MVHS INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: MVHS INC (EIN 16-1576637)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-13
IRS object ID: 201733179349303723
Schema version: 2016v3.0
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	2017-11-13T12:21:08-06:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	FUST CHARLES CHAMBERS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	5784 WIDEWATERS PARKWAY	AddressLine1Txt
City	SYRACUSE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13214	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	161576637	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LOUIS AIELLO	PersonNm
Person Title	CFO/SR VP	PersonTitleTxt
Phone	3156246143	PhoneNum
Signature	2017-11-09	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ANGELA M FRANCO	PreparerPersonNm
PTIN	P00589741	PTIN
Phone	3154463600	PhoneNum
Preparation	2017-11-09	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	24.39.85.114	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2017-11-09	IPDt
IP Tm	08:42:37	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	40F9A3B361C6878670E99E8CE125BB29C88B706C	AtSubmissionCreationDeviceId
At Submission Filing Device Id	315614A2A569D91B0F4A84342C1D145A8997199D	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$291,718,946	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	FAXTONSTLUKES.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2000	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE FOR EXCELLENCE IN HEALTHCARE FOR OUR COMMUNITIES.	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	17	VotingMembersIndependentCnt
Total Employee	2837	TotalEmployeeCnt
Total Volunteers	235	TotalVolunteersCnt
Total Gross UBI	$478,842	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,757,744	PYContributionsGrantsAmt
CY Contributions Grants	$1,409,971	CYContributionsGrantsAmt
PY Program Service Revenue	$267,603,957	PYProgramServiceRevenueAmt
CY Program Service Revenue	$273,563,013	CYProgramServiceRevenueAmt
PY Investment Income	$2,822,297	PYInvestmentIncomeAmt
CY Investment Income	$840,502	CYInvestmentIncomeAmt
PY Other Revenue	$13,176,907	PYOtherRevenueAmt
CY Other Revenue	$15,713,744	CYOtherRevenueAmt
PY Total Revenue	$285,360,905	PYTotalRevenueAmt
CY Total Revenue	$291,527,230	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	$155,348,867	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$162,630,575	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$125,509,683	PYOtherExpensesAmt
CY Other Expenses	$127,938,235	CYOtherExpensesAmt
PY Total Expenses	$280,858,550	PYTotalExpensesAmt
CY Total Expenses	$290,568,810	CYTotalExpensesAmt
PY Revenues Less Expenses	$4,502,355	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$958,420	CYRevenuesLessExpensesAmt
Total Assets BOY	$244,819,264	TotalAssetsBOYAmt
Total Assets EOY	$251,469,563	TotalAssetsEOYAmt
Total Liabilities BOY	$108,140,390	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$110,242,582	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$136,678,874	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$141,226,981	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	FAXTON ST LUKES HEALTHCARE, INCS MISSION IS TO PROVIDE FOR EXCELLENCE IN HEALTHCARE FOR OUR COMMUNITIES. OUR VISION IS TO BE THE TRUSTED HEALTHCARE SYSTEM OF CHOICE THROUGH CLINICAL QUALITY, EXCELLENCE IN SERVICE AND EDUCATION, COMPASSIONATE CARE, PROMOTION OF WELLNESS AND OPERATIONAL EFFICIENCY.	MissionDesc
Significant New Program Srvc	Yes (1)	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$97,335,556	ExpenseAmt
Revenue	$107,369,809	RevenueAmt
Desc	INPATIENT/ACUTE CARE SERVICES - FSLH IS A FULL SERVICE GENERAL HOSPTIAL WITH 320 LICENSED BEDS. THE HOSPTIAL PROVIDES A FULL RANGE OF ANCILLARY SERVICES, INCLUDING MATERNITY AND NEWBORN CARE SERVICES. DISBURSEMENTS MADE BY THE HOSPTIAL ARE EXCLUSIVELY FOR SERVICES AND MATERIALS USED IN PERFORMING THE HOSPITAL'S EXEMPT FUNCTIONS. FSLH PROVIDES CARE TO EVERYONE REGARDLESS OF RACE, RELIGION OR ABILITY TO PAY.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$31,388,104	ExpenseAmt
Revenue	$47,132,435	RevenueAmt
Desc	AMBULATORY/OUTPATIENT SURGERY - FSLH HAS A FULL RANGE OF AMBULATORY SURGERY SERVICES ON ITS CAMPUS FOR PATIENTS THAT DO NOT REQUIRE OVERNIGHT OR LONG INPATIENT STAYS. FSLH PROVIDES SERVICES TO EVERYONE REGARDLESS OF RACE, RELIGION OR ABILITY TO PAY.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$37,890,729	ExpenseAmt
Revenue	$45,910,547	RevenueAmt
Desc	PRIMARY CARE SERVICES - THE MHVS PRIMARY CARE NETWORK ENCOMPASSES 10 LOCATIONS AND 64 PROVIDERS (PHYS/NP), WITH 116,385 PATIENT VISITS PER YEAR. IN ADDITION TO OUR PRIMARY CARE, WE ARE EXPANDING OUR CURRENT SPECIALTY PRACTICES OF SURGERY, ORTHOPEDICS, NEUROSURGERY, PULMONARY AND VASCULAR SERVICES IN OUR COMMUNITY. FSLH PROVIDES SERVICES TO EVERYONE REGARDLESS OF RACE, RELIGION OR ABILITY TO PAY.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$86,180,474	ExpenseAmt
Revenue	$88,385,124	RevenueAmt
Desc	RENAL DIALYSIS, CANCER CARE, RADIOLOGY, AUDIO/SPEECH DIAGNOSTICS, REHABILITATION, DIABETES EDUCATION, STROKE CENTER, ORTHOPEDIC, NEUROSURGERY, VASCULAR SURGERY, PULMONARY, NEURO INTERVENTIONAL	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$86,180,474	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$88,385,124	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$252,794,863	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	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	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	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	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	375	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2837	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	NL	ForeignCountryCd
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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	17	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
NORMAN SIEGEL
CHAIR	1.50	3.50	Yes (X)	Yes (X)	$0	$0	$0
GREGORY B MCLEAN
VICE CHAIR	1.00	2.50	Yes (X)	Yes (X)	$0	$0	$0
GREGORY EVANS
SECRETARY	1.00	2.50	Yes (X)	Yes (X)	$0	$0	$0
RICHARD ZWEIFEL
TREASURER	1.00	2.50	Yes (X)	Yes (X)	$0	$0	$0
RICHARD TANTILLO
BOARD MEMBER	1.00	2.50	Yes (X)		$0	$0	$0
TODD HUTTON PHD
BOARD MEMBER	1.00	2.50	Yes (X)		$0	$0	$0
STEPHEN SWEET
BOARD MEMBER	1.00	2.50	Yes (X)		$0	$0	$0
DOMENIC P AIELLO MD
BOARD MEMBER	1.00	2.50	Yes (X)		$0	$0	$0
MARIA GESUALDO DO
BOARD MEMBER	1.00	2.50	Yes (X)		$0	$27,708	$0
BONNIE WOODS
BOARD MEMBER	1.00	2.50	Yes (X)		$0	$0	$0
BARBARA BRODOCK
BOARD MEMBER	1.00	3.50	Yes (X)		$0	$0	$0
CATHERINE COMINSKY
BOARD MEMBER	1.00	2.50	Yes (X)		$0	$0	$0
ANDREW KOWALCZYK III
BOARD MEMBER	1.00	2.50	Yes (X)		$0	$0	$0
SYMEON TSOUPELIS
BOARD MEMBER	1.00	2.50	Yes (X)		$0	$0	$0
BRIAN BOYLE MD
BOARD MEMBER/FSLH MEDICAL	1.00	2.50	Yes (X)		$0	$0	$0
ROBERT FLEISCHER DO
BOARD MEMBER/SEMC MEDICAL	1.00	2.50	Yes (X)		$0	$0	$0
JOAN COMPSON
BOARD MEMBER	1.00	2.50	Yes (X)		$0	$0	$0
KATHLEEN SELLARS
BOARD MEMBER	1.00	2.50	Yes (X)		$0	$0	$0
LAUREN BULL
BOARD MEMBER	1.00	2.50	Yes (X)		$0	$0	$0
SCOTT PERRA FACHE
PRESIDENT/CEO	30.00	25.00		Yes (X)	$898,008	$0	$32,124
LOUIS AIELLO
SR VICE PRESIDENT/CFO	27.00	23.00		Yes (X)	$0	$421,902	$27,343
ROBERT SCHOLEFIELD RN MS
SR VICE PRESIDENT/COO	30.00	20.00			$0	$394,897	$27,288	Yes (X)
MICHAEL F TREVISANI MD
SR VICE PRESIDENT/CMO	30.00	20.00			$429,264	$0	$24,498	Yes (X)
PATRICIA ROACH MS RN NEA-BC
SR VICE PRESIDENT/CNO	30.00	20.00			$349,987	$0	$35,601	Yes (X)
ANDREW PELLECCHIA
PHYSICIAN	50.00				$600,530	$0	$22,516		Yes (X)
PETER OJURO MD
PHYSICIAN	50.00				$550,530	$0	$17,062		Yes (X)
JOHN SPERLING MD
PHYSICIAN	50.00				$505,063	$0	$11,893		Yes (X)
ROBERT WASICZKO MD
PHYSICIAN	50.00				$499,626	$0	$20,472		Yes (X)
MEIRA YEGER-MCKEEVER MD
PHYSICIAN	50.00				$433,409	$0	$24,344		Yes (X)
ERIC YOSS MD
FORMER BOARD MEMBER	51.00	2.50			$260,951	$0	$11,062			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,527,368	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$844,507	TotReportableCompRltdOrgAmt
Total Other Compensation	$254,203	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	198	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
DHP MANAGEMENT SERVICES INC
265 BROOKVIEW CENTRE WAY	KNOXVILLE	TN	37919	PHYSICIAN/MEDICAL SERVICES	$1,769,650
SUNSET ANESTHESIA ASSOCIATES
1676 SUNSET AVE	UTICA	NY	13502	ANESTHESIA SERVICES	$1,675,161
ALLSCRIPTS HEALTHCARE LLC
8529 SIX FORKS RD FORUM IV	RALEIGH	NC	27615	EMR SERVICES	$1,614,270
NY RADIATION THERAPY MNGMNT
2234 COLONIAL BLVD	FORT MEYERS	FL	33907	RADIATION PHYSICIAN SERVICES	$1,494,900
YONKERS RADIATION MEDICAL PRACTICE PC
2234 COLONIAL BLVD	FORT MEYERS	FL	33907	RADIATION THERAPY MNGMT SERVICES	$1,494,217

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	163	CntrctRcvdGreaterThan100KCnt
Related Organizations	$293,032	RelatedOrganizationsAmt
Government Grants	$1,107,341	GovernmentGrantsAmt
All Other Contributions	$9,598	AllOtherContributionsAmt
Total Contributions	$1,409,971	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ACUTE CARE	622200	$107,369,809	$107,369,809
AMBULATORY SURGERY	622200	$47,132,435	$47,132,435
PRIMARY CARE	622200	$45,910,547	$45,910,547
RENAL DIALYSIS	622200	$19,101,256	$19,101,256
CANCER CARE	622200	$15,530,805	$15,530,805

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$38,518,161	TotalRevenueColumnAmt
Related Or Exempt Func Income	$38,518,161	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$273,563,013	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,032,218	TotalRevenueColumnAmt
Exclusion	$1,032,218	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$478,842	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$478,842	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$478,842	TotalRevenueColumnAmt
Unrelated Business Revenue	$478,842	UnrelatedBusinessRevenueAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$191,716	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$191,716	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$191,716	TotalRevenueColumnAmt
Exclusion	-$191,716	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
340B CONTRACT	900099	$6,801,537	$6,801,537
RETAIL PHARMACY	900099	$4,069,343	$4,069,343
NH SCANNER	900099	$563,039	$563,039

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,800,983	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,800,983	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$15,234,902	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$291,527,230	TotalRevenueColumnAmt
Related Or Exempt Func Income	$288,797,915	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$478,842	UnrelatedBusinessRevenueAmt
Exclusion	$840,502	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	$1,769,483	TotalAmt
Program Services	$730,235	ProgramServicesAmt
Management And General	$1,039,248	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$135,948,408	TotalAmt
Program Services	$119,084,330	ProgramServicesAmt
Management And General	$16,864,078	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,485,807	TotalAmt
Program Services	$5,642,652	ProgramServicesAmt
Management And General	$843,155	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$8,576,629	TotalAmt
Program Services	$7,461,667	ProgramServicesAmt
Management And General	$1,114,962	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,850,248	TotalAmt
Program Services	$8,569,716	ProgramServicesAmt
Management And General	$1,280,532	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$660,363	TotalAmt
Program Services	$520,525	ProgramServicesAmt
Management And General	$139,838	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$396,676	TotalAmt
Management And General	$396,676	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$121,173	TotalAmt
Management And General	$121,173	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$44,404	TotalAmt
Management And General	$44,404	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$30,542,397	TotalAmt
Program Services	$24,074,767	ProgramServicesAmt
Management And General	$6,467,630	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$230,111	TotalAmt
Program Services	$181,383	ProgramServicesAmt
Management And General	$48,728	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,018,251	TotalAmt
Program Services	$802,627	ProgramServicesAmt
Management And General	$215,624	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$5,000,961	TotalAmt
Program Services	$3,941,962	ProgramServicesAmt
Management And General	$1,058,999	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,742,913	TotalAmt
Program Services	$5,315,040	ProgramServicesAmt
Management And General	$1,427,873	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$713,286	TotalAmt
Program Services	$562,241	ProgramServicesAmt
Management And General	$151,045	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,743,087	TotalAmt
Program Services	$1,373,973	ProgramServicesAmt
Management And General	$369,114	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$14,272,035	TotalAmt
Program Services	$10,962,865	ProgramServicesAmt
Management And General	$3,309,170	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,548,683	TotalAmt
Program Services	$2,008,976	ProgramServicesAmt
Management And General	$539,707	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$47,566,970	$47,566,970
BAD DEBT	$5,277,238	$5,277,238
SERVICE CONTRACTS	$3,114,655	$2,455,099	$659,556
NON MEDICAL SUPPLIES	$3,107,890	$2,449,766	$658,124

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,837,142	TotalAmt
Program Services	$3,812,831	ProgramServicesAmt
Management And General	$1,024,311	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$290,568,810	TotalAmt
Program Services	$252,794,863	ProgramServicesAmt
Management And General	$37,773,947	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$95,789	BOYAmt
EOY	$305,925	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$345,901	BOYAmt
EOY	$25,233	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$38,999,630	BOYAmt
EOY	$31,516,572	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,873,363	BOYAmt
EOY	$6,280,789	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,945,177	BOYAmt
EOY	$3,283,009	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$319,512,787	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$242,095,166	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$77,041,259	BOYAmt
EOY	$77,417,621	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$79,443,372	BOYAmt
EOY	$83,697,912	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$10,993,079	BOYAmt
EOY	$9,432,258	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$29,081,694	BOYAmt
EOY	$39,510,242	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$244,819,264	BOYAmt
EOY	$251,469,563	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$36,024,145	BOYAmt
EOY	$37,821,881	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,915,000	BOYAmt
EOY	$5,660,000	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$13,218,936	BOYAmt
EOY	$7,805,176	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$52,982,309	BOYAmt
EOY	$58,955,526	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$108,140,390	BOYAmt
EOY	$110,242,582	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$127,892,575	BOYAmt
EOY	$132,869,688	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,258,135	BOYAmt
EOY	$3,829,129	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,528,164	BOYAmt
EOY	$4,528,164	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$136,678,874	BOYAmt
EOY	$141,226,981	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$244,819,264	BOYAmt
EOY	$251,469,564	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$958,420	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$3,604,758	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$15,071	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)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

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	$44,404	OtherActivitiesAmt
Total Lobbying Expenditures	$44,404	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	PARTICIPATION IS BASED ON THE MEMBERSHIP DUES PAID TO HANYS AND IROQUOIS HEALTHCARE ASSOCIATION AS INDICATED ON LINE 2. THE FOLLOWING NARRATIVES, WERE TAKEN DIRECTLY FROM THEIR RESPECTIVE WEBSITES: 1. HANYS IS PROUD TO BE THE ONLY STATEWIDE ASSOCIATION THAT REPRESENTS AND ADVOCATES ON BEHALF OF NEW YORK'S HOSPITALS AND HEALTH SYSTEMS AT ALL LEVELS OF THE FEDERAL AND STATE GOVERNMENT. HANYS HAS ACCESS TO POLICY LEADERS, REGARDLESS OF THEIR POLITICAL AFFILIATION AND IS AN INTEGRAL PLAYER IN HEALTH POLICY DISCUSSIONS. HANYS ALSO COMMUNICATES MEMBERS CONCERNS AND POSITIONS TO NEW YORK AND NATIONAL MEDIA IN SUPPORT OF THE ASSOCIATIONS LEGISLATIVE AND REGULATORY INTITIATIVES. 2. THE AMERICAN HOSPITAL ASSOCIATION (AHA) IS THE NATIONAL ORGANIZATION THAT REPRESENTS AND SERVES ALL TYPES OF HOSPITALS, HEALTH CARE NETWORKS AND THEIR PATIENTS AND COMMUNITIES. HOSPITALS, HEALTH CARE SYSTEMS, NETWORKS AND OTHER PROVIDERS OF CARE, AS WELL AS INDIVIDUAL MEMBERS, COME TOGETHER TO FORM THE AHA. THROUGH AHA REPRESENTATION AND ADVOCACY ACTIVITIES, AHA ENSURES THAT MEMBERS PERSPECTIVES AND NEEDS ARE HEARD AND ADDRESSED IN NATIONAL HEALTH POLICY DEVELOPMENT, LEGISLATIVE AND REGULATORY DEBATES AND JUDICIAL MATTERS. ADVOCACY EFFORTS INCLUDE THE LEGISLATIVE AND EXECUTIVE BRANCHES AND INCLUDE THE LEGISLATIVE AND REGULATORY ARENAS. THE AHA PROVIDES EDUCATION FOR HEALTH CARE LEADERS AND IS A SOURCE OF INFORMATION ON HEALTH CARE ISSUES AND TRENDS. 3.IROQUOIS IS THE REGIONAL VOICE IN ALBANY AND WASHINGTON FOR UPSATE HOSPITALS AND HEALTH CARE SYSTEM MEMBERS. IROQUOIS PROMOTES A BROADER UNDERSTANDING OF, AND BUILDS SUPPORT FOR, THE HEALTH CARE SYSTEMS SERVING UPSTATE NEW YORK. IROQUOIS PROVIDES REPRESENTATION AND ADVOCACY AT THE STATE LEVEL BY EFFECTIVELY LOBBYING THE STATE LEGISLATURE, AND ESTABLISHING CLOSE WORKING RELATIONSHIPS WITH THE GOVERNORS OFFICE, STATE AGENCY OFFICIALS, AND REGULATORY REPRESENTATIVES. IROQUOIS INFLUENCES PUBLIC POLICY DEVELOPMENT THROUGH BOTH LEGISLATIVE AND REGULATORY ADVOCACY EFFORTS. REGIONAL ACTIVITIES, SUCH AS HOSTING LEGISLATORS AND MEETING WITH LOCAL OFFICIALS, ARE CRITICAL TO MAINTAINING A UNIFIED VOICE FOR LEGISLATIVE AND REGULATORY ACTION. IROQUOIS CONTINUES TO WORK WITH THE NY STATE ADMINISTRATION TO ADDRESS ISSUES AFFECTING UPSTATE HOSPITALS, REVIEW THE EXECUTIVE BUDGET PROPOSAL AND ALSO WORK WITH THE STATE LEGISLATURE. ALL ADVOCACY EFFORTS FOCUS ON THE SIMPLE TRUTH THAT HOSPITALS EXIST TO SERVE. THEIR ABILITY TO SERVE WELL, REQUIRES A RELATIONSHIP WITH THEIR COMMUNITIES BUILT ON TRUST AND COMPASSION. TO SERVE COMMUNITES WELL, HOSPITALS MUST ALSO MANAGE RESOURCES IN A CHALLENGING ENVIRONMENT.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,468,974	BeginningYearBalanceAmt
Investment Earnings Or Losses	$341,500	InvestmentEarningsOrLossesAmt
End Year Balance	$8,810,474	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,959,531	BeginningYearBalanceAmt
Investment Earnings Or Losses	$509,443	InvestmentEarningsOrLossesAmt
End Year Balance	$8,468,974	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,919,823	BeginningYearBalanceAmt
Investment Earnings Or Losses	$41,047	InvestmentEarningsOrLossesAmt
Other Expenditures	-$1,339	OtherExpendituresAmt
End Year Balance	$7,959,531	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.02090	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.53050	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.44860	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,200,047	OtherCostOrOtherBasisAmt
Book Value	$2,200,047	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$120,703,694	OtherCostOrOtherBasisAmt
Depreciation	$88,870,996	DepreciationAmt
Book Value	$31,832,698	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,684,619	OtherCostOrOtherBasisAmt
Depreciation	$2,802,878	DepreciationAmt
Book Value	$1,881,741	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$186,157,299	OtherCostOrOtherBasisAmt
Depreciation	$146,613,579	DepreciationAmt
Book Value	$39,543,720	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,767,128	OtherCostOrOtherBasisAmt
Depreciation	$3,807,713	DepreciationAmt
Book Value	$1,959,415	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$77,417,621	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
MUTUAL FUNDS INVESTMENT	$46,571,288	F
COMMON STOCK INVESTMENT	$2,207,935	F
CORPORATE OBLIGATIONS	$34,587,531	F
CASH AND CASH EQUIVALENTS	$331,158	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$83,697,912	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
OTHER ASSETS	$9,856,869
DUE FROM AFFILIATES	$3,406,057
UNAMORTIZED DEBT ISSUANCE COSTS	$370,486
WC INSURANCE RECEIVABLE LT, NET	$7,353,127
G&P INSURANCE RECEIVABLE LT, NET	$16,574,778
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS, NET	$1,948,925

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$39,510,242	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
2006 SERIES TAXABLE BONDS	$9,460,000
CAPITAL LEASE OBLIGATIONS	$9,559,724
UNREALIZED LOSS ON INTEREST RATE SWAPS	$3,966,550
WC INSTURANCE RECEIVABLE ST/LT	$7,353,127
G&P INSURANCE RECEIVABLE ST/LT	$18,934,778
ESTIMATED SELF INSURED LIABILITIES	$9,681,347

Field	Value	IRS element (for citing)
Total Liability	$58,955,526	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

PERMANENT ENDOWMENT FUNDS ARE TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS TO BE USED TO SUPPORT CHARITY CARE, HEALTH CARE SERVICES, SCHOLARSHIPS AND FACILITY MAINTENANCE. TEMPORARY ENDOWMENT FUNDS ARE DONOR CONTRIBUTIONS RESTRICTED BY THE DONORS FOR SPECIFIC PURPOSES.

PART X, LINE 2:

HEALTHCARE IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501C(3) OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31, 2016 AND 2015, HEALTHCARE DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2013-2016. HEALTHCARE DOES NOT ANTICIPATE THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS.

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,652,574	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$522,852	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,129,722	NetCommunityBenefitExpnsAmt
Total Expense	0.00390	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$49,734,497	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,485,510	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,248,987	NetCommunityBenefitExpnsAmt
Total Expense	0.03180	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$51,387,071	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$41,008,362	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,378,709	NetCommunityBenefitExpnsAmt
Total Expense	0.03570	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,158,185	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,158,185	NetCommunityBenefitExpnsAmt
Total Expense	0.00400	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,126,267	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$681,397	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$444,870	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,583,795	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,897,419	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,686,376	NetCommunityBenefitExpnsAmt
Total Expense	0.00580	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$61,614	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$61,614	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,929,861	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,578,816	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,351,045	NetCommunityBenefitExpnsAmt
Total Expense	0.01150	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$69,316,932	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$55,587,178	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,729,754	NetCommunityBenefitExpnsAmt
Total Expense	0.04720	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,250	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,250	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,457	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,337	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,120	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,009	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,009	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,130	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$525	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,605	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,803	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,803	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$460,828	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$242,883	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$217,945	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

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

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$514,477	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$246,745	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$267,732	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,705,819	BadDebtExpenseAmt
Bad Debt Expense Attributable	$627,262	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$107,994,141	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$136,211,631	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$28,217,490	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 NEW HARTFORD SCANNER
MEDICAL IMAGING SERVICES	0.60000	0.00000	0.40000
2 MOHAWK VALLEY ENDOSCOPY CENTER
CARDIAC SURGICAL SERVICES	0.30000	0.00000	0.00000

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	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://FAXTONSTLUKES.COM	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:/FAXTONSTLUKES.COM	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	325.000000000000	FPGFamilyIncmLmtDscntCarePct
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.MVHEALTHSYSTEM.ORG/BILLING	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.MVHEALTHSYSTEM.ORG/BILLING	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.MVHEALTHSYSTEM.ORG/BILLING	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
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FAXTON ST LUKES HEALTHCARE, INC.	PART V, SECTION B, LINE 5: 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 ATTENDANCE) 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 DATAAND 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 LARGERCOMMUNITY 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 THETOBACCO 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 THESTEERING 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 THECHIP 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 KEY INFORMANT INTERVIEWS.
FAXTON ST LUKES HEALTHCARE, INC.	PART V, SECTION B, LINE 6A: OTHER REPRESENTATIVES INCLUDED FSLH, SEMC, ROME MEMORIAL HOSPITAL.
FAXTON ST LUKES HEALTHCARE, INC.	PART V, SECTION B, LINE 6B: PARTNERS INCLUDE THE ONEIDA COUNTY HEALTH COALITION STEERING COMMITTEE AND THE TWO PREVENTION AGENDA PRIORITY AREA WORK GROUPS THAT FOCUS ON TOBACCO USE CESSATION AND BREASTFEEDING. THE COALITION CONSISTS OF COMMUNITY PARTNERS INCLUDING HOSPITALS, OCHD AND COMMUNITY ORGANIZATIONS. THE STEERING COMMITTEE ASSISTED BY REAFFIRMING OUR PRIORITY AREAS AND WILL SERVE AS AN ONGOING RESOURCE FOR IMPLEMENTATION EFFORTS. OUR PRIORITY AREA WORKGROUPS INCLUDE MEMBERS FROM ONEIDA COUNTY HOSPITALS, OCHD AND COMMUNITY ORGANIZATION STAFF MEMBERS WHO HAVE A FOCUS ON THE PRIORITY AREA.
FAXTON ST LUKES HEALTHCARE, INC.	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 AND 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 CAF LOCATION TARGETING UNDERSERVED 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 COUNSELORS UPON DELIVERY. IDENTIFIED INDIRECT WAYS TO MAKE THIS TIMELY CONNECTION, MAINLY THROUGH USING SOCIAL MEDIA.

Field	Value	IRS element (for citing)
Facility	22	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - MVHS ORTHOPEDIC GROUP
1903 SUNSET AVE	UTICA	NY	13502	PHYSICIAN OFFICE
2 - MVHS SURGICAL GROUP
1656 CHAMPLIN AVE PROF OFFICE BLDNG	UTICA	NY	13502	PHYSICIAN OFFICE
3 - WOMEN'S MEDICAL IMAGING CENTER
106 BUSINESS PARK DRIVE	UTICA	NY	13502	RADIOLOGY SERVICES
4 - MVHS MOHAWK VALLEY MEDICAL GROUP
201 EAST STATE STREET	HERKIMER	NY	13350	PHYSICIAN OFFICE
5 - HERKIMER DIALYSIS CENTER
201 EAST STATE STREET	HERKIMER	NY	13350	DIALYSIS SITE
6 - ONEIDA DIALYSIS CENTER
221 BROAD STREET	ONEIDA	NY	13421	DIALYSIS SITE
7 - DENTAL HEALTH CENTER
1714 BURRSTONE ROAD	NEW HARTFORD	NY	13413	DENTAL CLINIC
8 - MVHS NEW HARTFORD MEDICAL GROUP
8411 SENECA TURNPIKE	NEW HARTFORD	NY	13413	PHYSICIAN OFFICE
9 - MVHS WASHINGTON MILLS MEDICAL GROUP
3946 ONEIDA STREET	NEW HARTFORD	NY	13413	PHYSICIAN OFFICE
10 - MASONIC CARE COMMUNITY DIALYSIS
2150 BLEEKER STREET	UTICA	NY	13501	DIALYSIS SITE
11 - ROME DIALYSIS CENTER
91 PERIMETER ROAD SUITE 140	ROME	NY	13440	DIALYSIS SITE
12 - MVHS BARNEVELD MEDICAL GROUP
7980 STATE RT 12	BARNEVELD	NY	13304	PHYSICIAN OFFICE
13 - MVHS WHITESBORO MEDICAL GROUP
37 MAIN STREET	WHITESBORO	NY	13492	PHYSICIAN OFFICE
14 - MVHS BOONVILLE MEDICAL GROUP
13460 STATE ROUTE 12	BOONVILLE	NY	13309	PHYSICIAN OFFICE
15 - MVHS NORTH UTICA MEDICAL GROUP
35 RIVERSIDE DRIVE	UTICA	NY	13502	PHYSICIAN OFFICE
16 - HAMILTON DIALYSIS CENTER
10 EATON STREET	HAMILTON	NY	13346	DIALYSIS SITE
17 - MVHS WATERVILLE MEDICAL GROUP
MADISON ST BUS PARK 358 MADISON AVE	WATERVILLE	NY	13480	PHYSICIAN OFFICE
18 - MVHS NEUROSURGERY GROUP
1656 CHAMPLIN AVE PROF OFFICE BLDNG	UTICA	NY	13502	PHYSICIAN OFFICE
19 - ROME RADIATION SATELLITE
91 PERIMETER ROAD SUITE 130	ROME	NY	13440	RADIATION SITE
20 - CENTER FOR REHABCONTINUING CARE SRVCS
1650 CHAMPLIN AVE	UTICA	NY	13502	INTENSIVE REHAB UNIT/CONTINUING CARE SERVC CTR
21 - MVHS CLINTON MEDICAL GROUP
101 COLLEGE STREET	CLINTON	NY	13323	PHYSICIAN OFFICE
22 - MVHS SAUQUOIT MEDICAL GROUP
2888 ONEIDA STREET	SAUQUOIT	NY	13456	PHYSICIAN OFFICE

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	THE PATIENTS COST-TO-CHARGE RATIO WAS COMPUTED USING ALL CHARGES AND EXPENSES LESS NON-ALLOWABLE. THE COST TO CHARGE RATIO WAS USED TO COMPUTE COST. COST-TO-CHARGE WAS DERIVED BY DIVIDING TOTAL CHARGES FROM THE FINANCIAL STATEMENTS INTO TOTAL COST FROM THE FINANCIAL STATEMENTS, LESS NON-PATIENT COSTS.
PART II, COMMUNITY BUILDING ACTIVITIES:	#2 ECONOMIC DEVELOPMENT:SCHOOL AND BUSINESS ALLIANCE SUMMER YOUTH EMPLOYMENT PROGRAM (SABA)-STUDENTS WERE ASSIGNED TO WORK THROUGHOUT THE ORGANIZATION FOR FIVE WEEKS. STUDENTS WERE MENTORED BY ON-SITE SABA CAREER SPECIALISTS AND FSLH PROFESSIONALS IN THEIR ASSIGNED FIELD. THE PURPOSE OF THE SYEP IS TO BUILD STUDENTS' AWARENESS OF THE JOB OPPORTUNITIES IN HEALTHCARE, INCREASE THE LIKELIHOOD OF STUDENTS TO PURSUE A CAREER IN THE FIELD AND TO ESTABLISH PRE-EMPLOYMENT SKILLS APPLICABLE TO ANY BUSINESS ORGANIZATION. SABA ASSISTS STUDENTS IN MAKING SUCCESSFUL TRANSITIONS FROM SCHOOL TO CAREERS AND SUPPORTS THE DEVELOPMENT OF A QUALIFIED WORKFORCE IN THE MOHAWK VALLEY. WELL-EDUCATED STRATEGIES ARE USED TO HELP STUDENTS UNDERSTAND THE WORLD OF WORK, DECIDE ON A CAREER, POST-SECONDARY STUDIES AND TRANSITION TO THE WORKPLACE. PARTNERSHIPS BETWEEN BUSINESSES, COMMUNITY AGENCIES, SCHOOL DISTRICTS AND COLLEGES PROVIDE OPPORTUNITIES TO UNDERSTAND THE 21ST CENTURY SKILLS NECESSARY TO BE COLLEGE, CAREER AND CITIZEN READY. #3 COMMUNITY SUPPORT : A)DURING THE SPONSORSHIP FOR THE BOILERMAKER EXPO AND ROAD RACE, THE FOLLOWING STATIONS/SERVICES WERE PROVIDED: 388 BLOOD PRESSURE AND DIABETES SCREENING; 316 BODY FAT ANALYSIS AND CALORIE ASSESSMENT; 523 HEART RISK EDUCATION EVALUATIONS. ALL OF THESE INCREASED FROM THE PRIOR YEAR. B) DIABETES SUPPORT GROUP IS A FREE SUPPORT GROUP FOR ANY PERSON WITH DIABETES OR PRE-DIABETES WHO IS INTERESTED IN SPEAKING WITH OTHERS WHO ARE LIVING SIMILAR LIFESTYLES AND DEALING WITH THE DAILY IMPACT OF DIABETES MANAGEMENT. C) MONTHLY STROKE SUPPORT GROUP FOR PATIENTS AND FAMILIES. D)COMMUNITY MEMBERS AND BREAST CANCER SURVIVORS GATHERED TOGETHER ON OCTOBER 7, 2016, TO FORM A HUMAN PINK RIBBON TO PROMOTE BREAST CANCER AWARENESS MONTH AT F.T. PROCTOR PARK IN UTICA. A BRIEF CEREMONY WAS HELD TO HONOR BREAST CANCER SURVIVORS AND THEN 85 ATTENDEES, DRESSED IN PINK, CREATED A HUMAN PINK RIBBON. THIS EVENT WAS SPONSORED BY THE MOHAWK VALLEY HEALTH SYSTEM CANCER CENTER, ONEIDA COUNTY HEALTH DEPARTMENT CANCER SERVICES PROGRAM UNDER THE LEADERSHIP OF COUNTY EXECUTIVE ANTHONY J. PICENTE, JR., UTICA MAYOR ROBERT PALMIERI, THE AFTER BREAST CANCER (ABC) SUPPORT GROUP AND THE AMERICAN CANCER SOCIETY. E) THE ABC SUPPORT GROUP WAS CREATED BY WOMEN WHO HAVE HAD BREAST CANCER. THE GROUP IS DEDICATED TO PROVIDING EDUCATION, INFORMATION AND EMOTIONAL SUPPORT TO WOMEN AND MEN WHO ARE FACING BIOPSY, SURGERY OR RECOVERY FROM BREAST CANCER. TEN MEETINGS WERE HELD AND 300 PEOPLE FROM THE COMMUNITY ATTENDED. F) THE CANCER SUPPORT GROUP FORUM, LED BY THE CANCER CENTER'S SOCIAL WORKER, OFFERS SUPPORT TO ANYONE WHO HAS RECEIVED A CANCER DIAGNOSIS. MEETINGS COVER A WIDE VARIETY OF ISSUES INCLUDING: HOW TO TALK WITH CHILDREN ABOUT MOM OR DAD HAVING CANCER, FINANCIAL CONCERNS, PHYSICAL ISSUES, INTIMACY ISSUES AND NUTRITION DURING TREATMENTS, PLUS MANY MORE. THE FORUM PROVIDES A COMFORTABLE ATMOSPHERE FOR PATIENTS AND CANCER SURVIVORS TO COME TOGETHER AND SHARE USEFUL INFORMATION. NINETEEN ATTENDEES IN THE 6 SESSIONS HELD. G) CANCER SURVIVORS DAY IS AN EVENT SPONSORED BY THE MVHS CANCER CENTER HONORING CANCER SURVIVORS AND FAMILIES. A BREAKFAST, RAFFLES AND OTHER ACTIVITIES ARE PROVIDED FOR THOSE WHO ATTEND. H) CAREGIVER BURNOUT GROUP IS A SUPPORT GROUP TO HELP COPE WITH THE DIFFICULTIES IN TAKING CARE OF OTHERS. I)RELAY FOR LIFE IS AN EVENT CONSISTING OF NUMEROUS FUNDRAISERS FOR AMERICAN CANCER SOCIETY'S SPONSORSHIP AND SUPPORT. J) CAR SEAT INSPECTION - THE FSLH SECURITY TEAM WORKED WITH THE NEW HARTFORD TOWN POLICE AND A NYS GRANT TO INSPECT CAR SEATS TO MAKE SURE THEY WERE PROPERLY INSTALLED IN VEHICLES. IF A CAR SEAT WAS FOUND TO BE UNSAFE, A NEW CAR SEAT WAS PROVIDED AND PROPERLY INSTALLED FREE OF CHARGE. #5 LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY: A) MEDICAMP- MVHS HOSTED A TWO-DAY MEDICAL CAMP AT EACH ORGANIZATION FOR TEENS AGES 15 THROUGH 18 TO DEMONSTRATE HOW A HOSPITAL OPERATES AND PROVIDES THEM WITH THE OPPORTUNITY TO EXPLORE DIFFERENT DEPARTMENTS FOR POTENTIAL CAREER ENDEAVORS. B)ONEIDA COUNTY WORKFORCE DEVELOPMENT INTERNSHIP PROGRAM: FUNDING OF COLLEGE INTERNSHIP PROGRAM IN COOPERATION WITH ONEIDA COUNTY . #6 COALITION BUILDING: FSLH WORKS WITH MULTIPLE AGENCIES, TO SUPPORT COMMUNITY HEALTH EXPOS IN THE FORM OF FINANCIAL/EDUCATIONAL/FREE HEALTH SCREENINGS: A) AMERICA'S GREATEST HEART RUN & WALK FOR THE AMERICAN HEART ASSOCIATION WITH HEART WEEKEND, WHICH INCLUDES THE HEALTH & FITNESS EXPO. B) GREATER UTICA CHAMBER EXPO IS AN ANNUAL EVENT SHOWCASING LOCAL BUSINESSES IN ONE LOCATION. C) HEALTH FRIENDS IS A PROGRAM SPONSORSHIP TO PROVIDE FINANCIAL RESOURCES FOR RX ASSISTANCE TO UN- OR UNDER-INSURED PEOPLE. #7 COMMUNITY HEALTH IMPROVEMENT ADVOCACY: A) THE CHRONIC KIDNEY DISEASE EDUCATION PROGRAM ALLOWS FOR PATIENTS TO LEARN MORE ABOUT KIDNEY DISEASE, WAYS TO SLOW THE LOSS OF KIDNEY FUNCTION, AND HOW MEDICATIONS, DIET AND LIFESTYLE CAN AFFECT THE PROGRESSION OF THE DISEASE. PATIENTS HAVE THE OPPORTUNITY TO MEET WITH DIETICIANS, SOCIAL WORKERS AND NURSES WHO SPECIALIZE IN RENAL (KIDNEY) CARE. FAMILY MEMBERS, FRIENDS AND CAREGIVERS ARE INVITED TO ATTEND THE PROGRAM AS WELL. B) CAMPAIGN FOR QUALITY IS A PROGRAM HELD AT HAMILTON COLLEGE IN CLINTON, FEATURING NATIONAL AND LOCAL EXPERTS WHO PRESENT ON CURRENT TRENDS IN HEALTHCARE, PATIENT EXPERIENCES, POPULATION HEALTH TOPICS AND PATIENT SAFETY INITIATIVES. C) SENIOR SUNDAY LUNCH AND LEARNS ARE HELD IN THE SPRING AND FALL TO EDUCATE ELDERLY MEMBERS OF THE COMMUNITY ON IMPORTANT HEALTH AND SAFETY TOPICS INCLUDING ORGAN DONATION, RESPIRATORY THERAPY, FALL PREVENTION AND EMERGENCY CARE. A HOT LUNCH IS SERVED AND A VOLUNTARY $5 DONATION IS ASKED FOR. D) THE BALANCE CENTER AT MVHS OFFERS FREE BALANCE SCREENINGS TO HELP COMMUNITY MEMBERS WITH QUESTIONS OR SYMPTOMS RELATED TO BALANCE, VERTIGO AND INNER EAR DISORDERS. THE SCREENING EVALUATES PATIENTS FOR SPECIFIC BALANCE CONCERNS, RISK FOR FALLS AND SYMPTOMS OF VERTIGO TO DETERMINE IF THEY WILL BENEFIT FROM FORMAL TESTING AND THERAPY. E) A WOMEN'S HEALTH OPEN HOUSE IS HOSTED, ANNUALLY, TO INFORM THE COMMUNITY ABOUT SERVICES MVHS OFFERS TO WOMEN IN OUR COMMUNITY. F) MVHS IS A PRESENCE AT ALL LOCAL HEALTH FAIRS PERFORMING SCREENINGS (DIABETES, HEART, STROKE, BALANCE, ETC) AND PROVIDING EDUCATION AND INFORMATION ; IE. SENIOR CENTER, LOCAL EMPLOYERS, COMMUNITY EVENTS, ETC. G) MOHAWK VALLEY HEALTH SYSTEM (MVHS) OFFERS THE HOUSEHOLD SHARPS DISPOSAL PROGRAM FOR COMMUNITY MEMBERS TO PROPERLY DISPOSE OF THEIR MEDICAL WASTE. ITEMS SUCH AS SYRINGES AND LANCETS MAY BE DROPPED OFF ANY DAY OF THE WEEK FROM 7AM TO 3PM AT THE FSLH ENERGY CENTER LOCATED ON THE ST. LUKE'S CAMPUS OR AT THE CENTER FOR REHABILITATION AND CONTINUING CARE SERVICES (CRCCS) ALSO ON THE ST. LUKE'S CAMPUS. ONLY ITEMS FROM PRIVATE RESIDENCES IN CLEARLY MARKED "SHARPS" PUNCTURE-PROOF CONTAINERS WILL BE ACCEPTED. H) PODIATRY PROGRAM HELD 4 TIMES A YEAR, FOR PEOPLE WITH DIABETES WHO ARE AT HIGH RISK FOR CIRCULATION PROBLEMS THAT COULD LEAD TO LOSS OF SENSATION AND POOR HEALING IN THEIR FEET. PROPER SKIN AND FOOT CARE IS ESSENTIAL. THIS IS AN INFORMATIONAL SESSION AND FREE FOOT EXAM PROVIDED BY AREA PODIATRISTS. I) CHILDBIRTH CLASSES - FREE 5-WEEK SERIES OF CLASSES IN CHILDBIRTH AND INFANT CARE TAUGHT BY AN EXPERIENCED LABOR AND DELIVERY REGISTERED NURSE. J) FSLH OFFERS FREE MONTHLY BREASTFEEDING CLASSES FOR EXPECTANT PARENTS WHO HAVE CHOSEN OR ARE CONSIDERING BREASTFEEDING. K) DIABETES EDUCATION CLASSES ARE HELD THROUGHOUT THE YEAR TO PROVIDE INFORMATION TO THOSE WITH DIABETES ABOUT HOW TO SUCCESSFULLY MANAGE THEIR DISEASE. L) THE FSLH DIABETES EDUCATION DEPARTMENT OFFERS A GROCERY TOUR ON A QUARTERLY BASIS FOR EVERY DAY PEOPLE WITH DIABETES TO LEARN HOW TO MAKE NUTRITIONAL CHOICES THAT IMPACT OVERALL HEALTH AND BLOOD SUGAR. THIS FREE CLASS TEACHES PARTICIPANTS HOW TO IMPROVE THEIR DAILY CHOICES WITH BETTER NUTRITION BY GROCERY SHOPPING WITH A CERTIFIED DIABETES EDUCATOR AND NUTRITIONALIST. M) NATIONAL DIABETES MONTH OFFERED A SPEAKER (8/24/16), EDUCATION AND RECIPE TASTING, TO ANYONE IN THE COMMUNITY WHO IS INTERESTED IN ATTENDING. N)NATIONAL DIABETES PREVENTION PROGRAM FOCUSES ON TREATING THOSE WITH PRE-DIABETES TO PREVENT TYPE 2 DIABETES. O) BLOOD DRIVES ARE HOSTED TO COLLECT BLOOD FROM THOSE WHO ARE ELIGIBLE AND WILLING TO DONATE. THE FLSH BLOOD BANK WORKS IN ASSOCIATION WITH THE AMERICAN RED CROSS TO HOST THE BLOOD DRIVES. FOR EVERY UNIT OF BLOOD COLLECTED, UP TO THREE PEOPLE BENEFIT FROM THE DONATION. P) SPORTS MEDICINE INJURY SEMINAR IS A TWO-HOUR SEMINAR ON SPORTS MEDICINE INJURY CARE FOR THE PUBLIC, COACHES, ATHLETIC TRAINERS AND HEALTHCARE PROVIDERS. Q) ORTHOPEDIC ESSENTIALS FOR PRIMARY & EMERGENCY MEDICAL CARE IS A FIVE-HOUR SEMINAR FOR VARIOUS HEALTHCARE PROVIDERS. R) IN AN EFFORT TO PROMOTE THE EARLY DETECTION OR POTENTIAL FOR HEARING LOSS, THE AUDIOLOGY DEPARTMENT PROVIDES FREE HEARING AND SPEECH SCREENINGS TO THE COMMUNITY AS REQUESTED.
PART III, LINE 2:	BAD DEBT FOR SCHEDULE H REPORTING IS DETERMINED BY TAKING THE ACTUAL BAD DEBT EXPENSE REPORTED FOR THE YEAR ON THE HOSPITAL AUDITED FINANCIAL STATMENTS, LESS ANY BAD DEBT RECOVERIES RECEIVED DURING THE YEAR FROM THE AUDITED FINANCIAL STATEMENTS. THEN, ADJUSTING THAT AMOUNT TO COST BASED ON THE HOSPITAL'S CURRENT YEAR MEDICARE COST REPORT DERIVED COST TO CHARGE RATIO. THIS AMOUNT UNDERSTATES BAD DEBT SOMEWHAT BECAUSE A LARGE PORTION OF BAD DEBT IS THE RESULT OF UNPAID DEDUCTIBLE AND CONINSURANCE BALANCES. THOSE BALANCES ARE NO LONGER RECORDED AT FULL CHARGES BECAUSE CONTRACTUAL ADJUSTMENTS HAVE ALREADY REDUCED CHARGES TO AN EXPECTED REIMBURSEMENT AMOUNT; HENCE, REDUCING BY A COST-TO-CHARGE RATIO, REDUCES AN ALREADY DISCOUNTED CHARGE. WE REPORT THIS WAY BECAUSE BAD DEBT IS REPORTED IN MUTLIPLE STATE AND FEDERAL REQUIRED REPORTS, RETURNS AND DISCLOSURE STATEMENTS. IN ORDER TO BE CONSISTENT WE ARE REPORTING USING THE COSERVATIVE METHOD WHICH IS REQUIRED FOR HOSPTIAL MEDICARE COST REPORT REPORTING.
PART III, LINE 3:	MANY PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE ASSISTANCE ARE UNWILLING TO APPLY FOR IT. THE HOSPITAL BUSINESS OFFICE OFFERS OUR CHARITY CARE PACKAGE TO ALL PATIENTS. IN 2015, THE CHARITY CARE PROGRAM WAS EXPANDED DUE TO THE IMPLEMENTATION OF THE 340B PROGRAM. MANY PATIENTS WILL AGREE TO HAVE THE CHARITY CARE REQUEST FORMS SENT TO THEM BUT NEVER RETURN THEM. MANY PATIENTS SAY THEY CANNOT PAY BUT ARE UNWILLING TO COMPLETE ANY FORMS. THE HOSPITAL BUSINESS OFFICE, COLLECTIONS STAFF, HAVE FORMED A PERCENTAGE ESTIMATE BASED ON THE NUMBER OF CASES OF PATIENTS WHO RECEIVE CHARITY CARE FORMS AND DON'T COMPLETE THEM PLUS THE NUMBER OF PATIENTS WHO STATE THEY CANNOT PAY BUT ARE UNWILLING TO REQUEST ASSISTANCE. THIS RECORDED BAD DEBT EXPENSE WOULD BE RECORDED AS CHARITY CARE IF PATIENT'S WERE WILLING TO COMPLY WITH MINIMAL APPLICATION REQUIREMENTS. THE NATURE OF THE PRESENTATION ON HOSPITAL FIANANCIAL STATEMENTS DOES NOT DETERMINE THE COMMUNITY BENEFIT BUT RATHER THE NATURE OF THE REASON FOR THE EXPENSE. THIS IS CHARITY CARE.
PART III, LINE 4:	FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, HEALTHCARE RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF HEALTHCARES UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, HEALTHCARE RECORDS A PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY A RESERVE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, HEALTHCARE ANALYZES PAST PAYMENT HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE RESERVE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH PATIENTS WHO HAVE THIRD PARTY COVERAGE, HEALTHCARE ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES A RESERVE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), HEALTHCARE RECORDS A RESERVE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICES BASED ON ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE, OR UNWILLING, TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED)AND THE AMOUNT ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 8:	ALL OF THIS IS COMMUNITY BENEFIT; THE HOSPTIAL IS RECEIVING LESS THAN COST ON COMMUNITY MEDICARE RECIPIENTS, THUS A COMMUNITY BENEFIT TO THESE PATIENTS. THE PATIENTS COST-TO-CHARGE RATIO WAS COMPUTED USING ALL CHARGES AND EXPENSES LESS NON-ALLOWABLE. THE COST-TO-CHARGE RATIO WAS USED TO COMPUTE COST. COST-TO-CHARGE WAS DERIVED, USING THE FINANCIAL STATEMENTS, BY DIVIDING TOTAL CHARGES INTO TOTAL COSTS LESS NON-PATIENT COSTS.
PART III, LINE 9B:	THE HOSPITAL FAP POLICY PLACES ALL ACCOUNTS, FOR COLLECTION EFFORTS, ON HOLD FROM THE DATE OF APPLICATION UNTIL A DETERMINATION HAS BEEN MADE FOR FINANCIAL ASSISTANCE ELIGIBILITY. THE APPLICATION IS REVIEWED BY THE HOSPTIAL WITHIN THIRTY DAYS OF RECEIPT OF THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTAION. THE PATIENT OR GUARANTOR WILL BE NOTIFIFED OF THE DETERMINATION. IF DENIED, THE APPLICANT IS PROVIDED DIRECTIONS FOR AN APPEAL WITHIN THIRTY DAYS OF THE DENTIAL. IF THE APPEAL IS THEN DENIED, THE PATIENT WILL BE NOTIFIED OF THE REASON AND THE STATEMENT CYCLE WILL BEGIN. FIVE STATEMENTS ARE SENT, WITHIN THE 120 DAY BILLING CYCLE. IF NOT PAID, A FINAL PRE-COLLECTION LETTER IS ISSUED ADVISING THE ACCOUNT WILL BE SENT TO COLLECTIONS WITHIN THIRTY DAYS. IF THE PATIENT IS ACCEPTED IN THE FAP PROGRAM, THIS STATUS WILL BE EFFECTIVE FOR ONE YEAR FROM ACCEPTANCE.
PART VI, LINE 2:	A CHA/CHIP PLANNING TEAM COMPRISED OF OCHD, FSL, SEMC AND RMH STAFF MET REGULARLY STARTING IN EARLY 2016. 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 DASHBOAR, 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. THE PLANNING TEAM, IN ORDER TO SECURE STAKEHOLDER FEEDBACK, ESTABLISHED A PLAN FOR SEEKING STAKEHOLDER AND COMMUNITY FEEDBACK AS OUTLINED BELOW: IN MARCH 2016, THE PLANNING TEAM PRESENTED TO THE ONEIDA COUNTY HEALTH COALITION GENERAL MEMBERSHIP (APPROXIMATELY 60 PEOPLE IN ATTENDANCE) 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. 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 KEY INFORMANT INTERVIEWS. OCHD SUMMARY OF COMMUNITY INPUT:QUESTION RESPONSES (FROM 7 COMMUNITY EVENTS, NOT LISTED IN ANY PARTICULAR ORDER)WHAT CAN WE DO, AS A COMMUNITY TO HELP MORE MOTHERS' BREASTFEED THEIR BABIES?EDUCATION-INFORMATIONAL CLASSES FOR BREAST FEEDING, EDUCATION & SUPPORT, EDUCATE THE PUBLIC AT WORK PLACES ABOUT BREAST FEEDING, MORE EDUCATION IN SCHOOLS, MORE EDUCATION IN HOSPITALS, ESPECIALLY YOUNGER MOMSSUPPORT- MORE SUPPORT AFTER DELIVERY, DON'T GIVE FORMULA IN HOSPITAL IF NURSING, BE ALLOWED TO PUMP AT WORKCOMMUNITY/AWARENESS- RAISE AWARENESS ON RIGHT TO PUMP AT WORK, HELP PUBLIC ACCEPT BREASTFEEDING AS NATURAL, HELP PUBLIC ACCEPT BREASTFEEDING SHOULD BE ABLE TO BE DONE IN ANY LOCATIONWHAT CAN WE DO AS A COMMUNITY TO HELP MORE PEOPLE STOP SMOKING?EDUCATION- EDUCATION IN SCHOOLS TO HIGHLIGHT DANGERS, MORE FACE TO FACE EDUCATION IN SCHOOLS AND WITH EMPLOYERS (WITH PEOPLE WHO HAVE SUFFERED EFFECTS OF SMOKING), REMIND PEOPLE OF REASONS TO QUIT.CESSATION SERVICES AND SUPPORT- HYPNOSIS, ACUPUNCTURE, ACCESS TO NRT (NICOTINE REPLACEMENT THERAPY), SUPPORT TO STAY ON TOP OF QUIT ATTEMPT LONG-TERM, DOCTORS NEED TO ADDRESS MORE, SUPPORTS TO JUST DO ITOTHER- NOTHING MORE CAN BE DONE, HAS TO COME FROM THE PERSON WHEN THEY ARE READY, TRIED EVERYTHING, NOTHING LEFT TO TRY OR I'D DO IT MYSELF, STOP SELLING CIGARETTES.WHAT ARE THE TOP HEALTH ISSUES FOR YOU AND YOUR FAMILY?ACCESS- INSURANCE COST AND CONFUSION, INSURANCE HAVING IT AND KEEPING IT, FINDING FAMILY PHYSICIANS, THERAPY SERVICES (PT, OT), DENTAL.HEALTH ISSUES- OVERWEIGHT/OBESITY, WEIGHT GAIN, EXERCISE, BREASTFEEDING, ALLERGIES, HEART DISEASE/CARDIAC ISSUES, HIGH BLOOD PRESSURE, EATING, NUTRITION, SUGAR, FOOD PREPARATION, TIME, MEAL PLANNING, AFFORDABILITY, FAST FOOD, KIDS (FRUITS & VEGETABLES), EXERCISE, TIME TO WORKOUT, ALZHEIMER'S, LYME DISEASE/TICKS, MENTAL & PHYSICAL HEALTH, CHRONIC PAIN, WEAK BONES, CONTAGIOUS DISEASES, STDS, SMOKING, CIGARETTES, DRUGS, DRUGS IN THE STREET, DRINKING, LEAD, LEAD TESTING, HOUSING, POLLUTION, ANEMIA, HYGIENE.
PART VI, LINE 3:	THE HOSPITAL FAP APPLICATION AND POLICY SUMMARY ARE INCLUDED IN THE ADMISSION PACKETS MAILED TO ALL PATIENTS PRIOR TO ADMISSION FOR INPATIENT SERVICES. THE HOSPITAL PROVIDES ACCESSIBLE COMMUNICATION, WITHIN THE HOSPITAL AND ALL OFF-SITE LOCATIONS, IN THE FORM OF 1)SIGNAGE IN FIVE LANGUAGES,2)A PATIENT PAMPHLET WHICH DESCRIBES PAYMENT OPTIONS INCLUDING FAP,WEBSITE INFORMATION AND STAFF CONTACT INFORMATION FOR ASSISTANCE. THE FAP SUMMARY AND WEBSITE INFORMATION ARE DISPLAYED IN PATIENT COMMON ENTRANCE AREAS IN THE HOSPITAL AND OFFSITE LOCATIONS. THE HOSPITAL HAS UP-FRONT FINANCIAL COUNSELORS AND CAC'S (CERTIFED APPLICATION COUNSELORS) TO ASSIST OUR PATIENTS WITH ONLINE APPLICATIONS FOR AFFORDABLE INSURANCE, MEDICAID AND OTHER PROGRAMS/GRANTS. OUR PRE-COLLECTIONS OUTSOURCE VENDOR HAS OUR POLICY INFORMATION AND COUNSELS THE PATIENT IN THE SAME MANNER AS HOSPITAL EMPLOYEES. THE DOCUMENTATION OF OUR FINANCIAL POLICY PATIENT EDUCATION IS PROVIDED IN OUR BILLING SYSTEM. THE COLLECTION STAFF IN THE BUSINESS OFFICE FOLLOWS UP ON ALL APPLICATIONS SENT BY THE PRE-COLLECTIONS VENDOR. DURING THE APPLICATION PROCESS, THE ACCOUNT IS PLACED ON HOLD UNTIL A FINAL DETERMINATION IS MADE. THE DETERMINATION IS MADE WITHIN THIRTY DAYS OF RECEIVING A COMPLETED APPLICATION, INCLUDING REQUESTED SUPPORTING DOCUMNETATION IN WRITING, WITH AND EXPLANATION OF DETERMINATION. WHEN DETERMINATION REQUIRES IT, THE APPLICANT IS GIVEN INSTRUCTIONS AS TO HOW TO APPEAL A DECISION.
PART VI, LINE 4:	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 ETHNIC 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, RUSSIAN, BOSNIAN, SOMALI BANTU, BURMESE AND NEPALI TO NAME A FEW (MVRCR):17.6% FOREIGN-BORN RESIDENTS CONSTITUTE THE POPULATION OF THE CITY OF UTICA26.6% HOUSEHOLDS IN UTICA SPEAK A LANGUAGE OTHER THAN ENGLISHWITHIN 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: IMPROVE HEALTH STATUS AND REDUCE HEALTH DISPARITIES PROMOTE A HEALTHY AND SAFE ENVIRONMENT PREVENT CHRONIC DISEASES * PREVENT HIV/STDS, VACCINE PREVENTABLE DISEASES AND HEALTHCARE-ASSOCIATED INFECTIONS PROMOTE HEALTHY WOMEN, INFANTS, AND CHILDREN * PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSEDIFFERENT FOCUS AREAS FALL WITHIN EACH PRIORITY. THE * INDICATES THE TWO PRIORITY AREAS CHOSEN BY FSLH, THE OCHD AND PARTICIPATING HOSPITALS AND HEALTH PARTNERS. FSLH PROMOTES COMMUNITY HEALTH THROUGH ALL OF THE ABOVE PRIORITIES, WHILE SUPPORTING THE TWO INDICATED BY PUTTING RESOURCES TOWARDS THEIR IDENTIFIED WORKGROUPS AND GOALS. EACH OF THE WORK GROUPS' MAJOR ACCOMPLISHMENTS AND CHALLENGES WERE OUTLINED AS FOLLOWS IN QUARTER 4, 2016: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 AND USING 5 A'S WITH PATIENTS.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 CAF LOCATION TARGETING UNDERSERVED 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 COUNSELORS UPON DELIVERY. IDENTIFIED INDIRECT WAYS TO MAKE THIS TIMELY CONNECTION, MAINLY THROUGH USING SOCIAL MEDIA.IN ADDITION, ALL SEVEN MVHS MEDICAL GROUP PRIMARY CARE OFFICES AFFILIATED WITH FAXTON ST. LUKE'S HEALTHCARE RECEIVED LEVEL 3 RECOGNITION FROM THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) UNDER THE 2014 STANDARDS IN DECEMBER 2016. RECOGNIZED PRACTICES INCLUDE: BARNEVELD, BOONVILLE, HERKIMER, NEW HARTFORD - CROSSROADS PLAZA, WASHINGTON MILLS, WATERVILLE - MADISON STREET AND WHITESBORO. EACH HAS RECEIVED NCQA PATIENT-CENTERED MEDICAL HOME (PCMH) RECOGNITION FOR USING EVIDENCE-BASED, PATIENT-CENTERED PROCESSES THAT FOCUS ON HIGHLY COORDINATED CARE AND LONG-TERM, PARTICIPATIVE RELATIONSHIPS. THIS IS A RENEWAL OF A PREVIOUS RECOGNITION UNDER THE 2011 STANDARDS. FSLH OFFERS NUMEROUS FREE, EDUCATIONAL EVENTS EACH YEAR TO THE PUBLIC: SENIOR SUNDAY LUNCH AND LEARN LECTURES ON TOPICS INCLUDING NUTRITION, CANCER RESOURCES AVAILABLE LOCALLY, AND AN INTEGRATED APPROACH TO AGING, WERE OFFERED THROUGH 2016 AND HAVE BEEN DISCONTINUED IN 2017. MAMMOGRAM AND PAP SCREENINGS FOR UNINSURED WOMEN GENERAL HEALTH INFORMATION FOR HEART HEALTH AT THE ANNUAL HEART RUN AND WALK EXPO. IN 2016, 390 PEOPLE COMPLETED THE HEALTH ASSESSMENT WHICH INCLUDED A CHOLESTEROL SCREENING, DIABETIC RISK SCORE, AND BLOOD PRESSURE AND PULMONARY FUNCTION TESTS.
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
PART VI, LINE 7, REPORTS FILED WITH STATES	NY

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (1)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	Yes (1)	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 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
SCOTT PERRA FACHE
PRESIDENT/CEO	$650,000	$0	$122,455	$0	$125,553	$0	$21,200	$0	$10,924	$0	$930,132	$0	$0	$0
LOUIS AIELLO
SR VICE PRESIDENT/CFO	$0	$370,756	$0	$51,146	$0	$0	$0	$18,550	$0	$8,793	$0	$449,245	$0	$0
ROBERT SCHOLEFIELD RN MS
SR VICE PRESIDENT/COO	$0	$350,422	$0	$44,475	$0	$0	$0	$18,550	$0	$8,738	$0	$422,185	$0	$0
MICHAEL F TREVISANI MD
SR VICE PRESIDENT/CMO	$356,500	$0	$49,071	$0	$23,693	$0	$10,600	$0	$13,898	$0	$453,762	$0	$0	$0
PATRICIA ROACH MS RN NEA-BC
SR VICE PRESIDENT/CNO	$273,000	$0	$39,731	$0	$37,256	$0	$21,200	$0	$14,401	$0	$385,588	$0	$0	$0
ANDREW PELLECCHIA
PHYSICIAN	$599,990	$0	$0	$0	$540	$0	$8,000	$0	$14,516	$0	$623,046	$0	$0	$0
PETER OJURO MD
PHYSICIAN	$549,990	$0	$0	$0	$540	$0	$2,625	$0	$14,437	$0	$567,592	$0	$0	$0
JOHN SPERLING MD
PHYSICIAN	$304,908	$0	$196,141	$0	$4,014	$0	$10,600	$0	$1,293	$0	$516,956	$0	$0	$0
ROBERT WASICZKO MD
PHYSICIAN	$380,070	$0	$114,317	$0	$5,239	$0	$10,600	$0	$9,872	$0	$520,098	$0	$0	$0
MEIRA YEGER-MCKEEVER MD
PHYSICIAN	$429,992	$0	$0	$0	$3,417	$0	$10,600	$0	$13,744	$0	$457,753	$0	$0	$0
ERIC YOSS MD
FORMER BOARD MEMBER	$249,278	$0	$0	$0	$11,673	$0	$0	$0	$11,062	$0	$272,013	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 6	FormAndLineReferenceDesc
Explanation	AN INCENTIVE COMPENSATION PLAN EXISTS FOR THE EXECUTIVE STAFF OF FSLH. COMPENSATION IS BASED ON PERFORMANCE RELATIVE, IN PART, TO THE ORGANIZATION NET EARNINGS TARGETS, AS WELL AS, VARIOUS OTHER QUALITY RELATED PERFORMANCE TARGETS. THE INCENTIVES ARE ONLY PAID OUT UPON ACHIEVEMENT OF THESE SET TARGETS. DURING 2016, $282,550 OF INCENTIVE COMPENSATION WAS PAID OUT UNDER THIS PLAN RELATING TO THE 2015 FISCAL YEAR. $250,000 WAS ACCRUED FOR THE 2016 FISCAL YEAR INCENTIVE COMPENSATION;THE ACTUAL 2017 PAYMENTS WERE $249,609.	ExplanationTxt

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	ONEIDA COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	166158201	BondIssuerEIN
CUSIP	682465AB5	CUSIPNum
Bond Issued	2006-06-26	BondIssuedDt
Issue Price	$7,705,000	IssuePriceAmt
Purpose	WINDOW WALL REPLACEMENT, ED PROJECT, AC WING REHAB	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	$7,705,000	TotalProceedsAmt
Issuance Costs From Proceeds	$319,348	IssuanceCostsFromProceedsAmt
Capital Expenditures	$7,385,652	CapitalExpendituresAmt
Substantial Completion	2008	SubstantialCompletionYr
Current Refunding	0	CurrentRefundingInd
Advance Refunding	0	AdvanceRefundingInd
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	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	0	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	Yes (1)	VariableRateIssueInd
Hedge Identified In Bks And Rec	Yes (1)	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	BANK OF AMERICA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Term Of Hedge	24.800000000000	TermOfHedgePct
Superintegrated Hedge	0	SuperintegratedHedgeInd
Hedge Terminated	0	HedgeTerminatedInd
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	0	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
CONSULTING CRITICAL CARE ASSOCIATES LLP
ERIC YOSS, MD- DIRECTOR (PARTNER OF THE LLP)	$351,885	CRITICAL CARE MEDICAL SERVICES/ MEDICAL DIRECTOR ICU	0
SUNSET ANESTHESIA ASSOCIATES
BRIAN BOYLE, MD- DIRECTOR & MEDICAL STAFF PRESIDENT (MANAGING PARTNER SAA)	$1,675,161	ANESTHESIA SERVICES	0
SLOCUM DICKSON MEDICAL GROUP
MARIA GESUALDO, DO- DIRECTOR (PARTNER AT SLOCUM DICKSON)	$500,000	RENTAL INCOME FOR IT SYSTEMS	0
SLOCUM DICKSON MEDICAL GROUP
MARIA GESUALDO, DO- DIRECTOR (PARTNER AT SLOCUM DICKSON)	$547,116	RENTAL INCOME FROM BUILDING LEASE	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 2	FAXTON ST LUKE'S HEALTHCARE HAS ADDED A NEURO ENDOVASCULAR PROGRAM IN 2016.
FORM 990, PART VI, SECTION A, LINE 6	MOHAWK VALLEY HEALTH SYSTEM, INC IS THE SOLE MEMBER OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A	MOHAWK VALLEY HEALTH SYSTEM, INC APPOINTS THE DIRECTORS AND GOVERNING BODY OF THE ORGANIZATION. THE BOARD OF DIRECTORS ARE LISTED IN SECTION VII.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 AND FORM 990T ARE REVIEWED AT A MEETING WITH THE EXECUTIVE COMMITTEE AND THE BOARD OF DIRECTORS, PRIOR TO SUBMITTING THE REPORT.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY: THE PURPOSE OF THE POLICIES AND DIRECTIVES SET OUT IN THIS POLICY STATEMENT IS TO ASSURE THAT THE BUSINESS CONDUCTED BY THE ORGANIZATION IS CONDUCTED FREE FROM THE POSSIBLE INFLUENCE OF CONFLICTS OF INTEREST OF INTERESTED PERSONS. THIS POLICY EXISTS TO PROTECT THE ORGANIZATIONS INTEREST WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN INTERESTED PERSON IN THE ORGANIZATION. INTERESTED PERSONS MAY NOT ENTER INTO ANY EMPLOYMENT TRANSACTION OR OTHER ARRANGEMENT THAT MAY CAUSE OR BE PERCEIVED TO CAUSE A CONFLICT OF INTEREST. INTERESTED PERSONS MUST REVIEW THIS POLICY ANNUALLY AND COMPLETE THE ACKNOWLEDGEMENT AND DISCLOSURE FORM ANNUALLY. THE COMPLIANCE OFFICER AND/OR THE COMPLIANCE COMMITTEE WILL REVIEW ALL ANNUAL ACKNOWLEDGEMENT AND DISCLOSURE FORMS AND ANY CONFLICTS OR POTENTIAL CONFLICTS IDENTIFIED. WHEN A POTENTIAL CONFLICT IS IDENTIFIED, THE COMPLIANCE OFFICER WILL ENSURE APPROPRIATE ACTIONS ARE TAKEN TO RESOLVE THE CONFLICT. THIS POLICY IS INTENDED TO SUPPLEMENT BUT NOT REPLACE ANY APPLICABLE FEDERAL AND STATE LAWS GOVERNING CONFLICTS OF INTEREST APPLICABLE TO NONPROFIT AND CHARITABLE CORPORATIONS.
FORM 990, PART VI, SECTION B, LINE 15	THE BOARDS EXECUTIVE COMPENSATION COMMITTEE, HAS ADOPTED AND FOLLOWS A PROCESS FOR REVIEWING AND DETERMINING THE COMPENSATION OF THE CEO AND THE EXECUTIVE MANAGEMENT TEAM. THE EXECUTIVE MANAGEMENT TEAM CONSISTS OF THE FOLLOWING POSITIONS: SENIOR VICE PRESIDENT/CHIEF OPERATING OFFICER SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER SENIOR VICE PRESIDENT/CHIEF MEDICAL OFFICER SENIOR VICE PRESIDENT/CHIEF NURSING OFFICER THE COMMITTEE HAS ENGAGED AN INDEPENDENT COMPENSATION CONSULTANT TO PROVIDE INFORMATION AND ADVICE TO COMMITTEE, INCLUDING BUT NOT LIMITED, PROVIDING INDEPENDENT COMPENSATION COMPARABILITY DATA FOR FUNCTIONALLY COMPARABLE POSITIONS IN SIMILARLY SITUATED HOSPITALS. THE DATA IS PROVIDED ON AN ANNUAL BASIS AND IS REVIEWED BY THE COMMITTEE, ALONG WITH OTHER INFORMATION, PRIOR TO APPROVING ANY CHANGES TO COMPENSATION. THE INDEPENDENCE OF THE COMMITTEES MEMBERS IS REVIEWED AND VERIFIED PRIOR TO THE START OF THE ANNUAL COMPENSATION REVIEW PROCESS. SHOULD A CONFLICT PRESENT, THOSE INDIVIDUALS WITH ACTUAL OR PERCEIVED CONFLICTS ABSTAIN FROM VOTING UNTIL SUCH TIME AS THE CONFLICT CAN BE RESOLVED OR A REPLACEMENT MEMBER IS APPOINTED TO THE COMMITTEE. THE COMMITTEES DELIBERATIONS AND DECISIONS ARE GUIDED BY A WRITTEN COMPENSATION PHILOSOPHY AND DOCUMENTED THROUGH WRITTEN MINUTES TAKEN DURING EACH MEETING. THE MINUTES INCLUDE, AMONG OTHER THINGS, THE WRITTEN MATERIALS DISTRIBUTED OR PRESENTED DURING THE MEETING AND THE SPECIFIC DECISIONS TAKEN AT THE MEETING.
FORM 990, PART VI, SECTION C, LINE 19	POLICY: IT IS THE POLICY OF THIS HOSPITAL TO MAKE AVAILABLE TO ANYONE WHO ASKS, A COPY OF ITS ANNUAL REPORT TO THE INTERNAL REVENUE SERVICE (IRS) ON FORM 990, AND ITS EXEMPT STATUS FORM. IN ACCORDANCE WITH THE LAW, FORM 990 FOR A GIVEN YEAR, WILL BE MADE AVAILABLE FOR PUBLIC INSPECTION FOR A THREE-YEAR PERIOD.PURPOSE: THE PURPOSE OF THIS POLICY IS TO COMPLY WITH IRS LAW, WHICH APPLIES FOR TAX YEARS BEGINNING AFTER JUNE 8, 1999 SPECIAL INSTRUCTIONS: A. A COPY OF THE ABOVE NAMED DOCUMENTS, WILL BE MADE AVAILABLE FOR INSPECTION BY A REQUESTER, IN A DESIGNATED ROOM, IN THE FINANCE DEPARTMENT OF THE HOSPITAL. B. THE DOCUMENTS WILL BE MADE AVAILABLE, IMMEDIATELY, TO ANYONE WHO APPEARS IN PERSON DURING USUAL BUSINESS HOURS. FOR WRITTEN REQUESTS FOR COPIES OF DOCUMENTS, RESPONSE WILL BE PROVIDED WITHIN THIRTY (30) DAYS OF RECEIPT OF PAYMENT OF REASONABLE COPYING FEES. C. EITHER THE HOSPITAL SENIOR VICE PRESIDENT/CFO, THE CONTROLLER, OR THEIR DESIGNATED REPRESENTATIVE WILL BE PRESENT DURING AN INSPECTION BY A REQUESTER. D. ONLY THE HOSPITAL SENIOR VICE PRESIDENT/CFO, THE CONTROLLER, OR THEIR DESIGNATED REPRESENTATIVE WILL BE PERMITTED TO ANSWER QUESTIONS THAT A REQUESTER MAY HAVE. SHOULD A REQUESTER ASK THE HOSPITAL FOR A PHOTOCOPY OF ANY OR ALL PARTS OF DOCUMENTS, THE HOSPITAL WILL CHARGE $1.00 FOR THE FIRST PAGE, PLUS $.15 FOR EACH ADDITIONAL PAGE.
FORM 990, PART IX, LINE 11G	OTHER FEES: PROGRAM SERVICE EXPENSES 24,074,767. MANAGEMENT AND GENERAL EXPENSES 6,467,630. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,542,397.
FORM 990, PART XI, LINE 9:	CHANGE IN FV OF INTEREST RATE SWAPS 633,888. CHANGE IN INTEREST IN TEMPORARILY RESTRICTED NET ASSETS OF FOUNDATION -367,787. RESERVE FOR DOUBTFUL ACCOUNTS DUE FROM AFFILIATE -1,665,000. NET ASSETS RELEASED& CONTRIBUTIONS FOR CAPITAL ACQUISITIONS 1,383,828.
PART XII LINE 2C	NO CHANGE FROM PRIOR YEAR

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	PARAFFIN LLC	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	271341112	EIN
Primary Activities	LABORATORY SERVICES	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd
Total Income	$103,708	TotalIncomeAmt
End Of Year Assets	$86,480	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MOHAWK VALLEY HEALTH SYSTEM INC
PO BOX 4308	UTICA	NY	13504	223124162	PROMOTE HEALTH CARE	NY	501(C)(3)	HOSPTIAL	N/A	0
ST LUKE'S HOME RESIDENTIAL HEALTHCARE FACILITY
PO BOX 6305	UTICA	NY	13504	161476372	202 BED RHCF	NY	501(C)(3)	LINE 9		0	FAXTON ST LUKE'S HEALTHCARE INC
VISITING NURSE'S ASSOCIATION OF UTICA & ONEIDA COUNTIES
2608 GENESEE STREE	UTICA	NY	13502	150532259	HOME HEALTH NURSING	NY	501(C)(3)	LINE 9		0	MOHAWK VALLEY NETWORK INC
FAXTON ST LUKE'S HEALTHCARE FOUNDATION
PO BOX 479	UTICA	NY	13503	223078768	FUND RAISING	NY	501(C)(3)	LINE 9		0	MOHAWK VALLEY NETWORK INC
ST ELIZABETH'S MEDICAL CENTER INC
2209 GENESEE STREET	UTICA	NY	13501	150532245	HEALTH CARE	NY	501(C)(3)	HOSPTIAL		0	PARTNERS IN FRANCISCAN MINISTRIES INC
ST ELIZABETH MEDICAL CENTER FOUNDATION
2209 GENESEE STREET	UTICA	NY	13501	222562170	FUNDRAISING	NY	501(C)(3)	9		Yes (1)	ST ELIZABETH MEDICAL CENTER

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	SLM CORPORATION	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	161134876	EIN
Primary Activities	REAL ESTATE MANAGEMENT	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	C	EntityTypeTxt
Share Of Total Income	$208,859	ShareOfTotalIncomeAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	0	ControlledOrganizationInd

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