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ST ELIZABETH COMMUNITY HEALTH SUPPORT: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ST ELIZABETH COMMUNITY HEALTH SUPPORT (EIN 15-0532245)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201143199349303714
Schema version
2010v3.4
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-15T10:15:06-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line160 South StreetAddressLine1
CityBostonCity
StateMAState
ZIP Code02111ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN150532245EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST ELIZABETH MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTELNameControl
Phone3157988151Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12209 GENESEE STREETAddressLine1
CityUTICACity
StateNYState
ZIP Code13501ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLOU AIELLOName
TitleCFOTitle
Date Signed2011-11-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone6179881000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRICHARD KETCHAMNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12209 GENESEE STREETAddressLine1
CityUTICACity
StateNYState
ZIP Code13501ZIPCode
FieldValueIRS element (for citing)
Gross Receipts206509564GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.STEMC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1861YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionST. ELIZABETH MEDICAL CENTER COMMUNITY, INSPIRED BY ST. FRANCIS OF ASSISI AND FAITHFUL TO THE TEACHINGS OF THE ROMAN CATHOLIC CHURCH, IS COMMITTED TO EXCELLENCE IN HEALTHCARE AND EDUCATION.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees2306TotalNbrEmployees
Total Nbr Volunteers172TotalNbrVolunteers
Total Gross UBI619563TotalGrossUBI
Net Unrelated Business Txbl Income-84709NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1534066ContributionsGrantsPriorYear
Contributions Grants Current Year2609558ContributionsGrantsCurrentYear
Program Service Revenue Prior Year199113192ProgramServiceRevenuePriorYear
Program Service Revenue CY197921236ProgramServiceRevenueCY
Investment Income Prior Year911308InvestmentIncomePriorYear
Investment Income Current Year961227InvestmentIncomeCurrentYear
Other Revenue Prior Year4383884OtherRevenuePriorYear
Other Revenue Current Year5017543OtherRevenueCurrentYear
Total Revenue Prior Year205942450TotalRevenuePriorYear
Total Revenue Current Year206509564TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year110654697SalariesEtcPriorYear
Salaries Etc Current Year116961087SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year88573073OtherExpensePriorYear
Other Expenses Current Year88530469OtherExpensesCurrentYear
Total Expenses Prior Year199227770TotalExpensesPriorYear
Total Expenses Current Year205491556TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6714680RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1018008RevenuesLessExpensesCY
Total Assets BOY131351188TotalAssetsBOY
Total Assets EOY133682865TotalAssetsEOY
Total Liabilities BOY111314806TotalLiabilitiesBOY
Total Liabilities EOY112978659TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY20036382NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY20704206NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionST. ELIZABETH MEDICAL CENTER COMMUNITY, INSPIRED BY ST. FRANCIS OF ASSISI AND FAITHFUL TO THE TEACHINGS OF THE ROMAN CATHOLIC CHURCH, IS COMMITTED TO EXCELLENCE IN HEALTHCARE AND EDUCATION.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense106032979Expense
Revenue109135794Revenue
DescriptionINPATIENT SERVICES - ST ELIZABETH MEDICAL CENTER IS A FULL SERVICE GENERAL HOSPITAL WITH 201 LICENSED BEDS. THE HOSPITAL PROVIDES A FULL RANGE OF ROUTINE AND ANCILLARY SERVICES, INCLUDING CARDIAC SURGERY AND ANGIOPLASTY. DISBURSEMENTS MADE BY THE HOSPITAL ARE EXCLUSIVELY FOR SERVICES AND MATERIALS USED IN PERFORMING THE HOSPITAL'S EXEMPT FUNCTIONS. ST. ELIZABETH MEDICAL CENTER PROVIDES CARE TO EVERYONE REGARDLESS OF RACE, RELIGION OR ABILITY TO PAY.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense26107144Expense
Revenue24745820Revenue
DescriptionAMBULATORY SURGERY - ST. ELIZABETH MEDICAL CENTER HAS A FULL RANGE OF AMBULATORY SURGERY SERVICES ON ITS CAMPUS FOR PATIENTS THAT DO NOT REQUIRE OVERNIGHT OR LONG INPATIENT STAYS. ST. ELIZABETH MEDICAL CENTER PROVIDES SERVICES TO EVERYONE REGARDLESS OF RACE, RELIGION, OR ABILITY TO PAY.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense14177292Expense
Revenue13311267Revenue
DescriptionCOMMUNITY MEDICINE- THE MEDICAL CENTER, IN ADDITION TO HAVING OUTPATIENT VISITS ON SITE, HAS THIRTEEN OFF-SITE CLINICS THROUGHOUT THE COMMUNITY. THE CLINICS PROVIDE PATIENTS WITH CONVENIENT MEDICAL CARE AT A LOWER COST THAN A HOSPITAL SETTING. ST. ELIZABETH MEDICAL CENTER PROVIDES SERVICES TO EVERYONE, REGARDLESS OF RACE, RELIGION, OR ABILITY TO PAY.Description

Activity Other ActivityOther (8 entries)

ExpenseExpenseRevenueRevenueDescriptionDescription
1338953114504569Emergency Room
66757089665010Referred Ambulatory
57868041515212Clinics
63935856254174Family Practice
483096339177Sports Medicine
41600931583309College of Nursing
13868321218989Home Health Agency
19499134Other
FieldValueIRS element (for citing)
Total Of Other Program Service Exp38275649TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev54579574TotalOfOtherProgramServiceRev
Total Program Service Expense184593064TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096122NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2306NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonST ELIZABETH MEDICAL CENTERNamePerson
Telephone Number3157988151TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12209 GENESEE STREETAddressLine1
CityUTICACity
StateNYState
ZIP Code13501ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
SR DONNA MCGARTLAND
BOARD MEMBER1.0X000
CATHERINE COMINSKY
BOARD MEMBER1.0X000
GREGORY P EVANS
BOARD MEMBER1.0X000
MARIANNE W GAIGE
BOARD MEMBER1.0X000
HARRISON J HUMMEL III
BOARD MEMBER1.0X000
FRED MATT
BOARD MEMBER1.0X000
RAYMOND MEIER
BOARD MEMBER1.0X000
HON NORMAN I SIEGEL
BOARD MEMBER1.0X000
STEVEN WILLIAMS MD
BOARD MEMBER1.0X000
ERIC YOSS MD
BOARD MEMBER1.0X2595000
RICHARD F ZWEIFEL
BOARD MEMBER1.0X000
FRED TALERICO MD
BOARD MEMBER1.0X000
M JOHANNA DELELYS
EXECUTIVE DIRECTOR40.0X000X
ROBERT SCHOLEFIELD
COO40.0228286011960X
RICHARD KETCHAM
CEO40.012700202719X
LOU AIELLO
CFO40.0269927012293X
ALBERT D'ACCURZIO MD
VP OF MEDICAL AFFAIRS40.0283558012362X
OLEG DULKIN MD
PHYSICIAN40.0347386013593X
PRABHAT AHLUWALIA MD
PHYSICIAN40.0992982013593X
ERIC FRIEBERGER MD
PHYSICIAN40.0359122013593X
SUNDAY ASAJU MD
PHYSICIAN40.0351557014033X
FRANCIS CONSTANTINE MD
STAFF40.0292278013586X
MATTHEW BABCOCK
FORMER COO0.010065900X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3378707TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation107732TotalOtherCompensation
Number Individuals GT100 K73NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SODEXO OPERATIONS LLC
PO BOX 81049WOBURNMA01813CAFETERIA AND FOOD1076286
UPTOWN ANESTHESIA ASSOC
2405 GENESEE STREETUTICANY13501ANESTHETIST1600583
ACUSIS
PO BOX 951107CLEVELANDOH44193TRANSCRIPTION SVCS1236477
DIGESTIVE DISEASE MEDICINE
110 BUSINESS PARK DRIVEUTICANY13502PERSONNEL COST884287
MAYO COLLABORATIVE SERVICES
PO BOX 9146MINNEAPOLISMN55480LAB SERVICES851178
FieldValueIRS element (for citing)
Number Of Contractors GT100 K32NumberOfContractorsGT100K
Related Organizations641395RelatedOrganizations
Government Grants1740076GovernmentGrants
All Other Contributions228087AllOtherContributions
Total Contributions2609558TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE REVENUE9000998376403783764037
NURSING HOME LAB TESTING621500469499469499
CYTOLOGY LAB TESTING621500114061114061
MEDICARE/MEDICAID PAYMENTS900099113573639113573639
FieldValueIRS element (for citing)
Total Program Service Revenue197921236TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column858657TotalRevenueColumn
Exclusion$858,657ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real0Real
Personal582764Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal582764Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column582764TotalRevenueColumn
Unrelated Business Revenue36003UnrelatedBusinessRevenue
Exclusion$546,761ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities102570Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities102570Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column102570TotalRevenueColumn
Exclusion$102,570ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events0GrossIncomeFundraisingEvents

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Gaming0GrossIncomeGaming

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
TUITION: NURSING & X-RAY90009915833091583309
EMPLOYEE & VISITOR MEALS90009912302971230297
FAMILY PRACTICE SERVICES900099496771496771

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1124402TotalRevenueColumn
Related Or Exempt Function Income1124402RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue4434779TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column206509564TotalRevenueColumn
Related Or Exempt Function Income201772455RelatedOrExemptFunctionIncome
Unrelated Business Revenue619563UnrelatedBusinessRevenue
Exclusion$1,507,988ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total807773Total
Program Services725622ProgramServices
Management And General82151ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total91860489Total
Program Services82518277ProgramServices
Management And General9342212ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5921697Total
Program Services5319460ProgramServices
Management And General602237ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total11835592Total
Program Services10631912ProgramServices
Management And General1203680ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6535536Total
Program Services5870872ProgramServices
Management And General664664ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total15443592Total
Program Services13872979ProgramServices
Management And General1570613ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total50541Total
Program Services45401ProgramServices
Management And General5140ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total187600Total
Program Services168521ProgramServices
Management And General19079ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total91084Total
Program Services81821ProgramServices
Management And General9263ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total361989Total
Program Services325175ProgramServices
Management And General36814ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total51344297Total
Program Services46122580ProgramServices
Management And General5221717ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total467884Total
Program Services420300ProgramServices
Management And General47584ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total47156Total
Program Services42360ProgramServices
Management And General4796ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total206902Total
Program Services185860ProgramServices
Management And General21042ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1916191Total
Program Services1721314ProgramServices
Management And General194877ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8350717Total
Program Services7501449ProgramServices
Management And General849268ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1841866Total
Program Services1654548ProgramServices
Management And General187318ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT75747826804427770355
JOINT VENTURE-115029-103328-11701
POSTAGE & SHIPPING12912311599113132
DEBT ASSESSMENT61964755662963018
PRINTING & PUBLICATIONS12127108941233

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total205491556Total
Program Services184593064ProgramServices
Management And General20898492ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6271861BOY
EOY6221349EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY23971266BOY
EOY22615059EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5597940BOY
EOY5811795EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY493919BOY
EOY523888EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis171984407LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec97085462LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY67186109BOY
EOY74898945EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY20593455BOY
EOY16917068EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7236638BOY
EOY6694761EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY131351188BOY
EOY133682865EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY22635489BOY
EOY22709215EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY36446608BOY
EOY35327411EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2905988BOY
EOY6916413EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY1960889BOY
EOY1830163EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY47365832BOY
EOY46195457EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY111314806BOY
EOY112978659EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY18772238BOY
EOY19793513EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY887830BOY
EOY533779EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY376314BOY
EOY376914EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20036382BOY
EOY20704206EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY131351188BOY
EOY133682865EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1018008ReconcilationRevenueExpenses
Reconcilation Other Changes-350184ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$35,000DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$56,084OtherActivitiesAmount
Total Lobbying Expenditures IIB91084TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITY BY NONELECTING PUBLIC CHARITIESIdentifier
Return ReferencePART II-BReturnReference
ExplanationLOBBYING ACTIVITY WAS DONE DURING 2010 IN AN ATTEMPT TO SECURE FEDERAL AND STATE FUNDS FOR THE MEDICAL CENTER'S CAPITAL PROJECTS. OTHER ACTIVITIES INCLUDE THE ALLOCATED PORTION OF DUES PAID TO THE HOSPITAL ASSOCIATION OF NEW YORK STATE.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1264143BeginningOfYearBalance
Contributions2090040Contributions
Investment Earnings Or Losses16876InvestmentEarningsOrLosses
Grants Or Scholarships32345GrantsOrScholarships
Other Expenditures2428023OtherExpenditures
End Of Year Balance910691EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1650930BeginningOfYearBalance
Contributions976103Contributions
Investment Earnings Or Losses17145InvestmentEarningsOrLosses
Grants Or Scholarships18750GrantsOrScholarships
Other Expenditures1361285OtherExpenditures
End Of Year Balance1264143EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2723095BeginningOfYearBalance
Contributions689098Contributions
Investment Earnings Or Losses20384InvestmentEarningsOrLosses
Grants Or Scholarships17850GrantsOrScholarships
Other Expenditures1763797OtherExpenditures
End Of Year Balance1650930EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.41390PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.58610TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis7078110OtherCostOrOtherBasis
Book Value7078110BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis78680736OtherCostOrOtherBasis
Depreciation40766905Depreciation
Book Value37913831BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis86225561OtherCostOrOtherBasis
Depreciation56318557Depreciation
Book Value29907004BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings74898945TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
UNAMORTIZED DEBT FINANCING1107787
OTHER RECEIVABLES305964
BOND FUNDS3584962
DEVELOPMENT FUND1696048
FieldValueIRS element (for citing)
Total Book Value Other Assets6694761TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION LIABILITY$36,865,674
LIABILITY TO THIRD PARTY PAYORS$9,329,783
FieldValueIRS element (for citing)
Total Of Amounts46195457TotalOfAmounts
Total Revenue206509564TotalRevenue
Total Expenses205491556TotalExpenses
Excess Or Deficit For Year1018008ExcessOrDeficitForYear
Net Unrealized GL On Investments232889NetUnrealizedGLOnInvestments
Other-$583,073OtherAmount
Total Adjustments-350184TotalAdjustments
Excess Or Deficit Per FS667824ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt206159380TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments232889NetUnrealizedGainsInvestments
Other Revenues-583073OtherRevenues
Revenue Not Rptd F990-350184RevenueNotRptdF990
Revenue Subtotal206509564RevenueSubtotal
Total Revenue Per Form990206509564TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt205491556TotExpensesEtcAuditedFinclStmt
Expenses Subtotal205491556ExpensesSubtotal
Total Expenses Per Form990205491556TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ENDOWMENT FUNDSPART VTHE INTENDED PURPOSE OF THE MEDICAL CENTER'S ENDOWMENT FUNDS ARE TO PROVIDE FUTURE SCHOLARSHIP AWARDS FOR STUDENTS IN THE COLLEGE OF NURSING PROGRAM.
OTHER CHANGES IN NET ASSETSPART XI, LINE 8PENSION RELATED CHANGES (260,324) NET DECREASE IN FOUNDATION ASSETS (322,749) TOTAL (583,073)
REVENUE INCLUDED IN FINANCIAL STATEMENTS NOT ON RETURNPART XII, LINE 2DPENSION RELATED CHANGES (260,324) NET DECREASE IN FOUNDATION ASSETS (322,749) TOTAL (583,073)

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage230.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage230.DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense2885442TotalCommunityBenefitExpense
Direct Offsetting Revenue932870DirectOffsettingRevenue
Net Community Benefit Expense1952572NetCommunityBenefitExpense
Percent Of Total Expense0.00980PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense26891812TotalCommunityBenefitExpense
Direct Offsetting Revenue23761394DirectOffsettingRevenue
Net Community Benefit Expense3130418NetCommunityBenefitExpense
Percent Of Total Expense0.01570PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense4132714TotalCommunityBenefitExpense
Direct Offsetting Revenue2102376DirectOffsettingRevenue
Net Community Benefit Expense2030338NetCommunityBenefitExpense
Percent Of Total Expense0.01020PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense33909968TotalCommunityBenefitExpense
Direct Offsetting Revenue26796640DirectOffsettingRevenue
Net Community Benefit Expense7113328NetCommunityBenefitExpense
Percent Of Total Expense0.03570PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense250641TotalCommunityBenefitExpense
Direct Offsetting Revenue239485DirectOffsettingRevenue
Net Community Benefit Expense11156NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense7630952TotalCommunityBenefitExpense
Direct Offsetting Revenue5986642DirectOffsettingRevenue
Net Community Benefit Expense1644310NetCommunityBenefitExpense
Percent Of Total Expense0.00830PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2217738TotalCommunityBenefitExpense
Direct Offsetting Revenue2090519DirectOffsettingRevenue
Net Community Benefit Expense127219NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense163837TotalCommunityBenefitExpense
Direct Offsetting Revenue57362DirectOffsettingRevenue
Net Community Benefit Expense106475NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense10263168TotalCommunityBenefitExpense
Direct Offsetting Revenue8374008DirectOffsettingRevenue
Net Community Benefit Expense1889160NetCommunityBenefitExpense
Percent Of Total Expense0.00950PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense44173136TotalCommunityBenefitExpense
Direct Offsetting Revenue35170648DirectOffsettingRevenue
Net Community Benefit Expense9002488NetCommunityBenefitExpense
Percent Of Total Expense0.04520PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$3,696,320BadDebtExpenseAmount
Amount Attributable To1131000AmountAttributableTo
Amount Reimbursed By Medicare43369260AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare46808702CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-3439442MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1MVHIBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityCARDIAC SERVICESDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.70000OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership0.00000OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership0.00000PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST ELIZABETH MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12209 GENESEE STREETAddressLine1
CityUTICACity
StateNYState
ZIP Code13501ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST ELIZABETH MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities16NumberOfOtherFacilities

Other Facilities OtherFacilities (16 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
SEMC AT FAMILY PRACTICE CENTER
120 HOBART STREETUTICANY13501OUTPATIENT PHYSICIAN CLINIC
WOMEN & CHILDREN'S FAMILY HEALTH CENTER
2212 GENESEE STREETUTICANY13502OUTPATIENT PHYSICIAN CLINIC
MARIAN MEDICAL IMAGING
2211 GENESEE STREETUTICANY13501OUTPATIENT LAB/ XRAY CLINIC
LITTLE FALLS FAMILY PRACTICE
500 MAIN STREETLITTLE FALLSNY13365OUTPATIENT PHYSICIAN CLINIC
COMMUNITY MEDICINE-EAST UTICA
1256 CULVER AVEUTICANY13501OUTPATIENT PHYSICIAN CLINIC
WOUND CARE SERVICES
4401 MIDDLE SETTLEMENT ROADNEW HARTFORDNY13413OUTPATIENT PHYSICIAN CLINIC
ST ELIZABETH MEDICAL GROUP- NEW HARTFORD
86 GENESEE STREETNEW HARTFORDNY13413OUTPATIENT PHYSICIAN CLINIC
NORTH UTICA COMMUNITY HEALTH CENTER
417 TRENTON ROADUTICANY13502OUTPATIENT PHYSICIAN CLINIC
SAUQUOIT COMMUNITY MEDICINE
2888 ONEIDA STREETSAUQUOITNY13456OUTPATIENT PHYSICIAN CLINIC
CLINTON FAMILY HEALTH CENTER
101 COLLEGE STREETCLINTONNY13323OUTPATIENT PHYSICIAN CLINIC
WATERVILLE FAMILY HEALTH CENTER
117 WEST MAIN STREETWATERVILLENY13480OUTPATIENT PHYSICIAN CLINIC
COMMUNITY MEDICAL SERVICES- MOHAWK
5 ANN STREETMOHAWKNY13407OUTPATIENT PHYSICIAN CLINIC
COMMUNITY MEDICAL SERVICES- UTICA
6 HAMPDEN PLACEUTICANY13501OUTPATIENT PHYSICIAN CLINIC
ADIRONDACK SPORTS MEDICINE
4401 MIDDLE SETTLEMENT ROADNEW HARTFORDNY13413OUTPATIENT REHAB SERVICES
KERNAN ELEMENTARY SCHOOL
926 YORK STREETUTICANY13502SCHOOL BASED HEALTH CENTER
MOHAWK VALLEY HEART INSTITUTE (MVHI)
2209 GENESEE STREETUTICANY135015930CARDIAC SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COSTING METHODOLOGY - CHARITY CAREPART I, LINE 7THE COST TO CHARGE RATIO THAT WAS USED TO COMPLETE THE CHART FOR LINE 7 WAS DERIVED FROM THE WORKSHEET 2 CALCULATION. BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 PART I, LINE 7, COLUMN (F) BAD DEBT EXPENSE OF $7,574,782 IS INCLUDED ON FORM 990, PART IX, LINE 25 AND HAS BEEN REMOVED FOR CALCULATING THE PERCENTAGES IN COLUMN 7(F).
COSTING METHODOLOGY - BAD DEBT EXPENSEPART III, LINE 2 & 3THE MEDICAL CENTER DOES NOT DENY SERVICES TO A PERSON WHO NEEDS THEM BUT CANNOT PAY FOR THEM, AND IT MAINTAINS CERTAIN RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS RELATE PRIMARILY TO THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. THE TOTAL OF CHARGES FOREGONE, BASED ON ESTABLISHED CHARGES, WAS APPROXIMATELY $2,641,000 AND $2,689,000 IN 2010 AND 2009, RESPECTIVELY; THE ESTIMATED COST INCURRED TO PROVIDE SUCH CHARITY CARE WAS APPROXIMATELY $1,131,000 AND $1,199,000 IN 2010 AND 2009, RESPECTIVELY. THE MEDICAL CENTER GRANTS CREDIT WITHOUT COLLATERAL TO PATIENTS, MOST OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD-PARTY AGREEMENTS. ADDITIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS ARE MADE BY MEANS OF THE PROVISION FOR DOUBTFUL ACCOUNTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTABLE ARE DEDUCTED FROM THE ALLOWANCE AND SUBSEQUENT RECOVERIES ARE ADDED. THE AMOUNT OF THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL EXPECTED NET COLLECTIONS. BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENT HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. SERVICES RENDERED TO INDIVIDUALS WHEN PAYMENT IS EXPECTED AND ULTIMATELY NOT RECEIVED ARE WRITTEN OFF TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
COSTING METHODOLOGY - MEDICAREPART III, LINE 8THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 IS COST TO CHARGE RATIO.
DEBT COLLECTION POLICYPART III, LINE 9BCOLLECTION POLICY PROVISIONS PATIENTS THAT QUALIFY FOR THE MEDICAL CENTER'S CHARITY CARE PROGRAM HAVE THE CHARGES ON THEIR ACCOUNTS FORGIVEN AS THEY ARE PLACED IN CHARITY CARE AND THE BALANCES ARE WRITTEN OFF. THE MEDICAL CENTER'S CHARITY CARE PROGRAM USED THE FEDERAL POVERTY GUIDELINES (FPG) AS A GUIDE WITH HIGH-END LIMITS AT 230% OF THE FPG. IN THOSE SITUATIONS WHERE THE PATIENT'S INCOME IS BETWEEN 140% - 230% OF THE FPG, A SMALL COST SHARE WOULD BE THE ONLY AMOUNT NOT INCLUDED IN CHARITY CARE. ADDITIONALLY, THIS SMALL COST SHARE WOULD BE THE ONLY AMOUNT TURNED OVER TO COLLECTION WITH THE OPPORTUNITY OF EVENTUALLY BEING WRITTEN OFF TO BAD DEBT IF NOT PAID.
HEALTH CARE NEEDS OF THE COMMUNITYPART VI, LINE 2THE MEDICAL CENTER ASSESSES HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES BY COLLABORATING WITH ONEIDA AND HERKIMER COUNTIES' DEPARTMENTS OF HEALTH ON COMMUNITY HEALTH ASSESSMENTS. DATA WAS COLLECTED IN 2009 THROUGH A MAPP PROCESS, AROUND THE NYS PREVENTION AGENDA ISSUES. FIVE RESULTING PRIORITY WORK GROUPS THAT CONTAIN MEDICAL CENTER EMPLOYEES CONTINUE TO ASSESS CHANGES AND ADDRESS PRIORITY AREAS. THESE WORK GROUPS ALSO REPORT TO THE SEMC COMMUNITY DESIGN TEAM, WHICH REGULARLY HEARS ABOUT HEALTHCARE NEEDS THROUGH THOSE IN AREA COMMUNITIES.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPART VI, LINE 3THIS IS COMMUNICATED THROUGH SEMC'S FACILITATED ENROLLMENT PROGRAM AND THE MOTHER BERNARDINA CHARITY CARE PROGRAM. INFORMATION IS INCLUDED IN THE PATIENT INFORMATION GUIDES PRESENTED TO INPATIENTS AND OUTPATIENTS, AND IS BEING ADDED TO THE HOSPITAL'S NEWLY REDESIGNED WEBSITE. ST. ELIZABETH MEDICAL CENTER RECOGNIZES THAT PROVIDING EXCEPTIONAL HEALTHCARE SERVICE TO THE COMMUNITY IS A VITAL COMMUNITY RESOURCE. OUR ACHIEVEMENTS ARE NOT OURS ALONE, BUT ARE OBTAINED BY COLLABORATIVE EFFORTS WITH OUR COMMUNITY AND GOVERNMENT LEADERS WORKING TOGETHER TO IMPROVE THE "HEALTH" OF THE COMMUNITY. SEMC'S FACILITATED ENROLLMENT PROGRAM IN 2000, ST. ELIZABETH MEDICAL CENTER DEVELOPED AND IMPLEMENTED THE FACILITATED ENROLLMENT PROGRAM AS A RESULT OF THE UNIQUE COLLABORATION THAT WAS FORGED BETWEEN ST. ELIZABETH MEDICAL CENTER AND ONEIDA COUNTY SOCIAL SERVICE DEPARTMENT. THIS PROGRAM ALLOWS SEMC STAFF, PATIENT ACCOUNT REPRESENTATIVES, TO ACT AS AN AUTHORIZED REPRESENTATIVE OF THE PATIENT AT THE ONEIDA COUNTY DEPARTMENT OF SOCIAL SERVICES AND SUBMIT THE APPLICATION FOR BENEFITS. THIS SUCCESSFUL PROGRAM HAS EXPANDED THROUGHOUT THE PAST SEVEN YEARS TO INCLUDE OUTPATIENTS AND EMERGENCY DEPARTMENT PATIENTS. SEMC'S MOTHER BERNARDINA CHARITY CARE PROGRAM TO SUPPORT OUR MISSION, THE ST. ELIZABETH MEDICAL CENTER HAS DEVELOPED THE MOTHER BERNARDINA CHARITY CARE PROGRAM. THE MEDICAL CENTER WILL MAKE AVAILABLE A REASONABLE AMOUNT OF UNCOMPENSATED SERVICES TO ELIGIBLE PERSONS.
COMMUNITYPART VI, LINE 4ST. ELIZABETH MEDICAL CENTER'S PRIMARY SERVICE AREA (PSA) CONSISTS OF THE ZIP CODES IN WHICH 80% OF ITS PATIENTS LIVE (MOSTLY ONEIDA COUNTY AND SOME WITHIN HERKIMER COUNTY). ITS SECONDARY SERVICE AREA (SSA) CONSISTS OF ZIP CODES IN WHICH THE REMAINING 10+% OF ITS PATIENTS LIVE (MOSTLY OUTLYING REGIONS OF ONEIDA AND HERKIMER COUNTIES, PLUS SOME ZIP CODES IN MADISON AND LEWIS COUNTIES.) METHODS USED TO DETERMINE THE SERVICE AREA ARE ANALYSIS OF PATIENT ORIGIN, BASED ON HOME ZIP CODE. IT IS AN ETHNICALLY AND ECONOMICALLY DIVERSE REGION, WITH MANY IMMIGRANTS AND AN OLDER POPULATION THAN THE NATIONAL AVERAGE.
PROMOTION OF COMMUNITY HEALTHPART VI, LINE 5THESE ACTIONS REPRESENT THE MEDICAL CENTER'S EMPLOYEE OUTREACH BEYOND THE HOSPITAL AND MEDICAL GROUP OFFICES INTO AREA COMMUNITIES, AND THEY SPAN A WIDE REACH OF EVENTS AND SITES. ALONG WITH HOSPITALS ACROSS THE STATE AND NATION, ST. ELIZABETH NOW MONITORS HOW OUR FAITHFULNESS TO THE REGIONAL POPULATION MEETS OUR LOCAL COMMUNITIES' UNIQUE HEALTH NEEDS. THEREFORE, COMMUNITY BENEFITS ARE PROGRAMS OR ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. OUR CATHOLIC TRADITION AND MEDICAL CENTER MISSION TEACH US TO PUT THE NEEDS OF THE POOR AND VULNERABLE FIRST. AMONG OUR COMMUNITY BENEFIT ACTIVITIES ARE: - CHARITY CARE FOR PEOPLE UNABLE TO AFFORD SERVICES - HEALTH EDUCATION AND ILLNESS PREVENTION - HEALTHCARE INITIATIVES FOR AT-RISK YOUTHS - FREE OR LOW-COST CLINICS AND - INITIATIVES TO RAISE AWARENESS AND RECEIVE PUBLIC INPUT. MANY OF THESE ACTIVITIES ARE ADVANCED IN COLLABORATION WITH COMMUNITY MEMBERS AND OTHER ORGANIZATIONS TO IMPROVE HEALTH AND QUALITY OF LIFE. THE MEDICAL CENTER FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY THROUGH AN OPEN MEDICAL STAFF AND A COMMUNITY BOARD. SEMC FURTHER PROMOTES THE HEALTH OF THE COMMUNITY BY USING ITS SURPLUS FOR TRAINING AND EDUCATION OF ITS EMPLOYEES AND BY INVESTING IN HEALTHCARE TECHNOLOGY.
STATE FILING OF COMMUNITY BENEFIT REPORT990 SCHEDULE H, PART VINY,

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ROBERT SCHOLEFIELD
228286000004750114850240246000
LOU AIELLO
269927000004750118180282220000
OLEG DULKIN MD
31416703321900000135930360979000
PRABHAT AHLUWALIA MD
99298200000001359301006575000
ERIC FRIEBERGER MD
33376902535300000135930372715000
SUNDAY ASAJU MD
30025805129900000140330365590000
FRANCIS CONSTANTINE MD
22610106617700000135860305864000
ALBERT D'ACCURZIO MD
283558000004750118870295920000
MATTHEW BABCOCK
000010065900000100659000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
BENEFITSPART I, LINE 1ATHE CEO WAS PROVIDED A TEMPORARY HOUSING ALLOWANCE THAT WAS PART OF A RELOCATION CONTRACT, WHICH WAS INCLUDED IN TAXABLE COMPENSATION FOR 2010.
SEVERANCE PAYMENTPART I, LINE 4AIN 2010, MATTHEW BABCOCK RECEIVED OTHER REPORTABLE COMPENSATION OF $100,659 PAID UNDER A SEVERANCE AGREEMENT RELATED TO A SEPARATION OF SERVICE.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1ONEIDA COUNTRY IDABusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN166158201IssuerEIN
CUSIP Number682465AA7CUSIPNumber
Date Issued2006-06-22DateIssued
Issue Price14000000IssuePrice
Description Of PurposeEMERGENCY ROOM & CAFETERIA PROJECTDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds14000000TotalProceeds
Issuance Costs From Proceeds280000IssuanceCostsFromProceeds
Credit Enhancement70817CreditEnhancement
Capital Expenditures13649183CapitalExpenditures
Year Of Subst Completion2007YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedtrueBondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Superintegrated HedgefalseSuperintegratedHedge
Hedge TerminatedfalseHedgeTerminated
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonPULMONARYCRITICAL CARE ASSOCIATESNamePerson
FieldValueIRS element (for citing)
RelationshipERIC YOSS MD - TRUSTEERelationship
Amount Of Transaction244854AmountOfTransaction
Description Of TransactionPULMONARY CARE - INTENSIVISTDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION MEMBERPART VI, SECTION A, LINE 6-7BRESERVED POWERS TO THE MOTHERHOUSE OF THE SISTERS OF THE THIRD FRANCISCAN ORDER THE FOLLOWING POWERS SHALL BE RESERVED TO THE CORPORATE MEMBER TO EXERCISE AND SHALL BE REFERRED TO AS RESERVED POWERS: A. TO CHANGE THE PHILOSOPHY, MISSION, AND PURPOSE OF THE CORPORATION. B. TO ADOPT AND/OR AMEND THE CERTIFICATE OF INCORPORATION. C. TO ADOPT AND/OR AMEND THE BYLAWS. D. TO ELECT THE BOARD OF TRUSTEES AND TO REMOVE BOARD MEMBERS WITH OR WITHOUT CAUSE. E. TO APPOINT THE PRESIDENT AND THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION. F. TO APPROVE THE PURCHASE, SALE, LEASE, MORTGAGE OF REAL PROPERTY; TO APPROVE THE PURCHASE, SALE, OR GIFT OF CAPITAL ASSETS. G. TO APPROVE THE MERGER, CONSOLIDATION, OR AFFILIATION OF THE CORPORATION WITH ANOTHER CORPORATION, ORGANIZATION, OR PROGRAM. H. TO APPROVE THE DISSOLUTION OF THE CORPORATION AND DISPOSITION OF ASSETS.
FORM 990 REVIEW PROCESSPART VI, SECTION B, LINE 11INFORMATION IS GATHERED FROM THE ACCOUNTING AND PAYROLL DEPARTMENTS, WHICH IS USED BY THE STAFF ACCOUNTANT TO PREPARE WORKSHEETS USED TO POPULATE THE FORM 990. MEMBERS OF AN EXTERNAL AUDIT AND TAX FIRM (CURRENTLY KPMG LLP) INITIALLY DISCUSS, PREPARE AND REVIEW THE RETURN WITH THE STAFF ACCOUNTANT. THE SEMC MANAGEMENT TEAM REVIEWS THE DRAFT AND HAS THE OPPORTUNITY TO ASK QUESTIONS AND DISCUSS THE RETURN WITH KPMG TAX STAFF. AFTER THE MANAGEMENT TEAM'S APPROVAL, THE FORM 990 IS DISTRIBUTED TO THE GOVERNING BODY FOR THEIR REVIEW AND COMMENT PRIOR TO THE FILING OF THE FORM.
CONFLICT OF INTEREST POLICYPART VI, SECTION B, LINE 12CFIRST, EACH BOARD OF TRUSTEE MEMBER, THE PRESIDENT/CEO, CHIEF OPERATING OF OFFICER, AND EACH VICE PRESIDENT COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. THE RESULTS OF THE QUESTIONNAIRE ARE REVIEWED BY THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES WHICH IDENTIFIES ANY POTENTIAL CONFLICTS. AS PART OF THE POLICY, BOARD MEMBERS THAT HAVE A CONFLICT ARE UNABLE TO VOTE WHEN A SUBJECT THAT THEY HAVE A CONFLICT OF INTEREST IN COMES UP FOR A VOTE AT A BOARD MEETING. BOARD MEMBERS ARE NOT ALLOWED TO BE INVOLVED IN THE DISCUSSIONS RELATED TO THE ISSUE OTHER THAN TO MAKE A BRIEF COMMENT. STARTING IN SEPTEMBER OF 2010, THE MEDICAL CENTER BEGAN TO REQUIRE ALL DEPARTMENT MANAGERS TO COMPLETE A ONE PAGE CONFLICT OF INTEREST QUESTIONNAIRE ON AN ANNUAL BASIS. ALSO STARTING IN SEPTEMBER OF 2010, ALL MEMBERS OF THE MEDICAL STAFF ARE REQUIRED TO COMPLETE A ONE PAGE CONFLICT OF INTEREST QUESTIONNAIRE ONCE EVERY TWO YEARS, AS PART OF THE CREDENTIALING PROCESS. FOR ALL OTHER EMPLOYEES, A POLICY IS IN PLACE AS PART OF THE COMPLIANCE PLAN THAT REQUIRES EMPLOYEES TO DISCLOSE ANY CONFLICT OF INTEREST TO THEIR SUPERVISOR. THE SUPERVISOR IS THEN REQUIRED TO DISCLOSE THE INFORMATION TO THE COMPLIANCE OFFICER. BOARD MEMBERS OF SUBSIDIARIES ARE ALSO REQUIRED TO COMPLETE CONFLICT OF INTEREST QUESTIONNAIRES.
COMPENSATION POLICYPART VI, SECTION B, LINE 15ST. ELIZABETH MEDICAL CENTER (SEMC) RECOGNIZES THAT STRONG AND EFFECTIVE EXECUTIVE LEADERSHIP IS NEEDED TO ACHIEVE ITS MISSION AND TO SERVE ITS COMMUNITY EFFECTIVELY. 1. THE CHAIRMAN OF THE BOARD OF TRUSTEES WILL APPOINT AN EXECUTIVE COMPENSATION COMMITTEE WHICH IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF ALL FORMS OF COMPENSATION BENEFITS PROVIDED TO THE PRESIDENT AND CEO OF THE MEDICAL CENTER. 2. IN ORDER TO RECRUIT AND RETAIN THE QUALITY OF LEADERSHIP NECESSARY IN A PRESIDENT AND CEO, SEMC WILL TARGET ITS TOTAL COMPENSATION PROGRAM FOR THE PRESIDENT AND CEO BY COMPARING SAME WITH SIMILARLY SIZED COMMUNITY HOSPITALS IN THE NORTHEASTERN UNITED STATES. 3. THE CEO SALARY RANGE WILL BE SET WITHIN THE RANGE FROM THOSE COMPARABLES. THE RANGE WILL BE REVIEWED PERIODICALLY AND ADJUSTMENTS WILL BE MADE WHEN MARKET CONDITIONS WARRANT AND WHEN FINANCIAL PERFORMANCE OF THE MEDICAL CENTER ALLOWS. ANY ADJUSTMENT IN CEO SALARY WILL BE BASED ON THE PARTICULAR EXECUTIVE'S EXPERIENCE, PERFORMANCE, AND CONTRIBUTION TO SEMC, AS WELL AS ON THE COMPETITIVENESS OF THE EXECUTIVE'S SALARY WITHIN THE PEER GROUP. 4. SEMC'S CEO TOTAL COMPENSATION PROGRAM ALSO EMPHASIZES AND REWARDS OUTSTANDING PERFORMANCE THROUGH INCENTIVE AWARD OPPORTUNITIES. 5. THE EXECUTIVE COMPENSATION COMMITTEE WILL ANNUALLY REVIEW THE PRESIDENT AND CEO'S PERFORMANCE BASED UPON OBJECTIVE CRITERIA AND SUBJECTIVE CRITERIA IN AWARDING ANY ANNUAL INCENTIVE. THE COMMITTEE WILL CONSIDER VARIOUS FACTORS INCLUDING, BUT NOT LIMITED TO MEETING PREVIOUSLY APPROVED ANNUAL GOALS, THE OVERALL FINANCIAL PERFORMANCE OF THE MEDICAL CENTER, PATIENT SATISFACTION, QUALITY CARE INDICATORS, BOTH PUBLISHED AND NON-PUBLISHED, AND RESPONSE TO ANY OTHER UNUSUAL OR EXTRAORDINARY CIRCUMSTANCES OCCURRING DURING THE YEAR. THE PAYMENT OF THE INCENTIVE AWARD TO THE EXECUTIVE IS COMPLETELY CONTINGENT ON THE JUDGMENT OF THE COMPENSATION COMMITTEE AS TO THE EXECUTIVE ACHIEVING PRE-ESTABLISHED GOALS AND TARGETS. IN ADDITION, THE POOL OF MONEY AVAILABLE FOR THE INCENTIVE IS ALSO CONTINGENT AND CONDITIONAL ON THE FINANCIAL PERFORMANCE OF THE MEDICAL CENTER. 6. THE EXECUTIVE COMPENSATION COMMITTEE MAY ALSO ESTABLISH AN ANNUAL INCENTIVE COMPENSATION POOL FOR THE VICE PRESIDENTS. WHEN THIS OCCURS, IT IS EXPECTED THAT THE CEO WILL INCLUDE A TEAM COMPONENT, AS WELL AS AN INDIVIDUAL COMPONENT, TO BE CONSIDERED WHEN DISTRIBUTING THIS POOL TO THE SENIOR LEADERSHIP TEAM. 7. THE COMPENSATION COMMITTEE SHALL ALSO REVIEW THE CEO'S PARTICIPATION AND LEADERSHIP IN COMMUNITY AND PROFESSIONAL ORGANIZATIONS ON WHICH THE EXECUTIVE SERVES. SEMC VALUES THE EXECUTIVE'S PARTICIPATING IN COMMUNITY AND PROFESSIONAL ORGANIZATIONS BUT ALSO RECOGNIZES THAT THE RESPONSIBILITIES TO SEMC MUST BE HIS/HER FIRST PRIORITY. 8. SEMC RECOGNIZES ITS RESPONSIBILITY TO ENSURE THAT ITS EXECUTIVE COMPENSATION PROGRAM IS APPROPRIATE IN VIEW OF ITS STATUS AS A NOT-FOR-PROFIT COMMUNITY HOSPITAL AND IN ACCORDANCE WITH ITS TAX-EXEMPT STATUS, AND THAT ITS COMPENSATION AND BENEFITS ARE REASONABLE AND NOT EXCESSIVE. TO THAT END, SEMC AND THE COMMITTEE WILL REVIEW AND APPROVE ALL FORMS OF EXECUTIVE COMPENSATION AND BENEFITS IN A MANNER NECESSARY TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE INTERMEDIATE SANCTION RULES OF SECTION 4958 OF THE INTERNAL REVENUE CODE. 9. THE COMPENSATION COMMITTEE SHALL ENSURE THAT ALL ELEMENTS OF COMPENSATION AND BENEFITS PROVIDED TO EXECUTIVES OF SEMC ARE DISCLOSED A) TO THE FULL BOARD ON A REGULAR BASIS, AND B) ON IRS FORM 990 TO THE EXTENT REQUIRED BY LAW.
PUBLIC DISCLOSUREPART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THE ORGANIZATION'S FORM 990 IS POSTED ON WWW.GUIDESTAR.ORG.
BOARD MEMBER COMPENSATIONPART VII, SECTION A, LINE 1AST. ELIZABETH MEDICAL CENTER DOES NOT COMPENSATE THE BOARD OF TRUSTEES FOR THEIR SERVICES AS BOARD MEMBERS. THE COMPENSATION PAID TO ERIC YOSS, MD WAS FOR PHYSICIAN SERVICES RENDERED.
OTHER CHANGES IN NET ASSETSPART XI, LINE 5PENSION RELATED CHANGES (260,324) NET DECREASE IN FOUNDATION ASSETS (322,749) UNREALIZED GAIN 232,889 TOTAL (350,184)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
ST ELIZABETH MEDICAL CENTER FOUNDATION
2209 GENESEE STREETUTICANY13501222562170HEALTHCARENY501(C)(3)12NA
SRS OF ST FRANCIS OF THE NEUMANN COMM
2500 GRANT BLVDSYRACUSENY13208HEALTHCARENY501(C)(3)5NA
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetstrueExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
ST ELIZABETH MEDICAL CENTER FOUNDATION INC
A81540
ST ELIZABETH MEDICAL CENTER FOUNDATION INC
N252072
ST ELIZABETH MEDICAL CENTER FOUNDATION INC
L509133