ALICE HYDE MEDICAL CENTER: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- ALICE HYDE MEDICAL CENTER (EIN 15-0346515)
- Tax period
- 2017-10-01 to 2018-09-30
- Filed
- 2019-08-15
- IRS object ID
- 201942279349302119
- Schema version
- 2017v2.3
- 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 D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-08-15T12:27:51-05:00 | ReturnTs |
| Tax Period End | 2018-09-30 | 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 | FUST CHARLES CHAMBERS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5784 WIDEWATERS PARKWAY | AddressLine1Txt |
| City | SYRACUSE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13214 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 150346515 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALICE HYDE MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ALIC | BusinessNameControlTxt |
| Phone | 5184833000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 133 PARK STREET | AddressLine1Txt |
| City | MALONE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12953 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRISTOPHER HICKEY | PersonNm |
| Person Title | VP-FINANCE/CFO | PersonTitleTxt |
| Phone | 5184833000 | PhoneNum |
| Signature | 2019-08-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DEBORAH STUCK | PreparerPersonNm |
| PTIN | P01281391 | PTIN |
| Phone | 3154463600 | PhoneNum |
| Preparation | 2019-08-14 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 24.39.85.114 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-08-14 | IPDt |
| IP Tm | 16:02:32 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | FD62137317EE26C9F26E40FD83CAC65FE1294EC8 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 843BD1CBF118E88B8E0E68794B0017FE904C4146 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CHRISTOPHER HICKEY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 133 PARK STREET | AddressLine1Txt |
| City | MALONE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12953 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $97,109,594 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ALICEHYDE.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1905 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO SERVE THE COMMUNITY THROUGH ACUTE, LONG TERM AND PRIMARY HEALTHCARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 980 | TotalEmployeeCnt |
| Total Volunteers | 131 | TotalVolunteersCnt |
| Total Gross UBI | $1,785 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $785 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,976,598 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,963,291 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $80,520,150 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $84,443,885 | CYProgramServiceRevenueAmt |
| PY Investment Income | $150,066 | PYInvestmentIncomeAmt |
| CY Investment Income | $218,348 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,765,719 | PYOtherRevenueAmt |
| CY Other Revenue | $8,989,293 | CYOtherRevenueAmt |
| PY Total Revenue | $87,412,533 | PYTotalRevenueAmt |
| CY Total Revenue | $95,614,817 | 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 | $58,005,906 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $57,353,298 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $156,229 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $36,726,965 | PYOtherExpensesAmt |
| CY Other Expenses | $38,249,099 | CYOtherExpensesAmt |
| PY Total Expenses | $94,732,871 | PYTotalExpensesAmt |
| CY Total Expenses | $95,602,397 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$7,320,338 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $12,420 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $69,777,813 | TotalAssetsBOYAmt |
| Total Assets EOY | $71,092,880 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $48,429,298 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $49,814,444 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $21,348,515 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $21,278,436 | NetAssetsOrFundBalancesEOYAmt |
| Mission | ALICE HYDE MEDICAL CENTER WILL DISTINGUISH ITSELF AS A TRUSTED AND RESPECTED HEALTH CARE LEADER AND PROVIDER OF CHOICE, EXCEEDING EXPECTATIONS THROUGH SERVICE EXCELLENCE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $80,988,887 | ExpenseAmt |
| Revenue | $93,313,857 | RevenueAmt |
| Desc | ALICE HYDE MEDICAL CENTER PROVIDES PATIENT CARE AS A GENERAL MEDICAL/SURGICAL HOSPITAL AND SKILLED NURSING FACILITY. ALICE HYDE MEDICAL CENTER PROVIDED INPATIENT SERVICES FOR 1,960 PATIENTS, PROVIDED 447,800 OUTPATIENT ANCILLARY PROCEDURES, PROVIDED 95,720 PHYSICIAN OFFICE VISITS, AND PROVIDED 47,320 DAYS OF SKILLED NURSING FACILITY CARE. 10,655 DAYS OF ASSISTED LIVING FACILITY CARE WAS ALSO PROVIDED DURING THE PERIOD. | Desc |
| Total Program Service Expenses | $80,988,887 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| 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 | Yes (1) | 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 | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 25 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 980 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRISTOPHER HICKEY VP FINANCECFO | PersonNm |
| Phone | 5184833000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 133 PARK STREET | AddressLine1Txt |
| City | MALONE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12953 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 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 |
|---|---|---|---|---|---|---|---|---|---|
| BRIAN MONETTE | |||||||||
| BOARD CHAIR | 10.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| KEVIN HART | |||||||||
| BOARD VICE CHAIR | 10.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| CRAIG LAVIGNE | |||||||||
| BOARD SECRETARY | 10.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| ROBERT G MAIN JR | |||||||||
| BOARD TREASURER | 10.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| EMILE BENARDOT MD | |||||||||
| BOARD MEMBER | 10.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAN CLARK | |||||||||
| BOARD MEMBER | 10.00 | Yes (X) | $0 | $0 | $0 | ||||
| NICHOLAS EELLS CPA | |||||||||
| BOARD MEMBER | 10.00 | Yes (X) | $0 | $0 | $0 | ||||
| BRYAN HUGHES | |||||||||
| BOARD MEMBER | 10.00 | Yes (X) | $0 | $0 | $0 | ||||
| PAUL KOEHLER | |||||||||
| BOARD MEMBER | 10.00 | Yes (X) | $0 | $0 | $0 | ||||
| CAROL MCKEE | |||||||||
| BOARD MEMBER | 10.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARINA MEDVED DO | |||||||||
| BOARD MEMBER | 10.00 | Yes (X) | $0 | $0 | $0 | ||||
| MORDI REHANY MD | |||||||||
| BOARD MEMBER | 10.00 | Yes (X) | $0 | $0 | $0 | ||||
| STEPHENS MUNDY | |||||||||
| PRESIDENT/CEO | 20.00 | Yes (X) | $0 | $1,331,339 | $244,727 | 30.00 | |||
| SEAN CURTIN | |||||||||
| VP FINANCE/CFO | 50.00 | Yes (X) | $205,187 | $0 | $34,998 | ||||
| WILLIAM LATREILLE | |||||||||
| CMO | 50.00 | Yes (X) | $331,473 | $0 | $24,474 | ||||
| MATT JONES | |||||||||
| COO | 50.00 | Yes (X) | $125,760 | $0 | $27,656 | ||||
| MICHELLE LEBEAU | |||||||||
| SR VP/COO | 2.00 | Yes (X) | $0 | $385,781 | $70,118 | 48.00 | |||
| KENT HALL | |||||||||
| CHIEF MEDICAL OFFICER | 20.00 | Yes (X) | $0 | $468,570 | $106,292 | 30.00 | |||
| SCOTT ST GEORGE | |||||||||
| VICE PRESIDENT OF FINANCE | 20.00 | Yes (X) | $0 | $187,941 | $2,550 | 30.00 | |||
| VLADIMIR MEDVED MD | |||||||||
| MD | 40.00 | $552,252 | $0 | $10,203 | Yes (X) | ||||
| JOHN KIM MD | |||||||||
| MD | 40.00 | $662,027 | $0 | $29,111 | Yes (X) | ||||
| JOHN LOVIER MD | |||||||||
| MD | 40.00 | $540,590 | $0 | $27,431 | Yes (X) | ||||
| RAYFORD PETROSKI MD | |||||||||
| MD | 40.00 | $551,355 | $0 | $27,881 | Yes (X) | ||||
| DRAGOS MACELARU MD | |||||||||
| MD | 40.00 | $818,440 | $0 | $25,677 | Yes (X) | ||||
| DOUG DIVELLO | |||||||||
| FORMER PRESIDENT/CEO | 50.00 | $441,651 | $0 | $34,857 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,228,735 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,373,631 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $665,975 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 56 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BERNARD GELBARD | |||||
| 75 PLEASANT STREET 10-7 | MALONE | NY | 12953 | CONTRACTED ANESTHESIOLOGIST | $869,580 |
| NORTH COUNTRY HEALTHCARE MEDICAL PLLC | |||||
| 183 PARK STREET SUITE 5 6 | MALONE | NY | 12953 | PHYSICIAN FEES | $198,100 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $60,795 | FundraisingAmt |
| Government Grants | $1,511,883 | GovernmentGrantsAmt |
| All Other Contributions | $390,613 | AllOtherContributionsAmt |
| Total Contributions | $1,963,291 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT CARE | Desc |
| Business | 622000 | BusinessCd |
| Total Revenue Column | $84,443,885 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $84,443,885 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $84,443,885 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $97,028 | TotalRevenueColumnAmt |
| Exclusion | $97,028 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,056,899 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $937,332 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $119,567 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $119,567 | TotalRevenueColumnAmt |
| Exclusion | $119,567 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $645,535 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $524,215 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $121,320 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $121,320 | TotalRevenueColumnAmt |
| Exclusion | $121,320 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $31,199 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $60,795 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $33,230 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,031 | TotalRevenueColumnAmt |
| Exclusion | -$2,031 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| 340B REVENUE | 900099 | $6,419,265 | $6,419,265 | |
| MISCELLANEOUS REVENUE | 900099 | $2,450,707 | $2,450,707 | |
| DISALLOWED EMPLOYEE FRINGE BENEFI | 900099 | $1,785 | $1,785 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $8,871,757 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $95,614,817 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $93,313,857 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,785 | UnrelatedBusinessRevenueAmt |
| Exclusion | $335,884 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,226,057 | TotalAmt |
| Management And General | $1,226,057 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,050,167 | TotalAmt |
| Program Services | $40,615,966 | ProgramServicesAmt |
| Management And General | $4,355,067 | ManagementAndGeneralAmt |
| Fundraising | $79,134 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,360,636 | TotalAmt |
| Program Services | $1,218,079 | ProgramServicesAmt |
| Management And General | $140,180 | ManagementAndGeneralAmt |
| Fundraising | $2,377 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,552,850 | TotalAmt |
| Program Services | $5,851,358 | ProgramServicesAmt |
| Management And General | $689,649 | ManagementAndGeneralAmt |
| Fundraising | $11,843 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,163,588 | TotalAmt |
| Program Services | $2,783,974 | ProgramServicesAmt |
| Management And General | $374,190 | ManagementAndGeneralAmt |
| Fundraising | $5,424 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $194,235 | TotalAmt |
| Management And General | $194,235 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $234,916 | TotalAmt |
| Management And General | $234,916 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,622,950 | TotalAmt |
| Program Services | $2,432,660 | ProgramServicesAmt |
| Management And General | $2,189,620 | ManagementAndGeneralAmt |
| Fundraising | $670 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,053 | TotalAmt |
| Management And General | $62,053 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,199 | TotalAmt |
| Program Services | $65,331 | ProgramServicesAmt |
| Management And General | $117,586 | ManagementAndGeneralAmt |
| Fundraising | $282 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $687,973 | TotalAmt |
| Program Services | $515,980 | ProgramServicesAmt |
| Management And General | $171,993 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,276,320 | TotalAmt |
| Program Services | $44,421 | ProgramServicesAmt |
| Management And General | $1,231,899 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $201,556 | TotalAmt |
| Program Services | $157,479 | ProgramServicesAmt |
| Management And General | $43,889 | ManagementAndGeneralAmt |
| Fundraising | $188 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $820,332 | TotalAmt |
| Program Services | $820,332 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,537,591 | TotalAmt |
| Program Services | $4,537,591 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $788,922 | TotalAmt |
| Program Services | $280,560 | ProgramServicesAmt |
| Management And General | $508,362 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES AND PH | $7,996,005 | $7,990,917 | $5,088 | |
| OTHER EXPENSES | $5,786,827 | $3,063,690 | $2,719,355 | $3,782 |
| PHYSICIANS | $5,407,986 | $5,406,038 | $1,948 | |
| BAD DEBT EXPENSE | $2,375,427 | $2,375,427 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,072,807 | TotalAmt |
| Program Services | $2,829,084 | ProgramServicesAmt |
| Management And General | $191,194 | ManagementAndGeneralAmt |
| Fundraising | $52,529 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,602,397 | TotalAmt |
| Program Services | $80,988,887 | ProgramServicesAmt |
| Management And General | $14,457,281 | ManagementAndGeneralAmt |
| Fundraising | $156,229 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,369,479 | BOYAmt |
| EOY | $7,522,796 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,960,039 | BOYAmt |
| EOY | $8,226,522 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $140,808 | BOYAmt |
| EOY | $131,361 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $818,868 | BOYAmt |
| EOY | $768,945 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,175,583 | BOYAmt |
| EOY | $2,670,859 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $57,340,919 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $11,045,764 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,655,282 | BOYAmt |
| EOY | $46,295,155 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,873,821 | BOYAmt |
| EOY | $3,004,809 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $154,295 | BOYAmt |
| EOY | $13,035 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,629,638 | BOYAmt |
| EOY | $2,459,398 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,777,813 | BOYAmt |
| EOY | $71,092,880 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,273,352 | BOYAmt |
| EOY | $10,581,024 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,590,543 | BOYAmt |
| EOY | $34,609,706 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,565,403 | BOYAmt |
| EOY | $4,623,714 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,429,298 | BOYAmt |
| EOY | $49,814,444 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,164,569 | BOYAmt |
| EOY | $20,449,380 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $645,110 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $183,946 | BOYAmt |
| EOY | $183,946 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,348,515 | BOYAmt |
| EOY | $21,278,436 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,777,813 | BOYAmt |
| EOY | $71,092,880 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $12,420 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$80,714 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$1,785 | 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
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $183,946 | BeginningYearBalanceAmt |
| Contributions | $611,091 | ContributionsAmt |
| Investment Earnings Or Losses | $34,019 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $829,056 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $183,946 | BeginningYearBalanceAmt |
| End Year Balance | $183,946 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $183,946 | BeginningYearBalanceAmt |
| End Year Balance | $183,946 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $183,946 | BeginningYearBalanceAmt |
| End Year Balance | $183,946 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $183,946 | BeginningYearBalanceAmt |
| End Year Balance | $183,946 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.22190 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.77810 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,051,000 | OtherCostOrOtherBasisAmt |
| Book Value | $2,051,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $40,625,648 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,895,179 | DepreciationAmt |
| Book Value | $35,730,469 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,153,208 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,755,481 | DepreciationAmt |
| Book Value | $6,397,727 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,511,063 | OtherCostOrOtherBasisAmt |
| Depreciation | $395,104 | DepreciationAmt |
| Book Value | $2,115,959 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $46,295,155 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO RELATED PARTIES | $3,036,079 |
| OTHER LIABILITIES | $1,587,635 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,623,714 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $95,646,262 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $33,230 | OtherRevenueAmt |
| Revenue Not Reported | $33,230 | RevenueNotReportedAmt |
| Revenue Subtotal | $95,613,032 | RevenueSubtotalAmt |
