2020-11-16T15:27:23-06:00 2019-12-31 822624857 GRAY & GRAY AND ASSOCIATES CPAS PC 1 MAIN STREET SUITE 101 CANTON NY 136171277 990 2019-01-01 464259168 ST LAWRENCE HEALTH SYSTEM INC STLA 3152615100 50 LEROY STREET POTSDAM NY 13676 RICHARD JACOBS CFO/VP FINANCE 3152615100 2020-11-13 JOHN J GRAY JR CPA P00076464 3153862925 2020-11-13 2019 2022-09-23 18:48:47Z DAVID ACKER 50 LEROY STREET POTSDAM NY 13676 2183485 false X WWW.STLAWRENCEHEALTHSYSTEM.ORG X 2013 NY ST. LAWRENCE HEALTH SYSTEM'S MISSION IS TO IMPROVE HEALTH, DELIVER BETTER CARE AND CONSUMER EXPERIENCE, AND LOWER COSTS IN ST. LAWRENCE COUNTY THROUGH COORDINATION AND INTEGRATION OF SERVICES. 13 1 65 0 0 229071 251928 0 2099747 1931557 2328818 2183485 0 0 241567 0 0 4144692 4166863 4144692 4408430 -1815874 -2224945 42018292 51183877 37243014 44007521 4775278 7176356 X ST. LAWRENCE HEALTH SYSTEM'S MISSION IS TO IMPROVE HEALTH, DELIVER BETTER CARE AND CONSUMER EXPERIENCE, AND LOWER COSTS IN ST. LAWRENCE COUNTY THROUGH COORDINATION AND INTEGRATION OF SERVICES. false false 317056 251928 DURING 2019, THE CLINICAL RESEARCH PROGRAM INCLUDED 13 STUDIES CONDUCTED AND INCLUDED 29 ENROLLED PARTICIPANTS. DURING 2019, THE CLINICAL RESEARCH PROGRAM INCLUDED 13 STUDIES CONDUCTED AND INCLUDED 29 ENROLLED PARTICIPANTS. 317056 true false false false false false false false false false true false false true true true false true false false false false false false false false false false false true true false false false false false false false true false true false false false false false true true true false false true 30 0 65 true false false false false false false false false false false false false false false X 13 1 false false false false false false false true true false false true true true true true false true true false NY X ST LAWRENCE HEALTH SYSTEM 3152615451 50 LEROY STREET POTSDAM NY 13676 DAVID ACKER PRESIDENT/CE 5.00 50.00 X 591088 0 35610 RICHARD JACOBS CFO/VP FINAN 5.00 50.00 X 346295 0 31517 AMY IRISH-BICKNELL ASSISTANT SE 5.00 40.00 X 0 69803 19152 RONALD BERRY DIRECTOR 5.00 2.00 X 0 0 0 MARK BRACKETT TREASURER 5.00 1.00 X X 0 0 0 MICHAEL BURGESS DIRECTOR 5.00 1.00 X 0 0 0 MARK J CORNETT VICE CHAIR 5.00 4.00 X X 0 0 0 DONALD R DANGREMOND SECRETARY 5.00 2.00 X X 0 0 0 BRIAN D GARDAM DIRECTOR 5.00 2.00 X 0 0 0 MICHAEL GRIFFIN DIRECTOR 5.00 4.00 X 0 0 0 STEPHEN KNIGHT DIRECTOR 5.00 0.00 X 0 0 0 FORENCE BERO MD DIRECTOR 5.00 2.00 X 0 0 0 MICHAEL TULLOCH MD DIRECTOR 5.00 2.00 X 0 0 0 EDWARD S MUCENSKI CHAIR 5.00 2.00 X X 0 0 0 ANNE RICHEY DIRECTOR 5.00 0.00 X 0 0 0 JAMES C THEODORE