MVHS INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- MVHS INC (EIN 16-1576637)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2024-09-12
- IRS object ID
- 202412569349300936
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-09-12T10:08:47-05:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161226221 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FUSTCHARLES LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 S WARREN STREET | AddressLine1Txt |
| City | SYRACUSE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161576637 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MVHS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MVHS | BusinessNameControlTxt |
| Phone | 3156246000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 HOSPITAL DRIVE | AddressLine1Txt |
| City | UTICA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13502 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LOUIS AIELLO | PersonNm |
| Person Title | CFO/SR VP | PersonTitleTxt |
| Phone | 3156246143 | PhoneNum |
| Signature | 2024-08-21 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PATRICK CAPELLA | PreparerPersonNm |
| PTIN | P01359200 | PTIN |
| Phone | 3154463600 | PhoneNum |
| Preparation | 2024-08-21 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2024-08-08 14:25:15Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Name Change | Yes (X) | NameChangeInd |
| Amended Return | Yes (X) | AmendedReturnInd |
| Principal Officer | LOUIS AIELLO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 HOSPITAL DRIVE | AddressLine1Txt |
| City | UTICA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13502 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $393,810,070 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | MVHEALTHSYSTEM.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2000 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE FOR EXCELLENCE IN HEALTHCARE FOR OUR COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 2689 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | -$643,624 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,837,421 | PYContributionsGrantsAmt |
| CY Contributions Grants | $11,654,796 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $324,505,280 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $350,694,704 | CYProgramServiceRevenueAmt |
| PY Investment Income | $8,950,288 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,722,853 | CYInvestmentIncomeAmt |
| PY Other Revenue | $26,197,909 | PYOtherRevenueAmt |
| CY Other Revenue | $27,417,066 | CYOtherRevenueAmt |
| PY Total Revenue | $364,490,898 | PYTotalRevenueAmt |
| CY Total Revenue | $392,489,419 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $183,777,017 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $192,356,255 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $168,865,108 | PYOtherExpensesAmt |
| CY Other Expenses | $201,213,518 | CYOtherExpensesAmt |
| PY Total Expenses | $352,642,125 | PYTotalExpensesAmt |
| CY Total Expenses | $393,569,773 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $11,848,773 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,080,354 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $336,161,577 | TotalAssetsBOYAmt |
| Total Assets EOY | $312,244,691 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $136,026,134 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $141,438,147 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $200,135,443 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $170,806,544 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | FAXTON ST LUKES HEALTHCARE, INC.'S MISSION IS TO PROVIDE FOR EXCELLENCE IN HEALTHCARE FOR OUR COMMUNITIES. OUR VISION IS TO BE THE TRUSTED HEALTHCARE SYSTEM OF CHOICE THROUGH CLINICAL QUALITY, EXCELLENCE IN SERVICE AND EDUCATION, COMPASSIONATE CARE, PROMOTION OF WELLNESS AND OPERATIONAL EFFICIENCY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $129,642,724 | ExpenseAmt |
| Revenue | $129,519,601 | RevenueAmt |
| Desc | INPATIENT/ACUTE CARE SERVICES - FSLH IS A FULL SERVICE GENERAL HOSPTIAL WITH 320 LICENSED BEDS. THE HOSPTIAL PROVIDES A FULL RANGE OF ANCILLARY SERVICES, INCLUDING MATERNITY AND NEWBORN CARE SERVICES. DISBURSEMENTS MADE BY THE HOSPTIAL ARE EXCLUSIVELY FOR SERVICES AND MATERIALS USED IN PERFORMING THE HOSPITAL'S EXEMPT FUNCTIONS. FSLH PROVIDES CARE TO EVERYONE REGARDLESS OF RACE, RELIGION OR ABILITY TO PAY. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $65,069,210 | ExpenseAmt |
| Revenue | $65,007,414 | RevenueAmt |
| Desc | RADIOLOGY/MEDICAL IMAGING - MVHS MEDICAL IMAGING PROVIDES DIAGNOSTIC AND INTERVENTIONAL RADIOLOGY USING RADIATION, SOUND WAVES OR MAGNETIC FIELDS IN MEDICAL DIAGNOSIS AND INCLUDES IMAGING TECHNOLOGY SUCH AS X-RAYS, COMPUTED TOMOGRAPHY (CT), MAGNETIC RESONANCE IMAGING (MRI) AND ULTRASOUND. MVHS OFFERS THE FOLLOWING MEDICAL IMAGING SERVICES AT 4 CENTRAL LOCATIONS, IN ADDITION TO THOSE OUTPATIENT X-RAY SERVICES PROVIDED AT VARIOUS PRIMARY CARE SITES: CT SCANS, ULTRASOUND, EMERGENCY RADIOLOGY, FLUOROSCOPY, INPATIENT X-RAY, OUTPATIENT X-RAY, INTERVENTIONAL RADIOLOGY, NUCLEAR MEDICINE, PET SCAN, DIGITAL MAMMOGRAPHY, 3D MAMMOGRAPHY, STEREOTACTIC AND ULTRASOUND BREAST BIOPSY AND BONE DENSITY/DEXA SCAN. MRI SERVICES ARE AVAILABLE AT THE ST LUKE'S CAMPUS, WHICH ARE PROVIDED BY COOPERATIVE MAGNETIC IMAGING. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $24,112,226 | ExpenseAmt |
| Revenue | $24,089,327 | RevenueAmt |
| Desc | RENAL DIALYSIS - THE DIALYSIS PROGRAM AT MOHAWK VALLEY HEALTH SYSTEM (MVHS) IS THE SOLE PROVIDER OF IP, OP AND HOME DIALYSIS TREATMENTS WITHIN 25 MILES TO THE EAST AND WEST, AND NEARLY 75 MILES TO THE NORTH AND SOUTH. IN 2021, PATIENTS FROM SEVEN COUNTIES, RECEIVED MORE THAN 58,000 DIALYSIS TREATMENTS AT ONE OF SEVEN FACILITIES LOCATED THROUGHOUT THE MOHAWK VALLEY. MVHS IS ONE OF THE LARGEST HOSPITAL-BASED DIALYSIS PROGRAMS IN THE COUNTRY AND IS GROWING TO ADDRESS THE UNMET NEEDS OF THE LOCAL POPULATION. ADDITIONALLY, MVHS PROVIDES HOME DIALYSIS TREATMENTS FOR PERITONEAL AND HOME HEMO. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $130,584,819 | ExpenseAmt |
| Revenue | $132,078,362 | RevenueAmt |
| Desc | CANCER CARE, LABORATORY PATHOLOGY, CLINICAL AND BLOOD, PT, OT, COMMUNITY MEDICINE PRIMARY AND SPECIALTY, CARDIAC REHAB AND TESTING, WOUND CARE | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $130,584,819 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $132,078,362 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $349,408,979 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 370 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2689 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LOUIS AIELLO | PersonNm |
| Phone | 3156246143 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 479 | AddressLine1Txt |
| City | UTICA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13502 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| GREGORY EVANS | ||||||||||
| CHAIRMAN | 1.00 | 2.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| LAUREN BULL | ||||||||||
| VICE CHAIRMAN | 1.00 | 2.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| KAREN LEACH | ||||||||||
| SECRETARY | 1.00 | 2.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| RICHARD ZWEIFEL | ||||||||||
| TREASURER | 1.00 | 2.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| RICHARD TANTILLO | ||||||||||
| PHILANTHROPY CHAIR | 1.00 | 2.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JOAN COMPSON | ||||||||||
| CHAIR EMERITUS | 1.00 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| NORMAN SIEGEL | ||||||||||
| CHAIR EMERITUS | 1.00 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| CATHERINE BROWNELL PHD | ||||||||||
| DIRECTOR | 1.00 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| DOMENIC P AIELLO MD | ||||||||||
| DIRECTOR | 1.00 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| GREGORY B MCLEAN | ||||||||||
| DIRECTOR | 1.00 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| BARBARA BRODOCK | ||||||||||
| DIRECTOR | 1.00 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| CATHERINE COMINSKY | ||||||||||
| DIRECTOR | 1.00 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| ANDREW KOWALCZYK III | ||||||||||
| DIRECTOR | 1.00 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| SYMEON TSOUPELIS | ||||||||||
| DIRECTOR | 1.00 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| SUSHMA KAUL MD | ||||||||||
| PHYSICIAN/MEDICAL STAFF VP | 51.00 | 2.50 | Yes (X) | $687,154 | $0 | $29,549 | ||||
| JONATHAN BLOCK MD | ||||||||||
| DIRECTOR/MEDICAL STAFF PR | 1.00 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| DARLENE STROMSTAD | ||||||||||
| PRESIDENT/CEO | 30.00 | 25.00 | Yes (X) | Yes (X) | $1,181,504 | $0 | $23,524 | |||
| LOUIS AIELLO | ||||||||||
| SR VICE PRESIDENT/CFO | 27.00 | 23.00 | Yes (X) | $0 | $596,869 | $31,112 | ||||
| MANSOOR SHAHID | ||||||||||
| SR VICE PRESIDENT/COO | 30.00 | 20.00 | $466,597 | $0 | $29,154 | Yes (X) | ||||
| KENT HALL MD | ||||||||||
| SVP/PHYSICIAN PRACTICE AND OPERATIONS | 30.00 | 20.00 | $633,862 | $0 | $31,190 | Yes (X) | ||||
| CHRISTOPHER MAX MD | ||||||||||
| PHYSICIAN | 50.00 | $1,278,143 | $0 | $29,958 | Yes (X) | |||||
| ANDREW PELLECCHIA MD | ||||||||||
| PHYSICIAN | 50.00 | $946,732 | $0 | $30,400 | Yes (X) | |||||
| NALINI NAMASSIVAYA MD | ||||||||||
| PHYSICIAN | 50.00 | $739,339 | $0 | $21,902 | Yes (X) | |||||
| MARIO CARRILLO DO | ||||||||||
| PHYSICIAN | 50.00 | $722,403 | $0 | $27,582 | Yes (X) | |||||
| JONATHAN WIGDERSON MD | ||||||||||
| PHYSICIAN | 50.00 | $659,267 | $0 | $21,897 | Yes (X) | |||||
| WALEED ALBERT MD | ||||||||||
| FORMER FSLH MEDICAL STAFF | 0.00 | $50,504 | $0 | $0 | Yes (X) | |||||
| ERIC YOSS MD | ||||||||||
| FORMER CMO | 50.00 | 0.00 | $281,019 | $0 | $13,488 | Yes (X) | ||||
| LINDA MCCORMACK-MILLER | ||||||||||
| SR VICE PRESIDENT/CNO | 30.00 | 20.00 | $128,463 | $0 | $4,654 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,774,987 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $596,869 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $294,410 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 445 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DAVIN HEALTHCARE | |||||
| 18 DIVISION ST | SARATOGA SPRINGS | NY | 12866 | MEDICAL STAFFING | $11,927,379 |
| BNY MELLON | |||||
| 500 ROSS ST | PITTSBURGH | PA | 15262 | BANKING | $8,139,294 |
| PROLINK | |||||
| 4600 MONTGOMERY RD | CINCINNATI | OH | 45212 | MEDICAL STAFFING | $5,440,632 |
| EPIC SYSTEMS CORP | |||||
| 1979 MILKY WAY | VERONA | WI | 53593 | IT SYSTEM | $3,158,714 |
| JACKSON & COKER LOCUM | |||||
| 2655 NORTHWINDS PARKWAY | ALPHARETTA | GA | 30009 | LOCUMS | $2,329,995 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 74 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $800,963 | RelatedOrganizationsAmt |
| Government Grants | $10,853,833 | GovernmentGrantsAmt |
| Total Contributions | $11,654,796 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| ACUTE CARE | 622200 | $129,519,601 | $129,519,601 |
| RADIOLOGY | 622200 | $65,007,414 | $65,007,414 |
| RENAL DIALYSIS | 622200 | $24,089,327 | $24,089,327 |
| LABORATORY | 621500 | $21,380,998 | $21,380,998 |
| CANCER CARE | 622200 | $17,421,105 | $17,421,105 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $93,276,259 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $93,276,259 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $350,694,704 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,160,229 | TotalRevenueColumnAmt |
| Exclusion | $2,160,229 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $677,027 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,320,651 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$643,624 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$643,624 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$643,624 | UnrelatedBusinessRevenueAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $562,624 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $562,624 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $562,624 | TotalRevenueColumnAmt |
| Exclusion | $562,624 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| 340B CONTRACT | 900099 | $18,952,955 | $18,952,955 |
| RETAIL PHARMACY | 900099 | $5,583,105 | $5,583,105 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,524,630 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,524,630 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $28,060,690 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $392,489,419 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $378,755,394 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$643,624 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,722,853 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,082,534 | TotalAmt |
| Program Services | $1,194,805 | ProgramServicesAmt |
| Management And General | $1,887,729 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,843,118 | TotalAmt |
| Program Services | $139,943,792 | ProgramServicesAmt |
| Management And General | $21,899,326 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,999,711 | TotalAmt |
| Program Services | $5,187,950 | ProgramServicesAmt |
| Management And General | $811,761 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,227,301 | TotalAmt |
| Program Services | $8,843,547 | ProgramServicesAmt |
| Management And General | $1,383,754 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,203,591 | TotalAmt |
| Program Services | $9,687,745 | ProgramServicesAmt |
| Management And General | $1,515,846 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,578,278 | TotalAmt |
| Program Services | $2,229,437 | ProgramServicesAmt |
| Management And General | $348,841 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,184,509 | TotalAmt |
| Management And General | $1,184,509 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,891 | TotalAmt |
| Management And General | $153,891 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,455 | TotalAmt |
| Management And General | $19,455 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,548,922 | TotalAmt |
| Program Services | $53,221,353 | ProgramServicesAmt |
| Management And General | $8,327,569 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $808,452 | TotalAmt |
| Program Services | $699,068 | ProgramServicesAmt |
| Management And General | $109,384 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $978,347 | TotalAmt |
| Program Services | $845,977 | ProgramServicesAmt |
| Management And General | $132,370 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,035,215 | TotalAmt |
| Program Services | $4,353,950 | ProgramServicesAmt |
| Management And General | $681,265 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,035,476 | TotalAmt |
| Program Services | $6,045,245 | ProgramServicesAmt |
| Management And General | $990,231 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $703,337 | TotalAmt |
| Program Services | $608,176 | ProgramServicesAmt |
| Management And General | $95,161 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $662,123 | TotalAmt |
| Program Services | $572,538 | ProgramServicesAmt |
| Management And General | $89,585 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,900,501 | TotalAmt |
| Program Services | $9,391,587 | ProgramServicesAmt |
| Management And General | $1,508,914 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,161,855 | TotalAmt |
| Program Services | $3,598,756 | ProgramServicesAmt |
| Management And General | $563,099 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $77,511,882 | $77,511,882 | |
| BAD DEBT | $10,548,951 | $10,548,951 | |
| NON MEDICAL SUPPLIES | $5,660,689 | $4,894,798 | $765,891 |
| SERVICE CONTRACTS | $5,240,595 | $4,531,543 | $709,052 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,481,040 | TotalAmt |
| Program Services | $5,497,879 | ProgramServicesAmt |
| Management And General | $983,161 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $393,569,773 | TotalAmt |
| Program Services | $349,408,979 | ProgramServicesAmt |
| Management And General | $44,160,794 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,201,123 | BOYAmt |
| EOY | $3,518,359 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,583,007 | BOYAmt |
| EOY | $130,453 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,860 | BOYAmt |
| EOY | $253,494 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,978,717 | BOYAmt |
| EOY | $33,141,392 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,147,694 | BOYAmt |
| EOY | $8,414,294 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,707,567 | BOYAmt |
| EOY | $3,066,355 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $285,391,230 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $226,442,753 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,499,845 | BOYAmt |
| EOY | $58,948,477 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $164,867,679 | BOYAmt |
| EOY | $134,824,889 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,108,931 | BOYAmt |
| EOY | $2,304,121 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,477,213 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,957,154 | BOYAmt |
| EOY | $66,165,644 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $336,161,577 | BOYAmt |
| EOY | $312,244,691 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,199,619 | BOYAmt |
| EOY | $54,219,894 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,472,306 | BOYAmt |
| EOY | $18,036,225 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,458,000 | BOYAmt |
| EOY | $1,182,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,896,209 | BOYAmt |
| EOY | $68,000,028 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $136,026,134 | BOYAmt |
| EOY | $141,438,147 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $191,817,523 | BOYAmt |
| EOY | $164,303,434 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,317,920 | BOYAmt |
| EOY | $6,503,110 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200,135,443 | BOYAmt |
| EOY | $170,806,544 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $336,161,577 | BOYAmt |
| EOY | $312,244,691 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,080,354 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$28,114,003 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$134,542 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $19,455 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $19,455 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | PARTICIPATION IS BASED ON THE MEMBERSHIP DUES PAID TO HANYS AND IROQUOIS HEALTHCARE ASSOCIATION AS INDICATED ON LINE 2. THE FOLLOWING NARRATIVES, WERE TAKEN DIRECTLY FROM THEIR RESPECTIVE WEBSITES: 1. HANYS IS PROUD TO BE THE ONLY STATEWIDE ASSOCIATION THAT REPRESENTS AND ADVOCATES ON BEHALF OF NEW YORK'S HOSPITALS AND HEALTH SYSTEMS AT ALL LEVELS OF THE FEDERAL AND STATE GOVERNMENT. HANYS HAS ACCESS TO POLICY LEADERS, REGARDLESS OF THEIR POLITICAL AFFILIATION AND IS AN INTEGRAL PLAYER IN HEALTH POLICY DISCUSSIONS. HANYS ALSO COMMUNICATES MEMBERS CONCERNS AND POSITIONS TO NEW YORK AND NATIONAL MEDIA IN SUPPORT OF THE ASSOCIATIONS LEGISLATIVE AND REGULATORY INTITIATIVES. 2. IROQUOIS IS THE REGIONAL VOICE IN ALBANY AND WASHINGTON FOR UPSATE HOSPITALS AND HEALTH CARE SYSTEM MEMBERS. IROQUOIS PROMOTES A BROADER UNDERSTANDING OF, AND BUILDS SUPPORT FOR, THE HEALTH CARE SYSTEMS SERVING UPSTATE NEW YORK. IROQUOIS PROVIDES REPRESENTATION AND ADVOCACY AT THE STATE LEVEL BY EFFECTIVELY LOBBYING THE STATE LEGISLATURE, AND ESTABLISHING CLOSE WORKING RELATIONSHIPS WITH THE GOVERNORS OFFICE, STATE AGENCY OFFICIALS, AND REGULATORY REPRESENTATIVES. IROQUOIS INFLUENCES PUBLIC POLICY DEVELOPMENT THROUGH BOTH LEGISLATIVE AND REGULATORY ADVOCACY EFFORTS. REGIONAL ACTIVITIES, SUCH AS HOSTING LEGISLATORS AND MEETING WITH LOCAL OFFICIALS, ARE CRITICAL TO MAINTAINING A UNIFIED VOICE FOR LEGISLATIVE AND REGULATORY ACTION. IROQUOIS CONTINUES TO WORK WITH THE NY STATE ADMINISTRATION TO ADDRESS ISSUES AFFECTING UPSTATE HOSPITALS, REVIEW THE EXECUTIVE BUDGET PROPOSAL AND ALSO WORK WITH THE STATE LEGISLATURE. ALL ADVOCACY EFFORTS FOCUS ON THE SIMPLE TRUTH THAT HOSPITALS EXIST TO SERVE. THEIR ABILITY TO SERVE WELL, REQUIRES A RELATIONSHIP WITH THEIR COMMUNITIES BUILT ON TRUST AND COMPASSION. TO SERVE COMMUNITES WELL, HOSPITALS MUST ALSO MANAGE RESOURCES IN A CHALLENGING ENVIRONMENT. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,982,481 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$736,298 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $10,246,183 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,413,508 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $568,973 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $10,982,481 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,848,704 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $564,804 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $10,413,508 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,919,101 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $929,603 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $8,919,101 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,256,788 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$337,687 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $8,919,101 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.44000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.56000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,396,536 | OtherCostOrOtherBasisAmt |
| Book Value | $2,396,536 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $114,882,872 | OtherCostOrOtherBasisAmt |
| Depreciation | $94,933,939 | DepreciationAmt |
| Book Value | $19,948,933 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,629,582 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,629,582 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $160,298,621 | OtherCostOrOtherBasisAmt |
| Depreciation | $124,684,794 | DepreciationAmt |
| Book Value | $35,613,827 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,183,619 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,194,438 | DepreciationAmt |
| Book Value | $989,181 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $58,948,477 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| CORPORATE OBLIGATIONS | $118,773,057 | F |
| MUTUAL FUNDS INVESTMENTS | $15,401,832 | F |
| ASSETS LIMITED AS TO USE | $650,000 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $134,824,889 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $28,548,256 |
| G&P INSURANCE RECEIVABLE LT, NET | $14,249,704 |
| OTHER ASSETS | $16,516,024 |
| WC INSURANCE RECEIVABLE LT, NET | $6,851,660 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $66,165,644 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)
| DescDesc | AmtAmt |
|---|---|
| CAPITAL LEASE OBLIGATIONS | $2,780,586 |
| DUE TO AFFILIATES | $3,524,210 |
| ESLB | $9,025,709 |
| ESTIMATED 3RD PARTY PAYOR SETTLEMENTS | $8,208,325 |
| ESTIMATED SELF INSURED LIABILITIES | $10,616,038 |
| G&P INSURANCE PAYABLE ST/LT | $14,968,704 |
| OPERATING LEASE OBLIGATIONS | $976,418 |
| OTHER LIABILITIES | $1,043,826 |
| WC INSURANCE PAYABLE ST/LT | $7,011,212 |
| LINE OF CREDIT | $9,845,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $68,000,028 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $383,261,120 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $1,320,651 | OtherRevenueAmt |
| Revenue Not Reported | $1,320,651 | RevenueNotReportedAmt |
| Revenue Subtotal | $381,940,469 | RevenueSubtotalAmt |
| Other Revenues Not Included | $10,548,950 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $10,548,950 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $392,489,419 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $384,341,474 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $1,320,651 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $1,320,651 | ExpensesNotReportedAmt |
| Expenses Subtotal | $383,020,823 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $10,548,950 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $10,548,950 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $393,569,773 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | PERMANENT ENDOWMENT FUNDS ARE TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS TO BE USED TO SUPPORT CHARITY CARE, HEALTH CARE SERVICES, SCHOLARSHIPS AND FACILITY MAINTENANCE. TEMPORARY ENDOWMENT FUNDS ARE DONOR CONTRIBUTIONS RESTRICTED BY THE DONORS FOR SPECIFIC PURPOSES. |
| PART X, LINE 2: | HEALTHCARE IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501C(3) OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31, 2022 AND 2021, HEALTHCARE DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2019-2022. HEALTHCARE DOES NOT ANTICIPATE THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 1,320,651. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT 10,548,950. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 1,320,651. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT 10,548,950. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 325.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,387,720 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $974,450 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,413,270 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00630 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $81,114,987 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $56,856,218 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,258,769 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06330 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $84,502,707 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $57,830,668 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $26,672,039 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06960 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,068,553 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,068,553 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00280 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,137,423 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,019,385 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $118,038 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,616,857 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,685,553 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,931,304 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00500 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,717 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,717 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,826,550 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,704,938 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,121,612 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00810 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $93,329,257 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $63,535,606 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $29,793,651 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07770 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,827,296 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,039,651 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $142,179,218 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $210,633,973 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$68,454,755 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 MOHAWK VALLEY ENDOSCOPY CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | ENDOSCOPY SERVICES | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.20000 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0.00000 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.20000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAXTON ST LUKES HEALTHCARE INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 479 | AddressLine1Txt |
| City | UTICA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13503 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | FAXTONSTLUKES.COM | WebsiteAddressTxt |
| State License | 17-30-91 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | DENTAL CLINIC;DIAGNOSTICS;MEDICAL IMAGING;DIALYSIS; L&D; URGENT CARE | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAXTON ST LUKES HEALTHCARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://MVHEALTHSYSTEM.ORG | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | HTTP://OCGOV.NET | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP:/MVHEALTHSYSTEM.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 325.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.MVHEALTHSYSTEM.ORG/FINANCIAL-ASSISTANCE-PROGRAM | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.MVHEALTHSYSTEM.ORG/FINANCIAL-ASSISTANCE-PROGRAM | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.MVHEALTHSYSTEM.ORG/FINANCIAL-ASSISTANCE-PROGRAM | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FAXTON ST LUKES HEALTHCARE, INC. | PART V, SECTION B, LINE 5: OCHD, RH AND MVHS CONTRACTED WITH RESEARCH AND MARKETING STRATEGIES, INC. (RMS HEALTHCARE) TO COMPLETE THE 2022-2024 CHA/CSP/CHIP. A RIGOROUS, THOROUGH, AND COMPREHENSIVE PROCESS WAS FOLLOWED, ENSURING ALIGNMENT WITH THE NEW YORK STATE DEPARTMENT OF HEALTH PREVENTION AGENDA STATE AND PLANNING CYCLE REQUIREMENTS, WHILE ENGAGING COMMUNITY STAKEHOLDERS TO IDENTIFY THE HEALTH NEEDS OF ONEIDA COUNTY RESIDENTS VIA THREE FORMS OF PRIMARY RESEARCH. THE METHODS USED TO GATHER COMMUNITY INPUT, INCLUDED CONDUCTING COMMUNITY FOCUS GROUPS, AN ONLINE SURVEY, AND IN-DEPTH INTERVIEWS OF COMMUNITY MEMBERS AND LEADERS. THESE METHODS PROVIDED ADDITIONAL PERSPECTIVES ON HOW TO SELECT AND ADDRESS TOP HEALTH ISSUES FACING THE REGION. MVHS PARTICIPATED WITH THE PARTNERS OF THE HEALTHY LIFESTYLES TASKFORCE. IN ADDITION, SEVERAL OF THOSE TASKFORCE MEMBERS (MVLA, NAACP ROME, THE CENTER, ROME HEALTH, ONEIDA COUNTY) WERE A PART OF THE STAKEHOLDER GROUP FOR FURTHER INTERVIEW. |
| FAXTON ST LUKES HEALTHCARE, INC. | PART V, SECTION B, LINE 6A: THE CHA/CSP PROCESS AND THE IDENTIFICATION OF PRIORITIES AND INTERVENTIONS IN THE IMPROVEMENT PLAN WAS GUIDED BY A STEERING COMMITTEE, WHICH IS A PARTNERSHIP AMONG AND WITHIN OCHD, ROME HEALTH AND MVHS THAT CONVENED IN A COLLABORATIVE APPROACH TO IDENTIFY AND ASSESS PUBLIC HEALTH GAPS AND BARRIERS. |
| FAXTON ST LUKES HEALTHCARE, INC. | PART V, SECTION B, LINE 6B: OCHD, RH AND MVHS CONTRACTED WITH RESEARCH AND MARKETING STRATEGIES, INC. (RMS HEALTHCARE) TO COMPLETE THE 2022-2024 CHA/CSP/CHIP. A RIGOROUS, THOROUGH, AND COMPREHENSIVE PROCESS WAS FOLLOWED, ENSURING ALIGNMENT WITH THE NEW YORK STATE DEPARTMENT OF HEALTH PREVENTION AGENDA STATE AND PLANNING CYCLE REQUIREMENTS, WHILE ENGAGING COMMUNITY STAKEHOLDERS TO IDENTIFY THE HEALTH NEEDS OF ONEIDA COUNTY RESIDENTS VIA THREE FORMS OF PRIMARY RESEARCH INCLUDING, CONDUCTING COMMUNITY FOCUS GROUPS, AN ONLINE SURVEY, AND IN-DEPTH INTERVIEWS OF COMMUNITY MEMBERS AND LEADERS. STAKEHOLDERS INCLUDE: ROBERTO GONZALEZ ACR HEALTH, DR. KENT HALL CHIEF EXECUTIVE OFFICER MOHAWK VALLEY HEALTH SYSTEM, CORRINE KELLEY, FNP-BC ADVANCED PRACTICE CLINICIAN, LEAD ROME HEALTH BOONVILLE HEALTH CENTER, SONIA MARTINEZ PRESIDENT MOHAWK VALLEY LATINO ASSOCIATION, MICHELLE MELLON HIGH SCHOOL SOCIAL WORKER CAMDEN SCHOOL DISTRICT, JACKIE NELSON PRESIDENT NAACP ROME, ANTHONY J. PICENTE, JR. ONEIDA COUNTY EXECUTIVE, ONEIDA COUNTY MICHAEL ROMANO DIRECTOR OFFICE FOR THE AGING AND CONTINUING CARE (OFA), KRISTIN SAUERBIER, L.C.S.W. PROGRAM DIRECTOR MOBILE CRISIS ASSESSMENT TEAM (MCAT), JENNIFER VANWAGONER MANAGER OF GRANTS & COMMUNITY ENGAGEMENT-THE CENTER RANDALL VANWAGONER PRESIDENT, MOHAWK VALLEY COMMUNITY COLLEGE (MVCC), ANNEMARIE WALKER-CZYZ, RN, ED.D., NEA-BC PRESIDENT/CHIEF EXECUTIVE OFFICER ROME HEALTH. |
| FAXTON ST LUKES HEALTHCARE, INC. | PART V, SECTION B, LINE 11: OCHD, RH AND MVHS CONTINUOUSLY EVALUATE ACTIVITIES ALIGNED WITH GOALS AND STRATEGIES THAT HAVE BEEN IDENTIFIED AND SELECTED. THIS ON-GOING EVALUATION WILL ENSURE THAT STRATEGIES ARE BEING REGULARLY MONITORED, AND BARRIERS ARE REGULARLY ASSESSED, AND SOLUTIONS ARE IDENTIFIED, WHILE FOCUSING ON ACHIEVING HEALTH EQUITY. A COMMUNITY OUTREACH PROGRAM CALLED HEALTHY LIFESTYLES INCLUDES EMPLOYED MVHS NURSES IN PARTNER WITH COMMUNITY NAVIGATORS HIRED BY PARTNER ORGANIZATIONS TO PROVIDE EDUCATION AND SCREENING FOR DIABETES, HYPERTENSION AND STROKE FOCUSED ON TARGETING MINORITY COMMUNITIES. IN ADDITION, MVHS DIRECTOR OF POPULATION HEALTH MEETS REGULARLY WITH THE MEDICAL GROUP LEADERSHIP TO MONITOR PROGRESS OF MEETING COMMUNITY HEALTH IMPROVEMENT PLAN GOALS. PERFORMANCE AGAINST GOALS WILL BE REGULARLY MONITORED TO EVALUATE OUTCOMES.TO ADDRESS MENTAL HEALTH, MVHS LEADERSHIP ARE MEMBERS OF THE ONEIDA COUNTY SUICIDE TASKFORCE, ONEIDA COUNTY CCBHC INTERAGENCY COLLABORATIVE. ONEIDA COUNTY 911 SUBGROUP, THE ONEIDA COUNTY OPIOID TASKFORCE AND YOUTH SERVICES COUNCIL. IN ADDITION, MVHS DIRECTOR OF POPULATION HEALTH, DIRECTOR OF BEHAVIORAL HEALTH AND CHIEF EXECUTIVE PHYSICIAN LEAD A COALITION OF COMMUNITY LEADERS TO ADDRESS PEDIATRIC EMERGENCY DEPARTMENT UTILIZATION. AS A RESULT OF THIS PARTNERSHIP, ONEIDA COUNTY HEALTH DEPARTMENT AND MVHS WILL EMBED A DEDICATED MENTAL HEALTH CARE MANAGER INTO THE EMERGENCY DEPARTMENTS AT MVHS TO ASSIST WITH WARM HAND-OFFS TO THE COMMUNITY. IN ADDITION, MVHS HAS ESTABLISHED A PSYCHIATRIC RESIDENCY PROGRAM TO ADDRESS CRITICAL WORKFORCE SHORTAGES. ROUTINE MEETINGS ARE HELD INTERNALLY WITH MVHS LEADERSHIP AND BEHAVIORAL HEALTH SERVICES TO MONITOR PROGRESS OF THE COMMUNITY HEALTH IMPROVEMENT PLAN. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 27 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (27 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - MVHS ORTHOPEDIC GROUP | ||||
| 1903 SUNSET AVE | UTICA | NY | 13502 | PHYSICIAN OFFICE |
| 2 - MVHS SURGICAL GROUP | ||||
| 1656 CHAMPLIN AVE PROF OFFICE BLDNG | UTICA | NY | 13502 | PHYSICIAN OFFICE |
| 3 - WOMEN'S MEDICAL IMAGING CENTER | ||||
| 106 BUSINESS PARK DRIVE | UTICA | NY | 13502 | RADIOLOGY SERVICES |
| 4 - MVHS MOHAWK VALLEY MEDICAL GROUP | ||||
| 201 EAST STATE STREET | HERKIMER | NY | 13350 | PHYSICIAN OFFICE |
| 5 - HERKIMER DIALYSIS CENTER | ||||
| 201 EAST STATE STREET | HERKIMER | NY | 13350 | DIALYSIS SITE |
| 6 - ONEIDA DIALYSIS CENTER | ||||
| 221 BROAD STREET | ONEIDA | NY | 13421 | DIALYSIS SITE |
| 7 - DENTAL HEALTH CENTER | ||||
| 1714 BURRSTONE ROAD | NEW HARTFORD | NY | 13413 | DENTAL CLINIC |
| 8 - MVHS NEW HARTFORD MEDICAL GROUP | ||||
| 8411 SENECA TURNPIKE | NEW HARTFORD | NY | 13413 | PHYSICIAN OFFICE |
| 9 - MVHS WASHINGTON MILLS MEDICAL GROUP | ||||
| 3946 ONEIDA STREET | NEW HARTFORD | NY | 13413 | PHYSICIAN OFFICE |
| 10 - MASONIC CARE COMMUNITY DIALYSIS | ||||
| 2150 BLEEKER STREET | UTICA | NY | 13501 | DIALYSIS SITE |
| 11 - ROME DIALYSIS CENTER | ||||
| 91 PERIMETER ROAD SUITE 140 | ROME | NY | 13440 | DIALYSIS SITE |
| 12 - MVHS BARNEVELD MEDICAL GROUP | ||||
| 7980 STATE RT 12 | BARNEVELD | NY | 13304 | PHYSICIAN OFFICE |
| 13 - MVHS WHITESBORO MEDICAL GROUP | ||||
| 37 MAIN STREET | WHITESBORO | NY | 13492 | PHYSICIAN OFFICE |
| 14 - MVHS BOONVILLE MEDICAL GROUP | ||||
| 13460 STATE ROUTE 12 | BOONVILLE | NY | 13304 | PHYSICIAN OFFICE |
| 15 - MVHS NORTH UTICA MEDICAL GROUP | ||||
| 35 RIVERSIDE DRIVE | UTICA | NY | 13502 | PHYSICIAN OFFICE |
| 16 - HAMILTON DIALYSIS CENTER | ||||
| 10 EATON STREET | HAMILTON | NY | 13346 | DIALYSIS SITE |
| 18 - MVHS NEUROSURGERY GROUP | ||||
| 1656 CHAMPLIN AVE PROF OFFICE BLDNG | UTICA | NY | 13502 | PHYSICIAN OFFICE |
| 19 - CENTER FOR REHABCONTINUING CARE SRVCS | ||||
| 1650 CHAMPLIN AVE | UTICA | NY | 13502 | INTENSIVE REHAB UNIT/CONTINUING CARE SERVC CTR |
| 20 - MVHS CLINTON MEDICAL GROUP | ||||
| 101 COLLEGE STREET | CLINTON | NY | 13323 | PHYSICIAN OFFICE |
| 22 - MVHS GI OFFICE | ||||
| 1656 CHAMPLIN AVE PROF OFFICE BLDNG | UTICA | NY | 13502 | PHYSICIAN OFFICE |
| 23 - MVHS VASCULAR SURGERY GROUP | ||||
| 1675 BENNETT STREET | UTICA | NY | 13502 | PHYSICIAN OFFICE |
| 24 - NEUROPSYCHOLOGYNEURO SCIENCE GROUP | ||||
| 8411 SENECA TURNPIKE | NEW HARTFORD | NY | 13413 | PHYSICIAN OFFICE |
| 25 - WATERVILLE COMMUNITY MEDICINE | ||||
| 117 W MAIN STREET | WATERVILLE | NY | 13480 | PHYSICIAN OFFICE |
| 26 - MVHS PULMONARY MEDICINECRITICAL CARE | ||||
| 35 RIVERSIDE DRIVE | UTICA | NY | 13502 | PHYSICIAN OFFICE |
| 27 - MVHS UROLOGY GROUP | ||||
| 1676 SUNSET AVENUE | UTICA | NY | 13502 | PHYSICIAN OFFICE |
| 28 - ONEIDA MEDICAL GROUP | ||||
| 131 MAIN STREET | ONEIDA | NY | 13421 | PHYSICIAN OFFICE |
| 29 - ROME MEDICAL GROUP | ||||
| 1617 NORTH JAMES STREET | ROME | NY | 13440 | PHYSICIAN OFFICE |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE PATIENTS COST-TO-CHARGE RATIO WAS COMPUTED USING ALL CHARGES AND EXPENSES LESS NON-ALLOWABLE. THE COST TO CHARGE RATIO WAS USED TO COMPUTE COST. COST-TO-CHARGE WAS DERIVED BY DIVIDING TOTAL CHARGES FROM THE FINANCIAL STATEMENTS INTO TOTAL COST FROM THE FINANCIAL STATEMENTS, LESS NON-PATIENT COSTS. |
| PART I, LINE 7G: | N UTICA PRIMARY CARE - MEETS NEED, SERVES LOW-INCOME & PEDIATRIC POPULATIONBOONVILLE PRIMARY CARE - MEETS NEED, LOW PHSYCIAN POPULATION AREAHERKIMER PRIMARY CARE - MEETS NEED, LOW PHSYCIAN POPULATION AREA |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 10,548,951. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | 1. PREVENT CHRONIC DISEASES: WORK WITH HEALTHCARE PROVIDERS/CLINICS TO PUT SYSTEMS IN PLACE FOR PATIENT AND PROVIDER SCREENING REMINDERS. WORK WITH CLINICAL PROVIDERS TO ASSESS HOW MANY OF THEIR PATIENTS RECEIVE SCREENING SERVICES AND PROVIDE THEM FEEDBACK ON THEIR PERFORMANCE. ENSURE CONTINUED ACCESS TO HEALTH INSURANCE TO REDUCE ECONOMIC BARRIERS. INCREASE CANCER SCREENING RATES. CONDUCT PLANNING ACTIVITIES WITH PARTNERS, PROVISION STAFF WITH 3M TOOLS. CONDUCT GROUP EDUCATION SESSIONS. CONDUCT PLANNING ACTIVITIES WITH COMMUNITY PARTNERS TO IDENTIFY TARGET AREAS FOR GROUP EDUCATION SESSIONS. USE SMALL MEDIA SUCH AS VIDEOS, PRINTED MATERIALS (BROCHURES, NEWSLETTERS) AND HEALTH COMMUNICATIONS TO BUILD PUBLIC AWARENESS AND DEMAND. REMOVE STRUCTURAL BARRIERS TO CANCER SCREENING BY OFFERING CANCER SCREENING THOUGH MOBILE MAMMOGRAPHY VAN. MOHAWK VALLEY HEALTH SYSTEM (QUALITY MANAGER) AND ROME HEALTH (CHIEF QUALITY OFFICER) (COORDINATION, IMPLEMENTATION) FIDELIS (MEASUREMENT OF OUTCOMES, ASSISTING WITH GAP REPORT) HOSPITAL AFFILIATED PRIMARY CARE PROVIDERS (IMPLEMENTATION, OUTREACH, MONITORING) COMMUNITY-BASED ORGANIZATIONS (ASSISTANCE WITH RESOLVING SOCIOECONOMIC BARRIERS TO CARE) LOCAL MANAGED CARE PROVIDERS/INSURANCE COMPANIES (COMMUNITY NAVIGATORS) ONEIDA COUNTY HEALTH DEPARTMENT PUBLIC HEALTH EDUCATORS (COORDINATION AND IMPLEMENTATION); MVHS HEALTH EQUITY TASK FORCE (COORDINATION AND IMPLEMENTATION) COMMUNITY HOSPITAL (UPSTATE) MOBILE MAMMOGRAPHY PROGRAM/UNIT (PROVIDER), ONEIDA COUNTY HEALTH DEPARTMENT PUBLIC HEALTH EDUCATORS (IMPLEMENTATION AND COORDINATION) COMMUNITY-BASED ORGANIZATIONS (IMPLEMENTATION, HOSTING), LOCAL GOVERNMENT UNIT (IMPLEMENTATION, HOSTING MEETING), MVHS AND ROME HEALTH STAFF (PROMOTION) MOHAWK VALLEY HEALTH SYSTEM AND ROME HEALTH, HOSPITAL AFFILIATED PRIMARY CARE PROVIDERS , COMMUNITY-BASED ORGANIZATIONS, LOCAL MANAGED CARE PROVIDERS/INSURANCE COMPANIES, ONEIDA COUNTY HEALTH DEPARTMENT PUBLIC HEALTH EDUCATORS, MVHS HEALTH EQUITY TASK FORCE, COMMUNITY HOSPITAL, MOBILE MAMMOGRAPHY PROGRAM/UNIT, ONEIDA COUNTY HEALTH DEPARTMENT PUBLIC HEALTH EDUCATORS COMMUNITY-BASED ORGANIZATIONS, LOCAL GOVERNMENT UNIT, MVHS AND ROME HEALTH STAFF.2. PREVENTIVE CARE AND MANAGEMENT: PROMOTE EVIDENCE-BASED CARE TO PREVENT AND MANAGE CHRONIC DISEASES INCLUDING ASTHMA, ARTHRITIS, CARDIOVASCULAR DISEASE, DIABETES AND PREDIABETES AND OBESITY. INCREASE EARLY DETECTION OF CARDIOVASCULAR DISEASE, DIABETES, PREDIABETES AND OBESITY. PROMOTE TESTING FOR PRE DIABETES IN ADULT ASYMPTOMATIC POPULATION. PROMOTE REFERRAL TO NDPP. MOHAWK VALLEY HEALTH SYSTEM QUALITY MANAGER AND ROME HEALTH CHIEF QUALITY OFFICER (IMPLEMENTATION AND COORDINATION) FIDELIS (REPRESENTATIVE) MEASUREMENT OF OUTCOMES, ASSISTING WITH GAP REPORT, HOSPITAL AFFILIATED PRIMARY CARE PROVIDERS (IMPLEMENTATION, OUTREACH, MONITORING) COMMUNITY-BASED ORGANIZATIONS (ASSISTANCE WITH RESOLVING SOCIOECONOMIC BARRIERS TO CARE)MOHAWK VALLEY HEALTH SYSTEM QUALITY MANAGER AND ROME HEALTH CHIEF QUALITY OFFICER, FIDELIS, HOSPITAL AFFILIATED PRIMARY CARE PROVIDERS, COMMUNITY-BASED ORGANIZATIONS.3. PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS: PREVENT SUICIDES;IDENTIFY AND SUPPORT PEOPLE AT RISK, STRENGTHEN ACCESS AND DELIVERY OF SUICIDE CARE. FACILITATE SUPPORTIVE ENVIRONMENTS THAT PROMOTE RESPECT AND DIGNITY FOR PEOPLE OF ALL AGES. USE THOUGHTFUL MESSAGING ON MENTAL ILLNESS AND SUBSTANCE USE. DEVELOP MEDIA CAMPAIGN. WORK WITH OPIOID TASK FORCE COORDINATOR TO INCORPORATE MESSAGING INTO ONEIDA COUNTY OPIOID TASK FORCE ANTI STIGMA CAMPAIGN ONEIDA COUNTY HEALTH DEPARTMENT PROGRAM COORDINATOR AND PUBLIC HEALTH EDUCATORS (PHE) (COORDINATION AND IMPLEMENTATION), ONEIDA COUNTY DEPARTMENT OF MENTAL HEALTH (DEVELOPMENT AND IMPLEMENTATION) ONEIDA COUNTY SUICIDE COALITION. (DEVELOPMENT AND IMPLEMENTATION), MVHS FAMILY MEDICINE AND PSYCHIATRY RESIDENCY (DEVELOPMENT AND IMPLEMENTATION) ROME HEALTH DIRECTOR OF COMMUNITY RECOVERY CENTER (COORDINATION AND IMPLEMENTATION). MVHS DIRECTOR OF BEHAVIORAL HEALTH (ASSESSMENT) ONEIDA COUNTY OPIOID TASK FORCE COORDINATOR (COORDINATION AND IMPLEMENTATION), ONEIDA COUNTY HEALTH DEPARTMENT PROGRAM COORDINATOR AND PHE (COORDINATION AND IMPLEMENTATION), CONNECTED COMMUNITY SCHOOLS PROGRAM MANAGER OR LIST COMMUNITY-BASED ORGANIZATIONS IN GENERAL AS A PARTNER (COORDINATION AND IMPLEMENTATION), MVHS BEHAVIORAL HEALTH (PROMOTION)ONEIDA COUNTY HEALTH DEPARTMENT PROGRAM COORDINATOR AND PUBLIC HEALTH EDUCATORS (PHE), ONEIDA COUNTY DEPARTMENT OF MENTAL HEALTH ONEIDA COUNTY SUICIDE COALITION, MVHS FAMILY MEDICINE AND PSYCHIATRY RESIDENCY, ROME HEALTH DIRECTOR OF COMMUNITY RECOVERY CENTER, MVHS DIRECTOR OF BEHAVIORAL HEALTH, ONEIDA COUNTY OPIOID TASK FORCE COORDINATOR, ONEIDA COUNTY HEALTH DEPARTMENT PROGRAM COORDINATOR AND PHE, CONNECTED COMMUNITY SCHOOLS PROGRAM MANAGER OR LIST COMMUNITY-BASED ORGANIZATIONS IN GENERAL AS A PARTNER, MVHS BEHAVIORAL HEALTH.4. PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN: SUPPORT AND ENHANCE CHILDREN AND ADOLESCENTS' SOCIAL-EMOTIONAL DEVELOPMENT AND RELATIONSHIPS. : INCREASE AWARENESS, KNOWLEDGE, AND SKILLS OF PROVIDERS SERVING CHILDREN, YOUTH, AND FAMILIES RELATED TO SOCIAL-EMOTIONAL DEVELOPMENT, ADVERSE CHILDHOOD EXPERIENCES (ACES), AND TRAUMA-INFORMED CARE. WORK WITH THE ONEIDA COUNTY YOUTH SERVICES COUNCIL'S ADVERSE CHILDHOOD EXPERIENCES (ACES). COMMUNITY HOSPITAL (UPSTATE) MOBILE MAMMOGRAPHY PROGRAM/UNIT (PROVIDER), ONEIDA COUNTY HEALTH DEPARTMENT PUBLIC HEALTH EDUCATORS (IMPLEMENTATION AND COORDINATION) COMMUNITY-BASED ORGANIZATIONS (IMPLEMENTATION, HOSTING), LOCAL GOVERNMENT UNIT (IMPLEMENTATION, HOSTING MEETING), MVHS AND ROME HEALTH STAFF (PROMOTION).COMMUNITY HOSPITAL (UPSTATE) MOBILE MAMMOGRAPHY PROGRAM/UNIT, ONEIDA COUNTY HEALTH DEPARTMENT PUBLIC HEALTH EDUCATORS. COMMUNITY-BASED ORGANIZATIONS, LOCAL GOVERNMENT UNIT, MVHS AND ROME HEALTH STAFF. |
| PART III, LINE 2: | BAD DEBT FOR SCHEDULE H REPORTING IS DETERMINED BY TAKING THE ACTUAL BAD DEBT EXPENSE REPORTED FOR THE YEAR ON THE HOSPITAL AUDITED FINANCIAL STATMENTS, LESS ANY BAD DEBT RECOVERIES RECEIVED DURING THE YEAR FROM THE AUDITED FINANCIAL STATEMENTS. THEN, ADJUSTING THAT AMOUNT TO COST BASED ON THE HOSPITAL'S CURRENT YEAR MEDICARE COST REPORT DERIVED COST TO CHARGE RATIO. THIS AMOUNT UNDERSTATES BAD DEBT SOMEWHAT BECAUSE A LARGE PORTION OF BAD DEBT IS THE RESULT OF UNPAID DEDUCTIBLE AND CONINSURANCE BALANCES. THOSE BALANCES ARE NO LONGER RECORDED AT FULL CHARGES BECAUSE CONTRACTUAL ADJUSTMENTS HAVE ALREADY REDUCED CHARGES TO AN EXPECTED REIMBURSEMENT AMOUNT; HENCE, REDUCING BY A COST-TO-CHARGE RATIO, REDUCES AN ALREADY DISCOUNTED CHARGE. WE REPORT THIS WAY BECAUSE BAD DEBT IS REPORTED IN MUTLIPLE STATE AND FEDERAL REQUIRED REPORTS, RETURNS AND DISCLOSURE STATEMENTS. IN ORDER TO BE CONSISTENT WE ARE REPORTING USING THE COSERVATIVE METHOD WHICH IS REQUIRED FOR HOSPTIAL MEDICARE COST REPORT REPORTING. |
| PART III, LINE 3: | MANY PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE ASSISTANCE ARE UNWILLING TO APPLY FOR IT. THE HOSPITAL BUSINESS OFFICE OFFERS OUR CHARITY CARE PACKAGE TO ALL PATIENTS. IN 2015, THE CHARITY CARE PROGRAM WAS EXPANDED DUE TO THE IMPLEMENTATION OF THE 340B PROGRAM. MANY PATIENTS WILL AGREE TO HAVE THE CHARITY CARE REQUEST FORMS SENT TO THEM BUT NEVER RETURN THEM. MANY PATIENTS SAY THEY CANNOT PAY BUT ARE UNWILLING TO COMPLETE ANY FORMS. THE HOSPITAL BUSINESS OFFICE, COLLECTIONS STAFF, HAVE FORMED A PERCENTAGE ESTIMATE BASED ON THE NUMBER OF CASES OF PATIENTS WHO RECEIVE CHARITY CARE FORMS AND DON'T COMPLETE THEM PLUS THE NUMBER OF PATIENTS WHO STATE THEY CANNOT PAY BUT ARE UNWILLING TO REQUEST ASSISTANCE. THIS RECORDED BAD DEBT EXPENSE WOULD BE RECORDED AS CHARITY CARE IF PATIENT'S WERE WILLING TO COMPLY WITH MINIMAL APPLICATION REQUIREMENTS. THE NATURE OF THE PRESENTATION ON HOSPITAL FIANANCIAL STATEMENTS DOES NOT DETERMINE THE COMMUNITY BENEFIT BUT RATHER THE NATURE OF THE REASON FOR THE EXPENSE. THIS IS CHARITY CARE. |
| PART III, LINE 4: | FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, HEALTHCARE RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF HEALTHCARES UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, HEALTHCARE RECORDS A PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY A RESERVE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, HEALTHCARE ANALYZES PAST PAYMENT HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE RESERVE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH PATIENTS WHO HAVE THIRD PARTY COVERAGE, HEALTHCARE ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES A RESERVE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS, 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 (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), HEALTHCARE RECORDS A RESERVE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICES BASED ON ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE, OR UNWILLING, TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED)AND THE AMOUNT ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. |
| PART III, LINE 8: | ALL OF THIS IS COMMUNITY BENEFIT; THE HOSPTIAL IS RECEIVING LESS THAN COST ON COMMUNITY MEDICARE RECIPIENTS, THUS A COMMUNITY BENEFIT TO THESE PATIENTS. THE PATIENTS COST-TO-CHARGE RATIO WAS COMPUTED USING ALL CHARGES AND EXPENSES LESS NON-ALLOWABLE. THE COST-TO-CHARGE RATIO WAS USED TO COMPUTE COST. COST-TO-CHARGE WAS DERIVED, USING THE FINANCIAL STATEMENTS, BY DIVIDING TOTAL CHARGES INTO TOTAL COSTS LESS NON-PATIENT COSTS. |
| PART III, LINE 9B: | THE HOSPITAL FAP POLICY PLACES ALL ACCOUNTS, FOR COLLECTION EFFORTS, ON HOLD FROM THE DATE OF APPLICATION UNTIL A DETERMINATION HAS BEEN MADE FOR FINANCIAL ASSISTANCE ELIGIBILITY. THE APPLICATION IS REVIEWED BY THE HOSPTIAL WITHIN THIRTY DAYS OF RECEIPT OF THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTAION. THE PATIENT OR GUARANTOR WILL BE NOTIFIFED OF THE DETERMINATION. IF DENIED, THE APPLICANT IS PROVIDED DIRECTIONS FOR AN APPEAL WITHIN THIRTY DAYS OF THE DENTIAL. IF THE APPEAL IS THEN DENIED, THE PATIENT WILL BE NOTIFIED OF THE REASON AND THE STATEMENT CYCLE WILL BEGIN. FIVE STATEMENTS ARE SENT, WITHIN THE 120 DAY BILLING CYCLE. IF NOT PAID, A FINAL PRE-COLLECTION LETTER IS ISSUED ADVISING THE ACCOUNT WILL BE SENT TO COLLECTIONS WITHIN THIRTY DAYS. IF THE PATIENT IS ACCEPTED IN THE FAP PROGRAM, THIS STATUS WILL BE EFFECTIVE FOR ONE YEAR FROM ACCEPTANCE. |
| PART VI, LINE 2: | THE CHA/CSP PROCESS AND THE IDENTIFICATION OF PRIORITIES AND INTERVENTIONS IN THE IMPROVEMENT PLAN WAS GUIDED BY A STEERING COMMITTEE, WHICH IS A PARTNERSHIP AMONG AND WITHIN OCHD, RH AND MVHS THAT CONVENED IN A COLLABORATIVE APPROACH TO IDENTIFY AND ASSESS PUBLIC HEALTH GAPS AND BARRIERS AS WELL AS TO IDENTIFY AND EXECUTE ACTIONS AS SOLUTIONS TO GAPS AND BARRIERS IDENTIFIED THROUGH VARIOUS PRIMARY RESEARCH METHODOLOGIES AND EVIDENCE OF SECONDARY DATA THAT WILL BE DETAILED WITHIN THIS REPORT. THROUGH PRIMARY RESEARCH, THE STEERING COMMITTEE WAS ABLE TO OBTAIN INPUT FROM KEY COMMUNITY STAKEHOLDERS AND RESIDENTS ON PERCEPTIONS OF HEALTH ISSUES WITHIN THE COMMUNITY, CONSIDERING DETERMINANTS OF HEALTH AND PROVIDING INSIGHT ON SPECIFIC ASPECTS OF PRIORITIZING HEALTH NEEDS TO FACILITATE A THOROUGH AND THOUGHTFUL ASSESSMENT AND PLANNING PROCESS FOR DEVELOPMENT OF THE CHA, CSP AND CHIP. |
| PART VI, LINE 3: | THE HOSPITAL FAP APPLICATION AND POLICY SUMMARY ARE INCLUDED IN THE ADMISSION PACKETS MAILED TO ALL PATIENTS PRIOR TO ADMISSION FOR INPATIENT SERVICES. THE HOSPITAL PROVIDES ACCESSIBLE COMMUNICATION, WITHIN THE HOSPITAL AND ALL OFF-SITE LOCATIONS, IN THE FORM OF 1) SIGNAGE IN FIVE LANGUAGES, 2) A PATIENT PAMPHLET WHICH DESCRIBES PAYMENT OPTIONS INCLUDING FAP,WEBSITE INFORMATION AND STAFF CONTACT INFORMATION FOR ASSISTANCE. THE FAP SUMMARY AND WEBSITE INFORMATION ARE DISPLAYED IN PATIENT COMMON ENTRANCE AREAS IN THE HOSPITAL AND OFFSITE LOCATIONS. THE HOSPITAL HAS UP-FRONT FINANCIAL COUNSELORS AND CAC'S (CERTIFED APPLICATION COUNSELORS) TO ASSIST OUR PATIENTS WITH ONLINE APPLICATIONS FOR AFFORDABLE INSURANCE, MEDICAID AND OTHER PROGRAMS/GRANTS. OUR PRE-COLLECTIONS OUTSOURCE VENDOR HAS OUR POLICY INFORMATION AND COUNSELS THE PATIENT IN THE SAME MANNER AS HOSPITAL EMPLOYEES. THE DOCUMENTATION OF OUR FINANCIAL POLICY PATIENT EDUCATION IS PROVIDED IN OUR BILLING SYSTEM. THE COLLECTION STAFF IN THE BUSINESS OFFICE FOLLOWS UP ON ALL APPLICATIONS SENT BY THE PRE-COLLECTIONS VENDOR. DURING THE APPLICATION PROCESS, THE ACCOUNT IS PLACED ON HOLD UNTIL A FINAL DETERMINATION IS MADE. THE DETERMINATION IS MADE WITHIN THIRTY DAYS OF RECEIVING A COMPLETED APPLICATION, INCLUDING REQUESTED SUPPORTING DOCUMNETATION IN WRITING, WITH AND EXPLANATION OF DETERMINATION. WHEN DETERMINATION REQUIRES IT, THE APPLICANT IS GIVEN INSTRUCTIONS AS TO HOW TO APPEAL A DECISION. |
| PART VI, LINE 4: | COMMUNITY INFORMATION: RESPECTIVE AREA HOSPITAL PATIENT CENSUS DEMOGRAPHIC ANALYSIS INDICATES THAT THE MAJORITY OF PATIENTS RESIDE IN ONEIDA, HERKIMER, AND MADISON COUNTIES, WITH APPROXIMATELY 90% OF RH AND 78% OF MVHS PATIENTS RESIDING IN ONEIDA COUNTY ZIP CODES. THE THREE AREA HOSPITALS PROVIDING INPATIENT AND OUTPATIENT SERVICES INCLUDE: FAXTON-ST. LUKES HEALTHCARE (FSLH) AND ST. ELIZABETH MEDICAL CENTER (SEMC), AND ROME HEALTH (RH). FSLH AND SEMC ARE PART OF THE MOHAWK VALLEY HEALTH SYSTEM AND ARE BOTH LOCATED IN THE CITY OF UTICA. RH IS LOCATED IN THE CITY OF ROME. COMMUNITIES SERVED: ONEIDA COUNTY BORDERS FIVE OTHER COUNTIES (FIGURE 3 ABOVE): OSWEGO, MADISON, HERKIMER, OTSEGO, AND LEWIS. THE COUNTY IS THE 505TH LARGEST COUNTY IN THE UNITED STATES AND COVERS 1,257.76 SQUARE MILES OF LAND AND WATER AREA, IN COMPARISON TO A TOTAL OF 3,14021 COUNTIES IN THE UNITED STATES AND DISTRICT OF COLUMBIA. ONEIDA COUNTY IS COMPRISED OF TWENTY-SIX TOWNS AND NINETEEN VILLAGES. ACCORDING TO COUNTY HEALTH RANKINGS, 33% OF RESIDENTS IN ONEIDA COUNTY ARE LIVING IN A RURAL AREADEMOGRAPHIC: AS OF 2010-2014, THE TOTAL ONEIDA COUNTY POPULATION IS 233,944, WHICH HAS SHRUNK 0.65% SINCE 2000. THE POPULATION GROWTH RATE IS LOWER THAN THE STATE AVERAGE RATE OF 3.26% AND IS MUCH LOWER THAN THE NATIONAL AVERAGE RATE OF 11.61%. ACCORDING TO THE 2021 CENSUS ESTIMATE, RESIDENTS BETWEEN THE AGES OF 45-54 YEARS OF AGE MAKE UP THE LARGEST PERCENTAGE OF THE POPULATION, WHICH IS EXPECTED TO REMAIN STEADY OVER THE NEXT FIVE YEARS. SIMILARLY, POPULATION DISTRIBUTION BY RACE IS FORECASTED TO REMAIN CONSISTENT, BUT HAS BECOME MORE DIVERSE SINCE 2000. MOST RESIDENTS IN THE COUNTY HAVE HEALTH INSURANCE, WITH PRIVATE INSURANCE BEING THE MOST PREVALENT, REPRESENTING 67.8% OF THE POPULATION. THE INSURED RATE FOR ONEIDA COUNTY IS SLIGHTLY HIGHER THAN THE OVERALL NYS RATE FOR THOSE WITH PRIVATE HEALTH INSURANCE |
| PART VI, LINE 5: | HEALTH EQUITY TASKFORCE EXPANDED MEMBERSHIP AND REBRANDED THEIR NAME TO THE MOHAWK VALLEY PARTNERSHIP FOR COMBATING HEART DISEASE. PARTNERS MEET WEEKLY AND INCLUDE THE FOLLOWING: O MOHAWK VALLEY LATINO ASSOCIATIONO ROME & UTICA BRANCHES OF THE NAACPO THE CENTER O EXCELLUS BLUE CROSS BLUE SHIELDO THE COMMUNITY FOUNDATION OF HERKIMER & ONEIDA COUNTYO MOHAWK VALLEY COMMUNICATION ACTION AGENCYO UPSTATE FAMILY HEALTHO AMERICAN HEART ASSOCIATIONO ONEIDA COUNTY HEALTH DEPARTMENTO MOHAWK VALLEY HEALTH SYSTEMO ROME HEALTHTHE MOHAWK VALLEY PARTNERSHIP TO COMBAT HEART DISEASE HAS MET AND EXCEEDED OUR INTENDED SHORT TERM OUTCOMES FOR 2022. MONTHLY REPORTING TEMPLATES WERE CREATED AND EMBEDDED WITHIN THE PARTNERSHIP CONTRACTS TO TRACK PROGRAM IMPACT. BOTH QUALITATIVE AND QUANTITATIVE DATA IS AGGREGATED AND REPORTED TO THE PARTNERSHIP ON A MONTHLY BASIS. INTENDED ACTIVITIES OR GOALS REQUIRING PERFORMANCE IMPROVEMENT PLANS ARE DISCUSSED WITH PARTNERSHIP MEMBERS. TO ADDRESS PATIENT SATISFACTION AND IMPACT, THE PARTNERSHIP MEMBERS CREATED A PRE- AND POST-TEST THAT IS UTILIZED TO ASSESS THE TOTAL NUMBER OF INDIVIDUALS WITH INCREASED KNOWLEDGE OF HOW TO PREVENT AND MANAGE CVD. AS A NEXT STEP, PARTNERS WILL BEGIN TO ADDRESS COLLECTION OF DATA FOR INTERMEDIATE AND LONG-TERM GOALS UTILIZING A SUBSET OF PATIENTS REFERRED TO PRIMARY CARE IN 2023. CLINICAL QUALITY TEAMS FROM MVHS MEDICAL GROUP AND UPSTATE FAMILY HEALTH WILL REVIEW STANDARD CLINICAL QUALITY DATA SETS TO ASSESS IMPACT ON STATED GOALS. OUTCOME REPORTS WILL BE SHARED WITH THE PARTNERSHIP AND PROGRAMMATIC COURSE CORRECTIONS MADE, IF APPLICABLE.2022 OUTCOMES 250 COMMUNITY OUTREACH EVENTS WERE HELD TO INCREASED PUBLIC AWARENESS OF CARDIOVASCULAR DISEASE (CVD) RISK FACTORS OR INCREASED AWARENESS OF COMMUNITY RESOURCES TO PREVENT, TREAT AND MANAGE CVD. EVENTS AND STATIC SITES WERE HELD PRIMARILY IN ONEIDA COUNTY BUT ALSO TO LESSER EXTENT IN HERKIMER AND MADISON. 18,026 COMMUNITY MEMBERS RECEIVED COMMUNITY EDUCATION REGARDING VACCINES, HYPERTENSION & STROKE. 6721 INDIVIDUALS FOR HYPERTENSION (BLOOD PRESSURE SCREENINGS PERFORMED BY COMMUNITY NURSES) OF THE INDIVIDUALS SCREENED, COMMUNITY HEALTH NURSES CONNECTED 179 INDIVIDUALS TO PRIMARY CARE. OF THE 6721 MEDICALLY SCREENED 57.39% WERE BLACK, HISPANIC, ASIAN, BOSNIAN, BURMESE, UKRAINIAN, DOMINICAN, KAREN, RUSSIAN, MOLDAVIAN, ARABIC, SOMALIAN, AND SUDANESE. 8945 INDIVIDUALS RECEIVED HEALTH INSURANCE ASSISTANCE. 817 HEART HEALTHY MEALS PROVIDED IN THE COMMUNITY. 581 INDIVIDUALS RECEIVED ASSISTANCE WITH LEGAL, VOCATIONAL, ELDER SERVICES, COUNSELING ETC. O ALZHEIMER'S ASSOCIATIONO FIDELIS |
| PART VI, LINE 6: | ST. ELIZABETH MEDICAL CENTER (SEMC) AND FAXTON ST. LUKE'S HEALTHCARE (FSLH) AFFILIATED UNDER THE MOHAWK VALLEY HEALTH SYSTEM (MVHS) ON MARCH 6, 2014. MVHS MAIN CAMPUSES: ST. ELIZABETH CAMPUS 2209 GENESEE STREET, UTICA, NY ST. LUKE'S CAMPUS 1656 CHAMPLIN AVENUE, NEW HARTFORD, NY FAXTON CAMPUS 1676 SUNSET AVENUE, UTICA, NY THE MVHS MEDICAL GROUP OFFERS 11 PRIMARY CARE OFFICES LOCATED THROUGHOUT ONEIDA AND HERKIMER COUNTIES, A CHILDREN'S HEALTH CENTER, WOMEN'S HEALTH CENTER AND MULTI-SPECIALTY PROVIDERS INCLUDING GENERAL, ORTHOPEDIC, VASCULAR AND CARDIAC AND THORACIC SURGERY, GASTROENTEROLOGY AND ADVANCED ENDOSCOPY, UROLOGY AND NEURO SCIENCES. THE SISTER ROSE VINCENT FAMILY MEDICINE CENTER PROVIDES PATIENT CARE SERVICES AND IS ALSO A TEACHING FACILITY FOR NEW PHYSICIANS.FAXTON ST. LUKE'S HEALTHCAREA NOT-FOR-PROFIT HEALTHCARE ORGANIZATION, FSLH INCLUDES ST. LUKE'S HOME, SENIOR NETWORK HEALTH, AND THE VISITING NURSE ASSOCIATION OF UTICA AND ONEIDA COUNTY. ST. LUKE'S CAMPUS: BARIATRIC SURGERY PROGRAM MATERNAL CHILD SERVICES MOHAWK VALLEY VASCULAR CENTER STROKE CENTER SURGICAL AND AMBULATORY SERVICES TOTAL JOINT ORTHOPEDIC PROGRAMFAXTON CAMPUS CANCER CENTER DIALYSIS CENTER OUTPATIENT REHABILITATION SERVICES WELLNESS CENTERCENTER FOR REHABILITATION AND CONTINUING CARE SERVICES ACUTE INPATIENT REHABILITATION UNIT ADULT DAY HEALTH CARE SERVICE OUTPATIENT DIALYSIS CENTER ST. LUKE'S HOME SENIOR NETWORK HEALTH VISITING NURSE ASSOCIATION OF UTICA AND ONEIDA COUNTYST. ELIZABETH MEDICAL CENTERA NOT-FOR-PROFIT HEALTHCARE ORGANIZATION, SEMC ALSO INCLUDES ST. ELIZABETH HOME CARE, WHICH SERVES PATIENTS IN THEIR HOMES AND ST. ELIZABETH HEALTH SUPPORT SERVICES OFFERING RESPIRATORY SERVICES AND DURABLE MEDICAL EQUIPMENT TO PATIENTS IN THEIR HOMES. SEMC HAS 202 ACUTE CARE BEDS.SEMC MAIN CAMPUS: CARDIAC SERVICES MOHAWK VALLEY SLEEP DISORDERS CENTER ORTHOPEDIC SERVICES ST. ELIZABETH COLLEGE OF NURSING ST. ELIZABETH FAMILY MEDICINE RESIDENCY PROGRAM SURGICAL AND AMBULATORY SERVICES TRAUMA CENTER FELLOWSHIP IN HOSPITAL MEDICINE FELLOWSHIP IN GYNECOLOGIC ENDOSCOPYMEDICAL ARTS CAMPUS: ADVANCED WOUND CARE CENTER OUTPATIENT LABORATORY DRAW SITE BOTH HOSPITALS ACCEPT ALL MAJOR INSURANCES AND HAVE DESIGNATED CHARITY CARE PROGRAMS TO HELP PROVIDE FOR INDIVIDUALS WITHOUT INSURANCE. OUR AFFILIATION ENHANCES SERVICES FOR THE RESIDENTS OF THE MOHAWK VALLEY THROUGH GREATER COLLABORATION AND IMPROVED CLINICAL QUALITY FOR PATIENT AND RESIDENT CARE. AS A LARGE SYSTEM, MVHS HAS MUCH TO OFFER WHEN RECRUITING NEW PHYSICIANS. SEMC IS A CATHOLIC HOSPITAL, SPONSORED BY THE SISTERS OF ST. FRANCIS OF THE NEUMANN COMMUNITIES. SPECIALTIES THE BARIATRIC SURGERY PROGRAM IS AN AMERICAN SOCIETY FOR METABOLIC & BARIATRIC SURGERY BARIATRIC SURGERY CENTER OF EXCELLENCE. AS AN ACCREDITED PROGRAM, MVHS DEMONSTRATES THAT OUR CENTER MEETS THE NEEDS OF BARIATRIC SURGERY PATIENTS BY PROVIDING MULTIDISCIPLINARY, HIGH-QUALITY, PATIENT-CENTERED CARE. THE CANCER CENTER PROVIDES CARE TO PATIENTS IN OUR COMMUNITY FROM THE TIME OF DIAGNOSIS THROUGH TREATMENT AND RECOVERY. SERVICES INCLUDE OUTPATIENT INFUSION, RADIATION ONCOLOGY, CLINICAL TRIALS, INPATIENT ONCOLOGY, INTEGRATIVE MEDICINE, A BREAST CARE CENTER, A NURSE NAVIGATOR PROGRAM, CANCER EDUCATION AND SUPPORT SERVICES. THE CENTRAL YORK DIABETES EDUCATION PROGRAM (CNY DIABETES) IS RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION. CNY DIABETES OFFERS THE NATIONAL DIABETES PREVENTION PROGRAM WHICH IS ENDORSED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION. THE DIALYSIS CENTER IS THE SOLE PROVIDER OF DIALYSIS TREATMENT WITHIN A 25 MILE SERVICE AREA. EACH YEAR, MORE THAN 400 PATIENTS RECEIVE MORE THAN 69,000 DIALYSIS TREATMENTS AT ONE OF SIX FACILITIES LOCATED THROUGHOUT THE MOHAWK VALLEY. DIALYSIS CENTERS ARE LOCATED IN UTICA, ROME, HAMILTON AND HERKIMER. FSLH IS THE ONLY DESIGNATED PRIMARY STROKE CENTER IN THE MOHAWK VALLEY AND ONE OF 115 DESIGNATED STROKE CENTERS IN NEW YORK STATE. THE ORGANIZATION IS A RECIPIENT OF THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES STROKE GOLD PLUS ACHIEVEMENT AWARD. THE AWARD RECOGNIZES FSLH'S COMMITMENT AND SUCCESS IN IMPLEMENTING EXCELLENT CARE FOR STROKE PATIENTS, ACCORDING TO EVIDENCE-BASED GUIDELINES.MVHS'S ACUTE INPATIENT REHABILITATION PROGRAM IS ACCREDITED BY THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES. THE REHABILITATION CENTER PROVIDES BOTH INPATIENT AND OUTPATIENT SERVICES WITH LOCATIONS AT THE FAXTON CAMPUS, ST. LUKE'S CAMPUS, ST. LUKE'S HOME, ST. ELIZABETH CAMPUS AND ST. ELIZABETH MEDICAL ARTS. ST. LUKE'S HOME IS A 202-BED LONG TERM CARE FACILITY WITH A 40-BED SUBACUTE REHABILITATION UNIT. ST. LUKE'S HOME OPENED IN 1996 ON THE ST. LUKE'S CAMPUS AND RECENTLY UNDERWENT A $31.3 MILLION RENOVATION AND EXPANSION. THE VISITING NURSE ASSOCIATION (VNA) OF UTICA AND ONEIDA COUNTY IS ACCREDITED BY THE COMMUNITY HEALTH ACCREDITATION PROGRAM, INC. THE VNA OF UTICA AND ONEIDA COUNTY CELEBRATED ITS 100TH ANNIVERSARY IN 2015 AND SERVES NEARLY 2,200 PATIENTS ANNUALLY. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | NY |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHRISTOPHER MAX MD | ||||||||||||||
| PHYSICIAN | $761,250 | $0 | $509,466 | $0 | $7,427 | $0 | $12,820 | $0 | $17,138 | $0 | $1,308,101 | $0 | $0 | $0 |
| DARLENE STROMSTAD | ||||||||||||||
| PRESIDENT/CEO | $750,000 | $0 | $150,000 | $0 | $281,504 | $0 | $12,201 | $0 | $11,323 | $0 | $1,205,028 | $0 | $0 | $0 |
| ANDREW PELLECCHIA MD | ||||||||||||||
| PHYSICIAN | $599,990 | $0 | $346,000 | $0 | $742 | $0 | $12,200 | $0 | $18,200 | $0 | $977,132 | $0 | $0 | $0 |
| NALINI NAMASSIVAYA MD | ||||||||||||||
| PHYSICIAN | $504,131 | $0 | $231,941 | $0 | $3,267 | $0 | $12,354 | $0 | $9,548 | $0 | $761,241 | $0 | $0 | $0 |
| MARIO CARRILLO DO | ||||||||||||||
| PHYSICIAN | $650,000 | $0 | $69,136 | $0 | $3,267 | $0 | $12,200 | $0 | $15,382 | $0 | $749,985 | $0 | $0 | $0 |
| SUSHMA KAUL MD | ||||||||||||||
| PHYSICIAN/MEDICAL STAFF VP | $415,013 | $0 | $265,012 | $0 | $7,129 | $0 | $12,200 | $0 | $17,349 | $0 | $716,703 | $0 | $0 | $0 |
| JONATHAN WIGDERSON MD | ||||||||||||||
| PHYSICIAN | $656,000 | $0 | $0 | $0 | $3,267 | $0 | $12,129 | $0 | $9,768 | $0 | $681,164 | $0 | $0 | $0 |
| KENT HALL MD | ||||||||||||||
| SVP/PHYSICIAN PRACTICE AND OPERATION | $491,727 | $0 | $95,481 | $0 | $46,654 | $0 | $12,212 | $0 | $18,978 | $0 | $665,052 | $0 | $0 | $0 |
| LOUIS AIELLO | ||||||||||||||
| SR VICE PRESIDENT/CFO | $0 | $478,671 | $0 | $99,062 | $0 | $19,136 | $0 | $20,178 | $0 | $10,934 | $0 | $627,981 | $0 | $0 |
| MANSOOR SHAHID | ||||||||||||||
| SR VICE PRESIDENT/COO | $406,688 | $0 | $50,000 | $0 | $9,909 | $0 | $11,804 | $0 | $17,350 | $0 | $495,751 | $0 | $0 | $0 |
| ERIC YOSS MD | ||||||||||||||
| FORMER CMO | $218,151 | $0 | $48,582 | $0 | $14,286 | $0 | $8,584 | $0 | $4,904 | $0 | $294,507 | $0 | $0 | $0 |
| LINDA MCCORMACK-MILLER | ||||||||||||||
| SR VICE PRESIDENT/CNO | $126,518 | $0 | $0 | $0 | $1,945 | $0 | $15 | $0 | $4,639 | $0 | $133,117 | $0 | $0 | $0 |
| WALEED ALBERT MD | ||||||||||||||
| FORMER FSLH MEDICAL STAFF | $0 | $0 | $0 | $0 | $50,504 | $0 | $0 | $0 | $0 | $0 | $50,504 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4A | FormAndLineReferenceDesc |
| Explanation | LINDA MCCORMACK-MILLER RECEIVED TOTAL COMPENSATION OF $133,117. SEE SCHEDULE J, PART II FOR DETAILS. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| ONEIDA COUNTY LOCAL DEVELOPMENT CORP | |||||||
| A | 273190422 | 2019-11-21 | $16,220,000 | REFINANCING OLD DEBT (2006 BONDS) | 0 | 0 | Yes (1) |
| ONEIDA COUNTY LOCAL DEVELOPMENT CORP | |||||||
| B | 273190422 | 2019-11-21 | $6,395,000 | EPIC EMR SYSTEM IMPLEMENTATION | 0 | 0 | Yes (1) |
| ONEIDA COUNTY LOCAL DEVELOPMENT CORP | |||||||
| C | 273190422 | 2019-11-21 | $2,020,000 | CAPITAL EQUIPMENT | 0 | 0 | Yes (1) |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capital ExpendituresCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $17,015,117 | $13,066,526 | $249,126 | $413,080 | $3,286,385 | 2019 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | |
| B | $7,762,993 | $98,229 | $162,876 | $14,701 | 2019 | 0 | 0 | Yes (1) | Yes (1) | $7,516,589 | |
| C | $2,598,879 | $37,330 | $61,898 | $349 | 2020 | 0 | 0 | 0 | Yes (1) | $2,500,000 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | Yes (1) | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | Yes (1) | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | Yes (1) | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, LINE B, AMENDED RETURN EXPLANATION | THE 2022 FORM 990 IS BEING AMENDED TO CORRECT AN ERROR IN THE OFFICER COMPENSATION REPORTED IN PART VII AND SCHEDULE J. THE COMPENSATION FOR THE PRESIDENT IS BEING RESTATED TO ADJUST BOTH THE BASE COMPENATION (SCHEDULE J, PART II, COLUMN B(I)) AND OTHER COMPENSATION (SCHEDULE J, PART II, COLUMN B(III)) TO ACTUAL. THE PRESIDENT'S AMENDED TOTAL COMPENSATION REPORTED IN PART VII, SECTION A, COLUMN D NOW AGREES TO THE 2022 FORM W-2, BOX 5 WAGES. AS A RESULT OF THE UPDATES TO PART VII/SCHEDULE J, COLUMN D OF PART IX, LINES 5 AND 7 HAVE BEEN AMENDED TO REFLECT THE CHANGE IN TOTAL OFFICERS' COMPENSATION. ADDITIONALLY, PART V, LINE 15 IS BEING AMENDED TO CHANGE THE RESPONSE TO 'YES', AS THE FORM 4720 IS REQUIRED. |
| FORM 990, PART VI, SECTION A, LINE 6 | MOHAWK VALLEY HEALTH SYSTEM, INC IS THE SOLE MEMBER OF THE CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | MOHAWK VALLEY HEALTH SYSTEM, INC APPOINTS THE DIRECTORS AND GOVERNING BODY OF THE ORGANIZATION. THE BOARD OF DIRECTORS ARE LISTED IN SECTION VII. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 AND FORM 990T ARE REVIEWED AT A MEETING WITH THE EXECUTIVE COMMITTEE AND THE BOARD OF DIRECTORS, PRIOR TO SUBMITTING THE REPORT. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST POLICY: THE PURPOSE OF THE POLICIES AND DIRECTIVES SET OUT IN THIS POLICY STATEMENT IS TO ASSURE THAT THE BUSINESS CONDUCTED BY THE ORGANIZATION IS CONDUCTED FREE FROM THE POSSIBLE INFLUENCE OF CONFLICTS OF INTEREST OF INTERESTED PERSONS. THIS POLICY EXISTS TO PROTECT THE ORGANIZATIONS INTEREST WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN INTERESTED PERSON IN THE ORGANIZATION. INTERESTED PERSONS MAY NOT ENTER INTO ANY EMPLOYMENT TRANSACTION OR OTHER ARRANGEMENT THAT MAY CAUSE OR BE PERCEIVED TO CAUSE A CONFLICT OF INTEREST. INTERESTED PERSONS MUST REVIEW THIS POLICY ANNUALLY AND COMPLETE THE ACKNOWLEDGEMENT AND DISCLOSURE FORM ANNUALLY. THE COMPLIANCE OFFICER AND/OR THE COMPLIANCE COMMITTEE WILL REVIEW ALL ANNUAL ACKNOWLEDGEMENT AND DISCLOSURE FORMS AND ANY CONFLICTS OR POTENTIAL CONFLICTS IDENTIFIED. WHEN A POTENTIAL CONFLICT IS IDENTIFIED, THE COMPLIANCE OFFICER WILL ENSURE APPROPRIATE ACTIONS ARE TAKEN TO RESOLVE THE CONFLICT. THIS POLICY IS INTENDED TO SUPPLEMENT BUT NOT REPLACE ANY APPLICABLE FEDERAL AND STATE LAWS GOVERNING CONFLICTS OF INTEREST APPLICABLE TO NONPROFIT AND CHARITABLE CORPORATIONS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS HAS ESTABLISHED AN EXECUTIVE COMPENSATION COMMITTEE, WHICH IS RESPONSIBLE FOR REVIEWING THE ADEQUACY AND REASONABLENESS OF THE COMPENSATION PAID TO THE PRESIDENT/CEO AND OTHER EMPLOYEES OF THE EXECUTIVE LEADERSHIP TEAM. THE EXECUTIVE LEADERSHIP TEAM CONSISTS OF THE FOLLOWING POSITIONS: - PRESIDENT/CEO - SVP/ CFO - SVP/CNO - SVP/ CIO - SVP/ CHRO - SVP/MARKETING & STRATEGY - SVP/CHIEF LEGAL COUNSEL - SVP/ PHYSICIAN PRACTICES & OPERATIONS - SVP/ CHIEF QUALITY & PATIENT SAFETY OFFICER ON AN ANNUAL BASIS, THE COMMITTEE IS RESPONSIBLE FOR (1) REVIEWING AND RECOMMENDING TO THE BOARD CHAIR THE CEO'S COMPENSATION, INCLUDING SALARY, INCENTIVES, BENEFITS AND OTHER PREREQUISITES, FOR FINAL APPROVAL BY THE BOARD (2) REVIEWING THE COMPENSATION OF ALL OTHER EMPLOYEES OF THE EXECUTIVE LEADERSHIP TEAM, AS RECOMMENDED BY THE CEO. THE ADEQUACY AND REASONABLENESS OF ALL EXECUTIVE COMPENSATION IS ASSESSED THROUGH INDEPENDENT COMPENSATION CONSULTANTS, WHICH CONDUCT MARKET REVIEWS USING BENCHMARKING DATA FOR COMPARABLE POSITIONS IN SIMILARLY SITUATED HOSPITALS. THIS ASSESSMENT IS PROVIDED AND REVIEWED BY THE EXECUTIVE COMPENSATION COMMITTEE ON AN ANNUAL BASIS. THE INDEPENDENCE OF THE COMMITTEE MEMBERS IS REVIEWED AND VERIFIED PRIOR TO THE START OF THE ANNUAL COMPENSATION REVIEW PROCESS. SHOULD A CONFLICT PRESENT, THOSE INDIVIDUALS WITH ACTUAL OR PERCEIVED CONFLICTS ABSTAIN FROM VOTING UNTIL SUCH TIME AS THE CONFLICT CAN BE RESOLVED OR A REPLACEMENT MEMBER INS APPOINTED TO THE COMMITTEE. THE COMMITTEE'S DELIBERATIONS AND DISCUSSIONS ARE GUIDED BY A WRITTEN COMPENSATION PHILOSOPHY AND DOCUMENTED THROUGH WRITTEN MINUTES TAKEN DURING EACH MEETING. THE MINUTES INCLUDE, AMONG OTHER THINGS, THE WRITTEN MATERIALS DISTRIBUTED OR PRESENTED DURING THE MEETING AND THE SPECIFIC DECISIONS TAKEN AT THE MEETING. |
| FORM 990, PART VI, SECTION C, LINE 19 | POLICY: IT IS THE POLICY OF THIS HOSPITAL TO MAKE AVAILABLE TO ANYONE WHO ASKS, A COPY OF ITS ANNUAL REPORT TO THE INTERNAL REVENUE SERVICE (IRS) ON FORM 990, AND ITS EXEMPT STATUS FORM. IN ACCORDANCE WITH THE LAW, FORM 990 FOR A GIVEN YEAR, WILL BE MADE AVAILABLE FOR PUBLIC INSPECTION FOR A THREE-YEAR PERIOD.PURPOSE: THE PURPOSE OF THIS POLICY IS TO COMPLY WITH IRS LAW, WHICH APPLIES FOR TAX YEARS BEGINNING AFTER JUNE 8, 1999 SPECIAL INSTRUCTIONS: A. A COPY OF THE ABOVE NAMED DOCUMENTS, WILL BE MADE AVAILABLE FOR INSPECTION BY A REQUESTER, IN A DESIGNATED ROOM, IN THE FINANCE DEPARTMENT OF THE HOSPITAL. B. THE DOCUMENTS WILL BE MADE AVAILABLE, IMMEDIATELY, TO ANYONE WHO APPEARS IN PERSON DURING USUAL BUSINESS HOURS. FOR WRITTEN REQUESTS FOR COPIES OF DOCUMENTS, RESPONSE WILL BE PROVIDED WITHIN THIRTY (30) DAYS OF RECEIPT OF PAYMENT OF REASONABLE COPYING FEES*. C. EITHER THE HOSPITAL SENIOR VICE PRESIDENT/CFO, THE CONTROLLER, OR THEIR DESIGNATED REPRESENTATIVE WILL BE PRESENT DURING AN INSPECTION BY A REQUESTER. D. ONLY THE HOSPITAL SENIOR VICE PRESIDENT/CFO, THE CONTROLLER, OR THEIR DESIGNATED REPRESENTATIVE WILL BE PERMITTED TO ANSWER QUESTIONS THAT A REQUESTER MAY HAVE. *SHOULD A REQUESTER ASK THE HOSPITAL FOR A PHOTOCOPY OF ANY OR ALL PARTS OF DOCUMENTS, THE HOSPITAL WILL CHARGE $1.00 FOR THE FIRST PAGE, PLUS $.15 FOR EACH ADDITIONAL PAGE. |
| FORM 990, PART IX, LINE 11G | OTHER FEES: PROGRAM SERVICE EXPENSES 53,221,353. MANAGEMENT AND GENERAL EXPENSES 8,327,569. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 61,548,922. |
| FORM 990, PART XI, LINE 9: | CHANGE IN INVESTMENTS IN FOUNDATION -1,814,810. CONTRIBUTIONS FOR CAPITAL ACQUISITIONS 1,583,496. TRANSFER FROM AFFILIATES 96,772. |
| PART XII LINE 2C | NO CHANGE FROM PRIOR YEAR |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MOHAWK VALLEY HEALTH SYSTEM INC | |||||||||||
| PO BOX 4308 | UTICA | NY | 13504 | 223124162 | PROMOTE HEALTH CARE | NY | 501(C)(3) | LINE 3 | N/A | 0 | |
| ST LUKE'S HOME RESIDENTIAL HEALTHCARE FACILITY | |||||||||||
| PO BOX 6305 | UTICA | NY | 13504 | 161476372 | 202 BED RHCF | NY | 501(C)(3) | LINE 10 | 0 | FAXTON ST LUKE'S HEALTHCARE INC | |
| VISITING NURSE'S ASSOCIATION OF UTICA & ONEIDA COUNTIES | |||||||||||
| 2608 GENESEE STREE | UTICA | NY | 13502 | 150532259 | HOME HEALTH NURSING | NY | 501(C)(3) | LINE 10 | 0 | MOHAWK VALLEY NETWORK INC | |
| ST ELIZABETH'S MEDICAL CENTER INC | |||||||||||
| 2209 GENESEE STREET | UTICA | NY | 13501 | 150532245 | HEALTH CARE | NY | 501(C)(3) | LINE 3 | 0 | PARTNERS IN FRANCISCAN MINISTRIES INC | |
| ST ELIZABETH MEDICAL CENTER FOUNDATION | |||||||||||
| 2209 GENESEE STREET | UTICA | NY | 13501 | 222562170 | FUNDRAISING | NY | 501(C)(3) | LINE 12B, II | Yes (1) | ST ELIZABETH MEDICAL CENTER | |
| MOHAWK VALLEY HEALTH SYSTEM FOUNDATION | |||||||||||
| PO BOX 4309 | UTICA | NY | 13503 | 223078768 | FUND RAISING | NY | 501(C)(3) | LINE 12B, II | 0 | MOHAWK VALLEY NETWORK INC | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |