MVHS INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: MVHS INC (EIN 16-1576637)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-11
IRS object ID: 202003169349302565
Schema version: 2019v5.1
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	2020-11-11T11:40:02-06:00	ReturnTs
Tax Period End	2019-12-31	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	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	161576637	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LOUIS AIELLO	PersonNm
Person Title	CFO/SR VP	PersonTitleTxt
Phone	3156246143	PhoneNum
Signature	2020-11-02	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ANGELA M FRANCO	PreparerPersonNm
PTIN	P00589741	PTIN
Phone	3154463600	PhoneNum
Preparation	2020-11-02	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	45.47.35.56	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-11-02	IPDt
IP Tm	11:32:48	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	285E53E6E6CFC2A705EC861480093698646C7815	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$311,225,603	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	MVHEALTHSYSTEM.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2000	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE FOR EXCELLENCE IN HEALTHCARE FOR OUR COMMUNITIES.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	3027	TotalEmployeeCnt
Total Volunteers	180	TotalVolunteersCnt
Total Gross UBI	-$138,331	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,457,954	PYContributionsGrantsAmt
CY Contributions Grants	$2,352,746	CYContributionsGrantsAmt
PY Program Service Revenue	$284,784,773	PYProgramServiceRevenueAmt
CY Program Service Revenue	$284,110,737	CYProgramServiceRevenueAmt
PY Investment Income	$2,170,787	PYInvestmentIncomeAmt
CY Investment Income	$2,261,755	CYInvestmentIncomeAmt
PY Other Revenue	$24,549,400	PYOtherRevenueAmt
CY Other Revenue	$20,783,786	CYOtherRevenueAmt
PY Total Revenue	$314,962,914	PYTotalRevenueAmt
CY Total Revenue	$309,509,024	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	$171,604,473	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$179,086,328	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$138,938,789	PYOtherExpensesAmt
CY Other Expenses	$137,561,231	CYOtherExpensesAmt
PY Total Expenses	$310,543,262	PYTotalExpensesAmt
CY Total Expenses	$316,647,559	CYTotalExpensesAmt
PY Revenues Less Expenses	$4,419,652	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$7,138,535	CYRevenuesLessExpensesAmt
Total Assets BOY	$251,051,992	TotalAssetsBOYAmt
Total Assets EOY	$267,971,086	TotalAssetsEOYAmt
Total Liabilities BOY	$106,984,632	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$115,415,664	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$144,067,360	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$152,555,422	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	FAXTON ST LUKES HEALTHCARE, INC.'S MISSION IS TO PROVIDE FOR EXCELLENCE IN HEALTHCARE FOR OUR COMMUNITIES. OUR VISION IS TO BE THE TRUSTED HEALTHCARE SYSTEM OF CHOICE THROUGH CLINICAL QUALITY, EXCELLENCE IN SERVICE AND EDUCATION, COMPASSIONATE CARE, PROMOTION OF WELLNESS AND OPERATIONAL EFFICIENCY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$90,319,999	ExpenseAmt
Revenue	$99,536,672	RevenueAmt
Desc	INPATIENT/ACUTE CARE SERVICES - FSLH IS A FULL SERVICE GENERAL HOSPTIAL WITH 320 LICENSED BEDS. THE HOSPTIAL PROVIDES A FULL RANGE OF ANCILLARY SERVICES, INCLUDING MATERNITY AND NEWBORN CARE SERVICES. DISBURSEMENTS MADE BY THE HOSPTIAL ARE EXCLUSIVELY FOR SERVICES AND MATERIALS USED IN PERFORMING THE HOSPITAL'S EXEMPT FUNCTIONS. FSLH PROVIDES CARE TO EVERYONE REGARDLESS OF RACE, RELIGION OR ABILITY TO PAY.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$78,240,901	ExpenseAmt
Revenue	$46,785,031	RevenueAmt
Desc	PRIMARY CARE SERVICES - THE MHVS PRIMARY CARE NETWORK ENCOMPASSES 13 LOCATIONS AND 68 PROVIDERS (PHYS/NP), WITH 105,874 PATIENT VISITS PER YEAR. IN ADDITION TO OUR PRIMARY CARE, WE OFFER THE SERVICES OF SPECIALTY PROVIDERS IN SURGERY, ORTHOPEDICS, NEUROSURGERY, PULMONARY AND VASCULAR SERVICES IN OUR COMMUNITY. FSLH 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	$40,331,027	ExpenseAmt
Revenue	$57,985,644	RevenueAmt
Desc	AMBULATORY OUTPATIENT SURGERY - FSLH HAS A FULL RANGE OF AMBULATORY SURGERY SERVICES ON ITS CAMPUS FOR PATIENTS THAT DO NOT REQUIRE OVERNIGHT OR LONG INPATIENT STAYS. FSLH PROVIDES SERVICES TO EVERYONE REGARDLESS OF RACE, RELIGION OR ABILITY TO PAY.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$69,301,092	ExpenseAmt
Revenue	$100,725,507	RevenueAmt
Desc	RENAL, CANCER CARE, RADIOLOGY, AUDIO/SPEECH/HEARING DIAGNOSTICS, REHABILITATION, DIABETES EDUCATION, STROKE CENTER, ORTHOPEDIC, GASTROENTEROLOGY, NEUROSURGERY, VASCULAR SURGERY, PULMONARY, NEURO INTERVENTIONAL, EMERGENCY/URGENT CARE, DENTAL, COMMUNITY EDUCATION (DIABETES, EMS, DRIVER TRAINING), PT, OT AND RESPIRATORY THERAPY.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$69,301,092	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$100,725,507	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$278,193,019	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	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	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	352	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3027	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	16	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (31 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
CHAIRMAN	1.50	3.50	Yes (X)	Yes (X)	$0	$0	$0
GREGORY EVANS
VICE CHAIRMAN	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
ALICIA DETRAGLIA MD
SECRETARY	1.00	2.50	Yes (X)	Yes (X)	$0	$0	$0
JOAN COMPSON
CHAIRMAN EMERITUS	1.00	2.50	Yes (X)		$0	$0	$0
NORMAN SIEGEL
CHAIRMAN EMERITUS	1.00	2.50	Yes (X)		$0	$0	$0
RICHARD TANTILLO
BOARD MEMBER	1.00	2.50	Yes (X)		$0	$0	$0
GREGORY B MCLEAN
BOARD MEMBER	1.00	2.50	Yes (X)		$0	$0	$0
LAUREN BULL
BOARD MEMBER	1.00	2.50	Yes (X)		$0	$0	$0
DOMENIC P AIELLO MD
BOARD MEMBER	1.00	2.50	Yes (X)		$0	$0	$0
BARBARA BRODOCK
BOARD MEMBER	1.00	3.50	Yes (X)		$0	$0	$0
CATHERINE COMINSKY
BOARD MEMBER	1.00	2.50	Yes (X)		$0	$0	$0
ANDREW KOWALCZYK III
BOARD MEMBER	1.00	2.50	Yes (X)		$0	$0	$0
SYMEON TSOUPELIS
BOARD MEMBER	1.00	2.50	Yes (X)		$0	$0	$0
KAREN LEACH
BOARD MEMBER	1.00	2.50	Yes (X)		$0	$0	$0
CATHERINE BROWNELL PHD
BOARD MEMBER	1.00	2.50	Yes (X)		$0	$0	$0
WALEED ALBERT MD
BOARD MEMBER/FSLH MEDICAL	1.00	2.50	Yes (X)		$40,004	$0	$0
SUSHMA KAUL MD
BOARD MEMBER/SEMC MEDICAL	1.00	2.50	Yes (X)		$743,930	$0	$26,844
DARLENE STROMSTAD
PRESIDENT/CEO	30.00	25.00		Yes (X)	$731,635	$0	$20,112
LOUIS AIELLO
SR VICE PRESIDENT/CFO	27.00	23.00		Yes (X)	$0	$474,560	$41,697
ROBERT SCHOLEFIELD RN MS
SR VICE PRESIDENT/COO	30.00	20.00			$0	$471,925	$33,780	Yes (X)
MICHAEL F TREVISANI MD
SR VICE PRESIDENT/CMO	30.00	20.00			$456,404	$0	$24,733	Yes (X)
ERIC YOSS MD
SR VICE PRESIDENT/CMO	30.00	20.00			$341,679	$0	$23,448	Yes (X)
LINDA MCCORMACK-MILLER
SR VICE PRESIDENT/CNO	30.00	20.00			$289,446	$0	$20,169	Yes (X)
CHRISTOPHER MAX MD
PHYSICIAN	50.00	0.00			$711,686	$0	$26,690		Yes (X)
GHASSAN KOUSSA MD
PHYSICIAN	50.00	0.00			$707,433	$0	$26,019		Yes (X)
ANDREW PELLECCHIA MD
PHYSICIAN	50.00	0.00			$606,930	$0	$27,464		Yes (X)
MARIO CARILLO MD
PHYSICIAN	50.00	0.00			$596,090	$0	$25,943		Yes (X)
ERIC PORRITT MD
PHYSICIAN	50.00	0.00			$579,078	$0	$16,230		Yes (X)
MARIA GESUALDO MD
BOARD MEMBER FORMER	0.00	0.00			$63,375	$0	$0			Yes (X)
SCOTT PERRA FACHE
PRESIDENT/CEO FORMER	0.00	0.00			$772,100	$0	$34,288			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,639,790	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$946,485	TotReportableCompRltdOrgAmt
Total Other Compensation	$347,417	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	284	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SUNSET ANESTHESIA ASSOCIATES
1676 SUNSET AVE	UTICA	NY	13502	ANESTHESIA SERVICES	$3,035,506
STAT STAFF PROFESSIONALS
18 DIVISION ST	SARATOGA SPRINGS	NY	12866	MEDICAL SERVICES	$2,825,252
SODEXO INC & AFFILIATES
525 WILLIAM PENN PLACE - PO BOX 360	PITTSBURGH	PA	152516170	NUTRITIONAL/ENVIRONMENTAL SERVICES	$2,504,656
DHP MANAGEMENT SERVICES INC
265 BROOKVIEW CENTRE WAY	KNOXVILLE	TN	37919	PHYSICIAN/MEDICAL SERVICES	$1,658,925
UNITED HEALTH SERVICES
10-42 MITCHELL AVE	BINGHAMTON	NY	13903	PHYSICIAN/MEDICAL SERVICES	$1,595,000

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	30	CntrctRcvdGreaterThan100KCnt
Related Organizations	$286,954	RelatedOrganizationsAmt
Government Grants	$1,997,690	GovernmentGrantsAmt
All Other Contributions	$68,102	AllOtherContributionsAmt
Total Contributions	$2,352,746	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ACUTE CARE	622200	$99,536,672	$99,536,672
AMBULATORY SURGERY	622200	$57,985,644	$57,985,644
PRIMARY CARE	622200	$46,785,031	$46,785,031
RENAL DIALYSIS	622200	$35,841,182	$35,841,182
CANCER CARE	622200	$17,046,644	$17,046,644

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$26,915,564	TotalRevenueColumnAmt
Related Or Exempt Func Income	$26,915,564	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$284,110,737	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,233,014	TotalRevenueColumnAmt
Exclusion	$3,233,014	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$582,463	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$720,794	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$138,331	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$138,331	TotalRevenueColumnAmt
Unrelated Business Revenue	-$138,331	UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$24,526	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$995,785	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$971,259	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$971,259	TotalRevenueColumnAmt
Exclusion	-$971,259	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
340B CONTRACT	900099	$11,594,856	$11,594,856
RETAIL PHARMACY	900099	$5,109,674	$5,109,674
MLMIC DISTRIBUTION	900099	$732,816	$732,816

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,484,771	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,484,771	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$20,922,117	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$309,509,024	TotalRevenueColumnAmt
Related Or Exempt Func Income	$305,032,854	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$138,331	UnrelatedBusinessRevenueAmt
Exclusion	$2,261,755	ExclusionAmt

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,866,676	TotalAmt
Program Services	$1,770,264	ProgramServicesAmt
Management And General	$1,096,412	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$150,084,326	TotalAmt
Program Services	$130,486,467	ProgramServicesAmt
Management And General	$19,597,859	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,616,853	TotalAmt
Program Services	$5,721,593	ProgramServicesAmt
Management And General	$895,260	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$8,843,493	TotalAmt
Program Services	$7,646,968	ProgramServicesAmt
Management And General	$1,196,525	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,674,980	TotalAmt
Program Services	$9,230,655	ProgramServicesAmt
Management And General	$1,444,325	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$404,380	TotalAmt
Program Services	$349,667	ProgramServicesAmt
Management And General	$54,713	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$361,848	TotalAmt
Management And General	$361,848	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$141,996	TotalAmt
Management And General	$141,996	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$43,711	TotalAmt
Management And General	$43,711	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$32,049,468	TotalAmt
Program Services	$27,713,175	ProgramServicesAmt
Management And General	$4,336,293	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$386,872	TotalAmt
Program Services	$334,528	ProgramServicesAmt
Management And General	$52,344	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,144,354	TotalAmt
Program Services	$989,523	ProgramServicesAmt
Management And General	$154,831	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,950,216	TotalAmt
Program Services	$4,280,452	ProgramServicesAmt
Management And General	$669,764	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,727,144	TotalAmt
Program Services	$5,788,558	ProgramServicesAmt
Management And General	$938,586	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$710,099	TotalAmt
Program Services	$614,023	ProgramServicesAmt
Management And General	$96,076	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,241,562	TotalAmt
Program Services	$1,073,579	ProgramServicesAmt
Management And General	$167,983	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$10,853,739	TotalAmt
Program Services	$5,904,360	ProgramServicesAmt
Management And General	$4,949,379	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,938,367	TotalAmt
Program Services	$2,540,806	ProgramServicesAmt
Management And General	$397,561	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$54,682,191	$54,682,191
BAD DEBT	$7,145,185	$7,145,185
SERVICE CONTRACTS	$4,837,377	$4,182,880	$654,497
NON MEDICAL SUPPLIES	$4,103,595	$3,548,379	$555,216

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,839,127	TotalAmt
Program Services	$4,189,766	ProgramServicesAmt
Management And General	$649,361	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$316,647,559	TotalAmt
Program Services	$278,193,019	ProgramServicesAmt
Management And General	$38,454,540	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,223,490	BOYAmt
EOY	$123,476	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,044,176	BOYAmt
EOY	$1,255,486	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$602,928	BOYAmt
EOY	$1,757,298	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$37,676,435	BOYAmt
EOY	$37,191,843	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,513,672	BOYAmt
EOY	$7,094,189	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,751,059	BOYAmt
EOY	$2,028,196	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$298,387,981	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$225,788,159	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$67,542,143	BOYAmt
EOY	$72,599,822	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$88,661,005	BOYAmt
EOY	$106,865,161	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$4,939,064	BOYAmt
EOY	$4,742,706	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$998,854	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$36,098,020	BOYAmt
EOY	$33,314,055	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$251,051,992	BOYAmt
EOY	$267,971,086	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$32,264,600	BOYAmt
EOY	$34,917,261	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,120,000	BOYAmt
EOY	$26,374,915	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$4,571,855	BOYAmt
EOY	$1,927,489	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$65,028,177	BOYAmt
EOY	$53,104,744	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$106,984,632	BOYAmt
EOY	$115,415,664	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	$136,428,230	BOYAmt
EOY	$144,647,394	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,529,130	BOYAmt
EOY	$7,908,028	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$144,067,360	BOYAmt
EOY	$152,555,422	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$251,051,992	BOYAmt
EOY	$267,971,086	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$7,138,535	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$15,527,742	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$98,855	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

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	$43,711	OtherActivitiesAmt
Total Lobbying Expenditures	$43,711	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,919,101	BeginningYearBalanceAmt
Investment Earnings Or Losses	$929,603	InvestmentEarningsOrLossesAmt
End Year Balance	$9,848,704	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,535,658	BeginningYearBalanceAmt
Contributions	$1,647,171	ContributionsAmt
Investment Earnings Or Losses	$490,359	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,416,400	OtherExpendituresAmt
End Year Balance	$9,256,788	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,831,087	BeginningYearBalanceAmt
Contributions	$1,654,343	ContributionsAmt
Investment Earnings Or Losses	$133,577	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,083,349	OtherExpendituresAmt
End Year Balance	$8,535,658	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,810,474	BeginningYearBalanceAmt
Investment Earnings Or Losses	$304,481	InvestmentEarningsOrLossesAmt
Other Expenditures	$283,868	OtherExpendituresAmt
End Year Balance	$8,831,087	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.12800	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.45980	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.41220	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$123,684,013	OtherCostOrOtherBasisAmt
Depreciation	$98,470,118	DepreciationAmt
Book Value	$25,213,895	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,600,064	OtherCostOrOtherBasisAmt
Depreciation	$3,979,564	DepreciationAmt
Book Value	$620,500	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$162,135,119	OtherCostOrOtherBasisAmt
Depreciation	$119,536,588	DepreciationAmt
Book Value	$42,598,531	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,572,249	OtherCostOrOtherBasisAmt
Depreciation	$3,801,889	DepreciationAmt
Book Value	$1,770,360	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$72,599,822	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
COMMON STOCK INVESTMENT	$3,029,781	F
CORPORATE OBLIGATIONS	$24,060,137	F
MUTUAL FUNDS INVESTMENT	$79,775,243	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$106,865,161	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
OTHER ASSETS	$7,490,388
DUE FROM AFFILIATES	$3,549,626
WC INSURANCE RECEIVABLE LT, NET	$5,115,880
G&P INSURANCE RECEIVABLE LT, NET	$17,158,161

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$33,314,055	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
CAPITAL LEASE OBLIGATIONS	$7,077,123
WC INSURANCE PAYABLE ST/LT	$5,115,880
G&P INSURANCE PAYABLE ST/LT	$17,927,161
ESTIMATED SELF INSURED LIABILITIES	$9,948,220
OTHER LIABILITIES	$2,455,436
ESLB	$9,931,684
DUE TO AFFILIATES	$649,240

Field	Value	IRS element (for citing)
Total Liability	$53,104,744	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$318,612,375	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$15,527,742	NetUnrealizedGainsInvstAmt
Other Revenue	$720,794	OtherRevenueAmt
Revenue Not Reported	$16,248,536	RevenueNotReportedAmt
Revenue Subtotal	$302,363,839	RevenueSubtotalAmt
Other Revenues Not Included	$7,145,185	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$7,145,185	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$309,509,024	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$310,223,168	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$720,794	OtherExpensesIncludedAmt
Expenses Not Reported	$720,794	ExpensesNotReportedAmt
Expenses Subtotal	$309,502,374	ExpensesSubtotalAmt
Other Expenses Not Included	$7,145,185	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$7,145,185	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$316,647,559	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	PERMANENT ENDOWMENT FUNDS ARE TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS TO BE USED TO SUPPORT CHARITY CARE, HEALTH CARE SERVICES, SCHOLARSHIPS AND FACILITY MAINTENANCE. TEMPORARY ENDOWMENT FUNDS ARE DONOR CONTRIBUTIONS RESTRICTED BY THE DONORS FOR SPECIFIC PURPOSES.
PART X, LINE 2:	HEALTHCARE IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501C(3) OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31, 2019 AND 2018, HEALTHCARE DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2016-2019. HEALTHCARE DOES NOT ANTICIPATE THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 720,794.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT 7,145,185.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 720,794.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT 7,145,185.

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,712,231	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$371,359	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,340,872	NetCommunityBenefitExpnsAmt
Total Expense	0.00760	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$60,452,661	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,991,760	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,460,901	NetCommunityBenefitExpnsAmt
Total Expense	0.07260	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$63,164,892	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,363,119	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,801,773	NetCommunityBenefitExpnsAmt
Total Expense	0.08020	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,184,281	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,184,281	NetCommunityBenefitExpnsAmt
Total Expense	0.00380	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,178,052	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$786,096	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$391,956	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,457,854	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,070,452	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,387,402	NetCommunityBenefitExpnsAmt
Total Expense	0.01090	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$76,708	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,425	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$74,283	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

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

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,896,895	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,858,973	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,037,922	NetCommunityBenefitExpnsAmt
Total Expense	0.01620	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$82,061,787	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$52,222,092	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,839,695	NetCommunityBenefitExpnsAmt
Total Expense	0.09640	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$2,278,243	BadDebtExpenseAmt
Bad Debt Expense Attributable	$837,753	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$124,246,932	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$179,133,637	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$54,886,705	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	2 MOHAWK VALLEY ENDOSCOPY CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	ENDOSCOPY SERVICES	PrimaryActivitiesTxt
Org Profit Or Ownership	0.20000	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.00000	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.60000	PhysiciansProfitOrOwnershipPct

