CHENANGO MEMORIAL HOSPITAL INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- CHENANGO MEMORIAL HOSPITAL INC (EIN 15-0532180)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-13
- IRS object ID
- 201433179349305003
- Schema version
- 2013v3.0
- 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 G
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-13T15:05:31-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | 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 | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5784 WIDEWATERS PARKWAY | AddressLine1 |
| City | SYRACUSE | City |
| State | NY | State |
| ZIP Code | 13214 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | 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 | BusinessNameLine1 |
| 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 | AddressLine1 |
| City | NORWICH | City |
| State | NY | State |
| ZIP Code | 13815 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DRAKE LAMEN MD | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 6073374111 | PhoneNum |
| Signature | 2014-11-11 | 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 | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | 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 | AddressLine1 |
| City | NORWICH | City |
| State | NY | State |
| ZIP Code | 13815 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $73,847,776 | 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 | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 603 | TotalEmployeeCnt |
| Total Volunteers | 100 | TotalVolunteersCnt |
| Total Gross UBI | $95,996 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$8,767 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $905,361 | PYContributionsGrantsAmt |
| CY Contributions Grants | $625,169 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $67,702,540 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $70,089,211 | CYProgramServiceRevenueAmt |
| PY Investment Income | $334,261 | PYInvestmentIncomeAmt |
| CY Investment Income | $284,206 | CYInvestmentIncomeAmt |
| PY Other Revenue | $918,747 | PYOtherRevenueAmt |
| CY Other Revenue | $2,820,385 | CYOtherRevenueAmt |
| PY Total Revenue | $69,860,909 | PYTotalRevenueAmt |
| CY Total Revenue | $73,818,971 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $54,180 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $28,075 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $34,655,854 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $36,126,429 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $32,874,534 | PYOtherExpensesAmt |
| CY Other Expenses | $35,071,271 | CYOtherExpensesAmt |
| PY Total Expenses | $67,584,568 | PYTotalExpensesAmt |
| CY Total Expenses | $71,225,775 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,276,341 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,593,196 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $34,995,961 | TotalAssetsBOYAmt |
| Total Assets EOY | $38,460,010 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $32,005,060 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $23,047,754 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,990,901 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $15,412,256 | 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 | 0 | SignificantChangeInd |
| Expense | $19,879,483 | ExpenseAmt |
| Revenue | $22,040,097 | 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, 2013 TOTALED 6,907. DISCHARGES WERE 1,963, AND AVERAGE LENGTH OF STAY WAS 3.52 DAYS. LONG TERM SKILLED NURSING DAYS WERE 26,173. THERE WERE 282 BIRTHS AND 400 INPATIENT SURGERIES PERFORMED AT CHENANGO MEMORIAL HOSPITAL IN 2013. IN 2013, CHENANGO MEMORIAL HOSPITAL GAVE FINANCIAL ASSISTANCE TO 68 INDIVIDUALS FOR WHICH $821,950 OF INPATIENT CARE (AT CHARGES) WAS PROVIDED. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $26,327,890 | ExpenseAmt |
| Revenue | $39,015,882 | 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 2013 TOTALED 157,421. INCLUDED IN THE 157,421 VISITS WERE 13,918 EMERGENCY ROOM VISITS, 1,141 EMERGENCY ROOM TREATED AND ADMITTED AS ACUTE CARE PATIENTS, 2,721 VARIOUS OUTPATIENT SURGICAL CASES, AND 139,641 OTHER OUTPATIENT DEPARTMENT VISITS. IN 2013 CHENANGO MEMORIAL HOSPITAL GAVE FINANCIAL ASSISTANCE TO 626 INDIVIDUALS FOR WHICH $1,780,034 OF OUTPATIENT CARE (AT CHARGES) WAS PROVIDED. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $18,925,076 | ExpenseAmt |
| Revenue | $9,033,234 | 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 SIX 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 5) SIDNEY FAMILY HEALTH CENTER AND 6) WALK-IN 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 2013 TOTALED 78,537. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant | $28,075 | GrantAmt |
| Revenue | $2,724,387 | RevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Grant | $28,075 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $2,724,387 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $65,132,449 | 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 | Yes (1) | 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 | 73 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 603 | 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 |
| Form8899 Filedind | 0 | Form8899Filedind |
| Form1098 C Filed | 0 | Form1098CFiledInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | 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 | 0 | 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6073374111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 179 NORTH BROAD ST | AddressLine1 |
| City | NORWICH | City |
| State | NY | State |
| ZIP Code | 13815 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 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) | $268,661 | $0 | $36,686 | |||
| HOWARD L ATKINSON | |||||||||
| 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 | $1,366,467 | $38,591 | |||
| 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 | $506,312 | $33,115 | ||||
| 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 | $472,872 | $35,832 | 55.00 | |||
| RAJESH DAVE MD | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $616,536 | $33,445 | 55.00 | |||
| HARRY KISSI | |||||||||
| VP OF MEDICAL STAFF | 55.00 | Yes (X) | Yes (X) | $159,295 | $0 | $32,313 | |||
| MARGARET SWARTWOOD | |||||||||
| CONTROLLER | 55.00 | Yes (X) | $127,416 | $0 | $23,922 | ||||
| RON CEROW | |||||||||
| ADMINISTRATOR | 55.00 | Yes (X) | $107,378 | $0 | $22,155 | ||||
| ANNE ENGLISH | |||||||||
| DIRECTOR OF HUMAN RESOURCE | 55.00 | Yes (X) | $117,584 | $0 | $18,916 | ||||
| DRU CAVANAGH | |||||||||
| VP OF PATIENT CARE SERVICE | 17.00 | Yes (X) | $39,640 | $92,495 | $24,674 | 38.00 | |||
| WENDY SURDOVAL | |||||||||
| VP OF QUALITY MGMT | 55.00 | Yes (X) | $111,354 | $0 | $22,464 | ||||
| MICHAEL TREVISANI | |||||||||
| VP MEDICAL AFFAIRS | 55.00 | Yes (X) | $308,605 | $0 | $41,589 | ||||
| CHRISTINA KISACKY | |||||||||
| VP OF OPERATIONS | 55.00 | Yes (X) | $134,820 | $0 | $29,568 | ||||
| ROBERT MCCARTHY | |||||||||
| VP OF SYSTEM FINANCIAL OPE | 27.50 | Yes (X) | $105,754 | $105,754 | $22,994 | 27.50 | |||
| JAMES O'BRIEN MD | |||||||||
| PHYSICIAN | 55.00 | $336,540 | $0 | $41,041 | Yes (X) | ||||
| PETER GORDON | |||||||||
| PHYSICIAN | 55.00 | $340,578 | $0 | $41,041 | Yes (X) | ||||
| ANNA ARSENOUS | |||||||||
| PHYSICIAN | 55.00 | $336,540 | $0 | $24,775 | Yes (X) | ||||
| WILLIAM BOUDREAU | |||||||||
| PHYSICIAN | 55.00 | $303,240 | $0 | $41,567 | Yes (X) | ||||
| JOHN RUBIN | |||||||||
| PHYSICIAN | 55.00 | $299,520 | $0 | $36,138 | Yes (X) | ||||
| KEVIN B DECKER DDS | |||||||||
| FORMER PRES OF MEDICAL STAFF | 55.00 | $190,008 | $0 | $34,509 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,286,933 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,160,436 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $635,335 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 40 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MORRISON MANAGEMENT | |||||
| PO BOX 102289 | ATLANTA | GA | 303682289 | DIETARY FOOD SVCS MGMT | $1,617,463 |
| DELF O KING MD PC | |||||
| PO BOX 819 | NORWICH | NY | 13815 | ANESTHESIA SVCS | $1,578,500 |
| CROTHALL HEALTHCARE | |||||
| BANC OF AMERICA LOCKBOX SVCS | CHICAGO | IL | 60693 | HOUSEKEEPING SVCS | $1,063,954 |
| SECO PHYSICAL AND OCCUPATIONAL THERAPY | |||||
| PO BOX 1046 | NORWICH | NY | 13815 | THERAPY SVCS | $920,643 |
| VJC MEDICAL | |||||
| PO BOX 568 | FRISCO | TX | 75034 | PHYSICIAN TEMPORARY SERVICES | $484,705 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 20 | CntrctRcvdGreaterThan100KCnt |
| Membership Dues | $2,727 | MembershipDuesAmt |
| Fundraising | $31,522 | FundraisingAmt |
| Government Grants | $245,515 | GovernmentGrantsAmt |
| All Other Contributions | $345,405 | AllOtherContributionsAmt |
| Total Contributions | $625,169 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OUTPATIENT AND AMBULATORY SERVICE | 623000 | $40,265,204 | $40,265,204 |
| INPATIENT, ACUTE AND LONG TERM SK | 623000 | $19,098,519 | $19,098,519 |
| CLINICS | 623000 | $10,725,488 | $10,725,488 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $70,089,211 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $305,343 | TotalRevenueColumnAmt |
| Exclusion | $305,343 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $7,500 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $28,637 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$21,137 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$21,137 | TotalRevenueColumnAmt |
| Exclusion | -$21,137 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $168 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $31,522 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $168 | 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 | $2,166,935 | $2,166,935 |
| OTHER OPERATING REVENUE | 623000 | $329,963 | $329,963 |
| CAFETERIA REVENUE | 623000 | $227,491 | $227,491 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $95,996 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $95,996 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,820,385 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $73,818,971 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $72,813,600 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $95,996 | UnrelatedBusinessRevenueAmt |
| Exclusion | $284,206 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,000 | TotalAmt |
| Program Services | $27,000 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,075 | TotalAmt |
| Program Services | $1,075 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,944,050 | TotalAmt |
