2015-11-16T10:49:17-06:00 2014-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2014-01-01 161492011 ONEIDA HEALTH SYSTEMS ONEI 3153636000 321 GENESEE STREET ONEIDA NY 13421 JOHN MILLIGAN CFO 3153636000 2015-11-11 1 JOSEPH J SCHLEGEL P00301329 3154463600 2014 2016-02-25 16:41:14Z ONEIDA HEALTHCARE GENE MORREALE 321 GENESEE STREET ONEIDA NY 13421 101100354 0 X WWW.ONEIDAHEALTHCARE.ORG X 1995 NY 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 2014 ONEIDA HEALTH SYSTEMS SERVED 3233 INPATIENTS AND 133198 OUTPATIENTS. THE RESIDENTIAL CARE FACILITY PROVIDED CARE TO 148 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. 10 8 1156 103 0 0 2575981 1277859 77146048 83587594 868021 3237077 404833 707998 80994883 88810528 0 0 0 0 44395085 45261800 0 0 49298 35593231 36991283 79988316 82253083 1006567 6557445 117070632 121870784 60551386 55869049 56519246 66001735 X 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. 0 0 76438259 84258692 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 2014 ARE AS FOLLOWS: ADMISSIONS: 3233, PATIENT DAYS: 12532, ER VISITS 22783, SURGERIES: 3059, VISITS TO PHYSICIAN PRACTICES: 21047. 76438259 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 59 0 1156 1 0 0 0 0 0 0 0 0 0 0 X 10 8 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 NY X JOHN MILLIGAN CFO 3153636000 321 GENESEE STREET ONEIDA NY 13421 VICTOR J SIRCHIA CHAIR BOARD MEMBER 2.00 X X 0 0 0 AMANDA LARSON SECRETARY BOARD MEMBER 2.00 X X 0 0 0 MICHAEL R KALLET VICE CHAIR BOARD MEMBER 2.00 X X 0 0 0 DANIEL M RATNARAJAH MD BOARD MEMBER 2.00 X 57222 0 0 PETER F HEDGLON ESQ BOARD MEMBER 2.00 0.30 X 0 0 0 STEVEN J POTTER BOARD MEMBER 2.00 X 0 0 0 ELIZABETH METZGER BOARD MEMBER 2.00 X 0 0 0 NADINE BELL BOARD MEMBER 2.00 X 0 0 0 GENE MORREALE CEO 40.00 0.90 X X 381943 0 35704 JANICE BACH MD BOARD MEMBER 2.00 X 4150 0 0 DEWEY ROWLANDS CFO 40.00 X 93660 0 3682 JOHN MILLIGAN CFO 40.00 X 65661 0 6222 MARY PARRY COO 40.00 X 109441 0 22123 DANA VICK VP MEDICAL AFFAIRS/CHIEF M 40.00 4.00 X 248888 0 32349 ROBERT FRIEDMAN PHYSICIAN 40.00 X 208006 0 26312 KRISTINA TERVO PHYSICIAN 40.00 X 193874 0 25329 MARCIA NEWSOM PHYSICIAN 40.00 X 177986 0 16249 ANDREW MCHUGH PHARMACIST 40.00 X 116747 0 24086 SHARON WILLIS DIRECTOR OF NURSING 40.00 X 132782 0 23377 1790360 0 215433 22 0 1 0 CHIRUMAMILLA HSIEH HTUN LLP 467 FOXWOOD TERRACE ONEIDA NY 13421 PHYSICIAN SERVICES 804798 TRI-VALLEY FAMILY PRACTICE 3 CURTIS ROAD VERNON NY 13476 PHYSICIAN SERVICES 602372 CHIRUMAMILLA MD PC 467 FOXWOOD TERRACE ONEIDA NY 13421 PHYSICIAN SERVICES 468636 ROTHMAN ROBERT 120 EAST WASHINGTON STREET SUITE 1 SYRACUSE NY 13202 COLLECTION AGENCY 341556 FRANCISCAN MANAGEMENT 333 BUTTERNUT DRIVE DEWITT NY 13214 STAFFING SERVICES 308414 13 14430 1188556 74873 1277859 OUTPATIENT 623000 36540550 36540550 INPATIENT ACUTE CARE 623000 18075453 18075453 EXTENDED CARE FACILITY 623000 16053952 16053952 EMERGENCY ROOM 623000 11511434 11511434 OTHER NET PATIENT SERVICE REVENUE 623000 1406205 1406205 83587594 692053 692053 105523 75137 30386 30386 30386 14738068 21645 12186530 28159 2551538 -6514 2545024 2545024 CAFETERIA 722210 332581 332581 OTHER INCLUDING TOBACCO POOLS 900099 296917 296917 QUALITY REPORTING REVENUE 900099 45799 45799 2315 2315 677612 88810528 84265206 0 3267463 1564342 1054890 476907 32545 32729172 30539865 2182522 6785 3097723 2857467 235695 4561 5193328 4790111 401826 1391 2677235 2466687 206532 4016 189140 94570 94570 51512 25756 25756 100564 100564 6284560 5416863 867697 228618 228618 565403 476039 89364 1077863 808397 269466 1193286 1005321 187965 56212 41529 14683 41570 31962 9608 1454326 1454326 6527917 6527917 1012980 1012980 MEDICAL SUPPLIES INCLUD 8639177 8612400 26777 BAD DEBT 4931480 4931480 EQUIPMENT AND REPAIRS 2373635 2228805 144830 NYS ASSESSMENT 1057616 1057616 1205424 774660 430764 82253083 76438259 5765526 49298 3484346 5554543 3504324 3721157 51359 24031 24050660 28738831 218333 115625 39795 0 1285578 1362932 5117407 5071986 113028771 72232323 44307804 40796448 30755154 31100293 4255872 5384938 117070632 121870784 13068203 15104083 26705512 25243430 3395776 2411900 17381895 13109636 60551386 55869049 X 56349991 65859978 102980 75482 66275 66275 56519246 66001735 117070632 121870784 X 6557445 -1831276 4756320 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 169256 145542 -27499 145542 141758 195758 286559 -26502 286559 169256 108240 353178 265660 195758 415234 197447 -939 -503502 108240 749703 480480 2210 -817159 415234 0.27780 0.46760 0.25460 0 1 1 501584 501584 56118813 34531259 21587554 2604662 1702306 902356 53153244 35998758 17154486 650468 650468 40796448 THIRD PARTY PAYOR SETTLEMENTS 2959648 PENSION PLAN LIABILITY 9311573 BLUE CROSS ADVANCE 748000 CHARITABLE GIFT ANNUITY 90415 13109636 X 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 $39,385 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, 2014, 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 2011 THROUGH 2014. 1 1 X 1 X 1 X 1 1 1 0 0 781890 199194 582696 0.00710 23580534 19913053 3667481 0.04460 24362424 20112247 4250177 0.05170 45381 45381 0.00060 3631 3631 0.00000 49012 49012 0.00060 24411436 20112247 4299189 0.05230 1879 1879 0.00000 395 395 0.00000 5580 5580 0.00010 30138 3562 26576 0.00030 2265 2265 0.00000 40257 3562 36695 0.00040 1621869 1104334 12890712 26974115 -14083403 X 1 1 1 1 ONEIDA HEALTH SYSTEMS INC 321 GENESEE STREET ONEIDA NY 13421 X X X ONEIDA HEALTH SYSTEMS INC 1 0 0 1 X X X X X X X X X 13 1 1 0 1 X WWW.ONEIDAHEALTHCARE.ORG X 1 13 1 WWW.ONEIDAHEALTHCARE.ORG 0 0 1 X 100.000000000000 350.000000000000 X X 1 1 1 X X 1 0 X X X X 1 X 0 0 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 CAF " 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 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 WILL BE RUN OUT OF THE VERONA HEALTH CENTER PRIOR TO THE END OF THE YEAR. 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. PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY ONEIDA HEALTH SYSTEMS INC. PART V, SECTION B, LINE 16A WEBSITE: HTTP://WWW.ONEIDAHEALTHCARE.ORG/OUR-HOSPITAL/FINANCIAL-ASSISTANCE 9 VERONA HEALTH CENTER 5547 WEST MAIN STREET VERONA NY 13478 HOSPITAL BASED HEALTH CENTER ONEIDA HEALTHCARE CENTER ECF 323 GENESEE ST ONEIDA NY 13421 EXTENDED CARE FACILITY CANASTOTA LENOX HEALTH CENTER 115 CENTER STREET CANASTOTA NY 13032 HOSPITAL BASED HEALTH CENTER CHITTENANGO FAMILY CARE 1372 ROUTE 5 CHITTENANGO NY 13037 HOSPITAL BASED HEALTH CENTER OB CLINIC 447 NORTH MAIN STREET ONEIDA NY 13421 HOSPITAL BASED PCAP CENTER ONEIDA HEALTHCARE REHABILITATION CENTER 221 BROAD STREET ONEIDA NY 13421 REHABILITATION FACILITY/MEDICAL OFFICES ALICE GORMAN IMAGING CENTER 139 FIELDS DRIVE ONEIDA NY 13421 IMAGING CENTER ALICE GORMAN IMAGING CENTER - CAMDEN 9562 STATE ROUTE 13 CAMDEN NY 13316 IMAGING CENTER CHITTENANGO INTERNAL MEDICINE 115 CENTER STREET CHITTENANGO NY 13037 HOSPITAL BASED HEALTH CENTER 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 2014, 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 CAF 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. 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.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. 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:PRIMARY CARE CENTERS IN CHITTENANGO AND CANASTOTA WHERE 37.2% OF THE PATIENTS SERVED ARE MEDICAID, UNDERINSURED AND LIMITED OR NO PAY PATIENTS. 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 FREE FLU SHOTS TO THE MARY ROSE CLINIC - ONEIDA FREE MEDICAL HEALTH FOR THE UNINSURED, EXISTS TO PROVIDE PRIMARY HEALTHCARE SERVICES TO LOW-INCOME, UNINSURED ADULTS WITHIN MADISON COUNTY AND SURROUNDING AREAS.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 UNCOLLECTIBLE ACCOUNTS AND THIRD PARTY PAYER CONTRACTUAL ADJUSTMENTS, ESTIMATED THIRD PARTY PAYABLES, 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, 10% OF THE EXPECTED PAYMENT FOR ALL ACCOUNTS THAT ARE BETWEEN 0 AND 180 DAYS OUTSTANDING ARE RESERVED FOR BAD DEBT AT 90% OF THE EXPECTED PAYMENT. FOR ALL ACCOUNTS THAT ARE OVER 181 DAYS OUTSTANDING, THE RESERVE FOR BAD DEBT IS 90%. THIS CALCULATION IS USED PRIMARILY TO ESTIMATE THE UNCOLLECTIBILITY OF DEDUCTIBLES AND COINSURANCE AFTER INSURANCE PAYMENTS.FOR ALL SELF PAY PATIENTS BETWEEN 0 AND 120 DAYS OLD, 75% OF THE EXPECTED PAYMENT OUTSTANDING IS RESERVED FOR BAD DEBT AND FOR ALL SELF PAY ACCOUNTS OVER 121 DAYS OLD, 91% 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, MUCH TO THE SURPRISE OF OUR PATIENTS. 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 350% 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. OHC ALSO WORKS WITH AN OUTSIDE AGENCY, AHC, 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.PROVIDING FREE FLU SHOTS TO THE MARY ROSE CLINIC.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 MONTHLY DIABETES EDUCATION CLASSES AT THE MARY ROSE CLINIC. PROVIDING A VARIETY OF HEALTH EDUCATION SERVICES, INCLUDING SMOKING CESSATION, DIRECTLY AND THROUGH PARTICIPATION IN COMMUNITY HEALTH FAIRS AND SCREENINGS.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.PROVING 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: 2014 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, STIS 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 2014 THE PRIMARY COUNTY MARKET AREA SERVED HAD AN ESTIMATED POPULATION OF 305,240, WHILE THE SECONDARY COUNTIES HAD AN ESTIMATED POPULATION OF 589,109.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 1.4 PERCENT DECREASE IN POPULATION FROM APRIL 1, 2010 TO JULY 1, 2014. THE STRESS THAT THIS TREND PLACES ON THE PROVISION OF SERVICES IS COMPOUNDED BY THE HIGHER THAN AVERAGE PROPORTION OF ELDERLY IN THE AREA. FIFTEEN AND FIVE TENTHS PERCENT OF THE POPULATION IN THE SERVICE AREA WAS OVER AGE 65 IN 2014, COMPARED TO 14.1% 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 2014, 21.3% OF OHC'S REVENUES WERE GENERATED FROM MEDICARE PATIENTS.THE MEDIAN HOUSEHOLD INCOME IN OHC'S SERVICE AREA IS ESTIMATED AT $53,589, WHILE THE PERCENT OF INDIVIDUALS BELOW THE POVERTY LEVEL IN THE SERVICE AREA AVERAGES 13.9%. OHC IS A DISPROPORTIONATE SHARE HOSPITAL. IN FISCAL YEAR 2014, OUR GENERAL ADMITTANCE PAYER MIX FOR MEDICARE (INCLUDING HMO MEDICARE) WAS THIRTY SEVEN PERCENT (AND TWENTY PERCENT) FOR THE POOR AND UNDERSERVED. FOR FISCAL YEAR 2014, PAYER MIX FOR THE POOR AND UNDERSERVED IN EMERGENCY DEPARTMENT WAS TWENTY-TWO AND NINE TENTHS PERCENT. 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 IN 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 X X X X X 0 0 0 0 0 0 0 0 0 GENE MORREALE CEO 352430 0 20000 0 9513 0 19228 0 16476 0 417647 0 37519 0 DANA VICK VP MEDICAL AFFAIRS/CHIEF M 248316 0 0 0 572 0 14673 0 17676 0 281237 0 0 0 ROBERT FRIEDMAN PHYSICIAN 207154 0 0 0 852 0 10226 0 16086 0 234318 0 0 0 KRISTINA TERVO PHYSICIAN 193460 0 0 0 414 0 10153 0 15176 0 219203 0 0 0 MARCIA NEWSOM PHYSICIAN 176078 0 0 0 1908 0 9788 0 6461 0 194235 0 0 0 SHARON WILLIS DIRECTOR OF NURSING 131786 0 540 0 456 0 8201 0 15176 0 156159 0 0 0 A MADISON COUNTY INDUSTRIAL DEVELOPMENT ASSOCIATION 521325841 2007-11-01 12800000 OR/ICU/ER RENOVATIONS 0 0 0 A 12800000 933288 578902 651279 10633531 2010 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 DR DANIEL RATNARAJAH BOARD MEMBER MEDICAL EDUCATION LOAN X 75000 40625 0 1 1 DR DANIEL RATNARAJAH BOARD MEMBER PHYSICIAN INCOME GUARANTEE X 118333 75000 0 1 1 115625 FORM 990, PART VI, SECTION A, LINE 4 ONEIDA HEALTH SYSTEMS ADOPTED THE PROVISIONS OF THE NEW YORK STATE NON PROFIT REVITALIZATION ACT. 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 368,519. CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 26,546. RETIREMENT PLAN OBLIGATION CHANGES OTHER THAN NET PERIODIC BENEFIT COST 4,088,058. TRANSFER OF BUILDING FROM ONEIDA HEALTHCARE CORPORATION 273,197. PART XII LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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 ONEIDA HEALTH SYSTEMS 0 ONEIDA MEDICAL PRACTICE 221 BROAD STREET ONEIDA NY 13421 261147857 MEDICAL OFFICE NY 501 (C) (3) LINE 3 ONEIDA HEALTH SYSTEMS 0 ONEIDA HEALTH VENTURES INC 321 GENESEE STREET ONEIDA NY 13421 462495527 INACTIVE NY ONEIDA HEALTH SYSTEMS C 1.00000 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0