ST ELIZABETH COMMUNITY HEALTH SUPPORT: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: ST ELIZABETH COMMUNITY HEALTH SUPPORT (EIN 15-0532245)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-13
IRS object ID: 202443189349311384
Schema version: 2023v5.1
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-13T19:07:35-06:00	ReturnTs
Tax Period End	2023-12-31	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	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	150532245	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST ELIZABETH COMMUNITY HEALTH SUPPORT	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	STEL	BusinessNameControlTxt
Phone	3158018151	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2209 GENESEE STREET	AddressLine1Txt
City	UTICA	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	135015999	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LOUIS AIELLO	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	3159178203	PhoneNum
Signature	2024-11-15	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	2024-11-12	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Change	Yes (X)	NameChangeInd
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	$211,076,849	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTPS://MVHEALTHSYSTEM.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1861	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	ST ELIZABETH COMMUNITY HEALTH SERVICES (SECHS) (FORMERLY ST ELIZABETH MEDICAL CENTER) WAS A VOLUNTARY NOT-FOR-PROFIT ACUTE CARE FACILITY LOCATED IN UTICA, NEW YORK AND PROVIDED MEDICAL, SURGICAL, AND PSYCHIATRIC INPATIENT SERVICES. IN ADDITION, THE MEDICAL CENTER OFFERED OUTPATIENT GENERAL DIAGNOSTIC, AMBULATORY CARE, PHYSICAL THERAPY, AND EMERGENCY CARE SERVICES. EFFECTIVE OCTOBER 29, 2023, THE MEDICAL CENTER CHANGED ITS LEGAL NAME TO ST. ELIZABETH COMMUNITY HEALTH SUPPORT (SECHS) AND BECAME A NON-ARTICLE 28 FACILITY THAT SUPPORTS MOHAWK VALLEY HEALTH SYSTEM.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	2452	TotalEmployeeCnt
Total Volunteers	10	TotalVolunteersCnt
Total Gross UBI	$261,066	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$10,428,909	PYContributionsGrantsAmt
CY Contributions Grants	$7,006,718	CYContributionsGrantsAmt
PY Program Service Revenue	$228,539,625	PYProgramServiceRevenueAmt
CY Program Service Revenue	$191,684,665	CYProgramServiceRevenueAmt
PY Investment Income	$857,261	PYInvestmentIncomeAmt
CY Investment Income	$559,578	CYInvestmentIncomeAmt
PY Other Revenue	$4,230,955	PYOtherRevenueAmt
CY Other Revenue	$3,787,551	CYOtherRevenueAmt
PY Total Revenue	$244,056,750	PYTotalRevenueAmt
CY Total Revenue	$203,038,512	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	$117,779,041	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$102,591,460	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$129,043,692	PYOtherExpensesAmt
CY Other Expenses	$114,998,763	CYOtherExpensesAmt
PY Total Expenses	$246,822,733	PYTotalExpensesAmt
CY Total Expenses	$217,590,223	CYTotalExpensesAmt
PY Revenues Less Expenses	-$2,765,983	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$14,551,711	CYRevenuesLessExpensesAmt
Total Assets BOY	$129,028,947	TotalAssetsBOYAmt
Total Assets EOY	$38,550,706	TotalAssetsEOYAmt
Total Liabilities BOY	$130,813,596	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$41,343,367	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$1,784,649	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$2,792,661	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	ST ELIZABETH COMMUNITY HEALTH SERVICES (SECHS) (FORMERLY ST ELIZABETH MEDICAL CENTER), INSPIRED BY ST. FRANCIS OF ASSISI AND FAITHFUL TO THE TEACHINGS OF THE ROMAN CATHOLIC CHURCH, IS COMMITTED TO EXCELLENCE IN HEALTHCARE AND EDUCATION.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	Yes (1)	SignificantChangeInd
Expense	$106,516,756	ExpenseAmt
Revenue	$105,331,897	RevenueAmt
Desc	INPATIENT SERVICES- ST ELIZABETH COMMUNITY HEALTH SERVICES (SECHS) (FORMERLY ST ELIZABETH MEDICAL CENTER) IS A FULL SERVICE GENERAL HOSPITAL WITH 201 LICENSED BEDS. THE HOSPITAL PROVIDES A FULL RANGE OF ROUTINE AND ANCILLARY SERVICES, INCLUDING CARDIAC SURGERY AND ANGIOPLASTY. DISBURSEMENTS MADE BY THE HOSPITAL ARE EXCLUSIVELY FOR SERVICES AND MATERIALS USED IN PERFORMING THE HOSPITAL'S EXEMPT FUNCTIONS. ST ELIZABETH MEDICAL CENTER 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	$53,880,479	ExpenseAmt
Revenue	$53,281,129	RevenueAmt
Desc	AMBULATORY SURGERY- ST ELIZABETH COMMUNITY HEALTH SERVICES (FORMERLY ST ELIZABETH MEDICAL CENTER) HAD A FULL RANGE OF AMBULATORY SURGERY SERVICES ON ITS CAMPUS FOR PATIENTS THAT DO NOT REQUIRE OVERNIGHT OR LONG INPATIENT STAYS. SECHS PROVIDED SERVICES TO EVERYONE REGARDLESS OF RACE, RELIGION, OR ABILITY TO PAY.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$4,223,473	ExpenseAmt
Revenue	$4,176,492	RevenueAmt
Desc	COMMUNITY MEDICINE - IN ADDITION TO HAVING OUTPATIENT VISITS ON SITE, ST ELIZABETH COMMUNITY HEALTH SERVICES (FORMERLY ST ELIZABETH MEDICAL CENTER) HAD 13 OFF-SITE CLINICS TO PROVIDE PATIENTS WITH CONVENIENT MEDICAL CARE AT A LOWER COST THAN IN THE HOSPITAL SETTING. THE OFF-SITE CLINICS INCLUDE FAMILY PRACTICE AND COMMUNITY MEDICINE.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$29,386,660	ExpenseAmt
Revenue	$28,895,152	RevenueAmt
Desc	OTHER PROGRAM SERVICES INCLUDE EMERGENCY ROOM, REFERRED AMBULATORY, CLINICS, FAMILY PRACTICE, SPORTS MEDICINE CENTER, COLLEGE OF NURSING, INTERNS AND RESIDENTS, AND HOME HEALTH AGENCY	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$29,386,660	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$28,895,152	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$194,007,368	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	Yes (1)	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	0	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	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	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	0	TaxExemptBondsInd
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	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	129	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2452	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
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	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	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	Yes (1)	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

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LOUIS AIELLO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3159178203	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

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
NORMAN SIEGEL
CHAIR EMERITUS	1.00	2.50	Yes (X)	$0	$0	$0
JOAN COMPSON
CHAIR EMERITUS	1.00	2.50	Yes (X)	$0	$0	$0
ROBERT DICKS
DIRECTOR	1.00		Yes (X)	$0	$0	$0
SYMEON TSOUPELIS
DIRECTOR	1.00	2.50	Yes (X)	$0	$0	$0
ANDREW KOWALCZYK III
DIRECTOR	1.00	2.50	Yes (X)	$0	$0	$0
LAUREN BULL
VICE CHAIRMAN	1.00	2.50	Yes (X)	$0	$0	$0	Yes (X)
BARBARA BRODOCK
DIRECTOR	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 MCLEAN
DIRECTOR	1.00	2.50	Yes (X)	$0	$0	$0
CATHERINE COMINSKY
DIRECTOR	1.00	2.50	Yes (X)	$0	$0	$0
RICHARD TANTILLO
PHILANTHROPY CHAIR	1.00	2.50	Yes (X)	$0	$0	$0	Yes (X)
KAREN LEACH
SECRETARY	1.00	2.50	Yes (X)	$0	$0	$0	Yes (X)
SUSHMA KAUL MD
MVHS MEDICAL DIRECTOR VP	1.00	52.50	Yes (X)	$0	$687,185	$30,633
RICHARD ZWEIFEL
TREASURER	1.00	2.50	Yes (X)	$0	$0	$0	Yes (X)
GREGORY EVANS
CHAIRMAN	1.00	2.50	Yes (X)	$0	$0	$0	Yes (X)
JONATHON BLOCK MD
MVHS MEDICAL STAFF PRES	1.00	2.50	Yes (X)	$76,000	$33,000	$0
LOUIS AIELLO
SENIOR VP/CFO	18.00	32.00		$545,868	$92,760	$34,699	Yes (X)
DARLENE STROMSTAD
PRESIDENT/CEO	20.00	35.00		$0	$1,044,354	$25,003	Yes (X)
KENT HALL MD
SVP/PHYSICIAN PRACTICE AND	18.00	32.00		$0	$592,426	$32,422		Yes (X)
JEROME DAYAO DNPMSRNNEA-BCCCRN-K
CNO	18.00	32.00		$0	$508,455	$9,504		Yes (X)
LEO SULLIVAN
PHYSICIAN	50.00			$931,722	$133,749	$27,423			Yes (X)
ROBERT MADLINGER
PHYSICIAN	50.00			$712,991	$58,747	$19,227			Yes (X)
IBRAHIM S ELKILANY MD
PHYSICIAN	50.00			$665,446	$81,037	$21,758			Yes (X)
CHANDEREEP SINGH MD
PHYSICIAN	50.00			$548,451	$111,523	$12,100			Yes (X)
FRED L TALARICO MD
PHYSICIAN	50.00			$540,149	$48,243	$17,771			Yes (X)
WALEED ALBERT MD
FORMER DIRECTOR	0.00			$0	$49,004	$0				Yes (X)
ERIC YOSS MD
FORMER CMO	0.00	50.00		$0	$177,675	$6,866				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,020,627	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,618,158	TotReportableCompRltdOrgAmt
Total Other Compensation	$237,406	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	185	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
PROLINK HEALTHCARE
4600 MONTGOMERY RD 300	CINCINNATI	OH	45212	MEDICAL STAFFING SERVICES	$6,531,680
HEALTHCARE WORKFORCE LOGISTICS
2655 NORTHWINDS PARKWAY	ALPHARETTA	GA	30009	MEDICAL STAFFING SERVICES	$4,683,226
MOHAWK VALLEY ANESTHESIA GROUP
111 HOSPITAL DRIVE	UTICA	NY	13502	ANESTHESIA SERVICES	$2,661,318
MAYO COLLABORATIVE SERVICES
PO BOX 9146	MINNEAPOLIS	MN	55480	LABRATORY SERVICES	$1,818,250
COMPHEALTH-CHG COMPANIES INC
PO BOX 972651	DALLAS	TX	75397	MEDICAL STAFFING SERVICES	$1,298,643

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	30	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,662	RelatedOrganizationsAmt
Government Grants	$6,913,321	GovernmentGrantsAmt
All Other Contributions	$91,735	AllOtherContributionsAmt
Total Contributions	$7,006,718	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ACUTE CARE	621990	$105,331,597	$105,331,597
AMBULATORY SURGERY	621990	$53,281,129	$53,281,129
EMERGENCY DEPARTMENT	621990	$23,466,080	$23,466,080
PHARMACY	621990	$4,918,614	$4,918,614
PRIMARY CARE	621110	$4,176,492	$4,176,492

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$510,753	TotalRevenueColumnAmt
Related Or Exempt Func Income	$232,002	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$278,751	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$191,684,665	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$825,117	TotalRevenueColumnAmt
Exclusion	$825,117	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$613,797	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$85,924	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$527,873	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$527,873	TotalRevenueColumnAmt
Unrelated Business Revenue	-$17,685	UnrelatedBusinessRevenueAmt
Exclusion	$545,558	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$7,686,874	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$7,952,413	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$265,539	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$265,539	TotalRevenueColumnAmt
Exclusion	-$265,539	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	TUITION AND FEES	Desc
Business	621990	BusinessCd
Total Revenue Column	$1,426,399	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,426,399	RelatedOrExemptFuncIncomeAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,833,279	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,833,279	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,259,678	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$203,038,512	TotalRevenueColumnAmt
Related Or Exempt Func Income	$194,665,592	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$261,066	UnrelatedBusinessRevenueAmt
Exclusion	$1,105,136	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	$654,735	TotalAmt
Management And General	$654,735	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$89,868,016	TotalAmt
Program Services	$77,774,591	ProgramServicesAmt
Management And General	$12,093,425	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,131,209	TotalAmt
Program Services	$2,707,556	ProgramServicesAmt
Management And General	$423,653	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,601,312	TotalAmt
Program Services	$2,249,354	ProgramServicesAmt
Management And General	$351,958	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,336,188	TotalAmt
Program Services	$5,478,902	ProgramServicesAmt
Management And General	$857,286	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$119,747	TotalAmt
Program Services	$103,545	ProgramServicesAmt
Management And General	$16,202	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$34,857	TotalAmt
Management And General	$34,857	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$87,550	TotalAmt
Management And General	$87,550	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$17,590	TotalAmt
Management And General	$17,590	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$46,723	TotalAmt
Management And General	$46,723	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$44,538,360	TotalAmt
Program Services	$38,512,321	ProgramServicesAmt
Management And General	$6,026,039	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$9,108	TotalAmt
Program Services	$7,876	ProgramServicesAmt
Management And General	$1,232	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,040,574	TotalAmt
Program Services	$899,785	ProgramServicesAmt
Management And General	$140,789	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,709,913	TotalAmt
Program Services	$1,478,562	ProgramServicesAmt
Management And General	$231,351	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,850,367	TotalAmt
Program Services	$2,464,712	ProgramServicesAmt
Management And General	$385,655	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,847	TotalAmt
Program Services	$3,327	ProgramServicesAmt
Management And General	$520	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$290,989	TotalAmt
Program Services	$251,618	ProgramServicesAmt
Management And General	$39,371	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$882,993	TotalAmt
Program Services	$763,524	ProgramServicesAmt
Management And General	$119,469	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,817,609	TotalAmt
Program Services	$5,895,187	ProgramServicesAmt
Management And General	$922,422	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,025,379	TotalAmt
Program Services	$1,751,345	ProgramServicesAmt
Management And General	$274,034	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$39,908,920	$39,908,920
BAD DEBTS	$7,590,702	$7,590,702
ALL OTHER EXPENSES	$3,384,700	$2,913,785	$470,915
NON MEDICAL SUPPLIES	$2,860,898	$2,473,819	$387,079

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$777,937	TotalAmt
Program Services	$777,937	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$217,590,223	TotalAmt
Program Services	$194,007,368	ProgramServicesAmt
Management And General	$23,582,855	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,323,590	BOYAmt
EOY	$382,592	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$2,525,076	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$25,609,591	BOYAmt
EOY	$5,532,457	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,828,506	BOYAmt
EOY	$0	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,204,362	BOYAmt
EOY	$10,422	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$12,653,759	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$6,940,062	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$52,995,762	BOYAmt
EOY	$5,713,697	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$19,252,144	BOYAmt
EOY	$13,913,070	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$20,814,992	BOYAmt
EOY	$10,473,392	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$129,028,947	BOYAmt
EOY	$38,550,706	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$35,772,155	BOYAmt
EOY	$11,889,346	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$31,189,434	BOYAmt
EOY	$478,739	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$8,586,302	BOYAmt
EOY	$4,029,967	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$55,265,705	BOYAmt
EOY	$24,945,315	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$130,813,596	BOYAmt
EOY	$41,343,367	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	-$3,494,343	BOYAmt
EOY	-$3,842,882	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,709,694	BOYAmt
EOY	$1,050,221	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$1,784,649	BOYAmt
EOY	-$2,792,661	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$129,028,947	BOYAmt
EOY	$38,550,706	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$14,551,711	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,868,071	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$11,675,628	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)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

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	$17,590	OtherActivitiesAmt
Total Lobbying Expenditures	$17,590	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	ACTIVITIES INCLUDE THE PORTION OF DUES PAID TO THE HEALTH CARE ASSOCIATION OF NEW YORK STATE.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Preservation Open Space	Yes (X)	PreservationOpenSpaceInd
Total Easements	1	TotalEasementsCnt
Total Acreage	20.00	TotalAcreageCnt
States Easements Held	1	StatesEasementsHeldCnt
Written Policy Monitoring	0	WrittenPolicyMonitoringInd
Section170h Rqr Stsfd	Yes (1)	Section170hRqrStsfdInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,709,694	BeginningYearBalanceAmt
Contributions	$40,000	ContributionsAmt
Investment Earnings Or Losses	$59,078	InvestmentEarningsOrLossesAmt
Other Expenditures	$758,551	OtherExpendituresAmt
End Year Balance	$1,050,221	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,962,564	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$251,620	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,250	GrantsOrScholarshipsAmt
End Year Balance	$1,709,694	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,592,390	BeginningYearBalanceAmt
Investment Earnings Or Losses	$548,864	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$178,690	GrantsOrScholarshipsAmt
End Year Balance	$1,962,564	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,557,698	BeginningYearBalanceAmt
Investment Earnings Or Losses	$57,617	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$22,925	GrantsOrScholarshipsAmt
End Year Balance	$1,592,390	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,447,744	BeginningYearBalanceAmt
Contributions	$175,990	ContributionsAmt
Investment Earnings Or Losses	$250,468	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$177,564	GrantsOrScholarshipsAmt
Other Expenditures	$138,940	OtherExpendituresAmt
End Year Balance	$1,557,698	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.53880	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.46120	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	$687,580	OtherCostOrOtherBasisAmt
Book Value	$687,580	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,988,471	OtherCostOrOtherBasisAmt
Depreciation	$4,284,641	DepreciationAmt
Book Value	$3,703,830	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,977,708	OtherCostOrOtherBasisAmt
Depreciation	$2,655,421	DepreciationAmt
Book Value	$1,322,287	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$5,713,697	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
GRANT AND TUITION RECEIVABLES	$4,247,024
INTEREST IN NET ASSETS OF SEMC FOUNDATION	$5,473,534
INVESTMENTS RESTRICTED BY DONORS	$75,180
OPERATING LEASE RIGHT-OF-USE ASSETS	$677,654

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$10,473,392	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
ACCRUED PENSION LIABILITY	$9,400,625
LIABILITY TO THIRD PARTY PAYORS	$1,585,916
PROFESSIONAL LIABILITY DEDUCTIBLE	$7,365,880
DUE TO AFFILIATES	$6,181,117
OTHER CURRENT LIABILITIES	$99,962
OPERATING LEASE LIABILITIES	$311,815

Field	Value	IRS element (for citing)
Total Liability	$24,945,315	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART II, LINE 9:	THE AMOUNT OF CONSERVATION EASEMENT IS IMMATERIAL TO FINANCIAL STATEMENTS AND THEREFORE, IS NOT RECORDED AS PART OF TOTAL ASSETS.
PART V, LINE 4:	ENDOWMENT FUNDS - THE INTENDED PURPOSE OF THE ENDOWMENT FUNDS IS TO PROVIDE FUTURE SCHOLARSHIP AWARDS FOR STUDENTS IN THE COLLEGE OF NURSING PROGRAM.
PART X, LINE 2:	SECHS AND THE FOUNDATION HAVE BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31, 2023 AND 2022, SECHS AND THE FOUNDATION 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 2020 THROUGH 2023. SECHS AND THE FOUNDATION DOES NOT ANTICIPATE THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
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	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
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	$1,939,808	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,116,417	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$823,391	NetCommunityBenefitExpnsAmt
Total Expense	0.00390	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,089,497	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,178,490	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,911,007	NetCommunityBenefitExpnsAmt
Total Expense	0.04720	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$595,783	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$373,345	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$222,438	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,625,088	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,668,252	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,956,836	NetCommunityBenefitExpnsAmt
Total Expense	0.05220	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,729,928	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,729,928	NetCommunityBenefitExpnsAmt
Total Expense	0.00820	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,193,555	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,304,179	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,889,376	NetCommunityBenefitExpnsAmt
Total Expense	0.01850	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$93,615	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$93,615	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,017,098	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,304,179	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,712,919	NetCommunityBenefitExpnsAmt
Total Expense	0.02710	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$47,642,186	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,972,431	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,669,755	NetCommunityBenefitExpnsAmt
Total Expense	0.07930	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$7,369,572	BadDebtExpenseAmt
Bad Debt Expense Attributable	$211,862	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$41,714,533	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$50,871,359	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$9,156,826	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	GASTROENTEROLOGY SERVICES - PURCHASED 09/2023	PrimaryActivitiesTxt
Org Profit Or Ownership	0.20000	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.00000	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.00000	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	ST ELIZABETH MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2209 GENESEE STREET	AddressLine1Txt
City	UTICA	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13501	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Emergency Room Other	Yes (X)	EmergencyRoomOtherInd
Other	TEACHING HOSPITAL AND 24 HOUR ER	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ST ELIZABETH MEDICAL CENTER	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
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
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
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTP://MVHEALTHSYSTEM.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTP://MVHEALTHSYSTEM.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTP://MVHEALTHSYSTEM.ORG	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
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ST ELIZABETH MEDICAL CENTER	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.
ST ELIZABETH MEDICAL CENTER	PART V, SECTION B, LINE 6A: OTHER REPRESENTATIVES INCLUDED ROME HEALTH.
ST ELIZABETH MEDICAL CENTER	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 CENTERRANDALL VANWAGONERPRESIDENT, MOHAWK VALLEY COMMUNITY COLLEGE(MVCC),ANNEMARIE WALKER-CZYZ, RN, ED.D., NEA-BC PRESIDENT/CHIEF EXECUTIVE OFFICER ROME HEALTH.
ST ELIZABETH MEDICAL CENTER	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	6	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
2 - WOUND CARE SERVICES
4401 MIDDLE SETTLEMENT ROAD	NEW HARTFORD	NY	13413	OUTPATIENT PHYSICIAN CLINIC
5 - FAMILY PRACTICE NEW HARTFORD
4401 MIDDLE SETTLEMENT ROAD	NEW HARTFORD	NY	13413	OUTPATIENT PHYSICIAN CLINIC
6 - MARIAN MEDICAL
2211 GENESEE STREET	UTICA	NY	13501	OUTPATIENT LAB/PHYSICIAN CLINIC/CT SURGERY GROUP
9 - MEDICAL ARTS
4401 MIDDLE SETTLEMENT ROAD	NEW HARTFORD	NY	13413	OUTPATIENT LAB
11 - ST ELIZABETH LAB
86 GENESEE STREET	NEW HARTFORD	NY	13413	OUTPATIENT LAB
15 - ST ELIZABETH LAB AT UTICA BUSINESS PARK
125 BUSINESS PARK DRIVE SUITE 135	UTICA	NY	13502	OUTPATIENT LAB

Supplemental Information Detail SupplementalInformationDetail (12 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, LN 7 COL(F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24(B), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $7,590,702.
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. ALL PARTNERS IN THIS EFFORT WERE LISTED IN 2022. IN 2023 EVENTS CONDUCTED BY MVHS AND PARTNERS FOCUSED ON STROKE, HYPERTENSION AND DIABETES. MVHS EXPANDED THE PROGRAM ADDING DIETICIANS AND DIRECTOR OF MVHS SURVIVORSHIP PROGRAM. THIS COMMITMENT TO HOLISTIC HEALTH PROMOTION, INCLUDES NUTRITION AND FITNESS EDUCATION. IN 2023, THE PARTNERSHIP MET AND EXCEEDED ALL INTENDED GOALS: 362 COMMUNITY EVENTS/ GOAL 150 EVENTS; SCREENED 5,573 FOR HEART DISEASE AND/OR DIABETES IN 2023. GOAL: 5,000 CONDUCTED PRE AND POST-TESTS AT IDENTIFIED SITES. UPDATED CENSUS MAPS USING THE ACS, CDC PLACES TO IDENTIFY CENSUS OF HIGHER INCIDENCES OF STROKE, HYPERTENSION, AND DIABETES. DESPITE CONTINUED HIGH RATES IN TRACT 210 OF ONEIDA CO, THERE WAS A DECLINE IN STROKES. A REVIEW OF MVHS ED DATA FOR STROKE VISITS SHOWED AN INCREASE IN PATIENTS ARRIVING VIA AMBULANCE, ALIGNING WITH "FASTER" EDUCATION. MAINTAINED 39 STATIC SITES, WITH 29 NEW SITES IN 2023. INITIATED THE DEVELOPMENT OF A FORMAL SUSTAINABILITY PLAN IN Q4 2023 ANTICIPATING CONTINUED ACTIVITIES BY NURSING AND NAVIGATOR TEAMS ALBEIT ON A SMALLER SCALE. DEVELOPED A COMMUNITY CONSENT FORM FOR ALL EDUCATIONS AND SCREENINGS; CURRENTLY BEING TRANSLATED INTO MULTIPLE LANGUAGES; PATIENTS SCREENED AS "AT RISK" AGREE TO A FOLLOW-UP BY NURSES AND ARE THEN CONTACTED. HIRED TWO COMMUNITY OUTREACH NURSES IN 2023. PROVIDED 4,887 HEART-HEALTHY MEALS. MADE 1,233 REFERRALS TO HOME CARE, JOB TRAINING, CARE FOR OLDER ADULTS, AND SOCIAL AND RECREATIONAL SERVICES. REACHED 72% OF THE MINORITY AND REFUGEE POPULATION, COMPARED TO 57% IN 2022. STATIC LOCATIONS NOW INCLUDE FARMERS MARKETS, RESIDENTIAL COMPLEXES, COMMUNITY CENTERS, ETC. HELD 4 VACCINATION CLINICS IN PARTNERSHIP WITH THE CENTER AND RITE AID. AT ONE OF OUR STATIC SITES, JOHNSON PARK, ONE WOMAN IN PARTICULAR, WHO WAS SPANISH SPEAKING, HAD AN ELEVATED BLOOD PRESSURE AT WEEKLY CHECKS. WITH THE USE OF INTERPRETERS THE NURSE FOLLOWED UP TO VERIFY SHE CONTACTED HER PCP. SHE DID AND THE PCP FOUND WITH FURTHER TESTING THAT SHE HAD A HEART CONDITION. THE SCREENINGS AND FOLLOW-UP, FOUND THE CONDITION PRIOR TO A SERIOUS RESULT. SHE SHARED THAT SHE WAS EXTREMELY THANKFUL FOR THE PROGRAM. THE PARTNERSHIP'S PRIMARY CHALLENGE REMAINS THE SHORTAGE OF AVAILABLE NURSES FOR SCREENINGS AND HEALTH EDUCATION AT SCHEDULED EVENTS. TO ADDRESS THIS, DISCUSSIONS HAVE TAKEN PLACE WITH ROME HEALTH TO DEVELOP AN ADDITIONAL PER DIEM POOL NURSE AND CONVERT THE OUTREACH POSITION TO F/T.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. ALL PARTNERS IN THIS EFFORT WERE LISTED IN 2022. IN 2023, THE PARTNERSHIP MET AND EXCEEDED ALL INTENDED GOALS: 362 COMMUNITY EVENTS/ GOAL 150 EVENTS PRODUCED OVER 100 NEW SOCIAL MEDIA MARKETING PRODUCTS MADE 16,070 CONTACTS WITH COMMUNITY MEMBERS TO INCREASE KNOWLEDGE OF HOW TO PREVENT, TREAT, AND MANAGE HEART DISEASE IN 2023. GOAL: 15,000 CONDUCTED 5 HEALTHY LIFESTYLES LEARNING FORUMS LED BY PHYSICIAN AND CLINICAL LEADERS ON VARIOUS RELATED TOPICS: INCLUDING HEART DISEASE, WOMEN'S HEALTH, STROKE, NUTRITION, AND DIABETES 29 NEW STATIC SITES/ GOAL 25. OF NOTE, THE PARTNERSHIP HAD A TOTAL OF 39 TOTAL STATIC SITES IN 2023. TRANSLATED PARTNERSHIP MATERIALS INTO 13 LANGUAGES AND PROVIDED INTERPRETATION THROUGH THE CENTER ANDMVHS LANGUAGE SERVICES DEPARTMENT. REACHED 72% OF THE MINORITY AND REFUGEE POPULATION, COMPARED TO 57% IN 2022 DEVELOPED AND EXECUTED PARTNERSHIP AGREEMENTS, ENCOMPASSING FUNDS FLOW, INVOICING, AND REPORTING. IMPLEMENTED EDUCATIONAL MATERIALS, INSURANCE REFERRALS, AND PRE- & POST-TESTS THROUGH NURSING STAFF. A REVIEW OF MVHS EMERGENCY DEPARTMENT DATA FOR STROKE VISITS SHOWED AN INCREASE IN PATIENTS ARRIVING VIA AMBULANCE, ALIGNING WITH THE TARGETED FASTER EDUCATION FOR OPTIMAL STROKE OUTCOMES. 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 ALL PARTNERS IN THIS EFFORT WERE LISTED IN 2022. OCHD STAFF TOOK ONLINE QPR TRAINING THROUGH THE LMS IN 2023 (44). OCHD PARTICIPATED IN 2 COMMUNITY TABLING EVENTS SPONSORED BY THE COUNTY SUICIDE COALITION (ROME, HOLLAND PATENT). SUICIDE COALITION DISTRIB UTED EDUCATIONAL MATERIALS. MVHS BEHAVIORAL HEALTH DIRECTOR PARTICIPATES IN ONEIDA COUNTY SUICIDE PREVENTION COMMITTEE AND DISTRIBUTES SUICIDE COALITION MATERIALS TO MEDICAL GROUP PRACTICES AND PATIENTS IN 2023 AND CURRENTLY. MVHS CONTINUES TO STRENGTHEN PARTNERSHIP WITH THE LOCAL MCAT SERVICE & OUR ED CASES ARE NOW BEING DISPOSITIONED JOINTLY WITH THE BEHAVIORAL MEDICINE (PSYCHIATRY TEAM) MORE THAN IN THE PAST DUE TO DR GILFERT & THE PSYCH RESIDENTS.MVHS: BEHAVIORAL HEALTH DIRECTOR, JOE CARCONE CONDUCTED A REVIEW OF MVHS POLICIES TO DETERMINE ALIGNMENT AND POLICIES ARE CLOSELY ALIGNED WITH ZERO SUICIDE INITIATIVES. OCHD - HEALTH DEPARTMENT STAFF (10) RECEIVED TRAINING IN MENTAL HEALTH FIRST AID IN 2023. PENDING FINAL REPORT FROM SUBSTANCE USE ANTI-STIGMA CAMPAIGN REACH (SHATTERPROOF). ACTIVE MENTAL HEALTH FIRST AID TRAINERS IN COMMUNITY IDENTIFIED AND SURVEYED (2 - CFLR AND CONNECTED COMMUNITY SCHOOLS). GAP IDENTIFIED INCLUDE LIMITED AVAILABILITY TO NO/LOW COST TRAININGS FOR THE COMMUNITY. MVHS HAS CONVENED A COALITION OF BEHAVIORAL HEALTH PROVIDER ORGANIZATION IN ONEIDA COUNTY TO DISCUSS GAPS IN CARE FOR PATIENTS DISCHARGING FROM THE WYNN HOSPITAL. THIS COALITION IS CURRENTLY REVIEWING MENTAL HEALTH FIRST AID. OCHD: ACES PLANNING WORKGROUP MET 5 TIMES IN 2023, POD CAST OBJECTIVES DEVELOPED. 2 PODCASTS RECORDED IN 2023 AND POSTED ON SYSTEMS OF CARE WEBSITE FOR USE BY COMMUNITY PROVIDERS AND SCHOOLS. 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). ALL PARTNERS IN THIS EFFORT WERE LISTED IN 2022. BREAST CANCER SCREENING MEASURE IS INCLUDED AS A MEASURE IN THE MEDICAL GROUP'S PRIMARY CARE QUALITY INCENTIVE PLAN PROGRAM. THIS MEASURE IS REVIEWED QUARTERLY AND PATIENT OUTREACH LETTERS (VIA MYCHART AND MAIL) ARE SENT TO PATIENTS WHO ARE DUE FOR THE SERVICE. THIS OUTREACH INCLUDES ALL PATIENTS REGARDLESS OF INSURANCE TYPE. IN ADDITION, CARE ALERTS AND HEALTH MAINTENANCE NOTIFICATIONS FOR BREAST CANCER SCREENING IS AN ACTIVE PART OF THE PATIENT'S CHART TO ALERT THE PROVIDER THE PATIENT IS DUE FOR THE SCREENING. ALSO, MAMMOGRAPHY SERVICES ARE PROVIDED AT THE SISTER ROSE VINCENT FAMILY MEDICINE CENTER TO PROVIDE BETTER ACCESS TO THE MEDICAID MANAGED CARE POPULATION. 2 MOBILE MAMMOGRAPHY EVENTS HOSTED THROUGH UPSTATE HOSPITAL IN 2023 (UTICA, DEERFIELD). IN ADDITION, THERE WERE 108 EDUCATIONAL EVENTS HELD AT 58 LOCATIONS THROUGHOUT THE YEAR WITH 4,256 ATTENDEES. THE EDUCATIONAL TOPICS INCLUDED SAFETY CHECK & QUIZ, FALL PREVENTION, BLOOD PRESSURE SCREENINGS, JOB SAFETY, PLAY GROUND SAFETY WITH A PAMPHLET PROVIDED AND SUMMER SAFETY WITH HANDOUT.
PART III, LINE 4:	990 PART III LINE 4: (FOOTNOTE)ST ELIZABETH COMMUNITY HEALTH SERVICES (SECHS) (FORMERLY ST ELIZABETH MEDICAL CENTER) PROVIDED CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. SECHS'S POLICY IS NOT TO PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE; THEREFORE, THESE AMOUNTS ARE NOT REPORTED IN NET PATIENT SERVICE REVENUE. DURING 2023 AND 2022, COSTS INCURRED BY SECHS IN THE PROVISION OF CHARITY CARE WERE BASED ON THE RATIO OF SECHS'S COSTS TO GROSS CHARGES AND APPROXIMATED $216,000 AND $187,000 FOR THE YEARS ENDED DECEMBER 31, 2023 AND 2022, RESPECTIVELY.990 PART III, LINE 3:SECHS GRANTS CREDIT WITHOUT COLLATERAL TO PATIENTS, MOST OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD-PARTY AGREEMENTS. ADDITIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS ARE MADE BY MEANS OF THE PROVISION FOR DOUBTFUL ACCOUNTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE AND SUBSEQUENT RECOVERIES ARE ADDED. THE AMOUNT OF THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENT HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. SERVICES RENDERED TO INDIVIDUALS WHEN PAYMENT IS EXPECTED AND ULTIMATELY NOT RECEIVED ARE WRITTEN OFF TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 8:	THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 IS COST TO CHARGE RATIO. THE SHORTFALL REPORTED IS COMMUNITY BENEFIT EXPENSE BECAUSE THIS AMOUNT REPRESENTS THE UNREIMBURSED COSTS TO THE MEDICAL CENTER FOR PROVIDING CARE FOR THE COMMUNITY'S ELDERLY AND DISABLED.
PART III, LINE 9B:	COLLECTION POLICY PROVISIONS PATIENTS THAT QUALIFY FOR THE MEDICAL CENTER CHARITY CARE PROGRAM HAVE THE CHARGES ON THEIR ACCOUNTS FORGIVEN AS THEY ARE PLACED IN CHARITY CARE AND THE BALANCES ARE WRITTEN OFF. THE SECHS CHARITY CARE PROGRAM USED THE FEDERAL POVERTY GUIDELINES (FPG) AS A GUIDE WITH HIGH-END LIMITS AT 300% OF THE FPG. IN THOSE SITUATIONS WHERE THE PATIENT'S INCOME IS BETWEEN 200% - 300% OF THE FPG, A SMALL COST SHARE WOULD BE THE ONLY AMOUNT NOT INCLUDED IN CHARITY CARE. ADDITIONALLY THIS SMALL COST SHARE WOULD BE THE ONLY AMOUNT TURNED OVER TO COLLECTION WITH THE OPPORTUNITY OF EVENTUALLY BEING WRITTEN OF TO BAD DEBT IF NOT PAID.
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:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETHIS IS COMMUNICATED THROUGH SECHS FACILITATED ENROLLMENT PROGRAM AND THE FINANCIAL ASSISTANCE PROGRAM. INFORMATION IS INCLUDED IN THE PATIENT INFORMATION GUIDES PRESENTED TO INPATIENTS AND OUTPATIENTS AND IS AVAILABLE ON THE HOSPITAL'S WEBSITE.SECHS FINANCIAL ASSISTANCE PROGRAMTO SUPPORT THE MISSION, SECHS HAS DEVELOPED THE FINANCIAL ASSISTANCE PROGRAM. SECHS WILL MAKE AVAILABLE A RESONABLE AMOUNT OF UNCOMPENSATED SERVICES TO ELIGIBLE PERSONS.SECHS FACILITATED ENROLLMENT PROGRAMIN 2000, SECHS DEVELOPED AND IMPLEMENTED THE FACILITATED ENROLLMENT PROGRAM AS A RESULT OF THE UNIQUE COLLABORATION THAT WAS FORGED BETWEEN SECHS AND ONEIDA COUNTY SOCIAL SERVICES DEPARTMENT. THIS PROGAM ALLOWS SECHS STAFF, PATIENT ACCOUNT REPRESENTATIVES, TO ACT AS AN AUTHORIZED REPRESENTATIVE OF THE PATIENT AT THE ONEIDA COUNTY DEPARTMENT OF SOCIAL SERVICES AND SUBMIT THE APPLICATION FOR BENEFITS. THIS SUCCESSFUL PROGRAM HAS EXPANDED THROUGHOUT THE PAST SEVERAL YEARS TO INCLUDE OUTPATIENTS AND EMERGENCY DEPARTMENT PATIENTS.
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 (PRIOR TO 10/29/2023) INCLUDED: FAXTON-ST. LUKES HEALTHCARE (FSLH), ST. ELIZABETH MEDICAL CENTER (SEMC), AND ROME HEALTH (RH). FSLH AND SEMC, BOTH A PART OF THE MOHAWK VALLEY HEALTH SYSTEM , MERGED TO FORM MVHS, INC. DBA WYNN HOSPITAL AS OF 10/29/2023. WYNN HOSPITAL IS LOCATED IN UTICA, NY. 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 314,021 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: - MOHAWK VALLEY LATINO ASSOCIATION- ROME & UTICA BRANCHES OF THE NAACP- THE CENTER - EXCELLUS BLUE CROSS BLUE SHIELD- THE COMMUNITY FOUNDATION OF HERKIMER & ONEIDA COUNTY- MOHAWK VALLEY COMMUNICATION ACTION AGENCY- UPSTATE FAMILY HEALTH- AMERICAN HEART ASSOCIATION- ONEIDA COUNTY HEALTH DEPARTMENT- MOHAWK VALLEY HEALTH SYSTEM- 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. - ALZHEIMER'S ASSOCIATION- FIDELIS
PART VI, LINE 6:	ST. ELIZABETH MEDICAL CENTER (SEMC) AND FAXTON ST. LUKE'S HEALTHCARE (FSLH) AFFILIATED UNDER THE MOHAWK VALLEY HEALTH SYSTEM (MOHAWK VALLEY HEALTH SYSTEM) ON MARCH 6, 2014. ON OCTOBER 29, 2023 THESE HOSPITALS MERGED AND RELOCATED SERVICES TO A NEW HEALTH CAMPUS AT 111 HOSPITAL DRIVE IN UTICA, NY. FSLH WAS RE-NAMED MVHS, INC DBA WYNN HOSPITAL AND SEMC WAS RENAMED ST ELIZABETH COMMUNITY HEALTH SERVICES. ALL PATIENT CARE IS PROVIDED UNDER MVHS INC. EIN 16-1576637MVHS MAIN CAMPUSES: WYNN CAMPUS, NOTED ABOVEST. 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 22 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.WYNN CAMPUS: BARIATRIC SURGERY PROGRAM MATERNAL CHILD SERVICES MOHAWK VALLEY VASCULAR CENTER STROKE CENTER SURGICAL AND AMBULATORY SERVICES TOTAL JOINT ORTHOPEDIC PROGRAMFAXTON CAMPUS CANCER CENTER OUTPATIENT REHABILITATION SERVICES MEDICAL OFFICESCENTER FOR REHABILITATION AND CONTINUING CARE SERVICES ACUTE INPATIENT REHABILITATION UNIT ST. LUKE'S HOME SENIOR NETWORK HEALTH VISITING NURSE ASSOCIATION OF UTICA AND ONEIDA COUNTYST ELIZABETH COMMUNITY HEALTH SERVICES CAMPUS IS STILL UTILIZED FOR: MOHAWK VALLEY SLEEP DISORDERS CENTER ST. ELIZABETH COLLEGE OF NURSINGMEDICAL ARTS CAMPUS: ADVANCED WOUND CARE CENTER OUTPATIENT LABORATORY DRAW SITEOUR 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.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.MVHS, INC DBA WYNN HOSPITAL 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 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, WYNN HOSPITAL AND ST. LUKE'S HOME. 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	0	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 (12 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
LEO SULLIVAN
PHYSICIAN	$521,200	$63,749	$409,522	$70,000	$1,000	$0	$16,500	$0	$9,755	$1,168	$957,977	$134,917	$0	$0
DARLENE STROMSTAD
PRESIDENT/CEO	$0	$775,000	$0	$248,000	$0	$21,354	$0	$13,200	$0	$11,803	$0	$1,069,357	$0	$0
ROBERT MADLINGER
PHYSICIAN	$686,056	$58,747	$25,000	$0	$1,935	$0	$16,500	$0	$2,727	$0	$732,218	$58,747	$0	$0
IBRAHIM S ELKILANY MD
PHYSICIAN	$664,731	$81,037	$0	$0	$715	$0	$3,927	$0	$16,344	$1,487	$685,717	$82,524	$0	$0
SUSHMA KAUL MD
MVHS MEDICAL DIRECTOR VP	$0	$425,712	$0	$257,649	$0	$3,824	$0	$13,200	$0	$17,433	$0	$717,818	$0	$0
LOUIS AIELLO
SENIOR VP/CFO	$431,539	$88,269	$96,900	$0	$17,429	$4,491	$23,100	$0	$9,767	$1,832	$578,735	$94,592	$0	$0
CHANDEREEP SINGH MD
PHYSICIAN	$536,000	$111,114	$0	$0	$12,451	$409	$0	$0	$10,367	$1,733	$558,818	$113,256	$0	$0
KENT HALL MD
SVP/PHYSICIAN PRACTICE AND	$0	$491,724	$0	$49,173	$0	$51,529	$0	$13,200	$0	$19,222	$0	$624,848	$0	$0
FRED L TALARICO MD
PHYSICIAN	$511,566	$48,243	$12,206	$0	$16,377	$0	$5,233	$0	$11,390	$1,148	$556,772	$49,391	$0	$0
JEROME DAYAO DNPMSRNNEA-BCCCRN-K
CNO	$0	$441,363	$0	$20,000	$0	$47,092	$0	$0	$0	$9,504	$0	$517,959	$0	$0
ERIC YOSS MD
FORMER CMO	$0	$164,232	$0	$0	$0	$13,443	$0	$6,569	$0	$297	$0	$184,541	$0	$0
WALEED ALBERT MD
FORMER DIRECTOR	$0	$0	$0	$0	$0	$49,004	$0	$0	$0	$0	$0	$49,004	$0	$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 3	EFFECTIVE OCTOBER 29, 2023, THE MOHAWK VALLEY HEALTH SYSTEM (PARENT) FINALIZED CONSTRUCTION OF ITS NEW HOSPITAL CAMPUS IN DOWNTOWN UTICA CONSOLIDATING OPERATIONS AND SERVICES FROM THE CAMPUSES OF THE MEDICAL CENTER AND FAXTON-ST. LUKE'S HEALTHCARE. ON THAT DAY, THE MEDICAL CENTER CHANGED ITS LEGAL NAME TO ST. ELIZABETH COMMUNITY HEALTH SUPPORT (SECHS) AND BECAME A NON-ARTICLE 28 FACILITY THAT SUPPORTS MOHAWK VALLEY HEALTH SYSTEM.
FORM 990, PART VI, SECTION A, LINE 6	MOHAWK VALLEY HEALTH SYSTEM AND PARTNERS IN FRANCISCAN MINISTRIES, INC.
FORM 990, PART VI, SECTION A, LINE 7A	RESERVED POWERS TO MOHAWK VALLEY HEALTH SYSTEM ("MVHS"): IN ADDITION TO ALL OTHER RIGHTS AND POWERS OF MEMBERSHIP PRESCRIBED BY NEW YORK LAW, THE CERTIFICATE OF INCORPORATION AND/OR THE BYLAWS OF THE CORPORATION, THE FOLLOWING GOVERNANCE AND MANAGEMENT POWERS SHALL BE DELEGATED TO MVHS TO THE EXTENT PERMITTED BY THE NEW YORK NOT-FOR-PROFIT CORPORATION LAW: (1) EXCEPT AS OTHERWISE SET FORTH HEREIN, TO APPROVE AND INTERPRET THE STATEMENT OF MISSION AND PHILOSOPHY ADOPTED BY THE CORPORATION, TO REQUIRE THAT THE CORPORATION OPERATE IN CONFORMANCE WITH ITS MISSION AND PHILOSOPHY AND TO COORDINATE THE MISSIONS, VISIONS, ACTIVITIES AND RESOURCES OF THE CORPORATION IN ORDER TO PROMOTE HIGH QUALITY, EFFICIENT AND EFFECTIVE HEALTH CARE SERVICES IN ONEIDA COUNTY, NEW YORK, AND SURROUNDING AREAS. NOTWITHSTANDING THE FOREGOING, MVHS SHALL NOT HAVE THE POWER TO APPROVE OR INTERPRET THOSE ELEMENTS OF THE CORPORATION'S MISSION AND PHILOSOPHY THAT RELATE SPECIFICALLY TO ITS STATUS AS A CATHOLIC ORGANIZATION OR THE PURSUIT OF THE CORPORATION'S CATHOLIC MISSION AND PHILOSOPHY; (2) TO ELECT OR APPOINT, FIX THE NUMBER OF, AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION, AND TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATION. NOTWITHSTANDING THE FOREGOING, PFM SHALL BE ENTITLED TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE ONE ADDITIONAL DIRECTOR DESIGNATED BY PFM TO THE CORPORATION'S BOARD OF DIRECTORS; (3) TO AMEND OR REPEAL THE CERTIFICATE AND BYLAWS, AND TO ADOPT ANY NEW OR RESTATED CERTIFICATE OF INCORPORATION OR BYLAWS, OF THE CORPORATION; (4) TO APPROVE ANY PLAN OF MERGER, CONSOLIDATION, DISSOLUTION OR LIQUIDATION OF THE CORPORATION; (5) TO APPROVE THE DEBT OF THE CORPORATION IN EXCESS OF AN AMOUNT TO BE FIXED FROM TIME TO TIME BY MVHS; (6) TO APPROVE THE SALE, ACQUISITION, LEASE, TRANSFER, MORTGAGE, GUARANTEE OR PLEDGE OF REAL OR PERSONAL PROPERTY OF THE CORPORATION IN EXCESS OF AN AMOUNT TO BE FIXED FROM TIME TO TIME BY MVHS. NOTWITHSTANDING THE FOREGOING, THE APPROVAL OF PFM SHALL BE REQUIRED FOR THE SALE, TRANSFER, MORTGAGE, GUARANTEE, PLEDGE OR OTHER ALIENATION OF REAL OR PERSONAL PROPERTY OF THE CORPORATION IN EXCESS OF AN AMOUNT TO BE FIXED FROM TIME TO TIME BY PFM, TO MEET THE REQUIREMENTS OF THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS; (7) TO APPROVE THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION; (8) TO APPROVE SETTLEMENTS OF LITIGATION WHEN SUCH SETTLEMENTS EXCEED APPLICABLE INSURANCE COVERAGE OR THE AMOUNT OF ANY APPLICABLE SELF-INSURANCE FUND AVAILABLE TO SUCH CORPORATION; (9) TO APPROVE ANY CORPORATE REORGANIZATION OF THE CORPORATION AND THE ESTABLISHMENT, MERGER, CONSOLIDATION, REORGANIZATION OR DISSOLUTION OF ANY ORGANIZATIONAL RELATIONSHIP OF THE CORPORATION, INCLUDING BUT NOT LIMITED TO SUBSIDIARY CORPORATIONS, PARTNERSHIPS, OR JOINT VENTURES OF THE CORPORATION; (10) TO APPROVE AND COORDINATE THE STRATEGIC PLANS OF THE CORPORATION; (11) TO THE EXTENT APPLICABLE, TO APPROVE ALL CONTRACTS OF REIMBURSEMENT FOR THE CORPORATION FROM GOVERNMENTAL OR PRIVATE THIRD PARTY INSURERS; (12) TO THE EXTENT APPLICABLE, TO APPROVE ALL APPLICATIONS OF THE CORPORATION TO FEDERAL OR STATE GOVERNMENTAL AGENCIES FOR ESTABLISHMENT OR OPERATING LICENSURE, INCLUDING BUT NOT LIMITED TO CERTIFICATE OF NEED APPLICATIONS TO THE NEW YORK STATE DEPARTMENT OF HEALTH AS REQUIRED; (13) TO THE EXTENT APPLICABLE, TO APPROVE MANAGEMENT CONTRACTS FOR THE CORPORATION SUBJECT TO APPROVAL AND/OR REGULATION UNDER THE LAWS AND REGULATIONS OF THE STATE OF NEW YORK; (14) TO APPROVE ANY MATERIAL CHANGE IN THE SERVICES OFFERED BY THE CORPORATION; (15) TO REQUIRE THE CORPORATION TO PARTICIPATE IN ANY AND ALL PROGRAMS AND SERVICES, AS DETERMINED BY MVHS IN ITS DISCRETION, PROVIDED, HOWEVER, THAT MVHS MAY NOT REQUIRE CORPORATION TO PARTICIPATE IN ANY PROGRAM OR SERVICE OR TAKE ANY ACTION THAT WOULD CONSTITUTE A DEFAULT OR EVENT OF DEFAULT UNDER ANY MORTGAGE, INDENTURE OR OTHER MATERIAL AGREEMENT OR INSTRUMENT TO WHICH THE CORPORATION IS A PARTY AND BY WHICH IT IS BOUND, AND MAY NOT REQUIRE THE CORPORATION'S PARTICIPATION IN ANY PROGRAM OR SERVICE WHICH WOULD BE CONTRARY TO ITS STATUS AS A CATHOLIC ORGANIZATION OR THE PURSUIT OF ITS CATHOLIC MISSION OR PHILOSOPHY; AND (16) TO ACCEPT DELEGATIONS OF AUTHORITY ON BEHALF OF THE CORPORATION PURSUANT TO SECTION 701 OF THE NOT-FOR PROFIT CORPORATION LAW AND EXERCISE ON BEHALF OF THE CORPORATION, THE AUTHORITY TO ACCEPT, UTILIZE, TRANSFER AND SHARE IN THE ASSETS, REVENUES AND INCOME OF THE CORPORATION AND TO MAINTAIN A SINGLE CONSOLIDATED SET OF BOOKS AND FINANCIAL RECORDS, AS MAY BE NECESSARY OR DESIRABLE TO CARRY OUT THE OBLIGATIONS OF THE CORPORATION PURSUANT TO ANY MASTER TRUST INDENTURE OR SIMILAR INSTRUMENT AND, PROVIDED, HOWEVER, THAT NO SUCH AUTHORITY SHALL BE ACCEPTED OR EXERCISED EXCEPT PURSUANT TO THE NOT-FOR-PROFIT CORPORATION LAW AND UNTIL ALL APPROVALS REQUIRED BY LAW HAVE FIRST BEEN OBTAINED, INCLUDING, WITHOUT LIMITATION, THE PRIOR APPROVAL OF THE DEPARTMENT OF HEALTH AS MAY BE REQUIRED FOR OBLIGATED GROUP FINANCINGS. FOR THE PURPOSES OF THE FOREGOING, MVHS SHALL HAVE: (I) THE POWER TO INITIATE AND DIRECT ACTION BY THE CORPORATION WITHOUT A PRIOR RECOMMENDATION OF THE CORPORATION'S BOARD OF DIRECTORS; AND (II) THE POWER TO ACCEPT, REJECT OR MODIFY THE RECOMMENDATION OF THE CORPORATION'S BOARD OF DIRECTORS AND TO DIRECT ACTION BY THE CORPORATION OR TO RETURN THE MATTER TO THE BOARD OF DIRECTORS OF THE CORPORATION FOR RECONSIDERATION, WITH REASONS FOR REJECTION AND/OR SUGGESTED CHANGE. NOTWITHSTANDING THE FOREGOING, IN THE CASE OF THE CORPORATION, MVHS SHALL NOT DIRECT ANY ACTION WITH RESPECT TO THE CORPORATION THAT REQUIRES THE APPROVAL OF PFM WITHOUT PRIOR APPROVAL OF SUCH ACTION BY PFM. THE BOARD OF DIRECTORS AND OFFICERS OF THE CORPORATION SHALL NOT IMPLEMENT ANY ACTION REQUIRING THE APPROVAL OF MVHS UNTIL MVHS SHALL HAVE EXERCISED ITS RESERVE POWERS AND COMMUNICATED ITS DETERMINATIONS IN WRITING TO THE CORPORATION'S BOARD OF DIRECTORS AND, IN THE CASE OF ANY POWERS OVER THE CORPORATION THAT ARE ALSO RESERVED TO PFM, TO PFM. RESERVED POWERS TO PARTNERS IN FRANCISCAN MINISTRIES, INC. ("PFM") THE FOLLOWING POWERS SHALL BE RESERVED EXCLUSIVELY TO PFM: (1) TO APPROVE AND INTERPRET THOSE ELEMENTS OF THE CORPORATION'S STATEMENT OF MISSION AND PHILOSOPHY ADOPTED BY THE CORPORATION THAT RELATE TO THE CORPORATION'S STATUS AS A CATHOLIC ORGANIZATION OR THE PURSUIT OF THE CORPORATION'S CATHOLIC MISSION AND PHILOSOPHY, AND ANY AMENDMENTS THEREOF, AND TO REQUIRE THE CORPORATION TO OPERATE IN CONFORMANCE WITH ITS CATHOLIC MISSION AND PHILOSOPHY; THIS POWER SHALL INCLUDE APPROVAL OF THE INDIVIDUAL WHO WILL SERVE IN A POSITION TO OVERSEE MISSION, WHICH POSITION WILL REPORT DIRECTLY TO THE PRESIDENT/CEO AND SHALL NOT BE ELIMINATED WITHOUT THE PRIOR APPROVAL OF PFM. (2) TO APPROVE ANY AMENDMENT OF THE CORPORATION'S PURPOSES OR POWERS IN ITS CERTIFICATE OF INCORPORATION THAT WOULD TERMINATE THE CORPORATION'S STATUS AS A CATHOLIC ORGANIZATION OR DIMINISH ITS COMMITMENT OR ABILITY TO OPERATE IN A MANNER CONSISTENT WITH THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTHCARE SERVICES; AND (3) TO APPROVE THE SALE, TRANSFER, MORTGAGE, GUARANTY, PLEDGE OR OTHER ALIENATION OF REAL OR PERSONAL PROPERTY OF THE CORPORATION IN EXCESS OF AN AMOUNT TO BE FIXED FROM TIME TO TIME BY THE PFM TO MEET THE REQUIREMENTS OF THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. (4) TO APPROVE AND REJECT APPOINTMENTS TO THE PENSION COMMITTEE FOR THE SEMC CHURCH PLAN. (5) TO APPROVE ANY AMENDMENTS OR MODIFICATIONS TO, OR THE TERMINATION OF, THE SEMC CHURCH PLAN; AND (6) TO ELECT OR APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, ONE DIRECTOR OF THE CORPORATION WHO DOES NOT CURRENTLY SERVE ON THE BOARD OF MVHS.
FORM 990, PART VI, SECTION A, LINE 7B	RESERVED POWERS TO MOHAWK VALLEY HEALTH SYSTEM ("MVHS"): IN ADDITION TO ALL OTHER RIGHTS AND POWERS OF MEMBERSHIP PRESCRIBED BY NEW YORK LAW, THE CERTIFICATE OF INCORPORATION AND/OR THE BYLAWS OF THE CORPORATION, THE FOLLOWING GOVERNANCE AND MANAGEMENT POWERS SHALL BE DELEGATED TO MVHS TO THE EXTENT PERMITTED BY THE NEW YORK NOT-FOR-PROFIT CORPORATION LAW: (1) EXCEPT AS OTHERWISE SET FORTH HEREIN, TO APPROVE AND INTERPRET THE STATEMENT OF MISSION AND PHILOSOPHY ADOPTED BY THE CORPORATION, TO REQUIRE THAT THE CORPORATION OPERATE IN CONFORMANCE WITH ITS MISSION AND PHILOSOPHY AND TO COORDINATE THE MISSIONS, VISIONS, ACTIVITIES AND RESOURCES OF THE CORPORATION IN ORDER TO PROMOTE HIGH QUALITY, EFFICIENT AND EFFECTIVE HEALTH CARE SERVICES IN ONEIDA COUNTY, NEW YORK, AND SURROUNDING AREAS. NOTWITHSTANDING THE FOREGOING, MVHS SHALL NOT HAVE THE POWER TO APPROVE OR INTERPRET THOSE ELEMENTS OF THE CORPORATION'S MISSION AND PHILOSOPHY THAT RELATE SPECIFICALLY TO ITS STATUS AS A CATHOLIC ORGANIZATION OR THE PURSUIT OF THE CORPORATION'S CATHOLIC MISSION AND PHILOSOPHY; (2) TO ELECT OR APPOINT, FIX THE NUMBER OF, AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION, AND TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATION. NOTWITHSTANDING THE FOREGOING, PFM SHALL BE ENTITLED TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE ONE ADDITIONAL DIRECTOR DESIGNATED BY PFM TO THE CORPORATION'S BOARD OF DIRECTORS; (3) TO AMEND OR REPEAL THE CERTIFICATE AND BYLAWS, AND TO ADOPT ANY NEW OR RESTATED CERTIFICATE OF INCORPORATION OR BYLAWS, OF THE CORPORATION; (4) TO APPROVE ANY PLAN OF MERGER, CONSOLIDATION, DISSOLUTION OR LIQUIDATION OF THE CORPORATION; (5) TO APPROVE THE DEBT OF THE CORPORATION IN EXCESS OF AN AMOUNT TO BE FIXED FROM TIME TO TIME BY MVHS; (6) TO APPROVE THE SALE, ACQUISITION, LEASE, TRANSFER, MORTGAGE, GUARANTEE OR PLEDGE OF REAL OR PERSONAL PROPERTY OF THE CORPORATION IN EXCESS OF AN AMOUNT TO BE FIXED FROM TIME TO TIME BY MVHS. NOTWITHSTANDING THE FOREGOING, THE APPROVAL OF PFM SHALL BE REQUIRED FOR THE SALE, TRANSFER, MORTGAGE, GUARANTEE, PLEDGE OR OTHER ALIENATION OF REAL OR PERSONAL PROPERTY OF THE CORPORATION IN EXCESS OF AN AMOUNT TO BE FIXED FROM TIME TO TIME BY PFM, TO MEET THE REQUIREMENTS OF THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS; (7) TO APPROVE THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION; (8) TO APPROVE SETTLEMENTS OF LITIGATION WHEN SUCH SETTLEMENTS EXCEED APPLICABLE INSURANCE COVERAGE OR THE AMOUNT OF ANY APPLICABLE SELF-INSURANCE FUND AVAILABLE TO SUCH CORPORATION; (9) TO APPROVE ANY CORPORATE REORGANIZATION OF THE CORPORATION AND THE ESTABLISHMENT, MERGER, CONSOLIDATION, REORGANIZATION OR DISSOLUTION OF ANY ORGANIZATIONAL RELATIONSHIP OF THE CORPORATION, INCLUDING BUT NOT LIMITED TO SUBSIDIARY CORPORATIONS, PARTNERSHIPS, OR JOINT VENTURES OF THE CORPORATION; (10) TO APPROVE AND COORDINATE THE STRATEGIC PLANS OF THE CORPORATION; (11) TO THE EXTENT APPLICABLE, TO APPROVE ALL CONTRACTS OF REIMBURSEMENT FOR THE CORPORATION FROM GOVERNMENTAL OR PRIVATE THIRD PARTY INSURERS; (12) TO THE EXTENT APPLICABLE, TO APPROVE ALL APPLICATIONS OF THE CORPORATION TO FEDERAL OR STATE GOVERNMENTAL AGENCIES FOR ESTABLISHMENT OR OPERATING LICENSURE, INCLUDING BUT NOT LIMITED TO CERTIFICATE OF NEED APPLICATIONS TO THE NEW YORK STATE DEPARTMENT OF HEALTH AS REQUIRED; (13) TO THE EXTENT APPLICABLE, TO APPROVE MANAGEMENT CONTRACTS FOR THE CORPORATION SUBJECT TO APPROVAL AND/OR REGULATION UNDER THE LAWS AND REGULATIONS OF THE STATE OF NEW YORK; (14) TO APPROVE ANY MATERIAL CHANGE IN THE SERVICES OFFERED BY THE CORPORATION; (15) TO REQUIRE THE CORPORATION TO PARTICIPATE IN ANY AND ALL PROGRAMS AND SERVICES, AS DETERMINED BY MVHS IN ITS DISCRETION, PROVIDED, HOWEVER, THAT MVHS MAY NOT REQUIRE CORPORATION TO PARTICIPATE IN ANY PROGRAM OR SERVICE OR TAKE ANY ACTION THAT WOULD CONSTITUTE A DEFAULT OR EVENT OF DEFAULT UNDER ANY MORTGAGE, INDENTURE OR OTHER MATERIAL AGREEMENT OR INSTRUMENT TO WHICH THE CORPORATION IS A PARTY AND BY WHICH IT IS BOUND, AND MAY NOT REQUIRE THE CORPORATION'S PARTICIPATION IN ANY PROGRAM OR SERVICE WHICH WOULD BE CONTRARY TO ITS STATUS AS A CATHOLIC ORGANIZATION OR THE PURSUIT OF ITS CATHOLIC MISSION OR PHILOSOPHY; AND (16) TO ACCEPT DELEGATIONS OF AUTHORITY ON BEHALF OF THE CORPORATION PURSUANT TO SECTION 701 OF THE NOT-FOR PROFIT CORPORATION LAW AND EXERCISE ON BEHALF OF THE CORPORATION, THE AUTHORITY TO ACCEPT, UTILIZE, TRANSFER AND SHARE IN THE ASSETS, REVENUES AND INCOME OF THE CORPORATION AND TO MAINTAIN A SINGLE CONSOLIDATED SET OF BOOKS AND FINANCIAL RECORDS, AS MAY BE NECESSARY OR DESIRABLE TO CARRY OUT THE OBLIGATIONS OF THE CORPORATION PURSUANT TO ANY MASTER TRUST INDENTURE OR SIMILAR INSTRUMENT AND, PROVIDED, HOWEVER, THAT NO SUCH AUTHORITY SHALL BE ACCEPTED OR EXERCISED EXCEPT PURSUANT TO THE NOT-FOR-PROFIT CORPORATION LAW AND UNTIL ALL APPROVALS REQUIRED BY LAW HAVE FIRST BEEN OBTAINED, INCLUDING, WITHOUT LIMITATION, THE PRIOR APPROVAL OF THE DEPARTMENT OF HEALTH AS MAY BE REQUIRED FOR OBLIGATED GROUP FINANCINGS. FOR THE PURPOSES OF THE FOREGOING, MVHS SHALL HAVE: (I) THE POWER TO INITIATE AND DIRECT ACTION BY THE CORPORATION WITHOUT A PRIOR RECOMMENDATION OF THE CORPORATION'S BOARD OF DIRECTORS; AND (II) THE POWER TO ACCEPT, REJECT OR MODIFY THE RECOMMENDATION OF THE CORPORATION'S BOARD OF DIRECTORS AND TO DIRECT ACTION BY THE CORPORATION OR TO RETURN THE MATTER TO THE BOARD OF DIRECTORS OF THE CORPORATION FOR RECONSIDERATION, WITH REASONS FOR REJECTION AND/OR SUGGESTED CHANGE. NOTWITHSTANDING THE FOREGOING, IN THE CASE OF THE CORPORATION, MVHS SHALL NOT DIRECT ANY ACTION WITH RESPECT TO THE CORPORATION THAT REQUIRES THE APPROVAL OF PFM WITHOUT PRIOR APPROVAL OF SUCH ACTION BY PFM. THE BOARD OF DIRECTORS AND OFFICERS OF THE CORPORATION SHALL NOT IMPLEMENT ANY ACTION REQUIRING THE APPROVAL OF MVHS UNTIL MVHS SHALL HAVE EXERCISED ITS RESERVE POWERS AND COMMUNICATED ITS DETERMINATIONS IN WRITING TO THE CORPORATION'S BOARD OF DIRECTORS AND, IN THE CASE OF ANY POWERS OVER THE CORPORATION THAT ARE ALSO RESERVED TO PFM, TO PFM. RESERVED POWERS TO PARTNERS IN FRANCISCAN MINISTRIES, INC. ("PFM") THE FOLLOWING POWERS SHALL BE RESERVED EXCLUSIVELY TO PFM: (1) TO APPROVE AND INTERPRET THOSE ELEMENTS OF THE CORPORATION'S STATEMENT OF MISSION AND PHILOSOPHY ADOPTED BY THE CORPORATION THAT RELATE TO THE CORPORATION'S STATUS AS A CATHOLIC ORGANIZATION OR THE PURSUIT OF THE CORPORATION'S CATHOLIC MISSION AND PHILOSOPHY, AND ANY AMENDMENTS THEREOF, AND TO REQUIRE THE CORPORATION TO OPERATE IN CONFORMANCE WITH ITS CATHOLIC MISSION AND PHILOSOPHY; THIS POWER SHALL INCLUDE APPROVAL OF THE INDIVIDUAL WHO WILL SERVE IN A POSITION TO OVERSEE MISSION, WHICH POSITION WILL REPORT DIRECTLY TO THE PRESIDENT/CEO AND SHALL NOT BE ELIMINATED WITHOUT THE PRIOR APPROVAL OF PFM. (2) TO APPROVE ANY AMENDMENT OF THE CORPORATION'S PURPOSES OR POWERS IN ITS CERTIFICATE OF INCORPORATION THAT WOULD TERMINATE THE CORPORATION'S STATUS AS A CATHOLIC ORGANIZATION OR DIMINISH ITS COMMITMENT OR ABILITY TO OPERATE IN A MANNER CONSISTENT WITH THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTHCARE SERVICES; AND (3) TO APPROVE THE SALE, TRANSFER, MORTGAGE, GUARANTY, PLEDGE OR OTHER ALIENATION OF REAL OR PERSONAL PROPERTY OF THE CORPORATION IN EXCESS OF AN AMOUNT TO BE FIXED FROM TIME TO TIME BY THE PFM TO MEET THE REQUIREMENTS OF THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. (4) TO APPROVE AND REJECT APPOINTMENTS TO THE PENSION COMMITTEE FOR THE SEMC CHURCH PLAN. (5) TO APPROVE ANY AMENDMENTS OR MODIFICATIONS TO, OR THE TERMINATION OF, THE SEMC CHURCH PLAN; AND (6) TO ELECT OR APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, ONE DIRECTOR OF THE CORPORATION WHO DOES NOT CURRENTLY SERVE ON THE BOARD OF MVHS.
FORM 990, PART VI, SECTION B, LINE 11B	INFORMATION IS GATHERED FROM THE ACCOUNTING AND PAYROLL DEPARTMENTS, WHICH IS USED BY THE SENIOR ACCOUNTANT TO PREPARE WORKSHEETS USED TO POPULATE THE FORM 990. MEMBERS OF AN EXTERNAL AUDIT AND TAX FIRM (CURRENTLY FUST CHARLES CHAMBERS LLP) INITIALLY DISCUSS, PREPARE AND REVIEW THE RETURN WITH THE SENIOR ACCOUNTANT. THE SEMC MANAGEMENT TEAM REVIEWS THE DRAFT AND HAS THE OPPORTUNITY TO ASK QUESTIONS AND DISCUSS THE RETURN WITH THE TAX STAFF. AFTER THE MANAGEMENT TEAM'S APPROVAL, THE FORM 990 IS DISTRIBUTED TO THE GOVERNING BODY FOR THEIR REVIEW AND COMMENT PRIOR TO THE FILING OF THE FORM 990.
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 DUTY TO DISCLOSE SHOULD BE ON-GOING AND 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	PUBLIC DISCLOSURE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THE ORGANIZATION'S FORM 990 IS POSTED ON WWW.GUIDESTAR.ORG.
FORM 990, PART IX, LINE 11G	PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 35,723,619. MANAGEMENT AND GENERAL EXPENSES 5,589,690. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 41,313,309. SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 2,788,702. MANAGEMENT AND GENERAL EXPENSES 436,349. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,225,051.
FORM 990, PART XI, LINE 9:	SEMC CHANGE IN FOUNDATION'S NET ASSETS 5,569. PENSION RELATED CHANGES OTHER OTHER THAN NET PERIODIC PENSION COST 4,801,714. OTHER COMPONENTS OF PERIODIC BENEFIT COST 1,046,456. OTHER CHANGES TO NET ASSETS -51,058. IMPAIRMENT OF LONG LIVED ASSETS -21,540,142. EQUITY TRANSFERS TO/FROM AFFILIATES 27,413,089.
FORM 990, PART XII, LINE 2C:	THERE HAS BEEN NO CHANGE IN THE PROCESS BY WHICH THE ORGANIZATION OVERSEES ITS AUDIT OR THE PROCESS BY WHICH THE ORGANIZATION SELECTS ITS INDEPENDENT ACCOUNTANT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
MVHS INC DBA WYNN HOSPITAL
111 HOSPITAL DRIVE	UTICA	NY	13502	161576637	ACCUTE CARE HOSPITAL	NY	501(C)(3)	LINE 3	MOHAWK VALLEY HEALTH SYSTEM (PARENT)	0
SR OF ST FRANCIS OF THE NEUMANN COMMUNITY
2500 GRANT BLVD	SYRACUSE	NY	13208	204292535	RELIGIOUS ORDER	NY	501(C)(3)	LINE 1		0	N/A
PARTNERS IN FRANCISCAN MINISTRIES
2500 GRANT BLVD	SYRACUSE	NY	13208	452279986	SPONSOR MINISTRIES	NY	501(C)(3)	LINE 12A, I		0	N/A
VISITING NURSES ASSOCIATION OF UTICA AND ONEIDA COUNTY
2608 GENESEE STREET	UTICA	NY	13502	150532259	HOME HEALTH NURSING	NY	501(C)(3)	LINE 10	MOHAWK VALLEY HEALTH SYSTEM (PARENT)	0
ST ELIZABETH MEDICAL CENTER FOUNDATION
2209 GENESEE STREET	UTICA	NY	13501	222562170	FUNDRAISING	NY	501(C)(3)	LINE 10	ST ELIZABETH COMMUNITY HEALTH SUPPORT	Yes (1)
MOHAWK VALLEY HEALTH SYSTEM (PARENT)
PO BOX 4308	UTICA	NY	13504	223124162	PROMOTE HEALTHCARE	NY	501(C)(3)	LINE 12B, II		0	N/A
MOHAWK VALLEY HEALTH SYSTEM FOUNDATION
1676 SUNSET AVENUE	UTICA	NY	13502	223078768	FUNDRAISING	NY	501(C)(3)	LINE 12A, I	MOHAWK VALLEY HEALTH SYSTEM (PARENT)	0
ST LUKE'S HOME RESIDENTIAL HEALTHCARE FACILITY
PO BOX 6305	UTICA	NY	13504	161476372	202 BED RHCF	NY	501(C)(3)	LINE 10	MVHS INC	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	HEALTHCARE UNDERWRITERS MUTUAL RISK MA NY (UNINCORPORATED)	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5687 MAIN STREET	AddressLine1Txt
City	WILLIAMSVILLE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14221	ZIPCd

Field	Value	IRS element (for citing)
EIN	161484203	EIN
Primary Activities	SELF-INSURANCE GROUP	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	T	EntityTypeTxt
Controlled Organization	0	ControlledOrganizationInd

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	Yes (1)	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	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	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd