TY 2023 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...................................................................... DIRECTOR	1.00 ................. 1.00	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	13.00 ................. 42.00	X	X	728,522	2,353,687	54,879
(5) KARAN SINGH ALAG MD...................................................................... DIRECTOR	40.00 ................. 1.00	X		9,822	0	11,425
(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	402,048	44,776
(10) DAWN RIEDY MD...................................................................... DIRECTOR	40.00 ................. 1.00	X		239,351	0	5,211
(11) LEON T SAWYKO...................................................................... DIRECTOR	1.00 ................. 1.00	X		0	0	0
(12) TRICIA GATLIN PH D RN...................................................................... CHAIR OF THE BOARD	40.00 ................. 0.00	X	X	16,212	0	0
(13) KATHY VAETH PH D...................................................................... VICE CHAIR	1.00 ................. 1.00	X	X	0	0	0
(14) LAURIE LERNER MD...................................................................... MEDICAL STAFF PRESIDENT	40.00 ................. 0.00	X		444,597	0	59,721
(15) RANIA AYYAD MD...................................................................... DIRECTOR	40.00 ................. 1.00	X		288,028	0	50,938
(16) SARA KELLY PHD...................................................................... DIRECTOR	1.00 ................. 1.00	X		0	0	0
(17) TAMMY SNYDER...................................................................... PRESIDENT	55.00 ................. 0.00	X	X	444,449	0	8,026

(A) Name and business address	(B) Description of services	(C) Compensation
ROCHESTER RADIOLOGY ASSOCIATES PC 2050 SOUTH CLINTON AVE ROCHESTER,NY14618	PHYSICIAN SERVICES	24,513,943
HEALTH CAROUSEL LLC PO BOX 714216 CINCINATTI,OH45271	HEALTH CARE STAFFING SERVICES	18,479,419
DGA BUILDERS LLC 7612 COUNTY RD 42 VICTOR,NY14564	CONSTRUCTION SERVICES	18,176,515
SHC SERVICES INC PO BOX 677896 DALLAS,TX75267	HEALTH CARE STAFFING SERVICES	14,285,826
HHS ENVIRONMENTAL SERVICES LLC PO BOX 734367 DALLAS,TX75373	ENVIRONMENTAL SERVICES	5,495,544
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 112

- 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

2023

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) 2023

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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 2023 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2023. 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—2022. 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—2023. 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—2022. 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) 2023

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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. 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—2022. 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) 2023

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) 2023

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) 2023

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) 2023

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 2023 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-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, 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 2023. 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 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

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) 2023

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

2023

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) (2023)

Schedule B (Form 990) (2023) 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) (2023)

Schedule B (Form 990) (2023)

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) (2023)

Schedule B (Form 990) (2023)

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) (2023)

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

right arrow

Complete if the organization is described below. 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

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 .................................................................... right arrow

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 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

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 ..... right arrow

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

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

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) 2022

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 right arrow

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 right arrow

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) 2019	(b) 2020	(c) 2021	(d) 2022	(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) 2022

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

118,536

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

118,536

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) 2022

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.
right arrow

Attach to Form 990.
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

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 July 25, 2006, 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 right arrow

Number of states where property subject to conservation easement is located right arrow

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
right arrow

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

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 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) 2022

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 ....	14,155,876	16,249,510	14,683,970	13,088,985	10,562,060
b	Contributions ...	1,073,386	-2,093,634	1,565,540	1,594,985	2,526,925
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 ......	15,229,262	14,155,876	16,249,510	14,683,970	13,088,985

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

Board designated or quasi-endowment right arrow

0 %

Permanent endowment right arrow

70.060 %

Term endowment right arrow

29.940 %

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? .........

Yes

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 ....	693,966,232	248,077,722	445,888,510
c	Leasehold improvements	55,592,136	52,508,002	3,084,134
d	Equipment ....	517,786,438	399,135,839	118,650,599
e	Other .....	92,969,518	9,081,195	83,888,323
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				654,411,566

Schedule D (Form 990) 2022

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	28,752,506	F
(B) LIMITED PARTNERSHIP HEDGE FUNDS	245,691,340	F
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	274,443,846

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)BENEFICIAL INTEREST IN FOUNDATION				459,794,079
(2)OTHER ASSETS				21,626
(3)THIRD PARTY RECEIVABLE				32,767,013
(4)SELF-INSURANCE ASSET				71,962,200
(5)OTHER RECEIVABLES				37,639,793
(6)LEASE RIGHT OF USE ASSETS				117,221,882
(7)INVESTMENT IN GRIPA				9,245,840
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				728,652,433

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
SELF INSURANCE LIABILITIES	82,504,925
THIRD PARTY PAYABLES	83,190,775
DUE TO AFFILIATES	206,544,739
LEASE LIABILITIES	118,258,849
OTHER CUSTODIAL LIABILITIES	1,811




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	490,501,099
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) 2022

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) 2022

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 arrow

Attach to Form 990. Right arrow

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

OMB No. 1545-0047

2023

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) 2023

Schedule F (Form 990) 2023

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) 2023

Schedule F (Form 990) 2023Page 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) 2023

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2023

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

Schedule F (Form 990) 2023

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.
Medium right arrow

Attach to Form 990.
Medium right arrow

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

OMB No. 1545-0047

2023

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) . . .	18,252,733	9,365,083	8,887,650	0.570 %
b	Medicaid (from Worksheet 3, column a) . . . . .	273,315,874	172,414,722	100,901,152	6.450 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	67,147,420	37,235,245	29,912,175	1.910 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	358,716,027	219,015,050	139,700,977	8.930 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	2,240,016	0	2,240,016	0.140 %
f	Health professions education (from Worksheet 5) . . .	50,616,452	18,518,453	32,097,999	2.050 %
g	Subsidized health services (from Worksheet 6) . . . .	734,236,018	564,940,066	169,295,952	10.830 %
h	Research (from Worksheet 7) .	0	0
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	1,229,650	0	1,229,650	0.080 %
j	Total. Other Benefits . .	788,322,136	583,458,519	204,863,617	13.100 %
k	Total. Add lines 7d and 7j .	1,147,038,163	802,473,569	344,564,594	22.030 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023

Schedule H (Form 990) 2023

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.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(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			1,287,105	0	1,287,105	0.080 %
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total			1,287,105		1,287,105	0.080 %

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. ......

8,543,095

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. ......

1,375,098

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).....

96,697,991

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

158,470,720

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

-61,772,729

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) 2023

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) 2023

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) 2023

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) 2023

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) 2023

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) 2023

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) 2023

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) 2023

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 2023 MEDICAID ICR, UTILIZING EXHIBIT 46, AND THE 2023 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 2023 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 $1,572,451,314. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $8,543,095. AFTER BAD DEBT WAS DEDUCTED FROM TOTAL EXPENSES, THE AMOUNT OF TOTAL EXPENSES USED TO CALCULATE THE PERCENT IN LINE 7, COLUMN (F) WAS $1,563,908,219.
PART I, LINE 7E:	DURING 2023, ROCHESTER REGIONAL HEALTH (RRH) AND 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). WITH THE SLOWING SPREAD OF COVID-19 MANY EVENTS WERE HELD IN-PERSON. TO ENSURE RGH WAS REACHING AS MANY COMMUNITY MEMBERS AS POSSIBLE, VIRTUAL OPTIONS CONTINUE TO BE OFFERED. RGH CONTINUED ITS FOCUS ON COMMUNITY EDUCATION. - IN RECOGNITION OF NATIONAL HEALTHCARE DECISIONS DAY, THE PALLIATIVE CARE TEAM HAD REPRESENTATIVES PROMOTING HEALTH CARE PROXY AND ADVANCED CARE PLANNING EDUCATION AND DOCUMENT COMPLETION. THIS EVENT WAS OPEN TO THE PUBLIC. - ST. JOHN FISHER COLLEGE KICKED OFF ITS CARDINAL NURSE CAMP, WHERE JUNIORS AND SENIORS IN HIGH SCHOOL INTERESTED IN A CAREER IN THE NURSING PROFESSION HAD THE OPPORTUNITY TO SHADOW NURSES AT ROCHESTER GENERAL HOSPITAL. - FROM ALMSHOUSE TO PSYCHIATRIC CENTER: MENTAL HEALTH CARE IN ROCHESTER RRH LEADERS IN PSYCHIATRIC CARE HELD A DISCUSSION ON THE PROGRESSION OF PSYCHIATRIC CARE AND MENTAL HEALTH. THE NINETEENTH AND TWENTIETH CENTURIES WITNESSED DRAMATIC SHIFTS IN PSYCHIATRIC CARE IN THE U.S. TREATMENT EVOLVED FROM SEGREGATING INDIVIDUALS WITH MENTAL ILLNESS WITH PAUPERS AND CRIMINALS, TO PLACING THEM IN RURAL RETREATS REMOVED FROM THE PRESSURES OF FAMILY AND URBAN LIFE, TO KEEPING THEM IN OVERCROWDED FACILITIES WITH LITTLE EFFECTIVE TREATMENT. THESE TRANSITIONS PLAYED OUT LOCALLY IN THE MONROE COUNTY ALMSHOUSE, THE MONROE COUNTY INSANE ASYLUM, THE ROCHESTER STATE HOSPITAL, AND NOW THE ROCHESTER PSYCHIATRIC CENTER. DISCUSSION WAS OPEN TO THE PUBLIC.- RGH HOSTED MULTIPLE BLOOD DRIVES THROUGHOUT 2023.- NATIONAL MINORITY HEALTH MONTH- IN APRIL 2023, RRH CELEBRATED NATIONAL MINORITY HEALTH MONTH. THIS MONTH WAS ESTABLISHED BY CIVIL RIGHTS LEADER BOOKER T. WASHINGTON IN 1915. MR. WASHINGTON PROVIDED US WITH AN OPPORTUNITY TO SHARE RESOURCES AND INFORMATION TO GET ACTIVE AND STAY HEALTHY AND BRING AWARENESS TO THE HEALTH DISPARITIES STILL AFFECTING COMMUNITIES OF COLOR. BETTER HEALTH THROUGH BETTER UNDERSTANDING IS THE THEME FOR NATIONAL MINORITY HEALTH MONTH IN 2023. IT CHALLENGES US TO BE INTENTIONAL ABOUT COMMUNITY OUTREACH, HEALTH LITERACY EFFORTS, AND LINGUISTIC DIVERSITY. IN SO DOING, WE EQUIP OUR COMMUNITIES WITH THE INFORMATION THEY NEED, THE WAY THEY NEED IT, TO MAKE INFORMED DECISIONS. THROUGHOUT THE MONTH, RRH PROVIDED SHARED COMMUNITY RESOURCES, LANGUAGE ASSISTANCE, AND INTERPRETATION FACTS, AS WELL AS CULTURAL WELLNESS TIPS.- RRH SPONSORED A SPECIAL MARTIN LUTHER KING JR. EVENT. THIS EVENT WAS OPEN TO STAFF AND THE COMMUNITY AND CONSISTED OF A KEYNOTE SPEAKER, ROCHESTER CITY SCHOOL DISTRICT CHOIR, PERFORMANCES BY MEMBERS OF SCHOOL FOR THE ARTS, AND SEVERAL OTHER SPEAKERS. THANK YOU TO EVERYONE FOR MAKING THE PROGRAM A SUCCESS.- RRH'S CELEBRATION OF BLACK HISTORY MONTH CONTINUED TO RECOGNIZE THE IMPORTANCE OF REPRESENTATION IN HEALTHCARE. ACCORDING TO RESEARCH, THE LACK OF REPRESENTATION BETWEEN HEALTHCARE ORGANIZATIONS AND THE COMMUNITIES THEY SERVE CAN IMPACT PATIENT CARE. A STRATEGIC COMMITMENT TO DIVERSITY IS A MEANS OF PROMOTING HEALTH EQUITY AND REDUCING HEALTH DISPARITIES. REPRESENTATION IN HEALTHCARE ALSO HAS OTHER MEASURABLE BENEFITS FOR BOTH HEALTHCARE PROFESSIONALS AND THE COMMUNITIES THEY SERVE, INCLUDING: ENHANCED UNDERSTANDING OF VALUE SETS; IMPROVED COMMUNICATION; AND INCREASED PATIENT TRUST.- RRH WELLNESS: RUNNING AT ANY AGE EVENT - RRH PHYSICAL THERAPISTS SHARED TIPS, TRICKS, AND EVIDENCE-BASED RESEARCH STRATEGIES TO RETURN TO RUNNING AT ANY AGE! IN ADDITION TO COMMON RUNNING INJURIES, THEY PROVIDED A BRIEF OVERVIEW OF INJURY PREVENTION TECHNIQUES!- VIRTUAL STROKE SYMPOSIUM A DAY OF INSIGHT AND ENGAGING DISCUSSIONS THAT FOCUSED ON THE INTERDISCIPLINARY CLINICAL CARE AND MANAGEMENT OF STROKE AND CEREBROVASCULAR DISEASE. REGIONAL STROKE EXPERTS DISCUSSED THE LATEST ADVANCES IN THE CARE AND MANAGEMENT OF ACUTE, ISCHEMIC, AND HEMORRHAGIC STROKE, AS WELL AS OTHER CEREBROVASCULAR DISEASES, FROM INITIAL PRESENTATION TO REHABILITATION.- PAINT RRH BLUE WEEK-MARCH IS COLORECTAL CANCER AWARENESS MONTH. ACCORDING TO THE COLORECTAL CANCER ALLIANCE, COLORECTAL CANCER (CRC), WHICH IS CANCER OF THE COLON AND RECTUM, IS THE SECOND DEADLIEST CANCER IN THE US, BUT IT IS HIGHLY PREVENTABLE AND TREATABLE WHEN DETECTED EARLY WITH REGULAR SCREENING. RRH'S COLORECTAL CANCER SCREENING AND PREVENTION PROGRAM IS DESIGNED TO EDUCATE AND HELP PREVENT COLORECTAL CANCER IN MEN AND WOMEN. THE HOSPITALS WILL BE LIT UP BLUE TO HELP RAISE AWARENESS FOR COLORECTAL CANCER.- BRAIN INJURY AWARENESS-BRAIN INJURY IS THE SECOND MOST PREVALENT INJURY AND DISABILITY IN THE US. ROCHESTER REGIONAL HEALTH'S GOLISANO RESTORATIVE NEUROLOGY & REHABILITATION CENTER IS THE LARGEST INPATIENT PROGRAM OF ITS KIND IN THE FINGER LAKES REGION. THE CENTER HELPS THOSE RECOVERING FROM A SEVERE BRAIN INJURY RESTORE AS MUCH OF THEIR INDEPENDENCE AS POSSIBLE. ACCREDITED FOR CHILDREN, ADOLESCENTS, AND ADULTS BY THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF), THE PROGRAM PRODUCES EXCELLENT PATIENT OUTCOMES AND SATISFACTION.- FIT-TALK WITH RRH: INJURY PREVENTION FOR RUNNERS. DIRECTOR OF CLINICAL SERVICES FOR ROCHESTER REGIONAL HEALTH, SPOKE ABOUT INJURY PREVENTION FOR RUNNERS.- WOMEN'S HISTORY MONTH- RRH PROUDLY CELEBRATES WOMEN WHO TELL OUR STORIES IN RECOGNITION OF WOMEN'S HISTORY MONTH. THE TIMELY THEME HONORS WOMEN THROUGHOUT HISTORY AND WOMEN IN THE HISTORY OF RRH WHO HAVE DEVOTED THEIR LIVES AND TALENTS TO IMPROVING THE HUMAN CONDITION. STORYTELLING GIVES ROOTS AND WINGS BY HELPING US WITNESS HISTORY, DOCUMENT THE PRESENT, AND INSPIRE THE FUTURE.- BLACK MATERNAL HEALTH WEEK - THIS WEEK-LONG CAMPAIGN WAS INSPIRED BY THE BLACK MAMAS MATTER ALLIANCE (BMMA), A COLLECTIVE OF MULTI-DISCIPLINARY PROFESSIONALS WORKING TO ENSURE THAT "ALL BLACK MAMAS HAVE THE RIGHTS, RESPECT, AND RESOURCES TO THRIVE BEFORE, DURING, AND AFTER PREGNANCY."- IMAGINE RIT: CREATIVITY & INNOVATION FESTIVAL FEATURING 350+ EXHIBITS AND 2,200+ EXHIBITORS. VISITORS OF ALL AGES CAN EXPERIENCE INTERACTIVE PRESENTATIONS, HANDS-ON DEMONSTRATIONS, EXHIBITIONS, PERFORMING ARTS, AND RESEARCH PROJECTS.- EARTH DAY 2023-IN CELEBRATION OF EARTH DAY, RRH SPONSORED SPECIAL ACTIVITIES ACROSS ITS LOCATIONS, INCLUDING TREE SAPLING GIVEAWAYS AND AN E-WASTE DROP-OFF! TREE SAPLINGS WERE HANDED OUT AT EACH OF OUR HOSPITALS. - MAY IS MENTAL HEALTH AWARENESS MONTH, A NATIONAL MOVEMENT TO RAISE AWARENESS ABOUT MENTAL HEALTH. EVERY YEAR MILLIONS OF AMERICANS 1 IN 5 ADULTS, 1 IN 6 CHILDREN FACE THE REALITY OF LIVING WITH A MENTAL ILLNESS. ROCHESTER REGIONAL OFFERS A COMPREHENSIVE RANGE OF MENTAL HEALTH SERVICES, INCLUDING ADULT MENTAL HEALTH, YOUTH, AND FAMILY, BEHAVIORAL HEALTH ACCESS & CRISIS CENTER, COMPREHENSIVE PSYCHIATRIC EMERGENCY PROGRAM, HEALTH CARE MANAGEMENT, AND PERSONALIZED RECOVERY ORIENTED SERVICES.- STROKE AWARENESS ROCHESTER REGIONAL HEALTH AND THE ROCHESTER RED WINGS CAME TOGETHER TO RAISE AWARENESS OF THE IMPORTANCE OF PREVENTION, RECOGNITION, AND RAPID STROKE TREATMENT. SUPPORT STROKE SURVIVORS IN OUR COMMUNITY AND CELEBRATE THE INCREDIBLE STROKE CARE PROVIDED AT ROCHESTER REGIONAL HEALTH. - RRH REMEMBERS AND HONORS THOSE WHO HAVE GIVEN THEIR LIVES WHILE SERVING IN THE UNITED STATES ARMED FORCES.- HAIR & HEALTH SYMPOSIUM: RRH SPONSORED THE HAIR & HEALTH SYMPOSIUM IN JUNE 2023. THE FREE EVENT WAS HELD AT LOCAL SCHOOL AND WAS OPEN TO THE PUBLIC. - FREE COMMUNITY CPR TRAINING EVENT - IF PERFORMED IMMEDIATELY, CPR CAN DOUBLE, OR EVEN TRIPLE, THE CHANCES OF SURVIVAL FROM AN OUT-OF-HOSPITAL CARDIAC ARREST. RRH HOSTED A SERIES OF FREE CPR TRAINING EVENTS FOR ANYONE WHO WOULD LIKE TO LEARN HOW TO PERFORM CPR AND OTHER LIFE-SAVING MEASURES IN CASE OF AN EMERGENCY.- NATIONAL DAY OF AWARENESS TO END VIOLENCE RRH JOINED THE AMERICAN HOSPITAL ASSOCIATION TO RECOGNIZE THE 7TH "NATIONAL DAY OF AWARENESS TO END VIOLENCE." THIS ANNUAL RECOGNITION USES A PUBLIC HEALTH LENS TO DRAW ATTENTION TO THE AREAS OF VIOLENCE WE SEE WITHIN THE HEALTHCARE SYSTEM AND WITHIN THE COMMUNITIES WE SERVE. AS A SYSTEM, RRH IS ALSO WORKING TO UPDATE AND SIMPLIFY SIGNAGE RELATED TO AGGRESSIVE BEHAVIOR IN OUR FACILITIES. THE GOAL OF THE EFFORT IS TO CLEARLY COMMUNICATE OUR EXPECTATIONS FOR RESPECTFUL PATIENT AND VISITOR BEHAVIOR WHILE EXPLAINING CLEAR CONSEQUENCES FOR VIOLATIONS OF THOSE EXPECTATIONS. THESE NEW INITIATIVES ARE IN ADDITION TO MAJOR INVESTMENTS RRH HAS MADE TO SECURITY ACROSS THE ENTIRE SYSTEM INCLUDING THE INSTALLATION AND REPAIR OF BLUE LIGHT EMERGENCY CALL BOXES, NEW SECURITY CAMERAS, IMPROVED LIGHTING AND INCREASED PATROLS BY UNIFORMED SECURITY WHICH NOT ONLY FACILITATE FASTER RESPONSES TO INCIDENTS BUT AIM TO PREVENT INCIDENTS BEFORE THEY HAPPEN.
PART I, LINE 7E (CON'T):	- PRIDE MONTH- RRH IS PROUD TO GATHER, DREAM & AMPLIFY THE LGBTQ+ COMMUNITY! THE DIVERSITY, EQUITY & INCLUSION (DEI) TEAM IS LEADING EFFORTS TO RAISE AWARENESS AND CELEBRATE LESBIAN, GAY, BISEXUAL, TRANSGENDER, QUEER, OR QUESTIONING (LGBTQ+) PATIENTS, COLLEAGUES, AND OUR COMMUNITIES THROUGHOUT THE MONTH OF JUNE. THIS MONTH AS WE GATHER, OUR COLLECTIVE DREAM IS TO CREATE A WORLD WHERE EVERY INDIVIDUAL THRIVES, AND WE PROUDLY AMPLIFY THE VOICES OF THE LGBTQ+ COMMUNITY.- ROC PRIDE PARADE & FESTIVAL - RRH WAS A TOP SPONSOR OF THE 2023 ROC PRIDE PARADE! OVER 100 WALKERS AND VOLUNTEERS SHOWED UP TO GATHER, DREAM, AND AMPLIFY RRH'S COMMITMENT TO DIVERSITY, EQUITY, AND INCLUSION. THOUSANDS OF ROCHESTERIANS ATTENDED THE EVENTS TO CELEBRATE AND SUPPORT SAFE AND INCLUSIVE SPACES FOR THE LGBTQ+ COMMUNITY.- RRH WAS A SPONSOR OF THE 2023 AHA HEART WALK - BY COMING TOGETHER AS A COMMUNITY, RRH HOPES TO RAISE AWARENESS ABOUT HEART HEALTH, SUPPORT LIFE-SAVING RESEARCH, AND MAKE A POSITIVE IMPACT ON THE LIVES OF INDIVIDUALS AFFECTED BY CARDIOVASCULAR DISEASES. - RRH AT THE ROCHESTER INTERNATIONAL JAZZ FESTIVAL - RRH FIRST AID TENT: STOP BY THE TENT THROUGHOUT THE FESTIVAL FOR GIVEAWAYS AND ANY BASIC FIRST AID NEEDS. RRH EXHIBIT SPACE: WITH MUSIC AND ART COMES RELAXATION, HEALING, AND OVERALL WELL-BEING. - RRH STEPPING UP FOR LUNG CANCER RRH ENCOURAGED TEAM MEMBERS TO PARTICIPATE IN THE SUMMER RAISE, GO2 FOR LUNG CANCER'S GLOBAL FUNDRAISING EVENT BY OFFERING A FREE 40-DAY VIRTUAL STEP-TRACKING CHALLENGE TO RAISE AWARENESS FOR LUNG CANCER.- FAMILY RESOURCE FAIR: STUDIES SHOW THAT AN EDUCATION IS KEY TO OVERCOMING POVERTY, BUT MANY FAMILIES ARE UNABLE TO PROVIDE THE BASIC SCHOOL SUPPLIES THEIR CHILDREN NEED TO BE EFFECTIVE. RRH HEALTHY MOMS IS HOSTING A FAMILY RESOURCE FAIR TO SUPPORT FAMILIES IN NEED IN OUR COMMUNITY. - RRH'S FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) ARE PART OF A NATIONWIDE NETWORK THAT PROVIDES CARE TO PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. IN HONOR OF NATIONAL HEALTH CENTER WEEK (AUGUST 6 12), RRH WOULD LIKE TO THANK THE 400+ DEDICATED FQHC STAFF MEMBERS FOR THEIR COMMITMENT TO PROVIDING QUALITY SERVICES EACH AND EVERY DAY.- RRH HOSTED A FREE SCHOOL-BASED HEALTH CENTERS INFORMATION SESSION INFORMING PARENTS AND THE COMMUNITY ABOUT THE SERVICES AVAILABLE TO STUDENTS ENROLLED IN THE ROCHESTER CITY SCHOOL DISTRICT. THE EVENT INCLUDED: ENROLLMENT SERVICES FOR YOUR CHILD IN FREE MEDICAL AND MENTAL HEALTH SERVICES; WIN BIG WITH RAFFLES; MEET AND PET THERAPY DOGS; TAKE ADVANTAGE OF SCHOOL SUPPLY GIVEAWAYS; ENJOY LIGHT REFRESHMENTS. - NATIONAL MINORITY DONOR AWARENESS MONTH - NATIONAL MINORITY DONOR AWARENESS MONTH (NMDAM) BEGAN AS NATIONAL MINORITY DONOR AWARENESS WEEK, FOUNDED IN 1996 BY THE NATIONAL MINORITY ORGAN TISSUE TRANSPLANT EDUCATION PROGRAM TO RAISE AWARENESS OF DONATIONS AND TRANSPLANTATIONS IN COMMUNITIES OF COLOR. ON AVERAGE, AFRICAN AMERICAN/BLACK TRANSPLANT CANDIDATES WAIT LONGER THAN WHITE TRANSPLANT CANDIDATES FOR KIDNEY, HEART, AND LUNG TRANSPLANTS. THESE HEALTH CARE DISPARITIES ARE PART OF THE NEED FOR NMDAM EDUCATION AND OUTREACH TO HELP HEAL AND SAVE LIVES IN OUR COMMUNITIES.- WE CELEBRATED NATIONAL HEALTH CENTER WEEK WITH A WHOLE CALENDAR FULL OF EVENTS, INCLUDING A PATIENT APPRECIATION DAY WITH FREE HEALTH SCREENINGS FOR ALL, AS WELL AS A "HEALTH CARE FOR THE HOMELESS" DAY, WHERE UNHOUSED INDIVIDUALS WERE OFFERED MOBILE HEALTH SERVICES, FREE HAIRCUTS, AND MORE. - OUR AFFIRMING CARE CHEMICAL DEPENDENCY TEAM PARTICIPATED IN THE 8TH ANNUAL SCOTT B OVERDOSE AWARENESS DAY BY DISTRIBUTING NARCAN AND TEST STRIPS TO TEST FOR FENTANYL AND XYLAZINE. THE TEAM ALSO EDUCATED ATTENDEES ON THE DANGERS OF FENTANYL AND XYLAZINE AND INSTRUCTED THEM ON HOW TO IDENTIFY THESE SUBSTANCES WITHIN OTHER DRUGS.- DURING NATIONAL REHABILITATION AWARENESS WEEK, RRH AIMS TO BRING AWARENESS TO THE VARIOUS REHABILITATION PROGRAMS THAT SUPPORT OUR COMMUNITY MEMBERS AND RECOGNIZE THE TEAM MEMBERS WHO PROVIDE THESE ESSENTIAL SERVICES TO PATIENTS.- DURING GYNECOLOGICAL CANCER AWARENESS MONTH, RRH AIMS TO EDUCATE, RAISE AWARENESS, AND PROVIDE RESOURCES ON GYNECOLOGIC CANCERS.- ROCHESTER REGIONAL HEALTH AND AENON MISSIONARY BAPTIST CHURCH JOINTLY HOSTED A COMMUNITY HEALTH FAIR. THIS EVENT IS A TESTAMENT TO THE ONGOING COLLABORATION BETWEEN THE CHURCH AND THE HOSPITAL, PROMOTING BOTH PHYSICAL AND SPIRITUAL WELL-BEING WITHIN THE COMMUNITY. THIS EVENT PROVIDED FREE MAMMOGRAMS, BEHAVIORAL HEALTH INFORMATION & WELLNESS, BLOOD PRESSURE CHECKS, DIABETES EDUCATION, CHOLESTEROL SCREENING, BMI SCREENING, AND INFORMATION ON CANCER PREVENTION, SCREENING, AND DETECTION (LUNG, COLORECTAL, AND PROSTATE HEALTH).- VIRTUAL CARDIOVASCULAR DISEASE PREVENTION SYMPOSIUM -SANDS-CONSTELLATION HEART INSTITUTE HELD A SYMPOSIUM OF PRESENTATIONS AND ENGAGING DISCUSSIONS DESIGNED FOR CARDIOLOGISTS, PRIMARY CARE PHYSICIANS, AND OTHER HEALTH CARE PROVIDERS INTERESTED IN THE PREVENTION OF CARDIOVASCULAR DISEASE. THE FOCUS WILL BE ON CARDIOVASCULAR DISEASE RISK FACTORS, PREVENTATIVE STRATEGIES, AND PRACTICES FOR HELPING PATIENTS LIVE LONGER, HAPPIER LIVES- ROCHESTER REGIONAL HEALTH OBESITY, WEIGHT LOSS & METABOLIC SURGERY SYMPOSIUM - A DAY OF INSIGHT AND ENGAGING DISCUSSIONS ON THE MULTIDISCIPLINARY CARE AND MANAGEMENT OF OBESITY, METABOLIC DISEASES, AND RELATED COMORBIDITIES. LEARN FROM ESTEEMED NATIONAL EXPERTS ABOUT THE LATEST ADVANCES, GUIDELINES, AND EVIDENCE-BASED TREATMENT OPTIONS THAT ARE SHAPING THE FUTURE OF OBESITY-RELATED CARE AND METABOLIC SURGERY.- 2023 ANNUAL CARDIOVASCULAR SYMPOSIUM - THE SANDS-CONSTELLATION HEART INSTITUTE HOSTED ITS ANNUAL CARDIOVASCULAR SYMPOSIUM. AS CARDIOVASCULAR MEDICINE CONTINUES TO EVOLVE, RRH IS COMMITTED TO PROVIDING THE VERY BEST CARDIAC CARE TO OUR COMMUNITY. PRESENTATIONS ARE DESIGNED TO HELP EACH PARTICIPANT GAIN UP-TO-DATE MEDICAL KNOWLEDGE THAT APPLIES TO THEIR DAILY PRACTICE. TOPICS INCLUDE A REVIEW OF ADVANCED STRATEGIES, CURRENT KNOWLEDGE, AND SPECIALIZED TREATMENTS TO GIVE EVERY PATIENT THE BEST POSSIBLE RESULT. REGISTRATION IS FREE.- RRH BEHAVIORAL HEALTH TEAM PARTICIPATED IN THE OUT OF THE DARKNESS WALK, WHERE FRIENDS, FAMILY MEMBERS, NEIGHBORS, AND COWORKERS WALKED SIDE-BY-SIDE, SUPPORTING EACH OTHER IN MEMORY OF THOSE LOST TO SUICIDE. THE OUT OF THE DARKNESS WALK GIVES PEOPLE THE COURAGE TO OPEN UP ABOUT THEIR CONNECTIONS TO THE CAUSE AND A PLATFORM TO CREATE A SMARTER MENTAL HEALTH CULTURE. - BREAST CANCER AWARENESS MONTH - DURING BREAST CANCER AWARENESS MONTH, ROCHESTER REGIONAL HEALTH AIMS TO BRING AWARENESS TO BREAST CANCER THROUGH EDUCATION AND EVENTS, SUCH AS THE MAKING STRIDES ROCHESTER WALK. THIS EVENT BRINGS TOGETHER WOMEN LIVING WITH BREAST CANCER SURVIVORS, ALONG WITH THEIR FAMILIES, FRIENDS, AND SUPPORTERS. THROUGH OUR PARTNERSHIP WITH AMERICAN CANCER SOCIETY, ROCHESTER REGIONAL IS COMMITTED TO HELPING FUND GROUNDBREAKING BREAST CANCER RESEARCH PROVING PATIENT SERVICE SUCH AS FREE RIDES TO CHEMO, FREE PLACES TO STAY NEAR TREATMENT, AND A LIVE, 24/7 CANCER HELPLINE.- INTERNATIONAL INFECTION PREVENTION WEEK- SPOTLIGHTING THE RRH INFECTION PREVENTION TEAM'S WORK AND ITS POSITIVE IMPACT ON TEAM MEMBERS, OUR PATIENTS, VISITORS, AND OUR COMMUNITY. IP WORK WITHIN RRH INCLUDES: HAND HYGIENE CAMPAIGN, HEALTHCARE-ASSOCIATED INFECTIONS TASK FORCE WORK AND PREVENTION EFFORTS, SURGICAL SITE INFECTION REDUCTION WORK, ENVIRONMENTAL ROUNDS, CONSULTING WITH FACILITIES/CONTRACTORS REGARDING MITIGATING INFECTION RISKS FROM CONSTRUCTION AND REMODELING, ANSWERING QUESTIONS ABOUT COVID-19, EXPOSURES, ISOLATION, DISINFECTION AND STERILIZATION, AND MORE!- SPIRITUAL CARE WEEK - SPIRITUAL CARE IS AVAILABLE ACROSS THE SYSTEM FOR OUR PATIENTS, FAMILIES, AND STAFF. RRH SPIRITUAL CARE PROVIDERS, ALSO KNOWN AS CHAPLAINS, OFFER PERSONALIZED CARE AND PSYCHO-SPIRITUAL-SOCIAL SUPPORT WHEN PEOPLE HAVE THINGS TO CELEBRATE OR ARE GOING THROUGH A DIFFICULT TIME. - AS PART OF LUNG CANCER AWARENESS MONTH, ROCHESTER REGIONAL HEALTH IS SHEDDING LIGHT ON THE IMPORTANCE OF EARLY DETECTION. OUR LUNG CANCER SCREENING PROGRAM OFFERS QUICK, NON-INVASIVE SCANS AT NO OUT-OF-POCKET COST TO THOSE ELIGIBLE. TOGETHER, OUR PROVIDERS WORK WITH EACH PATIENT TO DETECT AND TREAT LUNG CANCER AS EARLY AS POSSIBLE.- ON VETERANS DAY AND EVERY DAY, WE ARE GRATEFUL FOR THE VETERANS THROUGHOUT OUR SYSTEM AND OUR COMMUNITY. ALL RRH EMPLOYEES AND VOLUNTEERS WHO ARE VETERANS OR ACTIVE-DUTY MILITARY MEMBERS CAN RECEIVE A COMPLIMENTARY MEAL AT RRH CAFETERIAS AND COFFEE BARS.- RRH HOSTED "WELLNESS WEDNESDAYS" IN CONJUNCTION WITH A LOCAL COMMUNITY CENTER. TOPICS DURING THE 2023 SESSIONS INCLUDED THE FOLLOWING: O SYMPATHETIC NERVOUS SYSTEM AND DEPRESSION. THERE HAS BEEN A GREAT DEAL OF RESEARCH TO DATE ON DEPRESSION AND THE SYMPATHETIC NERVOUS SYSTEM. MANY OF OUR STRUGGLES COME FROM PROLONGED AND CHRONIC STRESS, WE WILL EXPLORE THE ROLE OF THIS STRESS ON OUR EMOTIONS AND MENTAL HEALTH.
PART I, LINE 7E (CON'T):	O HEALTH BENEFITS OF YOGA - THERE IS MUCH EVIDENCE-BASED RESEARCH ON THE HEALTH BENEFITS OF YOGA INCLUDING IMPROVING BALANCE AND STRENGTH TO MENTAL CLARITY AND FOCUS. O MINDFULNESS AND MEDITATION DURING THIS SESSION INSTRUCTORS WILL LEAD US THROUGH A FULL BODY SCAN AND INTO A GUIDED MEDITATION. O HEARING AND AGING O BASIC FUNDAMENTALS OF SPEECH, VOICE, AND LANGUAGE SKILLS. HOW THE EFFECTS OF AGING IMPACT THESE AREAS AND OUR OVERALL COMMUNICATION SKILLS. THE INSTRUCTOR WILL PROVIDE SUGGESTIONS ON HOW TO MAXIMIZE EFFECTIVE COMMUNICATION STRATEGIES IN OUR DAILY LIFE AND OFFER IDEAS ON OPTIMIZING BRAIN HEALTH AS WE AGE. O MINDFUL SELF-COMPASSION. DO YOU FEEL THAT YOU ARE NEVER GOOD ENOUGH? DO YOU EVER WONDER, "WHY CAN'T I TREAT MYSELF AS I WOULD TREAT A GOOD FRIEND?" MINDFUL SELF COMPASSION IS EXTENDING COMPASSION TO THE SELF FOR ONE'S PERCEIVED FAILINGS, INADEQUACIES, AND EXPERIENCES OF SUFFERING. O HOW TO MANAGE INJURIES TO THE HANDS, FINGERS, WRISTS AND ELBOWS! MANY PEOPLE STRUGGLE WITH HAND PAIN AFTER YEARS OF REPETITIVE ACTIVITIES: COOKING, DRIVING, COMPUTER USE, ARTS AND CRAFTS, HARD PHYSICAL JOBS, OR JUST GENERAL DAILY LIFE. THIS WEEK WE WILL BE DISCUSSING A COMMON ISSUE: ARTHRITIS OF THE THUMB, WHICH CAN BE PAINFUL AND LIMITING. O SEASONAL DEPRESSION/SEASONAL AFFECTIVE DISORDER (SAD) IS OFTEN NOT TALKED OUT ESPECIALLY IN THE SPRING/SUMMER WHEN THE SUN IN SHINNING. MOST PEOPLE THINK OF SEASONAL DEPRESSION ESPECIALLY IN THE WINTER MONTHS HERE IN ROCHESTER. WHAT DOES THE SUN HAVE TO DO WITH CIRCADIAN RHYTHMS? LEARN ABOUT SEASONAL DEPRESSION AND HOW TO RECOGNIZE IT. LEARN ABOUT THE BARRIERS ARE TO CARE, AND RESOURCES TO HELP COMBAT SEASONAL DEPRESSION. O LEARN ABOUT THE OUTLOOK/PERSPECTIVE ON AGING, "AGE FRIENDLY" HEALTH CARE, AND HOW THIS PROGRAM SPECIFICALLY MEETS THE NEEDS OF THE GERIATRIC COMMUNITY. O LEARN WHY IT IS SO IMPORTANT TO REVISIT A SO CALLED "DRUG ALLERGY AND OTHER ALLERGIES FOR THAT MATTER. LEARN SOME COMMON MYTHS ABOUT ENVIRONMENTAL ALLERGIES AND WHAT THE DATA SAYS ON HOW TO BEST TREAT THEM. O SMOOTHIES & MOVIES & PLANT-BASED WHOLE FOOD POT-LUCK THE BENEFITS OF DRINKING SMOOTHIES, SECRET POWERHOUSE INGREDIENTS AND AN ACTUAL DEMONSTRATION ON HOW TO MAKE THEM. DURING THE POT-LUCK WE WILL BE SHOWING THE DOCUMENTARY FORKS OVER KNIVES TO HELP EDUCATE MEMBERS AND THE COMMUNITY ON THE HEALING BENEFITS OF CONSUMING PLANTS. O THE LATEST UP TO DATE PRACTICES REGARDING PHYSICAL THERAPY. O LIFESTYLE MEDICINE AND HOW IT RELATES TO OUR PHYSICAL HEALTH, STRESS MANAGEMENT. O CHOLESTEROL EVALUATION AND MANAGEMENT O EDUCATION ON PRE-DRIVING SCREENING ASSESSMENTS. SEVERAL MEDICAL CONDITIONS MAY AFFECT DRIVING INCLUDING HEART DISEASE, STROKE, DIABETES, DEMENTIA, BRAIN INJURY AND MANY MORE. LICENSED OCCUPATIONAL THERAPISTS CAN CONDUCT ASSESSMENTS ON PHYSICAL PERFORMANCE, REACTION TIME, ABILITY TO READ SIGNS, PROBLEM SOLVING TECHNIQUES AND MORE. O PRESENTATION ON HOW THE COST OF MEDICATIONS CAN BE A MAJOR BARRIER TO MEDICATION ACCESSIBILITY. NEARLY FOUR IN TEN OF THOSE TAKING FOUR OR MORE PRESCRIPTION DRUGS SAY THEY HAVE DIFFICULTY AFFORDING THEIR PRESCRIPTIONS. WHAT CAN BE DONE TO HELP REDUCE COST RELATED MEDICATION NON-ADHERENCE AND IMPROVE MEDICATION AFFORDABILITY. O CLIMATE CHANGE & KEEPING HEALTHY & PBWF POT-LUCK : WILL BE REVIEWING THE SCIENCE OF CLIMATE CHANGE, THE MULTIPLE IMPACTS CLIMATE CHANGE CAN HAVE ON OUR HEALTH, AND MOST IMPORTANTLY, WHAT WE CAN DO INDIVIDUALLY AND COLLECTIVELY TO HELP PROTECT OUR HEALTH AND BE PART OF THE SOLUTION. O BREAST CANCER AWARENESS DISCUSSIONS RELATING TO TAKING CHARGE OF YOUR BREAST HEALTH AND AN INTERACTIVE EDUCATIONAL SESSION ON AN EXTREMELY IMPORTANT TOPIC, BREAST HEALTH. THE DISCUSSION WILL FOCUS ON BREAST SELF-AWARENESS, CURRENT BREAST CANCER SCREENING RECOMMENDATIONS, SIGNS AND SYMPTOMS OF BREAST CANCER AND HOW TO REDUCE YOUR BREAST CANCER RISK FROM A BREAST SURGEON PERSPECTIVE. O DISCUSSION OF ROLES OF MULTIDISCIPLINARY TEAM MEMBERS IN ONCOLOGY AND THE ROLE OF A MEDICAL ONCOLOGIST. PRESENTATION ON THE DIFFERENT TYPES OF BREAST CANCER, CURABLE VS INCURABLE, AND ALSO EDUCATE US ON WHAT ER+ VS HER2+ VS TNBC REALLY MEAN, AS WELL AS DIFFERENT MEDICAL TREATMENTS WE USE AND REVIEW THE LATEST UP TO DATE EVIDENCE-BASED RESEARCH REGARDING BREAST CANCER. O WE WILL LEARN LATEST UP TO DATE EVIDENCE-BASED PRACTICE ON GENETICS, ONCOLOGY AND WHAT IT MEANS FOR THE FUTURE OF CANCER CARE. O COGNITIVE HEALTH O RRH'S MOBILE MAMMOGRAPHY CENTER WILL BE ON SITE FOR MAMMOGRAM SCREENINGS. THE MAMMOGRAM MACHINE ON THE BUS IS THE EXACT SAME AS THE MACHINE USED IN THE HOSPITAL, AS IS THE QUALITY. O BREAK DOWN THE COMPLICATED INFORMATION REGARDING LUNG CANCER AND SHED SOME LIGHT AS TO WHAT RESEARCHERS ARE DOING TO DECREASE LUNG CANCER RATES AND IMPROVE OUTCOMES. THIS EDUCATIONAL OFFERING IS MEANT FOR ANYONE WITH LUNGS! O EFFECTS OF LONELINESS AND STRATEGIES FOR STAYING CONNECTED - THE EPIDEMIC OF LONELINESS IN THE UNITED STATES HAS REACHED AN ALL-TIME HIGH IN RECENT YEARS. THE PHYSICAL AND MENTAL EFFECTS OF LONELINESS CAN INCREASE THE RISK FOR HEART DISEASE, STROKE, DEMENTIA AND EVEN PREMATURE DEATH. LEARN STRATEGIES FOR STAYING CONNECTED. O URINARY HEALTH AND INCONTINENCE - DISCUSSING THE TYPES OF URINARY INCONTINENCE, HOW URINARY INCONTINENCE OFTEN HAS A MUSCULOSKELETAL ORIGIN, AND HOW YOU CAN TREAT (AND EVEN CURE!) THE LEAKAGE THAT YOU MAY EXPERIENCE WITH SOME SIMPLE INTERVENTIONS. O LIVE TO 100: SECRETS OF THE BLUE ZONES - SCIENTISTS FOUND OTHER LONGEVITY HOTSPOTS WORLDWIDE AND THEY ARE KNOWN AS THE BLUE ZONES. THE RESEARCHERS FOUND THAT ALL BLUE ZONES AREAS SHARE NINE SPECIFIC LIFESTYLE HABITS THAT ARE CALLED THE POWER 9. O LEARN ABOUT EATING FOR KIDNEY HEALTH. FREE EDUCATIONAL OFFERING ON EATING FOR KIDNEY HEALTH.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. 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.
PART I, LINE 7E (CON'T):	ROCHESTER REGIONAL CONTINUED TO PROVIDE HEALTH AND WELLNESS EDUCATION ON MULTIPLE PLATFORMS INCLUDING: SOCIAL MEDIA, WEBSITE, MYCARE PATIENT PORTAL, PHONE MESSAGING, AND E-NEWSLETTER. MORE SPECIFICALLY: O RRH'S "HEALTH HIVE," AN ONLINE PORTAL OF ARTICLES AND HELPFUL HINTS IN DEALING WITH A HOST OF HEALTH RELATED TOPICS. DURING 2023, MORE THAN 115 ARTICLES WERE PUBLISHED. O RRH PARTICIPATED IN OVER 300 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. O 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. 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 ACTION FOR A BETTER COMMUNITY, ROCHESTER INSTITUTE OF TECHNOLOGY, TRILLIUM HEALTH, INC., JORDAN HEALTH FOUNDATION, CENTER FOR YOUTH SERVICES, LIFESPAN OF GREATER ROCHESTER, THE AMERICAN CANCER SOCIETY, 13THIRTY CANCER CONNECT, INC., INTERVOL, JEWISH COMMUNITY FEDERATION OF GREATER ROCHESTER, GREATER ROCHESTER ENTERPRISE FOUNDATION, MERCY FLIGHT, COMMON GROUND HEALTH, BREAST CANCER COALITION OF ROCHESTER, AND MANY OTHERS.
PART II, COMMUNITY BUILDING ACTIVITIES:	AT ROCHESTER REGIONAL HEALTH, WE UNDERSTAND THAT THE HEALTH OF OUR COMMUNITY, ENVIRONMENT, AND FINANCES ARE ALL INTERTWINED. WE'RE MANAGING ALL OF OUR RESOURCES TO REDUCE OUR OVERALL ENVIRONMENTAL FOOTPRINT AND LEAD SUSTAINABILITY EFFORTS IN THE NORTHEAST. HOSPITALS CAN USE MORE THAN DOUBLE THE AMOUNT OF ENERGY AS COMMERCIAL BUILDINGS AND ON AVERAGE GENERATE MORE THAN THIRTY-THREE POUNDS OF WASTE PER PATIENT PER DAY WE'RE MAKING ROCHESTER REGIONAL HEALTH THE EXCEPTION.OUR SUSTAINABILITY DEPARTMENT IS DEDICATED TO HELPING IMPROVE THE HEALTHCARE EXPERIENCE, ENSURE A HEALTHY ENVIRONMENT, AND LOWER HEALTHCARE COSTS. WE'RE REDUCING WASTE, ELIMINATING TOXINS, AND CREATING A MORE SUSTAINABLE COMMUNITY NOW AND FOR THE FUTURE. A FEW OF THE MANY SUSTAINABILITY PROJECTS AN INITIATIVES UNDERWAY AT ROCHESTER REGIONAL HEALTH INCLUDE: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 2023, RRH, THROUGH ITS RECYCLING EFFORTS REDUCE WASTE IN LANDFILLS BY ALMOST 2,362,000 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 2023 NEARLY 8.1M KWH WERE PROVIDED BY SOLAR SOURCES.
PART III, LINE 4:	IN 2023, 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 2023 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 2023, 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 2023 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 2023 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. RRH AND ANY EXTERNAL AGENCY REPRESENTING RRH WILL NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS SUCH AS LAWSUITS, LIENS ON RESIDENCES OR PROPERTY, GARNISHMENT OF WAGES, ADVERSE CREDIT REPORTING, APPLYING INTEREST TO DEBT, OR OTHER EXTRAORDINARY COLLECTION PRACTICES. 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. 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, INCLUDING ST. LAWRENCE 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 2023, RGH PROVIDED CARE TO JUST OVER 92,600 PATIENTS WHO VISITED THE EMERGENCY DEPARTMENT, INCLUDING TENT VISITS AND IMMEDIATE CARE, EXPERIENCED MORE THAN 34,000 INPATIENT/OBSERVATION DISCHARGES AND JUST UNDER 1,322,000 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 2023, VOLUNTEERS PROVIDED MORE THAN 17,000 HOURS OF SERVICE AT RGH. 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/RRH) (I.E. THE PARENT ORGANIZATION AND ITS RELATED AFFILIATES) IS AN INTEGRATED HEALTH SYSTEM ROOTED IN COMMUNITY, SERVING TOGETHER TO UPLIFT HUMANITY THROUGH COMPASSIONATE CARE FOR THE PEOPLE OF ROCHESTER, THE FINGER LAKES REGION, AND NEW YORK STATE'S NORTH COUNTRY. THROUGH ROBUST INVESTMENTS IN PEOPLE, FACILITIES, AND TECHNOLOGY IN EACH COMMUNITY WE SERVE, ROCHESTER REGIONAL STANDS OUT FOR ITS ABILITY TO BRING THE HIGHEST QUALITY CARE CLOSE TO HOME. ACROSS WESTERN NEW YORK, THE FINGER LAKES, ST. LAWRENCE COUNTY AND BEYOND, RRH PROUDLY SERVES THE COMMUNITY THROUGH ITS NINE HOSPITALS PROVIDING INPATIENT, ADVANCED AND CRITICAL CARE; HUNDREDS OF OUTPATIENT SPECIALTY, URGENT CARE AND PRIMARY CARE PRACTICES; BEHAVIORAL HEALTH AND CHEMICAL DEPENDENCY TREATMENT CENTERS; INNOVATIVE AND COMFORTING SENIOR SERVICES; COMPASSIONATE HOME CARE AND HOSPICE CARE PROGRAMS; AND LABORATORIES, INCLUDING SPECIALIZED CLINICAL TRIAL AND TOXICOLOGY TESTING FACILITIES. 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 AND NYS'S NORTH COUNTRY 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 WORK 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 FORM ON THE ORGANIZATION'S WEBSITE.AT ROCHESTER REGIONAL HEALTH, DIVERSITY, EQUITY, INCLUSION AND SOCIAL JUSTICE ARE WOVEN INTO THE TAPESTRY OF OUR CULTURE AND HEALTH EQUITY IS OUR TRUE NORTH. RRH IS COMMITTED TO FOSTERING A DIVERSE AND INCLUSIVE ENVIRONMENT WHERE PEOPLE FROM ALL BACKGROUNDS ARE INCLUDED, VALUED, AND RESPECTED. BY ESTABLISHING AND MAINTAINING COMMUNITY PARTNERSHIPS, RRH IS LEADING EFFORTS TO CULTIVATE AN EQUITABLE AND INCLUSIVE ENVIRONMENT AND DELIVER HIGH-QUALITY PATIENT OUTCOMES AND EXPERIENCES. WE BELIEVE OUR WORKFORCE AND PATIENT CARE ARE DIRECTLY CONNECTED AND ARE COMMITTED TO ENSURING THAT OUR TEAMS AND EACH PATIENT WE CARE FOR ENJOYS BETTER, HEALTHIER LIVES. AS PART OF THEIR HEALTHY PEOPLE 2030 INITIATIVE, AIMED AT ELIMINATING DISPARITIES AND IMPROVING THE HEALTH AND WELL-BEING OF ALL, THE UNITED STATES GOVERNMENT HAS DEEMED HEALTH LITERACY A "CENTRAL FOCUS." HEALTHY PEOPLE 2030 DEFINES PERSONAL HEALTH LITERACY AS, "THE DEGREE TO WHICH INDIVIDUALS HAVE THE ABILITY TO FIND, UNDERSTAND, AND USE INFORMATION AND SERVICES TO INFORM HEALTH-RELATED DECISIONS AND ACTIONS FOR THEMSELVES AND OTHERS." SIMILARLY, THEY DEFINE ORGANIZATIONAL HEALTH LITERACY AS, "THE DEGREE TO WHICH ORGANIZATIONS EQUITABLY ENABLE INDIVIDUALS TO FIND, UNDERSTAND, AND USE INFORMATION AND SERVICES TO INFORM HEALTH-RELATED DECISIONS AND ACTIONS FOR THEMSELVES AND OTHERS." IN ORDER TO PROMOTE HEALTH LITERACY, IN DECEMBER OF 2020, RRH SERVED AS LEADERS IN CREATING A WAY OF COMMUNICATING IMPORTANT INFORMATION ABOUT COVID-19 AND VACCINE INFORMATION TO GROUPS WHO ARE HISTORICALLY MARGINALIZED. THE RRH TEAM HELD OVER 30 PRESENTATIONS FOR UNDERSERVED POPULATIONS REACHING ALMOST 5,000 PARTICIPANTS AND VIEWERS; PROVIDING THEM WITH ACCURATE, UP-TO-DATE INFORMATION ABOUT THE VIRUS AND VACCINE OPTIONS TO SUPPORT INFORMED DECISIONS FOR THEMSELVES, THEIR FAMILIES, AND THEIR COMMUNITIES. OUR TEAM WAS THE FIRST TO BE IN THIS SPACE AND CREATED A WELCOMING ENVIRONMENT FOR ALL QUESTIONS TO BE ASKED.TWO OF THE KEYS TO REDUCING HEALTH DISPARITIES AND BUILDING HEALTH LITERACY ARE COMMUNITY OUTREACH AND EDUCATION. TO THIS END, RRH HAS DEVELOPED TARGETED INTERVENTIONS, COMMUNITY OUTREACH AND EDUCATION PROGRAMS. RRH IS COMMITTED TO PROVIDING A RELAXED AND WELCOMING ENVIRONMENT TO ASK QUESTIONS, AND HAD MEDICAL EXPERTS THAT PROVIDED SOLID, RELEVANT AND TIMELY INFORMATION SO THAT PEOPLE COULD MAKE INFORMED HEALTHCARE DECISIONS. THE RRH COMMUNITY CONVERSATIONS ARE HOSTED IN PARTNERSHIP WITH A WIDE RANGE OF LEADERS THROUGHOUT THE COMMUNITY. RRH HAS PARTNERED WITH VARIOUS COMMUNITIES SUCH AS THE LATINX COMMUNITY, RURAL MIGRANT FARMERS, FAITH COMMUNITIES, DEAF AND HARD OF HEARING, LGBTQ+, VETERANS, PEOPLE LIVING WITH DISABILITIES, ELDERS AND THEIR CAREGIVERS, ADOLESCENTS AND PARENTS. WITH THESE PARTNERSHIPS RRH HAS BEEN ABLE TO FORM STRONG COMMUNITY BONDS. WITH THE COVID INFORMATION NOW WIDELY AVAILABLE, RRH IS PIVOTING ITS COMMUNITY CONVERSATIONS TO FOCUS ON HEALTH AND WELLNESS. RRH PLANS TO CONTINUALLY EVALUATE AND ADJUST THE FOCUS OF ITS COMMUNITY CONVERSATIONS TO ENSURE OTHER PRESSING TOPICS, SUCH AS HEALTH SCREENINGS AS A PREVENTIVE MEASURE, ARE ALWAYS AT THE FOREFRONT AND CONTINUED EDUCATION IS ALWAYS AVAILABLE TO THE COMMUNITY. AS A RESULT OF THESE EFFORTS, RRH WAS RECOGNIZED AMONG THE NATION'S TOP DEI ADVOCATES. CITING RRH'S "FANTASTIC" DIVERSITY, EQUITY & INCLUSION (DEI) OFFICE, THE HEALTHCARE DIVERSITY COUNCIL HAS GRANTED RRH A TOP 3 HEALTHCARE DIVERSITY ORGANIZATIONS AWARD. THE COUNCIL COMMENDED RRH DEI INITIATIVES TO REDUCE HEALTHCARE DISPARITIES IN UNDERSERVED COMMUNITIES; RECRUIT AND RETAIN A DIVERSE WORKFORCE; AND IMPLEMENT COMMUNITY CONVERSATIONS SURROUNDING COVID-19. RRH'S ACTIVE PURSUIT OF DIVERSITY IN OUR WORK ENVIRONMENT AND COMMUNITY PROGRAMS MAKES IT A "PERFECT" AWARD RECIPIENT, THE COUNCIL STATED. THE HEALTHCARE DIVERSITY COUNCIL IS AN ORGANIZATION DEVOTED TO PROMOTING AN INCLUSIVE ENVIRONMENT OF CARE AT MEDICAL INSTITUTIONS NATIONWIDE. ROCHESTER REGIONAL HEALTH IS ALSO LEADING THE INDUSTRY WITH ITS SUSTAINABILITY EFFORTS. RRH BELIEVES IN THE CLOSE RELATIONSHIP BETWEEN THE WELL-BEING OF OUR COMMUNITY, ENVIRONMENT, AND OUR FINANCIAL HEALTH. GUIDED BY THIS BELIEF, RRH MANAGES ITS RESOURCES CONSCIENTIOUSLY, AIMING TO LIMIT OUR ENVIRONMENTAL FOOTPRINT AND SPEARHEAD SUSTAINABILITY INITIATIVES IN THE REGION.THOUGH IT IS KNOWN THAT HOSPITALS CONSUME MORE THAN DOUBLE THE ENERGY THAN TYPICAL COMMERCIAL BUILDINGS AND GENERATE SIGNIFICANT WASTE PER PATIENT, ROCHESTER REGIONAL HEALTH IS STEADFAST IN BREAKING THIS NORM. THE RRH SUSTAINABILITY DEPARTMENT IS DEVOTED TO REFINING THE HEALTHCARE EXPERIENCE, PRESERVING A ROBUST ENVIRONMENT, AND CURBING HEALTHCARE COSTS. THEY ACTIVELY MANAGE WASTE, ELIMINATING HARMFUL SUBSTANCES, AND FOSTERING A SUSTAINABLE COMMUNITY FOR NOW AND FUTURE GENERATIONS.QUALITY AND SAFETY ARE AT THE CORE OF ROCHESTER REGIONAL HEALTH'S PURPOSE TO HEAL, COMFORT, PROMOTE HEALTH AND DELIVER CARE THAT ENHANCES LIVES. BY TAKING A PROACTIVE APPROACH, RRH DESIGNS PATIENT-CENTERED SYSTEMS THAT DELIVER HIGH-QUALITY CARE, SAFELY. THROUGH SYSTEM-WIDE PROGRAMS WE ARE CONSISTENTLY IMPROVING THE SAFETY AND QUALITY OF THE CARE WE PROVIDE; ENSURING REGULATORY COMPLIANCE AND COORDINATING ACCREDITATIONS OF LOCATIONS AND PROGRAMS; PREVENTING ERRORS AND WORKING TO ENHANCE THE CARE DELIVERED IN OUR REGION AND ACROSS THE COUNTRY; AND PROVIDING EDUCATION AND TRAINING FOR EMPLOYEES, PATIENTS AND VISITORS. A CORNERSTONE OF ROCHESTER REGIONAL HEALTH'S STRATEGIC PLAN IS TO INVEST IN A SUSTAINABLE BUSINESS MODELTHAT IS, TO PRIORITIZE INVESTMENTS IN GROWTH AND SERVICES THAT CREATE LONG-TERM VALUE. DESPITE THE CHALLENGES WITHIN THE HEALTHCARE INDUSTRY, ROCHESTER REGIONAL CONTINUES TO CELEBRATE PROGRESS ON INITIATIVES ESSENTIAL TO THE FUTURE OF THE INSTITUTION AND THE HEALTH OF THE NEW YORK STATE COMMUNITIES IT SERVES.
PART VI, LINE 6 (CON'T):	EXAMPLES INCLUDE: 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 CLOSE TO WHERE THEY LIVE. RRH OPENED A NEW 95,000 SQ. FT. BATAVIA MEDICAL CAMPUS IN SEPTEMBER 2023 WHICH BRINGS MORE THAN A DOZEN SPECIALTY SERVICES UNDER ONE ROOF. THE BRIGHT, MODERN BUILDING CLEARLY VISIBLE OFF THE I-90 NEW YORK STATE THRUWAY, INCLUDES PRIMARY CARE, PEDIATRICS, ORTHOPAEDICS, OTOLARYNGOLOGY, PLASTIC SURGERY, VASCULAR SURGERY, NEUROSCIENCES, SANDS-CONSTELLATION HEART INSTITUTE CARDIOLOGISTS, LAB, IMAGING AND AN URGENT CARE. URGENT CARE CENTERS IN WEBSTER AND CHILI WERE REOPENED AS PART OF A STRATEGY TO REACH PATIENTS WHO NEED MEDICAL CARE FOR MINOR ILLNESSES AND INJURIES. PROVIDERS AND STAFF TRAINED TO PROVIDE APPROPRIATE TREATMENT FOR ACUTE INJURIES OR ILLNESSES THAT ARE URGENT BUT NOT SEVERE ENOUGH TO REQUIRE AN EMERGENCY ROOM VISIT ARE AVAILABLE FOR CONVENIENT SAME-DAY WALK-IN APPOINTMENTS. VIRTUAL URGENT CARE IS ALSO AVAILABLE 7 DAYS A WEEK FOR MINOR INJURIES AND COMMON ILLNESSES FROM THE COMFORT OF THE PATIENT'S HOME, OR WHEREVER THEY MAY BE.ROCHESTER REGIONAL IS FORGING AHEAD ON ALL FRONTS OF A STRATEGIC PLAN WHOSE PURPOSE IS TO UPLIFT HUMANITY THROUGH CARE FOR THE COMMUNITY WITH A VISION TO BECOME A NATIONAL MODEL OF HEALTH AND HEALING. THE FOUR PILLARS OF THE STRATEGIC PLAN ARE AS FOLLOWS: STRENGTHEN OUR COMMUNITIES COMMUNITY PARTNERSHIP WILL GROW TRUST WITH THOSE WE SERVE SOLIDIFY RRH'S POSITION AS A CORNERSTONE OF COMMUNITY HEALTH. RELENTLESS FOCUS ON QUALITY AND SAFETY IMPROVED QUALITY AND SAFETY WILL POSITION US AS THE PROVIDER OF CHOICE FOR PATIENTS BUILD AND CONTINUALLY FOCUS ON A CULTURE OF QUALITY AND SAFETY. UNLEASH THE POWER OF OUR PEOPLE EMPOWERED PEOPLE WILL ALLOW US TO TAKE OUR ORGANIZATION TO THE NEXT LEVEL ENGAGE PEOPLE TO COMMIT, BELONG AND GROW AT RRH. GROWTH AN EVOLVED HEALTH CARE DELIVERY MODEL WILL BETTER SERVE PATIENTS BECOME THE MOST ACCESSIBLE AND CONVENIENT SYSTEM IN THE COMMUNITIES WE SERVE AND INNOVATE TO TRANSFORM CARE DELIVERY OPERATIONS. RRH 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: IN JULY 2023, THE STRUCTURAL HEART TEAM PERFORMED THEIR 2000TH TRASCATHETER AORTIC VALVE REPLACEMENT (TAVR) PROCEDURE AT ROCHESTER REGIONAL HEALTH'S SANDS-CONSTELLATION HEART INSTITUTE. THE 2000TH TAVR PROCEDURE PUTS RRH IN THE TOP 5 PERCENT OF HEALTH SYSTEMS NATIONWIDE THAT HAVE COMPLETED TAVRS OF THAT VOLUME. THE PROCEDURE IS MOST OFTEN USED TO TREAT AORTIC STENOSIS. A NEW RRH LABORATORY IN GREECE, NY WAS OPENED. THIS NEW SITE OFFERS SIX DEDICATED DRAW ROOMS, TWO PEDIATRIC ROOMS, AND A CONVENIENT SELF-CHECK-IN SYSTEM. WITH A FULL RANGE OF HEALTH SCREENING OPTIONS, EXPERTS ARE READY TO PROVIDE THE COMMUNITY WITH CONVENIENT AND ACCURATE TESTING AND RESULTS. ROCHESTER REGIONAL HEALTH IS MAKING STRIDES IN USING VIRTUAL TECHNOLOGY AS A PATH FORWARD IN HEALTH CARE. DURING TELEHEALTH AWARENESS WEEK, RRH HIGHLIGHTED THE WAYS IT IS TAKING PATIENT-CENTERED CARE A STEP FURTHER AND MEETING COMMUNITY MEMBERS WHERE THEY ARE. IN 2023, RRH'S VIRTUAL CARE SERVICE USING TYTOCLINIC EXPANDED TO INCLUDE MORE COVERAGE THROUGH THE ROCHESTER CITY SCHOOL DISTRICT, SERVICES AT THE IBERO EARLY CHILDCARE CENTER, AND THE GREECE CENTRAL SCHOOL DISTRICT. RRH ALSO OFFERS OTHER TELEHEALTH-RELATED PROGRAMS, INCLUDING: A PARTNERSHIP WITH REGIONAL HEALTH REACH TO PROVIDE VIRTUAL HEALTHCARE FOR PEOPLE EXPERIENCING HOMELESSNESS IN SHELTERS AND ON THE STREET; A CONGESTIVE HEART FAILURE PROGRAM APPLYING THE MAYO CLINIC'S CARE COMPANION MODULE AND REMOTE MONITORING; VIRTUAL WOUND CARE SERVICES AT ELDERONE; TELENEUROLOGY TELEMEDICINE CARTS TO ASSIST WITH REMOTELY ASSESSING STROKE PATIENTS; AND SUPPORT FOR GERIATRIC SURGERY VERIFICATION. THE RRH VASCULAR TEAM SUCCESSFULLY COMPLETED ITS FIRST TRANSCAROTID ARTERY REVASCULARIZATION (TCAR) PROCEDURE, WHICH IS A CUTTING-EDGE, MINIMALLY INVASIVE PROCEDURE SPECIFICALLY DESIGNED TO TREAT CAROTID ARTERY DISEASE, A CONDITION THAT, IF LEFT UNTREATED, CAN LEAD TO SEVERE COMPLICATIONS SUCH AS STROKE. RRH IS NOW OFFERING TRANSCRANIAL MAGNETIC STIMULATION (TMS), A GROUNDBREAKING TREATMENT PROVIDING NEW HOPE TO PATIENTS WITH SEVERE DEPRESSION WHO HAVE NOT RESPONDED TO TRADITIONAL THERAPIES. TMS UTILIZES MAGNETIC PULSES TO STIMULATE SPECIFIC AREAS OF THE BRAIN, OFFERING A NON-INVASIVE AND POTENTIALLY LIFE-CHANGING OPTION FOR THOSE BATTLING TREATMENT-RESISTANT DEPRESSION.2023 CONTINUED TO BE A CHALLENGING YEAR FOR THE HEALTHCARE INDUSTRY. IN RESPONSE TO THESE CHALLENGES RRH RESPONDED BY TAKING MEASURES TO ENSURE THE SAFETY OF PATIENTS, TEAM MEMBERS AND THE BROADER COMMUNITY. THE ACTIONS CONTINUED INTO 2023 AND INCLUDED: ROCHESTER REGIONAL CONTINUED TO PROVIDE HEALTH AND WELLNESS EDUCATION ON MULTIPLE PLATFORMS INCLUDING: SOCIAL MEDIA, WEBSITE, MYCARE PATIENT PORTAL, PHONE MESSAGING, AND E-NEWSLETTER. MORE SPECIFICALLY:O RRH'S "HEALTH HIVE," AN ONLINE PORTAL OF ARTICLES AND HELPFUL HINTS IN DEALING WITH A HOST OF HEALTH RELATED TOPICS. DURING 2023, MORE THAN 115 ARTICLES WERE PUBLISHED. O RRH PARTICIPATED IN OVER 300 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. O 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:O ROCHESTER REGIONAL HEALTH HAS ENTERED INTO A FIVE-YEAR PARTNERSHIP WITH TRIMEDX, ONE OF THE NATION'S LARGEST AND MOST ADVANCED CLINICAL ENGINEERING AND ASSET MANAGEMENT ORGANIZATIONS. TRIMEDX BRINGS A WEALTH OF ADVANCED SUPPORT SYSTEMS, INCLUDING A CALL CENTER, SERVICE SOFTWARE, CYBER SECURITY, CAPITAL PLANNING, AND SUPPLY CHAIN AND QUALITY EXPERT. THE NEW PARTNERSHIP WILL HELP TRANSFORM ROCHESTER REGIONAL HEALTH TO MEET THE ECONOMIC AND OPERATIONAL CHALLENGES AHEAD AND ALLOW US TO CONTINUE TO PROVIDE OUR PATIENTS AND CAREGIVERS WITH THE HIGHEST QUALITY SERVICE. O RRH PARTNERED WITH THE LOCAL AHL TEAM, THE ROCHESTER AMERICANS, TO SPREAD THE WORD ABOUT HEART HEALTH. AT HOME GAMES IN FEBRUARY 2023 ATTENDEES PARTICIPATED IN THE "HEART MONTH MINUTE" CHALLENGE, WHERE A FEW LUCKY FANS WENT HEAD-TO-HEAD FOR A SPECIAL HEART-HEALTHY PRIZE. O RRH, THE RIT ALLIANCE, AND THE RIT SIMONE CENTER FOR INNOVATIONS PARTNERED TO SOLICIT PROJECTS FOR THE 2023 RIT FALL IDEALAB. THIS COLLABORATIVE TEAM IDENTIFIES UNIQUE HEALTHCARE CHALLENGES THAT REQUIRES AN INNOVATIVE SOLUTION AND THE PROGRAM EMPLOYS RIT STUDENT TEAMS WITH MULTIDISCIPLINARY EXPERTISE TO SOLVE UNIQUE PROBLEMS FACED BY RRH. STUDENTS DESIGN INNOVATIVE SOLUTIONS WITH THE GUIDANCE OF AN RIT FACULTY MEMBER AND SPONSORING RRH ADMINISTRATOR OR CLINICIAN; SUCCESSFUL PROJECTS MAY LEAD TO PRODUCT DEVELOPMENT OR PROTOTYPES.RRH AND ITS EMPLOYEES HAVE AN INCREDIBLY STRONG COMMITMENT TO THE COMMUNITIES THEY SERVE. IN 2023 EVENTS SPONSORED AND HELD BY RRH INCLUDE: IN APRIL 2023, RRH CELEBRATED NATIONAL MINORITY HEALTH MONTH. THIS MONTH WAS ESTABLISHED BY CIVIL RIGHTS LEADER BOOKER T. WASHINGTON IN 1915. MR. WASHINGTON PROVIDED US WITH AN OPPORTUNITY TO SHARE RESOURCES AND INFORMATION TO GET ACTIVE AND STAY HEALTHY AND BRING AWARENESS TO THE HEALTH DISPARITIES STILL AFFECTING COMMUNITIES OF COLOR. BETTER HEALTH THROUGH BETTER UNDERSTANDING WAS THE THEME FOR NATIONAL MINORITY HEALTH MONTH IN 2023. IT CHALLENGED US TO BE INTENTIONAL ABOUT COMMUNITY OUTREACH, HEALTH LITERACY EFFORTS, AND LINGUISTIC DIVERSITY. IN SO DOING, WE EQUIP OUR COMMUNITIES WITH THE INFORMATION THEY NEED, THE WAY THEY NEED IT, TO MAKE INFORMED DECISIONS. THROUGHOUT THE MONTH, RRH PROVIDED SHARED COMMUNITY RESOURCES, LANGUAGE ASSISTANCE, AND INTERPRETATION FACTS, AS WELL AS CULTURAL WELLNESS TIPS. RRH SPONSORED A SPECIAL MARTIN LUTHER KING JR. EVENT. THIS EVENT WAS OPEN TO STAFF AND THE COMMUNITY AND CONSISTED OF A KEYNOTE SPEAKER, ROCHESTER CITY SCHOOL DISTRICT CHOIR, PERFORMANCES BY MEMBERS OF SCHOOL FOR THE ARTS, AND SEVERAL OTHER SPEAKERS.
PART VI, LINE 6 (CON'T):	RRH'S CELEBRATION OF BLACK HISTORY MONTH IN FEBRUARY CONTINUED TO RECOGNIZE THE IMPORTANCE OF REPRESENTATION IN HEALTHCARE. ACCORDING TO RESEARCH, THE LACK OF REPRESENTATION BETWEEN HEALTHCARE ORGANIZATIONS AND THE COMMUNITIES THEY SERVE CAN IMPACT PATIENT CARE. A STRATEGIC COMMITMENT TO DIVERSITY IS A MEANS OF PROMOTING HEALTH EQUITY AND REDUCING HEALTH DISPARITIES. REPRESENTATION IN HEALTHCARE ALSO HAS OTHER MEASURABLE BENEFITS FOR BOTH HEALTHCARE PROFESSIONALS AND THE COMMUNITIES THEY SERVE, INCLUDING: ENHANCED UNDERSTANDING OF VALUE SETS; IMPROVED COMMUNICATION; AND INCREASED PATIENT TRUST. AT THE RRH WELLNESS: RUNNING AT ANY AGE EVENT, PHYSICAL THERAPISTS SHARED TIPS, TRICKS, AND EVIDENCE-BASED RESEARCH STRATEGIES TO RETURN TO RUNNING AT ANY AGE. IN ADDITION TO COMMON RUNNING INJURIES, THEY PROVIDED A BRIEF OVERVIEW OF INJURY PREVENTION TECHNIQUES. RRH HELD A VIRTUAL STROKE SYMPOSIUM A DAY OF INSIGHT AND ENGAGING DISCUSSIONS THAT FOCUSED ON THE INTERDISCIPLINARY CLINICAL CARE AND MANAGEMENT OF STROKE AND CEREBROVASCULAR DISEASE. REGIONAL STROKE EXPERTS DISCUSSED THE LATEST ADVANCES IN THE CARE AND MANAGEMENT OF ACUTE, ISCHEMIC, AND HEMORRHAGIC STROKE, AS WELL AS OTHER CEREBROVASCULAR DISEASES, FROM INITIAL PRESENTATION TO REHABILITATION. MARCH IS COLORECTAL CANCER AWARENESS MONTH. ACCORDING TO THE COLORECTAL CANCER ALLIANCE, COLORECTAL CANCER (CRC), IS THE SECOND DEADLIEST CANCER IN THE US, BUT IT IS HIGHLY PREVENTABLE AND TREATABLE WHEN DETECTED EARLY WITH REGULAR SCREENING. RRH'S COLORECTAL CANCER SCREENING AND PREVENTION PROGRAM IS DESIGNED TO EDUCATE AND HELP PREVENT COLORECTAL CANCER IN MEN AND WOMEN. THE HOSPITALS WERE LIT UP BLUE TO HELP RAISE AWARENESS FOR COLORECTAL CANCER DURING PAINT RRH BLUE WEEK. RRH HIGHLIGHTED THAT MARCH IS BRAIN INJURY AWARENESS MONTH, RECOGNIZING THAT BRAIN INJURY IS THE SECOND MOST PREVALENT INJURY AND DISABILITY IN THE US. THE GOLISANO RESTORATIVE NEUROLOGY & REHABILITATION CENTER IS THE LARGEST INPATIENT PROGRAM OF ITS KIND IN THE FINGER LAKES REGION. THE CENTER HELPS THOSE RECOVERING FROM A SEVERE BRAIN INJURY RESTORE AS MUCH OF THEIR INDEPENDENCE AS POSSIBLE. ACCREDITED FOR CHILDREN, ADOLESCENTS, AND ADULTS BY THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF), THE PROGRAM PRODUCES EXCELLENT PATIENT OUTCOMES AND SATISFACTION. RRH CELEBRATED WOMEN WHO TELL OUR STORIES IN RECOGNITION OF WOMEN'S HISTORY MONTH. THE THEME HONORS WOMEN THROUGHOUT HISTORY AND WOMEN IN THE HISTORY OF RRH WHO HAVE DEVOTED THEIR LIVES AND TALENTS TO IMPROVING THE HUMAN CONDITION. A SERIES OF EDUCATION SESSIONS WERE HELD DURING BLACK MATERNAL HEALTH WEEK. THIS WEEK-LONG CAMPAIGN WAS INSPIRED BY THE BLACK MAMAS MATTER ALLIANCE (BMMA), A COLLECTIVE OF MULTI-DISCIPLINARY PROFESSIONALS WORKING TO ENSURE THAT "ALL BLACK MAMAS HAVE THE RIGHTS, RESPECT, AND RESOURCES TO THRIVE BEFORE, DURING, AND AFTER PREGNANCY." RRH PARTICIPATED IN THE IMAGINE RIT: CREATIVITY & INNOVATION FESTIVAL FEATURING 350+ EXHIBITS AND 2,200+ EXHIBITORS. VISITORS OF ALL AGES EXPERIENCED INTERACTIVE PRESENTATIONS, HANDS-ON DEMONSTRATIONS, EXHIBITIONS, PERFORMING ARTS, AND RESEARCH PROJECTS. IN CELEBRATION OF EARTH DAY 2023, RRH SPONSORED SPECIAL ACTIVITIES ACROSS ITS LOCATIONS, INCLUDING TREE SAPLING GIVEAWAYS AT EACH OF THE HOSPITALS AND AN E-WASTE DROP-OFF. MAY IS MENTAL HEALTH AWARENESS MONTH, A NATIONAL MOVEMENT TO RAISE AWARENESS ABOUT MENTAL HEALTH. EVERY YEAR MILLIONS OF AMERICANS 1 IN 5 ADULTS, 1 IN 6 CHILDREN FACE THE REALITY OF LIVING WITH A MENTAL ILLNESS. ROCHESTER REGIONAL OFFERS A COMPREHENSIVE RANGE OF MENTAL HEALTH SERVICES, INCLUDING ADULT MENTAL HEALTH, YOUTH, AND FAMILY, BEHAVIORAL HEALTH ACCESS & CRISIS CENTER, COMPREHENSIVE PSYCHIATRIC EMERGENCY PROGRAM, HEALTH CARE MANAGEMENT, AND PERSONALIZED RECOVERY ORIENTED SERVICES. STROKE AWARENESS: ROCHESTER REGIONAL HEALTH AND THE ROCHESTER RED WINGS BASEBALL TEAM CAME TOGETHER TO RAISE AWARENESS OF THE IMPORTANCE OF PREVENTION, RECOGNITION, AND RAPID STROKE TREATMENT. RRH SPONSORED THE HAIR & HEALTH SYMPOSIUM IN JUNE 2023. THE FREE EVENT WAS HELD AT LOCAL SCHOOLS AND WAS OPEN TO THE PUBLIC. IF PERFORMED IMMEDIATELY, CARDIOPULMONARY RESUSCITATION (CPR) CAN DOUBLE, OR EVEN TRIPLE, THE CHANCES OF SURVIVAL FROM AN OUT-OF-HOSPITAL CARDIAC ARREST. RRH HOSTED A SERIES OF FREE CPR TRAINING EVENTS FOR ANYONE WANTING TO LEARN HOW TO PERFORM CPR AND OTHER LIFE-SAVING MEASURES IN CASE OF AN EMERGENCY. RRH JOINED THE AMERICAN HOSPITAL ASSOCIATION TO RECOGNIZE THE 7TH "NATIONAL DAY OF AWARENESS TO END VIOLENCE." THIS ANNUAL RECOGNITION USES A PUBLIC HEALTH LENS TO DRAW ATTENTION TO THE AREAS OF VIOLENCE WE SEE WITHIN THE HEALTHCARE SYSTEM AND WITHIN THE COMMUNITIES WE SERVE. AS A SYSTEM, RRH IS ALSO WORKING TO UPDATE AND SIMPLIFY SIGNAGE RELATED TO AGGRESSIVE BEHAVIOR IN OUR FACILITIES. THE GOAL OF THE EFFORT IS TO CLEARLY COMMUNICATE OUR EXPECTATIONS FOR RESPECTFUL PATIENT AND VISITOR BEHAVIOR WHILE EXPLAINING CLEAR CONSEQUENCES FOR VIOLATIONS OF THOSE EXPECTATIONS. THESE NEW INITIATIVES ARE IN ADDITION TO MAJOR INVESTMENTS RRH HAS MADE TO SECURITY ACROSS THE ENTIRE SYSTEM INCLUDING THE INSTALLATION AND REPAIR OF BLUE LIGHT EMERGENCY CALL BOXES, NEW SECURITY CAMERAS, IMPROVED LIGHTING AND INCREASED PATROLS BY UNIFORMED SECURITY WHICH NOT ONLY FACILITATE FASTER RESPONSES TO INCIDENTS BUT AIM TO PREVENT INCIDENTS BEFORE THEY HAPPEN. DURING PRIDE MONTH IN JUNE 2023, THE DIVERSITY, EQUITY & INCLUSION (DEI) TEAM LED EFFORTS TO RAISE AWARENESS AND CELEBRATE LESBIAN, GAY, BISEXUAL, TRANSGENDER, QUEER, OR QUESTIONING (LGBTQ+) PATIENTS, COLLEAGUES, AND OUR COMMUNITIES. RRH WAS A TOP SPONSOR OF THE 2023 ROC PRIDE PARADE. OVER 100 WALKERS AND VOLUNTEERS DEMONSTRATED RRH'S COMMITMENT TO DIVERSITY, EQUITY, AND INCLUSION. THOUSANDS OF ROCHESTERIANS ATTENDED THE EVENTS TO CELEBRATE AND SUPPORT SAFE AND INCLUSIVE SPACES FOR THE LGBTQ+ COMMUNITY. RRH WAS A SPONSOR OF THE 2023 AHA HEART WALK - BY COMING TOGETHER AS A COMMUNITY, RRH HOPES TO RAISE AWARENESS ABOUT HEART HEALTH, SUPPORT LIFE-SAVING RESEARCH, AND MAKE A POSITIVE IMPACT ON THE LIVES OF INDIVIDUALS AFFECTED BY CARDIOVASCULAR DISEASES. AT THE ROCHESTER INTERNATIONAL JAZZ FESTIVAL, RRH SPONSORED THE FIRST AID TENT THROUGHOUT THE FESTIVAL FOR GIVEAWAYS AND BASIC FIRST AID NEEDS. RRH STEPPING UP FOR LUNG CANCER RRH ENCOURAGED TEAM MEMBERS TO PARTICIPATE IN THE SUMMER RAISE, GO2 FOR LUNG CANCER'S GLOBAL FUNDRAISING EVENT BY OFFERING A FREE 40-DAY VIRTUAL STEP-TRACKING CHALLENGE TO RAISE AWARENESS FOR LUNG CANCER. RRH HEALTHY MOMS HOSTED A FAMILY RESOURCE FAIR TO SUPPORT FAMILIES IN NEED IN THE COMMUNITY. STUDIES SHOW THAT AN EDUCATION IS KEY TO OVERCOMING POVERTY, BUT MANY FAMILIES ARE UNABLE TO PROVIDE THE BASIC SCHOOL SUPPLIES THEIR CHILDREN NEED TO BE EFFECTIVE. RRH'S FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) ARE PART OF A NATIONWIDE NETWORK THAT PROVIDES CARE TO PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. IN HONOR OF NATIONAL HEALTH CENTER WEEK (AUGUST 6 12), RRH RECOGNIZED THE 400+ DEDICATED FQHC STAFF MEMBERS FOR THEIR COMMITMENT TO PROVIDING QUALITY SERVICES EACH AND EVERY DAY. RRH HOSTED A FREE SCHOOL-BASED HEALTH CENTERS INFORMATION SESSION INFORMING PARENTS AND THE COMMUNITY ABOUT THE SERVICES AVAILABLE TO STUDENTS ENROLLED IN THE ROCHESTER CITY SCHOOL DISTRICT. THE EVENT INCLUDED: ENROLLMENT SERVICES FOR CHILDREN IN FREE MEDICAL AND MENTAL HEALTH SERVICES; MEET AND PET THERAPY DOGS AND SCHOOL SUPPLY GIVEAWAYS. RRH CELEBRATED NATIONAL MINORITY DONOR AWARENESS MONTH (NMDAM) WHICH BEGAN AS NATIONAL MINORITY DONOR AWARENESS WEEK, FOUNDED IN 1996 BY THE NATIONAL MINORITY ORGAN TISSUE TRANSPLANT EDUCATION PROGRAM TO RAISE AWARENESS OF DONATIONS AND TRANSPLANTATIONS IN COMMUNITIES OF COLOR. ON AVERAGE, AFRICAN AMERICAN/BLACK TRANSPLANT CANDIDATES WAIT LONGER THAN WHITE TRANSPLANT CANDIDATES FOR KIDNEY, HEART, AND LUNG TRANSPLANTS. THESE HEALTH CARE DISPARITIES ARE PART OF THE NEED FOR NMDAM EDUCATION AND OUTREACH TO HELP HEAL AND SAVE LIVES IN OUR COMMUNITIES. WE CELEBRATED NATIONAL HEALTH CENTER WEEK WITH A CALENDAR FULL OF EVENTS, INCLUDING A PATIENT APPRECIATION DAY WITH FREE HEALTH SCREENINGS FOR ALL, AS WELL AS A "HEALTH CARE FOR THE HOMELESS" DAY, WHERE UNHOUSED INDIVIDUALS WERE OFFERED MOBILE HEALTH SERVICES, FREE HAIRCUTS, AND MORE. THE RRH AFFIRMING CARE CHEMICAL DEPENDENCY TEAM PARTICIPATED IN THE 8TH ANNUAL SCOTT B OVERDOSE AWARENESS DAY BY DISTRIBUTING NARCAN AND TEST STRIPS TO TEST FOR FENTANYL AND XYLAZINE. THE TEAM ALSO EDUCATED ATTENDEES ON THE DANGERS OF FENTANYL AND XYLAZINE AND INSTRUCTED THEM ON HOW TO IDENTIFY THESE SUBSTANCES WITHIN OTHER DRUGS. DURING NATIONAL REHABILITATION AWARENESS WEEK, RRH BROUGHT AWARENESS TO THE VARIOUS REHABILITATION PROGRAMS THAT SUPPORT COMMUNITY MEMBERS AND RECOGNIZED THE TEAM MEMBERS WHO PROVIDE THESE ESSENTIAL SERVICES TO PATIENTS.
PART VI, LINE 6 (CON'T):	DURING GYNECOLOGICAL CANCER AWARENESS MONTH, RRH EDUCATED, RAISED AWARENESS, AND PROVIDED RESOURCES ON GYNECOLOGIC CANCERS. ROCHESTER REGIONAL HEALTH AND AENON MISSIONARY BAPTIST CHURCH JOINTLY HOSTED A COMMUNITY HEALTH FAIR. THE ONGOING COLLABORATION BETWEEN THE CHURCH AND THE HOSPITAL SEEKS TO PROMOTE BOTH PHYSICAL AND SPIRITUAL WELL-BEING WITHIN THE COMMUNITY. THE EVENT PROVIDED FREE MAMMOGRAMS, BEHAVIORAL HEALTH INFORMATION & WELLNESS, BLOOD PRESSURE CHECKS, DIABETES EDUCATION, CHOLESTEROL SCREENING, BMI SCREENING, AND INFORMATION ON CANCER PREVENTION, SCREENING, AND DETECTION. THE SANDS-CONSTELLATION HEART INSTITUTE HELD A VIRTUAL CARDIOVASCULAR DISEASE PREVENTION SYMPOSIUM INCLUDING PRESENTATIONS AND ENGAGING DISCUSSIONS DESIGNED FOR CARDIOLOGISTS, PRIMARY CARE PHYSICIANS, AND OTHER HEALTH CARE PROVIDERS INTERESTED IN THE PREVENTION OF CARDIOVASCULAR DISEASE. THE FOCUS WAS ON CARDIOVASCULAR DISEASE RISK FACTORS, PREVENTATIVE STRATEGIES, AND PRACTICES FOR HELPING PATIENTS LIVE LONGER, HAPPIER LIVES. ROCHESTER REGIONAL HOSTED A HEALTH OBESITY, WEIGHT LOSS & METABOLIC SURGERY SYMPOSIUM - A DAY OF INSIGHT AND ENGAGING DISCUSSIONS ON THE MULTIDISCIPLINARY CARE AND MANAGEMENT OF OBESITY, METABOLIC DISEASES, AND RELATED COMORBIDITIES. ESTEEMED NATIONAL EXPERTS SHARED THE LATEST ADVANCES, GUIDELINES, AND EVIDENCE-BASED TREATMENT OPTIONS THAT ARE SHAPING THE FUTURE OF OBESITY-RELATED CARE AND METABOLIC SURGERY. THE SANDS-CONSTELLATION HEART INSTITUTE HOSTED ITS ANNUAL CARDIOVASCULAR SYMPOSIUM. AS CARDIOVASCULAR MEDICINE CONTINUES TO EVOLVE, RRH IS COMMITTED TO PROVIDING THE VERY BEST CARDIAC CARE TO OUR COMMUNITY. PRESENTATIONS WERE DESIGNED TO HELP EACH PARTICIPANT GAIN UP-TO-DATE MEDICAL KNOWLEDGE THAT APPLIES TO THEIR DAILY PRACTICE. TOPICS INCLUDED A REVIEW OF ADVANCED STRATEGIES, CURRENT KNOWLEDGE, AND SPECIALIZED TREATMENTS TO GIVE EVERY PATIENT THE BEST POSSIBLE RESULT. THE RRH BEHAVIORAL HEALTH TEAM PARTICIPATED IN THE OUT OF THE DARKNESS WALK, WHERE FRIENDS, FAMILY MEMBERS, NEIGHBORS, AND COWORKERS WALKED SIDE-BY-SIDE, SUPPORTING EACH OTHER IN MEMORY OF THOSE LOST TO SUICIDE. THE OUT OF THE DARKNESS WALK GIVES PEOPLE THE COURAGE TO OPEN UP ABOUT THEIR CONNECTIONS TO THE CAUSE AND A PLATFORM TO CREATE A SMARTER MENTAL HEALTH CULTURE. DURING BREAST CANCER AWARENESS MONTH, ROCHESTER REGIONAL HEALTH BROUGHT AWARENESS TO BREAST CANCER THROUGH EDUCATION AND EVENTS, SUCH AS THE MAKING STRIDES ROCHESTER WALK. THIS EVENT BRINGS TOGETHER WOMEN LIVING WITH BREAST CANCER SURVIVORS, ALONG WITH THEIR FAMILIES, FRIENDS, AND SUPPORTERS. THROUGH A PARTNERSHIP WITH THE AMERICAN CANCER SOCIETY, ROCHESTER REGIONAL IS COMMITTED TO HELPING FUND GROUNDBREAKING BREAST CANCER RESEARCH PROVIDING PATIENT SERVICE SUCH AS FREE RIDES TO CHEMO, FREE PLACES TO STAY NEAR TREATMENT, AND A LIVE, 24/7 CANCER HELPLINE. RRH CELEBRATED INTERNATIONAL INFECTION PREVENTION WEEK AND SPOTLIGHTED THE INFECTION PREVENTION (IP) TEAM'S WORK AND ITS POSITIVE IMPACT ON TEAM MEMBERS, PATIENTS, VISITORS, AND THE WIDER COMMUNITY. IP WORK WITHIN RRH INCLUDES: HAND HYGIENE CAMPAIGN, HEALTHCARE-ASSOCIATED INFECTIONS TASK FORCE WORK AND PREVENTION EFFORTS, SURGICAL SITE INFECTION REDUCTION WORK, ENVIRONMENTAL ROUNDS, CONSULTING WITH FACILITIES/CONTRACTORS REGARDING MITIGATING INFECTION RISKS FROM CONSTRUCTION AND REMODELING, ANSWERING QUESTIONS ABOUT COVID-19, EXPOSURES, ISOLATION, DISINFECTION AND STERILIZATION, AND MORE. DURING SPIRITUAL CARE WEEK RRH ACKNOWLEDGED THE SPIRITUAL CARE PROVIDERS OR CHAPLAINS THROUGHOUT THE SYSTEM WHO OFFER PERSONALIZED CARE AND PSYCHO-SPIRITUAL-SOCIAL SUPPORT TO PATIENTS, FAMILIES, AND STAFF WHEN PEOPLE HAVE THINGS TO CELEBRATE OR ARE GOING THROUGH A DIFFICULT TIME. AS PART OF LUNG CANCER AWARENESS MONTH, ROCHESTER REGIONAL HEALTH BROUGHT ATTENTION TO THE IMPORTANCE OF EARLY DETECTION. THE LUNG CANCER SCREENING PROGRAM OFFERS QUICK, NON-INVASIVE SCANS AT NO OUT-OF-POCKET COST TO THOSE ELIGIBLE. PROVIDERS WORK WITH EACH PATIENT TO DETECT AND TREAT LUNG CANCER AS EARLY AS POSSIBLE. ON VETERANS DAY AND EVERY DAY, WE ARE GRATEFUL FOR THE VETERANS THROUGHOUT OUR SYSTEM AND OUR COMMUNITY. ALL RRH EMPLOYEES AND VOLUNTEERS WHO ARE VETERANS OR ACTIVE-DUTY MILITARY MEMBERS CAN RECEIVE A COMPLIMENTARY MEAL AT RRH CAFETERIAS AND COFFEE BARS. RRH HOSTED "WELLNESS WEDNESDAYS" IN CONJUNCTION WITH A LOCAL COMMUNITY CENTER. TOPICS DURING THE 2023 SESSIONS INCLUDED THE FOLLOWING:O SYMPATHETIC NERVOUS SYSTEM AND DEPRESSION AND THE ROLE OF THIS STRESS ON EMOTIONS AND MENTAL HEALTH.O HEALTH BENEFITS OF YOGA - EVIDENCE-BASED RESEARCH ON THE HEALTH BENEFITS OF YOGA INCLUDING IMPROVING BALANCE AND STRENGTH TO MENTAL CLARITY AND FOCUS. O MINDFULNESS AND MEDITATION INSTRUCTORS WILL LEAD A FULL BODY SCAN AND A GUIDED MEDITATION.O HEARING AND AGINGO BASIC FUNDAMENTALS OF SPEECH, VOICE, AND LANGUAGE SKILLS. HOW THE EFFECTS OF AGING IMPACT THESE AREAS AND OUR OVERALL COMMUNICATION SKILLS. O MINDFUL SELF-COMPASSION - EXTENDING COMPASSION TO THE SELF FOR ONE'S PERCEIVED FAILINGS, INADEQUACIES, AND EXPERIENCES OF SUFFERING. O HOW TO MANAGE INJURIES TO THE HANDS, FINGERS, WRISTS AND ELBOWS. O SEASONAL DEPRESSION/SEASONAL AFFECTIVE DISORDER (SAD) - LEARN ABOUT SEASONAL DEPRESSION AND HOW TO RECOGNIZE IT.O LEARN ABOUT THE OUTLOOK/PERSPECTIVE ON AGING, "AGE FRIENDLY" HEALTH CARE, AND HOW THIS PROGRAM SPECIFICALLY MEETS THE NEEDS OF THE GERIATRIC COMMUNITY. O LEARN SOME COMMON MYTHS ABOUT ENVIRONMENTAL ALLERGIES AND WHAT THE DATA SAYS ON HOW TO BEST TREAT THEM.O SMOOTHIES & MOVIES & PLANT-BASED WHOLE FOOD POT-LUCK THE BENEFITS OF DRINKING SMOOTHIES, SECRET POWERHOUSE INGREDIENTS AND AN ACTUAL DEMONSTRATION ON HOW TO MAKE THEM. DURING THE POT-LUCK WE WILL BE SHOWING THE DOCUMENTARY FORKS OVER KNIVES TO HELP EDUCATE MEMBERS AND THE COMMUNITY ON THE HEALING BENEFITS OF CONSUMING PLANTS.O THE LATEST UP TO DATE PRACTICES REGARDING PHYSICAL THERAPY.O LIFESTYLE MEDICINE AND HOW IT RELATES TO OUR PHYSICAL HEALTH, STRESS MANAGEMENT.O CHOLESTEROL EVALUATION AND MANAGEMENT O EDUCATION ON PRE-DRIVING SCREENING ASSESSMENTS. SEVERAL MEDICAL CONDITIONS MAY AFFECT DRIVING INCLUDING HEART DISEASE, STROKE, DIABETES, DEMENTIA, BRAIN INJURY AND MANY MORE. LICENSED OCCUPATIONAL THERAPISTS CAN CONDUCT ASSESSMENTS ON PHYSICAL PERFORMANCE, REACTION TIME, ABILITY TO READ SIGNS, PROBLEM SOLVING TECHNIQUES AND MORE.O PRESENTATION ON HOW THE COST OF MEDICATIONS CAN BE A MAJOR BARRIER TO MEDICATION ACCESSIBILITY. NEARLY FOUR IN TEN OF THOSE TAKING FOUR OR MORE PRESCRIPTION DRUGS SAY THEY HAVE DIFFICULTY AFFORDING THEIR PRESCRIPTIONS. WHAT CAN BE DONE TO HELP REDUCE COST RELATED MEDICATION NON-ADHERENCE AND IMPROVE MEDICATION AFFORDABILITY.O CLIMATE CHANGE & KEEPING HEALTHY - THE SCIENCE OF CLIMATE CHANGE, THE MULTIPLE IMPACTS CLIMATE CHANGE CAN HAVE ON OUR HEALTH, AND MOST IMPORTANTLY, WHAT WE CAN DO INDIVIDUALLY AND COLLECTIVELY TO HELP PROTECT OUR HEALTH AND BE PART OF THE SOLUTION.O BREAST CANCER AWARENESS DISCUSSIONS RELATING TO TAKING CHARGE OF YOUR BREAST, BREAST CANCER SCREENING RECOMMENDATIONS, SIGNS AND SYMPTOMS OF BREAST CANCER AND HOW TO REDUCE YOUR BREAST CANCER RISK FROM A BREAST SURGEON PERSPECTIVE.O COGNITIVE HEALTHO RRH'S MOBILE MAMMOGRAPHY CENTER WILL BE ON SITE FOR MAMMOGRAM SCREENINGS. THE MAMMOGRAM MACHINE ON THE BUS IS THE EXACT SAME AS THE MACHINE USED IN THE HOSPITAL, AS IS THE QUALITY. O BREAK DOWN THE COMPLICATED INFORMATION REGARDING LUNG CANCER AND SHED SOME LIGHT AS TO WHAT RESEARCHERS ARE DOING TO DECREASE LUNG CANCER RATES AND IMPROVE OUTCOMES. O EFFECTS OF LONELINESS AND STRATEGIES FOR STAYING CONNECTED - THE EPIDEMIC OF LONELINESS IN THE UNITED STATES HAS REACHED AN ALL-TIME HIGH IN RECENT YEARS. THE PHYSICAL AND MENTAL EFFECTS OF LONELINESS CAN INCREASE THE RISK FOR HEART DISEASE, STROKE, DEMENTIA AND EVEN PREMATURE DEATH. LEARN STRATEGIES FOR STAYING CONNECTED. O URINARY HEALTH AND INCONTINENCE - DISCUSSING THE TYPES OF URINARY INCONTINENCE, HOW URINARY INCONTINENCE OFTEN HAS A MUSCULOSKELETAL ORIGIN, AND HOW YOU CAN TREAT AND EVEN CURE WITH SIMPLE INTERVENTIONS.O LIVE TO 100: SECRETS OF THE BLUE ZONES - SCIENTISTS FOUND OTHER LONGEVITY HOTSPOTS WORLDWIDE AND THEY ARE KNOWN AS THE BLUE ZONES. THE RESEARCHERS FOUND THAT ALL BLUE ZONES AREAS SHARE NINE SPECIFIC LIFESTYLE HABITS THAT ARE CALLED THE POWER 9.O LEARN ABOUT EATING FOR KIDNEY HEALTH.
PART VI, LINE 6 (CON'T):	DURING 2023 ROCHESTER REGIONAL HEALTH WAS RECOGNIZED AS FOLLOWS: THE RRH CHEMICAL DEPENDENCY PROGRAM BECAME ONE OF THE FIRST IN NEW YORK STATE TO BE ENDORSED AS AN LGBTQ-AFFIRMING PROGRAM BY THE NEW YORK STATE OFFICE OF ADDICTION SERVICES AND SUPPORTS (OASAS). LIVING WITH SUBSTANCE USE DISORDER IS A SIGNIFICANT LIFE HARDSHIP. YET, CULTURALLY RESPONSIVE CARE HAS NOT ALWAYS BEEN AVAILABLE TO PEOPLE IDENTIFYING AS LESBIAN, GAY, BISEXUAL, TRANSGENDER, QUEER/QUESTIONINGOR ANY PART OF THE LGBTQ COMMUNITY. RRH CHEMICAL DEPENDENCY PROVIDES A SAFE, WELCOMING SPACE FOR PERSON-CENTERED CARE. AS THE REGION'S MOST EXTENSIVE CHEMICAL DEPENDENCY TREATMENT PROVIDER AND ONE OF THE FIRST TO OFFER CHEMICAL DEPENDENCY PROGRAMS AND SERVICES TAILORED TO LGBTQ PATIENT NEEDS. OUR FLEXIBLE OFFERINGS INCLUDE INPATIENT REHABILITATION, OUTPATIENT SERVICES, AND INTEGRATED MEDICATION-ASSISTED TREATMENT. TO ADDRESS THE UNIQUE NEEDS OF LGBTQ CLIENTS, WE OFFER AFFIRMATIVE CARE TO SUPPORT RECOVERY IN INDIVIDUAL SESSIONS, GROUP SESSIONS, AND PEER RECOVERY SERVICES. THE LGBTQ-AFFIRMING PROGRAM ENDORSEMENT FROM OASAS IS AN OPERATING DESIGNATION FOR CERTIFIED PROGRAMS THAT HAVE CREATED AN LGBTQ-AFFIRMING ADDICTION TREATMENT SPACE. ROCHESTER REGIONAL HEALTH WAS NAMED A PRACTICE GREENHEALTH SYSTEM FOR CHANGE AWARD WINNER FOR THE SIXTH YEAR IN A ROW IN RECOGNITION OF THE SYSTEM'S ONGOING COMMITMENT TO SUSTAINABILITY. ADDITIONALLY, OUR FIVE ROCHESTER-ADJACENT HOSPITALS HAVE BEEN NAMED AS PARTNERS FOR CHANGE AWARD RECIPIENTS. THE SYSTEM FOR CHANGE AWARD RECOGNIZES HEALTH SYSTEMS THAT ARE WORKING COHESIVELY TO SET SYSTEM-WIDE SUSTAINABILITY GOALS, TRACK PERFORMANCE DATA, AND SUPPORT INTRA-ORGANIZATIONAL LEARNING AND IMPLEMENTATION WITHIN THEIR INSTITUTIONS. THE ASSOCIATION OF COMMUNITY CANCER CENTERS (ACCC) NATIONAL ONCOLOGY CONFERENCE TASKFORCE CHOSE THE LIPSON CANCER INSTITUTE'S "A COLLABORATIVE CARE MODEL" AS A 2023 ACCC INNOVATOR AWARD WINNER. THE ACCC INNOVATOR AWARD RECOGNIZES INNOVATIONS THAT SUPPORT ADVANCEMENTS TO ACCESS, QUALITY, AND VALUE IN CANCER CARE DELIVERY. AS PART OF THE COLLABORATIVE CARE MODEL, THE LIPSON CANCER INSTITUTE EMBEDDED COUNSELING SERVICES INTO ONCOLOGY AND PALLIATIVE CARE ACROSS SIX CLINIC LOCATIONS. THE MODEL ALLOWS PATIENTS TO RECEIVE COUNSELING FOR DEPRESSION, ANXIETY, OR OTHER PSYCHO-SOCIAL CONCERNS WHILE IN ACTIVE TREATMENT AND SURVIVORSHIP, ELIMINATING MANY BARRIERS TO CARE. COUNSELING IS PROVIDED IN-PERSON OR VIRTUALLY, ENSURING THAT CRITICAL SUPPORT AND MENTAL HEALTH CARE ARE ACCESSIBLE TO ALL, INCLUDING PATIENTS IN RURAL AREAS AND THOSE WHO ARE HOMEBOUND. THE ROCHESTER REGIONAL HEALTH CARDIAC AND PULMONARY REHABILITATION PROGRAM TEAM MAINTAINED THEIR AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION (AACVPR) CERTIFICATIONS. AS THE ONLY PEER-REVIEW ACCREDITATION PROCESS, AACVPR PROGRAM CERTIFICATION IS DESIGNED TO REVIEW INDIVIDUAL PROGRAMS FOR ADHERENCE TO THE HIGHEST STANDARDS AND GUIDELINES DEVELOPED AND PUBLISHED BY A GROUP OF PROFESSIONAL SOCIETIES IN THE FIELD. CERTIFICATION IS VALID FOR THREE YEARS. TO EARN ACCREDITATION, THE CARDIAC AND PULMONARY REHAB PROGRAM PARTICIPATED IN AN APPLICATION PROCESS THAT REQUIRED EXTENSIVE DOCUMENTATION OF PRACTICES. ROCHESTER REGIONAL HEALTH AMONG TOP 100 HOSPITALS & HEALTH SYSTEMS WITH HIGH-ACHIEVING ORTHOPEDIC PROGRAMS RRH WAS ANNOUNCED AS PART OF THE BECKER'S HEALTHCARE LIST OF "HOSPITALS AND HEALTH SYSTEMS WITH GREAT ORTHOPEDIC PROGRAMS" FOR 2023. AS BECKER'S CITES IN ITS LIST, RRH PERFORMS ABOUT 18,000 ORTHOPEDIC SURGERIES AND HAS MORE THAN 160,000 OUTPATIENT ORTHOPEDIC VISITS YEARLY. RRH IS THE REGIONAL LEADER IN JOINT REPLACEMENT, PERFORMING THOUSANDS OF HIP, KNEE, SHOULDER, ELBOW, ANKLE, AND CERVICAL SPINE PROCEDURES ANNUALLY AT RRH HOSPITALS THAT DNV HEALTHCARE REPEATEDLY RECOGNIZES AS ORTHOPEDIC CENTERS OF EXCELLENCE. RRH IS AMONG ONLY A FEW HEALTH SYSTEMS IN THE COUNTRY OFFERING A VERIFIED GERIATRIC SURGICAL PROGRAM THAT PROVIDES OLDER ADULT PATIENTS PERSONALIZED SURGICAL PLANS, INCLUDING COMPREHENSIVE PRE-OP EVALUATIONS BEFORE THEY ARRIVE IN THE OPERATING SUITE. RRH SURGEONS ALSO UTILIZE STATE-OF-THE-ART TOOLS, SUCH AS ROBOTIC SURGICAL ASSISTANT, ALLOWING JOINT REPLACEMENTS TO BE DONE WITH GREATER ACCURACY AND EFFICIENCY. IN ADDITION, RRH IS ALSO HELPING SOME OF OUR COMMUNITY'S YOUNGEST ORTHOPEDIC PATIENTS THROUGH OUR SPORTS MEDICINE PROGRAMS, HELPING YOUNG ATHLETES TRAIN WITHOUT INJURY AND STANDING READY FOR ANY EMERGENCY ALONG THE SIDELINES WHEN THOSE ATHLETES ARE ON THE FIELD FOR A GAME. FIVE RRH EMERGENCY DEPARTMENT PHYSICIANS WERE RECOGNIZED BY THE NEW YORK AMERICAN COLLEGE OF EMERGENCY PHYSICIANS (NY ACEP) AS RECIPIENTS OF THEIR 2023 "UNSUNG HEROES" AWARD. THESE PHYSICIANS WERE AMONG JUST 33 RECOGNIZED ACROSS ALL OF NYS FOR THEIR INCREDIBLE CONTRIBUTIONS TO THEIR COLLEAGUES AND THE PATIENTS AND COMMUNITIES THEY SERVE.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. RGH 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. THE RGH CAMPUS OFFICIALLY OPENED THE SANDS-CONSTELLATION CENTER FOR CRITICAL CARE WITH ITS 7-STORY, 312,000-SQUARE-FOOT STRUCTURE IN OCTOBER 2020. THE CENTER IS HOME TO VISIONARY INNOVATION WITH BREAKTHROUGH TECHNOLOGY AND EQUIPMENT, BROUGHT TO LIFE BY EXCEPTIONAL CARE TEAMS WHO ARE TRAINED IN PROVIDING THE HIGHEST LEVEL OF CARE FOR THOSE WHO NEED IT MOST. WITH A NEW SURGICAL CARE CENTER, WOMEN'S HEALTH AND NEWBORN CARE SUITES FOCUSED ON HELPING FAMILIES GROW AND 36 PRIVATE PATIENT ROOMS PER FLOOR IN THE MEDICAL, SURGICAL AND ONCOLOGY CARE AREAS, RGH IS ENHANCING LIVES AND PRESERVING HEALTH IN A PLACE BUILT FOR THE FUTURE OF HEALTHCARE AND THE LOCAL COMMUNITY.THE LIPSON CANCER INSTITUTE WAS FOUNDED ON A COMMITMENT TO PROVIDE COMPREHENSIVE AND QUALITY CANCER CARE FROM ONE INTEGRATED PROGRAM. AS A RECOGNIZED LEADER IN THE TREATMENT OF CANCER AND BLOOD DISORDERS, THE MOST UP-TO-DATE, INNOVATIVE THERAPIES ARE EMPLOYED AND TAP INTO THE MOST PROMISING RESEARCH IN CANCER DETECTION, DIAGNOSIS, AND TREATMENT. THIS COMMITMENT TO CLINICAL INNOVATION HELPS PATIENTS AND THEIR FAMILIES ENJOY HIGHER SUCCESS RATES, FEWER TREATMENT-RELATED SIDE EFFECTS, AND LONGER, HEALTHIER LIVES.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 2023 SOME OF THE MAJOR IMPROVEMENTS INCLUDE THE FOLLOWING: IN SEPTEMBER 2023, ROCHESTER GENERAL HOSPITAL (RGH) BECAME THE FIRST HOSPITAL IN UPSTATE NEW YORK TO OFFER AQUABLATION THERAPY, A MINIMALLY-INVASIVE TREATMENT FOR LOWER URINARY TRACT SYMPTOMS (LUTS) DUE TO BENIGN PROSTATIC HYPERPLASIA (BPH) OR ENLARGED PROSTATE. DURING 2023 ROCHESTER GENERAL HOSPITAL WAS RECOGNIZED FOR THE FOLLOWING ACHIEVEMENTS: RGH RECEIVED THE AMERICAN HEART ASSOCIATION'S "GET WITH THE GUIDELINES" GOLD PLUS ACHIEVEMENT, STROKE HONOR ROLL ELITE, TYPE 2 DIABETES HONOR ROLL AND A 10-YEAR RECOGNITION, GIVEN TO HOSPITALS WITH GOLD PLUS ACHIEVEMENT IN GET WITH THE GUIDELINES-STROKE AND/OR GET WITH THE GUIDELINES-HEART FAILURE FOR 10 OR MORE CONSECUTIVE CALENDAR YEARS. THESE DESIGNATIONS HIGHLIGHT RGH'S COMMITMENT TO APPLYING THE MOST UP-TO-DATE EVIDENCE-BASED TREATMENT GUIDELINES AND THEIR DEDICATION TO PROVIDING HIGH-QUALITY CARE TO STROKE PATIENTS IN OUR COMMUNITIES. THE PALLIATIVE CARE TEAM AT ROCHESTER GENERAL HOSPITAL HAD A SUCCESSFUL YEAR TWO DNV SURVEY WITH ZERO NON-CONFORMITIES. RGH RECEIVED THE INSTITUTE FOR HEALTHCARE IMPROVEMENT'S (IHI) AGE-FRIENDLY HEALTH SYSTEMS- COMMITTED TO CARE EXCELLENCE DESIGNATION. IHI RECOGNIZES HEALTHCARE FACILITIES WORKING TOWARDS EVIDENCE-BASED INTERVENTIONS FOR OLDER ADULTS IN THEIR CARE FOLLOWING THE 4MS: WHAT MATTERS, MEDICATION, MENTATION, AND MOBILITY. THE COMMITTED TO CARE EXCELLENCE DESIGNATION IS THE HIGHEST RECOGNITION IN THE AGE-FRIENDLY HEALTH SYSTEMS MOVEMENT AND ACKNOWLEDGES THAT THESE PRACTICES HAVE BEEN IMPLEMENTED WITH PROVEN DATA FOR AT LEAST THREE MONTHS.
PART VI, LINE 6 (CON'T):	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.THE TEAM CONTINUES TO SHOW THEIR COMMITMENT TO THE COMMUNITY THROUGH THE FOLLOWING EVENTS: IN RECOGNITION OF NATIONAL HEALTHCARE DECISIONS DAY, THE PALLIATIVE CARE TEAM HAD REPRESENTATIVES PROMOTING HEALTH CARE PROXY AND ADVANCED CARE PLANNING EDUCATION AND DOCUMENT COMPLETION. ST. JOHN FISHER COLLEGE KICKED OFF ITS CARDINAL NURSE CAMP, WHERE JUNIORS AND SENIORS IN HIGH SCHOOL INTERESTED IN A CAREER IN THE NURSING PROFESSION HAD THE OPPORTUNITY TO SHADOW NURSES AT ROCHESTER GENERAL HOSPITAL. ROCHESTER GENERAL COLLEGE OF HEALTH CAREERS (RGCOHC) - 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. RGCOHC IS EAGER TO PROVIDE THIS EDUCATION THROUGH CREATIVE PATHWAYS AND PARTNERSHIPS.THE ISABELLA GRAHAM HART SCHOOL OF PRACTICAL NURSING (IGHSPN) AND ROCHESTER GENERAL COLLEGE OF HEALTH CAREERS (RGCOHC) ACHIEVED ACCREDITATION FROM THE ACCREDITATION COMMISSION FOR EDUCATION IN NURSING (ACEN). ACEN IS THE LEADING AUTHORITY IN NURSING EDUCATION ACCREDITATION, WHOSE GOAL IS TO SUPPORT AND STRENGTHEN THE QUALITY OF NURSING EDUCATION. IGHSPN ACHIEVED CONTINUING ACCREDITATION THROUGH 2029 FROM ACEN. IN ADDITION, THE SCHOOL ACHIEVED A THIRD QUARTER NATIONAL COUNCIL LICENSURE EXAMINATION (NCLEX) FIRST-TIME PASS RATE OF 93% FOR THEIR PRACTICAL NURSE PROGRAM. RGCOHC ACHIEVED A FIRST-ROUND RECOMMENDATION FOR INITIAL ACCREDITATION, WITH THE ACEN'S FINAL DECISION EXPECTED IN 2024. IN ADDITION, THE RGCOH ACHIEVED A THIRD-QUARTER NCLEX FIRST-TIME PASS RATE OF 89% FOR THE REGISTERED NURSE PROGRAM.UNITY HOSPITAL (UH) IS A 471-BED HOSPITAL LOCATED IN THE TOWN OF GREECE, NY. UH OFFERS A BROAD RANGE OF SPECIALTY CENTERS, INCLUDING THE GOLISANO RESTORATIVE NEUROLOGY & REHABILITATION CENTER, THE CHARLES J. AUGUST JOINT REPLACEMENT CENTER, AND THE AUGUST FAMILY BIRTH PLACE. THE HOSPITAL IS ALSO A NEW YORK STATE-DESIGNATED STROKE CENTER.THE ANDREW J. KIRCH DIALYSIS CENTER, LOCATED AT UH, PROVIDES LEADING-EDGE TREATMENT WITH COMPASSIONATE CARE. THE UH NEPHROLOGY TEAM IS DEDICATED TO IMPROVING THE LIVES AND WELL-BEING OF PEOPLE WITH ALL TYPES OF KIDNEY (RENAL) DISORDERS AND HYPERTENSION. UH COMBINES CLINICAL EXPERTISE WITH STATE-OF-THE-ART TECHNOLOGY AND EXCEPTIONAL CARE TO ENSURE THAT EACH PATIENT BENEFITS FROM THE LATEST MEDICAL ADVANCES AND PERSONAL ATTENTION.THE GOLISANO RESTORATIVE NEUROLOGY & REHABILITATION CENTER PROVIDES A COMPLETE RANGE OF SERVICES TO ADULTS AND CHILDREN WITH NEUROLOGICAL, ORTHOPAEDIC, AND COMPLEX MEDICAL CONDITIONS. NO OTHER FACILITY IN NEW YORK STATE - AND VERY FEW IN THE COUNTRY - OFFER THE EXCEPTIONAL VARIETY OF RESOURCES AND SERVICES FOUND AT UH. ACCREDITED BY THE COMMISSION ON THE ACCREDITATION OF REHABILITATION FACILITIES (CARF) FOR COMPREHENSIVE INTEGRATED INPATIENT REHABILITATION, BRAIN INJURY, AND STROKE, UH HOUSES THE ONLY PROGRAM IN WESTERN NEW YORK THAT IS CARF-ACCREDITED FOR BRAIN INJURY AND STROKE THAT SERVES CHILDREN AND ADOLESCENTS. DURING 2023 UNITY HOSPITAL IMPROVED AND EXPANDED SERVICES AND RECEIVED RECOGNITIONS AND AWARDS FOR ITS EXEMPLARY SERVICES AND PATIENT CARE, INCLUDING: UNITY HOSPITAL'S MAGNETIC RESONANCE IMAGING (MRI) WAS AWARDED A THREE-YEAR TERM AMERICAN COLLEGE OF RADIOLOGY (ACR) GOLD SEAL OF ACCREDITATION. THE ACR GOLD SEAL OF ACCREDITATION REPRESENTS THE HIGHEST LEVEL OF IMAGE QUALITY AND PATIENT SAFETY IN MRI'S AND RECOGNIZES FACILITIES MEETING ACR PRACTICE PARAMETERS AND TECHNICAL STANDARDS AFTER A PEER-REVIEW EVALUATION BY BOARD-CERTIFIED PHYSICIANS AND MEDICAL PHYSICISTS, INCLUDING ASSESSMENTS OF IMAGE QUALITY, PERSONNEL QUALIFICATIONS, FACILITY EQUIPMENT, QUALITY CONTROL PROCEDURES, AND QUALITY ASSURANCE PROGRAMS. UNITY HOSPITAL RECEIVED THE 2023 IBLCE CARE AWARD WHICH IS GIVEN BY THE INTERNATIONAL LACTATION CONSULTANT ASSOCIATION (ILCA) AND RECOGNIZES HOSPITALS AND COMMUNITY-BASED FACILITIES THAT DEMONSTRATE THEIR COMMITMENT TO PROMOTING, PROTECTING, AND SUPPORTING BREASTFEEDING AND THE LACTATION CONSULTANT PROFESSION. THE CHARLES J. AUGUST JOINT REPLACEMENT CENTER AND THE CARDIAC/STROKE UNIT BOTH RECEIVED THEIR SECOND AACN BEACON AWARDS FOR EXCELLENCE AWARDS WITH SILVER DESIGNATION AND THE INTENSIVE CARE UNIT (ICU) EARNED THEIR FIRST WITH A GOLD DESIGNATION. THE AACN RECOGNIZES HOSPITAL UNITS THAT INTEGRATE EVIDENCE-BASED PRACTICES TO IMPROVE PATIENT AND FAMILY OUTCOMES. RRH CONTINUES TO DEMONSTRATE NURSING EXCELLENCE WITH THE LARGEST AMOUNT OF BEACON AWARDS FOR EXCELLENCE FOR A HEALTHCARE SYSTEM IN NYS. THE WOUND CARE CENTER AT UNITY HOSPITAL RECEIVED RE-ACCREDITATION FROM THE UNDERSEA AND HYPERBARIC MEDICAL SOCIETY (UHMS). A UHMS ACCREDITATION RECOGNIZES FACILITIES THAT HAVE MET OR EXCEEDED THE HIGHEST STANDARDS OF CARE AND PATIENT SAFETY THROUGH RIGOROUS EVALUATION OF OPERATIONS, INCLUDING EQUIPMENT, STAFF, AND TRAINING TO ENSURE THAT THE UTMOST QUALITY IS MAINTAINED WITHIN THE UNDERSEA AND HYPERBARIC MEDICINE SPECIALTY. UNITY HOSPITAL RECEIVED THE AMERICAN HEART ASSOCIATION'S "GET WITH THE GUIDELINES" GOLD PLUS ACHIEVEMENT, STROKE HONOR ROLL ELITE, TYPE 2 DIABETES HONOR ROLL AND A 10-YEAR RECOGNITION, GIVEN TO HOSPITALS WITH GOLD PLUS ACHIEVEMENT IN GET WITH THE GUIDELINES-STROKE AND/OR GET WITH THE GUIDELINES-HEART FAILURE FOR 10 OR MORE CONSECUTIVE CALENDAR YEARS. THESE DESIGNATIONS HIGHLIGHT UH'S COMMITMENTS TO APPLYING THE MOST UP-TO-DATE EVIDENCE-BASED TREATMENT GUIDELINES AND THEIR DEDICATION TO PROVIDING HIGH-QUALITY CARE TO STROKE PATIENTS IN OUR COMMUNITIES. THE GOLISANO RESTORATIVE NEUROLOGY & REHABILITATION UNIT AT UNITY HOSPITAL ACHIEVED A GOLD LEVEL AMERICAN ASSOCIATION OF CRITICAL-CARE NURSES BEACON AWARD FOR EXCELLENCE. THIS AWARD HIGHLIGHTS THE TEAM'S DEDICATION TO COLLABORATION BETWEEN COLLEAGUES AND LEADERS, RECRUITMENT AND RETENTION, IMPROVED PATIENT OUTCOMES, AND PATIENT AND STAFF SATISFACTION. THE YEAR TWO DNV SURVEY OF THE PALLIATIVE CARE TEAM AT UNITY HOSPITAL RESULTED IN ZERO NON-CONFORMITIES. UNITY HOSPITAL RECEIVED THE INSTITUTE FOR HEALTHCARE IMPROVEMENT'S (IHI) AGE-FRIENDLY HEALTH SYSTEMS- COMMITTED TO CARE EXCELLENCE DESIGNATION. IHI RECOGNIZES HEALTHCARE FACILITIES WORKING TOWARDS EVIDENCE-BASED INTERVENTIONS FOR OLDER ADULTS IN THEIR CARE FOLLOWING THE 4MS: WHAT MATTERS, MEDICATION, MENTATION, AND MOBILITY. THE COMMITTED TO CARE EXCELLENCE DESIGNATION IS THE HIGHEST RECOGNITION IN THE AGE-FRIENDLY HEALTH SYSTEMS MOVEMENT AND ACKNOWLEDGES THAT THESE PRACTICES HAVE BEEN IMPLEMENTED WITH PROVEN DATA FOR AT LEAST THREE MONTHS. UH HOSTED ITS ANNUAL DIAPER DRIVE IN SEPTEMBER 2023. THE DIAPERS WERE DELIVERED TO THE JUNIOR LEAGUE OF ROCHESTER DIAPER BANK, WHICH WORKS WITH AGENCIES THROUGHOUT MONROE COUNTY. UNITY HOSPITAL HOSTED A BACK-TO-SCHOOL BACKPACK DRIVE IN AUGUST 2023 TO COLLECT BACKPACKS FULL OF SCHOOL SUPPLIES THAT WERE THEN DONATED TO SCHOOLS IN THE NEIGHBORHOODS SURROUNDING ST. MARY'S CAMPUS. IN HONOR OF ALL WHO HAVE BEEN LOST THROUGH MISCARRIAGE, STILLBIRTH, INFANT LOSS, OR SIDS, UNITY HOSPITAL HELD AN INFANT & PREGNANCY LOSS REMEMBRANCE CEREMONY. UNITY HOSPITAL HOSTED A FREE SKIN CANCER SCREENING EVENT. THE RRH MOBILE MAMMOGRAPHY CENTER SUPPORTED THE UH EVENT. UNITY HOSPITAL VOLUNTEER SERVICES WON FIRST PLACE IN THE POSITIVE PROMOTIONS NATIONAL VOLUNTEER WEEK 2023 CONTEST. UNITY SPECIALTY HOSPITAL (USH) IS THE WESTERN NY REGION'S NEWEST ACCREDITED ACUTE CARE HOSPITAL DELIVERING COST-EFFICIENT, HIGH-QUALITY CARE FOR MEDICALLY COMPLEX PATIENTS WITH KINDNESS, INTEGRITY AND RESPECT. WITH 24/7 PROVIDER COVERAGE AND ESSENTIAL SUPPORT ON-SITE SERVICES LIKE SOCIAL WORK, PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND SPEECH THERAPY, NUTRITION, WOUND CARE, PSYCHIATRY AND SPECIALTY SERVICES, USH PROVIDES THE SPECIALIZED CARE PATIENTS NEED.
PART VI, LINE 6 (CON'T):	UNITY MEDICAL GROUP (UMG) 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 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. THE HOSPITAL HAS A RENOVATED BIRTHING CENTER AND EMERGENCY DEPARTMENT. NEWARK-WAYNE IS A NEW YORK STATE-DESIGNATED STROKE CENTER, A NICHE (NURSES IMPROVING CARE FOR HEALTH SYSTEM ELDERS) EXEMPLAR HOSPITAL, AND A RECENT RECIPIENT OF THE WHO BABY-FRIENDLY DESIGNATION. REHABILITATIVE AND LONG-TERM CARE SERVICES ARE PROVIDED THROUGH DEMAY LIVING CENTER, AN ATTACHED FACILITY.NEWARK-WAYNE COMMUNITY HOSPITAL WAS DESIGNATED AS A MAGNET ORGANIZATION IN 2019 BY THE ANCC MAGNET RECOGNITION PROGRAM. THIS PRESTIGIOUS DESIGNATION RECOGNIZES EXCELLENCE IN NURSING SERVICES. DURING 2023 NWCH IMPROVED AND EXPANDED SERVICES AND RECEIVED RECOGNITIONS AND AWARDS FOR ITS EXEMPLARY SERVICES AND PATIENT CARE, INCLUDING: NEWARK-WAYNE COMMUNITY HOSPITAL (NWCH) ACHIEVED LEVEL 1COMPREHENSIVE EXCELLENCE VERIFICATION STATUS FROM THE AMERICAN COLLEGE OF SURGEONS GERIATRIC SURGERY VERIFICATION PROGRAM (ACS GSV). HOSPITALS WITH A LEVEL 1 VERIFICATION STATUS RECOGNIZE THEIR COMMITMENT TO PROVIDING OPTIMAL CARE FOR THEIR OLDER ADULT SURGICAL PATIENTS. NWCH RECEIVED THE AMERICAN HEART ASSOCIATION'S 2023 "GET WITH THE GUIDELINES" STROKE GOLD PLUS ACHIEVEMENT, THE STROKE HONOR ROLL ELITE AND TYPE 2 DIABETES HONOR ROLL. THESE DESIGNATIONS HIGHLIGHT THE COMMITMENT TO APPLYING THE MOST UP-TO-DATE EVIDENCE-BASED TREATMENT GUIDELINES AND THEIR DEDICATION TO PROVIDING HIGH-QUALITY CARE TO STROKE PATIENTS IN THE COMMUNITIES THEY SERVE. THE INTENSIVE CARE UNIT (ICU) AT NEWARK-WAYNE COMMUNITY HOSPITAL (NWCH) EARNED THE AMERICAN ASSOCIATION OF CRITICAL CARE NURSES (AACN) BEACON AWARD FOR EXCELLENCE. THE AACN RECOGNIZES HOSPITAL UNITS INTEGRATING EVIDENCE-BASED PRACTICES TO IMPROVE PATIENT OUTCOMES, THE WORK ENVIRONMENT, AND THE NURSING WORKFORCE. NEWARK-WAYNE COMMUNITY HOSPITAL HOSTED MEDQUEST CAMP, A DAYLONG CAMP FOR STUDENTS, GRADES 9-12, WHO ARE INTERESTED IN A CAREER IN HEALTH CARE. STUDENTS HAD THE OPPORTUNITY TO PRACTICE HANDS-ON SKILLS THAT WOULD BE ENCOUNTERED FOR THE VARIOUS PROFESSIONS THEY WERE INTERESTED IN, INCLUDING SUTURING, CPR SKILLS, AND EVEN SIMULATION WITH ROBOTIC SURGERY. THE EDUCATORS ALSO DISCUSS HEALTH CARE VOLUNTEER OPPORTUNITIES AND AVENUES FOR EMPLOYMENT WHILE THE STUDENTS ARE IN COLLEGE. NWCH AND RRH HOME CARE COLLECTED AND DISTRIBUTED SCHOOL SUPPLIES FOR LOCAL SCHOOL DISTRICTS WITH STUDENTS IN NEED AT THEIR BACK TO SCHOOL DRIVE. NWCH HOSTED A HOLIDAY FAMILY EVENT OPEN TO THE PUBLIC. FAMILIES ENJOYED GAMES, FESTIVE ARTS AND CRAFTS, PRIZES, AND MORE. CHILDREN MET SANTA AND RECEIVED A TOY FROM SANTA'S WORKSHOP! NWCH TEAM MEMBERS ATTENDED THE WAYNE COUNTY FAIR TO EDUCATE THE COMMUNITY ON STROKE SIGNS AND SYMPTOM PREVENTION, AS WELL AS PROVIDE INFORMATION ON NURSE RECRUITMENT.CLIFTON SPRINGS HOSPITAL AND CLINIC (CSHC) IS A 262-BED DNV-ACCREDITED COMMUNITY HOSPITAL AND NURSING HOME LOCATED IN THE VILLAGE OF CLIFTON SPRINGS, NY WHICH PROVIDES A LEVEL OF TECHNOLOGY CONSISTENT WITH THAT OF LARGE URBAN HOSPITALS.THE NEWLY OPENED ROB AND PAMELA SANDS EMERGENCY DEPARTMENT IS PART OF RRH'S ONGOING MISSION TO PROVIDE THE HIGHEST QUALITY PATIENT CARE AND TO BEST SERVE THE RESIDENTS OF THE FINGER LAKES REGION. THE DEPARTMENT IS STAFFED AROUND THE CLOCK BY LICENSED PHYSICIANS, PROVIDING COMMUNITY MEMBERS THE CARE THEY NEED AND DESERVE RIGHT WHERE THEY WANT IT, CLOSE TO HOME. NEWLY DESIGNED TO ACCOMMODATE AN INCREASE IN PATIENTS SEEKING TREATMENT AND TO PROVIDE A BETTER, SAFER EXPERIENCE FOR ALL, THE UNIT INCLUDES A SPACIOUS WAITING ROOM, LARGER ACUTE PATIENT ROOMS WITH SPACE FOR SURGE IF NECESSARY, DEDICATED TRIAGE ROOMS TO HELP IMPROVE FLOW OF PATIENTS, ADVANCED TRAUMA CARE TECHNOLOGY, ENHANCED DECONTAMINATION ROOM, AND BETTER LIGHTING WITH STRONGER SECURITY. AN ADJACENT HELIPAD ALLOWS FOR HIGH-ACUITY TRANSFERS TO REGIONAL TRAUMA CENTERS AS NEEDED. FOR THOSE STRUGGLING WITH A MENTAL HEALTH CRISIS, CSHC OFFERS A COMPREHENSIVE PSYCHIATRIC EMERGENCY PROGRAM (CPEP) PROVIDING EMERGENCY AND CRISIS PSYCHIATRIC SERVICES TO PEOPLE LIVING IN THE FINGER LAKES REGION. THE CPEP UNIT INCLUDES SAFE, PRIVATE AND COMFORTABLE EVALUATION AND CONSULTATION ROOMS, PSYCHIATRIC PATIENT ROOMS, AND PSYCHIATRIC EXTENDED OBSERVATION ROOMS. CSHC'S CPEP ALSO STAFFS A MOBILE CRISIS TEAM WHO CAN MEET PATIENTS WITHIN ONTARIO, WAYNE, SENECA AND YATES COUNTIES. 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 2023 CSHC IMPROVED AND EXPANDED SERVICES AND RECEIVED RECOGNITIONS AND AWARDS FOR ITS EXEMPLARY SERVICES AND PATIENT CARE, INCLUDING: THE TEAM AT CLIFTON SPRINGS HOSPITAL & CLINIC (CSHC) PERFORMED THEIR FIRST CARDIAC POSITRON EMISSION TOMOGRAPHY/COMPUTED TOMOGRAPHY (PET/CT) STRESS TESTS USING A MOBILE PET UNIT. THIS NEW SERVICE WAS ACHIEVED WITH A COLLABORATION BETWEEN THE IMAGING AND CARDIOLOGY DEPARTMENTS. CARDIAC PET/CT IS AN ADVANCED ALTERNATIVE TO TRADITIONAL NUCLEAR STRESS TESTINGUSING ONE-FIFTH OF THE RADIATION WHILE PROVIDING IMAGES WITH HIGHER RESOLUTION THAN CONVENTIONAL SINGLE-PHOTON EMISSION COMPUTERIZED TOMOGRAPHY IMAGING. CARDIAC PET STRESS TESTING WILL BE OFFERED AT CSHC EVERY OTHER WEEK, PROVIDING MUCH-NEEDED ACCESS FOR PATIENTS IN THE EASTERN REGION WHO TRAVELED TO ROCHESTER TO RECEIVE THESE SERVICES. THE CLIFTON SPRINGS PHARMACY WAS OPENED. THIS IN-HOUSE PHARMACY SUPPORTS ALL PRESCRIPTION NEEDS BEFORE PATIENTS LEAVE THE HOSPITAL, INCLUDING PATIENTS IN OUTPATIENT CLINICS. THE ROB AND PAMELA SANDS EMERGENCY DEPARTMENT, THE HOME OF THE COMPREHENSIVE PSYCHIATRIC EMERGENCY PROGRAM (CPEP) OPENED. THIS MILESTONE EXPANSION BRINGS ADVANCED EMERGENCY CARE CLOSE TO HOME FOR FINGER LAKES COMMUNITIES. THE WOUND CARE CENTER AT CLIFTON SPRINGS HOSPITAL & CLINIC EARNED THE TITLE OF CENTER OF DISTINCTION BY HEALOGICS, LLC. IN ADDITION TO THIS HONOR, THE WOUND CARE CENTER RECEIVED THE CLINICAL EXCELLENCE AWARD FOR THE FIRST TIME. THIS AWARD WAS EARNED BY SCORING IN THE TOP 10% OF MORE THAN 600 ELIGIBLE OUTPATIENT WOUND CARE CENTERS. CLIFTON SPRINGS HOSPITAL & CLINIC (CSHC) ACHIEVED LEVEL 1COMPREHENSIVE EXCELLENCE VERIFICATION STATUS FROM THE AMERICAN COLLEGE OF SURGEONS GERIATRIC SURGERY VERIFICATION PROGRAM (ACS GSV). HOSPITALS WITH A LEVEL 1 VERIFICATION STATUS ARE RECOGNIZED AS PROVIDING OPTIMAL CARE FOR THEIR OLDER ADULT SURGICAL PATIENTS.
PART VI, LINE 6 (CON'T):	UNITED MEMORIAL MEDICAL CENTER (UMMC) HAS BEEN SERVING RESIDENTS OF GENESEE COUNTY AND SURROUNDING RURAL COMMUNITIES SINCE ITS INCEPTION AS BATAVIA HOSPITAL IN 1902. TODAY, UNITED MEMORIAL MEDICAL CENTER REPRESENTS MORE THAN 900 EMPLOYEES, ALL COMMITTED TO PROVIDING PATIENTS WITH PERSONALIZED, COMPREHENSIVE, AND STATE-OF-THE-ART CARE.UMMC IS A DESIGNATED NEW YORK STATE STROKE CENTER, PROVIDING A FULL RANGE OF CARE SERVICES TO MEET ITS PATIENTS' NEEDS. THE 131-BED FACILITY INCLUDES A STATE-OF-THE-ART SURGICAL DEPARTMENT, A WOUND CARE CENTER, URGENT CARE, MATERNITY SERVICES, AND A JOINT REPLACEMENT CENTER OF EXCELLENCE - ALONG WITH A NUMBER OF PRIMARY AND SPECIALTY PHYSICIAN OFFICES.UNITED MEMORIAL MEDICAL CENTER IS PROUD TO MANAGE THE NEW YORK STATE CANCER SERVICES PARTNERSHIP GRANT FOR ORLEANS AND GENESEE COUNTIES. UMMC SUPPORTS A NUMBER OF HEALTHY LIVING PROGRAMS, DESIGNED TO HELP PATIENTS MAINTAIN THEIR HEALTH THROUGH A RANGE OF COMPREHENSIVE SERVICES SPANNING FROM SPECIAL EVENTS AND HEALTH FAIRS TO CLASSES AND SUPPORT GROUPS. IN 2023 WORK HAS CONTINUED ON THE UMMC HEALTHY LIVING CAMPUS IN DOWNTOWN BATAVIA. THE PROJECT, A PARTNERSHIP WITH THE YMCA, INCLUDES 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, AND MEETING ROOMS. IN THE SAME FACILITY UMMC WILL PROVIDE PRIMARY CARE, BEHAVIORAL HEALTH/CRISIS INTERVENTIONS SERVICES, TELEMEDICINE INTEGRATION, CANCER PREVENTION OUTREACH SERVICES, CHRONIC ILLNESS SUPPORT SERVICES AND EDUCATION SERVICES. CONSTRUCTION CONTINUES WITH AN EXPECTED COMPLETION DATE OF MID-2024.DURING 2023 UMMC IMPROVED AND EXPANDED SERVICES AND RECEIVED RECOGNITIONS AND AWARDS FOR ITS EXEMPLARY SERVICES AND PATIENT CARE, INCLUDING: UNITED MEMORIAL MEDICAL CENTER JOINED LESS THAN 10% OF U.S. HOSPITALS AND ACHIEVED ITS FIRST MAGNET DESIGNATION, THE AMERICAN NURSES CREDENTIALING CENTER'S RECOGNITION OF THE INTERNATIONAL GOLD STANDARD OF NURSING EXCELLENCE. UMMC WAS RANKED BY HEALTHGRADES AMONG THE TOP 10% OF NEW YORK HOSPITALS FOR PATIENT SAFETY, ACCORDING TO CRAIN'S HEALTH PLUS. THE WOUND CARE CENTER AT UMMC EARNED THE TITLE OF CENTER OF DISTINCTION BY HEALOGICS, LLC. AND ADDITIONALLY THE CLINICAL EXCELLENCE AWARD FOR THE FIRST TIME. THIS AWARD WAS EARNED BY SCORING IN THE TOP 10% OF MORE THAN 600 ELIGIBLE OUTPATIENT WOUND CARE CENTERS. UNITED MEMORIAL MEDICAL CENTER'S MAGNETIC RESONANCE IMAGING (MRI) HAS BEEN AWARDED A THREE-YEAR TERM AMERICAN COLLEGE OF RADIOLOGY (ACR) GOLD SEAL OF ACCREDITATION. THIS REPRESENTS THE HIGHEST LEVEL OF IMAGE QUALITY AND PATIENT SAFETY AND RECOGNIZES FACILITIES MEETING ACR PRACTICE PARAMETERS AND TECHNICAL STANDARDS AFTER A PEER-REVIEW EVALUATION BY BOARD-CERTIFIED PHYSICIANS AND MEDICAL PHYSICISTS. THIS INCLUDES ASSESSMENTS OF IMAGE QUALITY, PERSONNEL QUALIFICATIONS, FACILITY EQUIPMENT, QUALITY CONTROL PROCEDURES, AND QUALITY ASSURANCE PROGRAMS. THE GENESEE/ORLEANS COUNCIL ON ALCOHOLISM AND SUBSTANCE ABUSE (GCASA) OFFICIALS HONORED SIX "FRIENDS" OF THE NONPROFIT AGENCY AT THEIR ANNUAL MEETING. THE UNITED MEMORIAL MEDICAL CENTER (UMMC) HEALTHY LIVING MOMS PROGRAM TEAM MEMBERS WERE AWARDED FOR THEIR PARTNERSHIP AND CONTRIBUTIONS TO THE HEALTH MOMS/HEALTHY BABIES INITIATIVE AT GCASA. UMMC RECEIVED THE AMERICAN HEART ASSOCIATION'S 2023 "GET WITH THE GUIDELINES" GOLD PLUS ACHIEVEMENT ALONG WITH RECOGNITION AS STROKE HONOR ROLL ELITE AND TYPE 2 DIABETES HONOR ROLL. THESE DESIGNATIONS HIGHLIGHT UMMC'S COMMITMENT TO APPLYING THE MOST UP-TO-DATE EVIDENCE-BASED TREATMENT GUIDELINES AND THEIR DEDICATION TO PROVIDING HIGH-QUALITY CARE TO STROKE PATIENTS IN THE COMMUNITIES THEY SERVE. THE BLOOD BANK LABORATORY AT UNITED MEMORIAL MEDICAL CENTER ACHIEVED A PERFECT SCORE WHEN RECEIVING THE ACCREDITATION FROM THE ASSOCIATION FOR THE ADVANCEMENT OF BLOOD & BIOTHERAPIES (AABB). AN AABB ACCREDITATION SUPPORTS THE HIGHEST QUALITY AND SAFETY STANDARDS FOR BLOOD AND BIOTHERAPIES FACILITIES, AND THIS RECOGNITION HIGHLIGHTS UMMC'S COMMITMENT TO ATTAINING THE HIGHEST STANDARDS OF EXCELLENCE AND CARE. UNITED MEMORIAL MEDICAL CENTER (UMMC) HAS EARNED GOLD RECOGNITION FOR ITS EFFORTS TO INCREASE ORGAN AND TISSUE DONOR REGISTRATIONS NATIONWIDE THROUGH THE DONATION CAMPAIGN. DONATION IS A NATIONAL INITIATIVE SPONSORED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) TO EDUCATE ABOUT THE CRUCIAL NEED FOR ORGAN AND TISSUE DONATION AND TO ENCOURAGE PEOPLE TO SIGN UP AS ORGAN AND TISSUE DONORS.ST. LAWRENCE HEALTH SYSTEM (SLH), A NORTH COUNTRY HEALTH SYSTEM INCLUDING THREE HOSPITALS (CANTON-POTSDAM HOSPITAL, GOUVERNEUR HOSPITAL AND MASSENA HOSPITAL) AND A NETWORK OF PRIMARY AND SPECIALTY CARE PRACTICES JOINED RRH IN 2021 ALLOWING RRH TO EXPAND ITS REGIONAL REACH WHILE ENABLING ST. LAWRENCE TO ELEVATE AND GROW ITS MEDICAL SERVICES. BOTH RRH AND SLH HAVE TRADITIONS OF PROVIDING HIGH QUALITY, COMPASSIONATE CAREAND TOGETHER, IN 2023 THEY CONTINUED TO BRING ABOUT IMPORTANT TECHNOLOGICAL INTEGRATION MILESTONES. ACCOLADES AND ACTIVITY OF THE ST. LAWRENCE HEALTH TEAM IN 2023 INCLUDED THE FOLLOWING: CANTON-POTSDAM HOSPITAL, GOUVERNEUR HOSPITAL AND MASSENA HOSPITAL RECEIVED THE INSTITUTE FOR HEALTHCARE IMPROVEMENT'S (IHI) AGE-FRIENDLY HEALTH SYSTEMS- COMMITTED TO CARE EXCELLENCE (LEVEL 2) DESIGNATION. IHI RECOGNIZES HEALTHCARE FACILITIES WORKING TOWARDS EVIDENCE-BASED INTERVENTIONS FOR OLDER ADULTS IN THEIR CARE FOLLOWING THE 4MS: WHAT MATTERS, MEDICATION, MENTATION, AND MOBILITY. THE COMMITTED TO CARE EXCELLENCE DESIGNATION IS THE HIGHEST RECOGNITION IN THE AGE-FRIENDLY HEALTH SYSTEMS MOVEMENT AND ACKNOWLEDGES THAT THESE PRACTICES HAVE BEEN IMPLEMENTED WITH PROVEN DATA FOR AT LEAST THREE MONTHS. THE SLH DIVERSITY, EQUITY, AND INCLUSION COMMITTEE ORGANIZED A SOCK DRIVE TO BENEFIT RENEWAL HOUSE, AN AGENCY THAT HELPS VICTIMS OF FAMILY VIOLENCE; AND NORTH COUNTRY FREEDOM HOMES, WHICH PROVIDES SAFE AND SUPPORTIVE RESIDENTIAL CARE FOR COMMUNITY MEMBERS RECOVERING FROM SUBSTANCE USE DISORDER. ST. LAWRENCE HEALTH DONATED TO THE FRIENDS OF HIGLEY FLOW STATE PARK'S SLED SHED CAMPAIGN TO HELP BUILD A NEW STRUCTURE TO STORE THE EQUIPMENT USED TO KEEP THE TRAILS ACCESSIBLE FOR THE COMMUNITY. ST. LAWRENCE HEALTH WAS A MAIN SPONSOR OF THE NORTH COUNTRY KIDS EXPO HELD IN CANTON IN MARCH 2023. SLH COVERED THE COST OF ADMISSION FOR ALL CHILDREN AGES 12 AND UNDER WHO ATTENDED THE EVENT. DURING SUNY POTSDAM'S HEALTH, WELLNESS AND SAFETY EXPO THE NUTRITION SERVICES TEAM PROVIDED EDUCATIONAL MATERIALS, THE CLINICAL RESEARCH TEAM PROVIDED INFORMATION ON CLINICAL TRIALS ACTIVITY, AND MARKETING & COMMUNICATIONS TEAM HAD GIVEAWAYS FROM DONATE LIFE. THE EVENT WAS HELD ON SEXUAL ASSAULT AWARENESS DAY, AND SLH REPRESENTATIVES PARTICIPATED IN WEARING TEAL TO RAISE AWARENESS. ST. LAWRENCE HEALTH (SLH) AND COMMUNITY PARTNERS INVITED HEALTHCARE WORKERS AND THE GENERAL PUBLIC TO RECOGNIZE MENTAL HEALTH AWARENESS MONTH DURING MAY BY ATTENDING ANY OF THEIR THREE BEHAVIORAL HEALTH FAIRS. NARCAN TRAINING WAS AMONG THE MANY EVENTS SCHEDULED FOR THE DAY. ST. LAWRENCE HEALTH WAS A PROUD SPONSOR OF THE POTSDAM SNACK PACK PROGRAM'S 5TH ANNUAL BACK TO SCHOOL FAIR IN AUGUST 2023, AT THE NEW HOPE COMMUNITY CHURCH IN POTSDAM. SLH TEAM MEMBERS CONNECTED WITH FAMILIES WITH SHARED INFORMATIONAL HANDOUTS AND GIVEAWAYS. SLH HELD A "WALK WITH A DOC" EVENT IN POTSDAM, NY ALONG THE RAQUETTE RIVER ON AN EASY TRAIL WHILE MEETING LOCAL HEALTHCARE PROVIDERS. PARTICIPANTS JOINED VARIOUS STAFF MEMBERS AS WELL AS MEMBERS OF THE SLH DIVERSITY, EQUITY, AND INCLUSION COMMITTEE IN CELEBRATION OF PRIDE MONTH TO LEARN ABOUT OUR COMMITMENT TO PROVIDING QUALITY AND COMPASSIONATE CARE TO ALL COMMUNITY MEMBERS. THE TRINITY CATHOLIC SCHOOL IN MASSENA INVITED SLH TO ITS FIRST EVER HEALTH AND FITNESS FAIR, WHERE THE BEHAVIORAL HEALTH CARE COORDINATOR PROVIDED BLOOD PRESSURE AND PULSE SCREENINGS AND HAD A SELECTION OF HANDOUTS AND GIVEAWAYS FOR THOSE IN ATTENDANCE.DURING 2023, SLH, FOCUSED ON CONTINUED GROWTH, FINALIZED THE PROCESS OF ACQUIRING SEAWAY VALLEY AMBULANCE SERVICE. THE MASSENA-BASED SEAWAY VALLEY AMBULANCE SERVICE, A DEDICATED EMS AND INTER-FACILITY TRANSPORT SERVICE ORGANIZATION PRESENTLY SERVICING THE MASSENA-AREA MARKET IS EXPECTED TO FURTHER IMPROVE TRANSPORT ACCESS IN MASSENA AND ITS SURROUNDING COMMUNITIES.
PART VI, LINE 6 (CON'T):	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, GOUVERNEUR, MASSENA, NORFOLK, AND POTSDAM, NY. FURTHERMORE, CARE IS PROVIDED IN OVER 25 DIFFERENT SPECIALTIES, INCLUDING A ROBUST ORTHOPEDIC SURGERY AND SPORTS MEDICINE PROGRAM, AND THE CENTER FOR CANCER CARE. CPH OFFERS LEVEL III TRAUMA CARE AND A CRITICAL CARE UNIT, AND IS A CERTIFIED PRIMARY STROKE CENTER.CPH HOUSES THE BIRTHPLACE CENTER WHICH OFFERS OPTIONS FOR PRENATAL CARE, DELIVERY--INCLUDING MIDWIFERY--POST-PARTUM CARE, AND EDUCATION. THE COMBINATION LABOR, DELIVERY, RECOVERY AND POSTPARTUM ROOMS (LDRPS) OFFER FAMILIES A SPACIOUS AND COMFORTABLE AREA DURING THE BIRTHING EXPERIENCE. THE BIRTHPLACE PARTICIPATES IN THE NEW YORK STATE BREASTFEEDING QUALITY IMPROVEMENT IN HOSPITALS PROGRAM. A CERTIFIED LACTATION SPECIALIST PROVIDES BEDSIDE EDUCATION AND ADVICE.THE FIRST SURGERY IN ST. LAWRENCE COUNTY USING THE DA VINCI XI ROBOTIC SURGICAL SYSTEM WAS COMPLETED IN THE CPH OPERATING ROOM IN APRIL 2023 MARKING A SIGNIFICANT MILESTONE FOR THE COMMUNITY. CANTON-POTSDAM HOSPITAL ALSO RECEIVED DNV CERTIFICATION AS A PRIMARY STROKE CENTER, AFFIRMING THE HOSPITAL'S READINESS TO HANDLE A FULL RANGE OF STROKE-RELATED MEDICAL CONCERNS, POSITIVELY IMPACTING THE OVERALL HEALTH AND WELL-BEING OF THE LOCAL COMMUNITY.GOUVERNEUR HOSPITAL (GH) IS A NOT-FOR-PROFIT CRITICAL ACCESS HOSPITAL FOUNDED IN 2013, AND IS CERTIFIED FOR 25 BEDS. SERVICES INCLUDE INPATIENT DETOX, SUBSTANCE USE DISORDER REHABILITATION, EMERGENCY CARE, IMAGING AND EKG'S, PHYSICAL THERAPY, AND RESPIRATORY THERAPY AS WELL AS OUTPATIENT HEALTH SERVICES TO NEIGHBORING COMMUNITIES.MASSENA HOSPITAL (MH) IS A NOT-FOR-PROFIT CRITICAL ACCESS 25-BED HOSPITAL. IT PROVIDES INPATIENT MEDICAL, SURGICAL, AND PEDIATRIC SERVICES, IN ADDITION TO EMERGENCY CARE. 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, OBSTETRICS/GYNECOLOGY AND WOMEN'S HEALTH, PEDIATRICS, AND SURGICAL CARE.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 AND AN UNWAVERING COMMITMENT TO SERVE THOSE IN THE COMMUNITY WHO HAVE EMOTIONAL NEEDS.PRCD, INC. OPERATED THE BARBARA WOLK SCHWARZ WOMEN'S COMMUNITY RESIDENCE THAT PROVIDED A SAFE, HOME-LIKE ENVIRONMENT FOR WOMEN UNDERGOING TREATMENT FOR CHEMICAL DEPENDENCY. 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. IN 2023, THIS ORGANIZATION CONTINUED THE PROCESS OF CLOSING DOWN ITS OPERATIONS. INDEPENDENT LIVING FOR SENIORS D/B/A ELDERONE, (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 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, 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.ELDERONE RECEIVED THE INSTITUTE FOR HEALTHCARE IMPROVEMENT'S (IHI) AGE-FRIENDLY HEALTH SYSTEMS- COMMITTED TO CARE EXCELLENCE (LEVEL 2) DESIGNATION WHICH RECOGNIZES HEALTHCARE FACILITIES THAT INCORPORATE EVIDENCE-BASED INTERVENTIONS FOR OLDER ADULTS IN THEIR CARE.ROCHESTER REGIONAL HEALTH HOSPICE CARE AND ROCHESTER REGIONAL HEALTH HOME CARE (RRH HOSPICE CARE AND RRH HOME CARE) SERVES APPROXIMATELY 20,000 HOME CARE AND HOSPICE PATIENTS PER YEAR IN THE ROCHESTER AND FINGER LAKES REGION. RRH HOSPICE CARE PROVIDES SERVICES TO MINIMIZE PAIN AND MANAGE THE SYMPTOMS OF ADVANCED, LIFE-THREATENING ILLNESS AND ADDRESSES THE SPIRITUAL, EMOTIONAL AND PSYCHOLOGICAL CONCERNS OF PATIENTS AND THEIR FAMILIES. RRH HOME CARE PROVIDES COMPASSIONATE IN-HOME HEALTH AND SPECIALTY CARE SERVICES ALLOWING PATIENTS TO MAINTAIN THEIR INDEPENDENCE DURING THE HEALING PROCESS. SERVICES PROVIDED INCLUDE SKILLED NURSING, REHAB THERAPIES, MEDICAL SOCIAL WORK, INFUSION THERAPIES AND HOME HEALTH AIDE SERVICES.RRH HOME CARE RECEIVED THE INSTITUTE FOR HEALTHCARE IMPROVEMENT'S (IHI) AGE-FRIENDLY HEALTH SYSTEMS- COMMITTED TO CARE EXCELLENCE (LEVEL 2) DESIGNATION WHICH ACKNOWLEDGES HEALTHCARE FACILITIES INCORPORATING EVIDENCE-BASED INTERVENTIONS FOR OLDER ADULTS IN THEIR CARE.COMMUNITY INVOLVEMENT BY THE RRH HOME CARE TEAM INCLUDED HOSTING A BLOOD PRESSURE CLINIC AT THE WINDMILL IN PENN YAN, WHERE TEAM MEMBERS CHECKED THE BLOOD PRESSURE OF NEARLY COMMUNITY MEMBERS, SHARED INFORMATION ON HOME CARE, AND SENT THE PARTICIPANTS HOME WITH A BLOOD PRESSURE CARD CONTAINING THEIR READINGS SO THEY COULD FOLLOW UP WITH THEIR PROVIDER. THE TEAM ADDITIONALLY COLLECTED NEW SOCKS, SCARVES, GLOVES, AND MITTENS TO HELP SPREAD THE GIFT OF WARMTH TO THOSE IN NEED DURING THE HOLIDAY SEASON.CLIFTON SPRINGS LIVING CENTER IS A 108-BED SKILLED NURSING FACILITY LOCATED IN CLIFTON SPRINGS. THE 108-BED FACILITY PROVIDES SPECIALIZED SERVICES INCLUDING TRADITIONAL SNF CARE, AS WELL AS SPECIALTY UNITS FOR RESIDENTS WHO REQUIRE POST-ACUTE CARE, VENTILATOR CARE, AND DEMENTIA CARE. THE SERVICES OF REIKI AND HEALING TOUCH THERAPIES ARE OFFERED BY THE NURSING HOME, AND ADDITIONAL SERVICES INCLUDING ACUPUNCTURE, HYDROTHERAPY, MASSAGE THERAPY, AND NATUROPATHY ARE AVAILABLE THROUGH THE SPRINGS INTEGRATIVE MEDICINE CENTER AND SPA. DEMAY LIVING CENTER LOCATED IN NEWARK IS A 180-BED SKILLED NURSING RESIDENCE THAT PROVIDES BOTH CALM AND STIMULATING ATMOSPHERES FOR RESIDENTS. SERVICES INCLUDE: POST-ACUTE CARE, SHORT-TERM REHABILITATION, VENTILATOR CARE, DEMENTIA CARE, PERITONEAL DIALYSIS, WOUND CARE, TELEMEDICINE, NEUROBEHAVIORAL CARE, LONG TERM SKILLED NURSING CARE AND ADULT DAY CARE.EDNA TINA WILSON LIVING CENTER IN ROCHESTER IS A 120-BED SKILLED NURSING FACILITY THAT USES INNOVATIVE NEIGHBORHOOD DESIGN, WITH RESIDENT ROOMS CLUSTERED AROUND THE ACTIVITY CENTER AND THE LIVING AND DINING AREAS TO PROMOTE MORE SOCIAL AND INTERACTIVE LIVING. THE CENTER SPECIALIZES IN LONG-TERM CARE, REHABILITATIVE SERVICES, PAIN MANAGEMENT, RESPIRATORY THERAPY, IV THERAPY, PERITONEAL DIALYSIS SERVICES, RESPITE AND HOSPICE CARE.HILL HAVEN LIVING AND NURSING CENTER IN WEBSTER 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. IN 2023, THE PROCESS OF CLOSING DOWN OPERATIONS CONTINUED.
PART VI, LINE 6 (CON'T):	PARK RIDGE LIVING CENTER IS LOCATED IN ROCHESTER. IT RECEIVED A FIVE-STAR RATING FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS), A DESIGNATION GIVEN TO ONLY 10 PERCENT OF NURSING HOMES NATIONWIDE. THIS 120 BED FACILITY IS HOME TO THE 40-BED TIMOTHY R. MCCORMICK TRANSITIONAL CARE CENTER, SPECIALIZING IN JOINT REPLACEMENT AND COMPLEX FRACTURE RECOVERY, STROKE AND NEUROLOGICAL REHABILITATION, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, IV THERAPY, AND CENTRAL LINE MEDICATIONS. THE FACILITY'S WEGMAN FAMILY COTTAGES SERVES 80 ELDERS AND ALLOWS THEM TO LIVE IN A HOME-LIKE ENVIRONMENT WHILE RECEIVING SKILLED NURSING CARE. NEWSWEEK IDENTIFIED PARK RIDGE LIVING CENTER AS RANKED #2 IN THEIR 2024 AMERICA'S BEST NURSING HOMES RANKING. THIS RECOGNITION IS A TESTAMENT TO THE CENTER'S COMMITMENT TO PROVIDING EXCEPTIONAL HEALTH CARE SERVICES, AND THE DEDICATION OF THE CENTER'S TEAM MEMBERS TO DELIVERING HIGH-QUALITY CARE. THIS RANKING SHOWCASES THE NATION'S LEADING NURSING HOMES IN THE 25 STATES WITH THE HIGHEST NUMBER OF FACILITIES, ACCORDING TO THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS). UNITY LIVING CENTER IS A 120-BED STATE-OF-THE-ART SKILLED NURSING FACILITY IN ROCHESTER, 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.BOTH PARK RIDGE LIVING CENTER AND UNITY LIVING CENTER ARE RECIPIENTS OF THE INSTITUTE FOR HEALTHCARE IMPROVEMENT'S (IHI) AGE-FRIENDLY HEALTH SYSTEMS- COMMITTED TO CARE EXCELLENCE (LEVEL 2) DESIGNATION.THE LONG TERM CARE TEAMS, ACROSS ALL FACILITIES, UNITED OVER THE 2023 VETERAN'S DAY HOLIDAY TO HONOR THE DEDICATION AND SACRIFICES OF STAFF AND RESIDENT VETERANS. VETERANS WERE PRESENTED WITH LAP ROBES, CERTIFICATES AND SERVED SPECIAL MEALS AS A SIGN OF GRATITUDE FOR THEIR SERVICE.UNITY'S HOUSING GROUP OFFERS 261 AFFORDABLE AND SUBSIDIZED APARTMENTS IN FIVE SENIOR LIVING COMMUNITIES THAT OFFER COMFORTABLE AND CONVENIENT HOUSING OPTIONS FOR INDEPENDENT ADULTS AGES 55 AND OLDER AT PRICES THAT FIT EVERY BUDGET. RRH OFFERS SUPPORTIVE SERVICES FOR RESIDENTS OF THE SKYVIEW PARK APARTMENT COMPLEX LOCATED IN THE FORMER MEDLEY CENTRE MALL IN IRONDEQUOIT. THE FACILITY OPENED IN 2022 FOR INDIVIDUALS 55 YEARS OR OLDER WHO MAY BE AT RISK FOR HOMELESSNESS OR WISH TO REMAIN INDEPENDENT.GIVEN THE SUCCESS OF THIS PROJECT RRH, IN COLLABORATION WITH PATHSTONE, A NOT-FOR-PROFIT COMMUNITY DEVELOPMENT AND HUMAN SERVICES ORGANIZATION, STARTED CONSTRUCTION ON A SECOND PROJECT, MIDVALE COMMONS, OPENING IN LATE 2024, WILL PROVIDE AN ADDITIONAL 38 UNITS AS PART OF THE EMPIRE STATE SUPPORTIVE HOUSING INITIATIVE (ESSHI) PROGRAM FOR ELDERLY INDIVIDUALS WHO MAY BE AT RISK FOR HOMELESSNESS OR WISH TO REMAIN INDEPENDENT WITH THE ASSISTANCE OF SUPPORTIVE SERVICES.PARK RIDGE CHILD CARE CENTER CARES FOR CHILDREN BETWEEN EIGHT WEEKS TO TWELVE YEARS OF AGE. LOCATED ON THE UNITY HOSPITAL CAMPUS, THE CENTER OFFERS A SAFE AND NURTURING ENVIRONMENT A HAPPY HOME AWAY FROM HOME WHERE THE HIGHLY TRAINED TEACHERS AND STAFF FOCUS ON MEETING A 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. 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 A WIDE RANGE OF SURGICAL SERVICES - FROM GENERAL SURGERY TO PLASTIC SURGERY, PROVIDING HIGH-QUALITY CARE IN A CONVENIENT OUTPATIENT SURGERY SETTING. ROCHESTER REGIONAL HEALTH IMMEDIATE CARE OPERATES THIRTEEN LOCATIONS THROUGHOUT THE RRH SERVICE AREAS, INCLUDING THE NORTH COUNTRY REGION, WHERE EXPERT PROVIDERS CAN TREAT A WIDE VARIETY OF NON-LIFE THREATENING, URGENT MEDICAL NEEDS, WITH NO APPOINTMENT NEEDED FOR IN-PERSON VISITS. 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. ENHANCED STAFFING SOLUTIONS (ESS), A TEMPORARY STAFFING SOLUTIONS COMPANY, OFFERS A STAFFING MODEL THAT REWARDS AGILITY TO THE NEEDS OF THE ORGANIZATION WITH HIGHLY COMPETITIVE COMPENSATION, ENABLES STAFF TO CHOOSE THE LEVEL OF SCHEDULING FLEXIBILITY THEY NEED, AND REMOVES THE NEED FOR A THIRD PARTY STAFFING AGENCY. STAFF CAN CHOSE FROM OPTIONS INTENDED TO FIT A VARIETY OF LIFESTYLE NEEDS INCLUDING JUST-IN-TIME SCHEDULING OR SHORT TERM ASSIGNMENT, WEEKENDS ONLY, AND MORE. ADDITIONALLY, FOR THOSE NOT LIVING IN THE ROCHESTER AREA BUT ARE INTERESTED IN TRAVELING FROM A DISTANCE TO WORK TEMPORARILY AT ONE OF OUR LOCATIONS, ESS PROVIDES TRAVEL ASSIGNMENTS. ACM MEDICAL LABORATORY IS A FULL SERVICE CLINICAL AND PATHOLOGY LABORATORY CONDUCTING MORE THAN 20 MILLION TESTS EVERY YEAR FOR PHYSICIANS, NURSING HOMES AND HOSPITALS; PHARMACEUTICAL, BIOTECH AND RESEARCH ORGANIZATIONS; COLLEGES AND UNIVERSITY HEALTH CENTERS; AND OCCUPATIONAL HEALTH GROUPS. ACM HAS OPERATIONS IN THE U.S., U.K., INDIA, CHINA AND SINGAPORE. OPERATIONS EXTEND TO MORE THAN 65 COUNTRIES AND OFFER A BROAD MENU OF CLINICAL, PATHOLOGY AND MOLECULAR TESTING. ACM IS ONE OF THE LARGEST REGIONAL REFERENCE LABORATORIES IN NEW YORK STATE.ROCHESTER REGIONAL HEALTH FOUNDATION, NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATION, CLIFTON SPRINGS HOSPITAL AND CLINIC FOUNDATION AND UNITED MEMORIAL MEDICAL CENTER FOUNDATION: IN THE NONPROFIT ORGANIZATIONAL STRUCTURE THE FOUNDATIONS ARE CRITICAL TO SUPPORT 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) 2023

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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

2023

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) ACTION FOR A BETTER COMMUNITY INC 400 WEST AVE FL 3 ROCHESTER,NY14611	16-0902835	501 (C)(3)	7,500	SPONSORSHIP
(2) AMERICAN CANCER SOCIETY INC PO BOX 10727 ROCHESTER,NY14610	13-1788491	501 (C)(3)	20,000	SPONSORSHIP
(3) BATAVIA AIRSHOW FOUNDATION INC 4655 EAST SALLE DR BATAVIA,NY14020	88-4335288	501 (C)(3)	10,000	SPONSORSHIP
(4) FRIENDS OF THE CONSTELLATION BRANDS - MARVIN SANDS PERFORMING ARTS CENTER PO BOX 8000 DPT 266 BUFFALO,NY142670002	20-2236574	501 (C)(3)	17,500	SPONSORSHIP
(5) GREATER ROCHESTER ENTERPRISE FOUNDATION INC 100 CHESTNUT ST SUITE 1910 ROCHESTER,NY14604	10-0000080	501 (C)(3)	50,000	SPONSORSHIP
(6) INTERVOL INC 100 KINGS HIGHWAY SOUTH SUITE 1200 ROCHESTER,NY14617	16-1347201	501 (C)(3)	20,000	SPONSORSHIP
(7) LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE 5515 PEACH ST ERIE,PA16509	25-1698677	501 (C)(3)	10,000	SPONSORSHIP
(8) MERCY FLIGHT CENTRAL INC 2420 BRICKYARD RD CANANDAIGUA,NY14424	16-1427751	501 (C)(3)	10,000	SPONSORSHIP
(9) ROCHESTER INSTITUTE OF TECHNOLOGY 116 LOMB MEMORIAL DR ROCHESTER,NY14623	16-0743140	501 (C)(3)	25,000	SPONSORSHIP
(10) TRILLIUM HEALTH INC 259 MONROE AVE ROCHESTER,NY14607	16-1356734	501 (C)(3)	15,000	SPONSORSHIP
(11) ROC2025 INC 100 CHESTNUT ST SUITE 1910 ROCHESTER,NY14604	83-4392577	501 (C)(6)	100,000	SPONSORSHIP
(12) BATAVIA CONCERT SERIES LLC 8315 PARK RD BATAVIA,NY14020	16-1019940	LLC ENTITY	20,000	SPONSORSHIP
(13) BRIDGETOWER OPCO LLC PO BOX 745929 ATLANTA,GA303745929	85-3333083	LLC ENTITY	8,000	SPONSORSHIP
(14) ROCHESTER INTERNATIONAL JAZZ FESTIVAL LLC 250 EAST AVE SUITE 2 ROCHESTER,NY14604	20-2498272	LLC ENTITY	55,000	SPONSORSHIP
(15) 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) 2023

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) 2023

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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
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

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

OMB No. 1545-0047

2023

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

Yes

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

Yes

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 2023

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)
1RICHARD DAVIS PHD CEO	(i) (ii)	395,314 ------------- 1,277,169	333,208 ------------- 1,076,518	0 ------------- 0	10,912 ------------- 35,255	2,059 ------------- 6,653	741,493 ------------- 2,395,595	0 ------------- 0
2TIMOTHY WAGNER PHYSICIAN	(i) (ii)	822,076 ------------- 0	1,030,227 ------------- 0	0 ------------- 0	13,752 ------------- 0	4,827 ------------- 0	1,870,882 ------------- 0	0 ------------- 0
3HUGH THOMAS CAO	(i) (ii)	203,923 ------------- 263,400	207,080 ------------- 267,478	344,077 ------------- 444,433	0 ------------- 0	3,971 ------------- 5,130	759,051 ------------- 980,441	0 ------------- 0
4GORDON WHITBECK PHYSICIAN	(i) (ii)	434,448 ------------- 0	1,099,855 ------------- 0	0 ------------- 0	88,948 ------------- 0	12,842 ------------- 0	1,636,093 ------------- 0	0 ------------- 0
5THOMAS CRILLY CFO	(i) (ii)	164,640 ------------- 531,915	171,706 ------------- 554,744	334 ------------- 1,080	34,417 ------------- 111,193	2,125 ------------- 6,866	373,222 ------------- 1,205,798	0 ------------- 0
6GIAN VINELLI PHYSICIAN	(i) (ii)	843,796 ------------- 0	550,007 ------------- 0	0 ------------- 0	17,618 ------------- 0	7,657 ------------- 0	1,419,078 ------------- 0	0 ------------- 0
7JENNIFER ESLINGER COO	(i) (ii)	204,060 ------------- 544,159	148,853 ------------- 396,941	0 ------------- 0	0 ------------- 0	3,100 ------------- 8,268	356,013 ------------- 949,368	0 ------------- 0
8ALLEN CHENG PHYSICIAN	(i) (ii)	1,002,460 ------------- 0	200,000 ------------- 0	0 ------------- 0	24,974 ------------- 0	9,715 ------------- 0	1,237,149 ------------- 0	0 ------------- 0
9VINCENT CHANG PHYSICIAN	(i) (ii)	1,191,144 ------------- 0	0 ------------- 0	0 ------------- 0	-28,312 ------------- 0	12,842 ------------- 0	1,175,674 ------------- 0	0 ------------- 0
10LAURIE LERNER MD MEDICAL STAFF PRESIDENT	(i) (ii)	280,131 ------------- 0	164,466 ------------- 0	0 ------------- 0	52,160 ------------- 0	7,561 ------------- 0	504,318 ------------- 0	0 ------------- 0
11TAMMY SNYDER PRESIDENT	(i) (ii)	418,220 ------------- 0	26,229 ------------- 0	0 ------------- 0	0 ------------- 0	8,026 ------------- 0	452,475 ------------- 0	0 ------------- 0
12MARCY C MULCONRY MD DIRECTOR	(i) (ii)	0 ------------- 138,198	0 ------------- 263,850	0 ------------- 0	0 ------------- 36,862	0 ------------- 7,914	0 ------------- 446,824	0 ------------- 0
13CHRISTIAN CASINI ASSISTANT SECRETARY	(i) (ii)	0 ------------- 321,343	0 ------------- 16,225	0 ------------- 0	0 ------------- 30,027	0 ------------- 4,126	0 ------------- 371,721	0 ------------- 0
14RANIA AYYAD MD DIRECTOR	(i) (ii)	238,285 ------------- 0	49,743 ------------- 0	0 ------------- 0	38,694 ------------- 0	12,244 ------------- 0	338,966 ------------- 0	0 ------------- 0
15DAWN RIEDY MD DIRECTOR	(i) (ii)	151,851 ------------- 0	87,500 ------------- 0	0 ------------- 0	0 ------------- 0	5,211 ------------- 0	244,562 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2023

Page 3

Part III

Supplemental Information

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

Return Reference	Explanation
PART I, LINE 3	COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS IS ESTABLISHED USING THE FOLLOWING: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEYS AND STUDIES - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE ON AN ANNUAL BASIS, THE ORGANIZATION USES AN INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE SALARIES FOR ALL EXECUTIVES TO ENSURE SUCH SALARIES ARE CONSISTENT WITH MARKET SALARIES PAID TO SIMILARLY SITUATED EXECUTIVES. IN ADDITION, A COMPENSATION COMMITTEE REVIEWS THIS INFORMATION ANNUALLY AND IT IS THEN APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. FINALLY, EXECUTIVES RECEIVE A WRITTEN LETTER OUTLINING THE SPECIFICS OF THE COMPENSATION AGREEMENT AND THEIR EXPECTED PERFORMANCE.
PART I, LINES 4A-B	SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS PROVIDE BENEFITS TO CERTAIN KEY EXECUTIVE EMPLOYEES OF ROCHESTER REGIONAL HEALTH. THE ORGANIZATION MAINTAINS A SECTION 457(F) PLAN WHICH WOULD BE CONSIDERED A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THERE WERE NO DISTRIBUTIONS FROM THE PLAN IN 2023.
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) 2023

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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.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

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) 2023

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) 2023

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) 2023

Additional Data

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

OMB No. 1545-0047

2023

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) 2023

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) 2023

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) 2023

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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

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/RRH) (I.E. THE PARENT ORGANIZATION AND ITS RELATED AFFILIATES) IS AN INTEGRATED HEALTH SYSTEM ROOTED IN COMMUNITY, SERVING TOGETHER TO UPLIFT HUMANITY THROUGH COMPASSIONATE CARE FOR THE PEOPLE OF ROCHESTER, THE FINGER LAKES REGION, AND NEW YORK STATE'S NORTH COUNTRY. THROUGH ROBUST INVESTMENTS IN PEOPLE, FACILITIES, AND TECHNOLOGY IN EACH COMMUNITY WE SERVE, ROCHESTER REGIONAL STANDS OUT FOR ITS ABILITY TO BRING THE HIGHEST QUALITY CARE CLOSE TO HOME. ACROSS WESTERN NEW YORK, THE FINGER LAKES, ST. LAWRENCE COUNTY AND BEYOND, RRH PROUDLY SERVES THE COMMUNITY THROUGH ITS NINE HOSPITALS PROVIDING INPATIENT, ADVANCED AND CRITICAL CARE; HUNDREDS OF OUTPATIENT SPECIALTY, URGENT CARE AND PRIMARY CARE PRACTICES; BEHAVIORAL HEALTH AND CHEMICAL DEPENDENCY TREATMENT CENTERS; INNOVATIVE AND COMFORTING SENIOR SERVICES; COMPASSIONATE HOME CARE AND HOSPICE CARE PROGRAMS; AND LABORATORIES, INCLUDING SPECIALIZED CLINICAL TRIAL AND TOXICOLOGY TESTING FACILITIES. 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 AND NYS'S NORTH COUNTRY 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 WORK 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 FORM ON THE ORGANIZATION'S WEBSITE. AT ROCHESTER REGIONAL HEALTH, DIVERSITY, EQUITY, INCLUSION AND SOCIAL JUSTICE ARE WOVEN INTO THE TAPESTRY OF OUR CULTURE AND HEALTH EQUITY IS OUR TRUE NORTH. RRH IS COMMITTED TO FOSTERING A DIVERSE AND INCLUSIVE ENVIRONMENT WHERE PEOPLE FROM ALL BACKGROUNDS ARE INCLUDED, VALUED, AND RESPECTED. BY ESTABLISHING AND MAINTAINING COMMUNITY PARTNERSHIPS, RRH IS LEADING EFFORTS TO CULTIVATE AN EQUITABLE AND INCLUSIVE ENVIRONMENT AND DELIVER HIGH-QUALITY PATIENT OUTCOMES AND EXPERIENCES. WE BELIEVE OUR WORKFORCE AND PATIENT CARE ARE DIRECTLY CONNECTED AND ARE COMMITTED TO ENSURING THAT OUR TEAMS AND EACH PATIENT WE CARE FOR ENJOYS BETTER, HEALTHIER LIVES. AS PART OF THEIR HEALTHY PEOPLE 2030 INITIATIVE, AIMED AT ELIMINATING DISPARITIES AND IMPROVING THE HEALTH AND WELL-BEING OF ALL, THE UNITED STATES GOVERNMENT HAS DEEMED HEALTH LITERACY A "CENTRAL FOCUS." HEALTHY PEOPLE 2030 DEFINES PERSONAL HEALTH LITERACY AS, "THE DEGREE TO WHICH INDIVIDUALS HAVE THE ABILITY TO FIND, UNDERSTAND, AND USE INFORMATION AND SERVICES TO INFORM HEALTH-RELATED DECISIONS AND ACTIONS FOR THEMSELVES AND OTHERS." SIMILARLY, THEY DEFINE ORGANIZATIONAL HEALTH LITERACY AS, "THE DEGREE TO WHICH ORGANIZATIONS EQUITABLY ENABLE INDIVIDUALS TO FIND, UNDERSTAND, AND USE INFORMATION AND SERVICES TO INFORM HEALTH-RELATED DECISIONS AND ACTIONS FOR THEMSELVES AND OTHERS." IN ORDER TO PROMOTE HEALTH LITERACY, IN DECEMBER OF 2020, RRH SERVED AS LEADERS IN CREATING A WAY OF COMMUNICATING IMPORTANT INFORMATION ABOUT COVID-19 AND VACCINE INFORMATION TO GROUPS WHO ARE HISTORICALLY MARGINALIZED. THE RRH TEAM HELD OVER 30 PRESENTATIONS FOR UNDERSERVED POPULATIONS REACHING ALMOST 5,000 PARTICIPANTS AND VIEWERS; PROVIDING THEM WITH ACCURATE, UP-TO-DATE INFORMATION ABOUT THE VIRUS AND VACCINE OPTIONS TO SUPPORT INFORMED DECISIONS FOR THEMSELVES, THEIR FAMILIES, AND THEIR COMMUNITIES. OUR TEAM WAS THE FIRST TO BE IN THIS SPACE AND CREATED A WELCOMING ENVIRONMENT FOR ALL QUESTIONS TO BE ASKED. TWO OF THE KEYS TO REDUCING HEALTH DISPARITIES AND BUILDING HEALTH LITERACY ARE COMMUNITY OUTREACH AND EDUCATION. TO THIS END, RRH HAS DEVELOPED TARGETED INTERVENTIONS, COMMUNITY OUTREACH AND EDUCATION PROGRAMS. RRH IS COMMITTED TO PROVIDING A RELAXED AND WELCOMING ENVIRONMENT TO ASK QUESTIONS, AND HAD MEDICAL EXPERTS THAT PROVIDED SOLID, RELEVANT AND TIMELY INFORMATION SO THAT PEOPLE COULD MAKE INFORMED HEALTHCARE DECISIONS. THE RRH COMMUNITY CONVERSATIONS ARE HOSTED IN PARTNERSHIP WITH A WIDE RANGE OF LEADERS THROUGHOUT THE COMMUNITY. RRH HAS PARTNERED WITH VARIOUS COMMUNITIES SUCH AS THE LATINX COMMUNITY, RURAL MIGRANT FARMERS, FAITH COMMUNITIES, DEAF AND HARD OF HEARING, LGBTQ+, VETERANS, PEOPLE LIVING WITH DISABILITIES, ELDERS AND THEIR CAREGIVERS, ADOLESCENTS AND PARENTS. WITH THESE PARTNERSHIPS RRH HAS BEEN ABLE TO FORM STRONG COMMUNITY BONDS. WITH THE COVID INFORMATION NOW WIDELY AVAILABLE, RRH IS PIVOTING ITS COMMUNITY CONVERSATIONS TO FOCUS ON HEALTH AND WELLNESS. RRH PLANS TO CONTINUALLY EVALUATE AND ADJUST THE FOCUS OF ITS COMMUNITY CONVERSATIONS TO ENSURE OTHER PRESSING TOPICS, SUCH AS HEALTH SCREENINGS AS A PREVENTIVE MEASURE, ARE ALWAYS AT THE FOREFRONT AND CONTINUED EDUCATION IS ALWAYS AVAILABLE TO THE COMMUNITY. AS A RESULT OF THESE EFFORTS, RRH WAS RECOGNIZED AMONG THE NATION'S TOP DEI ADVOCATES. CITING RRH'S "FANTASTIC" DIVERSITY, EQUITY & INCLUSION (DEI) OFFICE, THE HEALTHCARE DIVERSITY COUNCIL HAS GRANTED RRH A TOP 3 HEALTHCARE DIVERSITY ORGANIZATIONS AWARD. THE COUNCIL COMMENDED RRH DEI INITIATIVES TO REDUCE HEALTHCARE DISPARITIES IN UNDERSERVED COMMUNITIES; RECRUIT AND RETAIN A DIVERSE WORKFORCE; AND IMPLEMENT COMMUNITY CONVERSATIONS SURROUNDING COVID-19. RRH'S ACTIVE PURSUIT OF DIVERSITY IN OUR WORK ENVIRONMENT AND COMMUNITY PROGRAMS MAKES IT A "PERFECT" AWARD RECIPIENT, THE COUNCIL STATED. THE HEALTHCARE DIVERSITY COUNCIL IS AN ORGANIZATION DEVOTED TO PROMOTING AN INCLUSIVE ENVIRONMENT OF CARE AT MEDICAL INSTITUTIONS NATIONWIDE. ROCHESTER REGIONAL HEALTH IS ALSO LEADING THE INDUSTRY WITH ITS SUSTAINABILITY EFFORTS. RRH BELIEVES IN THE CLOSE RELATIONSHIP BETWEEN THE WELL-BEING OF OUR COMMUNITY, ENVIRONMENT, AND OUR FINANCIAL HEALTH. GUIDED BY THIS BELIEF, RRH MANAGES ITS RESOURCES CONSCIENTIOUSLY, AIMING TO LIMIT OUR ENVIRONMENTAL FOOTPRINT AND SPEARHEAD SUSTAINABILITY INITIATIVES IN THE REGION. THOUGH IT IS KNOWN THAT HOSPITALS CONSUME MORE THAN DOUBLE THE ENERGY THAN TYPICAL COMMERCIAL BUILDINGS AND GENERATE SIGNIFICANT WASTE PER PATIENT, ROCHESTER REGIONAL HEALTH IS STEADFAST IN BREAKING THIS NORM. THE RRH SUSTAINABILITY DEPARTMENT IS DEVOTED TO REFINING THE HEALTHCARE EXPERIENCE, PRESERVING A ROBUST ENVIRONMENT, AND CURBING HEALTHCARE COSTS. THEY ACTIVELY MANAGE WASTE, ELIMINATING HARMFUL SUBSTANCES, AND FOSTERING A SUSTAINABLE COMMUNITY FOR NOW AND FUTURE GENERATIONS. QUALITY AND SAFETY ARE AT THE CORE OF ROCHESTER REGIONAL HEALTH'S PURPOSE TO HEAL, COMFORT, PROMOTE HEALTH AND DELIVER CARE THAT ENHANCES LIVES. BY TAKING A PROACTIVE APPROACH, RRH DESIGNS PATIENT-CENTERED SYSTEMS THAT DELIVER HIGH-QUALITY CARE, SAFELY. THROUGH SYSTEM-WIDE PROGRAMS WE ARE CONSISTENTLY IMPROVING THE SAFETY AND QUALITY OF THE CARE WE PROVIDE; ENSURING REGULATORY COMPLIANCE AND COORDINATING ACCREDITATIONS OF LOCATIONS AND PROGRAMS; PREVENTING ERRORS AND WORKING TO ENHANCE THE CARE DELIVERED IN OUR REGION AND ACROSS THE COUNTRY; AND PROVIDING EDUCATION AND TRAINING FOR EMPLOYEES, PATIENTS AND VISITORS. A CORNERSTONE OF ROCHESTER REGIONAL HEALTH'S STRATEGIC PLAN IS TO INVEST IN A SUSTAINABLE BUSINESS MODELTHAT IS, TO PRIORITIZE INVESTMENTS IN GROWTH AND SERVICES THAT CREATE LONG-TERM VALUE. DESPITE THE CHALLENGES WITHIN THE HEALTHCARE INDUSTRY, ROCHESTER REGIONAL CONTINUES TO CELEBRATE PROGRESS ON INITIATIVES ESSENTIAL TO THE FUTURE OF THE INSTITUTION AND THE HEALTH OF THE NEW YORK STATE COMMUNITIES IT SERVES.
FORM 990, PART III, LINE 4A: (CONTINUED)	EXAMPLES INCLUDE: 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 CLOSE TO WHERE THEY LIVE. RRH OPENED A NEW 95,000 SQ. FT. BATAVIA MEDICAL CAMPUS IN SEPTEMBER 2023 WHICH BRINGS MORE THAN A DOZEN SPECIALTY SERVICES UNDER ONE ROOF. THE BRIGHT, MODERN BUILDING CLEARLY VISIBLE OFF THE I-90 NEW YORK STATE THRUWAY, INCLUDES PRIMARY CARE, PEDIATRICS, ORTHOPAEDICS, OTOLARYNGOLOGY, PLASTIC SURGERY, VASCULAR SURGERY, NEUROSCIENCES, SANDS-CONSTELLATION HEART INSTITUTE CARDIOLOGISTS, LAB, IMAGING AND AN URGENT CARE. URGENT CARE CENTERS IN WEBSTER AND CHILI WERE REOPENED AS PART OF A STRATEGY TO REACH PATIENTS WHO NEED MEDICAL CARE FOR MINOR ILLNESSES AND INJURIES. PROVIDERS AND STAFF TRAINED TO PROVIDE APPROPRIATE TREATMENT FOR ACUTE INJURIES OR ILLNESSES THAT ARE URGENT BUT NOT SEVERE ENOUGH TO REQUIRE AN EMERGENCY ROOM VISIT ARE AVAILABLE FOR CONVENIENT SAME-DAY WALK-IN APPOINTMENTS. VIRTUAL URGENT CARE IS ALSO AVAILABLE 7 DAYS A WEEK FOR MINOR INJURIES AND COMMON ILLNESSES FROM THE COMFORT OF THE PATIENT'S HOME, OR WHEREVER THEY MAY BE. ROCHESTER REGIONAL IS FORGING AHEAD ON ALL FRONTS OF A STRATEGIC PLAN WHOSE PURPOSE IS TO UPLIFT HUMANITY THROUGH CARE FOR THE COMMUNITY WITH A VISION TO BECOME A NATIONAL MODEL OF HEALTH AND HEALING. THE FOUR PILLARS OF THE STRATEGIC PLAN ARE AS FOLLOWS: STRENGTHEN OUR COMMUNITIES COMMUNITY PARTNERSHIP WILL GROW TRUST WITH THOSE WE SERVE SOLIDIFY RRH'S POSITION AS A CORNERSTONE OF COMMUNITY HEALTH. RELENTLESS FOCUS ON QUALITY AND SAFETY IMPROVED QUALITY AND SAFETY WILL POSITION US AS THE PROVIDER OF CHOICE FOR PATIENTS BUILD AND CONTINUALLY FOCUS ON A CULTURE OF QUALITY AND SAFETY. UNLEASH THE POWER OF OUR PEOPLE EMPOWERED PEOPLE WILL ALLOW US TO TAKE OUR ORGANIZATION TO THE NEXT LEVEL ENGAGE PEOPLE TO COMMIT, BELONG AND GROW AT RRH. GROWTH AN EVOLVED HEALTH CARE DELIVERY MODEL WILL BETTER SERVE PATIENTS BECOME THE MOST ACCESSIBLE AND CONVENIENT SYSTEM IN THE COMMUNITIES WE SERVE AND INNOVATE TO TRANSFORM CARE DELIVERY OPERATIONS. RRH 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: IN JULY 2023, THE STRUCTURAL HEART TEAM PERFORMED THEIR 2000TH TRASCATHETER AORTIC VALVE REPLACEMENT (TAVR) PROCEDURE AT ROCHESTER REGIONAL HEALTH'S SANDS-CONSTELLATION HEART INSTITUTE. THE 2000TH TAVR PROCEDURE PUTS RRH IN THE TOP 5 PERCENT OF HEALTH SYSTEMS NATIONWIDE THAT HAVE COMPLETED TAVRS OF THAT VOLUME. THE PROCEDURE IS MOST OFTEN USED TO TREAT AORTIC STENOSIS. A NEW RRH LABORATORY IN GREECE, NY WAS OPENED. THIS NEW SITE OFFERS SIX DEDICATED DRAW ROOMS, TWO PEDIATRIC ROOMS, AND A CONVENIENT SELF-CHECK-IN SYSTEM. WITH A FULL RANGE OF HEALTH SCREENING OPTIONS, EXPERTS ARE READY TO PROVIDE THE COMMUNITY WITH CONVENIENT AND ACCURATE TESTING AND RESULTS. ROCHESTER REGIONAL HEALTH IS MAKING STRIDES IN USING VIRTUAL TECHNOLOGY AS A PATH FORWARD IN HEALTH CARE. DURING TELEHEALTH AWARENESS WEEK, RRH HIGHLIGHTED THE WAYS IT IS TAKING PATIENT-CENTERED CARE A STEP FURTHER AND MEETING COMMUNITY MEMBERS WHERE THEY ARE. IN 2023, RRH'S VIRTUAL CARE SERVICE USING TYTOCLINIC EXPANDED TO INCLUDE MORE COVERAGE THROUGH THE ROCHESTER CITY SCHOOL DISTRICT, SERVICES AT THE IBERO EARLY CHILDCARE CENTER, AND THE GREECE CENTRAL SCHOOL DISTRICT. RRH ALSO OFFERS OTHER TELEHEALTH-RELATED PROGRAMS, INCLUDING: A PARTNERSHIP WITH REGIONAL HEALTH REACH TO PROVIDE VIRTUAL HEALTHCARE FOR PEOPLE EXPERIENCING HOMELESSNESS IN SHELTERS AND ON THE STREET; A CONGESTIVE HEART FAILURE PROGRAM APPLYING THE MAYO CLINIC'S CARE COMPANION MODULE AND REMOTE MONITORING; VIRTUAL WOUND CARE SERVICES AT ELDERONE; TELENEUROLOGY TELEMEDICINE CARTS TO ASSIST WITH REMOTELY ASSESSING STROKE PATIENTS; AND SUPPORT FOR GERIATRIC SURGERY VERIFICATION. THE RRH VASCULAR TEAM SUCCESSFULLY COMPLETED ITS FIRST TRANSCAROTID ARTERY REVASCULARIZATION (TCAR) PROCEDURE, WHICH IS A CUTTING-EDGE, MINIMALLY INVASIVE PROCEDURE SPECIFICALLY DESIGNED TO TREAT CAROTID ARTERY DISEASE, A CONDITION THAT, IF LEFT UNTREATED, CAN LEAD TO SEVERE COMPLICATIONS SUCH AS STROKE. RRH IS NOW OFFERING TRANSCRANIAL MAGNETIC STIMULATION (TMS), A GROUNDBREAKING TREATMENT PROVIDING NEW HOPE TO PATIENTS WITH SEVERE DEPRESSION WHO HAVE NOT RESPONDED TO TRADITIONAL THERAPIES. TMS UTILIZES MAGNETIC PULSES TO STIMULATE SPECIFIC AREAS OF THE BRAIN, OFFERING A NON-INVASIVE AND POTENTIALLY LIFE-CHANGING OPTION FOR THOSE BATTLING TREATMENT-RESISTANT DEPRESSION. 2023 CONTINUED TO BE A CHALLENGING YEAR FOR THE HEALTHCARE INDUSTRY. IN RESPONSE TO THESE CHALLENGES RRH RESPONDED BY TAKING MEASURES TO ENSURE THE SAFETY OF PATIENTS, TEAM MEMBERS AND THE BROADER COMMUNITY. THE ACTIONS CONTINUED INTO 2023 AND INCLUDED: ROCHESTER REGIONAL CONTINUED TO PROVIDE HEALTH AND WELLNESS EDUCATION ON MULTIPLE PLATFORMS INCLUDING: SOCIAL MEDIA, WEBSITE, MYCARE PATIENT PORTAL, PHONE MESSAGING, AND E-NEWSLETTER. MORE SPECIFICALLY: O RRH'S "HEALTH HIVE," AN ONLINE PORTAL OF ARTICLES AND HELPFUL HINTS IN DEALING WITH A HOST OF HEALTH RELATED TOPICS. DURING 2023, MORE THAN 115 ARTICLES WERE PUBLISHED. O RRH PARTICIPATED IN OVER 300 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. O 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: O ROCHESTER REGIONAL HEALTH HAS ENTERED INTO A FIVE-YEAR PARTNERSHIP WITH TRIMEDX, ONE OF THE NATION'S LARGEST AND MOST ADVANCED CLINICAL ENGINEERING AND ASSET MANAGEMENT ORGANIZATIONS. TRIMEDX BRINGS A WEALTH OF ADVANCED SUPPORT SYSTEMS, INCLUDING A CALL CENTER, SERVICE SOFTWARE, CYBER SECURITY, CAPITAL PLANNING, AND SUPPLY CHAIN AND QUALITY EXPERT. THE NEW PARTNERSHIP WILL HELP TRANSFORM ROCHESTER REGIONAL HEALTH TO MEET THE ECONOMIC AND OPERATIONAL CHALLENGES AHEAD AND ALLOW US TO CONTINUE TO PROVIDE OUR PATIENTS AND CAREGIVERS WITH THE HIGHEST QUALITY SERVICE. O RRH PARTNERED WITH THE LOCAL AHL TEAM, THE ROCHESTER AMERICANS, TO SPREAD THE WORD ABOUT HEART HEALTH. AT HOME GAMES IN FEBRUARY 2023 ATTENDEES PARTICIPATED IN THE "HEART MONTH MINUTE" CHALLENGE, WHERE A FEW LUCKY FANS WENT HEAD-TO-HEAD FOR A SPECIAL HEART-HEALTHY PRIZE. O RRH, THE RIT ALLIANCE, AND THE RIT SIMONE CENTER FOR INNOVATIONS PARTNERED TO SOLICIT PROJECTS FOR THE 2023 RIT FALL IDEALAB. THIS COLLABORATIVE TEAM IDENTIFIES UNIQUE HEALTHCARE CHALLENGES THAT REQUIRES AN INNOVATIVE SOLUTION AND THE PROGRAM EMPLOYS RIT STUDENT TEAMS WITH MULTIDISCIPLINARY EXPERTISE TO SOLVE UNIQUE PROBLEMS FACED BY RRH. STUDENTS DESIGN INNOVATIVE SOLUTIONS WITH THE GUIDANCE OF AN RIT FACULTY MEMBER AND SPONSORING RRH ADMINISTRATOR OR CLINICIAN; SUCCESSFUL PROJECTS MAY LEAD TO PRODUCT DEVELOPMENT OR PROTOTYPES. RRH AND ITS EMPLOYEES HAVE AN INCREDIBLY STRONG COMMITMENT TO THE COMMUNITIES THEY SERVE. IN 2023 EVENTS SPONSORED AND HELD BY RRH INCLUDE: IN APRIL 2023, RRH CELEBRATED NATIONAL MINORITY HEALTH MONTH. THIS MONTH WAS ESTABLISHED BY CIVIL RIGHTS LEADER BOOKER T. WASHINGTON IN 1915. MR. WASHINGTON PROVIDED US WITH AN OPPORTUNITY TO SHARE RESOURCES AND INFORMATION TO GET ACTIVE AND STAY HEALTHY AND BRING AWARENESS TO THE HEALTH DISPARITIES STILL AFFECTING COMMUNITIES OF COLOR. BETTER HEALTH THROUGH BETTER UNDERSTANDING WAS THE THEME FOR NATIONAL MINORITY HEALTH MONTH IN 2023. IT CHALLENGED US TO BE INTENTIONAL ABOUT COMMUNITY OUTREACH, HEALTH LITERACY EFFORTS, AND LINGUISTIC DIVERSITY. IN SO DOING, WE EQUIP OUR COMMUNITIES WITH THE INFORMATION THEY NEED, THE WAY THEY NEED IT, TO MAKE INFORMED DECISIONS. THROUGHOUT THE MONTH, RRH PROVIDED SHARED COMMUNITY RESOURCES, LANGUAGE ASSISTANCE, AND INTERPRETATION FACTS, AS WELL AS CULTURAL WELLNESS TIPS. RRH SPONSORED A SPECIAL MARTIN LUTHER KING JR. EVENT. THIS EVENT WAS OPEN TO STAFF AND THE COMMUNITY AND CONSISTED OF A KEYNOTE SPEAKER, ROCHESTER CITY SCHOOL DISTRICT CHOIR, PERFORMANCES BY MEMBERS OF SCHOOL FOR THE ARTS, AND SEVERAL OTHER SPEAKERS.
FORM 990, PART III, LINE 4A: (CONTINUED)	RRH'S CELEBRATION OF BLACK HISTORY MONTH IN FEBRUARY CONTINUED TO RECOGNIZE THE IMPORTANCE OF REPRESENTATION IN HEALTHCARE. ACCORDING TO RESEARCH, THE LACK OF REPRESENTATION BETWEEN HEALTHCARE ORGANIZATIONS AND THE COMMUNITIES THEY SERVE CAN IMPACT PATIENT CARE. A STRATEGIC COMMITMENT TO DIVERSITY IS A MEANS OF PROMOTING HEALTH EQUITY AND REDUCING HEALTH DISPARITIES. REPRESENTATION IN HEALTHCARE ALSO HAS OTHER MEASURABLE BENEFITS FOR BOTH HEALTHCARE PROFESSIONALS AND THE COMMUNITIES THEY SERVE, INCLUDING: ENHANCED UNDERSTANDING OF VALUE SETS; IMPROVED COMMUNICATION; AND INCREASED PATIENT TRUST. AT THE RRH WELLNESS: RUNNING AT ANY AGE EVENT, PHYSICAL THERAPISTS SHARED TIPS, TRICKS, AND EVIDENCE-BASED RESEARCH STRATEGIES TO RETURN TO RUNNING AT ANY AGE. IN ADDITION TO COMMON RUNNING INJURIES, THEY PROVIDED A BRIEF OVERVIEW OF INJURY PREVENTION TECHNIQUES. RRH HELD A VIRTUAL STROKE SYMPOSIUM A DAY OF INSIGHT AND ENGAGING DISCUSSIONS THAT FOCUSED ON THE INTERDISCIPLINARY CLINICAL CARE AND MANAGEMENT OF STROKE AND CEREBROVASCULAR DISEASE. REGIONAL STROKE EXPERTS DISCUSSED THE LATEST ADVANCES IN THE CARE AND MANAGEMENT OF ACUTE, ISCHEMIC, AND HEMORRHAGIC STROKE, AS WELL AS OTHER CEREBROVASCULAR DISEASES, FROM INITIAL PRESENTATION TO REHABILITATION. MARCH IS COLORECTAL CANCER AWARENESS MONTH. ACCORDING TO THE COLORECTAL CANCER ALLIANCE, COLORECTAL CANCER (CRC), IS THE SECOND DEADLIEST CANCER IN THE US, BUT IT IS HIGHLY PREVENTABLE AND TREATABLE WHEN DETECTED EARLY WITH REGULAR SCREENING. RRH'S COLORECTAL CANCER SCREENING AND PREVENTION PROGRAM IS DESIGNED TO EDUCATE AND HELP PREVENT COLORECTAL CANCER IN MEN AND WOMEN. THE HOSPITALS WERE LIT UP BLUE TO HELP RAISE AWARENESS FOR COLORECTAL CANCER DURING PAINT RRH BLUE WEEK. RRH HIGHLIGHTED THAT MARCH IS BRAIN INJURY AWARENESS MONTH, RECOGNIZING THAT BRAIN INJURY IS THE SECOND MOST PREVALENT INJURY AND DISABILITY IN THE US. THE GOLISANO RESTORATIVE NEUROLOGY & REHABILITATION CENTER IS THE LARGEST INPATIENT PROGRAM OF ITS KIND IN THE FINGER LAKES REGION. THE CENTER HELPS THOSE RECOVERING FROM A SEVERE BRAIN INJURY RESTORE AS MUCH OF THEIR INDEPENDENCE AS POSSIBLE. ACCREDITED FOR CHILDREN, ADOLESCENTS, AND ADULTS BY THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF), THE PROGRAM PRODUCES EXCELLENT PATIENT OUTCOMES AND SATISFACTION. RRH CELEBRATED WOMEN WHO TELL OUR STORIES IN RECOGNITION OF WOMEN'S HISTORY MONTH. THE THEME HONORS WOMEN THROUGHOUT HISTORY AND WOMEN IN THE HISTORY OF RRH WHO HAVE DEVOTED THEIR LIVES AND TALENTS TO IMPROVING THE HUMAN CONDITION. A SERIES OF EDUCATION SESSIONS WERE HELD DURING BLACK MATERNAL HEALTH WEEK. THIS WEEK-LONG CAMPAIGN WAS INSPIRED BY THE BLACK MAMAS MATTER ALLIANCE (BMMA), A COLLECTIVE OF MULTI-DISCIPLINARY PROFESSIONALS WORKING TO ENSURE THAT "ALL BLACK MAMAS HAVE THE RIGHTS, RESPECT, AND RESOURCES TO THRIVE BEFORE, DURING, AND AFTER PREGNANCY." RRH PARTICIPATED IN THE IMAGINE RIT: CREATIVITY & INNOVATION FESTIVAL FEATURING 350+ EXHIBITS AND 2,200+ EXHIBITORS. VISITORS OF ALL AGES EXPERIENCED INTERACTIVE PRESENTATIONS, HANDS-ON DEMONSTRATIONS, EXHIBITIONS, PERFORMING ARTS, AND RESEARCH PROJECTS. IN CELEBRATION OF EARTH DAY 2023, RRH SPONSORED SPECIAL ACTIVITIES ACROSS ITS LOCATIONS, INCLUDING TREE SAPLING GIVEAWAYS AT EACH OF THE HOSPITALS AND AN E-WASTE DROP-OFF. MAY IS MENTAL HEALTH AWARENESS MONTH, A NATIONAL MOVEMENT TO RAISE AWARENESS ABOUT MENTAL HEALTH. EVERY YEAR MILLIONS OF AMERICANS 1 IN 5 ADULTS, 1 IN 6 CHILDREN FACE THE REALITY OF LIVING WITH A MENTAL ILLNESS. ROCHESTER REGIONAL OFFERS A COMPREHENSIVE RANGE OF MENTAL HEALTH SERVICES, INCLUDING ADULT MENTAL HEALTH, YOUTH, AND FAMILY, BEHAVIORAL HEALTH ACCESS & CRISIS CENTER, COMPREHENSIVE PSYCHIATRIC EMERGENCY PROGRAM, HEALTH CARE MANAGEMENT, AND PERSONALIZED RECOVERY ORIENTED SERVICES. STROKE AWARENESS: ROCHESTER REGIONAL HEALTH AND THE ROCHESTER RED WINGS BASEBALL TEAM CAME TOGETHER TO RAISE AWARENESS OF THE IMPORTANCE OF PREVENTION, RECOGNITION, AND RAPID STROKE TREATMENT. RRH SPONSORED THE HAIR & HEALTH SYMPOSIUM IN JUNE 2023. THE FREE EVENT WAS HELD AT LOCAL SCHOOLS AND WAS OPEN TO THE PUBLIC. IF PERFORMED IMMEDIATELY, CARDIOPULMONARY RESUSCITATION (CPR) CAN DOUBLE, OR EVEN TRIPLE, THE CHANCES OF SURVIVAL FROM AN OUT-OF-HOSPITAL CARDIAC ARREST. RRH HOSTED A SERIES OF FREE CPR TRAINING EVENTS FOR ANYONE WANTING TO LEARN HOW TO PERFORM CPR AND OTHER LIFE-SAVING MEASURES IN CASE OF AN EMERGENCY. RRH JOINED THE AMERICAN HOSPITAL ASSOCIATION TO RECOGNIZE THE 7TH "NATIONAL DAY OF AWARENESS TO END VIOLENCE." THIS ANNUAL RECOGNITION USES A PUBLIC HEALTH LENS TO DRAW ATTENTION TO THE AREAS OF VIOLENCE WE SEE WITHIN THE HEALTHCARE SYSTEM AND WITHIN THE COMMUNITIES WE SERVE. AS A SYSTEM, RRH IS ALSO WORKING TO UPDATE AND SIMPLIFY SIGNAGE RELATED TO AGGRESSIVE BEHAVIOR IN OUR FACILITIES. THE GOAL OF THE EFFORT IS TO CLEARLY COMMUNICATE OUR EXPECTATIONS FOR RESPECTFUL PATIENT AND VISITOR BEHAVIOR WHILE EXPLAINING CLEAR CONSEQUENCES FOR VIOLATIONS OF THOSE EXPECTATIONS. THESE NEW INITIATIVES ARE IN ADDITION TO MAJOR INVESTMENTS RRH HAS MADE TO SECURITY ACROSS THE ENTIRE SYSTEM INCLUDING THE INSTALLATION AND REPAIR OF BLUE LIGHT EMERGENCY CALL BOXES, NEW SECURITY CAMERAS, IMPROVED LIGHTING AND INCREASED PATROLS BY UNIFORMED SECURITY WHICH NOT ONLY FACILITATE FASTER RESPONSES TO INCIDENTS BUT AIM TO PREVENT INCIDENTS BEFORE THEY HAPPEN. DURING PRIDE MONTH IN JUNE 2023, THE DIVERSITY, EQUITY & INCLUSION (DEI) TEAM LED EFFORTS TO RAISE AWARENESS AND CELEBRATE LESBIAN, GAY, BISEXUAL, TRANSGENDER, QUEER, OR QUESTIONING (LGBTQ+) PATIENTS, COLLEAGUES, AND OUR COMMUNITIES. RRH WAS A TOP SPONSOR OF THE 2023 ROC PRIDE PARADE. OVER 100 WALKERS AND VOLUNTEERS DEMONSTRATED RRH'S COMMITMENT TO DIVERSITY, EQUITY, AND INCLUSION. THOUSANDS OF ROCHESTERIANS ATTENDED THE EVENTS TO CELEBRATE AND SUPPORT SAFE AND INCLUSIVE SPACES FOR THE LGBTQ+ COMMUNITY. RRH WAS A SPONSOR OF THE 2023 AHA HEART WALK - BY COMING TOGETHER AS A COMMUNITY, RRH HOPES TO RAISE AWARENESS ABOUT HEART HEALTH, SUPPORT LIFE-SAVING RESEARCH, AND MAKE A POSITIVE IMPACT ON THE LIVES OF INDIVIDUALS AFFECTED BY CARDIOVASCULAR DISEASES. AT THE ROCHESTER INTERNATIONAL JAZZ FESTIVAL, RRH SPONSORED THE FIRST AID TENT THROUGHOUT THE FESTIVAL FOR GIVEAWAYS AND BASIC FIRST AID NEEDS. RRH STEPPING UP FOR LUNG CANCER RRH ENCOURAGED TEAM MEMBERS TO PARTICIPATE IN THE SUMMER RAISE, GO2 FOR LUNG CANCER'S GLOBAL FUNDRAISING EVENT BY OFFERING A FREE 40-DAY VIRTUAL STEP-TRACKING CHALLENGE TO RAISE AWARENESS FOR LUNG CANCER. RRH HEALTHY MOMS HOSTED A FAMILY RESOURCE FAIR TO SUPPORT FAMILIES IN NEED IN THE COMMUNITY. STUDIES SHOW THAT AN EDUCATION IS KEY TO OVERCOMING POVERTY, BUT MANY FAMILIES ARE UNABLE TO PROVIDE THE BASIC SCHOOL SUPPLIES THEIR CHILDREN NEED TO BE EFFECTIVE. RRH'S FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) ARE PART OF A NATIONWIDE NETWORK THAT PROVIDES CARE TO PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. IN HONOR OF NATIONAL HEALTH CENTER WEEK (AUGUST 6 12), RRH RECOGNIZED THE 400+ DEDICATED FQHC STAFF MEMBERS FOR THEIR COMMITMENT TO PROVIDING QUALITY SERVICES EACH AND EVERY DAY. RRH HOSTED A FREE SCHOOL-BASED HEALTH CENTERS INFORMATION SESSION INFORMING PARENTS AND THE COMMUNITY ABOUT THE SERVICES AVAILABLE TO STUDENTS ENROLLED IN THE ROCHESTER CITY SCHOOL DISTRICT. THE EVENT INCLUDED: ENROLLMENT SERVICES FOR CHILDREN IN FREE MEDICAL AND MENTAL HEALTH SERVICES; MEET AND PET THERAPY DOGS AND SCHOOL SUPPLY GIVEAWAYS. RRH CELEBRATED NATIONAL MINORITY DONOR AWARENESS MONTH (NMDAM) WHICH BEGAN AS NATIONAL MINORITY DONOR AWARENESS WEEK, FOUNDED IN 1996 BY THE NATIONAL MINORITY ORGAN TISSUE TRANSPLANT EDUCATION PROGRAM TO RAISE AWARENESS OF DONATIONS AND TRANSPLANTATIONS IN COMMUNITIES OF COLOR. ON AVERAGE, AFRICAN AMERICAN/BLACK TRANSPLANT CANDIDATES WAIT LONGER THAN WHITE TRANSPLANT CANDIDATES FOR KIDNEY, HEART, AND LUNG TRANSPLANTS. THESE HEALTH CARE DISPARITIES ARE PART OF THE NEED FOR NMDAM EDUCATION AND OUTREACH TO HELP HEAL AND SAVE LIVES IN OUR COMMUNITIES. WE CELEBRATED NATIONAL HEALTH CENTER WEEK WITH A CALENDAR FULL OF EVENTS, INCLUDING A PATIENT APPRECIATION DAY WITH FREE HEALTH SCREENINGS FOR ALL, AS WELL AS A "HEALTH CARE FOR THE HOMELESS" DAY, WHERE UNHOUSED INDIVIDUALS WERE OFFERED MOBILE HEALTH SERVICES, FREE HAIRCUTS, AND MORE. THE RRH AFFIRMING CARE CHEMICAL DEPENDENCY TEAM PARTICIPATED IN THE 8TH ANNUAL SCOTT B OVERDOSE AWARENESS DAY BY DISTRIBUTING NARCAN AND TEST STRIPS TO TEST FOR FENTANYL AND XYLAZINE. THE TEAM ALSO EDUCATED ATTENDEES ON THE DANGERS OF FENTANYL AND XYLAZINE AND INSTRUCTED THEM ON HOW TO IDENTIFY THESE SUBSTANCES WITHIN OTHER DRUGS. DURING NATIONAL REHABILITATION AWARENESS WEEK, RRH BROUGHT AWARENESS TO THE VARIOUS REHABILITATION PROGRAMS THAT SUPPORT COMMUNITY MEMBERS AND RECOGNIZED THE TEAM MEMBERS WHO PROVIDE THESE ESSENTIAL SERVICES TO PATIENTS.
FORM 990, PART III, LINE 4A: (CONTINUED)	DURING GYNECOLOGICAL CANCER AWARENESS MONTH, RRH EDUCATED, RAISED AWARENESS, AND PROVIDED RESOURCES ON GYNECOLOGIC CANCERS. ROCHESTER REGIONAL HEALTH AND AENON MISSIONARY BAPTIST CHURCH JOINTLY HOSTED A COMMUNITY HEALTH FAIR. THE ONGOING COLLABORATION BETWEEN THE CHURCH AND THE HOSPITAL SEEKS TO PROMOTE BOTH PHYSICAL AND SPIRITUAL WELL-BEING WITHIN THE COMMUNITY. THE EVENT PROVIDED FREE MAMMOGRAMS, BEHAVIORAL HEALTH INFORMATION & WELLNESS, BLOOD PRESSURE CHECKS, DIABETES EDUCATION, CHOLESTEROL SCREENING, BMI SCREENING, AND INFORMATION ON CANCER PREVENTION, SCREENING, AND DETECTION. THE SANDS-CONSTELLATION HEART INSTITUTE HELD A VIRTUAL CARDIOVASCULAR DISEASE PREVENTION SYMPOSIUM INCLUDING PRESENTATIONS AND ENGAGING DISCUSSIONS DESIGNED FOR CARDIOLOGISTS, PRIMARY CARE PHYSICIANS, AND OTHER HEALTH CARE PROVIDERS INTERESTED IN THE PREVENTION OF CARDIOVASCULAR DISEASE. THE FOCUS WAS ON CARDIOVASCULAR DISEASE RISK FACTORS, PREVENTATIVE STRATEGIES, AND PRACTICES FOR HELPING PATIENTS LIVE LONGER, HAPPIER LIVES. ROCHESTER REGIONAL HOSTED A HEALTH OBESITY, WEIGHT LOSS & METABOLIC SURGERY SYMPOSIUM - A DAY OF INSIGHT AND ENGAGING DISCUSSIONS ON THE MULTIDISCIPLINARY CARE AND MANAGEMENT OF OBESITY, METABOLIC DISEASES, AND RELATED COMORBIDITIES. ESTEEMED NATIONAL EXPERTS SHARED THE LATEST ADVANCES, GUIDELINES, AND EVIDENCE-BASED TREATMENT OPTIONS THAT ARE SHAPING THE FUTURE OF OBESITY-RELATED CARE AND METABOLIC SURGERY. THE SANDS-CONSTELLATION HEART INSTITUTE HOSTED ITS ANNUAL CARDIOVASCULAR SYMPOSIUM. AS CARDIOVASCULAR MEDICINE CONTINUES TO EVOLVE, RRH IS COMMITTED TO PROVIDING THE VERY BEST CARDIAC CARE TO OUR COMMUNITY. PRESENTATIONS WERE DESIGNED TO HELP EACH PARTICIPANT GAIN UP-TO-DATE MEDICAL KNOWLEDGE THAT APPLIES TO THEIR DAILY PRACTICE. TOPICS INCLUDED A REVIEW OF ADVANCED STRATEGIES, CURRENT KNOWLEDGE, AND SPECIALIZED TREATMENTS TO GIVE EVERY PATIENT THE BEST POSSIBLE RESULT. THE RRH BEHAVIORAL HEALTH TEAM PARTICIPATED IN THE OUT OF THE DARKNESS WALK, WHERE FRIENDS, FAMILY MEMBERS, NEIGHBORS, AND COWORKERS WALKED SIDE-BY-SIDE, SUPPORTING EACH OTHER IN MEMORY OF THOSE LOST TO SUICIDE. THE OUT OF THE DARKNESS WALK GIVES PEOPLE THE COURAGE TO OPEN UP ABOUT THEIR CONNECTIONS TO THE CAUSE AND A PLATFORM TO CREATE A SMARTER MENTAL HEALTH CULTURE. DURING BREAST CANCER AWARENESS MONTH, ROCHESTER REGIONAL HEALTH BROUGHT AWARENESS TO BREAST CANCER THROUGH EDUCATION AND EVENTS, SUCH AS THE MAKING STRIDES ROCHESTER WALK. THIS EVENT BRINGS TOGETHER WOMEN LIVING WITH BREAST CANCER SURVIVORS, ALONG WITH THEIR FAMILIES, FRIENDS, AND SUPPORTERS. THROUGH A PARTNERSHIP WITH THE AMERICAN CANCER SOCIETY, ROCHESTER REGIONAL IS COMMITTED TO HELPING FUND GROUNDBREAKING BREAST CANCER RESEARCH PROVIDING PATIENT SERVICE SUCH AS FREE RIDES TO CHEMO, FREE PLACES TO STAY NEAR TREATMENT, AND A LIVE, 24/7 CANCER HELPLINE. RRH CELEBRATED INTERNATIONAL INFECTION PREVENTION WEEK AND SPOTLIGHTED THE INFECTION PREVENTION (IP) TEAM'S WORK AND ITS POSITIVE IMPACT ON TEAM MEMBERS, PATIENTS, VISITORS, AND THE WIDER COMMUNITY. IP WORK WITHIN RRH INCLUDES: HAND HYGIENE CAMPAIGN, HEALTHCARE-ASSOCIATED INFECTIONS TASK FORCE WORK AND PREVENTION EFFORTS, SURGICAL SITE INFECTION REDUCTION WORK, ENVIRONMENTAL ROUNDS, CONSULTING WITH FACILITIES/CONTRACTORS REGARDING MITIGATING INFECTION RISKS FROM CONSTRUCTION AND REMODELING, ANSWERING QUESTIONS ABOUT COVID-19, EXPOSURES, ISOLATION, DISINFECTION AND STERILIZATION, AND MORE. DURING SPIRITUAL CARE WEEK RRH ACKNOWLEDGED THE SPIRITUAL CARE PROVIDERS OR CHAPLAINS THROUGHOUT THE SYSTEM WHO OFFER PERSONALIZED CARE AND PSYCHO-SPIRITUAL-SOCIAL SUPPORT TO PATIENTS, FAMILIES, AND STAFF WHEN PEOPLE HAVE THINGS TO CELEBRATE OR ARE GOING THROUGH A DIFFICULT TIME. AS PART OF LUNG CANCER AWARENESS MONTH, ROCHESTER REGIONAL HEALTH BROUGHT ATTENTION TO THE IMPORTANCE OF EARLY DETECTION. THE LUNG CANCER SCREENING PROGRAM OFFERS QUICK, NON-INVASIVE SCANS AT NO OUT-OF-POCKET COST TO THOSE ELIGIBLE. PROVIDERS WORK WITH EACH PATIENT TO DETECT AND TREAT LUNG CANCER AS EARLY AS POSSIBLE. ON VETERANS DAY AND EVERY DAY, WE ARE GRATEFUL FOR THE VETERANS THROUGHOUT OUR SYSTEM AND OUR COMMUNITY. ALL RRH EMPLOYEES AND VOLUNTEERS WHO ARE VETERANS OR ACTIVE-DUTY MILITARY MEMBERS CAN RECEIVE A COMPLIMENTARY MEAL AT RRH CAFETERIAS AND COFFEE BARS. RRH HOSTED "WELLNESS WEDNESDAYS" IN CONJUNCTION WITH A LOCAL COMMUNITY CENTER. TOPICS DURING THE 2023 SESSIONS INCLUDED THE FOLLOWING: O SYMPATHETIC NERVOUS SYSTEM AND DEPRESSION AND THE ROLE OF THIS STRESS ON EMOTIONS AND MENTAL HEALTH. O HEALTH BENEFITS OF YOGA - EVIDENCE-BASED RESEARCH ON THE HEALTH BENEFITS OF YOGA INCLUDING IMPROVING BALANCE AND STRENGTH TO MENTAL CLARITY AND FOCUS. O MINDFULNESS AND MEDITATION INSTRUCTORS WILL LEAD A FULL BODY SCAN AND A GUIDED MEDITATION. O HEARING AND AGING O BASIC FUNDAMENTALS OF SPEECH, VOICE, AND LANGUAGE SKILLS. HOW THE EFFECTS OF AGING IMPACT THESE AREAS AND OUR OVERALL COMMUNICATION SKILLS. O MINDFUL SELF-COMPASSION - EXTENDING COMPASSION TO THE SELF FOR ONE'S PERCEIVED FAILINGS, INADEQUACIES, AND EXPERIENCES OF SUFFERING. O HOW TO MANAGE INJURIES TO THE HANDS, FINGERS, WRISTS AND ELBOWS. O SEASONAL DEPRESSION/SEASONAL AFFECTIVE DISORDER (SAD) - LEARN ABOUT SEASONAL DEPRESSION AND HOW TO RECOGNIZE IT. O LEARN ABOUT THE OUTLOOK/PERSPECTIVE ON AGING, "AGE FRIENDLY" HEALTH CARE, AND HOW THIS PROGRAM SPECIFICALLY MEETS THE NEEDS OF THE GERIATRIC COMMUNITY. O LEARN SOME COMMON MYTHS ABOUT ENVIRONMENTAL ALLERGIES AND WHAT THE DATA SAYS ON HOW TO BEST TREAT THEM. O SMOOTHIES & MOVIES & PLANT-BASED WHOLE FOOD POT-LUCK THE BENEFITS OF DRINKING SMOOTHIES, SECRET POWERHOUSE INGREDIENTS AND AN ACTUAL DEMONSTRATION ON HOW TO MAKE THEM. DURING THE POT-LUCK WE WILL BE SHOWING THE DOCUMENTARY FORKS OVER KNIVES TO HELP EDUCATE MEMBERS AND THE COMMUNITY ON THE HEALING BENEFITS OF CONSUMING PLANTS. O THE LATEST UP TO DATE PRACTICES REGARDING PHYSICAL THERAPY. O LIFESTYLE MEDICINE AND HOW IT RELATES TO OUR PHYSICAL HEALTH, STRESS MANAGEMENT. O CHOLESTEROL EVALUATION AND MANAGEMENT O EDUCATION ON PRE-DRIVING SCREENING ASSESSMENTS. SEVERAL MEDICAL CONDITIONS MAY AFFECT DRIVING INCLUDING HEART DISEASE, STROKE, DIABETES, DEMENTIA, BRAIN INJURY AND MANY MORE. LICENSED OCCUPATIONAL THERAPISTS CAN CONDUCT ASSESSMENTS ON PHYSICAL PERFORMANCE, REACTION TIME, ABILITY TO READ SIGNS, PROBLEM SOLVING TECHNIQUES AND MORE. O PRESENTATION ON HOW THE COST OF MEDICATIONS CAN BE A MAJOR BARRIER TO MEDICATION ACCESSIBILITY. NEARLY FOUR IN TEN OF THOSE TAKING FOUR OR MORE PRESCRIPTION DRUGS SAY THEY HAVE DIFFICULTY AFFORDING THEIR PRESCRIPTIONS. WHAT CAN BE DONE TO HELP REDUCE COST RELATED MEDICATION NON-ADHERENCE AND IMPROVE MEDICATION AFFORDABILITY. O CLIMATE CHANGE & KEEPING HEALTHY - THE SCIENCE OF CLIMATE CHANGE, THE MULTIPLE IMPACTS CLIMATE CHANGE CAN HAVE ON OUR HEALTH, AND MOST IMPORTANTLY, WHAT WE CAN DO INDIVIDUALLY AND COLLECTIVELY TO HELP PROTECT OUR HEALTH AND BE PART OF THE SOLUTION. O BREAST CANCER AWARENESS DISCUSSIONS RELATING TO TAKING CHARGE OF YOUR BREAST, BREAST CANCER SCREENING RECOMMENDATIONS, SIGNS AND SYMPTOMS OF BREAST CANCER AND HOW TO REDUCE YOUR BREAST CANCER RISK FROM A BREAST SURGEON PERSPECTIVE. O COGNITIVE HEALTH O RRH'S MOBILE MAMMOGRAPHY CENTER WILL BE ON SITE FOR MAMMOGRAM SCREENINGS. THE MAMMOGRAM MACHINE ON THE BUS IS THE EXACT SAME AS THE MACHINE USED IN THE HOSPITAL, AS IS THE QUALITY. O BREAK DOWN THE COMPLICATED INFORMATION REGARDING LUNG CANCER AND SHED SOME LIGHT AS TO WHAT RESEARCHERS ARE DOING TO DECREASE LUNG CANCER RATES AND IMPROVE OUTCOMES. O EFFECTS OF LONELINESS AND STRATEGIES FOR STAYING CONNECTED - THE EPIDEMIC OF LONELINESS IN THE UNITED STATES HAS REACHED AN ALL-TIME HIGH IN RECENT YEARS. THE PHYSICAL AND MENTAL EFFECTS OF LONELINESS CAN INCREASE THE RISK FOR HEART DISEASE, STROKE, DEMENTIA AND EVEN PREMATURE DEATH. LEARN STRATEGIES FOR STAYING CONNECTED. O URINARY HEALTH AND INCONTINENCE - DISCUSSING THE TYPES OF URINARY INCONTINENCE, HOW URINARY INCONTINENCE OFTEN HAS A MUSCULOSKELETAL ORIGIN, AND HOW YOU CAN TREAT AND EVEN CURE WITH SIMPLE INTERVENTIONS. O LIVE TO 100: SECRETS OF THE BLUE ZONES - SCIENTISTS FOUND OTHER LONGEVITY HOTSPOTS WORLDWIDE AND THEY ARE KNOWN AS THE BLUE ZONES. THE RESEARCHERS FOUND THAT ALL BLUE ZONES AREAS SHARE NINE SPECIFIC LIFESTYLE HABITS THAT ARE CALLED THE POWER 9. O LEARN ABOUT EATING FOR KIDNEY HEALTH.
FORM 990, PART III, LINE 4A: (CONTINUED)	DURING 2023 ROCHESTER REGIONAL HEALTH WAS RECOGNIZED AS FOLLOWS: THE RRH CHEMICAL DEPENDENCY PROGRAM BECAME ONE OF THE FIRST IN NEW YORK STATE TO BE ENDORSED AS AN LGBTQ-AFFIRMING PROGRAM BY THE NEW YORK STATE OFFICE OF ADDICTION SERVICES AND SUPPORTS (OASAS). LIVING WITH SUBSTANCE USE DISORDER IS A SIGNIFICANT LIFE HARDSHIP. YET, CULTURALLY RESPONSIVE CARE HAS NOT ALWAYS BEEN AVAILABLE TO PEOPLE IDENTIFYING AS LESBIAN, GAY, BISEXUAL, TRANSGENDER, QUEER/QUESTIONINGOR ANY PART OF THE LGBTQ COMMUNITY. RRH CHEMICAL DEPENDENCY PROVIDES A SAFE, WELCOMING SPACE FOR PERSON-CENTERED CARE. AS THE REGION'S MOST EXTENSIVE CHEMICAL DEPENDENCY TREATMENT PROVIDER AND ONE OF THE FIRST TO OFFER CHEMICAL DEPENDENCY PROGRAMS AND SERVICES TAILORED TO LGBTQ PATIENT NEEDS. OUR FLEXIBLE OFFERINGS INCLUDE INPATIENT REHABILITATION, OUTPATIENT SERVICES, AND INTEGRATED MEDICATION-ASSISTED TREATMENT. TO ADDRESS THE UNIQUE NEEDS OF LGBTQ CLIENTS, WE OFFER AFFIRMATIVE CARE TO SUPPORT RECOVERY IN INDIVIDUAL SESSIONS, GROUP SESSIONS, AND PEER RECOVERY SERVICES. THE LGBTQ-AFFIRMING PROGRAM ENDORSEMENT FROM OASAS IS AN OPERATING DESIGNATION FOR CERTIFIED PROGRAMS THAT HAVE CREATED AN LGBTQ-AFFIRMING ADDICTION TREATMENT SPACE. ROCHESTER REGIONAL HEALTH WAS NAMED A PRACTICE GREENHEALTH SYSTEM FOR CHANGE AWARD WINNER FOR THE SIXTH YEAR IN A ROW IN RECOGNITION OF THE SYSTEM'S ONGOING COMMITMENT TO SUSTAINABILITY. ADDITIONALLY, OUR FIVE ROCHESTER-ADJACENT HOSPITALS HAVE BEEN NAMED AS PARTNERS FOR CHANGE AWARD RECIPIENTS. THE SYSTEM FOR CHANGE AWARD RECOGNIZES HEALTH SYSTEMS THAT ARE WORKING COHESIVELY TO SET SYSTEM-WIDE SUSTAINABILITY GOALS, TRACK PERFORMANCE DATA, AND SUPPORT INTRA-ORGANIZATIONAL LEARNING AND IMPLEMENTATION WITHIN THEIR INSTITUTIONS. THE ASSOCIATION OF COMMUNITY CANCER CENTERS (ACCC) NATIONAL ONCOLOGY CONFERENCE TASKFORCE CHOSE THE LIPSON CANCER INSTITUTE'S "A COLLABORATIVE CARE MODEL" AS A 2023 ACCC INNOVATOR AWARD WINNER. THE ACCC INNOVATOR AWARD RECOGNIZES INNOVATIONS THAT SUPPORT ADVANCEMENTS TO ACCESS, QUALITY, AND VALUE IN CANCER CARE DELIVERY. AS PART OF THE COLLABORATIVE CARE MODEL, THE LIPSON CANCER INSTITUTE EMBEDDED COUNSELING SERVICES INTO ONCOLOGY AND PALLIATIVE CARE ACROSS SIX CLINIC LOCATIONS. THE MODEL ALLOWS PATIENTS TO RECEIVE COUNSELING FOR DEPRESSION, ANXIETY, OR OTHER PSYCHO-SOCIAL CONCERNS WHILE IN ACTIVE TREATMENT AND SURVIVORSHIP, ELIMINATING MANY BARRIERS TO CARE. COUNSELING IS PROVIDED IN-PERSON OR VIRTUALLY, ENSURING THAT CRITICAL SUPPORT AND MENTAL HEALTH CARE ARE ACCESSIBLE TO ALL, INCLUDING PATIENTS IN RURAL AREAS AND THOSE WHO ARE HOMEBOUND. THE ROCHESTER REGIONAL HEALTH CARDIAC AND PULMONARY REHABILITATION PROGRAM TEAM MAINTAINED THEIR AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION (AACVPR) CERTIFICATIONS. AS THE ONLY PEER-REVIEW ACCREDITATION PROCESS, AACVPR PROGRAM CERTIFICATION IS DESIGNED TO REVIEW INDIVIDUAL PROGRAMS FOR ADHERENCE TO THE HIGHEST STANDARDS AND GUIDELINES DEVELOPED AND PUBLISHED BY A GROUP OF PROFESSIONAL SOCIETIES IN THE FIELD. CERTIFICATION IS VALID FOR THREE YEARS. TO EARN ACCREDITATION, THE CARDIAC AND PULMONARY REHAB PROGRAM PARTICIPATED IN AN APPLICATION PROCESS THAT REQUIRED EXTENSIVE DOCUMENTATION OF PRACTICES. ROCHESTER REGIONAL HEALTH AMONG TOP 100 HOSPITALS & HEALTH SYSTEMS WITH HIGH-ACHIEVING ORTHOPEDIC PROGRAMS RRH WAS ANNOUNCED AS PART OF THE BECKER'S HEALTHCARE LIST OF "HOSPITALS AND HEALTH SYSTEMS WITH GREAT ORTHOPEDIC PROGRAMS" FOR 2023. AS BECKER'S CITES IN ITS LIST, RRH PERFORMS ABOUT 18,000 ORTHOPEDIC SURGERIES AND HAS MORE THAN 160,000 OUTPATIENT ORTHOPEDIC VISITS YEARLY. RRH IS THE REGIONAL LEADER IN JOINT REPLACEMENT, PERFORMING THOUSANDS OF HIP, KNEE, SHOULDER, ELBOW, ANKLE, AND CERVICAL SPINE PROCEDURES ANNUALLY AT RRH HOSPITALS THAT DNV HEALTHCARE REPEATEDLY RECOGNIZES AS ORTHOPEDIC CENTERS OF EXCELLENCE. RRH IS AMONG ONLY A FEW HEALTH SYSTEMS IN THE COUNTRY OFFERING A VERIFIED GERIATRIC SURGICAL PROGRAM THAT PROVIDES OLDER ADULT PATIENTS PERSONALIZED SURGICAL PLANS, INCLUDING COMPREHENSIVE PRE-OP EVALUATIONS BEFORE THEY ARRIVE IN THE OPERATING SUITE. RRH SURGEONS ALSO UTILIZE STATE-OF-THE-ART TOOLS, SUCH AS ROBOTIC SURGICAL ASSISTANT, ALLOWING JOINT REPLACEMENTS TO BE DONE WITH GREATER ACCURACY AND EFFICIENCY. IN ADDITION, RRH IS ALSO HELPING SOME OF OUR COMMUNITY'S YOUNGEST ORTHOPEDIC PATIENTS THROUGH OUR SPORTS MEDICINE PROGRAMS, HELPING YOUNG ATHLETES TRAIN WITHOUT INJURY AND STANDING READY FOR ANY EMERGENCY ALONG THE SIDELINES WHEN THOSE ATHLETES ARE ON THE FIELD FOR A GAME. FIVE RRH EMERGENCY DEPARTMENT PHYSICIANS WERE RECOGNIZED BY THE NEW YORK AMERICAN COLLEGE OF EMERGENCY PHYSICIANS (NY ACEP) AS RECIPIENTS OF THEIR 2023 "UNSUNG HEROES" AWARD. THESE PHYSICIANS WERE AMONG JUST 33 RECOGNIZED ACROSS ALL OF NYS FOR THEIR INCREDIBLE CONTRIBUTIONS TO THEIR COLLEAGUES AND THE PATIENTS AND COMMUNITIES THEY SERVE. 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. RGH 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. THE RGH CAMPUS OFFICIALLY OPENED THE SANDS-CONSTELLATION CENTER FOR CRITICAL CARE WITH ITS 7-STORY, 312,000-SQUARE-FOOT STRUCTURE IN OCTOBER 2020. THE CENTER IS HOME TO VISIONARY INNOVATION WITH BREAKTHROUGH TECHNOLOGY AND EQUIPMENT, BROUGHT TO LIFE BY EXCEPTIONAL CARE TEAMS WHO ARE TRAINED IN PROVIDING THE HIGHEST LEVEL OF CARE FOR THOSE WHO NEED IT MOST. WITH A NEW SURGICAL CARE CENTER, WOMEN'S HEALTH AND NEWBORN CARE SUITES FOCUSED ON HELPING FAMILIES GROW AND 36 PRIVATE PATIENT ROOMS PER FLOOR IN THE MEDICAL, SURGICAL AND ONCOLOGY CARE AREAS, RGH IS ENHANCING LIVES AND PRESERVING HEALTH IN A PLACE BUILT FOR THE FUTURE OF HEALTHCARE AND THE LOCAL COMMUNITY. THE LIPSON CANCER INSTITUTE WAS FOUNDED ON A COMMITMENT TO PROVIDE COMPREHENSIVE AND QUALITY CANCER CARE FROM ONE INTEGRATED PROGRAM. AS A RECOGNIZED LEADER IN THE TREATMENT OF CANCER AND BLOOD DISORDERS, THE MOST UP-TO-DATE, INNOVATIVE THERAPIES ARE EMPLOYED AND TAP INTO THE MOST PROMISING RESEARCH IN CANCER DETECTION, DIAGNOSIS, AND TREATMENT. THIS COMMITMENT TO CLINICAL INNOVATION HELPS PATIENTS AND THEIR FAMILIES ENJOY HIGHER SUCCESS RATES, FEWER TREATMENT-RELATED SIDE EFFECTS, AND LONGER, HEALTHIER LIVES. 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 2023 SOME OF THE MAJOR IMPROVEMENTS INCLUDE THE FOLLOWING: IN SEPTEMBER 2023, ROCHESTER GENERAL HOSPITAL (RGH) BECAME THE FIRST HOSPITAL IN UPSTATE NEW YORK TO OFFER AQUABLATION THERAPY, A MINIMALLY-INVASIVE TREATMENT FOR LOWER URINARY TRACT SYMPTOMS (LUTS) DUE TO BENIGN PROSTATIC HYPERPLASIA (BPH) OR ENLARGED PROSTATE. DURING 2023 ROCHESTER GENERAL HOSPITAL WAS RECOGNIZED FOR THE FOLLOWING ACHIEVEMENTS: RGH RECEIVED THE AMERICAN HEART ASSOCIATION'S "GET WITH THE GUIDELINES" GOLD PLUS ACHIEVEMENT, STROKE HONOR ROLL ELITE, TYPE 2 DIABETES HONOR ROLL AND A 10-YEAR RECOGNITION, GIVEN TO HOSPITALS WITH GOLD PLUS ACHIEVEMENT IN GET WITH THE GUIDELINES-STROKE AND/OR GET WITH THE GUIDELINES-HEART FAILURE FOR 10 OR MORE CONSECUTIVE CALENDAR YEARS. THESE DESIGNATIONS HIGHLIGHT RGH'S COMMITMENT TO APPLYING THE MOST UP-TO-DATE EVIDENCE-BASED TREATMENT GUIDELINES AND THEIR DEDICATION TO PROVIDING HIGH-QUALITY CARE TO STROKE PATIENTS IN OUR COMMUNITIES. THE PALLIATIVE CARE TEAM AT ROCHESTER GENERAL HOSPITAL HAD A SUCCESSFUL YEAR TWO DNV SURVEY WITH ZERO NON-CONFORMITIES. RGH RECEIVED THE INSTITUTE FOR HEALTHCARE IMPROVEMENT'S (IHI) AGE-FRIENDLY HEALTH SYSTEMS- COMMITTED TO CARE EXCELLENCE DESIGNATION. IHI RECOGNIZES HEALTHCARE FACILITIES WORKING TOWARDS EVIDENCE-BASED INTERVENTIONS FOR OLDER ADULTS IN THEIR CARE FOLLOWING THE 4MS: WHAT MATTERS, MEDICATION, MENTATION, AND MOBILITY. THE COMMITTED TO CARE EXCELLENCE DESIGNATION IS THE HIGHEST RECOGNITION IN THE AGE-FRIENDLY HEALTH SYSTEMS MOVEMENT AND ACKNOWLEDGES THAT THESE PRACTICES HAVE BEEN IMPLEMENTED WITH PROVEN DATA FOR AT LEAST THREE MONTHS.
FORM 990, PART III, LINE 4A: (CONTINUED)	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. THE TEAM CONTINUES TO SHOW THEIR COMMITMENT TO THE COMMUNITY THROUGH THE FOLLOWING EVENTS: IN RECOGNITION OF NATIONAL HEALTHCARE DECISIONS DAY, THE PALLIATIVE CARE TEAM HAD REPRESENTATIVES PROMOTING HEALTH CARE PROXY AND ADVANCED CARE PLANNING EDUCATION AND DOCUMENT COMPLETION. ST. JOHN FISHER COLLEGE KICKED OFF ITS CARDINAL NURSE CAMP, WHERE JUNIORS AND SENIORS IN HIGH SCHOOL INTERESTED IN A CAREER IN THE NURSING PROFESSION HAD THE OPPORTUNITY TO SHADOW NURSES AT ROCHESTER GENERAL HOSPITAL.
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 42,180,367. MANAGEMENT AND GENERAL EXPENSES 3,484,786. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,665,153. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 160,814,602. MANAGEMENT AND GENERAL EXPENSES 14,124,604. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 174,939,206. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 8,738,758. MANAGEMENT AND GENERAL EXPENSES 264,259. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,003,017. SPECIAL FEES: PROGRAM SERVICE EXPENSES 82,604. MANAGEMENT AND GENERAL EXPENSES 27,755. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 110,359.
FORM 990, PART XI, LINE 9:	CHANGE IN INTEREST IN NET ASSETS OF ROCHESTER REGIONAL HEALTH FOUNDATION -8,551,463. LAB SERVICE UBI -2,496,280. PASSTHROUGH UBI -128,462. INVESTMENT IN GRIPA 9,245,840.
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, 2023 ENDING TAX YEAR OF FOREIGN CORPORATION: DECEMBER 31, 2023 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, 2023 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) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

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)BEHAVIORAL HEALTH NETWORK INC 490 EAST RIDGE ROAD ROCHESTER,NY14621 16-6069131	MENTAL HEALTH	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(2)CANTON-POTSDAM HOSPITAL 50 LEROY STREET POTSDAM,NY13676 16-1012691	HOSPITAL	NY	501(C)(3)	LINE 3	ST LAWRENCE HEALTH SYSTEM INC	Yes
(3)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
(4)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
(5)CLIFTON SPRINGS HOSPITAL AND CLINIC 2 COULTER ROAD CLIFTON SPRINGS,NY14432 16-0743966	HOSPITAL	NY	501(C)(3)	LINE 3	ROCHESTER REGIONAL HEALTH	Yes
(6)CONTINUING CARE NETWORK INC (CCN) 100 KINGS HIGHWAY SOUTH ROCHESTER,NY14617 22-2963016	SUPPORT RGH	NY	501(C)(3)	LINE 12B, II	ROCHESTER REGIONAL HEALTH	Yes
(7)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
(8)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
(9)GOVEURNEUR HOSPITAL 77 WEST BARNEY STREET GOUVERNEUR,NY13642 46-4249555	HOSPITAL	NY	501(C)(3)	LINE 3	ST LAWRENCE HEALTH SYSTEM INC	Yes
(10)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
(11)INDEPENDENT LIVING FOR SENIORS 2066 HUDSON AVENUE ROCHESTER,NY14617 16-1491059	ADULT DAY HC	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(12)MASSENA HOSPITAL INC 1 HOSPITAL DRIVE MASSENA,NY13662 84-3134268	HOSPITAL	NY	501(C)(3)	LINE 3	ST LAWRENCE HEALTH SYSTEM INC	Yes
(13)NEWARK WAYNE COMMUNITY HOSPITAL DRIVING PARK AVENUE NEWARK,NY14513 15-0584188	HOSPITAL	NY	501(C)(3)	LINE 3	ROCHESTER REGIONAL HEALTH	Yes
(14)NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATION DRIVING PARK AVENUE NEWARK,NY14513 22-2963015	FUNDRAISING	NY	501(C)(3)	LINE 12B, II	ROCHESTER REGIONAL HEALTH	Yes
(15)NORTH PARK NURSING HOME INC 1555 LONG POND RD ROCHESTER,NY14626 22-3159644	LONG TERM CARE FACILITY	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(16)PARK RIDGE CHILD CARE CENTER INC 1555 LONG POND RD ROCHESTER,NY14626 22-2918126	CHILD DAY CARE SERVICES	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(17)PARK RIDGE HOUSING DEVELOPMENT FUND 1555 LONG POND RD ROCHESTER,NY14626 22-2608311	LOW INCOME HOUSING PROJECT FOR ELDERLY	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(18)PARK RIDGE 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
(19)PARKWAY COMMONS HOUSING DEVELOPMENT 1555 LONG POND RD ROCHESTER,NY14626 22-3130818	LOW INCOME HOUSING FOR ELDERLY/HANDICAPPED	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(20)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
(21)PRCD INC 1555 LONG POND RD ROCHESTER,NY14626 16-1311581	SUBSTANCE ABUSE TREATMENT & REHAB.	NY	501(C)(3)	LINE 7	ROCHESTER REGIONAL HEALTH	Yes
(22)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
(23)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
(24)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
(25)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
(26)ROCHESTER REGIONAL HEALTH FOUNDATION 100 KINGS HIGHWAY SOUTH ROCHESTER,NY14617 22-2229425	FUNDRAISING	NY	501(C)(3)	LINE 12B, II	ROCHESTER REGIONAL HEALTH	Yes
(27)ROCHESTER GENERAL HUDSON HOUSING 2066 HUDSON AVENUE ROCHESTER,NY14621 22-3210351	LOW INC HOUSING	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(28)ROCHESTER GENERAL LONG TERM CARE 1550 EMPIRE BLVD WEBSTER,NY14580 22-3187140	NH & REHAB	NY	501(C)(3)	LINE 10	ROCHESTER REGIONAL HEALTH	Yes
(29)ROCHESTER REGIONAL HEALTH 100 KINGS HIGHWAY SOUTH ROCHESTER,NY14617 47-1234999	SYSTEM PARENT	NY	501(C)(3)	LINE 12B, II	N/A	Yes
(30)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
(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)UNITED MEMORIAL MEDICAL CENTER 127 NORTH STREET BATAVIA,NY14020 16-0743029	HOSPITAL	NY	501(C)(3)	LINE 3	ROCHESTER REGIONAL HEALTH	Yes
(33)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
(34)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
(35)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
(36)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
(37)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
(38)VIA HEALTH HOME CARE I 100 KINGS HIGHWAY SOUTH ROCHESTER,NY14617 16-1504370	HOME HEALTH	NY	501(C)(3)	LINE 10	CCN	Yes
(39)VIA HEALTH HOMECARE II 100 KINGS HIGHWAY SOUTH ROCHESTER,NY14617 16-1538727	HOME HEALTH	NY	501(C)(3)	LINE 10	CCN	Yes
(40)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

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

Cat. No. 50135Y

Schedule R (Form 990) 2023

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) LATTIMORE SERVICES LLC 125 LATTIMORE ROAD ROCHESTER,NY14620 16-1533823	MGMT SVCS	NY	RGH	RELATED				No			No	29.000 %
(2) NW ASSOCIATES LP PO BOX 111 DRIVING PARK AVENUE NEWARK,NY14513 14-1674119	R/E LEASING	NY	NWCH	RELATED				No			No	73.610 %
(3) PARMA SENIOR HOUSING 1555 LONG POND RD ROCHESTER,NY14626 43-2082116	HILTON PROJ	NY	N/A	RELATED				No			No
(4) UNITY SENIOR HOUSING 1555 LONG POND RD ROCHESTER,NY14626 06-1709927	MOORE PK	NY	N/A	RELATED				No			No

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) ACM MEDICAL LABORATORY INC 160 ELMGROVE PARK ROCHESTER,NY14624 16-1059691	CLINICAL LAB	NY	PRH INC	C					No
(2) GRACO RISK RETENTION GROUP INC 1425 PORTLAND AVENUE ROCHESTER,NY14621 71-0933967	INSURANCE	SC	RGH	C			100.000 %		No
(3) GREATER ROCHESTER ASSURANCE COMPANY LTD GEORGE TOWN GRAND CAYMAN CJ	INSURANCE	CJ	N/A	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) NWA INC DRIVING PARK AVENUE NEWARK,NY14513 14-1667339	R/E LEASING	NY	NWCH	C			100.000 %		No
(6) PARMA SENIOR HOUSING LLC 1555 LONG POND ROAD ROCHESTER,NY14626 81-0671687	SENIOR HOUSING	NY	ROCHESTER REGIONAL HEALTH	C					No
(7) PRH INC 1555 LONG POND ROAD ROCHESTER,NY14626 16-1329632	MEDICAL LAB	NY	ROCHESTER REGIONAL HEALTH	C					No
(8) ROCHESTER GENERAL HEALTH SYSTEM DIALYSIS INC 1425 PORTLAND AVENUE ROCHESTER,NY14621 38-3912199	DIALYSIS	NY	RGHS	C			100.000 %		No
(9) UNITY HEALTH SYSTEM PURCHASING GROUP LLC 1555 LONG POND ROAD ROCHESTER,NY14626 22-2572873	SENIOR HOUSING	NY	ROCHESTER REGIONAL HEALTH	C					No
(10) UNITY SENIOR HOUSING CORP 1555 LONG POND ROAD ROCHESTER,NY14626 06-1709925	SENIOR HOUSING	NY	ROCHESTER REGIONAL HEALTH	C					No

Schedule R (Form 990) 2023

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	Q	81,914,531	FMV
(2) WNY MEDICAL PRACTICE PC	Q	50,871,781	FMV
(3) GREATER ROCHESTER ASSURANCE COMPANYLTD	P	21,636,935	FMV
(4) UNITED MEMORIAL MEDICAL CENTER	Q	20,535,638	FMV
(5) ROCHESTER REGIONAL HEALTH SYSTEM	P	14,522,474	FMV
(6) INDEPENDENT LIVING FOR SENIORS INC	L	14,011,838	FMV
(7) GRHS FOUNDATION INC	K	10,901,947	FMV
(8) CLIFTON SPRINGS HOSPITAL AND CLINIC	Q	10,263,232	FMV
(9) NEWARK WAYNE COMMUNITY HOSPITAL	Q	9,469,649	FMV
(10) ROCHESTER REGIONAL HEALTH FOUNDATION	C	6,697,920	FMV
(11) ACM LABORATORY	P	5,425,084	FMV
(12) GENESEE REGION HOME CARE ASSOCIATION INC	Q	3,344,943	FMV
(13) THE UNITY HOSPITAL OF ROCHESTER	J	3,169,365	FMV
(14) INDEPENDENT LIVING FOR SENIORS INC	Q	1,628,004	FMV
(15) PARK RIDGE NURSING HOME (PRLC)	Q	1,507,511	FMV
(16) GRHS FOUNDATION INC	J	1,463,058	FMV
(17) NORTH PARK NURSING HOME (ETW)	Q	1,185,072	FMV
(18) ROCHESTER MENTAL HEALTH CENTER (BEHAVIORAL HEALTH CENTER)	Q	662,660	FMV
(19) PRH INC	Q	561,631	FMV
(20) RGHS WORKERS' COMPENSATION TRUST	P	531,694	FMV
(21) RGHS WORKERS COMPENSATION TRUST	Q	344,171	FMV
(22) GREATER ROCHESTER INDEPENDENT PRACTICE ASSOC INC (GRIPA)	Q	326,250	FMV
(23) ROCHESTER REGIONAL HEALTH FOUNDATION	J	248,188	FMV
(24) PRH INC	P	246,341	FMV
(25) ROCHESTER REGIONAL HEALTH FOUNDATION	Q	226,430	FMV
(26) NEWARK WAYNE COMMUNITY HOSPITAL	K	107,039	FMV
(27) PARK RIDGE CHILD CARE INC	Q	100,342	FMV
(28) CLIFTON SPRINGS HOSPITAL AND CLINIC	J	67,425	FMV
(29) GRHS FOUNDATION INC	Q	2,084,784	FMV
(30) ACM LABORATORY	Q	1,000,264	FMV
(31) BEHAVIORAL HEALTH NETWORK	B	514,867	FMV

Schedule R (Form 990) 2023

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) 2023

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) 2023

Additional Data

Software ID:
Software Version:

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	17
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	9
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	11,035
6	Total number of volunteers (estimate if necessary) .............	6	188
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	2,624,742
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) .........	49,031,906	75,674,779
9	Program service revenue (Part VIII, line 2g) .........	1,273,006,154	1,453,484,835
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-6,254,749	28,472,035
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	28,033,166	24,703,414
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,343,816,477	1,582,335,063
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	452,600	388,000
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)	697,296,037	727,350,899
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)....	659,733,845	844,712,415
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,357,482,482	1,572,451,314
19	Revenue less expenses. Subtract line 18 from line 12.......	-13,666,005	9,883,749
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	2,092,987,995	2,085,432,688
21	Total liabilities (Part X, line 26).............	1,266,599,059	1,223,759,894
22	Net assets or fund balances. Subtract line 21 from line 20.....	826,388,936	861,672,794

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,454,881,753 including grants of $ 388,000 ) (Revenue $ 1,475,563,507 )
	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 expenses1,454,881,753

(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) JENNIFER ESLINGER........................................................................ COO	15.00 .......................40.00	X		352,913	941,100	11,368
(19) THOMAS CRILLY........................................................................ CFO	13.00 .......................42.00	X		336,680	1,087,739	154,601
(20) HUGH THOMAS........................................................................ CAO	24.00 .......................31.00	X		755,080	975,311	9,101
(21) CHRISTIAN CASINI........................................................................ ASSISTANT SECRETARY	0.00 .......................55.00	X		0	337,568	34,153
(22) GORDON WHITBECK........................................................................ PHYSICIAN	40.00 .......................0.00		X	1,534,303	0	101,790
(23) TIMOTHY WAGNER........................................................................ PHYSICIAN	40.00 .......................0.00		X	1,852,303	0	18,579
(24) ALLEN CHENG........................................................................ PHYSICIAN	40.00 .......................0.00		X	1,202,460	0	34,689
(25) GIAN VINELLI........................................................................ PHYSICIAN	40.00 .......................0.00		X	1,393,803	0	25,275
(26) VINCENT CHANG........................................................................ PHYSICIAN	40.00 .......................0.00		X	1,191,144	0	-15,470

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	10,789,667	6,097,453	609,062

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	4,129,564
e	Government grants (contributions)		1e	56,069,065

f	All other contributions, gifts, grants, and similar amounts not included above		1f	15,476,150

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

h Total. Add lines 1a-1f.......		75,674,779

		Business Code
2a	PATIENT SERVICE REVENUE	622110	1,437,827,164	1,437,827,164
b	RENTAL REVENUE FROM RELATED PARTI	531120	8,158,660	8,158,660
c	SCHOOL OF NURSING	611600	4,001,377	4,001,377
d	RESEARCH	541700	110,304	110,304
e
f	All other program service revenue.		3,387,330	3,387,330
g	Total. Add lines 2a–2f .....		1,453,484,835

3 Investment income (including dividends, interest, and othersimilar amounts) ......			23,012,192			23,012,192
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a
b	Less: rental expenses	6b
c	Rental income or (loss)	6c
d	Net rental income or (loss).......
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	123,441,792
b	Less: cost or other basis and sales expenses	7b	117,981,949
c	Gain or (loss)	7c	5,459,843
d	Net gain or (loss).........			5,459,843			5,459,843
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
11a	PHARMACY REVENUE		456110	15,990,267	15,990,267
b	CAFETERIA/CAFE & CATERING		722514	2,489,477	2,489,477
c	PASSTHROUGH UBIT		900099	128,462		128,462
d	All other revenue ....			6,095,208	3,598,928	2,496,280
e	Total. Add lines 11a–11d ......			24,703,414
12	Total revenue. See instructions.....			1,582,335,063	1,475,563,507	2,624,742	28,472,035

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	388,000	388,000
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 ...........	3,701,990	3,322,087	379,903
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........	587,946,880	555,347,027	32,599,853
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	55,275,407	52,803,142	2,472,265
9	Other employee benefits .......	34,888,729	33,434,745	1,453,984
10	Payroll taxes ...........	45,537,893	43,029,642	2,508,251
11	Fees for services (non-employees):
a	Management ......	301,090	225,366	75,724
b	Legal .........	1,909,739	1,429,440	480,299
c	Accounting ...........	78,997	59,129	19,868
d	Lobbying ...........	118,536		118,536
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)	229,717,735	211,816,331	17,901,404
12	Advertising and promotion ....
13	Office expenses .......	8,020,648	7,840,183	180,465
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	47,119,630	35,269,043	11,850,587
17	Travel ............	654,323	639,601	14,722
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	23,120,273	20,542,459	2,577,814
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	58,540,024	46,949,099	11,590,925
23	Insurance ...	22,757,203	22,245,166	512,037
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	403,445,869	379,114,005	24,331,864
b	SHARED SERVICE EXPENSE	33,154,553	24,816,183	8,338,370
c	BAD DEBT EXPENSE	8,543,095	8,543,095
d	TAXES AND ASSESSMENTS	5,954,457	5,820,482	133,975
e	All other expenses	1,276,243	1,247,528	28,715
25	Total functional expenses. Add lines 1 through 24e	1,572,451,314	1,454,881,753	117,569,561	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 ........			6,492,468	1	26,755,511
2	Savings and temporary cash investments .........			115,853,659	2	48,639,843
3	Pledges and grants receivable, net ......			8,187,698	3	2,041,397
4	Accounts receivable, net .............			70,785,372	4	75,133,578
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 ...........			1,361,364	7	535,641
8	Inventories for sale or use ............			27,668,267	8	24,784,748
9	Prepaid expenses and deferred charges ......			15,255,755	9	14,504,819
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,363,214,324
b	Less: accumulated depreciation	10b	708,802,758	657,559,772	10c	654,411,566
11	Investments—publicly traded securities .			244,630,717	11	235,529,306
12	Investments—other securities. See Part IV, line 11 .....			272,149,581	12	274,443,846
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			673,043,342	15	728,652,433
16	Total assets. Add lines 1 through 15 (must equal line 33)...			2,092,987,995	16	2,085,432,688

17	Accounts payable and accrued expenses .....	190,955,747	17	223,549,077
18	Grants payable ...		18
19	Deferred revenue .........	14,443,580	19	4,656,662
20	Tax-exempt bond liabilities .........	512,276,537	20	505,053,056
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	548,923,195	25	490,501,099
26	Total liabilities. Add lines 17 through 25..	1,266,599,059	26	1,223,759,894

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	778,205,088	27	822,040,409
28	Net assets with donor restrictions ...........	48,183,848	28	39,632,385
	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 ...........	826,388,936	32	861,672,794
33	Total liabilities and net assets/fund balances ........	2,092,987,995	33	2,085,432,688

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