4A (Expenses $ 295586534 including grants of $ 0) (Revenue $ 233424499)
INPATIENT AND ACUTE SERVICES (SEE SCHEDULE O)UHS HOSPITALS FULFILLS ITS MISSION BY WORKING TOGETHER WITH THE COMMUNITY, PHYSICIANS, AND OTHER HEALTH CARE PROVIDERS TO CONTINUOUSLY IMPROVE THE AVAILABILITY AND QUALITY OF SERVICES AND THE ABILITY TO PROVIDE A COMPREHENSIVE RANGE OF SHORT-TERM INPATIENT ACUTE AND REHABILITATIVE SERVICES ON ITS WILSON MEDICAL CENTER AND BINGHAMTON GENERAL HOSPITAL CAMPUSES. WILSON MEDICAL CENTER IS A 280-BED TEACHING HOSPITAL WHICH PROVIDES A FULL RANGE OF MEDICAL-SURGICAL SERVICES, INCLUDING: CARDIOLOGY, PERINATOLOGY, OPHTHALMOLOGY, EMERGENCY MEDICINE, MATERNITY CARE, PULMONARY MEDICINE, NEONATOLOGY, PEDIATRICS, ORTHOPEDIC, ONCOLOGY, AS WELL AS NEUROSCIENCE. WILSON MEDICAL CENTER IS A REGIONAL REFERRAL CENTER FOR THE ADVANCED PRACTICE OF EMERGENCY MEDICINE, NEUROSURGERY AND NEWBORN INTENSIVE CARE. IT IS ALSO THE SITE FOR THE PRACTICE OF OPEN-HEART SURGERY AND OTHER ADVANCED CARDIAC PROCEDURES. BINGHAMTON GENERAL HOSPITAL IS A 220-BED FACILITY OFFERING: MENTAL HEALTH SERVICES, ORTHOPEDIC AND RECONSTRUCTIVE SURGERY, DIALYSIS, AND REHABILITATION CENTER. TOTAL INPATIENT DAYS IN 2021 TOTALED 100,009, DISCHARGES WERE 18,621 AND THE AVERAGE LENGTH OF STAY WAS 5.47 DAYS. THERE WERE 898 BIRTHS AND 2,898 INPATIENT SURGERIES PERFORMED AT UHS HOSPITALS IN 2021. UHS HOSPITALS INCREASES ACCESS TO HEALTH CARE SERVICES BY OFFERING AN ADVOCACY PROGRAM WHICH HELPS THOSE WITHOUT FINANCIAL RESOURCES TO PAY THEIR HEALTHCARE BILLS. IN 2021, UHS HOSPITALS GAVE FINANCIAL ASSISTANCE TO APPROXIMATELY 955 PATIENTS FOR WHICH $3,395,057 OF INPATIENT CARE (AT CHARGES) WAS PROVIDED.

4B (Expenses $ 70377746 including grants of $ 0) (Revenue $ 338842015)
OUTPATIENT AND AMBULATORY SERVICES (SEE SCHEDULE O)UHS HOSPITALS ALSO PROVIDES A COMPREHENSIVE RANGE OF OUTPATIENT DIAGNOSTIC AND TREATMENT SERVICES, ON ITS WILSON MEDICAL CENTER AND BINGHAMTON GENERAL HOSPITAL CAMPUSES. WILSON MEDICAL CENTER PROVIDES A FULL RANGE OF MEDICAL OUTPATIENT SERVICES, INCLUDING EMERGENCY DEPARTMENT, AMBULATORY SURGERY, FULL-SERVICE LABORATORY, COMPREHENSIVE IMAGING, GASTROENTEROLOGY LAB, CARDIAC CATH LAB, INFUSION, PHARMACY, AND OTHER PROCEDURAL OUTPATIENT SERVICES. BINGHAMTON GENERAL HOSPITAL ALSO PROVIDES EMERGENCY DEPARTMENT, AMBULATORY SURGERY, LABORATORY, IMAGING AND GASTROENTEROLOGY LAB SERVICES, IN ADDITION TO CARDIAC REHABILITATION, OUTPATIENT MENTAL HEALTH, AND OUTPATIENT SUBSTANCE USE DISORDER SERVICES. TOTAL PATIENT VISITS FOR OUTPATIENT SERVICES FOR YEAR-END 2021 TOTALED 1,920,718 EXCLUSIVE OF THE CLINIC SERVICES NOTED IN 4C BELOW. INCLUDED IN THE 1,920,718 VISITS WERE 42,685 EMERGENCY ROOM VISITS, 10,699 EMERGENCY ROOM TREATED AND ADMITTED AS ACUTE CARE PATIENTS, 61,146 VARIOUS OUTPATIENT SURGICAL CASES, 228,113 SPECIALTY CARE VISITS AND 128,898 IMAGING AND RADIOLOGY OUTPATIENT VISITS. IN 2021, UHS HOSPITALS GAVE FINANCIAL ASSISTANCE TO APPROXIMATELY 15,036 PATIENTS FOR WHICH $7,772,314 OF OUTPATIENT CARE (AT CHARGES) WAS PROVIDED.

4C (Expenses $ 323739932 including grants of $ 0) (Revenue $ 180715741)
CLINICS (SEE SCHEDULE O)UHS HOSPITALS PROVIDES A WIDE RANGE OF PRIMARY CARE AND SPECIALTY CARE CLINICS. PRIMARY CARE SERVICES ARE THE FOUNDATION FOR SERVING THE COMMUNITY WITH A COORDINATED SYSTEM OF CARE, WITH SPECIAL ATTENTION TO UNDER-SERVED AREAS. UHS HOSPITALS OFFERS SIXTEEN PRIMARY CARE CENTERS LOCATED THROUGHOUT A MULTI-NEW YORK COUNTY SERVICE AREA: 1)BINGHAMTON FAMILY CARE, 2) UPPER FRONT STREET (BINGHAMTON), 3) CLINTON STREET (BINGHAMTON), 4) NORTHERN TIOGA, 5) DEPOSIT, 6) WINDSOR, 7) JOHNSON CITY, 8) VESTAL PARKWAY (VESTAL), 9) CANDOR, 10) OWEGO, 11) GREENE, 12)ENDICOTT, 13) MAIN STREET (JOHNSON CITY), 14) BINGHAMTON PEDIATRICS, 15) HOOPER ROAD (ENDWELL) AND 16)ROBINSON STREET (BINGHAMTON). OTHER OUTPATIENT SERVICES INCLUDE: TWO SCHOOL BASED HEALTH CENTERS, THREE WALK-IN CARE CENTERS, DIABETES MANAGEMENT CENTER, DENTAL CLINIC, NEPHROLOGY CLINIC, PLASTIC SURGERY CLINIC, AND THE WOMENS' HEALTH CENTER. TOTAL PATIENT CLINIC VISITS/PHYSICIAN ENCOUNTERS FOR THE UHS CLINCS AT YEAR END 2021 TOTALED 284,800 PRIMARY CARE AND 228,113 SPECIALTY CARE VISITS.UHS HOSPITALS FULFILLS ITS MISSION BY WORKING TOGETHER WITH THE COMMUNITY, PHYSICIANS, AND OTHER HEALTH CARE PROVIDERS TO CONTINUOUSLY IMPROVE THE AVAILABILITY AND QUALITY OF SERVICES AND THE ABILITY TO PROVIDE EDUCATIONAL PROGRAMS IN WHICH GRADUATE, UNDERGRADUATE AND CONTINUING MEDICAL EDUCATION, AS WELL AS NURSING AND OTHER PROFESSIONAL AND TECHNICAL TRAINING AND SCHOLARSHIP PROGRAMS, AND MAKING WELL-TRAINED HEALTH CARE PROFESSIONALS AND ADVANCED CLINICAL AND MEDICAL PRACTICES AVAILABLE TO THE PUBLIC. IN 2021, APPROXIMATELY 15 MEDICAL STUDENTS, REGISTERED NURSES, AND PHARMACY STUDENTS BENEFITTED FROM UHS HOSPITALS PROGRAMS. NOTE THAT DUE TO COVID, STUDENT PARTICIPATION WAS LIMITED WHICH CAUSED THE EXTREMELY LOW NUMBERS. THERE WERE 24 STUDENTS IN 2020 AND OVER 200 STUDENTS IN 2019.UHS HOSPITALS ALSO PROVIDES PROGRAMS AND SERVICES TO EDUCATE OUR PATIENTS, THEIR FAMILIES, BUSINESSES AND THE COMMUNITY AT LARGE ABOUT PROMOTING HEALTHY LIFESTYLES, FACILITATING UNDERSTANDING OF PERSONAL HEALTH STATUS, INCREASING KNOWLEDGE OF HEALTH CARE OPTIONS, AND ENCOURAGING EFFECTIVE UTILIZATION OF THE HEALTH-CARE SYSTEM. NOTE THAT DURING 2021, DUE TO COVID, SERVICES WERE LIMITED IN CERTAIN AREAS FOR PART OF THE YEAR. UHS HOSPITALS ALSO SPONSORS COMMUNITY ORGANIZATIONS THAT BRING PROGRAMS TO THE COMMUNITY WHICH ARE MOST DIRECTLY RELATED TO HEALTH ISSUES OR PROMOTE LOCAL HEALTH AND HUMAN SERVICES WITHIN THE COMMUNITY. AN ESTIMATED $130,000 IN SPONSORSHIP FUNDS WERE PROVIDED.

4D (Expenses $ 14073249 including grants of $ 0) (Revenue $ 14071404)
ALL OTHER (SEE SCHEDULE O)UHS HOSPITALS PROVIDES VARIOUS SERVICES TO THEIR AFFILIATE COMPANIES CHENANGO MEMORIAL HOSPITAL, IDEAL SENIOR LIVING CENTER, IDEAL SENIOR LIVING CENTER HOUSING CORPORATION, TWIN TIER HOME HEALTH, PROFESSIONAL HOME CARE, AND DELAWARE VALLEY HOSPITAL IN ADDITION TO THEIR PARENT COMPANY, UNITED HEALTH SERVICES, INC. UHS HOSPITALS ALSO RENDERS SERVICES TO THE PHYSICIAN PRACTICE MEDICAL GROUP, UNITED MEDICAL ASSOCIATES, PC. SERVICES RENDERED ARE CHARGED TO THE APPROPRIATE ENTITY AT COST.

PART V, SECTION B
FACILITY REPORTING GROUP A

FACILITY REPORTING GROUP A CONSISTS OF:
- FACILITY 1: WILSON MEMORIAL REGIONAL MEDICAL CENTER, - FACILITY 2: BINGHAMTON GENERAL HOSPITAL

GROUP A-FACILITY 1 -- WILSON MEMORIAL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5:
THE MOBILIZING ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) MODEL WAS USED TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY, PRIORITIZE HEALTH NEEDS, AND STRATEGIZE ABOUT WAYS TO IMPROVE THE HEALTH OF BROOME COUNTY RESIDENTS. THIS MODEL FUNCTIONED AS A COMMUNITY-WIDE STRATEGIC PLANNING TOOL AND FORMED THE BASIS FOR PRIORITIZING KEY PUBLIC HEALTH ISSUES AND IDENTIFYING POTENTIAL RESOURCES. THE INDIVIDUALS THAT WERE INVOLVED ARE LISTED BELOW AND WERE MEMBERS OF THE BROOME COUNTY COMMUNITY HEALTH ASSESSMENT 2019-2024 STEERING COMMITTEE.INDIVIDUALS AND COMMUNITY ORGANIZATIONS:BINGHAMTON HOUSING AUTHORITY - ELAINE MILLERBINGHAMTON UNIVERSITY - LEON COSLER, DIANE CREWS, YVONNE JOHNSTON, TITLAYOI OKORORBROOME COUNTY COUNCIL OF CHURCHES - MICHAEL LEAHEYBROOME COUNTY HEALTH DEPARTMENT - MARY MCFADDEN, DR. CHRISTOPHER RYANBROOME COUNTY LEGISLATURE - KIM MYERS, KELLY WILDONERBROOME COUNTY MENTAL HEALTH DEPARTMENT - LYNNE ESQUIVELBROOME COUNTY OFFICE FOR AGING - RITA FLUHARTY, JAMIE KELLYBROOME COUNTY PLANNING DEPARTMENT - STEPHANIE BREWERBROOME TIOGA BOCES - ALAN BUYCKBROOME COUNTY URBAN LEAGUE - JENNIFER LESKOBROOME COUNTY YMCA - AUBREY CARR, ALICE HARPER, GARETH SANSOMCORNERSTONE FAMILY HEALTHCARE - MARIANNE BUCK, KELLY WILDEYEXCELLUS BLUE CROSS BLUE SHIELD - MELISSA KLINKOFAMILY AND CHILDREN'S SOCIETY - LISA HOESCHELEGUTHRIE MEDICAL GROUP, PC - SHAWN KARNEY, HILLARY SAXTON, SHERRY SALISBURYHEALTHLINKNY - ADAM HUGHESMENTAL HEALTH ASSOCIATION OF THE SOUTHERN TIER - KATHY ECKERTMOTHERS AND BABIES PERINATAL NETWORK - CHRISTY FINCHOUR LADY OF LOURDES HOSPITAL - DEBORAH BLAKENEY, LISA BOBBY, CARMEN FRANCAVILLA, WAYNE MITTEER, JEFFREY PENOYERRURAL HEALTH NETWORK OF SCNY - PAM GUTH, EMILY HOTCHKISS, MARY MARUSCAK, JACK SALOSOUTHERN TIER INDEPENDENCE CENTER - SUSAN RUFFSUNY UPSTATE MEDICAL UNIVERSITY CLINICAL CAMPUS AT BINGHAMTON - LENORE BORISTIOGA COUNTY HEALTH DEPARTMENT - REBECCA KAUFMAN, HEATHER MORGANUNITED HEALTH SERVICES HOSPITALS - PAT WILLIAMSWEBB CONSULTING - LEA WEBB

GROUP A-FACILITY 1 -- WILSON MEMORIAL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6A:
OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.

GROUP A-FACILITY 1 -- WILSON MEMORIAL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6B:
COMMUNITY-BASED HEALTH AND HUMAN SERVICE AGENCIES:RURAL HEALTH NETWORK OF SCNYBROOME COUNTY URBAN LEAGUEMOTHERS AND BABIES PERINATAL NETWORK OF SCNYUNITED WAY OF BROOME COUNTYACTION FOR OLDER PERSONSMENTAL HEALTH ASSOCIATION OF THE SOUTHERN TIERKEEP YOUTH DOING SOMETHING (KYDS) COALITIONAGING FUTURES PARTNERSHIPFAMILY ENRICHMENT NETWORKLOCAL DIABETES AND HEART DISEASE GROUPSGOVERNMENT AGENCIES WITH SPECIAL KNOWLEDGE OF PUBLIC ISSUES:BROOME COUNTY HEALTH DEPARTMENTBROOME COUNTY DEPARTMENT OF SOCIAL SERVICESCOMMUNITY ALTERNATIVE SYSTEMS AGENCY (CASA)BROOME COUNTY MENTAL HEALTH DEPARTMENTBROOME COUNTY OFFICE FOR AGINGBROOME COUNTY ENVIRONMENTAL MANAGEMENT COUNCILBROOME COUNTY PARKS AND RECREATIONNYS DOTBINGHAMTON METROPOLITAN TRANSPORTATION STUDYSTRATEGIC ALLIANCE FOR HEALTHGOVERNMENTAL AND NON-GOVERNMENTAL AGENCIES:BROOME-TIOGA BOCESBOCES FOOD SERVICEHEALTHLINKNYAMERICAN HEART ASSOCIATIONAMERICAN CANCER SOCIETYCOMMUNITIES:LAW ENFORCEMENTBROOME COUNTY COUNCIL OF CHURCHESCATHOLIC CHARITIES OF BROOME COUNTYACADEMIA:BINGHAMTON UNIVERSITYSUNY BROOME COMMUNITY COLLEGESUNY UPSTATE MEDICAL UNIVERSITY CLINICAL CAMPUS AT BINGHAMTONCORNELL COOPERATIVE EXTENSIONOTHER:EMPLOYERS, BUSINESSES, UNIONS, POLICYMAKERS, AND ELECTED OFFICIALS

GROUP A-FACILITY 1 -- WILSON MEMORIAL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11:
"FOCUS AREA #1: HEALTHY EATING AND FOOD SECURITY GOALS: 1.0 REDUCE OBESITY AND THE RISK OF CHRONIC DISEASE, 1.1 INCREASE ACCESS TO HEALTHY AND AFFORDABLE FOODS AND BEVERAGES, 1.2 INCREASE SKILLS AND KNOWLEDGE TO SUPPORT HEALTHY FOOD AND BEVERAGE CHOICES ACCORDING TO THE CENTERS FOR CONTROL AND PREVENTION (CDC), OBESITY AND OVERWEIGHT ARE THE SECOND LEADING CAUSE OF PREVENTABLE DEATH IN THE UNITED STATES (US), WHICH MAY QUICKLY TOP TOBACCO AS THE LEADING PREVENTABLE CAUSE OF DEATH. THE CDC ALSO STATES BY THE YEAR 2050, IF OBESITY TRENDS CONTINUE AS THEY ARE, LIFE EXPECTANCY IN THE US IS PREDICTED TO BE SHORTENED BY 2- 5 YEARS. OBESITY IS A RISK FACTOR FOR MANY CHRONIC CONDITIONS INCLUDING HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, STROKE, HEART DISEASE, TYPE 2 DIABETES, ASTHMA, SOME CANCERS, AND OSTEOARTHRITIS. ALARMINGLY, THESE CONDITIONS ARE NOW APPEARING IN ADOLESCENTS AND CHILDREN. CURRENTLY, THE PERCENT OF ADULTS WHO ARE OBESE IN BROOME COUNTY IS 25.7%, WHICH IS HIGHER THAN THE NYS PREVENTION AGENDA TARGET. THE PERCENT OF CHILDREN AND ADOLESCENTS WHO ARE OBESE IN BROOME COUNTY IS 17.7%, WHICH IS HIGHER THAN THE REST OF THE STATE AND THE NYS PREVENTION AGENDA 2 TARGET 16.7% (2016 NYS EXPANDED BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM). TO REDUCE THE INCIDENCE, PREVALENCE, AND BURDEN OF OBESITY AND CHRONIC DISEASE, IT IS NECESSARY FOR COMMUNITIES TO CREATE ENVIRONMENTS THAT SUPPORT HEALTHIER BEHAVIORS AND MAKE HEALTHY CHOICES, EASIER CHOICES. THIS INVOLVES ENGAGING AND MOBILIZING KEY STAKEHOLDERS, DECISION MAKERS, AND COMMUNITY PARTNERS TO WORK WITHIN ALL LEVELS OF THE HEALTH IMPACT PYRAMID AND ACROSS ALL SECTORS TO PROMOTE ""HEALTH IN ALL POLICIES."" BROOME COUNTY COMMUNITY HEALTH ASSESSMENT 2019-2024 177 FOCUSED EFFORTS IN THIS AREA INCLUDE INCREASING HEALTHY EATING AND FOOD SECURITY, WHILE COLLECTIVELY WORKING TO ELIMINATE RACIAL/ETHNIC AND SOCIOECONOMIC HEALTH DISPARITIES. OVERVIEW AND MEASURES GOAL 1.0: REDUCE THE PERCENTAGE OF CHILDREN WHO ARE OBESE IN BROOME COUNTY OBJECTIVE 1.1: BY 2024, REACH A CHILDHOOD OBESITY RATE OF 12.9% AMONG THE TARGET DEMOGRAPHIC, A REDUCTION FROM THE BASELINE OF 13.9%. TO ACCOMPLISH THIS, THE BROOME COUNTY HEALTH DEPARTMENT (BCHD) WIC PROGRAM WILL CONTINUE TO PROVIDE A DECREASED FAT WIC FOOD PACKAGE, EDUCATION ONCE A YEAR FOR CHILDREN AGES 2-4 ABOUT HEALTHY LIFESTYLES INCLUDING DIET AND EXERCISE, AND MEASURE BMIS FOR CHILDREN RECEIVING NUTRITION COUNSELING. PROGRESS TOWARDS THIS OBJECTIVE WILL BE EVALUATED BASED ON SELF-REPORT MEASURES GATHERED FROM WIC PARTICIPANTS REGARDING THEIR KNOWLEDGE AND CONSUMPTION OF HEALTHY FOODS AND BEVERAGES, IN ADDITION TO THEIR BMI DATA. PARTNER ROLES AND RESOURCES INCLUDE: BCHD PROVIDES PROMOTION OF HEALTHY LIFESTYLE EDUCATION AND SERVICES OF THE WIC PROGRAM. UHS WILL OVERSEE AND ADMINISTER UHS STAY HEALTHY KIDS PROGRAM.LOURDES WILL OVERSEE THE ACTIVITIES CONDUCTED BY THE PACT PROGRAM. BOTH UHS AND LOURDES WILL ENSURE COMMUNICATION TO PROVIDERS ABOUT REFERRALS TO THE BROOME COUNTY WIC PROGRAM, FOR PREGNANT WOMEN, LACTATING WOMEN, POST-PARTUM WOMEN, INFANTS AND CHILDREN UP TO 5 YEARS OF AGE. OBJECTIVE 1.2: BY 2024, DECREASE THE PERCENTAGE OF SCHOOL AGE CHILDREN WITH OBESITY BY 1 % FROM 17.7% TO THE PREVENTION AGENDA GOAL OF 16.7%. SEVERAL INTERVENTIONS WILL BE USED TO REACH THIS OBJECTIVE; THEY INCLUDE: UHS - 1) UHS STAY HEALTHY KIDS COORDINATOR CONTINUES TO WORK WITH HEAD START SCHOOLS TO PROVIDE MONTHLY CLASSES ON SITE, TO CHILDREN AGE 3-5. HEALTHY EATING AND EXERCISE TIPS ARE PROVIDED TO CHILDREN AND THEIR PARENTS. THE PROGRAM IS 18 CLASSES PER MONTH. (2) THE ""KIDS ON TRACK"" 8-WEEK PROGRAM CONTINUES IN THE SPRING AND FALL FOR CHILDREN 5-13. THIS PROGRAM COVERS EXERCISE AND NUTRITION APPROPRIATE TO THE AGE GROUP. K-12 SCHOOLS - 1) SCHOOL WELLNESS PROGRAMS/POLICIES - ESTABLISH AND INCORPORATE STRONG NUTRITION STANDARDS FOR FOOD MARKETED, PROVIDED AND SOLD IN SCHOOLS, PROVIDE HEALTHY EATING LEARNING OPPORTUNITIES THROUGH ROCK ON CAFE, STUDENTS USING WALKING OR BIKING TO GET TO SCHOOL, SCHOOLS PROVIDING UNIVERSAL BREAKFAST, GRAB AND GO OPTIONS, BREAKFAST IN THE CLASSROOM, INCORPORATING SMARTER LUNCH ROOM STRATEGIES TO INCREASE ACCESS AND PROMOTE HEALTHY EATING, PARTICIPATING IN FARM TO SCHOOL. THE PARTNERS' ROLES AND RESOURCES INCLUDE: UHS - PROVIDES A STAY HEALTHY KIDS COORDINATOR WHO EDUCATES HEADSTART STUDENTS, PUBLIC SCHOOL AGE CHILDREN/PARENTS ON HEALTHY EATING AND BEVERAGE CONSUMPTION CHOICES, CARE COMPASS NETWORK - INNOVATION FUNDING TO UHS FOR COMMUNITY BASED NUTRITION WELLNESS (EDUCATION TO TAKE PLACE AT CORNELL COOPERATIVE EXTENSION OF BROOME COUNTY). BCHD WILL WORK WITH SCHOOL DISTRICTS TO ENSURE WELLNESS POLICIES ARE FOLLOWING THE REQUIRED STANDARDS SET FORTH BY THE HEALTHY HUNGER FREE KIDS ACT, AND PROVIDE TECHNICAL ASSISTANCE AND SUPPORT TO ASSIST WITH ANY UPDATES. OBJECTIVE 1.3: BY 2024, DECREASE THE PERCENTAGE OF ADULTS AGES 18 YEARS AND OLDER WITH OBESITY, FROM 25.7% TO 23.7%. SEVERAL INTERVENTIONS WILL BE USED TO REACH THIS OBJECTIVE: BCHD - WORK WITH COMMUNITY BASED ORGANIZATIONS, WORKSITES AND RECREATION VENUES TO CREATE POLICIES RELATED TO SUGARY DRINK REDUCTIONS, BROOME COUNTY 178 COMMUNITY HEALTH ASSESSMENT 2019-2024 HEALTHY MEETING GUIDELINES AND/OR FOOD PROCUREMENT STANDARDS, LOURDES - DEVELOP MEDICAL WEIGHT LOSS PROGRAM TO SUPPORT PEOPLE AGED 18 YEARS AND ABOVE WITH A BMI >30 IN ACHIEVING A DECREASE IN THEIR BMI AND IMPROVEMENT IN OVERALL HEALTH, BCHD- UTILIZE NYSDOH, CDC, AND LOCALLY DEVELOPED MESSAGING TO GARNER EARNED MEDIA ON HEALTHY EATING, & PROMOTING HEALTHY BEVERAGES GOAL 1.1: INCREASE ACCESS TO HEALTHY AND AFFORDABLE FOODS AND BEVERAGES OBJECTIVE 1.1.1: BY 2024, DECREASE THE PERCENTAGE OF ADULTS FROM 31.9% TO 27.9%, WHO CONSUME LESS THAN ONE FRUIT AND LESS THAN ONE VEGETABLE PER DAY. SEVERAL INTERVENTIONS WILL BE USED TO REACH THIS OBJECTIVE: INCREASE CHOW MOBILE MARKETS IN HIGH RISK NEIGHBORHOODS, CORNELL COOPERATIVE EXTENSION TO PROVIDE NUTRITION EDUCATION, MENU AND BUDGET PLANNING TO SNAP RECIPIENTS, OFA - PROVIDE HEALTHY MEALS & SNACK AT SENIOR CENTERS AND COMMUNITY EVENTS, INCREASE REDEMPTION OF OFFICE FOR AGING AND WIC PARTICIPANTS FARMER'S MARKET COUPONS, OPEN GROCERY STORE ON NORTHSIDE OF BINGHAMTON (FOOD DESERT) VOLUNTEERS IMPROVING NEIGHBORHOOD PROGRAM (VINES) WILL INCREASE ACCESS TO AND NUMBER OF COMMUNITY GARDENS AND FARM SHARE OPPORTUNITIES, IN HIGH RISK NEIGHBORHOODS. GOAL 1.2: INCREASE SKILLS AND KNOWLEDGE TO SUPPORT HEALTHY FOOD AND BEVERAGE CHOICE OBJECTIVE 1.2.1: BY 2024 LOURDES (ADULTS) INCREASE THE NUMBER OF ADULTS BY 100 (FROM 200 TO 300) THAT IMPROVE THEIR KNOWLEDGE OF AND ENGAGEMENT IN HEALTHY EATING HABITS BY UTILIZING THE FRUIT AND VEGGIE RX PROGRAM. TO ACCOMPLISH THIS LOURDES DIETICIANS IN LOURDES PRIMARY CARE PRACTICES OFFER REFERRED PATIENTS INFORMATION ON HEALTHY EATING HABITS AND ""COUPONS"" TO PURCHASE FRUITS AND VEGGIES. THIS IS IN COLLABORATION WITH RURAL HEALTH NETWORK AND CARE COMPASS NETWORK. OBJECTIVE 1.2.2: BY 2024, INCREASE BY 10%, FROM 22% TO 32%, THE PERCENTAGE OF WIC INFANTS WHO CONTINUE TO BE BREASTFED UNTIL 6 MONTHS. TO ACHIEVE THIS OBJECTIVE ALL WIC PRENATAL CLIENTS WILL BE OFFERED BREASTFEEDING PEER COUNSELING AND FREE BREASTFEEDING CLASSES ONCE A MONTH, ONCE BABY IS DELIVERED PEER COUNSELING SERVICES WILL BE PROVIDED FREQUENTLY AND CONSISTENTLY TO ENSURE INCREASED DURATION. GOAL 1.3: INCREASE FOOD SECURITY OBJECTIVE 1.3.1: DECREASE PERCENTAGE OF POPULATION WHO DID NOT HAVE ACCESS TO A RELIABLE SOURCE OF FOOD DURING THE PAST YEAR FROM 13.8% TO 12.6%. INTERVENTIONS EMPLOYED TO ACHIEVE THIS OBJECTIVE INCLUDE: 1) PROMOTE AND SUPPORT SCREENING OF PEDIATRIC PATIENTS BY HEALTHCARE PROVIDERS, FACILITATE REFERRAL AND SUPPORT ACTIVE CONNECTION TO WIC AND/OR SNAP; 2) PROMOTE SCREENING OF OLDER-ADULT POPULATIONS FOR FOOD INSECURITY, FACILITATE REFERRAL AND SUPPORT ACTIVE CONNECTION TO SNAP 3) CONTINUE TO PROVIDE UNIVERSAL BREAKFAST AND LUNCH FOR K-12 IN ALL SCHOOLS 4) INCREASE PARTICIPATION IN SUMMER LUNCH SITES THAT SERVE FAMILIES THROUGHOUT BROOME COUNTY. MEASURES FOR THESE OBJECTIVES INCLUDE: WIC OBESITY -1) NUMBER OF WIC PARTICIPANTS RECEIVING A REDUCED FAT FOOD PACKAGE, PERCENTAGE OF CHILDREN WITH OBESITY (AMONG CHILDREN AGES 2-4 YEARS PARTICIPATING IN THE SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN [WIC]) 2) NUMBER OF WIC PARTICIPANTS RECEIVING GENERAL NUTRITION EDUCATION AND ACTIVE LEARNING INFORMATION AND BEING ASSESSED FOR HEIGHT/WEIGHT EVERY YEAR. BROOME COUNTY COMMUNITY HEALTH ASSESSMENT 2019-2024SCHOOL AGE OBESITY: 1) NUMBER OF STUDENTS IMPACTED BY SPECIFIC POLICIES THAT ADDRESS HEALTHIER NUTRITION STANDARDS FOR FOOD AND BEVERAGES SOLD IN SCHOOLS (2) NUMBER OF SCHOOL DISTRICTS ADOPTING SPECIFIC POLICIES THAT ADDRESS HEALTHIER NUTRITION STANDARDS FOR FOOD AND BEVERAGES SOLD IN SCHOOLS (3) NUMBER OF SCHOOL DISTRICT WELLNESS POLICIES THAT ADDRESS FREE DRINKING WATER"

GROUP A-FACILITY 1 -- WILSON MEMORIAL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 13H:
FEDERAL POVERTY GUIDELINES (FPG) ARE USED TO DETERMINE THE FAMILY INCOME LIMIT FOR FREE CARE ELIGIBILITY OF 200% AND 300% FOR DISCOUNTED CARE. IN ADDITION TO THE FPG, UHS HOSPITALS ALSO CONSIDERS MEDICAID BENEFIT APPROVALS AS A DISCOUNTED CARE ELIGIBILITY CRITERIA.

GROUP A-FACILITY 2 -- BINGHAMTON GENERAL HOSPITAL PART V, SECTION B, LINE 5:
THE MOBILIZING ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) MODEL WAS USED TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY, PRIORITIZE HEALTH NEEDS, AND STRATEGIZE ABOUT WAYS TO IMPROVE THE HEALTH OF BROOME COUNTY RESIDENTS. THIS MODEL FUNCTIONED AS A COMMUNITY-WIDE STRATEGIC PLANNING TOOL AND FORMED THE BASIS FOR PRIORITIZING KEY PUBLIC HEALTH ISSUES AND IDENTIFYING POTENTIAL RESOURCES. THE INDIVIDUALS THAT WERE INVOLVED ARE LISTED BELOW AND WERE MEMBERS OF THE BROOME COUNTY COMMUNITY HEALTH ASSESSMENT 2016-2018 STEERING COMMITTEE.INDIVIDUALS AND COMMUNITY ORGANIZATIONS:BINGHAMTON HOUSING AUTHORITY - ELAINE MILLERBINGHAMTON UNIVERSITY - LEON COSLER, DIANE CREWS, YVONNE JOHNSTON, TITLAYOI OKORORBROOME COUNTY COUNCIL OF CHURCHES - MICHAEL LEAHEYBROOME COUNTY HEALTH DEPARTMENT - MARY MCFADDEN, DR. CHRISTOPHER RYANBROOME COUNTY LEGISLATURE - KIM MYERS, KELLY WILDONERBROOME COUNTY MENTAL HEALTH DEPARTMENT - LYNNE ESQUIVELBROOME COUNTY OFFICE FOR AGING - RITA FLUHARTY, JAMIE KELLYBROOME COUNTY PLANNING DEPARTMENT - STEPHANIE BREWERBROOME TIOGA BOCES - ALAN BUYCKBROOME COUNTY URBAN LEAGUE - JENNIFER LESKOBROOME COUNTY YMCA - AUBREY CARR, ALICE HARPER, GARETH SANSOMCORNERSTONE FAMILY HEALTHCARE - MARIANNE BUCK, KELLY WILDEYEXCELLUS BLUE CROSS BLUE SHIELD - MELISSA KLINKOFAMILY AND CHILDREN'S SOCIETY - LISA HOESCHELEGUTHRIE MEDICAL GROUP, PC - SHAWN KARNEY, HILLARY SAXTON, SHERRY SALISBURYHEALTHLINKNY - ADAM HUGHESMENTAL HEALTH ASSOCIATION OF THE SOUTHERN TIER - KATHY ECKERTMOTHERS AND BABIES PERINATAL NETWORK - CHRISTY FINCHOUR LADY OF LOURDES HOSPITAL - DEBORAH BLAKENEY, LISA BOBBY, CARMEN FRANCAVILLA, WAYNE MITTEER, JEFFREY PENOYERRURAL HEALTH NETWORK OF SCNY - PAM GUTH, EMILY HOTCHKISS, MARY MARUSCAK, JACK SALOSOUTHERN TIER INDEPENDENCE CENTER - SUSAN RUFFSUNY UPSTATE MEDICAL UNIVERSITY CLINICAL CAMPUS AT BINGHAMTON - LENORE BORISTIOGA COUNTY HEALTH DEPARTMENT - REBECCA KAUFMAN, HEATHER MORGANUNITED HEALTH SERVICES HOSPITALS - PAT WILLIAMSWEBB CONSULTING - LEA WEBB

GROUP A-FACILITY 2 -- BINGHAMTON GENERAL HOSPITAL PART V, SECTION B, LINE 6A:
OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.

GROUP A-FACILITY 2 -- BINGHAMTON GENERAL HOSPITAL PART V, SECTION B, LINE 6B:
COMMUNITY-BASED HEALTH AND HUMAN SERVICE AGENCIES:RURAL HEALTH NETWORK OF SCNYBROOME COUNTY URBAN LEAGUEMOTHERS AND BABIES PERINATAL NETWORK OF SCNYUNITED WAY OF BROOME COUNTYACTION FOR OLDER PERSONSMENTAL HEALTH ASSOCIATION OF THE SOUTHERN TIERKEEP YOUTH DOING SOMETHING (KYDS) COALITIONAGING FUTURES PARTNERSHIPFAMILY ENRICHMENT NETWORKLOCAL DIABETES AND HEART DISEASE GROUPSGOVERNMENT AGENCIES WITH SPECIAL KNOWLEDGE OF PUBLIC ISSUES:BROOME COUNTY HEALTH DEPARTMENTBROOME COUNTY DEPARTMENT OF SOCIAL SERVICESCOMMUNITY ALTERNATIVE SYSTEMS AGENCY (CASA)BROOME COUNTY MENTAL HEALTH DEPARTMENTBROOME COUNTY OFFICE FOR AGINGBROOME COUNTY ENVIRONMENTAL MANAGEMENT COUNCILBROOME COUNTY PARKS AND RECREATIONNYS DOTBINGHAMTON METROPOLITAN TRANSPORTATION STUDYSTRATEGIC ALLIANCE FOR HEALTHGOVERNMENTAL AND NON-GOVERNMENTAL AGENCIES:BROOME-TIOGA BOCESBOCES FOOD SERVICEHEALTHLINKNYAMERICAN HEART ASSOCIATIONAMERICAN CANCER SOCIETY COMMUNITIES:LAW ENFORCEMENTBROOME COUNTY COUNCIL OF CHURCHESCATHOLIC CHARITIES OF BROOME COUNTYACADEMIA:BINGHAMTON UNIVERSITYSUNY BROOME COMMUNITY COLLEGESUNY UPSTATE MEDICAL UNIVERSITY CLINICAL CAMPUS AT BINGHAMTONCORNELL COOPERATIVE EXTENSIONOTHER:EMPLOYERS, BUSINESSES, UNIONS, POLICYMAKERS, AND ELECTED OFFICIALS

GROUP A-FACILITY 2 -- BINGHAMTON GENERAL HOSPITAL PART V, SECTION B, LINE 11:
FOCUS AREA #2: PREVENTIVE CARE AND MANAGEMENT THE CDC ESTIMATES THAT SIX OUT OF TEN AMERICANS HAVE AT LEAST ONE CHRONIC DISEASE, AND FOUR OUT OF TEN HAVE TWO OR MORE. THE PRODUCTIVITY AND QUALITY OF LIFE FOR PEOPLE LIVING WITH A CHRONIC DISEASE SUCH AS DIABETES, HEART DISEASE, STROKE AND CANCER IS LIMITED WHICH IN TURN IMPACTS THEIR FAMILIES AS WELL. MOST CHRONIC DISEASES ARE PREVENTABLE AND CAN BE MANAGED SUCCESSFULLY WITH HEALTHY BEHAVIOR CHANGES. IN BROOME COUNTY, SOME POPULATIONS SUFFER DISPROPORTIONATELY FROM PREVENTABLE CHRONIC DISEASE CONDITIONS. NON-HISPANIC AND BLACK POPULATIONS HAVE SIGNIFICANTLY HIGHER LEVELS OF MORTALITY AND HOSPITALIZATIONS ASSOCIATED WITH HEART/STROKE AND DIABETES INDICATORS. IN ADDITION, OTHER HEALTH DETERMINANTS SUCH AS POVERTY AND LOWER EDUCATION STATUS INCREASE THE NEED FOR CHRONIC DISEASE BROOME COUNTY 180 COMMUNITY HEALTH ASSESSMENT 2019-2024 MANAGEMENT MODELS, ESPECIALLY FOR MANY ENROLLEES OF MEDICAID MANAGED CARE PLANS WHO CONSISTENTLY RELY ON HOSPITAL EMERGENCY ROOMS FOR EMERGENT CARE OF PREVENTABLE HEALTH CONDITIONS. IT IS CRITICAL THAT THE DELIVERY SYSTEM REFORM INCENTIVE PROGRAM (DSRIP) FOCUSES ON HELPING MEDICAID MEMBERS REDUCE THEIR RISK AND HELP MANAGE CHRONIC DISEASES AND THEIR RISK FACTORS. CHRONIC DISEASES NEED TO BE APPROPRIATELY DIAGNOSED AND MANAGED IN ORDER TO REDUCE THE COMPLICATIONS, BURDEN OF MORBIDITY, HOSPITALIZATIONS, POOR FUNCTION STATUS AND MORTALITY THAT COMES WITH CHRONIC DISEASE. NECESSARY COLLABORATIONS WITH HEALTHCARE SYSTEMS AND OTHER COMMUNITY SECTORS NEED TO ENSURE THAT SUCCESSFUL STRATEGIES EXIST FOR CHRONIC DISEASE MANAGEMENT OPPORTUNITIES, ESPECIALLY WHERE THE MOST VULNERABLE AND HIGH RISK POPULATIONS ARE CONCERNED. OVERVIEW AND MEASURES GOAL: 4.1 INCREASE CANCER SCREENING RATES OBJECTIVE 4.1: BY 2024, INCREASE THE PERCENTAGE OF ADULTS BY 5% WHO RECEIVE A COLORECTAL CANCER SCREENING BASED ON THE MOST RECENT GUIDELINES (AGES 50 TO 75 YEARS) FROM 72% TO 78% INTERVENTIONS INCLUDE: REMOVAL OF STRUCTURAL BARRIERS TO CANCER SCREENING SUCH AS PROVIDING FLEXIBLE CLINIC HOURS, OFFERING CANCER SCREENING IN NON-CLINICAL SETTINGS (MOBILE MAMMOGRAPHY VANS, FLU CLINICS), OFFERING ON-SITE TRANSLATION, TRANSPORTATION, PATIENT NAVIGATION AND OTHER ADMINISTRATIVE SERVICES AND WORKING WITH EMPLOYERS TO PROVIDE EMPLOYEES WITH PAID LEAVE OR THE OPTION TO USE FLEX TIME FOR CANCER SCREENINGS, WORK WITH CSP TO ENHANCE MARKETING AND COMMUNICATION EFFORTS AROUND COLORECTAL CANCER SCREENING IN THE PRIORITY POPULATION. GOAL 4.2: INCREASE EARLY DETECTION OF CARDIOVASCULAR DISEASE, DIABETES, PREDIABETES AND OBESITY OBJECTIVE 4.1.2: BY 2024, INCREASE THE PERCENTAGE OF CHILDREN AND ADOLESCENTS AGES 3 -17 YEARS WITH AN OUTPATIENT VISIT WITH A PRIMARY CARE PROVIDER OR OB/GYN PRACTITIONER DURING THE MEASUREMENT YEAR WHO RECEIVED APPROPRIATE ASSESSMENT FOR WEIGHT STATUS DURING THE MEASUREMENT YEAR BY 5% (BASELINE 75%). INTERVENTION TO ACHIEVE THIS OBJECTIVE IS BASED ON UTILIZING THE US PREVENTIVE SERVICE GUIDELINES AND HIT, TO CONSISTENTLY IMPLEMENT SCREENING PRACTICES/POLICIES TO IDENTIFY CHILDREN AT RISK FOR OVERWEIGHT OR OVERWEIGHT, AND REFER TO BEHAVIORAL AND NUTRITIONAL EDUCATION PROGRAMS. OBJECTIVE 4.2.2: BY 2024, PROMOTE AT LEAST 3 STRATEGIES THAT IMPROVE THE DETECTION OF UNDIAGNOSED HYPERTENSION IN HEALTH SYSTEMS. THE EVIDENCE BASED INTERVENTION THAT WILL BE USED TO PROMOTE STRATEGIES THAT IMPROVE THE DETECTION OF UNDIAGNOSED HYPERTENSION IN HEALTH SYSTEMS IS THE CDC MILLION HEARTS PROGRAM. GOAL 4.3: PROMOTE EVIDENCE-BASED CARE TO PREVENT AND MANAGE CHRONIC DISEASES INCLUDING ASTHMA, ARTHRITIS, CARDIOVASCULAR DISEASE, DIABETES AND PREDIABETES AND OBESITY OBJECTIVE 4.3.1: BY 2024, DECREASE THE PERCENTAGE BY 5% OF ADULT MEDICAID MEMBERS, IDENTIFIED THROUGH DSRIP WITH DIABETES WHOSE MOST RECENT HBA1C LEVEL INDICATED POOR CONTROL (>9%). INTERVENTIONS EMPLOYED FOR THIS OBJECTIVE INCLUDE: UHS AND LOURDES PRIMARY CARE NETWORK OFFICES TO WORK CLOSELY WITH THE DIABETES CENTERS TO IMPLEMENT STANDARDS OF MEDICAL CARE IN DIABETES, WORK WITH HIT TO IMPLEMENT/MODIFY EMR TO INCLUDE REMINDER SYSTEM FOR SCREENING, FOLLOW UP AND CASE MANAGEMENT ACTIVITIES. BROOME COUNTY COMMUNITY HEALTH ASSESSMENT 2019-2024 GOAL 4.4: IN THE COMMUNITY SETTING, IMPROVE SELF-MANAGEMENT SKILLS FOR INDIVIDUALS WITH CHRONIC DISEASES, INCLUDING ASTHMA, ARTHRITIS, CARDIOVASCULAR DISEASE, DIABETES AND PREDIABETES AND OBESITY OBJECTIVE 4.4.1: BY 2024, INCREASE FROM 225 TO 325 THE NUMBER OF ADULTS WITH CHRONIC CONDITIONS (ARTHRITIS, ASTHMA, CVD, DIABETES, CKD, CANCER) WHO HAVE BEEN IDENTIFIED AND REFERRED TO TAKE A COURSE OR CLASS TO LEARN HOW TO MANAGE THEIR CONDITION. BOTH HOSPITAL SYSTEMS WILL PROVIDE STANDARDS OF CARE TO IDENTIFY AND ASSIST WITH MANAGEMENT OF DIABETES BY: 1. PROMOTE TESTING FOR PREDIABETES, AND RISK FOR FUTURE DIABETES IN ASYMPTOMATIC PEOPLE IN ADULTS OF ANY AGE WITH OBESITY AND OVERWEIGHT (BMI 25 KG/M2 OR 23 KG/M2 IN ASIAN AMERICANS) AND WHO HAVE ONE OR MORE ADDITIONAL RISK FACTORS FOR DIABETES, INCLUDING FIRST DEGREE RELATIVE WITH DIABETES, HIGH RISK RACE/ETHNICITY, AND HISTORY OF CARDIOVASCULAR DISEASE. 2. PROMOTE TESTING FOR ALL OTHER PATIENTS BEGINNING AT 45 YEARS OF AGE. 3. PROMOTE REPEAT TESTING AT A MINIMUM OF 3-YEAR INTERVALS, WITH CONSIDERATION OF MORE FREQUENT TESTING DEPENDING ON INITIAL RESULTS AND RISK STATUS 4. REFER PATIENTS WHO ARE DIAGNOSED WITH OBESITY, CVD, OR DIABETES TO COMMUNITY CHRONIC DISEASE SELF-MANAGEMENT PROGRAM (STAMFORD EVIDENCE BASED CHRONIC DISEASE SELF MANAGEMENT PROGRAM) MEASURES FOR THESE OBJECTIVES INCLUDE: CANCER SCREENING: 1) NUMBER OF HEALTH SYSTEMS THAT IMPLEMENT OR IMPROVE PROVIDER AND PATIENT REMINDER SYSTEMS 2) NUMBER OF PATIENTS REACHED THROUGH PATIENT REMINDER SYSTEMS 3) COMPLIANCE WITH SCREENING GUIDELINES AMONG PATIENTS REACHED THROUGH PATIENT REMINDER SYSTEMS/AMONG PATIENTS OF HEALTH SYSTEMS THAT ADOPTED SYSTEMS 4) PROVIDER, CLINIC OR INSURER BREAST AND COLORECTAL CANCER SCREENING RATES, EARLY DETECTION OF CHRONIC DISEASES- OBESITY: 1) PERCENTAGE OF CHILDREN WHO ARE OVERWEIGHT [DEFINED AS HAVING AN AGE AND GENDER SPECIFIC BMI AT 85TH TO 95TH PERCENTILE 2) PERCENTAGE OF CHILDREN WHO ARE OBESE [DEFINED AS HAVING AN AGE AND GENDER SPECIFIC BMI AT 95TH PERCENTILE] 3) NUMBER & PERCENT OF CHILDREN SCREENED 4) NUMBER OF PRIMARY CARE PROVIDERS CONDUCTING BMI SCREENING 5) NUMBER OF HOSPITAL SYSTEMS IMPLEMENTING CHILDHOOD BMI SCREENING POLICY/SYSTEM CHANGE. EARLY DETECTION OF CHRONIC DISEASES-HYPERTENSION: 1) NUMBER OF HEALTH SYSTEMS WITH POLICIES/PRACTICES TO IDENTIFY PATIENTS WITH UNDIAGNOSED HTN 2) NUMBER/PERCENTAGE OF PATIENTS SERVED BY HEALTH SYSTEMS WITH POLICIES/PRACTICES IN PLACE 3) NUMBER OF PATIENTS IDENTIFIED WITH UNDIAGNOSED HTN. PROMOTE EVIDENCE-BASED CARE TO PREVENT AND MANAGE CHRONIC DISEASES- DIABETES: 1) SCREENING RATE FOR DIABETES AND PRE-DIABETES AMONG ADULTS AGE 45+ 2) NUMBER OF PATIENTS IDENTIFIED AS HAVING DIABETES OR PRE-DIABETES WHO RECEIVE FOLLOW-UP BY STAY HEALTHY CENTER 3)NUMBER OF PATIENTS RECEIVING DIABETES EDUCATION 4) PERCENTAGE OF ADULTS (AGE 45+) DIAGNOSED WITH PRE-DIABETES OR TYPE 2 DIABETES WHO ARE REFERRED TO DIABETES SELF-MANAGEMENT TRAINING (DSMT) 5) NUMBER OF RURAL RESIDENTS PARTICIPATING IN CHRONIC DISEASE SELF-MANAGEMENT 6) NUMBER OF RURAL RESIDENTS PARTICIPATING IN CHRONIC DISEASE SELF-MANAGEMENT, 7) PERCENT OF ADULT MEDICAID MEMBERS WITH DIABETES IDENTIFIED THROUGH DSRIP WITH CONTROLLED HBA1C CHRONIC DISEASE MANAGEMENT IN THE COMMUNITY SETTING: 1) NUMBER OF HEALTH SYSTEMS WITH POLICIES/PRACTICES TO IDENTIFY, REFER PATIENTS WITH DIABETES OR PREDIABETES, OBESITY, CVD 2) NUMBER/PERCENTAGE OF PATIENTS SERVED BY HEALTH SYSTEMS WITH POLICIES/PRACTICES IN PLACE 3) NUMBER OF PATIENTS IDENTIFIED WITH DIABETES/PREDIABETES 4) NUMBER OF PATIENTS REFERRED TO COMMUNITY BASED CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS LIKE STAMFORD CHRONIC DISEASE SELF-MANAGEMENT PROGRAM OR NATIONAL DIABETES PREVENTION PROGRAM.

GROUP A-FACILITY 2 -- BINGHAMTON GENERAL HOSPITAL PART V, SECTION B, LINE 13H:
FEDERAL POVERTY GUIDELINES (FPG) ARE USED TO DETERMINE THE FAMILY INCOME LIMIT FOR FREE CARE ELIGIBILITY OF 200% AND 300% FOR DISCOUNTED CARE. IN ADDITION TO THE FPG, UHS HOSPITALS ALSO CONSIDERS MEDICAID BENEFIT APPROVALS AS A DISCOUNTED CARE ELIGIBILITY CRITERIA.

PART I, LINE 3C:
UHS HOSPITALS USES FPG AS A FACTOR IN DETERMINING ELIGIBILITY FOR DISCOUNTED CARE. PATIENTS WITH A FAMILY INCOME BELOW 200% OF THE FPL RECEIVE A 100% DISCOUNT, PATIENTS BETWEEN 201%-250% OF THE FPL RECEIVE AN 83.5% DISCOUNT, AND PATIENTS BETWEEN 251%-300% OF THE FPL RECEIVE A 67% DISCOUNT. MEDICALLY UNINSURED PATIENTS AUTOMATICALLY RECEIVE A 35% DISCOUNT GENERATED AT THE TIME OF BILLING; ONCE THIS DISCOUNT HAS BEEN APPLIED, ANY FURTHER DISCOUNTS ARE BASED ON THEIR FAMILY INCOME LIMIT.

PART I, LINE 7:
UHS HOSPITALS USED THE COST TO CHARGE METHODOLOGY UTILIZING AMOUNTS FROM OUR 2021 MEDICAID COST REPORT AND OUR 2021 MEDICARE COST REPORT FOR ALL PERTINENT CALCULATIONS IN PART I, LINE 7. ADDITIONALLY, THERE IS NO BAD DEBT EXPENSE IN ANY OF THE COSTS USED IN CALCULATING THE PERCENTAGES IN PART I, LINE 7, COLUMN F BECAUSE EXHIBIT A, CMS-2552 WAS USED.

PART I, LINE 7G:
THE ORGANIZATION HAS SEVERAL PROGRAMS THAT OPERATE AT A LOSS AND ARE SUBSIDIZED BY OTHER PROGRAMS AND SERVICES. SOME OF THE MOST NOTABLE, AS WELL AS ONES WE ARE ABLE TO MEASURE/QUANTIFY ARE THE REFERRED AMBULATORY SURGERY, METHADONE TREATMENT, EMERGENCY, AND MEDICAL SURGERY. THE AMOUNTS ON LINE 7G REPRESENT THE TOTAL COMMUNITY BENEFIT EXPENSE, OFFSETTING REVENUE, AND THE NET COMMUNITY BENEFITS EXPENSE FOR THESE PROGRAMS.

PART I, LN 7 COL(F):
BEGINNING IN 2012 BAD DEBT EXPENSE WAS INCLUDED AS A REDUCTION OF PATIENT SERVICE REVENUE IN ACCORDANCE WITH THE FINANCIAL ACCOUNTING STANDARDS BOARD UPDATE (ASU) NO. 2011-07, HEALTH CARE ENTITIES (TOPIC 954). THE ADOPTION OF THIS METHOD HAD THE EFFECT OF REDUCING NET PATIENT SERVICE REVENUE BY $16,112,736 IN 2021. ALTHOUGH FOR FORM 990 PURPOSES, BAD DEBTS ARE REPORTED AS AN EXPENSE RATHER THAN A REDUCTION OF PATIENT SERVICE REVENUE.

PART III, LINE 2:
IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, UHS HOSPITALS (UHSH) ANALYZES PAST PAYMENT HISTORY AND IDENTIFIES TRENDS FOR EACH MAJOR PAYOR SOURCE OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISIONS FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, UHSH ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, UHSH ALSO ANALYZES AMOUNTS DUE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE BASED ON PAST EXPERIENCE, INCLUDING CONSIDERATION OF CURRENT BUSINESS AND ECONOMIC CONDITIONS. UHSH CONSIDERS THE FACT THAT MANY SELF-PAY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE WHEN CALCULATING ALLOWANCE FOR DOUBTFUL ACCOUNTS AND BAD DEBT PROVISIONS. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PLEASE REFER TO PAGE 10 OF THE AUDITED FINANCIAL STATEMENTS FOR ADDITIONAL INFORMATION.