| Program Services | $1,944,050 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,546,408 | TotalAmt |
| Program Services | $23,113,038 | ProgramServicesAmt |
| Management And General | $2,433,370 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,603,554 | TotalAmt |
| Program Services | $2,355,559 | ProgramServicesAmt |
| Management And General | $247,995 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,168,698 | TotalAmt |
| Program Services | $3,771,619 | ProgramServicesAmt |
| Management And General | $397,079 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,863,719 | TotalAmt |
| Program Services | $1,686,195 | ProgramServicesAmt |
| Management And General | $177,524 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $794,271 | TotalAmt |
| Management And General | $794,271 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,408 | TotalAmt |
| Management And General | $73,408 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,689 | TotalAmt |
| Management And General | $81,689 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,628 | TotalAmt |
| Management And General | $11,628 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,237,041 | TotalAmt |
| Program Services | $4,237,041 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,129 | TotalAmt |
| Program Services | $61 | ProgramServicesAmt |
| Management And General | $6,068 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $535,499 | TotalAmt |
| Program Services | $391,731 | ProgramServicesAmt |
| Management And General | $143,768 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $199,064 | TotalAmt |
| Program Services | $192,407 | ProgramServicesAmt |
| Management And General | $6,657 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,132,880 | TotalAmt |
| Program Services | $1,005,124 | ProgramServicesAmt |
| Management And General | $127,756 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,300 | TotalAmt |
| Program Services | $48,972 | ProgramServicesAmt |
| Management And General | $39,328 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $272,874 | TotalAmt |
| Program Services | $272,874 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,209,645 | TotalAmt |
| Program Services | $2,209,645 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,110,988 | TotalAmt |
| Program Services | $1,110,988 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $14,063,355 | $12,709,154 | $1,354,201 |
| BAD DEBTS | $6,895,778 | $6,895,778 | |
| NEW YORK STATE CASH REC | $580,872 | $580,872 | |
| MISCELLANEOUS AUXILLARY | $14,717 | $14,717 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,763,133 | TotalAmt |
| Program Services | $2,564,549 | ProgramServicesAmt |
| Management And General | $198,584 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,225,775 | TotalAmt |
| Program Services | $65,132,449 | ProgramServicesAmt |
| Management And General | $6,093,326 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,880,354 | BOYAmt |
| EOY | $3,792,121 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,688,137 | BOYAmt |
| EOY | $7,143,625 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,338,480 | BOYAmt |
| EOY | $9,351,529 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $393,220 | BOYAmt |
| EOY | $408,538 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $554,482 | BOYAmt |
| EOY | $821,780 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $56,185,161 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $43,245,489 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,388,089 | BOYAmt |
| EOY | $12,939,672 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,697 | BOYAmt |
| EOY | $110,037 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,657,502 | BOYAmt |
| EOY | $3,892,708 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,995,961 | BOYAmt |
| EOY | $38,460,010 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,024,456 | BOYAmt |
| EOY | $6,128,020 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,659,706 | BOYAmt |
| EOY | $3,234,939 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,320,898 | BOYAmt |
| EOY | $13,684,795 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,005,060 | BOYAmt |
| EOY | $23,047,754 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$4,191,967 | BOYAmt |
| EOY | $7,846,673 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $741,074 | BOYAmt |
| EOY | $421,958 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,441,794 | BOYAmt |
| EOY | $7,143,625 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,990,901 | BOYAmt |
| EOY | $15,412,256 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,995,961 | BOYAmt |
| EOY | $38,460,010 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,593,196 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $14,340 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $9,813,819 | 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 | $11,628 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $11,628 | 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 | FUND 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 | $7,182,868 | 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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,781,660 | BeginningYearBalanceAmt |
| Contributions | $1,128,222 | ContributionsAmt |
| Investment Earnings Or Losses | $646,828 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,001,684 | OtherExpendituresAmt |
| End Year Balance | $6,555,026 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.94420 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.05580 | 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 | $23,012,501 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,585,400 | DepreciationAmt |
| Book Value | $5,427,101 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,612,247 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,106,780 | DepreciationAmt |
| Book Value | $505,467 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $29,648,440 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,618,841 | DepreciationAmt |
| Book Value | $6,029,599 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,744,220 | OtherCostOrOtherBasisAmt |
| Depreciation | $934,468 | DepreciationAmt |
| Book Value | $809,752 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,939,672 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTEREST IN CMH FOUNDATION | $2,941,675 |
| ASSETS LIMITED TO USE- RESTRICTED CASH FOR EQUIPMENT | $356,005 |
| OTHER ASSETS | $595,028 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,892,708 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD-PARTY PAYORS | $5,349,047 |
| DUE TO AFFILIATES | $742,915 |
| LONG TERM PENSION LIABILITY | $4,899,928 |
| CAPITAL LEASE OBLIGATIONS | $1,182,746 |
| OTHER LIABILITIES | $1,510,159 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $13,684,795 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $73,755,387 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $73,755,387 | RevenueSubtotalAmt |
| Other Revenues Not Included | $63,584 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $63,584 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $73,818,971 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $71,182,245 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $71,182,245 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $43,530 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $43,530 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $71,225,775 | 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, 2013 AND 2012, 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 2010 THROUGH 2013. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | AUXILIARY INCOME 63,584. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | AUXILIARY EXPENSES 43,530. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | FESTIVAL OF TREES | NameOfEvent1Amt |
| Gross Receipts Event1 | $25,000 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $25,000 | CharitableContriEvent1Amt |
| Name Of Event2 | UNIFORM SALE | NameOfEvent2Amt |
| Gross Receipts Event2 | $3,058 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $3,058 | CharitableContriEvent2Amt |
| Other Events Total | 5 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $3,632 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $3,464 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $168 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $168 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $31,690 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $31,522 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $168 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $168 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $168 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $0 | NetIncomeSummaryAmt |
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 | $651,048 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $247,056 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $403,992 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00630 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,901,143 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,991,628 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $909,515 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01410 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $324,146 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $257,888 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $66,258 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,876,337 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,496,572 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,379,765 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02140 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,876,337 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,496,572 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,379,765 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02140 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,092 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,092 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,360 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,360 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,745 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,745 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,669 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,669 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $52,010 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $52,010 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,950 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,950 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $89,826 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $89,826 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,378,968 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,458,691 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $13,503,513 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $17,116,743 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,613,230 | 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 | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 179 NORTH BROAD STREET | AddressLine1 |
| City | NORWICH | City |
| State | NY | State |
| ZIP Code | 13815 | ZIPCode |
| 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 |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHENANGO MEMORIAL HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://WWW.UHS.NET | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| Other Needs Addressed | Yes (X) | OtherNeedsAddressedInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| State Regulation | Yes (X) | StateRegulationInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| 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 (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CHENANGO MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 3: 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 6I: HOW THE HOSPITAL ADDRESSED NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA.THIS WAS THE FIRST CHNA SUBMITTED BY UHS CHENANGO MEMORIAL HOSPITAL AND WAS NOT REQUIRED UNTIL MAY 15, 2014. THE CHNA WAS APPROVED BY THE HOSPITALS BOARD OF TRUSTEES ON APRIL 7, 2014, AND IMMEDIATELY MADE AVAILABLE ON THE WEBSITE. THEREFORE, 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 MEMORIALS 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 DOHS 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 DIDNT 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 CMHS WOMENS 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 PATIENTS INITIAL, 20-WEEK, 36 WEEK, AND POST-PARTUM VISITS. ADDITIONAL 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 PATIENTS FIRST PRE-NATAL VISIT TO THE WOMENS HEALTH CENTER. THESE BOOKS COVER ANTI-TOBACCO USE AND ARE REVIEWED BY THE NURSE AT EVERY VISIT.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 SHERIFFS 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 2014S 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 PATIENTS PRIMARY CARE PHYSICIAN OR A BREASTFEEDING CONSULTANT AS NEEDED.LASTLY, CMHS WOMENS 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 PATIENTS 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. |
| CHENANGO MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 7: 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 MANAGEMENTTO BE ADDRESSED BY THE CHENANGO COUNTY COMMUNITY MENTAL HYGIENE SERVICES. MENTAL HEALTH IS NOT A CORE BUSINESS OF UHS CHENANGO MEMORIAL HOSPITAL. COLLABORATION HAS TAKEN PLACE IN 2014 AND WILL BE REPORTED IN NEXT YEARS 990.*SUPPORT POLICY CHANGE SUCH AS TOBACCO-FREE WORKSITE, PARKS, PLAYGROUNDS AND POINT-OF-PURCHASE ADVERTISINGTO BE ADDRESSED BY THE CHENANGO HEALTH NETWORK. *MARKET AND PROMOTE LOCAL PARKS AND PLAYGROUNDS TO COUNTY RESIDENTS TO ENCOURAGE USE BY MORE PEOPLENOT 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 HEALTHYALTHOUGH 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 GROUPSUHS CHENANGO MEMORIAL PARTICIPATED IN HEALTH FAIRS AT CHOBANIS CORPORATE HEADQUARTERS IN NORWICH, NY AND THEIR PRODUCTION FACILITY IN SO. EDMESTON, NY. APPROXIMATELY 175 PEOPLE VISITED THE TABLE AND ABOUT 90 HAD AN OSTEOPOROSIS SCREENING THROUGH A MOBILE BONE DENSITOMETER. EMPLOYEES WHO ASSIST WITH THE HEALTH FAIRS ALSO GENERATE REVENUE AT THE HOSPITAL MAKING IT DIFFICULT TO ATTEND MANY OF THESE EVENTS. ALSO TO ENCOURAGE OUR EMPLOYEES TO LIVE HEALTHY LIVES, UHS OFFERS A WELLNESS REWARDS PROGRAM TO EMPLOYEES. THIS ENABLES THE EMPLOYEE TO EARN $400 TO USE TOWARD THEIR HEALTH INSURANCE DEDUCTIBLE FOR COMPLETION OF WELLNESS ACTIVITES SUCH AS PCP WELLNESS VISIT, ONLINE COACHING, COTININE LAB TEST AND/OR BIOMETRIC SCREENING.*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.WORK ON THIS HEALTH NEED HAS TAKEN PLACE IN 2014 AND WILL BE REPORTED ON NEXT YEARS 990. |
| CHENANGO MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 20D: GROSS CHARGES TO ALL PATIENTS WHETHER INSURED OR NOT. |
| CHENANGO MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 22: 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 | 8 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt | Address Line2USAddress/AddressLine2 |
|---|---|---|---|---|---|
| CMH FAMILY HEALTH CENTER IN NORWICH | |||||
| 4 NEWTON AVENUE | NORWICH | NY | 13815 | FAMILY HEALTH CENTER | |
| CMH FAMILY HEALTH CENTER IN SHERBURNE | |||||
| 38A CLASSIC STREET | SHERBURNE | NY | 13460 | FAMILY HEALTH CENTER | |
| CMH DENTAL CENTER | |||||
| 32 CONKEY AVENUE | NORWICH | NY | 13815 | DENTAL HEALTH CENTER | |
| CV STRATTON CENTER FOR THERAPIES | |||||
| NORWICH SHOPPING PLAZA- ROUTE 12 | NORWICH | NY | 13815 | CENTER FOR THERAPIES | NORTH |
| CMH FAMILY HEALTH CENTER IN OXFORD | |||||
| 40 NORTH CANAL STREET | OXFORD | NY | 13830 | FAMILY HEALTH CENTER | |
| CMH FAMILY HEALTH CENTER IN SIDNEY | |||||
| 44 PEARL STREET | SIDNEY | NY | 13838 | FAMILY HEALTH CENTER | |
| CMH WALK-IN CENTER | |||||
| 4 NEWTON AVENUE | NORWICH | NY | 13815 | WALK IN CLINIC | |
| CMH 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 $6,895,778 WAS NOT INCLUDED IN THE CALCULATION OF NET BENEFIT EXPENSE. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | PHYSICAL IMPROVEMENTS AND HOUSING*CMH IS PROUD TO HAVE AN EMPLOYEE WHO IS ACTIVELY INVOLVED IN HABITAT FOR HUMANITY. THEY ARE A NON-PROFIT, ECUMENICAL CHRISTIAN HOUSING ORGANIZATION BUILDING SIMPLE, DECENT, AFFORDABLE HOUSING IN PARTNERSHIP WITH PEOPLE IN NEED. WORKING WITH A GROUP OF HER SORORITY SISTERS FROM COLLEGE, THEY HAVE RECEIVED NATIONAL RECOGNITION AND AN APPEARANCE ON THE QUEEN LATIFAH TELEVISION SHOW.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.*EMPTY ARMS SUPPORT GROUP -- THE HOSPITAL ALSO OFFERS AN EMPTY ARMS SUPPORT GROUP WHICH HAS EVOLVED INTO MORE OF A 1:1 SERVICE FOR FAMILIES THAT HAVE LOST A CHILD. THIS PROGRAM IS PROVIDED ON AN AS-NEEDED BASIS AND IS OFFERED AT NO COST.*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. *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 INDIVIDUALS RIGHT TO LIVE WITHOUT ABUSE. THE PROGRAM PROVIDES DIRECT SERVICES TO VICTIMS OF DOMESTIC VIOLENCE, SEXUAL ASSAULT, CHILD ABUSE, AND OTHER CRIMES. THE HOSPITALS 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.PETER GORDON, MD, MEDICAL DIRECTOR OF UHS CHENANGO MEMORIALS EMERGENCY SERVICES DEPARTMENT, WAS HONORED BY THE CHENANGO COUNTY CHILD ADVOCACY CENTER AT A PUBLIC CEREMONY IN APRIL 2013 IN DOWNTOWN NORWICH. HE RECEIVED ONE OF THE ORGANIZATIONS GUARDIAN AWARDS FOR HIS DEDICATION TO SERVING VICTIMS AND ADVANCING VICTIMS RIGHTS. THREE ER NURSES WERE CERTIFIED IN JULY AS SEXUAL ASSAULT FORENSIC EXAMINERS (SAFE). SAFE CERTIFICATION IS ADMINISTERED BY THE NEW YORK STATE DEPARTMENT OF HEALTH (NYS DOH). CERTIFIED EXAMINERS RECEIVE 40 HOURS OF APPROVED DIDACTIC AND CLINICAL TRAINING. DOH-APPROVED SAFE PROGRAMS AND SPECIFICALLY TRAINED HEALTH PROFESSIONALS ENSURE THAT VICTIMS OF SEXUAL ASSAULT ARE PROVIDED WITH COMPETENT, COMPASSIONATE AND PROMPT CARE, WHILE PROVIDING THE MOST ADVANCED TECHNOLOGY ASSOCIATED WITH DNA AND OTHER SEXUAL ASSAULT FORENSIC EVIDENCE COLLECTION AND PRESERVATION. COALITION BUILDING*MEMBERS OF THE HOSPITALS 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.-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. -IROQUOIS HEALTH ALLIANCE (IHA) THE HOSPITALS CEO IS AN IHA BOARD MEMBER. THE ORGANIZATION CONSISTS OF CEOS 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 CEOS.-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 COMMUNITYS 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. -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. -EMERGENCY MEDICAL SERVICES OUR MEDICAL DIRECTOR OF EMERGENCY SERVICES AND NURSE MANAGER ATTEND MEETINGS OF REPRESENTATIVES OF CHENANGO COUNTYS EMERGENCY MEDICAL SERVICES. DISCUSSION TOPICS INCLUDE PROTOCOLS, ELECTRONIC MEDICAL RECORDS, NEWS IN THE COUNTY REGARDING EMS, ROAD WORK, AND TRAINING. THE HOSPITAL HAS MANY COMMUNITY SUPPORTERS. TO RECOGNIZE THEIR CONTRIBUTIONS, UHS CHENANGO MEMORIAL HOSTED THESE EVENTS: X-RAY OPEN HOUSE SMITH FOUNDATION TOUR EMS WEEK COOKOUTCOMMUNITY HEALTH IMPROVEMENT ADVOCACY:NOT SURPRISINGLY, UHS CHENANGO MEMORIAL IS HEAVILY INVOLVED WITH HEALTH PROGRAMS IN THE COMMUNITY. DIABETES INFORMATION FAIRS DIABETES EDUCATION COMMITTEE DIABETES SELF MANAGEMENT CLASSES BLOOD SCREENING & HEALTH FAIR ENGAGING SUBSTANCE USING MOMS AND MANAGING NEONATAL ABSTINENCE SYNDROME IN THE NEWBORN BLOOD DRIVES WELLNESS DAY FOR SENIOR CITIZENS CHENANGO COUNTY FAIR SENIORS DAY SWADDLING PROGRAM WORKFORCE DEVELOPMENTAS THE ONLY HOSPITAL IN CHENANGO COUNTY, UHS CHENANGO MEMORIAL IS THE EPICENTER FOR TRAINING AND MENTORING OF HEALTH CARE STUDENTS. NUMEROUS STUDENTS RECEIVE 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 GROUP OF 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 2013. STUDENT MENTORING 254 STUDENTS FROM VARIOUS EDUCATIONAL INSTITUTIONS WERE ON-SITE TO COMPLETE THEIR CLINICALS, PRECETORSHIPS, INTERNSHIPS, ETC., AT THE HOSPITAL IN THESE DISCIPLINES:O NURSINGO ANESTHESIOLOGYO RADIOLOGYO LABO EMERGENCY MEDICINEO PRIMARY CAREO CERTIFIED NURSE AIDSTUDENTS CAME FROM BOCES, MORRISVILLE STATE, HARTWICK COLLEGE, ALBANY MEDICAL CENTER, BROOME COMMUNITY COLLEGE, SUNY DELHI, AND SYRACUSE UNIVERSITY. STAFF SPENT THOUSANDS OF HOURS MENTORING THESE STUDENTS. 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 2013, 40 STUDENTS SPENT 836 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 SCH |
| 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 THAT 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 SURVEYS ADMINISTERED THROUGH PRESS GANEY TO COLLECT PATIENT INPUT. PATIENTS VISITING ALL 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. IN 2013, THE HOSPITAL INITIATED A PAIN MANAGEMENT PROGRAM AND THE USE OF EPIDURALS DURING BIRTH AS A RESULT OF PATIENT FEEDBACK.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 QUITE VOCAL ABOUT WHAT THEY ARE HEARING IN THE COMMUNITY.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 2013, 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 A MEMBER OF THE CHENANGO HEALTH NETWORKS (CHN) BOARD. 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 CHANENGO 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 2013, CMH HAD AN OCCUPANCY RATE OF 89.6%. 