MVHS INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- MVHS INC (EIN 16-1576637)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-08-13
- IRS object ID
- 201232269349301868
- Schema version
- 2011v1.2
- 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
- Reasonable Cause Explanation
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-13T15:36:34-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161226221 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FUST CHARLES CHAMBERS LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161576637 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAXTON ST LUKE'S HEALTHCARE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | FAXT | NameControl |
| Phone | 3156246000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 479 | AddressLine1 |
| City | UTICA | City |
| State | NY | State |
| ZIP Code | 13503 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHAEL HAILE | Name |
| Title | SENIOR VP/CFO | Title |
| Phone | 3156246342 | Phone |
| Date Signed | 2012-08-09 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOSEPH J SCHLEGEL | Name |
| PTIN | P00301329 | PTIN |
| Phone | 3154463600 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | SCOTT H PERRA | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 479 | AddressLine1 |
| City | UTICA | City |
| State | NY | State |
| ZIP Code | 13503 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 290094480 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | FAXTONSTLUKES.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2000 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE THE HIGHEST QUALITY HEALTH CARE IN OUR REGION. FAXTON-ST. LUKE'S HEALTHCARE IS A PRIVATE, NOT-FOR-PROFIT, ACUTE-CARE HOSPITAL GOVERNED BY A BOARD OF MANAGERS WHO SERVE WITHOUT COMPENSATION OF ANY KIND. THE HOSPITAL HAS 346 MEDICAL, 24 REHABILITATION AND 26 PSYCHIATRIC BEDS; A FULL RANGE OF OUTPATIENT SERVICES, AND IS FULLY ACCREDITED BY DET NORSKE VERITAS HEALTHCARE, INC. AS A HEALTHCARE ORGANIZATION. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2888 | TotalNbrEmployees |
| Total Nbr Volunteers | 393 | TotalNbrVolunteers |
| Total Gross UBI | 748311 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 965982 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2574749 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 273350392 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 278143227 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2238108 | InvestmentIncomePriorYear |
| Investment Income Current Year | 604023 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 4373187 | OtherRevenuePriorYear |
| Other Revenue Current Year | 8772481 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 280927669 | TotalRevenuePriorYear |
| Total Revenue Current Year | 290094480 | 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 | 147123769 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 151123286 | 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 | 135637014 | OtherExpensePriorYear |
| Other Expenses Current Year | 134438122 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 282760783 | TotalExpensesPriorYear |
| Total Expenses Current Year | 285561408 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1833114 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 4533072 | RevenuesLessExpensesCY |
| Total Assets BOY | 248732499 | TotalAssetsBOY |
| Total Assets EOY | 252507338 | TotalAssetsEOY |
| Total Liabilities BOY | 120190479 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 130587495 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 128542020 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 121919843 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | FAXTON ST. LUKE'S HEALTHCARE, INC.'S MISSION IS TO PROVIDE THE HIGHEST QUALITY HEALTH CARE IN OUR REGION. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 120219477 | Expense |
| Revenue | 105726804 | Revenue |
| Description | ACUTE CARE SERVICES INCLUDES ALL LEVELS OF I/P AND DIRECT CARE SERVICES, I/P CARDIAC CARE AND THE RESPECTIVE LABORATORY/BLOOD SERVICES. THE TOTAL PATIENT DAYS IN 2011 WERE 71,992; WITH 3,345 I/P SURGERIES PERFORMED. THE LAB PROVIDED FOR 1,609,866 TESTS IN 2011. CARDIAC CATH LAB PROCEDURES WERE 382, WHICH IS A 27% SINCE 2010. THERE WERE 4,389 CARDIAC REHAB VISITS AND TESTS OF 26,667; A 14% INCREASE FROM 2010. THE TOTAL I/P PHARMACY DOSES IN 2011 WERE 1,829,656; AND 344,372 O/P DOSES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 27706479 | Expense |
| Revenue | 42882414 | Revenue |
| Description | OUTPATIENT SURGERY PROVIDED FOR 7,643 O/P SURGICAL PROCEDURES; APPROXIMATELY 6% OVER 2010. THERE WERE 545 BARIATRIC SURGERIES. THIS FACILITY HOUSES 15 OPERATING ROOMS AND 10 RECOVERY BAYS AT 2 LOCATIONS; EACH WITH A CENTRAL STERILE SITE. ENDO/GI PROCEDURES, ALSO INCLUDED HERE, WERE 10.233 IN 2011. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 21678700 | Expense |
| Grants | 254677 | Grants |
| Revenue | 26596572 | Revenue |
| Description | THE CANCER CARE PROGRAM INCLUDES RADIATION MEDICINE LOCATED AT 2 COMMUNITY SITES AND ACCOUNTS FOR 88% OF THE CANCER CARE SERVICES. TOTAL RADIATION MEDICINE VISITS IN 2011 WERE 15,210. THE BALANCE CONSISTS OF O/P INFUSION (10,799), BREAST CARE (511), PALLIATIVE CARE (537); AS WELL AS, TUMOR REGISTRY, CLINICAL TRIALS AND INTEGRATIVE MEDICINES. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 89068916 | Expense |
| Grants | 236465 | Grants |
| Revenue | 110961607 | Revenue |
| Description | THE OTHER PROGRAM SERVICES EXPENSES AND REVENUES, RESPECTIVELY ARE:RADIOLOGY $13,703,734 $17,729,843PRIMARY CARE $12,992,174 $16,809,230DIALYSIS $11,966,823 $15,821,889THERAPY $ 9,959,468 $12,885,525EMERGENCY $ 9,799,562 $12,678,638LABOR & DELIVERY $ 8,423,128 $15,599,469PSYCHIATRIC $ 3,047,566 $ 3,942,931EDUCATION $ 2,938,430 $ 3,801,731DIAGNOSTIC $ 1,457,578 $ 1,885,808DENTAL $ 1,377,631 $ 1,782,373 | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 89068916 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 236465 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 110961607 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 258673572 | 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 | 0 | 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 | 1 | 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 | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | 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 | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 547 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2888 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 1 | ForeignFinancialAccount |
| Name Of Foreign Country | NL | NameOfForeignCountry |
| 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 |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| 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 | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | 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 | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHAEL HAILE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3156246342 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 479 | AddressLine1 |
| City | UTICA | City |
| State | NY | State |
| ZIP Code | 13503 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (31 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| GREGORY B MCLEAN | ||||||||
| CHAIRMAN | 2.00 | X | X | 0 | 0 | 0 | ||
| RICHARD TANTILLO | ||||||||
| VICE-CHAIRMAN | 2.00 | X | X | 0 | 0 | 0 | ||
| TODD HUTTON PHD | ||||||||
| SECRETARY | 2.00 | X | X | 0 | 0 | 0 | ||
| STEPHEN SWEET | ||||||||
| TREASURER | 2.00 | X | X | 0 | 0 | 0 | ||
| DOMENIC P AIELLO MD | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| ESTHER BANKERT PHD | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| MARTIN D BULL | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| JOAN COMPSON | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| LEROY COOLEY MD | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| JOHN L CROSSLEY | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| MARIA GESUALDO DO | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| KAREN LEACH | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| CHRISTOPHER MAX MD | ||||||||
| BOARD MEMBER | 2.00 | X | 7500 | 0 | 0 | |||
| ROGER MCREYNOLDS | ||||||||
| BOARD MEMBER/VICE PRESIDENT | 41.00 | X | X | 192832 | 0 | 22470 | ||
| MICHAEL PAPARONE | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| WILLIAM PARKER MD | ||||||||
| BOARD MEMBER/PHYSICIAN | 41.00 | X | 199547 | 0 | 20588 | |||
| BONNIE WOODS | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| SCOTT H PERRA FACHE | ||||||||
| PRESIDENT/CEO | 40.00 | X | 516246 | 0 | 37627 | |||
| MICHAEL J HAILE FHFMA | ||||||||
| SENIOR VP/CFO | 40.00 | X | 343673 | 0 | 37627 | |||
| DANIEL KOPP MD | ||||||||
| SENIOR VP/CHIEF MEDICAL OFFICER | 40.00 | X | 329717 | 0 | 24439 | |||
| STEVEN BROWN DM FACHE | ||||||||
| SENIOR VP/COO | 40.00 | X | 249260 | 0 | 34122 | |||
| PATRICIA ROACH MS RN CNAA | ||||||||
| SENIOR VP/CHIEF NURSING OFFICER | 40.00 | X | 217633 | 0 | 35345 | |||
| KEVIN MAHONEY | ||||||||
| VP/CHEIF INFORMATION OFFICER | 40.00 | X | 189184 | 0 | 22330 | |||
| ANTHONY SCIBELLI | ||||||||
| VP HUMAN RESOURCES AND OPERATIONS | 40.00 | X | 191283 | 0 | 22672 | |||
| DEBRA ALTDOERFFER | ||||||||
| VP COMMUNICATIONS AND MARKETING | 40.00 | X | 115799 | 0 | 22321 | |||
| JORGE FERREIRO MD | ||||||||
| PHYSICIAN | 40.00 | 427500 | 0 | 12088 | X | |||
| ROBER WASICZKO MD | ||||||||
| PHYSICIAN | 40.00 | 348967 | 0 | 11629 | X | |||
| MARK WILLIAMS MD | ||||||||
| PHYSICIAN | 40.00 | 279008 | 0 | 8553 | X | |||
| ANAND RAVI MD | ||||||||
| PHYSICIAN | 40.00 | 273206 | 0 | 9797 | X | |||
| SARMAD SIDDIQUI MD | ||||||||
| PHYSICIAN | 40.00 | 265987 | 0 | 12109 | X | |||
| KEITH FENSTEMACHER | ||||||||
| FORMER CEO/RETIRED 12/31/08 | 0.00 | 281368 | 0 | 267 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4428710 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 333984 | TotalOtherCompensation |
| Number Individuals GT100 K | 104 | NumberIndividualsGT100K |
| Formers Listed | 1 | 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 |
|---|---|---|---|---|---|
| CARDINAL HEALTH | |||||
| 5303 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | PHARMACEUTICAL SUPPLIES | 18418095 |
| CENTREX CLINICAL LABORATORIES | |||||
| 28 CAMPION ROAD | NEW HARTFORD | NY | 13413 | LABORATORY SERVICES | 12379846 |
| SODEXO INC & AFFILIATES | |||||
| PO BOX 360170 | PITTSBURGH | PA | 15251 | FOOD/NUTRITIONAL SERVICES | 4204186 |
| NEW YORK RADIATION THERAPY | |||||
| 2234 COLONIAL BLVD | FORT MYERS | FL | 33907 | RADIATION THERAPY SERVICES | 3387891 |
| PMA INSURANCE GROUP | |||||
| PO BOX 8500 | PHILADELPHIA | PA | 19178 | WORKER'S COMPENSATION INSURANCE | 2637330 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 162 | NumberOfContractorsGT100K |
| Related Organizations | 2074958 | RelatedOrganizations |
| Government Grants | 491142 | GovernmentGrants |
| All Other Contributions | 8649 | AllOtherContributions |
| Total Contributions | 2574749 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| ACUTE CARE SERVICES | 622200 | 105726804 | 105726804 |
| OUTPATIENT SURGERY | 622200 | 42882414 | 42882414 |
| CANCER CARE PROGRAM | 622200 | 26596572 | 26596572 |
| RENAL DIALYSIS | 622200 | 15821889 | 15821889 |
| MATERNAL & CHILD CARE | 622200 | 15599469 | 15599469 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 71516079 | TotalRevenueColumn |
| Related Or Exempt Function Income | 71434920 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 81159 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 278143227 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 604023 | TotalRevenueColumn |
| Exclusion | $604,023 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 868983 | 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 | 868983 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 868983 | TotalRevenueColumn |
| Related Or Exempt Function Income | 215112 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 653871 | UnrelatedBusinessRevenue |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| HEALTH INFORMATION TEC | 900099 | 4880080 | 4880080 |
| NEW HARTFORD SCANNER | 900099 | 1009764 | 1009764 |
| EMS EDUCATION CLASSES | 611600 | 546435 | 546435 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1467219 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1453938 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 13281 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 7903498 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 290094480 | TotalRevenueColumn |
| Related Or Exempt Function Income | 286167397 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 748311 | UnrelatedBusinessRevenue |
| Exclusion | $604,023 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4762694 | Total |
| Program Services | 2476114 | ProgramServices |
| Management And General | 2286580 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 113018743 | Total |
| Program Services | 101246934 | ProgramServices |
| Management And General | 11771809 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5633230 | Total |
| Program Services | 4842421 | ProgramServices |
| Management And General | 790809 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19070591 | Total |
| Program Services | 16393406 | ProgramServices |
| Management And General | 2677185 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8638028 | Total |
| Program Services | 7425397 | ProgramServices |
| Management And General | 1212631 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 921425 | Total |
| Program Services | 888478 | ProgramServices |
| Management And General | 32947 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 262305 | Total |
| Management And General | 262305 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 172739 | Total |
| Management And General | 172739 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48098 | Total |
| Management And General | 48098 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28911334 | Total |
| Program Services | 27877557 | ProgramServices |
| Management And General | 1033777 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 418615 | Total |
| Program Services | 403647 | ProgramServices |
| Management And General | 14968 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1275553 | Total |
| Program Services | 1229943 | ProgramServices |
| Management And General | 45610 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4861826 | Total |
| Program Services | 4687983 | ProgramServices |
| Management And General | 173843 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6297847 | Total |
| Program Services | 6072656 | ProgramServices |
| Management And General | 225191 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 584894 | Total |
| Program Services | 563980 | ProgramServices |
| Management And General | 20914 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3943250 | Total |
| Program Services | 3802252 | ProgramServices |
| Management And General | 140998 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16068688 | Total |
| Program Services | 10926708 | ProgramServices |
| Management And General | 5141980 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3742233 | Total |
| Program Services | 3608423 | ProgramServices |
| Management And General | 133810 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 44678995 | 44678995 | |
| BAD DEBT EXPENSE | 8987088 | 8987088 | |
| NON MEDICAL SUPPLIES | 5507549 | 5310617 | 196932 |
| SERVICE CONTRACTS | 2427660 | 2340855 | 86805 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5328023 | Total |
| Program Services | 4910118 | ProgramServices |
| Management And General | 417905 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 285561408 | Total |
| Program Services | 258673572 | ProgramServices |
| Management And General | 26887836 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1732553 | BOY |
| EOY | 204502 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 497186 | BOY |
| EOY | 915773 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40499957 | BOY |
| EOY | 40666564 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5346833 | BOY |
| EOY | 5231856 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2673053 | BOY |
| EOY | 3575967 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 268990930 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 172366589 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100423564 | BOY |
| EOY | 96624341 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 71519532 | BOY |
| EOY | 52631789 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14361824 | BOY |
| EOY | 11771239 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 161112 | BOY |
| EOY | 272866 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11516885 | BOY |
| EOY | 40612441 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 248732499 | BOY |
| EOY | 252507338 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30144515 | BOY |
| EOY | 31780902 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20775 | BOY |
| EOY | 6785 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25296156 | BOY |
| EOY | 25396925 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43974808 | BOY |
| EOY | 66624668 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 120190479 | BOY |
| EOY | 130587495 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 119443075 | BOY |
| EOY | 113859059 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4570781 | BOY |
| EOY | 3532620 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4528164 | BOY |
| EOY | 4528164 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 128542020 | BOY |
| EOY | 121919843 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 248732499 | BOY |
| EOY | 252507338 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 4533072 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -11155249 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
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 | $48,098 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 48098 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | PARTICIPATION IS BASED ON THE MEMBERSHIP DUES PAID TO HANYS, AS LISTED ON LINE 2. THE FOLLOWING NARRATIVE IS TAKEN DIRECTLY FROM THE HANYS WEBSITE TO DESCRIBE THEIR ACTIVITIES: "HANYS IS PROUD TO BE THE ONLY ASSOCIATION THAT REPRESENTS AND ADVOCATES ON BEHALF OF ALL NEW YORK'S HOSPITALS AND HEALTH SYSTEMS AT ALL LEVELS OF THE FEDERAL AND STATE GOVERNMENT. HANYS HAS ACCESS TO POLICY LEADERS, REGARDLESS OF THEIR POLITICAL AFFILIATION AND IS AN INTEGRAL PLAYER IN HEALTH POLICY DISCUSSIONS. HANYS ALSO COMMUNICATES MEMBER'S CONCERNS AND POSITIONS TO NEW YORK AND NATIONAL MEDIA IN SUPPORT OF THE ASSOCIATION'S LEGISLATIVE AND REGULATORY INITIATIVES." | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9098945 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -1071182 | InvestmentEarningsOrLosses |
| Other Expenditures | 33021 | OtherExpenditures |
| End Of Year Balance | 8060784 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 7020434 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 2522730 | InvestmentEarningsOrLosses |
| Other Expenditures | -444219 | OtherExpenditures |
| End Of Year Balance | 9098945 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 6333673 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 1370443 | InvestmentEarningsOrLosses |
| Other Expenditures | -683682 | OtherExpenditures |
| End Of Year Balance | 7020434 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 5865040 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 1694171 | InvestmentEarningsOrLosses |
| Other Expenditures | -1225538 | OtherExpenditures |
| End Of Year Balance | 6333673 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.56000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.44000 | 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 | 2238425 | OtherCostOrOtherBasis |
| Book Value | 2238425 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 111164828 | OtherCostOrOtherBasis |
| Depreciation | 67862380 | Depreciation |
| Book Value | 43302448 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 245188 | OtherCostOrOtherBasis |
| Depreciation | 197152 | Depreciation |
| Book Value | 48036 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 147720159 | OtherCostOrOtherBasis |
| Depreciation | 101194018 | Depreciation |
| Book Value | 46526141 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7622330 | OtherCostOrOtherBasis |
| Depreciation | 3113039 | Depreciation |
| Book Value | 4509291 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 96624341 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (4 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| MUTUAL FUNDS INVESTMENT | 23661365 | F |
| COMMON STOCK INVESTMENT | 3187051 | F |
| CORPORATE OBLIGATIONS | 25639215 | F |
| CASH AND EQUIVALENTS | 144158 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 52631789 | TotalOfBookValueSecurities |
Other Assets OtherAssets (6 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER ASSETS | 4387827 |
| DUE FROM AFFILIATES | 1682938 |
| UNAMORTIZED DEBT ISSUANCE COSTS | 498240 |
| WC INSURANCE RECEIVABLE LT | 5113321 |
| G&P INSURANCE RECEIVABLE LT | 20952400 |
| ESTIMATED THIRD PARTY PAYOR SETTLEMENTS | 7977715 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 40612441 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| 2006 SERIES TAXABLE BONDS | $11,055,000 |
| CAPITAL LEASE OBLIGATIONS | $11,744,368 |
| UNREALIZED LOSS ON INTEREST RATE SWAPS | $6,299,513 |
| WC INSURANCE RECEIVABLE, LT | $5,113,321 |
| G&P INSURANCE RECEIVABLE , LT | $25,952,400 |
| ESTIMATED SELF-INSURED LIABILITIES | $6,460,066 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 66624668 | TotalOfAmounts |
| Total Revenue | 290094480 | TotalRevenue |
| Total Expenses | 285561408 | TotalExpenses |
| Excess Or Deficit For Year | 4533072 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -2016122 | NetUnrealizedGLOnInvestments |
| Other | -$9,139,127 | OtherAmount |
| Total Adjustments | -11155249 | TotalAdjustments |
| Excess Or Deficit Per FS | -6622177 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 288569094 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 288569094 | RevenueSubtotal |
| Other Revenues Not Included | 1525386 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 1525386 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 290094480 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 285325583 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 285325583 | ExpensesSubtotal |
| Other Expenses Not Included | 235825 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 235825 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 285561408 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | PERMANENT ENDOWMENT FUNDS ARE TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS TO BE USED TO SUPPORT CHARITY CARE, HEALTH CARE SERVICES, SCHOLARSHIPS AND FACILITY MAINTENANCE. TEMPORARY ENDOWMENT FUNDS ARE DONOR CONTRIBUTIONS RESTRICTED BY THE DONORS FOR SPECIFIC PURPOSES. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | PART V; LINE 3(II): FSLHC (AND FOUNDATION) IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501C(3)OF THE INTERNAL REVENUE CODE. THE STANDARDS FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES IS TO ESTABLISH A RECOGNITION THRESHOLD AND MEASUREMENT FOR INCOME TAX POSITIONS RECONGNIZED IN A HOSPITAL'S FINANCIAL STATEMENTS. THESE STANDARDS HAD NO IMPACT ON THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHRORITIES ARE 2008-2011. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | CHANGE IN FAIR VALUE OF INTEREST RATE SWAPS -2,331,948. CHANGE IN INTEREST IN UNRESTRICTED NET ASSETS OF FOUNDATION -696,720. CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE -5,000,000. CHANGE IN INTEREST IN TEMPORARILY RESTRICTED NET ASSETS OF FOUNDATION -1,037,926. OTHER -72,533. TOTAL TO SCHEDULE D, PART XI, LINE 8: -9,139,127. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 300.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| 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 | 2927595 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 408233 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2519362 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00890 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 42092158 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 32526323 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9565838 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03350 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 45019753 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 32934556 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12085200 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04240 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1129361 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1129361 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00400 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1351975 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1140840 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 211134 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 15868357 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10253391 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5614966 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01970 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 152552 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 19745 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 132807 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 44729 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 44729 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 18546974 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11413976 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7132997 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02520 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 63566727 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 44348532 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 19218197 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06760 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 25 | PersonsServed |
| Total Community Building Expense | 14850 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 3625 | DirectOffsettingRevenue |
| Net Community Building Expense | 11225 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 32 | PersonsServed |
| Total Community Building Expense | 970 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 384 | DirectOffsettingRevenue |
| Net Community Building Expense | 586 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 42 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 42 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 54518 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 46350 | DirectOffsettingRevenue |
| Net Community Building Expense | 8168 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 12648 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 12648 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 84 | PersonsServed |
| Total Community Building Expense | 65665 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 26126 | DirectOffsettingRevenue |
| Net Community Building Expense | 39539 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00190 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 141 | PersonsServed |
| Total Community Building Expense | 148693 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 76485 | DirectOffsettingRevenue |
| Net Community Building Expense | 72208 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00230 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $8,987,088 | BadDebtExpenseAmount |
| Amount Attributable To | 1543382 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 110659770 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 131413506 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -20753736 | 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 | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|
| 1 NEW HARTFORD SCANNER | ||
| MEDICAL IMAGING SERVICES | 0.60000 | 0.40000 |
| 2 MOHAWK VALLEY HEART INSTITUTE | ||
| CARDIAC SURGICAL SERVICES | 0.30000 | |
| 3 MOHAWK VALLEY ENDOSCOPY CENTER | ||
| ENDOSCOPY SERVICES | 0.20000 | 0.60000 |
| 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 | FAXTON-ST LUKE'S HEALTHCARE INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 479 | AddressLine1 |
| City | UTICA | City |
| State | NY | State |
| ZIP Code | 13503 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
| Other | CANCER CARE, REHAB, PRIMARY CARE CLINICS | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAXTON-ST LUKE'S HEALTHCARE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Other | X | Other |
| Needs Assessment Conducted | 11 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 0 | AllNeedsAddressed |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 300.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| 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 |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Permit Lien On Residence | X | PermitLienOnResidence |
| Permit Body Attachment | X | PermitBodyAttachment |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Lawsuit | X | Lawsuit |
| Lien On Residence | X | LienOnResidence |
| Body Attachment | X | BodyAttachment |
| 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 VI Form990ScheduleHPartVI (25 entries)
| ExplanationExplanation | Return ReferenceReturnReference | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 3C: FOR PATIENTS WITH NO INSURANCE, FSLHC SCREENS FOR FINANCIAL ASSISTANCE ELIGIBILITY AND HELPS WITH ANY OF THE APPLICATIONS. IF PATIENT DOES NOT QUALIFY OR COOPERATE WITH THE PROCESS, THEY ARE BILLED BASED ON GROSS CHARGES AND 20% PROMPT PAY DISCOUNT. | ||
| PART I, L7 COL(F): THE SELF-PAY BAD DEBT WAS CALCULATED AFTER INSURANCE, AT FULL VALUE. THIS HAS ALREADY BEEN REDUCED TO CONTRACTUAL RECEIVABLE, WHICH IS NEAR COST. REDUCE SELF-PAY BAD DEBT WITH NO INSURANCE BY THE PREVIOUSLY CALCULATED COST TO CHARGE RATIO. | ||
| THE ORGANIZATION SUBMITTED THE COMMUNITY SERVICE PLAN TO THE NEW YORK STATE DEPARTMENT OF HEALTH ON 9/15/2011. THE REPORT IS MADE AVAILABLE TO THE PUBLIC AS FOLLOWS:HTTP://FAXTONSTLUKES.COM/PDF/COMMUNITY-SERVICE-PLANFOR ADDITIONAL COPIES OF THE REPORT CONTACT:DEBRA ALTDOERFFER, VPCOMMUNICATIONS AND MARKETINGDALTDOER@MVNHEALTH.COMCOMMUNITY SERVICE PLAN:COMMUNITY SERVICE PLAN FAXTON ST. LUKE'S HEALTHCARE - UTICA, NEW YORK SUBMITTED: THURSDAY, SEPTEMBER 15, 2011PLEASE SEE THIS DOCUMENT BELOW.COMMUNITY SERVICE PLAN FAXTON ST. LUKE'S HEALTHCARE - UTICA, NEW YORK SUBMITTED: THURSDAY, SEPTEMBER 15, 2011FAXTON ST. LUKE'S HEALTHCARE (FSLH) PRESENTS THE 2010 COMMUNITY SERVICE PLAN. THE PLAN INCORPORATES OUR WORK WITH COMMUNITY PARTNERS INCLUDING THE HEALTH DEPARTMENTS OF ONEIDA AND HERKIMER COUNTIES, ONEIDA COUNTY HEALTH COALITION, HERKIMER COUNTY HEALTHNET, LOCAL HOSPITALS (ST. ELIZABETH MEDICAL CENTER AND ROME MEMORIAL HOSPITAL), ALONG WITH INPUT FROM OTHER HEALTH AND SOCIAL SERVICE AGENCIES, BUSINESS LEADERS, CLERGY, EDUCATORS, AND LAW ENFORCEMENT OFFICERS. THIS PLAN IDENTIFIES SPECIFIC COMMUNITY HEALTH IMPROVEMENT ACTIONS IN RELATIONSHIP TO THE STATE OF NEW YORK DEPARTMENT OF HEALTH PREVENTION AGENDA.IT IS NOT THE INTENT OF THIS COMMUNITY SERVICE PLAN TO DUPLICATE THE DATA, COMMUNITY INPUT, AND DETAILED DESCRIPTION OF THE PROCESSES THAT ARE CONTAINED IN BOTH THE ONEIDA COUNTY AND HERKIMER COUNTY COMMUNITY HEALTH ASSESSMENTS. THAT INFORMATION IS AVAILABLE ON THE COUNTY WEB SITES OR BY CONTACTING THE COUNTY HEALTH DEPARTMENTS.SECTION 1: MISSION STATEMENT "TO PROVIDE THE HIGHEST QUALITY HEALTH CARE IN OUR REGION."SECTION 2: FSLH GEOGRAPHIC SERVICE AREAFSLH'S PRIMARY AND SECONDARY SERVICE AREAS, BASED ON ZIP CODE ANALYSIS OF PATIENT ORIGIN, INCLUDES ALL COMMUNITIES SURROUNDING THE UTICA AREA, EXCEPT THE MOST DISTANT WESTERN TOWNS IN ONEIDA COUNTY AND ALL BUT THE MOST SOUTH EASTERN TOWNS, IN HERKIMER COUNTY. THE POPULATION OF OUR SERVICE AREA IS APPROXIMATELY 280,000 PEOPLE.FOR SELECTED SPECIALTIES, SUCH AS DIALYSIS AND CANCER CARE, FSLH IS RECOGNIZED AS A TERTIARY CENTER SERVING PARTS OF MADISON, LEWIS, FULTON, HAMILTON, AND MONTGOMERY COUNTIES. THE POPULATION OF THE TERTIARY MARKET IS APPROXIMATELY 361,000 PEOPLE.SECTION 3: PUBLIC PARTICIPATIONFSLH, AN ACTIVE PARTICIPANT IN THE ONEIDA COUNTY AND HERKIMER COUNTY COMMUNITY HEALTH ASSESSMENTS, INCORPORATES THE PRIORITIES AND ACTIVITIES OF THE 2009 REGIONAL HEALTH SUMMIT INTO OUR COMMUNITY SERVICE PLAN. REGIONAL HEALTH PRIORITIES:APRIL 2009 - RECAPONEIDA AND HERKIMER COUNTIES SHARE SIMILAR HEALTH ISSUES THAT ARE ADDRESSED BY ORGANIZATIONS SERVING BOTH COUNTIES. THE COUNTIES COORDINATED THEIR PRIORITY-SETTING EFFORTS TO IDENTIFY THE HEALTH PRIORITIES FOR THE REGION FROM THE NYSDOH PREVENTION AGENDA. THIS COLLABORATIVE REGIONAL HEALTH SUMMIT WAS SPONSORED BY REPRESENTATIVES FROM THE REGION'S HOSPITALS, LHDS, CHA PLANNING TEAMS, AND THE UNITED WAY AND INCLUDED THE FOLLOWING AGENCIES: -FAXTON ST. LUKE'S HEALTHCARE-HERKIMER COUNTY HEALTH DEPARTMENT-HERKIMER COUNTY HEALTHNET-ONEIDA COUNTY HEALTH COALITION & MAPP ADVISORY TEAM-ONEIDA COUNTY HEALTH DEPARTMENT-ST. ELIZABETH MEDICAL CENTER-ROME MEMORIAL HOSPITAL-UNITED WAY OF THE VALLEY AND GREATER UTICA AREA-MOHAWK VALLEY PERINATAL NETWORK ACTIONS PLANS WERE DEVELOPED AND VOLUNTEERS INTERESTED IN EACH PRIORITY AREA WERE IDENTIFIED, COLLECTED AND ORGANIZED BY THE SPONSORS (REGIONAL PLANNING TEAM).SECTION 4: COMMUNITY HEALTH PRIORTIESTHE COMMUNITY ASSESSMENT FOR HERKIMER AND ONEIDA COUNTIES IDENTIFIED THE SAME ITEMS FROM THE PREVENTION AGENDA AS THE HEALTH PRIORITIES FOR THEIR RESPECTIVE COUNTIES. -MENTAL HEALTH AND SUBSTANCE ABUSE-HEALTHY MOTHERS, HEALTHY BABIES, HEALTHY CHILDREN-CHRONIC DISEASE-ACCESS TO QUALITY HEALTHCARE-PHYSICAL FITNESS AND NUTRITIONSECTION 5: UPDATE ON THE PLAN OF ACTION THE ONEIDA COUNTY HEALTH COALITION STEERING COMMITTEE MEETS REGULARLY AND OVERSEES PROGRESS OF THE PUBLIC HEALTH PRIORITIES WORK GROUPS. THE STEERING COMMITTEE'S PURPOSE IS TO IMPROVE COMMUNICATION; COORDINATE HEALTH SUMMIT WORKGROUPS; PROBLEM-SOLVE, COMMUNICATE AND REPORT ON SUCCESSES AND CHALLENGES. REPRESENTATIVES INCLUDES THE HOSPITALS (FSLH, SEMC AND ROME MEMORIAL), CATHOLIC CHARITIES, ONEIDA COUNTY HEALTH COALITION, KIDS ONEIDA, MEDICAL SOCIETIES OF HERKIMER AND ONEIDA COUNTIES, MOHAWK VALLEY RESOURCE CENTER FOR REFUGEES, AND HERKIMER COUNTY INTEGRATED PLANNING, MEMBERS OF THE ONEIDA COUNTY HEALTH COALITION STEERING COMMITTEE/MAPP TEAM AND HERKIMER COMMUNITY HEALTH ASSESSMENT STEERING COMMITTEE. THE PRIORITIES ARE PROFILED ALONG WITH UPDATED DETAILS ABOUT THE INITIATIVES: PRIORITY 1 MENTAL HEALTH AND SUBSTANCE ABUSE INITIAL THREE-YEAR PLAN:2009-2010 WORK GROUPS IN EACH OF THE IDENTIFIED PRIORITY AREAS WILL IDENTIFY STRONG LEADERS, EXAMINE DATA AND DETERMINE SPECIFIC COMMUNITY NEEDS AND MEASUREMENT TOOLS.2010-2011 MEMBERS OF THE REGIONAL HEALTH COORDINATING COUNCIL (RHCC) ALLOCATE RESOURCES, BOTH STAFF AND FINANCIAL, TO ADDRESS THE PRIORITY ISSUES AND TAKE ACTION.2011-2012 MEMBERS OF THE RHCC MEASURE THE ACTIONS FOR POSITIVE OUTCOMES AND DETERMINE NEXT STEPS.MENTAL HEALTH/SUBSTANCE ABUSE PRIORITY AREATHE SPECIFIC NEED WAS IDENTIFIED AS: THE LACK OF ACUTE, EMERGENCY, ESPECIALLY COMMUNITY, MENTAL-HEALTH SERVICES FOR ADOLESCENTS. THIS WAS IDENTIFIED IN 2009 AND AS A RESULT OF MEETING WITH THE ONEIDA COUNTY DEPT. OF MENTAL HEALTH TO COORDINATE PRIORITIES WITHIN THEIR PLANNING PROCESS, ACTION AREAS CHANGED IN 2010. ACCESS TO MENTAL HEALTHCARE, CROSS-SYSTEMS COLLABORATION AND SUICIDE RATES HAVE BEEN AREAS THAT THE COUNTY HEALTH DEPARTMENT'S MENTAL HEALTH SUBCOMMITTEE HAS IDENTIFIED THAT INTEGRATE WITH THE FINDINGS OF THE COUNTY'S COMMUNITY HEALTH ASSESSMENT. A. THIS PRIORITY IS PREEXISTING AND ACTION IS STILL URGENTLY NEEDED FOR ACUTE AND COMMUNITY MENTAL HEALTH SERVICES FOR ADULTS, ADOLESCENTS AND CHILDREN. THE ONEIDA COUNTY DEPARTMENT OF MENTAL HEALTH (OCDMH) HAS CREATED AN EMERGENCY PSYCHIATRIC SERVICES SYSTEM (EPSS) COMMITTEE, WHICH INCLUDES REPRESENTATIVES FROM ALL THREE ONEIDA COUNTY HOSPITALS (FAXTON ST. LUKE'S, ST. ELIZABETH AND ROME MEMORIAL), AND THE MOBILE CRISIS ASSESSMENT TEAM (MCAT) OF THE NEIGHBORHOOD CENTER. ALSO INCLUDED ARE REPRESENTATIVES OF LOCAL LAW ENFORCEMENT AND COMMUNITY MENTAL HEALTH PROVIDERS. THE EPSS COMMITTEE BEGAN MEETING ANNUALLY IN 2010.B. AS THE ONEIDA COUNTY MOBILE CRISIS ASSESSMENT TEAM (MCAT) CEASED ASSESSING ADULTS IN EMERGENCY DEPARTMENTS AS OF AUGUST 1, 2009 AND CEASED ASSESSING CHILDREN THERE AS OF OCTOBER 1, 2009, THREE EPSS SUBCOMMITTEES WORKED ON PLANS TO IMPROVE MENTAL HEALTH/SUBSTANCE ABUSE SERVICES TO PATIENTS. EACH COLLABORATIVE COMMITTEE IS COMPRISED OF REPRESENTATIVES OF THE ABOVE ORGANIZATIONS. THE COMMITTEES WERE ESTABLISHED AS A UTILIZATION REVIEW SUBCOMMITTEE, A TRANSITION SUBCOMMITTEE AND A COMMUNITY DEVELOPMENT SUBCOMMITTEE. ACCORDING TO THE ONEIDA COUNTY HEALTH COALITION'S SUMMARY OF PRIORITY AREAS IN DECEMBER 2010, THE ONEIDA COUNTY MENTAL HEALTH SUBCOMMITTEE REPORTED THAT SINCE A SUBCOMMITTEE FOCUSING ON MENTAL HEALTH ALREADY EXISTED IN ONEIDA COUNTY, IT WAS DECIDED TO USE THAT FORUM TO ADDRESS THE AREAS OF MENTAL HEALTH THAT WERE IDENTIFIED IN THE ONEIDA COUNTY COMMUNITY HEALTH ASSESSMENT FROM SEPTEMBER 2009. JANET SOLDATO, DIRECTOR OF ADULT SERVICES FOR ONEIDA COUNTY DEPARTMENT OF MENTAL HEALTH (OCDMH), MET WITH THE STEERING COMMITTEE TO ASSURE THAT AREAS OF CONCERN WERE BEING PROPERLY ADDRESSED. AMONG THE AREAS OF CONCERN WERE LACK OF CHILD PSYCHIATRISTS, HIGH RATES OF TEENAGE SUICIDE AND BINGE DRINKING. OCDMH FACILITATED MECHANISMS FOR LOCAL PROVIDERS TO ACCESS CHILD PSYCHIATRY SERVICES VIA TELEPSYCHIATRY SERVICES. THE ANNUAL PLANNING GOALS OF THE DEPARTMENT (ACCESS AND CROSS SYSTEM COLLABORATION) ARE CONSISTENT WITH AREAS BEING ADDRESSED THROUGH THE COALITION. THE ONEIDA COUNTY DEPARTMENT OF MENTAL HEALTH BROUGHT NUMEROUS COMMUNITY PARTNERS TOGETHER AT ITS EMERGENCY PSYCHIATRIC SERVICE SYSTEM (EPSS) ANNUAL MEETING ON JANUARY 14, 2011. EPSS RESTRUCTURING BEGAN WITH AN INITIAL HYPOTHESIS THAT MOVING THE MOBILE CRISIS ASSESSMENT TEAM (MCAT) OUT OF HOSPITAL EMERGENCY DEPARTMENTS (ED) WOULD LEAD TO A GREATER NUMBER OF COMMUNITY EVALUATIONS AND FEWER ED PRESENTATIONS AS A RESULT. THIS ASSUMPTION PROVED FALSE, HOWEVER, AS PARTNERS DID NOT ADEQUATELY ANTICIPATE THE ADVERSE IMPACT OF AN INCREASED SUBSTANCE-ABUSE POPULATION UPON THE OVERALL SYSTEM. THE CONSENSUS WAS THAT THOSE BEING SERVED PRESENT A GREATER RANGE OF NEEDS, PROBLEMS AND SERVICE COORDINATION THAN IN THE PAST.SUBCOMMITTEE RESULTS TO DATE IN 2011 ARE:TRANSITION SUBCOMMITTEE - THE ADULT TRANSITION SUBCOMMITTEE WAS CREATED TO DEVELOP FORMAL PROTOCOLS AND IMPLEMENT RELATED TRAININGS FOR ADULT MENTAL HEALTH. DURING THE PAST YEAR, | PART I, LINE 6A, 6B | |
| THE LARGER TRANSITION SUBCOMMITTEE DECIDED TO DISBAND AFTER THE TRANSITION IN 2010. THE WORK CONTINUED THROUGH THE CHILDREN & YOUTH TRANSITION SUBCOMMITTEE, WHICH CONCENTRATED ITS EFFORTS ON THE PRIORITY ISSUE OF "PARKING" CHILDREN IN EDS. CHILDREN & YOUTH (C&Y) TRANSITION SUBCOMMITTEE THE FOLLOWING TASKS HAVE BEEN ACCOMPLISHED:-MEETING HELD WITH ONEIDA COUNTY DEPARTMENT OF SOCIAL SERVICES (DSS) ADMINISTRATION TO DISCUSS ISSUES RELATED TO OBTAINING SIGNATURES FOR CHILDREN IN DSS CUSTODY.REVIEWED AND REVISED:-CHILDREN & YOUTH (C&Y) CLINICAL PROVIDER PROTOCOL-INFORMATION-SHARING PROTOCOL-UPDATED CONTACT INFORMATION.-PARENT ADVOCATES ARE IN THE PROCESS OF DEVELOPING A GUIDE FOR PARENTS TO USE IN THE ED TO HELP FAMILIARIZE THEM WITH THE PINEFIELD PROGRAM AT MOHAWK VALLEY PSYCHIATRIC CENTER (MVPC).SEPTEMBER 2010 PANEL DISCUSSION WITH CHILDREN'S PROVIDERS (NEIGHBORHOOD CENTER/MCAT, HOUSE OF THE GOOD SHEPHERD, KIDS ONEIDA AND INTENSIVE CASE MANAGER, OR ICM) TO REVIEW ROLES AND RESPONSIBILITIES.THE C&Y SUBCOMMITTEE HAS ATTAINED ITS PRIMARY GOAL OF REDUCING THE WAITING TIME FOR CHILDREN IN THE ED TO BE ADMITTED TO MOHAWK VALLEY PSYCHIATRIC CENTER'S PINEFIELD CHILDREN AND YOUTH UNIT.ONGOING TASKS AND GOALS IDENTIFIED FOR THE C&Y SUBCOMMITTEE WERE: -FINALIZE ABOVE-MENTIONED PARENT GUIDE FOR DISTRIBUTION-CONTINUE TO MEET AT LEAST QUARTERLY-CONTINUE TO ASSESS THE USEFULNESS OF THE PROVIDER ED COMMUNICATION FORM-IDENTIFY AND INCORPORATE NEEDED MODIFICATIONS TO THE NEW REQUEST FOR EXAMINATION (RFE) FORM AND EPSS MEMORANDUM OF UNDERSTANDING (MOU), RESPECTIVELY.9.41/UTILIZATION REVIEW 9.41S ARE EMERGENCY ADMISSIONS FOR IMMEDIATE OBSERVATION, CARE AND TREATMENT. CHAIR ANNA GIANNICO PRESENTED HER SUBCOMMITTEE'S POSITIVE AND NEGATIVE OUTCOMES AT THE JAN. 14 EPSS MEETING AS:POSITIVE OUTCOMES:-MONTHLY MEETINGS INVOLVING SIMILAR REPRESENTATION ARE NOW HELD BACK-TO-BACK WITH THE C&Y SUBCOMMITTEE.-IMPROVED COMMUNICATION AMONG AND BETWEEN ATTENDEES, INCLUDING THE RETURN OF FORMER MEMBERS.-INCREASED AWARENESS OF THE FORMAL MEMORANDUM OF UNDERSTANDING. LAW ENFORCEMENT HAS IMPROVED ITS AWARENESS AND USE OF THE NEW REQUEST FOR EVALUATION FORM. THIS RESULTS IN BETTER COMMUNICATION TO HOSPITAL STAFF, FOR PATIENTS IN CRISIS. THE 9.41 SUBCOMMITTEE MEETS MONTHLY WITH LAW ENFORCEMENT AND EMS PROVIDERS. -AS OF 9/1/11, SOME LAW ENFORCEMENT DEPARTMENTS HAVE COMPUTERIZED COMPLETION OF THE ABOVE-MENTIONED FORM, RESULTING IN TIMELY SUBMISSION TO OCDMH TO HELP GATHER DATA.-GREATER FOCUS HAS BEEN PLACED ON FREQUENT ED PATIENTS BEING COMPLIANT WITH TREATMENT PLANS.-AN ADULT CASE CONFERENCE WAS HELD, INVOLVING COMMUNICATION ISSUES BETWEEN EDS & LAW ENFORCEMENT AND TRANSFER OF CUSTODY.-12/9/10 CHILDREN & YOUTH (C&Y) AND UTILIZATION REVIEW/9.41 SUBCOMMITTEES MET WITH REPRESENTATIVES FROM THE ONEIDA COUNTY DISTRICT ATTORNEY'S OFFICE TO DISCUSS THE ISSUE OF VIOLENT INDIVIDUALS. -INCREASED AWARENESS AND ATTENTION TO ALCOHOL/SUBSTANCE ABUSE PATIENTS.SOCIAL WORK STAFF HIRED IN EDS HAS MADE A BIG DIFFERENCE. THEY IDENTIFY PATIENTS WHO HAVE HAD AT LEAST 3 SUBSTANCE ABUSE OR MENTAL HEALTH VISITS TO AN ED AND THEN LOOK DEEPER INTO THE ISSUES CAUSING THESE VISITS, FACILITATING EVALUATION AND PLACEMENT. EACH OF THE THREE ONEIDA COUNTY HOSPITALS IS DOING THIS: ST. ELIZABETH MEDICAL CENTER HAS 2 ED SOCIAL WORKERS; ROME MEMORIAL HOSPITAL HAS 1 AND FAXTON ST. LUKE'S HEALTHCARE HAS 1 CASE MANAGER. THERE HAS BEEN IMPROVEMENT WITH PLACEMENTS AND A DECREASED HOSPITAL LENGTH OF STAY SINCE THE HOSPITALS ADDED SOCIAL WORKERS IN THE EDS. IN 2011, THE FOCUS OF SOCIAL WORKERS/CASE MANAGERS AND THE UTILIZATION TEAM HAS EVOLVED TO EXAMINE RECORDS OF FREQUENT USERS, STARTING WITH THOSE THAT HAVE HAD THREE OR MORE MENTAL-HEALTH VISITS. THIS PROJECT IS STARTING IN SEPTEMBER.NEGATIVE OUTCOMES:-INCREASED 22.09 (PUBLIC INTOXICATION) PRESENTATIONS, INCLUDING AND ESPECIALLY PATIENTS ABUSING ALCOHOL, MAINLY DURING THE EVENING SHIFT.-WHILE THE VOLUMES OF MCAT ASSESSMENTS ARE UP FOR 2010, THIS HAS NOT RESULTED IN A DECREASE IN 9.41 OR 22.09 PRESENTATIONS.-VOLUNTARY PRESENTATIONS REMAIN HIGH.-INCREASED COST TO HOSPITALS FOR TRANSPORTATION AND OTHER DISCHARGE-PLANNING NEEDS.-CONTINUED ACCESS TO LOCAL EDS BY HERKIMER COUNTY RESIDENTS, BOTH VOLUNTARILY AND VIA 9.41S.-BREAKDOWN IN COMMUNICATION BETWEEN OUTPATIENT PROVIDERS AND EDS/9.39 ADMISSION UNITS. (9.39 IS A SECTION OF THE MENTAL HEALTH LAW MEANING A HOSPITAL THAT HAS AN INPATIENT PSYCH UNIT.)MANY 9.41 PRESENTATIONS ARE NOT SUBSEQUENTLY ADMITTED TO HOSPITAL PSYCHIATRIC UNITS.ACCORDING TO THE DATA THAT MCAT PRESENTED TO THE UTILIZATION REVIEW SUBCOMMITTEE, MCAT'S COMMUNITY ASSESSMENTS INCREASED FROM 441 IN 2008 TO A TOTAL OF 764 IN 2010. DURING THAT TIMEFRAME, THERE WERE 3,188 PATIENTS MORE THAN A 16% INCREASE IN THE VOLUNTARY AND INVOLUNTARY PSYCHIATRIC TRANSPORTS TO THE EDS, JUST BY AMBULANCE. MEMBERS OF THE UTILIZATION SUBCOMMITTEE CONTINUE TO BE CONCERNED AS TO THE EFFECTIVENESS OF OUR SYSTEM IN MEETING THE NEEDS OF OUR COMMUNITY MENTAL HEALTH PATIENTS, PARTICULARLY FROM THE ED STANDPOINT. LAST YEAR'S PERFORMANCE MEASURES FOR THE 9.41/UTILIZATION REVIEW SUBCOMMITTEE WERE NOT MET AND MAY HAVE BEEN UNREALISTIC. THEY WERE:1. MCAT FACE-TO-FACE COMMUNITY SCREENINGS WILL ACHIEVE THE SAME NUMBERS AS PRIOR TO MCAT LEAVING THE EDS.2. MCAT WILL DEMONSTRATE INCREASED LAW ENFORCEMENT INTERACTIONS ON THE 4-12 P.M. SHIFT.3. TOTAL 9.41S WILL DECREASE IN NUMBER.THE UTILIZATION REVIEW SUBCOMMITTEE'S GOALS FOR THE 2011-2012 YEAR ARE:1. TO INCREASE MCAT STAFF MEMBERS AT THE 911 CENTER, WHO WILL ACCOMPANY LAW ENFORCEMENT OFFICERS ON APPROPRIATE CALLS. (SEVERAL MCAT WORKERS STARTED AT THE 911 CENTER IN MID-AUGUST 2011.)2. TO TAKE APPROPRIATE PATIENTS TO THE ADDICTION CRISIS CENTER (ACC)3. EVALUATE PATIENTS ON A CASE-BY-CASE BASIS AND USE THE LAW ENFORCEMENT REQUEST FOR EXAMINATION FORM, TO DETERMINE REASONS WHY PATIENTS REPEATEDLY UTILIZE THE EDS. MOBILE CRISIS ASSESSMENT TEAM (MCAT) -- COMMUNITY-BASED ASSESSMENTS INCREASED BY 63% FROM 2008/09 TO 2009/10 WITH ONLY AN OCCASIONAL SERVICE NOW PROVIDED DIRECTLY IN THE ED. MOREOVER, PHONE ASSESSMENTS HAVE INCREASED SIGNIFICANTLY DURING THIS PERIOD. ADDITIONAL ASSESSMENT INFORMATION WAS PROVIDED BY GENDER AND AGE, RESPECTIVELY.MCAT'S AVERAGE RESPONSE TIME FOR FACE-TO-FACE ACTIVITIES IN THE COMMUNITY IS 34.25 MINUTES. REFERRALS TO MCAT ARE PRIMARILY MADE BY FAMILY MEMBERS, FOLLOWED IN ORDER BY OTHERS, SELF, SCHOOL, MEDICAL PROVIDERS, RESIDENTIAL, POLICE, CURRENT (MENTAL HEALTH) PROVIDERS AND MCAT ITSELF. CHAIR FRANK TOCCO REPORTED TO EPSS ON 1/14/11 THAT MCAT HAS CONDUCTED NUMEROUS TRAINING/EDUCATIONAL PROGRAMS TO INCREASE AWARENESS OF ITS AVAILABILITY BOTH BY THE PUBLIC-AT-LARGE AND COMMUNITY PROVIDERS, INCLUDING SCHOOLS AND LAW ENFORCEMENT. THE "CHANGING FACE OF MCAT" HAS BEEN HIGHLIGHTED DURING THESE PRESENTATIONS. MCAT WILL CONTINUE ITS OWN PUBLIC-RELATIONS EFFORTS OVER TIME. SPECIFICALLY, A PSA AIRED ON LOCAL MEDIA AT THE BEGINNING OF THE YEAR. FAXTON ST. LUKE'S HEALTHCARE AND ST. ELIZABETH MEDICAL CENTER'S PSYCHIATRIC DEPARTMENTS MEET JOINTLY MONTHLY, AS DO THE CHILDREN'S MENTAL HEALTH TEAMS. NEW YORK STATE GOVERNMENT IS STILL DECREASING INPATIENT PSYCHIATRIC BEDS FOR BOTH ADULTS AND CHILDREN, INCLUDING AT THE MOHAWK VALLEY PSYCHIATRIC CENTER'S PINEFIELD CHILDREN AND YOUTH UNIT. PRIORITY 2 - HEALTHY MOTHERS, HEALTHY BABIES, HEALTHY CHILDREN 2009-2010 - OB CARE INITIATIVE UNDER WAY WITH AN EXPANDED WORK GROUP, INCLUDING THE HOSPITALS, BASED ON NEED FROM OCTOBER 2009 HEALTH SUMMIT. 2010-2011 MEMBERS OF THE HEALTHY MOTHERS, BABIES AND CHILDREN WORK GROUP TO DEVELOP PRIORITIES, ASSESS RESOURCES AND TAKE ACTION TO DEVELOP A COMPREHENSIVE APPROACH TO SERVING THE IDENTIFIED POPULATION. ANTICIPATED COMPLETION OF THE OB CARE CENTER AT THE ST. LUKE'S CAMPUS OF FAXTON ST. LUKE'S HEALTHCARE WITH FULL CONSOLIDATION OF SERVICES TO INCLUDE ST. ELIZABETH MEDICAL CENTER OB CARE CENTER.2011- 2012 - MEMBERS OF THE TEAM WILL CONTINUE TO MEASURE ACTIONS FOR POSITIVE OUTCOMES AND DETERMINE NEXT STEPS. TWO PRIMARY INITIATIVES FOR ONEIDA AND HERKIMER COUNTIES:1.REDUCING TEENAGE PREGNANCY 2.INCREASING NUMBERS OF PREGNANT WOMEN SEEKING CARE DURING 1ST TRIMESTERADDITIONAL INITIATIVE:3.CONSOLIDATION OF OB CARE SERVICES (FAXTON ST. LUKE'S HEALTHCARE AND ST. ELIZABETH MEDICAL CENTER). 1. REDUCING TEENAGE PREGNANCY:THE MOHAWK VALLEY PERINATAL NETWORK (MVPN) AND PLANNED PARENTHOOD ESTABLISHED A TEENAGE PREGNANCY PREVENTION NETWORK THAT INCLUDES COMMUNITY PARTNERS FAXTON ST. LUKE'S HEALTHCARE (FSLH), ST. ELIZABETH MEDICAL CENTER, ROME MEMORIAL HOSPITAL, CARENET AND HERKIMER/ONEIDA COUNTY PLANNING. THE GROUP DEVELOPED A TEEN PREGNANCY WORKSHOP FOR SCHOOL NURSES, TEACHERS AND COMMUNITY AGENCIES ON THE TOPIC OF TEEN HEALTH, INCLUDING TEENAGE | PART I, LINE 6A, 6B | |
| PREGNANCY AND SEXUALITY. THE WORKSHOP WAS PRESENTED IN MARCH 2011 WITH 94 PARTICIPANTS. REPRESENTATION FROM THE FOLLOWING SCHOOLS/SCHOOL DISTRICTS:-ROME CSD -WHITESBORO -UTICA CSD -CAMDEN-ONEIDA CSD -CAZENOVIA- SENECA ST. ELEM. - DOLGEVILLE- WILLARD PRIOR - CINCINNATUS CSD (CORTLAND COUNTY)- DURHAMVILLE - WEST CANADA VALLEY- ONEIDA HIGH SCHOOL - OWEN D. YOUNG- DERUYTER - NYSSD -POLAND -REMSEN-ORISKANY -MORRISVILLE EATON-WESTMORELAND -VVS-CANASTOTA -ILION-HAMILTON -MT. MARKHAM-OPPENHEIM- EPHRATAH -ONEIDA-HERKIMER-MADISON BOCES-MADISON-ONEIDA BOCES-E. HERKIMER BOCESREPRESENTATION FROM THE FOLLOWING HEALTH & HUMAN SERVICE AGENCIES: -ONEIDA COUNTY HEALTH DEPARTMENT-HERKIMER COUNTY HEALTH DEPARTMENT-MADISON COUNTY DEPARTMENT OF HEALTH-PLANNED PARENTHOOD-HERKIMER-ONEIDA COUNTIES COMPREHENSIVE PLANNING PROGRAM-MOHAWK VALLEY PERINATAL NETWORK-YWCA-UTICA SAFE SCHOOLS-CARE NET-CORNELL COOPERATIVE EXTENSION: EAT SMART NY PROGRAM-FAXTON ST. LUKE'S OB CARE CENTER-NEW YORK STATE CENTER FOR SCHOOL SAFETY-UPSTATE POISON CONTROL-AIDS COMMUNITY RESOURCES-MERCK-SANOFI PASTEUR-EPILEPSY FOUNDATIONSIXTY-SEVEN EVALUATIONS WERE RECEIVED BY SCHOOL PERSONNEL AND AGENCIES. THE INFORMATION WAS ASSESSED AND BROADER-REACHING COMMUNICATION VEHICLES FOR STUDENTS ON THE TOPIC OF TEEN PREGNANCY AND PREVENTION ARE IN DEVELOPMENT. NEW PROGRAMS INCLUDE A TEEN SUPPORT GROUP OFFERED THROUGH PLANNED PARENTHOOD AND MVPN (ACTIVE IN SEPTEMBER 2011), A FACEBOOK PAGE WWW.FACEBOOK.COM/IMINTHEKNOW, INFORMATION HAS BEEN MADE AVAILABLE FOR A VARIETY OF PUBLICATIONS THAT TEENS ACCESS, AS WELL MAKING THE TEEN PREGNANCY WORKSHOP AN ANNUAL PROGRAM. 2. INCREASING NUMBERS OF PREGNANT WOMEN SEEKING CARE DURING 1ST TRIMESTER:LED BY THE MOHAWK VALLEY PERINATAL NETWORK (MVPN), THE MATERNAL-CHILD HEALTH WORKGROUP ADDRESSES PRIORITY AREAS OF LOW BIRTH WEIGHT, PRETERM BIRTH, AND EARLY ENTRY TO PRENATAL CARE, WHICH ARE COMMON PROBLEMS IN OUR COMMUNITY. IN 2010 THE TEAM PROMOTED THE AVAILABLE SERVICES FOR PRENATAL CARE, INCLUDING THE MASS DISTRIBUTION OF POSTERS THAT LISTED LOCATIONS WHERE WOMEN MAY OBTAIN PRENATAL CARE. THE OUTREACH INCLUDED TRADITIONAL AREAS LIKE SCHOOLS AND AGENCIES AS WELL AS NON-TRADITIONAL PLACES SUCH AS FOOD PANTRIES, GROCERY STORES, AND NAIL SALONS. THE TEAM REVIEWED A CENTERING PREGNANCY MODEL WHERE GROUPS OF WOMEN WHO ARE AT THE SAME STAGE IN THEIR PREGNANCY GO TO THEIR APPOINTMENTS TOGETHER, LEARN HOW TO TAKE THEIR OWN VITAL HEALTH INFORMATION, AND EXPERIENCE A SUPPORT NETWORK. RESEARCH SHOWS THIS APPROACH SUPPORTS A DECREASE IN LOW BIRTH WEIGHT AND PRETERM BIRTHS AND INCREASES RATES OF EXCLUSIVE BREASTFEEDING. WHILE THIS MODEL MAY NOT BE FULLY ADOPTED IN THE COMMUNITY THE DISCUSSION HAS HELPED CREATE A GREATER AWARENESS AMONG OB CARE CENTERS AND AGENCIES FOR POSSIBLE MODIFICATION OF THEIR CURRENT PROGRAMS. IN APRIL 2011 THE MOHAWK VALLEY PERINATAL NETWORK CONSORTIUM PARTICIPATED IN THE REVIEW OF AN ASSESSMENT OF MATERNAL CHILD HEALTH CARE NEEDS IN THE MOHAWK VALLEY. KARA WILLIAMS PRESENTED ON BEHALF OF THE COMMUNITY HEALTH FOUNDATION OF WESTERN AND CENTRAL NEW YORK, WHICH COMMISSIONED THE ASSESSMENT. THE ASSESSMENT IDENTIFIED LIMITED POSTPARTUM SERVICES AND THE LACK OF A STANDARDIZED ASSESSMENT OF NEEDS AS SIGNIFICANT GAPS IN CARE. BARRIERS IN TRANSPORTATION, CULTURAL VARIATIONS AND A LIMITED SUPPLY OF QUALIFIED PROFESSIONALS WERE ALSO CONTRIBUTING FACTORS.OF THOSE INTERVIEWED, 80 PERCENT HAD RECEIVED CARE DURING THEIR FIRST TRIMESTER INDICATING PROGRESS IN OUR GOAL TO PROVIDE PRENATAL SERVICES. HOWEVER, UNEMPLOYMENT, VARYING LEVELS OF FAMILY SUPPORT AND UNADDRESSED MENTAL HEALTH ISSUES FOLLOWING BIRTH SIGNAL THAT POSTPARTUM SERVICES NEED TO BE SIMULTANEOUSLY ADDRESSED FOR CONTINUED PRENATAL SUCCESS. THE MATERNAL-CHILD HEALTH WORKGROUP CONTINUES TO MEET TO DETERMINE HOW BEST TO COMMUNICATE WITH PREGNANT MOTHERS AND FAMILIES THAT PRENATAL CARE IS VITAL TO THE HEALTH OF THEIR BABY.NEW IN 2011, FAXTON ST. LUKE'S HEALTHCARE RECEIVED FUNDING FROM THE UNITED WAY OF THE VALLEY AND GREATER UTICA AREA TO DEVELOP A PATIENT NAVIGATION PROGRAM IN THEIR OB CARE CENTER (OBCC). THIS PROGRAM BEGINS IN SEPTEMBER 2011 AND IS FUNDED FOR TWO YEARS ($70,000 A YEAR FOR TWO YEARS). ESTIMATED EXPENSE OF THE PROGRAM IS $92,000 ANNUALLY. FSLH WILL FUND THE DIFFERENCE BETWEEN THE GRANT AND THE ACTUAL COST. THE OBCC REFERS HIGH RISK WOMEN TO THE PATIENT NAVIGATION PROGRAM BASED ON A RISK SCREENING TOOL COMPLETED FOR EACH PATIENT. TWO PART-TIME STAFF (A NURSE AND A HEALTH EDUCATOR) FILL THE ROLE OF PATIENT NAVIGATOR. THE NURSE IS A FSLH EMPLOYEE AND THE HEALTH EDUCATOR IS EMPLOYED BY MVPN. BOTH STAFF MEMBERS MEET WITH WOMEN AT THE OBCC TO MAKE MEETINGS MORE CONVENIENT FOR PATIENTS. WHILE THE NURSE IS AVAILABLE EVERY DAY, THE HEALTH EDUCATOR IS AVAILABLE AT THE OBCC TWO TO THREE DAYS EACH WEEK. THE NURSE IS RESPONSIBLE FOR COMPLETING A RECONCEPTION/INTERCONCEPTION HEALTH SCREENING TOOL AND EDUCATING THE PATIENT ABOUT THE SCREENING RESULTS. THE NURSE REFERS THE HIGHEST RISK PATIENTS ON TO THE PATIENT NAVIGATION PROGRAM. THE NURSE MAY ALSO ACCOMPANY PATIENTS TO ANCILLARY VISITS WHILE HELPING THEM TO ADVOCATE FOR THEMSELVES. THE NURSE ALSO ENCOURAGES THE WOMEN TO ASK THEIR PROVIDER QUESTIONS TO INCREASE COMMUNICATION BETWEEN PROVIDERS AND THEIR PATIENTS. THIS RELATIONSHIP BUILDING HELPS TO IMPROVE PATIENT COMPLIANCE, THEREFORE IMPROVING BIRTH OUTCOME. WHILE THE PROGRAM HAS BEEN PILOTED IN THE SYRACUSE AREA, NO OTHER PATIENT NAVIGATION PROGRAM CURRENTLY EXISTS IN THE MOHAWK VALLEY. FAXTON ST. LUKE'S HEALTHCARE IS THE BIRTH CENTER FOR THE UTICA AREA WITH 2,156 BIRTHS IN 2010. IN THAT SAME YEAR THE OBCC HAD 972 PATIENTS WITH 8,125 PATIENT ENCOUNTERS. BASED ON THE OBCC'S 2010 NUMBERS, WE PLAN TO OFFER PRECONCEPTION SCREENING AND COUNSELING TO AT LEAST 600 WOMEN IN A ONE YEAR TIME FRAME, WHILE TARGETING 40 HIGH RISK PREGNANT WOMEN DURING THE FIRST YEAR OF THE PATIENT NAVIGATION PROGRAM. ALL NEW PATIENTS TO THE OBCC OR THOSE REFERRED THROUGH MVPN ARE SCREENED FOR THE PROGRAM. PARTICULARLY HIGH RISK WOMEN ARE THOSE WITH PREVIOUS PRE-TERM OR LOW BIRTH WEIGHT INFANTS, TEENS, THOSE WITH CO-MORBIDITIES SUCH AS HIGH BLOOD PRESSURE, AND CHRONIC STRESS (DOMESTIC VIOLENCE, HOMELESSNESS, SUBSTANCE ABUSE, NO OR POOR EMOTIONAL OR FINANCIAL SUPPORT).THE PROGRAM IS DESIGNED TO RAISE AWARENESS AND KNOWLEDGE OF PRECONCEPTION/INTERCONCEPTION HEALTH AMONG HIGH RISK WOMEN, REDUCE STRESS LEVELS AMONG HIGH RISK PREGNANT WOMEN AND REDUCE RATES OF PRETERM BIRTHS (BEFORE 32 WEEKS).3. CONSOLIDATION OF OB CARE SERVICES (FAXTON ST. LUKE'S HEALTHCARE AND ST. ELIZABETH MEDICAL CENTER) THIS INITIATIVE HAS BEEN UNSUCCESSFUL. SINCE APRIL 2008 THE HOSPITALS HAVE WORKED TO DEVELOP A MODEL TO CENTRALIZE SERVICES AT ONE SITE, PROVIDING A COMPREHENSIVE, COMMUNITY-BASED PROGRAM. THE PROJECT INCLUDED RENOVATIONS TO THE EXISTING 1,810 SQUARE FOOT OB CARE CENTER LOCATED AT THE ST. LUKE'S CAMPUS OF FAXTON ST. LUKE'S HEALTHCARE, ADDING A NEW 3,860 SQUARE FOOT ADDITION. THE NEW CENTER WOULD ACCOMMODATE THE SERVICES OF THE ST. ELIZABETH FAMILY PRACTICE RESIDENCY PROGRAM AND SUPPORT THE STAFFING NEEDS OF THE CENTER. ESTIMATED PROJECT COST WAS $1.6 MILLION (2008). THE ORGANIZATIONS APPLIED FOR AND RECEIVED A $1.6 MILLION GRANT APPROVAL FROM THE HEAL NY PHASE 7 AWARDS IN SEPTEMBER 2008. THE INITIAL PLAN CALLED FOR RENOVATION AND CONSTRUCTION WITH THE FIRST PHASE BEGINNING IN LATE 2009 AND COMPLETION ANTICIPATED BY SUMMER 2010. DURING THE PAST THREE YEARS THE TWO ORGANIZATIONS HAVE BEEN WORKING WITH THE NEW YORK STATE DEPARTMENT OF HEALTH ON A MUTUALLY ACCEPTABLE FINANCIAL MODEL FOR REIMBURSEMENT. BECAUSE OF UNRESOLVABLE REIMBURSEMENT ISSUES WE HAVE BEEN UNSUCCESSFUL IN OUR ATTEMPTS TO PHYSICALLY CONSOLIDATE THE TWO OB CARE CENTERS. FSLH AND ST. ELIZABETH MEDICAL CENTER WILL CONTINUE TO LOOK FOR OTHER WAYS TO WORK COLLABORATIVELY TO SUPPORT THE NEEDS OF THE AREA OBSTETRICAL PATIENTS. BEGINNING IN 2011, FSLH IS LAUNCHING AN OB/GYN HOSPITALIST PROGRAM, FREQUENTLY REFERRED TO AS A "LABORIST" PROGRAM. THE PROGRAM PROVIDES CARE TO WOMEN FOLLOWED IN THE FSLH OBCC AND ASSISTS PRIVATE PRACTICE OB/GYN PHYSICIANS WHENEVER NEEDED.FIVE BOARD-CERTIFIED OB/GYN PHYSICIANS AND A CERTIFIED NURSE MIDWIFE/NURSE PRACTITIONER WILL STAFF THE PROGRAM. PERHAPS THE MOST SIGNIFICANT SERVICE PROVIDED BY THE LABORISTS IS 24-7 COVERAGE OF THE LABOR AND DELIVERY UNIT. HAVING A BOARD-CERTIFIED OBSTETRICIAN IMMEDIATELY AVAILABLE 24-HOURS-A-DAY FURTHER SUPPORTS OUR PATIENT SAFETY GOALS AND PROVIDES GREATER STABILITY FOR ALL OB PATIENTS WHILE THEIR PHYSICIAN IS ENROUTE TO THE HOSPITAL. PRIORITY 3 - CHRONIC DISEASE MANAGEMENT THE ONEIDA AND HERKIMER COUNTY CHRONIC DISEASE WORK GROUP FORMED IN RESPONSE TO THE IDENTIFICATION THAT OUR COMMUNITIES HAVE A | PART I, LINE 6A, 6B | |
| HIGHER THAN STATE AND NATIONAL AVERAGE INCIDENCES OF CHRONIC DISEASES. THE MOST RECENT COUNTY HEALTH ASSESSMENT DATA (ONEIDA COUNTY 2010-2013) CONFIRMED THAT THE HIGH INCIDENCES OF CHRONIC DISEASES SUCH AS DIABETES AND HYPERTENSION WERE LIKELY CONTRIBUTING TO HIGHER THAN AVERAGE RATES OF HEART DISEASE, STROKE AND HIGHER MORTALITY RATES. THE WORK GROUP'S CHARTER IS TO SPEARHEAD AN EXPANDED REGIONAL EFFORT THAT DEVELOPS AND IMPLEMENTS STRATEGIES THAT ENHANCE THE HEALTH AND WELLNESS OF COMMUNITY MEMBERS IN ONEIDA AND HERKIMER COUNTIES. SINCE ITS INCEPTION IN 2010, THE GROUP HAS IDENTIFIED COMMON THREADS AMONG THE TARGET DISEASES GROUPS:-NEED FOR INCREASED HEALTHCARE PROVIDER UNDERSTANDING OF BEST PRACTICES FOR PREVENTION -LACK OF APPROPRIATE COMMUNITY HEALTH SCREENINGS -LACK OF AN INFORMATION "CLEARINGHOUSE" IN EACH COUNTY TO DISSEMINATE INFORMATION ON ALREADY EXISTING SERVICES RELATED TO PREVENTION AND TREATMENT. TWO STRATEGIES WERE IMPLEMENTED IN 2010: 1.USE OF EVIDENCE-BASED PRACTICE GUIDES BY HEALTHCARE PROVIDERS TO REVIEW WITH THEIR PATIENTS, AS WELL AS ENCOURAGING PATIENT SELF-ADVOCACY. 2.ESTABLISH A MEANS THROUGH WHICH BUSINESSES, AGENCIES AND PROVIDERS MIGHT GAIN ACCESS TO SCREENING, PREVENTION AND TREATMENT RESOURCES. ESTABLISH A METHOD TO KEEP INFORMATION CURRENT AND UP-TO-DATE.1. USE OF EVIDENCE-BASED PRACTICE GUIDES BY HEALTHCARE PROVIDERS TO REVIEW WITH THEIR PATIENTS, AS WELL AS ENCOURAGING PATIENT SELF-ADVOCACY. EXISTING SCREENING MATERIALS ARE AVAILABLE FROM THE AMERICAN CANCER SOCIETY (ACS), AMERICAN HEART ASSOCIATION (AHA), AND AMERICAN DIABETES ASSOCIATION (ADA). SCREENING GUIDES FROM THE PREVENTATIVE HEALTH PARTNERSHIP, A NATIONAL COLLABORATIVE OF THE ACS, AHA AND ADA, WERE SELECTED AS THE WAY TO AFFORDABLY DISSEMINATE EVIDENCE-BASED STANDARDS TO THE HEALTHCARE PROVIDERS AND THEIR PATIENTS. A PILOTED PROGRAM WAS ESTABLISHED USING THE TEAM MEMBERS OF THE TRI-COUNTY TOBACCO CESSATION PROGRAM. THESE MEMBERS VISIT AREA PROVIDERS ON A REGULAR BASIS. THE TEAM SELECTED AS PROVIDER PARTICIPANTS FOUR (4) PRIMARY CARE PROVIDER OFFICE SITES IN ONEIDA AND HERKIMER COUNTIES (ACP WATERVILLE OF FAXTON ST. LUKE'S HEALTHCARE; CLINTON AND SAUQUOIT FAMILY PRACTICE OF ST. ELIZABETH MEDICAL CENTER AND NEWPORT PRIMARY CARE OF BASSETT HEALTH CARE.) THESE SITES RECEIVED MATERIALS WITH THE COMMITMENT THAT THE PROVIDERS WOULD SHARE THEM WITH THEIR PATIENTS DURING OFFICE VISITS. THE SAME MATERIALS WERE PROVIDED TO HEALTHCARE PROVIDERS WHO PARTICIPATE IN COMMUNITY HEALTH FAIRS FOR DISTRIBUTION TO THE GENERAL POPULATION. POST-PILOT SURVEY RESULTS DEMONSTRATE THAT THE MATERIALS WERE RECEIVED FAVORABLY AND USED BY THE PROVIDER SITES AND COMMUNITY MEMBERS. BASED ON THE SUCCESS OF THE PILOT PROJECT, THE IMPLEMENTATION HAS NOW EXPANDED TO INCLUDE ALL PROVIDER SITES VISITED BY THE TRI-COUNTY TOBACCO CESSATION PROGRAM, A TOTAL OF 181 LOCATIONS. MEASUREMENTS OF PATIENT OUTCOMES AT THESE OFFICES ARE DIFFICULT TO OBTAIN AND FOLLOW IN THE FIRST YEAR OF IMPLEMENTATION. THE TEAM WILL USE THE BASELINE PATIENT OUTCOME FROM THE 2010-2013 ASSESSMENT AND COMPARE IT TO THE DATA COLLECTED IN THE UPCOMING SURVEY BY THE COUNTY HEALTH DEPARTMENTS IN 2012 (ONEIDA AND HERKIMER). 3.ESTABLISH A MEANS THROUGH WHICH BUSINESSES, AGENCIES AND PROVIDERS MIGHT GAIN ACCESS TO SCREENING, PREVENTION AND TREATMENT RESOURCES. ESTABLISH A METHOD TO KEEP INFORMATION CURRENT AND UP-TO-DATE.THE AVAILABILITY OF CURRENT PRINT PUBLICATIONS, ONLINE INFORMATION AND TELEPHONE RESOURCES WERE EVALUATED FOR ACCESS, CONTENT AND USABILITY NOTING HOW BEST TO ENSURE USE AND IMPLEMENTATION BY THE GENERAL POPULATION. ONLINE RESOURCES WERE DETERMINED TO BE THE BEST AVAILABLE RESOURCE AS THEY WERE EASIER TO UPDATE AND TO ACCESS. APPROPRIATE ONLINE LINKAGES WILL BE MADE AVAILABLE THROUGH THE WEBSITES OF THE COUNTY HEALTH DEPARTMENTS. THE LOGISTICS OF THE IMPLEMENTATION OF THE ONLINE RESOURCE GUIDE ARE BEING DEVELOPED BY THE PARTICIPATING AGENCIES WITH EXPECTED IMPLEMENTATION BY YEAR END, 2011. THE CHRONIC DISEASE WORK GROUP, WHICH IS COMPRISED OF REPRESENTATIVES FROM DIFFERENT HEALTHCARE AND COMMUNITY ORGANIZATIONS, IS WORKING TO ESTABLISHED TWO, DATA-DRIVEN OBJECTIVES FOR 2011 & 2012: 1.INCREASE HEALTHCARE PROVIDER INTERVENTIONS RELATED TO PREVENTION AND EARLY DETECTION OF CHRONIC DISEASES (CANCER, HEART DISEASE, STROKE AND DIABETES).2.REDUCE THE MORBIDITY AND MORTALITY ASSOCIATED WITH CANCER, HEART DISEASE, STROKE AND DIABETES. THE CHRONIC DISEASE WORK GROUP IS NOW FOCUSING THEIR EFFORTS ON DISEASE MANAGEMENT OF DIABETES. THE CENTRAL NEW YORK DIABETES EDUCATION PROGRAM (A COOPERATIVE PROGRAM OF FAXTON ST. LUKE'S HEALTHCARE AND ST. ELIZABETH MEDICAL CENTER) IS COLLABORATING WITH THE ONEIDA AND HERKIMER COUNTY DEPARTMENTS OF HEALTH AND OTHER AGENCIES TO LEAD THE DISCUSSIONS ON HOW BEST TO INCREASE THE USE OF EVIDENCE-BASED STANDARDS AND PRACTICES IN THE MANAGEMENT AND EDUCATION OF DIABETES. KEY COMPONENTS OF THIS INITIATIVE WILL BE PROVIDER AND COMMUNITY EDUCATION. THE HOSPITALS WILL BE WORKING WITH PRIMARY CARE PROVIDERS ON IDENTIFYING DIABETES PATIENTS WITHIN THEIR PRACTICES, SETTING UP PROTOCOLS FOR EDUCATION, AND FOLLOW UP ON MANAGEMENT AND OUTCOMES OF PATIENTS. THE PLANNING, DEVELOPMENT AND TACTICS FOR IMPLEMENTATION ARE CURRENTLY UNDERWAY.CHRONIC DISEASE MANAGEMENT OF PATIENTS PART OF FAXTON ST. LUKE'S HEALTHCARE MEDICAL HOME MODELIN NOVEMBER 2010 FAXTON ST. LUKE'S HEALTHCARE ADIRONDACK COMMUNITY PHYSICIANS (ACP) MEDICAL OFFICES WERE NATIONALLY RECOGNIZED AS A PATIENT-CENTERED MEDICAL HOME PROGRAM. THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) RECOGNIZED ADIRONDACK COMMUNITY PHYSICIANS (ACP) FOR THEIR PHYSICIAN PRACTICE CONNECTIONS- PATIENT-CENTERED MEDICAL HOME (PPC-PCMH) PROGRAM. THE RECOGNITION NOTES THEIR USE OF EVIDENCE-BASED, PATIENT-CENTERED PROCESSES THAT FOCUS ON HIGHLY COORDINATED CARE AND LONG-TERM PROVIDER/PATIENT RELATIONSHIPS. THEY ARE THE ONLY PRIMARY CARE PHYSICIAN PRACTICE IN OUR LOCAL AREA (BETWEEN ALBANY AND SYRACUSE) TO HAVE THIS RECOGNITION AND ONE OF THE FIRST PRIMARY CARE GROUPS IN THE NATION (1 OF 1,038) WHO ARE RECOGNIZED AS A DESIGNATED PATIENT-CENTERED MEDICAL HOME. IN 2010 THE COMBINED EIGHT ACP MEDICAL OFFICES HAD MORE THAN 100,800 PATIENT ENCOUNTERS.THE MEDICAL HOME IS A MODEL OF CARE THAT HOLDS SIGNIFICANT PROMISE FOR BETTER HEALTH CARE QUALITY, IMPROVED INVOLVEMENT OF PATIENTS IN THEIR OWN CARE AND REDUCED AVOIDABLE COSTS OVER TIME. PCMH IDENTIFIES PRACTICES THAT PROMOTE PARTNERSHIPS BETWEEN INDIVIDUAL PATIENTS AND THEIR PERSONAL PHYSICIANS, INSTEAD OF TREATING PATIENT CARE AS THE SUM OF SEVERAL PERIODIC OFFICE VISITS.EACH PATIENT'S CARE IS TENDED TO BY PHYSICIAN-LED CARE TEAMS, WHO PROVIDE FOR ALL THE PATIENT'S HEALTH CARE NEEDS AND COORDINATE TREATMENTS ACROSS THE HEALTHCARE SYSTEM. MEDICAL HOME PHYSICIANS DEMONSTRATE THE BENCHMARKS OF PATIENT-CENTERED CARE (COMPARING THE OUTCOMES OF THEIR PATIENTS WITH OTHER PROVIDER GROUPS NATIONWIDE), OFFER OPEN SCHEDULING, EXPANDED OFFICE HOURS AND INTEGRATE THE USE OF TECHNOLOGY INTO THEIR PRACTICES. EARLY EVALUATIONS OF THE PPC-PCMH HAVE SHOWN IMPROVEMENTS IN QUALITY OF CARE AND INCREASED ACCESS TO MORE EFFICIENT AND COORDINATED CARE. SETTING UP THE PRACTICES TO BE MORE ACCESSIBLE TO PATIENTS WITH PRO-ACTIVE FOLLOW UP MEANS HEALTHIER PATIENTS, WHO IN THE LONG RUN, HAVE FEWER HOSPITALIZATIONS AND EMERGENCY DEPARTMENT VISITS. BETTER MANAGEMENT OF THE CARE OF PATIENTS IN THE OUTPATIENT SETTING IMPROVES PATIENT HEALTH, INCREASES SATISFACTION AND LOWERS THE COSTS OF CARE. TO RECEIVE PATIENT-CENTERED MEDICAL HOME RECOGNITION, WHICH IS VALID FOR THREE YEARS, ACP DEMONSTRATED THE ABILITY TO MEET THE PROGRAM'S KEY ELEMENTS AND CHARACTERISTICS OF THE MEDICAL HOME. THE STANDARDS ARE ALIGNED WITH THE JOINT PRINCIPLES OF THE PATIENT-CENTERED MEDICAL HOME ESTABLISHED WITH THE AMERICAN COLLEGE OF PHYSICIANS, THE AMERICAN ACADEMY OF FAMILY PHYSICIANS, THE AMERICAN ACADEMY OF PEDIATRICS AND THE AMERICAN OSTEOPATHIC ASSOCIATION.THE ACP MEDICAL OFFICES MET KEY PROGRAM COMPONENTS IN THE FOLLOWING AREAS: - WRITTEN STANDARDS FOR PATIENT ACCESS AND ENHANCED COMMUNICATION- APPROPRIATE USE OF CHARTING TOOLS TO TRACK PATIENTS AND ORGANIZE CLINICAL INFORMATION- RESPONSIVE CARE MANAGEMENT TECHNIQUES WITH AN EMPHASIS ON PREVENTIVE CARE- ADAPTATION TO PATIENT'S CULTURAL AND LINGUISTIC NEEDS- USE OF INFORMATION TECHNOLOGY FOR PRESCRIPTIONS AND CARE MANAGEMENT- USE OF EVIDENCE-BASED GUIDELINES TO TREAT CHRONIC CONDITIONS- SYSTEMATIC TRACKING OF REFERRALS AND TEST RESULTS- MEASUREMENT AND REPORTING OF CLINICAL AND SERVICE PERFORMANCE.THE ACP MEDICAL OFFICE LOCATIONS INCLUDE:BARNEVELD, BOONVILLE, HERKIMER, NEW HARTFORD, NORTH UTICA, WASHINGTON MILLS, WATERVILLE AND WHITESBORO. ABOUT NCQANCQA IS A PRIVATE, NON-PROFIT ORGANIZATION DEDICATED TO IMPROVING HEALTH CARE QUALITY. NCQA ACCREDITS AND CERTIFIES A WIDE RANGE OF HEALTH CARE | PART I, LINE 6A, 6B | |
| ORGANIZATIONS. IT ALSO RECOGNIZES CLINICIANS AND PRACTICES IN KEY AREAS OF PERFORMANCE. NCQA'S HEALTHCARE EFFECTIVENESS DATA AND INFORMATION SET (HEDIS) IS THE MOST WIDELY USED PERFORMANCE MEASUREMENT TOOL IN HEALTH CARE. NCQA IS COMMITTED TO PROVIDING HEALTH CARE QUALITY INFORMATION FOR CONSUMERS, PURCHASERS, HEALTH CARE PROVIDERS AND RESEARCHERS.PRIORITY 4 ACCESS TO QUALITY HEALTHCAREGOAL: TO ADDRESS BARRIERS, SUCH AS AFFORDABILITY AND AVAILABILITY, THAT CAN PREVENT INDIVIDUALS FROM ACCESSING QUALITY HEALTHCARE SERVICES TO ACHIEVE THE BEST POSSIBLE HEALTH OUTCOMES.MEASURES:NINE MEASURES WERE IDENTIFIED IN THE ONEIDA COUNTY 2010-2013 COMMUNITY HEALTH ASSESSMENT TO ASSESS THE SUCCESS OF STRATEGIES IMPLEMENTED THROUGH COMMUNITY PARTNERSHIPS AND EFFORTS OF INDIVIDUAL ORGANIZATIONS THAT SHARE THE SAME GOAL TO PROMOTE ACCESS TO QUALITY CARE. THE NINE MEASURES INCLUDE:-INCREASE THE PERCENTAGE OF ADULTS WITH HEALTH CARE COVERAGE FROM 84.3% TO 100% BY 2013. -INCREASE THE PERCENTAGE OF ADULTS WITH A REGULAR HEALTH CARE PROVIDER FROM 86.8% TO 96% OR HIGHER BY 2013. -INCREASE THE PERCENTAGE OF BIRTHS WITH EARLY PRENATAL CARE FROM THE 3RD QUARTILE TO THE 4TH QUARTILE (Q4) OR BETTER BY 2013.-INCREASE THE PERCENTAGE OF EARLY STAGE DIAGNOSIS OF BREAST CANCER FROM 68% TO 80.0% OR HIGHER BY 2013. -INCREASE THE PERCENTAGE OF EARLY STAGE DIAGNOSIS OF COLORECTAL CANCER FROM 42% TO 50.0% OR HIGHER BY 2013.-INCREASE THE PERCENTAGE OF ADULTS WHO HAVE SEEN A DENTIST IN THE PAST YEAR FROM 70.3% TO 83% OR HIGHER BY 2013.-DECREASE THE PERCENTAGE OF ALL 3RD GRADE CHILDREN WITH UNTREATED CARIES (CAVITIES) FROM 38.2% TO 21.0% OR LOWER BY 2013.-INCREASE THE PERCENTAGE OF ALL 3RD GRADE CHILDREN WITH AT LEAST ONE DENTAL VISIT IN THE LAST YEAR FROM 75.2% TO 83.0% OR HIGHER BY 2013.-INCREASE THE PERCENTAGE OF ALL 3RD GRADE CHILDREN WITH DENTAL INSURANCE FROM 77.5% TO 100.0% BY 2013.THESE LONG-RANGE MEASURES WILL BE UPDATED IN THE COUNTY'S 2014-2017 COMMUNITY HEALTH ASSESSMENT. THE OPENING OF THE FEDERALLY QUALIFIED HEALTH CARE CENTER IN UTICA IN 2010 IS EXPECTED TO HAVE A POSITIVE IMPACT ON ACCESS MEASURES. EXAMPLES OF SHORT-TERM MEASURES FOR THE COUNTY'S HOSPITALS INCLUDE NUMBER OF PHYSICIANS RECRUITED AND NUMBER OF RESIDENTS REFERRED TO A FACILITATED ENROLLER.UPDATE:WHILE NOT IDENTIFIED AS A CORE COMPONENT OF ONEIDA COUNTY'S HOSPITALS' 2009 ACTION PLANS, THIS INITIATIVE HAD A COLLABORATIVE TEAM OF AREA AGENCIES WORKING TO REDUCE EMERGENCY ROOM USAGE FOR PRIMARY NON-EMERGENT PURPOSES VIA A PUBLIC EDUCATION CAMPAIGN. THE COMMITTEE CONDUCTED A SURVEY OF URGENT CARE CENTERS TO DETERMINE HOURS OF OPERATION AND INVESTIGATED EXISTING PUBLIC EDUCATION MATERIALS.SINCE THE OPENING OF THE FEDERALLY QUALIFIED HEALTH CARE CENTER IN UTICA, THE ACCESS COMMITTEE HAS BEEN DORMANT. THE UTICA COMMUNITY HEALTH CENTER (UCHC) PROVIDES AFFORDABLE AND ACCESSIBLE MEDICAL AND DENTAL SERVICES TO THE UNDERSERVED. THE CENTER WELCOMES ALL FORMS OF HEALTH INSURANCE AND PROVIDES SLIDING FEE DISCOUNTS FOR THE UNINSURED AND UNDERINSURED. TO IMPROVE ACCESSIBILITY, IT EXTENDED ITS HOURS IN MARCH 2011 TO PROVIDE EVENING AND SATURDAY APPOINTMENTS.AS A NOT-FOR-PROFIT, THE UCHC IS EVALUATING HOW TO BEST UTILIZE ITS RESOURCES TO MEET COMMUNITY NEEDS: 1) EXPAND AT ITS CURRENT LOCATION; 2) OPEN A SECOND SITE IN UTICA; OR 3) OPEN A SATELLITE IN ROME.TO FURTHER SUPPORT ACCESS TO CARE THE DENTAL RESIDENCY PROGRAM OF FAXTON ST. LUKE'S HEALTHCARE PROVIDES FOR THE MORE THAN 12,000 PATIENT VISITS ANNUAL THE MAJORITY OF WHICH IS THE UNDER-SERVED POPULATION, THOSE WHO ARE MEDICALLY AND ECONOMICALLY CHALLENGED. THE PROGRAM IS SUPPORTED BY SIX DENTAL RESIDENTS AS WELL AS PARTICIPATION BY COMMUNITY DENTISTS. BARRIERS TO CARE INCLUDE RECRUITMENT ISSUES. ONEIDA COUNTY'S HOSPITALS CONTINUE THEIR EFFORTS TO RECRUIT AND RETAIN QUALITY PROVIDERS TO THE MOHAWK VALLEY, WHICH HAS THE LOWEST RATIO OF PHYSICIANS TO THE POPULATION IN NEW YORK STATE. AS A RESULT OF THE PHYSICIAN SHORTAGE, MANY PATIENTS WHO DON'T HAVE A PHYSICIAN OR CAN'T GET INTO SEE THEIR OWN DOCTOR TURN TO HOSPITAL EMERGENCY DEPARTMENTS FOR ROUTINE CARE AT A GREATER COST TO THE HEALTH CARE SYSTEM.RECRUITING PHYSICIANS TO UPSTATE NEW YORK ISN'T EASY WITH THE NATIONAL PHYSICIAN SHORTAGE. IT'S CHALLENGING TO COMPETE AGAINST COMMUNITIES THAT PROMISE WARMER WEATHER, A BETTER CALL SCHEDULE, HIGHER REIMBURSEMENTS AND LOWER MALPRACTICE INSURANCE.IN A LARGER COMMUNITY, DOCTORS HAVE MORE TIME TO SPEND WITH THEIR FAMILY IF THEY SHARE NIGHT AND WEEKEND CALL RESPONSIBILITIES WITH A GROUP OF 20 DOCTORS INSTEAD OF ONLY THREE OR FOUR. IN ADDITION, THE REGION HAS A LARGE POPULATION OF RESIDENTS WHO DEPEND UPON MEDICAID, WHICH PAYS PHYSICIANS POORLY FOR THEIR SERVICES. PHYSICIANS ARE ATTRACTED TO COMMUNITIES WITH A HIGHER PERCENTAGE OF PRIVATELY INSURED RESIDENTS WHERE THEY HAVE GREATER EARNING POTENTIAL. ONE STRATEGY THAT HOSPITALS HAVE USED WITH SOME SUCCESS IS TO CREATE A SEPARATE COMPANY TO HIRE PHYSICIANS AS EMPLOYEES. BUT, THIS MEANS THE HOSPITALS BEAR ALL THE RISKS AND THE COSTS OF ESTABLISHING THE PRACTICE, AND WHEN STATE AND FEDERAL GOVERNMENTS LOOK AT SPREADING THE SACRIFICE OF REIMBURSEMENT CUTS AMONG HOSPITALS AND PHYSICIANS, HOSPITALS GET HIT TWICE WITH THE SAME BUDGET AXE. IN 2010 FLSH EMPLOYED FOUR SURGEONS, PARTICIPATED IN THE JOINT RECRUITMENT OF A NEUROSURGEON WITH ST. ELIZABETH MEDICAL CENTER, EMPLOYED A PSYCHIATRIST FOR OUR 26-BED PSYCHIATRIC UNIT, EXPANDED THE EMPLOYMENT OF MEDICAL STAFF FOR OUR ADIRONDACK COMMUNITY PHYSICIANS MEDICAL OFFICES, AS WELL AS EMPLOYED HOSPITALISTS TO OVERSEE CARE OF OUR INPATIENTS. WE ARE ALSO WORKING ON A LABORIST MODEL FOR OUR OB CARE CENTER. PARTICIPATING IN FACILITATED ENROLLMENT EFFORTS IS ANOTHER WAY THE COUNTY'S HOSPITALS ARE TRYING TO ADDRESS ACCESS BARRIERS. PATIENTS ARE REFERRED TO ENROLLERS TO HELP THEM ASSEMBLE THE DOCUMENTS THAT THEY NEED TO APPLY FOR LOW-COST OR FREE HEALTH INSURANCE. LOOKING AHEAD, RECRUITING PRIMARY CARE PHYSICIANS TO THE MOHAWK VALLEY WILL CONTINUE TO BE THE MAJOR PRIORITY TO IMPROVE ACCESS. UNLESS THIS BASIC NEED IS ADDRESSED, ELIMINATING OTHER BARRIERS CAN'T BE FULLY EFFECTIVE.PRIORITY 5 PHYSICAL FITNESS AND NUTRITIONGOAL: TO PROMOTE REGULAR PHYSICAL ACTIVITY AND HEALTHY EATING TO REDUCE THE POOR HEALTH OUTCOMES AND LARGE HEALTH CARE COSTS ASSOCIATED WITH OBESITY.MEASURES:FOUR MEASURES WERE IDENTIFIED IN THE ONEIDA COUNTY 2010-2013 COMMUNITY HEALTH ASSESSMENT TO ASSESS THE SUCCESS OF STRATEGIES IMPLEMENTED THROUGH COMMUNITY PARTNERSHIPS AND EFFORTS OF INDIVIDUAL ORGANIZATIONS THAT SHARE THE SAME GOAL TO PROMOTE REGULAR PHYSICAL ACTIVITY AND HEALTHY EATING. THE FOUR MEASURES INCLUDE:-DECREASE THE PERCENTAGE OF OBESE 2-4 YEARS (WIC)(PRE-SCHOOL) FROM 14.7% TO 11.6% OR LESS BY 2013.-DECREASE THE PERCENTAGE OF ADULTS WHO ARE OBESE (BMI>30) FROM 23.7% TO 15% OR LESS BY 2013. -INCREASE THE PERCENTAGE OF ADULTS EATING 5 OR MORE FRUITS OR VEGETABLES PER DAY FROM 28.6% TO 33% BY 2013.-INCREASE PERCENTAGE OF ADULTS ENGAGED IN SOME TYPE OF LEISURE TIME PHYSICAL ACTIVITY FROM 76.6% TO 80% OR HIGHER BY 2013.THESE LONG-RANGE MEASURES WILL BE UPDATED IN THE COUNTY'S 2014-2017 COMMUNITY HEALTH ASSESSMENT. SHORT-TERM MEASURES INCLUDE THE COMPLETION OF DELIVERABLES, SUCH AS THE DEVELOPMENT OF THE GET MOVING HANDBOOK AND PILOT WELLNESS PROGRAM.UPDATE:WITH REPRESENTATION FROM PUBLIC HEALTH, HOSPITALS AND COMMUNITY AGENCIES, THE REGIONAL HEALTH COUNCIL OF HERKIMER AND ONEIDA COUNTIES IDENTIFIED GET MOVING! AS ITS PRIMARY INITIATIVE FOR 2010 WITH THE HELP OF THE COMMUNITY'S VOICE THROUGH THE 2010 REGIONAL HEALTH SUMMIT. THE OBJECTIVE WAS TO DEVELOP AND DISSEMINATE AN EVIDENCE-BASED PRACTICE GUIDE FOR PHYSICAL ACTIVITY AND NUTRITIONAL INTERVENTIONS THAT HAVE THE POTENTIAL TO REDUCE THE MORBIDITY AND MORTALITY ASSOCIATED WITH OBESITY. WITH A FOCUS ON A LA CARTE INTERVENTIONS, THE HANDBOOK WAS DISTRIBUTED IN SEPTEMBER 2010 TO REGIONAL PARTNERS AS A RESOURCE FOR SCHOOLS, COMMUNITIES AND WORKPLACES. EACH OF THE INTERVENTIONS INCLUDES REFERENCES TO MODEL PROGRAMS AND IMPLEMENTATION TIPS FOR SUCCESS.AUTHORED BY A MASTER OF PUBLIC HEALTH GRADUATE STUDENT, THE GUIDE WAS FUNDED BY THE HEALTHY COMMUNITIES GRANT FROM THE NYS DEPARTMENT OF HEALTH THROUGH THE ONEIDA COUNTY DEPARTMENT OF HEALTH WITH SUBSTANTIAL SUPPORT BY HERKIMER COUNTY HEALTHNET AND THE PARTICIPATION OF THE HERKIMER COUNTY PUBLIC HEALTH AND THE UNITED WAY OF THE VALLEY AND GREATER UTICA AREA.THE HANDBOOK IS EASILY ACCESSIBLE ON THE ONEIDA COUNTY DEPARTMENT OF HEALTH'S WEBSITE: WWW.OCGOV.NET/ONEIDA/SITES/DEFAULT/FILES/HEALTH/GETMOVING/GET%20MOVING%20HANDBOOK.PDF. OTHER COMMUNITYWIDE AWARENESS BUILDING ACTIVITIES THAT SUPPORTED THE OVERARCHING GOAL INCLUDED: | PART I, LINE 6A, 6B | |
| -GET MOVING ALL WEEK KICK-OFF: FOLLOWING THE REGIONAL HEALTH SUMMIT, PARTICIPANTS WERE ENCOURAGED TO EXERCISE WEARING THEIR "GET MOVING" T-SHIRTS AND ENCOURAGE CO-WORKERS AND FAMILY MEMBERS TO JOIN THEM FOR WALKS OR OTHER ACTIVITIES.-MAINTAIN DON'T GAIN CHALLENGE: THE GOAL WAS TO HELP RESIDENTS AVOID GAINING WEIGHT OVER THE HOLIDAYS BY PROVIDING THEM WITH A PHYSICAL ACTIVITY LOG, WEIGHT LOG, RECIPE BOOK, AND WEEKLY NEWSLETTER WITH HELPFUL TIPS. THE PROMOTION WAS DEVELOPED BY HERKIMER COUNTY HEALTHNET AND SHARED THROUGH THE REGIONAL PARTNERSHIP.IN ADDITION TO PARTICIPATING ON THE REGIONAL HEALTH COUNCIL, FSLH PROVIDES A NUMBER OF "GET HEALTHY" INITIATIVES FOR THE COMMUNITY AND THE ORGANIZATION. THE HOSPITAL OFFERS EAT RIGHT, LIVE RIGHT, A NUTRITION PROGRAM WITH PERSONALIZED COUNSELING AND EDUCATION ON AN OUTPATIENT BASIS; EMPLOYEE HEALTH PROVIDES ACUTE CARE VISITS AT NO CHARGE TO EMPLOYEES WITH BLOOD PRESSURE MONITORING AND SMOKING CESSATION COUNSELING; TRI-COUNTY QUITS TOBACCO CESSATION PROGRAM IS HOSTED BY FSLH AND PROVIDES PROGRAMS AND SUPPORT FOR SMOKING CESSION WITH THE SELECTED CLASS FEE'S WAIVED FOR EMPLOYEES. OUR WELLNESS PROGRAM WITH FITNESS TRAINING AND AQUATICS IS OFFERED THROUGHOUT THE YEAR AND OPEN TO THE PUBLIC AS WELL AS EMPLOYEES WHO RECEIVE A DISCOUNTED RATE FOR PARTICIPATION. WEIGHT WATCHERS OFFERS 6-WEEK SESSIONS REGULARLY AT THE CAMPUSES AND EMPLOYEES ARE ENCOURAGES TO USE THE DESIGNATED WALKING TRAILS ARE AT BOTH THE FAXTON AND ST. LUKE'S CAMPUSES. THE COUNCIL'S PRIMARY INITIATIVE FOR 2011 WAS THE DEVELOPMENT OF THE GET MOVING! EMPLOYEE WELLNESS PILOT PROGRAM FOR ONEIDA AND HERKIMER COUNTY EMPLOYEES. THROUGH THE GENEROSITY OF PROGRAM SPONSORS, PARTICIPANTS RECEIVED A COMPLIMENTARY THREE-MONTH GYM MEMBERSHIP, HEALTH AND WELLNESS INFORMATIONAL MATERIALS, COACHING SESSIONS, AS WELL AS PRE AND POST-ASSESSMENT SCREENINGS FOR BODY MASS INDEX (BMI), WEIGHT, BLOOD PRESSURE, HEART RATE, A1C, CHOLESTEROL, AND TRIGLYCERIDE LEVELS. ALL TESTING, COACHING AND GYM MEMBERSHIPS WERE DONATED BY THE PROGRAM SPONSORS, WHICH INCLUDED FAXTON-ST. LUKE'S HEALTHCARE, HERKIMER COUNTY HEALTHNET, ROME MEMORIAL HOSPITAL, ONEIDA AND HERKIMER COUNTIES AND THEIR HEALTH DEPARTMENTS, AS WELL AS FUNCTION BETTER FITNESS CENTERS. AFTER THE POST-ASSESSMENT TESTING AND PARTICIPANT SURVEYS ARE COMPLETED IN SEPTEMBER 2011, THE PLANNING COMMITTEE WILL CRITIQUE THE PILOT PROGRAM AND ASSESS THE FEASIBILITY OF EXPANDING TO OTHER EMPLOYERS. A KEY BARRIER TO EXPANSION IS FUNDING. THE PLANNING TEAM IS HOPEFUL THAT THE SUCCESSFUL RESULTS OF THE PILOT CAN BE LEVERAGED TO ATTRACT GRANT DOLLARS OR FUNDING FROM ADDITIONAL SPONSORS.SECTION 6: DISSEMINATION OF THE REPORT TO THE PUBLICTHE COMMUNITY SERVICE PLAN IS SHARED WITH THE PUBLIC THROUGH OUR WEB SITE HTTP://FAXTONSTLUKES.COM/PDF/COMMUNITY-SERVICE-PLAN. IT IS ALSO SHARED WITH OUR COMMUNITY PARTNERS INCLUDING THE DEPARTMENT OF HEALTH FOR BOTH ONEIDA AND HERKIMER COUNTIES, ST. ELIZABETH MEDICAL CENTER AND ROME MEMORIAL HOSPITAL. SECTION 7: CHANGES IMPACTING COMMUNITY HEALTH/PROVISION OF CHARITY CARE/ACCESS TO SERVICESTHE ORGANIZATION MONITORS THE TRENDS IN BAD DEBT AND CHARITY CARE OF THE UNINSURED AND UNDER-INSURED PATIENTS. 2009 CHARITY CARE $1,399,044 BAD DEBT $9,259,592 2010 CHARITY CARE $1,689,564 BAD DEBT $8,589,7742011 (YTD THROUGH AUGUST 2011) CHARITY CARE $1,261,563 BAD DEBT $5,788,195 CONSOLIDATION CONTINUES TO PLAY A KEY ROLE IN THE MANAGEMENT OF LIMITED RESOURCES. IN SEPTEMBER 2010 FAXTON ST. LUKE'S HEALTHCARE (FSLH) WAS AWARDED A $31.3 MILLION GRANT FROM NEW YORK STATE (NYS) TO IMPROVE LONG-TERM CARE SERVICES AND DEVELOP COMMUNITY-BASED ALTERNATIVES TO TRADITIONAL NURSING HOME CARE FOR SENIORS LIVING IN ONEIDA COUNTY. AS OF SEPTEMBER 2011 FSLH HAS RECEIVED APPROVAL FOR THE GRANT AND IS WAITING FOR THE FINAL CERTIFICATE OF NEED APPROVAL FROM THE DEPARTMENT OF HEALTH. THE AWARD WAS THE RESULT OF A COMPETITIVE GRANT OPPORTUNITY OFFERED BY THE NYS DEPARTMENT OF HEALTH (DOH) AND THE DORMITORY AUTHORITY OF NEW YORK STATE (DASNY) TO FUND PROJECTS THAT MAINTAIN ACCESS TO APPROPRIATELY SIZED NURSING HOME FACILITIES WHILE DEVELOPING LESS RESTRICTIVE OPTIONS THAT NEW YORK'S SENIORS PREFER. THE FUNDING IS PROVIDED THROUGH PHASE 20 OF THE HEALTH CARE EFFICIENCY AND AFFORDABILITY LAW OF NEW YORK STATE (HEAL NY) AND THE FEDERAL-STATE REFORM PARTNERSHIP (F-SHRP).THE COMMUNITY SERVED BY FSLH IS CHANGING WITH AN INCREASE IN OUR OLDER POPULATION, AGES 55 PLUS. IN THE NEXT 3 TO 5 YEARS WE ANTICIPATE AN 8% INCREASE IN ADULTS, AGES 55-65 AND A 7.6% INCREASE IN AGES 65+. THIS CONSOLIDATION OF SERVICES IN BOTH THE INPATIENT AND OUTPATIENT SETTING FOR THE ELDERLY WILL HELP SUPPORT THE GROWING COMMUNITY NEED. THE FUNDS FROM THIS GRANT WILL BE USED FOR THE FOLLOWING: -RENOVATION OF THE ST. LUKE'S HOME (242-BED NURSING HOME) TO ACCOMMODATE THE COMMISSION FOR ACCREDITATION OF REHABILITATION FACILITIES (CARF) ACCREDITED INPATIENT ACUTE REHABILITATION UNIT CURRENTLY LOCATED AT THE FAXTON CAMPUS. THIS ADDITION WILL COMPLEMENT OUR ST LUKE'S HOME CURRENT 41 BED SUB ACUTE REHABILITATION UNIT. -CONSTRUCTION OF A NEW BUILDING AT THE ST. LUKE'S HOME SITE THAT WILL HOUSE AN EXPANDED ADULT DAY HEALTH CARE PROGRAM, AN ADDITIONAL EIGHT-STATION OUTPATIENT DIALYSIS CENTER AND OUR CURRENT OFF-SITE HOME CARE SERVICES SENIOR NETWORK HEALTH AND VISITING NURSE ASSOCIATION. -EXPANSION OF TELEHEALTH SERVICES TO PROVIDE MORE IN-HOME MEDICAL MONITORING SYSTEMS FOR PATIENTS THROUGHOUT THE COMMUNITY. WE CONTINUE TO COLLABORATE WITH ST. ELIZABETH MEDICAL CENTER THROUGH THE MOHAWK VALLEY HEART INSTITUTE. THE HEART SURGERY AND REHABILITATION PROGRAM PROVIDES THE ONLY HEART SURGERY PROGRAM IN THE AREA ENSURING ACCESS FOR A TWO COUNTY AREA AND SUPPORTS KEEPING OUR PATIENTS CLOSE TO HOME AND FAMILY. FSLH OPERATES AND FINANCIALLY SUPPORTS THE DIABETES OUTREACH PROGRAM, CENTRAL NEW YORK DIABETES EDUCATION PROGRAM. THE PROGRAM WORKS COLLABORATIVELY WITH ST. ELIZABETH'S TO IDENTIFY PATIENTS IN THE COMMUNITY WHO ARE AT RISK AND NEED ADDITIONAL SUPPORT WITH CARE. PHYSICIAN RECRUITMENT CONTINUES TO BE CHALLENGING FOR OUR AREA AND THROUGHOUT NEW YORK STATE. OUR ORGANIZATION CONTINUES TO SEEK NEW PROVIDERS FOR A NUMBER OF PHYSICIAN SPECIALTIES AND THAT LIST IS EXPECTED TO GROW IN THE NEXT FIVE YEARS AS A LARGE NUMBER OF PHYSICIANS RETIRE AND LEAVE THE STATE. NEW YORK STATE IS LESS ATTRACTIVE THAN OTHER STATES DUE TO HIGH REGULATION, TAXES AND LACK OF GROWTH IN THE UPSTATE REGION. PHYSICIANS ARE ALSO LOOKING FOR SETTINGS WITH GROUP PRACTICES OR HOSPITAL EMPLOYMENT WHICH PROVIDES THEM WITH A BETTER QUALITY OF LIFE. THEY WANT LIMITED OR NO CALL RESPONSIBILITIES, AND GREATER ACCESS TO CLINICAL AND INFORMATION TECHNOLOGY. NEW YORK STATE GOVERNMENT PLAYS A SIGNIFICANT ROLE IN CREATING A BETTER, MORE ECONOMICAL ENVIRONMENT FOR PHYSICIAN RECRUITMENT. CONTINUED WORK WITH OUR LEGISLATORS IS IMPERATIVE FOR ALL OF NEW YORK STATE HEALTHCARE. SECTION 8: FINANCIAL AID PROGRAMFAXTON ST. LUKE'S HEALTHCARE HAS INCREASED OUR EFFORTS TO IDENTIFY, EARLY ON, PATIENTS WHO WOULD QUALIFY FOR OUR UNCOMPENSATED CARE PROGRAM. THIS INCLUDES INCREASED DISCUSSIONS REGARDING CREDIT ISSUES AT TIME OF REGISTRATION, INCREASED DISTRIBUTION OF OUR POLICIES ON UNCOMPENSATED CARE, GREATER EFFORTS TO QUALIFY PATIENTS FOR A PROMPT PAY DISCOUNT AND IDENTIFICATION OF ALTERNATIVE SOURCES OF FINANCING FOR OUR PATIENTS. THIS ACTIVITY HAS RESULTED IN AN INCREASE TO OUR UNCOMPENSATED/CHARITY CARE FROM $1.4 IN 2009 TO $1.7 MILLION IN 2010. WE ALSO SEE AN INCREASING NUMBER OF OUR AGING POPULATION ON MEDICARE WITHOUT A SUPPLEMENTAL PLAN, WHO CANNOT AFFORD TO PAY THE DEDUCTIBLE/CO-INSURANCE BALANCES. IN MOST CASES, THEY DO NOT QUALIFY FOR CHARITY CARE OR MEDICAID. WE OFFER A FIVE-MONTH INTEREST FREE PAYMENT PLAN TO ASSIST OUR PATIENTS ON THEIR SMALLER DOLLAR ACCOUNTS. THE HOSPITAL IS SPONSORING A NEW INTEREST FREE BANK LOAN PROGRAM ON LARGER DOLLAR ACCOUNTS FOR EXTENDED PAYMENT TERMS. WE PROVIDE A MEDICAID ADVOCATE, WHO MEETS WITH THE SELF-PAY INPATIENTS, WHILE THEY ARE IN THE HOSPITAL, OR MAKES AN APPOINTMENT TO MEET WITH THEM AT THEIR HOME TO ASSIST THEM IN THE APPLICATION AS WELL AS MEETING WITH THE COUNTY TO SEEK ASSISTANCE.FOR OUR INCREASING SELF-PAY POPULATION, WE ADVOCATE THE SERVICES OF OUR FINANCIAL COUNSELORS. THIS HELPS THE PATIENTS IN MAKING THE RIGHT CHOICE FOR THEIR FINANCIAL NEEDS WHETHER IT IS AFFORDABLE INSURANCE, BANK LOAN, INTEREST FREE LOAN, OR CHARITY CARE WRITE-OFF. OUR STATEMENTS ARE ALSO MORE PATIENT FRIENDLY STATEMENT WITH A BROCHURE FOR OUR PATIENTS DESCRIBING ALL OF OUR PAYMENT OPTIONS INCLUDING CONTACT NUMBERS. THE BROCHURE IS LOCATED IN ALL OF OUR WAITING ROOMS, PHYSICIAN'S OFFICES AND IS AVAILABLE ON THE HOSPITAL WEBSITE._______ | PART I, LINE 6A, 6B | |
| THE 2010 COMMUNITY SERVICE PLAN IS A PUBLICATION OF FAXTON ST. LUKE'S HEALTHCARE, UTICA, NEW YORK AND SUBMITTED TO THE NEW YORK STATE DEPARTMENT OF HEALTH, THURSDAY, SEPTEMBER 15, 2011. SCOTT H. PERRA, FACHEPRESIDENT/CEOFAXTON ST. LUKE'S HEALTHCAREMAIN CAMPUS 1656 CHAMPLIN AVENUEUTICA, NEW YORK 13502(315) 624-6000WWW.FAXTONSTLUKES.COM THE PLAN IS AVAILABLE ATHTTP://FAXTONSTLUKES.COM/PDF/COMMUNITY-SERVICE-PLANFOR ADDITIONAL COPIES OF THE REPORT CONTACT:DEBRA ALTDOERFFER, VPCOMMUNICATIONS AND MARKETINGDALTDOER@MVNHEALTH.COM | PART I, LINE 6A, 6B | |
| PART II: 2.ECONOMIC DEVELOPMENT PARTICIPATION IN THE SABA PROGRAM - 25 SUMMER JOBS FUNDED THROUGHBOCES FOR UTICA CITY SCHOOL DISTRICT STUDENTS UNDER THE SCHOOL AND BUSINESS ALLIANCE PROGRAM-EXPENSES OF THE PROGRAM INCLUDES WAGES OF$7.25/HOUR FOR 25 STUDENTS @ 80 HOURS AND ADVERTISING OF THE PROGRAM.THE STUDENTS ARE PAID A TOTAL OF $14,500 BY FSLHC DIRECTLY AND IS LATERREIMBURSED BY WORKFORCE DEVELOPMENT FOR $3,625.3. COMMUNITY SUPPORTOUR EMS EDUCATION DEPARTMENT SPONSORS DEFENSIVE DRIVINGCLASSES , OFFERED TO THE COMMUNITY FOR A $12 FEE PER STUDENT4. ENVIRONMENTAL IMPROVEMENTSTHE ORGANIZATION IS AVAILABLE 24 HOURS PER DAY, YEAR ROUND, TO ACCEPTPRIVATE HOUSEHOLD/MUNICIPALITIES (1)SHARPS AND (2)MEDICAL WASTE AT NO CHARGE. STAFF COLLECTS AND PROCESSES THESE ITEMS; THE EQUIPMENTUSES STEAM/WATER TO AUTO CLAVE; THE WASTE IS THEN SHREDDED ANDDELIVERED TO THE LAND FILL. ON AVERAGE, THE TOTAL WEIGHT FOR THIS IS 150 LBS/YEAR - $.28 PER POUND IS THE CHARGE FOR OUTSIDE FACILITIES5. LEADERSHIP DEVELOPMENT/TRAINING FOR COMMUNITY MEMBERSA) THE ORGANIZATION PARTICIPATES IN COMMUNITY OUTREACH WITH LECTURESGIVEN AT LOCAL COMMUNITY CENTERS, REFUGEE CENTERS, COLLEGES & SCHOOLSTO ADDRESS LANGUAGE BARRIERS; AS THEY RELATE TO HEALTH ISSUES AND TOPICSSUCH AS DIVERSITY, TOLERANCE AND BULLYING OF STUDENTS FROM ANOTHERCULTURE. THROUGH THE HERO PROGRAM, OUR ORGANIZATION ADDRESSESBULLYING IN THE SCHOOLS AND HOW IT CAN RELATE TO A NEW STUDENTWHO IS NOT FLUENT IN ENGLISH. COPIES OF THE LECTURES ARE DISTRIBUTED TO OLDER STUDENTS/ADULTS, WHILE THE YOUNGER STUDENTS IN THE HERO PROGRAMARE GIVEN ITEMS SUCH AS PENCILS, LUNCH BAGS, MINI FRISBEES AND HOODIES.OTHER COSTS ASSOCIATED WITH THIS ARE SALARIES (40-50 HOURS PER YEAR) ANDTRAVEL/MILEAGE TO THE VARIOUS LOCATIONS VISITED.B) BEGINNING IN 2009, FSLH LAUNCHED A NEWLY EXPANDED CAMPAIGN FOR QUALITYCONFERENCE OVER A FULL DAY AND A HALF. THE PROGRAM, HELD ANNUALLY,CHALLENGES SOME OF OUR TRADITIONAL THOUGHTS ON HEALTHCARE DELIVERYAND EXPLORES EXCITING NEW IDEAS FOR RISING ABOUT THE STATUS QUO. OPEN TOALL EMPLOYEES AND MEDICAL STAFF FROM OUR THREE REGIONAL HOSPITALS, ASWELL AS THE GENERAL PUBLIC; IT IS A TRUE COMMUNITY EVENT.C) THE ORGANIZATION HOSTS A 2 DAY MEDICAL CAMP FOR TEENS, BETWEEN THEAGES OF 14 AND 17 YEARS, FROM THE MOHAWK VALLEY, TO SHOW TEENS HOWA HOSPITAL OPERATES; PROVIDING THEM WITH THE OPPORTUNITY TO EXPLOREVARIOUS DEPARTMENTS. A TOUR INCLUDES AN AMBULANCE AND THE EMERGENCYDEPARTMENT, PHYSICAL THERAPY AND PHARMACY. THE STUDENTS LEARN HOWTO ADMINISTER FIRST AID AND CPR; THEY LEARN HOW TO PREPARE TRAUMAASSESSMENTS AND ABOUT EMERGENCY TRANSPORTATION. THE REGISTRATION FEEIS $20 PER STUDENT AND INCLUDES SCRUBS, A STETHOSCOPE, AND BREAKFASTAND LUNCH FOR BOTH DAYS.6. COALITION BUILDINGCOUNTY WIDE COLLABORATION FOR EMERGENCY MANAGEMENT, TO PROMOTEHEALTH AND SAFETY ISSUES; EXPENSES INCLUDE TRAVEL AND ANY REGISTRATION FEES. 7. COMMUNITY HEALTH IMPROVEMENT ADVOCACYTHE ORGANIZATION'S STROKE PROGRAM OFFERS FREE STROKE RISK ASSESSMENTSTO THE COMMUNITY - 10 WERE DONE IN 2011. NON-MEDICAL SUPPLIES AND SALARYFOR 180 HOURS PLUS 24 % IN BENEFITS ARE THE COST OF THIS COMMUNITY SERVICE8. WORKFORCE DEVELOPMENTTHE ORGANIZATION RECRUITED 2 PHYSICIANS FOR PRIMARY CARE IN THE UNDERSERVED AREAS OF BARNEVELD AND NORTH UTICA, AS WELL AS 2 RECRUITS FOR SPECIFIC SPECIALTIES PROVEN TO HAVE SHORTAGES; NEUROSURGERY AND ORTHOPEDICSURGERY. THE FSLHC PROGRAMS FOR LABORIST, HOSPITALIST, URGENT CARE ANDEMERGENCY ROOM, CURRENTLY SERVE A LARGE UNINSURED/UNDERINSUREDPOPULATION; RESIDENTS IN THE CITY OF UTICA, AND SURROUNDING AREAS. THE LABORIST PROGRAM, FOR LABOR & DELIVERY, CONSISTS OF 4 PHYSICIANS AND 2CRNA'S. THE HOSPITALIST PROGRAM IS 2 PHYSICIANS AND 1 NURSE PRACTITIONER.OUR URGENT CARE AND EMERGENCY ROOM HAVE 6 PHYSICIANS, 4 NURSE PRACTITIONERS AND 2 PHYSICIAN ASSISTANTS.9. OTHERA) THE OB PATIENT NAVIGATOR PROGRAM IS SET UP TO PROVIDE ONE ON ONE SUPPORT AND ASSISTANCE TO PREGNANT WOMENT TO IMPROVE THEIR USE OF THEHEALTH AND SOCIAL SERVICE SYSTEM; TO ALLEVIATE THE DIFFICULTIES OVERBURDENEDPREGNANT WOMEN FACE IN ACCESSING BASIC HEALTH CARE SERVICES THUSIMPROVING PATIENT OUTCOMES AND REDUCING LOW BIRTH WEIGHT IN INFANTS.B) BARIATRIC SUPPORT GROUP - FACILITY AND FACILITATOR PROVIDED THE BARIATRIC SUPPORT GROUP OFFERS NEW PATIENTS THE CHANCE TO ASKQUESTIONS OF PEOPLE WHO HAVE ALREADY HAD WEIGHT LOSS SURGERY AND FORTHOSE WHO HAVE ALREADY HAD SURGERY, THE OPPORTUNITY TO SHARE THEIREXPERIENCES. FAMILY AND FRIENDS ARE ENCOURAGED TO ATTEND FOR SUPPORT. | ||
| PART III, LINE 4: PART III, LINE 4AOO AUDITED FINANCIAL FOOTNOTE - AN ALLOWANCE FOR DOUBTFUL ACCOUNTS RECEIVABLE IS ESTIMATED BY MANAGEMENT BASED ON PERIODIC REVIEWS OF THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE CONSIDERING HISTORICAL EXPERIENCE AND PREVAILING ECONOMIC CONDITIONS. USED THE PATIENT ACCOUNTING/COLLECTION DEPARTMENT ESTIMATE OF THE NUMBER OF PATIENTS THEY TALKED TO WHO APPEARED TO QUALIFY FOR CHARITY CARE DISCOUNT BUT REFUSED TO COMPLETE APPLICATIONS. CALCULATED SELF-PAY BAD DEBT AFTER INSURANCE, AT FULL VALUE. THIS HAS ALREADY BEEN REDUCED TO CONTRACTUAL RECEIVABLE, WHICH IS NEAR COST. REDUCE SELF-PAY BAD DEBT WITH NO INSURANCE BY THE PREVIOUSLY CALCULATED COST TO CHARGE RATIO. | ||
| PART III, LINE 8: ALL OF LINE 7 IS A COMMUNITY BENEFIT; THE HOSPITAL IS RECEIVING LESS THAN COST ON COMMUNITY MEDICARE RECIPIENTS, THUS A COMMUNITY BENEFIT TO THESE PATIENTS. THE PATIENTS COST TO CHARGE RATIO WAS COMPUTED USING ALL CHARGES AND EXPENSES LESS NON-ALLOWABLE. THE COST TO CHARGE RATIO WAS USED TO COMPUTE COST. COST TO CHARGE WAS DERIVED BY DIVIDING TOTAL CHARGES FROM FINANCIAL STATEMENTS INTO TOTAL COST OF FINANCIAL STATEMENT LESS NON-PATIENT COSTS. | ||
| PART III, LINE 9B: FOR PATIENTS WITH NO INSURANCE, FSLHC SCREENS FOR FINANCIAL ASSISTANCE ELIGIBILITY AND HELPS WITH ANY OF THE APPLICATIONS. IF PATIENT DOES NOT QUALIFY OR COOPERATE WITH THE PROCESS, THEY ARE BILLED BASED ON GROSS CHARGES AND 20% PROMPT PAY DISCOUNT.SEE BELOW FOR UNCOMPENSATED CARE POLICY AND EMERGENCY DEPARTMENT CO-PAYMENT/CO-INSURANCE COLLECTION.DIRECTIVE: FN-13-OP EFFECTIVE DATE: 8/1/2002 SUBJECT: EMERGENCY DEPARTMENT CO-PAYMENT/CO-INSURANCE COLLECTION POLICY:IN ORDER TO ENHANCE CUSTOMER SERVICE AND CONVENIENCE FOR OUR PATIENTS, FAXTON-ST. LUKE'S HEALTHCARE WILL IDENTIFY AND ACCEPT CO-PAYMENTS, CO-INSURANCE PAYMENTS, OR ACCOUNT DEPOSITS FROM PATIENTS IN THE EMERGENCY DEPARTMENT. TO ENSURE THAT ALL PATIENTS IN THE EMERGENCY DEPARTMENT WILL BE TREATED WITHOUT REGARD TO THEIR ABILITY TO PAY, DISCUSSION AND COLLECTION OF CO-PAYMENTS, CO-INSURANCE, OR ACCOUNT DEPOSITS WILL BE MADE IN ACCORDANCE WITH THE PROCEDURE BELOW.ADMINISTRATIVE APPROVAL: SCOTT H. PERRA, PRESIDENT/CEOSTEVEN J. BROWN SENIOR VICE PRESIDENT/COOMICHAEL J. HAILESENIOR VICE PRESIDENT/CFO PATRICIA ROACH SENIOR VP/CHIEF NURSING OFFICERPOLICY:IN ORDER TO ENHANCE CUSTOMER SERVICE AND CONVENIENCE FOR OUR PATIENTS, FAXTON-ST. LUKE'S HEALTHCARE WILL IDENTIFY AND ACCEPT CO-PAYMENTS, CO-INSURANCE PAYMENTS, OR ACCOUNT DEPOSITS FROM PATIENTS IN THE EMERGENCY DEPARTMENT. TO ENSURE THAT ALL PATIENTS IN THE EMERGENCY DEPARTMENT WILL BE TREATED WITHOUT REGARD TO THEIR ABILITY TO PAY, DISCUSSION AND COLLECTION OF CO-PAYMENTS, CO-INSURANCE, OR ACCOUNT DEPOSITS WILL BE MADE IN ACCORDANCE WITH THE PROCEDURE BELOW.SCOPE:EMERGENCY DEPARTMENT STAFF, REGISTRATION STAFF, FINANCE STAFF.REPLACES:ADMINISTRATIVE DIRECTIVE FN-13-OP, SAME TITLE, DATED 8/1/2002. PROCEDURE:1.DISCUSSION OF CO-PAYMENT, CO-INSURANCE OR ACCOUNT DEPOSIT OBLIGATIONS AND COLLECTION OF SUCH PAYMENTS, WILL BE PART OF THE INSURANCE REGISTRATION PROCESS. THIS PROCESS SHALL NOT BEGIN UNTIL AFTER THE PATIENT HAS BEEN INITIALLY TRIAGED IN ACCORDANCE WITH DEPARTMENT POLICY. 2.ALTHOUGH THE INSURANCE REGISTRATION PROCESS, AND THE DISCUSSION AND COLLECTION OF CO-PAYMENTS, CO-INSURANCE, OR ACCOUNT DEPOSITS MAY BEGIN AFTER INITIAL TRIAGE, MEDICAL SCREENING/MEDICAL TREATMENT BY DEPARTMENT CLINICAL STAFF MAY NOT BE DELAYED OR CONDITIONED ON THE COMPLETION OF THE INSURANCE REGISTRATION PROCESS OR THE COLLECTION OF A CO-PAYMENT, CO-INSURANCE, OR ACCOUNT DEPOSIT. IF THE PROCESS HAS ALREADY BEGUN, IT WILL BE SUSPENDED WHILE THE PATIENT RECEIVES THE MEDICAL SCREENING OR TREATMENT.3.SPECIFIC CO-PAYMENT OR CO-INSURANCE INFORMATION WILL BE DETERMINED BY THE PATIENT'S INSURANCE CARD, THE PATIENT'S PERSONAL KNOWLEDGE OF THEIR REQUIRED PAYMENT, HIS ELIGIBILITY SOFTWARE OR PATIENT ACCOUNTING DATA. WHERE SPECIFIC CO-PAYMENT INFORMATION IS NOT AVAILABLE, OR WHERE THE PATIENT HAS A CO-INSURANCE OBLIGATION OR IS A SELF-PAY PATIENT, REGISTRATION STAFF WILL REQUEST A FIFTY DOLLAR ($50.00) ACCOUNT DEPOSIT. IN SUCH CASES, THE PATIENT WILL BE ADVISED THAT AFTER DETERMINATION OF THE PATIENT'S INSURANCE AND PAYMENT OBLIGATIONS, THE HOSPITAL WILL EITHER REFUND ANY OVERPAYMENT OR BILL THE PATIENT FOR UNDERPAYMENTS AS APPROPRIATE. 4.IF A PATIENT IS NOT ABLE TO MAKE THE REQUIRED PAYMENT ON THE DAY OF TREATMENT, THE PATIENT MUST BE REASSURED THAT THIS WILL IN NO WAY AFFECT HIS/HER TREATMENT AND THAT THE HOSPITAL WILL BE GLAD TO BILL THEM LATER. REGISTRATION AND OTHER DEPARTMENT STAFF MUST NOT SAY OR IMPLY THAT TREATMENT WILL IN ANY WAY BE DELAYED OR CONDITIONED ON THE PATIENT'S ABILITY TO PAY FOR SERVICES, INCLUDING CO-PAYMENT, CO-INSURANCE OR ACCOUNT DEPOSITS.5.WHERE THE PATIENT BYPASSES THE EMERGENCY DEPARTMENT REGISTRATION OFFICE ON ARRIVAL, THE REGISTRATION STAFF WILL ATTACH A "ROUTING SLIP" TO THE PATIENT'S RECORD. ON DISCHARGE, THE EMERGENCY DEPARTMENT NURSING STAFF WILL HAND THE "ROUTING SLIP" TO THE PATIENT AND ESCORT THE PATIENT TO THE REGISTRATION OFFICE FOR CO-PAYMENT/CO-INSURANCE COLLECTION AND INFORMATION VERIFICATION. 6.WHERE THE PATIENT IS ACCOMPANIED BY AN ADULT (SPOUSE, FAMILY MEMBER, FRIEND) WHO IS KNOWLEDGEABLE ABOUT THE PATIENT'S INSURANCE STATUS REGISTRATION STAFF MAY OFFER TO GATHER INSURANCE REGISTRATION INFORMATION AND DISCUSS AND COLLECT CO-PAYMENTS, CO-INSURANCE OR ACCOUNT DEPOSITS WITH THAT PERSON WHILE THE PATIENT IS OBTAINING MEDICAL SCREENING OR TREATMENT. HOWEVER, WHERE THIS PERSON PREFERS TO REMAIN WITH THE PATIENT DURING MEDICAL SCREENING OR TREATMENT, THEY SHOULD BE ENCOURAGED TO DO SO. 7.NO SIGNAGE WILL BE POSTED IN THE EMERGENCY DEPARTMENT WAITING AREAS REGARDING CO-PAYMENTS, CO-INSURANCE, OR ACCOUNT DEPOSITS, EXCEPT FOR A NOTICE IN THE FORM ATTACHED TO THIS POLICY, WHICH WILL BE PLACED IN THE REGISTRATION AREA.8.ALL REGISTRATION STAFF WILL BE TRAINED TO COLLECT CASH BY THE CREDIT MANAGER OR DEPARTMENTAL DESIGNEE BEFORE BEING ASSIGNED TO COLLECT PAYMENTS. STAFF WILL BE TRAINED TO USE A PRE-DETERMINED SCRIPT WHEN DISCUSSING THESE PAYMENTS (SEE ATTACHED SCRIPT). COMPLETION OF TRAINING WILL BE DOCUMENTED AND STORED IN EACH EMPLOYEE'S PERSONNEL FILE. THIS TRAINING WILL INCLUDE SPECIFIC REFERENCE TO THE TIMING OF COLLECTION AS STATED IN THIS PROCEDURE.9.CASHIER DUTY WILL BE ROTATED THROUGH ALL REGISTRATION STAFF AND WILL BE NOTED ON THE REGISTRATION STAFF SCHEDULE. ONE REGISTRATION EMPLOYEE ON EACH SHIFT WILL BE ASSIGNED CASHIER DUTIES FOR CASH COLLECTIONS, THE GENERATION OF PATIENT RECEIPTS, THE MAINTENANCE AND SECURITY OF THE CASH DRAWER, AND THE DAILY DEPOSIT OF ANY COLLECTIONS INTO THE HOSPITAL SAFE.10.PAYMENTS WILL BE ACCEPTED IN THE FORM OF CASH, CREDIT CARDS AND PERSONAL CHECKS. PAYMENTS FOR PREVIOUS VISITS OF ANY TYPE WILL BE ACCEPTED, EVEN IF FOR NON-EMERGENCY SERVICES.11.PAYMENTS WILL BE STORED IN A LOCKED CASH DRAWER AND STAFF WILL MAKE A DEPOSIT DAILY TO THE PATIENT REGISTRATION/ADMITTING SAFE OR DIRECTLY TO THE FINANCE DEPARTMENT AT THE ST. LUKE'S CAMPUS, AS OUTLINED IN THE "CASH COLLECTION AND DEPOSIT" PROTOCOL.12.ALL REGISTRATION AREAS WILL BE SUPPLIED WITH FINANCIAL COUNSELOR BUSINESS CARDS BY THE CREDIT MANAGER. ANY PATIENT WITH PAYMENT CONCERNS OR BILLING QUESTIONS WILL BE GIVEN A CARD FOR THE APPROPRIATE CAMPUS. ALL SELF-PAY PATIENTS WILL BE REFERRED TO THE FINANCIAL COUNSELOR, AS WELL. ATTACHMENT TO CO-PAY POLICY/SCRIPT:CO-PAYMENTS:1.IF THE AMOUNT OF THE CO-PAYMENT IS KNOWN: "YOUR CO-PAYMENT FOR TODAY'S VISIT IS $_______. WOULD YOU PREFER TO PAY BY CASH, CHECK OR CREDIT CARD?"2.IF THE AMOUNT OF THE CO-PAYMENT IS UNKNOWN: "DO YOU KNOW THE AMOUNT OF YOUR INSURANCE CO-PAYMENT?" IF KNOWN BY THE PATIENT: "WOULD YOU PREFER TO PAY BY CASH, CHECK OR CREDIT CARD?"3.IF THE PATIENT DOES NOT KNOW THE AMOUNT OF THE CO-PAYMENT: "THE HOSPITAL'S POLICY IS TO COLLECT A $50.00 DEPOSIT TO APPLY TO YOUR CO-PAYMENT OBLIGATION. AFTER WE RECEIVE THE INFORMATION FROM YOUR INSURANCE COMPANY THE HOSPITAL WILL REFUND ANY OVERPAYMENT OR SEND YOU A BILL FOR ANY UNDERPAYMENT." 4.IF THE PATIENT OR ACCOMPANYING ADULT SAYS THAT HE OR SHE CANNOT PAY AT THIS TIME: "ALL RIGHT, THE HOSPITAL WILL SEND YOU A BILL." CO-INSURANCE:1.IF REGISTRATION DETERMINES THAT THE PATIENT HAS A CO-INSURANCE OBLIGATION UNDER HIS OR HER INSURANCE PLAN: "YOUR INSURANCE PLAN HAS A CO-INSURANCE REQUIREMENT OF _____%: (GENERALLY 20%). THE HOSPITAL'S POLICY IS TO COLLECT A $50.00 DEPOSIT. AFTER WE RECEIVE THE INFORMATION FROM YOUR INSURANCE COMPANY THE HOSPITAL WILL REFUND ANY OVERPAYMENT OR SEND YOU A BILL FOR ANY UNDERPAYMENT. WOULD YOU PREFER TO MAKE THE DEPOSIT BY CASH, CHECK, OR CREDIT CARD?"2.IF THE PATIENT OR ACCOMPANYING ADULT SAYS THAT HE OR SHE CANNOT PAY AT THIS TIME: "ALL RIGHT, THE HOSPITAL WILL SEND YOU A BILL."SELF-PAY:1.IF THE PATIENT IS A SELF-PAY PATIENT: "THE HOSPITAL'S POLICY IS TO COLLECT A $50.00 DEPOSIT FOR SERVICES. AFTER THE FINAL BILL IS DETERMINED WE WILL REFUND ANY OVERPAYMENT, OR BILL YOU FOR ANY ADDITIONAL CHARGES."2.IF THE PATIENT OR ACCOMPANYING ADULT SAYS THAT HE OR SHE CANNOT PAY AT THIS TIME: "ALL RIGHT, THE HOSPITAL WILL SEND YOU A BILL."*AFTER REGISTRATION, THE PATIENT SHOULD ALSO BE INSTRUCTED TO RETURN TO THE WAITING AREA FOR TREATMENT WHEN CALLED BY THE CLINICAL STAFF.*REGISTRATION OR OTHER STAFF MUST NOT SAY OR IMPLY THAT TREATMENT WILL IN ANY WAY BE DELAYED OR CONDITIONED ON THE PATIENT'S ABILITY TO PAY FOR SERVICES, INCLUDING CO-PAYMENT, CO-INSURANCE OR ACCOUNT DEPOSITS.EFFECTIVE DATE: 6/24/2002DIRECTIVE: FN-14-OP SUBJECT: UNCOMPENSATED CARE PROGRAM POLICY: FAXTON-ST. LUKE'S HEALTHCARE COMPLIES WITH REGULATION 312-D OF THE HCFA MANUAL AND PROVIDES AN UNCOMPENSATED CARE PROGRAM FOR THOSE INDIVIDUALS WHO CANNOT PAY FOR NEEDED HEALTHCARE SERVICES. | ||
| PART III, LINE 9B: ADMINISTRATIVE APPROVAL: SCOTT H. PERRA, PRESIDENT/CEO STEVEN J. BROWN SENIOR VICE PRESIDENT/COOMICHAEL J. HAILESENIOR VICE PRESIDENT/CFOPURPOSE: TO PROVIDE SERVICES TO PATIENTS WHO ARE UNINSURED OR UNABLE TO COMMIT TO A FINANCIAL AGREEMENT. THIS POLICY DOES NOT APPLY TO THOSE PATIENTS WHO SEEK ELECTIVE SERVICES OR PROCEDURES SUCH AS ELECTIVE COSMETIC SURGERY, ELECTIVE DENTAL SURGERY, MEALS ON WHEELS, LIFELINE SERVICES, HEARING AIDS, OR THERAPIES OUTSIDE THE SCOPE OF PHYSICIAN'S ORDERS.SCOPE: ORGANIZATION-WIDEREPLACES:ADMINISTRATIVE DIRECTIVE FN-14-OP, SAME TITLE, DATED 4/6/2006 SPECIAL INSTRUCTIONS: ACCORDING TO REGULATION 312-D OF THE HCFA MANUAL, THE HOSPITALS/CLINICS MUST INVESTIGATE THE FINANCIAL SITUATION OF PATIENTS WHO REQUEST THE UNCOMPENSATED CARE PROGRAM.PROCEDURE: 1.A PATIENT OR GUARANTOR REQUESTING UNCOMPENSATED CARE MAY BE ASKED TO APPLY FOR MEDICAID. PATIENT/GUARANTOR WILL HAVE UP TO NINETY DAYS FROM SERVICE DATE TO APPLY FOR FINANCIAL ASSISTANCE. THE FOLLOWING INFORMATION MUST BE PROVIDED WITH THE APPLICATION TO AID IN THE DECISION BY THE HOSPITAL TO PROVIDE FREE CARE.-A COPY OF THE LATEST YEAR OF TAX FILING.-A COMPLETED UNCOMPENSATED CARE APPLICATION, WHICH IS PROVIDED BY THE HOSPITAL MUST BE COMPLETED IN ITS ENTIRETY WITHIN THIRTY DAYS OF RECEIPT OF THE APPLICATION. -PROOF OF INCOME INFORMATION, WE MUST CONSIDER BANK ACCOUNTS, PENSION CHECKS AND INSURANCE POLICIES. AS THE LAW STATES "ONLY THOSE ASSETS CONVERTIBLE TO CASH AND UNNECESSARY FOR THE PATIENT'S DAILY LIVING".2.THE CALCULATION OF ELIGIBILITY MAY INCLUDE SOME OR ALL OF THE FOLLOWING SOURCES:-ALL ASSETS-EXCESS AMOUNT-SPEND DOWN AMOUNT-BANK ACCOUNTS-PENSION ACCOUNTS-INSURANCE POLICIES-PLUS INCOME-EQUALS GUIDELINE AMOUNT THE GUIDELINE AMOUNT IS COMPARED TO (3X) THE FEDERAL POVERTY GUIDELINE. THE FEDERAL POVERTY GUIDELINE CAN BE OBTAINED AT: HTTP:/ASPE.HHS.GOV/POVERTY>SHTML.3.THE PATIENT IS NOTIFIED WITH A DECISION WHETHER APPROVED OR DENIED BY THE CREDIT MANAGER WITHIN FOURTEEN BUSINESS DAYS OF RECEIPT OF AN APPLICATION. 4.IF THE PATIENT IS APPROVED THE ACCOUNT IS WRITTEN OFF TO CHARITY/BAD DEBT. IF THE PATIENT HAS MEDICARE FOR INSURANCE, THE HOSPITAL WILL PROCESS AS A MEDICARE CHARITY/BAD DEBT WRITE OFF.5.FURTHER INTERNAL REQUIREMENTS FOR MEDICARE WRITE OFF MUST INCLUDE A CODR (CREATE ON DEMAND BILL) AND MEDICARE EOB (EXPLANATION OF BENEFITS), WHICH ACCOMPANIES EACH MEDICARE ACCOUNT THAT IS BEING CONSIDERED FOR A WRITE OFF.6.AN AGENCY ACTIVITY REPORT IS UTILIZED TO REPORT ANY MEDICARE RECOVERIES. SIZE OF FAMILY GUIDELINES1 $ 32,490.002 $ 43,710.003 $ 54,930.004 $ 66,150.005 $ 77,370.006 $ 88,590.007 $ 99,810.008 $ 111,030.00FOR FAMILY UNITS WITH MORE THAN EIGHT MEMBERS ADD$ 3,740 FOR EACH ADDITIONAL MEMBER. GENERAL GUIDELINES FOR EMERGENCY DENTAL TREATMENT ON UNINSURED PATIENTSTHE DENTAL SERVICE WILL SCREEN ALL UNINSURED PATIENTS AND EVALUATE THE PATIENTS NEED FOR EMERGENCY DENTAL TREATMENT. WALK-IN DENTAL EMERGENCY PATIENTS WHO INDICATE THEY ARE UNABLE TO PAY FOR SERVICES ARE EXPECTED TO COMPLY WITH HOSPITAL POLICY REQUIRING THEM TO FILL OUT A MEDICAID APPLICATION. IN THE MEANTIME, DENTAL PAIN IS MANAGED ON AN INDIVIDUAL BASIS AND MAY BE EITHER TREATED OR SCRIPTED AT THE DISCRETION OF THE EXAMINING DOCTOR. PALLIATIVE TREATMENT MAY BE ALL THAT IS OFFERED UNTIL PAYMENT FOR DEFINITIVE TREATMENT IS SECURED OR UNTIL IT IS DETERMINED THAT THE PATIENT IS ELIGIBLE FOR CHARITY CARE. DEFINITIVE TREATMENT IS LIMITED TO THE APPROPRIATE PROCEDURE(S) TO ELIMINATE THE SOURCE OF THE PAIN AND DOES NOT NECESSARILY INVOLVE ADDITIONAL PROCEDURES TO RESTORE MISSING TOOTH STRUCTURE OR REPLACE ANY SUBSEQUENT MISSING TEETH.ASSOCIATED FORMS FOR FN-14-OP:APPLICATION/ELIGIBILITY DETERMINATION FOR UNCOMPENSATED CARE ASSISTANCE | ||
| THE ATTACHED, WRITTEN DEBT COLLECTION POLICY INCLUDES REQUESTED INFORMATION. | PART III, LINE 9B | |
| PART V, SECTION A: DENTAL CLINIC, DIAGNOSTICS, MEDICAL IMAGING, DIALYSIS, LABORY & DELIVERY, URGENT CARE | ||
| (LINE 1)FSLH, AN ACTIVE PARTICIPANT IN THE ONEIDA COUNTY AND HERKIMER COUNTY COMMUNITY HEALTH ASSESSMENTS, INCORPORATES THE PRIORITIES AND ACTIVITIES OF THE 2009 REGIONAL HEALTH SUMMIT INTO OUR COMMUNITY SERVICE PLAN. (LINE 3) REGIONAL HEALTH PRIORITIES:APRIL 2009 RECAP ONEIDA AND HERKIMER COUNTIES SHARE SIMILAR HEALTH ISSUES THAT ARE ADDRESSED BY ORGANIZATIONS SERVING BOTH COUNTIES. THE COUNTIES COORDINATED THEIR PRIORITY-SETTING EFFORTS TO IDENTIFY THE HEALTH PRIORITIES FOR THE REGION FROM THE NYSDOH PREVENTION AGENDA. THIS COLLABORATIVE REGIONAL HEALTH SUMMIT WAS SPONSORED BY REPRESENTATIVES FROM THE REGION'S HOSPITALS, LHDS, CHA PLANNING TEAMS, AND THE UNITED WAY AND INCLUDED THE FOLLOWING AGENCIES: -FAXTON ST. LUKE'S HEALTHCARE-HERKIMER COUNTY HEALTH DEPARTMENT-HERKIMER COUNTY HEALTHNET-ONEIDA COUNTY HEALTH COALITION & MAPP ADVISORY TEAM-ONEIDA COUNTY HEALTH DEPARTMENT-ST. ELIZABETH MEDICAL CENTER -ROME MEMORIAL HOSPITAL-UNITED WAY OF THE VALLEY -GREATER UTICA AREA MOHAWK VALLEY PERINATAL NETWORK(LINE 4) THE NEEDS ASSESSMENT WAS CONDUCTED WITH TWO OTHER HOSPITAL FACILITIES:-ST. ELIZABETH MEDICAL CENTER -ROME MEMORIAL HOSPITAL | PART V, SECTION B, LINES 1, 3, 4 | |
| FOR PATIENTS WITH NO INSURANCE, FSLHC SCREENS FOR FINANCIAL ASSISTANCE ELIGIBILITY AND HELPS WITH ANY OF THE APPLICATIONS. IF PATIENT DOES NOT QUALIFY OR COOPERATE WITH THE PROCESS, THEY ARE BILLED BASED ON GROSS CHARGES AND 20%PROMPT PAY DISCOUNT. | PART V, SECTION B, LINES 19D AND 21 | |
| PART VI, LINE 2: A REGIONAL SUMMIT WAS HELD IN 2009 AND A THREE-YEAR PLAN WAS DEVELOPED. ONEIDA AND HERKIMER COUNTIES SHARE SIMILAR HEALTH ISSUES AND THE COUNTIES COORDINATED THEIR PRIORITY-SETTING EFFORTS IDENTIFYING HEALTH PRIORITIES FOR THE REGION FROM THE NYSDOH PREVENTION AGENDA. THE COLLABORATIVE REGIONAL HEALTH SUMMIT HAD REPRESENTATIVES FROM THE REGION'S HOSPITALS, LHDS, CHA PLANNING TEAMS, AND THE UNITED WAY AND INCLUDED THE FOLLOWING AGENCIES: -FAXTON ST. LUKE'S HEALTHCARE-ST. ELIZABETH MEDICAL CENTER-ROME MEMORIAL HOSPITAL -HERKIMER COUNTY HEALTH DEPARTMENT-HERKIMER COUNTY HEALTH NET-ONEIDA COUNTY HEALTH COALITION & MAPP ADVISORY TEAM-ONEIDA COUNTY HEALTH DEPARTMENT-UNITED WAY OF THE VALLEY AND GREATER UTICA AREA-MOHAWK VALLEY PERINATAL NETWORK THE COMMUNITY ASSESSMENT FOR HERKIMER AND ONEIDA COUNTIES IDENTIFIED THE SAME ITEMS FROM THE PREVENTION AGENDA AS THE HEALTH PRIORITIES FOR THEIR RESPECTIVE COUNTIES. -MENTAL HEALTH AND SUBSTANCE ABUSE-HEALTHY MOTHERS, HEALTHY BABIES, HEALTHY CHILDREN-CHRONIC DISEASE-ACCESS TO QUALITY HEALTHCARE-PHYSICAL FITNESS AND NUTRITION | ||
| PART VI, LINE 3: PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETHE PATIENT IS EDUCATED ABOUT ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS AND THE FSLHC ASSISTANCE POLICY AS FOLLOWS: FSLHC OFFERS A TRI-FOLD PAMPHLET DESCRIBING PAYMENT OPTIONS AND FINANCIAL COUNSELORCONTACT INFORMATION. THE PAMPHLETS ARE AVAILABLE TO PATIENTS IN: ER, ADMISSIONS, URGENT CARE, ACP OFFICES, OUTREACH CLINICS. THE INFORMATION IS IN THE PRE-ADMISSION PACKETS MAILED TO PATIENTS PRIOR TO SERVICES. FINANCIAL COUNSELORS ARE AT BOTH SITES TO MEET WITH PATIENTS AND EXPLAIN OPTIONS. FSLHC HAS A BUSINESS ASSOCIATE'S AGREEMENT AS A MEDICAID ADVOCACY VENDOR, AS WELL AS HMO MEDICAID REPRESENTATIVES AVAILABLE TO ASSIST PATIENTS WITH ELIGIBILITY AND APPLICATION FOR NYS MEDICAID. THE PATIENT IS CONTACTED VIA PHONE PRIOR TO SERVICE/POST-DISCHARGE AND ADVISED OF PAYMENT OPTIONS/APPLICATION ASSISTANCE. THIS INFO IS ON BILLINGS, ALONG WITH DIRECTIONS TO WEB SITE WHICH INCLUDES OPTIONS, APPLICATION AND CONTACT INFORMATION. | ||
| PART VI, LINE 4: PART VI, LINE 4 COMMUNITY INFORMATIONFSLH'S PRIMARY AND SECONDARY SERVICE AREAS, BASED ON ZIP CODE ANALYSIS OF PATIENT ORIGIN, INCLUDES ALL COMMUNITIES SURROUNDING THE UTICA AREA, EXCEPT THE MOST DISTANT WESTERN TOWNS IN ONEIDA COUNTY AND ALL BUT THE MOST SOUTH EASTERN TOWNS, IN HERKIMER COUNTY. THE POPULATION OF OUR SERVICE AREA IS APPROXIMATELY 280,000 PEOPLE.FOR SELECTED SPECIALTIES, SUCH AS DIALYSIS AND CANCER CARE, FSLH IS RECOGNIZED AS A TERTIARY CENTER SERVING PARTS OF MADISON, LEWIS, FULTON, HAMILTON, AND MONTGOMERY COUNTIES. THE POPULATION OF THE TERTIARY MARKET IS APPROXIMATELY 361,000 PEOPLE. | ||
| PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHTHE HEALTHCARE SYSTEM HAS AN 18 MEMBER BOARD OF DIRECTORS COMPRISED OF COMMUNITY MEMBERS. THEY OVERSEE THE ACTIVITIES OF THE HOSPITAL AS WELL AS THE MEDICAL STAFF. THE HEALTHCARE SYSTEM PROVIDES A NUMBER OF COMMUNITY NEED PROGRAMS THAT ARE EITHER UNFUNDED OR RECEIVE MINIMAL FUNDING INCLUDING THE FOLLOWING: 1.OB CARE CENTER FAXTON ST. LUKE'S HEALTHCARE IS THE BIRTH CENTER FOR THE UTICA AREA WITH 2,110 BIRTHS IN 2011. IN THAT SAME YEAR THE OBCC HAD 7,413 PATIENTS.MANY OF THE WOMEN SERVED IN THE OB CARE CENTER HAVE MINIMAL OR NO INSURANCE. THIS PROGRAM IS UNDERFUNDED BUT A NEEDED RESOURCE IN THE COMMUNITY. IN 2011 THE CENTER BEGAN OFFERING PRECONCEPTION SCREENING AND COUNSELING TO AT LEAST 600 WOMEN IN A ONE YEAR TIME FRAME, TARGETING 40 HIGH RISK PREGNANT WOMEN DURING THE FIRST YEAR OF THE PATIENT NAVIGATION PROGRAM. ALL NEW PATIENTS TO THE OBCC OR THOSE REFERRED THROUGH MVPN ARE SCREENED FOR THE PROGRAM. PARTICULARLY HIGH RISK WOMEN ARE THOSE WITH PREVIOUS PRE-TERM OR LOW BIRTH WEIGHT INFANTS, TEENS, THOSE WITH CO-MORBIDITIES SUCH AS HIGH BLOOD PRESSURE, AND CHRONIC STRESS (DOMESTIC VIOLENCE, HOMELESSNESS, SUBSTANCE ABUSE, NO OR POOR EMOTIONAL OR FINANCIAL SUPPORT).THE PROGRAM IS DESIGNED TO RAISE AWARENESS AND KNOWLEDGE OF PRECONCEPTION/INTERCONCEPTION HEALTH AMONG HIGH RISK WOMEN, REDUCE STRESS LEVELS AMONG HIGH RISK PREGNANT WOMEN AND REDUCE RATES OF PRETERM BIRTHS (BEFORE 32 WEEKS). BEGINNING IN 2011, FSLH IS LAUNCHING AN OB/GYN HOSPITALIST PROGRAM, FREQUENTLY REFERRED TO AS A "LABORIST" PROGRAM. THE PROGRAM PROVIDES CARE TO WOMEN FOLLOWED IN THE FSLH OBCC AND ASSISTS PRIVATE PRACTICE OB/GYN PHYSICIANS WHENEVER NEEDED. FIVE BOARD-CERTIFIED OB/GYN PHYSICIANS AND A CERTIFIED NURSE MIDWIFE/NURSE PRACTITIONER WILL STAFF THE PROGRAM. PERHAPS THE MOST SIGNIFICANT SERVICE PROVIDED BY THE LABORISTS IS 24-7 COVERAGE OF THE LABOR AND DELIVERY UNIT. HAVING A BOARD-CERTIFIED OBSTETRICIAN IMMEDIATELY AVAILABLE 24-HOURS-A-DAY FURTHER SUPPORTS OUR PATIENT SAFETY GOALS AND PROVIDES GREATER STABILITY FOR ALL OB PATIENTS WHILE THEIR PHYSICIAN IS ENROUTE TO THE HOSPITAL. 2.CENTRAL NEW YORK DIABETES EDUCATION PROGRAM THE CENTRAL NEW YORK DIABETES EDUCATION PROGRAM IS A PROGRAM OF FAXTON ST. LUKE'S HEALTHCARE WHICH COLLABORATES WITH THE ONEIDA AND HERKIMER COUNTY DEPARTMENTS OF HEALTH AND OTHER AGENCIES TO LEAD THE DISCUSSIONS ON HOW BEST TO INCREASE THE USE OF EVIDENCE-BASED STANDARDS AND PRACTICES IN THE MANAGEMENT AND EDUCATION OF DIABETES. KEY COMPONENTS OF THIS INITIATIVE ARE PROVIDER AND COMMUNITY EDUCATION. THE HOSPITALS WORK WITH PRIMARY CARE PROVIDERS ON IDENTIFYING DIABETES PATIENTS WITHIN THEIR PRACTICES, SETTING UP PROTOCOLS FOR EDUCATION, AND FOLLOW UP ON MANAGEMENT AND OUTCOMES OF PATIENTS.3.CHRONIC DISEASE MANAGEMENT OF PATIENTS PART OF FAXTON ST. LUKE'S HEALTHCARE MEDICAL HOME MODEL FAXTON ST. LUKE'S HEALTHCARE ADIRONDACK COMMUNITY PHYSICIANS (ACP) MEDICAL OFFICES IS NATIONALLY RECOGNIZED AS A PATIENT-CENTERED MEDICAL HOME PROGRAM. THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) RECOGNIZED ADIRONDACK COMMUNITY PHYSICIANS (ACP) FOR THEIR PHYSICIAN PRACTICE CONNECTIONS- PATIENT-CENTERED MEDICAL HOME (PPC-PCMH) PROGRAM. THE RECOGNITION NOTES THEIR USE OF EVIDENCE-BASED, PATIENT-CENTERED PROCESSES THAT FOCUS ON HIGHLY COORDINATED CARE AND LONG-TERM PROVIDER/PATIENT RELATIONSHIPS. THEY ARE THE ONLY PRIMARY CARE PHYSICIAN PRACTICE IN OUR LOCAL AREA (BETWEEN ALBANY AND SYRACUSE) TO HAVE THIS RECOGNITION AND ONE OF THE FIRST PRIMARY CARE GROUPS IN THE NATION (1 OF 1,038) WHO ARE RECOGNIZED AS A DESIGNATED PATIENT-CENTERED MEDICAL HOME. IN 2011 THE COMBINED EIGHT ACP MEDICAL OFFICES HAD MORE THAN 98,514 PATIENT ENCOUNTERS. THE MEDICAL HOME IS A MODEL OF CARE THAT HOLDS SIGNIFICANT PROMISE FOR BETTER HEALTH CARE QUALITY, IMPROVED INVOLVEMENT OF PATIENTS IN THEIR OWN CARE AND REDUCED AVOIDABLE COSTS OVER TIME. PCMH IDENTIFIES PRACTICES THAT PROMOTE PARTNERSHIPS BETWEEN INDIVIDUAL PATIENTS AND THEIR PERSONAL PHYSICIANS, INSTEAD OF TREATING PATIENT CARE AS THE SUM OF SEVERAL PERIODIC OFFICE VISITS.THE ACP MEDICAL OFFICE LOCATIONS INCLUDE: BARNEVELD, BOONVILLE, HERKIMER, NEW HARTFORD, NORTH UTICA, WASHINGTON MILLS, WATERVILLE AND WHITESBORO. 4. DENTAL RESIDENCY PROGRAM TO FURTHER SUPPORT ACCESS TO CARE THE DENTAL RESIDENCY PROGRAM OF FAXTON ST. LUKES HEALTHCARE PROVIDES FOR THE MORE THAN 12,000 PATIENT VISITS ANNUAL THE MAJORITY OF WHICH IS THE UNDER-SERVED POPULATION, THOSE WHO ARE MEDICALLY AND ECONOMICALLY CHALLENGED. THE PROGRAM IS SUPPORTED BY SIX DENTAL RESIDENTS AS WELL AS PARTICIPATION BY COMMUNITY DENTISTS. 5. PHYSICIAN RECRUITMENT BARRIERS TO CARE INCLUDE RECRUITMENT ISSUES. ONEIDA COUNTY'S HOSPITALS CONTINUE THEIR EFFORTS TO RECRUIT AND RETAIN QUALITY PROVIDERS TO THE MOHAWK VALLEY, WHICH HAS THE LOWEST RATIO OF PHYSICIANS TO THE POPULATION IN NEW YORK STATE. AS A RESULT OF THE PHYSICIAN SHORTAGE, MANY PATIENTS WHO DON'T HAVE A PHYSICIAN OR CAN'T GET INTO SEE THEIR OWN DOCTOR TURN TO HOSPITAL EMERGENCY DEPARTMENTS FOR ROUTINE CARE AT A GREATER COST TO THE HEALTH CARE SYSTEM. RECRUITING PHYSICIANS TO UPSTATE NEW YORK ISN'T EASY WITH THE NATIONAL PHYSICIAN SHORTAGE. IT'S CHALLENGING TO COMPETE AGAINST COMMUNITIES THAT PROMISE WARMER WEATHER, A BETTER CALL SCHEDULE, HIGHER REIMBURSEMENTS AND LOWER MALPRACTICE INSURANCE. IN A LARGER COMMUNITY, DOCTORS HAVE MORE TIME TO SPEND WITH THEIR FAMILY IF THEY SHARE NIGHT AND WEEKEND CALL RESPONSIBILITIES WITH A GROUP OF 20 DOCTORS INSTEAD OF ONLY THREE OR FOUR. IN ADDITION, THE REGION HAS A LARGE POPULATION OF RESIDENTS WHO DEPEND UPON MEDICAID, WHICH PAYS PHYSICIANS POORLY FOR THEIR SERVICES. PHYSICIANS ARE ATTRACTED TO COMMUNITIES WITH A HIGHER PERCENTAGE OF PRIVATELY INSURED RESIDENTS WHERE THEY HAVE GREATER EARNING POTENTIAL. ONE STRATEGY THAT HOSPITALS HAVE USED WITH SOME SUCCESS IS TO CREATE A SEPARATE COMPANY TO HIRE PHYSICIANS AS EMPLOYEES. BUT, THIS MEANS THE HOSPITALS BEAR ALL THE RISKS AND THE COSTS OF ESTABLISHING THE PRACTICE, AND WHEN STATE AND FEDERAL GOVERNMENTS LOOK AT SPREADING THE SACRIFICE OF REIMBURSEMENT CUTS AMONG HOSPITALS AND PHYSICIANS, HOSPITALS GET HIT TWICE WITH THE SAME BUDGET AXE. IN 2011 FLSH EMPLOYED THREE ORTHOPEDIC SURGEONS AND A NEUROSURGEON EXPANDED THE EMPLOYMENT OF MEDICAL STAFF FOR OUR ADIRONDACK COMMUNITY PHYSICIANS MEDICAL OFFICES, AS WELL AS EMPLOYED THE LABORISTS FOR OUR OB CARE CENTER. CONSOLIDATION CONTINUES TO PLAY A KEY ROLE IN THE MANAGEMENT OF LIMITED RESOURCES. IN NOVEMBER 2011FAXTON ST. LUKE'S HEALTHCARE (FSLH) BROKE GROUND TO IMPROVE LONG-TERM CARE SERVICES AND DEVELOP COMMUNITY-BASED ALTERNATIVES TO TRADITIONAL NURSING HOME CARE FOR SENIORS LIVING IN ONEIDA COUNTY. THE CONSTRUCTED IN FUNDED BY A $31 MILLION GRANT PROVIDED THROUGH PHASE 20 OF THE HEALTH CARE EFFICIENCY AND AFFORDABILITY LAW OF NEW YORK STATE (HEAL NY) AND THE FEDERAL-STATE REFORM PARTNERSHIP (F-SHRP).THE COMMUNITY SERVED BY FSLH IS CHANGING WITH AN INCREASE IN OUR OLDER POPULATION, AGES 55 PLUS. IN THE NEXT 3 TO 5 YEARS WE ANTICIPATE AN 8% INCREASE IN ADULTS, AGES 55-65 AND A 7.6% INCREASE IN AGES 65+. THIS CONSOLIDATION OF SERVICES IN BOTH THE INPATIENT AND OUTPATIENT SETTING FOR THE ELDERLY WILL HELP SUPPORT THE GROWING COMMUNITY NEED. THE FUNDS FROM THIS GRANT WILL BE USED FOR THE FOLLOWING: -RENOVATION OF THE ST. LUKE'S HOME (202-BED NURSING HOME) TO ACCOMMODATE THE COMMISSION FOR ACCREDITATION OF REHABILITATION FACILITIES (CARF) ACCREDITED INPATIENT ACUTE REHABILITATION UNIT CURRENTLY LOCATED AT THE FAXTON CAMPUS. THIS ADDITION WILL COMPLEMENT OUR ST LUKE'S HOME CURRENT 41 BED SUB ACUTE REHABILITATION UNIT. -CONSTRUCTION OF A NEW BUILDING AT THE ST. LUKE'S HOME SITE THAT WILL HOUSE AN EXPANDED ADULT DAY HEALTH CARE PROGRAM, AN ADDITIONAL EIGHT-STATION OUTPATIENT DIALYSIS CENTER AND OUR CURRENT OFF-SITE HOME CARE SERVICES SENIOR NETWORK HEALTH AND VISITING NURSE ASSOCIATION. -EXPANSION OF TELE-HEALTH SERVICES TO PROVIDE MORE IN-HOME MEDICAL MONITORING SYSTEMS FOR PATIENTS THROUGHOUT THE COMMUNITY. FAXTON ST. LUKE'S HEALTHCARE HAS INCREASED OUR EFFORTS TO IDENTIFY, EARLY ON, PATIENTS WHO WOULD QUALIFY FOR OUR UNCOMPENSATED CARE PROGRAM. THIS INCLUDES INCREASED DISCUSSIONS REGARDING CREDIT ISSUES AT TIME OF REGISTRATION, INCREASED DISTRIBUTION OF OUR POLICIES ON UNCOMPENSATED CARE, GREATER EFFORTS TO QUALIFY PATIENTS FOR A PROMPT PAY DISCOUNT AND IDENTIFICATION OF ALTERNATIVE SOURCES OF FINANCING FOR OUR PATIENTS. WE ALSO SEE AN INCREASING NUMBER OF OUR AGING POPULATION ON MEDICARE WITHOUT A SUPPLEMENTAL PLAN, WHO CANNOT AFFORD TO PAY THE DEDUCTIBLE/CO-INSURANCE BALANCES. IN MOST CASES, THEY DO NOT QUALIFY FOR CHARITY CARE OR MEDICAID. WE OFFER A FIVE-MONTH INTEREST FREE PAYMENT PLAN TO ASSIST OUR PATIENTS ON THEIR SMALLER DOLLAR ACCOUNTS. THE HOSPITAL IS SPONSORING A NEW INTEREST FREE BANK LOAN PROGRAM ON LARGER DOLLAR ACCOUNTS FOR EXTENDED PAYMENT TERMS. | ||
| PART VI, LINE 6: PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEMFAXTON ST. LUKE'S HEALTHCARE IS AFFILIATED WITH ST. LUKE'S HOME (202-BED LONG TERM CARE FACILITY), VISITING NURSE ASSOCIATION (IN HOME NURSING CARE PROGRAM), SENIOR NETWORK HEALTH (MEDICAID INSURANCE MODEL) AND MOHAWK VALLEY HOME CARE (HOME HEALTH CARE). EACH OF THESE ORGANIZATIONS PROVIDES FREE COMMUNITY OUTREACH, EDUCATION AND INFORMATION TO PROMOTE COMMUNITY HEALTH. THE TEAMS PARTICIPATE IN TWO COMMUNITY-WIDE HEALTH EVENTS IN FEBRUARY AND JULY (AMERICAN HEART RUN/WALK AND BOILERMAKER 15K ROAD RACE RESPECTIVELY.) STROKE AND BLOOD PRESSURE SCREENINGS ARE PART OF EACH EVENT. SUPPORT AND OUTREACH GROUPS TARGET BREAST CANCER, OBESITY, STROKE AND NEEDS FOR SENIORS. THE ORGANIZATION ACTIVELY SUPPORTS HEALTH FRIENDS WHICH PROVIDES DISCOUNTED PHARMACY NEEDS FOR THE UNDERINSURED IN THE COMMUNITY. THE DENTAL RESIDENCY PROGRAM HOSTS AN ANNUAL "GIVE KIDS A SMILE" DAY PROVIDING FREE DENTAL CARE AND FOLLOW UP FOR CHILDREN IN THE COMMUNITY WHO DON'T HAVE ACCESS TO A DENTIST. THE REHABILITATION PROGRAM PROVIDES A SUMMER SWIM PROGRAM FOR INNER CITY YOUTHS TO HELP THEM LEARN TO SWIM AND TAKE PART IN HEALTH PHYSICAL ACTIVITIES IN THE HOSPITAL POOL. | ||
| NY | PART VI, LINE 7 | REPORTS FILED WITH STATES |
| PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORTTHE ORGANIZATION SUBMITTED THE ATTACHED COMMUNITY SERVICE PLAN TO THE NEW YORK STATE DEPARTMENT OF HEALTH ON 9/15/2011. THE REPORT IS MADE AVAILABLE TO THE PUBLIC AS FOLLOWS:HTTP://FAXTONSTLUKES.COM/PDF/COMMUNITY-SERVICE-PLANFOR ADDITIONAL COPIES OF THE REPORT CONTACT:DEBRA ALTDOERFFER, VPCOMMUNICATIONS AND MARKETINGDALTDOER@MVNHEALTH.COM | PART VI, LINE 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| 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 | 1 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | 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 (16 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHRISTOPHER MAX MD | |||||||||||||
| 0 | 0 | 0 | 0 | 7500 | 0 | 0 | 0 | 0 | 0 | 7500 | 0 | 0 | 0 |
| ROGER MCREYNOLDS | |||||||||||||
| 182130 | 0 | 0 | 0 | 10702 | 0 | 9343 | 0 | 13127 | 0 | 215302 | 0 | 0 | 0 |
| WILLIAM PARKER MD | |||||||||||||
| 197949 | 0 | 0 | 0 | 1598 | 0 | 13364 | 0 | 7224 | 0 | 220135 | 0 | 0 | 0 |
| SCOTT H PERRA FACHE | |||||||||||||
| 426500 | 0 | 0 | 0 | 89746 | 0 | 24500 | 0 | 13127 | 0 | 553873 | 0 | 0 | 0 |
| MICHAEL J HAILE FHFMA | |||||||||||||
| 300500 | 0 | 0 | 0 | 43173 | 0 | 24500 | 0 | 13127 | 0 | 381300 | 0 | 0 | 0 |
| DANIEL KOPP MD | |||||||||||||
| 305000 | 0 | 0 | 0 | 24717 | 0 | 11313 | 0 | 13127 | 0 | 354157 | 0 | 0 | 0 |
| STEVEN BROWN DM FACHE | |||||||||||||
| 230000 | 0 | 0 | 0 | 19260 | 0 | 20995 | 0 | 13127 | 0 | 283382 | 0 | 0 | 0 |
| PATRICIA ROACH MS RN CNAA | |||||||||||||
| 195000 | 0 | 0 | 0 | 22633 | 0 | 17931 | 0 | 17414 | 0 | 252978 | 0 | 0 | 0 |
| KEVIN MAHONEY | |||||||||||||
| 181662 | 0 | 0 | 0 | 7522 | 0 | 9204 | 0 | 13127 | 0 | 211515 | 0 | 0 | 0 |
| ANTHONY SCIBELLI | |||||||||||||
| 184997 | 0 | 0 | 0 | 6286 | 0 | 9545 | 0 | 13127 | 0 | 213955 | 0 | 0 | 0 |
| JORGE FERREIRO MD | |||||||||||||
| 274992 | 0 | 150186 | 0 | 2322 | 0 | 2292 | 0 | 9796 | 0 | 439588 | 0 | 0 | 0 |
| ROBER WASICZKO MD | |||||||||||||
| 274992 | 0 | 72733 | 0 | 1242 | 0 | 1833 | 0 | 9796 | 0 | 360596 | 0 | 0 | 0 |
| MARK WILLIAMS MD | |||||||||||||
| 274992 | 0 | 2706 | 0 | 1310 | 0 | 2292 | 0 | 6261 | 0 | 287561 | 0 | 0 | 0 |
| ANAND RAVI MD | |||||||||||||
| 235055 | 0 | 34838 | 0 | 3313 | 0 | 2573 | 0 | 7224 | 0 | 283003 | 0 | 0 | 0 |
| SARMAD SIDDIQUI MD | |||||||||||||
| 231900 | 0 | 31336 | 0 | 2751 | 0 | 5160 | 0 | 6949 | 0 | 278096 | 0 | 0 | 0 |
| KEITH FENSTEMACHER | |||||||||||||
| 9692 | 0 | 0 | 0 | 271676 | 0 | 267 | 0 | 0 | 0 | 281635 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 5 | THE INCENTIVE COMPENSATION, REPORTED FOR THE 4 INDICATED PHYSICIANS, IS A CALCULATION OF RELATIVE VALUE UNITS (RVU'S); RELATING TO THE REVENUES GENERATED BY THE SERVICES THEY PROVIDE. |
| PART I, LINE 6 | IN 2011, INCENTIVE COMPENSATION WAS ACCRUED FOR THE EXECUTIVE STAFF, IN THE AMOUNT OF $416,183. INCENTIVE COMPENSATION IS ONLY GIVEN IF THE NET EARNINGS TARGET IS REACHED. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ONEIDA COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 166158201 | IssuerEIN |
| CUSIP Number | 682465AB5 | CUSIPNumber |
| Date Issued | 2006-06-26 | DateIssued |
| Issue Price | 7705000 | IssuePrice |
| Description Of Purpose | WINDOW WALL REPLACEMENT, ED PROJECT, AC WING REHAB | 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) |
|---|---|---|
| Total Proceeds | 7705000 | TotalProceeds |
| Issuance Costs From Proceeds | 319348 | IssuanceCostsFromProceeds |
| Year Of Subst Completion | 2008 | 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) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 1 | VariableRateIssue |
| Hedge Identified In Books And Recds | 1 | HedgeIdentifiedInBooksAndRecds |
Name Of Hedge Provider NameOfHedgeProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BANK OF AMERICA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 20.000000000000 | TermOfHedge |
| Superintegrated Hedge | 0 | SuperintegratedHedge |
| Hedge Terminated | 0 | HedgeTerminated |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MOHAWK VALLEY ORTHOPEDICS LLP | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | 33% OWNERSHIP BY BOARD MEMBER, LEROY H. COOLEY, MD | Relationship |
| Amount Of Transaction | 300000 | AmountOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART IV, LINE 1 COLUMN D | Identifier |
| Explanation | TOTAL CONSIDERATION OF THE $300,000 PAID FOR THE PURCHASE OF THE MOHAWK VALLEY ORTHOPEDICS, LLP PRACTICE WAS ALLOCATED AS:1. TANGIBLE PRACTICE ASSETS OF $27,134 INCLUDING EQUIPMENT, FURNITURE AND SUPPLIES; DETERMINED BY A PHYSICAL INVENTORY AND FMV APPRAISAL PERFORMED BY AN INDEPENDENT CONTRACTOR.2. THE REMAINDER OF TOTAL CONSIDERATION, $272,866, IS ALLOCATED TO INTANGIBLE PRACTICE ASSETS; INCLUDING, BUT NOT LIMITED TO MEDICAL RECORDS, CONTRACTS, PROVIDER NUMBERS AND OTHER ASSETS. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | MOHAWK VALLEY NETWORK, INC IS THE SOLE MEMBER OF THE CORPORATION. | |
| FORM 990, PART VI, SECTION A, LINE 7A | FORM 990, PART VI, SECTION A, LINE 7A: LINE 7 A: MOHAWK VALLEY NETWORK, INC. APPOINTS THE DIRECTORS AND GOVERNING BODY OF THE ORGANIZATION. THE BOARD OF DIRECTORS IS LISTED ON PAGES 7-8. | |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990, PART VI, SECTION B, LINE 11B: THE FORM 990 AND FORM 990T WERE REVIEWED AT A MEETING ON 08/07/2012 WITH THE EXECUTIVE COMMITTEE AND ON 08/16/2012 WITH THE BOARD OF DIRECTORS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | ANY DIRECTOR, PRINCIPAL OFFICER, MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, AS DEFINED BELOW, IS AN INTERESTED PERSON. IF A PERSON IS AN INTERESTED PERSON WITH RESPECT TO ANY ENTITY IN THE HEALTH CARE SYSTEM OF WHICH THE CORPORATION IS A PART, HE OR SHE IS AN INTERESTED PERSON WITH RESPECT TO ALL ENTITIES IN THE HEALTH CARE SYSTEM. A PERSON HAS A FINANCIAL INTEREST IF HE OR SHE PERSONALLY HAS, DIRECTLY OR INDIRECTLY, THROUGH BUSINESS, INVESTMENT OR FAMILY: (1)AN OWNERSHIP OR INVESTMENT INTEREST IN ANY ENTITY WITH WHICH THE CORPORATION HAS A TRANSACTION OR ARRANGEMENT, OR (2)A COMPENSATION ARRANGEMENT WITH THE CORPORATION OR WITH ANY ENTITY OR INDIVIDUAL WITH WHICH THE CORPORATION HAS A TRANSACTION OR ARRANGEMENT, OR (3)A POTENTIAL OWNERSHIP OR INVESTMENT INTEREST IN, OR COMPENSATION ARRANGEMENT WITH, ANY ENTITY OR INDIVIDUAL WITH WHICH THE CORPORATION IS NEGOTIATING A TRANSACTION OR ARRANGEMENT. COMPENSATION INCLUDES DIRECT AND INDIRECT REMUNERATION AS WELL AS GIFTS OR FAVORS THAT ARE SUBSTANTIAL IN NATURE. DUTY TO DISCLOSE: IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE AND NATURE OR HIS OR HER FINANCIAL INTEREST, OR ANY CIRCUMSTANCES WHICH MAY IMPAIR HIS OR HER ABILITY TO EXERCISE INDEPENDENT FIDUCIARY JUDGMENT, TO THE OTHER DIRECTORS, OR TO THE OTHER MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS, CONSIDERING A PROPOSED TRANSACTION OR ARRANGEMENT. DETERMINING CONFLICT: AN INTERESTED PERSON MAY, AFTER DISCLOSING A KNOWN CONFLICT, DISQUALIFY HIM OR HERSELF FROM FURTHER PARTICIPATION IN DISCUSSIONS OR DETERMINATIONS REGARDING THE TRANSACTION OR ARRANGEMENT, OR MAY SEEK THE GUIDANCE OF THE BOARD OR COMMITTEE. IN SUCH CASES, THE INTERESTED PERSON MAY BE ASKED TO LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE ACTUAL OR APPARENT CONFLICT IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. ADDRESSING THE CONFLICT OF INTEREST: (1) THE CHAIRPERSON OF THE BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. (2)AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE CORPORATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. (3)IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. VIOLATIONS OF CONFLICT (1)IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. (2)IF, AFTER HEARING THE RESPONSE OF THE MEMBER AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT THE MEMBER HAS, IN FACT, FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE CORRECTIVE ACTION AS DETERMINED BY THE BOARD, WITH RESPECT TO THE DIRECTOR AND THE TRANSACTION OR ARRANGEMENT. RECORDS OF PROCEEDINGS: THE MINUTES OF THE BOARD AND ALL COMMITTEES WITH BOARD-DELEGATED POWERS SHALL CONTAIN: (A)THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST, IN FACT EXISTED; AND (B)THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH. COMPENSATION COMMITTEE: (A)A VOTING MEMBER OF ANY COMMITTEE WHOSE JURISDICTION INCLUDES COMPENSATION MATTERS AND WHO RECEIVES COMPENSATION, DIRECTLY OR INDIRECTLY, FROM THE CORPORATION FOR SERVICES IS PRECLUDED FROM VOTING ON MATTERS PERTAINING TO THAT MEMBER'S COMPENSATION. (B)PHYSICIANS WHO RECEIVE COMPENSATION, DIRECTLY OR INDIRECTLY, FROM THE CORPORATION OR ANY AFFILIATE, WHETHER AS EMPLOYEES OR INDEPENDENT CONTRACTORS, ARE PRECLUDED FROM MEMBERSHIP ON ANY COMMITTEE WHOSE JURISDICTION INCLUDES PHYSICIAN COMPENSATION MATTERS. ANNUAL STATEMENTS: EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: (A)HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY AND THE CORPORATION'S BY-LAWS;(B)HAS READ AND UNDERSTANDS THOSE PROVISIONS; (C)HAS AGREED TO COMPLY WITH THOSE PROVISIONS; AND (D)UNDERSTANDS THAT THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX EXEMPT PURPOSES. PERIODIC REVIEW: TO ENSURE THAT THE CORPORATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX, PERIODIC REVIEWS SHALL BE CONDUCTED. THE PERIODIC REVIEW SHALL, AT A MINIMUM, INCLUDE THE FOLLOWING SUBJECTS: (A)WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE AND ARE THE RESULT OF ARM'S LENGTH BARGAINING. (B) WHETHER ACQUISITIONS OF PHYSICIAN PRACTICES AND OTHER PROVIDER SERVICES RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. (C)WHETHER PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS AND ARRANGEMENTS WITH MANAGEMENT SERVICE ORGANIZATIONS AND PHYSICIAN HOSPITAL ORGANIZATIONS CONFORM TO WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE PAYMENTS FOR GOODS AND SERVICES, FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. (D)WHETHER AGREEMENTS TO PROVIDE HEALTH CARE AND AGREEMENTS WITH OTHER HEALTH CARE PROVIDERS, EMPLOYEES, AND THIRD PARTY PAYERS FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. USE OF OUTSIDE EXPERTS: IN CONDUCTING THE PERIODIC REVIEWS PROVIDED FOR IN SECTION 7 OF THIS POLICY, THE CORPORATION MAY, BUT NEED NOT, USE OUTSIDE ADVISORS. IF OUTSIDE EXPERTS ARE USED, THEIR USE SHALL NOT RELIEVE THE BOARD OF ITS RESPONSIBILITY FOR ENSURING THAT PERIODIC REVIEWS ARE CONDUCTED. LOANS: NO LOANS, OTHER THAN THROUGH THE PURCHASE OF BONDS, DEBENTURES, OR SIMILAR OBLIGATIONS OF THE TYPE CUSTOMARILY SOLD IN PUBLIC OFFERINGS, OR THROUGH THE ORDINARY DEPOSIT OF FUNDS IN A BANK, SHALL BE MADE BY THE CORPORATION TO ITS DIRECTORS OR OFFICERS, OR TO ANY OTHER CORPORATION, FIRM, ASSOCIATION OR OTHER ENTITY IN WHICH ONE OR MORE OF ITS DIRECTORS OR OFFICERS ARE DIRECTORS OR OFFICERS OR HOLD A SUBSTANTIAL FINANCIAL INTEREST, EXCEPT A LOAN TO ANOTHER TYPE B NOT-FOR-PROFIT CORPORATION. THE CORPORATION MAY, NEVERTHELESS, ENGAGE IN TRANSACTIONS WITH ITS CORPORATE AFFILIATES PROVIDED THAT SUCH TRANSACTIONS ARE CONSISTENT WITH THE CORPORATION'S TAX EXEMPT STATUS AND ANY EXEMPTION RULINGS OR GUIDANCE ISSUED BY THE INTERNAL REVENUE SERVICE. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD'S EXECUTIVE COMPENSATION COMMITTEE, HAS ADOPTED AND FOLLOWS A PROCESS FOR REVIEWING AND DETERMINING THE COMPENSATION OF THE CEO AND THE EXECUTIVE MANAGEMENT TEAM. THE EXECUTIVE MANAGEMENT TEAM CONSISTS OF THE FOLLOWING POSITIONS: - SENIOR VICE PRESIDENT/CHIEF OPERATING OFFICER - SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER - SENIOR VICE PRESIDENT/CHIEF MEDICAL OFFICER - SENIOR VICE PRESIDENT/CHIEF NURSING OFFICER THE COMMITTEE HAS ENGAGED AN INDEPENDENT COMPENSATION CONSULTANT TO PROVIDE INFORMATION AND ADVICE TO COMMITTEE, INCLUDING BUT NOT LIMITED, PROVIDING INDEPENDENT COMPENSATION COMPARABILITY DATA FOR FUNCTIONALLY COMPARABLE POSITIONS IN SIMILARLY SITUATED HOSPITALS. THE DATA IS PROVIDED ON AN ANNUAL BASIS AND IS REVIEWED BY THE COMMITTEE, ALONG WITH OTHER INFORMATION, PRIOR TO APPROVING ANY CHANGES TO COMPENSATION. THE INDEPENDENCE OF THE COMMITTEE'S MEMBERS IS REVIEWED AND VERIFIED PRIOR TO THE START OF THE ANNUAL COMPENSATION REVIEW PROCESS. SHOULD A CONFLICT PRESENT, THOSE INDIVIDUALS WITH ACTUAL OR PERCEIVED CONFLICTS ABSTAIN FROM VOTING UNTIL SUCH TIME AS THE CONFLICT CAN BE RESOLVED OR A REPLACEMENT MEMBER IS APPOINTED TO THE COMMITTEE. THE COMMITTEE'S DELIBERATIONS AND DECISIONS ARE GUIDED BY A WRITTEN COMPENSATION PHILOSOPHY AND DOCUMENTED THROUGH WRITTEN MINUTES TAKEN DURING EACH MEETING. THE MINUTES INCLUDE, AMONG OTHER THINGS, THE WRITTEN MATERIALS DISTRIBUTED OR PRESENTED DURING THE MEETING AND THE SPECIFIC DECISIONS TAKEN AT THE MEETING. | |
| FORM 990, PART VI, SECTION C, LINE 19 | POLICY: IT IS THE POLICY OF THIS HOSPITAL TO MAKE AVAILABLE TO ANYONE WHO ASKS, A COPY OF ITS ANNUAL REPORT TO THE INTERNAL REVENUE SERVICE (IRS) ON FORM 990, AND ITS EXEMPT STATUS FORM. IN ACCORDANCE WITH THE LAW, FORM 990 FOR A GIVEN YEAR, WILL BE MADE AVAILABLE FOR PUBLIC INSPECTION FOR A THREE-YEAR PERIOD. PURPOSE: THE PURPOSE OF THIS POLICY IS TO COMPLY WITH IRS LAW, WHICH APPLIES FOR TAX YEARS BEGINNING AFTER JUNE 8, 1999. REPLACES: ADMINISTRATIVE DIRECTIVE FN-9-OP, SAME TITLE, DATED 12/2/2003. SPECIAL INSTRUCTIONS: A. A COPY OF THE ABOVE NAMED DOCUMENTS, WILL BE MADE AVAILABLE FOR INSPECTION BY A REQUESTER, IN A DESIGNATED ROOM, IN THE FINANCE DEPARTMENT OF THE HOSPITAL. B. THE DOCUMENTS WILL BE MADE AVAILABLE, IMMEDIATELY, TO ANYONE WHO APPEARS IN PERSON DURING USUAL BUSINESS HOURS. FOR WRITTEN REQUESTS FOR COPIES OF DOCUMENTS, RESPONSE WILL BE PROVIDED WITHIN THIRTY (30) DAYS OF RECEIPT OF PAYMENT OF REASONABLE COPYING FEES*. C. EITHER THE HOSPITAL SENIOR VICE PRESIDENT/CFO, THE CONTROLLER, OR THEIR DESIGNATED REPRESENTATIVE WILL BE PRESENT DURING AN INSPECTION BY A REQUESTER. D. ONLY THE HOSPITAL SENIOR VICE PRESIDENT/CFO, THE CONTROLLER, OR THEIR DESIGNATED REPRESENTATIVE WILL BE PERMITTED TO ANSWER QUESTIONS THAT A REQUESTER MAY HAVE. *SHOULD A REQUESTER ASK THE HOSPITAL FOR A PHOTOCOPY OF ANY OR ALL PARTS OF DOCUMENTS, THE HOSPITAL WILL CHARGE $1.00 FOR THE FIRST PAGE, PLUS $.15 FOR EACH ADDITIONAL PAGE. | |
| FORM 990; PAGE 6; PART VI; SECTION B; LINE 12C | MOHAWK VALLEY NETWORK, INC. CONFLICTS OF INTEREST POLICY ANNUAL ACKNOWLEDGEMENT AND DISCLOSURE FORM PURSUANT TO THE PURPOSES AND INTENT OF THE CONFLICTS OF INTEREST POLICY AND THE ORGANIZATION'S BYLAWS THAT REQUIRE DISCLOSURE OF CERTAIN INTERESTS (COPIES OF WHICH ARE ATTACHED TO THIS ACKNOWLEDGMENT AND DISCLOSURE FORM) I HEREBY STATE THAT I, OR THE MEMBERS OF MY IMMEDIATE FAMILY HAVE THE FOLLOWING PRIVATE INTERESTS AND HAVE TAKEN PART IN THE FOLLOWING TRANSACTIONS THAT, WHEN CONSIDERED IN CONJUNCTION WITH MY POSITION WITH OR RELATIONSHIP TO MOHAWK VALLEY NETWORK, INC., AND/OR ITS AFFILIATES (MVN), MIGHT POSSIBLY CONSTITUTE A CONFLICT OF INTEREST. 1) PLEASE IDENTIFY ALL FINANCIAL INTERESTS (AS DEFINED IN SECTION 2(B) OF THE CONFLICTS OF INTEREST POLICY) YOU PERSONALLY HAVE, WHETHER HELD DIRECTLY OR INDIRECTLY, THROUGH BUSINESS, INVESTMENT OR FAMILY. A. ALL OWNERSHIP OR INVESTMENT INTEREST(S) IN ANY ENTITY WITH WHICH MVN HAS A TRANSACTION OR ARRANGEMENT. ( ) NONE _______________________________________________________________________ B. ALL COMPENSATION ARRANGEMENTS WITH MVN OR WITH ANY ENTITY OR INDIVIDUAL WITH WHICH MVN HAS A TRANSACTION OR ARRANGEMENT. ( ) NONE _______________________________________________________________________ C. ALL POTENTIAL OWNERSHIP OR INVESTMENT INTERESTS IN, OR COMPENSATION ARRANGEMENTS WITH, ANY ENTITY OR INDIVIDUAL WITH WHICH MVN IS NEGOTIATING A TRANSACTION OR ARRANGEMENT. ( ) NONE _______________________________________________________________________ 2) GIFTS, GRATUITIES, FAVORS AND/OR ENTERTAINMENT THAT ARE SUBSTANTIAL IN NATURE ARE CONSIDERED COMPENSATION (AS DEFINED IN SECTION 2(B) OF THE CONFLICTS OF INTEREST POLICY). NEITHER I NOR ANY MEMBER OF MY FAMILY HAS ACCEPTED GIFTS, GRATUITIES, FAVORS AND/OR ENTERTAINMENT EXCEPT AS LISTED BELOW. ( ) NONE _______________________________________________________________________ 3) PLEASE IDENTIFY ANY ACTIVITIES UNRELATED TO MVN (SUCH AS OTHER NOT-FOR-PROFIT ORGANIZATIONS OR BOARDS) THAT YOU OR YOUR IMMEDIATE FAMILY PARTICIPATE IN, RENDER DIRECTIVE, MANAGERIAL OR CONSULTATIVE SERVICES TO THAT DO BUSINESS WITH OR ARE IN COMPETITION WITH MVN. ( ) NONE _______________________________________________________________________ 4) PLEASE IDENTIFY ANY FAMILY OR BUSINESS RELATIONSHIP YOU HAVE WITH ANY OTHER OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE OF MVN. ( ) NONE _______________________________________________________________________ BY MY SIGNATURE BELOW, I HEREBY ATTEST THE INFORMATION PROVIDED ABOVE IS ACCURATE AND COMPLETE. I FURTHER ACKNOWLEDGE THAT I HAVE READ, UNDERSTAND AND AGREE TO BE BOUND BY THE MVN CONFLICTS OF INTEREST POLICY AND THE BY-LAWS OF MVN AND ITS AFFILIATES. I UNDERSTAND IT IS MY ONGOING OBLIGATION AND RESPONSIBILITY TO IMMEDIATELY REPORT ANY NEW FINANCIAL INTERESTS THAT ARISE WHICH MAY IMPAIR MY ABILITY TO EXERCISE INDEPENDENT FIDUCIARY JUDGMENT TO THE OTHER DIRECTORS, OR TO THE OTHER MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS. ________________________________________________ MEMBER'S SIGNATURE __________________________________________________________ MEMBER'S NAME PRINTED _______________________________________ DATE | CONFLICT OF INTEREST - ANNUAL ACKNOWLEDGEMENT AND DISCLOSURE FORM |
| FORM 990; PAGE 10; PART IX STATEMENT OF FUNCTIONAL EXPENSES; LINE 24C | THIS LINE INCLUDES ALL SERVICE CONTRACTS EXCEPT FOR THOSE RELATED TO INFORMATION TECHNOLOGY; IT SERVICE CONTRACT AMOUNT, $2,658,096, IS REPORTED ON LINE 14. | IT SERVICE CONTRACT AMOUNT |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARAFFIN LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 479 | AddressLine1 |
| City | UTICA | City |
| State | NY | State |
| ZIP Code | 13503 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 271341112 | EIN |
| Primary Activities | LABORATORY SERVICES | PrimaryActivities |
| Legal Domicile State | NY | LegalDomicileState |
| Total Income | -167824 | TotalIncome |
| EOY Assets | 137005 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAXTON-ST LUKE'S HEALTHCARE INC | BusinessNameLine1 |
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 | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MOHAWK VALLEY NETWORK INC | |||||||||||
| PO BOX 4308 | UTICA | NY | 13504 | 223124162 | PROMOTE HEALTH CARE | NY | 501C(3) | HOSPITAL | N/A | 0 | |
| ST LUKE'S HOME RESIDENTIAL HEALTHCARE FACILITY | |||||||||||
| PO BOX 6305 | UTICA | NY | 13504 | 161476372 | 202 BED RHCF | NY | 501C(3) | LINE 9 | 0 | FAXTON ST LUKE'S HEALTHCARE INC | |
| VISITING NURSE'S ASSOCIATION OF UTICA & ONEIDA COUNTIES | |||||||||||
| 2608 GENESEE STREET | UTICA | NY | 13502 | 150532259 | HOME HEALTH NURSING | NY | 501C(3) | LINE 9 | 0 | MOHAWK VALLEY NETWORK INC | |
| FAXTON ST LUKE'S HEALTHCARE FOUNDATION | |||||||||||
| PO BOX 479 | UTICA | NY | 13503 | 223078768 | FUND RAISING | NY | 501C(3) | PRIVATE FOUNDATION | 0 | MOHAWK VALLEY NETWORK INC | |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAXTON LEASING | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 479 | AddressLine1 |
| City | UTICA | City |
| State | NY | State |
| ZIP Code | 13503 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161550684 | EIN |
| Primary Activity | RADIATION EQUIPMENT LEASING | PrimaryActivity |
| Legal Domicile State | NY | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SLM CORPORATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 479 | AddressLine1 |
| City | UTICA | City |
| State | NY | State |
| ZIP Code | 13503 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161134876 | EIN |
| Primary Activity | REAL ESTATE MANAGEMENT | PrimaryActivity |
| Legal Domicile State | NY | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAXTON ST LUKE'S HEALTHCARE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | T | TypeOfEntity |
| Share Of Total Income | 100 | ShareOfTotalIncome |
| Share Of EOY Assets | 100 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART III - RELATED ORGANIZATION TAXABLE AS A PARTNERSHIP: | ReturnReference |
| Explanation | FAXTON LEASING WAS DISSOLVED IN FEBRUARY 2011. | Explanation |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | AUDITED FINANCIAL STATEMENTS WERE NOT COMPLETE UNTIL AFTER THE MAY 15TH DUE DATE OF THE FORM 990; A REQUEST FOR EXTENSION WAS FILED AND GRANTED. | Explanation |