ST ELIZABETH COMMUNITY HEALTH SUPPORT: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ST ELIZABETH COMMUNITY HEALTH SUPPORT (EIN 15-0532245)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201343199349306739
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-15T14:12:55-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 454051133 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FREED MAXICK CPAS PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 LIBERTY BLDG 420 MAIN ST | AddressLine1 |
| City | BUFFALO | City |
| State | NY | State |
| ZIP Code | 142023508 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 150532245 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST ELIZABETH MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STEL | NameControl |
| Phone | 3157988151 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2209 GENESEE STREET | AddressLine1 |
| City | UTICA | City |
| State | NY | State |
| ZIP Code | 135015999 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LOUIS AIELLO | Name |
| Title | CFO | Title |
| Phone | 3157988151 | Phone |
| Date Signed | 2013-11-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARY MADONIA | Name |
| PTIN | P00405803 | PTIN |
| Phone | 7168472651 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RICHARD KETCHAM | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2209 GENESEE STREET | AddressLine1 |
| City | UTICA | City |
| State | NY | State |
| ZIP Code | 135015999 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 205608887 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.STEMC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1861 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | ST. ELIZABETH MEDICAL CENTER COMMUNITY, INSPIRED BY ST. FRANCIS OF ASSISI AND FAITHFUL TO THE TEACHINGS OF THE ROMAN CATHOLIC CHURCH, IS COMMITTED TO EXCELLENCE IN HEALTHCARE AND EDUCATION. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2269 | TotalNbrEmployees |
| Total Nbr Volunteers | 180 | TotalNbrVolunteers |
| Total Gross UBI | 322015 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -68120 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1455110 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 8059917 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 199858890 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 189765421 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1270313 | InvestmentIncomePriorYear |
| Investment Income Current Year | 155586 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 5234727 | OtherRevenuePriorYear |
| Other Revenue Current Year | 6423776 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 207819040 | TotalRevenuePriorYear |
| Total Revenue Current Year | 204404700 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 116656665 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 121029866 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 88012854 | OtherExpensePriorYear |
| Other Expenses Current Year | 79970651 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 204669519 | TotalExpensesPriorYear |
| Total Expenses Current Year | 201000517 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3149521 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3404183 | RevenuesLessExpensesCY |
| Total Assets BOY | 136782075 | TotalAssetsBOY |
| Total Assets EOY | 142139366 | TotalAssetsEOY |
| Total Liabilities BOY | 131891120 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 141635641 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 4890955 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 503725 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | ST. ELIZABETH MEDICAL CENTER COMMUNITY, INSPIRED BY ST. FRANCIS OF ASSISI AND FAITHFUL TO THE TEACHINGS OF THE ROMAN CATHOLIC CHURCH, IS COMMITTED TO EXCELLENCE IN HEALTHCARE AND EDUCATION. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 102615399 | Expense |
| Revenue | 112078349 | Revenue |
| Description | INPATIENT SERVICES- ST ELIZABETH MEDICAL CENTER IS A FULL SERVICE GENERAL HOSPITAL WITH 201 LICENSED BEDS. THE HOSPITAL PROVIDES A FULL RANGE OF ROUTINE AND ANCILLARY SERVICES, INCLUDING CARDIAC SURGERY AND ANGIOPLASTY. DISBURSEMENTS MADE BY THE HOSPITAL ARE EXCLUSIVELY FOR SERVICES AND MATERIALS USED IN PERFORMING THE HOSPITAL'S EXEMPT FUNCTIONS. ST. ELIZABETH MEDICAL CENTER PROVIDES CARE TO EVERYONE REGARDLESS OF RACE, RELIGION OR ABILITY TO PAY. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 23112228 | Expense |
| Revenue | 25692193 | Revenue |
| Description | AMBULATORY SURGERY- ST. ELIZABETH MEDICAL CENTER HAS A FULL RANGE OF AMBULATORY SURGERY SERVICES ON ITS CAMPUS FOR PATIENTS THAT DO NOT REQUIRE OVERNIGHT OR LONG INPATIENT STAYS. ST. ELIZABETH MEDICAL CENTER PROVIDES SERVICES TO EVERYONE REGARDLESS OF RACE, RELIGION, OR ABILITY TO PAY. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 12729815 | Expense |
| Revenue | 16118208 | Revenue |
| Description | OUR EMERGENCY DEPARTMENT CONSISTS OF 33 PRIVATE ROOMS. AS A LEVEL II TRAUMA CENTER, OUR EMERGENCY DEPARTMENT OFFERS 24 HOUR SERVICE FOR EMERGENCY EVALUATION OF PATIENTS. THE EMERGENCY DEPARTMENT SERVES OVER 40,000 PATIENTS EACH YEAR WITH A VARIETY OF ILLNESSES RANGING FROM MINOR ILLNESS TO MAJOR TRAUMAS AND HEART ATTACKS. THE STAFF IS COMPRISED OF BOARD CERTIFIED PHYSICIANS, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS, REGISTERED NURSES, AND EMERGENCY DEPARTMENT ASSISTANTS. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 40970473 | Expense |
| Revenue | 41535139 | Revenue |
| Description | OTHER PROGRAM SERVICES INCLUDE COMMUNITY MEDICINE, REFERRED AMBULATORY, CLINICS, FAMILY PRACTICE, SPORTS MEDICINE CENTER, COLLEGE OF NURSING, INTERNS AND RESIDENTS, AND HOME HEALTH AGENCY. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 40970473 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 41535139 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 179427915 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 1 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 186 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 2269 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST ELIZABETH MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3157988151 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2209 GENESEE STREET | AddressLine1 |
| City | UTICA | City |
| State | NY | State |
| ZIP Code | 13501 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| SR DONNA MCGARTLAND | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| CATHERINE COMINSKY | ||||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | X | ||
| GREGORY P EVANS | ||||||||
| VICE CHAIR | 2.00 | X | 0 | 0 | 0 | X | ||
| HARRISON J HUMMEL III | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| SYMEON TSOUPELIS | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| RAYMOND MEIER | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| HON NORMAN I SIEGEL | ||||||||
| CHAIR | 2.00 | X | 0 | 0 | 0 | X | ||
| STEVEN WILLIAMS MD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| ERIC YOSS MD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| RICHARD F ZWEIFEL | ||||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | X | ||
| ANDREW S KOWALCZYK III | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| TIMOTHY PAGE MD | ||||||||
| DIRECTOR | 1.00 | X | 50724 | 0 | 0 | |||
| ROBERT SCHOLEFIELD | ||||||||
| COO | 40.00 | 239475 | 0 | 25173 | X | |||
| RICHARD KETCHAM | ||||||||
| CEO | 40.00 | 457031 | 0 | 19746 | X | |||
| LOU AIELLO | ||||||||
| CFO | 40.00 | 291156 | 0 | 22870 | X | |||
| ALBERT D'ACCURZIO MD | ||||||||
| MEDICAL DIRECTOR | 40.00 | 304954 | 0 | 25268 | X | |||
| VARINYA SHEPPARD | ||||||||
| CHIEF NURSING OFFICER | 40.00 | 185721 | 0 | 14776 | X | |||
| OLEG DULKEN MD | ||||||||
| PHYSICIAN | 40.00 | 321838 | 0 | 22736 | X | |||
| ERIC FREIBERGER MD | ||||||||
| PHYSICIAN | 40.00 | 407864 | 0 | 22739 | X | |||
| MARK WARFEL MD | ||||||||
| PHYSICIAN | 40.00 | 305954 | 0 | 26348 | X | |||
| ASHRAF ALY MD | ||||||||
| PHYSICIAN | 40.00 | 321067 | 0 | 20733 | X | |||
| CLIFFORD SOULTS MD | ||||||||
| PHYSICIAN | 40.00 | 733474 | 0 | 21442 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3619258 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 221831 | TotalOtherCompensation |
| Number Individuals GT100 K | 72 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| UPTOWN ANESTHESIA ASSOC | |||||
| 2405 GENESEE STREET | UTICA | NY | 13501 | ANESTHESIA SERVICES | 1129590 |
| ACUSIS | |||||
| PO BOX 951107 | CLEVELAND | OH | 44193 | TRANSCRIPTION SERVICES | 993416 |
| MAYO COLLABORATIVE SERVICES | |||||
| PO BOX 9146 | MINNEAPOLIS | MN | 55480 | LABORATORY TESTING | 939064 |
| SODEXO OPERATIONS LLC | |||||
| PO BOX 81049 | WOBURN | MA | 018131049 | CAFETERIA AND FOOD | 931703 |
| ATLAS HEALTH CARE LINEN | |||||
| 414 WEST TAYLOR STREET | SYRACUSE | NY | 13202 | LAUNDERING SERVICES | 831069 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 42 | NumberOfContractorsGT100K |
| Related Organizations | 368162 | RelatedOrganizations |
| Government Grants | 7328881 | GovernmentGrants |
| All Other Contributions | 362874 | AllOtherContributions |
| Total Contributions | 8059917 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| MEDICARE/MEDICAID PATIENT REVENUE | 900099 | 106497711 | 106497711 | |
| PATIENT SERVICE REVENUE | 900099 | 82990227 | 82990227 | |
| NURSING HOME LAB TESTING | 621500 | 192245 | 192245 | |
| CYTOLOGY LAB TESTING | 621500 | 85238 | 85238 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 189765421 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 106362 | TotalRevenueColumn |
| Exclusion | $106,362 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 487825 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 487825 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 487825 | TotalRevenueColumn |
| Unrelated Business Revenue | 44532 | UnrelatedBusinessRevenue |
| Exclusion | $443,293 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 303500 | Securities |
| Other | 949911 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 19458 | Securities |
| Other | 1184729 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 284042 | Securities |
| Other | -234818 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 49224 | TotalRevenueColumn |
| Exclusion | $49,224 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| OTHER INCOME | 900099 | 4611769 | 4611769 |
| JOINT VENTURE | 900099 | 1324182 | 1324182 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 5935951 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 204404700 | TotalRevenueColumn |
| Related Or Exempt Function Income | 195423889 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 322015 | UnrelatedBusinessRevenue |
| Exclusion | $598,879 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3568535 | Total |
| Program Services | 3185988 | ProgramServices |
| Management And General | 382547 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93197662 | Total |
| Program Services | 83181527 | ProgramServices |
| Management And General | 10016135 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5064382 | Total |
| Program Services | 4521480 | ProgramServices |
| Management And General | 542902 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12366513 | Total |
| Program Services | 11040823 | ProgramServices |
| Management And General | 1325690 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6832774 | Total |
| Program Services | 6100301 | ProgramServices |
| Management And General | 732473 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 79790 | Total |
| Program Services | 71237 | ProgramServices |
| Management And General | 8553 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 135300 | Total |
| Program Services | 120796 | ProgramServices |
| Management And General | 14504 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32693 | Total |
| Program Services | 29188 | ProgramServices |
| Management And General | 3505 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15235146 | Total |
| Program Services | 13601938 | ProgramServices |
| Management And General | 1633208 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 416534 | Total |
| Program Services | 371882 | ProgramServices |
| Management And General | 44652 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41511644 | Total |
| Program Services | 37061596 | ProgramServices |
| Management And General | 4450048 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 560007 | Total |
| Program Services | 499974 | ProgramServices |
| Management And General | 60033 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 79683 | Total |
| Program Services | 71141 | ProgramServices |
| Management And General | 8542 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 175798 | Total |
| Program Services | 156952 | ProgramServices |
| Management And General | 18846 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1962428 | Total |
| Program Services | 1752056 | ProgramServices |
| Management And General | 210372 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9298307 | Total |
| Program Services | 8301528 | ProgramServices |
| Management And General | 996779 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2011255 | Total |
| Program Services | 1795648 | ProgramServices |
| Management And General | 215607 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| EQUIPMENT RENTAL AND MA | 5615588 | 5013597 | 601991 |
| UTILITIES | 1728642 | 1543332 | 185310 |
| DEBT ASSESSMENT | 592415 | 528908 | 63507 |
| TELEPHONE | 382404 | 341410 | 40994 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 153017 | Total |
| Program Services | 136613 | ProgramServices |
| Management And General | 16404 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 201000517 | Total |
| Program Services | 179427915 | ProgramServices |
| Management And General | 21572602 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4396864 | BOY |
| EOY | 3893710 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25265618 | BOY |
| EOY | 25900114 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5806080 | BOY |
| EOY | 4826746 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 500747 | BOY |
| EOY | 610984 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 182071086 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 105059007 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 77591193 | BOY |
| EOY | 77012079 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14070433 | BOY |
| EOY | 9666042 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9151140 | BOY |
| EOY | 20229691 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 136782075 | BOY |
| EOY | 142139366 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23117362 | BOY |
| EOY | 25051849 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32932544 | BOY |
| EOY | 33352676 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8753914 | BOY |
| EOY | 5407734 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1568712 | BOY |
| EOY | 1568712 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65518588 | BOY |
| EOY | 76254670 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 131891120 | BOY |
| EOY | 141635641 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3783143 | BOY |
| EOY | -7755197 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 504322 | BOY |
| EOY | 7345598 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 603490 | BOY |
| EOY | 913324 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4890955 | BOY |
| EOY | 503725 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 136782075 | BOY |
| EOY | 142139366 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 3404183 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -343433 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -7447980 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $32,693 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 32693 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | ACTIVITIES INCLUDE THE PORTION OF DUES PAID TO THE HEALTH CARE ASSOCIATION OF NEW YORK STATE. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preservation Of Open Space | X | PreservationOfOpenSpace |
| Total Number Of Easements | 1 | TotalNumberOfEasements |
| Total Acreage | 20.00 | TotalAcreage |
| Nmbr Hist Struct Easements | 0 | NmbrHistStructEasements |
| Nmbr Hist Struct Easements After | 0 | NmbrHistStructEasementsAfter |
| Nmbr Easements Modified | 0 | NmbrEasementsModified |
| Nmbr States In Which Easements Held | 1 | NmbrStatesInWhichEasementsHeld |
| Written Policy Monitoring | 0 | WrittenPolicyMonitoring |
| Staff Hours Spent On Enforcement | 0.00 | StaffHoursSpentOnEnforcement |
| Expenses Incurred For Enforcement | 0 | ExpensesIncurredForEnforcement |
| Sect170h Requirements Satisfied | 1 | Sect170hRequirementsSatisfied |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1107812 | BeginningOfYearBalance |
| Contributions | 6950372 | Contributions |
| Investment Earnings Or Losses | 11275 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 16270 | GrantsOrScholarships |
| Other Expenditures | -205734 | OtherExpenditures |
| End Of Year Balance | 8258923 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 910691 | BeginningOfYearBalance |
| Contributions | 1288402 | Contributions |
| Investment Earnings Or Losses | 16768 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 16380 | GrantsOrScholarships |
| Other Expenditures | 1091669 | OtherExpenditures |
| End Of Year Balance | 1107812 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1264143 | BeginningOfYearBalance |
| Contributions | 2090040 | Contributions |
| Investment Earnings Or Losses | 16876 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 32345 | GrantsOrScholarships |
| Other Expenditures | 2428023 | OtherExpenditures |
| End Of Year Balance | 910691 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1650930 | BeginningOfYearBalance |
| Contributions | 976103 | Contributions |
| Investment Earnings Or Losses | 17145 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 18750 | GrantsOrScholarships |
| Other Expenditures | 1361285 | OtherExpenditures |
| End Of Year Balance | 1264143 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2723095 | BeginningOfYearBalance |
| Contributions | 689098 | Contributions |
| Investment Earnings Or Losses | 20384 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 17850 | GrantsOrScholarships |
| Other Expenditures | 1763797 | OtherExpenditures |
| End Of Year Balance | 1650930 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.06490 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.04570 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.88940 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6697739 | OtherCostOrOtherBasis |
| Book Value | 6697739 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 74393631 | OtherCostOrOtherBasis |
| Depreciation | 42130082 | Depreciation |
| Book Value | 32263549 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 100979716 | OtherCostOrOtherBasis |
| Depreciation | 62928925 | Depreciation |
| Book Value | 38050791 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 77012079 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (6 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| GRANT AND TUITION RECEIVABLES | 9827255 |
| ASSETS WHOSE USE IS LIMITED- BOND FUNDS | 4293173 |
| INTEREST IN NET ASSETS OF SEMC FOUNDATION | 3686710 |
| INVESTMENTS RESTRICTED BY DONORS | 1372360 |
| BONDS ISSUANCE COSTS | 930906 |
| 457 DEFERRED COMPENSATION PLAN | 119287 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 20229691 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED PENSION LIABILITY | $67,445,152 |
| LIABILITY TO THIRD PARTY PAYORS | $7,440,231 |
| PROFESSIONAL LIABILITY DEDUCTIBLE | $369,287 |
| LINE OF CREDIT | $1,000,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 76254670 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF HOW ORGANIZATION REPORTS CONSERVATION EASEMENTS: | PART II, LINE 9: | AMOUNT OF CONSERVATION EASEMENT IS IMMATERIAL TO FINANCIAL STATEMENTS AND THEREFORE, IS NOT RECORDED AS PART OF TOTAL ASSETS. |
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | ENDOWMENT FUNDS - PART V THE INTENDED PURPOSE OF THE MEDICAL CENTER'S ENDOWMENT FUNDS ARE TO PROVIDE FUTURE SCHOLARSHIP AWARDS FOR STUDENTS IN THE COLLEGE OF NURSING PROGRAMS. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | THE MEDICAL CENTER IS A NOT-FOR-PROFIT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS GENERALLY EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE MEDICAL CENTER FILES ITS RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX IN THE U.S. FEDERAL JURISDICTION. THE TAX YEARS 2009-2011 GENERALLY REMAIN OPEN TO EXAMINATION IN TAXING JURISDICTIONS IN WHICH THE MEDICAL CENTER IS SUBJECT TO THE FILING REQUIREMENTS OF THOSE JURISDICTIONS. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 230.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 230.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2688646 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1008316 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1680330 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00840 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 35474182 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 33983033 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1491149 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00750 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3599325 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1997087 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1602238 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00800 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 41762153 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 36988436 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4773717 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02390 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 444530 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 183151 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 261379 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6787526 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3976326 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2811200 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01410 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1609318 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1496844 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 112474 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 165915 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 98583 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 67332 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9007289 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5754904 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3252385 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01630 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 50769442 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 42743340 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8026102 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04020 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $3,881,212 | BadDebtExpenseAmount |
| Amount Attributable To | 1001000 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 58784729 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 64844095 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -6059366 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|---|
| 1 MVHI | |||
| CARDIAC SERVICES | 0.70000 | 0.00000 | 0.00000 |
| 2 MVEC | |||
| GASTROENTEROLOGY SRVCS | 0.20000 | 0.00000 | 0.00000 |
| 3 ST ELIZABETH HEALTH SUPPORT | |||
| DURABLE MEDICAL EQUIPMENT | 0.40000 | 0.00000 | 0.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST ELIZABETH MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2209 GENESEE STREET | AddressLine1 |
| City | UTICA | City |
| State | NY | State |
| ZIP Code | 13501 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST ELIZABETH MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 230.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 230.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 1 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 16 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (16 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| SEMC AT FAMILY PRACTICE CENTER | ||||
| 120 HOBART STREET | UTICA | NY | 13501 | OUTPATIENT PHYSICIAN CLINIC |
| WOMEN & CHILDREN'S FAMILY HEALTH CENTER | ||||
| 2212 GENESEE STREET | UTICA | NY | 13502 | OUTPATIENT PHYSICIAN CLINIC |
| MARIAN MEDICAL IMAGING | ||||
| 2211 GENESEE STREET | UTICA | NY | 13501 | OUTPATIENT LAB/ XRAY CLINIC |
| LITTLE FALLS FAMILY PRACTICE | ||||
| 500 MAIN STREET | LITTLE FALLS | NY | 13365 | OUTPATIENT PHYSICIAN CLINIC |
| COMMUNITY MEDICINE-EAST UTICA | ||||
| 1256 CULVER AVE | UTICA | NY | 13501 | OUTPATIENT PHYSICIAN CLINIC |
| WOUND CARE SERVICES | ||||
| 4401 MIDDLE SETTLEMENT ROAD | NEW HARTFORD | NY | 13413 | OUTPATIENT PHYSICIAN CLINIC |
| FAMILY PRACTICE NEW HARTFORD | ||||
| 4401 MIDDLE SETTLEMENT ROAD | NEW HARTFORD | NY | 13413 | OUTPATIENT PHYSICIAN CLINIC |
| NORTH UTICA COMMUNITY HEALTH CENTER | ||||
| 417 TRENTON ROAD | UTICA | NY | 13502 | OUTPATIENT PHYSICIAN CLINIC |
| SAUQUOIT COMMUNITY MEDICINE | ||||
| 2888 ONEIDA STREET | SAUQUOIT | NY | 13456 | OUTPATIENT PHYSICIAN CLINIC |
| CLINTON FAMILY HEALTH CENTER | ||||
| 101 COLLEGE STREET | CLINTON | NY | 13323 | OUTPATIENT PHYSICIAN CLINIC |
| WATERVILLE FAMILY HEALTH CENTER | ||||
| 117 WEST MAIN STREET | WATERVILLE | NY | 13480 | OUTPATIENT PHYSICIAN CLINIC |
| COMMUNITY MEDICAL SERVICES-MOHAWK | ||||
| 5 ANN STREET | MOHAWK | NY | 13407 | OUTPATIENT PHYSICIAN CLINIC |
| COMMUNITY MEDICAL SERVICES- S UTICA | ||||
| 6 HAMPDEN PLACE | UTICA | NY | 13501 | OUTPATIENT PHYSICIAN CLINIC |
| ADIRONDACK SPORTS MEDICINE | ||||
| 4401 MIDDLE SETTLEMENT ROAD | NEW HARTFORD | NY | 13413 | OUTPATIENT REHAB SERVICES |
| KERNAN ELEMENTARY SCHOOL | ||||
| 926 YORK STREET | UTICA | NY | 13502 | SCHOOL BASED HEALTH CENTER |
| MEDICAL ARTS | ||||
| 4401 MIDDLE SETTLEMENT ROAD | NEW HARTFORD | NY | 13413 | OUTPATIENT LAB/ XRAY CLINIC |
Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| PART I, LINE 7: COSTING METHODOLOGY-CHARITY CARETHE COST TO CHARGE RATIO THAT WAS USED TO COMPLETE THE CHART FOR LINE 7 WAS DERIVED FROM THE WORKSKEET 2 CALCULATION. | |
| PART III, LINE 4: THE MEDICAL CENTER PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE CENTER'S POLICY IS NOT TO PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE: THEREFORE, THESE AMOUNTS ARE NOT REPORTED IN NET OPERATING REVENUES OR IN PROVISIONS FOR DOUBTFUL ACCOUNTS. THE ESTIMATED COST OF PROVIDING UNCOMPENSATED CARE TO PATIENTS WAS APPROXIMATELY $2,518,000 OF CHARGES AND $1,001,000 OF COST FOR THE YEAR ENDED DECEMBER 31, 2012.THE MEDICAL CENTER GRANTS CREDIT WITHOUT COLLATERAL TO PATIENTS, MOST OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD-PARTY AGREEMENTS. ADDITIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS ARE MADE BY MEANS OF THE PROVISION FOR DOUBTFUL ACCOUNTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE AND SUBSEQUENT RECOVERIES ARE ADDED. THE AMOUNT OF THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENT HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. SERVICES RENDERED TO INDIVIDUALS WHEN PAYMENT IS EXPECTED AND ULTIMATELY NOT RECEIVED ARE WRITTEN OFF TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. | |
| PART III, LINE 8: THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 IS COST TO CHARGE RATIO. THE SHORTFALL REPORTED IS COMMUNITY BENEFIT EXPENSE BECAUSE THIS AMOUNT REPRESENTS THE UNREIMBURSED COSTS TO THE MEDICAL CENTER FOR PROVIDING CARE FOR THE COMMUNITY'S ELDERLY AND DISABLED. | |
| PART III, LINE 9B: COLLECTION POLICY PROVISIONSPATIENTS THAT QUALIFY FOR THE MEDICAL CENTER'S CHARITY CARE PROGRAM HAVE THE CHARGES ON THEIR ACCOUNTS FORGIVEN AS THEY ARE PLACED IN CHARITY CARE AND THE BALANCES ARE WRITTEN OFF. THE MEDICAL CENTER'S CHARITY CARE PROGRAM USED THE FEDERAL POVERTY GUIDELINES (FPG) AS A GUIDE WITH HIGH-END LIMITS AT 230% OF THE FPG. IN THOSE SITUATIONS WHERE THE PATIENT'S INCOME IS BETWEEN 140% - 230% OF THE FPG, A SMALL COST SHARE WOULD BE THE ONLY AMOUNT NOT INCLUDED IN CHARITY CARE. ADDITIONALLY THIS SMALL COST SHARE WOULD BE THE ONLY AMOUNT TURNED OVER TO COLLECTION WITH THE OPPORTUNITY OF EVENTUALLY BEING WRITTEN OF TO BAD DEBT IF NOT PAID. | |
| PART V, SECTION B, LINE 20D: DURING THE YEAR OUR FACILITY DETERMINED THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE BY ANNUALLY COMPARING THE TOP 10 PAYER RATES AND TAKING OUT THE HIGHEST AND LOWEST, THEN AVERAGING THE REST. | ST ELIZABETH MEDICAL CENTER |
| PART V, SECTION B, LINE 22: OUR FACILITY HAS CHARGED SOME OF ITS FAP ELIGIBLE PATIENTS AN AMOUNT EQUAL TO THE GROSS CHARGES FOR SERVICES PROVIDED, IF A PATIENT CHOSE NOT TO PAY THE DISCOUNTED RATES THE DISCOUNTED CHARGES ARE GROSSED UP AND ACCOUNT IS THEN SENT INTO A COLLECTION AGENCY AT THE GROSS AMOUNT. | ST ELIZABETH MEDICAL CENTER |
| PART VI, LINE 2: NEEDS ASSESSMENTTHE MEDICAL CENTER ASSESSES HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES BY COLLABORATING WITH ONEIDA AND HERKIMER COUNTIES' DEPARTMENTS OF HEALTH ON COMMUNITY HEALTH ASSESSMENTS. DATA WAS COLLECTED IN 2009 THROUGH A MAPP PROCESS, AROUND THE NYS PREVENTION AGENDA ISSUES. FIVE RESULTING PRIORITY WORK GROUPS THAT CONTAIN MEDICAL CENTER EMPLOYEES CONTINUE TO ASSESS CHANGES AND ADDRESS PRIORITY AREAS. THESE WORK GROUPS ALSO REPORT TO THE SEMC COMMUNITY DESIGN TEAM, WHICH REGULARLY HEARS ABOUT HEALTHCARE NEEDS THROUGH THOSE IN AREA COMMUNITIES. | |
| PART VI, LINE 3: PATIENT EDICATION OF ELIGIBILITY FOR ASSISTANCETHIS IS COMMUNICATED THROUGH SEMC'S FACILITATED ENROLLMENT PROGRAM AND THE MOTHER BERNARDINA CHARITY CARE PROGRAM. INFORMATION IS INCLUDED IN THE PATIENT INFORMATION GUIDES PRESENTED TO INPATIENTS AND OUTPATIENTS, AND IS AVAILABLE ON THE HOSPITAL'S WEBSITE. ST. ELIZABETH MEDICAL CENTER RECOGNIZES THAT PROVIDING EXCEPTIONAL HEALTHCARE SERVICE TO THE COMMUNITY IS A VITAL COMMUNITY RESOURCE. OUR ACHIEVEMENTS ARE NOT OURS ALONE, BUT ARE OBTAINED BY COLLABORATIVE EFFORTS WITH OUR COMMUNITY AND GOVERNMENT LEADERS WORKING TOGETHER TO IMPROVE THE "HEALTH" OF THE COMMUNITY. SEMC'S FACILITATED ENROLLMENT PROGRAMIN 2000, ST. ELIZABETH MEDICAL CENTER DEVELOPED AND IMPLEMENTED THE FACILITATED ENROLLMENT PROGRAM AS A RESULT OF THE UNIQUE COLLABORATION THAT WAS FORGED BETWEEN ST. ELIZABETH MEDICAL CENTER AND ONEIDA COUNTY SOCIAL SERVICE DEPARTMENT. THIS PROGRAM ALLOWS SEMC STAFF, PATIENT ACCOUNT REPRESENTATIVES, TO ACT AS AN AUTHORIZED REPRESENTATIVE OF THE PATIENT AT THE ONEIDA COUNTY DEPARTMENT OF SOCIAL SERVICES AND SUBMIT THE APPLICATION FOR BENEFITS. THIS SUCCESSFUL PROGRAM HAS EXPANDED THROUGHOUT THE PAST SEVERAL YEARS TO INCLUDE OUTPATIENTS AND EMERGENCY DEPARTMENT PATIENTS.SEMC'S MOTHER BERNARDINA CHARITY CARE PROGRAMTO SUPPORT OUR MISSION, THE ST. ELIZABETH MEDICAL CENTER HAS DEVELOPED THE MOTHER BERNARDINA CHARITY CARE PROGRAM. THE MEDICAL CENTER WILL MAKE AVAILABLE A REASONABLE AMOUNT OF UNCOMPENSATED SERVICES TO ELIGIBLE PERSONS. | |
| PART VI, LINE 4: COMMUNITY INFORMATIONST. ELIZABETH MEDICAL CENTER'S PRIMARY SERVICE AREA (PSA) CONSISTS OF THE ZIP CODES IN WHICH 80% OF ITS PATIENTS LIVE (MOSTLY ONEIDA COUNTY AND SOME WITHIN HERKIMER COUNTY). ITS SECONDARY SERVICE AREA (SSA) CONSISTS OF ZIP CODES IN WHICH THE REMAINING 10+% OF ITS PATIENTS LIVE (MOSTLY OUTLYING REGIONS OF ONEIDA AND HERKIMER COUNTIES, PLUS SOME ZIP CODES IN MADISON AND LEWIS COUNTIES). METHODS USED TO DETERMINE THE SERVICE AREA ARE ANALYSIS OF PATIENT ORIGIN, BASED ON HOME ZIP CODE. IT IS AN ETHNICALLY AND ECONOMICALLY DIVERSE REGION, WITH MANY IMMIGRANTS AND AN OLDER POPULATION THAN THE NATIONAL AVERAGE. | |
| PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHTHESE ACTIONS REPRESENT THE MEDICAL CENTER'S EMPLOYEE OUTREACH BEYOND THE HOSPITAL AND MEDICAL GROUP OFFICES INTO AREA COMMUNITIES, AND THEY SPAN A WIDE REACH OF EVENTS AND SITES. ALONG WITH HOSPITALS ACROSS THE STATE AND NATION, ST. ELIZABETH NOW MONITORS HOW OUR FAITHFULNESS TO THE REGIONAL POPULATION MEETS OUR LOCAL COMMUNITIES' UNIQUE HEALTH NEEDS. THEREFORE, COMMUNITY BENEFITS ARE PROGRAMS OR ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. OUR CATHOLIC TRADITION AND MEDICAL CENTER MISSION TEACH US TO PUT THE NEEDS OF THE POOR AND VULNERABLE FIRST.AMONG OUR COMMUNITY BENEFIT ACTIVITIES ARE:-CHARITY CARE FOR PEOPLE UNABLE TO AFFORD SERVICE-HEALTH EDUCATION AND ILLNESS PREVENTION-HEALTHCARE INITIATIVES FOR AT-RISK YOUTHS-FREE OR LOW-COST CLINICS AND-INITIATIVES TO RAISE AWARENESS AND RECEIVE PUBLIC INPUTMANY OF THESE ACTIVITIES ARE ADVANCED IN COLLABORATION WITH COMMUNITY MEMBERS AND OTHER ORGANIZATIONS TO IMPROVE HEALTH AND QUALITY OF LIFE. THE MEDICAL CENTER FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY THROUGH AN OPEN MEDICAL STAFF AND A COMMUNITY BOARD. SEMC FURTHER PROMOTES THE HEALTH OF THE COMMUNITY BY USING ITS SURPLUS FOR TRAINING AND EDUCATION OF ITS EMPLOYEES AND BY INVESTING IN HEALTHCARE TECHNOLOGY.PART VII, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT NY |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT SCHOLEFIELD | ||||||||||||||
| COO | 219475 | 0 | 20000 | 0 | 0 | 0 | 16769 | 0 | 8404 | 0 | 264648 | 0 | 0 | 0 |
| RICHARD KETCHAM | ||||||||||||||
| CEO | 394031 | 0 | 63000 | 0 | 0 | 0 | 11342 | 0 | 8404 | 0 | 476777 | 0 | 0 | 0 |
| LOU AIELLO | ||||||||||||||
| CFO | 271156 | 0 | 20000 | 0 | 0 | 0 | 14466 | 0 | 8404 | 0 | 314026 | 0 | 0 | 0 |
| ALBERT D'ACCURZIO MD | ||||||||||||||
| MEDICAL DIRECTOR | 284954 | 0 | 20000 | 0 | 0 | 0 | 16864 | 0 | 8404 | 0 | 330222 | 0 | 0 | 0 |
| VARINYA SHEPPARD | ||||||||||||||
| CHIEF NURSING OFFICER | 175721 | 0 | 10000 | 0 | 0 | 0 | 12647 | 0 | 2129 | 0 | 200497 | 0 | 0 | 0 |
| OLEG DULKEN MD | ||||||||||||||
| PHYSICIAN | 281061 | 0 | 40777 | 0 | 0 | 0 | 12767 | 0 | 9969 | 0 | 344574 | 0 | 0 | 0 |
| ERIC FREIBERGER MD | ||||||||||||||
| PHYSICIAN | 360237 | 0 | 47627 | 0 | 0 | 0 | 11826 | 0 | 10913 | 0 | 430603 | 0 | 0 | 0 |
| MARK WARFEL MD | ||||||||||||||
| PHYSICIAN | 276020 | 0 | 29934 | 0 | 0 | 0 | 15000 | 0 | 11348 | 0 | 332302 | 0 | 0 | 0 |
| ASHRAF ALY MD | ||||||||||||||
| PHYSICIAN | 269562 | 0 | 51505 | 0 | 0 | 0 | 9820 | 0 | 10913 | 0 | 341800 | 0 | 0 | 0 |
| CLIFFORD SOULTS MD | ||||||||||||||
| PHYSICIAN | 603754 | 0 | 129720 | 0 | 0 | 0 | 10569 | 0 | 10873 | 0 | 754916 | 0 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ONEIDA COUNTY IDA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 166158201 | IssuerEIN |
| CUSIP Number | 682465AA7 | CUSIPNumber |
| Date Issued | 2006-06-22 | DateIssued |
| Issue Price | 14000000 | IssuePrice |
| Description Of Purpose | EMERGENCY ROOM & CAFETERIA PROJECT | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | 14000000 | TotalProceeds |
| Issuance Costs From Proceeds | 280000 | IssuanceCostsFromProceeds |
| Credit Enhancement | 70817 | CreditEnhancement |
| Capital Expenditures | 13649183 | CapitalExpenditures |
| Year Of Subst Completion | 2007 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 1 | AnyResearchAgreements |
| Engage Bond Counsel Research | 1 | EngageBondCounselResearch |
| Bond Iss Meet Prvt Security Pay Test | 1 | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedProp |
| Non Qualified Bond Remed Procdrs | 0 | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiled |
| Rebate Not Due Yet | 0 | RebateNotDueYet |
| Exception To Rebate | 0 | ExceptionToRebate |
| No Rebate Due | 0 | NoRebateDue |
| Variable Rate Issue | 1 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqs |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| PULMONARY CRITICAL CARE ASSOCIATES | |||
| ERIC YOSS MD- TRUSTEE | 255500 | PULMONARY CARE- MEDICAL SERVICES | 0 |
| HUMMEL'S OFFICE PLUS | |||
| HARRISON J. HUMMEL, III - TRUSTEE | 197932 | OFFICE SUPPLIES PURCHASES | 0 |
| (no name) | |||
| 0 | |||
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | THE MEDICAL CENTER FOUNDATION BOARD MEMBER MARLENE ANDERSON IS THE SISTER OF THE MEDICAL CENTER KEY EMPLOYEE DR. D'ACCURZIO. | |
| FORM 990, PART VI, SECTION A, LINE 4 | SEE CHANGES TO BYLAWS AS DESCRIBED IN SCHEDULE O FOR FORM 990, PART VI, SECTION A, LINE 6 | |
| FORM 990, PART VI, SECTION A, LINE 6 | PARTNERS IN FRANCISCAN MINISTRIES, INC. | |
| FORM 990, PART VI, SECTION A, LINE 7A | RESERVED POWERS TO PARTNERS IN FRANCISCAN MINISTRIES, INC. THE FOLLOWING POWERS SHALL BE RESERVED TO THE CORPORATE MEMBER TO EXERCISE AND SHALL BE REFERRED TO AS RESERVED POWERS: A. TO CHANGE THE PHILOSOPHY, MISSION, AND PURPOSE OF THE CORPORATION. B. TO APPOINT AND REMOVE THE PRESIDENT/CEO OF THE CORPORATION. C. TO APPOINT AND REMOVE THE BOARD OF DIRECTORS OF THE CORPORATION. D. TO APPROVE THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION. E. TO RECEIVE THE ANNUAL REPORT OF THE CORPORATION. F. TO TO APPROVE THE FORMATION OF SUBSIDIARIES, AFFILIATES, OR DIVISIONS OF THE CORPORATION. G. TO APPROVE A CHANGE IN THE NAME OF THE CORPORATION. H. TO RECEIVE, REVIEW AND MONITOR THE BUDGET OF THE CORPORATION AS DEEMED NECESSARY BY PARTNERS IN FRANCISCAN MINISTRIES, INC. I. TO RECEIVE THE ANNUAL AUDIT OF THE CORPORATION. J. TO RECEIVE, REVIEW AND MONITOR STRATEGIC, LONG RANGE PLANS OF THE CORPORATION AS DEEMED NECESSARY BY PARTNERS IN FRANCISCAN MINISTRIES, INC. K. TO APPROVE THE FINANCIAL TRANSACTIONS OF THE CORPORATION ACCORDING TO THE ANNUAL USCCB ALIENATION GUIDELINES. | |
| FORM 990, PART VI, SECTION A, LINE 7B | RESERVED POWERS TO PARTNERS IN FRANCISCAN MINISTRIES, INC. THE FOLLOWING POWERS SHALL BE RESERVED TO THE CORPORATE MEMBER TO EXERCISE AND SHALL BE REFERRED TO AS RESERVED POWERS: A. TO CHANGE THE PHILOSOPHY, MISSION, AND PURPOSE OF THE CORPORATION. B. TO APPOINT AND REMOVE THE PRESIDENT/CEO OF THE CORPORATION. C. TO APPOINT AND REMOVE THE BOARD OF DIRECTORS OF THE CORPORATION. D. TO APPROVE THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION. E. TO RECEIVE THE ANNUAL REPORT OF THE CORPORATION. F. TO TO APPROVE THE FORMATION OF SUBSIDIARIES, AFFILIATES, OR DIVISIONS OF THE CORPORATION. G. TO APPROVE A CHANGE IN THE NAME OF THE CORPORATION. H. TO RECEIVE, REVIEW AND MONITOR THE BUDGET OF THE CORPORATION AS DEEMED NECESSARY BY PARTNERS IN FRANCISCAN MINISTRIES, INC. I. TO RECEIVE THE ANNUAL AUDIT OF THE CORPORATION. J. TO RECEIVE, REVIEW AND MONITOR STRATEGIC, LONG RANGE PLANS OF THE CORPORATION AS DEEMED NECESSARY BY PARTNERS IN FRANCISCAN MINISTRIES, INC. K. TO APPROVE THE FINANCIAL TRANSACTIONS OF THE CORPORATION ACCORDING TO THE ANNUAL USCCB ALIENATION GUIDELINES. | |
| FORM 990, PART VI, SECTION B, LINE 11 | INFORMATION IS GATHERED FROM THE ACCOUNTING AND PAYROLL DEPARTMENTS, WHICH IS USED BY THE STAFF ACCOUNTANT TO PREPARE WORKSHEETS USED TO POPULATE THE FORM 990. MEMBERS OF AN EXTERNAL AUDIT AND TAX FIRM (CURRENTLY FREED MAXICK, CPAS, PC) INITIALLY DISCUSS, PREPARE AND REVIEW THE RETURN WITH THE STAFF ACCOUNTANT. THE SEMC MANAGEMENT TEAM REVIEWS THE DRAFT AND HAS THE OPPORTUNITY TO ASK QUESTIONS AND DISCUSS THE RETURN WITH FREED MAXICK CPAS, PC TAX STAFF. AFTER THE MANAGEMENT TEAM'S APPROVAL, THE FORM IS DISTRIBUTED TO THE GOVERNING BODY FOR THEIR REVIEW AND COMMENT PRIOR TO THE FILING OF THE FORM. | |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST POLICY PART VI, SECTION B, LINE 12C FIRST, EACH BOARD OF TRUSTEE MEMBER, THE PRESIDENT/CEO, CHIEF OPERATING OFFICER, AND EACH VICE PRESIDENT COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. THE RESULTS OF THE QUESTIONNAIRE ARE REVIEWED BY THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES WHICH IDENTITFIES ANY POTENTIAL CONFLICTS. AS PART OF THE POLICY, BOARD MEMBERS THAT HAVE A CONFLICT ARE UNABLE TO VOTE WHEN A SUBJECT THAT THEY HAVE A CONFLICT OF INTEREST IN COMES UP FOR A VOTE AT A BOARD MEETING. BOARD MEMBERS ARE NOT ALLOWED TO BE INVOLVED IN THE DISCUSSIONS RELATED TO THE ISSUE OTHER THAN TO MAKE A BRIEF COMMENT. STARTING IN SEPTEMBER OF 2010, THE MEDICAL CENTER BEGAN TO REQUIRE ALL DEPARTMENT MANAGERS TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ON AN ANNUAL BASIS. STARTING IN SEPTEMBER OF 2010, ALL MEMBERS OF THE MEDICAL STAFF ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ONCE EVERY TWO YEARS, AS PART OF THE CREDENTIALING PROCESS. FOR ALL OTHER EMPLOYEES, A POLICY IS IN PLACE AS PART OF THE COMPLIANCE PLAN THAT REQUIRES EMPLOYEES TO DISCLOSE ANY CONFLICT OF INTEREST TO THEIR SUPERVISOR. THE SUPERVISOR IS THEN REQUIRED TO DISCLOSE THE INFORMATION TO THE COMPLIANCE OFFICER. BOARD MEMBERS OF SUBSIDIARIES ARE ALSO REQUIRED TO COMPLETE CONFLICT OF INTEREST QUESTIONNAIRES. | |
| FORM 990, PART VI, SECTION B, LINE 15A | COMPENSATION POLICY PART VI, SECTION B, LINE 15 ST. ELIZABETH MEDICAL CENTER (SEMC) RECOGNIZES THAT STRONG AND EFFECTIVE EXECUTIVE LEADERSHIP IS NEEDED TO ACHIEVE ITS MISSION AND TO SERVE ITS COMMUNITY EFFECTIVELY. 1. THE CHAIRMAN OF THE BOARD OF TRUSTEES WILL APPOINT AN EXECUTIVE COMPENSATION COMMITTEE WHICH IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF ALL FORMS OF COMPENSATION BENEFITS PROVIDED TO THE PRESIDENT AND CEO OF THE MEDICAL CENTER. 2. IN ORDER TO RECRUIT AND RETAIN THE QUALITY OF LEADERSHIP NECESSARY IN A PRESIDENT AND CEO, SEMC WILL TARGET ITS TOTAL COMPENSATION PROGRAM FOR THE PRESIDENT AND CEO BY COMPARING SAME WITH SIMILARILY SIZED COMMUNITY HOSPITALS IN THE NORTHEASTERN UNITED STATES. 3. THE CEO SALARY RANGE WILL BE SET WITHIN THE RANGE FROM THOSE COMPARABLES. THE RANGE WILL BE REVIEWED PERIODICALLY AND ADJUSTMENTS WILL BE MADE WHEN MARKET CONDITIONS WARRANT AND WHEN FINANICAL PERFORMANCE OF THE MEDICAL CENTER ALLOWS. ANY ADJUSTMENT IN CEO SALARY WILL BE BASED ON THE PARTICULAR EXECUTIVE'S EXPERIENCE, PERFORMANCE, AND CONTRIBUTION TO SEMC, AS WELL AS ON THE COMPETITIVENESS OF THE EXECUTIVE'S SALARY WITHIN THE PEER GROUP. 4. SEMC'S CEO TOTAL COMPENSATION PROGRAM ALSO EMPHASIZES AND REWARDS OUTSTANDING PERFORMANCE THROUGH INCENTIVE AWARD OPPORTUNITIES. 5. THE EXECUTIVE COMPENSATION COMMITTEE WILL ANNUALLY REVIEW THE PRESIDENT AND CEO'S PERFORMANCE BASED UPON OBJECTIVE CRITERIA AND SUBJECTIVE CRITERIA IN AWARDING ANY ANNUAL INCENTIVE. THE COMMITTEE WILL CONSIDER VARIOUS FACTORS INCLUDING, BUT NOT LIMITED TO MEETING PREVIOUSLY APPROVED ANNUAL GOALS, THE OVERALL FINANCIAL PERFORMANCE OF THE MEDICAL CENTER, PATIENT SATISFACTION, QUALITY CARE INDICATORS, BOTH PUBLISHED AND NON-PUBLISHED, AND RESPONSE TO ANY OTHER UNUSUAL OR EXTRAORDINARY CIRCUMSTANCES OCCURRING DURING THE YEAR. THE PAYMENT OF THE INCENTIVE AWARD TO THE EXECUTIVE IS COMPLETELY CONTINGENT ON THE JUDGEMENT OF THE COMPENSATION COMMITTEE AS TO THE EXECUTIVE ACHIEVING PRE-ESTABLISHED GOALS AND TARGETS. IN ADDITION, THE POOL OF MONEY AVAILABLE FOR THE INCENTIVE IS ALSO CONTINGENT AND CONDITIONAL ON THE FINANCIAL PERFORMANCE OF THE MEDICAL CENTER. 6. THE EXECUTIVE COMPENSATION COMMITTEE MAY ALSO ESTABLISH AN ANNUAL INCENTIVE COMPENSATION POOL FOR THE VICE PRESIDENTS. WHEN THIS OCCURS, IT IS EXPECTED THAT THE CEO WILL INCLUDE A TEAM COMPONENT, AS WELL AS AN INDIVIDUAL COMPONENT, TO BE CONSIDERED WHEN DISTRIBUTING THIS POOL TO THE SENIOR LEADERSHIP TEAM. 7. THE COMPENSATION COMMITTEE SHALL ALSO REVIEW THE CEO'S PARTICIPATION AND LEADERSHIP IN COMMUNITY AND PROFESSIONAL ORGANIZATIONS ON WHICH THE EXECUTIVE SERVES. SEMC VALUES THE EXECUTIVE'S PARTICIPATING IN COMMUNITY AND PROFESSIONAL ORGANIZATIONS BUT ALSO RECOGNIZES THAT THE RESPONSIBILITIES TO SEMC MUST BE HIS/HER FIRST PRIORITY. 8. SEMC RECOGNIZES ITS RESPONSIBILITY TO ENSURE THAT ITS EXECUTIVE COMPENSATION PROGRAM IS APPROPRIATE IN VIEW OF ITS STATUS AS A NON-FOR-PROFIT COMMUNITY HOSPITAL AND IN ACCORDANCE WITH ITS TAX-EXEMPT STATUS, AND THAT ITS COMPENSATION AND BENEFITS ARE REASONABLE AND NOT EXCESSIVE. TO THAT END, SEMC AND THE COMMITTEE WILL REVIEW AND APPROVE ALL FORMS OF EXECUTIVE COMPENSATION AND BENEFITS IN A MANNER NECESSARY TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE INTERMEDIATE SANCTION RULES OF SECTION 4958 OF THE INTERNAL REVENUE CODE. 9. THE COMPENSATION COMMITTEE SHALL ENSURE THAT ALL ELEMENTS OF COMPENSATION AND BENEFITS PROVIDED TO EXECUTIVES OF SEMC ARE DISCLOSED A) TO THE FULL BOARD ON A REGULAR BASIS, AND B) ON IRS FORM 990 TO THE EXTENT REQUIRED BY LAW. | |
| FORM 990, PART VI, SECTION C, LINE 19 | PUBLIC DISCLOSURE PART VI, SECION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THE ORGANIZATION'S FORM 990 IS POSTED ON WWW.GUIDESTAR.ORG. | |
| FORM 990, PART VII, LINE 1A | SEMC DOES NOT COMPENSATE THE BOARD OF TRUSTEES FOR THEIR SERVICES AS BOARD MEMBERS. ANY COMPENSATION PAID TO BOARD MEMBERS IS NOT RELATED TO BOARD MEMBER'S SERVICE TO THE BOARD. | |
| FORM 990, PART XI, LINE 9: | PENSION RELATED CHANGES -9,302,546. NET CHANGE IN FOUNDATION NET ASSETS 1,854,566. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C | THERE HAS BEEN NO CHANGE IN THE PROCESS BY WHICH THE ORGANIZATION OVERSEES ITS AUDIT OR THE PROCESS BY WHICH THE ORGANIZATION SELECTS ITS INDEPENDENT ACCOUNTANT. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ST ELIZABETH MEDICAL CENTER FOUNDATION | |||||||||||
| 2209 GENESSE STREET | UTICA | NY | 13501 | 222562170 | FUNDRAISING | NY | 501(C)(3) | 9 | ST ELIZABETH MEDICAL CENTER | 1 | |
| SRS OF ST FRANCIS OF THE NEUMANN COMM | |||||||||||
| 2500 GRANT BLVD | SYRACUSE | NY | 13208 | 204292535 | RELIGIOUS ORDER | NY | 501(C)(3) | N/A | 0 | N/A | |
| MVHI | |||||||||||
| 2209 GENESSE STREET | UTICA | NY | 13501 | 161540184 | OVERSEE CARDIAC SERVICES | NY | 501(C)(3) | 9 | FAXTON ST LUKE'S AND ST ELIZABETH MEDICAL CENTER | 1 | |
| PARTNERS IN FRANCISCAN MINISTRIES | |||||||||||
| 2500 GRANT BLVD | SYRACUSE | NY | 132081797 | 452279986 | SPONSORS MINISTRIES OF THE SISTERS OF ST. FRANCIS OF NEUMANN COMMUNITY | NY | 501(C)(3) | 9 | 0 | N/A | |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MVEC LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 116 BUSINESS PARK DRIVE | AddressLine1 |
| City | UTICA | City |
| State | NY | State |
| ZIP Code | 135026213 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activity | GASTROENTEROLOGY SERVICES | PrimaryActivity |
| Legal Domicile State | NY | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIGESTIVE DISEASE MEDICINE FAXTON STLUKE'S & SEMC HAVE MINORITY OWNERSHIP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | 100000 | ShareOfTotalIncome |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
| Percentage Ownership | 0.20000 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| HEALTHCARE UNDERWRITERS MUTUAL RISK MA NY (UNINCORPORATED) | ||||||||||
| 5687 MAIN STREET | WILLIAMSVILLE | NY | 14221 | 161484203 | TO ESTABLISH WORKERS COMP SELF-INSURANCE GROUP | NY | N/A | T | 0.25000 | 0 |
| ST ELIZABETH HEALTH SUPPORT | ||||||||||
| 7246 JANUS PARK DRIVE | LIVERPOOL | NY | 13088 | TO PROVIDE DURABLE MEDICAL EQUIPMENT | NY | N/A | C | 0.40000 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 1 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| ST ELIZABETH MEDICAL CENTER FOUNDATION INC | ||
| A | 105300 | ACCOUNTING RECORDS |
| ST ELIZABETH MEDICAL CENTER FOUNDATION INC | ||
| N | 213592 | ACCOUNTING RECORDS |
| ST ELIZABETH MEDICAL CENTER FOUNDATION INC | ||
| M | 262862 | ACCOUNTING RECORDS |
| HEALTHCARE UNDERWRITES MUTUAL RISK | ||
| R | 640000 | ACCOUNTING RECORDS |