DELAWARE VALLEY HOSPITAL INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: DELAWARE VALLEY HOSPITAL INC (EIN 15-0524324)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-15
IRS object ID: 201943199349310944
Schema version: 2018v3.1
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	2019-11-15T12:59:10-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	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	2018-01-01	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	PAUL SUMMERS	PersonNm
Person Title	CHIEF EXECUTIVE OFFICER	PersonTitleTxt
Phone	6078652160	PhoneNum
Signature	2019-11-14	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	2019-11-14	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	2019-11-14	IPDt
IP Tm	17:29:57	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	65907F497E7129E5640A7D71EBEC8492987A22B4	AtSubmissionCreationDeviceId
At Submission Filing Device Id	4518FA7B48793EAF5C6FEAE736AAFE1597D04A2D	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	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	$26,048,256	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	5	VotingMembersIndependentCnt
Total Employee	223	TotalEmployeeCnt
Total Volunteers	32	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,147,511	PYContributionsGrantsAmt
CY Contributions Grants	$833,039	CYContributionsGrantsAmt
PY Program Service Revenue	$23,465,102	PYProgramServiceRevenueAmt
CY Program Service Revenue	$24,576,052	CYProgramServiceRevenueAmt
PY Investment Income	$45,055	PYInvestmentIncomeAmt
CY Investment Income	$95,847	CYInvestmentIncomeAmt
PY Other Revenue	$438,930	PYOtherRevenueAmt
CY Other Revenue	$543,318	CYOtherRevenueAmt
PY Total Revenue	$25,096,598	PYTotalRevenueAmt
CY Total Revenue	$26,048,256	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	$9,613,954	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$9,859,414	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$196,706	CYTotalFundraisingExpenseAmt
PY Other Expenses	$13,593,957	PYOtherExpensesAmt
CY Other Expenses	$14,231,953	CYOtherExpensesAmt
PY Total Expenses	$23,207,911	PYTotalExpensesAmt
CY Total Expenses	$24,091,367	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,888,687	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,956,889	CYRevenuesLessExpensesAmt
Total Assets BOY	$20,043,709	TotalAssetsBOYAmt
Total Assets EOY	$21,521,375	TotalAssetsEOYAmt
Total Liabilities BOY	$6,556,278	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$6,071,776	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$13,487,431	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$15,449,599	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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	$4,868,304	ExpenseAmt
Revenue	$4,595,916	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 2018 WERE COMPRISED OF 183 ACUTE, 132 SWING BED, AND 126 ADDICTION TREATMENT. ACUTE CARE REPRESENTED 564 PATIENT DAYS, IN ADDITION TO THE 1,715 PATIENT DAYS FOR SWING BED AND 1,669 PATIENT DAYS IN THE ADDICTION TREATMENT PROGRAM. INDICATIVE OF THE COMPREHENSIVE HEALTHCARE PROVIDED TO THESE PATIENTS, A TOTAL OF 5,408 LAB TESTS, 11,467 RESPIRATORY TREATMENTS, 200 X-RAYS, 45 ULTRASOUNDS, 106 CT AND 6 MRI EXAMS, 849 PHYSICAL THERAPY AND 152 OCCUPATIONAL THERAPY SESSIONS, AND 130 EKG'S WERE ADMINISTERED. OTHER SERVICES INCLUDED ECHO EXAMS, AND 654 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 AND WEDNESDAYS THROUGH AN AGREEMENT WITH A MOBILE VENDOR.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$3,428,533	ExpenseAmt
Revenue	$1,867,862	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. 2018 INCLUDED 11,806 VISITS IN WALTON, 1,063 IN ROSCOE, AND 2,019 IN DOWNSVILLE.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$11,463,441	ExpenseAmt
Revenue	$18,112,274	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. 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 2018 THE EMERGENCY DEPARTMENT TREATED OR ADMITTED 5,388 RESIDENTS VIA ITS 5,000+ SQ. FT. FACILITY, THE LAB PERFORMED 65,504 TESTS, AND 6,452 PHYSICAL/OCCUPATIONAL THERAPY SESSIONS WERE CONDUCTED. THE IMAGING CENTER PERFORMED 9,807 X-RAYS, CT SCANS, MRI'S, ULTRASOUNDS, BONE DENSITY TESTS AND MAMMOGRAPHY FOR OUTPATIENT SERVICES. OUTPATIENT SERVICES WERE ALSO PERFORMED IN 2018 FOR 117 AMBULATORY PROCEDURES, 147 ENDOSCOPIES, 2,207 OPIATE ADDICTION TREATMENT SESSIONS, AND 1,073 SERVICES ASSOCIATED WITH CARDIAC AND PULMONARY REHABILITATION. 1,976 CARDIAC RELATED TESTS WERE PERFORMED: EKGS, ECHOCARDIOGRAMS CARDIAC HOLTER AND EVENT MONITORS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Revenue	$37,564	RevenueAmt

Field	Value	IRS element (for citing)
Total Other Prog Srvc Revenue	$37,564	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$19,760,278	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
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	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 With Officer Ent	0	BusinessRlnWithOfficerEntInd
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	25	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	223	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	5	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 CHAIR	2.00	Yes (X)	Yes (X)	$0	$0	$0
JOHN CARRIGG
2ND VICE CHAIR	2.00	Yes (X)	Yes (X)	$0	$839,640	$38,625	55.00
LARRY LIGHT
TREASURER	2.00	Yes (X)	Yes (X)	$0	$0	$0
EDWARD SNOW
SECRETARY	2.00	Yes (X)	Yes (X)	$0	$0	$0
ERIN NEALE
TRUSTEE	2.00	Yes (X)		$0	$0	$0
AMANDA HALL
TRUSTEE	2.00	Yes (X)		$0	$0	$0
DR MICHAEL FREEMAN
MEDICAL STAFF PRESIDENT	57.00	Yes (X)	Yes (X)	$236,675	$0	$38,048
PAUL SUMMERS
PRESIDENT/CEO	57.00	Yes (X)	Yes (X)	$250,895	$0	$20,699
DR JOHN GIANNONE
CHIEF MEDICAL OFFICER	5.00		Yes (X)	$25,000	$0	$0
JOAN GUARNIERI
V.P. ANCILLARY SVCS	55.00		Yes (X)	$114,327	$0	$15,044
DOTTIE KRUPPO
V.P. COMMUNITY RELATIONS	55.00		Yes (X)	$90,685	$0	$19,526
DEBORAH HITT
V.P. QUALITY/SUPPORT SVCS	55.00		Yes (X)	$101,464	$0	$20,738
VICTORIA CONKLING
V.P. PATIENT CARE SERVICES	55.00		Yes (X)	$126,070	$0	$6,987
LUCINDA RIDER
CONTROLLER	55.00		Yes (X)	$80,093	$0	$19,486
KATHLEEN ULMSCHNEIDER
STAFF NURSE	55.00			$116,678	$0	$19,685		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,141,887	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$839,640	TotReportableCompRltdOrgAmt
Total Other Compensation	$198,838	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	5	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	$457,169
MEDHOST OF TENNESSEE
2739 MOMENTUM PLACE	CHICAGO	IL	60689	INFORMATION TECHNOLOGY	$425,753
EVANS MECHANICAL INC
314 MAPLE STREET	ENDICOTT	NY	13760	CONTRACTING	$317,882
RICHARD WAKEMAN INC
PO BOX 66	SIDNEY	NY	13838	CONSTRUCTION	$227,429
ALLIANCE HEALTHCARE SERVICES
PO BOX 96485	CHICAGO	IL	606936485	IMAGING SERVICE	$224,019

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	15	CntrctRcvdGreaterThan100KCnt
Government Grants	$743,718	GovernmentGrantsAmt
All Other Contributions	$89,321	AllOtherContributionsAmt
Total Contributions	$833,039	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OUTPATIENT SERVICES	621400	$18,112,274	$18,112,274
INPATIENT AND ACUTE SERVICES	621990	$4,595,916	$4,595,916
CLINICS	621110	$1,867,862	$1,867,862

Field	Value	IRS element (for citing)
Total Program Service Revenue	$24,576,052	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$94,314	TotalRevenueColumnAmt
Exclusion	$94,314	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$1,533	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	$1,533	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,533	TotalRevenueColumnAmt
Exclusion	$1,533	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
PROCEEDS FROM DEMUTUALIZATION OF	900099	$301,084	$301,084
DSRIP PROJECT REVENUE	900099	$204,670	$204,670

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$37,564	TotalRevenueColumnAmt
Related Or Exempt Func Income	$37,564	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$543,318	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$26,048,256	TotalRevenueColumnAmt
Related Or Exempt Func Income	$24,613,616	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$601,601	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	$1,302,099	TotalAmt
Program Services	$855,482	ProgramServicesAmt
Management And General	$336,406	ManagementAndGeneralAmt
Fundraising	$110,211	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$6,757,985	TotalAmt
Program Services	$5,256,123	ProgramServicesAmt
Management And General	$1,484,594	ManagementAndGeneralAmt
Fundraising	$17,268	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$198,766	TotalAmt
Program Services	$159,013	ProgramServicesAmt
Management And General	$39,753	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,046,144	TotalAmt
Program Services	$815,992	ProgramServicesAmt
Management And General	$209,229	ManagementAndGeneralAmt
Fundraising	$20,923	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$554,420	TotalAmt
Program Services	$426,384	ProgramServicesAmt
Management And General	$118,608	ManagementAndGeneralAmt
Fundraising	$9,428	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$46,384	TotalAmt
Management And General	$46,384	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$24,429	TotalAmt
Management And General	$24,429	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$115,204	TotalAmt
Management And General	$115,204	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$3,172	TotalAmt
Management And General	$3,172	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$8,413	TotalAmt
Management And General	$8,413	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$5,778,330	TotalAmt
Program Services	$5,017,885	ProgramServicesAmt
Management And General	$760,445	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,384,999	TotalAmt
Program Services	$757,353	ProgramServicesAmt
Management And General	$617,942	ManagementAndGeneralAmt
Fundraising	$9,704	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$56,118	TotalAmt
Management And General	$56,118	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$218,201	TotalAmt
Program Services	$54,011	ProgramServicesAmt
Management And General	$164,190	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$47,797	TotalAmt
Program Services	$33,531	ProgramServicesAmt
Management And General	$12,021	ManagementAndGeneralAmt
Fundraising	$2,245	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$38,371	TotalAmt
Program Services	$9,011	ProgramServicesAmt
Management And General	$2,433	ManagementAndGeneralAmt
Fundraising	$26,927	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$222,795	TotalAmt
Program Services	$121,960	ProgramServicesAmt
Management And General	$100,835	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$990,833	TotalAmt
Program Services	$990,833	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$184,255	TotalAmt
Program Services	$150,048	ProgramServicesAmt
Management And General	$34,207	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
DRUGS	$3,826,440	$3,826,440
BAD DEBT EXPENSE	$613,846	$613,846
MEDICAL SUPPLIES	$484,311	$484,311
EQUIPMENT	$108,286	$108,286

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$79,769	TotalAmt
Program Services	$79,769	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$24,091,367	TotalAmt
Program Services	$19,760,278	ProgramServicesAmt
Management And General	$4,134,383	ManagementAndGeneralAmt
Fundraising	$196,706	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,843,526	BOYAmt
EOY	$4,145,812	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$511,386	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,176,080	BOYAmt
EOY	$2,411,558	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$601,432	BOYAmt
EOY	$607,888	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,223,449	BOYAmt
EOY	$657,839	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$24,845,949	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$15,387,266	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$8,573,855	BOYAmt
EOY	$9,458,683	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$3,285,408	BOYAmt
EOY	$3,791,505	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$763,573	BOYAmt
EOY	$448,090	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$65,000	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$20,043,709	BOYAmt
EOY	$21,521,375	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,217,887	BOYAmt
EOY	$1,312,145	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,840,455	BOYAmt
EOY	$2,436,420	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$351,803	BOYAmt
EOY	$277,362	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$1,597,112	BOYAmt
EOY	$1,565,235	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$549,021	BOYAmt
EOY	$480,614	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,556,278	BOYAmt
EOY	$6,071,776	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$13,158,986	BOYAmt
EOY	$15,119,182	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,235	BOYAmt
EOY	$12,207	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$318,210	BOYAmt
EOY	$318,210	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$13,487,431	BOYAmt
EOY	$15,449,599	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$20,043,709	BOYAmt
EOY	$21,521,375	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,956,889	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$79,420	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$84,699	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	$3,172	OtherActivitiesAmt
Total Lobbying Expenditures	$3,172	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	$328,445	BeginningYearBalanceAmt
Contributions	$1,971	ContributionsAmt
End Year Balance	$330,416	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$324,669	BeginningYearBalanceAmt
Contributions	$5,691	ContributionsAmt
End Year Balance	$330,360	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$348,578	BeginningYearBalanceAmt
Contributions	$12,961	ContributionsAmt
End Year Balance	$361,539	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.96000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.04000	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	$12,512,694	OtherCostOrOtherBasisAmt
Depreciation	$5,870,440	DepreciationAmt
Book Value	$6,642,254	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,527,461	OtherCostOrOtherBasisAmt
Depreciation	$9,516,826	DepreciationAmt
Book Value	$2,010,635	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$754,592	OtherCostOrOtherBasisAmt
Book Value	$754,592	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$9,458,683	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DUE UNITED MED. ASSOC.	$248,197
DUE UHS HOSPITALS	$215,591
DUE TO UHS, INC.	$16,826

Field	Value	IRS element (for citing)
Total Liability	$480,614	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$25,439,689	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$79,420	NetUnrealizedGainsInvstAmt
Other Revenue	$84,699	OtherRevenueAmt
Revenue Not Reported	$5,279	RevenueNotReportedAmt
Revenue Subtotal	$25,434,410	RevenueSubtotalAmt
Other Revenues Not Included	$613,846	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$613,846	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$26,048,256	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$23,477,522	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$23,477,522	ExpensesSubtotalAmt
Other Expenses Not Included	$613,846	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$613,846	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$24,091,368	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, 2018 AND 2017, 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 2015 TO 2018. 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 84,699.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 613,846.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 613,846.

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	$164,544	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$164,544	NetCommunityBenefitExpnsAmt
Total Expense	0.00700	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,563,750	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,747,905	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$815,845	NetCommunityBenefitExpnsAmt
Total Expense	0.03480	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$55,634	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,384	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,250	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,783,928	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,784,289	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$999,639	NetCommunityBenefitExpnsAmt
Total Expense	0.04260	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$232,604	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$232,604	NetCommunityBenefitExpnsAmt
Total Expense	0.00990	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$48,191	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$48,191	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,317,127	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,443,575	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$873,552	NetCommunityBenefitExpnsAmt
Total Expense	0.03720	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,597,922	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,443,575	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,154,347	NetCommunityBenefitExpnsAmt
Total Expense	0.04920	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,381,850	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,227,864	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,153,986	NetCommunityBenefitExpnsAmt
Total Expense	0.09180	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,498	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,498	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,294	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,294	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,361	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,361	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,153	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,153	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$613,846	BadDebtExpenseAmt
Bad Debt Expense Attributable	$306,923	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$4,714,656	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$4,685,064	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$29,592	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	16	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	16	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 (8 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, NYTRI-TOWN REGIONAL HOSPITAL, SIDNEY, 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 TRI-TOWN, MARGARETVILLE HOSPITAL, 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: 2016-2018 ACTION PLANPREVENTION STRATEGY: PREVENT CHRONIC DISEASE FOCUS AREA: REDUCE ILLNESS, DISABILITY, AND DEATH RELATED TO TOBACCO USE AND SECONDHAND SMOKE EXPOSUREGOAL: PROMOTE TOBACCO USE CESSATION, ESPECIALLY AMONG LOW SES POPULATIONS AND THOSE WITH POOR MENTAL HEALTH. OBJECTIVE: PROVIDE DELAWARE COUNTY RESIDENTS WITH ACCESS TO TOBACCO CESSATION CLASSES THROUGH VIDEO-CONFERENCING, ELIMINATING THE NEED TO TRAVEL LONG DISTANCES. STRATEGY: DVH WILL OFFER SMOKING CESSATION CLASSES TO BE IMPLEMENTED WITH UHS STAY HEALTHY STAFF THROUGH THE USE OF VIDEO CONFERENCING. THIS TECHNOLOGY IS CURRENTLY IN THE DEVELOPMENT STAGE AND IS SLATED TO BE COMPLETED BY MID-2017. THERE ARE NO SMOKING CESSATION CLASSES IN DELAWARE COUNTY AT THIS TIME. DVH WILL ADVERTISE TOBACCO CESSATION PROGRAMMING TO AREA RESIDENTS IN COLLABORATION WITH OTHER HOSPITALS, THE COUNTY HEALTH DEPARTMENT, AND HEALTH CARE PROVIDERS. CLASSES WILL BEGIN TO BE OFFERED IN FALL OF 2017. THE CLASS WILL BE OFFERED AT LEAST ONCE PER YEAR. MEASURE: THROUGH THIS PARTNERSHIP, WHICH INCLUDES NOT ONLY THE DELAWARE COUNTY-BASED PROVIDERS BUT ALSO THE LARGER UHS HOSPITAL SYSTEM, THE NUMBER OF PARTICIPANTS PARTICIPATING IN AND COMPLETING TOBACCO CESSATION CLASSES WILL BE MEASURED.2017 COMMUNITY SERVICE PLAN UPDATE: DVH HAS CHANGED ITS STRATEGY FOR OFFERING TOBACCO CESSATION CLASSES. TWO STAFF MEMBERS WERE TRAINED AS FACILITATORS OF THE AMERICAN CANCER SOCIETY'S FRESH START PROGRAM. PROGRAMS ARE HELD LOCALLY EVERY FEW MONTHS. TWO TOBACCO CESSATION PROGRAMS OF FOUR SESSIONS EACH WERE HELD IN 2017.IN 2018, ONLY ONE PROGRAM WAS HELD, WITH 2 REGISTERING. HOWEVER, ONLY ONE ATTENDED ONE SESSION AND THE OTHER ATTENDED TWO SESSIONS. IN 2019 DVH WILL BE LOOKING AT WAYS TO INCENTIVIZE PEOPLE TO PARTICIPATE AND WILL TRY AND USE NEW SYNCHRONOUS VIDEOCONFERENCING CAPABILITY TO OFFER THE SESSIONS THAT ARE TAKING PLACE AT UHS. FOCUS AREA: INCREASE ACCESS TO HIGH QUALITY CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENT IN BOTH CLINICAL AND COMMUNITY SETTINGS GOAL: PROMOTE CULTURALLY RELEVANT CHRONIC DISEASE SELF-MANAGEMENT EDUCATION.OBJECTIVE: PATIENTS AND CAREGIVERS WILL LEARN DISEASE-MANAGEMENT STRATEGIES. STRATEGY 1. PROMOTE THE USE OF EVIDENCE-BASED INTERVENTIONS TO PREVENT OR MANAGE CHRONIC DISEASES THROUGH PATIENT MEETINGS WITH DVH'S RN PATIENT CARE COORDINATOR AND/OR CERTIFIED DIETICIAN/NUTRITIONIST. MEASURE: NUMBER OF CHRONIC DISEASE PATIENT VISITS WITH DVH PATIENT CARE COORDINATOR AND/OR DIETICIAN/NUTRITIONIST FOR EDUCATION AND/OR HELP IN ELIMINATING BARRIERS TO CARE. 2017 COMMUNITY SERVICE PLAN UPDATE: DVH'S CERTIFIED DIETITIAN/NUTRITIONIST WORKED WITH 397 PATIENTS PROVIDING DIET COUNSELING. THE RN CARE COORDINATOR WORKED WITH 48 PATIENTS, AT HIGH RISK FOR EITHER ER VISITS OR ADMISSION TO THE HOSPITAL, TO HELP EDUCATE AND PROVIDE SUPPORT AND REDUCE BARRIERS TO CARE.2018 COMMUNITY SERVICE PLAN UPDATE: DVH'S CERTIFIED DIETITIAN/NUTRITIONIST HAD 320 DIET COUNSELING SESSIONS. THE RN CARE COORDINATOR WORKED WITH 70 PATIENTS, AT HIGH RISK FOR EITHER ER VISITS OR ADMISSION TO THE HOSPITAL, TO HELP EDUCATE AND PROVIDE SUPPORT AND REDUCE BARRIERS TO CARE.IN 2018, THE DIETITIAN ALSO WORKED WITH 20 ADDITIONAL PEOPLE ON THE PRESCRIPTION FRUIT AND VEGETABLE PROGRAM THROUGH THE RURAL HEALTH NETWORK OF SOUTH CENTRAL NY. EACH WAS SEEN A MINIMUM OF 3 TIMES BY OUR DIETITIAN. AT THE END OF THE PROGRAM, A HEALTHY DINNER WAS HELD FEATURING RECIPES FOR FRESH VEGETABLES. STRATEGY 2: DVH AND O'CONNOR HOSPITAL WILL UTILIZE RESOURCES AT THEIR DISPOSAL THROUGH THEIR RESPECTIVE HOSPITAL SYSTEMS TO IMPLEMENT THE STANFORD UNIVERSITY'S EVIDENCE-BASED CHRONIC DISEASE SELF-MANAGEMENT PROGRAM (CDSMP). BETWEEN DVH AND O'CONNOR, THERE ARE CURRENTLY FOUR TRAINED PEER LEADERS FOR CDSMP. THE APPROACH TO THIS GOAL WILL BE TO CO-LEAD PROGRAMS WITHIN THE SERVICE AREAS OF EITHER ENTITY, AND TO UTILIZE THE RESOURCES OF THE CARE COMPASS NETWORK PPS (WHICH ALSO HAS AN ADDITIONAL TRAINED PEER LEADER), AS NEEDED. EACH ENTITY WILL PROMOTE THE USE OF THIS EVIDENCE-BASED STRATEGY TO PREVENT OR MANAGE CHRONIC DISEASES, AND THE PROGRAM WILL BE OFFERED TWICE EACH YEAR. THIS BEGAN IN THE SPRING OF 2017. MEASURE: THE NUMBER OF CDSMP PROGRAMS OFFERED AND THE NUMBER OF INDIVIDUALS PARTICIPATING IN AND COMPLETING THE PROGRAM. 2017 COMMUNITY SERVICE PLAN UPDATE: THREE 6 WEEK HAPPY, HEALTHY, AND WISE WORKSHOP SERIES WERE HELD THAT FOCUSED ON CHRONIC DISEASE SELF-MANAGEMENT. 22 PARTICIPANTS BEGAN THE WORKSHOPS AND 17 COMPLETED THEM. REVIEWS WERE VERY ENTHUSIASTIC AND POSITIVE.2018 COMMUNITY SERVICE PLAN UPDATE: THREE 6 WEEK HAPPY, HEALTHY AND WISE WORKSHOP SERIES WERE HELD THAT FOCUS ON CHRONIC DISEASE SELF MANAGEMENT. 23 PARTICIPANTS BEGAN THE WORKSHOPS AND 17 COMPLETED THEM. REVIEWS CONTINUE TO BE VERY ENTHUSIASTIC AND POSITIVE.STRATEGY 3: ONCE EACH OF THE HOSPITALS' PEER LEADERS HOLD TWO PUBLIC CDSMP PROGRAMS, THEY WILL EARN THEIR MASTER TRAINING CERTIFICATION AND WILL BE ABLE TO TRAIN OTHERS TO BECOME PEER LEADERS, WHICH WOULD INCREASE THE AVAILABILITY OF THIS PROGRAM THROUGHOUT THE SERVICE AREA, AS WELL AS THE CARE COMPASS NETWORK AREA. DVH WILL HOLD AT LEAST ONE CDSMP PEER LEADER TRAINING PER YEAR. MEASURE: NUMBER OF PROGRAMS AND NUMBER OF PEER LEADERS SUCCESSFULLY TRAINED. 2017 COMMUNITY SERVICE PLAN UPDATE: THE CLASS TO TRAIN ADDITIONAL PEER LEADERS WAS NOT HELD DUE TO A LACK OF PARTICIPANTS.2018 COMMUNITY SERVICE PLAN UPDATE: THIS IS NO LONGER A STRATEGY, AS DVH DID NOT HAVE ENOUGH PARTICIPANTS TO OFFER THE PROGRAM WITHIN THE WINDOW OF TIME ALLOWABLE UNDER STANFORD GUIDELINES. THEREFORE, NONE OF DVH STAFF WERE ABLE TO BECOME MASTER TRAINERS. THEY ARE PEER LEADERS HOWEVER.STRATEGY 4: IN ADDITION, DVH AND O'CONNOR HOSPITALS PLAN TO HAVE UP TO FOUR PEOPLE TRAINED IN THE STANFORD UNIVERSITY DIABETES SELF-MANAGEMENT PROGRAM (DSMP). DVH INTENDS TO PAY FOR THE TRAINING FROM A VAP GRANT IT HAD SECURED. ONCE COMPLETED, AREA RESIDENTS WILL HAVE THE OPPORTUNITY TO TAKE PART IN THE DSMP.MEASURE: NUMBER OF PEER TRAINERS IN DSMP.2017 COMMUNITY SERVICE PLAN UPDATE: THIS WAS NOT COMPLETED. DVH FELT THAT THE DIABETICS ATTENDING THE SERIES OF WORKSHOPS GAINED SIGNIFICANTLY FROM THE COURSE. THE RN CARE COORDINATOR AND THE CERTIFIED DIETITIAN/NUTRITIONIST ROUTINELY WORK CLOSELY AND 1 ON 1 WITH DIABETIC PATIENTS. 2018 UPDATE: THIS WAS NOT AND WILL NOT BE COMPLETED. DVH FEELS THAT THE DIABETICS ATTENDING THE CHRONIC DISEASE SELF MANAGEMENT WORKSHOPS GAINED SIGNIFICANTLY FROM THE COURSE. THE RN CARE COORDINATOR AND THE CERTIFIED DIETITIAN/NUTRITIONIST ROUTINELY WORK CLOSELY AND 1 ON 1 WITH DIABETIC PATIENTS. THERE IS NOT ENOUGH OF A POPULATION THAT WOULD ALLOW US TO OFFER TWO SIMILAR PROGRAMS AND HAVE A VIABLE NUMBER OF PARTICIPANTS IN EACH. WORKING WITH THE UHS SYSTEM, A NURSE PRACTITIONER FROM THE ENDOCRINOLOGY OFFICE NOW SEES DIABETIC PATIENTS AT THE WALTON PRIMARY CARE SITE. HER CLINIC IS BLENDED, IN THAT SHE SEES SOME PATIENTS IN PERSON AND OTHERS THROUGH TELEHEALTH TECHNOLOGY. THE DIETITIAN AND CARE COORDINATOR HELD A DIABETES AWARENESS PROGRAM CENTERED ON CONTINUOUS GLUCOSE MONITORING. THEY INVITED 30 OF THEIR PATIENTS, AND NOTICES WERE SENT TO ALL FORMS OF MEDIA, YET ONLY 3 SHOWED UP.STRATEGY 5: DVH WILL OFFER THE DSMP PROGRAM TO AREA RESIDENTS AT LEAST ONCE PER YEAR, BEGINNING IN THE SPRING OF 2018. MEASURE: NUMBER OF CLASSES OFFERED AND NUMBER OF PARTICIPANTS BEGINNING AND SUCCESSFULLY COMPLETING THE PROGRAM.STRATEGY 6: RESIDENTS WILL BE OFFERED OPPORTUNITY TO PARTICIPATE IN THE EVIDENCE-BASED LIFESTEPS PROGRAM. THIS PROGRAM WILL BE OFFERED TWICE EACH YEAR INTEREST PERMITTING. MEASURE: THE NUMBER OF PARTICIPANTS BEGINNING AND COMPLETING THE COURSE AND THE TOTAL WEIGHT LOSS FOR THE GROUP WILL BE REPORTED.2017 COMMUNITY SERVICE PLAN UPDATE: THE LIFESTEPS PROGRAM WILL CONTINUE TO BE OFFERED. THE PROGRAM WAS DEVELOPED BY THE NATIONAL DAIRY COUNCIL. IT ADDRESSES WEIGHT MANAGEMENT THROUGH LIFESTYLE CHANGES. PARTICIPANTS WEIGH IN WEEKLY. TOPICS INCLUDE PHYSICAL ACTIVITY, SERVING SIZE, FOOD CHOICES, EATING STYLES, LAPSES, STAYING ACTIVE AND IN-STEP. THE PROGRAM WAS PRESENTED TWICE IN 2017. A TOTAL OF 16 PEOPLE BEGAN THE PROGRAM WITH 11 CONTINUING TO COMPLETION. A TOTAL OF 92.4 POUNDS WAS LOST BETWEEN THE PARTICIPANTS COMPLETING THE PROGRAM.2018 UPDATE: THE PROGRAM WAS OFFERED IN JANUARY, 2019 BUT NO ONE SIGNED UP. A SECOND PROGRAM WAS NOT OFFERED AS THE CHRONIC DISEASE SELF MANAGEMENT PROGRAM WAS BEING DONE BY THE DIETITIAN ALREADY.
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: 2016-2018 ACTION PLAN (CONTINUED)	PREVENTION STRATEGY: PROMOTE A HEALTHY AND SAFE ENVIRONMENT FOCUS AREA: INJURIES, VIOLENCE, AND OCCUPATIONAL HEALTH GOAL: REDUCE RISK OF FALLS, PARTICULARLY AMONG THE ELDERLY. OBJECTIVE: EVIDENCE BASED FALL PREVENTION PROGRAMMING WILL BE AVAILABLE TO AREA RESIDENTS.STRATEGY 1. PROMOTE COMMUNITY-BASED PROGRAMS FOR FALLS PREVENTION UTILIZING THE EVIDENCE-BASED MATTER OF BALANCE PROGRAM. DVH WILL PROVIDE OPPORTUNITIES THROUGHOUT THE COMMUNITY, IN PARTNERSHIP WITH THE DELAWARE COUNTY PUBLIC HEALTH DEPARTMENT AND THE DELAWARE COUNTY OFFICE FOR THE AGING (OFA), TO PARTICIPATE IN AN EVIDENCE-BASED FALLS PREVENTION PROGRAM: MATTER OF BALANCE. DVH HAS ONE CERTIFIED MATTER OF BALANCE LEADER. THEY WILL WORK WITH BOTH OFA AND THE COUNTY HEALTH DEPARTMENT TO PARTNER AND OFFER ONE PROGRAM EACH YEAR AT ITS WELLNESS CENTER. ONE OF THEIR PHYSICAL REHABILITATION STAFF MEMBERS WILL CONDUCT THE SESSION FOCUSING ON PHYSICAL AIDS AND HOW TO GET UP AFTER A FALL. OFA WILL ASSIST WITH IDENTIFYING AND RECRUITING THE TARGET POPULATION, SENIOR CITIZENS, AND ALSO HOLDS THE MASTER TRAINER LICENSE. WITH THIS LICENSE, OFA HAS THE OPPORTUNITY TO TRAIN NEW FACILITATORS FOR THE MATTER OF BALANCE CLASS. DVH WILL ALSO OFFER ITS SITE FOR USE FOR ADDITIONAL PROGRAMS. MEASURE: THE NUMBER OF PARTICIPANTS, NUMBER OF GRADUATES, AND NUMBER OF PROGRAMS WILL BE REPORTED. 2017 COMMUNITY SERVICE PLAN UPDATE: DVH DID NOT HOLD THIS PROGRAM THIS YEAR. IN THE SPRING, FOCUS WAS PLACED ON THE CHRONIC DISEASE SELF-MANAGEMENT PROGRAM AND IN THE FALL, THE HOSPITAL'S WELLNESS ROOM UNDERWENT A REMODEL. THE PLAN IS TO BEGIN OFFERING THIS AGAIN IN THE SPRING.2018 COMMUNITY SERVICE UPDATE: DVH DID NOT HOLD THE PROGRAM AGAIN IN 2018. THE OFFICE FOR THE AGING HAD NO ONE ON WAITING LIST AS MOST HAVE MOVED ON TO DOING TAI CHI. DVH ONLY HAS ONE TRAINED STAFF MEMBER SO SHE WOULD HAVE TO TEAM UP WITH SOMEONE ELSE IN ORDER TO HOLD THE CLASS. A NEW PT MANAGER IS BEGINNING AT DVH. DISCUSSIONS WITH HIM WILL TAKE PLACE AND SEE WHAT DVH CAN DO TO ADDRESS THIS ISSUE.STRATEGY 2: SUSTAIN SPONSORSHIP OF DELAWARE COUNTY OFFICE FOR AGING'S TAI CHI CLASSES.DVH WILL CONTINUE TO SPONSOR TAI CHI CLASSES FOR DELAWARE COUNTY'S OFFICE FOR THE AGING (OFA). ALTHOUGH DVH DOES NOT HAVE THE PHYSICAL OR HUMAN RESOURCES TO INDEPENDENTLY OFFER THIS PROGRAM, IT DOES WANT TO SEE THE PROGRAM AVAILABLE TO AREA RESIDENTS SO DVH WILL SPONSOR THE CLASSES BY PAYING FOR THE USE OF THE VENUES SELECTED BY OFA. THE HOSPITAL WILL SPONSOR UP TO 4 PROGRAMS EACH YEAR CONDUCTED IN ITS SERVICE AREA. OFA WILL CONTINUE THEIR ROLE IN RECRUITING BOTH TRAINERS AND PARTICIPANTS. MEASURE: THE IMPACT FOR THIS ACTIVITY WILL BE SHOWN THROUGH THE NUMBER OF PROGRAMS SPONSORED.2017 COMMUNITY SERVICE PLAN UPDATE: ALTHOUGH DVH WAS WILLING TO SPONSOR THE PROGRAM, THE OFFICE FOR THE AGING INFORMED US THAT THEY NOW HAVE USE OF THE VENUE WITHOUT COST. DVH IS STILL COMMITTED TO ASSISTING IF NEEDED. 2018 UPDATE: ALTHOUGH DVH WAS WILLING TO SPONSOR THE PROGRAM; THE OFFICE FOR THE AGING INFORMED US THAT THEY NOW HAVE USE OF THE VENUE WITHOUT COST. DVH IS STILL COMMITTED TO ASSISTING IF NEEDED.PREVENTION STRATEGY: PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE FOCUS AREA: PREVENT SUBSTANCE ABUSE AND OTHER MENTAL EMOTIONAL AND BEHAVIORAL DISORDERSGOAL: PREVENT SUICIDES AMONG YOUTH AND ADULTS OBJECTIVE: BY SHARING INFORMATION, PATTERNS AND TRENDS, IF ANY, CAN BE IDENTIFIED AND ADDRESSED. STRATEGY 1: SHARE DATA ON SUICIDE, SUICIDE ATTEMPTS, AND PREVENTION EFFORTS. DVH WILL WORK CLOSELY WITH THE DELAWARE COUNTY SUICIDE PREVENTION NETWORK, MADE UP OF SEVERAL HEALTH AND HUMAN SERVICES PROVIDERS ACROSS DELAWARE COUNTY, TO AGGREGATE DATA ON COMPLETED SUICIDES, SUICIDE ATTEMPTS, AND SUICIDAL IDEATION. THE OBJECTIVE OF SHARING AND AGGREGATING DATA IN PARTNERSHIP WITH THE DELAWARE COUNTY SUICIDE PREVENTION NETWORK WILL BE TO IDENTIFY AND ADDRESS PATTERNS AND TRENDS. THE COLLECTIVE IMPACT ON THE COMMUNITY AND THE IDENTIFIED HEALTH DISPARATE POPULATION WILL BE TO UTILIZE THE INFORMATION TO DEVELOP MITIGATION STRATEGIES, PREVENTING FUTURE SUICIDES AMONG YOUTH AND ADULTS. MEASURE: DVH WILL SHARE THIS DATA ON A MONTHLY BASIS. 2017 COMMUNITY SERVICE PLAN UPDATE: DVH CONTINUES TO SHARE ITS DATA.2018 DVH CONTINUES TO SHARE ITS DATA.STRATEGY 2: IN ADDITION, DVH WILL OFFER A VENUE, AS NEEDED, FOR THE DELAWARE COUNTY PUBLIC HEALTH DEPARTMENT TO COORDINATE AND SCHEDULE GATEKEEPER TRAININGS, EVIDENCE-BASED SUICIDE PREVENTION PROGRAMS SUCH AS ASSIST, SAFE TALK, AND QPR (QUESTION, PERSUADE, REFER). THESE TRAININGS WILL SERVE AS AN AVENUE FOR COMMUNITY MEMBERS AND PROVIDERS ALIKE TO INCREASE TOOLS DESIGNED TO PREVENT SUICIDES. THEY DEVELOP INDIVIDUALS' KNOWLEDGE, ATTITUDES, AND SKILLS TO IDENTIFY THOSE AT RISK AND MAKE REFERRALS WHEN NECESSARY. MEASURE: GATEKEEPER TRAININGS WILL BE MEASURED BY THE NUMBER OF TRAININGS HELD AT THE DVH VENUE.2017 COMMUNITY SERVICE PLAN UPDATE: DURING 2017, GATEKEEPER TRAININGS WERE NOT HELD IN WALTON SO DVH VENUE WAS NOT REQUIRED.DURING 2018, GATEKEEPER TRAININGS WERE NOT HELD IN WALTON SO DVH VENUE WAS NOT REQUIRED. GOAL: PREVENT SUBSTANCE ABUSE STRATEGY 1: BRING STANFORD UNIVERSITY'S EVIDENCE-BASED CHRONIC PAIN SELF-MANAGEMENT PROGRAM (CPSMP) TO DELAWARE COUNTY RESIDENTS. DVH WILL SUPPORT AND FACILITATE THE TRAINING OF UP TO TWO PEER LEADERS TO PARTICIPATE IN THE EVIDENCE-BASED STANFORD UNIVERSITY PAIN SELF-MANAGEMENT COURSE IN THE SUMMER OF 2017. THIS HAS BEEN AN ONGOING OBJECTIVE, AS DVH ALREADY HAS THREE PEER LEADERS TRAINED IN CDSMP, WHICH IS A PRE-REQUISITE FOR THE ONLINE PAIN-MANAGEMENT TRAINING PROGRAM. MEASURE: NUMBER OF PEER LEADERS SUCCESSFULLY COMPLETING TRAINING. 2017 COMMUNITY SERVICE PLAN UPDATE: THIS IS A GOAL FOR 2018 FOR DVH STAFF. HOWEVER IN 2017, DVH BEGAN A PAIN MANAGEMENT CLINIC IN WALTON, IN CONJUNCTION WITH UHS PROVIDERS.2018 UPDATE: THIS IS A GOAL FOR 2018 FOR DVH STAFF. AT THIS TIME, DVH WILL NOT BE SECURING TRAINERS FOR THIS PROGRAM. DVH CONTINUES TO WORK WITH THE UHS PAIN MANAGEMENT STAFF WHO COME TO DVH TWO TIMES A MONTH. THIS INCLUDES A PHYSICIAN, A PHYSICIAN'S ASSISTANT. A CHIROPRACTOR WILL BEGIN IN 2019, MAKING ACCESS TO CARE THREE TIMES A MONTH. DVH WAS ABLE TO GET ITS NEW TELEPSYCHIATRY SERVICE READY TO BEGIN IN JANUARY, 2019. IT IS THOUGHT BY EXPANDING THE TYPES OF SERVICES OFFERED THROUGH THE PAIN CLINIC; PATIENTS WILL HAVE MANY OF THE TOOLS NECESSARY TO DEAL WITH THEIR CONDITION AND CAN THEN ALSO ACCESS THE CHRONIC DISEASE MANAGEMENT WORKSHOPS IF THEY WISH. FOCUS AREA 3: STRENGTHEN INFRASTRUCTURE GOAL: STRENGTHEN THE MENTAL HEALTH INFRASTRUCTURE OBJECTIVE: INCREASE AVAILABILITY OF MENTAL, EMOTIONAL, AND BEHAVIORAL HEALTH SERVICES THROUGH THE USE OF TELEMEDICINE TECHNOLOGY. STRATEGY 1: TELEMEDICINE TECHNOLOGY IS BEING DEVELOPED AT DVH AND WILL BE USED TO PROVIDE MEB SERVICES UTILIZING OUT-OF-AREA PROVIDERS TO STRENGTHEN INFRASTRUCTURE. DELAWARE VALLEY HOSPITAL IS WORKING CLOSELY WITH THE LARGER UHS SYSTEM TO FINALIZE PLANS FOR TELEMEDICINE TECHNOLOGY SO THAT PATIENTS HAVE INCREASED ACCESS TO MENTAL HEALTH PROFESSIONALS BY SPRING 2017. WHILE DVH DEVELOPS SYSTEMS FOR REFERRALS AND PARTNERSHIPS WITH MENTAL HEALTH PROVIDERS, UHS WILL DELIVER THE REQUIRED IT INFRASTRUCTURE. MEASURE: DVH WILL MEASURE THE NUMBER OF TIMES PER MONTH THE SERVICES ARE AVAILABLE TO PATIENTS, THE NUMBER OF VISITS COMPLETED THROUGH TELEMEDICINE EACH MONTH, AND THE NUMBER OF UNIQUE PATIENTS UTILIZING THE SERVICE. 2017 COMMUNITY SERVICE PLAN UPDATE: TELEPSYCHIATRY IS NOW AVAILABLE ON A VERY LIMITED BASIS AT DVH. THE SOLE PROVIDER AT THIS TIME IS A PRIVATE PRACTICE PHYSICIAN WHO TAKES A VERY LIMITED NUMBER OF INSURERS. WORK CONTINUES TO FIND A PROVIDER WHO CAN HELP FILL THIS ROLE. DELAWARE COUNTY MENTAL HEALTH AND DVH WORKED IN CONJUNCTION TO TRY AND SECURE ADDITIONAL MEB PROFESSIONAL PRESCRIBERS. TWO CANDIDATES WERE CONSIDERED. ONE DECIDED TO TAKE A GOVERNMENT JOB; THE OTHER DECIDED NOT TO RE-LOCATE ON A FULL TIME BASIS AT THIS TIME. 2018 UPDATE: TELEPSYCHIATRY WAS AVAILABLE ON A VERY LIMITED BASIS AT DVH. BUT IN 2018, DVH WAS ABLE TO SECURE THE SERVICES OF AN OUTSIDE VENDOR. A LICENSED CLINICAL SOCIAL WORKER AND A PSYCHIATRIC NURSE PRACTITIONER WILL BEGIN TO SEE PATIENTS IN JANUARY OF 2019. THE LCSW WILL HAVE 16 HOURS A WEEK AND THE NP WILL HAVE 8 HOURS PER WEEK TO START.OTHER INITIATIVES:A NARCOTICS ANONYMOUS GROUP MEETS WEEKLY AT DVH. DVH OFFERS FREE SHARPS CONTAINERS TO THOSE BRINGING THEIR SHARPS TO THE HOSPITAL FOR DISPOSAL.DVH STAFF MEMBERS PERFORM FREE SPECIMEN COLLECTION FOR DRUG COURT PARTICIPANTS.
PART V, SECTION B, LINE 11: 2016-2018 ACTION PLAN (CONTINUED)	STRATEGY 2: DVH SEEKS TO STRENGTHEN THE INFRASTRUCTURE NOT ONLY WITHIN THE HOSPITAL, BUT ALSO IN THE COMMUNITY BY WORKING WITH THE DELAWARE COUNTY OFFICE OF MENTAL HEALTH (DCMH) ON THIS OBJECTIVE. DISCUSSIONS HAVE BEEN ONGOING THROUGH PARTNERSHIPS DEVELOPED, IN PART, BY THE CARE COMPASS NETWORK PPS TO INTEGRATE PRIMARY CARE AND MENTAL, EMOTIONAL, BEHAVIORAL (MEB) HEALTH SERVICES. DVH, WHICH PROVIDES A HIGH LEVEL OF EXPERTISE AND SERVICE THROUGH THEIR PRIMARY CARE PRACTICES, AND DCMH, WHICH BRINGS THE EXPERTISE OF MEB PROVIDERS, WILL CONTINUE CONVERSATIONS REGARDING THE INTEGRATION OF PRIMARY CARE AND MEB SERVICES. WHILE THESE ARE DIFFICULT SYSTEMS TO INTEGRATE DUE TO REGULATORY ISSUES THAT NEED TO BE WORKED OUT, THE FACILITIES REMAIN COMMITTED TO STRATEGIZING WAYS TO SHARE THE RESOURCES NECESSARY TO PROVIDE MORE HOLISTIC SERVICES TO PATIENTS. MEASURE: SUCCESS FOR THIS ACTIVITY WILL BE MEASURED BY THE NUMBER OF MEETINGS.2017 COMMUNITY SERVICE PLAN UPDATE: DELAWARE COUNTY MENTAL HEALTH AND DVH WORKED IN CONJUNCTION TO TRY AND SECURE ADDITIONAL MEB PROFESSIONAL PRESCRIBERS. TWO CANDIDATES WERE CONSIDERED. ONE DECIDED TO TAKE A GOVERNMENT JOB; THE OTHER DECIDED NOT TO RE-LOCATE ON A FULL TIME BASIS AT THIS TIME.2018 UPDATE: BY BEGINNING THE TELEMENTAL HEALTH PROGRAM IN THE WALTON PRIMARY CARE OFFICE WE HAVE BEGUN TO ADDRESS THIS ISSUE. WE WORK COLLEGIALLY WITH DELAWARE COUNTY MENTAL HEALTH CLINIC; IN FACT THE DIRECTOR OF THE COUNTY SERVICE PARTICIPATED AND PLAYED A KEY ROLE IN THE INTERVIEW PROCESS OF THE FPS AND LCSWS. HER EXPERTISE WAS VITAL IN OUR SECURING COMPETENT PROFESSIONALS TO CARE FOR OUR PATIENTS. RATIONALE FOR FOREGOING SOME PRIORITY AREAS PREVENT CHRONIC DISEASE- FOCUS AREA: REDUCE OBESITY IN CHILDREN AND ADULTS DVH'S CERTIFIED DIETITIAN/NUTRITIONIST CONTINUES TO OFFER THE LIFESTEPS PROGRAM. IN PRIOR YEARS, DVH HAD REACHED OUT TO SCHOOLS TO PARTICIPATE IN AFTER SCHOOL PROGRAMMING, BUT IT NEVER CAME TO FRUITION. THE HOSPITAL HAD ALSO OFFERED COOKING CLASSES AND WHILE THEY WERE VERY WELL RECEIVED, THEY ONLY REACHED A VERY LIMITED NUMBER OF PEOPLE. THEREFORE, DVH HAS DECIDED TO SHIFT ITS FOCUS TO EVIDENCE BASED CHRONIC DISEASE MANAGEMENT PROGRAMMING AS IT CONTAINS NUTRITION AND EXERCISE INFORMATION IN THE CURRICULUM AND WOULD PROVIDE PARTICIPANTS WITH A BETTER UNDERSTANDING OF THEIR DISEASE OVERALL. PROMOTE A HEALTHY AND SAFE ENVIRONMENT AIR AND WATER QUALITY ARE NOT A SERIOUS ISSUE IN OUR AREA.
PART V, SECTION B, LINE 11: 2016-2018 ACTION PLAN (CONTINUED)	BUILT ENVIRONMENT THE HOSPITAL DID HELP SECURE BOTH THE WALTON VILLAGE BOARD AND THE TOWN OF COLCHESTER'S BOARD AGREEMENT TO ADOPT COMPLETE STREETS POLICIES. AND IT CONTINUES TO PROMOTE THE PRESCRIPTION TRAILS PROGRAM. PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN DVH DOES NOT OFFER OB/GYN CARE OR DELIVERY CARE. AS A MATTER OF FACT, NO HOSPITALS OFFER THESE SERVICES IN DELAWARE COUNTY. WOMEN ARE TRAVELING OUTSIDE OF THE COUNTY TO SEEK THIS CARE. IT IS FELT THAT THEIR PROVIDERS WILL ENCOURAGE BREAST FEEDING, AS DOES DELAWARE COUNTY PUBLIC HEALTH AND THE WIC OFFICE IN DELAWARE COUNTY IS VERY SUPPORTIVE. 2018: DVH DOES HOLD AN ANNUAL TEDDY BEAR CLINIC FOR LOCAL 2ND GRADERS. IN 2018, 5 SCHOOLS PARTICIPATED AND OVER 120 KIDS PARTICIPATED. THE DAY INCLUDES TIME IN THE ER, RADIOLOGY, AND HELPING TO CARE FOR OUR BOY MANNEQUIN, WHO HAS HAD A BIKE ACCIDENT AND WAS NOT WEARING A HELMET. THE HELICOPTER CAME IN, AS DID THE LOCAL AMBULANCE SQUAD AND THE NYS TROOPERS BROUGHT IN THEIR K9 OFFICER. THE GOAL IS TO EXPOSE KIDS TO SOME OF THE THINGS THEY MAY SEE AND EXPERIENCE IF THEY OR A LOVED ONE HAD TO HAVE CARE. EACH TEACHER ALSO RECEIVED A MR. YUK CLASSROOM ACTIVITY TO HELP KIDS LEARN ABOUT POISONS. A SANTA CLAUS EVENT IS ALSO HELD. CHILDREN SEE SANTA, HAVE THEIR PHOTO TAKEN AND ALSO THEY EACH MAKE A HOLIDAY CRAFT WITH THEIR FAMILY MEMBER. WE HOPE THIS TYPE OF ACTIVITY FOSTERS A STRONGER SENSE OF FAMILY.OVER 100 CHILDREN TOOK PART IN THIS EVENT.PREVENT HIV, STDS, VACCINE PREVENTABLE DISEASES AND HEALTH CARE ASSOCIATED INFECTIONS DVH DOES PROMOTE VACCINATION OF CHILDREN THROUGH ITS PRIMARY CARE PRACTICES AND FLU SHOTS FOR ALL RESIDENTS. DVH'S INFECTION CONTROL NURSE CONTINUALLY PROVIDES INFORMATION REGARDING PPE, HAND WASHING, AND IMMUNIZATIONS. THIS IS DONE AS A PART OF DVH'S NORMAL BUSINESS AND IS NOT CONSIDERED TO BE A SPECIAL INITIATIVE. THE HOSPITAL DID PROVIDE HAND WASHING EDUCATION AT THE COUNTY FAIR FOR THE PAST TWO YEARS. A HAND WASH STATION WAS SET UP, PARTICIPANTS WASHED THEIR HANDS, THEN APPLIED A SPECIAL GEL AND LOOKED AT THEIR HANDS UNDER A BLACK LIGHT TO SEE WHERE THEY MAY HAVE MISSED. IN 2018, DVH STAFF WENT TO THE LOCAL ELEMENTARY SCHOOL AND HELD THE HAND WASH CHALLENGE BY HAVING ALL STUDENTS, WASH THEIR HANDS AND THEN VIEW THEM UNDER THE BLACK LIGHT. THEY WASHED THEIR HANDS AGAIN AND SAW WHERE THEY HAD DONE BETTER AND WHERE THEY STILL COULD USE SOME MORE PRACTICE. THIS EVENT, HELD OVER 2 DAYS, REACHED OVER 500 PRE-K THROUGH 5TH GRADE STUDENTS.HEALTH CARE PROFESSIONAL SHORTAGESA MAJOR CONCERN, ESPECIALLY IN RURAL AREAS IS THE SHORTAGE OF HEALTH CARE PROFESSIONALS. DELAWARE VALLEY TRIES TO HELP ADDRESS THAT CONCERN IN SEVERAL WAYS. BOTH THE LOCAL BOCES SCHOOL AND STATE UNIVERSITY SEND THEIR NURSING STUDENTS TO DVH FOR THEIR CLINICAL EXPERIENCES. DVH NURSING STAFFS SERVE ON THE UNIVERSITY'S EXTERNAL ADVISORY COUNCIL AND WORK WITH THE SCHOOL'S BSN STUDENTS IN PROVIDING REAL LIFE INSIGHT INTO THE VARIOUS FIELDS OF NURSING.

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
123 STOCKTON AVENUE	WALTON	NY	13856	REHABILITATION CLINIC
5 - SPECIALTY CLINIC
121 STOCKTON AVENUE	WALTON	NY	13856	OUTPATIENT PHYSICIAN CLINIC

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).1. 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 $613,846 IN PART IX, LINE 24B. THE AFOREMENTIONED BAD DEBT EXPENSE WAS USED IN THE CALCULATIONS OF SCHEDULE H, PART 1, 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) COMMITTEE. IN 2018, DVH STAFF TOOK PART IN THE COUNTY'S POINT OF DISTRIBUTION (POD) DRILL. 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 ASKED AREA HEALTHCARE PROVIDERS FOR HELP IN MAKING THE PUBLIC AWARE OF HOW TO SAFELY DISPOSE OF NEEDLES. DVH TOOK THE LEAD AND DEVELOPED A NEW BROCHURE TO BE HANDED OUT DURING THE 2017 CLEAN SWEEP WEEK. UHS PRODUCED THE BROCHURES, FREE OF CHARGE SO THEY COULD BE DISTRIBUTED COUNTY WIDE. THESE ARE STILL BEING USED IN 2018.THE HOSPITAL WAS A CO-SPONSOR WITH CARE COMPASS NETWORK AND DELAWARE COUNTY COMMUNITY SERVICES DEPARTMENT TO OFFER A TWO-DAY WORKSHOP: SEQUENTIAL INTERCEPT MODEL (SIM) AS APPROXIMATELY 40 AGENCIES AND ORGANIZATIONS AND INTERESTED STAKEHOLDERS CAME TOGETHER TO MAP OUT AN INTERFACE BETWEEN CRIMINAL JUSTICE AND THE MENTAL HEALTH SYSTEM SO CONCERNS COULD BE ADDRESSED ABOUT THE CRIMINALIZATION OF PEOPLE WITH BOTH MENTAL ILLNESS AND SUBSTANCE USE ADDICTION. THE HOSPITAL CONTINUED TO SUPPORT THE COMMUNITY HOLIDAY DINNER, THE TOWN'S VETERAN'S CLUB, CHAMBER OF COMMERCE, LITTLE LEAGUE ORGANIZATION, THE LOCAL TOY BANK DRIVE AND TWO 5K RUNS, THE AMERICAN CANCER SOCIETY, 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 CULLEMAN 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 2018, IT DONATED TO THE NORTH CAROLINA HEALTHCARE WORKERS FLOOD FUND.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 SERVE 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. 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. WE ALSO BELIEVE IN ENCOURAGING FAMILY TOGETHERNESS. WE HELD OUR SECOND SANTA EVENT BUT THIS TIME WE ADDED A CRAFT ACTIVITY FOR EACH CHILD TO DO WITH THEIR PARENT. A LITTLE OVER 100 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 146 SECOND GRADERS FROM 5 AREA SCHOOLS AT A 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 HELPING 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 DOES.
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 2018 ACTUAL BAD DEBT WRITE-OFFS RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE TO THE TOTAL 2018 ACTUAL BAD DEBT WRITE-OFFS. THIS CALCULATION DID NOT INCLUDE ESTIMATES OR ACCRUALS. IN 2018, THE WRITE-OFFS RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WAS APPROXIMATELY 50% 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 9 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 COSTING METHODOLOGY UTILIZING AMOUNTS FROM OUR 2018 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.UHSH REFRAINS FROM SENDING AN ACCOUNT TO COLLECTION AGENCIES IF A COMPLETED FINANCIAL ASSISTANCE APPLICATION AND THE REQUIRED DOCUMENTATION ARE PROVIDED. UHSH 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. UHSH 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. 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 2018, 16 STUDENTS ATTENDED OVER A TWO DAY PERIOD.THROUGHOUT 2018, THE HOSPITAL CONTINUED TO WORK HAND IN HAND WITH THE DELAWARE COUNTY PUBLIC HEALTH DEPARTMENT AND A MULTITUDE OF COMMUNITY ORGANIZATIONS AND HEALTHCARE PROVIDERS TO ADDRESS NEEDS IDENTIFIED IN THE COMMUNITY HEALTH ASSESSMENT. SEVERAL MEETINGS WERE HELD THROUGHOUT 2018, IN ORDER TO WORK TOGETHER TO ADDRESS ISSUES RAISED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT AND THE INITIATIVES EACH HOSPITAL OUTLINED IN THEIR COMMUNITY SERVICE PLANS. AN UPDATE OF 2018 ACTIVITIES IS LOCATED ON THE NYUHS.ORG WEBSITE.MENTAL HEALTH AND SUBSTANCE ABUSE HAVE BEEN IDENTIFIED IN THE NEEDS ASSESSMENT AS A PRIORITY. IN 2018, 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 THE MENTAL HEALTH COMMITTEE OF DELAWARE COUNTY. THE MOST CHALLENGING BARRIER IN ACCESSING CARE IS THE LACK OF PROVIDERS TO CARE FOR THESE PATIENTS. IN 2017, DVH BEGAN A TELEPSYCHIATRY 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 TELEMENTAL HEALTH PROGRAM. THE PROGRAM OFFICIALLY BEGAN IN JANUARY, 2019 AND A NPP AND LCSW ARE AVAILABLE TO SEE PATIENTS THROUGH THIS TECHNOLOGY. A SECOND NEED IS FOR CHRONIC DISEASE MANAGEMENT AND PREVENTION. THE HOSPITAL HAS 3 STAFF MEMBERS TRAINED TO OFFER THE PROGRAM. IN 2018, THREE PROGRAMS WERE OFFERED TO THE PUBLIC: ONE IN THE SPRING AND TWO IN THE FALL. 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.
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, WITH 79% OF THE PATIENTS COMING FROM THE WESTERN HALF OF DELAWARE COUNTY, AND ANOTHER 15% FROM NORTHERN SULLIVAN, BROOME, OTSEGO, AND CHENANGO COUNTIES. 85% OF DVH'S ZIP CODE SERVICE AREA INCLUDES THE COMMUNITIES OF WALTON, DOWNSVILLE, ONEONTA, ROSCOE, HANCOCK, DELHI, EAST BRANCH, SIDNEY, SIDNEY CENTER, BINGHAMTON, UNADILLA, LONG EDDY, AND HAMDEN. DELAWARE COUNTY IS LOCATED ON THE WESTERN EDGE OF THE CATSKILL MOUNTAINS IN RURAL, UPSTATE NEW YORK. ENCOMPASSING 1446.37 SQUARE MILES, ITS 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 IN DELAWARE COUNTY IS 45.4 YEARS, WHILE 35% ARE AGE 55 AND OVER, AND 20% OF THOSE ARE 65 YEARS AND OVER. 95.6% OF THE POPULATIONS ARE CAUCASIAN, SO THERE IS LITTLE ETHNIC DISPARITY. THE MEDIAN FAMILY INCOME IS $ 44,470 AND APPROXIMATELY 14% OF THE POPULATION LIVES IN POVERTY. ACCORDING TO THE 2009-2011 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 RISEN TO 66.7% FOR CHILDREN UNDER 5 YEARS OF AGE IN DELAWARE COUNTY. THIS IS WELL ABOVE THE NEW YORK AND UNITED STATES COMPARISONS OF 42.8% AND 47% 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 TWICE WEEKLY. ITS OUTPATIENT REHABILITATION DEPARTMENT OFFERS PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY, AND A CARDIOPULMONARY REHABILITATION PROGRAM IS 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, AND PODIATRIST A PAIN MANAGEMENT PHYSICIAN, AND PHYSICIAN ASSISTANT.THE PAIN MANAGEMENT CLINIC BEGAN TO HELP PATIENTS UTILIZE ALTERNATIVE TREATMENT METHODS RATHER THAN USING OPIOIDS. THE CLINIC IS HELD TWO DAYS PER MONTH. DELAWARE VALLEY HOSPITAL'S CERTIFIED DIETICIAN/NUTRITIONIST OFFERED A LIFESTEPS SERIES OF WORKSHOPS WHICH FOCUS ON PARTICIPANTS' LIFESTYLES AS RELATED TO DIET AND EXERCISE IN JANUARY, 2018 BUT NO ONE SIGNED UP. BECAUSE THE DIETITIAN/NUTRITIONIST WAS ALREADY CO-LEADING THE CHRONIC DISEASE SELF MANAGEMENT PROGRAM NO ADDITIONAL OUTREACH WAS DONE. THE DIETITIAN/NUTRITIONIST ALSO GAVE A PRESENTATION AT THE HAMDEN SENIOR CITIZENS CLUB ABOUT NUTRITION, AND 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. THEY ALSO TEAMED UP TO OFFER A CONTINUOUS GLUCOSE MONITORING SEMINAR.THE HOSPITAL CONTINUED ITS ANNUAL PRESENCE AT THE WEEK-LONG DELAWARE COUNTY FAIR. DURING THE WEEK, THE HOSPITAL STAFF PROVIDED LOTS OF HEALTH AND NUTRITION INFORMATION TO FAIRGOERS, PERFORMING AT LEAST 438 BLOOD PRESSURE CHECKS, 100 PLAYED THE NUTRITION GAME. 41 EMPLOYEES SPENT A TOTAL OF 347 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 IS GOING TO TRY AND COORDINATE THIS PROGRAM IN CONJUNCTION WITH UHS STAY HEALTHY CENTER AND OFFER IT THROUGH LIVE, INTERACTIVE VIDEOCONFERENCING. THE HOSPITAL ALSO BEGAN A 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 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.THE CARDIOPULMONARY REHABILITATION NURSE PRESENTED A PROGRAM TO THE WALTON LIONS CLUB REGARDING THE RELATIONSHIP BETWEEN DIABETES AND HEART DISEASE. STAFF PARTICIPATED IN THE AMERICAN HEART ASSOCIATION'S GO RED FOR WOMEN EVENT AND HEART WALK, AND THE DELAWARE COUNTY SENIOR PICNIC WHERE BALANCE AND FALL PREVENTION WAS A HIGHLIGHT.AN OPEN HOUSE WAS HELD AT THE ROSCOE PRIMARY CARE SITE WHERE PARTICIPANTS RECEIVED INFORMATION ABOUT VARIOUS CONCERNS THEY HAD, AS WELL AS FREE FASTING CHOLESTEROL, BLOOD SUGAR AND PSA LAB TESTING. IN 2018, A NEW EVENT WAS ADDED WHEN THE COMMUNITY RELATIONS STAFF WENT TO THE LOCAL ELEMENTARY SCHOOL AND HELD A HANDWASHING EVENT. STUDENTS WASHED THEIR HANDS, USED SOME GEL AND THEN LOOKED AT THEM UNDER A BLACK LIGHT. SPOTS THEY MISSED SHOWED UP AS WHITE AREAS. THEY WENT BACK AND WASHED AGAIN AND WERE ABLE TO SEE WHERE THEY HAD IMPROVED AND WHERE THEY STILL MAY HAVE NEEDED TO FOCUS. OVER 500 CHILDREN FROM 4 YRS OF AGE THROUGH 5 GRADE PARTICIPATED.
PART VI, LINE 6:	DELAWARE VALLEY HOSPITAL, INC. IS AN IMPORTANT PART 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 WOULD 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
2ND VICE CHAIR	$0	$678,078	$0	$151,062	$0	$10,500	$0	$18,500	$0	$20,125	$0	$878,265	$0	$0
DR MICHAEL FREEMAN
MEDICAL STAFF PRESIDENT	$236,475	$0	$200	$0	$0	$0	$12,690	$0	$25,358	$0	$274,723	$0	$0	$0
PAUL SUMMERS
PRESIDENT/CEO	$204,015	$0	$46,880	$0	$0	$0	$7,884	$0	$12,815	$0	$271,594	$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 2018 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 $274,723.

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 (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
MICHAEL LAYTON
BROTHER-IN-LAW OF DEBORAH HITT, V.P. QUALITY/SUPPORT SERVICES	$59,940	EMPLOYEE WAGES	0
BONNIE CRAIG
SISTER OF DEBORAH HITT, V.P. QUALITY/SUPPORT SERVICES	$38,355	EMPLOYEE WAGES	0
NANCY VOLLKOMMER
SISTER-IN-LAW OF VICKI CONKLING, V.P. NURSING ADMIN./CNO	$31,720	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	THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS UNITED HEALTH SERVICES, INC.
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 5,017,885. MANAGEMENT AND GENERAL EXPENSES 760,445. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,778,330.
FORM 990, PART XI, LINE 9:	INTEREST RATE SWAP 84,699.
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 DIRETORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANTS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
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
PROJECT HEAR INC
601 RIVERSIDE DRIVE	JOHNSON CITY	NY	13790	161462675	HOME EMERGENCY ALARM SYSTEM	NY	501(C)(3)	10	TWIN TIER HOME HEALTH 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	Yes (1)	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