| Other Revenues Not Included | $1,785 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,785 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $95,614,817 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $95,635,627 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $33,230 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $33,230 | ExpensesNotReportedAmt |
| Expenses Subtotal | $95,602,397 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $95,602,397 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE MEDICAL CENTER IS A NOT-FOR-PROFIT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE), AND IS GENERALLY EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. AS OF SEPTEMBER 30, 2018 AND 2017, THE MEDICAL CENTER 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 2015 THROUGH 2018. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSE 33,230. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | DISALLOWED PARKING EXPENSE 1,785. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSE 33,230. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GALA | Event1Nm |
| Gross Receipts Event1 | $29,092 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $19,395 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $9,697 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $200 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $144 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $300 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $4,386 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $500 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $4,162 | OtherDirectExpensesEvent1Amt |
| Event2 | COLOR RUN | Event2Nm |
| Gross Receipts Event2 | $25,310 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $16,450 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $8,860 | GrossRevenueEvent2Amt |
| Entertainment Event2 | $2,675 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $12,898 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $37,592 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $24,950 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $12,642 | GrossRevenueOtherEventsAmt |
| Rent Fclty Costs Other Events | $5,058 | RentFcltyCostsOtherEventsAmt |
| Food And Beverage Other Events | $99 | FoodAndBeverageOtherEventsAmt |
| Oth Direct Expnss Other Events | $2,808 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $91,994 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $60,795 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $31,199 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $200 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $144 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $5,358 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $4,485 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $3,175 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $19,868 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $33,230 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$2,031 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,219,812 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,219,812 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01310 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,953,032 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,152,319 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,800,713 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14800 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,172,844 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,152,319 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,020,525 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.16110 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $77,508 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $77,508 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $77,508 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $77,508 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,250,352 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,152,319 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,098,033 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.16190 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,375,427 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $28,386 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $21,780,280 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $26,554,614 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$4,774,334 | 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 | ALICE HYDE MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 133 PARK STREET | AddressLine1Txt |
| City | MALONE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12953 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.ALICEHYDE.COM | WebsiteAddressTxt |
| State License | 1624000H | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALICE HYDE MEDICAL CENTER | 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 | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.ALICEHYDE.COM/ABOUT-US/COMMUNITY-SERVICE-PLAN | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | HTTPS://AHIHEALTH.ORG/ARHN/ HTTPS://COUNTYFRANKLIN.DIGITALTOWPATH.ORG:1007 | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.ALICEHYDE.COM/ABOUT-US/COMMUNITY-SERVICE-PLAN | 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 |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| 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 | WWW.ALICEHYDE.COM | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.ALICEHYDE.COM | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.ALICEHYDE.COM | 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 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 Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ALICE HYDE MEDICAL CENTER | PART V, SECTION B, LINE 5: UNDER CONTRACT WITH THE ADIRONDACK HEALTH INSTITUTE (AHI) AND AS PART OF THE ADIRONDACK RURAL HEALTH NETWORK (ARHN) COORDINATION OF COMMUNITY NEEDS ASSESSMENT, THE CENTER FOR HEALTH WORKFORCE STUDY (CHWS) SURVEYED HEALTH CARE, SOCIAL SERVICES, EDUCATIONAL, GOVERNMENTAL AND OTHER COMMUNITY STAKEHOLDERS IN THE ARHN REGION TO PROVIDE THE COMMUNITY HEALTH ASSESSMENT (CHA) COMMITTEE WITH STAKEHOLDER INPUT ON REGIONAL HEALTH CARE NEEDS AND PRIORITIES. THE ARHN REGION IS MADE UP OF CLINTON, ESSEX, FRANKLIN, FULTON, HAMILTON, WARREN AND WASHINGTON COUNTIES.THE SURVEY WAS DEVELOPED USING QUALTRICS SOFTWARE. IT INCLUDED 15 QUESTIONS AND A NUMBER OF SUB-QUESTIONS BASED ON AN INITIAL RESPONSE. IN WORKING WITH THE PARTICIPATING COUNTIES, ARHN PROVIDED CHWS A LIST OF HEALTH CARE, SOCIAL SERVICE, EDUCATIONAL, GOVERNMENT AND OTHER COMMUNITY STAKEHOLDERS BY COUNTY. USING THESE LISTS, CHWS STAFF CREATED AN UNDUPLICATED LIST OF 658 PROVIDERS THAT CUT ACROSS ALL SEVEN COUNTIES. AN INITIAL EMAIL WAS SENT TO THIS LIST EXPLAINING THE SURVEY AND PROVIDING AN ELECTRONIC LINK TO THE SURVEY. THE SURVEY WAS AVAILABLE TO POTENTIAL RESPONDENTS FOR APPROXIMATELY SIX WEEKS.AS FOLLOW-UP, CHWS SENT AN ADDITIONAL EMAIL REMINDING POTENTIAL RESPONDENTS OF THE SURVEY. CHWS ALSO PROVIDED ARHN WITH A LIST OF THOSE WHO RESPONDED, AND COUNTY STAFF ALSO FOLLOWED UP WITH NON-RESPONDENTS. AS AN INCENTIVE, RESPONDENTS WERE TOLD THERE WOULD BE A RANDOM DRAWING OF TWENTY $10 GIFT CARDS FROM STEWART'S FOR PARTICIPATING IN THE SURVEY. A TOTAL OF 217 COMPLETED RESPONSES WERE RECEIVED TO THE SURVEY THROUGH MAY 31, 2016 FOR A RESPONSE RATE OF 33%. CHWS STAFF ALSO PROVIDED TECHNICAL ASSISTANCE AS REQUESTED BY SURVEY RESPONDENTS. THE SURVEY REQUESTED THAT THE RESPONDENT IDENTIFY THEIR TOP TWO PRIORITY AREAS FROM A LIST OF THE FIVE FOLLOWING AREAS WHICH THEY BELIEVE NEEDED TO BE ADDRESSED WITHIN THEIR SERVICE AREA:- PREVENTING CHRONIC DISEASE;- PROVIDING A HEALTHY AND SAFE ENVIRONMENT;- PROMOTING HEALTHY WOMEN, INFANTS, AND CHILDREN;- PROMOTING MENTAL HEALTH AND PREVENTING SUBSTANCE ABUSE; AND- PREVENTING HIV, SEXUALLY TRANSMITTED DISEASES, VACCINE PREVENTABLE DISEASES, AND HEALTH CARE ASSOCIATED INFECTIONS.ONCE RESPONDENTS IDENTIFIED THEIR TOP TWO PRIORITIES, THEY WERE ALSO ASKED TO RANK THE FOCUS AREAS WITHIN EACH PRIORITY AREA AND IDENTIFY POTENTIAL BARRIERS ADDRESSING THAT FOCUS AREA. ANALYSIS FOR THIS REPORT WAS CONDUCTED BY COUNTY. MANY HEALTH CARE, SOCIAL SERVICE, AND EDUCATIONAL PROVIDERS DELIVER SERVICES IN MULTIPLE COUNTIES. THEIR OPINIONS ARE REFLECTED IN EACH COUNTY THEY PROVIDE SERVICES. |
| ALICE HYDE MEDICAL CENTER | PART V, SECTION B, LINE 6A: ADIRONDACK HEALTH - ADIRONDACK MEDICAL CENTER |
| ALICE HYDE MEDICAL CENTER | PART V, SECTION B, LINE 6B: FRANKLIN COUNTY HEALTH DEPARTMENT - PUBLIC HEALTH UNIT |
| ALICE HYDE MEDICAL CENTER | PART V, SECTION B, LINE 11: SELECTION BASIS AND METHODSELECTION WAS BASED PRIMARILY ON THE FOLLOWING:1. RESULTS OF STAKEHOLDER SURVEYS OUTLINED ABOVE2. DATA ANALYSIS OUTLINED ABOVE3. COMMUNITY HEALTH PLANNING SESSIONIN ORDER TO PRIORITIZE THE FOCUS AREAS UNDER THE PREVENTION AGENDA PRIORITIES LISTED ABOVE, A WORKGROUP WAS ESTABLISHED TO RANK THE SIGNIFICANT COMMUNITY NEEDS BASED ON CRITERIA IMPORTANT TO THE HOSPITAL AND HEALTH DEPARTMENT.PARTICIPANTS:THE GROUP WAS CHOSEN TO REPRESENT PEOPLE WITH COMMUNITY AND CLINICAL KNOWLEDGE, WITH PARTICULAR ATTENTION TO INCLUDE INDIVIDUALS WHO ARE KNOWLEDGEABLE ABOUT THE NEEDS ASSESSMENT PROCESS, MANAGE SERVICES TO THE UNDERSERVED, OR MANAGE SERVICES THAT ADDRESS AN IDENTIFIED NEED. PARTICIPANTS INCLUDED: - KATHLEEN FARRELL STRACK, FCPH - BONNIE OHMANN, AMC - MEGAN BRYDEN, UVMHN-AHMC - GINGER CARRIERO, UVMHN-AHMC - JOSY DELANEY, UVMHN-AHMC - ERIN STREIFF, FCPH - DEBORAH BEACH, UVMHN-AHMC (JULY 29TH ONLY) - JEANETTE MESSENGER, UVMHN-AHMC (JULY 29TH ONLY) - PATRICIA MCGILLICUDDY, FCPH (NOVEMBER 8TH ONLY) - AMY O'CONNOR, UVMHN-AHMC (NOVEMBER 8TH ONLY)PROCESS:THE SUBCOMMITTEE LISTED ABOVE REPRESENTING DIFFERENT COMMUNITY SECTORS WAS CONVENED ON JULY 29TH, 2016 AND AGAIN ON NOVEMBER 8TH, 2016 TO FINALIZE PRIORITY AREA AND FOCUS AREA SELECTION. MEMBERS OF THE SUBCOMMITTEE NOTED THE CONSISTENCY IN FINDINGS FROM THE STAKEHOLDER SURVEY AND DATA ANALYSIS. THEREFORE, PREVENT CHRONIC DISEASE AND PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE WERE ACCEPTED AS SELECTED PRIORITY AREAS FOR FRANKLIN COUNTY.ACTION PLANS:LEAD STAFF FROM FRANKLIN COUNTY PUBLIC HEALTH, THE UNIVERSITY OF VERMONT HEALTH NETWORK - ALICE HYDE MEDICAL CENTER AND ADIRONDACK HEALTH MEDICAL CENTER HOSPITAL WORKED WITH PARTNERS TO COLLECT POTENTIAL ACTIVITIES AND INTERVENTIONS. DETERMINATION OF SPECIFIC INTERVENTIONS RELATED TO EACH PRIORITY AREA WAS BASED ON ALIGNMENT WITH THE DSRIP GOALS AND OBJECTIVES EACH AGENCY IS COMMITTED TO; OTHER POPULATION HEALTH BASED INITIATIVES OCCURRING WITHIN THE ORGANIZATION; ORGANIZATIONAL ABILITY TO MAKE A SUSTAINED IMPACT WITH THE INTERVENTION; AS WELL AS FRANKLIN COUNTY PUBLIC HEALTH'S ONGOING PARTNERSHIPS WITH THE FRANKLIN COUNTY COMMUNITY SERVICES BOARD, AND THE NORTH COUNTRY HEALTHY HEART NETWORK.2016-2018 PRIORITIES AND GOALSCOUNTY/SERVICE AREA PRIORITIES AND DISPARITIES 2016-2018PRIORITY 1-PREVENT CHRONIC DISEASESGOAL - REDUCE OBESITY IN CHILDREN AND ADULTSGOAL- CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENTPRIORITY 2-PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSEGOAL - STRENGTHEN INFRASTRUCTURE ACROSS SYSTEMSDISPARITIES-POVERTY AND ACCESS TO CARE2017 UPDATE THE COMMUNITY HEALTH ASSESSMENT COMMITTEE MET ON THE FOLLOWING DATES IN 2017: - JANUARY 12, 2017 - MARCH 22, 2017 - JUNE 9, 2017 - SEPTEMBER 8, 2017 - DECEMBER 15, 2017 THE COMMITTEE IDENTIFIED AND SELECTED CHRONIC DISEASE PREVENTION AS THE REGIONAL PRIORITY AND WORK COLLECTIVELY TO IMPLEMENT MULTIFACETED STRATEGIES TO ADDRESS AND RAISE AWARENESS OF CHRONIC DISEASE PREVENTION AS WELL AS THE OTHER PREVENTION AGENDA PRIORITY AREAS.THESE INCLUDED THE ACTIVITIES SUCH AS: MULTI-ORGANIZATIONAL MEDIA CAMPAIGN: A SPRING 2017 MEDIA CAMPAIGN IN SUPPORT OF RAISING THE TOBACCO PURCHASING AGE FROM 18 TO 21. THE CAMPAIGN HAD A PRINT AND ONLINE COMPONENT. THE PRINT COMPONENT RAN FOR TWO WEEKS BETWEEN MARCH 8TH AND MARCH 20TH WITH ADS RUNNING IN 14 LOCAL PAPERS: MALONE TELEGRAM (CIR. 3,800), ADK DAILY ENTERPRISE (CIR. 2,800), PLATTSBURGH PRESS REPUBLICAN (CIR. 13,000), THE ADIRONDACK JOURNAL SUN (CIR. 10,776), THE SUN VALLEY NEWS (CIR. 15,431), TIMES OF TI SUN (CIR. 6,734), THE LEADER-HERALD (CIR. 9,400), FULTON COUNTY EXPRESS (CIR. 41,000), HAMILTON COUNTY EXPRESS (CIR. 6,500), ADIRONDACK EXPRESS (CIR. 30,000), GRANVILLE SENTINEL (CIR. 2,600), WHITEHALL TIMES (CIR. 1,300), NORTH COUNTRY FREE PRESS (CIR. 22,673), AND THE CAMBRIDGE EAGLE (CIR. 3,145). THE ONLINE COMPONENT RAN FOR SIX WEEKS (3/20-4/30) AND PARTNERED WITH FIVE AGENCIES. THERE WERE 666,667 TOTAL IMPRESSIONS OVER THE SIX WEEKS AND WERE TRACKED BY MOBILE (431,640) AND DESKTOP/DISPLAY (235,027). PRESENTATIONS: THE AHI ANNUAL SUMMIT FEATURED FOUR PUBLIC HEALTH DEPARTMENTS DISCUSSING HOW THEY BROUGHT TRADITIONAL AND NON-TRADITIONAL PARTNERS TO THE TABLE TO IMPACT SOCIAL AND ENVIRONMENTAL DETERMINANTS OF HEALTH. THE AHI SUMMIT ALSO HOSTED CHRONIC DISEASE PRESENTATIONS ON COPD AND DIABETES. COMMUNITY HEALTH ASSESSMENT RESOURCES ON ARHN WEBSITE: ARHN IN PARTNERSHIP WITH THE CHA COMMITTEE CREATED A SEVEN COUNTY 2016-2018 EXECUTIVE SUMMARY, A COMPREHENSIVE COLLECTION AND ANALYSIS OF DATA REGARDING HEALTH ISSUES AND NEEDS IN CLINTON, ESSEX, FRANKLIN, FULTON, HAMILTON, WARREN, AND WASHINGTON COUNTIES. IT IS ON THE ARHN WEBSITE WITH CORRESPONDING LINKS TO ALL THE CHA COMMITTEE MEMBERS ASSESSMENTS/REPORTS. FOR MORE INFORMATION, PLEASE VISIT HTTP://WWW.AHIHEALTH.ORG/ARHN/. THE ARHN WEBSITE WAS ALSO EXPANDED TO INCLUDE A REPOSITORY OF RESOURCES AND LINKS TO EVIDENCE-BASED STRATEGIES. DATA: UPDATING OF STANDARDIZED DATA REPORTS BY COUNTY DEVELOPED FOR 2016 CHA PROCESS BY ARHN/AHI. COUNTIES INCLUDE CLINTON, ESSEX, FRANKLIN, FULTON, MONTGOMERY, HAMILTON, SARATOGA, WARREN AND WASHINGTON. THESE WERE EMAILED TO THE PARTNERS ON DECEMBER 1ST, WITH AN AHI DATA TEAM STAFF MEMBER PRESENTING ON THEM AT THE DECEMBER 15TH CHA COMMITTEE MEETING. THE FORMAT IS AN UPDATED ONE, BASED ON COMMITTEE MEMBER FEEDBACK FROM A JULY CONFERENCE CALL. IN ADDITION, THERE WAS SIGNIFICANT WORK COMPLETED RELATING TO ACTIVITIES RELATED TO RAISING THE SALE AGE OF TOBACCO PRODUCTS TO 21. THESE ACTIVITIES INCLUDED CONTRIBUTIONS TO THE EFFORTS OF THE NORTH COUNTRY TOBACCO USE REDUCTION TASK FORCE TO RESTRICT YOUNG PEOPLE'S ACCESS TO TOBACCO PRODUCTS AND STRENGTHEN EXISTING TOBACCO USE CESSATION SERVICES. ASSISTED IN THE ESTABLISHMENT AND LEADERSHIP OF A COUNTY COMMITTEE TO ADVANCE THE ADOPTION OF A LOCAL POLICY TO RAISE THE MINIMUM LEGAL SALE AGE FOR ALL TOBACCO PRODUCTS TO 21. WORKED WITH THE FOLLOWING COMMUNITY SECTORS ON TOBACCO USE REDUCTION EFFORTS: ADVOCATES; BUSINESS; TOWN AND COUNTY ELECTED OFFICIALS; SCHOOLS/COLLEGES; COMMUNITY-BASED ORGANIZATIONS; FAITH-BASED ORGANIZATIONS; FQHC'S; HOSPITALS; HOUSING PROGRAMS; LOCAL HEALTH DEPARTMENTS; LOCAL GOVERNMENTAL UNITS; MEDIA; PROVIDERS; REGIONAL PPS'S; REGIONAL PHIP'S. WORKED WITH THE PARTNERS TO INCREASE COMMUNITY AWARENESS ABOUT THE BENEFITS OF RAISING THE SALE AGE AND PARTICIPATED IN EFFORTS TO GARNER COMMUNITY SUPPORT FOR A COUNTY POLICY TO RAISE THE MINIMUM LEGAL SALE AGE FOR TOBACCO PRODUCTS TO 21.ALICE HYDE MEDICAL CENTER WILL BE STARTING THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AGAIN IN LATE 2018 FOR IDENTIFYING BIGGEST HEALTH NEEDS IN OUR COUNTY AND DEVELOPING NEW IMPLEMENTATION STRATEGIES IN 2019 FOR YEARS 2019-2021.2018 UPDATEAS PART OF THE ADIRONDACK RURAL HEALTH NETWORK (ARHN), ALICE HYDE MEDICAL CENTER WAS ONE OF THE 91 ACTIVE PARTNERS IN THE NETWORK, WHICH INCLUDES 13 CHA COMMITTEE MEMBER ORGANIZATIONS, 7 PUBLIC HEALTH DEPARTMENTS, 6 HOSPITALS AND 7 COUNTIES. THERE WERE APPROXIMATELY 30 INDIVIDUALS FROM THESE ORGANIZATIONS SERVING ON THE COMMITTEE. THERE WERE 13 ARHN COORDINATED MEETINGS, INCLUDING; 3 ARHN MEETINGS, 3 CHA COMMITTEE MEETINGS AND 7 CHA DATA SUB-COMMITTEE MEETINGS HELD IN 2018. IN ADDITION, THE WERE 11 ARHN SPONSORED PROJECTS INCLUDING 6 PREVENTION AGENDA PROJECTS IN FIVE COUNTIES AS WELL AS CO-SPONSORSHIP OF 5 COMMUNITY DESIGN INITIATIVE PROJECTS ACROSS FOUR COUNTIES. MAJOR ARHN SPONSORED INITIATIVE IN 2018 INCLUDED A SIX WEEK MULTI-PARTNER SOCIAL MEDIA CAMPAIGN WHERE ,ARHN PARTNERED WITH THE AHI COMMUNICATIONS TEAM TO EXECUTE A "THIS IS PUBLIC HEALTH" CAMPAIGN. THE CAMPAIGN BEGAN FEBRUARY 1ST AND CONTINUED THROUGH MARCH 31ST. MORE THAN 25 POSTS WERE FEATURED INCLUDING NATIONAL HEALTH OBSERVANCE AWARENESS POSTS, PARTNER POSTINGS, AHI PROGRAM POSTS AND MORE. ALL POSTS WERE GEARED TOWARD EDUCATING THE COMMUNITY ABOUT THE RESOURCES AND SERVICES OFFERED, AS WELL AS INFORMING THEM OF HOW TO TAKE CARE OF THEIR HEALTH. THE CAMPAIGN WAS FEATURED ACROSS SEVERAL SOCIAL MEDIA OUTLETS INCLUDING FACEBOOK, TWITTER, YOUTUBE AND LINKEDIN. OVER 2,500 PEOPLE WERE REACHED, WITH ACTIVE CONVERSATIONS AND SHARING THROUGHOUT THE CAMPAIGN.ADDITIONAL ACTION ITEMS INCLUDED GRANT TRAININGS COVERING 2 TOPICS, 4 LOCATIONS, 85 TRAINED IN PERSON, AND 12 PARTICIPATED IN ONLINE WEBINAR SERIES=TOTAL OF 97 PARTNERS GETTING GRANT WRITING TRAINING; COMMUNITY AND CBO SUPPORT WHICH INCLUDED ONGOING SERVICE ON 6 COMMUNITY COALITIONS, 90 FAMILIES GETTING FRESH LOCAL PRODUCE, EDUCATION FUNDS FOR 5 EMS SQUADS, PARTNERED TO SUPPORT 150 PEOPLE ATTENDING A RECOVERY FAIR, AND WITH THE AHI PPS WORKFORCE TEAM, ASSISTED STUDENTS AT SUNY ADIRONDACK PURSUING EDUCATIONAL OPPORTUNITIES TO BECOME CNA'S, PCA'S, AND LPN'S WITH THE HPOG PROGRAM. IN ADDITION, ARHN |
| ALICE HYDE MEDICAL CENTER | PART V, SECTION B, LINE 11: COORDINATED THE 10TH ANNUAL AHI SUMMIT AND ASSISTED IN THE NORTH COUNTRY TELEHEALTH CONFERENCE. ALICE HYDE MEDICAL CONTINUED WORK ON ITS IDENTIFIED PRIORITY AND FOCUS AREAS. WORK DONE TO REDUCE OBESITY IN CHILDREN AND ADULTS INCLUDED HOSTING THE COLOR YOUR HYDE 5K RUN/WALK FOR THE COMMUNITY AT THE FRANKLIN COUNTY FAIRGROUNDS ON MAY 19, 2018. ALICE HYDE PROVIDED EDUCATION TO 700+EMPLOYEES ON THE IMPORTANCE OF HEALTHY DIET AND EXERCISE. IN 2018, TWO WALKING TRAILS WERE ESTABLISHED ON THE AHMC CAMPUS. BOTH ARE MARKED WITH SIGNAGE AND AVAILABLE TO EMPLOYEES AS WELL AS THE PUBLIC. EMPLOYEE WELLNESS COMMITTEE REMAINS ACTIVE AND CONTINUES TO PROVIDE REGULAR FITNESS AND NUTRITION EDUCATION THROUGH EMAIL AND NEWSLETTERS WHILE ALSO PROMOTING SEVERAL EVENTS FOR HEALTHY EATING. PLANS ARE IN DEVELOPMENT FOR AN EMPLOYEE FITNESS CENTER. AHMC ALSO SPONSORED 8 HEALTH RELATED EVENTS WITH APPROXIMATELY 150 PARTICIPANTS IN 2018. THESE EVENTS INCLUDED TOPICS SUCH AS ADVANCE DIRECTIVES, ANXIETY AND DEPRESSION, ASTHMA AND ALLERGIES, BABYSITTER SAFETY TRAINING, CANCER PREVENTION AND TREATMENT, DIABETES, DIET AND NUTRITION, EXERCISE, HEART DISEASE AND STROKE, SMOKING CESSATION AND STRESS MANAGEMENT. WORK CONTINUED ON EXPANDING THE ROLE OF HEALTH CARE AND HEALTH SERVICE PROVIDERS AND INSURERS IN OBESITY PREVENTION WITH AHMC PRIMARY CARE AND PEDIATRIC PROVIDERS FOCUSING ON PATIENT BMI MEASUREMENTS AND THEN DISCUSSION AND PLANNING WITH THEIR PATIENTS WHO ARE ABOVE/BELOW THE HEALTHY RANGE. AHMC ALSO IS WORKING ON INCREASING THE PERCENTAGE OF INFANTS BORN IN NYS HOSPITALS WHO ARE EXCLUSIVELY BREASTFED DURING THE BIRTH HOSPITALIZATION. AHMC RATES FOR RATES FOR 2018 INCREASED FROM 38.7% TO 56.2%. AHMC ENCOURAGES ADOPTION OF BREASTFEEDING FRIENDLY POLICIES IN ALL HOSPITAL OWNED PRACTICES AND ALSO ENSURES THAT EVERY PATIENT SEEN IN THE AHMC OB PRACTICE RECEIVES INFORMATION ON THE BENEFITS OF BREASTFEEDING AND ARE SUPPORTED BY OUR IN HOUSE LACTATION COUNSELORS WHO CONTINUE TO SUPPORT AFTER DISCHARGE.WORK ON INCREASING THE PERCENTAGE OF ADULTS WITH ARTHRITIS, ASTHMA, CARDIOVASCULAR DISEASE OR DIABETES WHO HAVE TAKEN A COURSE OR CLASS TO BECOME MORE EDUCATED LEARNING TO MANAGE THEIR CONDITION HAS CONTINUED IN 2018 BY INCREASING THE NUMBER OF TRAINED INSTRUCTORS AS WELL AS ASSURING THAT TRAINED LIFESTYLE PROFESSIONALS ARE AVAILABLE IN THE CLINICAL AND COMMUNITY SETTINGS. THERE ARE CURRENTLY FOUR CARE MANAGEMENT/TRANSITION COORDINATORS THAT ARE DEDICATED TO WORK IN THE VARIOUS AHMC PRIMARY CARE PRACTICES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 - ALICE HYDE NURSING HOME | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 45 SIXTH STREET | AddressLine1Txt |
| City | MALONE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12953 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | SKILLED NURSING FACILITY | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | UTILIZED IS WORKSHEETS FOR SCHEDULE H AND RATIO OF COST TO CHARGES. |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 2,375,427. |
| PART III, LINE 2: | OUR BAD DEBT METHODOLOGY IS BASED ON HISTORICAL AMOUNTS WHICH WERE TYPICALLY 3.5% OF NET REVENUE. |
| PART III, LINE 3: | WE USE THE BAD DEBT EXPENSE AND ALLOCATE BASED ON THE ACTUAL WRITE-OFFS. |
| PART III, LINE 4: | THE MEDICAL CENTER CARRIES ITS PATIENT ACCOUNTS RECEIVABLE AT ANTICIPATED AMOUNTS DUE FROM PRIVATE PAY PATIENTS AND THIRD-PARTY PAYORS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES THEIR 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. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE MEDICAL CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS, IF NECESSARY, 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 MEDICAL CENTER RECORDS A 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 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.THE MEDICAL CENTER'S ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS 26% AND 24% OF THE RELATED PATIENT ACCOUNTS RECEIVABLE, NET OF CONTRACTUAL ALLOWANCES AT SEPTEMBER 30, 2018 AND 2017, RESPECTIVELY. |
| PART III, LINE 8: | THE MEDICARE BENEFICIARIES WHO ALICE HYDE PROVIDES SERVICES TO ARE PART OF OUR COMMUNITY OF MALONE, NEW YORK, AND THEREFORE, SHOULD BE TREATED AS A COMMUNITY BENEFIT. THE SOURCE FOR THE COST METHODOLOGY IS THE 2018 MEDICARE COST REPORT. THE MEDICAL CENTER EXPERIENCED A SHORTFALL IN MEDICARE REVENUE OVER COSTS. DESPITE THIS SHORTFALL, THE MEDICAL CENTER CONTINUES TO PROVIDE QUALITY CARE TO THE COMMUNITY OF MALONE, NEW YORK. |
| PART III, LINE 9B: | THE CENTER PROVIDES CARE TO CLIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE CENTER'S POLICY IS NOT TO PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE; THEREFORE THESE AMOUNTS ARE NOT REPORTED IN NET OPERATING REVENUES OR IN PROVISIONS FOR DOUBTFUL ACCOUNTS. THE ESTIMATED COST OF PROVIDING UNCOMPENSATED CARE TO PATIENTS WAS APPROXIMATELY $2,316,543 FOR THE YEAR ENDED SEPTEMBER 30, 2018 AND $4,773,016 FOR THE YEAR ENDED SEPTEMBER 30, 2017, AS MEASURED UTILIZING A CALCULATED RATIO OF COSTS TO CHARGES. |
| PART VI, LINE 3: | THE ALICE HYDE MEDICAL CENTER (AHMC) BELIEVES THAT FEAR OF A MEDICAL BILL SHOULD NOT PRECLUDE A RESIDENT OF ITS COMMUNITY FROM SEEKING OR OBTAINING ESSENTIAL HEALTH CARE SERVICES. TO HELP THOSE WHO ARE UNINSURED, AHMC PARTNERS WITH VARIOUS ORGANIZATIONS, INCLUDING THE FRANKLIN COUNTY DEPARTMENT OF SOCIAL SERVICES, PUBLIC HEALTH, FIDELIS, AND EXCELLUS, TO ENSURE ACCURATE INFORMATION AND RESOURCES ARE AVAILABLE THROUGHOUT THE COMMUNITY, INCLUDING A FACILITATED ENROLLMENT PROGRAM FOR ITS UNINSURED. THIS PROGRAM ASSISTS THE INDIVIDUAL IN APPLYING FOR STATE SPONSORED HEALTH INSURANCE, INCLUDING MEDICAID AND CHILD HEALTH PLUS. THE GOAL OF THIS INITIATIVE IS TO PROVIDE CONVENIENT LOCATION FOR PATIENTS AND COMMUNITY MEMBERS TO ACCESS THE PROGRAM AND TO PROVIDE ASSISTANCE IN COMPLETING HEALTH INSURANCE APPLICATIONS. THESE GOALS ARE MET THROUGH A PARTNERSHIP BETWEEN AHMC AND ADIRONDACK HEALTH INSTITUTE. AHMC HAS AN EMPLOYEE DEDICATED TO FINANCIAL COUNSELING AND ASSISTANCE. |
| PART VI, LINE 4: | ALICE HYDE MEDICAL CENTER (AHMC) PRIMARILY SERVES TOWNS, VILLAGES, AND THE NATIVE AMERICAN RESERVATION IN FRANKLIN COUNTY. AHMC'S PRIMARY SERVICE AREA COVERS THE FOLLOWING TOWNS (BY ZIP CODE) - MALONE (12953), NORTH BANGOR (12966), CHATEAUGAY (12920), CONSTABLE (12926), BRUSHTON (12916), MOIRA (12957), BURKE (12917), FORT COVINGTON (12937), HOGANSBURG (13655), SAINT REGIS FALLS (12980), BOMBAY (12914), OWLS HEAD (12969), DICKINSON CENTER (12930). THE SECONDARY SERVICE AREAS SERVED BY AHMC INCLUDE CHURUBUSCO (12923), ELLENBURG CENTER (12934), NORTH LAWRENCE (12967), LYON MOUNTAIN (12955), NICHOLVILLE (12965). IN ADDITION, AHMC PROVIDES SERVICES TO THE INMATE POPULATION FOR THE FRANKLIN COUNTY JAIL AND THE CLINTON, FRANKLIN, UPSTATE, BAREHILL AND ALTONA CORRECTIONAL FACILITIES. |
| PART VI, LINE 5: | IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL RECEIVED INPUT FROM:UNDER CONTRACT WITH THE ADIRONDACK HEALTH INSTITUTE (AHI) AND AS PART OF THE ADIRONDACK RURAL HEALTH NETWORK (ARHN) COORDINATION OF COMMUNITY NEEDS ASSESSMENT, THE CENTER FOR HEALTH WORKFORCE STUDY (CHWS) SURVEYED HEALTH CARE, SOCIAL SERVICES, EDUCATIONAL, GOVERNMENTAL AND OTHER COMMUNITY STAKEHOLDERS IN THE ARHN REGION TO PROVIDE THE COMMUNITY HEALTH ASSESSMENT (CHA) COMMITTEE WITH STAKEHOLDER INPUT ON REGIONAL HEALTH CARE NEEDS AND PRIORITIES. THE ARHN REGION IS MADE UP OF CLINTON, ESSEX, FRANKLIN, FULTON, HAMILTON, WARREN AND WASHINGTON COUNTIES.THE SURVEY WAS DEVELOPED USING QUALTRICS SOFTWARE. IT INCLUDED 15 QUESTIONS AND A NUMBER OF SUB-QUESTIONS BASED ON AN INITIAL RESPONSE. IN WORKING WITH THE PARTICIPATING COUNTIES, ARHN PROVIDED CHWS A LIST OF HEALTH CARE, SOCIAL SERVICE, EDUCATIONAL, GOVERNMENT AND OTHER COMMUNITY STAKEHOLDERS BY COUNTY. USING THESE LISTS, CHWS STAFF CREATED AN UNDUPLICATED LIST OF 658 PROVIDERS THAT CUT ACROSS ALL SEVEN COUNTIES. AN INITIAL EMAIL WAS SENT TO THIS LIST EXPLAINING THE SURVEY AND PROVIDING AN ELECTRONIC LINK TO THE SURVEY. THE SURVEY WAS AVAILABLE TO POTENTIAL RESPONDENTS FOR APPROXIMATELY SIX WEEKS.AS FOLLOW-UP, CHWS SENT AN ADDITIONAL EMAIL REMINDING POTENTIAL RESPONDENTS OF THE SURVEY. CHWS ALSO PROVIDED ARHN WITH A LIST OF THOSE WHO RESPONDED, AND COUNTY STAFF ALSO FOLLOWED UP WITH NON-RESPONDENTS. AS AN INCENTIVE, RESPONDENTS WERE TOLD THERE WOULD BE A RANDOM DRAWING OF TWENTY $10 GIFT CARDS FROM STEWART'S FOR PARTICIPATING IN THE SURVEY. A TOTAL OF 217 COMPLETED RESPONSES WERE RECEIVED TO THE SURVEY THROUGH MAY 31, 2016 FOR A RESPONSE RATE OF 33%. CHWS STAFF ALSO PROVIDED TECHNICAL ASSISTANCE AS REQUESTED BY SURVEY RESPONDENTS. THE SURVEY REQUESTED THAT THE RESPONDENT IDENTIFY THEIR TOP TWO PRIORITY AREAS FROM A LIST OF THE FIVE FOLLOWING AREAS WHICH THEY BELIEVE NEEDED TO BE ADDRESSED WITHIN THEIR SERVICE AREA:- PREVENTING CHRONIC DISEASE;- PROVIDING A HEALTHY AND SAFE ENVIRONMENT;- PROMOTING HEALTHY WOMEN, INFANTS, AND CHILDREN;- PROMOTING MENTAL HEALTH AND PREVENTING SUBSTANCE ABUSE; AND- PREVENTING HIV, SEXUALLY TRANSMITTED DISEASES, VACCINE PREVENTABLE DISEASES, AND HEALTH CARE ASSOCIATED INFECTIONS.ONCE RESPONDENTS IDENTIFIED THEIR TOP TWO PRIORITIES, THEY WERE ALSO ASKED TO RANK THE FOCUS AREAS WITHIN EACH PRIORITY AREA AND IDENTIFY POTENTIAL BARRIERS ADDRESSING THAT FOCUS AREA. ANALYSIS FOR THIS REPORT WAS CONDUCTED BY COUNTY. MANY HEALTH CARE, SOCIAL SERVICE, AND EDUCATIONAL PROVIDERS DELIVER SERVICES IN MULTIPLE COUNTIES. THEIR OPINIONS ARE REFLECTED IN EACH COUNTY THEY PROVIDE SERVICES. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | NY |
| PART V, SECTION B, LINE 11: | SELECTION BASIS AND METHODSELECTION WAS BASED PRIMARILY ON THE FOLLOWING:1. RESULTS OF STAKEHOLDER SURVEYS OUTLINED ABOVE2. DATA ANALYSIS OUTLINED ABOVE3. COMMUNITY HEALTH PLANNING SESSIONIN ORDER TO PRIORITIZE THE FOCUS AREAS UNDER THE PREVENTION AGENDA PRIORITIES LISTED ABOVE, A WORKGROUP WAS ESTABLISHED TO RANK THE SIGNIFICANT COMMUNITY NEEDS BASED ON CRITERIA IMPORTANT TO THE HOSPITAL AND HEALTH DEPARTMENT.PARTICIPANTS:THE GROUP WAS CHOSEN TO REPRESENT PEOPLE WITH COMMUNITY AND CLINICAL KNOWLEDGE, WITH PARTICULAR ATTENTION TO INCLUDE INDIVIDUALS WHO ARE KNOWLEDGEABLE ABOUT THE NEEDS ASSESSMENT PROCESS, MANAGE SERVICES TO THE UNDERSERVED, OR MANAGE SERVICES THAT ADDRESS AN IDENTIFIED NEED. PARTICIPANTS INCLUDED:- KATHLEEN FARRELL STRACK, FCPH- BONNIE OHMANN, AMC- MEGAN BRYDEN, UVMHN-AHMC- GINGER CARRIERO, UVMHN-AHMC- JOSY DELANEY, UVMHN-AHMC- ERIN STREIFF, FCPH- DEBORAH BEACH, UVMHN-AHMC (JULY 29TH ONLY)- JEANETTE MESSENGER, UVMHN-AHMC (JULY 29TH ONLY)- PATRICIA MCGILLICUDDY, FCPH (NOVEMBER 8TH ONLY)- AMY O'CONNOR, UVMHN-AHMC (NOVEMBER 8TH ONLY)PROCESS:THE SUBCOMMITTEE LISTED ABOVE REPRESENTING DIFFERENT COMMUNITY SECTORS WAS CONVENED ON JULY 29TH, 2016 AND AGAIN ON NOVEMBER 8TH, 2016 TO FINALIZE PRIORITY AREA AND FOCUS AREA SELECTION. MEMBERS OF THE SUBCOMMITTEE NOTED THE CONSISTENCY IN FINDINGS FROM THE STAKEHOLDER SURVEY AND DATA ANALYSIS. THEREFORE, PREVENT CHRONIC DISEASE AND PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE WERE ACCEPTED AS SELECTED PRIORITY AREAS FOR FRANKLIN COUNTY.ACTION PLANS:LEAD STAFF FROM FRANKLIN COUNTY PUBLIC HEALTH, THE UNIVERSITY OF VERMONT HEALTH NETWORK - ALICE HYDE MEDICAL CENTER AND ADIRONDACK HEALTH MEDICAL CENTER HOSPITAL WORKED WITH PARTNERS TO COLLECT POTENTIAL ACTIVITIES AND INTERVENTIONS. DETERMINATION OF SPECIFIC INTERVENTIONS RELATED TO EACH PRIORITY AREA WAS BASED ON ALIGNMENT WITH THE DSRIP GOALS AND OBJECTIVES EACH AGENCY IS COMMITTED TO; OTHER POPULATION HEALTH BASED INITIATIVES OCCURRING WITHIN THE ORGANIZATION; ORGANIZATIONAL ABILITY TO MAKE A SUSTAINED IMPACT WITH THE INTERVENTION; AS WELL AS FRANKLIN COUNTY PUBLIC HEALTH'S ONGOING PARTNERSHIPS WITH THE FRANKLIN COUNTY COMMUNITY SERVICES BOARD, AND THE NORTH COUNTRY HEALTHY HEART NETWORK.2016-2018 PRIORITIES AND GOALSCOUNTY/SERVICE AREA PRIORITIES AND DISPARITIES 2016-2018PRIORITY 1-PREVENT CHRONIC DISEASESGOAL - REDUCE OBESITY IN CHILDREN AND ADULTSGOAL- CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENTPRIORITY 2-PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSEGOAL - STRENGTHEN INFRASTRUCTURE ACROSS SYSTEMSDISPARITIES-POVERTY AND ACCESS TO CARE2017 UPDATE THE COMMUNITY HEALTH ASSESSMENT COMMITTEE MET ON THE FOLLOWING DATES IN 2017: - JANUARY 12, 2017 - MARCH 22, 2017 - JUNE 9, 2017 - SEPTEMBER 8, 2017 - DECEMBER 15, 2017 THE COMMITTEE IDENTIFIED AND SELECTED CHRONIC DISEASE PREVENTION AS THE REGIONAL PRIORITY AND WORK COLLECTIVELY TO IMPLEMENT MULTIFACETED STRATEGIES TO ADDRESS AND RAISE AWARENESS OF CHRONIC DISEASE PREVENTION AS WELL AS THE OTHER PREVENTION AGENDA PRIORITY AREAS.THESE INCLUDED THE ACTIVITIES SUCH AS: MULTI-ORGANIZATIONAL MEDIA CAMPAIGN: A SPRING 2017 MEDIA CAMPAIGN IN SUPPORT OF RAISING THE TOBACCO PURCHASING AGE FROM 18 TO 21. THE CAMPAIGN HAD A PRINT AND ONLINE COMPONENT. THE PRINT COMPONENT RAN FOR TWO WEEKS BETWEEN MARCH 8TH AND MARCH 20TH WITH ADS RUNNING IN 14 LOCAL PAPERS: MALONE TELEGRAM (CIR. 3,800), ADK DAILY ENTERPRISE (CIR. 2,800), PLATTSBURGH PRESS REPUBLICAN (CIR. 13,000), THE ADIRONDACK JOURNAL SUN (CIR. 10,776), THE SUN VALLEY NEWS (CIR. 15,431), TIMES OF TI SUN (CIR. 6,734), THE LEADER-HERALD (CIR. 9,400), FULTON COUNTY EXPRESS (CIR. 41,000), HAMILTON COUNTY EXPRESS (CIR. 6,500), ADIRONDACK EXPRESS (CIR. 30,000), GRANVILLE SENTINEL (CIR. 2,600), WHITEHALL TIMES (CIR. 1,300), NORTH COUNTRY FREE PRESS (CIR. 22,673), AND THE CAMBRIDGE EAGLE (CIR. 3,145). THE ONLINE COMPONENT RAN FOR SIX WEEKS (3/20-4/30) AND PARTNERED WITH FIVE AGENCIES. THERE WERE 666,667 TOTAL IMPRESSIONS OVER THE SIX WEEKS AND WERE TRACKED BY MOBILE (431,640) AND DESKTOP/DISPLAY (235,027). PRESENTATIONS: THE AHI ANNUAL SUMMIT FEATURED FOUR PUBLIC HEALTH DEPARTMENTS DISCUSSING HOW THEY BROUGHT TRADITIONAL AND NON-TRADITIONAL PARTNERS TO THE TABLE TO IMPACT SOCIAL AND ENVIRONMENTAL DETERMINANTS OF HEALTH. THE AHI SUMMIT ALSO HOSTED CHRONIC DISEASE PRESENTATIONS ON COPD AND DIABETES. COMMUNITY HEALTH ASSESSMENT RESOURCES ON ARHN WEBSITE: ARHN IN PARTNERSHIP WITH THE CHA COMMITTEE CREATED A SEVEN COUNTY 2016-2018 EXECUTIVE SUMMARY, A COMPREHENSIVE COLLECTION AND ANALYSIS OF DATA REGARDING HEALTH ISSUES AND NEEDS IN CLINTON, ESSEX, FRANKLIN, FULTON, HAMILTON, WARREN, AND WASHINGTON COUNTIES. IT IS ON THE ARHN WEBSITE WITH CORRESPONDING LINKS TO ALL THE CHA COMMITTEE MEMBERS ASSESSMENTS/REPORTS. FOR MORE INFORMATION, PLEASE VISIT HTTP://WWW.AHIHEALTH.ORG/ARHN/. THE ARHN WEBSITE WAS ALSO EXPANDED TO INCLUDE A REPOSITORY OF RESOURCES AND LINKS TO EVIDENCE-BASED STRATEGIES. DATA: UPDATING OF STANDARDIZED DATA REPORTS BY COUNTY DEVELOPED FOR 2016 CHA PROCESS BY ARHN/AHI. COUNTIES INCLUDE CLINTON, ESSEX, FRANKLIN, FULTON, MONTGOMERY, HAMILTON, SARATOGA, WARREN AND WASHINGTON. THESE WERE EMAILED TO THE PARTNERS ON DECEMBER 1ST, WITH AN AHI DATA TEAM STAFF MEMBER PRESENTING ON THEM AT THE DECEMBER 15TH CHA COMMITTEE MEETING. THE FORMAT IS AN UPDATED ONE, BASED ON COMMITTEE MEMBER FEEDBACK FROM A JULY CONFERENCE CALL. IN ADDITION, THERE WAS SIGNIFICANT WORK COMPLETED RELATING TO ACTIVITIES RELATED TO RAISING THE SALE AGE OF TOBACCO PRODUCTS TO 21. THESE ACTIVITIES INCLUDED CONTRIBUTIONS TO THE EFFORTS OF THE NORTH COUNTRY TOBACCO USE REDUCTION TASK FORCE TO RESTRICT YOUNG PEOPLE'S ACCESS TO TOBACCO PRODUCTS AND STRENGTHEN EXISTING TOBACCO USE CESSATION SERVICES. ASSISTED IN THE ESTABLISHMENT AND LEADERSHIP OF A COUNTY COMMITTEE TO ADVANCE THE ADOPTION OF A LOCAL POLICY TO RAISE THE MINIMUM LEGAL SALE AGE FOR ALL TOBACCO PRODUCTS TO 21. WORKED WITH THE FOLLOWING COMMUNITY SECTORS ON TOBACCO USE REDUCTION EFFORTS: ADVOCATES; BUSINESS; TOWN AND COUNTY ELECTED OFFICIALS; SCHOOLS/COLLEGES; COMMUNITY-BASED ORGANIZATIONS; FAITH-BASED ORGANIZATIONS; FQHC'S; HOSPITALS; HOUSING PROGRAMS; LOCAL HEALTH DEPARTMENTS; LOCAL GOVERNMENTAL UNITS; MEDIA; PROVIDERS; REGIONAL PPS'S; REGIONAL PHIP'S. WORKED WITH THE PARTNERS TO INCREASE COMMUNITY AWARENESS ABOUT THE BENEFITS OF RAISING THE SALE AGE AND PARTICIPATED IN EFFORTS TO GARNER COMMUNITY SUPPORT FOR A COUNTY POLICY TO RAISE THE MINIMUM LEGAL SALE AGE FOR TOBACCO PRODUCTS TO 21.ALICE HYDE MEDICAL CENTER WILL BE STARTING THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AGAIN IN LATE 2018 FOR IDENTIFYING BIGGEST HEALTH NEEDS IN OUR COUNTY AND DEVELOPING NEW IMPLEMENTATION STRATEGIES IN 2019 FOR YEARS 2019-2021.2018 UPDATEAS PART OF THE ADIRONDACK RURAL HEALTH NETWORK (ARHN), ALICE HYDE MEDICAL CENTER WAS ONE OF THE 91 ACTIVE PARTNERS IN THE NETWORK, WHICH INCLUDES 13 CHA COMMITTEE MEMBER ORGANIZATIONS, 7 PUBLIC HEALTH DEPARTMENTS, 6 HOSPITALS AND 7 COUNTIES. THERE WERE APPROXIMATELY 30 INDIVIDUALS FROM THESE ORGANIZATIONS SERVING ON THE COMMITTEE. THERE WERE 13 ARHN COORDINATED MEETINGS, INCLUDING; 3 ARHN MEETINGS, 3 CHA COMMITTEE MEETINGS AND 7 CHA DATA SUB-COMMITTEE MEETINGS HELD IN 2018. IN ADDITION, THE WERE 11 ARHN SPONSORED PROJECTS INCLUDING 6 PREVENTION AGENDA PROJECTS IN FIVE COUNTIES AS WELL AS CO-SPONSORSHIP OF 5 COMMUNITY DESIGN INITIATIVE PROJECTS ACROSS FOUR COUNTIES. MAJOR ARHN SPONSORED INITIATIVE IN 2018 INCLUDED A SIX WEEK MULTI-PARTNER SOCIAL MEDIA CAMPAIGN WHERE ,ARHN PARTNERED WITH THE AHI COMMUNICATIONS TEAM TO EXECUTE A "THIS IS PUBLIC HEALTH" CAMPAIGN. THE CAMPAIGN BEGAN FEBRUARY 1ST AND CONTINUED THROUGH MARCH 31ST. MORE THAN 25 POSTS WERE FEATURED INCLUDING NATIONAL HEALTH OBSERVANCE AWARENESS POSTS, PARTNER POSTINGS, AHI PROGRAM POSTS AND MORE. ALL POSTS WERE GEARED TOWARD EDUCATING THE COMMUNITY ABOUT THE RESOURCES AND SERVICES OFFERED, AS WELL AS INFORMING THEM OF HOW TO TAKE CARE OF THEIR HEALTH. THE CAMPAIGN WAS FEATURED ACROSS SEVERAL SOCIAL MEDIA OUTLETS INCLUDING FACEBOOK, TWITTER, YOUTUBE AND LINKEDIN. OVER 2,500 PEOPLE WERE REACHED, WITH ACTIVE CONVERSATIONS AND SHARING THROUGHOUT THE CAMPAIGN.ADDITIONAL ACTION ITEMS INCLUDED GRANT TRAININGS COVERING 2 TOPICS, 4 LOCATIONS, 85 TRAINED IN PERSON, AND 12 PARTICIPATED IN ONLINE WEBINAR SERIES=TOTAL OF 97 PARTNERS GETTING GRANT WRITING TRAINING; COMMUNITY AND CBO SUPPORT WHICH INCLUDED ONGOING SERVICE ON 6 COMMUNITY COALITIONS, 90 FAMILIES GETTING FRESH LOCAL PRODUCE, EDUCATION FUNDS FOR 5 EMS SQUADS, PARTNERED TO SUPPORT 150 PEOPLE ATTENDING A RECOVERY FAIR, AND WITH THE AHI PPS WORKFORCE TEAM, ASSISTED STUDENTS AT SUNY ADIRONDACK PURSUING EDUCATIONAL OPPORTUNITIES TO BECOME CNA'S, PCA'S, AND LPN'S WITH THE HPOG PROGRAM. IN ADDITION, ARHN COORDINATED |
| PART V, SECTION B, LINE 11: | THE 10TH ANNUAL AHI SUMMIT AND ASSISTED IN THE NORTH COUNTRY TELEHEALTH CONFERENCE. ALICE HYDE MEDICAL CONTINUED WORK ON ITS IDENTIFIED PRIORITY AND FOCUS AREAS. WORK DONE TO REDUCE OBESITY IN CHILDREN AND ADULTS INCLUDED HOSTING THE COLOR YOUR HYDE 5K RUN/WALK FOR THE COMMUNITY AT THE FRANKLIN COUNTY FAIRGROUNDS ON MAY 19, 2018. ALICE HYDE PROVIDED EDUCATION TO 700+EMPLOYEES ON THE IMPORTANCE OF HEALTHY DIET AND EXERCISE. IN 2018, TWO WALKING TRAILS WERE ESTABLISHED ON THE AHMC CAMPUS. BOTH ARE MARKED WITH SIGNAGE AND AVAILABLE TO EMPLOYEES AS WELL AS THE PUBLIC. EMPLOYEE WELLNESS COMMITTEE REMAINS ACTIVE AND CONTINUES TO PROVIDE REGULAR FITNESS AND NUTRITION EDUCATION THROUGH EMAIL AND NEWSLETTERS WHILE ALSO PROMOTING SEVERAL EVENTS FOR HEALTHY EATING. PLANS ARE IN DEVELOPMENT FOR AN EMPLOYEE FITNESS CENTER. AHMC ALSO SPONSORED 8 HEALTH RELATED EVENTS WITH APPROXIMATELY 150 PARTICIPANTS IN 2018. THESE EVENTS INCLUDED TOPICS SUCH AS ADVANCE DIRECTIVES, ANXIETY AND DEPRESSION, ASTHMA AND ALLERGIES, BABYSITTER SAFETY TRAINING, CANCER PREVENTION AND TREATMENT, DIABETES, DIET AND NUTRITION, EXERCISE, HEART DISEASE AND STROKE, SMOKING CESSATION AND STRESS MANAGEMENT. WORK CONTINUED ON EXPANDING THE ROLE OF HEALTH CARE AND HEALTH SERVICE PROVIDERS AND INSURERS IN OBESITY PREVENTION WITH AHMC PRIMARY CARE AND PEDIATRIC PROVIDERS FOCUSING ON PATIENT BMI MEASUREMENTS AND THEN DISCUSSION AND PLANNING WITH THEIR PATIENTS WHO ARE ABOVE/BELOW THE HEALTHY RANGE. AHMC ALSO IS WORKING ON INCREASING THE PERCENTAGE OF INFANTS BORN IN NYS HOSPITALS WHO ARE EXCLUSIVELY BREASTFED DURING THE BIRTH HOSPITALIZATION. AHMC RATES FOR RATES FOR 2018 INCREASED FROM 38.7% TO 56.2%. AHMC ENCOURAGES ADOPTION OF BREASTFEEDING FRIENDLY POLICIES IN ALL HOSPITAL OWNED PRACTICES AND ALSO ENSURES THAT EVERY PATIENT SEEN IN THE AHMC OB PRACTICE RECEIVES INFORMATION ON THE BENEFITS OF BREASTFEEDING AND ARE SUPPORTED BY OUR IN HOUSE LACTATION COUNSELORS WHO CONTINUE TO SUPPORT AFTER DISCHARGE.WORK ON INCREASING THE PERCENTAGE OF ADULTS WITH ARTHRITIS, ASTHMA, CARDIOVASCULAR DISEASE OR DIABETES WHO HAVE TAKEN A COURSE OR CLASS TO BECOME MORE EDUCATED LEARNING TO MANAGE THEIR CONDITION HAS CONTINUED IN 2018 BY INCREASING THE NUMBER OF TRAINED INSTRUCTORS AS WELL AS ASSURING THAT TRAINED LIFESTYLE PROFESSIONALS ARE AVAILABLE IN THE CLINICAL AND COMMUNITY SETTINGS. THERE ARE CURRENTLY FOUR CARE MANAGEMENT/TRANSITION COORDINATORS THAT ARE DEDICATED TO WORK IN THE VARIOUS AHMC PRIMARY CARE PRACTICES. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| 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 | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEPHENS MUNDY | ||||||||||||||
| PRESIDENT/CEO | $0 | $692,840 | $0 | $371,166 | $0 | $267,333 | $0 | $205,492 | $0 | $39,235 | $0 | $1,576,066 | $0 | $0 |
| SEAN CURTIN | ||||||||||||||
| VP FINANCE/CFO | $205,187 | $0 | $0 | $0 | $0 | $0 | $5,864 | $0 | $29,134 | $0 | $240,185 | $0 | $0 | $0 |
| WILLIAM LATREILLE | ||||||||||||||
| CMO | $331,473 | $0 | $0 | $0 | $0 | $0 | $8,100 | $0 | $16,374 | $0 | $355,947 | $0 | $0 | $0 |
| MATT JONES | ||||||||||||||
| COO | $125,760 | $0 | $0 | $0 | $0 | $0 | $3,745 | $0 | $23,911 | $0 | $153,416 | $0 | $0 | $0 |
| MICHELLE LEBEAU | ||||||||||||||
| SR VP/COO | $0 | $320,528 | $0 | $65,253 | $0 | $0 | $0 | $33,596 | $0 | $36,522 | $0 | $455,899 | $0 | $0 |
| KENT HALL | ||||||||||||||
| CHIEF MEDICAL OFFICER | $0 | $400,975 | $0 | $67,595 | $0 | $0 | $0 | $73,479 | $0 | $32,813 | $0 | $574,862 | $0 | $0 |
| SCOTT ST GEORGE | ||||||||||||||
| VICE PRESIDENT OF FINANCE | $0 | $177,941 | $0 | $10,000 | $0 | $0 | $0 | $0 | $0 | $2,550 | $0 | $190,491 | $0 | $0 |
| VLADIMIR MEDVED MD | ||||||||||||||
| MD | $552,252 | $0 | $0 | $0 | $0 | $0 | $8,100 | $0 | $2,103 | $0 | $562,455 | $0 | $0 | $0 |
| JOHN KIM MD | ||||||||||||||
| MD | $649,527 | $0 | $12,500 | $0 | $0 | $0 | $8,100 | $0 | $21,011 | $0 | $691,138 | $0 | $0 | $0 |
| JOHN LOVIER MD | ||||||||||||||
| MD | $470,590 | $0 | $70,000 | $0 | $0 | $0 | $8,100 | $0 | $19,331 | $0 | $568,021 | $0 | $0 | $0 |
| RAYFORD PETROSKI MD | ||||||||||||||
| MD | $516,355 | $0 | $35,000 | $0 | $0 | $0 | $8,100 | $0 | $19,781 | $0 | $579,236 | $0 | $0 | $0 |
| DRAGOS MACELARU MD | ||||||||||||||
| MD | $568,440 | $0 | $250,000 | $0 | $0 | $0 | $8,100 | $0 | $17,577 | $0 | $844,117 | $0 | $0 | $0 |
| DOUG DIVELLO | ||||||||||||||
| FORMER PRESIDENT/CEO | $346,010 | $0 | $95,641 | $0 | $0 | $0 | $8,100 | $0 | $26,757 | $0 | $476,508 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | IN ADDITION TO THE TOOLS AND PROCESSES IDENTIFIED IN PART I, ALICE HYDE MEDICAL CENTER RECEIVES GUIDANCE REGARDING ITS PRESIDENT'S COMPENSATION FROM THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES OF THE UNIVERSITY OF VERMONT HEALTH NETWORK, WHICH IS THE SOLE MEMBER OF THE HOSPITAL. THAT NETWORK COMPENSATION COMMITTEE UTILIZES THE FOLLOWING METHODS TO ESTABLISH THAT GUIDANCE: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE | ExplanationTxt |
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 | FRANKLIN COUNTY CIVIC DEVELOPMENT CORP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 800627350 | BondIssuerEIN |
| CUSIP | 35313PAA0 | CUSIPNum |
| Bond Issued | 2013-10-31 | BondIssuedDt |
| Issue Price | $27,375,000 | IssuePriceAmt |
| Purpose | CONSTRUCTION OF 135 BED SKILLED NURSING FACILITY AND 30 BED ASSISTED LIVING | 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 | $27,375,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $1,675,004 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $6,213,316 | CapitalExpendituresAmt |
| Unspent | $65,618 | UnspentAmt |
| Substantial Completion | 2015 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | 0 | 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 | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | 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 | 0 | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SEAN CURTIN | PersonNm |
| Relationship With Org | FORMER CFO | RelationshipWithOrgTxt |
| Loan Purpose | PART V | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $150,865 | OriginalPrincipalAmt |
| Balance Due | $131,361 | BalanceDueAmt |
| Default | 0 | DefaultInd |
| Board Or Committee Approval | Yes (1) | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (1) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $131,361 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| JESSIE CURTIN | |||
| SPOUSE OF FORMER OFFICER | $11,469 | 2018 FY SALARY - WAS EMPLOYED IN PHILANTRHOPY DEPT | 0 |
| CATHERINE DIVELLO | |||
| SPOUSE OF FORMER OFFICER | $43,419 | 2018 FY SALARY - IS EMPLOYED IN IT DEPT | 0 |
| KIM JONES | |||
| SPOUSE OF OFFICER | $81,803 | 2018 FY SALARY - IS EMPLOYED IN REHAB DEPT | 0 |
| VLADIMIR MEDVED | |||
| SPOUSE OF BOARD MEMBER | $611,200 | 2018 FY SALARY - IS EMPLOYED AS PAIN MANAGEMENT PHYSICIAN | 0 |
| MARINA MEDVED DO | |||
| BOARD MEMBER | $198,100 | COMPANY CONTRACTED FOR PHYSICIAN SERVICES | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LOANS TO AND FROM INTERESTED PERSONS: | FormAndLineReferenceDesc |
| Explanation | (C) PURPOSE OF LOAN:THE ORGANIZATION HAS AN AGREEMENT WITH AND HAS PROVIDED THE EXECUTIVE WITH A LOAN FOR EDUCATIONAL EXPENSES UP TO A MAXIMUM OF $185,000, FOR A 5 YEAR PERIOD WITH INTEREST ACCRUED AT A COMPETITIVE MARKET RATE. THE ANNUAL PAYMENT, INCLUDING INTEREST, WILL BE FORGIVEN IF THE EXECUTIVE REMAINS EMPLOYED WITH THE ORGANIZATION FOR FIVE YEARS. DURING FY2018, THE EXECUTIVE LEFT EMPLOYMENT. THE LOAN TERMS WERE RENEGOTIATED FOR A 15 YEAR REPAYMENT PERIOD AT A COMPETITIVE FAIR MARKET RATE OF INTEREST. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | BOARD MEMBER BRIAN MONETTE HAS A FAMILY RELATIONSHIP. BOARD MEMBERS DANIEL CLARK, BRIAN MONETTE AND MARINA MEDVED HAVE A BUSINESS RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINE 4 | PRIOR TO JANUARY 1, 2018, COMMUNITY PROVIDERS, INC. D/B/A THE UNIVERSITY OF VERMONT HEALTH NETWORK - ADIRONDACK REGION (UVM HEALTH NETWORK - ADIRONDACK REGION), A NOT-FOR-PROFIT CORPORATION, WAS THE SOLE MEMBER OF THE MEDICAL CENTER, CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER D/B/A THE UNIVERSITY OF VERMONT HEALTH NETWORK - CHAMPLAIN VALLEY PHYSICIANS HOSPITAL (CVPH), LOCATED IN PLATTSBURGH, NEW YORK, AND ELIZABETHTOWN COMMUNITY HOSPITAL D/B/A THE UNIVERSITY OF VERMONT HEALTH NETWORK - ELIZABETHTOWN COMMUNITY HOSPITAL (ECH), LOCATED IN ELIZABETHTOWN, NEW YORK. EFFECTIVE JANUARY 1, 2018, THE UNIVERSITY OF VERMONT HEALTH NETWORK (UVMHN), WHICH IS THE PARENT ORGANIZATION OF THE UNIVERSITY OF VERMONT MEDICAL CENTER (UVMMC), LOCATED IN BURLINGTON, VERMONT, THE UNIVERSITY OF VERMONT HEALTH NETWORK - CENTRAL VERMONT MEDICAL CENTER (CVMC), LOCATED IN BERLIN, VERMONT, AND EFFECTIVE APRIL 1, 2017, THE UNIVERSITY OF VERMONT HEALTH NETWORK - PORTER MEDICAL CENTER, LOCATED IN MIDDLEBURY, VERMONT, BECAME THE SOLE MEMBER OF THE MEDICAL CENTER, CVPH AND ECH. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATIONS DID HAVE MEMBERS, AND UVMHN, INC., IS ALICE HYDE MEDICAL CENTER'S SOLE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7A | UVMHN, INC., AS ALICE HYDE MEDICAL CENTER'S SOLE MEMBER HAS RESERVE POWERS THAT ALLOW THE UNIVERSITY OF VERMONT HEALTH NETWORK AND UVMHN, INC, TO REFUSE THE ACCEPTANCE OF NEW BOARD MEMBERS APPOINTED BY THE ALICE HYDE MEDICAL CENTER BOARD OF DIRECTORS IF UVMHN, INC., DOES NOT AGREE WITH THE CHOICE OF APPOINTMENTS. THE PROCESS OF APPOINTING MEMBERS TO THE GOVERNING BODY IS A COLLABORATION OF THE ALICE HYDE MEDICAL CENTER BOARD OF DIRECTORS AND UVMHN, INC., AS A RESULT. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE UNIVERSITY OF VERMONT HEALTH NETWORK THROUGH UVMHN, INC., HAS CERTAIN RESERVE POWERS THAT REQUIRE UVMHN, INC., TO APPROVE CERTAIN DECISIONS MADE BY THE ALICE HYDE MEDICAL CENTER BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY AN INDEPENDENT OUTSIDE ACCOUNTING FIRM. IT IS PROVIDED TO THE FULL BOARD OF DIRECTORS FOR REVIEW PRIOR TO SUBMISSION. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY IS MONITORED AND ENFORCED BY THE BOARD OF DIRECTORS. SPECIFICALLY, THE POLICY REQUIRES A DISCLOSURE OF ANY POTENTIAL CONFLICT TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS THEN REFERS THE POTENTIAL CONFLICT TO THE AUDIT AND COMPLIANCE COMMITTEE TO REVIEW THE MATTER. THE AUDIT AND COMPLIANCE COMMITTEE REVIEWS THE PROPOSED TRANSACTION OR ARRANGEMENT TO DETERMINE IF REASONABLE ALTERNATIVES TO THE PROPOSED TRANSACTION EXIST. BASED ON REVIEW, THE AUDIT AND COMPLIANCE COMMITTEE SHALL APPROVE OR DISAPPROVE THE TRANSACTION. ALL FINDINGS AND ACTIONS TAKEN BY THE AUDIT AND COMPLIANCE COMMITTEE ARE REPORTED TO THE BOARD AT THE NEXT REGULARLY SCHEDULED MEETING OF THE BOARD OF DIRECTORS. IN ADDITION, THE AUDIT AND COMPLIANCE OFFICER IS RESPONSIBLE FOR REVIEWING AND RETAINING ANNUAL DISCLOSURE STATEMENTS COMPLETED BY EACH DIRECTOR, OFFICER, COMMITTEE MEMBER AND KEY EMPLOYEE. |
| FORM 990, PART VI, SECTION B, LINE 15 | ALICE HYDE MEDICAL CENTER (AHMC) HAS A FORMAL PROCESS THAT IS USED TO DETERMINE THE COMPENSATION OF THE CEO ON AN ANNUAL BASIS. THIS PROCESS INCLUDES A COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, ENGAGING AN INDEPENDENT CONSULTANT, PERFORMANCE OF A COMPENSATION SURVEY OR STUDY, REVIEW OF OTHER ORGANIZATION'S 990 FORMS, AND APPROVAL BY THE BOARD OF COMPENSATION COMMITTEE. A WRITTEN EMPLOYMENT AGREEMENT IS ESTABLISHED SETTING FORTH THE COMPENSATION AND BENEFITS OF THE CEO. AHMC PAYS NON-FIXED EARNINGS BASED ON THE SUCCESS IN MEETING PERFORMANCE CRITERIA THAT ARE PROSPECTIVELY AGREED UPON AS GOALS FOR THE CEO. COMPENSATION FOR SENIOR LEADERS IS REVIEWED ANNUALLY, IN ACCORDANCE WITH NATIONAL BENCH MARKETING AND INTERNAL EQUITY WITHIN THE UVM HEALTH NETWORK. REVIEW IS CONDUCTED BY HUMAN RESOURCES, LOCALLY AND NETWORK-WIDE. NON-FIXED EARNINGS OF OTHER OFFICERS ARE BASED ON THE SUCCESS IN MEETING PERFORMANCE CRITERIA AND COMPARATIVE MARKET DATA. IN ADDITION TO THE TOOLS AND PROCESSES IDENTIFIED IN SCHEDULE J, PART I, ALICE HYDE MEDICAL CENTER RECEIVES GUIDANCE REGARDING ITS PRESIDENT'S COMPENSATION FROM THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES OF THE UNIVERSITY OF VERMONT HEALTH NETWORK, WHICH IS THE SOLE MEMBER OF THE HOSPITAL. THAT NETWORK COMPENSATION COMMITTEE UTILIZES THE FOLLOWING METHODS TO ESTABLISH THAT GUIDANCE: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| FORM 990, PART VI, SECTION C, LINE 18 | THE COMPLETED FORMS 1023, 990, AND 5500 FOR THE MEDICAL CENTER ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND THE FINANCIAL STATEMENTS FOR THE MEDICAL CENTER ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | DISALLOWED PARKING EXPENSE -1,785. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (21 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 | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| UVM HEALTH NETWORK MEDICAL GROUP | |||||||||||
| 111 COLCHESTER AVE | BURLINGTON | VT | 05401 | 030225105 | PHYSICIAN SERVICES | VT | 501(C)(3) | LINE 12B, II | UVMHN | Yes (1) | |
| UNIV OF VT MEDICAL GROUP-NEW YORK | |||||||||||
| 183 PARK STREET | MALONE | NY | 12953 | 203905216 | PHYSICIAN SERVICES | NY | 501(C)(3) | LINE 3 | UVMHNMG | Yes (1) | |
| UNIV OF VT MED CTR FOUNDATION INC | |||||||||||
| 111 COLCHESTER AVE | BURLINGTON | VT | 05401 | 263159849 | FUNDRAISING | VT | 501(C)(3) | LINE 12B, II | UVMMC | Yes (1) | |
| UNIV OF VT MED CTR AUXILLIARY INC | |||||||||||
| 111 COLCHESTER AVE | BURLINGTON | VT | 05401 | 208022004 | SERVICE | VT | 501(C)(3) | LINE 12D, III-O | 0 | N/A | |
| UNIV OF VT HEALTH NETWORK | |||||||||||
| 111 COLCHESTER AVE | BURLINGTON | VT | 05401 | 452880726 | HOLDING COMPANY | VT | 501(C)(3) | LINE 12B, II | 0 | N/A | |
| CENTRAL VT MEDICAL CENTER | |||||||||||
| 111 COLCHESTER AVE | BURLINGTON | VT | 05401 | 222547186 | HOSPITAL | VT | 501(C)(3) | LINE 3 | UVMHN | Yes (1) | |
| UNIVERSITY HEALTH CENTER | |||||||||||
| 111 COLCHESTER AVE | BURLINGTON | VT | 05401 | 030229931 | HOSPITAL | VT | 501(C)(3) | LINE 12D, III-O | UVMHNMG | Yes (1) | |
| COMMUNITY PROVIDERS INC | |||||||||||
| 75 BEEKMAN STREET | PLATTSBURGH | NY | 12901 | 222544844 | HLTH SVC COORD | NY | 501(C)(3) | LINE 12B, II | UVMHN | Yes (1) | |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL | |||||||||||
| 75 BEEKMAN STREET | PLATTSBURGH | NY | 12901 | 141338471 | HOSPITAL | NY | 501(C)(3) | LINE 3 | UVMHN | Yes (1) | |
| ELIZABETHTOWN COMMUNITY HOSPITAL | |||||||||||
| 75 PARK STREET | ELIZABETHTOWN | NY | 12901 | 141364513 | HOSPITAL | NY | 501(C)(3) | LINE 3 | UVMHN | Yes (1) | |
| EMERGENCY MEDICAL TRANSPORT OF CVPH INC | |||||||||||
| 75 BEEKMAN STREET | PLATTSBURGH | NY | 12901 | 061718419 | AMBULANCE SVC | NY | 501(C)(3) | LINE 12C, III-FI | UVMHN | Yes (1) | |
| CVPH MEDICAL CENTER FOUNDATION | |||||||||||
| 75 BEEKMAN STREET | PLATTSBURGH | NY | 12901 | 141727048 | HLTH SVC COORD | NY | 501(C)(3) | LINE 12C, III-FI | CVPH | Yes (1) | |
| LAKE CHAMPLAIN PHYSICIAN SERVICES PC | |||||||||||
| 75 BEEKMAN STREET | PLATTSBURGH | NY | 12901 | 273785445 | PHYSICIAN SERVICES | NY | 501(C)(3) | LINE 12B, II | CVPH | Yes (1) | |
| UNIVERSITY MEDICAL EDUCATION ASSOCIATES | |||||||||||
| 89 BEAUMONT AVENUE | BURLINGTON | VT | 05401 | 237107832 | EDUCATIONAL | VT | 501(C)(3) | LINE 11 | UVMHNMG | Yes (1) | |
| PORTER MEDICAL CENTER INC | |||||||||||
| 115 PORTER DRIVE | MIDDLEBURY | VT | 05753 | 030310862 | SUPPORTING ORG | VT | 501(C)(3) | LINE 12B, II | UVMHN | Yes (1) | |
| HELEN PORTER NURSING HOME | |||||||||||
| 37 PORTER DRIVE | MIDDLEBURY | VT | 05753 | 030306549 | NURSING HOME | VT | 501(C)(3) | LINE 3 | PMC | Yes (1) | |
| AUXILIARY OF PORTER MEDICAL CENTER | |||||||||||
| 37 PORTER DRIVE | MIDDLEBURY | VT | 05753 | 237363227 | SUPPORTING ORG | VT | 501(C)(3) | LINE 12B, II | PMC | Yes (1) | |
| PORTER HOSPITAL INC | |||||||||||
| 37 PORTER DRIVE | MIDDLEBURY | VT | 05753 | 030181058 | HOSPITAL | VT | 501(C)(3) | LINE 3 | PMC | Yes (1) | |
| VMC INDEMNITY COMPANY INC | |||||||||||
| 95 ST PAUL ST | BURLINGTON | VT | 05401 | 831102018 | INSURANCE | VT | 501(C)(3) | LINE 12B, II | UVMHN | Yes (1) | |
| UVMHN HOME HEALTH AND HOSPICE | |||||||||||
| 1110 PRIM ROAD | COLCHESTER | VT | 05446 | 030179603 | HOME HEALTHCARE | VT | 501(C)(3) | LINE 11 | UVMHN | Yes (1) | |
| LAKE CHAMPLAIN PHYSICIAN SERVICES PC | |||||||||||
| 75 BEEKMAN STREET | PLATTSBURGH | NY | 12901 | 273785445 | PHYSICIAN SERVICES | NY | 501(C)(3) | LINE 12B, II | CVPH | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ONECARE VT ACCOUNTABLE CARE | ||||||||||
| 111 COLCHESTER AVE | BURLINGTON | VT | 05401 | 455399218 | ACCOUNTABLE CARE | VT | N/A | RELATED | 0 | 0 |
| ADIRONDACK ACO LLC | ||||||||||
| 75 BEEKMAN STREET | PLATTSBURGH | NY | 12901 | 462840926 | ACCOUNTABLE CARE | NY | N/A | NA | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UVM HEALTH VENTURES INC | ||||||||||||||
| 111 COLCHESTER AVE | BURLINGTON | VT | 05401 | 043380045 | HOLDING COMPANY | VT | UVMHN | C | 0 | |||||
| VMC INDEMNITY COMPANY LTD | ||||||||||||||
| CAPTIVE INSURANCE | UVMMC | C | 0 | PO BOX HM 3103 | HAMILTON | BD | BD | |||||||
| UVMHN NETWORK CREDENTIALING & ENROLLMENT | ||||||||||||||
| 111 COLCHESTER AVE | BURLINGTON | VT | 05401 | 030333056 | ADMIN SVC | VT | UVMHN VENTURES | C | 0 | |||||
| CHARITABLE REMAINDER TRUST (5) | ||||||||||||||
| SUPPORT | VT | UVMMCCVMC | T | 0 | ||||||||||
| PERPETUAL TRUST (4) | ||||||||||||||
| SUPPORT | VT | UVMMC | T | 0 | ||||||||||
| CHARITABLE IRREVOCABLE TRUST (7) | ||||||||||||||
| SUPPORT | VT | UVMMCCVMC | T | 0 | ||||||||||
| CHAMPLAIN VALLEY HEALTH NETWORK | ||||||||||||||
| 75 BEEKMAN STREET | PLATTSBURGH | NY | 12901 | 161586102 | ADMIN SVC | NY | C | 0 | N/A | |||||
| MEDIQUEST INC | ||||||||||||||
| PO BOX 1656 | PLATTSBURGH | NY | 12901 | 141663061 | MED OFFICE LEASE | NY | C | 0 | N/A | |||||
| YANKEE MEDICAL INC | ||||||||||||||
| 276 NORTH AVENUE | BURLINGTON | VT | 05401 | 030225363 | HOME MEDICAL EQUIPMENT | VT | UVMHN | C | 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 | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (1) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|
| THE UNIVERSITY OF VERMONT MEDICAL CENTER INC | |
| $5,752,344 | FMV |
| CVPH MEDICAL CENTER FOUNDATION | |
| $6,533,722 | FMV |
Comments