2024-11-12T20:30:35-06:00 2023-12-31 161226221 FUSTCHARLES LLP 220 S WARREN STREET SYRACUSE NY 13202 990 2023-01-01 161492011 ONEIDA HEALTH SYSTEMS ONEI 3153636000 321 GENESEE STREET ONEIDA NY 13421 JEREMIAH SWEET CFO 3153636000 2024-11-15 1 1 THOMAS J GIUFRE P00841958 3154463600 2024-11-12 2023 2024-10-15 13:58:12Z ONEIDA HEALTH JEREMIAH SWEET 321 GENESEE STREET ONEIDA NY 13421 138304144 0 X WWW.ONEIDAHEALTH.ORG X 1995 NY ONEIDA HEALTH IS A 101-BED ACUTE CARE HOSPITAL AND A 160-BED SKILLED NURSING FACILITY (ECF) LICENSED BY THE STATE OF NEW YORK AND OPERATED BY ONEIDA HEALTH SYSTEMS, INC., A NEW YORK NOT-FOR-PROFIT CORPORATION. THE HOSPITAL IS JOINT COMMISSION ACCREDITED. AS A HEALTHCARE ORGANIZATION, ONEIDA HEALTH IS GUIDED BY A MISSION OF EXCELLENCE:IN 2023, ONEIDA HEALTH SYSTEMS SERVED 2,608 INPATIENTS AND 207,178 OUTPATIENTS. THE RESIDENTIAL CARE FACILITY PROVIDED CARE TO 108 RESIDENTS ON A DAILY BASIS.THE MISSION OF THE ONEIDA HEALTH IS TO PLAN, PROVIDE AND COORDINATE THE HIGHEST QUALITY PROGRESSIVE AND COMPREHENSIVE HEALTH CARE SERVICES FOR THE GREATER ONEIDA AREA AND SURROUNDING COMMUNITIES. 9 4 1337 38 0 0 2422042 1415720 117704385 126292871 495321 723123 1229115 4450285 121850863 132881999 0 0 0 0 55526675 61612077 0 0 70442 64076467 60699040 119603142 122311117 2247721 10570882 195973125 211640962 54135910 55032722 141837215 156608240 X THE MISSION OF ONEIDA HEALTH SYSTEMS IS TO PLAN, PROMOTE, PROVIDE AND COORDINATE THE HIGHEST QUALITY PROGRESSIVE AND COMPREHENSIVE HEALTH CARE SERVICES FOR THE GREATER ONEIDA AREA AND SURROUNDING COMMUNITIES. 0 0 116272727 130703813 ONEIDA HEALTH IS A NON PROFIT HEALTHCARE PROVIDER FOCUSING ON INPATIENT AND OUTPATIENT SERVICES FOR THE LOCAL COMMUNITY. THE HOSPITAL OFFERS THORACIC AND GENERAL SURGERY PROCEDURES, OB/GYN SERVICES, ENT SERVICES, ORTHOPEDIC SERVICES, ENDOSCOPY, UROLOGY, CARDIAC CLINIC SERVICES AND TESTING, 24/7 EMERGENCY DEPARTMENT, ICU, IMAGING SERVICES INCLUING MRI, PET SCAN AND CT SCAN, OUTPATIENT PHYSICAL THERAPY, A BIRTHING CENTER, SLEEP CENTER AND PULMONARY FUNCTION TESTING, MULTIPLE LAB DRAW STATIONS, A CANCER CENTER AND A SKILLED NURSING FACILITY WITH REHAB AND VENTILATOR UNITS. THE HOSPITAL ALSO OPERATES MULTIPLE PHYSICIAN OFFICES THROUGHOUT THE NEIGHBORING COMMUNITIES THAT PROVIDE FAMILY AND INTERNAL MEDICINE SERVICES TO OUR LOCAL RESIDENTS. KEY STATISTICS FOR 2023 ARE AS FOLLOWS: ADMISSIONS: 2,608 , PATIENT DAYS: 9,507, ER VISITS 23,776, SURGERIES: 3,828, VISITS TO PHYSICIAN PRACTICES: 18,922. 116272727 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 79 0 1 1337 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 NY X JEREMIAH SWEET CFO 3153636000 321 GENESEE STREET ONEIDA NY 13421 JONATHAN SCHILLER CEO/BOARD MEMBER - RESIGNED 5/31/23 40.00 0.90 X X 238554 0 26677 FELISSA KOERNIG CEO/BOARD MEMBER - JOINED 9/18/23 40.00 0.90 X X 124415 0 7124 DANIEL RATNARAJAH MD BOARD MEMBER 2.00 X 58367 0 0 MICHAEL R KALLET CHAIRMAN BOARD MEMBER 2.00 X X 0 0 0 STEVEN J POTTER - VICE CHAIR BOARD MEMBER 2.00 0.30 X 0 0 0 NADINE BELL ESQ - SECRETARY BOARD MEMBER 2.00 0.30 X X 0 0 0 PETER HEDGLON ESQ BOARD MEMBER 2.00 0.30 X 0 0 0 JANICE EASTMAN-BACH MD BOARD MEMBER 2.00 X 0 0 0 CHRIS DUGAN BOARD MEMBER 2.00 X 0 0 0 MARGARET WELLS BOARD MEMBER 2.00 X 0 0 0 JEREMIAH SWEET CFO, INTERIM CEO 6/1/23-9/17/23 40.00 0.90 X 325231 0 45747 MARY PARRY COO 40.00 X 205428 0 36065 HARRY CAPONE MD MED DIRECTOR MPN, PRES OMP/OMS 40.00 4.00 X 443227 0 47252 THOMAS CHMELICEK MD CMO/VP MEDICAL AFFAIRS - ENDED 9/1/23 40.00 X 342115 0 49197 RHONDA READER DNS RN NEA-BC CNO, VP CLINICAL SERVICES 40.00 X 206971 0 38084 ANNE ENGLISH VP HUMAN RESOURCES 40.00 X 162239 0 30134 MOHAMMED A KAHLID MD PHYSICIAN 40.00 X 1076675 0 41769 UZMA ABBASI MD PHYSICIAN 40.00 X 833299 0 30892 LAWRENCE KRIEGER MD PHYSICIAN 40.00 X 627845 0 51654 BISWARUP SYAM MD PHYSICIAN 40.00 X 598995 0 38780 JOSEPH SPINALE MD PHYSICIAN 40.00 X 501178 0 24900 5744539 0 468275 128 0 1 0 NURUDIN CEMER 204 BETSINGER RD UNIT 31 SHERRILL NY 13461 PHYSICIAN SERVICES 548077 FRANK W COMPOLO 3401 JAMES STREET TH10 SYRACUSE NY 13206 PHYSICIAN SERVICES 510000 JOHN A TYGART TYGART PHYSICIAN ANESTHE 2210 BRATTLE RD SYRACUSE NY 13203 PHYSICIAN SERVICES 500000 MBMM ASSOCIATES PHYSICIAN PC 483 FOXWOOD TERRACE ONEIDA NY 13421 PHYSICIAN SERVICES 500000 SAIRAM ANESTHESIA PC 340 ROSEWOOD CIRCLE CANASTOTA NY 13032 PHYSICIAN SERVICES 500000 19 139689 1242113 33918 1415720 OUTPATIENT 623000 72450017 72450017 INPATIENT ACUTE CARE 623000 23743889 23743889 EMERGENCY ROOM 623000 16338205 16338205 EXTENDED CARE FACILITY 623000 12703031 12703031 OTHER NET PATIENT SERVICE REVENUE 623000 1057729 1057729 126292871 425997 425997 48508 9165 39343 39343 39343 5701046 9060 5401708 11272 299338 -2212 297126 297126 SALE OF ECF - ACF NON OPER IMCON 900099 2884157 2884157 OTHER OPERATING REVENUE 900099 767404 767404 340 B NET REVENUE 900099 563277 563277 196104 196104 4410942 132881999 130703813 0 762466 X 2386824 1570978 796008 19838 47567709 45478507 2054006 35196 1773021 1671866 95822 5333 5899245 5562680 332616 3949 3985278 3757910 221242 6126 203936 101968 101968 85712 42856 42856 25344 25344 124724 124724 12656177 11902516 753661 169454 131743 37711 550717 482701 68016 1712660 1284495 428165 1632803 1530331 102472 14196 12563 1633 16924 13814 3110 566059 566059 5112504 5112504 1006725 869188 137537 MEDICAL SUPPLIES INCLUD 24815766 24809522 6244 BAD DEBT 5538896 5538896 EQUIPMENT AND REPAIRS 4201139 4052139 149000 NYS ASSESSMENT 1057729 1057729 1207575 721762 485813 122311117 116272727 5967948 70442 706853 1514625 13882613 15493090 3075740 2790238 3077549 4155133 119706454 90058041 32458601 29648413 35377431 39245126 107394338 118794337 195973125 211640962 23890739 26853836 13483020 12032678 6362749 5645552 10399402 10500656 54135910 55032722 X 141457001 156100512 380214 507728 141837215 156608240 195973125 211640962 X 10570882 3291653 908490 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 25344 25344 0 PART II-B, LINE 1: HANYS ALLOCATES 11.19% OF TOTAL DUES TOWARDS GENERAL LOBBYING ACTIVITIES. TOTAL HANYS DUES PAID WERE $48,242. IROQUOIS HEALTH ALLIANCE ALLOCATES 54.00% OF TOTAL DUES TOWARDS GENERAL LOBBYING ACTIVITIES. TOTAL IROQUOIS HEALTH ALLIANCE DUES PAID WERE $17,492. TOTAL PEARL MEYER & PARTNERS (FORMERLY YAFFE) FEES PAID WERE $26,725, HOWEVER NO FUNDS WERE ALLOCATED TOWARDS LOBBYING ACTIVITIES IN 2023. MERCHANT MCINTYRE ALLOCATED 25.00% OF TOTAL FEES TOWARD GENERAL LOBBYING ACTIVITIES. TOTAL MERCHANT MCINTYE FEES WERE $10,500 IN 2023. $4,500.00 OF THAT WAS RELATED TO 2022, THAT HIT IN 2023. 380215 305619 178104 507730 393733 761535 -13518 761535 380215 558802 590158 -77259 677968 393733 608350 518565 291636 859749 558802 425139 4296159 -101826 4011122 608350 0.55190 0.13050 0.31760 0 1 1 735494 735494 70122763 48112566 22010197 2576649 2138046 438603 45909322 39807429 6101893 362226 362226 29648413 PREPAID PHYSICIANS NET OF PHYS GUARANTEE 243123 AR ONEIDA HEALTHCARE CORP 25293 NET ASSETS OF FOUNDATION 2295297 A/R NON-PATIENT MLMIC 3667000 DUE FROM AFFILIATES 104993559 INTEREST RATE SWAP 18719 A/R NON-PATIENT OHRPO 2071106 SECURITY DEPOSIT 25000 GRANTS REC ACF 125203 OTHER ASSETS - INVEST IN VASCULAR 3448 OTHER ASSETS - ROU ASSET - OPERATING LEASE 2761826 OTHER ASSETS - ROU ASSET - FINANCE LEASE 2564763 118794337 THIRD PARTY PAYOR SETTLEMENTS -187300 PENSION PLAN LIABILITY -2946010 BLUE CROSS ADVANCE 3500000 CHARITABLE GIFT ANNUITY 51363 OTHER LT LIAB INS, LT OTHER 4567000 ST LEASE LIAB - FINANCE LEASE 674499 ST LEASE LIAB - OPERATING LEASE 636359 LT LEASE LIAB - OPERATING LEASE 2125467 LT LEASE LIAB - FINANCE LEASE 891788 OTHER LT LIAB - ASSET RETIRE OB (ASBESTOS) 428292 OHC C/L CITIZENS LINE OF CREDIT 759198 10500656 X PART V, LINE 4: THE ENDOWMENT FUNDS ARE TO BE USED FOR THE MAINTENANCE OF A FREE BED IN THE NAME OF A LOVED ONE PREDESIGNATED BY THE DONOR. THE PURPOSE OF THE BED IS TO ASSIST PATIENTS WHOSE NEEDS MEET SPECIFICATIONS LISTED IN THE DONATION LETTER. ONEIDA HEALTHCARE FOUNDATION HOLDS $ 280,207 IN RESTRICTED FUNDS. ENDOWMENT FUNDS ARE FOR CONSTRUCTION IMPROVEMENTS AND EQUIPMENT FOR THE FACILITY. PART X, LINE 2: THE SYSTEM IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE SYSTEM RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN FIFTY PERCENT LIKELY OF BEING REALIZED UPON SETTLEMENT. CHANGES IN RECOGNITION IN MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. THE SYSTEM DID NOT RECOGNIZE THE EFFECT OF ANY UNCERTAIN INCOME TAX POSITIONS IN EITHER 2023 OR 2022. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2020 THROUGH 2023. 1 1 X 1 X 1 X 1 1 1 0 0 422729 17983 404746 0.00350 26781498 15745197 11036301 0.09450 27204227 15763180 11441047 0.09800 12294 12294 0.00010 631666 631666 0.00540 2500 2500 0.00000 646460 646460 0.00550 27850687 15763180 12087507 0.10350 21354 21354 0.00020 46918 46918 0.00040 82860 82860 0.00070 8218 8218 0.00010 159350 159350 0.00140 1771932 752765 16705808 21215777 -4509969 X 1 1 1 1 ONEIDA HEALTH SYSTEMS INC 321 GENESEE STREET ONEIDA NY 13421 X X X ONEIDA HEALTH SYSTEMS INC 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X 1 22 1 WWW.ONEIDAHEALTH.ORG 0 1 X 100.000000000000 300.000000000000 X 1 1 X X X X 1 X HTTP://WWW.ONEIDAHEALTH.ORG/FINANCIAL-ASSISTANCE X HTTP://WWW.ONEIDAHEALTH.ORG/FINANCIAL-ASSISTANCE X HTTP://WWW.ONEIDAHEALTH.ORG X X X X X X 1 X 0 X X X 1 X 0 0 ONEIDA HEALTH SYSTEMS INC. PART V, SECTION B, LINE 5: A COMMUNITY HEALTH IMPROVEMENT PLAN STEERING COMMITTEE, COMPRISED OF THE MADISON COUNTY HEALTH DEPARTMENT, THE MADISON COUNTY RURAL HEALTH COUNCIL, ONEIDA HEALTH AND COMMUNITY MEMORIAL HOSPITAL, MET SEVERAL TIMES DURING THE 2022 CALENDAR YEAR TO DEVELOP THE 2022-2024 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THIS EFFORT WAS PART OF THE PREVENTION AGENDA 2019-2024, A STATEWIDE EFFORT TO IMPROVE AND REDUCE HEALTH DISPARITIES.DUE TO THE COVID-19 PANDEMIC, STAFFING AND RESOURCES WERE LIMITED FOR THE STEERING COMMITTEE MEMBERS. DUE TO THESE CHALLENGES, THE COMMITTEE COMPLETED AN ABBREVIATED CHA (COMMUNITY HEALTH ASSESSMENT). DURING THIS PROCESS, THEY ALSO REFERENCED THE 2019 CHA AS WELL. THE COMMITTEE REVIEWED CURRENT AND PAST DATA AND RELATED HEALTH INFORMATION AND RECOGNIZED THE NEED TO SHIFT TO TWO NEW FOCUS AREAS - SPECIFICALLY IN THE AREAS OF PREVENTING CHRONIC DISEASES AND PROMOTING WELL BEING AND PREVENTING MENTAL AND SUBSTANCE USE DISORDERS. THE STEERING COMMITTEE REVIEWED DATA AND HEALTH TRENDS, ALONG WITH VARIOUS DOCUMENTS AND REPORTS INCLUDING: THE 2018 AMERICAN COMMUNITY SURVEY, US CENSUS BUREAU (2020) DATA, UNITED WAY 2018 ALICE REPORT ON NEW YORK STATE, MADISON COUNTY PLANNING DEPARTMENT, ROCKEFELLER INSTITUTE OF GOVERNMENT, NYS PREVENTION AGENDA DASHBOARD, 2018 TAP SURVEY REPORT, THE NYSDOH ENVIRONMENTAL PUBLIC HEALTH TRACKER, CDC PLACES, NYSDOH HEALTH CONNECTOR, SUICIDE AND SELF HARM DASHBOARD, NYS COMMUNITY HEALTH INDICATOR REPORTS (CHIRS), NYSDOH MATERNAL AND CHILD HEALTH DASHBOARD, CDC NATIONAL CENTER FOR HEALTH STATISTICS, INTERNAL MADISON COUNTY BIRTH RECORDS DATA, NEW YORK STATE COMMUNICABLE DISEASE REPORTING, NEW YORK STATE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), JOHN ZOGBY STRATEGIES AND OTHER SOURCES TO DETERMINE THE PRIORITIES. DATA WAS COLLECTED AND PRESENTED TO THE STEERING COMMITTEE BY A MULTIDISCIPLINARY TEAM THAT UTILIZED THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) PROCESS.THE COMMITTEE IDENTIFIED AND ENGAGED NUMEROUS STAKEHOLDERS, TO OBTAIN FEEDBACK, AND ASSIST IN ADDING TO AND/OR UPDATING THE DATA AND EVIDENCE-BASED RECOMMENDATIONS. THE STAKEHOLDERS REPRESENTED SCHOOLS, COMMUNITY BASED ORGANIZATIONS, HEALTHCARE PROVIDERS, MENTAL HEALTHCARE PROVIDERS, EMERGENCY MEDICAL SERVICES, LAW ENFORCEMENT, THE COUNTY HEALTH DEPARTMENT, EMPLOYERS AND RESIDENTS. GROUPS OF PARTNERS WERE CONVENED BASED ON THEIR EXISTING PROGRAMS, AREAS OF EXPERTISE, GENERAL INTEREST AND CURRENT AFFILIATIONS TO PARTICIPATE IN THE MAPP PROCESS. THERE WERE FOUR MAPP ASSESSMENTS COMPLETED COMMUNITY HEALTH STATUS, COMMUNITY THEMES AND STRENGTHS, LOCAL PUBLIC HEALTH SYSTEM AND FORCES OF CHANGE. ONCE THESE WERE COMPLETED, ADDITIONAL, MORE PRIORITY SPECIFIC GROUPS EVOLVED TO DESIGN AND IMPLEMENT THE CHIP AND FUNCTION IN AN ADVISORY CAPACITY.THE CHIP STEERING COMMITTEE WAS COMPRISED OF THE FOLLOWING MEMBERS: KEVIN PROSSER, DIRECTOR OF MARKETING & PUBLIC RELATIONS, ONEIDA HEALTH; ERIC FAISST, PUBLIC HEALTH DIRECTOR, MADISON COUNTY; CHRISTINE PAUL, EXECUTIVE DIRECTOR, MADISON COUNTY RURAL HEALTH COUNCIL AND HEATHER BERNARD, VP OF NURSING AND CLINICAL SERVICES, COMMUNITY MEMORIAL HOSPITAL.STAKEHOLDERS WHO WERE ENGAGED: BASSETT HEALTHCARE NETWORK, BEREAN CALVARY CHAPEL, BRIDGES, CANASTOTA PUBLIC LIBRARY, CANCER SERVICES PROGRAM OF THE CENTRAL REGION, CARE NET OF CNY, CAZENOVIA COLLEGE HEALTH AND COUNSELING CENTER, CAZENOVIA FHC OF CMH, CORNELL COOPERATIVE EXTENSION, CHENANGO NURSERY SCHOOL, CITY OF ONEIDA, CITY OF ONEIDA POLICE DEPARTMENT, CNY COMMUNITY FOUNDATION, COLGATE UNIVERSITY, COMMUNITY ACTION, COMMUNITY MEMORIAL HOSPITAL. CROSSROADS COMMUNITY CHURCH, GREAT SWAMP CONSERVANCY, HAMILTON PUBLIC LIBRARY, HCR HOME CARE, HEALTHECONNECTIONS, HELIO HEALTH, HOSPICE AND PALLIATIVE CARE SERVICES, INDEPENDENT LIVING, LIBERTY RESOURCES, MAD CO OFA, MADISON COUNTY ADMINISTRATION, MADISON COUNTY DEPARTMENT OF SOCIAL SERVICES, MADISON COUNTY HEALTH DEPARTMENT, MADISON COUNTY OFFICE OF EMERGENCY MANAGEMENT, MADISON COUNTY PLANNING, MADISON COUNTY RURAL HEALTH COUNCIL, INC., MADISON COUNTY SHERIFF, MADISON COUNTY YOUTH BUREAU, MADISON ONEIDA BOCES, MARY ROSE CLINIC, MOHAWK VALLEY HEALTH SYSTEM, MORRISVILLE LIONS CLUB, MVCAA, INC., NEW WOODSTOCK LIBRARY, ONEIDA CITY SCHOOL DISTRICT, ONEIDA FAMILY YMCA, ONEIDA HEALTH, ONEIDA PUBLIC LIBRARY, SENIORS HELPING SENIORS(R), ST. JOSEPH'S HEALTH, STOCKBRIDGE VALLEY CSD, SUNY MORRISVILLE, THE ARC OF MADISON CORTLAND, THE CHILDREN'S CENTER AT MORRISVILLE STATE COLLEGE, INC., UNITED WAY OF THE VALLEY AND GREATER UTICA AREA, UNIVERSITY POLICE AT SUNY MORRISVILLE, WILLARD PRIOR ELEMENTARY SCHOOL. ONEIDA HEALTH SYSTEMS INC. PART V, SECTION B, LINE 6A: COMMUNITY MEMORIAL HOSPITAL 150 BROAD ST, HAMILTON, NY 13346 ONEIDA HEALTH SYSTEMS INC. PART V, SECTION B, LINE 6B: MADISON COUNTY DEPARTMENT OF HEALTH 138 N. COURT ST, WAMPSVILLE, NY 13163MADISON COUNTY RURAL HEALTH COUNCIL 2662 US-20, CAZENOVIA, NY 13035 ONEIDA HEALTH SYSTEMS INC. PART V, SECTION B, LINE 11: THERE ARE A FEW WAYS THAT OH ADDRESSES THE SIGNIFICANT FOCUS AREAS IDENTIFIED BY THE COMMUNITY HEALTH IMPROVEMENT PROJECT. THE FIRST FOCUS AREA CHOSEN BY THE COMMUNITY HEALTH STEERING COMMITTEE PREVENT CHRONIC DISEASES - HAS FOUR GOALS TO BE ADDRESSED: TO INCREASE ACCESS FOR PEOPLE OF ALL AGES AND ABILITIES, TO INDOOR AND OUTDOOR PLACES FOR PHYSICAL ACTIVITY; TO REDUCE OBESITY AND THE RISK OF CHRONIC DISEASES; TO IMPROVE SELF-MANAGEMENT SKILLS FOR INDIVIDUALS WITH CHRONIC DISEASES IN A COMMUNITY SETTING; AND TO INCREASE CANCER SCREENING RATES. TWO STRATEGIES USED TO ADDRESS THE FIRST GOAL OF INCREASING ACCESS FOR PEOPLE OF ALL AGES AND ABILITIES, TO INDOOR AND OUTDOOR PLACES FOR PHYSICAL ACTIVITY ARE BEING IMPLEMENTED BY THE MADISON COUNTY RURAL HEALTH COUNCIL. THE FIRST IS EXPANDING THE MONDAY MILE PROGRAM WHICH IS ENCOURAGING RESIDENTS TO GET OUT AND WALK A MILE, HAVING ESTABLISHED 14 OUTDOOR AND 3 INDOOR ROUTES AND THE SECOND IS ALSO EXPANDING THE WALK WITH A DOC SERIES WHICH PROVIDES PHYSICAL ACTIVITY, OUTDOOR TIME, SOCIAL CONNECTION, AND HEALTH EDUCATION ON VARIOUS TOPICS LIKE CHRONIC DISEASE AND MENTAL HEALTH. OH, PARTNERING WITH THE COUNCIL, ENCOURAGES THESE ACTIVITIES AND ALSO HELPED SUPPORT THE EAT WELL, PLAY HARD FAMILY FUN DAY IN ONEIDA. OH ALSO WORKED WITH THE ONEIDA YMCA TO DEVELOP AND CONTINUE TO SUPPORT THE FIT KIDS OF MADISON COUNTY PROGRAM.ONE STRATEGY BEING UTILIZED TO ADDRESS THE SECOND GOAL OF REDUCING OBESITY AND THE RISK OF CHRONIC DISEASES IS A COUNTY-WIDE PROGRAM THAT WILL BE DEVELOPED TO ADDRESS HEALTHY EATING, PHYSICAL ACTIVITY AND TOBACCO USE. MADISON COUNTY DEPARTMENT OF HEALTH IS MODELING THIS ON AN EXISTING PROGRAM DEVELOPED BY THE OXFORD HEALTH ALLIANCE.FOR THE NEXT GOAL OF IMPROVING SELF-MANAGEMENT SKILLS FOR INDIVIDUALS WITH CHRONIC DISEASES, THE MADISON COUNTY DEPARTMENT OF HEALTH HAS IMPLEMENTED A HEALTHY HOMES PROGRAM FOR MADISON COUNTY RESIDENTS, WHICH PROVIDES FREE IN-HOME ASSESSMENTS, EDUCATION, SUPPLIES AND REFERRALS TO ADDRESS HOME HAZARDS. THEY HAVE ALSO RELAUNCHED THE HEALTHY WORKFORCE INITIATIVE, WHICH TARGETS EMPLOYEE HEALTH, REDUCES WORK-RELATED DEATHS AND INJURIES AND INCREASES WORKER PRODUCTIVITY. AND FINALLY THEY WILL SEEK FUNDING TO EXPAND THEIR MOBILITY MANAGEMENT PROGRAM, WHICH TARGETS IMPROVING QUALITY OF LIFE AMONG OLDER ADULTS IN MADISON COUNTY BY CONNECTING THEM TO SOCIAL SUPPORT AND HEALTHCARE SERVICES VIA TRANSPORTATION SERVICES.FINALLY, FOR THE LAST GOAL OF INCREASING CANCER SCREENING RATES, THE MADISON COUNTY RURAL HEALTH COUNCIL PLANNED ON HOSTING THE FIRST ANNUAL BREAST CANCER AWARENESS AND SCREENING EVENT IN 2023. UNFORTUNATELY THE EVENT WAS CANCELLED DUE TO LACK OF SCHEDULED APPOINTMENTS. THEY WILL PLAN ON ANOTHER EVENT FOR THE FUTURE. OH MAMMOGRAPHY TECHS SPEND SEVERAL HOURS EACH YEAR PROVIDING FREE MAMMOGRAMS.FOR THE SECOND FOCUS AREA CHOSEN PREVENT MENTAL HEALTH AND SUBSTANCE USE DISORDERS THERE ARE 5 GOALS: TO PREVENT UNDERAGE DRINKING AND EXCESSIVE ALCOHOL CONSUMPTION BY ADULTS, TO REDUCE THE PREVALENCE OF MAJOR DEPRESSIVE DISORDERS, TO PREVENT OPIOID AND OTHER SUBSTANCE MISUSE AND DEATHS, TO PREVENT HARM RELATED TO CANNABIS (MARIJUANA) USE AND TO FACILITATE SUPPORTIVE ENVIRONMENTS THAT PROMOTE RESPECT AND DIGNITY FOR PEOPLE OF ALL AGES.STRATEGIES USED TO HELP ACCOMPLISH THE FIRST GOAL OF PREVENTING UNDERAGE DRINKING AND EXCESSIVE ALCOHOL CONSUMPTION BY ADULTS WILL BE TO ESTABLISH A COALITION WITH REPRESENTATION FROM A VARIETY OF COMMUNITY ORGANIZATIONS, HEADLINED BY THE MADISON COUNTY COUNCIL ON ALCOHOLISM AND SUBSTANCE ABUSE (BRIDGES), IN ORDER TO REDUCE HARM RELATED TO THAT AND TO CANNABIS (MARIJUANA); AND FOR MADISON COUNTY DEPARTMENT OF HEALTH TO PUBLISH A HEALTH ISSUE PROFILE ON ALCOHOL USE IN MADISON COUNTY. WAYS ONEIDA HEALTH WILL CONTRIBUTE TO THE GOAL ARE THE HOSPITAL WILL INFORM AND EDUCATE LOCAL OFFICIALS ON THE RATE SUBSTANCE USE AMONG MADISON COUNTY YOUTH, THEY WILL ASSIST IN IMPLEMENTING A COUNTY WIDE EVIDENCE-BASED FAMILY INTERVENTION PROGRAM FOCUSED ON TEEN ALCOHOL USE, THEY WILL ENCOURAGE COMMUNITY LEVEL INTERVENTIONS SUCH AS PARENT/CHILD CONTRACTS FOR DRIVING PRIVILEGES, ALCOHOL-RESTRICTED/FREE COMMUNITY EVENTS AND PARENTAL INTERVENTIONS AGAIN TEEN BINGE DRINKING; THEY WILL INCLUDE BINGE DRINKING QUESTIONS IN THE EHR (ELECTRONIC HEALTH RECORD), AND THEY WILL ASSIST IN RESEARCHING AND IMPLEMENTING A SCHOOL BASED PROGRAM FOCUSED ON ALCOHOL USE AND RISK AWARENESS. FOR SUBSTANCE ABUSE AMONG ADULTS, IT INCLUDES INCLUDE INFORMING AND EDUCATING LOCAL OFFICIALS ON SUBSTANCE ABUSE AMONG MADISON COUNTY RESIDENTS AND INCLUDING BINGE DRINKING QUESTIONS IN THE EHR (ELECTRONIC HEALTH RECORD). FOR THE SECOND GOAL OF REDUCING THE PREVALENCE OF MAJOR DEPRESSIVE DISORDERS, ONEIDA HEALTH AND PARTNER AGENCIES RECEIVED A HRSA GRANT TO ESTABLISH BEHAVIORAL HEALTH CARE SERVICES TO RURAL AND UNDERSERVED POPULATIONS, IN A PRIMARY CARE SETTING, BASED ON THE EVIDENCE BASED COLLABORATIVE CARE MODEL. BEHAVIOR HEALTH SCREENINGS WERE ALREADY BEING OFFERED AT OH'S PRIMARY CARE LOCATIONS. THESE SCREENINGS CAN ALSO IDENTIFY SUBSTANCE ABUSE ISSUES.TO ASSIST WITH THE THIRD GOAL OF PREVENTING OPIOID AND OTHER SUBSTANCE MISUSE AND DEATHS, THE MADISON COUNTY DEPARTMENT OF HEALTH AND BRIDGES HAVE WORKED TOGETHER TO INCREASE ACCESS TO NALOXONE (NARCAN) IN THE COMMUNITY. SPECIFIC ITEMS THE HOSPITAL HAS INITIATED TO TARGET SUBSTANCE ABUSE ARE THE ALTERNATIVES TO OPIOID PROGRAM IN THE EMERGENCY DEPARTMENT AND THE NYS REGISTERED OPIOID OVERDOSE PREVENTION PROGRAM.MADISON COUNTY DEPARTMENT OF HEALTH AND BRIDGES ALSO PARTNERED ON THE FOURTH GOAL OF PREVENTING HARM RELATED TO CANNABIS (MARIJUANA) USE. A COALITION WILL BE ESTABLISHED WITH REPRESENTATION FROM VARIOUS COMMUNITY ORGANIZATIONS, INCLUDING OH, TO TARGET REDUCING HARM RELATED TO ALL THE CONCERNS OF UNDERAGE DRINKING, EXCESSIVE ALCOHOL USE AND CANNABIS USE. A WASTEWATER SURVEILLANCE PROGRAM FOR CANNABIS AND OPIOIDS WILL ALSO BE ESTABLISHED TO DEVELOP A BASELINE AND PUBLICIZE THE RESULTS TO THE PUBLIC AND KEY GROUPS ON SUBSTANCE ABUSE TRENDS.FINALLY, FOR THE GOAL OF FACILITATING SUPPORTIVE ENVIRONMENTS THAT PROMOTE RESPECT AND DIGNITY FOR ALL AGES, THE MADISON COUNTY RURAL HEALTH COUNCIL WILL IMPLEMENT MENTAL HEALTH FIRST AID TRAINING IN LOCAL SCHOOL DISTRICTS FOR YOUTH AND SCHOOL STAFF. THESE WILL GO ALONG WITH THE WALK WITH A DOC SERIES AND THE MOBILITY MANAGEMENT PROGRAM WHICH WERE PREVIOUSLY MENTIONED.ONEIDA HEALTH HAS ASSISTED AND WILL CONTINUE TO ASSIST IN ACCOMPLISHING THESE GOALS BY PARTICIPATING IN KEY COMMUNITY PARTNERSHIPS SUCH AS THE MADISON COUNTY COMMUNITY HEALTH ASSESSMENT, THE BEHAVIORAL HEALTH CONSORTIUM, HEALTHY BEGINNINGS PROVIDER NETWORK, THE MOHAWK VALLEY IMMUNIZATION ALLIANCE AND THE COMMUNITY COALITION ON ALCOHOL AND MARIJUANA. ONEIDA HEALTH HAS ALSO EXPANDED THEIR NETWORK OF PROVIDERS IN RECENT YEARS SO PATIENTS THAT NEED TO REMAIN LOCAL CAN, BUT CAN STILL RECEIVE SPECIALIZED SERVICES SUCH AS ONCOLOGY. ONEIDA HEALTH ALSO PARTICIPATES IN VARIOUS COMMUNITY BENEFIT ACTIVITIES THAT PROMOTE THESE GOALS.IT WAS RECOMMENDED BY THE STEERING COMMITTEE THAT ONLY 2 INITIATIVES BE CHOSEN AS THEY WERE CONSIDERED MOST CRUCIAL AND ALSO COULD INSURE A BETTER SUCCESS RATE IN IMPROVING THE HEALTH OF THE COMMUNITY IN THOSE TWO AREAS. IT WAS ALSO NOTED HOW THE COVID-19 PANDEMIC HAD NEGATIVELY AFFECTED THOSE AREAS. THE OTHER PREVENTION AGENDA PRIORITIES (I.E. ORAL HEALTH, IMMUNIZATIONS AND INFECTIOUS DISEASE) WHILE NOT ADDRESSED SPECIFICALLY IN THIS YEAR'S CHNA, ARE STILL CONSIDERED IMPORTANT INITIATIVES THAT ARE BEING MONITORED AND ADDRESSED BY THE HOSPITALS AND THE COUNTY THROUGH ITS SERVICES AND COLLABORATIONS WITH OTHER COMMUNITY BASED ORGANIZATIONS AND EVENTS. THE STEERING COMMITTEE WILL CONTINUE TO FUNCTION AS AN ADVISORY GROUP TO MONITOR AND TRACK PROGRESS OF THE PRIORITY AREA STRATEGIES. THE MADISON COUNTY 2022-2024 CHIP IS POSTED ON THE MADISON COUNTY WEBSITE, THE ONEIDA HEALTH WEBSITE, THE MADISON COUNTY RURAL HEALTH COUNCIL WEBSITE AND THE COMMUNITY MEMORIAL HOSPITAL WEBSITE. HARD COPIES HAVE BEEN DISTRIBUTED TO COMMUNITY PARTNERS AND OTHER INTERESTED PARTIES AND ALSO CITY, TOWN AND VILLAGE GOVERNMENTS. PART V, LINE 7A, HOSPITAL FACILITY'S WEBSITE: WWW.ONEIDAHEALTH.ORG/OUR-ORGANIZATION/COMMUNITY-SERVICE-PLANS PART V, LINE 7B, OTHER WEBSITES FOR CHNA REPORT: WWW.MADISONCOUNTY.NY.GOV/2482/COMMUNITY-HEALTH-ASSESSMENT-IMPROVEMENT-WWW.COMMUNITYMEMORIAL.ORG/ABOUT/COMMUNITY-SERVICE-PLANWWW.MCRURALHEALTHCOUNCIL.ORG/PROGRAM/COMMUNITY-HEALTH 10 1 - VERONA HEALTH CENTER 5547 WEST MAIN STREET VERONA NY 13478 HOSPITAL BASED HEALTH CENTER 2 - ONEIDA HEALTHCARE CENTER ECF 323 GENESEE ST ONEIDA NY 13421 EXTENDED CARE FACILITY 3 - CANASTOTA LENOX HEALTH CENTER 115 CENTER STREET CANASTOTA NY 13032 HOSPITAL BASED HEALTH CENTER 4 - CHITTENANGO FAMILY CARE 1372 ROUTE 5 CHITTENANGO NY 13037 HOSPITAL BASED HEALTH CENTER 5 - ONEIDA HEALTHCARE REHABILITATION CENTER 221 BROAD STREET ONEIDA NY 13421 REHABILITATION FACILITY/MEDICAL OFFICES 6 - ALICE GORMAN IMAGING CENTER 139 FIELDS DRIVE ONEIDA NY 13421 IMAGING CENTER 7 - ONEIDA HEALTH IMAGING CENTER - CAMDEN 9562 STATE ROUTE 13 CAMDEN NY 13316 IMAGING CENTER 8 - ONEIDA HEALTH CANCER CENTER 604 SENECA STREET ONEIDA NY 13421 HOSPITAL BASED HEALTH CENTER 9 - ONEIDA HEALTH SLEEP CENTER 600 SENECA STREET SUITE 3 ONEIDA NY 13421 HOSPITAL BASED HEALTH CENTER 10 - ONEIDA HEALTH IMAGING CENTER 357 GENESEE STREET ONEIDA NY 13421 IMAGING CENTER PART I, LINE 7: FINANCIAL ASSISTANCE IS CALCULATED USING A COST TO CHARGE RATIO. DIRECT OFFSETTING REVENUE FOR FINANCIAL ASSISTANCE IS CALCULATED BY TAKING REVENUES AND A PERCENT OF THE POOL PAYMENTS BASED ON THE LOSS. 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 $ 5,538,896. PART II, COMMUNITY BUILDING ACTIVITIES: WHILE THE COVID-19 PANDEMIC HAD A SIGNIFICANT EFFECT ON COMMUNITY ACTIVITIES IN 2023, OH STILL ENGAGED IN SEVERAL PROMOTIONAL AND EDUCATIONAL ACTIVITIES FOR WITH AND FOR COMMUNITY MEMBERS IN AREAS REGARDING WELLNESS INCLUDING WOMEN'S AND INFANT HEALTH, AND A VARIETY OF OTHER HEALTH TOPICS. OH IS AN IMPORTANT PART OF MADISON COUNTY'S PUBLIC HEALTH INFRASTRUCTURE AND BY DEVELOPING A MORE ACTIVE PARTNERSHIP WITH THE DEPARTMENT OF HEALTH WE ULTIMATELY CONTRIBUTE TO THE VALUE AND STRENGTH OF THE PUBLIC HEALTH SYSTEM. THE PROCESS FOR PUBLIC INPUT DERIVES FROM THE MADISON COUNTY CHA AND CHIP. THE COMMUNITY HEALTH IMPROVEMENT PLAN STEERING COMMITTEE, COMPRISED OF THE COUNTY HEALTH DEPARTMENT, AND LOCAL HOSPITALS (ONEIDA HEALTH, COMMUNITY MEMORIAL HOSPITAL), MET EVERY SEVERAL TIMES THROUGHOUT THE 2022 CALENDAR YEAR TO DEVELOP THE COMMUNITY SERVICE PLAN. SPECIFIC ITEMS THE HOSPITAL HAS CONTINUED TO UTILIZE IN 2023 TO TARGET SUBSTANCE ABUSE ARE THE ALTERNATIVES TO OPIOID PROGRAM IN THE EMERGENCY DEPARTMENT AND THE NYS REGISTERED OPIOID OVERDOSE PREVENTION PROGRAM AND SOME OH LOCATIONS ARE OFFERING BEHAVIORAL HEALTH SCREENING, ALONG WITH THE NEW BEHAVIOR HEALTH PROGRAM BEING IMPLEMENTED.ONEIDA HEALTH PARTICIPATES IN COALITION BUILDING WITH SEVERAL GROUPS INCLUDING SEVERAL AREA CHAMBERS OF COMMERCE, THE COMPASSION COALITION, HOSPICE AND PALLIATIVE CARE AND SEVERAL MADISON COUNTY GOVERNMENT REPRESENTATIVES.ONEIDA HEALTH, IN COLLABORATION WITH ROSWELL PARK COMPREHENSIVE CANCER CENTER, PARTICIPATES IN A CANCER SURVIVORSHIP PROGRAM. AND FREE MAMMOGRAMS ARE OFFERED THROUGH THEIR CANCER SERVICES PROGRAM. ONEIDA HEALTH WAS DESIGNATED AS A "SAFE" HOSPITAL WHICH MEANS THEY HAVE A CERTIFIED SEXUAL ASSAULT FORENSIC EXAMINER AVAILABLE IF NEEDED. STAFF AT OH PARTICIPATE IN VARIOUS CONFERENCES AND LECTURES TO EDUCATE THEMSELVES AND OTHERS IN "SAFE" PRACTICES AND PROCEDURES, ALSO PREFORMING PEDIATRIC EXAMS AS NEEDED.FOUR RED CROSS BLOOD DRIVES WERE HELD IN 2023. A HERNIA SCREENING EVENT WAS OFFERED BY OH IN 2023. AND DR. KHALID SPENT MANY HOURS AT MORRISVILLE COLLEGE ADVISING ON SPORTS INJURY PREVENTION.OH NURSES ALSO PARTICIPATED IN PROMOTING INFANT HEALTH BY TEACHING AND STAFFING CHILDBIRTH CLASSES, BREASTFEEDING CLASSES, AND BABY WEIGH STATIONS.OH PROVIDES SUPPORT TO AND IS INVOLVED WITH SEVERAL EDUCATIONAL INSTITUTIONS IN HEALTH PROFESSIONS PROGRAMS AND WORKFORCE DEVELOPMENT PROGRAMS. FOCUSES IN 2023 INCLUDED NURSING, PHARMACY, ULTRASOUND TECHNOLOGY AND PHYSICAL THERAPY. SEVERAL EMPLOYEES OF OH ALSO PARTICIPATED WITH OTHER COMMUNITY PARTNERS AND LAW ENFORCEMENT, IN COMMUNITY SAFETY ACTIVITIES SUCH AS ACTIVE SHOOTER DRILLS, EMERGENCY MANAGEMENT AND THREAT ASSESSMENT.ONEIDA HEALTH HAS ALSO PROVIDED FINANCIAL SUPPORT TO VARIOUS LOCAL GROUPS TO HELP FACILITATE COMMUNITY HEALTH.AN ADDITIONAL ITEM ONEIDA HEALTH PROVIDES IS A COMMUNITY RESOURCE GUIDE AND SEVERAL LINKS FOR ASSISTANCE ON ITS WEBSITE. PART III, LINE 3: PERCENT OF TOTAL EXPENSE IS CALCULATED BY TAKING THE NET COMMUNITY BENEFIT EXPENSES DIVIDED BY TOTAL FUNCTIONAL EXPENSES EXCLUDING BAD DEBT EXPENSE PART III, LINE 4: SIGNIFICANT ESTIMATES MADE BY THE CENTER INCLUDE BUT ARE NOT LIMITED TO, THE ESTIMATED CARRYING VALUE OF INVESTMENT SECURITIES, ALLOWANCE FOR DOUBTFUL ACCOUNTS AND THIRD PARTY PAYER CONTRACTUAL ADJUSTMENTS, ESTIMATED THIRD PARTY SETTLEMENTS, AND ASSUMPTIONS USED IN DETERMINING PENSION AND POSTRETIREMENT LIABILITIES AND RESULTANT BALANCES. THE CURRENT ECONOMIC ENVIRONMENT HAS INCREASED THE DEGREE OF UNCERTAINTY INHERENT IN THOSE ESTIMATES AND ASSUMPTIONS.THE ALLOWANCE FOR DOUBTFUL ACCOUNTS RECEIVABLE IS CALCULATED BY MANAGEMENT USING THE AGING METHODOLOGY. IN GENERAL, THE LONGER AN ACCOUNT BALANCE IS OVERDUE, THE LESS LIKELY THE DEBT IS TO BE PAID. THE HOSPITAL MAINTAINS AN ACCOUNTS RECEIVABLE AGING SCHEDULE, WHICH CATEGORIZES EACH PATIENT'S ACCOUNT BY THE LENGTH OF TIME THEY HAVE BEEN OUTSTANDING. EACH AGED CATEGORY'S OVERALL BALANCE IS MULTIPLIED BY AN ESTIMATED PERCENTAGE OF UNCOLLECTIBILITY FOR THAT CATEGORY, AND THE TOTAL OF ALL SUCH CALCULATIONS SERVES AS THE ESTIMATE OF BAD DEBTS. THE ACCOUNTS RECEIVABLE AGING SCHEDULE IS CATEGORIZED BY SERVICE INCLUDING INPATIENT, EMERGENCY ROOM, REFERRED AMBULATORY, AMBULATORY SURGERY, SERIES AND NURSING HOME. EACH SERVICE IS THEN SUB-CATEGORIZED BY FINANCIAL CLASS AND AGED CATEGORY. EACH AGED CATEGORY IS DELINEATED BY 30 DAY INCREMENTS UP TO 180 DAYS OUTSTANDING THEN 180 TO 365 AND OVER 365 DAYS OUTSTANDING. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS RECEIVABLE CALCULATION IS THE RESULT OF THE FOLLOWING:FOR ALL ACCOUNTS RECEIVABLE EXCLUSIVE OF SELF PAY, 10% OF THE NET EXPECTED PAYMENT FOR ALL ACCOUNTS THAT ARE BETWEEN 0 AND 180 DAYS OUTSTANDING ARE RESERVED FOR BAD DEBT. FOR ALL ACCOUNTS THAT ARE OVER 181 DAYS OUTSTANDING, THE RESERVE FOR BAD DEBT IS 50%. FOR ALL ACCOUNTS THAT ARE OVER 365 DAYS OUTSTANDING, THE RESERVE FOR BAD DEBT IS 100%. THIS CALCULATION IS USED PRIMARILY TO ESTIMATE THE UNCOLLECTIBILITY OF DEDUCTIBLES AND COINSURANCE AFTER INSURANCE PAYMENTS.FOR ALL SELF PAY PATIENTS BETWEEN 0 AND 60 DAYS OLD, 25% OF THE EXPECTED PAYMENT OUTSTANDING IS RESERVED FOR BAD DEBT; FOR BETWEEN 61 AND 90 DAYS OLD, 50% OF THE EXPECTED PAYMENT OUTSTANDING IS RESERVED; FOR 91-120 DAYS OLD, 75% OF THE EXPECTED PAYMENT OUTSTANDING IS RESERVED; AND FOR ALL SELF PAY ACCOUNTS OVER 121 DAYS OLD, 90% OF THE EXPECTED SELF PAY PAYMENT IS RESERVED FOR BAD DEBT. THE ALLOWANCE FOR BAD DEBT RESERVE THAT IS CALCULATED MONTHLY IS COMPARED TO THE ACTUAL RESERVE PER THE GENERAL LEDGER AND ADJUSTED ACCORDINGLY.THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3: THE RATIO OF COST TO CHARGES.THE RATIONALE FOR INCLUDING OTHER BAD DEBT AMOUNTS IN COMMUNITY BENEFIT IS BECAUSE ONEIDA HEALTH (OH) HAS SEEN A SUBSTANTIAL INCREASE IN THE VOLUME OF SELF PAY PATIENTS DUE TO EMPLOYERS CLOSING, REDUCING STAFF OR REDUCING THE HEALTH INSURANCE BENEFITS THAT THEY OFFER THEIR EMPLOYEES. DEDUCTIBLE AND CO-INSURANCE AMOUNTS HAVE INCREASED OVER THE PAST FEW YEARS, WITH THE IMPLEMENTATION OF MORE HIGH DEDUCTIBLE PLANS AND THE AFFORDABLE CARE ACT. OH STAFF IS AVAILABLE TO DISCUSS PATIENT OPTIONS TO RESOLVE THEIR OUTSTANDING BALANCES. THE HOSPITAL OFFERS FINANCIAL ASSISTANCE BASED ON 300% OF THE FEDERAL POVERTY GUIDELINES. PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAM AND ALLOWANCES WITH EACH ORIGINAL STATEMENT. APPLICATIONS CAN BE OBTAINED AT THE HOSPITAL, HOSPITAL CLINICS, REGISTRATION DEPARTMENT AND THE BUSINESS OFFICE AND ON THE HOSPITAL'S WEBSITE (WWW.ONEIDAHEALTH.ORG/FINANCIAL-ASSISTANCE). OH ALSO HAS A DESIGNATED EMPLOYEE TO ASSIST PATIENTS IN APPLYING FOR MEDICAID OR OTHER STATE RUN PROGRAMS FOR LOW INCOME FAMILIES. OH ALSO OFFERS PAYMENT PLANS FOR THOSE PATIENTS WHO ARE UNABLE TO PAY A BALANCE IN FULL. HOSPITAL REPRESENTATIVES WORK WITH PATIENTS TO DEVELOP A PAYMENT PLAN THAT IS AFFORDABLE BY THE PATIENT AND IS REASONABLE FOR THE HOSPITAL. ASSISTANCE WITH ANY FINANCIAL ASPECT IS OFFERED BY THE HOSPITAL BUSINESS OFFICE STAFF. A BUSINESS OFFICE EMPLOYEE IS AVAILABLE MONDAY THROUGH FRIDAY FROM 9:00 A.M. TO 3:00 P.M., OR ADDITIONAL HOURS BY APPOINTMENT. PATIENTS ARE ABLE TO SCHEDULE APPOINTMENTS WITH BUSINESS OFFICE REPRESENTATIVES TO DISCUSS THEIR OPTIONS. THE BUSINESS OFFICE HAS ALSO ASSISTED PATIENTS WITH BILLINGS THEY MAY HAVE FROM OTHER PROVIDERS WHEN THE PATIENT JUST DOES NOT KNOW OR UNDERSTAND HOW TO HANDLE THE RESOLUTION OF THE ACCOUNTS.IN MANY CASES PATIENTS UTILIZE OUR EMERGENCY ROOM SERVICES FOR TREATMENT OF NON-EMERGENT CARE. UNINSURED PATIENTS ARE ROUTINELY UNEMPLOYED PATIENTS AND THEREFORE IT IS DIFFICULT TO COLLECT PAYMENT FOR SERVICES RENDERED. PATIENTS WHO ARE UNINSURED OFTEN DO NOT SEEK CARE UNTIL IT IS ABSOLUTELY NECESSARY, THEREFORE CREATING A LARGE BALANCE DUE FOR EMERGENCY ROOM SERVICES.OH DOES REQUIRE A PRIOR YEAR'S TAX RETURN (IF FILED) TO ASSIST IN MAKING A DETERMINATION FOR FINANCIAL ASSISTANCE. OH DECISIONS FOR FINANCIAL ASSISTANCE ARE MADE IN FAVOR OF THEIR PATIENTS WHEN IN DOUBT. THERE ARE TIMES WHEN PATIENTS DO NOT WANT TO APPLY FOR ASSISTANCE AS THEY DO NOT WANT ANYONE TO KNOW THEY NEED THE ASSISTANCE. OH HAS MADE DECISIONS TO APPROVE FINANCIAL ASSISTANCE FOR PATIENTS BASED ON A CASE BY CASE SITUATION WHERE IT IS CLEARLY EVIDENT THE PATIENT NEEDS HELP.COSTLY CARE, UNDER FUNDED RATES FROM PAYERS, DELAYS IN PAYMENTS AND INCREASED DENIALS HAVE PUT A BURDEN ON ALL HEALTH CARE FACILITIES.ONEIDA HEALTH OFFERS FREE, CONFIDENTIAL ASSISTANCE. ALL PATIENTS CAN CONTACT OUR FINANCIAL COUNSELOR AT 315-361-2230. PART III, LINE 8: THE EXTENT TO WHICH ANY SHORTFALL REPORTED IN LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT IS BECAUSE THE CURRENT HEALTHCARE OPERATING ENVIRONMENT IS VERY CHALLENGING IN GENERAL WITH GREAT UNCERTAINITY ABOUT THE IMPACT OF REFORM AND THE CURRENT ECONOMIC SITUATION. LIKE MANY RURAL HOSPITALS, ONEIDA HEALTH FACES THESE AND OTHER CHALLENGES TO ITS ABILITY TO CONTINUE TO SUPPORT ITS SERVICES.RECRUITMENT OF PHYSICIANS TO RURAL AREAS IS A HUGE CHALLENGE FOR HOSPITALS LIKE ONEIDA. OUR LONG TERM ABILITY TO IMPROVE ACCESS TO CARE IS HIGHLY DEPENDENT ON SUCCESSFULLY RECRUITING PHYSICIANS. RECRUITMENT HAS BECOME MORE DIFFICULT AND IS LIKELY TO CONTINUE TO BE A HUGE CHALLENGE GOING FORWARD. NEVERTHELESS, IT IS A HIGH PRIORITY FOR ONEIDA HEALTH.THE HOSPITAL CURRENTLY OFFERS A NUMBER OF PUBLIC HEALTH PROGRAMS INTENDED TO ADDRESS THE PRIORITIES THAT WERE ADDRESSED IN THE MAPP ASSESSMENT PROCESS. THESE PROGRAMS ARE DESCRIBED IN THE FOLLOWING LIST.PRIMARY CARE CENTERS IN VERONA, CHITTENANGO AND CANASTOTA, WHERE 26.5% OF THE PATIENTS SERVICED ARE MEDICAID, UNDERINSURED AND LIMITED OR NO PAY PATIENTS.EMERGENCY DEPARTMENT THAT SERVES AS A SAFETY NET FOR PATIENT ACCESS TO SERVICES.OPERATION OF OFFSITE PHLEBOTOMY STATIONS TO INCREASE ACCESS TO THESE SERVICES AND PATIENT CONVENIENCE.PROVIDING A $2,500 IN FUNDS TO JESSICA'S HEROES, A FOUNDATION THAT SUPPORTS CANCER PATIENTS WITH GROCERY AND GAS CARDS, MONEY FOR UTILITIES, MEDICAL BILLS OR OTHER NEEDS.OPERATING THE BABY WEIGH STATION THAT PROVIDES LACTATION CONSULTATION TO NEW MOTHERS, EDUCATION ABOUT BREAST FEEDING, AND ONGOING WEIGHT MONITORING PROGRAMS FOR NEWBORN INFANTS.PATIENT SUPPORT GROUPS INCLUDING CANCER SUPPORT, LAMAZE CLASSES AND OTHERS.PROVIDING THE SERVICES OF TRAINED AND CERTIFIED SEXUAL ASSAULT NURSE EXAMINERS (SANE) IN OUR EMERGENCY DEPARTMENT.PROVIDING LOCAL ACCESS TO HOSPITAL BASED PRIMARY AND SECONDARY CARE SERVICES AND ACCESS TO SPECIALTY CARE THROUGH AFFILIATIONS WITH SPECIALIST PHYSICIAN GROUPS AND REFERRAL HOSPITALS. PART III, LINE 9B: IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE NO FURTHER COLLECTION ACTIONS ARE TAKEN. IF PATIENT QUALIFIES FOR LESS THAN 100% ASSISTANCE AND FAILS TO PAY THE BALANCE, OUR CURRENT COLLECTION POLICY REMAINS IN EFFECT. PART VI, LINE 2: ONEIDA HEALTH IS COMMITTED TO HELPING ASSESS AND ADDRESS THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES THROUGH ITS OWN SERVICES AND PROGRAMS, AND COMMUNITY BASED PARTNERSHIPS. A COMMUNITY ASSESSMENT IS A POINT IN TIME EFFORT TO MEASURE THE HEALTH AND WELLBEING OF THE COMMUNITY. IT SERVES AS A BASIS FOR OH'S STRATEGIC AND SUBSEQUENT ACTION PLANNING TO DEVELOP HEALTH POLICY, ALLOCATE RESOURCES, AND IMPROVE OR EXPAND EXISTING SERVICES, IMPLEMENT NEW PROGRAMS AND COLLABORATE WITH OTHER COMMUNITY HEALTHCARE PROVIDERS. THE COMMUNITY ASSESSMENT WILL SERVE AS A BENCHMARK FOR FUTURE ASSESSMENT OF RELATIVE PROGRESS TOWARD ESTABLISHED COMMUNITY HEALTH OBJECTIVES. OH'S PARTICIPATION IN THE COMMUNITY HEALTH NEEDS ASSESSMENT WILL PROVIDE THE OPPORTUNITY TO: -GAIN INSIGHTS INTO THE NEEDS AND ASSETS OF THE COMMUNITIES' SERVED-IDENTIFY AND ADDRESS THE NEEDS OF VULNERABLE POPULATION WITHIN THE COMMUNITY-ENHANCE HOSPITAL/COMMUNITY PARTNERSHIPS AND THE OPPORTUNITY FOR COLLABORATIVE COMMUNITY ACTION INCLUDING INVOLVEMENT WITH BOARDS, COMMITTEES, COMMISSIONS, ADVISORY GROUPS AND PANELS. -PROVIDE THE INFORMATION REQUIRED FOR COMMUNITY OUTREACH PLANNING. THE COMMUNITY NEEDS ASSESSMENT PROCESS INVOLVES GATHERING OF TWO TYPES OF DATA "QUANTITATIVE" (DEMOGRAPHICS, HEALTH INDICATORS, ETC.) AND "QUALITATIVE" (PUBLIC SURVEYS, FORUMS, FOCUS GROUPS, ETC.). COLLECTIVELY THE DATA WILL HELP SUPPORT SHORT TERM AND LONG TERM PLANNING ABOUT THE ALLOCATION OF CURRENT AND FUTURE RESOURCES. THROUGHOUT THE YEAR OF 2022, A COMMUNITY HEALTH ASSESSMENT STEERING COMMITTEE, COMPRISED OF THE MADISON COUNTY DEPARTMENT OF HEALTH, THE MADISON COUNTY RURAL HEALTH COUNCIL, ONEIDA HEALTH HOSPITAL AND COMMUNITY MEMORIAL HOSPITAL REVIEWED DATA FROM THE 2019 COMMUNITY HEALTH ASSESSMENT (CHA) ALONG WITH CURRENT DATA AND RELATED HEALTH INFORMATION AND DEVELOPED A NEW 2022 CHA AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THEY DECIDED ON TWO HEALTH PRIORITIES: PREVENTING CHRONIC DISEASES AND PREVENTING MENTAL HEALTH AND SUBSTANCE USE DISORDERS. THE COMMITTEE, UTILIZING COALITIONS, TASK FORCES AND WORKGROUPS, ESTABLISHED MULTIPLE GOALS FOR EACH HEALTH PRIORITY ALONG WITH SPECIFIC TASKS TO ASSIST WITH ACCOMPLISHING THOSE GOALS. THESE ARE IDENTIFIED IN MORE DETAIL IN PART V, SECTION B OF THIS RETURN.ONEIDA HEALTH WILL CONTINUE TO COLLECT AND ANALYZE KEY QUANTITATIVE AND QUALITATIVE DATA TO SUPPORT ON-GOING DECISION MAKING FOR RESOURCE ALLOCATION, IN CONJUNCTION WITH OUR COMMUNITY PARTNERS, TO DETERMINE IMPORTANT DECISION MAKING FACTORS OF NEW PROGRAMS TO MEET THE EMERGING NEEDS OF THE COMMUNITIES WE SERVE. THE CURRENT PRIORITIES OF ONEIDA HEALTH WILL BE TO FOCUS ON THE PRIORITIES IDENTIFIED IN OUR COLLABORATIVE COMMUNITY NEEDS ASSESSMENT AS MENTIONED ABOVE. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE OHC IS COMMITTED TO:1)PROVIDING ACCESS TO QUALITY HEALTHCARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR THOSE WE SERVE, PARTICULARLY THE POOR AND THE UNDERSERVED IN OUR COMMUNITIES.2)CARING FOR ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES.3)ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE.4)BALANCING NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO SUSTAIN VIABILITY AND PROVIDE THE QUALITY AND QUANTITY OF SERVICES FOR ALL WHO MAY NEED CARE IN A COMMUNITY.IN ACCORDANCE WITH NEW YORK STATE RECOMMENDATIONS, OHC HAS ADOPTED THE FOLLOWING GUIDING PRINCIPLES WHEN HANDLING THE BILLING, COLLECTION AND FINANCIAL SUPPORT FUNCTIONS OF OUR PATIENTS:1)PROVIDE EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING HOSPITAL BILLS.2)MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE FINANCIAL SUPPORT PROGRAMS.3)OFFER FINANCIAL SUPPORT TO PATIENTS WITH LIMITED NEEDS.4)IMPLEMENT POLICIES FOR ASSISTING LOW INCOME PATIENTS IN A CONSISTENT MANNER.5)IMPLEMENT FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES FOR ALL PATIENTS AND PATIENT PAYMENT OBLIGATIONS.OH IS COMMITTED TO EFFECTIVELY COMMUNICATING WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. NOTIFICATION OF THE FINANCIAL ASSISTANCE POLICY WILL BE POSTED AT EACH REGISTRATION SITE INCLUDING BUT NOT LIMITED TO THE HOSPITAL REGISTRATION DEPARTMENT, THE EMERGENCY ROOM, LAB DRAW STATIONS, PHYSICAL THERAPY BUILDING, THE GORMAN BUILDING, THE CANCER CENTER AND AT THE CLINICS. NOTIFICATION OF THE FINANCIAL ASSISTANCE POLICY WILL BE IDENTIFIED ON THE FIRST BILLING SENT TO ALL PATIENT/GUARANTORS WHO HAVE AN OPEN BALANCE WITH THE HOSPITAL. SIGNS INFORMING PATIENTS OF THE FINANCIAL ASSISTANCE PROGRAM, IN VARIOUS LANGUAGES, WILL ALSO BE POSTED AT EACH REGISTRATION INPUT AREA BASED ON THE SAMPLE LANGUAGE FORMAT FROM THE NEW YORK STATE DEPARTMENT OF HEALTH. THE BROCHURE PROVIDES INFORMATION REGARDING PAYMENT OPTIONS, FINANCIAL ASSISTANCE AND BILLING QUESTIONS. EVERY EFFORT IS MADE TO DETERMINE A PATIENTS ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION HOWEVER, DETERMINATION FOR FINANCIAL SUPPORT CAN BE MADE DURING ANY STAGE OF THE PATIENTS STAY AFTER STABILIZATION OR COLLECTION CYCLE. OH OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE IS AVAILABLE THROUGH VARIOUS MEANS, PATIENT BROCHURES, NOTICES OR MESSAGING INCLUDED ON PATIENT BILLS AND NOTICES IN PUBLIC REGISTRATION AREAS, INCLUDING EMERGENCY ROOM, OUTPATIENT CLINICS, ADMITTING AND REGISTRATION DEPARTMENTS AND PATIENT ACCOUNTING DEPARTMENTS. OH HAS ESTABLISHED A COLLECTION CYCLE POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. OH MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL CONSISTENT MANNER.OH HAS ONE CERTIFIED FINANCIAL COUNSELOR PREPARED TO WORK WITH PATIENT'S FINANCIAL NEEDS. WITH THIS CERTIFICATION, SHE CAN ASSIST PATIENTS IN OBTAINING INSURANCE COVERAGE THROUGH MEDICAID OR AND EXCHANGE PRODUCT. SHE GOES TO THE INPATIENT ROOMS TO DISCUSS OPTIONS WITH THE PATIENTS AND THEIR FAMILIES. PART VI, LINE 4: OH SERVES A FOUR COUNTY SERVICE AREA WITHIN A 25 MILE RADIUS STRETCHING IN EVERY DIRECTION FROM THE CITY OF ONEIDA. THE PRIMARY SERVICE ZIP CODES ARE LOCATED IN MADISON AND ONEIDA COUNTIES WHILE THE SECONDARY SERVICE ZIP CODES ARE LOCATED IN ONONDAGA AND OSWEGO COUNTIES. IN 2023, THE PRIMARY COUNTY MARKET AREA SERVED HAD AN ESTIMATED POPULATION OF 294,476, WHILE THE SECONDARY COUNTIES HAD AN ESTIMATED POPULATION OF 586,035.THERE ARE SEVEN HOSPITALS WITHIN OH'S SERVICE AREA THAT REPRESENT 95% OF THE MARKET PENETRATION. THREE OF THE HOSPITALS PROVIDE PRIMARY HEALTH SERVICES WITHIN THE MARKET AREA SERVED BY OH. FOUR HOSPITALS, THREE TO THE WEST OF OH BY FORTY FIVE MINUTES AND ONE TO THE EAST OF OH BY 35 MINUTES, PROVIDE TERTIARY CARE FOR THIS AREA. THERE ARE APPROXIMATELY 26 HEALTHCARE FACILITIES TOTAL IN MADISON COUNTY.THE US CENSUS BUREAU WILL NOT RELEASE ITS STANDARD 2023 ACS 1-YEAR ESTIMATES DUE TO THE IMPACTS OF THE COVID-19 PANDEMIC. THIS LIMITS SOME DETAIL AVAILABLE FOR REPORTING. HOWEVER, ACCORDING TO THE BUREAU'S 2023 POPULATION TABLES, OH'S SERVICE AREAS EXPERIENCED A 4.5% DECREASE IN POPULATION FROM 2010 TO 2023. THE STRESS THAT THIS TREND PLACES ON THE PROVISION OF SERVICES IS COMPOUNDED BY THE HIGHER THAN AVERAGE PROPORTION OF ELDERLY IN THE AREA. 19.6% OF THE POPULATION IN THE ENTIRE SERVICE AREA WAS OVER AGE 65 IN 2023, COMPARED TO 17.7% FOR THE NATION. THE PRIMARY SERVICE AREA, WHICH CONSISTS OF MADISON AND ONEIDA COUNTIES, HAD A POPULATION OF OVER 65 RESIDENTS OF 20.5%. THIS LARGE PERCENTAGE OF ELDERLY PRESENTS SPECIAL CHALLENGES TO HEALTH CARE PROVIDERS BECAUSE THE ELDERLY HAVE THE HIGHEST INCIDENCE OF DISEASE AND MORTALITY IN MOST CATEGORIES AND CORRESPONDINGLY, ARE THE BIGGEST USERS OF HEALTH CARE SERVICES. MEDICARE PAYMENT SHORTFALLS PRESENT AN ADDITIONAL BURDEN FOR RURAL HEALTH CARE PROVIDERS. FOR FISCAL YEAR 2023, 40.43% OF OH'S REVENUES WERE GENERATED FROM MEDICARE PATIENTS.THE MEDIAN HOUSEHOLD INCOME IN OH'S SERVICE AREA FOR 2023 IS ESTIMATED AT $70,006. THE PERCENT OF INDIVIDUALS BELOW THE POVERTY LEVEL IN THE SERVICE AREA AVERAGES 14.32%, WHICH IS A SMALL INCREASE OF .26% FROM PRIOR YEAR. OH IS A DISPROPORTIONATE SHARE HOSPITAL. IN FISCAL YEAR 2023, OUR GENERAL ADMITTANCE PAYER MIX FOR MEDICARE (INCLUDING HMO MEDICARE) WAS 44.2% AND 24.7% FOR THE POOR AND UNDERSERVED. FOR FISCAL YEAR 2023, PAYER MIX FOR THE POOR AND UNDERSERVED IN EMERGENCY DEPARTMENT WAS 38.5%. THIS NUMBER SLIGHTLY INCREASED FROM 2022. VOLUMES HAVE INCREASED IN 2023, COMPARED TO THE REDUCTION THAT OCCURRED IN 2020 DUE TO THE COVID-19 PANDEMIC. HOWEVER, 2023 NUMBERS STILL REFLECT LARGE PERCENTAGES FOR THE POOR AND UNDERSERVED. PRIORITIES OF OUR EMERGENCY ROOM PHYSICIANS INCLUDE AUGMENTING ACCESS TO CARE FOR UNINSURED AND UNDERINSURED INDIVIDUALS, FACILITATING CONNECTION WITH ONE OF OH'S THREE ARTICLE 28 OUTPATIENT CLINICS AND THE PRIMARY CARE PHYSICIANS IN THE SURROUNDING AREAS.IN MARCH, 2020, THE WORLD HEALTH ORGANIZATION DECLARED THE COVID-19 OUTBREAK A PANDEMIC AND THE U.S. FEDERAL GOVERNMENT DECLARED COVID-19 A NATIONAL EMERGENCY. NOT ONLY DID THIS RESULT IN A REDUCTION OF PATIENT VOLUMES DUE TO THE RESTRICTIVE MEASURES MANDATED BY NEW YORK STATE, IT ALSO RESULTED IN THE LOSS OF OPPORTUNITIES FOR OH TO PARTICIPATE IN SEVERAL EVENTS TO CONTRIBUTE TO COMMUNITY HEALTH IMPROVEMENT. THIS DID CONTINUE INTO 2021 AND 2022. FOR 2023, COMMUNITY BENEFIT ACTIVITIES ARE STILL NOT WHAT THEY WERE BUT ARE CONTINUING TO GROW. DURING THE COURSE OF A NORMAL YEAR, OH WORKS IN COLLABORATION WITH LOCAL COMMUNITY ORGANIZATIONS TO ADDRESS THE PREVALENCE OF OBESITY, DIABETES, HEART DISEASE/STROKE, AND UNDER AGE PREGNANCY. OH PARTICIPATES IN THE FIT KIDS OF MADISON COUNTY PROGRAM WITH THE YMCA TO IMPROVE OUTCOMES FOR OVERWEIGHT YOUTH EDUCATION AND FITNESS. OH OFFERS SMOKING CESSATION PROGRAMS TO BOTH INPATIENTS AND OUTPATIENTS WHO RECEIVE CARE. OH PROMOTES BREASTFEEDING WITH ALL MOTHERS OFFERING CERTIFIED LACTATION CONSULTANTS TO ASSIST IN BREASTFEEDING SUCCESS. SOME OTHER PROGRAMS ARE GENERALLY OFFERED AT THE CLINIC LEVELS AS PART OF ROUTINE HEALTH SCREENINGS. OH ALSO PARTICIPATES IN PROGRAMS WITH SEVERAL COLLEGES TO INTRODUCE STUDENTS TO HEALTH PROFESSIONS WHICH WILL BENEFIT THE COMMUNITY LONG-TERM. PART VI, LINE 5: OTHER INFORMATION:ONE HUNDRED PERCENT OF OH'S SURPLUS REVENUE IS INVESTED BACK INTO SUPPORTING THE ORGANIZATIONS MISSION AND VISION. OH IS GOVERNED BY ELEVEN BOARD MEMBERS WHO WORK AND LIVE WITHIN THE PRIMARY AND SECONDARY MARKET AREA OF THE HOSPITAL. OUR GOVERNANCE STRUCTURE ENSURES THAT THE COMMUNITY AND IT'S INTERESTS ARE STRONGLY REPRESENTED IN IMPORTANT DECISION MAKING. OH MAINTAINS AN OPEN MEDICAL STAFF- MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS. OH ACTIVELY RECRUITS, INCLUDING EMPLOYING WHEN NECESSARY. OH HAS ASSISTED IN RECRUITING A PRIMARY CARE PHYSICIAN AND A PHYSICIAN'S ASSISTANT INTO THE SERVICE AREA, INCLUDING DESIGNATED UNDER SERVED AREAS. OH PROVIDES EMERGENCY SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. PART VI, LINE 6: ONEIDA HEALTH SYSTEMS INC. (DBA ONEIDA HEALTH) IS A NEW YORK STATE NOT FOR PROFIT CORPORATION, TAX EXEMPT UNDER SECTION 501(3) OF THE IRS. THE SYSTEM INCLUDES TWO CAPTIVE PROFESSIONAL CORPORATIONS, ONEIDA MEDICAL PRACTICE, P.C. AND ONEIDA MEDICAL SERVICES, PLLC, MULTI-SPECIALTY PHYSICIAN GROUPS. THE PCS ARE THE VEHICLE THROUGH WHICH PHYSICIANS ARE EMPLOYED TO SERVE THE COMMUNITY. PART VI, LINE 7, REPORTS FILED WITH STATES NY X X X X X 0 0 0 0 0 0 0 1 0 MOHAMMED A KAHLID MD PHYSICIAN 930931 0 121744 0 24000 0 30889 0 10880 0 1118444 0 0 0 UZMA ABBASI MD PHYSICIAN 615890 0 217409 0 0 0 30723 0 169 0 864191 0 0 0 LAWRENCE KRIEGER MD PHYSICIAN 536172 0 91673 0 0 0 25888 0 25766 0 679499 0 0 0 BISWARUP SYAM MD PHYSICIAN 598995 0 0 0 0 0 27900 0 10880 0 637775 0 0 0 JOSEPH SPINALE MD PHYSICIAN 501178 0 0 0 0 0 24900 0 0 0 526078 0 0 0 HARRY CAPONE MD MED DIRECTOR MPN, PRES OMP/OMS 316038 0 127189 0 0 0 18625 0 28627 0 490479 0 0 0 THOMAS CHMELICEK MD CMO/VP MEDICAL AFFAIRS - ENDED 9/1/2 332115 0 10000 0 0 0 19842 0 29355 0 391312 0 0 0 JEREMIAH SWEET CFO, INTERIM CEO 6/1/23-9/17/23 325231 0 0 0 0 0 15570 0 30177 0 370978 0 0 0 JONATHAN SCHILLER CEO/BOARD MEMBER - RESIGNED 5/31/23 238554 0 0 0 0 0 14569 0 12108 0 265231 0 0 0 RHONDA READER DNS RN NEA-BC CNO, VP CLINICAL SERVICES 206971 0 0 0 0 0 12927 0 25157 0 245055 0 0 0 MARY PARRY COO 205428 0 0 0 0 0 12000 0 24065 0 241493 0 0 0 ANNE ENGLISH VP HUMAN RESOURCES 147406 0 0 0 14833 0 4431 0 25703 0 192373 0 0 0 PART I, LINE 7 NON-FIXED PAYMENTS ARE MADE BASED ON WRVU PRODUCTIVITY. A MADISON COUNTY CAPITAL RESOURCE CORPORATION 272499520 NONEAVAIL 2015-08-19 26590000 REFINANCE THREE TAX EXEMPT BOND ISSUES FROM 2001 AND 2007 0 0 0 A 26680419 26590000 969443 589560 2015 1 0 0 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 A 0 FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990, AND ALL REQUIRED SCHEDULES, IS PROVIDED TO THE MEMBERS OF THE GOVERNING BOARD FOR THEIR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ONEIDA HEALTH SYSTEMS INC. REQUIRES ALL DIRECTORS AND KEY EMPLOYEES TO DISCLOSE ANNUALLY, ANY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE CONFLICT OF INTEREST STATEMENTS ARE SUMMARIZED AND REVIEWED BY MANAGEMENT, THE COUNCIL AND THE FULL BOARD OF TRUSTEES TO IDENTIFY POTENTIAL CONFLICTS OF INTEREST. WHEN A POTENTIAL CONFLICT IS IDENTIFIED (FOR EXAMPLE - BY RECUSING INTERESTED PARTIES FROM CERTAIN BOARD VOTES OR ENGAGING IN COMPETITIVE BIDDING FOR CONTRACTS), ANY CONFLICT IS DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION B, LINE 15 ONEIDA HEALTH SYSTEMS INC. HAS AN EXECUTIVE COMPENSATION COMMITTEE OF TRUSTEES TO REVIEW THE PERFORMANCE AND COMPENSATION OF THE PRESIDENT AND ALL VICE PRESIDENTS. THE COMPENSATION COMMITTEE UTILIZED COMPENSATION COMPARABILITY DATA FROM PEARL MEYER & PARTNERS AND IROQUOIS HEALTH ASSOCIATION TO SUPPORT THE DETERMINATION OF SALARY FOR THE SELECTED POSITIONS AND CONTEMPORIOUS SUBSTANTIATION INCLUDING COMMITTEE MINUTES. RELATIVE TO OFFICERS, KEY EMPLOYEES AND PHYSICIANS, THE CEO OF ONEIDA HEALTH SYSTEMS UTILIZES COMPENSATION COMPARABILITY DATA FROM PEARL MEYER & PARTNERS, IROQUOIS HEALTHCARE ASSOCIATION, HEALTHCARE STRATEGY GROUP AND MGMA, ALONG WITH THE ANNUAL PERFORMANCE EVALUATIONS TO DETERMINE THE COMPENSATION OF THESE AFOREMENTIONED INDIVIDUALS. THE COMPENSATION SURVEY DATA UTILIZED ARE FROM COMPARABLE SIZED NOT-FOR-PROFIT HEALTHCARE FACILITIES LOCATED IN RELATIVELY THE SAME REGION AS ONEIDA HEALTH SYSTEMS INC. FORM 990, PART VI, SECTION C, LINE 19 ONEIDA HEALTH SYSTEMS INC. WILL MAKE ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AND PURSUANT TO INTERNAL REVENUE SERVICE GUIDELINES. FORM 990, PART IX, LINE 11G CONTRACTED EMPLOYEES: PROGRAM SERVICE EXPENSES 1,923,529. MANAGEMENT AND GENERAL EXPENSES 155,559. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,079,088. MED SPEC FEES: PROGRAM SERVICE EXPENSES 1,775,684. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,775,684. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 7,714,659. MANAGEMENT AND GENERAL EXPENSES 476,318. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,190,977. LOCUM FEES: PROGRAM SERVICE EXPENSES 10,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,500. OTHER FEES AND SERVICES: PROGRAM SERVICE EXPENSES 478,144. MANAGEMENT AND GENERAL EXPENSES 121,784. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 599,928. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 90,825. RETIREMENT PLAN OBLIGATION CHANGES OTHER THAN NET PERIODIC BENEFIT COST 1,221,419. OTHER COMPONENTS OF NET PERIODIC BENEFIT COST -403,754. PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. ONEIDA HEALTHCARE CORPORATION 321 GENESEE STREET ONEIDA NY 13421 223093394 REAL PROPERTY HOLDING COMPANY FOR BENEFIT OF HOSPITAL NY 501 (C) (3) LINE 12A, I N/A 0 ONEIDA HEALTH FOUNDATION 321 GENESEE STREET ONEIDA NY 13421 237072767 FUNDRAISING FOR THE BENEFIT OF THE HOSPITAL NY 501 (C) (3) LINE 10 N/A 0 ONEIDA MEDICAL SERVICES PLLC 321 GENESEE STREET ONEIDA NY 13421 461695760 MEDICAL OFFICE NY 501 (C) (3) LINE 3 ONEIDA HEALTH SYSTEMS 0 ONEIDA MEDICAL PRACTICE 321 GENESEE STREET ONEIDA NY 13421 261147857 MEDICAL OFFICE NY 501 (C) (3) LINE 3 ONEIDA HEALTH SYSTEMS 0 ONEIDA HEALTH ROSWELL PARK ONCOLOGY LLC 601 SENECA STREET ONEIDA NY 13421 832112880 MEDICAL OFFICE NY 501 (C) (3) LINE 3 ONEIDA HEALTH SYSTEMSROSWELL PARK CANCER INSTITUTE 0 ONEIDA HEALTH VENTURES INC 321 GENESEE STREET ONEIDA NY 13421 462495527 MEDICAL OFFICE NY ONEIDA HEALTH SYSTEMS C 1.00000 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0