2015-11-16T11:04:23-06:00 2014-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2014-01-01 141731786 ADIRONDACK MEDICAL CENTER ADIR 5188914141 PO BOX 471 2233 STATE ROUTE 86 SARANAC LAKE NY 12983 CHANDLER M RALPH CFO 5188914141 2015-11-12 1 THOMAS J GIUFRE P00841958 3154463600 2014 2016-04-25 22:37:26Z TRISTAN GLANVILLE PO BOX 471 2233 STATE ROUTE 86 SARANAC LAKE NY 12983 102178000 0 X WWW.ADIRONDACKHEALTH.ORG X 1991 NY THE MEDICAL CENTER PROVIDES ACUTE, SKILLED NURSING AND OUTPATIENT SERVICES TO RESIDENTS OF THE LOCAL GEOGRAPHIC REGION. 13 10 1024 89 0 0 1067325 1023849 97127185 95496380 357296 185586 2782544 3077219 101334350 99783034 0 0 0 0 55145186 49068453 0 0 0 44800631 50151874 99945817 99220327 1388533 562707 69732137 67040883 30744189 27469311 38987948 39571572 X THE MEDICAL CENTER PROVIDES EXCELLENT HEALTHCARE CLOSE TO HOME. 0 0 20111005 27645585 ADIRONDACK MEDICAL CENTER IS A 95-BED ACUTE CARE FACILITY IN SARANAC LAKE. IT PROVIDES A FULL RANGE OF INPATIENT SERVICES(SURGICAL, MATERNITY AND PEDIATRIC) AS WELL AS MAINTAINS A 60 BED LONG-TERM CARE FACILITY. 51852401 61428202 REFERRED AMBULATORY, AMBULATORY SURGERY AND EMERGENCY SERVICES. 8671840 6422592 DISCONTINUED OPERATIONS FROM UIHLEIN LIVING CENTER, FREE STANDING NURSING HOME THAT HAS 156 BEDS. PLANNED SALE TO OCCUR IN 2015. 2684302 MISCELLANEOUS PROGRAM SERVICE REVENUE DERIVED FROM SUPPORT OF ADIRONDACK MEDICAL CENTER, INCLUDING: DIETARY REVENUE, REBATES AND REFUNDS, PURCHASE DISCOUNTS AND OTHER REVENUE. 2684302 80635246 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 77 0 1 1024 1 0 0 0 0 0 0 0 0 0 0 X 13 10 0 1 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X TRISTAN GLANVILLE 5188914141 PO BOX 471 2233 STATE ROUTE 86 SARANAC LAKE NY 12983 GERALD GOLDMAN TRUSTEE 1.00 X 0 0 0 BARRY BROGAN TRUSTEE 1.00 X 0 0 0 PATRICIA MONROE MD TRUSTEE 1.00 X 122384 0 17671 CHARLES CARROLL TRUSTEE 1.00 X 0 0 0 JEANNIE CROSS VICE CHAIR 1.00 X X 0 0 0 SUSAN M DELEHANTY SECRETARY/TREASURER 1.00 X X 0 0 0 STANLEY T URBAN CHAIR 1.00 X X 0 0 0 RICHARD M MOCCIA MD TRUSTEE 1.00 X 246838 0 37397 F RAYMOND AGNEW TRUSTEE 1.00 X 0 0 0 PETER G BEATTY PHD TRUSTEE 1.00 X 0 0 0 DOUGLAS L HOFFMAN CPA TRUSTEE 1.00 X 0 0 0 CHERYL MAID TRUSTEE 1.00 X 0 0 0 WAGUIH KIROLLOS MD EX-OFFICIO 1.00 X 183336 0 20959 CHANDLER M RALPH EX-OFFICIO PRESIDENT/CEO 40.00 X 0 0 0 CHARLES GLANVILLE CFO 40.00 X 127815 0 4931 JOHN BRODERICK MD CMO 40.00 X 280206 0 21737 WILLIAM VISCARDO MD PHYSICIAN 40.00 X 273302 0 10890 ANTHONY DOWIDOWICZ PHYSICIAN 40.00 X 287792 0 17998 ANTHONY TRAMANTANO PHYSICIAN 40.00 X 461574 0 7112 JONATHAN KRANT PHYSICIAN 40.00 X 311727 0 15795 DARCI BEIRAS PHYSICIAN 40.00 X 270530 0 37719 2565504 0 192209 55 0 1 0 MATRIX HEALTH SYSTEMS 86 LAKE STREET BURLINGTON VT 05401 PHYSICIAN FEES 749715 HEALTHTECH MANAGEMENT SERVICES INC 405 DUKE DRIVE SUITE 10 FRANKLIN TN 37067 MANAGEMENT SERVICES 680340 INSIGHT HEALTH SERVICES CORP PO BOX 847689 DALLAS TX 75284 MRI SERVICES 527042 LABORATORY CORPORATION OF AMERICA PO BOX 12140 BURLINGTON NC 27216 LAB SERVICES 455278 REHAB RESOURCES 159 WEST FIRST STREET OSWEGO NY 13126 REHABILITATION SERVICES 432231 27 517175 286489 220185 1023849 NET PATIENT SERVICE REVENUE 900099 89073788 89073788 UIHLEIN REVENUE- DISCONTINUED OPE 900099 6422592 6422592 95496380 61641 61641 392918 0 392918 392918 392918 2518911 2390852 4114 128059 -4114 123945 123945 DIETARY REVENUE 900099 156361 156361 REBATES & REFUNDS 900099 147020 147020 PURCHASE DISCOUNTS 900099 127515 127515 2253405 2253405 2684301 99783034 98180681 0 578504 2142697 1675328 467369 38249170 31218315 7030855 1038612 855732 182880 4772058 3903728 868330 2865916 2335600 530316 680340 680340 91684 91684 150331 150331 9490343 5975387 3514956 230761 12184 218577 1238486 509702 728784 1870904 2722 1868182 176973 115928 61045 530605 530605 4214722 4214722 841546 841546 MEDICAL SUPPLIES 14040699 14025799 14900 UIHLEIN EXPENSES- DISCO 8671840 8671840 BAD DEBT 3382130 3382130 OTHER EXPENSE 2955544 1738356 1217188 1584966 1467168 117798 99220327 80635246 18585081 0 12103781 7780194 14312157 11745763 2088390 2137353 3537482 4562669 90829250 63760590 29256042 27068660 6302363 12225412 2131922 1520832 69732137 67040883 12923939 11571913 1572402 653305 12046459 11250598 933000 933000 3268389 3060495 30744189 27469311 X 37995869 38575946 57017 60564 935062 935062 38987948 39571572 69732137 67040883 562707 20917 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 992079 4047 500 995626 991415 4116 3452 992079 987179 4236 991415 987165 4018 -4004 987179 982116 5049 987165 0.93920 0.06080 0 0 328567 328567 43296223 24588458 18707765 44943329 38207957 6735372 2261131 964175 1296956 27068660 DEBT-CURRENT 736989 RESIDENT FUNDS LIABILITY 77265 ASSET RETIREMENT AND OTHER LT 1043934 ESTIMATED THIRD PARTY LIABILITY 1202307 3060495 X PART V, LINE 4: THE SYSTEM'S ENDOWMENTS CONSIST OF FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. ITS ENDOWMENTS INCLUDE DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE BOARD OF TRUSTEES TO FUNCTION AS AN ENDOWMENT. AS REQUIRED BY GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS, INCLUDING FUNDS DESIGNATED BY THE BOARD OF TRUSTEES TO FUNCTION AS ENDOWMENTS, ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. TEMPORARILY RESTRICTED FUNDS ARE AVAILABLE FOR NURSING EDUCATION & OTHER PROGRAMS. PERMANENTLY RESTRICTED FUNDS ARE TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS EXPENDABLE FOR VARIOUS HEALTHCARE SERVICES. PART X, LINE 2: ADIRONDACK HEALTH IS A NOT-FOR-PROFIT CORPORATION AND IS AN EXEMPT ORGANIZATION QUALIFIED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ADIRONDACK HEALTH HAS BEEN CLASSIFIED BY THE INTERNAL REVENUE SERVICE (IRS) AS AN ENTITY THAT IS NOT A PRIVATE FOUNDATION. THE STANDARDS FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ESTABLISH A RECOGNITION THRESHOLD AND MEASUREMENT FOR INCOME TAX POSITIONS RECOGNIZED IN ADIRONDACK HEALTH'S CONSOLIDATED FINANCIAL STATEMENTS. THESE STANDARDS HAD NO IMPACT ON THE ACCOMPANYING FINANCIAL STATEMENTS. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2011 THROUGH 2014. 1 1 X 1 X 1 X 1 1 0 1 1 212224 24558 187666 0.00190 21796747 15632868 6163879 0.06210 22008971 15657426 6351545 0.06400 106114 106114 0.00110 684076 684076 0.00690 24691944 21277954 3413990 0.03440 11270 11270 0.00010 25493404 21277954 4215450 0.04250 47502375 36935380 10566995 0.10650 5890 5890 0.00010 25340 25340 0.00030 235 235 0.00000 31465 31465 0.00040 1 1733599 825386 17402841 24187203 -6784362 X 1 1 2 1 ADIRONDACK MEDICAL CENTER 2233 STATE ROUTE 86-PO BOX 471 SARANAC LAKE NY 12983 X X 95 ACUTE BEDS; NURSING HOME WITH 60 BEDS; NURSING HOME WITH 157 BEDS A 2 ADIRONDACK MEDICAL CENTER-LAKE PLACID 29 CHURCH STREET LAKE PLACID NY 12946 X X OUTPATIENT SERIVCES, EMERGENCY ROOM A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 13 1 1 1 1 X WWW.ADIRONDACKHEALTH.ORG X 1 13 1 WWW.ADIRONDACKHEALTH.ORG 0 0 1 X 150.000000000000 400.000000000000 X X X 1 1 X X X X 1 X X X X X X X X 0 0 X X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: ADIRONDACK MEDICAL CENTER, - FACILITY 2: ADIRONDACK MEDICAL CENTER-LAKE PLACID FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 16A WEBSITE: WWW.ADIRONDACKHEALTH.ORG FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 16B WEBSITE: WWW.ADIRONDACKHEALTH.ORG FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 16C WEBSITE: WWW.ADIRONDACKHEALTH.ORG GROUP A-FACILITY 1 -- ADIRONDACK MEDICAL CENTER PART V, SECTION B, LINE 5: ADIRONDACK MEDICAL CENTER AND OUR COLLABORATING PARTNERS, COUNTY PUBLIC HEALTH DEPARTMENTS AND REGIONAL HOSPITALS, WORKED THROUGH THE ADIRONDACK RURAL HEALTH NETWORK (ARHN) TO CONDUCT A SURVEY THAT GAVE US INPUT FROM PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY WE SERVE. ARHN ENGAGED THE CENTER FOR HUMAN SERVICES RESEARCH (CHSR) AT THE UNIVERSITY AT ALBANY, STATE UNIVERSITY OF NEW YORK TO WORK WITH A SUBCOMMITTEE TO DEVELOP THE SURVEY. THE SURVEY WAS ADMINISTERED ELECTRONICALLY USING A WEB-BASED SURVEY PROGRAM AND DISTRIBUTED TO A REGIONAL EMAIL CONTACT LIST OF 624. ULTIMATELY, 285 SURVEYS WERE COMPLETED DURING THE SIX-WEEK SURVEY PERIOD, A RESPONSE RATE OF 45.7 PERCENT. OF ALL 285 RESPONSES, 86 INDICATED THAT ESSEX COUNTY WAS PART OF THEIR SERVICE AREA AND 83 INDICATED THAT FRANKLIN COUNTY WAS PART OF THEIR SERVICE AREA; HOWEVER, IT SHOULD BE NOTED THAT MANY OF THE RESPONDING HEALTH CARE STAKEHOLDERS SERVICE MULTIPLE COUNTIES WITHIN THE LARGER ARHN REGION. SURVEY PARTICIPANTS REPRESENTED A DIVERSE ARRAY OF DIFFERENT AGENCIES, POPULATION GROUPS, AND SERVICE-AREAS WITHIN THE OVERALL EIGHT-COUNTY ARHN REGION. BELOW, TABLE A.1 SHOWS THE PRIMARY FUNCTIONS SELECTED BY RESPONDENTS AND TABLE A.2 SHOWS THE POPULATIONS THAT THEIR AGENCIES SERVE. HEALTH CARE AND EDUCATIONAL AGENCIES ARE WELL REPRESENTED, AND THE MAJORITY PROVIDES SERVICES TO CHILDREN AND ADOLESCENTS, AS WELL AS PEOPLE LIVING AT OR NEAR THE POVERTY LEVEL. TABLE A.1. PRIMARY FUNCTIONS INDICATED BY SURVEY RESPONDENTSORGANIZATION PRIMARY FUNCTION / PERCENT OF ALL APPLICANTS HEALTH CARE / 36.8 EDUCATION / 36.5 BEHAVIORAL HEALTH / 17.5 HEALTHY ENVIRONMENT / 14.7 EARLY CHILDHOOD SVCS. / 14.4 SOCIAL SERVICES / 11.9 SENIOR SERVICES / 11.2 OTHER SERVICES / 9.1 DEVELOPMENTAL DISABILITY SVCS. / 8.4 EMPLOY & TRAINING / 8.4 HOUSING SERVICES / 8.1 STI/HIV PREVENTION / 6.0 PHYSICAL DISABILITY SVCS. / 4.9 GOVERNMENT AGENCY / 2.1 TESTING AND PREVENTION / 2.1 NOTE: RESPONDENTS COULD SELECT MORE THAN ONE PRIMARY FUNCTION. TABLE A.2. POPULATIONS SERVED BY SURVEY RESPONDENT AGENCIESPOPULATION SERVED / PERCENT OF ALL RESPONDENTS CHILDREN/ADOLESCENTS / 59.6 PEOPLE LIVING AT OR NEAR POVERTY LEVEL / 50.9 SENIORS/ELDERLY / 44.9 PEOPLE WITH DISABILITIES / 38.9 PEOPLE WITH MENTAL HEALTH ISSUES / 32.3 WOMEN OF REPRODUCTIVE AGE / 31.9 PEOPLE WITH SUBSTANCE ABUSE ISSUES / 25.6 SPECIFIC HEALTH CONDITION OR DISEASE / 24.6 FARMERS / 14.0 MIGRANT WORKERS / 11.2 OTHER / 10.5 SPECIFIC RACIAL OR ETHNIC GROUPS / 8.4 SPECIFIC GEOGRAPHIC AREA / 5.3 EVERYONE / 5.3 SPECIFIC AGE GROUP / 3.5 NOTE: RESPONDENTS COULD SELECT MULTIPLE POPULATIONS GROUP A-FACILITY 1 -- ADIRONDACK MEDICAL CENTER PART V, SECTION B, LINE 6A: OUR COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH OUR PARTNERS ESSEX COUNTY PUBLIC HEALTH, FRANKLIN COUNTY PUBLIC HEALTH, ALICE HYDE MEDICAL CENTER, ELIZABETHTOWN COMMUNITY HOSPITAL, MOSES LUDINGTON HOSPITAL, AND ADIRONDACK RURAL HEALTH NETWORK. GROUP A-FACILITY 1 -- ADIRONDACK MEDICAL CENTER PART V, SECTION B, LINE 11: ADIRONDACK HEALTH STRIVES TO MEET AS MANY OF THE HEALTH NEEDS OF OUR COMMUNITY MEMBERS AS POSSIBLE. IN MANY CASES, WE PARTNER WITH APPROPRIATE ORGANIZATIONS AND AGENCIES TO ADDRESS NEEDS THAT ADIRONDACK HEALTH DOES NOT. ON INITIATIVES THAT ARE NOT HOSPITAL-LED, ADIRONDACK HEALTH PARTNERS AND WORKS WITH THE LOCAL HEALTH DEPARTMENTS, SOCIAL SERVICES, BEHAVIORAL HEALTH PROVIDERS, SUBSTANCE ABUSE PREVENTION AND TREATMENT PROVIDERS, HOME CARE, AND MANY OTHERS TO INSURE THAT THE NEEDS OF OUR COMMUNITY MEMBERS ARE MET. THE FOLLOWING ARE THE NYS PREVENTION AGENDA ITEMS THAT ADIRONDACK HEALTH DOES NOT DIRECTLY ADDRESS IN OUR IMPLEMENTATION STRATEGY: PROMOTE A HEALTHY AND SAFE ENVIRONMENT FOCUS AREA: INJURIES, VIOLENCE AND OCCUPATIONAL HEALTH THE RATE OF CRIME AND ASSAULT ARE LOW IN ADIRONDACK HEALTH'S SERVICE AREA. FALLS IN THE HOME AND OCCUPATIONAL HEALTH ARE ISSUES THAT COMMUNITY PARTNERS ARE BETTER POSITIONED TO ADDRESS. FOCUS AREA: OUTDOOR AIR AND WATER QUALITYTHE AIR AND WATER QUALITY INDICATORS ARE GOOD. DATA INDICATES THAT IT IS ONLY A FEW DAYS EACH YEAR THAT OUTDOOR AIR QUALITY IS POOR, AND THE LIKELY CAUSE OF THIS IS INDUSTRIAL POLLUTION FROM THE MID- WEST CARRIED HERE ON THE JET STREAM. ADIRONDACK HEALTH DOES NOT HAVE A STRATEGY TO DIRECTLY ADDRESS THIS AT THIS TIME, BUT NATIONAL GROUPS HAVE MADE PROGRESS AND ARE STILL WORKING TO IMPROVE OUTPUTS FROM THESE INDUSTRIAL AREAS.FOCUS AREA: BUILT ENVIRONMENT IN OUR SERVICE AREA, MUCH OF THIS WORK IS BEING DONE BY COALITIONS TO WHICH ADIRONDACK HEALTH BELONGS. THE COALITIONS, LED BY PUBLIC HEALTH AND THE NORTH COUNTRY HEALTHY HEART NETWORK, ARE WORKING TOWARD PASSING COMPLETE STREETS POLICIES, IMPROVING PARKS AND OTHER RECREATIONAL AREAS, PASSING TOBACCO FREE GROUNDS POLICIES, IMPROVING ACCESS TO FRESH FRUITS AND VEGETABLES IN STORES AND RESTAURANTS, AND OTHER PROJECTS THAT IMPROVE ACCESS TO HEALTHY FOODS AND IMPROVE THE BUILT ENVIRONMENT SO COMMUNITY MEMBERS OF ALL LEVELS OF MOBILITY CAN FEEL SAFE AS PEDESTRIANS AND USING ALTERNATIVE FORMS OF TRANSPORTATION. PREVENT HIV/STDS, VACCINE-PREVENTABLE DISEASE AND HEALTHCARE ASSOCIATED INFECTIONSFOCUS AREA: PREVENT HIV AND STDSTHE RATE OF HIV IS EXTREMELY LOW IN ADIRONDACK HEALTH'S SERVICE AREA. ADIRONDACK HEALTH'S PROVIDERS CONTINUE TO WORK WITH PUBLIC HEALTH AND OTHER PROVIDERS TO DELIVER THE HIGHEST LEVEL OF CARE TO PATIENTS WITH HIV. GROUP A-FACILITY 1 -- ADIRONDACK MEDICAL CENTER PART V, SECTION B, LINE 22D: SELF-PAY PATIENTS THAT VISITED OUR MEDICAID SCREENER, AND WERE NOT DETERMINED TO BE FAP-ELIGIBLE, RECEIVED A 30% DISCOUNT. THOSE WHO WERE FAP-ELIGIBLE WERE WRITTEN OFF AT 100%. GROUP A-FACILITY 2 -- ADIRONDACK MEDICAL CENTER - LAKE PLACID PART V, SECTION B, LINE 5: ADIRONDACK MEDICAL CENTER AND OUR COLLABORATING PARTNERS, COUNTY PUBLIC HEALTH DEPARTMENTS AND REGIONAL HOSPTIALS, WORKED THROUGH THE ADIRONDACK RURAL HEALTH NETWORK (ARHN) TO CONDUCT A SURVEY THAT GAVE US INPUT FROM PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY WE SERVE. ARHN ENGAGED THE CENTER FOR HUMAN SERVICES RESEARCH (CHSR) AT THE UNIVERSITY AT ALBANY, STATE UNIVERSITY OF NEW YORK TO WORK WITH A SUBCOMMITTEE TO DEVELOP THE SURVEY. THE SURVEY WAS ADMINISTERED ELECTRONICALLY USING A WEB-BASED SURVEY PROGRAM AND DISTRIBUTED TO A REGIONAL EMAIL CONTACT LIST OF 624. ULTIMATELY, 285 SURVEYS WERE COMPLETED DURING THE SIX-WEEK SURVEY PERIOD, A RESPONSE RATE OF 45.7 PERCENT. OF ALL 285 RESPONSES, 86 INDICATED THAT ESSEX COUNTY WAS PART OF THEIR SERVICE AREA AND 83 INDICATED THAT FRANKLIN COUNTY WAS PART OF THEIR SERVICE AREA; HOWEVER, IT SHOULD BE NOTED THAT MANY OF THE RESPONDING HEALTH CARE STAKEHOLDERS SERVICE MULTIPLE COUNTIES WITHIN THE LARGER ARHN REGION. SURVEY PARTICIPANTS REPRESENTED A DIVERSE ARRAY OF DIFFERENT AGENCIES, POPULATION GROUPS, AND SERVICE-AREAS WITHIN THE OVERALL EIGHT-COUNTY ARHN REGION. BELOW, TABLE A.1 SHOWS THE PRIMARY FUNCTIONS SELECTED BY RESPONDENTS AND TABLE A.2 SHOWS THE POPULATIONS THAT THEIR AGENCIES SERVE. HEALTH CARE AND EDUCATIONAL AGENCIES ARE WELL REPRESENTED, AND THE MAJORITY PROVIDES SERVICES TO CHILDREN AND ADOLESCENTS, AS WELL AS PEOPLE LIVING AT OR NEAR THE POVERTY LEVEL. TABLE A.1. PRIMARY FUNCTIONS INDICATED BY SURVEY RESPONDENTSORGANIZATION PRIMARY FUNCTION / PERCENT OF ALL APPLICANTS HEALTH CARE / 36.8 EDUCATION / 36.5 BEHAVIORAL HEALTH / 17.5 HEALTHY ENVIRONMENT / 14.7 EARLY CHILDHOOD SVCS. / 14.4 SOCIAL SERVICES / 11.9 SENIOR SERVICES / 11.2 OTHER SERVICES / 9.1 DEVELOPMENTAL DISABILITY SVCS. / 8.4 EMPLOY & TRAINING / 8.4 HOUSING SERVICES / 8.1 STI/HIV PREVENTION / 6.0 PHYSICAL DISABILITY SVCS. / 4.9 GOVERNMENT AGENCY / 2.1 TESTING AND PREVENTION / 2.1 NOTE: RESPONDENTS COULD SELECT MORE THAN ONE PRIMARY FUNCTION. TABLE A.2. POPULATIONS SERVED BY SURVEY RESPONDENT AGENCIESPOPULATION SERVED / PERCENT OF ALL RESPONDENTS CHILDREN/ADOLESCENTS / 59.6 PEOPLE LIVING AT OR NEAR POVERTY LEVEL / 50.9 SENIORS/ELDERLY / 44.9 PEOPLE WITH DISABILITIES / 38.9 PEOPLE WITH MENTAL HEALTH ISSUES / 32.3 WOMEN OF REPRODUCTIVE AGE / 31.9 PEOPLE WITH SUBSTANCE ABUSE ISSUES / 25.6 SPECIFIC HEALTH CONDITION OR DISEASE / 24.6 FARMERS / 14.0 MIGRANT WORKERS / 11.2 OTHER / 10.5 SPECIFIC RACIAL OR ETHNIC GROUPS / 8.4 SPECIFIC GEOGRAPHIC AREA / 5.3 EVERYONE / 5.3 SPECIFIC AGE GROUP / 3.5 NOTE: RESPONDENTS COULD SELECT MULTIPLE POPULATIONS GROUP A-FACILITY 2 -- ADIRONDACK MEDICAL CENTER - LAKE PLACID PART V, SECTION B, LINE 6A: OUR COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH OUR PARTNERS ESSEX COUNTY PUBLIC HEALTH, FRANKLIN COUNTY PUBLIC HEALTH, ALICE HYDE MEDICAL CENTER, ELIZABETHTOWN COMMUNITY HOSPITAL, MOSES LUDINGTON HOSPITAL, AND ADIRONDACK RURAL HEALTH NETWORK. GROUP A-FACILITY 2 -- ADIRONDACK MEDICAL CENTER - LAKE PLACID PART V, SECTION B, LINE 11: ADIRONDACK HEALTH STRIVES TO MEET AS MANY THE HEALTH NEEDS OF OUR COMMUNITY MEMBERS AS POSSIBLE. IN MANY CASES, WE PARTNER WITH APPROPRIATE ORGANIZATIONS AND AGENCIES TO ADDRESS NEEDS THAT ADIRONDACK HEALTH DOES NOT. ON INITIATIVES THAT ARE NOT HOSPITAL-LED, ADIRONDACK HEALTH PARTNERS AND WORKS WITH THE LOCAL HEALTH DEPARTMENTS, SOCIAL SERVICES, BEHAVIORAL HEALTH PROVIDERS, SUBSTANCE ABUSE PREVENTION AND TREATMENT PROVIDERS, HOME CARE, AND MANY OTHERS TO INSURE THAT THE NEEDS OF OUR COMMUNITY MEMBERS ARE MET. THE FOLLOWING ARE THE NYS PREVENTION AGENDA ITEMS THAT ADIRONDACK HEALTH DOES NOT DIRECTLY ADDRESS IN OUR IMPLEMENTATION STRATEGY: PROMOTE A HEALTHY AND SAFE ENVIRONMENT FOCUS AREA: INJURIES, VIOLENCE AND OCCUPATIONAL HEALTH THE RATE OF CRIME AND ASSAULT ARE LOW IN ADIRONDACK HEALTH'S SERVICE AREA. FALLS IN THE HOME AND OCCUPATIONAL HEALTH ARE ISSUES THAT COMMUNITY PARTNERS ARE BETTER POSITIONED TO ADDRESS. FOCUS AREA: OUTDOOR AIR AND WATER QUALITYTHE AIR AND WATER QUALITY INDICATORS ARE GOOD. DATA INDICATES THAT IT IS ONLY A FEW DAYS EACH YEAR THAT OUTDOOR AIR QUALITY IS POOR, AND THE LIKELY CAUSE OF THIS IS INDUSTRIAL POLLUTION FROM THE MID- WEST CARRIED HERE ON THE JET STREAM. ADIRONDACK HEALTH DOES NOT HAVE A STRATEGY TO DIRECTLY ADDRESS THIS AT THIS TIME, BUT NATIONAL GROUPS HAVE MADE PROGRESS AND ARE STILL WORKING TO IMPROVE OUTPUTS FROM THESE INDUSTRIAL AREAS.FOCUS AREA: BUILT ENVIRONMENT IN OUR SERVICE AREA, MUCH OF THIS WORK IS BEING DONE BY COALITIONS TO WHICH ADIRONDACK HEALTH BELONGS. THE COALITIONS, LED BY PUBLIC HEALTH AND THE NORTH COUNTRY HEALTHY HEART NETWORK, ARE WORKING TOWARD PASSING COMPLETE STREETS POLICIES, IMPROVING PARKS AND OTHER RECREATIONAL AREAS, PASSING TOBACCO FREE GROUNDS POLICIES, IMPROVING ACCESS TO FRESH FRUITS AND VEGETABLES IN STORES AND RESTAURANTS, AND OTHER PROJECTS THAT IMPROVE ACCESS TO HEALTHY FOODS AND IMPROVE THE BUILT ENVIRONMENT SO COMMUNITY MEMBERS OF ALL LEVELS OF MOBILITY CAN FEEL SAFE AS PEDESTRIANS AND USING ALTERNATIVE FORMS OF TRANSPORTATION. PREVENT HIV/STDS, VACCINE-PREVENTABLE DISEASE AND HEALTHCARE ASSOCIATED INFECTIONSFOCUS AREA: PREVENT HIV AND STDSTHE RATE OF HIV IS EXTREMELY LOW IN ADIRONDACK HEALTH'S SERVICE AREA. ADIRONDACK HEALTH'S PROVIDERS CONTINUE TO WORK WITH PUBLIC HEALTH AND OTHER PROVIDERS TO DELIVER THE HIGHEST LEVEL OF CARE TO PATIENTS WITH HIV. GROUP A-FACILITY 2 -- ADIRONDACK MEDICAL CENTER - LAKE PLACID PART V, SECTION B, LINE 22D: SELF-PAY PATIENTS THAT VISITED OUR MEDICAID SCREENER, AND WERE NOT DETERMINED TO BE FAP-ELIGIBLE, RECEIVED A 30% DISCOUNT. THOSE WHO WERE FAP-ELIGIBLE WERE WRITTEN OFF AT 100%. 6 TUPPER LAKE MEDICAL OFFICE BUILDING 7 STETSON ROAD TUPPER LAKE NY 12986 CLINIC; LABORATORY; RADIOLOGY MOUNTAIN HEALTH CENTER 2841 NYS ROUTE 73 KEENE NY 12942 CLINIC UIHLEIN LIVING CENTER 185 OLD MILITARY ROAD LAKE PLACID NY 12946 NURSING HOME WITH 156 BEDS MERCY LIVING CENTER 114 WAWBEEK AVENUE TUPPER LAKE NY 12986 NURSING HOME WITH 60 BEDS; DIALYSIS, REHABILITATION LAKE PLACID HEALTH CENTER 29 CHURCH STREET LAKE PLACID NY 12946 CLINC; ER; LABORATORY; RADIOLOGY; REHABILITATION WOUND CARE MEDICAL OFFICE BUILDING 285 COUNTY ROUTE 47 SARANAC LAKE NY 12983 CLINIC, PRIMARY CARE HEALTH CENTER PART I, LINE 7: AMOUNTS CALCULATED USING COST-TO-CHARGE RATIO FROM WORKSHEET 2 (TOTAL OPERATING EXPENSE MINUS MEDICAID/PROVIDER TAXES, TOTAL COMMUNITY BENEFIT EXPENSE, AND TOTAL COMMUNITY BUILDING EXPENSE DIVIDED BY GROSS PATIENT CHARGES), AND ADDRESSES ALL PATIENT SEGMENTS. PART I, LN 7 COL(F): BAD DEBT EXPENSE, REMOVED FROM DENOMINATOR, EQUALS 3,328,392. PART II, COMMUNITY BUILDING ACTIVITIES: THE CEO ATTENDED ADIRONDACK HEALTH INSTITUTE MEETINGS. AHI IS A REGIONAL ORGANIZATION THAT INCLUDES THE TRI-LAKES, PLATTSBURGH, AND GLENS FALLS COMMUNITIES WHOSE PURPOSE IS TO IMPROVE THE OVERALL HEALTH OF THESE ADIRONDACK COMMUNITIES BY WORKING TOGETHER ON A REGIONAL BASIS. THE CHIEF MEDICAL OFFICER SPENT TIME AT A LOCAL IRON MAN COMPETITION TO PROVIDE MEDICAL COVERAGE OF THE ATHLETES AND PROMOTE HEALTHY EXERCISE ROUTINES. PART III, LINE 4: "IN EVALUATING THE COLLECTIBILITY OF PATIENT ACCOUNTS RECEIVABLE, ADIRONDACK HEALTH ANALYZES PAST PAYMENT HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH PATIENTS WHO HAVE THIRD-PARTY COVERAGE, ADIRONDACK HEALTH ANALYZES CONTRACTUALY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), ADIRONDACK HEALTH RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNT RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS."PART III, LINE 3:THE ORGANIZATION'S BAD DEBT EXPENSES IS CALCULATED USING A PERCENTAGE OF BAD DEBT THAT CONTAINS POSSIBLE CHARITY CARE CASES AND APPLYING IT TO LINE 2. RATIONALE FOR WHAT PORTION OF BAD DEBT SHOULD CONSTITUTE COMMUNITY BENEFIT: THE PROVISION OF HEALTH CARE IS DIFFERENT FROM PROVIDING OTHER SERVICES, IN THAT HOSPITALS, ALTHOUGH THEY MAY ATTEMPT TO OBTAIN FINANCIAL INFORMATION BEFORE SERVICE IS PROVIDED, FOCUS ON PROVIDING THE PATIENT WITH NEEDED HEALTH CARE AND LATER TRY TO OBTAIN PAYMENT. IN OTHER INDUSTRIES, THE SERVICE PROVIDER CAN CHECK THE CUSTOMER'S CREDIT RATING, ASK FOR PAYMENT IN ADVANCE, ETC AND IS USUALLY ASKING THIS INFORMATION WHEN THE CONSUMER IS NOT IN A HEALTH CRISIS AND UNDER GREAT STRESS AND WORRY. AT A LATER TIME, WHEN THE PROVIDER ATTEMPTS TO COLLECT PAYMENT AND FINDS THE PATIENT UNWILLING TO PAY, THEIR OPTIONS ARE AGAIN LIMITED GIVEN THE NATURE OF THE SERVICE PROVIDED AND THE INABILITY TO REPOSSESS THE SERVICE.PART III, LINE 2:THE ORGANIZATION'S BAD DEBT EXPENSE IS CALCULATED USING COST-TO-CHARGE RATIO FROM WORKSHEET 2 AND BAD DEBT EXPENSE. PART III, LINE 8: CALCULATED USING COST-TO-CHARGE RATIO FROM WORKSHEET 2 AND APPLYING IT TO GROSS MEDICARE CHARGES. SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE PATIENT SERVICES ARE PROVIDED AT A COST THAT IS GREATER THAN REIMBURSEMENT. PART III, LINE 9B: ACCORDING TO OUR CHARITY CARE POLICY,THE LARGEST NUMBER OF OUR FAP-ELIGIBLE PATIENTS ARE WRITTEN-OFF AT 100% SO NO COLLECTION EFFORTS ARE NECESSARY. PART VI, LINE 2: ADIRONDACK MEDICAL CENTER USES A NUMBER OF ASSESSMENT METHODS TO DETERMINE HOW WELL WE ARE MEETING COMMUNITY NEEDS AND WHAT ADDITIONAL SERVICES WE CAN OFFER OUR COMMUNITY MEMBERS. AMC USES THE PRESS-GANEY PATIENT SATISFACTION SURVEY FOR CONTINUAL PATIENT FEEDBACK. THE SURVEYS ARE MAILED TO RANDOMLY SELECTED PATIENTS BY PRESS-GANEY, A NATIONALLY RECOGNIZED PATIENT SURVEY FIRM, AND PRESS-GANEY PROCESSES THE RESULTS. THEY GIVE AMC THE RESULTS BENCHMARKED AGAINST OTHER HOSPITALS TO HELP US UNDERSTAND HOW WELL WE ARE SERVING OUR COMMUNITY. THE MAJORITY OF AMC'S STRATEGIC INITIATIVES ARE DRIVEN BY A THREE-YEAR STRATEGIC PLAN, WHICH IS DEVELOPED THROUGH THE COLLABORATION OF THE BOARD, MEDICAL STAFF, AMC STAFF AND COMMUNITY MEMBERS. THE GOALS THAT ARE SET FORTH EVERY THREE YEARS IN THE STRATEGIC PLAN ARE INCORPORATED INTO AMC'S MANAGEMENT ACTION PLAN (MAP), WHICH IS REVIEWED AND REVISED EACH YEAR. AT THE BEGINNING OF EACH YEAR EVERY DEPARTMENT CREATES A MAP THAT OUTLINES THE CONCRETE STEPS THAT THE DEPARTMENT WILL ACCOMPLISH IN MOVING THE HOSPITAL CLOSER TO COMPLETING THE STRATEGIC PLAN GOALS. THE SUCCESS OF AMC, EACH DEPARTMENT, AND EACH EMPLOYEE IS MEASURED BY THE MAP AND THE PROGRESS MADE TOWARD ACCOMPLISHING THE GOALS SET OUT IN THE STRATEGIC PLAN. FOR NEW SERVICES, AMC STAFF DEVELOPS A NEEDS ASSESSMENT USING A VARIETY OF DATA INCLUDING REGIONAL DEMAND FOR THE SPECIFIC SERVICE, DEMOGRAPHICS, AND FINANCIAL ANALYSIS. THE BOARD OF TRUSTEES CAREFULLY REVIEWS THE ANALYSIS AND EITHER SUPPORTS THE RECOMMENDATION OR ASKS FOR FURTHER INFORMATION. PART VI, LINE 3: ANY PATIENT THAT CONTACTS SCHEDULING OR PRESENTS TO ANY AMC DEPARTMENT (INCLUDING ADMITTING, EMERGENCY ROOM, ETC.) THAT DOES NOT IDENTIFY AN INSURANCE COMPANY OR IDENTIFIES THEMSELVES AS SELF-PAY ARE INFORMED OF OUR SELF-PAY PROCESS. THIS PROCESS INCLUDES INFORMATION ABOUT AMC'S CHARITY CARE POLICY AND THE BENEFITS OF VISITING WITH A CERTIFIED FACILITATED ENROLLER WHO CAN CHECK THE PATIENT'S ELIGIBILITY FOR STATE AND FEDERAL HEALTH INSURANCE PROGRAMS. PART VI, LINE 4: ADIRONDACK MEDICAL CENTER IS LOCATED IN THE HEART OF THE ADIRONDACK PARK IN RURAL, UPSTATE NEW YORK. THE ADIRONDACK PARK IS A UNIQUE, SIX MILLION ACRE PATCHWORK OF PUBLIC AND PRIVATE LAND. IT IS BEST KNOWN FOR ITS MOUNTAINS - THE HIGHEST IN NEW YORK STATE - AND ITS LAKES. THE REGION HAS AN AVERAGE SEASONAL SNOWFALL IN EXCESS OF 90 INCHES AND THE AVERAGE MEAN TEMPERATURE IN JANUARY IS 16 DEGREES FAHRENHEIT.AMC IS DESIGNATED A SOLE COMMUNITY PROVIDER HOSPITAL WITH THE CLOSEST COMPARABLE FACILITY 50 MILES AWAY FROM OUR MAIN CAMPUS IN SARANAC LAKE. AMC IS AN INTEGRAL PART OF THE COMMUNITY AS THE ONLY ACUTE CARE FACILITY, THE PREDOMINANT PROVIDER OF AMBULATORY SERVICES, AND THE LARGEST PRIVATE EMPLOYER IN THE SIX MILLION ACRE ADIRONDACK PARK. AMC PROVIDES CARE FOR 71.2% OF THE 24,266 RESIDENTS IN OUR PRIMARY SERVICE AREA AND 24.5% OF THE 12,100 RESIDENTS IN OUR SECONDARY SERVICE AREA. THIS SERVICE AREA COVERS OVER 1,200 SQUARE MILES, HAS AN AVERAGE OF JUST OVER 30 PEOPLE PER SQUARE MILE, AND INCLUDES PORTIONS OF 5 COUNTIES.THE HOSPITAL'S SERVICE AREA IS DESIGNATED AS THE FOLLOWING FEDERAL HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA):-PRIMARY CARE-DENTAL-PSYCHIATRYAMC IS SERVING AN AGING POPULATION WITH HIGH CANCER AND CHRONIC DISEASE RATES, AND VERY LOW INCOME LEVELS. THE PERCENTAGE OF THE POPULATION THAT FALLS INTO THE "BABY BOOMER" AGE GROUP, 55-64 YEARS OF AGE, IS INCREASING, WITH A CORRESPONDING DECREASE IN YOUNGER AGE GROUPS.THE AVERAGE UNEMPLOYMENT RATE IN 2014 FOR NEW YORK STATE WAS 5.7% AND THE UNEMPLOYMENT RATES IN THE COUNTIES THAT WE SERVE WAS ONE TO TWO PERCENTAGE POINTS ABOVE THAT AVERAGE. THE NYS DEPARTMENT OF LABOR INDICATES THAT THE PER CAPITA INCOME FOR THE COUNTIES THAT AMC SERVES IS BETWEEN 35% AND 44% BELOW THE STATE AVERAGE. PART VI, LINE 5: AS THE LARGEST EMPLOYER AND ONLY FULL SERVICE HOSPITAL IN THE ADIRONDACK PARK, AMC IS AN IMPORTANT PARTNER IN COMMUNITY BUILDING ACTIVITIES THAT PROMOTE THE HEALTH OF OUR COMMUNITY MEMBERS.- OUR PRIMARY CARE HEALTH CENTERS WERE AMONG THE FIRST IN NEW YORK TO PARTNER WITH THE STATE SMOKERS' QUITLINE TO HELP PATIENTS WHO WANT TO KICK THE HABIT WITH A NEW STOP SMOKING AND REFERRAL PROCESS THROUGH THE ELECTRONIC MEDICAL RECORD.- FURTHER EXPANDED THE PAIN MANAGEMENT CLINIC IN RESPONSE TO COMMUNITY NEED.- EXPANDED SURGICAL EQUIPMENT TO INCLUDE A BRONCH NAVIGATION SYSTEM THAT HELPS IDENTIFY LUNG CANCER EARLIER THAN TRADITIONAL METHODS.- TRANSITIONED MED/SURG UNIT TO SINGLE ROOMS IN ORDER TO INCREASE PATIENT SAFETY AND SATISFACTION. PART VI, LINE 6: ORGANIZATION IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. PART VI, LINE 7, REPORTS FILED WITH STATES NY 1 X X X X 0 1 0 0 0 0 0 0 0 RICHARD M MOCCIA MD TRUSTEE 246838 0 0 0 0 0 37397 0 0 0 284235 0 0 0 WAGUIH KIROLLOS MD EX-OFFICIO 183336 0 0 0 0 0 20959 0 0 0 204295 0 0 0 JOHN BRODERICK MD CMO 280206 0 0 0 0 0 10376 0 11361 0 301943 0 0 0 WILLIAM VISCARDO MD PHYSICIAN 273302 0 0 0 0 0 5975 0 4915 0 284192 0 0 0 ANTHONY DOWIDOWICZ PHYSICIAN 287792 0 0 0 0 0 10364 0 7634 0 305790 0 0 0 ANTHONY TRAMANTANO PHYSICIAN 461574 0 0 0 0 0 555 0 6557 0 468686 0 0 0 JONATHAN KRANT PHYSICIAN 311727 0 0 0 0 0 3727 0 12068 0 327522 0 0 0 DARCI BEIRAS PHYSICIAN 270530 0 0 0 0 0 26623 0 11096 0 308249 0 0 0 PART 1 LINE 4B THE HOSPITAL HAS A DEFERRED COMPENSATION PLAN FOR PARTICIPATING PHYSICIANS WHO PROVIDE SERVICES THROUGH THE HOSPITAL'S "ON-CALL" PROGRAM. PATRICIA MONROE, MD RECEIVED $122,384 FROM THIS DEFERRED COMPENSATION PLAN AND $17,671 WAS CONTRIBUTED TO THIS DEFERRED COMPENSATION PLAN ON HER BEHALF IN 2014. RICHARD MOCCIA, MD RECEIVED $246,838 FROM THIS DEFERRED COMPENSATION PLAN AND $37,397 WAS CONTRIBUTED TO THIS DEFERRED COMPENSATION PLAN ON HIS BEHALF IN 2014. WAGUIH KIROLLOS, MD RECEIVED $172,836 FROM THIS DEFERRED COMPENSATION PLAN AND $20,959 WAS CONTRIBUTED TO THIS DEFERRED COMPENSATION PLAN ON HIS BEHALF IN 2014. DARCI BEIRAS, MD HAD $19,110 CONTRIBUTED TO THIS DEFERRED COMPENSATION PLAN ON HER BEHALF IN 2014. A FRANKLIN COUNTY CIVIC DEVELOPMENT CO 800627350 2012-11-02 10999965 MULTI-MODE REVENUE BONDS FOR CAPITAL PROJECTS- REFINANCE 1 0 0 A 9272033 1587879 140053 1502594 85285 1 1 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 0 0 0 0 0 A 0 FORM 990, PART VI, SECTION A, LINE 3 ADIRONDACK MEDICAL CENTER CONTRACTS WITH HEALTHTECH MANAGEMENT SERVICES TO FILL THE POSITION OF PRESIDENT/CEO. THE MANAGEMENT FEE PAID TO HEALTHTECH MANAGEMENT SERVICES IS $680,340, WHICH INCLUDES THE CEO SALARY AND BENEFITS AND A MANAGEMENT FEE. ON AUGUST 1, 2014 THE CONTRACT CHANGED INTO A CEO LEASE AGREEMENT AND A CONSULTING CONTRACT. FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS WERE UPDATED TO REFLECT CHANGES IN THE RESPONSIBILITIES OF THE AUDIT AND COMPLIANCE COMMITTEE, TO ENHANCE COMPLIANCE WITH THE NEW YORK STATE NONPROFIT REVITALIZATION ACT. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS PRESENTED AND REVIEWED BY THE BOARD OF TRUSTEES PRIOR TO FILING THE 990. FORM 990, PART VI, SECTION B, LINE 12C ALL MEMBERS OF THE BOARD OF TRUSTEES ARE REQUIRED TO COMPLETE AND SIGN CONFLICT OF INTEREST STATEMENTS ANNUALLY. THESE ARE THEN REVIEWED BY THE BOARD CHAIR. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION DECISIONS ARE DEVELOPED BASED ON THE USE OF NATIONAL, REGIONAL, AND HEALTHTECH SALARY SURVEY DATA WHICH IS ANALYZED BY THE EXECUTIVE COMMITTEE ACTING AS A COMPENSATION COMMITTEE AND THEN APPROVED BY THE FULL BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. ADIRONDACK MEDICAL CENTER FOUNDATION PO BOX 471 LAKE COLBY DRIVE SARANAC LAKE NY 12983 161528554 SUPPORT AND ASSIST ADIRONDACK MEDICAL CENTER NY 501(C)3 BOX 11 ADIRONDACK MEDICAL CENTER 0 TRUDEAU HEALTH SYSTEMS LLC PO BOX 471 2233 STATE ROUTE 86 SARANAC LAKE NY 12983 141788211 CONTACTING - HEALTH SERVICES NY AMC AND TRUDEAU HEALTH SYSTEMS C 0.50000 0 TRUDEAU HEALTH SYSTEMS IPA PO BOX 471 2233 STATE ROUTE 86 SARANAC LAKE NY 12983 141795284 CONTACTING - HEALTH SERVICES NY AMC AND TRUDEAU HEALTH SYSTEMS C 28665 0.50000 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0