Chenango Memorial Hospital Inc.

“United health services, inc. Is the sole member of chenango memorial hospital, inc.”

“The sole member, united health services, inc, shall elect trustees at the annual meeting of the organization.”

“The 990 preparation and filing is the responsibility of the hospitals board of directors who delegates the timely and accurate completion of the 990 to management. The finance division prepared the 990 forms which was reviewed by the organization's public accountants, controller, vp of finance and the cmh board of director's.”

“Directors, officers and key employees submit conflict of interest statements annually which are reviewed by the ceo, board chairman and the organization's audit committee.”

“It is the philosophy of the hospital that all staff including executive staff be compensated fairly for their work. Base salary levels, incentive/bonus programs and benefit plans shall take into account the local, regional and national markets to allow uhs hospitals to recruit, motivate, reward, recognize and retain highly talented executives with the skill sets required to fulfill its mission. The executive compensation program must focus executives' attention on uhs's strategic initiatives and mission critical performance objectives that will lead to the organization's and system's success. To carry out this compensation philosophy, the uhs hospitals (which includes chenango memorial hospital) board of directors' executive compensation committee reviews annually a comprehensive report prepared by an external executive compensation consulting firm, sullivan cotter associates to determine the appropriateness of the base and total compensation levels for the senior management staff. This annual report focuses on two key areas; 1) the competitiveness of the senior management staff's base and total compensation (including benefits) vs. National benchmark data for comparably sized health care systems and hospital (based upon 'total revenue' metrics), and 2) a 'reasonableness assessment' consistent with u.s. Treasury department regulations governing executive compensation for not-for-profit organizations. The data from this report assists the executive compensation committee in determining the appropriateness of the senior managements' current base and total compensation levels and the need for any adjustments for that calendar year.”

“The organization provides form 1023, form 990 and other information required under internal revenue service regulations to the public, upon request.”

“The chenango memorial hospital walk in center no longer exists.”

“Physician/provider fees: program service expenses 15,574,038. Management and general expenses 0. Fundraising expenses 0. Total expenses 15,574,038.”

“The beginning balances of the balance sheet do not match the 2013 column of our audited financial statements due to a reclassification of two accounts in 2013 and 2014. The account blue cross current fin advance was reclassified from an asset to a liability and accrual nys surcharge was reclassified from a liability to an asset account.”

“Cumulative effect of auxiliary income and expense 15,887. Change in interest in chenango memorial hospital foundation 338,189. Pension changes other than net periodic benefit costs -6,698,184. Change in value of funds held in trust by others -187,612.”

“Neither the process for the oversight of the audit or the process for the selection of the independent accountant has changed during the year.”

“*representatives from the mothers & babies south central new york perinatal network have been in the waiting room once a month to help patients with questions and services. Originally scheduled for 4 hours once a month, it was increased to 6 hours. This program has been so successful that a representative will be in the waiting room every wednesday starting in february 2015. In 2014, they visited with 109 patients that, in combination with distributing the "baby basics" book, resulted in 43 patient referrals. -increase access to health insurance for county residents, adults and children the chenango health network plays an instrumental role enrolling local residents in the new state health care plans. Staff in the hospital's patient financial accounting area have been certified to help patients enroll in the nys health exchange (via the state's website "nystate of health"), medicaid and childhealth plus. 2014 progress report - increase access to health insurance *the hospital provides space in our sidney, ny, primary care office for a representative of the chenango health network to provide insurance enrollment and navigation services for residents in the chenango, delaware, and otsego counties. This began in october 2014 and the representative is there 2 days/week. 2014 progress report - patient centered care *on april 17, 2014 representatives of nyconnects and the lhd were on site to meet with the vp of operations, long-term care administrator, and director of projects. Ny connects presented the variety of services they provide. This presentation was targeted for our geriatric practice which unfortunately was discontinued. *chenango memorial has a long-standing partnership with hospice & palliative care of chenango county. Please see "increase utilization of hospice and palliative care services" later in this section. *as mentioned earlier in this section, chenango memorial's women's health center has an on-going, close relationship with the mothers and babies perinatal network. *the hospital provides interpreter services for patients who don't speak english as their primary language. Interpreter services are critical to quality of care, patient safety and patient compliance. The hospital did not charge for this service and absorbed the expense of nearly $20,000. *chenango memorial established a patient centered care committee in august 2014 consisting of managers and key front line staff in our out-patient offices to streamline access to services. The hospital had received public feedback about difficulty scheduling appointments, long lead times for appointments, and the amount of paperwork they had to complete. Three sub-committees were assembled focusing on scheduling, phones, and the check-in/check-out process. Potential improvements were identified within each subcommittee most notably revamping physician schedules to open up more slots for acute appointments. Work continued on many initiatives through the end of 2014 with rollouts of new processes starting in january 2015. *a pre-admission testing (pat) committee was initiated in january 2014 to address numerous concerns expressed by patients and providers about all things leading up to a surgical procedure. The pat committee met on a regular basis dissecting and addressing a multitude of issues to streamline the pat process, open up more or time, revamp surgical schedules to increase access, decrease cancellations and improve communication with all parties involved, especially with patients. This has been an arduous process with many facets that has also included a separate surgical committee consisting of surgeons and the hospital's ceo to ensure everyone's concerns are aired out. The hospital also contracted with a new anesthesiology service that came in with a fresh perspective at the start of the year. Progress has been made but there's still work to be done including better use of technology, equipment, space, and personnel. This team will continue to meet during”

“-increase utilization of hospice and palliative care services hospice provides services to our long-term care residents facing end-of-life issues. The resident, their family, and the staff of both the hospital and hospice design a care plan that best meets the needs of the patient. The hospital's nursing home administrator and director of nursing meet with hospice twice a year to evaluate the program and make adjustments as necessary. 2014 progress report - hospice and palliative care services *hospice and palliative care services have continued in our long-term care facility which resulted in 3 referrals in 2014. *hospice and palliative care services received 16 referrals from our acute care unit. Additionally, the hospital was recognized as a 2014 hospice hero by hospice and palliative care of chenango county. *hospice and palliative care of chenango county had speakers present at our employed medical staff meeting on august 26, 2014. They informed providers about the services hospice offers patients (terminal) & their families and changes in part d coverage. *palliative care is also a project in our delivery system reform incentive program (dsrip). -enhance provider ability to address needs of youth-at-risk and in need of mental health services and other supports particularly when youth are receiving care from pediatric or primary care clinics. 2014 progress report - mental health services for youth *due to the lack of psychiatrists at chenango county mental hygiene services and within the region, patients are now going to primary care docs for services, especially pediatrics. Meetings were held to establish mental health services within the pediatrics department but co-mingling article 28 (hospital) and article 13 (mental health) agencies was against nys department of health regulations. The need for mental health services in chenango county is now a dsrip initiative. Needs not addressed and the reasons why address needs of persons receiving care from chenango county community mental hygiene services focusing on chronic disease prevention and management to be addressed by the chenango county community mental hygiene services. Mental health is not a core business of uhs chenango memorial hospital. This is now an initiative of dsrip. Support policy change such as tobacco-free worksite, parks, playgrounds and point-of-purchase advertising to be addressed by the chenango health network. Market and promote local parks and playgrounds to county residents to encourage use by more people not a core business of uhs chenango memorial hospital. Focus on healthy eating, acknowledge food insecurity issues, access to healthy foods and other stressors which may impede individuals' and families' ability to eat healthy although this initiative indirectly relates to uhs chenango memorial hospital, we do not have the financial or human resources to focus on it. Support worksite wellness initiatives currently underway in the county, expand reach to smaller employer groups uhs chenango memorial participated in wellness fairs at nbt's corporate headquarters in norwich, ny; norwich pharmaceuticals, also in norwich; and acco brands in sidney, ny. Health information and osteoporosis screenings were provided. Employees who assist with the health fairs also generate revenue at the hospital making it difficult to attend many of these events.”

“*hosted by commerce chenango *2014 economic forecast breakfast - a presentation by nbt, a major business supporter of the hospital. This event is attended by numerous businesses in chenango county. *2014 annual legislative luncheon - executive director of unshackle upstate, a bi-partisan coalition with a goal of making upstate new york more viable for business, gave leaders in business and politics a glimpse of the issues plaguing the local economic climate. *small business dinner - commerce chenango recognizes small businesses. *annual awards dinner - commerce chenango recognizes distinguished business of the year, commitment to community award, and young professional award. Chenango memorial hospital was awarded distinguished business of the year. *hosted by hospice and palliative care of chenango county *2014 annual dinner - hospice recognizes its hospice heroes. Chenango memorial was one of those heroes in 2014. *hosted by the baden-powell boy scouts of america *2014 distinguished citizen award banquet - the boy scouts recognize outstanding community leadership and volunteer involvement. In 2014, a retiree of the hospital was recognized for his numerous community activities especially coaching youth sports. *the hospital and its employees participated in these community events to support health care endeavors. *american cancer society - chenango memorial is an annual supporter in the relay for life. Cmh provides a booth with fundraising activities that resulted in a $650 donation to the cancer society. *american cancer society - chenango memorial hospital joined our colleagues from uhs in the making strides walk in october. *american heart association - the hospital donated $307 to the aha as the result of an employee ice cream and yogurt sundae fundraiser. *local fire departments & auxiliaries - cmh provided prizes for participants in a bowling tournament to support local fire departments and auxiliaries community health improvement advocacy not surprisingly, uhs chenango memorial is heavily involved with health programs in the community. *diabetes information fairs - the hospital hosted 2 annual fairs - 1 in norwich, ny and the other in sidney, ny that were attended by a total of 61 people. These free events are open to diabetics and their families and feature information that is important for anyone who has been diagnosed with diabetes. Participants learn about many aspects of diabetes care including complications of the disease particularly cardiovascular disease, nutrition, and preparation of a variety of diabetes-friendly food. Medical experts at the fair included primary care/internal medicine physicians and their nurses, a podiatrist and his nurse, a chef, registered dietitians, and a dentist. Numerous diabetic friendly businesses had booths at the event. *diabetes education committee - this group which consists of the hospital's diabetic educator, administrative assistant, and staff educator is chaired by a community physician. Other attendees include a registered dietician, a podiatrist, and a community member. They meet quarterly and work primarily to increase physician referrals to the diabetic self management classes and plan education events like the diabetes health fairs. *diabetes self management classes - this 4-series class includes instruction for diabetes patients and their caregivers on how to manage the disease. The first session is a pre-assessment, followed by three 3-hour classes, and then a followup. 22 people participated with 9 completing all 4 sessions. Cmh bills for this service and received reimbursement of $83. *diabetes presentation - the hospital's diabetes educator discussed basic diabetes care including healthy eating, medications, routine health care and routine fingerstick blood glucose monitoring at an assisted living facility in norwich. *talk for tops (taking off pounds sensibly) - the hospital's diabetes educator discussed how to prevent developing diabetes and how to control it in”

“*speakers at medical staff meetings - the medical staff meets quarterly and representatives from community healthcare agencies frequently speak at these meetings about their programs. Representatives from the stopping elderly accidents, death & injuries (steadi) program, chenango county hospice & palliative care, and the chenango health network discussed their services in 2014. *community healthcare education - chenango memorial participated in 3 corporate healthcare events and hosted 6 educational forums. The educational forums addressed shoulder pain, women's incontinence, and arthritis pain. *delivery system reform incentive program (dsrip) - chenango memorial in collaboration with lourdes hospital (binghamton, ny), binghamton general & wilson hospitals (binghamton), cortland regional medical center (cortland), cayuga medical center (ithaca), delaware valley hospital (walton), guthrie corning hospital (corning), schuyler hospital (montour falls) have created a performing provider system (pps) consisting of these organizations. Ten (10) counties comprise this pps - broome, cayuga, chemung, chenango, cortland, delaware, schuyler, steuben, tioga, and tompkins. Dsrip promotes community-level partnerships in new york state and provides financial support to health care providers to implement programs to better meet the needs of their communities. The pps is a partnership of regional care providers who will collaborate to better transition from traditional fee-for-service payment for their services to the new, risk based, pay-for-performance approach. Workforce development as the only hospital in chenango county, uhs chenango memorial is the epicenter for training and mentoring of health care students. In 2014, 169 students received hands-on, real-life experience on-site throughout the year. *mash camp - mash stands for medical academy of science and health. This 2-day camp is sponsored by uhs chenango memorial hospital, the central new york area health education center and excellus blue cross blue shield. Each year, the three organizations partner on this initiative to address the mutual goal of alleviating the shortage of health professionals by encouraging young people to explore health careers. Mash camp showcases a variety of health careers for 8th and 9th graders through fun, hands-on workshops including lots of attention from dedicated health professionals. *new visions (healthcare) - uhs chenango memorial has an on-going relationship with delaware, chenango, madison, otsego (dcmo) board of cooperative educational services (boces) to host their new visions students interested in pursuing healthcare careers. This group has a classroom on-site at the hospital that is provided at no cost while they pursue their studies during the school year. By having the classroom on site, they have easy and ample access to the patient care areas, nurses and clinical caregivers to observe procedures and assist when appropriate. Students entering their senior year go through a rigorous application process with boces to get into the class based somewhat on their current gpa. This partnership has proven successful as many graduates have gone on to get their degrees in various healthcare professions. Some of the graduates have actually returned to the area. There were 20 students enrolled in this program in 2014. *student mentoring - students from various educational institutions were on-site to complete their clinicals, preceptorships, internships, etc., at the hospital in these disciplines: o nursing o anesthesiology o radiology o lab o emergency medicine o primary care o pediatrics o ob/gyn o geriatrics o certified nurse aid o physical/occupational therapy o nutrition o medical office assistant students came from boces, mohawk valley community college, morrisville state, suny binghamton, albany medical center, suny broome, suny upstate medical center, lake erie college of osteopathic medicine, keuka college, nazareth college, independent univ”

“*helipad open house - the hospital hosted an open house for the public to see the new helipad. Approximately 90 people attended. *leadership chenango - leadership chenango is an educational program sponsored by the chenango foundation of commerce chenango with the mission of developing county leaders of the future. Students are selected through a rigorous application and interview process and the class runs for approximately 6 months with 1-day sessions every week or every other week. Members of the hospital's auxiliary discussed the volunteer program at cmh, make-up and activities of the auxiliary's board, and the work of the committee chairs. *medical mission to ghana - two of the hospital's pediatrics providers volunteered through americans serving abroad project (asap) and travelled to the ashanti region of ghana to provide medical care. The group provided breast cancer screenings; dental hygiene; optometry; hearing; diabetes, hypertension and cholesterol testing; and general care including cuts and worm infestations.”