Civic Intelligence

St Lawrence Health System Inc

EIN 46-4259168 • 501(c)3 • Potsdam, NY

Profile

St. Lawrence health system's mission is to improve health, deliver better care and consumer experience, and lower costs in st. Lawrence county through coordination and integration of services.

50 Leroy StreetPotsdam, NY 13676

www.stlawrencehealthsystem.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

96th percentile

1.17x

Higher debt load relative to assets than 96% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

97th percentile

13.05x

Higher debt load relative to revenue than 97% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

16th percentile

-11%

Higher net margin than 16% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

100th percentile

$4,013,008

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 111.7% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Asset Growth

66th percentile

11%

Faster asset growth than 66% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

93rd percentile

89%

Faster revenue growth than 93% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Assets

Up

$40,209,604

Up $3,913,381 (+11%) from 2023

Liabilities

Up

$46,884,136

Up $4,170,377 (+9.8%) from 2023

Net Assets

Down

-$6,674,532

Down $256,996 (-4.0%) from 2023

Revenue

Up

$3,593,797

Up $1,688,615 (+89%) from 2023

Expenses

Down

$3,985,604

Down $780,681 (-16%) from 2023

Net Income

Up

-$391,807

Up $2,469,296 (+86%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$150M$100M$50M$0-$50MAssets 2013: $5,000,000Liabilities 2013: $5,000,000Net Assets 2013: $02013Assets 2014: $7,008,461Liabilities 2014: $5,745,952Net Assets 2014: $1,262,5092014Assets 2015: $15,351,110Liabilities 2015: $13,608,575Net Assets 2015: $1,742,5352015Assets 2016: $35,539,621Liabilities 2016: $31,405,934Net Assets 2016: $4,133,6872016Assets 2017: $45,181,569Liabilities 2017: $38,735,836Net Assets 2017: $6,445,7332017Assets 2018: $42,018,292Liabilities 2018: $37,243,014Net Assets 2018: $4,775,2782018Assets 2019: $51,183,877Liabilities 2019: $44,007,521Net Assets 2019: $7,176,3562019Assets 2020: $40,562,629Liabilities 2020: $43,531,124Net Assets 2020: -$2,968,4952020Assets 2021: $39,912,113Liabilities 2021: $42,140,253Net Assets 2021: -$2,228,1402021Assets 2022: $105,606,405Liabilities 2022: $109,749,982Net Assets 2022: -$4,143,5772022Assets 2023: $36,296,223Liabilities 2023: $42,713,759Net Assets 2023: -$6,417,5362023Assets 2024: $40,209,604Liabilities 2024: $46,884,136Net Assets 2024: -$6,674,5322024

Highlighted filing

2024

Assets$40,209,604
Liabilities$46,884,136
Net Assets-$6,674,532

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$6.0M$4.0M$2.0M$0-$2.0M-$4.0MRevenue 2013: $0Expenses 2013: $0Net Income 2013: $02013Revenue 2014: $314,100Expenses 2014: $353,167Net Income 2014: -$39,0672014Revenue 2015: $154,377Expenses 2015: $370,386Net Income 2015: -$216,0092015Revenue 2016: $212,730Expenses 2016: $1,006,576Net Income 2016: -$793,8462016Revenue 2017: $2,237,422Expenses 2017: $2,181,504Net Income 2017: $55,9182017Revenue 2018: $2,328,818Expenses 2018: $4,144,692Net Income 2018: -$1,815,8742018Revenue 2019: $2,183,485Expenses 2019: $4,408,430Net Income 2019: -$2,224,9452019Revenue 2020: $2,368,203Expenses 2020: $4,449,096Net Income 2020: -$2,080,8932020Revenue 2021: $3,246,511Expenses 2021: $3,608,465Net Income 2021: -$361,9542021Revenue 2022: $2,047,244Expenses 2022: $3,513,105Net Income 2022: -$1,465,8612022Revenue 2023: $1,905,182Expenses 2023: $4,766,285Net Income 2023: -$2,861,1032023Revenue 2024: $3,593,797Expenses 2024: $3,985,604Net Income 2024: -$391,8072024

Highlighted filing

2024

Revenue$3,593,797
Expenses$3,985,604
Net Income-$391,807

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 11, 2025
Return Version
2024v5.2
Gross Receipts
$3,593,797
Mission and Program Overview

