MVHS INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: MVHS INC (EIN 16-1576637)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-15
IRS object ID: 202323199349324037
Schema version: 2022v5.0
Note: A later return for the same period supersedes this one.
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-15T16:25:44-06:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	161226221	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	FUSTCHARLES LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	220 S WARREN STREET	AddressLine1Txt
City	SYRACUSE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13202	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	161576637	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FAXTON ST LUKE'S HEALTHCARE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	FAXT	BusinessNameControlTxt
Phone	3156246000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 479	AddressLine1Txt
City	UTICA	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13502	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LOUIS AIELLO	PersonNm
Person Title	CFO/SR VP	PersonTitleTxt
Phone	3156246143	PhoneNum
Signature	2023-11-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	LOUIS	PersonFirstNm
Person Last	AIELLO	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

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	2023-11-15	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	LOUIS AIELLO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 479	AddressLine1Txt
City	UTICA	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13502	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$393,810,070	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	MVHEALTHSYSTEM.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2000	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE FOR EXCELLENCE IN HEALTHCARE FOR OUR COMMUNITIES.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	2689	TotalEmployeeCnt
Total Volunteers	30	TotalVolunteersCnt
Total Gross UBI	-$643,624	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,837,421	PYContributionsGrantsAmt
CY Contributions Grants	$11,654,796	CYContributionsGrantsAmt
PY Program Service Revenue	$324,505,280	PYProgramServiceRevenueAmt
CY Program Service Revenue	$350,694,704	CYProgramServiceRevenueAmt
PY Investment Income	$8,950,288	PYInvestmentIncomeAmt
CY Investment Income	$2,722,853	CYInvestmentIncomeAmt
PY Other Revenue	$26,197,909	PYOtherRevenueAmt
CY Other Revenue	$27,417,066	CYOtherRevenueAmt
PY Total Revenue	$364,490,898	PYTotalRevenueAmt
CY Total Revenue	$392,489,419	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$183,777,017	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$192,356,255	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$168,865,108	PYOtherExpensesAmt
CY Other Expenses	$201,213,518	CYOtherExpensesAmt
PY Total Expenses	$352,642,125	PYTotalExpensesAmt
CY Total Expenses	$393,569,773	CYTotalExpensesAmt
PY Revenues Less Expenses	$11,848,773	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,080,354	CYRevenuesLessExpensesAmt
Total Assets BOY	$336,161,577	TotalAssetsBOYAmt
Total Assets EOY	$312,244,691	TotalAssetsEOYAmt
Total Liabilities BOY	$136,026,134	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$141,438,147	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$200,135,443	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$170,806,544	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	FAXTON ST LUKES HEALTHCARE, INC.'S MISSION IS TO PROVIDE FOR EXCELLENCE IN HEALTHCARE FOR OUR COMMUNITIES. OUR VISION IS TO BE THE TRUSTED HEALTHCARE SYSTEM OF CHOICE THROUGH CLINICAL QUALITY, EXCELLENCE IN SERVICE AND EDUCATION, COMPASSIONATE CARE, PROMOTION OF WELLNESS AND OPERATIONAL EFFICIENCY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$129,642,724	ExpenseAmt
Revenue	$129,519,601	RevenueAmt
Desc	INPATIENT/ACUTE CARE SERVICES - FSLH IS A FULL SERVICE GENERAL HOSPTIAL WITH 320 LICENSED BEDS. THE HOSPTIAL PROVIDES A FULL RANGE OF ANCILLARY SERVICES, INCLUDING MATERNITY AND NEWBORN CARE SERVICES. DISBURSEMENTS MADE BY THE HOSPTIAL ARE EXCLUSIVELY FOR SERVICES AND MATERIALS USED IN PERFORMING THE HOSPITAL'S EXEMPT FUNCTIONS. FSLH PROVIDES CARE TO EVERYONE REGARDLESS OF RACE, RELIGION OR ABILITY TO PAY.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$65,069,210	ExpenseAmt
Revenue	$65,007,414	RevenueAmt
Desc	RADIOLOGY/MEDICAL IMAGING - MVHS MEDICAL IMAGING PROVIDES DIAGNOSTIC AND INTERVENTIONAL RADIOLOGY USING RADIATION, SOUND WAVES OR MAGNETIC FIELDS IN MEDICAL DIAGNOSIS AND INCLUDES IMAGING TECHNOLOGY SUCH AS X-RAYS, COMPUTED TOMOGRAPHY (CT), MAGNETIC RESONANCE IMAGING (MRI) AND ULTRASOUND. MVHS OFFERS THE FOLLOWING MEDICAL IMAGING SERVICES AT 4 CENTRAL LOCATIONS, IN ADDITION TO THOSE OUTPATIENT X-RAY SERVICES PROVIDED AT VARIOUS PRIMARY CARE SITES: CT SCANS, ULTRASOUND, EMERGENCY RADIOLOGY, FLUOROSCOPY, INPATIENT X-RAY, OUTPATIENT X-RAY, INTERVENTIONAL RADIOLOGY, NUCLEAR MEDICINE, PET SCAN, DIGITAL MAMMOGRAPHY, 3D MAMMOGRAPHY, STEREOTACTIC AND ULTRASOUND BREAST BIOPSY AND BONE DENSITY/DEXA SCAN. MRI SERVICES ARE AVAILABLE AT THE ST LUKE'S CAMPUS, WHICH ARE PROVIDED BY COOPERATIVE MAGNETIC IMAGING.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$24,112,226	ExpenseAmt
Revenue	$24,089,327	RevenueAmt
Desc	RENAL DIALYSIS - THE DIALYSIS PROGRAM AT MOHAWK VALLEY HEALTH SYSTEM (MVHS) IS THE SOLE PROVIDER OF IP, OP AND HOME DIALYSIS TREATMENTS WITHIN 25 MILES TO THE EAST AND WEST, AND NEARLY 75 MILES TO THE NORTH AND SOUTH. IN 2021, PATIENTS FROM SEVEN COUNTIES, RECEIVED MORE THAN 58,000 DIALYSIS TREATMENTS AT ONE OF SEVEN FACILITIES LOCATED THROUGHOUT THE MOHAWK VALLEY. MVHS IS ONE OF THE LARGEST HOSPITAL-BASED DIALYSIS PROGRAMS IN THE COUNTRY AND IS GROWING TO ADDRESS THE UNMET NEEDS OF THE LOCAL POPULATION. ADDITIONALLY, MVHS PROVIDES HOME DIALYSIS TREATMENTS FOR PERITONEAL AND HOME HEMO.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$130,584,819	ExpenseAmt
Revenue	$132,078,362	RevenueAmt
Desc	CANCER CARE, LABORATORY PATHOLOGY, CLINICAL AND BLOOD, PT, OT, COMMUNITY MEDICINE PRIMARY AND SPECIALTY, CARDIAC REHAB AND TESTING, WOUND CARE	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$130,584,819	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$132,078,362	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$349,408,979	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	370	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2689	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	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	17	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	LOUIS AIELLO	PersonNm
Phone	3156246143	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 479	AddressLine1Txt
City	UTICA	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13502	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
GREGORY EVANS
CHAIRMAN	1.00	2.50	Yes (X)	Yes (X)	$0	$0	$0
LAUREN BULL
VICE CHAIRMAN	1.00	2.50	Yes (X)	Yes (X)	$0	$0	$0
KAREN LEACH
SECRETARY	1.00	2.50	Yes (X)	Yes (X)	$0	$0	$0
RICHARD ZWEIFEL
TREASURER	1.00	2.50	Yes (X)	Yes (X)	$0	$0	$0
RICHARD TANTILLO
PHILANTHROPY CHAIR	1.00	2.50	Yes (X)	Yes (X)	$0	$0	$0
JOAN COMPSON
CHAIR EMERITUS	1.00	2.50	Yes (X)		$0	$0	$0
NORMAN SIEGEL
CHAIR EMERITUS	1.00	2.50	Yes (X)		$0	$0	$0
CATHERINE BROWNELL PHD
DIRECTOR	1.00	2.50	Yes (X)		$0	$0	$0
DOMENIC P AIELLO MD
DIRECTOR	1.00	2.50	Yes (X)		$0	$0	$0
GREGORY B MCLEAN
DIRECTOR	1.00	2.50	Yes (X)		$0	$0	$0
BARBARA BRODOCK
DIRECTOR	1.00	2.50	Yes (X)		$0	$0	$0
CATHERINE COMINSKY
DIRECTOR	1.00	2.50	Yes (X)		$0	$0	$0
ANDREW KOWALCZYK III
DIRECTOR	1.00	2.50	Yes (X)		$0	$0	$0
SYMEON TSOUPELIS
DIRECTOR	1.00	2.50	Yes (X)		$0	$0	$0
SUSHMA KAUL MD
PHYSICIAN/MEDICAL STAFF VP	51.00	2.50	Yes (X)		$687,154	$0	$29,549
JONATHAN BLOCK MD
DIRECTOR/MEDICAL STAFF PR	1.00	2.50	Yes (X)		$0	$0	$0
DARLENE STROMSTAD
PRESIDENT/CEO	30.00	25.00	Yes (X)	Yes (X)	$1,183,762	$0	$23,524
LOUIS AIELLO
SR VICE PRESIDENT/CFO	27.00	23.00		Yes (X)	$0	$596,869	$31,112
MANSOOR SHAHID
SR VICE PRESIDENT/COO	30.00	20.00			$466,597	$0	$29,154	Yes (X)
KENT HALL MD
SVP/PHYSICIAN PRACTICE AND OPERATIONS	30.00	20.00			$633,862	$0	$31,190	Yes (X)
CHRISTOPHER MAX MD
PHYSICIAN	50.00				$1,278,143	$0	$29,958		Yes (X)
ANDREW PELLECCHIA MD
PHYSICIAN	50.00				$946,732	$0	$30,400		Yes (X)
NALINI NAMASSIVAYA MD
PHYSICIAN	50.00				$739,339	$0	$21,902		Yes (X)
MARIO CARRILLO DO
PHYSICIAN	50.00				$722,403	$0	$27,582		Yes (X)
JONATHAN WIGDERSON MD
PHYSICIAN	50.00				$659,267	$0	$21,897		Yes (X)
WALEED ALBERT MD
FORMER FSLH MEDICAL STAFF	0.00				$50,504	$0	$0			Yes (X)
ERIC YOSS MD
FORMER CMO	50.00	0.00			$281,019	$0	$13,488			Yes (X)
LINDA MCCORMACK-MILLER
SR VICE PRESIDENT/CNO	30.00	20.00			$128,463	$0	$4,654			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,777,245	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$596,869	TotReportableCompRltdOrgAmt
Total Other Compensation	$294,410	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	445	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
DAVIN HEALTHCARE
18 DIVISION ST	SARATOGA SPRINGS	NY	12866	MEDICAL STAFFING	$11,927,379
BNY MELLON
500 ROSS ST	PITTSBURGH	PA	15262	BANKING	$8,139,294
PROLINK
4600 MONTGOMERY RD	CINCINNATI	OH	45212	MEDICAL STAFFING	$5,440,632
EPIC SYSTEMS CORP
1979 MILKY WAY	VERONA	WI	53593	IT SYSTEM	$3,158,714
JACKSON & COKER LOCUM
2655 NORTHWINDS PARKWAY	ALPHARETTA	GA	30009	LOCUMS	$2,329,995

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	74	CntrctRcvdGreaterThan100KCnt
Related Organizations	$800,963	RelatedOrganizationsAmt
Government Grants	$10,853,833	GovernmentGrantsAmt
Total Contributions	$11,654,796	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ACUTE CARE	622200	$129,519,601	$129,519,601
RADIOLOGY	622200	$65,007,414	$65,007,414
RENAL DIALYSIS	622200	$24,089,327	$24,089,327
LABORATORY	621500	$21,380,998	$21,380,998
CANCER CARE	622200	$17,421,105	$17,421,105

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$93,276,259	TotalRevenueColumnAmt
Related Or Exempt Func Income	$93,276,259	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$350,694,704	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,160,229	TotalRevenueColumnAmt
Exclusion	$2,160,229	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$677,027	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,320,651	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$643,624	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$643,624	TotalRevenueColumnAmt
Unrelated Business Revenue	-$643,624	UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$562,624	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$562,624	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$562,624	TotalRevenueColumnAmt
Exclusion	$562,624	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
340B CONTRACT	900099	$18,952,955	$18,952,955
RETAIL PHARMACY	900099	$5,583,105	$5,583,105

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,524,630	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,524,630	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$28,060,690	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$392,489,419	TotalRevenueColumnAmt
Related Or Exempt Func Income	$378,755,394	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$643,624	UnrelatedBusinessRevenueAmt
Exclusion	$2,722,853	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,084,792	TotalAmt
Program Services	$1,194,805	ProgramServicesAmt
Management And General	$1,889,987	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$161,840,860	TotalAmt
Program Services	$139,943,792	ProgramServicesAmt
Management And General	$21,897,068	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,999,711	TotalAmt
Program Services	$5,187,950	ProgramServicesAmt
Management And General	$811,761	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$10,227,301	TotalAmt
Program Services	$8,843,547	ProgramServicesAmt
Management And General	$1,383,754	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,203,591	TotalAmt
Program Services	$9,687,745	ProgramServicesAmt
Management And General	$1,515,846	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,578,278	TotalAmt
Program Services	$2,229,437	ProgramServicesAmt
Management And General	$348,841	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,184,509	TotalAmt
Management And General	$1,184,509	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$153,891	TotalAmt
Management And General	$153,891	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$19,455	TotalAmt
Management And General	$19,455	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$61,548,922	TotalAmt
Program Services	$53,221,353	ProgramServicesAmt
Management And General	$8,327,569	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$808,452	TotalAmt
Program Services	$699,068	ProgramServicesAmt
Management And General	$109,384	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$978,347	TotalAmt
Program Services	$845,977	ProgramServicesAmt
Management And General	$132,370	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$5,035,215	TotalAmt
Program Services	$4,353,950	ProgramServicesAmt
Management And General	$681,265	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,035,476	TotalAmt
Program Services	$6,045,245	ProgramServicesAmt
Management And General	$990,231	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$703,337	TotalAmt
Program Services	$608,176	ProgramServicesAmt
Management And General	$95,161	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$662,123	TotalAmt
Program Services	$572,538	ProgramServicesAmt
Management And General	$89,585	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$10,900,501	TotalAmt
Program Services	$9,391,587	ProgramServicesAmt
Management And General	$1,508,914	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,161,855	TotalAmt
Program Services	$3,598,756	ProgramServicesAmt
Management And General	$563,099	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$77,511,882	$77,511,882
BAD DEBT	$10,548,951	$10,548,951
NON MEDICAL SUPPLIES	$5,660,689	$4,894,798	$765,891
SERVICE CONTRACTS	$5,240,595	$4,531,543	$709,052

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,481,040	TotalAmt
Program Services	$5,497,879	ProgramServicesAmt
Management And General	$983,161	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$393,569,773	TotalAmt
Program Services	$349,408,979	ProgramServicesAmt
Management And General	$44,160,794	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$13,201,123	BOYAmt
EOY	$3,518,359	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$3,583,007	BOYAmt
EOY	$130,453	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$109,860	BOYAmt
EOY	$253,494	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$33,978,717	BOYAmt
EOY	$33,141,392	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,147,694	BOYAmt
EOY	$8,414,294	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,707,567	BOYAmt
EOY	$3,066,355	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$285,391,230	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$226,442,753	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$63,499,845	BOYAmt
EOY	$58,948,477	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$164,867,679	BOYAmt
EOY	$134,824,889	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$4,108,931	BOYAmt
EOY	$2,304,121	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$1,477,213	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$39,957,154	BOYAmt
EOY	$66,165,644	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$336,161,577	BOYAmt
EOY	$312,244,691	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$43,199,619	BOYAmt
EOY	$54,219,894	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$19,472,306	BOYAmt
EOY	$18,036,225	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$3,458,000	BOYAmt
EOY	$1,182,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$69,896,209	BOYAmt
EOY	$68,000,028	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$136,026,134	BOYAmt
EOY	$141,438,147	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$191,817,523	BOYAmt
EOY	$164,303,434	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,317,920	BOYAmt
EOY	$6,503,110	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$200,135,443	BOYAmt
EOY	$170,806,544	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$336,161,577	BOYAmt
EOY	$312,244,691	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$1,080,354	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$28,114,003	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$134,542	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$19,455	OtherActivitiesAmt
Total Lobbying Expenditures	$19,455	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	PARTICIPATION IS BASED ON THE MEMBERSHIP DUES PAID TO HANYS AND IROQUOIS HEALTHCARE ASSOCIATION AS INDICATED ON LINE 2. THE FOLLOWING NARRATIVES, WERE TAKEN DIRECTLY FROM THEIR RESPECTIVE WEBSITES: 1. HANYS IS PROUD TO BE THE ONLY STATEWIDE ASSOCIATION THAT REPRESENTS AND ADVOCATES ON BEHALF OF NEW YORK'S HOSPITALS AND HEALTH SYSTEMS AT ALL LEVELS OF THE FEDERAL AND STATE GOVERNMENT. HANYS HAS ACCESS TO POLICY LEADERS, REGARDLESS OF THEIR POLITICAL AFFILIATION AND IS AN INTEGRAL PLAYER IN HEALTH POLICY DISCUSSIONS. HANYS ALSO COMMUNICATES MEMBERS CONCERNS AND POSITIONS TO NEW YORK AND NATIONAL MEDIA IN SUPPORT OF THE ASSOCIATIONS LEGISLATIVE AND REGULATORY INTITIATIVES. 2. IROQUOIS IS THE REGIONAL VOICE IN ALBANY AND WASHINGTON FOR UPSATE HOSPITALS AND HEALTH CARE SYSTEM MEMBERS. IROQUOIS PROMOTES A BROADER UNDERSTANDING OF, AND BUILDS SUPPORT FOR, THE HEALTH CARE SYSTEMS SERVING UPSTATE NEW YORK. IROQUOIS PROVIDES REPRESENTATION AND ADVOCACY AT THE STATE LEVEL BY EFFECTIVELY LOBBYING THE STATE LEGISLATURE, AND ESTABLISHING CLOSE WORKING RELATIONSHIPS WITH THE GOVERNORS OFFICE, STATE AGENCY OFFICIALS, AND REGULATORY REPRESENTATIVES. IROQUOIS INFLUENCES PUBLIC POLICY DEVELOPMENT THROUGH BOTH LEGISLATIVE AND REGULATORY ADVOCACY EFFORTS. REGIONAL ACTIVITIES, SUCH AS HOSTING LEGISLATORS AND MEETING WITH LOCAL OFFICIALS, ARE CRITICAL TO MAINTAINING A UNIFIED VOICE FOR LEGISLATIVE AND REGULATORY ACTION. IROQUOIS CONTINUES TO WORK WITH THE NY STATE ADMINISTRATION TO ADDRESS ISSUES AFFECTING UPSTATE HOSPITALS, REVIEW THE EXECUTIVE BUDGET PROPOSAL AND ALSO WORK WITH THE STATE LEGISLATURE. ALL ADVOCACY EFFORTS FOCUS ON THE SIMPLE TRUTH THAT HOSPITALS EXIST TO SERVE. THEIR ABILITY TO SERVE WELL, REQUIRES A RELATIONSHIP WITH THEIR COMMUNITIES BUILT ON TRUST AND COMPASSION. TO SERVE COMMUNITES WELL, HOSPITALS MUST ALSO MANAGE RESOURCES IN A CHALLENGING ENVIRONMENT.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,982,481	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$736,298	InvestmentEarningsOrLossesAmt
End Year Balance	$10,246,183	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,413,508	BeginningYearBalanceAmt
Investment Earnings Or Losses	$568,973	InvestmentEarningsOrLossesAmt
End Year Balance	$10,982,481	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,848,704	BeginningYearBalanceAmt
Investment Earnings Or Losses	$564,804	InvestmentEarningsOrLossesAmt
End Year Balance	$10,413,508	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,919,101	BeginningYearBalanceAmt
Investment Earnings Or Losses	$929,603	InvestmentEarningsOrLossesAmt
End Year Balance	$8,919,101	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,256,788	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$337,687	InvestmentEarningsOrLossesAmt
End Year Balance	$8,919,101	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.44000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.56000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,396,536	OtherCostOrOtherBasisAmt
Book Value	$2,396,536	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$114,882,872	OtherCostOrOtherBasisAmt
Depreciation	$94,933,939	DepreciationAmt
Book Value	$19,948,933	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,629,582	OtherCostOrOtherBasisAmt
Depreciation	$2,629,582	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$160,298,621	OtherCostOrOtherBasisAmt
Depreciation	$124,684,794	DepreciationAmt
Book Value	$35,613,827	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,183,619	OtherCostOrOtherBasisAmt
Depreciation	$4,194,438	DepreciationAmt
Book Value	$989,181	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$58,948,477	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
CORPORATE OBLIGATIONS	$118,773,057	F
MUTUAL FUNDS INVESTMENTS	$15,401,832	F
ASSETS LIMITED AS TO USE	$650,000	C

Field	Value	IRS element (for citing)
Total Book Value Securities	$134,824,889	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$28,548,256
G&P INSURANCE RECEIVABLE LT, NET	$14,249,704
OTHER ASSETS	$16,516,024
WC INSURANCE RECEIVABLE LT, NET	$6,851,660

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$66,165,644	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDesc	AmtAmt
CAPITAL LEASE OBLIGATIONS	$2,780,586
DUE TO AFFILIATES	$3,524,210
ESLB	$9,025,709
ESTIMATED 3RD PARTY PAYOR SETTLEMENTS	$8,208,325
ESTIMATED SELF INSURED LIABILITIES	$10,616,038
G&P INSURANCE PAYABLE ST/LT	$14,968,704
OPERATING LEASE OBLIGATIONS	$976,418
OTHER LIABILITIES	$1,043,826
WC INSURANCE PAYABLE ST/LT	$7,011,212
LINE OF CREDIT	$9,845,000

Field	Value	IRS element (for citing)
Total Liability	$68,000,028	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$383,261,120	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$1,320,651	OtherRevenueAmt
Revenue Not Reported	$1,320,651	RevenueNotReportedAmt
Revenue Subtotal	$381,940,469	RevenueSubtotalAmt
Other Revenues Not Included	$10,548,950	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$10,548,950	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$392,489,419	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$384,341,474	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$1,320,651	OtherExpensesIncludedAmt
Expenses Not Reported	$1,320,651	ExpensesNotReportedAmt
Expenses Subtotal	$383,020,823	ExpensesSubtotalAmt
Other Expenses Not Included	$10,548,950	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$10,548,950	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$393,569,773	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	PERMANENT ENDOWMENT FUNDS ARE TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS TO BE USED TO SUPPORT CHARITY CARE, HEALTH CARE SERVICES, SCHOLARSHIPS AND FACILITY MAINTENANCE. TEMPORARY ENDOWMENT FUNDS ARE DONOR CONTRIBUTIONS RESTRICTED BY THE DONORS FOR SPECIFIC PURPOSES.
PART X, LINE 2:	HEALTHCARE IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501C(3) OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31, 2022 AND 2021, HEALTHCARE DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2019-2022. HEALTHCARE DOES NOT ANTICIPATE THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 1,320,651.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT 10,548,950.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 1,320,651.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT 10,548,950.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	325.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,387,720	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$974,450	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,413,270	NetCommunityBenefitExpnsAmt
Total Expense	0.00630	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$81,114,987	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$56,856,218	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,258,769	NetCommunityBenefitExpnsAmt
Total Expense	0.06330	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$84,502,707	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$57,830,668	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,672,039	NetCommunityBenefitExpnsAmt
Total Expense	0.06960	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,068,553	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,068,553	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,137,423	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,019,385	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$118,038	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,616,857	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,685,553	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,931,304	NetCommunityBenefitExpnsAmt
Total Expense	0.00500	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,717	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,717	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,826,550	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,704,938	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,121,612	NetCommunityBenefitExpnsAmt
Total Expense	0.00810	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$93,329,257	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$63,535,606	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,793,651	NetCommunityBenefitExpnsAmt
Total Expense	0.07770	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$2,827,296	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,039,651	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$142,179,218	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$210,633,973	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$68,454,755	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 MOHAWK VALLEY ENDOSCOPY CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	ENDOSCOPY SERVICES	PrimaryActivitiesTxt
Org Profit Or Ownership	0.20000	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.00000	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.20000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FAXTON ST LUKES HEALTHCARE INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 479	AddressLine1Txt
City	UTICA	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13503	ZIPCd

Field	Value	IRS element (for citing)
Website Address	FAXTONSTLUKES.COM	WebsiteAddressTxt
State License	17-30-91	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	DENTAL CLINIC;DIAGNOSTICS;MEDICAL IMAGING;DIALYSIS; L&D; URGENT CARE	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FAXTON ST LUKES HEALTHCARE INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTP://MVHEALTHSYSTEM.ORG	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	HTTP://OCGOV.NET	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTP:/MVHEALTHSYSTEM.ORG	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	325.000000000000	FPGFamilyIncmLmtDscntCarePct
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.MVHEALTHSYSTEM.ORG/FINANCIAL-ASSISTANCE-PROGRAM	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.MVHEALTHSYSTEM.ORG/FINANCIAL-ASSISTANCE-PROGRAM	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.MVHEALTHSYSTEM.ORG/FINANCIAL-ASSISTANCE-PROGRAM	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FAXTON ST LUKES HEALTHCARE, INC.	PART V, SECTION B, LINE 5: OCHD, RH AND MVHS CONTRACTED WITH RESEARCH AND MARKETING STRATEGIES, INC. (RMS HEALTHCARE) TO COMPLETE THE 2022-2024 CHA/CSP/CHIP. A RIGOROUS, THOROUGH, AND COMPREHENSIVE PROCESS WAS FOLLOWED, ENSURING ALIGNMENT WITH THE NEW YORK STATE DEPARTMENT OF HEALTH PREVENTION AGENDA STATE AND PLANNING CYCLE REQUIREMENTS, WHILE ENGAGING COMMUNITY STAKEHOLDERS TO IDENTIFY THE HEALTH NEEDS OF ONEIDA COUNTY RESIDENTS VIA THREE FORMS OF PRIMARY RESEARCH. THE METHODS USED TO GATHER COMMUNITY INPUT, INCLUDED CONDUCTING COMMUNITY FOCUS GROUPS, AN ONLINE SURVEY, AND IN-DEPTH INTERVIEWS OF COMMUNITY MEMBERS AND LEADERS. THESE METHODS PROVIDED ADDITIONAL PERSPECTIVES ON HOW TO SELECT AND ADDRESS TOP HEALTH ISSUES FACING THE REGION. MVHS PARTICIPATED WITH THE PARTNERS OF THE HEALTHY LIFESTYLES TASKFORCE. IN ADDITION, SEVERAL OF THOSE TASKFORCE MEMBERS (MVLA, NAACP ROME, THE CENTER, ROME HEALTH, ONEIDA COUNTY) WERE A PART OF THE STAKEHOLDER GROUP FOR FURTHER INTERVIEW.
FAXTON ST LUKES HEALTHCARE, INC.	PART V, SECTION B, LINE 6A: THE CHA/CSP PROCESS AND THE IDENTIFICATION OF PRIORITIES AND INTERVENTIONS IN THE IMPROVEMENT PLAN WAS GUIDED BY A STEERING COMMITTEE, WHICH IS A PARTNERSHIP AMONG AND WITHIN OCHD, ROME HEALTH AND MVHS THAT CONVENED IN A COLLABORATIVE APPROACH TO IDENTIFY AND ASSESS PUBLIC HEALTH GAPS AND BARRIERS.
FAXTON ST LUKES HEALTHCARE, INC.	PART V, SECTION B, LINE 6B: OCHD, RH AND MVHS CONTRACTED WITH RESEARCH AND MARKETING STRATEGIES, INC. (RMS HEALTHCARE) TO COMPLETE THE 2022-2024 CHA/CSP/CHIP. A RIGOROUS, THOROUGH, AND COMPREHENSIVE PROCESS WAS FOLLOWED, ENSURING ALIGNMENT WITH THE NEW YORK STATE DEPARTMENT OF HEALTH PREVENTION AGENDA STATE AND PLANNING CYCLE REQUIREMENTS, WHILE ENGAGING COMMUNITY STAKEHOLDERS TO IDENTIFY THE HEALTH NEEDS OF ONEIDA COUNTY RESIDENTS VIA THREE FORMS OF PRIMARY RESEARCH INCLUDING, CONDUCTING COMMUNITY FOCUS GROUPS, AN ONLINE SURVEY, AND IN-DEPTH INTERVIEWS OF COMMUNITY MEMBERS AND LEADERS. STAKEHOLDERS INCLUDE: ROBERTO GONZALEZ ACR HEALTH, DR. KENT HALL CHIEF EXECUTIVE OFFICER MOHAWK VALLEY HEALTH SYSTEM, CORRINE KELLEY, FNP-BC ADVANCED PRACTICE CLINICIAN, LEAD ROME HEALTH BOONVILLE HEALTH CENTER, SONIA MARTINEZ PRESIDENT MOHAWK VALLEY LATINO ASSOCIATION, MICHELLE MELLON HIGH SCHOOL SOCIAL WORKER CAMDEN SCHOOL DISTRICT, JACKIE NELSON PRESIDENT NAACP ROME, ANTHONY J. PICENTE, JR. ONEIDA COUNTY EXECUTIVE, ONEIDA COUNTY MICHAEL ROMANO DIRECTOR OFFICE FOR THE AGING AND CONTINUING CARE (OFA), KRISTIN SAUERBIER, L.C.S.W. PROGRAM DIRECTOR MOBILE CRISIS ASSESSMENT TEAM (MCAT), JENNIFER VANWAGONER MANAGER OF GRANTS & COMMUNITY ENGAGEMENT-THE CENTER RANDALL VANWAGONER PRESIDENT, MOHAWK VALLEY COMMUNITY COLLEGE (MVCC), ANNEMARIE WALKER-CZYZ, RN, ED.D., NEA-BC PRESIDENT/CHIEF EXECUTIVE OFFICER ROME HEALTH.
FAXTON ST LUKES HEALTHCARE, INC.	PART V, SECTION B, LINE 11: OCHD, RH AND MVHS CONTINUOUSLY EVALUATE ACTIVITIES ALIGNED WITH GOALS AND STRATEGIES THAT HAVE BEEN IDENTIFIED AND SELECTED. THIS ON-GOING EVALUATION WILL ENSURE THAT STRATEGIES ARE BEING REGULARLY MONITORED, AND BARRIERS ARE REGULARLY ASSESSED, AND SOLUTIONS ARE IDENTIFIED, WHILE FOCUSING ON ACHIEVING HEALTH EQUITY. A COMMUNITY OUTREACH PROGRAM CALLED HEALTHY LIFESTYLES INCLUDES EMPLOYED MVHS NURSES IN PARTNER WITH COMMUNITY NAVIGATORS HIRED BY PARTNER ORGANIZATIONS TO PROVIDE EDUCATION AND SCREENING FOR DIABETES, HYPERTENSION AND STROKE FOCUSED ON TARGETING MINORITY COMMUNITIES. IN ADDITION, MVHS DIRECTOR OF POPULATION HEALTH MEETS REGULARLY WITH THE MEDICAL GROUP LEADERSHIP TO MONITOR PROGRESS OF MEETING COMMUNITY HEALTH IMPROVEMENT PLAN GOALS. PERFORMANCE AGAINST GOALS WILL BE REGULARLY MONITORED TO EVALUATE OUTCOMES.TO ADDRESS MENTAL HEALTH, MVHS LEADERSHIP ARE MEMBERS OF THE ONEIDA COUNTY SUICIDE TASKFORCE, ONEIDA COUNTY CCBHC INTERAGENCY COLLABORATIVE. ONEIDA COUNTY 911 SUBGROUP, THE ONEIDA COUNTY OPIOID TASKFORCE AND YOUTH SERVICES COUNCIL. IN ADDITION, MVHS DIRECTOR OF POPULATION HEALTH, DIRECTOR OF BEHAVIORAL HEALTH AND CHIEF EXECUTIVE PHYSICIAN LEAD A COALITION OF COMMUNITY LEADERS TO ADDRESS PEDIATRIC EMERGENCY DEPARTMENT UTILIZATION. AS A RESULT OF THIS PARTNERSHIP, ONEIDA COUNTY HEALTH DEPARTMENT AND MVHS WILL EMBED A DEDICATED MENTAL HEALTH CARE MANAGER INTO THE EMERGENCY DEPARTMENTS AT MVHS TO ASSIST WITH WARM HAND-OFFS TO THE COMMUNITY. IN ADDITION, MVHS HAS ESTABLISHED A PSYCHIATRIC RESIDENCY PROGRAM TO ADDRESS CRITICAL WORKFORCE SHORTAGES. ROUTINE MEETINGS ARE HELD INTERNALLY WITH MVHS LEADERSHIP AND BEHAVIORAL HEALTH SERVICES TO MONITOR PROGRESS OF THE COMMUNITY HEALTH IMPROVEMENT PLAN.

Field	Value	IRS element (for citing)
Facility	27	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (27 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - MVHS ORTHOPEDIC GROUP
1903 SUNSET AVE	UTICA	NY	13502	PHYSICIAN OFFICE
2 - MVHS SURGICAL GROUP
1656 CHAMPLIN AVE PROF OFFICE BLDNG	UTICA	NY	13502	PHYSICIAN OFFICE
3 - WOMEN'S MEDICAL IMAGING CENTER
106 BUSINESS PARK DRIVE	UTICA	NY	13502	RADIOLOGY SERVICES
4 - MVHS MOHAWK VALLEY MEDICAL GROUP
201 EAST STATE STREET	HERKIMER	NY	13350	PHYSICIAN OFFICE
5 - HERKIMER DIALYSIS CENTER
201 EAST STATE STREET	HERKIMER	NY	13350	DIALYSIS SITE
6 - ONEIDA DIALYSIS CENTER
221 BROAD STREET	ONEIDA	NY	13421	DIALYSIS SITE
7 - DENTAL HEALTH CENTER
1714 BURRSTONE ROAD	NEW HARTFORD	NY	13413	DENTAL CLINIC
8 - MVHS NEW HARTFORD MEDICAL GROUP
8411 SENECA TURNPIKE	NEW HARTFORD	NY	13413	PHYSICIAN OFFICE
9 - MVHS WASHINGTON MILLS MEDICAL GROUP
3946 ONEIDA STREET	NEW HARTFORD	NY	13413	PHYSICIAN OFFICE
10 - MASONIC CARE COMMUNITY DIALYSIS
2150 BLEEKER STREET	UTICA	NY	13501	DIALYSIS SITE
11 - ROME DIALYSIS CENTER
91 PERIMETER ROAD SUITE 140	ROME	NY	13440	DIALYSIS SITE
12 - MVHS BARNEVELD MEDICAL GROUP
7980 STATE RT 12	BARNEVELD	NY	13304	PHYSICIAN OFFICE
13 - MVHS WHITESBORO MEDICAL GROUP
37 MAIN STREET	WHITESBORO	NY	13492	PHYSICIAN OFFICE
14 - MVHS BOONVILLE MEDICAL GROUP
13460 STATE ROUTE 12	BOONVILLE	NY	13304	PHYSICIAN OFFICE
15 - MVHS NORTH UTICA MEDICAL GROUP
35 RIVERSIDE DRIVE	UTICA	NY	13502	PHYSICIAN OFFICE
16 - HAMILTON DIALYSIS CENTER
10 EATON STREET	HAMILTON	NY	13346	DIALYSIS SITE
18 - MVHS NEUROSURGERY GROUP
1656 CHAMPLIN AVE PROF OFFICE BLDNG	UTICA	NY	13502	PHYSICIAN OFFICE
19 - CENTER FOR REHABCONTINUING CARE SRVCS
1650 CHAMPLIN AVE	UTICA	NY	13502	INTENSIVE REHAB UNIT/CONTINUING CARE SERVC CTR
20 - MVHS CLINTON MEDICAL GROUP
101 COLLEGE STREET	CLINTON	NY	13323	PHYSICIAN OFFICE
22 - MVHS GI OFFICE
1656 CHAMPLIN AVE PROF OFFICE BLDNG	UTICA	NY	13502	PHYSICIAN OFFICE
23 - MVHS VASCULAR SURGERY GROUP
1675 BENNETT STREET	UTICA	NY	13502	PHYSICIAN OFFICE
24 - NEUROPSYCHOLOGYNEURO SCIENCE GROUP
8411 SENECA TURNPIKE	NEW HARTFORD	NY	13413	PHYSICIAN OFFICE
25 - WATERVILLE COMMUNITY MEDICINE
117 W MAIN STREET	WATERVILLE	NY	13480	PHYSICIAN OFFICE
26 - MVHS PULMONARY MEDICINECRITICAL CARE
35 RIVERSIDE DRIVE	UTICA	NY	13502	PHYSICIAN OFFICE
27 - MVHS UROLOGY GROUP
1676 SUNSET AVENUE	UTICA	NY	13502	PHYSICIAN OFFICE
28 - ONEIDA MEDICAL GROUP
131 MAIN STREET	ONEIDA	NY	13421	PHYSICIAN OFFICE
29 - ROME MEDICAL GROUP
1617 NORTH JAMES STREET	ROME	NY	13440	PHYSICIAN OFFICE

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	THE PATIENTS COST-TO-CHARGE RATIO WAS COMPUTED USING ALL CHARGES AND EXPENSES LESS NON-ALLOWABLE. THE COST TO CHARGE RATIO WAS USED TO COMPUTE COST. COST-TO-CHARGE WAS DERIVED BY DIVIDING TOTAL CHARGES FROM THE FINANCIAL STATEMENTS INTO TOTAL COST FROM THE FINANCIAL STATEMENTS, LESS NON-PATIENT COSTS.
PART I, LINE 7G:	N UTICA PRIMARY CARE - MEETS NEED, SERVES LOW-INCOME & PEDIATRIC POPULATIONBOONVILLE PRIMARY CARE - MEETS NEED, LOW PHSYCIAN POPULATION AREAHERKIMER PRIMARY CARE - MEETS NEED, LOW PHSYCIAN POPULATION AREA
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 10,548,951.
PART II, COMMUNITY BUILDING ACTIVITIES:	1. PREVENT CHRONIC DISEASES: WORK WITH HEALTHCARE PROVIDERS/CLINICS TO PUT SYSTEMS IN PLACE FOR PATIENT AND PROVIDER SCREENING REMINDERS. WORK WITH CLINICAL PROVIDERS TO ASSESS HOW MANY OF THEIR PATIENTS RECEIVE SCREENING SERVICES AND PROVIDE THEM FEEDBACK ON THEIR PERFORMANCE. ENSURE CONTINUED ACCESS TO HEALTH INSURANCE TO REDUCE ECONOMIC BARRIERS. INCREASE CANCER SCREENING RATES. CONDUCT PLANNING ACTIVITIES WITH PARTNERS, PROVISION STAFF WITH 3M TOOLS. CONDUCT GROUP EDUCATION SESSIONS. CONDUCT PLANNING ACTIVITIES WITH COMMUNITY PARTNERS TO IDENTIFY TARGET AREAS FOR GROUP EDUCATION SESSIONS. USE SMALL MEDIA SUCH AS VIDEOS, PRINTED MATERIALS (BROCHURES, NEWSLETTERS) AND HEALTH COMMUNICATIONS TO BUILD PUBLIC AWARENESS AND DEMAND. REMOVE STRUCTURAL BARRIERS TO CANCER SCREENING BY OFFERING CANCER SCREENING THOUGH MOBILE MAMMOGRAPHY VAN. MOHAWK VALLEY HEALTH SYSTEM (QUALITY MANAGER) AND ROME HEALTH (CHIEF QUALITY OFFICER) (COORDINATION, IMPLEMENTATION) FIDELIS (MEASUREMENT OF OUTCOMES, ASSISTING WITH GAP REPORT) HOSPITAL AFFILIATED PRIMARY CARE PROVIDERS (IMPLEMENTATION, OUTREACH, MONITORING) COMMUNITY-BASED ORGANIZATIONS (ASSISTANCE WITH RESOLVING SOCIOECONOMIC BARRIERS TO CARE) LOCAL MANAGED CARE PROVIDERS/INSURANCE COMPANIES (COMMUNITY NAVIGATORS) ONEIDA COUNTY HEALTH DEPARTMENT PUBLIC HEALTH EDUCATORS (COORDINATION AND IMPLEMENTATION); MVHS HEALTH EQUITY TASK FORCE (COORDINATION AND IMPLEMENTATION) COMMUNITY HOSPITAL (UPSTATE) MOBILE MAMMOGRAPHY PROGRAM/UNIT (PROVIDER), ONEIDA COUNTY HEALTH DEPARTMENT PUBLIC HEALTH EDUCATORS (IMPLEMENTATION AND COORDINATION) COMMUNITY-BASED ORGANIZATIONS (IMPLEMENTATION, HOSTING), LOCAL GOVERNMENT UNIT (IMPLEMENTATION, HOSTING MEETING), MVHS AND ROME HEALTH STAFF (PROMOTION) MOHAWK VALLEY HEALTH SYSTEM AND ROME HEALTH, HOSPITAL AFFILIATED PRIMARY CARE PROVIDERS , COMMUNITY-BASED ORGANIZATIONS, LOCAL MANAGED CARE PROVIDERS/INSURANCE COMPANIES, ONEIDA COUNTY HEALTH DEPARTMENT PUBLIC HEALTH EDUCATORS, MVHS HEALTH EQUITY TASK FORCE, COMMUNITY HOSPITAL, MOBILE MAMMOGRAPHY PROGRAM/UNIT, ONEIDA COUNTY HEALTH DEPARTMENT PUBLIC HEALTH EDUCATORS COMMUNITY-BASED ORGANIZATIONS, LOCAL GOVERNMENT UNIT, MVHS AND ROME HEALTH STAFF.2. PREVENTIVE CARE AND MANAGEMENT: PROMOTE EVIDENCE-BASED CARE TO PREVENT AND MANAGE CHRONIC DISEASES INCLUDING ASTHMA, ARTHRITIS, CARDIOVASCULAR DISEASE, DIABETES AND PREDIABETES AND OBESITY. INCREASE EARLY DETECTION OF CARDIOVASCULAR DISEASE, DIABETES, PREDIABETES AND OBESITY. PROMOTE TESTING FOR PRE DIABETES IN ADULT ASYMPTOMATIC POPULATION. PROMOTE REFERRAL TO NDPP. MOHAWK VALLEY HEALTH SYSTEM QUALITY MANAGER AND ROME HEALTH CHIEF QUALITY OFFICER (IMPLEMENTATION AND COORDINATION) FIDELIS (REPRESENTATIVE) MEASUREMENT OF OUTCOMES, ASSISTING WITH GAP REPORT, HOSPITAL AFFILIATED PRIMARY CARE PROVIDERS (IMPLEMENTATION, OUTREACH, MONITORING) COMMUNITY-BASED ORGANIZATIONS (ASSISTANCE WITH RESOLVING SOCIOECONOMIC BARRIERS TO CARE)MOHAWK VALLEY HEALTH SYSTEM QUALITY MANAGER AND ROME HEALTH CHIEF QUALITY OFFICER, FIDELIS, HOSPITAL AFFILIATED PRIMARY CARE PROVIDERS, COMMUNITY-BASED ORGANIZATIONS.3. PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS: PREVENT SUICIDES;IDENTIFY AND SUPPORT PEOPLE AT RISK, STRENGTHEN ACCESS AND DELIVERY OF SUICIDE CARE. FACILITATE SUPPORTIVE ENVIRONMENTS THAT PROMOTE RESPECT AND DIGNITY FOR PEOPLE OF ALL AGES. USE THOUGHTFUL MESSAGING ON MENTAL ILLNESS AND SUBSTANCE USE. DEVELOP MEDIA CAMPAIGN. WORK WITH OPIOID TASK FORCE COORDINATOR TO INCORPORATE MESSAGING INTO ONEIDA COUNTY OPIOID TASK FORCE ANTI STIGMA CAMPAIGN ONEIDA COUNTY HEALTH DEPARTMENT PROGRAM COORDINATOR AND PUBLIC HEALTH EDUCATORS (PHE) (COORDINATION AND IMPLEMENTATION), ONEIDA COUNTY DEPARTMENT OF MENTAL HEALTH (DEVELOPMENT AND IMPLEMENTATION) ONEIDA COUNTY SUICIDE COALITION. (DEVELOPMENT AND IMPLEMENTATION), MVHS FAMILY MEDICINE AND PSYCHIATRY RESIDENCY (DEVELOPMENT AND IMPLEMENTATION) ROME HEALTH DIRECTOR OF COMMUNITY RECOVERY CENTER (COORDINATION AND IMPLEMENTATION). MVHS DIRECTOR OF BEHAVIORAL HEALTH (ASSESSMENT) ONEIDA COUNTY OPIOID TASK FORCE COORDINATOR (COORDINATION AND IMPLEMENTATION), ONEIDA COUNTY HEALTH DEPARTMENT PROGRAM COORDINATOR AND PHE (COORDINATION AND IMPLEMENTATION), CONNECTED COMMUNITY SCHOOLS PROGRAM MANAGER OR LIST COMMUNITY-BASED ORGANIZATIONS IN GENERAL AS A PARTNER (COORDINATION AND IMPLEMENTATION), MVHS BEHAVIORAL HEALTH (PROMOTION)ONEIDA COUNTY HEALTH DEPARTMENT PROGRAM COORDINATOR AND PUBLIC HEALTH EDUCATORS (PHE), ONEIDA COUNTY DEPARTMENT OF MENTAL HEALTH ONEIDA COUNTY SUICIDE COALITION, MVHS FAMILY MEDICINE AND PSYCHIATRY RESIDENCY, ROME HEALTH DIRECTOR OF COMMUNITY RECOVERY CENTER, MVHS DIRECTOR OF BEHAVIORAL HEALTH, ONEIDA COUNTY OPIOID TASK FORCE COORDINATOR, ONEIDA COUNTY HEALTH DEPARTMENT PROGRAM COORDINATOR AND PHE, CONNECTED COMMUNITY SCHOOLS PROGRAM MANAGER OR LIST COMMUNITY-BASED ORGANIZATIONS IN GENERAL AS A PARTNER, MVHS BEHAVIORAL HEALTH.4. PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN: SUPPORT AND ENHANCE CHILDREN AND ADOLESCENTS' SOCIAL-EMOTIONAL DEVELOPMENT AND RELATIONSHIPS. : INCREASE AWARENESS, KNOWLEDGE, AND SKILLS OF PROVIDERS SERVING CHILDREN, YOUTH, AND FAMILIES RELATED TO SOCIAL-EMOTIONAL DEVELOPMENT, ADVERSE CHILDHOOD EXPERIENCES (ACES), AND TRAUMA-INFORMED CARE. WORK WITH THE ONEIDA COUNTY YOUTH SERVICES COUNCIL'S ADVERSE CHILDHOOD EXPERIENCES (ACES). COMMUNITY HOSPITAL (UPSTATE) MOBILE MAMMOGRAPHY PROGRAM/UNIT (PROVIDER), ONEIDA COUNTY HEALTH DEPARTMENT PUBLIC HEALTH EDUCATORS (IMPLEMENTATION AND COORDINATION) COMMUNITY-BASED ORGANIZATIONS (IMPLEMENTATION, HOSTING), LOCAL GOVERNMENT UNIT (IMPLEMENTATION, HOSTING MEETING), MVHS AND ROME HEALTH STAFF (PROMOTION).COMMUNITY HOSPITAL (UPSTATE) MOBILE MAMMOGRAPHY PROGRAM/UNIT, ONEIDA COUNTY HEALTH DEPARTMENT PUBLIC HEALTH EDUCATORS. COMMUNITY-BASED ORGANIZATIONS, LOCAL GOVERNMENT UNIT, MVHS AND ROME HEALTH STAFF.
PART III, LINE 2:	BAD DEBT FOR SCHEDULE H REPORTING IS DETERMINED BY TAKING THE ACTUAL BAD DEBT EXPENSE REPORTED FOR THE YEAR ON THE HOSPITAL AUDITED FINANCIAL STATMENTS, LESS ANY BAD DEBT RECOVERIES RECEIVED DURING THE YEAR FROM THE AUDITED FINANCIAL STATEMENTS. THEN, ADJUSTING THAT AMOUNT TO COST BASED ON THE HOSPITAL'S CURRENT YEAR MEDICARE COST REPORT DERIVED COST TO CHARGE RATIO. THIS AMOUNT UNDERSTATES BAD DEBT SOMEWHAT BECAUSE A LARGE PORTION OF BAD DEBT IS THE RESULT OF UNPAID DEDUCTIBLE AND CONINSURANCE BALANCES. THOSE BALANCES ARE NO LONGER RECORDED AT FULL CHARGES BECAUSE CONTRACTUAL ADJUSTMENTS HAVE ALREADY REDUCED CHARGES TO AN EXPECTED REIMBURSEMENT AMOUNT; HENCE, REDUCING BY A COST-TO-CHARGE RATIO, REDUCES AN ALREADY DISCOUNTED CHARGE. WE REPORT THIS WAY BECAUSE BAD DEBT IS REPORTED IN MUTLIPLE STATE AND FEDERAL REQUIRED REPORTS, RETURNS AND DISCLOSURE STATEMENTS. IN ORDER TO BE CONSISTENT WE ARE REPORTING USING THE COSERVATIVE METHOD WHICH IS REQUIRED FOR HOSPTIAL MEDICARE COST REPORT REPORTING.
PART III, LINE 3:	MANY PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE ASSISTANCE ARE UNWILLING TO APPLY FOR IT. THE HOSPITAL BUSINESS OFFICE OFFERS OUR CHARITY CARE PACKAGE TO ALL PATIENTS. IN 2015, THE CHARITY CARE PROGRAM WAS EXPANDED DUE TO THE IMPLEMENTATION OF THE 340B PROGRAM. MANY PATIENTS WILL AGREE TO HAVE THE CHARITY CARE REQUEST FORMS SENT TO THEM BUT NEVER RETURN THEM. MANY PATIENTS SAY THEY CANNOT PAY BUT ARE UNWILLING TO COMPLETE ANY FORMS. THE HOSPITAL BUSINESS OFFICE, COLLECTIONS STAFF, HAVE FORMED A PERCENTAGE ESTIMATE BASED ON THE NUMBER OF CASES OF PATIENTS WHO RECEIVE CHARITY CARE FORMS AND DON'T COMPLETE THEM PLUS THE NUMBER OF PATIENTS WHO STATE THEY CANNOT PAY BUT ARE UNWILLING TO REQUEST ASSISTANCE. THIS RECORDED BAD DEBT EXPENSE WOULD BE RECORDED AS CHARITY CARE IF PATIENT'S WERE WILLING TO COMPLY WITH MINIMAL APPLICATION REQUIREMENTS. THE NATURE OF THE PRESENTATION ON HOSPITAL FIANANCIAL STATEMENTS DOES NOT DETERMINE THE COMMUNITY BENEFIT BUT RATHER THE NATURE OF THE REASON FOR THE EXPENSE. THIS IS CHARITY CARE.
PART III, LINE 4:	FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, HEALTHCARE RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF HEALTHCARES UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, HEALTHCARE RECORDS A PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY A RESERVE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, HEALTHCARE ANALYZES PAST PAYMENT HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE RESERVE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH PATIENTS WHO HAVE THIRD PARTY COVERAGE, HEALTHCARE ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES A RESERVE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), HEALTHCARE RECORDS A RESERVE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICES BASED ON ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE, OR UNWILLING, TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED)AND THE AMOUNT ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 8:	ALL OF THIS IS COMMUNITY BENEFIT; THE HOSPTIAL IS RECEIVING LESS THAN COST ON COMMUNITY MEDICARE RECIPIENTS, THUS A COMMUNITY BENEFIT TO THESE PATIENTS. THE PATIENTS COST-TO-CHARGE RATIO WAS COMPUTED USING ALL CHARGES AND EXPENSES LESS NON-ALLOWABLE. THE COST-TO-CHARGE RATIO WAS USED TO COMPUTE COST. COST-TO-CHARGE WAS DERIVED, USING THE FINANCIAL STATEMENTS, BY DIVIDING TOTAL CHARGES INTO TOTAL COSTS LESS NON-PATIENT COSTS.
PART III, LINE 9B:	THE HOSPITAL FAP POLICY PLACES ALL ACCOUNTS, FOR COLLECTION EFFORTS, ON HOLD FROM THE DATE OF APPLICATION UNTIL A DETERMINATION HAS BEEN MADE FOR FINANCIAL ASSISTANCE ELIGIBILITY. THE APPLICATION IS REVIEWED BY THE HOSPTIAL WITHIN THIRTY DAYS OF RECEIPT OF THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTAION. THE PATIENT OR GUARANTOR WILL BE NOTIFIFED OF THE DETERMINATION. IF DENIED, THE APPLICANT IS PROVIDED DIRECTIONS FOR AN APPEAL WITHIN THIRTY DAYS OF THE DENTIAL. IF THE APPEAL IS THEN DENIED, THE PATIENT WILL BE NOTIFIED OF THE REASON AND THE STATEMENT CYCLE WILL BEGIN. FIVE STATEMENTS ARE SENT, WITHIN THE 120 DAY BILLING CYCLE. IF NOT PAID, A FINAL PRE-COLLECTION LETTER IS ISSUED ADVISING THE ACCOUNT WILL BE SENT TO COLLECTIONS WITHIN THIRTY DAYS. IF THE PATIENT IS ACCEPTED IN THE FAP PROGRAM, THIS STATUS WILL BE EFFECTIVE FOR ONE YEAR FROM ACCEPTANCE.
PART VI, LINE 2:	THE CHA/CSP PROCESS AND THE IDENTIFICATION OF PRIORITIES AND INTERVENTIONS IN THE IMPROVEMENT PLAN WAS GUIDED BY A STEERING COMMITTEE, WHICH IS A PARTNERSHIP AMONG AND WITHIN OCHD, RH AND MVHS THAT CONVENED IN A COLLABORATIVE APPROACH TO IDENTIFY AND ASSESS PUBLIC HEALTH GAPS AND BARRIERS AS WELL AS TO IDENTIFY AND EXECUTE ACTIONS AS SOLUTIONS TO GAPS AND BARRIERS IDENTIFIED THROUGH VARIOUS PRIMARY RESEARCH METHODOLOGIES AND EVIDENCE OF SECONDARY DATA THAT WILL BE DETAILED WITHIN THIS REPORT. THROUGH PRIMARY RESEARCH, THE STEERING COMMITTEE WAS ABLE TO OBTAIN INPUT FROM KEY COMMUNITY STAKEHOLDERS AND RESIDENTS ON PERCEPTIONS OF HEALTH ISSUES WITHIN THE COMMUNITY, CONSIDERING DETERMINANTS OF HEALTH AND PROVIDING INSIGHT ON SPECIFIC ASPECTS OF PRIORITIZING HEALTH NEEDS TO FACILITATE A THOROUGH AND THOUGHTFUL ASSESSMENT AND PLANNING PROCESS FOR DEVELOPMENT OF THE CHA, CSP AND CHIP.
PART VI, LINE 3:	THE HOSPITAL FAP APPLICATION AND POLICY SUMMARY ARE INCLUDED IN THE ADMISSION PACKETS MAILED TO ALL PATIENTS PRIOR TO ADMISSION FOR INPATIENT SERVICES. THE HOSPITAL PROVIDES ACCESSIBLE COMMUNICATION, WITHIN THE HOSPITAL AND ALL OFF-SITE LOCATIONS, IN THE FORM OF 1) SIGNAGE IN FIVE LANGUAGES, 2) A PATIENT PAMPHLET WHICH DESCRIBES PAYMENT OPTIONS INCLUDING FAP,WEBSITE INFORMATION AND STAFF CONTACT INFORMATION FOR ASSISTANCE. THE FAP SUMMARY AND WEBSITE INFORMATION ARE DISPLAYED IN PATIENT COMMON ENTRANCE AREAS IN THE HOSPITAL AND OFFSITE LOCATIONS. THE HOSPITAL HAS UP-FRONT FINANCIAL COUNSELORS AND CAC'S (CERTIFED APPLICATION COUNSELORS) TO ASSIST OUR PATIENTS WITH ONLINE APPLICATIONS FOR AFFORDABLE INSURANCE, MEDICAID AND OTHER PROGRAMS/GRANTS. OUR PRE-COLLECTIONS OUTSOURCE VENDOR HAS OUR POLICY INFORMATION AND COUNSELS THE PATIENT IN THE SAME MANNER AS HOSPITAL EMPLOYEES. THE DOCUMENTATION OF OUR FINANCIAL POLICY PATIENT EDUCATION IS PROVIDED IN OUR BILLING SYSTEM. THE COLLECTION STAFF IN THE BUSINESS OFFICE FOLLOWS UP ON ALL APPLICATIONS SENT BY THE PRE-COLLECTIONS VENDOR. DURING THE APPLICATION PROCESS, THE ACCOUNT IS PLACED ON HOLD UNTIL A FINAL DETERMINATION IS MADE. THE DETERMINATION IS MADE WITHIN THIRTY DAYS OF RECEIVING A COMPLETED APPLICATION, INCLUDING REQUESTED SUPPORTING DOCUMNETATION IN WRITING, WITH AND EXPLANATION OF DETERMINATION. WHEN DETERMINATION REQUIRES IT, THE APPLICANT IS GIVEN INSTRUCTIONS AS TO HOW TO APPEAL A DECISION.
PART VI, LINE 4:	COMMUNITY INFORMATION: RESPECTIVE AREA HOSPITAL PATIENT CENSUS DEMOGRAPHIC ANALYSIS INDICATES THAT THE MAJORITY OF PATIENTS RESIDE IN ONEIDA, HERKIMER, AND MADISON COUNTIES, WITH APPROXIMATELY 90% OF RH AND 78% OF MVHS PATIENTS RESIDING IN ONEIDA COUNTY ZIP CODES. THE THREE AREA HOSPITALS PROVIDING INPATIENT AND OUTPATIENT SERVICES INCLUDE: FAXTON-ST. LUKES HEALTHCARE (FSLH) AND ST. ELIZABETH MEDICAL CENTER (SEMC), AND ROME HEALTH (RH). FSLH AND SEMC ARE PART OF THE MOHAWK VALLEY HEALTH SYSTEM AND ARE BOTH LOCATED IN THE CITY OF UTICA. RH IS LOCATED IN THE CITY OF ROME. COMMUNITIES SERVED: ONEIDA COUNTY BORDERS FIVE OTHER COUNTIES (FIGURE 3 ABOVE): OSWEGO, MADISON, HERKIMER, OTSEGO, AND LEWIS. THE COUNTY IS THE 505TH LARGEST COUNTY IN THE UNITED STATES AND COVERS 1,257.76 SQUARE MILES OF LAND AND WATER AREA, IN COMPARISON TO A TOTAL OF 3,14021 COUNTIES IN THE UNITED STATES AND DISTRICT OF COLUMBIA. ONEIDA COUNTY IS COMPRISED OF TWENTY-SIX TOWNS AND NINETEEN VILLAGES. ACCORDING TO COUNTY HEALTH RANKINGS, 33% OF RESIDENTS IN ONEIDA COUNTY ARE LIVING IN A RURAL AREADEMOGRAPHIC: AS OF 2010-2014, THE TOTAL ONEIDA COUNTY POPULATION IS 233,944, WHICH HAS SHRUNK 0.65% SINCE 2000. THE POPULATION GROWTH RATE IS LOWER THAN THE STATE AVERAGE RATE OF 3.26% AND IS MUCH LOWER THAN THE NATIONAL AVERAGE RATE OF 11.61%. ACCORDING TO THE 2021 CENSUS ESTIMATE, RESIDENTS BETWEEN THE AGES OF 45-54 YEARS OF AGE MAKE UP THE LARGEST PERCENTAGE OF THE POPULATION, WHICH IS EXPECTED TO REMAIN STEADY OVER THE NEXT FIVE YEARS. SIMILARLY, POPULATION DISTRIBUTION BY RACE IS FORECASTED TO REMAIN CONSISTENT, BUT HAS BECOME MORE DIVERSE SINCE 2000. MOST RESIDENTS IN THE COUNTY HAVE HEALTH INSURANCE, WITH PRIVATE INSURANCE BEING THE MOST PREVALENT, REPRESENTING 67.8% OF THE POPULATION. THE INSURED RATE FOR ONEIDA COUNTY IS SLIGHTLY HIGHER THAN THE OVERALL NYS RATE FOR THOSE WITH PRIVATE HEALTH INSURANCE
PART VI, LINE 5:	HEALTH EQUITY TASKFORCE EXPANDED MEMBERSHIP AND REBRANDED THEIR NAME TO THE MOHAWK VALLEY PARTNERSHIP FOR COMBATING HEART DISEASE. PARTNERS MEET WEEKLY AND INCLUDE THE FOLLOWING: O MOHAWK VALLEY LATINO ASSOCIATIONO ROME & UTICA BRANCHES OF THE NAACPO THE CENTER O EXCELLUS BLUE CROSS BLUE SHIELDO THE COMMUNITY FOUNDATION OF HERKIMER & ONEIDA COUNTYO MOHAWK VALLEY COMMUNICATION ACTION AGENCYO UPSTATE FAMILY HEALTHO AMERICAN HEART ASSOCIATIONO ONEIDA COUNTY HEALTH DEPARTMENTO MOHAWK VALLEY HEALTH SYSTEMO ROME HEALTHTHE MOHAWK VALLEY PARTNERSHIP TO COMBAT HEART DISEASE HAS MET AND EXCEEDED OUR INTENDED SHORT TERM OUTCOMES FOR 2022. MONTHLY REPORTING TEMPLATES WERE CREATED AND EMBEDDED WITHIN THE PARTNERSHIP CONTRACTS TO TRACK PROGRAM IMPACT. BOTH QUALITATIVE AND QUANTITATIVE DATA IS AGGREGATED AND REPORTED TO THE PARTNERSHIP ON A MONTHLY BASIS. INTENDED ACTIVITIES OR GOALS REQUIRING PERFORMANCE IMPROVEMENT PLANS ARE DISCUSSED WITH PARTNERSHIP MEMBERS. TO ADDRESS PATIENT SATISFACTION AND IMPACT, THE PARTNERSHIP MEMBERS CREATED A PRE- AND POST-TEST THAT IS UTILIZED TO ASSESS THE TOTAL NUMBER OF INDIVIDUALS WITH INCREASED KNOWLEDGE OF HOW TO PREVENT AND MANAGE CVD. AS A NEXT STEP, PARTNERS WILL BEGIN TO ADDRESS COLLECTION OF DATA FOR INTERMEDIATE AND LONG-TERM GOALS UTILIZING A SUBSET OF PATIENTS REFERRED TO PRIMARY CARE IN 2023. CLINICAL QUALITY TEAMS FROM MVHS MEDICAL GROUP AND UPSTATE FAMILY HEALTH WILL REVIEW STANDARD CLINICAL QUALITY DATA SETS TO ASSESS IMPACT ON STATED GOALS. OUTCOME REPORTS WILL BE SHARED WITH THE PARTNERSHIP AND PROGRAMMATIC COURSE CORRECTIONS MADE, IF APPLICABLE.2022 OUTCOMES 250 COMMUNITY OUTREACH EVENTS WERE HELD TO INCREASED PUBLIC AWARENESS OF CARDIOVASCULAR DISEASE (CVD) RISK FACTORS OR INCREASED AWARENESS OF COMMUNITY RESOURCES TO PREVENT, TREAT AND MANAGE CVD. EVENTS AND STATIC SITES WERE HELD PRIMARILY IN ONEIDA COUNTY BUT ALSO TO LESSER EXTENT IN HERKIMER AND MADISON. 18,026 COMMUNITY MEMBERS RECEIVED COMMUNITY EDUCATION REGARDING VACCINES, HYPERTENSION & STROKE. 6721 INDIVIDUALS FOR HYPERTENSION (BLOOD PRESSURE SCREENINGS PERFORMED BY COMMUNITY NURSES) OF THE INDIVIDUALS SCREENED, COMMUNITY HEALTH NURSES CONNECTED 179 INDIVIDUALS TO PRIMARY CARE. OF THE 6721 MEDICALLY SCREENED 57.39% WERE BLACK, HISPANIC, ASIAN, BOSNIAN, BURMESE, UKRAINIAN, DOMINICAN, KAREN, RUSSIAN, MOLDAVIAN, ARABIC, SOMALIAN, AND SUDANESE. 8945 INDIVIDUALS RECEIVED HEALTH INSURANCE ASSISTANCE. 817 HEART HEALTHY MEALS PROVIDED IN THE COMMUNITY. 581 INDIVIDUALS RECEIVED ASSISTANCE WITH LEGAL, VOCATIONAL, ELDER SERVICES, COUNSELING ETC. O ALZHEIMER'S ASSOCIATIONO FIDELIS
PART VI, LINE 6:	ST. ELIZABETH MEDICAL CENTER (SEMC) AND FAXTON ST. LUKE'S HEALTHCARE (FSLH) AFFILIATED UNDER THE MOHAWK VALLEY HEALTH SYSTEM (MVHS) ON MARCH 6, 2014. MVHS MAIN CAMPUSES: ST. ELIZABETH CAMPUS 2209 GENESEE STREET, UTICA, NY ST. LUKE'S CAMPUS 1656 CHAMPLIN AVENUE, NEW HARTFORD, NY FAXTON CAMPUS 1676 SUNSET AVENUE, UTICA, NY THE MVHS MEDICAL GROUP OFFERS 11 PRIMARY CARE OFFICES LOCATED THROUGHOUT ONEIDA AND HERKIMER COUNTIES, A CHILDREN'S HEALTH CENTER, WOMEN'S HEALTH CENTER AND MULTI-SPECIALTY PROVIDERS INCLUDING GENERAL, ORTHOPEDIC, VASCULAR AND CARDIAC AND THORACIC SURGERY, GASTROENTEROLOGY AND ADVANCED ENDOSCOPY, UROLOGY AND NEURO SCIENCES. THE SISTER ROSE VINCENT FAMILY MEDICINE CENTER PROVIDES PATIENT CARE SERVICES AND IS ALSO A TEACHING FACILITY FOR NEW PHYSICIANS.FAXTON ST. LUKE'S HEALTHCAREA NOT-FOR-PROFIT HEALTHCARE ORGANIZATION, FSLH INCLUDES ST. LUKE'S HOME, SENIOR NETWORK HEALTH, AND THE VISITING NURSE ASSOCIATION OF UTICA AND ONEIDA COUNTY. ST. LUKE'S CAMPUS: BARIATRIC SURGERY PROGRAM MATERNAL CHILD SERVICES MOHAWK VALLEY VASCULAR CENTER STROKE CENTER SURGICAL AND AMBULATORY SERVICES TOTAL JOINT ORTHOPEDIC PROGRAMFAXTON CAMPUS CANCER CENTER DIALYSIS CENTER OUTPATIENT REHABILITATION SERVICES WELLNESS CENTERCENTER FOR REHABILITATION AND CONTINUING CARE SERVICES ACUTE INPATIENT REHABILITATION UNIT ADULT DAY HEALTH CARE SERVICE OUTPATIENT DIALYSIS CENTER ST. LUKE'S HOME SENIOR NETWORK HEALTH VISITING NURSE ASSOCIATION OF UTICA AND ONEIDA COUNTYST. ELIZABETH MEDICAL CENTERA NOT-FOR-PROFIT HEALTHCARE ORGANIZATION, SEMC ALSO INCLUDES ST. ELIZABETH HOME CARE, WHICH SERVES PATIENTS IN THEIR HOMES AND ST. ELIZABETH HEALTH SUPPORT SERVICES OFFERING RESPIRATORY SERVICES AND DURABLE MEDICAL EQUIPMENT TO PATIENTS IN THEIR HOMES. SEMC HAS 202 ACUTE CARE BEDS.SEMC MAIN CAMPUS: CARDIAC SERVICES MOHAWK VALLEY SLEEP DISORDERS CENTER ORTHOPEDIC SERVICES ST. ELIZABETH COLLEGE OF NURSING ST. ELIZABETH FAMILY MEDICINE RESIDENCY PROGRAM SURGICAL AND AMBULATORY SERVICES TRAUMA CENTER FELLOWSHIP IN HOSPITAL MEDICINE FELLOWSHIP IN GYNECOLOGIC ENDOSCOPYMEDICAL ARTS CAMPUS: ADVANCED WOUND CARE CENTER OUTPATIENT LABORATORY DRAW SITE BOTH HOSPITALS ACCEPT ALL MAJOR INSURANCES AND HAVE DESIGNATED CHARITY CARE PROGRAMS TO HELP PROVIDE FOR INDIVIDUALS WITHOUT INSURANCE. OUR AFFILIATION ENHANCES SERVICES FOR THE RESIDENTS OF THE MOHAWK VALLEY THROUGH GREATER COLLABORATION AND IMPROVED CLINICAL QUALITY FOR PATIENT AND RESIDENT CARE. AS A LARGE SYSTEM, MVHS HAS MUCH TO OFFER WHEN RECRUITING NEW PHYSICIANS. SEMC IS A CATHOLIC HOSPITAL, SPONSORED BY THE SISTERS OF ST. FRANCIS OF THE NEUMANN COMMUNITIES. SPECIALTIES THE BARIATRIC SURGERY PROGRAM IS AN AMERICAN SOCIETY FOR METABOLIC & BARIATRIC SURGERY BARIATRIC SURGERY CENTER OF EXCELLENCE. AS AN ACCREDITED PROGRAM, MVHS DEMONSTRATES THAT OUR CENTER MEETS THE NEEDS OF BARIATRIC SURGERY PATIENTS BY PROVIDING MULTIDISCIPLINARY, HIGH-QUALITY, PATIENT-CENTERED CARE. THE CANCER CENTER PROVIDES CARE TO PATIENTS IN OUR COMMUNITY FROM THE TIME OF DIAGNOSIS THROUGH TREATMENT AND RECOVERY. SERVICES INCLUDE OUTPATIENT INFUSION, RADIATION ONCOLOGY, CLINICAL TRIALS, INPATIENT ONCOLOGY, INTEGRATIVE MEDICINE, A BREAST CARE CENTER, A NURSE NAVIGATOR PROGRAM, CANCER EDUCATION AND SUPPORT SERVICES. THE CENTRAL YORK DIABETES EDUCATION PROGRAM (CNY DIABETES) IS RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION. CNY DIABETES OFFERS THE NATIONAL DIABETES PREVENTION PROGRAM WHICH IS ENDORSED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION. THE DIALYSIS CENTER IS THE SOLE PROVIDER OF DIALYSIS TREATMENT WITHIN A 25 MILE SERVICE AREA. EACH YEAR, MORE THAN 400 PATIENTS RECEIVE MORE THAN 69,000 DIALYSIS TREATMENTS AT ONE OF SIX FACILITIES LOCATED THROUGHOUT THE MOHAWK VALLEY. DIALYSIS CENTERS ARE LOCATED IN UTICA, ROME, HAMILTON AND HERKIMER. FSLH IS THE ONLY DESIGNATED PRIMARY STROKE CENTER IN THE MOHAWK VALLEY AND ONE OF 115 DESIGNATED STROKE CENTERS IN NEW YORK STATE. THE ORGANIZATION IS A RECIPIENT OF THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES STROKE GOLD PLUS ACHIEVEMENT AWARD. THE AWARD RECOGNIZES FSLH'S COMMITMENT AND SUCCESS IN IMPLEMENTING EXCELLENT CARE FOR STROKE PATIENTS, ACCORDING TO EVIDENCE-BASED GUIDELINES.MVHS'S ACUTE INPATIENT REHABILITATION PROGRAM IS ACCREDITED BY THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES. THE REHABILITATION CENTER PROVIDES BOTH INPATIENT AND OUTPATIENT SERVICES WITH LOCATIONS AT THE FAXTON CAMPUS, ST. LUKE'S CAMPUS, ST. LUKE'S HOME, ST. ELIZABETH CAMPUS AND ST. ELIZABETH MEDICAL ARTS. ST. LUKE'S HOME IS A 202-BED LONG TERM CARE FACILITY WITH A 40-BED SUBACUTE REHABILITATION UNIT. ST. LUKE'S HOME OPENED IN 1996 ON THE ST. LUKE'S CAMPUS AND RECENTLY UNDERWENT A $31.3 MILLION RENOVATION AND EXPANSION. THE VISITING NURSE ASSOCIATION (VNA) OF UTICA AND ONEIDA COUNTY IS ACCREDITED BY THE COMMUNITY HEALTH ACCREDITATION PROGRAM, INC. THE VNA OF UTICA AND ONEIDA COUNTY CELEBRATED ITS 100TH ANNIVERSARY IN 2015 AND SERVES NEARLY 2,200 PATIENTS ANNUALLY.
PART VI, LINE 7, REPORTS FILED WITH STATES	NY

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHRISTOPHER MAX MD
PHYSICIAN	$761,250	$0	$509,466	$0	$7,427	$0	$12,820	$0	$17,138	$0	$1,308,101	$0	$0	$0
DARLENE STROMSTAD
PRESIDENT/CEO	$779,400	$0	$150,000	$0	$254,362	$0	$12,201	$0	$11,323	$0	$1,207,286	$0	$0	$0
ANDREW PELLECCHIA MD
PHYSICIAN	$599,990	$0	$346,000	$0	$742	$0	$12,200	$0	$18,200	$0	$977,132	$0	$0	$0
NALINI NAMASSIVAYA MD
PHYSICIAN	$504,131	$0	$231,941	$0	$3,267	$0	$12,354	$0	$9,548	$0	$761,241	$0	$0	$0
MARIO CARRILLO DO
PHYSICIAN	$650,000	$0	$69,136	$0	$3,267	$0	$12,200	$0	$15,382	$0	$749,985	$0	$0	$0
SUSHMA KAUL MD
PHYSICIAN/MEDICAL STAFF VP	$415,013	$0	$265,012	$0	$7,129	$0	$12,200	$0	$17,349	$0	$716,703	$0	$0	$0
JONATHAN WIGDERSON MD
PHYSICIAN	$656,000	$0	$0	$0	$3,267	$0	$12,129	$0	$9,768	$0	$681,164	$0	$0	$0
KENT HALL MD
SVP/PHYSICIAN PRACTICE AND OPERATION	$491,727	$0	$95,481	$0	$46,654	$0	$12,212	$0	$18,978	$0	$665,052	$0	$0	$0
LOUIS AIELLO
SR VICE PRESIDENT/CFO	$0	$478,671	$0	$99,062	$0	$19,136	$0	$20,178	$0	$10,934	$0	$627,981	$0	$0
MANSOOR SHAHID
SR VICE PRESIDENT/COO	$406,688	$0	$50,000	$0	$9,909	$0	$11,804	$0	$17,350	$0	$495,751	$0	$0	$0
ERIC YOSS MD
FORMER CMO	$218,151	$0	$48,582	$0	$14,286	$0	$8,584	$0	$4,904	$0	$294,507	$0	$0	$0
LINDA MCCORMACK-MILLER
SR VICE PRESIDENT/CNO	$126,518	$0	$0	$0	$1,945	$0	$15	$0	$4,639	$0	$133,117	$0	$0	$0
WALEED ALBERT MD
FORMER FSLH MEDICAL STAFF	$0	$0	$0	$0	$50,504	$0	$0	$0	$0	$0	$50,504	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 4A	FormAndLineReferenceDesc
Explanation	LINDA MCCORMACK-MILLER RECEIVED TOTAL COMPENSATION OF $133,117. SEE SCHEDULE J, PART II FOR DETAILS.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
ONEIDA COUNTY LOCAL DEVELOPMENT CORP
A	273190422	2019-11-21	$16,220,000	REFINANCING OLD DEBT (2006 BONDS)	0	0	Yes (1)
ONEIDA COUNTY LOCAL DEVELOPMENT CORP
B	273190422	2019-11-21	$6,395,000	EPIC EMR SYSTEM IMPLEMENTATION	0	0	Yes (1)
ONEIDA COUNTY LOCAL DEVELOPMENT CORP
C	273190422	2019-11-21	$2,020,000	CAPITAL EQUIPMENT	0	0	Yes (1)

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt
A	$17,015,117	$13,066,526	$249,126	$413,080	$3,286,385	2019	Yes (1)	Yes (1)	Yes (1)	Yes (1)
B	$7,762,993		$98,229	$162,876	$14,701	2019	0	0	Yes (1)	Yes (1)	$7,516,589
C	$2,598,879		$37,330	$61,898	$349	2020	0	0	0	Yes (1)	$2,500,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	MOHAWK VALLEY HEALTH SYSTEM, INC IS THE SOLE MEMBER OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A	MOHAWK VALLEY HEALTH SYSTEM, INC APPOINTS THE DIRECTORS AND GOVERNING BODY OF THE ORGANIZATION. THE BOARD OF DIRECTORS ARE LISTED IN SECTION VII.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 AND FORM 990T ARE REVIEWED AT A MEETING WITH THE EXECUTIVE COMMITTEE AND THE BOARD OF DIRECTORS, PRIOR TO SUBMITTING THE REPORT.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY: THE PURPOSE OF THE POLICIES AND DIRECTIVES SET OUT IN THIS POLICY STATEMENT IS TO ASSURE THAT THE BUSINESS CONDUCTED BY THE ORGANIZATION IS CONDUCTED FREE FROM THE POSSIBLE INFLUENCE OF CONFLICTS OF INTEREST OF INTERESTED PERSONS. THIS POLICY EXISTS TO PROTECT THE ORGANIZATIONS INTEREST WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN INTERESTED PERSON IN THE ORGANIZATION. INTERESTED PERSONS MAY NOT ENTER INTO ANY EMPLOYMENT TRANSACTION OR OTHER ARRANGEMENT THAT MAY CAUSE OR BE PERCEIVED TO CAUSE A CONFLICT OF INTEREST. INTERESTED PERSONS MUST REVIEW THIS POLICY ANNUALLY AND COMPLETE THE ACKNOWLEDGEMENT AND DISCLOSURE FORM ANNUALLY. THE COMPLIANCE OFFICER AND/OR THE COMPLIANCE COMMITTEE WILL REVIEW ALL ANNUAL ACKNOWLEDGEMENT AND DISCLOSURE FORMS AND ANY CONFLICTS OR POTENTIAL CONFLICTS IDENTIFIED. WHEN A POTENTIAL CONFLICT IS IDENTIFIED, THE COMPLIANCE OFFICER WILL ENSURE APPROPRIATE ACTIONS ARE TAKEN TO RESOLVE THE CONFLICT. THIS POLICY IS INTENDED TO SUPPLEMENT BUT NOT REPLACE ANY APPLICABLE FEDERAL AND STATE LAWS GOVERNING CONFLICTS OF INTEREST APPLICABLE TO NONPROFIT AND CHARITABLE CORPORATIONS.
FORM 990, PART VI, SECTION B, LINE 15	THE BOARD OF DIRECTORS HAS ESTABLISHED AN EXECUTIVE COMPENSATION COMMITTEE, WHICH IS RESPONSIBLE FOR REVIEWING THE ADEQUACY AND REASONABLENESS OF THE COMPENSATION PAID TO THE PRESIDENT/CEO AND OTHER EMPLOYEES OF THE EXECUTIVE LEADERSHIP TEAM. THE EXECUTIVE LEADERSHIP TEAM CONSISTS OF THE FOLLOWING POSITIONS: - PRESIDENT/CEO - SVP/ CFO - SVP/CNO - SVP/ CIO - SVP/ CHRO - SVP/MARKETING & STRATEGY - SVP/CHIEF LEGAL COUNSEL - SVP/ PHYSICIAN PRACTICES & OPERATIONS - SVP/ CHIEF QUALITY & PATIENT SAFETY OFFICER ON AN ANNUAL BASIS, THE COMMITTEE IS RESPONSIBLE FOR (1) REVIEWING AND RECOMMENDING TO THE BOARD CHAIR THE CEO'S COMPENSATION, INCLUDING SALARY, INCENTIVES, BENEFITS AND OTHER PREREQUISITES, FOR FINAL APPROVAL BY THE BOARD (2) REVIEWING THE COMPENSATION OF ALL OTHER EMPLOYEES OF THE EXECUTIVE LEADERSHIP TEAM, AS RECOMMENDED BY THE CEO. THE ADEQUACY AND REASONABLENESS OF ALL EXECUTIVE COMPENSATION IS ASSESSED THROUGH INDEPENDENT COMPENSATION CONSULTANTS, WHICH CONDUCT MARKET REVIEWS USING BENCHMARKING DATA FOR COMPARABLE POSITIONS IN SIMILARLY SITUATED HOSPITALS. THIS ASSESSMENT IS PROVIDED AND REVIEWED BY THE EXECUTIVE COMPENSATION COMMITTEE ON AN ANNUAL BASIS. THE INDEPENDENCE OF THE COMMITTEE MEMBERS IS REVIEWED AND VERIFIED PRIOR TO THE START OF THE ANNUAL COMPENSATION REVIEW PROCESS. SHOULD A CONFLICT PRESENT, THOSE INDIVIDUALS WITH ACTUAL OR PERCEIVED CONFLICTS ABSTAIN FROM VOTING UNTIL SUCH TIME AS THE CONFLICT CAN BE RESOLVED OR A REPLACEMENT MEMBER INS APPOINTED TO THE COMMITTEE. THE COMMITTEE'S DELIBERATIONS AND DISCUSSIONS ARE GUIDED BY A WRITTEN COMPENSATION PHILOSOPHY AND DOCUMENTED THROUGH WRITTEN MINUTES TAKEN DURING EACH MEETING. THE MINUTES INCLUDE, AMONG OTHER THINGS, THE WRITTEN MATERIALS DISTRIBUTED OR PRESENTED DURING THE MEETING AND THE SPECIFIC DECISIONS TAKEN AT THE MEETING.
FORM 990, PART VI, SECTION C, LINE 19	POLICY: IT IS THE POLICY OF THIS HOSPITAL TO MAKE AVAILABLE TO ANYONE WHO ASKS, A COPY OF ITS ANNUAL REPORT TO THE INTERNAL REVENUE SERVICE (IRS) ON FORM 990, AND ITS EXEMPT STATUS FORM. IN ACCORDANCE WITH THE LAW, FORM 990 FOR A GIVEN YEAR, WILL BE MADE AVAILABLE FOR PUBLIC INSPECTION FOR A THREE-YEAR PERIOD.PURPOSE: THE PURPOSE OF THIS POLICY IS TO COMPLY WITH IRS LAW, WHICH APPLIES FOR TAX YEARS BEGINNING AFTER JUNE 8, 1999 SPECIAL INSTRUCTIONS: A. A COPY OF THE ABOVE NAMED DOCUMENTS, WILL BE MADE AVAILABLE FOR INSPECTION BY A REQUESTER, IN A DESIGNATED ROOM, IN THE FINANCE DEPARTMENT OF THE HOSPITAL. B. THE DOCUMENTS WILL BE MADE AVAILABLE, IMMEDIATELY, TO ANYONE WHO APPEARS IN PERSON DURING USUAL BUSINESS HOURS. FOR WRITTEN REQUESTS FOR COPIES OF DOCUMENTS, RESPONSE WILL BE PROVIDED WITHIN THIRTY (30) DAYS OF RECEIPT OF PAYMENT OF REASONABLE COPYING FEES. C. EITHER THE HOSPITAL SENIOR VICE PRESIDENT/CFO, THE CONTROLLER, OR THEIR DESIGNATED REPRESENTATIVE WILL BE PRESENT DURING AN INSPECTION BY A REQUESTER. D. ONLY THE HOSPITAL SENIOR VICE PRESIDENT/CFO, THE CONTROLLER, OR THEIR DESIGNATED REPRESENTATIVE WILL BE PERMITTED TO ANSWER QUESTIONS THAT A REQUESTER MAY HAVE. SHOULD A REQUESTER ASK THE HOSPITAL FOR A PHOTOCOPY OF ANY OR ALL PARTS OF DOCUMENTS, THE HOSPITAL WILL CHARGE $1.00 FOR THE FIRST PAGE, PLUS $.15 FOR EACH ADDITIONAL PAGE.
FORM 990, PART IX, LINE 11G	OTHER FEES: PROGRAM SERVICE EXPENSES 53,221,353. MANAGEMENT AND GENERAL EXPENSES 8,327,569. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 61,548,922.
FORM 990, PART XI, LINE 9:	CHANGE IN INVESTMENTS IN FOUNDATION -1,814,810. CONTRIBUTIONS FOR CAPITAL ACQUISITIONS 1,583,496. TRANSFER FROM AFFILIATES 96,772.
PART XII LINE 2C	NO CHANGE FROM PRIOR YEAR

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MOHAWK VALLEY HEALTH SYSTEM INC
PO BOX 4308	UTICA	NY	13504	223124162	PROMOTE HEALTH CARE	NY	501(C)(3)	LINE 3	N/A	0
ST LUKE'S HOME RESIDENTIAL HEALTHCARE FACILITY
PO BOX 6305	UTICA	NY	13504	161476372	202 BED RHCF	NY	501(C)(3)	LINE 10		0	FAXTON ST LUKE'S HEALTHCARE INC
VISITING NURSE'S ASSOCIATION OF UTICA & ONEIDA COUNTIES
2608 GENESEE STREE	UTICA	NY	13502	150532259	HOME HEALTH NURSING	NY	501(C)(3)	LINE 10		0	MOHAWK VALLEY NETWORK INC
ST ELIZABETH'S MEDICAL CENTER INC
2209 GENESEE STREET	UTICA	NY	13501	150532245	HEALTH CARE	NY	501(C)(3)	LINE 3		0	PARTNERS IN FRANCISCAN MINISTRIES INC
ST ELIZABETH MEDICAL CENTER FOUNDATION
2209 GENESEE STREET	UTICA	NY	13501	222562170	FUNDRAISING	NY	501(C)(3)	LINE 12B, II		Yes (1)	ST ELIZABETH MEDICAL CENTER
MOHAWK VALLEY HEALTH SYSTEM FOUNDATION
PO BOX 4309	UTICA	NY	13503	223078768	FUND RAISING	NY	501(C)(3)	LINE 12B, II		0	MOHAWK VALLEY NETWORK INC

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd