ST ELIZABETH COMMUNITY HEALTH SUPPORT: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- ST ELIZABETH COMMUNITY HEALTH SUPPORT (EIN 15-0532245)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-12
- IRS object ID
- 202143169349308959
- Schema version
- 2020v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-12T14:12:27-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | 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 | FUST CHARLES CHAMBERS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5784 WIDEWATERS PARKWAY | AddressLine1Txt |
| City | SYRACUSE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13214 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 150532245 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST ELIZABETH MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STEL | BusinessNameControlTxt |
| Phone | 3158018151 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2209 GENESEE STREET | AddressLine1Txt |
| City | UTICA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 135015999 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LOUIS AIELLO | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3156246143 | PhoneNum |
| Signature | 2021-11-11 | 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 |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANGELA M FRANCO | PreparerPersonNm |
| PTIN | P00589741 | PTIN |
| Phone | 3154463600 | PhoneNum |
| Preparation | 2021-11-11 | 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 | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | 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 | 2209 GENESEE STREET | AddressLine1Txt |
| City | UTICA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 135015999 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $213,133,748 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTPS://MVHEALTHSYSTEM.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1861 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | ST. ELIZABETH 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 2056 | TotalEmployeeCnt |
| Total Volunteers | 29 | TotalVolunteersCnt |
| Total Gross UBI | $276,284 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $658,435 | PYContributionsGrantsAmt |
| CY Contributions Grants | $463,366 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $213,170,022 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $201,086,132 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$540,650 | PYInvestmentIncomeAmt |
| CY Investment Income | $526,875 | CYInvestmentIncomeAmt |
| PY Other Revenue | $9,655,999 | PYOtherRevenueAmt |
| CY Other Revenue | $10,849,693 | CYOtherRevenueAmt |
| PY Total Revenue | $222,943,806 | PYTotalRevenueAmt |
| CY Total Revenue | $212,926,066 | 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 | $124,588,898 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $116,115,822 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $104,210,290 | PYOtherExpensesAmt |
| CY Other Expenses | $103,552,773 | CYOtherExpensesAmt |
| PY Total Expenses | $228,799,188 | PYTotalExpensesAmt |
| CY Total Expenses | $219,668,595 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$5,855,382 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$6,742,529 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $121,787,718 | TotalAssetsBOYAmt |
| Total Assets EOY | $139,020,571 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $133,866,922 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $164,690,444 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$12,079,204 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$25,669,873 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $117,138,889 | ExpenseAmt |
| Revenue | $109,201,148 | RevenueAmt |
| Desc | 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. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $44,779,144 | ExpenseAmt |
| Revenue | $52,133,692 | RevenueAmt |
| Desc | 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. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $15,835,232 | ExpenseAmt |
| Revenue | $4,884,198 | RevenueAmt |
| Desc | COMMUNITY MEDICINE - IN ADDITION TO HAVING OUTPATIENT VISITS ON SITE, ST. ELIZABETH MEDICAL CENTER HAS SEVERAL OFF-SITE CLINICS TO PROVIDE PATIENTS WITH CONVENIENT MEDICAL CARE AT A LOWER COST THAN IN THE HOSPITAL SETTING. THE OFF-SITE CLINICS INCLUDE FAMILY PRACTICE AND COMMUNITY MEDICINE. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $13,264,193 | ExpenseAmt |
| Revenue | $44,789,167 | RevenueAmt |
| Desc | OTHER PROGRAM SERVICES INCLUDE EMERGENCY ROOM, REFERRED AMBULATORY, CLINICS, FAMILY PRACTICE, SPORTS MEDICINE CENTER, COLLEGE OF NURSING, INTERNS AND RESIDENTS, AND HOME HEALTH AGENCY | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $13,264,193 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $44,789,167 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $191,017,458 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | Yes (1) | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 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 | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 186 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2056 | 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 | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LOUIS AIELLO - ST ELIZABETH MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3158018151 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2209 GENESEE STREET | AddressLine1Txt |
| City | UTICA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13501 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| BONNIE WOODS | ||||||||||
| CHAIR | 1.00 | 2.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| NORMAN SIEGEL | ||||||||||
| EMERITUS | 1.00 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| JOAN COMPSON | ||||||||||
| EMERITUS | 1.00 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT DICKS | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| SYMEON TSOUPELIS | ||||||||||
| DIRECTOR | 1.00 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| ANDREW KOWALCZYK III | ||||||||||
| DIRECTOR | 1.00 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| LAUREN BULL | ||||||||||
| DIRECTOR | 1.00 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| BARBARA BRODOCK | ||||||||||
| DIRECTOR | 1.00 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| CATHERINE BROWNELL PHD | ||||||||||
| DIRECTOR | 1.00 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| DOMENIC P AIELLO MD | ||||||||||
| DIRECTOR | 1.00 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| GREGORY MCLEAN | ||||||||||
| DIRECTOR | 1.00 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| CATHERINE COMINSKY | ||||||||||
| DIRECTOR | 1.00 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| RICHARD TANTILLO | ||||||||||
| SECRETARY (START 10/2020) | 1.00 | 2.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| KAREN LEACH | ||||||||||
| DIRECTOR | 1.00 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| WALEED ALBERT MD | ||||||||||
| DIRECTOR/FSLH PHYSICIAN | 1.00 | 2.50 | Yes (X) | $0 | $42,004 | $0 | ||||
| SUSHMA KAUL MD | ||||||||||
| SEMC MED DIRECTOR/FSLH PHYSICIAN | 51.00 | 2.50 | Yes (X) | $0 | $620,838 | $23,244 | ||||
| ALICIA DETRAGLIA MD | ||||||||||
| SECRETARY (THRU 9/2020) | 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 | |||
| GREGORY EVANS | ||||||||||
| VICE CHAIR | 1.00 | 2.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| LOUIS AIELLO | ||||||||||
| CFO | 18.00 | 32.00 | Yes (X) | $505,243 | $0 | $29,109 | ||||
| DARLENE STROMSTAD | ||||||||||
| PRESIDENT/CEO | 20.00 | 35.00 | Yes (X) | $0 | $833,744 | $17,854 | ||||
| LINDA MCCORMACK-MILLER | ||||||||||
| CNO | 20.00 | 30.00 | $0 | $266,203 | $16,055 | Yes (X) | ||||
| MANSOOR SHAHID | ||||||||||
| COO | 20.00 | 30.00 | $0 | $356,572 | $15,280 | Yes (X) | ||||
| ERIC YOSS MD | ||||||||||
| INTERM CMO (THRU 2/2020) | 20.00 | 30.00 | $0 | $347,326 | $19,896 | Yes (X) | ||||
| KENT HALL MD | ||||||||||
| CMO (START 2/2020) | 20.00 | 30.00 | $0 | $430,438 | $14,201 | Yes (X) | ||||
| NABEEL EL-AMIR MD | ||||||||||
| PHYSICIAN | 50.00 | 0.00 | $1,055,234 | $0 | $26,755 | Yes (X) | ||||
| NABIN ADHIKARI MD | ||||||||||
| PHYSICIAN | 50.00 | 0.00 | $470,849 | $0 | $18,705 | Yes (X) | ||||
| ALEXANDROS KARAVAS MD | ||||||||||
| PHYSICIAN | 50.00 | 0.00 | $461,872 | $0 | $9,851 | Yes (X) | ||||
| GOUTHAN MALEMPATI MD | ||||||||||
| PHYSICIAN | 50.00 | 0.00 | $444,532 | $0 | $26,286 | Yes (X) | ||||
| STEVEN LEVINE MD | ||||||||||
| PHYSICIAN | 50.00 | 0.00 | $481,014 | $0 | $22,858 | Yes (X) | ||||
| MARIA GESUALDO MD | ||||||||||
| FORMER DIRECTOR | 0.00 | 0.00 | $0 | $62,858 | $0 | Yes (X) | ||||
| SCOTT PERRA | ||||||||||
| FORMER ADMINISTRATOR | 0.00 | 0.00 | $0 | $388,332 | $13,172 | Yes (X) | ||||
| MICHAEL F TREVISANI MD | ||||||||||
| FORMER CMO (1/2019 - 6/2019) | 20.00 | 30.00 | $0 | $132,664 | $7,014 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,418,744 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,480,979 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $260,280 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 199 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| UPTOWN ANESTHESIA ASSOCIATION | |||||
| 2405 GENESEE STREET | UTICA | NY | 13501 | ANESTHESIA SERVICES | $2,703,523 |
| DAVIN HEALTHCARE SOFTWARE SOLUTIONS | |||||
| 18 DIVISION STREET 312 | SARATOGA SPRINGS | NY | 12866 | MEDICAL STAFFING SERVICES | $2,098,257 |
| MAYO COLLABORATIVE SERVICES | |||||
| PO BOX 9146 | MINNEAPOLIS | MN | 55480 | LABRATORY SERVICES | $1,943,495 |
| BROADREACH MEDICAL RESOURCES INC | |||||
| 1350 BROADWAY STE 410 | NEW YORK | NY | 10018 | PHARMACY BENEFITS MANAGER | $1,672,663 |
| BAXTER HEALTHCARE CORPORATION | |||||
| 1 BAXTER PARKWAY | DEERFIELD | IL | 60015 | HEALTHCARE PRODUCTS | $942,821 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 42 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $5,085 | RelatedOrganizationsAmt |
| Government Grants | $381,439 | GovernmentGrantsAmt |
| All Other Contributions | $76,842 | AllOtherContributionsAmt |
| Total Contributions | $463,366 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| ACUTE CARE | 622200 | $109,201,148 | $109,201,148 | |
| AMBULATORY SURGERY | 622200 | $52,133,692 | $52,133,692 | |
| EMERGENCY DEPARTMENT | 622200 | $22,972,695 | $22,972,695 | |
| PRIMARY CARE | 622200 | $4,884,198 | $4,884,198 | |
| LABORATORY TESTING | 622200 | $311,918 | $311,918 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,582,481 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,582,481 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $201,086,132 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $451,312 | TotalRevenueColumnAmt |
| Exclusion | $451,312 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $745,884 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $130,182 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $615,702 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $615,702 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$35,634 | UnrelatedBusinessRevenueAmt |
| Exclusion | $651,336 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $112,846 | SecuritiesAmt |
| Other | $40,217 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $77,500 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $112,846 | SecuritiesAmt |
| Other | -$37,283 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $75,563 | TotalRevenueColumnAmt |
| Exclusion | $75,563 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| POPULATION HEALTH | 900099 | $7,375,700 | $7,375,700 |
| TUITION AND FEES | 900099 | $1,757,600 | $1,757,600 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,100,691 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,100,691 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $10,233,991 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $212,926,066 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $211,008,205 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $276,284 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,178,211 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,557,200 | TotalAmt |
| Program Services | $4,557,299 | ProgramServicesAmt |
| Management And General | $2,999,901 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,878,394 | TotalAmt |
| Program Services | $79,269,381 | ProgramServicesAmt |
| Management And General | $9,609,013 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,075,457 | TotalAmt |
| Program Services | $2,607,586 | ProgramServicesAmt |
| Management And General | $467,871 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,901,616 | TotalAmt |
| Program Services | $8,395,278 | ProgramServicesAmt |
| Management And General | $1,506,338 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,703,155 | TotalAmt |
| Program Services | $5,683,400 | ProgramServicesAmt |
| Management And General | $1,019,755 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133,363 | TotalAmt |
| Program Services | $116,000 | ProgramServicesAmt |
| Management And General | $17,363 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $309,919 | TotalAmt |
| Program Services | $269,570 | ProgramServicesAmt |
| Management And General | $40,349 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,400 | TotalAmt |
| Program Services | $98,636 | ProgramServicesAmt |
| Management And General | $14,764 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,104,170 | TotalAmt |
| Program Services | $17,486,739 | ProgramServicesAmt |
| Management And General | $2,617,431 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,344 | TotalAmt |
| Program Services | $20,305 | ProgramServicesAmt |
| Management And General | $3,039 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $503,371 | TotalAmt |
| Program Services | $437,835 | ProgramServicesAmt |
| Management And General | $65,536 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,153,517 | TotalAmt |
| Program Services | $2,742,950 | ProgramServicesAmt |
| Management And General | $410,567 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,060,026 | TotalAmt |
| Program Services | $2,661,631 | ProgramServicesAmt |
| Management And General | $398,395 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $168,598 | TotalAmt |
| Program Services | $146,648 | ProgramServicesAmt |
| Management And General | $21,950 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,077,490 | TotalAmt |
| Management And General | $1,077,490 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,854,229 | TotalAmt |
| Program Services | $7,695,036 | ProgramServicesAmt |
| Management And General | $1,159,193 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,031,311 | TotalAmt |
| Program Services | $1,766,848 | ProgramServicesAmt |
| Management And General | $264,463 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $43,748,934 | $38,053,110 | $5,695,824 |
| BAD DEBTS | $10,081,914 | $10,081,914 | $0 |
| SERVICE CONTRACTS | $4,037,914 | $3,512,204 | $525,710 |
| NON MEDICAL SUPPLIES | $3,105,941 | $2,701,568 | $404,373 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,045,332 | TotalAmt |
| Program Services | $2,713,520 | ProgramServicesAmt |
| Management And General | $331,812 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $219,668,595 | TotalAmt |
| Program Services | $191,017,458 | ProgramServicesAmt |
| Management And General | $28,651,137 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$39,640 | BOYAmt |
| EOY | $5,247,222 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,978,889 | BOYAmt |
| EOY | $19,301,685 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,465,284 | BOYAmt |
| EOY | $6,038,379 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $806,550 | BOYAmt |
| EOY | $1,244,919 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $200,904,324 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $139,664,521 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,916,654 | BOYAmt |
| EOY | $61,239,803 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,502,335 | BOYAmt |
| EOY | $19,255,478 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,157,646 | BOYAmt |
| EOY | $26,693,085 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $121,787,718 | BOYAmt |
| EOY | $139,020,571 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,273,775 | BOYAmt |
| EOY | $25,420,068 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,690,643 | BOYAmt |
| EOY | $32,344,744 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,595,606 | BOYAmt |
| EOY | $15,164,872 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,306,898 | BOYAmt |
| EOY | $91,760,760 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,866,922 | BOYAmt |
| EOY | $164,690,444 | 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 | -$13,636,902 | BOYAmt |
| EOY | -$27,262,263 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,557,698 | BOYAmt |
| EOY | $1,592,390 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$12,079,204 | BOYAmt |
| EOY | -$25,669,873 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $121,787,718 | BOYAmt |
| EOY | $139,020,571 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$6,742,529 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,233,966 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$8,082,106 | 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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 | $30,557 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $30,557 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | ACTIVITIES INCLUDE THE PORTION OF DUES PAID TO THE HEALTH CARE ASSOCIATION OF NEW YORK STATE. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preservation Open Space | Yes (X) | PreservationOpenSpaceInd |
| Total Easements | 1 | TotalEasementsCnt |
| Total Acreage | 20.00 | TotalAcreageCnt |
| Historic Structure Easements | 0 | HistoricStructureEasementsCnt |
| Historic Strctr Easements Aftr | 0 | HistoricStrctrEasementsAftrCnt |
| States Easements Held | 1 | StatesEasementsHeldCnt |
| Written Policy Monitoring | 0 | WrittenPolicyMonitoringInd |
| Section170h Rqr Stsfd | Yes (1) | Section170hRqrStsfdInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,557,698 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $57,617 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $22,925 | GrantsOrScholarshipsAmt |
| End Year Balance | $1,592,390 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,447,744 | BeginningYearBalanceAmt |
| Contributions | $175,990 | ContributionsAmt |
| Investment Earnings Or Losses | $250,468 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $177,564 | GrantsOrScholarshipsAmt |
| Other Expenditures | $138,940 | OtherExpendituresAmt |
| End Year Balance | $1,557,698 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,638,165 | BeginningYearBalanceAmt |
| Contributions | $126,871 | ContributionsAmt |
| Investment Earnings Or Losses | -$59,273 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $119,411 | GrantsOrScholarshipsAmt |
| Other Expenditures | $138,608 | OtherExpendituresAmt |
| End Year Balance | $1,447,744 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,415,847 | BeginningYearBalanceAmt |
| Contributions | $233,401 | ContributionsAmt |
| Investment Earnings Or Losses | $169,133 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $13,100 | GrantsOrScholarshipsAmt |
| Other Expenditures | $167,116 | OtherExpendituresAmt |
| End Year Balance | $1,638,165 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,340,040 | BeginningYearBalanceAmt |
| Contributions | $201,009 | ContributionsAmt |
| Investment Earnings Or Losses | $93,248 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $21,250 | GrantsOrScholarshipsAmt |
| Other Expenditures | $197,200 | OtherExpendituresAmt |
