CHENANGO MEMORIAL HOSPITAL INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- CHENANGO MEMORIAL HOSPITAL INC (EIN 15-0532180)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-10
- IRS object ID
- 201523149349301502
- Schema version
- 2014v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-10T09:44:02-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161226221 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FUST CHARLES CHAMBERS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5784 WIDEWATERS PARKWAY | AddressLine1Txt |
| City | SYRACUSE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13214 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 150532180 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHENANGO MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHEN | BusinessNameControlTxt |
| Phone | 6073374111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 179 NORTH BROAD STREET | AddressLine1Txt |
| City | NORWICH | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13815 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DRAKE LAMEN MD | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 6073374111 | PhoneNum |
| Signature | 2015-10-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANGELA M FRANCO | PreparerPersonNm |
| PTIN | P00589741 | PTIN |
| Phone | 3154463600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DRAKE LAMEN MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 179 NORTH BROAD STREET | AddressLine1Txt |
| City | NORWICH | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13815 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $76,318,473 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.UHS.NET/CMH | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1910 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | CHENANGO MEMORIAL HOSPITAL, INC. (THE HOSPITAL) IS A NOT-FOR-PROFIT CORPORATION ORGANIZED TO OPERATE ACUTE AND SKILLED NURSING FACILITIES IN NORWICH, NEW YORK. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF CHENANGO AND SURROUNDING COUNTIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 609 | TotalEmployeeCnt |
| Total Volunteers | 120 | TotalVolunteersCnt |
| Total Gross UBI | $111,608 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $625,169 | PYContributionsGrantsAmt |
| CY Contributions Grants | $670,346 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $70,089,211 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $73,640,743 | CYProgramServiceRevenueAmt |
| PY Investment Income | $284,206 | PYInvestmentIncomeAmt |
| CY Investment Income | $398,928 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,820,385 | PYOtherRevenueAmt |
| CY Other Revenue | $1,607,228 | CYOtherRevenueAmt |
| PY Total Revenue | $73,818,971 | PYTotalRevenueAmt |
| CY Total Revenue | $76,317,245 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $28,075 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $40,184 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $36,126,429 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $25,772,988 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $35,071,271 | PYOtherExpensesAmt |
| CY Other Expenses | $47,997,896 | CYOtherExpensesAmt |
| PY Total Expenses | $71,225,775 | PYTotalExpensesAmt |
| CY Total Expenses | $73,811,068 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,593,196 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,506,177 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $38,460,010 | TotalAssetsBOYAmt |
| Total Assets EOY | $40,673,587 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $23,047,754 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $29,285,571 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $15,412,256 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,388,016 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | CHENANGO MEMORIAL HOSPITAL, INC. (THE HOSPITAL) IS A NOT-FOR-PROFIT CORPORATION ORGANIZED TO OPERATE ACUTE AND SKILLED NURSING FACILITIES IN NORWICH, NEW YORK. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF CHENANGO AND SURROUNDING COUNTIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $22,381,469 | ExpenseAmt |
| Revenue | $18,524,622 | RevenueAmt |
| Desc | INPATIENT, ACUTE AND LONG TERM SKILLED NURSING SERVICES- CHENANGO MEMORIAL HOSPITAL FULFILLS ITS MISSION BY WORKING TOGETHER WITH THE COMMUNITY, PHYSICIANS AND OTHER HEALTH CARE PROVIDERS TO CONTINUOUSLY IMPROVE THE AVAILABILITY AND QUALITY OF SERVICES AND THE ABILITY TO PROVIDE A COMPREHENSIVE RANGE OF SHORT-TERM INPATIENT ACUTE SERVICES AND LONG-TERM SKILLED NURSING CARE. CHENANGO MEMORIAL HOSPITAL PROVIDES A WIDE RANGE OF MEDICAL-SURGICAL SERVICES, INCLUDING: OPHTHALMOLOGY, EMERGENCY MEDICINE, MATERNITY CARE, PULMONARY MEDICINE, AND PEDIATRICS. TOTAL INPATIENT DAYS FOR THE YEAR ENDED DECEMBER 31, 2014 TOTALED 6,223. DISCHARGES WERE 1,809, AND AVERAGE LENGTH OF STAY WAS 3.44 DAYS. LONG TERM SKILLED NURSING DAYS WERE 26,901. THERE WERE 310 BIRTHS AND 343 INPATIENT SURGERIES PERFORMED AT CHENANGO MEMORIAL HOSPITAL IN 2014. IN 2014, CHENANGO MEMORIAL HOSPITAL GAVE FINANCIAL ASSISTANCE TO 57 INDIVIDUALS FOR WHICH $500,408 OF INPATIENT CARE (AT CHARGES) WAS PROVIDED. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $28,392,870 | ExpenseAmt |
| Revenue | $46,651,222 | RevenueAmt |
| Desc | OUTPATIENT AND AMBULATORY SERVICES- CHENANGO MEMORIAL HOSPITAL ALSO PROVIDES A WIDE RANGE OF OUTPATIENT DIAGNOSTIC AND TREATMENT SERVICES, INCLUDING EMERGENCY DEPARTMENT, AMBULATORY SURGERY, FULL-SERVICE LABORATORY, COMPREHENSIVE IMAGING AND OTHER PROCEDURAL OUTPATIENT SERVICES. TOTAL PATIENT VISITS FOR OUTPATIENT SERVICES FOR YEAR-ENDED 2014 TOTALED 175,680. INCLUDED IN THE 175,680 VISITS WERE 17,425 EMERGENCY ROOM VISITS, 758 EMERGENCY ROOM TREATED AND ADMITTED AS ACUTE CARE PATIENTS, 2,857 VARIOUS OUTPATIENT SURGICAL CASES, AND 154,640 OTHER OUTPATIENT DEPARTMENT VISITS. IN 2014 CHENANGO MEMORIAL HOSPITAL GAVE FINANCIAL ASSISTANCE TO 624 INDIVIDUALS FOR WHICH $1,499,570 OF OUTPATIENT CARE (AT CHARGES) WAS PROVIDED. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $17,326,235 | ExpenseAmt |
| Revenue | $8,464,899 | RevenueAmt |
| Desc | CLINICS- CHENANGO MEMORIAL HOSPITAL PROVIDES A WIDE RANGE OF PRIMARY CARE AND SPECIALTY CARE CLINICS. PRIMARY CARE SERVICES ARE THE FOUNDATION FOR SERVING THE COMMUNITY WITH A COORDINATED SYSTEM OF CARE, WITH SPECIAL ATTENTION TO UNDER-SERVED AREAS. CMH OFFERS FIVE FAMILY HEALTH CENTERS LOCATED THROUGHOUT A MULTI-COUNTY SERVICE AREA: 1) NORWICH FAMILY HEALTH CENTER 2) INTERNAL MEDICINE 3) OXFORD FAMILY HEALTH CENTER 4) SHERBURNE FAMILY HEALTH CENTER AND 5) SIDNEY FAMILY HEALTH CENTER. OTHER OUTPATIENT SERVICES INCLUDE: DENTAL CLINIC, GERIATRICS, WOMEN'S HEALTH CENTER AND GENERAL SURGERY, ENT AND HEART CENTER. TOTAL PATIENT VISITS FOR THE CMH CLINICS AT YEAR-ENDED 2014 TOTALED 78,664. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant | $40,184 | GrantAmt |
| Revenue | $1,495,620 | RevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Grant | $40,184 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $1,495,620 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $68,100,574 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 72 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 609 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DRAKE LAMEN MD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6073374111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 179 NORTH BROAD ST | AddressLine1Txt |
| City | NORWICH | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13815 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| DRAKE LAMEN MD | |||||||||
| PRESIDENT/CEO | 55.00 | Yes (X) | Yes (X) | $354,074 | $0 | $24,283 | |||
| HOWARD L ATKINSON | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BRUCE S ERATH | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| THOMAS C EMERSON | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT W NASSAR | |||||||||
| CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| MATTHEW J SALANGER | |||||||||
| 2ND VICE CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $1,384,914 | $36,805 | 55.00 | ||
| ERIC G LARSEN | |||||||||
| 1ST VICE CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JOHN M KWASNIK | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| KATHIE J DEIERLEIN | |||||||||
| PRESIDENT- AUXILLARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| AARON J VALENTINE | |||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JOANNE RACE BORFITZ | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT G GOMULKA | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $528,372 | $28,763 | 55.00 | |||
| DAVE M MACDOUGALL | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $260,515 | $26,250 | 55.00 | |||
| CATHERINE M SCARLETT | |||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| RIC FESTARINI | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CYNTHIA BRIGLIN-MAVADY MD | |||||||||
| VP OF MEDICAL STAFF | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JOHN M CARRIGG | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $517,500 | $36,392 | 55.00 | |||
| RAJESH DAVE MD | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $598,368 | $31,558 | 55.00 | |||
| HARRY KISSI | |||||||||
| PRESIDENT OF MEDICAL STAFF | 55.00 | Yes (X) | Yes (X) | $237,118 | $0 | $32,658 | |||
| JAMES R SIMCOE MD | |||||||||
| VP OF MEDICAL STAFF | 55.00 | Yes (X) | Yes (X) | $233,279 | $0 | $33,598 | |||
| MARGARET SWARTWOOD | |||||||||
| CONTROLLER | 55.00 | Yes (X) | $152,088 | $0 | $19,130 | ||||
| RON CEROW | |||||||||
| ADMINISTRATOR | 32.00 | Yes (X) | $85,731 | $62,081 | $19,085 | 23.00 | |||
| ANNE ENGLISH | |||||||||
| DIRECTOR OF HUMAN RESOURCE | 55.00 | Yes (X) | $120,743 | $0 | $13,025 | ||||
| WENDY SURDOVAL | |||||||||
| VP OF QUALITY MGMT | 55.00 | Yes (X) | $119,536 | $0 | $17,777 | ||||
| CHRISTINA KISACKY | |||||||||
| VP OF OPERATIONS | 55.00 | Yes (X) | $162,341 | $0 | $24,839 | ||||
| ROBERT MCCARTHY | |||||||||
| VP OF SYSTEM FINANCIAL OPE | 27.50 | Yes (X) | $106,976 | $106,974 | $21,472 | 27.50 | |||
| DAVID FINNEY | |||||||||
| VP OF PATIENT CARE SERVICE | 55.00 | Yes (X) | $124,963 | $0 | $24,135 | ||||
| BARBARA GRUCHALSKA | |||||||||
| DENTIST | 55.00 | $135,415 | $0 | $13,018 | Yes (X) | ||||
| JOHN BRERETON | |||||||||
| CHIEF OF INTERNAL MEDICINE | 55.00 | $161,509 | $0 | $14,667 | Yes (X) | ||||
| GARRY ROOT | |||||||||
| PROGRAM ADMIN-COMMUNITY RELATIONS | 55.00 | $107,914 | $0 | $22,033 | Yes (X) | ||||
| TRACY LEMCZAK | |||||||||
| INFORMATION SYSTEMS MANAGER | 55.00 | $105,610 | $0 | $16,712 | Yes (X) | ||||
| MICHELE SPENCE | |||||||||
| PHARMACIST | 55.00 | $104,133 | $0 | $21,688 | Yes (X) | ||||
| KEVIN B DECKER DDS | |||||||||
| FORMER PRES OF MEDICAL STA | 55.00 | $198,074 | $0 | $22,820 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,509,504 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,458,724 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $500,708 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 15 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MORRISON MANAGEMENT | |||||
| PO BOX 102289 | ATLANTA | GA | 303682289 | DIETARY FOOD SVCS MGMT | $1,532,433 |
| SECO PHYSICAL AND OCCUPATIONAL THERAPY | |||||
| PO BOX 1046 | NORWICH | NY | 13815 | THERAPY SVCS | $925,173 |
| CROTHALL HEALTHCARE | |||||
| BANC OF AMERICA LOCKBOX SVCS | CHICAGO | IL | 60693 | HOUSEKEEPING SVCS | $902,756 |
| VJC MEDICAL | |||||
| PO BOX 568 | FRISCO | TX | 75034 | PHYSICIAN TEMPORARY SERVICES | $624,785 |
| J & K PMS | |||||
| 5601 BRIDGE STREET SUITE 150 | FORT WORTH | TX | 76112 | COLLECTION AGENCY | $340,739 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 19 | CntrctRcvdGreaterThan100KCnt |
| Membership Dues | $2,850 | MembershipDuesAmt |
| Fundraising | $13,064 | FundraisingAmt |
| Government Grants | $271,065 | GovernmentGrantsAmt |
| All Other Contributions | $383,367 | AllOtherContributionsAmt |
| Total Contributions | $670,346 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OUTPATIENT AND AMBULATORY SERVICE | 623000 | $46,651,222 | $46,651,222 |
| INPATIENT, ACUTE AND LONG TERM SK | 623000 | $18,524,622 | $18,524,622 |
| CLINICS | 623000 | $8,464,899 | $8,464,899 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $73,640,743 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $398,928 | TotalRevenueColumnAmt |
| Exclusion | $398,928 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $1,228 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $13,064 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $1,228 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEANINGFUL USE FUNDS | 623000 | $977,653 | $977,653 |
| OTHER OPERATING REVENUE | 623000 | $275,947 | $275,947 |
| CAFETERIA REVENUE | 623000 | $242,020 | $242,020 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $111,608 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $111,608 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,607,228 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $76,317,245 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $75,136,363 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $111,608 | UnrelatedBusinessRevenueAmt |
| Exclusion | $398,928 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,500 | TotalAmt |
| Program Services | $38,500 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,684 | TotalAmt |
| Program Services | $1,684 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,098,323 | TotalAmt |
| Program Services | $2,098,323 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,614,694 | TotalAmt |
| Program Services | $15,395,991 | ProgramServicesAmt |
| Management And General | $2,218,703 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $861,537 | TotalAmt |
| Program Services | $753,020 | ProgramServicesAmt |
| Management And General | $108,517 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,752,906 | TotalAmt |
| Program Services | $3,280,199 | ProgramServicesAmt |
| Management And General | $472,707 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,445,528 | TotalAmt |
| Program Services | $1,263,453 | ProgramServicesAmt |
| Management And General | $182,075 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $860,457 | TotalAmt |
| Management And General | $860,457 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,398 | TotalAmt |
| Program Services | $11,720 | ProgramServicesAmt |
| Management And General | $27,678 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,228 | TotalAmt |
