2015-11-16T11:33:11-06:00 2014-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2014-01-01 150532254 ST JOSEPHS HOSPITAL HEALTH CENTER STJO 3157032163 301 PROSPECT AVE SYRACUSE NY 132031899 LOWELL A SEIFTER ESQ SECRETARY 3154485880 2015-11-13 1 ANGELA M FRANCO P00589741 3154463600 2014 2016-02-25 16:41:14Z LOWELL A SEIFTER ESQ 301 PROSPECT AVE SYRACUSE NY 13203 609982025 0 X SJHSYR.ORG X 1895 NY RELIGIOUS & CHARITABLE, TEACHING HOSPITAL 18 11 4695 577 152610 0 11772969 10320951 544358253 542194840 2625028 1810270 19906207 49265863 578662457 603591924 14094 0 0 0 291022907 307055709 0 0 0 269629657 293203335 560666658 600259044 17995799 3332880 625165669 648957477 397768725 438829997 227396944 210127480 X OUR MISSION: WE ARE PASSIONATE HEALERS DEDICATED TO HONORING THE SACRED IN OUR SISTERS AND BROTHERS.OUR VISION: TO BE WORLD-RENOWNED FOR PASSIONATE PATIENT CARE AND OUTSTANDING CLINICAL OUTCOMES.CORE VALUES: IN THE SPIRIT OF GOOD STEWARDSHIP, WE HEAL BY PRACTICING: COMPASSION THROUGH OUR KINDNESS, CONCERN AND GENUINE CARING; REVERENCE IN HONORING THE DIGNITY OF THE HUMAN SPIRIT; EXCELLENCE BY EXPECTING THE BEST OF OURSELVES AND OTHERS; INTEGRITY BY BEING AND SPEAKING THE TRUTH. 0 0 128994887 144301556 HEART DISEASE AND STROKECARDIOVASCULAR DISEASE IS THE LEADING CAUSE OF DEATH IN THE NATION, NEW YORK STATE AND ONONDAGA COUNTY. SINCE ST. JOSEPH'S PERFORMED THE FIRST OPEN HEART SURGERY IN CENTRAL NEW YORK IN 1958, IT HAS CONTINUED TO LEAD THE WAY IN THE PREVENTION, DETECTION AND TREATMENT OF HEART DISEASE. FOR EXAMPLE:- SURGEONS PERFORM OVER 1,150 OPEN-HEART PROCEDURES.- INTERVENTIONAL CARDIOLOGISTS PERFORM NEARLY 5,100 CARDIAC CATHETERIZATIONS AND OVER 1,920 PERCUTANEOUS CORONARY INTERVENTIONS.- SPECIALISTS CONDUCT MORE THAN 555 ELECTROPHYSIOLOGY CASES, INCLUDING THREE-DIMENSIONAL MAPPINGS.- ELECTROPHYSIOLOGISTS AND SURGEONS IMPLANT APPROXIMATELY 772 CARDIAC DEFIBRILLATORS AND PACEMAKERS.ST. JOSEPH'S HOSPITAL HAS BEEN NAMED TO THE 2014 EDITION OF "100 GREAT COMMUNITY HOSPITALS," A LIST BASED ON COMMUNITY HOSPITALS' ACCOLADES, QUALITY AND SERVICE TO THEIR COMMUNITIES BY BECKER'S HOSPITAL REVIEW.ACCORDING TO THE BECKER'S HOSPITAL REVIEW ARTICLE, THE HOSPITALS THAT MADE THE LIST HAVE FEWER THAN 550 BEDS AND HAS CONTINUALLY WORKED TO PROVIDE THE QUALITY OF CARE AND THE EXPERIENCE PATIENTS DESERVE AND EXPECT.ST. JOSEPH'S HOSPITAL HEALTH CENTER HAS BEEN RANKED AS THE "BEST REGIONAL HOSPITAL" IN NEW YORK STATE BY U.S. NEWS. ST. JOSEPH'S IS THE ONLY HOSPITAL IN OUR REGION TO HAVE ACHIEVED THIS RECOGNITION.TO HELP PATIENTS MAKE SMART, WELL-INFORMED CHOICES, U.S. NEWS HAS PUBLISHED ANNUAL HOSPITAL RANKINGS FOR MORE THAN TWO AND A HALF DECADES. THE U.S. NEWS 2015-16 "BEST REGIONAL HOSPITALS" RANKINGS ARE BASED IN PART ON WHICH HOSPITALS EARNED NATIONAL RANKINGS, AS WELL AS HOW EACH HOSPITAL PERFORMED IN KEY AREAS OF COMMON CARE. ST. JOSEPH'S WAS RANKED AS A HIGH PERFORMING HOSPITAL FOR HEART BYPASS, KNEE REPLACEMENT AND HIP REPLACEMENT SURGERIES.CONSUMER REPORTS HAS RANKED ST. JOSEPH'S HOSPITAL HEALTH CENTER AMONG THE HIGHEST IN THE UNITED STATES WHEN IT COMES TO HEART SURGERY. THE RATING FOR HEART BYPASS SURGERY AND AORTIC VALVE REPLACEMENT SURGERY, PLUS THE TWO COMBINED, PUTS ST. JOSEPH'S IN A VERY ELITE CLASS - WHICH INCLUDES ONLY 15 HOSPITALS OUT OF MORE THAN 400 NATIONWIDE. THE NATIONAL RANKING ADDS TO SEVERAL OTHER RECOGNITIONS ST. JOSEPH'S HAS RECEIVED FOR ITS CARDIAC CARE SERVICES, INCLUDING HEALTHGRADES 100 BEST HOSPITALS FOR CORONARY INTERVENTION , TOP 10% IN THE NATION FOR CORONARY INTERVENTIONAL PROCEDURES, AND THE SOCIETY OF CHEST PAIN CENTER AND SOCIETY FOR THORACIC SURGEONS (THREE OUT OF THREE STAR RATED). IN ADDITION, ST. JOSEPH'S CARDIAC CARE PROGRAM IS THE AREA'S ONLY NATIONALLY CERTIFIED CARDIAC REHABILITATION PROGRAM, HAS BEEN SELECTED AS THE ONLY HOSPITAL IN CENTRAL NEW YORK TO PROVIDE TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR), AND IS THE ONLY HOSPITAL IN CNY OFFERING PPM AND ICD LEAD MANAGEMENT INCLUDING LEAD EXTRACTIONS.ST. JOSEPH'S IS FULLY ACCREDITED FOR CARDIAC CATHETERIZATION BY ACCREDITATION FOR CARDIOVASCULAR EXCELLENCE (ACE), THE FIRST HOSPITAL IN NEW YORK AND THE SECOND IN THE UNITED STATES TO ACCOMPLISH ACCREDITATION IN ALL THREE CARDIOVASCULAR QUALITY DISCIPLINES WITH THE ACE: DIAGNOSTIC CATH, PCI AND CAROTID ARTERY STENTING.THE 12TH ANNUAL HEALTHGRADES QUALITY IN AMERICA STUDY ISSUED IN OCTOBER, 2009, RANKED ST. JOSEPH'S AMONG THE TOP FIVE PERCENT IN THE NATION FOR OVERALL CARDIAC SERVICES, CARDIAC SURGERY AND CORONARY INTERVENTIONAL PROCEDURES. IN ADDITION, ST. JOSEPH'S IS A RECIPIENT OF THE FOLLOWING HEALTHGRADES:- CARDIAC CARE EXCELLENCE AWARD - FIVE YEARS IN A ROW- CORONARY INTERVENTION EXCELLENCE AWARD - FOUR YEARS IN A ROW- CARDIAC SURGERY EXCELLENCE AWARD - FOUR YEARS IN A ROWHEALTHGRADES RANKED THE HOSPITAL:- #1 IN NEW YORK STATE FOR CARDIAC SURGERY THREE YEARS IN A ROWHEALTHGRADES RATED ST. JOSEPH'S:- FIVE STARS (BEST) FOR CARDIAC SURGERY - FOUR YEARS IN A ROW- FIVE STARS (BEST) FOR CORONARY BYPASS SURGERY- FIVE STARS (BEST) FOR VALVE REPLACEMENT SURGERY - FIVE YEARS IN A ROW- FIVE STARS (BEST) FOR CORONARY INTERVENTIONAL PROCEDURES - EIGHT YEARS IN A ROW- FIVE STARS (BEST) FOR TREATMENT OF HEART ATTACKST. JOSEPH'S HOLDS RECOGNITION AS A BLUE DISTINCTION CENTER FOR CARDIAC CARE FROM EXCELLUS BLUECROSS BLUESHIELD.EKG TRANSMISSION FROM AMBULANCES: ST. JOSEPH'S EMERGENCY DEPARTMENT RECEIVES EKGS FROM AMBULANCES IN THE FIELD THAT ARE EN ROUTE TO THE HOSPITAL. THE NEW, WEB-BASED SYSTEM, CALLED LIFENET STEMI MANAGEMENT SOLUTION FROM PHYSIO-CONTROL, ALLOWS EMERGENCY MEDICAL TECHNICIANS (EMTS) TO ALERT THE ED STAFF TO INCOMING PATIENTS WITH A DANGEROUS FORM OF HEART ATTACK KNOWN AS STEMI (ST ELEVATION MYOCARDIAL INFARCTION). STEMI POSES A SERIOUS THREAT TO THE HEART MUSCLE, AND THE QUICKER PATIENTS RECEIVE TREATMENT THE MORE LIKELY THEY ARE TO HAVE A POSITIVE OUTCOME. EMTS USE THE SYSTEM TO TRANSMIT 12-LEAD EKGS FROM THE FIELD DIRECTLY TO THE ED. THIS HELPS SAVE TIME, WHICH IS THE KEY TO SAVING HEART MUSCLE.BY HAVING THE OPPORTUNITY TO READ THE EKG SOONER, THE ED PHYSICIANS CAN ACTIVATE THE AMI TEAM, THE SPECIFIC STAFF WHO CARE FOR HEART ATTACK PATIENTS, EARLIER. THIS EARLY WARNING SYSTEM PROVIDES AN ENORMOUS BENEFIT TO HEART ATTACK PATIENTS BECAUSE IT WILL RESULT IN A REDUCTION OF DOOR TO WIRE TIMES. THE TOOL IS PARTICULAR HELPFUL DURING OFF-SHIFTS AND WEEKENDS WHEN IT MAY TAKE A BIT LONGER TO CONVENE THE AMI TEAM.ACCORDING TO LOCAL AMBULANCE CORPS, THIS TECHNOLOGY IS A HUGE STEP TOWARD BETTER PATIENT CARE, PARTICULARLY FOR THOSE AMBULANCE CORPS THAT SERVE COUNTIES WITHOUT CARDIAC CATHETERIZATION LABS. OFTEN THOSE EMS PROVIDERS HAVE TO MANAGE UNSTABLE PATIENTS FOR MORE THAN 30 MILES TO DELIVER THEM TO THE LEVEL OF CARE THEY REQUIRE. THE CAPABILITY OF TRANSMITTING 12 LEAD EKGS HELPS PATIENTS GET THE CARE THEY NEED SOONER, SAVING BOTH LIVES AND HEART MUSCLE.CERTIFIED CHEST PAIN CENTER: IN 2013, ST. JOSEPH'S HOSPITAL RECEIVED CHEST PAIN CENTER ACCREDITATION FROM THE SOCIETY OF CHEST PAIN CENTERS. ST. JOSEPH'S IS THE ONLY HOSPITAL IN CENTRAL NEW YORK WITH THIS ACCREDITATION.ST. JOSEPH'S UNDERTOOK A RIGOROUS RE-EVALUATION AND REFINEMENT OF HEART CARE PROCESSES TO INTEGRATE THE INDUSTRY'S BEST PRACTICES AND NEWEST PARADIGMS INTO ITS CARDIAC CARE SERVICES. THE HOSPITAL'S STATE-OF-THE-ART CARDIOVASCULAR PROGRAM WORKS SEAMLESSLY WITH AREA EMERGENCY MEDICAL SERVICES TO ENSURE THAT PATIENTS GET THE TREATMENT THEY NEED DURING THE CRITICAL EARLY STAGES OF A HEART ATTACK.AS AN ACCREDITED CHEST PAIN CENTER, ST. JOSEPH'S ENSURES PATIENTS WHO COME TO THE HOSPITAL COMPLAINING OF CHEST PAIN OR DISCOMFORT ARE GIVEN THE IMMEDIATE TREATMENT NECESSARY TO AVOID AS MUCH HEART DAMAGE AS POSSIBLE. PROTOCOL-BASED PROCEDURES DEVELOPED BY LEADING EXPERTS IN CARDIAC CARE TO REDUCE TIME OF TREATMENT IN THE CRITICAL EARLY STAGES OF A HEART ATTACK ARE PART OF ST. JOSEPH'S OVERALL CARDIAC SERVICES.IN ADDITION TO CHEST PAIN CENTER ACCREDITATION, ST. JOSEPH'S IS THE ONLY HOSPITAL IN SYRACUSE DESIGNATED AS A MISSION LIFELINE STEMI HOSPITAL BY THE AMERICAN HEART ASSOCIATION FOR ITS SYSTEMATIC AND MULTIDISCIPLINARY APPROACH TO TREATING HEART ATTACKS.SEE CONTINUATION ON SCHEDULE O, PAGE 84 26572906 16787083 MISSION SERVICES & OTHERPRIMARY CARE CENTERS & MENTAL HEALTHPRIMARY CARE CENTERSCOMMITTED TO IMPROVING ACCESS TO HEALTH CARE SERVICES FOR THOSE WHO ARE UNDERSERVED, ST. JOSEPH'S HAS ESTABLISHED PRIMARY CARE SITES IN AREAS WHERE MANY OF THESE INDIVIDUALS LIVE. THIS HELPS ADDRESS A KNOWN BARRIER, WHICH IS ACCESS TO TRANSPORTATION FOR THOSE WITHOUT INSURANCE OR WHO USE MEDICAID. WESTSIDE FAMILY HEALTH CENTER: THE WESTSIDE FAMILY HEALTH CENTER PRIMARILY SERVES PATIENTS OF ALL AGES FROM SYRACUSES NEAR WEST SIDE. THE BI-LINGUAL STAFF PROVIDES OBSTETRICS, GYNECOLOGICAL CARE, PEDIATRIC WELL AND SICK VISITS, IMMUNIZATIONS, PHYSICAL EXAMS, BLOOD DRAWS, NUTRITION AND FINANCIAL COUNSELING, AND REFERRALS TO SPECIALISTS, AS NEEDED. PHYSICIANS ARE AVAILABLE 24-HOURS-A-DAY, SEVEN-DAYS-A-WEEK. THE CENTER SAW 9,588 PATIENT VISITS IN 2014. MANY FAMILIES COME FROM CUBA, PUERTO RICO, UKRAINE, SOMALIA, SUDAN, BOSNIA AND BURMA AND 85 PERCENT OF PATIENTS ARE NON-ENGLISH SPEAKING OR HAVE LIMITED ENGLISH PROFICIENCY. THE PATIENT POPULATION IS 44 PERCENT HISPANIC, 22 PERCENT AFRICAN-AMERICAN, AND TWO PERCENT NATIVE AMERICAN. SEVENTY-THREE PERCENT OF PATIENTS ARE MEDICAID, MEDICARE OR SELF-PAY.MATERNAL CHILD HEALTH CENTER OBSTETRIC AND PEDIATRIC OFFICES: LOCATED AT 516 PROSPECT AVE.,SYRACUSE, ST. JOSEPH'S MATERNAL CHILD HEALTH CENTER SPECIALIZES IN WOMEN'S HEALTH CARE. IN ADDITION TO PHYSICIANS, A PHYSICIAN'S ASSISTANT, NURSE PRACTITIONER AND REGISTERED NURSES PROVIDE PREGNANCY CARE AND GYNECOLOGICAL SERVICES. LAB SERVICES, WIC ASSISTANCE, PCAP APPLICATIONS, FETAL TESTING AND SONOGRAMS, SOCIAL SERVICES, NUTRITIONAL COUNSELING, FINANCIAL COUNSELING AND PHLEBOTOMY ARE ALSO AVAILABLE AT THE MATERNAL CHILD HEALTH CENTER OB/GYN OFFICE. AT THE PEDIATRIC OFFICE, HEALTH AND FAMILY EDUCATION AND MENTAL HEALTH SCREENINGS ARE ALSO AVAILABLE, AS WELL AS AN INITIATIVE TO IMPROVE CHILD LITERACY THROUGH THE REACH OUT AND READ PROGRAM.THERE IS A STRONG CONNECTION BETWEEN PRE- AND POST-NATAL CARE FROM OUTPATIENT OBSTETRICS TO INPATIENT MATERNITY AND NEWBORN SERVICES AND THEN BACK TO OUTPATIENT OBSTETRICS AND PEDIATRIC SERVICES. SEVENTY-THREE PERCENT OF MCHC PATIENTS ARE MEDICAID, MEDICARE OR SELF-PAY. A LARGE PERCENTAGE OF PATIENTS ARE VIETNAMESE. THE MATERNAL CHILD HEALTH CENTER PEDIATRICS OFFICE, WHICH SAW 6,975 PATIENT VISITS IN 2014 PROVIDES PEDIATRIC SERVICES FOR PATIENTS UP TO AGE 17, WELL-CHILD VISITS, SICK VISITS, IMMUNIZATIONS, PHYSICAL EXAMS AND REFERRALS TO SPECIALISTS, AS NEEDED. NUTRITION AND FINANCIAL COUNSELING ALSO ARE AVAILABLE AND SOCIAL WORKERS ARE ON SITE.FAMILY MEDICINE CENTER: LOCATED ON THE HOSPITAL CAMPUS, ST. JOSEPH'S FAMILY MEDICINE CENTER IS AVAILABLE TO PROVIDE ALL THE HEALTH CARE NEEDS OF FAMILIES, INCLUDING PRENATAL, PEDIATRIC AND ADULT CARE. SERVICES INCLUDE 24-HOUR PHYSICIAN COVERAGE, OBSTETRICS, CARING FOR CHILDREN, WOMEN'S HEALTH, CARE OF HOSPITALIZED PATIENTS, AND OFFICE CARE FOR MOST MEDICAL PROBLEMS, AS WELL AS FAMILY THERAPY COUNSELING, MENTAL HEALTH SCREENING, LAB SERVICES, WIC ASSISTANCE, PCAP APPLICATIONS AND NUTRITIONAL, FINANCIAL AND SOCIAL WORK COUNSELING. IN 2014, THERE WERE 28,713 PATIENT VISITS, 77 PERCENT OF THE PATIENTS ARE MEDICAID, MEDICARE OR SELF-PAY. DENTAL OFFICE: ST. JOSEPH'S DENTAL OFFICE CARES FOR MANY OF THE AREA'S UNDERINSURED, AS WELL AS PATIENTS WITH MENTAL AND/OR PHYSICAL DISABILITIES. A 24-HOUR ON-CALL SYSTEM IS IN PLACE IN ALL OF ST. JOSEPH'S PRIMARY CARE SITES. THERE WERE 9,102 PATIENT VISITS IN 2014; 83 PERCENT OF THE PATIENTS ARE MEDICAID, MEDICARE OR SELF-PAY. ONE IN FIVE IS WHEELCHAIR-BOUND.IN ADDITION, THE PRIMARY CARE CENTERS INCORPORATE A DENTAL ASSESSMENT IN ALL AGE GROUPS AND IF NECESSARY, REFERRALS ARE MADE TO ST. JOSEPH'S DENTAL OFFICE. A FOUR-YEAR OLD PROGRAM TO TREAT PRENATAL PATIENTS IN THE PRIMARY CARE CENTERS HELPS TO PREVENT POOR OUTCOMES TO THE FETUS RELATED TO POOR DENTAL CARE. SPECIALTIES SERVICES: ST. JOSEPH'S TAKES REFERRALS FROM ITS EMERGENCY DEPARTMENT, PRIMARY CARE SERVICES AND PHYSICIANS THROUGHOUT THE COMMUNITY FOR ORTHOPEDICS/SPORTS MEDICINE, ALLERGY/ASTHMA SERVICES AND INFECTIOUS DISEASE. IN ADDITION, IT OPERATES A HAND CLINIC, SPINAL CLINIC AND BREAST AND SURGICAL CLINIC, WHERE CANCER SCREENINGS ARE ROUTINELY PERFORMED. SIXTY-SIX PERCENT OF THE PATIENTS SEEN IN SPECIALTIES SERVICES ARE MEDICAID, MEDICARE OR SELF-PAY. THERE WERE 2,956 PATIENT VISITS IN 2014.MENTAL HEALTH AND MENTAL DISORDERSIN RESPONSE TO A CRITICAL COMMUNITY NEED, ST. JOSEPH'S MENTAL HEALTH SERVICES PROMOTES POSITIVE MENTAL HEALTH AND ADDRESSES A BROAD RANGE OF PSYCHIATRIC ILLNESSES INCLUDING BIPOLAR DISORDER, DEPRESSION, PSYCHOTIC DISORDERS, MOOD AND ANXIETY DISORDERS, SUBSTANCE ABUSE AND ADDICTION, AND CHILD AND ADOLESCENT PSYCHIATRIC DISORDERS. EACH PATIENTS INDIVIDUAL TREATMENT NEEDS ARE RESPONDED TO WITH PLANNING FOR PATIENT-SPECIFIC CARE WHICH MAY INCLUDE INDIVIDUAL PSYCHOTHERAPY, GROUP THERAPY, FAMILY COUNSELING, INPATIENT CARE, PSYCHOPHARMACOLOGY, REHABILITATION SERVICES AND VOCATIONAL COUNSELING.WHILE OUTSTANDING SERVICES ARE GIVEN TO ALL PATIENTS, WITH NEARLY ONE QUARTER OF ITS PATIENT POPULATION 17 YEARS AND YOUNGER, PROVIDERS AT ST. JOSEPH'S WORK DILIGENTLY TO OFFER INNOVATIVE STATE-OF-THE-ART TREATMENT OPTIONS THAT ARE SUCCESSFUL WITH, AND CAPTURE THE INTEREST OF, CHILDREN. ST. JOSEPH'S MENTAL HEALTH SERVICES RECORDS OVER 78,266 OUTPATIENT VISITS AS WELL AS 1,303 ADMISSIONS INTO THE COMPREHENSIVE PSYCHIATRIC EMERGENCY PROGRAM EOB AND 693 PSYCHIATRIC ADMISSIONS.ST. JOSEPH'S, THE LARGEST PROVIDER OF MENTAL HEALTH SERVICES IN ONONDAGA COUNTY, HAS OFFERED COMPREHENSIVE MENTAL HEALTH CARE TO THE COMMUNITY SINCE 1947. DESIGNATED BY NEW YORK STATE AS A COMMUNITY MENTAL HEALTH CENTER SINCE 1967, ST. JOSEPH'S PROVIDES A FULL CONTINUUM OF MENTAL HEALTH SERVICES. IN ADDITION TO A 30-BED INPATIENT UNIT, ST. JOSEPH'S OFFERS OUTPATIENT PSYCHOTHERAPY, ADULT AND CHILDREN'S DAY TREATMENT PROGRAMS, REHABILITATION AND SUPPORTED EMPLOYMENT PROGRAMS, TRANSITIONAL LIVING SERVICES, ACCESS FOR THE HOMELESS AND LINK, A SCHOOL-BASED PROGRAM FOR CHILDREN AND FAMILIES. IN PARTNERSHIP WITH UNIVERSITY HOSPITAL, ST. JOSEPH'S ALSO OPERATES THE REGIONS ONLY PSYCHIATRIC EMERGENCY PROGRAM, PROVIDING COMPASSIONATE CARE FOR COMMUNITY MEMBERS DURING SOME OF THEIR MOST SERIOUS PSYCHIATRIC CRISES. THE MISSION OF ST. JOSEPH'S MENTAL HEALTH SERVICES REFLECTS A CONCERN WITH PREVENTING MENTAL ILLNESS, PROMOTING MENTAL HEALTH AND PROVIDING COMPREHENSIVE CARE FOR THOSE PERSONS SUFFERING FROM MENTAL DISORDERS. MENTAL HEALTH SERVICES PLACES EMPHASIS ON CONSIDERATION OF BIOLOGICAL, CULTURAL, ETHNIC, FAMILY AND SOCIAL ENVIRONMENT IN TREATING PATIENTS, AS WELL AS THE BELIEF THAT COMPREHENSIVE AND APPROPRIATE TREATMENT CAN BEST BE IMPLEMENTED AT THE LEAST RESTRICTIVE LEVEL OF CARE THAT IS THERAPEUTICALLY ADVISABLE. ADEQUATE CARE OF THE MENTALLY ILL HAS BECOME AN URGENT NEED IN THE CENTRAL NEW YORK COMMUNITY, AND ST. JOSEPH'S CONTINUES TO FIND WAYS TO PROVIDE GREATER ACCESS TO MENTAL HEALTH CARE FOR THOSE IN NEED.ST. JOSEPH'S MENTAL HEALTH SERVICES AND CPEP PARTNER WITH A VARIETY OF LOCAL ORGANIZATIONS, INCLUDING SUNY UPSTATE DEPARTMENT OF PSYCHIATRY, ONONDAGA COUNTY DEPARTMENT OF MENTAL HEALTH, SOCIAL SERVICES AND PROBATION, ONONDAGA CASE MANAGEMENT SERVICES, INC., UNITED WAY OF CENTRAL NY, ONONDAGA WRAPAROUND, THE SYRACUSE RESCUE MISSION, SALVATION ARMY, EMERGENCY SHELTER BARNABAS HOUSE, STATE STREET APARTMENTS BOOTH HOUSE, LOCAL LAW ENFORCEMENT, UNIVERSITY HOSPITAL, ONONDAGA CASE MANAGEMENT SERVICES, INC., FAMILY TAPESTRY, ELMCREST CHILDREN'S CENTER, HILLSIDE CHILDREN'S CENTER, LIBERTY RESOURCES, INC., CENTRAL NEW YORK SERVICES, INC., NORTH SYRACUSE SCHOOL DISTRICT, EAST-SYRACUSE MINOA SCHOOL DISTRICT AND THE SYRACUSE BEHAVIORAL HEALTH CENTER.PROGRAMS:- ADULT OUTPATIENT AND CHILDREN AND YOUTH OUTPATIENT CLINICS- COMPREHENSIVE HOMELESS ACCESS TO NONTRADITIONAL CLINICAL EXPERIENCES (CHANCE)- PERSONALIZED RECOVERY ORIENTED SERVICES (PROS)- INNOVATIONS IN VOCATIONAL SUPPORT ASSISTED COMPETITIVE EMPLOYMENT (ACE PROJECT) - NEW CONNECTIONS CLUBHOUSE- PSYCHIATRIC HOME CARE SERVICES- RESIDENTIAL SERVICES PROGRAM- ST. JOSEPH'S VOCATIONAL SERVICES- VOLUNTEER PROGRAM FOR SYRACUSE BEHAVIORAL HEALTH CLIENTS- LEADING, INTEGRATING, NETWORKING FOR KIDS (LINK)- COMPREHENSIVE PSYCHIATRIC EMERGENCY PROGRAM (CPEP)- CPEP MOBILE CRISIS OUTREACH PROGRAM- CHILDREN'S HEALTH INNOVATION PROJECT (CHIP)- CPEP FACILITY EXPANSION AND RE-LOCATION- DOCTORS ACROSS NEW YORK PHYSICIAN LOAN REPAYMENT PROGRAM 20393601 20311633 HOME CAREST. JOSEPH'S CERTIFIED HOME HEALTH CARE AGENCY: THE ST. JOSEPH'S HOSPITAL HEALTH CENTER NETWORK OFFERS IN-HOME SERVICES TO A DIVERSE POPULATION THROUGH ITS AFFILIATE ORGANIZATION, FRANCISCAN HEALTH SUPPORT, AND THE HOSPITAL-OWNED ST. JOSEPH'S CERTIFIED HOME HEALTH CARE AGENCY. HOME CARE HELPS PATIENTS TRANSITION FROM HOSPITAL TO HOME AND SUPPORTS PEOPLE WHO ARE AT HOME BY PROVIDING SERVICES THEY NEED TO AVOID READMISSION TO THE HOSPITAL OR A NURSING HOME. THE TWO AGENCIES CONDUCTED NEARLY 202,674 HOME VISITS LAST YEAR, HELPING MANY IN CENTRAL NEW YORK TO REMAIN IN THE COMFORT OF THEIR OWN HOMES. OUR CERTIFIED HOME HEALTH CARE AGENCY IS RANKED AMONG THE TOP 100 HOME CARE AGENCIES IN THE NATION AND PROVIDES SUCH SERVICES AS SKILLED NURSING; PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY; HOME HEALTH AIDE AND PERSONAL CARE SERVICES; SOCIAL SERVICES; AND NUTRITIONAL CARE. FRANCISCAN HEALTH SUPPORT OFFERS HOME HEALTH AIDE AND PERSONAL CARE SERVICES, SKILLED NURSING, AND MEDICAL EQUIPMENT.TOGETHER, THE TWO AGENCIES COMBINE FORCES TO PROVIDE THE BEST POSSIBLE CARE TO THOSE THEY SERVE, OFTEN THOSE IN THE COMMUNITY WHO ARE MOST AT NEED, INCLUDING THE ELDERLY, HOMEBOUND, ACUTELY ILL, OR DYING.THE NEED FOR HOME CARE SERVICES IN THE COMMUNITY HAS INCREASED GREATLY DUE TO THE EXPANDING ELDERLY POPULATION, THE EVER-SHORTENING HOSPITAL STAY, AND NURSING HOME DIVERSION INITIATIVES AND OUR AGENCIES CONTINUE TO INCREASE EFFORTS TO MEET THIS DEMAND AND THE NEEDS OF THE COMMUNITY. 321818480 409745596 321818480 409745596 497779874 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 1 0 0 0 1 418 0 1 4695 1 1 1 0 0 0 0 0 0 0 0 0 X 18 11 1 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X MEREDITH PRICE 3157032208 301 PROSPECT AVE SYRACUSE NY 132031899 PAWAN RAO MD BOARD TRUSTEE 10.00 X 0 0 0 WILLIAM ROBERTS MD BOARD TRUSTEE 10.00 X 0 0 0 GEORGE DEPTULA ESQ BOARD TRUSTEE - CHAIR 10.00 1.00 X X 0 0 0 JOHN MURPHY III BOARD TRUSTEE 10.00 X 0 0 0 GINA MYERS PHD BOARD TRUSTEE 10.00 X 0 0 0 VINCENT P SWEENEY BOARD TRUSTEE 10.00 X 0 0 0 CHARLES ZIMMERMAN BOARD TRUSTEE 10.00 X 0 0 0 SR MARY OBRIST BOARD TRUSTEE - SECRETARY 10.00 16.00 X X 0 0 0 LUCINDA DRESCHER BOARD TRUSTEE 10.00 X 0 0 0 SHARON MCAULIFFE ESQ BOARD TRUSTEE 10.00 X 0 0 0 KATHRYN RUSCITTO BOARD TRUSTEE - PRESIDENT, CEO 40.00 16.00 X X 886535 0 30866 SANDRA SULIK MD BOARD TRUSTEE- VP, CHIEF MEDICAL OFFICER 40.00 5.00 X 363318 0 9533 WILLIAM FISHER BOARD TRUSTEE 10.00 X 0 0 0 RICHARD WALDMAN MD BOARD TRUSTEE 10.00 X 0 0 0 MERRIETTE POLLARD BOARD TRUSTEE 10.00 X 0 0 0 JOHN MARSHALL CPA BOARD TRUSTEE 10.00 X 0 0 0 PAUL TREMONT BOARD TRUSTEE 10.00 X 0 0 0 DANIELLE CUMMINGS- LIASION BOARD TRUSTEE 10.00 X 0 0 0 SANTO DIFINO MD BOARD TRUSTEE 10.00 X 0 0 0 ANNE MARIE CZYZ VICE PRESIDENT, CHIEF NURS 40.00 X 362665 0 18477 FRANK SMITH JR VICE PRESIDENT- SPECIAL PROGRAMS 40.00 1.00 X 361223 0 23999 MARY W BROWN SENIOR VICE PRESIDENT, COO 40.00 X 413072 0 16002 CHARLES J FENNELL VICE PRESIDENT, CHIEF INFORMATION OFFICER 40.00 X 264995 0 23335 JOSEPH A SCICCHITANO VICE PRESIDENT- SUPPORT SERVICES 40.00 1.00 X 227022 0 7655 MARK E MURPHY VICE PRESIDENT - CARE MGMT 40.00 X 328374 0 20187 FREDERICK LETOURNEAU VICE PRESIDENT - PHYSICIAN ENTERPRISE 40.00 5.00 X 385261 0 23923 DEBORAH WELCH VICE PRESIDENT - CARE MANAGEMENT 40.00 X 200405 0 18931 LOWELL A SEIFTER JD SENIOR VICE PRESIDENT, GENERAL COUNSEL 40.00 X 358568 0 16961 DOUGLAS SMITH VICE PRESIDENT FOR DEVELOPMENT 40.00 X 249549 0 17226 SALLIE BIITTNER VP FOR HUMAN RESOURCES 40.00 X 208678 0 0 MEREDITH PRICE VICE PRESIDENT, CFO 40.00 6.00 X 379768 0 18618 ALFREDO LOPEZ MD PHYSICIAN 40.00 X 271502 0 13108 KWAME ADUSEI MD PHYSICIAN 40.00 X 447081 0 16561 CHAUDHURY DAVULURI MD PHYSICIAN 40.00 X 358421 0 17799 AFSHAN ASHFAQ MD PHYSICIAN 40.00 X 393687 0 15126 DIWAKAR LINGAM MD PHYSICIAN 40.00 X 292769 0 15531 THEODORE PASINSKI FORMER PRESIDENT & CEO 25.00 X 196237 0 0 6949130 0 323838 335 1 1 0 THE HAYNER HOYT CORPORATION 625 ERIE BLVD WEST SYRACUSE NY 13204 CONSTRUCTION 22758718 BETTE & CRING LLC 22 CENTURY HILL DRIVE SUITE 201 LATHAM NY 12110 CONSTRUCTION 5289453 GRANT THORNTON 175 W JACKSON BLVD 20TH FLOOR CHICAGO IL 60604 CONSULTANT 2215657 SJ THOMAS CO INC 140 BARTRAM AVE LANSDOWNE PA 19050 CONTRACTOR 1699291 TEK SYSTEMS 10 TENTH STREET NE SUITE 300 ATLANTA GA 30309 CONSULTANT 1632687 22 2541042 7779909 199800 10320951 PATIENT SERVICE REVENUE 621990 542194840 542194840 542194840 1815959 1815959 3031 3031 264442 102217 162225 162225 162225 4212207 2066957 4191449 2096435 20758 -29478 -8720 -8720 INTERCOMPANY REIMBURSEMENT REVENU 900099 27523566 27523566 OTHER EXEMPT OPERATING INCOME 900099 12776340 12776340 INCOME FROM JOINT VENTURES 621500 5286867 5134257 152610 3516865 3516865 49103638 603591924 591145868 152610 1972495 X 5235146 2047303 3187843 237540419 196524278 41016141 7738314 7159410 578904 39256827 29623749 9633078 17285003 14488405 2796598 6439677 1229868 5209809 1251752 224424 1027328 441034 441034 67159747 55651364 11508383 1804965 412965 1392000 1955411 947819 1007592 6450016 5327726 1122290 13816088 12563761 1252327 901916 745307 156609 705143 452106 253037 10046771 10046771 32852476 27136211 5716265 1655310 1469152 186158 SUPPLY EXPENSE 123845504 119596831 4248673 BAD DEBT EXPENSE 16768383 16768383 OTHER EXPENSES 5209487 3511157 1698330 NYS ASSESSMENT 1899655 1899655 600259044 497779874 102479170 0 569741 5043418 39548224 34795603 5790502 5653388 91635055 84327477 3399014 2895728 5940143 6351919 5159242 5236301 654134523 288747420 342980316 365387103 89691771 93869165 40451661 45397375 625165669 648957477 95863211 86901006 238688031 285120932 63217483 66808059 397768725 438829997 X 214368868 196514811 9905237 10380959 3122839 3231710 227396944 210127480 625165669 648957477 X 3332880 5271800 -25874144 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 65478 0 0 1 30138 95616 0 PART II-B, LINE 1: LINE 1(F), GRANTS FOR LOBBYING PURPOSES DUES PAID HANYS - $29,950,IROQUOIS HEALTHCARE ALLIANCE - $15,531, AND AHA - $19,997 LINE 1(I), OTHER ACTIVITIES BROWN & WEINRAUB PLLC- $30,138 0 13028076 3986922 223532 3625861 13612669 16045585 724983 625008 4367500 13028076 13325942 2422941 536966 240264 16045585 15859880 6558936 78557 9171431 13325942 9069023 10459844 326334 3995321 15859880 0.23740 0.76260 0 1 1 3965520 3965520 397330559 117313655 280016904 8916407 3759955 5156452 232808822 164840720 67968102 11113215 2833090 8280125 365387103 DUE FROM SJLS 1218172 DUE FROM SJHHC FOUNDATION 48066 DUE FROM FRANCISCAN MGT/HEALTH SUPPORT SERVICES-NET 987800 UNAMORTIZED DEBT/PENSION COSTS 1620431 DUE FROM AFFILIATE-MDR/MRI 63454 DUE FROM AFFILIATE-LACNY 5462533 EQUITY INTEREST IN NET ASSETS OF SJHHC FOUNDATION 21826460 RESTRICTED ASSETS 164264 DUE FROM LIVERPOOL DIALYSIS 116000 BOND INTEREST CAP PREMIUM 86883 TELP INTEREST AMORTIZATION 19155 DUE FROM IROQUOIS/ROSEWOOD 300479 DUE FROM LORETTO 687500 DUE FROM ST. ELIZABETH 35140 2012 BONDS - DEFERRED FINANCING 3526046 DUE TO/FROM SJPE 571200 ST DEBT SERVICE RESERVE - 2012 6605000 SJLS ACCRUAL -600000 LEWIS COUNTY HOSPITAL AR 8000 DEFERRED FINANCING COSTS- 2014 BONDS 2650476 ST. JOSEPH'S IMAGING 316 45397375 ACCRUED POST RETIRE HEALTH BENEFITS-LT 21747756 ACCRUED WORKERS COMP 10601835 PENSION PLAN LIABILITY 12842779 SJHHC PROPERTIES 6378233 MALPRACTICE LIABILITY 8710726 457B PLAN LIABILITY 3461015 973 JAMES STREET SALE 2399815 THIRD PARTY PAYOR 665900 66808059 X PART V, LINE 4: ENDOWMENTS ARE INTENDED TO SUPPORT HOSPITAL MISSION SERVICES, EDUCATION, AND TECHNOLOGY ADVANCEMENTS. PART X, LINE 2: THE HOSPITAL, SJPHPC AND SJMPC ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE GENERALLY EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. SJPHPC AND SJMPC ARE SUBJECT TO STATE INCOME TAXES. SJM AND SJLS ARE TREATED AS PARTNERSHIPS FOR INCOME TAX PURPOSES. ACCORDINGLY, INCOME OF SJM AND SJLS, IF ANY, IS PASSED THROUGH TO ITS MEMBERS FOR INCLUSION IN THEIR RESPECTIVE TAX RETURNS. THE ALLOCATION OF INCOME FROM SJM AND SJLS IS CONSIDERED TO BE EXEMPT-PURPOSE INCOME TO THE HOSPITAL. SJPE IS A FOR-PROFIT ENTITY SUBJECT TO FEDERAL AND STATE INCOME TAXES. AS OF DECEMBER 31, 2014 AND 2013, THE HEALTH CENTER 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 2011 THROUGH 2014. 1 1 1 X 138.000000000000 1 X 342.000000000000 1 1 0 1 1 6813687 6813687 0.01170 91117044 64588744 26528300 0.04550 97930731 64588744 33341987 0.05720 11243290 5746382 5496908 0.00940 19951648 10142043 9809605 0.01680 4382337 1944699 2437638 0.00420 3300 3300 0.00000 35580575 17833124 17747451 0.03040 133511306 82421868 51089438 0.08760 1257 1257 0.00000 26631 26631 0.00000 5000 5000 0.00000 32888 32888 1 16768384 137345048 156373720 -19028672 X 1 1 1 LABORATORY ALLIANCE OF CNY LABORATORY SERVICES 0.33330 0.00000 0.00000 2 MDR MRI SERVICES 0.40000 0.00000 0.60000 3 SJLS DIALYSIS SERVICES 0.51000 0.00000 0.49000 1 1 ST JOSEPH'S HOSPITAL HEALTH CENTER 301 PROSPECT AVE SYRACUSE NY 13203 X X X X HOME CARE AGENCY, OP PRIMARY CARE AND OP MENTAL HEALTH SERVICES ST JOSEPH'S HOSPITAL HEALTH CENTER INC 1 0 0 1 X X X X X X X X 13 1 1 1 1 X WWW.SJHSYR.ORG X X 1 13 1 WWW.SJHSYR.ORG 0 0 1 X 138.000000000000 342.000000000000 X X X X 1 1 X X X 1 X X X X X X 1 X 0 X X X X 1 X X 0 0 ST. JOSEPH'S HOSPITAL HEALTH CENTER, INC PART V, SECTION B, LINE 5: ST. JOSEPH'S CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT DURING 2012 THROUGH 2013, IN COLLABORATION WITH THE ONONDAGA COUNTY HEALTH DEPARTMENT, UPSTATE UNIVERSITY HOSPITAL AND CROUSE HOSPITAL. IN ADDITION, THE LERNER CENTER FOR PUBLIC HEALTH PROMOTION AT THE MAXWELL SCHOOL FOR CITIZENSHIP AND PUBLIC AFFAIRS AT SYRACUSE UNIVERSITY FACILITATED COMMUNITY FORUMS IN COLLABORATION WITH THE ONONDAGA COUNTY ADVISORY BOARD OF HEALTH, THE SYRACUSE CITY SCHOOLS, AND SAY YES TO EDUCATION. THE ASSESSMENT PROCESS WAS ALSO INCLUSIVE OF FEEDBACK FROM THE FOLLOWING STAKEHOLDER GROUPS: CATHOLIC CHARITIES OF ONONDAGA COUNTY; THURSDAY MORNING ROUNDTABLE MEETING - STATE OF ONONDAGA COUNTY HEALTH; ONONDAGA COUNTY MEDICAL SOCIETY; NYS HEALTH ADVISORY BOARD; FOCUS ACADEMY; COMMUNITY PHYSICIANS; PATIENTS; NEIGHBORHOOD RESIDENTS AND LOCAL BUSINESS, RELIGIOUS AND POLITICAL LEADERS. ST. JOSEPH'S HOSPITAL HEALTH CENTER, INC PART V, SECTION B, LINE 6A: UPSTATE UNIVERSITY HOSPITAL AND CROUSE HOSPITAL ST. JOSEPH'S HOSPITAL HEALTH CENTER, INC PART V, SECTION B, LINE 7D: THE CHNA WAS AVAILABLE TO BE MAILED OUT BY REQUEST FREE OF CHARGE. ST. JOSEPH'S HOSPITAL HEALTH CENTER, INC PART V, SECTION B, LINE 11: THE FOLLOWING INITIATIVES ARE IN PROCESS TO MEET THE GOAL OF PREVENTING CHRONIC DISEASE:A.) A DIABETES EDUCATION INITIATIVE HAS BEEN IMPLEMENTED AT PRIMARY CARE CENTER - WEST, TARGETING THE POOR AND UNDERSERVED. PATIENTS ARE PROVIDED COUNSELING BY A DIETITIAN WITH GUIDANCE ON MANAGING DIABETES AND OTHER CHRONIC CONDITIONS. B.) UNDER THE GUIDANCE OF A ST. JOSEPH'S DIETITIAN, "PRE-DIABETIC" PATIENTS WERE ENROLLED IN A DIABETES EDUCATION GROUP WITH THE YMCA, WITH THE GOAL OF PROMOTING WEIGHT LOSS.C.) TO IMPROVE HEALTH OUTCOMES FOR ADULTS WITH TWO OR MORE CHRONIC CONDITIONS IN ONONDAGA COUNTY, ST. JOSEPH'S INVESTED SIGNIFICANT TIME AND RESOURCES IN BECOMING THE LEAD HEALTH HOME PROGRAM IN ONONDAGA COUNTY. THROUGH THE HEALTH HOME PROGRAM, MEDICAID PATIENTS IN THE COMMUNITY WITH 2+ CHRONIC CONDITIONS ARE PROVIDED CASE MANAGEMENT SERVICES TO ENSURE THAT THE SUPPORT SERVICES REQUIRED TO KEEP COMMUNITY MEMBERS HEALTHY ARE IN PLACE AND ACCESSIBLE TO OUR COMMUNITY'S MOST VULNERABLE.D.) TO PREVENT CHRONIC DISEASE, AN ADDITIONAL FOCUS IS THE IMPROVEMENT OF ACCESS TO PRIMARY CARE. ST. JOSEPH'S HAS IMPLEMENTED A PATIENT NAVIGATOR PROGRAM IN THE EMERGENCY DEPARTMENT AND AT PRIMARY CARE CENTERS, TO ASSIST VULNERABLE COMMUNITY MEMBERS/PATIENTS WITH ACCESSING APPROPRIATE CARE AND TRANSITIONING BETWEEN CARE SETTINGS. AT THIS TIME THE NAVIGATOR PROGRAM IS FULLY FUNCTIONAL.E.) TO PREVENT CHRONIC DISEASE, ST. JOSEPH'S ALSO TARGETED THE IMPROVEMENT OF ACCESS TO DENTAL CARE IN OUR COMMUNITY. TO DO THIS, A GRANT HAS BEEN SUBMITTED FOR A MOBILE DENTAL CLINIC, WHICH, ONCE OPERATIONALIZED, WILL BE STATIONED WITHIN UNDERSERVED NEIGHBORHOODS IN ONONDAGA COUNTY. TO-DATE THE CLINIC PLAN IS UNDER REVIEW FOR APPROVAL BY THE NYS DOH PRIOR TO LAUNCH OF THE PROGRAM.THE FOLLOWING INITIATIVES ARE IN PROCESS TO MEET THE GOAL OF REDUCING OBESITY IN CHILDREN AND ADULTS:A.) ST. JOSEPH'S HAS COMMITTED TO THE IMPLEMENTATION OF THE HEALTHY SHOPPER REWARDS PROGRAM IN COLLABORATION WITH THE LERNER CENTER OF SYRACUSE UNIVERSITY; NOJAIM'S SUPERMARKET; AND THE NEAR WESTSIDE INITIATIVE. THE PROGRAM WILL ULTIMATELY OFFER SHOPPERS IN THIS UNDERSERVED NEIGHBORHOOD THE OPPORTUNITY TO ACCESS INCENTIVES FOR PURCHASING NUTRITIOUS FOOD, AS DEEMED SO BY THE NUVAL FOOD SCORING/LABELING SYSTEM. AT THIS TIME, THE REWARDS PROGRAM IS READY TO BE LAUNCHED, AND CLINICIANS AT PRIMARY CARE CENTER - WES HAVE BEEN TRAINED IN HOW TO USE THE NUVAL WEBSITE AS A TOOL FOR PATIENT COUNSELING.THE ULTIMATE GOAL OF THIS PROGRAM IS TO INTEGRATE, WITH CONSENT, INDIVIDUAL PURCHASING DATA INTO THE MEDICAL RECORD, TO PROVIDE A COMPREHENSIVE APPROACH TO REDUCING OBESITY THROUGH THE IMPROVEMENT OF NUTRITIONAL HABITS. B.) THROUGH A NORTH SIDE COMMUNITY HEALTH IMPROVEMENT PROJECT, ST. JOSPEH'S HAS DONATED FRUITS AND VEGETABLES REGULARLY TO A FOOD PANTRY SERVING SOME OF THE CITY'S MOST VULNERABLE RESIDENTS. IN ADDITION, ST. JOSEPH'S OFFERED A HEALTHY COOKING DEMONSTRATION FOR PANTRY CLIENTS, UTILIZING INGREDIENTS AVAILABLE WITHIN THE PANTRY.C.) TO FURTHER ADDRESS OBESITY, ST. JOSEPH'S HAS ALTERED THE CAFETERIA MENU TO OFFER HEALTHIER FOOD OPTIONS IN THE WORKPLACE. SEVERAL MENU CHANGES HAVE BEEN IMPLEMENTED RESULTING IN AN INCREASED PERCENTAGE OF "HEALTHY" MEALS OPTIONS CONSUMED BY STAFF. FURTHER DEVELOPMENT OF THIS INITIATIVE IS FOCUSED ON THE IMPLEMENTATION OF POLICIES THAT SUPPORT USE OF HEALTHY FOODS IN CAFETERIA/PATIENT ROOM SERVICE MENU.THE FOLLOWING INITIATIVES ARE IN PROCESS TO MEET THE GOAL OF REDUCING ILLNESS, DISABILITY AND DEATH RELATED TO TOBACCO USE AND SECONDHAND SMOKE EXPOSURE:A.) THROUGH ITS TOBACCO CESSATION CENTER, ST. JOSEPH'S HAS FOCUSED ON DECREASING THE PREVALENCE OF CIGARETTE USE AND DECREASING THE EXPOSURE TO SMOKE AND OTHER SECONDHAND PRODUCTS BY PROVIDING TRAINING TO LOCAL CLINICIANS. PLANS ARE ALSO IN PLACE TO FURTHER STREAMLINE COMMUNICATIONS/REFERRALS BETWEEN PROVIDERS AND THE CESSATION CENTER TO ENSURE INCREASED COMPLIANCE WITH PATIENT FOLLOW-UP.THE FOLLOWING INITIATIVES ARE IN PROCESS TO MEET THE GOAL OF PROMOTING MENTAL HEALTH AND PREVENTING SUBSTANCE ABUSE:A.) TO DECREASE THE INCIDENCE OF NEONATAL ABSTINENCE SYNDROME, A RECOMMENDED EDUCATION PROGRAM (SBIRT) HAS BEEN IDENTIFIED THROUGH A COMMUNITY COLLABORATIVE ADDRESSING NEONATAL ABSTINENCE. SEVERAL PROVIDERS HAVE BEEN EDUCATED ON THE PROGRAM'S BEST PRACTICES, AND ADDITIONAL EDUCATION IS PLANNED.B.) TO PROMOTE MENTAL, EMOTIONAL AND BEHAVIORAL WELL-BEING THROUGH THE EARLY DETECTION OF BEHAVIORAL HEALTH ISSUES, A BEHAVIORAL HEALTH SCREEN HAS BEEN INCORPORATED INTO PRIMARY CARE CLINIC VISIT PROTOCOL. PROVIDERS AND NURSES HAVE BEEN TRAINED, AND THE PROTOCOL IS FULLY OPERATIONAL.THE FOLLOWING INITIATIVES ARE IN PROCESS TO MEET THE GOAL OF PROMOTING A HEALTHY AND SAFE ENVIRONMENT:A.) TO REDUCE FALL RISKS AMONG VULNERABLE POPULATIONS, ST. JOSEPH'S HAS HOSTED A COMMUNITY FALLS DAY OPEN TO ALL COMMUNITY MEMBERS, PROVIDING EDUCATION ON THE PREVENTION OF FALLS. IN ADDITION, PLANS ARE UNDERWAY TO PROVIDE EDUCATION TO COMMUNITY PROVIDERS, AND TO PROVIDE A TOOLKIT FOR VULNERABLE PERSONS.PRIORITIES NOT ADDRESSED:IT WAS DETERMINED THAT TO BE MOST EFFECTIVE IN THE IMPROVEMENT OF COMMUNITY HEALTH, WE SHOULD ALIGN AND FOCUS OUR RESOURCES CONSISTENT WITH ST. JOSEPH'S ORGANIZATIONAL STRENGTHS, DIRECTION AND MISSION. WHILE ST. JOSEPH'S HOSPITAL HEALTH CENTER ACKNOWLEDGES THAT THE IMPLEMENTATION STRATEGY PLAN DOES NOT ADDRESS ALL THE COMMUNITY HEALTH NEEDS IDENTIFIED, WE BELIEVE THE FOCUS AREAS SELECTED IN THIS PLAN WILL INDIRECTLY HAVE A POSITIVE IMPACT ON OTHER ITEMS REFLECTED IN THE CHNA. ST. JOSEPH'S HOSPITAL HEALTH CENTER, INC PART V, SECTION B, LINE 22D: INPATIENT CLAIMS WILL BE ADJUSTED TO THE MEDICARE RATE BEFORE THE FA DISCOUNT IS APPLIED. OUTPATIENT CLAIMS WILL BE DISCOUNTED 50% BEFORE FA DISCOUNT IS APPLIED. PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY ST. JOSEPH'S HOSPITAL HEALTH CENTER, INC PART V, SECTION B, LINE 16A WEBSITE: WWW.SJHSYR.ORG ST. JOSEPH'S HOSPITAL HEALTH CENTER, INC PART V, SECTION B, LINE 16C WEBSITE: WWW.SJHSYR.ORG 8 ST JOSEPH'S HOME HEALTH CARE 7246 JANUS PARK DRIVE LIVERPOOL NY 13088 HOME HEALTH CARE SERVICES LABORATORY ALLIANCE OF CENTRAL NEW YORK 1304 BUCKLEY ROAD SYRACUSE NY 13212 CLINICAL AND ANATOMIC PATHOLOGY TESTING REGIONAL DIALYSIS CENTER 973 JAMES STREET SYRACUSE NY 13203 HEMODIALYSIS AND PERITONEAL NORTHEAST SURGERY CENTER 4208 MEDICAL CENTER DRIVE FAYETTEVILLE NY 13066 WOUND CARE, ORTHO, GENERAL SURGERY, UROLOGY NORTH SURGERY CENTER 5100 WEST TAFT ROAD LIVERPOOL NY 13088 GENERAL SURGERY, UROLOGY, ENT, ORTHOPEDICS, PODIATRY CNY INFUSION SERVICES 333 BUTTERNUT DRIVE SUITE 102 DEWITT NY 13214 INFUSION THERAPIES SLEEP LABORATORY SERVICES 945 EAST GENESSE STREET SUITE 300 SYRACUSE NY 13210 TREATS CHRONIC SLEEP DISORDERS ST FRANCIS SOCIAL ADULT DAY CARE 1108 COURT STREET SYRACUSE NY 13208 SUPPORTIVE SERVICES FOR THE ELDERLY PART I, LINE 7: COMBINATION OF THE RATIO OF COSTS TO CHARGES AS WELL AS SPECIFICALLY IDENTIFIED COSTS AND OFFSETS DERIVED FROM ACCOUNTING AND PATIENT ACCOUNTING SYSTEMS. WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENFITS AT COST, TOTAL COST EXCLUDE BAD DEBT EXPENSE. PART I, LINE 7G: PLEASE SEE DESCRIPTION OF COMMUNITY BENEFIT ACTIVITIES NOTED IN THE 990 PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 16,768,384. PART III, LINE 4: BAD DEBT EXPENSE IS REPORTED BASED ON ALLOWANCE FOR DOUBTFUL ACCOUNTS ($18,374,200) LESS ANY RECOVERY OF BAD DEBTS ($1,605,816). AN ALLOWANCE FOR DOUBTFUL ACCOUNTS RECEIVABLE IS ESTIMATED BY MANAGEMENT BASED ON MONTHLY REVIEWS OF THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE CONSIDERING HISTORICAL EXPERIENCE AND PREVAILING ECONOMIC CONDITIONS.PART III, SECTION A, LINE 3: CHARITY CARE IS REPORTED IN PART I, LINE 7A AND IS NOT DUPLICATED IN BAD DEBT REPORTED IN PART III, SECTION A, LINE 2.PART III SECTION A LINE 4: SEE FINANCIAL STATEMENT PAGES 14 AND 15. THE HOSPITAL HAS AGREEMENTS WITH CERTAIN THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS TO THE HOSPITAL AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, COST-BASED REIMBURSEMENT, DISCOUNTED CHARGES AND PER DIEM PAYMENTS. NET PATIENT SERVICE REVENUE AND THE RELATED RECEIVABLES ARE REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS,THIRD-PARTY PAYORS AND OTHERS AS SERVICES ARE RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS AND INVESTIGATIONS.AN ALLOWANCE FOR DOUBTFUL ACCOUNTS RECEIVABLE IS ESTIMATED BY MANAGEMENT BASED ON MONTHLY REVIEWS OF THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE CONSIDERING HISTORICAL EXPERIENCE AND PREVAILING ECONOMIC CONDITIONS.REVENUE FROM THE MEDICARE AND MEDICAID PROGRAMS ACCOUNTED FORAPPROXIMATELY 45 PERCENT AND 11 PERCENT, RESPECTIVELY, OF THE HOSPITALS NET PATIENT SERVICE REVENUE FOR 2014 AND 47 PERCENT AND 9 PERCENT, RESPECTIVELY OF THE HOSPITALS NET PATIENT SERVICE REVENUE FOR 2013.LAWS AND REGULATIONS GOVERNING THE MEDICARE AND MEDICAID PROGRAMS ARE EXTREMELY COMPLEX AND SUBJECT TO INTERPRETATION. AS A RESULT, THERE IS AT LEAST A REASONABLE POSSIBILITY THAT RECORDED ESTIMATES WILL CHANGE BY A MATERIAL AMOUNT IN THE NEAR TERM. NET PATIENT SERVICE REVENUE DECREASED BY APPROXIMATELY $3.3 MILLION AND INCREASED BY $1.7 MILLION IN 2014 AND 2013, RESPECTIVELY, RELATED TO EITHER SETTLEMENT OF PRIOR YEAR ISSUES OR CHANGES IN ESTIMATES ASSOCIATED WITH THIRD-PARTY ISSUES.THE HOSPITAL GRANTS UNSECURED CREDIT TO ITS PATIENTS, MOST OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD-PARTY PAYOR AGREEMENTS. THE MIX OF RECEIVABLES FROM PATIENTS AND THIRD-PARTY PAYORS AT DECEMBER 31 WASAS FOLLOWS:2014MEDICARE 34%MEDICAID 16%PRIVATE PAYORS 13%INSURANCE AND ALL OTHERS 37%2013MEDICARE 39%MEDICAID 14%PRIVATE PAYORS 7%INSURANCE AND ALL OTHERS 40% PART III, LINE 8: PLEASE SEE DESCRIPTION OF COMMUNITY BENEFIT ACTIVITIES NOTED IN THE 990 PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. THE METHODOLOGY USED TO CALCULATE THE MEDICARE SHORTFALL IS MEDICARE COSTS BASED ON THE MEDICARE COST REPORT RCC LESS MEDICARE PAYMENTS FROM THE PS&R. PART III, LINE 9B: ANY PATIENT AT SJHHC WILL RECEIVE MEDICAL TREATMENT WHETHER OR NOT THE PATIENT IS INSURED OR UNINSURED IN ACCORDANCE WITH THE POLICY AND THE PROCEDURES HEREWITH. SJHHC MAY RESERVE THE RIGHT TO REFUSE FINANCIAL AID ON PRE-SCHEDULED ELECTIVE PROCEDURES ONLY. IT IS THE INTENT OF THE FINANCIAL COUNSELING REPRESENTATIVES, TO FOLLOW-UP ON EVERY CLAIM WITHIN A 30-DAY PERIOD, IN AN EFFORT TO PROVIDE FINANCIAL ASSISTANCE IN ACCORDANCE WITH THE PROGRAMS DEFINED IN OUR FINANCIAL ASSISTANCE POLICY. THE ACCOUNT WILL BE NOTED EACH MONTH AS TO THE FOLLOW-UP EFFORTS MADE BY THE FINANCIAL COUNSELORS BARING ANY UNFORESEEN ISSUES, DELAYS WITH PATIENT CONTACTS, DELAYS WITH THE DSS, ETC.FOR THOSE PATIENTS WHO ARE INTERESTED IN FINANCIAL ASSISTANCE, PATIENTS WILL BE CONTACTED BY A SJHHC FINANCIAL COUNSELOR (FC) AND INSTRUCTED ON THE AVAILABILITY TO ENROLL IN MEDICAID, CHILD HEALTH PLUS (CHP) AND FAMILY HEALTH PLUS (FHP), THROUGH A REFERRAL TO THOSE MEDICAID MANAGED CARE (MMC) FACILITATED ENROLLER WHO HAS A MEDICAID MANAGED CARE CONTRACT WITH SJHHC,OR A REFERRAL TO THE LOCAL COUNTY DEPARTMENT OF SOCIAL SERVICES DEPENDING ON THE PATIENTS DEMOGRAPHICS. REGARDLESS OF WHO COMPLETES THE MEDICAID APPLICATION, THE COMPLETION OF ONE MEDICAID APPLICATION ALLOWS A PATIENT ACCESS TO ENROLL IN MEDICAID, CHP OR FHP, DEPENDING ON THE COMBINED INCOME AND ASSETS OF THE PATIENT AND THEIR FAMILY (IF APPLICABLE). OTHER OPTIONSTO BE DISCUSSED WILL BE FINANCIAL AID AND MONTHLY PAYMENT PLANS.AT ALL PATIENT ACCESS POINTS THERE WILL BE FA PAMPHLETS NOTIFYING PATIENTS AND FAMILY MEMBERS OF THE EXISTENCE AND AVAILABILITY OF THE FINANCIAL COUNSELING UNIT. PATIENTS AND FAMILY MEMBERS MAY DISCUSS ALL PROGRAMS OFFERED EITHER IN PERSON OR BY PHONE.NOTE: PATIENTS WHO MAY BE ELIGIBLE FOR MEDICAID, CHILD HEALTH PLUS OR FAMILY HEALTH PLUS, WHO DO NOT COMPLY WITH THE APPLICATION REQUIREMENTS OF THEIR LOCAL DEPARTMENT OF SOCIAL SERVICES MAY NOT BE ELIGIBLE FOR FINANCIAL AID. THESE PATIENTS MAY ALSO BE SUBJECT TO BAD DEBT, IN ACCORDANCE WITH THE RULES AND REGULATIONS OF THE SJHHC BAD DEBT POLICY.IN ADDITION, OUR DATA MAILERS BEING SENT TO PATIENTS FOR ANY AMOUNT THEY MAY OWE ON A BILL NOW INCLUDES THE PHONE NUMBER OF OUR FINANCIAL COUNSELING UNIT IF THE PATIENT NEEDS FINANCIAL ASSISTANCE. THIS SECTION IS ALSO COLORIZED FOR EASY RECOGNITION. PART VI, LINE 2: PLEASE SEE DESCRIPTION OF COMMUNITY BENEFIT ACTIVITIES NOTED IN THE 990 PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. PART VI, LINE 3: PLEASE SEE DESCRIPTION OF FINANCIAL AID POLICY AT SCHEDULE H, PART III LINE 9B FOR A DESCRIPTION OF PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE. PART VI, LINE 4: PLEASE SEE FORM 990, PART III PART VI, LINE 5: PLEASE SEE FORM 990, PART III PART VI, LINE 6: PLEASE SEE FORM 990, PART III PART VI, LINE 7, REPORTS FILED WITH STATES NY X X X X X 0 1 0 0 0 0 0 0 0 KATHRYN RUSCITTO BOARD TRUSTEE - PRESIDENT, CEO 653952 0 100775 0 131808 0 6264 0 24602 0 917401 0 0 0 SANDRA SULIK MD BOARD TRUSTEE- VP, CHIEF MEDICAL OFF 302765 0 43646 0 16907 0 9533 0 0 0 372851 0 0 0 ANNE MARIE CZYZ VICE PRESIDENT, CHIEF NURS 305406 0 24355 0 32904 0 3429 0 15048 0 381142 0 0 0 FRANK SMITH JR VICE PRESIDENT- SPECIAL PROGRAMS 314995 0 25969 0 20259 0 11945 0 12054 0 385222 0 0 0 MARY W BROWN SENIOR VICE PRESIDENT, COO 336000 0 38146 0 38926 0 3948 0 12054 0 429074 0 0 0 CHARLES J FENNELL VICE PRESIDENT, CHIEF INFORMATION OF 230984 0 19484 0 14527 0 8287 0 15048 0 288330 0 0 0 JOSEPH A SCICCHITANO VICE PRESIDENT- SUPPORT SERVICES 198037 0 15998 0 12987 0 7655 0 0 0 234677 0 0 0 MARK E MURPHY VICE PRESIDENT - CARE MGMT 264992 0 31271 0 32111 0 8582 0 11605 0 348561 0 0 0 FREDERICK LETOURNEAU VICE PRESIDENT - PHYSICIAN ENTERPRIS 314995 0 37603 0 32663 0 8392 0 15531 0 409184 0 0 0 DEBORAH WELCH VICE PRESIDENT - CARE MANAGEMENT 174990 0 13355 0 12060 0 3400 0 15531 0 219336 0 0 0 LOWELL A SEIFTER JD SENIOR VICE PRESIDENT, GENERAL COUNS 289993 0 36532 0 32043 0 4907 0 12054 0 375529 0 0 0 DOUGLAS SMITH VICE PRESIDENT FOR DEVELOPMENT 219294 0 16461 0 13794 0 1695 0 15531 0 266775 0 0 0 SALLIE BIITTNER VP FOR HUMAN RESOURCES 186992 0 14206 0 7480 0 0 0 0 0 208678 0 0 0 MEREDITH PRICE VICE PRESIDENT, CFO 331510 0 12187 0 36071 0 3570 0 15048 0 398386 0 0 0 ALFREDO LOPEZ MD PHYSICIAN 271502 0 0 0 0 0 2953 0 10155 0 284610 0 0 0 KWAME ADUSEI MD PHYSICIAN 447081 0 0 0 0 0 4507 0 12054 0 463642 0 0 0 CHAUDHURY DAVULURI MD PHYSICIAN 358421 0 0 0 0 0 3463 0 14336 0 376220 0 0 0 AFSHAN ASHFAQ MD PHYSICIAN 393687 0 0 0 0 0 192 0 14934 0 408813 0 0 0 DIWAKAR LINGAM MD PHYSICIAN 284769 0 8000 0 0 0 0 0 15531 0 308300 0 0 0 THEODORE PASINSKI FORMER PRESIDENT & CEO 196237 0 0 0 0 0 0 0 0 0 196237 0 0 0 PART I LINE 4B AFTER-TAX 457(F) PLAN ELIGIBILITY FOR THE AFTER-TAX 457(F) PLAN SHALL BE LIMITED TO THOSE INDIVIDUALS WHO ARE PRIMARILY UPPER MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES OF THE HOSPITAL WHO ARE SELECTED IN THE SOLE DISCRETION OF THE HOSPITAL'S BOARD OF TRUSTEES OR ITS DESIGNEE. ELIGIBLE EMPLOYEES WHO HAVE BEEN SELECTED BY THE EXECUTIVE COMMITTEE OF THE BOARD ARE SET FORTH ON EXHIBIT A OF THE PLAN. ALL EMPLOYER CONTRIBUTIONS TO THE PLAN ARE IMMEDIATELY VESTED. THIS PLAN IS AN INCENTIVE TO CONTINUE TO PROVIDE VALUABLE SERVICES TO THE HOSPITAL AND AS AN INCENTIVE TO RECRUIT NEW EMPLOYEES TO PROVIDE NEEDED HEALTHCARE SERVICES TO THE COMMUNITY, AND AS SUCH IS REVIEWED ON AN ANNUAL BASIS BY THE COMPENSATION COMMITTEE. PARTICIPANTS FRANK SMITH, JR. $ 18,900 MARY W. BROWN $ 31,920 CHARLES FENNELL $ 11,550 KATHRYN RUSCITTO $130,805 MARK MURPHY $ 29,150 SANDRA SULIK, MD $ 14,217 ANNE MARIE CZYZ $ 29,014 JOSEPH A SCICCHITANO $ 9,902 FREDERICK LETOURNEAU $ 26,775 DEBORAH WELCH $ 10,500 MEREDITH PRICE $ 28,178 SALLIE BIITTNER $ 7,480 LOWELL A SEIFTER, JD $ 24,650 DOUGLAS SMITH $ 8,772 A ONONDAGA CIVIC DEVELOPMENT CORPORATION 800458240 2010-07-16 63480000 FINANCE REPLACEMENT AND RENOVATION PROJECT 0 0 0 B ONONDAGA CIVIC DEVELOPMENT CORPORATION 800458240 682832BF6 2012-09-20 143261750 FINANCE RENOVATION PROJECT AND REFUNDING OF 1997 BONDS 0 0 0 C ONONDAGA CIVIC DEVELOPMENT CORPORATION 800458240 682832BY5 2014-04-24 67231218 FINANCE CO-GENERATION, EPIC AND OTHER CAPITAL EXPENDITURES 0 0 0 A 6348000 63480000 1413460 50000 62016540 2012 0 0 1 1 B 6675000 143273492 10826256 6305514 2064211 103088891 19413257 2014 1 0 1 1 C 80746203 6831500 71370282 1459435 0 0 0 1 A 0 0 1 1 1 1 0 0 0 B 0 0 1 1 1 1 0 0 0 C 0 0 1 1 1 1 0 0 0 A 0 0 0 0 1 0 0 0 0 B 0 1 0 0 0 0 0 0 0 C 0 1 0 0 0 0 0 0 0 A 0 B 0 C 0 PART II, LINE 3, COLUMN B OF THE $143,271,665 REPORTED, $143,261,750 RELATES TO THE BOND ISSUE AND $11,742 REPRESENTS INVESTMENT EARNINGS FROM INTEREST EARNED ON THE DEBT SERVICE FUND, CAPITAL INTEREST FUND AND THE PROJECT FUND FOR 2012 THROUGH 2014. PART II, LINE 3, COLUMN C OF THE $80,747,406 REPORTED, $80,745,000 RELATES TO THE BOND ISSUE AND $1,203 REPRESENTS INVESTMENT EARNINGS FROM INTEREST EARNED ON THE DEBT SERVICE FUND, BOND FUND AND THE PROJECT FUND FOR 2014 PART II, LINE 13, COLUMN C THE PROJECTION THAT THESE BOND'S ARE FINANCING ARE NOT ESTIMATED TO BE COMPLETED UNTIL 2015 SYRACUSE OFFICE ENVIRONMENT BUSINESS 35% OWNED BY BOARD MEMBER & RELATIVE 405092 BUSINESS TRANSACTION 0 LOWELL SEIFTER FAMILY OF BOARD MEMBER 375529 COMPENSATION ARRANGEMENT 0 PART IV LINES 1 - 3 1. SYRACUSE OFFICE ENVIRONMENT IS AN ENTITY THAT DOES BUSINESS WITH ST. JOSEPH'S AND IS OWNED >35% BY A BOARD MEMBER, VINCENT SWEENEY.2. LOWELL SEIFTER IS A KEY EMPLOYEE AND FAMILY MEMBER OF A BOARD MEMBER, SHARON MCAULIFFE. X TVS FOR PATIENT ROOMS 216 199800 FAIR MARKET VALUE 0 0 0 CONTINUATION, FORM 990, PART III, LINE 4A OUTREACH TO NORTHERN NEW YORK: ST. JOSEPH'S CONTINUED ITS TELEMEDICINE PROGRAM WITH SAMARITAN MEDICAL CENTER IN WATERTOWN, N.Y., TO ACHIEVE OPTIMAL CARDIAC CARE FOR CENTRAL AND NORTHERN NEW YORK. SAMARITAN HOUSES A FREESTANDING CATHETERIZATION LABORATORY THAT SERVICES THE LARGELY RURAL JEFFERSON, ST. LAWRENCE, LEWIS AND FRANKLIN COUNTIES. SAMARITAN'S CATH LAB UTILIZES THE EXPERTISE OF ST. JOSEPH'S INVASIVE CARDIOLOGISTS. ALL PATIENTS ARE SCREENED FOR RISK FACTORS AND ANY CARDIAC CATH CANDIDATES WHO DISPLAY AT-RISK SYMPTOMATOLOGY ARE REFERRED TO ST. JOSEPH'S HOSPITAL FOR INPATIENT CARDIAC CATHETERIZATION PROCEDURES, ANGIOPLASTY OR CARDIAC SURGERY INTERVENTIONS. ST. JOSEPH'S EXPRESS ADMISSION LINE IS A HOTLINE USED PRIMARILY FOR THE SPEEDY TRANSFER OF CARDIAC PATIENTS FROM RURAL HOSPITALS WITHOUT CARDIAC CATHETERIZATION LABS. IT CAN ALSO BE A LIFESAVING TOOL USED TO TRANSFER ANY PATIENT IN NEED TO THE APPROPRIATE LEVEL OF CARE AS SOON AS POSSIBLE. WHEN A PATIENT REQUIRES SPECIALTY CARE UNAVAILABLE AT HIS OR HER CURRENT HEALTH CARE FACILITY, MEDICAL PERSONNEL CALL THE EXPRESS LINE, WHICH IS ANSWERED 24-HOURS-A-DAY, SEVEN-DAYS-A-WEEK BY ST. JOSEPH'S ADMINISTRATIVE NURSING COORDINATOR. THE NURSING COORDINATOR LISTENS TO THE DESCRIPTION OF THE PATIENT'S CONDITION, CONTACTS THE ST. JOSEPH'S PHYSICIAN ON CALL FOR THE PARTICULAR SPECIALTY NEEDED, AND WITHIN MINUTES ALL THREE PARTIES ARE ENGAGED IN A THREE-WAY POTENTIALLY LIFESAVING CONVERSATION. THE ST. JOSEPH'S PHYSICIAN CAN OBTAIN CRITICAL PATIENT INFORMATION AND GIVE SPECIFIC INSTRUCTIONS FOR CARE DURING TRANSPORT, WHILE THE NURSING COORDINATOR SIMULTANEOUSLY CHECKS FOR AVAILABLE BEDS AND ALERTS THOSE NEEDED TO PREPARE FOR THE PATIENT'S ARRIVAL. TO EXPEDITE THE PROCESS, HOSPITAL REPRESENTATIVES FROM BOTH LOCATIONS THEN TAKE CARE OF PAPERWORK AND OTHER IMPORTANT INFORMATION, WHILE THE PATIENT IS ENROUTE. THE EXPRESS LINE HAS LITERALLY BEEN A LIFESAVER, BECAUSE PRECIOUS TIME IS NOT SPENT SEARCHING FOR AN OPEN BED OR TRIAGING THE PATIENT A SECOND TIME UPON ARRIVAL AT ST. JOSEPH'S, BUT ONLY ON MAKING SURE THE PATIENT RECEIVES THE BEST POSSIBLE MEDICAL CARE IMMEDIATELY AND THROUGHOUT HIS OR HER STAY. REHABILITATION: ST. JOSEPH'S OFFERS THE ONLY COMPREHENSIVE CARDIAC REHABILITATION PROGRAM THAT IS CERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION AND IS THE LARGEST SUCH PROGRAM IN CENTRAL NEW YORK. IN 2014, ST. JOSEPH'S ADMITTED MORE THAN 195 PATIENTS, PROVIDING NEARLY 11,492 PATIENT VISITS. A MEDICALLY SUPERVISED EXERCISE PROGRAM IS ALSO HELD AT THE SITE. THIS PROGRAM IS SPECIFICALLY DESIGNED FOR PEOPLE WHO WANT TO EXERCISE AND MAINTAIN THEIR INDEPENDENCE, BUT WHOSE CHRONIC DISEASE STATES PUT THEM AT RISK FOR EXERCISING IN STANDARD GYMS. FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING INDIVIDUAL RECEIVED COMPENSATION OF MORE THAN $10,000 FROM ST. JOSEPH'S HOSPITAL HEALTH CENTER AND HAVE A FAMILY RELATIONSHIP TO A HOSPITAL BOARD MEMBER: 1. ADAM HOWE, NEPHEW OF KATHRYN RUSCITTO THE FOLLOWING KEY EMPLOYEE HAS A FAMILY RELATIONSHIP WITH A BOARD MEMBER: 1. LOWELL SEIFTER, HUSBAND OF SHARON MCAULLIFE THE FOLLOWING COMPANY RECEIVED COMPENSATION FROM A BUSINESS TRANSACTION OF MORE THAN $100,000 FROM ST. JOSEPH'S HOSPITAL HEALTH CENTER AND A BOARD MEMBER, VINCENT SWEENEY AND HIS FAMILY, OWN THE COMPANY: 1. SYRACUSE OFFICE ENVIRONMENT THE FOLLOWING INTERESTED PERSON(S) HAD A BUSINESS TRANSACTION (COMPENSATION ARRANGEMENT) OF MORE THAN $100,000 FROM ST. JOSEPH'S HOSPITAL HEALTH CENTER AND WERE BOARD MEMBERS, PLEASE SEE PART VII FOR FURTHER DETAIL: 1. KATHRYN RUSCITTO 2. SANDRA SULIK, MD FORM 990, PART VI, SECTION A, LINE 4 THE GOVERNING DOCUMENTS WERE AMENDED IN 2014 TO REFLECT THE CHANGE OF THE SOLE CORPORATE MEMBER FROM THE GENERAL MINISTER AND COUNCIL OF THE SISTERS OF ST. FRANCIS OF THE NEUMANN COMMUNITIES, TO ST. JOSEPH'S HEALTH, INC. EFFECTIVE OCTOBER 2014. IN ADDITION, THE BYLAWS WERE AMENDED DURING 2014 TO COMPLY WITH THE NYS NONPROFIT REVITALIZATION ACT. FORM 990, PART VI, SECTION A, LINE 6 ST. JOSEPH'S HEALTH, INC. IS THE SOLE MEMBER OF ST. JOSEPH'S HOSPITAL HEALTH CENTER. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER OF THE CORPORATION, ST. JOSEPH'S HEALTH, INC. MAY ELECT THE BOARD OF TRUSTEES AND REMOVE BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER OF THE CORPORATION, ST. JOSEPH'S HEALTH, INC., SHALL RETAIN THE POWER AND AUTHORITY TO: - CHANGE THE PHILOSOPHY, MISSION AND PURPOSE OF THE CORPORATION; - ADOPT AND/OR AMEND THE CERTIFICATE OF INCORPORATION; - ADOPT AND/OR AMEND THE BY-LAWS; - ELECT THE BOARD OF TRUSTEES AND REMOVE THE BOARD MEMBERS WITH OR WITHOUT CAUSE; - APPOINT THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION; - APPROVE THE PURCHASE, SALE, LEASE, MORTGAGE OF REAL PROPERTY; AND APPROVE THE PURCHASE, SALE OF GIFT OF CAPITAL ASSETS; - APPROVE THE MERGER, CONSOLIDATION OR AFFILIATION OF THE CORPORATION WITH ANOTHER CORPORATION, ORGANIZATION OR PROGRAM; - APPROVE THE DISSOLUTION OF THE CORPORATION AND DISPOSITION OF ASSETS. FORM 990, PART VI, SECTION B, LINE 11 THE FINANCE COMMITTEE AND THE BOARD OF TRUSTEES WILL REVIEW THE FORM 990 PRIOR TO ITS SUBMISSION. A COPY OF THE 990 WILL BE PROVIDED TO THE COMMITTEE AND BOARD PRIOR TO THE MEETING FOR DISCUSSION. FORM 990, PART VI, SECTION B, LINE 12C CONSISTENT WITH THE HOSPITAL BYLAWS WHICH REQUIRES A DUTY TO DISCLOSE, ON AN ANNUAL BASIS AT A DEFINED TIME, ALL BOARD OF TRUSTEES ARE GIVEN THE CONFLICT OF INTEREST POLICY AND FORM TO REVIEW AND COMPLETE. THE PRESIDENT OF THE BOARD OF TRUSTEES TRACKS THE SUBMISSION PROCESS TO ENSURE THAT ALL FORMS ARE COMPLETED AND SUBMITTED. THE INFORMATION FROM THE CONFLICT OF INTEREST STATEMENTS ARE REVIEWED AT A SUBSEQUENT BOARD MEETING. ANY NEW INDIVIDUALS APPOINTED AS A TRUSTEE WILL COMPLETE THIS REVIEW AND SUBMISSION PROCESS AFTER THEY HAVE BEEN CONFIRMED. THE INTERESTED PERSON IS REQUIRED TO LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF AND VOTE ON THE TRANSACTION OR ARRANGEMENT THAT RESULTS FROM THE CONFLICT OF INTEREST. THE BOARD OF TRUSTEE MEETING MINUTES REFLECT WHENEVER A BOARD MEMBER ABSTAINS FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15 THE HOSPITAL BYLAWS ESTABLISHES AN EXECUTIVE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, WHICH IS COMPRISED OF INDEPENDENT BOARD MEMBERS DETERMINED TO BE FREE OF ANY CONFLICT OF INTEREST, IS CHARGED WITH DETERMINING EXECUTIVE COMPENSATION AND ESTABLISHING PERFORMANCE CRITERIA ACCORDING TO AN APPROVED COMPENSATION PHILOSOPHY. THE COMMITTEE WORKS WITH AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTING AND ADVISORY FIRM, YAFFE & COMPANY, THAT PROVIDES MARKET SURVEY DATA CONCERNING COMPENSATION AND BENEFIT LEVELS FOR FUNCTIONALLY COMPARABLE HEALTHCARE EXECUTIVES IN SIMILAR HOSPITALS ACROSS THE REGION AND THE NATION BASED ON SEVERAL FACTORS INCLUDING SIZE, GEOGRAPHY, HOSPITAL TYPE AND COMPLEXITY. THE COMMITTEE REVIEWS AND APPROVES THE COMPENSATION OF THE SENIOR EXECUTIVES AND ENSURES THAT ALL FORMS OF EXECUTIVE COMPENSATION ARE REASONABLE, APPROPRIATE AND CONSISTENT WITH ITS COMPENSATION PHILOSOPHY. THE COMMITTEE CONTEMPORANEOUSLY DOCUMENTS ITS DECISIONS IN MEETING MINUTES AND REPORTS ITS DECISIONS TO THE FULL BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 ST. JOSEPH'S HOSPITAL HEALTH CENTER DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. IT DOES HOWEVER PRODUCE AN ANNUAL REPORT WHICH CONTAINS FINANCIAL INFORMATION AND IS READILY DISTRIBUTED AND MADE AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G OTHER: PROGRAM SERVICE EXPENSES 55,651,364. MANAGEMENT AND GENERAL EXPENSES 11,508,383. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 67,159,747. FORM 990, PART XI, LINE 9: CHANGE IN NET ASSETS OF ST. JOSEPH'S FOUNDATION 108,591. PENSION & POST RETIREMENT CHANGES -531,321. EQUITY TRANSFER -24,991,914. INTEREST RATE CAP -459,511. OTHER 11. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990 PART IX LINE 11G PHYSICIAN CONTRACTS $19,409,708 MEDICAL PURCHASESD SERVICES 15,527,338 MAINTENANCE CONTRACTS 7,218,145 OTHER PURCHASED SERVICES 6,605,194 CONTRACTED SERVICES 5,454,689 COLLECTION AGENCY FEES 3,542,083 TEMPORARY EMPLOYMENT SERVICES 3,339,926 LAUNDRY AND LINEN 2,370,007 MAINTENANCE AND REPAIR 1,642,879 OTHER PROFESSIONAL 1,065,618 TRANSCRIPTION SERVICES 525,949 RECRUITMENT FEES 264,749 SOFTWARE SUBSCRIPTIONS 182,048 OTHER DESIGN FEES 7,685 BILLING FEES 2,906 PHOTOGRAPHY SERVICES 823 FRANCISCAN HEALTH SUPPORT LLC 333 BUTTERNUT DRIVE SUITE 100 DEWITT NY 13214 SUPPORT SERVICES NY 0 0 FHS SERVICES INC ST JOSEPH'S HOSPITAL FOUNDATION 301 PROSPECT AVE SYRACUSE NY 13203 222149775 FUNDRASING FOR HOSPITAL NY 501 (C)(3) 11A ST JOSEPH'S HEALTH INC 1 ST JOSEPH'S HOSPITAL PROPERTIES 301 PROSPECT AVE SYRACUSE NY 13203 237219294 PROPERTY MANAGEMENT COMPANY NY 501 (C)(3) 11A ST JOSEPH'S HEALTH INC 1 ST JOSEPH'S PHYSICIAN HEALTH PC 301 PROSPECT AVE SYRACUSE NY 13203 161516863 PHYSICIAN PROFESSIONAL SERVICES NY 501 (C)(3) 11B ST JOSEPH'S HOSPITAL HEALTH CENTER 1 SJ MANAGEMENT COMPANY OF SYRACUSE INC 301 PROSPECT AVE SYRACUSE NY 13203 271763712 SUPPORT ST. JOSEPH'S HOSPITAL HEATLH CENTER NY 501 (C)(3) 11C ST JOSEPH'S HOSPITAL HEALTH CENTER 1 ST JOSEPH COLLEGE OF NURSING AT SJHHC 206 PROSPECT AVE SYRACUSE NY 13203 202497520 NURSING EDUCATION NY 501 (C)(3) 11A ST JOSEPH'S HOSPITAL HEALTH CENTER 1 ST JOSEPH'S MEDICAL PC 301 PROSPECT AVE SYRACUSE NY 13203 273899821 PHYSICIAN PROFESSIONAL SERVICES NY 501 (C)(3) 11B ST JOSEPH'S HOSPITAL HEALTH CENTER 1 ST JOSEPH'S HEALTH INC 301 PROSPECT AVE SYRACUSE NY 13203 474754987 PARENT COMPANY TO THE HOSPITAL, PROPERTIES AND FOUNDATION NY 501 (C)(3) 11A PARTNERS IN FRANCISCAN MINISTRIES INC 1 LIVERPOOL DIALYSIS CENTER LLC 1304 BUCKLEY ROAD SYRACUSE NY 132124302 261890615 DIALYSIS TREATMENTS NY ST JOSEPH'S HOSPITAL HEALTH CENTER INC RELATED 30000 0 1 0.30000 SYRACUSE NEIGHBORHOOD DEVELOPMENT PARTNERS LLC 990 JAMES STREET SYRACUSE NY 13203 113643461 TO ACQUIRE CERTAIN REAL PROPERTY AND TO PROMOTE NEIGHBORHOOD REVITALIZATION NY N/A RELATED 0 0 SJLS LLC 301 PROSPECT AVE SYRACUSE NY 13203 201796650 DIALYSIS TREATMENTS NY SJ MANAGEMENT COMPANY OF SYRACUSE INC RELATED 0 0 LOURDES HEALTH SUPPORT LLC 333 BUTTERNUT DRIVE SUITE 100 DEWITT NY 13214 161611707 DURABLE MEDICAL EQUIPMENT NY FMS RELATED 0 0 FRANCISCAN MANAGEMENT SERVICES INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT NY 13214 161351193 MANAGEMENT SERVICES NY FRANCISCAN ASSOCIATES INC C 1 FRANCISCAN HEALTH SUPPORT INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT NY 13214 161236354 DURABLE MEDICAL EQUIPMENT NY FRANCISCAN ASSOCIATES INC C 1 FRANCISCAN ASSOCIATES INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT NY 13214 202991688 HOLDING COMPANY NY SJHHC PROPERTIES INC C 1 FHS SERVICES INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT NY 13214 272995699 HEALTH SERVICE PROVIDER NY FRANCISCAN ASSOCIATES INC C 1 SJPE PRACTICE MANAGEMENT SERVICES 301 PROSPECT AVENUE SYRACUSE NY 13203 454164964 MANAGEMENT SERVICES NY STJOSEPH'S HOSPITAL HEALTH CENTER C -130591 5631 1.00000 1 HEALTH CARE MANAGEMENT ADMINISTRATORS 333 BUTTERNUT DRIVE SUITE 100 SYRACUSE NY 13214 161450960 MANAGEMENT AND BILLING SERVICES NY FRANCISCAN ASSOCIATES INC C 1 1 0 1 1 1 0 0 0 0 1 1 1 1 1 1 1 1 1 1 ST JOSEPH'S HEALTH CENTER FOUNDATION C 2341242 CASH ST JOSEPH'S HEALTH CENTER PROPERTIES E 6378233 FMV ST JOSEPH'S HEALTH CENTER FOUNDATION D 48066 FMV ST JOSEPH'S MEDICAL PC R 12684158 FMV ST JOSEPH'S PHYSICIAN HEALTH PC R 16262849 FMV SJ MANAGEMENT COMPANY OF SYRACUSE INC S -3955093 FMV