Mission

St. Lawrence health system's mission is to improve health, deliver better care and consumer experience, and lower costs in st. Lawrence county through coordination and integration of services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$24,783,549$23,222,880▼ $1,560,669
Cash and Non-Interest-Bearing Accounts$5,526,984$9,829,695▲ $4,302,711
Intangible Assets$2,087,000$2,087,000→ $0
Accounts Receivable$202,434$373,585▲ $171,151
Prepaid Expenses and Deferred Charges$171,383$196,923▲ $25,540
Total Assets$36,296,223$40,209,604▲ $3,913,381
Other Assets Total$3,524,873$4,499,521▲ $974,648
Liabilities
Tax Exempt Bond Liabilities$27,933,817$26,821,097▼ $1,112,720
Other Liabilities$9,830,128$14,023,318▲ $4,193,190
Accounts Payable and Accrued Expenses$4,956,273$5,150,366▲ $194,093
Deferred Revenue$-6,459$889,355▲ $895,814
Total Liabilities$42,713,759$46,884,136▲ $4,170,377
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-6,417,536$-6,674,532▼ $256,996
Total Net Assets Fund Balance$-6,417,536$-6,674,532▼ $256,996
Total Liabilities and Net Assets / Fund Balance$36,296,223$40,209,604▲ $3,913,381

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$20,346,572$4,607,880$24,954,452
Equipment$1,785,188$3,431,468$5,216,656
Land$1,020,920-$1,020,920
Other Land Buildings$70,200$9,330$79,530
Other Assets Org$580,000--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Donna McgregorPresident, SlhsFT$537,746$269,295$807,041
Michael RulffesSVP, President & Chief Operating Officer - EasternFT$441,474$7,983$449,457
Michael RulffesSVP, President & Chief Operating Off-$347,015$102,442$449,457
Lisa LougheedChief Nursing Officer, SlhFT$299,270$94,655$393,925
Brent BishopAssociate Chief Operating Officer and VP BusinessFT$375,042$5,511$380,553
Brent BishopAssociate Chief Operating Officer an-$292,014$88,539$380,553
Lyndon AllenChief Information OfficerFT$258,114$81,544$339,658
Kelly CicchinelliAssistant TreasurerFT$255,907$81,648$337,555
Sinead IngersollVP, Physician Practice ManagementFT$261,459$30,102$291,561

Board Members and Trustees

NameTitle
Mark CornettChair of the Board
James Theodore1st Vice Chair
Edward Mucenski2nd Vice Chair
Andrew LeonardDirector
Anne Marie SnellDirector
Anne RicheyDirector
Brian GardamDirector
Florence Bero MdDirector
Jacquelyn KunoDirector
Kathryn MullaneyDirector
Loretta PerezDirector
Michael GriffinDirector
Michael Tulloch MdDirector
Real Frenchie CoupalDirector
Christian CasiniAssistant Secretary
Richard Davis PhdCEO
Thomas CrillyCFO
Hugh ThomasFormer CAO
Charles WhippleGeneral Counsel
Jennifer EslingerMember Appointment, COO
Donald DangremondSecretary
Thomas AdamsSecretary/treasurer
Mark BrackettTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Revco Solutions INCRevenue Cycle Management2700 MERIDIAN PARKWAY, Durham, NC 27713$431,269
Crothall Healthcare INCHealthcare Environment Services13028 COLLECTION CENTER DRIVE, Chicago, IL 60693$281,264
AvasureVirtual Patient Care5801 SAFETY DRIVE, Belmont, MI 49306$245,100
Manatt Phelps And PhillipsLegal Services2049 CENTURY PARK EAST SUITE 1700, Los Angeles, CA 90067-3101$125,100
Joel S Duhl INCRevenue Cycle Management555 W GRANADA BLVD STE B3, Ormond Beach, FL 32174$120,000
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$746,351
Investment Income
$146,195
Other Revenue
$2,701,251
Change in Net Assets
$-391,807
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$3,475,313
Salaries, Compensation, and Employee Benefits$510,291
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Depreciation Depletion-$1,543,016-$1,543,016
Interest-$1,401,250-$1,401,250
Other Salaries and Wages$425,121--$425,121
Other Expenses-$353,645-$353,645
Other Employee Benefits$85,170--$85,170
Fees for Services Other$40,491--$40,491
Conferences and Meetings$17,306$18,009-$35,315
Fees for Services Management$29,894--$29,894
Occupancy$25,721--$25,721
All Other Expenses$6,850$14,797-$21,647
Fees for Services Legal-$20,000-$20,000
Travel$4,334--$4,334
Total Functional Expenses$634,887$3,350,717$0$3,985,604
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$14,017,756
Operating Lease Liability$5,562

Bond Issues

BondIssuerIssuedIssue PricePurpose
AThe Genesee County Funding Corporation2022-05-15$30,653,122Finance capital improvement projects

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$30,653,122$30,021,684$995,000$631,438

Bond Financing Compliance

No rebate due
No
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

The organization is a membership (not a stock) corporation under new york state law. The sole corporate member of st. Lawrence health system, inc. Is rochester regional health, a related not-for-profit corporation.

Form 990, Part VI, Section B, Line 11B

Prior to filing, a copy of the form 990 is provided to, and reviewed with, all members of the audit and compliance committee. This review is performed in consultation with the organization's tax advisors, and is based on the organization's audited financial statements and other relevant information for the appropriate time period.

Form 990, Part VI, Section B, Line 12C

Board member conflict of interest disclosure forms are completed and reviewed by the board annually.

Form 990, Part VI, Section B, Line 15

Compensation process for top official - the audit, compliance and compensation committee of the board of directors utilizes the input of a national consulting firm with expertise in executive compensation to review the compensation packages offered to top management as well as our compliance with regulatory requirements for executive compensation for not-for-profit hospitals. Upon the findings of the consultant and deliberations of the audit, compliance, and compensation committee, the committee will then make a recommendation to the full board. The full board will then vote on the top official's compensation package. Compensation process for officers - the compensation of other key employees is determined primarily by information gathered from independent survey data from national and surrounding markets coordinated by the human resource department. The ceo and vice president of human resources review the survey data to determine salary ranges and compensation packages. The ceo brings the information and findings to the audit, compliance, and compensation committee of the board for their deliberation and consideration. The audit, compliance, and compensation committee will then bring their recommendation to the full board for their final approval.

Form 990, Part VI, Section C, Line 19

The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request at the administrative offices of the affiliated health system at 100 kings highway south, rochester, ny 14617. A nominal fee is charged if copies are requested.

FORM 990, PART VII, SECTION A, COLUMN (F):

Estimated amount of other compensation from the organization and related organizations - this column is reflective of (1) the actuarial change in defined benefit pension plan and post-retirement benefits for the tax year and (2) non-taxable benefits.

Filing and Contact Details

Filer

Filer Name
St Lawrence Health System Inc
EIN
46-4259168
Phone
5859221595
Address
50 LEROY STREET, POTSDAM, NY 13676

Signing Officer

Name
Thomas R Crilly
Title
CFO
Phone
5859221595
Signed
2025-11-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Dr Richard Davis
Formed
2013
Legal Domicile
Ny
Voting Board Members
19
Independent Board Members
16
Employees
205
Volunteers
0

Preparer

Firm
Bonadio & Co Llp
Address
171 SULLYS TRAIL, PITTSFORD, NY 14534
Preparer
Chelsey Wyant
Phone
5853811000
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4

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. 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 t

Form 990, Part III, Line 4 (continued)

The ymca portion boasts a brand-new aquatic center, group exercise studios, a wellness center with top-of-the-line fitness equipment, an indoor track, a teaching kitchen, and an adventure room play area for children. There are also a variety of family-friendly, innovative, intergenerational spaces where seniors, teens, and families can connect and thrive through collaborative activities. 2024 saw the reopening of urgent care- penfield. Rochester regional health urgent care providers and staff are available to diagnose and treat most non-life-threatening injuries and illnesses, in addition to offering a full line of occupational health services. Conditions include: abdominal pain, allergies, cold and flu symptoms, ear infections, headaches, sore throats, and urinary tract infections (uti). Additionally, orthopaedic urgent care at the henrietta medical campus opened in 2024. Ortho urgent care provides same-day care for unplanned injuries or ailments directly related to the body's bone, joint, and soft tissue structures with the flexibility to walk in or call to schedule an appointment. Rrh providers specialize in care for orthopaedic injuries and musculoskeletal issues, including: sprains/ strains, fractures, sports injuries, acute joint pain, injuries to the back, shoulder, knee, foot/ankle, and/or hand/wrist. Services include: x-ray, bracing, and casting. Virtual urgent care continues to be 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. 2024 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 2024 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 2024, 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 pharmacy patient assistance program is a partnership between rochester regional health and mckesson rxo to provide free medications, medical devices, and/or co-pay assistance to help our uninsured, underinsured, and low

Form 990, Part III, Line 4 (continued)

In honor of social work month, the rrh team is collecting the following items or similar to help our social workers support community members in need: diapers, formula, bed sheet sets, gift cards for pharmacies (rite aid, cvs, walgreens, etc.), gift cards for grocery stores (wegmans, walmart, tops, etc.), gift cards for transportation (uber, lyft), other non-perishable items, feminine hygiene products and baby monitors. Rrh celebrated women's history month and the "women who advocate for diversity, equity, and inclusion." events were held to recognize and celebrate both antonia novello, md, who was both the first woman and the first hispanic to serve as u.s. Surgeon general in 1990; and susie walking bear yellowtail's contributions to history and healthcare. Susie walking bear yellowtail, rn, was the first native american registered nurse. She was also the first native american nurse posthumously inducted into the american nursing association's hall of fame. The india heritage museum at the vinod and vinay luthra india heritage center proudly presents holistic harmony nurturing health and longevity. Two complementary exhibits will be showcased: plant-based living and the yoga of b.k.s. Iyengar. The event also includes a panel discussion featuring two rochester regional health physicians. Admission is free and open to the public. Participants learned about healthy plant-based eating and iyengar yoga through vibrant and informative displays, talks, demonstrations, and classes. In advance of the 2024 flower city challenge race, rrh's certified athletic trainer participated in a pre-race talk in conjunction with fleet feet rochester. This free event provided insights about how to train for a half marathon, understanding the ins and outs of nutrition as well as key points on mobility, stretching, hydration, and more. Various rrh providers participated in medicine minis from "the tiny trailblazer," a series of engaging brief interviews by a vibrant young interviewer passionate about our community and healthcare. These interviews shared insights into their provider roles, expertise, and exciting experiences. Sessions features included: a focus on the significance of maintaining a healthy heart; understanding urgent care and exploring the differences between urgent care, the hospital and more. Rochester regional health celebrated national minority health month under the theme of "be the source for better health: improving health outcomes through our cultures, communities, and connections," helps us understand how the unique environments, cultures, histories, and circumstances of social determinants of health (sdoh), racial, and ethnic minorities impact overall health. Throughout the month rrh leaned into our commitment to diversity, equity, inclusion, & justice by building awareness around health disparities that persist among racial and ethnic minority groups and encourage everyone to take action to end these inequities. Rochester regional health hosted middle and high school students from the university preparatory charter school for young men (uprep) for this year's men in healthcare event. The two-day event allowed students from uprep to get hands-on experience, including learning cpr. The event, organized by our diversity, equity, & inclusion team, allowed students to hear from industry professionals in nursing, research, and more and highlighted potential career opportunities in healthcare. Rrh was once again a key contributor and sponsor of the imagine rit: creativity & innovation festival. This event featured 350+ exhibits and 2,200+ exhibitors. Visitors of all ages experienced interactive presentations, hands-on demonstrations, exhibitions, performing arts, and research projects. The rrh exhibit included therapy dogs, led by rocdog; cpr instruction, and more in celebration of earth day 2024, rrh sponsored special activities across its locations, including tree sapling giveaways at each of the hospitals and an e-waste drop-off

Form 990, Part III, Line 4 (continued)

Rochester regional health was a proud sponsor of the potsdam snack pack program back-to-school fair held in august at the potsdam high school. Team members were on hand to pass out branded items and share health-related information with children and parents. September is deaf awareness month. During this month rrh hosted events to highlight the culture rich in history, customs, and language. This month allowed rrh to highlight how d/deaf communities worldwide come together to celebrate, and bring awareness of deaf-related issues, their culture, and language unique to d/deaf and hard-of-hearing people. Rochester regional health celebrated national hispanic heritage month by recognizing the heritage, history, traditions, and cultural diversity of hispanic and latinx americans whose heritage is rooted in so many countries. Events included a display case in the riedman training center; the sharing of hispanic/latinx (cultural) recipes; and by hosting a hispanic heritage month event in october. Rochester regional health was a proud presenting sponsor of the 2024 making strides of rochester walk in october. Rochester regional health behavioral health team sponsored the american foundation for suicide prevention out of the darkness walk in october. This event supports efforts in the fight against suicide. Rochester regional health was a proud elite sponsor of the 23rd annual gouverneur breast & ovarian cancer walk. St. Lawrence has been an integral sponsor of this highly attended and important regional event for several years. Rochester regional health was a proud sponsor of the seaway valley prevention council's river run in ogdensburg. September is national recovery month, and a representative of the sl behavioral health team was there to promote and support recovery in st. Lawrence county. Rochester regional health team members participated in a family health & wellness fair in september. This free community event provided health-related information and services including blood pressure screenings, career information, and more. Rrh was proud to honor the legacy of gary smith, the heart behind the pirate toy fund. In partnership with his family, rochester regional health's hospice team collected toys to continue gary's mission of spreading joy to children in the greater rochester community. As part of lung cancer awareness month in november, rochester regional health shed 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. In honor of native american heritage month, the center for diversity, health equity, inclusion, and justice hosted an in-person witness to injustice program in collaboration with neighbors of the onondaga nation in november. Healthy moms held their annual family resource fair. The fair is a free community event that provides an opportunity for families to connect with community resources, get school supplies, and enter raffles for free giveaways. Nearly 500 backpacks were filled with donations from the community and throughout the system. Rrh hosted "wellness wednesdays" in conjunction with a local community center. Topics during the 2024 sessions included the following: o integrative medicine, wellness & pain management o live to 100 : secrets of the blue zones o pelvic health o indian cuisine with lifestyle medicine provider o expert optometrist & diabetic retinopathy o expert optometrist & cataracts & pbwf pot-luck o knee pain & what you need to know o harmony within: exploring the wonders of our gut microbiome & monthly pbwf pot-luck o tmj & headaches o finding joy as we age o you are what you eat: a twin experiment o hospice and palliative care o experience with medical missions o using wellness guidelines to build strength and remain independent o physical activity and its role in preventing/managing chronic disease o an updated look at menopausal health and wellness & plant-based potluck o stroke awarenes

Form 990, Part III, Line 4 (continued)

O unity hospital received: get with the guidelines: gold plus achievement-stroke +10-year recognition, target: stroke honor roll elite, target: type 2 diabetes honor roll these designations highlight nwch, rgh, ummc, and unity's commitments to applying the most up-to-date evidence-based treatment guidelines and their dedication to providing high-quality care to stroke, diabetes, and heart disease and failure patients in our communities. Our geriatric surgery team was honored to present at the american college of surgeons quality and safety conference in july 2024. This put rochester regional health's geriatric surgery services front and center on this national stage. Several rochester regional health teams were winners of 2024 greater rochester quality council (grqc) showcase & performance excellence awards. The grqc's performance and excellence awards are upstate new york's premier event recognizing quality and performance excellence throughout our region. Congratulations to the following rochester regional health teams on this remarkable achievement: o platinum (team excellence award)- care mgmt/social work team - treat to target inpatient discharge planning o gold (team excellence award)-patient safety/pharmacy team- huddling together: a relentless focus on medication safety o gold (team excellence award)- ummc - a rural hospital's approach to addressing heart failure patient care gaps o silver (team excellence award) - unity hospital perioperative or cost containment o bronze (team excellence award)- long term care - using non-pharmacological interventions to decrease residents on antipsychotic medications icon honors award honorees - congratulations to thomas r. Crilly, chief financial officer, and david j. Riedman, rrh board chair, on being this year's icon honors awards honorees. The icon honors awards recognize greater rochester area business leaders over the age of 60 for their notable success and demonstration of strong leadership both within and outside of their chosen field. Becker's healthcare names rochester regional health in top 100 for cancer care rrh is proud to announce our inclusion in becker's hospital review's esteemed list of the nation's top 100 health systems with outstanding oncology programs. This recognition highlights the exceptional work of the lipson cancer institute and its dedication to providing top-tier, patient-centered cancer care. The list recognizes institutions, which have "garnered national acclaim for advancing cancer care via their cutting-edge clinical trials and life-changing research." this recognition by becker's comes on the heels of another recent accreditation as the lipson cancer institute received a three-year full accreditation as a network cancer program from the american college of surgeons commission on cancer. This accolade distinguishes rochester general and unity hospitals as the only network of cancer centers in upstate new york granted this honor. Congratulations to team members at lipson cancer institute on receiving this exceptional recognition! Rochester regional health also scored on becker's 100 hospitals and health systems with high-achieving orthopedic programs. Rrh's inclusion once again in the becker's hospital review list of the 100 hospitals and health systems with top-performing orthopedic programs, celebrating our leadership in advancing orthopedic care nationwide. Rrh is at the forefront of minimally invasive treatments, pioneering discoveries, and innovative clinical trials that significantly improve patient outcomes. Our commitment to enhancing the quality of life for orthopedic patients sets a national standard of excellence.

Form 990, Part III, Line 4 (continued)

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 2024 they continued to bring about important technological integration milestones. Accolades and activity of the st. Lawrence health region in 2024 included the following: the slh clinical and rural health research department held a free event open to the public that shone a spotlight on the transformative power of clinical research in rural healthcare. Clinical research initiatives are bridging the gap in healthcare access, enhancing treatment options, and improving outcomes for rural communities. Hydration, nutritious snacks, and prizes were provided. Slh participated in the month long cancer survivors' event in june 2024. Slh donated gift baskets and gift cards to the event. Slh invites regional community members to join them for various "walk with a doc" events. 2024 events included: o celebration of pride month. The event was held at clarkson university's munter trail with slh team members from infectious disease, potsdam primary care and members of the diversity, equity, and inclusion committee to learn about our commitment to providing quality and compassionate care to all community members. O an indoor walk with slh's clinical nutrition manager and other members of the st. Lawrence health nutrition department to learn about setting s.m.a.r.t. Goals to live a healthier life. Water, healthy snacks, and giveaways were provided. The event was free and open to people of all ages and abilities. O walk with a slh dermatologist and learn about skin health and cancer awareness. Providers will provide valuable insights on skin cancer during a brief talk while we enjoy a leisurely walk together. Open to all who are interested in promoting skin wellness and preventing skin cancer. Water, healthy snacks, and giveaways were provided. O hematology and medical oncology department for an invigorating walk to discuss steps to live a long life. This engaging session will focus on preventative health, offering practical advice to enhance longevity and well-being. Participants will enjoy a refreshing walk while learning the essential steps to maintaining a healthy lifestyle. Do not miss this unique opportunity to get active, informed, and inspired towards a healthier future. St. Lawrence region achieved their first pathway to excellence designation. This prestigious recognition from the american nurses credentialing center (ancc) is a testament to the unwavering dedication, commitment to excellence, and the supportive, empowering environment the st. Lawrence region has cultivated for both patients and colleagues. As a pathway-designated organization, our nurses and nursing support team members embody the pathway standards through the work they do every day using the foundation of shared decision-making, leadership supporting inter-professional collaboration, safety, quality, well-being, and professional development. Canton-potsdam hospital invited runners and joggers of all abilities to a performance screening event. The physical rehabilitation team will perform assessments of each participant's current running attire and equipment to provide feedback and recommendations to improve performance and minimize injuries. Canton-potsdam hospital and the cancer services program teamed up to offer free breast cancer screenings at mammos in may, where free clinical breast exams and mammograms will be available to all who attend. In addition to the free breast exams and mammograms, we also provided snacks, prize drawings, and free massages. St. Lawrence region team members attended the ready 4 school fair held at massen

FORM 990, PART XI, LINE 9:

Aco adjustment 124,033. Other 10,778.

Form 990, Part XII, Line 2C

The process has not changed from the prior year.

Financial Statement Notes

Part XIII - Supplemental Financial Information

Revenue and expenses related to intercorporate transactions between slhs and related entities cph, gh, and mh are excluded from revenue and expenses. These are for charges billed to the entities cph, gh, and mh (recorded as billable expenses) and then cash is collected for these (recorded as billable revenue).

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IRS990/Form990PartVIISectionAGrp/TitleTxt02ND VICE CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt1DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt21ST VICE CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt11ASSISTANT TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt12SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt13TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt14CHAIR OF THE BOARD
IRS990/Form990PartVIISectionAGrp/TitleTxt15DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt16SECRETARY/TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt17DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt18DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt19CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt20PRESIDENT, SLHS
IRS990/Form990PartVIISectionAGrp/TitleTxt21ASSISTANT SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt22MEMBER APPOINTMENT, COO
IRS990/Form990PartVIISectionAGrp/TitleTxt23GENERAL COUNSEL
IRS990/Form990PartVIISectionAGrp/TitleTxt24CHIEF NURSING OFFICER, SLH
IRS990/Form990PartVIISectionAGrp/TitleTxt25ASSOCIATE CHIEF OPERATING OFFICER AND VP BUSINESS
IRS990/Form990PartVIISectionAGrp/TitleTxt26CHIEF INFORMATION OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt27VP, PHYSICIAN PRACTICE MANAGEMENT
IRS990/Form990PartVIISectionAGrp/TitleTxt28SVP, PRESIDENT & CHIEF OPERATING OFFICER - EASTERN
IRS990/Form990PartVIISectionAGrp/TitleTxt29FORMER CAO
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