| End Year Balance | $1,415,847 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.66890 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.33110 | 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 | $6,494,705 | OtherCostOrOtherBasisAmt |
| Book Value | $6,494,705 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $75,631,622 | OtherCostOrOtherBasisAmt |
| Depreciation | $57,155,500 | DepreciationAmt |
| Book Value | $18,476,122 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $118,777,997 | OtherCostOrOtherBasisAmt |
| Depreciation | $82,509,021 | DepreciationAmt |
| Book Value | $36,268,976 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $61,239,803 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| GRANT AND TUITION RECEIVABLES | $1,856,129 |
| ASSETS WHOSE USE IS LIMITED- BOND FUNDS | $15,888,265 |
| INTEREST IN NET ASSETS OF SEMC FOUNDATION | $5,180,331 |
| INVESTMENTS RESTRICTED BY DONORS | $1,799,407 |
| OPERATING LEASE RIGHT-OF-USE ASSETS | $1,968,953 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $26,693,085 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED PENSION LIABILITY | $57,458,285 |
| LIABILITY TO THIRD PARTY PAYORS | $1,579,652 |
| PROFESSIONAL LIABILITY DEDUCTIBLE | $6,385,285 |
| OTHER LONG-TERM LIABILITIES | $3,635,087 |
| DUE TO AFFILIATES | $2,323,466 |
| OTHER CURRENT LIABILITIES | $495,385 |
| FINANCE LEASE OBLIGATIONS | $3,394,871 |
| CONTRACT LIABILITY - MEDICARE ACCELERATED AND ADVANCE PAYMENT PROGRAM | $15,000,000 |
| OPERATING LEASE LIABILITIES | $1,488,729 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $91,760,760 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART II, LINE 9: | THE AMOUNT OF CONSERVATION EASEMENT IS IMMATERIAL TO FINANCIAL STATEMENTS AND THEREFORE, IS NOT RECORDED AS PART OF TOTAL ASSETS. |
| PART V, LINE 4: | ENDOWMENT FUNDS - THE INTENDED PURPOSE OF THE 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, 2020 AND 2019, 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 2017 THROUGH 2020. THE MEDICAL CENTER AND THE FOUNDATION DOES NOT ANTICIPATE THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 325.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,897,115 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,077,007 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $820,108 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00390 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $42,779,449 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,090,119 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,689,330 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04620 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,073,228 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,625,928 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,447,300 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00690 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $48,749,792 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $36,793,054 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,956,738 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05700 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $316,228 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $316,228 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,855,304 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,737,879 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,117,425 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01960 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $107,463 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $107,463 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,278,995 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,737,879 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,541,116 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02160 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $58,028,787 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $41,530,933 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,497,854 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07860 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $10,081,914 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $230,713 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $49,234,487 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $57,908,090 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$8,673,603 | 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 MVEC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | GASTROENTEROLOGY SERVICES | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.20000 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0.00000 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.00000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST ELIZABETH MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2209 GENESEE STREET | AddressLine1Txt |
| City | UTICA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13501 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Emergency Room Other | Yes (X) | EmergencyRoomOtherInd |
| Other | TEACHING HOSPITAL AND 24 HOUR ER | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST ELIZABETH MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | 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 | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://MVHEALTHSYSTEM.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 325.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTP://MVHEALTHSYSTEM.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://MVHEALTHSYSTEM.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTP://MVHEALTHSYSTEM.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| 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 |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ST ELIZABETH MEDICAL CENTER | PART V, SECTION B, LINE 5: DISEASE PREVENTION: PLANNING WITH COMMUNITY BASED ORGANIZATIONS TO DEVELOP/DISTRIBUTE CURRICULUM FOR CANCER RELATED EDUCATIONAL ACTIVITIES IN RURAL AREAS, OFFER SCREENING EVENTS; MARKETING DEVELOPMENT AND IMPLEMENTATION PROMOTING CANCER PREVENTION; PLANNING WITH PARTNERS TO DEVELOP CURRICULUM FOR CHRONIC DISEASE PREVENTION, OUTREACH EFFORTS AND IDENTIFY VENUES TO DISTRIBUTE EDUCATIONAL INFORMATION; INCLUDING PHYSICIAN PRACTICES, FQHC'S AND OTHER PROVIDER OFFICES. MENTAL HEALTH/SUBSTANCE ABUSE: CONDUCTED PLANNING ACTIVITES WITH COMMUNITY REPRESENTATIVES RELATED TO MENTAL HEALTH TRAININGS. ESTABLISHED RELATIONSHIPS WITH TRAINING PROVIDERS AND CONDUCTED PLANNING ACTIVITIES WITH LOCAL NARCAN EDUCATION PROVIDERS; PROVIDED, AND EVALUATED, 27 TRAININGS (EMPLOYEE AND COMMUNITY MEMBERS) WITH A TOTAL OF 583 ATTENDEES. UPDATED LISTING OF DROP BOX LOCATIONS. IMPLEMENTED ODMAP. PARTICPATED IN THE IHA OPIOD ALTERNATIVE PROJECT TO ESTABLISH ALTERNATIVES TO PRESCRIBING OPIODS, DEVELOPED AND IMPLEMENTED WITH TRAINING TO PROVIDERS AND STAFF IN OUR ED. ESTABLISHED COUNTY OPIOD TASK FORCE PREVENTION WORKGROUP. DEVELOPMENT OF THESE EFFORTS WAS DONE IN CONJUNCTION WITH COUNTY LOCAL HEALTH DEPARTMENT PUBLIC HEALTH EDUCATOR, A LOCAL MARKETING COMPANY, UPSTATE UNIVERSITY MOBILE MAMMOGRAPHY PROGRAM MANAGER, CANCER SERVICES PROGRAM, FIDELIS, HOSPITAL AFFILIATED PRIMARY CARE PROVIDERS, CBO'S, AMERICAN HEART ASSOCIATION, HOSPITAL NDPP, ROME MEMORIAL HOSPITAL, COUNTY HEALTH AND MENTAL HEALTH PROGRAM ANALYSTS, NYS DOH, COMMUNITY RECOVER CENTER ROME, RESCUE MISSION, CENTER FAMILY LIFE RECOVERY, INSIGHT HOUSE, IROQUOIS HEALTHCARE ALLIANCE, US ATTORNEY'S OFFICE, BOCES, SCHOOL DISTRICT. |
| ST ELIZABETH MEDICAL CENTER | PART V, SECTION B, LINE 6A: OTHER REPRESENTATIVES INCLUDED FAXTON ST.-LUKE'S HEALTHCARE, ST ELIZABETH MEDICAL CENTER, AND ROME MEMORIAL HOSPITAL. |
| ST ELIZABETH MEDICAL CENTER | PART V, SECTION B, LINE 6B: IN ADDITION TO ONEIDA COUNTY HEALTH DEPARTMENT, CENTRAL NEW YORK HOME HEALTH CARE, HERKIMER-ONEIDA COMPREHENSIVE PLANNING PROGRAM, UTICA COMMUNITY HEALTH CENTER, MOHAWK VALLEY PERINATAL NETWORK, ONEIDA COUNTY DEPARTMENT OF SOCIAL SERVICES, THE COMMUNITY FOUNDATION OF HERKIMER AND ONEIDA COUNTIES, CORNELL COOPERATIVE EXTENSION, THE PARKWAY CENTER, AMERICAN CANCER SOCIETY, UPSTATE CEREBRAL PALSY, UNITED WAY, ONEIDA COUNTY DEPARTMENT OF MENTAL HEALTH, CENTER FOR FAMILY LIFE & RECOVERY, AND THE HOUSE OF THE GOOD SHEPHERD. |
| ST ELIZABETH MEDICAL CENTER | PART V, SECTION B, LINE 11: THE ONGOING GOALS TO PREVENT CHRONIC DISEASE HAVE BEEN ADDRESSED WITH SUCESSFUL OUTREACH PROGRAMS SUCH AS PARTICIPATION IN MULTIPLE HEALTH FAIRS, DIABETES EDUCTATION THROUGH OUR HOSPITAL PHYSICIAN PRACTICES TO INTRODUCE EDUCATIONAL PROGRAMS. THOUGH INCLUDED IN OUR PLAN, THERE HAS BEEN LITTILE PARTNER INVOLVEMENT BY THE AMERICAN HEART ASSOCIATION AT THIS POINT IN TIME. MUCH TIME HAS BEEN DEDICATED TO PLANNING FOR THE REDUCTION OF OPIOID OVERDOSES/ABUSE. OUR PHYSICIAN PRACTICES HAVE BEEN TRAINED, AS WELL AS OUR ED STAFF HAVING WAIVER TRAINING. WE HAVE PROVIDED 27 DIFFERENT TRAININGS FOR A TOTAL OF 583 ATTENDEES. BOTH EMPLOYEES AND COMMUNITY MEMBERS. LOCK BOXES HAVE BEEN SET UP AT MULTIPLE LOCATIONS AND SHARED WITH OUR PARTNERS. WE ARE MAKING LITTLE PROGRESS OVERALL ON MENTAL HEALTH AND DEPENDENCY ISSUES DUE TO A NATIONAL SHORTAGE OF THE APPROPRIATE PHYSICIANS. OUR ORGANIZATION IS ACTIVELY RECRUITING FOR SAID PHYSICIANS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 18 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (18 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - MEDICAL ARTS | ||||
| 4401 MIDDLE SETTLEMENT ROAD | NEW HARTFORD | NY | 13413 | OUTPATIENT LAB |
| 2 - SEMC AT FAMILY PRACTICE CENTER | ||||
| 120 HOBART STREET | UTICA | NY | 13501 | OUTPATIENT PHYSICIAN CLINIC/OUTPATIENT LAB/X-RAY |
| 3 - WOMEN & CHILDREN'S FAMILY HEALTH CENTER | ||||
| 2212 GENESEE STREET | UTICA | NY | 13501 | OUTPATIENT PHYSICIAN CLINIC |
| 4 - WOUND CARE SERVICES | ||||
| 4401 MIDDLE SETTLEMENT ROAD | NEW HARTFORD | NY | 13413 | OUTPATIENT PHYSICIAN CLINIC |
| 5 - FAMILY PRACTICE NEW HARTFORD | ||||
| 4401 MIDDLE SETTLEMENT ROAD | NEW HARTFORD | NY | 13413 | OUTPATIENT PHYSICIAN CLINIC |
| 6 - COMMUNITY MEDICINE AT EAST UTICA | ||||
| 1256 CULVER AVENUE | UTICA | NY | 13501 | OUTPATIENT PHYSICIAN CLINIC/OUTPATIENT LAB |
| 7 - MARIAN MEDICAL | ||||
| 2211 GENESEE STREET | UTICA | NY | 13501 | OUTPATIENT LAB/PHYSICIAN CLINIC/CT SURGERY GROUP |
| 8 - LITTLE FALLS FAMILY PRACTICE | ||||
| 500 EAST MAIN STREET | LITTLE FALLS | NY | 13365 | OUTPATIENT PHYSICIAN CLINIC/OUTPATIENT LAB |
| 9 - TOWN OF WEBB HEALTH CENTER | ||||
| 114 SOUTH SHORE ROAD | OLD FORGE | NY | 13420 | OUTPATIENT PHYSICIAN CLINIC/OUTPATIENT LAB |
| 10 - SLEEP DISORDERS CENTER | ||||
| 2215 GENESEE STREET | UTICA | NY | 13501 | OUTPATIENT PHYSICIAN CLINIC |
| 11 - COMMUNITY MEDICAL SERVICES SOUTH UTICA | ||||
| 6 HAMPDEN PLACE | UTICA | NY | 13501 | OUTPATIENT PHYSICIAN CLINIC |
| 12 - ST ELIZABETH LAB | ||||
| 86 GENESEE STREET | NEW HARTFORD | NY | 13413 | OUTPATIENT LAB |
| 13 - ST ELIZABETH LAB - ONEIDA | ||||
| 131 MAIN STREET | ONEIDA | NY | 13421 | OUTPATIENT LAB |
| 14 - ST ELIZABETH LAB - RIDGE MILLS | ||||
| 7845 ROME WESTERNVILLE ROAD | ROME | NY | 13440 | OUTPATIENT LAB |
| 15 - ST ELIZABETH LAB UPSTATE CEREBRAL PALSY | ||||
| 1427 GENESEE STREET | UTICA | NY | 13501 | OUTPATIENT LAB |
| 16 - ST ELIZABETH LAB AT UTICA BUSINESS PARK | ||||
| 125 BUSINESS PARK DRIVE SUITE 135 | UTICA | NY | 13502 | OUTPATIENT LAB |
| 17 - ST ELIZABETH LAB - WASHINGTON MILLS | ||||
| 3946 ONEIDA STREET | NEW HARTFORD | NY | 13413 | OUTPATIENT LAB |
| 18 - ST ELIZABETH LAB - WHITESBORO | ||||
| 37 MAIN STREET | WHITESBORO | NY | 13492 | OUTPATIENT LAB |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE PATIENTS COST-TO-CHARGE RATIO WAS COMPUTED USING ALL CHARGES AND EXPENSES LESS NON-ALLOWABLE. THE COST TO CHARGE RATIO WAS USED TO COMPUTE COST. COST-TO-CHARGE WAS DERIVED BY DIVIDING TOTAL CHARGES FROM THE FINANCIAL STATEMENTS INTO TOTAL COST FROM THE FINANCIAL STATEMENTS, LESS NON-PATIENT COSTS. |
| PART I, LN 7 COL(F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24(B), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $10,081,914. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | 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 CAMPUSES. MVHS 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 2020 AND 2019, 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 $231,000 AND $318,000 FOR THE YEARS ENDED DECEMBER 31, 2020 AND 2019, 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: | ONEIDA COUNTY HEALTH DEPARTMENT (OCHD), ROME MEMORIAL HOSPITAL (RMH) AND MOHAWK VALLEY HEALTH SYSTEM(MVHS) COLLABORATED WITH KEY COMMUNITY STAKEHOLDERS TO DEVELOP A THREE-YEAR COMMUNITY HEALTH ASSESSMENT, COMMUNITY SERVICE PLAN, AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHA/CSP/CHIP). THE DEVELOPMENT OF THE CHA, CSP AND CHIP FOR THE PERIOD OF 2019-2021 INVOLVED A SYSTEMATIC APPROACH OF DATA RETRIEVAL AND ANALYSIS, COMMUNITY ENGAGEMENT WITH A UNIFIED MISSION TO IDENTIFY AND RANK HEALTH PRIORITIES THAT AIM TO IMPROVE HEALTH OUTCOMES AND REDUCE DISPARITIES AMONG ONEIDA COUNTY RESIDENTS. THE 2019-2024 NEW YORK STATE PREVENTION AGENDA PROVIDES A BLUEPRINT TO IMPROVE THE HEALTH AND WELLBEING, AS WELL AS TO PROMOTE HEALTH EQUITY ACROSS POPULATIONS WHO EXPERIENCE DISPARITIES AND GUIDE THE DEVELOPMENT OF THE PLAN. THE FIVE PRIORITY AREAS ARE AS FOLLOWS: PREVENT CHRONIC DISEASES, PROMOTE A HEALTHY AND SAFE ENVIRONMENT, PROMOTE HEALTHY WOMEN, INFANTS, AND CHILDREN, PROMOTE WELL-BEING AND PREVENT MENTAL HEALTH AND SUBSTANCE USE DISORDERS, AND PREVENT COMMUNICABLE DISEASES. THOROUGH EVALUATION INCLUDED SYNTHESIS AND ANALYSIS OF THE 2016-2018 CHA/CSP/CHIP, RECOGNIZING ACHIEVEMENTS AS WELL AS AREAS OF CONTINUED OPPORTUNITY. THE SELECTION OF THE HEALTH PRIORITIES WAS DERIVED FROM A COLLABORATIVE COMMITTEE OF STAKEHOLDERS.THE CHA PROCESS AND THE IDENTIFICATION OF PRIORITIES AND INTERVENTIONS IN THE IMPROVEMENT PLAN WAS GUIDED BY THE ONEIDA COUNTY HEALTH COALITION (OCHC) AND STEERING COMMITTEE, WHICH IS A PARTNERSHIP OF COMMUNITY AGENCIES, ORGANIZATIONS AND GROUPS THAT CONVENE TO IDENTIFY AND ASSESS PUBLIC HEALTH PROBLEMS AND ENCOURAGE ACTION TO ADDRESS ISSUES. STRATEGIC COMMUNITY PARTNERS WERE ALSO SOLICITED TO PARTICIPATE IN A COMMUNITY STAKEHOLDER CONFERENCE. THE GOAL OF OBTAINING COMMUNITY STAKEHOLDER INPUT WAS TO GAIN GLOBAL INSIGHT FROM COMMUNITY PARTNERS ON PERCEPTIONS OF HEALTH ISSUES WITHIN THE COMMUNITY, CONSIDERING SOCIAL 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. THE CHA PROVIDES A COMPREHENSIVE OVERVIEW OF HEALTH STATUS INDICATOR DATA FOR RESIDENTS OF ONEIDA COUNTY USING THENYS PREVENTION AGENDA FRAMEWORK AND OTHER REPUTABLE DATA SOURCES. THE ASSESSMENT WAS CREATED FOLLOWING AFORMAL DATA COLLECTION AND ANALYSIS PROCESS WHICH INCLUDED REVIEW OF HEALTH DATA FINDINGS WITH THE STEERING COMMITTEE. ASSESSMENT ACTIVITIES INCLUDED COMPARISON OF ONEIDA COUNTY STATISTICS TO NYS PREVENTION AGENDA DASHBOARD RATES OF NEW YORK STATE (NYS) (EXCLUDING NEW YORK CITY (NYC),4 WHERE APPROPRIATE, AS WELL AS TORHE NYS COMMUNITY HEALTH INDICATOR REPORTS (CHIRS)5. CENTERS FOR DISEASE CONTROL (CDC) BEHAVIORAL RISK FACT SURVEILLANCE SYSTEM (BRFSS) DATA WAS ALSO REVIEWED TO FURTHER IDENTIFY HEALTH TRENDS. IN ADDITION, THE STEERING COMMITTEE SOLICITED INPUT FROM THE COMMUNITY DEFINED WITHIN THE PRIMARY SERVICE AREA. THE QUALITATIVE WORK INCLUDED INPUT FROM COMMUNITY STAKEHOLDERS THROUGH A STRATEGIC PLANNING CONFERENCE, AS WELL AS ON-LINE/IN-PERSON SURVEYS, REACHING 898 RESIDENTS. THIS COMBINATION OF PRIMARY AND SECONDARYRESEARCH FINDINGS WAS USED AS KEY REFERENCES FOR THE DEVELOPMENT OF THE OCHD, RMH AND MVHS' 2019-2021 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: | THE MAJORITY OF PATIENTS RESIDE IN ONEIDA, HERKIMER AND MADISON COUNTIES, WITH APPROXIMATELY 78% OF MVHS PATIENTS RESIDING IN ONEIDA COUNTY ZIP CODES. ONEIDA COUNTY BORDERS FIVE OTHER COUNTIES: OSWEGO, MADISON, HERKIMER, OTSEGO, AND LEWIS. THE COUNTY IS THE 550TH LARGEST COUNTY IN THE UNITED STATES AND COVERS 3,257.25 SQUARE MILES OF LAND WATER AREA, IN COMPARISON TO A TOTAL OF 3,141 COUNTIES IN THE UNITED STATES AND DISTRICT OF COLUMBIA. THE COUNTY IS EXPECTED TO SEE A SLIGHT INCREASE IN POPULATION THROUGH 2023 (560+ INDIVIDUALS), WHILE THE GENDER DISTRIBUTION IS PROJECTED TO REMAIN CONSISTENT DURING THIS TIMEFRAME. RESIDENTS BETWEEN THE AGES OF 55-64 YEARS OLD MAKE UP THE LARGEST PERCENTAGE OF THE POPULATION. 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 COMMON. THE INSURED RATE FOR ONEIDA COUNTY IS SLIGHTLY HIGHER THAN THE OVERALL NYS RATE FOR THOSE WITH PRIVATE HEALTH INSURANCE. THE MEDIAN HOUSEHOLD INCOME HAS STEADILY INCREASED SINCE 2000 AND IS EXPECTED TO INCREASE THROUGH 2023. HOWEVER, THE PER CAPITA INCOME FOR ONEIDA COUNTY HAS BEEN STEADILY LOWER THAN THAT OF NYS SINCE 2000 AND IS EXPECTED TO REMAIN ON TREND THROUGH 2023. FAMILIES WITH RELATED CHILDREN UNDER 5 YEARS OLD ARE THE MOST IMPOVERISHED IN THE COUNTY, WHILE 29% OF ONEIDA COUNTY ADULTS HAVE EXPERIENCED HOUSING INSECURITY IN THE PAST 12 MONTHS AND 15% HAVE SEVERE HOUSING PROBLEMS. THE EDUCATIONAL ATTAINMENT FOR THOSE IN THE COUNTY WHO COMPLETE A HIGH SCHOOL DEGREE OR HIGHER IS EXPECTED TO INCREASE THROUGH 2023, WHILE THOSE WHO COMPLETE AN EIGHTH-GRADE EDUCATION OR LOWER IS EXPECTED TO DECREASE. ALMOST HALF OF ONEIDA COUNTY'S POPULATION IS EMPLOYED, WITH ONLY 3.5% OF THE EMPLOYABLE POPULATION UNEMPLOYED. THE MOST COMMON INDUSTRY OF EMPLOYMENT FOR ONEIDA COUNTY IS "EDUCATIONAL SERVICES, AND HEALTHCARE AND SOCIAL ASSISTANCE," FOLLOWED BY "RETAIL TRADE, AND "MANUFACTURING." IN ONEIDA COUNTY, MORE THAN HALF OF RESIDENTS HAVE ACCESS TO TWO OR MORE VEHICLES, AND MOST PEOPLE COMMUTE TO WORK ALONE. FOR THE PAST 40 YEARS, UTICA HAS HOUSED THE CENTER (FORMERLY KNOWN AS THE MOHAWK VALLEY RESOURCE CENTER FOR REFUGEES), RESETTLING OVER 16,500 REFUGEES. THIS INFLUX OF REFUGEES HAS CONTRIBUTED SIGNIFICANTLY TO THE POPULATION PROFILE OF ONEIDA COUNTY. OVERALL, THE CENTER HAS HELPED INDIVIDUALS FROM OVER 35 COUNTRIES RESETTLE IN UTICA WHICH CONTINUES TO HELP STABILIZE THE COUNTY'S POPULATION AND ECONOMY. |
| PART VI, LINE 5: | THE NEW YORK STATE PREVENTION AGENDA SERVES AS A GUIDE TO HEALTH DEPARTMENTS AND HOSPITALS AS THEY DEVELOP THE CHNA AND PROMOTE COMMUNITY HEALTH. RESULTS OF PRIORITY AREAS, PRESENTED AND REVISED IN PREVIOUS CHNA YEARS:IMPROVEMENT AREAS: PREVENTION AGENDA AREAS WHERE ONEIDA COUNTY STATISTICS IMPROVED:1. IMPROVE HEALTH STATUS AND REDUCE HEALTH DISPARITIESA. PREMATURE DEATHS: RATIO OF BLACK NON-HISPANICS TO WHITE NON-HISPANICSB. AGE-ADJUSTED PREVENTABLE HOSPITALIZATION RATE PER 10,000 - AGED 18+ YEARS2. PROMOTE A HEALTHY AND SAFE ENVIRONMENTA. ASSAULT-RELATED HOSPITALIZATION RATE PER 10,000 POPULATIONB. ASSAULT-RELATED HOSPITALIZATION: RATIO OF BLACK NON-HISPANICS TO WHITE NON-HISPANICSC. PERCENTAGE OF EMPLOYED CIVILIAN WORKERS AGE 16 AND OVER WHO USE ALTERNATE MODES OF TRANSPORTATION TOWORK OR WORK FROM HOMED. PERCENTAGE OF POPULATION WITH LOW-INCOME AND LOW ACCESS TO A SUPERMARKET OR LARGE GROCERY STORE3. PREVENT CHRONIC DISEASESA. RATE OF HOSPITALIZATIONS FOR SHORT-TERM COMPLICATIONS OF DIABETES PER 10,000 - AGED 6-17 YEARS4. PREVENT HIV/STDS, VACCINE PREVENTABLE DISEASES AND HEALTHCARE-ASSOCIATED INFECTIONSA. PERCENTAGE OF ADOLESCENT FEMALES THAT RECEIVED 3 OR MORE DOSES OF HPV VACCINE - AGED 13-17 YEARS5. PROMOTING HEALTHY WOMEN, INFANTS, AND CHILDRENA. PREMATURE BIRTHS: RATIO OF BLACK NON-HISPANICS TO WHITE NON-HISPANICSB. PREMATURE BIRTHS: RATIO OF HISPANICS TO WHITE NON-HISPANICSC. PREMATURE BIRTHS: RATIO OF MEDICAID BIRTHS TO NON-MEDICAID BIRTHSD. EXCLUSIVELY BREASTFED: RATIO OF BLACK NON-HISPANICS TO WHITE NON-HISPANICSE. EXCLUSIVELY BREASTFED: RATIO OF HISPANICS TO WHITE NON-HISPANICSF. EXCLUSIVELY BREASTFED: RATIO OF MEDICAID BIRTHS TO NON-MEDICAID BIRTHSG. ADOLESCENT PREGNANCY: RATIO OF BLACK NON-HISPANICS TO WHITE NON-HISPANICS6. PROMOTE MENTAL HEALTH AND PREVENTING SUBSTANCE USEA. AGE-ADJUSTED SUICIDE DEATH RATE PER 100,000 POPULATIONSTATIC OR WORSENING AREAS: PREVENTION AGENDA AREAS WHERE ONEIDA COUNTY STATISTICS REMAINEDUNCHANGED/WORSENED. (THOSE MEASURES THAT HAVE WORSENED WILL BE INDICATED IN BOLD BELOW.)1. IMPROVE HEALTH STATUS AND REDUCE HEALTH DISPARITIESA. PERCENTAGE OF PREMATURE DEATHS (BEFORE AGE 65 YEARS)B. PREMATURE DEATHS: RATIO OF HISPANICS TO WHITE NON-HISPANICSC. PREVENTABLE HOSPITALIZATIONS: RATIO OF BLACK NON-HISPANIC TO WHITE NON-HISPANICSD. PERCENTAGE OF ADULTS (AGED 18-64) WITH HEALTH INSURANCEE. AGE-ADJUSTED PERCENTAGE OF ADULTS WHO HAVE A REGULAR HEALTHCARE PROVIDER AGED 18+ YEARS2. PROMOTE A HEALTHY AND SAFE ENVIRONMENTA. RATE OF HOSPITALIZATIONS DUE TO FALLS PER 10,000 AGED 65+ YEARSB. RATE OF EMERGENCY DEPARTMENT VISITS DUE TO FALLS PER 10,000 AGED 1-4 YEARSC. ASSAULT-RELATED HOSPITALIZATION: RATIO OF LOW-INCOME ZIP CODESD. PERCENTAGE OF HOMES IN HEALTHY NEIGHBORHOODS PROGRAM THAT HAVE FEWER ASTHMA TRIGGERS DURINGTHE HOME REVISIT26 ONEIDA COUNTY HEALTH DEPARTMENT CHA/CSP 2019-2021E. PERCENTAGE OF RESIDENTS SERVED BY COMMUNITY WATER SYSTEMS WITH OPTIMALLY FLUORIDATED WATERF. ASSAULT-RELATED HOSPITALIZATION: RATIO OF HISPANICS TO WHITE NON-HISPANICSG. RATE OF OCCUPATIONAL INJURIES TREATED IN ED PER 10,000 ADOLESCENTS - AGED 15-19 YEARSH. PERCENTAGE OF POPULATION THAT LIVES IN A JURISDICTION THAT ADOPTED THE CLIMATE SMART COMMUNITIES PLEDGE3. PREVENT CHRONIC DISEASESA. PERCENTAGE OF ADULTS WHO ARE OBESEB. PERCENTAGE OF CHILDREN AND ADOLESCENTS WHO ARE OBESEC. PERCENTAGE OF CIGARETTE SMOKING ADULTSD. PERCENTAGE OF ADULTS WHO RECEIVED A COLORECTAL CANCER SCREENING BASED ON THE MOST RECENT GUIDELINES AGED 50-75 YEARSE. AGE-ADJUSTED HEART ATTACK HOSPITALIZATION RATE PER 10,000 POPULATIONF. RATE OF HOSPITALIZATIONS FOR SHORT-TERM COMPLICATIONS OF DIABETES PER 10,000 18+ YEARSG. ASTHMA EMERGENCY DEPARTMENT VISIT RATE PER 10,000 POPULATIONH. ASTHMA EMERGENCY DEPARTMENT VISIT RATE PER 10,000 - AGED 0-4 YEARS4. PREVENT HIV/STDS, VACCINE PREVENTABLE DISEASES AND HEALTHCARE-ASSOCIATED INFECTIONSA. PERCENTAGE OF CHILDREN WITH 4:3:1:3:3:1:4 IMMUNIZATION SERIES AGED 19-35 MONTHSB. PERCENTAGE OF ADULTS WITH FLU IMMUNIZATION - AGED 65+ YEARSC. NEWLY DIAGNOSED HIV CASE RATE PER 100,000 POPULATIOND. DIFFERENCE IN RATES (BLACK AND WHITE) OF NEWLY DIAGNOSED HIV CASESE. GONORRHEA CASE RATE PER 100,000 WOMEN - AGED 15-44 YEARSF. GONORRHEA CASE RATE PER 100,000 MEN - AGED 15-44 YEARSG. CHLAMYDIA CASE RATE PER 100,000 WOMEN - AGED 15-44 YEARSH. PRIMARY AND SECONDARY SYPHILIS CASE RATE PER 100,000 MENI. PRIMARY AND SECONDARY SYPHILIS CASE RATE PER 100,000 WOMEN5. PROMOTING HEALTHY WOMEN, INFANTS, AND CHILDRENA. PERCENTAGE OF PRETERM BIRTHSB. MATERNAL MORTALITY RATE PER 100,000 LIVE BIRTHSC. PERCENTAGE OF CHILDREN WHO HAVE HAD THE RECOMMENDED NUMBER OF WELL CHILD VISITS IN GOVERNMENTSPONSORED INSURANCE PROGRAMSD. PERCENTAGE OF CHILDREN AGED 0-15 MONTHS WHO HAVE HAD THE RECOMMENDED NUMBER OF WELL CHILD VISITS INGOVERNMENT SPONSORED INSURANCE PROGRAMSE. PERCENTAGE OF CHILDREN AGED 3-6 YEARS WHO HAVE HAD THE RECOMMENDED NUMBER OF WELL CHILD VISITS INGOVERNMENT SPONSORED INSURANCE PROGRAMSF. PERCENTAGE OF CHILDREN AGED12-21 YEARS WHO HAVE HAD THE RECOMMENDED NUMBER OF WELL CHILD VISITS INGOVERNMENT SPONSORED INSURANCE PROGRAMSG. PERCENTAGE OF CHILDREN (AGED UNDER 19 YEARS) WITH HEALTH INSURANCEH. ADOLESCENT PREGNANCY: RATIO OF HISPANICS TO WHITE NON-HISPANICSI. PERCENTAGE OF UNINTENDED PREGNANCY AMONG LIVE BIRTHSJ. UNINTENDED PREGNANCY: RATIO OF HISPANICS TO WHITE NON-HISPANICSK. UNINTENDED PREGNANCY: RATIO OF MEDICAID BIRTHS TO NON-MEDICAID BIRTHSL. PERCENTAGE OF WOMEN (AGED 18-64) WITH HEALTH INSURANCE27 ONEIDA COUNTY HEALTH DEPARTMENT CHA/CSP 2019-2021M. PERCENTAGE OF LIVE BIRTHS THAT OCCUR WITHIN 24 MONTHS OF A PREVIOUS PREGNANCYN. ADOLESCENT PREGNANCY RATE PER 1,000 FEMALES - AGED 15-17 YEARSO. UNINTENDED PREGNANCY: RATIO OF BLACK NON-HISPANIC TO WHITE NON-HISPANICP. PERCENTAGE OF INFANTS EXCLUSIVELY BREASTFED IN THE HOSPITAL6. PROMOTE MENTAL HEALTH AND PREVENTING SUBSTANCE USEA. AGE-ADJUSTED PERCENTAGE OF ADULTS WITH POOR MENTAL HEALTH FOR 14 OR MORE DAYS IN THE LAST MONTHB. AGE-ADJUSTED PERCENTAGE OF ADULTS BINGE DRINKING DURING THE PAST MONTHTHE CHARTS PROVIDED ON THE ATTACHED CHNA, BEGINNING ON PAGE 31, GIVE MORE DETAILED TREND INFORMATION ON SELECTED MEASURES. |
| 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 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NABEEL EL-AMIR MD | ||||||||||||||
| PHYSICIAN | $1,042,431 | $0 | $10,481 | $0 | $2,322 | $0 | $7,217 | $0 | $19,538 | $0 | $1,081,989 | $0 | $0 | $0 |
| DARLENE STROMSTAD | ||||||||||||||
| PRESIDENT/CEO | $0 | $643,865 | $0 | $171,500 | $0 | $18,379 | $0 | $7,600 | $0 | $10,254 | $0 | $851,598 | $0 | $0 |
| SUSHMA KAUL MD | ||||||||||||||
| SEMC MED DIRECTOR/FSLH PHYSICIAN | $0 | $422,464 | $0 | $196,052 | $0 | $2,322 | $0 | $7,600 | $0 | $15,644 | $0 | $644,082 | $0 | $0 |
| LOUIS AIELLO | ||||||||||||||
| CFO | $406,347 | $0 | $70,568 | $0 | $28,328 | $0 | $13,300 | $0 | $15,809 | $0 | $534,352 | $0 | $0 | $0 |
| STEVEN LEVINE MD | ||||||||||||||
| PHYSICIAN | $477,450 | $0 | $0 | $0 | $3,564 | $0 | $9,500 | $0 | $13,358 | $0 | $503,872 | $0 | $0 | $0 |
| NABIN ADHIKARI MD | ||||||||||||||
| PHYSICIAN | $462,521 | $0 | $7,788 | $0 | $540 | $0 | $9,500 | $0 | $9,205 | $0 | $489,554 | $0 | $0 | $0 |
| ALEXANDROS KARAVAS MD | ||||||||||||||
| PHYSICIAN | $453,226 | $0 | $8,173 | $0 | $473 | $0 | $0 | $0 | $9,851 | $0 | $471,723 | $0 | $0 | $0 |
| GOUTHAN MALEMPATI MD | ||||||||||||||
| PHYSICIAN | $397,088 | $0 | $46,634 | $0 | $810 | $0 | $9,500 | $0 | $16,786 | $0 | $470,818 | $0 | $0 | $0 |
| KENT HALL MD | ||||||||||||||
| CMO (START 2/2020) | $0 | $388,442 | $0 | $0 | $0 | $41,996 | $0 | $0 | $0 | $14,201 | $0 | $444,639 | $0 | $0 |
| SCOTT PERRA | ||||||||||||||
| FORMER ADMINISTRATOR | $0 | $370,000 | $0 | $0 | $0 | $18,332 | $0 | $2,211 | $0 | $10,961 | $0 | $401,504 | $0 | $0 |
| MANSOOR SHAHID | ||||||||||||||
| COO | $0 | $314,467 | $0 | $0 | $0 | $42,105 | $0 | $0 | $0 | $15,280 | $0 | $371,852 | $0 | $0 |
| ERIC YOSS MD | ||||||||||||||
| INTERM CMO (THRU 2/2020) | $0 | $290,531 | $0 | $30,694 | $0 | $26,101 | $0 | $7,600 | $0 | $12,296 | $0 | $367,222 | $0 | $0 |
| LINDA MCCORMACK-MILLER | ||||||||||||||
| CNO | $0 | $261,283 | $0 | $0 | $0 | $4,920 | $0 | $7,175 | $0 | $8,880 | $0 | $282,258 | $0 | $0 |
| MICHAEL F TREVISANI MD | ||||||||||||||
| FORMER CMO (1/2019 - 6/2019) | $0 | $127,667 | $0 | $0 | $0 | $4,997 | $0 | $0 | $0 | $7,014 | $0 | $139,678 | $0 | $0 |
| MARIA GESUALDO MD | ||||||||||||||
| FORMER DIRECTOR | $0 | $62,858 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $62,858 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 6 | FormAndLineReferenceDesc |
| Explanation | AN INCENTIVE COMPENSATION PLAN EXISTS FOR THE EXECUTIVE STAFF. COMPENSATION IS BASED ON PERFORMANCE RELATIVE, IN PART, TO THE ORGANIZATION NET EARNINGS TARGETS, AS WELL AS, VARIOUS OTHER QUALITY RELATED PERFORMANCE TARGETS. THE INCENTIVES ARE ONLY PAID OUT UPON ACHIEVEMENT OF THESE SET TARGETS. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| ONEIDA COUNTY LOCAL DEVELOPMENT CORP | ||||||||
| A | 273190422 | NONEAVAIL | 2019-11-21 | $19,515,000 | REFINANCING OLD DEBT | 0 | 0 | Yes (1) |
| ONEIDA COUNTY LOCAL DEVELOPMENT CORP | ||||||||
| B | 273190422 | NONEAVAIL | 2019-11-21 | $6,395,000 | EPIC EMR SYSTEM IMPLEMENTATION | 0 | 0 | Yes (1) |
| ONEIDA COUNTY LOCAL DEVELOPMENT CORP | ||||||||
| C | 273190422 | NONEAVAIL | 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 | UnspentUnspentAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $22,023,739 | $21,215,525 | $299,774 | $497,062 | $11,378 | 2019 | 0 | 0 | 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 | 2021 | 0 | 0 | 0 | Yes (1) | $2,105,263 | $394,737 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | Yes (1) | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | Yes (1) | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| C | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K, PART II | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARIA GESUALDO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | FORMER BOARD DIRECTOR | RelationshipDescriptionTxt |
| Transaction | $62,858 | TransactionAmt |
| Transaction | QUALITY CARE CONSULTANT | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
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 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 | COMPENSATION POLICY THE BOARD OF DIRECTORS HAS ESTABLISHED AN EXECUTIVE COMPENSATION COMMITTEE THAT IS COMPOSED OF THE CHAIRPERSON AND AT LEAST FOUR (4) ADDITIONAL DIRECTORS RECOMMENDED BY THE CHAIRPERSON AND APPROVED BY THE BOARD. ALL MEMBERS OF THE EXECUTIVE COMPENSATION COMMITTEE SHALL BE "INDEPENDENT DIRECTORS" AS THAT TERM IS DEFINED IN SECTION 4958 OF THE INTERNAL REVENUE CODE AND SUPPORTING REGULATIONS. IN THE EVENT THAT THE CHAIRPERSON IS NOT AN "INDEPENDENT DIRECTOR", THE BOARD SHALL APPOINT ANOTHER INDEPENDENT DIRECTOR TO SERVE IN THE PLACE OF THE CHAIRPERSON. THE PRESIDENT/CEO MAY SERVE AS AN ADVISOR TO THE COMMITTEE AS LONG AS HE OR SHE IS EXCUSED WHEN THE COMMITTEE IS REVIEWING THE CEO'S COMPENSATION PACKAGE. THE EXECUTIVE COMPENSATION COMMITTEE IS APPOINTED TO DISCHARGE THE DUTY OF THE BOARD TO FULFILL ITS OVERSIGHT RESPONSIBILITY IN DETERMINING THE ADEQUACY AND REASONABLENESS OF THE COMPENSATION PAID TO THE PRESIDENT/CEO AND OTHER EMPLOYEES OR INDIVIDUALS THAT THE COMMITTEE BELIEVES ARE IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE CORPORATION, OR ITS AFFILIATES OR SUBSIDIARIES, ALL AS OUTLINED IN SECTION 4958 OF THE INTERNAL REVENUE CODE AND SUPPORTING REGULATIONS ("DISQUALIFIED PERSONS"). THE COMMITTEE: (1). ESTABLISHES, MONITORS, REVIEWS AND REVISES, AT LEAST ANNUALLY, PERFORMANCE GUIDELINES FOR THE CEO; (2). ASSISTS THE BOARD IN ASSESSING AND EVALUATING THE CEO'S PERFORMANCE; (3). REVIEWS AND RECOMMENDS TO THE FULL BOARD THE CEO'S COMPENSATION, INCLUDING SALARY, INCENTIVES, BENEFITS AND OTHER PREREQUISITES; (4). REGULARLY ESTABLISHES, REVIEWS AND MONITORS SUCCESSION PLANS (INCLUDING EMERGENCY SUCCESSION PLANS) FOR ALL KEY MANAGEMENT PERSONNEL; (5). AT LEAST ANNUALLY, REVIEWS EXECUTIVE COMPENSATION TO ENSURE THAT IT IS APPROPRIATE IN VIEW OF CORPORATION'S TAX-EXEMPT STATUS AND TAKES THE REQUIRED STEPS TO ESTABLISH A "REBUTTABLE PRESUMPTION OF REASONABLENESS" [UNDER I.R.C. SECTION 4958] OF THE EXECUTIVE COMPENSATION, WHICH MAY INCLUDE EVALUATING: A. THE COMPENSATION PAID BY SIMILAR ORGANIZATIONS, BOTH EXEMPT AND TAXABLE, FOR EQUIVALENT POSITIONS IN THE SAME OR SIMILAR COMMUNITY OR GEOGRAPHIC AREA; B. THE UNIQUENESS OF THE PERSON'S BACKGROUND, EDUCATION, TRAINING, EXPERIENCE, AND RESPONSIBILITIES; C. THE SIZE AND COMPLEXITY OF THE CORPORATION'S INCOME AND ASSETS AND THE NUMBER OF CORPORATIONS EMPLOYEES; D. CEO'S JOB PERFORMANCE; E. RELATIONSHIP OF THE CEO'S COMPENSATION TO THE COMPENSATION PAID TO CORPORATION'S OTHER EMPLOYEES; AND F. THE NUMBER OF HOURS THE CEO SPENDS PERFORMING HIS OR HER JOB. (6). REVIEW AND APPROVE THE COMPENSATION PACKAGE OF THE CHIEF OPERATING, MEDICAL, NURSING AND FINANCIAL OFFICERS, AS RECOMMENDED BY THE CEO. THE COMMITTEE IS PROVIDED SUCH RESOURCES AND AUTHORITY AS IT DEEMS APPROPRIATE TO DISCHARGE ITS DUTIES AND RESPONSIBILITIES, INCLUDING THE AUTHORITY TO DIRECTLY SELECT, ENGAGE AND SUPERVISE ANY CONSULTANT, ACCOUNTANT, LEGAL COUNSEL OR OTHER ADVISOR HIRED BY THE CORPORATION TO ADVISE THE COMMITTEE ON EXECUTIVE COMPENSATION AND RELATED MATTERS. IN CARRYING OUT ITS RESPONSIBILITIES, THE COMMITTEE MAY RELY UPON REASONED, WRITTEN OPINIONS OF CONSULTANTS AND/OR LEGAL COUNSEL. |
| 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 XI, LINE 9: | SEMC CHANGE IN FOUNDATION'S NET ASSETS 487,292. PENSION RELATED CHANGES OTHER OTHER THAN NET PERIODIC PENSION COST -4,784,901. OTHER COMPONENTS OF PERIODIC BENEFIT COST -3,778,348. OTHER CHANGES TO NET ASSETS -6,149. |
| FORM 990, PART XII, LINE 2C: | THERE HAS BEEN NO CHANGE IN THE PROCESS BY WHICH THE ORGANIZATION OVERSEES ITS AUDIT OR THE PROCESS BY WHICH THE ORGANIZATION SELECTS ITS INDEPENDENT ACCOUNTANT. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 0 | N/A | |
| PARTNERS IN FRANCISCAN MINISTRIES | |||||||||||
| 2500 GRANT BLVD | SYRACUSE | NY | 13208 | 452279986 | SPONSOR MINISTRIES | NY | 501 (C) (3) | LINE 12A, I | 0 | N/A | |
| VISITING NURSES ASSOCIATION OF UTICA AND ONEIDA COUNTY | |||||||||||
| 2608 GENESEE STREET | UTICA | NY | 13502 | 150532259 | HOME HEALTH NURSING | NY | 501 (C) (3) | LINE 10 | MOHAWK VALLEY HEALTH SYSTEM 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 | Yes (1) | |
| MOHAWK VALLEY HEALTH SYSTEM | |||||||||||
| PO BOX 4308 | UTICA | NY | 13504 | 223124162 | PROMOTE HEALTHCARE | NY | 501 (C) (3) | 3 | 0 | N/A | |
| 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 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHCARE UNDERWRITERS MUTUAL RISK MA NY (UNINCORPORATED) | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5687 MAIN STREET | AddressLine1Txt |
| City | WILLIAMSVILLE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14221 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161484203 | EIN |
| Primary Activities | SELF-INSURANCE GROUP | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | T | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (1) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | 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 | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |