CHENANGO MEMORIAL HOSPITAL INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- CHENANGO MEMORIAL HOSPITAL INC (EIN 15-0532180)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-08
- IRS object ID
- 202333129349303388
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-08T13:35:46-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 454051133 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FREED MAXICK CPAS PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 424 MAIN STREET SUITE 800 | AddressLine1Txt |
| City | BUFFALO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 142023508 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 150532180 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHENANGO MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHEN | BusinessNameControlTxt |
| Phone | 6073374111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 179 NORTH BROAD STREET | AddressLine1Txt |
| City | NORWICH | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13815 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DRAKE LAMEN MD | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 6073374111 | PhoneNum |
| Signature | 2023-11-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DRAKE | PersonFirstNm |
| Person Last | LAMEN MD | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARY MADONIA | PreparerPersonNm |
| PTIN | P00405803 | PTIN |
| Phone | 7168472651 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DRAKE LAMEN MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 179 NORTH BROAD STREET | AddressLine1Txt |
| City | NORWICH | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13815 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $91,009,396 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NYUHS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1910 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | (SEE SCHUDULE O)CHENANGO MEMORIAL HOSPITAL, INC. (THE HOSPITAL) IS A NOT-FOR-PROFIT CORPORATION ORGANIZED TO OPERATE ACUTE AND SKILLED NURSING FACILITIES IN NORWICH, NEW YORK. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF CHENANGO AND SURROUNDING COUNTIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 526 | TotalEmployeeCnt |
| Total Volunteers | 116 | TotalVolunteersCnt |
| Total Gross UBI | $3,600 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $8,072,846 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,127,988 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $78,367,048 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $83,132,744 | CYProgramServiceRevenueAmt |
| PY Investment Income | $345,856 | PYInvestmentIncomeAmt |
| CY Investment Income | $158,369 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,157,492 | PYOtherRevenueAmt |
| CY Other Revenue | $1,379,607 | CYOtherRevenueAmt |
| PY Total Revenue | $88,943,242 | PYTotalRevenueAmt |
| CY Total Revenue | $90,798,708 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $28,277,046 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $30,012,716 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $50,058,249 | PYOtherExpensesAmt |
| CY Other Expenses | $57,673,915 | CYOtherExpensesAmt |
| PY Total Expenses | $78,335,295 | PYTotalExpensesAmt |
| CY Total Expenses | $87,686,631 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $10,607,947 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,112,077 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $91,078,549 | TotalAssetsBOYAmt |
| Total Assets EOY | $91,116,827 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $43,726,451 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $39,316,179 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $47,352,098 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $51,800,648 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | (SEE SCHEDULE O)CHENANGO MEMORIAL HOSPITAL, INC. (THE HOSPITAL) IS A NOT-FOR-PROFIT CORPORATION ORGANIZED TO OPERATE ACUTE AND SKILLED NURSING FACILITIES IN NORWICH, NEW YORK. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF CHENANGO AND SURROUNDING COUNTIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $21,481,407 | ExpenseAmt |
| Revenue | $18,068,948 | RevenueAmt |
| Desc | INPATIENT, ACUTE AND LONG TERM SKILLED NURSING SERVICES- CHENANGO MEMORIAL HOSPITAL FULFILLS ITS MISSION BY WORKING TOGETHER WITH THE COMMUNITY, PHYSICIANS AND OTHER HEALTH CARE PROVIDERS TO CONTINUOUSLY IMPROVE THE AVAILABILITY AND QUALITY OF SERVICES AND THE ABILITY TO PROVIDE A COMPREHENSIVE RANGE OF SHORT-TERM INPATIENT ACUTE SERVICES AND LONG-TERM SKILLED NURSING CARE. CHENANGO MEMORIAL HOSPITAL PROVIDES A WIDE RANGE OF MEDICAL-SURGICAL SERVICES, INCLUDING: OPHTHALMOLOGY, EMERGENCY MEDICINE, MATERNITY CARE, PULMONARY MEDICINE, AND PEDIATRICS. TOTAL INPATIENT DAYS FOR THE YEAR ENDED DECEMBER 31, 2022 WAS 4,685. DISCHARGES WERE 1,273, AND AVERAGE LENGTH OF STAY WAS 3.68 DAYS. LONG TERM SKILLED NURSING DAYS WERE 10,834. THERE WERE 201 BIRTHS AND 199 INPATIENT SURGERIES PERFORMED AT CHENANGO MEMORIAL HOSPITAL IN 2022. IN 2022, CHENANGO MEMORIAL HOSPITAL GAVE FINANCIAL ASSISTANCE TO 59 INDIVIDUALS FOR WHICH $558,551 OF INPATIENT CARE (AT CHARGES) WAS PROVIDED. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $36,941,035 | ExpenseAmt |
| Revenue | $55,560,988 | RevenueAmt |
| Desc | OUTPATIENT AND AMBULATORY SERVICES- CHENANGO MEMORIAL HOSPITAL ALSO PROVIDES A WIDE RANGE OF OUTPATIENT DIAGNOSTIC AND TREATMENT SERVICES, INCLUDING EMERGENCY DEPARTMENT, AMBULATORY SURGERY, FULL-SERVICE LABORATORY, COMPREHENSIVE IMAGING AND OTHER PROCEDURAL OUTPATIENT SERVICES. TOTAL PATIENT VISITS FOR OUTPATIENT SERVICES FOR YEAR-ENDED 2022 WAS 185,396. INCLUDED IN THE 185,396 VISITS WERE 15,372 EMERGENCY ROOM VISITS, 860 EMERGENCY ROOM TREATED AND ADMITTED AS ACUTE CARE PATIENTS, 3,699 VARIOUS OUTPATIENT SURGICAL CASES, AND 165,465 OTHER OUTPATIENT DEPARTMENT VISITS. IN 2022, CHENANGO MEMORIAL HOSPITAL GAVE FINANCIAL ASSISTANCE TO 2,153 INDIVIDUALS FOR WHICH $1,422,889 OF OUTPATIENT CARE (AT CHARGES) WAS PROVIDED. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $17,844,546 | ExpenseAmt |
| Revenue | $9,502,808 | RevenueAmt |
| Desc | CLINICS- CHENANGO MEMORIAL HOSPITAL PROVIDES A WIDE RANGE OF PRIMARY CARE AND SPECIALTY CARE CLINICS. PRIMARY CARE SERVICES ARE THE FOUNDATION FOR SERVING THE COMMUNITY WITH A COORDINATED SYSTEM OF CARE, WITH SPECIAL ATTENTION TO UNDER-SERVED AREAS. CMH OFFERS FIVE FAMILY HEALTH CENTERS LOCATED THROUGHOUT A MULTI-COUNTY SERVICE AREA: 1) NORWICH FAMILY HEALTH CENTER 2) INTERNAL MEDICINE 3) OXFORD FAMILY HEALTH CENTER 4) SHERBURNE FAMILY HEALTH CENTER AND 5) SIDNEY FAMILY HEALTH CENTER. OTHER OUTPATIENT SERVICES INCLUDE: GERIATRICS, WOMEN'S HEALTH CENTER, GENERAL SURGERY, HEART CENTER, GI, ORTHOPEDICS, PODIATRY, ONCOLOGY AND PAIN MANAGEMENT CLINIC. TOTAL PATIENT VISITS FOR THE CMH CLINICS AT YEAR-ENDED 2022 WAS 72,906. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenue | $1,356,950 | RevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Revenue | $1,356,950 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $76,266,988 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 60 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 526 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DRAKE LAMEN MD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6073374111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 179 NORTH BROAD ST | AddressLine1Txt |
| City | NORWICH | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13815 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| JOHN M CARRIGG | ||||||||||
| BOARD MEMBER 2ND V CHAIR | 2.00 | 55.00 | Yes (X) | Yes (X) | $0 | $1,579,359 | $94,357 | |||
| ELIZABETH K BOLAND | ||||||||||
| BOARD MEMBER | 2.00 | 55.00 | Yes (X) | $0 | $724,570 | $99,761 | ||||
| DRAKE LAMEN MD | ||||||||||
| BOARD MEMBER/PRES/CEO/CMO | 57.00 | Yes (X) | Yes (X) | $352,377 | $0 | $23,663 | ||||
| CATHERINE M SCARLETT | ||||||||||
| BOARD MEMBER/CHAIR TO 5/31/22 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| JOSEPH R STAGLIANO | ||||||||||
| BOARD MEMBER/CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| HEATHER FERRARESE | ||||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| RIC FESTARINI | ||||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| ERIC G LARSEN | ||||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| DENISE REPPERT | ||||||||||
| BOARD MEMBER/PRES OF AUX | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT W NASSAR | ||||||||||
| BOARD MEMBER SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| JULIE OEHLBECK | ||||||||||
| BOARD MEMBER TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| BRUCE S ERATH | ||||||||||
| BOARD MEMBER 1ST VICE CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| JAY SMITH | ||||||||||
| BOARD MEMBER | 2.00 | 55.00 | Yes (X) | $0 | $391,900 | $26,852 | ||||
| CARLOS SANTA INES JR MD | ||||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| DOMINIC SHEA | ||||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| MARTIN MASARECH MD | ||||||||||
| BOARD MEMBER | 2.00 | 55.00 | Yes (X) | $0 | $193,271 | $43,280 | ||||
| KATHLEEN MIRATBITO VOSS | ||||||||||
| BOARD MEMBER TO 5/31/22 | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| SHAUNA HYLE | ||||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| KRISTINA K HUMMER | ||||||||||
| VP OF MEDICAL | 1.00 | 55.00 | Yes (X) | $175,894 | $0 | $30,162 | ||||
| DESIREE AXLEY | ||||||||||
| VP FINANCE AND CFO | 55.00 | Yes (X) | $208,710 | $0 | $5,445 | |||||
| DAVID FINNEY | ||||||||||
| VP, NURSING | 55.00 | Yes (X) | $0 | $161,481 | $38,852 | |||||
| CHRISTINA KISACKY | ||||||||||
| VP OF OPERATIONS | 55.00 | Yes (X) | $173,540 | $0 | $23,652 | |||||
| WENDY SURDOVAL | ||||||||||
| VP OF QUALITY MGMT | 55.00 | Yes (X) | $135,189 | $0 | $4,347 | |||||
| PHYLLIS SHERIFF-WHITE | ||||||||||
| PRES OF MED STAFF | 55.00 | $325,977 | $0 | $24,674 | Yes (X) | |||||
| MARGARET SWARTWOOD | ||||||||||
| CONTROLLER | 55.00 | $162,675 | $0 | $16,070 | Yes (X) | |||||
| RICHARD STONE | ||||||||||
| DIRECTOR OF SUPP SERV-FAC | 55.00 | $118,107 | $0 | $30,909 | Yes (X) | |||||
| BRAXTON TOMSIC | ||||||||||
| CARDIAC CARE MGR | 55.00 | $104,374 | $0 | $14,591 | Yes (X) | |||||
| MELISSA STAGNARO | ||||||||||
| EXEC DIR FOUNDATION | 55.00 | $102,551 | $0 | $30,529 | Yes (X) | |||||
| LEIA TRACY | ||||||||||
| STAFF NURSE | 55.00 | $128,479 | $0 | $11,769 | Yes (X) | |||||
| PATRICIA ADAMS | ||||||||||
| NURSING SUPERVISOR | 55.00 | $129,528 | $0 | $3,010 | Yes (X) | |||||
| MATTHEW SALANGER TO 53118 | ||||||||||
| FORMER 2ND VICE CHAIR | 0.00 | 20.00 | $0 | $253,227 | $80 | Yes (X) | ||||
| ROHAN JAYASENA | ||||||||||
| FORMER PRES OF MED STAFF TO 12/31/17 | 0.00 | 55.00 | $387,239 | $0 | $51,623 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,504,640 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,303,808 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $573,626 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 31 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AMN HEALTHCARE | |||||
| PO BOX 56157 | LOS ANGELES | CA | 90074 | TEMPORARY SVCS | $4,732,130 |
| SUSQUEHANNA ANESTHESIA | |||||
| 156 CORLISS AVE | JOHNSON CITY | NY | 13790 | ANESTHESIA SVCS | $2,139,615 |
| CROTHALL HEALTHCARE | |||||
| 13028 COLLECTIONS CENTER DR | CHICAGO | IL | 60693 | HOUSEKEEPING SVCS | $1,807,614 |
| PARK AVE ASSOC IN RADIOLOGY | |||||
| 32-36 HARRISON ST | JOHNSON CITY | NY | 13790 | RADIOLOGY SVCS | $1,448,439 |
| SECO PHYSICAL AND OCC THERAPY | |||||
| PO BOX 1046 | NORWICH | NY | 13815 | THERAPY SVCS | $1,279,837 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 31 | CntrctRcvdGreaterThan100KCnt |
| Membership Dues | $1,150 | MembershipDuesAmt |
| Government Grants | $5,149,246 | GovernmentGrantsAmt |
| All Other Contributions | $977,592 | AllOtherContributionsAmt |
| Total Contributions | $6,127,988 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OUTPATIENT AND AMBULATORY SERVICE | 623000 | $55,560,988 | $55,560,988 |
| INPATIENT, ACUTE AND LONG TERM SK | 623000 | $18,068,948 | $18,068,948 |
| CLINICS | 623000 | $9,502,808 | $9,502,808 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $83,132,744 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $369,057 | TotalRevenueColumnAmt |
| Exclusion | $369,057 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,600 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,600 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,600 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $3,600 | UnrelatedBusinessRevenueAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $210,688 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$210,688 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$210,688 | TotalRevenueColumnAmt |