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	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
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.MVHEALTHSYSTEM.ORG/FINANCIAL-ASSISTANCE-PROGRAM	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.MVHEALTHSYSTEM.ORG/FINANCIAL-ASSISTANCE-PROGRAM	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.MVHEALTHSYSTEM.ORG/FINANCIAL-ASSISTANCE-PROGRAM	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FAXTON ST LUKES HEALTHCARE, INC.	PART V, SECTION B, LINE 5: 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.
FAXTON ST LUKES HEALTHCARE, INC.	PART V, SECTION B, LINE 6A: OTHER REPRESENTATIVES INCLUDED FSLH, SEMC, ROME MEMORIAL HOSPITAL.
FAXTON ST LUKES HEALTHCARE, INC.	PART V, SECTION B, LINE 6B: PARTNERS INCLUDE THE ONEIDA COUNTY HEALTH COALITION STEERING COMMITTEE AND THE TWO PREVENTION AGENDA PRIORITY AREA WORK GROUPS THAT FOCUS ON TOBACCO USE CESSATION AND BREASTFEEDING. THE COALITION CONSISTS OF COMMUNITY PARTNERS INCLUDING HOSPITALS, OCHD AND COMMUNITY ORGANIZATIONS. THE STEERING COMMITTEE ASSISTED BY REAFFIRMING OUR PRIORITY AREAS AND WILL SERVE AS AN ONGOING RESOURCE FOR IMPLEMENTATION EFFORTS. OUR PRIORITY AREA WORK GROUPS INCLUDE MEMBERS FROM ONEIDA COUNTY HOSPITALS, OCHD AND COMMUNITY ORGANIZATION STAFF MEMBERS WHO HAVE A FOCUS ON THE PRIORITY AREA.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.
FAXTON ST LUKES HEALTHCARE, INC.	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	29	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (29 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - MVHS ORTHOPEDIC GROUP
1903 SUNSET AVE	UTICA	NY	13502	PHYSICIAN OFFICE
2 - MVHS SURGICAL GROUP
1656 CHAMPLIN AVE PROF OFFICE BLDNG	UTICA	NY	13502	PHYSICIAN OFFICE
3 - WOMEN'S MEDICAL IMAGING CENTER
106 BUSINESS PARK DRIVE	UTICA	NY	13502	RADIOLOGY SERVICES
4 - MVHS MOHAWK VALLEY MEDICAL GROUP
201 EAST STATE STREET	HERKIMER	NY	13350	PHYSICIAN OFFICE
5 - HERKIMER DIALYSIS CENTER
201 EAST STATE STREET	HERKIMER	NY	13350	DIALYSIS SITE
6 - ONEIDA DIALYSIS CENTER
221 BROAD STREET	ONEIDA	NY	13421	DIALYSIS SITE
7 - DENTAL HEALTH CENTER
1714 BURRSTONE ROAD	NEW HARTFORD	NY	13413	DENTAL CLINIC
8 - MVHS NEW HARTFORD MEDICAL GROUP
8411 SENECA TURNPIKE	NEW HARTFORD	NY	13413	PHYSICIAN OFFICE
9 - MVHS WASHINGTON MILLS MEDICAL GROUP
3946 ONEIDA STREET	NEW HARTFORD	NY	13413	PHYSICIAN OFFICE
10 - MASONIC CARE COMMUNITY DIALYSIS
2150 BLEEKER STREET	UTICA	NY	13501	DIALYSIS SITE
11 - ROME DIALYSIS CENTER
91 PERIMETER ROAD SUITE 140	ROME	NY	13440	DIALYSIS SITE
12 - MVHS BARNEVELD MEDICAL GROUP
7980 STATE RT 12	BARNEVELD	NY	13304	PHYSICIAN OFFICE
13 - MVHS WHITESBORO MEDICAL GROUP
37 MAIN STREET	WHITESBORO	NY	13492	PHYSICIAN OFFICE
14 - MVHS BOONVILLE MEDICAL GROUP
13460 STATE ROUTE 12	BOONVILLE	NY	13304	PHYSICIAN OFFICE
15 - MVHS NORTH UTICA MEDICAL GROUP
35 RIVERSIDE DRIVE	UTICA	NY	13502	PHYSICIAN OFFICE
16 - HAMILTON DIALYSIS CENTER
10 EATON STREET	HAMILTON	NY	13346	DIALYSIS SITE
17 - MVHS WATERVILLE MEDICAL GROUP
MADISON ST BUS PARK 358 MADISON AVE	WATERVILLE	NY	13480	PHYSICIAN OFFICE
18 - MVHS NEUROSURGERY GROUP
1656 CHAMPLIN AVE PROF OFFICE BLDNG	UTICA	NY	13502	PHYSICIAN OFFICE
19 - CENTER FOR REHABCONTINUING CARE SRVCS
1650 CHAMPLIN AVE	UTICA	NY	13502	INTENSIVE REHAB UNIT/CONTINUING CARE SERVC CTR
20 - MVHS CLINTON MEDICAL GROUP
101 COLLEGE STREET	CLINTON	NY	13323	PHYSICIAN OFFICE
21 - MVHS SAUQUOIT MEDICAL GROUP
2888 ONEIDA STREET	SAUQUOIT	NY	13456	PHYSICIAN OFFICE
22 - MVHS GI OFFICE
1656 CHAMPLIN AVE PROF OFFICE BLDNG	UTICA	NY	13502	PHYSICIAN OFFICE
23 - MVHS VASCULAR SURGERY GROUP
1675 BENNETT STREET	UTICA	NY	13502	PHYSICIAN OFFICE
24 - NEUROPSYCHOLOGYNEURO SCIENCE GROUP
8411 SENECA TURNPIKE	NEW HARTFORD	NY	13413	PHYSICIAN OFFICE
25 - WATERVILLE COMMUNITY MEDICINE
117 W MAIN STREET	WATERVILLE	NY	13480	PHYSICIAN OFFICE
26 - MVHS PULMONARY MEDICINECRITICAL CARE
35 RIVERSIDE DRIVE	UTICA	NY	13502	PHYSICIAN OFFICE
27 - MVHS UROLOGY GROUP
1676 SUNSET AVENUE	UTICA	NY	13502	PHYSICIAN OFFICE
28 - ONEIDA MEDICAL GROUP
131 MAIN STREET	ONEIDA	NY	13421	PHYSICIAN OFFICE
29 - ROME MEDICAL GROUP
1617 NORTH JAMES STREET	ROME	NY	13440	PHYSICIAN OFFICE

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	THE PATIENTS COST-TO-CHARGE RATIO WAS COMPUTED USING ALL CHARGES AND EXPENSES LESS NON-ALLOWABLE. THE COST TO CHARGE RATIO WAS USED TO COMPUTE COST. COST-TO-CHARGE WAS DERIVED BY DIVIDING TOTAL CHARGES FROM THE FINANCIAL STATEMENTS INTO TOTAL COST FROM THE FINANCIAL STATEMENTS, LESS NON-PATIENT COSTS.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 7,145,187.
PART II, COMMUNITY BUILDING ACTIVITIES:	#2ECONOMIC DEVELOPMENT:SCHOOL AND BUSINESS ALLIANCE SUMMER YOUTH EMPLOYMENT PROGRAM (SABA)-STUDENTS WERE ASSIGNED TO WORK THROUGHOUT THE ORGANIZATION FOR FIVE WEEKS BEING MENTORED BY ON-SITE SABA CAREER SPECIALISTS AND FSLH PROFESSIONALS IN THEIR ASSIGNED FIELD. THE PURPOSE IS TO BUILD STUDENTS' AWARENESS OF THE JOB OPPORTUNITIES IN HEALTHCARE, INCREASE PURSUIT OF A CAREER IN THE FIELD AND ESTABLISH PRE-EMPLOYMENT SKILLS APPLICABLE TO ANY BUSINESS ORGANIZATION. SABA ASSISTS STUDENTS IN TRANSITIONS FROM SCHOOL TO CAREERS AND SUPPORTS DEVELOPMENT OF A QUALIFIED WORKFORCE IN THE MOHAWK VALLEY. #3 COMMUNITY SUPPORT : A)DURING THE SPONSORSHIP FOR THE BOILERMAKER EXPO AND ROAD RACE, THE FOLLOWING STATIONS/SERVICES WERE PROVIDED: BLOOD PRESSURE AND DIABETES SCREENING; BODY FAT ANALYSIS AND CALORIE ASSESSMENT; HEART RISK EDUCATION EVALUATIONS. THREE FSLH EMS EMPLOYEES ARE ON THE BOILERMAKER SAFETY COMMITTEE AND ATTEND MONTHLY MEETINGS. B)DIABETES SUPPORT GROUP IS A FREE SUPPORT GROUP FOR ANY PERSON WITH DIABETES OR PRE-DIABETES WHO IS INTERESTED IN SPEAKING WITH OTHERS WHO ARE LIVING SIMILAR LIFESTYLES AND DEALING WITH THE DAILY IMPACT OF DIABETES MANAGEMENT. C)MONTHLY STROKE SUPPORT GROUP FOR PATIENTS AND FAMILIES. D)COMMUNITY MEMBERS AND BREAST CANCER SURVIVORS GATHERED TOGETHER IN OCTOBER 2019, TO FORM A HUMAN PINK RIBBON TO PROMOTE BREAST CANCER AWARENESS MONTH AT F.T. PROCTOR PARK IN UTICA. A BRIEF CEREMONY WAS HELD TO HONOR BREAST CANCER SURVIVORS AND ATTENDEES, DRESSED IN PINK, CREATED A HUMAN PINK RIBBON. THIS EVENT WAS SPONSORED BY THE MOHAWK VALLEY HEALTH SYSTEM CANCER CENTER, ONEIDA COUNTY HEALTH DEPARTMENT CANCER SERVICES PROGRAM UNDER THE LEADERSHIP OF COUNTY EXECUTIVE ANTHONY J. PICENTE, JR., UTICA MAYOR ROBERT PALMIERI, THE AFTER BREAST CANCER (ABC) SUPPORT GROUP AND THE AMERICAN CANCER SOCIETY. E) THE ABC SUPPORT GROUP WAS CREATED BY WOMEN WHO HAVE HAD BREAST CANCER. THE GROUP IS DEDICATED TO PROVIDING EDUCATION, INFORMATION AND EMOTIONAL SUPPORT TO WOMEN AND MEN WHO ARE FACING BIOPSY, SURGERY OR RECOVERY FROM BREAST CANCER. PEOPLE FROM THE COMMUNITY ATTENDED NONE MEETINGS HELD THROUGHOUT THE YEAR, ON THE FSLH CAMPUS. F) THE CANCER SUPPORT GROUP FORUM, LED BY THE CANCER CENTER'S SOCIAL WORKER, OFFERS SUPPORT TO ANYONE WHO HAS RECEIVED A CANCER DIAGNOSIS. MEETINGS COVER A WIDE VARIETY OF ISSUES INCLUDING: HOW TO TALK WITH CHILDREN ABOUT MOM OR DAD HAVING CANCER, FINANCIAL CONCERNS, PHYSICAL ISSUES, INTIMACY ISSUES AND NUTRITION DURING TREATMENTS, PLUS MANY MORE. THE FORUM PROVIDES A COMFORTABLE ATMOSPHERE FOR PATIENTS AND CANCER SURVIVORS TO COME TOGETHER AND SHARE USEFUL INFORMATION. G) CANCER SURVIVORS DAY IS AN EVENT SPONSORED BY THE MVHS CANCER CENTER HONORING CANCER SURVIVORS AND FAMILIES. A BREAKFAST, RAFFLES AND OTHER ACTIVITIES ARE PROVIDED FOR THOSE WHO ATTEND. H) CAREGIVER BURNOUT GROUP IS A SUPPORT GROUP TO HELP COPE WITH THE DIFFICULTIES IN TAKING CARE OF OTHERS. I)RELAY FOR LIFE IS AN EVENT CONSISTING OF NUMEROUS FUNDRAISERS FOR AMERICAN CANCER SOCIETY'S SPONSORSHIP AND SUPPORT. J) CAR SEAT INSPECTION - THE FSLH SECURITY TEAM WORKED WITH THE NEW HARTFORD TOWN POLICE AND A NYS GRANT TO INSPECT CAR SEATS TO MAKE SURE THEY WERE PROPERLY INSTALLED IN VEHICLES. IF A CAR SEAT WAS FOUND TO BE UNSAFE, A NEW CAR SEAT WAS PROVIDED AND PROPERLY INSTALLED FREE OF CHARGE. #5 LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY: A) MEDICAMP- MVHS HOSTED A TWO-DAY MEDICAL CAMP AT EACH ORGANIZATION FOR TEENS AGES 15 THROUGH 18 TO DEMONSTRATE HOW A HOSPITAL OPERATES AND PROVIDES THEM WITH THE OPPORTUNITY TO EXPLORE DIFFERENT DEPARTMENTS FOR POTENTIAL CAREER ENDEAVORS. B)ONEIDA COUNTY WORKFORCE DEVELOPMENT INTERNSHIP PROGRAM: FUNDING OF COLLEGE INTERNSHIP PROGRAM IN COOPERATION WITH ONEIDA COUNTY . #6 COALITION BUILDING: FSLH WORKS WITH MULTIPLE AGENCIES, TO SUPPORT COMMUNITY HEALTH EXPOS IN THE FORM OF FINANCIAL/EDUCATIONAL/FREE HEALTH SCREENINGS: A) AMERICA'S GREATEST HEART RUN & WALK FOR THE AMERICAN HEART ASSOCIATION WITH HEART WEEKEND, WHICH INCLUDES THE HEALTH & FITNESS EXPO. B) GREATER UTICA CHAMBER EXPO IS AN ANNUAL EVENT SHOWCASING LOCAL BUSINESSES IN ONE LOCATION. C) HEALTH FRIENDS IS A PROGRAM SPONSORSHIP TO PROVIDE FINANCIAL RESOURCES FOR RX ASSISTANCE TO UN- OR UNDER-INSURED PEOPLE. #7 COMMUNITY HEALTH IMPROVEMENT ADVOCACY: A) THE CHRONIC KIDNEY DISEASE EDUCATION PROGRAM ALLOWS FOR PATIENTS TO LEARN MORE ABOUT KIDNEY DISEASE, WAYS TO SLOW THE LOSS OF KIDNEY FUNCTION, AND HOW MEDICATIONS, DIET AND LIFESTYLE CAN AFFECT THE PROGRESSION OF THE DISEASE. PATIENTS HAVE THE OPPORTUNITY TO MEET WITH DIETICIANS, SOCIAL WORKERS AND NURSES WHO SPECIALIZE IN RENAL (KIDNEY) CARE. FAMILY MEMBERS, FRIENDS AND CAREGIVERS ARE INVITED TO ATTEND THE PROGRAM AS WELL. B) CAMPAIGN FOR QUALITY IS A PROGRAM HELD AT HAMILTON COLLEGE IN CLINTON, FEATURING NATIONAL AND LOCAL EXPERTS WHO PRESENT ON CURRENT TRENDS IN HEALTHCARE, PATIENT EXPERIENCES, POPULATION HEALTH TOPICS AND PATIENT SAFETY INITIATIVES. C)THE BALANCE CENTER AT MVHS OFFERS FREE BALANCE SCREENINGS TO HELP COMMUNITY MEMBERS WITH QUESTIONS OR SYMPTOMS RELATED TO BALANCE, VERTIGO AND INNER EAR DISORDERS. THE SCREENING EVALUATES PATIENTS FOR SPECIFIC BALANCE CONCERNS, RISK FOR FALLS AND SYMPTOMS OF VERTIGO TO DETERMINE IF THEY WILL BENEFIT FROM FORMAL TESTING AND THERAPY. D) A WOMEN'S HEALTH OPEN HOUSE IS HOSTED, ANNUALLY, TO INFORM THE COMMUNITY ABOUT SERVICES MVHS OFFERS TO WOMEN IN OUR COMMUNITY. E) MVHS IS A PRESENCE AT ALL LOCAL HEALTH FAIRS PERFORMING SCREENINGS (DIABETES, HEART, STROKE, BALANCE, ETC) AND PROVIDING EDUCATION AND INFORMATION ; IE. SENIOR CENTER, LOCAL EMPLOYERS, COMMUNITY EVENTS, ETC. F) MOHAWK VALLEY HEALTH SYSTEM (MVHS) OFFERS THE HOUSEHOLD SHARPS DISPOSAL PROGRAM FOR COMMUNITY MEMBERS TO PROPERLY DISPOSE OF THEIR MEDICAL WASTE. ITEMS SUCH AS SYRINGES AND LANCETS MAY BE DROPPED OFF ANY DAY OF THE WEEK FROM 7AM TO 3PM AT THE FSLH ENERGY CENTER LOCATED ON THE ST. LUKE'S CAMPUS OR AT THE CENTER FOR REHABILITATION AND CONTINUING CARE SERVICES (CRCCS) ALSO ON THE ST. LUKE'S CAMPUS. ONLY ITEMS FROM PRIVATE RESIDENCES IN CLEARLY MARKED "SHARPS" PUNCTURE-PROOF CONTAINERS WILL BE ACCEPTED. G) PODIATRY PROGRAM HELD 4 TIMES A YEAR, FOR PEOPLE WITH DIABETES WHO ARE AT HIGH RISK FOR CIRCULATION PROBLEMS THAT COULD LEAD TO LOSS OF SENSATION AND POOR HEALING IN THEIR FEET. PROPER SKIN AND FOOT CARE IS ESSENTIAL. THIS IS AN INFORMATIONAL SESSION AND FREE FOOT EXAM PROVIDED BY AREA PODIATRISTS. H) CHILDBIRTH CLASSES - FREE 5-WEEK SERIES OF CLASSES IN CHILDBIRTH AND INFANT CARE TAUGHT BY AN EXPERIENCED LABOR AND DELIVERY REGISTERED NURSE. I) FSLH OFFERS FREE MONTHLY BREASTFEEDING CLASSES FOR EXPECTANT PARENTS WHO HAVE CHOSEN OR ARE CONSIDERING BREASTFEEDING. J) DIABETES EDUCATION CLASSES ARE HELD THROUGHOUT THE YEAR TO PROVIDE INFORMATION TO THOSE WITH DIABETES ABOUT HOW TO SUCCESSFULLY MANAGE THEIR DISEASE. K) THE FSLH DIABETES EDUCATION DEPARTMENT OFFERS A GROCERY TOUR ON A QUARTERLY BASIS FOR EVERY DAY PEOPLE WITH DIABETES TO LEARN HOW TO MAKE NUTRITIONAL CHOICES THAT IMPACT OVERALL HEALTH AND BLOOD SUGAR. THIS FREE CLASS TEACHES PARTICIPANTS HOW TO IMPROVE THEIR DAILY CHOICES WITH BETTER NUTRITION BY GROCERY SHOPPING WITH A CERTIFIED DIABETES EDUCATOR AND NUTRITIONALIST. L) NATIONAL DIABETES MONTH OFFERED EDUCATION AND RECIPE TASTING TO ANYONE IN THE COMMUNITY WHO IS INTERESTED IN ATTENDING. M)NATIONAL DIABETES PREVENTION PROGRAM FOCUSES ON TREATING THOSE WITH PRE-DIABETES TO PREVENT TYPE 2 DIABETES. N) BLOOD DRIVES ARE HOSTED TO COLLECT BLOOD FROM THOSE WHO ARE ELIGIBLE AND WILLING TO DONATE. THE FLSH BLOOD BANK WORKS IN ASSOCIATION WITH THE AMERICAN RED CROSS TO HOST THE BLOOD DRIVES. FOR EVERY UNIT OF BLOOD COLLECTED, UP TO THREE PEOPLE BENEFIT FROM THE DONATION. O)IN AN EFFORT TO PROMOTE THE EARLY DETECTION OR POTENTIAL FOR HEARING LOSS, THE AUDIOLOGY DEPARTMENT PROVIDES FREE HEARING AND SPEECH SCREENINGS TO THE COMMUNITY AS REQUESTED. P)OUR EMS EDUCATION DEPARTMENT OFFERS FREE PROGRAMS FOR COMMUNITY TRAINING IN AHA CPR, EMS CRITICAL STRESS TEAMS AND OPIATE OVERDOSE, WHILE ALSO PARTICIPATING IN REGIONAL EMS COUNCIL MEETINGS ON A REGULAR BASIS.
PART III, LINE 2:	BAD DEBT FOR SCHEDULE H REPORTING IS DETERMINED BY TAKING THE ACTUAL BAD DEBT EXPENSE REPORTED FOR THE YEAR ON THE HOSPITAL AUDITED FINANCIAL STATMENTS, LESS ANY BAD DEBT RECOVERIES RECEIVED DURING THE YEAR FROM THE AUDITED FINANCIAL STATEMENTS. THEN, ADJUSTING THAT AMOUNT TO COST BASED ON THE HOSPITAL'S CURRENT YEAR MEDICARE COST REPORT DERIVED COST TO CHARGE RATIO. THIS AMOUNT UNDERSTATES BAD DEBT SOMEWHAT BECAUSE A LARGE PORTION OF BAD DEBT IS THE RESULT OF UNPAID DEDUCTIBLE AND CONINSURANCE BALANCES. THOSE BALANCES ARE NO LONGER RECORDED AT FULL CHARGES BECAUSE CONTRACTUAL ADJUSTMENTS HAVE ALREADY REDUCED CHARGES TO AN EXPECTED REIMBURSEMENT AMOUNT; HENCE, REDUCING BY A COST-TO-CHARGE RATIO, REDUCES AN ALREADY DISCOUNTED CHARGE. WE REPORT THIS WAY BECAUSE BAD DEBT IS REPORTED IN MUTLIPLE STATE AND FEDERAL REQUIRED REPORTS, RETURNS AND DISCLOSURE STATEMENTS. IN ORDER TO BE CONSISTENT WE ARE REPORTING USING THE COSERVATIVE METHOD WHICH IS REQUIRED FOR HOSPTIAL MEDICARE COST REPORT REPORTING.
PART III, LINE 3:	MANY PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE ASSISTANCE ARE UNWILLING TO APPLY FOR IT. THE HOSPITAL BUSINESS OFFICE OFFERS OUR CHARITY CARE PACKAGE TO ALL PATIENTS. IN 2015, THE CHARITY CARE PROGRAM WAS EXPANDED DUE TO THE IMPLEMENTATION OF THE 340B PROGRAM. MANY PATIENTS WILL AGREE TO HAVE THE CHARITY CARE REQUEST FORMS SENT TO THEM BUT NEVER RETURN THEM. MANY PATIENTS SAY THEY CANNOT PAY BUT ARE UNWILLING TO COMPLETE ANY FORMS. THE HOSPITAL BUSINESS OFFICE, COLLECTIONS STAFF, HAVE FORMED A PERCENTAGE ESTIMATE BASED ON THE NUMBER OF CASES OF PATIENTS WHO RECEIVE CHARITY CARE FORMS AND DON'T COMPLETE THEM PLUS THE NUMBER OF PATIENTS WHO STATE THEY CANNOT PAY BUT ARE UNWILLING TO REQUEST ASSISTANCE. THIS RECORDED BAD DEBT EXPENSE WOULD BE RECORDED AS CHARITY CARE IF PATIENT'S WERE WILLING TO COMPLY WITH MINIMAL APPLICATION REQUIREMENTS. THE NATURE OF THE PRESENTATION ON HOSPITAL FIANANCIAL STATEMENTS DOES NOT DETERMINE THE COMMUNITY BENEFIT BUT RATHER THE NATURE OF THE REASON FOR THE EXPENSE. THIS IS CHARITY CARE.
PART III, LINE 4:	FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, HEALTHCARE RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF HEALTHCARES UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, HEALTHCARE RECORDS A PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY A RESERVE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, HEALTHCARE ANALYZES PAST PAYMENT HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE RESERVE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH PATIENTS WHO HAVE THIRD PARTY COVERAGE, HEALTHCARE ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES A RESERVE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), HEALTHCARE RECORDS A RESERVE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICES BASED ON ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE, OR UNWILLING, TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED)AND THE AMOUNT ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 8:	ALL OF THIS IS COMMUNITY BENEFIT; THE HOSPTIAL IS RECEIVING LESS THAN COST ON COMMUNITY MEDICARE RECIPIENTS, THUS A COMMUNITY BENEFIT TO THESE PATIENTS. THE PATIENTS COST-TO-CHARGE RATIO WAS COMPUTED USING ALL CHARGES AND EXPENSES LESS NON-ALLOWABLE. THE COST-TO-CHARGE RATIO WAS USED TO COMPUTE COST. COST-TO-CHARGE WAS DERIVED, USING THE FINANCIAL STATEMENTS, BY DIVIDING TOTAL CHARGES INTO TOTAL COSTS LESS NON-PATIENT COSTS.
PART III, LINE 9B:	THE HOSPITAL FAP POLICY PLACES ALL ACCOUNTS, FOR COLLECTION EFFORTS, ON HOLD FROM THE DATE OF APPLICATION UNTIL A DETERMINATION HAS BEEN MADE FOR FINANCIAL ASSISTANCE ELIGIBILITY. THE APPLICATION IS REVIEWED BY THE HOSPTIAL WITHIN THIRTY DAYS OF RECEIPT OF THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTAION. THE PATIENT OR GUARANTOR WILL BE NOTIFIFED OF THE DETERMINATION. IF DENIED, THE APPLICANT IS PROVIDED DIRECTIONS FOR AN APPEAL WITHIN THIRTY DAYS OF THE DENTIAL. IF THE APPEAL IS THEN DENIED, THE PATIENT WILL BE NOTIFIED OF THE REASON AND THE STATEMENT CYCLE WILL BEGIN. FIVE STATEMENTS ARE SENT, WITHIN THE 120 DAY BILLING CYCLE. IF NOT PAID, A FINAL PRE-COLLECTION LETTER IS ISSUED ADVISING THE ACCOUNT WILL BE SENT TO COLLECTIONS WITHIN THIRTY DAYS. IF THE PATIENT IS ACCEPTED IN THE FAP PROGRAM, THIS STATUS WILL BE EFFECTIVE FOR ONE YEAR FROM ACCEPTANCE.
PART VI, LINE 2:	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 PLANNINGPROCESS 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 TRENDS6. 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:	THE HOSPITAL FAP APPLICATION AND POLICY SUMMARY ARE INCLUDED IN THE ADMISSION PACKETS MAILED TO ALL PATIENTS PRIOR TO ADMISSION FOR INPATIENT SERVICES. THE HOSPITAL PROVIDES ACCESSIBLE COMMUNICATION, WITHIN THE HOSPITAL AND ALL OFF-SITE LOCATIONS, IN THE FORM OF 1)SIGNAGE IN FIVE LANGUAGES,2)A PATIENT PAMPHLET WHICH DESCRIBES PAYMENT OPTIONS INCLUDING FAP,WEBSITE INFORMATION AND STAFF CONTACT INFORMATION FOR ASSISTANCE. THE FAP SUMMARY AND WEBSITE INFORMATION ARE DISPLAYED IN PATIENT COMMON ENTRANCE AREAS IN THE HOSPITAL AND OFFSITE LOCATIONS. THE HOSPITAL HAS UP-FRONT FINANCIAL COUNSELORS AND CAC'S (CERTIFED APPLICATION COUNSELORS) TO ASSIST OUR PATIENTS WITH ONLINE APPLICATIONS FOR AFFORDABLE INSURANCE, MEDICAID AND OTHER PROGRAMS/GRANTS. OUR PRE-COLLECTIONS OUTSOURCE VENDOR HAS OUR POLICY INFORMATION AND COUNSELS THE PATIENT IN THE SAME MANNER AS HOSPITAL EMPLOYEES. THE DOCUMENTATION OF OUR FINANCIAL POLICY PATIENT EDUCATION IS PROVIDED IN OUR BILLING SYSTEM. THE COLLECTION STAFF IN THE BUSINESS OFFICE FOLLOWS UP ON ALL APPLICATIONS SENT BY THE PRE-COLLECTIONS VENDOR. DURING THE APPLICATION PROCESS, THE ACCOUNT IS PLACED ON HOLD UNTIL A FINAL DETERMINATION IS MADE. THE DETERMINATION IS MADE WITHIN THIRTY DAYS OF RECEIVING A COMPLETED APPLICATION, INCLUDING REQUESTED SUPPORTING DOCUMNETATION IN WRITING, WITH AND EXPLANATION OF DETERMINATION. WHEN DETERMINATION REQUIRES IT, THE APPLICANT IS GIVEN INSTRUCTIONS AS TO HOW TO APPEAL A DECISION.
PART VI, LINE 4:	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 REVISITE. 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 INSURANCEM. 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 (14 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
SUSHMA KAUL MD
BOARD MEMBER/SEMC MEDICAL	$415,013	$0	$325,345	$0	$3,572	$0	$11,200	$0	$15,644	$0	$770,774	$0	$0	$0
DARLENE STROMSTAD
PRESIDENT/CEO	$675,000	$0	$0	$0	$56,635	$0	$11,325	$0	$8,787	$0	$751,747	$0	$0	$0
LOUIS AIELLO
SR VICE PRESIDENT/CFO	$0	$411,000	$0	$39,150	$0	$24,410	$0	$25,493	$0	$16,204	$0	$516,257	$0	$0
ROBERT SCHOLEFIELD RN MS
SR VICE PRESIDENT/COO	$0	$409,425	$0	$39,000	$0	$23,500	$0	$25,188	$0	$8,592	$0	$505,705	$0	$0
MICHAEL F TREVISANI MD
SR VICE PRESIDENT/CMO	$428,665	$0	$8,750	$0	$18,989	$0	$8,592	$0	$16,141	$0	$481,137	$0	$0	$0
ERIC YOSS MD
SR VICE PRESIDENT/CMO	$306,940	$0	$8,750	$0	$25,989	$0	$11,200	$0	$12,248	$0	$365,127	$0	$0	$0
LINDA MCCORMACK-MILLER
SR VICE PRESIDENT/CNO	$276,040	$0	$8,750	$0	$4,656	$0	$11,085	$0	$9,084	$0	$309,615	$0	$0	$0
CHRISTOPHER MAX MD
PHYSICIAN	$360,500	$0	$344,328	$0	$6,858	$0	$11,200	$0	$15,490	$0	$738,376	$0	$0	$0
GHASSAN KOUSSA MD
PHYSICIAN	$356,013	$0	$350,880	$0	$540	$0	$10,375	$0	$15,644	$0	$733,452	$0	$0	$0
ANDREW PELLECCHIA MD
PHYSICIAN	$603,890	$0	$0	$0	$3,040	$0	$11,200	$0	$16,264	$0	$634,394	$0	$0	$0
MARIO CARILLO MD
PHYSICIAN	$501,971	$0	$91,797	$0	$2,322	$0	$10,067	$0	$15,876	$0	$622,033	$0	$0	$0
ERIC PORRITT MD
PHYSICIAN	$563,583	$0	$15,000	$0	$495	$0	$0	$0	$16,230	$0	$595,308	$0	$0	$0
MARIA GESUALDO MD
BOARD MEMBER FORMER	$0	$0	$0	$0	$63,375	$0	$0	$0	$0	$0	$63,375	$0	$0	$0
SCOTT PERRA FACHE
PRESIDENT/CEO FORMER	$615,000	$0	$70,000	$0	$87,100	$0	$22,400	$0	$11,888	$0	$806,388	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 6

AN INCENTIVE COMPENSATION PLAN EXISTS FOR THE EXECUTIVE STAFF OF FSLH. 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. DURING 2019, $178,167 OF INCENTIVE COMPENSATION WAS PAID OUT UNDER THIS PLAN RELATING TO THE 2018 FISCAL YEAR. $220,000 WAS ACCRUED FOR THE 2019 FISCAL YEAR INCENTIVE COMPENSATION; NO PAYMENTS HAVE BEEN ISSUED IN 2020, DUE TO COVID-19.

FORM 990 - PART VII

DR TREVISANI RESIGNED IN JUNE 2019 AND DR YOSS ACTED AS INTERIM MEDICAL DIRECTOR INTO FEBRUARY 2020. DR TREVISANI RECEIVED A SEVERANCE PAYOUT IN 2020 FOR THE REMAINDER OF HIS CONTRACT. BASE $127,667 BONUS $0 OTHER $4,997 DEFERRED $8,592 OTHER NON-TAXABLE $7,014 100% ADMINISTRATIVE $148,270

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

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

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

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

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 I	FormAndLineReferenceDesc
Explanation	THE PROCEEDS OF THE SERIES 2019A&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 FSLH. 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	SLOCUM DICKSON MEDICAL GROUP	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	MARIA GESUALDO, DO	RelationshipDescriptionTxt
Transaction	$85,846	TransactionAmt
Transaction	RENTAL INCOME	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	FormAndLineReferenceDesc
Explanation	DR MARIA GESUALDO, DO IS A FORMER BOARD MEMBER AND A PARTNER AT SLOCUM DICKSON MEDICAL GROUP. THE RENTAL INCOME IS FOR IT SYSTEMS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	MOHAWK VALLEY HEALTH SYSTEM, INC IS THE SOLE MEMBER OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A	MOHAWK VALLEY HEALTH SYSTEM, INC APPOINTS THE DIRECTORS AND GOVERNING BODY OF THE ORGANIZATION. THE BOARD OF DIRECTORS ARE LISTED IN SECTION VII.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 AND FORM 990T ARE REVIEWED AT A MEETING WITH THE EXECUTIVE COMMITTEE AND THE BOARD OF DIRECTORS, PRIOR TO SUBMITTING THE REPORT.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY: THE PURPOSE OF THE POLICIES AND DIRECTIVES SET OUT IN THIS POLICY STATEMENT IS TO ASSURE THAT THE BUSINESS CONDUCTED BY THE ORGANIZATION IS CONDUCTED FREE FROM THE POSSIBLE INFLUENCE OF CONFLICTS OF INTEREST OF INTERESTED PERSONS. THIS POLICY EXISTS TO PROTECT THE ORGANIZATIONS INTEREST WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN INTERESTED PERSON IN THE ORGANIZATION. INTERESTED PERSONS MAY NOT ENTER INTO ANY EMPLOYMENT TRANSACTION OR OTHER ARRANGEMENT THAT MAY CAUSE OR BE PERCEIVED TO CAUSE A CONFLICT OF INTEREST. INTERESTED PERSONS MUST REVIEW THIS POLICY ANNUALLY AND COMPLETE THE ACKNOWLEDGEMENT AND DISCLOSURE FORM ANNUALLY. THE COMPLIANCE OFFICER AND/OR THE COMPLIANCE COMMITTEE WILL REVIEW ALL ANNUAL ACKNOWLEDGEMENT AND DISCLOSURE FORMS AND ANY CONFLICTS OR POTENTIAL CONFLICTS IDENTIFIED. WHEN A POTENTIAL CONFLICT IS IDENTIFIED, THE COMPLIANCE OFFICER WILL ENSURE APPROPRIATE ACTIONS ARE TAKEN TO RESOLVE THE CONFLICT. THIS POLICY IS INTENDED TO SUPPLEMENT BUT NOT REPLACE ANY APPLICABLE FEDERAL AND STATE LAWS GOVERNING CONFLICTS OF INTEREST APPLICABLE TO NONPROFIT AND CHARITABLE CORPORATIONS.
FORM 990, PART VI, SECTION B, LINE 15	THE BOARDS EXECUTIVE COMPENSATION COMMITTEE, HAS ADOPTED AND FOLLOWS A PROCESS FOR REVIEWING AND DETERMINING THE COMPENSATION OF THE CEO AND THE EXECUTIVE MANAGEMENT TEAM. THE EXECUTIVE MANAGEMENT TEAM CONSISTS OF THE FOLLOWING POSITIONS: SENIOR VICE PRESIDENT/CHIEF OPERATING OFFICER SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER SENIOR VICE PRESIDENT/CHIEF MEDICAL OFFICER SENIOR VICE PRESIDENT/CHIEF NURSING OFFICER THE COMMITTEE HAS ENGAGED AN INDEPENDENT COMPENSATION CONSULTANT TO PROVIDE INFORMATION AND ADVICE TO COMMITTEE, INCLUDING BUT NOT LIMITED, PROVIDING INDEPENDENT COMPENSATION COMPARABILITY DATA FOR FUNCTIONALLY COMPARABLE POSITIONS IN SIMILARLY SITUATED HOSPITALS. THE DATA IS PROVIDED ON AN ANNUAL BASIS AND IS REVIEWED BY THE COMMITTEE, ALONG WITH OTHER INFORMATION, PRIOR TO APPROVING ANY CHANGES TO COMPENSATION. THE INDEPENDENCE OF THE COMMITTEES MEMBERS IS REVIEWED AND VERIFIED PRIOR TO THE START OF THE ANNUAL COMPENSATION REVIEW PROCESS. SHOULD A CONFLICT PRESENT, THOSE INDIVIDUALS WITH ACTUAL OR PERCEIVED CONFLICTS ABSTAIN FROM VOTING UNTIL SUCH TIME AS THE CONFLICT CAN BE RESOLVED OR A REPLACEMENT MEMBER IS APPOINTED TO THE COMMITTEE. THE COMMITTEES DELIBERATIONS AND DECISIONS ARE GUIDED BY A WRITTEN COMPENSATION PHILOSOPHY AND DOCUMENTED THROUGH WRITTEN MINUTES TAKEN DURING EACH MEETING. THE MINUTES INCLUDE, AMONG OTHER THINGS, THE WRITTEN MATERIALS DISTRIBUTED OR PRESENTED DURING THE MEETING AND THE SPECIFIC DECISIONS TAKEN AT THE MEETING.
FORM 990, PART VI, SECTION C, LINE 19	POLICY: IT IS THE POLICY OF THIS HOSPITAL TO MAKE AVAILABLE TO ANYONE WHO ASKS, A COPY OF ITS ANNUAL REPORT TO THE INTERNAL REVENUE SERVICE (IRS) ON FORM 990, AND ITS EXEMPT STATUS FORM. IN ACCORDANCE WITH THE LAW, FORM 990 FOR A GIVEN YEAR, WILL BE MADE AVAILABLE FOR PUBLIC INSPECTION FOR A THREE-YEAR PERIOD.PURPOSE: THE PURPOSE OF THIS POLICY IS TO COMPLY WITH IRS LAW, WHICH APPLIES FOR TAX YEARS BEGINNING AFTER JUNE 8, 1999 SPECIAL INSTRUCTIONS: A. A COPY OF THE ABOVE NAMED DOCUMENTS, WILL BE MADE AVAILABLE FOR INSPECTION BY A REQUESTER, IN A DESIGNATED ROOM, IN THE FINANCE DEPARTMENT OF THE HOSPITAL. B. THE DOCUMENTS WILL BE MADE AVAILABLE, IMMEDIATELY, TO ANYONE WHO APPEARS IN PERSON DURING USUAL BUSINESS HOURS. FOR WRITTEN REQUESTS FOR COPIES OF DOCUMENTS, RESPONSE WILL BE PROVIDED WITHIN THIRTY (30) DAYS OF RECEIPT OF PAYMENT OF REASONABLE COPYING FEES. C. EITHER THE HOSPITAL SENIOR VICE PRESIDENT/CFO, THE CONTROLLER, OR THEIR DESIGNATED REPRESENTATIVE WILL BE PRESENT DURING AN INSPECTION BY A REQUESTER. D. ONLY THE HOSPITAL SENIOR VICE PRESIDENT/CFO, THE CONTROLLER, OR THEIR DESIGNATED REPRESENTATIVE WILL BE PERMITTED TO ANSWER QUESTIONS THAT A REQUESTER MAY HAVE. SHOULD A REQUESTER ASK THE HOSPITAL FOR A PHOTOCOPY OF ANY OR ALL PARTS OF DOCUMENTS, THE HOSPITAL WILL CHARGE $1.00 FOR THE FIRST PAGE, PLUS $.15 FOR EACH ADDITIONAL PAGE.
FORM 990, PART IX, LINE 11G	OTHER FEES: PROGRAM SERVICE EXPENSES 27,713,175. MANAGEMENT AND GENERAL EXPENSES 4,336,293. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,049,468.
FORM 990, PART XI, LINE 9:	CHANGE IN FV OF INTEREST RATE SWAPS -519,536. NET ASSETS RELEASED - CONTRIBUTIONS FOR CAPITAL ACQUISITIONS 239,493. CHANGE IN NET ASSETS WITH DONOR RESTRICTIONS OF FOUNDATION 378,898.
PART XII LINE 2C	NO CHANGE FROM PRIOR YEAR

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

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

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