DIRECTOR 5.00 2.00 X 0 0 0 937383 69803 86279 2 false true false MCDERMOTT WILL & EMERY LLP 500 N CAPITOL ST NW MCDERMOTT BUILDING WASHINGTON DC 200011531 CONSULTING 740971 LAKE PLACID ADVERTISERS WORKSHOP INC 44 HADJIS WAY LAKE PLACID NY 12946 ADVERTISING 408551 CHANGE HEALTHCARE TECHNOLOGIES LLC 5995 WINDWARD PARKWAY ALPHARETTA GA 30005 ASSURANCE MITIG 274169 KPMG LLP DEPT 0511 PO BOX 120511 DALLAS TX 753120511 FINANCIAL SERVI 217100 BE SMITH PO BOX 74007636 CHICAGO IL 606747636 STAFFING 185202 8 CLINICAL RESEARCH 621110 251928 251928 251928 RENTAL INCOME 621110 1478886 1478886 INTEREST INCOME 621110 452671 452671 1931557 2183485 2183485 229909 229909 11658 11658 167996 12500 155496 592497 592497 258128 18537 239591 3950 3950 23671 21150 2521 8741 8384 357 129 129 1340018 1340018 1019001 1019001 ACO 728929 728929 OTHER DIRECT EXPENSE 11699 11699 RECRUITING 8333 8333 SUPPLIES 3771 3090 681 4408430 317056 4091374 0 347092 2537760 97721 126674 11862879 11072684 6235 27201716 2274132 25835797 24927584 3868568 12519175 42018292 51183877 32459 197460 27019670 26152670 10190885 17657391 37243014 44007521 X 4775278 7176356 4775278 7176356 42018292 51183877 X -2224945 4626023 X false true X true false X X 2 GOUVERNEUR HOSPITAL GOUVERNEUR HOSPITAL 464249555 3 true 48021 0 CANTON-POTSDAM HOSPITAL CANTON-POTSDAM HOSPITAL 161012691 3 true 0 0 2 48021 0 true false false false false false false false false false false false false false false false PART IV, SECTION C, LINE 1 CANTON-POTSDAM HOSPITAL'S (CPH) BOARD CONSISTS OF 17 DIRECTORS. EIGHT (8) OF THESE DIRECTORS ARE MEMBERS OF THE ST. LAWRENCE HEALTH SYSTEM (SLHS) BOARD. THE BYLAWS OF THE SLHS BOARD PROVIDE THAT SLHS, AS SOLE MEMBER OF CPH, HAS THE FOLLOWING POWERS REGARDING CPH: A)APPOINT THE MEMBERS OF THE BOARD OF DIRECTORS; B)APPOINT AND REMOVE THE CHIEF EXECUTIVE OFFICER; C)APPROVE THE ADOPTION AND AMENDMENT OF BYLAWS; D)APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS; E)APPROVE STRATEGIC PLANS; F)APPROVE AND MAY INITIATE THE FILING OF CERTIFICATE OF NEED APPLICATIONS; AND G)APPROVE THE DISSOLUTION OF CPH. GOUVERNEUR HOSPITAL'S (GH) BOARD CONSISTS OF 10 DIRECTORS. TWO (2) OF THESE DIRECTORS ARE MEMBERS OF THE SLHS BOARD. THE BYLAWS OF THE SLHS BOARD PROVIDE THAT SLHS, AS SOLE MEMBER OF GH, HAS THE FOLLOWING POWERS REGARDING GH: A)APPOINT THE MEMBERS OF THE BOARD OF DIRECTORS; B)APPOINT AND REMOVE THE CHIEF EXECUTIVE OFFICER; C)APPROVE THE ADOPTION AND AMENDMENT OF BYLAWS; D)APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS; E)APPROVE STRATEGIC PLANS; F)APPROVE AND MAY INITIATE THE