| Exclusion | -$210,688 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NON OPERATING REVENUE | 623000 | $697,419 | $697,419 |
| OTHER OPERATING REVENUE | 623000 | $651,532 | $651,532 |
| CAFETERIA REVENUE | 623000 | $7,999 | $7,999 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,057 | TotalRevenueColumnAmt |
| Exclusion | $19,057 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,376,007 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $90,798,708 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $84,489,694 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $3,600 | UnrelatedBusinessRevenueAmt |
| Exclusion | $177,426 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,686,627 | TotalAmt |
| Program Services | $2,686,627 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,785,483 | TotalAmt |
| Program Services | $18,971,370 | ProgramServicesAmt |
| Management And General | $2,814,113 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $871,544 | TotalAmt |
| Program Services | $758,243 | ProgramServicesAmt |
| Management And General | $113,301 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,015,836 | TotalAmt |
| Program Services | $2,641,434 | ProgramServicesAmt |
| Management And General | $374,402 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,653,226 | TotalAmt |
| Program Services | $1,438,307 | ProgramServicesAmt |
| Management And General | $214,919 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $844,393 | TotalAmt |
| Management And General | $844,393 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,419 | TotalAmt |
| Management And General | $55,419 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,516 | TotalAmt |
| Management And General | $89,516 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,431 | TotalAmt |
| Management And General | $12,431 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,824,078 | TotalAmt |
| Program Services | $14,636,948 | ProgramServicesAmt |
| Management And General | $2,187,130 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,331 | TotalAmt |
| Program Services | $1,698 | ProgramServicesAmt |
| Management And General | $74,633 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $229,833 | TotalAmt |
| Program Services | $120,024 | ProgramServicesAmt |
| Management And General | $109,809 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $225,981 | TotalAmt |
| Program Services | $223,241 | ProgramServicesAmt |
| Management And General | $2,740 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,528,061 | TotalAmt |
| Program Services | $1,327,849 | ProgramServicesAmt |
| Management And General | $200,212 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,522 | TotalAmt |
| Program Services | $39,616 | ProgramServicesAmt |
| Management And General | $35,906 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $574,404 | TotalAmt |
| Program Services | $574,404 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,094,366 | TotalAmt |
| Program Services | $4,094,366 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $680,149 | TotalAmt |
| Program Services | $680,149 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $27,263,070 | $23,661,413 | $3,601,657 |
| BAD DEBTS | $2,304,237 | $2,304,237 | |
| NEW YORK STATE CASH REC | $443,182 | $443,182 | |
| MISCELLANEOUS AUXILLARY | $7,361 | $7,361 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,345,581 | TotalAmt |
| Program Services | $1,656,519 | ProgramServicesAmt |
| Management And General | $689,062 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,686,631 | TotalAmt |
| Program Services | $76,266,988 | ProgramServicesAmt |
| Management And General | $11,419,643 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,433,504 | BOYAmt |
| EOY | $12,488,629 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,440,372 | BOYAmt |
| EOY | $6,119,022 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,045,908 | BOYAmt |
| EOY | $8,544,100 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $708,498 | BOYAmt |
| EOY | $803,083 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $669,872 | BOYAmt |
| EOY | $1,501,243 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $117,024,356 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $66,935,615 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,169,200 | BOYAmt |
| EOY | $50,088,741 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $148,033 | BOYAmt |
| EOY | $125,605 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,463,162 | BOYAmt |
| EOY | $11,446,404 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,078,549 | BOYAmt |
| EOY | $91,116,827 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,074,816 | BOYAmt |
| EOY | $7,694,607 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,599,087 | BOYAmt |
| EOY | $13,100,895 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,052,548 | BOYAmt |
| EOY | $18,520,677 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,726,451 | BOYAmt |
| EOY | $39,316,179 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,645,677 | BOYAmt |
| EOY | $44,052,620 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,706,421 | BOYAmt |
| EOY | $7,748,028 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,352,098 | BOYAmt |
| EOY | $51,800,648 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,078,549 | BOYAmt |
| EOY | $91,116,827 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,112,077 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$22,428 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $1,358,901 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $12,431 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $12,431 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | AMOUNT DISCLOSED IS THE LOBBYING PORTION OF DUES PAID TO THE HEALTHCARE ASSOCIATION OF NY, IROQUOIS HEALTHCARE ASSOCIATION AND LEADING AGE NY. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $22,706,421 | BeginningYearBalanceAmt |
| Contributions | $1,099,442 | ContributionsAmt |
| Investment Earnings Or Losses | -$1,645,284 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $14,412,551 | OtherExpendituresAmt |
| End Year Balance | $7,748,028 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,098,616 | BeginningYearBalanceAmt |
| Contributions | $5,919,643 | ContributionsAmt |
| Investment Earnings Or Losses | -$12,986 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $298,852 | OtherExpendituresAmt |
| End Year Balance | $22,706,421 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $11,463,530 | BeginningYearBalanceAmt |
| Contributions | $6,062,602 | ContributionsAmt |
| Investment Earnings Or Losses | -$352,916 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $74,600 | OtherExpendituresAmt |
| End Year Balance | $17,098,616 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,800,829 | BeginningYearBalanceAmt |
| Contributions | $2,008,119 | ContributionsAmt |
| Investment Earnings Or Losses | $3,286,342 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $631,760 | OtherExpendituresAmt |
| End Year Balance | $11,463,530 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,611,346 | BeginningYearBalanceAmt |
| Contributions | $664,482 | ContributionsAmt |
| Investment Earnings Or Losses | -$844,488 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $630,511 | OtherExpendituresAmt |
| End Year Balance | $6,800,829 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.78980 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.21020 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $195,653 | OtherCostOrOtherBasisAmt |
| Book Value | $195,653 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $69,001,976 | OtherCostOrOtherBasisAmt |
| Depreciation | $27,035,510 | DepreciationAmt |
| Book Value | $41,966,466 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,812,584 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,847,202 | DepreciationAmt |
| Book Value | $965,382 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $44,740,684 | OtherCostOrOtherBasisAmt |
| Depreciation | $38,052,903 | DepreciationAmt |
| Book Value | $6,687,781 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $273,459 | OtherCostOrOtherBasisAmt |
| Book Value | $273,459 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $50,088,741 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| BENEFICIAL INTEREST IN CMH FOUNDATION | $6,886,598 |
| ASSETS LIMITED TO USE- RESTRICTED CASH FOR EQUIPMENT | $142,056 |
| OPERATING LEASE FOR RIGHT OF USE ASSETS | $3,714,154 |
| OTHER ASSETS | $703,596 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $11,446,404 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD-PARTY PAYORS | $3,062,235 |
| DUE TO AFFILIATES | $5,348,880 |
| LONG TERM PENSION LIABILITY | $3,903,508 |
| CAPITAL LEASE OBLIGATIONS | $3,710,774 |
| OTHER LIABILITIES | $2,495,280 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $18,520,677 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $89,823,833 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$22,428 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $1,396,723 | OtherRevenueAmt |
| Revenue Not Reported | $1,374,295 | RevenueNotReportedAmt |
| Revenue Subtotal | $88,449,538 | RevenueSubtotalAmt |
| Other Revenues Not Included | $2,349,170 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $2,349,170 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $90,798,708 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $85,375,283 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $85,375,283 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $2,311,348 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,311,348 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $87,686,631 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE INTENDED USE OF ENDOWMENT FUNDS IS A COMBINATION OF DESIGNATED SPECIAL PURPOSES AND GENERAL USE BY THE HOSPITAL. |
| PART X, LINE 2: | THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE HOSPITAL IS SUBJECT TO FEDERAL INCOME TAXES ON UNRELATED BUSINESS INCOME UNDER SECTION 511 OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31, 2022 AND 2021, THE HOSPITAL DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2019 THROUGH 2022. THE HOSPITAL DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN INTEREST IN CHENANGO FOUNDATION -953,613. PENSION CHANGES OTHER THAN NET PERIODIC BENEFIT 3,668,418. CHANGE IN VALUE OF FUNDS HELD IN TRUST -1,321,351. CHANGE IN ACCOUNTING PRINCIPLE 3,269. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | AUXILIARY INCOME 44,933. BAD DEBT 2,304,237. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | AUXILIARY EXPENSES 7,361. BAD DEBT EXPENSE 2,304,237. RENTAL EXPENSE -250. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $694,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $694,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00790 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,542,573 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,448,582 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,093,991 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04670 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,236,573 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,448,582 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,787,991 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05460 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $835,542 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $835,542 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00950 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $171,880 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $350 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $171,530 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00200 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $821,731 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $570,610 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $251,121 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,830,153 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $570,960 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,259,193 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01440 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,066,726 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,019,542 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,047,184 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06900 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $140,903 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $140,903 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,671 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,671 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,173 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,173 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,371 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,371 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $770,296 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $770,296 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00880 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,881 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,881 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $939,295 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $939,295 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01070 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,304,237 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $321,403 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $8,262,365 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $11,340,953 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,078,588 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHENANGO MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 179 NORTH BROAD STREET | AddressLine1Txt |
