MVHS INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- MVHS INC (EIN 16-1576637)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-12
- IRS object ID
- 201603179349300030
- Schema version
- 2015v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-12T13:29:10-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | 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 | 2015-01-01 | 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 | 2016-11-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOSEPH J SCHLEGEL | PreparerPersonNm |
| PTIN | P00301329 | PTIN |
| Phone | 3154463600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | 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 | $285,360,905 | 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 | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 2783 | TotalEmployeeCnt |
| Total Volunteers | 236 | TotalVolunteersCnt |
| Total Gross UBI | $540,616 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$334,378 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,363,824 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,757,744 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $267,973,594 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $267,603,957 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,752,760 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,822,297 | CYInvestmentIncomeAmt |
| PY Other Revenue | $7,734,305 | PYOtherRevenueAmt |
| CY Other Revenue | $13,176,907 | CYOtherRevenueAmt |
| PY Total Revenue | $281,824,483 | PYTotalRevenueAmt |
| CY Total Revenue | $285,360,905 | 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 | $152,932,825 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $155,348,867 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $126,900,723 | PYOtherExpensesAmt |
| CY Other Expenses | $125,509,683 | CYOtherExpensesAmt |
| PY Total Expenses | $279,833,548 | PYTotalExpensesAmt |
| CY Total Expenses | $280,858,550 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,990,935 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,502,355 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $262,592,131 | TotalAssetsBOYAmt |
| Total Assets EOY | $244,819,264 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $122,241,078 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $108,140,390 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $140,351,053 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $136,678,874 | 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 | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $115,986,706 | ExpenseAmt |
| Revenue | $106,350,425 | 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 | $32,673,675 | ExpenseAmt |
| Revenue | $42,492,172 | 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 | $16,808,624 | ExpenseAmt |
| Revenue | $22,970,690 | RevenueAmt |
| Desc | THE CANCER CARE PROGRAM AT FSLH INCLUDES RADIATION MEDICINE, OUTPATIENT INFUSION, BREAST CARE, PALLIATIVE CARE, AND INTEGRATIVE MEDICINES, AS WELL AS TUMOR REGISTRY AND CLINICAL TRIALS. 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 | $77,390,845 | ExpenseAmt |
| Revenue | $107,042,726 | RevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $77,390,845 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $107,042,726 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $242,859,850 | 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 | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 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 | 466 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2783 | 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 | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | 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 | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| 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 | 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 | ||
| JOAN COMPSON | |||||||||
| 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 | $0 | $0 | |||
| BONNIE WOODS | |||||||||
| BOARD MEMBER | 1.00 | 2.50 | Yes (X) | $0 | $0 | $0 | |||
| BARBARA BRODOCK | |||||||||
| BOARD MEMBER | 1.00 | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| CATHERINE COMINSKY | |||||||||
| BOARD MEMBER | 1.00 | 2.50 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS DENNISON PHD | |||||||||
| 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 | |||
| ERIC YOSS MD | |||||||||
| BOARD MEMBER | 1.00 | 2.50 | Yes (X) | $0 | $26,164 | $0 | |||
| RICHARD ZWEIFEL | |||||||||
| BOARD MEMBER | 1.00 | 2.50 | Yes (X) | $0 | $0 | $0 | |||
| BRIAN BOYLE MD | |||||||||
| BOARD MEMBER/FSLH MEDICAL STAFF PRESIDENT | 1.00 | 2.50 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT FLEISCHER DO | |||||||||
| BOARD MEMBER/SEMC MEDICAL STAFF PRESIDENT | 1.00 | 2.50 | Yes (X) | $0 | $0 | $0 | |||
| SCOTT PERRA FACHE | |||||||||
| PRESIDENT/CEO | 30.00 | 25.00 | Yes (X) | $802,079 | $0 | $31,957 | |||
| LOUIS AIELLO | |||||||||
| SR VICE PRESIDENT/CFO | 27.00 | 23.00 | Yes (X) | $0 | $386,661 | $27,341 | |||
| ROBERT SCHOLEFIELD RN MS | |||||||||
| SR VICE PRESIDENT/COO | 30.00 | 20.00 | Yes (X) | $0 | $310,822 | $27,341 | |||
| MICHAEL F TREVISANI MD | |||||||||
| SR VICE PRESIDENT/CMO | 50.00 | Yes (X) | $384,032 | $0 | $24,255 | ||||
| PATRICIA ROACH MS RN NEA-BC | |||||||||
| SR VICE PRESIDENT/CNO | 30.00 | 20.00 | Yes (X) | $355,472 | $0 | $35,359 | |||
| KENNETH ORTEGA MD | |||||||||
| PHYSICIAN | 50.00 | $469,061 | $0 | $20,773 | Yes (X) | ||||
| JOHN SPERLING MD | |||||||||
| PHYSICIAN | 50.00 | $453,407 | $0 | $11,893 | Yes (X) | ||||
| ANAND RAVI MD | |||||||||
| PHYSICIAN | 50.00 | $452,597 | $0 | $19,935 | Yes (X) | ||||
| MEIRA YEGER-MCKEEVER MD | |||||||||
| PHYSICIAN | 50.00 | $450,242 | $0 | $18,054 | Yes (X) | ||||
| YANNICK GRENIER MD | |||||||||
| PHYSICIAN | 50.00 | $446,031 | $0 | $15,499 | Yes (X) | ||||
| MICHAEL HAILE FHFMA | |||||||||
| SR VP/CFO | 0.00 | 0.00 | $250,407 | $0 | $8,200 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,063,328 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $723,647 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $240,607 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 174 | 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 |
|---|---|---|---|---|---|
| SUNSET ANESTHESIA ASSOCIATES | |||||
| 1676 SUNSET AVE | UTICA | NY | 13502 | ANESTHESIA SERVICES | $2,282,048 |
| TEAMHEALTH EAST | |||||
| PO BOX 634850 | CINCINNATI | OH | 45263 | ER PHYSICIAN SERVICES | $1,910,660 |
| DHP MANAGEMENT SERVICES INC | |||||
| 265 BROOKVIEW CENTRE WAY | KNOXVILLE | TN | 37919 | PHYSICIAN/MEDICAL SERVICES | $1,834,460 |
| ALLSCRIPTS HEALTHCARE LLC | |||||
| 8529 SIX FORKS RD FORUM IV | RALEIGH | NC | 27615 | EMR SERVICES | $1,760,450 |
| YONKERS RADIATION MEDICAL PRACTICE PC | |||||
| 2234 COLONIAL BLVD | FORT MEYERS | FL | 33907 | RADIATION THERAPY MNGMT SERVICES | $1,685,526 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 154 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,179,069 | RelatedOrganizationsAmt |
| Government Grants | $578,675 | GovernmentGrantsAmt |
| Total Contributions | $1,757,744 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| ACUTE CARE | 622200 | $106,358,381 | $106,358,381 |
| OUTPATIENT SURGERY | 622200 | $42,492,172 | $42,492,172 |
| CANCER CARE PROGRAM | 622200 | $22,970,690 | $22,970,690 |
| RENAL DIALYSIS | 622200 | $18,676,442 | $18,676,442 |
| MATERNAL AND CHILDCARE | 622200 | $9,763,771 | $9,763,771 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $67,342,501 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $67,342,501 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $267,603,957 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,780,932 | TotalRevenueColumnAmt |
| Exclusion | $2,780,932 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $499,251 | 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 | $499,251 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $499,251 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $499,251 | UnrelatedBusinessRevenueAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $41,365 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $41,365 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $41,365 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $41,365 | UnrelatedBusinessRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| 340B CONTRACT | 900099 | $4,532,509 | $4,532,509 |
| RETAIL PHARMACY | 900099 | $3,709,074 | $3,709,074 |
| NH SCANNER | 900099 | $806,874 | $806,874 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,629,199 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,629,199 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $12,677,656 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $285,360,905 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $280,281,613 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $540,616 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,780,932 | 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 | $1,633,154 | TotalAmt |
| Program Services | $690,997 | ProgramServicesAmt |
| Management And General | $942,157 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,382,416 | TotalAmt |
| Program Services | $110,869,438 | ProgramServicesAmt |
| Management And General | $16,512,978 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,165,551 | TotalAmt |
| Program Services | $5,331,384 | ProgramServicesAmt |
| Management And General | $834,167 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,039,395 | TotalAmt |
| Program Services | $9,545,822 | ProgramServicesAmt |
| Management And General | $1,493,573 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,128,351 | TotalAmt |
| Program Services | $7,893,333 | ProgramServicesAmt |
| Management And General | $1,235,018 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $298,266 | TotalAmt |
| Program Services | $240,797 | ProgramServicesAmt |
| Management And General | $57,469 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $185,094 | TotalAmt |
| Management And General | $185,094 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,722 | TotalAmt |
| Management And General | $92,722 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,726 | TotalAmt |
| Management And General | $44,726 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,445,926 | TotalAmt |
| Program Services | $24,579,715 | ProgramServicesAmt |
| Management And General | $5,866,211 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $204,982 | TotalAmt |
| Program Services | $165,487 | ProgramServicesAmt |
| Management And General | $39,495 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $944,624 | TotalAmt |
| Program Services | $762,617 | ProgramServicesAmt |
| Management And General | $182,007 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,774,638 | TotalAmt |
| Program Services | $4,662,002 | ProgramServicesAmt |
| Management And General | $1,112,636 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,422,946 | TotalAmt |
| Program Services | $5,185,396 | ProgramServicesAmt |
| Management And General | $1,237,550 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $618,886 | TotalAmt |
| Program Services | $499,641 | ProgramServicesAmt |
| Management And General | $119,245 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,972,550 | TotalAmt |
| Program Services | $1,592,486 | ProgramServicesAmt |
| Management And General | $380,064 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,103,274 | TotalAmt |
| Program Services | $10,962,865 | ProgramServicesAmt |
| Management And General | $5,140,409 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,060,256 | TotalAmt |
| Program Services | $1,663,293 | ProgramServicesAmt |
| Management And General | $396,963 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $43,917,703 | $43,917,703 | |
| BAD DEBT | $5,387,923 | $5,387,923 | |
| SERVICE CONTRACTS | $3,082,610 | $2,488,664 | $593,946 |
| NON MEDICAL SUPPLIES | $3,023,338 | $2,440,812 | $582,526 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,929,219 | TotalAmt |
| Program Services | $3,979,475 | ProgramServicesAmt |
| Management And General | $949,744 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $280,858,550 | TotalAmt |
| Program Services | $242,859,850 | ProgramServicesAmt |
| Management And General | $37,998,700 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $325,840 | BOYAmt |
| EOY | $95,789 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $450,859 | BOYAmt |
| EOY | $345,901 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,742,977 | BOYAmt |
| EOY | $38,999,630 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,902,730 | BOYAmt |
| EOY | $5,873,363 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,780,971 | BOYAmt |
| EOY | $2,945,177 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $313,485,059 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $236,443,800 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,336,470 | BOYAmt |
| EOY | $77,041,259 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,986,614 | BOYAmt |
| EOY | $79,443,372 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,488,752 | BOYAmt |
| EOY | $10,993,079 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,425,600 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,151,318 | BOYAmt |
| EOY | $29,081,694 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $262,592,131 | BOYAmt |
| EOY | $244,819,264 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,832,144 | BOYAmt |
| EOY | $36,024,145 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,145,000 | BOYAmt |
| EOY | $5,915,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,985,730 | BOYAmt |
| EOY | $13,218,936 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,278,204 | BOYAmt |
| EOY | $52,982,309 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,241,078 | BOYAmt |
| EOY | $108,140,390 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,869,235 | BOYAmt |
| EOY | $127,892,575 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,953,654 | BOYAmt |
| EOY | $4,258,135 | 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 | $140,351,053 | BOYAmt |
| EOY | $136,678,874 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $262,592,131 | BOYAmt |
| EOY | $244,819,264 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $4,502,355 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$6,428,611 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$1,745,923 | 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| 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 | $44,726 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $44,726 | 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 | $8,810,474 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $304,481 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $283,868 | OtherExpendituresAmt |
| End Year Balance | $8,831,087 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,991,005 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$1,070,843 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$339 | OtherExpendituresAmt |
| End Year Balance | $7,919,823 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00510 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.51270 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.48220 | 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 | $114,376,735 | OtherCostOrOtherBasisAmt |
| Depreciation | $82,695,750 | DepreciationAmt |
| Book Value | $31,680,985 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,684,619 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,305,180 | DepreciationAmt |
| Book Value | $2,379,439 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $186,246,791 | OtherCostOrOtherBasisAmt |
| Depreciation | $147,777,030 | DepreciationAmt |
| Book Value | $38,469,761 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,976,867 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,665,840 | DepreciationAmt |
| Book Value | $2,311,027 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $77,041,259 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| MUTUAL FUNDS INVESTMENT | $41,798,822 | F |
| COMMON STOCK INVESTMENT | $1,969,508 | F |
| CORPORATE OBLIGATIONS | $35,552,395 | F |
| CASH AND CASH EQUIVALENTS | $122,647 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $79,443,372 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER ASSETS | $5,063,936 |
| DUE FROM AFFILIATES | $6,178,766 |
| UNAMORTIZED DEBT ISSUANCE COSTS | $396,037 |
| WC INSURANCE RECEIVABLE LT, NET | $6,641,993 |
| G&P INSURANCE RECEIVABLE LT, NET | $9,151,592 |
| ESTIMATED THIRD PARTY PAYOR SETTLEMENTS, NET | $1,649,370 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $29,081,694 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| 2006 SERIES TAXABLE BONDS | $9,825,000 |
| CAPITAL LEASE OBLIGATIONS | $10,110,492 |
| UNREALIZED LOSS ON INTEREST RATE SWAPS | $4,600,438 |
| WC INSTURANCE RECEIVABLE ST/LT | $6,641,993 |
| G&P INSURANCE RECEIVABLE ST/LT | $12,011,593 |
| ESTIMATED SELF INSURED LIABILITIES | $9,792,793 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $52,982,309 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $285,360,905 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $285,360,905 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $285,360,905 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $280,858,550 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $280,858,550 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $280,858,550 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 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, 2015 AND 2014, 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 2012-2015. HEALTHCARE DOES NOT ANTICIPATE THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS. |
| SCHEDULE D PART V | AMOUNTS REPORTED IN 2013 WERE INCORRECT AND HAVE BEEN CORRECTED AS FOLLOWS: NET INVESTMENT INCOME $509,442 OTHER EXPENDITURES $159,077 ENDING BALANCE $8,238,277 |
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 | 300.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| 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 | $1,540,934 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $380,280 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,160,654 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00410 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $54,083,527 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $37,596,291 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,487,236 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05870 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $55,624,461 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $37,976,571 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,647,890 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06280 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $956,123 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $956,123 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00340 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,031,386 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $725,334 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $306,052 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,619,106 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,528,293 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,090,813 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01460 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $60,749 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,833 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $47,916 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,667,364 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,266,460 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,400,904 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01930 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $74,291,825 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $51,243,031 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,048,794 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08210 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $60,376 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,397 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $55,979 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00200 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,594 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,594 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $150,940 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $92,093 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $58,847 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,794 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,775 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,019 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00880 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $246,704 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $107,265 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $139,439 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01140 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,826,398 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $671,601 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $118,919,351 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $136,463,829 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$17,544,478 | 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | 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 | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP:/FAXTONSTLUKES.COM | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| 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 | 300.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | 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 |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| 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: ON MONDAY, MAY 20, 2013 MEMBERS OF THE FSLH HEALTH CARE TEAM, ALONG WITH AREA HOSPITALS, HEALTHCARE ORGANIZATIONS AND AGENCIES PARTICIPATED IN A HEALTH ASSESSMENT INITIATIVE. THE PROGRAM, LED BY THE ONEIDA COUNTY HEALTH DEPARTMENT, USED THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS FRAMEWORK (MAPP) TO CONDUCT THE CHNA ACTIVITIES. THE ASSESSMENT RESULTS WERE COMBINED WITH POPULATION TO IDENTIFY THE TOP TWO PRIORITY* AGENDA INITIATIVES FOR 2014 THROUGH 2017. THE TOP TWO PRIORITIES* FOR ONEIDA COUNTY AND PARTICIPATING HEALTH CARE ORGANIZATIONS ARE SMOKING CESSATION AND INCREASED BREAST FEEDING. THE NEW YORK STATE PREVENTION AGENDA (THE PREVENTION AGENDA) SERVES AS A GUIDE TO HEALTH DEPARTMENTS AND HOSPITALS AS THEY DEVELOP THE CHNA REQUIRED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA). THE COMMUNITY SERVICE PLANS, REQUIRED ANNUALLY BY NEW YORK STATE DEPARTMENT OF HEALTH (DOH), ALSO REFLECT THE COLLABORATIVE WORK OF THE COUNTY AND HOSPITALS AS PART OF THEIR COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). FSLH PARTICIPATED IN THE NEEDS ASSESSMENT FOR HERKIMER COUNTY WHICH WAS HELD ON THURSDAY, MARCH 28, 2013. NEARLY 15 PERCENT OF THE PATIENTS SERVED BY FSLH LIVE IN HERKIMER COUNTY. THE HERKIMER COUNTY CNA THAT WAS DEVELOPED IS A COLLABORATIVE EFFORT OF HERKIMER COUNTY PUBLIC HEALTH, HERKIMER COUNTY7 HEALTHNET, MEMBERS OF THE CNY MPH, AREA HOSPITALS AND AGENCIES. |
| FAXTON ST LUKES HEALTHCARE, INC. | PART V, SECTION B, LINE 6A: OTHER REPRESENTATIVES INCLUDED FSLH, SEMC, ROME MEMORIAL HOSPITAL, ONEIDA COUNTY HEALTH DEPARTMENT AND A NUMBER OF COMMUNITY AGENCIES. |
| FAXTON ST LUKES HEALTHCARE, INC. | PART V, SECTION B, LINE 11: THE PREVENTION AGENDA IDENTIFIES FIVE PRIORITY AREAS, FOCUS AREAS WITHIN EACH PRIORITY AREA, AND ESTABLISHES GOALS FOR EACH PRIORITY AREA. INDICATORS ARE USED TO MEASURE PROGRESS TOWARD ACHIEVING THE GOALS, INCLUDING REDUCTIONS IN HEALTH DISPARITIES AMONG RACIAL, ETHNIC, AND SOCIOECONOMIC GROUPS AND PERSONS WITH DISABILITIES. THE FIVE PRIORITY AREAS ARE:1. PREVENT CHRONIC DISEASES*- REDUCE OBESITY IN CHILDREN AND ADULTS- REDUCE ILLNESS, DISABILITY AND DEATH RELATED TO TOBACCO USE AND SECONDHAND SMOKE EXPOSURE *- INCREASE ACCESS TO HIGH-QUALITY CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENT IN CLINICAL AND COMMUNITY SETTINGS.2. PROMOTE A HEALTHY AND SAFE ENVIRONMENT- OUTDOOR AIR QUALITY- WATER QUALITY- BUILT ENVIRONMENT- INJURIES, VIOLENCE AND OCCUPATIONAL HEALTH3. PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN* - MATERNAL AND INFANT HEALTH*- CHILD HEALTH- REPRODUCTIVE, PRECONCEPTION AND INTER-CONCEPTION HEALTH.4. PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE- PROMOTE MENTAL, EMOTIONAL AND BEHAVIORAL WELL-BEING IN COMMUNITIES- PREVENT SUBSTANCE ABUSE AND OTHER MENTAL EMOTIONAL BEHAVIORAL DISORDERS- STRENGTHEN INFRASTRUCTURE ACROSS SYSTEMS.5. PREVENT HIV, SEXUALLY TRANSMITTED DISEASES, VACCINE-PREVENTABLE DISEASES AND HEALTHCARE-ASSOCIATED INFECTIONS- PREVENT HIV AND STDS- PREVENT VACCINE-PREVENTABLE DISEASES- PREVENT HEALTH CARE-ASSOCIATED INFECTIONS.*INDICATES THE TWO PRIORITY/FOCUS AREAS SELECTED BY ONEIDA COUNTY HEALTH DEPARTMENT, FSLH AND PARTICIPATING HOSPITALS AND HEALTH AGENCIES. |
| FAXTON ST LUKES HEALTHCARE, INC. | PART V, SECTION B, LINE 22D: THE HOSPITAL-DEVELOPED SLIDING SCALE IS A NOMINAL AMOUNT LESS THAN, AND NOT BASED ON, COST OR AVERAGE PAYMENT. |
| 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 (14 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: | #3 COMMUNITY SUPPORT: A)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. B)DURING THE SPONSORSHIP FOR THE BOILERMAKER EXPO AND ROAD RACE, THE FOLLOWING STATIONS/SERVICES WERE PROVIDED: 500 BLOOD PRESSURE AND DIABETES SCREENING; 200 BODY FAT ANALYSIS AND CALORIE ASSESSMENT; 315 HEART RISK EDUCATION EVALUATIONS. C)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. D)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. E) CAR SEAT INSPECTION - THE FSLH SECURITY TEAM WORKED IN CONJUNCTION WITH THE NEW HARTFORD POLICE DEPARTMENT TO INSPECT CAR SEATS FREE OF CHARGE 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. F) CAREGIVER BURNOUT GROUP IS A SUPPORT GROUP TO HELP COPE WITH THE DIFFICULTIES IN TAKING CARE OF OTHERS. G) 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. H)PINK POWER LUNCHEON IS A LUNCHEON, INCLUDING SPEAKERS, FOR BREAST CANCER AWARENESS. I)RELAY FOR LIFE IS AN EVENT CONSISTING OF NUMEROUS FUNDRAISERS FOR AMERICAN CANCER SOCIETY'S SPONSORSHIP AND SUPPORT. J)MONTHLY STROKE SUPPORT GROUP FOR PATIENTS AND FAMILIES. K)ON THURSDAY, DECEMBER 17, 2015, FAXTON ST. LUKE'S HEALTHCARE (FSLH) HELD A REMEMBRANCE SERVICE IN MEMORY OF ALL FSLH PATIENTS WHO PASSED AWAY IN 2015. FAMILIES, FRIENDS AND CAREGIVERS WERE INVITED TO ATTEND THE SERVICE. THE SERVICE FEATURED MUSICAL ACCOMPANIMENT BY THE EXODUS MUSICAL GROUP. THE SERVICE IS COORDINATED BY THE SPIRITUAL CARE OFFICE AT MVHS. THE OFFICE PROVIDES SPIRITUAL GUIDANCE AND SUPPORT TO PATIENTS, RESIDENTS AND FAMILIES OF ALL DENOMINATIONS. L)ON NOVEMBER 4, 2015, THE MOHAWK VALLEY HEALTH SYSTEM HOSTED A FREE STROKE SUPPORT GROUP PRESENTATION. DEACON PAUL LEHMANN LED THE GROUP IN A DISCUSSION ABOUT THE JOURNEY OF LIFE FOLLOWING A STROKE, WITH A FOCUS ON THE CAREGIVERS. ACCORDING TO THE AMERICAN STROKE ASSOCIATION, A STROKE SURVIVOR'S FAMILY AND/OR CAREGIVER IS OFTEN THE MOST IMPORTANT SOURCE OF LONG-TERM SUPPORT DURING RECOVERY AND REHABILITATION. TAKING CARE OF YOURSELF IS EQUALLY AS IMPORTANT. DEACON PAUL PROVIDED INSIGHTS AS TO HOW FAITH AND HOPE CAN RESTORE STRENGTH AND PEACE IN DIFFICULT TIMES. FAXTON ST. LUKE'S HEALTHCARE (FSLH) IS AN AFFILIATE OF MOHAWK VALLEY HEALTH SYSTEM AND IS THE AREA'S ONLY DESIGNATED PRIMARY STROKE CENTER. M)COMMUNITY MEMBERS AND BREAST CANCER SURVIVORS GATHERED TOGETHER ON OCTOBER 1, 2015, 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. N)REHABILITATION SERVICES AT MVHS HONORED FAXTON CUP AWARD WINNER JASON ROBINSON AND FOUR EMPLOYEES AT A CEREMONY ON SEPTEMBER 22, 2015. THE FAXTON CUP AWARD HONORS AN INDIVIDUAL AND ORGANIZATION THAT DEMONSTRATES, ON A LOCAL LEVEL, DEDICATION TO THE ENHANCEMENT OF QUALITY OF LIFE, EITHER BY SETTING AN EXAMPLE OF WHAT PEOPLE WITH DISABILITIES CAN ACCOMPLISH, OR ON BEHALF OF PEOPLE WITH PHYSICAL DISABILITIES. O)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. P)ON FEBRUARY 17, 2015, FSLH HOSTED AN INFORMATIONAL MEETING FOR CURRENT/POTENTIAL MEMBERS OF THE DONATE LIFE UTICA AFFINITY GROUP. THIS GROUP PROVIDES EDUCATION AND AWARENESS ABOUT ORGAN DONATION AND TRANSPLANT.#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. C)HEALTH FRIENDS IS A PROGRAM SPONSORSHIP TO PROVIDE FINANCIAL RESOURCES FOR RX ASSISTANCE TO UN- OR UNDER-INSURED PEOPLE. D)HEALTH FAIR PARTICIPATION HELD AT UTC AEROSPACE SYSTEMS FOR THEIR OWN EMPLOYEES. E)PROVIDED BALANCE SCREENINGS AND COMMUNITY EDUCATION ON BALANCE AND FALL PREVENTION AT VARIOUS TIMES THROUGHOUT THE YEAR.#7 COMMUNITY HEALTH IMPROVEMENT ADVOCACY: FSLH PROVIDES EDUCATION/FREE HEALTH SCREENINGS IN THE FOLLOWING AREAS:A)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. B)BIRTHING CLASSES - FREE 5-WEEK SERIES OF CLASSES IN CHILDBIRTH AND INFANT CARE TAUGHT BY AN EXPERIENCED LABOR AND DELIVERY REGISTERED NURSE. C) 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. D)FSLH OFFERS FREE MONTHLY BREASTFEEDING CLASSES FOR EXPECTANT PARENTS WHO HAVE CHOSEN OR ARE CONSIDERING BREASTFEEDING. E)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. F)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. G)DIABETES EDUCATION CLASSES ARE HELD THROUGHOUT THE YEAR TO PROVIDE INFORMATION TO THOSE WITH DIABETES ABOUT HOW TO SUCCESSFULLY MANAGE THEIR DISEASE. H)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. I) 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. J)NATIONAL DIABETES MONTH OFFERS A SPEAKER, EDUCATION AND RECIPE TASTING, TO ANYONE IN THE COMMUNITY WHO IS INTERESTED IN ATTENDING. K)NATIONAL DIABETES PREVENTION PROGRAM FOCUSES ON TREATING THOSE WITH PRE-DIABETES TO PREVENT TYPE 2 DIABETES. L)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. M)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. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | N)THE WELLNESS CENTER OFFERS MANY PROGRAMS AIMED AT KEEPING THE COMMUNITY HEALTHY. FROM WATER EXERCISE CLASSES TO FITNESS ASSESSMENTS WITH PERSONALIZED HEALTH PLANS TO KEEP INDIVIDUALS FIT, THE WELLNESS CENTER IS MUCH MORE THAN JUST A "GYM." THE WELLNESS CENTER IS HOME TO AN AQUA THERAPY POOL, STRENGTH TRAINING EQUIPMENT, CARDIOVASCULAR TRAINING EQUIPMENT AND CERTIFIED AND SPECIALLY TRAINED STAFF. O)EDUCATION CHANNELS WERE ADDED TO THE PATIENT TELEVISIONS AT THE ST. LUKE'S CAMPUS AND THE INPATIENT REHABILITATION THANKS TO FUNDING FROM THE FAXTON ST. LUKE'S VOLUNTEER ASSOCIATION. THE FREE CHANNELS INCLUDE TOPICS ON PATIENT SAFETY, HEALTHY LIVING, SPECIFIC DIAGNOSIS INFORMATION AND MOTHER/BABY CARE. P)THE STROKE CENTER, LOCATED AT FAXTON ST. LUKE'S HEALTHCARE, HOSTED THE STROKE TEACHING DAY ON MAY 13, 2015. PHYSICIANS, NURSES, THERAPISTS, STUDENTS AND ANYONE INVOLVED IN THE MEDICAL FIELD ATTENDED. THE STROKE CENTER AT FSLH, AN AFFILIATE OF MVHS, IS THE ONLY DESIGNATED PRIMARY STROKE CENTER IN THE MOHAWK VALLEY. Q)TO SUPPORT ORGAN DONATION AWARENESS MONTH FSLH, UNDER MVHS, OFFERED REGISTRATION OPPORTUNITIES AT TWO HOSPITALS. THIS IS IMPORTANT TO LOCAL COMMUNITIES, AS MORE THAN 10,000 NEW YORKERS ARE CURRENTLY ON THE WAITING LIST BECAUSE NEED FAR EXCEEDS THE SUPPLY. A YOUNG STROKE VICTIM WHO WAS AN ORGAN DONOR AT MVHS MADE A DIFFERENCE IN 10 OTHER LIVES IN MARCH WHEN HIS FAMILY HONORED HIS WISHES. R)ON APRIL 29, 2015, THE FAXTON ST. LUKE'S DENTAL HEALTH CENTER PROVIDED FREE ORAL CANCER SCREENINGS TO ANYONE INTERESTED IN BEING CHECKED. THE SCREENINGS WERE GIVEN FROM 1:15PM TO 4:30PM AT THE DENTAL HEALTH CENTER. MORE THAN 43,000 AMERICANS WILL BE DIAGNOSED WITH ORAL OR PHARYNGEAL CANCER THIS YEAR WHICH WILL LEAD TO MORE THAN 8,000 DEATHS. SOME RISK FACTORS THAT CAN LEAD TO ORAL CANCER ARE TOBACCO AND ALCOHOL USE, AND THE HPV16 VIRUS. THE QUICKEST GROWING SEGMENTS OF THE ORAL CANCER POPULATION ARE YOUNG, HEALTHY, NON-SMOKERS DUE TO THE CONNECTION TO THE HPV16 VIRUS. INDIVIDUALS CAN HAVE ORAL CANCER WITH NO PAIN OR SIDE EFFECTS, BUT ORAL CANCER CAN BE CURED IF FOUND EARLY WHICH IS WHY IT'S IMPORTANT TO RECEIVE ROUTINE SCREENINGS. S)ON MARCH 1, 2015, FSLH HOSTED A FREE STROKE SUPPORT GROUP PRESENTATION FOR AWARENESS. THE BRAIN AWARENESS CAMPAIGN IS A WORLDWIDE CELEBRATION OF THE BRAIN THAT BRINGS TOGETHER SCIENTISTS, FAMILIES, SCHOOLS AND COMMUNITIES. THE GLOBAL CELEBRATION, LAUNCHED BY THE DANA ALLIANCE FOR BRAIN INITIATIVES, PRESENTS AN OPPORTUNITY TO BRING ATTENTION TO BRAIN SCIENCE ADVANCES. COME LEARN ABOUT THE NEW STRATEGIES THAT ARE ADVANCING IN STROKE CARE. T)MVHS'S HEARING AND SPEECH DEPARTMENT LOCATED AT THE FAXTON CAMPUS IS NOW ACCEPTING WALK-IN APPOINTMENTS ON SATURDAYS BETWEEN 10AM AND NOON FOR PATIENTS IN NEED OF HEARING AID ADJUSTMENTS, ASSESSMENTS OR REPAIRS. ADDITIONALLY, PATIENTS CAN ALSO PRE-SCHEDULE HEARING TESTS ON SATURDAYS BETWEEN THE HOURS OF 8AM AND 4PM. U)MVHS AND ONEIDA COUNTY HEALTH DEPARTMENT HOST FREE, THREE-WEEK SERIES OF SMOKING CESSATION CLASSES WHICH ARE OPEN TO ALL ONEIDA COUNTY RESIDENTS 18 YEARS AND OLDER.#8 WORKFORCE DEVELOPMENT: A)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)FSLH REHABILITATION SERVICES IS DEDICATED TO PROVIDING LOCAL PHYSICAL THERAPISTS, OCCUPATIONAL THERAPISTS AND SPEECH-LANGUAGE PATHOLOGISTS AND STUDENTS IN RELATED FIELDS WITH CONTINUING EDUCATION IN THE FIELD OF REHABILITATION ON A VARIETY OF TOPICS INCLUDING CERVICAL WHIPLASH, CARE OF PATIENTS WITH DIABETES, TRAUMATIC BRAIN INURIES AND MORE. CONTINUING EDUCATION IS HELD IN A VAREITY OF FORMATS, INCLUDING EVENING, WEEKEND AND LUNCH-TIME OFFERINGS. IN 2014, 28 EVENTS WERE HELD. C)SABA/SYEP - 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. D)FSLH PARTNERED WITH THE MOHAWK VALLEY RESOURCE CENTER FOR REFUGEES (MVRCR) TO CREATE EMPLOYMENT OPPORTUNITIES FOR REFUGEES IN SUPPORT SERVICES, INCLUDING ENVIRONMENTAL AND NUTRITION SERVICES. E)MVHS OPENED A NEW INSTRUCTIONAL LAB IN THE MEDICAL IMAGING DEPARTMENT AT THE FAXTON CAMPUS IN FEBRUARY 2015. THE LAB IS USED BY STUDENTS OF THE MOHAWK VALLEY COMMUNITY COLLEGE (MVCC) RADIOLOGICAL TECHNOLOGY PROGRAM AND IS EQUIPPED WITH A CLASSROOM AREA, A FACULTY WORK AREA, AND RADIOLOGY EQUIPMENT ON WHICH STUDENTS CAN PRACTICE BEFORE BEGINNING THE CLINICAL PORTION OF THEIR STUDIES. |
| 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: | COMMUNITY HEALTH PLANNING PROCESSON MONDAY, MAY 20, 2013 MEMBERS OF THE FSLH HEALTH CARE TEAM, ALONG WITH AREA HOSPITALS, HEALTHCARE ORGANIZATIONS AND AGENCIES PARTICIPATED IN A HEALTH ASSESSMENT INITIATIVE. THE PROGRAM, LED BY THE ONEIDA COUNTY HEALTH DEPARTMENT, USED THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS FRAMEWORK (MAPP) TO CONDUCT THE CHNA ACTIVITIES. THE ASSESSMENT RESULTS WERE COMBINED WITH POPULATION TO IDENTIFY THE TOP TWO PRIORITY AGENDA INITIATIVES FOR 2014 THROUGH 2017. FSLH WILL CONTINUE TO WORK WITH HERKIMER COUNTY TO MORE FULLY DEVELOP AND ADOPT STRATEGIES AND MEASURES TO SUPPORT THE PRIORITIES. THE CHNA FOR FSLH WILL BE UPDATED QUARTERLY AND REVIEWED ANNUALLY FOR PROGRESS AND UPDATES BY MEMBERS OF THE FSLH HEALTH IMPROVEMENT TEAM AND IN COOPERATION WITH OUR COMMUNITY PARTNERS. |
| 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 PAHMPHLET WHICH DESCRIBES PAYMENT OPTIONS INCLUDING FAP, WEBSITE INFORMATION AND STAFF CONTACT INFORMATION FOR ASSISTANCE. 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. |
| PART VI, LINE 4: | COMMUNITY CHARACTERISTICS -MOST ZIP CODES IN THE PRIMARY AND SECONDARY SERVICE AREAS ARE LOCATED IN ONEIDA AND HERKIMER COUNTIES. THE COMMUNITIES OF THESE COUNTIES ARE DESCRIBED BY THEIR GEOGRAPHIC, DEMOGRAPHIC AND SOCIO-ECONOMIC CHARACTERISTICS.*1 THE CITY OF UTICA, POPULATION 62,000, IS THE LARGEST URBAN CENTER LOCATED IN ONEIDA COUNTY, WHILE THE SURROUNDING COMMUNITIES ARE MOSTLY RURAL. IN THE RECENT DECADES, UTICA BECAME HOME TO OVER 6,500 REFUGEES FROM DIFFERENT PARTS OF THE WORLD.SOURCE: UNITED STATES CENSUS BUREAU |
| PART VI, LINE 5: | THE NEW YORK STATE PREVENTION AGENDA (THE PREVENTION AGENDA) SERVES AS A GUIDE TO HEALTH DEPARTMENTS AND HOSPITALS AS THEY DEVELOP THE CHNA REQUIRED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA). THE COMMUNITY SERVICE PLANS, REQUIRED ANNUALLY BY NEW YORK STATE DEPARTMENT OF HEALTH (DOH), ALSO REFLECT THE COLLABORATIVE WORK OF THE COUNTY AND HOSPITALS AS PART OF THEIR COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THE PREVENTION AGENDA IDENTIFIES FIVE PRIORITY AREAS, FOCUS AREAS WITHIN EACH PRIORITY AREA, AND ESTABLISHES GOALS FOR EACH PRIORITY AREA. INDICATORS ARE USED TO MEASURE PROGRESS TOWARD ACHIEVING THE GOALS, INCLUDING REDUCTIONS IN HEALTH DISPARITIES AMONG RACIAL, ETHNIC, AND SOCIOECONOMIC GROUPS AND PERSONS WITH DISABILITIES. THE FIVE PRIORITY AREAS ARE: 1.PREVENT CHRONIC DISEASES*- REDUCE OBESITY IN CHILDREN AND ADULTS- REDUCE ILLNESS, DISABILITY AND DEATH RELATED TO TOBACCO USE AND SECONDHAND SMOKE EXPOSURE*- INCREASE ACCESS TO HIGH-QUALITY CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENT IN CLINICAL AND COMMUNITY SETTINGS.2.PROMOTE A HEALTHY AND SAFE ENVIRONMENT- OUTDOOR AIR QUALITY- WATER QUALITY- BUILT ENVIRONMENT- INJURIES, VIOLENCE AND OCCUPATIONAL HEALTH3.PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN*- MATERNAL AND INFANT HEALTH*- CHILD HEALTH- REPRODUCTIVE, PRECONCEPTION AND INTER-CONCEPTION HEALTH.4. PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE- PROMOTE MENTAL, EMOTIONAL AND BEHAVIORAL WELL-BEING IN COMMUNITIES- PREVENT SUBSTANCE ABUSE AND OTHER MENTAL EMOTIONAL BEHAVIORAL DISORDERS- STRENGTHEN INFRASTRUCTURE ACROSS SYSTEMS.5.PREVENT HIV, SEXUALLY TRANSMITTED DISEASES, VACCINE-PREVENTABLE DISEASES AND HEALTHCARE-ASSOCIATED INFECTIONS- PREVENT HIV AND STDS- PREVENT VACCINE-PREVENTABLE DISEASES- PREVENT HEALTH CARE-ASSOCIATED INFECTIONS.*INDICATES THE TWO PRIORITY/FOCUS AREAS SELECTED BY ONEIDA COUNTY HEALTH DEPARTMENT, FSLH AND PARTICIPATING HOSPITALS AND HEALTH AGENCIES. |
| 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. THE TWO ORGANIZATIONS ARE NOW GOVERNED BY A SINGLE MVHS BOARD OF DIRECTORS AND A SINGLE MANAGEMENT TEAM. AS THE ORGANIZATIONS MOVE FORWARD, THEY WILL CONTINUE TO WORK COLLABORATIVELY TO MEET THEIR RESPECTIVE 2013 COMMUNITY SERVICE PLAN GOALS. IN MAY 2014, FSLH WAS RECOGNIZED BY THE NYSDOH AS AN EMERGING PERFORMING PROVIDER SYSTEM (PPS). IN DECEMBER 2014, FSLH JOINED WITH AUBURN COMMUNITY HOSPITAL, ST. JOSEPH'S HOSPITAL HEALTH CENTER AND SUNY UPSTATE UNIVERSITY HOSPITAL AS A SINGLE PPS UNDER THE NAME CENTRAL NEW YORK CARE COLLABORATIVE (CNYCC). THE CNYCC WILL COLLABORATE TO MEET THE HEALTHCARE NEEDS OF PEOPLE LIVING IN CAYUGA, LEWIS, MADISON, ONEIDA, ONONDAGA AND OSWEGO COUNTIES. THE COMBINED DSRIP APPLICATION INCLUDES TWO PROJECTS THAT ARE TIED TO THE FLSH AND SEMC COMMUNITY SERVICE PLANS. ONE IS TO ADDRESS TOBACCO USE IN PREGNANT WOMEN TO HELP PREVENT PREMATURE BIRTHS. THE SECOND IS IMPLEMENTING EVIDENCE-BASED STRATEGIES FOR DISEASE MANAGEMENT IN HIGH RISK/AFFECTED POPULATIONS, SPECIFICALLY CARDIOVASCULAR, BY ADOPTING STRATEGIES FROM THE MILLION HEARTS CAMPAIGN THAT FOCUSES ON ABCS (ASPIRIN, BLOOD PRESSURE, CHOLESTEROL AND SMOKING). THE ELECTRONIC MEDICAL RECORD (EMR) AT BOTH HOSPITALS WILL PROMPT PROVIDERS TO COMPLETE THE 5 AS: ASK, ASSESS, ADVISE, ASSIST, ARRANGE (FOLLOW-UP) OF TOBACCO CONTROL. |
| 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 | Yes (1) | 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 | $590,000 | $0 | $104,398 | $0 | $107,681 | $0 | $21,200 | $0 | $10,757 | $0 | $834,036 | $0 | $0 | $0 |
| LOUIS AIELLO | ||||||||||||||
| SR VICE PRESIDENT/CFO | $0 | $345,161 | $0 | $41,500 | $0 | $0 | $0 | $18,550 | $0 | $8,791 | $0 | $414,002 | $0 | $0 |
| ROBERT SCHOLEFIELD RN MS | ||||||||||||||
| SR VICE PRESIDENT/COO | $0 | $278,659 | $0 | $32,163 | $0 | $0 | $0 | $18,550 | $0 | $8,791 | $0 | $338,163 | $0 | $0 |
| MICHAEL F TREVISANI MD | ||||||||||||||
| SR VICE PRESIDENT/CMO | $331,000 | $0 | $41,500 | $0 | $11,532 | $0 | $10,600 | $0 | $13,655 | $0 | $408,287 | $0 | $0 | $0 |
| PATRICIA ROACH MS RN NEA-BC | ||||||||||||||
| SR VICE PRESIDENT/CNO | $271,392 | $0 | $33,459 | $0 | $50,621 | $0 | $21,200 | $0 | $14,159 | $0 | $390,831 | $0 | $0 | $0 |
| KENNETH ORTEGA MD | ||||||||||||||
| PHYSICIAN | $465,497 | $0 | $0 | $0 | $3,564 | $0 | $10,600 | $0 | $10,173 | $0 | $489,834 | $0 | $0 | $0 |
| JOHN SPERLING MD | ||||||||||||||
| PHYSICIAN | $274,992 | $0 | $173,151 | $0 | $5,264 | $0 | $10,600 | $0 | $1,293 | $0 | $465,300 | $0 | $0 | $0 |
| ANAND RAVI MD | ||||||||||||||
| PHYSICIAN | $389,358 | $0 | $43,425 | $0 | $19,814 | $0 | $10,600 | $0 | $9,335 | $0 | $472,532 | $0 | $0 | $0 |
| MEIRA YEGER-MCKEEVER MD | ||||||||||||||
| PHYSICIAN | $424,992 | $0 | $0 | $0 | $25,250 | $0 | $5,430 | $0 | $12,624 | $0 | $468,296 | $0 | $0 | $0 |
| YANNICK GRENIER MD | ||||||||||||||
| PHYSICIAN | $446,031 | $0 | $0 | $0 | $0 | $0 | $10,600 | $0 | $4,899 | $0 | $461,530 | $0 | $0 | $0 |
| MICHAEL HAILE FHFMA | ||||||||||||||
| SR VP/CFO | $240,750 | $0 | $0 | $0 | $9,657 | $0 | $0 | $0 | $8,200 | $0 | $258,607 | $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 2015, $219,067 OF INCENTIVE COMPENSATION WAS PAID OUT UNDER THIS PLAN RELATING TO THE 2014 FISCAL YEAR. $275,000 WAS ACCRUED FOR THE 2015 FISCAL YEAR INCENTIVE COMPENSATION. HOWEVER, THIS WAS UNDER-ESTIMATED AND THE ACTUAL 2016 PAYMENTS FOR THE 2015 FISCAL YEAR, WAS $282,550. | 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 |
| SLOCUM DICKSON MEDICAL GROUP | |||
| MARIA GESUALDO, DO- DIRECTOR (PARTNER AT SLOCUM DICKSON) | $159,718 | PHYSICIAN SERVICES | 0 |
| SUNSET ANESTHESIA ASSOCIATES | |||
| BRIAN BOYLE, MD- DIRECTOR & MEDICAL STAFF PRESIDENT (MANAGING PARTNER SAA) | $2,282,048 | ANESTHESIA SERVICES | 0 |
| SLOCUM DICKSON MEDICAL GROUP | |||
| MARIA GESUALDO, DO- DIRECTOR (PARTNER AT SLOCUM DICKSON) | $547,116 | RENTAL INCOME | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 3 | FAXTON ST LUKE'S HEALTHCARE (FSLH) MADE SIGNIFICANT CHANGES TO THE FOLLOWING PROGRAM SERVICES, IN 2015. AS PREVIOUSLY REPORTED IN SCHEDULE H OF THE 2014 FORM 990 REPORTING (SEE PART VI, LINE 6), FSLH AND ST ELIZABETH MEDICAL CENTER (SEMC) AFFILIATED UNDER THE MOHAWK VALLEY HEALTH SYSTEM (MVHS) ON MARCH 6, 2014. AS A RESULT OF THIS AFFILIATION, DUPLICATE SERVICES ARE BEING CENTRALIZED FOR PATIENT CONVENIENCE AND OVERALL EFFICIENCY. IN 2015, CARDIAC CARE SERVICES FOR CATHETERIZATIONS AND ANGIOPLASTY PROCEDURES, PREVIOUSLY DONE AT FSLH, ARE NOW PERFORMED AT SEMC. IN ADDITION TO THE EFFICIENCIES, THIS ALSO ALLOWS FOR THE FURTHER DEVELOPMENT OF SEMC AS THE CARDIAC CARE CENTER FOR MVHS AND IN OUR COMMUNITY. ADDITIONALLY, MEDICAL GROUPS FOR PRIMARY CARE WHICH WERE SEPARATE FOR SEMC AND FSLH, ARE NOW ALL PART OF THE MVHS MEDICAL GROUP; STILL WITH SEPARATE REPORTING UNDER THEIR RESPECTIVE EIN'S. AN EXCEPTION TO THE GROUPS REMAINING UNDER THEIR ORIGINAL EIN, APPLIES TO TWO COMMUNITY SITES WHICH WERE MERGED INTO ONE EACH FOR THE DUPLICATE LOCATIONS OF NORTH UTICA AND WATERVILLE; THESE NOW REPORT UNDER THE FSLH EIN AS PART OF THE MVHS MEDICAL GROUP. THE OTHER EXCEPTIONS ARE THE SAUQUOIT AND CLINTON MEDICAL OFFICES PREVIOUSLY UNDER SEMC EIN ARE NOW UNDER FSLH EIN. THE MEDICAL CARE PROFESSIONALS REMAIN THE SAME FOR PATIENTS FROM EACH ORGANIZATION AT EACH SITE. AS AN ADDITION TO THE CHANGE IN THIS SERVICE, PATIENT PORTALS ARE AVAILABLE FOR PATIENTS TO ACCESS THEIR PERSONAL HEALTH INFORMATION, MANAGE APPOINTMENTS AND MEDICATIONS, CHECK TEST RESULTS AND UPDATE PERSONAL INFORMATION. ALL OTHER MEDICAL SPECIALTY GROUPS PREVIOUSLY REFERRED TO AS ACP, ARE NOW MVHS, AND STILL OPERATING UNDER THE FSLH EIN. THOSE NAME CHANGES HAVE BEEN NOTED IN SCHEDULE H, PART V, SECTION D. |
| 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 11 | 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 24,579,715. MANAGEMENT AND GENERAL EXPENSES 5,866,211. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,445,926. |
| FORM 990, PART XI, LINE 9: | CHANGE IN FV OF INTEREST RATE SWAPS 241,570. CHANGE IN INTEREST IN UNRESTRICTED NET ASSETS OF FOUNDATION -416,374. CHANGE IN INTEREST IN TEMPORARILY RESTRICTED NET ASSETS OF FOUNDATION 304,481. AFFILIATE TRANSFER -450,000. GOODWILL IMPAIRMENT -1,425,600. |
| 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 |
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 |
| Entity Type | T | EntityTypeTxt |
| Share Of Total Income | $44,586 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $4,691,846 | ShareOfEOYAssetsAmt |
| 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 |