Healthy Families Healthier Communities Cubby Chase 10K, 5K, and Kids Fun Run

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1 Healthy Families Healthier Communities 2013 Cubby Chase 10K, 5K, and Kids Fun Run 2013 Report FINGER to LAKES the HEALTH Community 1

2 Stepping Up As a community owned, not-for-profit, Finger Lakes Health is committed to providing high-quality health services to all members of our community, regardless of their ability to pay. As part of this commitment, we offer Finger Lakes Health s Financial Aid Program. Our program provides financial aid, also known as charity care, to patients who need care and cannot afford it and qualify for the program. As a not-for-profit health system, we hold the health system in trust for the community and return any operating surplus to the people in our community in several ways: We provide care for those who cannot afford to pay. Many of the costs to deliver the vital services we offer are not fully covered by government programs like Medicare/Medicaid or private insurance plans. We subsidize the difference between the cost to deliver services and the payments from public and private insurance programs. We reinvest in new services and programs, as well as maintenance and enhancements to facilities, property and equipment to serve our communities. We develop programs and community wellness initiatives to meet community health needs, many of which are outlined in this report as illustrated above in the community blood pressure clinic offered by our Acute Rehabilitation Unit nurses. Our Financial Aid Program is available to patients of Geneva General Hospital and Soldiers & Sailors Memorial Hospital. The Financial Aid Program is available to assist uninsured or underinsured members of our community who are willing, but unable to pay in full for their care. The program allows a person to receive medically necessary and emergency services at no charge or reduced charges when they meet certain eligibility requirements. When possible, we encourage applications to be submitted prior to services being rendered to help patients understand their expected financial responsibility; however, applications are also accepted following receipt of services. In 2012, $1.56 million in financial aid was provided at Geneva General Hospital and Soldiers & Sailors Memorial Hospital. For more information on the Financial Aid Program, eligibility criteria, and applications, please contact our Patient Accounts department at (315) FINGER LAKES HEALTH

3 O ur Mission Finger Lakes Health is a community owned, notfor-profit organization dedicated to maintaining and improving the health of all people in the central Finger Lakes region. We are committed to safe, high quality, compassionate services that are convenient, accessible and at reasonable cost, through the efforts of our employees, medical staff and volunteers. $4.49 Million Finger Lakes Health s total community benefit and charity care for $1.56 Million Finger Lakes Health s total financial aid for 2012 underwriting healthcare for patients of our community who were unable to pay for services needed. We are a center for health education that lives its leadership commitments through participation in, and sponsorship of professional, allied health and community health education programs. O ur Vision Finger Lakes Health will deliver uncompromising quality, exceptional safety, and the best patient/resident experience in a culture of caring that is defined by: Our team of highly skilled people. Our rewarding work environment. Our innovation and advanced technologies. Our commitment to education. Our fiscal responsibility. Our contributions to our communities. O ur Values To achieve our mission, we are guided by a common set of values that direct us in everything we do. SERVICE: To deliver the best patient/resident experience that exemplifies a system-wide philosophy of continuous quality improvement. TEAMWORK: To blend our skills in a unity of purpose. DIGNITY: To act with compassion, sensitivity and courtesy. RESPECT: To treat each other with fairness, honesty and trust. RESPONSIBILITY: To use our financial and human resources in a way that will ensure the continuation of our mission. VISION: To build on the past and anticipate the future to realize our mission. FINGER LAKES HEALTH 3

4 Leading the Way We focus our resources and efforts on the areas of health and wellness that matter most in our communities. Therefore, we conduct needs assessments, including patient and community surveys, and review research data on disease prevalence. In addition, our long-standing Community Advisory Committee, a sub-committee of our Board of Directors, engages community members to identify community needs and lead the way in developing community-based solutions. Finger Lakes Health partners with our county health departments, area hospitals and other community partners, to address New York State Department of Health s Prevention Agenda, which emphasizes creating strategies to improve the health of all New Yorkers and foster healthy communities. We work together with our partners to achieve our goal of maintaining and improving the health of all people in the Central Finger Lakes. Finger Lakes Health, with our partners in Ontario, Yates and Seneca counties, conducts Community Needs Assessments and subsequently develops Community Health Improvement Plans (CHIP) in each county every three years. These processes are unique because the priorities that rise to the top as the most pressing issues come directly from local residents who best know the state of their communities. The plans are the result of a 4 FINGER LAKES HEALTH

5 community development process that engages local community members in surveys, interviews, and focus groups to identify the most pressing health concerns of its citizens. For the years , Finger Lakes Health s community health priorities are: Access to quality health care Chronic disease management with an emphasis on cardiovascular health Physical activity and nutrition education Access to Quality Health Care The health system continues to recruit specialists and primary care physicians to the region. Among those are two family medicine physicians, one who is practicing in Waterloo and one in Geneva, and an internal medicine physician who is practicing in Clifton Springs. Several emergency medicine physicians and hospitalist physicians also joined the health system. Additionally, another general surgeon was recruited to the medical staff along with a surgeon specializing in colorectal surgery (a new service for the health system) and a new orthopaedic surgeon who specializes in hand and upper extremity. In addition to primary care, access to specialty care continues to expand across Finger Lakes Health s service area, with several specialists offering services at satellite locations outside their primary office. Cardiology services are offered in Geneva, Penn Yan, Dundee, Clyde, and Waterloo. Physiatry services are offered in Geneva and Penn Yan. Orthopaedic care was expanded with two orthopaedic practices working together for the opening of the Joint Center of the Finger Lakes at Geneva General Hospital. Finger Lakes Health continues to care for many uninsured and underinsured patients through our family practices at Clyde Family Health Center in Clyde, Dundee Family Health Center in Dundee and Seneca Family Health Center in Waterloo. Chronic Disease Management (Cardiovascular Health) Finger Lakes Health maintains a commitment to combating chronic disease in our communities, with emphasis on cardiovascular disease. Our community-based cardiology practice provides 24/7 coverage in the office, hospital and emergency settings. The practice also provides community education related to preventing heart disease. Our Chief of Cardiology created a program called Cardiac PREhab to provide the best option to heart disease, stroke, obesity, and other chronic health problems PREVENTION. Based on the premise of very successful Cardiac Rehab programs for those who have already suffered a cardiac incident, Cardiac PRE-hab is a health and fitness program designed to teach participants how to stay healthy and prevent a heart incident. The 10-week program incorporates risk factor modification, learning about the benefits of physical activity and healthy nutrition, and strategies for encouraging others to lead a healthy lifestyle. The first sessions were held in Seneca County, which has a high incidence of heart-related illnesses. Plans are being developed to expand the program to other counties. The program will be offered in Dundee, Geneva, Penn Yan and Seneca Falls in Geneva General Hospital is a Joint Commission accredited and New York State-designated Stroke Center. Providers conduct stroke education, on a regular schedule for Emergency Medical Services providers in our service area, as well as for general community members, in addition to a support group. The education covers signs and symptoms, as well as risk factors and prevention information. Additionally, a monthly stroke support group is conducted. Finger Lakes Health provides a comprehensive diabetes education program, including diabetes support groups in two communities, one-on-one counseling for diabetics with our certified diabetes educators, educational classes for diabetics and their support person, and continuous glucose monitoring services for diabetics. Finger Lakes Health offered a unique program, in 2012, called Keeping U In The Game for young athletes, their parents and coaches. Three physicians discussed concussion, sports and the athlete s heart and sports injuries. The health system offers blood pressure screenings at the Acute Rehab Unit at Geneva General, by health system staff at the Community Lunch Program in Geneva (see picture on page 2), as well as at work places or special events, as requested by community organizations. Physical Activity and Nutrition Education Finger Lakes Health remains committed to outreach initiatives that help our communities get healthier through physical activity and better nutrition. We presented the fourth season of the Walk & Talk for Health program in The community walking program is aimed at illustrating the significance of walking on overall health and encouraging community members to get exercise on a more regular basis. The walks are led by healthcare professionals in three communities who offer fitness and healthy nutrition tips to participants. Walkers are given pedometers and walking journals to track steps. In addition, they are provided free cholesterol, A1C, and blood pressure screenings and body mass index (BMI) readings at the beginning and end of each program cycle. More than 200 community members have participated in the program each season. Finger Lakes Health offers one-on-one nutrition counseling to community members. Additionally, Weight Watchers and TOPS weight management programs are offered at Finger Lakes Health facilities. The Geneva General Child Care Center offered the annual Cubby Chase a 5K and Family Fun Run. As the Cubby Chase has evolved, a program called FINGER LAKES HEALTH 5

