2018-11-14T17:48:49-06:00 2017-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2017-01-01 150532245 ST ELIZABETH MEDICAL CENTER STEL 3158018151 2209 GENESEE STREET UTICA NY 135015999 LOUIS AIELLO CFO 3158018151 2018-11-13 1 ANGELA M FRANCO P00589741 3154463600 2018-11-09 24.39.85.114 2018-11-13 13:46:07 ES P 1810175FCAB42B8EBF7D2FB267B59522BE28B9D6 78F987A6F9B841F8A92EE1C31D8D96B0F16799DC 2017 2019-02-21 02:37:17Z LOUIS AIELLO 2209 GENESEE STREET UTICA NY 135015999 232553922 0 X WWW.STEMC.ORG X 1861 NY ST. ELIZABETH MEDICAL CENTER COMMUNITY, INSPIRED BY ST. FRANCIS OF ASSISI AND FAITHFUL TO THE TEACHINGS OF THE ROMAN CATHOLIC CHURCH, IS COMMITTED TO EXCELLENCE IN HEALTHCARE AND EDUCATION. 17 15 2224 193 392754 -49422 712816 555079 217633469 213028500 265393 1539657 5627335 6834836 224239013 221958072 0 0 0 0 125829634 125306337 0 0 0 96989452 97660471 222819086 222966808 1419927 -1008736 121075823 117179581 112063488 113017092 9012335 4162489 X ST. ELIZABETH MEDICAL CENTER COMMUNITY, INSPIRED BY ST. FRANCIS OF ASSISI AND FAITHFUL TO THE TEACHINGS OF THE ROMAN CATHOLIC CHURCH, IS COMMITTED TO EXCELLENCE IN HEALTHCARE AND EDUCATION. 0 0 105556960 115018887 INPATIENT SERVICES- ST ELIZABETH MEDICAL CENTER IS A FULL SERVICE GENERAL HOSPITAL WITH 201 LICENSED BEDS. THE HOSPITAL PROVIDES A FULL RANGE OF ROUTINE AND ANCILLARY SERVICES, INCLUDING CARDIAC SURGERY AND ANGIOPLASTY. DISBURSEMENTS MADE BY THE HOSPITAL ARE EXCLUSIVELY FOR SERVICES AND MATERIALS USED IN PERFORMING THE HOSPITAL'S EXEMPT FUNCTIONS. ST ELIZABETH MEDICAL CENTER PROVIDES CARE TO EVERYONE REGARDLESS OF RACE, RELIGION OR ABILITY TO PAY. 21922883 35152226 AMBULATORY SURGERY- ST ELIZABETH MEDICAL CENTER HAS A FULL RANGE OF AMBULATORY SURGERY SERVICES ON ITS CAMPUS FOR PATIENTS THAT DO NOT REQUIRE OVERNIGHT OR LONG INPATIENT STAYS. ST ELIZABETH MEDICAL CENTER PROVIDES SERVICES TO EVERYONE REGARDLESS OF RACE, RELIGION, OR ABILITY TO PAY. 24770794 4865458 COMMUNITY MEDICINE - IN ADDITION TO HAVING OUTPATIENT VISITS ON SITE, ST. ELIZABETH MEDICAL CENTER HAS SEVERAL OFF-SITE CLINICS TO PROVIDE PATIENTS WITH CONVENIENT MEDICAL CARE AT A LOWER COST THAN IN THE HOSPITAL SETTING. THE OFF-SITE CLINICS INCLUDE FAMILY PRACTICE AND COMMUNITY MEDICINE. 49099716 57991929 OTHER PROGRAM SERVICES INCLUDE EMERGENCY ROOM, REFERRED AMBULATORY, CLINICS, FAMILY PRACTICE, SPORTS MEDICINE CENTER, COLLEGE OF NURSING, INTERNS AND RESIDENTS, AND HOME HEALTH AGENCY 49099716 57991929 201350353 1 1 0 1 0 0 1 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 129 0 1 2224 1 1 1 0 0 0 0 0 0 0 0 0 X 17 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X LOUIS AIELLO - ST ELIZABETH MEDICAL CENTER 3156246143 2209 GENESEE STREET UTICA NY 13501 X NORMAN SIEGEL TRUSTEE 1.00 2.50 X 0 0 0 GREGORY MCLEAN TRUSTEE 1.00 2.50 X 0 0 0 GREGORY EVANS SECRETARY 1.00 2.50 X X 0 0 0 JOAN COMPSON CHAIRMAN 1.50 3.50 X X 0 0 0 RICHARD TANTILLO TRUSTEE 1.00 2.50 X 0 0 0 PAUL DAVIDSON MD TRUSTEE/SEMC MEDICAL STAFF PRESIDENT 1.00 2.50 X 0 55009 0 STEPHEN SWEET TRUSTEE 1.00 2.50 X 0 0 0 DOMENIC P AIELLO MD TRUSTEE 1.00 2.50 X 0 0 0 MARIA GESUALDO TRUSTEE 1.00 2.50 X 0 107292 0 BONNIE WOODS VICE CHAIRMAN 1.00 2.50 X X 0 0 0 BARBARA BRODOCK TRUSTEE 1.00 4.50 X 0 0 0 CATHERINE COMINSKY TRUSTEE 1.00 2.50 X 0 0 0 ANDREW KOWALCZYK III TRUSTEE 1.00 2.50 X 0 0 0 SYMEON TSOUPELIS TRUSTEE 1.00 2.50 X 0 0 0 LAUREN BULL TRUSTEE 1.00 2.50 X 0 0 0 RICHARD ZWEIFEL TREASURER 1.00 2.50 X X 0 0 0 SCOTT PERRA FACHE TRUSTEE, PRESIDENT/CEO 20.00 35.00 X X 0 960507 33038 BRIAN BOYLE MD TRUSTEE/FSLH MEDICAL STAFF PRESIDENT 1.00 2.50 X 0 0 0 ROBERT DICKS TRUSTEE 1.00 0.00 X 0 0 0 LINDA MCCORMACK-MILLER SENIOR VP/CNO 20.00 30.00 X 0 213161 6279 LOUIS AIELLO SENIOR VP/CFO 18.00 32.00 X 442454 0 27893 ROBERT SCHOLEFIELD RN MS SENIOR VP/COO 20.00 30.00 X 417789 0 27936 MICHAEL TREVISANI MD SENIOR VP/CMO 20.00 30.00 X 0 446375 25438 CLIFFORD SOULTS MD PHYSICIAN 50.00 X 441362 0 8516 NICHOLAS QUANDAH MD PHYSICIAN 50.00 X 1274841 0 18790 LASZLO FUZESI MD PHYSICIAN 50.00 X 779386 0 10441 ANNE CAHILL MD PHYSICIAN 50.00 X 600703 0 13965 FREDERICK JOYCE MC PHYSICIAN 50.00 X 544088 0 22339 4500623 1782344 194635 143 1 1 1 UPTOWN ANESTHESIA ASSOCIATION 2405 GENESEE STREET UTICE NY 13501 ANESTHESIA SERVICES 2001500 MCKESSON PO BOX 98347 CHICAGO IL 60693 COMPUTER SERVICES 1821226 STAT STAFF PROFESSIONALS 18 DIVISION STREET SARATOGA SPRINGS NY 12866 MEDICAL STAFFING SERVICES 1333880 MAYO COLLABORATIVE SERVICES PO BOX 9146 MINNEAPOLIS MN 55480 LAB SERVICES 917801 SODEXO OPERATIONS LLC PO BOX 360170 PITTSBURGH PA 15251 CAFETERIA SERVICES 781704 30 278054 277025 555079 MEDICARE/MEDICAID PATIENT REVENUE 900099 134536752 134536752 PATIENT SERVICE REVENUE 900099 78184422 78184422 NURSING HOME LAB TESTING 621500 178002 178002 CYTOLOGY LAB TESTING 621500 129324 129324 213028500 840907 840907 715507 0 715507 715507 85428 630079 11294600 10595850 698750 698750 698750 POPULATION HEALTH 900099 2023735 2023735 TUITION AND FEES 900099 1831777 1831777 CAFETERIA SALES 900099 983782 983782 1280035 1280035 6119329 221958072 219539253 392754 1470986 916071 823823 92248 103417019 93002925 10414094 2563638 2305480 258158 11174958 10049640 1125318 7234651 6506122 728529 187398 168527 18871 120860 108689 12171 24498 22031 2467 17066793 15348167 1718626 49180413 44227945 4952468 2293257 2062326 230931 44776 40267 4509 152551 137189 15362 1247235 1121638 125597 10243043 9211569 1031474 1510659 1358536 152123 BAD DEBT 8304888 8304888 EQUIPMENT RENTAL AND MA 6426622 5779461 647161 DEBT ASSESSMENT 642445 577751 64694 PUBLIC RELATIONS 215033 193379 21654 222966808 201350353 21616455 0 8112463 8958465 24272573 23863030 5792039 5699965 1579098 1558446 213871186 153598103 64600982 60273083 5471907 3692689 11246761 13133903 121075823 117179581 24634635 26016583 24936889 22753734 1963073 2363266 3854892 3127210 56673999 58756299 112063488 113017092 X 7596468 2524324 469561 610612 946306 1027553 9012335 4162489 121075823 117179581 X -1008736 -549408 -3291702 X X 0 1 X 1 1 1 X 0 0 0 0 0 0 0 0 1 24498 24498 0 PART II-B, LINE 1: ACTIVITIES INCLUDE THE PORTION OF DUES PAID TO THE HEALTH CARE ASSOCIATION OF NEW YORK STATE. X 1 20.00 0 0 1 0 1 1415847 233401 169133 13100 167116 1638165 1340040 201009 93248 21250 197200 1415847 1398830 443543 57198 10450 549081 1340040 1577815 167788 39503 13100 373176 1398830 8258921 414801 13894 23550 7086251 1577815 0.62730 0.37270 0 1 1 6829528 6829528 77802001 53907008 23894993 129239657 99691095 29548562 60273083 GRANT AND TUITION RECEIVABLES 2601536 ASSETS WHOSE USE IS LIMITED- BOND FUNDS 4155398 INTEREST IN NET ASSETS OF SEMC FOUNDATION 4922794 INVESTMENTS RESTRICTED BY DONORS 1454175 13133903 ACCRUED PENSION LIABILITY 49248716 LIABILITY TO THIRD PARTY PAYORS 1581244 PROFESSIONAL LIABILITY DEDUCTIBLE 4759251 OTHER LONG-TERM LIABILITIES 766440 DUE TO AFFILIATES 1564611 OTHER CURRENT LIABILITIES 346996 CAPITAL LEASE OBLIGATIONS 489041 58756299 X PART II, LINE 9: AMOUNT OF CONSERVATION EASEMENT IS IMMATERIAL TO FINANCIAL STATEMENTS AND THEREFORE, IS NOT RECORDED AS PART OF TOTAL ASSETS. PART V, LINE 4: ENDOWMENT FUNDS - THE INTENDED PURPOSE OF THE MEDICAL CENTER'S ENDOWMENT FUNDS ARE TO PROVIDE FUTURE SCHOLARSHIP AWARDS FOR STUDENTS IN THE COLLEGE OF NURSING PROGRAMS. PART X, LINE 2: THE MEDICAL CENTER AND THE FOUNDATION HAVE BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31, 2017 AND 2016, THE MEDICAL CENTER AND THE FOUNDATION DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2014 THROUGH 2017. THE MEDICAL CENTER DOES NOT ANTICIPATE THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS. 1 1 1 X 250.000000000000 1 X 325.000000000000 1 1 0 1 1 2452575 1292686 1159889 0.00540 45204277 41828472 3375805 0.01570 4073228 2625928 1447300 0.00670 51730080 45747086 5982994 0.02780 316514 316514 0.00150 7803371 5979987 1823384 0.00850 107731 800 106931 0.00050 8227616 5980787 2246829 0.01050 59957696 51727873 8229823 0.03830 1 8304888 616000 56310410 69748346 -13437936 X 1 1 1 MVEC GASTROENTEROLOGY SERVICES 0.20000 0.00000 0.00000 1 1 ST ELIZABETH MEDICAL CENTER 2209 GENESEE STREET UTICA NY 13501 X X TEACHING HOSPITAL AND 24 HOUR ER ST ELIZABETH MEDICAL CENTER 1 0 0 1 X X X X X X X X X 16 1 1 1 1 X WWW.STEMC.ORG, HTTP://MVHEALTHSYSTEM.ORG X HTTP://OCGOV.NET X 1 16 1 WWW.STEMC.ORG, HTTP://MVHEALTHSYSTEM.ORG 0 1 X 250.000000000000 325.000000000000 X X 1 1 X X X 1 X WWW.STEMC.ORG, HTTP://MVHEALTHSYSTEM.ORG X WWW.STEMC.ORG, HTTP://MVHEALTHSYSTEM.ORG X WWW.STEMC.ORG, HTTP://MVHEALTHSYSTEM.ORG X X X X X X 1 X 0 X X X 1 X 0 0 ST ELIZABETH MEDICAL CENTER PART V, SECTION B, LINE 5: IN 2013, THE ONEIDA COUNTY HEALTH DEPARTMENT (OCHD), HOSPITALS, AND REPRESENTATIVES FROM COMMUNITY ORGANIZATIONS CONVENED TO DEVELOP THE 2013-2017 COMMUNITY HEALTH ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN. THE PLANNING GROUP MET REGULARLY TO DISCUSS THE DATA, COMMUNITY INPUT, AND HEALTH PRIORITIES. INPUT WAS COLLECTED FROM A LARGE COMMUNITY FORUM WITH STAKEHOLDER FEEDBACK ON COMMUNITY STRENGTHS, WEAKNESSES, AND PRIORITY AREAS FOR IMPROVEMENT. A CHA/CHIP PLANNING TEAM COMPRISED OF OCHD, FSL, SEMC AND RMH STAFF MET REGULARLY STARTING IN EARLY 2016. THE PLANNING TEAM MET TO REVIEW AND DISCUSS THE 2016-2018 CHA/CHIP UPDATE PROCESS, CLARIFY EXPECTATIONS, AND DEVELOP A DETAILED WORK PLAN WITH TEAM RESPONSIBILITIES, ASSIGNED TASKS, AND DEADLINES TO DEVELOP AND FINALIZE THE PLAN UPDATE. THE PLANNING TEAM CAME TO CONSENSUS ON THE APPROACH TO UPDATE THE CHA AND REASSESS PRIORITIES ESTABLISHED IN THE CHIP. DATA FROM THE ONEIDA COUNTY PREVENTION AGENDA DASHBOARD, NEW YORK STATE QUITLINE PARTNERS REPORTS, ONEIDA COUNTY TEEN ASSESSMENT PROJECT (TAP), PEDIATRIC NUTRITION SURVEILLANCE SYSTEM (PEDNSS) REPORTS, COUNTY HEALTH RANKINGS, BRIDGES COMMUNITY SURVEY, AND THE CNY CARE COLLABORATIVE (CNYCC) COMMUNITY HEALTH ASSESSMENT WERE REVIEWED TO ASSESS AREAS FOR IMPROVEMENT AND STATUS IN ACHIEVING THE GOALS AND OBJECTIVES OUTLINED IN THE PREVIOUS CHIP. THE CNYCC COMMUNITY HEALTH ASSESSMENT AND WORK TO SUPPORT THE DELIVERY SYSTEM REFORM INCENTIVE PAYMENT PROGRAM (DSRIP), AN INITIATIVE TO TRANSFORM THE HEALTH SYSTEM OF NEW YORK STATE, WERE ALSO FACTORED INTO THE ASSESSMENT PROCESS. IN MARCH 2016, THE PLANNING TEAM PRESENTED TO THE ONEIDA COUNTY HEALTH COALITION GENERAL MEMBERSHIP (APPROXIMATELY 60 PEOPLE IN ATTENTANCE) INFORMATION ON THE CHA AND CHIP ACTIVITIES. THE OCHC IS COMPRISED OF BROAD REPRESENTATION OF SECTORS AND ORGANIZATIONS THAT CONVENE UNDER THE DIRECTION OF THE OCHD TO DISCUSS AND ANALYZE DATA ON VARIOUS HEALTH ISSUES AND TRENDS. PARTNERS WERE PROVIDED WITH A SUMMARY OF THE PREVENTION AGENDA DATA AND THE SELECTED CHIP FOCUS AREAS AND WORK GROUP ACTIVITIES. MEMBERS WERE APPRISED OF AND INVITED TO PARTICIPATE IN THE WORK GROUPS AND COMMUNITY HEALTH ASSESSMENT ACTIVITIES. AS A FOLLOW UP TO COLLECT MORE IN-DEPTH PARTNER FEEDBACK, IN MAY 2016, THE PLANNING TEAM CONVENED MEMBERS OF THE ONEIDA COUNTY HEALTH COALITION STEERING COMMITTEE, A GROUP OF APPROXIMATELY 20 COMMUNITY AGENCIES AND ORGANIZATIONS THAT OVERSEE AND GUIDE THE LARGER COMMUNITY HEALTH PARTNERSHIP. PARTNERS WERE PRESENTED WITH AN OVERVIEW OF THE COMMUNITY HEALTH ASSESSMENT UPDATE AND COMMUNITY HEALTH IMPROVEMENT PLAN REQUIREMENTS, CHIP WORK GROUP PROJECTS, TIMELINES, AND STATUS IN ACHIEVING THE DEFINED GOALS AND OBJECTIVES. THE PREVENTION AGENDA INDICATOR DATA AND GOALS WERE REVIEWED ALONG WITH AN OVERVIEW OF HOW EACH OF THE FOCUS AREAS ALIGN WITH HOSPITAL DSRIP INITIATIVES, SPECIFICALLY: THE INITIATIVES OF THE TOBACCO CESSATION WORK GROUP ALIGNED WITH DSRIP FOCUS AREAS TO DSRIP 4.D.I. - REDUCE PRETERM BIRTHS AND DSRIP 3.B.I. - CARDIOVASCULAR DISEASE MANAGEMENT AND THE INITIATIVES OF THE BREASTFEEDING WORK GROUP INDIRECTLY ALIGN WITH DSRIP GOALS (E.G., HEALTHY START FOR BABIES AND HEALTH BENEFITS TO MOTHER) TO REDUCE UNNECESSARY UTILIZATION THROUGH PRIMARY PREVENTION. THE PLANNING TEAM OUTLINED ITS SUCCESSES AND CHALLENGES AND OBTAINED INPUT FROM THE STEERING COMMITTEE ON AREAS FOR IMPROVEMENT AND IDENTIFIED OTHER POTENTIAL PARTNERS OR RESOURCES THAT COULD SUPPORT CHIP WORK GROUP ACTIVITIES. AS A RESULT OF THE DIALOGUE, THE OCHC STEERING COMMITTEE REAFFIRMED THAT THE PLANNING TEAM AND WORK GROUPS SHOULD CONTINUE THEIR EFFORTS TO ADDRESS THE CHIP FOCUS AREAS AND GOALS OUTLINED IN THE 2013-2017 CHIP. THE PLANNING TEAM ALSO ESTABLISHED MECHANISMS TO COLLECT COMMUNITY PERSPECTIVE ON THE CHIP FOCUS AREAS. HEALTH DEPARTMENT STAFF PRESENTED A SHORT COMMENT CARD TO COMMUNITY MEMBERS AT ALL SEVEN (7) PUBLIC HEALTH EVENTS ON NEEDS AND PERCEPTIONS RELATED TO TOBACCO CESSATION AND BREASTFEEDING. THE RESULTS OF THIS FEEDBACK ARE IN APPENDIX B. ADDITIONALLY, THE PLANNING TEAM REVIEWED THE FINDINGS FROM THE CNYCC NEEDS ASSESSMENT WHICH INCLUDED A PRIMARY CARE ASSESSMENT, CNY CONSUMER ACCESS SURVEY, CNY SAFETY NET ASSESSMENT (MEDICAID AND SELF-PAY POPULATIONS) AND KEP INFORMANT INTERVIEWS. ST ELIZABETH MEDICAL CENTER PART V, SECTION B, LINE 6A: OTHER REPRESENTATIVES INCLUDED FAXTON ST.-LUKE'S HEALTHCARE, ST ELIZABETH MEDICAL CENTER, AND ROME MEMORIAL HOSPITAL. ST ELIZABETH MEDICAL CENTER PART V, SECTION B, LINE 6B: IN ADDITION TO ONEIDA COUNTY HEALTH DEPARTMENT, CENTRAL NEW YORK HOME HEALTH CARE, HERKIMER-ONEIDA COMPREHENSIVE PLANNING PROGRAM, UTICA COMMUNITY HEALTH CENTER, MOHAWK VALLEY PERINATAL NETWORK, ONEIDA COUNTY DEPARTMENT OF SOCIAL SERVICES, THE COMMUNITY FOUNDATION OF HERKIMER AND ONEIDA COUNTIES, CORNELL COOPERATIVE EXTENSION, THE PARKWAY CENTER, AMERICAN CANCER SOCIETY, UPSTATE CEREBRAL PALSY, UNITED WAY, ONEIDA COUNTY DEPARTMENT OF MENTAL HEALTH, CENTER FOR FAMILY LIFE & RECOVERY, AND THE HOUSE OF THE GOOD SHEPHERD. ST ELIZABETH MEDICAL CENTER PART V, SECTION B, LINE 11: SINCE 2014, THE TOBACCO CESSATION AND BREASTFEEDING WORK GROUPS HAVE BEEN MEETING QUARTERLY TO REVIEW WORK PLANS AND MONITOR DATA. IN CONSULTATION WITH THE PLANNING TEAM, WORK GROUPS REVIEWED THE PREVENTION AGENDA INDICATORS SPECIFIC TO THEIR GOALS, ASSESSED CURRENT STATUS, REAFFIRMED INITIATIVES AND COMMUNITY PARTNERS AND ADJUSTED WORK PLANS FOR 2017-2018. EACH OF THE WORK GROUPS' MAJOR ACCOMPLISHMENTS AND CHALLENGES TO DATE WERE OUTLINED AS FOLLOWS:A. TOBACCO CESSATION WORK GROUP1. SUCCESSFULLY IMPLEMENTED FAX-TO-QUIT/OPT-TO-QUIT POLICIES WITHIN THREE HOSPITALS IN THE COUNTY AND APPLICABLE OCHD PROGRAM, CONTRIBUTING TO THE INCREASE IN CESSATION REFERRALS. 2. SUCCESSFULLY ESTABLISHED RELATIONSHIPS WITH AREA SCHOOLS TO OFFER TOBACCO PREVENTION EDUCATION SESSIONS. 3. SUCCESSFULLY DEVELOPED PARTNERSHIPS TO OFFER CESSATION CLASSES.4. SAW AN INCREASE IN NUMBER OF CALLS TO THE QUITLINE: 458 (2015) TO 980 (2016 YTD)5. ONEIDA COUNTY HEALTH DEPARTMENT CLINIC STAFF TRAINED IN AN USING 5 A'S WITH PATIENTS.B. BREASTFEEDING WORK GROUP1. SUCCESSFULLY SUPPORTED COMMUNITY PEER-TO-PEER SUPPORTS FOR BREASTFEEDING WOMEN.2. SUCCESSFULLY IMPLEMENTED DIRECT REFERRAL SYSTEMS FOR TWO OB CLINICS TO REFER WOMEN TO WIC.3. SUCCESSFULLY STARTED PARTNERSHIP WITH EDUCATION FOR CHILD CARE PROVIDERS.4. SUCCESSFULLY IMPLEMENTED THE BREASTFEEDING FRIENDLY PLACES IN THE COMMUNITY THROUGH THE BREASTFEED YOUR BABY HERE (BYBH) INITIATIVE.5. MEDIA PROMOTION TO SUPPORT OPENING OF ADDITIONAL BREASTFEEDING CARE LOCATIONS THROUGH TARGETING UNDESERVED POPULATIONS.6. FSLH PARTICIPATED IN GREAT BEGINNINGS LEARNING COLLABORATIVE.7. COMMUNITY EDUCATION AND WEIGH STATIONS PROVIDED ONGOING BREASTFEEDING SUPPORT (RMH AND OCHD).8. CHALLENGE IN EFFECTIVENESS OF FEEDING COUNSELING SESSIONS AT OB CLINICS. ALTHOUGH A SUBSTANTIAL AMOUNT OF WOMEN WERE EDUCATED, SIGNIFICANT CHANGES IN BREASTFEEDING OUTCOMES AT DELIVERY WERE NOT SEEN AND IT WAS NOT A SUSTAINABLE MODEL. 9. CHALLENGE IN CONNECTING DELIVERY PATIENTS WITH WIC PEER COUNCELORS UPON DELIVERY. IDENTIFIED INDIRECT WAYS TO MAKE THIS TIMELY CONNECTION, MAINLY THROUGH USING SOCIAL MEDIA. 12 1 - MEDICAL ARTS 4401 MIDDLE SETTLEMENT ROAD NEW HARTFORD NY 13413 OUTPATIENT LAB/X-RAY 2 - SEMC AT FAMILY PRACTICE CENTER 120 HOBART STREET UTICA NY 13501 OUTPATIENT PHYSICIAN CLINIC 3 - WOMEN & CHILDREN'S FAMILY HEALTH CENTER 2212 GENESEE STREET UTICA NY 13501 OUTPATIENT PHYSICIAN CLINIC 4 - WOUND CARE SERVICES 4401 MIDDLE SETTLEMENT ROAD NEW HARTFORD NY 13413 OUTPATIENT PHYSICIAN CLINIC 5 - FAMILY PRACTICE NEW HARTFORD 4401 MIDDLE SETTLEMENT ROAD NEW HARTFORD NY 13413 OUTPATIENT PHYSICIAN CLINIC 6 - COMMUNITY MEDICINE AT EAST UTICA 1256 CULVER AVENUE UTICA NY 13501 OUTPATIENT PHYSICIAN CLINIC 7 - MARIAN MEDICAL IMAGING 2211 GENESEE STREET UTICA NY 13501 OUTPATIENT LAB/X-RAY 8 - LITTLE FALLS FAMILY PRACTICE 500 EAST MAIN STREET LITTLE FALLS NY 13365 OUTPATIENT PHYSICIAN CLINIC 9 - TOWN OF WEBB HEALTH CENTER 114 SOUTH SHORE ROAD OLD FORGE NY 13420 OUTPATIENT PHYSICIAN CLINIC 10 - COMMUNITY MEDICAL SERVICES - MOHAWK 5 ANN STREET MOHAWK NY 13407 OUTPATIENT PHYSICIAN CLINIC 11 - COMMUNITY MEDICAL SERVICES SOUTH UTICA 6 HAMPDEN PLACE UTICA NY 13501 OUTPATIENT PHYSICIAN CLINIC 12 - ADIRONDACK SPORTS MEDICINE 4401 MIDDLE SETTLEMENT ROAD NEW HARTFORD NY 13413 OUTPATIENT REHAB SERVICES PART I, LINE 7: THE PATIENTS COST-TO-CHARGE RATIO WAS COMPUTED USING ALL CHARGES AND EXPENSES LESS NON-ALLOWABLE. THE COST TO CHARGE RATIO WAS USED TO COMPUTE COST. COST-TO-CHARGE WAS DERIVED BY DIVIDING TOTAL CHARGES FROM THE FINANCIAL STATEMENTS INTO TOTAL COST FROM THE FINANCIAL STATEMENTS, LESS NON-PATIENT COSTS. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $8,304,888. PART III, LINE 4: 990 PART III LINE 4: (FOOTNOTE)THE MEDICAL CENTER PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE MEDICAL CENTER'S POLICY IS NOT TO PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE; THEREFORE, THESE AMOUNTS ARE NOT REPORTED IN NET PATIENT SERVICE REVENUE. DURING 2017 AND 2016, COSTS INCURRED BY THE MEDICAL CENTER IN THE PROVISION OF CHARITY CARE WERE BASED ON THE RATIO OF THE MEDICAL CENTER'S COSTS TO GROSS CHARGES AND APPROXIMATED $616,000 AND $340,000 FOR THE YEARS ENDED DECEMBER 31, 2017 AND 2016, RESPECTIVELY. 990 PART III, LINE 3:THE MEDICAL CENTER GRANTS CREDIT WITHOUT COLLATERAL TO PATIENTS, MOST OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD-PARTY AGREEMENTS. ADDITIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS ARE MADE BY MEANS OF THE PROVISION FOR DOUBTFUL ACCOUNTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE AND SUBSEQUENT RECOVERIES ARE ADDED. THE AMOUNT OF THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENT HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. SERVICES RENDERED TO INDIVIDUALS WHEN PAYMENT IS EXPECTED AND ULTIMATELY NOT RECEIVED ARE WRITTEN OFF TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 8: THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 IS COST TO CHARGE RATIO. THE SHORTFALL REPORTED IS COMMUNITY BENEFIT EXPENSE BECAUSE THIS AMOUNT REPRESENTS THE UNREIMBURSED COSTS TO THE MEDICAL CENTER FOR PROVIDING CARE FOR THE COMMUNITY'S ELDERLY AND DISABLED. PART III, LINE 9B: COLLECTION POLICY PROVISIONS PATIENTS THAT QUALIFY FOR THE MEDICAL CENTER'S CHARITY CARE PROGRAM HAVE THE CHARGES ON THEIR ACCOUNTS FORGIVEN AS THEY ARE PLACED IN CHARITY CARE AND THE BALANCES ARE WRITTEN OFF. THE MEDICAL CENTER'S CHARITY CARE PROGRAM USED THE FEDERAL POVERTY GUIDELINES (FPG) AS A GUIDE WITH HIGH-END LIMITS AT 300% OF THE FPG. IN THOSE SITUATIONS WHERE THE PATIENT'S INCOME IS BETWEEN 200% - 300% OF THE FPG, A SMALL COST SHARE WOULD BE THE ONLY AMOUNT NOT INCLUDED IN CHARITY CARE. ADDITIONALLY THIS SMALL COST SHARE WOULD BE THE ONLY AMOUNT TURNED OVER TO COLLECTION WITH THE OPPORTUNITY OF EVENTUALLY BEING WRITTEN OF TO BAD DEBT IF NOT PAID. PART VI, LINE 2: A VARIETY OF DATA SOURCES WERE USED TO IDENTIFY AND CONFIRM PRIORITIES INCLUDING: THE NYS PREVENTION AGENDA DASHBOARD, HEALTHECONNECTIONS, NEW YORK STATE QUITLINE PARTNERS REPORTS, ONEIDA COUNTY TEEN ASSESSMENT PROJECT (TAP), AND THE PEDIATRIC NUTRITION SURVEILLANCE SYSTEM (PEDNSS) REPORTS. THE PLANNING TEAM ALSO REVIEWED DATA FROM THE JOHN SNOW, INC. COMMUNITY HEALTH ASSESSMENT FOR THE CENTRAL NEW YORK CARE COLLABORATIVE (CNYCC), THE COUNTY HEALTH RANKINGS, AND BRIDGES COMMUNITY SURVEY.THE PLANNING TEAM WORKED TO SOLICIT FEEDBACK FROM COMMUNITY MEMBERS THROUGHOUT THE YEAR. ROME MEMORIAL HOSPITAL HOSTED A COMMUNITY FORUM TO SOLICIT FEEDBACK FROM COMMUNITY MEMBERS AND PARTICIPATED IN THE CITY OF ROME'S HUD COMMUNITY NEEDS ASSESSMENT; ACCESS TO SPECIALTY, PRIMARY, AND BEHAVIORAL HEALTH SERVICES WERE THE MAIN COMMUNITY NEEDS IDENTIFIED. ADDITIONALLY, THE PLANNING TEAM REVIEWED THE FINDINGS FROM THE CENTRAL NY CARE COLLABORATIVE (CNYCC) NEEDS ASSESSMENT IN WHICH SOME ITS KEY FINDINGS AND RECOMMENDATIONS ARE ADDRESSED IN THE SELECTED CHIP INTERVENTIONS AND TARGET POPULATIONS. FINALLY, THE ONEIDA COUNTY HEALTH DEPARTMENT ASKED SPECIFIC QUESTIONS AT HEALTH FAIRS AND EVENTS WHERE ITS STAFF INTERACTS WITH THE PUBLIC:1) WHAT CAN WE DO AS A COMMUNITY TO HELP MORE MOTHERS BREASTFEED THEIR BABIES?2) WHAT CAN WE DO AS A COMMUNITY TO HELP MORE PEOPLE STOP SMOKING? PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETHIS IS COMMUNICATED THROUGH ST ELIZABETH MEDICAL CENTER'S FACILITATED ENROLLMENT PROGRAM AND THE FINANCIAL ASSISTANCE PROGRAM. INFORMATION IS INCLUDED IN THE PATIENT INFORMATION GUIDES PRESENTED TO INPATIENTS AND OUTPATIENTS AND IS AVAILABLE ON THE HOSPITAL'S WEBSITE.ST ELIZABETH MEDICAL CENTER'S FINANCIAL ASSISTANCE PROGRAMTO SUPPORT OUR MISSION, THE ST ELIZABETH MEDICAL CENTER HAS DEVELOPED THE FINANCIAL ASSISTANCE PROGRAM. THE MEDICAL CENTER WILL MAKE AVAILABLE A RESONABLE AMOUNT OF UNCOMPENSATED SERVICES TO ELIGIBLE PERSONS.ST. ELIZABETH MEDICAL CENTER'S FACILITATED ENROLLMENT PROGRAMIN 2000, ST ELIZABETH MEDICAL CENTER DEVELOPED AND IMPLEMENTED THE FACILITATED ENROLLMENT PROGRAM AS A RESULT OF THE UNIQUE COLLABORATION THAT WAS FORGED BETWEEN ST ELIZABETH MEDICAL CENTER AND ONEIDA COUNTY SOCIAL SERVICES DEPARTMENT. THIS PROGAM ALLOWS ST ELIZABETH MEDICAL CENTER STAFF, PATIENT ACCOUNT REPRESENTATIVES, TO ACT AS AN AUTHORIZED REPRESENTATIVE OF THE PATIENT AT THE ONEIDA COUNTY DEPARTMENT OF SOCIAL SERVICES AND SUBMIT THE APPLICATION FOR BENEFITS. THIS SUCCESSFUL PROGRAM HAS EXPANDED THROUGHOUT THE PAST SEVERAL YEARS TO INCLUDE OUTPATIENTS AND EMERGENCY DEPARTMENT PATIENTS. PART VI, LINE 4: SERVICE AREA:THE ONEIDA COUNTY HEALTH DEPARTMENT AND THE HOSPITALS SERVE THE ENTIRE COUNTY. HOSPITAL PATIENT CENSUS INCLUDES RESIDENTS FROM HERKIMER AND MADISON AS WELL, WITH APPROXIMATELY 80% OF PATIENTS RESIDING IN ONEIDA COUNTY ZIP CODES. THE THREE HOSPITALS IN THE COUNTY INCLUDE: MOHAWK VALLEY HEALTH SYSTEM WHICH INCLUDES FAXTON-ST. LUKE'S HEALTHCARE (FSLH) AND ST ELIZABETH MEDICAL CENTER (SEMC), LOCATED IN THE CITY OF UTICA; AND ROME MEMORIAL HOSPITAL (RMH) LOCATED IN THE CITY OF ROME. GEOGRAPHY:ONEIDA COUNTY IS LOCATED IN CENTRAL NEW YORK WITH A POPULATION OF APPROXIMATELY 233,944. THERE ARE THREE CITIES IN THE COUNTY: UTICA POPULATION OF 62,000; ROME POPULATION OF 33,000; AND THE SMALL CITY OF SHERRILL. THERE ARE 45 TOWNS AND VILLAGES THAT COVER A TOTAL OF 1,257.11 SQUARE MILES. SIXTY-SEVEN PERCENT (67%) OF THE COUNTY'S POPULATION RESIDES IN URBAN AREAS AND 33% IN RURAL AREAS.AGE:LIKE MANY OTHER COMMUNITIES, ONEIDA COUNTY HAS A SIGNIFICANT AND GROWING AGING POPULATION WITH A MEDIAN AGE OF 41.2 AND 16.8% OF THE POPULATION 65 YEARS AND OLDER. RACE & ETHNICITY:THE RACIAL AND THNIC CHARACTERISTICS OF ONEIDA COUNTY ARE: WHITE (84.9%); BLACK (5.5%); ASIAN (4.0%); OTHER (2.0%), TWO OR MORE RACES (3.1%); AND HISPANIC OR LATINO (5.5%). ONEIDA COUNTY IS THE HOME OF ONE OF THE LARGEST REFUGEE RESETTLEMENT AGENCIES IN THE COUNTRY, THE MOHAWK VALLEY RESOURCE CENTER FOR REFUGEES (MVRCR). SINCE 1981, THE MVRCR HAS RESETTLED OVER 15,000 INDIVIDUALS IN THE CITY OF UTICA OF VARYING ETHNICITIES AND NATIONALITIES INCLUDING VIETNAMESE, RUSSION, BOSNIAN, SOMALI BANTU, BURMESE AND NEPALI TO NAME A FEW (MVRCR): 17.6% FOREIGN-BORN RESIDENTS CONSTITUTE THE POPULATION OF THE CITY OF UTICA. 26.6% HOUSEHOLDS IN UTICA SPEAK A LANGUAGE OTHER THAN ENGLISH.WITHIN THE COUNTY BORDER IS A PORTION OF THE MEMBERS (549) AND TERRITORY OF THE ONEIDA INDIAN NATION (NYS OFFICE OF CHILDREN AND FAMILY SERVICES, "A PROUD HERITAGE - NATIVE AMERICAN SERVICES IN NYS", 2001 EDITION) IN THE COUNTY, THERE ARE POCKETS OF AMISH AND MENNONITE POPULATIONS IN RURAL AREAS (DATA UNAVAILABLE). ECONOMIC:-PERCENTAGE OF FAMILIES AND PEOPLE WHOSE INCOME IN THE PAST 12 MONTHS IS BELOW THE POVERTY LEVEL IS 11.7% AND THE PERCENTAGE WITH RELATED CHILDREN UNDER 18 YEARS IS 20.8%; THE PERCENTAGE OF PEOPLE 65 YEARS AND OLDER BELOW THE POVERTY LEVEL IS 9.1%. THE PERCENTAGE OF THE POPULATION 16 YEARS AND OLDER THAT IS UNEMPLOYED IS 4.8%.-PERCENT WITH HIGH SCHOOL GRADUATE DEGREE OR HIGHER IS 87.5%.-PERCENT OF CIVILIAN NON-INSTITUTIONALIZED POPULATION WITH HEALTH INSURANCE COVERAGE IS 93.1%; 67.5% OF THESE HAVE PRIVATE HEALTH INSURANCE AND 40.6% WITH PUBLIC COVERAGE. 6.9% HAVE NO HEALTH INSURANCE COVERAGE. -THE EIGHT COUNTIES OF CNY HAVE A TOTAL OF 277,458 MEDICAID ENROLLEES; ONONDAGA AND ONEIDA COUNTY ACCOUNT FOR 171,713 OR 62% OF ALL OF THE MEDICAID ENROLLEES. (CENTRAL NY CARE COLLABORATIVE COMMUNITY HEALTH ASSESSMENT) PART VI, LINE 5: THE NEW YORK STATE PREVENTION AGENDA SERVES AS A GUIDE TO HEALTH DEPARTMENTS AND HOSPITALS AS THEY DEVELOP THE CHNA AND PROMOTE COMMUNITY HEALTH. THE SIX PRIORITY AREAS WERE REVISED IN MARCH 2015. THEY ARE:1. IMPROVE HEALTH STATUS AND REDUCE HEALTH DISPARITIES2. PROMOTE A HEALTHY AND SAFE ENVIRONMENT3. PREVENT CHRONIC DISEASES *4. PREVENT HIV/STDS, VACCINE PREVENTABLE DISEASES AND HEALTHCARE-ASSOCIATED INFECTIONS5. PROMOTE HEALTHY WOMEN, INFANTS, AND CHILDREN *6. PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSEAPPENDIX A - NYS PREVENTION AGENDA DASHBOARD - ONEIDA COUNTY SUMMARIZES SOME OF THE DATA REVIEWED TO ASSESS THE COUNTY'S HEALTH STATUS AND PROGRESS IN ACHIEVING THE NYS PREVENTION AGENDA PRIORITY AREAS OBJECTIVES FOR 2018. THE PLANNING TEAM COLLABORATIVELY ASSESSED WHETHER TO CHANGE OR ADD PRIORITIES BASED ON PROGRESS TO DATE AND OTHER COMMUNITY NEEDS. WHILE THERE WERE MULTIPLE AREAS WORTHY OF SELECTION FOR IMPROVEMENT, THE DATA ANALYSIS BELOW INDICATES THAT THE FOCUS AREAS IDENTIFIED IN THE EXISTING 2013-2017 CHIP MERITED CONTINUED AND SUSTAINED IMPROVEMENT EFFORTS TO ADDRESS BREASTFEEDING AND TOBACCO CESSATION (SEE TABLE 1). ADDITIONALLY, THE SELECTED PRIORITIES AND GOALS WERE INITIATIVES THAT BOTH HOSPITALS AND PUBLIC HEALTH COULD LEAD AND IMPACT. THE PLANNING TEAM ALSO REGULARLY CONSULTED WITH THE CHIP WORK GROUPS TO ASSESS PROGRESS AND GATHER FEEDBACK ON THE DATA AND GOALS. TABLE 1 IS AN EXTRACTION OF APPENDIX A, AND HIGHLIGHTS INDICATORS RELATED TO THE FOCUS AREAS AND GOALS IN THE CHIP; THE FOLLOWING IS A SUMMARY AND ANALYSIS OF THE FINDINGS:TOBACCO CESSATION: ALTHOUGH THE PERCENTAGE OF ADULTS SMOKING CIGARETTES DECREASED FROM 24% TO 22% SINCE THE 2013 CHIP/CHA, THE PERCENTAGE REMAINS HIGH IN COMPARISON TO NYS (17.3%) AND THE NYS PREVENTION AGENDA OBJECTIVE (12.3%), NOTWITHSTANDING THE FACT THAT SMOKING IS ALSO LINKED TO MULTIPLE CHRONIC DISEASE CONDITIONS INCLUDING DIABETES, HEART DISEASE, STROKE AND ASTHMA.BREASTFEEDING: THE PERCENTAGE OF INFANTS EXCLUSIVELY BREASTFED IN THE HOSPITAL IS 51.7% AND NEAR THE PA OBJECTIVE OF 48.1%. HOWEVER, THERE IS SIGNIFICANT DIFFERENCE BETWEEN THE RATIO FOR AT-RISK POPULATIONS INCLUDING BLACKS (0.39) AND MEDICAID BIRTHS (0.49) AND THE NYS PA OBJECTIVES OF 0.57 AND 0.667, RESPECTIVELY. ALSO, WIC DATA SHOWS IMPROVEMENTS ARE STILL NEEDED FOR INFANTS BREASTFEEDING AT SIX MONTHS (18.5% - PEDNSS 2014). THE INITIATIVES IN THE EXISTING 2013-2017 CHIP ALSO TARGET INDIVIDUALS WITH LOW SOCIOECONOMIC STATUS AND INDIRECTLY IMPACT OTHER INDIVIDUALS WITH DISPARITIES (MINORITIES AND INDIVIDUALS WITH LOW-ENGLISH PROFICIENCY) IDENTIFIED IN THE DEMOGRAPHIC ANALYSIS ABOVE. ADDITIONALLY, FINDINGS IN THE CNY CARE COLLABORATIVE COMMUNITY HEALTH ASSESSMENT, RELATED TO ONEIDA COUNTY, SUPPORT THE NEED FOR INTERVENTIONS TARGETED AT CHRONIC DISEASE PREVENTION (TOBACCO CESSATION) AND PROMOTING HEALTHY WOMEN, INFANTS AND CHILDREN (BREASTFEEDING). THESE INCLUDE THE FOLLOWING:1. TOTAL PREVENTION QUALITY INDICATORS (PQIS) - PQIS ARE DEFINED AS CONDITIONS FOR WHICH ACCESS TO AND PROVISION OF APPROPRIATE OUTPATIENT CARE CAN PREVENT COMPLICATIONS OF CHRONIC DISEASE AND POTENTIALLY PREVENT THE NEED FOR HOSPITALIZATION. THE LIST OF AREAS THAT REQUIRE CLOSER EXAMINATION RELATED TO INCREASED NEED FOR IMPROVED ACCESS TO OUTPATIENT CARE IN ONEIDA COUNTY INCLUDED UTICA, ROME AND WATERVILLE. THESE AREAS HAVE TOTAL PQI RATES THAT ARE TWO (2) TO FIVE (5) TIMES GREATER THAN THE AVERAGE RATES FOR CENTRAL AND UPSTATE NEW YORK. 2. DIABETES PQI AND INPATIENT HOSPITALIZATION RATES - THE FOLLOWING AREAS HAD ONE OR MORE DIABETES INDICATOR RATES THAT WERE SUBSTANTIALLY HIGHER THAN THE CENTRAL AND UPSTATE NEW YORK BENCHMARK RATES: WOODGATE HAD THE GREATEST NEED. IT HAD THE HIGHEST RATES FOR PQI 1 (SHORT-TERM COMPLICATIONS OF DIABETES) AND PQI 16 (LOWER EXTREMITY AMPUTATION) IN THE EIGHT-COUNTY REGION. IT ALSO HAD THE SECOND HIGHEST RATES FOR PQI 3 (LONG-TERM COMPLICATIONS OF DIABETES). CAMDEN, UTICA AND, TO A LESSER EXTENT ROME AND A FEW OUTLINING AREAS, ALSO SHOWED UP ON A NUMBER OF DIABETES INDICATORS. 3. RESPIRATORY PQI AND INPATIENT HOSPITALIZATION RATES - THE FOLLOWING AREAS HAD ONE OR MORE RESPIRATORY INDICATOR RATES THAT WERE SUBSTANTIALLY HIGHER THAN THE CENTRAL AND UPSTATE NEW YORK BENCHMARK RATES - THE CITIES OF UTICA AND ROME SHOWED UP CONSISTENTLY ON THE INDICATORS. THERE WERE A FEW AREAS WITH MUCH SMALLER POPULATIONS IN THE COUNTY THAT ALSO APPEARED. 4. CIRCULATORY PQI AND CARDIAC-RELATED INPATIENT HOSPITALIZATION RATES - IN THE CITIES OF ROME AND UTICA, AS WELL AS LEE CENTER, THE RATES OF CORONARY VASCULAR DISEASE DISCHARGES SPECIFICALLY SHOWED A VERY DISTINCT PATTERN. NEARLY ALL OF ONEIDA COUNTY SHOWED HIGH LEVELS OF NEED. GENERAL CONCLUSION: GIVEN THE DISTINCT PATTERN OF CORONARY VASCULAR DISEASE MORBIDITY, IT SEEMS AS THOUGH A BROAD-BASED PROGRAM FOCUSING ON HEALTHY BEHAVIORS SUCH AS PROPER NUTRITION AND EXERCISE WOULD BE VERY BENEFICIAL, NOT ONLY FOR CARDIOVASCULAR-RELATED MORBIDITY, BUT FOR DIABETES, AS WELL.(SOURCE: CNYCC NEEDS ASSESSMENT) FSLH AND SEMC OFFER NUMEROUS FREE, EDUCATIONAL EVENTS EACH YEAR TO THE PUBLIC:- MAMMOGRAM AND PAP SCREENINGS FOR UNINSURED WOMEN- A WOMEN'S HEALTH OPEN HOUSE FOR ALL WOMEN - GENERAL HEALTH INFORMATION FOR HEART HEALTH AT THE ANNUAL HEART RUN AND WALK EXPO. IN 2017, 390 PEOPLE COMPLETED THE HEALTH ASSESSMENT - WHICH INCLUDED A CHOLESTEROL SCREENING, DIABETIC RISK SCORE, AND BLOOD PRESSURE AND PULMONARY FUNCTION TESTS. ST. ELIZABETH MEDICAL CENTER PAID FOR THE HEALTH ASSESSMENT. - UTICA COLLEGE YOUNG SCHOLARS PROGRAM PART VI, LINE 6: ST. ELIZABETH MEDICAL CENTER (SEMC) AND FAXTON ST. LUKE'S HEALTHCARE (FSLH) AFFILIATED UNDER THE MOHAWK VALLEY HEALTH SYSTEM (MVHS) ON MARCH 6, 2014. MVHS MAIN CAMPUSES: ST. ELIZABETH CAMPUS - 2209 GENESEE STREET, UTICA, NY ST. LUKE'S CAMPUS - 1656 CHAMPLIN AVENUE, NEW HARTFORD, NY FAXTON CAMPUS - 1676 SUNSET AVENUE, UTICA, NY THE MVHS MEDICAL GROUP OFFERS 19 PRIMARY CARE OFFICES LOCATED THROUGHOUT ONEIDA AND HERKIMER COUNTIES, A CHILDREN'S HEALTH CENTER, WOMEN'S HEALTH CENTER AND MULTI-SPECIALTY PROVIDERS INCLUDING GENERAL, ORTHOPEDIC, VASCULAR AND CARDIAC AND THORACIC SURGERY, GASTROENTEROLOGY AND ADVANCED ENDOSCOPY, AND NEURO SCIENCES. THE SISTER ROSE VINCENT FAMILY MEDICINE CENTER PROVIDES PATIENT CARE SERVICES AND IS ALSO A TEACHING FACILITY FOR NEW PHYSICIANS.FAXTON ST. LUKE'S HEALTHCAREA NOT-FOR-PROFIT HEALTHCARE ORGANIZATION, FSLH INCLUDES ST. LUKE'S HOME, SENIOR NETWORK HEALTH, MOHAWK VALLEY HOME CARE AND THE VISITING NURSE ASSOCIATION OF UTICA AND ONEIDA COUNTY. ST. LUKE'S CAMPUS:- BARIATRIC SURGERY PROGRAM - MATERNAL CHILD SERVICES - MOHAWK VALLEY VASCULAR CENTER - STROKE CENTER- SURGICAL AND AMBULATORY SERVICES - TOTAL JOINT ORTHOPEDIC PROGRAMFAXTON CAMPUS:- AMBULATORY SURGICAL CENTER - CANCER CENTER - DIALYSIS CENTER - OUTPATIENT REHABILITATION SERVICES- WELLNESS CENTERCENTER FOR REHABILITATION AND CONTINUING CARE SERVICES:- ACUTE INPATIENT REHABILITATION UNIT- ADULT DAY HEALTH CARE SERVICE- OUTPATIENT DIALYSIS CENTER- ST. LUKE'S HOME- SENIOR NETWORK HEALTH - VISITING NURSE ASSOCIATION OF UTICA AND ONEIDA COUNTYST. ELIZABETH MEDICAL CENTERA NOT-FOR-PROFIT HEALTHCARE ORGANIZATION, SEMC ALSO INCLUDES ST. ELIZABETH HOME CARE, WHICH SERVES PATIENTS IN THEIR HOMES AND ST. ELIZABETH HEALTH SUPPORT SERVICES OFFERING RESPIRATORY SERVICES AND DURABLE MEDICAL EQUIPMENT TO PATIENTS IN THEIR HOMES. SEMC HAS 202 ACUTE CARE BEDS.SEMC MAIN CAMPUS:- CARDIAC SERVICES- MOHAWK VALLEY SLEEP DISORDERS CENTER- ORTHOPEDIC SERVICES- ST. ELIZABETH COLLEGE OF NURSING- ST. ELIZABETH FAMILY MEDICINE RESIDENCY PROGRAM- SURGICAL AND AMBULATORY SERVICES- TRAUMA CENTER- FELLOWSHIP IN HOSPITAL MEDICINE - FELLOWSHIP IN GYNECOLOGIC ENDOSCOPYMEDICAL ARTS CAMPUS:- ADVANCED WOUND CARE CENTER- IMAGING - MVHS NEW HARTFORD MEDICAL OFFICE- OUTPATIENT LABORATORY DRAW SITE- OUTPATIENT REHABILITATION SERVICESBOTH HOSPITALS ACCEPT ALL MAJOR INSURANCES AND HAVE DESIGNATED CHARITY CARE PROGRAMS TO HELP PROVIDE FOR INDIVIDUALS WITHOUT INSURANCE. OUR AFFILIATION ENHANCES SERVICES FOR THE RESIDENTS OF THE MOHAWK VALLEY THROUGH GREATER COLLABORATION AND IMPROVED CLINICAL QUALITY FOR PATIENT AND RESIDENT CARE. AS A LARGE SYSTEM, MVHS HAS MUCH TO OFFER WHEN RECRUITING NEW PHYSICIANS. SEMC IS A CATHOLIC HOSPITAL, SPONSORED BY THE SISTERS OF ST. FRANCIS OF THE NEUMANN COMMUNITIES. SPECIALTIES- THE BARIATRIC SURGERY PROGRAM IS AN AMERICAN SOCIETY FOR METABOLIC & BARIATRIC SURGERY BARIATRIC SURGERY CENTER OF EXCELLENCE. AS AN ACCREDITED PROGRAM, MVHS DEMONSTRATES THAT OUR CENTER MEETS THE NEEDS OF BARIATRIC SURGERY PATIENTS BY PROVIDING MULTIDISCIPLINARY, HIGH-QUALITY, PATIENT-CENTERED CARE.- THE CANCER CENTER PROVIDES CARE TO PATIENTS IN OUR COMMUNITY FROM THE TIME OF DIAGNOSIS THROUGH TREATMENT AND RECOVERY. SERVICES INCLUDE OUTPATIENT INFUSION, RADIATION ONCOLOGY, CLINICAL TRIALS, INPATIENT ONCOLOGY, INTEGRATIVE MEDICINE, A BREAST CARE CENTER, A NURSE NAVIGATOR PROGRAM, CANCER EDUCATION AND SUPPORT SERVICES. - THE CENTRAL YORK DIABETES EDUCATION PROGRAM (CNY DIABETES) IS RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION. CNY DIABETES OFFERS THE NATIONAL DIABETES PREVENTION PROGRAM WHICH IS ENDORSED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION. - THE DIALYSIS CENTER IS THE SOLE PROVIDER OF DIALYSIS TREATMENT WITHIN A 25 MILE SERVICE AREA. EACH YEAR, MORE THAN 400 PATIENTS RECEIVE MORE THAN 69,000 DIALYSIS TREATMENTS AT ONE OF SIX FACILITIES LOCATED THROUGHOUT THE MOHAWK VALLEY. DIALYSIS CENTERS ARE LOCATED IN UTICA, ROME, HAMILTON AND HERKIMER. - FSLH IS THE ONLY DESIGNATED PRIMARY STROKE CENTER IN THE MOHAWK VALLEY AND ONE OF 115 DESIGNATED STROKE CENTERS IN NEW YORK STATE. THE ORGANIZATION IS A RECIPIENT OF THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES STROKE GOLD PLUS ACHIEVEMENT AWARD. THE AWARD RECOGNIZES FSLH'S COMMITMENT AND SUCCESS IN IMPLEMENTING EXCELLENT CARE FOR STROKE PATIENTS, ACCORDING TO EVIDENCE-BASED GUIDELINES.- MVHS'S ACUTE INPATIENT REHABILITATION PROGRAM IS ACCREDITED BY THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES. THE REHABILITATION CENTER PROVIDES BOTH INPATIENT AND OUTPATIENT SERVICES WITH LOCATIONS AT THE FAXTON CAMPUS, ST. LUKE'S CAMPUS, ST. LUKE'S HOME, ST. ELIZABETH CAMPUS AND ST. ELIZABETH MEDICAL ARTS.- ST. LUKE'S HOME IS A 202-BED LONG TERM CARE FACILITY WITH A 40-BED SUBACUTE REHABILITATION UNIT. ST. LUKE'S HOME OPENED IN 1996 ON THE ST. LUKE'S CAMPUS AND RECENTLY UNDERWENT A $31.3 MILLION RENOVATION AND EXPANSION.- THE VISITING NURSE ASSOCIATION (VNA) OF UTICA AND ONEIDA COUNTY IS ACCREDITED BY THE COMMUNITY HEALTH ACCREDITATION PROGRAM, INC. THE VNA OF UTICA AND ONEIDA COUNTY CELEBRATED ITS 100TH ANNIVERSARY IN 2015 AND SERVES NEARLY 2,200 PATIENTS ANNUALLY. PART VI, LINE 7, REPORTS FILED WITH STATES NY X X X X X X 0 0 0 0 0 1 1 0 0 SCOTT PERRA FACHE TRUSTEE, PRESIDENT/CEO 0 700000 0 125125 0 135382 0 21600 0 11438 0 993545 0 0 LINDA MCCORMACK-MILLER SENIOR VP/CNO 0 210833 0 0 0 2328 0 0 0 6279 0 219440 0 0 LOUIS AIELLO SENIOR VP/CFO 392335 0 50119 0 0 0 18900 0 8993 0 470347 0 0 0 ROBERT SCHOLEFIELD RN MS SENIOR VP/COO 371039 0 46750 0 0 0 18900 0 9036 0 445725 0 0 0 MICHAEL TREVISANI MD SENIOR VP/CMO 0 372000 0 50188 0 24187 0 10800 0 14638 0 471813 0 0 CLIFFORD SOULTS MD PHYSICIAN 418737 0 22625 0 0 0 6306 0 2210 0 449878 0 0 0 NICHOLAS QUANDAH MD PHYSICIAN 1020231 0 254610 0 0 0 9951 0 8839 0 1293631 0 0 0 LASZLO FUZESI MD PHYSICIAN 779386 0 0 0 0 0 8725 0 1716 0 789827 0 0 0 ANNE CAHILL MD PHYSICIAN 600703 0 0 0 0 0 12249 0 1716 0 614668 0 0 0 FREDERICK JOYCE MC PHYSICIAN 544088 0 0 0 0 0 13500 0 8839 0 566427 0 0 0 PART I, LINE 6 AN INCENTIVE COMPENSATION PLAN EXISTS FOR THE EXECUTIVE STAFF. COMPENSATION IS BASED ON PERFORMANCE RELATIVE, IN PART, TO THE ORGANIZATION NET EARNINGS TARGETS, AS WELL AS, VARIOUS OTHER QUALITY RELATED PERFORMANCE TARGETS. THE INCENTIVES ARE ONLY PAID OUT UPON ACHIEVEMENT OF THESE SET TARGETS. A SERIES 2006 ONEIDA COUNTY IDA 166158201 682465AA7 2006-06-22 14000000 EMERGENCY ROOM & CAFETERIA PROJECT 0 0 0 A 14000000 280000 70817 13649183 2007 0 0 1 1 A 0 0 0 0 1 0 0 A 0 0 0 0 1 0 0 0 0 A 0 MARIA GESUALDO BOARD TRUSTEE 107292 QUALITY CARE CONSULTANT 0 FORM 990, PART VI, SECTION A, LINE 6 MOHAWK VALLEY HEALTH SYSTEM AND PARTNERS IN FRANCISCAN MINISTRIES, INC. FORM 990, PART VI, SECTION A, LINE 7A RESERVED POWERS TO MOHAWK VALLEY HEALTH SYSTEM ("MVHS"): IN ADDITION TO ALL OTHER RIGHTS AND POWERS OF MEMBERSHIP PRESCRIBED BY NEW YORK LAW, THE CERTIFICATE OF INCORPORATION AND/OR THE BYLAWS OF THE CORPORATION, THE FOLLOWING GOVERNANCE AND MANAGEMENT POWERS SHALL BE DELEGATED TO MVHS TO THE EXTENT PERMITTED BY THE NEW YORK NOT-FOR-PROFIT CORPORATION LAW: (1) EXCEPT AS OTHERWISE SET FORTH HEREIN, TO APPROVE AND INTERPRET THE STATEMENT OF MISSION AND PHILOSOPHY ADOPTED BY THE CORPORATION, TO REQUIRE THAT THE CORPORATION OPERATE IN CONFORMANCE WITH ITS MISSION AND PHILOSOPHY AND TO COORDINATE THE MISSIONS, VISIONS, ACTIVITIES AND RESOURCES OF THE CORPORATION IN ORDER TO PROMOTE HIGH QUALITY, EFFICIENT AND EFFECTIVE HEALTH CARE SERVICES IN ONEIDA COUNTY, NEW YORK, AND SURROUNDING AREAS. NOTWITHSTANDING THE FOREGOING, MVHS SHALL NOT HAVE THE POWER TO APPROVE OR INTERPRET THOSE ELEMENTS OF THE CORPORATION'S MISSION AND PHILOSOPHY THAT RELATE SPECIFICALLY TO ITS STATUS AS A CATHOLIC ORGANIZATION OR THE PURSUIT OF THE CORPORATION'S CATHOLIC MISSION AND PHILOSOPHY; (2) TO ELECT OR APPOINT, FIX THE NUMBER OF, AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION, AND TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATION. NOTWITHSTANDING THE FOREGOING, PFM SHALL BE ENTITLED TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE ONE ADDITIONAL DIRECTOR DESIGNATED BY PFM TO THE CORPORATION'S BOARD OF DIRECTORS; (3) TO AMEND OR REPEAL THE CERTIFICATE AND BYLAWS, AND TO ADOPT ANY NEW OR RESTATED CERTIFICATE OF INCORPORATION OR BYLAWS, OF THE CORPORATION; (4) TO APPROVE ANY PLAN OF MERGER, CONSOLIDATION, DISSOLUTION OR LIQUIDATION OF THE CORPORATION; (5) TO APPROVE THE DEBT OF THE CORPORATION IN EXCESS OF AN AMOUNT TO BE FIXED FROM TIME TO TIME BY MVHS; (6) TO APPROVE THE SALE, ACQUISITION, LEASE, TRANSFER, MORTGAGE, GUARANTEE OR PLEDGE OF REAL OR PERSONAL PROPERTY OF THE CORPORATION IN EXCESS OF AN AMOUNT TO BE FIXED FROM TIME TO TIME BY MVHS. NOTWITHSTANDING THE FOREGOING, THE APPROVAL OF PFM SHALL BE REQUIRED FOR THE SALE, TRANSFER, MORTGAGE, GUARANTEE, PLEDGE OR OTHER ALIENATION OF REAL OR PERSONAL PROPERTY OF THE CORPORATION IN EXCESS OF AN AMOUNT TO BE FIXED FROM TIME TO TIME BY PFM, TO MEET THE REQUIREMENTS OF THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS; (7) TO APPROVE THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION; (8) TO APPROVE SETTLEMENTS OF LITIGATION WHEN SUCH SETTLEMENTS EXCEED APPLICABLE INSURANCE COVERAGE OR THE AMOUNT OF ANY APPLICABLE SELF-INSURANCE FUND AVAILABLE TO SUCH CORPORATION; (9) TO APPROVE ANY CORPORATE REORGANIZATION OF THE CORPORATION AND THE ESTABLISHMENT, MERGER, CONSOLIDATION, REORGANIZATION OR DISSOLUTION OF ANY ORGANIZATIONAL RELATIONSHIP OF THE CORPORATION, INCLUDING BUT NOT LIMITED TO SUBSIDIARY CORPORATIONS, PARTNERSHIPS, OR JOINT VENTURES OF THE CORPORATION; (10) TO APPROVE AND COORDINATE THE STRATEGIC PLANS OF THE CORPORATION; (11) TO THE EXTENT APPLICABLE, TO APPROVE ALL CONTRACTS OF REIMBURSEMENT FOR THE CORPORATION FROM GOVERNMENTAL OR PRIVATE THIRD PARTY INSURERS; (12) TO THE EXTENT APPLICABLE, TO APPROVE ALL APPLICATIONS OF THE CORPORATION TO FEDERAL OR STATE GOVERNMENTAL AGENCIES FOR ESTABLISHMENT OR OPERATING LICENSURE, INCLUDING BUT NOT LIMITED TO CERTIFICATE OF NEED APPLICATIONS TO THE NEW YORK STATE DEPARTMENT OF HEALTH AS REQUIRED; (13) TO THE EXTENT APPLICABLE, TO APPROVE MANAGEMENT CONTRACTS FOR THE CORPORATION SUBJECT TO APPROVAL AND/OR REGULATION UNDER THE LAWS AND REGULATIONS OF THE STATE OF NEW YORK; (14) TO APPROVE ANY MATERIAL CHANGE IN THE SERVICES OFFERED BY THE CORPORATION; (15) TO REQUIRE THE CORPORATION TO PARTICIPATE IN ANY AND ALL PROGRAMS AND SERVICES, AS DETERMINED BY MVHS IN ITS DISCRETION, PROVIDED, HOWEVER, THAT MVHS MAY NOT REQUIRE CORPORATION TO PARTICIPATE IN ANY PROGRAM OR SERVICE OR TAKE ANY ACTION THAT WOULD CONSTITUTE A DEFAULT OR EVENT OF DEFAULT UNDER ANY MORTGAGE, INDENTURE OR OTHER MATERIAL AGREEMENT OR INSTRUMENT TO WHICH THE CORPORATION IS A PARTY AND BY WHICH IT IS BOUND, AND MAY NOT REQUIRE THE CORPORATION'S PARTICIPATION IN ANY PROGRAM OR SERVICE WHICH WOULD BE CONTRARY TO ITS STATUS AS A CATHOLIC ORGANIZATION OR THE PURSUIT OF ITS CATHOLIC MISSION OR PHILOSOPHY; AND (16) TO ACCEPT DELEGATIONS OF AUTHORITY ON BEHALF OF THE CORPORATION PURSUANT TO SECTION 701 OF THE NOT-FOR PROFIT CORPORATION LAW AND EXERCISE ON BEHALF OF THE CORPORATION, THE AUTHORITY TO ACCEPT, UTILIZE, TRANSFER AND SHARE IN THE ASSETS, REVENUES AND INCOME OF THE CORPORATION AND TO MAINTAIN A SINGLE CONSOLIDATED SET OF BOOKS AND FINANCIAL RECORDS, AS MAY BE NECESSARY OR DESIRABLE TO CARRY OUT THE OBLIGATIONS OF THE CORPORATION PURSUANT TO ANY MASTER TRUST INDENTURE OR SIMILAR INSTRUMENT AND, PROVIDED, HOWEVER, THAT NO SUCH AUTHORITY SHALL BE ACCEPTED OR EXERCISED EXCEPT PURSUANT TO THE NOT-FOR-PROFIT CORPORATION LAW AND UNTIL ALL APPROVALS REQUIRED BY LAW HAVE FIRST BEEN OBTAINED, INCLUDING, WITHOUT LIMITATION, THE PRIOR APPROVAL OF THE DEPARTMENT OF HEALTH AS MAY BE REQUIRED FOR OBLIGATED GROUP FINANCINGS. FOR THE PURPOSES OF THE FOREGOING, MVHS SHALL HAVE: (I) THE POWER TO INITIATE AND DIRECT ACTION BY THE CORPORATION WITHOUT A PRIOR RECOMMENDATION OF THE CORPORATION'S BOARD OF DIRECTORS; AND (II) THE POWER TO ACCEPT, REJECT OR MODIFY THE RECOMMENDATION OF THE CORPORATION'S BOARD OF DIRECTORS AND TO DIRECT ACTION BY THE CORPORATION OR TO RETURN THE MATTER TO THE BOARD OF DIRECTORS OF THE CORPORATION FOR RECONSIDERATION, WITH REASONS FOR REJECTION AND/OR SUGGESTED CHANGE. NOTWITHSTANDING THE FOREGOING, IN THE CASE OF THE CORPORATION, MVHS SHALL NOT DIRECT ANY ACTION WITH RESPECT TO THE CORPORATION THAT REQUIRES THE APPROVAL OF PFM WITHOUT PRIOR APPROVAL OF SUCH ACTION BY PFM. THE BOARD OF DIRECTORS AND OFFICERS OF THE CORPORATION SHALL NOT IMPLEMENT ANY ACTION REQUIRING THE APPROVAL OF MVHS UNTIL MVHS SHALL HAVE EXERCISED ITS RESERVE POWERS AND COMMUNICATED ITS DETERMINATIONS IN WRITING TO THE CORPORATION'S BOARD OF DIRECTORS AND, IN THE CASE OF ANY POWERS OVER THE CORPORATION THAT ARE ALSO RESERVED TO PFM, TO PFM. RESERVED POWERS TO PARTNERS IN FRANCISCAN MINISTRIES, INC. ("PFM") THE FOLLOWING POWERS SHALL BE RESERVED EXCLUSIVELY TO PFM: (1) TO APPROVE AND INTERPRET THOSE ELEMENTS OF THE CORPORATION'S STATEMENT OF MISSION AND PHILOSOPHY ADOPTED BY THE CORPORATION THAT RELATE TO THE CORPORATION'S STATUS AS A CATHOLIC ORGANIZATION OR THE PURSUIT OF THE CORPORATION'S CATHOLIC MISSION AND PHILOSOPHY, AND ANY AMENDMENTS THEREOF, AND TO REQUIRE THE CORPORATION TO OPERATE IN CONFORMANCE WITH ITS CATHOLIC MISSION AND PHILOSOPHY; THIS POWER SHALL INCLUDE APPROVAL OF THE INDIVIDUAL WHO WILL SERVE IN A POSITION TO OVERSEE MISSION, WHICH POSITION WILL REPORT DIRECTLY TO THE PRESIDENT/CEO AND SHALL NOT BE ELIMINATED WITHOUT THE PRIOR APPROVAL OF PFM. (2) TO APPROVE ANY AMENDMENT OF THE CORPORATION'S PURPOSES OR POWERS IN ITS CERTIFICATE OF INCORPORATION THAT WOULD TERMINATE THE CORPORATION'S STATUS AS A CATHOLIC ORGANIZATION OR DIMINISH ITS COMMITMENT OR ABILITY TO OPERATE IN A MANNER CONSISTENT WITH THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTHCARE SERVICES; AND (3) TO APPROVE THE SALE, TRANSFER, MORTGAGE, GUARANTY, PLEDGE OR OTHER ALIENATION OF REAL OR PERSONAL PROPERTY OF THE CORPORATION IN EXCESS OF AN AMOUNT TO BE FIXED FROM TIME TO TIME BY THE PFM TO MEET THE REQUIREMENTS OF THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. (4) TO APPROVE AND REJECT APPOINTMENTS TO THE PENSION COMMITTEE FOR THE SEMC CHURCH PLAN. (5) TO APPROVE ANY AMENDMENTS OR MODIFICATIONS TO, OR THE TERMINATION OF, THE SEMC CHURCH PLAN; AND (6) TO ELECT OR APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, ONE DIRECTOR OF THE CORPORATION WHO DOES NOT CURRENTLY SERVE ON THE BOARD OF MVHS. FORM 990, PART VI, SECTION A, LINE 7B RESERVED POWERS TO MOHAWK VALLEY HEALTH SYSTEM ("MVHS"): IN ADDITION TO ALL OTHER RIGHTS AND POWERS OF MEMBERSHIP PRESCRIBED BY NEW YORK LAW, THE CERTIFICATE OF INCORPORATION AND/OR THE BYLAWS OF THE CORPORATION, THE FOLLOWING GOVERNANCE AND MANAGEMENT POWERS SHALL BE DELEGATED TO MVHS TO THE EXTENT PERMITTED BY THE NEW YORK NOT-FOR-PROFIT CORPORATION LAW: (1) EXCEPT AS OTHERWISE SET FORTH HEREIN, TO APPROVE AND INTERPRET THE STATEMENT OF MISSION AND PHILOSOPHY ADOPTED BY THE CORPORATION, TO REQUIRE THAT THE CORPORATION OPERATE IN CONFORMANCE WITH ITS MISSION AND PHILOSOPHY AND TO COORDINATE THE MISSIONS, VISIONS, ACTIVITIES AND RESOURCES OF THE CORPORATION IN ORDER TO PROMOTE HIGH QUALITY, EFFICIENT AND EFFECTIVE HEALTH CARE SERVICES IN ONEIDA COUNTY, NEW YORK, AND SURROUNDING AREAS. NOTWITHSTANDING THE FOREGOING, MVHS SHALL NOT HAVE THE POWER TO APPROVE OR INTERPRET THOSE ELEMENTS OF THE CORPORATION'S MISSION AND PHILOSOPHY THAT RELATE SPECIFICALLY TO ITS STATUS AS A CATHOLIC ORGANIZATION OR THE PURSUIT OF THE CORPORATION'S CATHOLIC MISSION AND PHILOSOPHY; (2) TO ELECT OR APPOINT, FIX THE NUMBER OF, AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION, AND TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATION. NOTWITHSTANDING THE FOREGOING, PFM SHALL BE ENTITLED TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE ONE ADDITIONAL DIRECTOR DESIGNATED BY PFM TO THE CORPORATION'S BOARD OF DIRECTORS; (3) TO AMEND OR REPEAL THE CERTIFICATE AND BYLAWS, AND TO ADOPT ANY NEW OR RESTATED CERTIFICATE OF INCORPORATION OR BYLAWS, OF THE CORPORATION; (4) TO APPROVE ANY PLAN OF MERGER, CONSOLIDATION, DISSOLUTION OR LIQUIDATION OF THE CORPORATION; (5) TO APPROVE THE DEBT OF THE CORPORATION IN EXCESS OF AN AMOUNT TO BE FIXED FROM TIME TO TIME BY MVHS; (6) TO APPROVE THE SALE, ACQUISITION, LEASE, TRANSFER, MORTGAGE, GUARANTEE OR PLEDGE OF REAL OR PERSONAL PROPERTY OF THE CORPORATION IN EXCESS OF AN AMOUNT TO BE FIXED FROM TIME TO TIME BY MVHS. NOTWITHSTANDING THE FOREGOING, THE APPROVAL OF PFM SHALL BE REQUIRED FOR THE SALE, TRANSFER, MORTGAGE, GUARANTEE, PLEDGE OR OTHER ALIENATION OF REAL OR PERSONAL PROPERTY OF THE CORPORATION IN EXCESS OF AN AMOUNT TO BE FIXED FROM TIME TO TIME BY PFM, TO MEET THE REQUIREMENTS OF THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS; (7) TO APPROVE THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION; (8) TO APPROVE SETTLEMENTS OF LITIGATION WHEN SUCH SETTLEMENTS EXCEED APPLICABLE INSURANCE COVERAGE OR THE AMOUNT OF ANY APPLICABLE SELF-INSURANCE FUND AVAILABLE TO SUCH CORPORATION; (9) TO APPROVE ANY CORPORATE REORGANIZATION OF THE CORPORATION AND THE ESTABLISHMENT, MERGER, CONSOLIDATION, REORGANIZATION OR DISSOLUTION OF ANY ORGANIZATIONAL RELATIONSHIP OF THE CORPORATION, INCLUDING BUT NOT LIMITED TO SUBSIDIARY CORPORATIONS, PARTNERSHIPS, OR JOINT VENTURES OF THE CORPORATION; (10) TO APPROVE AND COORDINATE THE STRATEGIC PLANS OF THE CORPORATION; (11) TO THE EXTENT APPLICABLE, TO APPROVE ALL CONTRACTS OF REIMBURSEMENT FOR THE CORPORATION FROM GOVERNMENTAL OR PRIVATE THIRD PARTY INSURERS; (12) TO THE EXTENT APPLICABLE, TO APPROVE ALL APPLICATIONS OF THE CORPORATION TO FEDERAL OR STATE GOVERNMENTAL AGENCIES FOR ESTABLISHMENT OR OPERATING LICENSURE, INCLUDING BUT NOT LIMITED TO CERTIFICATE OF NEED APPLICATIONS TO THE NEW YORK STATE DEPARTMENT OF HEALTH AS REQUIRED; (13) TO THE EXTENT APPLICABLE, TO APPROVE MANAGEMENT CONTRACTS FOR THE CORPORATION SUBJECT TO APPROVAL AND/OR REGULATION UNDER THE LAWS AND REGULATIONS OF THE STATE OF NEW YORK; (14) TO APPROVE ANY MATERIAL CHANGE IN THE SERVICES OFFERED BY THE CORPORATION; (15) TO REQUIRE THE CORPORATION TO PARTICIPATE IN ANY AND ALL PROGRAMS AND SERVICES, AS DETERMINED BY MVHS IN ITS DISCRETION, PROVIDED, HOWEVER, THAT MVHS MAY NOT REQUIRE CORPORATION TO PARTICIPATE IN ANY PROGRAM OR SERVICE OR TAKE ANY ACTION THAT WOULD CONSTITUTE A DEFAULT OR EVENT OF DEFAULT UNDER ANY MORTGAGE, INDENTURE OR OTHER MATERIAL AGREEMENT OR INSTRUMENT TO WHICH THE CORPORATION IS A PARTY AND BY WHICH IT IS BOUND, AND MAY NOT REQUIRE THE CORPORATION'S PARTICIPATION IN ANY PROGRAM OR SERVICE WHICH WOULD BE CONTRARY TO ITS STATUS AS A CATHOLIC ORGANIZATION OR THE PURSUIT OF ITS CATHOLIC MISSION OR PHILOSOPHY; AND (16) TO ACCEPT DELEGATIONS OF AUTHORITY ON BEHALF OF THE CORPORATION PURSUANT TO SECTION 701 OF THE NOT-FOR PROFIT CORPORATION LAW AND EXERCISE ON BEHALF OF THE CORPORATION, THE AUTHORITY TO ACCEPT, UTILIZE, TRANSFER AND SHARE IN THE ASSETS, REVENUES AND INCOME OF THE CORPORATION AND TO MAINTAIN A SINGLE CONSOLIDATED SET OF BOOKS AND FINANCIAL RECORDS, AS MAY BE NECESSARY OR DESIRABLE TO CARRY OUT THE OBLIGATIONS OF THE CORPORATION PURSUANT TO ANY MASTER TRUST INDENTURE OR SIMILAR INSTRUMENT AND, PROVIDED, HOWEVER, THAT NO SUCH AUTHORITY SHALL BE ACCEPTED OR EXERCISED EXCEPT PURSUANT TO THE NOT-FOR-PROFIT CORPORATION LAW AND UNTIL ALL APPROVALS REQUIRED BY LAW HAVE FIRST BEEN OBTAINED, INCLUDING, WITHOUT LIMITATION, THE PRIOR APPROVAL OF THE DEPARTMENT OF HEALTH AS MAY BE REQUIRED FOR OBLIGATED GROUP FINANCINGS. FOR THE PURPOSES OF THE FOREGOING, MVHS SHALL HAVE: (I) THE POWER TO INITIATE AND DIRECT ACTION BY THE CORPORATION WITHOUT A PRIOR RECOMMENDATION OF THE CORPORATION'S BOARD OF DIRECTORS; AND (II) THE POWER TO ACCEPT, REJECT OR MODIFY THE RECOMMENDATION OF THE CORPORATION'S BOARD OF DIRECTORS AND TO DIRECT ACTION BY THE CORPORATION OR TO RETURN THE MATTER TO THE BOARD OF DIRECTORS OF THE CORPORATION FOR RECONSIDERATION, WITH REASONS FOR REJECTION AND/OR SUGGESTED CHANGE. NOTWITHSTANDING THE FOREGOING, IN THE CASE OF THE CORPORATION, MVHS SHALL NOT DIRECT ANY ACTION WITH RESPECT TO THE CORPORATION THAT REQUIRES THE APPROVAL OF PFM WITHOUT PRIOR APPROVAL OF SUCH ACTION BY PFM. THE BOARD OF DIRECTORS AND OFFICERS OF THE CORPORATION SHALL NOT IMPLEMENT ANY ACTION REQUIRING THE APPROVAL OF MVHS UNTIL MVHS SHALL HAVE EXERCISED ITS RESERVE POWERS AND COMMUNICATED ITS DETERMINATIONS IN WRITING TO THE CORPORATION'S BOARD OF DIRECTORS AND, IN THE CASE OF ANY POWERS OVER THE CORPORATION THAT ARE ALSO RESERVED TO PFM, TO PFM. RESERVED POWERS TO PARTNERS IN FRANCISCAN MINISTRIES, INC. ("PFM") THE FOLLOWING POWERS SHALL BE RESERVED EXCLUSIVELY TO PFM: (1) TO APPROVE AND INTERPRET THOSE ELEMENTS OF THE CORPORATION'S STATEMENT OF MISSION AND PHILOSOPHY ADOPTED BY THE CORPORATION THAT RELATE TO THE CORPORATION'S STATUS AS A CATHOLIC ORGANIZATION OR THE PURSUIT OF THE CORPORATION'S CATHOLIC MISSION AND PHILOSOPHY, AND ANY AMENDMENTS THEREOF, AND TO REQUIRE THE CORPORATION TO OPERATE IN CONFORMANCE WITH ITS CATHOLIC MISSION AND PHILOSOPHY; THIS POWER SHALL INCLUDE APPROVAL OF THE INDIVIDUAL WHO WILL SERVE IN A POSITION TO OVERSEE MISSION, WHICH POSITION WILL REPORT DIRECTLY TO THE PRESIDENT/CEO AND SHALL NOT BE ELIMINATED WITHOUT THE PRIOR APPROVAL OF PFM. (2) TO APPROVE ANY AMENDMENT OF THE CORPORATION'S PURPOSES OR POWERS IN ITS CERTIFICATE OF INCORPORATION THAT WOULD TERMINATE THE CORPORATION'S STATUS AS A CATHOLIC ORGANIZATION OR DIMINISH ITS COMMITMENT OR ABILITY TO OPERATE IN A MANNER CONSISTENT WITH THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTHCARE SERVICES; AND (3) TO APPROVE THE SALE, TRANSFER, MORTGAGE, GUARANTY, PLEDGE OR OTHER ALIENATION OF REAL OR PERSONAL PROPERTY OF THE CORPORATION IN EXCESS OF AN AMOUNT TO BE FIXED FROM TIME TO TIME BY THE PFM TO MEET THE REQUIREMENTS OF THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. (4) TO APPROVE AND REJECT APPOINTMENTS TO THE PENSION COMMITTEE FOR THE SEMC CHURCH PLAN. (5) TO APPROVE ANY AMENDMENTS OR MODIFICATIONS TO, OR THE TERMINATION OF, THE SEMC CHURCH PLAN; AND (6) TO ELECT OR APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, ONE DIRECTOR OF THE CORPORATION WHO DOES NOT CURRENTLY SERVE ON THE BOARD OF MVHS. FORM 990, PART VI, SECTION B, LINE 11B INFORMATION IS GATHERED FROM THE ACCOUNTING AND PAYROLL DEPARTMENTS, WHICH IS USED BY THE SENIOR ACCOUNTANT TO PREPARE WORKSHEETS USED TO POPULATE THE FORM 990. MEMBERS OF AN EXTERNAL AUDIT AND TAX FIRM (CURRENTLY FUST CHARLES CHAMBERS LLP) INITIALLY DISCUSS, PREPARE AND REVIEW THE RETURN WITH THE SENIOR ACCOUNTANT. THE SEMC MANAGEMENT TEAM REVIEWS THE DRAFT AND HAS THE OPPORTUNITY TO ASK QUESTIONS AND DISCUSS THE RETURN WITH THE TAX STAFF. AFTER THE MANAGEMENT TEAM'S APPROVAL, THE FORM 990 IS DISTRIBUTED TO THE GOVERNING BODY FOR THEIR REVIEW AND COMMENT PRIOR TO THE FILING OF THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY FIRST, EACH BOARD OF TRUSTEE MEMBER, THE PRESIDENT/CEO, CHIEF OPERATING OFFICER, AND EACH VICE PRESIDENT COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. THE RESULTS OF THE QUESTIONNAIRE ARE REVIEWED BY THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES WHICH IDENTIFIES ANY POTENTIAL CONFLICTS. AS PART OF THE POLICY, BOARD MEMBERS THAT HAVE A CONFLICT ARE UNABLE TO VOTE WHEN A SUBJECT THAT THEY HAVE A CONFLICT OF INTEREST IN COMES UP FOR A VOTE AT A BOARD MEETING. BOARD MEMBERS ARE NOT ALLOWED TO BE INVOLVED IN THE DISCUSSIONS RELATED TO THE ISSUE OTHER THAN TO MAKE A BRIEF COMMENT. STINCE 2010, THE MEDICAL CENTER BEGAN TO REQUIRE ALL DEPARTMENT MANAGERS TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ON AN ANNUAL BASIS. SINCE 2010, ALL MEMBERS OF THE MEDICAL STAFF ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ONCE EVERY TWO YEARS, AS PART OF THE CREDENTIALING PROCESS. FOR ALL OTHER EMPLOYEES, A POLICY IS IN PLACE AS PART OF THE COMPLIANCE PLAN THAT REQUIRES EMPLOYEES TO DISCLOSE ANY CONFLICT OF INTEREST TO THEIR SUPERVISOR. THE SUPERVISOR IS THEN REQUIRED TO DISCLOSE THE INFORMATION TO THE COMPLIANCE OFFICER. BOARD MEMBERS OF SUBSIDIARIES ARE ALSO REQUIRED TO COMPLETE CONFLICT OF INTEREST QUESTIONNAIRES. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION POLICY THE BOARD OF DIRECTORS HAS ESTABLISHED AN EXECUTIVE COMPENSATION COMMITTEE THAT IS COMPOSED OF THE CHAIRPERSON AND AT LEAST FOUR (4) ADDITIONAL DIRECTORS RECOMMENDED BY THE CHAIRPERSON AND APPROVED BY THE BOARD. ALL MEMBERS OF THE EXECUTIVE COMPENSATION COMMITTEE SHALL BE "INDEPENDENT DIRECTORS" AS THAT TERM IS DEFINED IN SECTION 4958 OF THE INTERNAL REVENUE CODE AND SUPPORTING REGULATIONS. IN THE EVENT THAT THE CHAIRPERSON IS NOT AN "INDEPENDENT DIRECTOR", THE BOARD SHALL APPOINT ANOTHER INDEPENDENT DIRECTOR TO SERVE IN THE PLACE OF THE CHAIRPERSON. THE PRESIDENT/CEO MAY SERVE AS AN ADVISOR TO THE COMMITTEE AS LONG AS HE OR SHE IS EXCUSED WHEN THE COMMITTEE IS REVIEWING THE CEO'S COMPENSATION PACKAGE. THE EXECUTIVE COMPENSATION COMMITTEE IS APPOINTED TO DISCHARGE THE DUTY OF THE BOARD TO FULFILL ITS OVERSIGHT RESPONSIBILITY IN DETERMINING THE ADEQUACY AND REASONABLENESS OF THE COMPENSATION PAID TO THE PRESIDENT/CEO AND OTHER EMPLOYEES OR INDIVIDUALS THAT THE COMMITTEE BELIEVES ARE IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE CORPORATION, OR ITS AFFILIATES OR SUBSIDIARIES, ALL AS OUTLINED IN SECTION 4958 OF THE INTERNAL REVENUE CODE AND SUPPORTING REGULATIONS ("DISQUALIFIED PERSONS"). THE COMMITTEE: (1). ESTABLISHES, MONITORS, REVIEWS AND REVISES, AT LEAST ANNUALLY, PERFORMANCE GUIDELINES FOR THE CEO; (2). ASSISTS THE BOARD IN ASSESSING AND EVALUATING THE CEO'S PERFORMANCE; (3). REVIEWS AND RECOMMENDS TO THE FULL BOARD THE CEO'S COMPENSATION, INCLUDING SALARY, INCENTIVES, BENEFITS AND OTHER PREREQUISITES; (4). REGULARLY ESTABLISHES, REVIEWS AND MONITORS SUCCESSION PLANS (INCLUDING EMERGENCY SUCCESSION PLANS) FOR ALL KEY MANAGEMENT PERSONNEL; (5). AT LEAST ANNUALLY, REVIEWS EXECUTIVE COMPENSATION TO ENSURE THAT IT IS APPROPRIATE IN VIEW OF CORPORATION'S TAX-EXEMPT STATUS AND TAKES THE REQUIRED STEPS TO ESTABLISH A "REBUTTABLE PRESUMPTION OF REASONABLENESS" [UNDER I.R.C. SECTION 4958] OF THE EXECUTIVE COMPENSATION, WHICH MAY INCLUDE EVALUATING: A. THE COMPENSATION PAID BY SIMILAR ORGANIZATIONS, BOTH EXEMPT AND TAXABLE, FOR EQUIVALENT POSITIONS IN THE SAME OR SIMILAR COMMUNITY OR GEOGRAPHIC AREA; B. THE UNIQUENESS OF THE PERSON'S BACKGROUND, EDUCATION, TRAINING, EXPERIENCE, AND RESPONSIBILITIES; C. THE SIZE AND COMPLEXITY OF THE CORPORATION'S INCOME AND ASSETS AND THE NUMBER OF CORPORATIONS EMPLOYEES; D. CEO'S JOB PERFORMANCE; E. RELATIONSHIP OF THE CEO'S COMPENSATION TO THE COMPENSATION PAID TO CORPORATION'S OTHER EMPLOYEES; AND F. THE NUMBER OF HOURS THE CEO SPENDS PERFORMING HIS OR HER JOB. (6). REVIEW AND APPROVE THE COMPENSATION PACKAGE OF THE CHIEF OPERATING, MEDICAL, NURSING AND FINANCIAL OFFICERS, AS RECOMMENDED BY THE CEO. THE COMMITTEE IS PROVIDED SUCH RESOURCES AND AUTHORITY AS IT DEEMS APPROPRIATE TO DISCHARGE ITS DUTIES AND RESPONSIBILITIES, INCLUDING THE AUTHORITY TO DIRECTLY SELECT, ENGAGE AND SUPERVISE ANY CONSULTANT, ACCOUNTANT, LEGAL COUNSEL OR OTHER ADVISOR HIRED BY THE CORPORATION TO ADVISE THE COMMITTEE ON EXECUTIVE COMPENSATION AND RELATED MATTERS. IN CARRYING OUT ITS RESPONSIBILITIES, THE COMMITTEE MAY RELY UPON REASONED, WRITTEN OPINIONS OF CONSULTANTS AND/OR LEGAL COUNSEL. FORM 990, PART VI, SECTION C, LINE 19 PUBLIC DISCLOSURE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THE ORGANIZATION'S FORM 990 IS POSTED ON WWW.GUIDESTAR.ORG. FORM 990, PART VII, LINE 1A SEMC DOES NOT COMPENSATE THE BOARD OF TRUSTEES FOR THEIR SERVICES AS BOARD MEMBERS. ANY COMPENSATION PAID TO BOARD MEMBERS IS NOT RELATED TO BOARD MEMBER'S SERVICE TO THE BOARD. FORM 990, PART XI, LINE 9: PENSION RELATED CHANGES -3,291,702. NET CHANGE IN FOUNDATION NET ASSETS FORM 990, PART XII, LINE 2C: THERE HAS BEEN NO CHANGE IN THE PROCESS BY WHICH THE ORGANIZATION OVERSEES ITS AUDIT OR THE PROCESS BY WHICH THE ORGANIZATION SELECTS ITS INDEPENDENT ACCOUNTANT. FAXTON- ST LUKE'S HEALTHCARE PO BOX 479 UTICA NY 135030479 161576637 ACCUTE CARE HOSPITAL NY 501 (C) (3) 3 MOHAWK VALLEY HEALTH SYSTEM INC 0 SR OF ST FRANCIS OF THE NEUMANN COMMUNITY 2500 GRANT BLVD SYRACUSE NY 13208 204292535 RELIGIOUS ORDER NY 501 (C) (3) 3 N/A 0 PARTNERS IN FRANCISCAN MINISTRIES 2500 GRANT BLVD SYRACUSE NY 13208 452279986 SPONSORS MINISTRIES NY 501 (C) (3) 3 N/A 0 VISITING NURSE ASSOCIATION OF UTICA AND ONEIDA COUNTY INC 1650 CHAMPLAIN AVE UTICA NY 13502 150532259 HOME HEALTH NURSING NY 501 (C) (3) 9 MOHAWK VALLEY HEALTH SYSTEM INC 0 ST ELIZABETH MEDICAL CENTER FOUNDATION 2209 GENESEE STREET UTICA NY 13501 222562170 FUNDRAISING NY 501 (C) (3) 9 ST ELIZABETH MEDICAL CENTER 1 MOHAWK VALLEY HEALTH SYSTEM PO BOX 4308 UTICA NY 13504 223124162 PROMOTE HEALTHCARE NY 501 (C) (3) HOSPITAL N/A 0 HEALTHCARE UNDERWRITERS MUTUAL RISK MA NY (UNINCORPORATED) 5687 MAIN STREET WILLIAMSVILLE NY 14221 161484203 SELF-INSURANCE GROUP NY N/A T 0 ST ELIZABETH HEALTH SUPPORT 7246 JANUS PARK DRIVE LIVERPOOL NY 13088 DURABLE MEDICAL EQUIPMENT NY N/A C 0.40000 0 1 0 1 0 1 0 0 0 1 0 0 1 1 1 1 0 1 1 1 ST ELIZABETH MEDICAL CENTER FOUNDATION INC A 55200 FAIR MARKET VALUE ST ELIZABETH MEDICAL CENTER FOUNDATION INC N 141361 FAIR MARKET VALUE ST ELIZABETH MEDICAL CENTER FOUNDATION INC M 160345 FAIR MARKET VALUE