PART III, LINE 3:
THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE IS BASED ON A PERCENTAGE ALLOCATION APPLIED TO THE TOTAL BAD DEBT EXPENSE REPORTED ON THE AUDITED FINANCIAL STATEMENTS. THE PERCENTAGE CALCULATION COMPARED THE 2021 ACTUAL BAD DEBT WRITE-OFFS RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE TO THE TOTAL 2021 ACTUAL BAD DEBT WRITE-OFFS. THIS CALCULATION DID NOT INCLUDE ESTIMATES OR ACCRUALS. IN 2021, THE WRITE-OFFS RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WAS APPROXIMATELY 27.5% OF THE TOTAL BAD DEBT WRITE-OFFS.

PART III, LINE 4:
UHSH RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICES RENDERED. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, UHSH RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED (OR ON THE BASIS OF DISCOUNTED RATES, IF NEGOTIATED OR PROVIDED BY POLICY). ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF UHSH'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, UHSH RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. PLEASE REFER TO PAGE 10 OF THE AUDITED FINANCIAL STATEMENTS FOR ADDITIONAL INFORMATION.

PART III, LINE 8:
UHS HOSPITALS FEELS THAT ANY SERVICES PROVIDED TO MEDICARE BENEFICIARIES THAT RESULT IN A SHORTFALL TO THE ORGANIZATION BASED ON A LESS THAN ADEQUATE MEDICARE REIMBURSEMENT SHOULD BE TREATED AS A COMMUNITY BENEFIT. UHS HOSPITALS TREATS ANY AND ALL COMMUNITY MEMBERS REGARDLESS OF ABILITY TO PAY. UHS HOSPITALS' SERVICE REGION HAS A HIGHER PROPORTION OF ELDERLY THAN THE U.S. OR NEW YORK STATE AVERAGES AND HAS AN INCOME LEVEL THAT IS 20% POORER THAN THE U.S. AVERAGE. THEREFORE, UHS HOSPITALS IS SERVICING AT RISK MEDICARE BENEFICIARIES WITH ALL ITS PROGRAMS AND SERVICES. IN ADDITION, DURING 2021 IT PROVIDED OVER $11,167,000 OF FINANCIAL ASSISTANCE AND RELATED PROGRAMS TO ITS PATIENTS, MANY OF WHOM WERE MEDICARE BENEFICIARIES. UHS HOSPITALS USES THE COST TO CHARGE COSTING METHODOLOGY UTILIZING AMOUNTS FROM OUR 2021 MEDICAID COST REPORT FOR ALL PERTINENT CALCULATIONS IN PART III, LINE 6.

PART VI, LINE 3:
UHS HOSPITALS IS COMMITTED TO PROVIDE FINANCIAL ASSISTANCE TO ALL PATIENTS IN NEED AND TO COMMUNICATE THE AVAILABILITY OF ITS FINANCIAL ASSISTANCE AND RELATED PROGRAMS TO ALL. OUR PATIENT FINANCIAL ADVOCATES ARE AVAILABLE TO ASSIST PATIENTS AND PROVIDE ASSESSMENTS FOR ELIGIBILITY UNDER ANY STATE, FEDERAL OR UHS HOSPITALS FINANCIAL ASSISTANCE PROGRAM. BROCHURES AND SIGNAGE ARE POSTED IN MULTIPLE LANGUAGES AS REQUIRED BY NYS REGULATIONS AT EACH REGISTRATION/PATIENT ACCESS AREA. IF NEEDED, TRANSLATION SERVICES ARE AVAILABLE. UHS HOSPITALS ALSO MAINTAINS A FINANCIAL ASSISTANCE HELP LINE THAT IS IDENTIFIED ON ALL PATIENT BILLS. THE TOTAL 2021 FINANCIAL ASSISTANCE AMOUNTS PROVIDED TO UHS HOSPITALS PATIENTS IS DETAILED IN SCHEDULE H PART 1, LINE 7.

PART VI, LINE 7, REPORTS FILED WITH STATES
NY

PART II, COMMUNITY BUILDING ACTIVITIES:
"THE FOLLOWING ARE WAYS IN WHICH UHS HOSPITALS' COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES:- UHS PARTNERS WITH OTHER ORGANIZATIONS TO OFFER COMMUNITY-WIDE ACTIVITIES SUCH AS THE DIABETES HEALTH FAIR, MAKING STRIDES AGAINST BREAST CANCER, SOUTHERN TIER HEART WALK, THE COLOR RUN, STAP MUD GAUNTLET, GREATER BINGHAMTON BRIDGE RUN, STEP OUT, WALK TO STOP DIABETES, UHS PEARLS OF WISDOM AND THE YMCA CORPORATE CHALLENGE.- COMMUNITY HEALTH/OUTREACH PROGRAMS: IN 2021, UHS HOSPITALS INVESTED SUBSTANTIAL FUNDS AND SUPPLIED HUMAN RESOURCES TO PROVIDE EDUCATIONAL PROGRAMS, HEALTH SCREENINGS, PRINTED AND ON-LINE EDUCATIONAL INFORMATION AND OTHER WELLNESS AND PREVENTION SERVICES TO THE COMMUNITY. NUMEROUS UHS HOSPITALS DEPARTMENTS WERE INSTRUMENTAL IN DEVELOPING AND PROVIDING THESE BENEFICIAL PROGRAMS THAT ENABLED THE COMMUNITY TO ACCESS HEALTH EDUCATION AND PREVENTION SERVICES. DURING 2021, OVER $2,000,000 WAS SPENT IN DELIVERING THESE PROGRAMS TO COMMUNITY MEMBERS. - SERVING RURAL/UNDERSERVED POPULATIONS: UHS HOSPITALS OPERATES 16 PRIMARY CARE CENTERS, TWO SCHOOL-BASED HEALTH CENTERS, AND A DENTAL CLINIC WHICH PROVIDED ESSENTIAL CARE TO THE UNDERSERVED POPULATION. THE COMBINED 19 SITES HAD 289,289 PATIENT ENCOUNTERS IN 2021. - UHS PERINATAL CENTER: THE CENTER OFFERS A COMPREHENSIVE RANGE OF SERVICES FROM GYNECOLOGY TO MATERNITY & CHILDBIRTH TO BREAST HEALTH. THE STAFF OF SPECIALIZED PHYSICIANS, NURSE PRACTITIONERS, AND CERTIFIED NURSE MIDWIVES CREATED A CARING AND COMPASSIONATE ENVIRONMENT SERVING WOMEN AT EACH STAGE OF LIFE: FROM TEENAGE AND CHILDBEARING YEARS TO MID-LIFE AND SENIOR YEARS ALL HAVING THEIR OWN UNIQUE HEALTH ISSUES. UHS HOSPITALS' PRIMARY CARE CENTERS AND THE PERINATAL CENTER PARTICIPATE IN THE PRENATAL CARE ASSISTANCE PROGRAM (PCAP) OFFERING FINANCIAL ASSISTANCE TO HELP EXPECTANT MOTHERS WITH THE COST OF PRENATAL CARE. -BRAIN/SPINE TRAUMA CENTER: UHS WILSON MEDICAL CENTER IS A LEVEL II TRAUMA CENTER WITHIN CENTRAL NEW YORK'S REGIONAL TRAUMA SYSTEM. THE TRAUMA CENTER ACCEPTS SEVERELY INJURED TRAUMA PATIENTS FROM ALL SURROUNDING COUNTIES AND IS THE ONLY TRAUMA CENTER IN THE SERVICE AREA. THE TRAUMA CENTER IS LOCATED WITHIN THE EMERGENCY DEPARTMENT AT WILSON MEDICAL CENTER, WITH SPACIOUS, SPECIALIZED TRAUMA ROOMS THAT CAN PROVIDE CARE SIMULTANEOUSLY TO AS MANY AS FOUR VICTIMS OF SUDDEN, SERIOUS INJURY. DURING 2021, PRELIMINARY PLANNING FOR THE EXPANSION OF THE WILSON EMERGENCY DEPARTMENT AND UPGRADED TRAUMA AREAS BEGAN WHICH WILL BREAK GROUND IN 2022.- NEONATAL INTENSIVE CARE UNIT: AS THE PROVIDER OF THE AREA'S ONLY COMPREHENSIVE NICU, WILSON MEDICAL CENTER PROVIDES CARE TO PREMATURE INFANTS, LOW BIRTH WEIGHT BABIES AND THOSE WITH SPECIAL NEEDS. SPECIALIZED EQUIPMENT, ADVANCED TECHNOLOGY AND OUR HIGHLY-TRAINED STAFF HAVE HELPED THOUSANDS OF INFANTS SINCE THE UNIT OPENED OVER 30 YEARS AGO. THE NEW YORK STATE DEPARTMENT OF HEALTH HAS DESIGNATED THIS UNIT AS THE AREA'S ONLY LEVEL 3 NURSERY FOR CARING FOR BOTH BABIES AND THEIR MOTHERS.- EVENT SPONSORSHIPS: UHS HOSPITALS SUPPORTS SPONSORSHIPS THAT ARE DIRECTLY RELATED TO COMMUNITY HEALTH ISSUES OR PROMOTE LOCAL HEALTH AND HUMAN SERVICES WHILE KEEPING WITH THE MISSION OF UHS HOSPITALS. DURING 2021, UHS HOSPITALS PROVIDED SPONSORSHIP FUNDS TOTALING APPROXIMATELY $131,000 TO A VARIETY OF COMMUNITY ORGANIZATIONS SUCH AS THE AMERICAN HEART ASSOCIATION AND THE AMERICAN CANCER SOCIETY. - VOLUNTEERS AT COMMUNITY EVENTS: UHS HOSPITALS MEDICAL PROFESSIONALS FROM THE INTERNAL MEDICINE AND FAMILY PRACTICE RESIDENCY PROGRAM, UHS EMERGENCY AND TRAUMA SERVICES AS WELL AS OTHER AREAS OF UHS HOSPITALS VOLUNTEER THROUGHOUT THE YEAR TO STAFF MEDICAL TENTS AT NUMEROUS COMMUNITY EVENTS INCLUDING THE SPIEDIE FEST (WHICH DRAWS MORE THAN 100,000 PEOPLE), THE DICK'S SPORTING GOODS OPEN (A WEEKLONG EVENT WHICH INCLUDES THE PRACTICE ROUNDS, PRO-AM AND A COMMUNITY CONCERT), MACK SHOOT OUT LACROSSE TOURNAMENT, BINGHAMTON BRIDGE RUN, BINGHAMTON RUMBLE PONIES GAMES, AND BINGHAMTON DEVILS HOCKEY GAMES. NOTE THAT DUE TO RESTRICTIONS PLACED ON EVENTS DUE TO COVID-19, SOME OF THE EVENTS WERE CANCELLED OR DOWNSIZED IN 2021.- COVID 19 REGIONAL HUB (SOUTHERN TIER): DURING THE COVID-19 PANDEMIC, UHS HAS ADMINISTERED TENS OF THOUSANDS OF CORONAVIRUS TESTS IN BROOME, CHENAGO AND DELEAWARE COUNTIES AND PROVIDED DIRECT INPATIENT AND OUTPATIENT CARE TO COVID PATIENTS. AS A DIRECT RESULT OF OUR MEDICAL CAPABILITIES, REPUTATION FOR QUALITY CARE AND TRACK RECORD OF PROVIDING HIGH-LEVEL SERVICES ACROSS THE SOUTHERN TIER, UHS WAS SELECTED BY NEW YORK STATE TO SERVE THE IMPORTANT ROLE OF REGIONAL COVID-19 VACCINATION HUB. GOVERNMENT OFFICIALS ESTABLISHED 10 HUBS ACROSS THE STATE, EACH LED BY A HOSPITAL SYSTEM, RESPONSIBLE FOR COORDINATING VACCINE DISTRIBUTION. THE STATE CHOSE UHS AS THE LEADER OF THE SOUTHERN TIER REGIONAL VACCINATION HUB, AN AREA MADE UP OF BROOME, CHEMUNG, CHENANGO, DELAWARE, SCHUYLER, STEUBEN, TIOGA AND TOMPKINS COUNTIES. WITHIN THE FIRST FEW MONTHS, UHS' SOUTHERN TIER HUB ACHIEVED A MILESTONE BY ADMINSTERING MORE THAN 250,000 FIRST DOSES OF THE VACCINE. ALL HUB-RELATED ACTIVITIES IN THE REGION WERE LED BY UHS WITH NO COMPENSATION FROM THE STATE. EVEN AT A TIME WHEN OUR FINANCES WERE STRETCHED TO THE LIMIT, WE NEVER CURTAILED OUR LEADERSHIP OR PARTICIPATION IN THE HUB ENDEAVOR. MAINTAINING PARTNERSHIPS WITH A WIDE RANGE OF COMMUNITY ORGANIZATIONS, GROUPS, BUSINESSES AND AGENCIES TO ENSURE ACCESS TO CARE AND IMPROVE THE HEALTH STATUS OF GREATER BINGHAMTON IS A KEY PRIORITY OF UHS. AS THE PANDEMIC SURGED, OUR OWN STAFF CREATED MORE THAN 200 NEGATIVE-PRESSURE HOSPITAL ROOMS, FEATURING DOUBLE FILTERED AIR, TO CARE EXCLUSIVELY FOR COVID PATIENTS. WE ALSO EXPANDED OUR USE OF TELEHEALTH FOR THOSE PATIENTS WHO COULD NOT, OR WERE RELUCTANT TO, SEEK CARE AT A PHYSICAL LOCATION. IN 2021, UHS CONDUCTED 48,013 TELEHEALTH APPOINTMENTS TO FACILITATE ACCESS FOR THOSE PATIENTS. DURING 2021, 174,989 COVID TESTS WERE PERFORMED AND 16,172 DOSES OF VACCINE WERE ADMINISTERED THROUGH UHS COMMUNITY CLINICS.-RESIDENCY AND EDUCATION INCENTIVES: AS A MAJOR TEACHING AND EDUCATIONAL FACILITY IN THE SOUTHERN TIER OF NEW YORK STATE AND THE SURROUNDING REGION, UHS HOSPITALS SERVES AS A CLINICAL PRACTICE SITE FOR MEDICAL STUDENTS, NURSING STUDENTS, DIETARY INTERNS, LABORATORY TECHNICIANS, MANAGEMENT/BUSINESS INTERNS AND PHYSICAL THERAPY INTERNS. PROGRAMS SUCH AS THESE PROVIDE THE AREA WITH A CONSTANT SUPPLY OF WELL-TRAINED HEALTH CARE PROFESSIONALS AND ENHANCE THE ABILITY OF THE COMMUNITY TO RECEIVE STATE-OF-THE-ART, HIGH QUALITY AFFORDABLE MEDICAL CARE. IN 2021 THE UHS HOSPITALS EDUCATION PROGRAM SERVED APPROXIMATELY 81 STUDENTS PROVIDING A TOTAL OF $608,492 IN INCENTIVES, INCLUDING, BUT NOT LIMITED TO: THE REGISTERED NURSE EDUCATION INCENTIVE PROGRAM, THE PHARMACY EDUCATION INCENTIVE PROGRAM, THE RESPIRATORY THERAPY INCENTIVE PROGRAM,THE NEWLY CREATED OR TECH INCENTVIE PROGRAM AND SEVERAL TEACHING DAY PROGRAMS FOR PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS. - THE UHS FOUNDATION IS A SEPARATE INDEPENDENT CORPORATION DEDICATED TO RAISING FUNDS DIRECTLY FROM COMMUNITY MEMBERS AND GRANT CONTRIBUTORS FOR THE PURPOSE OF PROVIDING INCREMENTAL FINANCIAL SUPPORT TO CERTAIN MEMBERS OF THE UNITED HEALTH SERVICES HEALTH CARE SYSTEM. IN 2021, CAPITAL CONTRIBUTIONS TO UHS HOSPITALS FROM THE UHS FOUNDATION, INC. TOTALED $571,000. THESE FUNDS PURCHASED NEEDED MEDICAL EQUIPMENT AND FUNDED PATIENT PROGRAMS THAT OTHERWISE WOULD BE UNAFFORDABLE BY UHS HOSPITALS. IN ADDITION, THROUGH A NEW INITIATIVE IN CONCERT WITH THE COMMUNITY'S ""SOCK OUT CANCER"" INITIATIVE, THE FOUNDATION IS ABLE TO PROVIDE FINANCIAL ASSISTANCE FOR PATIENTS CURRENTLY IN TREATMENT WHO ARE UNABLE TO MEET THE BASIC COSTS OF LIVING DUE TO THEIR NECESSARY TREATMENT AND LIFESTYLE CHANGES."

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UHS HOSPITALS' POLICY STATES THAT THE FORCED SALE OR FORECLOSURE OF A PATIENT'S PRIMARY RESIDENCE, LIQUIDATION OF RETIREMENT ASSETS OR COLLEGE SAVINGS, AND THE SALE OF A CAR USED REGULARLY ARE NOT PERMITTED. THE POLICY ALSO PROHIBITS COLLECTION FROM PATIENTS WHO ARE DETERMINED TO BE ELIGIBLE FOR MEDICAID AT THE TIME OF SERVICE.UHSH DOES NOT SEND AN ACCOUNT TO COLLECTION AGENCIES IF A COMPLETED FINANCIAL ASSISTANCE APPLICATION IS UNDER REVIEW FOR ELIGIBITY AND/OR UHSH HAS RECEIVED COMPLETE INFORMATION FROM THE PATIENT. UHSH PROVIDES WRITTEN NOTICE NO LESS THAN 30 DAYS PRIOR TO REFERRING DEBTS TO COLLECTION AGENCIES AND WILL REFRAIN FROM INITIATING ANY EXTRAORDINARY COLLECTION ACTS FOR AT LEAST 120 DAYS FROM THE DATE OF THE FIRST DISCHARGE BILLING STATEMENT. UHSH ALSO REQUIRES THAT COLLECTION AGENCIES FOLLOW THE FINANCIAL ASSISTANCE POLICY GUIDELINES AND MUST RECEIVE WRITTEN CONSENT FROM UHSH BEFORE COMMENCING LEGAL ACTION.

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UHS HOSPITALS USES COMMUNITY SPECIFIC DATA FROM MULTIPLE SOURCES TO UNDERSTAND THE HEALTH CARE NEEDS OF OUR AREA RESIDENTS. DURING 2021, WE CONTINUED TO FOCUS ON IMPROVING COMMUNITY HEALTH CARE BY LISTENING TO INPUT FROM OVER 20,000 CUSTOMERS AND RESPONDING TO THOSE NEEDS. ALSO, WE CONTINUALLY INVITE THE PUBLIC TO PARTICIPATE IN OUR SELF-ASSESSMENT PROCESS BY MEANS OF SURVEYS, PRIMARY MARKET STUDIES, FOCUS GROUPS AND E-MAIL COMMENTS SUBMITTED THROUGH OUR COMPREHENSIVE INTERNET SITE. THROUGHOUT THE YEAR INPUT FROM STAFF, THE PUBLIC AND OUR BOARD MEMBERS ARE UTILIZED IN DETERMINING AND SHAPING OUR RESPONSE TO THE COMMUNITY'S HEALTH CARE NEEDS. RECENT STUDIES USED BY THE HOSPITAL FOR THE PURPOSE OF ASSESSING OUR MARKET'S HEALTH STATUS INCLUDES:- PRESS GANEY PATIENT SATISFACTION SURVEY SCORES AND COMMENTS (ONGOING)- MARKET EXPERT SOFTWARE FROM THE HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS) WHICH CONTAINS A HEALTH STATUS PROFILER MODULE.- UHS HOSPITALS ADMINISTRATIVE AND BOARD STRATEGIC PLANNING COMMITTEES.- FEEDBACK FROM KEY PHYSICIAN PARTNERSHIPS AS WELL AS INPUT FROM VARIOUS PHYSICIAN FORUMS.- QUALITATIVE SURVEYS AND FOCUS GROUPS TO CAPTURE CONSUMER FEEDBACK, PRIMARILY ON NEW PROGRAMS UNDER DEVELOPMENT.- LOCAL AND NATIONAL HEALTH-RELATED NEWS REPORTS.- REPORTS FROM INDUSTRY PUBLICATIONS AND ORGANIZATIONS.- SOCIAL MEDIAUHS HOSPITALS COMMUNITY SERVICE PLANNING IS SHAPED BY ANNUAL STRATEGIC PLANNING WHICH INCLUDES A REVIEW OF ALL AVAILABLE HEALTH/COMMUNITY ASSESSMENT DOCUMENTS, INCLUDING:- COMMUNITY HEALTH ASSESSMENT 2019-2024, BROOME COUNTY HEALTH DEPARTMENT- ANNUAL ENVIRONMENTAL ASSESSMENT PREPARED BY UHS HOSPITALS MARKET RESEARCH- UHS, INC. (UHS HOSPITALS' PARENT COMPANY) STRATEGIC PLAN: 2020-2022IN 2008, NEW YORK STATE DEPARTMENT OF HEALTH (DOH) DEVELOPED A PREVENTION AGENDA THAT ESTABLISHED 10 PRIORITY AREAS WITH YEAR 2012 GOALS AND MEASURABLE OBJECTIVES. AS PART OF A STATEWIDE EFFORT TO EMPHASIZE LOCAL HEALTH PLANNING, UHS HOSPITALS COLLABORATED WITH THE BROOME AND TIOGA COUNTY HEALTH DEPARTMENTS AND OTHER COMMUNITY PARTNERS TO DETERMINE TWO PUBLIC HEALTH PRIORITIES WHICH FORM THE BASIS OF THE UHSH 2019-2024 COMMUNITY SERVICE PLAN. UHS HOSPITALS IS PROUD OF THE TRADITION OF PARTNERING WITH MANY COMMUNITY AGENCIES, BOTH FORMALLY AND INFORMALLY, TO HELP MEET THE HEALTH NEEDS OF THE COMMUNITY. IN ORDER TO ASSESS COMMUNITY HEALTH NEEDS FOR THIS PLAN, UHS HOSPITALS COLLABORATED WITH THE BROOME AND TIOGA COUNTY HEALTH DEPARTMENTS AND A TASK FORCE OF REPRESENTATIVES FROM COMMUNITY AGENCIES WHICH INCLUDED:- BINGHAMTON UNIVERSITY- SUNY BROOME COMMUNITY COLLEGE- BROOME COUNTY COUNCIL OF CHURCHES- BROOME COUNTY DEPARTMENT OF SOCIAL SERVICES- BROOME COUNTY ENVIRONMENTAL MANAGEMENT COUNCIL- BROOME COUNTY HEALTH DEPARTMENT- BROOME COUNTY OFFICE FOR THE AGING- BROOME COUNTY URBAN LEAGUE- BROOME COUNTY YOUTH BUREAU- EXCELLUS BLUECROSS & BLUE SHIELD- LOURDES/ASCENSION- MOTHERS & BABIES PRENATAL NETWORK OF SCNY- SUNY UPSTATE MEDICAL UNIVERSITY CLINICAL CAMPUS AT BINGHAMTON - UHS HOSPITALS- UNITED WAY OF BROOME COUNTYTHE BROOME AND TIOGA COUNTY COMMUNITY HEALTH ASSESSMENTS ARE THE RESULT OF THIS TASK FORCE'S COLLABORATION AND THE BASIS FOR SELECTION OF THE PUBLIC HEALTH PRIORITIES FRAMING THE COMMUNITY SERVICE PLAN. THE MAPP PROCESS WAS USED TO CONDUCT ASSESSMENTS OF: COMMUNITY THEMES & STRENGTHS, LOCAL PUBLIC HEALTH SYSTEM, COMMUNITY HEALTH STATUS AND FORCES OF CHANGE. THE PROCESS RELIED HEAVILY ON THE CAPTURE AND ANALYSIS OF DATA THROUGH FOCUS GROUPS AND SURVEYS AND THE ANALYSIS OF EXISTING DATA SETS (THE COMMUNITY HEALTH DATA SET, COUNTY HEALTH ASSESSMENT INDICATORS, BEHAVIORIAL RISK FACTOR STATISTICAL SURVEY, YOUTH RISK BEHAVIORIAL SURVEY, STATEWIDE PLANNING AND RESEARCH COUNCIL STATISTICS AND OTHER COUNTY LEVEL DATA AVAILABLE ON THE NYS HEALTH INFORMATION NETWORK) IN COMPARISON TO THE 2015 PREVENTION AGENDA GOALS. UHS HOSPITALS ENHANCED THE PREVENTION QUALITY INDICATORS DATA BY ADDING INCIDENCE DATA FOR BROOME COUNTY RESIDENTS WHO USE PENNSYLVANIA HOSPITALS. THE STEERING COMMITTEE SYNTHESIZED THE ASSESSMENTS IN ORDER TO IDENTIFY STRATEGIC ISSUES AND FORMULATE GOALS AND STRATEGIES. THE STEERING COMMITTEE USED THE FOLLOWING CRITERIA TO RATE THE PREVENTION AGENDA PRIORITIES AND ADDITIONAL PRIORITIES IDENTIFIED BY TASK FORCE MEMBERS:- POTENTIAL COSTS TO THE HEALTH CARE SYSTEM- ABSOLUTE NUMBER OF INDIVIDUALS AFFECTED- WORSENING TREND IN HEALTHCARE INDICATORS OVER THE PAST 5 YEARS- UNDERPERFORMING HEALTHY PEOPLE 2010 REPORT AND/OR NEW YORK STATE 2015 PREVENTION AGENCY GOALS- WORK TIME LOST OR DISABILITY CLAIMS- PARTICULAR AREAS OF CONCERN (DISPARITIES)- FEASIBILITY FOR POTENTIAL INTERVENTION- AVAILABILITY FOR FUNDING THE INITIATIVES- FORCES FOR CHANGE (TRENDS, FACTORS AND EVENTS)- MEASURABILITY OVER TIME

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UHS HOSPITALS SERVES THE GREATER BINGHAMTON, NEW YORK REGION, WHICH ENCOMPASSES BROOME, TIOGA, CHENANGO, OTSEGO, SULLIVAN, AND DELAWARE COUNTIES IN ADDITION TO SUSQUEHANNA COUNTY, PA. DEMOGRAPHICALLY, THE SERVICE AREA HAS A POPULATION BASE OF APPROXIMATELY 368,800 PEOPLE. THE REGION HAS A HIGHER PROPORTION OF ELDERLY THAN THE UNITED STATES OR NEW YORK STATE AVERAGES, WITH A MEDIAN INCOME THAT IS 23% POORER THAN THE UNITED STATES AVERAGE. THE MEDIAN HOUSEHOLD INCOME FOR 2021 IS $79,900 NATIONALLY VS $57,819 FOR THE UHS SERVICE AREA WITH 22.4% OF THE TOTAL HOUSEHOLDS LESS THAN $25,000 VS THE NATIONAL LEVEL OF 18%. THE PAYER MIX OF THE SERVICE AREA POPULATION IS MEDICAID 33.8%, MEDICARE 21.9%, UNINSURED 8.2% AND COMMERICALLY INSURED 36.0%.THE SERVICE AREA POPULATION OF 65+ IS 20.9% COMPARED TO 17.1% FOR THE NATION AND 17% IN NY STATE. THE OLDEST POPULATION IS IN THE RURAL AREAS OF LESS THAN 700 RESIDENTS. OUTSIDE OF THE BINGHAMTON METROPOLITAN AREA,THE SERVICE AREA IS PREDOMINANTLY RURAL.

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THE UHS HOSPITALS' MISSION IS TO SERVE THE PEOPLE OF OUR REGION, TO IMPROVE OR MAINTAIN THEIR HEALTH, AND TO PROVIDE PATIENT-CENTERED, CONTEMPORARY HEALTH SERVICES IN A CARING, COMPETENT AND CONVENIENT MANNER. SERVICES WILL BE AFFORDABLE AND WELL ORGANIZED TO MEET THE NEEDS OF OUR PATIENTS AND THEIR FAMILIES. UHS HOSPITALS SERVES THE COMMUNITY WITH AN OPEN MEDICAL STAFF OF APPROXIMATELY 400 ACTIVE PHYSICIANS AND PROVIDERS AND A DIVERSE COMMUNITY BOARD OF DIRECTORS. ANY SURPLUS FUNDS GENERATED THROUGH OPERATIONS ARE USED SOLELY TO PURCHASE NEEDED MEDICAL EQUIPMENT AND PROVIDE FOR PROGRAM AND SERVICE ENHANCEMENTS.WORK BEGAN IN 2021 TO CREATE A NEW SIX STORY, STATE-OF-THE-ART CLINICAL TOWER ON THE CAMPUS OF UHS WILSON MEDICAL CENTER IN JOHNSON CITY, FURTHERING UHS HOSPITAL'S COMMITMENT TO ENHANCING ACCESS AND CLINICAL SERVICE TO THE AREA POPULATION. THE WILSON PROJECT WILL ADD 183,375 SQUARE FEET OF SPACE TO THE EXISTING HOSPITAL WITH 120 MEDICAL/SURGICAL PRIVATE ROOMS AND CREATE UPGRADED AND EXPANDED SPACE IN THE EXISTING EMERGENCY DEPARTMENT. THE EXPECTED COMPLETION DATE IS SUMMER 2025.

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UHS HOSPITALS IS AN IMPORTANT PART OF UHS, A NOT-FOR-PROFIT SYSTEM OF INTEGRATED CARE DELIVERY, WHICH PROVIDES ADDITIONAL BENEFITS TO THE COMMUNITY. AS A RESULT OF THE FORMATION OF UHS HOSPITALS IN 1981 AND THE SUBSEQUENT TRANSFORMATION OF THE COMBINED ORGANIZATION INTO THE UHS HEALTHCARE SYSTEM, OUR REGION TODAY OFFERS MORE COMPLETE AND ADVANCED CARE THAN MANY COMMUNITIES FIVE TIMES OUR SIZE. EVERY THREE YEARS, UHS HOSPITALS DEVELOPS A SYSTEM-WIDE STRATEGIC PLAN. CONSISTENT WITH THE MISSION AND VISION, THE PLAN IS FOCUSED ON CONTINUING TO STRENGTHEN THE UHS HEALTH SYSTEM AND ITS SERVICES TO THE COMMUNITY. THE STRATEGIC PLAN IS ORGANIZED AROUND FOUR GOALS: - IMPROVE OUR CARE: OUR MISSION IS TO IMPROVE THE HEALTH OF THOSE WE SERVE THROUGH OUR COMMITMENT TO EXCELLENCE IN ALL THAT WE DO. THIS MISSION DEMANDS THAT WE RESOLUTELY PURSUE WAYS TO IMPROVE OUR CARE. WE CONTINUE ON THE JOURNEY TO BECAOME A HIGH-RELIABILITY ORGANIZATION PURSUING ZERO HARM.- OPTIMIZE OUR TEAM'S POTENTIAL: UHS STRIVES TO EMPOWER EVERY EMPLOYEE, PHYSICIAN AND PROVIDER TO MAKE A MEANINGFUL DIFFERENCE FOR OUR PATIENTS, COMMUNITY AND EVOLVING HEALTHCARE SYSTEM.- MANAGE OUR COSTS: WORKING WITH A CONSULTANT, WE HAVE CONDUCTED AN ASSESSMENT TO IDENTIFY OPPORTUNITIES FOR COST SAVINGS NOW AND IN FUTURE YEARS WITH A REVENUE CYCLE MANAGEMENT SYSTEM SHOWING RESULTS SINCE 2020.- GROW OUR MARKET SHARE: WE ASPIRE TO BE THE PROVIDER OF CHOICE FOR ACCESS, QUALITY AND EXPERIENCE. WE BELIEVE OUR CORE VALUES SET US APART FROM MANY OF OUR COMPETITORS.SPECIFIC DESTINATION METRICS OR MEASURES OF SUCCESS HAVE BEEN DEVELOPED FOR EACH STRATEGIC GOAL. THE SPECIFIC INITIATIVES SUPPORTING ACHIEVEMENT OF THE GOALS ARE REVIEWED ON A A REGULAR BASIS. EACH ENTITY CARRIES OUT INITIATIVES LOCALLY AND REGIONALLY. THE UHS HOSPITALS COMMUNITY SERVICE REPORT CAPTURES THE BENEFITS SPECIFIC TO UHS HOSPITALS.