2023-11-15T16:25:44-06:00 2022-12-31 161226221 FUSTCHARLES LLP 220 S WARREN STREET SYRACUSE NY 13202 990 2022-01-01 150532245 ST ELIZABETH MEDICAL CENTER STEL 3158018151 2209 GENESEE STREET UTICA NY 135015999 LOUIS AIELLO CFO 3156246143 2023-11-15 1 LOUIS AIELLO XXX-XX-XXXX 1 PATRICK CAPELLA P01359200 3154463600 2023-11-15 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z LOUIS AIELLO 2209 GENESEE STREET UTICA NY 135015999 244139611 0 X HTTPS://MVHEALTHSYSTEM.ORG X 1861 NY ST. ELIZABETH MEDICAL CENTER COMMUNITY, INSPIRED BY ST. FRANCIS OF ASSISI AND FAITHFUL TO THE TEACHINGS OF THE ROMAN CATHOLIC CHURCH, IS COMMITTED TO EXCELLENCE IN HEALTHCARE AND EDUCATION. 18 16 1798 7 241455 0 4126626 10428909 212222186 228539625 815760 857261 3550404 4230955 220714976 244056750 0 0 0 0 113283936 117779041 0 0 0 107136844 129043692 220420780 246822733 294196 -2765983 133239350 129028947 140340984 130813596 -7101634 -1784649 X ST. ELIZABETH MEDICAL CENTER COMMUNITY, INSPIRED BY ST. FRANCIS OF ASSISI AND FAITHFUL TO THE TEACHINGS OF THE ROMAN CATHOLIC CHURCH, IS COMMITTED TO EXCELLENCE IN HEALTHCARE AND EDUCATION. 0 0 131231392 129791295 INPATIENT SERVICES- ST ELIZABETH MEDICAL CENTER IS A FULL SERVICE GENERAL HOSPITAL WITH 201 LICENSED BEDS. THE HOSPITAL PROVIDES A FULL RANGE OF ROUTINE AND ANCILLARY SERVICES, INCLUDING CARDIAC SURGERY AND ANGIOPLASTY. DISBURSEMENTS MADE BY THE HOSPITAL ARE EXCLUSIVELY FOR SERVICES AND MATERIALS USED IN PERFORMING THE HOSPITAL'S EXEMPT FUNCTIONS. ST ELIZABETH MEDICAL CENTER PROVIDES CARE TO EVERYONE REGARDLESS OF RACE, RELIGION OR ABILITY TO PAY. 45983195 59048686 AMBULATORY SURGERY- ST ELIZABETH MEDICAL CENTER HAS A FULL RANGE OF AMBULATORY SURGERY SERVICES ON ITS CAMPUS FOR PATIENTS THAT DO NOT REQUIRE OVERNIGHT OR LONG INPATIENT STAYS. ST ELIZABETH MEDICAL CENTER PROVIDES SERVICES TO EVERYONE REGARDLESS OF RACE, RELIGION, OR ABILITY TO PAY. 16825451 4336161 COMMUNITY MEDICINE - IN ADDITION TO HAVING OUTPATIENT VISITS ON SITE, ST. ELIZABETH MEDICAL CENTER HAS 13 OFF-SITE CLINICS TO PROVIDE PATIENTS WITH CONVENIENT MEDICAL CARE AT A LOWER COST THAN IN THE HOSPITAL SETTING. THE OFF-SITE CLINICS INCLUDE FAMILY PRACTICE AND COMMUNITY MEDICINE. 22993973 38778546 OTHER PROGRAM SERVICES INCLUDE EMERGENCY ROOM, REFERRED AMBULATORY, CLINICS, FAMILY PRACTICE, SPORTS MEDICINE CENTER, COLLEGE OF NURSING, INTERNS AND RESIDENTS, AND HOME HEALTH AGENCY 22993973 38778546 217034011 1 1 0 1 0 0 1 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 168 0 1 1798 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 18 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X LOUIS AIELLO - ST ELIZABETH MEDICAL CENTER 3158018151 2209 GENESEE STREET UTICA NY 13501 NORMAN SIEGEL EMERITUS 1.00 2.50 X 0 0 0 JOAN COMPSON EMERITUS 1.00 2.50 X 0 0 0 ROBERT DICKS DIRECTOR 1.00 X 0 0 0 SYMEON TSOUPELIS DIRECTOR 1.00 2.50 X 0 0 0 ANDREW KOWALCZYK III DIRECTOR 1.00 2.50 X 0 0 0 LAUREN BULL VICE CHAIRMAN 1.00 2.50 X X 0 0 0 BARBARA BRODOCK DIRECTOR 1.00 2.50 X 0 0 0 CATHERINE BROWNELL PHD DIRECTOR 1.00 2.50 X 0 0 0 DOMENIC P AIELLO MD DIRECTOR 1.00 2.50 X 0 0 0 GREGORY MCLEAN DIRECTOR 1.00 2.50 X 0 0 0 CATHERINE COMINSKY DIRECTOR 1.00 2.50 X 0 0 0 RICHARD TANTILLO PHILANTHROPY CHAIR 1.00 2.50 X X 0 0 0 KAREN LEACH SECRETARY 1.00 2.50 X X 0 0 0 SUSHMA KAUL MD MVHS MEDICAL DIRECTOR VP 1.00 52.50 X 0 687154 29549 RICHARD ZWEIFEL TREASURER 1.00 2.50 X X 0 0 0 GREGORY EVANS CHAIRMAN 1.00 2.50 X X 0 0 0 JONATHON BLOCK MD MVHS MEDICAL STAFF PRES 1.00 2.50 X 0 0 0 LOUIS AIELLO SENIOR VP/CFO 18.00 32.00 X 596869 0 31112 DARLENE STROMSTAD PRESIDENT/CEO 20.00 35.00 X 0 1183762 23524 MANSOOR SHAHID COO 18.00 32.00 X 0 466597 29153 KENT HALL MD SVP/PHYSICIAN PRACTICE AND OPERATIONS 18.00 32.00 X 0 633862 31190 NABEEL EL-AMIR MD PHYSICIAN 50.00 X 1369501 0 23379 GOUTHAN MALEMPATI MD PHYSICIAN 50.00 0.00 X 620112 0 26000 LEO SULLIVAN PHYSICIAN 50.00 0.00 X 995773 0 15816 ROBERT MADLINGER PHYSICIAN 50.00 0.00 X 625966 0 17815 ROBERT SCHOLEFIELD EXECUTIVE VP OF FACILITIES 50.00 0.00 X 0 491914 35306 WALEED ALBERT MD FORMER DIRECTOR 0.00 0.00 X 0 50504 0 LINDA MCCORMACK-MILLER CNO 18.00 32.00 X 0 128463 4654 ERIC YOSS MD FORMER CMO 0.00 50.00 X 0 281019 13488 4208221 3923275 280986 265 1 1 1 DAVIN HEALTHCARE SOFTWARE SOLUTIONS 18 DIVISION STREET 311 SARATOGA SPRINGS NY 12866 MEDICAL STAFFING SERVICES 8620816 PROLINK HEALTHCARE 4600 MONTGOMERY RD 300 CINCINNATI OH 45212 MEDICAL STAFFING SERVICES 7091563 UPTOWN ANESTHESIA ASSOCIATION 2405 GENESEE STREET UTICA NY 13501 ANESTHESIA SERVICES 3947295 WESTMORELAND CONSULTING LLC 1460 NEPPERHAN AVENUE YONKERS NY 10703 MANAGEMENT CONSULTING 1524068 MAYO COLLABORATIVE SERVICES PO BOX 9146 MINNEAPOLIS MN 55480 LABRATORY SERVICES 1312528 55 13015 10402181 13713 10428909 ACUTE CARE 622200 129791295 129791295 AMBULATORY SURGERY 622200 59048686 59048686 EMERGENCY DEPARTMENT 622200 31579645 31579645 PRIMARY CARE 622200 4336161 4336161 LABORATORY TESTING 622200 229643 229643 3554195 3554195 228539625 616490 616490 669110 82861 586249 586249 11812 574437 240771 0 240771 240771 240771 TUITION AND FEES 622200 1601988 1601988 2042718 2042718 3644706 244056750 231954688 241455 1431698 X 627981 627981 98805330 87427256 11378074 3711947 3263774 448173 7746756 6811428 935328 6887027 6055501 831526 -179419 -179419 -77125 -77125 127380 127380 66582 66582 60302 60302 46487672 40808733 5678939 1450 1273 177 237917 208853 29064 3356251 2946251 410000 3642295 3197352 444943 68791 60387 8404 1020702 1020702 8524041 7487173 1036868 2511134 2204374 306760 MEDICAL SUPPLIES 44764716 39296253 5468463 BAD DEBTS 8205456 8205456 SERVICE CONTRACTS 3734254 3278077 456177 NON MEDICAL SUPPLIES 3425447 3006994 418453 3065846 2714574 351272 246822733 217034011 29788722 0 875205 1323590 21576933 25609591 7703011 7828506 1450659 1204362 179456811 126461049 57208642 52995762 22413158 19252144 22011742 20814992 133239350 129028947 23609068 35772155 31871881 31189434 19175056 8586302 65684979 55265705 140340984 130813596 X -9064198 -3494343 1962564 1709694 -7101634 -1784649 133239350 129028947 X -2765983 -4115753 12198721 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 66582 66582 0 PART II-B, LINE 1: ACTIVITIES INCLUDE THE PORTION OF DUES PAID TO THE HEALTH CARE ASSOCIATION OF NEW YORK STATE. X 1 20.00 0 0 1 0 1 1962564 -251620 1250 1709694 1592390 548864 178690 1962564 1557698 57617 22925 1592390 1447744 175990 250468 177564 138940 1557698 1638165 126871 -59273 119411 138608 1447744 0.62480 0.37520 0 1 1 6054331 6054331 63873924 48572489 15301435 109528556 77888560 31639996 52995762 GRANT AND TUITION RECEIVABLES 11389210 ASSETS WHOSE USE IS LIMITED- BOND FUNDS 834564 INTEREST IN NET ASSETS OF SEMC FOUNDATION 5300916 INVESTMENTS RESTRICTED BY DONORS 2253578 OPERATING LEASE RIGHT-OF-USE ASSETS 1036724 20814992 ACCRUED PENSION LIABILITY 17654095 LIABILITY TO THIRD PARTY PAYORS 1743370 PROFESSIONAL LIABILITY DEDUCTIBLE 10153071 OTHER LONG-TERM LIABILITIES 1659345 DUE TO AFFILIATES 21392667 OTHER CURRENT LIABILITIES 244228 FINANCE LEASE OBLIGATIONS 1780516 OPERATING LEASE LIABILITIES 638413 55265705 X PART II, LINE 9: THE AMOUNT OF CONSERVATION EASEMENT IS IMMATERIAL TO FINANCIAL STATEMENTS AND THEREFORE, IS NOT RECORDED AS PART OF TOTAL ASSETS. PART V, LINE 4: ENDOWMENT FUNDS - THE INTENDED PURPOSE OF THE MEDICAL CENTER'S ENDOWMENT FUNDS IS TO PROVIDE FUTURE SCHOLARSHIP AWARDS FOR STUDENTS IN THE COLLEGE OF NURSING PROGRAM. PART X, LINE 2: THE MEDICAL CENTER AND THE FOUNDATION HAVE BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31, 2022 AND 2021, THE MEDICAL CENTER AND THE FOUNDATION DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2019 THROUGH 2022. THE MEDICAL CENTER AND THE FOUNDATION DOES NOT ANTICIPATE THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS. 1 1 1 X 250.000000000000 1 X 325.000000000000 1 1 1 0 1 1 2178650 1263701 914949 0.00380 40365038 29897286 10467752 0.04390 623183 365542 257641 0.00110 43166871 31526529 11640342 0.04880 1725581 0 1725581 0.00720 9397582 4850622 4546960 0.01910 107301 0 107301 0.00040 11230464 4850622 6379842 0.02670 54397335 36377151 18020184 0.07550 1 8205456 187323 49668957 56326172 -6657215 X 1 1 1 MVEC GASTROENTEROLOGY SERVICES 0.20000 0.00000 0.00000 1 1 ST ELIZABETH MEDICAL CENTER 2209 GENESEE STREET UTICA NY 13501 X X X X TEACHING HOSPITAL AND 24 HOUR ER ST ELIZABETH MEDICAL CENTER 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X HTTP://MVHEALTHSYSTEM.ORG X HTTP://OCGOV.NET X 1 22 1 HTTP://MVHEALTHSYSTEM.ORG 0 1 X 250.000000000000 325.000000000000 X X 1 1 X X X 1 X HTTP://MVHEALTHSYSTEM.ORG X HTTP://MVHEALTHSYSTEM.ORG X HTTP://MVHEALTHSYSTEM.ORG X X X X X X 1 X 0 X X 1 X 0 0 ST ELIZABETH MEDICAL CENTER PART V, SECTION B, LINE 5: OCHD, RH AND MVHS CONTRACTED WITH RESEARCH AND MARKETING STRATEGIES, INC. (RMS HEALTHCARE) TO COMPLETE THE 2022-2024 CHA/CSP/CHIP. A RIGOROUS, THOROUGH, AND COMPREHENSIVE PROCESS WAS FOLLOWED, ENSURING ALIGNMENT WITH THE NEW YORK STATE DEPARTMENT OF HEALTH PREVENTION AGENDA STATE AND PLANNING CYCLE REQUIREMENTS, WHILE ENGAGING COMMUNITY STAKEHOLDERS TO IDENTIFY THE HEALTH NEEDS OF ONEIDA COUNTY RESIDENTS VIA THREE FORMS OF PRIMARY RESEARCH. THE METHODS USED TO GATHER COMMUNITY INPUT, INCLUDED CONDUCTING COMMUNITY FOCUS GROUPS, AN ONLINE SURVEY, AND IN-DEPTH INTERVIEWS OF COMMUNITY MEMBERS AND LEADERS. THESE METHODS PROVIDED ADDITIONAL PERSPECTIVES ON HOW TO SELECT AND ADDRESS TOP HEALTH ISSUES FACING THE REGION. MVHS PARTICIPATED WITH THE PARTNERS OF THE HEALTHY LIFESTYLES TASKFORCE. IN ADDITION, SEVERAL OF THOSE TASKFORCE MEMBERS (MVLA, NAACP ROME, THE CENTER, ROME HEALTH, ONEIDA COUNTY) WERE A PART OF THE STAKEHOLDER GROUP FOR FURTHER INTERVIEW. ST ELIZABETH MEDICAL CENTER PART V, SECTION B, LINE 6A: OTHER REPRESENTATIVES INCLUDED ROME HEALTH. ST ELIZABETH MEDICAL CENTER PART V, SECTION B, LINE 6B: OCHD, RH AND MVHS CONTRACTED WITH RESEARCH AND MARKETING STRATEGIES, INC. (RMS HEALTHCARE) TO COMPLETE THE 2022-2024 CHA/CSP/CHIP. A RIGOROUS, THOROUGH, AND COMPREHENSIVE PROCESS WAS FOLLOWED, ENSURING ALIGNMENT WITH THE NEW YORK STATE DEPARTMENT OF HEALTH PREVENTION AGENDA STATE AND PLANNING CYCLE REQUIREMENTS, WHILE ENGAGING COMMUNITY STAKEHOLDERS TO IDENTIFY THE HEALTH NEEDS OF ONEIDA COUNTY RESIDENTS VIA THREE FORMS OF PRIMARY RESEARCH INCLUDING, CONDUCTING COMMUNITY FOCUS GROUPS, AN ONLINE SURVEY, AND IN-DEPTH INTERVIEWS OF COMMUNITY MEMBERS AND LEADERS. STAKEHOLDERS INCLUDE: ROBERTO GONZALEZ ACR HEALTH, DR. KENT HALL CHIEF EXECUTIVE OFFICER MOHAWK VALLEY HEALTH SYSTEM, CORRINE KELLEY, FNP-BC ADVANCED PRACTICE CLINICIAN, LEAD ROME HEALTH BOONVILLE HEALTH CENTER, SONIA MARTINEZ PRESIDENT MOHAWK VALLEY LATINO ASSOCIATION, MICHELLE MELLON HIGH SCHOOL SOCIAL WORKER CAMDEN SCHOOL DISTRICT, JACKIE NELSON PRESIDENT NAACP ROME, ANTHONY J. PICENTE, JR. ONEIDA COUNTY EXECUTIVE, ONEIDA COUNTY MICHAEL ROMANO DIRECTOR OFFICE FOR THE AGING AND CONTINUING CARE (OFA), KRISTIN SAUERBIER, L.C.S.W.PROGRAM DIRECTOR MOBILE CRISIS ASSESSMENT TEAM (MCAT), JENNIFER VANWAGONER MANAGER OF GRANTS & COMMUNITY ENGAGEMENT-THE CENTERRANDALL VANWAGONERPRESIDENT, MOHAWK VALLEY COMMUNITY COLLEGE(MVCC),ANNEMARIE WALKER-CZYZ, RN, ED.D., NEA-BC PRESIDENT/CHIEF EXECUTIVE OFFICER ROME HEALTH. ST ELIZABETH MEDICAL CENTER PART V, SECTION B, LINE 11: OCHD, RH AND MVHS CONTINUOUSLY EVALUATE ACTIVITIES ALIGNED WITH GOALS AND STRATEGIES THAT HAVE BEEN IDENTIFIED AND SELECTED. THIS ON-GOING EVALUATION WILL ENSURE THAT STRATEGIES ARE BEING REGULARLY MONITORED, AND BARRIERS ARE REGULARLY ASSESSED, AND SOLUTIONS ARE IDENTIFIED, WHILE FOCUSING ON ACHIEVING HEALTH EQUITY. A COMMUNITY OUTREACH PROGRAM CALLED HEALTHY LIFESTYLES INCLUDES EMPLOYED MVHS NURSES IN PARTNER WITH COMMUNITY NAVIGATORS HIRED BY PARTNER ORGANIZATIONS TO PROVIDE EDUCATION AND SCREENING FOR DIABETES, HYPERTENSION AND STROKE FOCUSED ON TARGETING MINORITY COMMUNITIES. IN ADDITION, MVHS DIRECTOR OF POPULATION HEALTH MEETS REGULARLY WITH THE MEDICAL GROUP LEADERSHIP TO MONITOR PROGRESS OF MEETING COMMUNITY HEALTH IMPROVEMENT PLAN GOALS. PERFORMANCE AGAINST GOALS WILL BE REGULARLY MONITORED TO EVALUATE OUTCOMES. TO ADDRESS MENTAL HEALTH, MVHS LEADERSHIP ARE MEMBERS OF THE ONEIDA COUNTY SUICIDE TASKFORCE, ONEIDA COUNTY CCBHC INTERAGENCY COLLABORATIVE. ONEIDA COUNTY 911 SUBGROUP, THE ONEIDA COUNTY OPIOID TASKFORCE AND YOUTH SERVICES COUNCIL. IN ADDITION, MVHS DIRECTOR OF POPULATION HEALTH, DIRECTOR OF BEHAVIORAL HEALTH AND CHIEF EXECUTIVE PHYSICIAN LEAD A COALITION OF COMMUNITY LEADERS TO ADDRESS PEDIATRIC EMERGENCY DEPARTMENT UTILIZATION. AS A RESULT OF THIS PARTNERSHIP, ONEIDA COUNTY HEALTH DEPARTMENT AND MVHS WILL EMBED A DEDICATED MENTAL HEALTH CARE MANAGER INTO THE EMERGENCY DEPARTMENTS AT MVHS TO ASSIST WITH WARM HAND-OFFS TO THE COMMUNITY. IN ADDITION, MVHS HAS ESTABLISHED A PSYCHIATRIC RESIDENCY PROGRAM TO ADDRESS CRITICAL WORKFORCE SHORTAGES. ROUTINE MEETINGS ARE HELD INTERNALLY WITH MVHS LEADERSHIP AND BEHAVIORAL HEALTH SERVICES TO MONITOR PROGRESS OF THE COMMUNITY HEALTH IMPROVEMENT PLAN. 17 1 - SEMC AT FAMILY PRACTICE CENTER 120 HOBART STREET UTICA NY 13501 OUTPATIENT PHYSICIAN CLINIC/OUTPATIENT LAB/X-RAY 2 - WOUND CARE SERVICES 4401 MIDDLE SETTLEMENT ROAD NEW HARTFORD NY 13413 OUTPATIENT PHYSICIAN CLINIC 3 - WOMEN & CHILDREN'S FAMILY HEALTH CENTER 2212 GENESEE STREET UTICA NY 13501 OUTPATIENT PHYSICIAN CLINIC 4 - COMMUNITY MEDICINE AT EAST UTICA 1256 CULVER AVENUE UTICA NY 13501 OUTPATIENT PHYSICIAN CLINIC/OUTPATIENT LAB 5 - FAMILY PRACTICE NEW HARTFORD 4401 MIDDLE SETTLEMENT ROAD NEW HARTFORD NY 13413 OUTPATIENT PHYSICIAN CLINIC 6 - MARIAN MEDICAL 2211 GENESEE STREET UTICA NY 13501 OUTPATIENT LAB/PHYSICIAN CLINIC/CT SURGERY GROUP 7 - LITTLE FALLS FAMILY PRACTICE 500 EAST MAIN STREET LITTLE FALLS NY 13365 OUTPATIENT PHYSICIAN CLINIC/OUTPATIENT LAB 8 - TOWN OF WEBB HEALTH CENTER 114 SOUTH SHORE ROAD OLD FORGE NY 13420 OUTPATIENT PHYSICIAN CLINIC/OUTPATIENT LAB 9 - MEDICAL ARTS 4401 MIDDLE SETTLEMENT ROAD NEW HARTFORD NY 13413 OUTPATIENT LAB 10 - SLEEP DISORDERS CENTER 2215 GENESEE STREET UTICA NY 13501 OUTPATIENT PHYSICIAN CLINIC 11 - ST ELIZABETH LAB 86 GENESEE STREET NEW HARTFORD NY 13413 OUTPATIENT LAB 12 - ST ELIZABETH LAB - ONEIDA 131 MAIN STREET ONEIDA NY 13421 OUTPATIENT LAB 13 - ST ELIZABETH LAB - RIDGE MILLS 7845 ROME WESTERNVILLE ROAD ROME NY 13440 OUTPATIENT LAB 14 - ST ELIZABETH LAB UPSTATE CEREBRAL PALSY 1427 GENESEE STREET UTICA NY 13501 OUTPATIENT LAB 15 - ST ELIZABETH LAB AT UTICA BUSINESS PARK 125 BUSINESS PARK DRIVE SUITE 135 UTICA NY 13502 OUTPATIENT LAB 16 - ST ELIZABETH LAB - WASHINGTON MILLS 3946 ONEIDA STREET NEW HARTFORD NY 13413 OUTPATIENT LAB 17 - ST ELIZABETH LAB - WHITESBORO 37 MAIN STREET WHITESBORO NY 13492 OUTPATIENT LAB PART I, LINE 7: THE PATIENTS COST-TO-CHARGE RATIO WAS COMPUTED USING ALL CHARGES AND EXPENSES LESS NON-ALLOWABLE. THE COST TO CHARGE RATIO WAS USED TO COMPUTE COST. COST-TO-CHARGE WAS DERIVED BY DIVIDING TOTAL CHARGES FROM THE FINANCIAL STATEMENTS INTO TOTAL COST FROM THE FINANCIAL STATEMENTS, LESS NON-PATIENT COSTS. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24(B), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $8,205,456. PART II, COMMUNITY BUILDING ACTIVITIES: THE 2020 PANDEMIC SIGNIFICANTLY AFFECTED COMMUNITY BUILDING ACTIVITIES. THOSE ACTIVITIES NORMALLY HELD ON AN ANNUAL BASIS HAD TO BE CANCELED. ADDITIONALLY, EFFORTS IN 2020 WERE MADE TO ASSIST THE COMMUNITY AND ACCOMMODATE ACTIVITIES, EITHER REMOTELY OR VIA SAFE SOCIAL DISTANCING #3 COMMUNITY SUPPORT : A) REMOTE: DIABETES SUPPORT GROUP IS A FREE SUPPORT GROUP FOR ANY PERSON WITH DIABETES OR PRE-DIABETES WHO IS INTERESTED IN SPEAKING WITH OTHERS WHO ARE LIVING SIMILAR LIFESTYLES AND DEALING WITH THE DAILY IMPACT OF DIABETES MANAGEMENT. C) REMOTE AND FACEBOOK-MONTHLY STROKE SUPPORT GROUP FOR PATIENTS AND FAMILIES. D) PAUSED IN MARCH: THE ABC SUPPORT GROUP WAS CREATED BY WOMEN WHO HAVE HAD BREAST CANCER. THE GROUP IS DEDICATED TO PROVIDING EDUCATION, INFORMATION AND EMOTIONAL SUPPORT TO WOMEN AND MEN WHO ARE FACING BIOPSY, SURGERY OR RECOVERY FROM BREAST CANCER. PEOPLE FROM THE COMMUNITY ATTENDED NONE MEETINGS HELD THROUGHOUT THE YEAR, ON THE FSLH CAMPUS. F) PAUSED IN MARCH WITH VIRTUAL SUPPORT AS NEEDED: THE CANCER SUPPORT GROUP FORUM, LED BY THE CANCER CENTER'S SOCIAL WORKER, OFFERS SUPPORT TO ANYONE WHO HAS RECEIVED A CANCER DIAGNOSIS. MEETINGS COVER A WIDE VARIETY OF ISSUES INCLUDING: HOW TO TALK WITH CHILDREN ABOUT MOM OR DAD HAVING CANCER, FINANCIAL CONCERNS, PHYSICAL ISSUES, INTIMACY ISSUES AND NUTRITION DURING TREATMENTS, PLUS MANY MORE. THE FORUM PROVIDES A COMFORTABLE ATMOSPHERE FOR PATIENTS AND CANCER SURVIVORS TO COME TOGETHER AND SHARE USEFUL INFORMATION. G) PAUSED IN MARCH: CAREGIVER BURNOUT GROUP IS A SUPPORT GROUP TO HELP COPE WITH THE DIFFICULTIES IN TAKING CARE OF OTHERS. #5 LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY: A) MEDICAMP- MVHS HOSTED A TWO-DAY MEDICAL CAMP AT EACH ORGANIZATION FOR TEENS AGES 15 THROUGH 18 TO DEMONSTRATE HOW A HOSPITAL OPERATES AND PROVIDES THEM WITH THE OPPORTUNITY TO EXPLORE DIFFERENT DEPARTMENTS FOR POTENTIAL CAREER ENDEAVORS. B)ONEIDA COUNTY WORKFORCE DEVELOPMENT INTERNSHIP PROGRAM: FUNDING OF COLLEGE INTERNSHIP PROGRAM IN COOPERATION WITH ONEIDA COUNTY . #6 COALITION BUILDING: FSLH WORKS WITH MULTIPLE AGENCIES, TO SUPPORT COMMUNITY HEALTH EXPOS IN THE FORM OF FINANCIAL/EDUCATIONAL/FREE HEALTH SCREENINGS: A) AMERICA'S GREATEST HEART RUN & WALK FOR THE AMERICAN HEART ASSOCIATION WITH HEART WEEKEND, WHICH INCLUDES THE HEALTH & FITNESS EXPO. B) HEALTH FRIENDS IS A PROGRAM SPONSORSHIP TO PROVIDE FINANCIAL RESOURCES FOR RX ASSISTANCE TO UN- OR UNDER-INSURED PEOPLE. #7 COMMUNITY HEALTH IMPROVEMENT ADVOCACY: A) THE CHRONIC KIDNEY DISEASE EDUCATION PROGRAM ALLOWS FOR PATIENTS TO LEARN MORE ABOUT KIDNEY DISEASE, WAYS TO SLOW THE LOSS OF KIDNEY FUNCTION, AND HOW MEDICATIONS, DIET AND LIFESTYLE CAN AFFECT THE PROGRESSION OF THE DISEASE. PATIENTS HAVE THE OPPORTUNITY TO MEET WITH DIETICIANS, SOCIAL WORKERS AND NURSES WHO SPECIALIZE IN RENAL (KIDNEY) CARE. FAMILY MEMBERS, FRIENDS AND CAREGIVERS ARE INVITED TO ATTEND THE PROGRAM AS WELL. B) THE BALANCE CENTER AT MVHS OFFERS FREE BALANCE SCREENINGS TO HELP COMMUNITY MEMBERS WITH QUESTIONS OR SYMPTOMS RELATED TO BALANCE, VERTIGO AND INNER EAR DISORDERS. THE SCREENING EVALUATES PATIENTS FOR SPECIFIC BALANCE CONCERNS, RISK FOR FALLS AND SYMPTOMS OF VERTIGO TO DETERMINE IF THEY WILL BENEFIT FROM FORMAL TESTING AND THERAPY. C) CANCELED AFTER MARCH 2020: MVHS IS A PRESENCE AT ALL LOCAL HEALTH FAIRS PERFORMING SCREENINGS (DIABETES, HEART, STROKE, BALANCE, ETC) AND PROVIDING EDUCATION AND INFORMATION ; IE. SENIOR CENTER, LOCAL EMPLOYERS, COMMUNITY EVENTS, ETC. D) MOHAWK VALLEY HEALTH SYSTEM (MVHS) OFFERS THE HOUSEHOLD SHARPS DISPOSAL PROGRAM FOR COMMUNITY MEMBERS TO PROPERLY DISPOSE OF THEIR MEDICAL WASTE. ITEMS SUCH AS SYRINGES AND LANCETS MAY BE DROPPED OFF ANY DAY OF THE WEEK FROM 7AM TO 3PM AT THE FSLH ENERGY CENTER LOCATED ON THE ST. LUKE'S CAMPUS OR AT THE CENTER FOR REHABILITATION AND CONTINUING CARE SERVICES (CRCCS) ALSO ON THE ST. LUKE'S CAMPUS. ONLY ITEMS FROM PRIVATE RESIDENCES IN CLEARLY MARKED "SHARPS" PUNCTURE-PROOF CONTAINERS WILL BE ACCEPTED. CANCELED AFTER MARCH 2020: E) PODIATRY PROGRAM HELD 4 TIMES A YEAR, FOR PEOPLE WITH DIABETES WHO ARE AT HIGH RISK FOR CIRCULATION PROBLEMS THAT COULD LEAD TO LOSS OF SENSATION AND POOR HEALING IN THEIR FEET. PROPER SKIN AND FOOT CARE IS ESSENTIAL. THIS IS AN INFORMATIONAL SESSION AND FREE FOOT EXAM PROVIDED BY AREA PODIATRISTS. F) CHILDBIRTH CLASSES - FREE 5-WEEK SERIES OF CLASSES IN CHILDBIRTH AND INFANT CARE TAUGHT BY AN EXPERIENCED LABOR AND DELIVERY REGISTERED NURSE. G) FSLH OFFERS FREE MONTHLY BREASTFEEDING CLASSES FOR EXPECTANT PARENTS WHO HAVE CHOSEN OR ARE CONSIDERING BREASTFEEDING. H) DIABETES EDUCATION CLASSES ARE HELD THROUGHOUT THE YEAR TO PROVIDE INFORMATION TO THOSE WITH DIABETES ABOUT HOW TO SUCCESSFULLY MANAGE THEIR DISEASE. I) THE FSLH DIABETES EDUCATION DEPARTMENT OFFERS A GROCERY TOUR ON A QUARTERLY BASIS FOR EVERY DAY PEOPLE WITH DIABETES TO LEARN HOW TO MAKE NUTRITIONAL CHOICES THAT IMPACT OVERALL HEALTH AND BLOOD SUGAR. THIS FREE CLASS TEACHES PARTICIPANTS HOW TO IMPROVE THEIR DAILY CHOICES WITH BETTER NUTRITION BY GROCERY SHOPPING WITH A CERTIFIED DIABETES EDUCATOR AND NUTRITIONALIST. J) NATIONAL DIABETES MONTH OFFERED EDUCATION AND RECIPE TASTING TO ANYONE IN THE COMMUNITY WHO IS INTERESTED IN ATTENDING. K)NATIONAL DIABETES PREVENTION PROGRAM FOCUSES ON TREATING THOSE WITH PRE-DIABETES TO PREVENT TYPE 2 DIABETES. L) BLOOD DRIVES ARE HOSTED TO COLLECT BLOOD FROM THOSE WHO ARE ELIGIBLE AND WILLING TO DONATE. THE FLSH BLOOD BANK WORKS IN ASSOCIATION WITH THE AMERICAN RED CROSS TO HOST THE BLOOD DRIVES. FOR EVERY UNIT OF BLOOD COLLECTED, UP TO THREE PEOPLE BENEFIT FROM THE DONATION. CANCELED AFTER MARCH 2020: M)IN AN EFFORT TO PROMOTE THE EARLY DETECTION OR POTENTIAL FOR HEARING LOSS, THE AUDIOLOGY DEPARTMENT PROVIDES FREE HEARING AND SPEECH SCREENINGS TO THE COMMUNITY AS REQUESTED. P) LIMITED AFTER MARCH 2020: OUR EMS EDUCATION DEPARTMENT OFFERS FREE PROGRAMS FOR COMMUNITY TRAINING IN AHA CPR, EMS CRITICAL STRESS TEAMS AND OPIATE OVERDOSE, WHILE ALSO PARTICIPATING IN REGIONAL EMS COUNCIL MEETINGS ON A REGULAR BASIS. IN RESPONSE TO THE PANDEMIC, MVHS HELD COVID-19 VACCINATION PODS FOR THE COMMUNITY AND STAFF DAILY STARTING ON DECEMBER 16 THROUGH THE END OF THE YEAR, 2020. MVHS STOOD UP A COMMUNITY COVID-19 TESTING SITE AT OUR BURRSTONE ROAD LOCATION. MVHS PROVIDED COMMUNITY TESTING TENTS/TRAILERS AT BOTH ST. LUKE'S AND ST. ELIZABETH CAMPUSESMVHS PROVIDED A COVID-19 TESTING SITE FOR THE HEALTH EQUITY POPULATION AT SISTER ROSE VINCENT FAMILY MEDICINE CENTER IN UTICA. PART III, LINE 4: 990 PART III LINE 4: (FOOTNOTE)THE MEDICAL CENTER PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE MEDICAL CENTER'S POLICY IS NOT TO PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE; THEREFORE, THESE AMOUNTS ARE NOT REPORTED IN NET PATIENT SERVICE REVENUE. DURING 2022 AND 2021, COSTS INCURRED BY THE MEDICAL CENTER IN THE PROVISION OF CHARITY CARE WERE BASED ON THE RATIO OF THE MEDICAL CENTER'S COSTS TO GROSS CHARGES AND APPROXIMATED $190,000 AND $258,000 FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021, RESPECTIVELY. 990 PART III, LINE 3:THE MEDICAL CENTER GRANTS CREDIT WITHOUT COLLATERAL TO PATIENTS, MOST OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD-PARTY AGREEMENTS. ADDITIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS ARE MADE BY MEANS OF THE PROVISION FOR DOUBTFUL ACCOUNTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE AND SUBSEQUENT RECOVERIES ARE ADDED. THE AMOUNT OF THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENT HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. SERVICES RENDERED TO INDIVIDUALS WHEN PAYMENT IS EXPECTED AND ULTIMATELY NOT RECEIVED ARE WRITTEN OFF TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 8: THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 IS COST TO CHARGE RATIO. THE SHORTFALL REPORTED IS COMMUNITY BENEFIT EXPENSE BECAUSE THIS AMOUNT REPRESENTS THE UNREIMBURSED COSTS TO THE MEDICAL CENTER FOR PROVIDING CARE FOR THE COMMUNITY'S ELDERLY AND DISABLED. PART III, LINE 9B: COLLECTION POLICY PROVISIONS PATIENTS THAT QUALIFY FOR THE MEDICAL CENTER'S CHARITY CARE PROGRAM HAVE THE CHARGES ON THEIR ACCOUNTS FORGIVEN AS THEY ARE PLACED IN CHARITY CARE AND THE BALANCES ARE WRITTEN OFF. THE MEDICAL CENTER'S CHARITY CARE PROGRAM USED THE FEDERAL POVERTY GUIDELINES (FPG) AS A GUIDE WITH HIGH-END LIMITS AT 300% OF THE FPG. IN THOSE SITUATIONS WHERE THE PATIENT'S INCOME IS BETWEEN 200% - 300% OF THE FPG, A SMALL COST SHARE WOULD BE THE ONLY AMOUNT NOT INCLUDED IN CHARITY CARE. ADDITIONALLY THIS SMALL COST SHARE WOULD BE THE ONLY AMOUNT TURNED OVER TO COLLECTION WITH THE OPPORTUNITY OF EVENTUALLY BEING WRITTEN OF TO BAD DEBT IF NOT PAID. PART VI, LINE 2: THE CHA/CSP PROCESS AND THE IDENTIFICATION OF PRIORITIES AND INTERVENTIONS IN THE IMPROVEMENT PLAN WAS GUIDED BY A STEERING COMMITTEE, WHICH IS A PARTNERSHIP AMONG AND WITHIN OCHD, RH AND MVHS THAT CONVENED IN A COLLABORATIVE APPROACH TO IDENTIFY AND ASSESS PUBLIC HEALTH GAPS AND BARRIERS AS WELL AS TO IDENTIFY AND EXECUTE ACTIONS AS SOLUTIONS TO GAPS AND BARRIERS IDENTIFIED THROUGH VARIOUS PRIMARY RESEARCH METHODOLOGIES AND EVIDENCE OF SECONDARY DATA THAT WILL BE DETAILED WITHIN THIS REPORT. THROUGH PRIMARY RESEARCH, THE STEERING COMMITTEE WAS ABLE TO OBTAIN INPUT FROM KEY COMMUNITY STAKEHOLDERS AND RESIDENTS ON PERCEPTIONS OF HEALTH ISSUES WITHIN THE COMMUNITY, CONSIDERING DETERMINANTS OF HEALTH AND PROVIDING INSIGHT ON SPECIFIC ASPECTS OF PRIORITIZING HEALTH NEEDS TO FACILITATE A THOROUGH AND THOUGHTFUL ASSESSMENT AND PLANNING PROCESS FOR DEVELOPMENT OF THE CHA, CSP AND CHIP. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETHIS IS COMMUNICATED THROUGH ST ELIZABETH MEDICAL CENTER'S FACILITATED ENROLLMENT PROGRAM AND THE FINANCIAL ASSISTANCE PROGRAM. INFORMATION IS INCLUDED IN THE PATIENT INFORMATION GUIDES PRESENTED TO INPATIENTS AND OUTPATIENTS AND IS AVAILABLE ON THE HOSPITAL'S WEBSITE.ST ELIZABETH MEDICAL CENTER'S FINANCIAL ASSISTANCE PROGRAMTO SUPPORT OUR MISSION, THE ST ELIZABETH MEDICAL CENTER HAS DEVELOPED THE FINANCIAL ASSISTANCE PROGRAM. THE MEDICAL CENTER WILL MAKE AVAILABLE A RESONABLE AMOUNT OF UNCOMPENSATED SERVICES TO ELIGIBLE PERSONS.ST. ELIZABETH MEDICAL CENTER'S FACILITATED ENROLLMENT PROGRAMIN 2000, ST ELIZABETH MEDICAL CENTER DEVELOPED AND IMPLEMENTED THE FACILITATED ENROLLMENT PROGRAM AS A RESULT OF THE UNIQUE COLLABORATION THAT WAS FORGED BETWEEN ST ELIZABETH MEDICAL CENTER AND ONEIDA COUNTY SOCIAL SERVICES DEPARTMENT. THIS PROGAM ALLOWS ST ELIZABETH MEDICAL CENTER STAFF, PATIENT ACCOUNT REPRESENTATIVES, TO ACT AS AN AUTHORIZED REPRESENTATIVE OF THE PATIENT AT THE ONEIDA COUNTY DEPARTMENT OF SOCIAL SERVICES AND SUBMIT THE APPLICATION FOR BENEFITS. THIS SUCCESSFUL PROGRAM HAS EXPANDED THROUGHOUT THE PAST SEVERAL YEARS TO INCLUDE OUTPATIENTS AND EMERGENCY DEPARTMENT PATIENTS. PART VI, LINE 4: COMMUNITY INFORMATION: RESPECTIVE AREA HOSPITAL PATIENT CENSUS DEMOGRAPHIC ANALYSIS INDICATES THAT THE MAJORITY OF PATIENTS RESIDE IN ONEIDA, HERKIMER, AND MADISON COUNTIES, WITH APPROXIMATELY 90% OF RH AND 78% OF MVHS PATIENTS RESIDING IN ONEIDA COUNTY ZIP CODES. THE THREE AREA HOSPITALS PROVIDING INPATIENT AND OUTPATIENT SERVICES 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 AREA.DEMOGRAPHIC: 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%23. 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.24 THE INSURED RATE FOR ONEIDA COUNTY IS SLIGHTLY HIGHER THAN THE OVERALL NYS RATE FOR THOSE WITH PRIVATE HEALTH INSURANCE. PART VI, LINE 5: 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.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.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.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 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 17 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, 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 X X X X X X 1 0 0 0 0 0 0 0 0 NABEEL EL-AMIR MD PHYSICIAN 1234750 0 133783 0 968 0 4371 0 19008 0 1392880 0 0 0 DARLENE STROMSTAD PRESIDENT/CEO 0 779400 0 150000 0 254362 0 12201 0 11323 0 1207286 0 0 LEO SULLIVAN PHYSICIAN 607100 0 388673 0 0 0 4289 0 11529 0 1011591 0 0 0 SUSHMA KAUL MD MVHS MEDICAL DIRECTOR VP 0 415013 0 265012 0 7129 0 12200 0 17349 0 716703 0 0 KENT HALL MD SVP/PHYSICIAN PRACTICE AND OPERATION 0 491727 0 95481 0 46654 0 12212 0 18978 0 665052 0 0 GOUTHAN MALEMPATI MD PHYSICIAN 619774 0 338 0 0 0 15626 0 10374 0 646112 0 0 0 ROBERT MADLINGER PHYSICIAN 624998 0 0 0 968 0 14438 0 3376 0 643780 0 0 0 LOUIS AIELLO SENIOR VP/CFO 478671 0 99062 0 19136 0 20178 0 10934 0 627981 0 0 0 ROBERT SCHOLEFIELD EXECUTIVE VP OF FACILITIES 0 440429 0 50000 0 1485 0 21350 0 13956 0 527220 0 0 MANSOOR SHAHID COO 0 406688 0 50000 0 9909 0 11804 0 17350 0 495751 0 0 ERIC YOSS MD FORMER CMO 0 218151 0 48582 0 14286 0 8584 0 4904 0 294507 0 0 LINDA MCCORMACK-MILLER CNO 0 126518 0 0 0 1945 0 15 0 4639 0 133117 0 0 WALEED ALBERT MD FORMER DIRECTOR 0 50504 0 0 0 0 0 0 0 0 0 50504 0 0 PART I, LINE 4A LINDA MCCORMACK-MILLER RECEIVED TOTAL COMPENSATION OF $133,117. SEE SCHEDULE J, PART II FOR DETAILS. A ONEIDA COUNTY LOCAL DEVELOPMENT CORP 273190422 NONEAVAIL 2019-11-21 19515000 REFINANCING OLD DEBT 0 0 1 B ONEIDA COUNTY LOCAL DEVELOPMENT CORP 273190422 NONEAVAIL 2019-11-21 6395000 EPIC EMR SYSTEM IMPLEMENTATION 0 0 1 C ONEIDA COUNTY LOCAL DEVELOPMENT CORP 273190422 NONEAVAIL 2019-11-21 2020000 CAPITAL EQUIPMENT 0 0 1 A 22023739 21215525 299774 497062 11378 2019 0 0 1 1 B 7762993 98229 162876 7516589 14701 2019 0 0 1 1 C 2598879 37330 61898 2105263 349 394737 2022 0 0 0 1 A 0 0 0 0 1 0 1 B 0 0 0 0 1 0 1 C 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 0 B 0 1 0 0 0 0 0 0 0 C 0 1 0 0 0 0 0 0 0 A 1 B 1 C 1 SCHEDULE K, PART II THE PROCEEDS OF THE SERIES 2019 A&B BONDS WERE ISSUED BY MVHS AND USED TO 1) FINANCE THE COST OF THE NEW REGIONAL MEDICAL CENTER, INCLUDING CAPITALIZED INTEREST ON THE NEW HOSPITAL THROUGH AUGUST 2023 2) FINANCE CAPITAL EXPENDITURES AND EQUIPMENT AT THE EXISTING FACILITIES OF FSLH AND SEMC, 3) REFINANCE THE COST OF THE EPIC EMR IMPLEMENTATION THAT WAS COMPLETED IN 2019, AND 4) REFINANCE EXISTING DEBT OF OF SEMC AND FSLH. THE AMOUNTS PROVIDED IN THIS SCHEDULE RELATE SOLELY TO SEMC. ALL OTHER DEBT THAT WAS ISSUED AS PART OF THIS POOLED FINANCING WAS REPORTED ON THE RESPECTIVE SUBSIDIARY TO WHICH THE FUNDS WERE ALLOCATED. FORM 990, PART VI, SECTION A, LINE 6 MOHAWK VALLEY HEALTH SYSTEM AND PARTNERS IN FRANCISCAN MINISTRIES, INC. FORM 990, PART VI, SECTION A, LINE 7A RESERVED POWERS TO MOHAWK VALLEY HEALTH SYSTEM ("MVHS"): IN ADDITION TO ALL OTHER RIGHTS AND POWERS OF MEMBERSHIP PRESCRIBED BY NEW YORK LAW, THE CERTIFICATE OF INCORPORATION AND/OR THE BYLAWS OF THE CORPORATION, THE FOLLOWING GOVERNANCE AND MANAGEMENT POWERS SHALL BE DELEGATED TO MVHS TO THE EXTENT PERMITTED BY THE NEW YORK NOT-FOR-PROFIT CORPORATION LAW: (1) EXCEPT AS OTHERWISE SET FORTH HEREIN, TO APPROVE AND INTERPRET THE STATEMENT OF MISSION AND PHILOSOPHY ADOPTED BY THE CORPORATION, TO REQUIRE THAT THE CORPORATION OPERATE IN CONFORMANCE WITH ITS MISSION AND PHILOSOPHY AND TO COORDINATE THE MISSIONS, VISIONS, ACTIVITIES AND RESOURCES OF THE CORPORATION IN ORDER TO PROMOTE HIGH QUALITY, EFFICIENT AND EFFECTIVE HEALTH CARE SERVICES IN ONEIDA COUNTY, NEW YORK, AND SURROUNDING AREAS. NOTWITHSTANDING THE FOREGOING, MVHS SHALL NOT HAVE THE POWER TO APPROVE OR INTERPRET THOSE ELEMENTS OF THE CORPORATION'S MISSION AND PHILOSOPHY THAT RELATE SPECIFICALLY TO ITS STATUS AS A CATHOLIC ORGANIZATION OR THE PURSUIT OF THE CORPORATION'S CATHOLIC MISSION AND PHILOSOPHY; (2) TO ELECT OR APPOINT, FIX THE NUMBER OF, AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION, AND TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATION. NOTWITHSTANDING THE FOREGOING, PFM SHALL BE ENTITLED TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE ONE ADDITIONAL DIRECTOR DESIGNATED BY PFM TO THE CORPORATION'S BOARD OF DIRECTORS; (3) TO AMEND OR REPEAL THE CERTIFICATE AND BYLAWS, AND TO ADOPT ANY NEW OR RESTATED CERTIFICATE OF INCORPORATION OR BYLAWS, OF THE CORPORATION; (4) TO APPROVE ANY PLAN OF MERGER, CONSOLIDATION, DISSOLUTION OR LIQUIDATION OF THE CORPORATION; (5) TO APPROVE THE DEBT OF THE CORPORATION IN EXCESS OF AN AMOUNT TO BE FIXED FROM TIME TO TIME BY MVHS; (6) TO APPROVE THE SALE, ACQUISITION, LEASE, TRANSFER, MORTGAGE, GUARANTEE OR PLEDGE OF REAL OR PERSONAL PROPERTY OF THE CORPORATION IN EXCESS OF AN AMOUNT TO BE FIXED FROM TIME TO TIME BY MVHS. NOTWITHSTANDING THE FOREGOING, THE APPROVAL OF PFM SHALL BE REQUIRED FOR THE SALE, TRANSFER, MORTGAGE, GUARANTEE, PLEDGE OR OTHER ALIENATION OF REAL OR PERSONAL PROPERTY OF THE CORPORATION IN EXCESS OF AN AMOUNT TO BE FIXED FROM TIME TO TIME BY PFM, TO MEET THE REQUIREMENTS OF THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS; (7) TO APPROVE THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION; (8) TO APPROVE SETTLEMENTS OF LITIGATION WHEN SUCH SETTLEMENTS EXCEED APPLICABLE INSURANCE COVERAGE OR THE AMOUNT OF ANY APPLICABLE SELF-INSURANCE FUND AVAILABLE TO SUCH CORPORATION; (9) TO APPROVE ANY CORPORATE REORGANIZATION OF THE CORPORATION AND THE ESTABLISHMENT, MERGER, CONSOLIDATION, REORGANIZATION OR DISSOLUTION OF ANY ORGANIZATIONAL RELATIONSHIP OF THE CORPORATION, INCLUDING BUT NOT LIMITED TO SUBSIDIARY CORPORATIONS, PARTNERSHIPS, OR JOINT VENTURES OF THE CORPORATION; (10) TO APPROVE AND COORDINATE THE STRATEGIC PLANS OF THE CORPORATION; (11) TO THE EXTENT APPLICABLE, TO APPROVE ALL CONTRACTS OF REIMBURSEMENT FOR THE CORPORATION FROM GOVERNMENTAL OR PRIVATE THIRD PARTY INSURERS; (12) TO THE EXTENT APPLICABLE, TO APPROVE ALL APPLICATIONS OF THE CORPORATION TO FEDERAL OR STATE GOVERNMENTAL AGENCIES FOR ESTABLISHMENT OR OPERATING LICENSURE, INCLUDING BUT NOT LIMITED TO CERTIFICATE OF NEED APPLICATIONS TO THE NEW YORK STATE DEPARTMENT OF HEALTH AS REQUIRED; (13) TO THE EXTENT APPLICABLE, TO APPROVE MANAGEMENT CONTRACTS FOR THE CORPORATION SUBJECT TO APPROVAL AND/OR REGULATION UNDER THE LAWS AND REGULATIONS OF THE STATE OF NEW YORK; (14) TO APPROVE ANY MATERIAL CHANGE IN THE SERVICES OFFERED BY THE CORPORATION; (15) TO REQUIRE THE CORPORATION TO PARTICIPATE IN ANY AND ALL PROGRAMS AND SERVICES, AS DETERMINED BY MVHS IN ITS DISCRETION, PROVIDED, HOWEVER, THAT MVHS MAY NOT REQUIRE CORPORATION TO PARTICIPATE IN ANY PROGRAM OR SERVICE OR TAKE ANY ACTION THAT WOULD CONSTITUTE A DEFAULT OR EVENT OF DEFAULT UNDER ANY MORTGAGE, INDENTURE OR OTHER MATERIAL AGREEMENT OR INSTRUMENT TO WHICH THE CORPORATION IS A PARTY AND BY WHICH IT IS BOUND, AND MAY NOT REQUIRE THE CORPORATION'S PARTICIPATION IN ANY PROGRAM OR SERVICE WHICH WOULD BE CONTRARY TO ITS STATUS AS A CATHOLIC ORGANIZATION OR THE PURSUIT OF ITS CATHOLIC MISSION OR PHILOSOPHY; AND (16) TO ACCEPT DELEGATIONS OF AUTHORITY ON BEHALF OF THE CORPORATION PURSUANT TO SECTION 701 OF THE NOT-FOR PROFIT CORPORATION LAW AND EXERCISE ON BEHALF OF THE CORPORATION, THE AUTHORITY TO ACCEPT, UTILIZE, TRANSFER AND SHARE IN THE ASSETS, REVENUES AND INCOME OF THE CORPORATION AND TO MAINTAIN A SINGLE CONSOLIDATED SET OF BOOKS AND FINANCIAL RECORDS, AS MAY BE NECESSARY OR DESIRABLE TO CARRY OUT THE OBLIGATIONS OF THE CORPORATION PURSUANT TO ANY MASTER TRUST INDENTURE OR SIMILAR INSTRUMENT AND, PROVIDED, HOWEVER, THAT NO SUCH AUTHORITY SHALL BE ACCEPTED OR EXERCISED EXCEPT PURSUANT TO THE NOT-FOR-PROFIT CORPORATION LAW AND UNTIL ALL APPROVALS REQUIRED BY LAW HAVE FIRST BEEN OBTAINED, INCLUDING, WITHOUT LIMITATION, THE PRIOR APPROVAL OF THE DEPARTMENT OF HEALTH AS MAY BE REQUIRED FOR OBLIGATED GROUP FINANCINGS. FOR THE PURPOSES OF THE FOREGOING, MVHS SHALL HAVE: (I) THE POWER TO INITIATE AND DIRECT ACTION BY THE CORPORATION WITHOUT A PRIOR RECOMMENDATION OF THE CORPORATION'S BOARD OF DIRECTORS; AND (II) THE POWER TO ACCEPT, REJECT OR MODIFY THE RECOMMENDATION OF THE CORPORATION'S BOARD OF DIRECTORS AND TO DIRECT ACTION BY THE CORPORATION OR TO RETURN THE MATTER TO THE BOARD OF DIRECTORS OF THE CORPORATION FOR RECONSIDERATION, WITH REASONS FOR REJECTION AND/OR SUGGESTED CHANGE. NOTWITHSTANDING THE FOREGOING, IN THE CASE OF THE CORPORATION, MVHS SHALL NOT DIRECT ANY ACTION WITH RESPECT TO THE CORPORATION THAT REQUIRES THE APPROVAL OF PFM WITHOUT PRIOR APPROVAL OF SUCH ACTION BY PFM. THE BOARD OF DIRECTORS AND OFFICERS OF THE CORPORATION SHALL NOT IMPLEMENT ANY ACTION REQUIRING THE APPROVAL OF MVHS UNTIL MVHS SHALL HAVE EXERCISED ITS RESERVE POWERS AND COMMUNICATED ITS DETERMINATIONS IN WRITING TO THE CORPORATION'S BOARD OF DIRECTORS AND, IN THE CASE OF ANY POWERS OVER THE CORPORATION THAT ARE ALSO RESERVED TO PFM, TO PFM. RESERVED POWERS TO PARTNERS IN FRANCISCAN MINISTRIES, INC. ("PFM") THE FOLLOWING POWERS SHALL BE RESERVED EXCLUSIVELY TO PFM: (1) TO APPROVE AND INTERPRET THOSE ELEMENTS OF THE CORPORATION'S STATEMENT OF MISSION AND PHILOSOPHY ADOPTED BY THE CORPORATION THAT RELATE TO THE CORPORATION'S STATUS AS A CATHOLIC ORGANIZATION OR THE PURSUIT OF THE CORPORATION'S CATHOLIC MISSION AND PHILOSOPHY, AND ANY AMENDMENTS THEREOF, AND TO REQUIRE THE CORPORATION TO OPERATE IN CONFORMANCE WITH ITS CATHOLIC MISSION AND PHILOSOPHY; THIS POWER SHALL INCLUDE APPROVAL OF THE INDIVIDUAL WHO WILL SERVE IN A POSITION TO OVERSEE MISSION, WHICH POSITION WILL REPORT DIRECTLY TO THE PRESIDENT/CEO AND SHALL NOT BE ELIMINATED WITHOUT THE PRIOR APPROVAL OF PFM. (2) TO APPROVE ANY AMENDMENT OF THE CORPORATION'S PURPOSES OR POWERS IN ITS CERTIFICATE OF INCORPORATION THAT WOULD TERMINATE THE CORPORATION'S STATUS AS A CATHOLIC ORGANIZATION OR DIMINISH ITS COMMITMENT OR ABILITY TO OPERATE IN A MANNER CONSISTENT WITH THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTHCARE SERVICES; AND (3) TO APPROVE THE SALE, TRANSFER, MORTGAGE, GUARANTY, PLEDGE OR OTHER ALIENATION OF REAL OR PERSONAL PROPERTY OF THE CORPORATION IN EXCESS OF AN AMOUNT TO BE FIXED FROM TIME TO TIME BY THE PFM TO MEET THE REQUIREMENTS OF THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. (4) TO APPROVE AND REJECT APPOINTMENTS TO THE PENSION COMMITTEE FOR THE SEMC CHURCH PLAN. (5) TO APPROVE ANY AMENDMENTS OR MODIFICATIONS TO, OR THE TERMINATION OF, THE SEMC CHURCH PLAN; AND (6) TO ELECT OR APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, ONE DIRECTOR OF THE CORPORATION WHO DOES NOT CURRENTLY SERVE ON THE BOARD OF MVHS. FORM 990, PART VI, SECTION A, LINE 7B RESERVED POWERS TO MOHAWK VALLEY HEALTH SYSTEM ("MVHS"): IN ADDITION TO ALL OTHER RIGHTS AND POWERS OF MEMBERSHIP PRESCRIBED BY NEW YORK LAW, THE CERTIFICATE OF INCORPORATION AND/OR THE BYLAWS OF THE CORPORATION, THE FOLLOWING GOVERNANCE AND MANAGEMENT POWERS SHALL BE DELEGATED TO MVHS TO THE EXTENT PERMITTED BY THE NEW YORK NOT-FOR-PROFIT CORPORATION LAW: (1) EXCEPT AS OTHERWISE SET FORTH HEREIN, TO APPROVE AND INTERPRET THE STATEMENT OF MISSION AND PHILOSOPHY ADOPTED BY THE CORPORATION, TO REQUIRE THAT THE CORPORATION OPERATE IN CONFORMANCE WITH ITS MISSION AND PHILOSOPHY AND TO COORDINATE THE MISSIONS, VISIONS, ACTIVITIES AND RESOURCES OF THE CORPORATION IN ORDER TO PROMOTE HIGH QUALITY, EFFICIENT AND EFFECTIVE HEALTH CARE SERVICES IN ONEIDA COUNTY, NEW YORK, AND SURROUNDING AREAS. NOTWITHSTANDING THE FOREGOING, MVHS SHALL NOT HAVE THE POWER TO APPROVE OR INTERPRET THOSE ELEMENTS OF THE CORPORATION'S MISSION AND PHILOSOPHY THAT RELATE SPECIFICALLY TO ITS STATUS AS A CATHOLIC ORGANIZATION OR THE PURSUIT OF THE CORPORATION'S CATHOLIC MISSION AND PHILOSOPHY; (2) TO ELECT OR APPOINT, FIX THE NUMBER OF, AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION, AND TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATION. NOTWITHSTANDING THE FOREGOING, PFM SHALL BE ENTITLED TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE ONE ADDITIONAL DIRECTOR DESIGNATED BY PFM TO THE CORPORATION'S BOARD OF DIRECTORS; (3) TO AMEND OR REPEAL THE CERTIFICATE AND BYLAWS, AND TO ADOPT ANY NEW OR RESTATED CERTIFICATE OF INCORPORATION OR BYLAWS, OF THE CORPORATION; (4) TO APPROVE ANY PLAN OF MERGER, CONSOLIDATION, DISSOLUTION OR LIQUIDATION OF THE CORPORATION; (5) TO APPROVE THE DEBT OF THE CORPORATION IN EXCESS OF AN AMOUNT TO BE FIXED FROM TIME TO TIME BY MVHS; (6) TO APPROVE THE SALE, ACQUISITION, LEASE, TRANSFER, MORTGAGE, GUARANTEE OR PLEDGE OF REAL OR PERSONAL PROPERTY OF THE CORPORATION IN EXCESS OF AN AMOUNT TO BE FIXED FROM TIME TO TIME BY MVHS. NOTWITHSTANDING THE FOREGOING, THE APPROVAL OF PFM SHALL BE REQUIRED FOR THE SALE, TRANSFER, MORTGAGE, GUARANTEE, PLEDGE OR OTHER ALIENATION OF REAL OR PERSONAL PROPERTY OF THE CORPORATION IN EXCESS OF AN AMOUNT TO BE FIXED FROM TIME TO TIME BY PFM, TO MEET THE REQUIREMENTS OF THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS; (7) TO APPROVE THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION; (8) TO APPROVE SETTLEMENTS OF LITIGATION WHEN SUCH SETTLEMENTS EXCEED APPLICABLE INSURANCE COVERAGE OR THE AMOUNT OF ANY APPLICABLE SELF-INSURANCE FUND AVAILABLE TO SUCH CORPORATION; (9) TO APPROVE ANY CORPORATE REORGANIZATION OF THE CORPORATION AND THE ESTABLISHMENT, MERGER, CONSOLIDATION, REORGANIZATION OR DISSOLUTION OF ANY ORGANIZATIONAL RELATIONSHIP OF THE CORPORATION, INCLUDING BUT NOT LIMITED TO SUBSIDIARY CORPORATIONS, PARTNERSHIPS, OR JOINT VENTURES OF THE CORPORATION; (10) TO APPROVE AND COORDINATE THE STRATEGIC PLANS OF THE CORPORATION; (11) TO THE EXTENT APPLICABLE, TO APPROVE ALL CONTRACTS OF REIMBURSEMENT FOR THE CORPORATION FROM GOVERNMENTAL OR PRIVATE THIRD PARTY INSURERS; (12) TO THE EXTENT APPLICABLE, TO APPROVE ALL APPLICATIONS OF THE CORPORATION TO FEDERAL OR STATE GOVERNMENTAL AGENCIES FOR ESTABLISHMENT OR OPERATING LICENSURE, INCLUDING BUT NOT LIMITED TO CERTIFICATE OF NEED APPLICATIONS TO THE NEW YORK STATE DEPARTMENT OF HEALTH AS REQUIRED; (13) TO THE EXTENT APPLICABLE, TO APPROVE MANAGEMENT CONTRACTS FOR THE CORPORATION SUBJECT TO APPROVAL AND/OR REGULATION UNDER THE LAWS AND REGULATIONS OF THE STATE OF NEW YORK; (14) TO APPROVE ANY MATERIAL CHANGE IN THE SERVICES OFFERED BY THE CORPORATION; (15) TO REQUIRE THE CORPORATION TO PARTICIPATE IN ANY AND ALL PROGRAMS AND SERVICES, AS DETERMINED BY MVHS IN ITS DISCRETION, PROVIDED, HOWEVER, THAT MVHS MAY NOT REQUIRE CORPORATION TO PARTICIPATE IN ANY PROGRAM OR SERVICE OR TAKE ANY ACTION THAT WOULD CONSTITUTE A DEFAULT OR EVENT OF DEFAULT UNDER ANY MORTGAGE, INDENTURE OR OTHER MATERIAL AGREEMENT OR INSTRUMENT TO WHICH THE CORPORATION IS A PARTY AND BY WHICH IT IS BOUND, AND MAY NOT REQUIRE THE CORPORATION'S PARTICIPATION IN ANY PROGRAM OR SERVICE WHICH WOULD BE CONTRARY TO ITS STATUS AS A CATHOLIC ORGANIZATION OR THE PURSUIT OF ITS CATHOLIC MISSION OR PHILOSOPHY; AND (16) TO ACCEPT DELEGATIONS OF AUTHORITY ON BEHALF OF THE CORPORATION PURSUANT TO SECTION 701 OF THE NOT-FOR PROFIT CORPORATION LAW AND EXERCISE ON BEHALF OF THE CORPORATION, THE AUTHORITY TO ACCEPT, UTILIZE, TRANSFER AND SHARE IN THE ASSETS, REVENUES AND INCOME OF THE CORPORATION AND TO MAINTAIN A SINGLE CONSOLIDATED SET OF BOOKS AND FINANCIAL RECORDS, AS MAY BE NECESSARY OR DESIRABLE TO CARRY OUT THE OBLIGATIONS OF THE CORPORATION PURSUANT TO ANY MASTER TRUST INDENTURE OR SIMILAR INSTRUMENT AND, PROVIDED, HOWEVER, THAT NO SUCH AUTHORITY SHALL BE ACCEPTED OR EXERCISED EXCEPT PURSUANT TO THE NOT-FOR-PROFIT CORPORATION LAW AND UNTIL ALL APPROVALS REQUIRED BY LAW HAVE FIRST BEEN OBTAINED, INCLUDING, WITHOUT LIMITATION, THE PRIOR APPROVAL OF THE DEPARTMENT OF HEALTH AS MAY BE REQUIRED FOR OBLIGATED GROUP FINANCINGS. FOR THE PURPOSES OF THE FOREGOING, MVHS SHALL HAVE: (I) THE POWER TO INITIATE AND DIRECT ACTION BY THE CORPORATION WITHOUT A PRIOR RECOMMENDATION OF THE CORPORATION'S BOARD OF DIRECTORS; AND (II) THE POWER TO ACCEPT, REJECT OR MODIFY THE RECOMMENDATION OF THE CORPORATION'S BOARD OF DIRECTORS AND TO DIRECT ACTION BY THE CORPORATION OR TO RETURN THE MATTER TO THE BOARD OF DIRECTORS OF THE CORPORATION FOR RECONSIDERATION, WITH REASONS FOR REJECTION AND/OR SUGGESTED CHANGE. NOTWITHSTANDING THE FOREGOING, IN THE CASE OF THE CORPORATION, MVHS SHALL NOT DIRECT ANY ACTION WITH RESPECT TO THE CORPORATION THAT REQUIRES THE APPROVAL OF PFM WITHOUT PRIOR APPROVAL OF SUCH ACTION BY PFM. THE BOARD OF DIRECTORS AND OFFICERS OF THE CORPORATION SHALL NOT IMPLEMENT ANY ACTION REQUIRING THE APPROVAL OF MVHS UNTIL MVHS SHALL HAVE EXERCISED ITS RESERVE POWERS AND COMMUNICATED ITS DETERMINATIONS IN WRITING TO THE CORPORATION'S BOARD OF DIRECTORS AND, IN THE CASE OF ANY POWERS OVER THE CORPORATION THAT ARE ALSO RESERVED TO PFM, TO PFM. RESERVED POWERS TO PARTNERS IN FRANCISCAN MINISTRIES, INC. ("PFM") THE FOLLOWING POWERS SHALL BE RESERVED EXCLUSIVELY TO PFM: (1) TO APPROVE AND INTERPRET THOSE ELEMENTS OF THE CORPORATION'S STATEMENT OF MISSION AND PHILOSOPHY ADOPTED BY THE CORPORATION THAT RELATE TO THE CORPORATION'S STATUS AS A CATHOLIC ORGANIZATION OR THE PURSUIT OF THE CORPORATION'S CATHOLIC MISSION AND PHILOSOPHY, AND ANY AMENDMENTS THEREOF, AND TO REQUIRE THE CORPORATION TO OPERATE IN CONFORMANCE WITH ITS CATHOLIC MISSION AND PHILOSOPHY; THIS POWER SHALL INCLUDE APPROVAL OF THE INDIVIDUAL WHO WILL SERVE IN A POSITION TO OVERSEE MISSION, WHICH POSITION WILL REPORT DIRECTLY TO THE PRESIDENT/CEO AND SHALL NOT BE ELIMINATED WITHOUT THE PRIOR APPROVAL OF PFM. (2) TO APPROVE ANY AMENDMENT OF THE CORPORATION'S PURPOSES OR POWERS IN ITS CERTIFICATE OF INCORPORATION THAT WOULD TERMINATE THE CORPORATION'S STATUS AS A CATHOLIC ORGANIZATION OR DIMINISH ITS COMMITMENT OR ABILITY TO OPERATE IN A MANNER CONSISTENT WITH THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTHCARE SERVICES; AND (3) TO APPROVE THE SALE, TRANSFER, MORTGAGE, GUARANTY, PLEDGE OR OTHER ALIENATION OF REAL OR PERSONAL PROPERTY OF THE CORPORATION IN EXCESS OF AN AMOUNT TO BE FIXED FROM TIME TO TIME BY THE PFM TO MEET THE REQUIREMENTS OF THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. (4) TO APPROVE AND REJECT APPOINTMENTS TO THE PENSION COMMITTEE FOR THE SEMC CHURCH PLAN. (5) TO APPROVE ANY AMENDMENTS OR MODIFICATIONS TO, OR THE TERMINATION OF, THE SEMC CHURCH PLAN; AND (6) TO ELECT OR APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, ONE DIRECTOR OF THE CORPORATION WHO DOES NOT CURRENTLY SERVE ON THE BOARD OF MVHS. FORM 990, PART VI, SECTION B, LINE 11B INFORMATION IS GATHERED FROM THE ACCOUNTING AND PAYROLL DEPARTMENTS, WHICH IS USED BY THE SENIOR ACCOUNTANT TO PREPARE WORKSHEETS USED TO POPULATE THE FORM 990. MEMBERS OF AN EXTERNAL AUDIT AND TAX FIRM (CURRENTLY FUST CHARLES CHAMBERS LLP) INITIALLY DISCUSS, PREPARE AND REVIEW THE RETURN WITH THE SENIOR ACCOUNTANT. THE SEMC MANAGEMENT TEAM REVIEWS THE DRAFT AND HAS THE OPPORTUNITY TO ASK QUESTIONS AND DISCUSS THE RETURN WITH THE TAX STAFF. AFTER THE MANAGEMENT TEAM'S APPROVAL, THE FORM 990 IS DISTRIBUTED TO THE GOVERNING BODY FOR THEIR REVIEW AND COMMENT PRIOR TO THE FILING OF THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY FIRST, EACH BOARD OF TRUSTEE MEMBER, THE PRESIDENT/CEO, CHIEF OPERATING OFFICER, AND EACH VICE PRESIDENT COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. THE RESULTS OF THE QUESTIONNAIRE ARE REVIEWED BY THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES WHICH IDENTIFIES ANY POTENTIAL CONFLICTS. AS PART OF THE POLICY, BOARD MEMBERS THAT HAVE A CONFLICT ARE UNABLE TO VOTE WHEN A SUBJECT THAT THEY HAVE A CONFLICT OF INTEREST IN COMES UP FOR A VOTE AT A BOARD MEETING. BOARD MEMBERS ARE NOT ALLOWED TO BE INVOLVED IN THE DISCUSSIONS RELATED TO THE ISSUE OTHER THAN TO MAKE A BRIEF COMMENT. STINCE 2010, THE MEDICAL CENTER BEGAN TO REQUIRE ALL DEPARTMENT MANAGERS TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ON AN ANNUAL BASIS. SINCE 2010, ALL MEMBERS OF THE MEDICAL STAFF ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ONCE EVERY TWO YEARS, AS PART OF THE CREDENTIALING PROCESS. FOR ALL OTHER EMPLOYEES, A POLICY IS IN PLACE AS PART OF THE COMPLIANCE PLAN THAT REQUIRES EMPLOYEES TO DISCLOSE ANY CONFLICT OF INTEREST TO THEIR SUPERVISOR. THE SUPERVISOR IS THEN REQUIRED TO DISCLOSE THE INFORMATION TO THE COMPLIANCE OFFICER. BOARD MEMBERS OF SUBSIDIARIES ARE ALSO REQUIRED TO COMPLETE CONFLICT OF INTEREST QUESTIONNAIRES. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS HAS ESTABLISHED AN EXECUTIVE COMPENSATION COMMITTEE, WHICH IS RESPONSIBLE FOR REVIEWING THE ADEQUACY AND REASONABLENESS OF THE COMPENSATION PAID TO THE PRESIDENT/CEO AND OTHER EMPLOYEES OF THE EXECUTIVE LEADERSHIP TEAM. THE EXECUTIVE LEADERSHIP TEAM CONSISTS OF THE FOLLOWING POSITIONS: - PRESIDENT/CEO - SVP/ CFO - SVP/CNO - SVP/ CIO - SVP/ CHRO - SVP/MARKETING & STRATEGY - SVP/CHIEF LEGAL COUNSEL - SVP/ PHYSICIAN PRACTICES & OPERATIONS - SVP/ CHIEF QUALITY & PATIENT SAFETY OFFICER ON AN ANNUAL BASIS, THE COMMITTEE IS RESPONSIBLE FOR (1) REVIEWING AND RECOMMENDING TO THE BOARD CHAIR THE CEO'S COMPENSATION, INCLUDING SALARY, INCENTIVES, BENEFITS AND OTHER PREREQUISITES, FOR FINAL APPROVAL BY THE BOARD (2) REVIEWING THE COMPENSATION OF ALL OTHER EMPLOYEES OF THE EXECUTIVE LEADERSHIP TEAM, AS RECOMMENDED BY THE CEO. THE ADEQUACY AND REASONABLENESS OF ALL EXECUTIVE COMPENSATION IS ASSESSED THROUGH INDEPENDENT COMPENSATION CONSULTANTS, WHICH CONDUCT MARKET REVIEWS USING BENCHMARKING DATA FOR COMPARABLE POSITIONS IN SIMILARLY SITUATED HOSPITALS. THIS ASSESSMENT IS PROVIDED AND REVIEWED BY THE EXECUTIVE COMPENSATION COMMITTEE ON AN ANNUAL BASIS. THE INDEPENDENCE OF THE COMMITTEE MEMBERS IS REVIEWED AND VERIFIED PRIOR TO THE START OF THE ANNUAL COMPENSATION REVIEW PROCESS. SHOULD A CONFLICT PRESENT, THOSE INDIVIDUALS WITH ACTUAL OR PERCEIVED CONFLICTS ABSTAIN FROM VOTING UNTIL SUCH TIME AS THE CONFLICT CAN BE RESOLVED OR A REPLACEMENT MEMBER INS APPOINTED TO THE COMMITTEE. THE COMMITTEE'S DELIBERATIONS AND DISCUSSIONS ARE GUIDED BY A WRITTEN COMPENSATION PHILOSOPHY AND DOCUMENTED THROUGH WRITTEN MINUTES TAKEN DURING EACH MEETING. THE MINUTES INCLUDE, AMONG OTHER THINGS, THE WRITTEN MATERIALS DISTRIBUTED OR PRESENTED DURING THE MEETING AND THE SPECIFIC DECISIONS TAKEN AT THE MEETING. FORM 990, PART VI, SECTION C, LINE 19 PUBLIC DISCLOSURE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THE ORGANIZATION'S FORM 990 IS POSTED ON WWW.GUIDESTAR.ORG. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 40,808,733. MANAGEMENT AND GENERAL EXPENSES 5,678,939. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,487,672. FORM 990, PART XI, LINE 9: SEMC CHANGE IN FOUNDATION'S NET ASSETS -764,490. PENSION RELATED CHANGES OTHER OTHER THAN NET PERIODIC PENSION COST 14,093,549. OTHER COMPONENTS OF PERIODIC BENEFIT COST -1,249,035. OTHER CHANGES TO NET ASSETS 118,697. FORM 990, PART XII, LINE 2C: THERE HAS BEEN NO CHANGE IN THE PROCESS BY WHICH THE ORGANIZATION OVERSEES ITS AUDIT OR THE PROCESS BY WHICH THE ORGANIZATION SELECTS ITS INDEPENDENT ACCOUNTANT. FAXTON- ST LUKE'S HEALTHCARE PO BOX 479 UTICA NY 13502 161576637 ACCUTE CARE HOSPITAL NY 501 (C) (3) 3 MOHAWK VALLEY HEALTH SYSTEM INC 0 SR OF ST FRANCIS OF THE NEUMANN COMMUNITY 2500 GRANT BLVD SYRACUSE NY 13208 204292535 RELIGIOUS ORDER NY 501 (C) (3) LINE 1 N/A 0 PARTNERS IN FRANCISCAN MINISTRIES 2500 GRANT BLVD SYRACUSE NY 13208 452279986 SPONSOR MINISTRIES NY 501 (C) (3) LINE 12A, I N/A 0 VISITING NURSES ASSOCIATION OF UTICA AND ONEIDA COUNTY 2608 GENESEE STREET UTICA NY 13502 150532259 HOME HEALTH NURSING NY 501 (C) (3) LINE 10 MOHAWK VALLEY HEALTH SYSTEM INC 0 ST ELIZABETH MEDICAL CENTER FOUNDATION 2209 GENESEE STREET UTICA NY 13501 222562170 FUNDRAISING NY 501 (C) (3) LINE 12B, II ST ELIZABETH MEDICAL CENTER 1 MOHAWK VALLEY HEALTH SYSTEM PO BOX 4308 UTICA NY 13504 223124162 PROMOTE HEALTHCARE NY 501 (C) (3) 3 N/A 0 MOHAWK VALLEY HEALTH SYSTEM FOUNDATION 1676 SUNSET AVENUE UTICA NY 13502 223078768 FUNDRAISING NY 501 (C) (3) LINE 12B, II MVHS 0 ST LUKE'S HOME RESIDENTIAL HEALTHCARE FACILITY PO BOX 6305 UTICA NY 13504 161476372 202 BED RHCF NY 501 (C) (3) LINE 10 FAXTON ST LUKE'S HEALTHCARE INC 0 HEALTHCARE UNDERWRITERS MUTUAL RISK MA NY (UNINCORPORATED) 5687 MAIN STREET WILLIAMSVILLE NY 14221 161484203 SELF-INSURANCE GROUP NY N/A T 0 0 0 1 0 1 0 0 0 1 0 0 0 0 1 1 0 1 1 1