ONEIDA HEALTHCARE SYSTEMS INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- ONEIDA HEALTHCARE SYSTEMS INC (EIN 16-1492011)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-15
- IRS object ID
- 201623209349307892
- Schema version
- 2015v2.1
- Note
- A later return for the same period supersedes this one.
- 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 D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-15T12:49:31-06:00 | 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 | 161492011 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ONEIDA HEALTH SYSTEMS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ONEI | BusinessNameControlTxt |
| Phone | 3153636000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 321 GENESEE STREET | AddressLine1Txt |
| City | ONEIDA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13421 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN MILLIGAN | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3153636000 | PhoneNum |
| Signature | 2016-11-10 | 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
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ONEIDA HEALTHCARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | GENE MORREALE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 321 GENESEE STREET | AddressLine1Txt |
| City | ONEIDA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13421 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $103,179,601 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ONEIDAHEALTHCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | ONEIDA HEALTHCARE IS A 101-BED ACUTE CARE HOSPITAL AND A 160-BED SKILLED NURSING FACILITY (ECF) LICENSED BY THE STATE OF NEW YORK AND OPERATED BY ONEIDA HEALTH SYSTEMS, INC., A NEW YORK NOT-FOR-PROFIT CORPORATION. THE HOSPITAL IS JOINT COMMISSION ACCREDITED. AS A HEALTHCARE ORGANIZATION, ONEIDA HEALTHCARE IS GUIDED BY A MISSION OF EXCELLENCE:IN 2015 ONEIDA HEALTH SYSTEMS SERVED 3280 INPATIENTS AND 185423 OUTPATIENTS. THE RESIDENTIAL CARE FACILITY PROVIDED CARE TO 150 RESIDENTS ON A DAILY BASIS.THE MISSION OF THE ONEIDA HEALTHCARE IS TO PLAN, PROVIDE AND COORDINATE THE HIGHEST QUALITY PROGRESSIVE AND COMPREHENSIVE HEALTH CARE SERVICES FOR THE GREATER ONEIDA AREA AND SURROUNDING COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 1117 | TotalEmployeeCnt |
| Total Volunteers | 200 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$459,061 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,277,859 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,105,723 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $83,587,594 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $87,448,006 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,237,077 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,162,448 | CYInvestmentIncomeAmt |
| PY Other Revenue | $707,998 | PYOtherRevenueAmt |
| CY Other Revenue | $711,056 | CYOtherRevenueAmt |
| PY Total Revenue | $88,810,528 | PYTotalRevenueAmt |
| CY Total Revenue | $90,427,233 | 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 | $45,261,800 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $46,166,108 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $49,903 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $36,991,283 | PYOtherExpensesAmt |
| CY Other Expenses | $39,742,814 | CYOtherExpensesAmt |
| PY Total Expenses | $82,253,083 | PYTotalExpensesAmt |
| CY Total Expenses | $85,908,922 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,557,445 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,518,311 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $121,870,784 | TotalAssetsBOYAmt |
| Total Assets EOY | $120,769,754 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $55,869,049 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $51,707,071 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $66,001,735 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $69,062,683 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF ONEIDA HEALTH SYSTEMS IS TO PLAN, PROMOTE, PROVIDE AND COORDINATE THE HIGHEST QUALITY PROGRESSIVE AND COMPREHENSIVE HEALTH CARE SERVICES FOR THE GREATER ONEIDA AREA AND SURROUNDING COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $80,207,546 | ExpenseAmt |
| Revenue | $88,107,396 | RevenueAmt |
| Desc | ONEIDA HEALTHCARE CENTER IS A NON PROFIT HEALTHCARE PROVIDER FOCUSING ON INPATIENT AND OUTPATIENT SERVICES FOR THE LOCAL COMMUNITY. THE HOSPITAL OFFERS THORACIC AND GENERAL SURGERY PROCEDURES, OB/GYN SERVICES, ENDOSCOPY, UROLOGY, CARDIAC TESTING, 24/7 EMERGENCY DEPARTMENT, ICU, IMAGING SERVICES INCLUING MRI, PET SCAN AND CT SCAN, OUTPATIENT PHYSICAL THERAPY, A BIRTHING CENTER, SLEEP CENTER AND PULMONARY FUNCATION TESTING, MULTIPLE LAB DRAW STATIONS, AND A SKILLED NURSING FACILITY WITH REHAB AND VENTILATOR UNITS. THE HOSPITAL ALSO OPERATES MULTIPLE PHYSICIAN OFFICES THROUGHOUT THE NEIGHBORING COMMUNITIES THAT PROVIDE FAMILY AND INTERNAL MEDICINE SERVICES TO OUR LOCAL RESIDENTS. KEY STATISTICS FOR 2015 ARE AS FOLLOWS: ADMISSIONS: 3280, PATIENT DAYS: 11062, ER VISITS 23740, SURGERIES: 3728, VISITS TO PHYSICIAN PRACTICES: 21919. | Desc |
| Total Program Service Expenses | $80,207,546 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | 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 | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 64 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1117 | 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 | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | 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 | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | 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 | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN MILLIGAN CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3153636000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 321 GENESEE STREET | AddressLine1Txt |
| City | ONEIDA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13421 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| VICTOR J SIRCHIA CHAIR | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| AMANDA LARSON SECRETARY | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL R KALLET VICE CHAIR | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| DANIEL M RATNARAJAH MD | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $58,367 | $0 | $0 | ||||
| PETER F HEDGLON ESQ | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | 0.30 | |||
| STEVEN J POTTER | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| ELIZABETH METZGER | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| NADINE BELL | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| GENE MORREALE | |||||||||
| CEO | 40.00 | Yes (X) | Yes (X) | $431,180 | $0 | $82,194 | 0.90 | ||
| JANICE BACH MD | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $1,150 | $0 | $0 | ||||
| JOHN MILLIGAN | |||||||||
| CFO | 40.00 | Yes (X) | $200,896 | $0 | $30,834 | ||||
| MARY PARRY | |||||||||
| COO | 40.00 | Yes (X) | $137,910 | $0 | $23,957 | ||||
| DANA VICK MD | |||||||||
| VP MEDICAL AFFAIRS/CHIEF M | 40.00 | $270,065 | $0 | $34,096 | 4.00 | Yes (X) | |||
| BRYAN EHLINGER | |||||||||
| ADMINISTRATOR LTC | 40.00 | $150,388 | $0 | $25,829 | Yes (X) | ||||
| KOHLBRENNER JANIS | |||||||||
| VP CLINICAL SERVICES | 40.00 | $160,149 | $0 | $4,780 | Yes (X) | ||||
| DAVID GORDON | |||||||||
| ENT PHYSICIAN | 40.00 | $574,642 | $0 | $43,268 | Yes (X) | ||||
| JOHN KING | |||||||||
| ORTHOPEDIC PHYSICIAN | 40.00 | $544,348 | $0 | $15,935 | Yes (X) | ||||
| HAZEM QALLA | |||||||||
| PHYSICIAN | 40.00 | $669,373 | $0 | $37,628 | Yes (X) | ||||
| DAVID PATALINO | |||||||||
| ORTHOPEDIC PHYSICIAN | 40.00 | $346,500 | $0 | $0 | Yes (X) | ||||
| KRISLYN FLINT | |||||||||
| PHYSICIAN | 40.00 | $438,648 | $0 | $16,174 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,983,616 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $314,695 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 27 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | 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 |
|---|---|---|---|---|---|
| CHIRUMAMILLA MD PC | |||||
| 467 FOXWOOD TERRACE | ONEIDA | NY | 13421 | PHYSICIAN SERVICES | $508,136 |
| CEMUR NURUDIN | |||||
| 17 OAKWOOD DRIVE | NEW HARTFORD | NY | 13413 | PHYSICIAN SERVICES | $410,264 |
| TRI-VALLEY FAMILY PRACTICE | |||||
| 3 CURTIS ROAD | VERNON | NY | 13476 | PHYSICIAN SERVICES | $403,044 |
| ROTHMAN ROBERT | |||||
| 120 EAST WASHINGTON STREET SUITE 1 | SYRACUSE | NY | 13202 | COLLECTION AGENCY | $349,793 |
| KYAW M HTUN MD PC | |||||
| 135 NOTO DRIVE | SHERRILL | NY | 13461 | PHYSICIAN SERVICES | $326,286 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 17 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $62,500 | RelatedOrganizationsAmt |
| Government Grants | $855,575 | GovernmentGrantsAmt |
| All Other Contributions | $187,648 | AllOtherContributionsAmt |
| Total Contributions | $1,105,723 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OUTPATIENT | 623000 | $37,749,680 | $37,749,680 |
| INPATIENT ACUTE CARE | 623000 | $19,856,688 | $19,856,688 |
| EXTENDED CARE FACILITY | 623000 | $17,119,518 | $17,119,518 |
| EMERGENCY ROOM | 623000 | $12,314,344 | $12,314,344 |
| OTHER NET PATIENT SERVICE REVENUE | 623000 | $407,776 | $407,776 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $87,448,006 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $688,157 | TotalRevenueColumnAmt |
| Exclusion | $688,157 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $110,041 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $58,375 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $51,666 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $51,666 | TotalRevenueColumnAmt |
| Exclusion | $51,666 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $13,161,428 | SecuritiesAmt |
| Other | $6,856 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $12,679,692 | SecuritiesAmt |
| Other | $14,301 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $481,736 | SecuritiesAmt |
| Other | -$7,445 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $474,291 | TotalRevenueColumnAmt |
| Exclusion | $474,291 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CAFETERIA | 722210 | $326,610 | $326,610 |
| PHYSICIAN INCENTIVE | 900099 | $166,114 | $166,114 |
| OTHER INCLUDING TOBACCO POOLS | 900099 | $160,771 | $160,771 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,895 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,895 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $659,390 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $90,427,233 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $88,107,396 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,214,114 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,611,794 | TotalAmt |
| Program Services | $1,070,200 | ProgramServicesAmt |
| Management And General | $506,441 | ManagementAndGeneralAmt |
| Fundraising | $35,153 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,586,224 | TotalAmt |
| Program Services | $32,328,454 | ProgramServicesAmt |
| Management And General | $2,252,351 | ManagementAndGeneralAmt |
| Fundraising | $5,419 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,164,904 | TotalAmt |
| Program Services | $1,999,847 | ProgramServicesAmt |
| Management And General | $161,128 | ManagementAndGeneralAmt |
| Fundraising | $3,929 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,057,710 | TotalAmt |
| Program Services | $4,671,712 | ProgramServicesAmt |
| Management And General | $384,684 | ManagementAndGeneralAmt |
| Fundraising | $1,314 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,745,476 | TotalAmt |
| Program Services | $2,533,276 | ProgramServicesAmt |
| Management And General | $208,112 | ManagementAndGeneralAmt |
| Fundraising | $4,088 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $185,570 | TotalAmt |
| Program Services | $92,785 | ProgramServicesAmt |
| Management And General | $92,785 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,654 | TotalAmt |
| Program Services | $31,327 | ProgramServicesAmt |
| Management And General | $31,327 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,285 | TotalAmt |
| Management And General | $105,285 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,588,656 | TotalAmt |
| Program Services | $5,753,147 | ProgramServicesAmt |
| Management And General | $835,509 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $269,880 | TotalAmt |
| Program Services | $269,880 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $599,127 | TotalAmt |
| Program Services | $511,250 | ProgramServicesAmt |
| Management And General | $87,877 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,043,941 | TotalAmt |
| Program Services | $782,956 | ProgramServicesAmt |
| Management And General | $260,985 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,206,371 | TotalAmt |
| Program Services | $1,108,318 | ProgramServicesAmt |
| Management And General | $98,053 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,672 | TotalAmt |
| Program Services | $33,300 | ProgramServicesAmt |
| Management And General | $6,372 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,145 | TotalAmt |
| Program Services | $43,822 | ProgramServicesAmt |
| Management And General | $6,323 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,052,412 | TotalAmt |
| Program Services | $1,052,412 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,437,706 | TotalAmt |
| Program Services | $6,437,706 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $906,086 | TotalAmt |
| Program Services | $906,086 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES INCLUD | $9,626,660 | $9,622,995 | $3,665 |
| BAD DEBT | $4,719,068 | $4,719,068 | |
| EQUIPMENT AND REPAIRS | $2,740,560 | $2,595,556 | $145,004 |
| LOSS ON DEBT EXTINGUISH | $2,029,550 | $2,029,550 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,079,471 | TotalAmt |
| Program Services | $1,613,899 | ProgramServicesAmt |
| Management And General | $465,572 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,908,922 | TotalAmt |
| Program Services | $80,207,546 | ProgramServicesAmt |
| Management And General | $5,651,473 | ManagementAndGeneralAmt |
| Fundraising | $49,903 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,554,543 | BOYAmt |
| EOY | $6,107,457 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,721,157 | BOYAmt |
| EOY | $3,086,709 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,031 | BOYAmt |
| EOY | $15,372 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,738,831 | BOYAmt |
| EOY | $34,707,445 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $115,625 | BOYAmt |
| EOY | $103,125 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,362,932 | BOYAmt |
| EOY | $1,702,818 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,071,986 | BOYAmt |
| EOY | $4,636,118 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $116,559,570 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $78,692,296 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,796,448 | BOYAmt |
| EOY | $37,867,274 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,100,293 | BOYAmt |
| EOY | $27,135,279 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,384,938 | BOYAmt |
| EOY | $5,408,157 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $121,870,784 | BOYAmt |
| EOY | $120,769,754 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,104,083 | BOYAmt |
| EOY | $14,162,773 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,243,430 | BOYAmt |
| EOY | $24,644,987 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,411,900 | BOYAmt |
| EOY | $978,003 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,109,636 | BOYAmt |
| EOY | $11,921,308 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,869,049 | BOYAmt |
| EOY | $51,707,071 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,859,978 | BOYAmt |
| EOY | $68,924,943 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,482 | BOYAmt |
| EOY | $71,465 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,275 | BOYAmt |
| EOY | $66,275 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,001,735 | BOYAmt |
| EOY | $69,062,683 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $121,870,784 | BOYAmt |
| EOY | $120,769,754 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $4,518,311 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,586,779 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $129,416 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $141,758 | BeginningYearBalanceAmt |
| Contributions | $360,089 | ContributionsAmt |
| Investment Earnings Or Losses | -$4,016 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$360,089 | OtherExpendituresAmt |
| End Year Balance | $137,741 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $169,256 | BeginningYearBalanceAmt |
| Contributions | $145,542 | ContributionsAmt |
| Investment Earnings Or Losses | -$27,499 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $145,542 | OtherExpendituresAmt |
| End Year Balance | $141,758 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $195,758 | BeginningYearBalanceAmt |
| Contributions | $286,559 | ContributionsAmt |
| Investment Earnings Or Losses | -$26,502 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $286,559 | OtherExpendituresAmt |
| End Year Balance | $169,256 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $108,240 | BeginningYearBalanceAmt |
| Contributions | $353,178 | ContributionsAmt |
| Other Expenditures | $265,660 | OtherExpendituresAmt |
| End Year Balance | $195,758 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $415,234 | BeginningYearBalanceAmt |
| Contributions | $197,447 | ContributionsAmt |
| Investment Earnings Or Losses | -$939 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$503,502 | OtherExpendituresAmt |
| End Year Balance | $108,240 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.25680 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.48120 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.26200 | 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 | $501,584 | OtherCostOrOtherBasisAmt |
| Book Value | $501,584 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $57,664,713 | OtherCostOrOtherBasisAmt |
| Depreciation | $36,568,429 | DepreciationAmt |
| Book Value | $21,096,284 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,604,661 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,799,788 | DepreciationAmt |
| Book Value | $804,873 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $55,292,071 | OtherCostOrOtherBasisAmt |
| Depreciation | $40,324,079 | DepreciationAmt |
| Book Value | $14,967,992 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $496,541 | OtherCostOrOtherBasisAmt |
| Book Value | $496,541 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $37,867,274 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| THIRD PARTY PAYOR SETTLEMENTS | $2,414,871 |
| PENSION PLAN LIABILITY | $8,671,537 |
| BLUE CROSS ADVANCE | $748,000 |
| CHARITABLE GIFT ANNUITY | $86,900 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $11,921,308 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE ENDOWMENT FUNDS ARE TO BE USED FOR THE MAINTENANCE OF A FREE BED IN THE NAME OF A LOVED ONE PREDESIGNATED BY THE DONOR. THE PURPOSE OF THE BED IS TO ASSIST PATIENTS WHOSE NEEDS MEET SPECIFICATIONS LISTED IN THE DONATION LETTER. ONEIDA HEALTHCARE FOUNDATION HOLDS $35,370 IN RESTRICTED FUNDS. ENDOWMENT FUNDS ARE FOR CONSTRUCTION IMPROVEMENTS AND EQUIPMENT FOR THE FACILITY. |
| PART X, LINE 2: | ONEIDA HEALTHCARE CENTER IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. OHC IS SUBJECT TO FEDERAL INCOME TAXES ON UNRELATED BUSINESS INCOME UNDER SECTION 511 OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31, 2015, OHC 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 THROUGH 2015. |
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 |
| Percent100 | Yes (X) | Percent100Ind |
| 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 | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,388,566 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $93,059 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,295,507 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03840 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,292,041 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,620,422 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,671,619 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06600 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,680,607 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,713,481 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,967,126 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10440 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $75 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $75 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,663 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $22,663 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,450 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,450 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,188 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $27,188 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,707,795 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,713,481 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,994,314 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10480 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,925 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,925 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $65,649 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $65,649 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,426 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,203 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $33,223 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $922 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $922 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $102,922 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,203 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $101,719 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense | $1,552,041 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $898,239 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $12,874,515 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $228,819,049 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$215,944,534 | 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 WESTMORELAND ASC LLC | |||
| SURGICAL CENTER | 0.18190 | 0.00000 | 0.00000 |
| 2 WESTMORELAND DEVELOPMENT COMPANY OF NY LLC | |||
| PROPERTY COMPANY | 0.18190 | 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 | ONEIDA HEALTH SYSTEMS INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 321 GENESEE STREET | AddressLine1Txt |
| City | ONEIDA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13421 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ONEIDA HEALTH SYSTEMS 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 | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.ONEIDAHEALTHCARE.ORG | 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 | WWW.ONEIDAHEALTHCARE.ORG | 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 | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| 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 | HTTP://WWW.ONEIDAHEALTHCARE.ORG/OUR-HOSPITAL/FINANCIAL-ASSISTANCE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://WWW.ONEIDAHEALTHCARE.ORG/FINANCIAL-ASSISTANCE-APPLICATION | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTP://WWW.ONEIDAHEALTHCARE.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| 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 |
| Lowest Negotiated Rates | Yes (X) | LowestNegotiatedRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ONEIDA HEALTH SYSTEMS INC. | PART V, SECTION B, LINE 5: A CHA STEERING COMMITTEE COMPRISED OF REPRESENTATIVES FROM 18 ORGANIZATIONS IN MADISON COUNTY, REPRESENTING COMMUNITY ORGANIZATIONS, HEALTHCARE AND GOVERNMENT, CONVENED IN OCTOBER 2012 TO REVIEW THE CURRENT CHA AND CHIP AND TO DEVELOP AND OVERSEE THE IMPLEMENTATION OF THE 2013 COMMUNITY HEALTH ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN. (ONEIDA HEALTHCARE WAS REPRESENTED BY ITS CEO AND DIRECTOR OF COMMUNITY RELATIONS) |
| ONEIDA HEALTH SYSTEMS INC. | PART V, SECTION B, LINE 6A: COMMUNITY MEMORIAL OF HAMILTON, NY |
| ONEIDA HEALTH SYSTEMS INC. | PART V, SECTION B, LINE 11: ACCESS TO QUALITY HEALTH CARE: IN JUNE 2014, ONEIDA HEALTHCARE, IN CONJUNCTION WITH SUBSIDIARY ONEIDA MEDICAL PRACTICE, OPENED UP AN AFTER-HOURS CARE PROGRAM. ONEIDA QUICK CARE GIVES INDIVIDUAL ACCESS TO CARE ON WEEKDAY EVENINGS AND WEEKENDS OUTSIDE OF A VISIT TO THE EMERGENCY ROOM. IN ADDITION, ONEIDA HEALTHCARE EXPANDED ITS ENT SPECIALISTS OF ONEIDA PRACTICE WITH ADDITIONAL AUDIOLOGY AND OTHER RELATED SERVICES. IN LATE 2014 AND EARLY 2015, ONEIDA HEALTHCARE MOVED AND EXPANDED ITS MATERNAL HEALTH CLINIC TO A MORE ACCESSIBLE PART OF THE CITY OF ONEIDA. ONEIDA HEALTHCARE PROVIDES HEALTHCARE SERVICES TO EXPECTING MOTHERS AND ASSISTS WITH THE APPLICATION FOR MEDICAID, IF NECESSARY. LASTLY, IN 2014, ONEIDA HEALTHCARE OPENED ACCESS TO A PATIENT PORTAL SYSTEM, ALLOWING PATIENTS TO OBTAIN MORE INFORMATION ABOUT THEIR CARE AND TEST RESULTS. THE OTHER INITIATIVES LISTED IN THE CHNA ARE AS FOLLOWS:1. CHRONIC DISEASE PREVENTION: IN 2014, ONEIDA HEALTHCARE PURCHASED AND INSTALLED TWO NEW DIGITAL MAMMOGRAPHY MACHINES. THESE MACHINES ALLOW FOR BETTER SCANS AND POTENTIALLY FASTER DIAGNOSIS OF A POTENTIAL PROBLEM. IN ADDITION, IN LATE 2014 AND EARLY 2015, ONEIDA HEALTHCARE OBTAINED A NAVIGATIONAL BRONCHOSCOPE WHICH ALLOWS FOR A BETTER SCREENING PROCESS FOR POTENTIAL LUNG CANCER AND EARLIER TREATMENTS.A. PROMOTION OF BREASTFEEDING - 1 MORE OF THE MATERNITY STAFF NURSES TOOK THE CLC (CERTIFIED LACTATION CONSULTANTS) TRAINING COURSE AND EXAM IN 2014. THE BABY WEIGH STATION AND "BREASTFEEDING CAFE" OFFERINGS ARE EACH AVAILABLE 2-4 TIMES A MONTH ON DIFFERENT DAYS AND SITES. WE WILL CONTINUE TO INCREASE AWARENESS AND ENCOURAGE PARTICIPATION IN THESE "BREASTFEEDING CONNECTIONS" PROGRAMS.B. REACH AND MAINTAIN HEALTHY WEIGHT FOR CHILDREN /ADOLESCENTS/AGES 4-18 - ENROLLED 33 CHILDREN AND FAMILIES BY END OF 2014, AND 22 IN 2015, IN FIT KIDS OF MADISON COUNTY PROGRAM. THE CURRENT PROGRAM MODEL IS DESIGNED TO SERVE 10 PARTICIPATING PRE-TEEN INDIVIDUALS PER 12-WEEK SERIES. PLANS ARE UNDERWAY TO EXPAND THE PROGRAM TO INCLUDE A GREATER NUMBER OF CHILDREN WITHIN THE SAME AGE RANGE (7 & 8TH GRADERS) FOR CONTINUITY AND SUSTAINABILITY OF SUCCESSFUL OUTCOMES. THE PROGRAM IS 100% GRANT AND SPONSOR FUNDED AND IS SUBJECT TO THAT CONTINUATION.C. REDUCE STROKE RELATED MORTALITY - ONGOING INITIATIVE2. INCREASE ACCESS TO AND AWARENESS OF MENTAL HEALTH SERVICES - A STUDY WAS PERFORMED IN 2014 WITH REGARDS TO THE DEVELOPMENT A TELEPSYCHIATRY PROGRAM WITH ST. JOSEPH'S HOSPITAL HEALTH CENTER. IN 2015, THE EQUIPMENT WAS PURCHASED AND THE SERVICE IS RUN OUT OF THE VERONA HEALTH CENTER. 3. HEALTHY ENVIRONMENTS - THE HOSPITAL APPLIED FOR AND RECEIVED A COUNTY GRANT IN 2014 TO PURCHASE 400 RECYCLING CONTAINERS TO BE USED THOUGHT THE ORGANIZATION AND ENCOURAGE BETTER COMPLIANCE WITH RECYCLING EFFORTS IN OUR FACILITIES AND IN OUR COMMUNITIES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 9 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - VERONA HEALTH CENTER | ||||
| 5547 WEST MAIN STREET | VERONA | NY | 13478 | HOSPITAL BASED HEALTH CENTER |
| 2 - ONEIDA HEALTHCARE CENTER ECF | ||||
| 323 GENESEE ST | ONEIDA | NY | 13421 | EXTENDED CARE FACILITY |
| 3 - CANASTOTA LENOX HEALTH CENTER | ||||
| 115 CENTER STREET | CANASTOTA | NY | 13032 | HOSPITAL BASED HEALTH CENTER |
| 4 - CHITTENANGO FAMILY CARE | ||||
| 1372 ROUTE 5 | CHITTENANGO | NY | 13037 | HOSPITAL BASED HEALTH CENTER |
| 5 - OB CLINIC | ||||
| 447 NORTH MAIN STREET | ONEIDA | NY | 13421 | HOSPITAL BASED PCAP CENTER |
| 6 - ONEIDA HEALTHCARE REHABILITATION CENTER | ||||
| 221 BROAD STREET | ONEIDA | NY | 13421 | REHABILITATION FACILITY/MEDICAL OFFICES |
| 7 - ALICE GORMAN IMAGING CENTER | ||||
| 139 FIELDS DRIVE | ONEIDA | NY | 13421 | IMAGING CENTER |
| 8 - ALICE GORMAN IMAGING CENTER - CAMDEN | ||||
| 9562 STATE ROUTE 13 | CAMDEN | NY | 13316 | IMAGING CENTER |
| 9 - CHITTENANGO INTERNAL MEDICINE | ||||
| 115 CENTER STREET | CHITTENANGO | NY | 13037 | HOSPITAL BASED HEALTH CENTER |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | FINANCIAL ASSISTANCE IS CALCULATED USING A COST TO CHARGE RATIO. DIRECT OFFSETTING REVENUE FOR FINANCIAL ASSISTANCE IS CALCULATED BY TAKING REVENUES AND A PERCENT OF THE POOL PAYMENTS BASED ON THE LOSS. |
| PART I, LN 7 COL(F): | PERCENT OF TOTAL EXPENSE IS CALCULATED BY TAKING THE NET COMMUNITY BENEFIT EXPENSES DIVIDED BY TOTAL FUNCTIONAL EXPENSES EXCLUDING BAD DEBT EXPENSE |
| PART II, COMMUNITY BUILDING ACTIVITIES: | IN 2015, OHC PROVIDED EDUCATIONAL ACTIVITIES FOR COMMUNITY MEMBERS IN AREAS INCLUDING WELLNESS, DIABETES EDUCATION AND SUPPORT AND A VARIETY OF OTHER HEALTH TOPICS. OHC PROVIDES MEETING SPACE FOR NUMEROUS SUPPORT GROUPS FOR INDIVIDUALS FACING EMOTIONAL AND PHYSICAL HEALTH CHALLENGES SUCH AS CANCER, SCLERODERMA, OBESITY, PRENATAL CARE, AND APHASIA.OHC IS AN IMPORTANT PART OF MADISON COUNTY'S PUBLIC HEALTH INFRASTRUCTURE AND BY DEVELOPING A MORE ACTIVE PARTNERSHIP WITH THE DEPARTMENT OF HEALTH, WE ULTIMATELY CONTRIBUTE TO THE VALUE AND STRENGTH OF THE PUBLIC HEALTH SYSTEM. THE PROCESS FOR PUBLIC INPUT DERIVES FROM THE MADISON COUNTY CHA AND CHIP.THE STEERING COMMITTEE MET BI-MONTHLY DURING 2013 TO MONITOR THE PROGRESS OF COMMUNITY FOCUS GROUPS, REVIEW CURRENT DATA AND DEFINE PRIORITY AREAS AND DISPARITIES TO BE ADDRESSED. COMMUNITY FOCUS GROUPS MET IN FEBRUARY/MARCH 2013, TO SOLICIT COMMUNITY INPUT REGARDING FIVE DISTINCT DEMOGRAPHIC GROUPS THAT REPRESENTED LIFE STAGES (AGES 0-3,4-11,12-19,20-49,50+). A SIXTH GROUP MET ON THE TOPIC OF ECONOMIC DEVELOPMENT AND HEALTH. THESE FOCUS AND WORK GROUPS WERE POPULATED BY REPRESENTATIVES OF ALMOST 50 ORGANIZATIONS IN MADISON COUNTY. THIS PROCESS WAS COORDINATED BY THE HEALTH DEPARTMENT WHICH ORGANIZED PUBLIC INPUT BY SETTING UP WORK GROUP MEETING SCHEDULES, ISSUING INVITATIONS TO PARTICIPANTS, AND PROVIDING REGULAR COMMUNICATION AND FEEDBACK TO PARTICIPANTS. WORK GROUP AND OTHER DISCUSSIONS WERE FACILITATED BY HEALTHECONNECTIONS FROM SYRACUSE, NY, WHICH COMPILED AND WROTE THE CHIP. BY JULY, GOALS AND STRATEGIES WITHIN EACH PRIORITY AREA WERE FINALIZED.THE PRIORITIES IN WHICH OHC WILL FOCUS ON ARE PREVENTING CHRONIC DISEASE, PROMOTING MENTAL HEALTH, AND PREVENTING SUBSTANCE ABUSE. CHRONIC DISEASE PREVENTION GOALS INCLUDE: PROMOTION OF BREASTFEEDING, REACHING AND MAINTAINING HEALTHY WEIGHTS FOR KIDS 4-18, AND REDUCING STROKE RELATED MORTALITY. PROMOTION OF MENTAL HEALTH SERVICES AND SUBSTANCE ABUSE PREVENTION GOALS INCLUDE: INCREASE ACCESS TO AND AWARENESS OF MENTAL HEALTH SERVICES. TO PROMOTE BREASTFEEDING, OHC HAS TWO CLC (CERTIFIED LACTATION CONSULTANTS) AND ONE IBCLC (INTERNATIONAL BOARD CERTIFIED LACTATION CONSULTANT) AND ALL OF THE NURSES IN THE MATERNITY UNIT HAVE TRAINING IN LACTATION SUPPORT TO PROVIDE THE BASIC EDUCATION AND SUPPORT TO BREASTFEEDING MOTHERS. IN 2014, WE HAD HOPED TO HAVE AT LEAST ONE MORE MATERNITY STAFF NURSE TAKE THE CLC TRAINING COURSE AND EXAM AND POSSIBLY TO HAVE ANOTHER TAKE THE IBCLC EXAM. WE DID HAVE ONE RN TAKE THE CLC TRAINING COURSE IN SEPTEMBER 2014. BY HOSTING A CLC COURSE IN CONJUNCTION WITH THE GORMAN FOUNDATION IN JUNE 2015, WITH 20 REGISTRANTS, OHC WAS ABLE TO GET 3 FREE ATTENDEES. THE BABY WEIGH STATION AND BREASTFEEDING CAFE OFFERINGS ARE EACH AVAILABLE 2-4 TIMES PER MONTH ON DIFFERENT DAYS AND SITES. WE CONTINUE TO INCREASE AWARENESS AND ENCOURAGE PARTICIPATION IN THESE PROGRAMS. BREAST PUMPS AND ACCESSORIES ARE AVAILABLE FOR PURCHASE THROUGH ONEIDA HEALTH SUPPORT, A DIVISION OF OHC. MADISON COUNTY SUGGESTS IMPLEMENTATION OF THE NYSDOH GREAT BEGINNINGS INITIATIVE AT OHC AND COMMUNITY MEMORIAL HOSPITALS. THIS INITIATIVE RECOMMENDS ENSURING BREAST FEEDING INFANTS DO NOT RECEIVE SUPPLEMENTATION (FORMULA, WATER, OR GLUCOSE WATER) UNLESS MEDICALLY INDICATED OR AT THE REQUEST OF THE MOTHER, DISCONTINUE THE DISTRIBUTION OF FREE INFANT FORMULA OR FORMULA PROMOTIONAL MATERIALS INCLUDING DISCHARGE PACKS, AND PROVIDE ALL BREASTFEEDING MOTHERS WITH POST-DISCHARGE LACTATION SUPPORT AND REFERRALS. OHC IS CURRENTLY REVIEWING EXISTING VENDOR CONTRACTUAL OBLIGATIONS AND WILL CONTINUE TO ACTIVELY EXPLORE THE POSSIBILITIES OF IMPLEMENTING A NEW BEGINNINGS PROGRAM.REACHING AND MAINTAINING HEALTHY WEIGHTS FOR KIDS 4-18 BY REDUCING THE PERCENTAGE OF CHILDREN THAT ARE OVERWEIGHT BY 5% BY 2017 (ROUGHLY 68 KIDS) IS A GOAL FOR OHC. BY THE END OF 2014, OHC HAD 33 ENROLLED CHILDREN AND FAMILIES IN THE FIT KIDS PROGRAM AND 22 CHILDREN ENROLLED IN 2015. THE FIT KIDS PROGRAM IS BASED ON THE FIT KIDS OF ARIZONA TEMPLATE, WHERE OHC AND THE YMCA OF THE GREATER TRI-VALLEY, IN PARTNERSHIP WITH THE CNY COMMUNITY FOUNDATION, EXCELLUS BCBS AND MADISON COUNTY DOH WORK TOGETHER. THE PROGRAM IS 100% GRANT AND SPONSOR FUNDED AND IS SUBJECT TO THAT CONTINUATION. ENROLLEES RECEIVE A 12-WEEK PROGRAM INCLUDING A PERSONAL TRAINER, WHOLE HEALTH ASSESSMENT, AND 12 MONTH FREE YMCA MEMBERSHIP.TO REDUCE STROKE RELATED MORTALITY, OHC AND OTHER COMMUNITY HEALTH ADVOCATES ARE TO WORK TOGETHER TO INITIATE A COMMUNITY EDUCATION CAMPAIGN. DEVELOPING COLLATERAL MATERIALS AND DISTRIBUTION TO PRIMARY CARE PHYSICIANS, AREA HEALTH FAIRS, AND OTHER COMMUNITY EVENTS WILL BE INCLUDED IN THIS CAMPAIGN ALONG WITH SPONSORING A COMMUNITY EDUCATION EVENT FEATURING EXPERT PRESENTERS. A SUMMER PROGRAM IN 2015 WAS HELD TO BRIDGE CURRENT AND FORMER PARTICIPANTS - 22 STUDENTS ENROLLED.INCREASING ACCESS TO MENTAL HEALTH SERVICES BY DEVELOPING A TELEPSYCHIATRY PROGRAM WITH ST. JOSEPH'S HOSPITAL HEALTH CENTER IN SYRACUSE AND EXPLORING THE FINANCIAL PROGRAMMATIC FEASIBILITY OF ESTABLISHING AN INPATIENT SHORT STAY MENTAL HEALTH UNIT FOR 55+ YEAR OLD INDIVIDUALS WITH ACUTE BEHAVIORAL ISSUES IS ON THE AGENDA FOR OHC. IN 2014, OHC CONDUCTED AN ANALYSIS OF THE PROGRAMMATIC AND FINANCIAL FEASIBILITY AND VIABILITY AND EVALUATED CONVERSION OF RESIDENTIAL HEALTH CARE FACILITY (RHCF) BEDS TO ACUTE MENTAL HEALTH BEDS. FOR 2015, OPTIONS ARE BEING EXPLORED AND COORDINATED THROUGH OUR WORK WITH THE DSRIP PROGRAM IN NYS.OHC CURRENTLY OFFERS A NUMBER OF PUBLIC HEALTH PROGRAMS INTENDED TO ADDRESS THE PRIORITIES THAT WERE ADDRESSED IN THE MAPP ASSESSMENT PROCESS. THESE PROGRAMS INCLUDE: ACHIEVED MEDICAL HOME STATUS AT OUR VERONA HEALTH CENTER IN 2015.INSTALLED AND BEGAN OFFERING 3D MAMMOGRAPHY AT OUR GORMAN IMAGING LOCATION ON 139 FIELDS DR IN OCTOBER 2015.IMPLEMENTED 340B PROGRAM TO STRETCH RESOURCES AS FAR AS POSSIBLE, REACHING MORE ELIGIBLE PATIENTS AND PROVIDING MORE COMPREHENSIVE SERVICES.OPERATION OF A PRE-NATAL CLINIC THAT SERVES A PATIENT POPULATION OF PREDOMINANTLY YOUNG, UNMARRIED WOMEN WITH LIMITED RESOURCES AND ACCESS TO ROUTINE MEDICAL CARE. HEALTHY WOMEN'S PARTNERSHIP, A PROGRAM THAT PROVIDES MAMMOGRAMS AND CLINICAL BREAST EXAMS TO LOW INCOME WOMEN. PROVIDING LOCAL ACCESS TO HOSPITAL BASED PRIMARY AND SECONDARY CARE SERVICES AND ACCESS TO SPECIALITY CARE THROUGH AFFILIATIONS WITH SPECIALIST PHYSICIAN GROUPS AND REFERRAL HOSPITALS.EMERGENCY DEPARTMENT THAT SERVES AS A SAFETY NET FOR PATIENT ACCESS SERVICES. PROVIDING SERVICES OF THE TRAINED AND CERTIFIED SEXUAL ASSAULT NURSE EXAMINERS (SANE) IN OUR EMERGENCY DEPARTMENT.OPERATION OF OFFSITE PHLEBOTOMY STATIONS TO INCREASE ACCESS TO THESE SERVICES AND PATIENT CONVENIENCE.MEMBER OF THE TRI-COUNTY QUITS SMOKING CESSATION CONSORTIUM THAT PROVIDES SMOKING CESSATION PROGRAMS TO THE COMMUNITY.PROVIDING A VARIETY OF HEALTH EDUCATION SERVICES DIRECTLY AND THROUGH PARTICIPATION IN COMMUNITY HEALTH FAIRS AND SCREENINGS. |
| PART III, LINE 4: | SIGNIFICANT ESTIMATES MADE BY THE CENTER INCLUDE BUT ARE NOT LIMITED TO, THE ESTIMATED CARRYING VALUE OF INVESTMENT SECURITIES, ALLOWANCE FOR DOUBTFUL ACCOUNTS AND THIRD PARTY PAYER CONTRACTUAL ADJUSTMENTS, ESTIMATED THIRD PARTY SETTLEMENTS, AND ASSUMPTIONS USED IN DETERMINING PENSION AND POSTRETIREMENT LIABILITIES AND RESULTANT BALANCES. THE CURRENT ECONOMIC ENVIRONMENT HAS INCREASED THE DEGREE OF UNCERTAINTY INHERENT IN THOSE ESTIMATES AND ASSUMPTIONS.THE ALLOWANCE FOR DOUBTFUL ACCOUNTS RECEIVABLE IS CALCULATED BY MANAGEMENT USING THE AGING METHODOLOGY. IN GENERAL, THE LONGER AN ACCOUNT BALANCE IS OVERDUE, THE LESS LIKELY THE DEBT IS TO BE PAID. THE HOSPITAL MAINTAINS AN ACCOUNTS RECEIVABLE AGING SCHEDULE, WHICH CATEGORIZES EACH PATIENT'S ACCOUNT BY THE LENGTH OF TIME THEY HAVE BEEN OUTSTANDING. EACH AGED CATEGORY'S OVERALL BALANCE IS MULTIPLIED BY AN ESTIMATED PERCENTAGE OF UNCOLLECTIBILITY FOR THAT CATEGORY, AND THE TOTAL OF ALL SUCH CALCULATIONS SERVES AS THE ESTIMATE OF BAD DEBTS. THE ACCOUNTS RECEIVABLE AGING SCHEDULE IS CATEGORIZED BY SERVICE INCLUDING INPATIENT, EMERGENCY ROOM, REFERRED AMBULATORY, AMBULATORY SURGERY, SERIES AND NURSING HOME. EACH SERVICE IS THEN SUB-CATEGORIZED BY FINANCIAL CLASS AND AGED CATEGORY. EACH AGED CATEGORY IS DELINEATED BY 30 DAY INCREMENTS UP TO 180 DAYS OUTSTANDING THEN 180 TO 360 AND OVER 361 DAYS OUTSTANDING. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS RECEIVABLE CALCULATION IS THE RESULT OF THE FOLLOWING:FOR ALL ACCOUNTS RECEIVABLE EXCLUSIVE OF SELF PAY, 5% OF THE NET EXPECTED PAYMENT FOR ALL ACCOUNTS THAT ARE BETWEEN 0 AND 180 DAYS OUTSTANDING ARE RESERVED FOR BAD DEBT. FOR ALL ACCOUNTS THAT ARE OVER 181 DAYS OUTSTANDING, THE RESERVE FOR BAD DEBT IS 50%. THIS CALCULATION IS USED PRIMARILY TO ESTIMATE THE UNCOLLECTIBILITY OF DEDUCTIBLES AND COINSURANCE AFTER INSURANCE PAYMENTS.FOR ALL SELF PAY PATIENTS BETWEEN 0 AND 60 DAYS OLD, 25% OF THE EXPECTED PAYMENT OUTSTANDING IS RESERVED FOR BAD DEBT; FOR BETWEEN 61 AND 90 DAYS OLD, 50% OF THE EXPECTED PAYMENT OUTSTANDING IS RESERVED; FOR 91-120 DAYS OLD, 75% OF THE EXPECTED PAYMENT OUTSTANDING IS RESERVED; AND FOR ALL SELF PAY ACCOUNTS OVER 121 DAYS OLD, 90% OF THE EXPECTED SELF PAY PAYMENT IS RESERVED FOR BAD DEBT. THE ALLOWANCE FOR BAD DEBT RESERVE THAT IS CALCULATED MONTHLY IS COMPARED TO THE ACTUAL RESERVE PER THE GENERAL LEDGER AND ADJUSTED ACCORDINGLY.THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3: THE RATIO OF COST TO CHARGES.THE RATIONALE FOR INCLUDING OTHER BAD DEBT AMOUNTS IN COMMUNITY BENEFIT IS BECAUSE ONEIDA HEALTHCARE CENTER (OHC) HAS SEEN A SUBSTANTIAL INCREASE IN THE VOLUME OF SELF PAY PATIENTS DUE TO EMPLOYERS CLOSING, REDUCING STAFF OR REDUCING THE HEALTH INSURANCE BENEFITS THAT THEY OFFER THEIR EMPLOYEES. DEDUCTIBLE AND CO-INSURANCE AMOUNTS HAVE INCREASED OVER THE PAST FEW YEARS, WITH THE IMPLEMENTATION OF MORE HIGH DEDUCTIBLE PLANS AND THE AFFORDABLE CARE ACT. OHC HAS SEEN AN INCREASE IN PATIENT PHONE CALLS, ON SITE VISITS AND CONCERNS RELATIVE TO BALANCE BILLING. OHC STAFF IS AVAILABLE TO DISCUSS PATIENT OPTIONS TO RESOLVE THEIR OUTSTANDING BALANCES. THE HOSPITAL OFFERS FINANCIAL ASSISTANCE BASED ON 400% OF THE FEDERAL POVERTY GUIDELINES. PATIENTS RECEIVE A PAMPHLET OUTLINING THE FINANCIAL ASSISTANCE PROGRAM AND ALLOWANCES WITH EACH ORIGINAL STATEMENT. APPLICATIONS CAN BE OBTAINED AT THE HOSPITAL, HOSPITAL CLINICS, REGISTRATION DEPARTMENT AND THE BUSINESS OFFICE AND ON THE HOSPITAL'S WEBSITE (WWW.ONEIDAHEALTHCARE.ORG). OHC ALSO WORKS WITH AN OUTSIDE AGENCY, CARDON OUTREACH, TO ASSIST PATIENTS IN APPLYING FOR MEDICAID OR OTHER STATE RUN PROGRAMS FOR LOW INCOME FAMILIES. OHC ALSO OFFERS PAYMENT PLANS FOR THOSE PATIENTS WHO ARE UNABLE TO PAY A BALANCE IN FULL. HOSPITAL REPRESENTATIVES WORK WITH PATIENTS TO DEVELOP A PAYMENT PLAN THAT IS AFFORDABLE BY THE PATIENT AND IS REASONABLE FOR THE HOSPITAL. ASSISTANCE WITH ANY FINANCIAL ASPECT IS OFFERED BY THE HOSPITAL BUSINESS OFFICE STAFF. A BUSINESS OFFICE EMPLOYEE IS ALSO LOCATED IN THE HOSPITAL'S REGISTRATION DEPARTMENT, MONDAY THROUGH FRIDAY FROM 9:00 A.M. TO 5:00 P.M. PATIENTS ARE ABLE TO SCHEDULE APPOINTMENTS WITH BUSINESS OFFICE REPRESENTATIVES TO DISCUSS THEIR OPTIONS. THE BUSINESS OFFICE HAS ALSO ASSISTED PATIENTS WITH BILLINGS THEY MAY HAVE FROM OTHER PROVIDERS WHEN THE PATIENT JUST DOES NOT KNOW OR UNDERSTAND HOW TO HANDLE THE RESOLUTION OF THE ACCOUNTS.IN MANY CASES PATIENTS UTILIZE OUR EMERGENCY ROOM SERVICES FOR TREATMENT OF NON-EMERGENT CARE. UNINSURED PATIENTS ARE ROUTINELY UNEMPLOYED PATIENTS AND THEREFORE IT IS DIFFICULT TO COLLECT PAYMENT FOR SERVICES RENDERED. PATIENTS WHO ARE UNINSURED OFTEN DO NOT SEEK CARE UNTIL IT IS ABSOLUTELY NECESSARY, THEREFORE CREATING A LARGE BALANCE DUE FOR EMERGENCY ROOM SERVICES. BECAUSE PROVIDERS CANNOT ASK FOR PREVIOUS TAX RETURNS TO MAKE DETERMINATIONS FOR FINANCIAL ASSISTANCE IT IS DIFFICULT AT TIMES TO ACCURATELY DETERMINE PERCENTAGES FOR FINANCIAL ASSISTANCE. OHC DECISIONS FOR FINANCIAL ASSISTANCE ARE MADE IN FAVOR OF THEIR PATIENTS WHEN IN DOUBT. OHC HAS RECENTLY UPDATED THE FINANCIAL ASSISTANCE POLICIES WITH PARAMETERS THAT ALLOW MORE PATIENTS TO QUALIFY FOR THIS ASSISTANCETHERE ARE TIMES WHEN PATIENTS DO NOT WANT TO APPLY FOR ASSISTANCE AS THEY DO NOT WANT ANYONE TO KNOW THEY NEED THE ASSISTANCE. OHC HAS MADE DECISIONS TO APPROVE FINANCIAL ASSISTANCE FOR PATIENTS BASED ON A CASE BY CASE SITUATION WHERE IT IS CLEARLY EVIDENT THE PATIENT NEEDS HELP.COSTLY CARE, UNDER FUNDED RATES FROM PAYERS, DELAYS IN PAYMENTS AND INCREASED DENIALS HAVE PUT A BURDEN ON ALL HEALTH CARE FACILITIES.ONEIDA HEALTHCARE OFFERS FREE, CONFIDENTIAL ASSISTANCE. ALL PATIENTS CAN CONTACT OUR FINANCIAL COUNSELORS AT 361-2087 OR 361-2048. |
| PART III, LINE 8: | THE EXTENT TO WHICH ANY SHORTFALL REPORTED IN LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT IS BECAUSE THE CURRENT HEALTHCARE OPERATING ENVIRONMENT IS VERY CHALLENGING IN GENERAL WITH GREAT UNCERTAINITY ABOUT THE IMPACT OF REFORM AND THE CURRENT ECONOMIC SITUATION. LIKE MANY RURAL HOSPITALS, ONEIDA HEALTHCARE FACES THESE AND OTHER CHALLENGES TO ITS ABILITY TO CONTINUE TO SUPPORT ITS SERVICES.RECRUITMENT OF PHYSICIANS TO RURAL AREAS IS A HUGE CHALLENGE FOR HOSPITALS LIKE ONEIDA. OUR LONG TERM ABILITY TO IMPROVE ACCESS TO CARE IS HIGHLY DEPENDENT ON SUCCESSFULLY RECRUITING PHYSICIANS. RECRUITMENT HAS BECOME MORE DIFFICULT AND IS LIKELY TO CONTINUE TO BE A HUGE CHALLENGE GOING FORWARD. NEVERTHELESS, IT IS A HIGH PRIORITY FOR ONEIDA HEALTHCARE.THE HOSPITAL CURRENTLY OFFERS A NUMBER OF PUBLIC HEALTH PROGRAMS INTENDED TO ADDRESS THE PRIORITIES THAT WERE ADDRESSED IN THE MAPP ASSESSMENT PROCESS. THESE PROGRAMS ARE DESCRIBED IN THE FOLLOWING LIST.PRIMARY CARE CENTERS IN VERONA, CHITTENANGO AND CANASTOTA WHERE 32% OF THE PATIENTS SERVICED ARE MEDICAID, UNDERINSURED AND LIMITED OR NO PAY PATIENTS.OPERATION OF A PCAP PRE-NATAL CLINIC THAT SERVICES A PATIENT POPULATION OF PREDOMINANTLY YOUNG, UNMARRIED WOMEN WITH LIMITED RESOURCES AND ACCESS TO ROUTINE MEDICAL CARE.EMERGENCY DEPARTMENT THAT SERVES AS A SAFETY NET FOR PATIENT ACCESS TO SERVICES.HEALTH WOMEN'S PARTNERSHIP, A PROGRAM THAT PROVIDES MAMMOGRAMS AND CLINICAL BREAST EXAMINATIONS TO LOW INCOME WOMEN.COLORECTAL SCREENING PROGRAM THAT PROVIDED SERVICES TO LOW INCOME AND UNDERINSURED PEOPLE.OPERATION OF OFFSITE PHLEBOTOMY STATIONS TO INCREASE ACCESS TO THESE SERVICES AND PATIENT CONVENIENCE.PARTNERED WITH THE LOCAL YMCA TO PROVIDE A 12-WEEK INTENSIVE EDUCATION AND HANDS ON LEARNING PROGRAM ADDRESSING CHILDHOOD OBESITY FOR MIDDLE SCHOOL AGED CHILDREN.PROVIDING SPACE FOR A 16-WEEK PRE DIABETIC EDUCATION PROGRAM IN OUR BUSINESS OFFICE BUILDING.DONATED $3258.92 IN MEDICAL SUPPLIES TO THE MARY ROSE CLINIC.PROVIDING A VARIETY OF HEALTH EDUCATION SERVICES, INCLUDING SMOKING CESSATION, DIRECTLY AND THROUGH PARTICIPATION IN COMMUNITY HEALTH FAIRS AND SCREENINGS.ZIKA VIRUS ANSWER PANEL AFTER NEW BROADCAST ON WKTV AT OUR WOMEN'S HEALTH LOCATION IN ROME.DONATING $500 TO THE AMERICAN CANCER SOCIETY.OPERATING THE BABY WEIGH STATION THAT PROVIDES LACTATION CONSULTATION TO NEW MOTHERS, EDUCATION ABOUT BREAST FEEDING, AND ONGOING WEIGHT MONITORING PROGRAMS FOR NEWBORN INFANTS.PATIENT SUPPORT GROUPS INCLUDING CANCER SUPPORT, LAMAZE CLASSES AND OTHERS.PROVIDING THE SERVICES OF TRAINED AND CERTIFIED SEXUAL ASSAULT CURSE EXAMINERS (SANE) IN OUR EMERGENCY DEPARTMENT.PROVIDING LOCAL ACCESS TO HOSPITAL BASED PRIMARY AND SECONDARY CARE SERVICES AND ACCESS TO SPECIALTY CARE THROUGH AFFILIATIONS WITH SPECIALIST PHYSICIAN GROUPS AND REFERRAL HOSPITALS |
| PART III, LINE 9B: | IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE NO FURTHER COLLECTION ACTIONS ARE TAKEN. |
| PART III LINE 6 | COSTING METHODOLOGY AND SOURCE: 2015 ICR EXHIBIT 46 AND TENATIVE MEDICARE SETTLEMENT RATES. |
| PART VI, LINE 2: | ONEIDA HEALTHCARE IS COMMITTED TO HELPING ASSESS AND ADDRESS THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES THROUGH ITS OWN PROGRAMS AND SERVICES, AND PARTNERSHIP WITH OTHERS. A COMMUNITY ASSESSMENT IS A POINT IN TIME EFFORT TO MEASURE THE HEALTH AND WELL BEING OF THE COMMUNITY. IT SERVES AS A BASIS FOR OHC'S STRATEGIC AND SUBSEQUENT ACTION PLANNING TO DEVELOP HEALTH POLICY, ALLOCATE RESOURCES, IMPROVE OR EXPAND EXISTING SERVICES, IMPLEMENT NEW PROGRAMS AND COLLABORATE WITH OTHER COMMUNITY HEALTHCARE PROVIDERS. THE COMMUNITY ASSESSMENT WILL SERVE AS A BENCHMARK FOR FUTURE ASSESSMENT OF RELATIVE PROGRESS TOWARD ESTABLISHED COMMUNITY HEALTH OBJECTIVES.OHC'S PARTICIPATION IN THE COMMUNITY ASSESSMENT WILL PROVIDE THE OPPORTUNITY TO:- GAIN INSIGHTS INTO THE NEEDS AND ASSETS OF THE COMMUNITIES' SERVED- IDENTIFY AND ADDRESS THE NEEDS OF VULNERABLE POPULATIONS WITHIN THE COMMUNITY- ENHANCE HOSPITAL / COMMUNITY RELATIONSHIPS AND THE OPPORTUNITY FOR COLLABORATIVE COMMUNITY ACTION INCLUDING INVOLVEMENT WITH PARTNERSHIPS, BOARDS, COMMITTEE, COMMISSIONS, ADVISORY GROUPS AND PANELS- PROVIDE THE INFORMATION REQUIRED FOR COMMUNITY OUTREACH PLANNING.THE COMMUNITY NEEDS ASSESSMENT PROCESS INVOLVES GATHERING OF TWO TYPES OF DATA: QUANTITATIVE (DEMOGRAPHICS, HEALTH INDICATORS, ETC.) AND QUALITATIVE (PUBLIC SURVEYS, FORUMS, FOCUS GROUPS). THE DATA WILL HELP SUPPORT SHORT TERM AND LONG TERM DECISIONS ABOUT ALLOCATION OF COMMUNITY HUMAN AND CAPITAL RESOURCES.OHC PARTICIPATED IN OCTOBER 2012 WITH VARIOUS LOCAL AGENCIES AND ORGANIZATIONS CONVENED AT THE MADISON COUNTY DEPARTMENT OF HEALTH'S CONFERENCE ROOM TO EMBARK UPON A COMPREHENSIVE HEALTH IMPROVEMENT PROCESS FOR MADISON COUNTY. IN 2013, THE HEALTH IMPROVEMENT PLANNING REPORT FOR MADISON COUNTY WAS PUBLISHED. THE FIVE PREVENTION AGENDA PRIORITIES IDENTIFIED DURING THE COMMUNITY HEALTH ASSESSMENT INCLUDED 1) PREVENT CHRONIC DISEASES 2) PROMOTE A HEALTHY AND SAFE ENVIRONMENT 3) PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN 4) PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE 5) PREVENT HIV, STDS AND VACCINE PREVENTABLE DISEASES. THE STRATEGIES IDENTIFIED WERE 1) HEALTHY CARE 2) HEALTHY BEHAVIORS 3) HEALTHY ENVIRONMENTS. OHC GATHERS VITAL SOCIO ECONOMIC AND DEMOGRAPHIC FACTORS TO SUPPORT INTERNAL DECISION MAKING FOR RESOURCE ALLOCATION AND TO DETERMINE GEOGRAPHIC LOCATION OF NEW PROGRAMS AND TO MEET EMERGING NEEDS. THE PRIORITIES THAT OHC WILL BE FOCUSING ON ARE MENTIONED IN THE COMMUNITY BUILDING ACTIVITIES SECTION. |
| PART VI, LINE 3: | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE OHC IS COMMITTED TO:1)PROVIDING ACCESS TO QUALITY HEALTHCARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR THOSE WE SERVE, PARTICULARLY THE POOR AND THE UNDERSERVED IN OUR COMMUNITIES.2)CARING FOR ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES.3)ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE.4)BALANCING NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO SUSTAIN VIABILITY AND PROVIDE THE QUALITY AND QUANTITY OF SERVICES FOR ALL WHO MAY NEED CARE IN A COMMUNITY.IN ACCORDANCE WITH NEW YORK STATE RECOMMENDATIONS, OHC HAS ADOPTED THE FOLLOWING GUIDING PRINCIPLES WHEN HANDLING THE BILLING, COLLECTION AND FINANCIAL SUPPORT FUNCTIONS OF OUR PATIENTS:1)PROVIDE EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING HOSPITAL BILLS.2)MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE FINANCIAL SUPPORT PROGRAMS.3)OFFER FINANCIAL SUPPORT TO PATIENTS WITH LIMITED NEEDS.4)IMPLEMENT POLICIES FOR ASSISTING LOW INCOME PATIENTS IN A CONSISTENT MANNER.5)IMPLEMENT FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES FOR ALL PATIENTS AND PATIENT PAYMENT OBLIGATIONS.OHC IS COMMITTED TO EFFECTIVELY COMMUNICATING WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. NOTIFICATION OF THE FINANCIAL ASSISTANCE POLICY WILL BE POSTED AT EACH REGISTRATION SITE INCLUDING BUT NOT LIMITED TO THE HOSPITAL REGISTRATION DEPARTMENT, THE EMERGENCY ROOM, LAB DRAW STATIONS, PHYSICAL THERAPY BUILDING, THE GORMAN BUILDING AND AT THE CLINICS. NOTIFICATION OF THE FINANCIAL ASSISTANCE POLICY WILL BE IDENTIFIED ON THE FIRST BILLING SENT TO ALL PATIENT/GUARANTORS WHO HAVE AN OPEN BALANCE WITH THE HOSPITAL. SIGNS INFORMING PATIENTS OF THE FINANCIAL ASSISTANCE PROGRAM, IN VARIOUS LANGUAGES, WILL ALSO BE POSTED AT EACH REGISTRATION INPUT AREA BASED ON THE SAMPLE LANGUAGE FORMAT FROM THE NEW YORK STATE DEPARTMENT OF HEALTH. THE BROCHURE PROVIDES INFORMATION REGARDING PAYMENT OPTIONS, FINANCIAL ASSISTANCE AND BILLING QUESTIONS. EVERY EFFORT IS MADE TO DETERMINE A PATIENTS ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION HOWEVER, DETERMINATION FOR FINANCIAL SUPPORT CAN BE MADE DURING ANY STAGE OF THE PATIENTS STAY AFTER STABILIZATION OR COLLECTION CYCLE. OHC OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE IS AVAILABLE THROUGH VARIOUS MEANS, PATIENT BROCHURES, NOTICES OR MESSAGING INCLUDED ON PATIENT BILLS AND NOTICES IN PUBLIC REGISTRATION AREAS, INCLUDING EMERGENCY ROOM, OUTPATIENT CLINICS, ADMITTING AND REGISTRATION DEPARTMENTS AND PATIENT ACCOUNTING DEPARTMENTS. OHC HAS ESTABLISHED A COLLECTION CYCLE POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. OHC MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL CONSISTENT MANNER.OHC HAS FOUR FINANCIAL COUNSELORS PREPARED TO WORK WITH PATIENT'S FINANCIAL NEEDS. ONE OF THESE COUNSELORS IS A CERTIFIED APPLICATIONS COUNSELOR BY WHICH SHE CAN ASSIST PATIENTS OBTAIN INSURANCE COVERAGE THROUGH MEDICAID OR AND EXCHANGE PRODUCT. SHE GOES TO THE INPATIENT ROOMS TO DISCUSS OPTIONS WITH THE PATIENTS AND THEIR FAMILIES. |
| PART VI, LINE 4: | OHC SERVES A FOUR COUNTY SERVICE AREA WITHIN A 25 MILE RADIUS STRETCHING IN EVERY DIRECTION FROM THE CITY OF ONEIDA. THE PRIMARY SERVICE ZIP CODES ARE LOCATED IN MADISON AND ONEIDA COUNTIES WHILE THE SECONDARY SERVICE ZIP CODES ARE LOCATED IN ONONDAGA AND OSWEGO COUNTIES. IN 2015 THE PRIMARY COUNTY MARKET AREA SERVED HAD AN ESTIMATED POPULATION OF 304,349, WHILE THE SECONDARY COUNTIES HAD AN ESTIMATED POPULATION OF 588,609.THERE ARE SEVEN HOSPITALS WITHIN OHC'S SERVICE AREA THAT REPRESENT 95% OF THE MARKET PENETRATION. THREE OF THE HOSPITALS PROVIDE PRIMARY HEALTH SERVICES WITHIN THE MARKET AREA SERVED BY OHC. FOUR HOSPITALS, THREE TO THE WEST OF OHC BY FORTY FIVE MINUTES AND ONE TO THE EAST OF OHC BY 35 MINUTES, PROVIDE TERTIARY CARE FOR THIS AREA.ACCORDING TO THE US CENSUS BUREAU OHC'S SERVICE AREAS EXPERIENCED A 2.2 PERCENT DECREASE IN POPULATION FROM APRIL 1, 2010 TO JULY 1, 2015. THE STRESS THAT THIS TREND PLACES ON THE PROVISION OF SERVICES IS COMPOUNDED BY THE HIGHER THAN AVERAGE PROPORTION OF ELDERLY IN THE AREA. SIXTEEN AND THREE TENTHS PERCENT OF THE POPULATION IN THE SERVICE AREA WAS OVER AGE 65 IN 2015, COMPARED TO 13.7% FOR THE NATION. THIS LARGE PERCENTAGE OF ELDERLY PRESENTS SPECIAL CHALLENGES TO HEALTH CARE PROVIDERS BECAUSE THE ELDERLY HAVE THE HIGHEST INCIDENCE OF DISEASE AND MORTALITY IN MOST CATEGORIES AND CORRESPONDINGLY, ARE THE BIGGEST USERS OF HEALTH CARE SERVICES. MEDICARE PAYMENT SHORTFALLS PRESENT AN ADDITIONAL BURDEN FOR RURAL HEALTH CARE PROVIDERS. FOR FISCAL YEAR 2015, 33% OF OHC'S REVENUES WERE GENERATED FROM MEDICARE PATIENTS.THE MEDIAN HOUSEHOLD INCOME IN OHC'S SERVICE AREA IS ESTIMATED AT $53,584, WHILE THE PERCENT OF INDIVIDUALS BELOW THE POVERTY LEVEL IN THE SERVICE AREA AVERAGES 11.8%. OHC IS A DISPROPORTIONATE SHARE HOSPITAL. IN FISCAL YEAR 2015, OUR GENERAL ADMITTANCE PAYER MIX FOR MEDICARE (INCLUDING HMO MEDICARE) WAS 42% AND 21% FOR THE POOR AND UNDERSERVED. FOR FISCAL YEAR 2015, PAYER MIX FOR THE POOR AND UNDERSERVED IN EMERGENCY DEPARTMENT WAS 48%. PRIORITIES OF OUR EMERGENCY ROOM PHYSICIANS INCLUDES AUGMENTING ACCESS TO CARE FOR UNINSURED AND UNDERINSURED INDIVIDUALS, FACILITATING CONNECTION WITH ONE OF OHC'S THREE ARTICLE 28 OUTPATIENT CLINICS AND THE PRIMARY CARE PHYSICIANS IN THE SURROUNDING AREAS.OHC WORKS IN COLLABORATION WITH LOCAL COMMUNITY ORGANIZATIONS TO ADDRESS THE PREVALENCE OF OBESITY, DIABETES, HEART DISEASE/STROKE, AND UNDER AGE PREGNANCY. OHC OFFERS A DISCOUNTED DIABETES PROGRAM. OHC PARTICIPATES IN A HEALTHY WOMEN'S PARTNERSHIP THAT PROVIDES MAMMOGRAMS AND CLINICAL BREAST EXAMS TO LOW INCOME WOMEN, COLORECTAL SCREENING TO LOW INCOME AND UNDER INSURED MEN, AND DIABETES EDUCATION SERVICES. OHC PARTICIPATES IN THE FIT KIDS OF MADISON COUNTY PROGRAM WITH THE YMCA TO IMPROVE OUTCOMES FOR OVERWEIGHT YOUTH EDUCATION AND FITNESS. OHC OFFERS SMOKING CESSATION PROGRAMS TO BOTH INPATIENTS AND OUTPATIENTS WHO RECEIVE CARE. OHC PROMOTES BREASTFEEDING WITH ALL MOTHERS OFFERING CERTIFIED LACTATION CONSULTANTS TO ASSIST IN BREASTFEEDING SUCCESS. |
| PART VI, LINE 5: | OTHER INFORMATION:ONE HUNDRED PERCENT OF OHC'S SURPLUS REVENUE IS INVESTED BACK INTO SUPPORTING THE ORGANIZATIONS MISSION AND VISION. OHC IS GOVERNED BY A TWELVE MEMBER BOARD WHO WORK AND LIVE WITHIN THE PRIMARY AND SECONDARY MARKET AREA OF THE HOSPITAL. OUR GOVERNANCE STRUCTURE ENSURES THAT THE COMMUNITY AND IT'S INTERESTS ARE STRONGLY REPRESENTED IN IMPORTANT DECISION MAKING. IN ADDITION, TWO SEATS ON OHC'S BOARD ARE ALLOCATED TO THE CITY OF ONEIDA, WHO HELP INSURE THE ORGANIZATION REMAINS TRUE TO ITS MISSION AND TAX EXEMPT PURPOSE.OHC MAINTAINS AN OPEN MEDICAL STAFF- MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS. OHC ACTIVELY RECRUITS, INCLUDING EMPLOYING WHEN NECESSARY. OHC HAS ASSISTED IN RECRUITING A PRIMARY CARE PHYSICIAN AND A PHYSICIAN'S ASSISTANT INTO A DESIGNATED UNDER SERVED AREA. OHC PROVIDES EMERGENCY SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. |
| PART VI, LINE 6: | ONEIDA HEALTH SYSTEM'S INC. (DBA ONEIDA HEALTHCARE) IS A NEW YORK STATE NOT FOR PROFIT CORPORATION, TAX EXEMPT UNDER SECTION 501(3) OF THE IRC. THE SYSTEM INCLUDES TWO CAPTIVE PROFESSIONAL CORPORATIONS, ONEIDA MEDICAL P.C. AND ONEIDA MEDICAL SERVICES, PLLC, MULTI SPECIALTY PHYSICIAN GROUPS. THE PCS ARE THE VEHICLE THROUGH WHICH PHYSICIANS ARE EMPLOYED TO SERVE THE COMMUNITY. |
| 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 |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GENE MORREALE | ||||||||||||||
| CEO | $333,841 | $0 | $84,111 | $0 | $13,228 | $0 | $65,659 | $0 | $16,535 | $0 | $513,374 | $0 | $0 | $0 |
| JOHN MILLIGAN | ||||||||||||||
| CFO | $199,729 | $0 | $0 | $0 | $1,167 | $0 | $12,350 | $0 | $18,484 | $0 | $231,730 | $0 | $0 | $0 |
| MARY PARRY | ||||||||||||||
| COO | $127,136 | $0 | $7,390 | $0 | $3,384 | $0 | $8,023 | $0 | $15,934 | $0 | $161,867 | $0 | $0 | $0 |
| DANA VICK MD | ||||||||||||||
| VP MEDICAL AFFAIRS/CHIEF M | $256,468 | $0 | $11,924 | $0 | $1,673 | $0 | $15,611 | $0 | $18,485 | $0 | $304,161 | $0 | $0 | $0 |
| BRYAN EHLINGER | ||||||||||||||
| ADMINISTRATOR LTC | $138,290 | $0 | $8,721 | $0 | $3,377 | $0 | $8,894 | $0 | $16,935 | $0 | $176,217 | $0 | $0 | $0 |
| KOHLBRENNER JANIS | ||||||||||||||
| VP CLINICAL SERVICES | $149,894 | $0 | $8,809 | $0 | $1,446 | $0 | $4,780 | $0 | $0 | $0 | $164,929 | $0 | $0 | $0 |
| DAVID GORDON | ||||||||||||||
| ENT PHYSICIAN | $572,029 | $0 | $0 | $0 | $2,613 | $0 | $25,333 | $0 | $17,935 | $0 | $617,910 | $0 | $0 | $0 |
| JOHN KING | ||||||||||||||
| ORTHOPEDIC PHYSICIAN | $537,109 | $0 | $0 | $0 | $7,239 | $0 | $0 | $0 | $15,935 | $0 | $560,283 | $0 | $0 | $0 |
| HAZEM QALLA | ||||||||||||||
| PHYSICIAN | $451,495 | $0 | $181,637 | $0 | $36,241 | $0 | $21,693 | $0 | $15,935 | $0 | $707,001 | $0 | $0 | $0 |
| DAVID PATALINO | ||||||||||||||
| ORTHOPEDIC PHYSICIAN | $346,500 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $346,500 | $0 | $0 | $0 |
| KRISLYN FLINT | ||||||||||||||
| PHYSICIAN | $339,415 | $0 | $95,876 | $0 | $3,357 | $0 | $16,174 | $0 | $0 | $0 | $454,822 | $0 | $0 | $0 |
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 | MADISON COUNTY CAPITAL RESOURCE CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 272499520 | BondIssuerEIN |
| CUSIP | NONEAVAIL | CUSIPNum |
| Bond Issued | 2015-08-19 | BondIssuedDt |
| Issue Price | $26,590,000 | IssuePriceAmt |
| Purpose | REFINANCE THREE TAX EXEMPT BOND ISSUES FROM 2001 AND 2007 | 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 |
| Retired | $26,680,419 | RetiredAmt |
| Bond Defeased | $26,680,419 | BondDefeasedAmt |
| Total Proceeds | $26,590,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $969,443 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $1,164,987 | CapitalExpendituresAmt |
| Unspent | $1,945,013 | UnspentAmt |
| Substantial Completion | 2015 | SubstantialCompletionYr |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | 0 | 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 | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| 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
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)
| Relationship With OrgRelationshipWithOrgTxt | Loan PurposeLoanPurposeTxt | Loan From OrganizationLoanFromOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|---|---|
| DR DANIEL RATNARAJAH | |||||||
| BOARD MEMBER | MEDICAL EDUCATION LOAN | Yes (X) | $75,000 | $3,125 | 0 | Yes (1) | Yes (1) |
| DR DANIEL RATNARAJAH | |||||||
| BOARD MEMBER | PHYSICIAN INCOME GUARANTEE | Yes (X) | $143,333 | $100,000 | 0 | Yes (1) | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $103,125 | TotalBalanceDueAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE FOLLOWING DESCRIBES THE PROCESS BY ONEIDA HEALTH SYSTEMS PRIOR TO FILING THE FORM 990 REPORT: THE FORM 990 WHEN COMPLETED IS REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD. THE MOST ESSENTIAL PARTS OF THE FORM 990 INCLUDING THE SECTIONS ON EXECUTIVE COMPENSATION AND CONFLICTS OF INTEREST ARE REVIEWED WITH THE EXECUTIVE COMMITTEE IN DETAIL. THE COMMUNITY BENEFIT AND FINANCIAL STATEMENT DATA IS PERIODICALLY REVIEWED WITH THE FINANCE COMMITTEE AND THE ENTIRE BOARD OF DIRECTORS. THE FORM 990 IS APPROVED BY THE BOARD ON A CONSENT AGENDA BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ONEIDA HEALTH SYSTEMS INC. REQUIRES ALL DIRECTORS AND KEY EMPLOYEES TO DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE CONFLICT OF INTEREST STATEMENTS ARE SUMMARIZED AND REVIEWED BY MANAGEMENT, COUNCIL AND THE EXECUTIVE COMMITTEE OF TRUSTEES TO IDENTIFY POTENTIAL CONFLICTS OF INTERESTS. WHEN A POTENTIAL CONFLICT IS IDENTIFIED (FOR EXAMPLE BY RECUSING INTERESTED PARTIES FROM CERTAIN BOARD VOTES OR ENGAGING IN COMPETITIVE BIDDING FOR CONTRACTS) ANY CONFLICT IS DOCUMENTED IN THE BOARD MINUTES. |
| FORM 990, PART VI, SECTION B, LINE 15 | ONEIDA HEALTH SYSTEMS INC. HAS AN EXECUTIVE COMMITTEE OF TRUSTEES TO REVIEW THE PERFORMANCE AND COMPENSATION OF THE PRESIDENT AND ALL VICE PRESIDENTS. THE COMPENSATION COMMITTEE UTILIZED COMPENSATION COMPARABILITY DATA FROM YAFEE AND COMPANY AND IROQUOIS HEALTH ASSOCIATION TO SUPPORT THE DETERMINATION OF SALARY FOR THE SELECTED POSITIONS AND CONTEMPORIOUS SUBSTANTIATION INCLUDING COMMITTEE MINUTES. RELATIVE TO OFFICERS AND KEY EMPLOYEES THE CEO UTILIZES COMPENSATION COMPARABILITY DATA FROM YAFEE AND COMPANY AND IROQUOIS HEALTHCARE ASSOCIATION ALONG WITH ANNUAL PERFORMANCE EVALUATIONS TO DETERMINE THE COMPENSATION OF THESE AFOREMENTIONED INDIVIDUALS. THE COMPENSATION SURVEY DATA UTILIZED ARE FROM COMPARABLE SIZED NOT FOR PROFIT HEALTHCARE FACILITIES LOCATED IN RELATIVELY THE SAME REGION AS ONEIDA HEALTH SYSTEMS INC. |
| FORM 990, PART VI, SECTION C, LINE 19 | ONEIDA HEALTH SYSTEMS INC. WILL MAKE ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AND PURSUANT TO INTERNAL REVENUE SERVICE GUIDELINES. |
| FORM 990, PART XI, LINE 9: | FORGIVENESS OF TERM NOTE 368,531. CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 52,367. RETIREMENT PLAN OBLIGATION CHANGES OTHER THAN NET PERIODIC BENEFIT COST -291,482. |
| PART XII LINE 2C | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
| PART X | THE BONDS WERE LEGALLY AND ECONOMICALLY DEFEASED IN AUGUST 2015 AND ARE NO LONGER OUTSTANDING AT DECEMBER 31, 2015. IN CONNECTION WITH THE LEGAL AND ECONOMIC DEFEASANCE OF THE 2001 AND 2007 SERIES BONDS, AND THE NURSING HOME CAPITAL LEASE OBLIGATION AND RELATED BONDS, THE SYSTEM RECOGNIZED A LOSS OF $2,029,550 RELATING TO THE DERECOGNITION OF UNAMORTIZED DEBT ISSUANCE COSTS, INTEREST PAYMENTS REQUIRED FOR THE PERIOD BETWEEN AUGUST 1, 2015 AND THE DATE OF THE DEFEASANCE, AND CERTAIN OTHER DEBT REFINANCING EXPENSES. THE LOSS ON REFINANCING IS INCLUDED IN OTHER REVENUE (EXPENSE), ON THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS FOR THE YEAR ENDED DECEMBER 31, 2015. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ONEIDA HEALTHCARE CORPORATION | |||||||||||
| 321 GENESEE STREET | ONEIDA | NY | 13421 | 223093394 | REAL PROPERTY HOLDING COMPANY FOR BENEFIT OF HOSPITAL | NY | 501 (C) (3) | LINE 11A, I | N/A | 0 | |
| ONEIDA HEALTHCARE FOUNDATION | |||||||||||
| PO BOX 705 | ONEIDA | NY | 13421 | 237072767 | FUNDRAISING FOR THE BENEFIT OF THE HOSPITAL | NY | 501 (C) (3) | LINE 9 | N/A | 0 | |
| ONEIDA MEDICAL SERVICES PLLC | |||||||||||
| 321 GENESEE STREET | ONEIDA | NY | 13421 | 461695760 | MEDICAL OFFICE | NY | 501 (C) (3) | LINE 3 | 0 | ONEIDA HEALTH SYSTEMS | |
| ONEIDA MEDICAL PRACTICE | |||||||||||
| 221 BROAD STREET | ONEIDA | NY | 13421 | 261147857 | MEDICAL OFFICE | NY | 501 (C) (3) | LINE 3 | 0 | ONEIDA HEALTH SYSTEMS | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ONEIDA HEALTH VENTURES INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 321 GENESEE STREET | AddressLine1Txt |
| City | ONEIDA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13421 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 462495527 | EIN |
| Primary Activities | INACTIVE | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ONEIDA HEALTH SYSTEMS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| 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 | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | 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 | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |