2018-08-14T11:55:10-04:00 2017-12-31 822624857 GRAY & GRAY AND ASSOCIATES CPAS PC 1 MAIN STREET SUITE 101 CANTON NY 136171277 990 2017-01-01 464259168 ST LAWRENCE HEALTH SYSTEM INC STLA 3152615100 50 LEROY STREET POTSDAM NY 13676 RICHARD JACOBS CFO/VP FINANCE 3152615100 2018-08-13 JOHN J GRAY JR CPA P00076464 3153862925 2018-08-13 2017 2022-09-23 18:48:47Z DAVID ACKER 50 LEROY STREET POTSDAM NY 13676 2237422 false X WWW.STLAWRENCEHEALTHSYSTEM.ORG X 2013 NY ST. LAWRENCE HEALTH SYSTEM'S MISSION IS TO IMPROVE HEALTH, DELIVER BETTER CARE AND CONSUMER EXPERIENCE, AND LOWER COSTS IN ST. LAWRENCE COUNTY THROUGH COORDINATION AND INTEGRATION OF SERVICES. 13 1 0 0 0 61999 326314 0 150731 1911108 212730 2237422 0 0 0 0 0 1006576 2181504 1006576 2181504 -793846 55918 35539621 45181569 31405934 38735836 4133687 6445733 X ST. LAWRENCE HEALTH SYSTEM'S MISSION IS TO IMPROVE HEALTH, DELIVER BETTER CARE AND CONSUMER EXPERIENCE, AND LOWER COSTS IN ST. LAWRENCE COUNTY THROUGH COORDINATION AND INTEGRATION OF SERVICES. true false 131370 326314 DURING 2017, THE CLINICAL RESEARCH PROGRAM INCLUDED 13 STUDIES CONDUCTED AND INCLUDED 24 ENROLLED PARTICIPANTS. DURING 2017, THE CLINICAL RESEARCH PROGRAM INCLUDED 13 STUDIES CONDUCTED AND INCLUDED 24 ENROLLED PARTICIPANTS. 131370 true false false false false false false false false false true false false true true true false true false false false false false false false false false false false true true false false false false false false false true false true false false false false false true true true false false true 35 0 0 false false false false false false false false false false false false X 13 1 false false false false false false false true true false false true true true true true false true true false NY X ST LAWRENCE HEALTH SYSTEM 3152615100 50 LEROY STREET POTSDAM NY 13676 MICHAEL J TULLOCH MD PHYSICIAN DI 5.00 2.00 X 0 229756 25125 MARK J CORNETT VICE CHAIR 5.00 4.00 X X 0 0 0 KATHRYN L MULLANEY TREASURER 5.00 4.00 X X 0 0 0 DONALD R DANGREMOND DIRECTOR 5.00 2.00 X 0 0 0 BRIAN D GARDAM DIRECTOR 5.00 2.00 X 0 0 0 EDWARD S MUCENSKI CHAIR 5.00 2.00 X X 0 0 0 JAMES C THEODORE DIRECTOR 5.00 2.00 X 0 0 0 MARK BRACKETT DIRECTOR 5.00 1.00 X 0 0 0 MICHAEL BURGESS SECRETARY 5.00 1.00 X X 0 0 0 ANNE RICHEY DIRECTOR 5.00 0.00 X 0 0 0 STEPHEN KNIGHT DIRECTOR 5.00 0.00 X 0 0 0 RONALD BERRY DIRECTOR 5.00 2.00 X 0 0 0 MICHAEL GRIFFIN DIRECTOR 5.00 4.00 X 0 0 0 DAVID ACKER PRESIDENT/CE 5.00 50.00 X 0 518486 110808 RICHARD JACOBS CFO/VP FINAN 5.00 50.00 X 0 279369 31817 KIMBERLY A SMITH ASSISTANT SE 5.00 40.00 X 0 51190 13299 1078801 181049 false true false THE PIKE COMPANY INC 1 CIRCLE STEET ROCHESTER NY 14607 CONSTRUCTION 3337183 SIRIUS COMPUTER SOLUTIONS INC PO BOX 202289 DALLAS TX 753202289 IT SERVICES 397938 LAVALLEEBRENSINGER ARCHITECTS 155 DOW STREET SUITE 400 MANCHESTER NH 03101 ARCHITECTURE 358146 KAUFMAN HALL AND ASSOCIATES LLC 5202 OLD ORCHARD ROAD SUITE 700 SKOKIE IL 60077 CONSULTING 276913 CAIN BROTHERS & COMPANY INC 277 PARK AVENUE 40TH FLOOR NEW YORK NY 10172 CONSULTING 206421 9 CLINICAL RESEARCH 621110 326314 326314 326314 RENTAL INCOME 621110 1607421 1607421 INTEREST INCOME 621110 303687 303687 1911108 2237422 2237422 60395 60395 21679 21580 99 1505 1505 4504 2278 2226 8619 8619 5715 5715 1165385 1165385 462842 462842 -19830 -19830 ACO 425761 425761 OTHER DIRECT EXPENSE 39327 25762 13565 SUPPLIES 5602 5516 86 2181504 131370 2050134 0 108666 479589 22301 127294 7400304 13276432 110892 4820 27161790 465038 23307112 26696752 4590346 4596682 35539621 45181569 2095881 169449 16547520 27805726 12762533 10760661 31405934 38735836 X 4133687 6445733 4133687 6445733 35539621 45181569 55918 2256128 X false true X true false X X 2 GOUVERNEUR HOSPITAL GOUVERNEUR HOSPITAL 464249555 3 true 1509722 0 CANTON-POTSDAM HOSPITAL CANTON-POTSDAM HOSPITAL 161012691 3 true 0 0 2 1509722 0 true false false false false false false false false false false false false false false false SUPPLEMENTAL INFORMATION CANTON-POTSDAM HOSPITAL'S (CPH) BOARD CONSISTS OF 18 DIRECTORS. NINE (9) OF THESE DIRECTORS ARE MEMBERS OF THE ST. LAWRENCE HEALTH SYSTEM (SLHS) BOARD. THE BYLAWS OF THE SLHS BOARD PROVIDE THAT SLHS, AS SOLE MEMBER OF CPH, HAS THE FOLLOWING POWERS REGARDING CPH: A)APPOINT THE MEMBERS OF THE BOARD OF DIRECTORS; B)APPOINT AND REMOVE THE CHIEF EXECUTIVE OFFICER; C)APPROVE THE ADOPTION AND AMENDMENT OF BYLAWS; D)APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS; E)APPROVE STRATEGIC PLANS; F)APPROVE AND MAY INITIATE THE FILING OF CERTIFICATE OF NEED APPLICATIONS; AND G)APPROVE THE DISSOLUTION OF CPH. GOUVERNEUR HOSPITAL'S (GH) BOARD CONSISTS OF 8 DIRECTORS. TWO (2) OF THESE DIRECTORS ARE MEMBERS OF THE SLHS BOARD. THE BYLAWS OF THE SLHS BOARD PROVIDE THAT SLHS, AS SOLE MEMBER OF GH, HAS THE FOLLOWING POWERS REGARDING GH: A)APPOINT THE MEMBERS OF THE BOARD OF DIRECTORS; B)APPOINT AND REMOVE THE CHIEF EXECUTIVE OFFICER; C)APPROVE THE ADOPTION AND AMENDMENT OF BYLAWS; D)APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS; E)APPROVE STRATEGIC PLANS; F)APPROVE AND MAY INITIATE THE FILING OF CERTIFICATE OF NEED APPLICATIONS; G)APPROVE THE DISSOLUTION OF GH; H)APPROVE THE SALE, LEASE, MORTGAGE OR ENCUMBRANCE OF ANY ASSET OTHER THAN ANY SALE, LEASE OR MORTGAGE WHICH IS PART OF AN APPROVED BUDGET; I)APPROVE ANY MERGER, BUSINESS CONSOLIDATION, ACQUISITION OR JOINT VENTURE; J)APPROVE THE PURCHASE OR SALE OF PHYSICIAN PRACTICES OTHER THAN ANY PURCHASE OR SALE WHICH IS PART OF AN APPROVED BUDGET; K)APPROVE AND MAY INITIATE THE COMMENCEMENT AND SETTLEMENT OF LITIGATION; L)APPROVE ANY FILING OF A BANKRUPTCY PETITION; M)APPROVE THE INCURRENCE OF ANY DEBT OTHER THAN DEBT WHICH IS INCURRED IN THE ORDINARY COURSE OF BUSINESS AND WHICH IS NOT INCONSISTENT WITH AN APPROVED BUDGET; N)APPROVE NEW CLINICAL PROGRAMS OR THE TERMINATIONS OF EXISTING CLINICAL PROGRAMS OTHER THAN ANY ACTION WHICH IS PART OF AN APPROVED BUDGET; O)APPROVE ANY OF THE FOLLOWING AGREEMENTS: (A) MANAGEMENT SERVICES AGREEMENT OTHER THAN ANY AGREEMENT WHICH IS PART OF AN APPROVED BUDGET; (B) CONTRACTS WITH A PHYSICIAN OR PHYSICIAN GROUP; (C) AGREEMENTS FOR THE OUTSOURCING OF A HOSPITAL SERVICE OR FUNCTION; (D) COLLECTIVE BARGAINING AGREEMENTS; AND (E) ANY AGREEMENTS TO PARTICIPATE IN RISK BEARING ARRANGEMENT SUCH AS AN ACCOUNTABLE CARE ORGANIZATION OR A BUNDLED PAYMENT ARRANGEMENT. P)INITIATE, NEGOTIATE AND APPROVE MANAGED CARE AGREEMENTS WITH MANAGED CARE ORGANIZATIONS AND OTHER PAYORS OTHER THAN AGREEMENT WHICH IS PART OF AN APPROVED BUDGET; Q)DEVELOP INTEGRATED SERVICES AND MANDATE PARTICIPATION IN SUCH SERVICES (E.G., FINANCIAL MANAGEMENT, STRATEGIC PLANNING, HUMAN RESOURCES, INFORMATION TECHNOLOGY, LEGAL, QUALITY ASSURANCE, RISK MANAGEMENT, CONTRACTING AND RECRUITMENT); AND R)REQUIRE THE GUARANTEE OF LOANS THROUGH AN OBLIGATED GROUP STRUCTURE THAT WILL SUPPORT ACCESS TO CAPITAL AND MAY INCLUDE DEBT SERVICES. 1046012 1046012 23803376 372756 23430620 1134992 92282 1042710 1177410 1177410 26696752 ASSETS WHOSE USE IS LIMITED 3282171 INTEREST IN ACCOUNTABLE CARE COALIT. 1084511 INTEREST IN ADIRONDACK HEALTH INST. 230000 4596682 TAXABLE BOND LIABILITY 5628105 NOTE-LT 4258349 DUE TO AFFILIATES 874207 10760661 X 5221050 2983628 2983628 2237422 2237422 5308322 3126818 3126818 2181504 2181504 SCHEDULE D, PAGE 3, PART X FOOTNOTE 1V - INCOME TAXES OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS: THE SYSTEM AND ITS AFFILIATES ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE SYSTEM AND AFFILIATES RECOGNIZE THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN FIFTY PERCENT LIKELY OF BEING REALIZED UPON SETTLEMENT. CHANGES IN RECOGNITION IN MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. THE SYSTEM AND AFFILIATES DID NOT RECOGNIZE THE EFFECT OF ANY UNCERTAIN INCOME TAX POSITIONS IN EITHER 2017 OR 2016. SCHEDULE D, PAGE 4, PART XI, LINE 2D 2,983,628 SCHEDULE D, PAGE 4, PART XII, LINE 2D 3,126,818 SCHEDULE D, PAGE 4, PART XIII FOOTNOTE 1V - INCOME TAXES OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS: THE SYSTEM AND ITS AFFILIATES ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE SYSTEM AND AFFILIATES RECOGNIZE THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN FIFTY PERCENT LIKELY OF BEING REALIZED UPON SETTLEMENT. CHANGES IN RECOGNITION IN MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. THE SYSTEM AND AFFILIATES DID NOT RECOGNIZE THE EFFECT OF ANY UNCERTAIN INCOME TAX POSITIONS IN EITHER 2017 OR 2016. PART XI 2D & PART XII 2D REVENUE AND EXPENSES RELATED TO TRANSACTIONS BETWEEN SLHS AND RELATED ENTITIES CPH AND GH ARE EXCLUDED FROM REVENUE AND EXPENSES. THESE ARE FOR CHARGES BILLED TO THE ENTITIES CPH AND GH (RECORDED AS BILLABLE EXPENSES) AND THEN CASH IS COLLECTED FOR THESE (RECORDED AS BILLABLE REVENUE). false false false false false false false false false MICHAEL J TULLOCH MD PHYSICIAN DIRECTOR 229756 14259 10866 254881 DAVID ACKER PRESIDENT/CEO 518486 93650 17158 629294 RICHARD JACOBS CFO/VP FINANCE 279369 18900 12917 311186 SCHEDULE J, PART III THE ST. LAWRENCE HEALTH SYSTEM (SLHS) DOES NOT HAVE ANY EMPLOYEES ON ITS PAYROLL. THE PRESIDENT/CEO OF SLHS IS AN EMPLOYEE OF A RELATED (AND CONTROLLED) ORGANIZATION, CANTON-POTSDAM HOSPITAL. AS SUCH, THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF CANTON-POTSDAM HOSPITAL SEEKS INPUT OF A CONSULTING FIRM WITH NATIONAL EXPERIENCE TO REVIEW COMPENSATION PACKAGES OFFERED TO TOP MANAGEMENT AND THE REGULATORY COMPLIANCE ISSUES OF NOT-FOR-PROFITS. UPON THE FINDINGS OF THE CONSULTANT AND DELIBERATIONS OF THE COMPENSATION COMMITTEE, THE COMMITTEE WILL THEN MAKE RECOMMENDATION TO THE FULL CANTON-POTSDAM HOSPITAL BOARD. THE FULL BOARD WILL THEN VOTE ON THE TOP OFFICIAL'S COMPENSATION PACKAGE. ST. LAWRENCE HEALTH SYSTEM BOARD OF DIRECTORS SHALL HAVE A CONCURRING VOTE APPROVING THE TOP OFFICIAL'S COMPENSATION PACKAGE. A ST LAWRENCE COUNTY IDA CIVIC DEVEL 272614310 2016-04-01 28500000 SEE PART VI-SUPPLEMENTAL INFO. false false false A 729000 28500000 733875 130346 27559504 76275 2017 false false false true A false false false false false false true A false true false false true false false false true A true SCHEDULE K - ADDITIONAL INFORMATION ST. LAWRENCE COUNTY IDA CIVIC DEVEL THE BOND ISSUANCE OF 28,500,000 IS TO FINANCE A PROJECT FOR THE BENEFIT OF ST. LAWRENCE HEALTH SYSTEM AND CANTON-POTSDAM HOSPITAL CONSISTING OF (1) THE CONSTRUCTION OF AN APPROXIMATELY 60,000 SQ. FT., THREE-LEVEL MEDICAL OFFICE BUILDING LOCATED AT 6119 US HIGHWAY 11, IN THE TOWN OF CANTON, NEW YORK; (2) THE ACQUISITION AND INSTALLATION IN THE MEDICAL OFFICE BUILDING OF FURNITURE, MACHINERY AND EQUIPMENT; (3) THE RENOVATION AND IMPROVEMENT OF THE EXISTING HOSPITAL BUILDING LOCATED AT 50 LEROY STREET, IN THE VILLAGE OF POTSDAM, NEW YORK; (4)THE ACQUISITION AND INSTALLATION AT THE HOSPITAL OF FURNITURE, MACHINERY AND EQUIPMENT; AND (5) PAYING COSTS INCIDENTAL TO THE FINANCING THEREOF. SEE PART V ADDITIONAL INFORMATION false SCHEDULE L, PART V DUE TO OUR BOARD MEMBERS' AFFILIATIONS WITH RELATED HOSPITALS CANTON- POTSDAM HOSPITAL (CPH) AND GOUVERNEUR HOSPITAL (GH) (AS DISCLOSED ON SCHEDULE R), WE ARE DISCLOSING THE FOLLOWING: 1.KATHRYN MULLANEY, THE SLHS AND CPH BOARD TREASURER, RETIRED AS THE VICE PRESIDENT FOR FINANCE AT ST. LAWRENCE UNIVERSITY (SLU) IN 2014. CPH PROVIDES HEALTHCARE SERVICES AND STAFFS A CLINIC ON THE SLU CAMPUS. THE OPERATION COSTS OF THAT CLINIC IN 2017 WERE APPROXIMATELY 580,179, WHICH WERE REIMBURSED BY SLU ON A PASS THROUGH BASIS. 2.DONALD DANGREMOND, SLHS AND CPH BOARD MEMBER, RETIRED AS AN EMPLOYEE OF CLARKSON UNIVERSITY (CU). CPH PROVIDES HEALTHCARE SERVICES AND STAFFS A CLINIC ON THE CU CAMPUS. THE OPERATION COSTS OF THAT CLINIC IN 2017 WERE APPROXIMATELY 418,374 WHICH WERE REIMBURSED BY CU ON A PASS THROUGH BASIS. 3.DR. MICHAEL TULLOCH, BOARD MEMBER OF SLHS AND CPH, IS EMPLOYED TO PERFORM INTERPRETATIONS OF CARDIOLOGY SERVICES PROVIDED AT CPH. HE WAS COMPENSATED 229,756 FOR THIS SERVICE IN 2017. 4.BRIAN GARDAM, SLHS AND CPH BOARD MEMBER, WAS THE FORMER EXECUTIVE DIRECTOR OF HOSPICE OF PALLIATIVE CARE OF ST. LAWRENCE VALLEY (HOSPICE). BRIAN IS ALSO A BOARD MEMBER FOR NORTHERN LIGHTS HEALTH CARE. HOSPICE CONTRACTS WITH CPH FOR INPATIENT HOSPICE SERVICES FOR SYMPTOM MANAGEMENT AND PAIN CONTROL. IN 2017, 23,300 WAS REMITTED TO HOSPICE FOR THESE SERVICES. CANTON-POTSDAM HOSPITAL ALSO REMITTED TO HOSPICE 3,500 TO SUPPORT THE TASTE OF SPRING AND TASTE OF AUTUMN ANNUAL HOSPICE FUNDRAISERS. 5.JAMES THEODORE, SLHS AND CPH BOARD MEMBER, IS ALSO THE MORGAN STANLEY SMITH BARNEY LLC FINANCIAL ADVISOR FOR AN ACCOUNT HELD IN THE NAME OF CANTON-POTSDAM HOSPITAL FOUNDATION, INC. (A RELATED TAX-EXEMPT ORGANIZATION TO CPH). THIS FOUNDATION ACCOUNT IS USED AS A PASS-THROUGH FOR DONATIONS OF STOCK. THE BALANCE IN THIS ACCOUNT AS OF DECEMBER 31, 2017 WAS 0. 6.DURING 2010, BOND ISSUES WERE OBTAINED FOR CPH FROM COMMUNITY BANK, NA AND KEY BANK, AS DISCLOSED IN SCHEDULE K OF CPH'S FORM 990. THE COMMUNITY BANK, NA PORTION OF THESE BOND ISSUES WERE IN THE AMOUNT OF 3,585,000. IN 2011, CPH WAS ISSUED A MORTGAGE BY COMMUNITY BANK, NA FOR CONSTRUCTION OF THE E.J. NOBEL ANNEX BUILDING, IN THE AMOUNT OF 2,200,000. EDWARD MUCENSKI, SLHS CHAIR AND CPH BOARD MEMBER, WAS A SHAREHOLDER AND A BOARD MEMBER OF COMMUNITY BANK, NA UNTIL DECEMBER 31, 2017. AS OF DECEMBER 31, 2017 CPH WAS CURRENT ON ANY OBLIGATIONS DUE TO THE BANK. 7.SLHS VICE CHAIR AND CPH BOARD MEMBER, MARK CORNETT, WAS A CONSULTANT FORMERLY EMPLOYED BY SLIC NETWORK SOLUTIONS. SLIC RENTS OFFICE SPACE AT CPH'S MEDICAL OFFICE BUILDING IN CANTON, NEW YORK. CPH REMITTED APPROXIMATELY 209,130 TO SLIC IN 2017 FOR TELECOMMUNICATION SERVICES. 8.MARK BRACKETT, SLHS DIRECTOR AND GH BOARD SECRETARY/TREASURER, WAS PRESIDENT OF KINNEY DRUGS FOUNDATION FROM JANUARY 1, 2014 UNTIL JUNE 30, 2014. HE REMAINS ON THE KINNEY DRUGS FOUNDATION BOARD OF DIRECTORS. KINNEY DRUGS FOUNDATION IS UNDER THE PARENT ORGANIZATION, KPH HEALTHCARE SERVICES. CPH AND GH PARTICIPATED WITH ONE OR MORE OF THE KPH HEALTHCARE CORPORATE DIVISIONS IN THE HOSPITALS' 340B PROGRAMS. 9.MICHAEL BURGESS, SLHS BOARD SECRETARY AND GH BOARD CHAIR, IS VP OF FINANCIAL PLANNING AND TREASURY WITH KPH HEALTHCARE SERVICES, INC. CORPORATE DIVISIONS OF KPH HEALTHCARE SERVICES ARE KINNEY DRUGS, HEALTH DIRECT INSTITUTIONAL PHARMACY SERVICES, PROACT AND NOBLE SPECIALTY PHARMACY. CPH AND GH PARTICIPATED WITH ONE OR MORE OF THE CORPORATE DIVISIONS IN THE HOSPITALS' 340B PROGRAMS. 10.ANNE RICHEY, SLHS BOARD DIRECTOR, IS EXECUTIVE DIRECTOR OF UNITED CEREBRAL PALSY ASSOCIATION OF THE NORTH COUNTRY, INC., DBA COMMUNITY HEALTH CENTER OF THE NORTH COUNTRY. IN 2017, THE UNITED CEREBRAL PALSY ASSOCIATION RENTED OUTPATIENT CLINIC SPACE FROM GH, FOR APPROXIMATELY 9,843 PER MONTH FOR THE COMMUNITY HEALTH CENTER OF THE NORTH COUNTRY. IN 2017, CPH LEASED A NURSE PRACTITIONER TO THE SAME CLINIC AND INVOICED THE CLINIC FOR TELEPHONE/DATA SERVICE. AT YEAR END, CEREBRAL PALSY WAS CURRENT IN THEIR OBLIGATIONS TO CPH AND GH. 11.STEPHEN KNIGHT, SLHS BOARD MEMBER, IS ALSO ON THE BOARD OF NORTHERN LIGHTS HEALTH CARE PARTNERSHIP, INC. CANTON-POTSDAM HOSPITAL, RELATED ORGANIZATION, HAS AN INTEREST IN NORTHERN LIGHTS. IN 2017, THERE WERE NO FINANCIAL TRANSACTIONS BETWEEN CANTON-POTSDAM HOSPITAL AND NORTHERN LIGHTS. 12. MICHAEL GRIFFIN, SLHS AND CPH (RELATED ORGANIZATION) BOARD MEMBER, RETIRED AS AN EMPLOYEE OF CLARKSON UNIVERSITY (CU) IN 2017. CPH PROVIDES HEALTHCARE SERVICES AND STAFFS A CLINIC ON THE CU CAMPUS. THE OPERATION COSTS OF THAT CLINIC IN 2017 WERE 418,374 WHICH WERE REIMBURSED BY CU ON A PASS THROUGH BASIS. FORM 990, PAGE 2, PART III, LINE 2 BEGINNING IN 2016, SLHS NEW SOURCE OF REVENUE INCLUDED CLINICAL RESEARCH REVENUE. BASIC PREMISE OF PROGRAM IN CLINICAL TRIALS ARE CONDUCTED TO TEST THE EFFICACY AND SAFETY OF NEW DRUGS OR DEVICES IN THE PATIENT POPULATION. PHARMACEUTICAL AND DEVICE COMPANIES DEVISE A PROTOCOL WHICH DICTATES WHAT TREATMENTS AND EXAMS HAPPEN AND ON WHAT SCHEDULE. PATIENTS ENROLLED IN A STUDY TYPICALLY UNDERGO A SERIES OF VISITS, AND ARE NOT CHARGED FOR NONSTANDARD OF CARE STUDY-RELATED EVENTS. SPONSORS PAY RESEARCH FOR ALL INCURRED VISIT FEES AND PASS-THROUGH COSTS AT CONTRACTED PRICE. FORM 990, PAGE 2, PART III, LINE 4D DURING 2017, THE CLINICAL RESEARCH PROGRAM INCLUDED 13 STUDIES CONDUCTED AND INCLUDED 24 ENROLLED PARTICIPANTS. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS PREPARED BY FINANCE OFFICE STAFF MEMBERS. UPON COMPLETION, A COPY WITH SUPPORTING DOCUMENTATION IS REVIEWED BY THE VICE PRESIDENT FOR FINANCE AND THE CONTROLLER. AFTER REVIEW, ANY CHANGES ARE MADE AND A COPY IS PRESENTED TO THE FULL BOARD OF DIRECTORS FOR THEIR REVIEW, COMMENTS AND APPROVAL. FORM 990, PAGE 6, PART VI, LINE 12C BOARD MEMBER CONFLICT OF INTEREST DISCLOSURE FORMS ARE COMPLETED AND REVIEWED BY THE BOARD ANNUALLY. FORM 990, PAGE 6, PART VI, LINE 15A ST. LAWRENCE HEALTH SYSTEM DOES NOT HAVE ANY EMPLOYEES AND THERE IS NO COMPENSATION FOR DIRECTORS. THE ORGANIZATION'S CEO IS PAID BY THE RELATED ORGANIZATION, CANTON-POTSDAM HOSPITAL, AND CPH'S COMPENSATION PROCEDURES ARE FOLLOWED ACCORDINGLY. FORM 990, PAGE 6, PART VI, LINE 15B ST. LAWRENCE HEALTH SYSTEM DOES NOT HAVE ANY EMPLOYEES AND THERE IS NO COMPENSATION FOR DIRECTORS. THE ORGANIZATION'S OTHER OFFICERS ARE PAID BY THE RELATED ORGANIZATION, CANTON-POTSDAM HOSPITAL, AND CPH'S COMPENSATION PROCEDURES ARE FOLLOWED ACCORDINGLY. DR. TULLOCH RECEIVES COMPENSATION FOR PROVIDING CERTAIN MEDICAL SERVICES TO CPH. THESE PAYMENTS ARE FOR SERVICES DR. TULLOCH PROVIDES AS A PHYSICIAN AND NOT AS A BOARD MEMBER. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 TRANSFER TO GH -1,509,722 TRANSFER FROM CPH 1,915,003 GH & CPH REV/EXP ADJ -143,190 WRITE OFF DUE TO CPH 1,994,037 TOTAL 2,256,128 CANTON-POTSDAM HOSPITAL INC 50 LEROY STREET POTSDAM NY 13676 161012691 HOSPITAL NY 501C 3 SLHS true GOUVERNEUR HOSPITAL INC 77 WEST BARNEY STREET GOUVERNEUR NY 13642 464249555 HOSPITAL NY 501C 3 SLHS true CANTON-POTSDAM HOSPITAL FOUNDATION 29 GROVE STREET POTSDAM NY 13676 161279472 FUNDRAISG NY 501C 3 SLHS true CANTON-POTSDAM MEDICAL PRACTICEPLLC 50 LEROY STREET POTSDAM NY 13676 460714367 OUT PATIEN NY 501C 3 SLHS true ADIRONDACK HEALTH INSTITUTE 101 RIDGE STREET GLENS FALLS NY 12801 141698269 CONSORTIUM NY 501C 3 N/A false ACCOUNTABLE CARE ORGANIZATION OF THE NORTH COUNTRY LLC 555 WEST GRANADA BLVD 555 ORMOND BEACH FL 32174 454106154 SERV COORD FL NA RELATED 423970 42314 false false 0.25500 false true true false false false false false false true false false false false false true true false false CANTON-POTSDAM HOSPITAL C 1500000 CASH EXCHANGED GOUVERNEUR HOSPITAL INC B 1500000 CASH EXCHANGED GOUVERNER HOSPITAL INC J 154743 FMV GOUVERNEUR HOSPITAL INC Q 319217 FMV CANTON-POTSDAM HOSPITAL S 415003 CASH EXCHANGED