6 Making a Difference Finger Lakes Health employees mentored hundreds of students junior high, high school and college for 19,304 hours through observation/shadowing programs, career camps, the New Vision Medical Careers Program, and internships. Nursing students were provided 18,715 clinical training hours at Finger Lakes Health facilities. While at work, Finger Lakes Health employees volunteered more than 1,200 hours serving local community organizations. Finger Lakes Health organized the fourth Walk & Talk for Health program with over 200 community members walking nearly 1.7 million steps. From Couch to Cubby was started. Couch to Cubby provides trainers who work with couch potatoes to get them moving. They safely increase their exercise level and stamina with the goal of completing the 5K. Community Outreach Finger Lakes Health is committed to improving the health of our communities through innovative outreach programs, as well as providing health education through various avenues. In 2012, we presented the Keeping U In The Game program, hosted community blood drives, facilitated health-related support groups, offered free health screenings, offered our Dine & Discuss lecture series, Finger Lakes Health Matters radio show and published Thrive, our community health magazine. Additionally, we offered healthcare career camps to area students, and partnered with many local educational institutions to offer health education programs to students. Keeping U In The Game gave young athletes, their parents and coaches information on concussion, sports and the athlete s heart and sports injuries from three physician experts in those fields. Our annual Dine & Discuss series provided educational lectures, presented by health system physicians and other health-care professionals on varied topics, such as joint replacement, stress management and COPD. Our community magazine, Thrive, distributed to more than 90,000 households in our service area, provided educational information on a variety of health topics, including kidney failure and dialysis, knowing and managing your numbers blood pressure, glucose and cholesterol, signs and symptoms of concussion, heart issues and sports injuries in young athletes and turning off the TV challenge, among others. Our bi-monthly radio show, Finger Lakes Health Matters, featured health system professionals speaking to a wide range of health topics, and our website, provides educational content, including a symptom checker and a section to research health information on specific topics. Through partnerships with community educational institutions and agencies, Finger Lakes Health provides an extensive health career exploration program, including the New Vision Medical Careers Program for high school seniors, a partnership of Finger Lakes Health and the Finger Lakes Technical and Career Center. We offer health career exploration for middle, high school and college students via our Camp MedQuest and MASH (Medical Academy of Science & Health) camps; school-year shadowing and more extensive internship opportunities for college students. 6 FINGER LAKES HEALTH In addition to the programs Finger Lakes Health offers to the communities we serve, our employees are dedicated to promoting good health through active participation in many community health initiatives. Our employees serve on committees, task forces and boards in our communities that seek to improve and benefit our communities in various ways, as well as actively participating in outreach efforts, such as providing free blood pressures at community locations, assisting with the Geneva Community Lunch Program, and conducting athletic physicals at local colleges. Finger Lakes Health employees mentored hundreds of Finger

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8 Geneva General Hospital includes Living Center-North Living Center-South and Huntington Living Center Direct and Indirect Impact on Our Community Jobs 2,040 Economic Impact Payroll $118,486,000 Supply Purchases 63,028,000 Capital Spending 11,005,000 Total Impact $192,519,000 Income Taxes: Federal $11,613,000 State 3,906,000 Sales Taxes: State 2,413,000 Local 2,558,000 Total Taxes $20,490,000 Source: Healthcare Association of New York State Soldiers & Sailors Memorial Hospital includes The Homestead Direct and Indirect Impact on Our Community Jobs 690 Economic Impact Payroll $38,208,000 Supply Purchases 12,152,000 Capital Spending 3,708,000 Total Impact $54,068,000 Income Taxes: Federal $3,745,000 State 1,259,000 Sales Taxes: State 778,000 Local 825,000 Total Taxes $6,607,000 Source: Healthcare Association of New York State Supporting Our Community Economic Impact Hospitals strengthen the infrastructure of local communities. Communities rely on their local hospitals and health systems to: save lives; provide high-quality health care; care for the aged or infirmed; ensure safety when an emergency or disaster strikes; educate people about the impact of lifestyles on their health and well-being and focus on prevention of disease; and provide comfort and dignity, as well as family support at the end of life. Less often recognized is the hospital s contribution to the local economy including the people it employs, the impact of its spending, and the effect of hospital employees spending and the taxes they pay. Geneva General Hospital (GGH) and Soldiers & Sailors Memorial Hospital (SSMH) are critical to the economic viability of our communities. Finger Lakes Health is a major source of employment. In fact, it is the largest employer in our area, and a purchaser of goods and services. As a healthcare system, we aim to maintain and improve the health of our communities' residents, enabling them to be productive citizens. Based on a January 2013 report, completed by the Healthcare Association of New York State,* Geneva General Hospital and Soldiers & Sailors Memorial Hospital had an estimated combined economic impact of $246,587,000. The following data illustrates the direct impact GGH and SSMH have on the local economies and the ripple effect in our communities. As a Major Employer GGH and SSMH payroll expenditures serve as an important economic stimulus, creating and supporting jobs throughout the local and state economies. Dollars earned by employees and spent on groceries, clothing, mortgage payments, rent, etc., generate approximately $156,694,000 in local economic activity annually. Geneva General Hospital employed 1,100 people, with a total payroll of $64,189,000. Soldiers & Sailors Memorial Hospital employed 370 people with a payroll of $20,699,000. Employees of GGH and the jobs supported indirectly by the facility paid $3,906,000 in state and local income taxes. Furthermore, the employees of GGH and the jobs supported indirectly by the facility paid $2,558,000 in local sales tax and $2,413,000 in state sales tax. Employees of SSMH and the jobs supported indirectly by the facility paid $1,259,000 in state and local income taxes. In addition, the employees of SSMH and the jobs supported indirectly by the facility paid $825,000 in local sales tax and $778,000 in state sales tax. As a Purchaser of Goods & Services Funds spent to buy goods and services flow from the hospital to vendors and businesses throughout the community. GGH spends about $34,145,000 and SSMH spends about $6,583,000 per year on the goods and services it needs to provide healthcare for example, medical supplies, electricity for its buildings, and food for patients. Dollars spent by the hospitals generate approximately $75,180,000 for the local economy. As an Investor of the Future GGH spent $5,962,000 and SSMH spent $2,009,000 on buildings and equipment. Capital spending by GGH generates approximately $11,005,000 and SSMH generates approximately $3,708,000 for the local economy per year. * 2013 HANY's report based on 2010 data, most recently available data. 8 FINGER LAKES HEALTH

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10 2012 Financial Statement Geneva General Hospital (excerpted from the 2012 audited financial statements) Soldiers & Sailor Memorial Hospital (excerpted from the 2012 audited financial statements) Operating Revenue (Net) $ 86,910,316 Operating Revenue (Net) $ 30,310,052 Operating Expense Operating Expense Salaries & Benefits 56,972,063 Salaries & Benefits 20,170,183 Supplies & Other Expenses 24,025,802 Supplies & Other Expenses 8,429,727 Interest & Depreciation 5,008,969 Interest & Depreciation 2,685,904 Total Expense 86,006,834 Total Expense 31,285,814 Operating Surplus 903,482 Operating Deficit (975,762) Capital Grants 17,063,244 Capital Grants 197,687 Non Operating Revenue 1,921,312 Non Operating Revenue 640,357 Unrestricted Surplus $ 19,888,038 Unrestricted Deficit $ (137,718) Geneva General Hospital Soldiers & Sailor Memorial Hospital Patient Volumes (2012) Patient Volumes (2012) Admissions Admissions Hospital 4,799 Hospital 913 Long Term Care 177 Outpatient Visits Outpatient Visits Emergency 18,044 Emergency 7,623 Ambulatory Surgery 7,607 Ambulatory Surgery 463 Outpatience Procedures 427,944 Outpatience Procedures 145,308 Outpatient Clinic Visits 11,084 Outpatient Clinic Visits 9,172 Day Treatment 1,986 Geneva General Hospital Soldiers & Sailors Memorial Hospital Living Center-North, Living Center-South and The Homestead at and Huntington Living Center Soldiers & Sailors Memorial Hospital For Reporting Year 2012 For Reporting Year 2012 (Operating results excerpted from the 2012 audited (Operating results excerpted from the 2012 audited financial statements) financial statements) Revenues Expenses Revenues Total Net Patient Revenue - All Services $ 112,258,972 Total Net Patient Revenue - All Services $ 30,310,052 Expenses Salaries & Benefits 71,669,516 Salaries & Benefits 20,170,183 Supplies & Other Expenses 33,661,096 Supplies & Other Expenses 8,429,727 Interest & Depreciation 6,749,150 Interest & Depreciation 2,685,904 Total Expenses 112,079,762 Total Expenses 31,285,814 Operating Surplus $ 179,210 Operating Deficit $ (975,762) Details of Specific Community Contributions: Details of Specific Community Contributions: Bad Debt/Uncompensated Care $ 5,287,539 Bad Debt/Uncompensated Care $ 1,618,480 Free Care (Charity Care) $ 1,093,542 Free Care (Charity Care) $ 319,050 Community Benefit $ 2,337,353 Community Benefit $ 426,464 The 2012 audited financial statements are available upon written request 10 FINGER LAKES HEALTH

11 Jose Acevedo, MD, MBA President & CEO Finger Lakes Health Finger Lakes Health is an independent, community-owned, not-for-profit health system. This means we belong to you the community. Our existence depends on your support, and as you can see, our impact is far-reaching from community health to economic impact. Be an advocate for local healthcare by choosing physicians affiliated with Finger Lakes Health or FLH Medical, P.C., and insisting your services such as laboratory tests, diagnostic imaging (x-rays, CT scans, mammography exams, etc.), surgeries, endoscopies, and outpatient services such as physical, occupational, and speech therapy are performed at Geneva General Hospital, Soldiers & Sailors Memorial Hospital, Finger Lakes Surgery Center and our affiliated laboratory patient service centers. As a community-based health system, we offer a range of vital services and are committed to delivering the safest and best quality care to you, our friends and neighbors right here, close to home. Our aim is to ensure local access to the types of services most needed and to achieve the best health outcomes delivered by professionals who know and care about you. With all the change in healthcare, healthcare consumers, taking active responsibility for our health is the single most important aspect of healthcare reform and will be the primary driver influencing the success of true healthcare reform. As outlined in this report, Finger Lakes Health is invested in wellness and prevention, and our providers are committed to helping you adopt and live a healthy lifestyle. Our vision is to be the best health system of our size in the United States. We are proud of our extraordinary employees and our many accomplishments. Check out our key quality indicators on our website at I know you will be proud, as I am, of how we compare on patient quality and safety nationally. I believe that whether you live in a rural setting or a city, or near a community health system or an academic medical center, the standard of care for you and your loved one should be the same. We all deserve the best. Soldiers & Sailors Memorial Hospital Good Health We re In It Together! Geneva General Hospital Lab Draw Stations Geneva Geneva General Hospital 196 North Street (315) Geneva GGH Medical Office Building 200 North Street (315) Geneva Patient Service Center 821 Pre-Emption Road (315) Clyde Clyde Family Health Center 4 West Genesee Street (315) Dundee Dundee Family Health Center 50 Millard Street (607) Ovid Ovid Lab Draw Station 2214 Route 96 (607) Penn Yan Soldiers & Sailors Memorial Hospital 418 North Main Street (315) Seneca Falls Patient Service Center 2 Fall Street (315) Waterloo Seneca Family Health 367A East Main Street (315) Clifton Springs Clifton Springs Lab Draw Station 440 Clifton Springs Professional Park (315) Geneva General Hospital 196 North Street Geneva, NY (315) Soldiers & Sailors Memorial Hospital 418 North Main Street Penn Yan, NY (315) The Homestead at Soldiers & Sailors Memorial Hospital 418 North Main Street Penn Yan, NY (315) Huntington Living Center 369 East Main Street Waterloo, NY (315) Living Center at Geneva - South 45 Mason Street Geneva, NY (315) Living Center at Geneva - North 75 Mason Street Geneva, NY (315) Finger Lakes Health Foundation 196 North Street Geneva, NY (315) or (315) Finger Lakes Surgery Center 3700 County Road 6 Geneva, NY (315) Clyde Family Health Center 4 West Genesee Street Clyde, NY (315) Dundee Family Health Center 50 Millard Street Dundee, NY (607) Seneca Family Health Center 367A East Main Street Waterloo, NY (315) or (315) John D. Kelly Behavioral Health Center 465 North Main Street Penn Yan, NY (315) FINGER LAKES HEALTH 11

12 196 North Street Geneva, New York