| Management And General | $84,228 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,845 | TotalAmt |
| Management And General | $9,845 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,574,038 | TotalAmt |
| Program Services | $15,574,038 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,950 | TotalAmt |
| Program Services | $47 | ProgramServicesAmt |
| Management And General | $5,903 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $551,626 | TotalAmt |
| Program Services | $442,427 | ProgramServicesAmt |
| Management And General | $109,199 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $186,772 | TotalAmt |
| Program Services | $180,969 | ProgramServicesAmt |
| Management And General | $5,803 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,273,170 | TotalAmt |
| Program Services | $1,143,028 | ProgramServicesAmt |
| Management And General | $130,142 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,010 | TotalAmt |
| Program Services | $33,284 | ProgramServicesAmt |
| Management And General | $39,726 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $273,716 | TotalAmt |
| Program Services | $273,716 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,498,589 | TotalAmt |
| Program Services | $2,498,589 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $467,446 | TotalAmt |
| Program Services | $467,446 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $14,877,717 | $13,669,712 | $1,208,005 |
| BAD DEBTS | $7,910,212 | $7,910,212 | |
| NEW YORK STATE CASH REC | $591,781 | $591,781 | |
| MISCELLANEOUS AUXILLARY | $20,618 | $20,618 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,699,323 | TotalAmt |
| Program Services | $2,451,817 | ProgramServicesAmt |
| Management And General | $247,506 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,811,068 | TotalAmt |
| Program Services | $68,100,574 | ProgramServicesAmt |
| Management And General | $5,710,494 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,792,121 | BOYAmt |
| EOY | $4,448,804 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,143,625 | BOYAmt |
| EOY | $6,956,013 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,351,529 | BOYAmt |
| EOY | $10,450,973 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $408,538 | BOYAmt |
| EOY | $417,943 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $821,780 | BOYAmt |
| EOY | $786,917 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $58,984,871 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $45,665,098 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,939,672 | BOYAmt |
| EOY | $13,319,773 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,037 | BOYAmt |
| EOY | $111,340 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,892,708 | BOYAmt |
| EOY | $4,181,824 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,460,010 | BOYAmt |
| EOY | $40,673,587 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,128,020 | BOYAmt |
| EOY | $5,933,193 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,234,939 | BOYAmt |
| EOY | $2,971,739 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,684,795 | BOYAmt |
| EOY | $20,380,639 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,047,754 | BOYAmt |
| EOY | $29,285,571 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,846,673 | BOYAmt |
| EOY | $4,064,776 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $421,958 | BOYAmt |
| EOY | $367,227 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,143,625 | BOYAmt |
| EOY | $6,956,013 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,412,256 | BOYAmt |
| EOY | $11,388,016 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,460,010 | BOYAmt |
| EOY | $40,673,587 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,506,177 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,303 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$6,531,720 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $9,845 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $9,845 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | AMOUNT DISCLOSED ARE THE LOBBYING PORTION OF DUES PAID TO HEALTHCARE ASSOCIATION OF NY AND IROQUOIS HEALTHCARE. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,565,583 | BeginningYearBalanceAmt |
| Contributions | $653,567 | ContributionsAmt |
| Investment Earnings Or Losses | -$163,148 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $732,762 | OtherExpendituresAmt |
| End Year Balance | $7,323,240 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,182,868 | BeginningYearBalanceAmt |
| Contributions | $589,327 | ContributionsAmt |
| Investment Earnings Or Losses | $690,743 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $897,355 | OtherExpendituresAmt |
| End Year Balance | $7,565,583 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,837,996 | BeginningYearBalanceAmt |
| Contributions | $894,949 | ContributionsAmt |
| Investment Earnings Or Losses | $2,755 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $552,832 | OtherExpendituresAmt |
| End Year Balance | $7,182,868 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,912,990 | BeginningYearBalanceAmt |
| Contributions | $1,097,217 | ContributionsAmt |
| Investment Earnings Or Losses | -$24,876 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,147,335 | OtherExpendituresAmt |
| End Year Balance | $6,837,996 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,555,026 | BeginningYearBalanceAmt |
| Contributions | $885,911 | ContributionsAmt |
| Investment Earnings Or Losses | $177,728 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $705,675 | OtherExpendituresAmt |
| End Year Balance | $6,912,990 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.94990 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.05010 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $167,753 | OtherCostOrOtherBasisAmt |
| Book Value | $167,753 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,115,170 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,168,492 | DepreciationAmt |
| Book Value | $5,946,678 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,716,934 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,177,879 | DepreciationAmt |
| Book Value | $539,055 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $32,016,853 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,383,127 | DepreciationAmt |
| Book Value | $6,633,726 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $968,161 | OtherCostOrOtherBasisAmt |
| Depreciation | $935,600 | DepreciationAmt |
| Book Value | $32,561 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $13,319,773 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTEREST IN CMH FOUNDATION | $3,279,864 |
| ASSETS LIMITED TO USE- RESTRICTED CASH FOR EQUIPMENT | $310,503 |
| OTHER ASSETS | $591,457 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $4,181,824 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD-PARTY PAYORS | $4,815,369 |
| DUE TO AFFILIATES | $2,025,139 |
| LONG TERM PENSION LIABILITY | $10,369,320 |
| CAPITAL LEASE OBLIGATIONS | $1,205,525 |
| OTHER LIABILITIES | $1,965,286 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $20,380,639 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $76,271,593 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $76,271,593 | RevenueSubtotalAmt |
| Other Revenues Not Included | $45,652 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $45,652 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $76,317,245 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $73,749,529 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $73,749,529 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $61,539 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $61,539 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $73,811,068 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE INTENDED USE OF ENDOWMENT FUNDS IS A COMBINATION OF DESIGNATED SPECIAL PURPOSES AND GENERAL USE BY THE HOSPITAL. |
| PART X, LINE 2: | THE HOSPITAL 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. THE HOSPITAL IS SUBJECT TO FEDERAL INCOME TAXES ON UNRELATED BUSINESS INCOME UNDER SECTION 511 OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31, 2014 AND 2013, THE HOSPITAL DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2011 THROUGH 2014. THE HOSPITAL DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELEVE MONTHS. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | AUXILIARY INCOME 45,652. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | AUXILIARY EXPENSES 61,539. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $606,377 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $347,124 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $259,253 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00350 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,307,553 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,333,264 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $974,289 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01320 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $382,458 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $462,330 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$79,872 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,296,388 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,142,718 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,153,670 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01670 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,358 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $31,358 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,637 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,315 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,322 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,751,172 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,121,407 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,629,765 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02210 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,799,167 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,122,722 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,676,445 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02270 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,095,555 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,265,440 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,830,115 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03940 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,222 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $22,222 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,962 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $32,962 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,669 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $83 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,586 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $110,066 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $110,066 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,591 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,420 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,171 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $193,510 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,503 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $192,007 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00260 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,398,313 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,356,212 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $13,048,888 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $16,582,561 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,533,673 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | 0 | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHENANGO MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 179 NORTH BROAD STREET | AddressLine1Txt |
| City | NORWICH | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13815 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTP:WWW.UHS.NET | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | MEDICARE DEPENDENT HOSPITAL | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHENANGO MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://WWW.UHS.NET | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://WWW.UHS.NET | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Other Method | Yes (X) | OtherMethodInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | Yes (1) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CHENANGO MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 5: THE CHENANGO HEALTH NETWORK (CHN), CHENANGO COUNTYS RURAL HEALTH NETWORK, PLAYED A MAJOR ROLE IN COMPLETING THE COMMUNITY HEALTH ASSESSMENT (CHA) FOR THE CHENANGO COUNTY DEPARTMENT OF HEALTH. THE CHN DID EXTENSIVE RESEARCH TO PREPARE THE CHA AND UHS CHENANGO MEMORIAL USED EXCERPTS FROM THE CHA IN PREPARING OUR OWN CHNA.CHN IS GOVERNED BY A BOARD OF DIRECTORS CONSISTING OF 7-16 MEMBERS WHO REPRESENT SENIOR LEVEL MANAGEMENT OF HEALTH AND HUMAN SERVICE PROVIDERS AND BUSINESSES AS WELL AS COMMUNITY MEMBERS. THESE MEMBERS INCLUDE: CHENANGO COUNTY PUBLIC HEALTH DIRECTORUHS CHENANGO MEMORIAL HOSPITAL VP OF OPERATIONSCOMMISSIONER OF CHENANGO COUNTY DSSDIRECTOR OF CHENANGO COUNTY AREA AGENCY ON AGINGDIRECTOR OF CHENANGO COUNTY MENTAL HYGIENE SERVICESCEO OF FAMILY PLANNING OF SCNYEXECUTIVE DIRECTOR OF CHENANGO HOSPICE & PALLIATIVE CAREEXECUTIVE DIRECTOR OF CHENANGO VALLEY HOME AND APARTMENTSDEAN OF MORRISVILLE COLLEGE NORWICH CAMPUSHR DIRECTOR OF GOLDEN ARTIST COLORSDOCTOR OF PHARMACY WITH A LOCAL PHARMACYTWO RETIRED SCHOOL ADMINISTRATORSCOMMUNITY MEMBERTHE CHN BOARD CONVENED MEETINGS, FACILITATED DISCUSSIONS AND SOLICITED INPUT FROM LOCAL HEALTH AND HUMAN SERVICE PROVIDERS, BUSINESSES AND COMMUNITY MEMBERS IN 2013. A TOTAL OF 30 COMMUNITY MEMBERS PARTICIPATED IN THREE SMALL-GROUP DISCUSSIONS. PARTICIPANTS WERE OF VARYING AGES AND INCOMES INCLUDING HEADSTART PARTICIPANTS. LOCAL ORGANIZATIONS MET SEPARATELY AND IN SO DOING SHARED THEIR EXPERIENCES WORKING WITH THE SOCIO-ECONOMICALLY CHALLENGED RESIDENTS IN CHENANGO COUNTY. THESE ORGANIZATIONS ARE ACUTELY AWARE OF THE NEEDS OF THESE INDIVIDUALS DUE TO THEIR FREQUENT, AND OFTEN DAILY, CONTACT WITH THEM. THE DISCUSSION FOCUSED ON WAYS TO ADDRESS ELEMENTS OF THE NYS PREVENTION AGENDA WHILE BUILDING ON STRENGTHS, EXISTING PARTNERSHIPS AND RESOURCES OF THE LOCAL PUBLIC HEALTH SYSTEM. A LIST OF 14 OPPORTUNITIES AND PRIORITIES RESULTED FROM THESE MEETINGS.THREE MORE GROUPS MET FOCUSING ON EITHER A) PROVIDERS, B) CHRONIC DISEASE, OR C) HEALTHY WOMEN, INFANTS AND CHILDREN TO HELP NARROW THE LIST. SOME PRIORITIES WERE DEEMED TOO BIG TO TACKLE WITH THE RESOURCES AVAILABLE. REPRESENTATIVES IN THESE GROUPS WERE:*PROVIDERS-ENTIRE CHENANGO HEALTH NETWORK BOARD (SEE LIST MENTIONED EARLIER)*CHRONIC DISEASE-CHENANGO COUNTY PUBLIC HEALTH DIRECTOR-UHS CHENANGO MEMORIAL HOSPITAL VP OF OPERATIONS-CHENANGO HEALTH NETWORK EXECUTIVE DIRECTOR*HEALTHY WOMEN, INFANTS AND CHILDREN-CHENANGO HEALTH NETWORK EXECUTIVE DIRECTOR-CHENANGO COUNTY PUBLIC HEALTH DIRECTOR-UHS CHENANGO MEMORIAL HOSPITAL VP OF OPERATIONS-COMMISSIONER OF CHENANGO COUNTY DEPARTMENT OF SOCIAL SERVICES-DIRECTOR OF CHENANGO COUNTY MENTAL HYGIENE SERVICES-CEO OF FAMILY PLANNING OF SCNY-OPPORTUNITIES FOR CHENANGO EXECUTIVE DIRECTOR-CHENANGO COUNTY CATHOLIC CHARITIES EXECUTIVE DIRECTOROVER THE COURSE OF 3-4 MONTHS, THE CHN EXECUTIVE DIRECTOR, UHS CHENANGO MEMORIAL HOSPITAL VP OF OPERATIONS, AND THE CHENANGO COUNTY PUBLIC HEALTH DIRECTOR MET AS A SUBCOMMITTEE TO NARROW THE LIST OF PRIORITIES BASED ON THE FOLLOWING CRITERIA:* CONNECTION BACK TO THE NYS PREVENTION AGENDA* EXISTING KNOWLEDGE BASE OF COMMUNITY PARTNERS TO ADDRESS THE PRIORITIES* CAPACITY TO WORK ON THE PRIORITIES* WAYS TO MEASURE OUTCOMES* COORDINATION OF SERVICES TO ACHIEVE THE GREATEST IMPACT FOR THE MONEY AND RESOURCES* PREVENT DUPLICATION OF EFFORT TO EXPAND RESOURCES FURTHER* PRIORITIES THAT COULD BE STARTED IMMEDIATELY* SERVE THE SOCIO-ECONOMICALLY CHALLENGED RESIDENTS OF CHENANGO COUNTYBASED ON THE PROCESS MENTIONED ABOVE, THE PRIORITIES WERE NARROWED DOWN TO: 1. PREVENT CHRONIC DISEASE 2. HEALTHY WOMEN, INFANTS AND CHILDRENCHN THEN HOSTED TWO ALL-DAY WORKSHOPS ON AUGUST 20 AND AUGUST 28, 2013. INVITATIONS WITH THE AGENDA WENT OUT IN JUNE INVITING NUMEROUS HEALTH AND HUMAN SERVICE ORGANIZATIONS TO ATTEND. THE FOLLOWING PARTICIPANTS INCLUDED GOVERNMENTAL AGENCIES, PUBLIC HEALTH, AND COMMUNITY-BASED ORGANIZATIONS THAT DISCUSSED THE NEEDS OF THE COUNTY:CHENANGO COUNTY HEALTH NETWORK (TOBACCO FREE CHENANGO)SOUTHERN TIER AIDS PROGRAMCHENANGO COUNTY ENVIRONMENTAL HEALTHOPPORTUNITIES FOR CHENANGO WIC PROGRAMCHENANGO COUNTY DEPARTMENT OF HEALTHUNITED HEALTH SERVICES (UHS)UHS CHENANGO MEMORIAL HOSPITALCHENANGO COUNTY CATHOLIC CHARITIES INCLUDING CRIME VICTIMS PROGRAMFAMILY PLANNING OF SOUTH CENTRAL NEW YORKCHENANGO COUNTY MENTAL HYGIENE/DRUG & ALCOHOLMOTHERS & BABIES PERINATAL NETWORKFAMILY RESOURCE NETWORKDURING THE WORKSHOPS HELD AUGUST 20 & 28, 2013, THE DISCUSSION FOCUSED ON NEEDS, OPPORTUNITIES, AND PRIORITIES WITH THE ASSUMPTION THAT NO NEW EXTRA FUNDING WOULD BE AVAILABLE.THE MEETING ON AUGUST 20 WAS DEVOTED TO BRAINSTORMING ISSUES WITHIN THE COUNTY, INITIATIVES ALREADY UNDERWAY, THE POPULATION SERVED, AND THE START OF DEVELOPING A FINAL LIST OF STRATEGIES FOR THE TARGETED PREVENTION PRIORITIES. DURING THE FOLLOW-UP MEETING ON AUGUST 28, THE GROUP NARROWED DOWN THE FINAL LIST OF STRATEGIES. THE VP OF OPERATIONS AND THE DIRECTOR OF SPECIAL PROJECTS OF THE HOSPITAL THEN MET WITH THE CHENANGO COUNTY DEPARTMENT OF HEALTHS EXECUTIVE DIRECTOR, DIRECTOR OF NURSING, AND NURSE EDUCATOR TO DEVELOP GOALS AND TACTICS FOR THE PREVIOUSLY MENTIONED PRIORITIES. |
| CHENANGO MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 6A: *CHENANGO MEMORIAL HOSPITAL*UNITED HEALTH SERVICES HOSPITALS*DELAWARE VALLEY HOSPITAL |
| CHENANGO MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 11: HOW THE HOSPITAL ADDRESSED NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA.THE FIRST CHNA SUBMITTED BY UHS CHENANGO MEMORIAL HOSPITAL WAS NOT REQUIRED UNTIL MAY 15, 2014. THE CHNA WAS APPROVED BY THE HOSPITAL'S BOARD OF TRUSTEES ON APRIL 7, 2014, AND IMMEDIATELY MADE AVAILABLE ON THE WEBSITE. THE YEAR 2013 WAS SPENT RESEARCHING, DISCUSSING, AND DELIBERATING TO IDENTIFY THE PRIORITIES THAT WE COULD WORK ON TOGETHER WITH OTHER LOCAL HEALTH AGENCIES. CHENANGO COUNTY HAS AN IMMENSE NEED FOR SERVICES. UHS CHENANGO MEMORIAL HOSPITAL, HOWEVER, FACES MILLIONS OF DOLLARS IN REDUCED REIMBURSEMENT FROM MEDICARE AND MEDICAID OVER THE NEXT SEVERAL YEARS. DESPITE OUR DESIRE TO ADDRESS AS MANY NEEDS AS POSSIBLE, FISCAL REALITIES HAVE PUT US IN THE POSITION OF CHOOSING ACTIVITIES WE FEEL WILL HAVE THE GREATEST BENEFIT TO THE SOCIO-ECONOMICALLY CHALLENGED MEMBERS OF THE COMMUNITY. AS MENTIONED EARLIER, THE FOLLOWING 2 PRIORITY AREAS AND GOALS WERE IDENTIFIED FROM THE NEW YORK STATE PREVENTION AGENDA AND HIGHLIGHTED IN THE CHNA. PRIORITY AREA: PREVENT CHRONIC DISEASEGOAL: REDUCE TOBACCO USEAPPROXIMATELY 75% OF UHS CHENANGO MEMORIAL'S ANTEPARTUM PATIENT BASE IS SELF-PAY OR COVERED BY MEDICAID. THIS REPRESENTS ABOUT 225 BABIES AND MOTHERS PER YEAR. APPROXIMATELY 33% OF ALL MOMS WHO DELIVERED AT CMH WERE SMOKERS AT THE TIME OF DELIVERY IN 2013. OUR GOAL IS TO DECREASE THE SMOKING RATE AMONG THESE PATIENTS IN CHENANGO COUNTY BY 5% BY YEAR END 2014 AND BY 10% BY YEAR END 2015. THE BIGGEST PIECE TO ACHIEVING THIS GOAL IS IMPLEMENTATION OF THE DOH'S "BABY AND ME TOBACCO FREE" PROGRAM WHICH IS FREE TO ENROLLEES. IT WAS ORIGINALLY HOPED THAT A GRANT FROM THE MARCH OF DIMES WOULD COME THROUGH IN JANUARY 2014 TO FUND THE PROGRAM. IT DID NOT. FORTUNATELY, THE LOCAL DOH BUDGETED TO CONTINUE THE PROGRAM IF GRANT FUNDING DIDN'T MATERIALIZE AND ON FEBRUARY 11, 2014, THE CHENANGO COUNTY BOARD OF SUPERVISORS APPROVED THE FUNDING. TRAINING OF DOH HEALTH EDUCATORS TOOK PLACE AT THE BEGINNING OF MARCH 2014 AND THE PROGRAM OFFICIALLY LAUNCHED APRIL 21, 2014. PRIOR TO IMPLEMENTATION, THE DOH PROVIDED EDUCATION FOR THE PHYSICIANS AND STAFF OF CMH'S WOMEN'S HEALTH CENTER. THIS EDUCATION INCLUDED COMMUNICATION TECHNIQUES AND OTHER TOOLS TO TALK WITH PATIENTS ABOUT SMOKING CESSATION. THESE CONVERSATIONS AS WELL AS REFERRALS TO THE NYS QUIT LINE WILL TAKE PLACE DURING THE PATIENT'S INITIAL, 20-WEEK, 36 WEEK, AND POST-PARTUM VISITS. ADDITIONALLY, NURSES WILL REVIEW THE "BABY BASICS" BOOK, ESPECIALLY WITH FIRST-TIME MOMS, THAT INCLUDES INFORMATION ABOUT ANTI-TOBACCO USE DURING PREGNANCY.OUR GOALS ARE TO REFER 100% OF SMOKING MOMS TO THE NYS QUIT LINE AND/OR PUBLIC HEALTH IN 2015. WE WILL ESTABLISH A BASELINE FOR REFERRALS IN 2014 TO MEASURE FUTURE PROGRESS. WE WILL ALSO FOLLOW-UP WITH MOTHERS AT THE TIME OF BIRTH TO SEE IF WE HAVE REDUCED THE NUMBER OF MOMS STILL SMOKING AT BIRTH BY 5% IN 2014 AND BY 10% IN 2015. WE WILL ALSO TRACK THE NUMBER OF "BABY BASICS" BOOKS DISTRIBUTED, ESPECIALLY TO FIRST-TIME MOMS, DURING THE PATIENT'S FIRST PRE-NATAL VISIT TO THE WOMEN'S HEALTH CENTER. THESE BOOKS COVER ANTI-TOBACCO USE AND ARE REVIEWED BY THE NURSE AT EVERY VISIT.2014 PROGRESS REPORT*100% OF SMOKING MOMS (108) WERE REFERRED TO THE NYS QUIT LINE AT THEIR FIRST APPOINTMENT IN THE WOMEN'S HEALTH CENTER.*THIRTEEN (13) PATIENTS WERE REFERRED FROM CMH TO THE "BABY & ME TOBACCO FREE" PROGRAM ADMINISTERED BY THE LHD. THOSE 13 PATIENTS REPRESENT 12% OF THE 108 MOMS THAT WERE SMOKING AT THEIR FIRST APPOINTMENT. WE WILL USE THE 12% BENCHMARK GOING FORWARD IN 2015.*TWO (2) PATIENTS WERE REFERRED TO THE DELAWARE COUNTY "BABY & ME TOBACCO FREE" PROGRAM FROM OUR SIDNEY, NY OFFICE.*IN 2013, 33% OF MOTHERS WERE SMOKING AT DELIVERY AT CMH. IN 2014, THAT NUMBER WAS DOWN TO 27.6% WHICH SLIGHTLY EXCEEDED OUR GOAL OF 28%. *EIGHTY (80) "BABY BASICS" BOOKS WERE DISTRIBUTED IN THE WOMEN'S HEALTH CENTER. UNFORTUNATELY, THE BOOKS WERE OUT OF PRINT FOR A FEW MONTHS OR THIS NUMBER WOULD HAVE BEEN HIGHER. THE BOOKS ARE MADE AVAILABLE THROUGH THE MOTHERS & BABIES SOUTH CENTRAL NEW YORK PERINATAL NETWORK. NURSES REVIEWED THE BOOKS AS AVAILABLE WITH FIRST-TIME MOMS AT EACH APPOINTMENT. *REPRESENTATIVES FROM THE MOTHERS & BABIES SOUTH CENTRAL NEW YORK PERINATAL NETWORK HAVE BEEN IN THE WAITING ROOM ONCE A MONTH TO HELP PATIENTS WITH QUESTIONS AND SERVICES. ORIGINALLY SCHEDULED FOR 4 HOURS ONCE A MONTH, IT WAS INCREASED TO 6 HOURS. THIS PROGRAM HAS BEEN SO SUCCESSFUL THAT A REPRESENTATIVE WILL BE IN THE WAITING ROOM EVERY WEDNESDAY STARTING IN FEBRUARY 2015. IN 2014, THEY VISITED WITH 109 PATIENTS THAT, IN COMBINATION WITH DISTRIBUTING THE "BABY BASICS" BOOK, RESULTED IN 43 PATIENT REFERRALS.PRIORITY AREA: HEALTHY WOMEN, INFANTS AND CHILDRENGOAL: PROVIDE EDUCATION AND SUPPORT TO PREGNANT WOMEN, PARTICULARLY THOSE WOMEN CONSIDERED HIGH RISK AND COVERED BY MEDICAID.AFTER SUBMITTAL OF THE COMMUNITY SERVICE PLAN IN NOVEMBER 2013, A TASK TEAM WAS IMMEDIATELY ASSEMBLED WITH REPRESENTATIVES FROM UHS CHENANGO MEMORIAL HOSPITAL (CMH) AND THE CHENANGO COUNTY DEPARTMENT OF HEALTH (DOH). MEETINGS WERE HELD WEEKLY TO DEVELOP A CURRICULUM FOR PRENATAL CLASSES, ESPECIALLY FOR WOMEN WHO ARE SELF PAY OR COVERED BY MEDICAID THAT REPRESENT 75% OF MATERNITY PATIENTS AT CMH. THE LOCAL DOH REACHED OUT TO COMMUNITY PARTNERS, NAMELY WOMEN, INFANTS & CHILDREN (WIC), CATHOLIC CHARITIES, AND THE SHERIFF'S DEPARTMENT WHO BECAME ENTHUSIASTIC PARTNERS. THEY DISCUSS WIC SERVICES, POST PARTUM DEPRESSION AND CAR SEAT SAFETY, RESPECTIVELY, IN THE PRENATAL CLASSES. THESE FREE CLASSES LAUNCHED IN MARCH 2014.EACH CLASS ENDS WITH THE PARTICIPANTS COMPLETING A SURVEY THAT IS MODELED FROM SIMILAR SURVEYS FROM OTHER ORGANIZATIONS. SINCE THE PROGRAM LAUNCHED IN 2014, THE RESULTS OF THESE PARTICIPANT SURVEYS WILL BE REPORTED IN 2014'S FORM 990. A BASELINE WILL BE ESTABLISHED IN 2014 TO MEASURE PROGRESS IN 2015 AND BEYOND. THE GOAL WILL BE TO HAVE A RATING OF "EXCELLENT" FROM 75% OF THE PARTICIPANTS. ANOTHER GOAL IS TO HAVE 100% OF FIRST-TIME MOTHERS ATTEND THE CLASSES IN 2015. IN 2013, CMH HAD 107 FIRST TIME BIRTHS BUT ONLY 28 MOTHERS ATTENDED PRE-NATAL EDUCATION. WE ARE MEASURING PROGRESS IN 2014 AND PRELIMINARY RESULTS SHOW A MARKED INCREASE IN PARTICIPATION. THIS EDUCATION, ESPECIALLY FOR OUR MEDICAID POPULATION, WILL LEAD TO BETTER PREPARATION FOR CHILDBIRTH, AN ANTICIPATED INCREASE IN BREASTFEEDING, AND IMPROVED SAFETY AND HEALTH OF THE NEWBORN. FOLLOW-UP CALLS BY UHS AND THE LOCAL DOH WILL PROVIDE FURTHER SUPPORT TO NEW MOMS BY ANSWERING QUESTIONS, ENSURING FOLLOW-UP APPOINTMENTS ARE KEPT, ETC. REFERRALS WILL BE MADE TO THE PATIENT'S PRIMARY CARE PHYSICIAN OR A BREASTFEEDING CONSULTANT AS NEEDED.LASTLY, CMH'S WOMEN'S HEALTH CENTER HOSTS A REPRESENTATIVE FROM MOTHERS & BABIES SOUTH CENTRAL NEW YORK PERINATAL NETWORK ONCE A MONTH, ESPECIALLY WITH FIRST-TIME MOMS. MOMS COMING IN FOR THEIR PRE-NATAL VISITS ARE SCHEDULED, AS MUCH AS POSSIBLE, WHEN THE REP FROM MOTHERS & BABIES WILL BE IN THE WAITING ROOM. THE PROGRAM BEGAN IN OCTOBER 2013 WITH 25 MOMS ACCESSING THE SERVICE THROUGH THE END OF THE YEAR. SINCE IMPLEMENTATION, THE PROGRAM HAS BEEN SO WELL-RECEIVED THAT IN 2014 CMH REQUESTED THE REPRESENTATIVE BE ON SITE 8 HOURS/MONTH INSTEAD OF THE ORIGINAL 4 HOURS. MEANWHILE, THE PATIENT'S NURSE PROVIDES A COPY OF THE "BABY BASICS" BOOK AT THE INITIAL VISIT AND REVIEWS DIFFERENT TOPICS DURING EACH FOLLOW-UP VISIT. THE "BABY BASICS" BOOK IS PROVIDED BY MOTHERS & BABIES AND 7 COPIES WERE DISTRIBUTED IN 2013. THE "BABY BASICS" BOOK HAS PROVEN SO POPULAR THAT AS OF APRIL 2014, 150 COPIES HAVE BEEN DISTRIBUTED.2014 PROGRESS REPORT*IN 2013, THERE WERE 107 FIRST TIME BIRTHS AND 28 FIRST TIME MOMS (26%) WHO ATTENDED CLASSES. IN 2014, IN PARTNERSHIP WITH THE LHD, WE COMPLETELY REVAMPED THE PROGRAM MAKING THE CLASSES THREE 2-HOUR SESSIONS EVERY 6 WEEKS TO COVER MORE INFORMATION IN GREATER DEPTH. AFTER LAUNCHING THE NEW CLASSES IN 2014, WE HAD 80 FIRST TIME BIRTHS FROM CHENANGO COUNTY AND 32 OF THE MOMS (40%) ATTENDED THE BIRTHING CLASSES. THIS WILL BE THE BASELINE GOING FORWARD.*AT THE END OF EACH CLASS, PARTICIPANTS ARE ASKED TO COMPLETE A CLASS SURVEY. ON A SCALE OF 1 TO 5 WITH 5 BEING THE HIGHEST AND 1 BEING THE LOWEST, ALL CLASSES AND ALL SEGMENTS OF THE CLASSES SCORED OVER 4. *EIGHTY (80) "BABY BASICS" BOOKS WERE DISTRIBUTED IN THE WOMEN'S HEALTH CENTER. UNFORTUNATELY, THE BOOKS WERE OUT OF PRINT FOR A FEW MONTHS OR THIS NUMBER WOULD HAVE BEEN HIGHER. THE BOOKS ARE MADE AVAILABLE THROUGH THE MOTHERS & BABIES SOUTH CENTRAL NEW YORK PERINATAL NETWORK. NURSES REVIEWED THE BOOKS AS AVAILABLE WITH FIRST-TIME MOMS AT EACH APPOINTMENT.**SEE SCHEDULE O FOR CONTINUATION** |
| CHENANGO MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 15E: OUR ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER OUR CHARITY CARE POLICY AS FOLLOWS:* EVERY CLINIC AND AREA OF PATIENT REGISTRATION HAS A NOTICE POSTED INFORMING THE PATIENT/S/PUBLIC OF THE AVAILABILITY OF FINANCIAL ASSISTANCE* BROCHURES DESCRIBING THE POLICY ARE AVAILABLE AT CLINICS, POINTS OF REGISTRATION, AND ARE MAILED TO SELF PAY PATIENTS ALONG WITH APPLICATIONS* INPATIENTS ARE VISITED BY THE PATIENT FINANCIAL ADVOCATE. THEY ARE MADE AWARE OF GOVERNMENT PROGRAMS AND IF NECESSARY, ARRANGEMENTS ARE MADE WITH THE DEPARTMENT OF SOCIAL SERVICES TO HAVE A WORKER COME IN AND TAKE THE APPLICATION FROM THE PATIENT. THE PATIENT IS GIVEN INFORMATION AND APPLICATION FOR FINANCIAL ASSISTANCE, AND APPLICATION CAN BE TAKEN RIGHT AT PATIENT BEDSIDE* THE WOMAN'S HEALTH CENTER INFORMS ALL SELF PAY PREGNANT WOMEN OF THE "PRESUMPTIVE ELIGIBILITY" PROCESS AND PATIENTS ARE DIRECTED TO PATIENT FINANCIAL SERVICES FOR COMPLETION OF THE APPLICATION AND COMPLETION OF A WIC APPLICATION IF PATIENT SO DESIRES* EVERY CMH EMPLOYEE IS MADE AWARE OF THE CHARITY CARE PROGRAM AT ORIENTATION AND ENCOURAGED TO MAKE PATIENTS AND THE PUBLIC AWARE OF THE PROGRAM. PERSONNEL WHO HAVE PATIENT CONTACT ARE ANNUALLY IN-SERVICED ON CHARITY CARE PROGRAM* EVERY BILL THAT IS SENT OUT IS MARKED "FOR INFORMATION REGARDING OUR "PATIENT FINANCIAL ASSISTANCE" PROGRAM" PLEASE CONTACT 607-337-4295 |
| CHENANGO MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 22D: GROSS CHARGES TO ALL PATIENTS WHETHER INSURED OR NOT. |
| CHENANGO MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 24: ALL PATIENTS NO MATTER WHAT PAYMENT METHOD ARE CHARGED GROSS CHARGES, THE PATIENTS BALANCE CAN THEN BE REDUCED BY INSURANCE PAYMENTS AND CONTRACTUAL ADJUSTMENTS, AS WELL AS FINANCIAL ASSISTANCE ADJUSTMENTS/DISCOUNTS, SO THAT THE PATIENT ULTIMATELY MAY END UP PAYING MUCH LESS THAN GROSS CHARGES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 10 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| UHS IMAGING | ||||
| 6 NEWTON AVENUE | NORWICH | NY | 13815 | IMAGING CARE CENTER |
| UHS PHYSICAL THERAPY | ||||
| 26 CONKEY AVENUE | NORWICH | NY | 13815 | CENTER FOR PHYSICAL THERAPIES |
| UHS PRIMARY CARE - SIDNEY | ||||
| 44 PEARL STREET | SIDNEY | NY | 13838 | PRIMARY CARE CENTER |
| UHS PEDIATRICS | ||||
| 4 NEWTON AVENUE | NORWICH | NY | 13815 | PEDIATRIC CARE CENTER |
| UHS ORTHOPEDICS | ||||
| 4 NEWTON AVENUE | NORWICH | NY | 13815 | ORTHOPEDIC CARE CENTER |
| UHS PRIMARY CARE - SHERBURNE | ||||
| 38A CLASSIC STREET | SHERBURNE | NY | 13460 | PRIMARY CARE CENTER |
| UHS GENERAL SURGERY | ||||
| 4 NEWTON AVENUE | NORWICH | NY | 13815 | GENERAL SURGERY CARE CENTER |
| UHS PRIMARY CARE - OXFORD | ||||
| 21 NORTH CANAL STREET | OXFORD | NY | 13830 | PRIMARY CARE CENTER |
| UHS DENTAL CENTER | ||||
| 32 CONKEY AVENUE | NORWICH | NY | 13815 | DENTAL HEALTH CENTER |
| UHS ENT CENTER | ||||
| 32 CONKEY AVENUE | NORWICH | NY | 13815 | ENT CENTER |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | PATIENTS WHO HAVE NO INSURANCE, OR HAVE A PATIENT BALANCE ON A SINGLE ACCOUNT GREATER THAN $2,000, HAVE COMPLETED THE APPLICATION PROCESS, INCLUDING APPLYING FOR GOVERNMENT ASSISTANCE (IF DEEMED ELIGIBLE), AND ARE DENIED FOR THE SLIDING FEE FOR EXCESS INCOME, WILL BE AWARDED THE 15% "PARTICIPATION" DISCOUNT. NO FURTHER PAPERWORK IS REQUIRED. UNDER NO CIRCUMSTANCES CAN A PERSON RECEIVE BOTH A SLIDING FEE AND A 15% PARTICIPATION DISCOUNT. |
| PART I, LINE 7: | A COMBINATION OF IRS PROVIDED WORKSHEETS AND THE RATIO OF PATIENT CARE COST TO CHARGES WAS USED. |
| PART I, LN 7 COL(F): | 100% OF THE ANNUAL BAD DEBT EXPENSE OF $7,910,212 WAS NOT INCLUDED IN THE CALCULATION OF NET BENEFIT EXPENSE. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | COMMUNITY SUPPORT*DIABETES SUPPORT GROUP -- THE HOSPITAL HAS AN ACTIVE DIABETES SUPPORT GROUP. ON AVERAGE 11 PEOPLE ATTEND THE MEETING EACH MONTH WHICH IS TARGETED FOR RECENTLY DIAGNOSED DIABETICS AND THEIR FAMILIES. THE SUPPORT GROUP IS FREE.*CHENANGO COUNTY AMATEUR RADIO EMERGENCY SERVICES/RADIO AMATEUR CIVIL EMERGENCY SERVICE (ARES/RACES) - A VOLUNTARY ORGANIZATION OF LICENSED AMATEUR RADIO OPERATORS WHO PROVIDE EMERGENCY COMMUNICATIONS AS A PUBLIC SERVICE TO THE COMMUNITY. THEIR PURPOSE IS TO FURNISH COMMUNICATIONS IN THE EVENT OF NATURAL OR OTHER DISASTER WHEN REGULAR COMMUNICATIONS FAIL OR ARE INADEQUATE. SPONSORED BY THE AMERICAN RADIO RELAY LEAGUE (ARRL), THE NATIONAL ASSOCIATION FOR AMATEUR RADIO, THE ARES FUNCTIONS AT THE LOCAL LEVEL TO MEET LOCATION COMMUNICATIONS REQUIREMENTS. THE ARES OPERATES UNDER THE DIRECTION OF THE EMERGENCY COORDINATOR (EC) WHOSE FUNCTION IS TO DIRECT THE ACTIVITIES OF THE ARES TO MAINTAIN A STATE OF READINESS. THE HOSPITAL HAS 2 EMPLOYEES WHO ARE ASSISTANT EMERGENCY COORDINATORS.*EBOLA PREPAREDNESS - AS A FRONTLINE HEALTHCARE FACILITY, CHENANGO MEMORIAL HOSPITAL DEVELOPED AND IMPLEMENTED PREPAREDNESS PLANS FOR PATIENTS UNDER INVESTIGATION (PUI) FOR EBOLA VIRUS DISEASE (EVD) FOR EVENTUAL TRANSPORT TO AN EBOLA ASSESSMENT HOSPITAL. THE CLOSEST EBOLA ASSESSMENT HOSPITAL IS IN SYRACUSE, NY, ABOUT 75 MILES AWAY. THIS PREPAREDNESS EFFORT, WHICH CONSUMED MOST OF 4Q2014, INVOLVED MANY FACETS: A.MINOR CONSTRUCTION IN OUR ER TO PREPARE 2 EXAM ROOMS FOR PATIENTS WITH INFECTIOUS DISEASES.B.TRAINING OF 190 EMPLOYEES WHO ATTENDED A TOTAL OF 29 CLASSES AT 90 MINUTES EACH. THE HOSPITAL ALSO HELD 1 COMMUNITY TRAINING CLASS, PRIMARILY FOR FIRST RESPONDERS, AND ANOTHER FOR THE LOCAL DOH. TRAINING INCLUDED DONNING AND REMOVING PERSONAL PROTECTIVE EQUIPMENT, RAPIDLY IDENTIFYING AND TRIAGING AN EBOLA PATIENT, PREPARING THE PATIENT FOR TRANSFER TO AN EBOLA ASSESSMENT HOSPITAL, AND DISPOSAL OF MEDICAL WASTE.C.AFTER TRAINING WAS COMPLETED, EACH AFFECTED DEPARTMENT HELD DRILLS TO ENSURE STAFF COMPETENCY. THESE DRILLS ARE CONDUCTED MONTHLY.D.THROUGHOUT THE PROCESS, FREQUENT INTERNAL PREPAREDNESS MEETINGS WERE HELD TO ENSURE ALL ACTION ITEMS WERE ADDRESSED AND COMPLETED IN A TIMELY FASHION. THIS PROCESS HAS LEFT US WITH THE CAPACITY TO TREAT ANY INFECTIOUS DISEASES THAT MAY PRESENT THEMSELVES IN THE FUTURE.COALITION BUILDING*MEMBERS OF THE HOSPITAL'S MANAGEMENT TEAM SERVE ON SEVERAL BOARDS OR HOLD GOVERNANCE POSITIONS WITH ORGANIZATIONS IN THE AREA. THEY INCLUDE:*HOSPICE & PALLIATIVE CARE OF CHENANGO COUNTY - CMH HAS A REPRESENTATIVE ON THE HOSPICE BOARD. HOSPICE PROVIDES END-OF-LIFE SERVICES FOR PATIENTS AND THEIR FAMILIES AS WELL AS PALLIATIVE CARE FOR PATIENTS WITH CHRONIC, LONG-TERM CONDITIONS.*CHENANGO VALLEY HOME - CMH PROVIDES A PAID MEDICAL DIRECTOR TO THIS ASSISTED LIVING FACILITY FOR OLDER ADULTS IN NORWICH, NY. CMH ALSO HAS A REPRESENTATIVE ON THE BOARD.*CHENANGO HEALTH NETWORK (CHN) - A COMMUNITY BASED, NOT-FOR-PROFIT RURAL HEALTH NETWORK WHOSE MISSION IS TO BRING TOGETHER HEALTH AND HUMAN SERVICES PROFESSIONALS, BUSINESS PEOPLE AND CONSUMERS TO STRENGTHEN HEALTHCARE IN CHENANGO COUNTY. EXPERT NAVIGATORS ARE AVAILABLE TO GUIDE INDIVIDUALS THROUGH THE ENROLLMENT PROCESS, HELP THEM FIND THE HEALTH INSURANCE THAT BEST MEETS THEIR NEEDS, AND UNDERSTAND THE FINANCIAL HELP PROGRAMS THAT THEY MAY BE ELIGIBLE FOR TO REDUCE THEIR COST OF HEALTH INSURANCE. BEGINNING IN OCTOBER 2014, THE HOSPITAL PROVIDED OFFICE SPACE IN OUR SIDNEY, NY, CLINIC SO CHN COULD MEET WITH RESIDENTS IN THE CHENANGO, DELAWARE, AND OTSEGO COUNTY AREAS. IN ADDITION TO HAVING A HOSPITAL EMPLOYEE ON THEIR BOARD, THE HOSPITAL COVERS THEIR TELEPHONE EXPENSE AND THE OFFICE SPACE IN SIDNEY.*UNION (NY) VOLUNTEER EMERGENCY SERVICES - AN AMBULANCE COMPANY THAT SERVES THE TOWN OF UNION, NY IN BROOME COUNTY, IT CONSISTS OF 100 VOLUNTEER AND 40 PAID STAFF WHO RUN 4 AMBULANCES 24/7 365 DAYS/YEAR WITH ABOUT 900 CALLS PER MONTH.*IROQUOIS HEALTH ALLIANCE (IHA) - THE HOSPITAL'S CEO IS AN IHA BOARD MEMBER. THE ORGANIZATION CONSISTS OF CEO'S OF ALL THE HOSPITALS IN CENTRAL NEW YORK. IT IS THE REGIONAL VOICE IN ALBANY AND WASHINGTON FOR UPSTATE HOSPITALS AND HEALTHCARE SYSTEMS MEMBERS. THE IHA PROMOTES A BROADER UNDERSTANDING OF, AND BUILDS SUPPORT FOR, THE HEALTH CARE SYSTEMS SERVING UPSTATE NEW YORK. THIS FORUM HAS BEEN USED BY THE DEPARTMENT OF HEALTH AND OTHER GOVERNMENT ORGANIZATIONS TO DISCUSS CHANGES IN HEALTH CARE AND NEW REGULATIONS DIRECTLY WITH HOSPITAL CEO'S.*FUTURE OF HEALTHCARE POLICY ADVISORY GROUP - THIS COMMITTEE WAS ASSEMBLED BY THE HEALTH CARE ASSOCIATION OF NEW YORK STATE TO EXAMINE AND DISCUSS ACTIVITIES INVOLVED WITH HEALTHCARE REFORM. THE COMMITTEE CONSISTS OF HOSPITAL CEO'S FROM ALL OVER NEW YORK STATE AND THEY DISCUSS DSRIP (DELIVERY SYSTEM REFORM INCENTIVE PROGRAM) OR MEDICAID PAYMENT REFORM IN NEW YORK STATE, SHIP (STATE HEALTH INNOVATION PLAN) OR PAYMENT REFORM IN THE COMMERCIAL MARKETPLACE, THE HEALTHCARE EXCHANGE AS WELL AS ORGANIZATION, FINANCIAL AND PUBLIC IMPACTS. HANYS THEN TAKES THIS FEEDBACK TO DRAFT POLICY STATEMENTS AND CAUTIONARY NOTES TO THE DOH AND THE GOVERNOR TO PROVIDE INFORMED GUIDANCE FOR POLICY MAKERS. THIS COMMITTEE STARTED IN THE FALL OF 2014 AND MEETS BI-MONTHLY.*SOUTHERN TIER ADVISORY BOARD OF NBT - NBT BANK, NA OF NORWICH, NY, HAS SEVERAL REGIONAL ADVISORY BOARDS CONSISTING OF LEADERS IN BUSINESS, HEALTHCARE, AGRICULTURE, LAW, AND FINANCE INDUSTRIES TO NAME A FEW. THESE BOARDS ENABLE NBT TO ESTABLISH LINKAGES TO KEY BUSINESSES IN THE COMMUNITY TO UNDERSTAND WHAT THEY NEED, CHALLENGES, ETC., AND HOW NBT MAY BE ABLE TO ASSIST. THE GROUP MEETS QUARTERLY.*REGIONAL HEALTHCARE BENEFITS & QUALITY MANAGEMENT COMMITTEE - THE COMMITTEE CONSISTS OF EMPLOYERS AND HEALTHCARE ORGANIZATIONS FOR EXCELLUS BLUE CROSS/BLUE SHIELD TO EXPLAIN THEIR BENEFIT PROGRAMS AND QUALITY INITIATIVES, UTILIZATION, CONTROL OF UTILIZATION, I.E. USE OF CT SCANNERS AND MRI'S, WELLNESS PROGRAMS, ETC. EXCELLUS REPORTS THE RESULTS OF QUALITY MEASURES TO UNDERSTAND THE SUCCESSES AND CHALLENGES OF THEIR VARIOUS PROGRAMS.*YALE UNIVERSITY - AS AN ALUMNI OF YALE, THE HOSPITAL'S CEO IS OCCASIONALLY CONTACTED BY THE UNIVERSITY TO INTERVIEW STUDENTS WHO HAVE APPLIED FOR ADMISSION. IN 2014 HE DID 2 SUCH INTERVIEWS.*NORWICH ROTARY CLUB - THE ASSISTANT DISTRICT GOVERNOR IS ALSO THE NURSING HOME ADMINISTRATOR AT CMH. ROTARY IS AN ORGANIZATION OF BUSINESS AND PROFESSIONAL LEADERS WHO PROVIDE HUMANITARIAN SERVICE, ENCOURAGE HIGH ETHICAL STANDARDS IN ALL VOCATIONS, AND HELP BUILD GOODWILL AND PEACE IN THE WORLD. MEMBERSHIP REPRESENTS A CROSS-SECTION OF THE COMMUNITY'S BUSINESS AND PROFESSIONAL MEN AND WOMEN. THE MAIN OBJECTIVE OF ROTARY IS SERVICE - IN THE COMMUNITY, IN THE WORKPLACE, AND THROUGHOUT THE WORLD.*COMMERCE CHENANGO - FOR THE LAST SEVERAL YEARS, THE HOSPITAL HAS HAD A REPRESENTATIVE ON THE BOARD OF THE LOCAL CHAMBER OF COMMERCE. THE CHAMBER REPRESENTS A PARTNERSHIP OF BUSINESS AND PROFESSIONAL PEOPLE, MAKING A DIFFERENCE IN THE COMMUNITY.*BADEN-POWELL SCOUTS - CMH HAS A REPRESENTATIVE ON THE BADEN-POWELL COUNCIL OF THE BOY SCOUTS OF AMERICA, HEADQUARTERED IN BINGHAMTON, NY, WHICH SERVES OVER 175 DIFFERENT SCOUT UNITS INCLUDING 6,216 YOUTH AND ADULTS THROUGHOUT CENTRAL NEW YORK AND NORTHEAST PENNSYLVANIA. THE COUNCIL RUNS PROGRAMS IN CUB SCOUTING, BOY SCOUTING, VENTURING AND EXPLORING WHILE MAINTAINING TWO DIVERSE NATIONALLY RECOGNIZED SCOUT CAMPS: CAMP BARTON ON CAYUGA LAKE AND THE TUSCARORA SCOUT RESERVATION IN THE FOOTHILLS OF THE CATSKILLS.*MCDONOUGH (NY) FIRE DEPARTMENT - A MEMBER OF THE HOSPITAL'S LEADERSHIP TEAM IS ASSISTANT CHIEF IN THE MCDONOUGH FIRE DEPARTMENT WHOSE WORK INVOLVES TRAINING, ADMINISTRATION, AND GOING ON CALLS. THIS INDIVIDUAL IS ALSO AN ASSOCIATE MEMBER OF THE OXFORD FIRE DEPARTMENT. BOTH TOWNS ARE LOCATED IN CHENANGO COUNTY.*EMERGENCY MEDICAL SERVICES - OUR MEDICAL DIRECTOR OF EMERGENCY SERVICES AND ER NURSE MANAGER ATTEND MEETINGS OF REPRESENTATIVES OF CHENANGO COUNTY'S EMERGENCY MEDICAL SERVICES. DISCUSSION TOPICS INCLUDE PROTOCOLS, ELECTRONIC MEDICAL RECORDS, NEWS IN THE COUNTY REGARDING EMS, ROAD WORK, AND TRAINING. THE HOSPITAL REPRESENTATIVES PROVIDE AN UPDATE ON THE HOSPITAL, NEW ESD DOCTORS, ETC.*CHENANGO MEMORIAL ATTENDS NUMEROUS COMMUNITY FUNCTIONS IN SUPPORT OF EFFORTS TO IMPROVE COMMUNITY HEALTH OR IMPROVE THE COMMUNITY IN GENERAL.**SEE SCHEDULE O FOR CONTINUATION** |
| PART III, LINE 2: | THE COST OF BAD DEBTS IS COMPUTED BY APPLYING THE OVERALL RATIO OF PATIENT COST TO CHARGES TO THE TOTAL BAD DEBT EXPENSE. |
| PART III, LINE 3: | THE CHARITY CARE BAD DEBT IS DERIVED BY COMPUTING CHARGES SUBJECT TO COLLECTION WHICH IS THE DIFFERENCE BETWEEN THE TOTAL CHARGES AND SELF PAY AMOUNTS. THE OVERALL RATIO OF PATIENT COST TO CHARGES IS APPLIED TO CHARITY CARE BAD DEBT. |
| PART III, LINE 4: | THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT SPECIFICALLY REFERENCE OR DESCRIBE BAD DEBT EXPENSE. THE ORGANIZATION'S COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON PART III, SECTION A. LINES 2 AND 3 IS THE RATIO OF PATIENT CARE COSTS TO CHARGES. |
| PART III, LINE 8: | CMH FEELS THAT ANY SERVICES PROVIDED TO MEDICARE BENEFICIARIES THAT RESULT IN A SHORTFALL TO THE ORGANIZATION BASED ON A LESS THAN ADEQUATE MEDICARE REIMBURSEMENT SHOULD BE TREATED AS A COMMUNITY BENEFIT. CMH TREATS ANY AND ALL COMMUNITY MEMBERS REGARDLESS OF ABILITY TO PAY. CMH'S SERVICE REGION HAS A HIGHER PROPORTION OF ELDERLY THAN THE U.S. AVERAGE. THEREFORE, CMH IS SERVICING AT RISK MEDICARE BENEFICIARIES WITH ALL ITS PROGRAMS AND SERVICES. |
| PART III, LINE 9B: | THE ORGANIZATION'S COLLECTION POLICY PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE AS FOLLOWS:CHARITY CARE IS GIVEN FIRST, THE REMAINING BALANCE, IS THEN SUBJECT TO AN INTEREST FREE PAY PLAN. IF THE PATIENT/ GUARANTOR CHOOSES TO IGNORE ALL FURTHER ATTEMPTS TO MAKE ARRANGEMENTS FOR PAYMENTS, AFTER 180 DAYS THE ACCOUNT IS SENT TO A COLLECTION AGENCY AT THE DISCOUNTED LEVEL. |
| PART VI, LINE 2: | IN BETWEEN CHNA SUBMITTALS, UHS CHENANGO MEMORIAL HOSPITAL USES IN-PATIENT AND OUT-PATIENT SURVEYS ADMINISTERED THROUGH PRESS GANEY TO COLLECT PATIENT INPUT. PATIENTS VISITING ALL OUT-PATIENT OFFICES AND AREAS OF THE HOSPITAL RECEIVE EASY-TO-COMPLETE FORMS ASKING THEM QUESTIONS ABOUT THE CARE THEY RECEIVED AT THE HOSPITAL, ISSUES THEY FEEL NEED TO BE ADDRESSED, AND SERVICES THAT NEED TO BE IMPROVED OR ADDED. PATIENTS PROVIDE VALUABLE INFORMATION IN THE COMMENTS SECTION OF THESE SURVEYS. THE HOSPITAL HAS A DEDICATED ONGOING INPATIENT SATISFACTION TEAM THAT ADDRESSES ISSUES IDENTIFIED FROM THE PRESS GANEY SURVEYS. THIS GROUP MEETS MONTHLY. THE HOSPITAL ALSO HAS AN ENVIRONMENT OF CARE COMMITTEE THAT MEETS REGULARLY TO ADDRESS PATIENT ISSUES. IN-PATIENT FEEDBACK HAS RESULTED IN THE FOLLOWING IMPROVEMENTS:*PATIENT FOOD IS NOW AVAILABLE IN THE MED/SURG REFRIGERATOR 24/7 IN THE INSTANCES A PATIENT IS ADMITTED DURING OFF HOURS OR AFTER TESTS WHEN FASTING IS REQUIRED. *PLANS ARE UNDERWAY TO ADJUST THE REGISTRATION OFFICE FOR WHEELCHAIR ACCESSIBILITY.*THE IN-HOUSE FACILITIES TEAM COMPLETED RECOMMENDATIONS FROM THE PRINCETON INSURANCE SURVEY TO UPGRADE RESTROOMS FOR BARIATRIC PATIENTS AND VISITORS *CABLING WAS COMPLETED IN MATERNITY AND ICU IN PREPARATION FOR REPLACING ALL THE OLD TUBE TV'S WITH FLAT SCREEN HD TV'S ON THE THIRD FLOOR OF THE HOSPITAL. THE HOSPITAL'S MEDICAL/SURGICAL UNIT IS ALSO ON THE THIRD FLOOR. ALL TV'S WILL BE INSTALLED IN 2015.IN SEPTEMBER 2014, UHS ASSEMBLED A QUARTERLY PATIENT SATISFACTION TEAM TO REVIEW PRESS GANEY SURVEY RESULTS ACROSS THE SYSTEM. THE FIRST MEETING WAS IN DECEMBER 2014 AND HAS CONTINUED INTO 2015 ATTENDED BY CMH'S OPERATIONS MANAGER, OUT-PATIENT NURSE MANAGER AND ONE OFFICE SITE MANAGER. DURING THESE MEETINGS GOALS AND MEASURES ARE ESTABLISHED FOR EACH FACILITY AND EACH CLINIC. EACH SITE MANAGER THEN REVIEWS THE DATA DURING THEIR STAFF MEETINGS. EACH MANAGER ALSO HAS ACCESS TO LINK IN DIRECTLY WITH PRESS GANEY TO PULL THE LATEST DATA FOR THEIR SITE AND REVIEW PROGRESS AGAINST GOALS. THE MANAGER THEN REVIEWS THIS INFORMATION DURING MONTHLY STAFF MEETINGS. ALTHOUGH THIS IS A FAIRLY NEW PROCESS, IMPROVEMENTS HAVE ALREADY BEEN REALIZED. LIVING IN A SMALL COMMUNITY, WE ALSO GET SUGGESTIONS DIRECTLY FROM RESIDENTS ABOUT SERVICES THAT ARE NEEDED OR NEED IMPROVEMENT. HOSPITAL BOARD MEMBERS, AUXILIARY BOARD MEMBERS, AND FOUNDATION BOARD MEMBERS ARE VERY VOCAL ABOUT WHAT THEY ARE HEARING IN THE COMMUNITY OR EXPERIENCING THEMSELVES. EMPLOYEES ARE QUITE CRITICAL ABOUT THEIR OR THEIR FAMILY'S EXPERIENCES IN ALL FACETS OF PATIENT CARE PROVIDING VALUABLE FEEDBACK WITH A TRAINED EYE.FOCUS GROUPS HAVE BEEN USED TO DISCUSS A SPECIFIC NEED THAT HAS BEEN IDENTIFIED AND REQUIRES FURTHER RESEARCH. ALTHOUGH NO FOCUS GROUPS WERE HELD IN 2014, THEY HAVE BEEN USED TO DEFINE NEEDS IN PREVIOUS YEARS. PERIODICALLY WE LOOK AT DIAGNOSIS CODES AND MARKET DATA TO DETECT DEVELOPING TRENDS AND ADDRESS THEM AS NEEDED.LASTLY, THE HOSPITALS VP OF OPERATIONS IS ON THE BOARD OF THE CHENANGO HEALTH NETWORKS (CHN). THE CHN IS CHENANGO COUNTYS RURAL HEALTH NETWORK. THE BOARD CONSISTS OF 13 COMMUNITY LEADERS REPRESENTING A CROSS SECTION OF HEALTH CARE SERVICES IN THE AREA (SEE PART V, SECTION C, #3 FOR DETAILS). THIS GROUP MEETS MONTHLY AND DISCUSSES HEALTH CARE CONCERNS AND OPPORTUNITIES IN THE COMMUNITY AND INITIATES SUBCOMMITTEES TO ADDRESS SPECIFIC ISSUES AS NEEDED.THE POPULATION IN THIS RURAL COMMUNITY HAS ACTUALLY DECREASED AS EXPLAINED IN PART VI, #4 OF THIS SECTION. SADLY, THIS CHANGE IN DEMOGRAPHICS HAS RESULTED IN AN INCREASE IN THE PERCENT OF SOCIO-ECONOMICALLY CHALLENGED INDIVIDUALS DEPENDENT ON GOVERNMENT PROGRAMS FOR THEIR HEALTHCARE. THE DRAMATIC INCREASE IN HEROIN USE NOTWITHSTANDING, THEIR NEEDS HAVE REMAINED RELATIVELY THE SAME OVER TIME. |
| PART VI, LINE 3: | OUR ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER OUR CHARITY CARE POLICY AS FOLLOWS:* EVERY CLINIC AND AREA OF PATIENT REGISTRATION HAS A NOTICE POSTED INFORMING THE PATIENT/S/PUBLIC OF THE AVAILABILITY OF FINANCIAL ASSISTANCE* BROCHURES DESCRIBING THE POLICY ARE AVAILABLE AT CLINICS, POINTS OF REGISTRATION, AND ARE MAILED TO SELF PAY PATIENTS ALONG WITH APPLICATIONS* INPATIENTS ARE VISITED BY THE PATIENT FINANCIAL ADVOCATE. THEY ARE MADE AWARE OF GOVERNMENT PROGRAMS AND IF NECESSARY, ARRANGEMENTS ARE MADE WITH THE DEPARTMENT OF SOCIAL SERVICES TO HAVE A WORKER COME IN AND TAKE THE APPLICATION FROM THE PATIENT. THE PATIENT IS GIVEN INFORMATION AND APPLICATION FOR FINANCIAL ASSISTANCE, AND APPLICATION CAN BE TAKEN RIGHT AT PATIENT BEDSIDE* THE WOMAN'S HEALTH CENTER INFORMS ALL SELF PAY PREGNANT WOMEN OF THE "PRESUMPTIVE ELIGIBILITY" PROCESS AND PATIENTS ARE DIRECTED TO PATIENT FINANCIAL SERVICES FOR COMPLETION OF THE APPLICATION AND COMPLETION OF A WIC APPLICATION IF PATIENT SO DESIRES* EVERY CMH EMPLOYEE IS MADE AWARE OF THE CHARITY CARE PROGRAM AT ORIENTATION AND ENCOURAGED TO MAKE PATIENTS AND THE PUBLIC AWARE OF THE PROGRAM. PERSONNEL WHO HAVE PATIENT CONTACT ARE ANNUALLY IN-SERVICED ON CHARITY CARE PROGRAM* EVERY BILL THAT IS SENT OUT IS MARKED "FOR INFORMATION REGARDING OUR "PATIENT FINANCIAL ASSISTANCE" PROGRAM" PLEASE CONTACT 607-337-4295 |
| PART VI, LINE 4: | UHS CHENANGO MEMORIAL HOSPITALS SERVICE AREA IS CENTERED IN CHENANGO COUNTY, WITH 88% OF PATIENTS COMING FROM CHENANGO COUNTY COMMUNITIES, WITH ANOTHER 10% COMING FROM OTSEGO, DELAWARE, MADISON, AND CORTLAND COUNTIES. THE HOSPITALS 90% ZIP CODE SERVICE AREA INCLUDES THE COMMUNITIES OF NORWICH, OXFORD, SHERBURNE, NEW BERLIN, SOUTH NEW BERLIN, BAINBRIDGE, SIDNEY, MCDONOUGH, PLYMOUTH, SOUTH PLYMOUTH, SMYRNA, GUILFORD, MOUNT UPTON, EARLVILLE, AND UNADILLA.UHS CHENANGO MEMORIAL HOSPITAL IS THE ONLY HOSPITAL IN CHENANGO COUNTY, A RURAL COUNTY LOCATED IN SOUTH-CENTRAL NEW YORK STATE IN THE AREA KNOWN AS THE SOUTHERN TIER. THERE ARE TWO INTERSTATE HIGHWAYS ACCESSIBLE TO CHENANGO COUNTY RESIDENTS: I-88 AND I-81. NEW YORK STATE ROUTE 12 BISECTS THE COUNTY AND IS THE MAJOR NORTH-SOUTH ROUTE BETWEEN BINGHAMTON AND UTICA. THE MAJORITY OF HEALTH CARE SERVICES ARE LOCATED ALONG ROUTE 12.CHENANGO COUNTY HAS A TOTAL POPULATION OF 50,477 AND 96.9% OF THE POPULATION IS WHITE. THE COUNTY IS POOR WITH 16% LIVING BELOW THE FEDERAL POVERTY LEVEL INCLUDING 26% OF ALL OF ITS CHILDREN. THE MEDIAN FAMILY INCOME IN 2010 WAS $41,418. FOR 2008-2010, 8.2% OF THE POPULATION WAS UNEMPLOYED COMPARED TO NEW YORK STATE WHICH WAS 7.5%; 37% OF ADULTS WITH A DISABILITY HAVE AN INCOME LESS THAN $25,000.OF THE TOTAL NUMBER OF FAMILIES LIVING IN CHENANGO COUNTY, 10.1% ARE ONE PARENT FAMILIES WITH CHILDREN UNDER 18 YEARS. OF THE TOTAL NUMBER OF HOUSEHOLDS IN THE COUNTY, 11.7% ARE ADULTS 65 YEARS OR OLDER WHO LIVE ALONE; 28.9% HAVE ONE OR MORE PERSONS 65 YEARS OR OLDER. FURTHER, THE AREA IS AGING. ALL EIGHT SCHOOL DISTRICTS HAVE EXPERIENCED A DOWNWARD TREND IN ENROLLMENT FOR A COMBINED DECREASE FROM THE 2006-2007 SCHOOL YEAR TO 2011-2012 OF 14% OR 1,311 LESS STUDENTS. 13.8% OF ADULTS DO NOT HAVE HEALTH INSURANCE. THE THREE ADULT AGE GROUPS WITH THE LARGEST PERCENTAGE OF UNINSURED ARE 35-44 (14.9%), 45-44 (8.1%) AND 55-64 (10.5%). YOUNGER ADULTS CITED COST AS A FACTOR FOR NOT VISITING A DOCTOR WHEN NEEDED. 15% OF ADULTS AGE 35-44 ALSO DID NOT SEE A DOCTOR DUE TO COST, 13.1% AGES 45-54 AND 12.3% AGES 55-65 DID NOT SEE A DOCTOR.OF THE COUNTYS ADULT POPULATION, 29% HAVE A DISABILITY. 11.1% OF THE COUNTYS VETERAN POPULATION HAVE A SERVICE-CONNECTED DISABILITY.EIGHT HOSPITALS SERVE CHENANGO COUNTY RESIDENTS. HOWEVER, UHS CHENANGO MEMORIAL HOSPITAL IS THE ONLY HOSPITAL LOCATED WITHIN THE COUNTY. THE REMAINING SEVEN FACILITIES ARE LOCATED IN BROOME, DELAWARE, OTSEGO AND MADISON COUNTIES. UHS CHENANGO MEMORIAL IS PART OF UNITED HEALTH SERVICES (UHS). UHS CHENANGO MEMORIAL HAS A CLOSE WORKING RELATIONSHIP WITH UHS BINGHAMTON GENERAL HOSPITAL AND UHS WILSON MEMORIAL HOSPITAL, LOCATED IN BINGHAMTON AND JOHNSON CITY RESPECTIVELY. UHS CHENANGO MEMORIAL FREQUENTLY REFERS OR TRANSFERS PATIENTS WHO NEED MORE SPECIALIZED CARE TO THESE HOSPITALS.TWO HOSPITALS ARE PART OF THE BASSETT HEALTHCARE NETWORK A.O. FOX MEMORIAL IN ONEONTA AND MARY IMOGENE BASSETT HOSPITAL IN COOPERSTOWN. THE REMAINING TWO HOSPITALS ARE COMMUNITY MEMORIAL HOSPITAL IN HAMILTON AND LOURDES HOSPITAL IN BINGHAMTON.IT SHOULD BE NOTED THAT UHS CHENANGO MEMORIALS FOOTPRINT EXTENDS INTO DELAWARE COUNTY WITH A HEALTH CENTER IN SIDNEY. DELAWARE VALLEY HOSPITAL IS LOCATED IN WALTON AND ALSO IS PART OF UNITED HEALTH SERVICES.FOURTEEN HEALTH CENTERS IN THE COUNTY OFFER PRIMARY AND/OR WOMENS HEALTH CARE. THESE HEALTH CENTERS ARE BASED IN AFTON, BAINBRIDGE, GREENE, NORWICH, OXFORD AND SHERBURNE. UHS CHENANGO MEMORIAL MAINTAINS PRIMARY CARE CENTERS IN NORWICH, OXFORD, SHERBURNE AND SIDNEY PLUS PEDIATRIC AND WOMENS HEALTH CENTERS IN NORWICH. UHS MAINTAINS A PRIMARY CARE CENTER IN GREENE. THE BASSETT HEALTHCARE NETWORK MAINTAINS FAMILY HEALTH CENTERS IN SHERBURNE AND NORWICH AS WELL AS SCHOOL BASED CLINICS IN THE SHERBURNE-EARLVILLE AND UNADILLA VALLEY SCHOOL DISTRICTS. FAMILY PLANNING OF SOUTH CENTRAL NEW YORK MAINTAINS A CLINIC IN NORWICH; THE STRATTON VA MAINTAINS AN OUTPATIENT CLINIC IN BAINBRIDGE; A PRIVATELY OWNED FAMILY HEALTH CENTER IS LOCATED IN AFTON (AFTON FAMILY HEALTH CENTER).UHS CHENANGO MEMORIALS OUT-PATIENT CARE INCLUDES PRIMARY CARE, WOMENS HEALTH, CARDIOLOGY, PEDIATRICS, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, GENERAL SURGERY, AMBULATORY SURGERY, GASTROINTESTINAL, ORTHOPEDICS, RADIOLOGY, LABORATORY, ENT, DENTAL, AND UROGYNECOLOGY. THE HOSPITAL ALSO MAINTAINS A 24/7 PHYSICIAN-STAFFED ER.UHS CHENANGO MEMORIAL IS THE SOLE PROVIDER IN THE COUNTY FOR IMAGING SERVICES SUCH AS MRI, CT SCANS AND DIGITAL MAMMOGRAPHY. IT IS ALSO THE SOLE PROVIDER OF UROGYNECOLOGY SERVICES.THERE ARE SEVENTEEN GENERAL DENTISTS, THREE ORTHODONTISTS AND NO PEDIATRIC DENTISTS PRACTICING IN CHENANGO COUNTY. CHENANGO MEMORIALS UHS DENTAL CENTER AND ONE PRIVATE PRACTICE ARE THE ONLY PROVIDERS WHICH ACCEPT MEDICAID. CHENANGO COUNTY NYSARC MAINTAINS AN ARTICLE 16 DENTAL CLINIC THROUGH A SATELLITE ARRANGEMENT WITH THE BROOME DEVELOPMENTAL DISABILITIES SERVICE OFFICE.UHS CHENANGO MEMORIAL IS ONE OF THE FEW HOSPITALS THAT INCLUDES A SKILLED NURSING FACILITY. THERE ARE A TOTAL OF FIVE RESIDENTIAL HEALTH FACILITIES IN THE COUNTY, ALL OF WHICH MAINTAIN MEDICAID AND MEDICARE CERTIFICATIONS. UHS CHENANGO MEMORIAL IS LICENSED FOR 80 LONG-TERM CARE BEDS. IN 2014, CMH HAD AN OCCUPANCY RATE OF 92.1%. SOME OF THE BEDS WERE USED FOR SHORT-TERM REHAB. THERE ARE NO NYSDOH-LICENSED ASSISTED LIVING FACILITIES IN CHENANGO COUNTY. THERE ARE SEVEN ADULT RESIDENTIAL CARE FACILITIES, FOUR OF WHICH ARE LICENSED BY NEW YORK STATE. |
| PART VI, LINE 5: | COMMUNITY BOARDUHS CHENANGO MEMORIALS BOARD OF DIRECTORS TOTALS 17 MEMBERS, 11 OF WHOM ARE LOCAL RESIDENTS AND COMMUNITY LEADERS IN BANKING, LAW, REAL ESTATE, PHARMACEUTICALS, MANUFACTURING, INSURANCE, INVESTMENTS, AND INDEPENDENT BUSINESS. THE BOARD MEETS BI-MONTHLY. THE BOARD ALSO HAS COMMITTEES THAT FOCUS ON FINANCES, STAFF CREDENTIALING, AND GOVERNANCE ALL OF WHICH HAVE REPRESENTATION FROM THE COMMUNITY.THE CMH AUXILIARY, WHO ALSO REPORT UNDER THE HOSPITALS TAX ID NUMBER, HAS ITS OWN BOARD THAT MEETS MONTHLY AND CONSISTS OF 16 MEMBERS ALL OF WHOM LIVE LOCALLY. THEY, TOO, REPRESENT A CROSS SECTION OF BUSINESSES SIMILAR TO THE HOSPITALS BOARD OF DIRECTORS. IN ADDITION, THEY INCLUDE RETIRED INDIVIDUALS AND WIVES OF PROMINENT COMMUNITY LEADERS IN THE AREA.ALTHOUGH THE CHENANGO MEMORIAL HOSPITAL FOUNDATION, INC., HAS ITS OWN TAX ID NUMBER, ITS SOLE PURPOSE IS TO SUPPORT THE HOSPITAL THROUGH FUNDRAISING. THE FOUNDATION BOARD ALSO HAS 16 MEMBERS WHO REPRESENT BUSINESSES FROM THROUGHOUT THE COUNTY AND MEET APPROXIMATELY 3 TIMES PER YEAR.OPEN MEDICAL STAFFTHE HOSPITAL REVIEWS MEDICAL STAFF PRIVILEGES OF ANY QUALIFIED PHYSICIANS AND ALLIED PROFESSIONALS IN THE COMMUNITY THAT APPLY. THE RIGOROUS CREDENTIALING PROCESS INCLUDES REVIEW BY AN INTERNAL CREDENTIALS COMMITTEE AND MEDICAL EXECUTIVE COMMITTEE. AFTER APPROVAL FROM THESE TWO COMMITTEES, THE APPLICATION PROCEEDS TO THE PROFESSIONAL ADVISORY COMMITTEE (PAC), A SUBCOMMITTEE OF THE HOSPITALS BOARD OF TRUSTEES, FOR APPROVAL. AFTER APPROVAL BY PAC, THE APPLICATION PROCEEDS TO THE HOSPITALS BOARD OF DIRECTORS FOR FINAL APPROVAL AND CREDENTIALING. USE OF SURPLUS FUNDSSURPLUS FUNDS ARE MADE AVAILABLE FOR CAPITAL IMPROVEMENTS. IN 2014, THE FOLLOWING PROJECTS HAD CAPITAL EXPENDITURES TO IMPROVE PATIENT CARE AND SAFETY:*SOARIAN FINANCIALS AND SCHEDULING WENT LIVE JUNE 21, 2014 AFTER 4 YEARS OF PLANNING. THE NEW, WEB-BASED SYSTEM REPLACED OUT-DATED LEGACY SYSTEMS FOR REGISTRATION, SCHEDULING, BILLING, ADMISSION/DISCHARGE/TRANSFER FUNCTIONS, AND OTHER REVENUE CYCLE AND FINANCIAL FUNCTIONS. THE SYSTEM WENT LIVE ACROSS THE UHS SYSTEM AFFECTING CHENANGO MEMORIAL HOSPITAL, WILSON MEMORIAL HOSPITAL (JOHNSON CITY, NY) AND BINGHAMTON GENERAL HOSPITAL (BINGHAMTON, NY) SIMULTANEOUSLY. FOR YEARS, HEALTHCARE CONSUMERS HAVE BEEN ASKING FOR HEALTHCARE TECHNOLOGY THAT IMPROVES THEIR CARE EXPERIENCE. THEY WANT IT TO DO MORE THAN MAKE THEM WELL. THEY ALSO WANT TECHNOLOGY TO CREATE MORE CONVENIENT APPOINTMENTS, A MEDICAL RECORD THAT TRAVELS WITH THEM AND A BILL FOR SERVICES THAT IS EASY TO UNDERSTAND. THE LAUNCH OF SOARIAN FINANCIALS AND SCHEDULING IS ONE STEP OF MANY IN THAT DIRECTION.*SOARIAN CPOE (COMPUTERIZED PHYSICIAN ORDER ENTRY) ROLLOUTS AT THE HOSPITAL BEGAN IN 2014. CPOE IS A PROCESS OF ELECTRONIC ENTRY OF MEDICAL PRACTITIONER INSTRUCTIONS FOR THE TREATMENT OF THE HOSPITALIZED PATIENT. ESSENTIALLY, A DOCTOR USES A PERSONAL COMPUTER TO DO WHAT USED TO BE DONE BY PEN AND PAPER. THE ORDERS ARE COMMUNICATED OVER A COMPUTER NETWORK TO OTHER PROVIDERS, AS WELL AS TO NURSING STAFF AND TO ANCILLARY DEPARTMENTS SUCH AS PHARMACY, LABORATORY OR RADIOLOGY INVOLVED IN THE PATIENT'S CARE. ALTHOUGH CPOE IMPROVES EFFICIENCY OF CARE, IMPROVING MEDICATION SAFETY AND REDUCING ADVERSE DRUG EVENTS ARE BY FAR THE MOST IMPORTANT BENEFITS. TO DATE, ROLLOUTS HAVE BEEN COMPLETED IN THE HOSPITAL, ORTHOPEDIC, OB, ENT, CARDIOLOGY AND SURGICAL DEPARTMENTS.*THE NEW YORK STATE DEPARTMENT OF HEALTH APPROVED THE RENOVATION OF THE HOSPITAL'S AMBULATORY/SURGERY DEPARTMENT AND CREATION OF A GI SUITE IN 2013. MINOR FACELIFTS IN PREPARATION FOR MOVING PEOPLE AND SERVICES TO ALTERNATE LOCATIONS TOOK PLACE IN 2013. THE REMAINDER OF THE PROJECT WAS COMPLETED IN 2014. IN ADDITION TO CREATING TWO NEW GI PROCEDURE ROOMS, THE PROJECT INCLUDED A MAJOR FACELIFT OF THE UNIT INCLUDING TWO NEW NURSES STATIONS, CREATING A RECEPTION AREA AND A PRE-ADMISSION TESTING OFFICE, REMODELING THE KITCHENETTE, NEW FLOORING, PAINT, AND WINDOW DRESSINGS.*UHS CHENANGO MEMORIAL OFFICIALLY COMBINED THE WALK-IN CENTER WITH THE EMERGENCY ROOM ON JANUARY 1, 2014. THE CONSOLIDATION HAS PROVEN SUCCESSFUL AS PATIENT FLOW HAS IMPROVED (DOOR-TO-DOC TIMES APPROXIMATELY 30 MINUTES) AND THE NUMBER OF LBS'S (LEFT BEFORE SEEN) HAS DECREASED EVEN THOUGH PATIENT VOLUME IN THE EXPANDED EMERGENCY AREA HAS INCREASED. QUALITY OF CARE HAS ALSO IMPROVED FOR PATIENTS UNDERESTIMATING THE SEVERITY OF THEIR SYMPTOMS WHEN THEY ARRIVE IN THE EMERGENCY SERVICES AREA. NOW PATIENTS ARE TRIAGED WHEN THEY PRESENT AND DIRECTED TO THE APPROPRIATE LEVEL OF CARE BASED ON THEIR SYMPTOMS. THIS HAS IMPROVED PATIENT FLOW SO NON-LIFE THREATENING SYMPTOMS ARE TREATED IN THE NEW FASTTRACK AREA WHILE ACUTE CASES ARE TREATED IN THE EMERGENCY ROOM.*IN 2013, THE HOSPITAL INITIATED THE PROCESS FOR IMPLEMENTING A SECURITY LOCKDOWN SYSTEM. THIS INITIATIVE CONTINUED IN 2014 WITH OUTFITTING ALL OF THE ENTRANCES WITH LOCKDOWN HARDWARE. ALL EMPLOYEE ENTRANCES HAVE BEEN PREPARED FOR BADGE ACCESS ONLY. THIS INITIATIVE WAS THE RESULT OF VIOLENT INCIDENCES IN THE EMERGENCY ROOM AND THE COMMUNITY THAT PUT PATIENTS, VISITORS AND STAFF AT RISK FOR INJURY. THIS PROJECT WAS DELAYED DURING 2014 TO ADDRESS THE URGENT PRIORITY OF EBOLA PREPAREDNESS INITIATIVES.*CHENANGO MEMORIAL HOSPITAL BUILT A HELIPAD IN 2014. THROUGH A PARTNERSHIP OF SEVERAL ORGANIZATIONS, THE HELIPAD BECAME A REALITY WITH THE FIRST TRANSPORT ON AUGUST 15, 2014. TEAMWORK AMONG THE HOSPITAL STAFF, NORWICH FIRE DEPARTMENT AND THE MEDICAL HELICOPTER SERVICE WAS ESSENTIAL IN THE SUCCESS OF THIS PROJECT. THE SERVICE IS USED FOR PATIENTS IN THE ER OR IN THE ACUTE CARE UNITS WHO NEED IMMEDIATE MEDICAL TRANSPORT TO A FACILITY THAT CAN PROVIDE THE LEVEL OF CARE NEEDED, I.E. CARDIAC, PEDIATRIC OR BURN. ALTHOUGH THE HELIPAD PASSED NYS INSPECTION IN THE SPRING, WE DIDN'T GET FAA APPROVAL UNTIL LATER IN THE YEAR. FOR TRANSPORTS, THE NORWICH FIRE DEPARTMENT CAME ON THE SCENE UNTIL FAA APPROVAL WAS GRANTED.*DIGITAL MAMMOGRAPHY EQUIPMENT WAS PURCHASED IN 2013 AND INSTALLED IN 2014 REPLACING THE OLD FILM SCREEN MAMMOGRAPHY EQUIPMENT IN OUR SIDNEY HEALTH CENTER. THE DIGITAL EQUIPMENT PROVIDES BETTER IMAGE QUALITY FOR BETTER DIAGNOSIS. THE MAMMOGRAMS ARE QUICKER WHICH IMPROVES PATIENT SATISFACTION. INTERPRETATIONS OF THE IMAGES ARE MORE TIMELY BECAUSE THEY ARE NOW COMPUTERIZED ON OUR PHOTO ARCHIVING COMPUTER SYSTEM (PACS) AND CAN BE READ BY A RADIOLOGIST ANYWHERE HE/SHE HAS ACCESS TO PACS.*THE HOSPITAL MADE A DOWN PAYMENT IN 2013 TO LEASE NEW FLUOROSCOPY EQUIPMENT TO REPLACE EQUIPMENT THAT WAS 15 YEARS OLD AND WAS INCREASINGLY OUT OF SERVICE FOR REPAIRS. THIS IS THE ONLY FLUOROSCOPY EQUIPMENT IN THE HOSPITAL AND CREATED A SEVERE PATIENT ACCESS ISSUE WHEN IT WAS DOWN. IN 2014 THE HOSPITAL COMPLETED RENOVATIONS IN THE EXISTING FLUORO ROOM AND TOOK POSSESSION OF THE EQUIPMENT IN JANUARY 2014.*A MCGRATH ENHANCED DIRECT LARYNGOSCOPE WAS PURCHASED IN EARLY 2014 TO AID IN DIFFICULT INTUBATIONS OF SURGICAL PATIENTS. THIS SCOPE COMBINES BOTH DIRECT AND VIDEO TECHNOLOGY USING A SINGLE HANDHELD DEVICE ENSURING A SAFE AND EASIER TUBE PLACEMENT. THIS DEVICE MAKES IT EASIER TO PERFORM INTUBATION IN AN ANTICIPATED OR AN UNANTICIPATED DIFFICULT AIRWAY IN A QUICK, RESPONSIVE, EFFICIENT MANNER. THE PROCEDURE IS ENHANCED, WITH NO HARM TO THE PATIENT'S AIRWAY WITH REPEATED ATTEMPTS AT A DIFFICULT INTUBATION.*EBOLA RENOVATIONS WERE MADE TO 2 EXAM ROOMS IN OUR EMERGENCY ROOM TO PREPARE FOR PATIENT(S) WITH AN INFECTIOUS DISEASE, I.E. EBOLA, AS WELL AS PURCHASE PERSONAL PROTECTION EQUIPMENT. |
| PART VI, LINE 6: | CMH IS AN IMPORTANT PART OF A LARGER SYSTEM OF INTEGRATED DELIVERY OF CARE, WHICH PROVIDES ADDITIONAL BENEFITS TO THE COMMUNITY. AS A RESULT OF THE FORMATION OF CMH IN 1910 AND THE SUBSEQUENT TRANSFORMATION OF THE COMBINED ORGANIZATION INTO A HEALTH CARE SYSTEM, OUR REGION TODAY OFFERS MORE COMPLETE AND ADVANCED CARE THAN MANY COMMUNITIES FIVE TIMES OUR SIZE. IN 2013, CHENANGO MEMORIAL HOSPITAL'S SYSTEM ENGAGED IN A STRATEGIC PLANNING PROCESS FOR THE YEARS 2014-2016. CONSISTENT WITH THE MISSION AND VISION, THE PLAN IS FOCUSED ON CONTINUING TO STRENGTHEN THE HEALTH SYSTEM AND ITS SERVICES TO COMMUNITY. THE STRATEGIC PLAN IS ORGANIZED AROUND FOUR GOALS: CLINICAL EXCELLENCE,SERVICE EXCELLENCE, MARKET GROWTH AND FINANCIAL STRENGTH. SPECIFIC DESTINATION METRICS OR MEASURES OF SUCCESS WERE DEVELOPED FOR EACH STRATEGIC GOAL. THE SPECIFIC INITIATIVES SUPPORTING ACHIEVEMENT OF THE GOALS ARE REVIEWED ON A REGULAR BASIS. EACH ENTITY CARRIES OUT INITIATIVES LOCALLY AND REGIONALLY. THE CMH COMMUNITY SERVICE REPORT CAPTURES THE BENEFITS SPECIFIC TO CMH. THE OTHER HOSPITAL MEMBERS OF THE UHS SYSTEM, UHS WILSON MEDICAL CENTER, UHS BINGHAMTON GENERAL HOSPITAL, AND DELAWARE VALLEY HOSPITAL SUBMIT SEPARATE REPORTS.- CLINICAL EXCELLENCE: CMH HAS FOCUSED ITS RESOURCES AND ENERGY AROUND ACHIEVING DISTINCTION AS A HEALTH SYSTEM IN CLINICAL QUALITY, PATIENT SAFETY AND SERVICE. CMH IS FOCUSED ON VIGOROUS ASSESSMENT AND IMPROVEMENT OF THE ORGANIZATION'S PERFORMANCE USING KEY PATIENT QUALITY, SAFETY AND SATISFACTION INDICATORS. THE PLAN PLACES A FOCUS IN PARTICULAR ON EMERGENCY ROOM PERFORMANCE, CLOSER INTEGRATION OF NON-ACUTE SERVICES WITH THE HOSPITALS, DEVELOPMENT AND IMPLEMENTATION OF STATE-OF-THE-ART INFORMATION TECHNOLOGY TO SUPPORT INITIATIVES IN PATIENT QUALITY AND SAFETY AND NEW INITIATIVES IN THE RECRUITMENT AND RETENTION OF A QUALITY PHYSICIAN AND ALLIED HEALTH WORKFORCE.- SERVICE EXCELLENCE: ADDRESS DELIVERING ON THE CMH BRAND PROMISE OF A MEANINGFULLY BETTER PATIENT EXPERIENCE. THE PLAN FOCUSES ON PATIENT-CENTERED CARE AND THE BRAND PROMISE OF RESPECT AND ACCOUNTABILITY. THIS GOAL ALIGNS TECHNOLOGY WITH PERFORMANCE STANDARDS TO IMPROVE ACCESS TO BETTER MEET PATIENT NEEDS.- MARKET GROWTH: THIS GOAL AREA ADDRESSES THE KEY ASPECTS OF ALIGNING TECHNOLOGY, PHYSICIAN RESOURCES AND PROGRAMS AROUND THE CLINICAL NEEDS OF THE SERVICE AREA. THE PLAN FOCUSES ATTENTION ON KEY TERTIARY SERVICES AND THE ASSURANCE OF AN ADEQUATE SUPPLY OF PRIMARY CARE AND SPECIALIST PHYSICIANS FOR THE AREA. AT THE SAME TIME, CMH REMAINS COMMITTED TO MEETING THE COMMUNITY'S BEHAVIORAL HEALTH SERVICES NEEDS.- FINANCIAL STRENGTH: TO ENSURE CMH HAS THE FINANCIAL CAPACITY TO SUPPORT ITS CLINICAL SERVICE AND GROWTH GOALS, THE STRATEGIC PLAN CALLS THE ORGANIZATION TO DEMONSTRATE CONSISTENT PERFORMANCE WITH RESPECT TO BENCHMARKED OPERATING EFFICIENCIES. THIS INCLUDES PARTICIPATING IN 340B INDIGENT CARE PHARMACY PRICING IN ORDER TO SERVE MORE ELIGIBLE PATIENTS AND PROVIDE MORE COMPREHENSIVE SERVICE.PART VI, LINE 7CHENANGO MEMORIAL HOSPITAL FILES THE COMMUNITY BENEFIT REPORT WITH NEW YORK STATE. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CMH AUXILIARY TO CMH HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 179 NORTH BROAD STREET | AddressLine1Txt |
| City | NORWICH | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13815 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 150532180 | RecipientEIN |
| IRC Section | 501 (C) (3) | IRCSectionDesc |
| Cash Grant | $38,500 | CashGrantAmt |
| Valuation Method Used | CASH | ValuationMethodUsedDesc |
| Purpose Of Grant | TO SUPPORT THE HOSPITAL'S PATIENT SERVICES INCLUDING MATERNAL/CHILD PROGRAMS IN PARTICULAR. | PurposeOfGrantTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DRAKE LAMEN MD | ||||||||||||||
| PRESIDENT/CEO | $307,247 | $0 | $46,827 | $0 | $0 | $0 | $11,145 | $0 | $13,138 | $0 | $378,357 | $0 | $0 | $0 |
| MATTHEW J SALANGER | ||||||||||||||
| 2ND VICE CHAIRMAN | $0 | $1,224,728 | $0 | $142,468 | $0 | $17,718 | $0 | $14,280 | $0 | $22,525 | $0 | $1,421,719 | $0 | $0 |
| ROBERT G GOMULKA | ||||||||||||||
| TRUSTEE | $0 | $471,389 | $0 | $56,983 | $0 | $0 | $0 | $14,280 | $0 | $14,483 | $0 | $557,135 | $0 | $0 |
| DAVE M MACDOUGALL | ||||||||||||||
| TRUSTEE | $0 | $260,515 | $0 | $0 | $0 | $0 | $0 | $14,280 | $0 | $11,970 | $0 | $286,765 | $0 | $0 |
| JOHN M CARRIGG | ||||||||||||||
| TRUSTEE | $0 | $458,577 | $0 | $58,923 | $0 | $0 | $0 | $14,280 | $0 | $22,112 | $0 | $553,892 | $0 | $0 |
| RAJESH DAVE MD | ||||||||||||||
| TRUSTEE | $0 | $516,524 | $0 | $67,390 | $0 | $14,454 | $0 | $14,280 | $0 | $17,278 | $0 | $629,926 | $0 | $0 |
| HARRY KISSI | ||||||||||||||
| PRESIDENT OF MEDICAL STAFF | $167,726 | $0 | $69,392 | $0 | $0 | $0 | $12,630 | $0 | $20,028 | $0 | $269,776 | $0 | $0 | $0 |
| JAMES R SIMCOE MD | ||||||||||||||
| VP OF MEDICAL STAFF | $233,279 | $0 | $0 | $0 | $0 | $0 | $12,425 | $0 | $21,173 | $0 | $266,877 | $0 | $0 | $0 |
| MARGARET SWARTWOOD | ||||||||||||||
| CONTROLLER | $135,588 | $0 | $16,500 | $0 | $0 | $0 | $6,647 | $0 | $12,483 | $0 | $171,218 | $0 | $0 | $0 |
| RON CEROW | ||||||||||||||
| ADMINISTRATOR | $66,301 | $48,011 | $19,430 | $14,070 | $0 | $0 | $3,747 | $2,713 | $7,323 | $5,302 | $96,801 | $70,096 | $0 | $0 |
| CHRISTINA KISACKY | ||||||||||||||
| VP OF OPERATIONS | $145,841 | $0 | $16,500 | $0 | $0 | $0 | $7,095 | $0 | $17,744 | $0 | $187,180 | $0 | $0 | $0 |
| ROBERT MCCARTHY | ||||||||||||||
| VP OF SYSTEM FINANCIAL OPE | $96,470 | $96,469 | $10,506 | $10,505 | $0 | $0 | $5,991 | $5,990 | $4,746 | $4,745 | $117,713 | $117,709 | $0 | $0 |
| JOHN BRERETON | ||||||||||||||
| CHIEF OF INTERNAL MEDICINE | $153,352 | $0 | $8,157 | $0 | $0 | $0 | $7,059 | $0 | $7,608 | $0 | $176,176 | $0 | $0 | $0 |
| KEVIN B DECKER DDS | ||||||||||||||
| FORMER PRES OF MEDICAL STA | $198,074 | $0 | $0 | $0 | $0 | $0 | $8,657 | $0 | $14,163 | $0 | $220,894 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990 PART VII SECTION A LINE 5 | FormAndLineReferenceDesc |
| Explanation | INDIVIDUAL: HARRY KISSI UNRELATED ORGANIZATION: UNITED MEDICAL ASSOCIATES TYPE AND AMOUNT OF COMPENSATION: WAGES AND $237,118 INDIVIDUAL: JAMES R. SIMCOE, M.D. UNREALTED ORGANIZATION: UNTIED MEDICAL ASSOCIATES TYPE AND AMOUNT OF COMPENSATION WAGES AND $233,279 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 3 | THE CHENANGO MEMORIAL HOSPITAL WALK IN CENTER NO LONGER EXISTS. |
| FORM 990, PART VI, SECTION A, LINE 6 | UNITED HEALTH SERVICES, INC. IS THE SOLE MEMBER OF CHENANGO MEMORIAL HOSPITAL, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE MEMBER, UNITED HEALTH SERVICES, INC, SHALL ELECT TRUSTEES AT THE ANNUAL MEETING OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE 990 PREPARATION AND FILING IS THE RESPONSIBILITY OF THE HOSPITALS BOARD OF DIRECTORS WHO DELEGATES THE TIMELY AND ACCURATE COMPLETION OF THE 990 TO MANAGEMENT. THE FINANCE DIVISION PREPARED THE 990 FORMS WHICH WAS REVIEWED BY THE ORGANIZATION'S PUBLIC ACCOUNTANTS, CONTROLLER, VP OF FINANCE AND THE CMH BOARD OF DIRECTOR'S. |
| FORM 990, PART VI, SECTION B, LINE 12C | DIRECTORS, OFFICERS AND KEY EMPLOYEES SUBMIT CONFLICT OF INTEREST STATEMENTS ANNUALLY WHICH ARE REVIEWED BY THE CEO, BOARD CHAIRMAN AND THE ORGANIZATION'S AUDIT COMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 15 | IT IS THE PHILOSOPHY OF THE HOSPITAL THAT ALL STAFF INCLUDING EXECUTIVE STAFF BE COMPENSATED FAIRLY FOR THEIR WORK. BASE SALARY LEVELS, INCENTIVE/BONUS PROGRAMS AND BENEFIT PLANS SHALL TAKE INTO ACCOUNT THE LOCAL, REGIONAL AND NATIONAL MARKETS TO ALLOW UHS HOSPITALS TO RECRUIT, MOTIVATE, REWARD, RECOGNIZE AND RETAIN HIGHLY TALENTED EXECUTIVES WITH THE SKILL SETS REQUIRED TO FULFILL ITS MISSION. THE EXECUTIVE COMPENSATION PROGRAM MUST FOCUS EXECUTIVES' ATTENTION ON UHS'S STRATEGIC INITIATIVES AND MISSION CRITICAL PERFORMANCE OBJECTIVES THAT WILL LEAD TO THE ORGANIZATION'S AND SYSTEM'S SUCCESS. TO CARRY OUT THIS COMPENSATION PHILOSOPHY, THE UHS HOSPITALS (WHICH INCLUDES CHENANGO MEMORIAL HOSPITAL) BOARD OF DIRECTORS' EXECUTIVE COMPENSATION COMMITTEE REVIEWS ANNUALLY A COMPREHENSIVE REPORT PREPARED BY AN EXTERNAL EXECUTIVE COMPENSATION CONSULTING FIRM, SULLIVAN COTTER ASSOCIATES TO DETERMINE THE APPROPRIATENESS OF THE BASE AND TOTAL COMPENSATION LEVELS FOR THE SENIOR MANAGEMENT STAFF. THIS ANNUAL REPORT FOCUSES ON TWO KEY AREAS; 1) THE COMPETITIVENESS OF THE SENIOR MANAGEMENT STAFF'S BASE AND TOTAL COMPENSATION (INCLUDING BENEFITS) VS. NATIONAL BENCHMARK DATA FOR COMPARABLY SIZED HEALTH CARE SYSTEMS AND HOSPITAL (BASED UPON 'TOTAL REVENUE' METRICS), AND 2) A 'REASONABLENESS ASSESSMENT' CONSISTENT WITH U.S. TREASURY DEPARTMENT REGULATIONS GOVERNING EXECUTIVE COMPENSATION FOR NOT-FOR-PROFIT ORGANIZATIONS. THE DATA FROM THIS REPORT ASSISTS THE EXECUTIVE COMPENSATION COMMITTEE IN DETERMINING THE APPROPRIATENESS OF THE SENIOR MANAGEMENTS' CURRENT BASE AND TOTAL COMPENSATION LEVELS AND THE NEED FOR ANY ADJUSTMENTS FOR THAT CALENDAR YEAR. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION PROVIDES FORM 1023, FORM 990 AND OTHER INFORMATION REQUIRED UNDER INTERNAL REVENUE SERVICE REGULATIONS TO THE PUBLIC, UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PHYSICIAN/PROVIDER FEES: PROGRAM SERVICE EXPENSES 15,574,038. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,574,038. |
| FORM 990 PART X | THE BEGINNING BALANCES OF THE BALANCE SHEET DO NOT MATCH THE 2013 COLUMN OF OUR AUDITED FINANCIAL STATEMENTS DUE TO A RECLASSIFICATION OF TWO ACCOUNTS IN 2013 AND 2014. THE ACCOUNT BLUE CROSS CURRENT FIN ADVANCE WAS RECLASSIFIED FROM AN ASSET TO A LIABILITY AND ACCRUAL NYS SURCHARGE WAS RECLASSIFIED FROM A LIABILITY TO AN ASSET ACCOUNT. |
| FORM 990, PART XI, LINE 9: | CUMULATIVE EFFECT OF AUXILIARY INCOME AND EXPENSE 15,887. CHANGE IN INTEREST IN CHENANGO MEMORIAL HOSPITAL FOUNDATION 338,189. PENSION CHANGES OTHER THAN NET PERIODIC BENEFIT COSTS -6,698,184. CHANGE IN VALUE OF FUNDS HELD IN TRUST BY OTHERS -187,612. |
| FORM 990 PART XII LINE 2C | NEITHER THE PROCESS FOR THE OVERSIGHT OF THE AUDIT OR THE PROCESS FOR THE SELECTION OF THE INDEPENDENT ACCOUNTANT HAS CHANGED DURING THE YEAR. |
| SCHEDULE H, PART V, SECTION B, LINE 11 | *REPRESENTATIVES FROM THE MOTHERS & BABIES SOUTH CENTRAL NEW YORK PERINATAL NETWORK HAVE BEEN IN THE WAITING ROOM ONCE A MONTH TO HELP PATIENTS WITH QUESTIONS AND SERVICES. ORIGINALLY SCHEDULED FOR 4 HOURS ONCE A MONTH, IT WAS INCREASED TO 6 HOURS. THIS PROGRAM HAS BEEN SO SUCCESSFUL THAT A REPRESENTATIVE WILL BE IN THE WAITING ROOM EVERY WEDNESDAY STARTING IN FEBRUARY 2015. IN 2014, THEY VISITED WITH 109 PATIENTS THAT, IN COMBINATION WITH DISTRIBUTING THE "BABY BASICS" BOOK, RESULTED IN 43 PATIENT REFERRALS. -INCREASE ACCESS TO HEALTH INSURANCE FOR COUNTY RESIDENTS, ADULTS AND CHILDREN THE CHENANGO HEALTH NETWORK PLAYS AN INSTRUMENTAL ROLE ENROLLING LOCAL RESIDENTS IN THE NEW STATE HEALTH CARE PLANS. STAFF IN THE HOSPITAL'S PATIENT FINANCIAL ACCOUNTING AREA HAVE BEEN CERTIFIED TO HELP PATIENTS ENROLL IN THE NYS HEALTH EXCHANGE (VIA THE STATE'S WEBSITE "NYSTATE OF HEALTH"), MEDICAID AND CHILDHEALTH PLUS. 2014 PROGRESS REPORT - INCREASE ACCESS TO HEALTH INSURANCE *THE HOSPITAL PROVIDES SPACE IN OUR SIDNEY, NY, PRIMARY CARE OFFICE FOR A REPRESENTATIVE OF THE CHENANGO HEALTH NETWORK TO PROVIDE INSURANCE ENROLLMENT AND NAVIGATION SERVICES FOR RESIDENTS IN THE CHENANGO, DELAWARE, AND OTSEGO COUNTIES. THIS BEGAN IN OCTOBER 2014 AND THE REPRESENTATIVE IS THERE 2 DAYS/WEEK. 2014 PROGRESS REPORT - PATIENT CENTERED CARE *ON APRIL 17, 2014 REPRESENTATIVES OF NYCONNECTS AND THE LHD WERE ON SITE TO MEET WITH THE VP OF OPERATIONS, LONG-TERM CARE ADMINISTRATOR, AND DIRECTOR OF PROJECTS. NY CONNECTS PRESENTED THE VARIETY OF SERVICES THEY PROVIDE. THIS PRESENTATION WAS TARGETED FOR OUR GERIATRIC PRACTICE WHICH UNFORTUNATELY WAS DISCONTINUED. *CHENANGO MEMORIAL HAS A LONG-STANDING PARTNERSHIP WITH HOSPICE & PALLIATIVE CARE OF CHENANGO COUNTY. PLEASE SEE "INCREASE UTILIZATION OF HOSPICE AND PALLIATIVE CARE SERVICES" LATER IN THIS SECTION. *AS MENTIONED EARLIER IN THIS SECTION, CHENANGO MEMORIAL'S WOMEN'S HEALTH CENTER HAS AN ON-GOING, CLOSE RELATIONSHIP WITH THE MOTHERS AND BABIES PERINATAL NETWORK. *THE HOSPITAL PROVIDES INTERPRETER SERVICES FOR PATIENTS WHO DON'T SPEAK ENGLISH AS THEIR PRIMARY LANGUAGE. INTERPRETER SERVICES ARE CRITICAL TO QUALITY OF CARE, PATIENT SAFETY AND PATIENT COMPLIANCE. THE HOSPITAL DID NOT CHARGE FOR THIS SERVICE AND ABSORBED THE EXPENSE OF NEARLY $20,000. *CHENANGO MEMORIAL ESTABLISHED A PATIENT CENTERED CARE COMMITTEE IN AUGUST 2014 CONSISTING OF MANAGERS AND KEY FRONT LINE STAFF IN OUR OUT-PATIENT OFFICES TO STREAMLINE ACCESS TO SERVICES. THE HOSPITAL HAD RECEIVED PUBLIC FEEDBACK ABOUT DIFFICULTY SCHEDULING APPOINTMENTS, LONG LEAD TIMES FOR APPOINTMENTS, AND THE AMOUNT OF PAPERWORK THEY HAD TO COMPLETE. THREE SUB-COMMITTEES WERE ASSEMBLED FOCUSING ON SCHEDULING, PHONES, AND THE CHECK-IN/CHECK-OUT PROCESS. POTENTIAL IMPROVEMENTS WERE IDENTIFIED WITHIN EACH SUBCOMMITTEE MOST NOTABLY REVAMPING PHYSICIAN SCHEDULES TO OPEN UP MORE SLOTS FOR ACUTE APPOINTMENTS. WORK CONTINUED ON MANY INITIATIVES THROUGH THE END OF 2014 WITH ROLLOUTS OF NEW PROCESSES STARTING IN JANUARY 2015. *A PRE-ADMISSION TESTING (PAT) COMMITTEE WAS INITIATED IN JANUARY 2014 TO ADDRESS NUMEROUS CONCERNS EXPRESSED BY PATIENTS AND PROVIDERS ABOUT ALL THINGS LEADING UP TO A SURGICAL PROCEDURE. THE PAT COMMITTEE MET ON A REGULAR BASIS DISSECTING AND ADDRESSING A MULTITUDE OF ISSUES TO STREAMLINE THE PAT PROCESS, OPEN UP MORE OR TIME, REVAMP SURGICAL SCHEDULES TO INCREASE ACCESS, DECREASE CANCELLATIONS AND IMPROVE COMMUNICATION WITH ALL PARTIES INVOLVED, ESPECIALLY WITH PATIENTS. THIS HAS BEEN AN ARDUOUS PROCESS WITH MANY FACETS THAT HAS ALSO INCLUDED A SEPARATE SURGICAL COMMITTEE CONSISTING OF SURGEONS AND THE HOSPITAL'S CEO TO ENSURE EVERYONE'S CONCERNS ARE AIRED OUT. THE HOSPITAL ALSO CONTRACTED WITH A NEW ANESTHESIOLOGY SERVICE THAT CAME IN WITH A FRESH PERSPECTIVE AT THE START OF THE YEAR. PROGRESS HAS BEEN MADE BUT THERE'S STILL WORK TO BE DONE INCLUDING BETTER USE OF TECHNOLOGY, EQUIPMENT, SPACE, AND PERSONNEL. THIS TEAM WILL CONTINUE TO MEET DURING 2015 AND PROBABLY BEYOND. -DECREASE THE SMOKING RATE AMONG SPECIFIC TARGET GROUPS INCLUDING PREGNANT WOMEN. INCREASE REFERRALS SMOKING CESSATION SUPPORTS SUCH AS THE NYS QUITLINE AND LOCAL PROGRAMS PLEASE SEE PARAGRAPH "PRIORITY AREA: PREVENT CHRONIC DISEASE" EARLIER IN THIS SECTION. -IMPROVE BREAST CANCER SCREENING RATES SO THAT BREAST CANCER IS DETECTED EARLIER. THE CHENANGO HEALTH NETWORK COORDINATES THE "EVERY WOMAN COUNTS" PROGRAM IN CHENANGO COUNTY. THE PROGRAM ADVOCATES FOR CANCER SCREENINGS FOR WOMEN. IN 2013, CMH PERFORMED 320 MAMMOGRAMS AND 360 CLINICAL BREAST EXAMS, PAP SMEARS AND INTERNAL PELVIC EXAMS AS A RESULT OF REFERRALS FROM THIS PROGRAM. 2014 PROGRESS REPORT - BREAST CANCER SCREENINGS *THE ABOVE-MENTIONED PROGRAM CONTINUED IN 2014 AND WILL CONTINUE INDEFINITELY. IN 2014, THERE WERE 361 PATIENT REFERRALS TO CMH. *THE CHENANGO HEALTH NETWORK ADMINISTERS THIS PROGRAM AND SPOKE TO THE EMPLOYED MEDICAL GROUP ON AUGUST 26, 2014 ABOUT THEIR SERVICES AND HOW PROVIDERS CAN HELP. -PROVIDE EDUCATION AND SUPPORT TO PREGNANT AND POST-PARTUM WOMEN, PARTICULARLY THOSE WOMEN CONSIDERED TO BE HIGH RISK (E.G. MEDICAID, LOW INCOME, TEENS) PLEASE SEE THE PARAGRAPH "PRIORITY AREA: HEALTHY WOMEN, INFANTS, AND CHILDREN" EARLIER IN THIS SECTION. -ADDRESS THE INCREASED RATE OF HEPATITIS C INFECTION. ESTABLISH AND PROMOTE A NEEDLE EXCHANGE PROGRAM IN THE COUNTY CMH SPONSORS A SHARPS PROGRAM IN OUR EMERGENCY ROOM WHERE COMMUNITY MEMBERS AND BUSINESSES CAN DEPOSIT USED NEEDLES. THIS PROGRAM CAN HELP PREVENT THE SPREAD OF HEP C AND HIV. IN 2014, 49 LBS OF NEEDLES WERE COLLECTED AND DISPOSED OF AS HAZARDOUS WASTE. WE ALSO DISSEMINATE EDUCATION MATERIALS PROVIDED BY PUBLIC HEALTH AND OTHER AGENCIES, PARTICULARLY IN OUR OUT-PATIENT OFFICES. 2014 PROGRESS REPORT - CONTROL OF HEPATITIS C IN ADDITION TO CONTINUING OUR SHARPS PROGRAM AND DISSEMINATING INFORMATION, CMH HAS TAKEN OTHER STEPS IN CARING FOR PATIENTS: *ALL MOMS ARE BEING TESTED FOR HEP C IN THE WOMEN'S HEALTH CENTER. IF POSITIVE, THEY ARE CHECKED AGAIN DURING POSTPARTUM VISITS. BABIES ARE CHECKED AT 18 MOS. WE CURRENTLY HAVE 2 REFERRALS WHO ARE RECEIVING TREATMENT. THESE PATIENTS ARE RECEIVING TREATMENT WITH AN AFFILIATED GASTROENTEROLOGY SERVICE IN BINGHAMTON WHERE THEY HAVE THE INFRASTRUCTURE AND SUPPORT TO HELP THESE PATIENTS. TREATMENT IS PROVIDED AFTER DELIVERY. *OUR DIRECTOR OF EMERGENCY SERVICES IS PARTICIPATING IN THE LHD'S FORUMS FOCUSING ON HEP C, HEROIN AND DRUG USE IN CHENANGO COUNTY. THESE FORUMS INCLUDE REPRESENTATIVES FROM ALL PARTS OF THE COMMUNITY, I.E. LAW ENFORCEMENT, COURT SYSTEM, HEALTHCARE, SOCIAL SERVICES, SCHOOLS, AND HAVE BEEN MEETING SINCE 2Q14. THE LHD HAS HIRED A PROJECT LEADER AND THERE WILL BE THREE WORK GROUPS FOCUSING ON TREATMENT, PREVENTION AND EDUCATION, AND HARM REDUCTION IN 2015. -INCREASE AWARENESS AND UTILIZATION OF LOCAL DOMESTIC/INTERPERSONAL VIOLENCE SERVICES. WILL BE ADDRESSED BY CHENANGO CATHOLIC CHARITIES' CRIME VICTIMS PROGRAM. THE HOSPITAL'S DIRECTOR OF EMERGENCY SERVICES, ER NURSE MANAGER, AND SOCIAL WORKER ARE MEMBERS OF THE INTERDISCIPLINARY TEAM AT CATHOLIC CHARITIES WORKING ON THIS PROGRAM. 2014 PROGRESS REPORT - DOMESTIC/INTERPERSONAL VIOLENCE *CHENANGO COUNTY CATHOLIC CHARITIES CRIME VICTIMS PROGRAM - THEIR MISSION IS TO PROVIDE A SAFE HAVEN FOR THE MOST VULNERABLE, SUPPORT TO MOVE VICTIMS FROM HARM TO HEALING AND INTERVENTION IN THE CYCLE OF VIOLENCE TO PROMOTE AN INDIVIDUAL'S RIGHT TO LIVE WITHOUT ABUSE. THE PROGRAM PROVIDES DIRECT SERVICES TO VICTIMS OF DOMESTIC VIOLENCE, SEXUAL ASSAULT, CHILD ABUSE, AND OTHER CRIMES. THE HOSPITAL'S DIRECTOR OF EMERGENCY SERVICES, ER NURSE MANAGER, AND SOCIAL WORKER ATTEND MONTHLY MEETINGS OF THIS GROUP THAT INCLUDES THE DEPARTMENT OF SOCIAL SERVICES, NY STATE POLICE, CRIME VICTIMS, AND THE DISTRICT ATTORNEY. THIS INTERDISCIPLINARY TEAM REVIEWS CRIMES AGAINST CHILDREN IN CHENANGO COUNTY. *CHENANGO COUNTY CHILD ADVOCACY (CAC) IS A COMPONENT OF THE CRIME VICTIMS PROGRAM AND A COLLABORATIVE EFFORT WITH CHILD PROTECTIVE SERVICES, LAW ENFORCEMENT, MEDICAL PROVIDERS AND OTHER AGENCIES. THIS MULTI-DISCIPLINARY TEAM DISCUSSES CURRENT INVESTIGATIONS, RECEIVES TRAINING ON INVESTIGATION TECHNIQUES AND SERVICE PROVISION, AND EDUCATES THE PUBLIC ABOUT THE ISSUE OF CHILD ABUSE. *THE HOSPITAL CONTRACTED WITH UHS SECURITY ASSOCIATES TO PROVIDE CRISIS PREVENTION INTERVENTION INSTRUCTION FOR HOSPITAL STAFF IN AREAS THAT ARE VULNERABLE FOR PATIENT VIOLENCE. INSTRUCTION COVERED TECHNIQUES TO PREVENT VIOLENT OUTBURSTS AND WHAT TO DO IN CERTAIN VIOLENT SITUATIONS WHILE PROVIDING CARE, WELFARE, SAFETY, AND SECURITY OF OTHER PEOPLE IN THE AREA. STAFF FROM THE ER, CLINICS, AND ACUTE CARE UNITS ATTENDED. |
| SCHEDULE H, PART V, SECTION B, LINE 11 | -INCREASE UTILIZATION OF HOSPICE AND PALLIATIVE CARE SERVICES HOSPICE PROVIDES SERVICES TO OUR LONG-TERM CARE RESIDENTS FACING END-OF-LIFE ISSUES. THE RESIDENT, THEIR FAMILY, AND THE STAFF OF BOTH THE HOSPITAL AND HOSPICE DESIGN A CARE PLAN THAT BEST MEETS THE NEEDS OF THE PATIENT. THE HOSPITAL'S NURSING HOME ADMINISTRATOR AND DIRECTOR OF NURSING MEET WITH HOSPICE TWICE A YEAR TO EVALUATE THE PROGRAM AND MAKE ADJUSTMENTS AS NECESSARY. 2014 PROGRESS REPORT - HOSPICE AND PALLIATIVE CARE SERVICES *HOSPICE AND PALLIATIVE CARE SERVICES HAVE CONTINUED IN OUR LONG-TERM CARE FACILITY WHICH RESULTED IN 3 REFERRALS IN 2014. *HOSPICE AND PALLIATIVE CARE SERVICES RECEIVED 16 REFERRALS FROM OUR ACUTE CARE UNIT. ADDITIONALLY, THE HOSPITAL WAS RECOGNIZED AS A 2014 HOSPICE HERO BY HOSPICE AND PALLIATIVE CARE OF CHENANGO COUNTY. *HOSPICE AND PALLIATIVE CARE OF CHENANGO COUNTY HAD SPEAKERS PRESENT AT OUR EMPLOYED MEDICAL STAFF MEETING ON AUGUST 26, 2014. THEY INFORMED PROVIDERS ABOUT THE SERVICES HOSPICE OFFERS PATIENTS (TERMINAL) & THEIR FAMILIES AND CHANGES IN PART D COVERAGE. *PALLIATIVE CARE IS ALSO A PROJECT IN OUR DELIVERY SYSTEM REFORM INCENTIVE PROGRAM (DSRIP). -ENHANCE PROVIDER ABILITY TO ADDRESS NEEDS OF YOUTH-AT-RISK AND IN NEED OF MENTAL HEALTH SERVICES AND OTHER SUPPORTS PARTICULARLY WHEN YOUTH ARE RECEIVING CARE FROM PEDIATRIC OR PRIMARY CARE CLINICS. 2014 PROGRESS REPORT - MENTAL HEALTH SERVICES FOR YOUTH *DUE TO THE LACK OF PSYCHIATRISTS AT CHENANGO COUNTY MENTAL HYGIENE SERVICES AND WITHIN THE REGION, PATIENTS ARE NOW GOING TO PRIMARY CARE DOCS FOR SERVICES, ESPECIALLY PEDIATRICS. MEETINGS WERE HELD TO ESTABLISH MENTAL HEALTH SERVICES WITHIN THE PEDIATRICS DEPARTMENT BUT CO-MINGLING ARTICLE 28 (HOSPITAL) AND ARTICLE 13 (MENTAL HEALTH) AGENCIES WAS AGAINST NYS DEPARTMENT OF HEALTH REGULATIONS. THE NEED FOR MENTAL HEALTH SERVICES IN CHENANGO COUNTY IS NOW A DSRIP INITIATIVE. NEEDS NOT ADDRESSED AND THE REASONS WHY ADDRESS NEEDS OF PERSONS RECEIVING CARE FROM CHENANGO COUNTY COMMUNITY MENTAL HYGIENE SERVICES FOCUSING ON CHRONIC DISEASE PREVENTION AND MANAGEMENT TO BE ADDRESSED BY THE CHENANGO COUNTY COMMUNITY MENTAL HYGIENE SERVICES. MENTAL HEALTH IS NOT A CORE BUSINESS OF UHS CHENANGO MEMORIAL HOSPITAL. THIS IS NOW AN INITIATIVE OF DSRIP. SUPPORT POLICY CHANGE SUCH AS TOBACCO-FREE WORKSITE, PARKS, PLAYGROUNDS AND POINT-OF-PURCHASE ADVERTISING TO BE ADDRESSED BY THE CHENANGO HEALTH NETWORK. MARKET AND PROMOTE LOCAL PARKS AND PLAYGROUNDS TO COUNTY RESIDENTS TO ENCOURAGE USE BY MORE PEOPLE NOT A CORE BUSINESS OF UHS CHENANGO MEMORIAL HOSPITAL. FOCUS ON HEALTHY EATING, ACKNOWLEDGE FOOD INSECURITY ISSUES, ACCESS TO HEALTHY FOODS AND OTHER STRESSORS WHICH MAY IMPEDE INDIVIDUALS' AND FAMILIES' ABILITY TO EAT HEALTHY ALTHOUGH THIS INITIATIVE INDIRECTLY RELATES TO UHS CHENANGO MEMORIAL HOSPITAL, WE DO NOT HAVE THE FINANCIAL OR HUMAN RESOURCES TO FOCUS ON IT. SUPPORT WORKSITE WELLNESS INITIATIVES CURRENTLY UNDERWAY IN THE COUNTY, EXPAND REACH TO SMALLER EMPLOYER GROUPS UHS CHENANGO MEMORIAL PARTICIPATED IN WELLNESS FAIRS AT NBT'S CORPORATE HEADQUARTERS IN NORWICH, NY; NORWICH PHARMACEUTICALS, ALSO IN NORWICH; AND ACCO BRANDS IN SIDNEY, NY. HEALTH INFORMATION AND OSTEOPOROSIS SCREENINGS WERE PROVIDED. EMPLOYEES WHO ASSIST WITH THE HEALTH FAIRS ALSO GENERATE REVENUE AT THE HOSPITAL MAKING IT DIFFICULT TO ATTEND MANY OF THESE EVENTS. |
| SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES | *HOSTED BY COMMERCE CHENANGO *2014 ECONOMIC FORECAST BREAKFAST - A PRESENTATION BY NBT, A MAJOR BUSINESS SUPPORTER OF THE HOSPITAL. THIS EVENT IS ATTENDED BY NUMEROUS BUSINESSES IN CHENANGO COUNTY. *2014 ANNUAL LEGISLATIVE LUNCHEON - EXECUTIVE DIRECTOR OF UNSHACKLE UPSTATE, A BI-PARTISAN COALITION WITH A GOAL OF MAKING UPSTATE NEW YORK MORE VIABLE FOR BUSINESS, GAVE LEADERS IN BUSINESS AND POLITICS A GLIMPSE OF THE ISSUES PLAGUING THE LOCAL ECONOMIC CLIMATE. *SMALL BUSINESS DINNER - COMMERCE CHENANGO RECOGNIZES SMALL BUSINESSES. *ANNUAL AWARDS DINNER - COMMERCE CHENANGO RECOGNIZES DISTINGUISHED BUSINESS OF THE YEAR, COMMITMENT TO COMMUNITY AWARD, AND YOUNG PROFESSIONAL AWARD. CHENANGO MEMORIAL HOSPITAL WAS AWARDED DISTINGUISHED BUSINESS OF THE YEAR. *HOSTED BY HOSPICE AND PALLIATIVE CARE OF CHENANGO COUNTY *2014 ANNUAL DINNER - HOSPICE RECOGNIZES ITS HOSPICE HEROES. CHENANGO MEMORIAL WAS ONE OF THOSE HEROES IN 2014. *HOSTED BY THE BADEN-POWELL BOY SCOUTS OF AMERICA *2014 DISTINGUISHED CITIZEN AWARD BANQUET - THE BOY SCOUTS RECOGNIZE OUTSTANDING COMMUNITY LEADERSHIP AND VOLUNTEER INVOLVEMENT. IN 2014, A RETIREE OF THE HOSPITAL WAS RECOGNIZED FOR HIS NUMEROUS COMMUNITY ACTIVITIES ESPECIALLY COACHING YOUTH SPORTS. *THE HOSPITAL AND ITS EMPLOYEES PARTICIPATED IN THESE COMMUNITY EVENTS TO SUPPORT HEALTH CARE ENDEAVORS. *AMERICAN CANCER SOCIETY - CHENANGO MEMORIAL IS AN ANNUAL SUPPORTER IN THE RELAY FOR LIFE. CMH PROVIDES A BOOTH WITH FUNDRAISING ACTIVITIES THAT RESULTED IN A $650 DONATION TO THE CANCER SOCIETY. *AMERICAN CANCER SOCIETY - CHENANGO MEMORIAL HOSPITAL JOINED OUR COLLEAGUES FROM UHS IN THE MAKING STRIDES WALK IN OCTOBER. *AMERICAN HEART ASSOCIATION - THE HOSPITAL DONATED $307 TO THE AHA AS THE RESULT OF AN EMPLOYEE ICE CREAM AND YOGURT SUNDAE FUNDRAISER. *LOCAL FIRE DEPARTMENTS & AUXILIARIES - CMH PROVIDED PRIZES FOR PARTICIPANTS IN A BOWLING TOURNAMENT TO SUPPORT LOCAL FIRE DEPARTMENTS AND AUXILIARIES COMMUNITY HEALTH IMPROVEMENT ADVOCACY NOT SURPRISINGLY, UHS CHENANGO MEMORIAL IS HEAVILY INVOLVED WITH HEALTH PROGRAMS IN THE COMMUNITY. *DIABETES INFORMATION FAIRS - THE HOSPITAL HOSTED 2 ANNUAL FAIRS - 1 IN NORWICH, NY AND THE OTHER IN SIDNEY, NY THAT WERE ATTENDED BY A TOTAL OF 61 PEOPLE. THESE FREE EVENTS ARE OPEN TO DIABETICS AND THEIR FAMILIES AND FEATURE INFORMATION THAT IS IMPORTANT FOR ANYONE WHO HAS BEEN DIAGNOSED WITH DIABETES. PARTICIPANTS LEARN ABOUT MANY ASPECTS OF DIABETES CARE INCLUDING COMPLICATIONS OF THE DISEASE PARTICULARLY CARDIOVASCULAR DISEASE, NUTRITION, AND PREPARATION OF A VARIETY OF DIABETES-FRIENDLY FOOD. MEDICAL EXPERTS AT THE FAIR INCLUDED PRIMARY CARE/INTERNAL MEDICINE PHYSICIANS AND THEIR NURSES, A PODIATRIST AND HIS NURSE, A CHEF, REGISTERED DIETITIANS, AND A DENTIST. NUMEROUS DIABETIC FRIENDLY BUSINESSES HAD BOOTHS AT THE EVENT. *DIABETES EDUCATION COMMITTEE - THIS GROUP WHICH CONSISTS OF THE HOSPITAL'S DIABETIC EDUCATOR, ADMINISTRATIVE ASSISTANT, AND STAFF EDUCATOR IS CHAIRED BY A COMMUNITY PHYSICIAN. OTHER ATTENDEES INCLUDE A REGISTERED DIETICIAN, A PODIATRIST, AND A COMMUNITY MEMBER. THEY MEET QUARTERLY AND WORK PRIMARILY TO INCREASE PHYSICIAN REFERRALS TO THE DIABETIC SELF MANAGEMENT CLASSES AND PLAN EDUCATION EVENTS LIKE THE DIABETES HEALTH FAIRS. *DIABETES SELF MANAGEMENT CLASSES - THIS 4-SERIES CLASS INCLUDES INSTRUCTION FOR DIABETES PATIENTS AND THEIR CAREGIVERS ON HOW TO MANAGE THE DISEASE. THE FIRST SESSION IS A PRE-ASSESSMENT, FOLLOWED BY THREE 3-HOUR CLASSES, AND THEN A FOLLOWUP. 22 PEOPLE PARTICIPATED WITH 9 COMPLETING ALL 4 SESSIONS. CMH BILLS FOR THIS SERVICE AND RECEIVED REIMBURSEMENT OF $83. *DIABETES PRESENTATION - THE HOSPITAL'S DIABETES EDUCATOR DISCUSSED BASIC DIABETES CARE INCLUDING HEALTHY EATING, MEDICATIONS, ROUTINE HEALTH CARE AND ROUTINE FINGERSTICK BLOOD GLUCOSE MONITORING AT AN ASSISTED LIVING FACILITY IN NORWICH. *TALK FOR TOPS (TAKING OFF POUNDS SENSIBLY) - THE HOSPITAL'S DIABETES EDUCATOR DISCUSSED HOW TO PREVENT DEVELOPING DIABETES AND HOW TO CONTROL IT INCLUDING HEALTHY EATING. TOPS IS A NATIONAL WEIGHT LOSS ORGANIZATION WITH A LOCAL SUPPORT GROUP IN NORWICH. *BLOOD SCREENING & HEALTH FAIR - THE HOSPITAL'S DIABETIC EDUCATOR ATTENDS THIS ANNUAL EVENT SPONSORED BY THE NORWICH ROTARY CLUB IN NORWICH, NY. PARTICIPANTS RECEIVE DIABETES INFORMATION, BLOOD PRESSURE SCREENINGS, A CHANCE TO MEET LOCAL PROVIDERS, HAVE MEDICATIONS REVIEWED, LEARN ABOUT LOCAL SERVICES, AND HAVE A BLOOD SCREENING. RESULTS ARE THEN FORWARDED TO THE PARTICIPANT'S PRIMARY CARE PROVIDER. THERE IS NO CHARGE TO ENTER THE FAIR AND UHS CHENANGO MEMORIAL RECEIVES NO REVENUE FROM THIS EVENT. *MOTHERS & BABIES PERINATAL NETWORK - SPONSORED BY THE PERINATAL NETWORK, VARIOUS AGENCIES MEET QUARTERLY TO DISCUSS PROJECTS, CHALLENGES, AND DEVELOPMENTS REGARDING MATERNAL AND CHILD HEALTH TO SEE HOW MBPN CAN HELP. ATTENDEES INCLUDE REPRESENTATIVES FROM CATHOLIC CHARITIES, DOH, OPPORTUNITIES FOR CHENANGO, AND FAMILY PLANNING OF SOUTH CENTRAL NEW YORK. *BLOOD DRIVES - THE HOSPITAL HELD THREE BLOOD DRIVES ON SITE IN 2014. THE AMERICAN RED CROSS CREDITED CMH WITH 94 DONORS WHICH INCLUDED 72 DONORS DURING THE BLOOD DRIVES (45 OF THEM EMPLOYEES) AND ANOTHER 22 WHO DONATED AT OTHER SITES AS A RESULT OF CMH'S MAIL CAMPAIGN. DEPENDING ON THE TURNOUT, THE HOSPITAL RECEIVES A DISCOUNT ON BLOOD SUPPLIED BY THE RED CROSS. THE RED CROSS BLOOD DRIVES SUPPORT THE BLOOD NEEDS OF UHS CHENANGO MEMORIAL AND OTHER NEIGHBORING HOSPITALS. *WELLNESS DAY FOR SENIOR CITIZENS - CMH'S INFECTION CONTROL NURSE ATTENDED THIS EVENT SPONSORED BY CHENANGO COUNTY PUBLIC HEALTH AT THE LOCAL YMCA. AT THE EVENT, SENIOR CITIZENS COULD HAVE WELL VISITS, FLU SHOTS, AND BLOOD WORK. THE CMH REPRESENTATIVE DISCUSSED HAND HYGIENE AS THE FIRST LINE OF DEFENSE IN PREVENTING INFECTIONS. *CHENANGO COUNTY FAIR SENIORS DAY - FOUR CMH REPRESENTATIVES DISTRIBUTED INFORMATION ABOUT THE HOSPITAL'S HEALTH SERVICES, TOBACCO CESSATION, NUTRITION AND OTHER FREE SERVICES SUCH AS STAYHEALTHY AND NURSE DIRECT AVAILABLE THROUGH UHS. *SWADDLING PROGRAM - THE CMH AUXILIARY SPONSORS THIS ONGOING PROGRAM. THIS PROGRAM HELPS MOTHERS COPE WITH CRYING NEWBORN BABIES. THE USE OF THE SWADDLING BLANKET AND SWADDLING TECHNIQUES SIMULATES THE INVITRO ENVIRONMENT AND CALMS THE BABY. EVERY MOTHER GIVING BIRTH AT CMH RECEIVES THE SWADDLING BLANKET AT NO COST. SURVEYS OF THE MOTHERS AFTER DISCHARGE INDICATE 74.4% HAVE USED THE BLANKET. *DEPARTMENT OF HEALTH PROFESSIONAL ADVISORY COMMITTEE - CMH HAS A REPRESENTATIVE ON THIS COMMITTEE. THIS COMMITTEE DISCUSSES THE LATEST INITIATIVES OF THE DEPARTMENT OF HEALTH, INCLUDING IMMUNIZATIONS, FLU PREVENTION, ETC. THEY ALSO DISCUSS PROGRAMS INITIATED WITH THE DEPARTMENT OF HEALTH SUCH AS "BABY AND ME, TOBACCO FREE" THAT HELPS EXPECTANT MOMS QUIT SMOKING AND REMAIN SMOKE FREE. THE PROFESSIONAL ADVISORY COMMITTEE CONSISTS OF 14 AREA HEALTH AGENCIES AND 3 LAY PERSONS FROM THE COMMUNITY. *UNITED WAY COMMUNITY IMPACT TEAM ON HEALTH - THE HOSPITAL HAS A REPRESENTATIVE THAT ATTENDS THESE QUARTERLY MEETINGS THAT MET FOR THE FIRST TIME IN AUGUST 2014. AT THAT MEETING THE GROUP'S CHARGE WAS TO IDENTIFY A COMMUNITY HEALTH INITIATIVE THAT IT COULD WORK ON. HEPATITIS C AND HEROIN USE WERE IDENTIFIED AND POSSIBLE ACTION ITEMS DISCUSSED. A VOLUNTEER STEPPED FORWARD TO ATTEND THE HEROIN TASK FORCE MENTIONED IN SUPPLEMENTAL INFORMATION FOR PART V, SECTION B. AN UPDATE WAS PROVIDED TO THE COMMITTEE IN 4Q2014 AS TO THE BREADTH AND DEPTH OF THE PROBLEM IN CHENANGO COUNTY. *HEAD START HEALTH ADVISORY COMMITTEE - PART OF THE NON-PROFIT OPPORTUNITIES FOR CHENANGO, THE COMMITTEE ADVISES HEAD START STAFF ON SAFE/RECOMMENDED HEALTH PRACTICES FOR THE HEAD START PROGRAMS. THE MISSION OF THE NATIONAL HEAD START ASSOCIATION IS TO COALESCE, INSPIRE AND SUPPORT THE HEAD START FIELD AS A LEADER IN EARLY CHILDHOOD DEVELOPMENT AND EDUCATION. *INNOVATIVE READINESS TRAINING (IRT) - IRT (ALSO ADVERTISED LOCALLY AS "CHENANGO CARES") PROVIDES REAL WORLD TRAINING OPPORTUNITIES FOR OUR SERVICE MEMBERS TO PREPARE THEM FOR WARTIME AND DISASTER MISSIONS, WHILE SUPPORTING THE NEEDS OF AMERICA'S UNDERSERVED COMMUNITIES. THIS LARGE-SCALE MILITARY TRAINING EXERCISE IN CHENANGO COUNTY WILL BRING NO-COST DENTAL, VISION, AND VETERINARIAN SERVICES TO LOCAL RESIDENTS IN JULY 2015. OTHER AGENCIES INVOLVED ARE THE CHENANGO COUNTY BUREAU OF FIRE, DEPARTMENT OF HEALTH, DEPARTMENT OF SOCIAL SERVICES, OFFICE OF THE AGING, NORWICH CITY SCHOOLS, COMMERCE CHENANGO, CORNELL COOPERATIVE EXTENSION, SPCA, CHENANGO COUNTY PLANNING BOARD, AND THE CHENANGO HEALTH NETWORK. IT IS EXPECTED THAT 5,000 RESIDENTS OF CHENANGO AND SURROUNDING COUNTIES WILL SEEK SERVICES DURING THIS EVENT. CMH REPRESENTATIVES PARTICIPATED IN ORGANIZATIONAL AND PLANNING MEETINGS IN 2014. THIS PROJECT WAS INITIATED BY SOUTHERN TIER EAST REGIONAL PLANNING AND DEVELOPMENT AND THE US DEPARTMENT OF DEFENSE. |
| SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES | *SPEAKERS AT MEDICAL STAFF MEETINGS - THE MEDICAL STAFF MEETS QUARTERLY AND REPRESENTATIVES FROM COMMUNITY HEALTHCARE AGENCIES FREQUENTLY SPEAK AT THESE MEETINGS ABOUT THEIR PROGRAMS. REPRESENTATIVES FROM THE STOPPING ELDERLY ACCIDENTS, DEATH & INJURIES (STEADI) PROGRAM, CHENANGO COUNTY HOSPICE & PALLIATIVE CARE, AND THE CHENANGO HEALTH NETWORK DISCUSSED THEIR SERVICES IN 2014. *COMMUNITY HEALTHCARE EDUCATION - CHENANGO MEMORIAL PARTICIPATED IN 3 CORPORATE HEALTHCARE EVENTS AND HOSTED 6 EDUCATIONAL FORUMS. THE EDUCATIONAL FORUMS ADDRESSED SHOULDER PAIN, WOMEN'S INCONTINENCE, AND ARTHRITIS PAIN. *DELIVERY SYSTEM REFORM INCENTIVE PROGRAM (DSRIP) - CHENANGO MEMORIAL IN COLLABORATION WITH LOURDES HOSPITAL (BINGHAMTON, NY), BINGHAMTON GENERAL & WILSON HOSPITALS (BINGHAMTON), CORTLAND REGIONAL MEDICAL CENTER (CORTLAND), CAYUGA MEDICAL CENTER (ITHACA), DELAWARE VALLEY HOSPITAL (WALTON), GUTHRIE CORNING HOSPITAL (CORNING), SCHUYLER HOSPITAL (MONTOUR FALLS) HAVE CREATED A PERFORMING PROVIDER SYSTEM (PPS) CONSISTING OF THESE ORGANIZATIONS. TEN (10) COUNTIES COMPRISE THIS PPS - BROOME, CAYUGA, CHEMUNG, CHENANGO, CORTLAND, DELAWARE, SCHUYLER, STEUBEN, TIOGA, AND TOMPKINS. DSRIP PROMOTES COMMUNITY-LEVEL PARTNERSHIPS IN NEW YORK STATE AND PROVIDES FINANCIAL SUPPORT TO HEALTH CARE PROVIDERS TO IMPLEMENT PROGRAMS TO BETTER MEET THE NEEDS OF THEIR COMMUNITIES. THE PPS IS A PARTNERSHIP OF REGIONAL CARE PROVIDERS WHO WILL COLLABORATE TO BETTER TRANSITION FROM TRADITIONAL FEE-FOR-SERVICE PAYMENT FOR THEIR SERVICES TO THE NEW, RISK BASED, PAY-FOR-PERFORMANCE APPROACH. WORKFORCE DEVELOPMENT AS THE ONLY HOSPITAL IN CHENANGO COUNTY, UHS CHENANGO MEMORIAL IS THE EPICENTER FOR TRAINING AND MENTORING OF HEALTH CARE STUDENTS. IN 2014, 169 STUDENTS RECEIVED HANDS-ON, REAL-LIFE EXPERIENCE ON-SITE THROUGHOUT THE YEAR. *MASH CAMP - MASH STANDS FOR MEDICAL ACADEMY OF SCIENCE AND HEALTH. THIS 2-DAY CAMP IS SPONSORED BY UHS CHENANGO MEMORIAL HOSPITAL, THE CENTRAL NEW YORK AREA HEALTH EDUCATION CENTER AND EXCELLUS BLUE CROSS BLUE SHIELD. EACH YEAR, THE THREE ORGANIZATIONS PARTNER ON THIS INITIATIVE TO ADDRESS THE MUTUAL GOAL OF ALLEVIATING THE SHORTAGE OF HEALTH PROFESSIONALS BY ENCOURAGING YOUNG PEOPLE TO EXPLORE HEALTH CAREERS. MASH CAMP SHOWCASES A VARIETY OF HEALTH CAREERS FOR 8TH AND 9TH GRADERS THROUGH FUN, HANDS-ON WORKSHOPS INCLUDING LOTS OF ATTENTION FROM DEDICATED HEALTH PROFESSIONALS. *NEW VISIONS (HEALTHCARE) - UHS CHENANGO MEMORIAL HAS AN ON-GOING RELATIONSHIP WITH DELAWARE, CHENANGO, MADISON, OTSEGO (DCMO) BOARD OF COOPERATIVE EDUCATIONAL SERVICES (BOCES) TO HOST THEIR NEW VISIONS STUDENTS INTERESTED IN PURSUING HEALTHCARE CAREERS. THIS GROUP HAS A CLASSROOM ON-SITE AT THE HOSPITAL THAT IS PROVIDED AT NO COST WHILE THEY PURSUE THEIR STUDIES DURING THE SCHOOL YEAR. BY HAVING THE CLASSROOM ON SITE, THEY HAVE EASY AND AMPLE ACCESS TO THE PATIENT CARE AREAS, NURSES AND CLINICAL CAREGIVERS TO OBSERVE PROCEDURES AND ASSIST WHEN APPROPRIATE. STUDENTS ENTERING THEIR SENIOR YEAR GO THROUGH A RIGOROUS APPLICATION PROCESS WITH BOCES TO GET INTO THE CLASS BASED SOMEWHAT ON THEIR CURRENT GPA. THIS PARTNERSHIP HAS PROVEN SUCCESSFUL AS MANY GRADUATES HAVE GONE ON TO GET THEIR DEGREES IN VARIOUS HEALTHCARE PROFESSIONS. SOME OF THE GRADUATES HAVE ACTUALLY RETURNED TO THE AREA. THERE WERE 20 STUDENTS ENROLLED IN THIS PROGRAM IN 2014. *STUDENT MENTORING - STUDENTS FROM VARIOUS EDUCATIONAL INSTITUTIONS WERE ON-SITE TO COMPLETE THEIR CLINICALS, PRECEPTORSHIPS, INTERNSHIPS, ETC., AT THE HOSPITAL IN THESE DISCIPLINES: O NURSING O ANESTHESIOLOGY O RADIOLOGY O LAB O EMERGENCY MEDICINE O PRIMARY CARE O PEDIATRICS O OB/GYN O GERIATRICS O CERTIFIED NURSE AID O PHYSICAL/OCCUPATIONAL THERAPY O NUTRITION O MEDICAL OFFICE ASSISTANT STUDENTS CAME FROM BOCES, MOHAWK VALLEY COMMUNITY COLLEGE, MORRISVILLE STATE, SUNY BINGHAMTON, ALBANY MEDICAL CENTER, SUNY BROOME, SUNY UPSTATE MEDICAL CENTER, LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, KEUKA COLLEGE, NAZARETH COLLEGE, INDEPENDENT UNIVERSITY, AND ELMIRA BUSINESS INSTITUTE. *STUDENT HOUSING - CMH PROVIDES HOUSING FOR LONG-TERM STUDENTS WHO ARE HERE FROM OUT OF THE AREA. THE HOSPITAL MANAGES THE "CHENANGO HOUSE" WHICH IS SPECIALLY DESIGNED FOR STUDENTS, ON-CALL STAFF, AND CANDIDATES WHO NEED OVERNIGHT ACCOMMODATIONS. IN 2014, 31 STUDENTS SPENT 483 DAYS AT THE CHENANGO HOUSE AT NO COST TO THEM. *COMMUNITY RESOURCE FOR TRAINING - THE HOSPITAL OFFERS NUMEROUS PROGRAMS FOR TRAINING AND RECERTIFICATION IN PEDIATRIC ADVANCED LIFE SUPPORT (PALS), BASIC LIFE SUPPORT/CARDIOPULMONARY RESUSCITATION (BLS/CPR), ADVANCED CARDIAC LIFE SUPPORT (ACLS), AND NEONATAL RESUSCITATION PROGRAM (NRP) TO EMPLOYEES AND COMMUNITY MEMBERS THROUGHOUT THE YEAR. THESE CLASSES ARE A MIX OF STAFF, COMMUNITY FIRST RESPONDERS, AND INTERESTED RESIDENTS. THE CLASSES ARE FREE AND EVERYONE IS WELCOME. *THOMAS MANLEY SCHOLARSHIP FUND - THIS SCHOLARSHIP IS AVAILABLE TO ANYONE IN CHENANGO COUNTY ENROLLED IN A PROGRAM TO BECOME A REGISTERED NURSE. APPLICATIONS ARE DISTRIBUTED ANNUALLY TO ALL HIGH SCHOOLS IN CHENANGO COUNTY. A PANEL OF 4 NURSES FROM CMH INTERVIEWED THE APPLICANTS AND AWARDED THE SCHOLARSHIPS. THE VALUE OF THE SCHOLARSHIP IS BASED ON NEED. NINE (9) STUDENTS RECEIVED 1-YEAR SCHOLARSHIPS TOTALING $8,000 IN 2014. THE FUND IS ADMINISTERED THROUGH NBT BANK WHOSE HEADQUARTERS ARE IN NORWICH, NY. *RECRUITMENT -- UHS CHENANGO MEMORIAL HOSPITAL HAS BEEN DESIGNATED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION AS A MEDICAL SHORTAGE AREA. WE WERE FORTUNATE TO HAVE PHYSICIANS IN THE FOLLOWING SPECIALTIES JOIN UHS CHENANGO MEMORIAL HOSPITAL DURING 2014 TO IMPROVE PATIENT ACCESS TO SERVICES: *ORTHOPEDICS (SIDNEY, NY) - DR. DOWNS, AN ORTHOPEDIC SURGEON WHO JOINED THE HOSPITAL IN 2013, BEGAN SEEING PATIENTS ONCE A WEEK IN OUR SIDNEY OFFICE IN JUNE 2014. *ORTHOPEDICS (NORWICH, NY) - THE HOSPITAL ADDED ANOTHER ORTHOPEDIC SURGEON TO THE STAFF IN APRIL 2014. DR. HUSSAIN OFFERS A FULL SCOPE OF ORTHOPEDICS, INCLUDING HAND SURGERY, TOTAL JOINT REPLACEMENT SURGERY, SPORTS MEDICINE AND INTERVENTIONAL PAIN MANAGEMENT. *SURGICAL SERVICES (NORWICH, NY) -- DR. CHIKUNGUWO JOINED THE HOSPITAL IN APRIL 2014 AND HAS EXTENSIVE EXPERIENCE WITH GASTROINTESTINAL AND ABDOMINAL DISORDERS IN ALL ASPECTS OF FAMILY AND COMMUNITY HEALTHCARE. HE PERFORMS PROCEDURES INCLUDING HERNIA REPAIRS, APPENDECTOMIES, COLONOSCOPIES, COLECTOMIES, ENDOSCOPIES, GALL BLADDER AND THYROID SURGERIES. *PEDIATRICS (NORWICH, NY) - JUDY GLOVER, FNP, JOINED THE HOSPITAL'S PEDIATRICS PRACTICE IN OCTOBER 2014. *OB/GYN (SIDNEY, NY) - DR. SHAH, AN OB/GYN WORKING IN OUR SIDNEY OFFICE, BEGAN SEEING PATIENTS ON A PART-TIME BASIS IN 2014 AT OUR SISTER FACILITY DELAWARE VALLEY HOSPITAL IN WALTON, NY. *PRIMARY CARE (NORWICH, NY) - DR. WOOD JOINED THE HOSPITAL'S PRIMARY CARE OFFICE IN OCTOBER 2014. HE JOINS 2 OTHER PHYSICIANS AND A NURSE PRACTITIONER AT THAT LOCATION. OTHER COMMUNITY BUILDING ACTIVITIES UHS CHENANGO MEMORIAL HOSPITAL ALSO SUPPORTS CULTURAL ORGANIZATIONS AND EVENTS IN THE AREA. *UNITED WAY - AN EMPLOYEE CHAIRED THE IN-HOUSE CAMPAIGN WHICH RAISED $7,918. DURING THE 2014 DAY OF CARING, 30-40 EMPLOYEES DONATED 439 PERSONAL HYGIENE ITEMS WHICH REPRESENTED 18% OF THE ITEMS COLLECTED COUNTY-WIDE. ALSO DURING THE 2014 DAY OF CARING, A TEAM OF 5 EMPLOYEES ASSISTED WITH COMMUNITY PROJECTS. *COLORSCAPE CHENANGO - THIS MAJOR SUMMER EVENT IN NORWICH, NY IS PUT ON BY THE COLORSCAPE CHENANGO ARTS FESTIVAL, INC. IT IS A JURIED ARTS, CRAFTS, FOOD AND MUSIC FESTIVAL ATTENDED BY THOUSANDS OF PEOPLE. OUR COMMUNITY RELATIONS TEAM SPENT SEVERAL HOURS PREPARING FOR A HOSPITAL FOOD BOOTH AT THE EVENT THAT ALSO INCLUDED SET UP, TEAR DOWN, AND COORDINATING VOLUNTEERS. AN ESTIMATED 450 PEOPLE VISITED THE FOOD BOOTH. *ADOPT A FAMILY PROGRAM - IN COORDINATION WITH CHENANGO COUNTY DEPARTMENT OF SOCIAL SERVICES, LIBERTY PARTNERSHIP, AND HEAD START, EMPLOYEES PURCHASE GIFTS FOR NEEDY FAMILIES FOR DISTRIBUTION AROUND CHRISTMAS. SIX (6) DEPARTMENTS AND 7 INDIVIDUALS PARTICIPATED. THIRTEEN (13) FAMILIES INCLUDING 30 CHILDREN BENEFITED FROM THIS EFFORT. *NORWICH CENTENNIAL PARADE - THE HOSPITAL BUILT A FLOAT FOR THE PARADE REPRESENTING CMH OVER THE LAST 100 YEARS. RESIDENTS OF OUR LONG-TERM CARE FACILITY FOLLOWED THE FLOAT IN THE ACTIVITIES BUS OWNED BY THE HOSPITAL. *HELIPAD COMMUNITY FORUM - THE HOSPITAL HOSTED A COMMUNITY FORUM FOR ANYONE IN THE HOSPITAL'S NEIGHBORHOOD WHO HAD CONCERNS ABOUT THE NEW HELIPAD OR HELICOPTERS LANDING AT THE HOSPITAL. THE EVENT WAS ATTENDED BY APPROXIMATELY 20 NEIGHBORS AND EVERYONE WAS PLEASED TO HAVE THEIR QUESTIONS ANSWERED. |
| SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES | *HELIPAD OPEN HOUSE - THE HOSPITAL HOSTED AN OPEN HOUSE FOR THE PUBLIC TO SEE THE NEW HELIPAD. APPROXIMATELY 90 PEOPLE ATTENDED. *LEADERSHIP CHENANGO - LEADERSHIP CHENANGO IS AN EDUCATIONAL PROGRAM SPONSORED BY THE CHENANGO FOUNDATION OF COMMERCE CHENANGO WITH THE MISSION OF DEVELOPING COUNTY LEADERS OF THE FUTURE. STUDENTS ARE SELECTED THROUGH A RIGOROUS APPLICATION AND INTERVIEW PROCESS AND THE CLASS RUNS FOR APPROXIMATELY 6 MONTHS WITH 1-DAY SESSIONS EVERY WEEK OR EVERY OTHER WEEK. MEMBERS OF THE HOSPITAL'S AUXILIARY DISCUSSED THE VOLUNTEER PROGRAM AT CMH, MAKE-UP AND ACTIVITIES OF THE AUXILIARY'S BOARD, AND THE WORK OF THE COMMITTEE CHAIRS. *MEDICAL MISSION TO GHANA - TWO OF THE HOSPITAL'S PEDIATRICS PROVIDERS VOLUNTEERED THROUGH AMERICANS SERVING ABROAD PROJECT (ASAP) AND TRAVELLED TO THE ASHANTI REGION OF GHANA TO PROVIDE MEDICAL CARE. THE GROUP PROVIDED BREAST CANCER SCREENINGS; DENTAL HYGIENE; OPTOMETRY; HEARING; DIABETES, HYPERTENSION AND CHOLESTEROL TESTING; AND GENERAL CARE INCLUDING CUTS AND WORM INFESTATIONS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| UNITED HEALTH SERVICES HOSPITALS INC | ||||||||||
| 33-57 HARRISON STREET | JOHNSON CITY | NY | 13790 | 161165049 | HOSPITAL | NY | 501 (C) (3) | 3 | UNITED HEALTH SERVICES INC | 0 |
| IDEAL SENIOR LIVING CENTER INC | ||||||||||
| 508 HIGH AVENUE | ENDICOTT | NY | 13760 | 222902896 | SENIOR LIVING CENTER | NY | 501 (C) (3) | 3 | UNITED HEALTH SERVICES INC | 0 |
| IDEAL SENIOR LIVING CENTER HOUSING CO | ||||||||||
| 508 HIGH AVENUE | ENDICOTT | NY | 13760 | 222902899 | SENIOR HOUSING | NY | 501 (C) (3) | 9 | UNITED HEALTH SERVICES INC | 0 |
| TWIN TIER HOME HEALTH INC | ||||||||||
| 601 RIVERSIDE DRIVE | JOHNSON CITY | NY | 13790 | 222348211 | HOME HEALTH CARE | NY | 501 (C) (3) | 3 | UNITED HEALTH SERVICES INC | 0 |
| UNITED HEALTH SERVICES INC | ||||||||||
| 20-42 MITCHELL AVENUE | BINGHAMTON | NY | 13903 | 222682421 | PARENT COMPANY | NY | 501 (C) (3) | 9 | BOARD OF DIRECTORS UHS INC | 0 |
| PROFESSIONAL HOME CARE INC | ||||||||||
| 601 RIVERSIDE DRIVE | JOHNSON CITY | NY | 13790 | 161261977 | HOME HEALTH CARE | NY | 501 (C) (3) | 3 | UNITED HEALTH SERVICES INC | 0 |
| DELAWARE VALLEY HOSPITAL INC | ||||||||||
| ONE TITUS PLACE | WALTON | NY | 13856 | 150524324 | HOSPITAL | NY | 501 (C) (3) | 3 | UNITED HEALTH SERVICES INC | 0 |
| ECKELBERGER TOWER INC | ||||||||||
| 156 CORLISS AVENUE | JOHNSON CITY | NY | 13790 | 237171440 | MEDICAL STUDENT HOUSING | NY | 501 (C) (3) | 9 | UNITED HEALTH SERVICES INC | 0 |
| CMH FUND | ||||||||||
| 179 NORTH BROAD STREET | NORWICH | NY | 13815 | 222985550 | INACTIVE | NY | 501 (C) (3) | 11B | CHENANGO MEMORIAL HOSPITAL INC | 0 |
| PROJECT HEAR INC | ||||||||||
| 601 RIVERSIDE DRIVE | JOHNSON CITY | NY | 13790 | 161462675 | HOME EMERGENCY ALARM SYSTEM | NY | 501 (C) (3) | 3 | TWIN TIER HOME HEALTH INC | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|
| PATHWAY HEALTH MANAGEMENT INC | ||||||||||
| 20 MITCHELL AVENUE | BINGHAMTON | NY | 13903 | 161228654 | WINDING DOWN OF MANAGEMENT SERVICES TO SUSQUENHANA MEDICAL ASSOCIATES | NY | UNITED HEALTH SERVICES INC | C | 0 | |
| CHENANGO MADA INC | ||||||||||
| 179 N BROAD STREET | NORWICH | NY | 13915 | 161290726 | INACTIVE | NY | CMH FUND INC | C | 0 | 1.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |