TY 2022 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) KAREN M GALLINA...................................................................... CHAIR OF THE BOARD	1.00 ................. 1.00	X	X	0	0	0
(2) JEFFREY C MAPSTONE...................................................................... TREASURER	1.00 ................. 1.00	X	X	0	0	0
(3) JULIA TEDESCO...................................................................... SECRETARY	1.00 ................. 1.00	X	X	0	0	0
(4) RICHARD DAVIS PHD...................................................................... CEO	17.00 ................. 38.00	X	X	399,968	894,046	11,213
(5) KARAN SINGH ALAG MD...................................................................... DIRECTOR	40.00 ................. 1.00	X		326,720	0	13,303
(6) LINDA BECKER...................................................................... DIRECTOR	1.00 ................. 1.00	X		0	0	0
(7) MIKE CICERO...................................................................... DIRECTOR	1.00 ................. 1.00	X		0	0	0
(8) WALTER LARKIN...................................................................... DIRECTOR	1.00 ................. 1.00	X		0	0	0
(9) MARCY C MULCONRY MD...................................................................... DIRECTOR	1.00 ................. 40.00	X		0	383,304	-65,380
(10) DAWN RIEDY MD...................................................................... DIRECTOR	40.00 ................. 1.00	X		441,576	0	-291,329
(11) THOMAS RILEY...................................................................... DIRECTOR	1.00 ................. 1.00	X		0	0	0
(12) LEON T SAWYKO...................................................................... DIRECTOR	1.00 ................. 1.00	X		0	0	0
(13) DIANNE COONEY MINER...................................................................... DIRECTOR	1.00 ................. 1.00	X		0	0	0
(14) TRICIA GATLIN PH D RN...................................................................... DIRECTOR	40.00 ................. 0.00	X		18,939	0	0
(15) KATHY VAETH PH D...................................................................... DIRECTOR	1.00 ................. 1.00	X		0	0	0
(16) JENNIFER ESLINGER...................................................................... PRESIDENT	55.00 ................. 0.00	X	X	207,796	0	8,251
(17) LAURIE LERNER MD...................................................................... MEDICAL STAFF PRESIDENT	40.00 ................. 0.00	X		559,090	0	-89,916

(A) Name and business address	(B) Description of services	(C) Compensation
SUPPLEMENTAL HEALTH CARE PO BOX 677896 DALLAS,TX752677896	HEALTH CARE CONSULTANTS	25,667,121
HEALTH CAROUSEL TRAVEL NETWORK PO BOX 714216 CINCINATTI,OH45271	HEALTH CARE STAFFING SERVICES	22,957,338
HOLDSWORTH KLIMOWSKI CONSTRUCTION 101 VICTOR HEIGHTS PARKWAY VICTOR,NY14564	CONSTRUCTION SERVICES	12,966,294
LECHASE CONSTRUCTION SERVICES 205 INDIGO CREEK DRIVE ROCHESTER,NY14626	CONSTRUCTION SERVICES	11,843,035
MEDICAL SOLUTIONS LLC 1010 N 102ND STREET SUITE 300 OMAHA,NE68114	HEALTH CARE STAFFING SERVICES	4,999,094
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 91

- 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

2022

Open to Public
Inspection

Name of the organization

THE ROCHESTER GENERAL HOSPITAL

Employer identification number

16-0743134

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) 2022

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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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 2022 (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—2022. 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—2021. 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—2022. 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—2021. 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) 2022

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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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 2022 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2021 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2022 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2021 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2022. 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—2021. 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) 2022

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) 2022

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) 2022

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) 2022

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 2022 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-2022	(iii) Distributable Amount for 2022
1 Distributable amount for 2022 from Section C, line 6
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2022:
a From 2017.......
b From 2018.......
c From 2019.......
d From 2020.......
e From 2021.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2022 distributable amount
i Carryover from 2017 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2022 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2022 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2022, 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 2022. 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 2023. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2018.....
b Excess from 2019.....
c Excess from 2020.....
d Excess from 2021.....
e Excess from 2022.....

Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022

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) 2022

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

2022

Name of the organization

THE ROCHESTER GENERAL HOSPITAL

Employer identification number

16-0743134

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) (2022)

Schedule B (Form 990) (2022) Page 2

Name of organization THE ROCHESTER GENERAL 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) (2022)

Schedule B (Form 990) (2022)

Page 3

Name of organization THE ROCHESTER GENERAL HOSPITAL		Employer identification number 16-0743134

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) (2022)

Schedule B (Form 990) (2022)

Page 4


Name of organization THE ROCHESTER GENERAL HOSPITAL			Employer identification number 16-0743134
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) (2022)

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

THE ROCHESTER GENERAL HOSPITAL

Employer identification number

16-0743134

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

120,806

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

120,806

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

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

Return Reference	Explanation
PART II-B, LINE 1:	THE AMOUNT REFLECTED ON PART II-B. LINE 1I REPRESENTS THE PORTION OF MEMBERSHIP DUES PAID TO GREATER NY HOSPITAL ASSOCIATION (GNYHA), HEALTHCARE ASSOCIATION OF NYS (HANYS), AND AMERICAN HOSPITAL ASSOCIATION (AHA) ATTRIBUTABLE TO 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

THE ROCHESTER GENERAL HOSPITAL

Employer identification number

16-0743134

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 ....	4,067,470	2,942,128	1,715,000	175,645	34,669
b	Contributions ...	-2,035,933	1,125,342	1,227,128	1,539,355	140,976
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	2,031,537	4,067,470	2,942,128	1,715,000	175,645

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

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

100.000 %

Term endowment SchDMd Bullet

0 %

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)

Yes

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 .....	2,900,000		2,900,000
b	Buildings ....	597,494,376	222,316,592	375,177,784
c	Leasehold improvements	55,592,136	51,596,161	3,995,975
d	Equipment ....	455,560,564	366,052,294	89,508,270
e	Other .....	194,863,948	8,886,205	185,977,743
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				657,559,772

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) COMMON COLLECTIVE TRUSTS	26,203,766	F
(B) LIMITED PARTNERSHIP HEDGE FUNDS	245,945,815	F
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	272,149,581

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)DUE FROM AFFILIATES				86,486
(2)BENEFICIAL INTEREST IN FOUNDATION				423,435,935
(3)OTHER ASSETS				136,862
(4)THIRD PARTY RECEIVABLE				27,253,114
(5)SELF-INSURANCE ASSET				67,762,219
(6)OTHER RECEIVABLES				25,018,206
(7)LEASE RIGHT OF USE ASSETS				129,350,520
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				673,043,342

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
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	548,923,195
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 INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS INCLUDE: 1) CAPITAL EXPANSION, AND 2) ADVANCEMENT OF MEDICAL EDUCATION AND RESEARCH AND HEALTH CARE SERVICES.

Schedule D (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

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

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization
THE ROCHESTER GENERAL HOSPITAL

Employer identification number

16-0743134

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(e) If activity listed in (d) is a program service, describe specific type of service(s) in the region	(f) Total expenditures for and investments in the region
	CENTRAL AMERICA AND CARIBBEAN	0	0	INVESTMENTS
















3a	Sub-total ....	0	0		0
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		0

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2022

Schedule F (Form 990) 2022

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of noncash assistance	(h) Description of noncash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2022

Schedule F (Form 990) 2022Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2022

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2022

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.

ReturnReference	Explanation
PART III ACCOUNTING METHOD:

Schedule F (Form 990) 2022

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 20a.
MediumBullet

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

THE ROCHESTER GENERAL HOSPITAL

Employer identification number

16-0743134

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

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

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

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

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

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

Yes

100% 150% 200% Other %

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

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

Yes

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

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

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

Yes

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

Yes

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

Yes

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

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

Yes

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

Yes

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	16,469,330	4,476,082	11,993,248	0.890 %
b	Medicaid (from Worksheet 3, column a) . . . . .	252,721,390	176,352,451	76,368,939	5.660 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	51,979,087	33,518,137	18,460,950	1.370 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	321,169,807	214,346,670	106,823,137	7.920 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	2,095,625	0	2,095,625	0.160 %
f	Health professions education (from Worksheet 5) . . .	41,223,279	16,817,160	24,406,119	1.810 %
g	Subsidized health services (from Worksheet 6) . . . .	660,358,201	527,510,009	132,848,192	9.840 %
h	Research (from Worksheet 7) .	0	0
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	1,020,477	0	1,020,477	0.080 %
j	Total. Other Benefits . .	704,697,582	544,327,169	160,370,413	11.890 %
k	Total. Add lines 7d and 7j .	1,025,867,389	758,673,839	267,193,550	19.810 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022

Schedule H (Form 990) 2022

Page

Part II

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

		(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements	1,401,974	0	1,401,974	0.100 %
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	1,401,974		1,401,974	0.100 %

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. ......

8,033,221

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. ......

2,140,347

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).....

103,153,766

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

147,703,225

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

-44,549,459

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

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

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

Yes

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

Yes

Part IV

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

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 LATTIMORE SERVICES ORGANIZATION LLC	MANAGEMENT SERVICES	29.000 %	71.000 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2022

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	ROCHESTER GENERAL HOSPITAL 1425 PORTLAND AVENUE ROCHESTER,NY14621	X	X	X	X	X

Schedule H (Form 990) 2022

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)

	ROCHESTER GENERAL 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 22

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.ROCHESTERREGIONAL.ORG

Other website (list url):

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

Other (describe in Section C)

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

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

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

Yes

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

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

10b

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

12a

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

12a

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

12b

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

Schedule H (Form 990) 2022

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	ROCHESTER GENERAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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

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

Yes

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

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

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

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

Yes

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

Yes

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

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

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

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

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

Other (describe in Section C)

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

Yes

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

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

WWW.ROCHESTERREGIONAL.ORG

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

WWW.ROCHESTERREGIONAL.ORG

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

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

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

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

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

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

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

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 6

Part VFacility Information (continued)

Billing and Collections

	ROCHESTER GENERAL 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) 2022

Page 7

Part VFacility Information (continued)

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

	ROCHESTER GENERAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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

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

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

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

The hospital facility used a prospective Medicare or Medicaid method

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

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2022

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
ROCHESTER GENERAL HOSPITAL	PART V, SECTION B, LINE 5: THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED JOINTLY BY THE HOSPITAL SYSTEMS SERVING MONROE COUNTY, NY IN COLLABORATION WITH THE MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH. REPRESENTATIVES FROM EACH OF THESE ORGANIZATIONS CONSTITUTE THE COMMUNITY HEALTH IMPROVEMENT WORKGROUP (CHIW), THE OVERSIGHT BODY FOR THE DEVELOPMENT OF THE CHNA. INFORMATION DISCUSSED BY THE CHIW IS SHARED, AS IS APPROPRIATE, WITH HOSPITAL LEADERSHIP AND TO VARIOUS COMMUNITY GROUPS FOR INPUT AND COMMENT.
ROCHESTER GENERAL HOSPITAL	PART V, SECTION B, LINE 6A: ROCHESTER GENERAL HOSPITAL, UNITY HOSPITAL, STRONG MEMORIAL HOSPITAL AND HIGHLAND HOSPITAL
ROCHESTER GENERAL HOSPITAL	PART V, SECTION B, LINE 6B: MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH, COMMON GROUND HEALTH (THE LOCAL POPULATION HEALTH IMPROVEMENT PROGRAM (PHIP)), MONROE COUNTY OFFICE OF MENTAL HEALTH AND FINGER LAKES PERFORMING PROVIDER SYSTEM
ROCHESTER GENERAL HOSPITAL	PART V, SECTION B, LINE 11: THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE MOST RECENTLY CONDUCTED CHNA ARE ALL BEING ADDRESSED BY THE HOSPITAL FACILITY. SEE THE DISCLOSURES IN PART VI AS WELL AS THE HOSPITAL FACILITY'S IMPLEMENTATION PLAN FOUND AT WWW.ROCHESTERREGIONAL.ORG FOR MORE INFORMATION.
ROCHESTER GENERAL HOSPITAL	PART V, SECTION B, LINE 16J: ALSO LOCATED IN OUTPATIENT SETTINGS.
PART V, SECTION B, LINE 20:	IT IS THE INTERPRETATION OF RGH THAT SINCE THE HOSPITAL DOESN'T PERFORM ANY OF THE EXTRAORDINARY COLLECTION ACTIONS (ECA) LISTED IN LINE 19, OUR RESPONSE OF "NONE OF THESE EFFORTS WERE MADE" IN LINE 20 INDICATES THAT SINCE NONE OF THE ACTIONS IN LINE 19 ARE MADE NONE OF THE ACTIONS LISTED IN LINE 20 WOULD APPLY. LINE 20 IS THEREFORE CONSIDERED NOT APPLICABLE TO RGH. RGH DOESN'T MAKE ANY EXTRAORDINARY COLLECTION ACTIONS. IF RGH DID ENGAGE IN ECA'S THEY WOULD COMPLY WITH ANY IRS AND INDUSTRY GUIDANCE.

Schedule H (Form 990) 2022

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?123
Name and address		Type of Facility (describe)
1	1 - RGH LINDEN OAKS DEXA 10 HAGAN DRIVE SUITE 130 ROCHESTER,NY14625	RGH SPECIALTY PRACTICE
2	2 - RGMG DERMATOLOGY & MOHS SURGERY AT LINDE 10 HAGAN DRIVE SUITE 300 ROCHESTER,NY14625	RGMG SPECIALTY PRACTICE
3	3 - RGH BARIATRICS AT NEWARK 1200 DRIVING PARK AVENUE NEWARK,NY14513	RGH SPECIALTY PRACTICE
4	4 - RGH NEPHROLOGY AT NEWARK 1200 DRIVING PARK AVENUE NEWARK,NY14513	RGH SPECIALTY PRACTICE
5	5 - RGH PULMONARY AT NEWARK 1200 DRIVING PARK AVENUE NEWARK,NY14513	RGH SPECIALTY PRACTICE
6	6 - RGH INFECTIOUS DISEASES AT NEWARK 1202 DRIVING PARK AVENUE NEWARK,NY14513	RGH SPECIALTY PRACTICE
7	7 - RGH UROLOGY AT NEWARK 1202 DRIVING PARK AVENUE NEWARK,NY14513	RGH SPECIALTY PRACTICE
8	8 - RGH OT PT AND SPEECH THERAPY 1381 EAST RIDGE ROAD ROCHESTER,NY14621	RGH SPECIALTY PRACTICE
9	9 - RGH ULTRASOUND AT TWC 1415 PORTLAND AVENUE SUITE 400/490 ROCHESTER,NY14621	RGH SPECIALTY PRACTICE
10	10 - RGH BARIATRICS OF WESTERN NY 1415 PORTLAND AVENUE SUITE 225 ROCHESTER,NY14621	RGH SPECIALTY PRACTICE
11	11 - RGHS DEPARTMENT OF SURGERY 1415 PORTLAND AVENUE SUITE 245 ROCHESTER,NY14621	RGH SPECIALTY PRACTICE
12	12 - RGH SANDS CONSTELLATION HEART INSTITUTE 1415 PORTLAND AVENUE SUITE 350 ROCHESTER,NY14621	RGH SPECIALTY PRACTICE
13	13 - RGH NEUROLOGY AT THE MOB 1415 PORTLAND AVENUE SUITE 445 ROCHESTER,NY14621	RGH SPECIALTY PRACTICE
14	14 - RGMG ORTHOPAEDIC CLINIC 1425 PORTLAND AVENUE ROCHESTER,NY14621	RGMG SPECIALTY PRACTICE
15	15 - RGMG MED ASSOCIATES - TWIG SITE 1425 PORTLAND AVENUE ROCHESTER,NY14621	RGMG SPECIALTY PRACTICE
16	16 - RGMG ORTHOPAEDICS AT WILSON 1425 PORTLAND AVENUE WILSON BUILDING ROCHESTER,NY14621	RGMG SPECIALTY PRACTICE
17	17 - RGMG PHYSICAL MEDICINE AND REHAB AT WILS 1425 PORTLAND AVENUE WILSON BUILDING ROCHESTER,NY14621	RGMG SPECIALTY PRACTICE
18	18 - RGMG RGPA ADOLESCENT 1425 PORTLAND AVENUE ROCHESTER,NY14621	RGMG SPECIALTY PRACTICE
19	19 - RGMG RGPA COUNSELING 1425 PORTLAND AVENUE ROCHESTER,NY14621	RGMG SPECIALTY PRACTICE
20	20 - RGMG RGPA PEDS INFECTIOUS DISEASE 1425 PORTLAND AVENUE ROCHESTER,NY14621	RGMG SPECIALTY PRACTICE
21	21 - RGMG RGPA RHEUMATOLOGY 1425 PORTLAND AVENUE ROCHESTER,NY14621	RGMG SPECIALTY PRACTICE
22	22 - RGH RADIOLOGY AT RHC 1455 EAST RIDGE ROAD ROCHESTER,NY14621	RGH SPECIALTY PRACTICE
23	23 - RGH ULTRASOUND AT RHC 1455 EAST RIDGE ROAD ROCHESTER,NY14621	RGH SPECIALTY PRACTICE
24	24 - RGMG GENERAL MEDICINE AT RHC 1455 EAST RIDGE ROAD ROCHESTER,NY14621	RGMG SPECIALTY PRACTICE
25	25 - RGMG RGPA ADOLESCENT - RHC 1455 EAST RIDGE ROAD ROCHESTER,NY14621	RGMG SPECIALTY PRACTICE
26	26 - RGMG PEADIATRIC ASSOCIATES AT RHC 1455 EAST RIDGE ROAD ROCHESTER,NY14621	RGMG SPECIALTY PRACTICE
27	27 - RGMG RGPA COUNSELING AT RHC 1455 EAST RIDGE ROAD ROCHESTER,NY14621	RGMG SPECIALTY PRACTICE
28	28 - RGMG RGPA PEDS INFECTIOUS DISEASE AT RHC 1455 EAST RIDGE ROAD ROCHESTER,NY14621	RGMG SPECIALTY PRACTICE
29	29 - RGMG RHEUM AT RHC 1455 EAST RIDGE ROAD ROCHESTER,NY14621	RGMG SPECIALTY PRACTICE
30	30 - RGMG GENERAL MED - TWIG AT RHC 1455 EAST RIDGE ROAD ROCHESTER,NY14621	RGMG SPECIALTY PRACTICE
31	31 - RGH MAMMO AT RHC 1455 EAST RIDGE ROAD ROCHESTER,NY14621	RGH SPECIALTY PRACTICE
32	32 - RGH BARIATRICS AT LOCKPORT 15 ELIZABETH DRIVE LOCKPORT,NY14094	RGH SPECIALTY PRACTICE
33	33 - RGH SPEECH LANGUAGE PATH AT EAST RIDGE 1850 EAST RIDGE ROAD ROCHESTER,NY14622	RGH SPECIALTY PRACTICE
34	34 - RGH CARDIAC REHABILITIATION 1850 EAST RIDGE ROAD ROCHESTER,NY14622	RGH SPECIALTY PRACTICE
35	35 - RGH PT AND OT AT EAST RIDGE 1850 EAST RIDGE ROAD ROCHESTER,NY14622	RGH SPECIALTY PRACTICE
36	36 - RGH PULMONARY REHAB AT EAST RIDGE 1850 EAST RIDGE ROAD ROCHESTER,NY14622	RGH SPECIALTY PRACTICE
37	37 - RGMG DIABETES EDUCATION AT CLIFTON SPRIN 2 COULTER ROAD SUITE 1620 CLIFTON SPRINGS,NY14432	RGMG SPECIALTY PRACTICE
38	38 - RGH - ONCOLOGY AT LINDEN OAKS 20 HAGAN DRIVE SUITE 100 ROCHESTER,NY14625	RGH SPECIALTY PRACTICE
39	39 - RGH DEPT OF SURGERY AND LINDEN OAKS 20 HAGAN DRIVE SUITE 320 ROCHESTER,NY14625	RGH SPECIALTY PRACTICE
40	40 - RGH GENEVA HEART INSTITUTE 200 NORTH STREET GENEVA,NY14456	RGH SPECIALTY PRACTICE
41	41 - RGMG DIABETES EDUCATION AT BAY CREEK 2000 EMPIRE BLVD WEBSTER,NY14580	RGMG SPECIALTY PRACTICE
42	42 - RGH RADIOLOGY AND ULTRASOUND AT BAY CREE 2000 EMPIRE BLVD WEBSTER,NY14580	RGH SPECIALTY PRACTICE
43	43 - RGMG PM&R AT BAY CREEK 2000 EMPIRE BLVD WEBSTER,NY14580	RGMG SPECIALTY PRACTICE
44	44 - RGMG MIDWIFE AT BAY CREEK 2000 EMPIRE BLVD WEBSTER,NY14580	RGMG SPECIALTY PRACTICE
45	45 - RGH DIALYSIS AT BAY CREEK 2010 EMPIRE BLVD WEBSTER,NY14580	RGH SPECIALTY PRACTICE
46	46 - RGH PHYSICAL THERAPY AT MIDTOWN 210 EAST HIGHLAND DRIVE ROCHESTER,NY14610	RGH SPECIALTY PRACTICE
47	47 - RGH RADIOLOGY AND ULTRASOUND AT ALEXANDE 214 ALEXANDER STREET SUITE 1000 ROCHESTER,NY14607	RGH SPECIALTY PRACTICE
48	48 - RGH PODIATRY AT ALEXANDER PARK 222 ALEXANDER STREET SUITE 5000 ROCHESTER,NY14607	RGH SPECIALTY PRACTICE
49	49 - RGMG PLANT BASED NUTRITION AT SCHI CLINT 2365 SOUTH CLINTON AVENUE SUITE 100 ROCHESTER,NY14618	RGMG SPECIALTY PRACTICE
50	50 - RGH SCHI AT CLINTON WOODS 2365 SOUTH CLINTON AVENUE SUITE 100 ROCHESTER,NY14618	RGH SPECIALTY PRACTICE
51	51 - RGH CLINTON PHLEBOTOMY 293 UPPER FALLS BLVD ROCHESTER,NY14605	RGH SPECIALTY PRACTICE
52	52 - RGMG DIABETES EDUCATION AT LINDEN 30 HAGEN DRIVE SUITE 200 ROCHESTER,NY14625	RGMG SPECIALTY PRACTICE
53	53 - RGH WOUND AND VEIN CARE AT LINDEN OAKS 30 HAGEN DRIVE SUITE 120 ROCHESTER,NY14625	RGH SPECIALTY PRACTICE
54	54 - RGH SCHI AT LINDEN OAKS 30 HAGEN DRIVE SUITE 100 ROCHESTER,NY14625	RGH SPECIALTY PRACTICE
55	55 - RGMG OFFICE OF COMMUNITY MEDICINE CLIN 309 UPPER FALLS BLVD ROCHESTER,NY14605	FAMILY MEDICINE
56	56 - RGH SPEECH LANGUAGE OT AND PT AT LINDE 360 LINDEN OAKS DRIVE SUITE 200 ROCHESTER,NY14625	RGH SPECIALTY PRACTICE
57	57 - RGH PAIN CLINIC AT LINDEN OAKS 360 LINDEN OAKS DRIVE SUITE 200 ROCHESTER,NY14625	RGH SPECIALTY PRACTICE
58	58 - RGMG PM&R AT 360 LINDEN OAKS 360 LINDEN OAKS DRIVE SUITE 200 ROCHESTER,NY14625	RGMG SPECIALTY PRACTICE
59	59 - RGH HEMODIALYSIS OUTPATIENT CENTER 370 EAST RIDGE ROAD SUITE 30 ROCHESTER,NY14621	RGH SPECIALTY PRACTICE
60	60 - RGH HOME DIALYSIS 370 EAST RIDGE ROAD SUITE 30 ROCHESTER,NY14621	RGH SPECIALTY PRACTICE
61	61 - RGH DEPARTMENT OF NEPHROLOGY 370 EAST RIDGE ROAD SUITE 20 ROCHESTER,NY14621	RGH SPECIALTY PRACTICE
62	62 - RGH SCHI CANANDAIGUA 401 SOUTH MAIN STREET CANANDAIGUA,NY14424	RGH SPECIALTY PRACTICE
63	63 - RGH FAMILY & LIFESTYLE MEDICINE CANANDAI 401 SOUTH MAIN STREET CANANDAIGUA,NY14424	RGH SPECIALTY PRACTICE
64	64 - RGH RADIOLOGY MAMMO AND ULTRASOUND HENR 50 MIDDLE ROAD HENRIETTA,NY14467	RGH SPECIALTY PRACTICE
65	65 - RGH PRIMARY CARE - HENRIETTA 50 MIDDLE ROAD HENRIETTA,NY14467	RGH SPECIALTY PRACTICE
66	66 - RGH REHAB AND NEURO HENRIETTA 50 MIDDLE ROAD HENRIETTA,NY14467	RGH SPECIALTY PRACTICE
67	67 - RGH ORTHOPAEDICS AND SPINE CENTER HENRIE 50 MIDDLE ROAD HENRIETTA,NY14467	RGH SPECIALTY PRACTICE
68	68 - RGH SCHI AT HENRIETTA MEDICAL CENTER 50 MIDDLE ROAD HENRIETTA,NY14467	RGH SPECIALTY PRACTICE
69	69 - RGH OBGYN AT HENRIETTA 50 MIDDLE ROAD HENRIETTA,NY14467	RGH SPECIALTY PRACTICE
70	70 - RGMG DERM SODUS INTERNAL MEDICINE 6692 MIDDLE ROAD SODUS,NY14551	RGMG SPECIALTY PRACTICE
71	71 - RGMG DIABETIC EDUCATION 224 ALEXANDER STREET ROCHESTER,NY14607	RGMG SPECIALTY PRACTICES
72	72 - RGMG CLINTON FAMILY DIABETES 293 UPPER FALLS BLVD ROCHESTER,NY14605	RGMG SPECIALTY PRACTICES
73	73 - RGMG OPTIFAST 224 ALEXANDER STREET ROCHESTER,NY14607	RGMG SPECIALTY PRACTICES
74	74 - RGH RGMG ORTHOPAEDIC BAY CREEK 2000 EMPIRE BLVD WEBSTER,NY14580	RGMG SPECIALTY PRACTICES
75	75 - RGMG LYONS DIABETESEDUCATION 12 LEACH RD LYONS,NY14889	RGMG SPECIALTY PRACTICES
76	76 - RGH WOLCOTT RADIOLOGY 6254 LAWVILLE RD WOLCOTT,NY14590	RGH PRIMARY CARE
77	77 - RGMG LYONS AIR 10 LEACH ROAD LYONS,NY14889	RGMG SPECIALTY PRACTICES
78	78 - RGMG TWC NW ANTENATAL 1250 DRIVING PARK AVE NEWARK,NY14513	RGMG OBGYN
79	79 - RGMG FAMILY MEDICINE AT RIT 181 LOMB MEMORIAL DRIVE SUITE 78-A670 ROCHESTER,NY14623	RGH PRIMARY CARE
80	80 - RGMG GHS PRIMARY CARE 222 ALEXANDER STREET SUITE 5000 ROCHESTER,NY14607	RGH PRIMARY CARE
81	81 - RGMG WILLIAMSON PEDIATRICS 4425 OLD RIDGE RD WILLIAMSON,NY14589	RGMG PEDIATRICS
82	82 - RGMG SODUS INTERNAL MEDICINE 6692 MIDDLE RD SODUS,NY14551	RGH PRIMARY CARE
83	83 - RGMG WOLCOTT PEDIATRICS 6254 LAWVILLE RD WOLCOTT,NY14590	RGMG PEDIATRICS
84	84 - RGMG VEIN CARE CENTER 20 HAGEN DR SUITE 210 ROCHESTER,NY14625	RGMG SPECIALTY PRACTICES
85	85 - RGMG WOMENS CTR AT CLINTON 309 UPPER FALLS BLVD ROCHESTER,NY14605	RGMG OBGYN
86	86 - RGMG SODUS PEDIATRICS 6692 MIDDLE RD SODUS,NY14551	RGMG PEDIATRICS
87	87 - RGMG GANANDA FAMILY PRACTICE 1200 FAIRWAY SEVEN MACEDON,NY14502	RGH PRIMARY CARE
88	88 - RGH PM&R 1415 PORTLAND AVE SUITE 445 ROCHESTER,NY14621	RGH PRIMARY CARE
89	89 - RGH RGMG ORTHOPAEDICS 800 CARTER STREET ROCHESTER,NY14621	RGMG SPECIALTY PRACTICES
90	90 - RGMG LYONS HEALTH CENTER 12 LEACH RD LYONS,NY14889	RGH PRIMARY CARE
91	91 - RGMG GI AT NEWARK 1304 DRIVING PARK AVE NEWARK,NY14513	RGMG SPECIALTY PRACTICES
92	92 - RGMG WILLIAMSON FAM PRACTICE 4425 OLD RIDGE RD WILLIAMSON,NY14589	RGH PRIMARY CARE
93	93 - RGMG AIR LINDEN 10 HAGEN DR SUITE 20 ROCHESTER,NY14625	RGMG SPECIALTY PRACTICES
94	94 - RGMG GENESEE IM PORTLAND AVE 1299 PORTLAND AVENUE SUITE 17 ROCHESTER,NY14621	RGH PRIMARY CARE
95	95 - RGMG WOLCOTT INTERNAL MEDICINE 6254 LAWVILLE RD WOLCOTT,NY14590	RGH PRIMARY CARE
96	96 - RGMG PENN FAIR PRIMARY CARE 2200 PENFIELD ROAD PENFIELD,NY14526	RGH PRIMARY CARE
97	97 - RGMG RIDGEWAY FAMILY MEDICINE 2350 RIDGEWAY AVENUE SUITE A ROCHESTER,NY14626	RGH PRIMARY CARE
98	98 - RGMG AIR GREECE 2300 WEST RIDGE ROAD 5TH FLOOR ROCHESTER,NY14626	RGMG SPECIALTY PRACTICES
99	99 - RGMG NORTHRIDGE MEDICAL GROUP 1338 E RIDGE ROAD SUITE 101 ROCHESTER,NY14621	RGH PRIMARY CARE
100	100 - RGMG WOMENS CTR AT ALEX PARK 222 ALEXANDER STREET SUITE 1100 ROCHESTER,NY14607	RGMG OBGYN
101	101 - RGMG CLINTON FAMILY HEALTH CTR 293 UPPER FALLS BLVD ROCHESTER,NY14605	RGH PRIMARY CARE
102	102 - RGMG GERIATRICS CONSULT SVC 1415 PORTLAND AVE SUITE 200 ROCHESTER,NY146213022	RGMG GERIATRICS
103	103 - RGMG PENN FAIR PEDIATRIC GROUP 2067 FAIRPORT NINE MILE POINT RD SUITE PENFIELD,NY14526	RGMG PEDIATRICS
104	104 - RGMG BAY CREEK MEDICAL GROUP 2000 EMPIRE BLVD WEBSTER,NY14580	RGH PRIMARY CARE
105	105 - RGMG BAY CREEK PEDIATRIC GRP 2000 EMPIRE BLVD WEBSTER,NY14580	RGMG PEDIATRICS
106	106 - RGMG WHITE PINES MEDICAL GROUP 370 RIDGE RD EAST SUITE 400 ROCHESTER,NY14621	RGH PRIMARY CARE
107	107 - RGMG RGMG CTR FOR DERMATOLOGY 20 HAGEN DR SUITE 220 ROCHESTER,NY14625	RGMG SPECIALTY PRACTICES
108	108 - RGMG TWC RGH ANTENATAL 1415 PORTLAND AVE SUITE 480 ROCHESTER,NY14621	RGMG OBGYN
109	109 - RGMG GENESEE IM AT ALEXANDER 222 ALEXANDER STREET SUITE 5000 ROCHESTER,NY14607	RGH PRIMARY CARE
110	110 - RGMG REFUGEE COMMUNITY MED 222 ALEXANDER STREET 4TH FLR SUITE 41 ROCHESTER,NY14607	RGMG REFUGEE COMMUNITY MED
111	111 - RGMG VASCULAR SURGERY ASSOC 1445 PORTLAND AVENUE SUITE 108 ROCHESTER,NY14621	RGMG SPECIALTY PRACTICES
112	112 - RGMG WOMENS CTR AT NEWARK 1250 DRIVING PARK AVE NEWARK,NY14513	RGMG OBGYN
113	113 - RGMG NEWARK PEDIATRICS NWCH 1200 DRIVING PARK AVE NEWARK,NY14513	RGMG PEDIATRICS
114	114 - RGH LINDEN MEDICAL GROUP 30 HAGEN DR SUITE 300 ROCHESTER,NY14625	RGH PRIMARY CARE
115	115 - RGMG DIABETIC CARE RES CTR 224 ALEXANDER STREET ROCHESTER,NY14607	RGMG SPECIALTY PRACTICES
116	116 - RGMG NEWARK INTERNAL MEDICINE NWCH 1208 DRIVING PARK AVENUE NEWARK,NY14513	RGH PRIMARY CARE
117	117 - RGMG LONG POND INTERNAL MED 2350 RIDGEWAY AVENUE SUITE B ROCHESTER,NY14626	RGH PRIMARY CARE
118	118 - RGMG AIR ALEXANDER PARK 222 ALEXANDER ST SUITE 3000 ROCHESTER,NY14607	RGMG SPECIALTY PRACTICES
119	119 - RGMG GENESEE PEDIATRICS (GHS) 222 ALEXANDER STREET 4TH FLR ROCHESTER,NY14607	RGMG PEDIATRICS
120	120 - RGH RGMA OPD TWIG 1425 PORTLAND AVENUE ROCHESTER,NY14621	RGH PRIMARY CARE
121	121 - RGMG THE WOMENS CENTER AT RGH 1415 PORTLAND AVE SUITE 400 ROCHESTER,NY14621	RGMG OBGYN
122	122 - RGMG ROCH GEN PEDIATRIC ASSOC 1425 PORTLAND AVENUE ROCHESTER,NY14621	RGMG PEDIATRICS
123	123 - RGMG RHEUMATOLOGY INFUSION CTR 10 HAGEN DR SUITE 330 ROCHESTER,NY14625	RGMG SPECIALTY PRACTICES

Schedule H (Form 990) 2022

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:	ROCHESTER GENERAL HOSPITAL'S COMMUNITY BENEFIT REPORT IS INCLUDED IN THE COMMUNITY BENEFIT REPORT FOR ROCHESTER REGIONAL HEALTH, A RELATED NOT-FOR-PROFIT ORGANIZATION, AS PART OF THE JOINT COMMUNITY BENEFIT REPORT DISTRIBUTED BY MONROE COUNTY, NY.
PART I, LINE 7:	THE COSTING METHODOLOGY USED FOR LINES 7A, B, C AND F WAS FROM BOTH THE HOSPITAL'S 2022 MEDICAID ICR, UTILIZING EXHIBIT 46, AND THE 2022 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 2022 MEDICAID ICR WERE UTILIZED TO COMPLETE THE CALCULATIONS.
PART I, LINE 7G:	NO PHYSICIAN CLINIC COSTS WERE INCLUDED ON LINE 7G.
PART I, LN 7 COL(F):	TOTAL EXPENSES ON FORM 990, PART IX, LINE 25, COLUMN (A) ARE $1,357,482,482. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $8,033,221. AFTER BAD DEBT WAS DEDUCTED FROM TOTAL EXPENSES, THE AMOUNT OF TOTAL EXPENSES USED TO CALCULATE THE PERCENT IN LINE 7, COLUMN (F) WAS $1,349,449,261.
PART I, LINE 7E:	DURING 2022, ROCHESTER GENERAL HOSPITAL (RGH) SPONSORED THE FOLLOWING EVENTS AND ACTIVITIES TO PROMOTE COMMUNITY HEALTH IMPROVEMENT THAT MEET THE DEFINITION FOR DISCLOSURE ON SCHEDULE H, PART I, LINE 7E (COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS). 2022 CONTINUED TO BE A CHALLENGING YEAR GIVEN THE CONTINUATION OF COVID-19 THROUGHOUT THE STATE AND LOCAL COMMUNITIES. AS A RESULT, THE MAJORITY OF EVENTS WERE HELD VIRTUALLY AND COMMUNITY EDUCATION BECAME THE FOCUS OF THE HOSPITAL AND OVERALL HEALTH SYSTEM. BABIES WITH BOOKSIN HONOR OF NATIONAL LITERACY MONTH AND NICU AWARENESS MONTH, TGH TWIG NEONATAL INTENSIVE CARE UNIT (NICU) ONCE AGAIN PARTICIPATED IN THE ANNUAL BABIES WITH BOOKS (BWB) NICU READ-A-THON. THE BWB NICU READ-A-THON IS AN INTERNATIONAL READING COMPETITION BETWEEN OVER 170 HOSPITALS ACROSS THE US AND 4 OTHER COUNTRIES, PROMOTING READING TO BABIES IN THE NICU. FAMILIES WERE ENCOURAGED TO READ TO THEIR BABIES, AND EVEN THE RGH SENIOR LEADERSHIP TEAM GRABBED SOME BOOKS AND READ TO OUR TINIEST PATIENTS. READING TO PREMATURE BABIES HELPS TO ADVANCE THEIR BRAIN DEVELOPMENT AND LANGUAGE SKILLS. WOMENHEART RGH, IN CONJUNCTION WITH THE NATIONAL COALITION FOR WOMEN WITH HEART DISEASE, SPONSORED WOMENHEART, A SUPPORT GROUP FOR WOMEN LIVING WITH HEART DISEASE. COVID-19 VACCINE TRIAL RGH IS ONE OF FOUR SITES NATIONWIDE TO PARTICIPATE IN A NEW COVID-19 VACCINE TRIAL. INFECTIOUS DISEASE SPECIALISTS ARE LEADING THE RANDOMIZED PLACEBO-CONTROLLED TRIAL AT RGH, WHICH CALLS FOR 90 VOLUNTEERS IN THE ROCHESTER AREA, AGES 18 TO 85, WHO HAVE NOT BEEN INFECTED WITH COVID-19.EDUCATIONAL EVENTS OPEN TO ALL ON VARIOUS TOPICS INCLUDING: 2022 APP CONFERENCE COVERING A VARIETY OF PERTINENT TOPICS. MAMMOS AND MAKEOVERS PUTTING THE GLAM IN MAMMOGRAM WITH MAMMOS AND MAKEOVERS. OFFERS WOMEN A FUN AND BENEFICIAL EVENT THAT FEATURES A MAMMOGRAM SCREENING, FREE MAKEOVER, CHAIR MASSAGE AND HORS D'OEUVRES!HONEY BEE PROGRAM ROCHESTER GENERAL HOSPITAL HAS JOINED THE OTHER RRH HOSPITALS BY PLAYING HOST TO A NEW UNBEELIEVABLE WORKSPACE FOR SOME NEW WORKER BEES. THE BEEHIVES ON RGH'S ROOF ARE UNDER THE WATCHFUL EYE OF AN EXPERIENCED BEEKEEPER. THE BEEKEEPER WILL MAINTAIN THE HIVES AND HARVEST THE HONEY WHEN IT'S READY. THIS PROGRAM SUPPORTS ROCHESTER REGIONAL HEALTH'S SUSTAINABILITY MISSION TO STRENGTHEN AND SUPPORT OUR LOCAL ENVIRONMENT. IN ADDITION, OUR BEES WILL MAKE HONEY! THE HONEY WILL BE BOTTLED AND AVAILABLE FOR EMPLOYEES, PATIENTS AND VISITORS TO PURCHASE ONCE HARVEST TIME ARRIVES.COMMUNITY AWARENESSMEMBERS FROM SANDS-CONSTELLATION HEART INSTITUTE AND THE STROKE TEAMS AT RGH REPRESENTED RRH AT THE MONROE AMBULANCE OPEN HOUSE HELPING TO EDUCATE THE COMMUNITY ON HEART ATTACK AND STROKE WARNING SIGNS.EXPANDED MEDICAL SERVICES, BLOOD DRIVES AND OTHER PROGRAMS NOW OPEN: NEW ROCHESTER GENERAL HOSPITAL TWIG BIRTHING CENTER - THE NEW LABOR AND DELIVERY UNIT OPENED IN AUGUST 2022. THE MODERNIZED UNIT INCLUDES 20 NEW, ALL-PRIVATE PATIENT ROOMS, CONSISTING OF NINE TRIAGE ROOMS, EIGHT LABOR AND DELIVERY ROOMS, AND THREE PRE-OP, POST-OP RECOVERY ROOMS. IT ALSO INCLUDES TWO STATE-OF-THE-ART IN-UNIT OPERATING ROOMS FOR C-SECTIONS AND MULTIPLE NURSING AND PROVIDER STATIONS FOR EASE OF PATIENT ACCESS. THE OPENING OF THIS NEW UNIT MARKS A SPECIAL MILESTONE IN CARE FOR OUR OBSTETRICS PATIENTS AND REPRESENTS ROCHESTER REGIONAL HEALTH'S COMMITMENT TO AN EXCEPTIONAL PATIENT EXPERIENCE. IN ADDITION TO PROVIDING A CONTEMPORARY AND SPACIOUS ENVIRONMENT FOR PATIENTS TO WELCOME THEIR BABIES IN, THE NEW TWIG BIRTHING CENTER IS NOW EQUIPPED WITH ADVANCED TELEMETRY EQUIPMENT, ALLOWING US TO BETTER MONITOR LABORING PATIENTS WITH COMPLEX MEDICAL NEEDS AN IMPORTANT TOOL TO HELP ENSURE PATIENT SAFETY. 2022 MARKED A FIRST FOR THE REGION - ROCHESTER GENERAL HOSPITAL PERFORMED THE REGION'S FIRST-EVER LUNG NODULE MARKING IN THE OPERATING ROOM USING THE GROUNDBREAKING MONARCH ROBOTIC BRONCHOSCOPY TECHNOLOGY. THIS INNOVATIVE TECHNOLOGY INTEGRATES THE LATEST ADVANCEMENTS IN ROBOTICS, SOFTWARE, DATA SCIENCE, AND ENDOSCOPY TO PROVIDE EARLIER AND MORE ACCURATE DIAGNOSIS OF LUNG CANCER. ANOTHER FIRST AT RGH FOR THE ORTHOPEDICS TEAM AS THEY PERFORMED ITS FIRST-EVER COMPUTER-NAVIGATED REVERSE SHOULDER REPLACEMENT. THE PATIENT TRAVELED SEVERAL HOURS TO RGH FOR THE STATE-OF-THE-ART PROCEDURE, AS HIS LOCAL CARDIOLOGIST FELT HE WAS TOO HIGH RISK FOR TRADITIONAL ELECTIVE SURGERY. RGH WAS THE PREFERRED REGIONAL DESTINATION FOR THIS PATIENT BECAUSE OF ITS HIGHLY-INTEGRATED, WORLD-CLASS CARDIAC AND ORTHOPEDIC SERVICES OFFERED ON-SITE, ENSURING THE HIGHEST QUALITY OF CARE TO MEET THIS PATIENT'S TOTAL HEALTH NEEDS. THE SURGERY WAS A GREAT SUCCESS, AND THE PATIENT RETURNED HOME THE FOLLOWING DAY. IN AN EFFORT TO SUPPORT THE EMERGENCY DEPARTMENT, RGH RECENTLY OPENED A NEW X-RAY ROOM WITH A RIBBON CUTTING. THE SPACE WILL BE USED EXCLUSIVELY FOR ED PATIENTS TO HELP IMPROVE PATIENT FLOW, TURNAROUND TIMES, AND THROUGHPUT OF THE ED. THE PROJECT TOOK 44 DAYS TO COMPLETE AND FEATURES A NEW GE DIGITAL RADIOGRAPHY SYSTEM. RGH HELD BLOOD DRIVES IN JUNE, AUGUST AND SEPTEMBER 2022IN ADDITION TO THOSE EVENTS SPONSORED SPECIFICALLY BY ROCHESTER GENERAL HOSPITAL, ROCHESTER REGIONAL HEALTH, THE PARENT ORGANIZATION, SPONSORED THE FOLLOWING EVENTS AS A MEANS OF IMPROVING THE HEALTH OF ALL OF THE COMMUNITIES SERVED BY THE HEALTH SYSTEM: YOUTH APPRENTICE PROGRAM (SCHOOL-TO-WORK)THE ROCHESTER CITY SCHOOL DISTRICT AND ROCHESTER REGIONAL HEALTH HAVE PARTNERED TOGETHER WITH A VISION TO GIVE HIGH SCHOOL STUDENTS IN THE ROCHESTER CITY SCHOOL DISTRICT THE OPPORTUNITY TO GAIN "REAL-LIFE" EXPERIENCES IN HEALTHCARE. STUDENTS GAIN ACCESS TO THE DIFFERENT POSITIONS WITHIN A HEALTHCARE ORGANIZATION, AND BECOME CERTIFIED BY NEW YORK STATE THAT THEY HAVE HAD YOUTH EMPLOYMENT COMPETENCY TRAINING WHEN THEY EARN THEIR HIGH SCHOOL DIPLOMA. IN THE PAST 10+ YEARS, 100% OF STUDENTS WENT THROUGH THIS PROGRAM HAVE GRADUATED HIGH SCHOOL. UPON GRADUATION AND COMPLETION OF THE PROGRAM, PARTICIPANTS ARE ELIGIBLE TO APPLY FOR ENTRY LEVEL POSITIONS AS A PATIENT CARE TECHNICIAN, PEDIATRIC TECHNICIAN, MATERIAL RECORD ASSISTANT, RESPIRATORY CARE AIDE, AND A TRANSPORTER AND LAB ASSISTANT. RIT ROCHESTER REGIONAL HEALTH ALLIANCEROCHESTER REGIONAL PARTNERS WITH ROCHESTER INSTITUTE OF TECHNOLOGY (RIT) ON MANY INITIATIVES INCLUDING BIOMEDICAL RESEARCH, HEALTHCARE EDUCATIONAL PROGRAMS, RESEARCH AND DEVELOPMENT OF INNOVATIVE TECHNOLOGY, AND OTHER SUSTAINABILITY INITIATIVES WITHIN THE ROCHESTER COMMUNITY. ROCHESTER REGIONAL PROVIDES REAL WORLD EXPERIENCE FOR STUDENTS WHO WILL EXPAND THE CARE WE PROVIDE TO OUR COMMUNITIES. TO LEARN MORE VISIT THE RIT ROCHESTER REGIONAL HEALTH ALLIANCE WEBSITE. JCC OF GREATER ROCHESTER ROCHESTER REGIONAL HEALTH ALLIANCE EVERY WEDNESDAY, JOIN RRH AND THE JCC FOR "WELLNESS WEDNESDAYS". HOSTED BY RRH, EACH 30-MINUTE LIVE WEBINAR (OR IN-PERSON) FOCUSES ON DIFFERENT ASPECTS OF LIFESTYLE MEDICINE, SUCH AS PREVENTATIVE MEDICINE AND EASY LIFESTYLE CHANGES, AND EVEN DABBLE IN SCIENCE TO EXPLAIN "WHY." IN ADDITION, PARTICIPANTS WILL BE INTRODUCED TO LIFESTYLE MEDICINE SPECIALISTS AND CONCEPTS THAT MAY HELP TO BRING ABOUT ONE HEALTHY CHANGE AT A TIME IN ORDER TO ACHIEVE HEALTH CARE GOALS. WEBINARS ARE FREE AND OPEN TO THE PUBLIC. URBAN RENEWAL EDUCATION EXPANSION RRH HAS COMPLETED WORK ON ONE OF ITS MOST AMBITIOUS URBAN RENEWAL PROJECTS TO DATE - THE TRANSFORMATION OF THE LONG-ABANDONED MACY'S BUILDING IN THE FORMER MEDLEY CENTER IN IRONDEQUOIT. RENOVATIONS RESULTED IN A NEW, EXPANDED SPACE FOR THE ISABELLA GRAHAM HART SCHOOL OF PRACTICAL NURSING AND THE RGH COLLEGE OF HEALTH CAREERS. THIS EXPANSION REPRESENTS NOT ONLY OUR COMMITMENT TO THE ADVANCEMENT OF NURSING EDUCATION BUT ALSO OUR LEADERSHIP IN SUSTAINABILITY THROUGH URBAN RENEWAL. RRH TOOK THE LONG-ABANDONED BUILDING AND CREATED A LEADING-CLASS INSTITUTION OF HIGHER LEARNING FOR NURSES AND HEALTH CARE PROFESSIONALS OF THE FUTURE. NURSES OF EVERY DISCIPLINE AND DEGREE LEVEL ARE IN HIGH DEMAND. RRH IS COMMITTED TO ENSURING A CLEAR, NAVIGABLE PATH TO TRAINING AND EDUCATION ACROSS THE NURSING EDUCATION SPECTRUM, BEGINNING WITH THE LPN PROGRAM AND CONTINUING THROUGH OUR NEW REGISTERED NURSE (RN) PROGRAM. SOCIAL MEDIA SPOTLIGHTS AND NEWS FEATURES PROVED TO BE A VITAL COMPONENT DURING THE PUBLIC HEALTH EMERGENCY OF COVID-19. IN 2022 THIS CONTINUED TO BE A VALUABLE RESOURCE TO THE COMMUNITY. RRH PREPARED, PARTICIPATED IN AND PRESENTED ON THE FOLLOWING TOPICS THROUGHOUT THE COURSE OF THE YEAR: KEEPING YOUR NEW YEAR'S RESOLUTIONS - ACHIEVING SOME COMMON NEW YEAR'S RESOLUTIONS IS ALL ABOUT TAKING SMALLER STEPS AND STICKING WITH THEM UNTIL YOU REACH YOUR LARGER GOAL. RRH RECENTLY PARTNERED WITH GOOD DAY ROCHESTER FOR A 2022 RESOLUTION SERIES, RELATING TO: TAKING BETTER CARE OF MENTAL HEALTH; BARIATRIC SURGERY AND THE LIFE-CHANGING IMPACT IT CAN MAKE;
PART I, LINE 7E (CON'T):	SOCIAL MEDIA SPOTLIGHTS (CONTINUED) -EATING INTO A HEALTHY DIET; HOSPITALS NEAR A BREAKING POINT WITH THE LATEST INFLUX OF COVID PATIENTS; LOCAL PEDIATRICIAN WEIGHS IN ON COVID BOOSTERS FOR YOUNGER TEENS; WHAT TO KNOW WHEN BUYING MASKS; AT-HOME AND PCR COVID-19 TESTS; WHAT TYPE OF SPECIALIST SHOULD I SEE FOR MY SPINE PROBLEM?; MANAGING STRESS FOR TEENAGERS & ADOLESCENTS; HOW MUCH SCREEN TIME SHOULD MY CHILD HAVE?; LOCAL WOMAN CHANGES CAREER TO HELP HEALTHCARE FIELD AMID STAFFING SHORTAGES; WHY IT'S IMPORTANT TO NOT SKIP CERVICAL CANCER SCREENINGS DURING THE PANDEMIC; WHY SOME OF US ARE GETTING SICKER THIS WINTER - AND WHAT TO DO; WHAT TO DO IF MY CHILD HAS A HIGH FEVER; RECOGNIZING EARLY SIGNS OF ADHD; WHAT ROCHESTER DOCTORS ARE SAYING ABOUT NEW SUB-VARIANTS OF OMICRON; ROCHESTER DOCTORS BREAK DOWN NEW 'STEALTH' VARIANT OF OMICRON; THE NEED FOR COVID-19 BOOSTER SHOTS; HOW TO TREAT DRY SKIN AND HOW THE SUN AFFECTS THE SKIN IN THE WINTER; HAVEN'T RECEIVED YOUR FREE GOVERNMENT COVID TEST KIT? HERE'S WHY; WHO ARE THE PEOPLE BEHIND THE OLYMPIANS; SIMPLE STUFF: GETTING A MAMMOGRAM IN YOUR OWN BACKYARD; RRH IS TEAMING UP WITH FOX ROCHESTER TO INCREASE AWARENESS ABOUT HEART HEALTH AND SERVICES; HEART SURGERY GIVES WATERLOO WOMAN MORE TIME WITH GRANDKIDS; HOW COVID-19 CAN AFFECT HEART HEALTH; REDUCING STRESS TO IMPROVE HEART HEALTH; NEW VOLUME: ADVANCES IN CLINICAL MEDICAL RESEARCH & HEALTHCARE DELIVERY; FIRST AMERICAN FAMILIES ASSEMBLE GOODIE BAGS FOR RRH CANCER PATIENTS; ENDEMIC PHASE: COVID'S GRIP LOOSENS IN LOCAL HOSPITALS; THE RRH ATHLETIC PROGRAM AND ADVICE ON HOW TO STAY HEALTHY AND FIT; STATE FUNDING COULD HELP EXPAND LOCAL ADDICTION HOTLINE, ROCHESTER REGIONAL HEALTH'S SAFELINE LAUNCHED IN JUNE OF 2020; HOW CAN WE CARE FOR OUR MENTAL HEALTH DURING TIMES OF INTERNATIONAL CRISIS?; DELAY OF PREVENTATIVE CARE A CONCERNING TREND, ROCHESTER DOCTORS SAY; RGH OPENS NEW URGENT CARE IN GENESEO; FLU CASES ON THE RISE IN MONROE COUNTY; TRANSCRANIAL MAGNETIC STIMULATION - PROVIDERS WITH ROCHESTER REGIONAL HEALTH ARE OFFERING A NEW FORM OF THERAPY FOR ELIGIBLE PATIENTS WITH DEPRESSION AND EXPLAIN HOW IT WORKS; CONVENIENT CARE WITHOUT GOING INTO A DOCTOR'S OFFICE; HOW TO TREAT DRY EYE; HOW THE BEHAVIOR HEALTH ACCESS AND CRISIS CENTER CAN HELP YOU; HOW HYPERBARIC OXYGEN THERAPY CAN HELP WITH HEALING; MASTECTOMY SURGERY: WHAT TO KNOW; PULMONOLOGIST EXPLAINS SERIOUSNESS OF COPD: EXPLAINS THAT COPD AFFECTS THE RESPIRATORY SYSTEM; RSV VACCINE: THE LATEST - A SURGE OF RSV CASES THIS FALL IS LEADING TO MORE CHILDREN BEING HOSPITALIZED. LEARN MORE ABOUT A VACCINE IN THE WORKS THAT COULD HELP CHILDREN, PARENTS, AND HEALTH CARE PROVIDERS; WHAT TO KNOW ABOUT MEDICARE OPEN ENROLLMENT - FOR SEVEN WEEKS NEAR THE END OF EACH YEAR, MEDICARE RECIPIENTS CAN LOOK AT DIFFERENT COVERAGE PLANS AND POTENTIALLY CHANGE THEM. OUR EXPERTS EXPLAIN HOW IT WORKS AND WHY SOME PEOPLE MAY WANT TO CHANGE THEIR PLAN OR SHOULD KEEP IT; AFGHAN REFUGEES FIND FRESH START WITH ROCHESTER REGIONAL HEALTH - AFTER WORKING WITH THE U.S. MILITARY IN AFGHANISTAN THEY WERE ABLE TO COME OVER TO THE UNITED STATES ON SPECIAL VISAS. BUILDING A NEW LIFE IS A CHALLENGE ONE THAT THEY WELCOME; FSA ELIGIBLE EXPENSES: WHAT TO KNOW - THE END OF THE YEAR WILL BE HERE SOONER THAN WE EXPECT. FOR PEOPLE USING FLEXIBLE SPENDING ACCOUNTS, HERE ARE A FEW IDEAS OF HOW TO USE ANY AVAILABLE FUNDS BEFORE THEY ARE GONE; PULMONOLOGIST DISCUSSES FUTURE OF COPD CARE - SLH'S DOCTOR SERVES AS A PANELIST ON BEHALF OF RURAL HEALTHCARE; SIGNS OF MENTAL HEALTH CONCERNS IN LOVED ONES DURING HOLIDAYS. THE HOLIDAY SEASON CAN BE A TIME OF JOY AND A TIME OF ANXIETY. HOW TO RECOGNIZE POTENTIAL SIGNS OF MENTAL HEALTH CONCERNS DURING THIS SEASON; AVOIDING CHILD CHOKING HAZARDS DURING HOLIDAYS - THOSE SHINY AND SWEET SMELLING GOODIES COULD BE CAUSE FOR CONCERN; UNITED MEMORIAL MEDICAL CENTER PAIN MANAGEMENT NURSE PRACTITIONER ADVOCATES FOR NON-OPIOID ALTERNATIVES; AND NUMEROUS OTHERS.ROC2025 ROCHESTER REGIONAL HEALTH HAS ENTERED INTO A PLEDGE AGREEMENT WITH ROC2025 TO CONTRIBUTE $100,000 FOR EACH OF THE NEXT FIVE YEARS. ROC2025 IS AN INNOVATIVE ALLIANCE OF ECONOMIC DEVELOPMENT ORGANIZATIONS DEDICATED TO MAKING GREATER ROCHESTER, NEW YORK ONE OF THE MOST DYNAMIC AND RAPIDLY GROWING REGIONAL ECONOMIES IN THE U.S. IT IS THE MISSION OF ROC2025 TO CREATE NEW JOBS, INCREASE REGIONAL WEALTH, RAISE REGIONAL GDP AND ENHANCE OPPORTUNITY. ROC2025 INVESTS IN A WORLD-CLASS ECONOMIC DEVELOPMENT ECOSYSTEM WHERE INCUMBENT BUSINESSES ARE THRIVING, NEW FIRMS ARE LOCATING, AND THE WORLD'S BEST TALENT IS CHOOSING TO LIVE. THROUGH ROC2025, WE'RE DEDICATING SIGNIFICANTLY MORE RESOURCES TO GROWTH. ENHANCING THE REACH AND IMPACT OF CURRENT EFFORTS, FURTHERING OUR WORK TO EXPAND THE REGIONAL ECONOMY, AND COMPETING MORE EFFECTIVELY FOR JOBS AND INVESTMENT.ROCCOVID ROCHESTER REGIONAL HEALTH JOINED MONROE COUNTY, THE CITY OF ROCHESTER, UNIVERSITY OF ROCHESTER MEDICAL CENTER AND COMMON GROUND HEALTH TO HELP LAUNCH ROC COVID, A NEW ONLINE HEALTH SCREENING SURVEY TOOL TO HELP PREVENT FURTHER SPREAD OF THE VIRUS THROUGHOUT THE GREATER ROCHESTER AND FINGER LAKES REGION. DATA COLLECTED BY ROCCOVID.ORG WILL ALSO INCREASE UNDERSTANDING OF THE VIRUS, MEASURE EFFORTS TO SLOW ITS PROGRESSION, AND HELP DETERMINE WHERE TO FOCUS TESTING OR ADJUST STAY-AT-HOME AND PHYSICAL DISTANCING REQUIREMENTS. SCIENTISTS AND INFORMATION TECHNOLOGY STAFF FROM RRH AND URMC HELPED DEVELOP THE ONLINE SURVEY, WHICH CONSISTS OF A FEW QUESTIONS THAT RESIDENTS ARE ENCOURAGED TO ANSWER DAILY, EVEN WHEN THEY ARE EXPERIENCING NO SYMPTOMS. SPONSORSHIPS ROCHESTER REGIONAL HEALTH, AS A SYSTEM, INCLUDING ROCHESTER GENERAL HOSPITAL, IS COMMITTED TO GIVING BACK TO THE COMMUNITY BY SUPPORTING THE MANY ORGANIZATIONS THAT ARE ALREADY WORKING SO HARD TO IMPROVE COMMUNITY HEALTH. AS SUCH, WE PROVIDE RESOURCES TO LOCAL ORGANIZATIONS AND COMMUNITY EVENTS INCLUDING THE AMERICAN HEART ASSOCIATION, CANCER SUPPORT COMMUNITY ROCHESTER, JORDAN HEALTH CENTER, CENTER FOR YOUTH SERVICES, THE HARLEY SCHOOL, THE AMERICAN CANCER SOCIETY, THE AMERICAN DIABETES ASSOCIATION, INTERVOL, JEWISH COMMUNITY CENTER, GREATER ROCHESTER ENTERPRISE FOUNDATION, MERCY FLIGHT, ST. JOSEPHS NEIGHBORHOOD, MONROE COMMUNITY COLLEGE FOUNDATION, AMERICAN FOUNDATION FOR SUICIDE PREVENTION, GREATER ROCHESTER CHAMBER OF COMMERCE, AND MANY OTHERS.OTHER PROGRAMS AND EVENTS HELD IN SUPPORT OF THE COMMUNITY INCLUDE: EVENT HONORING THE LIFE AND LEGACY OF MARTIN LUTHER KING, JR. CELEBRATING WOMEN AND CULTIVATING LEADERS - INTERNATIONAL WOMEN'S DAY ON MARCH 8, CELEBRATED WOMEN'S ACHIEVEMENTS AND HIGHLIGHTED THE PUSH FOR GENDER EQUITY. RRH HEEDS THE CALL TO ACTION AS WE WORK TO CULTIVATE THE NEXT GENERATION OF HEALTHCARE WORKERS. WOMEN'S HISTORY MONTH AND INTERNATIONAL WOMEN'S DAY PRESENTED THE PERFECT OPPORTUNITY TO INSPIRE ROCHESTER'S YOUNG WOMEN THROUGH RRH'S WOMEN IN HEALTHCARE, GOOD FOR OUR HEALTH PIPELINE INITIATIVE. RRH HOSTED STUDENTS FROM YOUNG WOMEN'S COLLEGE PREP CHARTER SCHOOL OF ROCHESTER TO EXPLORE, ENCOURAGE AND ENGAGE WITH VARIOUS CAREERS OPPORTUNITIES IN HEALTHCARE. THE EVENT INCLUDED INTERACTIVE WORKSHOPS, A PANEL DISCUSSION WITH HEALTHCARE PROFESSIONALS, AND INTENTIONAL CONNECTIONS FOR NETWORKING AND MENTORING. RRH EXHIBITS AT IMAGINE RIT - RRH IS EXCITED TO ONCE AGAIN BE A PREMIER SPONSOR OF IMAGINE RIT: CREATIVITY + INNOVATION FESTIVAL. THE 2022 FREE EVENT IS IN PERSON WITH 250+ EXHIBITS, INTERACTIVE PRESENTATIONS, HANDS-ON DEMONSTRATIONS, AND MORE. THE FESTIVAL TAKES PLACE ON THE RIT CAMPUS AND IS OPEN TO ALL AGES! RRH EXHIBITS INCLUDED: THERAPY DOGS; YOGA AND BREATHING EXERCISES; TYTOCARE TELEMEDICINE DEMONSTRATION; AND HEALTHY EATING COLORING ACTIVITY. BLACK MATERNAL HEALTH WEEK - A WEEK OF "AWARENESS, ACTIVISM, AND COMMUNITY BUILDING" TO DEEPEN THE CONVERSATION ABOUT BLACK MATERNAL HEALTH AND TO AMPLIFY COMMUNITY-DRIVEN DISCUSSIONS AND SOLUTIONS. BLACK WOMEN ARE MORE THAN THREE TIMES AS LIKELY TO DIE IN CHILDBIRTH THAN WHITE WOMEN, THEY ARE MORE LIKELY TO BECOME SERIOUSLY ILL, AND THEIR CHILDREN ALSO FACE GREATER HEALTH RISKS. THE IMPORTANCE OF THIS NATIONAL MOVEMENT IS TO HIGHLIGHT THESE DISPARITIES. DURING THIS WEEK, RRH SPONSORED BUILDING FOR LIBERATION: CENTERING BLACK MAMAS, BLACK FAMILIES AND BLACK SYSTEMS OF CARE FOCUSING ON THE SCHOLARSHIP, CARE WORK, AND ADVOCACY CARRIED OUT BY BLACK MAMAS AND COMMUNITIES. RAISING AWARENESS: STROKE MONTH - RRH PARTNERED WITH THE ROCHESTER RED WINGS TO PROVIDE FREE BLOOD PRESSURE SCREENINGS, STROKE EDUCATION, AND TO MEET THE THERAPY DOGS DURING A GAME TO RAISE STROKE AWARENESS. ADDITIONALLY, MEMBERS OF THE ROCHESTER GENERAL AND UNITY STROKE TEAMS WERE AT THE EMS OPEN HOUSE AND COMMUNITY HEALTH FAIR IN WEBSTER. THEY EDUCATED FAIR ATTENDEES ABOUT STROKE PREVENTION TIPS.
PART I, LINE 7E (CON'T):	HAIR AND HEALTH SYMPOSIUM 2022 - RRH IS PARTNERING WITH COMMON GROUND HEALTH TO HOST THE 2022 HAIR AND HEALTH SYMPOSIUM. HAIR AND SKIN CONDITIONS CAN LOOK VERY DIFFERENT IN POPULATIONS OF COLOR. AS A RESULT, BARBERS AND STYLISTS ARE OFTEN TRUSTED FIGURES WHO PLAY AN IMPORTANT ROLE IN PROMOTING HEALTH IN COMMUNITIES OF COLOR. COMMUNITY SUPPORT: RRH EMPLOYEES STAND WITH BUFFALO - NUMEROUS RRH EMPLOYEES HAVE REACHED OUT WANTING TO KNOW HOW THEY CAN HELP THE BUFFALO COMMUNITY AFTER IT EXPERIENCED A CATASTROPHIC EVENT MOTIVATED BY HATE. MANY OF OUR COWORKERS HAVE CALLED BUFFALO HOME, SOME HAVE CONNECTIONS TO THE AREA, AND WE ALL SHARE A BOARDER WITH THE "CITY OF GOOD NEIGHBORS". AS BUFFALO RESIDENTS STRIVE TO MOVE FORWARD, RRH IS DEMONSTRATING OUR COMMITMENT TO JUSTICE, ANTI-RACISM, AND HUMANITY BY EXTENDING SUPPORT TO THE FAMILIES AND PEOPLE DIRECTLY IMPACTED BY THIS TRAGEDY. RRH IS PROUD TO BE A SPONSOR OF THE ONLY LOCAL EVENT THAT SPECIFICALLY HIGHLIGHTS GYNECOLOGIC CANCERS. THIS EVENT HELPS RAISE AWARENESS AND FUNDS TO SUPPORT PATIENTS IN OUR COMMUNITY IMPACTED BY THESE CANCERS. RRH IS ONCE AGAIN THE PRESENTING SPONSOR OF THIS YEAR'S MAKING STRIDES AGAINST BREAST CANCER WALK. THE RRH BEHAVIORAL HEALTH TEAM IS JOINING THOUSANDS OF TEAMS ACROSS THE COUNTRY TO HELP SAVE LIVES AND BRING HOPE TO THOSE AFFECTED BY SUICIDE BY JOINING THE AMERICAN FOUNDATION FOR SUICIDE PREVENTION (AFSP) COMMUNITY WALK. RAISING AWARENESS WILL HELP BRING AFSP ONE STEP CLOSER TO ITS GOAL OF REDUCING THE SUICIDE RATE BY 20% BY 2025. RRH CHEMICAL DEPENDENCY TEAM MEMBERS PARTICIPATED IN THE 8TH ANNUAL ROCOVERY 5K RUN/WALK AND X-CHALLENGE. THE ROCOVERY FITNESS 5K CELEBRATES THE HOPE WE FIND IN RECOVERY AND REMEMBERS LOVED ONES WHO HAVE BEEN LOST TO THE DISEASE OF ADDICTION. SEPTEMBER IS NATIONAL RECOVERY AWARENESS MONTH, AND THE CHEMICAL DEPENDENCY TEAM WAS THERE TO PROVIDE IMPORTANT INFORMATION TO THE COMMUNITY ON THE VARIOUS PROGRAMS WE HAVE TO AID THOSE IN NEED OF SUBSTANCE USE TREATMENT. RRH IS PROUD TO BE A SELECT SPONSOR OF THE WALK TO END ALZHEIMER'S. AT THE EVENT THE RRH TEAM WILL BE PROVIDING INFORMATION TO PARTICIPANTS. RRH'S YOUTH APPRENTICE PROGRAM (YAP) RECENTLY RECEIVED A GENEROUS DONATION FROM ADVANTAGE FEDERAL CREDIT UNION. THE DONATION, MADE POSSIBLE BY THE CREDIT UNION'S DEBIT CARD GIVE BACK PROMOTION, WILL ASSIST STUDENTS ENROLLED WITH YAP AND ITS MANY INITIATIVES THAT FOSTER STUDENT GROWTH. BASED OUT OF ROCHESTER GENERAL HOSPITAL, YAP COMBINES ACADEMIC WORK, MENTORING, AND VOLUNTEERISM TO SUPPORT STUDENT ACHIEVEMENT AND ALLOWS ROCHESTER CITY SCHOOL DISTRICT STUDENTS TO ACHIEVE A CAREER IN HEALTHCARE. MORE THAN 600 STUDENTS HAVE PARTICIPATED IN YAP, AND EVERY ONE OF THEM HAS GRADUATED FROM HIGH SCHOOL. THE COMMUNITY SERVICES TEAM AND NURSING STUDENTS FROM ISABELLA GRAHAM HART SCHOOL OF PRACTICAL NURSING PARTICIPATED AND REPRESENTED RRH AT A CALL TO WOMEN OF COLOR EVENT AT GENESEE VALLEY PARK.
PART II, COMMUNITY BUILDING ACTIVITIES:	AT ROCHESTER REGIONAL HEALTH, WE UNDERSTAND THAT THE HEALTH OF OUR COMMUNITY, ENVIRONMENT, AND FINANCES ARE ALL INTERTWINED. WE'RE MANAGING ALL OF OUR RESOURCES TO REDUCE OUR OVERALL ENVIRONMENTAL FOOTPRINT AND LEAD SUSTAINABILITY EFFORTS IN THE NORTHEAST. HOSPITALS CAN USE MORE THAN DOUBLE THE AMOUNT OF ENERGY AS COMMERCIAL BUILDINGS AND ON AVERAGE GENERATE MORE THAN THIRTY-THREE POUNDS OF WASTE PER PATIENT PER DAY WE'RE MAKING ROCHESTER REGIONAL HEALTH THE EXCEPTION.OUR SUSTAINABILITY DEPARTMENT IS DEDICATED TO HELPING IMPROVE THE HEALTHCARE EXPERIENCE, ENSURE A HEALTHY ENVIRONMENT, AND LOWER HEALTHCARE COSTS. WE'RE REDUCING WASTE, ELIMINATING TOXINS, AND CREATING A MORE SUSTAINABLE COMMUNITY NOW AND FOR THE FUTURE. A FEW OF THE MANY SUSTAINABILITY PROJECTS AN INITIATIVES UNDERWAY AT ROCHESTER REGIONAL HEALTH INCLUDE:LIGHTING UPGRADES - ROCHESTER REGIONAL CONTINUES TO EXPAND ENERGY EFFICIENCY THROUGH LIGHTING UPGRADES IN OUR BUILDINGS. THE PURPOSE OF LIGHTING UPGRADES ARE TO REDUCE OVERALL FINANCIAL AND ENERGY COSTS ASSOCIATED WITH ONE OF THE LARGEST ENERGY CONSUMERS IN A BUILDING: LIGHTING. LIGHTING UPGRADES INVOLVE SWITCHING OUT EXISTING INEFFICIENT BULBS/FIXTURES WITH MORE EFFICIENT ONES. THIS NOT ONLY REDUCES THE AMOUNT OF ENERGY CONSUMED BUT ALSO REDUCES THE ELECTRICITY COST OF THE BUILDING (FROM A SUPPLY CHARGE AND DEMAND CHARGE STANDPOINT) AS WELL AS THE BUILDING'S OVERALL CARBON FOOTPRINT BY REDUCING THE AMOUNT OF ELECTRICITY NEEDED TO BE GENERATED BY THE POWER PLANT.SHARP CONTAINER RECYCLING THIS PROGRAM WAS ESTABLISHED TO RECYCLE SHARP CONTAINERS RATHER THAN SEND THEM TO THE LANDFILL. THIS PREVENTS LANDFILLS FROM FILLING AS QUICKLY. ADDITIONALLY IT REDUCES THE AMOUNT OF HARMFUL GASES PRODUCED AND RELEASED INTO THE ATMOSPHERE, IMPROVING OVERALL HEALTH OF SURROUNDING COMMUNITIES. REPROCESSING OF SINGLE USE DEVICES - A PROGRAM SET UP TO MINIMIZE THE AMOUNT OF WASTE PRODUCED IN OUR OPERATING ROOMS. SINGLE USE DEVICES WHICH WOULD TYPICALLY BE THROWN AWAY AFTER A SINGLE USE ARE SENT TO A FACILITY IN WHICH THEY ARE CLEANED AND REPACKAGED TO BE USED IN OR'S ONCE AGAIN. THE PROGRAM IS SAFE AND EFFECTIVE AT REDUCING WASTE. THE BENEFITS INCLUDE POTENTIALLY SUBSIDIZED HOSPITAL COSTS (AS REPROCESSED DEVICES ARE LESS EXPENSIVE TO BUY THAN NEW DEVICES) AS WELL AS REDUCED LANDFILL USAGE AND RESULTING POLLUTION.RECYCLING - RECYCLING REDUCES WASTE AND INCREASES AVAILABLE RESOURCES FOR CURRENT GENERATIONS WHILE ALSO EXTENDING THE AMOUNT OF RESOURCES AVAILABLE FOR FUTURE GENERATIONS. DURING 2022, RRH, THROUGH ITS RECYCLING EFFORTS REDUCE WASTE IN LANDFILLS BY ALMOST 1,962,000 POUNDS.SOLAR ENERGY IN 2021, RRH LAUNCHED NEW COMMUNITY SOLAR PROGRAM. WITH THE IMPLEMENTATION OF THIS PROGRAM, RRH HAS TAKEN A SIGNIFICANT STEP TOWARD SOURCING ALL ELECTRICITY THROUGH RENEWABLE SOURCES BY 2025. THE HEALTH SYSTEM IS COMBINING COMMUNITY SOLAR WITH OUR OWN ON-SITE SOLAR, ENERGY EFFICIENCY MEASURES AND OTHER INITIATIVES TO REDUCE OUR CARBON FOOTPRINT. THE ABILITY TO COMPLEMENT RRH'S ON-SITE SOLAR WITH A COMMUNITY SOLAR AGREEMENT GIVES US THE OPPORTUNITY TO OFFSET ENERGY USAGE AT OUR MANY SITES ACROSS THE REGION, WHILE ALSO PROVIDING A GREEN ENERGY OPTION FOR OUR NEIGHBORS. THREE COMMUNITY SOLAR FARMS IN SPENCERPORT WILL PROVIDE SOLAR CREDITS TO ROCHESTER GENERAL HOSPITAL, UNITY HOSPITAL AND ST. MARY'S CAMPUS. A COMMUNITY SOLAR FARM IN LOCKPORT WILL PROVIDE SOLAR CREDITS TO UNITED MEMORIAL MEDICAL CENTER, AND A COMMUNITY SOLAR FARM IN GHENT WILL PROVIDE SOLAR CREDITS TO CLIFTON SPRINGS HOSPITAL & CLINIC AND NEWARK-WAYNE COMMUNITY HOSPITAL. DURING 2022 NEARLY 12M KWH WERE PROVIDED BY SOLAR SOURCES.
PART III, LINE 4:	IN 2022, THE ORGANIZATION CONTINUED ITS ENHANCED PROCESS FOR OBTAINING ADDITIONAL FINANCIAL INFORMATION FOR UNINSURED AND UNDER-INSURED PATIENTS WHO HAVE NOT SUPPLIED THE REQUISITE INFORMATION TO DETERMINE IF THEY QUALIFY FOR CHARITY CARE. THE ADDITIONAL INFORMATION OBTAINED WAS USED BY THE ORGANIZATION TO DETERMINE WHETHER TO QUALIFY PATIENTS FOR CHARITY CARE IN ACCORDANCE WITH THE ORGANIZATION'S POLICY. THE APPLICATION OF THIS ADDITIONAL INFORMATION IN 2022 RESULTED IN ADDITIONAL PATIENTS QUALIFYING FOR CHARITY CARE AND THUS RE-CLASSIFYING THIS AMOUNT FROM BAD DEBT EXPENSE. BAD DEBT EXPENSE ON PART III, LINE 2 REPRESENTS ESTIMATED UNCOLLECTIBLE CHARGES FOR THOSE PATIENTS UNWILLING, NOT UNABLE, TO PAY.BAD DEBT COSTING METHODOLOGY:THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HOSPITAL FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE HOSPITAL. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE HOSPITAL'S POLICIES.BAD DEBT EXPENSE IS RECORDED USING THE VALUATION METHOD AS OUTLINED IN HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT 15, WHICH REQUIRES BAD DEBT EXPENSE TO BE RECORDED AT THE AMOUNT THAT THE PAYER IS EXPECTED TO PAY. THE PROVISION FOR BAD DEBTS REPRESENTS ESTIMATED UNCOLLECTIBLE CHARGES OF PATIENTS UNWILLING TO PAY. IN 2022, 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: THE ORGANIZATION USED THE FILED 2022 CMS COST REPORT TO DETERMINE THE MEDICARE ALLOWABLE COSTS OF CARE RELATING TO PAYMENTS RECEIVED FROM MEDICARE. MEDICARE SHORTFALLS, WHICH ARE COSTS INCURRED BY THE HOSPITAL TO PROVIDE QUALITY CARE AND TREATMENT TO ITS PATIENTS, SHOULD BE TREATED AS A COMMUNITY BENEFIT. TO NOT INCUR THESE COSTS WOULD POTENTIALLY LIMIT OR EVEN COMPROMISE THE QUALITY OF SERVICE PROVIDED.
PART III, LINE 9B:	ALL PATIENTS WILL BE OFFERED THE OPPORTUNITY TO APPLY FOR CHARITY CARE. AT SEVERAL POINTS WITHIN THE HEALTH SYSTEM AND WEBSITE, THE FINANCIAL AID A/K/A CHARITY CARE PROGRAM WILL BE VISIBLE, OFFERED, EXPLAINED AND ASSISTED WITH APPLYING FOR THE PROGRAM. ONCE THE PATIENT SUBMITS THE COMPLETED CHARITY CARE APPLICATION, THE ACCOUNT IS PLACED ON HOLD AND ALL COLLECTION ACTIVITIES ARE SUSPENDED UNTIL AN ELIGIBILITY DETERMINATION IS MADE. IF THE PATIENT IS ELIGIBLE FOR CHARITY CARE, THE PATIENT IS THEN NOTIFIED OF THE LEVEL OF CHARITY CARE THAT HAS BEEN AWARDED. IF THE PATIENT QUALIFIES FOR 100% CHARITY CARE, THE DISCOUNT IS AWARDED AND ADDITIONAL BILLS ARE NO LONGER SENT TO THE PATIENT AS THE PENDING BILLS WILL BE ADJUSTED OFF. IF THE PATIENT QUALIFIES FOR LESS THAN 100% CHARITY CARE, THAN THE PATIENT WILL RECEIVE A BILL PURSUANT TO THE PRIVATE PAY COLLECTION POLICY FOR ONLY THE REMAINING BALANCE OWED AFTER THE CHARITY CARE PORTION HAS BEEN ADJUSTED. ONCE A COMPLETED APPLICATION IS RECEIVED, THE PATIENT WILL BE NOTIFIED OF APPROVAL DETERMINATION WITHIN 30 DAYS. THE FINANCIAL ASSISTANCE COUNSELOR WILL, UPON APPROVING A PATIENT FOR A FINANCIAL ASSISTANCE DISCOUNT, INCLUDE ANY AND ALL COVERED SERVICE ACCOUNTS WITH OPEN BALANCES UP TO 240 DAYS BACK FROM THE DATE THE PATIENT COMPLETED THE APPLICATION AND UP TO 12 MONTHS FORWARD. ONLY AFTER PATIENT'S LIABILITY HAS BEEN DETERMINED FOLLOWING PROCESSING OF APPLICATIONS FOR GOVERNMENT ASSISTANCE, CHARITY CARE, AND/OR INSURANCE CARRIER REMITTANCE WILL THE PATIENT STATEMENT BE MAILED FOR PAYMENT RECOVERY. PATIENTS ARE ALSO GIVEN THE OPPORTUNITY TO ESTABLISH AN AFFORDABLE PAYMENT PLAN EITHER DIRECTLY ON THEIR OWN THROUGH THE SYSTEM PORTAL OR THROUGH THE CUSTOMER SERVICE DEPARTMENT. EVERY AVAILABLE OPTION WILL BE UTILIZED TO ASSIST PATIENTS WHO ARE IN FINANCIAL NEED. THE HOSPITAL'S COLLECTION PRACTICES SET FORTH IN ITS WRITTEN DEBT COLLECTION POLICY APPLY TO ALL PATIENT TYPES OF THE HOSPITAL. AT NO TIME WILL THE PATIENT'S FINANCIAL SITUATION BECOME A BARRIER TO THEIR CARE.
PART VI, LINE 2:	DURING 2022, A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED JOINTLY BY THE HOSPITALS SERVING MONROE COUNTY, NY IN COLLABORATION WITH MONROE COUNTY COMMUNITY HEALTH IMPROVEMENT WORKGROUP AND MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH (MCDPH). ALSO INSTRUMENTAL IN THE COMMUNITY HEALTH IMPROVEMENT PROCESS ARE SEVERAL PARTNERS INCLUDING THE LOCAL DSRIP ORGANIZATION FINGER LAKES PERFORMING PROVIDER SYSTEM (FLPPS), COMMON GROUND HEALTH (OUR LOCAL POPULATION HEALTH IMPROVEMENT PROGRAM (PHIP) AND MONROE COUNTY OFFICE OF MENTAL HEALTH (MCOMH). ROCHESTER REGIONAL HEALTH (THE PARENT OF ROCHESTER GENERAL HOSPITAL) AND THE FOLLOWING OTHER HOSPITALS OF MONROE COUNTY ARE PARTNERS IN HELPING TO IDENTIFY UNMET AND EMERGING HEALTH CARE NEEDS IN THE MONROE COUNTY COMMUNITY:1) UNITY HOSPITAL2) STRONG MEMORIAL HOSPITAL3) HIGHLAND HOSPITALTHE COMMUNITY HEALTH IMPROVEMENT WORKGROUP (CHIW) IS THE OVERSIGHT BODY FOR THE ASSESSMENT PROCESS AND DEVELOPMENT OF THE CHNA REPORT. THE CHIW IS MADE UP OF REPRESENTATIVES FROM EACH HOSPITAL AS WELL AS PUBLIC HEALTH EXPERTS FROM THE MCDPH AND COMMUNITY MEMBER EXPERTS FROM FLPPS, PHIP AND MCOMH. IN ADDITION TO THE CHIW, SEVERAL OTHER ORGANIZATIONS COLLABORATED IN THE DEVELOPMENT OF THE CHNA. THESE ORGANIZATIONS AND PROGRAMS INCLUDE: AFRICAN AMERICAN HEALTH COALITION; LATINO HEALTH COALITION; MATERNAL CHILD HEALTH ADVISORY GROUP; MONROE COUNTY BOARD OF HEALTH; AND THE COMMUNITY ADVISORY COUNCIL. ADDITIONALLY, IN 2018 COMMON GROUND HEALTH CONDUCTED A REGIONAL "MY HEALTH STORY" SURVEY OF COMMUNITY MEMBERS TO LEARN MORE ABOUT HEALTH BEHAVIORS AND BARRIERS TO HEALTHY LIVES. WITH PARTICULAR ATTENTION TO GATHERING INPUT FROM A DIVERSE GROUP OF PARTICIPANTS, OVER 4,000 PEOPLE WERE SURVEYED. THE SURVEY ASKS ABOUT A WIDE RANGE OF TOPICS FROM ACCESS TO MEDICAL AND DENTAL CARE TO PERCEPTIONS OF PERSONAL SAFETY AND SATISFACTION WITH WORK. THIS DATA WAS AN IMPORTANT SOURCE OF COMMUNITY INPUT AND THE NEXT MY HEALTH STORY SURVEY IS PLANNED FOR 2022. DATA WERE COLLECTED FROM A VARIETY OF SOURCES TO COMPLETE THIS NEEDS ASSESSMENT. SOURCES INCLUDE, BUT ARE NOT LIMITED TO, THE US CENSUS BUREAU AMERICAN COMMUNITY SURVEY, NEW YORK STATE EXPANDED BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, CDC PLACES, 211/LIFE LINE, MY HEALTH STORY, AND COUNTY HEALTH RANKINGS. PARTICULAR ATTENTION WAS GIVEN TO THE NEW YORK STATE PREVENTION AGENDA DASHBOARDS. DATA WERE COLLECTED FOR THE MOST RECENT TIMEFRAME AVAILABLE DURING THE DATA COLLECTION PHASE WHICH TOOK PLACE IN WINTER 2021/SPRING 2022. DATA SOURCES ARE REFERENCED THROUGHOUT THE CHNA AND CHIP.THE CHIW FOLLOWED THE AHA ACHI COMMUNITY HEALTH IMPROVEMENT PROCESS MODEL IN CONDUCTING THE CHNA AND CHIP. IN RANKING THE MANY HEALTH NEEDS OF MONROE COUNTY, THE CHIW MEMBERS DEVELOPED CRITERIA FOR PRIORITIZATION PRIOR TO REVIEWING DATA. THOSE TOP CRITERIA ARE: SIGNIFICANT NEED SUBSTANTIATED BY DATA ABILITY TO INTERVENE AHEAD OF A PROBLEM IMPORTANCE OF THE PROBLEM TO THE COMMUNITY IMPORTANCE OF THE PROBLEM TO THE COMMUNITY IN LIGHT OF THE PANDEMIC SOLUTIONS THAT ADDRESS THE FULL AGE SPECTRUM OF THE COMMUNITY FEASIBILITY OF SOLUTIONS AFTER A THOROUGH EXAMINATION OF MANY DIVERSE DATA SOURCES, AND AFTER MULTIPLE DISCUSSIONS AMONG THE CHIW MEMBERS, THERE WAS A STRONG INCLINATION TO NOT CHANGE THE PRIORITY AREAS FROM THE 2019-2021 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPROVEMENT PLAN. IT WAS AGREED THAT MONROE COUNTY HAS MADE SIGNIFICANT PROGRESS ON ESTABLISHING THE INFRASTRUCTURE TO SUPPORT INITIATIVES IN THE AREAS OF MENTAL HEALTH AND DISPARITIES IN MATERNAL AND CHILD HEALTH. THIS INCLINATION WAS SUPPORTED ALSO BY THE COVID PANDEMIC SLOWING DOWN IMPLEMENTATION WORK ON THE CHIP IN THE PAST FEW YEARS.THE 2022-2024 COMMUNITY HEALTH IMPROVEMENT PLAN OUTLINES THE PRIORITIES IDENTIFIED IN THE CHNA AND PROVIDES INTERVENTIONS TO IMPACT THE HEALTH PRIORITIES AS FOLLOWS: PRIORITY 1: PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN: REDUCE RACIAL, ETHNIC, ECONOMIC AND GEOGRAPHIC DISPARITIES IN MATERNAL AND CHILD HEALTH OUTCOMES AND PROMOTE HEALTH EQUITY FOR MATERNAL AND CHILD POPULATIONS. PRIORITY 2: PROMOTE WELL-BEING TO PREVENT MENTAL AND SUBSTANCE USE DISORDERS: STRENGTHEN OPPORTUNITIES TO BUILD WELL-BEING AND RESILIENCE ACROSS THE LIFESPAN AND FACILITATE SUPPORTIVE ENVIRONMENTS THAT PROMOTE RESPECT AND DIGNITY FOR PEOPLE OF ALL AGES.
PART VI, LINE 3:	ROCHESTER REGIONAL HEALTH INFORMS INDIVIDUALS OF THE AVAILABLE FINANCIAL ASSISTANCE PROGRAM OFFERING FREE OR REDUCED PRICE SERVICES AT THE TIME OF REGISTRATION INTO INPATIENT, OUTPATIENT, EMERGENCY DEPARTMENT AND CLINICAL LOCATIONS. POSTERS INFORMING THE PATIENT/FAMILY OF ASSISTANCE ARE POSTED IN BOTH ENGLISH AND SPANISH AND AVAILABLE THROUGHOUT ROCHESTER REGIONAL HEALTH LOCATIONS. BROCHURES AND PAMPHLETS, IN BOTH ENGLISH AND SPANISH, INFORMING THE COMMUNITY ARE WIDELY DISTRIBUTED IN THE COMMUNITY AT CLINICS, HEALTH FAIRS, CHURCHES, SCHOOLS AND OTHER PUBLIC LOCATIONS. INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE IS ALSO AVAILABLE THROUGH ROCHESTER REGIONAL HEALTH'S WEBSITE AND PATIENTS MAY APPLY DIRECTLY THROUGH THE WEBSITE OR BY MAILING A PAPER APPLICATION. APPLICATIONS ARE AVAILABLE IN BOTH ENGLISH AND SPANISH. PATIENTS WITH A SELF-PAY BALANCE ARE NOTIFIED OF OUR FINANCIAL ASSISTANCE PROGRAM AND PAYMENT PLAN OPPORTUNITIES VIA THE PATIENT'S MONTHLY STATEMENT. NO PATIENT WILL BE DENIED ACCESS TO SERVICES DUE TO INABILITY TO PAY, EVERY EFFORT WILL BE FULLY MADE TO ACQUIRE FINANCIAL ASSISTANCE THAT MAY BE AVAILABLE FOR THEIR PARTICULAR SITUATION. ROCHESTER REGIONAL HEALTH OFFERS SEVERAL INITIATIVES TO HELP INDIVIDUALS IN OUR COMMUNITY ACCESS AFFORDABLE HEALTH CARE, INCLUDING:- FACILITATED ENROLLMENT - TO ASSIST ELIGIBLE INDIVIDUALS WITH HEALTH INSURANCE ENROLLMENT BY OFFERING EDUCATION AND APPLICATION ASSISTANCE FOR NEW YORK STATE OF HEALTH INSURANCE MARKETPLACE, MEDICAID, CHILD HEALTH PLUS, FAMILY HEALTH PLUS, PRENATAL CARE ASSISTANCE PROGRAM, AND STATE AID FOR CHILDREN WITH SPECIAL NEEDS. A DEDICATED TELEPHONE NUMBER IS AVAILABLE AND INFORMATION IS PUBLISHED IN PAMPHLETS AND BUSINESS CARDS AT ROCHESTER REGIONAL HEALTH SITES AND AT VARIOUS LOCATIONS THROUGHOUT THE COMMUNITY. ANY PATIENT MAY SELF-REFER TO A FACILITATED ENROLLER FOR ASSISTANCE AND PATIENT ACCESS STAFF AT EACH LOCATION ARE TRAINED ON HOW TO REFER THE PATIENT TO THE FACILITATED ENROLLERS. FACILITATED ENROLLERS ARE ALSO STATIONED ON SITE AT EACH HOSPITAL, EMERGENCY ROOM AND DESTINATION CAMPUSES FOR CONVENIENT ACCESS TO ASSISTANCE. IF A PATIENT IS NOT ABLE TO BE SEEN ON-SITE DURING AN APPOINTMENT OR VISIT, EVERY EFFORT IS MADE TO MAKE CONTACT VIA PHONE CALLS AND LETTER TO OFFER ASSISTANCE AFTER THE VISIT. - FINANCIAL ASSISTANCE PROGRAM -ROCHESTER REGIONAL HEALTH RECOGNIZES THE NEED IN OUR COMMUNITY TO PROVIDE FINANCIAL COUNSEL AND ASSISTANCE TO THOSE PATIENTS WITH LIMITED INCOME WHO FIND IT DIFFICULT TO MEET THE EXPENSES INCURRED IN RECEIVING HEALTH CARE SERVICES AT ROCHESTER REGIONAL HEALTH. IN KEEPING WITH OUR MISSION AND VALUES TO ENHANCE LIVES AND PRESERVE HEALTH OF OUR COMMUNITY AND PATIENTS BY ENABLING ACCESS TO A COMPREHENSIVE, FULLY INTEGRATED NETWORK OF THE HIGHEST QUALITY AND MOST AFFORDABLE CARE, DELIVERED WITH KINDNESS, INTEGRITY, AND RESPECT, ROCHESTER REGIONAL HEALTH OFFERS A FINANCIAL ASSISTANCE PROGRAM TO EVERY PATIENT. AT NO TIME WILL FINANCIAL CONCERNS BECOME A BARRIER TO CARE FOR THE PATIENT. THE ROCHESTER REGIONAL HEALTH FINANCIAL ASSISTANCE PROGRAM OFFERS FREE OR REDUCED-PRICES FOR INSURED AND UNDERINSURED PATIENTS TREATED AT ROCHESTER REGIONAL HEALTH HOSPITALS, OUTPATIENT, EMERGENCY ROOMS, ANCILLARY AND ALL CLINIC LOCATIONS. DISCOUNTS ARE AWARDED BASED UPON INCOME AND FAMILY SIZE. ROCHESTER REGIONAL HEALTH'S FINANCIAL ASSISTANCE PROGRAM TAKES INTO ACCOUNT EACH INDIVIDUAL PATIENT'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER HEALTHCARE SERVICES. ALL INDIVIDUALS ARE ENCOURAGED AND MAY APPLY FOR AND BE CONSIDERED FOR FINANCIAL ASSISTANCE. A DEDICATED PHONE LINE FOR FINANCIAL AID QUESTIONS AND ASSISTANCE HAS BEEN MADE AVAILABLE. ROCHESTER REGIONAL HEALTH ALSO PARTICIPATES IN FEDERAL GRANT PROGRAMS ASSISTING LOW INCOME PATIENTS WITH REDUCED PRICES AND ASSISTANCE WITH PRESCRIPTION MEDICATION COSTS. ROCHESTER REGIONAL HEALTH PARTICIPATES IN THE HEALTH RESOURCES & SERVICES ADMINISTRATION SLIDING FEE DISCOUNT PROGRAM FOR FEDERALLY QUALIFIED HEALTH CENTERS. THIS PROGRAM IS BASED ON APPROVED CLINICAL SITES AND OFFERS PATIENTS DISCOUNTS WITH OFFICE VISITS, ANCILLARY VISITS, AND PRESCRIPTION DRUG COST REDUCTIONS. BOTH THE FEDERAL GOVERNMENT AND ROCHESTER REGIONAL HEALTH PROGRAMS CAN BE AWARDED TO THE PATIENT TO ENSURE ALL BENEFITS ARE OBTAINED THAT ARE POSSIBLY AVAILABLE TO ASSIST WITH THE PATIENT'S HEALTHCARE COSTS.- PRESUMPTIVE FINANCIAL AID ASSISTANCE ROCHESTER REGIONAL HEALTH ALSO RECOGNIZES THERE ARE TIMES IT MIGHT BE DIFFICULT FOR THE PATIENT TO FORMALLY APPLY FOR FINANCIAL ASSISTANCE. IF THERE IS SUFFICIENT INFORMATION TO IDENTIFY THAT A PATIENT IS POTENTIALLY ELIGIBLE FOR A FINANCIAL ASSISTANCE DISCOUNT, THE PATIENT'S BILL MAY BE CONSIDERED TO BE PRESUMPTIVELY ELIGIBLE FOR A FINANCIAL ASSISTANCE DISCOUNT. PRESUMPTIVE ELIGIBILITY IS DEFINED AS THE DETERMINATION THAT A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON INFORMATION OTHER THAN THAT PROVIDED BY THE PATIENT, OR, BASED ON A PRIOR FINANCIAL ASSISTANCE ELIGIBILITY DETERMINATION. THE HOSPITAL MAY UTILIZE ANALYTIC SOFTWARE OR AN ANALYTIC SERVICES VENDOR TO SUPPORT SUCH PRESUMPTIVE FINANCIAL ASSISTANCE PROCESSING. IF A PATIENT IS DETERMINED TO BE PRESUMPTIVELY ELIGIBLE FOR A FINANCIAL ASSISTANCE DISCOUNT, THE DISCOUNT AMOUNT WILL BE AUTOMATICALLY ADJUSTED FROM THE PATIENT'S BILL AND WILL BE REFLECTED ON THE PATIENT'S NEXT BILLING STATEMENT. EVERY OPPORTUNITY WILL BE TAKEN AND EXPLORED WHERE ASSISTANCE CAN BE GIVEN TO OUR PATIENT BASE, ENSURING THEIR HEALTH CARE IS NOT IMPEDED BY ANY FINANCIAL CONCERNS.
PART VI, LINE 4:	ROCHESTER GENERAL HOSPITAL SERVES MORE THAN ONE MILLION PEOPLE EACH YEAR, PRIMARILY FROM THE CITY OF ROCHESTER AND SURROUNDING AREAS OF MONROE COUNTY. IN 2022, RGH PROVIDED CARE TO UNDER 82,300 PATIENTS WHO VISITED THE EMERGENCY DEPARTMENT, INCLUDING TENT VISITS AND IMMEDIATE CARE, EXPERIENCED MORE THAN 33,100 INPATIENT/OBSERVATION DISCHARGES AND OVER 1,359,800 OUTPATIENT ENCOUNTERS. IN MONROE COUNTY, OUR PRIMARY SERVICE AREA, THE POPULATION TOTALED OVER 743,000 PEOPLE (2020 CENSUS) AND IS 70% WHITE, 15% AFRICAN AMERICAN, 9% OF THE POPULATION IDENTIFYING AS HISPANIC OR LATINO AND 10% AS OTHER. ON AVERAGE, APPROXIMATELY 14% OF HOUSEHOLDS IN MONROE COUNTY ARE LIVING AT OR BELOW THE POVERTY LEVEL. IN THE CITY OF ROCHESTER ITSELF, HOWEVER, 30% OF HOUSEHOLDS ARE LIVING IN POVERTY COMPARED TO 8% IN THE SUBURBS. AS WITH THE REST OF THE US, AGE DISPARITY IS HAPPENING IN MONROE COUNTY. SINCE 2017, THE NUMBER OF OLDER ADULTS IN MONROE COUNTY HAS INCREASED BY ~10,000 WHILE THE NUMBER OF CHILDREN HAS DECREASED BY ~5,000. DATA INDICATE THAT THE ELDERLY POPULATION IS GROWING AT A HIGHER RATE IN THE SUBURBS IN COMPARISON TO THE CITY OF ROCHESTER AND, AS SUCH, EFFORTS TO INCREASE VOLUME OF SERVICES AND SUPPORT FOCUSED ON THE ELDERLY POPULATION MAY BE MORE EFFICIENTLY TARGETED IN THE OUTLYING SUBURB COMMUNITIES.ADDITIONALLY, ROCHESTER IS ALSO ONE OF ONLY FOURTEEN CITIES NATIONWIDE (AND ONE OF TWO IN NEW YORK STATE) THAT IS DESIGNATED BY THE FEDERAL OFFICE OF REFUGEE RESETTLEMENT FOR THE UNACCOMPANIED REFUGEE MINORS PROGRAM, AND BECAUSE OF THIS AND OTHER SIGNIFICANT PROGRAMS FOR REFUGEE RESETTLEMENT, WE HAVE AN UNUSUALLY LARGE NUMBER OF INDIVIDUALS WHO ARE FOREIGN-BORN AND SPEAK A LANGUAGE OTHER THAN ENGLISH. IN ADDITION TO PROVIDING HIGH-QUALITY SERVICES TO INDIVIDUALS FROM THROUGHOUT THE AREA, BECAUSE ROCHESTER GENERAL HOSPITAL IS LOCATED IN ONE OF THE POOREST AREAS WITHIN THE CITY, WE PROVIDE A HEALTH CARE "SAFETY NET" FOR A SUBSTANTIAL AND DIVERSE POPULATION OF LOW INCOME AND UN- OR UNDERINSURED INDIVIDUALS IN THE ROCHESTER AREA.
PART VI, LINE 5:	MEDICAL STAFFRGH MEDICAL STAFF HAS OVER 1,500 CURRENTLY ACTIVE STAFF MEMBERS. THESE PHYSICIANS REPRESENT A BROAD SPECTRUM OF PRIMARY CARE AND SPECIALTY SERVICES. AS AN AFFILIATE OF ROCHESTER REGIONAL HEALTH, OUR PATIENTS HAVE SEAMLESS ACCESS TO ADDITIONAL SPECIALISTS INCLUDING THE WORLD-CLASS PROVIDERS AT THE SANDS-CONSTELLATION HEART INSTITUTE AND THE LIPSON CANCER INSTITUTE.VOLUNTEERS/AUXILIANSMEMBERS OF COMMUNITIES FROM ACROSS MONROE AND SURROUNDING COUNTIES HAVE ALWAYS PLAYED AN IMPORTANT ROLE IN ADVOCATING FOR, AND OFFERING ASSISTANCE AT RGH. IN 2022, MORE THAN 275 VOLUNTEERS PROVIDED MORE THAN 24,000 HOURS OF SERVICE AT RGH. DESPITE THE PRESENCE OF COVID, THE COMMUNITY REMAINS COMMITTED TO PROVIDING ASSISTANCE OTHERS. BOARD OF DIRECTORS AND COMMUNITY GUIDANCERGH ENSURES COMMUNITY CONTROL OVER THE CORPORATION THROUGH ITS BOARD OF DIRECTORS, COMPRISED OF COMMUNITY AND FAITH LEADERS, AND LEADERS IN BUSINESS AND INDUSTRY, HEALTHCARE, AND PHYSICIANS REPRESENTING THE MEDICAL STAFF OF THE ORGANIZATION. THE MAJORITY OF THE DIRECTORS RESIDE IN THE ROCHESTER AREA AND EACH DIRECTOR SERVES A THREE-YEAR TERM.USE OF SURPLUS FUNDSSURPLUS FUNDS ARE USED TO FURTHER THE MISSION AND OPERATIONS OF THE ORGANIZATION, SUCH AS REINVESTING IN COMMUNITY BENEFIT PROGRAMS, AND MAKING IMPROVEMENTS IN FACILITIES, PATIENT CARE, MEDICAL, NURSING AND ALLIED HEALTH TRAINING, EDUCATION AND RESEARCH IN SUPPORT OF THE HEALTH NEEDS OF THE COMMUNITY AS WELL AS USED FOR CHARITY CARE.
PART VI, LINE 7, REPORTS FILED WITH STATES	NY
PART VI, LINE 6:	ROCHESTER REGIONAL HEALTH (ROCHESTER REGIONAL) (I.E. THE PARENT ORGANIZATION AND ITS RELATED AFFILIATES) HAS PROVIDED HIGH QUALITY HEALTHCARE SERVICES TO THE GREATER ROCHESTER NY AREA AND SURROUNDING REGIONS FOR MORE THAN 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 MODEL THAT IS, TO PRIORITIZE INVESTMENTS IN GROWTH AND SERVICES THAT CREATE LONG-TERM VALUE. DESPITE THE ONGOING IMPACT OF COVID-19, ROCHESTER REGIONAL CONTINUES TO CELEBRATE PROGRESS ON THE FOLLOWING INITIATIVES ESSENTIAL TO THE FUTURE OF THE INSTITUTION AND THE HEALTH OF THE NEW YORK STATE COMMUNITIES IT SERVES: 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 WHICH OPENED IN OCTOBER 2021 EXPANDED SERVICES IN 2022 WITH THE ADDITION OF AN URGENT CARE CENTER. 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: NEW AT RRH: TRANSCRANIAL MAGNETIC STIMULATION (TMS) - RRH IS NOW OFFERING, FOR THE FIRST TIME, A NEW TREATMENT OPTION TO PATIENTS WITH TREATMENT-RESISTANT DEPRESSION. TMS IS A NONINVASIVE FORM OF BRAIN STIMULATION PERFORMED ON AN OUTPATIENT BASIS. APPROXIMATELY ONE-THIRD OF TMS PATIENTS HAVE EXPERIENCED THEIR SYMPTOMS GO AWAY COMPLETELY. MAJOR DEPRESSION AFFECTS AS MUCH AS 15% OF THE U.S. POPULATION EVERY YEAR, AND ONLY 60% TO 70% OF SUFFERERS RESPOND TO TRADITIONAL ANTIDEPRESSANT THERAPIES. RRH PROVIDING TMS CAN NOW GIVE EVEN MORE PATIENTS HOPE. 1ST IN THE REGION: RRH OFFERS NEW IMPLANT FOR HERNIATED DISCS - ROCHESTER REGIONAL HEALTH IS THE FIRST IN THE REGION TO PROVIDE A NEW SPINE IMPLANTBARRICAID ANNULAR CLOSURE DEVICE TO PATIENTS WHO SUFFER FROM HERNIATED DISCS. THE DEVICE IS A SPINAL IMPLANT THAT PREVENTS RE-HERNIATION BY SEALING THE HOLE IN A PATIENT'S LUMBAR DISC FOLLOWING DISCECTOMY. STUDIES SHOW IT REDUCES THE RISK OF REOPERATION FOR RE-HERNIATION BY 81 PERCENT. HERNIATED DISCS ARE THE TOP CAUSE OF NECK, BACK, AND LEG PAIN IN THE UNITED STATES AND UNTIL NOW UP TO 20% OF PATIENTS WHO UNDERWENT DISCECTOMY SURGERY TO REMOVE A DISC BULGE EXPERIENCED RE-HERNIATION. MEADOW RESERVE SENIOR HOUSING - THE 80-APARTMENT COMPLEX WILL PROVIDE LOCAL SENIORS WITH THE SUPPORT THEY NEED TO AGE IN PLACE AND LIVE INDEPENDENTLY, LONGER. THE FACILITY IS OWNED AND OPERATED BY ROCHESTER MANAGEMENT AND, THROUGH A SPECIAL PARTNERSHIP WITH RRH, RESIDENTS WILL HAVE ACCESS TO ONSITE EVALUATION OF THEIR NEEDS AND PERSONALIZED SERVICE COORDINATION TO CONNECT WITH HEALTH CARE PROVIDERS. ADVANCED TELEMEDICINE: TYTOCARE MEDICAL EXAM KIT - TO HELP ADVANCE TELEMEDICINE SERVICES TO MEET PATIENTS WHERE THEY ARE, RRH IS NOW WIDELY OFFERING TYTOCARE MEDICAL EXAM KITS. RRH IS THE FIRST HEALTH SYSTEM IN OUR REGION TO OFFER THE FDA-CLEARED MEDICAL KIT, WHICH ALLOWS PROVIDERS TO GUIDE PATIENTS THROUGH MEDICAL EXAMS IN REAL-TIME VIDEO VISITS FROM ANYWHERE, INCLUDING IN THE COMFORT OF THEIR HOMES. AFTER LINKING TO WI-FI IN THE TYTOCARE APP, THE MEDICAL EXAM KIT CAN HELP PROVIDERS GUIDE USERS TO A DIAGNOSIS AND TREATMENT FOR MANY COMMON CONDITIONS, INCLUDING: ALLERGIES, BUG BITES, COLDS, CONGESTION, EAR INFECTIONS, FEVERS, PINK EYE, RASHES, SINUS PAIN, STOMACH ACHES, ETC. NEW PARTNERSHIPS: SANDS-CONSTELLATION HEART INSTITUTE CLINIC AT MEDINA HOSPITAL - THANKS TO A NEW COLLABORATION BETWEEN ROCHESTER REGIONAL HEALTH, ORLEANS COMMUNITY HEALTH AND MEDINA MEMORIAL HOSPITAL, RESIDENTS IN THE MEDINA AND ALBION AREAS NOW HAVE ACCESS TO A BOARD-CERTIFIED, SANDS-CONSTELLATION HEART INSTITUTE (SCHI) CARDIOLOGIST CLOSER TO HOME. RRH OPENED A NEW SCHI CLINIC ON THE FIRST FLOOR OF MEDINA MEMORIAL HOSPITAL. NEW ADDITION: URGENT CARE NOW OPEN ON GENESEO MEDICAL CAMPUS - RRH'S NEWEST URGENT CARE OPENED IN 2022 ON THE GENESEO MEDICAL CAMPUS, INCREASING ACCESS TO PROMPT MEDICAL SERVICES TO THE REGION. THE NEW LOCATION IS A CONVENIENT OPTION FOR RESIDENTS IN THE SOUTHERN TIER WHEN MINOR ILLNESS OR INJURY OCCURS AFTER HOURS OR WHEN THEIR PRIMARY CARE OFFICE IS NOT AN OPTION. PROVIDERS AND STAFF ARE TRAINED TO DIAGNOSE AND TREAT MOST NON-LIFE THREATENING INJURIES FROM RAPID STREP TO MINOR BURNS. THE GENESEO MEDICAL CAMPUS IS A ONE-STOP FACILITY OFFERING NEARLY A DOZEN NEW AND EXISTING SPECIALTY SERVICESAND NOW FEATURING URGENT CARE. WELCOME: RRH ACQUIRES LAKE PLAINS MEDICAL - RRH IS EXPANDING OUR INTERNAL MEDICINE SERVICES AND PROGRAMS FOOTPRINT BY ACQUIRING LAKE PLAINS MEDICAL IN ALBION AND MEDINA. NEW SURGICAL METHOD: RRH INTRODUCES VNOTES MINIMALLY INVASIVE GYNECOLOGIC LAPAROSCOPY ROCHESTER REGIONAL HEALTH HAS BECOME THE FIRST HEALTH SYSTEM IN OUR REGION TO OFFER A NEW METHOD OF MINIMALLY INVASIVE GYNECOLOGIC SURGERY CALLED VAGINAL NATURAL ORIFICE TRANSLUMINAL ENDOSCOPIC SURGERY (VNOTES). WITH VNOTES, PATIENTS RECOVER FASTER, GO HOME SOONER, HAVE LESS POST-OPERATIVE PAIN, AND HEAL WITH NO VISIBLE SCARRING. VNOTES IS A TYPE OF LAPAROSCOPIC SURGERY. THROUGH A VAGINAL INCISION AND USING SPECIALIZED INSTRUMENTS, SURGEONS CAN OPERATE ON THE UTERUS, FALLOPIAN TUBES, AND OVARIES. PROCEDURES THAT CAN BE PERFORMED THIS WAY INCLUDE TUBAL STERILIZATION (AKA TUBAL LIGATION), REMOVAL OF THE FALLOPIAN TUBES OR OVARIES, DRAINAGE AND EXCISION OF OVARIAN CYSTS, AND HYSTERECTOMY. CONTINUING EDUCATION: NEW LEARNING SERIES FOCUSES ON GERIATRIC SURGERY - ROCHESTER REGIONAL HEALTH HAS PARTNERED WITH THE HARTFORD INSTITUTE FOR GERIATRIC NURSING (HIGN) IN CREATING A NEW EDUCATIONAL MODULE FOCUSED ON PROVIDING AGE-SENSITIVE CARE TO OLDER ADULTS THROUGH THE PERIOPERATIVE EXPERIENCE. THE PROGRAM, INTEGRATING THE GERIATRIC SURGERY VERIFICATION (GSV) PROGRAM WITH THE 4MS SERIES, WAS RECENTLY ROLLED OUT TO EMPLOYEES AT UNITY HOSPITAL, NEWARK-WAYNE COMMUNITY HOSPITAL, AND CLIFTON SPRINGS HOSPITAL & CLINIC. THROUGHOUT EACH INTERACTIVE CASE STUDY, RRH EMPLOYEES WILL ASSESS AND DETERMINE BEST PRACTICES FOR CARING FOR OLDER ADULT PATIENTS BASED ON THE "4MS": WHAT MATTERS, MEDICATION, MENTATION, AND MOBILITY FRAMEWORK AND THE GSV PROGRAM STANDARDS. NOW OPEN: IMAGING SCANS ARE AN ESSENTIAL PART OF KEEPING OUR COMMUNITY HEALTHY. TO HELP SUPPORT THE GROWING NEED FOR IMAGING SERVICES, RRH HAS RECENTLY OPENED A NEW IMAGING CENTER AT THE LINDEN OAKS MEDICAL
PART VI, LINE 6 (CON'T):	CAMPUS. SERVICES AVAILABLE INCLUDE: X-RAYS, 3D MAMMOGRAM (INCLUDING DIAGNOSTICS), ULTRASOUNDS (INCLUDING BREAST ULTRASOUNDS & BIOPSIES), AND DEXA SCANS. NOW AVAILABLE: RRH EXPRESSCARE - IN SUPPORT OF OUR ONGOING EFFORT TO IMPROVE HEALTHCARE WITH TECHNOLOGY, ROCHESTER REGIONAL HEALTH OFFERS ON-DEMAND VIDEO VISITS THROUGH RRH EXPRESSCARE. RRH EXPRESSCARE ACTS AS A VIRTUAL URGENT CARE AND IS AVAILABLE 7 DAYS A WEEK. RRH EXPRESSCARE IS RECOMMENDED FOR PATIENTS WITH CONDITIONS SUCH AS EAR INFECTIONS, SORE THROAT, FEVER, COLD, ALLERGIES, STOMACH ISSUES, UPPER RESPIRATORY INFECTIONS, ASTHMA, AND RASHES. RRH JOINS NATIONAL HOSPITAL COALITION TO PREVENT GUN DEATHS AMONG CHILDREN - WHILE THERE IS NO EASY SOLUTION TO ADDRESS THE RISE IN RANDOM ACTS OF MASS GUN VIOLENCE IN OUR NATION, WE DO HAVE THE POWER TO PREVENT AN EVEN GREATER SOURCE OF GUN DEATHS IN AMERICA SUICIDE AND GUN ACCIDENTS. TODAY, THESE ARE THE LEADING CAUSE OF DEATH FOR KIDS IN AMERICA. AND THE SIMPLE ACT OF LOCKING UP GUNS AND AMMO REDUCES THE RISK OF SELF-INFLICTED OR UNINTENTIONAL INJURY TO KIDS BY 85%. OUR RRH BOARD AND OUR EXECUTIVE AND PHYSICIAN LEADERS UNANIMOUSLY AGREED TO HAVE RRH JOIN A COALITION OF U.S. HOSPITALS AND HEALTH SYSTEMS IN SUPPORT OF A NATIONWIDE PUBLIC SERVICE CAMPAIGN FOCUSED ON PREVENTING CHILD ACCESS TO GUNS. THE CAMPAIGN THEME IS, "IT DOESN'T KILL TO ASK, AND IS AIMED AT MAKING IT EASIER AND MORE COMFORTABLE FOR PARENTS, GRANDPARENTS, AND CAREGIVERS TO ASK ABOUT UNLOCKED GUNS IN PLACES WHERE CHILDREN MAY PLAY, BE CARED FOR, OR VISIT. 2022 CONTINUED TO BE A CHALLENGING YEAR WITH THE CONTINUATION 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 2022 AND INCLUDED: ROCHESTER REGIONAL CONTINUED TO PROVIDE EDUCATION REGARDING COVID-19 AND VACCINE ON MULTIPLE PLATFORMS INCLUDING: SOCIAL MEDIA, WEBSITE, MYCARE PATIENT PORTAL, PHONE MESSAGING, AND 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 2022, MORE THAN 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, INCLUSION AND JUSTICE 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 PROGRAMRRH AND ITS EMPLOYEES HAVE AN INCREDIBLY STRONG COMMITMENT TO THE COMMUNITIES THEY SERVE. IN 2022 EVENTS SPONSORED AND HELD BY RRH INCLUDE: CELEBRATING WOMEN AND CULTIVATING LEADERS - INTERNATIONAL WOMEN'S DAY ON MARCH 8, CELEBRATED WOMEN'S ACHIEVEMENTS AND HIGHLIGHTED THE PUSH FOR GENDER EQUITY. RRH HEEDS THE CALL TO ACTION AS WE WORK TO CULTIVATE THE NEXT GENERATION OF HEALTHCARE WORKERS. WOMEN'S HISTORY MONTH AND INTERNATIONAL WOMEN'S DAY PRESENTED THE PERFECT OPPORTUNITY TO INSPIRE ROCHESTER'S YOUNG WOMEN THROUGH RRH'S WOMEN IN HEALTHCARE, GOOD FOR OUR HEALTH PIPELINE INITIATIVE. RRH HOSTED STUDENTS FROM YOUNG WOMEN'S COLLEGE PREP CHARTER SCHOOL OF ROCHESTER TO EXPLORE, ENCOURAGE AND ENGAGE WITH VARIOUS CAREERS OPPORTUNITIES IN HEALTHCARE. THE EVENT INCLUDED INTERACTIVE WORKSHOPS, A PANEL DISCUSSION WITH HEALTHCARE PROFESSIONALS, AND INTENTIONAL CONNECTIONS FOR NETWORKING AND MENTORING. RRH EXHIBITS AT IMAGINE RIT - RRH IS EXCITED TO ONCE AGAIN BE A PREMIER SPONSOR OF IMAGINE RIT: CREATIVITY + INNOVATION FESTIVAL. THE 2022 FREE EVENT IS IN PERSON WITH 250+ EXHIBITS, INTERACTIVE PRESENTATIONS, HANDS-ON DEMONSTRATIONS, AND MORE. THE FESTIVAL TAKES PLACE ON THE RIT CAMPUS AND IS OPEN TO ALL AGES! RRH EXHIBITS INCLUDED: THERAPY DOGS; YOGA AND BREATHING EXERCISES; TYTOCARE TELEMEDICINE DEMONSTRATION; AND HEALTHY EATING COLORING ACTIVITY. BLACK MATERNAL HEALTH WEEK - A WEEK OF "AWARENESS, ACTIVISM, AND COMMUNITY BUILDING" TO DEEPEN THE CONVERSATION ABOUT BLACK MATERNAL HEALTH AND TO AMPLIFY COMMUNITY-DRIVEN DISCUSSIONS AND SOLUTIONS. BLACK WOMEN ARE MORE THAN THREE TIMES AS LIKELY TO DIE IN CHILDBIRTH AS WHITE WOMEN, THEY ARE MORE LIKELY TO BECOME SERIOUSLY ILL, AND THEIR CHILDREN ALSO FACE GREATER HEALTH RISKS. THE IMPORTANCE OF THIS NATIONAL MOVEMENT IS TO HIGHLIGHT THESE DISPARITIES. DURING THIS WEEK, RRH SPONSORED BUILDING FOR LIBERATION: CENTERING BLACK MAMAS, BLACK FAMILIES AND BLACK SYSTEMS OF CARE FOCUSING ON THE SCHOLARSHIP, CARE WORK, AND ADVOCACY CARRIED OUT BY BLACK MAMAS AND COMMUNITIES. RAISING AWARENESS: STROKE MONTH - RRH PARTNERED WITH THE ROCHESTER RED WINGS TO PROVIDE FREE BLOOD PRESSURE SCREENINGS, STROKE EDUCATION, AND TO MEET THE THERAPY DOGS DURING A GAME TO RAISE STROKE AWARENESS. ADDITIONALLY, MEMBERS OF THE ROCHESTER GENERAL AND UNITY STROKE TEAMS WERE AT THE EMS OPEN HOUSE AND COMMUNITY HEALTH FAIR IN WEBSTER. THEY EDUCATED FAIR ATTENDEES ABOUT STROKE PREVENTION TIPS. HAIR AND HEALTH SYMPOSIUM 2022 - RRH IS PARTNERING WITH COMMON GROUND HEALTH TO HOST THE 2022 HAIR AND HEALTH SYMPOSIUM. HAIR AND SKIN CONDITIONS CAN LOOK VERY DIFFERENT IN POPULATIONS OF COLOR. AS A RESULT, BARBERS AND STYLISTS ARE OFTEN TRUSTED FIGURES WHO PLAY AN IMPORTANT ROLE IN PROMOTING HEALTH IN COMMUNITIES OF COLOR. COMMUNITY SUPPORT: RRH EMPLOYEES STAND WITH BUFFALO - NUMEROUS RRH EMPLOYEES HAVE REACHED OUT WANTING TO KNOW HOW THEY CAN HELP THE BUFFALO COMMUNITY AFTER IT EXPERIENCED A CATASTROPHIC EVENT MOTIVATED BY HATE. MANY OF OUR COWORKERS HAVE CALLED BUFFALO HOME, SOME HAVE CONNECTIONS TO THE AREA, AND WE ALL SHARE A BOARDER WITH THE "CITY OF GOOD NEIGHBORS". AS BUFFALO RESIDENTS STRIVE TO MOVE FORWARD, RRH IS DEMONSTRATING OUR COMMITMENT TO JUSTICE, ANTI-RACISM, AND HUMANITY BY EXTENDING SUPPORT TO THE FAMILIES AND PEOPLE DIRECTLY IMPACTED BY THIS TRAGEDY. RRH IS PROUD TO BE A SPONSOR OF THE ONLY LOCAL EVENT THAT SPECIFICALLY HIGHLIGHTS GYNECOLOGIC CANCERS. THIS EVENT HELPS RAISE AWARENESS AND FUNDS TO SUPPORT PATIENTS IN OUR COMMUNITY IMPACTED BY THESE CANCERS. RRH IS ONCE AGAIN THE PRESENTING SPONSOR OF THIS YEAR'S MAKING STRIDES AGAINST BREAST CANCER WALK. THE RRH BEHAVIORAL HEALTH TEAM IS JOINING THOUSANDS OF TEAMS ACROSS THE COUNTRY TO HELP SAVE LIVES AND BRING HOPE TO THOSE AFFECTED BY SUICIDE BY JOINING THE AMERICAN FOUNDATION FOR SUICIDE PREVENTION (AFSP) COMMUNITY WALK. RAISING AWARENESS WILL HELP BRING AFSP ONE STEP CLOSER TO ITS GOAL OF REDUCING THE SUICIDE RATE BY 20% BY 2025. RRH CHEMICAL DEPENDENCY TEAM MEMBERS PARTICIPATED IN THE 8TH ANNUAL ROCOVERY 5K RUN/WALK AND X-CHALLENGE. THE ROCOVERY FITNESS 5K CELEBRATES THE HOPE WE FIND IN RECOVERY AND REMEMBERS LOVED ONES WHO HAVE BEEN LOST TO THE DISEASE OF ADDICTION. SEPTEMBER IS NATIONAL RECOVERY AWARENESS MONTH, AND THE CHEMICAL DEPENDENCY TEAM WAS THERE TO PROVIDE IMPORTANT INFORMATION TO THE COMMUNITY ON THE VARIOUS PROGRAMS WE HAVE TO AID THOSE IN NEED OF SUBSTANCE USE TREATMENT. RRH IS PROUD TO BE A SELECT SPONSOR OF THE WALK TO END ALZHEIMER'S. AT THE EVENT THE RRH TEAM WILL BE PROVIDING INFORMATION TO PARTICIPANTS. RRH'S YOUTH APPRENTICE PROGRAM (YAP) RECENTLY RECEIVED A GENEROUS DONATION FROM ADVANTAGE FEDERAL CREDIT UNION. THE DONATION, MADE POSSIBLE BY THE CREDIT UNION'S DEBIT CARD GIVE BACK PROMOTION, WILL ASSIST STUDENTS ENROLLED WITH YAP AND ITS MANY INITIATIVES THAT FOSTER STUDENT GROWTH. BASED OUT OF ROCHESTER GENERAL HOSPITAL, YAP COMBINES ACADEMIC WORK, MENTORING, AND VOLUNTEERISM TO SUPPORT STUDENT ACHIEVEMENT AND ALLOWS ROCHESTER CITY SCHOOL DISTRICT STUDENTS TO ACHIEVE A CAREER IN HEALTHCARE. MORE THAN 600 STUDENTS HAVE PARTICIPATED IN YAP, AND EVERY ONE OF THEM HAS GRADUATED FROM HIGH SCHOOL. THE COMMUNITY SERVICES TEAM AND NURSING STUDENTS FROM ISABELLA GRAHAM HART SCHOOL OF PRACTICAL NURSING PARTICIPATED AND REPRESENTED RRH AT
PART VI, LINE 6 (CON'T):	A CALL TO WOMEN OF COLOR EVENT AT GENESEE VALLEY PARK.DURING 2022 ROCHESTER REGIONAL HEALTH WAS RECOGNIZED BY THE FOLLOWING: CONGRATULATIONS: PCASI EARNS FIRST MAGNET DESIGNATION - RRH IS PROUD TO ANNOUNCE THAT PRIMARY CARE AND AMBULATORY SPECIALTY INSTITUTE (PCASI) ACHIEVED ITS FIRST MAGNET DESIGNATION IN 2022. PCASI IS THE FIRST PRIMARY CARE ORGANIZATION (AND ONLY THE SECOND AMBULATORY CARE GROUP) IN THE NATION TO RECEIVE A MAGNET DESIGNATION. MAGNET IS THE INTERNATIONALLY RECOGNIZED GOLD STANDARD OF EXCELLENCE IN THE NURSING PROFESSION BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC) AND LESS THAN 8% OF HEALTHCARE FACILITIES IN THE U.S. ARE MAGNET RECOGNIZED. PCASI NOW JOINS ROCHESTER GENERAL, UNITY, AND NEWARK-WAYNE COMMUNITY HOSPITALS IN REACHING THIS MILESTONE. CLIFTON SPRINGS HOSPITAL & CLINIC, UNITED MEMORIAL MEDICAL CENTER AND THE ST. LAWRENCE HOSPITALS ARE CURRENTLY UNDERWAY ON THEIR OWN MAGNET JOURNEYS. CONGRATULATIONS: RRH IS&T TEAM MEMBERS RECEIVE HDI AWARDS - ROCHESTER REGIONAL HEALTH'S IT SERVICE AND DELIVERY LEADERSHIP IS SENDING CONGRATULATIONS FOR BEING HONORED AT THE 2022 WESTERN NEW YORK HDI AWARDS. CONGRATULATIONS: ROCHESTER BUSINESS JOURNAL RECOGNIZES LOCAL HEALTH CARE HEROES - EVERY YEAR, THE ROCHESTER BUSINESS JOURNAL RECOGNIZES HEALTH CARE WORKERS ACROSS ALL AREAS OF SPECIALTY, HIGHLIGHTING THEIR IMPACT ON GREATER ROCHESTER. POTENTIAL HONOREES CAN BE NOMINATED FOR CONSIDERATION BY THEIR COLLEAGUES OR MEMBERS OF THE COMMUNITY. IN 2022, SIX ROCHESTER REGIONAL HEALTH TEAM MEMBERS WERE SELECTED AS HONOREES BY THE RBJ AND RECOGNIZED IN A VIRTUAL AWARD CEREMONY. HEALTH CARE PIONEERS: RRH LEADS THE COUNTRY IN GERIATRIC SURGICAL CARE - RRH WAS THE FIRST IN THE NATION TO HAVE A HOSPITAL WITH THE FULLY ACCREDITED PROGRAM AND WILL LIKELY BECOME THE FIRST THIS YEAR TO HAVE ACCREDITED RURAL HOSPITALS, NEWARK-WAYNE COMMUNITY HOSPITAL AND CLIFTON SPRINGS HOSPITAL & CLINIC- EXPECTED LATER THIS YEAR. ROCHESTER GENERAL HOSPITAL AND UNITED MEMORIAL MEDICAL CENTER ARE ON TRACK TO START THE ACS GSV PROGRAM SOON, WITH ST. LAWRENCE HEALTH NOT FAR BEHIND. NATIONAL AWARD: RRH WINS PRESTIGIOUS "SYSTEM FOR CHANGE" AWARD - IN RECOGNITION OF OUR ACHIEVEMENTS AND INNOVATION IN HEALTH CARE SUSTAINABILITY, RRH HAS PROUDLY EARNED THE SYSTEM FOR CHANGE AWARD FROM PRACTICE GREENHEALTH, THE NATION'S LEADING ORGANIZATION DEDICATED TO ENVIRONMENTAL SUSTAINABILITY IN HEALTH CARE. THE DESIGNATION RECOGNIZES RRH'S SYSTEM-WIDE, ONGOING COMMITMENT TO ELIMINATING TOXINS, REDUCING WASTE, AND BUILDING SUSTAINABILITY INTO THE OPERATIONS AND CULTURE OF OUR INSTITUTE. WELL DONE: RRH RECEIVES POSITIVE CMS PERFORMANCE SCORE - ROCHESTER REGIONAL HEALTH IS AGAIN A TOP PERFORMER BASED ON THE CENTERS FOR MEDICARE AND MEDICAID SERVICES' (CMS) NEWLY RELEASED 2021 MERIT-BASED INCENTIVE PAYMENT SYSTEM (MIPS) SCORES. RRH'S MEDICARE SHARED SAVINGS PROGRAM ACCOUNTABLE CARE ORGANIZATION (MSSP ACO) PARTICIPATED AS A GROUP AND SCORED 100 OUT OF 100 FOR THE 2021 MIPS REPORTING YEAR, WHICH IS PART OF THE CMS QUALITY PAYMENT PROGRAM. MIPS RATES PROVIDERS BASED ON PERFORMANCE IN SEVERAL CATEGORIES, INCLUDING QUALITY, IMPROVEMENT ACTIVITIES, AND PROMOTING INTEROPERABILITY. FOR PARTICIPATING PROVIDERS IN THE ACO, DATA IS GATHERED FROM ELECTRONIC HEALTH RECORD SYSTEMS (EHRS) AND SUBMITTED TO CMS. QUALITY INFORMATICS AND GRIPA ENSURE PROGRAM REQUIREMENTS ARE MET AS THE PROGRAM EVOLVES YEARLY. THIS INCLUDES ENSURING APPROPRIATE WORKFLOWS ARE AVAILABLE TO CAPTURE AND TRACK THE NEEDED HEALTH INFORMATION THAT DEMONSTRATES THE EXCELLENT CARE PROVIDED TO RRH PATIENTS. CLINICAL EXCELLENCE: CONGRATULATIONS TO THE RADIATION ONCOLOGY TEAMS AT LIPSON CANCER INSTITUTE-LINDEN OAKS, UNITED MEMORIAL MEDICAL CENTER, UNITY HOSPITAL, CLIFTON SPRINGS HOSPITAL, AND ROCHESTER GENERAL HOSPITAL FOR ACHIEVING THE GOLD STANDARD FROM THE AMERICAN COLLEGE OF RADIOLOGY (ACR). THE ACR ACCREDITATION INCLUDED THE EVALUATION OF APPROPRIATE DELIVERY AND DOCUMENTATION OF RADIATION THERAPY AND ONGOING QUALITY ASSESSMENT AND IMPROVEMENT EFFORTS. EACH ACR ACCREDITATION IS GRANTED FOR THREE-YEAR TERMS. THIS DESIGNATION HIGHLIGHTS THE COMMITMENT TO QUALITY PATIENT CARE AT THE HIGHEST STANDARDS OF THE RADIATION ONCOLOGY PROFESSION. TWO RRH INITIATIVES RECOGNIZED WITH GRQC AWARDS - RECOGNIZED BY THE GREATER ROCHESTER QUALITY COUNCIL (GRQC) AS WINNERS OF ITS 2022 PERFORMANCE EXCELLENCE AWARDS ARE, IN THE TEAM EXCELLENCE CATEGORY, OUR RRH QUALITY & SAFETY, CLINICAL INFORMATICS, IT, AND NURSING TEAMS WERE RECOGNIZED WITH A GOLD AWARD FOR THEIR COLLABORATIVE WORK TO REDUCE DUPLICATE AND AMBIGUOUS PAIN MEDICATION ORDERS. AND OUR DIVERSITY DATA COUNCIL WAS RECOGNIZED WITH A BRONZE AWARD FOR THE DEVELOPMENT OF THE HEALTH EQUITY DASHBOARD, DESIGNED TO HELP RRH BETTER UNDERSTAND AND SERVE THE SPECIFIC NEEDS OF OUR DIVERSE AND UNDER-RESOURCED PATIENT POPULATIONS. RRH EMERGENCY DEPARTMENT PHYSICIANS RECOGNIZED AS "UNSUNG HEROES" - FIVE RRH EMERGENCY PHYSICIANS WHO WERE RECOGNIZED BY THE NEW YORK AMERICAN COLLEGE OF EMERGENCY PHYSICIANS (NY ACEP) AS RECIPIENTS OF THEIR 2022 "UNSUNG HEROES" AWARD. THESE PHYSICIANS WERE AMONG JUST 39 RECOGNIZED ACROSS ALL OF NYS FOR THEIR ABOVE AND BEYOND CONTRIBUTIONS TO THEIR COLLEAGUES, PATIENTS, AND THE COMMUNITIES THEY SERVE. HEALTH CARE WITHOUT HARM ANNOUNCED ITS 2022 CLIMATE CHAMPIONS, AND ROCHESTER REGIONAL HEALTH IS AMONG THEM BASED ON OUR PERFORMANCE AS A PARTICIPANT IN THE ORGANIZATION'S HEALTH CARE CLIMATE CHALLENGE! HEALTH CARE CAN HELP FORGE A FUTURE WITH HEALTHY HOSPITALS AND HEALTHY PEOPLE BY IMPLEMENTING TRANSFORMATIVE CLIMATE SOLUTIONS THAT REDUCE HARMFUL POLLUTION AND STRENGTHEN RESILIENCY. THE HEALTH CARE CLIMATE CHALLENGE IS BUILDING A GLOBAL COALITION OF HEALTH CARE INSTITUTIONS AT THE FOREFRONT OF THIS TRANSFORMATION THAT NOW INCLUDES 300 INSTITUTIONAL PARTICIPANTS, REPRESENTING THE INTERESTS OF MORE THAN 28,000 HOSPITALS AND HEALTH CENTERS IN 43 COUNTRIES. AS A PARTICIPANT, WE ARE COMMITTED TO: REDUCING OUR OWN HEALTH CARE CARBON FOOTPRINT; PREPARING FOR THE IMPACTS OF EXTREME WEATHER AND THE SHIFTING BURDEN OF DISEASE; AND EDUCATING STAFF AND THE PUBLIC WHILE PROMOTING POLICIES TO PROTECT PUBLIC HEALTH FROM CLIMATE CHANGE. IN 2022 WE RECEIVED THE FOLLOWING AWARDS FOR THE SUSTAINABILITY EFFORTS AND SUCCESS OF OUR SYSTEM AND OUR TEAM: GOLD RENEWABLE ENERGY, SILVER CLIMATE RESILIENCY, SILVER CLIMATE LEADERSHIP. WE ARE HONORED TO BE A PART OF A GLOBAL COMMUNITY OF HEALTH CARE INSTITUTIONS ON EVERY CONTINENT LEADING THE TRANSFORMATION TO CLIMATE-SMART HEALTH CARE. THANK YOU TO EVERYONE HERE AT ROCHESTER REGIONAL FOR YOUR COMMITMENT TO CARE IN MINDFUL WAYS THAT STRIVE TO PROTECT THE FUTURE HEALTH OF OUR COMMUNITY, OUR ENVIRONMENT, AND OUR PLANET.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 2022 SOME OF THE MAJOR IMPROVEMENTS INCLUDE THE FOLLOWING: NOW OPEN: NEW ROCHESTER GENERAL HOSPITAL TWIG BIRTHING CENTER - THE NEW LABOR AND DELIVERY UNIT OPENED IN AUGUST 2022. THE MODERNIZED UNIT INCLUDES 20 NEW, ALL-PRIVATE PATIENT ROOMS, CONSISTING OF NINE TRIAGE ROOMS, EIGHT LABOR AND DELIVERY ROOMS, AND THREE PRE-OP, POST-OP RECOVERY ROOMS. IT ALSO INCLUDES TWO STATE-OF-THE-ART IN-UNIT OPERATING ROOMS FOR C-SECTIONS AND MULTIPLE NURSING AND PROVIDER STATIONS FOR EASE OF PATIENT ACCESS. THE OPENING OF THIS NEW UNIT MARKS A SPECIAL MILESTONE IN CARE FOR OUR OBSTETRICS PATIENTS AND REPRESENTS ROCHESTER REGIONAL HEALTH'S COMMITMENT TO AN EXCEPTIONAL PATIENT EXPERIENCE. IN ADDITION TO PROVIDING A CONTEMPORARY AND SPACIOUS ENVIRONMENT FOR PATIENTS TO WELCOME THEIR BABIES IN, THE NEW TWIG BIRTHING CENTER IS NOW EQUIPPED WITH
PART VI, LINE 6 (CON'T):	ADVANCED TELEMETRY EQUIPMENT, ALLOWING US TO BETTER MONITOR LABORING PATIENTS WITH COMPLEX MEDICAL NEEDS AN IMPORTANT TOOL TO HELP ENSURE PATIENT SAFETY. 2022 MARKED A FIRST FOR THE REGION - ROCHESTER GENERAL HOSPITAL PERFORMED THE REGION'S FIRST-EVER LUNG NODULE MARKING IN THE OPERATING ROOM USING THE GROUNDBREAKING MONARCH ROBOTIC BRONCHOSCOPY TECHNOLOGY. THIS INNOVATIVE TECHNOLOGY INTEGRATES THE LATEST ADVANCEMENTS IN ROBOTICS, SOFTWARE, DATA SCIENCE, AND ENDOSCOPY TO PROVIDE EARLIER AND MORE ACCURATE DIAGNOSIS OF LUNG CANCER. ANOTHER FIRST AT RGH FOR THE ORTHOPEDICS TEAM AS THEY PERFORMED ITS FIRST-EVER COMPUTER-NAVIGATED REVERSE SHOULDER REPLACEMENT. THE PATIENT TRAVELED SEVERAL HOURS TO RGH FOR THE STATE-OF-THE-ART PROCEDURE, AS HIS LOCAL CARDIOLOGIST FELT HE WAS TOO HIGH RISK FOR TRADITIONAL ELECTIVE SURGERY. RGH WAS THE PREFERRED REGIONAL DESTINATION FOR THIS PATIENT BECAUSE OF ITS HIGHLY-INTEGRATED, WORLD-CLASS CARDIAC AND ORTHOPEDIC SERVICES OFFERED ON-SITE, ENSURING THE HIGHEST QUALITY OF CARE TO MEET THIS PATIENT'S TOTAL HEALTH NEEDS. THE SURGERY WAS A GREAT SUCCESS, AND THE PATIENT RETURNED HOME THE FOLLOWING DAY. IN AN EFFORT TO SUPPORT THE EMERGENCY DEPARTMENT, RGH RECENTLY OPENED A NEW X-RAY ROOM WITH A RIBBON CUTTING. THE SPACE WILL BE USED EXCLUSIVELY FOR ED PATIENTS TO HELP IMPROVE PATIENT FLOW, TURNAROUND TIMES, AND THROUGHPUT OF THE ED. THE PROJECT TOOK 44 DAYS TO COMPLETE AND FEATURES A NEW GE DIGITAL RADIOGRAPHY SYSTEM.DURING 2022 ROCHESTER GENERAL HOSPITAL WAS RECOGNIZED BY THE FOLLOWING: LEADERS IN CARE: ROCHESTER GENERAL RECEIVED HEALTHGRADES AWARDS HEALTHGRADES- THE LEADING RESOURCE CONNECTING CONSUMERS, PHYSICIANS, AND HEALTH SYSTEMS, HAS RECOGNIZED RGH AS PROVIDING EXCEPTIONAL CARE FOR PATIENTS IN SPECIALIZED AREAS. THE HOSPITAL ALSO ATTAINED FURTHER ACCLAIM WITH MULTIPLE FIVE-STAR RECIPIENT AWARDS. ROCHESTER GENERAL HOSPITAL EARNED THE DESIGNATION AS THE NO. 5 HOSPITAL IN NEW YORK FOR CRITICAL CARE IN 2022, MAKING IT THE HIGHEST-RANKED HOSPITAL IN ROCHESTER FOR CRITICAL CARE AND A RECIPIENT OF HEALTHGRADES' AMERICA'S 50 BEST HOSPITALS' AWARD FOR THE FOURTH STRAIGHT YEAR (2019-2022). IN ADDITION, RGH IS A FIVE-STAR RECIPIENT FOR TREATMENT OF HEART ATTACK AND HEART FAILURE IN CARDIAC CARE; CRANIAL NEUROSURGERY, AND TREATMENT OF STROKE IN NEUROSCIENCES; TREATMENT OF PNEUMONIA IN NEUROSCIENCES; UPPER GASTROINTESTINAL SURGERIES, COLORECTAL SURGERIES, GI BLEED, AND BOWEL OBSTRUCTION FOR GASTROINTESTINAL; AND TREATMENT OF SEPSIS AND RESPIRATORY FAILURE FOR CRITICAL CARE. RGH RECOGNIZED BY HEALTHGRADES FOR SUPERIOR CLINICAL PERFORMANCE - TO DETERMINE TOP PERFORMERS, HEALTHGRADES EVALUATES NEARLY 4,500 U.S. HOSPITALS ACROSS 17 SPECIALTY CARE AREAS USING PUBLICLY REPORTED CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) DATA FROM A ROLLING THREE-YEAR PERIOD. AWARDS ARE PRESENTED TO THOSE THAT RANK AMONG THE TOP 1% - 10% OF U.S. HOSPITALS DEMONSTRATING SUPERIOR CLINICAL PERFORMANCE AND CONSISTENTLY EXCEPTIONAL PATIENT OUTCOMES OVERALL AND FOR EACH SPECIALTY. RGH WAS RECOGNIZED FOR: AMERICA'S 100 BEST FOR CARDIAC CARE (2 YEARS IN A ROW) TOP 2% IN NATION; AMERICA'S 100 BEST FOR CORONARY INTERVENTION TOP 2% IN NATION; CARDIAC CARE EXCELLENCE AWARD (2 YEARS IN A ROW) TOP 5% IN NATION FOR OVERALL CARDIAC SERVICES; CORONARY INTERVENTION EXCELLENCE AWARD TOP 5% IN NATION FOR CORONARY INTERVENTIONAL PROCEDURES; GASTROINTESTINAL CARE EXCELLENCE AWARD ONLY HOSPITAL IN NY TO RECEIVE AWARD 5 YEARS IN A ROW. ONLY HOSPITAL IN NY AMONG TOP 10% IN NATION FOR OVERALL GI SERVICES 5 YEARS IN A ROW. TOP 10% IN NATION FOR GI MEDICAL TREATMENT 9 YEARS IN A ROW.; GASTROINTESTINAL SURGERY EXCELLENCE AWARD (5 YEARS IN A ROW) TOP 10% IN NATION FOR GI SURGERY 5 YEARS IN A ROW; FIVE-STAR RECIPIENT FOR HEART FAILURE (10 YEARS IN A ROW), STROKE (11 YEARS IN A ROW), CORONARY INTERVENTIONAL PROCEDURES, HEART ATTACK (14 YEARS IN A ROW), BOWEL OBSTRUCTION, GASTROINTESTINAL BLEED, UPPER GI SURGERY, PNEUMONIA (11 YEARS IN A ROW), PULMONARY EMBOLISM, SEPSIS (12 YEARS IN A ROW) ROCHESTER GENERAL HOSPITAL HAS ONCE AGAIN RECEIVED ACCREDITATION FROM THE SURGICAL REVIEW CORPORATION AS A CENTER OF EXCELLENCE IN MINIMALLY INVASIVE GYNECOLOGY (COEMIG). RGH WAS THE FIRST HOSPITAL IN THE REGION TO RECEIVE THE DISTINCTION, AND HAS BEEN RECOGNIZED FOUR TIMES SINCE 2012. IN ADDITION, SEVERAL RRH BOARD-CERTIFIED PHYSICIANS HAVE BEEN RECOGNIZED AS COEMIG MASTER SURGEONS. CONTINUED EXCELLENCE: RGH NEUROVASCULAR LAB EARNS VASCULAR TESTING REACCREDITATION - CONGRATULATIONS TO THE ROCHESTER GENERAL HOSPITAL NEUROVASCULAR LABORATORY FOR ACHIEVING REACCREDITATION IN EXTRACRANIAL CEREBROVASCULAR TESTING AND INTRACRANIAL CEREBROVASCULAR TESTING BY THE INTERSOCIETAL ACCREDITATION COMMISSION (IAC). THE IAC RECOGNIZES THE RGH NEUROVASCULAR LABORATORY TEAM'S DEDICATION TO PROVIDING QUALITY CARE THROUGH VASCULAR TESTING. CARDIOVASCULAR DISEASES ARE THE NUMBER ONE CAUSE OF DEATH IN THE UNITED STATES, BUT EFFECTIVE VASCULAR TESTING CAN LEAD TO EARLY DETECTION AND LIFE-SAVING INTERVENTION. SUPERIOR STROKE CARE: ROCHESTER GENERAL HOSPITAL NAMED COMPREHENSIVE STROKE CENTER BY DNV - CONGRATULATIONS TO ROCHESTER GENERAL HOSPITAL'S STROKE TEAM FOR ITS TREMENDOUS ACHIEVEMENT IN HELPING RGH RECEIVE RE-ACCREDITATION AS A DNV-CERTIFIED COMPREHENSIVE STROKE CENTER (CSC). A CSC CERTIFICATION IS THE HIGHEST RECOGNITION A STROKE HOSPITAL CAN EARN AND IT ACKNOWLEDGES THAT THE CENTER DELIVERS CONSISTENT QUALITY CARE IN COMPLEX CASES, INCLUDING PATIENTS REQUIRING SPECIALIZED TESTING, THERAPIES, OR ENDOVASCULAR SURGERY. RRH IS PROUD TO PROVIDE SUPERIOR STROKE CARE TO OUR PATIENTS AND THANKS RGH'S STROKE CENTER TEAM MEMBERS FOR THEIR VALIANT EFFORTS IN DELIVERING THE BEST POSSIBLE STROKE CARE TO OUR COMMUNITY! QUALITY ACHIEVEMENT AWARDS: RGH IS NATIONALLY RECOGNIZED FOR HEART ATTACK TREATMENT RRH PROUDLY ANNOUNCES THAT ROCHESTER GENERAL HOSPITAL HAS RECEIVED AMERICAN HEART ASSOCIATION'S MISSION: LIFELINE STEMI REFERRING CENTER BRONZE PLUS (RGH) RECOGNITION. THE DESIGNATIONS RECOGNIZE THE HOSPITAL'S COMMITMENT TO ENSURING SCIENCE-BASED TREATMENT FOR ALL PEOPLE EXPERIENCING A SPECIFIC TYPE OF HEART ATTACK, AN ST ELEVATION MYOCARDIAL INFARCTION (STEMI), KNOWN TO BE MORE SEVERE AND DANGEROUS THAN OTHER TYPES OF HEART ATTACKS. EACH YEAR, MORE THAN 280,000 PEOPLE IN THE U.S. EXPERIENCE THIS TYPE OF HEART ATTACK CAUSED BY A COMPLETE BLOCKAGE IN A CORONARY ARTERY. NEARLY 40% OF PEOPLE WHO GO TO THE EMERGENCY ROOM WITH ACUTE CORONARY SYNDROME RECEIVE A STEMI DIAGNOSIS, AND LIKE ALL HEART ATTACKS, THIS REQUIRES TIMELY TREATMENT TO RESTORE BLOOD FLOW AS QUICKLY AS POSSIBLE. HOSPITALS EARN A LIFELINE REFERRING CENTER AWARD BY DEMONSTRATING A COMMITMENT TO GETTING PATIENTS THE MOST UP-TO-DATE RESEARCH-BASED CARE FOR STEMI, AS OUTLINED BY THE AMERICAN HEART ASSOCIATION. ACHIEVEMENT AWARDS: ROCHESTER GENERAL HOSPITAL NATIONALLY RECOGNIZED FOR STROKE CARE - ROCHESTER GENERAL HOSPITAL HAS RECEIVED AMERICAN HEART ASSOCIATION'S GOLD PLUS GET WITH THE GUIDELINES - STROKE QUALITY ACHIEVEMENT AWARDS FOR THEIR COMMITMENT TO IMPROVING CARE BY ADHERING TO THE LATEST TREATMENT GUIDELINES AND STREAMLINING PROCESSES TO ENSURE TIMELY AND PROPER CARE FOR STROKES. EACH YEAR, PROGRAM PARTICIPANTS QUALIFY FOR THE AWARD BY DEMONSTRATING HOW THEIR ORGANIZATION HAS COMMITTED TO PROVIDING QUALITY CARE FOR STROKE PATIENTS. IN ADDITION TO FOLLOWING TREATMENT GUIDELINES, GET WITH THE GUIDELINES PARTICIPANTS EDUCATE PATIENTS TO HELP THEM MANAGE THEIR HEALTH AND RECOVERY AT HOME. IN ADDITION, THE HOSPITAL RECEIVED TARGETED RECOGNITION, INCLUDING THE AMERICAN HEART ASSOCIATION'S TARGET: STROKESM HONOR ROLL ELITE AWARD. TO QUALIFY FOR THIS RECOGNITION, HOSPITALS MUST MEET SPECIFIC CRITERIA THAT REDUCES THE TIME BETWEEN AN ELIGIBLE PATIENT'S ARRIVAL AT THE HOSPITAL AND TREATMENT WITH THE CLOT-BUSTER ALTEPLASE.RGH ALSO RECEIVED THE AMERICAN HEART ASSOCIATION'S TARGET: TYPE 2 DIABETES HONOR ROLL AWARD. THE AWARD AIMS TO ENSURE PATIENTS WITH TYPE 2 DIABETES, WHO MIGHT BE AT HIGHER RISK FOR COMPLICATIONS, RECEIVE THE MOST UP-TO-DATE, EVIDENCE-BASED CARE WHEN HOSPITALIZED DUE TO STROKE. RGH'S PALLIATIVE CARE TEAM EXCELLED DURING THEIR DNV SURVEY. THE END RESULT OF THE HARD WORK OF OUR RGH PALLIATIVE CARE TEAM MEMBERS WAS DNV SURVEYOR'S RECOMMENDATION FOR CERTIFICATION! 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
PART VI, LINE 6 (CON'T):	PARK AND LINDEN OAKS.ADDITIONALLY, OUR TEAMS CONTINUE TO SHOW THEIR COMMITMENT TO THE COMMUNITY THROUGH THE FOLLOWING EVENTS: MEMBERS FROM SANDS-CONSTELLATION HEART INSTITUTE AND THE STROKE TEAMS AT RGH REPRESENTED RRH AT THE MONROE AMBULANCE OPEN HOUSE HELPING TO EDUCATE THE COMMUNITY ON HEART ATTACK AND STROKE WARNING SIGNS. ROCHESTER GENERAL HOSPITAL TWIG NICU TO PARTICIPATE IN ANNUAL READ-A-THON - IN HONOR OF NATIONAL LITERACY MONTH AND NICU AWARENESS MONTH, TGH TWIG NEONATAL INTENSIVE CARE UNIT (NICU) ONCE AGAIN PARTICIPATED IN THE ANNUAL BABIES WITH BOOKS (BWB) NICU READ-A-THON. THE BWB NICU READ-A-THON IS AN INTERNATIONAL READING COMPETITION BETWEEN OVER 170 HOSPITALS ACROSS THE US AND 4 OTHER COUNTRIES, PROMOTING READING TO BABIES IN THE NICU.ROCHESTER GENERAL COLLEGE OF HEALTH CAREERS (RGCOHC) - PART OF ROCHESTER REGIONAL HEALTH FAMILY, SHARING A MISSION OF ENHANCING LIVES AND PRESERVING HEALTH BY ENABLING ACCESS TO A COMPREHENSIVE, FULLY INTEGRATED NETWORK OF THE HIGHEST QUALITY AND MOST AFFORDABLE CARE, DELIVERED WITH KINDNESS, INTEGRITY, AND RESPECT. RGCOHC IS A PRIVATE, INDEPENDENT, NOT-FOR-PROFIT ACADEMIC INSTITUTION. IN SEPTEMBER 2020, THE NEW YORK STATE BOARD OF REGENTS APPROVED THE COLLEGE OF HEALTH CAREERS AS A DEGREE GRANTING INSTITUTION. 2021 WELCOMED THE INAUGURAL CLASS 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. RGCOHC IS DEDICATED TO PREPARING ADULT LEARNERS WITH THE KNOWLEDGE, SKILLS, AND COMPETENCIES NECESSARY TO PURSUE HEALTH CAREERS, ADVANCED EDUCATION, AND LIFELONG LEARNING. WE ARE EAGER TO PROVIDE THIS EDUCATION THROUGH CREATIVE PATHWAYS AND PARTNERSHIPS.IN 2022, THE COLLEGE OF HEALTH RECEIVES AWARD FOR EXCELLENCE. CONGRATULATIONS TO THE ROCHESTER GENERAL COLLEGE OF HEALTH CAREERS FOR RECEIVING THE OUTSTANDING IMPLEMENTATION FOR HIGHER EDUCATION EXCELLENCE AWARD FROM CLASSLINK. THIS AWARD RECOGNIZES A SCHOOL SYSTEM FOR ITS OUTSTANDING EFFORTS TO INCREASE STUDENT SUCCESS IN IMPLEMENTATION. CLASSLINK IS A LEADING PROVIDER OF CLOUD-BASED EDUCATION PRODUCTS AND WORKS WITH OVER 2,000 SCHOOL SYSTEMS. ITS PRODUCTS CONNECT EDUCATORS AND STUDENTS WITH THEIR CLASSROOM, CURRICULUM, AND EACH OTHER. 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 2022 SOME OF THE MAJOR PROGRAM INITIATIVES INCLUDED THE FOLLOWING: UNITY IMAGING DEPARTMENT RECEIVES STATE-OF-THE-ART MRI EQUIPMENT - THE NEW MRI EQUIPMENT THAT ARRIVED AT UNITY HOSPITAL AND MADE ITS WAY TO THE IMAGING DEPARTMENT. THE NEW MRI MACHINE IS JUST ONE OF THE IMAGING UPGRADES UNITY WILL BE IMPLEMENTING IN 2022. OTHERS INCLUDE A MODERNIZED RECEPTION AREA AND ENHANCED ADMINISTRATION SPACES. UNITY CONTINUES TO BE THANKFUL FOR THE MANY PATIENTS AND TEAM MEMBERS WHO HAVE BEEN INCREDIBLY UNDERSTANDING DURING THE INCONVENIENCE OF CONSTRUCTION AND THE HOSPITAL LOOKS FORWARD TO ENHANCING THE PATIENT EXPERIENCE WITH COMPLETION OF THE IMAGING DEPARTMENT EXPANSION. EXPANDING SERVICES: UNITY'S DIAGNOSTIC IMAGING DEPARTMENT - PERFORMS FIRST CARDIAC MRI EXAM. IN AN EFFORT TO IMPROVE PATIENT AND EMPLOYEE EXPERIENCES, UNITY HOSPITAL'S DIAGNOSTIC IMAGING DEPARTMENT NOW OFFERS IN-HOUSE CARDIAC MRI (CMR) EXAMS IN THE NEWLY CONSTRUCTED MRI SUITE. A CMR IS A SPECIALIZED FORM OF MRI THAT PROVIDES HIGHLY DETAILED IMAGES OF BEATING HEARTS AND CHARACTERIZES HEART TISSUE BY PROVIDING A VIRTUAL BIOPSY. CMR EXAMS SUPPORT VARIOUS SUB-SPECIALTY PROGRAMS AT THE SANDS CONSTELLATION HEART INSTITUTE. THE EXAMS HAVE BEEN VALUABLE IN PROVIDING QUALITY CARE TO PATIENTS WITH CORONARY ARTERY DISEASE, ADVANCED HEART FAILURE, CARDIAC ARRHYTHMIAS, HYPERTROPHIC CARDIOMYOPATHY, CARDIAC SARCOIDOSIS, CARDIO-ONCOLOGY, ADULT CONGENITAL HEART DISEASE, PERICARDIAL DISEASE, MYOCARDIAL DISEASE AND CARDIAC TUMORS. RRH'S CMR PROGRAM HAS ESTABLISHED ITSELF AS A TOP PROGRAM IN WESTERN NY, WITH REFERRALS FROM CARDIOLOGISTS THROUGHOUT THE FINGER LAKES REGION, AND BEYOND. UNITY'S NEW CMR CAPABILITY WILL ELIMINATE THE CURRENT NEED TO TRANSFER MRI PATIENTS TO ROCHESTER GENERAL HOSPITAL, AND INCREASE OUTPATIENT CMR CAPACITY, ALLOWING PATIENTS TO BE SCHEDULED AND DIAGNOSED MORE EFFICIENTLY.RECOGNITIONS AND AWARDS BESTOWED UPON UNITY HOSPITAL IN 2022 INCLUDE: LEADERS IN CARE: UNITY HOSPITAL RECEIVED HEALTHGRADES AWARDS - HEALTHGRADES THE LEADING RESOURCE CONNECTING CONSUMERS, PHYSICIANS, AND HEALTH SYSTEMS, HAS RECOGNIZED UNITY HOSPITAL AS PROVIDING EXCEPTIONAL CARE FOR PATIENTS IN SPECIALIZED AREAS. THE HOSPITAL ALSO ATTAINED FURTHER ACCLAIM WITH MULTIPLE FIVE-STAR RECIPIENT AWARDS. UNITY HOSPITAL LEADS THE STATE AS THE NO. 1 HOSPITAL IN NEW YORK FOR JOINT REPLACEMENT IN 2022, PLACING IT AMONG THE TOP 5 PERCENT IN THE NATION FOR JOINT REPLACEMENT. UNITY ALSO RECEIVED RECOGNITION FOR CARDIAC, ORTHOPEDICS, PULMONARY, GASTROINTESTINAL, CRITICAL CARE, AND LABOR AND DELIVERY CARE, AND A SURGICAL CARE EXCELLENT AWARD - MAKING IT AMONG THE TOP 10 PERCENT OF HOSPITALS IN THE NATION FOR SURGICAL CARE IN 2022. UNITY HOSPITAL 4400 UNIT EARNS PRESTIGIOUS BEACON AWARD - COMPLIMENTS TO UNITY HOSPITAL'S 4400 UNIT ONCOLOGY/PALLIATIVE CARE TEAM FOR ITS INDUSTRY-LEADING ACHIEVEMENT BY EARNING THE SILVER-LEVEL BEACON AWARD FOR EXCELLENCE FROM THE AMERICAN ASSOCIATION OF CRITICAL-CARE NURSES (AACN). RECEIVING THIS NATIONAL HONOR IS A TESTAMENT TO THE TEAM'S HARD WORK AND COMMITMENT TO SAFE, PATIENT-CENTERED, EVIDENCE-BASED CARE. THE BEACON AWARD RECOGNIZES 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. CONGRATULATIONS: UNITY HOSPITAL CONTINUES TO EXEMPLIFY EXCELLENCE - COMPLIMENTS TO THE AUGUST FAMILY BIRTHPLACE AND INTENSIVE CARE UNIT (ICU) AT UNITY HOSPITAL FOR EARNING THE AMERICAN ASSOCIATION OF CRITICAL CARE NURSES (AACN) BEACON AWARDS FOR EXCELLENCE. THE AUGUST FAMILY BIRTHPLACE EARNED ITS FIRST AACN BEACON AWARD FOR EXCELLENCE WITH A SILVER DESIGNATION. UNITY'S ICU RECEIVED THE AACN BEACON AWARD FOR EXCELLENCE WITH A GOLD DESIGNATION. THIS IS THEIR THIRD CONSECUTIVE DESIGNATION AND FIRST GOLD DESIGNATION AFTER EARNING TWO SILVERS. THE AMERICAN ASSOCIATION OF CRITICAL-CARE NURSES (AACN) RECOGNIZES HOSPITAL UNITS THAT INTEGRATE EVIDENCE-BASED PRACTICES TO IMPROVE PATIENT AND FAMILY OUTCOMES AND RRH CONTINUES TO DEMONSTRATE NURSING EXCELLENCE WITH THE LARGEST AMOUNT OF BEACON AWARDS FOR EXCELLENCE PER HEALTHCARE SYSTEM IN NYS! SAFE SLEEP CHAMPION: UNITY HOSPITAL TAKES HOME THE GOLD - UNITY HOSPITAL AND THE AUGUST FAMILY BIRTH PLACE HAVE ACHIEVED THE HIGHEST LEVEL OF GOLD SAFE SLEEP CHAMPION. THIS DESIGNATION HIGHLIGHTS THEIR ONGOING COMMITMENT TO REDUCING INFANT SLEEP-RELATED DEATHS, ESTABLISHING A SAFE SLEEP POLICY, AND MORE. CONGRATULATIONS TO EVERYONE IN THE AUGUST FAMILY BIRTH PLACE FOR YOUR DEDICATION TO OUR TINIEST PATIENTS IN YOUR CARE, AND IN THEIR HOMES. UNITY HOSPITAL RECOGNIZED BY HEALTHGRADES FOR SUPERIOR CLINICAL PERFORMANCE - TO DETERMINE TOP PERFORMERS, HEALTHGRADES EVALUATES NEARLY 4,500 U.S. HOSPITALS ACROSS 17 SPECIALTY CARE AREAS USING PUBLICLY REPORTED CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) DATA FROM A ROLLING THREE-YEAR PERIOD. AWARDS ARE PRESENTED TO THOSE THAT RANK AMONG THE TOP 1% - 10% OF U.S. HOSPITALS DEMONSTRATING SUPERIOR CLINICAL PERFORMANCE AND CONSISTENTLY EXCEPTIONAL PATIENT OUTCOMES OVERALL AND FOR EACH SPECIALTY. UH WAS RECOGNIZED AS A FIVE-STAR RECIPIENT FOR TOTAL KNEE REPLACEMENT (7 YEARS IN A ROW), HIP REPLACEMENT (4 YEARS IN A ROW), RESPIRATORY FAILURE (5 YEARS IN A ROW), SEPSIS (6 YEARS IN A ROW), AND CAROTID PROCEDURES. ACHIEVEMENT AWARDS: UNITY HOSPITAL NATIONALLY RECOGNIZED FOR STROKE CARE - UNITY HOSPITAL HAS RECEIVED AMERICAN HEART ASSOCIATION'S GOLD PLUS GET WITH THE GUIDELINES - STROKE QUALITY ACHIEVEMENT AWARDS FOR THEIR COMMITMENT TO IMPROVING CARE BY ADHERING TO THE LATEST TREATMENT GUIDELINES AND STREAMLINING PROCESSES TO ENSURE TIMELY AND PROPER CARE FOR STROKES.EACH YEAR, PROGRAM PARTICIPANTS QUALIFY FOR THE AWARD BY DEMONSTRATING HOW THEIR ORGANIZATION HAS COMMITTED TO PROVIDING QUALITY CARE FOR STROKE PATIENTS. IN ADDITION TO FOLLOWING TREATMENT GUIDELINES, GET WITH THE GUIDELINES PARTICIPANTS EDUCATE PATIENTS TO HELP THEM MANAGE THEIR HEALTH AND RECOVERY AT HOME. IN ADDITION, THE HOSPITAL RECEIVED TARGETED RECOGNITION, INCLUDING THE AMERICAN HEART ASSOCIATION'S TARGET: STROKESM HONOR ROLL
PART VI, LINE 6 (CON'T):	ELITE AWARD. TO QUALIFY FOR THIS RECOGNITION, HOSPITALS MUST MEET SPECIFIC CRITERIA THAT REDUCES THE TIME BETWEEN AN ELIGIBLE PATIENT'S ARRIVAL AT THE HOSPITAL AND TREATMENT WITH THE CLOT-BUSTER ALTEPLASE. UNITY ALSO RECEIVED THE AMERICAN HEART ASSOCIATION'S TARGET: TYPE 2 DIABETES HONOR ROLL AWARD. THE AWARD AIMS TO ENSURE PATIENTS WITH TYPE 2 DIABETES, WHO MIGHT BE AT HIGHER RISK FOR COMPLICATIONS, RECEIVE THE MOST UP-TO-DATE, EVIDENCE-BASED CARE WHEN HOSPITALIZED DUE TO STROKE.IN AN EFFORT TO SUPPORT THE COMMUNITY, UNITY HOSPITAL IS CONTINUING ITS PROUD TRADITION OF AN EMPLOYEE DIAPER DRIVE IN HOPES OF COLLECTING AT LEAST 10,000 DIAPERS FOR LOCAL FAMILIES. CLEAN DIAPERS ARE A NECESSITY FOR FAMILIES WITH INFANTS AND TODDLERS, YET, EVEN BEFORE THE PANDEMIC, AN ESTIMATED ONE IN THREE AMERICAN FAMILIES COULD NOT AFFORD DIAPERS. ALL DIAPERS WILL GO DIRECTLY TO THE JUNIOR LEAGUE OF ROCHESTER'S DIAPER BANK, WHICH WORKS WITH AGENCIES THROUGHOUT MONROE COUNTY TO DISTRIBUTE DIAPERS TO FAMILIES IN NEED. IN ADDITION TO DIAPERS (LOOSE OR PACKAGED), THEY ACCEPT DIAPER-RASH CREAMS AND BABY WIPES. ADDITIONALLY, MEMBERS FROM SANDS-CONSTELLATION HEART INSTITUTE AND THE STROKE TEAMS AT UNITY REPRESENTED RRH AT THE MONROE AMBULANCE OPEN HOUSE HELPING TO EDUCATE THE COMMUNITY ON HEART ATTACK AND STROKE WARNING SIGNS.THE ST. MARY'S/UNITY SPECIALTY HOSPITAL 4100 INPATIENT PSYCHIATRY TEAM SUPPORTED THE WILLOW DOMESTIC CENTER BY COLLECTING OVER EIGHT FULL BAGS OF GROCERIES AND HOUSEHOLD CARE ITEMS FOR THEIR THANKSGIVING PANTRY! THANK YOU TO THOSE WHO DONATED AND TO THE TEAM MEMBERS WHO GAVE THEIR TIME AND EFFORTS DESPITE A BUSY WEEK OF WORK AND FAMILY RESPONSIBILITIES.UNITY MEDICAL GROUP OPERATES AS A DIVISION OF UNITY HOSPITAL. UNITY MEDICAL GROUP HAS 28 OFFICE- AND HOSPITAL-BASED LOCATIONS IN MONROE AND GENESEE COUNTY. THE SERVICES OFFERED BY UNITY MEDICAL GROUP INCLUDE GERIATRICS, PALLIATIVE CARE, SKILLED NURSING HOME SUPPORT, ENDOCRINOLOGY, DENTAL CARE, INTERNAL MEDICINE, PEDIATRICS, FAMILY MEDICINE, OBSTETRICS, GYNECOLOGY, PULMONARY SERVICES, SLEEP SERVICES, INFECTIOUS DISEASE TREATMENT, ORTHOPEDIC SPINE TREATMENT, PROGRESSIVE NEUROVASCULAR SERVICE WITH NEUROLOGY SPECIALTY OUTPATIENT CARE AND ENDOVASCULAR SURGICAL ACUTE CARE. THERE ARE ALSO A SPECIALIZED VASCULAR SURGERY GROUP AND NEPHROLOGY WITH COMPREHENSIVE DIALYSIS SERVICES. NEWARK-WAYNE COMMUNITY HOSPITAL (NWCH) HAS SERVED GENERATIONS OF WAYNE COUNTY RESIDENTS SINCE 1957, AND MANY HAVE BECOME MEMBERS OF OUR GROWING HEALTHCARE FAMILY. WITH NEW, LEADING-EDGE MEDICAL TECHNOLOGY, A DIRECT PARTNERSHIP WITH ROCHESTER REGIONAL HEALTH, AND HIGHLY TRAINED STAFF, NWCH CONTINUES TO GROW IN EVERY ASPECT OF ITS HEALTHCARE DELIVERY. THE HOSPITAL IS LICENSED TO OPERATE 300 BEDS OFFERING SERVICES INCLUDING CARDIOLOGY, OBSTETRICS AND GYNECOLOGY, 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.IN 2022, NEWARK-WAYNE COMMUNITY HOSPITAL HELD A RIBBON CUTTING TO HIGHLIGHT THE REPLACEMENT OF THEIR NUCLEAR MEDICINE CAMERA WITH A NEW STATE OF THE ART GE DISCOVERY 830NM. THE NEW SPECT SCANNER WILL PROVIDE HIGH-QUALITY IMAGES, IMPROVED DIAGNOSTIC ACCURACY AND UP TO 60% FASTER IMAGING TIMES. THE SCANNER IS ALSO USEFUL FOR GENERAL NUCLEAR MEDICAL SCANS, PRE-OP CARDIAC CLEARANCE, AND MORE.NWCH OPENED THE CENTER FOR RISK PREVENTION & WELLNESS IN 2022. THIS PROVIDES TREATMENT FOR INFECTIOUS DISEASES. HIGH-RISK SERVICES ARE ALSO PROVIDED. CRPW OFFERS PATIENTS COMPASSIONATE, CONFIDENTIAL CARE AND IS EXPERIENCED IN A VARIETY OF TREATMENTS, INCLUDING: HIV, HEPATITIS C, HIGH-RISK BEHAVIORS. EDUCATION AND COUNSELING REGARDING PREP AND PEP (HIV-RELATED MEDICATIONS) ARE ALSO AVAILABLE.RECOGNITIONS, DESIGNATIONS AND AWARDS GRANTED TO NWCH IN 2022 INCLUDE: NEWARK-WAYNE COMMUNITY HOSPITAL (NWCH) RECOGNIZED AMONG THE BEST IN THE WORLD FOR QUALITY IMPROVEMENT EFFORTS. NWCH WAS AMONG THE FIRST 28 HOSPITALS IN THE WORLD TO BECOME VERIFIED BY THE AMERICAN COLLEGE OF SURGEONS QUALITY VERIFICATION PROGRAM (ACS QVP). THE ACS QVP STANDARDS PROVIDE A PROVEN, STANDARDIZED METHOD FOR ESTABLISHING, MEASURING, AND IMPROVING A HOSPITAL'S QUALITY INFRASTRUCTURE ACROSS ALL SURGICAL DEPARTMENTS. THE INAUGURAL GROUP OF QVP HOSPITALS INCLUDES THREE INTERNATIONAL HOSPITALS TWO IN JAPAN AND ONE IN AUSTRALIA AND 25 U.S. HOSPITALS. THE ACS QVP FOCUSED THREE-YEAR DESIGNATION AFFIRMS THAT NEWARK-WAYNE HAS DEMONSTRATED AN ACTIVE COMMITMENT TO ESTABLISHING A SURGERY-WIDE QUALITY INFRASTRUCTURE THAT HAS BEEN IMPLEMENTED IN AT LEAST TWO SURGICAL DEPARTMENTS, WITH THE GOAL IMPLEMENTING ACROSS ALL SURGICAL SPECIALTIES. QVP BRINGS TOGETHER EVERYONE INVOLVED IN SURGERY IN THE HOSPITAL AND HELPS THEM DEVELOP THEIR OWN SPECIFIC IMPROVEMENT JOURNEYS TO IMPROVE PATIENT CARE AND THE OVERALL QUALITY OF A HOSPITAL. THANK YOU TO THE TEAM MEMBERS INVOLVED FOR YOUR COMMITMENT TO THE QVP JOURNEY ON BEHALF OF OUR PATIENTS! NWCH'S MARSHALL BIRTHING CENTER NAMED SAFE SLEEP CHAMPION - RECENTLY RECEIVED THE GOLD SAFE SLEEP CHAMPION DESIGNATION THE HIGHEST LEVEL OF RECOGNITION AWARDED BY THE CRIBS FOR KIDS' NATIONAL SAFE SLEEP HOSPITAL CERTIFICATION PROGRAM. THE DESIGNATION REFLECTS THE CARE TEAM'S COMMITMENT TO BEST PRACTICES AND EDUCATION SUPPORTING SAFE INFANT SLEEP. CONGRATULATIONS: NEWARK-WAYNE RECEIVES QUALITY IMPROVEMENT AWARD - RRH IS SENDING A BIG CONGRATS TO NEWARK-WAYNE COMMUNITY HOSPITAL'S MARSHALL BIRTHING CENTER TEAM MEMBERS AND PROVIDERS FOR RECENTLY RECEIVING THE NEW YORK STATE OBSTETRIC HEMORRHAGE PROJECT 2021 QUALITY IMPROVEMENT AWARD! THIS AWARD RECOGNIZES NWCH'S DEDICATION TO ASSESSING PATIENTS ON ADMISSION AND DURING THE POSTPARTUM PERIOD FOR RISK OF OBSTETRIC HEMORRHAGE. IN ADDITION, NWCH'S MARSHALL BIRTHING CENTER HAS CONTINUED TO PROVIDE QUALITY OBSTETRICAL CARE BY DEVELOPING RAPID RESPONSE TEAMS, PERFORMING ON-SITE HEMORRHAGE DRILLS, IMPLEMENTING POLICIES AND PROCEDURES TO IMPROVE READINESS TO RESPOND TO AN OBSTETRIC HEMORRHAGE, AND MUCH MORE. NWCH RECOGNIZED BY HEALTHGRADES FOR SUPERIOR CLINICAL PERFORMANCE - TO DETERMINE TOP PERFORMERS, HEALTHGRADES EVALUATES NEARLY 4,500 U.S. HOSPITALS ACROSS 17 SPECIALTY CARE AREAS USING PUBLICLY REPORTED CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) DATA FROM A ROLLING THREE-YEAR PERIOD. AWARDS ARE PRESENTED TO THOSE THAT RANK AMONG THE TOP 1% - 10% OF U.S. HOSPITALS DEMONSTRATING SUPERIOR CLINICAL PERFORMANCE AND CONSISTENTLY EXCEPTIONAL PATIENT OUTCOMES OVERALL AND FOR EACH SPECIALTY. NWCH WAS RECOGNIZED AS A FIVE-STAR RECIPIENT FOR SEPSIS (7 YEARS IN A ROW). SHOWING THEIR CONTINUED COMMUNITY WELL-BEING, NEWARK-WAYNE COMMUNITY HOSPITAL RADIOLOGY DEPARTMENT TEAM MEMBERS HOSTED A SCREENING EVENT. THANK YOU FOR PROVIDING SUPPORT AND INFORMATION TO THE FINGER LAKES REGION!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
PART VI, LINE 6 (CON'T):	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 2022, PROGRESS CONTINUED ON THE CLIFTON SPRINGS HOSPITAL & CLINIC CAMPUS WITH THE ADDITION OF: NEW CLIFTON SPRINGS SURGICAL SPECIALTY OFFICES - AS CLIFTON SPRINGS HOSPITAL & CLINIC HAS CONTINUED WITH ITS STUNNING TRANSFORMATION, ARE NEWLY RENOVATED SURGICAL SPECIALTY OFFICES, LOCATED IN SUITE 1980 OF CLIFTON SPRINGS HOSPITAL. THE CLIFTON SPRINGS HOSPITAL & CLINIC BUILDING WILL SOON OPEN THE DOORS TO THE CLIFTON SPRINGS PHARMACY. THIS IN-HOUSE PHARMACY CAN FILL ALL PRESCRIPTION NEEDS BEFORE PATIENTS LEAVE THE HOSPITAL, INCLUDING PATIENTS IN OUTPATIENT CLINICS. ADDITIONAL SERVICES AVAILABLE INCLUDE: OVER THE COUNTER MEDICATIONS, PET MEDICATIONS, AND COMPOUNDS. CONSTRUCTION WAS COMPLETED 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. AS WITH ALL OF THE HOSPITAL AND PATIENT CARE FACILITIES UNDER THE RRH UMBRELLA, CSHC WORKS DILIGENTLY TO CONTINUOUSLY PROVIDE TOP-QUALITY CARE. DURING 2022, CSHC WAS THE RECIPIENT OF SEVERAL RECOGNITIONS AND AWARDS SHINING A LIGHT ON THESE EFFORTS INCLUDING: RRH IS PROUD TO ANNOUNCE THAT THE WOUND CARE CENTER AT CLIFTON SPRINGS HAS BEEN RECOGNIZED AS A 2021 HEALOGICS CENTER OF DISTINCTION. A CENTER OF DISTINCTION MUST ACHIEVE OR EXCEED SEVERAL CLINICAL AND OPERATIONAL RESULTS, INCLUDING: PATIENT SATISFACTION, HEALING RATE, AND OUTLIER RATE. NOT ONLY DID THE WOUND CARE CENTER TEAM AT CLIFTON SPRINGS EXCEL IN THESE THREE KEY PERFORMANCE INDICATORS, BUT THE TEAM'S PATIENT SATISFACTION RATE WAS NEARLY FIVE PERCENT (5%) BETTER THAN THE STANDARD FOR CONSIDERATION. CLIFTON SPRINGS HOSPITAL & CLINIC (CSHC) ACHIEVED ITS FIRST MAGNET DESIGNATION! MAGNET IS ADMINISTERED BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC) AND IS INTERNATIONALLY RECOGNIZED AS THE GOLD STANDARD OF EXCELLENCE IN THE NURSING PROFESSION, WITH FEWER THAN 8% OF HEALTHCARE FACILITIES IN THE U.S. ACHIEVING MAGNET. CSHC NOW JOINS THE RANKS OF ROCHESTER GENERAL, UNITY, NEWARK-WAYNE COMMUNITY HOSPITALS AND MOST RECENTLY, PCASI IN REACHING THIS EXTRAORDINARY MILESTONE, WITH UNITED MEMORIAL MEDICAL CENTER MAKING GREAT STRIDES ON ITS OWN MAGNET JOURNEY! FURTHER REINFORCING THE CALIBER OF THIS ACHIEVEMENT, IN ADDITION TO THE MAGNET DESIGNATION, CSHC WAS ALSO RECOGNIZED BY THE ANCC WITH THE FOLLOWING SIX EXEMPLARS: 1. PRESSURE ULCERS STAGE 2 OR ABOVE; 2. CENTRAL LINE BLOODSTREAM INFECTIONS; 3. CATHETER-ASSOCIATED URINARY TRACT INFECTION; 4. DOOR TO DOC IN THE EMERGENCY ROOM; 5. COURTESY AND RESPECT; 6. CAREFUL LISTENING. THIS DESIGNATION IS AN IMPRESSIVE TESTAMENT TO THE COMMITMENT AND CAPABILITIES OF ALL OF OUR NURSES AND OUR ENTIRE TEAM AT CSHC, WHO ARE WORKING TOGETHER EACH DAY TO BRING THE BEST POSSIBLE CARE CLOSE TO HOME FOR OUR PATIENTS AND COMMUNITY IN THE EASTERN REGION. CLIFTON SPRINGS HOSPITAL & CLINIC (CSHC) AMONG THE BEST IN THE WORLD FOR QUALITY IMPROVEMENT EFFORTS. CSHC WAS AMONG THE FIRST 28 HOSPITALS IN THE WORLD TO BECOME VERIFIED BY THE AMERICAN COLLEGE OF SURGEONS QUALITY VERIFICATION PROGRAM (ACS QVP). THE ACS QVP STANDARDS PROVIDE A PROVEN, STANDARDIZED METHOD FOR ESTABLISHING, MEASURING, AND IMPROVING A HOSPITAL'S QUALITY INFRASTRUCTURE ACROSS ALL SURGICAL DEPARTMENTS. THE INAUGURAL GROUP OF QVP HOSPITALS INCLUDES THREE INTERNATIONAL HOSPITALS TWO IN JAPAN AND ONE IN AUSTRALIA AND 25 U.S. HOSPITALS. THE ACS QVP FOCUSED THREE-YEAR DESIGNATION AFFIRMS THAT CLIFTON SPRINGS HAVE DEMONSTRATED AN ACTIVE COMMITMENT TO ESTABLISHING A SURGERY-WIDE QUALITY INFRASTRUCTURE THAT HAS BEEN IMPLEMENTED IN AT LEAST TWO SURGICAL DEPARTMENTS, WITH THE GOAL IMPLEMENTING ACROSS ALL SURGICAL SPECIALTIES. QVP BRINGS TOGETHER EVERYONE INVOLVED IN SURGERY IN THE HOSPITAL AND HELPS THEM DEVELOP THEIR OWN SPECIFIC IMPROVEMENT JOURNEYS TO IMPROVE PATIENT CARE AND THE OVERALL QUALITY OF A HOSPITAL. THANK YOU TO ALL OF THE TEAM MEMBERS INVOLVED FOR YOUR COMMITMENT TO THE QVP JOURNEY ON BEHALF OF OUR PATIENTS! EASTERN REGION HOSPITALS (NWCH AND CSHC) CONTINUED TO SHOW THEIR COMMITMENT TO THE COMMUNITY BY VOLUNTEERING IN THE FIRST AID TENT AT THE NEWARK ROTARY FAMILY FESTIVAL.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.ADDITIONALLY, IN 2022 WE HAVE SEEN CONTINUED PROGRESS ON THE UMMC 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. CONSTRUCTION CONTINUES WITH AN EXPECTED COMPLETION DATE OF MID-2024.DURING 2022 UMMC IMPROVED AND EXPANDED SERVICES AND RECEIVED RECOGNITIONS AND AWARDS FOR ITS EXEMPLARY SERVICES AND PATIENT CARE. THESE INCLUDE: BRAVO TO UMMC FOR BEING NAMED SILVER SAFE SLEEP HOSPITAL. UNITED MEMORIAL MEDICAL CENTER RECENTLY ACHIEVED THE NATIONAL SAFE SLEEP HOSPITAL CERTIFICATION AND DESIGNATION AS A SILVER SAFE SLEEP HOSPITAL! THE SAFE SLEEP LEADER DESIGNATION REFLECTS UMMC'S COMMITMENT TO THREE MAIN AREAS: DEVELOPING A SAFE SLEEP POLICY STATEMENT, TRAINING STAFF, AND EDUCATING PARENTS. IN ADDITION, UMMC'S MATERNITY UNIT CONTINUOUSLY ENCOURAGES THE USE OF SLEEP SACKS, PROVIDES DAILY PATIENT EDUCATION, AND COMPLETES MONTHLY CRIB AUDITS TO SUPPORT SAFE INFANT SLEEP. RENOVATION UPDATE: EXPANDING RADIOLOGY SERVICES AT UMMC - AFTER 16 MONTHS OF RENOVATIONS, UMMC HAS INSTALLED ITS FIRST INDOOR MAGNETIC RESONANCE IMAGING (MRI) MACHINE. BEFORE THE INSTALLATION, UMMC HAD BEEN STRICTLY USING A MOBILE MRI. PHASE ONE OF THE $8.45 MILLION PROJECT ALSO INCLUDES: AN ADDITIONAL 5,000 SQUARE FEET WILL BE ADDED TO THE EXISTING RADIOLOGY DEPARTMENT; IMPROVED PATIENT FLOW, ALLOWING PATIENTS TO GO DIRECTLY TO THE RADIOLOGY WAITING ROOM VERSUS TRAVERSING THROUGHOUT THE HOSPITAL; NEW COMPUTED TOMOGRAPHY (CT) ROOM; UPGRADES TO THE MORGUE AS PART OF THE INFRASTRUCTURE AND AN ESSENTIAL PIECE TO GETTING PATIENTS SAFELY AND RESPECTFULLY TO THEIR FINAL DESTINATION. UMMC RECOGNIZED BY HEALTHGRADES FOR SUPERIOR CLINICAL PERFORMANCE - TO DETERMINE TOP PERFORMERS, HEALTHGRADES EVALUATES NEARLY 4,500 U.S. HOSPITALS ACROSS 17 SPECIALTY CARE AREAS USING PUBLICLY REPORTED CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) DATA FROM A ROLLING THREE-YEAR PERIOD. AWARDS ARE PRESENTED TO THOSE THAT RANK AMONG THE TOP 1% - 10% OF U.S. HOSPITALS DEMONSTRATING SUPERIOR CLINICAL PERFORMANCE AND CONSISTENTLY EXCEPTIONAL PATIENT OUTCOMES OVERALL AND FOR EACH SPECIALTY. UMMC WAS RECOGNIZED AS A FIVE-STAR RECIPIENT FOR STROKE AND SEPSIS (2 YEARS IN A ROW). QUALITY ACHIEVEMENT AWARDS: UMMC IS NATIONALLY RECOGNIZED FOR HEART ATTACK TREATMENT
PART VI, LINE 6 (CON'T):	RRH PROUDLY ANNOUNCES THAT UNITED MEMORIAL MEDICAL CENTER HAS RECEIVED AMERICAN HEART ASSOCIATION'S MISSION: LIFELINE STEMI REFERRING CENTER BRONZE. THE DESIGNATION RECOGNIZES THE HOSPITAL'S COMMITMENT TO ENSURING SCIENCE-BASED TREATMENT FOR ALL PEOPLE EXPERIENCING A SPECIFIC TYPE OF HEART ATTACK, AN ST ELEVATION MYOCARDIAL INFARCTION (STEMI), KNOWN TO BE MORE SEVERE AND DANGEROUS THAN OTHER TYPES OF HEART ATTACKS. EACH YEAR, MORE THAN 280,000 PEOPLE IN THE U.S. EXPERIENCE THIS TYPE OF HEART ATTACK CAUSED BY A COMPLETE BLOCKAGE IN A CORONARY ARTERY. NEARLY 40% OF PEOPLE WHO GO TO THE EMERGENCY ROOM WITH ACUTE CORONARY SYNDROME RECEIVE A STEMI DIAGNOSIS, AND LIKE ALL HEART ATTACKS, THIS REQUIRES TIMELY TREATMENT TO RESTORE BLOOD FLOW AS QUICKLY AS POSSIBLE. HOSPITALS EARN A LIFELINE REFERRING CENTER AWARD BY DEMONSTRATING A COMMITMENT TO GETTING PATIENTS THE MOST UP-TO-DATE RESEARCH-BASED CARE FOR STEMI, AS OUTLINED BY THE AMERICAN HEART ASSOCIATIONST. 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, IN 2022 THEY CONTINUE TO BRING ABOUT IMPORTANT TECHNOLOGICAL INTEGRATION MILESTONES. 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 WENT LIVE IN 2022 AND SERVE TO IMPROVE EFFICIENCIES AND ENABLE ENHANCED HEALTH CARE SERVICES ACROSS THE NORTH COUNTRY REGION. 2022 CELEBRATIONS OF OUR TEAM AT ST. LAWRENCE HEALTH INCLUDE ACCOLADES FOR THE FOLLOWING: NAMED AMONG THE 44 NEW YORK HEALTHCARE PROVIDERS DESIGNATED "AGE-FRIENDLY HEALTH SYSTEMS" BY THE INSTITUTE FOR HEALTHCARE IMPROVEMENT. AGE-FRIENDLY HEALTH SYSTEMS ADHERE TO A RIGOROUS SET OF EVIDENCE-BASED STANDARDS TO ORGANIZE THE CARE OF OLDER ADULTS. WE CONGRATULATE CANTON-POTSDAM HOSPITAL, GOUVERNEUR HOSPITAL, AND MASSENA HOSPITAL FOR ACHIEVING THIS DESIGNATION, AND THEIR DEDICATION TO PROVIDING HIGH-QUALITY CARE TO OLDER ADULT PATIENTS. CONGRATULATIONS TO ST. LAWRENCE HEALTH'S (SLH) CLINICAL AND RURAL HEALTH RESEARCH DEPARTMENT ON RECEIVING THE 2022 OUTSTANDING RURAL HEALTH PROGRAM AWARD THROUGH THE NEW YORK STATE ASSOCIATION FOR RURAL HEALTH (NYSARH). SLHS ADDS BACK TO ITS COMMUNITY THROUGH EVENTS AND SPONSORSHIPS INCLUDING THE FOLLOWING: GARDEN SHARE'S FIGHT HUNGER FAIR AND 5K. DURING THIS EVENT SLH SET UP A TABLE TO SHOW PARTICIPANTS PROPER STRETCHING TECHNIQUES AS THEY PREPARE FOR THE RUN. THANKS TO OUR CLINICAL RESEARCH AND PHYSICAL THERAPY TEAMS FOR VOLUNTEERING THEIR TIME AT THIS EVENT. WALK WITH A DOC. DURING THIS EVENT, PARTICIPANTS LEARN ABOUT THE IMPORTANCE OF MOVEMENT AND ENJOY A WALK ON A FLAT, PAVED TRAIL AT YOUR OWN PACE WHILE GETTING TO KNOW SOME OF OUR LOCAL HEALTHCARE PROVIDERS. WATER, HEALTHY SNACKS, AND GIVEAWAYS WERE PROVIDED. GOUVERNEUR BREAST CANCER WALK RIVER RUN AND RECOVER FEST EVENT. SLH WAS REPRESENTED BY STAFF MEMBERS ON THE BEHAVIORAL HEALTH/SUBSTANCE USE DISORDER TEAM. ST. LAWRENCE HEALTH TEAM MEMBERS ATTENDED THE ST. LAWRENCE UNIVERSITY HEALTH FAIR. A CANTON-POTSDAM HOSPITAL LPN WAS PRESENT TO TAKE BLOOD PRESSURE, SLH CLINICAL AND RURAL HEALTH RESEARCH TEAM MEMBERS DISCUSSED CURRENT CLINICAL TRIALS AND INTERNSHIP OPPORTUNITIES, AND SLH PHYSICAL REHABILITATION TEAM MEMBERS PERFORMED BALANCE TESTING. WHEN ST. LAWRENCE HEALTH'S PATIENT EXPERIENCE TEAM LEARNED THAT SOME PATIENTS ARE DISCHARGED FROM THEIR HOSPITALS IN SCRUBS DUE TO THE UNACCEPTABLE CONDITION OF THE CLOTHES THEY ARRIVED IN, THEY DECIDED TO DO SOMETHING ABOUT IT. A "CLOTHES CLOSET" WAS SET UP AT CANTON-POTSDAM, GOUVERNEUR, AND MASSENA HOSPITALS, WHERE CLOTHING WAS MADE AVAILABLE FOR PATIENTS IN SUCH CIRCUMSTANCES. MOST RECENTLY, FUNDING FROM AN "EMPLOYEES GIVING GENEROUSLY" GRANT WAS SPLIT BETWEEN THE THREE HOSPITALS, AND CLOTHING PACKETS WERE ASSEMBLED THAT INCLUDED A SWEATSHIRT, T-SHIRT, SWEATPANTS, SOCKS, AND UNDERGARMENTS. SHOES, HATS, AND GLOVES ARE ALSO AVAILABLE WHEN NEEDED. SLH HOSPITAL'S HEALTH COACH PROGRAM. THE PROGRAM IS A PARTNERSHIP OF SLH/CPH, SUNY POTSDAM, CLARKSON UNIVERSITY, AND ST. LAWRENCE UNIVERSITY.DURING 2022, SLH, FOCUSED ON CONTINUED GROWTH, STARTED THE PROCESS OF ACQUIRING SEAWAY VALLEY AMBULANCE SERVICE. THE MASSENA-BASED SEAWAY VALLEY AMBULANCE SERVICE, A DEDICATED EMS, INTER-FACILITY TRANSPORT, AND AMBULATE SERVICE PRESENTLY SERVICING THE MASSENA-AREA MARKET IS EXPECTED TO FURTHER IMPROVE TRANSPORT ACCESS IN MASSENA AND ITS SURROUNDING COMMUNITIES. THE OFFICIAL ACQUISITION WAS FINALIZED IN 2023.2022 ALSO BROUGHT ABOUT AN EXPANSION TO AN SLH PARTNERSHIP WITH A LOCAL FARM. THIS EXPANDED SUSTAINABILITY PROJECT REPURPOSES FOOD WASTE AT BOTH CPH AND MH INTO COMPOST THAT WILL BE USED AS FERTILIZER FOR THEIR FARMS, HELPING TO REDUCE GREENHOUSE EMISSIONS AND KEEP FOOD WASTE OUT OF LANDFILLS. NEW EXPANSION: ISABELLA GRAHAM HART SCHOOL IS NOW IN POTSDAM IN 2021 ROCHESTER REGIONAL HEALTH ANNOUNCED THE EXTENSION OF ITS ISABELLA GRAHAM HART SCHOOL (IGH) OF PRACTICAL NURSING TO THREE REGIONS IN NEW YORK STATE, INCLUDING ONE SITE IN POTSDAM. WE ARE PLEASED TO SHARE THE POTSDAM SITE FORMALLY LAUNCHED ITS INAUGURAL CLASS IN 2022, WITH TEN STUDENTS ENROLLED IN THE 10-MONTH PROGRAM. IGH WAS ESTABLISHED TO EXPAND ACCESS TO GAINING CAREERS IN THE FIELD OF HEALTHCARE, WHERE THERE MAY NOT HAVE BEEN OPPORTUNITY OTHERWISE. COMMUNITY MEMBERS AND EMPLOYEES LOOKING TO ADVANCE THEIR CAREERS NOW HAVE A PATHWAY THROUGH WHICH THEY WILL BE THOROUGHLY PREPARED AND TRAINED TO MEET THE HIGH-LEVEL OF QUALITY HEALTHCARE OUR COMMUNITIES NEED AND DESERVE. ACCREDITED BY ACCREDITATION COMMISSION FOR EDUCATION IN NURSING (ACEN), THE IGH PROGRAM GRANTS PRACTICE NURSE CERTIFICATES ENTITLING GRADUATES TO TAKE THEIR NCLEX PRACTICAL NURSE LICENSURE EXAM. FOR LPNS WHO WISH TO ADVANCE THEIR CAREERS AS RNS, THE RRH COLLEGE OF HEALTH OFFERS AN ASSOCIATE OF APPLIED SCIENCE (AAS) PROGRAM FULLY ACCREDITED BY THE NEW YORK STATE DEPARTMENT OF EDUCATION.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, 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 CARE PARTNERS 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 PROVIDES BEDSIDE EDUCATION AND ADVICE TO HELP YOU GIVE YOUR BABY THE STRONGEST POSSIBLE START.CAPITAL IMPROVEMENTS ARE UNDERWAY AT CPH IN 2022. CANTON-POTSDAM HOSPITAL EFFECTIVELY TRANSFERRED THE AMBULANCE, EMERGENCY, AND MAIN ENTRANCES. THIS CHANGE WILL BE IN EFFECT FOR APPROXIMATELY TWO YEARS WHILE THE HOSPITAL UNDERGOES ITS MULTI-MILLION-DOLLAR REGIONAL CARE PAVILION PROJECT WHICH WILL INCLUDE THE CONSTRUCTION OF A NEW BED TOWER AS WELL AS IMPROVED EMERGENCY AND MAIN ENTRANCES.ADDITIONALLY IN 2022, CANTON-POTSDAM HOSPITAL (CPH) RECEIVED WORD THAT IT HAS BEEN RE-VERIFIED AS A LEVEL III TRAUMA CENTER BY THE AMERICAN COLLEGE OF SURGEONS. THIS ACHIEVEMENT RECOGNIZES THE TRAUMA CENTER'S DEDICATION TO PROVIDING OPTIMAL CARE CLOSE TO HOME FOR INJURED PATIENTS IN THE NORTH COUNTRY. THE AMERICAN COLLEGE OF SURGEONS FIRST DESIGNATED CANTON-POTSDAM HOSPITAL (CPH) AS A LEVEL III TRAUMA CENTER IN AUGUST 2018. THE HOSPITAL CONTINUES TO BE THE ONLY LEVEL
PART VI, LINE 6 (CON'T):	III TRAUMA CENTER NORTH OF THE NEW YORK STATE THRUWAY IN THE CENTRAL NEW YORK REGION. CONGRATULATIONS TO TRAUMA PROGRAM TEAM WHOSE HARD WORK AND COMMITMENT TO CLINICAL CARE EXCELLENCE RESULTED IN THIS OUTSTANDING ACCOMPLISHMENT. 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.2022 WAS AN EXCITING YEAR AT GH WITH THE INCLUSION OF THE FOLLOWING: CONGRATULATIONS GOES OUT TO GOUVERNEUR HOSPITAL FOR BEING NAMED A TOP RURAL HOSPITAL BY LEAPFROG GROUP. THIS NATIONAL RECOGNITION IS AN HONOR FOR THE WHOLE TEAM AS GH WAS THE ONLY NEW YORK HOSPITAL TO RECEIVE THE RECOGNITION, AND ONE OF 23 ACROSS THE COUNTRY. THE QUALITY OF PATIENT CARE ACROSS MANY AREAS OF HOSPITAL PERFORMANCE IS CONSIDERED IN ESTABLISHING THE QUALIFICATIONS FOR THE LEAPFROG GROUP AWARD, INCLUDING INFECTION RATES, SURGERY, AND THE HOSPITAL'S CAPACITY TO PREVENT MEDICATION AND OTHER ERRORS. BEST HOSPITALS AWARD: GOUVERNEUR HOSPITAL - GOUVERNEUR HOSPITAL (GH) WAS RECENTLY NAMED ONE OF 148 BEST HOSPITALS BY THE LEAP FROG GROUP AND MONEY. ONLY 148 HOSPITALS, OF A LIST OF MORE THAN 6,000 HOSPITALS IN THE UNITED STATES, MADE THE CUT TO BE AWARDED AS A TOP GENERAL, CHILDREN'S, RURAL, LARGE TEACHING, OR SMALL TEACHING HOSPITAL. TO BE ELIGIBLE FOR THE LIST, HOSPITALS WERE REQUIRED TO HAVE RECEIVED AN "A" LETTER GRADE ON LEAPFROG'S FALL 2021 HOSPITAL SAFETY GRADES (WHERE APPLICABLE). HOSPITALS WERE ALSO DISQUALIFIED IF THEY EARNED A GRADE OF "C OR LOWER ON THE SPRING 2022 HOSPITAL SAFETY GRADES ASSESSMENT. CONSTRUCTION HAS BEGUN AT GOUVERNEUR HOSPITAL AS AN OVERHEAD CANOPY IS ADDED ALONG THE MAIN ENTRANCE. AS IS A CONSIDERATION WITH ALL FACILITY IMPROVEMENTS, THIS CHANGE WILL IMPROVE THE PATIENT AND VISITOR EXPERIENCE BY PROTECTING FOLKS FROM THE UNPREDICTABLE NORTH COUNTRY WEATHER. GOUVERNEUR HOSPITAL SPONSORED A REINDEER VISIT DURING THE GOUVERNEUR CHRISTMAS PARADE. CHILDREN AND PARADE ATTENDEES WERE INVITED TO PET THE REINDEER AND HAVE THEIR PHOTOS TAKEN WITH THEM. SANTA WAS ON-SITE, ALONG WITH GAMES, VENDORS, A BOUNCE HOUSE, AND HORSE-DRAWN WAGON RIDES. GH WAS AWARDED A $10M GRANT FROM THE USDA FOR THE FUNDING AND FORMATION OF A ST. LAWRENCE RURAL TRANSPORT CONSORTIUM LED BY GOUVERNEUR HOSPITAL. THE FUNDS WILL BE UTILIZED TO SUPPORT THE IMPLEMENTATION OF A ST. LAWRENCE HEALTH-WIDE ELECTRONIC HEALTH RECORD (EHR) TO ESTABLISH AN INTER-FACILITY TRANSPORT COORDINATION CENTER AND TRAINING FOR EMERGENCY MEDICAL SERVICES (EMS) STAFF. THE GRANT WILL BE USED TO SOLVE THE ISSUE OF THE LACK OF EMERGENCY MEDICAL TECHNICIANS AND PARAMEDICS IN OUR RURAL REGION, AS WELL AS ENABLE USE OF A COMPREHENSIVE ELECTRONIC HEALTH RECORD ACROSS OUR THREE SLH HOSPITALS, CLINICS, AND SERVICES. CONGRATULATIONS: GOUVERNEUR HOSPITAL RANKED NEW YORK'S MOST SOCIALLY RESPONSIBLE HOSPITAL - ROCHESTER REGIONAL HEALTH, INCLUDING ST. LAWRENCE HEALTH, IS PLEASED TO ANNOUNCE THAT OUT OF 3,600+ HOSPITALS MEASURED, GOUVERNEUR HOSPITAL (GH) RANKED 43 IN THE NATION AND #1 IN NEW YORK STATE ON THE LOWN HOSPITALS INDEX. THE LOWN INSTITUTE IS A NON-PARTISAN HEALTHCARE THINK-TANK THAT CREATED THE INDEX TO DEFINE CLEAR, MEASURABLE STANDARDS FOR HOSPITAL SOCIAL RESPONSIBILITY. THE INDEX EXAMINES A HOSPITAL'S PERFORMANCE ACROSS THREE PRIMARY METRICS: EQUITY, VALUE, AND OUTCOMES. THE GOAL OF THE INDEX IS TO HIGHLIGHT HOSPITALS THAT PROVIDE EXCEPTIONAL PATIENT CARE TO ALL WHILE ENCOURAGING OTHER HOSPITALS TO FOLLOW THEIR EXAMPLE. GH WAS ONE OF ONLY 66 HOSPITALS TO RECEIVE STRAIGHT "A"S FOR EQUITY, VALUE, AND OUTCOMES. CONGRATULATIONS TO GOUVERNEUR HOSPITAL FOR RECEIVING THIS RARE DISTINCTION AND FOR PROVIDING HIGH-QUALITY CARE TO ALL OF YOUR PATIENTS. 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.DURING 2022, MH HAS EXPANDED ITS SERVICES INCLUDING: EXPANSION OF ITS INFUSION TREATMENT SUITE IMPROVING AND EXPANDING THE SPACE ALLOWING FOR AN IMPROVED PATIENT EXPERIENCE. FREE SKIN CANCER SCREENINGS: IN 2022, PROVIDERS OFFERED FREE SKIN CANCER SCREENINGS AT THE MASSENA HOSPITAL MEDICAL OFFICE BUILDING. 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. WAS HOME TO BARBARA WOLK SCHWARZ WOMEN'S COMMUNITY RESIDENCE THAT PROVIDED A SAFE, HOME-LIKE ENVIRONMENT FOR WOMEN UNDERGOING TREATMENT FOR CHEMICAL DEPENDENCY. SPECIALIZED PROGRAM HIGHLIGHTS INCLUDED 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 WERE PROVIDED IN A VARIETY OF SETTINGS TO ENSURE PARTICIPANTS RECEIVE THE NEEDED SERVICES. IN 2022, THE DIFFICULT DECISION WAS MADE BY PRCD TO SURRENDER ITS OPERATING CERTIFICATE TO NYS DEPARTMENT OF HEALTH THEREBY ENDING ALL OF ITS PATIENT CARE ACTIVITIES. 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 20,000 HOME CARE AND HOSPICE PATIENTS PER YEAR AT SEVEN LOCATIONS IN THE ROCHESTER AND FINGER LAKES REGION INCLUDING THE COUNTIES OF: MONROE, WAYNE, SENECA, CAYUGA, YATES, SCHUYLER, ONTARIO AND LIVINGSTON. THE 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
PART VI, LINE 6 (CON'T):	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.IN 2022, DEMAY LIVING CENTER EARNED THE COVETED PATHWAY TO EXCELLENCE DESIGNATION FROM THE AMERICAN NURSES CREDENTIALING CENTER (ANCC). DEMAY NOW JOINS AN ELITE GROUP OF ONLY SEVEN LONG TERM CARE FACILITIES IN NEW YORK STATE TO RECEIVE THIS PRESTIGIOUS HONOR, INCLUDING RRH'S EDNA TINA WILSON LIVING CENTER AND CLIFTON SPRINGS NURSING HOME. 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. DEMAY RECEIVED THIS RECOGNITION FOR ITS COMMITMENT TO PROVIDING A NETWORK OF SUPPORT AND ADVANCEMENT OPPORTUNITIES THAT EMPOWER OUR NURSING STAFF. 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. DEMAY LIVING CENTER EARNED THIS DESIGNATION IN 2022. 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. IN 2022, THIS ORGANIZATION CONTINUED THE PROCESS OF CLOSING DOWN ITS OPERATIONS. 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. 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. THIS FACILITY OPENED IN 2022.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.
PART VI, LINE 6 (CON'T):	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) 2022

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

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

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization
THE ROCHESTER GENERAL HOSPITAL

Employer identification number
16-0743134

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) AMERICAN CANCER SOCIETY PO BOX 10727 ROCHESTER,NY14610	13-1788491	501 (C)(3)	18,000	SPONSORSHIP
(2) AMERICAN DIABETES ASSOCIATION 160 ALLENS CREEK ROAD ROCHESTER,NY14618	13-1623888	501 (C)(3)	10,000	SPONSORSHIP
(3) AMERICAN SOCIETY FOR SUICIDE PREVENTION 199 WATER STREET 11TH FLOOR NEW YORK,NY10038	13-3393329	501 (C)(3)	5,500	SPONSORSHIP
(4) AMERICAN HEART ASSOCIATION FOUR GATEWAY CENTER 444 LIBERTY AVE SUITE 1300 PITTSBURGH,PA15222	13-5613797	501 (C)(3)	10,000	SPONSORSHIP
(5) CANCER SUPPORT COMMUNITY ROCHESTER 255 ALEXANDER STREET ROCHESTER,NY14607	16-0836556	501 (C)(3)	10,000	SPONSORSHIP
(6) THE CENTER FOR YOUTH SERVICES INC 905 MONROE AVENUE ROCHESTER,NY14620	16-0992259	501 (C)(3)	6,500	SPONSORSHIP
(7) GREATER ROCHESTER ENTERPRISE FOUNDATION INC 100 CHESTNUT STREET SUITE 1910 ROCHESTER,NY14604	10-0000080	501 (C)(3)	50,000	SPONSORSHIP
(8) THE HARLEY SCHOOL 1981 CLOVER STREET ROCHESTER,NY14618	16-0755783	501 (C)(3)	10,000	SPONSORSHIP
(9) INTERVOL INC 100 KINGS HIGHWAY S SUITE 1200 ROCHESTER,NY14617	16-1347201	501 (C)(3)	27,000	SPONSORSHIP
(10) JEWISH COMMUNITY CENTER OF GREATER ROCHESTER INC 1200 EDGEWOOD AVENUE ROCHESTER,NY14618	16-0743060	501 (C)(3)	10,000	SPONSORSHIP
(11) JORDAN HEALTH FOUNDATION 214 C LAKE AVENUE ROCHESTER,NY14608	16-1408256	501 (C)(3)	20,000	SPONSORSHIP
(12) MFC FOUNDATION LLC (MERCY FLIGHT CENTRAL INC) 2420 BRICKYARD ROAD CANANDAIGUA,NY14424	16-1427751	501 (C)(3)	10,000	SPONSORSHIP
(13) MONROE COMMUNITY COLLEGE FOUNDATION INC 1000 EAST HENRIETTA ROAD ROCHESTER,NY14623	16-1204210	501 (C)(3)	9,100	SPONSORSHIP
(14) NATIONAL CENTER FOR HEALTHCARE LEADERSHIP 17 N STATE STREET STE 1530 CHICAGO,IL60602	36-4483505	501 (C)(3)	7,500	SPONSORSHIP
(15) ROCHESTER INSTITUTE OF TECHNOLOGY 116 LOMB MEMORIAL DRIVE ROCHESTER,NY14623	16-0743140	501 (C)(3)	25,000	SPONSORSHIP
(16) ST JOSEPH'S NEIGHBORHOOD CENTER INC 417 SOUTH AVENUE ROCHESTER,NY14620	46-1176719	501 (C)(3)	10,000	SPONSORSHIP
(17) HUMAN RIGHTS CAMPAIGN INC 1640 RHODE ISLAND AVE NW WASHINGTON,DC20036	52-1243457	501 (C)(4)	10,000	SPONSORSHIP
(18) ROC2025 INC 100 CHESTNUT STREET SUITE 1910 ROCHESTER,NY14604	83-4392577	501 (C)(6)	100,000	SPONSORSHIP
(19) LSB CONSULTANTS LLC 25 BARRINGTON HILLS PITTSFORD,NY14534	01-0755379	LLC ENTITY	29,000	SPONSORSHIP
(20) ROCHESTER INTERNATIONAL JAZZ FESTIVAL LLC 250 EAST AVENUE STE 2 ROCHESTER,NY14604	20-2498272	LLC ENTITY	55,000	SPONSORSHIP
(21) YELLOW JACKET RACING LLC 155 CULVER RD SUITE 110 ROCHESTER,NY14620	20-4239351	LLC ENTITY	20,000	SPONSORSHIP

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

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

Cat. No. 50055P

Schedule I (Form 990) 2022

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	CHECK REQUEST AND PURCHASE ORDERS ARE REVIEWED FOR APPROPRIATE AUTHORIZATION AND USE OF FUNDS PRIOR TO ISSUANCE OF PAYMENT. RGH MAKES CONTRIBUTIONS TO COMMUNITY-FOCUSED ORGANIZATIONS, GENERALLY CLASSIFIED AS OTHER 501(C)(3) ORGANIZATIONS.

Schedule I (Form 990) 2022

Additional Data

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

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

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

Attach to Form 990.
SchJMediumBullet

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

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

THE ROCHESTER GENERAL HOSPITAL

Employer identification number

16-0743134

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) 2022

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)
1GORDON WHITBECK PHYSICIAN	(i) (ii)	211,871 ------------- 0	1,350,744 ------------- 0	0 ------------- 0	-46,604 ------------- 0	8,699 ------------- 0	1,524,710 ------------- 0	0 ------------- 0
2TIMOTHY WAGNER PHYSICIAN	(i) (ii)	833,426 ------------- 0	610,876 ------------- 0	0 ------------- 0	-18,877 ------------- 0	5,502 ------------- 0	1,430,927 ------------- 0	0 ------------- 0
3ALLEN CHANG PHYSICIAN	(i) (ii)	1,060,961 ------------- 0	301,200 ------------- 0	0 ------------- 0	0 ------------- 0	9,607 ------------- 0	1,371,768 ------------- 0	0 ------------- 0
4DANIEL ALEXANDER PHYSICIAN	(i) (ii)	1,289,948 ------------- 0	86,914 ------------- 0	0 ------------- 0	-39,805 ------------- 0	6,853 ------------- 0	1,343,910 ------------- 0	0 ------------- 0
5RONALD KIRSHNER PHYSICIAN	(i) (ii)	1,231,287 ------------- 0	201,200 ------------- 0	0 ------------- 0	-112,117 ------------- 0	12,311 ------------- 0	1,332,681 ------------- 0	0 ------------- 0
6RICHARD DAVIS PHD CEO	(i) (ii)	322,695 ------------- 721,319	77,273 ------------- 172,727	0 ------------- 0	0 ------------- 0	3,466 ------------- 7,747	403,434 ------------- 901,793	0 ------------- 0
7HUGH THOMAS CAO	(i) (ii)	276,908 ------------- 618,970	175,609 ------------- 392,537	0 ------------- 0	-63,987 ------------- -143,030	3,874 ------------- 8,659	392,404 ------------- 877,136	42,562 ------------- 95,138
8THOMAS CRILLY CFO	(i) (ii)	195,383 ------------- 436,738	201,043 ------------- 449,390	15,595 ------------- 34,860	-75,607 ------------- -169,004	3,923 ------------- 8,769	340,337 ------------- 760,753	32,661 ------------- 73,008
9KEVIN CASEY FORMER PRESIDENT	(i) (ii)	443,911 ------------- 0	302,395 ------------- 0	0 ------------- 0	-187,013 ------------- 0	10,959 ------------- 0	570,252 ------------- 0	0 ------------- 0
10LAURIE LERNER MD MEDICAL STAFF PRESIDENT	(i) (ii)	284,908 ------------- 0	274,182 ------------- 0	0 ------------- 0	-101,046 ------------- 0	11,130 ------------- 0	469,174 ------------- 0	0 ------------- 0
11KARAN SINGH ALAG MD DIRECTOR	(i) (ii)	238,020 ------------- 0	88,700 ------------- 0	0 ------------- 0	0 ------------- 0	13,303 ------------- 0	340,023 ------------- 0	0 ------------- 0
12MARCY C MULCONRY MD DIRECTOR	(i) (ii)	0 ------------- 118,254	0 ------------- 265,050	0 ------------- 0	0 ------------- -77,072	0 ------------- 11,692	0 ------------- 317,924	0 ------------- 0
13JENNIFER ESLINGER PRESIDENT	(i) (ii)	207,796 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	8,251 ------------- 0	216,047 ------------- 0	0 ------------- 0
14MICHAEL JAY KEYES MD FORMER MEDICAL STAFF PRESIDENT	(i) (ii)	250,537 ------------- 0	134,420 ------------- 0	0 ------------- 0	-194,472 ------------- 0	8,142 ------------- 0	198,627 ------------- 0	0 ------------- 0
15DAWN RIEDY MD DIRECTOR	(i) (ii)	352,876 ------------- 0	88,700 ------------- 0	0 ------------- 0	-303,040 ------------- 0	11,711 ------------- 0	150,247 ------------- 0	0 ------------- 0
16ERIC BIEBER FORMER CEO	(i) (ii)	14,639 ------------- 32,722	0 ------------- 0	0 ------------- 0	0 ------------- 0	91 ------------- 203	14,730 ------------- 32,925	0 ------------- 0

Schedule J (Form 990) 2022

Page 3

Part III

Supplemental Information

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

Return Reference	Explanation
PART I, LINE 3	COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS IS ESTABLISHED USING THE FOLLOWING: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEYS AND STUDIES - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE ON AN ANNUAL BASIS, THE ORGANIZATION USES AN INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE SALARIES FOR ALL EXECUTIVES TO ENSURE SUCH SALARIES ARE CONSISTENT WITH MARKET SALARIES PAID TO SIMILARLY SITUATED EXECUTIVES. IN ADDITION, A COMPENSATION COMMITTEE REVIEWS THIS INFORMATION ANNUALLY AND IT IS THEN APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. FINALLY, EXECUTIVES RECEIVE A WRITTEN LETTER OUTLINING THE SPECIFICS OF THE COMPENSATION AGREEMENT AND THEIR EXPECTED PERFORMANCE.
PART I, 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. DURING 2022 THE CFO OF ROCHESTER REGIONAL HEALTH RECEIVED A DISTRIBUTION TOTALING $49,054.
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.

Schedule J (Form 990) 2022

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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
THE ROCHESTER GENERAL HOSPITAL

Employer identification number
16-0743134

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	MONROE COUNTY INDUSTRIAL DEVELOPMENT CORPORATION	51-0188852	61075TEC8	02-27-2013	61,656,043	SEE PART VI		X		X		X
B	MONROE COUNTY INDUSTRIAL DEVELOPMENT CORPORATION	51-0188852	61075TEV6	02-27-2013	47,262,507	SEE PART VI		X		X		X
C	MONROE COUNTY INDUSTRIAL DEVELOPMENT CORPORATION	51-0188852	61075TRT7	05-18-2017	164,999,706	SEE PART VI		X		X		X
D	MONROE COUNTY INDUSTRIAL DEVELOPMENT CORPORATION	51-0188852	61075TWQ7	11-17-2020	80,767,117	SEE PART VI		X		X		X
	THE GENESEE COUNTY FUNDING CORPORATION	16-1139027	371669AW2	05-12-2022	38,407,947	SEE PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	61,656,043		47,262,507		164,999,706		80,767,117
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............	4,116,110				14,928,625
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	983,415		795,669		1,899,312		564,686
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	57,277,398		57,938,941		148,171,769		80,202,444
11 Other spent proceeds .............	720,879		11,472,103
12 Other unspent proceeds .............
13 Year of substantial completion .............	2013		2013		2017		2020
	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		X		X		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		X		X			X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		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		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X		X		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		X		X		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		X		X		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		X		X		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		X		X		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		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........		X		X		X		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		X		X		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		X		X		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		X		X		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		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		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		X		X		X

Part Ⅵ

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

Return Reference

Explanation

SCHEDULE K, PART I, BOND ISSUES

A (A) ISSUER NAME: MONROE COUNTY INDUSTRIAL DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: FINANCE CERTAIN HOSPITAL RENOVATIONS AND EXPANSION B (A) ISSUER NAME: MONROE COUNTY INDUSTRIAL DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: DEFEASE 2005 BONDS C (A) ISSUER NAME: MONROE COUNTY INDUSTRIAL DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: FINANCE CERTAIN HOSPITAL RENOVATIONS AND EXPANSION D (A) ISSUER NAME: MONROE COUNTY INDUSTRIAL DEVELOPMENT CORPORATION (F) DESCRIPTION OF PURPOSE: FINANCE CAPITAL IMPROVEMENT PROJECTS E (A) ISSUER NAME: THE GENESEE COUNTY FUNDING CORPORATION (F) DESCRIPTION OF PURPOSE: FINANCE CAPITAL PROJECTS

Schedule K (Form 990) 2021

Additional Data

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Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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
THE ROCHESTER GENERAL HOSPITAL

Employer identification number
16-0743134

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	MONROE COUNTY INDUSTRIAL DEVELOPMENT CORPORATION	51-0188852	61075TEC8	02-27-2013	61,656,043	SEE PART VI		X		X		X
B	MONROE COUNTY INDUSTRIAL DEVELOPMENT CORPORATION	51-0188852	61075TEV6	02-27-2013	47,262,507	SEE PART VI		X		X		X
C	MONROE COUNTY INDUSTRIAL DEVELOPMENT CORPORATION	51-0188852	61075TRT7	05-18-2017	164,999,706	SEE PART VI		X		X		X
D	MONROE COUNTY INDUSTRIAL DEVELOPMENT CORPORATION	51-0188852	61075TWQ7	11-17-2020	80,767,117	SEE PART VI		X		X		X
	THE GENESEE COUNTY FUNDING CORPORATION	16-1139027	371669AW2	05-12-2022	38,407,947	SEE PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	61,656,043		47,262,507		164,999,706		80,767,117
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............	4,116,110				14,928,625
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	983,415		795,669		1,899,312		564,686
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	57,277,398		57,938,941		148,171,769		80,202,444
11 Other spent proceeds .............	720,879		11,472,103
12 Other unspent proceeds .............
13 Year of substantial completion .............	2013		2013		2017		2020
	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		X		X		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		X		X			X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		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		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X		X		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		X		X		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		X		X		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		X		X		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		X		X		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		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........		X		X		X		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		X		X		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		X		X		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		X		X		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		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		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		X		X		X

Part Ⅵ

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

Return Reference

Explanation

SCHEDULE K, PART I, BOND ISSUES

Schedule K (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

THE ROCHESTER GENERAL HOSPITAL

Employer identification number

16-0743134

Return Reference	Explanation
FORM 990, PART III, LINE 4A:	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 MODEL THAT IS, TO PRIORITIZE INVESTMENTS IN GROWTH AND SERVICES THAT CREATE LONG-TERM VALUE. DESPITE THE ONGOING IMPACT OF COVID-19, ROCHESTER REGIONAL CONTINUES TO CELEBRATE PROGRESS ON THE FOLLOWING INITIATIVES ESSENTIAL TO THE FUTURE OF THE INSTITUTION AND THE HEALTH OF THE NEW YORK STATE COMMUNITIES IT SERVES: DESTINATION CAMPUSES: BETTER SERVICE TO RURAL PATIENTS ROCHESTER 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 WHICH OPENED IN OCTOBER 2021 EXPANDED SERVICES IN 2022 WITH THE ADDITION OF AN URGENT CARE CENTER. STRATEGIC FRAMEWORK: CREATING THE FUTURE OF QUALITY CARE ALL 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: NEW AT RRH: TRANSCRANIAL MAGNETIC STIMULATION (TMS) - RRH IS NOW OFFERING, FOR THE FIRST TIME, A NEW TREATMENT OPTION TO PATIENTS WITH TREATMENT-RESISTANT DEPRESSION. TMS IS A NONINVASIVE FORM OF BRAIN STIMULATION PERFORMED ON AN OUTPATIENT BASIS. APPROXIMATELY ONE-THIRD OF TMS PATIENTS HAVE EXPERIENCED THEIR SYMPTOMS GO AWAY COMPLETELY. MAJOR DEPRESSION AFFECTS AS MUCH AS 15% OF THE U.S. POPULATION EVERY YEAR, AND ONLY 60% TO 70% OF SUFFERERS RESPOND TO TRADITIONAL ANTIDEPRESSANT THERAPIES. RRH PROVIDING TMS CAN NOW GIVE EVEN MORE PATIENTS HOPE. 1ST IN THE REGION: RRH OFFERS NEW IMPLANT FOR HERNIATED DISCS - ROCHESTER REGIONAL HEALTH IS THE FIRST IN THE REGION TO PROVIDE A NEW SPINE IMPLANTBARRICAID ANNULAR CLOSURE DEVICE TO PATIENTS WHO SUFFER FROM HERNIATED DISCS. THE DEVICE IS A SPINAL IMPLANT THAT PREVENTS RE-HERNIATION BY SEALING THE HOLE IN A PATIENT'S LUMBAR DISC FOLLOWING DISCECTOMY. STUDIES SHOW IT REDUCES THE RISK OF REOPERATION FOR RE-HERNIATION BY 81 PERCENT. HERNIATED DISCS ARE THE TOP CAUSE OF NECK, BACK, AND LEG PAIN IN THE UNITED STATES AND UNTIL NOW UP TO 20% OF PATIENTS WHO UNDERWENT DISCECTOMY SURGERY TO REMOVE A DISC BULGE EXPERIENCED RE-HERNIATION. MEADOW RESERVE SENIOR HOUSING - THE 80-APARTMENT COMPLEX WILL PROVIDE LOCAL SENIORS WITH THE SUPPORT THEY NEED TO AGE IN PLACE AND LIVE INDEPENDENTLY, LONGER. THE FACILITY IS OWNED AND OPERATED BY ROCHESTER MANAGEMENT AND, THROUGH A SPECIAL PARTNERSHIP WITH RRH, RESIDENTS WILL HAVE ACCESS TO ONSITE EVALUATION OF THEIR NEEDS AND PERSONALIZED SERVICE COORDINATION TO CONNECT WITH HEALTH CARE PROVIDERS. ADVANCED TELEMEDICINE: TYTOCARE MEDICAL EXAM KIT - TO HELP ADVANCE TELEMEDICINE SERVICES TO MEET PATIENTS WHERE THEY ARE, RRH IS NOW WIDELY OFFERING TYTOCARE MEDICAL EXAM KITS. RRH IS THE FIRST HEALTH SYSTEM IN OUR REGION TO OFFER THE FDA-CLEARED MEDICAL KIT, WHICH ALLOWS PROVIDERS TO GUIDE PATIENTS THROUGH MEDICAL EXAMS IN REAL-TIME VIDEO VISITS FROM ANYWHERE, INCLUDING IN THE COMFORT OF THEIR HOMES. AFTER LINKING TO WI-FI IN THE TYTOCARE APP, THE MEDICAL EXAM KIT CAN HELP PROVIDERS GUIDE USERS TO A DIAGNOSIS AND TREATMENT FOR MANY COMMON CONDITIONS, INCLUDING: ALLERGIES, BUG BITES, COLDS, CONGESTION, EAR INFECTIONS, FEVERS, PINK EYE, RASHES, SINUS PAIN, STOMACH ACHES, ETC. NEW PARTNERSHIPS: SANDS-CONSTELLATION HEART INSTITUTE CLINIC AT MEDINA HOSPITAL - THANKS TO A NEW COLLABORATION BETWEEN ROCHESTER REGIONAL HEALTH, ORLEANS COMMUNITY HEALTH AND MEDINA MEMORIAL HOSPITAL, RESIDENTS IN THE MEDINA AND ALBION AREAS NOW HAVE ACCESS TO A BOARD-CERTIFIED, SANDS-CONSTELLATION HEART INSTITUTE (SCHI) CARDIOLOGIST CLOSER TO HOME. RRH OPENED A NEW SCHI CLINIC THIS WEEK ON THE FIRST FLOOR OF MEDINA MEMORIAL HOSPITAL. NEW ADDITION: URGENT CARE NOW OPEN ON GENESEO MEDICAL CAMPUS - RRH'S NEWEST URGENT CARE OPENED IN 2022 ON THE GENESEO MEDICAL CAMPUS, INCREASING ACCESS TO PROMPT MEDICAL SERVICES TO THE REGION. THE NEW LOCATION IS A CONVENIENT OPTION FOR RESIDENTS IN THE SOUTHERN TIER WHEN MINOR ILLNESS OR INJURY OCCURS AFTER HOURS OR WHEN THEIR PRIMARY CARE OFFICE IS NOT AN OPTION. PROVIDERS AND STAFF ARE TRAINED TO DIAGNOSE AND TREAT MOST NON-LIFE THREATENING INJURIES FROM RAPID STREP TO MINOR BURNS. THE GENESEO MEDICAL CAMPUS IS A ONE-STOP FACILITY OFFERING NEARLY A DOZEN NEW AND EXISTING SPECIALTY SERVICESAND NOW FEATURING URGENT CARE. WELCOME: RRH ACQUIRES LAKE PLAINS MEDICAL - RRH IS EXPANDING OUR INTERNAL MEDICINE SERVICES AND PROGRAMS FOOTPRINT BY ACQUIRING LAKE PLAINS MEDICAL IN ALBION AND MEDINA. NEW SURGICAL METHOD: RRH INTRODUCES VNOTES MINIMALLY INVASIVE GYNECOLOGIC LAPAROSCOPY ROCHESTER REGIONAL HEALTH HAS BECOME THE FIRST HEALTH SYSTEM IN OUR REGION TO OFFER A NEW METHOD OF MINIMALLY INVASIVE GYNECOLOGIC SURGERY CALLED VAGINAL NATURAL ORIFICE TRANSLUMINAL ENDOSCOPIC SURGERY (VNOTES). WITH VNOTES, PATIENTS RECOVER FASTER, GO HOME SOONER, HAVE LESS POST-OPERATIVE PAIN, AND HEAL WITH NO VISIBLE SCARRING. VNOTES IS A TYPE OF LAPAROSCOPIC SURGERY. THROUGH A VAGINAL INCISION AND USING SPECIALIZED INSTRUMENTS, SURGEONS CAN OPERATE ON THE UTERUS, FALLOPIAN TUBES, AND OVARIES. PROCEDURES THAT CAN BE PERFORMED THIS WAY INCLUDE TUBAL STERILIZATION (AKA TUBAL LIGATION), REMOVAL OF THE FALLOPIAN TUBES OR OVARIES, DRAINAGE AND EXCISION OF OVARIAN CYSTS, AND HYSTERECTOMY. CONTINUING EDUCATION: NEW LEARNING SERIES FOCUSES ON GERIATRIC SURGERY - ROCHESTER REGIONAL HEALTH HAS PARTNERED WITH THE HARTFORD INSTITUTE FOR GERIATRIC NURSING (HIGN) IN CREATING A NEW EDUCATIONAL MODULE FOCUSED ON PROVIDING AGE-SENSITIVE CARE TO OLDER ADULTS THROUGH THE PERIOPERATIVE EXPERIENCE. THE PROGRAM, INTEGRATING THE GERIATRIC SURGERY VERIFICATION (GSV) PROGRAM WITH THE 4MS SERIES, WAS RECENTLY ROLLED OUT TO EMPLOYEES AT UNITY HOSPITAL, NEWARK-WAYNE COMMUNITY HOSPITAL, AND CLIFTON SPRINGS HOSPITAL & CLINIC. THROUGHOUT EACH INTERACTIVE CASE STUDY, RRH EMPLOYEES WILL ASSESS AND DETERMINE BEST PRACTICES FOR CARING FOR OLDER ADULT PATIENTS BASED ON THE "4MS": WHAT MATTERS, MEDICATION, MENTATION, AND MOBILITY FRAMEWORK AND THE GSV PROGRAM STANDARDS.
FORM 990, PART III, LINE 4A: (CONTINUED)	NOW OPEN: IMAGING SCANS ARE AN ESSENTIAL PART OF KEEPING OUR COMMUNITY HEALTHY. TO HELP SUPPORT THE GROWING NEED FOR IMAGING SERVICES, RRH HAS RECENTLY OPENED A NEW IMAGING CENTER AT THE LINDEN OAKS MEDICAL CAMPUS. SERVICES AVAILABLE INCLUDE: X-RAYS, 3D MAMMOGRAM (INCLUDING DIAGNOSTICS), ULTRASOUNDS (INCLUDING BREAST ULTRASOUNDS & BIOPSIES), AND DEXA SCANS. NOW AVAILABLE: RRH EXPRESSCARE - IN SUPPORT OF OUR ONGOING EFFORT TO IMPROVE HEALTHCARE WITH TECHNOLOGY, ROCHESTER REGIONAL HEALTH OFFERS ON-DEMAND VIDEO VISITS THROUGH RRH EXPRESSCARE. RRH EXPRESSCARE ACTS AS A VIRTUAL URGENT CARE AND IS AVAILABLE 7 DAYS A WEEK. RRH EXPRESSCARE IS RECOMMENDED FOR PATIENTS WITH CONDITIONS SUCH AS EAR INFECTIONS, SORE THROAT, FEVER, COLD, ALLERGIES, STOMACH ISSUES, UPPER RESPIRATORY INFECTIONS, ASTHMA, AND RASHES. RRH JOINS NATIONAL HOSPITAL COALITION TO PREVENT GUN DEATHS AMONG CHILDREN - WHILE THERE IS NO EASY SOLUTION TO ADDRESS THE RISE IN RANDOM ACTS OF MASS GUN VIOLENCE IN OUR NATION, WE DO HAVE THE POWER TO PREVENT AN EVEN GREATER SOURCE OF GUN DEATHS IN AMERICA SUICIDE AND GUN ACCIDENTS. TODAY, THESE ARE THE LEADING CAUSE OF DEATH FOR KIDS IN AMERICA.*AND THE SIMPLE ACT OF LOCKING UP GUNS AND AMMO REDUCES THE RISK OF SELF-INFLICTED OR UNINTENTIONAL INJURY TO KIDS BY 85%. OUR RRH BOARD AND OUR EXECUTIVE AND PHYSICIAN LEADERS UNANIMOUSLY AGREED TO HAVE RRH JOIN A COALITION OF U.S. HOSPITALS AND HEALTH SYSTEMS IN SUPPORT OF A NATIONWIDE PUBLIC SERVICE CAMPAIGN FOCUSED ON PREVENTING CHILD ACCESS TO GUNS. THE CAMPAIGN THEME IS, "IT DOESN'T KILL TO ASK, AND IS AIMED AT MAKING IT EASIER AND MORE COMFORTABLE FOR PARENTS, GRANDPARENTS, AND CAREGIVERS TO ASK ABOUT UNLOCKED GUNS IN PLACES WHERE CHILDREN MAY PLAY, BE CARED FOR, OR VISIT. 2022 CONTINUED TO BE A CHALLENGING YEAR WITH THE CONTINUATION 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 2022 AND INCLUDED: ROCHESTER REGIONAL CONTINUED TO PROVIDE 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 2022, MORE THAN 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 PROGRAM RRH AND ITS EMPLOYEES HAVE AN INCREDIBLY STRONG COMMITMENT TO THE COMMUNITIES THEY SERVE. IN 2022 EVENTS SPONSORED AND HELD BY RRH INCLUDE: CELEBRATING WOMEN AND CULTIVATING LEADERS - INTERNATIONAL WOMEN'S DAY ON MARCH 8, CELEBRATED WOMEN'S ACHIEVEMENTS AND HIGHLIGHTED THE PUSH FOR GENDER EQUITY. RRH HEEDS THE CALL TO ACTION AS WE WORK TO CULTIVATE THE NEXT GENERATION OF HEALTHCARE WORKERS. WOMEN'S HISTORY MONTH AND INTERNATIONAL WOMEN'S DAY PRESENTED THE PERFECT OPPORTUNITY TO INSPIRE ROCHESTER'S YOUNG WOMEN THROUGH RRH'S WOMEN IN HEALTHCARE, GOOD FOR OUR HEALTH PIPELINE INITIATIVE. RRH HOSTED STUDENTS FROM YOUNG WOMEN'S COLLEGE PREP CHARTER SCHOOL OF ROCHESTER TO EXPLORE, ENCOURAGE AND ENGAGE WITH VARIOUS CAREERS OPPORTUNITIES IN HEALTHCARE. THE EVENT INCLUDED INTERACTIVE WORKSHOPS, A PANEL DISCUSSION WITH HEALTHCARE PROFESSIONALS, AND INTENTIONAL CONNECTIONS FOR NETWORKING AND MENTORING. RRH EXHIBITS AT IMAGINE RIT - RRH IS EXCITED TO ONCE AGAIN BE A PREMIER SPONSOR OF IMAGINE RIT: CREATIVITY + INNOVATION FESTIVAL. THE 2022 FREE EVENT IS IN PERSON WITH 250+ EXHIBITS, INTERACTIVE PRESENTATIONS, HANDS-ON DEMONSTRATIONS, AND MORE. THE FESTIVAL TAKES PLACE ON THE RIT CAMPUS AND IS OPEN TO ALL AGES! RRH EXHIBITS INCLUDED: THERAPY DOGS; YOGA AND BREATHING EXERCISES; TYTOCARE TELEMEDICINE DEMONSTRATION; AND HEALTHY EATING COLORING ACTIVITY. BLACK MATERNAL HEALTH WEEK - A WEEK OF "AWARENESS, ACTIVISM, AND COMMUNITY BUILDING" TO DEEPEN THE CONVERSATION ABOUT BLACK MATERNAL HEALTH AND TO AMPLIFY COMMUNITY-DRIVEN DISCUSSIONS AND SOLUTIONS. BLACK WOMEN ARE MORE THAN THREE TIMES AS LIKELY TO DIE IN CHILDBIRTH THAN WHITE WOMEN, THEY ARE MORE LIKELY TO BECOME SERIOUSLY ILL, AND THEIR CHILDREN ALSO FACE GREATER HEALTH RISKS. THE IMPORTANCE OF THIS NATIONAL MOVEMENT IS TO HIGHLIGHT THESE DISPARITIES. DURING THIS WEEK, RRH SPONSORED BUILDING FOR LIBERATION: CENTERING BLACK MAMAS, BLACK FAMILIES AND BLACK SYSTEMS OF CARE FOCUSING ON THE SCHOLARSHIP, CARE WORK, AND ADVOCACY CARRIED OUT BY BLACK MAMAS AND COMMUNITIES. RAISING AWARENESS: STROKE MONTH - RRH PARTNERED WITH THE ROCHESTER RED WINGS TO PROVIDE FREE BLOOD PRESSURE SCREENINGS, STROKE EDUCATION, AND TO MEET THE THERAPY DOGS DURING A GAME TO RAISE STROKE AWARENESS. ADDITIONALLY, MEMBERS OF THE ROCHESTER GENERAL AND UNITY STROKE TEAMS WERE AT THE EMS OPEN HOUSE AND COMMUNITY HEALTH FAIR IN WEBSTER. THEY EDUCATED FAIR ATTENDEES ABOUT STROKE PREVENTION TIPS.
FORM 990, PART III, LINE 4A: (CONTINUED)	HAIR AND HEALTH SYMPOSIUM 2022 - RRH IS PARTNERING WITH COMMON GROUND HEALTH TO HOST THE 2022 HAIR AND HEALTH SYMPOSIUM. HAIR AND SKIN CONDITIONS CAN LOOK VERY DIFFERENT IN POPULATIONS OF COLOR. AS A RESULT, BARBERS AND STYLISTS ARE OFTEN TRUSTED FIGURES WHO PLAY AN IMPORTANT ROLE IN PROMOTING HEALTH IN COMMUNITIES OF COLOR. COMMUNITY SUPPORT: RRH EMPLOYEES STAND WITH BUFFALO - NUMEROUS RRH EMPLOYEES HAVE REACHED OUT WANTING TO KNOW HOW THEY CAN HELP THE BUFFALO COMMUNITY AFTER IT EXPERIENCED A CATASTROPHIC EVENT MOTIVATED BY HATE. MANY OF OUR COWORKERS HAVE CALLED BUFFALO HOME, SOME HAVE CONNECTIONS TO THE AREA, AND WE ALL SHARE A BOARDER WITH THE "CITY OF GOOD NEIGHBORS". AS BUFFALO RESIDENTS STRIVE TO MOVE FORWARD, RRH IS DEMONSTRATING OUR COMMITMENT TO JUSTICE, ANTI-RACISM, AND HUMANITY BY EXTENDING SUPPORT TO THE FAMILIES AND PEOPLE DIRECTLY IMPACTED BY THIS TRAGEDY. RRH IS PROUD TO BE A SPONSOR OF THE ONLY LOCAL EVENT THAT SPECIFICALLY HIGHLIGHTS GYNECOLOGIC CANCERS. THIS EVENT HELPS RAISE AWARENESS AND FUNDS TO SUPPORT PATIENTS IN OUR COMMUNITY IMPACTED BY THESE CANCERS. RRH IS ONCE AGAIN THE PRESENTING SPONSOR OF THIS YEAR'S MAKING STRIDES AGAINST BREAST CANCER WALK. THE RRH BEHAVIORAL HEALTH TEAM IS JOINING THOUSANDS OF TEAMS ACROSS THE COUNTRY TO HELP SAVE LIVES AND BRING HOPE TO THOSE AFFECTED BY SUICIDE BY JOINING THE AMERICAN FOUNDATION FOR SUICIDE PREVENTION (AFSP) COMMUNITY WALK. RAISING AWARENESS WILL HELP BRING AFSP ONE STEP CLOSER TO ITS GOAL OF REDUCING THE SUICIDE RATE BY 20% BY 2025. RRH CHEMICAL DEPENDENCY TEAM MEMBERS PARTICIPATED IN THE 8TH ANNUAL ROCOVERY 5K RUN/WALK AND X-CHALLENGE. THE ROCOVERY FITNESS 5K CELEBRATES THE HOPE WE FIND IN RECOVERY AND REMEMBERS LOVED ONES WHO HAVE BEEN LOST TO THE DISEASE OF ADDICTION. SEPTEMBER IS NATIONAL RECOVERY AWARENESS MONTH, AND THE CHEMICAL DEPENDENCY TEAM WAS THERE TO PROVIDE IMPORTANT INFORMATION TO THE COMMUNITY ON THE VARIOUS PROGRAMS WE HAVE TO AID THOSE IN NEED OF SUBSTANCE USE TREATMENT. RRH IS PROUD TO BE A SELECT SPONSOR OF THE WALK TO END ALZHEIMER'S. AT THE EVENT THE RRH TEAM WILL BE PROVIDING INFORMATION TO PARTICIPANTS. RRH'S YOUTH APPRENTICE PROGRAM (YAP) RECENTLY RECEIVED A GENEROUS DONATION FROM ADVANTAGE FEDERAL CREDIT UNION. THE DONATION, MADE POSSIBLE BY THE CREDIT UNION'S DEBIT CARD GIVE BACK PROMOTION, WILL ASSIST STUDENTS ENROLLED WITH YAP AND ITS MANY INITIATIVES THAT FOSTER STUDENT GROWTH. BASED OUT OF ROCHESTER GENERAL HOSPITAL, YAP COMBINES ACADEMIC WORK, MENTORING, AND VOLUNTEERISM TO SUPPORT STUDENT ACHIEVEMENT AND ALLOWS ROCHESTER CITY SCHOOL DISTRICT STUDENTS TO ACHIEVE A CAREER IN HEALTHCARE. MORE THAN 600 STUDENTS HAVE PARTICIPATED IN YAP, AND EVERY ONE OF THEM HAS GRADUATED FROM HIGH SCHOOL. THE COMMUNITY SERVICES TEAM AND NURSING STUDENTS FROM ISABELLA GRAHAM HART SCHOOL OF PRACTICAL NURSING PARTICIPATED AND REPRESENTED RRH AT A CALL TO WOMEN OF COLOR EVENT AT GENESEE VALLEY PARK. DURING 2022 ROCHESTER REGIONAL HEALTH WAS RECOGNIZED BY THE FOLLOWING: CONGRATULATIONS: PCASI EARNS FIRST MAGNET DESIGNATION - RRH IS PROUD TO ANNOUNCE THAT PRIMARY CARE AND AMBULATORY SPECIALTY INSTITUTE (PCASI) ACHIEVED ITS FIRST MAGNET DESIGNATION IN 2022. PCASI IS THE FIRST PRIMARY CARE ORGANIZATION (AND ONLY THE SECOND AMBULATORY CARE GROUP) IN THE NATION TO RECEIVE A MAGNET DESIGNATION. MAGNET IS THE INTERNATIONALLY RECOGNIZED GOLD STANDARD OF EXCELLENCE IN THE NURSING PROFESSION BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC) AND LESS THAN 8% OF HEALTHCARE FACILITIES IN THE U.S. ARE MAGNET RECOGNIZED. PCASI NOW JOINS ROCHESTER GENERAL, UNITY, AND NEWARK-WAYNE COMMUNITY HOSPITALS IN REACHING THIS MILESTONE. CLIFTON SPRINGS HOSPITAL & CLINIC, UNITED MEMORIAL MEDICAL CENTER AND THE ST. LAWRENCE HOSPITALS ARE CURRENTLY UNDERWAY ON THEIR OWN MAGNET JOURNEYS. CONGRATULATIONS: RRH IS&T TEAM MEMBERS RECEIVE HDI AWARDS - ROCHESTER REGIONAL HEALTH'S IT SERVICE AND DELIVERY LEADERSHIP IS SENDING CONGRATULATIONS FOR BEING HONORED AT THE 2022 WESTERN NEW YORK HDI AWARDS. CONGRATULATIONS: ROCHESTER BUSINESS JOURNAL RECOGNIZES LOCAL HEALTH CARE HEROES - EVERY YEAR, THE ROCHESTER BUSINESS JOURNAL RECOGNIZES HEALTH CARE WORKERS ACROSS ALL AREAS OF SPECIALTY, HIGHLIGHTING THEIR IMPACT ON GREATER ROCHESTER. POTENTIAL HONOREES CAN BE NOMINATED FOR CONSIDERATION BY THEIR COLLEAGUES OR MEMBERS OF THE COMMUNITY. IN 2022, SIX ROCHESTER REGIONAL HEALTH TEAM MEMBERS WERE SELECTED AS HONOREES BY THE RBJ AND RECOGNIZED IN A VIRTUAL AWARD CEREMONY EARLIER TODAY. HEALTH CARE PIONEERS: RRH LEADS THE COUNTRY IN GERIATRIC SURGICAL CARE - RRH WAS THE FIRST IN THE NATION TO HAVE A HOSPITAL WITH THE FULLY ACCREDITED PROGRAM AND WILL LIKELY BECOME THE FIRST THIS YEAR TO HAVE ACCREDITED RURAL HOSPITALS, NEWARK-WAYNE COMMUNITY HOSPITAL AND CLIFTON SPRINGS HOSPITAL & CLINIC- EXPECTED LATER THIS YEAR. ROCHESTER GENERAL HOSPITAL AND UNITED MEMORIAL MEDICAL CENTER ARE ON TRACK TO START THE ACS GSV PROGRAM SOON, WITH ST. LAWRENCE HEALTH NOT FAR BEHIND. NATIONAL AWARD: RRH WINS PRESTIGIOUS "SYSTEM FOR CHANGE" AWARD - IN RECOGNITION OF OUR ACHIEVEMENTS AND INNOVATION IN HEALTH CARE SUSTAINABILITY, RRH HAS PROUDLY EARNED THE SYSTEM FOR CHANGE AWARD FROM PRACTICE GREENHEALTH, THE NATION'S LEADING ORGANIZATION DEDICATED TO ENVIRONMENTAL SUSTAINABILITY IN HEALTH CARE. THE DESIGNATION RECOGNIZES RRH'S SYSTEM-WIDE, ONGOING COMMITMENT TO ELIMINATING TOXINS, REDUCING WASTE, AND BUILDING SUSTAINABILITY INTO THE OPERATIONS AND CULTURE OF OUR INSTITUTE. WELL DONE: RRH RECEIVES POSITIVE CMS PERFORMANCE SCORE - ROCHESTER REGIONAL HEALTH IS AGAIN A TOP PERFORMER BASED ON THE CENTERS FOR MEDICARE AND MEDICAID SERVICES' (CMS) NEWLY RELEASED 2021 MERIT-BASED INCENTIVE PAYMENT SYSTEM (MIPS) SCORES. RRH'S MEDICARE SHARED SAVINGS PROGRAM ACCOUNTABLE CARE ORGANIZATION (MSSP ACO) PARTICIPATED AS A GROUP AND SCORED 100 OUT OF 100 FOR THE 2021 MIPS REPORTING YEAR, WHICH IS PART OF THE CMS QUALITY PAYMENT PROGRAM. MIPS RATES PROVIDERS BASED ON PERFORMANCE IN SEVERAL CATEGORIES, INCLUDING QUALITY, IMPROVEMENT ACTIVITIES, AND PROMOTING INTEROPERABILITY. FOR PARTICIPATING PROVIDERS IN THE ACO, DATA IS GATHERED FROM ELECTRONIC HEALTH RECORD SYSTEMS (EHRS) AND SUBMITTED TO CMS. QUALITY INFORMATICS AND GRIPA ENSURE PROGRAM REQUIREMENTS ARE MET AS THE PROGRAM EVOLVES YEARLY. THIS INCLUDES ENSURING APPROPRIATE WORKFLOWS ARE AVAILABLE TO CAPTURE AND TRACK THE NEEDED HEALTH INFORMATION THAT DEMONSTRATES THE EXCELLENT CARE PROVIDED TO RRH PATIENTS.
FORM 990, PART III, LINE 4A: (CONTINUED)	CLINICAL EXCELLENCE: CONGRATULATIONS TO THE RADIATION ONCOLOGY TEAMS AT LIPSON CANCER INSTITUTE-LINDEN OAKS, UNITED MEMORIAL MEDICAL CENTER, UNITY HOSPITAL, CLIFTON SPRINGS HOSPITAL, AND ROCHESTER GENERAL HOSPITAL FOR ACHIEVING THE GOLD STANDARD FROM THE AMERICAN COLLEGE OF RADIOLOGY (ACR). THE ACR ACCREDITATION INCLUDED THE EVALUATION OF APPROPRIATE DELIVERY AND DOCUMENTATION OF RADIATION THERAPY AND ONGOING QUALITY ASSESSMENT AND IMPROVEMENT EFFORTS. EACH ACR ACCREDITATION IS GRANTED FOR THREE-YEAR TERMS. THIS DESIGNATION HIGHLIGHTS THE COMMITMENT TO QUALITY PATIENT CARE AT THE HIGHEST STANDARDS OF THE RADIATION ONCOLOGY PROFESSION. TWO RRH INITIATIVES RECOGNIZED WITH GRQC AWARDS - RECOGNIZED BY THE GREATER ROCHESTER QUALITY COUNCIL (GRQC) AS WINNERS OF ITS 2022 PERFORMANCE EXCELLENCE AWARDS ARE, IN THE TEAM EXCELLENCE CATEGORY, OUR RRH QUALITY & SAFETY, CLINICAL INFORMATICS, IT, AND NURSING TEAMS WERE RECOGNIZED WITH A GOLD AWARD FOR THEIR COLLABORATIVE WORK TO REDUCE DUPLICATE AND AMBIGUOUS PAIN MEDICATION ORDERS. AND OUR DIVERSITY DATA COUNCIL WAS RECOGNIZED WITH A BRONZE AWARD FOR THE DEVELOPMENT OF THE HEALTH EQUITY DASHBOARD, DESIGNED TO HELP RRH BETTER UNDERSTAND AND SERVE THE SPECIFIC NEEDS OF OUR DIVERSE AND UNDER-RESOURCED PATIENT POPULATIONS. RRH EMERGENCY DEPARTMENT PHYSICIANS RECOGNIZED AS "UNSUNG HEROES" - FIVE RRH EMERGENCY PHYSICIANS WHO WERE RECOGNIZED BY THE NEW YORK AMERICAN COLLEGE OF EMERGENCY PHYSICIANS (NY ACEP) AS RECIPIENTS OF THEIR 2022 "UNSUNG HEROES" AWARD. THESE PHYSICIANS WERE AMONG JUST 39 RECOGNIZED ACROSS ALL OF NYS FOR THEIR ABOVE AND BEYOND CONTRIBUTIONS TO THEIR COLLEAGUES, PATIENTS, AND THE COMMUNITIES THEY SERVE. HEALTH CARE WITHOUT HARM ANNOUNCED ITS 2022 CLIMATE CHAMPIONS, AND ROCHESTER REGIONAL HEALTH IS AMONG THEM BASED ON OUR PERFORMANCE AS A PARTICIPANT IN THE ORGANIZATION'S HEALTH CARE CLIMATE CHALLENGE! HEALTH CARE CAN HELP FORGE A FUTURE WITH HEALTHY HOSPITALS AND HEALTHY PEOPLE BY IMPLEMENTING TRANSFORMATIVE CLIMATE SOLUTIONS THAT REDUCE HARMFUL POLLUTION AND STRENGTHEN RESILIENCY. THE HEALTH CARE CLIMATE CHALLENGE IS BUILDING A GLOBAL COALITION OF HEALTH CARE INSTITUTIONS AT THE FOREFRONT OF THIS TRANSFORMATION THAT NOW INCLUDES 300 INSTITUTIONAL PARTICIPANTS, REPRESENTING THE INTERESTS OF MORE THAN 28,000 HOSPITALS AND HEALTH CENTERS IN 43 COUNTRIES. AS A PARTICIPANT, WE ARE COMMITTED TO: REDUCING OUR OWN HEALTH CARE CARBON FOOTPRINT; PREPARING FOR THE IMPACTS OF EXTREME WEATHER AND THE SHIFTING BURDEN OF DISEASE; AND EDUCATING STAFF AND THE PUBLIC WHILE PROMOTING POLICIES TO PROTECT PUBLIC HEALTH FROM CLIMATE CHANGE. IN 2022 WE RECEIVED THE FOLLOWING AWARDS FOR THE SUSTAINABILITY EFFORTS AND SUCCESS OF OUR SYSTEM AND OUR TEAM: GOLD RENEWABLE ENERGY, SILVER CLIMATE RESILIENCY, SILVER CLIMATE LEADERSHIP. WE ARE HONORED TO BE A PART OF A GLOBAL COMMUNITY OF HEALTH CARE INSTITUTIONS ON EVERY CONTINENT LEADING THE TRANSFORMATION TO CLIMATE-SMART HEALTH CARE. THANK YOU TO EVERYONE HERE AT ROCHESTER REGIONAL FOR YOUR COMMITMENT TO CARE IN MINDFUL WAYS THAT STRIVE TO PROTECT THE FUTURE HEALTH OF OUR COMMUNITY, OUR ENVIRONMENT, AND OUR PLANET. 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 2022 SOME OF THE MAJOR IMPROVEMENTS INCLUDE THE FOLLOWING: NOW OPEN: NEW ROCHESTER GENERAL HOSPITAL TWIG BIRTHING CENTER - THE NEW LABOR AND DELIVERY UNIT OPENED IN AUGUST 2022. THE MODERNIZED UNIT INCLUDES 20 NEW, ALL-PRIVATE PATIENT ROOMS, CONSISTING OF NINE TRIAGE ROOMS, EIGHT LABOR AND DELIVERY ROOMS, AND THREE PRE-OP, POST-OP RECOVERY ROOMS. IT ALSO INCLUDES TWO STATE-OF-THE-ART IN-UNIT OPERATING ROOMS FOR C-SECTIONS AND MULTIPLE NURSING AND PROVIDER STATIONS FOR EASE OF PATIENT ACCESS. THE OPENING OF THIS NEW UNIT MARKS A SPECIAL MILESTONE IN CARE FOR OUR OBSTETRICS PATIENTS AND REPRESENTS ROCHESTER REGIONAL HEALTH'S COMMITMENT TO AN EXCEPTIONAL PATIENT EXPERIENCE. IN ADDITION TO PROVIDING A CONTEMPORARY AND SPACIOUS ENVIRONMENT FOR PATIENTS TO WELCOME THEIR BABIES IN, THE NEW TWIG BIRTHING CENTER IS NOW EQUIPPED WITH ADVANCED TELEMETRY EQUIPMENT, ALLOWING US TO BETTER MONITOR LABORING PATIENTS WITH COMPLEX MEDICAL NEEDS AN IMPORTANT TOOL TO HELP ENSURE PATIENT SAFETY. 2022 MARKED A FIRST FOR THE REGION - ROCHESTER GENERAL HOSPITAL PERFORMED THE REGION'S FIRST-EVER LUNG NODULE MARKING IN THE OPERATING ROOM USING THE GROUNDBREAKING MONARCH ROBOTIC BRONCHOSCOPY TECHNOLOGY. THIS INNOVATIVE TECHNOLOGY INTEGRATES THE LATEST ADVANCEMENTS IN ROBOTICS, SOFTWARE, DATA SCIENCE, AND ENDOSCOPY TO PROVIDE EARLIER AND MORE ACCURATE DIAGNOSIS OF LUNG CANCER. ANOTHER FIRST AT RGH FOR THE ORTHOPEDICS TEAM AS THEY PERFORMED ITS FIRST-EVER COMPUTER-NAVIGATED REVERSE SHOULDER REPLACEMENT. THE PATIENT TRAVELED SEVERAL HOURS TO RGH FOR THE STATE-OF-THE-ART PROCEDURE, AS HIS LOCAL CARDIOLOGIST FELT HE WAS TOO HIGH RISK FOR TRADITIONAL ELECTIVE SURGERY. RGH WAS THE PREFERRED REGIONAL DESTINATION FOR THIS PATIENT BECAUSE OF ITS HIGHLY-INTEGRATED, WORLD-CLASS CARDIAC AND ORTHOPEDIC SERVICES OFFERED ON-SITE, ENSURING THE HIGHEST QUALITY OF CARE TO MEET THIS PATIENT'S TOTAL HEALTH NEEDS. THE SURGERY WAS A GREAT SUCCESS, AND THE PATIENT RETURNED HOME THE FOLLOWING DAY. IN AN EFFORT TO SUPPORT THE EMERGENCY DEPARTMENT, RGH RECENTLY OPENED A NEW X-RAY ROOM WITH A RIBBON CUTTING. THE SPACE WILL BE USED EXCLUSIVELY FOR ED PATIENTS TO HELP IMPROVE PATIENT FLOW, TURNAROUND TIMES, AND THROUGHPUT OF THE ED. THE PROJECT TOOK 44 DAYS TO COMPLETE AND FEATURES A NEW GE DIGITAL RADIOGRAPHY SYSTEM. DURING 2022 ROCHESTER GENERAL HOSPITAL WAS RECOGNIZED BY THE FOLLOWING: LEADERS IN CARE: ROCHESTER GENERAL RECEIVED HEALTHGRADES AWARDS HEALTHGRADES- THE LEADING RESOURCE CONNECTING CONSUMERS, PHYSICIANS, AND HEALTH SYSTEMS, HAS RECOGNIZED RGH AS PROVIDING EXCEPTIONAL CARE FOR PATIENTS IN SPECIALIZED AREAS. THE HOSPITAL ALSO ATTAINED FURTHER ACCLAIM WITH MULTIPLE FIVE-STAR RECIPIENT AWARDS. ROCHESTER GENERAL HOSPITAL EARNED THE DESIGNATION AS THE NO. 5 HOSPITAL IN NEW YORK FOR CRITICAL CARE IN 2022, MAKING IT THE HIGHEST-RANKED HOSPITAL IN ROCHESTER FOR CRITICAL CARE AND A RECIPIENT OF HEALTHGRADES' AMERICA'S 50 BEST HOSPITALS' AWARD FOR THE FOURTH STRAIGHT YEAR (2019-2022). IN ADDITION, RGH IS A FIVE-STAR RECIPIENT FOR TREATMENT OF HEART ATTACK AND HEART FAILURE IN CARDIAC CARE; CRANIAL NEUROSURGERY, AND TREATMENT OF STROKE IN NEUROSCIENCES; TREATMENT OF PNEUMONIA IN NEUROSCIENCES; UPPER GASTROINTESTINAL SURGERIES, COLORECTAL SURGERIES, GI BLEED, AND BOWEL OBSTRUCTION FOR GASTROINTESTINAL; AND TREATMENT OF SEPSIS AND RESPIRATORY FAILURE FOR CRITICAL CARE. RGH RECOGNIZED BY HEALTHGRADES FOR SUPERIOR CLINICAL PERFORMANCE - TO DETERMINE TOP PERFORMERS, HEALTHGRADES EVALUATES NEARLY 4,500 U.S. HOSPITALS ACROSS 17 SPECIALTY CARE AREAS USING PUBLICLY REPORTED CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) DATA FROM A ROLLING THREE-YEAR PERIOD. AWARDS ARE PRESENTED TO THOSE THAT RANK AMONG THE TOP 1% - 10% OF U.S. HOSPITALS DEMONSTRATING SUPERIOR CLINICAL PERFORMANCE AND CONSISTENTLY EXCEPTIONAL PATIENT OUTCOMES OVERALL AND FOR EACH SPECIALTY. RGH WAS RECOGNIZED FOR: AMERICA'S 100 BEST FOR CARDIAC CARE (2 YEARS IN A ROW) TOP 2% IN NATION; AMERICA'S 100 BEST FOR CORONARY INTERVENTION TOP 2% IN NATION; CARDIAC CARE EXCELLENCE AWARD (2 YEARS IN A ROW) TOP 5% IN NATION FOR OVERALL CARDIAC SERVICES; CORONARY INTERVENTION EXCELLENCE AWARD TOP 5% IN NATION FOR CORONARY INTERVENTIONAL PROCEDURES; GASTROINTESTINAL CARE EXCELLENCE AWARD ONLY HOSPITAL IN NY TO RECEIVE AWARD 5 YEARS IN A ROW. ONLY HOSPITAL IN NY AMONG TOP 10% IN NATION FOR OVERALL GI SERVICES 5 YEARS
FORM 990, PART III, LINE 4A: (CONTINUED)	IN A ROW. TOP 10% IN NATION FOR GI MEDICAL TREATMENT 9 YEARS IN A ROW.; GASTROINTESTINAL SURGERY EXCELLENCE AWARD (5 YEARS IN A ROW) TOP 10% IN NATION FOR GI SURGERY 5 YEARS IN A ROW; FIVE-STAR RECIPIENT FOR HEART FAILURE (10 YEARS IN A ROW), STROKE (11 YEARS IN A ROW), CORONARY INTERVENTIONAL PROCEDURES, HEART ATTACK (14 YEARS IN A ROW), BOWEL OBSTRUCTION, GASTROINTESTINAL BLEED, UPPER GI SURGERY, PNEUMONIA (11 YEARS IN A ROW), PULMONARY EMBOLISM, SEPSIS (12 YEARS IN A ROW) ROCHESTER GENERAL HOSPITAL HAS ONCE AGAIN RECEIVED ACCREDITATION FROM THE SURGICAL REVIEW CORPORATION AS A CENTER OF EXCELLENCE IN MINIMALLY INVASIVE GYNECOLOGY (COEMIG). RGH WAS THE FIRST HOSPITAL IN THE REGION TO RECEIVE THE DISTINCTION, AND HAS BEEN RECOGNIZED FOUR TIMES SINCE 2012. IN ADDITION, SEVERAL RRH BOARD-CERTIFIED PHYSICIANS HAVE BEEN RECOGNIZED AS COEMIG MASTER SURGEONS. CONTINUED EXCELLENCE: RGH NEUROVASCULAR LAB EARNS VASCULAR TESTING REACCREDITATION - CONGRATULATIONS TO THE ROCHESTER GENERAL HOSPITAL NEUROVASCULAR LABORATORY FOR ACHIEVING REACCREDITATION IN EXTRACRANIAL CEREBROVASCULAR TESTING AND INTRACRANIAL CEREBROVASCULAR TESTING BY THE INTERSOCIETAL ACCREDITATION COMMISSION (IAC). THE IAC RECOGNIZES THE RGH NEUROVASCULAR LABORATORY TEAM'S DEDICATION TO PROVIDING QUALITY CARE THROUGH VASCULAR TESTING. CARDIOVASCULAR DISEASES ARE THE NUMBER ONE CAUSE OF DEATH IN THE UNITED STATES, BUT EFFECTIVE VASCULAR TESTING CAN LEAD TO EARLY DETECTION AND LIFE-SAVING INTERVENTION. SUPERIOR STROKE CARE: ROCHESTER GENERAL HOSPITAL NAMED COMPREHENSIVE STROKE CENTER BY DNV - CONGRATULATIONS TO ROCHESTER GENERAL HOSPITAL'S STROKE TEAM FOR ITS TREMENDOUS ACHIEVEMENT IN HELPING RGH RECEIVE RE-ACCREDITATION AS A DNV-CERTIFIED COMPREHENSIVE STROKE CENTER (CSC). A CSC CERTIFICATION IS THE HIGHEST RECOGNITION A STROKE HOSPITAL CAN EARN AND IT ACKNOWLEDGES THAT THE CENTER DELIVERS CONSISTENT QUALITY CARE IN COMPLEX CASES, INCLUDING PATIENTS REQUIRING SPECIALIZED TESTING, THERAPIES, OR ENDOVASCULAR SURGERY. RRH IS PROUD TO PROVIDE SUPERIOR STROKE CARE TO OUR PATIENTS AND THANKS RGH'S STROKE CENTER TEAM MEMBERS FOR THEIR VALIANT EFFORTS IN DELIVERING THE BEST POSSIBLE STROKE CARE TO OUR COMMUNITY! QUALITY ACHIEVEMENT AWARDS: RGH IS NATIONALLY RECOGNIZED FOR HEART ATTACK TREATMENT RRH PROUDLY ANNOUNCES THAT ROCHESTER GENERAL HOSPITAL HAS RECEIVED AMERICAN HEART ASSOCIATION'S MISSION: LIFELINE STEMI REFERRING CENTER BRONZE PLUS (RGH) RECOGNITION. THE DESIGNATIONS RECOGNIZE THE HOSPITAL'S COMMITMENT TO ENSURING SCIENCE-BASED TREATMENT FOR ALL PEOPLE EXPERIENCING A SPECIFIC TYPE OF HEART ATTACK, AN ST ELEVATION MYOCARDIAL INFARCTION (STEMI), KNOWN TO BE MORE SEVERE AND DANGEROUS THAN OTHER TYPES OF HEART ATTACKS. EACH YEAR, MORE THAN 280,000 PEOPLE IN THE U.S. EXPERIENCE THIS TYPE OF HEART ATTACK CAUSED BY A COMPLETE BLOCKAGE IN A CORONARY ARTERY. NEARLY 40% OF PEOPLE WHO GO TO THE EMERGENCY ROOM WITH ACUTE CORONARY SYNDROME RECEIVE A STEMI DIAGNOSIS, AND LIKE ALL HEART ATTACKS, THIS REQUIRES TIMELY TREATMENT TO RESTORE BLOOD FLOW AS QUICKLY AS POSSIBLE. HOSPITALS EARN A LIFELINE REFERRING CENTER AWARD BY DEMONSTRATING A COMMITMENT TO GETTING PATIENTS THE MOST UP-TO-DATE RESEARCH-BASED CARE FOR STEMI, AS OUTLINED BY THE AMERICAN HEART ASSOCIATION. ACHIEVEMENT AWARDS: ROCHESTER GENERAL HOSPITAL NATIONALLY RECOGNIZED FOR STROKE CARE - ROCHESTER GENERAL HOSPITAL HAS RECEIVED AMERICAN HEART ASSOCIATION'S GOLD PLUS GET WITH THE GUIDELINES - STROKE QUALITY ACHIEVEMENT AWARDS FOR THEIR COMMITMENT TO IMPROVING CARE BY ADHERING TO THE LATEST TREATMENT GUIDELINES AND STREAMLINING PROCESSES TO ENSURE TIMELY AND PROPER CARE FOR STROKES. EACH YEAR, PROGRAM PARTICIPANTS QUALIFY FOR THE AWARD BY DEMONSTRATING HOW THEIR ORGANIZATION HAS COMMITTED TO PROVIDING QUALITY CARE FOR STROKE PATIENTS. IN ADDITION TO FOLLOWING TREATMENT GUIDELINES, GET WITH THE GUIDELINES PARTICIPANTS EDUCATE PATIENTS TO HELP THEM MANAGE THEIR HEALTH AND RECOVERY AT HOME. IN ADDITION, THE HOSPITAL RECEIVED TARGETED RECOGNITION, INCLUDING THE AMERICAN HEART ASSOCIATION'S TARGET: STROKESM HONOR ROLL ELITE AWARD. TO QUALIFY FOR THIS RECOGNITION, HOSPITALS MUST MEET SPECIFIC CRITERIA THAT REDUCES THE TIME BETWEEN AN ELIGIBLE PATIENT'S ARRIVAL AT THE HOSPITAL AND TREATMENT WITH THE CLOT-BUSTER ALTEPLASE. RGH ALSO RECEIVED THE AMERICAN HEART ASSOCIATION'S TARGET: TYPE 2 DIABETES HONOR ROLL AWARD. THE AWARD AIMS TO ENSURE PATIENTS WITH TYPE 2 DIABETES, WHO MIGHT BE AT HIGHER RISK FOR COMPLICATIONS, RECEIVE THE MOST UP-TO-DATE, EVIDENCE-BASED CARE WHEN HOSPITALIZED DUE TO STROKE. RGH'S PALLIATIVE CARE TEAM EXCELLED DURING THEIR DNV SURVEY. THE END RESULT OF THE HARD WORK OF OUR RGH PALLIATIVE CARE TEAM MEMBERS WAS DNV SURVEYOR'S RECOMMENDATION FOR CERTIFICATION! 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. ADDITIONALLY, OUR TEAMS CONTINUE TO SHOW THEIR COMMITMENT TO THE COMMUNITY THROUGH THE FOLLOWING EVENTS: MEMBERS FROM SANDS-CONSTELLATION HEART INSTITUTE AND THE STROKE TEAMS AT RGH REPRESENTED RRH AT THE MONROE AMBULANCE OPEN HOUSE HELPING TO EDUCATE THE COMMUNITY ON HEART ATTACK AND STROKE WARNING SIGNS. ROCHESTER GENERAL HOSPITAL TWIG NICU TO PARTICIPATE IN ANNUAL READ-A-THON - IN HONOR OF NATIONAL LITERACY MONTH AND NICU AWARENESS MONTH, TGH TWIG NEONATAL INTENSIVE CARE UNIT (NICU) ONCE AGAIN PARTICIPATED IN THE ANNUAL BABIES WITH BOOKS (BWB) NICU READ-A-THON. THE BWB NICU READ-A-THON IS AN INTERNATIONAL READING COMPETITION BETWEEN OVER 170 HOSPITALS ACROSS THE US AND 4 OTHER COUNTRIES, PROMOTING READING TO BABIES IN THE NICU.
FORM 990, PART VI, SECTION A, LINE 1A	EACH BOARD HAS AN EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE BOARD PLUS THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION AND SUCH OTHER DIRECTORS AS THE CHAIR MAY NOMINATE FROM TIME TO TIME FOR APPOINTMENT BY A MAJORITY VOTE OF THE ENTIRE BOARD. BETWEEN MEETINGS OF THE BOARD, AND TO THE EXTENT PERMITTED BY LAW, THE EXECUTIVE COMMITTEE SHALL POSSESS THE POWERS OF THE BOARD WITH RESPECT TO MANAGING AND CONDUCTING THE AFFAIRS OF THE CORPORATION, EXCEPT AS OTHERWISE PROVIDED BY LAW OR WITHIN CERTAIN BY-LAWS.
FORM 990, PART VI, SECTION A, LINE 6	THE ORGANIZATION IS A MEMBERSHIP (NOT A STOCK) CORPORATION UNDER NEW YORK STATE LAW. THE ORGANIZATION'S SOLE CORPORATE MEMBER IS ROCHESTER REGIONAL HEALTH, A RELATED NOT-FOR-PROFIT ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7B	ROCHESTER REGIONAL HEALTH, AS THE SOLE CORPORATE MEMBER, ALSO HAS THE RIGHT TO APPROVE OR RATIFY SIGNIFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY, INCLUDING AMENDMENT OF BYLAWS AND CHARTERS, REMOVAL OF MEMBERS OF THE GOVERNING BODY, AND THE DECISION TO DISSOLVE THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11B	PRIOR TO FILING, A COPY OF THE FORM 990 IS PROVIDED TO, AND REVIEWED WITH, ALL MEMBERS OF THE AUDIT AND COMPLIANCE COMMITTEE. THIS REVIEW IS PERFORMED IN CONSULTATION WITH THE ORGANIZATION'S TAX ADVISORS, AND IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS AND OTHER RELEVANT INFORMATION FOR THE APPROPRIATE TIME PERIOD.
FORM 990, PART VI, SECTION B, LINE 12C	UPON EMPLOYMENT, ALL EMPLOYEES RECEIVE THE ETHICAL STANDARD OF CONDUCT BOOKLET FOR WHICH THEY SIGN A RECEIPT OF ACKNOWLEDGEMENT. CONFLICT OF INTEREST EDUCATION IS CONDUCTED ANNUALLY FOR ALL EMPLOYEES. CONFLICT OF INTEREST IS DEFINED, AS IS MANAGEMENT OF A CONFLICT OF INTEREST. EMPLOYEES ARE REQUIRED TO DISCLOSE AND SEEK RESOLUTION TO ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST BEFORE TAKING A POTENTIALLY IMPROPER ACTION. ANNUALLY, EACH KEY EMPLOYEE, DIRECTOR AND OFFICER OF THE ORGANIZATION IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM, PROVIDING MANAGEMENT WITH SUFFICIENT INFORMATION ABOUT HIS/HER PERSONAL INTERESTS AND RELATIONSHIPS SO THAT MANAGEMENT CAN: (1) DETERMINE WHETHER ANY ACTUAL OR PERCEIVED CONFLICT OF INTEREST EXISTS, AND (2) MONITOR WORK ASSIGNMENTS TO AVOID PLACING THE KEY EMPLOYEE OR OFFICER IN A POSITION WHERE THERE MAY BE A QUESTION AS TO HIS/HER OBJECTIVITY AS WELL AS TO AVOID ANY APPEARANCE OF IMPROPRIETY. THROUGHOUT THE YEAR, KEY EMPLOYEES, OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE ALSO REQUIRED TO NOTIFY MANAGEMENT PROMPTLY IF ANY CHANGE TO THEIR DISCLOSURES OCCURS. IN ADDITION, EACH MEMBER OF THE BOARD OF DIRECTORS MUST ALSO COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE FORM, WHICH MUST BE SUBMITTED TO THE GENERAL COUNSEL. BOARD MEMBERS LEAVE THE ROOM DURING DISCUSSIONS AND ABSTAIN FROM VOTING WHEN THEY HAVE A CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15	THE ORGANIZATION'S OFFICER AND KEY EMPLOYEE COMPENSATION ARRANGEMENTS ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE. INFORMATION REVIEWED FOR THE OFFICER/KEY EMPLOYEE INCLUDES COMPARABLE DATA FROM SIMILAR SIZE TAX-EXEMPT ORGANIZATIONS AS WELL AS COMPENSATION FOR THESE POSITIONS (AS DISCLOSED ON FORM 990) WITH OTHER ORGANIZATIONS IN THE HEALTHCARE INDUSTRY THAT ARE OF SIMILAR SIZE. REVIEW AND APPROVAL OF THE COMPENSATION ARRANGEMENT BY THE COMPENSATION COMMITTEE IS DOCUMENTED.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ADMINISTRATIVE OFFICES OF THE AFFILIATED HEALTH SYSTEM AT 100 KINGS HIGHWAY SOUTH, ROCHESTER, NY 14617. A NOMINAL FEE IS CHARGED IF COPIES ARE REQUESTED.
FORM 990, PART 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 AND (2) NON-TAXABLE BENEFITS.
FORM 990, PART IX, LINE 11G	MEDICAL PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 20,424,155. MANAGEMENT AND GENERAL EXPENSES 2,081,351. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,505,506. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 137,260,337. MANAGEMENT AND GENERAL EXPENSES 14,033,820. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 151,294,157. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 9,502,313. MANAGEMENT AND GENERAL EXPENSES 968,346. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,470,659. SPECIAL FEES: PROGRAM SERVICE EXPENSES 124,287. MANAGEMENT AND GENERAL EXPENSES 12,665. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 136,952.
FORM 990, PART XI, LINE 9:	CHANGE IN INTEREST IN NET ASSETS OF ROCHESTER REGIONAL HEALTH FOUNDATION -9,062,337. LAB SERVICE UBI -1,564,981. PASSTHROUGH UBI -413,726.
FORM 990, PART XII, LINE 2C:	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 5471 FILED ON BEHALF OF STATEMENT	STATEMENT PURSUANT TO TREAS REG SEC 1 6038-2(J)(3) THE FOLLOWING INFORMATION IS SUBMITTED WITH RESPECT TO THE ROCHESTER GENERAL HOSPITAL'S FORM 5471 (INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS) FILING REQUIREMENT FOR THE ENTITY BELOW: NAME OF FOREIGN CORPORATION: GREATER ROCHESTER ASSURANCE COMPANY, LTD. BEGINNING TAX YEAR OF FOREIGN CORPORATION: JANUARY 1, 2022 ENDING TAX YEAR OF FOREIGN CORPORATION: DECEMBER 31, 2022 THE FORM 5471 FILING REQUIREMENT FOR THIS FOREIGN CORPORATION FOR CATEGORIES 4 AND 5 HAVE BEEN SATISFIED BY INCLUSION IN THE FOLLOWING U.S. FILER'S TAX RETURN: NAME OF U.S. FILER: ROCHESTER REGIONAL HEALTH ADDRESS OF U.S. FILER: 100 KINGS HIGHWAY SOUTH, ROCHESTER, NY 14617 EIN: 47-1234999 ENDING TAX YEAR OF U.S. FILER: DECEMBER 31, 2022 TYPE OF RETURN FILED: 990 IRS SERVICE CENTER WHERE RETURN FILED: OGDEN, UTAH 84201-0027

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

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

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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

THE ROCHESTER GENERAL HOSPITAL

Employer identification number

16-0743134

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)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
(2)NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATION DRIVING PARK AVENUE NEWARK,NY14513 22-2963015	FUNDRAISING	NY	501(C)(3)	LINE 12B, II	ROCHESTER REGIONAL HEALTH	Yes
(3)NEWARK WAYNE COMMUNITY HOSPITAL DRIVING PARK AVENUE NEWARK,NY14513 15-0584188	HOSPITAL	NY	501(C)(3)	LINE 3	ROCHESTER REGIONAL HEALTH	Yes
(4)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
(5)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
(6)ROCHESTER GENERAL HUDSON HOUSING 2066 HUDSON AVENUE ROCHESTER,NY14621 22-3210351	LOW INC HOUSING	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(7)VIA HEALTH HOME CARE I 100 KINGS HIGHWAY SOUTH ROCHESTER,NY14617 16-1504370	HOME HEALTH	NY	501(C)(3)	LINE 10	CCN	Yes
(8)VIA HEALTH HOMECARE II 100 KINGS HIGHWAY SOUTH ROCHESTER,NY14617 16-1538727	HOME HEALTH	NY	501(C)(3)	LINE 10	CCN	Yes
(9)INDEPENDENT LIVING FOR SENIORS 2066 HUDSON AVENUE ROCHESTER,NY14617 16-1491059	ADULT DAY HC	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(10)ROCHESTER GENERAL LONG TERM CARE 1550 EMPIRE BLVD WEBSTER,NY14580 22-3187140	NH & REHAB	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(11)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
(12)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
(13)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
(14)PARK RIDGE CHILD CARE CENTER INC 1555 LONG POND RD ROCHESTER,NY14626 22-2918126	CHILD DAY CARE SERVICES	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(15)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
(16)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
(17)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
(18)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
(19)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
(20)WOODLAND VILLAGE INC 1555 LONG POND RD ROCHESTER,NY14626 16-1588242	SENIOR APARTMENT COMPLEX	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(21)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
(22)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
(23)ROCHESTER REGIONAL HEALTH 100 KINGS HIGHWAY SOUTH ROCHESTER,NY14617 47-1234999	SYSTEM PARENT	NY	501(C)(3)	LINE 12B, II	N/A	Yes
(24)UNITED MEMORIAL MEDICAL CENTER 127 NORTH STREET BATAVIA,NY14020 16-0743029	HOSPITAL	NY	501(C)(3)	LINE 3	ROCHESTER REGIONAL HEALTH	Yes
(25)CLIFTON SPRINGS HOSPITAL AND CLINIC 2 COULTER ROAD CLIFTON SPRINGS,NY14432 16-0743966	HOSPITAL	NY	501(C)(3)	LINE 3	ROCHESTER REGIONAL HEALTH	Yes
(26)BEHAVIORAL HEALTH NETWORK INC 490 EAST RIDGE ROAD ROCHESTER,NY14621 16-6069131	MENTAL HEALTH	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(27)PRCD INC 1555 LONG POND RD ROCHESTER,NY14626 16-1311581	SUBSTANCE ABUSE TREATMENT & REHAB.	NY	501(C)(3)	LINE 7	ROCHESTER REGIONAL HEALTH	Yes
(28)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
(29)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
(30)ROCHESTER GENERAL HEALTH SYSTEM 100 KINGS HIGHWAY SOUTH ROCHESTER,NY14617 22-2551509	SYSTEM SUPPORT	NY	501(C)(3)	LINE 12A, I	ROCHESTER REGIONAL HEALTH	Yes
(31)THE UNITY HOSPITAL OF ROCHESTER 1555 LONG POND RD ROCHESTER,NY14626 23-7221763	HOSPITAL	NY	501(C)(3)	LINE 3	ROCHESTER REGIONAL HEALTH	Yes
(32)GENESEE REGION HOME CARE ASSOCIATION INC 100 KINGS HIGHWAY SOUTH ROCHESTER,NY14617 16-0844109	HOME HEALTH	NY	501(C)(3)	LINE 3	ROCHESTER REGIONAL HEALTH	Yes
(33)GENESEE REGION HOME CARE ASSOCIATION OF ONTARIO COUNTY INC 100 KINGS HIGHWAY SOUTH ROCHESTER,NY14617 22-3257719	HOME HEALTH	NY	501(C)(3)	LINE 3	ROCHESTER REGIONAL HEALTH	Yes
(34)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
(35)ROCHESTER GENERAL HOSPITAL ASSOCIATION INC 1425 PORTLAND AVENUE ROCHESTER,NY14621 22-2255243	SYSTEM SUPPORT	NY	501(C)(3)	LINE 12B, II	ROCHESTER REGIONAL HEALTH	Yes
(36)ROCHESTER GENERAL HOSPITAL FOUNDATION 100 KINGS HIGHWAY SOUTH ROCHESTER,NY14617 22-2229425	FUNDRAISING	NY	501(C)(3)	LINE 12B, II	ROCHESTER REGIONAL HEALTH	Yes
(37)CANTON-POTSDAM HOSPITAL 50 LEROY STREET POTSDAM,NY13676 16-1012691	HOSPITAL	NY	501(C)(3)	LINE 3	ST LAWRENCE HEALTH SYSTEM INC	Yes
(38)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
(39)GOVEURNEUR HOSPITAL 77 WEST BARNEY STREET GOUVERNEUR,NY13642 46-4249555	HOSPITAL	NY	501(C)(3)	LINE 3	ST LAWRENCE HEALTH SYSTEM INC	Yes
(40)MASSENA HOSPITAL INC 1 HOSPITAL DRIVE MASSENA,NY13662 84-3134268	HOSPITAL	NY	501(C)(3)	LINE 3	ST LAWRENCE HEALTH SYSTEM INC	Yes
(41)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
(42)ROCHESTER GENERAL COLLEGE OF HEALTH CAREERS 470 SKYVIEW CENTRE PKWY ROCHESTER,NY14622 86-2935462	EDUCATION	NY	501(C)(3)	LINE 2	THE ROCHESTER GENERAL HOSPITAL	Yes

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	NWCH	RELATED				No			No	73.610 %
(2) PARMA SENIOR HOUSING 1555 LONG POND RD ROCHESTER,NY14626 43-2082116	HILTON PROJ	NY	N/A	RELATED				No			No
(3) UNITY SENIOR HOUSING 1555 LONG POND RD ROCHESTER,NY14626 06-1709927	MOORE PK	NY	N/A	RELATED				No			No
(4) LATTIMORE SERVICES LLC 125 LATTIMORE ROAD ROCHESTER,NY14620 16-1533823	MGMT SVCS	NY	RGH	RELATED				No			No	29.000 %

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

Yes

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

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

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

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

Yes

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

Yes

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

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

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) THE UNITY HOSPITAL OF ROCHESTER	J	2,435,486	FMV
(2) WNY MEDICAL PRACTICE PC	Q	231,927,356	FMV
(3) INDEPENDENT LIVING FOR SENIORS INC	L	14,342,141	FMV
(4) NEWARK WAYNE COMMUNITY HOSPITAL	Q	10,318,128	FMV
(5) ROCHESTER REGIONAL HEALTH FOUNDATION	Q	231,713	FMV
(6) ROCHESTER REGIONAL HEALTH FOUNDATION	J	228,400	FMV
(7) RGHS WORKERS COMPENSATION TRUST	Q	364,995	FMV
(8) ROCHESTER REGIONAL HEALTH FOUNDATION	C	5,927,293	FMV
(9) GREATER ROCHESTER ASSURANCE COMPANYLTD	P	5,021,401	FMV
(10) INDEPENDENT LIVING FOR SENIORS INC	Q	1,579,638	FMV
(11) NORTH PARK NURSING HOME (ETW)	Q	1,139,691	FMV
(12) GRHS FOUNDATION INC	K	10,106,456	FMV
(13) PARK RIDGE NURSING HOME (PRLC)	Q	1,477,245	FMV
(14) RGHS WORKERS' COMPENSATION TRUST	P	4,538,944	FMV
(15) ROCHESTER MENTAL HEALTH CENTER (BEHAVIORAL HEALTH CENTER)	Q	651,390	FMV
(16) GREATER ROCHESTER HEALTH SYSTEM FOUNDATION	Q	1,866,612	FMV
(17) GENESEE REGION HOME CARE ASSOCIATION INC	Q	3,020,183	FMV
(18) CLIFTON SPRINGS SANITARIUM	Q	6,934,836	FMV
(19) PRH INC	Q	588,815	FMV
(20) UNITED MEMORIAL MEDICAL CENTER	Q	20,543,459	FMV
(21) PARK RIDGE CHILD CARE INC	Q	101,594	FMV
(22) THE UNITY HOSPITAL OF ROCHESTER	Q	73,619,247	FMV
(23) GREATER ROCHESTER INDEPENDENT PRACTICE ASSOC INC (GRIPA)	Q	816,925	FMV
(24) ACM LABORATORY	P	10,573,561	FMV
(25) GRHS FOUNDATION	J	1,309,343	FMV
(26) ROCHESTER REGIONAL HEALTH SYSTEM	P	13,865,348	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

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1	Briefly describe the organization’s mission or most significant activities: TO OPERATE A GENERAL HOSPITAL IN THE COUNTY OF MONROE, NY FOR MEDICAL AND SURGICAL AID, CARE AND TREATMENT OF PERSONS IN NEED.
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	10
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	10,358
6	Total number of volunteers (estimate if necessary) .............	6	275
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,978,707
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) .........	31,334,670	49,031,906
9	Program service revenue (Part VIII, line 2g) .........	1,196,775,107	1,273,006,154
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	34,512,149	-6,254,749
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	18,636,382	28,033,166
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,281,258,308	1,343,816,477
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	369,900	452,600
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)	655,533,078	697,296,037
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)....	517,331,753	659,733,845
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,173,234,731	1,357,482,482
19	Revenue less expenses. Subtract line 18 from line 12.......	108,023,577	-13,666,005
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,891,434,393	2,092,987,995
21	Total liabilities (Part X, line 26).............	978,531,019	1,266,599,059
22	Net assets or fund balances. Subtract line 21 from line 20.....	912,903,374	826,388,936

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,252,624,758 including grants of $ 452,600 ) (Revenue $ 1,299,060,613 )
	SEE SCHEDULE O

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












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












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,252,624,758

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)				(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) THOMAS CRILLY........................................................................ CFO	17.00 .......................38.00	X			412,021	920,988	-231,919
(19) HUGH THOMAS........................................................................ CAO	17.00 .......................38.00	X			452,517	1,011,507	-194,484
(20) GORDON WHITBECK........................................................................ PHYSICIAN	40.00 .......................0.00		X		1,562,615	0	-37,905
(21) RONALD KIRSHNER........................................................................ PHYSICIAN	40.00 .......................0.00		X		1,432,487	0	-99,806
(22) DANIEL ALEXANDER........................................................................ PHYSICIAN	40.00 .......................0.00		X		1,376,862	0	-32,952
(23) TIMOTHY WAGNER........................................................................ PHYSICIAN	40.00 .......................0.00		X		1,444,302	0	-13,375
(24) ALLEN CHANG........................................................................ PHYSICIAN	40.00 .......................0.00		X		1,362,161	0	9,607
(25) KEVIN CASEY........................................................................ FORMER PRESIDENT	55.00 .......................0.00			X	746,306	0	-176,054
(26) ERIC BIEBER........................................................................ FORMER CEO	0.00 .......................0.00			X	14,639	32,722	294
(27) MICHAEL JAY KEYES MD........................................................................ FORMER MEDICAL STAFF PRESIDENT	40.00 .......................0.00			X	384,957	0	-186,330

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	11,142,956	3,242,567	-1,376,782

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	3,891,512
e	Government grants (contributions)		1e	27,032,747

f	All other contributions, gifts, grants, and similar amounts not included above		1f	18,107,647

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

h Total. Add lines 1a-1f.......		49,031,906

		Business Code
2a	PATIENT SERVICE REVENUE	622110	1,256,960,193	1,256,960,193
b	RENTAL REVENUE FROM RELATED PARTI	531120	6,489,567	6,489,567
c	RESEARCH	541700	3,241,710	3,241,710
d	SCHOOL OF NURSING	611600	2,724,863	2,724,863
e
f	All other program service revenue.		3,589,821	3,589,821
g	Total. Add lines 2a–2f .....		1,273,006,154

3 Investment income (including dividends, interest, and othersimilar amounts) ......			12,282,300			12,282,300
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)			6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		288,918,343	7a
b	Less: cost or other basis and sales expenses		307,455,392	7b
c	Gain or (loss)		-18,537,049	7c
d	Net gain or (loss).........			-18,537,049			-18,537,049
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	PHARMACY REVENUE		456110	12,759,447	12,759,447
b	CAFETERIA/CAFE & CATERING		722514	2,163,270	2,163,270
c	PASSTHROUGH UBIT		900099	413,726		413,726
d	All other revenue ....			12,696,723	11,131,742	1,564,981
e	Total. Add lines 11a–11d ......			28,033,166
12	Total revenue. See instructions.....			1,343,816,477	1,299,060,613	1,978,707	-6,254,749

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	452,600	452,600
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 ...........	3,613,101	3,422,911	190,190
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........	568,108,792	536,877,147	31,231,645
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	49,866,357	47,125,702	2,740,655
9	Other employee benefits .......	32,354,024	30,575,847	1,778,177
10	Payroll taxes ...........	43,353,763	40,971,040	2,382,723
11	Fees for services (non-employees):
a	Management ......	247,797	225,495	22,302
b	Legal .........	86,453	78,672	7,781
c	Accounting ...........	19,557	17,797	1,760
d	Lobbying ...........	120,806		120,806
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)	184,407,274	167,311,092	17,096,182
12	Advertising and promotion ....	3,983	3,625	358
13	Office expenses .......	4,665,375	4,245,491	419,884
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	48,126,420	43,795,042	4,331,378
17	Travel ............	629,943	573,248	56,695
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	13,892,043	11,269,739	2,622,304
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	53,582,439	42,786,114	10,796,325
23	Insurance ...	6,002,819	6,002,819
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	297,449,906	270,936,260	26,513,646
b	SHARED SERVICE EXPENSE	36,531,071	32,520,285	4,010,786
c	BAD DEBT EXPENSE	8,033,221	8,033,221
d	TAXES AND ASSESSMENTS	5,869,386	5,341,141	528,245
e	All other expenses	65,352	59,470	5,882
25	Total functional expenses. Add lines 1 through 24e	1,357,482,482	1,252,624,758	104,857,724	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 ........			10,317,740	1	6,492,468
2	Savings and temporary cash investments .........			158,248,580	2	115,853,659
3	Pledges and grants receivable, net ......			1,712,740	3	8,187,698
4	Accounts receivable, net .............			69,457,394	4	70,785,372
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 ...........			1,837,203	7	1,361,364
8	Inventories for sale or use ............			22,523,187	8	27,668,267
9	Prepaid expenses and deferred charges ......			15,799,776	9	15,255,755
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,306,411,024
b	Less: accumulated depreciation	10b	648,851,252	634,683,894	10c	657,559,772
11	Investments—publicly traded securities .			120,693,031	11	244,630,717
12	Investments—other securities. See Part IV, line 11 .....			330,515,122	12	272,149,581
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			525,645,726	15	673,043,342
16	Total assets. Add lines 1 through 15 (must equal line 33)...			1,891,434,393	16	2,092,987,995

17	Accounts payable and accrued expenses .....	195,187,285	17	190,955,747
18	Grants payable ...		18
19	Deferred revenue .........	87,514,652	19	14,443,580
20	Tax-exempt bond liabilities .........	330,855,953	20	512,276,537
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 ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	364,973,129	25	548,923,195
26	Total liabilities. Add lines 17 through 25..	978,531,019	26	1,266,599,059

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	855,657,189	27	778,205,088
28	Net assets with donor restrictions ...........	57,246,185	28	48,183,848
	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 ...........	912,903,374	32	826,388,936
33	Total liabilities and net assets/fund balances ........	1,891,434,393	33	2,092,987,995

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No