FILING OF CERTIFICATE OF NEED APPLICATIONS; G)APPROVE THE DISSOLUTION OF GH; H)APPROVE THE SALE, LEASE, MORTGAGE OR ENCUMBRANCE OF ANY ASSET OTHER THAN ANY SALE, LEASE OR MORTGAGE WHICH IS PART OF AN APPROVED BUDGET; I)APPROVE ANY MERGER, BUSINESS CONSOLIDATION, ACQUISITION OR JOINT VENTURE; J)APPROVE THE PURCHASE OR SALE OF PHYSICIAN PRACTICES OTHER THAN ANY PURCHASE OR SALE WHICH IS PART OF AN APPROVED BUDGET; K)APPROVE AND MAY INITIATE THE COMMENCEMENT AND SETTLEMENT OF LITIGATION; L)APPROVE ANY FILING OF A BANKRUPTCY PETITION; M)APPROVE THE INCURRENCE OF ANY DEBT OTHER THAN DEBT WHICH IS INCURRED IN THE ORDINARY COURSE OF BUSINESS AND WHICH IS NOT INCONSISTENT WITH AN APPROVED BUDGET; N)APPROVE NEW CLINICAL PROGRAMS OR THE TERMINATIONS OF EXISTING CLINICAL PROGRAMS OTHER THAN ANY ACTION WHICH IS PART OF AN APPROVED BUDGET; O)APPROVE ANY OF THE FOLLOWING AGREEMENTS: (A) MANAGEMENT SERVICES AGREEMENT OTHER THAN ANY AGREEMENT WHICH IS PART OF AN APPROVED BUDGET; (B) CONTRACTS WITH A PHYSICIAN OR PHYSICIAN GROUP; (C) AGREEMENTS FOR THE OUTSOURCING OF A HOSPITAL SERVICE OR FUNCTION; (D) COLLECTIVE BARGAINING AGREEMENTS; AND (E) ANY AGREEMENTS TO PARTICIPATE IN RISK BEARING ARRANGEMENT SUCH AS AN ACCOUNTABLE CARE ORGANIZATION OR A BUNDLED PAYMENT ARRANGEMENT. P)INITIATE, NEGOTIATE AND APPROVE MANAGED CARE AGREEMENTS WITH MANAGED CARE ORGANIZATIONS AND OTHER PAYORS OTHER THAN AGREEMENT WHICH IS PART OF AN APPROVED BUDGET; Q)DEVELOP INTEGRATED SERVICES AND MANDATE PARTICIPATION IN SUCH SERVICES (E.G., FINANCIAL MANAGEMENT, STRATEGIC PLANNING, HUMAN RESOURCES, INFORMATION TECHNOLOGY, LEGAL, QUALITY ASSURANCE, RISK MANAGEMENT, CONTRACTING AND RECRUITMENT); AND R)REQUIRE THE GUARANTEE OF LOANS THROUGH AN OBLIGATED GROUP STRUCTURE THAT WILL SUPPORT ACCESS TO CAPITAL AND MAY INCLUDE DEBT SERVICES. 1046545 1046545 24973396 1810243 23163153 1148524 463889 684635 33251 33251 24927584 FUNDS HELD FOR MASSENA CLOSING 7200000 MASSENA MEMORIAL HOSPITAL BALANCE 4644913 INTEREST IN ACCOUNTABLE CARE COALIT. 350001 INTEREST IN ADIRONDACK HEALTH INST. 230000 ASSETS WHOSE USE IS LIMITED 94261 12519175 NOTE-LT 7932623 TAXABLE BOND LIABILITY 5526503 DUE TO AFFILIATES 2511210 OTHER LT LIAB-PAYROLL 1687055 17657391 X 13586842 11403357 11403357 2183485 2183485 15960838 11552408 11552408 4408430 4408430 SCHEDULE D, PAGE 3, PART X THE SYSTEM AND ITS AFFILIATES ARE NOT FOR PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE)AND ARE EXEMPT FROM FEDERAL INCOME TAX ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE SYSTEM AND AFFILIATES RECOGNIZE THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THEN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN FIFTY PERCENT LIKELY OF BEING REALIZED UPON SETTLEMENT. CHANGES IN RECOGNIZATION IN MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGEMENT OCCURS. THE SYSTEM AND AFFILIATES DID NOT RECOGNIZE THE EFFECT OF ANY UNCERTAIN INCOME TAX POSITIONS IN EITHER 2019 OR 2018. ON DECEMBER 22, 2017 THE PRESIDENT SIGNED INTO LAW H.R.1, ORIGINALLY KNOWN AS THE TAX CUTS AND JOBS ACT. THE NEW LAW (PUBLIC LAW NO 115-97) INCLUDES SUBSTANTIAL CHANGES TO THE TAXATION OF INDIVIDUALS, BUSINESSES, MULTINATIONAL ENTERPRISES, AND OTHERS. IN ADDITION TO MANY GENERALLY APPLICABLE PROVISIONS THE LAW CONTAINS SEVERAL SPECIFIC PROVISIONS THAT RESULT IN CHANGES TO THE TAX TREATMENT OF TAX-EXEMPT ORGANIZATIONS AND DONORS. THE SYSTEM HAS REVIEWED THESE PROVISIONS AND THE POTENTIAL IMPACT AND CONCLUDED THE ENACTMENT OF H.R.1 DOES NOT HAVE A MATERIAL EFFECT ON THE OPERATIONS OF THE ORGANIZATION. SCHEDULE D, PAGE 4, PART XI, LINE 2D OTHER 11,403,357 SCHEDULE D, PAGE 4, PART XII, LINE 2D OTHER 11,552,408 X X X X X false false false false false false false false false DAVID ACKER PRESIDENT/CEO 590100 988 19600 16010 626698 RICHARD JACOBS CFO/VP FINANCE 346295 19600 11917 377812 SCHEDULE J, PART III THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS SEEKS THE INPUT OF A CONSULTING FIRM WITH NATIONAL EXPERIENCE TO REVIEW THE COMPENSATION PACKAGES OFFERED TO TOP MANAGEMENT AND THE REGULATORY COMPLIANCE ISSUES OF NOT FOR PROFITS. UPON FINDINGS OF THE CONSULTANT AND DELIBERATIONS OF THE COMPENSATION COMMITTEE, THE COMMITTEE WILL THEN MAKE A RECOMMENDATION TO THE FULL BOARD. THE FULL BOARD WILL THEN VOTE ON THE TOP OFFICIAL'S COMPENSATION PACKAGE. A ST LAWRENCE COUNTY IDA CIVIC DEVEL 272614310 2016-04-01 28500000 false false false A 2327000 28500000 733875 130346 27635779 2017 false false false true A false false false false false false true A false true false false true false false false true A true ADDITIONAL INFORMATION ST. LAWRENCE COUNTY IDA CIVIC DEVEL THE BOND ISSUANCE OF 28,500,000 IS TO FINANCE A PROJECT FOR THE BENEFIT OF ST. LAWRENCE HEALTH SYSTEM AND CANTON-POTSDAM HOSPITAL CONSISTING OF (1) THE CONSTRUCTION OF AN APPROXIMATELY 60,000 SQ. FT., THREE-LEVEL MEDICAL OFFICE BUILDING LOCATED AT 6119 US HIGHWAY 11, IN THE TOWN OF CANTON, NEW YORK; (2) THE ACQUISITION AND INSTALLATION IN THE MEDICAL OFFICE BUILDING OF FURNITURE, MACHINERY AND EQUIPMENT; (3) THE RENOVATION AND IMPROVEMENT OF THE EXISTING HOSPITAL BUILDING LOCATED AT 50 LEROY STREET, IN THE VILLAGE OF POTSDAM, NEW YORK; (4)THE ACQUISITION AND INSTALLATION AT THE HOSPITAL OF FURNITURE, MACHINERY AND EQUIPMENT; AND (5) PAYING COSTS INCIDENTAL TO THE FINANCING THEREOF. SEE PART V ADDITIONAL INFORMATION false SCHEDULE L, PART V DUE TO OUR BOARD MEMBERS' AFFILIATIONS WITH RELATED HOSPITALS CANTON- POTSDAM HOSPITAL (CPH) AND GOUVERNEUR HOSPITAL (GH) (AS DISCLOSED ON SCHEDULE R), WE ARE DISCLOSING THE FOLLOWING: 1. DONALD DANGREMOND, SLHS BOARD SECRETARY AND CPH BOARD MEMBER, RETIRED AS AN EMPLOYEE OF CLARKSON UNIVERSITY (CU). CPH PROVIDES HEALTHCARE SERVICES AND STAFFS A CLINIC ON THE CU CAMPUS. THE OPERATION COSTS OF THAT CLINIC IN 2019 WERE APPROXIMATELY 476,591.72 WHICH WERE REIMBURSED BY CU ON A PASS THROUGH BASIS. 2. DR. FLORENCE BERO, BOARD MEMBER OF SLHS AND CPH IS IN PRACTICE WITH CANTON FAMILY PHYSICIANS WHICH LEASES SPACE FROM CPH DURING PRIOR YEARS. IN 2019, CPH CHARGED THE PRACTICE 0 FOR RENT. 3. BRIAN GARDAM, SLHS AND CPH BOARD MEMBER, WAS THE FORMER EXECUTIVE DIRECTOR OF HOSPICE OF PALLIATIVE CARE OF ST. LAWRENCE VALLEY (HOSPICE). BRIAN IS ALSO A BOARD MEMBER FOR NORTHERN LIGHTS HEALTH CARE. HOSPICE CONTRACTS WITH CPH FOR INPATIENT HOSPICE SERVICES FOR SYMPTOM MANAGEMENT AND PAIN CONTROL. 4. JAMES THEODORE, SLHS AND CPH BOARD MEMBER, IS ALSO THE MORGAN STANLEY SMITH BARNEY LLC FINANCIAL ADVISOR FOR AN ACCOUNT HELD IN THE NAME OF CANTON-POTSDAM HOSPITAL FOUNDATION, INC. (A RELATED TAX-EXEMPT ORGANIZATION TO CPH). THIS FOUNDATION ACCOUNT IS USED AS A PASS-THROUGH FOR DONATIONS OF STOCK. THE BALANCE IN THIS ACCOUNT AS OF DECEMBER 31, 2019 WAS 0. 5. DURING 2010, BOND ISSUES WERE OBTAINED FOR CPH FROM COMMUNITY BANK, NA AND KEY BANK, AS DISCLOSED IN SCHEDULE K OF CPH'S FORM 990. THE COMMUNITY BANK, NA PORTION OF THESE BOND ISSUES WERE IN THE AMOUNT OF 3,585,000. IN 2011, CPH WAS ISSUED A MORTGAGE BY COMMUNITY BANK, NA FOR CONSTRUCTION OF THE E.J. NOBEL ANNEX BUILDING, IN THE AMOUNT OF 2,200,000. EDWARD MUCENSKI, SLHS CHAIR AND CPH BOARD MEMBER, WAS A SHAREHOLDER AND A BOARD MEMBER OF COMMUNITY BANK, NA UNTIL DECEMBER 31, 2017. AS OF DECEMBER 31, 2019 CPH WAS CURRENT ON ANY OBLIGATIONS DUE TO THE BANK. 6. SLHS VICE CHAIR AND CPH BOARD MEMBER, MARK CORNETT, WAS A CONSULTANT FORMERLY EMPLOYED BY SLIC NETWORK SOLUTIONS. SLIC RENTS OFFICE SPACE AT CPH'S MEDICAL OFFICE BUILDING IN CANTON, NEW YORK. CPH REMITTED APPROXIMATELY 249,390 TO SLIC IN 2019 FOR TELECOMMUNICATION SERVICES. 7. MARK BRACKETT, SLHS BOARD TREASURER AND GH BOARD MEMBER, WAS PRESIDENT OF KINNEY DRUGS FOUNDATION FROM JANUARY 1, 2014 UNTIL JUNE 30, 2014. HE REMAINS ON THE KINNEY DRUGS FOUNDATION BOARD OF DIRECTORS. KINNEY DRUGS FOUNDATION IS UNDER THE PARENT ORGANIZATION, KPH HEALTHCARE SERVICES. CPH AND GH PARTICIPATED WITH ONE OR MORE OF THE KPH HEALTHCARE CORPORATE DIVISIONS IN THE HOSPITALS' 340B PROGRAMS. 8. MICHAEL BURGESS, SLHS BOARD DIRECTOR AND GH BOARD MEMBER, IS VP OF FINANCIAL PLANNING AND TREASURY WITH KPH HEALTHCARE SERVICES, INC. CORPORATE DIVISIONS OF KPH HEALTHCARE SERVICES ARE KINNEY DRUGS, HEALTH DIRECT INSTITUTIONAL PHARMACY SERVICES, PROACT AND NOBLE SPECIALTY PHARMACY. CPH AND GH PARTICIPATED WITH ONE OR MORE OF THE CORPORATE DIVISIONS IN THE HOSPITALS' 340B PROGRAMS. 9. ANNE RICHEY, SLHS BOARD DIRECTOR, IS EXECUTIVE DIRECTOR OF UNITED CEREBRAL PALSY ASSOCIATION OF THE NORTH COUNTRY, INC., DBA COMMUNITY HEALTH CENTER OF THE NORTH COUNTRY. IN 2019, THE UNITED CEREBRAL PALSY ASSOCIATION RENTED OUTPATIENT CLINIC SPACE FROM GH, FOR APPROXIMATELY 9,843 PER MONTH FOR THE COMMUNITY HEALTH CENTER OF THE NORTH COUNTRY. IN 2019, CPH LEASED A NURSE PRACTITIONER TO THE SAME CLINIC AND INVOICED THE CLINIC FOR TELEPHONE/DATA SERVICE. AT YEAR END, CEREBRAL PALSY WAS CURRENT IN THEIR OBLIGATIONS TO CPH AND GH. 10. STEPHEN KNIGHT, SLHS BOARD MEMBER, IS ALSO ON THE BOARD OF NORTHERN LIGHTS HEALTH CARE PARTNERSHIP, INC. CANTON-POTSDAM HOSPITAL, RELATED ORGANIZATION, HAS AN INTEREST IN NORTHERN LIGHTS. IN 2019, THERE WERE NO FINANCIAL TRANSACTIONS BETWEEN CANTON-POTSDAM HOSPITAL AND NORTHERN LIGHTS. 11. MICHAEL GRIFFIN, SLHS AND CPH (RELATED ORGANIZATION) BOARD MEMBER, RETIRED AS AN EMPLOYEE OF CLARKSON UNIVERSITY (CU) IN 2017. CPH PROVIDES HEALTHCARE SERVICES AND STAFFS A CLINIC ON THE CU CAMPUS. THE OPERATION COSTS OF THAT CLINIC IN 2018 WERE 476,591.72 WHICH WERE REIMBURSED BY CU ON A PASS THROUGH BASIS. 12. DR. MICHAEL TULLOCH, BOARD MEMBER OF SLHS IS A CPH PHYSICIAN HOSPITALIST. FORM 990, PAGE 2, PART III, LINE 4D DURING 2019, THE CLINICAL RESEARCH PROGRAM INCLUDED 13 STUDIES CONDUCTED AND INCLUDED 29 ENROLLED PARTICIPANTS. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS PREPARED BY THE FINANCE DEPARTMENT STAFF MEMBERS. UPON COMPLETION, THE FORM IS SUBMITTED TO A CPA FIRM FOR REVIEW AND PREPARED FOR FILING. A COPY OF THE DRAFT RETURN IS THEN REVIEWED BY THE SYSTEM CFO AND SYSTEM CONTROLLER. AFTER REVIEW, ANY CHANGES ARE MADE AND A COPY IS PRESENTED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW, COMMENTS AND APPROVAL (PRIOR TO IRS SUBMISSION). FORM 990, PAGE 6, PART VI, LINE 12C BOARD MEMBER CONFLICT OF INTEREST DISCLOSURE FORMS ARE COMPLETED AND REVIEWED BY THE BOARD ANNUALLY. FORM 990, PAGE 6, PART VI, LINE 15A THE AUDIT, COMPLIANCE AND COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS UTILIZES THE INPUT OF A NATIONAL CONSULTING FIRM WITH EXPERTISE IN EXECUTIVE COMPENSATION TO REVIEW THE COMPENSATION PACKAGES OFFERED TO TOP MANAGEMENT AS WELL AS OUR COMPLIANCE WITH REGULATORY REQUIREMENTS FOR EXECUTIVE COMPENSATION FOR NOT-FOR-PROFIT HOSPITALS. UPON THE FINDINGS OF THE CONSULTANT AND DELIBERATIONS OF THE AUDIT, COMPLIANCE, AND COMPENSATION COMMITTEE, THE COMMITTEE WILL THEN MAKE A RECOMMENDATION TO THE FULL BOARD. THE FULL BOARD WILL THEN VOTE ON THE TOP OFFICIAL'S COMPENSATION PACKAGE. FORM 990, PAGE 6, PART VI, LINE 15B THE COMPENSATION OF OTHER KEY EMPLOYEES IS DETERMINED PRIMARILY BY INFORMATION GATHERED FROM INDEPENDENT SURVEY DATA FROM NATIONAL AND SURROUNDING MARKETS COORDINATED BY THE HUMAN RESOURCE DEPARTMENT. THE CEO AND VICE PRESIDENT OF HUMAN RESOURCES REVIEW THE SURVEY DATA TO DETERMINE SALARY RANGES AND COMPENSATION PACKAGES. THE CEO BRINGS THE INFORMATION AND FINDINGS TO THE AUDIT, COMPLIANCE, AND COMPENSATION COMMITTEE OF THE BOARD FOR THEIR DELIBERATION AND CONSIDERATION. THE AUDIT, COMPLIANCE, AND COMPENSATION COMMITTEE WILL THEN BRING THEIR RECOMMENDATION TO THE FULL BOARD FOR THEIR FINAL APPROVAL. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 TRANSFER FROM CPH 4,000,000 TRANSFER FROM CPH ACO 702,790 REV/EXP ADJ -149,050 TRANSFER TO CPH (NON-CASH PAYROLL) 72,283 TOTAL 4,626,023 CANTON-POTSDAM HOSPITAL INC 50 LEROY STREET POTSDAM NY 13676 161012691 HOSPITAL NY 501C 3 SLHS true GOUVERNEUR HOSPITAL INC 77 WEST BARNEY STREET GOUVERNEUR NY 13642 464249555 HOSPITAL NY 501C 3 SLHS true CANTON-POTSDAM HOSPITAL FOUNDATION 29 GROVE STREET POTSDAM NY 13676 161279472 FUNDRAISG NY 501C 3 SLHS true CANTON-POTSDAM MEDICAL PRACTICEPLLC 50 LEROY STREET POTSDAM NY 13676 460714367 OUT PATIEN NY 501C 3 SLHS true ADIRONDACK HEALTH INSTITUTE 101 RIDGE STREET GLENS FALLS NY 12801 141698269 CONSORTIUM NY 501C 3 N/A false MASSENA MEMORIAL HOSPITAL 1 HOSPITAL DRIVE MASSENA NY 13662 815453005 HOSPITAL NY 501C 3 NA false ACCOUNTABLE CARE ORGANIZATION OF THE NORTH COUNTRY LLC 555 WEST GRANADA BLVD 555 ORMOND BEACH FL 32174 454106154 SERV COORD FL NA RELATED -664820 132544 false false 0.25500 false true true false false false false false false true false false false false false true true false false CANTON-POTSDAM HOSPITAL C 48021 CASH EXCHANGED GOUVERNEUR HOSPITAL INC B -48021 CASH EXCHANGED GOUVERNER HOSPITAL INC J 25790 FMV GOUVERNEUR HOSPITAL INC Q 382908 FMV CANTON-POTSDAM HOSPITAL S 702790 CASH EXCHANGED