DELAWARE VALLEY HOSPITAL INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: DELAWARE VALLEY HOSPITAL INC (EIN 15-0524324)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-15
IRS object ID: 202143199349317089
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-15T14:17:11-06:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	161226221	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	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	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	150524324	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DELAWARE VALLEY HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	DELA	BusinessNameControlTxt
Phone	6078652197	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 TITUS PLACE	AddressLine1Txt
City	WALTON	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	138561457	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LUCINDA RIDER	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	6078652197	PhoneNum
Signature	2021-11-11	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	LUCINDA	PersonFirstNm
Person Last	RIDER	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MARY MADONIA	PreparerPersonNm
PTIN	P00405803	PTIN
Phone	7168472651	PhoneNum
Preparation	2021-11-11	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ROLLAND V BOJO JR	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 TITUS PLACE	AddressLine1Txt
City	WALTON	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	138561457	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$30,967,896	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	1950	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE OTO SERVE OUR PATIENTS IN AN EFFICIENT AND PATIENT-FOCUSED MANNER AND OFFER A RANGE OF ACUTE, OUTPATIENT, DIAGNOSTIC, REHABILITATIVE,PRIMARY CARE AND WELLNESS SERVICES.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	240	TotalEmployeeCnt
Total Volunteers	32	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,208,797	PYContributionsGrantsAmt
CY Contributions Grants	$7,270,845	CYContributionsGrantsAmt
PY Program Service Revenue	$24,990,075	PYProgramServiceRevenueAmt
CY Program Service Revenue	$23,357,978	CYProgramServiceRevenueAmt
PY Investment Income	$161,825	PYInvestmentIncomeAmt
CY Investment Income	$195,421	CYInvestmentIncomeAmt
PY Other Revenue	$391,936	PYOtherRevenueAmt
CY Other Revenue	$143,652	CYOtherRevenueAmt
PY Total Revenue	$26,752,633	PYTotalRevenueAmt
CY Total Revenue	$30,967,896	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	$10,341,924	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$10,449,295	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$215,085	CYTotalFundraisingExpenseAmt
PY Other Expenses	$14,429,311	PYOtherExpensesAmt
CY Other Expenses	$14,882,202	CYOtherExpensesAmt
PY Total Expenses	$24,771,235	PYTotalExpensesAmt
CY Total Expenses	$25,331,497	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,981,398	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$5,636,399	CYRevenuesLessExpensesAmt
Total Assets BOY	$23,538,078	TotalAssetsBOYAmt
Total Assets EOY	$30,737,711	TotalAssetsEOYAmt
Total Liabilities BOY	$5,893,763	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$7,208,593	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$17,644,315	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$23,529,118	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	INPATIENT AND ACUTE SERVICES (SEE SCHEDULE O)AS A CRITICAL ACCESS HOSPITAL AND MEMBER OF THE UHS HEALTHCARE SYSTEM, UHS DELAWARE VALLEY HOSPITAL'S MISSION IS TO PROVIDE THE COMMUNITY WITH THE HIGH QUALITY, PATIENT-CENTERED SERVICES THAT ARE MOST OFTEN NEEDED; THEREBY IMPROVING ACCESS TO CARE AND REDUCING THE NEED TO TRAVEL LONG DISTANCES. WE DO THIS BY OFFERING EMERGENCY CARE, INPATIENT SHORT-TERM ACUTE CARE, PHYSICAL REHABILITATIVE CARE AND ADDICTION TREATMENT. IN ADDITION, WE PROVIDE HIGH QUALITY PRIMARY CARE; A WIDE RANGE OF DIAGNOSTIC AND TREATMENT SERVICES; ACCESS TO TOP LOCAL SPECIALTY CARE AND AN OUTPATIENT PHARMACY. UHS DELAWARE VALLEY HOSPITAL ALSO SERVES AS THE GATEWAY FOR PATIENTS TO ACCESS THE STATE-OF-THE-ART TECHNOLOGY AND HIGHLY QUALIFIED SPECIALISTS OF THE UHS SYSTEM, WHEN MORE SPECIALIZED CARE IS NEEDED.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$5,004,806	ExpenseAmt
Revenue	$4,742,868	RevenueAmt
Desc	INPATIENT AND ACUTE SERVICES (SEE SCHEDULE O) INPATIENT AND ACUTE SERVICES: DELAWARE VALLEY HOSPITAL FULFILLS ITS MISSION BY WORKING TOGETHER WITH THE COMMUNITY, PHYSICIANS, AND OTHER HEALTHCARE PROVIDERS TO CONTINUOUSLY IMPROVE THE AVAILABILITY AND QUALITY OF SERVICES. THIS INCLUDES THE ABILITY TO PROVIDE A COMPREHENSIVE RANGE OF SHORT-TERM (96 HRS. OR LESS) INPATIENT ACUTE CARE, SWING BED AND ADDICTION TREATMENT SERVICES VIA ITS 25-BED HOSPITAL LOCATED ON THE MAIN CAMPUS IN WALTON IN DELAWARE COUNTY, NY. PATIENT DISCHARGES IN 2020 WERE COMPRISED OF 89 ACUTE, 121 SWING BED, AND 72 ADDICTION TREATMENT. ACUTE CARE REPRESENTED 254 PATIENT DAYS, IN ADDITION TO THE 2,177 PATIENT DAYS FOR SWING BED AND 1,116 PATIENT DAYS IN THE ADDICTION TREATMENT PROGRAM. INDICATIVE OF THE COMPREHENSIVE HEALTHCARE PROVIDED TO THESE PATIENTS, A TOTAL OF 5,654 LAB TESTS, 8,994 RESPIRATORY TREATMENTS, 111 X-RAYS, 11 ULTRASOUNDS, 58 CT AND 2 MRI EXAMS, 1,250 PHYSICAL THERAPY AND 716 OCCUPATIONAL THERAPY SESSIONS, AND 45 EKG'S WERE ADMINISTERED. OTHER SERVICES INCLUDED 6 ECHO EXAMS, AND 540 DIETARY CONSULTS. TO ENSURE OUR RURAL AREA RESIDENTS HAVE ACCESS TO HIGH QUALITY, EFFICIENT CARE IN A COMFORTABLE AND PRIVATE AREA, THE HOSPITAL'S IMAGING CENTER IS EQUIPPED WITH 3D MAMMOGRAPHY, ULTRASOUND, BONE DENSITY, X-RAY AND A 128-SLICE CT SUITE. MRI SERVICES ARE OFFERED ON SUNDAYS THROUGH AN AGREEMENT WITH A MOBILE VENDOR.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$3,326,843	ExpenseAmt
Revenue	$2,157,254	RevenueAmt
Desc	CLINICS (SEE SCHEDULE O) CLINICS: DELAWARE VALLEY HOSPITAL PROVIDES A WIDE RANGE OF PRIMARY AND PREVENTIVE CARE SERVICES THROUGH ITS PRIMARY CARE CENTERS LOCATED IN WALTON, DOWNSVILLE, AND ROSCOE. THESE PRIMARY CARE CENTERS FORM THE FOUNDATION NECESSARY TO SERVE OUR COMMUNITIES WITH A COORDINATED SYSTEM OF CARE WHILE PAYING SPECIAL ATTENTION TO UNDER-SERVED AREAS. 2020 INCLUDED 10,276 VISITS IN WALTON, 425 IN ROSCOE, AND 1,740 IN DOWNSVILLE.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$12,465,715	ExpenseAmt
Revenue	$16,457,856	RevenueAmt
Desc	OUTPATIENT AND AMBULATORY SERVICES (SEE SCHEDULE O) OUTPATIENT AND AMBULATORY SERVICES: DELAWARE VALLEY HOSPITAL PROVIDES A COMPREHENSIVE RANGE OF OUTPATIENT DIAGNOSTIC CARDIOPULMONARY, IMAGING, LAB AND TREATMENT SERVICES AT ITS WALTON CAMPUS. THESE INCLUDE A 7-BED EMERGENCY DEPARTMENT WHICH SERVES THE COMMUNITY 24/7. OTHER TREATMENT SERVICES INCLUDE PHYSICAL AND OCCUPATIONAL REHABILITATIVE SERVICES, AMBULATORY PROCEDURES, CARDIAC AND PULMONARY REHABILITATION AND ACCESS TO SPECIALTY SERVICES. IN 2020 THE CARDIOLOGY SPECIALTY CLINIC HAD 568 VISITS, PAIN MANAGEMENT 405; TELE-MENTAL HEALTH AND TELE-DIABETES CONSULTS 890, WHILE GASTROENTEROLOGY HAD 72. THE HOSPITAL ALSO GENERALLY CONDUCTS EXTENSIVE WELLNESS PROGRAMMING THAT INCLUDES NUTRITION AWARENESS, DIABETES EDUCATION AND CHRONIC DISEASE SELF-MANAGEMENT WORKSHOPS. GENERALLY, THESE PROGRAMS ARE CONDUCTED BEGINNING IN THE SPRING AND HELD AGAIN IN THE FALL. HOWEVER, DUE TO THE PANDEMIC GROUP EDUCATION PROGRAMS WERE NOT HELD. OCCUPATIONAL HEALTH PROGRAMMING MEETS THE NEEDS OF LOCAL BUSINESSES, FIRE DEPARTMENTS, AND EMERGENCY SQUADS BY PROVIDING PHYSICALS, DRUG TESTING, AND ERGONOMIC EDUCATION: 198 IN 2020. IN 2020 THE EMERGENCY DEPARTMENT TREATED OR ADMITTED 4,107 RESIDENTS VIA ITS 5,000+ SQ. FT. FACILITY, THE LAB PERFORMED 56,278 TESTS, AND 5,853 PHYSICAL/OCCUPATIONAL THERAPY SESSIONS WERE CONDUCTED. THE IMAGING CENTER PERFORMED 7,526 X-RAYS, CT SCANS, MRI'S, ULTRASOUNDS, BONE DENSITY TESTS AND MAMMOGRAPHY FOR OUTPATIENT SERVICES. OTHER OUTPATIENT SERVICES PERFORMED IN 2020 INCLUDED 198 AMBULATORY PROCEDURES, 49 ENDOSCOPIES, 1,614 OPIATE ADDICTION TREATMENT SESSIONS, AND 542 SERVICES ASSOCIATED WITH CARDIAC AND PULMONARY REHABILITATION. THE CARDIOPULMONARY DEPARTMENT PERFORMED 973 TESTS AND/OR TREATMENTS. 1,047 CARDIAC RELATED TESTS WERE PERFORMED: EKGS, ECHOCARDIOGRAMS, CARDIAC HOLTER AND EVENT MONITORS. THERE WERE 213 DIETARY CONSULTS. THE HOSPITAL'S OUTPATIENT RETAIL PHARMACY FILLED 58,260 PRESCRIPTIONS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Revenue	$143,652	RevenueAmt

Field	Value	IRS element (for citing)
Total Other Prog Srvc Revenue	$143,652	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$20,797,364	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	0	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	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
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	Yes (1)	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	31	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	240	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
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	8	GoverningBodyVotingMembersCnt
Independent Voting Member	4	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	0	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	0	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	ROLLAND BOJO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6078652197	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	DELAWARE VALLEY HOSPITAL 1 TITUS	AddressLine1Txt
City	WALTON	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	138561457	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
HELEN JOHNSTON
BOARD MEMBER/BOARD CHAIR	2.00	Yes (X)	Yes (X)	$0	$0	$0
JOHN CARRIGG
BOARD MEMBER/VICE CHAIR	2.00	Yes (X)	Yes (X)	$0	$3,503,410	$1,354,855	55.00
LARRY LIGHT
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
EDWARD SNOW
BOARD MEMBER/SECRETARY	2.00	Yes (X)	Yes (X)	$0	$0	$0
ERIN NEALE
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
AMANDA HALL
BOARD MEMBER/TREASURER	2.00	Yes (X)	Yes (X)	$0	$0	$0
DR MICHAEL FREEMAN
BOARD MEMBER/MEDICAL STAFF PRESIDENT	57.00	Yes (X)	Yes (X)	$236,927	$0	$21,741
DR JOHN GIANNONE
CHIEF MEDICAL OFFICER	5.00		Yes (X)	$21,938	$0	$0
DOTTIE KRUPPO
V.P. COMMUNITY RELATIONS	55.00		Yes (X)	$99,906	$0	$21,951
DEBORAH HITT
V.P. QUALITY/SUPPORT SVCS	55.00		Yes (X)	$28,257	$0	$1,222
VICTORIA CONKLING
V.P. PATIENT CARE SERVICES	55.00		Yes (X)	$138,635	$0	$7,627
LUCINDA RIDER
CFO	55.00		Yes (X)	$100,489	$0	$19,375
KATHLEEN ULMSCHNEIDER
STAFF NURSE	55.00			$113,858	$0	$22,490		Yes (X)
TITO ENDAYA
LAB MANAGER	55.00			$110,210	$0	$22,868		Yes (X)
PATRICIA SVOBODA
CLINICAL LAB TECHNOLOGIST	55.00			$104,774	$0	$16,581		Yes (X)
PAUL SUMMERS
FORMER BOARD MEMBER/PRES/CEO 6/30/20	57.00			$239,801	$0	$24,966			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,194,795	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,503,410	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,513,676	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	7	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
SECO PHYSICALOCCUPATIONAL THERAPY
26 CONKY AVE	NORWICH	NY	13815	PHYSICAL/OCC. THERAPY	$658,807
GE HEALTHCARE SERVICE
PO BOX 96483	CHICAGO	IL	60693	HEALTH TREATMENT SERVICES	$476,886
MEDHOST OF TENNESSEE INC
2739 MOMENTUM PLACE	CHICAGO	IL	60689	MEDHOST PROGRAM MANAGEMENT/FINANCE	$418,765
AMN HEALTHCARE
PO BOX 56157	LOS ANGELES	CA	900746157	MEDICAL STAFFING SOLUTION	$371,483
EVANS MECHANICAL INC
314 MAPLE STREET	ENDICOTT	NY	13760	PLUMBING AND HEATING SOLUTIONS	$156,751

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	18	CntrctRcvdGreaterThan100KCnt
Government Grants	$7,263,720	GovernmentGrantsAmt
All Other Contributions	$7,125	AllOtherContributionsAmt
Total Contributions	$7,270,845	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OUTPATIENT SERVICES	621400	$16,457,856	$16,457,856
INPATIENT AND ACUTE SERVICES	621990	$4,742,868	$4,742,868
CLINICS	621110	$2,157,254	$2,157,254

Field	Value	IRS element (for citing)
Total Program Service Revenue	$23,357,978	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$191,321	TotalRevenueColumnAmt
Exclusion	$191,321	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$4,100	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$4,100	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,100	TotalRevenueColumnAmt
Exclusion	$4,100	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
DSRIP PROJECT REVENUE	900099	$80,656	$80,656
MISC REVENUE	900099	$13,328	$13,328

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$49,668	TotalRevenueColumnAmt
Related Or Exempt Func Income	$49,668	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$143,652	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$30,967,896	TotalRevenueColumnAmt
Related Or Exempt Func Income	$23,501,630	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$195,421	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	$1,232,263	TotalAmt
Program Services	$851,751	ProgramServicesAmt
Management And General	$258,655	ManagementAndGeneralAmt
Fundraising	$121,857	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$7,417,940	TotalAmt
Program Services	$6,064,241	ProgramServicesAmt
Management And General	$1,319,123	ManagementAndGeneralAmt
Fundraising	$34,576	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$241,800	TotalAmt
Program Services	$200,694	ProgramServicesAmt
Management And General	$38,688	ManagementAndGeneralAmt
Fundraising	$2,418	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$956,339	TotalAmt
Program Services	$754,300	ProgramServicesAmt
Management And General	$192,476	ManagementAndGeneralAmt
Fundraising	$9,563	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$600,953	TotalAmt
Program Services	$463,375	ProgramServicesAmt
Management And General	$127,463	ManagementAndGeneralAmt
Fundraising	$10,115	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$113,297	TotalAmt
Management And General	$113,297	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$12,317	TotalAmt
Management And General	$12,317	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$88,226	TotalAmt
Management And General	$88,226	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$1,735	TotalAmt
Management And General	$1,735	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$4,708	TotalAmt
Management And General	$4,708	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$6,443,967	TotalAmt
Program Services	$5,236,696	ProgramServicesAmt
Management And General	$1,207,271	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$594	TotalAmt
Fundraising	$594	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,433,488	TotalAmt
Program Services	$799,495	ProgramServicesAmt
Management And General	$621,389	ManagementAndGeneralAmt
Fundraising	$12,604	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$107,515	TotalAmt
Management And General	$107,515	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$199,533	TotalAmt
Program Services	$47,790	ProgramServicesAmt
Management And General	$151,743	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$21,030	TotalAmt
Program Services	$13,086	ProgramServicesAmt
Management And General	$7,613	ManagementAndGeneralAmt
Fundraising	$331	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$30,583	TotalAmt
Program Services	$7,121	ProgramServicesAmt
Management And General	$435	ManagementAndGeneralAmt
Fundraising	$23,027	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$118,469	TotalAmt
Program Services	$87,289	ProgramServicesAmt
Management And General	$31,180	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$930,553	TotalAmt
Program Services	$930,553	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$124,784	TotalAmt
Program Services	$89,570	ProgramServicesAmt
Management And General	$35,214	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
DRUGS	$3,934,638	$3,934,638
MEDICAL SUPPLIES	$558,067	$558,067
BAD DEBT EXPENSE	$515,228	$515,228
EQUIPMENT	$174,521	$174,521

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$68,949	TotalAmt
Program Services	$68,949	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$25,331,497	TotalAmt
Program Services	$20,797,364	ProgramServicesAmt
Management And General	$4,319,048	ManagementAndGeneralAmt
Fundraising	$215,085	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,628,167	BOYAmt
EOY	$3,734,558	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,176,087	BOYAmt
EOY	$2,608,965	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$504,567	BOYAmt
EOY	$382,713	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$550,450	BOYAmt
EOY	$780,361	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$26,636,899	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$16,298,203	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$9,919,860	BOYAmt
EOY	$10,338,696	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$5,046,374	BOYAmt
EOY	$11,408,064	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$318,209	BOYAmt
EOY	$318,209	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,394,364	BOYAmt
EOY	$1,166,145	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$23,538,078	BOYAmt
EOY	$30,737,711	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,535,695	BOYAmt
EOY	$1,103,340	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,148,852	BOYAmt
EOY	$1,831,430	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$222,663	BOYAmt
EOY	$166,045	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$1,516,651	BOYAmt
EOY	$3,456,654	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$469,902	BOYAmt
EOY	$651,124	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,893,763	BOYAmt
EOY	$7,208,593	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	$17,308,649	BOYAmt
EOY	$23,192,273	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$335,666	BOYAmt
EOY	$336,845	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$17,644,315	BOYAmt
EOY	$23,529,118	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$23,538,078	BOYAmt
EOY	$30,737,711	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$5,636,399	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$295,317	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$46,913	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$1,735	OtherActivitiesAmt
Total Lobbying Expenditures	$1,735	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	AMOUNTS DISCLOSED ARE THE LOBBYING PORTIONS OF DUES PAID TO HEALTHCARE ASSOCIATION OF NY (17.97%) AND IROQUOIS HEALTHCARE (39.70%).	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$335,666	BeginningYearBalanceAmt
Contributions	$1,179	ContributionsAmt
End Year Balance	$336,845	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$330,416	BeginningYearBalanceAmt
Contributions	$5,250	ContributionsAmt
End Year Balance	$335,666	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$328,445	BeginningYearBalanceAmt
Contributions	$1,971	ContributionsAmt
End Year Balance	$330,416	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$330,360	BeginningYearBalanceAmt
Contributions	$9,996	ContributionsAmt
Other Expenditures	$11,911	OtherExpendituresAmt
End Year Balance	$328,445	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$324,669	BeginningYearBalanceAmt
Contributions	$5,691	ContributionsAmt
End Year Balance	$330,360	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.94000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.06000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (1)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$51,202	OtherCostOrOtherBasisAmt
Book Value	$51,202	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,760,390	OtherCostOrOtherBasisAmt
Depreciation	$6,757,140	DepreciationAmt
Book Value	$7,003,250	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,345,386	OtherCostOrOtherBasisAmt
Depreciation	$9,541,063	DepreciationAmt
Book Value	$1,804,323	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,479,921	OtherCostOrOtherBasisAmt
Book Value	$1,479,921	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$10,338,696	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DUE UNITED MED. ASSOC.	$207,576
DUE UHS HOSPITALS	$445,033
DUE TO UHS, INC.	$592
DUE FROM UHSH SBO LOCKBOX	-$2,077

Field	Value	IRS element (for citing)
Total Liability	$651,124	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$30,701,072	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$295,317	NetUnrealizedGainsInvstAmt
Other Revenue	-$46,913	OtherRevenueAmt
Revenue Not Reported	$248,404	RevenueNotReportedAmt
Revenue Subtotal	$30,452,668	RevenueSubtotalAmt
Other Revenues Not Included	$515,228	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$515,228	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$30,967,896	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$24,816,269	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$24,816,269	ExpensesSubtotalAmt
Other Expenses Not Included	$515,228	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$515,228	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$25,331,497	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	PURCHASE OF CAPITAL EQUIPMENT (MEDICAL) AND IMPROVEMENT OF FACILITIES.
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, 2020 AND 2019, THE HOSPITAL DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2017 TO 2020. THE HOSPITAL DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	INTEREST RATE SWAP -46,913.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 515,228.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 515,228.

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	$152,431	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$152,431	NetCommunityBenefitExpnsAmt
Total Expense	0.00610	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,511,089	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,847,793	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,663,296	NetCommunityBenefitExpnsAmt
Total Expense	0.06700	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$74,971	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$102,218	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,738,491	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,950,011	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,815,727	NetCommunityBenefitExpnsAmt
Total Expense	0.07310	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$258,270	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$258,270	NetCommunityBenefitExpnsAmt
Total Expense	0.01040	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,799	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,799	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,589,225	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,979,327	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,609,898	NetCommunityBenefitExpnsAmt
Total Expense	0.10520	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,859,294	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,979,327	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,879,967	NetCommunityBenefitExpnsAmt
Total Expense	0.11610	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,597,785	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,929,338	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,695,694	NetCommunityBenefitExpnsAmt
Total Expense	0.18920	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,262	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,262	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,014	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,014	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$179	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$179	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,455	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,455	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$515,228	BadDebtExpenseAmt
Bad Debt Expense Attributable	$296,464	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$4,787,213	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$4,759,091	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$28,122	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	DELAWARE VALLEY HOSPTITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 TITUS PLACE	AddressLine1Txt
City	WALTON	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13856	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	DELAWARE VALLEY HOSPTITAL	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	19	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	HTTP://WWW.NYUHS.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTP://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	HTTP://WWW.NYUHS.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTP://WWW.NYUHS.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTP://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
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
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 (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DELAWARE VALLEY HOSPTITAL	PART V, SECTION B, LINE 5: DELAWARE VALLEY HOSPITAL HAS MEMBERSHIP IN THE DELAWARE COUNTY HEALTHCARE ALLIANCE, A COALITION OF HEALTHCARE AND COMMUNITY ORGANIZATIONS THROUGHOUT THE COUNTY, AS WELL AS ON ITS WELLNESS COMMITTEE. A STAFF MEMBER ALSO SERVES ON THE COMMUNITY COMMITTEE OF THE LOCAL SCHOOL. THE HOSPITAL ALSO HAS REPRESENTATION ON THE COUNTY'S EMERGENCY PREPAREDNESS COMMITTEE (BNICER). THE HOSPITAL'S COMMUNITY RELATIONS DIRECTOR PARTICIPATES IN ALL DVH VOLUNTEER MEETINGS AND ACTIVELY SEEKS THEIR INPUT AND FEEDBACK ABOUT THE HOSPITAL'S SERVICES. THE HOSPITAL'S BOARD OF DIRECTORS PROVIDES INPUT AS TO WHAT THEY HEAR FROM COMMUNITY MEMBERS. PATIENT SATISFACTION SURVEYS ARE ALSO USED IN GAINING INPUT FROM OUR PATIENTS.
DELAWARE VALLEY HOSPTITAL	PART V, SECTION B, LINE 6A: O'CONNOR HOSPITAL, DELHI, NYMARGARETVILLE COMMUNITY HOSPITAL, MARGARETVILLE, NY
DELAWARE VALLEY HOSPTITAL	PART V, SECTION B, LINE 6B: DELAWARE COUNTY GOVERNMENT AGENCIES:DELAWARE COUNTY PUBLIC HEALTH, MENTAL HEALTH, OFFICE FOR THE AGING, DEPARTMENT OF SOCIAL SERVICES, SHERIFF'S DEPT, ALCOHOL AND DRUG ABUSE COUNCIL, PLANNING DEPARTMENT, EMERGENCY SERVICES, DRUG TREATMENT COURT, WATERSHED AFFAIRSHOSPITAL AND HEALTH SERVICES:UHS DELAWARE VALLEY HOSPITAL, BASSETT HEALTHCARE-O'CONNOR HOSPITAL AND CATSKILL AREA HOSPICEEDUCATION:ROXBURY CENTRAL SCHOOLNURSING HOMES:ROBINSON TERRACEALLIANCES:RURAL HEALTH NETWORK OF SOUTH CENTRAL NYOTHER HUMAN SERVICE AGENCIES:CORNELL COOPERATIVE EXTENSION, RURAL 3 FOR TOBACCO FREE COMMUNITIES, CANCER SERVICE PROGRAM OF DELAWARE, OTSEGO AND SCHOHARIE COUNTIES, DELAWARE OPPORTUNITIES, NY CONNECTS, FAMILY RESOURCE NETWORK, CATHOLIC CHARITIES
DELAWARE VALLEY HOSPTITAL	PART V, SECTION B, LINE 11: DELAWARE VALLEY HOSPITAL - 2020 UPDATEDELAWARE COUNTY 2019-2021 COMMUNITY HEALTH NEEDS ASSESSMENT FINDINGS(EXCERPTED FROM COMMUNITY HEALTH NEEDS ASSESSMENT 2019-2021)CHALLENGES THE SHEER SIZE, TOPOGRAPHY AND PAROCHIAL NATURE OF THE COMMUNITIES WITHIN DELAWARE COUNTY POSE HUGE CHALLENGES IN THE DELIVERY OF HEALTH CARE. THERE ARE MANY CHALLENGES BUT FOR DELAWARE VALLEY'S PLAN, THE KEY FINDINGS ARE BELOW: KEY FINDINGS FROM THE ASSESSMENT 1. LACK OF TRANSPORTATION 2. AGING POPULATION 3. POVERTY 4. PREVALENCE OF CHRONIC DISEASE 5. PREVALENCE OF MENTAL HEALTH NEEDS ACCESSDVH HAS BEGUN TO ADDRESS MANY OF THESE ISSUES IN A VARIETY OF WAYS. THE HOSPITAL HAS EXPANDED THE HOURS THAT ITS PRIMARY CARE OFFICES ARE OPEN. BOTH THE DOWNSVILLE AND ROSCOE OFFICES ARE NOW OPEN 5 DAYS PER WEEK. THE WALTON OFFICE IS OPEN UNTIL 7 PM, MONDAYS THROUGH THURSDAYS AND UNTIL 5 PM ON FRIDAY. SATURDAY MORNING HOURS HAVE BEEN DISCONTINUED DUE TO THE INCREASED USE OF VIRTUAL VISITS SINCE THE COVID PANDEMIC BEGAN. THE HOSPITAL'S RETAIL PHARMACY IS OPEN 7 DAYS A WEEK. THE IMAGING AND LAB DEPARTMENTS OFFER EVENING AND WEEKEND APPOINTMENTS. THE HOSPITAL'S OUTPATIENT REHABILITATION DEPARTMENT OFFERS EARLY MORNING AND EVENING APPOINTMENTS. BY EXTENDING HOURS, PATIENTS HAVE THE OPPORTUNITY TO RECEIVE CARE WITHOUT HAVING TO TAKE TIME OFF FROM WORK. MANY AGING PATIENTS RELY ON THEIR CHILDREN OR NEIGHBORS/FRIENDS FOR TRANSPORTATION TO HEALTH CARE APPOINTMENTS. THIS ALLOWS THE CAREGIVERS THE ABILITY TO SCHEDULE THOSE APPOINTMENTS AT A MORE CONVENIENT TIME. SINCE THE PANDEMIC, MANY HOURS HAVE HAD TO BE ADJUSTED IN ORDER TO PROMOTE SOCIAL DISTANCING AND PATIENT AND STAFF SAFETY. MANY ACCOMMODATIONS HAVE BEEN MADE INCLUDING THE EXTENSIVE USE OF VIRTUAL VISITS AND TELEPHONIC VISITS. FOR PATIENTS, LIKE THE ELDERLY, WHO WOULD BE AT HIGH-RISK IF THEY WERE TO CONTRACT COVID, DVH PHLEBOTOMISTS WERE GOING OUT TO THEIR CAR TO DRAW BLOOD, RATHER THAN HAVE THEM ENTER THE HOSPITAL. ALL COVID-19 TESTING HAS BEEN DONE WHILE THE PATIENT REMAINS IN THEIR CAR. THE HOSPITAL BUILT A SMALL ADDITION TO THE HOSPITAL TO ACCOMMODATE TESTING SUPPLIES AND ALLOW STAFF PROTECTION FROM THE WEATHER. PATIENTS THEN DRIVE UNDER AN EXISTING OVERHANG TO HAVE THEIR TEST COMPLETED. TRANSPORTATION: DELAWARE VALLEY HAS A REPRESENTATIVE ON THE COUNTY'S TRANSPORTATION COMMITTEE, THROUGH THE OFFICE FOR THE AGING, BUT THERE WAS NO MEETING IN 2020. THE HOSPITAL MAINTAINED AN OFFICE FOR TWO REPRESENTATIVES FROM THE RURAL HEALTH NETWORK OF SOUTH CENTRAL NY. THE ORGANIZATION SERVES DELAWARE COUNTY, YET HAS NO PHYSICAL PRESENCE IN THE AREA. THEIR OFFICE IS BASED APPROXIMATELY ONE HOUR AWAY: CENTRAL TO THEIR COVERAGE AREA BUT CHALLENGING WHEN TRYING TO REACH THE FAR CORNERS OF THEIR TERRITORY. BECAUSE THEY HAVE NO BUDGET FOR A SECOND OFFICE, DVH PROVIDES THE SPACE, PHONE, SUPPLIES AT NO CHARGE TO THE ORGANIZATION. THIS HELPS THEM PROVIDE DELAWARE COUNTY RESIDENTS WITH MANY REFERRALS, NAVIGATION, AND SOCIAL SERVICE-TYPE SUPPORTS. HOWEVER, DUE TO THE PANDEMIC, IN 2020, MOST OF THEIR WORK WAS DONE FROM HOME, WITH OCCASIONAL VISITS TO THE OFFICE. PREVALENCE OF CHRONIC DISEASE DVH HAD THREE STAFF MEMBERS WHO WERE CERTIFIED LEADERS OF THE STANFORD UNIVERSITY EVIDENCE-BASED CHRONIC DISEASE SELF-MANAGEMENT PROGRAM. THE PROGRAM IS GENERALLY OFFERED AT LEAST TWICE PER YEAR AND ALSO IS OFFERED BOTH DURING THE DAY AND IN THE EVENING FOR CONVENIENCE. HOWEVER, IN 2019, WE SAW DECLINING INTEREST. IN 2020, WE DID NOT OFFER THE PROGRAM, AS WE DID NOT HAVE A SPACE LARGE ENOUGH TO ACCOMMODATE SOCIAL DISTANCING. ONE OF THE THREE LEADERS LEFT DVH EMPLOY IN 2020. DVH ALSO HAS A CARE COORDINATOR RN WHO WORKS CLOSELY WITH THE PRIMARY CARE PROVIDERS TO HELP PATIENTS WHO ARE HIGH RISK FOR ADMISSION TO THE HOSPITAL DUE TO THEIR CHRONIC DISEASE. SHE OFFERS ONE- ON- ONE GUIDANCE AND SUPPORT BASED ON THEIR NEEDS. SHE ALSO WORKS VERY CLOSELY WITH THE CERTIFIED DIETITIAN/NUTRITIONIST WHO ALSO OFFERS INDIVIDUALIZED GUIDANCE. THE DIETITIAN ALSO WORKED WITH 30 SNAP RECIPIENTS IN 2020 IN CONJUNCTION WITH THE RURAL HEALTH NETWORK OF SOUTH CENTRAL NY'S FRUIT AND VEGETABLE RX PROGRAM. THE PROVIDERS BEGAN TO TRACK, AND WILL CONTINUE TO TRACK VARIOUS METRICS REGARDING CHRONIC DISEASE THROUGHOUT THIS THREE-YEAR PLAN. SPECIFICS ARE OUTLINED LATER IN THIS DOCUMENT. AS DVH, ALONG WITH THE ENTIRE UHS SYSTEM, WAS PREPARING TO IMPLEMENT THE EPIC ELECTRONIC HEALTH RECORD IN APRIL 2020. IT IS BELIEVED THAT THE PROGRAM'S FEATURES WILL ENHANCE THE PROVIDERS' EFFORTS TO SERVE AS THE PATIENTS' MEDICAL HOME AND GUIDE THEIR CARE. DUE TO THE PANDEMIC, THE IMPLEMENTATION DID NOT TAKE PLACE UNTIL SEPTEMBER 2020. IT IS EXPECTED THAT IN 2021, THE PROVIDERS WOULD BE ABLE TO GUIDE THEIR CARE BETTER, GIVEN TIME TO WORK WITH THE NEW SYSTEM.TELE-ENDOCRINOLOGY WORKING WITH UHS, DVH OFFERS VIDEOCONFERENCING APPOINTMENTS WITH A UHS NURSE PRACTITIONER SPECIALIZING IN DIABETES CARE. THIS NOT ONLY PROVIDES FURTHER CARE FOR ITS DIABETIC PATIENTS BUT ALSO EASES THE ACCESS TO CARE. PREVALENCE OF MENTAL HEALTH NEEDS TELE-MENTAL HEALTH WORKING CLOSELY WITH THE DELAWARE COUNTY MENTAL HEALTH DEPARTMENT OVER SEVERAL YEARS, DELAWARE VALLEY INSTITUTED A TELE-MENTAL HEALTH PROGRAM TO HELP INCREASE ACCESS TO MENTAL HEALTH PROFESSIONALS. PATIENTS SEE PROVIDERS THROUGH VIDEOCONFERENCING AT THE HOSPITAL'S PRIMARY CARE OFFICE IN WALTON. DVH IS CURRENTLY IN THE PROCESS OF REQUESTING AN ADDITIONAL LCSW, AS THERE IS STILL UNMET NEED. THE STIGMA THAT SOME PATIENTS FEEL CAN BE REDUCED BECAUSE THEY ARE COMING TO A PRIMARY CARE FACILITY AS OPPOSED TO A MENTAL HEALTH FACILITY. THE HOSPITAL CONTRACTS WITH A VENDOR WHO SUPPLIES A PSYCHIATRIC NURSE PRACTITIONER AND TWO LICENSED CLINICAL SOCIAL WORKERS. IN 2020, ONE LCSW WENT ON MATERNITY LEAVE AND LEFT THE PROGRAM THEREAFTER. TWO ADDITIONAL LCSWS WERE CONTRACTED, BUT ALMOST IMMEDIATELY ONE OF THEM FOUND THAT THE MENTAL HEALTH NEEDS OF FIRST RESPONDERS AND RESIDENTS OF HER COMMUNITY WERE SO EXCESSIVE DUE TO THE PANDEMIC; SHE FELT COMPELLED TO CONCENTRATE ON HELPING THEM AND THEREFORE LEFT THE PROGRAM. ANOTHER LCSW WAS CONTRACTED TO REPLACE HER BUT IN OCTOBER ALSO HAD TO LEAVE AS HER PRIVATE PRACTICE WAS GROWING, ALSO DUE TO THE PANDEMIC. THE NPP REMAINED CONSTANT. CPEP IN ED WORKING WITH UHS' COMPREHENSIVE PSYCHIATRIC EMERGENCY PROGRAM (CPEP), DVH WAS ABLE TO INSTITUTE VIDEOCONFERENCING IN ITS ER SO THAT UHS' MENTAL HEALTH PROFESSIONALS CAN ACTUALLY SEE THE PATIENTS PRIOR TO THEM BEING SENT TO UHS (1 HOUR AWAY) ONLY TO FIND THEY ACTUALLY DON'T NEED HOSPITALIZATION. THIS WILL REDUCE THE UNNECESSARY USE OF RESOURCES: AMBULANCE AND CREW; A SECOND ER VISIT AND THE NEED TO FIND THE PATIENT A RIDE BACK HOME AFTER THE ASSESSMENT HAS TAKEN PLACE AT UHS. ALTHOUGH THIS SERVICE IS IN PLACE, IT IS NOT WELL-UTILIZED AS YET DUE TO THE SHORTAGE OF PROVIDERS AT THE CRISIS CENTER. RECRUITMENT FOR ALL HEALTHCARE PROFESSIONALS IN RURAL AREAS IS CHALLENGING BUT MENTAL HEALTH PROFESSIONALS ARE EVEN MORE DIFFICULT TO ATTRACT. ASSETS AND RESOURCES DELAWARE VALLEY HOSPITAL HAS CHOSEN TO FOCUS MUCH OF ITS WORK OVER THE NEXT FEW YEARS TO THE WALTON COMMUNITY. WALTON'S POPULATION CONSISTS OF 31.3% OF RESIDENTS AT AGE 65 AND OVER, COMPARED TO THE COUNTY'S 23%. 26% OF THE POPULATION IS DISABLED. OVER THE PAST 12 MONTHS, 25.8% OF ALL HOUSEHOLDS HAVE BEEN BELOW THE POVERTY LEVEL. 59% OF THE HOUSEHOLDS FIT THE DEFINITION OF POVERTY OR OF ALICE (ASSET LIMITED, INCOME CONSTRAINED, AND EMPLOYED). 45.3% OF THE POPULATION HAS PUBLIC INSURANCE COVERAGE AND 6.7% HAVE NO COVERAGE AT ALL.THE WALTON COMMUNITY HAS SUFFERED THROUGH TWO MAJOR FLOODS. ONE HAPPENED IN 1996 AND THE SECOND WAS IN 2006. TWO SMALLER EVENTS, CONSIDERED MODERATE FLOODING, TOOK PLACE IN 2010 AND 2011. THESE EVENTS LED TO A SENSE OF VICTIMIZATION THROUGHOUT THE COMMUNITY AND ITS RESIDENTS. ALL OF THESE FACTORS HAD LED DVH TO BELIEVE THAT TO REALLY MAKE AN IMPACT ON THE HEALTH OF ITS OWN COMMUNITY; IT NEEDS TO ADDRESS MANY OF THE SOCIAL DETERMINANTS OF HEALTH. HOWEVER, IT COULD NOT MAKE MUCH HEADWAY WITHOUT THE COOPERATION OF THE COMMUNITY'S ORGANIZATIONS, SCHOOLS, GOVERNMENT AND RESIDENTS. SOME NEW INITIATIVES FROM A LOCAL 4H CLUB TO BEAUTIFY THE COMMUNITY; THE FORMATION OF A NEW ART GROUP THAT SPONSORED AN ART WALK WITH ACTIVITIES AND A CREATED COMMUNITY MURAL ENTITLED, WALTON RISING; NEW YOUNGER RESIDENTS IN BOTH GOVERNMENT AND CHAMBER OF COMMERCE LEADERSHIP POSITIONS; AND A NEW FOUNDATION THAT WAS CREATED FROM THE ESTATE OF A COUPLE, WHO WERE LONG-STANDING MEMBERS OF THE COMMUNITY HAVE ALL COALESCED INTO A FORCE OF POSITIVITY. THE SCHOOL ADMINISTRATION IS ALSO COMPRISED OF YOUNGER RESIDENTS WHO HAVE GROWN UP IN WALTON AND WANT TO SEE IT THRIVE. THE HOSPITAL IS AN ACTIVE MEMBER OF THE CHAMBER AND THE COMMUNITY COMMITTEE OF THE SCHOOL. IT HAS ALSO ACTIVELY PARTICIPATED IN MANY OF THE ACTIVITIES THAT HAVE BEEN TAKING PLACE.
DELAWARE VALLEY HOSPTITAL	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 11: 2019-2021 COMMUNITY SERVICE PLAN (CONTINUED)	BASED ON ALL OF THE ACTIVITIES AND RENEWED SENSE OF COMMUNITY AND POSITIVITY AMONG THE RESIDENTS, DVH DISCUSSED THE POSSIBILITY OF PRESENTING A SERIES OF WORKSHOPS (FOR THE ENTIRE COUNTY) BASED ON THE AARP AGE-FRIENDLY COMMUNITIES PROGRAM, WHICH IS BASED ON THE WORLD HEALTH ORGANIZATION'S 8 DOMAINS OF LIVABILITY. THEY INCLUDE:OUTDOOR SPACES AND BUILDINGS TRANSPORTATION OPTIONS HOUSING- APPROPRIATELY DESIGNED OR MODIFIED AND AFFORDABLE SOCIAL PARTICIPATION RESPECT AND SOCIAL INCLUSION CIVIC PARTICIPATION AND EMPLOYMENT COMMUNICATION AND INFORMATION COMMUNITY AND HEALTH SERVICES DISCUSSION WAS HELD WITH THE CARE COMPASS NETWORK EAST REGIONAL PERFORMING UNIT, WHICH IS COMPRISED OF HOSPITALS AND ORGANIZATIONS AND AGENCIES FROM BOTH DELAWARE AND CHENANGO COUNTY. THE IDEA WAS WELL RECEIVED AND CARE COMPASS AGREED TO FUND THE PROGRAM. THE FIRST WORKSHOP WAS HELD ON JANUARY 30TH IN WALTON AND WAS PRESENTED BY ESTHER GREENHOUSE, NATIONALLY RENOWNED EXPERT ON BUILT ENVIRONMENTS. ORGANIZATIONS, AGENCIES AND HEALTHCARE PROVIDERS FROM ACROSS DELAWARE COUNTY, AND THOSE THAT SERVE DELAWARE COUNTY WILL BE INVITED TO ALL THE WORKSHOPS. HOWEVER, DVH AND ITS LOCAL PARTNERS INTEND TO FOCUS OUR EFFORTS TO THE WALTON COMMUNITY. MORE DETAILED INFORMATION REGARDING THIS PROGRAM IS OUTLINED IN SCHEDULE H- SUPPLEMENTAL INFORMATION. COMMUNITY SERVICE PLAN PREVENT CHRONIC DISEASE FOCUS AREA 4: PREVENTIVE CARE AND MANAGEMENT DISPARITY: UNLESS OTHERWISE NOTED THE DISPARITY FOR ALL OF THE FOLLOWING WILL BE: DVH PRIMARY CARE PATIENTS FITTING DEMOGRAPHICS AS DESCRIBED IN OBJECTIVES. INTERVENTIONS: UNLESS OTHERWISE NOTED THE INTERVENTIONS WILL BE AS FOLLOWS FOR ALL OF THE FOLLOWING: WORK WITH PRIMARY CARE PROVIDERS AND STAFF TO PUT SYSTEMS IN PLACE TO PROVIDE BOTH PROVIDERS AND PATIENTS REMINDERS THROUGH EHR ALERTS, MAILS, PHONE CALLS, EMAILS AND/OR E-CHART NOTIFICATIONS MEASURES: UNLESS OTHERWISE NOTED THE MEASURE WILL BE AS FOLLOWS FOR ALL OF THE FOLLOWING: PERCENTAGE OF DVH PATIENTS, AS DESCRIBED, WHO COMPLY WITH SCREENING GUIDELINES. GOAL 4.1 INCREASE CANCER SCREENING RATES 4.1.1 OBJECTIVE: BY DECEMBER 31, 2021, THE PERCENTAGE OF ADULTS, AGE 50-75 YEARS OLD, RECEIVING A COLORECTAL SCREENING WILL INCREASE. INTERVENTIONS WORK WITH PRIMARY CARE PROVIDERS AND STAFF TO PUT SYSTEMS IN PLACE TO PROVIDE BOTH PROVIDERS AND PATIENTS' REMINDERS THROUGH ELECTRONIC HEALTH RECORD (EHR) ALERTS, MAILS, PHONE CALLS, EMAILS AND/OR E-CHART NOTIFICATIONS YEAR 1 PROJECTED (OR COMPLETED) INTERVENTION: AS OF SEPTEMBER 2019, 64.4% OF DVH PATIENTS, WHO HAD AN INTERACTION WITH DVH WITHIN THE LAST TWO YEARS, AND ARE BETWEEN THE AGES OF 50 AND 75 HAD APPROPRIATE COLORECTAL SCREENING. 70% WAS THE GOAL FOR 2019. THE YEAR ENDED AT 67.2%, AN IMPROVEMENT FROM THE SEPTEMBER PERCENTAGE.YEAR 2 THE 2020 GOAL, AS DETERMINED BY THE UHS SYSTEM MEMBERS BASED ON PERFORMANCE IN 2019 WAS 68%IN JUNE 2020 THE RESULT WAS AT 65.1% BUT FELL UNFORTUNATELY TO 47% BY 12/31/20. THE ONGOING CHALLENGES OF THE PANDEMIC, THE RELUCTANCE OF PATIENTS TO COME FOR CHRONIC CONDITION MANAGEMENT, THE HIGHER VOLUME OF VIRTUAL VISITS AND LESS IN-PERSON VISITS ARE ALL FACTORS THAT CONTRIBUTED TO THE DECLINE. IN ADDITION, ALL PATIENTS WERE REQUIRED TO HAVE A COVID TEST PRIOR TO ANY PROCEDURE AND THIS REQUIREMENT RESULTED IN PEOPLE OPTING TO WAIT TO BE SCREENED.YEAR 3 THIS WILL BE DETERMINED BY THE UHS SYSTEM MEMBERS BASED ON PERFORMANCE IN 2020. GOAL 4.3 PROMOTE EVIDENCE-BASED CARE TO PREVENT AND MANAGE CHRONIC DISEASES INCLUDING ASTHMA, ARTHRITIS, CARDIOVASCULAR DISEASE, DIABETES, PREDIABETES AND OBESITY 4.3.1 OBJECTIVE: BY DECEMBER 31, 2021 THE PERCENTAGE OF ADULTS, AGE 50-85 YEARS OLD, HAVING AN ANNUAL WELL CARE VISIT WILL INCREASE. YEAR 1 PROJECTED (OR COMPLETED) INTERVENTION: AS OF SEPTEMBER 2019, 36.5% OF DVH PATIENTS, BETWEEN THE AGES OF 50-85 HAD AN ANNUAL WELL CARE VISIT. 50% WAS THE GOAL FOR 2019. THE YEAR ENDED AT 38%, AN IMPROVEMENT SINCE THE SEPTEMBER MEASURE.YEAR 2 THE 2020 GOAL, AS DETERMINED BY THE UHS SYSTEM MEMBERS BASED ON PERFORMANCE IN 2019 WAS 50%.IN JUNE 2020 THE RESULT WAS AT 39.1%, A SLIGHT IMPROVEMENT FROM YEAR-END 2019 BUT FELL UNFORTUNATELY TO 25.5% BY 12/31/20. THE ONGOING CHALLENGES OF THE PANDEMIC, THE RELUCTANCE OF PATIENTS TO COME FOR CHRONIC CONDITION MANAGEMENT, THE HIGHER VOLUME OF VIRTUAL VISITS AND LESS IN-PERSON VISITS ARE ALL FACTORS THAT CONTRIBUTED TO THE DECLINE. YEAR 3 THIS WILL BE DETERMINED BY THE UHS SYSTEM MEMBERS BASED ON PERFORMANCE IN 2020. 