DELAWARE VALLEY HOSPITAL INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- DELAWARE VALLEY HOSPITAL INC (EIN 15-0524324)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-13
- IRS object ID
- 202033189349308003
- 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 | 2020-11-13T13:25:26-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 454051133 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FREED MAXICK CPAS PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 424 MAIN STREET SUITE 800 | AddressLine1Txt |
| City | BUFFALO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 142023508 | 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 | 150524324 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELAWARE VALLEY HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DELA | BusinessNameControlTxt |
| Phone | 6078652197 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 TITUS PLACE | AddressLine1Txt |
| City | WALTON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 138561457 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LUCINDA RIDER | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6078652197 | PhoneNum |
| Signature | 2020-11-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARY MADONIA | PreparerPersonNm |
| PTIN | P00405803 | PTIN |
| Phone | 7168472651 | PhoneNum |
| Preparation | 2020-11-12 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 104.193.28.34 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-11-12 | IPDt |
| IP Tm | 13:18:53 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 8FDDAAF62860F71EAFAD1FB1999F99665ADCE87C | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | E567259EAED278DC20889AB4017D05C2E4F78990 | 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 | PAUL SUMMERS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 TITUS PLACE | AddressLine1Txt |
| City | WALTON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 138561457 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $26,752,633 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NYUHS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1950 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO SERVE OUR PATIENTS IN AN EFFICIENT AND PATIENT-FOCUSED MANNER AND OFFER A RANGE OF ACUTE, OUTPATIENT, DIAGNOSTIC, REHABILITATIVE,PRIMARY CARE AND WELLNESS SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 225 | TotalEmployeeCnt |
| Total Volunteers | 36 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $833,039 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,208,797 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $24,576,052 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $24,990,075 | CYProgramServiceRevenueAmt |
| PY Investment Income | $95,847 | PYInvestmentIncomeAmt |
| CY Investment Income | $161,825 | CYInvestmentIncomeAmt |
| PY Other Revenue | $543,318 | PYOtherRevenueAmt |
| CY Other Revenue | $391,936 | CYOtherRevenueAmt |
| PY Total Revenue | $26,048,256 | PYTotalRevenueAmt |
| CY Total Revenue | $26,752,633 | 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 | $9,859,414 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,341,924 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $220,581 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $14,231,953 | PYOtherExpensesAmt |
| CY Other Expenses | $14,429,311 | CYOtherExpensesAmt |
| PY Total Expenses | $24,091,367 | PYTotalExpensesAmt |
| CY Total Expenses | $24,771,235 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,956,889 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,981,398 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $21,521,375 | TotalAssetsBOYAmt |
| Total Assets EOY | $23,538,078 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,071,776 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,893,763 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $15,449,599 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,644,315 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | INPATIENT AND ACUTE SERVICES (SEE SCHEDULE O)AS A CRITICAL ACCESS HOSPITAL AND MEMBER OF THE UHS HEALTHCARE SYSTEM, UHS DELAWARE VALLEY HOSPITAL'S MISSION IS TO PROVIDE THE COMMUNITY WITH THE HIGH QUALITY, PATIENT-CENTERED SERVICES THAT ARE MOST OFTEN NEEDED; THEREBY IMPROVING ACCESS TO CARE AND REDUCING THE NEED TO TRAVEL LONG DISTANCES. WE DO THIS BY OFFERING EMERGENCY CARE, INPATIENT SHORT-TERM ACUTE CARE, PHYSICAL REHABILITATIVE CARE AND ADDICTION TREATMENT. IN ADDITION, WE PROVIDE HIGH QUALITY PRIMARY CARE; A WIDE RANGE OF DIAGNOSTIC AND TREATMENT SERVICES; ACCESS TO TOP LOCAL SPECIALTY CARE AND AN OUTPATIENT PHARMACY. UHS DELAWARE VALLEY HOSPITAL ALSO SERVES AS THE GATEWAY FOR PATIENTS TO ACCESS THE STATE-OF-THE-ART TECHNOLOGY AND HIGHLY QUALIFIED SPECIALISTS OF THE UHS SYSTEM, WHEN MORE SPECIALIZED CARE IS NEEDED. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,896,893 | ExpenseAmt |
| Revenue | $4,488,602 | RevenueAmt |
| Desc | INPATIENT AND ACUTE SERVICES: DELAWARE VALLEY HOSPITAL FULFILLS ITS MISSION BY WORKING TOGETHER WITH THE COMMUNITY, PHYSICIANS, AND OTHER HEALTHCARE PROVIDERS TO CONTINUOUSLY IMPROVE THE AVAILABILITY AND QUALITY OF SERVICES. THIS INCLUDES THE ABILITY TO PROVIDE A COMPREHENSIVE RANGE OF SHORT-TERM (96 HRS. OR LESS) INPATIENT ACUTE CARE, SWING BED AND ADDICTION TREATMENT SERVICES VIA ITS 25-BED HOSPITAL LOCATED ON THE MAIN CAMPUS IN WALTON IN DELAWARE COUNTY, NY. PATIENT DISCHARGES IN 2019 WERE COMPRISED OF 135 ACUTE, 125 SWING BED, AND 115 ADDICTION TREATMENT. ACUTE CARE REPRESENTED 398 PATIENT DAYS, IN ADDITION TO THE 1,658 PATIENT DAYS FOR SWING BED AND 1,822 PATIENT DAYS IN THE ADDICTION TREATMENT PROGRAM. INDICATIVE OF THE COMPREHENSIVE HEALTHCARE PROVIDED TO THESE PATIENTS, A TOTAL OF 4,992 LAB TESTS, 10,517 RESPIRATORY TREATMENTS, 176 X-RAYS, 44 ULTRASOUNDS, 99 CT AND 6 MRI EXAMS, 788 PHYSICAL THERAPY AND 412 OCCUPATIONAL THERAPY SESSIONS, AND 121 EKG'S WERE ADMINISTERED. OTHER SERVICES INCLUDED 26 ECHO EXAMS, AND 672 DIETARY CONSULTS. TO ENSURE OUR RURAL AREA RESIDENTS HAVE ACCESS TO HIGH QUALITY, EFFICIENT CARE IN A COMFORTABLE AND PRIVATE AREA, THE HOSPITAL'S IMAGING CENTER IS EQUIPPED WITH 3D MAMMOGRAPHY, ULTRASOUND, BONE DENSITY, X-RAY AND A 128-SLICE CT SUITE. MRI SERVICES ARE OFFERED ON SUNDAYS THROUGH AN AGREEMENT WITH A MOBILE VENDOR. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,515,579 | ExpenseAmt |
| Revenue | $2,399,627 | RevenueAmt |
| Desc | CLINICS: DELAWARE VALLEY HOSPITAL PROVIDES A WIDE RANGE OF PRIMARY AND PREVENTIVE CARE SERVICES THROUGH ITS PRIMARY CARE CENTERS LOCATED IN WALTON, DOWNSVILLE, AND ROSCOE. THESE PRIMARY CARE CENTERS FORM THE FOUNDATION NECESSARY TO SERVE OUR COMMUNITIES WITH A COORDINATED SYSTEM OF CARE WHILE PAYING SPECIAL ATTENTION TO UNDER-SERVED AREAS. 2019 INCLUDED 11,417 VISITS IN WALTON, 860 IN ROSCOE, AND 1,938 IN DOWNSVILLE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $11,922,937 | ExpenseAmt |
| Revenue | $18,101,846 | RevenueAmt |
| Desc | OUTPATIENT AND AMBULATORY SERVICES: DELAWARE VALLEY HOSPITAL PROVIDES A COMPREHENSIVE RANGE OF OUTPATIENT DIAGNOSTIC CARDIOPULMONARY, IMAGING, LAB AND TREATMENT SERVICES AT ITS WALTON CAMPUS. THESE INCLUDE A 7-BED EMERGENCY DEPARTMENT WHICH SERVES THE COMMUNITY 24/7. OTHER TREATMENT SERVICES INCLUDE PHYSICAL AND OCCUPATIONAL REHABILITATIVE SERVICES, AMBULATORY PROCEDURES, CARDIAC AND PULMONARY REHABILITATION AND ACCESS TO SPECIALTY SERVICES. IN 2019 THE CARDIOLOGY SPECIALTY CLINIC HAD 587 VISITS, PAIN MANAGEMENT 429; TELE-MENTAL HEALTH 699 AND TELE-DIABETES CONSULTS 34. THE HOSPITAL ALSO CONDUCTS EXTENSIVE WELLNESS PROGRAMMING THAT INCLUDES NUTRITION AWARENESS, DIABETES EDUCATION AND CHRONIC DISEASE SELF-MANAGEMENT WORKSHOPS. OCCUPATIONAL HEALTH PROGRAMMING MEETS THE NEEDS OF LOCAL BUSINESSES, FIRE DEPARTMENTS, AND EMERGENCY SQUADS BY PROVIDING PHYSICALS, DRUG TESTING, AND ERGONOMIC EDUCATION. IN 2019 THE EMERGENCY DEPARTMENT TREATED OR ADMITTED 5,287 RESIDENTS VIA ITS 5,000+ SQ. FT. FACILITY, THE LAB PERFORMED 68,068 TESTS, AND 7,692 PHYSICAL/OCCUPATIONAL THERAPY SESSIONS WERE CONDUCTED. THE IMAGING CENTER PERFORMED 9,504 X-RAYS, CT SCANS, MRI'S, ULTRASOUNDS, BONE DENSITY TESTS AND MAMMOGRAPHY FOR OUTPATIENT SERVICES. OTHER OUTPATIENT SERVICES PERFORMED IN 2019 INCLUDED 186 AMBULATORY PROCEDURES, 100 ENDOSCOPIES, 1,801 OPIATE ADDICTION TREATMENT SESSIONS, AND 1,093 SERVICES ASSOCIATED WITH CARDIAC AND PULMONARY REHABILITATION. THE CARDIOPULMONARY DEPARTMENT PERFORMED 1,228 TESTS AND/OR TREATMENTS. 1,946 CARDIAC RELATED TESTS WERE PERFORMED: EKGS, ECHOCARDIOGRAMS, CARDIAC HOLTER AND EVENT MONITORS. THERE WERE 317 DIETARY CONSULTS. THE HOSPITAL'S OUTPATIENT RETAIL PHARMACY FILLED 60,164 PRESCRIPTIONS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenue | $391,936 | RevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Revenue | $391,936 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $20,335,409 | 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 | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 36 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 225 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| 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 | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | 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 | 0 | 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 | 0 | 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
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PAUL SUMMERS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6078652197 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | DELAWARE VALLEY HOSPITAL 1 TITUS | AddressLine1Txt |
| City | WALTON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 138561457 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| HELEN JOHNSTON | ||||||||
| BOARD MEMBER/BOARD CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOHN CARRIGG | ||||||||
| BOARD MEMBER/VICE CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $965,944 | $39,637 | 55.00 | |
| LARRY LIGHT | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| EDWARD SNOW | ||||||||
| BOARD MEMBER/SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ERIN NEALE | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| AMANDA HALL | ||||||||
| BOARD MEMBER/TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DR MICHAEL FREEMAN | ||||||||
| BOARD MEMBER/MEDICAL STAFF PRESIDENT | 57.00 | Yes (X) | Yes (X) | $236,273 | $0 | $39,593 | ||
| PAUL SUMMERS | ||||||||
| BOARD MEMBER/PRESIDENT/CEO | 57.00 | Yes (X) | Yes (X) | $240,155 | $0 | $23,673 | ||
| DR JOHN GIANNONE | ||||||||
| CHIEF MEDICAL OFFICER | 5.00 | Yes (X) | $25,000 | $0 | $0 | |||
| JOAN GUARNIERI | ||||||||
| V.P. ANCILLARY SVCS | 55.00 | Yes (X) | $98,709 | $0 | $13,027 | |||
| DOTTIE KRUPPO | ||||||||
| V.P. COMMUNITY RELATIONS | 55.00 | Yes (X) | $94,010 | $0 | $20,255 | |||
| DEBORAH HITT | ||||||||
| V.P. QUALITY/SUPPORT SVCS | 55.00 | Yes (X) | $105,311 | $0 | $21,343 | |||
| VICTORIA CONKLING | ||||||||
| V.P. PATIENT CARE SERVICES | 55.00 | Yes (X) | $130,891 | $0 | $7,223 | |||
| LUCINDA RIDER | ||||||||
| CONTROLLER | 55.00 | Yes (X) | $80,092 | $0 | $20,365 | |||
| KATHLEEN ULMSCHNEIDER | ||||||||
| STAFF NURSE | 55.00 | $116,139 | $0 | $21,618 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,126,580 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $965,944 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $206,734 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SECO PHYSICALOCCUPATIONAL THERAPY | |||||
| 26 CONKY AVE | NORWICH | NY | 13815 | PHYSICAL/OCC. THERAPY | $584,478 |
| MEDHOST OF TENNESSEE | |||||
| 2739 MOMENTUM PLACE | CHICAGO | IL | 60689 | INFORMATION TECHNOLOGY | $416,274 |
| MAUREEN DATA SYSTEMS INC | |||||
| 307 WEST 38TH STREET SUITE 180 | NEW YORK | NY | 10018 | COMPUTER SUPPORT AND SERVICES | $271,139 |
| ALLIANCE HEALTHCARE SERVICES | |||||
| PO BOX 96485 | CHICAGO | IL | 606936485 | IMAGING SERVICE | $193,154 |
| J&K PLUMBING & HEATING CO LLC | |||||
| 24 THORP STREET PO BOX 25 WEST VIE | BINGHAMTON | NY | 13905 | PLUMBING & HEATING | $191,306 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 14 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,009,562 | GovernmentGrantsAmt |
| All Other Contributions | $199,235 | AllOtherContributionsAmt |
| Total Contributions | $1,208,797 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OUTPATIENT SERVICES | 621400 | $18,101,846 | $18,101,846 |
| INPATIENT AND ACUTE SERVICES | 621990 | $4,488,602 | $4,488,602 |
| CLINICS | 621110 | $2,399,627 | $2,399,627 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $24,990,075 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $161,714 | TotalRevenueColumnAmt |
| Exclusion | $161,714 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $111 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $111 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $111 | TotalRevenueColumnAmt |
| Exclusion | $111 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| DSRIP PROJECT REVENUE | 900099 | $185,270 | $185,270 |
| MISC REVENUE | 900099 | $145,395 | $145,395 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $61,271 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $61,271 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $391,936 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,752,633 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,382,011 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $161,825 | 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 | $1,293,677 | TotalAmt |
| Program Services | $840,239 | ProgramServicesAmt |
| Management And General | $339,173 | ManagementAndGeneralAmt |
| Fundraising | $114,265 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,173,681 | TotalAmt |
| Program Services | $5,597,233 | ProgramServicesAmt |
| Management And General | $1,551,745 | ManagementAndGeneralAmt |
| Fundraising | $24,703 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $230,281 | TotalAmt |
| Program Services | $177,316 | ProgramServicesAmt |
| Management And General | $50,662 | ManagementAndGeneralAmt |
| Fundraising | $2,303 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,062,372 | TotalAmt |
| Program Services | $818,026 | ProgramServicesAmt |
| Management And General | $233,722 | ManagementAndGeneralAmt |
| Fundraising | $10,624 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $581,913 | TotalAmt |
| Program Services | $448,071 | ProgramServicesAmt |
| Management And General | $124,090 | ManagementAndGeneralAmt |
| Fundraising | $9,752 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,598 | TotalAmt |
| Management And General | $85,598 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,452 | TotalAmt |
| Management And General | $44,452 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,865 | TotalAmt |
| Management And General | $78,865 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,883 | TotalAmt |
| Management And General | $3,883 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,508 | TotalAmt |
| Management And General | $4,508 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,980,812 | TotalAmt |
| Program Services | $5,241,211 | ProgramServicesAmt |
| Management And General | $739,601 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,340,411 | TotalAmt |
| Program Services | $766,315 | ProgramServicesAmt |
| Management And General | $539,155 | ManagementAndGeneralAmt |
| Fundraising | $34,941 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,639 | TotalAmt |
| Management And General | $126,639 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $203,121 | TotalAmt |
| Program Services | $50,208 | ProgramServicesAmt |
| Management And General | $152,913 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,179 | TotalAmt |
| Program Services | $33,895 | ProgramServicesAmt |
| Management And General | $16,166 | ManagementAndGeneralAmt |
| Fundraising | $2,118 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,262 | TotalAmt |
| Program Services | $6,086 | ProgramServicesAmt |
| Management And General | $1,301 | ManagementAndGeneralAmt |
| Fundraising | $21,875 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $192,494 | TotalAmt |
| Program Services | $102,219 | ProgramServicesAmt |
| Management And General | $90,275 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $991,061 | TotalAmt |
| Program Services | $991,061 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,655 | TotalAmt |
| Program Services | $115,158 | ProgramServicesAmt |
| Management And General | $32,497 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| DRUGS | $3,755,047 | $3,755,047 |
| BAD DEBT EXPENSE | $650,664 | $650,664 |
| MEDICAL SUPPLIES | $492,464 | $492,464 |
| EQUIPMENT | $167,436 | $167,436 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,760 | TotalAmt |
| Program Services | $82,760 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,771,235 | TotalAmt |
| Program Services | $20,335,409 | ProgramServicesAmt |
| Management And General | $4,215,245 | ManagementAndGeneralAmt |
| Fundraising | $220,581 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,145,812 | BOYAmt |
| EOY | $3,628,167 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,411,558 | BOYAmt |
| EOY | $2,176,087 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $607,888 | BOYAmt |
| EOY | $504,567 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $657,839 | BOYAmt |
| EOY | $550,450 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $25,287,512 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $15,367,652 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,458,683 | BOYAmt |
| EOY | $9,919,860 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,791,505 | BOYAmt |
| EOY | $5,046,374 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $448,090 | BOYAmt |
| EOY | $318,209 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,394,364 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,521,375 | BOYAmt |
| EOY | $23,538,078 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,312,145 | BOYAmt |
| EOY | $1,535,695 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,436,420 | BOYAmt |
| EOY | $2,148,852 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $277,362 | BOYAmt |
| EOY | $222,663 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,565,235 | BOYAmt |
| EOY | $1,516,651 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $480,614 | BOYAmt |
| EOY | $469,902 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,071,776 | BOYAmt |
| EOY | $5,893,763 | 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 | $15,119,182 | BOYAmt |
| EOY | $17,308,649 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $330,417 | BOYAmt |
| EOY | $335,666 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,449,599 | BOYAmt |
| EOY | $17,644,315 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,521,375 | BOYAmt |
| EOY | $23,538,078 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,981,398 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $260,087 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$46,768 | 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) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| 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 | $3,883 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $3,883 | 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 | AMOUNTS DISCLOSED ARE THE LOBBYING PORTIONS OF DUES PAID TO HEALTHCARE ASSOCIATION OF NY AND IROQUOIS HEALTHCARE. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $330,416 | BeginningYearBalanceAmt |
| Contributions | $5,250 | ContributionsAmt |
| End Year Balance | $335,666 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $328,445 | BeginningYearBalanceAmt |
| Contributions | $1,971 | ContributionsAmt |
| End Year Balance | $330,416 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $330,360 | BeginningYearBalanceAmt |
| Contributions | $9,996 | ContributionsAmt |
| Other Expenditures | $11,911 | OtherExpendituresAmt |
| End Year Balance | $328,445 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $324,669 | BeginningYearBalanceAmt |
| Contributions | $5,691 | ContributionsAmt |
| End Year Balance | $330,360 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $361,539 | BeginningYearBalanceAmt |
| Contributions | $5,286 | ContributionsAmt |
| Other Expenditures | $42,156 | OtherExpendituresAmt |
| End Year Balance | $324,669 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.95000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.05000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $51,202 | OtherCostOrOtherBasisAmt |
| Book Value | $51,202 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,070,284 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,302,726 | DepreciationAmt |
| Book Value | $6,767,558 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,624,800 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,064,926 | DepreciationAmt |
| Book Value | $1,559,874 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,541,226 | OtherCostOrOtherBasisAmt |
| Book Value | $1,541,226 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,919,860 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| SAVINGS - RESTRICTED DONATIONS | $13,305 |
| SAVINGS ENHANCE NBDC | $1,381,059 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,394,364 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE UNITED MED. ASSOC. | $240,517 |
| DUE UHS HOSPITALS | $228,097 |
| DUE TO UHS, INC. | $3,668 |
| DUE FROM UHS CMH | -$2,380 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $469,902 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $26,315,288 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $260,087 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$46,768 | OtherRevenueAmt |
| Revenue Not Reported | $213,319 | RevenueNotReportedAmt |
| Revenue Subtotal | $26,101,969 | RevenueSubtotalAmt |
| Other Revenues Not Included | $650,664 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $650,664 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $26,752,633 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $24,120,571 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $24,120,571 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $650,664 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $650,664 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $24,771,235 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | PURCHASE OF CAPITAL EQUIPMENT (MEDICAL) AND IMPROVEMENT OF FACILITIES. |
| PART X, LINE 2: | THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE HOSPITAL IS SUBJECT TO FEDERAL INCOME TAXES ON UNRELATED BUSINESS INCOME UNDER SECTION 511 OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31, 2019 AND 2018, THE HOSPITAL 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 TO 2019. THE HOSPITAL DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | INTEREST RATE SWAP -46,768. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 650,664. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 650,664. |
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 |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCareInd |
| 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 | $155,378 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $155,378 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00640 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,477,873 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,693,694 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $784,179 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03250 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $39,034 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,140 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,894 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,672,285 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,721,834 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $950,451 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03940 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $274,918 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $274,918 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01140 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $57,817 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $57,817 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,781,474 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,090,443 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $691,031 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02860 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,114,209 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,090,443 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,023,766 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04240 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,786,494 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,812,277 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,974,217 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08180 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,925 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,925 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,080 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,080 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,217 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,217 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,222 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $18,222 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $650,664 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $375,433 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $4,418,780 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $4,388,900 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $29,880 | 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 |
| 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 | DELAWARE VALLEY HOSPTITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 TITUS PLACE | AddressLine1Txt |
| City | WALTON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13856 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELAWARE VALLEY HOSPTITAL | 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://WWW.NYUHS.ORG | OwnWebsiteURLTxt |
| 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://WWW.NYUHS.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 | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTP://WWW.NYUHS.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://WWW.NYUHS.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTP://WWW.NYUHS.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DELAWARE VALLEY HOSPTITAL | PART V, SECTION B, LINE 5: DELAWARE VALLEY HOSPITAL HAS MEMBERSHIP IN THE DELAWARE COUNTY HEALTHCARE ALLIANCE, A COALITION OF HEALTHCARE AND COMMUNITY ORGANIZATIONS THROUGHOUT THE COUNTY, AS WELL AS ON ITS WELLNESS COMMITTEE. A STAFF MEMBER ALSO SERVES ON THE COMMUNITY COMMITTEE OF THE LOCAL SCHOOL. THE HOSPITAL ALSO HAS REPRESENTATION ON THE COUNTY'S EMERGENCY PREPAREDNESS COMMITTEE (BNICER). THE HOSPITAL'S COMMUNITY RELATIONS DIRECTOR PARTICIPATES IN ALL DVH VOLUNTEER MEETINGS AND ACTIVELY SEEKS THEIR INPUT AND FEEDBACK ABOUT THE HOSPITAL'S SERVICES. THE HOSPITAL'S BOARD OF DIRECTORS PROVIDES INPUT AS TO WHAT THEY HEAR FROM COMMUNITY MEMBERS. PATIENT SATISFACTION SURVEYS ARE ALSO USED IN GAINING INPUT FROM OUR PATIENTS. |
| DELAWARE VALLEY HOSPTITAL | PART V, SECTION B, LINE 6A: O'CONNOR HOSPITAL, DELHI, NYMARGARETVILLE COMMUNITY HOSPITAL, MARGARETVILLE, NY |
| DELAWARE VALLEY HOSPTITAL | PART V, SECTION B, LINE 6B: DELAWARE COUNTY GOVERNMENT AGENCIES:DELAWARE COUNTY PUBLIC HEALTH, MENTAL HEALTH, OFFICE FOR THE AGING, DEPT OF SOCIAL SERVICES, SHERIFF'S DEPT, ALCOHOL AND DRUG ABUSE COUNCIL, PLANNING DEPT, EMERGENCY SERVICES, DRUG TREATMENT COURT, WATERSHED AFFAIRSHOSPITAL AND HEALTH SERVICES:UHS DELAWARE VALLEY HOSPITAL, BASSETT HEALTHCARE-O'CONNOR HOSPITAL AND CATSKILL AREA HOSPICEEDUCATION:ROXBURY CENTRAL SCHOOLNURSING HOMES:ROBINSON TERRACEALLIANCES:RURAL HEALTH NETWORK OF SOUTH CENTRAL NYOTHER HUMAN SERVICE AGENCIES:CORNELL COOPERATIVE EXTENSION, RURAL 3 FOR TOBACCO FREE COMMUNITIES, CANCER SERVICE PROGRAM OF DELAWARE, OTSEGO AND SCHOHARIE COUNTIES, DELAWARE OPPORTUNITIES, NY CONNECTS, FAMILY RESOURCE NETWORK, CATHOLIC CHARITIES |
| DELAWARE VALLEY HOSPTITAL | PART V, SECTION B, LINE 11: 2019-2021 COMMUNITY SERVICE PLAN PREVENT CHRONIC DISEASE FOCUS AREA 4: PREVENTIVE CARE AND MANAGEMENT DISPARITY: UNLESS OTHERWISE NOTED THE DISPARITY FOR ALL OF THE FOLLOWING WILL BE: DVH PRIMARY CARE PATIENTS FITTING DEMOGRAPHICS AS DESCRIBED IN OBJECTIVES. INTERVENTIONS: UNLESS OTHERWISE NOTED THE INTERVENTIONS WILL BE AS FOLLOWS FOR ALL OF THE FOLLOWING: WORK WITH PRIMARY CARE PROVIDERS AND STAFF TO PUT SYSTEMS IN PLACE TO PROVIDE BOTH PROVIDERS AND PATIENTS REMINDERS THROUGH EHR ALERTS, MAIL, PHONE CALLS, EMAIL AND/OR E-CHART NOTIFICATIONS MEASURES: UNLESS OTHERWISE NOTED THE MEASURE WILL BE AS FOLLOWS FOR ALL OF THE FOLLOWING: PERCENTAGE OF DVH PATIENTS, AS DESCRIBED, WHO COMPLY SCREENING GUIDELINES. GOAL 4.1 INCREASE CANCER SCREENING RATES 4.1.1 OBJECTIVE: BY DECEMBER 31, 2021, THE PERCENTAGE OF ADULTS, AGE 50-75 YEARS OLD, RECEIVING A COLORECTAL SCREENING WILL INCREASE. INTERVENTIONS WORK WITH PRIMARY CARE PROVIDERS AND STAFF TO PUT SYSTEMS IN PLACE TO PROVIDE BOTH PROVIDERS AND PATIENTS' REMINDERS THROUGH ELECTRONIC HEALTH RECORD (EHR) ALERTS, MAIL, PHONE CALLS, EMAIL AND/OR E-CHART NOTIFICATIONS YEAR 1 PROJECTED (OR COMPLETED) INTERVENTION: AS OF SEPTEMBER 2019 64.4% OF DVH PATIENTS, WHO HAD AN INTERACTION WITH DVH WITHIN THE LAST TWO YEARS, AND ARE BETWEEN THE AGES OF 50-75 HAD APPROPRIATE COLORECTAL SCREENING. 70% IS THE GOAL FOR 2019. THE YEAR ENDED AT 67.2%, AN IMPROVEMENT FROM THE SEPTEMBER PERCENTAGE.YEAR 2 THE 2020 GOAL, AS DETERMINED BY THE UHS SYSTEM MEMBERS BASED ON PERFORMANCE IN 2019 IS 68%YEAR 3 THIS WILL BE DETERMINED BY THE UHS SYSTEM MEMBERS BASED ON PERFORMANCE IN 2020. GOAL 4.3 PROMOTE EVIDENCE-BASED CARE TO PREVENT AND MANAGE CHRONIC DISEASES INCLUDING ASTHMA, ARTHRITIS, CARDIOVASCULAR DISEASE, DIABETES, PREDIABETES AND OBESITY. 4.3.1 OBJECTIVE: BY DECEMBER 31, 2021 THE PERCENTAGE OF ADULTS, AGE 50-85 YEARS OLD, HAVING AN ANNUAL WELL CARE VISIT WILL INCREASE. YEAR 1 PROJECTED (OR COMPLETED) INTERVENTION: AS OF SEPTEMBER 2019, 36.5% OF DVH PATIENTS, BETWEEN THE AGES OF 50-85 HAD AN ANNUAL WELL CARE VISIT. 50% IS THE GOAL FOR 2019. THE YEAR ENDED AT 38%, AN IMPROVEMENT SINCE THE SEPTEMBER MEASURE.YEAR 2 THE 2020 GOAL, AS DETERMINED BY THE UHS SYSTEM MEMBERS BASED ON PERFORMANCE IN 2019 IS 50%.YEAR 3 THIS WILL BE DETERMINED BY THE UHS SYSTEM MEMBERS BASED ON PERFORMANCE IN 2020. 4.3.2 OBJECTIVE: BY DECEMBER 31, 2021 THE PERCENTAGE OF ADULTS, AGE 18-85 YEARS OLD, DIAGNOSED WITH HYPERTENSION WHO HAVE THEIR CONDITION ADEQUATELY CONTROLLED WILL INCREASE. YEAR 1 PROJECTED (OR COMPLETED) INTERVENTION: AS OF SEPTEMBER 2019 71.7% OF DVH PATIENTS, BETWEEN THE AGES OF 18-85 WHO HAVE BEEN DIAGNOSED WITH HYPERTENSION, HAD THEIR BLOOD PRESSURE ADEQUATELY CONTROLLED (<140/90). THE TARGET FOR 2019 IS 71%. THE YEAR ENDED AT 73.9 %, WHICH EXCEEDED THE TARGET.YEAR 2 THE 2020 GOAL, AS DETERMINED BY THE UHS SYSTEM MEMBERS BASED ON PERFORMANCE IN 2019 IS 72.5%YEAR 3 THIS WILL BE DETERMINED BY THE UHS SYSTEM MEMBERS BASED ON PERFORMANCE IN 2020. 4.3.3 OBJECTIVE: BY DECEMBER 31, 2021 THE PERCENTAGE OF ADULTS, AGE 18-75, WITH DIABETES, WHO HAVE HAD HBA1C TESTING WITHIN A YEAR WITH A RESULT OF <8.0% WILL INCREASE. YEAR 1 AS OF SEPTEMBER 2019 AT LEAST 69.5% OF PATIENTS AGE 18-75 YEARS OF AGE, WITH DIABETES, WILL HAVE HAD HBA1C TESTING WITHIN A YEAR AND THE RESULT WILL BE <8.0%. GOAL IS 67.2% FOR 2019. THE YEAR ENDED AT 68.3%, EXCEEDING THE TARGET.YEAR 2 THE 2020 GOAL, AS DETERMINED BY THE UHS SYSTEM MEMBERS BASED ON PERFORMANCE IN 2019 REMAINED THE SAME AT 67.2%YEAR 3 THIS WILL BE DETERMINED BY THE UHS SYSTEM MEMBERS BASED ON PERFORMANCE IN 2020. 4.3.4 OBJECTIVE: BY DECEMBER 31, 2021 MOST PRESCRIPTIONS FOR CHRONIC DISEASE MANAGEMENT WILL BE WRITTEN FOR 90 DAYS IN ORDER TO FOSTER BETTER PATIENT COMPLIANCE AND CONVENIENCE YEAR 1 AS OF SEPTEMBER 2019, 72.6% OF PRESCRIPTIONS, WRITTEN FOR THE CHRONIC CONDITIONS OF PATIENTS WHO HAVE HAD ANY INTERACTION WITH DVH WITHIN THE LAST 2 YEARS, WILL BE WRITTEN FOR A 90 DAY SUPPLY. MEDICATION TYPES INCLUDED IN THE MEASURE: ACE INHIBITOR/ARB MEDICATIONS, DIABETES, BETA-BLOCKER, HIGH AND MODERATE AND LOW INTENSITY STATIN MEDICATIONS. GOAL IS 72% FOR 2019. THE YEAR ENDED AT 74.4%, EXCEEDING THE TARGET.YEAR 2 THE 2020 GOAL, AS DETERMINED BY THE UHS SYSTEM MEMBERS BASED ON PERFORMANCE IN 2019 REMAINED THE SAME AT 72%.YEAR 3 THIS WILL BE DETERMINED BY THE UHS SYSTEM MEMBERS BASED ON PERFORMANCE IN 2020. GOAL 4.4 IN THE COMMUNITY SETTING, IMPROVE SELF-MANAGEMENT SKILLS FOR INDIVIDUALS WITH CHRONIC DISEASES, INCLUDING ASTHMA, ARTHRITIS, CARDIOVASCULAR DISEASE, DIABETES, PREDIABETES AND OBESITY 4.4.1 OBJECTIVE: A HEALTHCARE PROVIDER OR HUMAN SERVICE AGENCY WILL HAVE REFERRED MORE PARTICIPANTS TO THE CHRONIC DISEASE SELF- MANAGEMENT WORKSHOP. DISPARITY: COMMUNITY MEMBERS WITH CHRONIC DISEASE MEASURES: THE PERCENTAGE OF PARTICIPANTS REFERRED BY PRIMARY CARE PROVIDERS OR HUMAN SERVICE AGENCIES INTERVENTIONS: WORK WITH MARKETING STAFF, PRIMARY CARE PROVIDER OFFICES AND LOCAL HUMAN SERVICE AGENCIES TO PUT SYSTEMS IN PLACE TO ASSURE AWARENESS OF THE AVAILABILITY OF THE CHRONIC DISEASE SELF-MANAGEMENT PROGRAM. YEAR 1 RECOGNIZED THAT MOST PARTICIPANTS ARE LEARNING OF THE PROGRAM THROUGH ONE SOLE PROVIDER OR THROUGH ADVERTISING. THERE IS A NEED TO CREATE MORE WIDELY-BASED KNOWLEDGE OF THE PROGRAM. YEAR 2 SYSTEMS WILL BE IN PLACE AND UTILIZED BY THE FALL OF 2020.YEAR 3 AT LEAST 25% OF THE PARTICIPANTS WILL HAVE BEEN REFERRED FROM AN AGENCY OR PROVIDER. 4.4.2 OBJECTIVE: ACCESS TO CHRONIC DISEASE SELF-MANAGEMENT WORKSHOPS WILL CONTINUE. DISPARITY: COMMUNITY MEMBERS WITH CHRONIC DISEASE MEASURE: NUMBER OF SERIES OF WORKSHOPS OFFERED INTERVENTIONS: HOLD CHRONIC DISEASE SELF-MANAGEMENT WORKSHOPS YEAR 1 DURING 2019, 2 SERIES OF WORKSHOPS WERE HELD IN THE SPRING. A FALL SERIES WAS OFFERED BUT THERE WERE NOT ENOUGH PARTICIPANTS TO ACTUALLY HOLD THE PROGRAM. YEAR 2 DURING 2020, AT LEAST TWO WORKSHOPS WILL BE HELD. YEAR 3 DURING 2021, AT LEAST TWO WORKSHOPS WILL BE HELD. PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS FOCUS AREA 1: PROMOTE WELL-BEING GOAL 1.1: STRENGTHEN OPPORTUNITIES TO BUILD WELL-BEING AND RESILIENCE ACROSS THE LIFESPAN 1.1.1 OBJECTIVE: BY DECEMBER 31, 2020 AT LEAST ONE COMMUNITY WITHIN THE DVH SERVICE AREA WILL BE ACTIVELY WORKING TO BECOME AN AGE-FRIENDLY COMMUNITY. INTERVENTIONS: BUILD COMMUNITY WEALTH BY SERVING AS THE CATALYST TO CREATE INCLUSIVE, HEALTHY PUBLIC SPACES AND INTER-GENERATIONAL SOCIALIZATION OPPORTUNITIES MEASURES: IMPROVEMENT IN ACCESSIBILITY, SOCIALIZATION, AND WELL-BEING MEASURES YEAR 1: RESEARCHED BUILDING AGE FRIENDLY COMMUNITIES THROUGH AARP - DISCUSSED CONCEPT WITH POTENTIAL STAKEHOLDERS INCLUDING LOCAL OFFICIALS, ORGANIZATIONS, AGENCIES, SCHOOLS, POTENTIAL COMMUNITY PARTNERS AND GARNERED SUPPORT TO MOVE PROJECT FORWARD. REQUESTED AND SECURED FUNDING FROM CARE COMPASS NETWORK TO HOLD SERIES OF WORKSHOPS REGARDING AGE FRIENDLY COMMUNITIES - SET DATES, SECURED VENUE, CATERERS AND DEVELOPED INVITE LIST YEAR 2: HOLD SERIES OF WORKSHOPS BASED ON A BLEND OF AARP'S ROAD TO LIVABILITY PROGRAM AND NY STATE'S LIVABLE NY PROGRAM WHICH INCORPORATES THE IMPORTANCE OF THE SOCIAL DETERMINANTS OF HEALTH. HOLD FOLLOW-UP MEETINGS WITH APPROPRIATE INTERESTED PARTIES FROM WALTON AREA TO CREATE A COALITION OF COMMUNITY MEMBERS TO PRIORITIZE POTENTIAL AGE FRIENDLY COMMUNITY INITIATIVES; IDENTIFY NEXT STEPS AND IDENTIFY POTENTIAL COMMITTEE MEMBERS TO ADDRESS EACH INITIATIVE. MEASURES: TWO COMMITTEES WILL BE FORMED OR EXISTING COMMITTEES, INTEGRATED INTO ADDRESSING AT LEAST TWO COMPONENTS OF THE AGE FRIENDLY COMMUNITY. RECRUIT AND FORM COMMITTEE(S) OF COMMUNITY RESIDENTS, WHICH IS REPRESENTATIVE OF THE POPULATION AND ALSO INCLUDES APPROPRIATE COMMUNITY BASED ORGANIZATIONS, AGENCIES AND GOVERNMENT ENTITIES TO DEVELOP AN ACTION PLAN AND TIMELINE TO ADDRESS AT LEAST TWO COMPONENTS OF BECOMING AN AGE FRIENDLY COMMUNITY.MEASURES: COMMITTEE OBJECTIVES AND TIMELINES WILL BE DEVELOPED COMMITTEES WILL FORMULATE THEIR RESPECTIVE OBJECTIVES, BASED ON AGE FRIENDLY SERIES AND DEVELOP A WORKPLAN AND CREATE A TIMELINE TO ACHIEVE THOSE OBJECTIVES AND CHOOSE A REPRESENTATIVE TO SIT ON THE COMMUNITY COALITION. MEASURES: BEST PRACTICE, CORE MEASURES AND STAKEHOLDER ROLES WILL BE DETERMINED COMMITTEES WILL REACH CONSENSUS ON BEST PRACTICE INTERVENTIONS, CORE MEASURES AND ROLES OF STAKEHOLDERS YEAR 3: TO BE DETERMINED BASED ON 2020 RESULTS/DECISIONS. OBJECTIVE 1.1.2 INCREASE ACCESSIBILITY OF PHYSICAL ENVIRONMENT BY 5% (BASELINE TO BE SET IN 2020) INTERVENTION: DEVELOP CONSENSUS ON DEVELOPMENT OF WATER STREET THROUGH FLOOD MITIGATION PROJECT AND OTHER FUNDINGMEASURES: ACCESSIBILITY OF PHYSICAL ENVIRONMENT YEAR 1: HELD DISCUSSION WITH TOWN SUPERVISOR, VILLAGE MAYOR, AND PROJECT MANAGER FOR WATER STREET PROJECT, AND CHAMBER OF COMMERCE PRESIDENT TO ASSESS FEASIBILITY OF HAVING AN IMPACT |
| DELAWARE VALLEY HOSPTITAL | PART V, SECTION B, LINE 13H: FEDERAL POVERTY GUIDELINES (FPG) IS USED TO DETERMINE THE FAMILY INCOME LIMIT FOR FREE CARE ELIGIBILITY OF 200%. THE FPG IS NOT USED TO DETERMINE DISCOUNTED CARE ELIGIBILITY. HOWEVER THE FPG IS USED TO DETERMINE THE PERCENTAGE OF DISCOUNTED CARE A PATIENT WILL RECEIVE. |
| PART V, SECTION B, LINE 11: 2019-2021 COMMUNITY SERVICE PLAN (CONTINUED) | ON WATER STREET USE AND DEVELOPMENT. YEAR 2: REVIEW PREVIOUS WALK AUDIT DONE BY RURAL HEALTH GROUP. COMPLETE WALK AUDIT OF WATER STREET AND DELAWARE STREET IN WALTON, NY YEAR 3: TO BE DETERMINED BASED ON 2020 RESULTS/DECISIONS. OBJECTIVE 1.1.3: BY DECEMBER 31, 2021 DECREASE THE % OF ADULTS WHO REPORT FEELING ANXIETY OR FEAR, DEPRESSION OR SADNESS, HELPLESS OR HOPELESS INTERVENTIONS: SURVEY COMMUNITY MEMBERS YEAR 1: DELAWARE COUNTY COMMUNITY SURVEY COMPLETED. QUESTION- IN THE PAST YEAR, HAVE YOU OR SOMEONE CLOSE TO YOU EXPERIENCED ANY OF THE FOLLOWING: RESULTS OF THESE MEASURES INCLUDED: ANXIETY OR FEAR 49.6% - DEPRESSION OR SADNESS 55.5% - FEELING HELPLESS OR HOPELESS 30.56% YEAR 2: FOCUS COMMITTEE WORK ON SOCIALIZATION OPPORTUNITIES TO HELP FOSTER FEELINGS OF WELL-BEING YEAR 3: TO BE DETERMINED BASED ON 2020 RESULTS/DECISIONS. OBJECTIVE 1.1.4 BY DECEMBER 31, 2021 INCREASES THE % OF ADULTS WHO REPORT ONGOING PARTICIPATION IN AT LEAST ONE SOCIALIZATION OPPORTUNITY OTHER THAN WORK. (BASELINE TO BE SET IN 2020) INTERVENTIONS: SURVEY COMMUNITY MEMBERS MEASURES: NUMBER OF PEOPLE PARTICIPATING AT SOCIALIZATION OPPORTUNITIES. YEAR 1: DISCUSSIONS CENTERED ON CORRELATION OF ISOLATION AND FEELINGS YEAR 2: DEVELOP A SURVEY TO GET SENSE OF SOCIALIZATION ACTIVITIES AND PARTICIPATION THROUGHOUT THE COMMUNITY. FOCUS COMMITTEE WORK ON SOCIALIZATION OPPORTUNITIES TO HELP FOSTER FEELINGS OF WELL-BEINGYEAR 3: TO BE DETERMINED BASED ON 2020 RESULTS/DECISIONS DELAWARE VALLEY HOSPITAL STAFF WILL PLAY AN INTEGRAL ROLE, WITH CARE COMPASS NETWORK STAFF TO ENSURE APPROPRIATE STAKEHOLDERS FROM ACROSS THE COUNTY ARE INVITED TO THE VARIOUS AGE-FRIENDLY WORKSHOPS. DVH STAFF WILL ALSO SECURE THE VENUE AND CATERER FOR EACH WORKSHOP. DELAWARE VALLEY STAFF WILL BE THE CATALYST AND CHAMPION TO ENSURE WALTON COMMUNITY STAKEHOLDERS HOLD FOLLOW-UP MEETINGS AND FORMULATE COMMITTEES TO FOCUS ON SPECIFIC INTERVENTIONS, BASED ON THE CONSENSUS OF THE GROUP. DVH WILL MAINTAIN REPRESENTATION ON THE STEERING COMMITTEE AND ANY OTHER SUB-COMMITTEE THAT IS APPROPRIATE. DVH WILL WORK WITH DELAWARE COUNTY MENTAL HEALTH TO CREATE SURVEY OF SOCIALIZATION ACTIVITIES. IF NECESSARY, DVH WILL ASSIST IN PROVIDING SUPPORT IN WRITING ANY GRANT APPLICATIONS. IN ADDITION, DVH WILL CONTINUE TO MEET REGULARLY WITH DELAWARE COUNTY PUBLIC HEALTH STAFF AND STAFF FROM BOTH O'CONNOR HOSPITAL AND MARGARETVILLE HOSPITAL TO CONTINUE DIALOGUE REGARDING OUR ACTIVITIES SO WE CAN IDENTIFY OPPORTUNITIES TO WORK TOGETHER. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - WALTON FAMILY HEALTH CENTER | ||||
| 2 TITUS PLACE | WALTON | NY | 13856 | OUTPATIENT PHYSICIAN CLINIC |
| 2 - DOWNSVILLE FAMILY HEALTH CENTER | ||||
| 28315 STATE HWY 206 | DOWNSVILLE | NY | 13755 | OUTPATIENT PHYSICIAN CLINIC |
| 3 - ROSCOE FAMILY HEALTH CENTER | ||||
| 1982 OLD ROUTE 17 | ROSCOE | NY | 12776 | OUTPATIENT PHYSICIAN CLINIC |
| 4 - PHYSICAL AND OCCUPATIONAL THERAPY | ||||
| 121 STOCKTON AVENUE | WALTON | NY | 13856 | REHABILITATION CLINIC |
| 5 - STATE COMMUNITY PHARMACY | ||||
| 121 STOCKTON AVENUE | WALTON | NY | 13856 | COMMUNITY PHARMACY |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | DELAWARE VALLEY HOSPITAL IS A CRITICAL ACCESS HOSPITAL (CAH) AS DESIGNATED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. UNLIKE NON-CAH'S THAT ARE REIMBURSED BASED ON A PROSPECTIVE REIMBURSEMENT METHODOLOGY, CAH'S ARE REIMBURSED THEIR ALLOWABLE COSTS FOR MEDICARE PURPOSES. THE MEDICARE COST REPORT (CMS 2552) AND THE MEDICAID INSTITUTIONAL COST REPORT (ICR) WAS UTILIZED FOR PURPOSES OF IDENTIFYING COSTS AND NET REVENUE. A. COSTS:I. FYE COSTS AS INDEPENDENTLY AUDITED. NON-ALLOWABLE COSTS (I.E.-PHYSICIANS, ETC.) ARE USED TO REDUCE COSTS TO ARRIVE AT ALLOWABLE COSTS.II. VARIOUS STATISTICAL BASIS ARE USED TO ALLOCATE GENERAL SERVICE COSTS (I.E.-ADMINISTRATION, PLANT OPERATIONS, HOUSEKEEPING, ETC.), VIA A "STEPDOWN" METHODOLOGY TO REVENUE PRODUCING COST CENTERS SUCH AS ANCILLARY COST CENTERS (I.E. - RADIOLOGY, LAB, PHYSICAL THERAPY, ETC.) ROUTINE COST CENTERS (MEDICAL SURGICAL, ETC.) AND OUTPATIENT COST CENTERS (EMERGENCY, CLINIC, ETC.). III. ROUTINE COSTS PER DAY ARE THEN CALCULATED BY DIVIDING DIRECT AND INDIRECT COSTS (STEPDOWN) BY TOTAL DAYS. THIS PER DAY COST CAN THEN BE MULTIPLIED BY PAYOR SPECIFIC DAYS TO ARRIVE AT ROUTINE PAYOR COSTS.IV. ANCILLARY AND OUTPATIENT COSTS RELATED TO SPECIFIC PAYORS CAN BE DETERMINED BASED ON THE RATIO OF COST TO CHARGES (RCC).V. THE RCC IS CALCULATED BY DIVIDING THE DIRECT AND INDIRECT COSTS (STEPDOWN COSTS) BY GROSS CHARGES. THE RCC CAN THEN BE MULTIPLIED BY PAYOR SPECIFIC GROSS CHARGES TO ARRIVE AT PAYOR SPECIFIC COSTS. B. REVENUE: I. MEDICARE: NET REVENUE IS BASED ON DVH'S ALLOWABLE COSTS (INPATIENT AND OUTPATIENT) AND ARE REIMBURSED WITH A 1% MARKUP. II. MEDICAID: NET REVENUE IS BASED ON THE FOLLOWING:A. INPATIENT - A BASE YEAR COST PER DAY TRENDED ANNUALLY FOR INFLATION.B. OUTPATIENT - MEDICAID PUBLISHED RATES.III. OTHER PAYORS: REVENUE IS BASED ON NEGOTIATED RATES OF PAYMENT. |
| PART I, LN 7 COL(F): | DELAWARE VALLEY HOSPITAL REPORTED BAD DEBT EXPENSE IN THE AMOUNT OF $650,664 IN PART IX, LINE 24B. THE AFOREMENTIONED BAD DEBT EXPENSE WAS USED IN THE CALCULATIONS OF SCHEDULE H, PART I, LINES 7A THRU 7K. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | DELAWARE VALLEY HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH ITS MEMBERSHIP AND PARTICIPATION IN THE DELAWARE COUNTY HEALTHCARE ALLIANCE, A COALITION OF HEALTHCARE AND COMMUNITY ORGANIZATIONS THROUGHOUT THE COUNTY. STAFF MEMBERS ALSO SERVE ON THE COMMUNITY AND WELLNESS COMMITTEE OF THE LOCAL SCHOOL. THE HOSPITAL ALSO HAS REPRESENTATION ON THE COUNTY'S EMERGENCY PREPAREDNESS COMMITTEE (BNICER) AND THE COUNTY'S CRITICAL INCIDENT STRESS DEBRIEFING TEAM. WEEKLY NARCOTICS ANONYMOUS MEETINGS CONTINUE TO BE HELD AT THE HOSPITAL AND HOSPITAL STAFF PERFORMS DRUG TESTING COLLECTION FOR THE COUNTY'S DRUG TREATMENT COURT FREE OF CHARGE. THE DELAWARE COUNTY DRUG TREATMENT COURT'S MISSION IS TO HELP CHANGE THE BEHAVIORS OF ADULT NONVIOLENT DRUG AND ALCOHOL USERS THROUGH SUPERVISION AND TREATMENT RATHER THAN JUST SENDING THEM TO JAIL. THE OVERALL GOAL IS TO HELP ADDICTED INDIVIDUALS ACHIEVE LIFELONG RECOVERY AND BECOME RESPONSIBLE AND PRODUCTIVE MEMBERS OF THE COMMUNITY. DELAWARE COUNTY'S SOLID WASTE MANAGEMENT CENTER CONTINUES TO DISTRIBUTE THE BROCHURES, PRINTED COURTESY OF DVH, REGARDING SAFE NEEDLE DISPOSAL. WHEN PATIENTS BRING THEIR USED SHARPS TO THE HOSPITAL FOR DISPOSAL, THEY ARE GIVEN A FREE, APPROPRIATELY SIZED SHARP DISPOSAL CONTAINER. THE HOSPITAL CONTINUED TO SUPPORT THE COMMUNITY HOLIDAY DINNER, THE TOWN'S VETERAN'S CLUB, CHAMBER OF COMMERCE, MUSIC ON THE DELAWARE GROUP, THE LITTLE LEAGUE ORGANIZATION, THE LOCAL TOY BANK DRIVE AND TWO 5K RUNS, THE AMERICAN HEART ASSOCIATION. THE PRESIDENT/CEO OF DELAWARE VALLEY IS AN ACTIVE MEMBER OF THE WALTON LIONS CLUB. THE HOSPITAL CONTROLLER SERVES ON THE BOARD OF THE CULLMAN CENTER, A DAY CARE CENTER IN SIDNEY, NY. OVER THE COURSE OF EACH YEAR, DVH MEMORIALIZES PEOPLE BY DONATING TO NON-PROFIT ORGANIZATIONS RATHER THAN GETTING FLOWERS. IN 2015, THE WALTON MINISTERIAL ASSOCIATION BEGAN A HUNGER WALK TO RAISE MONEY FOR THE LOCAL FOOD BANK AND CHILDREN'S NUTRITION PROGRAMS. DELAWARE VALLEY CONTINUES TO BE THE LEADING SPONSOR OF THE EVENT AND STAFF SERVES ON THE PLANNING COMMITTEE. DVH CONTINUES TO SUPPLY OFFICE SPACE FOR THE RURAL HEALTH NETWORK OF SOUTH CENTRAL NY'S OUTREACH STAFF. THE NETWORK'S MAIN OFFICE IS IN WHITNEY POINT, NY, OVER AN HOUR AWAY FROM DELAWARE COUNTY; ONE OF THEIR TARGET AREAS. BY PROVIDING THEM WITH FREE OFFICE SPACE, THEY HAVE A HOME BASE MORE CENTRALLY LOCATED TO THOSE THEY ARE TRYING TO SERVE. THE ORGANIZATION OFFERS MANY NAVIGATION-TYPE PROGRAMS, MOST ESPECIALLY ACCESS TO TRANSPORTATION SERVICES. THE HOSPITAL ALSO PROVIDES PHONE AND OFFICE SUPPLIES TO THEM, AT NO CHARGE. DVH WAS MADE AWARE THAT AN ORGANIZATION, THE FAMILY RESOURCE NETWORK, WHICH SERVES FAMILIES DEALING WITH DISABILITIES, NEEDED A MORE LOCAL PRIVATE, PLACE FOR THEM TO MEET WITH FAMILIES. THEIR MAIN OFFICE IS LOCATED 45 MINUTES AWAY FROM WALTON AND CLIENTS HAD DIFFICULTY GETTING THERE. DVH HAS AGREED TO LET THEM USE ITS WELLNESS ROOM FOR THOSE MEETINGS. WHEN THE LOCAL EMERGENCY SQUAD NEEDS TO RE-STOCK ITS AMBULANCE, BUT HAS NOT BROUGHT THE PATIENT TO THE HOSPITAL'S ER, THE HOSPITAL RE-STOCKS THE AMBULANCE FREE OF CHARGE. THIS CAN HAPPEN WHEN THE AMBULANCE PERSONNEL HAVE CALLED FOR A HELICOPTER EVACUATION OF THE PATIENT(S) DIRECTLY FROM THE SCENE OF THE INCIDENT. A PATIENT AND FAMILY ADVISORY COMMITTEE WAS STARTED IN 2018. THE GROUP PROVIDES DVH WITH INVALUABLE INSIGHT AS TO HOW A PATIENT INTERPRETS A MULTITUDE OF HEALTHCARE TOPICS AND DVH IS ABLE TO PROVIDE THEM WITH INSIGHT TO SOME OF THE REASONS THAT THINGS ARE DONE THE WAY THEY ARE. DURING 2019, THE GROUP WAS INSTRUMENTAL IN HELPING THE HOSPITAL TO RE-TOOL ITS ADMISSION PACKET, HEALTH HISTORY FORM AND PATIENT EDUCATION MATERIALS. WE ALSO BELIEVE IN ENCOURAGING FAMILY TOGETHERNESS. WE HELD OUR THIRD SANTA EVENT BUT THIS TIME WE ADDED A CRAFT ACTIVITY FOR EACH CHILD TO DO WITH THEIR PARENT. APPROXIMATELY 80 KIDS CAME TO THE EVENT WITH THEIR PARENTS. TO ENCOURAGE YOUNG CHILDREN TO BE SAFE AND NOT TO BE AFRAID OF HEALTHCARE PROVIDERS OR HOSPITALS, DVH HOSTED 165 SECOND GRADERS FROM 5 AREA SCHOOLS AT ITS SECOND TEDDY BEAR CLINIC. THEY LEARNED LESSONS ABOUT SAFETY HELMETS, SEAT BELTS AND POISON AND GOT TO HAVE HANDS-ON EXPERIENCE IN THE ER, RADIOLOGY, AND HELPED CARE FOR OUR MANNEQUIN PATIENT (A BIKE ACCIDENT PATIENT WHO HAD NOT WORN A HELMET). THEY ALSO TOURED AN AMBULANCE, LOOKED INSIDE THE MEDICAL HELICOPTER AND GOT TO MEET AND LEARN ABOUT WHAT A K9 OFFICER AND THEIR DOG DOES.THE PEDIATRICIAN PARTICIPATES IN THE NATIONAL REACH OUT & READ PROGRAM, AND GIVES FREE, AGE-APPROPRIATE BOOKS TO CHILDREN AT EACH WELLNESS VISIT, BEGINNING AT THE AGE OF 6 MONTHS. A FAMILY FUN DAY WAS HELD AND FEATURED A BARBECUE, A "ZOO TO YOU" WHERE CHILDREN COULD LEARN AND TOUCH A VARIETY OF ANIMALS, PARTICIPANTS COULD READ WITH OUR PEDIATRICIAN, RECEIVE A BALLOON ANIMAL, GET SOME TRAIL MIX AND THE RECIPE TO MAKE MORE AT HOME, AND SEE OUR NEW TELEHEALTH TECHNOLOGY. THE COUNTY'S PUBLIC HEALTH NURSING DEPARTMENT PERFORMED CAR SEAT CHECKS AND PROVIDED FREE CAR SEATS TO THOSE WHO NEEDED THEM. HANDWASHING TECHNIQUES WERE TAUGHT, USING A BLACK LIGHT. ADULTS WERE ALSO ABLE TO HAVE FREE BLOOD PRESSURE SCREENINGS. APPROXIMATELY 175 PEOPLE, OF ALL AGES ATTENDED THE EVENT. FINALLY, DVH PARTICIPATED IN THE CHAMBERS' LEAF PEEPING EVENT, OFFERING HEALTH INFORMATION AND SCRATCH DRAWING FOR ALL AGES. |
| PART III, LINE 2: | THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY HAS NOT YET PAID, 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), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF 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 AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. |
| PART III, LINE 3: | THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE IS BASED ON A PERCENTAGE ALLOCATION APPLIED TO THE TOTAL BAD DEBT EXPENSE REPORTED ON THE AUDITED FINANCIAL STATEMENTS. THE PERCENTAGE CALCULATION COMPARED THE 2019 ACTUAL BAD DEBT WRITE-OFFS RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE TO THE TOTAL 2019 ACTUAL BAD DEBT WRITE-OFFS. THIS CALCULATION DID NOT INCLUDE ESTIMATES OR ACCRUALS. IN 2019, THE WRITE-OFFS RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WAS APPROXIMATELY 57.7% OF THE TOTAL BAD DEBT WRITE-OFFS. |
| PART III, LINE 4: | AN ALLOWANCE FOR DOUBTFUL ACCOUNTS RECEIVABLE IS ESTIMATED BY MANAGEMENT BASED ON PERIODIC REVIEWS OF THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE CONSIDERING HISTORICAL EXPERIENCE AND PREVAILING ECONOMIC CONDITIONS. PLEASE REFER TO FOOTNOTE 1, PAGE 8 OF THE AUDITED FINANCIAL STATEMENTS FOR ADDITIONAL INFORMATION. |
| PART III, LINE 8: | BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE. THE HOSPITAL HAS A POLICY TO PROVIDE A COMMUNITY BENEFIT TO UNINSURED PATIENTS THAT CONSISTS OF FEE DISCOUNTS. CERTAIN PATIENTS THAT WERE PROVIDED FEE DISCOUNTS WOULD HAVE LIKELY QUALIFIED UNDER THE CHARITY CARE POLICY. DELAWARE VALLEY HOSPITAL USES THE COST TO CHARGE RATIO METHODOLOGY UTILIZING AMOUNTS FROM THE 2019 MEDICARE COST REPORT FOR ALL PERTINENT CALCULATIONS IN PART III, LINE 6. |
| PART III, LINE 9B: | UHS HOSPITALS POLICY CLEARLY STATES THAT THE FORCED SALE OR FORECLOSURE OF A PATIENT'S PRIMARY RESIDENCE, LIQUIDATION OF RETIREMENT ASSETS OR COLLEGE SAVINGS, AND THE SALE OF A CAR USED REGULARLY ARE NOT PERMITTED. THE POLICY ALSO PROHIBITS COLLECTION FROM PATIENTS WHO ARE DETERMINED TO BE ELIGIBLE FOR MEDICAID AT THE TIME OF SERVICE.UHS HOSPITALS REFRAINS FROM SENDING AN ACCOUNT TO COLLECTION AGENCIES IF A COMPLETED FINANCIAL ASSISTANCE APPLICATION AND THE REQUIRED DOCUMENTATION ARE PROVIDED. UHS HOSPITALS PROVIDES WRITTEN NOTICE NO LESS THAN 30 DAYS PRIOR TO REFERRING DEBTS TO COLLECTION AGENCIES AND WILL REFRAIN FROM INITIATING ANY EXTRAORDINARY COLLECTION ACTS FOR AT LEAST 120 DAYS FROM THE DATE OF THE FIRST DISCHARGE BILLING STATEMENT. UHS HOSPITALS ALSO REQUIRES THAT COLLECTION AGENCIES FOLLOW THE FINANCIAL ASSISTANCE POLICY GUIDELINES AND MUST RECEIVE WRITTEN CONSENT FROM UHSH BEFORE COMMENCING LEGAL ACTION. |
| PART VI, LINE 2: | RECRUITMENT OF HEALTHCARE PROFESSIONALS IS ALWAYS A CHALLENGE, ESPECIALLY IN OUR RURAL AREA. DELAWARE VALLEY HOSPITAL (DVH) AND ITS 3 PRIMARY CARE CENTERS MAINTAIN THEIR STANDING AS APPROVED SITES FOR PROFESSIONALS SEEKING ASSISTANCE THROUGH THE NATIONAL HEALTH SERVICE CORPS. THE HOSPITAL ALSO HOSTS BOTH RN AND CNA STUDENTS, FROM OUR LOCAL COLLEGE, (SUNY DELHI) AND BOARD OF COOPERATIVE EDUCATIONAL SERVICES (BOCES). DVH'S CERTIFIED DIETITIAN/NUTRITIONIST HELD ONE SPECIAL PROGRAM FOR SUNY NURSING STUDENTS REGARDING DIABETES. SIX DVH RNS SERVE AS MENTORS TO SUNY DELHI RN TO BSN STUDENTS. A NURSE PRACTITIONER STUDENT SHADOWED ONE OF THE FAMILY MEDICINE PHYSICIANS. ONE OF THE HOSPITAL'S ADDICTION TREATMENT NURSES PRESENTED A PROGRAM REGARDING THE BARRIERS AND CHALLENGES TO CARING FOR RURAL ADDICTION PATIENTS. THIS WAS IMPORTANT BECAUSE THE NURSING PROFESSORS RECOGNIZED THAT MANY, IF NOT MOST OF THEIR STUDENTS ARE FROM URBAN OR SUBURBAN AREAS AND HAVE NO CONCEPT OF RURAL LIFE AND CHALLENGES. A VERY SUCCESSFUL MASH CAMP IS HELD DURING THE YEAR TO PROVIDE AN OPPORTUNITY FOR HIGH SCHOOL STUDENTS TO LEARN ABOUT HEALTHCARE CAREERS AND ENCOURAGE THEM TO PRACTICE IN OUR RURAL COMMUNITY. IN 2019, 29 STUDENTS ATTENDED OVER A TWO DAY PERIOD. ONE OF THE ER PHYSICIAN ASSISTANTS ATTENDED A CAREER DAY AT AN AREA HIGH SCHOOL. FINALLY, THE DELAWARE COUNTY CHAMBER OF COMMERCE SPONSORS A LEADERSHIP DELAWARE PROGRAM FOR MEN AND WOMEN JUST BEGINNING THEIR CAREERS. THE PROGRAM WAS DEVELOPED TO GIVE THEM A WELL-ROUNDED VIEW OF THE SUCCESSES, CHALLENGES AND SOLUTIONS THAT A WIDE VARIETY OF BUSINESSES FACE. DELAWARE VALLEY HOSTED THIS GROUP TO MAKE THEM MORE AWARE OF HEALTHCARE IN THE AREA.THROUGHOUT 2019, THE HOSPITAL CONTINUED TO WORK HAND IN HAND WITH THE DELAWARE COUNTY PUBLIC HEALTH DEPARTMENT, O'CONNOR HOSPITAL AND MARGARETVILLE MEMORIAL HOSPITAL TO DEVELOP THE NEW COMMUNITY HEALTH NEEDS ASSESSMENT AND OUR INDIVIDUAL COMMUNITY SERVICE PLANS. STAFF FROM THE RURAL HEALTH NETWORK OF SOUTH CENTRAL NY AIDED US BY RESEARCHING AREA DEMOGRAPHICS AND COMPILING THE REPORT. THE NEW NEEDS ASSESSMENT AND COMMUNITY SERVICE PLAN ARE LOCATED AT HTTPS://WWW.NYUHS.ORG/WHY-CHOOSE-US/COMMUNITY-SERVICE-REPORTS. A NEW FOUNDATION WAS CREATED IN WALTON NY THAT FOCUSES ON HOSTING "RETREATS FOR GROUPS SEEKING RENEWAL, LEARNING, AND GROWTH." ITS RESTORATIVE CARE PROGRAMS AND OFFERINGS ARE MEANT FOR GROUPS WHOSE MISSION IS TO SERVE OTHERS, INCLUDING HEALTH CARE PROVIDERS, EDUCATORS, FIRST RESPONDERS AND SOCIAL SERVICE PROVIDERS. DVH STAFF SPENT TIME HELPING TO INTRODUCE THEIR NEW-TO-THE-AREA STAFF TO OTHER SERVICE AGENCY STAFF AND PROVIDING THEM WITH CONTACT NAMES AND IDEAS FOR WAYS TO CARRY OUT SOME OF THEIR OBJECTIVES. MENTAL HEALTH AND SUBSTANCE USE HAVE BEEN IDENTIFIED IN THE NEEDS ASSESSMENT AS A PRIORITY. IN 2019, MEETINGS CONTINUED WITH ORGANIZATIONS AND ENTITIES THAT ADDRESS MENTAL, EMOTIONAL, AND BEHAVIORAL HEALTH, AS WELL AS SUBSTANCE ABUSE. THE DIRECTOR OF COMMUNITY RELATIONS SITS ON A SUB-COMMITTEE OF THE COUNTY'S COMMUNITY SERVICE DEPARTMENT, FOCUSED ON MENTAL HEALTH. THE MOST CHALLENGING BARRIER IN ACCESSING CARE IS THE LACK OF PROVIDERS TO CARE FOR THESE PATIENTS. IN 2017, DVH BEGAN A TELE PSYCHIATRY PROGRAM WITH A PRIVATE PRACTICE PSYCHIATRIST. UNFORTUNATELY, DUE TO THE PHYSICIAN'S LIMITED PARTICIPATION WITH INSURANCE CARRIERS, MANY PATIENTS IN NEED COULD NOT BE REFERRED. IN 2018, DVH WAS ABLE TO CONTRACT WITH AN OUTSIDE VENDOR TO BEGIN A TELE-MENTAL HEALTH PROGRAM. THE PROGRAM OFFICIALLY BEGAN IN JANUARY, 2019 AND A NPP AND LCSW ARE AVAILABLE TO SEE PATIENTS THROUGH THIS TECHNOLOGY. IN 2019 DVH HOSTED BUPRENORPHINE TRAINING AND THE HOSPITAL'S VISITING PAIN MANAGEMENT CHIROPRACTOR HELD AN EDUCATION NIGHT FOR AREA CHIROPRACTORS SO THEY COULD UNDERSTAND THE ROLE THEY PLAY IN PAIN MANAGEMENT. THE HOSPITAL'S CERTIFIED ADDICTION TREATMENT RN SPOKE WITH NURSING STUDENTS AT HARTWICK COLLEGE REGARDING THE CHALLENGES FACED BY RURAL PROVIDERS IN PROVIDING CARE TO SUBSTANCE USE PATIENTS. THE HOSPITAL CONTINUES TO SERVE AS THE COLLECTION SITE FOR URINE SPECIMENS FOR THE COUNTY'S DRUG COURT.A SECOND NEED IS FOR CHRONIC DISEASE MANAGEMENT AND PREVENTION. THE HOSPITAL HAS 3 STAFF MEMBERS TRAINED TO OFFER THE PROGRAM. IN 2019, TWO PROGRAMS WERE OFFERED TO THE PUBLIC: ONE IN THE SPRING AND ONE IN THE FALL. HOWEVER, ONLY THE SPRING SESSIONS WERE COMPLETED. THERE WAS NOT ENOUGH INTEREST TO HOLD THE AUTUMN SESSION. THE HOSPITAL CONTINUED ITS LUNG MATTERS PROGRAM FOR PATIENTS DIAGNOSED WITH LUNG CONDITIONS. IN 2019, DVH SPONSORED CHAIR YOGA FOR THESE AND CARDIAC/PULMONARY REHABILITATION PATIENTS. BECAUSE NUTRITION PLAYS A HUGE ROLE IN THE HEALTH OF COMMUNITY MEMBERS, THE HOSPITAL'S DIETITIAN/NUTRITIONIST WORKED IN CONJUNCTION WITH THE RURAL HEALTH NETWORK OF SOUTH CENTRAL NY TO PROVIDE 20 PATIENTS WITH COMPLIMENTARY DIETARY COUNSELING AS THEY PROGRESSED THROUGH THE COOPERATIVE EXTENSION'S FRUIT & VEGETABLE PROGRAM. THE HOSPITAL ALSO ACTIVELY PARTICIPATES IN THE UHS PPS FOR THE DSRIP PROGRAM, NOW CALLED CARE COMPASS NETWORK. THE COMMUNITY RELATIONS DIRECTOR IS ACTIVELY INVOLVED IN THE ORGANIZATION'S EASTERN REGIONAL PERFORMANCE GROUP MEETINGS.THE HOSPITAL RECOGNIZED THAT UNLESS IT IS ABLE TO ENGAGE THE COMMUNITY IN CONVERSATIONS ABOUT MANY OF THE SOCIAL DETERMINANTS OF HEALTH, A LOT OF PROGRESS CANNOT BE MADE IN THE HEALTH AND WELL-BEING OF COMMUNITY MEMBERS. RESEARCH LED TO THE AARP AGE FRIENDLY LIVABLE COMMUNITY PROGRAM, WHICH IS GEARED TO ALL AGES. WORKING WITH THE CARE COMPASS NETWORK, WHICH AGREED TO FUND AN EVENT, LEADERS FROM AROUND THE COUNTY WERE INVITED TO ATTEND A DAY-LONG PROGRAM FEATURING NATIONALLY RENOWNED SPEAKER, ESTHER GREENHOUSE, WHO IS CONSIDERED AN EXPERT ON AGING IN PLACE. KAT FISHER FROM THE REGIONAL AARP OFFICE SPOKE ABOUT AARP'S PROGRAM. INVITATIONS WERE SENT TO LEADERS IN VARIOUS GOVERNMENT AGENCIES, SERVICE ORGANIZATIONS, SCHOOLS, CHURCHES AND COMMUNITY MEMBERS. THE PROGRAM WAS SCHEDULED FOR LATE JANUARY, 2020. |
| PART VI, LINE 3: | DELAWARE VALLEY HOSPITAL IS COMMITTED TO PROVIDING OUR PATIENTS THE KNOWLEDGE THAT WE OFFER FINANCIAL ASSISTANCE. EACH PATIENT CARE REGISTRATION AREA HAS SIGNS TELLING THE PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE TO THEM. THERE ARE ALSO BROCHURES REGARDING THE PROGRAM THROUGHOUT THE HOSPITAL'S FACILITIES AND THE INFORMATION IS ALSO POSTED ON THE WEBSITE. IF NEEDED, TRANSLATION SERVICES ARE AVAILABLE. A FINANCIAL ASSISTANCE HELP LINE IS ALSO AVAILABLE AND ADVERTISED ON ALL BILLINGS. IN 2015, THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY CHANGED TO PROVIDE ALL SELF-PAY PATIENTS AN AUTOMATIC 35% DISCOUNT AT THE TIME OF SERVICE. IF FURTHER ASSISTANCE IS NEEDED, THE PATIENT APPLIES THROUGH THE FINANCIAL ASSISTANCE PROGRAM. DELAWARE VALLEY ALSO OFFERS PATIENTS EASY ACCESS TO A FIDELIS REPRESENTATIVE, BY PROVIDING A SITE FOR THEM TO INTERVIEW AND ENROLL RESIDENTS IN THEIR MEDICAID MANAGED CARE PRODUCT. FIDELIS IS THE ONLY PROVIDER OF THESE SERVICES FOR DELAWARE COUNTY. |
| PART VI, LINE 4: | DELAWARE VALLEY HOSPITAL'S SERVICE AREA IS CENTERED IN DELAWARE COUNTY. USING PERCENTAGES, BASED ON THE NUMBERS OF UNIQUE PATIENTS UTILIZING OUR PRIMARY CARE SITES IN 2019, (AS THAT IS WHERE THE HIGHEST UTILIZATION OCCURS) THE PRIMARY SERVICE AREA ENCOMPASSES WALTON, DOWNSVILLE, ROSCOE, SIDNEY CENTER, DELHI, HAMDEN, EAST BRANCH AND HANCOCK. THE PRIMARY SERVICE AREA REFLECTS WHERE 80% OF OUR PATIENTS RESIDE. THE SECONDARY SERVICE AREA CONSISTS OF THE COMMUNITIES WHERE THE NEXT 10% OF OUR PATIENTS RESIDE. THOSE COMMUNITIES INCLUDE: SIDNEY, UNADILLA, DELANCEY, LIVINGSTON MANOR, FRANKLIN, BAINBRIDGE AND ONEONTA. DELAWARE COUNTY IS LOCATED ON THE WESTERN EDGE OF THE CATSKILL MOUNTAINS IN RURAL, UPSTATE NEW YORK. ENCOMPASSING 1446.37 SQUARE MILES, THE COUNTY'S SIZE APPROXIMATES THAT OF RHODE ISLAND AND IS THE FOURTH LARGEST OF NEW YORK STATE'S 62 COUNTIES. IN FACT, ITS SIZE IS SO GREAT THAT, SEVEN COUNTIES AND THE STATE OF PENNSYLVANIA BORDER DELAWARE COUNTY. IT ALSO RANKS AS THE SIXTH MOST RURAL COUNTY IN THE STATE WITH JUST 33 PERSONS PER SQUARE MILE. ITS TOPOGRAPHY IS CHARACTERIZED BY WINDING, AND TWISTING, TWO-LANE ROADS THAT TRANSVERSE A MOUNTAINOUS TERRAIN, MAKING TRAVEL CHALLENGING, ESPECIALLY DURING THE WINTER MONTHS. TRANSPORTATION IS AN EXTREMELY CHALLENGING BARRIER TO PROVIDING PATIENT CARE. THE AREA DOES NOT HAVE PUBLIC TRANSPORTATION AND WHILE RECENTLY SOME PRIVATE TRANSPORTATION SERVICES HAVE BEGUN, THEY ARE GENERALLY TOO COST PROHIBITIVE FOR MANY TO ACCESS.THE COUNTY IS HOME TO TWO OF THE STATE'S LARGEST RESERVOIRS IN THE NEW YORK CITY WATERSHED, WHICH HAS THE LARGEST UNFILTERED DRINKING WATER SUPPLY IN THE UNITED STATES. APPROXIMATELY 55% OF DELAWARE COUNTY'S POPULATION LIES WITHIN THE WATERSHED. NEW YORK CITY HAS WORKED TO PRESERVE AND SAFEGUARD THE WATERSHED FROM ENVIRONMENTAL DEGRADATION BY MEANS OF RESTRICTIONS AND REGULATIONS ON LAND USE WITHIN AND SURROUNDING THE WATERSHED. THE INITIAL IMPACT OF THE WATERSHED ON DELAWARE COUNTY HAS BEEN TO LIMIT ECONOMIC DEVELOPMENT WHICH PREVENTS EXPANSION OF THE TAX BASE. BECAUSE OF THE ENVIRONMENTAL ECOSYSTEM OF THE WATERSHED, THERE HAVE BEEN STRICT REGULATIONS PERTAINING TO AGRICULTURAL POLLUTION AND BUILDING CONSTRUCTION. MANY PROPERTIES HAVE BEEN PURCHASED BY NYC, TO FURTHER PROTECT ITS WATERSHED. LIMITING INFRASTRUCTURE GROWTH RESULTS IN DECREASED EMPLOYMENT OPPORTUNITIES. THESE UNIQUE CIRCUMSTANCES RESULT IN HEALTH CARE RELATED CHALLENGES FOR THE COUNTY RESIDENTS. THESE LIMITATIONS ALSO IMPACT THE LOCAL HEALTH AND SOCIAL SERVICE AGENCIES AND ORGANIZATIONS AND THE DELIVERY OF CARE AND SERVICES.THESE LIMITATIONS HAVE CAUSED RESIDENTS TO SEEK ALTERNATIVES TO STIMULATE ECONOMIC GROWTH. DELAWARE COUNTY FARMERS HAVE STARTED SPECIALTY INDUSTRIES. THIS IS REFLECTED IN THE INCREASED NUMBER OF SPECIALTY FARMS. OTHER ECONOMIC DEVELOPMENTS ARE TAKING THE FORM OF TOURISM (E.G. BED AND BREAKFAST), RECREATIONAL FACILITIES COMPATIBLE WITH THE ENVIRONMENT (E.G. GOLF, SKIING, HIKING, HUNTING AND FISHING), LOW POLLUTION FARMING, AND PROFESSIONAL/BUSINESS SERVICES COMPANIES.THE MEDIAN AGE FOR MALES IS 46.5 AND FOR FEMALES IS 47.6 IN DELAWARE COUNTY, WHILE 38.8% ARE AGE 55 AND OVER, AND 22.77% OF THOSE ARE 65 YEARS AND OVER. THIS IS AN INCREASE OF 3.8% IN THE 55 YEARS AND OVER POPULATION, WHILE THE 65 AND OVER HAS INCREASED BY ALMOST 3%. 96.3% OF THE POPULATIONS ARE CAUCASIAN, SO THERE IS LITTLE ETHNIC DISPARITY. THE MEDIAN FAMILY INCOME IS $ 44,617 AND APPROXIMATELY 16.5% OF THE POPULATION LIVES IN POVERTY, WHICH IS AN INCREASE OF 2.5%. ACCORDING TO THE 2013-2017 AMERICAN COMMUNITY SURVEY BY THE U.S. CENSUS BUREAU THE PERCENTAGE OF RELATED CHILDREN LIVING BELOW THE POVERTY LEVEL WITH A FEMALE HEAD OF HOUSEHOLD, WITH NO HUSBAND PRESENT HAS DROPPED DRAMATICALLY TO 32.8% FROM 66.7% FOR CHILDREN UNDER 5 YEARS OF AGE IN DELAWARE COUNTY. THIS IS NOW BELOW THE NEW YORK AND UNITED STATES COMPARISONS OF 37.7% AND 43.7% RESPECTIVELY. |
| PART VI, LINE 5: | DELAWARE VALLEY HOSPITAL, A CRITICAL ACCESS HOSPITAL, PROMOTES COMMUNITY HEALTH THROUGH ITS ONGOING EFFORTS TO PROVIDE THOSE SERVICES MOST OFTEN UTILIZED BY THOSE IT SERVES. ITS INPATIENT SERVICES INCLUDE ACUTE CARE FOR THOSE PATIENTS REQUIRING 96 HOURS OR LESS OF HOSPITALIZATION; LONGER TERM REHABILITATIVE CARE FOR THOSE NEEDING TIME TO GAIN STRENGTH OR STAMINA AFTER A DEBILITATING ILLNESS OR INJURY OR A SURGICAL PROCEDURE; AND INPATIENT ADDICTION TREATMENT. THE HOSPITAL ALSO PROVIDES 24-HOUR EMERGENCY CARE. DIAGNOSTIC SERVICES INCLUDE LABORATORY, CARDIOPULMONARY, AND IMAGING SERVICES. THE HOSPITAL HAS THE CAPABILITY OF PERFORMING PULMONARY FUNCTION TESTING, EKGS, CARDIAC STRESS TESTING, AND PLACING HOLTER AND EVENT MONITORS. IN THE IMAGING CENTER X-RAY, MAMMOGRAPHY, BONE DENSITOMETRY, ULTRASOUND, ECHOCARDIOGRAMS, AND CT SCANS ARE PERFORMED. A MOBILE MRI SERVICE IS AVAILABLE WEEKLY. ITS OUTPATIENT REHABILITATION DEPARTMENT OFFERS PHYSICAL AND OCCUPATIONAL THERAPY, AND CARDIAC AND PULMONARY REHABILITATION PROGRAMS ARE ALSO IN PLACE. THROUGH ITS THREE PRIMARY CARE OFFICES LOCATED IN WALTON, DOWNSVILLE, AND ROSCOE, NY PATIENTS OF ALL AGES CAN RECEIVE ACUTE AND PREVENTIVE CARE, AS WELL AS CHRONIC DISEASE MANAGEMENT. OCCUPATIONAL HEALTH SERVICES INCLUDE PRE-EMPLOYMENT AND DOT PHYSICALS, IMMUNIZATIONS, DRUG TESTING, AND ANNUAL PHYSICALS FOR FIRE DEPARTMENT MEMBERS. VISITING SPECIALISTS INCLUDE A GENERAL SURGEON, CARDIOLOGIST, PODIATRIST AND THREE PAIN MANAGEMENT PROVIDERS: A PHYSICIAN, PHYSICIAN ASSISTANT AND A CHIROPRACTOR.THE PAIN MANAGEMENT CLINIC BEGAN TO HELP PATIENTS UTILIZE ALTERNATIVE TREATMENT METHODS RATHER THAN USING OPIOIDS. THE CLINIC IS HELD THREE DAYS PER MONTH. DELAWARE VALLEY HOSPITAL'S CERTIFIED DIETICIAN/NUTRITIONIST OFFERED A VARIETY OF PROGRAMS TO SEVERAL GROUPS: THE HAMDEN SENIOR CITIZENS CLUB, A LOCAL WOMEN'S GROUP AND THE DELAWARE COUNTY RETIRED TEACHERS. SHE AND OUR RN CARE COORDINATOR PARTNERED WITH THE RURAL HEALTH NETWORK OF SOUTH CENTRAL NY TO WORK WITH THEIR CLIENTS WHO WERE ELIGIBLE FOR THE FRUIT AND VEGGIE VOUCHER PROGRAM. THE DIETITIAN AND FOOD SERVICE MANAGER EVEN HELD A CELEBRATORY EVENT AT THE END OF THE YEAR; MAKING A HEALTHY SOUP AND SALAD DINNER FOR ALL OF THE PARTICIPANTS. SHE ALSO ATTENDED THE LOCAL FARMER'S MARKET TO ANSWER QUESTIONS AND PROVIDE NUTRITION INFORMATION. THE HOSPITAL CONTINUED ITS ANNUAL PRESENCE AT THE WEEK-LONG DELAWARE COUNTY FAIR. DURING THE WEEK, THE HOSPITAL STAFF PROVIDED LOTS OF HEALTH, NUTRITION AND PHYSICAL ACTIVITY INFORMATION TO FAIRGOERS, AND AT LEAST 551 BLOOD PRESSURES WERE TAKEN; AND AT 411 PARTICIPATED IN THE NUTRITION, PHYSICAL ACTIVITY GAME, WHICH WAS OVER 100 ADDITIONAL BLOOD PRESSURE CHECKS, AND OVER 300 MORE INTERACTIONS WITH THE GAME. 35 EMPLOYEES SPENT A TOTAL OF 339 HOURS EITHER PLANNING OR MANNING THE BOOTH AT THE 6-DAY LONG EVENT.IN 2017, SEVERAL ADDITIONAL WELLNESS INITIATIVES BEGAN. TWO STAFF COMPLETED THE AMERICAN CANCER SOCIETY'S FRESH START TOBACCO CESSATION PROGRAM TRAINING. THEY WENT ON TO HOLD THREE 4 WEEK PROGRAMS IN 2017. IN 2018 ONLY ONE CLASS HAD ANY PARTICIPANTS. FOR 2019, DVH WAS GOING TO TRY AND COORDINATE THIS PROGRAM IN CONJUNCTION WITH UHS STAY HEALTHY CENTER AND OFFER IT THROUGH LIVE, INTERACTIVE VIDEOCONFERENCING. HOWEVER, UHS STAFF THAT WERE TRAINED MODERATORS LEFT THE ORGANIZATION SO NO CLASSES WERE HELD. THE HOSPITAL CONTINUED ITS LUNG MATTERS GROUP FOR PATIENTS AND CAREGIVERS DEALING WITH LUNG CONDITIONS. THE GROUP MEETS MONTHLY AND IS MANAGED BY THE HOSPITAL'S CARDIOPULMONARY REHABILITATION NURSE. SHE HAS ALSO INCLUDED HARMONICA PLAYING INTO THE MEETINGS, WHICH IS A HELPFUL TOOL IN BETTER BREATHING. DVH SUPPLIES THE HARMONICAS TO THE PARTICIPANTS FREE OF CHARGE. IN 2019, THE HOSPITAL SPONSORED CHAIR YOGA SPECIFICALLY FOR THESE PATIENTS AND THOSE WHO WERE IN CARDIAC OR PULMONARY REHABILITATION. OVER THE COURSE OF 12 WEEKS, 8 PEOPLE PARTICIPATED.IN 2017, THREE STAFF MEMBERS WERE TRAINED TO OFFER THE STANFORD UNIVERSITY, EVIDENCED-BASED CHRONIC DISEASE SELF-MANAGEMENT PROGRAM. MARKETED AS, HAPPY HEALTHY AND WISE WORKSHOPS, THREE PROGRAMS WERE OFFERED IN 2017. THE PROGRAM IS GIVEN 2 HOURS A WEEK, FOR SIX WEEKS. IT FEATURES A "TOOLBOX" OF STRATEGIES PARTICIPANTS CAN USE TO HELP MANAGE THEIR CONDITIONS MORE SUCCESSFULLY. THE "TOOLBOX" INCLUDES PROBLEM-SOLVING, ACTION PLANNING, COMMUNICATION, UNDERSTANDING EMOTIONS, WEIGHT MANAGEMENT AND HEALTHY EATING, USING YOUR MIND, SLEEP, PHYSICAL ACTIVITY, MEDICATION MANAGEMENT, DECISION MAKING, BETTER BREATHING AND WORKING WITH HEALTH PROFESSIONALS' STRATEGIES. IN 2019, ANOTHER STAFF MEMBER WAS TRAINED AS A PEER LEADER. TWO PROGRAMS WERE HELD IN 2019, WITH 7 ATTENDING AND COMPLETING THE PROGRAM.STAFF PARTICIPATED IN THE AMERICAN HEART ASSOCIATION'S GO RED FOR WOMEN EVENT AND HEART WALK, AND THE DELAWARE COUNTY SENIOR PICNIC WHERE NUTRITION AND PHYSICAL ACTIVITY WAS THE HIGHLIGHT.AN OPEN HOUSE WAS HELD AT THE ROSCOE CENTRAL SCHOOL WHERE PARTICIPANTS PLAYED A NUTRITION AND PHYSICAL ACTIVITY GAME. |
| PART VI, LINE 6: | DELAWARE VALLEY HOSPITAL, INC. IS AN IMPORTANT MEMBER OF A LARGER SYSTEM OF INTEGRATED DELIVERY OF CARE, WHICH PROVIDES ADDITIONAL BENEFITS TO THE COMMUNITY. AS A RESULT OF THE FORMATION OF UHS IN 1981 AND THE SUBSEQUENT TRANSFORMATION OF THE COMBINED ORGANIZATIONS INTO A HEALTH CARE SYSTEM, OUR REGION TODAY OFFERS MORE COMPLETE AND ADVANCED CARE THAN MANY COMMUNITIES FIVE TIMES OUR SIZE. DVH PARTICIPATES IN THE UNITED HEALTH SERVICES SYSTEM STRATEGIC PLANNING PROCESS. CONSISTENT WITH THE MISSION AND VISION, THE PLAN FOCUSES ON CONTINUING TO STRENGTHEN THE HEALTH SYSTEM AND ITS SERVICES TO THE REGION. THE STRATEGIC PLAN IS ORGANIZED AROUND THREE OBJECTIVES: IMPROVE OUR CARE, MANAGE OUR COSTS, AND GROW OUR MARKET SHARE. SPECIFIC DESTINATION METRICS OR MEASURES OF SUCCESS WERE DEVELOPED FOR EACH STRATEGIC OBJECTIVE AND DVH FURTHER DEVELOPS OBJECTIVES AS THEY RELATE TO THE HOSPITAL'S SERVICES AND THE NEEDS OF IT PATIENTS. THE SPECIFIC INITIATIVES SUPPORTING ACHIEVEMENT OF THE OBJECTIVES ARE REVIEWED ON A REGULAR BASIS. EACH ENTITY CARRIES OUT INITIATIVES BOTH LOCALLY AND REGIONALLY. THE DVH COMMUNITY SERVICE REPORT IS INCLUDED WITH THE DELAWARE COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT, ALONG WITH THE COMMUNITY SERVICE PLANS OF O'CONNOR HOSPITAL, TRI-TOWN REGIONAL HOSPITAL, AND MARGARETVILLE HOSPITAL, ALL IN ONE DOCUMENT.CLINICAL EXCELLENCE: UHS IS FOCUSED ON BUILDING UPON PREVIOUS EFFORTS THAT ESTABLISHED A CONSISTENT SYSTEM-WIDE FOCUS FOR EVALUATING AND ASSURING EXCELLENCE IN THE DELIVERY OF CLINICAL CARE. UHS IS FOCUSED ON THE DEVELOPMENT OF A COMPREHENSIVE OUTPATIENT CARE MODEL, IMPLEMENTATION OF ELECTRONIC MEDICAL RECORDS TO SUPPORT SERVICE QUALITY AND EXCELLENCE, IMPLEMENTATION OF A MULTI-YEAR PROVIDER RECRUITMENT AND RETENTION STRATEGY, ORGANIZE UHS PROVIDERS TO ACCOMMODATE FUTURE PAYMENT METHODOLOGIES, ALONG WITH THE DEVELOPMENT OF A TALENT MANAGEMENT INITIATIVE TO REALIZE THE LONG TERM STRATEGY FOR A SUSTAINABLE WORKFORCE. |
| 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 |
| 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 (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN CARRIGG | ||||||||||||||
| BOARD MEMBER/VICE CHAIR | $0 | $792,683 | $0 | $162,977 | $0 | $10,284 | $0 | $19,000 | $0 | $20,637 | $0 | $1,005,581 | $0 | $0 |
| DR MICHAEL FREEMAN | ||||||||||||||
| BOARD MEMBER/MEDICAL STAFF PRESIDENT | $231,188 | $0 | $5,085 | $0 | $0 | $0 | $12,279 | $0 | $27,314 | $0 | $275,866 | $0 | $0 | $0 |
| PAUL SUMMERS | ||||||||||||||
| BOARD MEMBER/PRESIDENT/CEO | $209,126 | $0 | $31,029 | $0 | $0 | $0 | $8,007 | $0 | $15,666 | $0 | $263,828 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6 | THE EXECUTIVE COMPENSATION INCENTIVE PLAN HAS VARIOUS PERFORMANCE MEASURES WHICH INCLUDE ONES FOR CLINICAL EXCELLENCE, MARKET GROWTH, AND FINANCIAL STRENGTH. ONE MEASURE UNDER THE FINANCIAL STRENGTH HEADING IS THE COMBINED NET INCOME OF THE UNITED HEALTH SERVICES SYSTEM. A PORTION OF THE 2019 INCENTIVE COMPENSATION PAYMENTS WERE ATTRIBUTABLE TO MEETING THE COMBINED NET INCOME, PATIENT SAFETY, AND QUALITY GOALS. |
| FORM 990, PART VII, SECTION A, LINE 5, UNRELATED PARTY DETAIL: | INDIVIDUAL: MICHAEL FREEMAN, MEDICAL STAFF PRESIDENT COMPENSATION RECEIVED FROM UNRELATED ORGANIZATION: UNITED MEDICAL ASSOCIATES (UMA) COMPENSATION: WAGES & NON-TAXABLE BENEFITS $275,866. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COUNTY OF DELAWARE INDUSTRIAL DEVELOPMENT AGENCY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 161137407 | BondIssuerEIN |
| CUSIP | 245867AA4 | CUSIPNum |
| Bond Issued | 2007-06-29 | BondIssuedDt |
| Issue Price | $5,805,000 | IssuePriceAmt |
| Purpose | CONSTRUCTION OF NEW ER/IMAGING CENTER; REFINANCE HOSPITAL MORTGAGE | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $5,805,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $250,826 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $5,554,174 | CapitalExpendituresAmt |
| Substantial Completion | 2008 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | 0 | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | Yes (1) | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | Yes (1) | Form8038TFiledInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| MICHAEL LAYTON | |||
| BROTHER-IN-LAW OF DEBORAH HITT, V.P. QUALITY/SUPPORT SERVICES | $66,778 | EMPLOYEE WAGES | 0 |
| BONNIE CRAIG | |||
| SISTER OF DEBORAH HITT, V.P. QUALITY/SUPPORT SERVICES | $39,657 | EMPLOYEE WAGES | 0 |
| MILA KATANIC-TUCKER | |||
| STEP DAUGHTER OF EDWARD SNOW, BOARD OF DIRECTORS | $29,446 | EMPLOYEE WAGES | 0 |
| NANCY VOLLKOMMER | |||
| SISTER-IN-LAW OF VICKI CONKLING, V.P. NURSING ADMIN./CNO | $32,900 | EMPLOYEE WAGES | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS UNITED HEALTH SERVICES, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | UHS, INC., THE ORGANIZATION'S SOLE CORPORATE MEMBER, APPOINTS THE VOTING BOARD MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 PREPARATION AND FILING IS THE RESPONSIBILITY OF THE DELAWARE VALLEY HOSPITAL, INC. (DVH) BOARD OF DIRECTORS WHO DELEGATES THE TIMELY AND ACCURATE COMPLETION OF FORM 990 TO MANAGEMENT. THE UHS FINANCE DEPARTMENT PREPARES THE 990 WHICH IS THEN REVIEWED BY THE CORPORATE CFO AND INDEPENDENT AUDITORS PRIOR TO FILING. A SUMMARY OF KEY ELEMENTS OF THE 990 IS SHARED WITH THE BOARD OF DIRECTORS FOR INFORMATIONAL PURPOSES. |
| FORM 990, PART VI, SECTION B, LINE 12C | DIRECTORS, OFFICERS AND KEY EMPLOYEES SUBMIT ANNUAL CONFLICT OF INTEREST STATEMENTS WHICH ARE REVIEWED BY THE CEO, BOARD CHAIRMAN AND THE ORGANIZATION'S AUDIT COMMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 15A | PERFORMANCE REVIEW OF PRESIDENT/CEO IS COMPLETED BY THE BOARD CHAIR AND 2ND VICE CHAIR/UHS, INC. LIAISON ANNUALLY. RESULTS PRESENTED TO EXECUTIVE COMPENSATION COMMITTEE, COMPRISED OF CHAIR, LIAISON, AND THREE OTHER BOARD MEMBERS. THE COMMITTEE USES SULLIVAN-COTTER, A PAID CONSULTING FIRM, TO OBTAIN NATIONAL CEO COMPENSATION DATA BY HOSPITAL TYPE, SIZE, ETC. AS THE BASIS FOR ESTABLISHING AN ACCEPTABLE COMPENSATION RANGE TO ENSURE COMPLIANCE WITH TREASURY REGULATION 53.4958-1(D)(4)(3). THE COMMITTEE THEN DETERMINES AND APPROVES THE PRESIDENT/CEO COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION PROVIDES FORM 990 AND OTHER INFORMATION REQUIRED UNDER INTERNAL REVENUE SERVICE REGULATIONS TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PHYSICIAN SERVICES FEES: PROGRAM SERVICE EXPENSES 5,241,211. MANAGEMENT AND GENERAL EXPENSES 739,601. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,980,812. |
| FORM 990, PART XI, LINE 9: | INTEREST RATE SWAP -46,768. |
| FORM 990, PART XII, LINE 2C | NEITHER THE PROCESS FOR THE OVERSIGHT OF THE AUDIT NOR THE PROCESS FOR THE SELECTION OF THE INDEPENDENT ACCOUNTANT HAS CHANGED DURING THE YEAR. THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANTS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| UNITED HEALTH SERVICES HOSPITALS INC | ||||||||||
| 10-42 MITCHELL AVENUE | BINGHAMTON | NY | 13903 | 161165049 | HOSPITAL | NY | 501(C)(3) | 3 | UNITED HEALTH SERVICES INC | 0 |
| PROFESSIONAL HOME CARE | ||||||||||
| 601 RIVERSIDE DRIVE | JOHNSON CITY | NY | 13790 | 161261977 | HOME HEALTH CARE | NY | 501(C)(3) | 10 | UNITED HEALTH SERVICES INC | 0 |
| IDEAL SENIOR LIVING CENTER | ||||||||||
| 508 HIGH AVENUE | ENDICOTT | NY | 13760 | 222902896 | SENIOR LIVING CENTER | NY | 501(C)(3) | 3 | UNITED HEALTH SERVICES INC | 0 |
| IDEAL SENIOR LIVING CENTER HOUSING | ||||||||||
| 508 HIGH AVENUE | ENDICOTT | NY | 13760 | 222902899 | SENIOR HOUSING | NY | 501(C)(3) | 10 | UNITED HEALTH SERVICES INC | 0 |
| CHENANGO MEMORIAL HOSPITAL | ||||||||||
| 179 NORTH BROAD STREET | NORWICH | NY | 13815 | 150532180 | HOSPITAL | NY | 501(C)(3) | 3 | UNITED HEALTH SERVICES INC | 0 |
| UNITED HEALTH SERVICES INC | ||||||||||
| 20-40 MITCHELL AVENUE | BINGHAMTON | NY | 13903 | 222682421 | PARENT COMPANY | NY | 501(C)(3) | 10 | BOARD OF DIRECTORS UHS INC | 0 |
| TWIN TIER HOME HEALTH INC | ||||||||||
| 601 RIVERSIDE DRIVE | JOHNSON CITY | NY | 13790 | 222438211 | HOME HEALTH CARE | NY | 501(C)(3) | 10 | UNITED HEALTH SERVICES INC | 0 |
| 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 | 0 | 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 | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | 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 |