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 16 MEMBERS, 10 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 2013, THE FOLLOWING PROJECTS HAD CAPITAL EXPENDITURES TO IMPROVE PATIENT CARE AND SAFETY: INSTALLATION OF A NEW 64-SLICE CT SCANNER AT THE HOSPITAL INCLUDING ASSOCIATED MODIFICATIONS OF THE SPACE TO MEET DOH AND VENDOR SPECIFICATIONS. THE NEW CT SCANNER HAS LESS RADIATION EXPOSURE AND FASTER TEST TIMES FOR THE PATIENT WHILE PROVIDING IMPROVED VISUALIZATION OF THE BODY BEING EXAMINED FOR MORE ACCURATE DIAGNOSIS AND OUTCOMES. CMH WAS THE FIRST HOSPITAL IN THE REGION TO ACQUIRE A NEW VIDEOENDOSCOPY SYSTEM TECHNOLOGY WHICH MAKES PROCEDURES EASIER FOR BOTH PATIENTS AND PHYSICIANS. THIS SYSTEM, CALLED THE OLYMPUS EVIS EXTERA II, USES STATE-OF-THE-ART ELECTRONICS INCLUDING A VIDEO PROCESSOR, LIGHT SOURCE, ENDOSCOPE AND MONITOR TO ENABLE PHYSICIANS TO PEER INSIDE THE HUMAN BODY TO DIAGNOSE, DETECT AND TREAT GASTROINTESTINAL (GI) DISEASES AND OTHER CONDITIONS. THE EQUIPMENT FACILITATES EARLIER DIGESTIVE DISEASE DETECTION AND TREATMENT. PHYSICIANS REPORT MORE ACCURATE DIAGNOSES, SHORTER PROCEDURE TIMES AND IMPROVED OVERALL PATIENT EXPERIENCE. INTERIOR RENOVATION OF THE BUILDING HOUSING ORTHOPEDICS, GENERAL SURGERY, AND PEDIATRICS WAS COMPLETED IN 2013. THE RENOVATION INCLUDED RECREATING NURSES STATIONS FOR BETTER WORK FLOW, A NEW REGISTRATION AREA FOR EASIER PATIENT ACCESS, STATIONS FOR MEDICAL OFFICE ASSISTANTS WHO REVIEW INFORMATION WITH PATIENTS, SET UP FOLLOW-UP APPOINTS, AND PROVIDE OTHER ASSISTANCE. THE WAITING ROOM RECEIVED A MAKEOVER THAT INCLUDED NEW FURNITURE AND AMENITIES TO IMPROVE PATIENT COMFORT. SOARIAN CLINICAL INPATIENT MEDICAL RECORD SYSTEM WAS IMPLEMENTED IN OCTOBER WITH THE AIM OF REPLACING OUR OLDER, LEGACY SYSTEMS THAT WERE FAST BECOMING OUTDATED. THE PROJECT INVOLVED THREE COMPONENTS: 1) TO MAKE EVERYDAY WORK MORE EFFICIENT, 2) TO MAKE THE UHS HEALTHCARE SYSTEM MORE COHESIVE AND 3) TO ENSURE THE COORDINATED CONTINUUM OF PATIENT CARE ACROSS ALL UHS ORGANIZATIONS. WHEN THE PATIENT ACCESSES SERVICES WITHIN THE UHS SYSTEM, HIS/HER ELECTRONIC MEDICAL RECORD WOULD BE AVAILABLE BY ANY PROVIDER THAT SEES HIM/HER REGARDLESS OF LOCATION. CONVERSELY, A PRIMARY CARE PHYSICIAN CAN ACCESS THE RECORD TO SEE, FOR EXAMPLE, INFORMATION REGARDING AN INPATIENT STAY. ALL OF THIS MEANS SAFER, HIGHER QUALITY CARE OF THE PATIENT, LOWER LENGTH OF STAY, AND A REDUCTION IN DUPLICATE TESTING AND ASSOCIATED COSTS TO THE PATIENT. CMH THERAPIES AND SECO IN NORWICH JOINED FORCES TO SERVE PHYSICAL THERAPY PATIENTS IN A NEW, LARGER FACILITY. UNTIL SEPTEMBER, SECO HAD BEEN A CONTRACTOR FOR UHS CHENANGO MEMORIAL HOSPITAL PROVIDING INPATIENT AND OUTPATIENT THERAPY SERVICES. THE SUCCESSFUL MOVE TO THE EATON CENTER IS THE RESULT OF A STRONG PARTNERSHIP AMONG THREE COMMUNITY ORGANIZATIONS: UHS CHENANGO MEMORIAL HOSPITAL, SECO AND THE EATON CENTER. THIS PARTNERSHIP, NOW KNOWN AS UHS THERAPIES NORWICH, IS LOCATED IN A CONVENIENT, DOWNTOWN LOCATION THAT CONSOLIDATED THE SECO PRACTICE ON ROUTE 32 AND THE HOSPITALS PRACTICE ON ROUTE 12. THE NEW LOCATION PROVIDES MORE ACCESS FOR PATIENTS, IMPROVED PATIENT SERVICES, AND HAS BECOME AN ANCHOR BUSINESS IN THE BUILDING THAT HAS ALREADY ATTRACTED OTHER BUSINESSES TO LOCATE THERE. SERVICES AT THE NEW SITE INCLUDE PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND SPEECH THERAPY. THE NEW YORK STATE DEPARTMENT OF HEALTH APPROVED THE RENOVATION OF THE HOSPITALS AMBULATORY/SURGERY DEPARTMENT AND CREATION OF A GI SUITE ON AUGUST 16, 2013. MINOR FACELIFTS IN PREPARATION FOR MOVING PEOPLE AND SERVICES TO ALTERNATE LOCATIONS BEGAN AHEAD OF TIME SO WORK COULD BEGIN IMMEDIATELY UPON APPROVAL. AS OF THE END OF 2013, EXPENDITURES TOTALED OVER $204,000. THE REMAINDER OF THE PROJECT WILL TAKE PLACE IN 2014. UHS CHENANGO MEMORIAL COMBINED THE WALK-IN CENTER WITH THE EMERGENCY ROOM. ALTHOUGH THE NEW LOCATION DIDNT OFFICIALLY OPEN UNTIL JANUARY 1, 2014, CAPITAL EXPENDITURES WERE MADE IN 2013 TO PREPARE THE AREA FOR THE ADDITIONAL VOLUME OF PATIENTS AND PROVIDERS. THE CONSOLIDATION HAS PROVED SUCCESSFUL AS PATIENT FLOW HAS IMPROVED AND WAIT TIMES HAVE DECREASED EVEN THOUGH PATIENT VOLUME IN THE EXPANDED EMERGENCY AREA HAS INCREASED 20%. 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 REFERRED ONE WAY AND THE MORE ACUTE CASES ARE TREATED IN THE EMERGENCY ROOM. A STRESS TREADMILL AND A CARDIOLOGY ULTRASOUND WERE PURCHASED TO REPLACE OLDER EQUIPMENT IN THE OUTPATIENT HEART CENTER. THE TREADMILL REPLACED OLDER EQUIPMENT THAT COULD NO LONGER BE MAINTAINED. THE CARDIOLOGY ULTRASOUND IS SPECIALLY DESIGNED FOR HEART IMAGING AND HAS BETTER IMAGE QUALITY. THE ACCOMPANYING SOFTWARE HAS THE CAPABILITY TO DO MORE THINGS IN ONE STEP REQUIRING LESS TIME FOR THE PATIENT UNDERGOING THE TEST. DIGITAL MAMMOGRAPHY EQUIPMENT WAS PURCHASED IN 2013 AND REPLACED 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 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. WE TOOK DELIVERY OF THE NEW EQUIPMENT IN 2014. NEW CARPETING WAS PURCHASED FOR OUR LONG-TERM CARE FACILITY TO REPLACE CARPETING THAT WAS WORN OUT. CMH MAKES EVERY EFFORT TO MAKE THE LONG-TERM CARE FACILITY AS HOME-LIKE AS POSSIBLE FOR RESIDENTS WHO ACTUALLY CALL IT HOME. IN 2013, THE HOSPITAL INITIATED THE PROCESS FOR IMPLEMENTING A SECURITY LOCKDOWN SYSTEM. THIS INITIATIVE WAS THE RESULT OF VIOLENT INCIDENCES IN THE EMERGENCY ROOM AND THE COMMUNITY THAT PUTS PATIENTS, VISITORS AND STAFF AT RISK FOR INJURY. MUCH OF THE HARDWARE FOR THE SYSTEM WAS PURCHASED IN 2013 WITH A PHASED ROLLOUT PLAN SCHEDULED FOR 2014. MORE ON THIS MEASURE TO PROTECT THE STAFF AND COMMUNITY AT THE HOSPITAL WILL BE REPORTED IN NEXT YEARS 990. ULTRASOUND EQUIPMENT WAS ADDED TO THE HOSPITALS RADIOLOGY DEPARTMENT TO REPLACE A UNIT THAT WAS MOVED TO THE SIDNEY, NY HEALTH CENTER. THE SIDNEY CENTER NOW HAS AN OBSTETRICS/GYNECOLOGY PRACTICE BUT DIDNT HAVE ANY ULTRASOUND CAPABILITIES TO VIEW BABIES IN VITRO. THIS HAS BEEN A CRITICAL IMPROVEMENT TO CARE IN THAT LOCATION BECAUSE HIGH RISK BABIES ARE DISCOVERED EARLY AND THEIR CARE AND THE MOMS CARE PLANNED ACCORDINGLY. PRIOR TO THE ULTRASOUNDS RELOCATION TO SIDNEY, MOMS HAD TO TRAVEL 45 MINUTES TO CMH OR ANOTHER FACILITY TO HAVE THE ULTRASOUND DONE. |
| 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 | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 179 NORTH BROAD STREET | AddressLine1 |
| City | NORWICH | City |
| State | NY | State |
| ZIP Code | 13815 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 150532180 | RecipientEIN |
| IRC Section | 501 (C) (3) | IRCSectionDesc |
| Cash Grant | $27,000 | CashGrantAmt |
| Valuation Method Used | CASH | ValuationMethodUsedDesc |
| Purpose Of Grant | UPGRADE TO THE PHLEBOTOMY ROOM AND RESOURCES TOWARD MRI BREAST IMAGING SERVICES | 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 (17 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 | $268,661 | $0 | $0 | $0 | $0 | $0 | $24,225 | $0 | $12,461 | $0 | $305,347 | $0 | $0 | $0 |
| MATTHEW J SALANGER | ||||||||||||||
| 2ND VICE CHAIRMAN | $0 | $863,904 | $0 | $227,102 | $0 | $275,461 | $0 | $16,320 | $0 | $22,271 | $0 | $1,405,058 | $0 | $0 |
| ROBERT G GOMULKA | ||||||||||||||
| TRUSTEE | $0 | $407,496 | $0 | $90,836 | $0 | $7,980 | $0 | $16,320 | $0 | $16,795 | $0 | $539,427 | $0 | $0 |
| JOHN M CARRIGG | ||||||||||||||
| TRUSTEE | $0 | $393,749 | $0 | $79,123 | $0 | $0 | $0 | $16,320 | $0 | $19,512 | $0 | $508,704 | $0 | $0 |
| RAJESH DAVE MD | ||||||||||||||
| TRUSTEE | $0 | $492,574 | $0 | $109,508 | $0 | $14,454 | $0 | $16,320 | $0 | $17,125 | $0 | $649,981 | $0 | $0 |
| HARRY KISSI | ||||||||||||||
| VP OF MEDICAL STAFF | $159,295 | $0 | $0 | $0 | $0 | $0 | $15,133 | $0 | $17,180 | $0 | $191,608 | $0 | $0 | $0 |
| MARGARET SWARTWOOD | ||||||||||||||
| CONTROLLER | $127,416 | $0 | $0 | $0 | $0 | $0 | $12,105 | $0 | $11,817 | $0 | $151,338 | $0 | $0 | $0 |
| DRU CAVANAGH | ||||||||||||||
| VP OF PATIENT CARE SERVICE | $39,640 | $92,495 | $0 | $0 | $0 | $0 | $3,766 | $8,787 | $3,636 | $8,485 | $47,042 | $109,767 | $0 | $0 |
| MICHAEL TREVISANI | ||||||||||||||
| VP MEDICAL AFFAIRS | $308,605 | $0 | $0 | $0 | $0 | $0 | $24,225 | $0 | $17,364 | $0 | $350,194 | $0 | $0 | $0 |
| CHRISTINA KISACKY | ||||||||||||||
| VP OF OPERATIONS | $134,820 | $0 | $0 | $0 | $0 | $0 | $12,808 | $0 | $16,760 | $0 | $164,388 | $0 | $0 | $0 |
| ROBERT MCCARTHY | ||||||||||||||
| VP OF SYSTEM FINANCIAL OPE | $89,006 | $89,006 | $16,748 | $16,748 | $0 | $0 | $6,768 | $6,768 | $4,729 | $4,729 | $117,251 | $117,251 | $0 | $0 |
| JAMES O'BRIEN MD | ||||||||||||||
| PHYSICIAN | $336,540 | $0 | $0 | $0 | $0 | $0 | $24,225 | $0 | $16,816 | $0 | $377,581 | $0 | $0 | $0 |
| PETER GORDON | ||||||||||||||
| PHYSICIAN | $340,578 | $0 | $0 | $0 | $0 | $0 | $24,225 | $0 | $16,816 | $0 | $381,619 | $0 | $0 | $0 |
| ANNA ARSENOUS | ||||||||||||||
| PHYSICIAN | $336,540 | $0 | $0 | $0 | $0 | $0 | $24,225 | $0 | $550 | $0 | $361,315 | $0 | $0 | $0 |
| WILLIAM BOUDREAU | ||||||||||||||
| PHYSICIAN | $303,240 | $0 | $0 | $0 | $0 | $0 | $24,225 | $0 | $17,342 | $0 | $344,807 | $0 | $0 | $0 |
| JOHN RUBIN | ||||||||||||||
| PHYSICIAN | $299,520 | $0 | $0 | $0 | $0 | $0 | $24,225 | $0 | $11,913 | $0 | $335,658 | $0 | $0 | $0 |
| KEVIN B DECKER DDS | ||||||||||||||
| FORMER PRES OF MEDICAL STAFF | $190,008 | $0 | $0 | $0 | $0 | $0 | $18,051 | $0 | $16,458 | $0 | $224,517 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 AND VP OF FINANCE. |
| 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 THE 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 XI, LINE 9: | CUMULATIVE EFFECT OF AUXILIARY INCOME AND EXPENSE -20,054. CHANGE IN INTEREST IN CHENANGO MEMORIAL HOSPITAL FOUNDATION 378,347. PENSION CHANGES OTHER THAN NET PERIODIC BENEFIT COSTS 8,753,695. CHANGE IN VALUE OF FUNDS HELD IN TRUST BY OTHERS 701,831. |
| 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 CURRENT YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | 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 | ||||||||||
| 4401 VESTAL PARKWAY EAST | VESTAL | NY | 13850 | 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 |
| UNITED MEDMANAGEMENT | ||||||||||
| 601 RIVERSIDE DRIVE | JOHNSON CITY | NY | 13790 | 161396133 | PHYSICIAN PRACTICES | NY | 501 (C) (3) | 11B | UNITED HEALTH SERVICES INC | 0 |
| PROFESSIONAL HOME CARE INC | ||||||||||
| 4401 VESTAL PARKWAY EAST | VESTAL | NY | 138503556 | 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 | ||||||||||
| 4401 VESTAL PARKWAY EAST | VESTAL | NY | 13850 | 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/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | 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 |