2024-11-13T19:07:35-06:00 2023-12-31 161226221 FUSTCHARLES LLP 220 S WARREN STREET SYRACUSE NY 13202 990 2023-01-01 150532245 ST ELIZABETH COMMUNITY HEALTH SUPPORT STEL 3158018151 2209 GENESEE STREET UTICA NY 135015999 LOUIS AIELLO CFO 3159178203 2024-11-15 1 0 PATRICK CAPELLA P01359200 3154463600 2024-11-12 2023 2024-10-15 13:58:12Z X LOUIS AIELLO 111 HOSPITAL DRIVE UTICA NY 13502 211076849 0 X HTTPS://MVHEALTHSYSTEM.ORG X 1861 NY 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. 18 15 2452 10 261066 0 10428909 7006718 228539625 191684665 857261 559578 4230955 3787551 244056750 203038512 0 0 0 0 117779041 102591460 0 0 0 129043692 114998763 246822733 217590223 -2765983 -14551711 129028947 38550706 130813596 41343367 -1784649 -2792661 X 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. 0 1 106516756 105331897 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. 53880479 53281129 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. 4223473 4176492 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. 29386660 28895152 OTHER PROGRAM SERVICES INCLUDE EMERGENCY ROOM, REFERRED AMBULATORY, CLINICS, FAMILY PRACTICE, SPORTS MEDICINE CENTER, COLLEGE OF NURSING, INTERNS AND RESIDENTS, AND HOME HEALTH AGENCY 29386660 28895152 194007368 1 1 0 1 0 0 1 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 129 0 1 2452 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 18 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X LOUIS AIELLO 3159178203 111 HOSPITAL DRIVE UTICA NY 13502 NORMAN SIEGEL CHAIR EMERITUS 1.00 2.50 X 0 0 0 JOAN COMPSON CHAIR EMERITUS 1.00 2.50 X 0 0 0 ROBERT DICKS DIRECTOR 1.00 X 0 0 0 SYMEON TSOUPELIS DIRECTOR 1.00 2.50 X 0 0 0 ANDREW KOWALCZYK III DIRECTOR 1.00 2.50 X 0 0 0 LAUREN BULL VICE CHAIRMAN 1.00 2.50 X X 0 0 0 BARBARA BRODOCK DIRECTOR 1.00 2.50 X 0 0 0 CATHERINE BROWNELL PHD DIRECTOR 1.00 2.50 X 0 0 0 DOMENIC P AIELLO MD DIRECTOR 1.00 2.50 X 0 0 0 GREGORY MCLEAN DIRECTOR 1.00 2.50 X 0 0 0 CATHERINE COMINSKY DIRECTOR 1.00 2.50 X 0 0 0 RICHARD TANTILLO PHILANTHROPY CHAIR 1.00 2.50 X X 0 0 0 KAREN LEACH SECRETARY 1.00 2.50 X X 0 0 0 SUSHMA KAUL MD MVHS MEDICAL DIRECTOR VP 1.00 52.50 X 0 687185 30633 RICHARD ZWEIFEL TREASURER 1.00 2.50 X X 0 0 0 GREGORY EVANS CHAIRMAN 1.00 2.50 X X 0 0 0 JONATHON BLOCK MD MVHS MEDICAL STAFF PRES 1.00 2.50 X 76000 33000 0 LOUIS AIELLO SENIOR VP/CFO 18.00 32.00 X 545868 92760 34699 DARLENE STROMSTAD PRESIDENT/CEO 20.00 35.00 X 0 1044354 25003 KENT HALL MD SVP/PHYSICIAN PRACTICE AND 18.00 32.00 X 0 592426 32422 JEROME DAYAO DNPMSRNNEA-BCCCRN-K CNO 18.00 32.00 X 0 508455 9504 LEO SULLIVAN PHYSICIAN 50.00 X 931722 133749 27423 ROBERT MADLINGER PHYSICIAN 50.00 X 712991 58747 19227 IBRAHIM S ELKILANY MD PHYSICIAN 50.00 X 665446 81037 21758 CHANDEREEP SINGH MD PHYSICIAN 50.00 X 548451 111523 12100 FRED L TALARICO MD PHYSICIAN 50.00 X 540149 48243 17771 WALEED ALBERT MD FORMER DIRECTOR 0.00 X 0 49004 0 ERIC YOSS MD FORMER CMO 0.00 50.00 X 0 177675 6866 4020627 3618158 237406 185 1 1 0 PROLINK HEALTHCARE 4600 MONTGOMERY RD 300 CINCINNATI OH 45212 MEDICAL STAFFING SERVICES 6531680 HEALTHCARE WORKFORCE LOGISTICS 2655 NORTHWINDS PARKWAY ALPHARETTA GA 30009 MEDICAL STAFFING SERVICES 4683226 MOHAWK VALLEY ANESTHESIA GROUP 111 HOSPITAL DRIVE UTICA NY 13502 ANESTHESIA SERVICES 2661318 MAYO COLLABORATIVE SERVICES PO BOX 9146 MINNEAPOLIS MN 55480 LABRATORY SERVICES 1818250 COMPHEALTH-CHG COMPANIES INC PO BOX 972651 DALLAS TX 75397 MEDICAL STAFFING SERVICES 1298643 30 1662 6913321 91735 7006718 ACUTE CARE 621990 105331597 105331597 AMBULATORY SURGERY 621990 53281129 53281129 EMERGENCY DEPARTMENT 621990 23466080 23466080 PHARMACY 621990 4918614 4918614 PRIMARY CARE 621110 4176492 4176492 510753 232002 278751 191684665 825117 825117 613797 85924 527873 527873 -17685 545558 7686874 7952413 -265539 -265539 -265539 TUITION AND FEES 621990 1426399 1426399 1833279 1833279 3259678 203038512 194665592 261066 1105136 X 654735 654735 89868016 77774591 12093425 3131209 2707556 423653 2601312 2249354 351958 6336188 5478902 857286 119747 103545 16202 34857 34857 87550 87550 17590 17590 46723 46723 44538360 38512321 6026039 9108 7876 1232 1040574 899785 140789 1709913 1478562 231351 2850367 2464712 385655 3847 3327 520 290989 251618 39371 882993 763524 119469 6817609 5895187 922422 2025379 1751345 274034 MEDICAL SUPPLIES 39908920 39908920 BAD DEBTS 7590702 7590702 ALL OTHER EXPENSES 3384700 2913785 470915 NON MEDICAL SUPPLIES 2860898 2473819 387079 777937 777937 217590223 194007368 23582855 0 1323590 382592 2525076 25609591 5532457 7828506 0 1204362 10422 12653759 6940062 52995762 5713697 19252144 13913070 20814992 10473392 129028947 38550706 35772155 11889346 31189434 478739 8586302 4029967 55265705 24945315 130813596 41343367 X -3494343 -3842882 1709694 1050221 -1784649 -2792661 129028947 38550706 X -14551711 1868071 11675628 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 17590 17590 0 PART II-B, LINE 1: ACTIVITIES INCLUDE THE PORTION OF DUES PAID TO THE HEALTH CARE ASSOCIATION OF NEW YORK STATE. X 1 20.00 1 0 1 1709694 40000 59078 758551 1050221 1962564 -251620 1250 1709694 1592390 548864 178690 1962564 1557698 57617 22925 1592390 1447744 175990 250468 177564 138940 1557698 0.53880 0.46120 0 1 1 687580 687580 7988471 4284641 3703830 3977708 2655421 1322287 5713697 GRANT AND TUITION RECEIVABLES 4247024 INTEREST IN NET ASSETS OF SEMC FOUNDATION 5473534 INVESTMENTS RESTRICTED BY DONORS 75180 OPERATING LEASE RIGHT-OF-USE ASSETS 677654 10473392 ACCRUED PENSION LIABILITY 9400625 LIABILITY TO THIRD PARTY PAYORS 1585916 PROFESSIONAL LIABILITY DEDUCTIBLE 7365880 DUE TO AFFILIATES 6181117 OTHER CURRENT LIABILITIES 99962 OPERATING LEASE LIABILITIES 311815 24945315 X 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. 1 1 1 X 250.000000000000 1 X 325.000000000000 1 1 1 0 1 1 1939808 1116417 823391 0.00390 35089497 25178490 9911007 0.04720 595783 373345 222438 0.00110 37625088 26668252 10956836 0.05220 1729928 1729928 0.00820 8193555 4304179 3889376 0.01850 93615 93615 0.00040 10017098 4304179 5712919 0.02710 47642186 30972431 16669755 0.07930 1 7369572 211862 41714533 50871359 -9156826 X 1 1 1 MOHAWK VALLEY ENDOSCOPY CENTER GASTROENTEROLOGY SERVICES - PURCHASED 09/2023 0.20000 0.00000 0.00000 1 1 ST ELIZABETH MEDICAL CENTER 2209 GENESEE STREET UTICA NY 13501 X X X X TEACHING HOSPITAL AND 24 HOUR ER ST ELIZABETH MEDICAL CENTER 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X HTTP://MVHEALTHSYSTEM.ORG X HTTP://OCGOV.NET X 1 22 1 HTTP://MVHEALTHSYSTEM.ORG 0 1 X 250.000000000000 325.000000000000 X X 1 1 X X X 1 X HTTP://MVHEALTHSYSTEM.ORG X HTTP://MVHEALTHSYSTEM.ORG X HTTP://MVHEALTHSYSTEM.ORG X X X X X X 1 X 0 X X 1 X 0 0 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. 6 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 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 X X X X X X 0 0 0 0 0 0 0 0 0 LEO SULLIVAN PHYSICIAN 521200 63749 409522 70000 1000 0 16500 0 9755 1168 957977 134917 0 0 DARLENE STROMSTAD PRESIDENT/CEO 0 775000 0 248000 0 21354 0 13200 0 11803 0 1069357 0 0 ROBERT MADLINGER PHYSICIAN 686056 58747 25000 0 1935 0 16500 0 2727 0 732218 58747 0 0 IBRAHIM S ELKILANY MD PHYSICIAN 664731 81037 0 0 715 0 3927 0 16344 1487 685717 82524 0 0 SUSHMA KAUL MD MVHS MEDICAL DIRECTOR VP 0 425712 0 257649 0 3824 0 13200 0 17433 0 717818 0 0 LOUIS AIELLO SENIOR VP/CFO 431539 88269 96900 0 17429 4491 23100 0 9767 1832 578735 94592 0 0 CHANDEREEP SINGH MD PHYSICIAN 536000 111114 0 0 12451 409 0 0 10367 1733 558818 113256 0 0 KENT HALL MD SVP/PHYSICIAN PRACTICE AND 0 491724 0 49173 0 51529 0 13200 0 19222 0 624848 0 0 FRED L TALARICO MD PHYSICIAN 511566 48243 12206 0 16377 0 5233 0 11390 1148 556772 49391 0 0 JEROME DAYAO DNPMSRNNEA-BCCCRN-K CNO 0 441363 0 20000 0 47092 0 0 0 9504 0 517959 0 0 ERIC YOSS MD FORMER CMO 0 164232 0 0 0 13443 0 6569 0 297 0 184541 0 0 WALEED ALBERT MD FORMER DIRECTOR 0 0 0 0 0 49004 0 0 0 0 0 49004 0 0 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. 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 N/A 0 PARTNERS IN FRANCISCAN MINISTRIES 2500 GRANT BLVD SYRACUSE NY 13208 452279986 SPONSOR MINISTRIES NY 501(C)(3) LINE 12A, I N/A 0 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 1 MOHAWK VALLEY HEALTH SYSTEM (PARENT) PO BOX 4308 UTICA NY 13504 223124162 PROMOTE HEALTHCARE NY 501(C)(3) LINE 12B, II N/A 0 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 HEALTHCARE UNDERWRITERS MUTUAL RISK MA NY (UNINCORPORATED) 5687 MAIN STREET WILLIAMSVILLE NY 14221 161484203 SELF-INSURANCE GROUP NY N/A T 0 0 0 1 0 1 0 0 0 1 1 1 0 0 1 1 1 1 1 1