGMT	1,077,847
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 35

- TIN:

SCHEDULE A
(Form 990)

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

2021

Open to Public
Inspection

Name of the organization

CANTON-POTSDAM HOSPITAL

Employer identification number

16-1012691

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).)

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 33 1/3% 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 33 1/3% 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 on 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) 2021

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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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 5 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 2021 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2021. 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—2020. 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—2021. 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—2020. 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) 2021

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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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 on 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 5 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 2021 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2020 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2021 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2020 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2021. 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—2020. 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) 2021

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) .

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

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 on 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 on 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) 2021

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 on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2021

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 0.015 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 0.035	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) 2021

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2021 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2021	(iii) Distributable Amount for 2021
1 Distributable amount for 2021 from Section C, line 6
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2021:
a From 2016.......
b From 2017.......
c From 2018.......
d From 2019.......
e From 2020.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2021 distributable amount
i Carryover from 2016 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2021 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2021 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2021, 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 2021. 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 2022. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2017.....
b Excess from 2018.....
c Excess from 2019.....
d Excess from 2020.....
e Excess from 2021.....

Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021

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) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

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

2021

Name of the organization

CANTON-POTSDAM HOSPITAL

Employer identification number

16-1012691

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) (2021)

Schedule B (Form 990) (2021) Page 2

Name of organization CANTON-POTSDAM 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) (2021)

Schedule B (Form 990) (2021)

Page 3

Name of organization CANTON-POTSDAM HOSPITAL		Employer identification number 16-1012691

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) (2021)

Schedule B (Form 990) (2021)

Page 4


Name of organization CANTON-POTSDAM HOSPITAL			Employer identification number 16-1012691
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) (2021)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

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

2021

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

CANTON-POTSDAM HOSPITAL

Employer identification number

16-1012691

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.

Cat. No. 50084S

Schedule C (Form 990) 2021

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) 2018	(b) 2019	(c) 2020	(d) 2021	(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) 2021

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

17,315

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

17,315

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:	ANNUAL MEMBERSHIPS TO IROQUOIS HEALTH, HANYS AND IHA, A PRECENTAGE OF WHCH WAS USED FOR LOBBYING ACTIVITIES.

Schedule C (Form 990) 2021

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

2021

Open to Public Inspection

Name of the organization

CANTON-POTSDAM HOSPITAL

Employer identification number

16-1012691

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) 2021

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
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

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 ....	1,041,596	987,553	894,657	948,837	907,013
b	Contributions ...
c	Net investment earnings, gains, and losses	47,358	54,043	92,896	-54,180	41,824
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	1,088,954	1,041,596	987,553	894,657	948,837

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

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

66.000 %

Term endowment SchDMd Bullet

34.000 %

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 .....	959,160		959,160
b	Buildings ....	56,358,924	29,016,046	27,342,878
c	Leasehold improvements	11,174,847	6,308,934	4,865,913
d	Equipment ....	72,523,850	60,990,327	11,533,523
e	Other .....	22,889,419	20,764,598	2,124,821
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				46,826,295

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other 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)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
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)ASSETS WHOSE USE IS LIMITED				36,645,769
(2)BENEFICIAL INTEREST IN FOUNDATION				32,043,079
(3)OPERATING LEASE RIGHT OF USE ASSETS				236,454
(4)THIRD PARTY RECEIVABLES				603,648
(5)ACCRUED PENSION RECEIVABLE				6,595,865
(6)OTHER ASSETS				10,869,096
(7)DUE FROM AFFILIATES				15,817,410
(8)OTHER RECEIVABLES				7,234,508
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				110,045,829

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
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	34,426,909
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) 2021

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 V, LINE 4:	THE ORGANIZATION USES THE INCOME FROM THE ENDOWMENT FUNDS FOR GENERAL OPERATING PURPOSES AND LAWFUL PURPOSES AT THE DISCRETION OF THE BOARD OF DIRECTORS.

Schedule D (Form 990) 2021

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

2021

Open to Public Inspection

Name of the organization

CANTON-POTSDAM HOSPITAL

Employer identification number

16-1012691

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? . . . . . .

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) . . .	1,446,037	1,224,841	221,196	0.100 %
b	Medicaid (from Worksheet 3, column a) . . . . .	41,742,910	24,376,553	17,366,357	7.640 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	43,188,947	25,601,394	17,587,553	7.740 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	92,927		92,927	0.040 %
f	Health professions education (from Worksheet 5) . . .	183,055	64,027	119,028	0.050 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	167,909		167,909	0.070 %
j	Total. Other Benefits . .	443,891	64,027	379,864	0.160 %
k	Total. Add lines 7d and 7j .	43,632,838	25,665,421	17,967,417	7.900 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2021

Schedule H (Form 990) 2021

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	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	577,477	577,477	0.250 %
9	Other
10	Total	577,477	577,477	0.250 %

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. ......

344,686

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. ......

175,216

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).....

28,631,213

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

34,862,547

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

-6,231,334

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 %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2021

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	CANTON-POTSDAM HOSPITAL 50 LEROY STREET POTSDAM,NY13676 WWW.STLAWRENCEHEALTHSYSTEM.ORG	X	X	X

Schedule H (Form 990) 2021

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)

	CANTON-POTSDAM 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..................................

Yes

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.STLAWRENCEHEALTHSYSTEM.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.STLAWRENCEHEALTHSYSTEM.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) 2021

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	CANTON-POTSDAM 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 100.000000000000%
and FPG family income limit for eligibility for discounted care of 300.000000000000%

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.STLAWRENCEHEALTHSYSTEM.ORG

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

WWW.STLAWRENCEHEALTHSYSTEM.ORG

A plain language summary of the FAP was widely available on a website (list url):
WWW.STLAWRENCEHEALTHSYSTEM.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) 2021

Page 6

Part VFacility Information (continued)

Billing and Collections

	CANTON-POTSDAM 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) 2021

Page 7

Part VFacility Information (continued)

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

	CANTON-POTSDAM 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? ...........................

Yes

If "Yes," explain in Section C.

Schedule H (Form 990) 2021

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
CANTON-POTSDAM HOSPITAL	PART V, SECTION B, LINE 5: CANTON-POTSDAM HOSPITAL'S (CPH'S) MOST RECENT CHNA WAS CONDUCTED BY ITS NEW YORK STATE DSRIP PPS, ADIRONDACK HEALTH INSTITUTE, AS WELL AS ITS LOCAL PARTNERS, THE ST. LAWRENCE COUNTY PUBLIC HEALTH DEPARTMENT AND THE ST. LAWRENCE HEALTH INSTITUTE. CPH PARTICIPATES AT THE BOARD LEVEL ON THE ST. LAWRENCE HEALTH INITIATIVE, A NOT-FOR-PROFIT ORGANIZATION COORDINATING HEALTH ASSESSMENT AMONG ALL AREA HEALTH FACILITIES. THIS ORGANIZATION AND OUR DSRIP PPS PROVIDE FORMAL ONGOING COORDINATION OF NEEDS ASSESSMENT AND PROGRAMMING. THE CHNA WAS COMPLETED IN 2019 AND TAKES INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE COMMUNITY PRIMARILY THROUGH A TELEPHONE AND WEB SURVEY CONDUCTED IN THE SUMMER OF 2019 WITH RESIDENTS OF THE THREE COUNTY REGION OF ST. LAWRENCE, LEWIS, AND JEFFERSON. CPH ALSO SEEKS INPUT FORMALLY THROUGH AN ANNUAL FORUM WITH COMMUNITY LEADERS FROM ALL ACROSS OUR PRIMARY AND SECONDARY SERVICE AREAS, FREQUENT MEETINGS WITH PUBLIC HEALTH OFFICIALS, LOCAL COLLEGE PRESIDENTS, THE LEADERS OF OTHER AREA HEALTH FACILITIES, AND LOCAL GOVERNMENT OFFICIALS. ADDITIONAL INPUT WAS GATHERED FROM HOSPITAL AND HOSPITAL SYSTEM BOARD MEMBERS REPRESENTING PUBLIC HEALTH, DENTISTRY, HOSPICE AND PALLIATIVE CARE, VETERINARY HEALTH, AREA COLLEGES, AND AREA BUSINESSES. CPH PARTNERED IN LATE 2015 WITH ACTIVE INVOLVEMENT ON THE BOARD OF DIRECTORS OF THE ST. LAWRENCE COUNTY COMMUNITY DEVELOPMENT PROGRAM, WHICH OPERATES FOOD BANKS IN OUR SERVICE AREA, TO OFFER HEALTH SERVICES AND TO SEEK INPUT FROM THOSE SERVED BY THE FOOD BANKS. INPUT IS ALSO SOUGHT THROUGH THE HOSPITAL'S AND SYSTEM'S AUXILIARY GROUPS, AND FORUMS WITH ITS VOLUNTEERS, COMPRISING STUDENTS, THE ELDERLY, AND THOSE LIVING WITH DISABILITIES. IN 2013, A PATIENT ADVISORY GROUP, REFLECTING THE DIVERSITY OF THE COMMUNITY, WAS FORMED. THIS GROUP PROVIDES INVALUABLE FEEDBACK ON THE PATIENT EXPERIENCE AND COMMUNITY NEEDS.
CANTON-POTSDAM HOSPITAL	PART V, SECTION B, LINE 6A: CANTON-POTSDAM HOSPITAL'S CHNA WAS AUTHORED BY THE HOSPITAL USING DATA GATHERED BY THE ADIRONDACK HEALTH INSTITUTE (REPRESENTING A NINE-COUNTY NORTHERN NY REGION WHICH INCLUDES ST. LAWRENCE COUNTY) AND DATA GATHERED FOR ST. LAWRENCE, LEWIS, AND JEFFERSON COUNTIES ON BEHALF OF THE ST. LAWRENCE HEALTH INSTITUTE/INITIATIVE THROUGH FORT DRUM REGIONAL HEALTH PLANNING ORGANIZATION.
CANTON-POTSDAM HOSPITAL	PART V, SECTION B, LINE 6B: CANTON-POTSDAM HOSPITAL'S CHNA WAS AUTHORED BY THE HOSPITAL USING DATA GATHERED BY THE ADIRONDACK HEALTH INSTITUTE (REPRESENTING A NINE-COUNTY NORTHERN NY REGION WHICH INCLUDES ST. LAWRENCE COUNTY) AND DATA GATHERED FOR ST. LAWRENCE, LEWIS, AND JEFFERSON COUNTIES ON BEHALF OF THE ST. LAWRENCE HEALTH INSTITUTE/INITIATIVE THROUGH FORT DRUM REGIONAL HEALTH PLANNING ORGANIZATION.
CANTON-POTSDAM HOSPITAL	PART V, SECTION B, LINE 11: CANTON-POTSDAM HOSPITAL'S CHNA IDENTIFIED CHRONIC DISEASE PREVENTION AND MANAGEMENT AND MENTAL, EMOTIONAL, AND BEHAVIORAL (MEB) HEALTH AS THE TWO HIGHEST PRIORITY AREAS NEEDING TO BE ADDRESSED. WITHIN THESE AREAS, CHILD AND ADOLESCENT OBESITY, HEART FAILURE, DIABETES, AND COPD WERE IDENTIFIED AS THE MOST PRESSING NEEDS IN CHRONIC DISEASE MANAGEMENT; SUBSTANCE ABUSE AND SUICIDE PREVENTION WERE IDENTIFIED AS TOP NEEDS IN THE MEB HEALTH CATEGORY. THESE PRIORITY AREAS DOVETAIL WITH THE HOSPITAL'S STRATEGIC PLAN, THE PRIORITIES OF THE NEW YORK STATE DSRIP PPS PARTNERS IN A NINE-COUNTY NORTHERN NEW YORK REGION THAT ENCOMPASSES ST. LAWRENCE COUNTY, THE PRIORITIES OF THE NEW YORK STATE HEALTHCARE REDESIGN COMMISSION, THE PRIORITIES OF THE NEW YORK STATE PREVENTION AGENDA, AND THE GOALS OF THE AFFORDABLE CARE ACT TO INCREASE ACCESS, REDUCE COSTS, AND IMPROVE QUALITY. SPECIFIC GOALS AND METRICS HAVE BEEN IDENTIFIED AND THE HOSPITAL'S OUTREACH PROGRAMS ARE DESIGNED TO ADDRESS THESE. AMONG THESE PROGRAMS IS AN EXTENSIVE EDUCATION SERIES FOR THE COMMUNITY ON VARIOUS HEALTH ISSUES; EDUCATION TARGETED TO THOSE WITH SPECIFIC DIAGNOSES; SUPPORT FOR OTHER COMMUNITY ORGANIZATIONS, SUCH AS THE POTSDAM RECREATION DEPARTMENT AND THE SCHOOL SYSTEM, FOR INTEGRATING HEALTHY FOOD CHOICES IN CHILDHOOD AND ADOLESCENT ACTIVITIES; AND SUPPORT FOR LOCAL FOOD BANKS AND A LOCAL NONPROFIT FOOD SECURITY PROGRAM. PARTNERSHIP PROGRAMS WITH NORTH COUNTRY CHILDREN'S MUSEUM, NORTH COUNTRY JR. IRON CHEF, SEAWAY VALLEY PREVENTION COUNCIL, AND HOSPICE AND PALLIATIVE CARE OF ST. LAWRENCE VALLEY HELP ADDRESS CHILDHOOD OBESITY, SUICIDE PREVENTION, AND MENTAL HEALTH ILLNESSES, AS WELL AS SUBSTANCE USE PREVENTION. CANTON-POTSDAM HOSPITAL CONTINUES TO ENRICH THE REGION IN RECRUITMENT OF PRIMARY CARE PRACTITIONERS AND SPECIALISTS IN TARGETED AREAS, INCLUDING SUBSTANCE USE DISORDER, RHEUMATOLOGY, NEUROLOGY, ENDOCRINOLOGY (FOR ASSISTANCE WITH DIABETES), INFECTIOUS DISEASE, NUTRITION, AND A PULMONOLOGY SPECIALIST WITH A BACKGROUND IN BEHAVIORAL HEALTH TO TAKE THE POSITION OF DIRECTOR OF POPULATION HEALTH.
CANTON-POTSDAM HOSPITAL	PART V, SECTION B, LINE 24: THE HOSPITAL USES THE HIGHEST VOLUME COMMERCIAL COVERAGE RATE, FROM BLUE CROSS/BLUE SHIELD, WHICH IS ALSO GENERALLY THE LOWEST RATE CHARGED.

Schedule H (Form 990) 2021

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?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2021

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:	CANTON-POTSDAM HOSPITAL'S COMMUNITY BENEFIT REPORT WAS CONDUCTED IN CONJUNCTION WITH THE OVERALL COMMUNITY BENEFIT NEEDS ASSESSMENT FOR ST. LAWRENCE COUNTY. THE JOINT COMMUNITY BENEFIT REPORT IS DISTRIBUTED BY ST. LAWRENCE COUNTY, NY.
PART I, LINE 7:	THE COSTING METHODOLOGY USED FOR LINES 7A, B, C AND F WAS FROM BOTH THE HOSPITAL'S 2021 MEDICAID ICR, UTILIZING EXHIBIT 46, AND THE 2021 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 2021 MEDICAID ICR WERE UTILIZED TO COMPLETE THE CALCULATIONS.
PART I, LN 7 COL(F):	TOTAL EXPENSES ON FORM 990, PART IX, LINE 25, COLUMN (A) ARE $227,347,678. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $344,686. AFTER BAD DEBT WAS DEDUCTED FROM TOTAL EXPENSES, THE AMOUNT OF TOTAL EXPENSES USED TO CALCULATE THE PERCENT IN LINE 7, COLUMN (F) WAS $227,002,992.
PART II, COMMUNITY BUILDING ACTIVITIES:	THE AMOUNT REPORTED ON PART II LINE 8 REPRESENTS THE INVESTMENT MADE IN RECRUITING NEW HEALTHCARE PRACTITIONERS TO OUR SERVICE AREA DURING 2021. DUE TO ITS INDIGENT POPULATION AND RURAL NATURE, MUCH OF THE REGION SURROUNDING THE HOSPITAL IS DESIGNATED AS A MANPOWER SHORTAGE AREA.
PART III, LINE 4:	THE COSTS ON LINE 2 ARE BASED UPON THE MEDICARE ICR FOR 2021 APPLIED TO THE GROSS CHARGES WRITTEN OFF. THE COSTS ON LINE 3 WERE CALCULATED IN ACCORDANCE WITH THE COSTING METHODOLOGY EMPLOYED BY THE NYS DOH BAD DEBT COSTING PROCESS.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 2021, 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 2021 RESULTED IN ADDITIONAL PATIENTS QUALIFYING FOR CHARITY CARE AND A REDUCTION TO BAD DEBT EXPENSE.
PART III, LINE 8:	MEDICARE COSTING METHODOLOGY: COSTS REPORTED ON LINE 6 INCLUDE TOTAL INPATIENT COSTS (ROUTINE, ICU, ANCILLARY AND CAPITAL), OBSERVATIONS COSTS, OUTPATIENT COSTS AND SWING BED COSTS FROM MCR COST REPORT, WORKSHEETS D-1: PART II AND PART IV; WORKSHEET D: PART V; AND WORKSHEET E, E-2 AND D-3.
PART III, LINE 9B:	THE ORGANIZATION APPLIES THE SAME COLLECTION PRINCIPLES TO AMOUNTS DUE FROM PATIENTS WHO HAVE QUALIFIED FOR PERCENTAGE DISCOUNTS BUT STILL HAVE A RESPONSIBILITY FOR A PORTION OF THEIR BILL BASED UPON THE SLIDING FEE SCHEDULE. NO SEPARATE DISTINCTION IS MADE FOR THE APPLICATION OF OUR COLLECTION PROCESSES IN THOSE CASES.
PART VI, LINE 2:	PLEASE REFERENCE THE ABOVE REQUIRED DESCRIPTIONS, PART V, SECTION B, LINES 5 AND 11.
PART VI, LINE 3:	THE ORGANIZATION CONSPICUOUSLY POSTS ITS FINANCIAL ASSISTANCE POLICY IN EACH REGISTRATION/RECEPTION AREA. PATIENTS ARE ENCOURAGED TO APPLY FOR ASSISTANCE AND GIVEN CONTACT INFORMATION AT THESE AREAS. IN ADDITION, ANY PATIENT THAT IS UNINSURED AND ADMITTED TO THE HOSPITAL FOR CARE IS PHYSICALLY VISITED BY A FINANCIAL COUNSELOR, AND AN EXPLANATION OF OUR PROGRAM IS MADE ALONG WITH AN APPLICATION. PATIENTS REQUESTING ASSISTANCE IN THE COMPLETION OF THE APPLICATION ARE GIVEN SUCH. ANY INFORMATION REQUIRED FOR APPLICATION FOR THE NYS MEDICAID APPLICATION PROCESS IS COLLECTED BY OUR FINANCIAL CASE MANAGERS AND COMMUNICATED TO THE APPROPRIATE CASE MANAGERS AT OUR COUNTY DEPARTMENT OF SOCIAL SERVICES FOR DETERMINATION OF MEDICAID ELIGIBILITY.
PART VI, LINE 4:	CANTON-POTSDAM HOSPITAL IS LOCATED IN ST. LAWRENCE COUNTY IN UPSTATE NEW YORK. ST. LAWRENCE COUNTY, THE LARGEST COUNTY IN NEW YORK, IS LOCATED IN THE NORTHERNMOST REACHES OF THE STATE BORDERING ON THE ST. LAWRENCE RIVER AND CANADA. IT IS A RURAL ENVIRONMENT CONSISTING OF 2,685 SQUARE MILES WITH A POPULATION OF APPROXIMATELY 112,000 RESIDENTS.CANTON-POTSDAM HOSPITAL'S PRIMARY SERVICE AREA INCLUDES APPROXIMATELY 58,000 PEOPLE LIVING IN THE COMMUNITIES OF POTSDAM, CANTON AND NEARBY SMALLER COMMUNITIES AND INCLUDES THE STUDENT POPULATION OF FOUR COLLEGES IN CANTON AND POTSDAM. THE SECONDARY SERVICE AREA FOR THE HOSPITAL IS PREDOMINANTLY THE REMAINING COMMUNITIES WITHIN ST. LAWRENCE COUNTY WITH SOME RESIDENTS OF THE WESTERN FRANKLIN COUNTY AREA BEING SERVED.
PART VI, LINE 5:	THE HOSPITAL HOSTS AND ATTENDS NUMEROUS HEALTH FAIRS THROUGHOUT THE YEAR, ALONG WITH HOSTING EVENTS SUCH AS "WALK WITH A DOC," HEALTH COACH CLASSES, CHRONIC DISEASE SELF-MANAGEMENT PROGRAM, BRIDGE TO WELLNESS, COMMUNITY PHYSICIAN PANELS, RED CROSS BLOOD DRIVES AND MANY OTHERS. THE HOSPITAL'S LIFELINE DEPARTMENT PROVIDES THE COMMUNITY WITH FREE LIFELINE INSTALLATIONS. THE HOSPITAL CONDUCTS A BREAST CANCER SUPPORT GROUP ONCE EACH MONTH AS WELL AS SPONSORS A CANCER SURVIVOR'S DAY AND BREAST CANCER SURVIVOR DINNER.
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 170 YEARS. IT IS ONE OF THE LARGEST EMPLOYERS 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 IS DISSEMINATED TO THE PUBLIC IN ELECTRONIC (WEBSITE) FORM.A CORNERSTONE OF ROCHESTER REGIONAL HEALTH'S STRATEGIC PLAN IS TO INVEST IN A SUSTAINABLE BUSINESS MODELTHAT IS, TO PRIORITIZE INVESTMENTS IN GROWTH AND SERVICES THAT CREATE LONG-TERM VALUE. DESPITE THE ONGOING IMPACT OF COVID-19, ROCHESTER REGIONAL CAN CELEBRATE PROGRESS ON THE FOLLOWING INITIATIVES ESSENTIAL TO THE FUTURE OF THE INSTITUTION AND THE HEALTH OF THE NEW YORK STATE COMMUNITIES IT SERVES: - ST. LAWRENCE HEALTH: A WIN/WIN FOR TWO HEALTH SYSTEMSEFFECTIVE JANUARY 1, 2021, ROCHESTER REGIONAL REACHED A DEFINITIVE AFFILIATION AGREEMENT WITH ST. LAWRENCE HEALTH SYSTEM. OPERATING THROUGHOUT THE NORTH COUNTRY OF NEW YORK STATE, ST. LAWRENCE HEALTH SYSTEM IS COMPOSED OF THREE HOSPITALS AND A NETWORK OF PRIMARY AND SPECIALTY CARE PRACTICES SERVING A COUNTY POPULATION OF APPROXIMATELY 108,000. THE AFFILIATION BETWEEN THE TWO SYSTEMS WILL EXPAND ROCHESTER REGIONAL'S REGIONAL REACH WHILE ENABLING ST. LAWRENCE TO EXPAND AND GROW ITS MEDICAL SERVICES.- DESTINATION CAMPUSES: BETTER SERVICE TO RURAL PATIENTSROCHESTER REGIONAL'S DESTINATION-CAMPUS STRATEGY BRINGS RURAL PATIENTS EASY, LOCAL ACCESS TO A WIDE RANGE OF HIGH QUALITY, COORDINATED PRIMARY AND SPECIALTY CARE SERVICES. THE NEW GENESEO MEDICAL CAMPUS OPENED IN OCTOBER 2021 AND EXPANDED ACCESS TO A WIDE RANGE OF SERVICES INTO THE GENESEO COMMUNITY. SPECIALTY SERVICES PROVIDED INCLUDE ENDOCRINOLOGY; GENERAL SURGERY; RADIOLOGY; NEUROSURGERY; PAIN MANAGEMENT; ORTHOPEDICS; AND VASCULAR SURGERY. ADDITIONALLY, EXISTING SERVICES IN THE GENESEO COMMUNITY; INCLUDING PRIMARY CARE; CARDIOLOGY; DERMATOLOGY; AND LAB SERVICES ARE NOW AVAILABLE AT THE GENESEO MEDICAL CAMPUS. - STRATEGIC FRAMEWORK: CREATING THE FUTURE OF QUALITY CAREALL OF THESE PROJECTS SHOW HOW ROCHESTER REGIONAL IS FORGING AHEAD ON ALL FRONTS OF A STRATEGIC PLAN: - VALUE-FOCUSED GROWTH AND INVESTMENT. - WORKING AS ONE ORGANIZATION, INTEGRATING CARE DELIVERY TO PROVIDE SEAMLESS TRANSITIONS AND THE RIGHT CARE, IN THE RIGHT PLACE, AT THE RIGHT TIME. - DELIVERING FRICTIONLESS CARE EXPERIENCES FOR OUR COMMUNITY, PATIENTS, EMPLOYEES, AND PROVIDERS. - DRIVING INNOVATION, USING DATA-DRIVEN INSIGHTS TO CONTINUOUSLY IMPROVE QUALITY AND OUTCOMES. IN ADDITION TO EXPANDING GEOGRAPHIC REACH, FACILITY CAPABILITIES, AND SERVICE LINES, ROCHESTER REGIONAL PURSUES SYSTEM-WIDE INITIATIVES THAT DEFINE WHO THEY ARE AND WHAT THEY VALUE. THESE INCLUDE ENVIRONMENTAL SUSTAINABILITY; A COMMITMENT TO DIVERSITY, EQUITY, AND INCLUSION; AND AN ONGOING PROMISE TO IMPROVE THE COMMUNITIES SERVED. THE OVERALL HEALTH SYSTEM CONTINUES TO GROW THROUGH THE ADDITION OF MEDICAL PRACTICES STRENGTHENING THE SERVICE OFFERINGS TO THOSE THROUGHOUT THE COMMUNITIES SERVED. NEW AND EXPANDED SERVICE OFFERINGS INCLUDE: - FINGER LAKES COMMUNITY EYE CARE - PROVIDING FULL MEDICAL, DIAGNOSTIC, AND SURGICAL EYE CARE IN A CARING AND CONVENIENT MANNER.- ROCHESTER OTOLARYNGOLOGY GROUP EXPANDING SPECIALIZED EAR, NOSE, AND THROAT (ENT) SERVICES AND CARE FOR PEDIATRIC AND ADULT PATIENTS.- LIPSON CANCER CENTER INSTITUTE - $4.5 MILLION EXPANSION AND RENOVATION AT THE LINDEN OAKS MEDICAL CAMPUS TO SUPPORT CANCER DETECTION, DIAGNOSIS, AND CARE IN A SINGLE MODERNIZED FACILITY.- ROCHESTER REGIONAL HEAD & NECK CENTER PROVIDING EXTENSIVE EXPERIENCE IN TREATING DISEASES AND DISORDERS OF THE EAR, NOSE, AND THROAT (ENT).- GENESEE VALLEY DERMATOLOGY AND LASER CENTRE PROVIDING PROCEDURES SUCH AS LASER HAIR REMOVAL AND MICRO-NEEDLING, GENERAL DERMATOLOGY SERVICES INCLUDING SKIN CONDITION TREATMENTS AND DETECTION OF SKIN CANCERS AS WELL AS NON-INVASIVE COSMETIC PROCEDURES SUCH AS COOL-SCULPTING AND MEDICAL PEELS.- GENESEO MEDICAL CAMPUS - A ONE-STOP FACILITY OFFERING MORE THAN A DOZEN NEW AND EXISTING SPECIALTY SERVICES INCLUDING: URGENT CARE, IMAGING, NEUROSURGERY, NEUROLOGY, PAIN MANAGEMENT, ORTHOPEDICS, VASCULAR, NEPHROLOGY, RHEUMATOLOGY, AND INFECTIOUS DISEASE. WITH MANY RURAL PATIENTS FACING LONG DRIVES TO FIND CARE, THIS CAMPUS WILL REDUCE THIS BURDEN FOR THE GENESEO AND SURROUNDING COMMUNITIES. - ROCHESTER REGIONAL VEIN TREATMENT CENTER - PROVIDING MINIMALLY INVASIVE TREATMENTS FOR ALL VENOUS DISEASE, WITH A SPECIAL FOCUS ON VARICOSE VEINS AND SPIDER VEINS.- THE PELVIC HEALTH CENTER PROVIDES WOMEN A PERSONALIZED, INTEGRATED APPROACH FOR THE MINIMALLY OR NON-INVASIVE TREATMENT OF PELVIC ISSUES, INCLUDING INCONTINENCE, MENSTRUAL DISORDERS, VULVOVAGINAL DISORDERS, PELVIC PAIN, PELVIC ORGAN PROLAPSE, AND PAIN DURING INTERCOURSE. - ROCHESTER REGIONAL HEALTH EYE CARE (FORMERLY ROCHESTER EYE ASSOCIATES) - SIX BOARD-CERTIFIED OPHTHALMOLOGISTS AND LICENSED OPTOMETRISTS, OFFERING SERVICES IN ALL ASPECTS OF MEDICAL AND SURGICAL OPHTHALMOLOGY, INCLUDING LASIK SURGERY.- ROCHESTER REGIONAL CENTER FOR GERD & FOREGUT DISORDERS - A NEW SPECIALTY PROGRAM THAT TREATS A RANGE OF ESOPHAGEAL AND UPPER GASTROINTESTINAL (GI) CONDITIONS, FROM GASTROESOPHAGEAL REFLUX DISEASE (GERD) TO ESOPHAGEAL CANCER. THE CENTER IS THE FIRST COMPREHENSIVE, MULTIDISCIPLINARY PROGRAM OF ITS KIND IN THE ROCHESTER REGION. THIS INITIATIVE IS A COLLABORATIVE EFFORT BRINGING TOGETHER EXPERTS FROM GASTROENTEROLOGY, BARIATRIC AND GENERAL SURGERY, AND CARDIOTHORACIC SURGERY TO DEVELOP A UNIQUE AND COMPREHENSIVE TREATMENT PLAN FOR EACH PATIENT.- ROCHESTER REGIONAL'S CANCER PAIN & REHABILITATION PROGRAM AT LIPSON CANCER INSTITUTE IS THE FIRST EMBEDDED, COMPREHENSIVE PROGRAM OF ITS KIND IN THE REGION. CANCER PAIN & REHABILITATION PROVIDES A PERSONALIZED, INTEGRATED APPROACH THAT BRINGS TOGETHER PALLIATIVE MEDICINE WITH REHABILITATION MEDICINE TO MANAGE CANCER PAIN AND ASSOCIATED SYMPTOMS, ALLOWING IMPROVED PATIENT FUNCTION AND QUALITY OF LIFE. THE PROGRAM IS BUILT ON COLLABORATION INVOLVING EXPERTS FROM PALLIATIVE MEDICINE, ONCOLOGY, PHYSICAL MEDICINE & REHABILITATION AND PAIN MEDICINE TO DEVELOP PERSONALIZED PAIN MANAGEMENT PLANS, AND PROVIDE ROUTINE ASSESSMENTS TO ENSURE THATTHROUGHOUT EACH STAGE OF THE DISEASEEVERY PATIENT'S PAIN IS MANAGED EFFECTIVELY. THE GOAL OF THE PROGRAM IS TO SUPPORT THE PATIENT AND THEIR FAMILY WHILE LIVING WITH A SERIOUS ILLNESS.- ROCHESTER REGIONAL IMPLEMENTED A NEW HIGH-SENSITIVITY TROPONIN (HST) LAB ASSAY THAT CAN DETECT VERY LOW LEVELS OF THE CARDIAC ENZYME TROPONIN T, WHICH PRESENCE IN THE BLOOD CAN INDICATE A HEART ATTACK. HST IS THE NEW EMERGING BEST PRACTICE. PROMPT INITIAL TESTING, AND TIMED FOLLOW-UP TESTING OF CHANGES IN TROPONIN LEVELS, HELPS PROVIDERS ASSESS MYOCARDIAL INJURY AND RULE IN OR OUT ACUTE CORONARY SYNDROME MUCH EARLIER THAN PREVIOUS TESTS COULD. - ADVANCES IN CLINICAL MEDICAL RESEARCH ROCHESTER REGIONAL HAS LAUNCHED AN INNOVATIVE NEW OPEN ACCESS MEDICAL JOURNAL, ADVANCES IN CLINICAL MEDICAL RESEARCH & HEALTHCARE DELIVERY (ACMRHD).
PART VI, LINE 6 (CON'T):	- TO SUPPORT THEIR COMMITMENT TO MEDICAL EDUCATION, ROCHESTER REGIONAL HAS BROADENED ITS PARTNERSHIP WITH LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE (LECOM), THE NATION'S LARGEST MEDICAL SCHOOL. ROCHESTER REGIONAL HEALTH WILL BECOME THE MEDICAL SCHOOL'S LARGEST CLINICAL CAMPUS. THIS WILL HELP PAVE THE WAY FOR THE FUTURE OF HEALTHCARE IN THE REGION, SECURING A STEADY, LOCALLY TRAINED SUPPLY OF FUTURE PHYSICIANS. THIS EXPANDED PARTNERSHIP WILL DRAMATICALLY INCREASE CLINICAL ROTATIONS ACROSS ROCHESTER REGIONAL HEALTH WITH APPROXIMATELY 100 THIRD AND FOURTH YEAR STUDENTS ON CLINICAL ROTATIONS THROUGHOUT THE HEALTH SYSTEM EACH MONTH. THE PARTNERSHIP PROVIDES LECOM STUDENTS WITH EXCEPTIONAL, HANDS-ON TRAINING WHILE ENABLING THE HEALTH SYSTEM TO STRENGTHEN ACCESS TO CARE IN HISTORICALLY UNDERSERVED AREAS.- THE SECURITY OF PATIENT INFORMATION IS A ROCHESTER REGIONAL HEALTH COMMITMENT AND REGULATORY OBLIGATION. AS THE HEALTH SYSTEM EXPANDS AND A GROWING NUMBER OF AFFILIATES AND STAFF UTILIZE CARECONNECT (OUR SYSTEM-WIDE ELECTRONIC MEDICAL RECORD OR EMR), ROCHESTER REGIONAL IS STRENGTHENING INFORMATION SECURITY TO PROTECT OUR EMPLOYEES AND PATIENT INFORMATION. RRH IMPLEMENTED PROTENUS, A LEADING SOFTWARE TOOL, WHICH USES ARTIFICIAL INTELLIGENCE TO QUICKLY, EFFICIENTLY, AND PRECISELY DETECT IMPROPER EMR ACCESS. THE USE OF SUCH AUDITING AND MONITORING SOFTWARE IS EMBRACED AS A HEALTH CARE INDUSTRY BEST PRACTICE, AND FURTHER EXTENDS ROCHESTER REGIONAL'S ALREADY ROBUST PRIVACY AND INFORMATION SECURITY TOOLS.2021 CONTINUED TO BE A CHALLENGING YEAR WITH THE CONTINUATION AND SPREAD OF COVID-19. WHEN COVID-19 CAME TO NYS AND SPECIFICALLY INTO THE SERVICE AREA OF ROCHESTER REGIONAL, THE ORGANIZATION RESPONDED BY TAKING MEASURES TO ENSURE THE SAFETY OF PATIENTS, TEAM MEMBERS AND THE BROADER COMMUNITY. THE ACTIONS CONTINUED INTO 2021 AND INCLUDED:- BASED ON NEW GUIDANCE FROM THE NYS DEPARTMENT OF HEALTH (NYSDOH), ROCHESTER REGIONAL HEALTH EXPANDED ITS PATIENT VACCINATION CLINICS TO INCLUDE PATIENTS WHO ARE 65 YEARS AND OLDER.- ROCHESTER REGIONAL CONTINUED TO SPONSOR A TOTAL OF 8 TESTING SITES INCLUDING BOTH DRIVE THRU AND IN-HOUSE OPTIONS OPEN TO PATIENTS, STAFF AND THE COMMUNITY. - ROCHESTER REGIONAL PARTICIPATED IN SEVERAL COVID-19 CLINICAL AND VACCINE TRIALS.- ROCHESTER REGIONAL HEALTH'S 25 FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) HAVE BEEN AWARDED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) TO EXPAND ACCESS AND ENHANCE COVID-19 VACCINATION RATES. THE AWARD IS PART OF THE AMERICAN RESCUE PLAN TO ACCELERATE U.S. RECOVERY FROM COVID-19 AND ITS ECONOMIC IMPACTS. HRSA-FUNDED FQHCS ARE COMMUNITY-BASED AND PATIENT-DIRECTED ORGANIZATIONS THAT DELIVER AFFORDABLE, ACCESSIBLE, HIGH QUALITY, AND COST-EFFECTIVE PRIMARY HEALTH CARE TO MEDICALLY UNDERSERVED COMMUNITIES AND VULNERABLE POPULATIONS. - ROCHESTER REGIONAL PROVIDED ONGOING EDUCATION REGARDING COVID-19 AND VACCINE ON MULTIPLE PLATFORMS INCLUDING: SOCIAL MEDIA, WEBSITE, MYCARE PATIENT PORTAL, PHONE MESSAGING, E-NEWSLETTER. MORE SPECIFICALLY: - RRH'S "HEALTH HIVE," AN ONLINE PORTAL OF ARTICLES AND HELPFUL HINTS IN DEALING WITH THE PANDEMIC CHALLENGES AS WELL AS OTHER HEALTH RELATED TOPICS. DURING 2021, 75 ARTICLES WERE PUBLISHED, 25 RELATING TO COVID COVERING AREAS THAT INCLUDED: HOW TO SLOW THE SPREAD; HOW TO KEEP YOU AND YOUR FAMILY SAFE; IMPACT OF COVID ON VARIOUS TYPES OF UNDERLYING CONDITIONS; VACCINATION INFORMATION AND MANY OTHERS. - RRH PARTICIPATED IN OVER 350 NEWS ARTICLES, SPECIAL REPORTS, AND INTERVIEWS OVER A VARIETY OF MEDIUMS INCLUDING TV, RADIO AND PRINTED NEWS ARTICLES. ADDITIONALLY, RRH MADE OVER 2,500 SOCIAL MEDIA POSTS ACROSS MULTIPLE PLATFORMS INCLUDING FACEBOOK, INSTAGRAM, TWITTER AND LINKEDIN. - THE ROCHESTER REGIONAL HEALTH DIVERSITY, EQUITY AND INCLUSION OFFICE HOSTED COMMUNITY CONVERSATIONS WITH VARIOUS COMMUNITY AND CHURCH GROUPS. ATTENDEES HAVE JOINED FROM ROCHESTER AND ALSO THROUGHOUT OTHER PARTS OF THE US. - RRH ESTABLISHED AND CONTINUES TO MAINTAIN COLLABORATIVE PARTNERSHIPS TO ENSURE THOSE MOST VULNERABLE IN THE COMMUNITY ARE WELL SERVED INCLUDING: - COMMUNITY 1A ELIGIBLE DRIVE-THRU CLINIC; IN PARTNERSHIP WITH FINGER LAKES VACCINE HUB - FQHC AND SAFETY NET POPULATIONS - POP-UP CLINIC FOR LATINX COMMUNITY AT THE JACKSON R-CENTER (COMMUNITY RECREATION CENTER) - ONGOING SUPPORT FOR LOCAL HEALTH DEPARTMENT RUN CLINICS, SUCH AS GENESEE COUNTY AND WAYNE COUNTY - TONAWANDA RESERVATION PARTNERSHIP - GENESEE COMMUNITY COLLEGE CLINIC - REGIONAL HEALTH REACH PROGRAMDURING 2021 ROCHESTER REGIONAL HEALTH WAS RECOGNIZED BY THE FOLLOWING:- COMMUNITY PARTNERSHIP AWARD FROM THE LOUIS S. WOLK JEWISH COMMUNITY CENTER OF ROCHESTER (JCC). SINCE 2019, RRH AND JCC HAVE PARTNERED TO BRING HEALTH AND WELLNESS SERVICES TO JCC MEMBERS. RRH CONTINUES TO BE AN UNWAVERING PARTNER AND RESOURCE TO THE JCC THROUGHOUT THE PANDEMIC. - TEN ROCHESTER REGIONAL HEALTH EMPLOYEES WERE NAMED A 2021 HEALTH CARE HERO BY THE ROCHESTER BUSINESS JOURNAL. THESE HEROES WERE HONORED DURING A VIRTUAL CEREMONY IN MAY FOR THEIR EXCELLENCE AND EFFORTS IN MAKING A SIGNIFICANT IMPACT ON THE QUALITY OF HEALTH CARE IN THE AREA. IN ADDITION, THE SANDS-CONSTELLATION CENTER FOR CRITICAL CARE HAS BEEN RECOGNIZED AS A HERO IN HEALTH CARE INNOVATION.- ROCHESTER REGIONAL HEALTH WAS RECENTLY NAMED A FOUNDING MEMBER OF THE AMERICAN COLLEGE OF LIFESTYLE MEDICINE'S NEW HEALTH SYSTEMS COUNCIL, A GROUP OF 20 HEALTH SYSTEMS READY TO PIONEER THE INTEGRATION OF LIFESTYLE MEDICINE INTO HEALTH CARE DELIVERY. LIFESTYLE MEDICINE IS DESIGNED TO HELP PATIENTS USE HEALTHY DIET, PHYSICAL ACTIVITY, RESTORATIVE SLEEP, STRESS MANAGEMENT, AVOIDANCE OF RISKY SUBSTANCES, AND POSITIVE SOCIAL CONNECTION TO HELP PREVENT, TREAT AND EVEN REVERSE CHRONIC LIFESTYLE-RELATED CONDITIONS, INCLUDING OBESITY, DIABETES, AND HYPERTENSION.- RESEARCHERS FROM ROCHESTER REGIONAL HEALTH WERE HONORED AT THE AMERICAN COLLEGE OF FOOT AND ANKLE SURGEONS ANNUAL SCIENTIFIC CONFERENCE FOR THEIR SCIENTIFIC PAPER, "PREDICTIVE VALUE OF MRSA NARES COLONIZATION IN DIABETIC FOOT INFECTIONS: A SYSTEMATIC REVIEW AND BIVARIATE RANDOM EFFECTS META-ANALYSIS." OUT OF MORE THAN 150 RESEARCH PAPERS SUBMITTED, ONLY SIX WERE SELECTED FOR RECOGNITIONTHE BEST OF THE BEST FROM TOP ORGANIZATIONS NATIONWIDE. - THE HEALTHCARE DIVERSITY COUNCIL GRANTED ROCHESTER REGIONAL HEALTH A TOP 3 HEALTHCARE DIVERSITY ORGANIZATIONS AWARD. THE COUNCIL COMMENDED ROCHESTER REGIONAL'S DIVERSITY, EQUITY & INCLUSION (DEI) INITIATIVES TO REDUCE HEALTHCARE DISPARITIES IN UNDERSERVED COMMUNITIES; RECRUIT AND RETAIN A DIVERSE WORKFORCE; AND IMPLEMENT COMMUNITY CONVERSATIONS SURROUNDING COVID-19. THE HEALTHCARE DIVERSITY COUNCIL IS AN ORGANIZATION DEVOTED TO PROMOTING AN INCLUSIVE ENVIRONMENT OF CARE AT MEDICAL INSTITUTIONS NATIONWIDE. - RRH WAS AWARDED THE "SYSTEM FOR CHANGE" HONOR FROM PRACTICE GREENHEALTH, THE LEADING US MEMBERSHIP ORGANIZATION FOR SUSTAINABLE HEALTH CARE. ROCHESTER REGIONAL UNDERSTANDS THAT A HEALTHY ENVIRONMENT IS ESSENTIAL FOR A HEALTHY COMMUNITY AND IS REDUCING WASTE, ELIMINATING TOXINS, AND CREATING A MORE SUSTAINABLE COMMUNITY NOW AND FOR THE FUTURE. PRACTICE GREENHEALTH RECOGNIZED RRH FOR THEIR ONGOING COMMITMENT TO IMPROVING ENVIRONMENTAL PERFORMANCE AND EFFORTS TO BUILD SUSTAINABILITY INTO THE INSTITUTIONAL OPERATIONS. - ROCHESTER REGIONAL HEALTH IS ONE OF EIGHT ORGANIZATIONS WORLDWIDE TO BE RECOGNIZED BY GENESYS FOR ITS CUSTOMER INNOVATION AWARDS. RRH EARNED THE CX MOVER AWARD FOR THEIR CLOUD IMPLEMENTATION WITH GENESYS. WHEN THE PANDEMIC FIRST EMERGED, RRH MOVED SEVERAL KEY DEPARTMENTS TO THE CLOUD, ALLOWING HUNDREDS OF STAFF TO BEGIN PRODUCTIVELY WORKING REMOTELY ALMOST OVERNIGHT, AS WELL AS CREATING FOCUSED PHONE LINES, INCLUDING THE EMPLOYEE COVID-19 HOTLINE.- ROCHESTER REGIONAL HEALTH'S SPECIALTY PHARMACY EARNED A THREE-YEAR ACCREDITATION FROM THE UTILIZATION REVIEW ACCREDITATION COMMISSION (URAC). THIS TREMENDOUS ACCOMPLISHMENT DEMONSTRATES THE SPECIALTY PHARMACY TEAM'S DEDICATION TO PATIENT EDUCATION, SAFETY, OUTCOMES, AND HIGH-QUALITY CARE AS WELL AS ITS COMMITMENT TO FOLLOWING INDUSTRY BEST PRACTICES. THIS NEWS COMES JUST ONE YEAR AFTER THE SPECIALTY PHARMACY RECEIVED ACCREDITATION FROM THE ACCREDITATION COMMISSION FOR HEALTH CARE (ACHC) IN NOVEMBER 2020.THROUGH THESE ACCREDITATIONS, SPECIALTY PHARMACY WILL CONTINUE TO STRENGTHEN ITS SERVICES FOR PATIENTS WITH CHRONIC AND COMPLEX CONDITIONS.
PART VI, LINE 6 (CON'T):	- RRH RECEIVED STAGE 7 VALIDATION FROM THE HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY (HIMSS) FOR UNITED MEMORIAL MEDICAL CENTER AND UNITY SPECIALTY HOSPITAL AND REVALIDATION FOR CLIFTON SPRINGS HOSPITAL & CLINIC, NEWARK-WAYNE COMMUNITY HOSPITAL, ROCHESTER GENERAL HOSPITAL AND UNITY HOSPITAL. THE STAGE 7 AWARD REPRESENTS THE HEALTH SYSTEM'S COMMITMENT TO OPTIMIZING CARECONNECT, OUR ELECTRONIC MEDICAL RECORD (EMR) ALONG WITH A HIGH LEVEL OF CLINICIAN ENGAGEMENT AND USE OF ANALYTICS TO DRIVE CARE AND SEAMLESSLY TRANSITION PATIENTS THROUGHOUT ALL PHASES OF CARE. STAGE 7 IS THE INDUSTRY'S HIGHEST STANDARD IN EVALUATING HOSPITALS ON THEIR UTILIZATION OF EMR FUNCTIONS. ONLY 220 ACUTE CARE FACILITIES NATIONWIDE HAVE EARNED THIS COVETED DESIGNATION, AND IN NEW YORK STATE ALONE, ROCHESTER REGIONAL HEALTH ACCOUNTS FOR OVER A THIRD OF THE NUMBER OF STAGE 7 HOSPITALS.- FOR THE FOURTH YEAR IN A ROW, THE COLLEGE OF HEALTHCARE INFORMATION MANAGEMENT EXECUTIVES (CHIME) HAS AWARDED RRH ITS "DIGITAL HEALTH MOST WIRED" QUALITY CERTIFICATION. RRH HAS BEEN NAMED A LEVEL 8 ORGANIZATION FOR ACUTE AND AMBULATORY CARE AND FOR THE FIRST TIME, RRH ACHIEVED LEVEL 9 STATUS IN LONG TERM CARE. CHIME GRANTS "MOST WIRED" RECOGNITION TO THE NATION'S TOP DRIVERS OF DIGITAL HEALTH CARE INNOVATION. PARTICIPANTS ACHIEVING LEVELS 7 OR MORE OUT OF A POSSIBLE 10 EARN CERTIFICATION AS HIGH ACHIEVERS. RRH IS THE ONLY HEALTH SYSTEM IN WESTERN NEW YORK TO BE CERTIFIED AS A HIGH ACHIEVER.- FOR THE SECOND YEAR IN A ROW, ROCHESTER REGIONAL HEALTH HAS BEEN NAMED A SCREENING CENTER OF EXCELLENCE (SCOE) BY THE GO2 FOUNDATION FOR LUNG CANCER FOR THEIR ONGOING COMMITMENT TO RESPONSIBLE LUNG CANCER SCREENING. LUNG CANCER REMAINS THE LEADING CAUSE OF CANCER DEATHS IN THE US, BUT WITH LOW DOSE COMPUTED TOMOGRAPHY (LDCT) SCANS, LUNG CANCER CAN BE DETECTED IN ITS EARLY STAGES, WHEN IT'S EASIER TO TREAT AND CURE. RRH'S LUNG CANCER SCREENING PROGRAM PROVIDES QUICK, PAINLESS, NON-INVASIVE SCANS, PROVEN TO BE THE BEST WAY TO DETECT LUNG CANCER EARLY, AND COMPLIES WITH COMPREHENSIVE STANDARDS BASED ON BEST PRACTICES IN THE INDUSTRY.- LONG AN INDUSTRY LEADER IN ENVIRONMENTAL SUSTAINABILITY, RRH HAS EARNED U.S. ENVIRONMENTAL PROTECTION AGENCY ENERGY STAR CERTIFICATION FOR SUPERIOR ENERGY EFFICIENCY AT RIEDMAN CAMPUS. THE BUILDING'S SCORE OF 80 MEANS THAT RIEDMAN CAMPUS IS MORE ENERGY EFFICIENT THAN 80 PERCENT OF SIMILAR PROPERTIES NATIONWIDE! IT'S CURRENTLY THE ONLY OFFICE BUILDING IN THE ROCHESTER REGION TO ACHIEVE THIS RECOGNITION IN 2021.OTHER ACCOMPLISHMENTS IN 2021 INCLUDE:- IN COMPLIANCE WITH A NEW 2021 FEDERAL LAW, RRH HAS POSTED A MASTER LIST OF CHARGES AND CONTRACT RATES ON THEIR WEBSITE FOR PROVIDED ITEMS AND SERVICES. A NEW PATIENT ESTIMATES SELF-SERVICE TOOL WAS ALSO LAUNCHED TO PROVIDE REAL-TIME ESTIMATES FOR PATIENTS THAT DETAILS THEIR OUT-OF-POCKET RESPONSIBILITY. RRH PROVIDES QUALITY CARE TO PATIENTS, REGARDLESS OF ABILITY TO PAY AND IS COMMITTED TO TREATING ALL PATIENTS WITH COMPASSION AND PROVIDING THEM WITH EXCELLENT CARE THROUGH THE ENTIRE HEALTHCARE EXPERIENCE.- ROCHESTER REGIONAL HEALTH UNDERSTANDS THE IMPORTANCE OF STRINGENT PATIENT SAFETY MEASURES TO PROTECT THOSE WHO RELY ON THE SYSTEM FOR CARE. RRH SUCCESSFULLY IMPLEMENTED AN AMBITIOUS SYSTEM-WIDE POSITIVE PATIENT IDENTIFICATION (PPID) PROCESS, AND ALL IMPACTED INPATIENT NURSING UNITS RECENTLY ACHIEVED THEIR GOALS. A CORNERSTONE OF PATIENT SAFETY, PPID MEANS POSITIVE PATIENT IDENTIFICATION TO ENSURE THAT LABORATORY SPECIMENS ARE ATTRIBUTED TO THE CORRECT PATIENT THROUGHOUT A CLOSED LOOP PROCESS: FROM ORDERING TO LABORATORY PROCESSING AND REPORTING. IT INCLUDES BEDSIDE SCANNING OF THE PATIENT'S WRISTBAND AND THE SPECIMEN TUBE DURING COLLECTION. - IN MARCH 2021, RRH'S NEW DETERIORATION INDEX PREDICTIVE ANALYTICS TOOL WAS LAUNCHED TO HELP CLINICAL TEAMS MORE QUICKLY IDENTIFY PATIENTS AT RISK AND TAKE APPROPRIATE ACTION. THE DETERIORATION INDEX IS A SCORE THAT ASSESSES THE RISK OF DETERIORATION IN HOSPITALIZED ADULT PATIENTS. IT AUTO UPDATES EVERY 20 MINUTES BASED ON VITAL SIGNS, NURSING ASSESSMENTS, AND LAB PARAMETERS. THE TOOL SENDS REAL-TIME ALERTS TO NURSING TEAMS WHEN A PATIENT'S CONDITION CHANGES, ALLOWING EARLIER ASSESSMENT, AND, IF APPROPRIATE, OPPORTUNITY FOR INTERVENTION.- RRH IS NOW OFFERING TYTOCARE, A HAND-HELD MEDICAL EXAMINATION KIT THAT ALLOWS PROVIDERS TO GUIDE PATIENTS THROUGH MEDICAL EXAMS FROM THE COMFORT OF THEIR HOME, IN REAL-TIME. WHEN LINKED TO THE APP, THIS NEW TELEMEDICINE DEVICE CAN CAPTURE HEART AND LUNG SOUNDS, BODY TEMPERATURE, HEART RATE AND VIDEOS OR IMAGES OF INNER EARS, SKIN AND THROAT. THIS ENABLES PATIENTS TO SKIP THE WAITING ROOM AND RECEIVE ACCURATE DIAGNOSES AND TREATMENTS, INCLUDING PRESCRIPTIONS, FOR MANY COMMON CONDITIONS.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 2021 SOME OF THE MAJOR IMPROVEMENTS INCLUDE THE FOLLOWING:- THE INAUGURAL CLASS OF STUDENTS AT THE ROCHESTER GENERAL COLLEGE OF HEALTH CAREERS ENROLLED IN THE NURSING ASSOCIATE OF APPLIED SCIENCE (AAS) PROGRAM TO PREPARE THEM FOR A CAREER IN NURSING BY BUILDING UPON THE KNOWLEDGE AND SKILLS THAT A LICENSED PRACTICAL NURSE POSSESSES, WHILE FOCUSING ON THE ROLE TRANSITION TO REGISTERED NURSE.- ROCHESTER GENERAL HOSPITAL IS THE FIRST HOSPITAL IN UPSTATE NEW YORK TO USE THE GORE EXCLUDER CONFORMABLE AAA ENDOPROSTHESIS WITH ACTIVE CONTROL SYSTEM. THIS SYSTEM IS A FIRST OF ITS KIND TREATMENT OPTION FOR PATIENTS WHO REQUIRE ENDOVASCULAR ANEURYSM REPAIR, WHICH IF LEFT UNTREATED IS THE RESULT OF A RUPTURED ANEURYSM, A LEADING CAUSE OF DEATH IN THE UNITED STATES. THE NEW FORM OF TREATMENT FOR AN ABDOMINAL AORTIC ANEURISM (AAA) IS COMPRISED OF A CONFORMABLE STENT GRAFT, ENHANCED DEVICE POSITIONING AND OPTIONAL ANGULATION CONTROL. THIS GIVES PHYSICIANS MORE CONTROL, REDUCES THE RISK FOR COMPLICATIONS AND SIGNIFICANTLY CUTS DOWN A PATIENT'S HOSPITAL RECOVERY PERIOD. - TWO OBSTETRICAL OPERATING ROOMS HAVE BEEN TEMPORARILY RELOCATED TO KICK OFF PHASE 1 OF CONSTRUCTION AND RENOVATION OF THE THIRD FLOOR WOMEN'S HEALTH LABOR & DELIVERY DEPARTMENT. THE PROJECT INCLUDES OPERATING ROOM UPGRADES AND ALL NEW TRIAGE BAYS, HIGH-RISK OBSERVATION ROOMS, LABOR & DELIVERY ROOMS, AND RECOVERY ROOMS. CONSTRUCTION IS SLATED TO BE COMPLETE IN 2022. - ROCHESTER GENERAL HOSPITAL NOW HAS A DEDICATED CARDIAC INTENSIVE CARE UNIT (CICU), STAFFED BY CARDIAC-TRAINED PROVIDERS AND NURSES. LOCATED ON THE SECOND FLOOR (2100 UNIT) OF THE HOSPITAL, THE NEW CICU SPACE WILL ENABLE THE EXPERT TEAM TO ADVANCE CARE FOR CRITICALLY ILL CARDIAC PATIENTS. THE CICU WILL GRADUALLY EXPAND TO INCLUDE UP TO 12 BEDS.DURING 2021 ROCHESTER GENERAL HOSPITAL WAS RECOGNIZED BY THE FOLLOWING:- FOR THE THIRD CONSECUTIVE YEAR, ROCHESTER GENERAL HOSPITAL HAS BEEN NAMED AMONG AMERICA'S TOP 50 HOSPITALS BY HEALTHGRADES, A LEADING INDEPENDENT RATINGS COMPANY. THIS PLACES RGH AS THE ONLY HOSPITAL IN UPSTATE NEW YORK TO RANK AMONG THE TOP 1% NATIONWIDE IN OVERALL CLINICAL EXCELLENCE AND SUPERIOR CLINICAL OUTCOMES. EVEN UNDER THE EXTREME CHALLENGES OF FIGHTING THE PANDEMIC, THIS AWARD IS REPRESENTATIVE OF HOW ALL OF TEAMS ACROSS THE HEALTH SYSTEM HAVE SET HIGHER STANDARDS OF CARE. TO ARRIVE AT ITS 2021 RANKINGS, HEALTHGRADES USED THREE YEARS OF MEDICARE PATIENT DATA TO EVALUATE THE PERFORMANCE OF NEARLY 4,500 HOSPITALS NATIONWIDE IN THE TREATMENT OF 32 CONDITIONS AND PROCEDURES INCLUDING HEART ATTACK, PNEUMONIA, AND SEPSIS. HEALTHGRADES FOUND PATIENTS TREATED AT A FACILITY DESIGNATED AS ONE OF ITS 2021 BEST HOSPITALS HAD A 27.4 PERCENT LOWER RISK OF DEATH COMPARED TO PATIENTS TREATED AT OTHER HOSPITALS.
PART VI, LINE 6 (CON'T):	- ROCHESTER GENERAL HOSPITAL WAS NATIONALLY RECOGNIZED BY EXCELLUS BLUECROSS BLUESHIELD WITH A BLUE DISTINCTION CENTER+ FOR MATERNITY CARE.- ROCHESTER GENERAL HOSPITAL IS THE ONLY HOSPITAL IN WESTERN AND CENTRAL NEW YORK RECOGNIZED AS A CENTER OF EXCELLENCE BY THE HYPERTROPHIC CARDIOMYOPATHY ASSOCIATION (HCMA). THIS RECOGNITION REPRESENTS THE COLLABORATIVE EFFORT OF EXPERTS FROM DIFFERENT AREAS OF MEDICINE TO COME TOGETHER TO TREAT A SERIOUS DISEASE. - THE ROCHESTER GENERAL STROKE AND DIABETES TEAMS EARNED HIGH HONORS FROM THE AMERICAN HEART ASSOCIATION FOR CONTINUING TO PROVIDE HIGH QUALITY CARE TO THE COMMUNITY. - ROCHESTER GENERAL HOSPITAL'S DIALYSIS QUALITY NURSES RECEIVED THE NEPHROLOGY NURSING COMMISSION'S 2021 QUALITY IMPROVEMENT AWARD FOR THEIR PROJECT THAT IMPROVED HEPATITIS B VACCINE RESPONSE BY SWITCHING FROM TRADITIONAL HEPATITIS B VACCINES TO HEPLISAV-B. MONITORING RESULTS FOR MORE THAN SIX MONTHS, THE TEAM SAW THE VACCINE RESPONSE RATE RISE FROM APPROXIMATELY 65% TO 75%. WITH THAT IMPROVEMENT, RGH HAS NOW TRANSITIONED DIALYSIS PATIENTS TO HEPLISAV-B FOR ALL HEPATITIS B VACCINES.- ROCHESTER GENERAL HOSPITAL WAS NAMED A GOLD CERTIFIED SAFE SLEEP CHAMPION BY CRIBS FOR KIDS. THIS IS THE HIGHEST DESIGNATION AND RECOGNIZES HOSPITALS THAT DEMONSTRATE A COMMITMENT TO REDUCING INFANT SLEEP-RELATED DEATHS THROUGH EDUCATION AND PROMOTION OF THE BEST SAFE SLEEP PRACTICES. 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 471-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. UNITY HOSPITAL HAS CONTINUED TO EXPAND CARE AND IMPROVE ITS PATIENT FOCUSED SERVICES. DURING 2021 SOME OF THE MAJOR PROGRAM INITIATIVES INCLUDED THE FOLLOWING:- THE ROCHESTER REGIONAL HEALTH BEHAVIORAL HEALTH ACCESS AND CRISIS CENTER (BHACC), LOCATED ON THE UNITY HOSPITAL, ST. MARY'S CAMPUS, EXPANDED TO A 24/7 OPERATION IN 2021. BHACC OPENED IN OCTOBER 2018 AND SINCE THEN, THE TEAMS HAVE HELPED MORE THAN 3,400 PATIENTS IN THE FACILITY AND MORE THAN 830 THROUGH MOBILE RESPONSE EFFORTS. - RENOVATIONS TO MODERNIZE UNITY HOSPITAL'S IMAGING CAPABILITIES HAVE NOW COME TO FRUITION WITH ROBUST NEW CAPABILITIES. WITH THE SECOND OF TWO NEW 64-SLICE CT SCANNERS NOW OPERATIONAL, UNITY RADIOLOGY TEAMS CAN OFFER A WIDE RANGE OF INTERVENTIONAL PROCEDURES, INCLUDING BIOPSIES, DRAINAGES, AND ASPIRATIONS. THE INNOVATIVE PROJECT ENABLES THE TEAMS TO DELIVER HIGHER QUALITY IMAGING WHILE ENSURING FASTER TURNAROUND TIMES TO BETTER SERVE PATIENTS. AS PART OF THIS INCREDIBLE TRANSFORMATION, UNITY WILL SOON DEPLOY ROBUST STROKE IMAGING SOFTWARE (CT PERFUSION) EQUIPPED WITH RAPID AI TECHNOLOGY.- UNITY HOSPITAL HAS KICKED OFF CONSTRUCTION ON ANOTHER MAJOR UPGRADE OF ITS IMAGING DEPARTMENT. COMING IN EARLY 2022: NEW MRI MACHINE; NEW MODERNIZED RECEPTION AREA; ENHANCED STAFF AND ADMINISTRATION SPACES. THE RESULT WILL BE MORE-POWERFUL IMAGING CAPABILITIES, WHICH WILL HELP IMPROVE THE PATIENT EXPERIENCE.RECOGNITIONS AND AWARDS BESTOWED UPON UNITY HOSPITAL IN 2021 INCLUDE:- NATIONALLY RECOGNIZED BY EXCELLUS BLUECROSS BLUESHIELD WITH A BLUE DISTINCTION CENTER+ FOR MATERNITY CARE.- UNITY HOSPITAL IS THE FIRST IN THE NATION TO ACHIEVE LEVEL 1COMPREHENSIVE EXCELLENCE VERIFICATION STATUS FROM THE AMERICAN COLLEGE OF SURGEONS GERIATRIC SURGERY VERIFICATION PROGRAM (ACS GSV). THIS IS A TESTAMENT TO UNITY'S INDUSTRY-LEADING ROLE IN IMPROVING SURGICAL OUTCOMES FOR VULNERABLE GERIATRIC PATIENTS. IN 2019, THE GSV PROGRAM INTRODUCED 30 NEW SURGICAL STANDARDS DESIGNED TO SYSTEMATICALLY IMPROVE SURGICAL CARE AND OUTCOMES FOR OLDER ADULTS. BY IDENTIFYING GERIATRIC SURGERY PATIENTS AT HIGHER RISK OF DELIRIUM, FUNCTIONAL DECLINE, AND OTHER COMPLICATIONS, THESE STANDARDS HELP PATIENTS GET HOME SOONER AND IN BETTER SHAPE. UNITY HOSPITAL WAS ONE OF EIGHT HOSPITALS NATIONWIDE TO PILOT THE PROGRAM. NOW, IT'S THE FIRST TO ACHIEVE THE HIGHEST LEVEL OF ACS VERIFICATION. THIS IS EVEN MORE MEANINGFUL NOW AS COVID-19 BRINGS SPECIAL RISKS TO OLDER PATIENTS. - UNITY HOSPITAL ACHIEVED ITS FIRST MAGNET DESIGNATION ON AUGUST 20, ALONG WITH THREE EXEMPLARS FOR INDUSTRY-LEADING PERFORMANCE. FEWER THAN NINE PERCENT OF HOSPITALS IN THE U.S. ARE AWARDED MAGNETTHE INTERNATIONALLY RECOGNIZED GOLD STANDARD OF EXCELLENCE IN THE NURSING PROFESSIONBY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC). UNITY NOW JOINS THE RANKS OF ROCHESTER GENERAL AND NEWARK-WAYNE COMMUNITY HOSPITALS TO REACH THIS MILESTONE. THE ANCC AWARDS MAGNET TO ORGANIZATIONS THAT PROVIDE THE HIGHEST QUALITY OF CARE. THE APPROVAL PROCESS INVOLVES A SITE VISIT AND INTERVIEWS, AS WELL AS QUALITY MEASURES THAT DEMONSTRATE COLLABORATION AMONGST TEAMS AND COORDINATION ACROSS SPECIALTIES. TO SUCCEED, NURSING TEAMS MUST HAVE PATIENT-FIRST QUALITIES HARD-WIRED INTO THEIR CULTURE AND VALUES. - UNITY RECEIVED PRIMARY STROKE CENTER CERTIFICATION FROM DNV HEALTHCARE. THE CERTIFICATION AFFIRMS UNITY'S COMMITMENT TO PROVIDING THE FULL SPECTRUM OF HIGH QUALITY STROKE CARE FROM DIAGNOSIS AND TREATMENT TO REHABILITATION AND EDUCATION. - THE INFECTIOUS DISEASES SOCIETY OF AMERICA (IDSA) HAS ONCE AGAIN (THIRD YEAR IN A ROW) DESIGNATED UNITY HOSPITAL AN ANTIMICROBIAL STEWARDSHIP CENTER OF EXCELLENCE FOR PROFESSIONAL EXCELLENCE IN STEWARDSHIP AND PROVIDING SIGNIFICANT SERVICE TO THE FIELD. THE IDSA IS A COMMUNITY OF MORE THAN 12,000 PHYSICIANS, SCIENTISTS, AND PUBLIC-HEALTH EXPERTS WHO SPECIALIZE IN INFECTIOUS BASED NATIONAL GUIDELINES TO IDENTIFY INSTITUTIONS THAT EFFECTIVELY OPTIMIZE ANTIMICROBIAL USE AND COMBAT ANTIMICROBIAL RESISTANCE. - THE STROKE AND DIABETES TEAMS AT UNITY EARNED HIGH HONORS FROM THE AMERICAN HEART ASSOCIATION, AND FOR CONTINUING TO PROVIDE HIGH QUALITY CARE TO THE COMMUNITY. - THE UNITY HOSPITAL EMERGENCY OBSERVATION UNIT EARNED THE SILVER-LEVEL BEACON AWARD FOR EXCELLENCE FROM THE AMERICAN ASSOCIATION OF CRITICAL-CARE NURSES (AACN). THIS IS THE FIRST EMERGENCY OBSERVATION UNIT IN THE NATION TO WIN A BEACONAN AMAZING HONOR AND TESTAMENT TO THE UNITY TEAM'S HARD WORK AND COMMITMENT TO SAFE, PATIENT-CENTERED, EVIDENCE-BASED CARE TO PATIENTS AND FAMILIES. BEACON AWARDS RECOGNIZE HOSPITAL UNITS THAT EXEMPLIFY EXCELLENCE IN PROFESSIONAL PRACTICE, PATIENT CARE, AND OUTCOMES. RRH HOLDS 29 BEACON AWARDSTHE MOST OF ANY HOSPITAL SYSTEM IN THE COUNTRY.- THE HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS) IS PUTTING THE SPOTLIGHT ON UNITY HOSPITAL FOR ITS SUCCESSFUL PROJECT TO INCREASE BREASTFEEDING RATES. BREASTFEEDING PROVIDES EXCEPTIONAL NUTRITIONAL AND IMMUNOLOGICAL BENEFITS TO NEWBORNS. TO PROMOTE BREASTFEEDING AND THEREBY IMPROVE CARE OUTCOMES, UNITY FORMED A MULTIDISCIPLINARY TASK FORCE TO IMPLEMENT TEN STEPS TO SUCCESSFUL BREASTFEEDING. THE RESULT WAS A 9.14% RISE IN BREASTFEEDING INITIATING RATESMORE THAN ENOUGH FOR UNITY TO ACHIEVE BABY FRIENDLY DESIGNATION. NOW, THE SUCCESSFUL PRENATAL BREASTFEEDING EDUCATION PROGRAM FOR PATIENTS IS ACTIVE ACROSS ALL RRH OB/GYN AND MIDWIFERY PRACTICES.- THE UNITY HOSPITAL JOINT REPLACEMENT CENTER RECEIVED THE ORTHOPEDIC CENTER OF EXCELLENCE DESIGNATION FROM DNV HEALTHCARE. THIS PARTICULAR DESIGNATION WAS OBTAINED BY ACHIEVING CERTIFICATION IN THREE ORTHOPEDIC SERVICE LINE PROGRAMS: HIP AND KNEE REPLACEMENT, SHOULDER SURGERY PROGRAM AND FOOT AND ANKLE SURGERY PROGRAM. 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.
PART VI, LINE 6 (CON'T):	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, ORTHOPEDICS 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.NWCH EXPANDED ACCESS TO SPECIALIZED SERVICES. BEGINNING IN MAY 2021 THORACIC SURGERY CONSULTS, ASSESSMENTS, AND FOLLOW-UP APPOINTMENTS WILL BE AVAILABLE ON SELECT DAYS EACH MONTH AT NEWARK-WAYNE COMMUNITY HOSPITAL.RECOGNITIONS, DESIGNATIONS AND AWARDS GRANTED TO NWCH IN 2021 INCLUDE:- THE POST-ANESTHESIA CARE UNITS (PACU) AT NEWARK WAYNE COMMUNITY HOSPITAL ONCE AGAIN RECEIVED THE AMERICAN BOARD OF PERIANESTHESIA NURSING CERTIFICATION ACHIEVEMENT AWARD. THIS AWARD IS A TESTAMENT TO THE HIGH-QUALITY OF PATIENT CARE PROVIDED. THE PACU TEAMS RECEIVED THE PRESTIGIOUS, NATIONAL AWARD BECAUSE 75% OF THEIR ELIGIBLE PERIANESTHESIA NURSES ACHIEVED CPAN AND/OR CAPA CERTIFICATION.- NWCH EARNED THE 2021 WORKPLACE PARTNERSHIP FOR LIFE CAMPAIGN PLATINUM AWARD, THE HIGHEST HONOR FOR THIS NATIONAL INITIATIVE, RECOGNIZING EFFORTS TO RAISE AWARENESS AMONG EMPLOYEES, PATIENTS, VISITORS, AND THE COMMUNITY OF THE IMPORTANCE OF ENROLLING NEW ORGAN, EYE AND TISSUE DONORS. THROUGH MULTIPLE EVENTS AND AWARENESS EFFORTS, NWCH ENROLLED 370 NEW DONORS. - NWCH EARNED THE 2021 CERTIFIED NURSE OPERATING ROOM (CNOR) STRONG AWARD FROM THE COMPETENCY & CREDENTIALING INSTITUTE. THIS IS THE THIRD CONSECUTIVE YEAR THE TEAM HAS EARNED THE AWARD. THE NATIONAL DESIGNATION IS GIVEN TO FACILITIES WITH AT LEAST 50 PERCENT OF THEIR PERIOPERATIVE NURSING STAFF CNOR-CERTIFIED. RECEIVING THE DESIGNATION VALIDATES NEWARK-WAYNE NURSES' SPECIALIZED KNOWLEDGE AND SKILLS, AND IS A TESTAMENT TO THEIR COMMITMENT TO NURSING EXCELLENCE AND OUTSTANDING PATIENT CARE.- NWCH WAS NATIONALLY RECOGNIZED BY EXCELLUS BLUECROSS BLUESHIELD WITH A BLUE DISTINCTION CENTER+ FOR MATERNITY CARE DESIGNATION. THE TEAM RECEIVED THIS DISTINCTION FOR DELIVERING SAFE, HIGH-QUALITY CARE FOR ALL FAMILIES AND ENSURING A POSITIVE PATIENT EXPERIENCE.- NWCH RECEIVED LEVEL 3 BRONZE STANDARD ACCREDITATION AS PART OF THE GERIATRIC EMERGENCY DEPARTMENT ACCREDITATION PROGRAM (GEDA) FROM THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS. THE GEDA PROGRAM RECOGNIZES EMERGENCY DEPARTMENTS THAT PROVIDE THE HIGHEST STANDARD OF 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.- NWCH WAS NAMED A PRIMARY STROKE CENTER BY DNV - THE CERTIFICATION AFFIRMS NEWARK-WAYNE'S COMMITMENT TO PROVIDING THE FULL SPECTRUM OF HIGH QUALITY STROKE CARE FROM DIAGNOSIS AND TREATMENT TO REHABILITATION AND EDUCATION. - THE STROKE AND DIABETES TEAMS AT NEWARK-WAYNE COMMUNITY HOSPITAL JOINED ROCHESTER GENERAL HOSPITAL, UNITED MEMORIAL MEDICAL CENTER AND UNITY HOSPITAL FOR EARNING HIGH HONORS FROM THE AMERICAN HEART ASSOCIATION FOR CONTINUING TO PROVIDE HIGH QUALITY CARE TO THE COMMUNITY.- NEWARK-WAYNE COMMUNITY HOSPITAL'S MARSHALL BIRTHING CENTER RECEIVED THE BABY-FRIENDLY USA RE-DESIGNATION. THIS IS A TRIBUTE TO RRH'S COMMITMENT TO ENSURING THAT EVERY WOMAN WHO DELIVERS A BABY AT NEWARK-WAYNE RECEIVES THE RESOURCES AND INFORMATION NEEDED TO HELP MOM AND BABY GET THE BEST, HEALTHIEST START IN LIFE. BABY-FRIENDLY DESIGNATED HOSPITALS PROVIDE AN ENVIRONMENT THAT SUPPORTS BREASTFEEDING WHILE RESPECTING EVERYONE'S RIGHT TO MAKE THE BEST DECISION FOR THEIR FAMILY. ALL OF RRH'S LABOR AND DELIVERY HOSPITALS (NEWARK-WAYNE, ROCHESTER GENERAL, UNITED MEMORIAL, AND UNITY) ARE CERTIFIED AS BABY-FRIENDLY.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 2021, PROGRESS CONTINUED ON THE MEDICAL VILLAGE AS WELL AS OTHER PROJECTS AT CLIFTON SPRINGS HOSPITAL & CLINIC WITH THE ADDITION OF:- DENTAL CARE FOR PATIENTS IN THE CLIFTON SPRINGS AREA JUST GOT MORE CONVENIENT WITH THE OPENING THIS WEEK OF ROCHESTER REGIONAL HEALTH DENTISTRY AT CLIFTON SPRINGS HOSPITAL & CLINIC. THE PRACTICE OFFERS BOTH ROUTINE AND SPECIALIZED SERVICES AROUND GENERAL DENTISTRY AND DENTAL HYGIENE. IN ADDITION, WHEN NECESSARY, PATIENTS CAN UNDERGO ORAL SURGERY IN THE SAME LOCATION.- THE SANDS-CONSTELLATION HEART INSTITUTE MOVED INTO ITS BRAND NEW OFFICE ON THE CLIFTON SPRINGS HOSPITAL & CLINIC CAMPUS. PATIENTS, PROVIDERS AND STAFF WILL NOW BENEFIT FROM BEAUTIFUL VIEWS, COMFORTABLE EXAM AND TESTING ROOMS, AND THE LATEST EQUIPMENT AND TECHNOLOGY. THE CLINICAL TEAM WILL MAKE SURE THE PEOPLE OF ONTARIO COUNTY HAVE ACCESS TO THE EXPERTISE AND INNOVATION OF THE SANDS-CONSTELLATION HEART INSTITUTE FOR YEARS TO COME.- CONSTRUCTION IS UNDERWAY FOR THE NEW EMERGENCY DEPARTMENT AT CLIFTON SPRINGS. THIS MODERNIZATION PROJECT WILL REPLACE THE CURRENT ED WITH A LARGER FACILITY EQUIPPED WITH THE LATEST TECHNOLOGY. IT WILL ALSO PROVIDE ADDITIONAL SPACE AND RESOURCES FOR THE HOSPITAL'S COMPREHENSIVE PSYCHIATRIC EMERGENCY PROGRAM (CPEP), THE ONLY PROGRAM OF ITS KIND IN THE RURAL FINGER LAKES COMMUNITIES. THIS TRANSFORMATION IS EXPECTED TO BE COMPLETE AROUND THE MIDDLE OF 2022.AS WITH ALL OF THE HOSPITAL AND PATIENT CARE FACILITIES UNDER THE RRH UMBRELLA, CSHC WORKS DILIGENTLY TO CONTINUOUSLY PROVIDE TOP-QUALITY CARE. DURING 2021, CSHC WAS THE RECIPIENT OF SEVERAL RECOGNITIONS AND AWARDS SHINING A LIGHT ON THESE EFFORTS INCLUDING:
PART VI, LINE 6 (CON'T):	- THE POST-ANESTHESIA CARE UNITS (PACU) AT CLIFTON SPRINGS HOSPITAL & CLINIC ONCE AGAIN RECEIVED THE AMERICAN BOARD OF PERIANESTHESIA NURSING CERTIFICATION ACHIEVEMENT AWARD. THIS AWARD IS A TESTAMENT TO THE HIGH-QUALITY PATIENT CARE OUR NURSES PROVIDE. THE PACU TEAMS RECEIVED THE PRESTIGIOUS, NATIONAL AWARD BECAUSE 75% OF THEIR ELIGIBLE PERIANESTHESIA NURSES ACHIEVED CPAN AND/OR CAPA CERTIFICATION.- CSHC EARNED THE 2021 WORKPLACE PARTNERSHIP FOR LIFE CAMPAIGN PLATINUM AWARD, THE HIGHEST HONOR FOR THIS NATIONAL INITIATIVE, RECOGNIZING EFFORTS TO RAISE AWARENESS AMONG EMPLOYEES, PATIENTS, VISITORS, AND THE COMMUNITY OF THE IMPORTANCE OF ENROLLING NEW ORGAN, EYE AND TISSUE DONORS. THROUGH MULTIPLE EVENTS AND AWARENESS EFFORTS, CLIFTON SPRINGS ENROLLED 180 NEW DONORS. EASTERN REGION HOSPITALS (NWCH AND CSHC) ALSO SHOWED THEIR COMMITMENT TO THE COMMUNITY BY VOLUNTEERING THE TIME WITH HABITAT FOR HUMANITY. A GROUP OF EASTERN REGION EMPLOYEES GAVE BACK TO THE COMMUNITY IN A DIFFERENT WAY. ON SATURDAY, SEPTEMBER 25, THEY ASSISTED WITH A HABITAT FOR HUMANITY EVENT BY MOVING ROCKS FROM THE FOUNDATION SOIL OF A HOUSE AND PLANTING SEVERAL SHRUBBERY. 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.UMMC IS EXPANDING ACCESS TO SPECIALIZED SERVICES. IN 2021 UNITED MEMORIAL MEDICAL CENTER BROKE GROUND ON A RADIOLOGY EXPANSION PROJECT THAT WILL BENEFIT PATIENTS, EMPLOYEES, AND THE COMMUNITY. THE DEPARTMENT IS HEADING INTO THE FUTURE WITH STATE-OF-THE-ART TECHNOLOGY CREATED WITH PATIENT COMFORT IN MIND AND THE ABILITY TO MINIMIZE SCAN TIMES AND IMPROVE IMAGE QUALITY. THIS NEARLY $8 MILLION PROJECT WILL ADD 5,000 SQUARE FEET TO THE DEPARTMENT WITH MODERNIZED CAPABILITIES THAT WILL BENEFIT PATIENT CARE AND OUR UMMC TEAMS. EXPANSION HIGHLIGHTS INCLUDE: NEW MRI SUITE; NEW 10-BED INTENSIVE CARE UNIT; NEW BLOOD DRAW STATION; NEW DRESSING ROOMS; NEW WELCOMING AREA AND SCHEDULING OFFICE; NEW COOLING INFRASTRUCTURE SUPPORTING UMMC AND ITS GROWTH OF SERVICES ON THE MAIN CAMPUS.RRH IS ENHANCING SURGICAL SERVICES FOR PATIENTS IN THE BATAVIA AREA. UNITED MEMORIAL MEDICAL CENTER'S NEWLY RENOVATED AND EXPANDED SURGICAL SUITE TO MEET PATIENT NEEDS IN GENESEE COUNTY ARE NOW AVAILABLE FOR BARIATRIC SURGERY; PLASTIC AND HAND SURGERY; THORACIC SURGERY; AND VASCULAR SURGERY.ADDITIONALLY, CITY PLANNERS HAVE OK'D HEALTHY LIVING CAMPUS SITE PLAN FOR DOWNTOWN BATAVIA. THIS $30M PROJECT HAS BEEN APPROVED TO MOVE AHEAD WITH DEMOLITION AND NEW CONSTRUCTION THE PROJECT, A PARTNERSHIP OF THE YMCA AND ROCHESTER-REGIONAL HEALTH-UNITED MEMORIAL MEDICAL CENTER, WILL INCLUDE A NEW STATE-OF-THE-ART WELLNESS CENTER, INDOOR POOL, GROUP EXERCISE STUDIOS AND GYMNASIUM WITH INDOOR WALKING/RUNNING TRACK, TEACHING KITCHEN, INDOOR PLAYGROUND, YOUTH SPACES, LIVING ROOM AND MEETING ROOMS. THE PARTNERSHIP WITH UMMC WILL PROVIDE PRIMARY CARE, BEHAVIORAL HEALTH/CRISIS INTERVENTIONS SERVICES, TELEMEDICINE INTEGRATION, CANCER PREVENTION OUTREACH SERVICES, CHRONIC ILLNESS SUPPORT SERVICES AND EDUCATION SERVICES, ALL IN THE SAME FACILITY. THE FACILITY WOULD INCLUDE A TWO-STORY, 69,420-SQUARE-FOOT BUILDING TO HOUSE THE YMCA WITH MEDICAL OFFICES.DURING 2021 UMMC IMPROVED AND EXPANDED SERVICES AND RECEIVED RECOGNITIONS AND AWARDS FOR ITS EXEMPLARY SERVICES AND PATIENT CARE. THESE INCLUDE:- UNITED MEMORIAL MEDICAL CENTER WAS NATIONALLY RECOGNIZED BY BLUECROSS BLUESHIELD OF WESTERN NEW YORK AS A BLUE DISTINCTION CENTER+ FOR MATERNITY CARE.- IN APPRECIATION FOR THE PROFOUND DIFFERENCE UNITED MEMORIAL MEDICAL CENTER TEAM MEMBERS HAVE MADE FOR THE COMMUNITY AS IT BATTLES COVID-19, THE GENESEE COUNTY CHAMBER OF COMMERCE GRANTED UMMC ITS 2020 SPECIAL SERVICE RECOGNITION OF THE YEAR. "THESE 'HEALTHCARE HEROES' DID THEIR JOBS DESPITE THE ODDS AND OVERWHELMING FEAR THEY WERE FACED WITH EVERY DAY," THE CHAMBER STATES ON ITS AWARD WINNERS PAGE. "THEY SET UP DRIVE THRU TESTING STATIONS, CARED FOR SICK PATIENTS, AND NOW ARE MOVING FORWARD WITH PROVIDING VACCINES TO THE RESIDENTS OF THIS COMMUNITY. THEY ARE HEROES IN OUR BOOK AND WE CANNOT THANK THEM ENOUGH FOR THE SACRIFICE AND RESILIENCY THEY HAVE SHOWN THROUGHOUT THIS ENTIRE ORDEAL."- THE WOUND CARE CENTER AT UNITED MEMORIAL MEDICAL CENTER WAS NAMED A 2020 CENTER OF DISTINCTION BY HEALOGICS! THIS IS THE FIFTH YEAR IN A ROW THE TEAM HAS BEEN RECOGNIZED FOR OUTSTANDING PERFORMANCE. MAINTAINING THIS HIGH STANDARD OF CARE, WHILE ALSO NAVIGATING AND OVERCOMING UNIQUE CHALLENGES DURING THE PANDEMIC, IS A TESTAMENT TO THE UMMC WOUND CARE TEAM'S DEDICATION TO OUR COMMUNITY AND POSITIVE PATIENT OUTCOMES.- THE STROKE AND DIABETES TEAM AT UNITED MEMORIAL EARNED HIGH HONORS FROM THE AMERICAN HEART ASSOCIATION FOR CONTINUING TO PROVIDE HIGH QUALITY CARE TO THE COMMUNITY. - UMMC RECEIVED THE EDWARD J PAWENSKI BUSINESS/INDUSTRY PARTNERSHIP AWARD FROM THE NEW YORK COMMUNITY COLLEGE TRUSTEES (NYCCT) CONSORTIUM. THIS IS THE HIGHEST NYCCT HONOR AWARDED TO AN ORGANIZATION FOR ITS COMMITMENT TO A LOCAL COMMUNITY COLLEGE. GENESEE COMMUNITY COLLEGE NOMINATED UMMC IN RECOGNITION OF ITS MANY COLLABORATIVE PROGRAMS TO CREATE ECONOMIC, EDUCATIONAL, AND EMPLOYMENT OPPORTUNITIES FOR HEALTHY LIVING IN THE REGION.- UNITED MEMORIAL MEDICAL CENTER AND THE GENESEE COUNTY PARKS DEPARTMENT ARE COLLABORATING TO PREVENT PARK VISITORS FROM GETTING SKIN CANCER. FIVE SUNSCREEN DISPENSERS ARE NOW AVAILABLE THROUGHOUT DEWITT RECREATION AREA FOR THE 50,000 PEOPLE WHO VISIT EACH YEAR. THIS MEANS, FAMILIES WHO FORGET TO PACK SUNSCREEN, WON'T HAVE TO WORRY.ST. LAWRENCE HEALTH SYSTEM (SLH), A NORTH COUNTRY HEALTH SYSTEM INCLUDING THREE HOSPITALS (CANTON-POTSDAM HOSPITAL, GOUVERNEUR HOSPITAL AND MASSENA HOSPITAL) AND A NETWORK OF PRIMARY AND SPECIALTY CARE PRACTICES JOINED RRH IN 2021 ALLOWING RRH TO EXPAND ITS REGIONAL REACH WHILE ENABLING ST. LAWRENCE TO ELEVATE AND GROW ITS MEDICAL SERVICES. BOTH RRH AND SLH HAVE TRADITIONS OF PROVIDING HIGH QUALITY, COMPASSIONATE CAREAND TOGETHER, THEY ARE BRINGING ABOUT IMPORTANT TECHNOLOGICAL INTEGRATION MILESTONES ACHIEVED DURING 2021. COVERING ALL ASPECTS OF THE HEALTH SYSTEM, TECHNOLOGY IMPROVEMENTS AND INTEGRATION CAN BE SEEN IN PATIENT CARE AND INTEGRATED CLINICAL SYSTEMS WITH THE IMPLEMENTATION OF CARE CONNECT AND SAFE CONNECT; WORKFORCE MANAGEMENT USING WORKDAY HR AND PAYROLL AND KRONOS DIMENSIONS AS WELL AS FINANCIAL SYSTEMS WITH THE IMPLEMENTATION OF LAWSON ERP. ALL OF THESE SYSTEMS SERVE TO IMPROVE EFFICIENCIES AND ENABLE ENHANCED HEALTH CARE SERVICES ACROSS THE NORTH COUNTRY REGION. CANTON-POTSDAM HOSPITAL (CPH) IS A NOT-FOR-PROFIT COMMUNITY HEALTHCARE FACILITY CERTIFIED FOR 94 BEDS. ITS CORE PROGRAMS IN EMERGENCY MEDICINE, ACUTE CARE, HOSPITALIST MEDICINE, AND CRITICAL CARE ARE SUPPLEMENTED BY OUTPATIENT HEALTH SERVICES IN BRASHER FALLS, CANTON, COLTON, MASSENA, NORFOLK, NORWOOD, AND POTSDAM, NY, AND BY SPECIALIST CARE IN OVER 25 DIFFERENT SPECIALTIES, INCLUDING A ROBUST ORTHOPEDIC SURGERY AND SPORTS MEDICINE PROGRAM AND THE CENTER FOR CANCER CARE. LEVEL III TRAUMA CARE AND A CRITICAL CARE UNIT ARE ALSO AVAILABLE AT CPH. CANTON-POTSDAM ALSO HOUSES THE BIRTHPLACE CENTER, WHERE A TEAM OF WARM, YET PROFESSIONAL BIRTHING EXPERTS SURROUND YOU AND YOUR NEW ADDITION WITH THE BEST ENVIRONMENT TO PROMOTE LASTING HEALTH AND LOVING BONDING. THE BIRTHPLACE OFFERS MANY OPTIONS FOR PRENATAL CARE, DELIVERY--INCLUDING MIDWIFERY--POST-PARTUM CARE, AND EDUCATION. OUR COMBINATION LABOR, DELIVERY, RECOVERY AND POSTPARTUM ROOMS (LDRPS) OFFER FAMILIES A SPACIOUS AND COMFORTABLE AREA DURING THE BIRTHING EXPERIENCE. OPTIONS ARE OFFERED FOR PAIN RELIEF FROM SUPPORT FOR NATURAL CHILDBIRTH WITH JACUZZI TUBS, SHOWERS, AND BIRTHING BALLS TO PAIN MEDICATIONS AND EPIDURALS AS NEEDED. "ROOMING IN" IS AVAILABLE FOR MOMS, DADS, AND BABIES. THE EXPERIENCED AND COMPASSIONATE STAFF ARE EAGER TO ASSIST YOU IN CREATING THE MEMORABLE BIRTH YOU DESIRE. THE BIRTHPLACE PARTICIPATES IN THE NEW YORK STATE BREASTFEEDING QUALITY IMPROVEMENT IN HOSPITALS PROGRAM. A CERTIFIED LACTATION SPECIALIST CONDUCTS WORKSHOPS AND IS HERE TO HELP YOU GIVE YOUR BABY THE STRONGEST POSSIBLE START.
PART VI, LINE 6 (CON'T):	GOUVERNEUR HOSPITAL (GH) IS A NOT-FOR-PROFIT CRITICAL ACCESS HOSPITAL FOUNDED IN 2013. "CRITICAL ACCESS" IS A FEDERAL DESIGNATION THAT IS AVAILABLE ONLY TO HOSPITALS LOCATED IN REMOTE, RURAL REGIONS, ENABLING THESE HOSPITALS TO BE REIMBURSED AT A HIGHER RATE BECAUSE OF THE CHALLENGES THEY FACE IN PROVIDING CARE IN HIGH-NEED AREAS. GOUVERNEUR HOSPITAL IS CERTIFIED FOR 25 BEDS AND OPERATES IN AFFILIATION WITH CANTON-POTSDAM HOSPITAL IN POTSDAM, NY, AND MASSENA HOSPITAL IN MASSENA, NY, UNDER THE UMBRELLA OF THE ST. LAWRENCE HEALTH SYSTEM. SERVICES INCLUDE INPATIENT DETOX, SUBSTANCE USE DISORDER REHABILITATION, EMERGENCY CARE, IMAGING AND EKG'S, PHYSICAL THERAPY, AND RESPIRATORY THERAPY.CONGRATULATIONS TO GOUVERNEUR HOSPITAL, PART OF ST. LAWRENCE HEALTH, FOR ACHIEVING THE GOLD STANDARD FROM THE AMERICAN COLLEGE OF RADIOLOGY (ACR). THE HOSPITAL RECEIVED ACR ACCREDITATION FOR COMPUTED TOMOGRAPHY. MASSENA HOSPITAL ACHIEVED THE SAME ACCREDITATION EARLIER THIS YEAR AND CANTON-POTSDAM HOSPITAL IN 2020. ACR ACCREDITATION IS GRANTED FOR THREE-YEAR TERMS. THIS ACCOMPLISHMENT HIGHLIGHTS THE HARD WORK AND DEDICATION TO PATIENT CARE OF THE ST. LAWRENCE HEALTH CT TEAMS. MASSENA HOSPITAL (MH) IS AN ACUTE CARE, 25-BED HOSPITAL PROVIDING INPATIENT MEDICAL, SURGICAL, AND PEDIATRIC SERVICES IN ADDITION TO EMERGENCY CARE. ANCILLARY SERVICES INCLUDE A 24/7 LABORATORY, ULTRASOUND, MAMMOGRAPHY, AND FLUOROSCOPY. NUTRITIONAL COUNSELING, RESPIRATORY CARE, PHYSICAL, AND SPEECH THERAPIES ARE ALSO OFFERED AT THE MAIN CAMPUS. NUMEROUS OUTREACH PRIMARY AND SPECIALTY CARE CENTERS OFFER THE COMMUNITY CARDIOLOGY, INFUSION, NEPHROLOGY, NEUROLOGY, OB/GYN AND WOMEN'S HEALTH, PEDIATRICS, AND SURGERY.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.ROCHESTER REGIONAL HEALTH HOSPICE CARE AND ROCHESTER REGIONAL HEALTH HOME CARE (RRH HOSPICE CARE AND RRH HOME CARE) SERVING APPROXIMATELY 20,600 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 RRH HOSPICE CARE FOCUS IS ON THE DELIVERY OF COMPASSIONATE, PERSONALIZED CARE TO ADULTS AND CHILDREN WHO ARE ILL, INJURED, DYING OR GRIEVING. RRH HOME 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.DURING 2021, DEMAY LIVING CENTER RECEIVED THE EXTENSION FOR COMMUNITY HEALTHCARE OUTCOMES (ECHO) BEST PRACTICE AND INNOVATION AWARD. THE WINNING PROJECT REPURPOSED OUTDOOR COURTYARDS FOR RESIDENT ENGAGEMENT AND SUPPORTMUCH NEEDED ESPECIALLY DURING THE PANDEMIC. THE DEMAY TEAM'S CREATIVITY, RESIDENT CENTEREDNESS, AND COMMITMENT MADE THEM THE HANDS-DOWN WINNER! 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.IN 2021 THE LONG TERM CARE NURSING TEAM AT EDNA TINA WILSON LIVING CENTER EARNED THE PATHWAY TO EXCELLENCE DESIGNATION FROM THE AMERICAN NURSES CREDENTIALING CENTER (ANCC). EDNA TINA WILSON LIVING CENTER NOW JOINS AN ELITE GROUP OF EIGHT LONG TERM CARE FACILITIES IN NEW YORK STATE TO RECEIVE THIS PRESTIGIOUS HONOR, INCLUDING CLIFTON SPRINGS NURSING HOME AND PARK RIDGE LIVING CENTER. THE ANCC RECOGNIZES LONG TERM CARE FACILITIES WITH PATHWAY TO EXCELLENCE, COMPARABLE TO A HOSPITAL RECEIVING MAGNET STATUS, FOR THEIR DIVERSE AND POSITIVE PRACTICE ENVIRONMENTS THAT ENABLE NURSES TO GROW. EDNA TINA WILSON RECEIVED THIS RECOGNITION FOR ITS COMMITMENT TO PROVIDING A NETWORK OF SUPPORT AND ADVANCEMENT OPPORTUNITIES THAT EMPOWER OUR NURSING STAFF.HILL HAVEN LIVING AND NURSING CENTER IN WEBSTER WAS 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 2021, ROCHESTER REGIONAL HEALTH MADE THE DIFFICULT DECISION TO CLOSE HILL HAVEN. SHIFTING NEEDS OF THE COMMUNITY AS WELL AS GROWTH OF IN-HOME AND TRANSITIONAL SENIOR LIVING AND HEALTH CARE OPTIONS PLAYED ROLES IN THE RETIRING OF HILL HAVEN. ALL HILL HAVEN EMPLOYEES WERE REDEPLOYED TO NEW POSITIONS WITHIN THE HEALTH SYSTEM TO LEVERAGE THEIR EXPERIENCE AND EXPERTISE. EVERY HILL HAVEN RESIDENT WAS SUPPORTED THROUGH THE TRANSITION AS THEY MOVED TO A FACILITY WITHIN THE HEALTH SYSTEM, BACK HOME OR TO A COMMUNITY-BASED SETTING THAT PROVIDES THE APPROPRIATE SUPPORT AND CARE.
PART VI, LINE 6 (CON'T):	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 EARNED "HIGH PERFORMING" STATUS IN THE U.S. NEWS 2021-22 BEST NURSING HOMES RATING. FIFTEEN THOUSAND NURSING HOMES WERE EVALUATED FOR THE ANNUAL REPORT AND ONLY 13% ACHIEVED THE ELITE RANKING. PARK RIDGE EARNED "HIGH PERFORMING" STATUS FOR BOTH SHORT-TERM REHABILITATION AND LONG-TERM CARE. BARELY 2,000 NURSING HOMES EARNED EVEN A SINGLE "HIGH-PERFORMING" RATING, AND PARK RIDGE'S TWO HONORS DEMONSTRATE HOW THE TEAM RECOGNIZES THAT PATIENTS UNDERGOING SHORT-TERM REHABILITATION HAVE VERY DIFFERENT NEEDS FROM THOSE REQUIRING LONGER-TERM CARE. ADDITIONALLY, AMANDA BROWN, ADMINISTRATOR FOR PARK RIDGE LIVING CENTER, WAS NAMED A "VETERAN VIP HONOREE" IN THIS YEAR'S "MCKNIGHT'S WOMAN OF DISTINCTION." THIS AWARD RECOGNIZES WOMEN LEADERS IN SKILLED NURSING AND SENIOR LIVING WHO INSPIRE OTHERS AND HAVE A POWERFUL EFFECT ON THE LIVES OF THE INDIVIDUALS THEY SERVE. 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.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. STARTING IN 2020, RRH BEGAN COLLABORATING WITH PATHSTONE, A NOT-FOR-PROFIT COMMUNITY DEVELOPMENT AND HUMAN SERVICES ORGANIZATION, TO OFFER SUPPORTIVE SERVICES FOR RESIDENTS OF THE NEW SKYVIEW PARK APARTMENTS LOCATED AT THE FORMER MEDLEY CENTRE IN IRONDEQUOIT. THE SENIOR APARTMENT COMPLEX IS FOR INDIVIDUALS 55 YEARS OR OLDER WHO MAY BE AT RISK FOR HOMELESSNESS OR WISH TO REMAIN INDEPENDENT WITH THE ASSISTANCE OF SUPPORTIVE SERVICES.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. 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 65 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) 2021

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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

2021

Open to Public Inspection

Name of the organization

CANTON-POTSDAM HOSPITAL

Employer identification number

16-1012691

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? .............

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) 2021

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, 1099-MISC compensation, and/or 1099-NEC			(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)
1ERIC BIEBER MD CEO, RRH	(i) (ii)	0 ------------- 1,256,909	0 ------------- 3,016,430	0 ------------- 0	0 ------------- 526,816	0 ------------- 11,873	0 ------------- 4,812,028	0 ------------- 0
2HUGH THOMAS CAO	(i) (ii)	0 ------------- 658,710	0 ------------- 492,775	0 ------------- 0	0 ------------- 222,372	0 ------------- 12,432	0 ------------- 1,386,289	0 ------------- 0
3HUNG CHIN HO PHYSICIAN	(i) (ii)	588,667 ------------- 0	586,594 ------------- 0	37,000 ------------- 0	44,700 ------------- 0	13,110 ------------- 0	1,270,071 ------------- 0	14,100 ------------- 0
4THOMAS CRILLY CFO	(i) (ii)	0 ------------- 614,737	0 ------------- 405,213	0 ------------- 0	0 ------------- 150,216	0 ------------- 12,592	0 ------------- 1,182,758	0 ------------- 0
5KRIS VANWAGNER PHYSICIAN	(i) (ii)	587,210 ------------- 0	288,484 ------------- 0	0 ------------- 0	38,700 ------------- 0	0 ------------- 0	914,394 ------------- 0	0 ------------- 0
6THOMAS KNEIFEL PHYSICIAN	(i) (ii)	772,144 ------------- 0	0 ------------- 0	0 ------------- 0	51,200 ------------- 0	34,595 ------------- 0	857,939 ------------- 0	14,100 ------------- 0
7ROBERT CUMMINGS JR PHYSICIAN	(i) (ii)	768,023 ------------- 0	0 ------------- 0	0 ------------- 0	31,700 ------------- 0	34,695 ------------- 0	834,418 ------------- 0	14,100 ------------- 0
8RAJIZ SHAH PHYSICIAN	(i) (ii)	734,322 ------------- 0	0 ------------- 0	0 ------------- 0	50,354 ------------- 0	26,062 ------------- 0	810,738 ------------- 0	0 ------------- 0
9DAVID ACKER CEO, CANTON POTSDAM HOSPITAL	(i) (ii)	0 ------------- 660,696	0 ------------- 55,500	0 ------------- 0	0 ------------- 50,714	0 ------------- 26,125	0 ------------- 793,035	0 ------------- 19,950
10DONNA MCGREGOR ASSISTANT TREASURER	(i) (ii)	0 ------------- 369,999	0 ------------- 13,875	0 ------------- 0	0 ------------- 83,000	0 ------------- 33,296	0 ------------- 500,170	0 ------------- 3,273
11MICHAEL TULLOCH MD DIRECTOR	(i) (ii)	242,807 ------------- 0	0 ------------- 0	0 ------------- 0	50,047 ------------- 0	15,860 ------------- 0	308,714 ------------- 0	13,234 ------------- 0

Schedule J (Form 990) 2021

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	THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS SEEKS THE INPUT OF A CONSULTING FIRM WITH NATIONAL EXPERIENCE TO REVIEW THE COMPENSATION PACKAGES OFFERED TO TOP MANAGEMENT AND THE REGULATORY COMPLIANCE ISSUES OF NOT-FOR-PROFITS. UPON THE FINDINGS OF THE CONSULTANT AND DELIBERATONS OF THE COMPENSATION COMMITTEE, THE COMMITTEE WILL THEN MAKE A RECOMMENDATION TO THE FULL BOARD. THE FULL BOARD WILL THEN VOTE ON THE TOP OFFICIAL'S COMPENSATION PACKAGE.
PART I, LINE 4B	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 DISTRIBUTIONS PAID FROM THIS PLAN IN 2021.
PART II, COLUMN C:	RETIREMENT AND OTHER DEFERRED COMPENSATION - THIS COLUMN IS REFLECTIVE OF THE ACTUARIAL CHANGE IN DEFINED BENEFIT PENSION PLAN AND POST-RETIREMENT BENEFITS FOR THE TAX YEAR. ADDITIONALLY, THIS COLUMN INCLUDES THE ACCRUAL OF INCENTIVE BASED WAGES WHICH REMAIN UNPAID.

Schedule J (Form 990) 2021

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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

2021

Open to Public
Inspection

Name of the organization
CANTON-POTSDAM HOSPITAL

Employer identification number
16-1012691

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	ST LAWRENCE COUNTY IDC	27-2614310		08-30-2010	21,305,000	SEE PART VI		X	X			X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	11,110,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	20,921,703
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	11,168,176
11 Other spent proceeds .............	9,590,000
12 Other unspent proceeds .............
13 Year of substantial completion .............	2011
	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 2020, 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 2020, 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

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

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

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
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

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
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? ........
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
PART I, LINE A:	THIS FINANCING CONSISTS OF TWO SERIES OF BONDS - THE $17,720,000 ST. LAWRENCE COUNTY INDUSTRIAL DEVELOPMENT AGENCY CIVIC DEVELOPMENT CORPORATION REVENUE BONDS (CANTON-POTSDAM HOSPITAL), SERIES 2010 (THE "HOSPITAL BONDS") AND $3,585,000 ST. LAWRENCE COUNTY INDUSTRIAL DVELOPMENT AGENCY CIVIC DEVELOPMENT CORPORATION REVENUE BONDS (CANTON-POTSDAM HOSPITAL FOUNDATION, INC.), SERIES 2010 (THE "FOUNDATION BONDS; THE FOUNDATION BONDS AND THE HOSPITAL BONDS ARE HEREINAFTER JOINTLY REFERRED TO AS THE "BONDS"). PROCEEDS OF THE HOSPITAL BONDS WERE USED TO FINANCE THE CONSTRUCTION AND EQUIPPING OF HEALTH CARE FACILITIES OWNED BY CANTON-POTSDAM HOSPITAL (THE "HOSPITAL"), AND TO REFUND OUTSTANDING TAX-EXEMPT OBLIGATIONS ISSUED AUGUST 20, 2002 TO FINANCE HOSPITAL FACILITIES. PROCEEDS OF THE FOUNDATION BONDS WERE ISSUED TO FINANCE THE ACQUISITION, CONTRUCTION AND EQUIPPING OF MEDICAL FACILITIES OWNED BY CANTON-POTSDAM HOSPITAL, INC. (THE "FOUNDATION") WHICH ARE LEASED TO THE HOSPITAL. THE HOSPITAL BONDS AND FONDATION BONDS WERE SOLD AT THE SAME TIME PURSUANT TO A COMMON PLAN OF FINANCING AND WILL BE PAID OUT OF SUBSTANTIALLY THE SAME SOURCE OF FUNDS. THEREFORE, PURSUANT TO TREASURY REGULATION SECTION 1.150-1(C), THE HOSPITAL BONDS AND THE FOUNDATION BONDS ARE TREATED AS A SINGLE ISSUE OF BONDS FOR TAX PURPOSES, IN THE AGGREGATE PRINCIPAL AMOUNT OF $21,305,000. CONSISTENT WITH THE CHARACTERIZATION OF THE BONDS AND THE FOUNDATION BONDS ARE TREATED AS A SINGLE ISSUE FOR TAX PURPOSES, THE HOSPITAL BONDS AND FOUNDATION BONDS ARE REPORTED AS A SINGLE ISSUE ON SCHEDULE K TO THE HOSPITAL'S FORM 990.
PART II, LINE 3 TOTAL PROCEEDS OF ISSUE:	THE BONDS WERE ORIGINALLY ISSUED AS "DRAW-DOWN BONDS" IN THE MAXIMUM PRINCIPAL AMOUNT OF $21,305,000, WHICH REPRESENTS THE ORIGINAL ISSUE PRICE OF THE BONDS REPORTED ON IRS FORM 8038. ULTIMATELY, ON $20,921,703 OF BOND PROCEEDS WERE ACTUALLY DRAWN.
PART II, LINE 11 OTHER SPENT PROCEEDS:	PROCEEDS OF THE BONDS IN THE PRINCIPAL AMOUNT OF $9,590,000 WERE SPENT ON SEPTEMBER 27, 2010 TO REDEEM CERTAIN OUTSTANDING TAX-EXEMPT BONDS ISSUED AUGUST 20, 2002 TO FINANCE HOSPITAL FACILITIES.

Schedule K (Form 990) 2021

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Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

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

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

CANTON-POTSDAM HOSPITAL

Employer identification number

16-1012691

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990) 2021

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) ANDREW LEONARD	DIRECTOR, ST. LAWRENCE HEALTH SYSTEM	170,515	ANDREW LEONARD IS CEO OF ENI MECHANICAL WHICH PROVIDES MECHANICAL CONTRACTING SERVICES TO THE HOSPITAL.		No
(2) CATHERINE BLEVINS	DIRECTOR, CANTON-POTSDAM HOSPITAL	258,863	CATHERINE BLEVINS IS EMPLOYED AT SLIC NETWORK SOLUTIONS WHO PROVIDES TELECOMMUNICATIONS SERVICES TO THE HOSPITAL.		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

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

2021

Open to Public
Inspection

Name of the organization

CANTON-POTSDAM HOSPITAL

Employer identification number

16-1012691

Return Reference	Explanation
FORM 990, PART III, LINE 3	ROCHESTER REGIONAL HEALTH (RRH) BECAME THE SOLE CORPORATE MEMBER OF ST. LAWRENCE HEALTH SYSTEM, INC. EFFECTIVE JANUARY 1, 2021. ST. LAWRENCE HEALTH SYSTEM, INC. REMAINS THE SOLE CORPORATE MEMBER OF CANTON-POTSDAM HOSPITAL. ROCHESTER REGIONAL HEALTH SEEKS TO BE THE PROVIDER OF CHOICE, WHILE ADDRESSING BOTH THE AFFORDABILITY AND QUALITY OF HEALTHCARE SERVICES THAT IT PROVIDES IN NEW YORK STATE.
FORM 990, PART VI, SECTION A, LINE 4	ROCHESTER REGIONAL HEALTH (RRH), A NEW YORK NOT-FOR-PROFIT CORPORATION, HAS COORDINATED AND MANAGED THE DELIVERY OF HIGH QUALITY HEALTHCARE SERVICES TO THE GREATER ROCHESTER NY AREA AND SURROUNDING REGIONS FOR MORE THAN 170 YEARS. FORMED THROUGH A CORPORATE RESTRUCTURING BRINGING TOGETHER BOTH ROCHESTER GENERAL HEALTH SYSTEM AND ITS AFFILIATES AND UNITY HEALTH SYSTEM AND ITS AFFILIATES, NOW BRINGS TOGETHER THE ST. LAWRENCE HEALTH SYSTEM AND BY EXTENSION CANTON POTSDAM HOSPITAL. EFFECTIVE JANUARY 1, 2021, RRH BECAME THE SOLE CORPORATE MEMBER OF ST. LAWRENCE HEALTH SYSTEM, INC. ST. LAWRENCE HEALTH SYSTEM REMAINS THE SOLE CORPORATE MEMBER OF CANTON-POTSDAM HOSPITAL. AS A RESULT CHANGES TO THE GOVERNING DOCUMENTS OF THE ORGANIZATION ARE AS FOLLOWS: A) RRH WAS NAMED AS THE SOLE CORPORATE MEMBER OF ST. LAWRENCE HEALTH SYSTEM, INC. B) RRH WAS GRANTED THE AUTHORITY APPOINT AND REMOVE THE DIRECTORS OF THE CORPORATION; C) RRH WAS GRANTED THE AUTHORITY TO APPOINT AND REMOVE THE CEO OF THE CORPORATION; AND D) CERTAIN ACTIONS OF THE EXEMPT AFFILIATE AND/OR ITS GOVERNING BOARD WERE MADE SUBJECT TO THE APPROVAL OF THE GOVERNING BOARD OF RRH.
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 ST. LAWRENCE HEALTH SYSTEM, INC. THE SOLE CORPORATE MEMBER OF ST. LAWRENCE HEALTH SYSTEM, INC. IS ROCHESTER REGIONAL HEALTH, A RELATED NOT-FOR-PROFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A	AS PER BYLAWS
FORM 990, PART VI, SECTION A, LINE 7B	BOARD APPOINTMENTS
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	BOARD MEMBER CONFLICT OF INTEREST DISCLOSURE FORMS ARE COMPLETED AND REVIEWED BY THE BOARD ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15	LINE 15A: THE AUDIT, COMPLIANCE AND COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS UTILIZES THE INPUT OF A NATIONAL CONSULTING FIRM WITH EXPERTISE IN EXECUTIVE COMPENSATION TO REVIEW THE COMPENSATION PACKAGES OFFERED TO TOP MANAGEMENT AS WELL AS OUR COMPLIANCE WITH REGULATORY REQUIREMENTS FOR EXECUTIVE COMPENSATION FOR NOT-FOR-PROFIT HOSPITALS. UPON THE FINDINGS OF THE CONSULTANT AND DELIBERATIONS OF THE AUDIT, COMPLIANCE, AND COMPENSATION COMMITTEE, THE COMMITTEE WILL THEN MAKE A RECOMMENDATION TO THE FULL BOARD. THE FULL BOARD WILL THEN VOTE ON THE TOP OFFICIAL'S COMPENSATION PACKAGE. LINE 15B: THE COMPENSATION OF OTHER KEY EMPLOYEES IS DETERMINED PRIMARILY BY INFORMATION GATHERED FROM INDEPENDENT SURVEY DATA FROM NATIONAL AND SURROUNDING MARKETS COORDINATED BY THE HUMAN RESOURCE DEPARTMENT. THE CEO AND VICE PRESIDENT OF HUMAN RESOURCES REVIEW THE SURVEY DATA TO DETERMINE SALARY RANGES AND COMPENSATION PACKAGES. THE CEO BRINGS THE INFORMATION AND FINDINGS TO THE AUDIT, COMPLIANCE, AND COMPENSATION COMMITTEE OF THE BOARD FOR THEIR DELIBERATION AND CONSIDERATION. THE AUDIT, COMPLIANCE, AND COMPENSATION COMMITTEE WILL THEN BRING THEIR RECOMMENDATION TO THE FULL BOARD FOR THEIR FINAL APPROVAL.
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 VII, SECTION A, COLUMN (F):	ESTIMATED AMOUNT OF OTHER COMPENSATION FROM THE ORGANIZATION AND RELATED ORGANIZATIONS - THIS COLUMN IS REFLECTIVE OF (1) THE ACTUARIAL CHANGE IN DEFINED BENEFIT PENSION PLAN AND POST-RETIREMENT BENEFITS FOR THE TAX YEAR, (2) THE ACCRUAL OF INCENTIVE BASED WAGES WHICH REMAIN UNPAID, AND (3) NON-TAXABLE BENEFITS.
FORM 990, PART IX, LINE 11G	REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 6,370,441. MANAGEMENT AND GENERAL EXPENSES 1,009,206. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,379,647. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 20,031,408. MANAGEMENT AND GENERAL EXPENSES 3,173,379. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,204,787. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,589,957. MANAGEMENT AND GENERAL EXPENSES 885,563. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,475,520.
FORM 990, PART XI, LINE 9:	CHANGE IN INTEREST SWAP 256,230. AFFILIATE CLOSURE AND OTHER 2,641,966. CHANGE IN BENEFICIAL INTEREST IN FOUNDATION 3,454,771.
FORM 990, PART XII, LINE 2C:	THE 2021 AUDIT WAS CONDUCTED IN CONJUNCTION WITH THAT OF RRH. THE AUDITED FINANCIAL STATEMENTS OF THE CORPORATION ARE CONSOLIDATED WITH ALL OF THE AFFILIATES OF ROCHESTER REGIONAL HEALTH. THE AUDIT AND COMPLIANCE COMMITTEE OF ROCHESTER REGIONAL HEALTH ARE RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT.

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

Cat. No. 51056K

Schedule O (Form 990) 2021

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

2021

Open to Public Inspection

Name of the organization

CANTON-POTSDAM HOSPITAL

Employer identification number

16-1012691

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)NEWARK WAYNE COMMUNITY HOSPITAL DRIVING PARK AVENUE NEWARK,NY14513 15-0584188	HOSPITAL	NY	501(C)(3)	LINE 3	ROCHESTER REGIONAL HEALTH	Yes
(6)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
(7)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
(8)ROCHESTER GENERAL HUDSON HOUSING 2066 HUDSON AVENUE ROCHESTER,NY14621 22-3210351	LOW INC HOUSING	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(9)VIA HEALTH HOME CARE I 100 KINGS HIGHWAY SOUTH ROCHESTER,NY14617 16-1504370	HOME HEALTH	NY	501(C)(3)	LINE 10	CCN	Yes
(10)VIA HEALTH HOMECARE II 100 KINGS HIGHWAY SOUTH ROCHESTER,NY14617 16-1538727	HOME HEALTH	NY	501(C)(3)	LINE 10	CCN	Yes
(11)INDEPENDENT LIVING FOR SENIORS 2066 HUDSON AVENUE ROCHESTER,NY14617 16-1491059	ADULT DAY HC	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(12)ROCHESTER GENERAL LONG TERM CARE 1550 EMPIRE BLVD WEBSTER,NY14580 22-3187140	NH & REHAB	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(13)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
(14)THE UNITY HOSPITAL OF ROCHESTER 1555 LONG POND RD ROCHESTER,NY14626 23-7221763	HOSPITAL	NY	501(C)(3)	LINE 3	ROCHESTER REGIONAL HEALTH	Yes
(15)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
(16)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
(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 ASSOCIATION ONTARIO COUNTY INC 100 KINGS HIGHWAY ROCHESTER,NY14617 22-3257719	HOME HEALTH	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(35)CANTON-POTSDAM MEDICAL PRACTICE PLLC 50 LEROY STREET POTSDAM,NY13676 46-0714367	OUT PATIENT CLINIC	NY	501(C)(3)	LINE 10	ST LAWRENCE HEALTH SYSTEM INC	Yes
(36)GOVEURNEUR HOSPITAL 77 WEST BARNEY STREET GOUVERNEUR,NY13642 46-4249555	HOSPITAL	NY	501(C)(3)	LINE 3	ST LAWRENCE HEALTH SYSTEM INC	Yes
(37)MASSENA HOSPITAL INC 1 HOSPITAL DRIVE MASSENA,NY13662 84-3134268	HOSPITAL	NY	501(C)(3)	LINE 3	ST LAWRENCE HEALTH SYSTEM INC	Yes
(38)ST LAWRENCE HEALTH SYSTEM INC 50 LEROY STREET POTSDAM,NY13676 46-4259168	SYSTEM SUPPORT	NY	501(C)(3)	LINE 12A, I	ROCHESTER REGIONAL HEALTH	Yes
(39)PARMA HOUSING DEVELOPMENT FUND CORP 89 GENESEE STREET ROCHESTER,NY14611 81-0671685	LOW INCOME HOUSING FOR ELDERLY/HANDICAPPED	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(40)PARK RIDGE CHILD CARE CENTER INC 1556 LONG POND RD ROCHESTER,NY14626 22-2918126	CHILD CARE CENTER	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(41)ST LAWRENCE HEALTH FOUNDATION INC 29 GROVE STREET POTSDAM,NY13676 16-1279472	FUNDRAISING	NY	501(C)(3)	LINE 12A, I	N/A		No
(42)NORHERN LIGHTS HEALTHCARE PARTNERS 732 FORD STREET OGDENSBURG,NY13669 46-2500951	HOME HEALTH	NY	501(C)(3)	LINE 10	N/A		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2021

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	(k) Percentage ownership
(1) NW ASSOCIATES LP PO BOX 111 DRIVING PARK AVENUE NEWARK,NY14513 14-1674119	R/E LEASING	NY		RELATED				No			No	73.610 %
(2) PARMA SENIOR HOUSING 1555 LONG POND RD ROCHESTER,NY14626 43-2082116	HILTON PROJ	NY						No			No
(3) UNITY SENIOR HOUSING 1555 LONG POND RD ROCHESTER,NY14626 06-1709927	MOORE PK	NY						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	(h) Percentage ownership	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) PARMA SENIOR HOUSING LLC 1555 LONG POND ROAD ROCHESTER,NY14626 81-0671687	SENIOR HOUSING	NY	ROCHESTER REGIONAL HEALTH	C					No
(9) UNITY SENIOR HOUSING CORP 1555 LONG POND ROAD ROCHESTER,NY14626 06-1709925	SENIOR HOUSING	NY	ROCHESTER REGIONAL HEALTH	C					No
(10) UNITY HEALTH SYSTEM PURCHASING GROUP LLC 1555 LONG POND ROAD ROCHESTER,NY14626 22-2572873	SENIOR HOUSING	NY	ROCHESTER REGIONAL HEALTH	C					No

Schedule R (Form 990) 2021

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) .......................

Yes

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

Yes

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

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

Yes

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) ............................

Yes

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) ST LAWRENCE HEALTH FOUNDATION	K	532,395	CASH EXCHANGED
(2) ST LAWRENCE HEALTH FOUNDATION	M	118,411	CASH EXCHANGED
(3) ST LAWRENCE HEALTH FOUNDATION	Q	294,483	CASH EXCHANGED
(4) ST LAWRENCE HEALTH SYSTEM INC	R	677,413	CASH EXCHANGED
(5) GOUVERNEUR HOSPITAL	J	1,554,449	FMV
(6) GOUVERNEUR HOSPITAL	K	55,575	FMV
(7) GOUVERNEUR HOSPITAL	K	995,833	FMV
(8) CANTON-POTSDAM MEDICAL PRACTICE PLLC	J	1,104,639	FMV
(9) MASSENA HOSPITAL	J	3,444,082	FMV
(10) ST LAWRENCE HEALTH FOUNDATION	C	60,129	FMV

Schedule R (Form 990) 2021

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) 2021

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, ROCHESTER GENERAL LONG TERM CARE, INDEPENDENT LIVING FOR SENIORS, BEHAVIORAL HEALTH NETWORK, INC, CLIFTON SPRINGS HOSPITAL & CLINIC, UNITED MEMORIAL MEDICAL CENTER, UNITY HOSPITAL OF ROCHESTER, GENESEE REGION HOME CARE ASSOCIATION AND GENESEE REGION HOME CARE OF ONTARIO COUNTY.

Schedule R (Form 990) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: CANTON-POTSDAM HOSPITAL'S MISSION IS TO PROVIDE SKILLED, COMPASSIONATE, COST-EFFECTIVE CARE THAT PROMOTES WELLNESS AND MEETS COMMUNITY NEEDS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	19
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	16
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	1,567
6	Total number of volunteers (estimate if necessary) .............	6	1
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	14,019,668	782,593
9	Program service revenue (Part VIII, line 2g) .........	177,283,029	215,855,520
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	514,112	505,213
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	27,231,227	25,170,400
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	219,048,036	242,313,726
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)	126,014,155	131,401,855
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)....	84,012,841	95,945,824
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	210,026,996	227,347,679
19	Revenue less expenses. Subtract line 18 from line 12.......	9,021,040	14,966,047
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	195,532,189	209,295,239
21	Total liabilities (Part X, line 26).............	89,100,911	81,579,191
22	Net assets or fund balances. Subtract line 21 from line 20.....	106,431,278	127,716,048

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 138,149,523 including grants of $ ) (Revenue $ 178,642,727 )
	ACUTE - CANTON-POTSDAM HOSPITAL HAS A TOTAL OF 94 LICENSED BEDS, COMPRISED OF 17 FOR CHEMICAL DEPENDENCY REHABILITATION, 6 FOR INTENSIVE CARE, 8 FOR MATERNITY AND 63 FOR MEDICAL/SURGICAL. PROFESSIONAL STAFF COVERAGE FOR OUR IN-PATIENT CENSUS IS PROVIDED BY A HOSPITALIST PROGRAM. TOTAL PATIENT DAYS INCREASED BY 25.94% FROM 2020 TO 2021. OBSERVATION CASES DECREASED BY 16.19% FROM 2020 TO 2021. EMERGENCY ROOM VISITS INCREASED BY 0.05%. OVERALL VOLUME INCREASES ARE DUE TO REDUCTION OF COVID-19 RESTRICTIONS IN 2021.

4b	(Code: ) (Expenses $ 43,194,625 including grants of $ ) (Revenue $ 32,376,484 )
	HOSPITAL BASED CLINICS - IN 2021 THERE WAS 211,345 VISITS COMPARED TO 178,769 IN 2020. THIS 18.27% INCREASE IS DUE TO THE REDUCTION OF COVID-19 RESTRICTIONS IN 2021.

4c	(Code: ) (Expenses $ 16,556,952 including grants of $ ) (Revenue $ 21,686,598 )
	OPERATING ROOM & AMBULATORY SURGERY - IN 2021 THE OPERATING ROOM NUMBER OF CASES INCREASED BY APPROXIMATELY 14.29% COMPARED TO 2020. THIS VOLUME INCREASE IS DUE TO DIMINISHED COVID-19 RESTRICTIONS.

	(Code: ) (Expenses $ 8,554,565 including grants of $ ) (Revenue $ 8,136,938 )
	EMERGENCY ROOM - EMERGENCY ROOM VISITS INCREASED BY 0.05%. OVERALL VOLUME INCREASES ARE DUE TO REDUCTION OF COVID-19 RESTRICTIONS IN 2021.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 8,554,565 including grants of $ ) (Revenue $ 8,136,938 )
4e	Total program service expenses206,455,665

(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)			(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) MICHAEL TULLOCH MD........................................................................ DIRECTOR	40.00 .......................1.00	X			242,807	0	65,907
(19) LENORE VANDERZEE PHD........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0	0
(20) RICHARD VANLEUVEN........................................................................ DIRECTOR	1.00 .......................1.00	X			0	0	0
(21) THOMAS CRILLY........................................................................ CFO	0.00 .......................55.00		X		0	1,019,950	162,808
(22) HUGH THOMAS........................................................................ CAO	0.00 .......................55.00		X		0	1,151,485	234,804
(23) HUNG CHIN HO........................................................................ PHYSICIAN	40.00 .......................0.00			X	1,212,261	0	57,810
(24) KRIS VANWAGNER........................................................................ PHYSICIAN	40.00 .......................0.00			X	875,694	0	38,700
(25) THOMAS KNEIFEL........................................................................ PHYSICIAN	40.00 .......................0.00			X	772,144	0	85,795
(26) ROBERT CUMMINGS JR........................................................................ PHYSICIAN	40.00 .......................0.00			X	768,023	0	66,395
(27) RAJIZ SHAH........................................................................ PHYSICIAN	40.00 .......................0.00			X	734,322	0	76,416

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	4,605,251	7,544,844	1,520,459

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	60,129
e	Government grants (contributions)		1e	254,128

f	All other contributions, gifts, grants, and similar amounts not included above		1f	468,336

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

h Total. Add lines 1a-1f.......		782,593

		Business Code
2a	PATIENT SERVICE REVENUE	621110	215,855,520	215,855,520
b
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		215,855,520

3 Investment income (including dividends, interest, and othersimilar amounts) ......			137,323			137,323
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		183,173	6a
b	Less: rental expenses		0	6b
c	Rental income or (loss)		183,173	6c
d	Net rental income or (loss).......			183,173			183,173
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	319,915	226,035	7a
b	Less: cost or other basis and sales expenses	0	178,060	7b
c	Gain or (loss)	319,915	47,975	7c
d	Net gain or (loss).........			367,890			367,890
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	340B REVENUE		621110	15,330,553	15,330,553
b	OTHER OPERATING REVENUE		900099	9,238,815	9,238,815
c
d	All other revenue ....			417,859	417,859
e	Total. Add lines 11a–11d ......			24,987,227
12	Total revenue. See instructions.....			242,313,726	240,842,747	0	688,386

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 ...........	295,480	265,932	29,548
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........	109,335,922	100,706,493	8,629,429
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	2,059,847	1,815,308	244,539
9	Other employee benefits .......	13,206,666	11,644,378	1,562,288
10	Payroll taxes ...........	6,503,940	5,734,697	769,243
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	92,304	60,394	31,910
c	Accounting ...........
d	Lobbying ...........	17,315		17,315
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)	37,059,954	31,991,806	5,068,148
12	Advertising and promotion ....	812,966	666,632	146,334
13	Office expenses .......	3,685,983	3,036,702	649,281
14	Information technology ......	846,843	554,082	292,761
15	Royalties ..
16	Occupancy ...........	4,842,333	3,168,298	1,674,035
17	Travel ............	445,886	365,627	80,259
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	728,853	728,853
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	6,527,163	6,527,163
23	Insurance ...	3,848,788	2,518,230	1,330,558
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	34,945,491	34,596,572	348,919
b	TAXES AND ASSESSMENTS	1,124,226	1,113,001	11,225
c	BAD DEBT	344,686	344,686
d
e	All other expenses	623,033	616,811	6,222
25	Total functional expenses. Add lines 1 through 24e	227,347,679	206,455,665	20,892,014	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 ........			9,718,002	1	10,497,945
2	Savings and temporary cash investments .........			15,558,459	2	13,558,459
3	Pledges and grants receivable, net ......			102,392	3	82,169
4	Accounts receivable, net .............			21,484,244	4	22,758,374
5	Loans and other receivables from 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 ............			2,680,069	8	3,034,908
9	Prepaid expenses and deferred charges ......			2,014,999	9	1,771,503
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	163,906,200
b	Less: accumulated depreciation	10b	117,079,905	50,608,870	10c	46,826,295
11	Investments—publicly traded securities .			1,041,596	11	719,757
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			92,323,558	15	110,045,829
16	Total assets. Add lines 1 through 15 (must equal line 33)...			195,532,189	16	209,295,239

17	Accounts payable and accrued expenses .....	34,495,155	17	25,572,050
18	Grants payable ...		18
19	Deferred revenue .........	2,757,973	19	13,008,160
20	Tax-exempt bond liabilities .........	8,335,306	20	7,530,306
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
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 ..	1,811,310	23	1,041,766
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	41,701,167	25	34,426,909
26	Total liabilities. Add lines 17 through 25..	89,100,911	26	81,579,191

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	105,711,520	27	126,996,290
28	Net assets with donor restrictions ...........	719,758	28	719,758
	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 ...........	106,431,278	32	127,716,048
33	Total liabilities and net assets/fund balances ........	195,532,189	33	209,295,239