| City | NORWICH | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13815 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTPS://WWW.NYUHS.ORG | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | SOLE COMMUNITY | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHENANGO MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.NYUHS.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.NYUHS.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.NYUHS.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.NYUHS.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.NYUHS.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CHENANGO MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 13H: FEDERAL POVERTY GUIDELINES (FPG) IS USED TO DETERMINE THE FAMILY INCOME LIMIT FOR FREE CARE ELIGIBILITY OF 200%. THE FPG IS NOT USED TO DETERMINE DISCOUNTED CARE ELIGIBILITY. HOWEVER THE FPG IS USED TO DETERMINE THE PERCENTAGE OF DISCOUNTED CARE A PATIENT WILL RECEIVE. |
| PART V, SECTION B, LINE 5: | CHENANGO COUNTY DEPARTMENT OF PUBLIC HEALTH (CCPH) AND UHS CHENANGO MEMORIAL HOSPITAL (CMH) COLLABORATED TO CONDUCT THE 2022-2024 COMMUNITY HEALTH ASSESSMENT (CHA) AND COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). A NEEDS ASSESSMENT COMMITTEE WAS CREATED AND COMPRISED OF REPRESENTATIVES FROM CCPH, CMH, AND THE CHENANGO HEALTH NETWORK (CHN). THE COMMITTEE PROVIDED OVERSIGHT AND GUIDANCE TO THE ASSESSMENT PROCESS.PRIORITY SELECTION PROCESS CHENANGO COUNTY ENGAGED IN A PROCESS TO SELECT PRIORITIES AND ACTIVITIES FOR THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP)/COMMUNITY SERVICE PLAN (CSP). THE PROCESS ALLOWED SIGNIFICANT INPUT FROM STAKEHOLDERS AND INTEGRATED FEEDBACK FROM THE COMMUNITY. HEALTHCARE AND SOCIAL DETERMINANTS OF HEALTH DATA WERE COLLECTED FROM A VARIETY OF SOURCES INCLUDING, BUT NOT LIMITED TO, THE NYS DEPARTMENT OF HEALTH (NYSDOH), THE US CENSUS, THE NYS DEPARTMENT OF EDUCATION (NYSED), THE NYS OFFICE OF FAMILY AND CHILDREN (NYSOCFS), AND THE BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY (BRFSS). ADDITIONAL DATARESOURCES UTILIZED INCLUDED THE COUNTY HEALTH RANKINGS AND OTHER LOCAL NEEDS ASSESSMENT REPORTS. QUALITATIVE DATA WAS GATHERED FROM 781 CHENANGO COUNTY RESIDENTS THROUGH A COMMUNITY SURVEY. PARTICIPANTS WERE ASKED TO SHARE THEIR PERSPECTIVES ON THE MOST PRESSING HEALTH ISSUES FACING THE COUNTY, AS WELL AS THE BARRIERS AND CHALLENGES THEY FACE IN THEIR EFFORT TO LEAD HEALTHY LIVES. IN ADDITION, 10 KEY STAKEHOLDERS REPRESENTING A RANGE OF NON-PROFIT ORGANIZATIONS, GOVERNMENT AGENCIES AND PROVIDERS, WERE INTERVIEWED TO GAIN FURTHER INSIGHT INTO THE COUNTY'S HEALTH CARE STRENGTHS AND BARRIERS. BASED ON ALL QUALITATIVE DATA COLLECTED AND STAKEHOLDER INSIGHT, THE NEEDS ASSESSMENT COMMITTEE SELECTED INTERVENTIONS WITH THE GREATEST OPPORTUNITY TO OPTIMIZE ON CURRENT RESOURCES AND THOSE THAT WOULD HAVE THE GREATEST IMPACT ON THE FOCUS AREAS RELATED TO THE COUNTY'S MOST SIGNIFICANT HEALTH ISSUES.SELECTED PRIORITIES AND INTERVENTIONSPROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN HEALTH DISPARITY: CHENANGO COUNTY IS A RURAL UPSTATE COMMUNITY WITH A HIGH POVERTY RATE. STAKEHOLDERS REGULARLY SITE ACCESS AS A PRIMARY BARRIER TO CARE.INTERVENTION:GOAL 2.1: REDUCE INFANT MORTALITY AND MORBIDITY - CHENANGO COUNTY WILL UTILIZE A PROGRAM CALLED PROJECT SAFE SLEEP TO FOCUS ON SHARING INFORMATION ABOUT ACTIONS NEW PARENTS AND OTHERS CAN TAKE TO HELP BABIES SLEEP SAFELY, WITH THE GOAL OF REDUCING INFANT'S RISK OF SUDDEN INFANT DEATH SYNDROME (SIDS) AND OTHER SLEEP-RELATED CAUSES OF INFANT DEATH.CHENANGO COUNTY PUBLIC HEALTH WILL PROVIDE LOGISTICAL SUPPORT, TRAINING MATERIALS, TRAINERS, AND EVENT PROMOTION. MULTIPLE HEALTH SERVICE ORGANIZATIONS THROUGHOUT THE COUNTY WILL SERVE TO HOST, REFER, AND PROMOTE EVENTS, INCLUDING UHS CHENANGO MEMORIAL HOSPITAL.UHS CHENANGO MEMORIAL HOSPITAL WILL REDOUBLE EFFORTS TO PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN BY ENSURING EASY ACCESS TO THE PATIENT AND FAMILY EDUCATION IT OFFERS INCLUDING REGULARLY SCHEDULING TWO-PART BIRTHING CLASSES TAUGHT BY REGISTERED NURSES. FOR THOSE WHO ARE UNABLE TO ATTEND THESE CLASSES IN PERSON, A VIRTUAL OPTION WHICH CAN BE ACCESSED ON A SMARTPHONE BY SCANNING A QR CODE IS BEING MADE AVAILABLE. IN ADDITION, PRENATAL NUTRITIONAL INFORMATION AND EDUCATION WILL BE MADE MORE READILY AVAILABLE. THERE WILL ALSO BE AN INCREASED FOCUS ON REFERRALS TO COMMUNITY PARTNERS SUCH AS MOTHERS AND BABIES PERINATAL NETWORK, AS WELL AS TO SOCIAL WORKERS WHO CAN WORK WITH THE EXPECTANT MOTHERS AND THEIR PARTNERS IF NEEDED. BIRTH CONTROL FOLLOW-UPS WILL ALSO BE ENCOURAGED.GOAL 2.2: INCREASE BREASTFEEDING - CHENANGO COUNTY WILL PARTNER WITH THE LOCAL BREASTFEEDING COALITION TO INCREASE THE NUMBER OF CERTIFIED LACTATION CONSULTANTS AND INCREASE LOCAL BREASTFEEDING SUPPORTS.UHS CHENANGO MEMORIAL HOSPITAL WILL LEVERAGE ITS SUCCESS IN INCREASING BREASTFEEDING RATES FOR NEW MOTHERS OVER THE LAST TEN YEARS. TO THAT END, THE UHS WOMEN'S HEALTH CENTER IN NORWICH WILL DISTRIBUTE PRENATAL EDUCATION PACKETS DURING VISITS TO INFORM AND PREPARE EXPECTANT MOTHERS. LACTATION CONSULTANTS WILL CONTINUE TO BE STAFFED ON THE LABOR DELIVERY FLOOR, TO PROVIDE IMMEDIATE SUPPORT AND COACHING TO NEW MOTHERS. IN ADDITION, LACTATION CONSULTANTS ON STAFF IN THE OFFICE SETTING WILL OFFER A NEEDED POINT OF EDUCATION TO MOTHERS DEALING WITH FIRST TIME BREAST FEEDING CHALLENGES OR ISSUES THAT ARISE AFTER BIRTH. IN ADDITION, UHS CHENANGO MEMORIAL WILL SERVE AS A REFERRAL SOURCE TO PARTNERS WITHIN THE BREASTFEEDING COALITION.GOAL 3.3: REDUCE DENTAL CARIES AMONG CHILDREN - CHENANGO COUNTY PUBLIC HEALTH WILL CREATE AND PUBLISH DENTAL HEALTH EDUCATION MATERIALS WHILE MULTIPLE PARTNERS IN DENTAL TASK FORCE WILL WORK TO DISTRIBUTE THE HEALTH INFORMATION. UHS CHENANGO MEMORIAL HOSPITAL, AND PARTICULARLY ITS PEDIATRIC PRACTICES, WILL PROVIDE PATIENTS WITH DENTAL HEALTH EDUCATION MATERIALS AND INFORM PATIENTS IN NEED OF DENTAL SERVICES OF LOCAL DENTAL HEALTH OFFERINGS. WHILE IN APPOINTMENTS WITH CMH PROVIDERS, PATIENTS WILL BE MADE AWARE OF SPECIFIC SERVICES OFFERED BY PUBLIC HEALTH, LIKE WIC. WHEN DENTAL HEALTH EVENTS ARE SCHEDULED, CMH WILL HELP TO PROMOTETHESE EVENTS TO ITS STAFF AND PATIENTS.PROMOTE A HEALTHY AND SAFE ENVIRONMENTHEALTH DISPARITY:CHENANGO COUNTY IS AN AGING, LOW-INCOME COMMUNITY. STAKEHOLDERS REGULARLY SITE ACCESS AS A PRIMARY BARRIER TO CARE.INTERVENTION:UTILIZING THE PROGRAM BINGOCIZE, WHICH IS AN EVIDENCED BASED SENIOR MOVEMENT THAT COMBINES EXERCISE AND HEALTH INFORMATION WITH THE FAMILIAR GAME OF BINGO, HAS BEEN SHOWN TO BE A GREAT WAY TO GET SENIORS MOVING WHILE SOCIALIZING. THE GOAL OF PARTICIPATION IS IMPROVED AND/OR MAINTAINED MOBILITY AND INDEPENDENCE AS IT IS ADAPTABLE AND BENEFICIAL FOR ALL RANGES OF PHYSICAL AND MENTAL ABILITY. THE OVERALL GOALS OF THE PROGRAM ARE TO HELP OLDER ADULTS IMPROVE AND/OR MAINTAIN MOBILITY AND INDEPENDENCE, LEARN AND USE HEALTH INFORMATION FOCUSED ON FALLS REDUCTION TO PROMOTE WELLNESS, SOCIALIZATION AND CONNECTEDNESS. CHENANGO COUNTY PUBLIC HEALTH WILL COLLABORATE WITH CHENANGO COUNTY'S AREA AGENCY OF THE AGING TO PROVIDE THE CERTIFIED TRAINER, LOGISTICS, PROMOTION, REFERRAL, AND IMPLEMENTATION OF PROGRAM. UHS CHENANGO MEMORIAL HOSPITAL PROVIDERS WILL WORK WITH PATIENTS DURING APPOINTMENTS TO PROMOTE HEALTHY AND SAFE ENVIRONMENTS AT WORK AND HOME. PROVIDERS WORK CLOSELY WITH EACH PATIENT PERSONALLYTO SOLVE ISSUES THEY MAY BE DEALING WITH OR CONCERNED ABOUT. PROVIDERS WILL BE INFORMED ABOUT THE BINGOCIZE PROGRAM, AS WELL AS OTHER COMMUNITY-BASED OFFERINGS, TO FACILITATE REFERRALS TO THESE PROGRAMS. PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERSHEALTH DISPARITY:CHENANGO COUNTY IS A LOW-INCOME, RURAL COMMUNITY CONSISTENTLY HINDERED BY LIMITED ACCESS TO CARE.INTERVENTION:MENTAL HEALTH FIRST AID - WHILE INCREASING THE NUMBER OF MENTAL HEALTH CARE PROVIDERS WOULD BENEFIT THE COUNTY, A MORE IMMEDIATE AND EFFECTIVE COMMUNITY-BASED INTERVENTION WOULD BE TO EXPAND THE NUMBER OF PEOPLE TRAINED TO IDENTIFY MENTAL HEALTH ISSUES IN THEIR PROFESSIONAL SPHERE AND TO PROVIDE APPROPRIATE SUPPORT. EARLY DETECTION AND INTERVENTION COULD HAVE A SIGNIFICANT IMPACT ON THE TRAJECTORY OF YOUNG PEOPLE IN THE COUNTY. CHENANGO COUNTY PROPOSES TO EXPAND THE MENTAL HEALTH FIRST AID PROGRAM BY MAKING HOSPITAL STAFF, HEALTH DEPARTMENT STAFF, AND PROVIDERS AVAILABLE FOR TRAINING. EFFORTS WILL BE MADE TO PROMOTE THE PROGRAM AND ORGANIZE TRAININGS FOR OTHER STAKEHOLDERS WITH A PARTICULAR EMPHASIS ON TRAINING INDIVIDUALS WHO WORK WITH YOUNG PEOPLE SUCH AS SCHOOL STAFF, EDUCATORS, AND ORGANIZATIONS SERVING YOUTH.PARTNERS:BRINGING PARTNERS TO THE TABLE AND MAINTAINING THEIR ENGAGEMENT WILL BE VITAL TO THE SUCCESS OF THEINTERVENTIONS WITHIN THE CHOSEN PRIORITY AREAS. THE NEEDS ASSESSMENT COMMITTEE WILL CREATE ANDMAINTAIN PLANNING COMMITTEES FOR EACH OF THE IDENTIFIED PRIORITY AREAS. THESE COMMITTEES, AND SUB-COMMITTEES, WILL BRING TOGETHER COMMUNITY STAKEHOLDERS REPRESENTING VARIOUS CONSTITUENCIES INCLUDING COMMUNITY-BASED ORGANIZATIONS, GOVERNMENTAL ENTITIES, FUNDERS, FAITH COMMUNITIES, AND EMPLOYERS.IMPACT AND PROCESS MEASURES:THOSE COMMITTEES AND SUB-COMMITTEES FORMED FOR EACH PRIORITY AREA WILL BE CHARGED WITH ACTIVITY PLANNING, MEASURING PROGRESS TOWARD GOALS, AND REPORTING ON EACH PRIORITY AREA. THE NEEDS ASSESSMENT COMMITTEE WILL PROVIDE SUPPORT AS NEEDED TO THESE COMMITTEES TO ENSURE IMPACT AND PROCESS MEASURES ARE DEVELOPED AND THAT PROGRESS IS MADE TOWARDS MEETING THESE MEASURES. |
| PART V, SECTION B, LINE 5, CONTINUED: | THE FOLLOWING AGENCIES WERE, AT SOME POINT IN TIME, INVOLVED WITH INFORMATION GATHERING DURING THIS PROCESS: CARE COMPASS NETWORK CHENANGO COUNTY AREA AGENCY ON AGING CHENANGO COUNTY CATHOLIC CHARITIES CHENANGO COUNTY DEPARTMENT OF PUBLIC HEALTH CHENANGO COUNTY DEPARTMENT OF SOCIAL SERVICES CHENANGO COUNTY MENTAL HYGIENE & BEHAVIORAL HEALTH SERVICES CHENANGO HEALTH NETWORK CHENANGO UNITED WAY COMMUNITY FOUNDATION OF SOUTH CENTRAL NEW YORK CORNELL COOPERATIVE EXTENSION CROUSE HOSPITAL DCMO BOCES DELAWARE COUNTY DEPARTMENT OF HEALTH HANYS HOSPICE & PALLIATIVE CARE OF CHENANGO COUNTY LIBERTY PARTNERSHIP LOCAL BUSINESSES LOCAL SCHOOL DISTRICTS MOTHERS & BABIES PERINATAL NETWORK NEW YORK CONNECTS NORWICH FAMILY YMCA OPPORTUNITIES FOR CHENANGO AND HEADSTART POPULATION HEALTH IMPROVEMENT PROGRAM PUBLIC LIBRARIES THE PLACE UHS CHENANGO MEMORIAL HOSPITAL UNITED HEALTH SERVICES (UHS) VARIOUS COMMUNITY FOUNDATIONS WOMEN, INFANTS & CHILDREN (WIC) |
| PART V, SECTION B, LINE 11: | HOW THE HOSPITAL ADDRESSED NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA.THE MAJORITY OF 2022 WAS SPENT RESEARCHING THE NEEDS OF THE COMMUNITY, IDENTIFYING THE INITIATIVES THAT WOULD HAVE THE GREATEST IMPACT WITH AVAILABLE RESOURCES, AUTHORING THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR 2022-2024, AND BEGINNING WORK ON THE IDENTIFIED INITIATIVES IN COLLABORATION WITH THE LHD. SELECTED PRIORITY AREAS AND INTERVENTIONSPREVENT CHRONIC DISEASE: PREVENTIVE CARE AND MANAGEMENTWITH HIGH MORTALITY RATES FOR SEVERAL CHRONIC DISEASES, CHENANGO COUNTY FACES A SIGNIFICANT CHALLENGE IN ASSISTING COUNTY RESIDENTS IN EFFECTIVELY MANAGING THEIR CONDITIONS. HORN RESEARCH CONDUCTED AN ANALYSIS OF THE POTENTIAL HEALTH CARE COSTS AS WELL AS THE YEARS OF LIFE LOST AND POTENTIAL EARNINGS LOSS ASSOCIATED WITH THESE DISEASES IN THE COUNTY. THE RESULTS SHOW A NEED FOR INCREASED HEALTHY BEHAVIORS AND BETTER DISEASE MANAGEMENT AMONG CHENANGO COUNTY RESIDENTS. LOW-INCOME INDIVIDUALS AND FAMILIES ARE AT PARTICULAR RISK FOR CHRONIC DISEASE AND OFTEN LACK THE RESOURCES AND KNOWLEDGE TO MANAGE THEIR ILLNESSES.CHN HAS RECENTLY INCORPORATED THE EVIDENCE-BASED CHRONIC DISEASE SELF-MANAGEMENT PROGRAM INTO THE SERVICES THEY OFFER. THE PROGRAM SUCCESSFULLY TAUGHT SELF-MANAGEMENT SKILLS TO 45 CHENANGO COUNTY RESIDENTS IN 2022 AND WILL CONTINUE CLASSES IN 2023. PROGRAM RESULTS SHOW A CLINICAL REDUCTION IN A1C LEVELS IN PARTICIPANTS AS WELL AS INCREASED KNOWLEDGE OF DISEASE SELF-MANAGEMENT AND A BETTER UNDERSTANDING OF THEIR HEALTH AND PHYSICAL ACTIVITY. THE PROGRAM'S EARLY SUCCESS COUPLED WITH THE HIGH NEED FOR INDIVIDUAL SELF-MANAGEMENT IMPROVEMENT CLEARLY SHOW THE SUITABILITY OF INVESTING IN THE PROGRAM MORE BROADLY.CHENANGO COUNTY PROPOSES TO EXPAND THE CHRONIC DISEASE SELF-MANAGEMENT PROGRAM BY ESTABLISHING A REFERRAL PROCESS OF NEWLY DIAGNOSED PATIENTS THROUGH THE HOSPITAL, INCORPORATING THE HOSPITAL'S HEAD DIETICIAN AND CHEF INTO THE PROGRAM'S CURRICULUM, CREATING A REFERRAL PROCESS THROUGH THE HEALTH DEPARTMENT'S PROGRAMS, AND EXPLORING HAVING HEALTH DEPARTMENT STAFF BECOME TRAINED AS PEER LEADERS. A SPECIAL EMPHASIS WILL BE PLACED ON PARTNERING WITH AND RECRUITING FROM COMMUNITY-BASED ORGANIZATIONS WHO WORK WITH LOW-INCOME INDIVIDUALS AND FAMILIES TO ADDRESS THE HEALTH DISPARITIES ASSOCIATED WITH INCOME AND HEALTH.PROMOTE WELL-BEINGCHENANGO COUNTY HAS HIGH RATES OF POOR SELF-REPORTED MENTAL HEALTH IN ADULTS, HAS HIGH RATES OF YOUTH DISCONNECTION, AND IS DESIGNATED AS A HEALTH PROVIDER SHORTAGE AREA FOR MENTAL HEALTH. WHILE INCREASING THE NUMBER OF MENTAL HEALTH CARE PROVIDERS WOULD BE OF BENEFIT TO THE COUNTY, A MORE IMMEDIATE AND EFFECTIVE COMMUNITY-BASED INTERVENTION WOULD BE TO EXPAND THE NUMBER OF PEOPLE TRAINED TO IDENTIFY MENTAL HEALTH ISSUES IN THEIR PROFESSIONAL SPHERE AND PROVIDE APPROPRIATE SUPPORT. IN PARTICULAR, NEGATIVE YOUTH MENTAL HEALTH OUTCOMES IN THE COUNTY HAVE BEEN INCREASING. EARLY INTERVENTION COULD HAVE A SIGNIFICANT IMPACT ON THE TRAJECTORY OF THE YOUNG PEOPLE IN THE COUNTY AND IMPROVE THOSE OUTCOMES.CHN HAS ADDED THE EVIDENCE-BASED TRAINING PROGRAM MENTAL HEALTH FIRST AID TO THEIR PROGRAMMING. THIS TRAINING CREATES MORE OPPORTUNITIES FOR EARLY DETECTION AND INTERVENTION, AND WITH THE INCREASING NEGATIVE YOUTH MENTAL HEALTH OUTCOMES IN THE COUNTY, EARLY INTERVENTION COULD HAVE A SIGNIFICANT IMPACT ON THE TRAJECTORY OF YOUNG PEOPLE IN THE COUNTY.CHENANGO COUNTY PROPOSES TO EXPAND THE MENTAL HEALTH FIRST AID PROGRAM BY MAKING HOSPITAL STAFF, HEALTH DEPARTMENT STAFF, AND PROVIDERS AVAILABLE FOR TRAINING. IN ADDITION, EFFORTS WILL BE MADE TO PROMOTE THE PROGRAM AND ORGANIZE TRAININGS FOR OTHER STAKEHOLDERS AND PROFESSIONALS FROM COMMUNITY BASED ORGANIZATIONS. A PARTICULAR EMPHASIS WILL BE PLACED ON TRAINING INDIVIDUALS WHO WORK WITH YOUNG PEOPLE SUCH AS SCHOOL STAFF, EDUCATORS, AND ORGANIZATIONS SERVING YOUTH.INITIATIVE 1PRIORITY: PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERSFOCUS AREA: PROMOTE WELL BEINGGOAL: FACILITATE SUPPORTIVE ENHANCEMENTS THAT PROMOTE RESPECT AND DIGNITY FOR PEOPLE OF ALL AGES.OBJECTIVE: INCREASE CHENANGO COUNTY COMMUNITY SCORES BY 7% TO 44.8%.DISPARITIES: LACK OF EDUCATION OF MENTAL HEALTH ISSUES IN COUNTY, LOW-INCOME, LOW PROVIDER AREA, LACK OF TRANSPORTATION AND SERVICES ACCESS.INTERVENTIONS MENTAL HEALTH FIRST AID COURSES MADE AVAILABLE/DELIVERED TO COMMUNITY AND PROFESSIONALS EDUCATE PROVIDERS VIA DETAILING VISITS TO PROMOTE POSTPARTUM DEPRESSION (PPD) SCREENING AT INFANT'S WELL CHILD VISITS (1WK, 2WK, 2, 4 AND 6 MONTHS) IN PEDIATRIC OFFICE WITH REFERRAL TO MOTHER'S PRIMARY HEALTH CARE PROVIDER (PCP) EDUCATE PEDIATRIC PROVIDERS IN THE COUNTY ON THE PROJECT TEACH REFERRAL AND MATERNAL HEALTH MENTAL HEALTH PROJECT THROUGH PROJECT TEACH INITIATIVE VIA DETAILING VISITS TO PROVIDERS MULTI-AGENCY LOBBYING EFFORTS TO NYS MEDICAID TRANSPORTATION PROGRAM TO IMPROVE ACCESS AND TIMELINESS OF TRANSPORTATION TO MEDICAL APPOINTMENTS FOR COUNTY RESIDENTS IMPROVE AWARENESS OF LOCAL AND REGIONAL SERVICES IN AN EFFORT TO IMPROVE OUTREACH EFFORTS EVALUATE AND IMPROVE OUTREACH EFFORTSFAMILY OF MEASURESMENTAL HEALTH FIRST AID NUMBER OF COURSES HELD NUMBER OF INDIVIDUALS TRAINEDPROVIDER DETAILING POSTPARTUM DEPRESSION NUMBER OF PROVIDERS EDUCATED ON PROJECT NUMBER OF PEDIATRIC PRACTICES WILLING TO SCREEN MOMSPROJECT TEACH DETAILING 100% OF HEALTH CARE PROVIDERS IN COUNTY EDUCATED ON BOTH PROJECTS 100% OF HEALTH CARE PROVIDERS IN COUNTY RECEIVE ANNUAL UPDATES AND EDUCATION NUMBER OF PROVIDERS PARTICIPATING IN KICK OFF DINNER/WEBINAR NUMBER OF PROVIDERS COMPLETING CORE TRAINING BY PROJECT TEACHMEDICAID TRANSPORTATION LOBBYING NUMBER OF AGENCIES JOINING LETTER WRITING CAMPAIGN AGENCY SELF-REPORTS IMPROVEMENT IN MEDICAID TRANSPORTATION FOR CLIENTSSERVICES AWARENESS AND IMPROVED OUTREACH NUMBER OF CHENANGO COUNTY CALLS TO 211 AGENCY SELF-REPORTS IMPROVEMENT FOR CLIENTSPROJECTED YEAR 1 INTERVENTIONSMENTAL HEALTH FIRST AID1. ORGANIZE RESOURCES 2. COALESCE PARTNERS 3. PRIORITIZE AND SCHEDULE FIRST TRAININGSPROVIDER DETAILING - POSTPARTUM DEPRESSION 1. BY END OF 2022, REACH OUT AND MEET WITH 100% OF HEALTH CARE PROVIDERS IN COUNTY WHO SEE NEWBORNS AND INFANTS TO PROVIDE EDUCATION REGARDING POSTPARTUM DEPRESSION SCREENING OF MOMS IN PEDIATRIC OFFICES 2. EDUCATE HEALTH CARE PROVIDERS ON THE EVIDENCE BASED PROGRAM PROJECT TEACH DETAILING PROJECT 1. BY END OF 2022, REACH OUT TO PROJECT TEACH FACILITATOR TO DISCUSS PLAN2. FORM SUBCOMMITTEE TO PLAN KICK OFF INFORMATIONAL DINNER3. SECURE FUNDING FOR DINNER PRESENTATIONTRANSPORTATION1. FORM WORKGROUP2. EXPLORE ISSUE IN DEPTH 3. INTERVIEW PARTNERS 4. DRAFT ADVOCACY LETTERACCESS TO SERVICES 1. FORM WORKGROUP 2. EXPLORE ISSUE IN DEPTH3. IDENTIFY AND TARGET SHORT COMINGS AND GAPSPROJECTED YEAR 2 INTERVENTIONSMENTAL HEALTH FIRST AID 1. EXECUTE FULL SLATE OF TRAINING COURSES PROVIDER DETAILING - POSTPARTUM DEPRESSION1. BEGIN DETAILING VISITS AT 2ND QUARTER WITH PLANNED REVISIT BY END OF THE YEAR 2020 TO REMIND AND RE-INFORCE THE PROJECT DETAILS2. HAVE AT LEAST ONE HEALTH CARE PROVIDER SUCCESSFULLY IMPLEMENT POSTPARTUM DEPRESSION SCREENING IN THEIR PEDIATRIC PRACTICEPROJECT TEACH DETAILING PROJECT 1. PLAN AND IMPLEMENT INFORMATIONAL DINNER FOR HEALTH CARE PROVIDERS TO EDUCATE THEM ON PROJECT TEACH IN FIRST QUARTER OF THE YEAR 20202. ENCOURAGE PARTICIPANTS TO SIGN UP FOR CORE TRAININGS FOR THEIR STAFF BY PROJECT TEACH FACILITATORS 3. BEGIN DETAILING VISITS IN 2ND QUARTER, WITH PLANNED REVISIT BY END OF THE YEAR 2020 TO REMIND AND RE-INFORCE TRANSPORTATION 1. INTRODUCE PARTNERS TO ADVOCACY LETTER2. EDIT DRAFT AS NEEDED3. COLLECT SIGNATURES 4. SEND LETTERSACCESS TO SERVICE 1. GATHER REFERRALS, CONTACTS AND PROGRAM INFORMATION TO FILL GAPS IN 211 SERVICESPROJECTED YEAR 3 INTERVENTIONSMENTAL HEALTH FIRST AID1. EXECUTE ADDITIONAL TRAININGS 2. EVALUATE PROGRESS AND FUTURE NEEDSPROVIDER DETAILING - POSTPARTUM DEPRESSION1. ANNUAL DETAILING TO HEALTH CARE PROVIDERS TO ENCOURAGE THOSE WHO ARE NOT SCREENING TO START DOING SO2. HAVE ONE ADDITIONAL HEALTH CARE PROVIDER AGREE TO AND IMPLEMENT POSTPARTUM DEPRESSION SCREENING IN THEIR PEDIATRIC PRACTICEPROJECT TEACH DETAILING PROJECT 1. VISIT EACH HEALTH CARE PROVIDER ANNUALLY TO REVIEW PROJECT TEACH AND ENCOURAGE ITS USETRANSPORTATION 1. CONTINUE CONVERSATION WITH PARTNERS AND TARGET PROGRAM STAFF 2. EVALUATE CHANGE AND ADDITIONAL NEEDS ACCESS TO SERVICES 1. CONTINUE TO IMPROVE PROGRAM DETAIL IN 211 SYSTEM 2. ENCOURAGE AGENCY UPDATES TO THE SYSTEM3. PROMOTE SYSTEM USE |
| PART V, SECTION B, LINE 11: | IMPLEMENTATION PARTNER, ROLE(S) AND RESOURCESLOCAL HEALTH DEPARTMENTMENTAL HEALTH FIRST AID1. HOST TRAINING FOR STAFF2. PROMOTE AND REFER PROVIDER DETAILING - POSTPARTUM DEPRESSION1. CARRY OUT DETAILING PROJECT WITH PROVIDERSPROJECT TEACH DETAILING1. FACILITATE TRAININGS & EVENTS2. FUNDINGMEDICAID TRANSPORTATION LOBBYING1. LEAD AGENCY LOBBYING EFFORTSSERVICES AWARENESS AND IMPROVED OUTREACH WORKGROUP PARTICIPANT1. ID RESOURCES2. ID GAPS IN RESOURCE AWARENESS3. CULMINATE CORRECTIVE RESOURCES AND RECOMMENDATIONSHOSPITALMENTAL HEALTH FIRST AID1. HOST TRAINING FOR STAFF2. FACILITATE3. PROVIDE SPACE4. PROMOTE PROGRAM5. OBTAIN FUNDINGPROVIDER DETAILING - POSTPARTUM DEPRESSION UHS CHENANGO MEMORIAL HOSPITAL COMMUNITY HEALTH ADVOCATE - PROMOTE TO PROVIDERSMEDICAID TRANSPORTATION LOBBYINGASSIST IN FINALIZING LETTERSERVICES AWARENESS AND IMPROVED OUTREACH UHS CHENANGO MEMORIAL COMMUNITY HEALTH ADVOCATE - WORKGROUP PARTICIPANT1. ID RESOURCES 2. ID GAPS IN RESOURCE AWARENESS 3. CULMINATE CORRECTIVE RESOURCES AND RECOMMENDATIONS PROVIDERSMENTAL HEALTH FIRST AIDBASSETT - STAFF TRAINING, PROMOTEPROVIDER DETAILING - POSTPARTUM DEPRESSION UHS CHENANGO MEMORIAL HOSPITAL - ADOPT PRACTICE CHANGEBASSETT - ADOPT PRACTICE CHANGE PROJECT TEACH DETAILINGUHS CHENANGO MEMORIAL HOSPITAL - PROMOTE & UTILIZEBASSETT - PROMOTE & UTILIZEPRIVATE - PROMOTE & UTILIZEMEDICAID TRANSPORTATION LOBBYING 1. ASSIST IN FINALIZING LETTER2. CONSIDER SUPPORT COMMUNITY BASED ORGANIZATIONSMENTAL HEALTH FIRST AIDCHENANGO HEALTH NETWORK (CHN) 1. FACILITATE2. PROVIDE SPACE3. PROMOTE PROGRAM4. OBTAIN FUNDINGCHENANGO COUNTY BEHAVIORAL HEALTH1. STAFF TRAINED AS PROGRAM FACILITATORSPROJECT TEACH DETAILING CHENANGO HEALTH NETWORK 1. VOLUNTEER2. OBTAIN FUNDING3. FACILITATE KICKOFF EVENTCHENANGO COUNTY BEHAVIORAL HEALTH1. SUPPORT2. KICKOFF EVENT PARTICIPANTMEDICAID TRANSPORTATION LOBBYINGCATHOLIC CHARITIES - LOBBYING EFFORTS CHENANGO COUNTY BEHAVIORAL HEALTH - LOBBYING EFFORTSSERVICES AWARENESS AND IMPROVED OUTREACH CATHOLIC CHARITIES WORKGROUP PARTICIPANT1. ID RESOURCES2. ID GAPS IN RESOURCE AWARENESS 3. CULMINATE CORRECTIVE RESOURCES AND RECOMMENDATIONSCHENANGO COUNTY BEHAVIORAL HEALTH - WORKGROUP PARTICIPANT 1. ID RESOURCES2. ID GAPS IN RESOURCE AWARENESS 3. CULMINATE CORRECTIVE RESOURCES AND RECOMMENDATIONS OTHERMENTAL HEALTH FIRST AIDFIRST RESPONDERS HOST TRAININGS FOR STAFFLAW ENFORCEMENTMENTAL HEALTH FIRST AID HOST TRAININGS FOR STAFFK-12 SCHOOLMENTAL HEALTH FIRST AIDHOST TRAININGS FOR STAFF AND PROMOTEPROJECT TEACH DETAILINGUNADILLA VALLEY SCHOOL BASED CLINIC - PROMOTE AND UTILIZESHERBURNE SCHOOL BASED CLINIC PROMOTE AND UTILIZE2022 UPDATEMENTAL HEALTH FIRST AIDTHE CHENANGO HEALTH NETWORK AND CHENANGO MEMORIAL HOSPITAL WORKED TOGETHER ONCE AGAIN TO PROVIDE 10 DIFFERENT EVENTS WITHIN THE COMMUNITY TO BETTER PREPARE THE COMMUNITY AND EDUCATE THEM ABOUT MENTAL HEALTH FIRST AID. WITH MORE THAN 110 PARTICIPANTS AT ALL THE EVENTS COMBINED, THE AREA IS STARTING TO SEE A COMEBACK AFTER THE COVID SHUTDOWN. BUSINESSES, SCHOOL PROFESSIONALS AND OTHER HEALTH PROFESSIONALS TOOK ADVANTAGE OF THESE EVENTS. PROVIDER DETAILING - POSTPARTUM DEPRESSION CHENANGO MEMORIAL HOSPITAL'S MATERNITY AND WOMEN'S HEALTH CENTER WORKED WITH ALL NEW MOM'S AND EVEN AN OCCASIONAL CALL IN TO WORK THROUGH PERSONAL PATIENT NEEDS AND CONCERNS. DEPRESSION IS A SERIOUS SITUATION THAT ALL STAFF HERE AT THE HOSPITAL AND CLINICS TAKE SERIOUSLY. THE PARTNERSHIP WITH THE COUNTY HEALTH DEPARTMENT IS ALWAYS AN IMPORTANT PART OF SUCCESS WHEN DEALING WITH DEPRESSION. PROJECT TEACH DETAILING PROJECTPROJECT TEACH FACILITATOR IS SCHEDULED TO DISCUSS PROGRAM BENEFITS, PLAN AND HOW TO IMPLEMENT. FUNDING HAS BEEN SECURED FOR DINNER EVENT AND WILL BE ORGANIZED BY CHENANGO HEALTH NETWORK AND CHENANGO COUNTY DEPARTMENT OF HEALTH. ALL PROVIDERS WITHIN CHENANGO COUNTY WILL BE INVITED TO ATTEND. TRANSPORTATIONTRANSPORTATION CONTINUES TO BE A STICKING POINT FOR A HEALTHIER CHENANGO COUNTY. INTERVIEWS WITH OPTION PARTNERS WITHIN THE COMMUNITY WILL CONTINUE AND SOME PROGRESS HAS BEEN MADE. THERE IS STILL A NEED FOR A DEPENDABLE SERVICE WITH LITTLE TO NO COST FOR THOSE IN OUR COMMUNITY IN THE NEED FOR TRANSPORTATION TO AND FROM HEALTHCARE APPOINTMENTS. TALKS WILL CONTINUE AND A SOLUTION WILL BE FOUND. THE HEALTH DEPARTMENT AND CMH WILL CONTINUE TO WORK TOGETHER AS NEEDED.ACCESS TO SERVICES THE RESOURCE GUIDE WAS PRODUCED AND PRINTED FOR LOCAL USE AND HAS OFFERED OPTIONS FOR THOSE IN NEED OF RIDES TO AND FROM HEALTHCARE AND NEEDED SERVICES. PATIENTS HAVE FOUND THOSE RESOURCE USEFUL BUT MORE PROGRESS CAN BE MADE AND IS THE GOAL OF THE COMMITTEE IN 2023. |
| PART V, SECTION B, LINE 11: | INITIATIVE 2PRIORITY: PREVENT CHRONIC DISEASESFOCUS AREA: HEALTHY EATING AND FOOD SECURITYGOAL: INCREASE SKILLS AND KNOWLEDGE TO SUPPORT HEALTHY FOOD AND BEVERAGE CHOICES.OBJECTIVE: DECREASE THE PERCENTAGE OF ADULTS WHO CONSUME ONE OR MORE SUGARY DRINKS PER DAY BY 5%. DECREASE THE PERCENT OF CHILDREN WITH OBESITY BY 5%. DECREASE THE PERCENT OF ADULTS, AGES 18 YEARS AND OLDER WITH OBESITY BY 5%. REDUCE DENTAL CARRIES. DISPARITIES: LOW INCOME, GEOGRAPHYINTERVENTIONSPROJECT YEAR 1 "RETHINK YOUR DRINK: DRINK WATER" - CAMPAIGN ADOPT BEVERAGE STANDARDS AND PROMOTE MESSAGE THROUGH LITERATURE AND PROGRAMMING TO REDUCE OVER CONSUMPTION OF SUGARY SWEETENED BEVERAGES PROVIDE DENTAL SUPPLIES TO PRE K - 5TH GRADES IN ALL 9 COMMUNITY SCHOOLS ENCOURAGE CLASSROOM DENTAL CARE PRACTICE CHANGE IN THE SCHOOLSPROJECT YEAR 2 EXPAND "RETHINK YOUR DRINK: DRINK WATER" CAMPAIGN FOCUS ON: SUGARY SWEETENED BEVERAGE PRACTICE CHANGE AMONG 1. SCHOOLS 2. COMMUNITY - BASED PARTNERS3. BUSINESS PROVIDE DENTAL SUPPLIES TO PRE K - 5TH GRADES IN ALL 9 COMMUNITY SCHOOLS ALONG WITH A DENTAL PRESENTATION ENCOURAGE CLASSROOM DENTAL CARE PRACTICE CHANGE IN THE SCHOOLSPROJECT YEAR 3 EXPAND "RETHINK YOUR DRINK: DRINK WATER" CAMPAIGN FOCUS ON: SUGARY SWEETENED BEVERAGE PRACTICE CHANGE FOR PROVIDERS 1. CHENANGO MEMORIAL HOSPITAL PROVIDERS 2. BASSETT AND PRIVATE PROVIDERS3. DENTAL PROVIDERS PROVIDE DENTAL SUPPLIES TO PRE K - 5TH GRADES IN ALL 9 COMMUNITY SCHOOLS ENCOURAGE CLASSROOM DENTAL CARE PRACTICE CHANGE IN THE SCHOOLSFAMILY OF MEASURESPROJECT YEAR 1 NUMBER OF COMMUNITY PARTNERS AND THEIR STAFF EDUCATED NUMBER OF PROVIDERS' OFFICES AND THEIR STAFF EDUCATED NUMBER OF HOUSEHOLDS REACHED WITH DOOR TO DOOR MESSAGING NUMBER OF NEW FAMILIES OF NEWBORNS REACHED THROUGH MAILINGS NUMBER OF COMMUNITY EVENTS NUMBER OF PEOPLE REACHED DURING COMMUNITY EVENTS PHONE SURVEY (100 RANDOM CALLS THROUGHOUT THE TOWNSHIPS) TO ASSESS NUMBER OF PEOPLE REACHED VIA CAMPAIGN NUMBER OF PRE K - 5TH GRADE CLASSES PROVIDED WITH DENTAL SUPPLIES AND EDUCATIONAL PRESENTATIONS IN THE SPRING AND FALL NUMBER OF STUDENTS REACHED NUMBER OF SCHOOLS THAT AGREE TO ADOPT CLASSROOM DENTAL CARE PRACTICE CHANGE FOR PRE K- 5TH GRADEPROJECT YEAR 2 NUMBER POTENTIALLY REACHED IN 2020 WITH BILL BOARD MESSAGING CREATED ON 2019 NUMBER OF SCHOOLS THAT AGREE TO CLASS ROOM SUGARY SWEETENED BEVERAGES PRACTICE CHANGE (PLEDGE) NUMBER OF COMMUNITY PARTNERS AGREED TO SUGARY SWEETENED BEVERAGES PRACTICE CHANGE FOR MEETINGS AND EVENTS (PLEDGE) NUMBER OF BUSINESSES THAT AGREE TO SUGARY SWEETENED BEVERAGES PRACTICE CHANGE FOR MEETINGS AND EVENTS (PLEDGE) NUMBER OF PRE K - 5TH GRADE CLASSES PROVIDED WITH DENTAL SUPPLIES AND SUGARY SWEETENED BEVERAGES EDUCATIONAL PRESENTATIONS NUMBER OF STUDENTS REACHED INCREASE THE NUMBER OF SCHOOLS ADOPTING CLASSROOM DENTAL PRACTICE CHANGE BY 1 SUGARY SWEETENED BEVERAGES CONSUMPTION AMONG NYS ADULTS BY COUNTY BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM PREVALENCE OF OBESITY AMONG NYS ADULTS BY COUNTY BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEMPROJECT YEAR 3 PROVIDERS TO SCREEN AND COUNSEL PATIENTS REGARDING SUGARY SWEETENED BEVERAGES CONSUMPTION AS PART OF ROUTINE MEDICAL CARE NUMBER OF CHENANGO MEMORIAL HOSPITAL PROVIDERS CURRENTLY SCREENING AND COUNSELLING NUMBER OF CHENANGO MEMORIAL HOSPITAL PROVIDERS THAT AGREE TO PRACTICE CHANGE NUMBER OF BASSETT AND PRIVATE PROVIDERS CURRENTLY SCREENING AND COUNSELLING NUMBER OF BASSETT AND PRIVATE PROVIDERS THAT AGREE TO PRACTICE CHANGE NUMBER OF DENTISTS CURRENTLY SCREENING AND COUNSELLING NUMBER OF DENTISTS THAT AGREE TO PRACTICE CHANGE INCREASE THE NUMBER OF SCHOOLS ADOPTING CLASSROOM DENTAL PRACTICE CHANGE BY 1 SUGARY SWEETENED BEVERAGES CONSUMPTION AMONG NYS ADULTS BY COUNTY BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM PREVALENCE OF OBESITY AMONG NYS ADULTS BY COUNTY BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEMPROJECTED (OR COMPLETED) YEAR 1 INTERVENTIONS1. CAMPAIGN CREATION (3 PRONGED APPROACH - PARTNERS, PROVIDERS AND COMMUNITY)2. CAMPAIGN PRESENTATIONS TO PARTNERS AND THEIR STAFF, PROVIDERS AND OFFICE STAFF, AND COMMUNITY AT LARGE3. CUPS WITH CAMPAIGN MESSAGING DEVELOPED AND DISTRIBUTED DURING EDUCATIONAL OPPORTUNITIES (5,000+)4. WORK WITH THE DENTAL TASK FORCE TO COMBINE MESSAGING PROJECTED YEAR 2 INTERVENTIONS1. WORK WITH COMMUNITY SCHOOLS TO PROVIDE PRESENTATIONS TO STUDENTS, MESSAGING IN SCHOOLS AND SUGARY SWEETENED BEVERAGES PRACTICE CHANGE2. WORK WITH COMMUNITY PARTNERS AROUND SUGARY SWEETENED BEVERAGES PRACTICE CHANGE3. WORK WITH BUSINESSES AROUND SUGARY SWEETENED BEVERAGES PRACTICE CHANGE4. INCREASE THE NUMBER OF SCHOOLS ADOPTING CLASSROOM DENTAL PRACTICE CHANGE PROJECTED YEAR 3 INTERVENTIONS1. WORK WITH PROVIDERS (PHYSICIANS AND DENTISTS) TO SCREEN AND COUNSEL ABOUT SUGARY SWEETENED BEVERAGES CONSUMPTION AS PART OF ROUTINE MEDICAL CARE 2. INCREASE THE NUMBER OF SCHOOLS ADOPTING CLASSROOM DENTAL PRACTICE CHANGE (BRUSHING IN THE CLASSROOM)IMPLEMENTATION PARTNERS, ROLES(S) AND RESOURCESLOCAL HEALTH DEPARTMENTSUGARY SWEETENED BEVERAGESCREATE AND FACILITATE SUGARY SWEETENED BEVERAGE CAMPAIGNDENTALFUNDING, VOLUNTEERS, PRESENTATIONS IN SCHOOLSBUSINESSESSUGARY SWEETENED BEVERAGESADVOCATE FOR WORKSITE PRACTICE CHANGEDENTALFRONTIER VOLUNTEERNBT BANK VOLUNTEERBLUEOX VOLUNTEERCOMMUNITY-BASED ORGANIZATIONSSUGARY SWEETENED BEVERAGESADVOCATE FOR WORKSITE PRACTICE CHANGEDENTAL CHENANGO UNITED WAY - FORMATION OF DENTAL TASKFORCE, FUNDING, VOLUNTEER CHENANGO HEALTH NETWORK - FUNDING, VOLUNTEERNORWICH ROTARY - FUNDING, VOLUNTEERROGERS CENTER - HOST EVENTS/SPACE, VOLUNTEERHEALTH INSURANCE PLANSDENTALFIDELIS FUNDINGHOSPITALSUGARY SWEETENED BEVERAGESUHS CHENANGO MEMORIAL HOSPITAL COMMUNITY HEALTH ADVOCATE FACILITATE SUGARY SWEETENED BEVERAGES PRACTICE CHANGE AMONG THEIR PROVIDERSK-12 SCHOOLSUGARY SWEETENED BEVERAGESPLEDGE TO ADOPT CLASSROOM PRACTICE CHANGEPROMOTE MESSAGING IN SCHOOLSDENTALADOPT CLASSROOM PRACTICE CHANGE |
| PART V, SECTION B, LINE 11: | PROJECT YEAR 1 11 SCHOOLS PROVIDED WITH DENTAL SUPPLIES (ZIP BAGS, TOOTHBRUSHES, TOOTHBRUSH COVERS AND TOOTHPASTE) TWICE DURING THE SCHOOL YEAR (4000 CHILDREN IMPACTED) 11 SCHOOLS ACCEPTED THE INITIAL DENTAL PRESENTATION (4000 CHILDREN IMPACTED) UNADILLA VALLEY CENTRAL SCHOOL - ROLE MODEL FOR CLASSROOM PRACTICE CHANGE PERRY BROWN - ADOPTED CLASSROOM PRACTICE CHANGE STANFORD GIBSON - ADOPTED CLASSROOM PRACTICE CHANGE HOLY FAMILY - ADOPTED CLASSROOM PRACTICE CHANGEMEDIASUGARY SWEETENED BEVERAGESEVENING SUN - RUN PRESS RELEASESPARK OUTDOORS - ASSIST WITH BILLBOARD ADSLOCAL RADIO - ASSIST WITH ADSPROVIDERSSUGARY SWEETENED BEVERAGESADVOCATE FOR STAFF TRAINING, PRACTICE CHANGE AROUND SUGARY SWEETENED BEVERAGESPROVIDERS - SCREEN AND EDUCATE DURING MEDICAL VISITSOTHERDENTALCARE COMPASS NETWORK, DSRIP DONATION COLLECTIONOFFICE FOR THE AGINGSUGARY SWEETENED BEVERAGESADVOCATE FOR MESSAGING CAMPAIGN2022 UPDATE DENTAL INITIATIVE AND RETHINK YOUR DRINK INITIATIVETHIS INITIATIVE WAS STALLED DURING 2020/2021 BECAUSE OF THE INABILITY TO GET INTO THE SCHOOLS DURING THE PANDEMIC, BUT IN RECENT YEARS THE ENERGY AROUND THIS INITIATIVE HAS BEGUN TO REBUILD. OVER TIME WE HOPE TO GET BACK TO WHERE WE LEFT OFF AND THE HEALTH DEPARTMENT'S INVOLVEMENT IS IMPORTANT AND THE LEADING AGENCY.SUGARY DRINK EDUCATIONFOUR CHENANGO COUNTY SCHOOLS HAVE STUDENTS BRUSHING THEIR TEETH IN SCHOOL TO DEVELOP HEALTHY HABITS. ALONG WITH IN-SCHOOL TEETH BRUSHING THE CHENANGO DENTAL TASKFORCE HAS 2 DROP-OFFS A YEAR FOR DENTAL HYGIENE BAGS FOR ALL STUDENTS PRE-K THROUGH 5TH GRADE. CHENANGO COUNTY PUBLIC HEALTH HAS PARTNERS ON THIS INITIATIVE AND IS PLANNING THEIR NEXT DROP-OFF AND EDUCATION TO BE FOCUSED AROUND DRINKING WATER AND DENTAL HEALTH. BELOW ARE THE STATISTICS FROM OUTREACH FROM THE CHENANGO DENTAL TASKFORCE AND RETHINK YOUR DRINK INITIATIVE. THE RETHINK YOUR DRINK HAS ALSO BEEN OUTREACHING TO COMMUNITY BUSINESSES FOR PLEDGES TO ONLY SERVE WATER, COFFEE OR TEA AT STAFF MEETINGS AND GATHERINGS. COMMUNITY OUTREACHPUBLIC EDUCATION HAS CONTINUED THROUGH THE LAST CAN. ALONG WITH IN-SCHOOL TEETH BRUSHING THE CHENANGO DENTAL TASKFORCE HAS 2 DROP-OFFS A YEAR FOR DENTAL HYGIENE BAGS FOR ALL STUDENT'S PRE-K THROUGH 5TH GRADE. CHENANGO COUNTY PUBLIC HEALTH HAS PARTNERS ON THIS INITIATIVE AND IS PLANNING THEIR NEXT DROP-OFF AND EDUCATION TO BE FOCUSED AROUND DRINKING WATER AND DENTAL HEALTH. DENTAL EDUCATION ON DAMAGE FROM SUGARY DRINKSNUMBER OF COMMUNITY PARTNERS 25 AND THEIR STAFF EDUCATED 128NUMBER OF PROVIDERS' OFFICES 9 AND THEIR STAFF EDUCATED 89NUMBER OF PEOPLE REACHED DURING COMMUNITY EVENTS WERE MORE THAN 100PHONE SURVEY (APPROX. 100 RANDOM CALLS THROUGHOUT THE TOWNSHIPS) TO ASSESS NUMBER OF PEOPLE REACHED VIA CAMPAIGN, 28 HEARD OF IT, 72 NOT NUMBER OF STUDENTS REACHED WERE 2,850OTHER INITIATIVESPRIORITY: PREVENT CHRONIC DISEASES FOCUS AREA: PHYSICAL ACTIVITYGOAL: INCREASE ACCESS, FOR PEOPLE OF ALL AGES AND ABILITIES, TO INDOOR AND/OR OUTDOOR PLACES FOR PHYSICAL ACTIVITIES.OBJECTIVE: BY DECEMBER 31, 2024: DECREASE THE PERCENTAGE OF ADULTS AGES 18 YEARS AND OLDER WITH OBESITY (AMONG ALL ADULTS). OBJECTIVE 1.7 INCREASE THE PERCENTAGE OF ADULTS AGE 18 YEARS AND OLDER WHO PARTICIPATE IN LEISURE-TIME PHYSICAL ACTIVITY (AMONG ALL ADULTS).DISPARITIES: LOW-INCOME, GEOGRAPHYINTERVENTIONSCHENANGO HEALTHY CHALLENGE: A FREE RESOURCE FOR ALL COMMUNITY MEMBERS TO BECOME ENGAGED IN PHYSICAL ACTIVITY, HEALTHY EATING AND WHOLE HEALTH WELLNESS.FAMILY OF MEASURESPROJECT YEAR 1 NUMBER OF COMMUNITY PARTNERS AND THEIR STAFF INVOLVED NUMBER OF FAMILIES INVOLVED NUMBER OF PARTICIPANTS NUMBER OF ORGANIZATIONAL TEAMS NUMBER OF SURVEYED PARTICIPANTS WHO IMPROVED THEIR PHYSICAL ACTIVITY NUMBER OF SURVEYED PARTICIPANTS WHO IMPROVED THEIR OVERALL HEALTHPROJECT YEAR 2 INCREASE NUMBER OF COMMUNITY PARTNERS AND THEIR STAFF INVOLVED INCREASE NUMBER OF FAMILIES INVOLVED INCREASE NUMBER OF PARTICIPANTS INCREASE NUMBER OF ORGANIZATIONAL TEAMS NUMBER OF SURVEYED PARTICIPANTS WHO IMPROVED THEIR PHYSICAL ACTIVITY NUMBER OF SURVEYED PARTICIPANTS WHO IMPROVED THEIR OVERALL HEALTHPROJECT YEAR 3 NUMBER OF COMMUNITY PARTNERS AND THEIR STAFF INVOLVED NUMBER OF FAMILIES INVOLVED NUMBER OF PARTICIPANTS NUMBER OF ORGANIZATIONAL TEAMS NUMBER OF SURVEYED PARTICIPANTS WHO IMPROVED THEIR PHYSICAL ACTIVITY NUMBER OF SURVEYED PARTICIPANTS WHO IMPROVED THEIR OVERALL HEALTHPROJECTED (OR COMPLETED) YEAR 1 INTERVENTIONSLAUNCH THE CHENANGO HEALTHY CHALLENGEPROJECTED YEAR 2 INTERVENTIONSINCREASE THE NUMBER OF PARTICIPANTS WHO PARTICIPATE IN THE CHALLENGE AND COMPLETE ITPROJECTED YEAR 3 INTERVENTIONSTO HAVE THE SUPPORT OF COMMUNITY PARTNERS, BUSINESSES AND THE COMMUNITY AT LARGE TO EXTEND THE HEALTHY CHALLENGE BEYOND 2021IMPLEMENTATION PARTNERS, PARTNER ROLE(S) AND RESOURCESLOCAL HEALTH DEPARTMENTCHENANGO HEALTHY CHALLENGEVOLUNTEER, PROMOTE AND EDUCATE PARTICIPANTS AROUND SUGARY SWEETENED BEVERAGES MESSAGINGBUSINESSCHENANGO HEALTHY CHALLENGECHOBANI DONATIONSWILLOW PRIMITIVE & BOUTIQUE FACILITATE CLASSES AROUND CREATIVE THERAPY FOR EMOTIONAL AND SOCIAL HEALTHOTHER - PROMOTE TO STAFFHEADSTARTCHENANGO HEALTHY CHALLENGEVOLUNTEERHOSPITALCHENANGO HEALTHY CHALLENGEUHS CHENANGO MEMORIAL HOSPITAL, COMMUNITY HEALTH ADVOCATE - VOLUNTEER, PROMOTE TO HOSPITAL STAFF K-12 SCHOOLCHENANGO HEALTHY CHALLENGEPROMOTE TO FAMILIES AND STAFFOFFICE OF THE AGINGCHENANGO HEALTHY CHALLENGEPROMOTE TO STAFF AND SENIORS2022 UPDATEHEALTHY CHALLENGECHALLENGE ORGANIZERS ENGAGED PARTICIPANTS THROUGH SOCIAL MEDIA BY PROVIDING TIPS AND STRATEGIES TO HELP DURING THE QUARANTINE. POSTS INCLUDED TIPS ON HEALTHY LIVING, EATING, EXERCISE AND MENTAL HEALTH. THE FACEBOOK SITE HAS 100 ACTIVE PARTICIPANTS. IT IS HOPED A VIRTUAL CHALLENGE CAN BE HELD IN 2021. THE WALK/RUN IS NOW PART OF THE SUICIDE PREVENTION COALITION.LOCAL BIG BUSINESS COOPERATION AND INVOLVEMENTTHE EFFECTS OF COVID SEEM TO BE DISAPPEARING, AS SOME OF THE LOCAL BIG BUSINESSES HAVE BEGUN TO LET EVENTS LIKE THIS AND THE PURPOSE BACK INTO THE ORGANIZATION. WITH VISITS TO NBT BANK, UHS CHENANGO MEMORIAL, AND ALVOGEN, THE MESSAGE WILL CONTINUE TO SPREAD. THESE STOPS SAW THE FOLLOWING NUMBERS:NBT NUMBER OF GUESTS 71UHS CHENANGO MEMORIAL 75ALVOGEN 59WE EXPECT TO INTERACT WITH MORE BUSINESS IN THE COMING YEARS. COMMUNITY INVOLVEMENT IS IMPORTANT AND ALWAYS THE HARD PART ABOUT PREDICTING SUCCESS, BUT ALONG WITH PERSISTENCE AND COMMUNITY PARTNER INVOLVEMENT THE CHANCES OF SUCCESS IS MORE PROBABLE. PRIORITY: PREVENT CHRONIC DISEASESFOCUS AREA: PREVENTIVE CARE AND MANAGEMENTGOAL: IN THE COMMUNITY SETTING, IMPROVE SELF-MANAGEMENT SKILLS FOR INDIVIDUALS WITH CHRONIC DISEASES, INCLUDING ASTHMA, ARTHRITIS, CARDIOVASCULAR DISEASE, DIABETES AND PREDIABETES AND OBESITY.OBJECTIVE: BY DECEMBER 31, 2024 INCREASE THE PERCENTAGE OF ADULTS WITH CHRONIC CONDITIONS (ARTHRITIS, ASTHMA, CVD, DIABETES, CKD,) WHO HAVE TAKEN A COURSE OR CLASS TO LEARN HOW TO MANAGE THEIR CONDITION BY 5%. INCREASE HEALTH SYSTEM REFERRALS BY 5%. OVERALL, DECREASE A1CS BY 5% OF PARTICIPANTS THAT COMPLETED THE PROGRAM.DISPARITIES: LOW-INCOME, GEOGRAPHY, AGEINTERVENTIONS: CHN, UHS CHENANGO MEMORIAL HOSPITAL AND BASSETT HEALTH CARE: CHRONIC DISEASE SELF-MANAGEMENT PROGRAMEXPAND ACCESS TO EVIDENCE-BASED SELF-MANAGEMENT INTERVENTIONS FOR INDIVIDUALS WITH CHRONIC DISEASE (ARTHRITIS, ASTHMA, CARDIOVASCULAR DISEASE, DIABETES, PREDIABETES, AND OBESITY) WHOSE CONDITION(S) IS NOT WELL-CONTROLLED WITH GUIDELINES-BASED MEDICAL MANAGEMENT ALONE BASSET HEALTH CARE: NATIONAL DIABETES PREVENTION PROGRAMEXPAND ACCESS TO THE NATIONAL DIABETES PREVENTION PROGRAM (NATIONAL DPP), A LIFESTYLE CHANGE FOR PREVENTING TYPE 2 DIABETES |
| PART V, SECTION B, LINE 11: | FAMILY OF MEASURES: NUMBER OF HEALTH SYSTEMS THAT HAVE POLICIES & PRACTICES FOR IDENTIFYING AND REFERRING PATIENTS TO EVIDENCE-BASED SELF- MANAGEMENT EDUCATION (EBSMP) (PROGRAMS OFFERED: CHRONIC DISEASE SELF-MANAGEMENT PROGRAM (CDSMP), DIABETES SELF-MANAGEMENT PROGRAM (DSMP), PAIN SELF-MANAGEMENT PROGRAM (PSMP) NUMBER AND TYPE OF EVIDENCE-BASED SELF-MANAGEMENT EDUCATION PROGRAMS IN COMMUNITY SETTINGS NUMBER OF PATIENTS WHO PARTICIPATE IN EVIDENCE-BASED SELF-MANAGEMENT EDUCATION PROGRAMS PERCENTAGE OF PATIENTS WHO COMPLETE EVIDENCE-BASED SELF-MANAGEMENT EDUCATION PROGRAMS A1C PRE/POST FOR DIABETES MANAGEMENT PROGRAM OTHER PRE/POST FOR PAIN MANAGEMENT PROGRAM NUMBER OF HEALTH SYSTEMS THAT HAVE POLICIES & PRACTICES FOR IDENTIFYING AND REFERRING PATIENTS TO NATIONAL DIABETES PREVENTION PROGRAMS (NDPP) NUMBER OF NATIONAL DIABETES PREVENTION PROGRAMS IN COMMUNITY SETTINGS NUMBER OF PATIENTS REFERRED TO NATIONAL DIABETES PREVENTION PROGRAMS NUMBER OF PATIENTS WHO PARTICIPATE IN NATIONAL DIABETES PREVENTION PROGRAMS PERCENTAGE OF PATIENTS WHO COMPLETE NATIONAL DIABETES PREVENTION PROGRAMSPROJECTED (OR COMPLETED) YEAR 1 INTERVENTIONS OFFER:O CHRONIC DISEASE SELF-MANAGEMENT PROGRAM (CDSMP)O DIABETES SELF-MANAGEMENT PROGRAM (DSMP) 95% OF PARTICIPANTS REGISTERED COMPLETE THE PROGRAMPROJECTED YEAR 2 INTERVENTIONS OFFER: O CHRONIC DISEASE SELF-MANAGEMENT PROGRAM (CDSMP)O DIABETES SELF-MANAGEMENT PROGRAM (DSMP)O PAIN SELF-MANAGEMENT PROGRAM (PSMP) UHS CHENANGO MEMORIAL HOSPITAL TO GENERATE REFERRALS VIA THEIR ELECTRONIC MEDICAL RECORDPROJECTED YEAR 3 INTERVENTIONS OFFER:O CHRONIC DISEASE SELF-MANAGEMENT PROGRAM (CDSMP)O DIABETES SELF-MANAGEMENT PROGRAM (DSMP)O PAIN SELF-MANAGEMENT PROGRAM (PSMP) INSTITUTE THE NATIONAL DIABETES PREVENTION PROGRAM (NDPP)IMPLEMENTATION PARTNERS, PARTNER ROLE(S) AND RESOURCESLOCAL HEALTH DEPARTMENTCHRONIC DISEASE SELF-MANAGEMENTREFERRALS, OUTREACH, AND CLASS PROMOTIONCOMMUNITY-BASED ORGANIZATIONCHRONIC DISEASE SELF-MANAGEMENT CHENANGO HEALTH NETWORK - FUNDING, PROGRAM FACILITATORS, SPACE, REFERRALS, OUTREACH AND EDUCATION ABOUT CLASSES, ADVERTISE THE CLASSES, COLLECTING AND TRACKING DATA IN GSI NORWICH FAMILY YMCA - SPACE, OUTREACH AND EDUCATION ABOUT CLASSES, AND ADVERTISE THE CLASSESHOSPITALCHRONIC DISEASE SELF-MANAGEMENT UHS CHENANGO MEMORIAL HOSPITAL - FUNDING, PROGRAM FACILITATORS, SPACE, REFERRALS VIA PROVIDERS AND EMR, OUTREACH AND PROMOTION BASSETT FACILITATE NATIONAL DIABETES PREVENTION PROGRAM, FUNDING, REFERRALS, OUTREACH AND PROMOTION.PROVIDERSCHRONIC DISEASE SELF-MANAGEMENTPROMOTE AND REFERRAL SOURCEOTHERCHRONIC DISEASE SELF-MANAGEMENT CARE COMPASS NETWORK, DSRIP OUTREACH AND PROMOTIONOFFICE OF THE AGINGCHRONIC DISEASE SELF-MANAGEMENTSPACE, REFERRAL, OUTREACH AND PROMOTION 2022 UPDATEIMPROVE SELF-MANAGEMENT SKILLS FOR INDIVIDUALS WITH CHRONIC DISEASESTHE CHRONIC DISEASE SELF-MANAGEMENT (CDSM) HAS ALWAYS BEEN OUR GO TO PROGRAM FOR SPREADING INFORMATION AND PERSONAL MANAGEMENT ADVICE. THIS PROGRAM ALWAYS SEEMS TO DRAW A CROWD AND INTEREST. SUCCESS IN THE TRANSFER OF KNOWLEDGE IS THIS PROGRAMS STRONG BLOODLINE AND WW SEE THAT CONTINUING IN THE YEARS TO COME.DIABETES AND PREDIABETES ARE ALWAYS IMPORTANT PROGRAMS FOR THE CHENANGO COMMUNITY. BOTH THE CHENANGO HEALTH NETWORK AND UHS CHENANGO MEMORIAL CONTINUE TO WORK TOGETHER IN SUPPORTING THE DIABETES SELF-MANAGEMENT PROGRAM (DSMP). THIS PROGRAM PLAYS AN IMPORTANT ROLE IN THE COMMUNITY AND WILL CONTINUED TO BE SCHEDULED THROUGHOUT THE NEXT SEVERAL YEARS. PAIN SELF-MANAGEMENT, CARDIOVASCULAR DISEASE AND OBESITY HAVE ALL TRANSITIONED TO A VIRTUAL FORMAT MAKING IT EASIER FOR PEOPLE TO ATTEND IN THIS RURAL ENVIRONMENT. AFTER THE PANDEMIC THIS PROGRAM WAS REDUCED IN PARTICIPANT SIZE BUT HAS STARTED TO GROW, INCLUDING THE VIRTUAL COMPONENT. THE CHENANGO HEALTH NETWORK CONTINUES TO LEAD ALL THESE INITIATIVES AND COMMUNITY EVENTS. THEY WILL CALL ON UHS CHENANGO MEMORIAL WHEN NEEDED AND WE WORK TOGETHER WITH GREAT SUCCESS. PREVENTING CHRONIC DISEASE TOUCHES A CORD WITH ALL ASPECTS OF HEALTHCARE IN CHENANGO COUNTY. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 9 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - UHS IMAGING | ||||
| 6 NEWTON AVENUE | NORWICH | NY | 13815 | IMAGING CARE CENTER |
| 2 - UHS PHYSICAL THERAPY | ||||
| 26 CONKEY AVENUE | NORWICH | NY | 13815 | CENTER FOR PHYSICAL THERAPIES |
| 3 - UHS PRIMARY CARE - SIDNEY | ||||
| 44 PEARL STREET | SIDNEY | NY | 13838 | PRIMARY CARE CENTER |
| 4 - UHS PEDIATRICS | ||||
| 4 NEWTON AVENUE | NORWICH | NY | 13815 | PEDIATRIC CARE CENTER |
| 5 - UHS ORTHOPEDICS | ||||
| 4 NEWTON AVENUE | NORWICH | NY | 13815 | ORTHOPEDIC CARE CENTER |
| 6 - UHS GENERAL SURGERY | ||||
| 4 NEWTON AVENUE | NORWICH | NY | 13815 | GENERAL SURGERY CARE CENTER |
| 7 - UHS PRIMARY CARE - SHERBURNE | ||||
| 38A CLASSIC STREET | SHERBURNE | NY | 13460 | PRIMARY CARE CENTER |
| 8 - UHS PRIMARY CARE - OXFORD | ||||
| 21 NORTH CANAL STREET | OXFORD | NY | 13830 | PRIMARY CARE CENTER |
| 9 - UHS WOMEN'S HEALTH | ||||
| 32 CONKEY AVENUE | NORWICH | NY | 13815 | WOMEN'S HEALTH |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | A COMBINATION OF IRS PROVIDED WORKSHEETS AND THE RATIO OF PATIENT CARE COST TO CHARGES WAS USED. |
| PART I, LN 7 COL(F): | 100% OF THE ANNUAL BAD DEBT EXPENSE OF $2,304,237 WAS NOT INCLUDED IN THE CALCULATION OF NET BENEFIT EXPENSE. |
| PART III, LINE 2: | THE COST OF BAD DEBTS IS TAKEN FROM THE 2022 AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 3: | THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE IS BASED ON A PERCENTAGE ALLOCATION APPLIED TO THE TOTAL BAD DEBT EXPENSE REPORTED ON THE AUDITED FINANCIAL STATEMENTS. THE PERCENTAGE CALCULATION COMPARED THE 2022 ACTUAL BAD DEBT WRITE-OFFS RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE TO THE TOTAL 2022 ACTUAL BAD DEBT WRITE-OFFS. THIS CALCULATION DID NOT INCLUDE ESTIMATES OR ACCRUALS. IN 2022, THE WRITE-OFFS RELATED TO PATIENTS ELIGIBE FOR FINANCIAL ASSISTANCE WAS APPROXIMATELY 13.95% OF THE TOTAL BAD DEBT WRITE-OFFS. |
| PART III, LINE 4: | THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE IS BASED ON A PERCENTAGE ALLOCATION APPLIED TO THE TOTAL BAD DEBT EXPENSE REPORTED ON THE AUDITED FINANCIAL STATEMENTS. THE PERCENTAGE CALCULATION COMPARED THE 2022 ACTUAL BAD DEBT WRITE-OFFS RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE TO THE TOTAL 2022 ACTUAL BAD DEBT WRITE-OFFS. THIS CALCULATION DID NOT INCLUDE ESTIMATES OR ACCRUALS. IN 2022, THE WRITE-OFFS RELATED TO PATIENTS ELIGIBE FOR FINANCIAL ASSISTANCE WAS APPROXIMATELY 13.95% OF THE TOTAL BAD DEBT WRITE-OFFS. |
| PART III, LINE 8: | CMH FEELS THAT ANY SERVICES PROVIDED TO MEDICARE BENIFICIARIES THAT RESULTS IN A SHORTFALL TO THE ORGANIZATION BASED ON A LESS THAN ADEQUATE MEDICARE REIMBURSEMENT SHOULD BE TREATED AS A COMMUNITY BENEFIT. CMH TREATS ANY AND ALL COMMUNITY MEMBERS REGARDLESS OF ABILITY TO PAY. CMH'S SERVICE REGION HAS A HIGHER PROPORTION OF ELDERLY THAN THE U.S. AVERAGE. THEREFORE, CMH IS SERVICING AT RISK MEDICARE BENEFICIARIES WITH ALL ITS PROGRAMS AND SERVICES. |
| PART III, LINE 9B: | THE ORGANIZATION'S COLLECTION POLICY PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE AS FOLLOWS:CHARITY CARE IS GIVEN FIRST, THE REMAINING BALANCE, IS THEN SUBJECT TO AN INTEREST FREE PAY PLAN. IF THE PATIENT GUARANTOR CHOOSES TO IGNORE ALL FURTHER ATTEMPTS TO MAKE ARRANGEMENTS FOR PAYMENTS, AFTER 180 DAYS THE ACCOUNT IS SENT TO A COLLECTION AGENCY AT THE DISCOUNTED LEVEL.CMH'S POLICY CLEARLY STATES THAT THE FORCED SALE OR FORECLOSURE OF A PATIENT'S PRIMARY RESIDENCE, LIQUIDATION OF RETIREMENT ASSETS OR COLLEGE SAVINGS, AND THE SALE OF A CAR USED REGULARLY ARE NOT PERMITTED. THE POLICY ALSO PROHIBITS COLLECTION FROM PATIENTS WHO ARE DETERMINED TO BE ELIGIBLE FOR MEDICAID AT THE TIME OF SERVICE.CMH REFRAINS FROM SENDING AN ACCOUNT TO COLLECTION AGENCIES IF A COMPLETED FINANCIAL ASSISTANCE APPLICATION AND THE REQUIRED DOCUMENTATION ARE PROVIDED. CMH PROVIDES WRITTEN NOTICE NO LESS THAN 30 DAYS PRIOR TO REFERRING DEBTS TO COLLECTION AGENCIES AND WILL REFRAIN FROM INITIATING ANY EXTRAORDINARY COLLECTION ACTS FOR AT LEAST 120 DAYS FROM THE DATE OF THE FIRST DISCHARGE BILLING STATEMENT. CMH ALSO REQUIRES THAT COLLECTION AGENCIES FOLLOW THE FINANCIAL ASSISTANCE POLICY GUIDELINES AND MUST RECEIVE WRITTEN CONSENT FROM UHSH BEFORE COMMENCING LEGAL ACTION. |
| PART VI, LINE 2: | IN BETWEEN CHNA SUBMITTALS, UHS CHENANGO MEMORIAL HOSPITAL (CMH) USES INPATIENT AND OUTPATIENT SURVEYS ADMINISTERED THROUGH PRESS GANEY TO COLLECT PATIENT INPUT. ALL CMH PATIENTS, BOTH INPATIENT AND OUTPATIENT, RECEIVE EASY-TO-COMPLETE FORMS ASKING THEM QUESTIONS ABOUT THE CARE ISSUES THEY FEEL NEED TO BE ADDRESSED, AND SERVICES THAT NEED TO BE IMPROVED OR ADDED. PATIENTS PROVIDE VALUABLE INFORMATION IN THE "COMMENTS" SECTION OF THESE SURVEYS. EACH MONTH, THE SURVEY SCORES ARE COMPARED TO A ROLLING 12-MONTH AVERAGE AND TARGETS. THE TARGETS ARE BASED ON NATIONAL AVERAGES TO DETERMINE IF CMH IS AT OR ABOVE TARGET, WITHIN 10% OF APPROACHING TARGET, OR IS MORE THAN 10% BELOW TARGET. THE PROCESS FOR COMPILING AND REPORTING THIS DATA HAS BEEN CUMBERSOME AND TIME CONSUMING. IN 2022, CMH IDENTIFIED THREE OPPORTUNITIES TO IMPROVE THE PROCESS: 1) DEVELOP MORE PURPOSEFUL, CONSISTENT VISUALS (CHARTS) ACROSS SURVEY TYPES, 2) CREATE MORE USEFUL PATIENT COMMENT SHARING - FOR BOTH SUCCESSES AND REMINDERS OF AREAS FOR IMPROVEMENT, AND 3) INCREASE STAFF INVOLVEMENT WITH MORE TRANSPARENCY ON PERFORMANCE AND CREATE A PLATFORM FOR EDUCATION.DEPARTMENTAL SURVEY SCORES ARE NOW SHOWN IN A "SCORECARD" FORMAT THAT IS A CLEANER VISUAL AND IS EASY TO USE AND MODIFY. IT IS ALSO A BETTER REPRESENTATION OF ACTUAL PERFORMANCE ILLUSTRATING CAHPS AND HCAHPS SCORES AS WELL AS PATIENT COMMENTS. CMH'S PATIENT EXPERIENCE TEAM REVIEWS THE CHARTS MONTHLY AND DEPARTMENT LEADERS SHARE THE CHARTS WITH THEIR STAFF SO THEY CAN SEE PROGRESS AGAINST TARGETS AND READ PATIENT COMMENTS. PATIENT COMMENTS THAT REQUIRE MANAGEMENT CONSIDERATION ARE FORWARDED TO THE APPROPRIATE LEADERS FOR REVIEW AND DISCUSSION TO IMPROVE SERVICES.LIVING IN A SMALL COMMUNITY, WE ALSO GET SUGGESTIONS DIRECTLY FROM RESIDENTS ABOUT SERVICES THAT ARE NEEDED OR NEED IMPROVEMENT. HOSPITAL BOARD MEMBERS, AUXILIARY BOARD MEMBERS, AND FOUNDATION BOARD MEMBERS ARE VERY VOCAL ABOUT WHAT THEY ARE HEARING IN THE COMMUNITY OR EXPERIENCING THEMSELVES. EMPLOYEES ARE QUITE CRITICAL ABOUT THEIR OR THEIR FAMILY'S EXPERIENCES IN ALL FACETS OF PATIENT CARE PROVIDING VALUABLE FEEDBACK WITH A TRAINED EYE. BASED ON THIS FEEDBACK AND THOSE OF PATIENTS CALLING IN OR VISITING PROVIDERS, THE HOSPITAL HAS DEVELOPED THE FOLLOWING INITIATIVES.THE HOSPITAL HAS USED OTHER MEANS FOR COLLECTING COMMUNITY INPUT BETWEEN NEEDS ASSESSMENTS. FOCUS GROUPS HAVE BEEN USED TO DISCUSS A SPECIFIC NEED THAT HAS BEEN IDENTIFIED AND REQUIRES FURTHER RESEARCH. FOCUS GROUPS WERE HELD DURING OUR MOST RECENT NEEDS ASSESSMENT PROCESS AND MORE INFORMATION ABOUT THAT IS AVAILABLE IN PART V, SECTION C - SUPPLEMENTAL INFORMATION FOR PART V, SECTION B.CMH ALSO LOOKS AT DIAGNOSIS CODES AND MARKET DATA PERIODICALLY TO DETECT DEVELOPING TRENDS AND ADDRESS THEM AS NEEDED.LASTLY, THE HOSPITAL'S VP OF SERVICE COORDINATION & DEVELOPMENT IS CHAIRMAN OF THE CHENANGO HEALTH NETWORK (CHN). THE CHN IS CHENANGO COUNTY'S RURAL HEALTH NETWORK. THE BOARD CONSISTS OF 13 COMMUNITY LEADERS REPRESENTING A CROSS SECTION OF HEALTH CARE SERVICES IN THE AREA. THIS GROUP MEETS MONTHLY AND DISCUSSES HEALTH CARE CONCERNS AND OPPORTUNITIES IN THE COMMUNITY AND INITIATES SUBCOMMITTEES TO ADDRESS SPECIFIC ISSUES AS NEEDED. |
| PART VI, LINE 3: | OUR ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER OUR CHARITY CARE POLICY AS FOLLOWS:* EVERY CLINIC AND AREA OF PATIENT REGISTRATION HAS A NOTICE POSTED INFORMING THE PATIENT/S/PUBLIC OF THE AVAILABILITY OF FINANCIAL ASSISTANCE* BROCHURES DESCRIBING THE POLICY ARE AVAILABLE AT CLINICS, POINTS OF REGISTRATION, AND ARE MAILED TO SELF PAY PATIENTS ALONG WITH APPLICATIONS* INPATIENTS ARE VISITED BY THE PATIENT FINANCIAL ADVOCATE. THEY ARE MADE AWARE OF GOVERNMENT PROGRAMS AND IF NECESSARY, ARRANGEMENTS ARE MADE WITH THE DEPARTMENT OF SOCIAL SERVICES TO HAVE A WORKER COME IN AND TAKE THE APPLICATION FROM THE PATIENT. THE PATIENT IS GIVEN INFORMATION AND AN APPLICATION FOR FINANCIAL ASSISTANCE, WHICH CAN BE COMPLETED AT THE PATIENT'S BEDSIDE.* THE WOMAN'S HEALTH CENTER INFORMS ALL SELF PAY PREGNANT WOMEN OF THE "PRESUMPTIVE ELIGIBILITY" PROCESS AND PATIENTS ARE DIRECTED TO PATIENT FINANCIAL SERVICES FOR COMPLETION OF THE APPLICATION AND COMPLETION OF A WIC APPLICATION IF PATIENT SO DESIRES* EVERY CMH EMPLOYEE IS MADE AWARE OF THE CHARITY CARE PROGRAM AT ORIENTATION AND ENCOURAGED TO INFORM PATIENTS AND THE PUBLIC ABOUT THE PROGRAM. PERSONNEL WHO HAVE PATIENT CONTACT ARE ANNUALLY IN-SERVICED ON CHARITY CARE PROGRAM* EVERY BILL THAT IS SENT OUT IS MARKED "FOR INFORMATION REGARDING OUR "PATIENT FINANCIAL ASSISTANCE" PROGRAM" PLEASE CONTACT 607-337-4295 |
| PART VI, LINE 4: | CHENANGO COUNTY IS A RURAL COUNTY IN THE SOUTH-CENTRAL AREA OF NEW YORK, FREQUENTLY REFERRED TO AS THE SOUTHERN TIER. CONTIGUOUS COUNTIES INCLUDE MADISON, OTSEGO, DELAWARE, BROOME, AND CORTLAND. NORWICH, THE COUNTY SEAT, IS APPROXIMATELY 112 MILES WEST OF ALBANY, 40 MILES NORTH OF BINGHAMTON, AND 60 MILES SOUTHEAST OF SYRACUSE. THERE ARE 21 TOWNSHIPS, 8 VILLAGES, AND 1 CITY IN THE COUNTY. THE COUNTY'S LAND AREA CONSTITUTES 899 SQUARE MILES AND IS COMPRISED MAINLY OF RURAL LANDSCAPES WITH AGRICULTURAL LAND (35%) AND FOREST (60%) BEING THE TWO MOST PREDOMINANT. APPROXIMATELY 112,000 ACRES, OR 20%, OF CHENANGO COUNTY'S LAND IS STATE OWNED. THE PRIMARY CONNECTOR FROM CHENANGO COUNTY TO THE REST OF NEW YORK STATE IS STATE ROUTE 12, WHICH PROVIDES LINKS TO THE NYS THRUWAY, AND INTERSTATES 81, 86, AND 88. THERE IS ACCESS TO AIR TRANSPORTATION THROUGH COMMERCIAL AIRPORTS IN BINGHAMTON, UTICA, SYRACUSE, AND ALBANY. BINGHAMTON AIRPORT IS THE CLOSEST AIRPORT AT 42 MILES FROM NORWICH. IN ADDITION, THE LT. WARREN EATON AIRPORT IN NORWICH PROVIDES ACCESS TO PRIVATE AIR TRAVEL. CMH HAS A HELIPORT WHICH ALLOWS PATIENTS IN NEED OF INTENSIVE CARE TO BE AIRLIFTED TO LARGER CARE CENTERS. THE COUNTY DOES NOT HAVE ACCESS TO COMMUTER RAIL TRANSPORTATION. COACH USA AND GREYHOUND LINES OFFER BUS TRANSPORTATION TO AND FROM THE AREA. CHENANGO FIRST TRANSIT PROVIDES BUS SERVICE VIA SIX FIXED ROUTES WITHIN THE COUNTY. THE TRAVEL TIME TO HOSPITALS OTHER THAN CMH FOR CHENANGO COUNTY RESIDENTS IS SUBSTANTIAL. AS NOTED BELOW, THE NEAREST LARGE HOSPITALS REQUIRE TRAVEL OF UP TO 45 MINUTES OR MORE.A.O. FOX HOSPITAL, ONEONTA, NY, IS 32 MILES OR 45 MINUTESM.I. BASSETT HEALTHCARE, COOPERSTOWN, NY, IS 44 MILES OR 1 HOURUHS BINGHAMTON GENERAL HOSPITAL, NY, IS 43 MILES OR 1 HOURCOMMUNITY MEMORIAL HOSPITAL, HAMILTON, NY, IS 22 MILES OR 30 MINUTESCORTLAND REGIONAL MEDICAL CENTER, NY, IS 43 MILES OR 1 HOURCROUSE HOSPITAL, SYRACUSE, NY, IS 58 MILES OR 1 HOUR, 15 MINUTESOUR LADY OF LOURDES HOSPITAL, BINGHAMTON, NY, IS 42 MILES OR 1 HOURSYRACUSE VA MEDICAL CENTER, NY, IS 58 MILES OR 1 HOUR, 15 MINUTESTRI TOWN REGIONAL HOSPITAL (ED ONLY), NY, 22 MILES OR 30 MINUTESUHS WILSON MEDICAL CENTER, JOHNSON CITY, NY, IS 44 MILES OR 1 HOURUPSTATE UNIVERSITY HOSPITAL, SYRACUSE, NY IS 58 MILES OR 1 HOUR, 15 MINUTESDEMOGRAPHICALLY, 95% OF THE COUNTY'S POPULATION (47,527) IS PREDOMINANTLY WHITE. THE REMAINING POPULATION INCLUDES HISPANIC/LATINO, BLACK, ASIAN AND AMERICAN INDIAN. CHENANGO COUNTY IS 50TH IN TOTAL POPULATION AMONG THE 62 COUNTIES IN NEW YORK STATE AND HAS BEEN EXPERIENCING A STEADY DECLINE IN ITS OVERALL POPULATION. AS WITH THE REST OF THE UNITED STATES, THE POPULATION OF CHENANGO COUNTY IS AGING. THE MEDIAN AGE OF THE POPULATION HAS CONTINUED TO INCREASE OVER TIME, RISING FROM AGE 43 IN 2010 TO AGE 44.9 IN 2017 AND HAS STAYED RELATIVELY CONSISTENT, AT 45.1% IN 2022. THE GROUP THAT HAS SEEN THE LARGEST INCREASE DURING THIS TIME IS ADULTS AGED 65 TO 79, WITH A POPULATION INCREASE FROM 14.6% IN 2016 TO 20.4% IN 2022.THE CHENANGO COUNTY UNEMPLOYMENT RATE IS TYPICALLY HIGHER THAN THAT OF NYS AS A WHOLE. AS OF 2022, THE CHENANGO COUNTY UNEMPLOYMENT RATE (NOT SEASONALLY ADJUSTED) WAS 6.5% WHILE THE NYS RATE WAS 5.7%. OF THE 29,071 PEOPLE AGED 16-64 IN THE COUNTY, 76.5% (22,232) WORKED AT LEAST PART-TIME FOR PART OF THE YEAR. THE NUMBER OF PEOPLE AGED 16-64 IN CHENANGO COUNTY WHO DID NOT WORK AT ALL INCREASED FROM 7,755 (23.8%) IN 2010 TO 8,548 (27.7%) IN 2016 AND THEN INCREASED TO 8,741 (28.5%) IN 2022. OF THOSE WORKERS WHO DID WORK, NEARLY TWO-THIRDS OR 65.2%, WORKED FULL-TIME, YEAR-ROUND, AND 77.9% OF WORKERS USUALLY WORKED 35 HOURS OR MORE IN 2022, SLIGHTLY DOWN FROM 78.9% IN 2016. IN 2022, 17.5% OF THE PEOPLE IN CHENANGO COUNTY AGED 18 TO 64 IDENTIFIED AS HAVING A DISABILITY, AN INCREASE FROM 16.4% IN 2016. 57.7% OF PEOPLE WITH DISABILITIES ARE NOT IN THE LABOR FORCE WHILE 33.3% ARE EMPLOYED.CHENANGO COUNTY HAS A SIGNIFICANTLY LOWER MEDIAN INCOME THAN NEW YORK STATE AS A WHOLE, BOTH FOR HOUSEHOLDS AND FAMILIES. THIS SUGGESTS THAT THE COUNTY POPULATION OVERALL HAS LESS "BUYING" POWER. THE MEDIAN HOUSEHOLD INCOME IN 2022 WAS $50,411 IN CHENANGO COUNTY WHILE NYS WAS $71,117. MEDIAN FAMILY INCOME IN 2022 WAS $65,743 FOR FAMILIES..CHENANGO COUNTY IS A POOR COUNTY WITH 27% OF ITS POPULATION AND 15.8% OF ITS CHILDREN LIVING BELOW THE FEDERAL POVERTY LEVEL. THE NUMBER OF CHILDREN AGED 0-17 LIVING IN POVERTY DECREASED FROM 18.9% IN 2016 TO 17.6% IN 2022. OF THOSE FAMILIES WITH FEMALE HEADS OF HOUSEHOLD AND CHILDREN PRESENT, 33.6% LIVE IN POVERTY. OF THE 29,071 PEOPLE AGED 16-64 IN THE COUNTY, 76.5% (22,232) WORKED AT LEAST A PART-TIME FOR PART OF THE YEAR. POOR ECONOMIC STATUS IS OFTEN ASSOCIATED WITH POOR HEALTH OUTCOMES AS THOSE WITHOUT MEANS ARE NOT IN A POSITION TO MAKE LIFESTYLE CHANGES TO PROMOTE GOOD HEALTH. IN CHENANGO COUNTY MANAGING EXPENSES RELATED TO FOOD, HOUSING, CLOTHING, TRANSPORTATION, CHILD CARE AND HEALTH CARE IS A MAJOR STRESSOR FOR INDIVIDUALS PARTICULARLY WITH FAMILIES AND SENIOR ADULTS. CHENANGO COUNTY'S POVERTY LEVELS BRING TO FOCUS FOOD INSECURITIES FOR THAT POPULATION. ONE OF THE ISSUES OF GENERATIONAL POVERTY (FAMILIES AND INDIVIDUALS LIVING IN POVERTY GENERATION TO GENERATION) THAT IS EVIDENT IN THE COUNTY IS THE UTILIZATION OF FOOD PANTRIES AND FREE MEAL PROGRAMS OFFERED BY AREA CHURCHES. RESIDENTS WITH FOOD INSECURITY LIVE DAY-TO-DAY TO PROVIDE FOR THEMSELVES AND THEIR FAMILIES; THEY FOCUS ON DAY-TO-DAY SURVIVAL VERSUS DEVELOPING STRATEGIES TO PREVENT FOOD INSECURITY AND OTHER HEALTH CONCERNS.DATA FROM NYSDOH INDICATES THAT AS OF OCTOBER OF 2022, 29% OF THE CHENANGO COUNTY POPULATION (17,038 MEMBERS) WAS ENROLLED IN MEDICAID. THIS IS SLIGHTLY BELOW THE NYS RATIO OF 44.1% FOR THE SAME TIME PERIOD. THE NUMBER OF PEOPLE ENROLLED IN MEDICAID IN CHENANGO COUNTY HAS INCREASED BY 6.8% SINCE 2017 (13,912 MEMBERS), A RATE SLIGHTLY LOWER THAN NYS'S INCREASE OF 12.8%.THE INCREASE IN THE NUMBER OF MEDICAID ENROLLEES IS REFLECTED IN THE TREND TOWARD LOWER UNINSURED RATES. ACCORDING TO CENSUS DATA, THE PERCENTAGE OF THE COUNTY POPULATION WITHOUT INSURANCE DECLINED FROM 5.3% IN 2017 TO THE CURRENT LOW OF 4.1% IN 2022. THIS DATA SHOWS THAT AS THE PERCENTAGE OF PEOPLE WHO ARE INSURED HAS INCREASED, THE DISTRIBUTION OF PEOPLE COVERED BY DIFFERENT INSURANCE ENTITIES HAS ALSO CHANGED. IN 2022, A HIGHER PERCENTAGE OF CHENANGO COUNTY RESIDENTS WERE COVERED BY INSURANCE THAT THEY PURCHASED DIRECTLY (SUCH AS THROUGH THE STATE EXCHANGE) AND THROUGH MEDICAID ONLY, THAN WERE IN 2017. FEWER CHENANGO COUNTY RESIDENTS WERE ENROLLED IN MORE THAN ONE INSURANCE PLAN IN 2022, THAN COMPARED TO 2017. FEWER CHENANGO COUNTY RESIDENTS IN 2022 WERE ALSO NOT COVERED BY EMPLOYER-BASED INSURANCE PLANS THAN IN 2017. AS OF YEAR-END 2022, UHS CHENANGO MEMORIAL HOSPITAL SHOWED A PAYER MIX OF 39% MEDICARE, 25% MEDICAID, 18% COMMERCIAL, 10% SELF-PAY AND 8% OTHER.** CONTINUED ON SCHEDULE H SUPPLEMENTAL INFORMATION |
| PART VI, LINE 5: | COMMUNITY BOARDUHS CHENANGO MEMORIAL'S BOARD OF DIRECTORS TOTALS 16 MEMBERS, 11 OF WHOM ARE LOCAL RESIDENTS AND COMMUNITY LEADERS IN BANKING, LAW, PHARMACEUTICALS, MANUFACTURING, INSURANCE, INVESTMENTS, AND INDEPENDENT BUSINESS. THE BOARD MEETS BI-MONTHLY. THE BOARD ALSO HAS COMMITTEES THAT FOCUS ON FINANCES, STAFF CREDENTIALING, AND GOVERNANCE ALL OF WHICH HAVE REPRESENTATION FROM THE COMMUNITY.THE CMH AUXILIARY, WHO ALSO REPORT UNDER THE HOSPITAL'S TAX ID NUMBER, HAS ITS OWN BOARD THAT MEETS MONTHLY AND CONSISTS OF 16 MEMBERS ALL OF WHOM LIVE LOCALLY. THEY, TOO, REPRESENT A CROSS SECTION OF BUSINESSES SIMILAR TO THE HOSPITAL'S BOARD OF DIRECTORS. IN ADDITION, THEY INCLUDE RETIRED INDIVIDUALS AND FAMILY MEMBERS OF PROMINENT COMMUNITY LEADERS IN THE AREA.ALTHOUGH THE CHENANGO MEMORIAL HOSPITAL FOUNDATION, INC., HAS ITS OWN TAX ID NUMBER, ITS SOLE PURPOSE IS TO SUPPORT THE HOSPITAL THROUGH FUNDRAISING. THE FOUNDATION BOARD ALSO HAS 14 MEMBERS WHO REPRESENT BUSINESSES FROM THROUGHOUT THE COUNTY AND MEET APPROXIMATELY 3 TIMES PER YEAR.OPEN MEDICAL STAFF THE HOSPITAL REVIEWS MEDICAL STAFF PRIVILEGES OF ANY QUALIFIED PHYSICIANS AND ALLIED PROFESSIONALS IN THE COMMUNITY THAT APPLY. THE RIGOROUS CREDENTIALING PROCESS INCLUDES REVIEW BY AN INTERNAL CREDENTIALS COMMITTEE AND MEDICAL EXECUTIVE COMMITTEE. AFTER APPROVAL FROM THESE TWO COMMITTEES, THE APPLICATION PROCEEDS TO THE PROFESSIONAL ADVISORY COMMITTEE (PAC), A SUBCOMMITTEE OF THE HOSPITAL'S BOARD OF TRUSTEES, FOR APPROVAL. AFTER APPROVAL BY PAC, THE APPLICATION PROCEEDS TO THE HOSPITAL'S BOARD OF DIRECTORS FOR FINAL APPROVAL AND CREDENTIALING. USE OF SURPLUS FUNDS SURPLUS FUNDS ARE MADE AVAILABLE PRIMARILY FOR PURCHASES OF EQUIPMENT, FACILITY IMPROVEMENTS, OR TECHNOLOGY TO IMPROVE PATIENT CARE. IN SOME INSTANCES, FUNDS ARE USED TO SUPPORT NEW SERVICES. CHENANGO MEMORIAL HOSPITAL WILL BEGIN TO DRAW FROM ITS 20 MILLION DOLLAR TRANSFORMATION II GRANT AWARDED BY THE NYS DEPARTMENT OF HEALTH IN 2022. THIS LATEST AWARD WILL BE USED FOR PRIMARY CARE AND SPECIALTY SERVICE RELOCATION, GROWTH AND UPDATES. THE FLOOR PLANS ARE BEING FINALIZED. MUCH WORK HAS GONE INTO CREATING A MORE MODERN AND USER FRIENDLY SPACE FOR BOTH STAFF AND PATIENTS. NEW WORK IS SCHEDULED TO BEGIN THE NEXT PHASE LATE IN 2023. THE HOSPITAL RELOCATED THE WOMEN'S HEALTH CENTER TO THE EATON CENTER IN DOWNTOWN NORWICH TO MAKE WAY FOR THE NEW EMERGENCY ROOM. THE CENTER NOW HAS SIGNIFICANTLY MORE SPACE AND INCLUDES A BREASTFEEDING AREA, TWO TREATMENT ROOMS, ADDITIONAL EXAM ROOMS, AND AN EDUCATION AREA SUITABLE FOR CHILDBIRTH EDUCATION CLASSES, SUPPORT GROUPS, ETC. CHENANGO MEMORIAL IS THE ONLY HOSPITAL ALONG THE ROUTE 12 CORRIDOR BETWEEN BINGHAMTON AND ONEIDA WITH OBSTETRIC SERVICES. MOST OF THE COSTS OF THE CONSTRUCTION HAVE BEEN ABSORBED IN THE LEASE. HOWEVER, THE HOSPITAL STILL PAID $30,000 FOR RELATED EXPENSES AND $18,000 FOR AN ADDITIONAL ULTRASOUND MACHINE. THE NEW SPACE WENT LIVE MARCH 27, 2020. RENOVATIONS TOOK PLACE IN THE HOSPITAL'S SIDNEY CLINIC AT THE END OF 2019 AND WE HAVE CONTINUED TO IMPROVE THE SPACE INTO 2022. 3D MAMMOGRAMS REDUCE THE NEED FOR MULTIPLE TESTS AND SAVE WOMEN ANXIETY ABOUT POTENTIALLY POSITIVE DIAGNOSES. THE TECHNOLOGY USES MULTIPLE ANGLED IMAGES AS THE MACHINE SWEEPS IN AN ARC OVER A WOMAN'S BREAST. THE RADIOLOGIST VIEWS THESE IMAGES SEQUENTIALLY. A MASS WILL STAND OUT IN THE SCAN NOT BE CAMOUFLAGED BY DENSE BREAST TISSUE AS SOMETIMES OCCURS WITH TRADITIONAL 2D MAMMOGRAPHY. THE FOLLOWING ARE THE TOP FIVE BENEFITS OF 3D MAMMOGRAPHY: A) MORE ACCURATE DETECTION, B) EARLIER DIAGNOSIS, C) BETTER DETECTION IN DENSE BREAST TISSUE, D) LESS ANXIETY FOR THE PATIENT DUE TO FALSE ALARMS WITH 2D MAMMOGRAPHY, E) IS SAFE AND EFFECTIVE WOMEN EXPERIENCE A MINIMAL AMOUNT OF ADDITIONAL RADIATION COMPARED WITH A STANDARD MAMMOGRAM. THE NEW SERVICE WENT LIVE IN FEBRUARY 13, 2022. DURING THE WINTER OF 2021-2022, THE ROOF OVER THE 1970 SECTION OF THE HOSPITAL NEEDED EMERGENCY REPLACEMENT. THIS WORK WAS COMPLETED IN APRIL OF 2022. NO SOONER HAD THAT WORK BEEN COMPLETED, WHEN THE ROOF OVER THE 1929 BUILDING STARTED LEAKING. THE REPLACEMENT OF THIS ROOF ALSO INVOLVED REPLACING AN AGING AIR HANDLING UNIT. THE PRICE OF BOTH THE ROOF AND AIR HANDLING UNIT TOTALED $900K AND WORK WAS COMPLETED IN THE SUMMER OF 2022. THE HOSPITAL EXPANDED GI SERVICES TO A FULL DAY PER MONTH FOR OFFICE VISITS AND TO 2 FULL DAYS PER MONTH FOR PROCEDURES THEREBY DOUBLING PATIENT ACCESS TO THIS SERVICE. IN ADDITION, PHYSICIANS STARTING USING PROPOFOL DURING COLONOSCOPIES AND ENDOSCOPIES. PROPOFOL REDUCES PATIENT RECOVERY TIMES WHILE MAINTAINING PATIENT SAFETY. THE FASTER TURNAROUND TIME OPENS THE SCHEDULE FOR MORE PATIENTS SEEKING CANCER SCREENINGS. THE HOSPITAL SPENT $22,000 TO PURCHASE ADDITIONAL SCOPES AND ANESTHESIA MACHINES TO SUPPORT THE INCREASED VOLUME OF PROCEDURES IN OUR AMBULATORY SURGERY DEPARTMENT. IN SEPTEMBER 2020, CHENANGO MEMORIAL WENT LIVE WITH A NEW ELECTRONIC MEDICAL RECORD SYSTEM CALLED EPIC. IMPRESSIVE UPDATES WERE MADE, INSTALLED AND TAUGHT THROUGHOUT 2022. THIS NEW SYSTEM ALLOWS CMH TO ACCESS, ORGANIZE, STORE AND SHARE ELECTRONIC MEDICAL RECORDS ACROSS THE UHS SYSTEM AS WELL AS PROVIDE VALUABLE POPULATION HEALTH INFORMATION TO GOVERNMENT AGENCIES. FROM A PATIENT PERSPECTIVE, PATIENTS CAN NOW ACCESS THEIR HEALTH INFORMATION THROUGH A NEW PATIENT PORTAL CALLED MYCHART. THROUGH MYCHART, A PATIENT CAN SEND AND RECEIVE MESSAGES FROM THEIR PROVIDER, REFILL PRESCRIPTIONS, AND SEE THEIR TEST RESULTS AMONG OTHER FEATURES. THIS IS ESPECIALLY IMPORTANT FOR SOME OF OUR PATIENTS WHO LIVE IN THE RURAL PARTS OF OUR COUNTY WHERE TRANSPORTATION TO VISIT A PROVIDER'S OFFICE IS DIFFICULT. LIKE MANY HEALTHCARE FACILITIES, CMH LAUNCHED VIRTUAL VISITS DURING THE PANDEMIC SO PATIENTS COULD CONTINUE COMMUNICATING WITH THEIR PROVIDERS. THIS NEW FORM OF ACCESS HAS PROVEN TO BE VERY CONVENIENT FOR SOME OF OUR PATIENTS AND WILL REMAIN ANOTHER OPTION FOR OUR PATIENTS TO USE TO ACCESS THE CARE THEY NEED.** SEE SCHEDULE H PART VI SUPPLEMENTAL INFORMATION FOR CONTINUATION |
| PART VI, LINE 6: | CMH IS AN IMPORTANT PART OF THE UNITED HEALTH SERVICES SYSTEM OF INTEGRATED DELIVERY OF CARE, WHICH PROVIDES ADDITIONAL BENEFITS TO THE COMMUNITY. AS A RESULT OF THE FORMATION OF CMH IN 1910 AND THE SUBSEQUENT TRANSFORMATION OF THE COMBINED ORGANIZATION INTO A HEALTH CARE SYSTEM, OUR REGION TODAY OFFERS MORE COMPLETE AND ADVANCED CARE THAN MANY COMMUNITIES FIVE TIMES OUR SIZE. CMH PARTICIPATES IN THE UNITED HEALTH SERVICES SYSTEMSTRATEGIC PLANNING PROCESS. CONSISTENT WITH THE MISSION AND VISION, THE PLAN FOCUSES ON CONTINUING TO STRENGTHEN THE HEALTH SYSTEM AND ITS SERVICES TO THE REGION. THE STRATEGIC PLAN IS ORGANIZED AROUND THREE OBJECTIVES: IMPROCE OUR CARE, MANAGE OUR COSTS, AND GROW OUR MARKET SHARE. SPECIFIC DESTINATION METRICS OR MEASURES OF SUCCESS WERE DEVELOPED FOR EACH STRATEGIC OBJECTIVE S THEY RELATE TO THE HOSPITAL'S SERVICES AND THE NEEDS OF OUR PATIENTS. THE SPECIFIC INITIATIVES SUPPORTING ACHIEVEMENT OF THE OBJECTIVES ARE REVIEWED ON A REGULAR BASIS. EACH ENTITY CARRIES OUT INITIATIVES LOCALLY AND REGIONALLY. THE CMH COMMUNITY SERVICE REPORT CAPTURES THE BENEFITS SPECIFIC TO CMH. THE OTHER HOSPITAL MEMBERS OF THE UHS SYSTEM, UHS WILSON MEDICAL CENTER, UHS BINGHAMTON GENERAL HOSPITAL, AND DELAWARE VALLEY HOSPITAL SUBMIT SEPARATE REPORTS.- CLINICAL EXCELLENCE: CMH HAS FOCUSED ITS RESOURCES AND ENERGY AROUND ACHIEVING DISTINCTION AS A HEALTH SYSTEM IN CLINICAL QUALITY, PATIENT SAFETY AND SERVICE. CMH IS FOCUSED ON VIGOROUS ASSESSMENT AND IMPROVEMENT OF THE ORGANIZATION'S PERFORMANCE USING KEY PATIENT QUALITY, SAFETY AND SATISFACTION INDICATORS. THE PLAN PLACES A FOCUS IN PARTICULAR ON EMERGENCY ROOM PERFORMANCE, CLOSER INTEGRATION OF NON-ACUTE SERVICES WITH THE HOSPITALS, DEVELOPMENT AND IMPLEMENTATION OF STATE-OF-THE-ART INFORMATION TECHNOLOGY TO SUPPORT INITIATIVES IN PATIENT QUALITY AND SAFETY AND NEW INITIATIVES IN THE RECRUITMENT AND RETENTION OF A QUALITY PHYSICIAN AND ALLIED HEALTH WORKFORCE.- SERVICE EXCELLENCE: ADDRESS DELIVERING ON THE CMH BRAND PROMISE OF A MEANINGFULLY BETTER PATIENT EXPERIENCE. THE PLAN FOCUSES ON PATIENT-CENTERED CARE AND THE BRAND PROMISE OF RESPECT AND ACCOUNTABILITY. THIS GOAL ALIGNS TECHNOLOGY WITH PERFORMANCE STANDARDS TO IMPROVE ACCESS TO BETTER MEET PATIENT NEEDS.- MARKET GROWTH: THIS GOAL AREA ADDRESSES THE KEY ASPECTS OF ALIGNING TECHNOLOGY, PHYSICIAN RESOURCES AND PROGRAMS AROUND THE CLINICAL NEEDS OF THE SERVICE AREA. THE PLAN FOCUSES ATTENTION ON KEY TERTIARY SERVICES AND THE ASSURANCE OF AN ADEQUATE SUPPLY OF PRIMARY CARE AND SPECIALIST PHYSICIANS FOR THE AREA. AT THE SAME TIME, CMH REMAINS COMMITTED TO MEETING THE COMMUNITY'S BEHAVIORAL HEALTH SERVICES NEEDS.- FINANCIAL STRENGTH: TO ENSURE CMH HAS THE FINANCIAL CAPACITY TO SUPPORT ITS CLINICAL SERVICE AND GROWTH GOALS, THE STRATEGIC PLAN CALLS THE ORGANIZATION TO DEMONSTRATE CONSISTENT PERFORMANCE WITH RESPECT TO BENCHMARKED OPERATING EFFICIENCIES. THIS INCLUDES PARTICIPATING IN 340B INDIGENT CARE PHARMACY PRICING IN ORDER TO SERVE MORE ELIGIBLE PATIENTS AND PROVIDE MORE COMPREHENSIVE SERVICE.PART VI, LINE 7CHENANGO MEMORIAL HOSPITAL FILES THE COMMUNITY BENEFIT REPORT WITH NEW YORK STATE. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN M CARRIGG | ||||||||||||||
| BOARD MEMBER 2ND V CHAIR | $0 | $981,834 | $0 | $50,000 | $0 | $547,525 | $0 | $71,251 | $0 | $23,106 | $0 | $1,673,716 | $0 | $0 |
| ELIZABETH K BOLAND | ||||||||||||||
| BOARD MEMBER | $0 | $629,157 | $0 | $95,000 | $0 | $413 | $0 | $83,984 | $0 | $15,777 | $0 | $824,331 | $0 | $0 |
| ROHAN JAYASENA | ||||||||||||||
| FORMER PRES OF MED STAFF TO 12/31/17 | $386,939 | $0 | $300 | $0 | $0 | $0 | $27,000 | $0 | $24,623 | $0 | $438,862 | $0 | $0 | $0 |
| JAY SMITH | ||||||||||||||
| BOARD MEMBER | $0 | $386,900 | $0 | $5,000 | $0 | $0 | $0 | $12,200 | $0 | $14,652 | $0 | $418,752 | $0 | $0 |
| DRAKE LAMEN MD | ||||||||||||||
| BOARD MEMBER/PRES/CEO/CMO | $352,377 | $0 | $0 | $0 | $0 | $0 | $6,100 | $0 | $17,563 | $0 | $376,040 | $0 | $0 | $0 |
| PHYLLIS SHERIFF-WHITE | ||||||||||||||
| PRES OF MED STAFF | $325,977 | $0 | $0 | $0 | $0 | $0 | $3,050 | $0 | $21,624 | $0 | $350,651 | $0 | $0 | $0 |
| MATTHEW SALANGER TO 53118 | ||||||||||||||
| FORMER 2ND VICE CHAIR | $0 | $253,227 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $80 | $0 | $253,307 | $0 | $0 |
| MARTIN MASARECH MD | ||||||||||||||
| BOARD MEMBER | $0 | $193,271 | $0 | $0 | $0 | $0 | $0 | $20,800 | $0 | $22,480 | $0 | $236,551 | $0 | $0 |
| DESIREE AXLEY | ||||||||||||||
| VP FINANCE AND CFO | $208,710 | $0 | $0 | $0 | $0 | $0 | $4,237 | $0 | $1,208 | $0 | $214,155 | $0 | $0 | $0 |
| KRISTINA K HUMMER | ||||||||||||||
| VP OF MEDICAL | $175,894 | $0 | $0 | $0 | $0 | $0 | $1,875 | $0 | $28,287 | $0 | $206,056 | $0 | $0 | $0 |
| DAVID FINNEY | ||||||||||||||
| VP, NURSING | $0 | $161,481 | $0 | $0 | $0 | $0 | $0 | $10,958 | $0 | $27,894 | $0 | $200,333 | $0 | $0 |
| CHRISTINA KISACKY | ||||||||||||||
| VP OF OPERATIONS | $173,540 | $0 | $0 | $0 | $0 | $0 | $3,609 | $0 | $20,043 | $0 | $197,192 | $0 | $0 | $0 |
| MARGARET SWARTWOOD | ||||||||||||||
| CONTROLLER | $162,675 | $0 | $0 | $0 | $0 | $0 | $3,284 | $0 | $12,786 | $0 | $178,745 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | PAYMENT IN 2022 FROM A NON-QUALIFIED PLAN: JOHN CARRIGG $540,006 RE: SCHEDULE J, PART II, LINE 1, BIII - OTHER REPORTABLE COMPENSATION IN THE AMOUNT OF $540,006 INCLUDES NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). EARLY SERP DISTRIBUTIONS WERE RELATED TO INCOME TAX PAYMENTS; THE REMAINING AMOUNTS ARE DEFERRED UNTIL SUBSEQUENT TRIGGERING EVENTS. |
| PART I, LINE 6 | THE EXECUTIVE COMPENSATION INCENTIVE PLAN HAS VARIOUS PERFORMANCE MEASURES WHICH INCLUDE ONES FOR CLINICAL EXCELLENCE, MARKET GROWTH, AND FINANCIAL STRENGTH. ONE MEASURE UNDER THE FINANCIAL STRENGTH HEADING IS THE COMBINED NET INCOME OF THE UNITED HEALTH SERVICES SYSTEM. A PORTION OF THE 2022 INCENTIVE COMPENSATION PAYMENTS WERE ATTRIBUTABLE TO MEETING THE COMBINED NET INCOME, PATIENT SAFETY, AND QUALITY GOALS. |
| FORM 990, PART VII, SECTION A, LINE 5: | INDIVIDUAL: KRISTINA HUMMER, D.O. UNRELATED ORGANIZATION: UNITED MEDICAL ASSOCIATES, INC. TYPE AND AMOUNT OF COMPENSATION: $175,894 |
| FORM 990, PART VII, SECTION A, LINE 5: | INDIVIDUAL: PHYLLIS SHERIFF-WHITE, M.D. UNRELATED ORGANIZATION: UNITED MEDICAL ASSOCIATES, INC. TYPE AND AMOUNT OF COMPENSATION: $325,977 |
| FORM 990, PART VII, SECTION A, LINE 5: | INDIVIDUAL: ROHAN JAYASENA, M.D. UNRELATED ORGANIZATION: UNITED MEDICAL ASSOCIATES, INC. TYPE AND AMOUNT OF COMPENSATION: $387,239 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | UNITED HEALTH SERVICES, INC. IS THE SOLE MEMBER OF CHENANGO MEMORIAL HOSPITAL, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE MEMBER, UNITED HEALTH SERVICES, INC, SHALL ELECT TRUSTEES AT THE ANNUAL MEETING OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | UHS INC, (THE MEMBER AS DEFINED BY THE CMH BI-LAWS) MUST PROVIDE PRIOR WRITTEN APPROVAL FOR VARIOUS ACTIONS BY THE CMH BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 PREPARATION AND FILING IS THE RESPONSIBILITY OF THE HOSPITALS BOARD OF DIRECTORS WHO DELEGATES THE TIMELY AND ACCURATE COMPLETION OF THE 990 TO MANAGEMENT. THE FINANCE DIVISION PREPARED THE 990 FORMS WHICH WERE REVIEWED BY THE ORGANIZATION'S CONTROLLER, ASSISTANT VP OF FINANCE, CORPORATE CFO AND INDEPENDENT AUDITORS PRIOR TO FILING. A SUMMARY OF KEY ELEMENTS OF THE 990 IS SHARED WITH THE BOARD OF DIRECTORS FOR INFORMATIONAL PURPOSES. |
| FORM 990, PART VI, SECTION B, LINE 12C | DIRECTORS, OFFICERS AND KEY EMPLOYEES SUBMIT CONFLICT OF INTEREST STATEMENTS ANNUALLY WHICH ARE REVIEWED BY THE CEO, BOARD CHAIRMAN AND THE ORGANIZATION'S AUDIT COMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 15 | IT IS THE PHILOSOPHY OF THE HOSPITAL THAT ALL STAFF INCLUDING EXECUTIVE STAFF BE COMPENSATED FAIRLY FOR THEIR WORK. BASE SALARY LEVELS, INCENTIVE/BONUS PROGRAMS AND BENEFIT PLANS SHALL TAKE INTO ACCOUNT THE LOCAL, REGIONAL AND NATIONAL MARKETS TO ALLOW UHS HOSPITALS TO RECRUIT, MOTIVATE, REWARD, RECOGNIZE AND RETAIN HIGHLY TALENTED EXECUTIVES WITH THE SKILL SETS REQUIRED TO FULFILL ITS MISSION. THE EXECUTIVE COMPENSATION PROGRAM MUST FOCUS EXECUTIVES' ATTENTION ON UHS'S STRATEGIC INITIATIVES AND MISSION CRITICAL PERFORMANCE OBJECTIVES THAT WILL LEAD TO THE ORGANIZATION'S AND SYSTEM'S SUCCESS. TO CARRY OUT THIS COMPENSATION PHILOSOPHY, THE UHS HOSPITALS (WHICH INCLUDES CHENANGO MEMORIAL HOSPITAL) BOARD OF DIRECTORS' EXECUTIVE COMPENSATION COMMITTEE REVIEWS ANNUALLY A COMPREHENSIVE REPORT PREPARED BY AN EXTERNAL EXECUTIVE COMPENSATION CONSULTING FIRM, SULLIVAN COTTER ASSOCIATES TO DETERMINE THE APPROPRIATENESS OF THE BASE AND TOTAL COMPENSATION LEVELS FOR THE SENIOR MANAGEMENT STAFF. THIS ANNUAL REPORT FOCUSES ON TWO KEY AREAS; 1) THE COMPETITIVENESS OF THE SENIOR MANAGEMENT STAFF'S BASE AND TOTAL COMPENSATION (INCLUDING BENEFITS) VS. NATIONAL BENCHMARK DATA FOR COMPARABLY SIZED HEALTH CARE SYSTEMS AND HOSPITALS (BASED UPON 'TOTAL REVENUE' METRICS), AND 2) A 'REASONABLENESS ASSESSMENT' CONSISTENT WITH U.S. TREASURY DEPARTMENT REGULATIONS GOVERNING EXECUTIVE COMPENSATION FOR NOT-FOR-PROFIT ORGANIZATIONS. THE DATA FROM THIS REPORT ASSISTS THE EXECUTIVE COMPENSATION COMMITTEE IN DETERMINING THE APPROPRIATENESS OF THE SENIOR MANAGEMENTS' CURRENT BASE AND TOTAL COMPENSATION LEVELS AND THE NEED FOR ANY ADJUSTMENTS FOR THAT CALENDAR YEAR. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION PROVIDES FORM 1023, FORM 990 AND OTHER INFORMATION REQUIRED UNDER INTERNAL REVENUE SERVICE REGULATIONS TO THE PUBLIC, UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PHYSICIAN SERVICE FEES: PROGRAM SERVICE EXPENSES 14,636,948. MANAGEMENT AND GENERAL EXPENSES 2,187,130. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,824,078. |
| FORM 990, PART XI, LINE 9: | CUMULATIVE EFFECT OF AUXILIARY INCOME AND EXPENSE -37,572. CHANGE IN INTEREST IN CHENANGO MEMORIAL HOSPITAL FOUNDATION -953,613. PENSION CHANGES OTHER THAN NET PERIODIC BENEFIT COSTS 3,668,418. RENTAL INCOME INCLUDED IN CONTRIBUTIONS -250. CHANGE IN VALUE OF FUNDS HELD IN TRUST -1,321,351. CHANGE IN ACCOUNTING PRINCIPLE 3,269. |
| FORM 990, PART XII, LINE 2C: | NEITHER THE PROCESS FOR THE OVERSIGHT OF THE AUDIT NOR THE PROCESS FOR THE SELECTION OF THE INDEPENDENT ACCOUNTANT HAS CHANGED DURING THE YEAR. THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANTS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| UNITED HEALTH SERVICES HOSPITALS INC | ||||||||||
| 33-57 HARRISON STREET | JOHNSON CITY | NY | 13790 | 161165049 | HOSPITAL | NY | 501 (C) (3) | 3 | UNITED HEALTH SERVICES INC | 0 |
| IDEAL SENIOR LIVING CENTER INC | ||||||||||
| 508 HIGH AVENUE | ENDICOTT | NY | 13760 | 222902896 | SENIOR LIVING CENTER | NY | 501 (C) (3) | 3 | UNITED HEALTH SERVICES INC | 0 |
| IDEAL SENIOR LIVING CENTER HOUSING CO | ||||||||||
| 508 HIGH AVENUE | ENDICOTT | NY | 13760 | 222902899 | SENIOR HOUSING | NY | 501 (C) (3) | 10 | UNITED HEALTH SERVICES INC | 0 |
| TWIN TIER HOME HEALTH INC | ||||||||||
| 601 RIVERSIDE DRIVE | JOHNSON CITY | NY | 13790 | 222348211 | HOME HEALTH CARE | NY | 501 (C) (3) | 10 | UNITED HEALTH SERVICES INC | 0 |
| PROFESSIONAL HOME CARE INC | ||||||||||
| 601 RIVERSIDE DRIVE | JOHNSON CITY | NY | 13790 | 161261977 | HOME HEALTH CARE | NY | 501 (C) (3) | 10 | UNITED HEALTH SERVICES INC | 0 |
| DELAWARE VALLEY HOSPITAL INC | ||||||||||
| ONE TITUS PLACE | WALTON | NY | 13856 | 150524324 | HOSPITAL | NY | 501 (C) (3) | 3 | UNITED HEALTH SERVICES INC | 0 |
| CMH FUND | ||||||||||
| 179 NORTH BROAD STREET | NORWICH | NY | 13815 | 222985550 | INACTIVE | NY | 501 (C) (3) | 12B | CHENANGO MEMORIAL HOSPITAL INC | 0 |
| UNITED HEALTH SERVICES INC | ||||||||||
| 20-42 MITCHELL AVENUE | BINGHAMTON | NY | 13903 | 222682421 | PARENT COMPANY | NY | 501 (C) (3) | 10 | BOARD OF DIRECTORS UHS INC | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PATHWAY HEALTH MANAGEMENT INC | |||||||||||
| 20 MITCHELL AVENUE | BINGHAMTON | NY | 13903 | 161228654 | WINDING DOWN OF MANAGEMENT SERVICES TO SUSQUEHANNA MEDICAL ASSOCIATES | NY | N/A | C | 0 | ||
| CHENANGO MADA INC | |||||||||||
| 179 N BROAD STREET | NORWICH | NY | 13915 | 161290726 | INACTIVE | NY | C | Yes (1) | CMH FUND INC | 1.00000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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