4.3.2 OBJECTIVE: BY DECEMBER 31, 2021 THE PERCENTAGE OF ADULTS, AGE 18-85 YEARS OLD, DIAGNOSED WITH HYPERTENSION WHO HAVE THEIR CONDITION ADEQUATELY CONTROLLED WILL INCREASE. YEAR 1 PROJECTED (OR COMPLETED) INTERVENTION: AS OF SEPTEMBER 2019 71.7% OF DVH PATIENTS, BETWEEN THE AGES OF 18-85 WHO HAVE BEEN DIAGNOSED WITH HYPERTENSION, HAD THEIR BLOOD PRESSURE ADEQUATELY CONTROLLED (<140/90). THE TARGET FOR 2019 WAS 71%. THE YEAR ENDED AT 73.9%, WHICH EXCEEDED THE TARGET.YEAR 2 THE 2020 GOAL, AS DETERMINED BY THE UHS SYSTEM MEMBERS BASED ON PERFORMANCE IN 2019 WAS 72.5%THIS METRIC ACTUALLY DID IMPROVE OVER 2020 THE RESULT WAS 76%. THIS CAN MOST LIKELY BE BASED ON THE FACT THAT VISITS ARE NECESSARY IN ORDER TO CONTINUE RECEIVING BLOOD PRESSURE MEDICATION, SO COMPLIANCE IS HIGHER. YEAR 3 THIS WILL BE DETERMINED BY THE UHS SYSTEM MEMBERS BASED ON PERFORMANCE IN 2020. 4.3.3 OBJECTIVE: BY DECEMBER 31, 2021 THE PERCENTAGE OF ADULTS, AGE 18-75, WITH DIABETES, WHO HAVE HAD HBA1C TESTING WITHIN A YEAR WITH A RESULT OF <8.0% WILL INCREASE. YEAR 1 AS OF SEPTEMBER 2019 AT LEAST 69.5% OF PATIENTS AGE 18-75 YEARS OF AGE, WITH DIABETES, WILL HAVE HAD HBA1C TESTING WITHIN A YEAR AND THE RESULT WILL BE <8.0%. GOAL WAS 67.2% FOR 2019. THE YEAR ENDED AT 68.3%, EXCEEDING THE TARGET.YEAR 2 THE 2020 GOAL, AS DETERMINED BY THE UHS SYSTEM MEMBERS BASED ON PERFORMANCE IN 2019 REMAINED THE SAME AT 67.2% IN JUNE 2020 THE RESULT WAS AT 65.3%, BUT FELL UNFORTUNATELY TO 24% BY 12/31/20. THE ONGOING CHALLENGES OF THE PANDEMIC, THE RELUCTANCE OF PATIENTS TO COME FOR CHRONIC CONDITION MANAGEMENT, THE HIGHER VOLUME OF VIRTUAL VISITS AND LESS IN-PERSON VISITS ARE ALL FACTORS THAT CONTRIBUTED TO THE DECLINE.YEAR 3 THIS WILL BE DETERMINED BY THE UHS SYSTEM MEMBERS BASED ON PERFORMANCE IN 2020. 4.3.4 OBJECTIVE: BY DECEMBER 31, 2021 MOST PRESCRIPTIONS FOR CHRONIC DISEASE MANAGEMENT WILL BE WRITTEN FOR 90 DAYS IN ORDER TO FOSTER BETTER PATIENT COMPLIANCE AND CONVENIENCE YEAR 1 AS OF SEPTEMBER 2019, 72.6% OF PRESCRIPTIONS, WRITTEN FOR THE CHRONIC CONDITIONS OF PATIENTS WHO HAVE HAD ANY INTERACTION WITH DVH WITHIN THE LAST 2 YEARS, WILL BE WRITTEN FOR A 90 DAY SUPPLY. MEDICATION TYPES INCLUDED IN THE MEASURE: ACE INHIBITOR/ARB MEDICATIONS, DIABETES, BETA-BLOCKER, HIGH AND MODERATE AND LOW INTENSITY STATIN MEDICATIONS. GOAL WAS 72% FOR 2019. THE YEAR ENDED AT 74.4%, EXCEEDING THE TARGET.YEAR 2 THE 2020 GOAL, AS DETERMINED BY THE UHS SYSTEM MEMBERS BASED ON PERFORMANCE IN 2019 REMAINED THE SAME AT 72%.IN JUNE 2020 THE RESULT WAS AT 74.1%, BUT FELL TO 70.7% BY 12/31/20. THE ONGOING CHALLENGES OF THE PANDEMIC, THE RELUCTANCE OF PATIENTS TO COME FOR CHRONIC CONDITION MANAGEMENT, THE HIGHER VOLUME OF VIRTUAL VISITS AND LESS IN-PERSON VISITS ARE ALL FACTORS THAT CONTRIBUTED TO THE DECLINE.YEAR 3 THIS WILL BE DETERMINED BY THE UHS SYSTEM MEMBERS BASED ON PERFORMANCE IN 2020. GOAL 4.4 IN THE COMMUNITY SETTING, IMPROVE SELF-MANAGEMENT SKILLS FOR INDIVIDUALS WITH CHRONIC DISEASES, INCLUDING ASTHMA, ARTHRITIS, CARDIOVASCULAR DISEASE, DIABETES, PREDIABETES AND OBESITY 4.4.1 OBJECTIVE: A HEALTHCARE PROVIDER OR HUMAN SERVICE AGENCY WILL HAVE REFERRED MORE PARTICIPANTS TO THE CHRONIC DISEASE SELF- MANAGEMENT WORKSHOP. DISPARITY: COMMUNITY MEMBERS WITH CHRONIC DISEASE MEASURES: THE PERCENTAGE OF PARTICIPANTS REFERRED BY PRIMARY CARE PROVIDERS OR HUMAN SERVICE AGENCIES INTERVENTIONS: WORK WITH MARKETING STAFF, PRIMARY CARE PROVIDER OFFICES AND LOCAL HUMAN SERVICE AGENCIES TO PUT SYSTEMS IN PLACE TO ASSURE AWARENESS OF THE AVAILABILITY OF THE CHRONIC DISEASE SELF-MANAGEMENT PROGRAM. YEAR 1 RECOGNIZED THAT MOST PARTICIPANTS ARE LEARNING OF THE PROGRAM THROUGH ONE SOLE PROVIDER OR THROUGH ADVERTISING. THERE IS A NEED TO CREATE MORE WIDELY-BASED KNOWLEDGE OF THE PROGRAM. YEAR 2 SYSTEMS WILL BE IN PLACE AND UTILIZED BY THE FALL OF 2020.NO ACTION TOOK PLACE ON THIS INITIATIVE. VIRTUALLY ALL THE TARGETED RESOURCES THAT WOULD HAVE WORKED ON THIS WERE OVERWHELMED DEALING WITH COVID-19. IN DVH'S CASE THE CLINICAL STAFF ALSO HAD TO FOCUS ON THE IMPLEMENTATION OF THE NEW EHR IN SEPTEMBER 2020. YEAR 3 AT LEAST 25% OF THE PARTICIPANTS WILL HAVE BEEN REFERRED FROM AN AGENCY OR PROVIDER.
PART V, SECTION B, LINE 11: 2019-2021 COMMUNITY SERVICE PLAN (CONTINUED)	4.4.2 OBJECTIVE: ACCESS TO CHRONIC DISEASE SELF-MANAGEMENT WORKSHOPS WILL CONTINUE. DISPARITY: COMMUNITY MEMBERS WITH CHRONIC DISEASE MEASURE: NUMBER OF SERIES OF WORKSHOPS OFFERED INTERVENTIONS: HOLD CHRONIC DISEASE SELF-MANAGEMENT WORKSHOPS YEAR 1 DURING 2019, 2 SERIES OF WORKSHOPS WERE HELD IN THE SPRING. A FALL SERIES WAS OFFERED BUT THERE WERE NOT ENOUGH PARTICIPANTS TO ACTUALLY HOLD THE PROGRAM. YEAR 2 DURING 2020, AT LEAST TWO WORKSHOPS WILL BE HELDNO WORKSHOPS WERE OFFERED DUE TO THE PANDEMIC. YEAR 3 DURING 2021, AT LEAST TWO WORKSHOPS WILL BE HELD. PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS FOCUS AREA 1: PROMOTE WELL-BEING GOAL 1.1: STRENGTHEN OPPORTUNITIES TO BUILD WELL-BEING AND RESILIENCE ACROSS THE LIFESPAN 1.1.1 OBJECTIVE: BY DECEMBER 31, 2020 AT LEAST ONE COMMUNITY WITHIN THE DVH SERVICE AREA WILL BE ACTIVELY WORKING TO BECOME AN AGE-FRIENDLY COMMUNITY. INTERVENTIONS: BUILD COMMUNITY WEALTH BY SERVING AS THE CATALYST TO CREATE INCLUSIVE, HEALTHY PUBLIC SPACES AND INTER-GENERATIONAL SOCIALIZATION OPPORTUNITIES MEASURES: IMPROVEMENT IN ACCESSIBILITY, SOCIALIZATION, AND WELL-BEING MEASURES YEAR 1: RESEARCHED BUILDING AGE FRIENDLY COMMUNITIES THROUGH AARP - DISCUSSED CONCEPT WITH POTENTIAL STAKEHOLDERS INCLUDING LOCAL OFFICIALS, ORGANIZATIONS, AGENCIES, SCHOOLS, POTENTIAL COMMUNITY PARTNERS AND GARNERED SUPPORT TO MOVE PROJECT FORWARD. REQUESTED AND SECURED FUNDING FROM CARE COMPASS NETWORK TO HOLD SERIES OF WORKSHOPS REGARDING AGE FRIENDLY COMMUNITIES - SET DATES, SECURED VENUE, CATERERS AND DEVELOPED INVITE LIST. YEAR 2: HOLD SERIES OF WORKSHOPS BASED ON A BLEND OF AARP'S ROAD TO LIVABILITY PROGRAM AND NY STATE'S LIVABLE NY PROGRAM WHICH INCORPORATES THE IMPORTANCE OF THE SOCIAL DETERMINANTS OF HEALTH. HOLD FOLLOW-UP MEETINGS WITH APPROPRIATE INTERESTED PARTIES FROM WALTON AREA TO CREATE A COALITION OF COMMUNITY MEMBERS TO PRIORITIZE POTENTIAL AGE FRIENDLY COMMUNITY INITIATIVES; IDENTIFY NEXT STEPS AND IDENTIFY POTENTIAL COMMITTEE MEMBERS TO ADDRESS EACH INITIATIVE. MEASURES: TWO COMMITTEES WILL BE FORMED OR EXISTING COMMITTEES, INTEGRATED INTO ADDRESSING AT LEAST TWO COMPONENTS OF THE AGE FRIENDLY COMMUNITY. RECRUIT AND FORM COMMITTEE(S) OF COMMUNITY RESIDENTS, WHICH IS REPRESENTATIVE OF THE POPULATION AND ALSO INCLUDES APPROPRIATE COMMUNITY BASED ORGANIZATIONS, AGENCIES AND GOVERNMENT ENTITIES TO DEVELOP AN ACTION PLAN AND TIMELINE TO ADDRESS AT LEAST TWO COMPONENTS OF BECOMING AN AGE FRIENDLY COMMUNITY.THE WALTON CONTINGENT, WHICH IS DELAWARE VALLEY HOSPITAL'S HOME TOWN, CONTINUED THE MOMENTUM, HOLDING A COMMUNITY FORUM ON MARCH 1 WITH REPRESENTATIVES FROM LOCAL ORGANIZATIONS WHICH WERE ABLE TO TELL ATTENDEES ABOUT THEIR PLANS. DELAWARE VALLEY HOSPITAL SPOKE SPECIFICALLY ABOUT ITS PLANS TO CONDUCT A SURVEY ABOUT HOW PEOPLE SOCIALIZE AND ITS PLAN TO WORK ON HELPING WALTON BECOME AN AGE-FRIENDLY COMMUNITY. SEVEN COMMUNITY MEMBERS VOLUNTEERED TO SERVE ON VARIOUS COMMITTEES TO BEGIN WORK ON BUILDING AN AGE-FRIENDLY COMMUNITY. UNFORTUNATELY, DUE TO THE PANDEMIC AND PEOPLE'S COMMITMENT TO THEIR JOBS, CARING FOR THEMSELVES, THEIR FAMILIES AND RE-STRUCTURING THEIR DAILY LIVES AROUND REMOTE WORK AND SCHOOL, SOME OF THIS WORK HAD TO BE SET ASIDE. HOWEVER, THE COMMUNITY RELATIONS DIRECTOR WROTE A GRANT APPLICATION TO HELP PAY FOR THE SURVEY EXPENSES, BUT WAS TURNED DOWN, AS ALL FUNDING WENT TO FOOD SECURITY. A SECOND APPLICATION WAS ALSO TURNED DOWN AS A BOARD MEMBER FELT THAT THE WORK COULD BE DONE IN CONJUNCTION WITH A BINGHAMTON UNIVERSITY INTERN. UNFORTUNATELY, THAT DID NOT COME TO FRUITION EITHER, AS THE CANDIDATES ALL DECIDED TO DO THEIR INTERNSHIP CLOSER TO THEIR HOMES. AS OF THIS WRITING THE DECISION HAS BEEN MADE TO CONDUCT THE SURVEY AND DVH WILL BE FUNDING THE INITIATIVE. A COMPONENT OF BECOMING AGE FRIENDLY IS TO CREATE SPACES WHERE PEOPLE CAN COME TOGETHER. WALTON HAS A RECLAIMED FLOOD PLAIN THAT BORDERS THE DELAWARE RIVER AND FOR YEARS PLANS HAVE BEEN DISCUSSED BUT NO ACTION HAD OCCURRED. IN 2020, THE FIRST PROJECT, A BOAT RAMP WAS INSTALLED. WITH THIS SPARK, THE DECISION WAS MADE TO APPLY FOR AN AARP GRANT TO CREATE A RIVER WALK AND PICNIC AREA. EXTENSIVE WORK HAD TO TAKE PLACE IN ORDER TO DESIGN THE WALK, THE PARKING AREAS, THE PICNIC AREA, AND DECIDING ON SPECIFIC TABLES ETC. WHILE KEEPING WITHIN THE SCOPE OF WHAT IS ALLOWABLE IN THE FLOOD PLAIN. THE GRANT WAS NOT SUCCESSFUL, HOWEVER ENOUGH WORK HAD BEEN DONE THAT MORE DETAILED DRAWINGS AND PLANS COULD BE MADE UP AND SEVERAL GRANTS ARE BEING WRITTEN IN 2021 FOR THE PROJECT. FUNDING HAD BEEN SECURED FOR PICNIC TABLES, SIGNAGE, CREATION OF NEW WALKING TRAIL MARKERS THAT HAD BEEN DESTROYED IN A FLOOD AND SIGNAGE FOR A BIKE TRAIL UNFORTUNATELY WAS RESCINDED BY THE STATE DUE TO PANDEMIC COSTS. MEASURES: COMMITTEE OBJECTIVES AND TIMELINES WILL BE DEVELOPED COMMITTEES WILL FORMULATE THEIR RESPECTIVE OBJECTIVES, BASED ON AGE FRIENDLY SERIES AND DEVELOP A WORK PLAN AND CREATE A TIMELINE TO ACHIEVE THOSE OBJECTIVES AND CHOOSE A REPRESENTATIVE TO SIT ON THE COMMUNITY COALITION. MEASURES: BEST PRACTICE, CORE MEASURES AND STAKEHOLDER ROLES WILL BE DETERMINED COMMITTEES WILL REACH CONSENSUS ON BEST PRACTICE INTERVENTIONS, CORE MEASURES AND ROLES OF STAKEHOLDERS YEAR 3: TO BE DETERMINED BASED ON 2020 RESULTS/DECISIONS. OBJECTIVE 1.1.2 INCREASE ACCESSIBILITY OF PHYSICAL ENVIRONMENT BY 5% (BASELINE TO BE SET IN 2020) INTERVENTION: DEVELOP CONSENSUS ON DEVELOPMENT OF WATER STREET THROUGH FLOOD MITIGATION PROJECT AND OTHER FUNDING MEASURES: ACCESSIBILITY OF PHYSICAL ENVIRONMENT YEAR 1: HELD DISCUSSION WITH TOWN SUPERVISOR, VILLAGE MAYOR, AND PROJECT MANAGER FOR WATER STREET PROJECT, AND CHAMBER OF COMMERCE PRESIDENT TO ASSESS FEASIBILITY OF HAVING AN IMPACT ON WATER STREET USE AND DEVELOPMENT. YEAR 2: REVIEW PREVIOUS WALK AUDIT DONE BY RURAL HEALTH GROUP. COMPLETE WALK AUDIT OF WATER STREET AND DELAWARE STREET IN WALTON NY NO ACTION TOOK PLACE ON THIS DUE TO COVID. YEAR 3: TO BE DETERMINED BASED ON 2020 RESULTS/DECISIONS. OBJECTIVE 1.1.3: BY DECEMBER 31, 2021 DECREASE THE % OF ADULTS WHO REPORT FEELING ANXIETY OR FEAR, DEPRESSION OR SADNESS, HELPLESS OR HOPELESS INTERVENTIONS: SURVEY COMMUNITY MEMBERS YEAR 1: DELAWARE COUNTY COMMUNITY SURVEY COMPLETED. QUESTION- IN THE PAST YEAR, HAVE YOU OR SOMEONE CLOSE TO YOU EXPERIENCED ANY OF THE FOLLOWING: RESULTS OF THESE MEASURES INCLUDED: ANXIETY OR FEAR 49.6% - DEPRESSION OR SADNESS 55.5% - FEELING HELPLESS OR HOPELESS 30.56% YEAR 2: FOCUS COMMITTEE WORK ON SOCIALIZATION OPPORTUNITIES TO HELP FOSTER FEELINGS OF WELL-BEING BECAUSE THE SURVEY HAS BEEN DELAYED UNTIL LATE 2021, NO FURTHER WORK TOOK PLACE ON THIS INITIATIVE IN 2020.YEAR 3: TO BE DETERMINED BASED ON 2020 RESULTS/DECISIONS. OBJECTIVE 1.1.4 BY DECEMBER 31, 2021 INCREASES THE % OF ADULTS WHO REPORT ONGOING PARTICIPATION IN AT LEAST ONE SOCIALIZATION OPPORTUNITY OTHER THAN WORK. (BASELINE TO BE SET IN 2020) INTERVENTIONS: SURVEY COMMUNITY MEMBERS MEASURES: NUMBER OF PEOPLE PARTICIPATING AT SOCIALIZATION OPPORTUNITIES. YEAR 1: DISCUSSIONS CENTERED ON CORRELATION OF ISOLATION AND FEELINGS YEAR 2: DEVELOP A SURVEY TO GET SENSE OF SOCIALIZATION ACTIVITIES AND PARTICIPATION THROUGHOUT THE COMMUNITY. FOCUS COMMITTEE WORK ON SOCIALIZATION OPPORTUNITIES TO HELP FOSTER FEELINGS OF WELL-BEINGBECAUSE THE SURVEY HAS BEEN DELAYED UNTIL LATE 2021, NO FURTHER WORK TOOK PLACE ON THIS INITIATIVE IN 2020YEAR 3: TO BE DETERMINED BASED ON 2020 RESULTS/DECISIONS DELAWARE VALLEY HOSPITAL STAFF WILL PLAY AN INTEGRAL ROLE, WITH CARE COMPASS NETWORK STAFF TO ENSURE APPROPRIATE STAKEHOLDERS FROM ACROSS THE COUNTY ARE INVITED TO THE VARIOUS AGE-FRIENDLY WORKSHOPS. DVH STAFF WILL ALSO SECURE THE VENUE AND CATERER FOR EACH WORKSHOP. DELAWARE VALLEY STAFF WILL BE THE CATALYST AND CHAMPION TO ENSURE WALTON COMMUNITY STAKEHOLDERS HOLD FOLLOW-UP MEETINGS AND FORMULATE COMMITTEES TO FOCUS ON SPECIFIC INTERVENTIONS, BASED ON THE CONSENSUS OF THE GROUP. DVH WILL MAINTAIN REPRESENTATION ON THE STEERING COMMITTEE AND ANY OTHER SUB-COMMITTEE THAT IS APPROPRIATE. DVH WILL WORK WITH DELAWARE COUNTY MENTAL HEALTH TO CREATE SURVEY OF SOCIALIZATION ACTIVITIES. IF NECESSARY, DVH WILL ASSIST IN PROVIDING SUPPORT IN WRITING ANY GRANT APPLICATIONS.THE DVH COMMUNITY RELATIONS DIRECTOR WROTE AN AARP GRANT FOR THE VILLAGE OF WALTON TO FUND THE CREATION OF A TRAIL ALONG THE RIVER. SHE ALSO WROTE 2 GRANTS FOR THE FUNDING OF THE SURVEY. UNFORTUNATELY, NONE OF THESE WERE SUCCESSFUL. IN ADDITION, DVH WILL CONTINUE TO MEET REGULARLY WITH DELAWARE COUNTY PUBLIC HEALTH STAFF AND STAFF FROM BOTH O'CONNOR HOSPITAL AND MARGARETVILLE HOSPITAL TO CONTINUE DIALOGUE REGARDING OUR ACTIVITIES SO WE CAN IDENTIFY OPPORTUNITIES TO WORK TOGETHER.ALTHOUGH, DVH HAD A LOT OF INTERACTION WITH DELAWARE COUNTY PUBLIC HEALTH THROUGHOUT 2020, IT WAS FOCUSED ON THE PANDEMIC AND NOT ON THE COMMUNITY SERVICE PLAN.

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - WALTON FAMILY HEALTH CENTER
2 TITUS PLACE	WALTON	NY	13856	OUTPATIENT PHYSICIAN CLINIC
2 - DOWNSVILLE FAMILY HEALTH CENTER
28315 STATE HWY 206	DOWNSVILLE	NY	13755	OUTPATIENT PHYSICIAN CLINIC
3 - ROSCOE FAMILY HEALTH CENTER
1982 OLD ROUTE 17	ROSCOE	NY	12776	OUTPATIENT PHYSICIAN CLINIC
4 - PHYSICAL AND OCCUPATIONAL THERAPY
121 STOCKTON AVENUE	WALTON	NY	13856	REHABILITATION CLINIC
5 - DVH COMMUNITY PHARMACY
121 STOCKTON AVENUE	WALTON	NY	13856	COMMUNITY PHARMACY

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	DELAWARE VALLEY HOSPITAL IS A CRITICAL ACCESS HOSPITAL (CAH) AS DESIGNATED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. UNLIKE NON-CAH'S THAT ARE REIMBURSED BASED ON A PROSPECTIVE REIMBURSEMENT METHODOLOGY, CAH'S ARE REIMBURSED THEIR ALLOWABLE COSTS FOR MEDICARE PURPOSES. THE MEDICARE COST REPORT (CMS 2552) AND THE MEDICAID INSTITUTIONAL COST REPORT (ICR) WAS UTILIZED FOR PURPOSES OF IDENTIFYING COSTS AND NET REVENUE. ADDITIONALLY, THERE IS NO BAD DEBT EXPENSE IN ANY OF THE COSTS USED IN CALCULATING THE PERCENTAGES IN PART I, LINE 7, COLUMN F.
PART I, LN 7 COL(F):	DELAWARE VALLEY HOSPITAL REPORTED BAD DEBT EXPENSE IN THE AMOUNT OF $515,228 IN PART IX, LINE 24C. THE AFOREMENTIONED BAD DEBT EXPENSE WAS SUBTRACTED IN THE CALCULATIONS OF SCHEDULE H, PART I, LINES 7A THRU 7K.
PART II, COMMUNITY BUILDING ACTIVITIES:	DELAWARE VALLEY HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH ITS MEMBERSHIP AND PARTICIPATION IN THE DELAWARE COUNTY RURAL HEALTHCARE ALLIANCE, A COALITION OF HEALTHCARE AND COMMUNITY ORGANIZATIONS THROUGHOUT THE COUNTY. THE COMMUNITY RELATIONS DIRECTOR ALSO SERVES ON THE COMMUNITY COMMITTEE OF THE LOCAL SCHOOL. IN 2020, SHE SERVED ON THE SCHOOL'S RE-OPENING PLANNING COMMITTEE. DURING THESE MEETINGS, THE SCHOOL REPORTED IT HAD CHANGED OUT ALL THE WATER FOUNTAINS TO BOTTLE FILLING STATIONS. THE HOSPITAL OFFERED FREE WATER BOTTLES TO ALL STUDENTS. DVH THEN REACHED OUT TO THE SCHOOLS IN OTHER AREAS AND FOUND THEY ALSO HAD A NEED. 2,400 WATER BOTTLES WERE PROVIDED TO 5 SCHOOLS. BOTTLES WERE ORDERED IN EACH SCHOOL'S COLORS AND PRINTED WITH ITS MASCOT AND A PLACE FOR THE CHILDREN TO WRITE THEIR NAMES. THE HOSPITAL MAINTAINS REPRESENTATION ON THE COUNTY'S EMERGENCY PREPAREDNESS COMMITTEE (BNICER). HOWEVER, NO MEETINGS WERE HELD IN 2020 DUE TO THE PANDEMIC. WEEKLY NARCOTICS ANONYMOUS MEETINGS CONTINUED TO BE HELD AT THE HOSPITAL UNTIL MARCH 10, 2020. HOSPITAL STAFF PERFORMED DRUG TESTING COLLECTION FOR THE COUNTY'S DRUG TREATMENT COURT FREE OF CHARGE UNTIL THE COURT CLOSED DUE TO COVID -19. IT DID NOT RE-OPEN IN 2020. THE DELAWARE COUNTY DRUG TREATMENT COURT'S MISSION IS TO HELP CHANGE THE BEHAVIORS OF ADULT NONVIOLENT DRUG AND ALCOHOL USERS THROUGH SUPERVISION AND TREATMENT RATHER THAN JUST SENDING THEM TO JAIL. THE OVERALL GOAL IS TO HELP ADDICTED INDIVIDUALS ACHIEVE LIFELONG RECOVERY AND BECOME RESPONSIBLE AND PRODUCTIVE MEMBERS OF THE COMMUNITY. DELAWARE COUNTY'S SOLID WASTE MANAGEMENT CENTER CONTINUES TO DISTRIBUTE THE BROCHURES, PRINTED COURTESY OF DVH, REGARDING SAFE NEEDLE DISPOSAL. WHEN PATIENTS BRING THEIR USED SHARPS TO THE HOSPITAL FOR DISPOSAL, THEY ARE GIVEN A FREE AND APPROPRIATELY SIZED SHARP DISPOSAL CONTAINER. THE HOSPITAL CONTINUES TO SUPPORT THE TOWN'S VETERAN'S CLUB, CHAMBER OF COMMERCE, THE LITTLE LEAGUE ORGANIZATION, THE LOCAL TOY BANK DRIVE AND TWO 5K RUNS. BECAUSE OF THE PANDEMIC, THE COMMUNITY'S ANNUAL HOLIDAY DINNER WAS NOT HELD AND THE MUSIC ON THE DELAWARE GROUP WAS NOT ACTIVE. THE HOSPITAL CHOSE TO REDIRECT ITS SUPPORT TO TWO LOCAL FOOD BANKS INSTEAD. THE PRESIDENT/CEO OF DELAWARE VALLEY IS AN ACTIVE MEMBER OF THE WALTON LIONS CLUB. THE HOSPITAL CONTROLLER SERVES ON THE BOARD OF THE CULLMAN CENTER, A DAY CARE CENTER IN SIDNEY, NY. BEGINNING IN 2020, THE DIRECTOR OF SUPPORT SERVICES SERVES ON THE DELAWARE COUNTY CHAMBER OF COMMERCE BOARD, WHILE THE COMMUNITY RELATIONS DIRECTOR SITS ON THE WALTON CHAMBER OF COMMERCE BOARD. OVER THE COURSE OF EACH YEAR, DVH MEMORIALIZES PEOPLE BY DONATING TO NON-PROFIT ORGANIZATIONS RATHER THAN GETTING FLOWERS. IN 2015, THE WALTON MINISTERIAL ASSOCIATION BEGAN A HUNGER WALK TO RAISE MONEY FOR THE LOCAL FOOD BANK AND CHILDREN'S NUTRITION PROGRAMS. DELAWARE VALLEY CONTINUES TO BE THE LEADING SPONSOR OF THE EVENT AND STAFF SERVES ON THE PLANNING COMMITTEE. DVH CONTINUES TO SUPPLY OFFICE SPACE FOR THE RURAL HEALTH NETWORK OF SOUTH CENTRAL NY'S OUTREACH STAFF. THE NETWORK'S MAIN OFFICE MOVED TO BINGHAMTON , NY, BUT STILL AT LEAST AN HOUR AWAY FROM DELAWARE COUNTY; ONE OF THEIR TARGET AREAS. BY PROVIDING THEM WITH FREE OFFICE SPACE, THEY HAVE A HOME BASE MORE CENTRALLY LOCATED TO THOSE WHO THEY ARE TRYING TO SERVE. THE ORGANIZATION OFFERS MANY NAVIGATION-TYPE PROGRAMS, MOST ESPECIALLY ACCESS TO TRANSPORTATION SERVICES. THE HOSPITAL ALSO PROVIDES PHONE AND OFFICE SUPPLIES TO THEM AT NO CHARGE. ALTHOUGH THE OFFICE IS STILL MAINTAINED, THE STAFF HAS BEEN WORKING REMOTELY, WITH ONLY OCCASIONAL OFFICE DAYS. DVH WAS MADE AWARE THAT AN ORGANIZATION, THE FAMILY RESOURCE NETWORK, WHICH SERVES FAMILIES DEALING WITH DISABILITIES, NEEDED A MORE LOCAL PRIVATE PLACE FOR MEETING WITH FAMILIES. THEIR MAIN OFFICE IS LOCATED 45 MINUTES AWAY FROM WALTON AND CLIENTS HAD DIFFICULTY GETTING THERE. DVH HAS AGREED TO LET THEM USE ITS WELLNESS ROOM FOR THOSE MEETINGS. WHILE WE STILL MAINTAIN THEIR SPOT ON THE CALENDAR, THEY DID NOT UTILIZE THE ROOM IN 2020. WHEN THE LOCAL EMERGENCY SQUAD NEEDS TO RE-STOCK ITS AMBULANCE, BUT HAS NOT BROUGHT THE PATIENT TO THE HOSPITAL'S ER, THE HOSPITAL RE-STOCKS THE AMBULANCE FREE OF CHARGE. THIS CAN HAPPEN WHEN THE AMBULANCE PERSONNEL HAVE CALLED FOR A HELICOPTER EVACUATION OF THE PATIENT(S) DIRECTLY FROM THE SCENE OF THE INCIDENT. A PATIENT AND FAMILY ADVISORY COMMITTEE STARTED IN 2018. THE GROUP PROVIDES DVH WITH INVALUABLE INSIGHT AS TO HOW A PATIENT INTERPRETS A MULTITUDE OF HEALTHCARE TOPICS. DVH IS ABLE TO PROVIDE THEM WITH INSIGHT TO SOME OF THE REASONS THAT THINGS ARE DONE THE WAY THEY ARE. DURING 2019, THE GROUP WAS INSTRUMENTAL IN HELPING THE HOSPITAL TO RE-TOOL ITS ADMISSION PACKET, HEALTH HISTORY FORM AND PATIENT EDUCATION MATERIALS. HOWEVER, THIS GROUP DID NOT MEET IN 2020 DUE TO THE PANDEMIC. WE ALSO BELIEVE IN ENCOURAGING FAMILY TOGETHERNESS AND ACTIVITIES. IN 2019, WE HELD OUR THIRD SANTA EVENT BUT THIS TIME WE ADDED A CRAFT ACTIVITY FOR EACH CHILD TO DO WITH HIS/HER PARENTS. APPROXIMATELY 80 KIDS CAME TO THE EVENT WITH THEIR PARENTS. PLANS AND ADVERTISING HAD BEEN DONE WITH EVERY INTENTION OF GOING FORWARD WITH THIS EVENT IN 2020 WITH SOCIAL DISTANCING ARRANGEMENTS. UNFORTUNATELY THE WEEK BEFORE THE EVENT, OUR TOWN EXPERIENCED A SURGE IN COVID-19 CASES AND WE FELT WE NEEDED TO BE PRUDENT AND CANCELLED THE EVENT. TO ENCOURAGE YOUNG CHILDREN TO BE SAFE AND NOT TO BE AFRAID OF HEALTHCARE PROVIDERS OR HOSPITALS, DVH GENERALLY HOSTS SECOND GRADERS FROM 5 AREA SCHOOLS AT ITS TEDDY BEAR CLINIC. THEY LEARN LESSONS ABOUT SAFETY HELMETS, SEAT BELTS AND POISON, ALSO HAVE HANDS-ON EXPERIENCE IN THE ER, RADIOLOGY, AND HELP CARE FOR OUR MANNEQUIN PATIENT (A BIKE ACCIDENT PATIENT WHO DID NOT WEAR A HELMET). THEY TOUR AN AMBULANCE, LOOK INSIDE THE MEDICAL HELICOPTER AND GET TO MEET AND LEARN ABOUT WHAT K9 OFFICERS AND THEIR DOGS DO. THE EVENT IS USUALLY HELD IN MAY, BUT HAD TO BE CANCELLED IN 2020.THE PEDIATRICIAN PARTICIPATES IN THE NATIONAL REACH OUT & READ PROGRAM, AND GIVES FREE AND AGE-APPROPRIATE BOOKS TO CHILDREN AT EACH WELLNESS VISIT, BEGINNING AT THE AGE OF 6 MONTHS.
PART III, LINE 2:	THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
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 2020 ACTUAL BAD DEBT WRITE-OFFS RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE TO THE TOTAL 2020 ACTUAL BAD DEBT WRITE-OFFS. THIS CALCULATION DID NOT INCLUDE ESTIMATES OR ACCRUALS. IN 2020, THE WRITE-OFFS RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WAS APPROXIMATELY 52.3% OF THE TOTAL BAD DEBT WRITE-OFFS.
PART III, LINE 4:	AN ALLOWANCE FOR DOUBTFUL ACCOUNTS RECEIVABLE IS ESTIMATED BY MANAGEMENT BASED ON PERIODIC REVIEWS OF THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE CONSIDERING HISTORICAL EXPERIENCE AND PREVAILING ECONOMIC CONDITIONS. PLEASE REFER TO FOOTNOTE 1, PAGE 8 OF THE AUDITED FINANCIAL STATEMENTS FOR ADDITIONAL INFORMATION.
PART III, LINE 8:	BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE. THE HOSPITAL HAS A POLICY TO PROVIDE A COMMUNITY BENEFIT TO UNINSURED PATIENTS THAT CONSISTS OF FEE DISCOUNTS. CERTAIN PATIENTS THAT WERE PROVIDED FEE DISCOUNTS WOULD HAVE LIKELY QUALIFIED UNDER THE CHARITY CARE POLICY. DELAWARE VALLEY HOSPITAL USES THE COST TO CHARGE RATIO METHODOLOGY UTILIZING AMOUNTS FROM THE 2020 MEDICARE COST REPORT FOR ALL PERTINENT CALCULATIONS IN PART III, LINE 6.
PART III, LINE 9B:	UHS HOSPITALS 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.UHS HOSPITALS REFRAINS FROM SENDING AN ACCOUNT TO COLLECTION AGENCIES IF A COMPLETED FINANCIAL ASSISTANCE APPLICATION AND THE REQUIRED DOCUMENTATION ARE PROVIDED. UHS HOSPITALS 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. UHS HOSPITALS 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:	RECRUITMENT OF HEALTHCARE PROFESSIONALS IS ALWAYS A CHALLENGE, ESPECIALLY IN OUR RURAL AREA. DELAWARE VALLEY HOSPITAL (DVH) AND 2 OF ITS 3 PRIMARY CARE CENTERS MAINTAIN THEIR STANDING AS APPROVED SITES FOR PROFESSIONALS SEEKING ASSISTANCE THROUGH THE NATIONAL HEALTH SERVICE CORPS. HOWEVER, THE ROSCOE SITE HAD TO BE TEMPORARILY CLOSED ON 9/11/20 DUE TO THE LOSS OF THE PROVIDER AND THE INABILITY TO RECRUIT ANOTHER PRIOR TO THEIR DEPARTURE. DVH WAS ABLE TO RECRUIT A NEW NURSE PRACTITIONER AND THE OFFICE WAS RE-OPENED ON 4/26/21 AND IS IN THE PROCESS OF APPLYING FOR NHSC APPROVAL. THE HOSPITAL ALSO HOSTS BOTH RN AND CNA STUDENTS, FROM OUR LOCAL COLLEGE (SUNY DELHI) AND BOARD OF COOPERATIVE EDUCATIONAL SERVICES (BOCES). DUE TO THE PANDEMIC, THE STUDENTS FROM BOTH SCHOOLS WERE ONLY ABLE TO DO THEIR CLINICALS FROM JANUARY TO MARCH 5, WHEN THE HOSPITAL CLOSED DOWN TO THEM. UNFORTUNATELY, THEY WERE UNABLE TO RETURN IN THE FALL. THE ANNUAL EDUCATION OF DIABETES THAT THE HOSPITAL'S DIETITIAN PROVIDES FOR THE NURSING STUDENTS DID NOT TAKE PLACE DUE TO THE PANDEMIC. TWO DVH RNS SERVED AS MENTORS TO SUNY DELHI RN AND BSN STUDENTS IN 2020. THE PANDEMIC ALSO MADE IT IMPOSSIBLE TO HOST THE ANNUAL MASH CAMP FOR HIGH SCHOOL STUDENTS WHERE THEY LEARN ABOUT HEALTHCARE CAREERS AND ENCOURAGE THEM TO PRACTICE IN OUR RURAL COMMUNITY. THE ANNUAL CAREER DAY AT THE AREA HIGH SCHOOL, WHICH IS ATTENDED EACH YEAR BY ONE OF THE HOSPITALS ER PHYSICIAN ASSISTANTS WAS ALSO CANCELLED. IN 2019, THE HOSPITAL CONTINUED TO WORK HAND IN HAND WITH THE DELAWARE COUNTY PUBLIC HEALTH DEPARTMENT, O'CONNOR HOSPITAL AND MARGARETVILLE MEMORIAL HOSPITAL TO DEVELOP THE NEW COMMUNITY HEALTH NEEDS ASSESSMENT AND OUR INDIVIDUAL COMMUNITY SERVICE PLANS. STAFF FROM THE RURAL HEALTH NETWORK OF SOUTH CENTRAL NY AIDED US BY RESEARCHING AREA DEMOGRAPHICS AND COMPILING THE REPORT. THE NEW NEEDS ASSESSMENT AND COMMUNITY SERVICE PLAN ARE LOCATED AT HTTPS://WWW.NYUHS.ORG/WHY-CHOOSE-US/COMMUNITY-SERVICE-REPORTS. IN 2020, DVH RESOURCES WERE MORE FOCUSED ON DEVELOPING EVEN MORE STRINGENT SAFETY PROTOCOLS, GIVEN THE PANDEMIC. ACCESS TO THE HOSPITAL WAS DETOURED TO ONE ENTRANCE, WHERE A SCREENER WAS PUT IN PLACE TO ASSESS THE PATIENT/VISITOR/VENDOR FOR COVID-19 SYMPTOMS AND OTHER RISK FACTORS BEFORE HAVING THEM ENTER. ALL VISITORS/COMPANIONS WERE PROVIDED INFORMATION ABOUT PROPER WAY TO WEAR MASKS, SOCIAL DISTANCE AND THE IMPORTANCE OF SAFETY AND HAND HYGIENE. WAITING ROOMS WERE RECONFIGURED TO ALLOW SOCIAL DISTANCING. APPOINTMENTS WERE STAGGERED SO LESS PEOPLE WOULD BE IN ANY ONE WAITING ROOM AT A TIME. ALL STAFF WERE TRAINED IN THE USE OF TELEHEALTH SO THAT VIRTUAL APPOINTMENTS COULD TAKE PLACE. TELEPHONIC AND VIRTUAL APPOINTMENTS WERE USED WHEN APPROPRIATE, TO HELP REDUCE POTENTIAL EXPOSURE. A TEMPORARY DRIVE-THROUGH WAS CREATED TO ALLOW NURSING STAFF TO CONDUCT COVID TESTING WHILE THE PATIENTS REMAINED IN THEIR CARS. ALL STAFF WORE MASKS, AND APPROPRIATE LEVELS OF PERSONAL PROTECTIVE EQUIPMENT (PPE) WERE ORDERED. PROPER DONNING AND DOFFING TECHNIQUES WERE REVIEWED WITH STAFF. STAFF MEMBERS VOLUNTEERED TO CREATE FACE SHIELDS, WHEN THEY WERE NOT PROCURABLE. ALWAYS A FOCUS, HAND HYGIENE WAS EVEN MORE GREATLY EMPHASIZED. STAFF MEMBERS WERE RE-ASSIGNED TO SERVE AS SCREENERS FOR ANYONE WANTING TO COME INTO THE HOSPITAL. MAINTENANCE STAFF INSTALLED A BUZZER AND SPEAKER SYSTEM SO THAT SCREENERS COULD COMMUNICATE WITH PEOPLE WAITING OUTSIDE THE BUILDING TO BE SCREENED. EVENTUALLY, MAINTENANCE STAFF ALSO BUILT AN OFFICE FOR THE SCREENER TO WORK FROM. THEY ALSO BUILT A TEMPORARY WALL ON THE MEDICAL FLOOR, WHICH IN EFFECT, CREATED A SEPARATE COVID WARD. A SINK WAS INSTALLED IN THE HALLWAY SO STAFF COULD PERFORM HAND HYGIENE MORE EASILY AND EFFICIENTLY. THEY CREATED 5 ADDITIONAL NEGATIVE PRESSURE ROOMS ON THE MEDICAL FLOOR, USING PORTABLE HEPA FILTRATION UNITS AND PERMANENTLY INSTALLED A NEGATIVE AIR PRESSURE SYSTEM THROUGHOUT THE ER. PLEXIGLASS PARTITIONS WERE INSTALLED TO PLACE EXTRA PROTECTION BETWEEN STAFF AND PATIENTS. THE MANAGEMENT TEAM WORKED EXTENSIVELY ON A PLAN THAT WOULD ENABLE DVH TO ACCOMMODATE A 50% BED SURGE CAPACITY. THIS INCLUDED WAYS TO ACCOMMODATE EXTRA BEDS AND HOW TO ENSURE THE HOSPITAL WOULD BE ABLE TO STAFF THEM. LPNS FROM THE HOSPITAL'S PRIMARY CARE CENTERS STEPPED UP TO BE CROSS-TRAINED TO WORK ON THE MEDICAL FLOOR IF NEEDED. THE HOSPITAL PURCHASED 10 ADDITIONAL BEDS AND THE MAINTENANCE STAFF TRANSPORTED EXTRA BEDS FROM THE LOCAL BOCES CNA PROGRAM'S CLINICAL TRAINING AREA. AN EXISTING STORAGE AREA WAS EXTREMELY HUMID AND WITHOUT HEATING OR COOLING. THESE CONDITIONS WERE NOT CONDUCIVE FOR STORING EXTRA EQUIPMENT THAT WOULD BE NEEDED IN A SURGE. SO THE ENTIRE AREA WAS CLIMATE-CONTROLLED TO ASSURE THAT ANY STORED EQUIPMENT WILL NOT BE DAMAGED DUE TO EXTREMES IN THE ENVIRONMENT. BY THE END OF NOVEMBER, THE MAINTENANCE CREW ALSO INSTALLED A CUSTOM, PRE-FABRICATED ANNEX TO THE FRONT OF THE HOSPITAL, ADJACENT TO THE ER AMBULANCE FOYER. THE ANNEX IS USED TO STORE SUPPLIES AND PPE NEEDED TO CONDUCT COVID TESTING, CONTAINS A HANDWASHING STATION AND OFFERS PROTECTION FROM THE ELEMENTS FOR NURSING STAFF BETWEEN PATIENT TESTS. BY PLACING IT IN THAT LOCATION, THE PATIENTS CAN STILL REMAIN IN THEIR CAR, BUT ARE UNDERNEATH THE EXISTING OVERHANG AT THE ER. THE CREW ALSO WORKED WITH THE SAME VENDOR TO DEVELOP A CUSTOM SEMI-ENCLOSED METAL AND GLASS WALKWAY OVERHANG TO PROTECT PATIENTS/VISITORS/VENDORS FROM THE ELEMENTS WHILE WAITING TO BE SCREENED FOR ENTRY. SOME LANDSCAPING WAS REMOVED, TO ACCOMMODATE A WIDENED SIDEWALK SO BENCHES COULD BE PROVIDED WHILE MAINTAINING SOCIAL-DISTANCING GUIDELINES. THE FINAL OVERHANG WAS INSTALLED IN JANUARY 2021. THE ENVIRONMENTAL SERVICES DEPARTMENT, REVIEWED THEIR TERMINAL CLEANING PROTOCOLS, AND A MEMBER OF THE EVS STAFF WAS PUT ON CALL FOR AFTER HOUR TERMINAL CLEANING IF NEEDED BY THE ER, IN ORDER TO BE SURE A FULL COMPLEMENT OF ER BEDS WOULD BE AVAILABLE AT ALL TIMES. UV WANDS WERE PURCHASED TO DISINFECT ELECTRONIC AND OTHER EQUIPMENT THAT CANNOT BE SPRAYED. AIR IONIZERS WERE ALSO PURCHASED TO ADD ANOTHER LAYER OF PROTECTION AS WELL AS TO REDUCE THE TURNAROUND TIME TO PERFORM A TERMINAL CLEANING. THE AIR IONIZERS WORK TO CHANGE THE ELECTRICAL CHARGE OF THE GERM MOLECULES SO THEY ARE TAKEN OUT OF THE AIR AND FALL TO THE GROUND, ALLOWING THEM TO BE WIPED AWAY, ONCE THE VIREX FOG HAS BEEN DISPERSED. EVS STAFF ALSO ENHANCED THE CLEANING THROUGHOUT ALL FACILITIES OF HIGH-TOUCH AND HIGH-USE AREAS, INCLUDING HANDRAILS, DOOR KNOBS, SEATING, AND PUBLIC BATHROOMS. THEY ALSO INSURED THAT ALL DEPARTMENTS HAD ACCESS TO AN AMPLE SUPPLY OF HAND SANITIZER, AND VIREX FOR DISINFECTING SURFACES. SOCIAL DISTANCE MARKERS WERE PLACED ON THE FLOORS TO HELP PEOPLE MAINTAIN THE PROPER 6 FEET DISTANCE.THE FOOD SERVICE DEPARTMENT WAS RECONFIGURED FROM SELF-SERVE TO FULLY SERVED ITEMS. ALL CONTAINERS, CUPS ETC. ARE SINGLE-USE. THE CAFETERIA SEATING WAS REARRANGED TO ENSURE SOCIAL DISTANCING. EXTENSIVE SIGNAGE, BROCHURES, NEWS ARTICLES WERE DEVELOPED TO HELP THE PUBLIC UNDERSTAND WHAT WAS BEING DONE AND WHY. PHONE MESSAGES WERE DEVELOPED SO THEY COULD MORE EASILY ACCESS THE LATEST INFORMATION. GREAT ATTENTION WAS ALSO PAID TO THE WELL-BEING OF OUR STAFF. WEEKLY COMMUNICATION WAS DISTRIBUTED THROUGH A GROUP EMAIL. UPDATES ON VISITATION, WHAT SERVICES WERE OPENED OR CLOSED, INFO ABOUT DONATIONS BEING MADE TO THE STAFF, SUCH AS MASKS, GIFTS OF FOOD, PEOPLE MAKING HONOR SIGNS SO THEY WOULD KNOW THEIR EFFORTS WERE NOT GOING UNNOTICED. THERE WAS ALSO INFORMATION ON VARIOUS RESOURCES THAT HAD USEFUL INFORMATION FOR THEM AND THEIR FAMILIES. FINALLY, NON-COVID RELATED NEWS WAS ALSO INCLUDED TO HELP THEM REALIZE THERE WAS SOME NORMALITY WAS STILL OCCURRING. A NEW FOUNDATION WAS CREATED IN WALTON NY THAT FOCUSES ON HOSTING "RETREATS FOR GROUPS SEEKING RENEWAL, LEARNING, AND GROWTH." ITS RESTORATIVE CARE PROGRAMS AND OFFERINGS ARE MEANT FOR GROUPS WHOSE MISSION IS TO SERVE OTHERS, INCLUDING HEALTH CARE PROVIDERS, EDUCATORS, FIRST RESPONDERS AND SOCIAL SERVICE PROVIDERS. ONE OF THE FOUNDATION'S MAJOR INITIATIVES IS HAVING A SEVERAL ACRE GARDEN AND SHARING THE PRODUCE WITH THE COMMUNITY THROUGH DONATIONS TO THE FOOD BANK, CHURCHES AND A ROAD SIDE STAND. WORKING TOGETHER, IT WAS RECOGNIZED THAT MANY OF THE PEOPLE BENEFITING FROM THE BOUNTY, REALLY DID NOT KNOW HOW TO COOK THE VEGETABLES, WHEN THEY WOULD COME IN SEASON, OR HOW THEY WOULD TASTE. THE PANDEMIC MEANT WE COULD NOT COOK AT THE COMMUNITY'S FARMER'S MARKET SO TASTE TESTING COULD NOT BE OFFERED, BUT WE WORKED TOGETHER TO CREATE TWO-SIDED CARDS, EACH SIDE DISPLAYING A VEGETABLE. INFORMATION INCLUDED WHEN THE VEGETABLE IS GENERALLY HARVESTED, NUTRITIONAL INFORMATION AND THE VARIOUS WAYS THE VEGETABLE CAN BE USED AND COOKED. THE CARDS WERE TAKEN TO THE FARMER'S MARKET FOR DISTRIBUTION. SINCE THEN, THEY HAVE BEEN UTILIZED AT THE UHS SYSTEM LEVEL AS WELL.
PART VI, LINE 3:	DELAWARE VALLEY HOSPITAL IS COMMITTED TO PROVIDING OUR PATIENTS THE KNOWLEDGE THAT WE OFFER FINANCIAL ASSISTANCE. EACH PATIENT CARE REGISTRATION AREA HAS SIGNS TELLING THE PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE TO THEM. THERE ARE ALSO BROCHURES REGARDING THE PROGRAM THROUGHOUT THE HOSPITAL'S FACILITIES AND THE INFORMATION IS ALSO POSTED ON THE WEBSITE. IF NEEDED, TRANSLATION SERVICES ARE AVAILABLE. A FINANCIAL ASSISTANCE HELP LINE IS ALSO AVAILABLE AND ADVERTISED ON ALL BILLINGS. IN 2015, THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY CHANGED TO PROVIDE ALL SELF-PAY PATIENTS AN AUTOMATIC 35% DISCOUNT AT THE TIME OF SERVICE. IF FURTHER ASSISTANCE IS NEEDED, THE PATIENT APPLIES THROUGH THE FINANCIAL ASSISTANCE PROGRAM. DELAWARE VALLEY ALSO OFFERS PATIENTS EASY ACCESS TO A FIDELIS REPRESENTATIVE, BY PROVIDING A SITE FOR THEM TO INTERVIEW AND ENROLL RESIDENTS IN THEIR MEDICAID MANAGED CARE PRODUCT. FIDELIS IS THE ONLY PROVIDER OF THESE SERVICES FOR DELAWARE COUNTY. WHILE THE HOSPITAL MAINTAINED THE SPACE FOR THE FIDELIS REPRESENTATIVE TO COME IN 2020, MOST OF THE WORK WAS DONE REMOTELY.
PART VI, LINE 4:	DELAWARE VALLEY HOSPITAL'S SERVICE AREA IS CENTERED IN DELAWARE COUNTY. USING PERCENTAGES, BASED ON THE NUMBERS OF UNIQUE PATIENTS UTILIZING OUR PRIMARY CARE SITES IN 2019, (AS THAT IS WHERE THE HIGHEST UTILIZATION OCCURS) THE PRIMARY SERVICE AREA ENCOMPASSES WALTON, DOWNSVILLE, ROSCOE, SIDNEY CENTER, DELHI, HAMDEN, EAST BRANCH AND HANCOCK. THE PRIMARY SERVICE AREA REFLECTS WHERE 42.02% OF OUR PATIENTS RESIDE. THE SECONDARY SERVICE AREA CONSISTS OF THE COMMUNITIES WHERE THE NEXT 5.32% OF OUR PATIENTS RESIDE. THOSE COMMUNITIES INCLUDE: SIDNEY, UNADILLA, DELANCEY, LIVINGSTON MANOR, FRANKLIN, BAINBRIDGE AND ONEONTA. DELAWARE COUNTY IS LOCATED ON THE WESTERN EDGE OF THE CATSKILL MOUNTAINS IN RURAL, UPSTATE NEW YORK. ENCOMPASSING 1446.37 SQUARE MILES, THE COUNTY'S SIZE APPROXIMATES THAT OF RHODE ISLAND AND IS THE FOURTH LARGEST OF NEW YORK STATE'S 62 COUNTIES. IN FACT, ITS SIZE IS SO GREAT THAT, SEVEN COUNTIES AND THE STATE OF PENNSYLVANIA BORDER DELAWARE COUNTY. IT ALSO RANKS AS THE SIXTH MOST RURAL COUNTY IN THE STATE WITH JUST 33 PERSONS PER SQUARE MILE. ITS TOPOGRAPHY IS CHARACTERIZED BY WINDING, AND TWISTING, TWO-LANE ROADS THAT TRANSVERSE A MOUNTAINOUS TERRAIN, MAKING TRAVEL CHALLENGING, ESPECIALLY DURING THE WINTER MONTHS. TRANSPORTATION IS AN EXTREMELY CHALLENGING BARRIER TO PROVIDING PATIENT CARE. THE AREA DOES NOT HAVE PUBLIC TRANSPORTATION AND WHILE RECENTLY SOME PRIVATE TRANSPORTATION SERVICES HAVE BEGUN, THEY ARE GENERALLY TOO COST PROHIBITIVE FOR MANY TO ACCESS. THE COUNTY IS HOME TO TWO OF THE STATE'S LARGEST RESERVOIRS IN THE NEW YORK CITY WATERSHED, WHICH HAS THE LARGEST UNFILTERED DRINKING WATER SUPPLY IN THE UNITED STATES. APPROXIMATELY 55% OF DELAWARE COUNTY'S POPULATION LIES WITHIN THE WATERSHED. NEW YORK CITY HAS WORKED TO PRESERVE AND SAFEGUARD THE WATERSHED FROM ENVIRONMENTAL DEGRADATION BY MEANS OF RESTRICTIONS AND REGULATIONS ON LAND USE WITHIN AND SURROUNDING THE WATERSHED. THE INITIAL IMPACT OF THE WATERSHED ON DELAWARE COUNTY HAS BEEN TO LIMIT ECONOMIC DEVELOPMENT WHICH PREVENTS EXPANSION OF THE TAX BASE. BECAUSE OF THE ENVIRONMENTAL ECOSYSTEM OF THE WATERSHED, THERE HAVE BEEN STRICT REGULATIONS PERTAINING TO AGRICULTURAL POLLUTION AND BUILDING CONSTRUCTION. MANY PROPERTIES HAVE BEEN PURCHASED BY NYC, TO FURTHER PROTECT ITS WATERSHED. LIMITING INFRASTRUCTURE GROWTH RESULTS IN DECREASED EMPLOYMENT OPPORTUNITIES. THESE UNIQUE CIRCUMSTANCES RESULT IN HEALTH CARE RELATED CHALLENGES FOR THE COUNTY RESIDENTS. THESE LIMITATIONS ALSO IMPACT THE LOCAL HEALTH AND SOCIAL SERVICE AGENCIES AND ORGANIZATIONS AND THE DELIVERY OF CARE AND SERVICES.THESE LIMITATIONS HAVE CAUSED RESIDENTS TO SEEK ALTERNATIVES TO STIMULATE ECONOMIC GROWTH. DELAWARE COUNTY FARMERS HAVE STARTED SPECIALTY INDUSTRIES. THIS IS REFLECTED IN THE INCREASED NUMBER OF SPECIALTY FARMS. OTHER ECONOMIC DEVELOPMENTS ARE TAKING THE FORM OF TOURISM (E.G. BED AND BREAKFAST), RECREATIONAL FACILITIES COMPATIBLE WITH THE ENVIRONMENT (E.G. GOLF, SKIING, HIKING, HUNTING AND FISHING), LOW POLLUTION FARMING, AND PROFESSIONAL/BUSINESS SERVICES COMPANIES.ACCORDING TO THE 2019 AMERICAN COMMUNITY SURVEY 5 YEAR ESTIMATES DATA PROFILES, THE POPULATION OF DELAWARE COUNTY NY IS 44,995. OF THOSE 3.9% ARE UNDER THE AGE OF 5, WHILE 24% ARE AGE 65 AND OVER. 94.7 % OF THE POPULATION IS CAUCASIAN, SO THERE IS LITTLE ETHNIC DISPARITY. THE MEDIAN HOUSEHOLD INCOME IS $ 49,544 AND APPROXIMATELY 16.6% OF THE POPULATION LIVES IN POVERTY, WHICH IS AN INCREASE OF 2.5%. ACCORDING TO THE SAME SOURCE, THE PERCENTAGE OF RELATED CHILDREN UNDER THE AGE OF 18 LIVE BELOW THE POVERTY LEVEL 30.1% WHILE FOR CHILDREN UNDER THE AGE OF 5, THE RATE IS 33.1% IN DELAWARE COUNTY.
PART VI, LINE 5:	DELAWARE VALLEY HOSPITAL, A CRITICAL ACCESS HOSPITAL, PROMOTES COMMUNITY HEALTH THROUGH OUR ONGOING EFFORTS TO PROVIDE THOSE SERVICES MOST OFTEN UTILIZED BY THOSE WE SERVE. OUR INPATIENT SERVICES INCLUDE ACUTE CARE FOR THOSE PATIENTS REQUIRING 96 HOURS OR LESS OF HOSPITALIZATION; LONGER TERM REHABILITATIVE CARE FOR THOSE WHO NEED TIME TO GAIN STRENGTH AND STAMINA AFTER A DEBILITATING ILLNESS OR INJURY OR A SURGICAL PROCEDURE; AND INPATIENT ADDICTION TREATMENT. THE HOSPITAL ALSO PROVIDES 24-HOUR EMERGENCY CARE. DIAGNOSTIC SERVICES INCLUDE LABORATORY, CARDIOPULMONARY, AND IMAGING SERVICES. THE HOSPITAL HAS THE CAPABILITY OF PERFORMING PULMONARY FUNCTION TESTING, EKGS, CARDIAC STRESS TESTING, AND PLACING HOLTER AND EVENT MONITORS. IN THE IMAGING CENTER, X-RAY, MAMMOGRAPHY, BONE DENSITOMETRY, ULTRASOUND, ECHOCARDIOGRAMS, AND CT SCANS ARE PERFORMED. A MOBILE MRI SERVICE IS AVAILABLE WEEKLY. OUR OUTPATIENT REHABILITATION DEPARTMENT OFFERS PHYSICAL AND OCCUPATIONAL THERAPY; AACVPR CERTIFIED CARDIAC AND PULMONARY REHABILITATION PROGRAMS ARE ALSO IN PLACE. THROUGH OUR THREE PRIMARY CARE OFFICES LOCATED IN WALTON, DOWNSVILLE, AND ROSCOE NY, PATIENTS OF ALL AGES CAN RECEIVE ACUTE AND PREVENTIVE CARE, AS WELL AS CHRONIC DISEASE MANAGEMENT. ON SEPTEMBER 11, 2020, THE ROSCOE PRIMARY CARE SITE WAS TEMPORARILY CLOSED DUE TO THE LOSS OF ITS PROVIDER AND NURSE. THE TEMPORARY CLOSURE PLAN WAS FORMULATED AND APPROVED BY THE NYS DEPARTMENT OF HEALTH. THE CLOSURE WAS TO GIVE US A 6-MONTH WINDOW TO TRY AND RECRUIT NEW STAFF TO THIS LOCATION. WE WERE ABLE TO RE-OPEN THE SITE ON APRIL 26, 2021. OCCUPATIONAL HEALTH SERVICES INCLUDE PRE-EMPLOYMENT AND DOT PHYSICALS, IMMUNIZATIONS, DRUG TESTING, AND ANNUAL PHYSICALS FOR FIRE DEPARTMENT MEMBERS. VISITING SPECIALISTS INCLUDE A GASTROENTEROLOGIST, CARDIOLOGIST, PODIATRIST AND THREE PAIN MANAGEMENT PROVIDERS: A PHYSICIAN, PHYSICIAN ASSISTANT AND A CHIROPRACTOR. THE GENERAL SURGEON, WHO HAD BEEN COMING FOR CONSULTS AND TO PERFORM ENDOSCOPY PROCEDURES, RETIRED. DVH WAS ABLE TO RECRUIT A GASTROENTEROLOGIST FROM UHS TO CONTINUE PERFORMING THE ENDOSCOPIES AND HE ALSO RUNS A GI CLINIC WHILE HE IS AT DVH. THIS BRINGS A NEW SERVICE TO THE COMMUNITY. THE PAIN MANAGEMENT CLINIC BEGAN TO HELP PATIENTS UTILIZE ALTERNATIVE TREATMENT METHODS RATHER THAN USING OPIOIDS. THE CLINIC IS HELD THREE DAYS PER MONTH. DELAWARE VALLEY HOSPITAL'S CERTIFIED DIETICIAN/NUTRITIONIST GENERALLY OFFERS A VARIETY OF PROGRAMS TO SEVERAL GROUPS. HOWEVER, THIS WAS NOT THE CASE IN 2020 DUE TO THE PANDEMIC. SHE AND OUR RN CARE COORDINATOR PARTNERED AGAIN WITH THE RURAL HEALTH NETWORK OF SOUTH CENTRAL NY IN 2020, TO WORK WITH THEIR CLIENTS WHO WERE ELIGIBLE FOR THE FRUIT AND VEGGIE VOUCHER PROGRAM. THE DIETITIAN AND FOOD SERVICE MANAGER HELD A CELEBRATORY EVENT AT THE END OF THE YEAR, CREATING A BUDDHA BOWL DINNER FOR ALL OF THE PARTICIPANTS. SHE ALSO WAS EXTREMELY INSTRUMENTAL IN THE DEVELOPMENT OF THE VEGETABLE CARDS FOR THE LOCAL FARMER'S MARKET AUDIENCE. THE ANNUAL DELAWARE COUNTY FAIR WAS CANCELLED DUE TO COVID-19. HOWEVER, THE HOSPITAL LET THE FAIR, A NON-PROFIT GROUP, KEEP THE FUNDS THAT WE PAID FOR OUR BOOTH AS A DONATION. SEVERAL WELLNESS INITIATIVES ALSO SUFFERED DUE TO THE PANDEMIC. THE LACK OF FACILITATORS HAMPERED THE FRESH START SMOKING CESSATION PROGRAM, BUT NO CLASSES WOULD HAVE BEEN HELD IN PERSON ANYWAY. THE HOSPITAL PLANNED TO CONTINUE THE LUNG MATTERS GROUP FOR PATIENTS AND CAREGIVERS DEALING WITH LUNG CONDITIONS. THEY TOOK A HIATUS IN WINTER, BUT RETURNED IN MARCH. THE PROGRAM WAS ADVERTISED AND READY TO BE HELD WHEN DVH HAD TO SHUT DOWN TO VISITORS. IN 2020, THE HOSPITAL ALSO PLANNED TO OFFER CHAIR YOGA AGAIN, BUT IT HAD TO BE POSTPONED DUE TO THE PANDEMIC. THE STANFORD UNIVERSITY, EVIDENCED-BASED CHRONIC DISEASE SELF-MANAGEMENT PROGRAM, MARKETED AS 'HAPPY HEALTHY AND WISE WORKSHOPS' WAS NOT OFFERED. FURTHER COMPLICATING THE ABILITY TO PRESENT THIS PROGRAM IS THAT A FACILITATOR HAS LEFT THE HOSPITAL'S EMPLOY. OTHER AVENUES OF POSSIBLY OFFERING THIS PROGRAM IN THE FUTURE ARE BEING EXPLORED.
PART VI, LINE 6:	DELAWARE VALLEY HOSPITAL, INC. IS AN IMPORTANT MEMBER OF A LARGER SYSTEM OF INTEGRATED DELIVERY OF CARE, WHICH PROVIDES ADDITIONAL BENEFITS TO THE COMMUNITY. AS A RESULT OF THE FORMATION OF UNITED HEALTH SERVICES IN 1981 AND THE SUBSEQUENT TRANSFORMATION OF THE COMBINED ORGANIZATIONS INTO A HEALTH CARE SYSTEM, OUR REGION TODAY OFFERS MORE COMPLETE AND ADVANCED CARE THAN MANY COMMUNITIES FIVE TIMES OUR SIZE. DVH PARTICIPATES IN THE UNITED HEALTH SERVICES SYSTEM STRATEGIC 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: IMPROVE OUR CARE, MANAGE OUR COSTS, AND GROW OUR MARKET SHARE. SPECIFIC DESTINATION METRICS OR MEASURES OF SUCCESS WERE DEVELOPED FOR EACH STRATEGIC OBJECTIVE AND DVH FURTHER DEVELOPS OBJECTIVES AS 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 BOTH LOCALLY AND REGIONALLY. THE DVH COMMUNITY SERVICE REPORT IS INCLUDED WITH THE DELAWARE COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT, ALONG WITH THE COMMUNITY SERVICE PLANS OF O'CONNOR HOSPITAL, TRI-TOWN REGIONAL HOSPITAL, AND MARGARETVILLE HOSPITAL, ALL IN ONE DOCUMENT.
PART VI, LINE 7, REPORTS FILED WITH STATES	NY
PART VI, LINE 2 CONTINUED:	MENTAL HEALTH AND SUBSTANCE USE HAVE BEEN IDENTIFIED IN THE NEEDS ASSESSMENT AS A PRIORITY. IN 2020, MEETINGS WERE CONTINUED WITH ORGANIZATIONS AND ENTITIES THAT ADDRESS MENTAL, EMOTIONAL, AND BEHAVIORAL HEALTH, AS WELL AS SUBSTANCE ABUSE. THE DIRECTOR OF COMMUNITY RELATIONS SAT ON A SUB-COMMITTEE OF THE COUNTY'S COMMUNITY SERVICE DEPARTMENT, FOCUSED ON MENTAL HEALTH. IN SEPTEMBER, SHE WAS ASKED TO SIT ON THE COUNTY COMMUNITY SERVICES BOARD. THE MOST CHALLENGING BARRIER IN ACCESSING CARE IS THE LACK OF PROVIDERS TO CARE FOR THESE PATIENTS. IN 2017, DVH BEGAN A TELE PSYCHIATRY PROGRAM WITH A PRIVATE PRACTICE PSYCHIATRIST. UNFORTUNATELY, DUE TO THE PHYSICIAN'S LIMITED PARTICIPATION WITH INSURANCE CARRIERS, MANY PATIENTS IN NEED COULD NOT BE REFERRED. IN 2018, DVH WAS ABLE TO CONTRACT WITH AN OUTSIDE VENDOR TO BEGIN A TELE-MENTAL HEALTH PROGRAM. THE PROGRAM OFFICIALLY BEGAN IN JANUARY 2019. AN NPP AND LCSW ARE AVAILABLE TO SEE PATIENTS THROUGH THIS TECHNOLOGY. IN 2020, THE LCSW WENT ON MATERNITY LEAVE AND LEFT THE PROGRAM THEREAFTER. TWO ADDITIONAL LCSWS WERE CONTRACTED, BUT ALMOST IMMEDIATELY ONE OF THEM FOUND THAT THE MENTAL HEALTH NEEDS OF FIRST RESPONDERS AND RESIDENTS OF HER COMMUNITY WERE SO EXCESSIVE DUE TO THE PANDEMIC; SHE FELT COMPELLED TO CONCENTRATE ON HELPING THEM AND THEREFORE LEFT THE PROGRAM. ANOTHER LCSW WAS CONTRACTED TO REPLACE HER BUT IN OCTOBER, ALSO HAD TO LEAVE AS HER PRIVATE PRACTICE WAS GROWING, ALSO DUE TO THE PANDEMIC. THE NPP REMAINED CONSTANT. THE HOSPITAL CONTINUES TO SERVE AS THE COLLECTION SITE FOR URINE SPECIMENS FOR THE COUNTY'S DRUG COURT. IN 2020, SERVICES WERE PROVIDED FREE OF CHARGE UNTIL MARCH, WHEN THE DRUG COURT CLOSED AND DID NOT REOPEN UNTIL 2021. A SECOND NEED IS FOR CHRONIC DISEASE MANAGEMENT AND PREVENTION. IN 2020, THE HOSPITAL STAFF TRAINED TO PROVIDE THE CLASSES WAS REDUCED TO TWO; ONE LEFT FOR A POSITION OUTSIDE OF THE HEALTHCARE FIELD. HOWEVER, NO CLASSES WERE HELD IN 2020 DUE TO THE PANDEMIC. THE HOSPITAL PLANNED TO CONTINUE ITS LUNG MATTERS PROGRAM FOR PATIENTS DIAGNOSED WITH LUNG CONDITIONS. IN FACT, ITS MARCH SESSION HAD BEEN ADVERTISED, WHICH WAS ITS FIRST FOR 2020 AFTER A WINTER HIATUS, BUT IT ULTIMATELY HAD TO BE CANCELLED DUE TO COVID. DVH SPONSORED CHAIR YOGA FOR CARDIAC/PULMONARY REHABILITATION PATIENTS WAS ALSO NOT CONTINUED IN 2020 DUE TO THE PANDEMIC. BECAUSE NUTRITION PLAYS A HUGE ROLE IN THE HEALTH OF COMMUNITY MEMBERS, THE HOSPITAL'S DIETITIAN/NUTRITIONIST WORKED IN CONJUNCTION WITH THE RURAL HEALTH NETWORK OF SOUTH CENTRAL NY TO PROVIDE 30 PATIENTS WITH COMPLIMENTARY ONE ON ONE DIETARY COUNSELING AS THEY PROGRESSED THROUGH THE COOPERATIVE EXTENSION'S FRUIT & VEGETABLE PROGRAM. A CELEBRATORY DINNER WAS HELD OUTDOORS IN EARLY OCTOBER FOR PARTICIPANTS IN THE PROGRAM TO RECOGNIZE THE GAINS THEY MADE. THE HOSPITAL ALSO ACTIVELY PARTICIPATED IN THE UHS PPS FOR THE DSRIP PROGRAM, NOW CALLED CARE COMPASS NETWORK. THE COMMUNITY RELATIONS DIRECTOR WAS ACTIVELY INVOLVED IN THE ORGANIZATION'S EASTERN REGIONAL PERFORMANCE GROUP MEETINGS UNTIL THE FOCUS OF ITS PROGRAMS CHANGED TO COMMUNITY BASED ORGANIZATIONS. SHE CONTINUES TO SERVE IN AN AD-HOC CAPACITY WHEN APPROPRIATE.THE HOSPITAL RECOGNIZED THAT UNLESS IT IS ABLE TO ENGAGE THE COMMUNITY IN CONVERSATIONS ABOUT MANY OF THE SOCIAL DETERMINANTS OF HEALTH, A LOT OF PROGRESS CANNOT BE MADE IN THE HEALTH AND WELL-BEING OF COMMUNITY MEMBERS. RESEARCH LED TO THE AARP AGE FRIENDLY LIVABLE COMMUNITY PROGRAM, WHICH IS GEARED TO ALL AGES. WORKING WITH THE CARE COMPASS NETWORK, WHICH AGREED TO FUND AN EVENT, LEADERS FROM AROUND THE COUNTY WERE INVITED TO ATTEND A DAY-LONG PROGRAM FEATURING NATIONALLY RENOWNED SPEAKER, ESTHER GREENHOUSE, WHO IS CONSIDERED AN EXPERT ON AGING IN PLACE. KAT FISHER FROM THE REGIONAL AARP OFFICE SPOKE ABOUT AARP'S PROGRAM. INVITATIONS WERE SENT TO LEADERS IN VARIOUS GOVERNMENT AGENCIES, SERVICE ORGANIZATIONS, SCHOOLS, CHURCHES AND COMMUNITY MEMBERS. THE PROGRAM WAS SCHEDULED FOR LATE JANUARY, 2020. THIS FULL-DAY WORKSHOP TOOK PLACE ON 1/30/20, WITH 50 PEOPLE IN ATTENDANCE. PARTICIPANTS INCLUDED REPRESENTATION FROM ALL THREE HOSPITALS SERVING DELAWARE COUNTY, COMMUNITY BASED ORGANIZATIONS INCLUDING HOSPICE AND PALLIATIVE CARE, ALCOHOL AND DRUG ABUSE, REHABILITATIVE SUPPORT, FAMILY PLANNING, NAMI, RURAL HEALTH NETWORK OF SOUTH CENTRAL NY, COOPERATIVE EXTENSION, ACTION FOR OLDER PERSONS, WALTON CHAMBER OF COMMERCE AND WEST BRANCH ARTISTS. THREE SCHOOL DISTRICTS WERE REPRESENTED. TWO COMMUNITIES' LOCAL GOVERNMENT BOARD MEMBERS ATTENDED. DELAWARE OPPORTUNITIES, THE AREA'S LEAD AGENCY FOR MANY COMMUNITY PROGRAMS SUCH AS HEAD START, WIC, HOUSING, SENIOR DINING, TRANSPORTATION AND MORE, HAD THREE ATTENDEES. DEPARTMENT HEADS OF DELAWARE COUNTY WERE VERY WELL REPRESENTED; THESE INCLUDED OFFICE FOR THE AGING, PUBLIC HEALTH, COMMUNITY SERVICES (BEHAVIORAL AND ADDICTION SERVICES), PLANNING AND WATERSHED AFFAIRS, CHAMBER OF COMMERCE, AND SOIL AND WATER CONSERVATION. THE PRESENTERS WERE VERY IMPRESSED WITH NOT ONLY THE NUMBER OF ATTENDEES, ESPECIALLY IN SUCH A SMALL COMMUNITY, BUT ALSO THE WIDE RANGE AND SCOPE OF THE ATTENDEES. ALL PARTICIPANTS RECEIVED A SET OF THE AARP AGE FRIENDLY COMMUNITY GUIDES.

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	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	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 (3 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 CARRIGG
BOARD MEMBER/VICE CHAIR	$0	$823,311	$0	$133,369	$0	$2,546,730	$0	$1,333,289	$0	$21,566	$0	$4,858,265	$0	$0
PAUL SUMMERS
FORMER BOARD MEMBER/PRES/CEO 6/30/20	$214,777	$0	$25,024	$0	$0	$0	$8,334	$0	$16,632	$0	$264,767	$0	$0	$0
DR MICHAEL FREEMAN
BOARD MEMBER/MEDICAL STAFF PRESIDENT	$234,927	$0	$2,000	$0	$0	$0	$12,336	$0	$9,405	$0	$258,668	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 2020 INCENTIVE COMPENSATION PAYMENTS WERE ATTRIBUTABLE TO MEETING THE COMBINED NET INCOME, PATIENT SAFETY, AND QUALITY GOALS.
FORM 990, PART VII, SECTION A, LINE 5, UNRELATED PARTY DETAIL:	INDIVIDUAL: MICHAEL FREEMAN, MEDICAL STAFF PRESIDENT COMPENSATION RECEIVED FROM UNRELATED ORGANIZATION: UNITED MEDICAL ASSOCIATES (UMA) COMPENSATION: WAGES & NON-TAXABLE BENEFITS $258,668.
PAYMENT IN 2020 FROM A NON-QUALIFIED PLAN:	JOHN CARRIGG $2,546,730 RE: SCHEDULE J, PART II, LINE 1, BIII - OTHER REPORTABLE COMPENSATION IN THE AMOUNT OF $2,536,832 INCLUDES THE TRIGGERING EVENT OF A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. "SERP" AMOUNTS INCLUDED AS COMPENSATION FOR MR. CARRIGG RELATED TO THE RECOGNITION OF THAT PLAN. EARLY SERP DISTRIBUTIONS WERE RELATED TO INCOME TAX PAYMENTS. THE REMAINING AMOUNTS ARE DEFERRED UNTIL SUBSEQUENT TRIGGERING EVENTS. THESE TAX RELATED PROCEEDS AND DEFERRALS WERE REPORTED BY UNITED HEALTH SERVICES HOSPITALS, INC, ONLY, A RELATED ORGANIZATION. RE: SCHEDULE J, PART II, LINE 1, C - RETIREMENT AND OTHER DEFERRED COMPENSATION IN THE AMOUNT OF $1,285,207 ALSO INCLUDES THE DEFFERRAL AMOUNT FOR THE SUPPLYMENTAL EXECUTIVE RETIREMENT PLAN NOTED IN BIII.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	COUNTY OF DELAWARE INDUSTRIAL DEVELOPMENT AGENCY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	161137407	BondIssuerEIN
CUSIP	245867AA4	CUSIPNum
Bond Issued	2007-06-29	BondIssuedDt
Issue Price	$5,805,000	IssuePriceAmt
Purpose	CONSTRUCTION OF NEW ER/IMAGING CENTER; REFINANCE HOSPITAL MORTGAGE	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$5,805,000	TotalProceedsAmt
Issuance Costs From Proceeds	$250,826	IssuanceCostsFromProceedsAmt
Capital Expenditures	$5,554,174	CapitalExpendituresAmt
Substantial Completion	2008	SubstantialCompletionYr
Refunding Tax Exempt Bonds	0	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	Yes (1)	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	Yes (1)	Form8038TFiledInd
Variable Rate Issue	Yes (1)	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	0	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
MILA KATANIC-TUCKER
STEP DAUGHTER OF EDWARD SNOW, BOARD OF DIRECTORS	$32,051	EMPLOYEE WAGES	0
NANCY VOLLKOMMER
SISTER-IN-LAW OF VICKI CONKLING, V.P. NURSING ADMIN./CNO	$33,909	EMPLOYEE WAGES	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS UNITED HEALTH SERVICES, INC.
FORM 990, PART VI, SECTION A, LINE 7A	UHS, INC., THE ORGANIZATION'S SOLE CORPORATE MEMBER, APPOINTS THE VOTING BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11B	THE 990 PREPARATION AND FILING IS THE RESPONSIBILITY OF THE DELAWARE VALLEY HOSPITAL, INC. (DVH) BOARD OF DIRECTORS WHO DELEGATES THE TIMELY AND ACCURATE COMPLETION OF FORM 990 TO MANAGEMENT. THE UHS FINANCE DEPARTMENT PREPARES THE 990 WHICH IS THEN REVIEWED BY THE 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 ANNUAL CONFLICT OF INTEREST STATEMENTS WHICH ARE REVIEWED BY THE CEO, BOARD CHAIRMAN AND THE ORGANIZATION'S AUDIT COMMMITTEE.
FORM 990, PART VI, SECTION B, LINE 15A	PERFORMANCE REVIEW OF PRESIDENT/CEO IS COMPLETED BY THE BOARD CHAIR AND 2ND VICE CHAIR/UHS, INC. LIAISON ANNUALLY. RESULTS PRESENTED TO EXECUTIVE COMPENSATION COMMITTEE, COMPRISED OF CHAIR, LIAISON, AND THREE OTHER BOARD MEMBERS. THE COMMITTEE USES SULLIVAN-COTTER, A PAID CONSULTING FIRM, TO OBTAIN NATIONAL CEO COMPENSATION DATA BY HOSPITAL TYPE, SIZE, ETC. AS THE BASIS FOR ESTABLISHING AN ACCEPTABLE COMPENSATION RANGE TO ENSURE COMPLIANCE WITH TREASURY REGULATION 53.4958-1(D)(4)(3). THE COMMITTEE THEN DETERMINES AND APPROVES THE PRESIDENT/CEO COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION PROVIDES FORM 990 AND OTHER INFORMATION REQUIRED UNDER INTERNAL REVENUE SERVICE REGULATIONS TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	PHYSICIAN SERVICES FEES: PROGRAM SERVICE EXPENSES 5,236,696. MANAGEMENT AND GENERAL EXPENSES 1,207,271. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,443,967.
FORM 990, PART XI, LINE 9:	INTEREST RATE SWAP -46,913.
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 (7 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
10-42 MITCHELL AVENUE	BINGHAMTON	NY	13903	161165049	HOSPITAL	NY	501(C)(3)	3	UNITED HEALTH SERVICES INC	0
PROFESSIONAL HOME CARE
601 RIVERSIDE DRIVE	JOHNSON CITY	NY	13790	161261977	HOME HEALTH CARE	NY	501(C)(3)	10	UNITED HEALTH SERVICES INC	0
IDEAL SENIOR LIVING CENTER
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
508 HIGH AVENUE	ENDICOTT	NY	13760	222902899	SENIOR HOUSING	NY	501(C)(3)	10	UNITED HEALTH SERVICES INC	0
CHENANGO MEMORIAL HOSPITAL
179 NORTH BROAD STREET	NORWICH	NY	13815	150532180	HOSPITAL	NY	501(C)(3)	3	UNITED HEALTH SERVICES INC	0
UNITED HEALTH SERVICES INC
20-40 MITCHELL AVENUE	BINGHAMTON	NY	13903	222682421	PARENT COMPANY	NY	501(C)(3)	10	BOARD OF DIRECTORS UHS INC	0
TWIN TIER HOME HEALTH INC
601 RIVERSIDE DRIVE	JOHNSON CITY	NY	13790	222438211	HOME HEALTH CARE	NY	501(C)(3)	10	UNITED HEALTH SERVICES INC	0

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	0	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	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd