2019-08-15T12:27:51-05:00 2018-09-30 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2017-10-01 150346515 ALICE HYDE MEDICAL CENTER ALIC 5184833000 133 PARK STREET MALONE NY 12953 CHRISTOPHER HICKEY VP-FINANCE/CFO 5184833000 2019-08-14 1 DEBORAH STUCK P01281391 3154463600 2019-08-14 24.39.85.114 2019-08-14 16:02:32 ED P FD62137317EE26C9F26E40FD83CAC65FE1294EC8 843BD1CBF118E88B8E0E68794B0017FE904C4146 2017 2019-02-21 02:37:17Z CHRISTOPHER HICKEY 133 PARK STREET MALONE NY 12953 97109594 0 X WWW.ALICEHYDE.COM X 1905 NY TO SERVE THE COMMUNITY THROUGH ACUTE, LONG TERM AND PRIMARY HEALTHCARE. 12 11 980 131 1785 785 1976598 1963291 80520150 84443885 150066 218348 4765719 8989293 87412533 95614817 0 0 0 0 58005906 57353298 0 0 156229 36726965 38249099 94732871 95602397 -7320338 12420 69777813 71092880 48429298 49814444 21348515 21278436 ALICE HYDE MEDICAL CENTER WILL DISTINGUISH ITSELF AS A TRUSTED AND RESPECTED HEALTH CARE LEADER AND PROVIDER OF CHOICE, EXCEEDING EXPECTATIONS THROUGH SERVICE EXCELLENCE. 0 0 80988887 93313857 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. 80988887 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 25 0 1 980 1 1 1 0 0 0 0 0 0 0 0 0 X 12 11 1 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X CHRISTOPHER HICKEY VP FINANCECFO 5184833000 133 PARK STREET MALONE NY 12953 BRIAN MONETTE BOARD CHAIR 10.00 X X 0 0 0 KEVIN HART BOARD VICE CHAIR 10.00 X X 0 0 0 CRAIG LAVIGNE BOARD SECRETARY 10.00 X X 0 0 0 ROBERT G MAIN JR BOARD TREASURER 10.00 X X 0 0 0 EMILE BENARDOT MD BOARD MEMBER 10.00 X 0 0 0 DAN CLARK BOARD MEMBER 10.00 X 0 0 0 NICHOLAS EELLS CPA BOARD MEMBER 10.00 X 0 0 0 BRYAN HUGHES BOARD MEMBER 10.00 X 0 0 0 PAUL KOEHLER BOARD MEMBER 10.00 X 0 0 0 CAROL MCKEE BOARD MEMBER 10.00 X 0 0 0 MARINA MEDVED DO BOARD MEMBER 10.00 X 0 0 0 MORDI REHANY MD BOARD MEMBER 10.00 X 0 0 0 STEPHENS MUNDY PRESIDENT/CEO 20.00 30.00 X 0 1331339 244727 SEAN CURTIN VP FINANCE/CFO 50.00 X 205187 0 34998 WILLIAM LATREILLE CMO 50.00 X 331473 0 24474 MATT JONES COO 50.00 X 125760 0 27656 MICHELLE LEBEAU SR VP/COO 2.00 48.00 X 0 385781 70118 KENT HALL CHIEF MEDICAL OFFICER 20.00 30.00 X 0 468570 106292 SCOTT ST GEORGE VICE PRESIDENT OF FINANCE 20.00 30.00 X 0 187941 2550 VLADIMIR MEDVED MD MD 40.00 X 552252 0 10203 JOHN KIM MD MD 40.00 X 662027 0 29111 JOHN LOVIER MD MD 40.00 X 540590 0 27431 RAYFORD PETROSKI MD MD 40.00 X 551355 0 27881 DRAGOS MACELARU MD MD 40.00 X 818440 0 25677 DOUG DIVELLO FORMER PRESIDENT/CEO 50.00 X 441651 0 34857 4228735 2373631 665975 56 1 1 0 BERNARD GELBARD 75 PLEASANT STREET 10-7 MALONE NY 12953 CONTRACTED ANESTHESIOLOGIST 869580 NORTH COUNTRY HEALTHCARE MEDICAL PLLC 183 PARK STREET SUITE 5 6 MALONE NY 12953 PHYSICIAN FEES 198100 2 60795 1511883 390613 1963291 PATIENT CARE 622000 84443885 84443885 84443885 97028 97028 1056899 937332 119567 119567 119567 645535 524215 121320 121320 121320 31199 60795 33230 -2031 -2031 340B REVENUE 900099 6419265 6419265 MISCELLANEOUS REVENUE 900099 2450707 2450707 DISALLOWED EMPLOYEE FRINGE BENEFI 900099 1785 1785 8871757 95614817 93313857 1785 335884 1226057 1226057 45050167 40615966 4355067 79134 1360636 1218079 140180 2377 6552850 5851358 689649 11843 3163588 2783974 374190 5424 194235 194235 234916 234916 4622950 2432660 2189620 670 62053 62053 183199 65331 117586 282 687973 515980 171993 1276320 44421 1231899 201556 157479 43889 188 820332 820332 4537591 4537591 788922 280560 508362 MEDICAL SUPPLIES AND PH 7996005 7990917 5088 OTHER EXPENSES 5786827 3063690 2719355 3782 PHYSICIANS 5407986 5406038 1948 BAD DEBT EXPENSE 2375427 2375427 3072807 2829084 191194 52529 95602397 80988887 14457281 156229 3369479 7522796 8960039 8226522 140808 131361 818868 768945 2175583 2670859 57340919 11045764 49655282 46295155 2873821 3004809 154295 13035 1629638 2459398 69777813 71092880 16273352 10581024 24590543 34609706 7565403 4623714 48429298 49814444 X 21164569 20449380 645110 183946 183946 21348515 21278436 69777813 71092880 X 12420 -80714 -1785 X X 0 1 X 1 0 X 183946 611091 34019 829056 183946 183946 183946 183946 183946 183946 183946 183946 0.22190 0.77810 0 0 2051000 2051000 40625648 4895179 35730469 12153208 5755481 6397727 2511063 395104 2115959 46295155 DUE TO RELATED PARTIES 3036079 OTHER LIABILITIES 1587635 4623714 X 95646262 33230 33230 95613032 1785 1785 95614817 95635627 33230 33230 95602397 0 95602397 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. GALA 29092 19395 9697 200 144 300 4386 500 4162 COLOR RUN 25310 16450 8860 2675 12898 1 37592 24950 12642 5058 99 2808 91994 60795 31199 200 144 5358 4485 3175 19868 33230 -2031 1 1 1 X 1 X 1 1 1 0 0 1219812 0 1219812 0.01310 23953032 10152319 13800713 0.14800 0 0 25172844 10152319 15020525 0.16110 77508 0 77508 0.00080 77508 77508 0.00080 25250352 10152319 15098033 0.16190 1 2375427 28386 21780280 26554614 -4774334 X 1 1 1 1 ALICE HYDE MEDICAL CENTER 133 PARK STREET MALONE NY 12953 WWW.ALICEHYDE.COM 1624000H X X X ALICE HYDE MEDICAL CENTER 1 0 0 1 X X X X X X X X X 16 1 1 1 1 X HTTPS://WWW.ALICEHYDE.COM/ABOUT-US/COMMUNITY-SERVICE-PLAN X HTTPS://AHIHEALTH.ORG/ARHN/ HTTPS://COUNTYFRANKLIN.DIGITALTOWPATH.ORG:1007 X 1 16 1 HTTPS://WWW.ALICEHYDE.COM/ABOUT-US/COMMUNITY-SERVICE-PLAN 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X 1 X WWW.ALICEHYDE.COM X WWW.ALICEHYDE.COM X WWW.ALICEHYDE.COM X X X X X 1 X 0 X X X X 1 X 0 0 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. 1 1 - ALICE HYDE NURSING HOME 45 SIXTH STREET MALONE NY 12953 SKILLED NURSING FACILITY 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. X X X X X 0 0 0 0 0 0 0 0 0 STEPHENS MUNDY PRESIDENT/CEO 0 692840 0 371166 0 267333 0 205492 0 39235 0 1576066 0 0 SEAN CURTIN VP FINANCE/CFO 205187 0 0 0 0 0 5864 0 29134 0 240185 0 0 0 WILLIAM LATREILLE CMO 331473 0 0 0 0 0 8100 0 16374 0 355947 0 0 0 MATT JONES COO 125760 0 0 0 0 0 3745 0 23911 0 153416 0 0 0 MICHELLE LEBEAU SR VP/COO 0 320528 0 65253 0 0 0 33596 0 36522 0 455899 0 0 KENT HALL CHIEF MEDICAL OFFICER 0 400975 0 67595 0 0 0 73479 0 32813 0 574862 0 0 SCOTT ST GEORGE VICE PRESIDENT OF FINANCE 0 177941 0 10000 0 0 0 0 0 2550 0 190491 0 0 VLADIMIR MEDVED MD MD 552252 0 0 0 0 0 8100 0 2103 0 562455 0 0 0 JOHN KIM MD MD 649527 0 12500 0 0 0 8100 0 21011 0 691138 0 0 0 JOHN LOVIER MD MD 470590 0 70000 0 0 0 8100 0 19331 0 568021 0 0 0 RAYFORD PETROSKI MD MD 516355 0 35000 0 0 0 8100 0 19781 0 579236 0 0 0 DRAGOS MACELARU MD MD 568440 0 250000 0 0 0 8100 0 17577 0 844117 0 0 0 DOUG DIVELLO FORMER PRESIDENT/CEO 346010 0 95641 0 0 0 8100 0 26757 0 476508 0 0 0 PART I, LINE 3 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 A FRANKLIN COUNTY CIVIC DEVELOPMENT CORP 800627350 35313PAA0 2013-10-31 27375000 CONSTRUCTION OF 135 BED SKILLED NURSING FACILITY AND 30 BED ASSISTED LIVING 0 0 0 A 27375000 1675004 6213316 65618 2015 0 0 0 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 SEAN CURTIN FORMER CFO PART V X 150865 131361 0 1 1 131361 JESSIE CURTIN SPOUSE OF FORMER OFFICER 11469 2018 FY SALARY - WAS EMPLOYED IN PHILANTRHOPY DEPT 0 CATHERINE DIVELLO SPOUSE OF FORMER OFFICER 43419 2018 FY SALARY - IS EMPLOYED IN IT DEPT 0 KIM JONES SPOUSE OF OFFICER 81803 2018 FY SALARY - IS EMPLOYED IN REHAB DEPT 0 VLADIMIR MEDVED SPOUSE OF BOARD MEMBER 611200 2018 FY SALARY - IS EMPLOYED AS PAIN MANAGEMENT PHYSICIAN 0 MARINA MEDVED DO BOARD MEMBER 198100 COMPANY CONTRACTED FOR PHYSICIAN SERVICES 0 PART II, LOANS TO AND FROM INTERESTED PERSONS: (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. 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. 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